He aha te maimoatanga BCG mō te mate pukupuku tōngāmimi? Me kōrero tātou.

Kua kōrerotia atu rānei e te tākuta ki a koe, ki tētahi rānei e tata ana ki a koe, kei te pāngia koe e te mate pukupuku tōngāmimi? Ā, i kōrerotia atu rānei e ia me whiwhi koe i te maimoatanga BCG? Tērā pea ka mataku koe ina rongo koe i tēnei ingoa. He maha pea āu pātai mō te aha te BCG, āna mahi, me te mea he pānga taha. Kaua e manukanuka, ka kōrerohia e mātou ēnei mea katoa i roto i te huarahi māmā me te mārama.

He aha tonu te maimoatanga BCG?

He whakarāpopototanga noa iho, ko te BCG he rongoā ārai mate nui e whakamahia ana hei rongoā i te mate pukupuku tōngāmimi i te wā tōmua. Ko te 'Whakaora Ārai Mate' he maimoatanga e whakaoho ana, e "whakaara" ana rānei, i te pūnaha ārai mate o tō tinana kia whawhai ki te mate pukupuku.

He momo maimoatanga tēnei e kiia nei ko te rongoā ā-roto . Ko te tikanga, kāore te rongoā e hoatuhia hei wai mā te waha, hei werohanga rānei. Engari, ka werohia tika ki roto i tō pūkahukahu mā te whakamahi i tētahi ngongo angiangi e kiia nei ko te catheter.

He momo huakita ora, ngoikore te BCG. He mea hanga mai i ngā huakita kotahi i whakamahia hei hanga i te kano ārai mate kohi. Ina uru atu ēnei huakita ki te pūkahukahu, ka whakahohehia ngā pūtau ārai mate o reira, ka tohutohu i a rātou ki te whakaeke i ngā pūtau mate pukupuku. Whakaarohia, he rite ki te whakamahi i ngā parepare o tō tātou ake tinana (ngā pūtau ārai mate) hei whawhai ki te mate pukupuku.

Ko tētahi o ngā painga nui o tēnei maimoatanga ko te aro tika ki ngā pūtau matepukupuku i roto i te pūkahukahu anake. Kāore he pānga nui ki ētahi atu wāhanga o te tinana.

Ko te tikanga ka tīmata te maimoatanga BCG i muri i te pokanga e kiia nei ko te TURBT (Transurethral Resection of Bladder Tumor) . Ka tangohia e tēnei pokanga ngā pukupuku matepukupuku e kitea ana i roto i te pūkahukahu. Kātahi ka whakamahia te maimoatanga BCG hei whakangaro i ngā pūtau matepukupuku e toe ana.

He aha ngā pānga taha o te maimoatanga BCG?

Pērā i ngā maimoatanga katoa, ka pā mai ētahi pānga taha o te BCG. Heoi, ko te nuinga o ēnei he wā poto noa iho, ā, ka taea te whakahaere. Tērā pea ka puta ēnei i roto i ngā haora 24 tuatahi i muri i te maimoatanga.

Ina hoki, i ētahi wā he tohu pai ēnei pānga taha iti nei. Ko te tikanga kei te tīmata te pūnaha ārai mate o tō tinana ki te mahi tika, ā, kei te whawhai ki ngā pūtau matepukupuku. Nō reira, e whakaaro ana ētahi tākuta he pai ake te urupare iti pēnei i te korenga o ngā pānga taha.

Kia pēhea te roa o ēnei pānga taha?

Ko te tikanga ka ngaro atu ēnei pānga taha i roto i ngā rā e rua, e toru rānei. Mō ētahi tāngata, ka pai ake te ahua i muri i te mimi me te tuku i te rongoā ki roto i tō rātou pūkahukahu. Heoi, ki te roa atu i te toru ngā rā o ō tohumate, ki te tino kino rānei, me kōrero ki tō tākuta.

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Me pēhea te whakarite mō te maimoatanga BCG?

Ka hoatu e te tākuta ētahi tohutohu ki a koe i te rā i mua i te maimoatanga.

• Kaua e inu i ngā inu kei roto te kawheine (kawhe, tī).
• Me mimi kia tino pai, ka whakawātea hoki i tō pūkahukahu i mua i te maimoatanga.
• Kaua e inu nui i te wai i te ata o tō maimoatanga. Mā te noho maroke iti ka āwhina i te pupuri i te rongoā i roto i tō pūkahukahu mō te rua hāora pea.
• Ko te mea nui: Mena kei te tango koe i ngā paturopi mō tētahi atu take, me kōrero ki tō tākuta, nā te mea ka taea e ngā paturopi te whakararuraru i te angitu o te maimoatanga BCG.

I te wā e rongoatia ana, ka whakangāwarihia te wāhi e whakaurua ana te katitere. Kātahi ka werohia te kano ārai mate BCG ki roto i te pūkahukahu mā te katitere, ā, ka tangohia te katitere. Whai muri i tēnā, me tatari koe kia roa rawa te mimi, kia rua hāora pea.

He mea tino nui: Ka taea te horapa te maimoatanga BCG ki ētahi atu?

Āe, me tino tupato koe ki tēnei. Nā te mea kei roto i te kano ārai mate BCG he huakita ora, ka taea e koe te pangia ētahi atu mā roto i tō mimi i roto i ngā haora 6 tuatahi i muri i te maimoatanga. Nō reira, kia tino whai i ēnei tikanga haumaru:

• Kaua e whakamahi i ngā wharepaku tūmatanui. Whakamahia tō ake wharepaku anake.
• Noho iho i te wā e mimi ana. (Ka taea hoki e ngā tāne te karo i te maringi o te mimi mā te noho iho i tēnei wā.)
• I muri i te mimi mō ngā haora e rua i muri i te tango i te rongoā, me inu nui te wai.
• Me pēhea te horoi i te wharepaku: Whai muri i tō mimi, ringihia kia rua kapu wai mā ki roto i te wharepaku, katia te taupoki o te wharepaku, waiho kia noho mō te 15-20 meneti, kātahi ka horoi ki te wai. Me mahi i tēnei i ia wā.
• Ki te pā te mimi ki ō kākahu, horoia motuhake tonutia, kaua e horoia me ētahi atu kākahu.
• Kaua e moe tāne, wahine rānei mō ētahi rā i muri i te maimoatanga. He mea nui hoki kia whakamahia he ure tāne i ia wā e moe tāne ana koe i te wā katoa o te maimoatanga.

He pēhea te angitu o te maimoatanga BCG?

Ko te BCG te rongoā tino whai hua i tēnei wā mō te mate pukupuku tōngāmimi i te wāhanga tōmua.

• I muri i te maimoatanga BCG, tata ki te 70% o ngā tūroro ka tino murua te mate.
• Heoi, mō ētahi tāngata (tata ki te 20%-30%), kāore pea tēnei maimoatanga e mahi tika. Ka kiia ēnei tāngata he "BCG kore aro".
• I ētahi wā, ka hoki anō te mate pukupuku i muri i te maimoatanga. Ahakoa ka hoki anō, ka āwhina te BCG ki te ārai i a ia kei huri hei mate pukupuku urutā.

Ahakoa ēnei tatauranga, ko tā tātou e maumahara ana ko te maimoatanga pai rawa atu, me te tino whai hua hoki kei a tātou i tēnei wā ko te BCG. Nō reira, me whai i te maimoatanga kia rite ki tā te tākuta i kī ai, ā, me whai i te cystoscopy i te wā tika.He mea tino nui te whakahaere i ngā whakamātautau penei.