Xa ugqirha wakho ekuxelela ukuba okanye umntu osapho lwakho unomhlaza wesinyi, banokukhankanya nonyango lwe-BCG. Ukuva eli gama kunokukwenza uzive usoyika kwaye ungaqhelananga. Kodwa ungakhathazeki. Olu lonyango oluphumelele kakhulu kubantu abaninzi abanomhlaza wesinyi okwinqanaba lokuqala. Namhlanje, siza kuthetha ngokuba luyintoni unyango lwe-BCG, ukuba lwenziwa njani, kwaye kwenzeka ntoni emva kwalo ngendlela elula kakhulu neqondakalayo.
Luthini unyango lwe-BCG ngokulula?
Kulungile, into yokuqala ekufuneka uyithethe kukuba, olu asilonyango lomhlaza, asilo ' chemotherapy '. Le yinto eyahlukileyo. Siyibiza ngokuba yi 'immunotherapy'.
Ngamafutshane, oku kusebenzisa amasosha omzimba wakho ukutshabalalisa iiseli zomhlaza kwisinyi. Khawuthelekelele ukuba abalindi emizimbeni yethu balele kancinci. Eli yeza livusa abo balindi lize lithi kubo, "Kukho utshaba apha, hambani niye kuhlasela."
Eli yeza lilulwelo elibizwa ngokuba yi-BCG lenziwe ngebhaktiriya efanayo `(Mycobacterium bovis)` esetyenziselwa ukwenza isitofu sesifo sephepha . Kodwa ungakhathazeki, eli liqulathe uhlobo olubuthathaka kakhulu lwaloo bhaktiriya. Ngoko ke aliyi kubangela monakalo mkhulu emzimbeni.
Olu nyango ludla ngokuqala emva kokuba iithumba ezinomhlaza esinyini zisusiwe ngotyando. Sikwabiza olu tyando ngokuthi `(TURBT)`.
Zeziphi iimeko olu nyango lusetyenziselwa zona?
Unyango lwe-BCG lusetyenziswa kakhulu kumhlaza wesinyi okwinqanaba lokuqala . Oko kukuthi, xa umhlaza ungakasasazeki kwimisipha yodonga lwesinyi. Oogqirha babiza ezi meko ngokuthi `(carcinoma in situ)` okanye `(non-muscle invasive bladder cancers - NMIBCs)`.
Okubalulekileyo kukuba, olu nyango lusebenza kuphela xa umhlaza uphelele kwisinyi. Ukuba umhlaza usasazeke (ususele kwi-metastasized) kwezinye iindawo zomzimba, unyango lwe-BCG aluyi kusebenza.
Uphando luyaqhubeka okwangoku ukuze kubonwe ukuba unyango lwe-BCG luya kuba luncedo na kwizifo ezifana ne-fibromyalgia kunye nesifo seswekile, kodwa akukho zigqibo ziqinileyo ezifikelelweyo okwangoku.
Ndingazilungiselela njani ngaphambi konyango?
Oku kulula kakhulu. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Ngokwesiqhelo, uya kucelwa ukuba uyeke ukusela iziselo ezine-caffeine ezifana nekofu, iti kunye ne-diuretics iiyure ezi-4 ngaphambi konyango lwakho. Kwakhona, xa ufika esibhedlele, kuya kufuneka uchame kwaye ukhuphe isinyi sakho ngaphambi kokuba unyango luqale.
Kwenzeka ntoni ngexesha lonyango?
Akukho nto ixhalabisayo, le yinkqubo elula kakhulu.
1. Okokuqala, uza kunikwa iyeza lokuvala loo ndawo ukuze ungaziva ungonwabanga.
2. Emva koko, ugqirha uza kufaka ngononophelo ityhubhu encinci ( i-catheter ) kwi -urethra yakho aze afake iyeza le-BCG kwisinyi sakho.
3. Nje ukuba oko kugqityiwe, ityhubhu iya kususwa. Ungagoduka.
Kodwa kukho into enye. Eli yeza kufuneka ligcinwe kwisinyi ubuncinane iiyure ezi-2 . Ngoko ke, akufanele uchame iiyure ezi-2 emva kokusebenzisa iyeza. Emva kweeyure ezi-2, ungachama ngokwesiqhelo.
Ngaba oku kungadluliselwa kwabanye? - Lumka kakhulu ngale nto!
Oku kubaluleke kakhulu. Ewe , kuba eli yeza liqulathe iintsholongwane eziphilayo nezibuthathaka, linokuba nefuthe kwabanye abantu ukuba lidibana nabo. Ke ngoko, kufuneka wenze oku kulandelayo kwiiyure ezi-6 zokuqala emva konyango ngalunye :
- Musa ukusebenzisa izindlu zangasese zikawonke-wonke.
- Sela amanzi amaninzi kunye nolwelo ukuze unciphise umchamo wakho.
- Xa usiya kwindlu yangasese, phuma uchame uhleli ukuze ungaphumi umchamo.
- Emva kokuba ugqibile ukuchama, galela malunga neekomityi ezimbini ze-bleaching powder okanye ulwelo kwisitya sendlu yangasese, uvale isiciko, usishiye imizuzu eli-15-20, uze uhlambe.
- Ukuba unengxaki yokungakwazi ukuzibamba umchamo kwaye ingena kwiimpahla zakho, zihlambe zodwa ezo mpahla kumatshini wokuhlamba. Musa ukuzidibanisa neempahla zabanye abantu.
- Ukuba usebenzisa i-incontinence pad, ngaphambi kokuba uyisuse, yongeza i-bleach encinci kuyo, uyicwilise, uyibeke kwingxowa yeplastiki, uyivale, uze uyilahle emgqomeni wenkunkuma.
Kwakhona, kufuneka ulumke xa ulala nomntu. Ukuba ulala nomntu ngexesha lonke lonyango , kunyanzelekile ukuba usebenzise ikhondom. Thetha nogqirha wakho ngale nto uze ufumane ingcebiso ethile.
Zithini iingenelo kunye neziphumo ebezingalindelekanga zonyango?
Njengalo naluphi na unyango, lunezibonelelo zalo kunye nemiphumo emibi emincinci. Masiqale sithethe ngeenzuzo zalo. Unyango lwe-BCG ngotyando lwe-"TURBT" luthathwa njengonyango olusebenzayo kakhulu kumhlaza wesinyi okwinqanaba lokuqala. Lulawula ukukhula kweeseli zomhlaza kwaye lunciphisa umngcipheko wokuba kwenziwe utyando lwe-"cystectomy" ukuze kususwe isinyi sonke kwixesha elizayo.
Ngoku makhe sijonge iziphumo ebezingalindelekanga. Uninzi lwazo luvela kwiintsuku zokuqala ezi-2-3 emva konyango kwaye ziyanyamalala.
| Iziphumo ebezingalindelekanga zonyango lwe-BCG | |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo (kwiiyure zokuqala ezingama-24-48) | |
| Ukopha kancinci komchamo | Oku kudla ngokuphela emva kosuku okanye ezimbini. |
| Ndiziva ndidiniwe | Phumla kancinci. |
| Umkhuhlane ophantsi (malunga nama-37.5 - 38 Celsius) | Ungathatha i-paracetamol ngokucetyiswa ngugqirha wakho. |
| Ukutsha xa uchama, ukuchama rhoqo | Oku kuza kuphela kwiintsuku ezimbalwa. |
| Umzimba, iintlungu zamalungu | Ezi zizinto eziqhelekileyo. |
| Iziphumo ebezingalindelekanga ezinokwenzeka rhoqo, kodwa mazixelwe ngoko nangoko | |
| Ukuqhambuka kwesikhumba | Ukuhlanza kunye nesicaphucaphu |
| Ukungakwazi ukuchama | Ukudumba/intlungu emasendeni |
| Iibhaktheriya ze-BCG ezingena egazini (i-BCG sepsis) | Iziphumo kwisibindi (iHepatitis) |
Ndifanele ndimbone nini ugqirha ngoko nangoko?
Nangona umkhuhlane omncinci kunye neentlungu zomzimba ziqhelekile, ukuba ufumana naziphi na iimpawu ezingezantsi, kufuneka ufowunele ugqirha wakho ngokukhawuleza . Okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba umkhuhlane ungaphezulu kwama-38.5 Celsius (101.3 Fahrenheit).
- Ukuba uziva ubanda kwaye uqhaqhazela.
- Ukuba ungcangcazela kakhulu.
- Ukuba ufumana iintlungu eziqatha ngenxa yokuqaqamba kwesinyi.
Ngaba umhlaza ungabuya emva konyango?
Njengakweminye imithi yomhlaza, kukho umngcipheko wokuba umhlaza ubuye. Izibalo zibonisa ukuba malunga nama-40% abantu abafumana unyango lwe-BCG baya kubuya umhlaza wabo. Kodwa kukho into ebalulekileyo ekufuneka uyiqonde apha. Nokuba umhlaza ubuya, awusoloko unamandla kangako.
Amaxesha amaninzi, umhlaza okumgangatho ophantsi uyabuya. Nangona kunjalo, kwiimeko ezingaqhelekanga, ukuba umhlaza unamandla, ugqirha wakho unokucebisa ukuba kususwe isinyi nge-cystectomy.
Umyalezo Wokuya Ekhaya
- I-BCG lunyango olusebenzayo kakhulu lomhlaza wesinyi okwinqanaba lokuqala. Ayisiyo chemotherapy.
- Unyango aluyonto yokoyika, kodwa kufuneka ulumke kakhulu malunga nococeko kwiiyure ezi-6 zokuqala emva konyango.
- Iziphumo ebezingalindelekanga ezincinci ezifana nosulelo lomchamo kunye nomkhuhlane omncinci ziqhelekile. Nangona kunjalo, ukuba ufumana iimpawu ezifana nomkhuhlane ophezulu kunye nokubanda, bona ugqirha ngokukhawuleza.
- Kuqhelekile ukuziva uxinezelekile xa ufumanisa ukuba unomhlaza wesinyi. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Uza kukunika lonke uncedo olufunayo.
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