ʻO nā hōʻailona o ka lymphoma ʻaʻole maopopo, a like me nā hōʻailona o nā maʻi ʻē aʻe e like me nā maʻi, ka hao a me nā maʻi autoimmune. Hiki iā lākou ke like me nā hopena ʻaoʻao mai kekahi mau lāʻau lapaʻau. He mea paʻakikī kēia i ka ʻike ʻana i ka lymphoma i kekahi manawa, ʻoi aku hoʻi no nā lymphoma molowa ʻaʻole ulu wikiwiki.
Eia hou, aia ma kahi o 80 mau subtypes like ʻole o ka lymphoma me Chronic Lymphocytic Leukemia (CLL) a hiki ke ʻokoʻa nā hōʻailona ma waena o nā subtypes.
He mea maʻamau ka pili ʻana o nā hōʻailona i kahi mea ʻē aʻe ma waho o ka lymphoma. Eia naʻe, ma kahi o 7400 poʻe ma Australia e ʻike ʻia me ka lymphoma a i ʻole CLL i kēlā me kēia makahiki, pono ke ʻike. Inā maikaʻi kāu mau hōʻailona ma hope o kekahi mau pule, ʻaʻole paha ia he lymphoma. Me ka lymphoma, hoʻomau mau nā hōʻailona i ʻelua pule i hala a hiki ke ʻoi aku ka ʻino.
ʻO kahi laʻana o kēia ʻo ka pehu lymph node (a i ʻole gland) e pehu. He hōʻailona maʻamau kēia i hiki ke loaʻa me nā ʻano maʻi like ʻole, i kekahi manawa ma mua o ka ʻike ʻana he maʻi mākou. I kēia hihia, hoʻi pinepine ka lymph node i ka nui maʻamau i loko o ʻelua a ʻekolu pule. Eia nō naʻe, inā loaʻa iā ʻoe kahi puʻupuʻu lymph i ʻoi aku ka nui ma mua o ka mea maʻamau, a i ʻole e hoʻomau i ka nui aʻe, pono e nīnau "He lymphoma paha kēia?".
hoomaopopo he aha ka lymphoma, a he aha nā hōʻailona e hiki ke kōkua i ka hoʻomākaukau ʻana iā ʻoe no ka nīnau ʻana i nā nīnau kūpono ke hele ʻoe i kāu kauka e like me:
- He lymphoma paha kēia?
- Hiki iaʻu ke loaʻa i kahi ultrasound a i ʻole CT scan e nānā?
- Hiki iaʻu ke loaʻa kahi biopsy?
- Ma hea e loaʻa ai iaʻu kahi manaʻo ʻelua?
Nā hōʻailona maʻamau o ka lymphoma
Ke ulu lohi nei nā lymphoma i loko a hiki ke ulu i nā mahina he nui a i nā makahiki ma mua o ka hōʻike ʻana i nā hōʻailona. Hiki ke maʻalahi ke hala i nā hōʻailona a wehewehe paha iā lākou i nā kumu ʻē aʻe inā moloā kou lymphoma.
ʻAʻole loaʻa nā hōʻailona o kekahi poʻe, a ua ʻike ʻia i ka wā e hoʻopaʻa ʻia ai kekahi maʻi olakino.
Inā loaʻa iā ʻoe kahi lymphoma koʻikoʻi (wikiwiki), e ʻike paha ʻoe i kāu mau hōʻailona i ka wā e ulu ai lākou ma kahi manawa pōkole, e like me nā lā a i nā pule.
Ma muli o ka ulu ʻana o ka lymphoma ma kekahi ʻāpana o kou kino, nui nā hōʻailona like ʻole āu e ʻike ai. ʻO ka hapa nui e pili ana i ka ʻāpana o kou kino i loaʻa i ka lymphoma, akā hiki i kekahi ke hoʻopilikia iā ʻoe.
Hono i nā kikowaena lymph
He hōʻailona maʻamau o ka lymphoma ka pehu ʻana o nā pūnana lymph. Akā, he hōʻailona ia o nā maʻi ʻē aʻe e like me ka maʻi bacterial a i ʻole maʻi viral.
ʻO ka pehu lymph nodes ma muli o ka maʻi e ʻeha maʻamau a nalowale i loko o ʻelua a ʻekolu pule. I kekahi manawa ke loaʻa iā ʻoe ka maʻi maʻi hiki ke lōʻihi ma mua o kekahi mau pule.
Loaʻa pinepine ʻia nā ʻāʻī lymph ma ka ʻāʻī, ka ʻāʻī a me ka ʻāʻī. Eia nō naʻe mākou lymph nodes a puni ko mākou kino no laila hiki ke pehu i nā wahi a pau. Hoʻomaopopo pinepine mākou i nā mea ma ko mākou ʻāʻī, ka ʻāʻī a i ʻole ka ʻāʻī no ka mea kokoke lākou i ko mākou ʻili.
E pili ana i nā lymph Nodes
ʻO nā puʻupuʻu Lymph he maʻemaʻe, poepoe, kelepona (neʻe ke hoʻopā a paʻi paha iā lākou) a loaʻa i kahi ʻano ʻōpala. ʻAʻole hele ka pehu lymph nodes ma lymphoma ma hope o kekahi mau pule a hiki ke hoʻomau i ka nui. ʻO kēia ke kumu o ka hōʻiliʻili ʻana o nā pūnaewele lymphoma maʻi maʻi a kūkulu ʻia i loko o nā puʻupuʻu lymph.
I kekahi mau hihia, hiki i ka lymph pehu ke hoʻoulu i ka ʻeha, akā pinepine ʻaʻohe ʻeha. E pili ana kēia i ka wahi a me ka nui o kāu mau lymph nodes pehu.
He mea nui e hoʻomaopopo, i loko o kekahi mau subtypes o lymphoma, ʻaʻole paha ʻoe e ʻike i kekahi pehu lymph nodes.
ʻAʻohe mea makemake i kahi puʻupuʻu
'Oloke
ʻOkoʻa ka luhi pili i ka lymphoma i ka luhi mau. He luhi nui no ke kumu maopopo ole. ʻAʻole hoʻomaha ʻia e ka hoʻomaha a me ka hiamoe, a pili pinepine i nā hana maʻalahi e like me ke komo ʻana i ka lole.
ʻAʻole ʻike ʻia ke kumu o ka luhi, akā ma muli paha o nā maʻi kanesa e hoʻohana ana i ko mākou ikehu e ulu a māhele. Hiki ke kumu mai ka luhi ma muli o nā kumu ʻē aʻe e like me ke kaumaha a me nā maʻi ʻē aʻe.
Inā ʻaʻohe kumu o kou luhi, e hele i kāu kauka e nānā.
ʻO ka pohō kaumahaʻole
ʻO ka poho kaumaha i wehewehe ʻole ʻia ke lilo ʻoe i ke kaumaha no kahi manawa pōkole me ka hoʻāʻo ʻole. Inā lilo ʻoe i kēlā 5% o ke kaumaha o kou kino i 6 mahina Pono ʻoe e ʻike i kāu GP e nānā, no ka mea he hōʻailona kēia o ka lymphoma.
Hiki ke poho kaumaha ma muli o ka hoʻohana ʻana o nā cell cancerous i kāu waiwai ikehu. Hoʻohana pū kou kino i ka ikehu hou e hoʻāʻo a hoʻopau i ka cell cancerous.
Nā laʻana o 5% pohō kaumaha
Inā ʻo kou kaumaha maʻamau: | ʻO 5% ka pohō kaumaha: |
50 kg | 2.5 kg - (ke kaumaha a hiki i 47.5 kg) |
60 kg | 3 kg - (ke kaumaha a hiki i 57 kg) |
75 kg | 3.75 kg - (ke kaumaha a hiki i 71.25 kg) |
90 kg | 4.5 kg - (ke kaumaha a hiki i 85.5 kg) |
110 kg | 5.5 kg – (ke kaumaha a hiki i 104.5 kg) |
Nā pōmele pō
He ʻokoʻa ka hou ʻana o ka pō i ka hou ʻana no ka wā wela a i ʻole nā lole mahana a me nā moe. He mea maʻamau ka hou ʻana i ka pō inā e wela loa kou lumi a i ʻole kahi moe, akā hiki ke hoʻoulu ʻia i ka pō me ka nānā ʻole i ke ʻano o ka wā, a e pulu ai kou lole a me kou wahi moe.
Inā loaʻa iā ʻoe ka wela o ka pō ma muli o ka lymphoma, pono paha ʻoe e hoʻololi i kou ʻaʻahu a i ʻole kahi moe i ka pō.
ʻAʻole maopopo i nā kauka ke kumu o ka wela o ka pō. ʻO kekahi mau manaʻo e pili ana i ke kumu e hiki mai ai ka wela o ka pō:
Hiki i nā pūla lymphoma ke hana a hoʻouna aku i nā kemika like ʻole i loko o kou kino. Hiki i kēia mau kemika ke hoʻololi i ke ʻano o ka hoʻoponopono ʻana o kou kino i kou wela.
Ke ulu wikiwiki nei ka lymphoma, hiki iā ia ke hoʻohana i ka nui o kāu mau hale kūʻai ikehu. Hiki i kēia hoʻohana hou aku i ka ikehu ke hopena i ka piʻi ʻana o ka wela o kou kino.
ʻO ke kuni hoʻomau i wehewehe ʻole ʻia
ʻO ke kuni ka piʻi ʻana o ka wela o kou kino ma luna o ka pae maʻamau. ʻO ko mākou kino maʻamau ma kahi o 36.1 - 37.2 degere Celsius.
ʻAʻole maʻamau ka loaʻa ʻana o nā mahana maʻamau o 37.5 degere a ʻoi aku paha. Hiki ke hele a hele mai nā kuni ma muli o ka lymphoma i kekahi mau lā a i ʻole mau pule me ke kumu ʻole, e like me ka maʻi.
ʻO ka Lymphoma ke kumu o ke kuni no ka mea, hana nā pūnaewele lymphoma i nā kemika e hoʻololi i ke ʻano o ka hoʻoponopono ʻana o kou kino i kou wela. He maʻalahi kēia mau kuni a hiki ke hele a hele.
E kelepona i kāu kauka e hōʻike iā lākou inā loaʻa ʻoe i nā mahana maʻamau e like me kēia.
Paʻakikī i nā maʻi maʻi
ʻO nā Lymphocytes he mau koko keʻokeʻo keʻokeʻo e kākoʻo ana i kou ʻōnaehana pale ma ka hakakā ʻana i nā maʻi a me nā maʻi, a me ke kōkua ʻana i ka luku ʻana a me ka wehe ʻana i nā cell i pōʻino. I loko o ka lymphoma, lilo nā lymphocytes i nā maʻi lymphoma maʻi maʻi a ʻaʻole hiki ke hana pono i kā lākou hana. ʻO kēia ka mea e loaʻa ai iā ʻoe nā maʻi a lōʻihi paha kāu mau maʻi.
Kino makaʻu
Hiki i nā poʻe he nui me ka lymphoma ke loaʻa ka ʻili ʻili. Hoʻopili pinepine ʻia kēia ma kahi hoʻokahi kahi e pehu ʻia ai kou mau lymph nodes a i ʻole, inā loaʻa iā ʻoe kahi subtype of cutaneous (ili) lymphoma, hiki iā ʻoe ke ʻeha ma nā wahi āpau i loaʻa i ka lymphoma. I kekahi mau hihia, manaʻo paha ʻoe i ka ʻeha ma kou kino holoʻokoʻa.
Ua manaʻo ʻia ʻo ka ʻili ma muli o nā kinikona i hoʻokuʻu ʻia e kāu ʻōnaehana pale, ʻoiai e hoʻāʻo nei e hakakā i nā pūnaewele lymphoma. Hiki i kēia mau mea kemika ke hoʻonāukiuki i nā aʻalolo i loko o kou ʻili a hoʻonanea.
B-hōʻailona?
B-Nā hōʻailona
ʻO nā hōʻailona B ka mea a nā kauka i kapa ai i kekahi mau hōʻailona. ʻO kēia mau hōʻailona ke kamaʻilio pinepine ʻia i ka wā e hana ʻia ai ka lymphoma. ʻO ka staging ka manawa ma mua o ka hoʻomaka ʻana o ka mālama ʻana i kahi e hana ʻia ai nā scans a me nā hoʻāʻo e ʻike i kahi o ka lymphoma i loko o kou kino. ʻO nā hōʻailona i kapa ʻia nā hōʻailona B penei:
- Nā pōmele pō
- ʻO ke kuni mau
- ʻO ka pohō kaumahaʻole
E noʻonoʻo nā kauka i kēia mau hōʻailona ke hoʻolālā lākou i kāu lapaʻau.
I kekahi manawa ʻike paha ʻoe i kahi leka hou i hoʻohui ʻia i ka ke kahua o kou lymphoma. ʻo kahi laʻana:
Papa 2a = Aia ma luna a ma lalo o kou lymphoma wale nō diaphragm pili i nā pūʻulu lymph ʻoi aku ma mua o hoʻokahi - A ʻaʻohe ou hōʻailona B a i ʻole;
Pae 2b = Aia ma luna a ma lalo o kou diaphragm kou lymphoma e pili ana i nā pūʻulu lymph ʻoi aku ma mua o hoʻokahi - A loaʻa iā ʻoe nā hōʻailona B.
Pehea ka hopena o ka lymphoma i kāu mau hōʻailona?
Hōʻike ʻokoʻa nā ʻano subtypes o lymphoma iā lākou iho. Hiki ke kiko'ī kāu mau hōʻailona i kahi o ka lymphoma, akā like loa me nā hōʻailona o nā maʻi a i ʻole nā maʻi ʻē aʻe. Hōʻike ka papa ma lalo i kekahi o nā hōʻailona āu e ʻike ai, e pili ana i kahi o kāu lymphoma.
Kahi o ka lymphoma | Nā hōʻailona maʻamau |
ʻO ka ʻōpū a i ʻole ka ʻōpū |
|
ʻO Lun | I ka manawa pinepine, ʻaʻohe a liʻiliʻi paha nā hōʻailona akā loaʻa paha ʻoe i ka ʻu, pōkole o ka hanu, ʻaʻa koko a ʻeha ʻeha paha. |
Nūʻau salivary |
|
Skin | Hiki ke hoʻololi i ka ʻili ma kahi hoʻokahi, a i ʻole ma kekahi mau wahi a puni kou kino. Loaʻa kēia mau hoʻololi i kahi manawa lōʻihi, no laila ʻaʻole ʻike nui ʻia.
|
Kelepaʻi thyroid | Hiki iā ʻoe ke ʻike i kahi puʻupuʻu (pehu lymph node) ma mua o kou ʻāʻī a i ʻole he leo haʻahaʻa. Hiki iā ʻoe ke loaʻa i ka pōkole hanu a pilikia ʻoe i ka ʻai ʻana (dysphagia). Inā he haʻahaʻa kou thyroid gland, hiki iā ʻoe ke:
|
Puʻupuʻu iwi | Hana ʻia ke koko i loko o kou iwi iwi ma mua o ka neʻe ʻana i loko o kou kahawai koko. Hana ʻia kekahi mau keʻokeʻo keʻokeʻo e like me nā lymphocytes i loko o kou iwi iwi, akā neʻe i loko o kāu ʻōnaehana lymphatic. Inā hoʻopilikia ʻia kou iwi iwi e ka lymphoma, e loaʻa ana iā ʻoe ke kūkulu ʻana i nā pūnaewele lymphoma maʻi kanesa i loko o kou iwi iwi. ʻO ia ke ʻano he liʻiliʻi ka lumi no ka hana ʻana o nā mea koko ʻē aʻe. ʻO nā hōʻailona o ka lymphoma i loko o kou iwi iwi hiki ke komo: ʻEha Iwi – i ka pehu o loko o ka iwi a me ka iwi iwi ma muli o ka hoʻonui ʻia ʻana o nā maʻi maʻi ʻaʻai ma laila. Helu koko haahaa
|
spleen | Helu koko haahaa
Nā Proteina ʻAʻole Hoʻopili pū kēia mau protein i ka wā e anuanu ai ʻoe, e alakaʻi ana i:
|
Pūnaehana Nervous Central – me kou lolo a me ke kuamoʻo |
Hiki i nā hōʻailona liʻiliʻi ke ʻike:
|
maka |
|
He aha kaʻu e hana ai inā loaʻa iaʻu nā hōʻailona o ka lymphoma?
He mea nui e hoʻomaopopo i nā hōʻailona a pau ma luna aʻe paha ke kumu o nā maʻi koʻikoʻi ʻē aʻe. Eia naʻe, inā he pilikia kāu, a i ʻole nā hōʻailona ʻoi aku ka lōʻihi ma mua o ʻelua pule, e kelepona i kāu GP a i ʻole kauka. Eia hou, inā loaʻa iā ʻoe B-hōʻailona, pono ʻoe e kelepona i kāu kauka e hōʻike iā lākou.
E hana ana kāu kauka i kahi hoʻokolohua kino a nīnau iā ʻoe e pili ana i kāu mau hōʻailona a me nā moʻolelo olakino ʻē aʻe, e hoʻoholo inā makemake ʻia nā hoʻokolohua hou aku e like me ka ultrasound, CT scan a i ʻole ultrasound.
