Lapaʻau BCG: ʻO ka mea e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau no ka maʻi ʻaʻai mimi (Lapaʻau BCG)

Ua haʻi aku anei kāu kauka iā ʻoe he maʻi ʻaʻai ʻōpū kou a pono ʻoe e loaʻa i ka lāʻau BCG? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā. "He aha ke ʻano o kēia lāʻau lapaʻau?", "E hoʻomaʻi anei kēia iā ʻoe?", a pēlā aku. Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Akā, he lāʻau lapaʻau kēia i hoʻohana nui ʻia a ua hōʻike ʻia he holomua i nā poʻe he nui me ka maʻi ʻaʻai ʻōpū mua. No laila, i kēia lā, e kamaʻilio pōkole kākou e pili ana i ke ʻano o ka lāʻau BCG, pehea e hana ʻia ai, a me nā mea āu e pono ai e ʻike.

He aha maoli ka lāʻau lapaʻau BCG?

I ka ʻōlelo maʻalahi, ʻo BCG (Bacillus Calmette-Guerin) kahi lāʻau lapaʻau i hāʻawi ʻia i loko o kou ʻōpū mimi. Ua kapa ʻia kēia ma ke ʻano lapaʻau he immunotherapy intravesical . He lāʻau wai ia. Ua lohe paha ʻoe i ka lāʻau pale maʻi puʻupuʻu (TB). Hana ʻia ka lāʻau lapaʻau BCG ma ka hoʻonāwaliwali ʻana i ka bacteria `(Mycobacterium bovis)`, ʻo ia ke ʻano bacteria like i hoʻohana ʻia e hana i kēlā lāʻau pale. He mea weliweli paha ke ʻōlelo ʻoe "ke kau ʻana i ka bacteria i loko o kou kino", akā ʻo ka mea e hana ai, ʻo ia ka hoʻonāwaliwali ʻana i ka bacteria ma ke ʻano ʻaʻole e hōʻeha i kou kino a hoʻoulu i kāu ʻōnaehana pale ponoʻī e hakakā i nā hunaola kanesa.

Hoʻomaka pinepine kēia lāʻau ma hope o ka wehe ʻia ʻana o ke kanesa ʻōpū. Ua kapa ʻia kēia ʻoki ʻana he TURBT (transurethral resection of bladder tumor) . Ma hope o kēlā, hāʻawi ʻia ka lāʻau BCG e luku i nā hunaola kanesa i koe.

He aha nā ʻano maʻi i hāʻawi ʻia ai kēia lāʻau BCG?

Hoʻohana nui ʻia ka lāʻau lapaʻau BCG no ka mālama ʻana i ke kanesa ʻōpū mua . ʻO ia hoʻi, ʻaʻole i laha ke kanesa i ka papa ʻiʻo o ka ʻōpū. No ka laʻana, he mea kūpono loa ia no nā kūlana e like me `(carcinoma in situ)` (ke kanesa e noho ana ma kahi i hoʻomaka ai) a me `(non-muscle invasive bladder cancers - NMIBCs)`.

Ke hana ʻia nei nā hoʻokolohua lapaʻau e ʻike ai inā hiki ke hoʻohana ʻia ʻo BCG e mālama i nā kūlana e like me fibromyalgia a me ka maʻi diabetes, akā ʻaʻohe hopena paʻa i hiki mai.

He ʻano chemotherapy anei ʻo BCG?

ʻAʻole. ʻO kēia kahi e huikau ai ka poʻe he nui. ʻAʻole ʻo BCG he chemotherapy. Pili ka Chemotherapy i ka hāʻawi ʻana i nā lāʻau ikaika e pepehi pololei i nā hunaola kanesa. Akā, he immunotherapy ʻo BCG.ʻO ia hoʻi, ʻaʻole pepehi pololei kēia lāʻau i nā hunaola kanesa. Akā, "holoi" ia i ka ʻōnaehana pale ponoʻī o kou kino , e hoʻomaʻamaʻa ana iā ia e ʻike a hoʻouka i nā hunaola kanesa. Ua like ia me ka hōʻike ʻana i ko mākou pūʻali koa ponoʻī i ka ʻenemi a kōkua iā lākou e kaua.

Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana me ka BCG?

E wehewehe pono ana kāu kauka i kāu mea e hana ai ma mua o ka mālama ʻana. Ma ke ʻano laulā, pono ʻoe e hahai i kēia mau kuhikuhi:

• E hōʻalo i ka inu ʻana i nā mea inu caffeine, e like me ke kofe a me ke kī, no ʻehā hola ma mua o ka mālama ʻana.
• Eia kekahi, inā ʻoe e lawe ana i nā lāʻau diuretics/wai, e kamaʻilio me kāu kauka e pili ana i ia mea a pale i ka lawe ʻana iā lākou i ʻehā hola ma mua o kāu mālama ʻana.
• Ma hope o ka hōʻea ʻana i ka haukapila, pono ʻoe e mimi maikaʻi a hoʻokahe i kou ʻōpū mimi ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

Hana ʻia kēia mau mea i mea e noho maikaʻi ai ka lāʻau BCG i hāʻawi ʻia i loko o ka ʻōpū mimi a hāʻawi i nā hopena maikaʻi loa.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e hoʻomānoʻonoʻo ʻia ka wahi i mea e hōʻoia ai ʻaʻole ʻoe e ʻike i kekahi ʻeha. A laila, e hoʻokomo ke kauka a kahu maʻi paha i kahi ʻōmole lahilahi (catheter) ma o kou urethra i loko o kou ʻōpū mimi. Hiki ke manaʻo ʻia he ʻoluʻolu iki kēia, akā ʻaʻole ia e ʻeha nui. E hoʻokomo ʻia ka hopena BCG i loko o kou ʻōpū mimi ma o ka ʻōmole. Ke hoʻokomo piha ʻia ka lāʻau lapaʻau, e wehe ʻia ka ʻōmole. A laila hiki iā ʻoe ke hoʻi i ka home.

Eia nō naʻe, ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻāʻo ʻaʻole e mimi no hoʻokahi hola . Ma ka huina, ua ʻōlelo ʻia e mālama i ka lāʻau lapaʻau i loko o kou ʻōpū mimi no ʻelua hola . I loko o kēia mau hola ʻelua, e noi ʻia paha ʻoe e hoʻololi i ke kūlana o kou kino (e huli a puni) i kēlā me kēia 15 mau minuke. ʻO kēia ke hōʻoia i ka hiki ʻana o ka lāʻau lapaʻau i nā ʻāpana āpau o kou ʻōpū mimi. Ma hope o ka pau ʻana o nā hola ʻelua, hiki iā ʻoe ke mimi ma ke ʻano maʻamau.

Hiki ke laha kēia lāʻau i nā poʻe ʻē aʻe? He aha nā hana palekana e pono e hana ʻia?

ʻAe, he mea nui loa kēia. Loaʻa i ka lāʻau pale BCG nā bacteria ola, akā nāwaliwali. No laila, hiki ke hoʻoili ʻia kēia mau bacteria mai ou aku i kekahi. I mea e pale aku ai i kēia, pono ʻoe e hahai i kēia mau ʻanuʻu no nā hola ʻeono mua ma hope o kēlā me kēia lāʻau lapaʻau :

• Mai hoʻohana i nā lua lehulehu. E hoʻohana i kou lua ponoʻī ma ka home i nā manawa he nui e hiki ai.
• E inu i ka nui o ka wai a me nā wai. E hoʻoheheʻe kēia i kou mimi a hoʻemi i ka nui o nā bacteria.
• E noho i lalo i kou wā e mimi ai. E hōʻemi kēia i ka nui o ka mimi e ninini ʻia i waho.
• ʻO ka mea nui loa: Ma hope o ka mimi ʻana, e ninini i 2 kīʻaha o ka bleach i hoʻoheheʻe ʻole ʻia i loko o ke pola lua, e pani i ke poʻi, a waiho no 15-20 mau minuke.E waiho no hoʻokahi hola a laila holoi. E pepehi kēia i nā bacteria i loko o ka lua.
• Inā loaʻa iā ʻoe ka pilikia o ka mimi ʻana a ua lepo kou mau lole moe i ka mimi, e holoi ʻokoʻa iā lākou i loko o ka mīkini holoi. Mai hoʻohui pū iā lākou me nā lole o haʻi.
• Inā ʻoe e hoʻohana i kahi pāpale incontinence, e hoʻomohu iā ia i loko o kahi bleach liʻiliʻi ma mua o ka wehe ʻana, e waiho i loko o kahi ʻeke plastik, e nakinaki pono, a e hoʻolei i loko o ka ʻōpala.
• Inā moe kolohe ʻoe i ka wā o ka mālama ʻana, pono ʻoe e hoʻohana i ka condom . E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.

Aia kekahi mau hopena ʻaoʻao o ka mālama ʻana me ka BCG?

E like me nā lāʻau lapaʻau a pau, hiki i ka lāʻau BCG ke hana i kekahi mau hopena ʻaoʻao. Eia nō naʻe, ʻaʻole koʻikoʻi kēia mau mea a nalowale i loko o ʻelua a ʻekolu mau lā.

E kuhikuhi kāu kauka i ka lāʻau lapaʻau e mālama i kēia mau hopena ʻaoʻao maʻamau. Hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha maʻamau, e like me ka paracetamol, no ke kuni a me ka ʻeha.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?

• Ke kuni nui (ma luna o 38.5°C a i ʻole 101.3°F)
• Inā ʻoe e anu a haʻalulu
• Inā ʻeha ka ʻōpū mimi (Bladder spasms)
• Ka luaʻi nui a i ʻole ka luaʻi ʻana

Hiki i nā hōʻailona e like me kēia ke hōʻike i kahi maʻi e like me ka maʻi, no laila he mea nui e ʻimi i ke kōkua lapaʻau.

Hiki paha ke hoʻi hou mai ke kanesa ma hope o ka mālama ʻana me ka BCG?

He nīnau koʻikoʻi nō hoʻi kēia. E like me nā lāʻau lapaʻau maʻi kanesa a pau, aia kahi pilikia o ka hoʻi hou ʻana mai o ke kanesa ma hope o ka BCG. Wahi a nā helu helu, a hiki i ka 40% o ka poʻe i loaʻa ka lāʻau BCG e hoʻi hou mai paha ko lākou kanesa.

Akā eia kekahi mea nui e hoʻomaopopo ai. ʻOiai inā hoʻi mai ka maʻi kanesa, ʻaʻole ia e ʻoi aku ka ʻino a laha paha. ʻO nā maʻi kanesa haʻahaʻa i nā wā mua, ʻaʻole lākou e laha i nā wahi ʻē aʻe o ke kino.

I kekahi manawa, hiki ke ulu aʻe ka maʻi kanesa ikaika ma hope o ka mālama ʻana iā BCG. Inā hana ʻia kēia, hiki i kāu kauka ke ʻōlelo aku i kahi cystectomy, ʻo ia hoʻi ka wehe ʻana i ka ʻōpū mimi holoʻokoʻa. ʻO ia ke kumu he mea nui ka nānā mau ʻana ma hope o ka mālama ʻana.