Nā mea e pono ai ʻoe e ʻike e pili ana i ke Kanesa Koko - Mai makaʻu, e kamaʻilio kākou e pili ana!

Ke lohe kākou i ka huaʻōlelo "maʻi kanesa," makaʻu iki kākou a pau, ʻeā? Ke lohe kākou i ka huaʻōlelo "maʻi kanesa koko," hiki iā kākou ke makaʻu hou aku. Akā, he mea nui loa ka ʻike ʻana i ke ʻano maoli o ia mea, ke kumu e ulu ai, he aha nā hōʻailona, ​​a inā he mau lāʻau lapaʻau. A laila hiki iā ʻoe ke kū i kēia kūlana me ka makaʻu ʻole. No laila, i kēia lā e kamaʻilio maʻalahi kākou e pili ana i kēia maʻi kanesa koko, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ke Kanesa Koko? He aha ka mea e hana ʻia i loko o ko kākou kino?

I ka ʻōlelo maʻalahi, he maʻi ka maʻi ʻaʻai koko e hoʻopilikia i nā hunaola koko i loko o ko mākou kino a me ke ʻano o ka hana ʻana o kēlā mau hunaola. Hoʻomaka ka hapa nui o kēia mau maʻi ʻaʻai koko i loko o ko mākou iwi iwi. He mea palupalu ka iwi iwi, e like me ka huʻahuʻa i loko o ko mākou mau iwi. ʻO kēia iwi iwi kahi e hana ai ko mākou kino i nā hunaola kumu. Ma hope aku, lilo kēia mau hunaola kumu i nā hunaola koko e like me kēia:

• Nā Kelepona Koko ʻUlaʻula: ʻO kēia nā mea e lawe ana i ka oxygen ma o ko kākou kino. E noʻonoʻo iā lākou me he mau kalaka liʻiliʻi e lawe ana i ke ola i kēlā me kēia ʻāpana o ko kākou kino.
• Nā Kelepona Koko Keʻokeʻo: Ua like kēia me nā koa e hakakā nei i nā maʻi a me nā huakini e komo i loko o ko kākou kino.
• Nā Platelets: Kōkua kēia i ka hoʻōki ʻana i ke kahe ʻana o ke koko ke loaʻa kahi ʻeha.

I kēia manawa, i ka wā e ulu ai kahi maʻi ʻaʻai koko, no kekahi kumu, hele hewa ke kaʻina hana o ka hana ʻana i kēia mau hunaola koko. ʻAʻole hiki i nā hunaola kanesa e hana i ka hana a nā hunaola koko maʻamau e hana ai. Akā, māhele koke kēia mau hunaola kanesa ʻē aʻe a ma waho o ke kaohi, e hoʻokuke ana i nā hunaola koko maikaʻi a hoʻopōʻino i ka ʻōnaehana holoʻokoʻa. Ua like ia me nā nāhelehele e ulu a uhi ana i nā mea kanu maikaʻi.

He maʻi koʻikoʻi ka maʻi ʻaʻai koko, he ʻoiaʻiʻo kēlā. Akā ʻo ka nūhou maikaʻi, ua nui ka poʻe e hoʻōla nei mai ke kanesa koko, a i ʻole e ola holomua ana me ka maʻi.

Aia kekahi mau ʻano maʻi ʻaʻai koko? He aha lākou?

ʻAe, ʻekolu mau ʻano nui o ke kanesa koko. He nui nā ʻano like ʻole o kēlā me kēia ʻano.

1. Leukemia: ʻO kēia ke ʻano maʻamau o ke kanesa koko, ʻoi aku hoʻi i ka wā kamaliʻi. Hoʻomaka nā hunaola leukemia i loko o ka iwi iwi. Mai laila mai, hiki iā lākou ke laha i ke koko. ʻO ka hapa pinepine, he mau hunaola koko keʻokeʻo ʻōpiopio kēia.

2. Lymphoma: He maʻi ʻaʻai kēia e ulu ana i loko o kā mākou ʻōnaehana lymphatic. Hoʻomaka nā pūnaewele Lymphoma mai kahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo lymphocytes. Hiki i kēia mau pūnaewele kanesa ke hana i nā puʻupuʻu ma nā wahi e like me kā mākou mau lymph nodes. ʻO Hodgkin Lymphoma a me Non-Hodgkin Lymphoma nā ʻano nui ʻelua.

3. Myeloma: He maʻi ʻaʻai nō hoʻi kēia e hoʻomaka ana ma ka iwi iwi. Hoʻopilikia ia i kahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo nā cell plasma. ʻO Multiple Myeloma ke ʻano maʻamau.

Ma waho aʻe o kēia mau ʻano nui, aia kekahi mau ʻano maʻi koko maʻamau ʻole:

• ʻO nā Neoplasms Myeloproliferative (MPN): ʻO kēia maʻi kanesa ke kumu o kou iwi iwi e hana i nā keʻokeʻo koko hou aʻe, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā ​​​​platelets ma mua o ka mea e pono ai.
• Nā Myelodysplastic Syndromes (MDS): Ma kēia kūlana, hana kou iwi iwi i nā hunaola koko ʻē. I kekahi manawa, ʻaʻole oʻo pono kēia mau hunaola koko, ʻo ia ke kumu he ʻano ʻē lākou. Ua kapa ʻia kēia mau hunaola ʻōpiopio he mau pahū.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa nā hōʻailona o nā maʻi kanesa koko ma muli o ke ʻano o ke kanesa, akā aia kekahi mau hōʻailona koʻikoʻi e makaʻala ai ma ke ʻano laulā:

• Manaʻo luhi loa (Fatigue): ʻAʻole wale ka luhi, akā, ka luhi nui loa e nalo mau ana me ka nānā ʻole i ka nui o kou hiamoe ʻana.
• Pōkole o ka hanu: ʻOiai ʻo ka hana ʻana i kahi hana liʻiliʻi hiki ke hoʻopōkole i ka hanu.
• Nā ʻōpū lymph pehu: Pehu ʻeha ʻole ma nā wahi e like me ka ʻāʻī, nā armpits, a me ka ʻūhā.
• Nā maʻi pinepine: Loaʻa pinepine nā maʻi ma muli o ka nāwaliwali o nā hunaola pale maʻi o ke kino.

Ma waho aʻe o kēia, aia paha nā hōʻailona ʻē aʻe:

• ʻEha kino, ʻoi aku hoʻi ka ʻeha iwi.
• Ka hou ʻana o ka pō: A hiki i kahi e pulu ai nā pepa moe.
• Ke akepaʻa a i ʻole ka spleen i hoʻonui ʻia.
• ʻEha hui.
• Ke kuni mau.
• Ka pohō kaumaha i wehewehe ʻole ʻia.
• ʻO ka palapū a i ʻole ke kahe koko ʻana ma ke ʻano ʻē, ke kahe koko ʻana mai kahi palapū liʻiliʻi, nā kiko ʻulaʻula liʻiliʻi (petechiae) a i ʻole nā ​​kiko poni (purpura) ma ka ʻili.

ʻO ka mea nui, mai makaʻu ʻoe ua loaʻa iā ʻoe ka maʻi kanesa no ka mea he hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. Hiki i kēia ke lilo i mau hōʻailona o nā maʻi maʻamau ʻē aʻe. Akā inā hoʻomau kēia mau hōʻailona no nā pule he nui, he mea naʻauao maoli ke ʻike i ke kauka a nānā ʻia.

No ke aha e ulu ai kēia maʻi ʻaʻai koko? He aha ke kumu?

ʻO ke kumu nui o ke kanesa koko, ʻo ia nā loli (nā hoʻololi ʻana) i loko o ka `DNA` o nā hunaola koko. I ka ʻōlelo maʻalahi, ua like ka `(DNA)` me ke "kikowaena hoʻomalu" e hāʻawi ana i nā kuhikuhi i kā mākou mau hunaola. ʻO nā mea āpau e hoʻoholo ai i ka wā e ulu ai kahi hunaola koko, i ka wā e māhele ai, a i ka wā e make ai, ua hoʻoholo ʻia e nā kuhikuhi i hāʻawi ʻia e kēia `(DNA)`.

No laila, inā ua kākau ʻia nā kuhikuhi hewa i loko o kēia `(DNA)`, ʻo ia hoʻi, inā loaʻa kahi `(mutation)`, hoʻomaka ka hana ʻana o nā hunaola koko ʻē i loko o ko kākou kino. Hoʻomaka kēia mau hunaola ʻē e māhele wikiwiki a ʻoi aku ka hiki ʻole ke kāohi ʻia ma mua o nā hunaola maʻamau. Ke hana ʻia kēlā, ua piha mālie nā hunaola koko maikaʻi a maʻamau, a ua piha ka ʻōnaehana me ka nui o nā hunaola ʻē.

I ka hopena, emi iho ka nui o nā pūnaewele maʻamau i hana ʻia e ka iwi iwi. ʻO ke ʻano kēia, ʻaʻole lawa nā pūnaewele maikaʻi e hana i nā hana koʻikoʻi no ke kino.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka maʻi ʻaʻai koko?

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ke kanesa koko. ʻO lākou kēia:

• Makahiki: Piʻi ka pilikia me ka makahiki.
• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai koko i nā kāne.
• Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe e puhipaka ana a i ʻole i pili i ka uahi lua.
• ʻIke ʻia i nā kemika ʻawahia: ʻO ka ʻike lōʻihi ʻana i nā kemika e like me `(Benzene)` a me `(Formaldehyde)` hiki ke hoʻonui i ka pilikia. ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e hana ana ma nā wahi e like me nā hale hana.
• Lāʻau lapaʻau ma mua: Inā ua loaʻa iā ʻoe nā lāʻau lapaʻau e like me ka chemotherapy a i ʻole ka radiation therapy, hiki ke hoʻonui iki ʻia kou pilikia o ka loaʻa ʻana o ke kanesa koko.
• Moʻolelo ʻohana: Loaʻa i kekahi mau ʻano maʻi ʻaʻai koko i loko o nā ʻohana. Eia nō naʻe, ʻaʻole i loaʻa i nā kānaka a pau ka maʻi ʻaʻai koko kahi moʻolelo ʻohana o ka maʻi.
• Kekahi mau kūlana olakino: ʻO ka poʻe me kekahi mau maʻi autoimmune (nā maʻi e hoʻouka i nā hunaola ponoʻī o ke kino), ka mumū mau, a me kekahi mau maʻi genetic e piʻi aʻe ka pilikia o ka maʻi ʻaʻai koko.

Aia kekahi mea hiki iā mākou ke hana e hōʻemi i kēia pilikia?

ʻO kaʻoiaʻiʻo, ʻaʻole hiki ke pale ʻia ke kanesa koko. ʻOiai ke kanaka olakino me nā kumu pilikia ʻole, hiki ke loaʻa i ke kanesa koko. Eia nō naʻe, ma ka noho mamao ʻana mai kekahi mau kumu pilikia, e like me ka pale ʻana i ka puhipaka, hiki ke hoʻemi ʻia ka pilikia i kekahi ʻano.

Pehea e ʻike ai nā kauka i kēia maʻi? (Diagnosis)

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a inā paha ua loaʻa i kekahi o kou ʻohana kēia mau maʻi. A laila e hana lākou i kahi hoʻokolokolo kino piha. Ma muli o ke ʻano o ka maʻi kanesa a ke kauka e kānalua nei, pono paha lākou e hana i kekahi mau hoʻokolohua like ʻole.

• Nā hoʻāʻo koko:
• Helu Koko Piha (CBC): Nānā kēia i nā pae haʻahaʻa a kiʻekiʻe paha o nā keena koko ʻulaʻula, nā keena keʻokeʻo, a me nā platelets i loko o ke koko.
• `Hoʻāʻo Kemika Koko`: Nānā kēia i kekahi mau protein a me nā enzyme i loko o ke koko. Hiki i kēia ke lilo i mau hōʻailona o ke kanesa koko.
• Nā hoʻāʻo kiʻi: Hiki i kēia ke nānā i nā hōʻailona o ka maʻi ʻaʻai i loko o ke kino. ʻO nā hiʻohiʻona o kēia mau hoʻāʻo e komo pū me nā scan CT, nā scan MRI, a me nā scan PET.
• Biopsy o ka iwi iwi: E lawe kāu kauka i kahi hāpana liʻiliʻi o kou iwi iwi a nānā iā ia. E kōkua kēia e ʻike i ka nui o nā hunaola maʻi ʻaʻai ʻē aʻe i hoʻohālikelike ʻia me nā hunaola maʻamau, a inā paha he mau loli i loko o ka DNA e hiki ke lilo i kumu o ka maʻi ʻaʻai.

He aha nā lāʻau lapaʻau no nā maʻi ʻaʻai koko?

ʻO ka mea pōmaikaʻi, aia i kēia manawa he nui nā lāʻau lapaʻau holomua no ke kanesa koko. Eia kekahi o nā lāʻau lapaʻau nui:

• Kemokalama:ʻO kēia ke ʻano lapaʻau nui no ke kanesa koko. Hana ia ma ka luku ʻana i nā hunaola kanesa a me ke kāohi ʻana i ka laha ʻana o ka maʻi, a i ʻole ka hoʻopau loa ʻana iā ia. Hoʻohana ʻia nā ʻano lāʻau "Chemotherapy" like ʻole no nā ʻano maʻi kanesa koko like ʻole.
• Lapaʻau Radiation: Hoʻohana kēia lāʻau i nā kukuna ikehu kiʻekiʻe e hōʻino i ka DNA o nā cell ʻano ʻē a hoʻōki iā lākou mai ka māhele ʻana. I kekahi manawa hāʻawi ʻia kēia lāʻau e hōʻemi i nā hōʻailona (Palliative Care). Hāʻawi pinepine ʻia me nā lāʻau ʻē aʻe.
• Immunotherapy: Hana kēia ma ka hoʻoikaika ʻana i ka ʻōnaehana pale ponoʻī o kou kino e kōkua iā ia e hakakā i ka maʻi kanesa. ʻO nā Monoclonal Antibodies a me CAR T-cell Therapy nā lāʻau lapaʻau kaulana i hoʻohana ʻia no kēia.
• Lapaʻau i Kūkuhi ʻia: Ua hoʻolālā ʻia kēia mau lāʻau lapaʻau e kuhikuhi a hoʻouka i nā nāwaliwali kikoʻī i nā ʻōpū kanesa i hoʻokumu ʻia e nā loli genetic.
• Hoʻoili Kelepona Kumu:
• Hoʻoili Kelepona Kumu Autologous: Ma kēia, hōʻiliʻili nā kauka a mālama i nā kelepona kumu mai kou iwi ponoʻī ma mua o ka hāʻawi ʻana iā ʻoe i ka chemotherapy nui. Ma hope o ka pepehi ʻana o ka chemotherapy i nā kelepona maʻi ʻaʻai, hoʻihoʻi ʻia nā kelepona kumu olakino i kou kino. A laila hana lākou i nā kelepona koko olakino.
• Hoʻoili Kelepona Kumu Allogeneic: I kekahi manawa, pono e hoʻololi i ka iwi iwi i hōʻino ʻia me ka iwi iwi olakino. I kēia hihia, loaʻa i nā kauka kahi mea hāʻawi iwi iwi i kūpono iā ʻoe a hoʻohana i kā lākou mau cell e hoʻololi i kāu mau cell i hōʻino ʻia.

Āhea ʻoe e makemake ai e ʻike hou i ke kauka?

E haʻi aku kāu kauka iā ʻoe i nā hōʻailona a i ʻole nā ​​​​hōʻailona āu e makaʻala ai ma hope o ka mālama ʻana. Hiki i nā lāʻau lapaʻau āpau ke hana i nā hopena ʻaoʻao, hiki i kekahi o ia mau mea ke koʻikoʻi. E wehewehe kāu kauka pehea e hiki ai iā ʻoe ke hoʻokele i kekahi o kēia mau hopena ʻaoʻao ma ka home. E haʻi pū ʻo ia iā ʻoe i ka wā e pono ai ʻoe e hana i kahi manawa hoʻopaʻa a i ʻole e ʻimi i ka mālama ulia pōpilikia.

Hiki ke ho'ōla loa ʻia ke kanesa koko?

ʻAe! I ka hapanui o nā hihia, ʻo ka pahuhopu o ka mālama ʻana i ke kanesa koko ka hoʻōla loa ʻana i ka maʻi. ʻO ia hoʻi, ua nalowale loa ke kanesa a ʻaʻole e hoʻi hou mai. ʻOiai i kekahi manawa ʻaʻole hiki ke hoʻōla piha ʻia, ʻae nā lāʻau lapaʻau holomua i kekahi mau ʻano kanesa koko e komo i kahi kūlana i kapa ʻia ʻo "remission." ʻO "Remission" ʻo ia hoʻi ua hōʻemi ka lāʻau lapaʻau i ke kanesa i kahi i ʻike ʻole ʻia ai a ʻaʻole hiki ke ʻike ʻia e nā hoʻokolohua. ʻO ia hoʻi, hiki iā ʻoe ke ola i kahi ola maʻamau a olakino me ka maʻi.

He aha nā helu ola no ke kanesa koko?

ʻOkoʻa nā helu ola ma muli o ke ʻano o ka maʻi kanesa, akā hiki i ka hapa nui o ka poʻe ke manaʻo e ola e like me ka lōʻihi o kekahi me ka ʻole o ke kanesa koko.

E hoʻomanaʻo, ʻaʻohe mea hiki ke wānana pololei i ka lōʻihi o ke ola ʻana o kekahi. No ka laʻana, ʻoi aku ka make o kekahi mau ʻano maʻi ʻaʻai koko ma mua o nā mea ʻē aʻe. Eia kekahi, ʻaʻole noʻonoʻo kēia mau helu ola i ka holomua o nā lāʻau lapaʻau hou loa. ʻO ka ʻoiaʻiʻo, ua pāpālua ka nui o ka poʻe i ola i ka lymphoma i nā makahiki 40 i hala. A ua pāpālua ka nui o ke ola ʻelima makahiki no ka poʻe i ola i ka leukemia i nā makahiki 40 i hala! ʻOi aku ka nui o ka poʻe e ola nei i nā maʻi ʻaʻai koko i kēlā me kēia lā.

He aha kaʻu e hana ai e kōkua iaʻu e ʻoi aku ka maikaʻi?

Hiki i ke kanesa koko a me kāna mālama ʻana ke hoʻopilikia i kou olakino holoʻokoʻa. Eia kekahi mau mea e hiki ke kōkua iā ʻoe e noho olakino:

• E ʻai i ka meaʻai momona a kaulike. Hiki i ke kanesa koko a me kāna mau lāʻau lapaʻau ke kumu o ka nalowale o ka makemake. Inā pilikia ʻoe i ka ʻai ʻana, e kamaʻilio me kahi meaʻai meaʻai e pili ana i ke ʻano e loaʻa ai iā ʻoe ka meaʻai āu e pono ai.
• E noho ikaika e like me ka hiki. He mea nui ka hoʻoikaika kino, akā e nīnau i kāu kauka i ka pae o ka hoʻoikaika kino hiki iā ʻoe ke hana me ka palekana.
• E hoʻolilo i ka hoʻomaha i mea nui. E hoʻolohe i kou kino. E hoʻomaha i ka manawa e pono ai, ʻaʻole wale i ka wā e luhi ai ʻoe.
• E pale iā ʻoe iho mai nā maʻi. E nīnau i kāu kauka e pili ana i nā ala e pale aku ai i ka maʻi (e laʻa, ka pale ʻana i nā wahi piha kanaka, ka holoi pinepine ʻana i kou mau lima).
• E mālama i kou olakino noʻonoʻo. I nā manawa paʻakikī e like me kēia, ʻo ke kamaʻilio ʻana me kahi mea hoʻoponopono a i ʻole ke komo ʻana i kahi hui kākoʻo hiki ke lilo i kumu ikaika nui. Hiki iā ia ke kōkua iā ʻoe e hoʻomanawanui i ke ola ma hope o ka maʻi ʻaʻai.

Ma muli o nā lāʻau lapaʻau hou, ʻoi aku ka nui o ka poʻe e noho nei me ka leukemia ma mua o ka wā ma mua. A he nui ka poʻe i ʻike ʻia ua hoʻomaha ʻia. He nūhou maikaʻi kēia. Akā he maʻi koʻikoʻi nō ka leukemia. No laila he mea nui e hoʻohana pono i nā kōkua a me nā kumuwaiwai āpau i loaʻa iā ʻoe. E hoʻomaopopo i kāu mau koho lapaʻau āpau. E kamaʻilio me kāu kauka e pili ana i ka hopena o kāu hōʻailona a me ka lāʻau lapaʻau i kou wā e hiki mai ana.

Leka Hoʻihoʻi Hope Loa

He huaʻōlelo weliweli ka maʻi ʻaʻai koko. Akā, e hoʻomanaʻo i kēia mau mea:

• ʻO ka ʻike ka mana nui loa. He mea nui loa ka ʻike pono ʻana e pili ana i kēia maʻi a me kona lāʻau lapaʻau.
• I kēia lā, aia nā lāʻau lapaʻau kūpono loa no nā maʻi ʻaʻai koko. Hoʻōla piha ka nui o ka poʻe a ola maikaʻi paha me ka maʻi ma lalo o ke kaohi.
• Inā loaʻa iā ʻoe kekahi mau hōʻailona, ​​e ʻike koke i ke kauka.
• E kūkākūkā ākea i nā mea a pau me kāu kauka i ka wā o ke kaʻina hana lapaʻau.E nīnau i kāu mau nīnau a me nā makaʻu a pau.
• ʻAʻole ʻoe hoʻokahi. E kiʻi i ke kōkua mai ka ʻohana, nā hoaaloha, nā limahana lapaʻau, a me nā hui kākoʻo.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ke Kanesa Koko, Leukemia, Lymphoma, Myeloma, Nā Hōʻailona Kanesa, Lapaʻau Kanesa