Kodi dokotala wakuuzani kapena munthu wina wapafupi nanu kuti muli ndi khansa ya chikhodzodzo? Ndipo kodi wakuuzani kuti muyenera kulandira chithandizo cha BCG? Mungachite mantha pang'ono mukamva dzinali. Mwina muli ndi mafunso ambiri okhudza BCG, zomwe imachita, komanso ngati pali zotsatirapo zake. Musadandaule, tikambirana zonsezi mosavuta komanso momveka bwino.
Kodi chithandizo cha BCG n'chiyani kwenikweni?
Mwachidule, BCG ndi chithandizo chachikulu cha immunotherapy chomwe chimagwiritsidwa ntchito pochiza khansa ya chikhodzodzo yomwe imayamba msanga. 'Immunotherapy' ndi chithandizo chomwe chimalimbikitsa, kapena "kudzutsa," chitetezo cha mthupi lanu kuti chilimbane ndi khansa.
Uwu ndi mtundu wa mankhwala otchedwa intravesical therapy . Izi zikutanthauza kuti mankhwalawa saperekedwa ngati madzi kudzera mkamwa kapena ngati jakisoni. M'malo mwake, amalowetsedwa mwachindunji mu chikhodzodzo chanu pogwiritsa ntchito chubu chopyapyala chotchedwa catheter.
BCG ndi mtundu wa mabakiteriya amoyo komanso ofooka. Amapangidwa kuchokera ku mabakiteriya omwewo omwe amagwiritsidwa ntchito popanga katemera wa chifuwa chachikulu. Mabakiteriyawa akalowa m'chikhodzodzo, amayatsa maselo oteteza thupi omwewo ndikuwatsogolera kuti aukire maselo a khansa. Tangoganizani, zili ngati kugwiritsa ntchito chitetezo cha thupi lathu (maselo oteteza thupi) kuti tilimbane ndi khansa.
Chimodzi mwa ubwino waukulu wa chithandizochi ndichakuti chimangoyang'ana mwachindunji maselo a khansa omwe ali m'chikhodzodzo. Sichikhudza kwambiri ziwalo zina za thupi.
Chithandizo cha BCG nthawi zambiri chimayamba pambuyo pa opaleshoni yotchedwa TURBT (Transurethral Resection of Bladder Tumor) . Opaleshoniyi imachotsa zotupa za khansa zomwe zimaoneka m'chikhodzodzo. Chithandizo cha BCG chimagwiritsidwa ntchito kuwononga maselo ena onse a khansa.
Kodi zotsatirapo zoyipa za chithandizo cha BCG ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse, BCG ikhoza kukhala ndi zotsatirapo zina. Komabe, zambiri mwa izi ndi zakanthawi ndipo zimatha kuthetsedwa. Izi zitha kuyembekezeredwa mkati mwa maola 24 oyamba mutatha kulandira chithandizo.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Malungo ndi kupweteka kwa thupi | Zingakupangitseni kumva kuzizira, ngati kuti muli ndi chimfine, ndipo minofu ndi mafupa anu angakupwetekeni. Mungakhalenso ndi kutentha pang'ono kwa 99-100 Fahrenheit. |
| Kutupa kwa njira ya mkodzo komanso kukodza pafupipafupi | Ndi zachilendo kumva kutentha, kupweteka, komanso kufunikira kukodza pafupipafupi mukamakodza. |
| Magazi pang'ono mu mkodzo | Mungathe kuona madontho ang'onoang'ono a magazi a pinki mu mkodzo wanu. Izi nthawi zambiri siziyenera kuda nkhawa. |
| Kutopa | Thupi likhoza kumva kutopa pang'ono. |
| Mkhalidwe womwe umafuna chisamaliro chachangu! | |
| BCG Sepsis | Imeneyi ndi vuto losowa kwambiri, koma loopsa kwambiri . Lingayambitsidwe ndi momwe thupi limayankhira matenda mopitirira muyeso. Ngati kutentha kwanu kuli kokwera kuposa 38.5 Celsius, imbani dokotala wanu nthawi yomweyo kapena pitani ku dipatimenti yadzidzidzi ya chipatala chapafupi (ETU). |
Ndipotu, nthawi zina zotsatirapo zazing'ono izi zingakhale chizindikiro chabwino. Zimatanthauza kuti chitetezo cha mthupi lanu chayamba kugwira ntchito bwino ndipo chikumenyana ndi maselo a khansa. Choncho madokotala ena amaganiza kuti kuchitapo kanthu pang'ono ngati kumeneku kuli bwino kuposa kusachitapo kanthu konse.
Kodi zotsatirapo zake zimatenga nthawi yayitali bwanji?
Zotsatirapozi nthawi zambiri zimatha mkati mwa masiku awiri kapena atatu. Kwa anthu ena, amamva bwino akakodza ndikupereka mankhwala m'chikhodzodzo chawo. Komabe, ngati zizindikiro zanu zipitirira masiku atatu, kapena ngati zili zoopsa kwambiri, onetsetsani kuti mwalankhula ndi dokotala wanu.
Kodi mungakonzekere bwanji chithandizo cha BCG?
Dokotala adzakupatsani malangizo tsiku lisanafike chithandizo.
- Pewani kumwa zakumwa zokhala ndi caffeine (khofi, tiyi).
- Kodzani bwino ndipo tulutsani madzi m'chikhodzodzo musanalandire chithandizo.
- Musamwe madzi ambiri m'mawa uliwonse chifukwa cha kuuma pang'ono kwa madzi m'thupi lanu. Kusamwa madzi ambiri m'thupi lanu kungathandize kuti mankhwalawa akhalebe m'chikhodzodzo kwa maola awiri.
- Chofunika kwambiri: Ngati mukumwa maantibayotiki pazifukwa zina zilizonse, uzani dokotala wanu za izi, chifukwa maantibayotiki amatha kusokoneza kupambana kwa chithandizo cha BCG.
Pa nthawi ya chithandizo, malo omwe catheter imayikidwa amakhala opanda kanthu. Kenako, katemera wa BCG amalowetsedwa m'chikhodzodzo kudzera mu catheter, ndipo catheter imachotsedwa. Pambuyo pake, muyenera kuyimitsa kukodza kwa nthawi yayitali, pafupifupi maola awiri.
Chofunika kwambiri: Kodi chithandizo cha BCG chimapatsira ena?
Inde, muyenera kusamala kwambiri pa izi. Popeza katemera wa BCG ali ndi mabakiteriya amoyo, mutha kupatsira ena kudzera mu mkodzo wanu mkati mwa maola 6 oyambirira mutatha kulandira chithandizo. Chifukwa chake, onetsetsani kuti mwatsatira njira zodzitetezera izi:
- Musagwiritse ntchito zimbudzi za anthu onse. Gwiritsani ntchito chimbudzi chanu chokha.
- Khalani pansi mukamakodza. (Amuna amathanso kupewa kutaya mkodzo mwa kukhala pansi panthawiyi.)
- Mukatha kukodza kwa maola awiri mutamwa mankhwala, imwani madzi ambiri.
- Momwe mungayeretsere chimbudzi: Mukamaliza kukodza, tsanulirani makapu awiri a bleach m'chimbudzi, tsekani chivindikiro cha chimbudzi, chisiyeni kwa mphindi 15-20, kenako muzimutsuka. Chitani izi nthawi zonse.
- Ngati muyamba kukodza pa zovala zanu, zitsukeni padera nthawi yomweyo, osati ndi zovala zina.
- Pewani kugonana kwa masiku angapo mutatha kulandira chithandizo. Komanso, ndikofunikira kugwiritsa ntchito kondomu nthawi iliyonse mukachita zogonana nthawi yonse ya chithandizo.
Kodi chithandizo cha BCG chikuyenda bwino bwanji?
BCG pakadali pano ndiyo njira yabwino kwambiri yothandizira khansa ya chikhodzodzo yomwe imayamba msanga.
- Pambuyo pa chithandizo cha BCG, pafupifupi 70% ya odwala amachira kwathunthu.
- Komabe, kwa anthu ena (pafupifupi 20%-30%) chithandizochi sichingagwire ntchito bwino. Anthu awa amatchedwa "BCG osayankha".
- Nthawi zina, khansa imatha kubwereranso pambuyo pa chithandizo. Koma ngakhale itachitika, BCG imathandiza kupewa kukhala khansa yowopsa.
Mosasamala kanthu za ziwerengerozi, chomwe tiyenera kukumbukira ndichakuti njira yabwino komanso yothandiza kwambiri yothandizira yomwe tili nayo pakadali pano ndi BCG. Chifukwa chake, tsatirani chithandizocho monga momwe dokotala wanenera ndipo chita opaleshoni ya cystoscopy pa nthawi yake.Ndikofunikira kwambiri kuchita mayeso ngati awa.
Uthenga Wopita Nawo Kunyumba
- BCG ndi mankhwala omwe amalimbikitsa chitetezo cha mthupi lanu kuti chizilimbana ndi khansa.
- Zotsatirapo zoyipa monga malungo ndi matenda a mkodzo ndizofala ndipo zingasonyeze kuti chithandizocho chikugwira ntchito.
- Koma ngati kutentha kwa thupi kuli kokwera kuposa madigiri 101.3 F, ndi vuto ladzidzidzi. Uzani dokotala wanu nthawi yomweyo.
- Pali chiopsezo cha matenda mu mkodzo wanu kwa maola 6 oyambirira mutalandira chithandizo, choncho onetsetsani kuti mwatenga njira zodzitetezera, monga kutsuka chimbudzi ndi bleach.
- Kugwiritsa ntchito kondomu nthawi yogonana ndikofunikira nthawi yonse ya chithandizo.
- Uwu ndi mankhwala othandiza kwambiri. Khalani olumikizana ndi dokotala nthawi zonse ndipo mupeze mayeso ndi chithandizo choyenera.
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