Ngaba ugqirha wakho ukuxelele ukuba unomhlaza wesinyi kwaye kufuneka ufumane unyango lwe-BCG? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva loo nto. "Luhlobo luni lonyango olu?", "Ngaba oku kukwenza uzive ugula?", njl. Imibuzo emininzi isenokufika engqondweni. Kodwa olu lonyango olusetyenziswa kakhulu oluye lwabonakala luphumelela kubantu abaninzi abanomhlaza wesinyi okwinqanaba lokuqala. Ke namhlanje, masithethe ngokufutshane malunga nokuba luyintoni unyango lwe-BCG, lwenziwa njani, kunye noko kufuneka ukwazi.
Yintoni kanye kanye unyango lwe-BCG?
Ngamafutshane, i-BCG (iBacillus Calmette-Guerin) lunyango olunikwa ngaphakathi kwisinyi sakho. Olu nyango lubizwa ngokuba yi- intravesical immunotherapy . Liyeza elilulwelo. Usenokuba ukhe weva ngegonyo lesifo sephepha (TB). Iyeza le-BCG lenziwa ngokuthomalalisa intsholongwane `(Mycobacterium bovis)`, eliluhlobo olufanayo lwentsholongwane esetyenziswa ukwenza elo gonyo. Kusenokuvakala ngathi kuyoyikisa xa usithi "ukufaka iintsholongwane emzimbeni wakho", kodwa into eyenzayo kukwenza buthathaka iintsholongwane ngendlela engonakalisi umzimba wakho kwaye ivuselele inkqubo yakho yomzimba yokulwa neeseli zomhlaza.
Olu nyango ludla ngokuqala emva kokuba umhlaza wesinyi ususiwe ngotyando. Olu tyando lubizwa ngokuba yi -TURBT (transurethral resection of bladder tumor) . Emva koko, unyango lwe-BCG lunikwa ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo.
Zeziphi iintlobo zezifo ezinikezelwa olu nyango lwe-BCG?
Unyango lwe-BCG lusetyenziswa kakhulu ukunyanga umhlaza wesinyi okwinqanaba lokuqala . Oku kuthetha ukuba umhlaza awukasasazeki kwimisipha yesinyi. Umzekelo, usebenza kakhulu kwiimeko ezifana ne-`(carcinoma in situ)` (umhlaza ohlala apho waqala khona) kunye ne-`(umhlaza wesinyi ongengowemisipha - ii-NMIBC)`.
Okubaluleke kakhulu, ukuba umhlaza usasazeke (usususwe) kwezinye iindawo zomzimba ngaphandle kwesinyi, unyango lwe-BCG aluyi kuphumelela.
Uvavanyo lwezonyango luyaqhubeka okwangoku ukuze kubonwe ukuba i-BCG ingasetyenziselwa na ukunyanga izifo ezifana ne-fibromyalgia kunye nesifo seswekile, kodwa akukho zigqibo ziqinisekileyo ezifikelelweyo okwangoku.
Ngaba i-BCG luhlobo lwe-chemotherapy?
Hayi. Kulapho abantu abaninzi badideka khona. I-BCG ayisiyo chemotherapy. I-chemotherapy ibandakanya ukunika amayeza anamandla abulala ngokuthe ngqo iiseli zomhlaza. Kodwa i-BCG yi -immunotherapy.Oko kukuthi, eli yeza alizibulali ngokuthe ngqo iiseli zomhlaza. Endaweni yoko, "liyasula" inkqubo yomzimba wakho yokuzikhusela , liyiqeqesha ukuba ikwazi ukubona nokuhlasela iiseli zomhlaza. Kufana nokubonisa umkhosi wethu utshaba kwaye uncede ukulwa.
Ungayilungiselela njani ngaphambi konyango lwe-BCG?
Ugqirha wakho uza kukuchazela ngokucacileyo into ekufuneka uyenze ngaphambi kokuba ufumane unyango. Ngokubanzi, kufuneka ulandele le miyalelo:
- Kuphephe ukusela iziselo ezine-caffeine, ezifana nekofu neti, kangangeeyure ezine ngaphambi konyango.
- Kwakhona, ukuba usela iipilisi zokukhupha isisu/zamanzi, thetha nogqirha wakho ngaloo nto kwaye uphephe ukuzithatha iiyure ezine ngaphambi konyango lwakho.
- Emva kokufika esibhedlele, kufuneka uchame kakuhle kwaye ukhuphe isinyi sakho ngaphambi kokuba uqale unyango.
Ezi zinto zenziwa ukuze amayeza e-BCG anikwayo ahlale kakuhle esinyini kwaye anike iziphumo eziphezulu.
Kwenzeka ntoni ngexesha lonyango?
Ngaphambi kokuba unyango luqale, indawo iya kuba ne-numbness ukuqinisekisa ukuba awuziva ungonwabanga. Emva koko, ugqirha okanye umongikazi uza kufaka ityhubhu encinci (i-catheter) nge-urethra yakho kwisinyi sakho. Oku kusenokuvakala kungathandeki kancinci, kodwa akuyi kuba buhlungu kakhulu. Isisombululo se-BCG siza kufakwa kwisinyi sakho ngetyhubhu. Nje ukuba iyeza lifakwe ngokupheleleyo, ityhubhu iya kususwa. Emva koko ungaya ekhaya.
Nangona kunjalo, nokuba sele ubuyele ekhaya, kufuneka uzame ukungachami ubuncinane iyure enye . Lilonke, kuyacetyiswa ukuba ugcine iyeza kwisinyi sakho iiyure ezimbini . Ngeli xesha leeyure ezimbini, unokucelwa ukuba utshintshe indawo yomzimba wakho (ujike) rhoqo emva kwemizuzu eli-15. Oku kwenzelwa ukuqinisekisa ukuba iyeza lifikelela kuzo zonke iindawo zesinyi sakho. Emva kokuba iiyure ezimbini ziphelile, ungachama ngokwesiqhelo.
Ngaba olu nyango lunokudluliselwa kwabanye? Ngawaphi amanyathelo okhuseleko ekufuneka athathwe?
Ewe, oku kubaluleke kakhulu. Isitofu sokugonya se-BCG sineentsholongwane eziphilayo, kodwa ezibuthathaka. Ke ngoko, ezi ntsholongwane zinokudluliselwa ukusuka kuwe ziye komnye umntu. Ukuthintela oku, kufuneka ulandele la manyathelo kwiiyure ezintandathu zokuqala emva konyango ngalunye :
- Musa ukusebenzisa izindlu zangasese zikawonke-wonke. Sebenzisa indlu yakho yangasese ekhaya kangangoko unako.
- Sela amanzi amaninzi kunye nolwelo. Oku kuya kuyinciphisa i-urine yakho kwaye kunciphise ubuninzi beebhaktheriya.
- Hlala phantsi xa uchama. Oku kuya kunciphisa inani lomchamo ochithekayo.
- Eyona nto ibalulekileyo: Emva kokuchama, galela iikomityi ezimbini ze-bleach engaxutywanga kwisitya sendlu yangasese, uvale isiciko, uze uyivumele ihlale imizuzu eli-15-20.Yiyeke malunga neyure uze uyihlambe. Oku kuya kubulala naziphi na iintsholongwane ezinokuba zisendlwini yangasese.
- Ukuba unengxaki yokungakwazi ukuzibamba umchamo kwaye iimpahla zakho zokulala zingcoliswe ngumchamo, zihlambe zodwa kumatshini wokuhlamba. Musa ukuzidibanisa neempahla zabanye abantu.
- Ukuba usebenzisa i-incontinence pad, yifake kwi-bleach encinci ngaphambi kokuba uyisuse, uyibeke kwingxowa yeplastiki, uyibophe ngokuqinileyo, uze uyilahle emgqomeni.
- Ukuba ulala nomntu ngexesha lonyango, ngokuqinisekileyo kufuneka usebenzise ikhondom . Buza ugqirha wakho ukuba akunike ulwazi oluthe kratya ngalo mba.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango lwe-BCG?
Njengakwezinye iindlela zonyango, unyango lwe-BCG lunokubangela ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, ezi azidli ngokuba zimbi kakhulu kwaye ziyaphela kwiintsuku ezimbini ukuya kwezintathu.
| Iziphumo ebezingalindelekanga eziqhelekileyo | Iziphumo ebezingalindelekanga ezingaqhelekanga ekufuneka ziqwalaselwe |
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Ugqirha wakho uza kukunika amayeza okulawula ezi ziphumo bezingalindelekanga ziqhelekileyo. Ungathatha isithomalalisi sentlungu esiqhelekileyo, esifana neparacetamol, ngenxa yomkhuhlane kunye nentlungu.
Ndifanele ndimfowunele nini ugqirha?
Kuqhelekile ukuba nomkhuhlane omncinci kunye neentlungu zomzimba emva konyango. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko.
- Umkhuhlane ophezulu (ngaphezulu kwama-38.5°C okanye ama-101.3°F)
- Ukuba ubanda kwaye uyaqhaqhazela
- Ukuba isinyi sibuhlungu (ukuqaqamba kwesinyi)
- Isicaphucaphu okanye ukuhlanza okukhulu
Iimpawu ezinje ngezi zinokubonisa imeko efana nosulelo, ngoko ke kubalulekile ukufuna iingcebiso zonyango.
Ingaba umhlaza ungabuya emva konyango lwe-BCG?
Lo ngumbuzo obaluleke kakhulu. Njengakweminye imithi yomhlaza, kukho umngcipheko wokuba umhlaza uphinde ubuye emva kwe-BCG. Ngokwezibalo, ukuya kuthi ga kwi-40% yabantu abafumana unyango lwe-BCG banokuphinda babuye umhlaza wabo.
Kodwa nantsi into ebalulekileyo ekufuneka uyiqonde. Nokuba umhlaza ubuya, awusoloko usiba mbi okanye usasazeka. Umhlaza okwinqanaba eliphantsi kwisigaba sokuqala awusasazeki kwamanye amalungu omzimba.
Akuqhelekanga ukuba umhlaza oqatha uvele emva konyango lwe-BCG. Ukuba oku kuyenzeka, ugqirha wakho unokucebisa ukuba kwenziwe i-cystectomy, equka ukususwa kwesinyi sonke. Yiyo loo nto kubalulekile ukuba uhlolwe rhoqo emva konyango.
Umyalezo Wokuya Ekhaya
- I-BCG ayisiyo chemotherapy. Yi-immunotherapy esebenzisa amasosha omzimba wakho ukulwa neeseli zomhlaza wesinyi.
- Qiniseka ukuba ulandela amanyathelo okukhusela abanye (njengokuhlamba i-bleach kwindlu yangasese, ukuhlamba impahla ngokwahlukeneyo) kwiiyure ezi-6 zokuqala emva konyango ngalunye.
- Iziphumo ebezingalindelekanga ezincinci ezifana nosulelo lomchamo kunye nomkhuhlane omncinci ziqhelekile kwaye ziya kuphela kwiintsuku ezimbini ukuya kwezintathu.
- Nangona kunjalo, ukuba uqalisa ukuba nomkhuhlane ophezulu (ngaphezulu kwama-38.5°C), ukubanda, okanye intlungu eqatha, musa ukulinda uze wazise ugqirha wakho ngoko nangoko.
- Ukujongana nomhlaza akulula. Thetha ngokukhululekileyo nogqirha wakho ngazo zonke izinto ezikuxhalabisayo nezoyikisayo. Oku kuya kukunika amandla amakhulu.
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