He aha te Hexaminolevulinate: Ngā Whakamahinga, te Inenga, Ngā Pānga taha me ētahi atu

He rongoā tātaritanga motuhake te Hexaminolevulinate e āwhina ana i ngā tākuta ki te kite mārama ake i te mate pukupuku pūpū i ngā tukanga. Ka whakauruhia tika ki roto i tō pūpū mā te katita, kei reira ka whiti ngā pūtau mate pukupuku i te māwhero kanapa i raro i te mārama kikorangi i te wā o te cystoscopy (he tukanga e tirotirohia ai tō pūpū mā te kāmera angiangi). Ko te mahi a tēnei rongoā he rite ki te tohu mō ngā pūtau kōaro, e āwhina ana i tō tākuta ki te kite i ngā wāhi ka ngaro pea i te mārama mā.

He aha te Hexaminolevulinate?

He ākena whakaahua te Hexaminolevulinate e kohikohi ana i roto i ngā pūtau mate pukupuku me te whiti ai. Whakaarohia he tae motuhake e ngāwari ake ai te ngongo a ngā pūtau mate pukupuku i ngā pūtau hauora. I te wā e whakamahi ana tō tākuta i te mārama kikorangi i te wā o te tirotiro pūpū, ka whiti ngā pūtau mate pukupuku i te māwhero kanapa, ka ngāwari ake te tautuhi me te tango katoa.

No te karaehe e kiia nei ko ngā mua-whakaahua te rongoā nei. E mahi ana mā te huri ki tētahi mea e kiia nei ko te protoporphyrin IX i roto i ngā pūtau, ka whiti ai i te wā e kitea ana ki ngā ngaru mārama motuhake. Kāore te tukanga e mamae ana, e kore hoki e whara i ngā kiko hauora.

He aha te Hexaminolevulinate e whakamahia ana mō?

Ko te Hexaminolevulinate te mea nui e whakamahia ana ki te kite i te mate pukupuku pūpū i te wā o te tukanga e kiia nei ko te fluorescence cystoscopy. Ka whakamahia e tō tākuta tēnei rongoā i te wā e hiahia ana rātou ki te tirotiro i tō pūpū mō ngā pūtau mate pukupuku, ina koa i ngā keehi ka ngaro pea ngā puku iti, papatahi rānei i te wā o te tirotiro paerewa.

He tino whai hua te rongoā nei ki te kite i te carcinoma in situ (CIS), tētahi momo o te mate pukupuku pūpū tōmua e tino uaua ana ki te kite mā te mārama mā. E whakamahia ana hoki i ngā tukanga whakawātea transurethral kia mōhio ai ka tangohia katoatia ngā kiko mate pukupuku me te whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku.

Ahakoa te korero, kāore tēnei rongoā e whakamahia mō te rongoā i te mate pukupuku tonu. Engari, he taputapu tātaritanga e āwhina ana i tō rōpū hauora ki te whakatau i ngā aromatawai tika ake mō tō āhua me te whakamahere i te huarahi rongoā tino whai hua.

Me pēhea te mahi a Hexaminolevulinate?

Ka mahi a Hexaminolevulinate mā te whakamahi i te rerekētanga o te whanonga o ngā pūtau mate pukupuku mai i ngā pūtau hauora. I te wā e whakaurua ana ki roto i tō pūpū, ka ngongo ngā pūtau mate pukupuku i tēnei rongoā nui atu i ngā kiko pūpū noa. Ko tēnei ngongotanga whiriwhiri te mea e whai hua ana te tukanga tātaritanga.

Kia uru ana ki roto i ngā pūtau mate pukupuku, ka huri te hexaminolevulinate ki te protoporphyrin IX mā te tukanga pūtau tūturu. I te wā e whakamahi ana tō tākuta i te mārama kikorangi i te wā o te cystoscopy, ka whakaputa ēnei pūtau i te mārama māwhero kanapa e tū ana i te taha o ngā kiko pūpū noa.

E kiia ana he taputapu tātaritanga tino tairongo, kaua ki te rongoā kaha. Kāore ōna pānga pūnaha ki tō tinana nā te mea e mahi ana i te rohe i roto i te pūpū, ā, ka whakakorea atu i muri tata i te tukanga.

Me pēhea taku tango i te Hexaminolevulinate?

Kāore koe e

I roto i tēnei wā tatari, ka tonoa koe ki te huri i ō tūnga i ia wā kia mōhio ai te rongoā e hipoki ana i ngā wāhi katoa o tō pakitara pūpū. Kāore pea koe e rongo i te mamae iti, i te pēhanga rānei, engari he mea noa tēnei, he wā poto noa iho. Whai muri i te hāora, ka whakawātea anō koe i tō pūpū i mua i te tīmatanga o te cystoscopy fluorescence.

Kia Pēhea te Roa e Tango ai au i te Hexaminolevulinate?

Ka whakamahia te Hexaminolevulinate hei tikanga tātaritanga kotahi anake, ehara i te rongoā haere tonu. E hāngai ana ia wāhanga tātaritanga ki te whakauru kotahi o te rongoā, ka whai muri i te whakamātau cystoscopy fluorescence.

Heoi anō, ka tūtohu pea tō tākuta i ngā tikanga tukurua i ngā wā kua whakaritea i runga i tō āhuatanga takitahi. Hei tauira, ki te whai hītori koe mō te mate pukupuku pūpū, ka tūpono pea ka mahia ngā cystoscopies tirotiro me te hexaminolevulinate i ia marama, i ia tau rānei hei arotake i te hokinga mai.

E whakawhirinaki ana te auau o ēnei tikanga ki tō tūponotanga mate pukupuku, ngā kitenga o mua, me te kawa tirotiro a tō tākuta. I ia wā ka mahia te tikanga, ka hāngai ki te whakauru hou o te rongoā.

He Aha ngā Pānga Taha o te Hexaminolevulinate?

Ko te nuinga o te tangata e pā ana ki ngā pānga taha iti anake mai i te hexaminolevulinate, ā, ka ngaro noa iho ēnei i roto i te rā, e rua rānei. Mā te māramatanga ki ngā mea ka tūpono ka āwhina koe ki te pūmau ake, ki te iti ake te āwangawanga mō te tikanga.

Ngā pānga taha noa ka pā pea ki a koe:

• Ngā kōpiko pūpū, ngā kōpiko rānei i te wā, i muri rānei i te tikanga
• Te wera i te wā e mimi ana mō ngā wā tuatahi
• Te piki ake o te hiahia ki te mimi
• Te mamae iti o te pūpū, te pēhanga rānei
• He toto iti i roto i te mimi (he māwhero, he whero marama rānei te tae)
• Te riri pūpū wā poto

Ko ēnei pānga noa he ngawari noa iho, ka ngaro i te wā e ora ana tō pūpū mai i te tikanga. Mā te inu i te wai nui ka āwhina ki te horoi i ngā rongoā e toe ana, me te whakamāmā i te mamae.

Ko ngā pānga taha e mōhiotia ana engari he nui ake ngā mea e whai ake nei:

• Te mamae o te pūpū i te wāhi waenga ki te kaha
• Te toto tonu i roto i te mimi i muri i te 24 haora
• Te uaua ki te mimi, te kore rānei e taea te whakawātea katoa i te pūpū
• Te kirika, te wiri rānei (e tohu ana i te mate)
• Te wera nui e kore e pai ake i te roanga o te wā

Ngā pānga taha onge engari he nui e hiahia ana kia āwhina tonu:

• Ngā tauhohenga mate pāwera nui me te uaua ki te hā, te pūhi rānei
• Te toto nui i roto i te pūpū me ngā kōpuku
• Te kore rawa e taea te mimi
• Ngā tohu o te mate nui pēnei i te kirika nui me te mamae nui
• Te tairongo kiri ki te mārama (photosensitivity)

Mēnā ka pā ki a koe ētahi tohu e pā ana, kaua e whakaroa ki te whakapā atu ki tō tākuta. Mā rātou koe e ārahi mēnā e hiahiatia ana he āwhina tonu, mēnā rānei kei roto i te awhe e tūmanakohia ana ō tohu.

Ko wai e kore e tango Hexaminolevulinate?

Kāore i te tika te Hexaminolevulinate mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te tūtohu i tēnei tikanga. Ko ētahi āhuatanga me ngā āhuatanga e kore e tika ana tēnei taputapu tātaritanga, he mōrearea rānei.

Kāore koe e whiwhi hexaminolevulinate mēnā kei a koe:

• Te mate pāwera ki te hexaminolevulinate, ki ētahi rānei o ōna wāhanga
• Te mate i te ara mimi, te mumura rānei o te pūpū
• Te whara nui o te pūpū, te pokanga pūpū rānei i tēnei wā
• Te hapū, te whāngai ū rānei (kāore i te mōhiotia te haumaru)
• Porphyria (he mate toto onge e pā ana ki te pūngao porphyrin)
• Te mate tākihi nui e pā ana ki te whakakore i te rongoā

Ka tūpato anō tō tākuta mēnā kei a koe ētahi āhuatanga ka piki ake pea tō tūponotanga ki ngā raruraru. Kei roto i ēnei ko te hītori o ngā tauhohenga pūpū nui ki ngā rongoā, te pūnaha ārai mate kua ngoikore, ngā raru pūpū rānei e haere tonu ana ka uaua ake pea te tikanga.

Ahakoa te korero, ehara te pakeke anake i te arai ki te whiwhi hexaminolevulinate. He maha nga pakeke e haere ana i tenei tikanga i runga i te haumaru hei waahanga o te tirotiro, te tātaritanga ranei i te mate pukupuku pukupuku.

Ngā Ingoa Waitohu Hexaminolevulinate

Ko te Hexaminolevulinate te mea e wātea ana i raro i te ingoa waitohu Cysview i Amerika. Koinei te hanganga i hangaia mo te whakauru ki roto i te pukupuku me nga tikanga cystoscopy fluorescence.

I etahi atu whenua, ka kitea pea e koe i raro i nga ingoa waitohu rereke, engari ko te rongoa tonu te mea kotahi. Ka whakamahia e to kaiwhakarato hauora nga hanganga e wātea ana, e whakaaetia ana i to rohe.

Ka tae tonu mai te rongoa hei paura e konatunatua ana ki te otinga motuhake i mua tonu i te whakamahi. Ma tenei ka pai te kaha me te whai hua i te wa o to tikanga.

Ngā Whakakapinga Hexaminolevulinate

Ahakoa he painga motuhake te hexaminolevulinate mo te kitenga o te mate pukupuku pukupuku, he huarahi ano ka whakaarohia e to taakuta i runga i to ahuatanga. Ma te mohio ki enei whakakapinga ka awhina koe ki te whai korero mohio mo to tiaki.

Ko te cystoscopy marama maori tonu te huarahi paerewa mo te maha o nga whakamatautau pukupuku. Ahakoa karekau e whakarato i te tirohanga pai ake o te hexaminolevulinate, he whanui te wātea me te whai hua mo te kitenga i nga momo rereke o te pukupuku.

Ko te whakaahua roopu whaiti (NBI) tetahi atu tikanga whatu e whakamahi ana i nga ngaru marama motuhake hei whakapai ake i te rereke o te kiko. E ai ki etahi rangahau ka whai hua mo te kitenga i te mate pukupuku pukupuku, ahakoa he rereke te mahi mai i te cystoscopy fluorescence.

Mo etahi turoro, ko nga tikanga whakaahua matatau penei i te CT urography, te MRI ranei ka whai korero nui mo te hauora o te pukupuku. Heoi, kare e taea e enei tikanga te whakakapi i te whakamatautau taipitopito e whakaratohia ana e te cystoscopy.

Ka tūtohu tō tākuta i te huarahi tātaritanga e tika ana i runga i ō tohu, te hītori rongoā, me ngā kōrero motuhake e hiahia ana rātou hei ārahi i tō manaakitanga.

He Pai Ake te Hexaminolevulinate i te Cystoscopy Auau?

He nui ngā painga o te cystoscopy whakarei ake i te hexaminolevulinate i ngā wāhi motuhake. Ka taea e te tirohanga whakarei ake te kite i te 20-25% atu o ngā pūtau mate pukupuku i te whakataurite ki te whakamātau paerewa anake.

He tino whai hua tēnei reiti kitenga pai ake mō ngā pūtau papatahi, uaua ki te kite pēnei i te carcinoma in situ. Ka ngaro noa ēnei momo mate pukupuku i te mārama ma anake engari ka puta mārama mai me te ārahitanga fluorescence. Ko te tikanga tēnei he nui ake te tango i te mate pukupuku me te pai ake pea o ngā hua i te wā roa.

Heoi, he tūponotanga anō te tikanga whakarei ake. Ka roa ake te whakaoti, me ngā taputapu motuhake, me te taahiraa anō o te whakauru i te rongoā. Ka raru pea ētahi tāngata i te mamae atu i te cystoscopy paerewa.

Ka whakataurite tō tākuta i ēnei āhuatanga ki ngā painga pea i tō keehi motuhake. Mō ngā tāngata tūpono nui, mō te hunga rānei he hītori mate pukupuku pūpū, ko te kaha kitenga pai ake te mea e pai ana te hexaminolevulinate.

Ngā Pātai Auau mō Hexaminolevulinate

He Haumaru te Hexaminolevulinate mō te Hunga e Mate ana i te Whatumanawa?

Ka taea te whakamahi i te hexaminolevulinate i te tūpato i te hunga e mate ana i te whatumanawa ngawari ki te āhua, engari me āta arotake tō tākuta i tō āhuatanga motuhake. I te mea ka whakakorea te rongoā mā ngā whatumanawa, ka pā pea te mahi whatumanawa kua pāngia ki te āhua o te tukatuka o tō tinana.

Mēnā he mate whatumanawa nui tō, ka whakaaro pea tō tākuta i ngā huarahi tātaritanga kē, i te whakarerekē rānei i te kawa tikanga. Ko te mea nui ko te whakarite kia taea te whakawātea i ngā rongoā e toe ana i tō pūnaha i muri i te tikanga.

He aha taku mahi mēnā ka whiwhi au i te nui rawa o te Hexaminolevulinate?

He tino iti te tūponotanga o te nui rawa o te hexaminolevulinate i te mea ka āta whakaritea, ka whakahaerehia te rongoā e ngā tākuta hauora i roto i ngā rahinga kua whakahaerehia. Kua whakatauritea te inenga, ā, e tika ana te ine mō ia tikanga.

Mēnā e māharahara ana koe mō te whiwhi i te nui rawa o te rongoā, kaua e māharahara. E whai ana te rōpū hauora i ngā tikanga tino tika hei whakarite i te inenga tika. Mēnā ka pā mai ngā pānga taha tino kaha i muri i te tikanga, whakapā atu ki tō tākuta hauora tonu mō te tohutohu me te aroturuki.

He aha taku mahi mēnā ka ngaro i ahau tētahi tikanga Hexaminolevulinate kua whakaritea?

Mēnā me ngaro, me whakarite anō rānei tō tikanga hexaminolevulinate, whakapā atu ki tō tākuta hauora i te wā e taea ai ki te whakarite i tētahi tūpono hou. Kāore i rite ki ngā rongoā o ia rā, he tikanga tātaritanga tēnei kua whakaritea ka taea te whakarite anō me te kore he hua hauora tonu.

Heoi, mēnā he wāhanga te tikanga o tō aroturuki mate pukupuku, o te mahi tātaritanga rānei, he mea nui kia kaua e whakaroa i te kore take. Ka taea e tō tākuta te tohutohu i a koe mō te wā tika me ngā pānga o te whakaroa i te whakamātautau.

Āhea ka taea e au te whakamutu i te whiwhi i ngā tikanga Hexaminolevulinate?

Ko te whakatau ki te whakamutu i ngā tikanga aroturuki me te hexaminolevulinate e whakawhirinaki ana ki ō āhuatanga tūpono me te hītori hauora. Mēnā he hītori tō mate pukupuku pūpū, ka tohutohu tō tākuta i te aroturuki tonu mō ētahi tau, me te hekenga o te auau mēnā kāore anō te mate pukupuku i hoki mai.

Mō ngā tūroro kua noho kore mate pukupuku mō tētahi wā roa, ka taea e tō tākuta te neke ki te aroturuki iti ake te auau, ki ngā tikanga aroturuki kē rānei. Ka mahia tēnei whakatau i ngā wā katoa i runga i tō kōtaha tūpono me te tūnga hauora o nāianei.

Ka taea e au te taraiwa i muri i te tikanga Hexaminolevulinate?

Ka taea e te nuinga o te tangata te taraiwa i a ratou ano ki te kainga i muri i te tikanga hexaminolevulinate, na te mea karekau te rongoa e puta te hiamoe, e whakararu ranei i to kaha ki te whakahaere waka. Heoi, tera pea ka raru koe i te mamae o te pūpū, i te hiahia ranei, ka kore e pai te taraiwa.

Mena i whiwhi koe i etahi rongoa whakamomori, rongoa mamae ranei i te wa o te tikanga, me whakarite e koe tetahi atu tangata hei taraiwa i a koe ki te kainga. Ki te ruarua, he pai ake te whai hoa, mema ranei o te whanau hei taraiwa i a koe, ina koa koinei to wa tuatahi ki te mahi i te tikanga.