E aʻo pono kākou e pili ana i ka leukemia. He aha ia mea maoli, a he mea anei ia e makaʻu ai?

Ua makaʻu iki paha ʻoe i kou lohe ʻana i ka huaʻōlelo " leukemia ." He mea maʻamau kēlā, no ka mea, makaʻu pinepine mākou i ka lohe ʻana i nā huaʻōlelo e like me kēia. Akā, i kou ʻike pono ʻana i ke ʻano o ia mea, no ke aha e kū mai ai, he aha nā hōʻailona, ​​a inā he lāʻau lapaʻau, ua emi nui kēlā makaʻu. No laila, i kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi kanesa koko i kapa ʻia ʻo leukemia ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo. E like me ka haʻi ʻana a kahi hoaaloha a ʻohana paha iā ʻoe e pili ana i ia mea.

He aha ka maʻi leukemia?

I ka ʻōlelo maʻalahi, he maʻi kanesa ka leukemia e hoʻomaka ana i loko o ke koko . ʻO ka iwi iwi kahi nui e hana ʻia ai ke koko i loko o ko kākou kino. Ua like ia me kahi hale hana. I loko o kēia iwi iwi, hoʻomaka nā hunaola koko, ʻoiai nā hunaola koko keʻokeʻo ʻōpiopio, e ulu wikiwiki a ʻano ʻē. Loaʻa ka huaʻōlelo "leukemia" mai nā huaʻōlelo Helene "leukos" (keʻokeʻo) a me "haima" (koko).

ʻAʻole e like me nā ʻano maʻi kanesa ʻē aʻe, ʻaʻole ulu pinepine ka leukemia i kahi puʻupuʻu e ʻike ʻia ma kahi X-ray a i ʻole CT scan .

Aia kekahi mau ʻano leukemia. ʻOi aku ka maʻamau o kekahi mau ʻano i nā keiki ʻōpio, aʻo kekahi i nā pākeke. Pili nā koho lapaʻau i nā kumu he nui, me ke ʻano o ka leukemia, kou makahiki, a me kou olakino holoʻokoʻa.

Pehea e ulu ai ka maʻi leukemia?

Hoʻomaka ka maʻi leukemia ma ka iwi ʻiʻo , ka ʻāpana palupalu a palupalu o ko kākou mau iwi. Maanei kahi e hana ʻia ai nā hunaola koko e pono ai ko kākou kino. ʻAʻole hana wale ʻia kēia mau hunaola koko i ka manawa hoʻokahi, hele lākou ma kekahi mau pae ma mua o ko lākou oʻo piha ʻana. ʻEkolu ʻano o nā hunaola koko olakino a oʻo:

• Nā hunaola koko ʻulaʻula : ʻO kēia nā mea e lawe i ka oxygen a me nā mea koʻikoʻi ʻē aʻe ma o ko mākou kino.
• Nā hunaola koko keʻokeʻo : ʻO kā lākou hana ke kaua aku i nā maʻi.
• Nā Platelets : Kōkua kēia i ke kāpili ʻana o ke koko.

Hoʻomaka kēia mau hunaola koko a pau mai nā hunaola kūikawā i kapa ʻia he mau hunaola kumu hematopoietic. A laila māhele ʻia kēia mau hunaola kumu i ʻelua ʻano: nā hunaola myeloid a me nā hunaola lymphoid. Inā ulu maʻamau kēia mau mea, ʻo nā hunaola makua e hana ʻia penei:

• Nā pūnaewele Myeloid (`(Nā pūnaewele Myeloid)`)Hāʻawi lākou i nā hunaola koko ʻulaʻula, nā platelets, a me kekahi ʻano o nā hunaola koko keʻokeʻo (basophils, eosinophils , a me neutrophils).
• Hoʻokumu nā pūnaewele Lymphoid i nā ʻano ʻē aʻe o nā keʻokeʻo koko keʻokeʻo (lymphocytes) a me nā keʻena pepehi kanaka maoli.

Akā, i loko o ke kanaka me ka leukemia, hoʻomaka kekahi o kēia mau hunaola koko e ulu ana e māhele wikiwiki a me ke kāohi ʻole ʻia . Kāhea mākou i kēia mau hunaola ʻano ʻē he "mau hunaola leukemia." Lawe kēia mau hunaola leukemia i kahi i loko o ka iwi iwi, e hoʻopiha ana i kahi no nā hunaola ʻulaʻula olakino, nā hunaola keʻokeʻo, a me nā platelets.

Pehea ka hopena o ka maʻi leukemia i kou kino?

E noʻonoʻo i ka mea e hana ʻia ke nui loa nā cell leukemia a he kakaikahi nā cell olakino. Ke hāpai nei kēia i kekahi mau nīnau:

• ʻAʻohe hana a nā pūnaewele leukemia e mālama i ke olakino o kou kino.
• Ma muli o ka hoʻopiha ʻana o nā pūnaewele leukemia i ka iwi ʻiʻo, ʻaʻohe wahi o nā pūnaewele koko olakino e ulu a ulu pono ai .
• No laila, ʻaʻole hana ke kino i nā hunaola koko ʻulaʻula lawa, nā hunaola koko keʻokeʻo olakino, a me nā platelets e hiki ai ke hōʻiliʻili i loko o ke koko.
• ʻO ka hopena, ʻaʻole lawa ka oxygen i kou mau ʻōpū a me nā ʻiʻo. ʻAʻole hiki i kou kino ke hakakā i nā maʻi a i ʻole ke kāpili ʻana i ke koko inā ʻoe e kahe ana ke koko.

He aha nā ʻano nui o ka leukemia?

ʻEhā ʻano nui o ka leukemia a me kekahi mau ʻano like ʻole. Hoʻokaʻawale nā ​​kauka i ka leukemia ma muli o ka wikiwiki o ka laha ʻana o ka maʻi a inā paha e puka mai ana nā pūnaewele leukemia mai nā pūnaewele myeloid a i ʻole lymphoid.

Ma ka wikiwiki o ka holomua o ka maʻi

• Leukemia ʻākiʻoki : Ma kēia ʻano leukemia, māhele koke nā ʻāpana, a holomua koke ka maʻi. Inā loaʻa iā ʻoe ka leukemia ʻākiʻoki, e hoʻomaka ʻoe e maʻi i loko o kekahi mau pule. Hiki i kēia ke hoʻoweliweli i ke ola, no laila e hoʻomaka koke ʻia ka lāʻau . ʻO ka leukemia ʻākiʻoki ke ʻano maʻamau o ka maʻi kanesa i nā keiki ʻōpio.
• Leukemia mau loa : I kēia ʻano, hana nā cell leukemia i kekahi manawa e like me nā cell ʻōpiopio a i kekahi manawa e like me nā cell makua. Ulu kekahi mau cell i kahi pae a hana i kā lākou hana i kekahi pae - akā ʻaʻole like me nā cell olakino. Holo mālie ka maʻi ma mua o ka leukemia ʻoi. Inā loaʻa iā ʻoe ka leukemia mau loa, ʻaʻole paha ʻoe e loaʻa i nā hōʻailona nui no nā makahiki. ʻOi aku ka maʻamau i nā pākeke ma mua o nā keiki.

Ma ke ʻano o ke kelepona

• ʻO ka leukemia Myelogenous a i ʻole Myeloid : Hoʻomohala kēia mai nā pūnaewele myeloid. Hoʻopuka nā pūnaewele myeloid maʻamau i nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets.
• Leukemia lymphocyticHana ʻia kēia e nā pūnaewele lymphoid. ʻO nā pūnaewele koko keʻokeʻo i hana ʻia e nā pūnaewele lymphoid maʻamau he ʻāpana koʻikoʻi loa ia o ka ʻōnaehana pale o ko mākou kino.

ʻEhā mau ʻano nui o ka leukemia

Ma ka hoʻohui ʻana i kēia mau hoʻokaʻawale ʻelua, ua ʻike ʻia ʻehā mau ʻano nui o ka leukemia:

1. ʻO ka Leukemia Lymphocytic Acute (ALL) : ʻO kēia ke ʻano maʻamau o ka leukemia i ʻike ʻia i nā keiki a me nā ʻōpio (a hiki i 39 mau makahiki). Eia nō naʻe, hiki ke loaʻa i nā pākeke o kēlā me kēia makahiki.

2. ʻO ka Leukemia Myelogenous Akute (AML) : ʻO kēia ke ʻano maʻamau o ka leukemia ʻoi i nā pākeke. He mea maʻamau ia i nā poʻe ma luna o 65 mau makahiki. Hiki ke loaʻa pū i nā keiki ʻōpio.

3. Ka Leukemia Lymphocytic Mau Loa (CLL) : ʻO kēia ke ʻano maʻamau o ka leukemia mau loa i waena o nā pākeke (ʻoi aku ka poʻe ma luna o 65 mau makahiki). I ka CLL, hiki ke hala kekahi mau makahiki e ʻike ʻia ai nā hōʻailona.

4. Ka Leukemia Myelogenous Mau Loa (CML) : ʻOi aku ka maʻamau o kēia i ka poʻe ʻelemakule (ʻoi aku ka poʻe ma luna o 65), akā hiki ke hoʻopilikia i nā pākeke o kēlā me kēia makahiki. He mea kākaʻikahi loa ia i nā keiki ʻōpio. I ka CML, hiki ke hala kekahi mau makahiki e ʻike ʻia ai nā hōʻailona.

Pehea ka maʻamau o ka maʻi leukemia?

Wahi a nā helu helu ma kekahi mau ʻāina a puni ka honua, ua manaʻo ʻia ʻo ka leukemia ka ʻumi o nā maʻi kanesa maʻamau. ʻOiai hiki ke ulu i loko o kekahi, ua ʻike ʻia kekahi mau hui he kiʻekiʻe iki ka pilikia:

• ʻO nā kānaka ma waena o 65 a me 74 mau makahiki.
• Nā kāne.
• Ma waena o kekahi mau hui lāhui (e.g. Caucasians/keʻokeʻo - he ʻikepili haole kēia).

Manaʻo ka poʻe he nui he maʻi ka leukemia e pili wale ana i nā keiki ʻōpio. Eia nō naʻe, ʻoi aku ka maʻamau o kekahi mau ʻano leukemia i nā pākeke. ʻOiai he kakaikahi ka leukemia i nā keiki, ʻo ia ke ʻano maʻamau o ka maʻi kanesa i nā keiki a me nā ʻōpio.

He aha nā hōʻailona o ka maʻi leukemia?

Pili nā hōʻailona i ke ʻano o ka leukemia. Eia kekahi laʻana, inā loaʻa iā ʻoe ka leukemia mau loa, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona nui i nā pae mua.

Eia kekahi o nā hōʻailona maʻamau o ka maʻi leukemia:

• Luhi koke , luhi maʻalahi.
• Ke kuni a i ʻole ka hou ʻana i ka pō .
• Nā maʻi pinepine.
• Paʻakikī ka hanu ʻana .
• ʻIli keʻokeʻo .
• Ka pohō kaumaha me ke kumu ʻole.
• ʻEha a palupalu paha o nā iwi/hui .
• ʻEha a i ʻole ka manaʻo o ka piha ma lalo o nā iwi ʻaoʻao ma ka ʻaoʻao hema.
• Nā kīʻaha lymph pehu i ka ʻāʻī, nā armpits, ka ʻūhā, a i ʻole ka ʻōpū, ka spleen a i ʻole ke akepaʻa i hoʻonui ʻia.
• ʻO ka ʻeha maʻalahi a me ke kahe kokoKa ihu kahe, nā ʻāʻī kahe, kahi ʻulaʻula e like me nā kiko ʻulaʻula liʻiliʻi ma ka ʻili (petechiae) a i ʻole nā ​​kiko poni/ʻeleʻele ma ka ʻili.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he maʻi leukemia kou. Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.

He aha nā kumu o ka maʻi leukemia?

Hoʻomaka ka maʻi leukemia me kahi loli (mutation) i loko o ka DNA o kahi cell hoʻokahi i loko o kou iwi iwi. Ua like ka DNA me kahi "hoʻonohonoho o nā kuhikuhi." Hōʻike kēia DNA i kahi cell i ka wā e ulu ai, pehea e hana ai, a me ka wā e make ai.

Ma muli o kēia hoʻololi ʻana, hoʻomaka nā pūnaewele leukemia e māhele mau. Loaʻa i kēlā me kēia pūnaewele e ulu ana mai ke kelepona i hoʻololi mua ʻia kēia DNA i hoʻololi ʻia.

ʻAʻole maopopo i nā kānaka ʻepekema ke kumu e loli ai kēia mau cell, akā ua ʻike lākou i kekahi mau loli maʻamau i ʻike ʻia i nā poʻe me nā ʻano leukemia like ʻole.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka leukemia?

Hiki i kekahi ke loaʻa i ka maʻi leukemia. Eia nō naʻe, ua ʻike ʻia nā noiʻi e hiki i kekahi mau kumu ke hoʻonui i ka pilikia. ʻO kekahi o kēia mau mea:

• Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau ma mua : Inā ua loaʻa iā ʻoe nā lāʻau lapaʻau e like me ka radiation therapy a i ʻole chemotherapy, ʻoi aku ka nui o kou loaʻa ʻana o kekahi ʻano leukemia.
• Ka Puhipaka : Inā he mea puhipaka ʻoe a i ʻole ua pili ʻoe i ka uahi lua, ua nui kou pilikia o ka loaʻa ʻana o ka leukemia myelogenous acute (AML).
• Ka ʻike ʻia ʻana i nā kemika ʻoihana : He mau kemika carcinogenic ʻo Benzene a me formaldehyde. Hiki ke loaʻa iā lākou i nā mea kūkulu hale a me nā kemika hale (plastics, rubber, dyes, pesticides, lāʻau lapaʻau, detergents, kopa, shampoos, mea hoʻomaʻemaʻe).
• ʻO kekahi mau kūlana hoʻoilina : ʻO nā kūlana hoʻoilina e like me ka neurofibromatosis, Klinefelter syndrome, Schwachman-Diamond syndrome, a me Down syndrome e hoʻonui i ka pilikia.
• Moʻolelo ʻohana o ka leukemia : Hōʻike ka noiʻi e holo paha kekahi ʻano leukemia i loko o nā ʻohana. Eia nō naʻe, i ka hapa nui o nā hihia, ʻoiai he leukemia kekahi o kou ʻohana, ʻaʻole ia he manaʻo e loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka leukemia. E haʻi i kāu kauka inā he maʻi genetic kou a i ʻole kekahi o kou ʻohana. Hiki iā lākou ke paipai i ka hoʻāʻo genetic e loiloi i kou pilikia.

Pehea e ʻike ʻia ai ka maʻi leukemia?

Hiki i nā hopena o kahi hoʻāʻo koko maʻamau ke hāʻawi i kāu kauka i kahi hōʻailona e loaʻa paha iā ʻoe ka leukemia ʻākī a mau paha, a pono e hoʻāʻo hou ʻia. A i ʻole, inā loaʻa iā ʻoe nā hōʻailona o ka leukemia, hiki i kāu kauka ke paipai i kahi moʻo o nā hoʻāʻo.

Hiki i nā hoʻokolohua diagnostic ke komo pū me:

• Hoʻokolokolo kino : E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a e hoʻopā i kou kino no nā lymph node pehu, kahi spleen i hoʻonui ʻia, a i ʻole ke akepaʻa. E nānā pū lākou no ke kahe ʻana o ke koko a i ʻole ka pehu ʻana o nā ʻāʻī. Hiki iā lākou ke nānā i kahi ʻulaʻula o ka ʻili, hiki ke ʻulaʻula, poni, a ʻeleʻele paha, a pili pū me ka leukemia.
• Helu Koko Piha (CBC) : Hiki i kēia hoʻāʻo koko ke haʻi i kāu kauka inā he ʻano ʻē kou mau helu koko ʻulaʻula, nā helu koko keʻokeʻo, a me nā platelet. Inā loaʻa iā ʻoe ka leukemia, e ʻoi aku ka kiʻekiʻe o kāu helu koko keʻokeʻo ma mua o ka maʻamau.
• Nā hoʻāʻo koko : Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko hou aʻe e nānā i nā hōʻailona o nā cell leukemia a i ʻole kekahi ʻano leukemia kikoʻī. ʻO ka flow cytometry a me ka peripheral blood smear nā hoʻāʻo ʻē aʻe a kāu kauka e kauoha ai.
• ʻO ka biopsy iwi (a i ʻole ka makemake ʻana i ka iwi) : Hiki i kāu kauka ke hana i kēia hoʻāʻo inā he ʻano ʻē kou i ka helu o nā cell koko keʻokeʻo. Ma kēia hoʻāʻo, hoʻokomo ʻia kahi nila lōʻihi i loko o kou iwi (maʻamau i loko o kou iwi ʻūhā) e wehe i kahi hāpana o ka wai. A laila hoʻāʻo ʻia ka hāpana ma kahi lab e ʻike ai inā he mau cell leukemia. Hiki i kahi biopsy iwi ke hoʻoholo i ka pakeneka pololei o nā cell ʻano ʻē i loko o kou iwi, hiki ke kōkua i ka hōʻoia ʻana i kahi hōʻailona o ka leukemia.
• Nā hoʻokolohua kiʻi a me nā hoʻokolohua ʻē aʻe : Inā hōʻike kāu mau hōʻailona ua hoʻopilikia ka leukemia i kou mau iwi, nā ʻōpū, a i ʻole nā ​​​​ʻiʻo, hiki i kāu kauka ke kauoha i kahi X-ray umauma, CT scan, a i ʻole MRI scan. Eia nō naʻe, ʻaʻole hiki i kēia mau hoʻokolohua kiʻi ke ʻike i nā cell leukemia.
• ʻO ka puncture lumbar (a i ʻole ka spinal tap) : Hiki i ke kauka ke hoʻāʻo i kahi hāpana o ka wai spinal e ʻike ai inā ua pālahalaha ka leukemia i ka wai e hoʻopuni ana i ka lolo a me ke kaula spinal (wai spinal).

Pehea e mālama ʻia ai ka maʻi leukemia?

ʻO ke ʻano o ka mālama ʻana no ka leukemia e pili ana i ke ʻano o ka leukemia āu e loaʻa ai, kou makahiki a me ke olakino holoʻokoʻa, a inā ua laha ka leukemia i nā ʻōpū a i ʻole nā ​​​​ʻiʻo ʻē aʻe.

Hiki i nā lāʻau lapaʻau maʻamau ke komo pū me hoʻokahi a ʻoi aku paha o kēia mau mea:

• Kemoterapia (`(Kemoterapia)`)ʻO kēia ka lāʻau lapaʻau maʻamau no ka leukemia. Hoʻohana ia i nā kemika (nā lāʻau lapaʻau) e pepehi i nā cell leukemia a i ʻole e hoʻōki iā lākou mai ka māhele ʻana. I ka wā o ka lāʻau lapaʻau, hiki iā ʻoe ke loaʻa i kēia mau kemika (nā lāʻau lapaʻau) ma ke ʻano he pila, ma ke ʻano he inikini i loko o kahi aʻa, a i ʻole ma ke ʻano he inikini ma lalo o ka ʻili. Hāʻawi pinepine ʻia ka chemotherapy me ka hui pū ʻana me kekahi mau lāʻau lapaʻau.
• Immunotherapy (a i ʻole biologic therapy) : Hoʻohana kēia lāʻau lapaʻau i nā lāʻau lapaʻau kūikawā e hoʻoikaika i ka ʻōnaehana pale o kou kino—ka ʻōnaehana pale—e hakakā i ka leukemia. Kōkua ka Immunotherapy i kāu ʻōnaehana pale e ʻike i nā hunaola kanesa a hana i nā hunaola pale hou aʻe e hakakā iā lākou.
• Lapaʻau i kuhikuhi ʻia : Hoʻohana kēia lāʻau i nā lāʻau lapaʻau i hoʻolālā ʻia e hoʻouka i nā ʻāpana kikoʻī o kahi cell leukemia (e like me ka protein a i ʻole gene). ʻO kēia mau ʻāpana ke kumu o ka nui o nā cell leukemia ma mua o nā cell koko maʻamau. Hiki i ka lāʻau lapaʻau i kuhikuhi ʻia ke hoʻōki i ka māhele ʻana o nā cell leukemia, ʻoki i ka lako koko o nā cell, a pepehi paha iā lākou. ʻO ka lāʻau lapaʻau i kuhikuhi ʻia e hōʻemi i ka hōʻino ʻana i nā cell maʻamau. ʻO nā hiʻohiʻona o kēia mau lāʻau lapaʻau e komo pū me nā monoclonal antibodies a me nā tyrosine kinase inhibitors.
• Lapaʻau radiation : Hoʻohana kēia lāʻau i nā kukuna ikehu kiʻekiʻe a i ʻole nā ​​​​kukui X e pepehi i nā cell leukemia a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. I ka wā o ka lāʻau lapaʻau, hiki i kahi mīkini ke kuhikuhi i ka radiation i kahi kikoʻī o nā cell kanesa a i ʻole e hoʻolaha iā ia ma ke kino holoʻokoʻa. Hiki ke hāʻawi ʻia ka radiation kino holoʻokoʻa ma mua o ka hoʻoili ʻana o nā cell hematopoietic.
• Hoʻoili ʻana o nā cell hematopoietic (a i ʻole 'cell stem' a i ʻole 'bone marrow transplant') : Ma kēia lāʻau lapaʻau, ua pani ʻia nā cell hoʻokumu koko kanesa i luku ʻia e ka chemotherapy a me/a i ʻole ka radiation therapy me nā cell kumu koko olakino hou. Hiki i kāu kauka ke lawe i kēia mau cell olakino mai ou aku ma mua o ka chemotherapy a me ka radiation therapy, a i ʻole e hele mai paha lākou mai kahi mea hāʻawi. Māhele kēia mau cell olakino hou a hana i nā cell iwi a me nā cell koko hou (nā cell koko ʻulaʻula, nā cell koko keʻokeʻo, a me nā platelets e pono ai kou kino).
• ʻO ka lāʻau lapaʻau ʻo Chimeric Antigen Receptor (CAR) T-cell : He ʻano lāʻau hou kēia. Pili ia i ka lawe ʻana i nā T-cell o kou kino ponoʻī e pale aku i ka maʻi (kahi ʻano cell immune i kapa ʻia he T-cell a i ʻole T-lymphocyte), hana hou iā lākou e hakakā i nā cell leukemia, a laila hoʻihoʻi hou iā lākou i loko o kou kino.

Loaʻa paha iā ʻoe ka manawa kūpono e komo i nā hoʻokolohua lapaʻau e hoʻāʻo ai i nā lāʻau lapaʻau maʻi kanesa hou. E kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o ke komo ʻana i ia ʻano hoʻokolohua.

He aha nā pae o ka mālama ʻana i ka leukemia?

Ma muli o kāu hoʻolālā lapaʻau, hiki iā ʻoe ke loaʻa i ka lāʻau leukemia mau no ka manawa lōʻihi, a i ʻole hiki iā ʻoe ke loaʻa i ka lāʻau lapaʻau ma nā pae he nui. ʻO ka maʻamau, ʻekolu ʻāpana o ka lāʻau lapaʻau i hoʻonohonoho ʻia. Loaʻa i kēlā me kēia pae kahi pahuhopu kikoʻī.

1. Hoʻōla hoʻokomo : ʻO ka pahuhopu o kēia, ʻo ia ke pepehi i ka nui o nā cell leukemia i hiki i loko o kou koko a me ka iwi iwi a hoʻihoʻi iā ʻoe i ke kala ʻana. I ke kala ʻana, hoʻi ka helu o kāu mau cell koko i ka maʻamau, ʻaʻole ʻike hou ʻia kāu mau cell leukemia i loko o kou koko, a nalowale nā ​​​​hōʻailona a me nā ʻōuli āpau o ka maʻi. ʻO ka maʻamau, ʻo ka hoʻōla hoʻokomo ma kahi o ʻehā a ʻeono pule.

2. Hoʻohui ʻana (i kapa ʻia hoʻi ʻo ``(Intensification)``) : ʻO ka pahuhopu o kēia, ʻo ia ka luku ʻana i nā hunaola leukemia i koe, ʻike ʻole ʻia. Hiki i kēia ke kōkua i ka pale ʻana i ka hoʻi hou ʻana mai o ke kanesa. Hāʻawi pinepine ʻia kēia lāʻau lapaʻau i kekahi mau pōʻaiapuni, ma luna o ka manawa o ʻehā a ʻeono mahina.

3. Ka mālama ʻana i ka maʻi : ʻO ka pahuhopu o kēia, ʻo ia ka luku ʻana i nā hunaola leukemia e koe ana ma hope o nā pōʻaiapuni lapaʻau ʻelua mua a pale i ka hoʻi hou ʻana mai o ke kanesa (relapse). Hoʻomau ʻia kēia lapaʻau no kahi o ʻelua mau makahiki.

Inā hoʻi mai ka maʻi leukemia, hiki i kāu kauka ke hoʻomaka hou a hoʻololi paha i kāu lāʻau.

He aha ka hopena e hiki iaʻu ke manaʻo ma hope o ka loaʻa ʻana o ka maʻi leukemia?

He mea paʻakikī ke hāʻawi i kahi wānana pololei no ka leukemia, no ka mea, ʻokoʻa ka ʻike o kēlā me kēia kanaka. Aia ka hopena i kekahi mau kumu:

• Nā ʻano ʻē aʻe o ka genetic a i ʻole nā ​​mutations (`(Mutations)`) : ʻO nā mutations i loko o nā cell leukemia ka hōʻailona koʻikoʻi o ka hopena.
• ʻAno leukemia : ʻOi aku ka maikaʻi o nā hopena o kekahi ʻano leukemia ma mua o nā mea ʻē aʻe.
• Ka helu o nā cell koko i ka wā i ʻike ʻia ai : ʻO ka helu o nā cell leukemia i loaʻa i ka wā i ʻike ʻia ai hiki ke hoʻopilikia i kāu mau hopena.
• Makahiki : Ma keʻano laulā, ʻo ka ʻōpiopio o kou wā i ʻike ʻia ai ka maʻi, ʻoi aku ka maikaʻi o ka hopena.
• Ke kūlana olakino : Ma keʻano laulā, ʻo ke olakino o kou kino i ka wā i ʻike ʻia ai, ʻoi aku ka maikaʻi o ka hopena.
• Pane i ka lāʻau lapaʻau : ʻO ka manawa e pono ai no ke kanesa e hoʻomaha ai (`(Remission)`) hiki ke hāʻawi i kahi manaʻo o ka holomua o ka lāʻau lapaʻau.
• Ke alo ʻana o nā pūnaewele leukemia i loko o ka ʻōnaehana nerve waena : Inā he mau pūnaewele i loko o kou wai o ka iwi kuamoʻo, he mea paʻakikī paha ke mālama iā lākou.

ʻO ka mea hope loa, ʻo kāu kauka ke kanaka maikaʻi loa e hoʻomaopopo i ke ʻano o ka hopena o kāu maʻi ʻaʻai iā ʻoe. E nīnau iā lākou e pili ana i nā hopena lapaʻau.

Hiki ke ho'ōla loa ʻia ka maʻi leukemia?

ʻAʻohe mea e like me ka "lāʻau piha" no ka leukemia. Akā, ʻaʻole ia manaʻo ʻaʻole e hoʻomaha lōʻihi kekahi poʻe. ʻO ka ho'ōla ʻia ʻana mai ka leukemia, ʻo ia hoʻi, ua hala ke kanesa, ʻaʻole ia e hoʻi hou mai, a ʻaʻohe lāʻau hou e pono ai. Akā me ka leukemia, he paʻakikī ke ʻōlelo maopopo.

Ma ka ʻaoʻao ʻē aʻe, ʻo ke kala ʻana no ka manawa lōʻihi ʻo ia hoʻi ʻaʻohe hōʻailona o ke kanesa, me ka lāʻau lapaʻau a i ʻole me ka ʻole. Hiki i kēia kala ʻana ke mau mai kekahi mau pule a i kekahi mau makahiki. ʻAʻole paha e hoʻi hou mai ka leukemia. Inā hoʻi hou mai, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau hou e hoʻokō ai i ke kala ʻana.

Hiki i kāu hui lapaʻau ke pane maikaʻi loa i ka nīnau, "Ua ho'ōla ʻia koʻu leukemia?" E nānā pono lākou i kou olakino a hana i kahi hoʻolālā lapaʻau kūpono iā ʻoe.

He aha nā nīnau āu e nīnau ai i kāu kauka?

E hoʻoikaika iā ʻoe iho ma ke aʻo ʻana i nā mea āpau e hiki ai iā ʻoe e pili ana i ke ʻano o ka hopena o kāu maʻi kanesa iā ʻoe. He manaʻo maikaʻi e kākau i nā mea a lawe pū me ʻoe i kahi hoaaloha ke hele ʻoe e ʻike i kāu kauka. Mai makaʻu e nīnau i nā nīnau.

ʻO kekahi mau nīnau hiki iā ʻoe ke nīnau:

• He aha ke ʻano o ka leukemia iaʻu? He aha ke ʻano o nā cell i loko? He kanesa ulu wikiwiki anei a he kanesa ulu lohi paha?
• I ka wā hea i ʻike mua ʻia ai ka maʻi leukemia?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā pōmaikaʻi a me nā pilikia o kēlā me kēia ʻano lapaʻau?
• He aha ka hoʻolālā lapaʻau maikaʻi loa noʻu? No ke aha mai?
• Āhea e hoʻomaka ai ka lāʻau lapaʻau?
• ʻEhia ka lōʻihi o ka mālama ʻana (a me kēlā me kēia pae mālama)?
• ʻEhia ka lōʻihi o koʻu noho ʻana ma ka haukapila?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau? He aha nā mea e hiki ke hana ʻia e pale aku ai a hōʻemi paha iā lākou?
• He aha inā makemake au e loaʻa nā keiki? He aha nā koho e mālama ai i koʻu hānau keiki?
• He aha ka nui o ke ola no koʻu ʻano leukemia?
• Pono anei au e komo i kahi hoʻokolohua lapaʻau?

Ma hea e loaʻa ai iaʻu ka ʻike hou aku a me ke kākoʻo e pili ana i ka maʻi leukemia?

No ka ʻike hou aku e pili ana i nā hoʻokolohua lapaʻau no ka leukemia, hiki iā ʻoe ke kipa i nā pūnaewele honua (e.g., Leukemia & Lymphoma Society, National Cancer Institute, American Cancer Society). Eia kekahi, e nīnau i kāu kauka e pili ana i nā kumuwaiwai kūloko a me nā hui kākoʻo.

He mea weliweli kekahi ʻike maʻi kanesa. Akā, hiki i ka ʻike leukemia ke ʻoi aku ka weliweli. Me ka ʻole o kahi puʻupuʻu e wehe ai, hiki ke paʻakikī ke ʻike i ke ʻano o ka ʻike lapaʻau a me ke ʻano o ka wā e hiki mai ana. E hoʻomanaʻo, ʻaʻole ka leukemia he hoʻokahi wale nō ka nui e kūpono i nā mea āpau. ʻO kāu lapaʻau a me nā manawa kūpono o ke kala ʻana no ka manawa lōʻihi e pili ana i nā kumu he nui. ʻAʻohe mea hiki ke wānana i kou hopena me ka ʻole o ka hoʻomaopopo ʻana i kou olakino a me ka leukemia, me nā ʻano o nā cell leukemia. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka ʻike leukemia iā ʻoe.

Nā mea pōkole e hoʻomanaʻo ai

ʻAe, ke lana nei koʻu manaʻo he manaʻo maikaʻi kou e pili ana i ka leukemia mai nā mea a mākou i kūkākūkā ai. Eia kekahi mau mea nui e hoʻomanaʻo:

• ʻO ka maʻi leukemia kahi maʻi ʻaʻai koko , i hoʻokumu ʻia e ka ulu ʻole ʻana o nā hunaola ʻano ʻē i loko o ka iwi iwi.
• ʻElua ʻano nui o kēia: ʻoi a me ka maʻi mau, a me ka myeloid a me ka lymphoid .
• ʻOkoʻa nā hōʻailona, ​​​​a hiki ke komo pū me ka luhi koke, nā maʻi pinepine, a me ka maʻalahi o ka palapū .
• ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, hiki i nā loli genetic, kekahi mau kemika, a me nā lāʻau lapaʻau ma mua ke lilo i mau mea pilikia.
• ʻIke nui ʻia ka maʻi ma o nā hoʻāʻo koko a me ka biopsy iwi .
• Nui nā koho lapaʻau (e like me "Chemotherapy", "Immunotherapy", "Targeted therapy"), e pili ana i ka mea maʻi a me ke ʻano o ka maʻi.
• Ma mua o ke kamaʻilio ʻana e pili ana i ka ho'ōla piha ʻana, hiki iā mākou ke manaʻolana no ke kala ʻana i ka wā lōʻihi .
• Mai makaʻu e nīnau a loaʻa ka ʻike mai kāu kauka . ʻAʻole ʻoe hoʻokahi.

Lana ko mākou manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

leukemia , leukemia, maʻi ʻaʻai koko, iwi ʻiʻo, nā hunaola koko, nā hōʻailona leukemia, ka mālama ʻana i ka leukemia