Ua haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana he maʻi ʻaʻai ʻōpū? A laila ua lohe paha ʻoe i kahi lāʻau i kapa ʻia ʻo BCG. He nui ka poʻe e makaʻu iki i ka lohe ʻana i kēia inoa, no ka mea, ʻaʻole ia e like me ka lāʻau lapaʻau maʻamau. Akā, ʻaʻohe kumu e makaʻu ai. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia lāʻau BCG, pehea e hana ʻia ai, a me nā mea āpau e pono ai ʻoe e ʻike e pili ana i ia mea ma ke ʻano maʻalahi a aloha hoʻi.
He aha maoli ka lāʻau lapaʻau BCG?
I ka ʻōlelo maʻalahi, ʻo BCG kahi hopena e loaʻa ana kahi ʻano nāwaliwali o kahi bacteria i kapa ʻia ʻo Bacillus Calmette-Guerin . Ua lohe paha ʻoe i kēia inoa ma mua, no ka mea, ʻo ia ka bacteria like i hoʻohana ʻia i loko o ka lāʻau pale e pale aku i ka maʻi puʻupuʻu. Akā, mai hopohopo, ʻaʻole e loaʻa iā ʻoe ka maʻi puʻupuʻu.
ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka hoʻokomo pololei ʻia ʻana o kēia hopena bacteria i loko o kou ʻōpū mimi. A laila, hoʻāla koke ʻia ka ʻōnaehana pale ponoʻī o kou kino. ʻO ia hoʻi, hoʻoulu ia i nā pale o kou kino ponoʻī e hakakā (e kūʻē i nā hunaola kanesa). Loaʻa i kēia ʻōnaehana pale i hoʻoulu ʻia nā hunaola kanesa i loko o nā paia o ka ʻōpū mimi a hoʻouka a luku iā lākou. ʻAʻole kēia he lāʻau `chemotherapy` pepehi pololei i nā hunaola kanesa, akā, he ʻano hana ia e kāohi ai i ka kanesa ma ka hoʻohana ʻana i ka hiki ke hakakā ponoʻī o ke kino.
Ma Sri Lanka, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me 'Theracys' a i ʻole 'TICE BCG'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
ʻAʻole no nā kānaka a pau kēia lāʻau lapaʻau. No laila, he mea nui loa e kamaʻilio ākea me kāu kauka e pili ana i kou kūlana olakino. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi pono iā lākou ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- Inā nāwaliwali ka paia o ke kīʻaha koko a puʻupuʻu e like me ka pōpō (he `aneurysm`).
- Inā he koko kou i loko o kou mimi.
- Inā ua loaʻa iā ʻoe kahi biopsy mimi i loko o nā pule ʻelua i hala.
- Inā loaʻa iā ʻoe ke kuni a i ʻole kekahi maʻi ʻē aʻe i kēia manawa.
- Inā he mau pilikia kou ma ka ʻōnaehana pale.
- Inā loaʻa iā ʻoe nā maʻi kanesa ʻē aʻe e like me ka leukemia a i ʻole lymphoma.
- Inā loaʻa iā ʻoe nā maʻi neurological e like me ka 'myasthenia gravis'.
- Inā kokoke ʻoe e loaʻa a i ʻole ua loaʻa iā ʻoe kahi hoʻoili kino.
- Inā he mau mea hoʻokomo artificial i loko o kou kino (e like me nā hono artificial, nā valves puʻuwai prosthetic, nā grafts arterial).
- Inā ua loaʻa iā ʻoe a i ʻole e hana ʻia ana ka radiation therapy.
- Inā loaʻa iā ʻoe ka maʻi puʻupuʻu i kēia manawa a i ʻole ua loaʻa iā ʻoe ma mua.
- Inā loaʻa iā ʻoe kahi hopena alerika i ka BCG, latex, a i ʻole kekahi lāʻau lapaʻau a meaʻai paha ʻē aʻe.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha, he mea nui loa kēia.
Pehea e hāʻawi ʻia ai ka lāʻau BCG a me ka mea e hana ai ma hope
ʻAʻole e hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe e lawe i ka home. Hāʻawi ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana mālama ola i aʻo kūikawā ʻia.
ʻO ka mea mua, hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) i loko o kou ʻōpū mimi, kahi e hoʻokomo ʻia ai ka hopena BCG. Hiki ke manaʻo iki ʻoluʻolu ʻole kēia, akā ʻaʻole ia he ʻeha loa. Ma hope o ka hoʻokomo ʻana, wehe ʻia ka ʻōmole. A laila e aʻo ʻia ʻoe e mālama i ka hoʻokomo ʻana i loko o kou ʻōpū mimi no 1 a 2 mau hola . Pono ʻoe e hoʻāʻo ʻaʻole e mimi i kēia manawa. Hiki ke noi ʻia ʻoe e moe i lalo a ʻōwili paha mai kēlā ʻaoʻao a i kēia ʻaoʻao i hiki ai i ka hoʻokomo ʻana ke hiki i nā ʻāpana āpau o kou ʻōpū mimi.
ʻO ka mea nui loa, ʻo ia ka mea e hana ai ma hope o ka mālama ʻana. No ka mea, aia nā bacteria ola i loko o kēia lāʻau, pono ʻoe e pale iā lākou mai ka laha ʻana i nā poʻe ʻē aʻe ma o kou mimi. No laila, pono ʻoe e hahai i nā kuhikuhi ma lalo nei.
E hōʻoia e hana i kēia i kēlā me kēia manawa āu e mimi ai no nā hola 6 mua ma hope o ka mālama ʻana.
| He aha e hana ai | No ke aha a pehea e hana ai? |
|---|---|
| E noho i lalo a mimi. | ʻOiai inā he kāne ʻoe, e ʻoluʻolu e noho ma ka lua a mimi. E kōkua kēia i ka pale ʻana i ka mimi mai ke kahe ʻana i waho. E pale i ka hoʻohana ʻana i nā lua lehulehu a i ʻole ka mimi ʻana ma waho. |
| E ninini i ka bleach i loko o ka lua. | Ma hope o kou pau ʻana i 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 o ka lua, e waiho no 15-20 mau minuke , a laila holoi. E pepehi kēia i nā bacteria i loko o ka mimi. |
| E holoi i nā lima a me ka ʻāpana genital. | Ma hope o ka hoʻohana ʻana i ka lua, e holoi pono i kou mau lima a me ka ʻāpana a puni kou ʻōpū me ke kopa. |
| E inu i ka wai hou aku. | Ma hope o ka mimi ʻana no ka manawa mua, e inu i ka nui o ka wai a me nā wai i ka lā a pau. E hoʻoheheʻe kēia i kou mimi a hōʻemi i ka mumū i loko o kou ʻōpū mimi. |
| Inā ʻaʻole hiki iā ʻoe ke kāohi i kāu urination | Inā loaʻa iā ʻoe ka incontinence a kau ia ma luna o kou mau lole, e holoi koke iā lākou i loko o ka mīkini holoi. Mai hoʻohui iā lākou me nā lole ʻē aʻe. Inā ʻoe e hoʻohana i kahi pad incontinence, e hoʻomohu iā ia i loko o kahi bleach liʻiliʻi ma mua o ka hoʻolei ʻana, e waiho i loko o kahi ʻeke plastik, e sila iā ia, a e waiho i loko o ka ʻōpala. |
Nā mea nui ʻē aʻe āu e ʻike ai
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
ʻO ka maʻamau, he mau pule ka lōʻihi o kēia lāʻau lapaʻau, no laila he mea nui loa ka hele ʻana i ka haukapila i ka lā i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke hele i ka lā i hoʻonohonoho ʻia, e kāhea koke aku i kāu kauka a i ʻole ke keʻena lapaʻau a e hoʻomaopopo iā lākou.
Hiki ke loaʻa nā pilina me nā lāʻau lapaʻau ʻē aʻe?
ʻAe. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. ʻOi aku hoʻi:
- Nā lāʻau lapaʻau
- Nā lāʻau immunosuppressant (e like me corticosteroids, nā lāʻau lapaʻau maʻi ʻē aʻe)
- Nā lāʻau lapaʻau no ka maʻi puʻupuʻu
No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā huahana lāʻau), a inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e noʻonoʻo ai i ka wā o ka mālama ʻana
Hiki paha iā ʻoe ke kuni a loaʻa nā ʻehaʻeha no hoʻokahi a ʻelua paha lā ma hope o ka mālama ʻana. He mea maʻamau kēia. Eia nō naʻe, inā mau kēia mau hōʻailona ma mua o ʻelua lā, a ʻoi aku ka ʻino, a inā he mau hōʻailona ʻē a koʻikoʻi paha kāu, e kāhea koke i kāu kauka.
Mai hāpai i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hōʻeha nui i kahi pēpē i hānau ʻole ʻia. Eia kekahi, e pale i ka hānai waiū. Inā moe kolohe ʻoe, e hoʻohana mau i ka condom . E noi i kāu kauka no ka ʻōlelo aʻo no ka lōʻihi o ka hana ʻana i kēia.
E makaʻala i nā hopena ʻaoʻao
E like me nā lāʻau lapaʻau āpau, hiki i ka lāʻau BCG ke hana i nā hopena ʻaoʻao. He mea maʻamau kekahi o kēia mau mea, aʻo kekahi hiki ke koʻikoʻi.
| Nā ʻano hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
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| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
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He aha inā lawe nui wau i ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, ʻaʻohe ala e hiki ai iā ʻoe ke overdose. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi ma hope o ka lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo BCG e hoʻoulu ai i ka ʻōnaehana pale ponoʻī o kou kino e hakakā i ka maʻi ʻaʻai ʻōpū.
- Hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila, ma o kahi paipu (catheter) i hoʻokomo ʻia i loko o ka ʻōpū mimi.
- No nā hola 6 mua ma hope o ka mālama ʻana, e hōʻoia e hahai i nā hana hoʻomaʻemaʻe kūikawā, e like me ka holoi ʻana i ka lua me ka bleach, e pale ai i nā poʻe ʻē aʻe.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hopena ʻino e like me ke kuni nui, ka paʻakikī o ka hanu ʻana, a i ʻole ke koko i loko o kou mimi.
- E pale i ka hāpai ʻana i ka wā o ka mālama ʻana a e hoʻohana i ka condom i ka wā o ka moekolohe.
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