Kodi dokotala wanu wakuuzani kapena wina m'banja mwanu ali ndi khansa ya chikhodzodzo? Ndiye mwina munamvapo za chithandizo chotchedwa BCG. Anthu ambiri amachita mantha pang'ono akamva dzinali, chifukwa silili ngati mankhwala wamba. Koma palibe chifukwa choopera. Chifukwa chake lero tikambirana za chithandizo cha BCG ichi, momwe chimachitikira, ndi zonse zomwe muyenera kudziwa za icho m'njira yosavuta komanso yochezeka.
Kodi chithandizo cha BCG n'chiyani kwenikweni?
Mwachidule, BCG ndi yankho lomwe lili ndi mtundu wofooka wa bakiteriya wotchedwa Bacillus Calmette-Guerin . Mwina munamvapo dzinali kale, chifukwa ndi mabakiteriya omwewo omwe amagwiritsidwa ntchito mu katemera popewa chifuwa chachikulu. Koma musadandaule, chithandizochi sichingakupangitseni kutenga chifuwa chachikulu.
Chomwe chimachitika pankhaniyi ndichakuti yankho la bakiteriyali limalowetsedwa mwachindunji mu chikhodzodzo chanu. Kenako, chitetezo cha mthupi cha thupi lanu chimayatsidwa nthawi yomweyo. Izi zikutanthauza kuti, chimalimbikitsa chitetezo cha thupi lanu kuti chimenyane (ndi maselo a khansa). Chitetezo cha mthupi cholimbikitsidwachi chimapeza maselo a khansa m'makoma a chikhodzodzo ndikuwaukira ndikuwononga. Iyi si mankhwala opha khansa mwachindunji a 'chemotherapy', koma njira yowongolera khansa pogwiritsa ntchito luso la thupi lolimbana nalo.
Ku Sri Lanka, chithandizochi chimapezeka pansi pa mayina a makampani monga `Theracys` kapena `TICE BCG`.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Chithandizochi si cha aliyense. Chifukwa chake, ndikofunikira kwambiri kukambirana momasuka ndi dokotala wanu za thanzi lanu. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwawauza musanayambe kulandira chithandizo.
- Ngati khoma la mtsempha wamagazi lifooka ndipo likutupa ngati baluni (`aneurysm`).
- Ngati muli ndi magazi mu mkodzo wanu.
- Ngati mwachitidwa opaleshoni ya chikhodzodzo mkati mwa milungu iwiri yapitayi.
- Ngati panopa muli ndi malungo kapena matenda ena.
- Ngati muli ndi vuto la chitetezo chamthupi.
- Ngati muli ndi khansa zina monga khansa ya m'magazi kapena lymphoma.
- Ngati muli ndi matenda a mitsempha monga `myasthenia gravis`.
- Ngati mwatsala pang'ono kuikidwa chiwalo kapena kuikidwanso chiwalo.
- Ngati muli ndi zomangira zopangidwa m'thupi lanu (monga mafupa opangidwa, ma valve a mtima opangidwa, ndi zomangira za mitsempha).
- Ngati mwangolandira kapena mukulandira chithandizo cha radiation posachedwapa.
- Ngati muli ndi chifuwa chachikulu kapena munali nacho kale.
- Ngati muli ndi vuto la BCG, latex, kapena mankhwala ena aliwonse kapena chakudya.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, izi ndizofunikira kwambiri.
Momwe chithandizo cha BCG chimaperekedwera komanso zomwe mungachite pambuyo pake
Simudzapatsidwa mankhwala awa kuti mupite nawo kunyumba. Amaperekedwa kuchipatala kapena ku chipatala ndi ogwira ntchito zachipatala ophunzitsidwa bwino.
Choyamba, chubu chopyapyala (catheter) chimayikidwa mu chikhodzodzo chanu, momwe mankhwala a BCG amalowetsedwa. Izi zingamveke zosasangalatsa pang'ono, koma sizipweteka kwambiri. Mukamaliza jakisoni, chubucho chimachotsedwa. Kenako mudzalangizidwa kuti musunge jakisoniyo mu chikhodzodzo chanu kwa ola limodzi kapena awiri . Muyenera kuyesetsa kuti musakodze panthawiyi. Mungapemphedwe kugona pansi kapena kuzunguliza kuchokera mbali imodzi kupita mbali ina kuti jakisoniyo afike mbali zonse za chikhodzodzo chanu.
Chofunika kwambiri ndi choti muchite mukalandira chithandizo. Popeza mankhwalawa ali ndi mabakiteriya amoyo, muyenera kuwaletsa kuti asafalikire kwa ena kudzera mu mkodzo wanu. Ndicho chifukwa chake muyenera kutsatira malangizo omwe ali pansipa.
Onetsetsani kuti mwachita izi nthawi iliyonse mukakodza kwa maola 6 oyambirira mutatha kulandira chithandizo.
| Zoyenera kuchita | Chifukwa chiyani komanso momwe mungachitire? |
|---|---|
| Khalani pansi ndipo mukodze. | Ngakhale mutakhala mwamuna, chonde khalani pa chimbudzi ndikukodza. Izi zithandiza kupewa kutayikira kwa mkodzo. Pewani kugwiritsa ntchito zimbudzi za anthu onse kapena kukodza panja. |
| Thirani bleach m'chimbudzi. | Mukamaliza kukodza, tsanulirani makapu awiri a bleach yosasungunuka m'mbale ya chimbudzi. Tsekani chivindikiro cha chimbudzi, chisiyeni kwa mphindi pafupifupi 15-20 , kenako tsukani. Izi zidzapha mabakiteriya aliwonse mu mkodzo. |
| Sambani m'manja ndi m'malo obisika. | Mukatha kugwiritsa ntchito chimbudzi, sambani m'manja mwanu ndi malo ozungulira maliseche anu ndi sopo bwino. |
| Imwani madzi ambiri. | Mukakodza koyamba, imwani madzi ndi zakumwa zambiri tsiku lonse. Izi zichepetsa mkodzo wanu ndikuchepetsa kutupa kwa chikhodzodzo chanu. |
| Ngati simungathe kulamulira kukodza kwanu | Ngati muli ndi vuto la kusadziletsa ndipo zovala zanu zayamba kusamba, zitsukeni padera mu makina ochapira nthawi yomweyo. Musaziike pamodzi ndi zovala zina. Ngati mugwiritsa ntchito chida chodziletsa, chilowetseni mu bleach pang'ono musanachitaye, chiyikeni mu thumba la pulasitiki, chitsekeni, ndikuchiyika mu zinyalala. |
Zinthu zina zofunika zomwe muyenera kudziwa
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Chithandizochi nthawi zambiri chimakhala kwa milungu ingapo, choncho ndikofunikira kwambiri kupita kuchipatala pa tsiku lomwe mwakonza. Ngati simungathe kupita pa tsiku lomwe mwakonza, imbani dokotala wanu kapena chipatala nthawi yomweyo ndipo muwadziwitse.
Kodi pangakhale kuyanjana ndi mankhwala ena?
Inde. Mankhwala ena amatha kusokoneza kugwira ntchito kwa chithandizochi. Makamaka:
- Mankhwala opha tizilombo
- Mankhwala oletsa chitetezo chamthupi (monga corticosteroids, mankhwala ena a khansa)
- Mankhwala a chifuwa chachikulu
Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba), komanso ngati mumasuta kapena kumwa mowa.
Zinthu zoti muziganizire panthawi ya chithandizo
Mungathe kumva kutentha thupi komanso kupweteka kwa tsiku limodzi kapena awiri mutalandira chithandizo. Izi ndi zachilendo. Komabe, ngati zizindikirozi zipitirira masiku awiri, zikuipiraipira, kapena ngati muli ndi zizindikiro zachilendo kapena zoopsa, imbani dokotala nthawi yomweyo.
Musatenge mimba mukumwa mankhwalawa. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Komanso, pewani kuyamwitsa. Ngati mukugonana, nthawi zonse gwiritsani ntchito kondomu . Funsani dokotala wanu kuti akupatseni upangiri wa nthawi yochitira izi.
Dziwani zotsatirapo zake
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, chithandizo cha BCG chingayambitse zotsatirapo zina. Zina mwa izi ndizofala, pomwe zina zimakhala zoopsa.
| Mitundu ya zotsatirapo zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
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| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
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Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Popeza chithandizochi chimaperekedwa kuchipatala, palibe njira yoti mugwiritse ntchito mopitirira muyeso. Komabe, ngati mukumva zizindikiro zoopsa mutalandira chithandizo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- BCG ndi mankhwala omwe amalimbikitsa chitetezo cha mthupi lanu kuti chizilimbana ndi khansa ya chikhodzodzo.
- Chithandizochi chimaperekedwa kuchipatala, kudzera mu chubu (catheter) chomwe chimayikidwa mu chikhodzodzo.
- Kwa maola 6 oyambirira mutatha kulandira chithandizo, onetsetsani kuti mwatsatira njira zapadera zaukhondo, monga kutsuka chimbudzi ndi bleach, kuti muteteze ena.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga kutentha thupi kwambiri, kupuma movutikira, kapena magazi mu mkodzo wanu.
- Pewani kutenga mimba mukalandira chithandizo ndipo gwiritsani ntchito kondomu pogonana.
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