ʻO ka nānā ʻana o ka lymphoblastic lymphoma i nā keiki
ʻO Lymphoblastic lymphoma (LL) kahi lymphoma ʻaʻole ʻo Hodgkin hoʻopaʻapaʻa (ke ulu wikiwiki). Hoʻokumu ʻia ka LL mai nā B-lymphoblasts (e alakaʻi ana i ka lymphoma B-lymphoblastic / B-LL) a i ʻole T-lymphoblasts (alakaʻi i T-lymphoblastic lymphoma/T-LL).
ʻO ka lymphoblast kahi pūnaewele makua ʻole e hiki ke ulu i lymphocyte makua. ʻO nā B-lymphoblasts he mau B-lymphocytes i oʻo ʻole a ʻo T-lymphoblasts he mau T-lymphocytes ʻai ʻole. ʻOi aku ka maʻamau o T-cell lymphoblastic lymphoma ma mua o B-cell lymphoblastic lymphoma.
He aha ka ʻokoʻa ma waena o ka lymphoblastic lymphoma a me ka leukemia?
ʻO ka lymphoma lymphoblastic acute a me ka maʻi leukemia lymphoblastic acute he ʻano like loa i nā ʻano lapaʻau a me nā hiʻohiʻona ma lalo o kahi microscope. ʻO nā keʻokeʻo keʻokeʻo keʻokeʻo maʻi ʻaʻai like ʻole a hoʻomohala ʻia mai ka cell hoʻokahi.
ʻO nā mea koʻikoʻi no ka hōʻailona o ka lymphoblastic lymphoma e komo pū ana:
- Ma lalo o 25% o ka iwi iwi e hōʻike i ke kanesa
- Loaʻa pinepine nā wahi like ʻole e like me nā lymph nodes
- Hiki i ka lymphoma ke hoʻopili i nā ʻāpana ʻē aʻe o ke kino e like me ka spleen, thymus, koko, ʻili a kokoke i nā ʻāpana a i ʻole nāʻiʻo.
- Hiki iā B-cell a i ʻole T-cell i hoʻopili ʻia (cell of origin)
Nā kumu no ka hōʻoia ʻana o ka maʻi leukemia lymphoblastic acute:
- ʻOi aku ma mua o 25% o ka momona o ka iwi olakino e hoʻololi ʻia me nā cell lymphoblastic malignant
- E loaʻa nā pūnaewele lymphoblast malignant (i kapa ʻia ʻo blast cell) i loko o nā laʻana koko pili
- Hiki iā B-cell a i ʻole T-cell i hoʻopili ʻia (cell of origin)
Kahi a me ke kelepona kumu | Leukemia Lymphoblastic | Lymphoblastic lymphoma |
ʻO ke ʻano o ka lymphocyte i hoʻopilikia pinepine ʻia | B-cell a i ʻole T-cell | B-cell a i ʻole T-cell |
Aia ma kahi o ke kanesa | Ke kahe koko | Lymph aka wahi |
He kūlana maikaʻi ko Lymphoblastic lymphoma, ma kahi o 85% o nā keiki e ho'ōla ʻia ma hope o ka lāʻau lapaʻau maʻamau.
ʻO wai ka mea i pili i ka lymphoblastic lymphoma?
ʻO Lymphoma ka 3 o ka maʻi maʻi maʻi maʻamau ma Australian keiki makahiki 0-14 makahiki. ʻO ka Lymphoma ka 7% o nā maʻi maʻi ʻōpiopio, a ʻo ia ke kolu o ka maʻi maʻi maʻamau i nā keiki 0-14 mau makahiki, ma hope o ka maʻi leukemia a me ka lolo a i ʻole ka maʻi ʻaʻai waena (CNS).
ʻO ka Lymphoma Non-Hodgkin ma kahi o 5% o nā maʻi maʻi āpau o nā kamaliʻi o kēia pūʻulu makahiki a ʻo ka lymphoblastic lymphoma ma kahi o 25-30% o nā maʻi lymphoma non-Hodgkin kamaliʻi i ʻike ʻia i kēlā me kēia makahiki. ʻO Lymphoblastic lymphoma kekahi o nā ʻano maʻamau ʻekolu o ka NHL i nā keiki.
Hiki i ka Lymphoblastic lymphoma (LL) ke hoʻopilikia i kekahi o nā makahiki akā he mea maʻamau i ka poʻe ma lalo o 35 mau makahiki, me ka makahiki waena o ka maʻi he 20 makahiki. He ʻelua manawa maʻamau i nā keikikāne ma mua o nā kaikamahine i kēia makahiki. He kakaikahi loa ka Lymphoma i na kamalii li'ili'i, aka, lilo ia i mea ma'amau i na keiki makua (10-14 makahiki) a pi'i me ka makahiki.
I ka nui o nā hihia o ka lymphoblastic lymphoma, ʻaʻole ʻike ʻia ke kumu. ʻAʻohe mea āu i hana ai a ʻaʻole i hana i kumu i kēia no kāu keiki. ʻAʻole ia he maʻi maʻi a ʻaʻole hiki ke hoʻoili ʻia i nā poʻe ʻē aʻe. ʻO ka mea a mākou e ʻike ai, ua hōʻino ʻia nā protein kūikawā a i ʻole nā genes (e lilo i mutated) a laila ulu ʻole me ke kāohi ʻole.
ʻOiai ʻaʻole ʻike ʻia nā kumu kumu o ka lymphoblastic lymphoma o kāu keiki, aia kekahi nā mea pilikia i pili me keia lymphoma. He mea nui e hoʻomaopopo i ka hapa nui o ka poʻe i loaʻa kēia mau mea pilikia ʻAʻole lākou e hoʻomohala i ka lymphoblastic lymphoma.
Hiki i kēia mau mea pilikia:
- ʻO ka maʻi mua me ka maʻi Epstein-Barr (EBV) - ʻo kēia maʻi ke kumu maʻamau o ka maʻi maʻi glandular
- Nawaliwali ka ʻōnaehana pale ma muli o kahi maʻi hoʻoilina ʻole (autoimmune maʻi)
- ʻO ka maʻi HIV
- ʻO ka lāʻau immunosuppressant i lawe ʻia e pale i ka hōʻole ʻana ma hope o ka hoʻololi ʻana o ke kino
- No ka loaʻa ʻana o kahi kaikunāne a i ʻole kaikuahine me Hodgkin lymphoma (ʻoi aku nā māhoe), ua manaʻo ʻia i kahi pilina pili ʻohana i ka maʻi (ʻoiai he mea kakaʻikahi a ʻaʻole ʻōlelo ʻia no nā ʻohana e hoʻāʻo ʻia)
- ʻAʻohe moʻolelo ʻohana ka hapa nui o nā kānaka
Nā ʻano lymphoblastic lymphoma (LL)
Hiki ke hoʻokaʻawale ʻia ʻo Lymphoblastic Lymphoma i nā lymphoma B-cell a i ʻole T-cell lymphoblastic lymphoma. Hōʻike ʻia nā ʻano subtype ʻelua i nā ʻano like me kekahi, ua like loa ko lākou hōʻike ʻana me ka maʻi leukemia lymphoblastic acute (ALL).
ʻO ka mua o ka T-cell lymphoblastic lymphoma
- Aia nā lymphoma T-lymphoblastic precursor ma kahi o 70%-80% o nā lymphoma lymphoblastic kamaliʻi.
- ʻO ka hapa nui o nā maʻi mai ka thymus (he ʻōkana ma ka umauma luna ma hope o ka iwi umauma). Hāʻawi pinepine nā keiki i ka mea i ʻike ʻia he mediastinal mass, ʻo ia ka nui ma hope o ka iwi umauma akā i mua o ka ʻōpū makani.
- Hiki i kēia ʻāpana mediastinal ke hoʻopōkole i ka hanu - he hōʻailona o ka lymphoma.
- He mea maʻamau ke komo ʻana o ka puliki lymph node o luna
- Puka mai kēia lymphoma mai nā pūnaewele lymphoid i oʻo ʻole e hele ana ma ke ala e lilo ai i mau pūna T oʻo.
ʻO ka lymphoma lymphoblastic precursor B-cell
- ʻO ka lymphoma B-lymphoblastic precursor ma kahi o 20%-30% o nā lymphoma Lymphoblastic liʻiliʻi.
- He emi loa ia ma mua o ka leukemia lymphoblastic acute B-cell (B-ALL).
- Loaʻa ia mai nā B-lymphoblasts ʻoi ʻole.
- Hoʻomaka pinepine ia i loko o nā lymph nodes ma waho o ka mediastinum, ʻike pinepine ʻia ma nā ʻōpū lymph o ka ʻāʻī, tonsils a i kekahi manawa e hōʻike ʻia me nā maʻi ʻili e ala mai ana ma ka poʻo o nā keiki liʻiliʻi.
- ʻIke ʻia ʻoi aku ka lohi ma mua o ka T-cell lymphoblastic lymphoma.
Nā hōʻailona o ka lymphoblastic lymphoma (LL)
ʻO nā hōʻailona mua i ʻike ʻia e ka hapa nui o ka poʻe he puʻupuʻu a i ʻole kekahi mau puʻupuʻu i hele ʻole ma hope o kekahi mau pule. Hiki paha iā ʻoe ke ʻike i hoʻokahi a ʻoi aʻe paha nā puʻupuʻu ma ka ʻāʻī o kāu keiki, ka ʻāʻī a i ʻole ka ʻāʻī. ʻO kēia mau puʻupuʻu he mau lymph nodes, kahi e ulu ʻole ai nā lymphocytes maʻamau. Hoʻomaka pinepine kēia mau puʻupuʻu ma kekahi ʻāpana o ke kino o ke keiki, ʻo ka maʻamau ke poʻo, ka ʻāʻī a i ʻole ka umauma a laila pālahalaha pinepine ʻia ma ke ʻano wānana mai kekahi ʻāpana o ka ʻōnaehana lymphatic a i kekahi.
I nā pae kiʻekiʻe, hiki ke laha ka maʻi i nā māmā, ate, iwi, iwi iwi a i ʻole nā mea ʻē aʻe. Ma kahi o 50-75% o nā poʻe maʻi i loaʻa i ka lymphoma e pili ana i ka ʻāpana mediastinal (ka umauma).
ʻO nā hōʻailona maʻamau o Lymphoblastic lymphoma penei:
- ʻO ka pehu ʻole o ka lymph nodes ma ka ʻāʻī, underarm, ʻāʻī a i ʻole ka umauma
- ʻeleʻele o ka ʻili
- ʻĀpiki maʻalahi
- Nā maʻi hoʻomau
- ʻO ka pōkole o ka hanu - ma muli o ka hoʻonui ʻia ʻana o nā pūnana lymph i loko o ka umauma (mediastinal)
- Cough (ʻo ka maʻamau maloʻo cough)
- 'Oloke
- Paʻakikī ke hoʻōla mai kahi maʻi
- ʻili ʻili (pruritus)
B nā hōʻailona ʻo ia nā mea a nā kauka i kapa ai i kēia mau hōʻailona a hiki ke komo:
- ʻO ka wela o ka pō (ʻoi aku i ka pō, nā lole hiamoe a me nā moena)
- ʻO ke kuni mau
- ʻO ka pohō kaumahaʻole
He mea nui e hoʻomaopopo i ka nui o kēia mau hōʻailona e pili ana i nā kumu ʻē aʻe ma mua o ka maʻi kanesa ʻO ia ke ʻano he paʻakikī paha i nā kauka ke ʻike.
ʻO ka hōʻailona o ka lymphoblastic lymphoma (LL)
A nā lāʻau kanu koi mau ʻia no ka hōʻoia ʻana o Lymphoblastic lymphoma. A nā lāʻau kanu he hana e wehe i a limu lymph a i ʻole nā ʻiʻo ʻino ʻē aʻe e nānā iā ia ma lalo o ka microscope e kahi mea maʻi. Hana ʻia ka biopsy ma lalo o ka anesthetic maʻamau no nā keiki e kōkua i ka hōʻemi ʻana i ka pilikia.
An biopsy node excisional ʻo ia ka koho noiʻi maikaʻi loa. ʻO kēia ka mea e hōʻoia i ka hōʻiliʻili ʻana o nā kauka i ka nui o ka ʻiʻo e hoʻopau i ka hoʻāʻo pono no kahi hōʻailona.
A biopsy iwi iwi (BMA - aspirate iwi iwi) koi ʻia no ka hōʻoia ʻana o ka lymphoblastic lymphoma - i mea e hoʻokaʻawale ai ia mai ka leukemia lymphoblastic. A Na BMA He kaʻina hana e hōʻiliʻili ai i nā pūnaewele mai ka iwi o ka iwi, ʻohi ʻia kēia mau cell mai ke kua o ka iwi pelvic.
Ke kali nei i nā hualoaʻa hiki ke lilo i manawa paʻakikī. Hiki ke kōkua ke kamaʻilio me kou ʻohana, nā hoaaloha a i ʻole kahi kahu lapaʻau kūikawā.
ʻO ke kau ʻana o ka lymphoblastic lymphoma (LL)
I ka manawa a ʻike, o Lymphoblastic lymphoma (LL), pono nā ho'āʻo hou e ʻike i kahi ʻē aʻe o ke kino i loaʻa ai ka lymphoma. Kapa ʻia kēia e hoʻokū nei. ʻO ke kau ʻana o ka lymphoma e kōkua i ke kauka i ka mālama maikaʻi loa.
Aia he 4 pae, mai ka pae 1 (lymphoma ma kahi wahi) a hiki i ka pae 4 (lymphoma i laha a holomua paha).
- Anuu mua 'o ia ho'i ka pae 1 a me kekahi mau lymphoma papa 2. Hiki ke kapa ʻia kēia 'localised'. ʻO ka pae 1 a i ʻole 2 ʻo ia ka loaʻa ʻana o ka lymphoma ma kahi wahi a i ʻole kekahi mau wahi kokoke.
- ʻIa pae kiʻekiʻe 'o ia ho'i, 'o ka lymphoma ka pae 3 a me ka pae 4, a he lymphoma laha. I ka hapanui o nā hihia, ua laha ka lymphoma i nā ʻāpana o ke kino i mamao loa mai kekahi i kekahi.
'ʻO ka lymphoma pae kiʻekiʻe ʻO ka lymphoma ka mea i ʻike ʻia he maʻi maʻi ʻōnaehana. Hiki ke laha a puni ka ʻōnaehana lymphatic a me nā ʻiʻo kokoke. ʻO ia ke kumu e pono ai ka lāʻau ʻōnaehana (chemotherapy) e mālama i ka lymphoblastic lymphoma.
ʻO nā hoʻāʻo e pono ai ke komo:
- Nā ho'āʻo koko (e like me: helu koko piha, kemika koko a me ka erythrocyte sedimentation rate (ESR) no ka huli ʻana i nā hōʻike o ka mumū)
- Kānana x-ray - e kōkua kēia mau kiʻi e ʻike i ke ʻano o ka maʻi i loko o ka umauma
- ʻO ka ʻōmole helu Positron emoate (PET) - hana ʻia e hoʻomaopopo i nā wahi āpau o ka lymphoma ikaika i loko o ke kino ma mua o ka hoʻomaka ʻana o ka mālama ʻana
- Ka pākuʻina o ka tomography (CT)
- Biopsy iwi ʻōiwi
- Pahu lumbar
Hiki i nā maʻi ke hana i kekahi mau nā hoʻokolohua kumu ma mua o ka hoʻomaka ʻana i kekahi lapaʻau. ʻO kēia ke nānā i ka hana o ke kino. Hiki ke hana hou ʻia kēia mau hoʻāʻo ʻana i ka wā a ma hope o ka mālama ʻana no ka loiloi inā ua pili ka lāʻau i ka hana o ke kino. ʻO nā hoʻokolohua e pono ai ke komo;
- Ke kaulike
- Nānā nui (Ke koko, ka wela a me ka helu pulse)
- ʻImi puʻuwai
- Kiʻi ʻāʻī
- Nā hoʻāʻo hanu
- Nā ho'āʻo koko
He manawa lōʻihi paha e hana ʻia ai nā biopsies a me nā hoʻāʻo e pono ai (he awelika o 1-3 mau pule), akā he mea nui i nā kauka ke loaʻa i ke kiʻi piha o ka lymphoma a me ke olakino ākea o ka mea maʻi ma ke ʻano. e hana i nā hoʻoholo lapaʻau maikaʻi loa.
Hana hou ʻia ka nui o ka hoʻāʻo ʻana i ka hoʻomaʻamaʻa ʻana a me ka hana o ke kino ma hope o ka mālama ʻana no ka nānā ʻana inā ua hana ka lapaʻau lymphoma a me ka hopena i loaʻa i ke kino.
Ka wānana o ka lymphoblastic lymphoma (LL)
ʻO ka lymphoblastic lymphoma (LL) kahi wānana maikaʻi, me ka hapa nui o nā maʻi e pane maikaʻi loa i ka mālama ʻana a loaʻa iā 85% ka lāʻau. ʻO ka poʻe i pane ʻole i ka lapaʻau laina mua maʻamau or hoʻi hou (hoʻi mai), aia nō nā lāʻau lapaʻau e hiki ke hoʻōla.
ʻO ke ola lōʻihi a me nā koho lapaʻau e hilinaʻi ʻia ma nā ʻano kumu like ʻole:
- ʻO ka makahiki o kāu keiki ma ka hōʻoia
- Ka lōʻihi a i ʻole ka pae o ka maʻi kanesa
- ʻO ke ʻano o nā pūla lymphoma ma lalo o ka microscope (ke ʻano, ka hana a me ke ʻano o nā cell)
- Pehea e pane ai ka lymphoma i ka lāʻau lapaʻau
- Lymphoma biology, e komo pū ana
- nā hiʻohiʻona o nā pūnaewele lymphoma
- ʻokoʻa ka ʻokoʻa o nā cell lymphoma mai nā cell maʻamau
- pehea ka wikiwiki o ka ulu ʻana o nā cell lymphoma.
E kamaʻilio me ke kauka o kāu keiki e pili ana i ka maʻi o kāu keiki, nā koho lapaʻau a me ka wānana.
Ka mālama ʻana i ka lymphoblastic lymphoma (LL) i nā keiki
Ke pau nā hopena a pau mai ka biopsy a me nā scan staging, e nānā ke kauka i kēia mau mea no ka hoʻoholo ʻana i ka lāʻau maikaʻi loa. Ma kekahi mau keʻena maʻi 'aʻai, e hui ke kauka me kahi hui o nā loea e kūkākūkā i ke koho lapaʻau maikaʻi loa. Kapa ʻia kēia a hui multidisciplinary (MDT) hui.
E noʻonoʻo nā kauka i nā kumu he nui e pili ana i ka lymphoma a me ke olakino maʻamau o ka mea maʻi e hoʻoholo ai i ka wā a me ka lāʻau e pono ai. Hoʻokumu ʻia kēia ma:
- ʻO ka pae a me ka pae o ka lymphoma
- Ōuli
- Ka mōʻaukala olakino a me ke olakino maʻamau
- Ke ola kino a me ka noʻonoʻo o kēia manawa
- Nā Kūlana Pilikino
- Nā makemake ʻohana
No ka mea he lymphoma e ulu wikiwiki ana ka lymphoblastic lymphoma, pono paha e hoʻomaka ka lāʻau lapaʻau i loko o kekahi mau lā ma hope o ka hōʻoia ʻana. ʻO nā kaʻina lapaʻau no ka lymphoblastic lymphoma ka mea maʻamau i nā kaʻina like i hoʻohana ʻia no ka mālama ʻana i ka leukemia lymphoblastic acute, no ka like o nā maʻi.
ʻO ka hapa nui o nā ala lapaʻau e komo pū me:
- ʻO ka induction phase, e hoʻohana ana i ka chemotherapy multi-agent intensive
- Māhele hoʻohui o ka chemotherapy
- Maintenance phase therapy
ka ka lāʻau lapaʻau mua maʻamau ʻO nā protocols i hoʻohana ʻia hiki ke komo:
- AALL0932: (methotrexate, vincristine, cytarabine, dexamethasone, peg asparaginase, mercaptopurine, doxorubicin, cyclophosphamide, thioguanine)
- BFM 2000: (prednisone, methotrexate, daunorubicin, vincristine, asparaginase, mercaptopurine, cyclophosphamide, cytarabine, dexamethasone, doxorubicin, tioguanine, etoposide, ifosfamide)
- Ke komo ʻana i ka hoʻokolohua lapaʻau
Nā hopena maʻamau o ka lāʻau lapaʻau
Nui nā hopena ʻaoʻao like ʻole o ka lāʻau lapaʻau a pili kēia i ka lāʻau i hāʻawi ʻia. Hiki i ke kauka lapaʻau a/a i ʻole kahu maʻi maʻi ke wehewehe i nā hopena ʻaoʻao kikoʻī ma mua o ka mālama ʻana.
ʻO kekahi o nā hopena ʻaoʻao maʻamau o ka lāʻau lapaʻau hiki ke komo:
- Anemia (nā ʻulaʻula liʻiliʻi e lawe ana i ka oxygen a puni ke kino)
- ʻO ka Thrombocytopenia (nā platelets haʻahaʻa e kōkua ana i ka hoʻopaʻa ʻana a me ke koko)
- ʻO Neutropenia (ke koko keʻokeʻo haʻahaʻa e kōkua i ke kaua ʻana i ka maʻi maʻi)
- ʻO ka naʻi a me ka luaʻi
- 'Oloke (ka nele o ka ikehu)
- Hoemi i ka momona
Pono kāu hui lapaʻau, kauka, kahu maʻi kanesa a lāʻau lapaʻau paha, e hāʻawi iā ʻoe i ka ʻike e pili ana i:
- He aha ka lāʻau e hāʻawi ʻia
- He aha nā hopena ʻaoʻao maʻamau a hiki i ka lāʻau lapaʻau?
- He aha nā hopena ʻaoʻao āu e pono ai e hōʻike i ka hui lapaʻau
- He aha nā helu hoʻokaʻaʻike, a ma hea e hele ai inā pilikia 7 lā o ka pule a me 24 mau hola i kēlā me kēia lā
Mālama i ka momona
Hiki i kekahi mau lāʻau lapaʻau no ka lymphoma ke hoʻemi i ka momona a ʻoi aku paha kēia me kekahi ka hoʻohana ʻana i ka chemotherapys (hui o nā lāʻau lapaʻau) a me ka nui-dose chemotherapy hoʻohana ʻia ma mua o ka hoʻololi ʻana i ke kelepona. ʻO ke kelepona i ke pelvis hoʻi e hoʻonui i ka likelihood o emi fertility. Hiki i kekahi mau lāʻau lapaʻau antibody ke hoʻopilikia i ka momona, akā ʻaʻole maopopo kēia.
Pono ke kauka e aʻo iā ʻoe i ka hopena o ka ulu ʻana a i ʻole ka mālama ʻana i ka momona ma mua o ka hoʻomaka ʻana o ka mālama ʻana.
No ka ʻike hou aku a me ka ʻōlelo aʻo e pili ana i kāu maʻi maʻi, lapaʻau, nā hopena ʻaoʻao, nā kākoʻo i loaʻa a pehea e hoʻokele ai i ka ʻōnaehana haukapila, e ʻoluʻolu e kelepona i ka laina kākoʻo kahu mālama lymphoma ma 1800 953 081 e leka uila iā mākou ma kahu@lymphoma.org.au
Malama hahai
Ke hoʻopau ʻia ka mālama ʻana, hana ʻia nā scan staging post treatment e nānā i ka maikaʻi o ka hana ʻana. E hōʻike ana nā scans i ke kauka inā loaʻa kahi:
Pane piha (CR a ʻaʻohe hōʻailona o ka lymphoma i koe) a i ʻole
Pane hapa (PR a i ʻole he lymphoma. Aia, akā ua hoʻemi ʻia ka nui)
Inā maikaʻi nā mea a pau, e hana ʻia nā koho maʻamau no kēlā me kēia 3-6 mahina e nānā i kēia mau mea:
- E nānā i ka pono o ka lāʻau lapaʻau
- E nānā i nā hopena ʻaoʻao mai ka lāʻau lapaʻau
- E nānā i nā hopena hope loa mai ka mālama ʻana i ka manawa
- E nānā i nā hōʻailona o ka hoʻi hou ʻana o ka lymphoma
He mea koʻikoʻi kēia mau koho i hiki iā ʻoe ke hāpai i kekahi hopohopo e pono ai lākou e kūkākūkā me ka hui lapaʻau. ʻO kahi hoʻokolohua kino a me nā hoʻāʻo koko he mau hoʻokolohua maʻamau no kēia mau koho. Ma waho aʻe o ka manawa ma hope o ka mālama ʻana e nānā i ka hana ʻana o ka mālama ʻana, ʻaʻole i hana pinepine ʻia nā scans ke ʻole he kumu no lākou. Inā maikaʻi nā mea a pau, hiki ke emi pinepine nā koho i ka manawa. Eia naʻe, e kelepona i ka hui lapaʻau inā he pilikia kou ma waena o kēia mau koho.
Hoʻoponopono hou ʻia a hoʻopaʻa ʻole paha i ka lymphoblastic lymphoma
Hoʻihoʻi hou ʻia ʻO ka lymphoma ka wā i hoʻi mai ai ke kanesa, hale hōʻoluʻolu ʻO ka lymphoma ka wā e pane ʻole mai ai ke kanesa nā lāʻau lapaʻau mua. No kekahi mau keiki a me nā ʻōpio, hoʻi hou mai ka Lymphoblastic lymphoma a i kekahi mau hihia kakaʻikahi ʻaʻole ia e pane i ka lāʻau lapaʻau mua (refractory). No kēia mau maʻi, aia kekahi mau lāʻau lapaʻau ʻē aʻe i hiki ke kūleʻa, aia paha kēia:
- ʻO ka chemotherapy hui pū ʻana kiʻekiʻe hahai ʻia e kekahi:
- Ke kuʻi ʻana o ke koʻokoʻo autologous
- ʻO ka hoʻololi ʻana i ke ʻano o ke ʻano o ke ʻano allogeneic
- ʻO ka chemotherapy hui
- immunotherapy
- ʻO ke kelepona
- Ke komo ʻana i ka hoʻokolohua lapaʻau
ina he hoʻi hou (hoʻi mai) ua kānalua kekahi nā lāʻau kanu pono e hana pinepine ʻia me nā hoʻokolohua hoʻokūkū like i wehewehe ʻia ma luna o ka kūlana pauku.
ʻO ka mālama ʻana i kēia manawa ma lalo o ka Investigation
Nui nā lāʻau lapaʻau e hoʻāʻo ʻia nei i kēia manawa nā ho'āʻo hoʻokolohua ma Australia a puni ka honua no nā poʻe maʻi me nā lymphoma lymphoblastic hou i ʻike hou ʻia a hoʻi hou a i ʻole refractory. Aia kēia mau mea:
- Chimeric antigen receptor (CAR) T-cell therapy
- ʻO Blinatumomab
He aha ka hana ma hope o ka mālama ʻana?
Nā hopena lohi
I kekahi manawa a hopena ʻaoʻao hiki ke hoʻomau a hiki ke ulu i nā mahina a i ʻole mau makahiki ma hope o ka pau ʻana o ka mālama ʻana. Kapa ʻia kēia a hopena lohi.
Hoʻopau i ka mālama ʻana
He manawa paʻakikī kēia no nā poʻe he nui a hiki ke pili kekahi o nā hopohopo maʻamau i:
- Helu
- ʻO ke ʻano noʻonoʻo
- Ola kino
- 'ana ma
- Hana, aʻo a me nā hana pilikanaka
ʻO ke olakino a maikaʻi
ʻO ke ola olakino, a i ʻole kekahi mau loli ola maikaʻi ma hope o ka mālama ʻana he mea kōkua nui ia ma hope o ka pau ʻana o ka mālama ʻana. ʻO ka hana ʻana i nā hoʻololi liʻiliʻi e like me ka ʻai ʻana a me ka hoʻonui ʻana i ke olakino hiki ke hoʻomaikaʻi i ke olakino a me ka maikaʻi a kōkua i ke kino e ola hou. Nui nā hoʻolālā mālama ponoʻī e hiki ke kōkua i ka wā hoʻihoʻi.
