Kurapwa kweBCG: Zvaunofanira kuziva nezvekurapa gomarara redundira uku (BCG Treatment)

Chiremba wako akakuudza here kuti une kenza yedundira uye kuti unofanira kurapwa neBCG? Zvakajairika kunzwa kutya uye kutya zvishoma paunonzwa izvozvo. "Mushonga werudzii uyu?", "Izvi zvinokunetsa here?", nezvimwewo. Mibvunzo yakawanda ingangouya mupfungwa dzako. Asi uyu mushonga unoshandiswa zvakanyanya wakaratidzwa kuti unobudirira muvanhu vazhinji vane kenza yedundira iri padanho rekutanga. Saka nhasi, ngatitaurei muchidimbu nezvekurapa kweBCG, kuti kunoitwa sei, uye zvaunoda kuziva.

Chii chaizvo chinonzi BCG treatment?

Muchidimbu, BCG (Bacillus Calmette-Guerin) mushonga unopihwa mukati medundira rako. Mushonga uyu unonzi intravesical immunotherapy . Mushonga wemvura. Ungave wakambonzwa nezvemushonga weTB. Mushonga weBCG unogadzirwa nekushayisa simba mabhakitiriya `(Mycobacterium bovis)`, inova mhando imwe chete yemabhakitiriya anoshandiswa kugadzira mushonga iwoyo. Zvinogona kunzwika sekutyisa kana ukati "kuisa mabhakitiriya mumuviri wako", asi zvaunoita kushayisa simba mabhakitiriya nenzira isingakuvadzi muviri wako uye inosimudzira masoja emuviri wako kurwisa masero ekenza.

Kurapwa uku kunowanzo tanga mushure mekunge kenza yedundira yabviswa. Kuvhiyiwa uku kunonzi TURBT (transurethral resection of bladder bundu) . Mushure meizvozvo, BCG inorapwa kuparadza chero masero ekenza asara.

Kurapa kweBCG uku kunopiwa rudzii rwezvirwere?

Kurapa kweBCG kunonyanya kushandiswa kurapa kenza yemudumbu iri padanho rekutanga . Izvi zvinoreva kuti kenza haina kupararira kusvika mutsandanyama dzemudumbu. Semuenzaniso, inoshanda zvikuru pazvirwere zvakaita se `(carcinoma in situ)` (kenza inoramba iripo payakatangira) uye `(kenza yemudumbu isingapindi tsandanyama - NMIBCs)`.

Miedzo yekiriniki iri kuitwa pari zvino kuti vaone kana BCG ichigona kushandiswa kurapa zvirwere zvakaita sefibromyalgia nechirwere cheshuga, asi hapana mhedziso chaiyo yati yasvika parizvino.

Ko BCG rudzi rwe chemotherapy here?

Kwete. Apa ndipo panovhiringidzika vanhu vazhinji. BCG haisi chemotherapy. Chemotherapy inosanganisira kupa mishonga ine simba inouraya zvakananga masero ekenza. Asi BCG imishonga inorwisa kenza.Kureva kuti, mushonga uyu hauurayi masero ekenza zvakananga. Asi, "unopukuta" masoja emuviri wako , uchiadzidzisa kuziva nekurwisa masero ekenza. Zvakafanana nekuratidza mauto edu muvengi nekuvabatsira kurwisa.

Ungagadzirira sei usati watanga kurapwa neBCG?

Chiremba wako achakutsanangurira zvakajeka zvaunofanira kuita usati warapwa. Kazhinji, unofanira kutevedzera mirairo iyi:

• Dzivisa kunwa zvinwiwa zvine caffeine, zvakaita sekofi netii, kwemaawa mana usati warapwa.
• Uyewo, kana uri kutora mapiritsi emvura anobvisa mvura mumuviri, taura nachiremba wako nezvazvo uye usatore maawa mana usati watanga kurapwa.
• Mushure mekusvika kuchipatara, unofanira kuita weti yakakwana wobvisa tsvina mumuviri wako usati watanga kurapwa.

Zvinhu izvi zvinoitwa kuitira kuti mushonga weBCG ugare zvakanaka mudundira uye upe mhedzisiro yakanaka.

Chii chinoitika panguva yekurapwa?

Usati watanga kurapwa, nzvimbo yacho inenge yavharwa kuti uve nechokwadi chekuti haunzwi kusagadzikana. Zvadaro, chiremba kana nesi vachaisa chubhu diki (catheter) kuburikidza neurethra yako mudundira rako. Izvi zvinogona kunzwa kusagadzikana zvishoma, asi hazvizorwadzi zvakanyanya. Mushonga weBCG uchapinzwa mudundira rako kuburikidza nedundira. Kana mushonga wacho wangopinzwa zvachose, dundira racho richabviswa. Unogona kudzokera kumba.

Zvisinei, kunyangwe waenda kumba, unofanira kuedza kusaita weti kweinenge awa imwe chete . Zvose zvinokurudzirwa kuti uchengetedze mushonga uyu mudundira kwemaawa maviri . Mumaawa maviri aya, unogona kukumbirwa kuti uchinje chimiro chemuviri wako (kutendeuka) maminetsi gumi nemashanu ega ega. Izvi zvinoitirwa kuti mushonga usvike pamativi ese edundira rako. Mushure mekunge maawa maviri apera, unogona kuita weti zvakanaka.

Kurapwa uku kunogona kutapurirwa kune vamwe here? Ndezvipi zvinofanirwa kutorwa?

Ehe, izvi zvakakosha zvikuru. Mushonga weBCG une mabhakitiriya ari mupenyu, asi asina simba. Nokudaro, mabhakitiriya aya anogona kutapuriranwa kubva kwauri kuenda kune mumwe munhu. Kuti udzivise izvi, unofanira kutevera matanho aya kwemaawa matanhatu ekutanga mushure mekurapwa kwega kwega :

• Usashandise zvimbuzi zveveruzhinji. Shandisa chimbuzi chako kumba zvakanyanya sezvinobvira.
• Inwa mvura yakawanda uye zvinwiwa. Izvi zvinoderedza huwandu hweweti yako uye zvinoderedza huwandu hwebhakitiriya.
• Gara pasi paunenge uchiita weti. Izvi zvinoderedza huwandu hweweti inobuda.
• Chinonyanya kukosha: Mushure mekuita weti, dururirai makapu maviri ebleach isina kusanganiswa mundiro yechimbuzi, vharai chivharo, mosiya chigare kwemaminitsi gumi nemashanu kusvika makumi maviri.Siya kweinenge awa imwe wozogeza. Izvi zvinouraya mabhakitiriya angave ari muchimbuzi.
• Kana uine dambudziko rekusazvidzora weti uye mbatya dzako dzakasvibiswa neweti, geza woga mumuchina wekuwachisa. Usadziise pamwe chete nembatya dzevamwe.
• Kana ukashandisa padhi rekusazvidzora, rinyike mu bleach diki usati waribvisa, riise mubhegi repurasitiki, risunge zvakasimba, worikanda mumarara.
• Kana ukaita zvepabonde panguva yekurapwa, unofanira kushandisa kondomu . Bvunza chiremba wako kuti akupe rumwe ruzivo nezveizvi.

Pane migumisiro yakaipa here yekurapwa kweBCG?

Sezvinoitwa nemishonga yese, kurapwa kweBCG kunogona kukonzera mimwe migumisiro yakaipa. Zvisinei, izvi hazviwanzo kuva zvakakomba uye zvinopera mukati memazuva maviri kusvika matatu.

Chiremba wako achakupa mishonga yekuderedza migumisiro iyi. Unogona kutora mushonga unowanzo shandiswa pakuderedza marwadzo, wakadai separacetamol, wefivha nekurwadziwa.

Ndinofanira kufonera chiremba nguvai?

• Fivha yakanyanya (inopfuura 38.5°C kana 101.3°F)
• Kana uchitonhora uye uchidedera
• Kana dundira richirwadza (kurwadza kwedundira)
• Kusvotwa kwakanyanya kana kurutsa

Zviratidzo zvakaita seizvi zvinogona kuratidza chirwere chakadai sehutachiona, saka zvakakosha kutsvaga rubatsiro rwechiremba.

Zvinokwanisika here kuti kenza idzoke mushure mekurapwa kweBCG?

Uyu mubvunzo unokoshawo zvikuru. Sezvinoita chero kurapwa kwegomarara, kune njodzi yekuti gomarara ridzoke mushure meBCG. Zvichienderana nehuwandu hwevanhu vanosvika 40% vanorapwa neBCG vanogona kudzoka gomarara ravo.

Asi hechino chimwe chinhu chakakosha kunzwisisa. Kunyangwe kenza ikadzoka, haigari ichiipa kana kupararira. Makenza emhando yepasi pakutanga haawanzopararira kune dzimwe nhengo dzemuviri.

Kashoma kuti kenza iite mushure mekurapwa kweBCG. Kana izvi zvikaitika, chiremba wako anogona kukurudzira kubviswa kwedundira rese. Ndosaka zvichikosha kuti ugare uchiongororwa mushure mekurapwa.