Loaʻa iā ʻoe kēia mau hōʻailona? E kamaʻilio kākou e pili ana i ka Non-Hodgkin Lymphoma (NHL)

Ua ʻike anei ʻoe i kahi puʻupuʻu a pehu paha i kou ʻāʻī, armpit, a i ʻole groin? Ua manaʻo paha ʻoe i ka luhi a ʻeha paha. Hiki i kēia mau mea ke maʻamau, akā i kekahi manawa hiki iā lākou ke lilo i mau hōʻailona o kahi ʻano maʻi koko i kapa ʻia ʻo Non-Hodgkin Lymphoma (NHL) . Mai hopohopo, e mālama kākou i kēia maʻalahi.

He aha ka Non-Hodgkin Lymphoma (NHL)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo Non-Hodgkin Lymphoma (NHL) he hui o nā maʻi kanesa koko e ulu ana i loko o ka ʻōnaehana lymphatic o ko mākou kino. Ua lohe paha ʻoe i kahi ʻano maʻi kanesa i kapa ʻia ʻo lymphoma. ʻO NHL kekahi o nā ʻano nui ʻelua o ka lymphoma. Hoʻomaka kēia mau maʻi kanesa i loko o nā pūnaewele i kapa ʻia ʻo lymphocytes , kahi ʻano o ke koko keʻokeʻo i loko o ko mākou kino. Ua like kēia mau lymphocytes me nā mākaʻi o ko mākou kino. ʻO lākou ka poʻe e pale iā mākou ma ke kaua ʻana i nā maʻi a me nā maʻi.

I kēia manawa, e noʻonoʻo, he aha ka mea e hana ʻia inā he loli, he mutation, i loko o nā genes i loko o kēia mau cell lymphocyte? ʻO ia ka manawa e hoʻomaka ai kēia mau cell lymphoma ʻano ʻē e hana. Hoʻomohala pinepine kēia mau mea i loko o kā mākou mau lymph nodes. ʻO ia kahi e hōʻuluʻulu ai kēia mau cell a hana i nā tumors. Eia naʻe, ʻaʻole wale kēia i loko o nā lymph nodes, akā hiki ke ulu pū i nā ʻōpū ʻē aʻe o kā mākou ʻōnaehana lymphatic, e like me ka thymus gland, ka spleen, a i ʻole i loko o ka ʻiʻo lymph ma nā wahi ʻē aʻe. ʻO ka mea nui loa, inā ʻaʻole mālama pono ʻia kēia mau NHL, hiki iā lākou ke laha ma ke kino holoʻokoʻa.

Akā, ʻaʻohe pono e hopohopo. Me nā lāʻau lapaʻau hou i loaʻa, nui ka poʻe me NHL e hoʻōla nei a ola lōʻihi. I kekahi manawa, hiki i ka lāʻau lapaʻau ke "ho'ōla" loa i ka maʻi. I kekahi manawa, ʻo ka pahuhopu o ka lāʻau lapaʻau ka kaohi ʻana i ka maʻi, e hoʻokomo iā ia i loko o ka "remission", a mālama iā ia no ka lōʻihi e hiki ai.

He aha nā ʻano nui o ka NHL?

E kahaha paha ʻoe i ka ʻike ʻana he ʻoi aku ma mua o 70 mau ʻano NHL! Hoʻokaʻawale nā ​​kauka iā lākou ma muli o ke ʻano o ka lymphocyte i hoʻopilikia ʻia:

• ʻO ka lymphoma cell-B: Hoʻomohala ʻia kēia maʻi kanesa mai nā cell B. ʻO nā cell-B kahi ʻano cell e hana ana i nā antibodies e hakakā i nā germs i loko o ko mākou kino. ʻO ka lymphoma cell-B ka helu no 85% o nā maʻi NHL.
• lymphoma T-cell: Hoʻomohala kēia maʻi kanesa mai nā pūnaewele T. ʻO nā pūnaewele T kahi ʻano pūnaewele e kuhikuhi ana a hoʻouka i nā germs a me nā mea komo hewa ʻē a kōkua i nā pūnaewele B e hana i nā antibodies.

Hoʻokaʻawale pū nā kauka i nā lymphomas B-cell a me T-cell ma ke ʻano he "aggressive" a me "indolent ." Hoʻolaha wikiwiki nā NHL Aggressive ma mua o nā NHL indolent. No laila, koi pinepine nā NHL hoʻouka kaua i ka mālama koʻikoʻi.

Pehea ka maʻamau o kēia maʻi i kapa ʻia ʻo NHL?

He ʻano maʻamau ia o ke kanesa. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, ua manaʻo ʻia he 80,620 mau hihia hou o NHL i ka makahiki 2024. ʻO ia hoʻi ka 11 o nā kanesa maʻamau loa ma ka honua. ʻOi aku ka maʻamau o ka Non-Hodgkin lymphoma ma mua o ka Hodgkin lymphoma , kekahi ʻano lymphoma ʻē aʻe.

He aha nā hōʻailona o ka Lymphoma Non-Hodgkin?

ʻO ka hōʻailona maʻamau ka pehu ʻeha ʻole a i ʻole ka puʻupuʻu ma ka ʻāʻī, ka armpit, a i ʻole ka groin. He hōʻailona kēia ua pehu nā lymph nodes ma kēlā mau wahi. Pili nā hōʻailona ʻē aʻe i kahi o nā cell lymphoma. Hiki i nā hōʻailona NHL ʻē aʻe ke komo pū me:

• Luhi mau
• ʻEha umauma
• Kuke
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• ʻEha ʻōpū a pehu paha
• Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana
• He kuni i wehewehe ʻole ʻia (ʻoi aku ka kuni ma luna o 39.5 degere Celsius (103 Fahrenheit) ʻaʻole i emi ma hope o ʻelua hola a ʻoi aku paha me ka mālama ʻana ma ka home, a inā ua hala ke kuni no ʻelua lā a ʻoi aku paha)
• Ka hou nui ʻana i ka pō a pulu nā moena
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia ma kahi o 10% o ke kaumaha o ke kino (i loko o 6 mau mahina)

ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka nui o kēia mau hōʻailona hiki ke hana ʻia e nā kūlana ʻē aʻe. ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he NHL kou. Eia nō naʻe, inā ʻike ʻoe i kekahi mau loli i kou kino, ʻoiai kekahi mea hou i hana ʻia no kekahi mau pule, he mea naʻauao ke ʻike koke i ke kauka.

He aha nā hōʻailona "B"?

Ke ʻike nā kauka i ka lymphoma, ʻimi pū lākou i nā hōʻailona "B" . ʻO kēia mau hōʻailona "B":

• Kuni me ke kumu ʻole
• Ka hou nui ʻana i ka pō
• ʻO ka pohō kaumaha me ke kumu ʻole

Inā paha he mau hōʻailona kēia āu e kōkua ai i kāu kauka e hoʻoholo i ke ʻano o ka NHL āu a me ke ʻano o ka lāʻau lapaʻau maikaʻi loa.

No ke aha i kū mai ai ka Non-Hodgkin Lymphoma?

ʻO ka Non-Hodgkin Lymphoma ke kumu o kou kino e hana nui ana i nā lymphocytes (nā cell B, nā cell T, a i ʻole nā ​​cell pepehi kanaka kūlohelohe (NK) i kakaikahi). ʻO kēia ma muli o nā hoʻololi genetic i loaʻa i loko o nā genes e hoʻopilikia i ka ulu ʻana o nā lymphocyte. ʻO ke ʻano o "Loaʻa" ʻaʻole ia he mea i hānau ʻia me ʻoe, akā he mea e hana ʻia i kou wā e ola ana.

Ke lilo nā lymphocytes i mea ʻē, māhele lākou a hoʻonui koke, a laila e hana i nā puʻupuʻu. Hoʻomaka pinepine kēia mau puʻupuʻu i loko o nā lymph nodes. Ma muli o ka pili ʻana o kā mākou ʻōnaehana lymphatic i aneane nā ʻāpana āpau o ko mākou kino, laha pinepine ka Non-Hodgkin Lymphoma i nā ʻōpū ʻē aʻe o ka ʻōnaehana lymphatic.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka NHL?

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka Non-Hodgkin Lymphoma. ʻO kahi "kumu pilikia" he ʻano, hana, a kūlana paha e hoʻonui ai i ka likelika o ka hoʻomohala ʻana i kahi maʻi. No ka laʻana, ʻoi aku ka nui o ka hiki ke hoʻomohala i ka NHL:

• ʻO ka poʻe ma luna o 60 mau makahiki (piʻi ka pilikia o ka NHL me ka makahiki)
• No nā kāne
• No ka poʻe keʻokeʻo (he mea kēia i ʻōlelo ʻia ma nā haʻawina haole)

ʻO nā kumu pilikia ʻē aʻe:

• ʻŌnaehana pale kino nāwaliwali: ʻO kahi ʻōnaehana pale kino nāwaliwali ma muli o nā kūlana e like me ka HIV hiki ke hoʻonui i ka pilikia o ka NHL. Eia kekahi, ʻo ka lawe ʻana i nā lāʻau lapaʻau immunosuppressive ma hope o ka hoʻoili ʻana o kahi kino he mea pilikia ia.
• Nā maʻi Autoimmune: ʻO ka poʻe me nā maʻi e like me ka maʻi ʻōpū mumū (IBD), ka rheumatoid arthritis, a me ka psoriasis e piʻi nui ana ka pilikia o ka hoʻomohala ʻana i ka NHL.
• Nā maʻi: Ua ʻike ʻia nā maʻi bacteria a me nā viral e like me ka maʻi H. pylori, ka maʻi T-lymphotropic kanaka Type I, hepatitis C, a me ka maʻi Epstein-Barr e pili ana me NHL.
• Ka ʻike ʻia ʻana i nā pesticides: Ua hōʻike kekahi mau noiʻi e hiki i ka poʻe me ka ʻike nui ʻana i nā herbicides a me nā insecticides ke loaʻa iki ka pilikia o ka hoʻomohala ʻana i ka NHL.
• Moʻolelo ʻohana: Inā loaʻa kekahi o kou mau mākua, nā kaikunāne, nā kaikuahine, a i ʻole nā ​​keiki i ka lymphoma a i ʻole kekahi maʻi koko ʻē aʻe, hiki paha iā ʻoe ke piʻi aʻe ka pilikia.

Pehea e ʻike ʻia ai ka Lymphoma Non-Hodgkin?

He hana ʻanuʻu ka ʻike ʻana i ka Non-Hodgkin Lymphoma. ʻO ka mea mua, e hana ʻia nā hoʻokolohua e kāpae i nā kūlana maʻamau ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona. No ka laʻana, ʻoi aku ka nui o nā lymph node pehu e hana ʻia e kahi maʻi ma mua o ka lymphoma. Ke hoʻoholo kāu kauka he Non-Hodgkin Lymphoma kou, e hana lākou i nā hoʻokolohua hou aʻe e ʻike i ke ʻano a me ka mamao o kona laha ʻana (ka 'kahua').

ʻO nā hoʻokolohua a i ʻole nā ​​​​kaʻina hana ʻē aʻe āu e pono ai e ʻike i ka Non-Hodgkin Lymphoma:

• Hoʻokolohua kino: E nīnau kāu kauka e pili ana i kāu mau hōʻailona a nānā i nā hōʻailona o Non-Hodgkin Lymphoma, e like me nā lymph nodes pehu.
• Nā hoʻāʻo koko: Hiki i nā hoʻāʻo koko, e like me ka helu koko piha (CBC), ke hāʻawi iā ʻoe i kahi manaʻo o kou olakino holoʻokoʻa. Hiki iā lākou ke nānā i nā maʻi e pili ana me ka Non-Hodgkin Lymphoma a i ʻole nā ​​​​mea i loko o kou koko e hōʻike ana i ka hōʻino ʻia o nā ʻiʻo i hana ʻia e ka maʻi.
• Nā hoʻokolohua kiʻi: Hōʻike kēia mau hoʻokolohua i kahi o nā hunaola kanesa i loko o kou kino. Ma muli o kahi o nā hunaola lymphoma, pono paha ʻoe i kahi CT scan, MRI, ultrasound scan, a i ʻole PET scan.
• Hoʻāʻo Biopsy:ʻO ke ala wale nō e ʻike pono ai inā he NHL nā pūnaewele ʻē aʻe me ka biopsy. Ma kēia, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi lymph node a i ʻole kahi i hoʻopilikia ʻia a hoʻouna aku i kahi keʻena hoʻokolohua. Ma laila, nānā kahi pathologist i ka ʻiʻo ma lalo o kahi microscope e ʻike inā he mau pūnaewele lymphoma.
• Immunophenotyping: Kōkua kēia hoʻāʻo i ka ʻike ʻana i nā ʻano kikoʻī o NHL. Hoʻokaʻawale ia i nā ʻōpū kanesa ma muli o nā māka (antigens) ma ko lākou ʻili.

He aha nā pae o ka Non-Hodgkin Lymphoma?

Kōkua nā hopena hoʻāʻo i nā kauka e hoʻoholo i ke kahua o ke kanesa (ka hoʻonohonoho ʻana o ke kanesa). Hoʻohana ʻia ke kahua o ke kanesa e hoʻolālā i ka lāʻau lapaʻau a hāʻawi i kahi manaʻo o ka hopena i manaʻo ʻia (prognosis). ʻO nā kahua o ka Non-Hodgkin Lymphoma penei:

• Pae I: Aia nā hunaola kanesa ma kekahi ʻāpana o ka lymph node a i ʻole ke kino i loko o ka ʻōnaehana lymphatic. A i ʻole, aia ka lymphoma ma kekahi ʻāpana o hoʻokahi kino ma waho o ka ʻōnaehana lymphatic.
• Pae II: Aia ka lymphoma i loko o ʻelua a ʻoi aku paha mau hui lymph node ma ka ʻaoʻao like o (a kokoke paha) o ka diaphragm.
• Pae III: Aia nā hunaola kanesa ma nā lymph nodes ma luna a ma lalo o ka diaphragm, a i ʻole ma nā lymph nodes ma luna o ka diaphragm a ma ka spleen.
• Pae IV: Ua pālahalaha ka lymphoma i hoʻokahi ʻāpana ma waho o ka ʻōnaehana lymphatic, e like me ke akepaʻa a me nā māmā.

He aha nā lāʻau lapaʻau no ka Non-Hodgkin Lymphoma?

Aia kekahi mau lāʻau lapaʻau no ka Non-Hodgkin Lymphoma. ʻO ka lāʻau lapaʻau āu e pono ai ma muli o nā mea e like me ke ʻano o ka NHL, ke kahua o ke kanesa, a me kou olakino holoʻokoʻa. ʻO nā koho lapaʻau e komo pū ana:

• Nānā ikaika: Inā loaʻa iā ʻoe ka lymphoma non-Hodgkin palaualelo a ʻaʻole ʻoe e hōʻike ana i kekahi mau hōʻailona, ​​​​hiki i kāu kauka ke hoʻopaneʻe i ka hoʻomaka ʻana o ka lāʻau lapaʻau. Ua kapa ʻia kēia he nānā ikaika a i ʻole "kali makaʻala." E nānā mau nā kauka i kou olakino, i hiki iā lākou ke hoʻomaka i ka lāʻau lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.
• Kemoterapi: ʻO ke kemoterapi kahi lāʻau lapaʻau e hoʻohana ana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa ma ke kino holoʻokoʻa. ʻO kēia ka lāʻau lapaʻau maʻamau no NHL. Hiki iā ʻoe ke loaʻa i ka kemoterapi hoʻokahi a i ʻole i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
• Lapaʻau i kuhikuhi ʻia: Kuhi kēia mau lāʻau i nā nāwaliwali kikoʻī i loko o nā hunaola kanesa a luku iā lākou. ʻO ka lāʻau lapaʻau antibody monoclonal kahi lāʻau lapaʻau i kuhikuhi ʻia no NHL.
• Hoʻōla lāʻau pale:Hoʻoulu kēia lāʻau i kāu ʻōnaehana pale ponoʻī, e hoʻoikaika ana i ka luku ʻana i nā hunaola maʻi kanesa. ʻO ka lāʻau lapaʻau cell CAR-T kahi ʻano immunotherapy i hoʻohana pinepine ʻia no NHL. ʻO nā antibodies bispecific kahi papa lāʻau hou. Hoʻopaʻa kēia i kāu mau hunaola T ponoʻī a pepehi i nā hunaola lymphoma cancerous.
• Lapaʻau radiation: Hoʻohana kēia lāʻau i nā kukuna ikehu kiʻekiʻe mai kahi mīkini e pepehi i nā hunaola kanesa. Ua lawa paha kēia no ka NHL mua. Hoʻohana pū nā kauka i kēia ʻano hana e pepehi i nā hunaola lymphoma e waiho paha ma hope o ka chemotherapy.
• ʻO ka Chemotherapy me ka hoʻoili ʻana o nā cell stem: Ma kēia lāʻau lapaʻau, hāʻawi ʻia nā dosis kiʻekiʻe o ka chemotherapy e mālama i ke kanesa. A laila, ua pani ʻia nā cell koko ʻōpiopio i hōʻino ʻia e ka chemotherapy me nā cell stem olakino mai kou kino ponoʻī a i ʻole mai kahi mea hāʻawi. Pono paha ʻoe i kēia hoʻoili inā ʻaʻole i kōkua nā lāʻau lapaʻau NHL ʻē aʻe.

He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻO nā lāʻau lapaʻau maʻamau no ka maʻi kanesa Non-Hodgkin Lymphoma, e like me ka chemotherapy, radiation therapy, a me ka immunotherapy, hiki ke hana i nā hopena ʻaoʻao. ʻO ka hapa nui o kēia mau mea he manawa pōkole a nalowale ke pau ka lāʻau. Eia nō naʻe, hiki i kekahi mau hopena ʻaoʻao ke lōʻihi.

Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e ʻoluʻolu e nīnau i kāu kauka e pili ana i nā hopena ʻaoʻao. Hiki iā ia ke wehewehe i nā pono o ka lāʻau lapaʻau a me nā pilikia o nā hopena ʻaoʻao.

Pehea lā ke ʻano o ke ola me ka NHL? (Nānā/Wānana)

I kekahi mau hihia, hiki i ka lāʻau lapaʻau ke "ho'ōla" loa i ka Non-Hodgkin Lymphoma. ʻO ke ʻano kēia, ua luku mau ʻia nā hunaola kanesa āpau e ka lāʻau lapaʻau. ʻIke pinepine ʻia kēia ma hope o ka mālama ʻia ʻana o nā lymphomas B-cell aggressive. Inā hoʻi hou mai ka Non-Hodgkin Lymphoma, hana pinepine ia i loko o nā makahiki ʻelua mua ma hope o ka lāʻau lapaʻau. A i ʻole, ʻaʻole paha e hoʻi hou mai. Eia nō naʻe, pono ʻoe e loaʻa nā nānā maʻamau e nānā no ka hoʻi hou ʻana.

ʻO nā ʻano ʻē aʻe o ka Non-Hodgkin Lymphoma, ʻoiai nā mea e laha mālie ana (indolent), hiki ke lōʻihi. ʻO ke ʻano kēia e pono ai ʻoe e loaʻa ka lāʻau lapaʻau mau a i ʻole i kekahi manawa i kou ola.

Akā, ʻo ka mea nui loa, ʻoiai ʻaʻole hiki ke ho'ōla ʻia ka Non-Hodgkin Lymphoma, ʻo nā lāʻau lapaʻau o kēia manawa e hiki ai i nā kānaka ke ola lōʻihi a hauʻoli me ka maʻi . Nui ka poʻe me ka lymphoma ulu lohi e make ana mai nā kumu ʻē aʻe, ʻoiai inā ʻaʻole hiki ke ho'ōla ʻia ka lymphoma.

He aha ka helu ho'ōla mai ka NHL?

Wahi a ka US National Cancer Institute, 74% o ka poʻe me Non-Hodgkin Lymphoma e ola ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana.

Ma keʻano laulā, ʻoi aku ka lōʻihi o ke ola o ka poʻe i ʻike ʻia ma mua o ka laha ʻana o ka maʻi ma mua o ka poʻe i ʻike ʻia ma hope o ka laha ʻana o ke kanesa. ʻO ka nui o ke ola ʻana no ʻelima makahiki no ka poʻe me ka Non-Hodgkin Lymphoma mua (nā pae I a me II) ma waena o 79% a me 87%. No ka poʻe me ka maʻi kiʻekiʻe (nā pae III a me IV), aia ka helu ma waena o 64% a me 73%.

Pehea ʻoe e mālama ai iā ʻoe iho ma ke ʻano he kanaka me NHL?

Aia kekahi mau mea hiki iā ʻoe ke hana e mālama i ka noho ʻana me ka Non-Hodgkin Lymphoma. ʻAʻole e hoʻopau kēia mau mea i kou maʻi, akā hiki iā lākou ke kōkua iā ʻoe e hilinaʻi hou aku e pili ana i ka noho ʻana me ia:

• ʻAi i nā meaʻai olakino: He ikehu ka meaʻai. ʻO ka ʻai maikaʻi kekahi ala e mālama ai i ka ikehu. E noi i kahi meaʻai meaʻai no ka ʻike hou aku a i ʻole nā ​​​​manaʻo e pili ana i nā meaʻai a me nā meaʻai māmā.
• E hoʻomaha nui e like me ka hiki: Hiki i nā lāʻau lapaʻau e like me ka chemotherapy ke hoʻoluhi iā ʻoe. Kōkua ka hoʻomaha i kou kino e hoʻōla a loaʻa hou kona ikaika.
• Hoʻokele i ke kaumaha: ʻAʻole maʻalahi ka noho ʻana me ka Non-Hodgkin Lymphoma. E hopohopo paha ʻoe pehea e pili ai ka maʻi a me ka lāʻau i kou ola o kēlā me kēia lā. Inā hopohopo ʻoe e pili ana i kāu prognosis, e kamaʻilio me kāu kauka. Hiki iā ia ke pane i kāu mau nīnau a haʻi iā ʻoe e pili ana i nā papahana e hiki ke kōkua, e like me nā hui kākoʻo.
• Hoʻoikaika Kino: ʻO ka hoʻoikaika kino mau kekahi o nā ala maikaʻi loa e mālama ai i kou noʻonoʻo a me kou kino. E kamaʻilio me kāu kauka e pili ana i nā ʻano hoʻoikaika kino a me ka ikaika e kūpono iā ʻoe.
• E kiʻi i ke kōkua hou aku: Inā ʻoe e noho nei me ka Non-Hodgkin Lymphoma, e nānā i ka mālama palliative. Hāʻawi ka mālama palliative i ka hōʻoluʻolu o nā hōʻailona a me ke kākoʻo no ka poʻe me ka maʻi kanesa, me ka nānā ʻole i ko lākou pae o ka maʻi a i ʻole ka prognosis.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe e mālama ʻia no ka Non-Hodgkin Lymphoma, e ʻike koke i kāu kauka inā hoʻi mai kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino. Ma hope o ka pau ʻana o kāu mālama ʻana, e hōʻoia e hele i nā kipa hahai āpau e like me ka mea i hoʻonohonoho ʻia.

Āhea ʻoe e hele ai i kahi lumi pilikia?

Inā loaʻa iā ʻoe nā ʻōuli koʻikoʻi, a inā e ʻoi aku ka ʻino o kāu mau ʻōuli me ka ʻole o ka hōʻoluʻolu mai nā mea āu e hana nei e hōʻemi i kou ʻehaʻeha, e hele i kahi lumi pilikia.

Nā nīnau koʻikoʻi e nīnau aku i kāu kauka

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha ke ʻano o ka Lymphoma Non-Hodgkin iaʻu?
• He aha ke kahua o koʻu maʻi?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao o kēlā mau lāʻau lapaʻau?
• Hiki ke ho'ōla ʻia koʻu Non-Hodgkin Lymphoma?
• He aha ka manawa kūpono e hoʻi hou mai ai ke kanesa?

ʻO ka ʻike ʻana he Non-Hodgkin Lymphoma (NHL) kou hiki ke lilo i mea kaumaha no nā kumu he nui. Aia nā ʻano maʻi like ʻole, kēlā me kēia me nā hopena like ʻole. ʻO kekahi mau ʻano e laha koke ana e pono ai ka mālama hou aku a loaʻa paha nā hopena ʻino ʻole - akā hiki ke ho'ōla ʻia. ʻAʻole pono paha nā ʻano ʻē aʻe i ka mālama koke ʻana, akā pono e mālama ʻia i ka wā lōʻihi. ʻAʻohe pane maʻalahi me kēia hōʻailona.

Hiki i kāu kauka ke wehewehe pehea e hoʻopilikia ai kāu hōʻailona NHL i kou olakino i ka wā e hiki mai ana. I kēia manawa, e hoʻomanaʻo e ola lōʻihi ana ka poʻe me kēia maʻi. E nīnau i kāu kauka e pili ana i kāu wānana ma muli o kou kūlana.

Nā mea nui e hoʻomanaʻo ai (Leka Lawe-Home)

ʻOiai ʻo ka Non-Hodgkin Lymphoma (NHL) he mea e makaʻu ai, he mea nui e makaʻala iā ia a e ʻimi koke i ke aʻo lapaʻau. E hoʻomanaʻo:

• Inā loaʻa iā ʻoe nā hōʻailona e like me ka pehu ʻana i wehewehe ʻole ʻia, ka luhi mau, ka hou ʻana i ka pō, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia , e ʻike i ke kauka.
• Loaʻa nā lāʻau lapaʻau kūpono no ka NHL i kēia manawa, a nui ka poʻe e ola nei me ka holomua me ka maʻi.
• E kamaʻilio ākea me kāu kauka a e nīnau i kāu mau nīnau a pau.
• He mea nui loa ka noho maikaʻi ʻana a me ka mālama pono ʻana iā ʻoe iho ma kēia huakaʻi.

ʻAʻole ʻoe hoʻokahi. Ke lana nei ko mākou manaʻo e hāʻawi kēia ʻike iā ʻoe i ka ikaika.

ʻO ka Lymphoma Non-Hodgkin, Lymphoma, Kanesa, Nā ʻĀpana Lymph, Nā Hōʻailona, ​​​​Lanʻau, NHL