Mai makaʻu i ka mālama ʻana iā BCG - e kamaʻilio kākou e pili ana

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana he maʻi ʻaʻai ʻōpū, e ʻōlelo paha lākou i ka lāʻau BCG. Hiki iā ʻoe ke makaʻu iki a kamaʻāina ʻole ke lohe ʻoe i kēia inoa. Akā, mai hopohopo. He lāʻau lapaʻau holomua loa kēia no nā poʻe he nui me ka maʻi ʻaʻai ʻōpū mua. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka lāʻau BCG, pehea e hana ʻia ai, a me nā mea e hana ʻia ma hope o ia mea ma ke ʻano maʻalahi a maopopo hoʻi.

He aha ka lāʻau lapaʻau BCG ma ka ʻōlelo maʻalahi?

ʻAe, ʻo ka mea mua e ʻōlelo ai, ʻaʻole kēia he lāʻau lapaʻau no ka maʻi kanesa, ʻaʻole ia he ' chemotherapy '. He mea ʻokoʻa kēia. Kāhea mākou ia he 'immunotherapy'.

I ka ʻōlelo maʻalahi, hoʻohana kēia i kāu ʻōnaehana pale ponoʻī e luku i nā hunaola kanesa i loko o ka ʻōpū mimi. E noʻonoʻo ua hiamoe iki nā kiaʻi i loko o ko kākou kino. Hoʻāla kēia lāʻau lapaʻau i kēlā mau kiaʻi a haʻi iā lākou, "Aia kahi ʻenemi ma ʻaneʻi, e hele a hoʻouka."

ʻO kēia lāʻau lapaʻau wai i kapa ʻia ʻo BCG ua hana ʻia mai ka bacteria like `(Mycobacterium bovis)` i hoʻohana ʻia e hana i ka lāʻau pale no ka maʻi puʻupuʻu . Akā, mai hopohopo, aia i loko kahi mana nāwaliwali loa o kēlā bacteria. No laila, ʻaʻole ia e hōʻeha nui i ke kino.

Hoʻomaka pinepine kēia lāʻau lapaʻau ma hope o ka wehe ʻia ʻana o nā puʻupuʻu kanesa i loko o ka ʻōpū mimi ma ke ʻoki ʻana. Kāhea pū mākou i kēia ʻoki ʻana he `(TURBT)`.

He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?

Hoʻohana nui ʻia ka lāʻau BCG no ke kanesa ʻōpū mua . ʻO ia hoʻi, i ka wā ʻaʻole i laha ke kanesa i nā ʻiʻo o ka paia o ka ʻōpū. Ua kapa nā kauka i kēia mau kūlana he '(carcinoma in situ)' a i ʻole '(non-muscle invasive bladder cancers - NMIBCs)'.

Ke hana ʻia nei ka noiʻi e ʻike inā he pono ka mālama ʻana me BCG no nā maʻi e like me fibromyalgia a me ka maʻi diabetes, akā ʻaʻohe hopena paʻa i hiki mai.

Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?

He mea maʻalahi loa kēia. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. ʻO ka maʻamau, e noi ʻia ʻoe e hoʻōki i ka inu ʻana i nā mea inu caffeine e like me ke kofe a me ke kī a me nā diuretics 4 mau hola ma mua o kāu mālama ʻana. Eia kekahi, ke hōʻea ʻoe i ka haukapila, pono ʻoe e mimi a hoʻokahe i kou ʻōpū mimi ma mua o ka hoʻomaka ʻana o ka mālama ʻana.

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

ʻAʻohe mea e hopohopo ai, he hana maʻalahi loa kēia.

1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lāʻau lapaʻau e hoʻomāʻū i ka ʻāpana i ʻole ʻoe e manaʻo i kekahi ʻeha.

2. A laila, e hoʻokomo pono ke kauka i kahi paipu liʻiliʻi ( catheter ) i loko o kou urethra a hoʻokomo i ka lāʻau BCG i loko o kou ʻōpū mimi.

3. Ke pau kēlā, e wehe ʻia ka ʻōmole. Hiki iā ʻoe ke hoʻi i ka home.

Akā, hoʻokahi mea. Pono e mālama ʻia kēia lāʻau lapaʻau i loko o ka ʻōpū mimi no 2 mau hola ma ka liʻiliʻi . No laila, ʻaʻole pono ʻoe e mimi no 2 mau hola ma hope o ke kau ʻana i ka lāʻau lapaʻau. Ma hope o 2 mau hola, hiki iā ʻoe ke mimi ma ke ʻano maʻamau.

Hiki ke hoʻoili ʻia kēia i nā poʻe ʻē aʻe? - E akahele loa i kēia!

He mea nui loa kēia. ʻAe , no ka mea, aia i loko o kēia lāʻau lapaʻau nā bacteria ola a nāwaliwali, hiki iā ia ke loaʻa kekahi hopena i nā poʻe ʻē aʻe inā pili ia me lākou. No laila, pono ʻoe e hana i kēia mau mea i loko o nā hola 6 mua ma hope o kēlā me kēia lāʻau lapaʻau :

• Mai hoʻohana i nā lua lehulehu.
• E inu i ka nui o ka wai a me nā wai e hoʻokahe i kou mimi.
• I ka wā e hele ai i ka lua, e mimi i ka wā e noho ana i mea e pale ai i ka ninini ʻana o ka mimi.
• Ma hope o kou pau ʻana i ka mimi, e ninini i kahi o 2 kīʻaha o ka pauka hoʻokeʻokeʻo a i ʻole ka wai i loko o ke pola lua, e pani i ke poʻi, e waiho no 15-20 mau minuke, a laila holoi i ka wai.
• Inā loaʻa iā ʻoe ka pilikia o ka mimi a kau ia ma kou mau lole, e holoi ʻokoʻa i kēlā mau lole i loko o ka mīkini holoi. Mai hoʻohui pū iā lākou me nā lole o haʻi.
• Inā ʻoe e hoʻohana i kahi pāpale incontinence, ma mua o ka wehe ʻana, e hoʻohui i kahi bleach liʻiliʻi i loko, e hoʻomohu iā ia, e waiho i loko o kahi ʻeke plastik, e sila iā ia, a e hoʻolei i loko o ka ʻōpala.

Eia kekahi, pono ʻoe e makaʻala e pili ana i ka moekolohe. Inā moe ʻoe i ka wā o ka mālama ʻana , he mea pono ke hoʻohana i ka condom. E kamaʻilio me kāu kauka e pili ana i kēia a loaʻa i nā ʻōlelo aʻoaʻo kikoʻī.

He aha nā pōmaikaʻi a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau a pau, loaʻa iā ia kona mau pono a me nā hopena ʻaoʻao liʻiliʻi. E kamaʻilio mua kākou e pili ana i nā pono. ʻO ka mālama ʻana iā BCG me ke ʻoki ʻana "TURBT" ua manaʻo ʻia he lāʻau lapaʻau maikaʻi loa no ke kanesa ʻōpū mua. Hoʻomalu ia i ka ulu ʻana o nā hunaola kanesa a hoʻemi i ka pilikia o ka hana ʻana i kahi ʻoki "cystectomy" e wehe i ka ʻōpū holoʻokoʻa i ka wā e hiki mai ana.

I kēia manawa, e nānā kākou i nā hopena ʻaoʻao. ʻO ka hapa nui o kēia mau mea e kū mai ana i loko o nā lā 2-3 mua ma hope o ka mālama ʻana a nalo aku.

Āhea wau e ʻike koke ai i ke kauka?

ʻOiai he mea maʻamau ka kuni iki a me nā ʻeha kino, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke i kāu kauka . A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Inā ʻoi aku ke kuni ma mua o 38.5 Celsius (101.3 Fahrenheit).
• Inā ʻoe e anu a me ka haʻalulu.
• Inā ʻoe e haʻalulu nui ana.
• Inā ʻoe e ʻeha nui ana ma muli o ka spasms o ka ʻōpū mimi.

Hiki ke hoʻi hou mai ke kanesa ma hope o ka mālama ʻia?

E like me nā lāʻau lapaʻau maʻi kanesa a pau, aia kahi pilikia e hoʻi hou mai ai ke kanesa. Hōʻike nā helu helu ma kahi o 40% o ka poʻe i loaʻa i ka lāʻau BCG e hoʻi hou mai ko lākou kanesa. Akā aia kekahi mea nui e hoʻomaopopo ai ma ʻaneʻi. ʻOiai inā e hoʻi hou mai ke kanesa, ʻaʻole ia he ʻano ʻino loa.

ʻO ka hapa pinepine, hoʻi mai ke kanesa haʻahaʻa. Eia nō naʻe, i nā hihia kakaikahi, inā ikaika ka kanesa, hiki i kāu kauka ke paipai i kahi cystectomy e wehe i ka ʻōpū mimi.