He aha ka lāʻau lapaʻau BCG no ke kanesa ʻōpū? E kamaʻilio kākou.

Ua haʻi aku ke kauka iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe he maʻi ʻaʻai ʻōpū kou? A ua haʻi aku anei ʻo ia iā ʻoe e pono ʻoe e loaʻa i ka lāʻau BCG? E makaʻu iki paha ʻoe ke lohe ʻoe i kēia inoa. He nui paha kāu mau nīnau e pili ana i ke ʻano o ka BCG, kāna hana, a inā paha he mau hopena ʻaoʻao. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia mau mea a pau me ka maʻalahi a me ka maopopo.

He aha maoli ka lāʻau lapaʻau BCG?

I ka ʻōlelo maʻalahi, ʻo BCG kahi immunotherapy nui i hoʻohana ʻia no ka mālama ʻana i ke kanesa ʻōpū mua. ʻO 'Immunotherapy' kahi lāʻau lapaʻau e hoʻoulu ai, a "hoʻāla" paha, i ka ʻōnaehana pale ponoʻī o kou kino e hakakā i ke kanesa.

He ʻano lāʻau lapaʻau kēia i kapa ʻia ʻo intravesical therapy . ʻO ke ʻano kēia, ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he wai ma ka waha a i ʻole he inikini. Akā, ua inikini pololei ʻia i loko o kou ʻōpū mimi me ka hoʻohana ʻana i kahi ʻōmole lahilahi i kapa ʻia he catheter.

He ʻano bacteria ola a nāwaliwali ka BCG. Hana ʻia ia mai nā bacteria like i hoʻohana ʻia e hana i ka lāʻau pale maʻi puʻupuʻu. Ke komo kēia bacteria i loko o ka ʻōpū mimi, hoʻāla ia i nā pūnaewele pale ma laila a kuhikuhi iā lākou e hoʻouka i nā pūnaewele maʻi kanesa. E noʻonoʻo, ua like ia me ka hoʻohana ʻana i nā pale ponoʻī o ko mākou kino ponoʻī (nā pūnaewele pale) e hakakā i ka maʻi kanesa.

Hoʻomaka pinepine ka mālama ʻana o BCG ma hope o ke ʻoki ʻana i kapa ʻia ʻo TURBT (Transurethral Resection of Bladder Tumor) . Hoʻopau kēia ʻoki ʻana i nā puʻupuʻu kanesa i ʻike ʻia i loko o ka ʻōpū mimi. A laila hoʻohana ʻia ka mālama ʻana o BCG e luku i nā hunaola kanesa i koe.

He aha nā hopena ʻaoʻao o ka mālama ʻana me BCG?

E like me nā lāʻau lapaʻau a pau, hiki i ka BCG ke loaʻa kekahi mau hopena ʻaoʻao. Eia nō naʻe, ʻo ka hapa nui o kēia mau mea he manawa pōkole a hiki ke hoʻokele ʻia. Hiki ke manaʻo ʻia kēia mau mea i loko o nā hola 24 mua ma hope o ka lāʻau lapaʻau.

ʻO kaʻoiaʻiʻo, i kekahi manawa hiki i kēia mau hopena ʻaoʻao liʻiliʻi ke lilo i hōʻailona maikaʻi. ʻO ia hoʻi ke hoʻomaka nei ka ʻōnaehana pale o kou kino e hana pono a ke kaua nei i nā hunaola kanesa. No laila, manaʻo kekahi mau kauka he ʻoi aku ka maikaʻi o kahi pane liʻiliʻi e like me kēia ma mua o ka loaʻa ʻole o nā hopena ʻaoʻao.

Pehea ka lōʻihi o kēia mau hopena ʻaoʻao?

ʻO ka maʻamau, e nalowale ana kēia mau hopena ʻaoʻao i loko o ʻelua a ʻekolu mau lā. No kekahi poʻe, ʻoi aku ka maikaʻi o ko lākou manaʻo ma hope o ka mimi ʻana a me ka hāʻawi ʻana i ka lāʻau lapaʻau i loko o ko lākou ʻōpū mimi. Eia nō naʻe, inā ʻoi aku kou mau hōʻailona ma mua o ʻekolu mau lā, a inā he koʻikoʻi loa lākou, e kamaʻilio me kāu kauka.

Pehea e hoʻomākaukau ai no ka mālama ʻana me BCG?

E hāʻawi ke kauka iā ʻoe i kekahi mau ʻōlelo aʻoaʻo i ka lā ma mua o ka lāʻau lapaʻau.

• Mai inu i nā mea inu i loaʻa ka caffeine (kofe, tī).
• E mimi maikaʻi a hoʻokahe i kou ʻōpū mimi ma mua o ka lāʻau lapaʻau.
• Mai inu nui i ka wai i ke kakahiaka o kāu lāʻau lapaʻau. ʻO ka noho maloʻo iki ʻana e kōkua i ka mālama ʻana i ka lāʻau lapaʻau i loko o kou ʻōpū mimi no kahi o ʻelua hola.
• ʻO ka mea nui loa: Inā ʻoe e lawe nei i nā lāʻau antibiotic no kekahi kumu ʻē aʻe, e haʻi i kāu kauka e pili ana i ia mea, no ka mea, hiki i nā lāʻau antibiotic ke hoʻopilikia i ka holomua o ka mālama ʻana me ka BCG.

I ka wā o ka mālama ʻana, hoʻomānoʻino ʻia ka wahi i hoʻokomo ʻia ai ke catheter. A laila, hoʻokomo ʻia ka lāʻau pale BCG i loko o ka ʻōpū mimi ma o ke catheter, a wehe ʻia ke catheter. Ma hope o kēlā, pono ʻoe e hoʻopaneʻe i ka mimi ʻana no ka lōʻihi e hiki ai, ma kahi o 2 mau hola.

He mea nui loa: He laha anei ka lāʻau BCG i nā poʻe ʻē aʻe?

ʻAe, pono ʻoe e makaʻala loa i kēia. ʻOiai aia ka bacteria ola i loko o ka lāʻau pale BCG, hiki iā ʻoe ke hoʻopili i nā poʻe ʻē aʻe ma o kou mimi i loko o nā hola 6 mua ma hope o ka mālama ʻana. No laila, e hōʻoia e hahai i kēia mau hana palekana:

• Mai hoʻohana i nā lua lehulehu. E hoʻohana wale i kou lua ponoʻī.
• E noho i lalo i ka wā e mimi ai. (Hiki i nā kāne ke pale aku i ka ninini ʻana o ka mimi ma ka noho ʻana i lalo i kēia manawa.)
• Ma hope o ka mimi ʻana no ʻelua hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e inu i ka wai nui.
• Pehea e hoʻomaʻemaʻe ai i ka lua: Ma hope o kou mimi ʻana, e ninini i ʻelua kīʻaha o ka bleach i loko o ka lua, e pani i ke poʻi o ka lua, e waiho no 15-20 mau minuke, a laila holoi. E hana i kēia i kēlā me kēia manawa.
• Inā komo ka mimi ma kou mau lole, e holoi koke iā lākou me ka ʻokoʻa, ʻaʻole me nā lole ʻē aʻe.
• E pale i ka moekolohe no kekahi mau lā ma hope o ka lāʻau lapaʻau. Eia kekahi, he mea nui e hoʻohana i ka condom i kēlā me kēia manawa āu e moe ai i ka wā o ka lāʻau lapaʻau holoʻokoʻa.

Pehea ka holomua o ka mālama ʻana me ka BCG?

ʻO BCG i kēia manawa ka lāʻau lapaʻau kūpono loa no ke kanesa ʻōpū i ka wā mua.

• Ma hope o ka mālama ʻana me ka BCG, ma kahi o 70% o nā maʻi e hoʻopau piha i ke kala ʻana.
• Eia nō naʻe, no kekahi poʻe (ma kahi o 20%-30%) ʻaʻole paha e holo pono kēia lāʻau lapaʻau. Ua kapa ʻia kēia poʻe he "BCG unresponsive".
• I kekahi manawa, hiki ke hoʻi hou mai ke kanesa ma hope o ka mālama ʻana. Akā inā hana ia, kōkua ʻo BCG i ka pale ʻana iā ia mai ka lilo ʻana i kanesa invasive.

Me ka nānā ʻole i kēia mau helu helu, ʻo ka mea e pono ai mākou e hoʻomanaʻo, ʻo ke koho lapaʻau maikaʻi loa a maikaʻi loa i loaʻa iā mākou i kēia manawa ʻo ia ka BCG. No laila, e hahai pono i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka a hana i kahi cystoscopy i ka manawa kūpono.He mea nui loa ka hana ʻana i nā noiʻi e like me kēia.