Uma udokotela wakho ekutshela noma othile emndenini wakho ukuthi unomdlavuza wesinyi, angase akhulume nokwelashwa kwe-BCG. Ukuzwa leli gama kungakwenza uzizwe wesaba futhi ungajwayelekile. Kodwa ungakhathazeki. Lokhu kuyindlela yokwelapha ephumelela kakhulu kubantu abaningi abanomdlavuza wesinyi osesigabeni sokuqala. Namuhla, sizoxoxa ngokuthi kuyini ukwelashwa kwe-BCG, ukuthi kwenziwa kanjani, nokuthi kwenzekani ngemva kwayo ngendlela elula kakhulu neqondakalayo.
Kuyini ukwelashwa kwe-BCG ngamagama alula?
Kulungile, into yokuqala okufanele uyisho ukuthi, lokhu akuyona indlela yokwelapha umdlavuza, akuyona ' i-chemotherapy '. Lokhu kuyinto ehlukile. Sikubiza ngokuthi 'i-immunotherapy'.
Kalula nje, lokhu kusebenzisa amasosha omzimba wakho ukubhubhisa amangqamuzana omdlavuza esinyeni. Cabanga ukuthi onogada emizimbeni yethu balele kancane. Lo muthi uvusa labo nogada bese ubatshela ukuthi, "Kukhona isitha lapha, hambani niyohlasela."
Lo muthi owuketshezi obizwa nge-BCG wenziwe ngebhaktheriya elifanayo `(Mycobacterium bovis)` elisetshenziselwa ukwenza umuthi wokugomela isifo sofuba . Kodwa ungakhathazeki, lokhu kuqukethe uhlobo olubuthakathaka kakhulu lwalelo bhaktheriya. Ngakho ngeke kubangele umonakalo omkhulu emzimbeni.
Lokhu kwelashwa kuvame ukuqala ngemva kokuba izimila ezinomdlavuza esinyeni zisusiwe ngokuhlinzwa. Siphinde sikubize lokhu ngokuthi ukuhlinzwa `(TURBT)`.
Yiziphi izimo ezisetshenziswayo lokhu kwelashwa?
Ukwelashwa kwe-BCG kusetshenziselwa kakhulu umdlavuza wesinye osesigabeni sokuqala . Okusho ukuthi, lapho umdlavuza ungakasabalali emisipheni yodonga lwesinye. Odokotela babiza lezi zimo ngokuthi `(carcinoma in situ)` noma `(umdlavuza wesinye ongewona owemisipha - ama-NMIBC)`.
Okubalulekile, lokhu kwelashwa kusebenza kuphela uma umdlavuza ugcinwe esinyeni. Uma umdlavuza ususakazeke (ususakazeke) kwezinye izingxenye zomzimba, ukwelashwa kwe-BCG ngeke kusebenze.
Ucwaningo luyaqhubeka okwamanje ukuze kubonakale ukuthi ukwelashwa kwe-BCG kuzoba wusizo yini ezifweni ezifana ne-fibromyalgia nesifo sikashukela, kodwa azikho iziphetho eziqinile ezifinyelelwe okwamanje.
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Lokhu kulula kakhulu. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Ngokuvamile, uzocelwa ukuthi uyeke ukuphuza iziphuzo ezine-caffeine njengekhofi netiye kanye nemithi yokukhipha isisu emahoreni ama-4 ngaphambi kokwelashwa kwakho. Futhi, uma ufika esibhedlela, kuzodingeka uchame futhi ukhiphe isinyi sakho ngaphambi kokuba kuqale ukwelashwa.
Kwenzekani ngesikhathi sokwelashwa?
Akukho okufanele ukhathazeke ngakho, le inqubo ilula kakhulu.
1. Okokuqala, uzonikezwa umuthi wokwenza indawo ingasebenzi kahle ukuze ungazizwa ungakhululekile.
2. Ngemuva kwalokho, udokotela uzofaka ngokucophelela ithubhu elincane ( i-catheter ) e -urethra yakho bese efaka umuthi we-BCG esinyeni sakho.
3. Uma lokho sekuqediwe, ipayipi lizosuswa. Ungaya ekhaya.
Kodwa kukhona into eyodwa. Lomuthi udinga ukugcinwa esinyeni okungenani amahora ama-2 . Ngakho-ke, akufanele uchame amahora ama-2 ngemuva kokusebenzisa umuthi. Ngemva kwamahora ama-2, ungachama ngendlela evamile.
Ingabe lokhu kungadluliselwa kwabanye? - Qaphela kakhulu ngalokhu!
Lokhu kubaluleke kakhulu. Yebo , ngoba lo muthi uqukethe amabhaktheriya aphilayo, abuthakathaka, ungaba nomthelela kwabanye abantu uma uhlangana nabo. Ngakho-ke, kufanele wenze okulandelayo phakathi kwamahora okuqala ayisithupha ngemva kokwelashwa ngakunye :
- Ungasebenzisi izindlu zangasese zomphakathi.
- Phuza amanzi amaningi kanye noketshezi ukuze unciphise umchamo wakho.
- Uma uya endlini yangasese, phuma uchame uhleli ukuze uvimbele ukuchitheka komchamo.
- Ngemva kokuqeda ukuchama, thela cishe izinkomishi ezimbili ze-bleaching powder noma uketshezi esitsheni sendlu yangasese, uvale isivalo, usishiye imizuzu eyi-15-20, bese usihlanza.
- Uma unenkinga yokungakwazi ukuzibamba umchamo futhi ingena ezingutsheni zakho, zigeze zodwa emshinini wokuwasha. Ungazihlanganisi nezingubo zabanye abantu.
- Uma usebenzisa i-incontinence pad, ngaphambi kokuyisusa, engeza i-bleach encane kuyo, uyicwilise, uyifake esikhwameni sepulasitiki, uyivale, bese uyilahla emgqonyeni kadoti.
Futhi, kufanele uqaphele ngokuya ocansini. Uma uya ocansini phakathi nayo yonke inkathi yokwelashwa , kuyimpoqo ukusebenzisa ikhondomu. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko esiqondile.
Ziyini izinzuzo nemiphumela emibi yokwelashwa?
Njenganoma yikuphi ukwelashwa, kunezinzuzo zako kanye nemiphumela emibi emincane. Ake sixoxe ngezinzuzo kuqala. Ukwelashwa kwe-BCG ngokuhlinzwa kwe-"TURBT" kubhekwa njengokwelashwa okuphumelelayo kakhulu komdlavuza wesinyi osesigabeni sokuqala. Kulawula ukukhula kwamaseli omdlavuza futhi kunciphisa ingozi yokuthi kudingeke kwenziwe ukuhlinzwa kwe-"cystectomy" ukuze kususwe sonke isinyi esikhathini esizayo.
Manje ake sibheke imiphumela emibi. Iningi lale miphumela livela ezinsukwini zokuqala ezingu-2-3 ngemva kokwelashwa bese liyanyamalala.
| Imiphumela emibi yokwelashwa kwe-BCG | |
|---|---|
| Imiphumela emibi evamile (phakathi kwamahora okuqala angu-24-48) | |
| Ukopha okuncane ngomchamo | Lokhu kuvame ukuphela ngemva kosuku olulodwa noma ezimbili. |
| Ukuzizwa ukhathele | Phumula kancane. |
| Umkhuhlane omncane (cishe ama-37.5 - 38 Celsius) | Ungathatha i-paracetamol ngokweseluleko sikadokotela wakho. |
| Ukusha lapho uchama, ukuchama njalo | Nalokhu kuzophela ezinsukwini ezimbalwa. |
| Ubuhlungu bomzimba, amalunga | Lezi yizinto ezivamile. |
| Imiphumela emibi engase ivele kaningi, kodwa kufanele ibikwe ngokushesha | |
| Ukuqhuma kwesikhumba | Ukuhlanza kanye nesicanucanu |
| Ukungakwazi ukuchama | Ukuvuvukala/ubuhlungu emasendeni |
| Ibhaktheriya ye-BCG engena egazini (i-BCG sepsis) | Imiphumela esibindini (i-Hepatitis) |
Kufanele ngibone nini udokotela ngokushesha?
Nakuba umkhuhlane omncane kanye nobuhlungu bomzimba kuvamile, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kufanele ushayele udokotela wakho ngokushesha . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma umkhuhlane ungaphezu kwama-38.5 Celsius (101.3 Fahrenheit).
- Uma uzizwa ubanda futhi uthuthumela.
- Uma uthuthumela kakhulu.
- Uma uzwa ubuhlungu obukhulu ngenxa yokuqina kwesinyi.
Ingabe umdlavuza ungabuya ngemva kokwelashwa?
Njenganoma yikuphi ukwelashwa komdlavuza, kunengozi yokuthi umdlavuza uzobuya. Izibalo zibonisa ukuthi cishe abantu abangu-40% abathola ukwelashwa kwe-BCG bazobuya nomdlavuza wabo. Kodwa kukhona okubalulekile okufanele ukuqonde lapha. Ngisho noma umdlavuza ubuya, ngokuvamile awubi nolaka kangako.
Ngokuvamile, umdlavuza wezinga eliphansi uyabuya. Kodwa-ke, ezimweni ezingavamile, uma umdlavuza unamandla, udokotela wakho angase akuncomele ukususwa kwesinyi.
Umlayezo Wokuya Nawe Ekhaya
- I-BCG iyindlela yokwelapha ngokuzivikela yomzimba ephumelela kakhulu yomdlavuza wesinyi osesigabeni sokuqala. Akuyona i-chemotherapy.
- Ukwelashwa akuyona into okufanele uyesabe, kodwa kudingeka uqaphele kakhulu ngokuhlanzeka emahoreni okuqala ayisithupha ngemva kokwelashwa.
- Imiphumela emibi emincane njengokutheleleka komgudu womchamo kanye nomkhuhlane omncane ivamile. Kodwa-ke, uma uhlangabezana nezimpawu ezifana nomkhuhlane ophezulu kanye nokubanda, bheka udokotela ngokushesha.
- Kuvamile ukuzizwa ukhungathekile uma uthola ukuthi unomdlavuza wesinyi. Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Uzokunikeza lonke usizo oludingayo.
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