He aha ʻo Valrubicin: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau chemotherapy kūikawā ʻo Valrubicin i hoʻolālā ʻia no ka mālama ʻana i ka maʻi maʻi ʻōpū. ʻAʻole like me nā lāʻau maʻi maʻi he nui e hele ana ma kou kahe koko, hana kēia lāʻau lapaʻau i loko o kou ʻōpū ma o ke kaʻina hana i kapa ʻia ʻo intravesical therapy, kahi e hāʻawi ʻia ai ka lāʻau lapaʻau i kahi e pono ai.

Inā ʻoe a i ʻole kekahi āu e mālama nei e kū nei i ka maʻi maʻi ʻōpū, hiki i ke aʻo ʻana e pili ana iā valrubicin ke kōkua iā ʻoe e mākaukau a ʻike e pili ana i kēia koho lapaʻau. Hōʻike kēia lāʻau lapaʻau i kahi ala i manaʻo ʻia e kālele ana i ka lapaʻau ma kahi e loaʻa ai nā pūnaewele maʻi maʻi.

He aha ʻo Valrubicin?

He lāʻau chemotherapy anthracycline ʻo Valrubicin e pili ana i kahi ʻohana o nā lāʻau lapaʻau i loaʻa mua mai kekahi mau bacteria. Ua hana kūikawā ʻia e mālama i ka maʻi maʻi ʻōpū ma ka waiho pololei ʻana i loko o ka ʻōpū ma o ka catheter, ma mua o ka hāʻawi ʻia ʻana ma o ka IV e like me nā lāʻau lapaʻau maʻi maʻi ʻē aʻe.

ʻO kēia lāʻau lapaʻau ka mea a nā kauka e kāhea ai he

Ua hoʻolālā ʻia kēia lāʻau lapaʻau no nā maʻi i loaʻa ka maʻi ʻaʻai o ka ʻōpū mimi i paʻa mau i loko o ka ʻili o loko o ka ʻōpū mimi a ʻaʻole i laha i nā papa hohonu a i ʻole nā ʻāpana ʻē aʻe o ke kino. E hōʻoia kāu kauka i kēia ma o nā hoʻokolohua a me nā hoʻokolokolo like ʻole ma mua o ka ʻōlelo ʻana iā valrubicin.

ʻO ka pahuhopu o ka mālama ʻana iā valrubicin, ʻo ia ka hoʻopau ʻana i nā sela maʻi ʻaʻai me ka mālama ʻana i ka hana o kou ʻōpū mimi. He mea nui kēia no ka mea ʻo ka lāʻau lapaʻau ʻē aʻe no ka maʻi ʻaʻai ʻōpū mimi kūʻē i ka BCG, ʻo ia ka wehe ʻana i ka ʻōpū mimi ma ke ʻoki ʻana, kahi e hoʻopilikia nui ai i ka maikaʻi o ke ola.

Pehea e hana ai ʻo Valrubicin?

Hana ʻo Valrubicin ma ka hoʻopaʻa pololei ʻana i ka DNA o nā sela maʻi ʻaʻai, e pale ana iā lākou mai ka hana hou ʻana a me ka make ʻana. Ke hoʻokomo ʻia ka lāʻau lapaʻau i loko o kou ʻōpū mimi, pili pololei ia me nā sela maʻi ʻaʻai e laina ana i ka paia o ka ʻōpū mimi.

Hoʻopili ka lāʻau i nā sela maʻi ʻaʻai a keakea i kā lākou hana hou ʻana i ka DNA. Kāohi kēia hoʻopilikia i nā sela maʻi ʻaʻai mai ka mahele ʻana a me ka ulu ʻana, ʻoiai ʻoi aku ka maikaʻi o nā sela ʻōpū mimi olakino i ka hoʻoponopono ʻana i nā pōʻino i hana ʻia e ka lāʻau lapaʻau.

Ma ke ʻano he mea kemoterapi, ua manaʻo ʻia ʻo valrubicin he ikaika iki, akā no ka mea e hāʻawi pololei ʻia i ka ʻōpū mimi ma mua o kou kahe koko, ua ʻākoakoa kona hopena ma kahi e pono ai. ʻO kēia ala i manaʻo ʻia e hiki ai ke mālama pono ʻoiai e hōʻemi ana i nā hopena i nā ʻāpana ʻē aʻe o kou kino.

Pehea wau e lawe ai iā Valrubicin?

Hāʻawi ʻia ʻo Valrubicin e kāu hui mālama ola i kahi hoʻonohonoho lāʻau lapaʻau, ʻaʻole ma ka home. Hāʻawi ʻia ka lāʻau lapaʻau ma o ka catheter i hoʻokomo ʻia i loko o kou ʻōpū mimi ma o kou urethra, e like me ke kau ʻana o ka catheter urinary.

Ma mua o ka lapaʻau ʻana, pono ʻoe e hoʻokahe loa i kou ʻōpū. A laila, e hoʻokomo kāu mea mālama ola kino i kahi paipu liʻiliʻi, hiki ke maʻalahi i kapa ʻia he catheter ma kou urethra a i loko o kou ʻōpū. A laila, e hoʻokomo mālie ʻia ka hopena valrubicin ma o kēia catheter.

Ke komo ka lāʻau lapaʻau i loko o kou ʻōpū, pono ʻoe e mālama iā ia no kahi o ʻelua hola. I kēia manawa, e noi ʻia paha ʻoe e hoʻololi i nā kūlana i kēlā me kēia manawa e kōkua i ka hōʻoia ʻana e hiki i ka lāʻau lapaʻau i nā wahi a pau o kou ʻōpū. Ma hope o ka manawa mālama, hiki iā ʻoe ke mimi maʻamau e hoʻokahe i ka lāʻau lapaʻau mai kou ʻōpū.

ʻAʻohe palena meaʻai kūikawā ma mua o ka lapaʻau ʻana, akā pono ʻoe e hahai i nā ʻōlelo a kāu kauka e pili ana i ka inu wai. Manaʻo kekahi poʻe maʻi he mea kōkua ke kaupalena i nā wai no kekahi mau hola ma mua o ka lapaʻau ʻana e maʻalahi ai ka mālama ʻana i ka lāʻau lapaʻau i loko o ka ʻōpū.

Pehea ka lōʻihi e lawe ai au i ka Valrubicin?

ʻO ke ala lapaʻau valrubicin maʻamau he ʻeono mau hoʻokomo ʻana i kēlā me kēia pule ma luna o ʻeono pule. Ua aʻo ʻia a hoʻolālā ʻia kēia papa manawa e hoʻonui i ka pono o ka lāʻau lapaʻau me ka hōʻemi ʻana i nā hopena ʻaoʻao.

E nānā kāu kauka i kāu pane ʻana i ka lapaʻau ma o nā koho a me nā hoʻokolohua maʻamau. Hiki i kēia mau mea ke komo i ka cystoscopy (e nānā ana i loko o kou ʻōpū me kahi kamera liʻiliʻi) a me nā hoʻokolohua mimi e nānā i nā cell cancer.

Ma hope o ka pau ʻana o ke ala ʻeono pule mua, e loiloi kāu hui mālama ola kino i ka maikaʻi o ka hana ʻana o ka lapaʻau. Pono paha kekahi poʻe maʻi i nā lāʻau lapaʻau hou a i ʻole nā ala like ʻole e pili ana i kā lākou pane pilikino. E hana ʻia ka hoʻoholo e pili ana i ka hoʻomau ʻana, hoʻololi ʻana, a i ʻole ka hoʻololi ʻana i kāu hoʻolālā lapaʻau ma waena ou a me kāu hui lapaʻau.

He aha nā hopena ʻaoʻao o Valrubicin?

ʻO ka hapa nui o nā hopena ʻaoʻao mai ka valrubicin e pili ana i ka huhū o ka ʻōpū, no ka mea, ma laila e hāʻawi ʻia ai ka lāʻau. He mea maʻamau a he mea manawa pōkole kēia mau hopena, akā he mea nui e ʻike i ka mea e manaʻo ai.

ʻO nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike, ʻo ia nā hōʻailona o ka huhū o ka ʻōpū, hiki ke ʻoluʻolu ʻole akā hiki ke mālama ʻia me ka mālama kākoʻo:

• Ka manaʻo wela i ka wā e mimi ai
• Mimi pinepine a i ʻole ka manaʻo e pono e mimi pinepine
• Pono e mimi
• Ke koko i loko o kāu mimi (hematuria)
• ʻEha a i ʻole ka ʻoluʻolu ʻole o ka ʻōpū
• ʻEha pelvic

ʻO kēia mau hōʻailona e pili ana i ka ʻōpū e ulu maʻamau i loko o nā lā mua ma hope o ka mālama ʻana a hiki ke hoʻomau no kekahi mau lā. ʻIke ka hapa nui o nā maʻi i ka maʻalahi o kēia mau hopena i ka wā e hoʻoponopono ai ko lākou kino i ka mālama ʻana.

ʻO nā hopena ʻaoʻao ʻaʻole maʻamau akā hiki ke loaʻa, ʻo ia ka luhi, nausea, a i ʻole ka ʻoluʻolu ʻole o ka ʻōpū. No ka mea, hāʻawi pololei ʻia ka valrubicin i ka ʻōpū, ʻaʻole paha ʻoe e ʻike i nā hopena ʻaoʻao systemic maʻamau me ka chemotherapy intravenous.

ʻO nā hopena ʻaoʻao laha akā koʻikoʻi, hiki ke komo i ka mumū ʻana o ka ʻōpū, ke kahe nui ʻana o ke koko, a i ʻole nā hōʻailona o ka maʻi. E kelepona koke i kāu mea mālama ola inā ʻike ʻoe i ka ʻeha nui, ke kuni kiʻekiʻe, ka hiki ʻole ke mimi, a i ʻole ke kahe nui ʻana o ke koko.

ʻO wai ka mea ʻaʻole pono e lawe i ka Valrubicin?

ʻAʻole kūpono ka Valrubicin no nā mea a pau, a e loiloi pono kāu kauka inā ʻo ia ke koho kūpono no kāu kūlana kikoʻī. Hiki i kekahi mau kūlana a i ʻole nā kūlana ke hana i kēia mālama ʻana i kūpono ʻole a i ʻole e koi i nā manaʻo kūikawā.

ʻAʻole pono ʻoe e loaʻa i ka valrubicin inā he ʻōpū perforated kāu a i ʻole inā he haki i ka laina ʻōpū e hiki ai i ka lāʻau lapaʻau ke kahe i loko o nā ʻiʻo a puni. E nānā kāu kauka i kēia ma o nā haʻawina kiʻi a me ka hoʻokolokolo.

Pono nā kānaka me nā maʻi ʻōpū mimi e kali a pau loa ka maʻi ma mua o ka hoʻomaka ʻana i ka lapaʻau valrubicin. Hiki i ka lāʻau lapaʻau ke hoʻonui i ka maʻi a i ʻole e paʻakikī i kou kino e pale aku iā ia.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, ʻaʻole i ʻōlelo ʻia ka valrubicin no ka mea hiki iā ia ke hōʻeha i kāu pēpē. Pono nā wāhine o ka makahiki hānau ke hoʻohana i ka contraception pono i ka wā o ka lapaʻau a no kekahi mau mahina ma hope.

Pono paha nā maʻi me nā pilikia kīkī nui a i ʻole kekahi mau maʻi puʻuwai i ka nānā ʻana kūikawā a i ʻole nā lapaʻau ʻē aʻe. E nānā kāu hui mālama ola i kāu moʻolelo olakino piha e hōʻoia i ka palekana o ka valrubicin iā ʻoe.

Inoa Brand Valrubicin

Loaʻa ka Valrubicin ma lalo o ka inoa brand Valstar ma ʻAmelika Hui Pū ʻIa. ʻO kēia wale nō ka brand valrubicin i ʻae ʻia e ka FDA i kēia manawa no ka hoʻohana intravesical.

Hele mai ʻo Valstar ma ke ʻano he hopena sterile i hana kūikawā ʻia no ka hoʻokomo ʻana i ka ʻōpū. Hoʻomākaukau ʻia a lawelawe ʻia ka lāʻau lapaʻau e nā poʻe loea mālama ola i aʻo ʻia i nā keʻena lapaʻau.

Ke kūkākūkā ʻana i kāu lapaʻau me nā ʻoihana ʻinikua a i ʻole ka hoʻonohonoho ʻana i nā manawa, hiki iā ʻoe ke lohe i nā mea mālama ola e kuhikuhi ana i ka

No nā hihia holomua a i ʻole ke ʻano ʻole o nā lapaʻau intravesical, hiki ke noʻonoʻo ʻia nā koho ʻoki. Hiki i kēia mau mea ke hele mai nā kaʻina hana ʻoi aku ka nui o ka ʻōpū a hiki i ka wehe ʻana i ka ʻōpū (cystectomy) me ka hana hou.

Hiki nō hoʻi ke loaʻa nā hoʻokolohua lapaʻau no nā lapaʻau hoʻokolohua. Hiki i kāu oncologist ke kōkua iā ʻoe e ʻimi inā he kūpono kekahi mau haʻawina noiʻi no kou kūlana.

Ua ʻoi aku ka maikaʻi o Valrubicin ma mua o Mitomycin C?

He mau koho chemotherapy intravesical maikaʻi ʻo Valrubicin a me mitomycin C, akā hana lākou ma nā ʻano hana like ʻole a hiki ke kūpono no nā kūlana like ʻole. ʻO ke koho ma waena o lākou e hilinaʻi ana i kāu ʻano maʻi maʻi ʻōpū a me nā mea pilikino.

Ua ʻae ʻia ʻo Valrubicin no ka carcinoma in situ kūʻē iā BCG, ʻoiai ʻo mitomycin C e hoʻohana pinepine ʻia no nā ʻano maʻi maʻi ʻōpū like ʻole a i ʻole he lapaʻau laina mua i kekahi mau kūlana. E noʻonoʻo kāu kauka i nā mea e like me kāu ʻano maʻi maʻi, nā lapaʻau mua, a me ke olakino holoʻokoʻa i ka wā e hana ai i kēia hoʻoholo.

Hōʻike kekahi mau haʻawina e ʻoi aku ka maikaʻi o valrubicin no kekahi mau ʻano maʻi maʻi ʻōpū, ʻoiai ʻo mitomycin C e hōʻemi i nā hopena ʻaoʻao i kekahi mau maʻi. ʻO ke koho

Hiki ke hoʻohana palekana ʻia ʻo Valrubicin i ka poʻe me ka maʻi puʻuwai no ka mea e hāʻawi pololei ʻia i ka ʻōpū ma mua o ke kahe koko. Eia naʻe, pono e hana pū kāu cardiologist a me ka oncologist e hōʻoia i ka kūpono no kou maʻi puʻuwai.

ʻAʻole like me nā anthracyclines intravenous, hiki ke hoʻopilikia i ka puʻuwai, he liʻiliʻi ka absorption o valrubicin i loko o kou kahe koko ke hoʻohana ʻia e like me ke kuhikuhi. Hoʻemi nui kēia i ka pilikia o nā hopena ʻaoʻao e pili ana i ka puʻuwai.

E nānā pono kāu hui mālama ola iā ʻoe i ka wā o ka mālama ʻana a hiki ke ʻōlelo aku i nā hoʻokolohua hana puʻuwai ma mua a ma hope o ka mālama ʻana e hōʻoia i ka olakino o kou puʻuwai i ka wā o kāu mālama ʻana i ka maʻi maʻi.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o Valrubicin?

ʻAʻole hiki ke loaʻa ka overdose o Valrubicin no ka mea e hāʻawi ʻia ka lāʻau e nā poʻe loea mālama ola i aʻo ʻia i nā wahi lapaʻau i mālama ʻia. Hoʻohālikelike ʻia a ana ʻia ka dosage ma mua o kēlā me kēia lapaʻau.

Inā hopohopo ʻoe e pili ana i ka loaʻa ʻana o ka nui o ka lāʻau i ka wā o ka mālama ʻana, e kamaʻilio koke me kāu hui mālama ola. Hiki iā lākou ke nānā i nā moʻolelo dosing a nānā iā ʻoe no nā hōʻailona maʻamau.

I ka hanana kakaʻikahi o ka overdose, e kālele ana kāu hui lapaʻau i ka mālama kākoʻo a me ka nānā ʻana. Hiki iā lākou ke ʻōlelo aku i ka hoʻonui ʻana i ka wai e kōkua i ka holoi ʻana i ka lāʻau mai kāu ʻōnaehana a nānā i nā hōʻailona o ka hoʻonui ʻia ʻana o ka ʻōpū.

He aha kaʻu e hana ai inā hala au i kahi mahele o Valrubicin?

Inā hala ʻoe i kahi lapaʻau valrubicin i hoʻonohonoho ʻia, e hoʻokaʻaʻike i kāu mea mālama ola i ka hiki wawe e hoʻonohonoho hou. He mea nui e mālama i ka papa hana lapaʻau e like me ka hiki no ka maikaʻi.

E hoʻoholo kāu kauka inā e hoʻonohonoho hou i kāu manawa i hala a i ʻole inā pono e hoʻololi i kāu hoʻolālā lapaʻau. Mai ho'āʻo e

I kekahi manawa, pono e hoʻopaneʻe i ka mālama ʻana ma muli o nā hopena ʻaoʻao a i ʻole nā pilikia olakino ʻē aʻe. E hana pū kāu hui mālama ola me ʻoe e hōʻoia e loaʻa iā ʻoe ka pōmaikaʻi piha o kāu papa lapaʻau ʻoiai e mālama ana i kou palekana a me kou hōʻoluʻolu.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Valrubicin?

Pono ʻoe e hoʻopau i ke papa hana ʻeono pule o nā lapaʻau valrubicin ke ʻole ke kauka e ʻōlelo pono e hooki mua. Hoʻolālā ʻia ke papa hana piha e hoʻonui i kou manawa e holomua ai ka mālama ʻana i ka maʻi kanesa.

Hiki i kāu kauka ke ʻōlelo e hooki i ka lapaʻau mua inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi ʻaʻole e hoʻomaikaʻi me ka mālama kākoʻo, a i ʻole inā hōʻike nā hoʻokolohua ma hope o ka mālama ʻana ʻaʻole e hana ana.

Mai hooki i ka lapaʻau valrubicin ma kāu iho, ʻoiai inā ʻoe e manaʻo maikaʻi a i ʻole e ʻike i nā hopena ʻaoʻao ʻoluʻolu ʻole. Hiki i kāu hui mālama ola ke kōkua i ka mālama ʻana i nā hopena ʻaoʻao a hōʻoia e loaʻa iā ʻoe ka pōmaikaʻi piha o kāu lapaʻau ʻoiai e mālama ana i kou palekana a me kou hōʻoluʻolu.

Hiki iaʻu ke kalaiwa ma hope o ka lapaʻau Valrubicin?

Hiki i ka hapa nui o nā kānaka ke kalaiwa iā lākou iho i a mai nā lapaʻau valrubicin, no ka mea, ʻaʻole maʻamau ka lāʻau lapaʻau i ka hiamoe a i ʻole e hoʻopilikia i kou hiki ke hoʻohana i kahi kaʻa. Eia naʻe, hiki i kekahi poʻe maʻi ke ʻoluʻolu ʻole ma muli o nā hōʻailona hoʻonāukiuki ʻana i ka ʻōpū.

Inā ʻoe e ʻike i ka ʻeha pelvic nui, pono e mimi koke, a i ʻole nā hōʻailona ʻē aʻe e hiki ke hoʻohilahila iā ʻoe i ke kalaiwa ʻana, ʻoi aku ka palekana e hoʻonohonoho i kekahi e kalaiwa iā ʻoe i ka home ma hope o ka lapaʻau.

E hoʻolohe i kou kino a hana i nā hoʻoholo e pili ana i kou manaʻo ma hope o kēlā me kēia lapaʻau. Ua ʻike kekahi poʻe maʻi he hiki ke mālama ʻia nā hopena ʻaoʻao ma hope o nā lapaʻau mua, ʻoiai e pono ana kekahi i ke kōkua halihali i kā lākou papa lapaʻau.