Ingabe udokotela wakho ukutshelile noma othile emndenini wakho ukuthi unomdlavuza wesinyi? Kungenzeka ukuthi uke wezwa ngokwelashwa okubizwa ngokuthi i-BCG. Abantu abaningi bayesaba kancane lapho bezwa leli gama, ngoba alifani nomuthi ojwayelekile. Kodwa asikho isizathu sokwesaba. Ngakho-ke namuhla sizoxoxa ngokuthi kuyini lokhu kwelashwa kwe-BCG, ukuthi kwenziwa kanjani, kanye nakho konke okudingeka ukwazi ngakho ngendlela elula kakhulu nenobungane.
Kuyini ngempela ukwelashwa kwe-BCG?
Kalula nje, i-BCG iyisisombululo esiqukethe uhlobo olubuthakathaka lwebhaktheriya elibizwa ngokuthi i-Bacillus Calmette-Guerin . Cishe uke wezwa leli gama ngaphambili, ngoba yibhaktheriya elifanayo elisetshenziswa emgomeni ukuvimbela isifo sofuba. Kodwa ungakhathazeki, lokhu kwelashwa ngeke kubangele ukuthi uthole isifo sofuba.
Okwenzekayo kulesi simo ukuthi lesi sixazululo samagciwane sifakwa ngqo esinyeni sakho. Ngemuva kwalokho, amasosha omzimba wakho asebenza ngokushesha. Okusho ukuthi, avuselela izivikelo zomzimba wakho ukuze alwe (namangqamuzana omdlavuza). Lesi simiso sokuzivikela esivuselelwe sithola amangqamuzana omdlavuza ezindongeni zesinyi bese siwahlasela futhi siwabhubhise. Lesi akusona isidakamizwa 'se-chemotherapy' esibulala amangqamuzana omdlavuza ngqo, kodwa kuyindlela yokulawula umdlavuza ngokusebenzisa ikhono lomzimba lokulwa.
E-Sri Lanka, lokhu kwelashwa kungatholakala ngaphansi kwamagama emikhiqizo afana ne-`Theracys` noma i-`TICE BCG`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Lokhu kwelashwa akulona elawo wonke umuntu. Ngakho-ke, kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngesimo sakho sempilo. Uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela ngaphambi kokuqala ukwelashwa.
- Uma udonga lomthambo wegazi luba buthakathaka futhi luvuvukala njengebhaluni (i-`aneurysm`).
- Uma unegazi emchameni wakho.
- Uma uke wahlolwa i-bladder biopsy emasontweni amabili edlule.
- Uma okwamanje unomkhuhlane noma olunye ukutheleleka.
- Uma unezinkinga zesimiso somzimba.
- Uma uneminye imidlavuza efana ne-leukemia noma i-lymphoma.
- Uma unezifo zezinzwa ezifana ne-'myasthenia gravis'.
- Uma usuzofakelwa noma usufakelwe isitho.
- Uma unezitho zokufakelwa emzimbeni wakho (isib. amalunga okwenziwa, ama-valve enhliziyo okufakelwa, izitho zokufakelwa kwemithambo).
- Uma usanda kwelashwa ngemisebe noma usanda kwelashwa ngemisebe.
- Uma unesifo sofuba njengamanje noma uke waba naso esikhathini esidlule.
- Uma une-allergy ku-BCG, i-latex, noma yimuphi omunye umuthi noma ukudla.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, lokhu kubaluleke kakhulu.
Indlela yokwelashwa kwe-BCG kanye nokuthi yini okufanele uyenze ngemva kwalokho
Ngeke unikezwe lo muthi ukuze uwuyise ekhaya. Unikezwa esibhedlela noma emtholampilo ngabasebenzi bezempilo abaqeqeshwe ngokukhethekile.
Okokuqala, kufakwa ipayipi elincane (i-catheter) esinyeni sakho, lapho kufakwa khona isixazululo se-BCG. Lokhu kungase kuzwakale kungakhululekile, kodwa akubuhlungu kakhulu. Ngemva komjovo, ipayipi liyasuswa. Uzobe usuyalwa ukuthi ugcine umjovo esinyeni sakho ihora eli-1 kuya kwamabili . Kufanele uzame ukungachami phakathi nalesi sikhathi. Ungase ucelwe ukuba ulale phansi noma ugoqeke kusukela kolunye uhlangothi kuya kolunye ukuze umjovo ufinyelele kuzo zonke izingxenye zesinyeni sakho.
Into ebaluleke kakhulu ukuthi yini okufanele uyenze ngemva kokwelashwa. Njengoba lo muthi uqukethe amabhaktheriya aphilayo, udinga ukuwavimbela ukuthi angadluliselwa kwabanye ngomchamo wakho. Yingakho kudingeka ulandele imiyalelo engezansi.
Qiniseka ukuthi wenza okulandelayo njalo uma uchama emahoreni okuqala ayisithupha ngemuva kokwelashwa.
| Okufanele ngikwenze | Kungani futhi kanjani ukukwenza? |
|---|---|
| Hlala phansi uchame. | Ngisho noma uyindoda, sicela uhlale endlini yangasese bese uchama. Lokhu kuzosiza ukuvimbela ukuchitheka komchamo. Gwema ukusebenzisa izindlu zangasese zomphakathi noma ukuchamela ngaphandle. |
| Thela i-bleach endlini yangasese. | Uma usuqedile ukuchama, thela izinkomishi ezimbili ze-bleach engaxutshwe nalutho esitsheni sendlu yangasese. Vala isembozo sendlu yangasese, usishiye cishe imizuzu eyi-15-20 , bese ugeza ngamanzi. Lokhu kuzobulala noma yimaphi amagciwane emchameni. |
| Geza izandla kanye nendawo yangasese. | Ngemva kokusebenzisa indlu yangasese, geza izandla zakho nendawo ezungeze izitho zakho zangasese kahle ngensipho. |
| Phuza amanzi engeziwe. | Ngemva kokuchama okokuqala, phuza amanzi amaningi kanye noketshezi usuku lonke. Lokhu kuzonciphisa umchamo wakho futhi kunciphise ukuvuvukala kwesinye. |
| Uma ungakwazi ukulawula ukuchama kwakho | Uma unenkinga yokungakwazi ukuzibamba futhi ingena ezingutsheni zakho, zigeze zodwa emshinini wokuwasha ngokushesha. Ungazifaki nezinye izingubo. Uma usebenzisa iphedi yokungakwazi ukuzibamba, yicwilise ku-bleach encane ngaphambi kokuyilahla, uyifake esikhwameni sepulasitiki, uyivale, bese uyibeka emgqonyeni kadoti. |
Ezinye izinto ezibalulekile okufanele uzazi
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Lokhu kwelashwa kuvame ukuhlala amasonto amaningana, ngakho-ke kubaluleke kakhulu ukuya esibhedlela ngosuku oluhleliwe. Uma ungakwazi ukuya ngosuku oluhleliwe, shayela udokotela wakho noma ikliniki ngokushesha ubazise.
Ingabe kungaba khona ukusebenzisana neminye imithi?
Yebo. Eminye imithi ingaphazamisa ukusebenza kahle kwalokhu kwelashwa. Ikakhulukazi:
- Ama-antibiotic
- Imithi yokucindezela amasosha omzimba (isib. ama-corticosteroids, eminye imithi yomdlavuza)
- Imithi yokwelapha isifo sofuba
Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemikhiqizo yamakhambi), nokuthi ubhema noma uphuza utshwala.
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Ungase uzizwe ushisa futhi ube nezinhlungu usuku olulodwa noma ezimbili ngemva kokwelashwa. Lokhu kuvamile. Kodwa-ke, uma lezi zimpawu zihlala izinsuku ezingaphezu kwezimbili, ziba zimbi kakhulu, noma uma unezimpawu ezingavamile noma ezinzima, shayela udokotela wakho ngokushesha.
Ungakhulelwa ngenkathi uthatha lo muthi. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Futhi, gwema ukuncelisa. Uma uya ocansini, sebenzisa ikhondomu njalo . Cela udokotela wakho iseluleko sokuthi lokhu kufanele kwenziwe isikhathi esingakanani.
Qaphela imiphumela emibi
Njenganoma yikuphi ukwelashwa kwezokwelapha, ukwelashwa kwe-BCG kungabangela imiphumela emibi. Eminye yale miphumela ivamile, kanti eminye ingaba mibi kakhulu.
| Izinhlobo zemiphumela emibi | |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
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| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
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Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Njengoba lokhu kwelashwa kunikezwa esibhedlela, ayikho indlela ongakwenza ngayo ngokweqile. Kodwa-ke, uma uba nezimpawu ezinzima ngemva kokwelashwa, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-BCG iyindlela yokwelapha evuselela amasosha omzimba wakho ukuze alwe nomdlavuza wesinyi.
- Lokhu kwelashwa kwenziwa esibhedlela, ngepayipi (i-catheter) elifakwe esinyeni.
- Emahoreni okuqala ayisithupha ngemva kokwelashwa, qiniseka ukuthi ulandela izinyathelo ezikhethekile zokuhlanzeka, njengokuhlanza indlu yangasese nge-bleach, ukuze uvikele abanye.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi oyiphuzayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nomkhuhlane ophakeme, ubunzima bokuphefumula, noma igazi emchameni wakho.
- Gwema ukukhulelwa ngesikhathi sokwelashwa futhi usebenzise ikhondomu ngesikhathi socansi.
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