Loaʻa iā ʻoe kēia mau hōʻailona pū kekahi? E kamaʻilio kākou e pili ana i ka MALT Lymphoma!

Ua lohe paha ʻoe i kahi maʻi ʻē i kapa ʻia ʻo MALT Lymphoma? ʻAʻole paha. No ka mea, he mea laha ʻole ia, ʻo ia hoʻi, ʻaʻole ia he maʻi e pili ana i nā kānaka a pau. Akā, he mea maikaʻi iā kākou ke ʻike e pili ana i ia mea. No ka mea, he ʻano maʻi kanesa nō hoʻi kēia. Akā, mai makaʻu, e laha mālie ana ia i loko o ke kino. I kēia lā, e kamaʻilio mākou e pili ana i ia mea me nā kikoʻī, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.

He aha ka MALT Lymphoma? I ka ʻōlelo maʻalahi...

ʻAe, ʻo MALT Lymphoma kahi ʻano liʻiliʻi o ka hui kanesa nui i kapa ʻia ʻo 'non-Hodgkin lymphoma'. I nā huaʻōlelo ʻē aʻe, ʻo ia kekahi o nā ʻano maʻamau o nā lymphomas lohi e ulu ana i kapa ʻia ʻo 'marginal zone lymphoma'.

Hoʻopilikia pinepine kēia maʻi i ka poʻe ma luna o 65 mau makahiki. ʻOi aku ka maʻamau i nā kāne ma mua o nā wahine. ʻO ka mea maikaʻi loa, he mau lāʻau lapaʻau nā kauka e hiki ke ho'ōla i kēia maʻi. ʻO ia hoʻi, hiki iā lākou ke hoʻokomo i ka maʻi i loko o ka "remission" , a i ʻole kahi kūlana hiamoe. Eia nō naʻe, pono kākou e hoʻomanaʻo i kekahi manawa hiki ke hoʻi hou mai.

He aha nā ʻano o ka MALT Lymphoma?

ʻElua mau ʻano nui o ka lymphoma MALT:

1. Gastric MALT Lymphoma: Hoʻomaka kēia i loko o kou ʻōpū, ʻo ia hoʻi, i loko o ka ʻōpū. ʻO ka papa o loko o ka ʻōpū, a mākou e kapa nei ʻo 'mucosa' , kahi e hoʻomaka ai. ʻO ka hapa nui o ka manawa, noho kēia ʻano ma kahi i hoʻomaka ai, akā i kekahi manawa hiki ke laha i nā wahi ma waho o ka ʻōpū. ʻO kēia ke ʻano maʻamau o ka lymphoma MALT.

2. ʻO ka Lymphoma MALT ʻaʻole gastric: Hiki i kēia ʻano ke hoʻopilikia i nā membrane mucous i loko o kou mau māmā, nā kelepa salivary, ka kelepa thyroid, a me ka ʻili . Hiki iā ia ke hoʻopilikia i nā ʻiʻo a puni kou mau maka, e like me nā ducts waimaka .

Pehea ka maʻamau o kēia maʻi?

He maʻi laha ʻole ka MALT lymphoma. Aia ma kahi o 7% o nā lymphoma non-Hodgkin āpau. No ka hoʻohālikelike ʻana i kēlā, e like me ka American Cancer Society, e ʻike ʻia he 80,550 poʻe me ka non-Hodgkin lymphoma i ka makahiki 2023 wale nō. Ua hoʻohālikelike ʻia kēlā me 300,590 mau hihia hou o ka maʻi ʻaʻai umauma. No laila hiki iā ʻoe ke ʻike i ka laha ʻole o kēia.

Pehea ka wikiwiki o ka laha ʻana o ka MALT Lymphoma?

He mea nui kēia. Ulu mālie loa kēia maʻi i loko o ke kino. I nā pae mua, ʻaʻohe paha he mau hōʻailona nui. I kekahi manawa, ʻike ʻia ka MALT lymphoma ma ka hanana i ka wā e hoʻāʻo ʻia ai no kekahi maʻi ʻē aʻe.

He aha nā hōʻailona o kēia?

ʻOkoʻa nā hōʻailona ma muli o kahi i loaʻa ai ka lymphoma. Eia nō naʻe, hoʻomaka nā lymphoma MALT āpau i:He membrane mucous (`mucosa`). He ʻili pulu kēia membrane mucous e uhi ana i loko o kekahi mau ʻōkana o ko kākou kino.

Nā Hōʻailona o ka Lymphoma MALT Gastric

ʻO ka ʻōpū ke kumu o kēia, a hiki i nā hōʻailona ke komo pū me:

• ʻUhaʻeha a me ka indigestion: E like me ka ʻuhaʻeha a me ka indigestion a mākou e ʻike ai.
• ʻeha ka ʻōpū.
• Ka luaʻi a me ka luaʻi.
• ʻAʻohe ʻono o ka meaʻai.
• Ka wiwi ʻana me ke kumu ʻole.
• Ke kahe koko ʻana o ka ʻōpū.

Nā Hōʻailona o ka Lymphoma MALT Non-gastric

Hiki i kēia ʻano ke hoʻopili i nā maka, nā māmā, nā kelepa salivary, ka ʻili, a me ka kelepa thyroid.

Inā pilikia nā maka:

• Maka ʻili e kulou ana.
• ʻUlaʻula a mumū paha o nā maka.
• Pehu a puni nā maka.
• ʻIke pālua.

Inā pilikia nā māmā:

• Paʻakikī ka hanu ʻana.
• ʻEha ka umauma.
• Ke ʻū ʻana a i ʻole ke ʻū ʻana i ke koko.

Inā pili nā kelepa salivary:

Hiki ke ʻike ʻia ka pehu ʻana:

• Aia nā pepeiao i mua.
• Ma lalo o ka ʻauwae.
• I loko o ka waha.

Inā pilikia ka ʻili:

• Nā kiko ʻulaʻula, poni, a poni paha ma ka ʻili.
• Nā puʻupuʻu ʻili.

Inā pili ka ʻōpū thyroid:

• Nā hōʻailona o ka hypothyroidism: ʻO kēia ka luhi nui, ka ʻili maloʻo, ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia, a i ʻole ka hoʻonui ʻana i ka naʻau i ke anu.
• He puʻu ma ke alo o ka ʻāʻī.

He aha ke kumu o ka MALT Lymphoma?

Aia kekahi mau kumu nui o kēia maʻi, me nā maʻi bacteria a viral paha a me nā maʻi autoimmune .

• Nā bacteria a me nā virus:
• ʻO ka maʻi lōʻihi me ka bacteria `H. pylori` ke kumu nui o ka gastric MALT lymphoma. ʻO `H. pylori` kahi bacteria e hoʻoulu ai i ka gastritis a me nā ʻeha ma ka ʻōpū.
• Ua ʻike ʻia hoʻi nā bacteria ʻē aʻe, e like me 'Achromobacter xylosoxidans', 'Campylobacter jejuni', 'Borrelia burgdorferi' a me 'C. psittiaci', ua pili pū ʻia me nā ʻano ʻelua o ka MALT lymphoma.
• Hiki ke pili pū ʻia ka maʻi Hepatitis C me ka lymphoma MALT gastric a me ka non-gastric.

• Nā maʻi autoimmune:
• ʻO ka maʻi ʻo Hashimoto (kahi maʻi e hoʻopilikia ai i ka ʻōpū thyroid) a me ka maʻi ʻo Sjögren (Sjögren's syndrome)(ʻO kēia ke kumu o nā mea e like me nā maka maloʻo a me ka waha) hiki ke hana i kekahi mau lymphoma MALT non-gastric.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka MALT Lymphoma?

Inā ua loaʻa kekahi o kou ʻohana i ka lymphoma, hiki paha iā ʻoe ke loaʻa i ka MALT lymphoma. Eia naʻe, ʻaʻole kēia he mea maʻamau no nā kānaka āpau.

Pehea e ʻike ʻia ai ka MALT Lymphoma?

Hana nā kauka i kekahi mau hoʻokolohua e ʻike ai i kēia maʻi a ʻike i ka mamao o kona laha ʻana.

Nā hoʻāʻo koko

Hiki i nā kauka ke hana i nā hoʻokolohua koko e like me kēia:

• Nānā ka `CBC (helu koko piha):` i nā ʻano o nā pūnaewele i loko o ke koko.
• ʻLDH (lactate dehydrogenase): Hiki ke hoʻokiʻekiʻe ʻia kēia i kekahi mau maʻi kanesa.
• `CMP (comprehensive metabolic panel)` (hoʻāʻo metabolic piha): Nānā i ka hana o nā ʻōkana e like me nā puʻupaʻa a me ke akepaʻa.
• Hoʻāʻo Hepatitis C.

Biopsy

Hiki i nā kauka ke hana i nā biopsies e like me kēia:

• ʻO ka biopsy iwi: No ka ʻike ʻana inā ua pālahalaha ke kanesa i ka iwi.
• Biopsy nila: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi puʻupuʻu kānalua a nānā ʻia.

I kekahi manawa, inā kānalua ʻia ka lymphoma MALT gastric, hiki ke lawe ʻia kahi biopsy i ka wā o kahi endoscopy luna , ʻo ia hoʻi ke hoʻokomo ʻana i kahi kāmela liʻiliʻi ma o ka waha e nānā i ka ʻōpū.

Nā hoʻokolohua kiʻi

Kōkua kēia mau hoʻāʻo e ʻike i kahi o ka lymphoma a me ka mamao o kona laha ʻana (kahua):

• ʻO nā scan tomography i helu ʻia (CT)`.
• Nā scan ʻana o ka tomography hoʻokuʻu Positron (PET).

Nā hoʻokolohua keʻena hoʻokolohua

Hoʻohana nā kauka lapaʻau i nā hoʻokolohua e like me kēia e nānā i nā ʻiʻo a i ʻole nā ​​​​pūnaewele kanesa:

• `Hoʻāʻo H. pylori`: Lawe ʻia kahi hāpana biopsy e nānā i ke alo o kēia bacteria.
• ʻO ka cytometry kahe: He hoʻāʻo kūikawā e kōkua ai i ka ʻike ʻana i ke ʻano o nā pūnaewele.

Ke hoʻoholo nei i ke kahua o ke kanesa (no ka gastric MALT lymphoma) (Ke kahua o ke kanesa)

Hoʻohana nā kauka i nā ʻano hoʻonohonoho ʻana i ke kanesa e hoʻolālā i ka lāʻau lapaʻau a wānana i ka hopena i manaʻo ʻia ma hope o ka lāʻau lapaʻau. No ka lymphoma MALT gastric, hiki ke hoʻohana ʻia kekahi o kēia mau ʻano:

• Pae I: Aia ke kanesa ma ka papa o loko o ka ʻōpū wale nō.
• Pae II: Ua pālahalaha ke kanesa i nā lymph node kokoke, i nā lymph node mamao, a i ʻole i nā ʻōpū a me nā ʻiʻo kokoke.
• Pae IV:Ua pālahalaha ke kanesa i kekahi mau lymph nodes, ka iwi ʻiʻo, a ma luna a ma lalo o ka diaphragm.
• ʻAʻohe mea e like me ke kahua III no ka lymphoma MALT gastric.

Pehea e mālama ʻia ai ka MALT Lymphoma?

Aia ka lāʻau lapaʻau i nā kumu he nui, me ke ʻano o ka MALT lymphoma, kona kumu, a me ke kahua o ka maʻi. No ka laʻana, hōʻike kekahi mau noiʻi e hiki ke ho'ōla loa ʻia ka gastric MALT lymphoma mua me nā antibiotics, ʻoiai inā i hoʻokumu ʻia e ka maʻi H. pylori.

Hiki i nā koho lapaʻau ke komo pū me:

• `Kali makaʻala/nānā pono`: Hiki i nā kauka ke paipai i kēia ʻano hana no ka poʻe me ka lymphoma MALT mua i hōʻike ʻole i kekahi mau hōʻailona. ʻO ia hoʻi ke nānā ʻana i ka maʻi me ka ʻole o ka lāʻau lapaʻau.
• Nā lāʻau lapaʻau antibiotic: Hoʻopau kēia lāʻau i ka bacteria H. pylori, ka mea e hoʻoulu ai i ka gastric MALT lymphoma. Manaʻo kekahi mau noiʻi e hiki i ka pepehi ʻana iā H. pylori ke ho'ōla i ka maʻi.
• Lapaʻau radiation: Hiki i nā kauka ke hoʻohana i ka radiation therapy e mālama i nā ʻano ʻelua o ka MALT lymphoma.
• ʻO ka lāʻau lapaʻau antibody monoclonal: Hiki i kēia lāʻau lapaʻau ke kōkua i nā poʻe me ka lymphoma MALT gastric i pane ʻole i ka radiation therapy a i ʻole ka poʻe me ka lymphoma MALT non-gastric.

Hiki ke ho'ōla loa ʻia ka MALT Lymphoma?

ʻAe, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke ho'ōla ʻia ka lymphoma MALT gastric mua, ʻoiai ka mea i hoʻokumu ʻia e H. pylori, me nā antibiotics. I nā hihia ʻē aʻe, hiki i ka lāʻau lapaʻau ke hoʻihoʻi i ka maʻi i ka 'remission' , ʻo ia hoʻi, kahi kūlana hiamoe. Eia naʻe, hiki ke hoʻi hou mai ('recurring').

He aha ka wānana o ka maʻi?

E hōʻoluʻolu paha ʻoe i ka lohe ʻana i kēia. Hiki i ka poʻe me ka MALT lymphoma ke ola no nā makahiki he nui, ʻoiai inā e hoʻi hou mai ka maʻi ma hope o ka mālama ʻana. ʻO kēia no ka mea he ʻano ulu lohi ia.

He aha ka helu ola?

Wahi a kekahi noiʻi, ma kahi o 88% o ka poʻe me ka MALT lymphoma e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana. Akā e hoʻomanaʻo he mau kuhi wale nō kēia mau helu ola e pili ana i nā ʻike o nā poʻe ʻē aʻe a me ka ʻikepili i hōʻiliʻili ʻia i ka hala ʻana o ka manawa. Hiki ke ʻokoʻa kou ʻike. I kēia mau hihia, ʻo kāu kauka ke kanaka maikaʻi loa e hāʻawi iā ʻoe i ka ʻike.

Hiki ke pale ʻia ka MALT Lymphoma?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nā kānaka noiʻi lapaʻau i nā mea āpau e kōkua ai i ka hoʻomohala ʻana o ka poʻe i kēia maʻi. Ua ʻike ʻia kekahi noiʻi ʻanaʻO ka pale ʻana i ka maʻi H. pylori hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka lymphoma MALT gastric.

Pehea wau e mālama ai iaʻu iho?

Pono ka nui o ka poʻe i ka mālama olakino no ke ola holoʻokoʻa. ʻO ia hoʻi nā nānā mau ʻana e ʻike ai inā ua hoʻi mai ka maʻi. ʻO ka maʻamau, pono ʻoe i nā hoʻokolohua a me nā scan i kēlā me kēia ʻekolu a ʻeono mahina a hiki i ʻelima mau makahiki. Ma hope o kēlā, pono ʻoe e hana i nā nānā ʻana i hoʻokahi manawa i ka makahiki.

Āhea wau e ʻike ai i ke kauka?

ʻIke pinepine ka poʻe me ka MALT lymphoma i kā lākou mau kauka. Eia nō naʻe, e ʻike koke i kāu kauka inā loaʻa iā ʻoe:

• Inā loaʻa iā ʻoe ka MALT Lymphoma a ʻike ʻoe i nā loli hou (ʻo ia paha he mau hōʻailona) i loko o kou kino.
• Inā ʻoe e hele nei i ka lāʻau lapaʻau a e ʻoi aku ka ʻino o kou mau hōʻailona.
• Inā ʻoe i ke "remission", ʻo ia hoʻi, i ka wā i hoʻomaikaʻi ʻia ai ka maʻi, ke ʻike nei ʻoe i nā loli i kona ʻano, me he mea lā e "hoʻi hou mai ana" ka maʻi.

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

Inā loaʻa iā ʻoe ka MALT Lymphoma, makemake paha ʻoe e nīnau i kāu kauka i kēia mau nīnau:

• He aha ke ʻano o ka lymphoma MALT i loaʻa iaʻu?
• He aha ke kahua o koʻu maʻi?
• Pono anei au i ka lāʻau lapaʻau?
• Inā makemake au i ka lāʻau lapaʻau, he aha ka lāʻau lapaʻau āu e paipai ai?
• Aia kekahi mau hoʻokolohua lapaʻau e pono iaʻu e noʻonoʻo?

E hoʻomanaʻo: ʻO ka MALT Lymphoma kahi ʻano maʻi kanesa kakaikahi e hoʻopilikia ana i ka uhi o ko mākou mau kino a me nā ʻāpana ʻē aʻe o ke kino, kahi ʻano lymphoma non-Hodgkin. Ulu mālie ia, no laila ʻaʻole pinepine ia e hana i nā hōʻailona nui. Hiki i nā kauka ke mālama iā ia, a i kekahi manawa ho'ōla iā ia. Akā hiki i ka maʻi ke hoʻi hou mai, no laila pono paha ka mālama hou aku. Inā loaʻa iā ʻoe kēia maʻi, e kamaʻilio me kāu kauka e pili ana i ka mea e manaʻo ai.

ʻO ka mea hope loa, leka lawe i ka home

ʻAe, e ʻae mai iaʻu e haʻi aku iā ʻoe i kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He ʻano kanesa lohi ka ulu ʻana o ka MALT Lymphoma. Mai makaʻu, akā e makaʻala.
• ʻElua ʻano: gastric (i loko o ka ʻōpū) a me non-gastric (ma nā wahi ʻē aʻe).
• ʻO ka bacteria ʻo `H. pylori` ke kumu nui o ka gastritis.
• Hoʻokumu ʻia nā hōʻailona ma kahi o ka lymphoma, a ʻaʻole paha e ʻike ʻia nā hōʻailona i ka wā mua.
• Aia nā lāʻau lapaʻau, a i kekahi manawa hiki ke ho'ōla loa ʻia, ʻoiai i nā pae mua o ka maʻi ʻaʻai ʻōpū.
• Hiki ke hoʻi hou ka maʻi ma hope o ke komo ʻana i ka kala ʻana, no laila pono ʻoe e hoʻomau ma lalo o ka mākaʻikaʻi lapaʻau.
• Inā he kānalua a nīnau paha kāu, mai makaʻu e kamaʻilio me kāu kauka. ʻO ia ka mea maikaʻi loa e hana ai.

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

ʻO ka lymphoma MALT, ka lymphoma non-Hodgkin, ka maʻi ʻaʻai, ka lymphoma MALT ʻōpū, H. pylori, nā hōʻailona lymphoma, ka mālama ʻana i ka lymphoma