ʻO ka nānā ʻana o ka Lymphoma T-cell Peripheral - ʻAʻole i kuhikuhi ʻia (PTCL-NOS)
ʻOiai ʻo PTCL-NOS ka subtype maʻamau o PTCL, he maʻi maʻi ʻaʻai loa ia. Hoʻomaka ia i ka wā e hoʻololi ai nā lymphocytes T-cell - kahi ʻano o ke koko keʻokeʻo keʻokeʻo e lilo ai lākou i maʻi kanesa. Hana kēia mau hoʻololi i kāu nā genes i hoʻokumu i kāu DNA. ʻO kēlā me kēia cell e hana i kēlā me kēia ʻāpana o ko mākou kino, koe naʻe ko mākou mau ʻulaʻula ʻulaʻula he nucleus i loaʻa i kā mākou DNA āpau.
ʻAʻole maopopo iā mākou ke kumu o kēia mau hoʻololi i kekahi poʻe a ʻaʻole i kekahi.
ʻO wai ka mea i hoʻopilikia ʻia e PTCL-NOS?
Ma kahi o 1 i 3 poʻe me PTCL e loaʻa iā PTCL-NOS. He mea maʻamau ia i ka poʻe ma mua o 60 makahiki, akā hiki i nā poʻe o kēlā me kēia makahiki, me nā keiki ke hoʻomohala.
Nā hōʻailona o ka lymphoma T-cell peripheral - NOS (PTCL-NOS).
Hiki i ka PTCL-NOS ke nodal a i ʻole ka nodal keu.
Nodal 'o ia ho'i, ho'omaka ka lymphocytes i kou lymph aka wahi lilo i ma'i ma'i. Loaʻa iā mākou nā lymph nodes a puni ko mākou kino, a hiki ke hoʻomaka i kekahi o nā lymph nodes. Hiki iā ʻoe ke ʻike i ka lymph nodes ma ke kiʻi e like me nā kiko oval melemele liʻiliʻi i loaʻa ka hapa nui ma ka ʻāʻī, ka ʻāʻī, ka umauma, a me ka ʻōpū, akā he nui aʻe ma nā lima, nā wāwae a me ke poʻo.
ʻO ka hōʻailona maʻamau, a pinepine hoʻi i ka hōʻailona mua o ka lymphoma nodal i ka wā e pehu ai nā ʻōpū lymph a ʻike ʻia e like me kahi puʻupuʻu ma lalo o kou ʻili āu e ʻike ai a manaʻo paha.
Nodal keu ʻo ia hoʻi, hoʻomaka ka lymphoma mawaho o kou lymph nodes. Hiki kēia i loko o kou mau ʻōpū, iwi, iwi iwi a i ʻole i kou ʻili. ʻOkoʻa pinepine nā hōʻailona o ka lymphoma nodal hou i ka nodal no ka mea ʻaʻole ʻoe i loaʻa i nā puʻu lymph pehu.
Ma kahi o kāu mau hōʻailona e pili ana i kahi e ulu ai ka lymphoma. No ka laʻana, inā e ulu ana ia ma nā ʻāpana o kou ʻili, loaʻa paha iā ʻoe kahi ʻōpala a i ʻole nā puʻupuʻu i kou ʻili. Inā e ulu ana ia i loko o kou iwi iwi, hiki ke loli i kāu ho'āʻo koko.
Nā hōʻailona maʻamau ʻē aʻe o PTCL-NOS
Pili pū nā ʻōuli maʻamau:
- ʻO ka pehu o nā lymph nodes-ʻike pinepine ʻia a ʻike ʻia paha ma ka ʻāʻī, ka ʻāʻī, a i ʻole ka ʻāʻī.
- Anemia (ke koko ʻulaʻula haʻahaʻa) a me ka thrombocytopenia (nā platelet haʻahaʻa) inā loaʻa iā ʻoe ka lymphoma i loko o kou iwi iwi.
- ʻO ka ʻeha a me ka ʻeha o ka ʻōpū no ka mea hiki ke ʻoi aku ka nui o kou ʻōpū a me kou ate ma mua o ka pono.
- Pau ka ʻai, ʻaʻole makemake e ʻai.
- ʻO nā ʻōpala ʻulaʻula a i ʻole nā ʻōpala ma kou ʻili.
- ʻEha o ka umauma a i ʻole pōkole o ka hanu.
- ʻAʻole i hoʻomaikaʻi ʻia ka luhi me ka hoʻomaha a me ka hiamoe.
B-hōʻailona
B-hōʻailona he mau hōʻailona kikoʻī paha e hōʻike ana e ulu wikiwiki ana kāu lymphoma a pono paha ʻoe e lapaʻau koke. Eia nō naʻe, pono paha ʻoe i ka mālama wikiwiki inā ʻaʻole ʻoe i loaʻa nā hōʻailona B.
E hōʻike i nā hōʻailona hou a i ʻole nā hōʻailona ʻino i kāu kauka. Inā ua hōʻike mua ʻoe iā lākou a ʻaʻole lākou i holomua, e ʻike i kāu kauka i hiki iā lākou ke loiloi pono iā ʻoe a hana i ka hoʻolālā kūpono no ʻoe.
ʻO ka hōʻoia a me ke kau ʻana o PTCL-NOS
No ka hoʻomaʻamaʻa ʻana i ka lymphoma, pono ʻoe i kahi biopsy o kou pehu lymph nodes a i ʻole nā mea ʻē aʻe i hoʻopilikia ʻia - e like me ka biopsy ʻili a i ʻole biopsy iwi-marrow. ʻO ka biopsy ka wā e lawe ai lākou i kahi laʻana o ka wahi i hoʻopilikia ʻia e nānā a hoʻāʻo i ka pathology.
Hiki ke hana ʻia kēia me ke kauka me ka hoʻohana ʻana i ka nila me kahi anesthetic kūloko e hoʻopau ai i ka wahi, a i ʻole ma ke ʻoki ʻana ma lalo o kahi anesthetic maʻamau e pili ana i ka wahi i biopsied.
Ke hoʻonohonoho
ʻO ka wā e loaʻa ai nā hoʻāʻo hou e ʻike ai i ka nui o kou kino i hoʻopilikia ʻia e ka lymphoma, a i ʻole ka lōʻihi o ka laha ʻana.
No ka ʻike hou aku e pili ana i ka maʻi maʻi a me ka hoʻonohonoho ʻana e kaomi i ka loulou ma lalo nei.
Pehea e mālama ʻia ai ka PTCL-NOS?
ʻO ke ʻano o ka lapaʻau āu e loaʻa ai no PTCL-NOS e hilinaʻi ʻia ma nā mea he nui. Hiki i kēia mau mea ke komo:
- ʻO kou mau makahiki a me ke olakino kino a me ka noʻonoʻo.
- Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau no ka lymphoma like a ʻokoʻa paha i ka wā ma mua.
- He aha nā maʻi ʻē aʻe āu e mālama ai.
- ʻO ka pae o kāu lymphoma a me nā hōʻailona āu e loaʻa nei.
- Inā he nodal paha kāu lymphoma.
- He aha nā ʻāpana o kou kino i hoʻopilikia ʻia.
- Nā hopena o nā hoʻokolohua genetic ma nā biopsies lymphoma.
- ʻO kāu mau makemake ponoʻī ma hope o kou hāʻawi ʻia ʻana i kahi manawa e kūkākūkā ai i kāu mau koho āpau a me kāu hopohopo me kāu kauka.
Hoʻokumu ʻia ka lāʻau lapaʻau ma muli o kou kūlana pākahi. ʻO ka manawa mua i loaʻa iā ʻoe ka lāʻau lapaʻau i kapa ʻia ʻo ka lāʻau lapaʻau mua. ʻO ka lāʻau lapaʻau mua e mau ana no kekahi mau pōʻai. Hiki i kāu kauka ke hōʻike iā ʻoe i ka nui o nā pōʻai o ka lāʻau e loaʻa iā ʻoe ma kāu lāʻau lapaʻau mua.
Ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i ka mālama ʻana, aia kekahi mau mea e pono ai ʻoe e noʻonoʻo a hoʻomākaukau.
Māmā
Hiki i nā lāʻau lapaʻau ke hoʻopilikia i kou ulu ʻana, e paʻakikī a paʻakikī paha ka hāpai ʻana, a i ʻole ka hāpai ʻana i kekahi. Inā he mau makahiki hānau keiki ʻoe, ʻoiai inā ʻaʻole ʻoe e noʻonoʻo ana i ka loaʻa ʻana o ka ʻohana a i ʻole ka hoʻonui ʻana i kou ʻohana i kēia manawa, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i kou hānau ʻana, a i ʻole e pale i ka hāpai ʻana i makemake ʻole ʻia. No ka 'ike hou aku e pili ana i ka fertility, e kaomi i ka loulou ma lalo nei.
Nā nīnau e nīnau i kāu kauka
Ke ʻike mua ʻia ʻoe, a i ʻole e hoʻomaka i ka mālama ʻana ma hope o ka hoʻi hou ʻana, hiki ke paʻakikī ke noʻonoʻo pololei a ʻike i nā nīnau e nīnau ai. He mea nui e loaʻa iā ʻoe nā ʻike kūpono a pau e pono ai ʻoe e hoʻoholo i kāu mālama olakino a e ʻike i ka mea e manaʻo ai. Kaomi ma ka loulou ma lalo nei e hoʻoiho i nā nīnau e nīnau i kāu kauka.
Nā mea maʻamau e pono ai ʻoe e ʻike a pehea e hoʻomākaukau ai
ʻO ka loaʻa ʻana o ka lāʻau lapaʻau e hoʻololi i kou ola a me ke ola o ka poʻe kokoke iā ʻoe no kekahi manawa. He mea nui e ʻike i ka mea e manaʻo ai a hoʻomākaukau. Pono ʻoe e ʻike i ke kākoʻo i loaʻa iā ʻoe. Ua hoʻomohala mākou i kekahi mau ʻōlelo aʻoaʻo e pili ana i nā mea kūpono e pono ai ʻoe e ʻike inā loaʻa iā ʻoe a i ʻole kekahi mea aloha i ka lymphoma. Kaomi i ka loulou ma lalo no ka ʻike hou aku.
Nā lāʻau lapaʻau mua a me ka lua
Hiki i ka lāʻau lapaʻau mua ke hana maikaʻi loa i ka waiho ʻana i ka lymphoma i ke kala ʻana, a i ʻole i kekahi mau manawa e hoʻōla loa i ka lymphoma. Eia naʻe, i kekahi mau hihia, hiki i ka PTCL-NOS hoʻi hou, ʻo ia hoʻi, hoʻi mai a e pono hou ka lapaau. Ke loaʻa iā ʻoe ka lāʻau lapaʻau i ka lua o ka manawa, ua kapa ʻia ka lāʻau lapaʻau lua.
Pono paha ʻoe i ka lāʻau lapaʻau ʻelua inā he pale kou lymphoma i ka lāʻau lapaʻau mua, ʻo ia hoʻi, ʻaʻole ia e holomua me ka lāʻau lapaʻau mua. No ka 'ike hou aku e pili ana i ka lymphoma relapsed a refractory, e kaomi ma lalo o ka 'ao'ao ma hope o ka mālama 'ana.
Hoʻohana ʻia ka radiotherapy i nā kukui uila kiʻekiʻe (radiation), e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia ma ke ʻano he lapaʻau iā ia iho, a i ʻole me nā lāʻau lapaʻau ʻē aʻe e like me ka chemotherapy. I kekahi manawa hiki ke hāʻawi ʻia ma hope o kou ʻoki ʻana, no ka ʻike ʻana ʻaʻohe mau sela lymphoma i koe.
Aia nā kumu like ʻole e ʻōlelo ai kāu kauka i ka mālama radiation no ʻoe. Hiki ke hoʻohana ʻia no ka mālama ʻana a hoʻōla paha i ka PTCL-NOS mua, a i ʻole hiki ke hoʻohana ʻia e hoʻomaikaʻi i nā hōʻailona. Hiki ke loaʻa kekahi mau hōʻailona e like me ka ʻeha a i ʻole nāwaliwali inā ʻoi aku ka nui o kou maʻi lymphoma, a i ʻole ke kau ʻana i kou mau aʻalolo a i ʻole ke kuamoʻo. I kēia hihia, hāʻawi ʻia ka radiation e hōʻemi i ke koko a hoʻomaha i ke kaomi. Akā naʻe, ʻaʻole i manaʻo ʻia e hoʻohana ʻia i mea lapaʻau.
Inā loaʻa iā ʻoe ka lymphoma ma kahi ʻāpana o kou kino a hiki ke hoʻoneʻe ʻia me ka palekana, pono paha ʻoe e hana i kahi ʻoki me ka nui o ka manawa e ho'ōla ai i kou lymphoma. I kekahi mau hihia, hiki iā ʻoe ke hāʻawi ʻia i ka lāʻau lapaʻau e loaʻa ma hope o ke ʻoki ʻana i mea e maopopo ai ʻaʻohe mau pūnaewele lymphoma i koe.
ʻO ka Chemotherapy nā lāʻau lapaʻau e hana ana ma ka luku ʻana i nā cell e ulu wikiwiki ana, no laila hiki iā lākou ke hana maikaʻi loa i ka mālama ʻana i nā lymphoma e ulu wikiwiki ana e like me PTCL-NOS. Eia nō naʻe, ʻaʻole hiki i ka chemotherapy ke haʻi i ka ʻokoʻa ma waena o nā pūnaewele maʻi maʻi wikiwiki a me nā cell olakino e ulu wikiwiki ana.
No kēia kumu, hāʻawi ʻia ka chemotherapy ma ke ʻano he hui o nā lāʻau lapaʻau i nā pōʻai. 'O ia ho'i, loa'a pinepine 'oe ma mua o ho'okahi 'ano o ka chemotherapy e kaupalena 'ia ka hopena 'ao'ao o kēlā me kēia. Hāʻawi ʻia ia ma ke ʻano he mau pōʻai, no laila e loaʻa iā ʻoe ka chemotherapy a laila hoʻomaha a hiki i 3 mau pule a laila ʻoi aku ka chemotherapy. ʻEhia mau pōʻaiapuni āu e hilinaʻi ai i kāu kūlana pilikino a me ka protocol chemotherapy.
Pākuʻi monoclonal
Inā loaʻa i kāu pūnaewele lymphoma kekahi pūmua kikoʻī i kapa ʻia CD30 ma luna o lākou, hiki i kāu kauka ke ʻōlelo pū me ka monoclonal antibody i kapa ʻia brentuximab vedotin i kāu protocol lapaʻau. Hiki wale kēia lāʻau lapaʻau inā loaʻa iā ʻoe ka protein CD30.
ʻO ka lāʻau lapaʻau mua
ʻO ka lāʻau lapaʻau mua e pili ana i ka nui o kāu lapaʻau mua. Hoʻokomo pinepine ʻia kēia i nā ʻano like ʻole o ka chemotherapy. ʻO ke kaʻina lapaʻau a kāu haematologist a i ʻole oncologist e ʻōlelo aku iā ʻoe e hilinaʻi i kou kūlana pilikino me kou olakino holoʻokoʻa a me nā kumu genetic i loaʻa i kāu biopsies. Ua helu ʻia kekahi mau protocol maʻamau ma lalo nei, akā hāʻawi ʻia paha ʻoe i kahi mea ʻokoʻa i kēia.
kua - cyclophosphamide, doxorubicin, vincristine a me kahi steroid i kapa ʻia he prednisolone
CHOEP - like me CHOP akā me kahi chemotherapy hou i kapa ʻia ʻo etoposide.
Nā lāʻau lapaʻau lua
Hiki i nā lāʻau lapaʻau ʻelua ke hoʻokomo i nā mea i luna inā ua kala ʻia ʻoe no ka manawa lōʻihi. eia naʻe, hiki i kāu kauka ke ʻōlelo aku i nā ʻano lāʻau lapaʻau like ʻole i ʻoi aku ka maikaʻi no ʻoe. Hiki i kēia mau mea ke komo:
ʻO Gemcitabine a me vinorelbine.
Pralatrexate.
Romidepsin.
DHAC - Ua kapa ʻia ʻo steroid he dexamethasone, a me nā chemotherapies cytarabine a me carboplatin.
DHAP - ka mea steroid i kapa ʻia ʻo dexamethasone, a me nā chemotherapies cytarabine a me cisplatin.
ESHAP - cisplatin, etoposide, cytarabine, a me kahi steroid i kapa ʻia ʻo methylprednisolone. E loaʻa nō hoʻi iā ʻoe kahi injection i kapa ʻia ʻo pegfilgrastim e kōkua i kāu mau keʻokeʻo keʻokeʻo e ola hou.
GDP - gemcitabine, dexamethasone (steroid) a me cisplatin.
hau - ifosfamide, carboplatin a me etoposide.
Ma muli o kou makahiki a me kou olakino holoʻokoʻa, hiki ke hāʻawi ʻia iā ʻoe a hoʻololi ʻana i nā pūnaʻi ma ke ʻano he ʻāpana o kāu lapaʻau laina lua. He lāʻau hoʻopakele hoʻopakele i hāʻawi ʻia e pani i kou mau koko koko ma hope o ka hāʻawi ʻia ʻana o ka nui o ka chemotherapy. Ma muli o ka hoʻopau ʻana o ka lāʻau lapaʻau kiʻekiʻe i kou mau koko koko pono ʻoe e kūpono a ʻōpio (ma lalo o 65 mau makahiki) e hoʻokō i nā hopena ʻaoʻao chemotherapy.
ʻO ka hoʻololi ʻana i ka stem-cell kahi mālama hoʻopakele e hoʻopakele iā ʻoe mai nā hopena o ka chemotherapy kiʻekiʻe. ʻO ka chemotherapy kiʻekiʻe ka lāʻau lapaʻau no kou lymphoma, a ua pani nā pūnaewele i ke koko i pepehi ʻia e ka chemotherapy kiʻekiʻe.
Ma ka loaʻa ʻana o ka hoʻololi ʻana o ka stem cell ma hope o ka chemotherapy, hiki ke hāʻawi ʻia iā ʻoe ka nui o ka nui o ka lāʻau lapaʻau e ola ʻole ai ʻoe inā ʻaʻole no ka transplant cell stem.
Ma muli o kou mau makahiki a me kou olakino, hiki ke hāʻawi ʻia iā ʻoe kahi hoʻololi stem cell ma ka hopena o ka lāʻau lapaʻau mua. ʻO ka nui o nā haukapila i ʻoki ʻia ma kahi o 65 mau makahiki no ka mea i ko mākou mau makahiki ʻaʻole hiki i ko mākou kino ke pale aku i ke koʻikoʻi e loaʻa ana ko mākou kino me ka chemotherapy kiʻekiʻe.
Inā ʻaʻole i loaʻa iā ʻoe kahi hoʻololi stem-cell ma hope o kāu lapaʻau mua ʻana a hoʻi hou kāu lymphoma, hiki ke hāʻawi ʻia iā ʻoe i kahi transplant cell stem ma ke ʻano he lāʻau lapaʻau lua.
Hiki ke ʻike hou aʻe e pili ana i ka transplant cell stem Loaʻa maʻaneʻi.
ʻO nā hoʻokolohua lapaʻau pehea e hiki ai i nā mea noiʻi ke ʻimi i nā lāʻau lapaʻau hou e hoʻomaikaʻi ai i nā hopena no ka poʻe me ka lymphoma. Hiki iā lākou ke hoʻokomo i nā lāʻau lapaʻau hou, nā hui pū ʻana a i ʻole nā ʻano lāʻau lapaʻau a i ʻole nā ʻano lāʻau lapaʻau like ʻole.
ʻO ka PTCL-NOS he maʻi maʻi ʻaʻai ʻole, a no laila hāʻawi nā hoʻokolohua lapaʻau i kahi ala e ʻike ai i nā lāʻau lapaʻau e kūpono loa iā ʻoe. Eia naʻe, ʻaʻohe mea hōʻoiaʻiʻo me nā hoʻokolohua lapaʻau, no ka mea, ʻo kā lākou kumu e ʻike inā ʻoi aku ka maikaʻi o ka lāʻau hou ma mua o nā lāʻau lapaʻau o kēia manawa. I kekahi mau hihia, ʻoi aku ka maikaʻi o ka hana, a ʻoi aku ka maikaʻi o nā mea ʻē aʻe. ʻAʻohe ala e ʻike ai inā e loaʻa iā ʻoe kahi pane maikaʻi aʻe ma kahi hoʻokolokolo a i ʻole me nā lāʻau lapaʻau o kēia manawa.
ʻO kēlā ʻōlelo, paipai mau mākou iā ʻoe e nīnau i kāu kauka e pili ana i nā hoʻokolohua lapaʻau e hiki ai iā ʻoe ke kūpono a me nā pōmaikaʻi a me nā pilikia o ka hoʻokolokolo. Hiki ke hāʻawi ʻia nā hoʻokolohua lapaʻau i kēlā me kēia manawa ma kāu ala lapaʻau.
A laila hiki iā ʻoe ke hoʻoholo e pili ana i kāu lymphoma a me ka ʻike hoʻokolokolo i hāʻawi ʻia. Hiki ke ʻike hou aku e pili ana i nā hoʻokolohua lapaʻau Loaʻa maʻaneʻi.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
ʻOkoʻa ka pane ʻana o nā kānaka a pau i nā lāʻau lapaʻau, a ʻo ke ʻano o nā hopena ʻaoʻao e loaʻa iā ʻoe e hilinaʻi ʻia i nā lapaʻau āu e loaʻa nei, kou olakino holoʻokoʻa, kahi i loko o kou kino kou lymphoma i waena o nā mea ʻē aʻe.
ʻOi aku ka maʻamau o kekahi mau hopena ʻaoʻao ma mua o nā mea ʻē aʻe. No ka ʻike hou aku e pili ana i nā hopena ʻaoʻao o ka mālama ʻana, pehea e mālama ai iā lākou i ka home a me ka wā e ʻike ai i kāu kauka, kaomi i ka loulou ma lalo nei.
Hoʻopau i ka mālama ʻana
Hiki i ka hoʻopau ʻana i ka mālama ʻana ke hoʻopiha iā ʻoe i nā ʻano manaʻo like ʻole. Hiki paha iā ʻoe ke hauʻoli no ka pau ʻana o ka mālama ʻana a hiki iā ʻoe ke hoʻomaka e noʻonoʻo hou i ke ola, a hopohopo paha ʻoe no ka ʻike ʻole ʻana i kāu mau kauka a me nā kahu hānai e like me kāu i hoʻohana ai.
ʻO nā mea a pau āu e manaʻo nei, pono ʻoe e manaʻo. ʻAʻohe ala kūpono a hewa ʻole paha e manaʻo ai e pili ana i ka hoʻopau ʻana i ka mālama ʻana, a he mea nui e ʻike inā ʻoiai e pau ka mālama ʻana, ʻaʻole ʻoe e waiho wale ʻia. ʻAʻole hoʻi e hoʻi pololei ke ola i ka mea maʻamau.
E hahai i nā koho
Loaʻa iā ʻoe nā manawa maʻamau me kāu hematologist a i ʻole oncologist. E hana lākou i kahi hoʻokolohua kino o kāu mau lymph nodes a nānā i nā hopena hoʻāʻo koko a nīnau iā ʻoe e pili ana i nā hōʻailona a i ʻole nā hopena ʻaoʻao e loaʻa iā ʻoe. Loaʻa paha iā ʻoe ka hahai ʻana i ka PET a i ʻole CT scans, ʻoiai e pili ana kēia i kou kūlana pilikino.
Nā hopena ʻaoʻao hope a i ʻole e mau ana
I ka hapanui o nā hihia, e hoʻomaikaʻi ʻia kāu hopena ʻaoʻao mai ka mālama ʻana i loko o nā pule a i ʻole mau mahina o ka pau ʻana o ka mālama ʻana. Eia nō naʻe, kakaikahi, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao e pono ai ka hoʻokele lōʻihi, a i ʻole e hoʻomaka lōʻihi ma hope o ka pau ʻana o ka mālama ʻana.
E hōʻike i nā hōʻailona hoʻomau a i ʻole hou a me nā hopena ʻaoʻao i kāu kauka i hiki iā lākou ke loiloi a ʻōlelo pono iā ʻoe i ke ʻano o ka mālama ʻana iā lākou.
hōʻuluʻulu manaʻo
- ʻO ka PTCL-NOS he ʻano kakaʻikahi loa ia o ka maʻi kanesa akā ʻo ia ka subtype maʻamau o Peripheral T-cell Non-Hodgkin Lymphomas.
- Hiki iā ia ke nodal a i ʻole extra-nodal a e pili ana kāu mau hōʻailona ma kahi e ulu ai kāu lymphoma.
- Loaʻa paha iā ʻoe nā hōʻailona B inā e ulu wikiwiki ana, akā ʻaʻole mau.
- ʻO ka PTCL-NOS maʻamau he ʻano lymphoma koʻikoʻi e pono ai ka mālama ʻana ma hope koke o kou ʻike ʻia ʻana.
- Nui nā ʻano lapaʻau like ʻole e hāʻawi ʻia iā ʻoe, a ʻo ka mea maikaʻi loa no ʻoe e hilinaʻi ʻia ma kāu mau kumu ponoʻī.
- ʻO ka ʻike ʻana i nā hopena ʻaoʻao āu e loaʻa ai a pehea e hoʻokele ai iā lākou a me ka wā e hoʻopili ai i kāu kauka hiki ke kōkua i ka hoʻōki ʻana i ka pōʻino.
- Hiki i ka PTCL-NOS ke pane maikaʻi i ka lāʻau lapaʻau mua, akā hiki ke hoʻihoʻi hou a makemake hou i ka lāʻau lapaʻau.
- E hōʻike i nā hōʻailona hou a ʻino a me nā ʻaoʻao=-hopena i kāu haematologist a i ʻole oncologist.
- Hiki iā ʻoe ke hoʻokaʻaʻike i kā mākou mau kahu lymphoma ma ke kaomi ʻana i ka kāhea iā mā˚ou pihi ma ka lalo o ka papa.
