ʻO ka hoʻāʻo koko he laʻana o ke koko i lawe ʻia i hiki ke hoʻāʻo ʻia i loko o kahi hale hana. Loaʻa i ke koko ke koko, nā kemika a me nā protein. Ma ka nānā 'ana i kou koko, hiki i nā kauka ke 'ike hou aku e pili ana i kou ola kino. Hiki i nā kauka ke ʻike hou aku e pili ana i ke ʻano o ka lymphoma a me ka mālama ʻana i ke kino.
No ke aha e pono ai ka ho'āʻo koko?
Hiki ke hana ʻia nā hoʻāʻo koko ma ke ʻano he ʻāpana o ka hoʻomaʻamaʻa ʻana a me ka mālama ʻana i ka lymphoma. Kōkua lākou i ka hui lapaʻau e nānā i ka pane ʻana o ke kino i ka mālama ʻana, a me ka hāʻawi ʻana i kahi kiʻi nui o kou olakino holoʻokoʻa. Loaʻa paha i ka mea maʻi nā hoʻāʻo koko he nui i ka wā o ka mālama ʻana a me ka mālama ʻana. Ke mālama ʻoe a i ʻole ke kiaʻi a kali ʻoe, e emi ana kāu hoʻāʻo koko.
Hiki ke hana ʻia nā hoʻāʻo koko no nā kumu like ʻole:
- E nānā i ke ola kino
- E nānā i ka hana o nā puʻupaʻa a me ka ate
- Kōkua i ka ʻike ʻana i kekahi ʻano lymphoma
- Nānā i ka mālama ʻana
- E nānā i ka hoʻihoʻi ʻana mai kahi pōʻai lapaʻau ma mua o ka hoʻomaka ʻana i kekahi
He aha ka mea ma mua o ka hoʻāʻo?
I ka hapanui o nā hihia, ʻaʻohe mea e hoʻomākaukau ai no ka hoʻāʻo koko. No kekahi mau ho'āʻo koko, pono paha ka hoʻokē ʻai (ʻaʻole ʻai a inu ʻole) ma mua o ka hoʻāʻo ʻana. Pono paha e ho'ōki i kekahi mau lāʻau a i ʻole e ʻalo ʻia kekahi mau meaʻai. Inā pono ʻoe e hana i kekahi mea ma mua o ka hoʻāʻo ʻana e wehewehe kēia iā ʻoe e kāu kauka a kahu hānai paha. Inā maopopo ʻole ʻoe e pili ana i nā koi he mea nui e nānā me kāu hui lapaʻau.
He aha ka hana i ka wā o ka hoʻāʻo?
Inā ʻaʻole ʻoe i loko o ka haukapila e haʻi aku kāu kauka a kahu hānai iā ʻoe i kahi āu e hele ai e hoʻāʻo i ke koko. Aia paha kēia ma kou haukapila kūloko, kahi keʻena maʻi maʻi, kahi kahu hānai kaiaulu a i ʻole kāu GP. E lawe ʻia ke koko me kahi nila liʻiliʻi. Hoʻokomo pinepine ʻia kēia i loko o kahi vein ma kou lima. He mau kekona wale no ka loaa ana o ka laana, alaila, hukiia ke kui liilii. Inā he hāmeʻa komo kikowaena hiki i nā kahu hānai ke hoʻohana i kēia no ka loaʻa ʻana o ke koko.
He aha ka hopena ma hope o ka hoʻāʻo?
Inā he maʻi maʻi waho ʻoe, hiki iā ʻoe ke hoʻi pololei i ka home ma hope o ka hoʻāʻo ʻana ke ʻole pono ʻoe e noho i ka haukapila no kahi manawa a lapaʻau paha. Loaʻa kekahi mau hopena hoʻāʻo koko i loko o nā minuke a lawe kekahi i ʻelua pule e hoʻi mai. E hōʻoia me kāu mau kauka e pili ana i ka loaʻa ʻana o nā hopena a me ka lōʻihi o ka lōʻihi. Ke kali nei i nā hualoaʻa hiki ke paʻakikī, e kamaʻilio me kāu hui inā manaʻo ʻoe e hopohopo e pili ana i kāu hopena hōʻike.
He aha ke ʻano o kaʻu hopena?
ʻO kāu hui lapaʻau pono e wehewehe i kāu hopena ho'āʻo koko iā ʻoe. Hiki iā ʻoe ke kiʻi i kope o kāu hopena hoʻāʻo koko akā paʻakikī paha iā ʻoe ke wehewehe. He manaʻo maikaʻi e noho pū me kāu kauka a kahu hānai paha a noi iā lākou e wehewehe i nā hopena.
I kekahi manawa ma ka hōʻike e ʻike ʻoe ʻaʻole "ma waho o ka pae kuhikuhi" kāu hōʻike koko a ʻokoʻa paha i ka "pae maʻamau" i helu ʻia. Mai hopohopo no ka mea he mea maʻamau kēia i nā poʻe he nui. ʻO ka hapa nui o nā hopena koko o nā kānaka aia i loko o ka pae kuhikuhi.
Eia naʻe, ma kahi o 1 i 20 mau kānaka olakino ka hopena ma waho o ka hōʻike a i ʻole ka laulā maʻamau. Hiki i nā mea he nui ke kumu i kēia, no ka laʻana o ka makahiki, ke kāne a i ʻole ka lāhui.
E nānā nā kauka i kāu hopena koko a hoʻoholo inā loaʻa kekahi mea e hopohopo ai no ka mea ua ʻike lākou i kou kūlana pilikino.
He pilikia paha kekahi?
He hana palekana loa ka ho'āʻo koko. Hiki iā ʻoe ke ʻike i kahi ʻuʻuku liʻiliʻi ke hoʻokomo ʻia ka nila. Loaʻa paha iā ʻoe kahi ʻeha liʻiliʻi a loaʻa kahi ʻeha iki ma ka pūnaewele ma hope o ka pau ʻana o ka hoʻāʻo koko. ʻO ka mea maʻamau he maʻalahi loa kēia a hoʻomaikaʻi koke. Aia kahi pilikia liʻiliʻi o ka hoʻomohala ʻana i kahi maʻi. E kamaʻilio me kāu hui lapaʻau inā ʻike ʻoe i nā hōʻailona hopohopo e like me ka ʻeha a i ʻole ka pehu. Hiki paha i kekahi poʻe ke maule a māmā paha ke poʻo i ka hoʻāʻo koko. He mea nui e haʻi aku i ke kanaka e lawe ana i kou koko inā loaʻa kēia a inā paha i loaʻa kēia iā ʻoe ma mua.
Nā hoʻāʻo koko no nā maʻi lymphoma
Nui nā hoʻokolohua koko maʻamau i hoʻohana ʻia no ka poʻe me ka lymphoma. Aia ma lalo kekahi o nā mea maʻamau.
- Heluhelu Koko piha: ʻo kēia kekahi o nā hoʻāʻo koko maʻamau i hana ʻia. Hōʻike kēia hōʻike i nā kauka e pili ana i nā helu, nā ʻano, ke ʻano a me ka nui o nā cell i loko o ke 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) hakakā i ka maʻi maʻi. Aia nā ʻano like ʻole o ka WBC (lymphocytes, neutrophils a me nā mea ʻē aʻe). He kuleana ko kēlā me kēia cell i ka hakakā ʻana i ka maʻi maʻi.
- Nā Kauliana kōkua i kou koko e hoʻopaʻa, pale i ka ʻeha a me ke koko
- Nā hoʻāʻo ʻana i ka hana o ka ate (LFTs) hoʻohana ʻia e ʻike i ka maikaʻi o ka hana ʻana o kou ate.
- Nā hoʻāʻo hana ʻāʻī e like me ka urea, electrolytes a me ka creatinine (U&Es, EUC) he mau ho'āʻo i hoʻohana ʻia no ka nānā ʻana i ka hana ʻāʻī (renal)
- Lactate dehydrogenase (LDH) Hiki i kēia ho'āʻo ke kōkua i ka ʻike ʻana i ka pōʻino o ke kino i loko o ke kino, a me ka nānā ʻana i kona holomua
- C-Reactive Protein (CRP) hoʻohana ʻia e ʻike i ke ʻano o ka mumū, e hoʻoholo i kona paʻakikī, a me ka nānā ʻana i ka pane ʻana i ka lāʻau
- Erythrocyte sedimentation rate (ESR) hiki ke ʻike a nānā i nā hōʻailona o ka mumū i loko o ke kino
- ʻO ka ʻilikai (PV) hōʻike i ka mānoanoa o kou koko. He ho'āʻo koʻikoʻi kēia e loaʻa inā loaʻa iā ʻoe ka maʻi ʻO ka macroglobulinemia o Waldenstrom
- ʻO ka electrophoresis protein serum (SPEP) He ho'āʻo koʻikoʻi e ana i nā protein abnormal i kou koko inā ʻike ʻia ʻoe ʻO ka macroglobulinemia o Waldenstrom
- Lakiō maʻamau maʻamau (INR) a me PT e ana kēia mau ho'āʻo 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 nā kaʻina hana ʻokiʻoki, lumbar punctures a i ʻole biopsies iwi iwi.
- Ka nānā ʻana no ka ʻike ʻana i nā maʻi maʻi pili i ka lymphoma, hiki ke hana ʻia ma ke ʻano he ʻāpana o kāu ʻike. 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)
- ʻO ka hui koko a me ka crossmatch inā pono ke kahe koko
Hiki i ka hui lapaʻau ke kuhikuhi i nā hoʻokolohua koko ʻē aʻe ma muli o ke kūlana o kēlā me kēia kanaka.