I kekahi manawa, hiki iā kākou ke loaʻa i nā maʻi a kākou e noʻonoʻo ʻole ai, ʻeā? ʻO ka Peripheral T-cell Lymphoma, a i ʻole PTCL no ka pōkole, he ʻano paʻakikī iki ia, akā he mea nui loa ia e makaʻala i ia mea. ʻAʻole ia he maʻi hoʻokahi, akā he hui pū ʻana o kekahi mau maʻi. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo?
ʻAʻole maʻi hoʻokahi ka Peripheral T-cell Lymphoma (PTCL). He hui ia o kekahi mau ʻano maʻi koko ʻino . ʻO ke kikoʻī, hoʻopilikia ia i kā mākou ʻōnaehana lymphatic . Ua lohe paha ʻoe iā ia he "Non-Hodgkin lymphoma", a ʻo ia nō ia. ʻO kahi mea e pili ana iā PTCL, hiki iā ia ke laha (metastasize) mai kekahi ʻāpana o ke kino i nā ʻāpana ʻē aʻe . ʻO ia hoʻi, hiki iā ia ke hoʻopilikia i ka aneane o kekahi ʻāpana o ke kino, no laila hiki ke ʻokoʻa nā hōʻailona.
ʻO ka nūhou maikaʻi, hiki i nā kauka ke hoʻomalu pono i nā ʻano like ʻole o ka PTCL. Eia nō naʻe, i kekahi manawa hiki ke hoʻi hou mai ka maʻi. ʻO ia ke kumu e ʻimi mau nei nā kānaka noiʻi lapaʻau i nā lāʻau lapaʻau hou e hiki ke kōkua i nā kānaka e ola lōʻihi me ka PTCL.
Ua kapa ʻia kēia maʻi he PTCL he mea maʻamau?
ʻAʻole, ʻaʻole kēia he maʻi maʻamau loa . Ua hōʻike ʻia kahi noiʻi i mālama ʻia ma ka honua holoʻokoʻa he ʻelua haneli tausani kānaka e loaʻa ana iā PTCL. Ma kahi o 10% o ka poʻe i loaʻa i ka `(Non-Hodgkin lymphoma)` he PTCL.
ʻIke pinepine ʻia kēia ʻano ma nā ʻāina ʻĀsia, ʻApelika, a me ka Caribbean ma mua o ʻAmelika Hui Pū ʻIa. Hoʻomohala pinepine ia i nā poʻe ma luna o 60 mau makahiki. Eia nō naʻe, hiki i kekahi mau ʻano ke ulu i nā keiki ʻōpio a me nā mākua ʻōpio .
He aha nā ʻano nui o PTCL?
Ua ʻike ka World Health Organization (WHO) ma mua o 20 mau ʻano like ʻole o ka PTCL. Loaʻa i kēlā me kēia o kēia mau mea kona mau māka genetic ponoʻī. E nānā kākou i kekahi o nā ʻano maʻamau.
ʻO ka lymphoma T-cell peripheral, ʻaʻole i kuhikuhi ʻia ma kekahi ʻano ʻē aʻe (PTCL-NOS)
ʻO kēia ke ʻano maʻamau . ʻO ka ``(PTCL-NOS)`` he māhele ia e komo pū ana me nā hihia i hiki ʻole ke wehewehe pono ʻia a ʻaʻole kūpono i nā ʻano maopopo ʻē aʻe. Ma kahi o 30% o nā maʻi PTCL āpau e hāʻule ana i loko o kēia māhele. Hiki iā ia ke hoʻopilikia nui i kāu mau lymph nodes , iwi iwi , spleen , a i ʻole ke akepaʻa .
ʻO ka lymphoma T-cell angioimmunoblastic (AITL)
Hana pū kēia i 15% a 30% o nā maʻi PTCL ma ka honua holoʻokoʻa. Hiki i ka AITL ke hoʻopilikia i kou spleen, iwi iwi, spleen, a i ʻole ke akepaʻa.
ʻO ka lymphoma pūnaewele nui anaplastic (ALCL)
Aia kekahi mau ʻano like ʻole o `(ALCL)`.
- Aia kekahi i kapa ʻia ʻo primary cutaneous ALCL , ka mea e hoʻopilikia ai i ka ʻili .
- Hoʻokahi hou aku.ʻO ka ALCL ʻōnaehana, ka mea e hoʻopilikia ai i nā māmā, ka ʻili, a me nā ʻōpū ʻē aʻe. Hoʻokaʻawale hou ʻia kēia ALCL ʻōnaehana i kekahi manawa ma muli o nā loli i loko o kahi gene kikoʻī i kapa ʻia ʻo ALK (anaplastic lymphoma kinase) . Ma kahi o 15% o PTCL e hāʻule i loko o kēia ʻano "(ALCL)".
ʻO Extranodal natural killer/T-cell lymphoma, ʻano ihu
He mea kūikawā iki kēia. Hoʻomohala pinepine ʻia kēia ʻano maʻi i loko o nā ʻiʻo o kou ihu , nā lua sinus , a me ka ʻāʻī o luna . Akā hiki i kekahi manawa ke laha i ka ʻili, ke ala ʻai , a me nā ʻōpū ʻē aʻe. ʻO kēia ʻano he 10% o PTCL.
Nā lymphoma T-cell ʻōpū
Manaʻo ʻia e ka inoa, ʻeā? Hoʻopilikia kēia i ka ʻōnaehana hoʻoheheʻe . He 6% ia o ka PTCL. Loaʻa iā ia nā ʻano i kapa ʻia ʻo enteropathy-associated T-cell lymphoma (EATL) a me ka monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) .
ʻO ka lymphoma/leukemia T-cell makua (ATLL)
Hiki iā ia ke hoʻopilikia i ka ʻili a me nā iwi. ʻEhā mau ʻano like ʻole o ATLL: ʻoi, lymphoma, maʻi mau, a me ka smoldering . ʻO nā ʻano ʻelua maʻamau ka acute a me ka lymphoma, he ʻano huhū. ʻOi aku ka lohi o ka ulu ʻana o nā ʻano maʻi mau a me ka smoldering. Hoʻopilikia kēlā me kēia ʻano like ʻole o ATLL i nā ʻāpana like ʻole o ke kino.
He aha nā hōʻailona o ka PTCL?
ʻOiai he mau hōʻailona kikoʻī ko kēlā me kēia ʻano o ka PTCL, aia kekahi mau mea maʻamau. E nānā kākou i ke ʻano o lākou:
- Nā ʻōpuʻu lymph pehu: Hiki paha iā ʻoe ke loaʻa ka pehu ʻeha ʻole ma kou ʻāʻī, nā ʻāʻī lima, a i ʻole ka ʻūhā. E noʻonoʻo i kahi puʻupuʻu liʻiliʻi ma kou ʻāʻī e like me ka mea e ulu nui ana i ka hala ʻana o ka manawa, akā ʻaʻole ʻeha. ʻO ia wale nō.
- ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Inā e lilo ana ʻoe ma kahi o 10% o kou kaumaha holoʻokoʻa i loko o ʻeono mahina, me ka hoʻāʻo ʻole ʻana, he mea ia e hopohopo ai.
- ʻEha a pehu paha ka ʻōpū: Hiki ke hana kēia inā ua hoʻonui ʻia kou spleen. Hiki paha iā ʻoe ke ʻoluʻolu ʻole, me he mea lā ua piha kou ʻōpū.
- Luhi mau: Manaʻo i ka luhi maʻamau no kekahi mau lā me ke kumu ʻole. Me he mea lā ʻaʻole e nalowale ka luhi me ka nānā ʻole i ka nui o kou hiamoe ʻana.
- ʻO ke kuni i wehewehe ʻole ʻia: ʻO ka hapa nui, loaʻa ke kuni i ka wā e hakakā ana ke kino i kahi maʻi. Eia nō naʻe, inā hoʻomau ke kuni ma mua o 39.5 degere Celsius (103 Fahrenheit) no ʻelua mau hola ma hope o ka mālama ʻana ma ka home, a inā hoʻomau ke kuni no ʻelua mau lā, he hōʻailona paha ia o kahi mea ʻoi aku ka koʻikoʻi.
ʻO ka mea nui loa, ʻaʻole pono ʻoe e hopohopo e pili ana i ka loaʻa ʻana o ka PTCL no ka mea wale nō iā ʻoe kēia mau hōʻailona. Hiki ke loaʻa iā lākou ma muli o nā kumu ʻē aʻe a maʻalahi hoʻi. Akā inā hoʻomau kēia mau hōʻailona,He mea nui loa e ʻike pono i ke kauka a loaʻa ka ʻōlelo aʻo.
I kēia manawa, e nānā kākou i nā hōʻailona e hele mai me kekahi mau ʻano kikoʻī.
Nā hiʻohiʻona ʻē aʻe o ka lymphoma T-cell peripheral, ʻaʻole i kuhikuhi ʻia (PTCL-NOS)
Ma waho aʻe o nā hōʻailona maʻamau, hiki iā ʻoe ke ʻike:
- Ka emi ʻana o nā hunaola koko ʻulaʻula (Anemia) - Hiki i kēia ke hoʻoulu i ka mae a me ka luhi nui.
- Ka helu haʻahaʻa o nā platelet koko (Thrombocytopenia) - Hiki i kēia ke alakaʻi i ke ʻano o ke kahe ʻana o ke koko.
- Nā kiko ʻulaʻula ʻālohilohi ma ka ʻili.
- Inā aia ke kanesa i loko o ka umauma , ʻeha ka umauma a paʻakikī paha ka hanu ʻana (dyspnea).
Nā hiʻohiʻona ʻē aʻe o ka angioimmunoblastic T-cell lymphoma (AITL)
Ma waho aʻe o nā hōʻailona maʻamau:
- Hou i ka pō - Ke hou nui nei i ka wā hiamoe a pulu nā moena moe.
- ʻŌhūhū ʻili.
- Nā maʻi autoimmune e like me ka `(Autoimmune hemolytic anemia) `.
Nā hiʻohiʻona ʻē aʻe o ka lymphoma cell nui anaplastic (ALCL)
ʻO ka ALCL ʻili mua (ke ʻano e hoʻopilikia ai i ka ʻili)
- Nā mea e like me ke ʻano ʻulaʻula a ʻulaʻula paha o ka ʻili, nā puʻupuʻu e ulu nui ana i ka hala ʻana o ka manawa.
- Nā pehu nui, maneʻo, a poepoe .
- Hiki i kēia mau puʻupuʻu ke lilo i ʻeha a lilo i ʻōpala.
ʻO ka ALCL ʻōnaehana (ke ʻano e hoʻopilikia ai i nā ʻōpū o loko)
I kēia hihia, ʻike ʻia nā hōʻailona maʻamau i ka PTCL.
ʻO Extranodal natural killer/T-cell lymphoma, ʻano ihu
- Ka ihu paʻa, he manaʻo e like me ka mea i paʻa ka ihu.
- Kahe koko ihu .
- Lilo ka ʻili o loko o ka ihu i ʻōpala .
- Pehu ʻeha o ka maka .
- Nā pilikia maka e like me ka kahe ʻana mai nā maka a me ka ʻeha maka.
ʻO ka lymphoma/leukemia T-cell makua (ATLL)
He mea maʻamau nā hōʻailona PTCL i nā ʻano ʻehā o ATLL.
He aha nā kumu o PTCL?
I ka ʻōlelo maʻalahi, loaʻa ka lymphoma T-cell Peripheral i ka wā e loli ai nā pūnaewele T i loko o ko mākou kino (`(mutate)`) i loko o nā pūnaewele kanesa. E like me kou ʻike, ʻo kēia mau pūnaewele T he ʻano koko keʻokeʻo e pale iā mākou mai nā mea komo hewa e like me nā germs e komo i loko o ko mākou kino. No laila, i ka wā e loli ai kēia mau pūnaewele T, lilo lākou i mau pūnaewele kanesa a hoʻomaka e hoʻonui me ka hiki ʻole ke kāohi . Ke hoʻonui lākou e like me kēia, hōʻiliʻili lākou i loko o ko mākou mau māmā, spleen, ate, a me nā ʻōpū ʻē aʻe a hana i nā puʻupuʻu kanesa .
ʻAʻole i loaʻa i nā loea ke kumu kūpono no ke kumu e loli ai kēia mau pūnaewele T e like me kēia.Eia nō naʻe, ua ʻike ʻia e ka noiʻi e pili ana ia i kekahi mau kūlana olakino.
ʻo kahi laʻana:
- Ua hōʻike ʻia kahi noiʻi honua e hiki i ka poʻe me ke ʻano i kapa ʻia ʻo ka maʻi celiac ke loaʻa i ka nui o ka pilikia o ka hoʻomohala ʻana i kekahi mau ʻano PTCL, me ALCL.
- Eia kekahi, ʻo ka poʻe i loaʻa i ka maʻi Epstein-Barr e loaʻa paha i kahi piʻi nui o ka hoʻomohala ʻana i ka extranodal natural killer/T-cell lymphoma.
- ʻO ka poʻe me ka maʻi `(Human T-cell lymphotropic virus Type 1 (HTLV-1))` ua ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka `(acute T-cell lymphoma/leukemia)`.
Pehea e ʻike ʻia ai ka PTCL?
Pono paha nā kauka e hana i kekahi mau hoʻokolohua like ʻole e ʻike ai i ke ʻano kikoʻī o ka PTCL e hoʻoulu ai i kou mau pilikia olakino. Hiki i kēia ke komo pū me nā hoʻokolohua koko, nā hoʻokolohua kiʻi, nā hoʻokolohua biopsy , a me nā hoʻokolohua genetic e aʻo ai i ke ʻano genetic o nā cell cancer.
Nā hoʻāʻo koko
Hana nā kauka i nā hoʻokolohua koko e nānā i nā maʻi i pili paha i ka PTCL. Hiki i kēia mau mea ke komo pū me:
- Helu koko piha (CBC)
- Panel metabolic piha (CMP)
- Hoʻāʻo Lactate dehydrogenase (LDH)
- Nā hoʻokolohua Hepatitis B a me Hepatitis C
- Hoʻāʻo no ka maʻi pale ʻole kanaka (HIV)
- Nā hoʻokolohua o ka maʻi lymphotropic T-cell kanaka Type 1 (HTLV-Type 1)
Nā hoʻokolohua kiʻi
ʻAe kēia mau scan i nā kauka e loaʻa ka ʻike e pili ana i loko o kou kino, ʻoiai kahi i loaʻa ai nā puʻu kanesa.
- ʻO ke kiʻi ʻikepili i helu ʻia (CT)
- ʻO ke kiʻi ʻana o ka tomography hoʻokuʻu Positron (PET)
- Ke nānā ʻana i ke kiʻi resonance magnetic (MRI)
Nā Biopsies
ʻO kēia ke kumu o ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a nānā iā ia ma lalo o kahi microscope. ʻO kēia ke ala nui e hōʻoia pono ai i ka maʻi .
- ʻO ka biopsy o ke kiko lymph
- ʻO ka biopsy ʻili
- ʻO ka biopsy iwi
He aha nā pae o ka PTCL?
Hoʻohana nā kauka i ke kahua o ke kanesa e hoʻolālā i ka mālama ʻana a hāʻawi iā ʻoe i kahi manaʻo o ka mea hiki iā ʻoe ke manaʻo mai ka mālama ʻana (prognosis). Hoʻoholo ʻia kēia kahua e ke ʻano o ka PTCL a me kahi i laha ai nā cell T cancerous. Eia nā kahua nui ʻehā o ka PTCL:
- Pae I: Aia nā pūnaewele T kanesa i loko o hoʻokahi pūnaewele a i ʻole hoʻokahi hui o nā pūnaewele.
- Pae II: Ua hoʻopilikia ke kanesa i ʻelua a ʻoi aku paha mau lymph node ma ka ʻaoʻao like o kou kino (no ka laʻana, ma kēlā ʻaoʻao kēia ʻaoʻao o kou ʻāʻī, a i ʻole ma ka ʻaoʻao like ma luna a ma lalo paha o ka diaphragm).
- Pae III: Ua pālahalaha ke kanesa i nā ʻiʻo ma luna a ma lalo o kou diaphragm.
- Pae IV: Ma waho aʻe o nā testicles, ua hoʻopilikia pū ka maʻi kanesa i nā ʻōpū ʻē aʻe, e like me nā māmā, ke akepaʻa, ka iwi iwi, a i ʻole ka ʻōnaehana hoʻoheheʻe.
He aha nā lāʻau lapaʻau no PTCL?
No ka mea, he nui nā ʻano like ʻole o ka PTCL a me ke kahua o ke kanesa, ʻaʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau . Hiki ke ʻokoʻa nā koho lapaʻau mai kēlā kanaka a kēia kanaka. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. Eia kekahi o nā lāʻau lapaʻau maʻamau:
- Chemotherapy: He hui pū ʻana o nā ʻano lāʻau chemotherapy like ʻole. ʻO kēia ka lāʻau lapaʻau nui i hoʻohana pinepine ʻia.
- Lapaʻau radiation: Hoʻohana ʻia kēia i kekahi manawa me ka chemotherapy, ʻoiai ke kūloko ʻia ke kanesa.
- Lapaʻau i kuhikuhi ʻia: He lāʻau lapaʻau kēia e kuhikuhi ana i nā loli genetic kikoʻī (nā mutations) e hoʻolilo ai i nā cell olakino e lilo i mau cell cancer. He ʻokoʻa kēia mai ka chemotherapy kuʻuna.
- ʻO ka Chemotherapy a me ka hoʻoili ʻana o nā cell kumu allogeneic: Hiki ke hoʻohana ʻia kēia lāʻau no ka PTCL i pane ʻole i ka chemotherapy a me ka radiation therapy, a i ʻole e hana hou ma hope o ka lāʻau. He lāʻau paʻakikī iki kēia.
I kekahi manawa hiki paha iā ʻoe ke komo i nā hoʻokolohua lapaʻau o nā lāʻau lapaʻau hou no PTCL. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha nā hopena ʻaoʻao maʻamau o ka lāʻau lapaʻau?
Hiki i nā lāʻau lapaʻau he nui ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau kēia mau hopena ʻaoʻao a pau, a hiki ke ʻokoʻa ke koʻikoʻi. No ka laʻana, hiki i nā hopena ʻaoʻao o ka chemotherapy a me ka radiation therapy ke komo pū me:
- Luhi
- ʻO ka noe lolo i hoʻokomo ʻia e ka chemotherapy - he manaʻo o ka noe lolo, ka nalowale o ka hoʻomanaʻo, a me ka paʻakikī i ka noʻonoʻo ʻana.
- Ka luaʻi a me ka luaʻi
- Pohō lauoho
- ʻEha waha
- ʻOi aku ka maʻalahi i nā maʻi
I kēia manawa, nui nā ala e kaohi ai i kēia mau hopena ʻaoʻao, no laila e kamaʻilio pū me kāu kauka e pili ana i kēlā.
He aha ka wānana o ka PTCL?
Aia maoli kēia i ke ʻano o ka PTCL, ke kahua o ke kanesa, kou olakino holoʻokoʻa, a inā paha ke kala ʻia nei ke kanesa ("remission") me ka lāʻau lapaʻau.ʻO ke ʻano o ka "Remission" ʻaʻohe ou hōʻailona a ʻaʻohe hōʻailona o ke kanesa e ʻike ʻia ma nā hoʻokolohua. I kekahi mau hihia, hiki ke ho'ōla loa ʻia ka PTCL me nā lāʻau lapaʻau maʻamau.
Eia nō naʻe, hiki i nā ʻano lymphoma T-cell peripheral ke hoʻi hou mai (`(recur)`) . Inā hana ʻia kēia, pono paha ʻoe i kahi lāʻau lapaʻau hou a i ʻole kahi ʻano lāʻau ʻē aʻe.
He mea maʻamau wale nō ka makemake e ʻike i ka mea e manaʻo ai mai kāu lāʻau lapaʻau. ʻO kāu kauka ke kanaka maikaʻi loa e ʻike e pili ana i kou kūlana. No laila e wehe a ʻoiaʻiʻo me ia e pili ana i kēia a mai makaʻu e nīnau.
Hiki ke pale ʻia ka PTCL?
ʻO ka mea pōʻino, ʻaʻole, e like me kā mākou ʻike, ʻaʻohe ala kikoʻī e pale aku ai i kēia . Hoʻokumu ʻia kēia lymphoma e nā hana hewa a nā cell T a lilo i maʻi kanesa. ʻAʻohe mea hiki iā mākou ke hana e pale aku ai i kona hiki ʻana mai. Eia nō naʻe, ʻo ka pale ʻana i kekahi mau mea pilikia (e laʻa, ka maʻi HTLV-1) e hōʻemi paha i ka pilikia o ka hoʻomohala ʻana i nā ʻano PTCL pili.
Pehea wau e mālama ai iaʻu iho? (Ke noho nei me PTCL)
He ʻano maʻi kanesa laha ʻole ka peripheral T-cell lymphoma, e ulu wikiwiki ana. Inā loaʻa iā ʻoe ka PTCL, eia kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e ola me ke kūlana:
- E noʻonoʻo i ka mālama palliative: Hiki i kēia mālama ke kōkua iā ʻoe e hoʻokele i nā hōʻailona a me nā hopena ʻaoʻao o ka lāʻau. Eia kekahi, hiki i kāu hui mālama palliative ke kākoʻo iā ʻoe i ka hoʻoponopono ʻana i nā pilikia naʻau (kaumaha, makaʻu, hopohopo) e hele mai me ka noho ʻana me ia maʻi koʻikoʻi.
- E ʻimi i ke kākoʻo: No ka mea, he maʻi kanesa laha ʻole ka PTCL, manaʻo paha ʻoe ʻo ʻoe wale nō ka mea e hana nei me ia. Akā, ʻaʻole pono ʻoe e hele hoʻokahi. E kamaʻilio me kāu hui lapaʻau a e ʻike e pili ana i nā hui kākoʻo kahi e hiki ai iā ʻoe ke hoʻopili me nā poʻe ʻē aʻe e hele nei i ka mea like me ʻoe. He mea waiwai nui ka kaʻana like ʻana i nā ʻike a me ka loaʻa ʻana o ke kākoʻo mai nā poʻe ʻē aʻe i kēia manawa.
- E hoʻokaʻawale i ka manawa nou iho (Mālama ponoʻī): He ʻano hoʻoluhi ka maʻi kanesa. He mea nui loa ka mālama ponoʻī i ka wā e noho pū ana me PTCL. E kamaʻilio me kāu hui mālama ola e pili ana i nā ala e hoʻokele ai i ke kaumaha (noʻonoʻo ʻana, nā hoʻomaʻamaʻa hanu, ke komo ʻana i kahi leʻaleʻa), a pehea e hana ai i kahi meaʻai momona e hoʻomau iā ʻoe i ka ikaika ma o ka mālama ʻana. E hiamoe lawa.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Mai poina e nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka:
- He aha ke ʻano o ka lymphoma Peripheral T-cell i loaʻa iaʻu? He aha kona inoa?
- He aha ke kahua o koʻu maʻi? Pehea ka mamao o kona laha ʻana?
- He aha nā koho lapaʻau aʻu e loaʻa ai? He aha nā pōmaikaʻi a me nā pōʻino o kēlā me kēia lapaʻau?
- He aha ke ʻano o ka holomua e hiki ke manaʻo ʻia mai kēia mau lāʻau lapaʻau?
- He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau? Pehea e hiki ai ke mālama ʻia?
- Pono anei au e noʻonoʻo i kahi lāʻau lapaʻau hou e pili ana i ka noiʻi ("(hoʻokolohua lapaʻau)")? He kūpono anei lākou iaʻu?
- He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?
Leka Hoʻihoʻi Hope Loa
ʻO ka lymphoma T-cell peripheral (PTCL) he ʻano maʻi koko kakaʻikahi akā koʻikoʻi. Hana ia i ka wā e loli ai nā T-cell e pale ana i ko mākou kino a lilo i maʻi kanesa. ʻOiai ke kaʻana like nei lākou i ke kumu kumu like, ʻokoʻa ke ʻano genetic o kēlā me kēia. Ma muli o ka hoʻopilikia ʻana o ka PTCL i nā ʻāpana like ʻole o ke kino, hiki i kekahi manawa ke paʻakikī ke ʻike a mālama.
Akā, e noho lana ka manaʻolana! Ke ʻimi mau nei nā kānaka noiʻi lapaʻau i nā lāʻau lapaʻau hou a ʻoi aku ka maikaʻi e pili ana i nā loli genetic i ka PTCL. Inā ua ʻike ʻia ʻoe me PTCL, mai hopohopo, a kamaʻilio ākea me kāu hui lapaʻau . E nīnau inā he mau lāʻau lapaʻau hou e pili ana i ka noiʻi (nā hoʻokolohua lapaʻau) i kūpono no kou kūlana kikoʻī. Me ka ʻike kūpono a me ke kākoʻo o kāu poʻe aloha, e hoʻoikaika ʻia ʻoe e kū i kēia pilikia!
ʻO ka Lymphoma T-cell Peripheral, PTCL, Lymphoma, lymphoma T-cell, Kanesa, Kanesa koko, Lymphoma, nā hōʻailona PTCL, ka mālama ʻana iā PTCL











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