He aha ka lymphoma?
No ka hoʻomaopopo ʻana i ka Lymphoma Non-Hodgkin, pono ʻoe e ʻike mua i ke ʻano o ka lymphoma. Ua kapa ʻia ʻo Lymphoma he maʻi maʻi koko, maʻi kanesa o ka ʻōnaehana lymphatic, a me ke kanesa o ka ʻōnaehana pale. Hiki ke huikau kēia, no ka mea hiki ke kani me he mea lā ua loaʻa iā ʻoe ma mua o hoʻokahi maʻi kanesa.
No ka maʻalahi, wehewehe mākou i ka lymphoma ʻO ka mea, ʻo hea a me ka pehea.
- ʻO ka mea – ʻO ka Lymphoma kahi maʻi maʻi koko keʻokeʻo i kapa ʻia he lymphocytes.
- ʻO kahi - Noho mau nā Lymphocytes i loko o kā mākou ʻōnaehana lymphatic, no laila hoʻomaka ka lymphoma ma nā lymphocytes i ka ʻōnaehana lymphatic.
- ʻO ka pehea - ʻO nā Lymphocytes a me nā keʻokeʻo keʻokeʻo ʻē aʻe he mau cell immune e pale iā mākou mai ka maʻi a me ka maʻi, no laila ke loaʻa iā ʻoe ka lymphoma, nāwaliwali kou ʻōnaehana pale a hiki ke loaʻa i nā maʻi hou aʻe.
E ʻoluʻolu e kaomi i ka loulou ma lalo nei e ʻike i kā mākou He aha ka Lymphoma pūnaewele.
He aha ka ʻokoʻa ma waena o Non-Hodgkin a me Hodgkin Lymphoma?
He ʻokoʻa ka Lymphoma Non-Hodgkin mai ka Lymphoma Hodgkin ma muli o kekahi mau sela lymphoma i kapa ʻia a Nā pūnaewele Reed-Sternberg i loaʻa i ka poʻe me Hodgkin Lymphoma, akā ʻaʻole i ka poʻe me Non-Hodgkin Lymphoma.
- ʻO nā Lymphomas Hodgkin āpau he mau maʻi maʻi maʻi o nā lymphocytes B-cell.
- Hiki i ka Lymphoma Non-Hodgkin ke ma'i 'a'ai o B-cell lymphocytes, T-cell Lymphocytes a i 'ole Natural Killer T-cells.
He aha kaʻu e ʻike ai e pili ana i ka Lymphoma Non-Hodgkin?
ʻO ka Lymphoma Non-Hodgkin kahi huaʻōlelo i hoʻohana ʻia e wehewehe i kahi hui o 75 mau subtypes like ʻole o lymphoma. Hiki ke hoʻokaʻawale ʻia ʻo ia ma ke ʻano ʻino a i ʻole molowa, B-cell a i ʻole T-cell (me ka Natural killer T-cell) a pono a ʻaʻole pono paha ka mālama wikiwiki.
ʻO Lymphoma Non-Hodgkin Non-Hodgkin (NHL) ʻino
Ke loaʻa iā ʻoe ka NHL he mea nui e ʻike i ke ʻano subtype i loaʻa iā ʻoe, a inā he molowa paha a i ʻole ka huhū. Inā makemake ʻoe i ka lāʻau lapaʻau, a me ke ʻano o ka lapaʻau e hāʻawi ʻia iā ʻoe ma muli o kēia mau mea ʻelua.
ʻO Lymphoma Non-Hodgkin hōʻeuʻeu
ʻO ka huhū kahi ala e ʻōlelo ai e ulu ana kāu lymphoma a palahalaha koke i nā wahi ʻē aʻe o kou kino. He mea weliweli loa ke aʻo ʻana i loaʻa iā ʻoe kahi maʻi maʻi ʻino, no laila he mea nui e hōʻoia i ka nui o ka ʻike e hiki ai ke hoʻomaopopo i kou maʻi, a me ka mea e manaʻo ai.
Hoʻokahi mea e hoʻomanaʻo ai he nui nā NHL koʻikoʻi hiki ke ho'ōla. ʻO ka ʻoiaʻiʻo, ʻoi aku ka maikaʻi o nā lymphoma aggressive i kekahi mau lapaʻau ma mua o nā lymphoma indolent. Hana ʻia ka lāʻau lapaʻau kuʻuna ma ka luku ʻana i nā sela e ulu wikiwiki ana, no laila ʻoi aku ka paʻakikī (ke ulu wikiwiki) o kāu mau sela lymphoma, ʻoi aku ka maikaʻi o ka chemotherapy i ka luku ʻana iā lākou.
Ua kapa pinepine ʻia nā lymphoma koʻikoʻi he lymphoma kiʻekiʻe, ʻo ia hoʻi, ulu koke lākou a ʻokoʻa ke ʻano o kāu lymphocytes maʻamau. Me ka ulu wikiwiki ʻana o nā pūla lymphoma, ʻaʻole hiki iā lākou ke hoʻomohala kūpono, a no laila ʻaʻole hiki ke hana maikaʻi i ka pale ʻana iā ʻoe mai ka maʻi a me ka maʻi.
Inā loaʻa iā ʻoe kahi lymphoma koʻikoʻi, pono ʻoe e hoʻomaka i ka mālama ʻana ma hope koke o kou loaʻa ʻana i kāu maʻi. Eia nō naʻe, ma mua o ka hoʻomaka ʻana o ka mālama ʻana, pono paha ʻoe i nā hoʻokolohua hou aʻe e ʻike ai i ka nui o kou kino i hoʻopilikia ʻia e ka lymphoma (ʻo ke ʻano o ka lymphoma āu i loaʻa ai) a inā he mau hōʻailona genetic ma kāu mau pūnaewele lymphoma e kōkua i kāu kauka e hana. mai ka lapaʻau maikaʻi loa iā ʻoe.
Hōʻike ʻia nā hiʻohiʻona o nā subtypes NHL koʻikoʻi ma lalo nei.
Lymphoma Non-Hodgkin Indolent
ʻO Indolent kahi ala ʻē aʻe e ʻōlelo ai i kahi lymphoma e ulu mālie. ʻO kēia mau lymphomas i manaʻo pinepine ʻia he mau maʻi mau loa, ʻo ia hoʻi e noho pū ʻoe me lākou no ke koena o kou ola. Eia naʻe, ke ola nei ka poʻe he nui i ke ola maʻamau me ka maikaʻi o ke ola me ka lymphoma palaka.
ʻAʻole ulu iki nā lymphoma i ʻike ʻole ʻia i kekahi manawa a noho mau nō - a i ʻole e hiamoe ana. No laila, ʻoiai e loaʻa ana iā ʻoe ka lymphoma i loko o kou kino, ʻaʻole ia e hana i kekahi mea e hōʻino iā ʻoe, a no laila ʻaʻole pono ʻoe i kahi lapaʻau i ka wā e ʻike mua ʻia ai ʻoe.
ʻAʻole e pane ka hapa nui o nā lymphoma moe i nā lapaʻau kuʻuna, a ua hōʻike ka noiʻi ʻana ʻo ka hoʻomaka ʻana i ka mālama ʻana i kēia wā palaualelo ʻaʻole e hoʻomaikaʻi i nā hopena no nā maʻi ma luna o ka poʻe ʻaʻole i hoʻomaka i ka lapaʻau. Eia naʻe, aia kekahi nā ho'āʻo hoʻokolohua ke nānā nei i nā koho lapaʻau like ʻole e ʻike inā maikaʻi a maikaʻi paha lākou i ka wā o ka molowa.
Ma kahi o hoʻokahi o ʻelima mau kānaka me ka lymphoma palaualelo ʻaʻole pono e mālama i ka lāʻau, aʻo nā mea ʻē aʻe e pono ke lapaʻau i kekahi manawa. ʻOiai ʻaʻole ʻoe e lapaʻau ʻia, e nānā pono ʻia ʻoe e kāu haematologist a i ʻole oncologist i hiki iā lākou ke hōʻoia ʻaʻole ʻoe e loaʻa i nā hōʻailona e hōʻoluʻolu a maikaʻi ʻole paha ʻoe, a e hōʻoia lākou ʻaʻole e ulu ka lymphoma. ʻO kēia manawa ʻoiai ʻaʻole ʻoe e mālama ʻia e kapa pinepine ʻia ʻo Watch and Wait, a i ʻole ka nānā ʻana.
Inā ala kou lymphoma a hoʻomaka e ulu, a i ʻole e loaʻa iā ʻoe nā hōʻailona, pono ʻoe e hoʻomaka i ka mālama ʻana. I nā hihia koʻikoʻi, hiki i kāu lymphoma palaualelo ke "hoʻololi" i kahi subtype ʻoi aku ka ikaika o lymphoma. No ka ʻike hou aku e pili ana i ka lymphoma i hoʻololi ʻia Bus maʻaneʻi.
ʻO kekahi o nā subtypes maʻamau o ka NHL molowa i helu ʻia ma lalo nei.
ʻO NHL T-cell moʻole
Nā hōʻailona o Non-Hodgkin Lymphoma
Me nā ʻano subtype 75 o NHL hiki ke hoʻomaka ma kekahi ʻāpana o kou kino, hiki ke ʻokoʻa nā hōʻailona no NHL ma waena o nā kānaka.
ʻAʻole loaʻa nā hōʻailona ʻike ʻia ka nui o ka poʻe me ka lymphoma palaualelo, a ʻike wale ʻia ma hope o nā hoʻokolohua maʻamau, a i ʻole ka nānā ʻana no kekahi mea ʻē aʻe. Hiki i nā poʻe ʻē aʻe ke ʻike i nā hōʻailona e piʻi mālie i ka wā.
Me ka lymphoma koʻikoʻi naʻe, hoʻomaka pinepine nā hōʻailona a ʻoi aku ka wikiwiki. Hōʻike ʻia kekahi o nā hōʻailona maʻamau i nā kiʻi ma lalo nei. No ka ʻike kikoʻī hou aku e pili ana i nā hōʻailona e ʻoluʻolu e ʻike i kāu ʻaoʻao subtype i hiki ke ʻike ʻia ma kā mākou ʻaoʻao pūnaewele Types of Lymphoma a i ʻole e ʻike i kā mākou ʻaoʻao pūnaewele ʻo Symptoms of Lymphoma.
Hoʻāʻo i ka ʻike a me ka hoʻonohonoho ʻana
ʻike,
Pono ʻoe i kahi biopsy no ka loaʻa ʻana o kahi hōʻailona o ka lymphoma a e ʻike i ke ʻano subtype o lymphoma iā ʻoe. Aia nā ʻano biopsies like ʻole, a ʻo ka mea i loaʻa iā ʻoe e hilinaʻi i ka ʻāpana o kou kino i loaʻa i ka lymphoma. ʻO nā laʻana o nā biopsies penei:
- ʻ binaehana ʻili
- ʻO ka biopsy Lymph node
- Biopsy iwi ʻōiwi (hiki ke hoʻohana ʻia kahi biopsy iwi no ka ʻike ʻana i kekahi mau ʻano lymphoma, a i ʻole e hana i nā ʻano ʻē aʻe)
Ke hoʻonohonoho
Hōʻike ka staging i ka nui o nā wahi, a me nā ʻāpana o kou kino i loaʻa ka lymphoma i loko.
ʻElua mau ʻōnaehana hoʻonohonoho nui i hoʻohana ʻia no NHL. Hoʻohana ka hapa nui o NHL i ka Ann Arbor a i ʻole Lugano Staging System ʻoiai nā kānaka me CLL hiki ke hoʻonohonoho ʻia me ka ʻōnaehana hoʻonohonoho RAI.
Lapaʻau no ka Lymphoma Non-Hodgkin (NHL)
Nui nā ʻano lapaʻau like ʻole no NHL, a ke hoʻāʻo ʻia nei nā lāʻau lapaʻau hou i nā hoʻokolohua lapaʻau a ʻae ʻia i kēlā me kēia manawa. ʻO ke ʻano o ka lapaʻau e hāʻawi ʻia iā ʻoe e hilinaʻi ʻia ma nā mea he nui e like me:
- ʻO kāu subtype a me ka pae o NHL
- Inā loaʻa i kāu pūnaewele lymphoma kekahi mau hōʻailona kikoʻī a i ʻole nā loli genetic ma luna o lākou
- ʻO kou mau makahiki a me kou olakino holoʻokoʻa
- Inā ua mālama ʻoe i ka lymphoma a i ʻole nā maʻi maʻi maʻi ʻē aʻe i ka wā ma mua
- ʻO nā lāʻau lapaʻau āu e lawe ai no nā maʻi ʻē aʻe
- ʻO kāu mau makemake pilikino ke loaʻa iā ʻoe nā ʻike āpau āu e pono ai.
hōʻuluʻulu manaʻo
- ʻO ka Lymphoma Non-Hodgkin kahi huaʻōlelo i hoʻohana ʻia no ka hui ʻana ma mua o 75 mau ʻano maʻi maʻi maʻi like ʻole o ke koko keʻokeʻo i kapa ʻia he lymphocytes.
- E ʻike i kāu ʻano subtype – Inā ʻaʻole ʻoe ʻike i ke ʻano subtype o NHL iā ʻoe, e nīnau i kāu kauka.
- Hiki i ka NHL ke ma'i 'a'ai o B-cell lymphocytes, T-cell lymphocytes o Natural killer T-cell.
- Hiki i ka NHL ke hoʻopaʻapaʻa a moloā paha. Pono ka NHL hoʻopaʻapaʻa e lapaʻau me ka wikiwiki, ʻoiai ʻaʻole pono ka poʻe me ka lymphoma palaualelo e lapaʻau no kekahi manawa.
- Hoʻokahi o ʻelima mau kānaka me ka lymphoma palaualelo ʻaʻole pono e mālama i ka lāʻau.
- ʻO nā hōʻailona o ka NHL e hilinaʻi ʻia ma ke ʻano subtype i loaʻa iā ʻoe, inā he molowa a ʻāʻī paha, a he aha nā wahi o kou kino i loaʻa i ka lymphoma i loko.
- Nui nā ʻano lapaʻau like ʻole no ka NHL a ʻae ʻia nā mea hou. ʻO ka mālama ʻana iā ʻoe e hilinaʻi ʻia ma nā kumu he nui e like me kāu ʻano subtype, nā hōʻailona, makahiki a me ke olakino, a inā paha ua loaʻa iā ʻoe ka lapaʻau no ka lymphoma ma mua.
- ʻAʻole ʻoe wale nō, inā makemake ʻoe e kamaʻilio me kekahi o kā mākou Lymphoma Care Nurses kaomi i ka Kāhea iā mā˚ou pihi ma ka lalo o ka papa.
