Chithandizo cha BCG: Zimene muyenera kudziwa zokhudza chithandizo cha khansa ya chikhodzodzo (BCG Treatment)

Kodi dokotala wanu wakuuzani kuti muli ndi khansa ya chikhodzodzo ndipo muyenera kulandira chithandizo cha BCG? Ndizachilendo kumva mantha pang'ono komanso mantha mukamva zimenezo. "Ndi mankhwala amtundu wanji awa?", "Kodi izi zikukupangitsani kumva kudwala?", ndi zina zotero. Mafunso ambiri mwina amabwera m'maganizo. Koma iyi ndi mankhwala omwe amagwiritsidwa ntchito kwambiri omwe awonetsedwa kuti ndi othandiza kwa anthu ambiri omwe ali ndi khansa ya chikhodzodzo yoyambirira. Chifukwa chake lero, tiyeni tikambirane mwachidule za chithandizo cha BCG, momwe chimachitikira, komanso zomwe muyenera kudziwa.

Kodi chithandizo cha BCG n'chiyani kwenikweni?

Mwachidule, BCG (Bacillus Calmette-Guerin) ndi mankhwala omwe amaperekedwa mkati mwa chikhodzodzo chanu. Mankhwalawa amatchedwa intravesical immunotherapy . Ndi mankhwala amadzimadzi. Mwina munamvapo za katemera wa chifuwa chachikulu (TB). Mankhwala a BCG amapangidwa pofooketsa mabakiteriya `(Mycobacterium bovis)`, omwe ndi mtundu womwewo wa mabakiteriya omwe amagwiritsidwa ntchito popanga katemerayo. Zingamveke zoopsa pang'ono mukamanena kuti "kuyika mabakiteriya m'thupi lanu", koma chomwe chimachita ndikufooketsa mabakiteriya mwanjira yomwe siivulaza thupi lanu komanso kulimbikitsa chitetezo cha mthupi lanu kuti chilimbane ndi maselo a khansa.

Chithandizochi nthawi zambiri chimayamba khansa ya chikhodzodzo ikachotsedwa opaleshoni. Opaleshoniyi imatchedwa TURBT (transurethral resection of abdominal tumor) . Pambuyo pake, chithandizo cha BCG chimaperekedwa kuti chiwononge maselo ena onse a khansa.

Kodi chithandizo cha BCG ichi chaperekedwa chifukwa cha matenda amtundu wanji?

Chithandizo cha BCG chimagwiritsidwa ntchito makamaka pochiza khansa ya chikhodzodzo yomwe imayamba msanga . Izi zikutanthauza kuti khansayo sinafalikire mpaka ku minofu ya chikhodzodzo. Mwachitsanzo, ndi yothandiza kwambiri pa matenda monga `(carcinoma in situ)` (khansa yomwe idakali komwe idayambira) ndi `(khansa ya chikhodzodzo yosakhala minofu - NMIBCs)`.

Mayeso azachipatala akuchitika pakadali pano kuti awone ngati BCG ingagwiritsidwe ntchito pochiza matenda monga fibromyalgia ndi matenda a shuga, koma palibe mfundo zomveka zomwe zapezeka.

Kodi BCG ndi mtundu wa chemotherapy?

Ayi. Apa ndi pomwe anthu ambiri amasokonezeka. BCG si mankhwala a chemotherapy. Mankhwala a chemotherapy amaphatikizapo kupereka mankhwala amphamvu omwe amapha maselo a khansa mwachindunji. Koma BCG ndi mankhwala a immunotherapy.. Izi zikutanthauza kuti, mankhwalawa sapha maselo a khansa mwachindunji. M'malo mwake, "amachotsa" chitetezo cha mthupi cha thupi lanu , kuwaphunzitsa kuzindikira ndi kuukira maselo a khansa. Zili ngati kuwonetsa gulu lathu lankhondo mdani ndikuwathandiza kumenya nkhondo.

Kodi mungakonzekere bwanji musanalandire chithandizo cha BCG?

Dokotala wanu adzakufotokozerani momveka bwino zomwe muyenera kuchita musanalandire chithandizo. Nthawi zambiri, muyenera kutsatira malangizo awa:

• Pewani kumwa zakumwa zokhala ndi caffeine, monga khofi ndi tiyi, kwa maola anayi musanalandire chithandizo.
• Komanso, ngati mukumwa mapiritsi ochepetsa mphamvu ya okodzetsa/madzi, lankhulani ndi dokotala wanu za izi ndipo pewani kuwamwa maola anayi musanalandire chithandizo.
• Mukafika kuchipatala, muyenera kukodza bwino ndikutulutsa madzi m'chikhodzodzo musanayambe kulandira chithandizo.

Zinthu izi zimachitika kuti mankhwala a BCG omwe amaperekedwa akhalebe bwino m'chikhodzodzo ndikupereka zotsatira zabwino kwambiri.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Musanayambe chithandizo, malowo adzatsekedwa kuti musamve kupweteka kulikonse. Kenako, dokotala kapena namwino adzalowetsa chubu chopyapyala (catheter) kudzera mu mkodzo wanu kupita mu chikhodzodzo chanu. Izi zitha kukhala zosasangalatsa pang'ono, koma sizidzapweteka kwambiri. Mankhwala a BCG adzalowetsedwa mu chikhodzodzo chanu kudzera mu chubu. Mankhwala akangolowetsedwa kwathunthu, chubucho chidzachotsedwa. Kenako mutha kupita kunyumba.

Komabe, ngakhale mutapita kunyumba, muyenera kuyesetsa kuti musakodze kwa ola limodzi . Ponseponse, tikukulimbikitsani kusunga mankhwalawa mu chikhodzodzo chanu kwa maola awiri . Pa maola awiriwa, mungapemphedwe kusintha momwe thupi lanu lilili (kutembenuka) mphindi 15 zilizonse. Izi ndi kuonetsetsa kuti mankhwalawa afika mbali zonse za chikhodzodzo chanu. Maola awiriwa akatha, mutha kukodza bwino.

Kodi chithandizochi chingapatsidwe kwa ena? Kodi ndi njira ziti zodzitetezera zomwe ziyenera kutengedwa?

Inde, izi ndizofunikira kwambiri. Katemera wa BCG ali ndi mabakiteriya amoyo, koma ofooka. Chifukwa chake, mabakiteriyawa amatha kupatsirana kuchokera kwa inu kupita kwa wina. Kuti mupewe izi, muyenera kutsatira njira izi kwa maola asanu ndi limodzi oyamba mutatha chithandizo chilichonse :

• Musagwiritse ntchito zimbudzi za anthu onse. Gwiritsani ntchito chimbudzi chanu kunyumba momwe mungathere.
• Imwani madzi ndi zakumwa zambiri. Izi zimachepetsa mkodzo wanu ndikuchepetsa kuchuluka kwa mabakiteriya.
• Khalani pansi mukamakodza. Izi zichepetsa kuchuluka kwa mkodzo womwe umatuluka.
• Chofunika kwambiri: Mukamaliza kukodza, tsanulirani makapu awiri a bleach yosasungunuka m'mbale ya chimbudzi, tsekani chivindikirocho, ndipo chisiyeni kwa mphindi 15-20.Siyani kwa ola limodzi kenako muzimutsuka. Izi zidzapha mabakiteriya aliwonse omwe angakhale m'chimbudzi.
• Ngati muli ndi vuto la mkodzo ndipo zovala zanu zogona zili ndi mkodzo, zitsukeni padera mu makina ochapira. Musaziphatikize pamodzi ndi zovala za anthu ena.
• Ngati mugwiritsa ntchito chotsukira mano, chilowetseni mu bleach pang'ono musanachichotse, chiyikeni mu thumba la pulasitiki, chimangeni mwamphamvu, ndikuchitaya m'zinyalala.
• Ngati mukugonana panthawi ya chithandizo, muyenera kugwiritsa ntchito kondomu . Funsani dokotala wanu kuti akuuzeni zambiri za izi.

Kodi pali zotsatirapo zilizonse zoyipa za chithandizo cha BCG?

Monga momwe zimakhalira ndi chithandizo chilichonse, chithandizo cha BCG chingayambitse zotsatira zina zoyipa. Komabe, nthawi zambiri izi sizimakhala zazikulu ndipo zimatha mkati mwa masiku awiri kapena atatu.

Dokotala wanu adzakupatsani mankhwala ochepetsa mavutowa. Mutha kumwa mankhwala ochepetsa ululu, monga paracetamol, chifukwa cha malungo ndi ululu.

Ndiyenera kuyimbira dokotala nthawi yanji?

• Malungo aakulu (opitirira 38.5°C kapena 101.3°F)
• Ngati mukuzizira komanso mukunjenjemera
• Ngati chikhodzodzo chikupweteka (kupweteka kwa chikhodzodzo)
• Kusanza kwambiri kapena kusanza

Zizindikiro ngati izi zitha kusonyeza vuto monga matenda, choncho ndikofunikira kufunafuna upangiri wa dokotala.

Kodi n'zotheka kuti khansa ibwererenso mutalandira chithandizo cha BCG?

Funso ili ndi lofunika kwambiri. Monga momwe zimakhalira ndi chithandizo chilichonse cha khansa, pali chiopsezo choti khansa ibwererenso pambuyo pa BCG. Malinga ndi ziwerengero, mpaka 40% ya anthu omwe amalandira chithandizo cha BCG akhoza kukhala ndi khansa yawo.

Koma apa pali chinthu chofunikira kumvetsetsa. Ngakhale khansa ikabweranso, nthawi zina siimakula kapena kufalikira. Khansa yotsika kwambiri kumayambiriro nthawi zambiri siifalikira ku ziwalo zina za thupi.

Kawirikawiri, khansa yoopsa imatha kuchitika mutalandira chithandizo cha BCG. Ngati izi zitachitika, dokotala wanu angakulangizeni kuti muchotse chikhodzodzo chonse, chomwe chimaphatikizapo kuchotsa chikhodzodzo chonse. Ichi ndichifukwa chake ndikofunikira kuwunika pafupipafupi mutalandira chithandizo.