Doctor hian nangmah emaw, i hnaih ber emaw hnenah bladder cancer i vei tih a hrilh tawh em? Tin, BCG enkawlna i neih a ngai tih a hrilh che em? He hming i hriat hian i hlau deuh mai thei. BCG hi eng nge a nih, eng nge a tih, leh a side effect a awm leh awm loh chungchangah zawhna tam tak i nei ngei ang. Ngaihtuah buai suh, heng zawng zawng hi awlsam tak leh chiang takin kan sawi dawn a ni.
BCG enkawlna hi eng nge ni tak tak?
A awlsam zawngin sawi ila, BCG hi immunotherapy lian tak a ni a, bladder cancer hmasa ber enkawlna atana hman thin a ni. 'Immunotherapy' hi cancer dona atana i taksa ngeia immune system tichaktu, a nih loh leh "harh" thei damdawi a ni.
Hei hi enkawlna chi khat intravesical therapy an tih a ni . Chumi awmzia chu damdawi chu tui angin ka ei emaw, injection angin emaw pek a ni lo tihna a ni. Chu ai chuan i bladder-ah direct-in catheter an tih tube te tak te hmangin i inject zawk a ni.
BCG hi bacteria nung, chak lo tak a ni. Tuberculosis vaccine siamna atana hman thin bacteria ang chiah atanga siam a ni. He bacteria hi bladder chhunga a luh chuan chutah chuan immune cells te chu a activate a, cancer cells te bei turin a kaihruai thin. Ngaihtuah teh, kan taksa ngeiin a invenna (immune cells) hmanga cancer dona ang mai a ni.
He enkawlna hian a thatna ropui tak pakhat chu direct-in bladder-a cancer cells te chauh a target a ni. Taksa peng dangah nghawng a nei vak lo.
BCG enkawlna hi TURBT (Transurethral Resection of Bladder Tumor) tih operation hnuah tan a ni tlangpui. He surgery hian bladder-a cancer natna hmuh theih awmte chu a paih chhuak a ni. Chumi hnuah BCG treatment hmangin cancer cell la awm zawng zawng chu tihchhiat vek a ni.
BCG enkawlna hian eng side effect nge a neih?
Enkawlna dang ang bawkin BCG hian side effect engemaw zat a nei thei bawk. Mahse, heng zinga a tam zawk hi chu hun eng emaw chen atan leh enkawl theih a ni. Hengte hi enkawl hnu darkar 24 chhungin beisei theih a ni.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Khawsik leh taksa na | Khawsik a siam thei che a, khawsik ang maiin a awm thei a, i taksa ruh leh ruhte pawh a na thei bawk. Tin, khawsik tlem 99-100 Fahrenheit vel i nei thei bawk. |
| Urinary tract inflammation leh zun tam lutuk | Zun laia kang, natna, leh zun tam ngai tih hriat hi thil pangngai a ni. |
| Zun ah thisen tlem a awm | I zun chhungah thisen zam te te, pinkish deuh deuh i hmu mai thei. Hei hi a tlangpuiin ngaihtuahawm a ni lo. |
| Chau lutuk | Taksa chu a chau deuhin a hria mai thei. |
| Ngaihtuah vat ngai dinhmun! | |
| BCG Sepsis a awm a | Hei hi a tlem hle a, mahse hlauhawm tak a ni. Infection kan taksain a overreaction vang a ni thei. I khawsik chu 101.3 Fahrenheit (38.5 Celsius) aia sang a nih chuan doctor ko nghal la, damdawi in hnai ber emergency department (ETU)-ah kal nghal rawh. |
Dik tak chuan, a chang chuan heng side effect tenau te hi chhinchhiahna tha tak a ni thei. I taksa immune system hian hna a thawk tha tan a, cancer cell te a do mek tihna a ni. Chuvangin doctor thenkhat chuan hetiang ang chhanna tenau hi side effect awm lo ai chuan a tha zawk niin an ngai.
Heng side effects te hi eng chen nge a awm ang?
Heng side effects te hi ni hnih atanga ni thum chhungin a bo tlangpui. Mi thenkhat tan chuan zun an chhuah hnuah leh an bladder-a damdawi an pass out hnuah an rilru a hahdam hle. Mahse, i natna lan chhuah dan hi ni thum aia rei a daih a nih chuan, a nih loh leh a nasat lutuk chuan doctor nen inbia ngei ang che.
BCG enkawlna atan engtin nge kan inbuatsaih ang?
Doctor chuan enkawl hma ni khatah thupek engemaw zat a pe ang che.
- Caffeine awmna in tur (coffee, tea) ei loh tur.
- Enkawl hmain uluk takin zun la, i bladder kha empty hmasa phawt ang che.
- I inenkawl zîngah tui in tam suh. Tlemte tui tlakchhamna hian damdawi chu i bladder-ah darkar hnih vel a awm tir thei ang.
- A pawimawh ber: Chhan dang avanga antibiotics i ei a nih chuan i doctor hnenah hrilh la, antibiotics hian BCG enkawlna hlawhtlinna a tibuai thei a ni.
Enkawl lai hian catheter dahna hmun chu a numbed thin. Tichuan, BCG vaccine chu catheter hmangin bladder-ah an inject a, catheter chu an la chhuak ta a ni. Chumi hnuah chuan a theih ang anga rei, darkar 2 vel chu zun i tihtawp a ngai a ni.
Pawimawh tak: BCG enkawlna hi midang tan a kai theih em?
Ni e, he thil hi i fimkhur hle a ngai a ni. BCG vaccine hian bacteria nung a pai avangin enkawl hnu darkar 6 chhungin i zun hmangin midang i kai thei a ni. Chuvangin, heng himna dante hi zawm ngei ngei tur a ni:
- Mipui inthiarna hmang suh. Mahni toilet chauh hmang rawh.
- Zun laiin thu rawh. (Mipa pawhin he hun chhung hian ṭhut chungin zun a luang chhuak lo thei bawk.)
- Damdawi ei hnu darkar hnih vel i zun hnuah tui tam tak in tur a ni.
- Toilet tihfai dan: I zun hnuah toilet-ah bleach cup hnih vel theh la, toilet khuhna kha khar la, minute 15-20 vel thut tir la, chutah chuan silfai rawh. Hetiang hian tih fo thin ang che.
- I thawmhnaw-ah zun i awm chuan a hranin sil nghal la, thawmhnaw dang nen silfai lo ang che.
- Enkawl hnu ni engemaw zat chu mipat hmeichhiatna hman loh tur a ni. Tin, enkawlna hun chhung zawng hian sex i hman apiangin condom hman a pawimawh hle bawk.
BCG enkawlna hi engtiang chiahin nge a hlawhtlin?
Tunah hian BCG hi bladder cancer hmasa ber enkawlna tha ber a ni.
- BCG enkawl hnuah damlo 70% vel chuan remission kimchang an hmu thin.
- Mahse, mi thenkhat (20%-30%) tan chuan he enkawlna hian hna a thawk tha lo thei. Heng mite hi "BCG unresponsive" an ti a.
- A chang chuan, cancer hi enkawl hnuah a lo lang leh thei bawk. Mahse a awm a nih pawhin BCG hian invasive cancer a nih loh nan a pui a ni.
Heng statistics te hi eng pawh ni se, kan hriat reng tur chu tun dinhmuna kan enkawlna tha ber leh tangkai ber chu BCG hi a ni. Chuvangin, doctor-in a sawi ang chiah hian enkawlna chu zawm la, a hun takah cystoscopy nei rawh .Hetiang test neih hi a pawimawh hle.
Take-Home Thuchah a ni
- BCG hi cancer dona atana mahni immune system tichaktu a ni.
- Side effects, khawsik leh zun kawng infection te hi a awm fo a, enkawlna hian hna a thawk tih a tilang thei bawk.
- Mahse khawsik hi 101.3 degree F aia sang a nih chuan emergency a ni. I doctor hnenah hrilh nghal rawh.
- Enkawl hnu darkar 6 hmasa berah i zun-ah natna kai theihna a awm a, chuvangin himna tur fimkhur hle ang che, toilet chu bleach hmanga silfai ang che.
- Enkawlna hun chhung zawng hian mipat hmeichhiatna hman laiin condom hman ngei ngei tur a ni.
- Hei hi enkawlna tha tak a ni. I doctor nen inbiak reng la, test leh enkawlna dik tak nei rawh.
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