Hiki i kekahi manawa ke lōʻihi a nui nā hoʻokolohua e ʻike ʻia me ka lymphoma. ʻO kēia no ka mea, ua like loa nā hōʻailona o ka lymphoma me nā hōʻailona o nā maʻi ʻē aʻe, no laila hiki i kāu kauka ke hoʻāʻo mua iā ʻoe no kēia mau maʻi ʻē aʻe. Inā hoʻomau kāu mau hōʻailona, hiki iā lākou ke hoʻoholo e hoʻāʻo no ka lymphoma. Hiki ke hana i nā ho'āʻo no ka lymphoma e kāu kauka kūloko akā pinepine, inā manaʻo lākou he lymphoma paha ʻoe, e kuhikuhi lākou iā ʻoe i ke kauka loea i kapa ʻia he haematologist a i ʻole ka oncologist no nā hoʻokolohua hou aku.
Pono ʻoe i kahi biopsy e ʻike ai i ka lymphoma, a inā loaʻa iā ʻoe ka lymphoma, pono ʻoe i nā hoʻokolohua hou aʻe e nānā i ke kahua a me ka pae o kāu lymphoma. E hele ana kēia ʻaoʻao i nā ʻano hoʻāʻo like ʻole a me nā biopsies i hoʻohana ʻia no ka hoʻomaʻamaʻa ʻana i ka lymphoma, nā scans i hoʻohana ʻia no ka pae lymphoma a me nā ʻano hoʻokolohua ʻē aʻe āu e pono ai.
He aha ke ʻano o ka Diagnosis, Stging and Grading?
ʻike,
Ke hoʻonohonoho
Kāleka
Pehea e ʻike ʻia ai ka lymphoma?
No ka ʻike ʻana i ka lymphoma, pono ʻoe i kahi biopsy o ka wahi o kou kino i hoʻopilikia ʻia. ʻO ke ʻano paha kēia he pono ʻoe i ka biopsy o kou lymph node, ka ʻili, ka wai a puni kou iwi kuamoʻo a i ʻole ka iwi iwi. I kekahi mau hihia, pono ʻoe i kahi biopsy o ka ʻiʻo i loko o kou akemāmā, ʻōpū a i ʻole ʻōpū.
ʻAʻole pono ʻoe i kēia mau hoʻāʻo a pau. Na kāu kauka e hana i ka biopsy maikaʻi loa e pili ana i kāu kūlana pilikino. Kaomi ma nā poʻomanaʻo ma lalo e aʻo e pili ana i nā ʻano like ʻole o ka biopsy node lymph.
Nā ʻano biopsies
E loaʻa iā ʻoe kahi anesthetic kūloko e hoʻopau ai i ka wahi o kāu biopsy, a i kekahi mau hihia, loaʻa paha iā ʻoe ka anesthetic maʻamau. E pili ana kēia i ka wahi o ka lymph node a i ʻole ka ʻiʻo e biopsied, a me ka maʻalahi o ke kauka ke loaʻa iā ia.
Aneane loaʻa nā keiki i ka maʻi maʻi maʻamau no laila e hiamoe lākou ma ka biopsy. Kōkua kēia i ka pale ʻana iā lākou mai ka pilikia, a e hōʻoia i ka noho mālie i ka wā o ke kaʻina hana.
ʻO kahi biopsy excisional kahi biopsy i hana ʻia i ka wā o kahi hana ʻoki liʻiliʻi. ʻO ia ke ala maikaʻi loa e ʻike ai i ka lymphoma i loko o ka lymph node no ka mea ua wehe ʻia ka ʻōpū lymph holoʻokoʻa a nānā ʻia i ka pathology.
Ke kokoke mai ka puʻu lymph e wehe ʻia i kou ʻili, hiki iā ʻoe ke hana i kēia kaʻina hana i kou ala ʻana. E loaʻa iā ʻoe kahi anesthetic kūloko e hoʻopau i ka ʻāpana i ʻole ʻoe e ʻeha. Loaʻa paha iā ʻoe kekahi mau humuhumu ma hope o ke kaʻina hana e uhi ʻia me kahi lole liʻiliʻi. Hiki i kāu kauka a kahu hānai paha ke haʻi iā ʻoe i ka wā e wehe ai i nā humuhumu a pehea e mālama ai i kou lole e pale aku ai i ka maʻi.
He aha inā he hohonu ka ʻōpū lymph i loko o koʻu kino?
Inā ʻoi aku ka hohonu o ka puʻu lymph i loko o kou kino, loaʻa paha iā ʻoe kahi maʻi maʻi maʻamau no laila e hiamoe ʻoe i ka wā o ke kaʻina hana. Loaʻa paha iā ʻoe nā humuhumu a me kahi lole liʻiliʻi ma luna o lākou ke ala ʻoe. Na kāu kauka a kahu hānai paha e kamaʻilio me ʻoe e pili ana i ke ʻano o ka mālama ʻana i ka lole a me ka wā e pono ai ʻoe e wehe i nā humuhumu.
I kekahi mau hihia, hiki ke lohi i ka loaʻa ʻana o kahi biopsy excisional, no ka mea, pono ke ʻoki ʻana, a aia ka papa inoa kali e komo ai.
ʻO kahi biopsy incision e like me kahi biopsy excisional, akā ma kahi o ka wehe ʻana i ka ʻōpū lymph holoʻokoʻa, wehe ʻia kahi hapa o ka lymph node.
Hiki ke hana ʻia inā ʻoi aku ka nui o ka puʻu lymph, a i ʻole nā pūnae lymph node - ʻo ia hoʻi, ua hui pū lākou me nā ʻāpana lymph ʻē aʻe. I kekahi mau hihia, hiki ke lohi i ka loaʻa ʻana o kahi biopsy excisional, no ka mea pono ke ʻoki, a hiki ke loaʻa nā papa kali.
Hoʻohana ʻia kahi biopsy koʻikoʻi e lawe i kahi laʻana liʻiliʻi o ka puʻu lymph a i ʻole ka ʻili i hoʻopilikia ʻia inā loaʻa iā ʻoe kahi ʻūhū a i ʻole puʻupuʻu kānalua. Ua kapa ʻia lākou i kekahi manawa he biopsy nila. Hana 'ia me ka anaesthetic kūloko, a ma muli o kona wahi, hiki i ke kauka ke ho'ohana i ka ultrasound a i 'ole CT scan no ke alaka'i 'ana i ka nila i kahi kūpono.
Ma muli o ka lawe ʻia ʻana o ka hāpana me kahi nila puka, ʻoi aku ka liʻiliʻi o ka hāpana ma mua o kahi biopsy excisional a i ʻole. ʻO ia hoʻi, i kekahi manawa ʻaʻole hiki ke kiʻi ʻia nā cell cancerous i loko o ka hāpana, no laila ua nalo ka lymphoma. Akā hiki ke hoʻohana i nā biopsies koʻikoʻi inā lōʻihi ka lōʻihi no kahi biopsy excisional a i ʻole ʻokiʻoki. Pono paha ʻoe i ʻoi aku ma mua o hoʻokahi biopsy kumu e ʻike ai i ka lymphoma.
Hoʻohana ka biopsy nila maikaʻi i kahi nila liʻiliʻi i hoʻohana ʻia no kahi biopsy kumu. ʻAʻole ʻōlelo ʻia e ʻike i ka lymphoma no ka mea ʻaʻole ia e hāʻawi i kahi laʻana nui e loaʻa ai kahi hopena hilinaʻi.
Eia nō naʻe, i kekahi manawa, hiki ke hana ʻia kahi biopsy nila maikaʻi e nānā ai i nā mea ʻē aʻe, a hiki ke kiʻi i nā cell lymphoma. E hoʻouna ʻia ʻoe no nā hoʻokolohua ʻē aʻe inā ʻike ʻia he mau sela lymphoma i kāu biopsy.
ʻOiai ka nui o nā kauka e kelepona iā ʻoe inā he mea hopohopo i kāu hopena hōʻike, ʻaʻole hana nā mea a pau. A kakaʻikahi, hiki ke nalo a nalo paha nā hopena. E hana mau me kāu kauka no ka loaʻa ʻana o nā hopena o nā hoʻāʻo koko, nā scans a me nā biopsies.
I ka wā e launa aku ai i kāu kauka
E kelepona i kāu kauka a kahu hānai paha no ka ʻōlelo aʻo inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- ʻO nā hōʻailona o ka maʻi e pili ana i ka mahana o 38º a ʻoi aʻe paha, ke anu a me ka haʻalulu, ka puss a i ʻole ka hoʻokuʻu maʻamau mai ka ʻeha.
- ʻAʻole pau ke koko ma hope o ke kau ʻana i kahi ʻeke anu (a i ʻole ka pī paʻa) ma luna o ka pūnaewele, a i ʻole e hoʻopiha i ka lole holoʻokoʻa.
- ʻAʻole maikaʻi ka ʻeha me ka paracetamol (ʻike ʻia ʻo Panadol, Panamax a i ʻole Dymadon).
He aha ka biopsy iwi iwi?
ʻO ka biopsy iwi iwi kahi hana e wehe ai i kahi laʻana o kou iwi iwi mai loko mai o kou iwi. Lawe ʻia ia mai ka iwi ʻūhā, akā i kekahi manawa hiki ke lawe ʻia mai nā iwi ʻē aʻe. Hiki ke hoʻohana ʻia kēia biopsy e kōkua i ka ʻike ʻana i kekahi mau subtypes o ka lymphoma, a hoʻohana ʻia e hana i nā ʻano subtypes.
He aha ka Lumbar puncture?
Hiki ke aʻo ʻia iā ʻoe e loaʻa i ka lumbar puncture (LP) inā loaʻa kahi manawa i loaʻa iā ʻoe ka lymphoma i kou ke kikowaena pūnaewele (CNS), ʻo ia hoʻi kou lolo, spinal cord a me kahi ma hope o kou mau maka.
I ka wā o kahi LP, e moe ʻoe ma kou ʻaoʻao a na ke kauka e hāʻawi iā ʻoe i kahi injection o ka anesthetic kūloko i kou kua. ʻO kēia ka mea e hoʻopau ai i ka wahi i ʻole ʻoe e ʻeha i ke kaʻina hana (ʻoiai hiki i ka anesthetic kūloko ke kuʻi no ka manawa pōkole).
Ke pau ka ʻāpana, hoʻokomo ke kauka i ka nila ma kou kua, ma waena o nā iwi o kou kua (vertebrae) a ma kahi o ka wai o ke kuamoʻo lolo (CSF) ʻo ia. A laila e wehe lākou i kahi mea liʻiliʻi o ka wai e hoʻāʻo ai no ka lymphoma.
E loaʻa iā ʻoe kahi lole liʻiliʻi ma luna o ka wahi i komo ai ka nila a pono ʻoe e moe palahalaha no 1-4 mau hola. E hōʻike ana kāu mau kahu hānai iā ʻoe i ka lōʻihi o kāu e waiho ai.
He aha nā mea ʻē aʻe i hoʻohana ʻia no ka lumbar puncture?
I kekahi mau hihia inā loaʻa iā ʻoe ka lymphoma i loko o kou CNS, a i ʻole e laha ʻia ma laila, ua hana ʻia kahi ʻoki lumbar e hoʻopuka pololei i ka chemotherapy i kāu CSF. Ke hana ʻia kēia, kapa ʻia ʻo "intrathecal (IT) chemotherapy".
He aha ka Endoscopy
ʻO ka endoscopy kahi hana i hoʻohana ʻia inā manaʻo ke kauka he lymphoma kāu i loko o kāu ʻāpana ʻōpū (GI). Aia kāu ʻāpana GI i kāu:
- waha
- esophagus (ʻo ia ka meaʻai paipu e iho mai kou waha a i kou ʻōpū)
- 'ōpū
- ʻōpū liʻiliʻi (bowel)
- ʻōpū nui
I ka wā o ka endoscopy, hoʻokomo ka mea radiologist a i ʻole ke kauka lapaʻau i kahi paipu lahilahi i loko o kou waha a hānai iā ia a hiki i kou esophagus (paipu e lawe ai i ka meaʻai mai kou waha i kou ʻōpū), ʻōpū a me ka ʻōpū liʻiliʻi. ʻAe kēia iā lākou e nānā i kāu ʻōpū ʻōpū no nā hōʻailona o ka lymphoma. Hiki iā lākou ke lawe i kahi laʻana biopsy liʻiliʻi i ka wā o ka endoscopy e hoʻouna i ka pathology.
E hana ʻia kēia me kahi mea hoʻomaha a me ka mea hoʻomaʻemaʻe no laila ʻaʻole pono ʻoe e ʻeha a hoʻomanaʻo paha i ke kaʻina hana. I kekahi mau hihia, loaʻa paha iā ʻoe kahi maʻi maʻi maʻi maʻamau no laila e hiamoe ʻoe ma o ka endoscopy.
He aha nā scan e pono ai iaʻu?
Nui nā ʻano scans e kōkua ai i ka hōʻoia ʻana a i ʻole ke kahua lymphoma, a e nānā i ka pane ʻana o kāu lymphoma i ka mālama ʻana. Ma mua o ka hana ʻana i kekahi scan, e ʻoluʻolu e hōʻike i nā mea radiographers inā ʻoe:
- aia, a i ʻole e hāpai ana, a inā ʻoe e hānai ana.
- makaʻu i nā wahi i hoʻopaʻa ʻia (claustrophobia).
- pilikia ka waiho ʻana a i ʻole ke kū ʻana ma kekahi mau kūlana.
- loaʻa kekahi ʻeha a ʻeha paha.
- loaʻa kekahi maʻi ʻaleʻale.
No ka ʻike hou aku e pili ana i nā ʻano scan like ʻole a me ke kumu e hoʻohana ʻia ai ia mau mea, kaomi i nā poʻomanaʻo ma lalo.
ʻO ka ultrasound kahi scan e hoʻohana ana i nā hawewe kani e hana i ke kiʻi. Na ke ultrasonographer (ke kanaka e hana ana i ka ultrasound) e kau i kekahi gel ma luna o ka wahi e nānā ʻia ana, a hoʻohana i kahi mea like me ka wand e holo ai ma luna o kou ʻili, e hoʻouna i nā nalu kani i loko o kou kino. Ke hoʻi hou ka nalu, hana ia i ke kiʻi o loko o kou kino.
Hoʻohana pinepine ʻia nā kani kani e kōkua i ka ʻimi ʻana i ka pehu lymph nodes i hiki i ke kauka ke lawe i kahi biopsy. Hiki ke hoʻohana ʻia e kōkua i ka loaʻa ʻana o nā veins maikaʻi a i ʻole ke nānā ʻana i nā kino i loko o kou kino.
Ma muli o ka ʻāpana o kou kino e nānā ʻia nei, pono paha ʻoe e inu i ka wai a loaʻa ka ʻōpū piha no ka ultrasound.
ʻO ka CT scan kahi scan hiki ke nānā i loko o kou kino a hāʻawi i kahi kiʻi 3D. Hoʻohana pinepine ʻia inā ʻike ʻia kahi ʻāpana o kou kino, e like me kou umauma a i ʻole ka ʻōpū. Hiki iā lākou ke hāʻawi i ke kiʻi o kou kino mai mua a hope a mai luna a lalo. Hoʻohana pinepine ʻia nā scans no ka nānā ʻana i nā ʻōpū, nā ʻōpū lymph a me nā kūlana ʻē aʻe.
Pono paha ʻoe e loaʻa i kahi wai i kapa ʻia ʻo contrast, e kōkua i ka hoʻomaʻamaʻa ʻana i nā kiʻi. Hoʻokomo koke ʻia ʻo Contrast, a he hopena ʻaoʻao ʻē aʻe o ka hoʻoheheʻe ʻana iā ʻoe me he mea lā ua pulu ʻoe i kou pālule. Hiki ke ʻike i ka mehana loa a me ka hopohopo, akā ʻaʻole lōʻihi.
E moe ʻoe ma kahi moena e neʻe ana i loko a i waho o ka mīkini CT. He wikiwiki loa a ma kahi o 10-15 mau minuke wale nō.
Hoʻohana ka MRI scans i nā magnet a me nā hawewe lekiō e hana i ke kiʻi o loko o kou kino. Ua like ia me ka CT scan i ka mea e moe ai ʻoe ma kahi moe a hoʻoneʻe ʻia i loko a i waho o ka mīkini MRI. Eia naʻe, hiki ke lōʻihi ka lōʻihi o ka nānā ʻana o MRI, a ma muli o ka ʻāpana o kou kino e nānā ʻia nei, hiki ke lawe i 15 - 90 mau minuke (1 a me ka hapalua hola). ʻO ia hoʻi kahi hiʻohiʻona walaʻau loa i ka neʻe ʻana o nā magnet i loko o ka mīkini.
Inā pilikia ʻoe i nā leo nui, a i ʻole ma nā wahi i hoʻopaʻa ʻia, e ʻoluʻolu e ʻike i nā kahu hānai ma mua o kāu scan i hiki iā lākou ke hōʻoluʻolu iā ʻoe. Loaʻa iā lākou nā headphone i hiki iā ʻoe ke hoʻolohe i ke mele, a i ʻole pono ʻoe i kekahi lāʻau anti-anxiety e kōkua iā ʻoe e ʻoluʻolu - akā naʻe, ʻaʻole pono ka poʻe he nui i kēia.
Inā loaʻa iā ʻoe ka lymphoma i loko o kou lolo a i ʻole spinal cord, e loaʻa paha iā ʻoe kahi MRI scan, akā hiki iā ʻoe ke loaʻa i kahi MRI no nā kumu ʻē aʻe ke makemake kāu kauka e nānā i nā ʻāpana like ʻole o kou kino.
ʻO nā kiʻi mai kahi MRI e like me ke kiʻi ma lalo nei.
Hāʻawi ka PET scans i ke kiʻi o loko o kou kino holoʻokoʻa, a hoʻomālamalama i nā wahi i loaʻa i ka lymphoma. E hāʻawi ʻia ʻoe i kahi inikia o ka lāʻau radioactive e hoʻomoʻa ʻia e nā cell cancerous, e kū ai lākou ma ka PET scan. Ma kahi o 30-60 mau minuke e hana ai, akā pono ʻoe e ʻae ma kahi o 2 mau hola no ke koho ʻana ma luna o nā mea āpau.
Pono ʻoe e moe a loaʻa iā ʻoe nā hoʻomaha kūikawā no kou mau lima a me kou mau wāwae i mea e hiki ai iā lākou ke kiʻi i nā kiʻi maikaʻi loa. Inā pilikia ʻoe i ka noho ʻana ma kahi kūlana no ka manawa lōʻihi, e ʻoluʻolu e hōʻike i nā limahana i hiki iā lākou ke hōʻoia iā ʻoe e like me ka hiki.
Hiki ke noi ʻia ʻoe e pale i kekahi mau meaʻai a me nā mea inu i nā lā e piʻi ana i kāu scan PET. Inā ʻaʻole i hāʻawi ʻia i nā ʻōlelo aʻoaʻo, e ʻoluʻolu e kelepona i ka ʻoihana lapaʻau nuklear kahi āu e ʻimi nei i kāu PET scan no ka ʻōlelo aʻo.
Ma muli o ka lāʻau radioactive e hāʻawi ʻia iā ʻoe, pono ʻoe e pale i ka noho ʻana me nā wahine hāpai a i ʻole nā keiki liʻiliʻi a hiki i hoʻokahi lā piha (24 mau hola).
Nā ho'āʻo koko
Loaʻa paha iā ʻoe kekahi mau hoʻāʻo koko i ka wā e hoʻāʻo ai no kahi hōʻailona o ka lymphoma. Inā loaʻa iā ʻoe ka lymphoma a ke mālama ʻia nei ʻoe, e hoʻāʻo ʻia nō hoʻi ʻoe i ke koko i kāu mālama ʻana. ʻO kekahi o nā hoʻāʻo koko maʻamau i hoʻohana ʻia inā loaʻa iā ʻoe ka lymphoma ma lalo nei. Eia naʻe, e pili ana nā hoʻāʻo koko i kāu kūlana.
Heluhelu Koko piha
ʻO kēia kekahi o nā hoʻokolohua koko maʻamau e loaʻa iā ʻoe. Haʻi ia i nā kauka e pili ana i nā helu, nā ʻano, ke ʻano a me ka nui o nā cell i loko o kou koko. ʻO nā pūnaewele likeʻole i nānāʻia ma kēia ho'āʻo;
- Nā Koko ʻulaʻula (RBCs) lawe kēia mau pūnaewele i ka oxygen a puni kou kino.
- Nā Koko Keʻokeʻo (WBC) He ʻāpana koʻikoʻi o kā mākou ʻōnaehana pale a kōkua iā mākou e mālama i ke olakino e hakakā ana i nā maʻi a me nā maʻi. Aia nā ʻano like ʻole o ka WBC (neutrophils, eosinophils, basophils a me nā mea ʻē aʻe). He kuleana ko kēlā me kēia cell i ka hakakā ʻana i ka maʻi maʻi. ʻO nā Lymphocytes kekahi mau keʻokeʻo keʻokeʻo, akā he mau helu liʻiliʻi wale nō i loaʻa i loko o kou koko, no ka mea, noho lākou i loko o kou koko. ʻōnaehana lymphatic.
- Nā Kauliana kōkua i kou koko e hoʻopaʻa, pale i ka ʻeha a me ke koko.
Hui koko a me crossmatch
E loaʻa iā ʻoe kēia inā makemake ʻoe i ke kahe koko, i mea e loaʻa ai ke koko kūpono iā ʻoe.
Nā hoʻāʻo ʻana i ka hana o ka ate (LFTs)
Hoʻohana ʻia e ʻike i ka maikaʻi o ka hana ʻana o kou ake.
Nā hoʻāʻo hana ʻāʻī
Hoʻohana ʻia e nānā i ka hana ʻana o kāu mau puʻupaʻa.
Lactate dehydrogenase (LDH)
Nānā ʻo LDH no ka pōʻino o ke kino i loko o kou kino.
C-Reactive Protein (CRP)
Hoʻohana ʻia ka CRP e nānā i nā hōʻailona o ka mumū i loko o kou kino.
Erythrocyte sedimentation rate (ESR)
Nānā pū ʻo ESR i nā hōʻailona o ka mumū i kou kino.
ʻO ka ʻilikai (PV)
ʻO ka PV e pili ana i ka mānoanoa o kou koko. He ho'āʻo koʻikoʻi kēia e loaʻa inā loaʻa iā ʻoe kahi subtype o lymphoma i kapa ʻia ʻo Waldenstrom's macroglobulinemia.
ʻO ka electrophoresis protein serum (SPEP)
Hoʻohana ʻo SPEP i nā protein abnormal i kou koko inā loaʻa iā ʻoe kahi subtype o lymphoma i kapa ʻia ʻo Waldenstrom's macroglobulinemia.
Lakiō maʻamau maʻamau (INR) a me ka manawa Prothrombin (PT)
ʻO nā ho'āʻo INR a me PT e ana i ka lōʻihi o kou koko e hoʻomaka ai e hana i nā clots. Hiki paha iā ʻoe ke hana i kēia ma mua o ke kaʻina hana, ka ʻoki ʻana i ka lumbar a i ʻole nā biopsies iwi iwi.
Ka nānā ʻana no ka ʻike ʻana i nā maʻi maʻi
Hoʻāʻo ʻia kēia mau lymphomas maʻamau i nā poʻe me kekahi mau maʻi maʻi. Inā loaʻa iā ʻoe kēia mau maʻi maʻi, pono kāu kauka e noʻonoʻo i kēia ke koho ʻana i ka hoʻolālā lapaʻau kūpono no ʻoe. ʻO kekahi mau maʻi hoʻomaʻi e hiki ke hoʻopaʻa ʻia iā ʻoe;
- ʻO ka maʻi hoʻomaʻemaʻe kino kanaka (HIV)
- Hepatitis B a me C
- Cytomegalovirus (CMV)
- ʻO ka maʻi virus Epstein Barr (EBV).
Hiki i ka hui lapaʻau ke kuhikuhi i nā hoʻokolohua koko ʻē aʻe ma muli o ke kūlana o kēlā me kēia kanaka.
Ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau, makemake nō hoʻi kāu kauka e hana i nā hoʻokolohua hou aʻe e hōʻoia i ka hiki i kou kino ke ʻae i ka mālama ʻana i hoʻolālā ʻia. Hiki iā ʻoe ke aʻo hou aʻe e pili ana i nā hoʻāʻo baseline like ʻole a me nā hoʻāʻo hana o ke kino ma ke kaomi ʻana i ka loulou ma lalo nei.
He aha nā hoʻokolohua Cytogenetic?
Ua loli kekahi po'e me ka lymphoma i kā lākou DNA a me nā genes. He mea nui kēia mau hoʻololi no ka mea hiki iā lākou ke hāʻawi i ka ʻike e pili ana i ke ʻano o ka lāʻau lapaʻau maikaʻi loa no ʻoe. Hiki iā ʻoe ke hāʻawi ʻia i kekahi mau ʻano hoʻāʻo e nānā i ka DNA a me nā genes ma kāu mau sela lymphoma, a i ʻole e nānā i nā protein ʻokoʻa i loaʻa ma kāu mau sela lymphoma.
Hiki ke lawe i kekahi mau pule e kiʻi hou i kēia mau hopena hoʻāʻo.
No ka ʻike hou aku e pili ana i kēia mau hoʻokolohua, kaomi i ka loulou ma lalo nei.
Ke kali nei i nā hualoaʻa
ʻAʻole ʻoe e loaʻa nā hopena, ke loaʻa iā ʻoe kahi scan a i ʻole hoʻāʻo ʻē aʻe. E kākau ʻia kahi hōʻike a hoʻouna ʻia i kāu kauka, a hiki ke lawe i hoʻokahi pule.
E nīnau i ka manawa e loaʻa ai i kāu kauka nā hōʻike i hiki iā ʻoe ke hana i kahi manawa e loaʻa ai kāu hopena. Makemake paha kāu kauka e kali a loaʻa iā lākou nā hopena a pau o kāu mau hoʻokolohua ma mua o ka ʻike ʻana iā ʻoe i hiki iā lākou ke hāʻawi iā ʻoe i ka ʻike maikaʻi loa. ʻO kēia no ka hāʻawi ʻana o kēlā me kēia hoʻokolohua i hoʻokahi ʻāpana o ke kiʻi, a pono kāu kauka i kāu mau hopena a pau e hana i kahi hōʻailona kūpono, a hoʻoholo i nā ʻano lapaʻau maikaʻi loa - inā pono ʻoe e lapaʻau.
He manawa koʻikoʻi ia e kali ana i nā hopena. He mea maikaʻi ke kamaʻilio me kou ʻohana a me kou mau hoaaloha e pili ana i kou manaʻo. Hiki iā ʻoe ke hele aku i kā mākou Lymphoma Care Nurses ma ke kaomi ʻana i ka Kāhea iā mā˚ou pihi ma lalo o kēia ʻaoʻao.
hōʻuluʻulu manaʻo
- Nui nā hoʻokolohua like ʻole e pono ai ʻoe e kiʻi i kahi hōʻailona o ka lymphoma, e ʻike i kāu ʻano subtype, e kau i kāu lymphoma a i ka wā o kāu mālama ʻana i ka lymphoma.
- Hiki i nā hoʻokolohua ke komo i nā hoʻāʻo koko, biopsies, scans a me nā hoʻokolohua cytogenetic.
- Hiki iā ia ke lawe i kekahi mau pule e loaʻa ai kāu mau hopena a pau, akā he mea nui i kāu kauka ke loaʻa ka ʻike āpau ma mua o ka hiki iā lākou ke hāʻawi iā ʻoe i kahi hōʻailona, a i ʻole e hana i kahi hoʻolālā lapaʻau no ʻoe.
- Inā pilikia ʻoe i ke kali ʻana i nā hopena hōʻike, hiki iā ʻoe ke kelepona i nā kahu hānai Lymphoma Australia ma ke kaomi ʻana i ka Kāhea iā mā˚ou pākuhi ma lalo o kaʻaoʻao.
