Ke ʻike nei ʻoe i nā puʻupuʻu ma kou kino? He Hodgkin Lymphoma paha ia? E kamaʻilio kākou!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma kou ʻāʻī, kou ʻāʻī lima, a i ʻole kou ʻūhā? A i ʻole ua luhi loa ʻoe no nā lā, a i ʻole he kuni koke? I kekahi manawa he mea maʻamau kēia. Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea maikaʻi ke hopohopo iki. No ka mea, he mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo Hodgkin Lymphoma. ʻOiai ke kani weliweli paha ka inoa, he maʻi kēia e hiki ke mālama pinepine ʻia a ho'ōla ʻia. No laila, i kēia lā e kamaʻilio kikoʻī mākou e pili ana iā Hodgkin Lymphoma.

He aha ka Hodgkin Lymphoma?

I ka ʻōlelo maʻalahi, ʻo Hodgkin Lymphoma kahi ʻano maʻi kanesa e ulu ana i loko o kā mākou ʻōnaehana lymphatic , ka ʻōnaehana e hakakā nei i nā germs i loko o ko mākou kino. Ua kapa ʻia hoʻi ʻo ia ka maʻi Hodgkin i ka wā ma mua. ʻElua ʻano nui o ka lymphoma. ʻO kekahi ʻo Hodgkin lymphoma, a ʻo kekahi ʻo Non-Hodgkin Lymphoma. Hoʻopilikia kēia mau maʻi kanesa ʻelua i nā lymphocytes, kahi ʻano o ke koko keʻokeʻo e pono ai i kā mākou ʻōnaehana pale.

Hoʻokumu ʻia ka lymphoma Hodgkin e kahi mutation i loko o nā genes o kā mākou mau lymphocytes B (nā pūnaewele B). Hana ʻia kēia mau loli i ke ola holoʻokoʻa. ʻO ka hapa pinepine, hoʻomaka kēia lymphoma ma nā lymph nodes ma ka ʻāʻī a i ʻole ka lua umauma. I kekahi manawa, hiki nō hoʻi ke ulu i loko o nā lymph nodes ma nā armpits, groin, ʻōpū, a i ʻole pelvis.

ʻO ka nūhou maikaʻi, ʻo ka nui o ka poʻe i mālama ʻia no ka Hodgkin lymphoma a ke ola lōʻihi nei e piʻi nei i kēlā me kēia makahiki. I nā hihia he nui, hiki i ka lāʻau lapaʻau ke ho'ōla loa i ka Hodgkin lymphoma. Eia nō naʻe, i kekahi manawa hiki ke hoʻi hou mai ka maʻi. Inā hana ʻia kēlā, ke ʻimi mau nei nā kānaka noiʻi lapaʻau i nā lāʻau lapaʻau hou.

He aha nā ʻano nui o ka Hodgkin Lymphoma?

ʻEhā ʻano nui o ka lymphoma Hodgkin. E nānā kākou i ko lākou ʻano:

• ʻO ka sclerosis nodular Hodgkin lymphoma: ʻO kēia ke ʻano maʻamau o ka lymphoma Hodgkin. Loaʻa pinepine ia i nā poʻe ʻōpio, ʻoi aku hoʻi nā wahine. Hoʻopilikia pinepine ia i nā lymph nodes ma waenakonu o ka umauma.
• ʻO ka lymphoma Hodgkin cellularity i hui pū ʻia: Loaʻa pinepine kēia ʻano i nā poʻe i ko lākou mau makahiki 60. Hiki ke ulu i kekahi manawa i loko o ka ʻōpū.
• ʻO ka lymphoma Hodgkin maʻamau i piha i nā lymphocyte: Loaʻa kēia ʻano ma kahi o 6% o ka poʻe me ka lymphoma Hodgkin. ʻOi aku ka maʻamau i nā kāne.
• ʻO ka Lymphocyte-depleted Hodgkin lymphoma: He mea kākaʻikahi loa kēia. Loaʻa ia ma kahi o 1% o ka poʻe me ka Hodgkin lymphoma. ʻO ka mea maʻamau ia i ka poʻe ma luna o 60 mau makahiki aHiki ke hana pinepine ʻia kēia i nā poʻe me ka maʻi HIV/AIDS.

Pehea ka maʻamau o ka Hodgkin Lymphoma?

He maʻi laha ʻole ka Hodgkin lymphoma. Hoʻopilikia wale ia ma kahi o ʻekolu i loko o 100,000 mau kānaka i kēlā me kēia makahiki. Akā, ʻo ka mea kupanaha, ʻo ia ke ʻano maʻamau o ka maʻi kanesa i nā keiki a me nā ʻōpio ma waena o nā makahiki 15 a me 19.

Eia nō naʻe, ʻoi aku ka liʻiliʻi o ka Hodgkin lymphoma ma mua o ka non-Hodgkin lymphoma.

He aha nā hōʻailona o ka Hodgkin Lymphoma?

ʻO ka hōʻailona mua maʻamau o ka lymphoma Hodgkin, ʻo ia nā ʻōpū lymph pehu ʻole me ka ʻeha ma ka ʻāʻī, ka armpit, a i ʻole ka groin . Eia kekahi, aia paha kekahi mau hōʻailona ʻē aʻe:

• Luhi mau: Manaʻo nui i ka luhi ma mua o ka maʻamau no kekahi mau lā. Me he mea lā ʻaʻohe ikaika o kou kino.
• Ke kuni i wehewehe ʻole ʻia: ʻO ke kuni kiʻekiʻe ʻaʻole i emi ma hope o ʻelua hola o ka mālama ʻana ma ka home, a i ʻole e mau ana no nā lā ʻelua a ʻoi aku paha, hiki ke lilo i hōʻailona o kahi mea koʻikoʻi.
• Ka hou nui ʻana i ka pō: Ka hou nui ʻana i ka pō a pulu nā moena moe a me nā lole.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Ka pohō kaumaha me ka ʻole o ka hoʻoikaika. Inā ʻoe e pohō i 10% a ʻoi aku paha o kou kaumaha holoʻokoʻa i loko o ʻeono mahina, he mea ia e hopohopo ai.
• ʻŌhūhū (Pruritus): Loaʻa i kekahi poʻe ka ʻōhūhū nui o ka ʻili ma hope o ka inu ʻana i ka waiʻona a i ʻole ka ʻauʻau ʻana.
• ʻEha ʻōpū a pehu paha: ʻAʻole nā ​​ʻeha ʻōpū a pau he hōʻailona ia o kahi maʻi koʻikoʻi. Akā inā loaʻa iā ʻoe ka ʻeha ʻōpū mau a koʻikoʻi ʻaʻole e nalo, e ʻike i ke kauka.
• ʻEha umauma: Hiki ke hōʻike ʻia kēia hōʻailona inā loaʻa ka lymphoma Hodgkin i loko o ka ʻiʻo māmā a i ʻole nā ​​​​​​pū lymph i loko o ka umauma.
• Paʻakikī ka hanu ʻana: He hōʻailona paha kēia o ka Hodgkin lymphoma i loko o nā māmā a i ʻole kahi puʻupuʻu nui i ka umauma.

Kāhea pū nā kauka i kēia mau hōʻailona ʻekolu-ke kuni, ka pohō kaumaha, a me ka hou ʻana o ka pō-"nā hōʻailona B." ʻO ke alo o kēia mau hōʻailona e kōkua i nā kauka e hoʻolālā i kāu prognosis a me ka lāʻau lapaʻau.

He aha ke kumu o ka Hodgkin Lymphoma?

E like me kā mākou i ʻōlelo ai ma mua, ulu ka Hodgkin lymphoma i ka wā e loaʻa ai nā loli genetic i kāu mau cell B. ʻAʻole kēia mau loli he mea āu i hānau ʻia ai, akā he mea i loaʻa i ke ola.

Ke loli nā pūnaewele B ma kēia ʻano, hana lākou i kahi ʻano pūnaewele maʻi kanesa i ʻoi aku ka nui ma mua o nā pūnaewele maʻamau. Ua kapa ʻia kēia mau mea he mau pūnaewele Reed-Sternberg . Hana kēia mau pūnaewele Reed-Sternberg i nā cytokines.Hoʻowalewale kēia mau cytokines i nā pūnaewele maʻamau i nā lymph node i loaʻa nā pūnaewele ʻē. A laila, ʻo nā mea i hoʻokuʻu ʻia e kēia mau pūnaewele maʻamau e hoʻoulu ai i nā pūnaewele Reed-Sternberg e ulu hou aʻe. ʻO ka hopena kēia i ka pehu ʻana o nā lymph node.

Hiki i kēia maʻi kanesa ke laha ma o kāu ʻōnaehana lymphatic i nā lymph node ʻē aʻe, e like me ka thymus a me ka spleen . Hiki nō hoʻi iā ia ke laha i nā lymph node ma ke kino holoʻokoʻa. I kekahi manawa, hiki ke hoʻopilikia i nā ʻōpū ʻē aʻe, e like me nā māmā, ke akepaʻa, a me ka iwi iwi .

He aha nā kumu pilikia?

Ua ʻike nā kauka i kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka Hodgkin Lymphoma:

• Kou makahiki: Inā ʻoe ma waena o 20 a me 39 mau makahiki, a ʻoi aku paha ma mua o 65, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi.
• Kou kāne: ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi Hodgkin lymphoma i nā kāne. Eia nō naʻe, ʻo ke ʻano a mākou i kūkākūkā ai ma mua, ʻo ia hoʻi ka nodular sclerosis, ʻoi aku ka maʻamau i nā wahine.
• Kou mōʻaukala lapaʻau ʻohana: Inā ua loaʻa i kou mau kaikaina a mau mākua paha ka lymphoma Hodgkin, ʻoi aku ka nui o kou manawa e loaʻa ai.
• Inā ua loaʻa iā ʻoe kahi hoʻoili kino: Inā ua loaʻa iā ʻoe kahi hoʻoili kino, pono ʻoe e lawe i nā lāʻau antirejection, kahi e hoʻonui ai i kou pilikia o ka hoʻomohala ʻana i ka lymphoma.
• ʻO kekahi mau maʻi viral: ʻO ka loaʻa ʻana o nā maʻi viral e like me ka HIV , ke kanaka T-lymphotropic virus type 1, a i ʻole ka Epstein-Barr virus e hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka Hodgkin lymphoma.

Pehea e ʻike ʻia ai ka Hodgkin Lymphoma?

E nānā mua ke kauka iā ʻoe ma ke kino e nānā i nā hōʻailona o ka Hodgkin lymphoma, e like me nā lymph node pehu. E nīnau pū lākou e pili ana i nā loli āu i manaʻo ai, e like me ke kuni mau a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia. Hiki ke hana ʻia kekahi mau hoʻokolohua e ʻike ai i ka Hodgkin lymphoma. Hiki i kēia ke komo pū me nā hoʻokolohua koko, nā hoʻokolohua kiʻi, a me nā biopsies .

Nā hoʻāʻo koko

Hiki i nā hoʻāʻo koko ke hāʻawi i kāu kauka i kahi manaʻo no kou olakino holoʻokoʻa. Hiki iā lākou ke ʻike i nā hōʻailona o ka maʻi kanesa. ʻO kekahi o nā hoʻāʻo āu e loaʻa ai:

• Helu koko piha (CBC): Nānā kēia i nā helu koko haʻahaʻa inā he lymphoma i loko o ke koko a i ʻole ka iwi iwi.
• Haʻawina kemika koko: Ke ana kēia i kāu mau pae electrolyte, ka hana ate a me nā puʻupaʻa, a nānā i nā mea e hōʻiliʻili i loko o ke koko ke hōʻino ʻia nā ʻōpū a me nā ʻiʻo.
• ʻO ka helu sedimentation Erythrocyte (ESR): Ke ana kēia i ka mumū i loko o ke kino. Hiki ke kiʻekiʻe kēia waiwai i ka Hodgkin lymphoma.
• Hoʻāʻo Lactate dehydrogenase (LDH): Ke ana kēia i kahi protein i hoʻokuʻu ʻia ke hōʻino ʻia nā cell. I kekahi manawa kiʻekiʻe nā pae LDH me ka lymphoma.
• Nā hoʻāʻo viral: Hiki i kēia mau hoʻāʻo ke ʻike i nā maʻi viral o kēia manawa a i ʻole nā ​​​​maʻi viral i hala e pili ana paha me ka Hodgkin lymphoma, e like me ka HIV , hepatitis B , a me ka hepatitis C. Hiki i nā hopena ke kōkua i kāu kauka e hoʻolālā i kāu lāʻau.

Nā hoʻokolohua kiʻi

Hiki i nā scan ke nānā i nā hōʻailona o ke kanesa i loko o kou kino. ʻO ke ʻano o ka scan āu e pono ai e pili ana i kahi o ke kanesa a inā paha ʻoe e hāpai ana. (Hiki i nā scan e hoʻohana ana i nā kukuna X ke hōʻino i ka ʻōpū.) ʻO kēia mau hoʻokolohua:

• X-ray umauma
• ʻImi CT (ʻImi CT - ʻImi tomography i helu ʻia)
• Nānā PET (scan tomography hoʻokuʻu Positron)
• MRI scan (Magnetic resonance imaging scan) (palekana i ka wā hāpai)
• ʻO ke kiʻi ultrasound (palekana i ka wā hāpai)

Biopsy

ʻO ka maʻamau, ʻike nā kauka i ka Hodgkin lymphoma me kahi biopsy lymph node . Ma kēia kaʻina hana, wehe ke kauka i nā ʻāpana āpau a i ʻole kahi lymph node. A laila nānā kahi pathologist i nā ʻiʻo ma lalo o kahi microscope e ʻike inā he mau cell Reed-Sternberg, a mākou i kamaʻilio ai ma mua. (ʻO ke alo o kēia mau cell Reed-Sternberg ʻo ia hoʻi he Hodgkin lymphoma kou, ʻaʻole ʻo non-Hodgkin lymphoma.)

I kekahi manawa, hiki ke ʻike ʻia ka lymphoma Hodgkin ma muli o nā hopena o kahi biopsy o ka ʻiʻo i lawe ʻia mai kahi ʻē aʻe, e like me nā māmā, ke akepaʻa, ka spleen, a me ka iwi iwi.

He aha nā pae o ka Hodgkin Lymphoma?

Ma hope o ka hōʻoia ʻana o kāu kauka iā ʻoe me ka Hodgkin lymphoma, e hoʻoholo nā hopena o kāu mau hoʻokolohua i ke kahua o ka maʻi. ʻO ka ʻike ʻana i ke kahua o kou maʻi ʻaʻai e kōkua i nā kauka e hoʻoholo i ka mamao o ka laha ʻana o ke kanesa, pehea ka wikiwiki o ka laha ʻana, a me ke ʻano o ka lāʻau lapaʻau maikaʻi loa iā ʻoe. Eia nā kahua o ka Hodgkin lymphoma:

• Pae I: Aia nā hunaola kanesa ma kekahi ʻāpana o ka lymph node a i ʻole kekahi ʻōkana i loko o ka ʻōnaehana lymphatic (e.g., thymus, spleen, bone marrow). A i ʻole aia ka lymphoma ma kekahi ʻāpana o hoʻokahi ʻōkana ma waho o ka ʻōnaehana lymphatic.
• Pae II: Kou diaphragmAia nā hunaola kanesa i loko o ʻelua a ʻoi aku paha mau hui o nā lymph nodes ma ka ʻaoʻao like (hiki ke hoʻopilikia ʻia nā lymph nodes ʻē aʻe kokoke i ka diaphragm).
• Pae III: Aia nā pūnaewele lymphoma i loko o nā lymph nodes ma nā ʻaoʻao ʻelua o ka diaphragm, a i ʻole aia nā pūnaewele kanesa i loko o nā lymph nodes ma luna o ka diaphragm a ma ka spleen.
• Pae IV: Aia ka Lymphoma ma ka liʻiliʻi o hoʻokahi ʻōkana ma waho o ka ʻōnaehana lymphatic (e.g., ate, māmā, iwi iwi).

Hoʻohana pū nā kauka i nā huaʻōlelo "maikaʻi" a me "maikaʻi ʻole" e hoʻokaʻawale i ka lymphoma Hodgkin, ma muli o ka pane maikaʻi ʻana i ka lāʻau lapaʻau a inā paha e noho mau ana me ka ʻole o nā hōʻailona (remission).

Pehea e mālama ʻia ai ka Hodgkin Lymphoma?

Hoʻohana nā kauka i nā ʻano lapaʻau like ʻole no ka Hodgkin lymphoma, ma muli o ke kahua o ke kanesa. Hoʻopau kēia mau lāʻau i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka māhele ʻana. ʻO nā koho lapaʻau e komo pū me:

• ʻO Chemotherapy: ʻO kēia ka lāʻau lapaʻau maʻamau no ka Hodgkin lymphoma. Hoʻohana ia i hoʻokahi a ʻoi aku paha mau lāʻau lapaʻau e pepehi i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka hoʻonui ʻana. Hiki i nā kauka ke hoʻohana i hoʻokahi ʻano chemotherapy a i ʻole ka hui pū ʻana o kekahi mau ʻano chemotherapy.
• Lapaʻau radiation: Hoʻohana kēia lāʻau i nā kukuna ikehu kiʻekiʻe e pepehi i nā hunaola kanesa ma nā lymph node i hoʻopilikia ʻia a i ʻole nā ​​​​wahi i laha ai ke kanesa. Hoʻohana pū ʻia me ka chemotherapy i ka mālama ʻana i ka lymphoma Hodgkin mua.
• Immunotherapy: Hana kēia lāʻau lapaʻau ma ka hoʻoulu ʻana i ka ʻōnaehana pale o kou kino e kōkua iā ia e ʻike a luku i nā hunaola kanesa. He lāʻau lapaʻau immunotherapy koʻikoʻi nā mea hoʻopaʻa Checkpoint no ka lymphoma Hodgkin.
• Lapaʻau i kuhikuhi ʻia: Hoʻohana ka lāʻau lapaʻau i kuhikuhi ʻia i nā lāʻau lapaʻau a i ʻole nā ​​​​mea ʻē aʻe e hoʻouka wale i nā hunaola kanesa. No ka laʻana, kahi lāʻau i kapa ʻia ʻo antibody-drug conjugates . Ma kēia, hoʻopili ʻia nā antibodies i hana ʻia i ka lab i kahi lāʻau chemotherapy, a laila e ʻimi a luku i nā hunaola kanesa.
• ʻO ka Chemotherapy me ka hoʻoili ʻana o nā cell stem: Hoʻohana pinepine ʻia kēia lāʻau lapaʻau inā ua hoʻi hou ka lymphoma Hodgkin ma hope o ke komo ʻana i ka remission a i ʻole ʻaʻole pane i ka lāʻau lapaʻau. I kēia hihia, e hāʻawi ʻia ʻoe i kahi ʻano chemotherapy ʻokoʻa ma mua o ka mea i hāʻawi mua ʻia iā ʻoe. Inā pane ka maʻi kanesa iā ia, e hana kāu kauka i kahi hoʻoili cell stem.

Nā hopena ʻaoʻao o nā lāʻau lapaʻau

Hiki i kēlā me kēia lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao like ʻole. No ka laʻana, hiki i ka chemotherapy ke hoʻoulu i ka hāʻule ʻana o ka lauoho a me ka nausea. Hiki i ka radiation therapy ke hoʻoulu i ka lā ma ka wahi i mālama ʻia. Hiki i nā hopena ʻaoʻao o ka immunotherapy ke komo pū me nā ʻulaʻula ʻili, ka maʻi diarrhea, a me ka mumū o nā māmā, hiki ke hoʻoulu i ka paʻakikī o ka hanu ʻana a me ke kuni ʻana.

E nīnau i kāu kauka e pili ana i nā hopena ʻaoʻao ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau. E kōkua ʻo ia iā ʻoe e kaupaona i nā hopena ʻaoʻao e kūʻē i nā pono o ka lāʻau lapaʻau.

He aha ka manaʻo no ka Hodgkin Lymphoma?

Manaʻo nā kauka he maʻi kanesa hiki ke mālama ʻia a hiki ke ho'ōla nui ʻia ka Hodgkin lymphoma. Aia kou ʻano i ke kahua o ka maʻi a me nā kumu ʻē aʻe. Hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i kēia. Eia nō naʻe, i kekahi manawa ʻaʻole holomua ka lāʻau lapaʻau a hiki ke hoʻi hou mai ke kanesa. E nīnau i kāu kauka pehea e pili ai kēia mau hoʻokaʻawale ʻana i kāu prognosis.

He aha ka nui o ke ola no ka Hodgkin Lymphoma?

Ke hoʻomau nei ka holomua o nā helu ola no ka Hodgkin lymphoma i ka wā e hoʻomohala ai nā kauka i nā lāʻau lapaʻau hou a hoʻomaikaʻi ʻia. Wahi a ka US National Cancer Institute, 88% o ka poʻe i ʻike ʻia me ka Hodgkin lymphoma ma waena o 2014 a me 2020 e ola ana no ʻelima mau makahiki ma hope o ka mālama ʻana.

ʻOkoʻa nā helu ola ma muli o ke kahua o ke kanesa. Wahi a nā helu helu like, ma waena o 92% a me 95% o ka poʻe i ʻike ʻia me ka maʻi mua e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻana. Ma waena o 81% a me 87% o ka poʻe i ʻike ʻia me ka maʻi hope e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻana. Hōʻike kēia i ke koʻikoʻi o ka ʻike mua ʻana i ka maʻi, ʻeā?

Pehea e hiki ai iaʻu ke mālama iaʻu iho?

Hiki paha iā ʻoe ke hōʻoluʻolu i ka ʻike ʻana e nalowale ana kāu mau hōʻailona Hodgkin lymphoma me ka mālama ʻia. Eia nō naʻe, hopohopo paha ʻoe a makaʻu paha e hoʻi hou mai ke ʻano. Hiki i kēia mau manaʻo ke kōkua i ka maʻalahi o ka noho ʻana me Hodgkin lymphoma:

• Hoʻomaha: Hiki i nā lāʻau lapaʻau maʻi kanesa a me ke kanesa ke hana i ka luhi nui. E hāʻawi i kou noʻonoʻo a me kou kino i ka hoʻomaha e pono ai.
• E ʻai i ka meaʻai kaulike a momona hoʻi: ʻAʻohe pilina maopopo ma waena o kāu meaʻai a me ka lymphoma Hodgkin. Eia nō naʻe, hiki i ka ʻai maikaʻi ke kōkua i ka pale ʻana i kāu ʻōnaehana pale a hōʻemi i kou pilikia o ka loaʻa ʻana o nā maʻi. Inā makemake ʻoe e aʻo hou e pili ana i ka ʻai maikaʻi ʻana, e kamaʻilio me kahi meaʻai meaʻai.
• E hoʻokele i ke kaumaha: Hiki i ka lymphoma Hodgkin ke hoʻi mai ma hope o ka mālama ʻana. ʻO ka hopohopo e pili ana i ka maʻi hou ʻana hiki ke lilo i mea kaumaha. Inā hopohopo mau ʻoe e hoʻi mai ana kou kūlana, e kamaʻilio me kāu kauka. ʻO ia ke kanaka maikaʻi loa e ʻike e pili ana i kou kūlana. ʻO ka ʻike i ka mea e manaʻo ai hiki ke kōkua i ka hōʻemi ʻana i kou kaumaha.
• Hoʻoikaika Kino: ʻAʻole wale ka hoʻoikaika kino mau e kōkua i kāu ʻōnaehana pale kino, akā kōkua pū kekahi i ka hoʻokele ʻana i ke kaumaha. He ala maikaʻi nō hoʻi ia e hakakā ai i ka luhi, kahi hopena maʻamau o ka mālama ʻana i ka maʻi kanesa.

ʻO ka mea nui, ʻo ka ʻike ʻia ʻana me ka Hodgkin lymphoma ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke ola piha i kou ola. Pono ʻoe e hana i kekahi mau hoʻololi e hoʻoponopono ai i nā hopena ʻaoʻao. Pono ʻoe e ʻike pinepine i kāu kauka ma mua o ka mea me ka ʻole o ka maʻi kanesa. Akā, ma kahi liʻiliʻi, e ʻike ʻoe i kahi hana maʻamau a me ka wikiwiki e kūpono iā ʻoe.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ʻoe e mālama ʻia nei no ka Hodgkin lymphoma, e ʻike i kāu kauka inā ʻike ʻoe i kekahi mau hōʻailona e ʻoi aku ka ʻino o kou kūlana me ka nānā ʻole i ka lāʻau lapaʻau (e.g., nā puʻupuʻu hou, ke kuni). Ke pau kāu lāʻau lapaʻau, e loaʻa iā ʻoe nā manawa hoʻopaʻa e nānā i kou olakino holoʻokoʻa a e nānā no ka hoʻi hou ʻana o ka maʻi.

Āhea wau e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe nā hopena ʻaoʻao lapaʻau ʻaʻole e nalo ma hope o ka lawe ʻana i kāu lāʻau lapaʻau i kuhikuhi ʻia, ʻoi aku ka koʻikoʻi ma mua o kou manaʻo, a i ʻole e mau ana no ka manawa lōʻihi, e hele i ka lumi pilikia. E kamaʻilio kāu kauka a me ka hui lapaʻau me ʻoe e pili ana i kēia.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Nui paha kāu mau nīnau i ka wā o ka hōʻoia ʻana a me ka mālama ʻana i ka lymphoma Hodgkin. Eia kekahi mau nīnau e nīnau aku ai i kāu kauka:

• He aha ke ʻano o ka lymphoma Hodgkin iaʻu?
• He aha ke kahua o koʻu maʻi?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao e pono ke manaʻo ʻia mai ka lāʻau lapaʻau?
• Hiki iā ʻoe ke ho'ōla i koʻu maʻi?
• He aha ka manawa kūpono e hoʻi hou mai ai ke kanesa?

He aha ka ʻokoʻa ma waena o ka Hodgkin Lymphoma a me ka Non-Hodgkin Lymphoma?

ʻO ka Hodgkin lymphoma a me ka non-Hodgkin lymphoma nā maʻi kanesa e hoʻopilikia ana i kāu mau pūnaewele lymphocyte, akā aia kekahi mau ʻokoʻa ma waena o nā mea ʻelua.

Manaʻo nā kauka ʻo Hodgkin lymphoma kekahi o nā ʻano maʻi kanesa hiki ke ho'ōla ʻia. Hiki i nā lāʻau lapaʻau hou ke hoʻopau i nā hōʻailona o Hodgkin lymphoma a aneane ho'ōla loa i ka maʻi.

Eia nō naʻe, pili kou manaʻo i ke ʻano o ka Hodgkin lymphoma a me ke kahua o ke kanesa. Hōʻike nā haʻawina he ʻoi aku ma mua o 90% o ka poʻe i mālama ʻia no ka Hodgkin lymphoma mua e ola mau ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana. I nā huaʻōlelo ʻē aʻe, ʻo ka wikiwiki o ka ʻike ʻia ʻana, ʻoi aku ka maikaʻi.

E makaʻala i nā loli i kou kino, e like me nā ʻōpū lymph pehu, ke kuni mau, a me ka luhi. ʻO ka loaʻa ʻana o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he Hodgkin lymphoma kou, akā he manaʻo maikaʻi ke hoʻāʻo ʻia. I ka wā e pili ana i kēia maʻi, hiki i ka ʻike mua ʻana ke hoʻonui i kou manawa e ola ai me ka ʻole o ka maʻi kanesa.

ʻO ka mea hope loa, leka lawe i ka home:

He mea maʻamau ka makaʻu ke lohe ʻoe i ka inoa ʻo Hodgkin Lymphoma. Akā e hoʻomanaʻo, he maʻi ʻaʻai kēia i hiki ke ho'ōla nui ʻia. ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona. ʻOi loa aku inā loaʻa iā ʻoe nā hōʻailona e like me nā puʻupuʻu ʻeha ʻole ma ka ʻāʻī, nā armpits, a i ʻole ka ʻūhā, ka luhi mau, ke kuni i wehewehe ʻole ʻia, ka hou nui o ka pō, a me ka pohō kaumaha, pono ʻoe e ʻike i ke kauka.

Me ka ʻike mua ʻana a me ka mālama kūpono ʻana, ua hiki i ka poʻe he nui ke ho'ōla piha mai ka Hodgkin lymphoma a ola i ke ola maʻamau. No laila, mai hoʻokuʻu i ka manaʻolana. ʻO kaʻu leka koʻikoʻi loa iā ʻoe, ʻo ia ke ʻimi i ke aʻo lapaʻau i ka wā hikiwawe inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona.

ʻO ka lymphoma Hodgkin, ka maʻi ʻaʻai, nā lymph node, nā hōʻailona, ​​​​​​ka lāʻau lapaʻau, nā pūnaewele B, nā pūnaewele Reed-Sternberg