ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka Lymphoma - E kamaʻilio kākou!

Ua loaʻa anei iā ʻoe nā puʻupuʻu liʻiliʻi ma kou kino, ʻoi aku hoʻi ma nā wahi e like me kou ʻāʻī, nā ʻāʻī lima, a me ka ʻūhā? A i ʻole ua manaʻo paha ʻoe i ka luhi loa a me ka palaualelo no ke kumu ʻole? Hiki ke hana ʻia kēia mau mea me ke anu maʻamau. Eia nō naʻe, hiki i kekahi manawa ke lilo i mau hōʻailona o kahi ʻano maʻi kanesa i kapa ʻia ʻo lymphoma . No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka lymphoma, pehea e ulu ai, he aha nā hōʻailona, ​​a inā he lāʻau lapaʻau.

He aha maoli ka Lymphoma?

I ka ʻōlelo maʻalahi, ʻo ka lymphoma kahi maʻi kanesa e ulu ana i loko o kā mākou ʻōnaehana lymphatic . E like me nā kīʻaha koko, loaʻa i ko mākou kino kahi pūnaewele o nā kahawai maikaʻi i kapa ʻia ʻo ka ʻōnaehana lymphatic. ʻO kāna hana nui ka pale ʻana i ko mākou kino mai nā maʻi, ʻo ia hoʻi, ke kaua ʻana i nā germs. Hana ʻia kēia ʻōnaehana lymphatic me nā lymph nodes, nā kīʻaha lymph, a me kekahi mau ʻōpū ʻē aʻe.

ʻO kahi ʻano kūikawā o ke kelepona i loko o kēia ʻōnaehana lymphatic i kapa ʻia he lymphocytes . He ʻano kēia o ke koko keʻokeʻo. Loaʻa ka Lymphoma i ka wā e hoʻomaka ai kēia mau kelepona lymph e ulu ma ke ʻano ʻē, ma waho o ke kaohi. E like me ka nāhelehele, ulu nui kēia mau kelepona a hui pū e hana i nā puʻupuʻu. Ua manaʻo ʻia hoʻi kēia he maʻi ʻaʻai koko, no ka mea, hoʻomaka ia i loko o nā kelepona koko keʻokeʻo.

ʻElua mau ʻano nui o ka lymphoma:

1. ʻO ka lymphoma Hodgkin

2. ʻO ka lymphoma ʻaʻole Hodgkin

Ma waho aʻe o kēia mau ʻano ʻelua, aia ma mua o 70 mau ʻano ʻē aʻe. He ʻino loa kekahi mau ʻano lymphoma, aʻo kekahi he palaualelo loa. ʻO ka mea maikaʻi loa, ʻo ka hapa nui o ka manawa, hiki ke hoʻomalu ʻia (hoʻokuʻu ʻia) a hoʻōla loa ʻia paha ka lymphoma me ka lāʻau lapaʻau. Hiki i kekahi ke loaʻa ka lymphoma, mai nā keiki ʻōpio a i nā pākeke. Akā ma kēia ʻatikala, e kamaʻilio nui mākou e pili ana i ka lymphoma i nā pākeke.

He maʻi maʻamau anei ka lymphoma?

ʻAʻole, ʻaʻole maʻamau ka lymphoma i ka hoʻohālikelike ʻia me nā ʻano maʻi ʻē aʻe. No ka laʻana, manaʻo ka American Cancer Society e ʻike ʻia ma kahi o 89,000 mau hihia hou o ka lymphoma ma ʻAmelika Hui Pū ʻIa i ka makahiki 2023. I ka manawa like, ua ʻōlelo ʻia hoʻi e ʻike ʻia ma kahi o 236,740 mau hihia o ka maʻi ʻaʻai māmā. No laila, me he mea lā he mea kakaikahi ka lymphoma.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka lymphoma?

• ʻO ka maʻamau, loaʻa ka lymphoma Non-Hodgkin i nā kānaka ma waena o 60 a me 80 mau makahiki. ʻOi aku ka nui o ka loaʻa ʻana o ia ma mua o nā wāhine.
• Hiki i ka lymphoma Hodgkin ke ulu i loko o nā kānaka ma waena o 20 a me 39 mau makahiki a i loko o ka poʻe ma luna o 65 mau makahiki. He mea maʻamau iki nō hoʻi ia i nā kāne.

He aha nā hōʻailona maʻamau o ka lymphoma?

I ka manawa pinepine, hiki ke like nā hōʻailona o ka lymphoma me nā maʻi ʻē aʻe, ʻaʻole koʻikoʻi. Mai makaʻu e manaʻo he lymphoma kou no ka mea he mau hōʻailona kēia. Eia nō naʻe, inā ʻike ʻoe i kekahi mau loli a i ʻole nā ​​hōʻailona hou i nalowale ʻole ma hope o kekahi mau pule, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.

ʻO nā hōʻailona i maʻa mau i nā Hodgkin a me nā lymphoma non-Hodgkin:

• Pehu ʻeha ʻole: Hoʻokahi a ʻoi aku paha nā lymph node ma ka ʻāʻī, armpit, a i ʻole groin e pehu ana a ʻaʻole e nalowale ma hope o kekahi mau pule. Hiki ke manaʻo ʻia kēia mau mea e like me nā puʻupuʻu liʻiliʻi e hiki ke hoʻopā ʻia ma ka lima.
• Luhi mau: Manaʻo luhi a palaualelo i ka lā a pau, ʻoiai ma hope o ka hiamoe maikaʻi.
• Kuni hou: He kuni ma mua o 103 Fahrenheit (39.5 Celsius) no nā lā ʻelua a ʻoi aku, a i ʻole he kuni e emi ana a laila hoʻi mai.
• Ka hou nui ʻana i ka pō: Ka hou nui ʻana i ka pō i ka wā hiamoe a pulu nā moena moe a me nā lole.
• Dyspnea: He manaʻo o ka paʻa i loko o ka umauma, me he mea lā ʻaʻole hiki iā ʻoe ke hanu.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Ka pohō ʻana ma kahi o 10% o kou kaumaha holoʻokoʻa i loko o 6 mahina, me ka ʻole o ka ʻai a hoʻoikaika kino paha.

He mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he lymphoma kou. Eia nō naʻe, he mea nui nō hoʻi e ʻimi i ke aʻo lapaʻau.

He aha nā kumu o ka lymphoma?

Hoʻokumu ʻia ka Lymphoma e nā loli genetic (mutations) i loko o nā hunaola koko keʻokeʻo i loko o ka ʻōnaehana lymphatic, ka mea e lilo ai lākou i mau hunaola kanesa e ulu wikiwiki ana me ka ʻole o ke kāohi ʻana. He mea paʻakikī pinepine ke ʻike pono i ke kumu o kēia mau loli genetic. ʻO ia hoʻi, pinepine lākou e hana koke ʻia .

Eia nō naʻe, ua ʻike ʻia e ka noiʻi e hiki i kekahi mau kūlana a me nā pilikia ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka lymphoma. ʻO kēia mau mea:

• Inā ua loaʻa iā ʻoe a i ʻole i kēia manawa kahi maʻi viral e like me ka HIV (human immunodeficiency virus) , ka maʻi Epstein-Barr (ka maʻi e hoʻoulu ai i ka mononucleosis a i ʻole ka maʻi honi) , a i ʻole ka Kaposi sarcoma human immunodeficiency virus .
• Inā ua loaʻa i kekahi o kou ʻohana ka lymphoma (mōʻaukala ʻohana).
• Inā ua hoʻonāwaliwali ʻia kou ʻōnaehana pale kino e nā maʻi ʻē aʻe a i ʻole nā ​​​​lāʻau lapaʻau. No ka laʻana, ʻo ka poʻe i loaʻa i nā hoʻoili kino e lawe i nā lāʻau lapaʻau i kapa ʻia ʻo immunosuppressants e pale aku i ke kino mai ka hōʻole ʻana i ke kino i hoʻoili ʻia. Hoʻonāwaliwali kēia mau lāʻau i ka ʻōnaehana pale kino.
• Inā loaʻa iā ʻoe kahi maʻi autoimmune , ʻo ia ke ʻano kahi e hoʻouka hewa ai ka ʻōnaehana pale o kou kino i kou kino ponoʻī ma kahi o ka pale ʻana iā ʻoe.

Pehea e ʻike ʻia ai ka lymphoma?

Hana nui nā kauka i kekahi mau hoʻokolohua e ʻike ai i ka lymphoma.

1. Hoʻokolokolo kino: E nānā i nā hōʻailona i ʻōlelo ʻia ma luna. E nānā i nā ʻāpana lymph pehu a me nā ʻōpū e like me ka spleen.

2. Biopsy: ʻO kēia ka hoʻāʻo koʻikoʻi loa e hōʻoia i ka lymphoma. Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi lymph node pehu a i ʻole kekahi ʻiʻo kānalua ʻē aʻe a nānā ʻia ma lalo o kahi microscope e kahi pathologist lapaʻau . ʻO kēia ka mea e haʻi pololei iā ʻoe inā loaʻa nā hunaola kanesa a, inā pēlā, he aha ke ʻano o ka lymphoma.

Inā hōʻike kēia mau hoʻokolohua i ka lymphoma, e hana nā kauka i nā hoʻokolohua koko hou a me nā hoʻokolohua kiʻi e ʻike hou aʻe e pili ana i ke kūlana a hoʻolālā i ka mālama ʻana.

Nā hoʻāʻo koko

• Helu koko piha (CBC) me ka ʻokoʻa: Nānā kēia i nā pae o nā mea e like me nā keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a me nā platelets.
• ʻO ka helu sedimentation Erythrocyte (ESR): Kōkua kēia i ka loaʻa ʻana o kahi manaʻo o ka mumū i loko o ke kino.
• Lactate dehydrogenase (LDH): Hiki ke piʻi aʻe kēia pae ke ulu wikiwiki/make nā pūnaewele.
• Nā hoʻāʻo hana o ke akepaʻa a me nā puʻupaʻa.
• ʻO ka electrophoresis protein serum (SPEP): He mea nui kēia e nānā i nā protein maʻamau ʻole (nā protein M) i hana ʻia i loko o kekahi mau lymphomas.

Nā hoʻokolohua kiʻi

• CT scan (Computed tomography - CT scan): Hiki ke hoʻohana ʻia kēia e ʻike inā ua pehu nā lymph nodes, spleen, a i ʻole nā ​​​​​​ʻōpū ʻē aʻe, a inā ua pālahalaha ke kanesa.
• ʻIke PET (Positron emissions tomography - PET scan): He mea kōkua nui kēia i ka ʻike ʻana i nā wahi i loaʻa ai nā hunaola kanesa. Hana pinepine ʻia kahi ʻike PET me kahi ʻike CT . I kekahi manawa hoʻohana ʻia kahi ʻike MRI (magnetic resonance imaging) .

Inā loaʻa iā ʻoe ka lymphoma non-Hodgkin , hiki i kāu kauka ke kauoha i nā hoʻokolohua hou e ʻike i nā genes kikoʻī a me nā protein e pili ana iā ia.

He aha nā lāʻau lapaʻau no ka lymphoma?

ʻOkoʻa ka lāʻau no ka lymphoma ma muli o ke ʻano o ka lymphoma. No ka laʻana, inā he ʻano lymphoma ikaika loa kou, hiki i kāu kauka ke ʻōlelo aku i ka mea i kapa ʻia ʻo ka nānā ʻana a i ʻole ke kali makaʻala ma mua o ka hoʻomaka ʻana i ka lāʻau. ʻO ke ʻano kēia, ua nānā pono ʻia kou olakino a me nā hōʻailona o ka lymphoma, a ʻaʻole hoʻomaka ʻia ka lāʻau a hiki i ka wā e ʻoi aku ka koʻikoʻi o ka maʻi.

ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia no ka lymphoma:

• Kemoterapia
• Hoʻōla radiation
• Hoʻōla i kuhikuhi ʻia
• Hoʻōla lāʻau pale
• ʻO ka lāʻau lapaʻau CAR T-cell
• Hoʻoili ʻana i nā pūnaewele kumu a i ʻole ka iwi iwi

Hiki i kāu kauka ke ʻōlelo aku i ka mālama palliative ma ke ʻano he ʻāpana o kāu hoʻolālā lapaʻau. Kōkua kēia iā ʻoe e hoʻokele i nā hōʻailona a me nā hopena ʻaoʻao o ka lāʻau lapaʻau. Hoʻokomo pū ia i ka hāʻawi ʻana i ke kākoʻo naʻau a me ka hōʻoluʻolu.

He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i nā lāʻau lapaʻau lymphoma ke hana i nā hopena ʻaoʻao like ʻole. No ka mea, ʻokoʻa ka pane ʻana o kēlā me kēia kanaka i ka lāʻau like, he mea nui e nīnau i kāu kauka e pili ana i nā hopena ʻaoʻao o kāu lāʻau lapaʻau a pehea e mālama ai iā lākou.

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka lymphoma?

Ke noiʻi nei nā kānaka noiʻi i nā kumu pilikia no ka hoʻomohala ʻana i ka lymphoma. Aia ke kumu e manaʻoʻiʻo ai e hoʻonui paha kekahi mau ʻano virus a me ka mōʻaukala ʻohana i kou pilikia o ka hoʻomohala ʻana i ka lymphoma. Inā manaʻo ʻoe he pilikia paha ʻoe no ka lymphoma ma muli o kou mōʻaukala olakino a i ʻole ka mōʻaukala ʻohana, e kamaʻilio me kāu kauka e pili ana i ia mea.

He aha ka manaʻolana e hiki ai i kekahi me ka lymphoma ke loaʻa?

ʻO kāu wānana ka mea hiki iā ʻoe ke manaʻo ma hope o ka hoʻopau ʻana i ka lāʻau lapaʻau. Pili kēia i nā mea he nui, e like me ke ʻano o ka lymphoma āu, kou mau makahiki, a me kou olakino holoʻokoʻa. Eia nō naʻe, i nā hihia he nui, hiki i ka lāʻau lapaʻau ke hoʻokuʻu i ka lymphoma i ke kala ʻana a hoʻōla loa paha. ʻO ke kala ʻana ʻo ia hoʻi ʻaʻohe ou hōʻailona o ka lymphoma a ʻaʻohe hōʻailona o ka lymphoma e loaʻa ma nā hoʻokolohua.

Eia nō naʻe, hiki i ka lymphoma e kala ʻia ana ke hoʻi hou mai. Inā loaʻa iā ʻoe ka lymphoma e kala ʻia ana, pono ʻoe e ʻike i kāu kauka no nā manawa hoʻopaʻa maʻamau. E hana kāu kauka i nā hoʻokolohua e nānā i nā hōʻailona o ka lymphoma. ʻO nā hōʻailona nā mea āu e manaʻo ai a hiki ke wehewehe. ʻO nā hōʻailona nā loli i nā mea hiki ke ana ʻia me nā hoʻokolohua koko, e like me ke kuni a me ka helu o nā cell koko keʻokeʻo.

He aha ka nui o ka ho'ōla no ka lymphoma?

Ma keʻano holoʻokoʻa, hōʻike ka ʻikepili he 89% o ka poʻe me Hodgkin lymphoma a me 74% o ka poʻe me ka non-Hodgkin lymphoma e ola ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana.

He mau kuhi kēia mau helu ola e pili ana i ka ʻike o nā hui me ka maʻi like. ʻAʻole lākou e hāʻawi i kahi kuhi pololei o ka lōʻihi o ke ola ʻana o kekahi me ka lymphoma. Inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka.

Pehea wau e mālama ai iaʻu iho inā loaʻa iaʻu ka lymphoma?

Inā loaʻa iā ʻoe ka lymphoma, hiki ke kōkua nui i ka hana ʻana i kahi hoʻolālā no ke ola ʻana me ia. E kōkua kēia hoʻolālā iā ʻoe i ka wā mua o ka mālama ʻana, a me nā kipa ʻana i ka wā e nānā ai. Eia kekahi mau mea e noʻonoʻo ai i ka wā e hana ai i kāu hoʻolālā:

• E ʻike pehea e hoʻopilikia ai ka mālama ʻana i ka lymphoma i kou ola o kēlā me kēia lā. A laila hiki iā ʻoe ke hoʻoholo inā pono ʻoe i ke kōkua ma ka home a i ʻole i ka wā e hele ai ʻoe e loaʻa ka mālama ʻana.
• E ʻai i ka ʻai kaulike. E hoʻokomo i nā ʻiʻo momona, nā mea kanu, nā palaoa piha, a me ka yogurt i kāu papaʻai. Hiki i ka mālama ʻana i ka maʻi kanesa ke hoʻemi i ka makemake e ʻai. Inā hana kēia, e kamaʻilio me kahi meaʻai meaʻai e pili ana i nā ala e loaʻa ai nā meaola e pono ai ʻoe e noho ikaika i ka wā o ka mālama ʻana.
• E hoʻokaʻawale i ka manawa nou iho. E hana i nā mea e like me ke kākau ʻana i kahi puke pai, ka hoʻolohe ʻana i ke mele, ka hoʻolilo ʻana i ka manawa ma waho. He mea hopohopo ka noho ʻana me ka maʻi ʻaʻai. Hiki i nā mea e like me ka noʻonoʻo ʻana a me nā hoʻomaʻamaʻa hanu ke kōkua i ka hōʻemi ʻana i ke kaumaha.
• E hoʻoikaika kino. Hōʻike ka noiʻi hiki i ka hoʻoikaika kino ke hōʻemi i ka luhi a me ke kaumaha a hoʻomaikaʻi i ke ʻano o ke ola no ka poʻe me ka lymphoma.
• Hiki i ke kanesa ke lilo i mea mehameha. Hiki ke paʻakikī ke kamaʻilio me kou ʻohana a me nā hoaaloha e pili ana i kou maʻi. E nīnau i kāu kauka e pili ana i nā lawelawe a me nā papahana e hiki ke kōkua iā ʻoe.

Āhea wau e ʻike ai i ke kauka?

E ʻike i kāu kauka i kēlā me kēia manawa āu e manaʻo ai e ʻoi aku ka ʻino o kāu mau hōʻailona lymphoma, a i kēlā me kēia manawa āu e pono ai ke kōkua i ka hoʻokele ʻana i nā hopena ʻaoʻao o ka lāʻau lapaʻau.

Āhea ʻoe e pono ai e hele i ka lumi pilikia?

Hoʻopilikia ka nui o nā lāʻau lapaʻau maʻi kanesa i kāu ʻōnaehana pale. ʻO ke ʻano kēia, hiki i kāu lāʻau lapaʻau maʻi kanesa ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi. Eia kekahi mau hōʻailona e pono ai ʻoe e hele i ka lumi pilikia:

• He kuni o 100.3 Fahrenheit (39.5 Celsius) a ʻoi aku paha.
• Ke anu nei a me ka haʻalulu (Chills).
• ʻŪhū huahua a i ʻole "pulu".
• ʻEha ʻōpū.
• ʻO ka maʻi kahe mau no nā pule ʻelua a ʻoi.

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

Hiki ke loli paha nā nīnau āu e loaʻa ai i kāu huakaʻi me ke kanesa i ka hala ʻana o ka manawa. Inā ua ʻike wale ʻia ʻoe me ka lymphoma, eia kekahi mau nīnau maʻamau hiki iā ʻoe ke nīnau:

• Pehea ʻoe i ʻike ai he lymphoma koʻu?
• He aha ke ʻano o ka lymphoma i loaʻa iaʻu?
• ʻEhia ka lōʻihi o koʻu loaʻa ʻana i kēia lymphoma?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā hopena ʻaoʻao o kēlā me kēia lāʻau lapaʻau?
• He aha kaʻu e manaʻo ai e pili ana i koʻu kūlana (prognosis)?

He maʻi ʻaʻai koʻikoʻi anei ka lymphoma?

Aia ia i ke ʻano o ka lymphoma āu e loaʻa ai. Eia kekahi laʻana, ʻo ka lymphoma non-Hodgkin.Hiki i kēia ke hoʻolilo i kou kino i mea maʻalahi i nā maʻi e hoʻoweliweli ana i ke ola, nā ʻano maʻi ʻē aʻe, a me nā maʻi puʻuwai. Wahi a nā helu helu, ma kahi o 300,000 mau kānaka ma ka honua holoʻokoʻa e make ana mai kekahi ʻano lymphoma non-Hodgkin.

Hiki ke ʻike ʻia ka lymphoma ma o nā hoʻāʻo koko?

Hiki i nā hoʻokolohua koko ke ʻike i nā mea e like me ka hoʻonui ʻia ʻana o ka helu o nā hunaola koko keʻokeʻo. Hiki i kēia ke lilo i mau hōʻailona o nā maʻi ʻaʻai koko e like me ka lymphoma a i ʻole ka leukemia. Eia nō naʻe, ʻaʻole hiki i nā hoʻokolohua koko wale nō ke ʻike maopopo inā he lymphoma kou. Hoʻoholo nā kauka i ka lymphoma ma muli o nā hopena o nā hoʻokolohua biopsy a me nā kiʻi.

Ma hea e hoʻomaka pinepine ai ka lymphoma?

Hiki i ka Lymphoma ke hoʻomaka ma nā wahi āpau o kou kino kahi i loaʻa ai nā lymphocytes. He ʻano koko keʻokeʻo kēia e hakakā ana i ka maʻi. Loaʻa lākou i loko o kou mau lymph nodes, spleen, bone marrow, a me nā ʻāpana ʻē aʻe o kou kino. ʻO ka hōʻailona mua maʻamau ka pehu ʻana o nā lymph nodes ma ka ʻāʻī, ka umauma luna, nā armpits, ka ʻōpū, a i ʻole ka groin.

Pehea ka lōʻihi e hiki ai i ka lymphoma ke noho me ka ʻike ʻole ʻia?

Hiki iā ʻoe ke loaʻa ka lymphoma no nā makahiki me ka ʻike ʻole ʻana i kekahi mau hōʻailona. I kekahi manawa, ʻike ʻia nā hōʻailona o ka lymphoma ma ka wā o nā hoʻokolohua kiʻi maʻamau i hana ʻia no kekahi kumu ʻē aʻe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi koʻikoʻi ka Lymphoma. ʻO ka mea pōmaikaʻi, ke holomua nei nā lāʻau lapaʻau no ka lymphoma, e kōkua ana i nā kānaka e ola lōʻihi. Ke piʻi nei ka nui o ke ola i kēlā me kēia makahiki. Ke ʻike nei nā kānaka noiʻi i nā mea hou aʻe e pili ana i nā kumu pilikia no ka hoʻomohala ʻana i ka lymphoma.

Inā manaʻo ʻoe he pilikia paha ʻoe no ka lymphoma, e kamaʻilio me kāu kauka. Inā pēlā, e wehewehe ʻo ia i kāu mea hiki ke hana e pale i kou olakino.

E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama kūpono ʻana nā mea nui loa.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i ke kauka. E noho olakino!

ʻO ka lymphoma, ka maʻi ʻaʻai, nā lymph nodes, nā hōʻailona, ​​​​​​ka lāʻau lapaʻau, Hodgkin lymphoma, non-Hodgkin lymphoma