Me kōrero tāua mō tēnei mate pukupuku toto nui, te Acute Myeloid Leukemia (AML)?

He makariri tōu, kāore e memeha i muri i ētahi rā? He ngenge noa iho rānei, he ngoikore noa iho rānei? I ētahi wā, ko ngā mea iti pēnei he mea huna i tētahi mea nui. I tēnei rā ka kōrero tātou mō tētahi mate kino, engari he mea nui kia mōhiotia. Ko te mate acute myeloid leukemia tēnā, ko te AML rānei te whakarapopototanga.

He aha te AML?

Ki te whakarapopototanga, ko te Acute Myeloid Leukemia (AML) he momo mate pukupuku e pā ana ki tō hinu wheua me tō toto. He mate onge engari he kino. Ko te tikanga ka puta mai i te whakarerekētanga o tētahi o ō ira, o ō chromosomes rānei. He mea noa tēnei i roto i te hunga neke atu i te 60 tau te pakeke. Heoi, ka pā hoki ki ngā taiohi me ngā tamariki. He mate pukupuku tere horapa, he mate morearea te AML. Waimarie, nā ngā maimoatanga hou i taea ai e te tini o te tangata te ora roa ake me te mate.

He rerekē ngā momo AML?

Ae, he maha ngā momo rerekē o te AML. Ka pā ia o ēnei momo ki te maha o ngā pūtau i roto i tō toto. Heoi, ka rerekē ngā tohu o ia momo, ā, ka rerekē hoki te urupare ki te maimoatanga.

Mā te tirotiro i ngā pūtau matepukupuku i raro i te karuārai ka tātarihia e ngā tākuta ēnei momo AML. Ka rapua hoki e rātou ngā huringa o ō chromosomes me ngā whakarerekētanga ira i roto i ētahi ira e whakahaere ana i te tipu o ngā pūtau.

Anei ētahi o ngā momo matua o te AML:

• Te mate toto toto myeloid: Koinei te momo AML tino noa. Ka puta hei mate pukupuku o ngā pūtau e whakaputa ana i ngā neutrophils, he momo toto toto mā.
• Te mate toto toto monocytic acute (AML-M5): Ka puta tēnei i roto i ngā pūtau e whakaputa ana i tētahi momo toto toto mā e kiia nei ko ngā monocytes.
• Te mate pukupuku nui o te toto toto nui (AMLK): He mate pukupuku tēnei o ngā pūtau e whakaputa ana i ngā toto toto whero, i ngā pereti toto rānei.
• Te mate pukupuku toto promyelocytic acute (APL): I roto i tēnei, kāore e whanake tika tētahi momo toto ma kāore i te pakari e kiia nei ko ngā promyelocytes, ā, ka huri hei pūtau matepukupuku.

He pēhea te noa o te AML?

He mate tino onge te AML. I te toharite, tata ki te 4 i roto i te 100,000 ngā pakeke ka pāngia e te mate i ia tau. E ai ki ngā pūrongo, tata ki te 1,160 ngā tamariki ka kitea he AML i ia tau.

He aha ngā tohu o te AML?

I ngā wāhanga tōmua, ka rite pea ngā tohu o te AML ki te mea he makariri, he rewharewha rānei koe, ā, kāore koe i te pai mō ētahi rā. Engari he mate pukupuku tino kaha te AML. Arā,Kāore e roa ka tīmata koe ki te pāngia e ngā tohu hou, e tino kitea ana. Ā muri ake nei, ka kite pea koe i ngā tohu pēnei i:

• Te āhua o te whanoke tonu.
• Ngā mea pēnei i te ngawari o te maru, te toto pinepine o te ihu, me te toto o ngā kapia i te wa e parai ana i ō niho.
• Te ahua o te ngenge e kore e taea te whakamanawanui.
• Te mātao.
• Te kirika.
• Te werawera o te pō.
• Ka puta pinepine ngā mate urutā, ka roa rānei te wā e ora ai ngā mate urutā e puta ana.
• Ngā mamae o te upoko.
• Kāore he reka o te kai.
• Te hiroki noa iho, kāore he take.
• Kiri mā.
• Te uaua ki te manawa (dyspnea).
• Ngā kōpū lymph pupuhi.
• Te ngoikore o te ngākau.
• Te mamae o ngā wheua, te tuara, te puku rānei.
• He iti ngā ira whero i runga i te kiri (petechiae).
• He roa te wā e ora ai ngā patunga.

He aha ngā take o te AML?

Kāore anō kia tino mōhiotia e ngā tohunga te pūtake o te AML. Engari e mōhio ana rātou ka puta te mate ina huri (ka whakarerekē) ētahi ira, ētahi chromosomes rānei i roto i ō tātou tinana, ka puta ai ngā pūtau toto rerekē. Ko ēnei huringa ira ka uru atu ki:

• Kua pāngia tō DNA e tetahi mea i a koe e ora ana.
• Mena he mate ira tōu e tukuna iho ana i roto i ngā whakatipuranga, ā, ka nui ake tō tūponotanga ki te whakawhanake i te AML.
• Nā te panoni o ētahi o ngā ira o te parāoa, o ngā hua rānei o ō mātua.

He aha ngā huringa ira e puta ai te AML?

Hei mārama ki te āhua o te arahi a ēnei huringa ira ki te AML, he mea āwhina kia mōhio koe ki tō hinu wheua me ngā pūtau toto. Ko tō hinu wheua te kiko ngohengohe, rite ki te hautai kei waenganui o te nuinga o ō wheua. He mea hanga ki:

• Ka hangaia ngā pūtau take. Koinei ngā pūtau ka huri hei pūtau toto whero hei kawe hāora, hei pūtau toto mā hei tiaki i te mate, me ngā pereti toto hei āwhina i te toto kia totoka.

I te nuinga o te wā, ka mahi tō hinu wheua pērā i tētahi raina whakaputa whai hua, ka hanga i te nui tika o ngā pūtau toto me ngā pereti toto mō tō tinana. Engari i roto i te tangata whai AML, ka tīmata te hinu wheua ki te whakaputa i ngā pūtau myeloid rerekē e kiia nei ko ngā myeloid blasts, ko ngā myeloblasts rānei.

Kāore ēnei pūtau myeloid blast e whanonga pērā i ngā pūtau toto noa. Ka whiwhi ngā pūtau noa i ngā tohutohu mai i ō rātou ira mō te wā me te tere o te wehenga me te tipu. Ina koroheke ngā pūtau, ka mate rātou hei hanga wāhi mō ngā pūtau hou i roto i te hinu wheua. Engari kāore ngā pūtau myeloid blast e whai i ēnei tohutohu. Ka wehea e rātou me te kore e taea te whakahaere, ā, kāore e mate. I te mea kei te whakakī tonu ngā pūtau myeloid blast i te hinu wheua, kāore he wāhi mō ngā pūtau toto hauora. Nā te mea kāore he wāhi, ka mutu te hanga o te hinu wheua i ngā pūtau toto hauora. Ki te kore he pūtau toto hauora hou, kāore te tinana e whiwhi i ngā mea e hiahiatia ana hei mahi tika.

Hei tāpiri atu, i te mea ka haere tonu te wehewehe o ēnei pūtau myeloid blast, ka neke atu rātou i te hinu wheua ki roto i te toto. Kia tae ki roto i te toto, ka haere ēnei pūtau myeloid ki ētahi atu wāhanga o te tinana, tae atu ki tō pūnaha io matua, te roro, me te taurakira.

He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te AML?

Ahakoa kāore ngā tohunga i te tino mōhio he aha te take o ngā whakarerekētanga ira e arahi ana ki te AML, e mōhio ana rātou ki ētahi mea (ngā āhuatanga mōrearea) e whakanui ake ana i tō tupono ki te whakawhanake i te mate. (Ina whakaarohia ngā āhuatanga mōrearea, he mea nui kia mahara ko te whai āhuatanga mōrearea ehara i te mea ka pāngia koe e te mate. ) Ko ngā āhuatanga mōrearea mō te AML ko:

• Tau: Tata ki te haurua o te hunga e pāngia ana e te AML e 65 tau te pakeke, neke atu rānei, ina kitea te mate. Heoi, e ai ki te kōrero i mua ake nei, ko te nuinga o te wā ka pā te AML ki ngā pakeke, engari ka pā anō hoki ki ngā tamariki.
• Te momi hikareti: Kei roto i tēnei ko te hongi i te auahi tuarua.
• Ngā maimoatanga matepukupuku: Ngā mahi pēnei i te chemotherapy me te radiation therapy.
• Te pānga roa ki ētahi matū e whakaputa mate pukupuku ana: Hei tauira, ko ngā mea pēnei i te benzene me te formaldehyde.
• Te pānga ki ngā horopeta teitei o te irahiko mai i tētahi aituā tauhohenga karihi, i tētahi poma atomika rānei.
• Ko ētahi mate ira tuku iho.
• Ētahi atu mate o te hinu wheua.

He aha ngā mate ira ka whakanui ake i te mōrearea o te AML?

Kua kitea e ngā kairangahau ko ētahi whakarerekētanga ira tuku iho ka whakanui ake i te mōrearea o te whakawhanake i te AML. Ko ētahi o ēnei ko:

• Te mate Down
• Ataxia telangiectasia
• Te mate Li-Fraumeni
• Te mate Klinefelter
• Te mate toto Fanconi
• Te mate Wiskott-Aldrich - Ka pā tēnei ki te hanga pereti toto.
• Te mate Bloom
• Te Mate Pāreti Paremata Whānau - He mate anō hoki tēnei e pā ana ki te pāreti.

He aha ngā mate o te hinu wheua ka whakanui ake i te mōrearea o te AML?

Ka taea e ētahi tāngata whai mate pukupuku myeloproliferative, mate myeloproliferative rānei, te whakawhanake i te mate pukupuku myeloid acute. (Ko te tikanga o te kupu Myelo ko te hinu wheua. Ko te tikanga o te kupu Proliferative ko te tipu nui rawa.) Ko te hunga whai mate e whai ake nei he nui ake te mōrearea ki te whakawhanake i te AML:

• Polycythemia vera
• Myelofibrosis
• Te toto toto
• Te mate Myelodysplastic
• Te mate toto ā-plastic

He aha ngā raruraru pea ka pā mai i te AML?

I ngā wāhanga tōmua, ka pāngia te maha o ngā toto whero hauora, ngā toto mā, me ngā pereti toto i roto i tō tinana e te mate toto myeloid acute. Ki te kore e ranea ō toto me ngā pereti toto hauora, ka pāngia pea koe e ngā āhuatanga pēnei i:

• Te kore toto i roto i te toto - ko te tikanga he kore toto.
• Thrombocytopenia - Ko te tikanga tēnei he korenga o ngā pereti toto.
• Pancytopenia - Ko te tikanga tēnei he hekenga o ngā momo toto katoa me ngā pereti toto.

Me pēhea te tautuhi i te AML? (Tautuhinga)

He maha ngā whakamātautau ka whakamahia e ngā tākuta hei tātaritanga i te AML, tae atu ki ngā whakamātautau ira hei whakatau i te momo AML tika. Ko te taahiraa tuatahi he whakamātautau tinana. Kei roto i tēnei ko te tirotiro mō te marō, te toto, me te mate. Ka tirohia hoki e rātou te pupuhi i roto i ngā whekau pēnei i te ate, te whēkau, me ngā kōpū lymph.

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te AML?

Me whai koe i tētahi, i ētahi rānei o ēnei whakamātautau:

• Te tatau toto katoa (CBC)
• Te whakamātautau toto ā-taha - Ko te tango i tētahi tauira toto ka tirohia i raro i tētahi karuārai toto.
• Kohikohi i te hinu wheua - I roto i tēnei mahi, ka tangohia he tauira iti o te hinu wheua, ā, ka tirohia.
• Tātaritanga tuaiwi - Ka mahia tēnei i ētahi wā hei tirotiro mō ngā pūtau matepukupuku i roto i te wai e karapoti ana i te taurakira.

He aha ngā whakamātautau ira e whakamahia ana hei tautuhi i te AML?

Ka whakahaerehia e ngā tākuta mate pāwera ngā whakamātautau ira hei whakatau i te momo AML tuturu. Ka rapua e rātou ngā huringa (ngā whakarerekētanga) i roto i ētahi ira, ira rānei. Kia mōhiotia te momo AML, ka māmā ake mā ngā tākuta te whakatau ko ēhea ngā maimoatanga ka tino whakaora i te AML. Ko ētahi o ngā whakamātautau motuhake e mahia ana mō tēnei kaupapa ko:

• Te matū ārai mate: I roto i tēnei, ka pania ngā pūtau, ā, ka tirohia i raro i te karu hiko. Ka rerekē te tikanga paninga i runga i ngā matū kei roto i ngā pūtau.
• Te ine i te rere o te toto.
• Whakamātautau karyotype.
• Te whakaranu i te hihi-ā-roto-i-te-ira (FISH): Ka taea e tēnei te kite i ngā huringa o ngā ira-ira.

He aha ngā maimoatanga mō te AML?

Ko ngā kōwhiringa maimoatanga ko te chemotherapy, te rongoā arotahi (tae atu ki te rongoā paturopi monoclonal), te whakawhitinga pūtau take allogeneic rānei. E wātea ana ngā kōwhiringa maimoatanga ōrite mō ngā pakeke me ngā tamariki. Ko te whāinga matua o te maimoatanga ko te whakatutuki i te murunga katoa o te AML.I roto i te AML, ko te tikanga o te 'whakaora katoa' he noa te maha o ō tatau toto i runga i ngā whakamātautau. Ko te tikanga hoki kāore e taea e ngā tākuta te kite i ngā pūtau matepukupuku ina tirohia e rātou he tauira o tō hinu wheua i raro i te karuārai.

Te rongoā matū mō te AML

E toru ngā wāhanga matua o te rongoā matū mō te AML - te whakaoho, te whakakotahi, me te pupuri.

Te rongoā whakaoho murunga

Koinei te taahiraa tuatahi ki te whakakore rawa i te AML. He torutoru ngā rā e roa ai te maimoatanga. Tērā pea ka hiahiatia e ētahi tāngata kia rua, neke atu rānei ngā wāhanga o tēnei maimoatanga tuatahi kia whakakore rawatia ai te AML. Tērā pea ka whakamahia e ngā tākuta ēnei rongoā chemotherapy mō tēnei maimoatanga tuatahi:

• Cytarabine (Cytosar-U®)
• Daunorubicin (Cerubidine®)
• Idarubicin (Idamycin®)
• Azacitidine (Vidaza®)
• Tekitapini (Dacogen®)
• Glasdegib (Daurismo®)
• Venetoclax (Venclexta®, Venclyxto®)

E ai ki ngā tohunga, ko ēnei maimoatanga tuatahi:

• Neke atu i te 60% o ngā tamariki me ngā taiohi ka ora ake.
• Tata ki te 75% o ngā pakeke 60 tau te pakeke, me raro iho rānei, ka ora ake.
• Tata ki te 50% o te hunga neke atu i te 60 tau te pakeke ka ora ake.

Te whakaora whakakotahi

Ka whakamahia te rongoā whakakotahi hei patu i ngā pūtau matepukupuku e toe ana. Mā tēnei ka whakaiti i te tūponotanga o te hokinga mai o te matepukupuku (te hokinga mai anō). Ko te nuinga o te tangata ka hoatu he cytarabine (Ara-C) he nui te horopeta, he HiDAC rānei, mō ngā rā e rima i ia marama, mō ngā marama e toru ki te whā.

Te rongoā tiaki

I te nuinga o te wā, ka ora te AML mā te whakaora whakakotahi. Heoi, i ētahi wā, ka tūtohu pea ngā tākuta kia haere tonu te chemotherapy i ngā horopeta iti iho. Ka haere tonu pea te whakaora tiaki mō ngā marama, mō ngā tau rānei. Ko ngā rongoā chemotherapy e whakamahia ana mō te whakaora tiaki ko:

• Azacitidine (Vidaza®)
• Tekitapini (Dacogen®)
• Midostaurin (Rydapt®)

Te rongoā arotahi

E ai ki te ingoa, e aro ana tēnei maimoatanga ki ngā whakarerekētanga ira motuhake i roto i ngā pūtau matepukupuku. Mā te aro ki ēnei whakarerekētanga, ka mutu te tipu o ngā pūtau matepukupuku. He momo rongoā arotahi anō hoki te rongoā paturopi monoclonal. Ka whakamahia pea e ngā tākuta ngā rongoā arotahi hei rongoā i te AML kāore i aro ki te chemotherapy, kua hoki mai rānei:

• Ka whakamahia pea e ngā tākuta ngā rongoā chemotherapy Midostaurin (Rydapt®) Gilteritinib (Xospata®) rānei hei rongoā i ngā tūroro AML me te whakarerekētanga ira FTL3. Ka kitea tēnei whakarerekētanga ira i roto i te 25% ki te 30% o te hunga whai AML.
• Ka taea te whakamahi i te Enasidenib (IDHIFA®) me te Ivosidenib (Tibsovo®) hei rongoā i te hunga whai AML nā te whakarerekētanga o ō rātou ira X.

Te whakawhitinga pūtau take allogeneic

Ka whakamahia e te whakawhitinga pūtau take allogeneic ngā pūtau take mai i tētahi kaituku whanaunga, kāore rānei i te whanaunga. Ka taea e ngā tākuta te tiki i ēnei pūtau take mai i te hinu wheua, te toto ā-taha, te toto taura rānei (te toto i kohia mai i te taura pito i muri i te whānautanga).

Ngā raruraru maimoatanga, ngā pānga taha rānei

He pānga taha tō te nuinga o ngā maimoatanga mate pukupuku. I roto i te AML, ko te whakawhitinga pūtau take te mea tino kino o ngā pānga taha. Ka taea e te chemotherapy te whakaputa i tētahi āhuatanga e kiia nei ko te myelosuppression, arā, ka ngaro i tō tinana te maha noa o ngā pūtau toto me ngā pereti toto. He rerekē ngā pānga taha o ngā maimoatanga kua arotahihia i runga i te rongoā e whakamahia ana.

He mea nui te mārama ki ngā pānga taha kia mōhio ai koe ki te pānga o te maimoatanga matepukupuku ki tō oranga o ia rā. Ko tō tākuta te tangata pai rawa atu kia mōhio koe ki ngā pānga taha motuhake o tō maimoatanga. Tērā pea ka whai hua ētahi tāngata i te tiaki mamae hei āwhina i te whakahaere i ngā pānga taha.

Ka taea te whakaora katoa i te AML?

I tēnei wā, ko te whakawhitinga pūtau take allogeneic anake te huarahi hei whakaora katoa i te mate pukupuku myeloid acute. I runga i tō āhua, ka tūtohu pea tō tākuta i te whakawhitinga pūtau take hei maimoatanga AML tuatahi māu. Ki te hoki mai rānei tō AML i roto i ngā marama 12, ka tūtohutia pea tēnei maimoatanga. Engari, kāore te katoa e tika ana mō te whakawhitinga pūtau take.

He aha te matapae mō te AML?

Ina kōrerohia te matapae mō te mate pukupuku myeloid acute, e rua ngā āhuatanga. Ko tētahi ko te murunga katoa. Ko tētahi ko te hokinga mai, arā, ko te wā ka puta anō te AML.

• I te katoa, e kiia ana kei waenganui i te 50% me te 80% o te hunga e pangia ana e te mate pukupuku toto myeloid acute ka ora katoa i muri i te maimoatanga. Ko ngā tamariki me te hunga kei raro iho i te 60 tau te pakeke ka nui ake te tūponotanga ka ora katoa. Ka roa pea tēnei whakaoranga mō ngā marama, mō ngā tau rānei.
• Tata ki te 50% o te hunga kua ora katoa ka pāngia anō e te AML. Mēnā ka tupu tēnei, ka tūtohu pea ngā tākuta i tētahi atu rongoā chemotherapy, i tētahi whakawhitinga pūtau take rānei. Ka tūtohu pea rātou kia whai wāhi atu ki tētahi whakamātautau haumanu.

Mena kei a koe, kei tāu tamaiti rānei te AML, pātai atu ki tō tākuta mō ngā mea ka taea e koe te tumanako.

He aha te ōrau oranga o ngā tūroro AML?

He mate uaua te mate toto toto myeloid acute. Nā te mea he maha ngā momo AML, he uaua ki te hoatu i te matapae tika.

Hei tauira, ko te reiti oranga mō ngā tau e rima mō ngā tamariki kei raro iho i te 15 tau te pakeke he 67%. Engari e kī ana ētahi rangahau he nui ake i te 80% te reiti oranga mō ngā tamariki me te momo APL mō ngā tau e rima. He pānga anō hoki tō te pakeketanga. I te toharite, 30% o ngā pakeke me te AML ka ora mō ngā tau e rima i muri i te tātaritanga. Kia maumahara, ko te tikanga ka puta te AML i roto i te hunga 60 tau te pakeke, neke atu rānei, ā, tera pea he raruraru hauora anō hoki ō rātou.

He mea nui kia maumahara ko ēnei reiti oranga e whakaata ana i ngā wheako o ngā rōpū nui o te hunga whai AML. Kei roto i ēnei raraunga ngā reiti oranga mai i te tau 2012 ki te 2018, ā, kei reira ngā maimoatanga hou ake, whai hua ake mō te AML.

He maha ngā āhuatanga e pā ana ki te roa o tō oranga me te mate pukupuku toto myeloid acute. Ko te tikanga o tēnei , ko ō tākuta, e mōhio ana ki tō hītori hauora me tō hauora whānui, ko rātou ngā tāngata pai rawa atu kia mōhio ki tēnei.

Ka taea te ārai i te AML?

Kāore, kāore e taea te ārai i te mate toto myeloid acute. Ahakoa e mōhio ana ngā tohunga he take ira whakarerekē te AML, kāore rātou e mōhio he aha te take. Engari e mōhio ana rātou ki ngā āhuatanga mōrearea ka arahi ki te AML. Anei ētahi āhuatanga mōrearea ka taea e koe te whakarerekē:

• Te kai hikareti: Kei roto i tēnei ko te auahi tuarua. Ki te kai hikareti koe, ngana ki te whakamutu. Ki te noho tahi koe, ki te mahi tahi rānei me tētahi e kai hikareti ana, ngana ki te whakawhāiti i te wā e noho tahi ana koe me rātou i a rātou e kai hikareti ana.
• Te pānga roa ki ētahi matū whakaputa mate pukupuku: inā koa ko te benzene me te formaldehyde. Ki te mahi koe me ēnei matū whakaputa mate pukupuku, me whai i ngā mahi ārai katoa, pērā i te mau i ngā kākahu tiaki.

Me pēhea taku tiaki i ahau anō? (Te tiaki i ahau anō)

Ehara i te mea ngāwari te noho me te mate pukupuku ka hoki mai anō. Ko te whakauru atu ki ngā kaupapa oranga mate pukupuku tētahi huarahi hei tiaki i a koe anō. Kāore pea e taea e koe te aukati i te hokinga mai o te mate pukupuku myeloid acute. Engari ka taea e koe te mahi i ngā mahi hei pupuri i te hauora tonu, ahakoa te aha. Anei ētahi whakaaro:

• Ka pā pea te maimoatanga mō te mate pukupuku myeloid acute ki tō kai.Me kai pai koe kia kaha tonu ai. Ki te uaua ki a koe te kai, kōrero ki tētahi tohunga kai.
• He uaua pea te whakahaere i ngā pānga taha o te maimoatanga AML. Mena e tika ana, kōrero ki tō tākuta mō te tiaki mamae.
• He tino taumaha te mate pukupuku. Ka taea e te whakakori tinana te āwhina i a koe ki te whakahaere i te ahotea. Engari kōrero ki tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakori tinana hou, uaua.
• Ka taea e te mate pukupuku te whakamomori i a koe. He mate onge te AML. Tērā pea ka mataku koe ki te kōrero mō tō āhua. Ki te pērā, whakaarohia te whakauru atu ki tētahi rōpū tautoko.
• Ka taea e te mate pukupuku myeloid acute te whakararuraru i a koe. Ka taea e ngā maimoatanga te tango i tō kaha. Kia mahara ki te moe i te nui e hiahiatia ana.

Āhea ahau me toro atu ki te tākuta?

Ka kite tonu koe i tō tākuta i te roanga o tō whakaoranga, inā koa mēnā kei te whiwhi koe i te rongoā tiaki. Mā tō tākuta koe e kōrero ki ngā tohu e tohu ana kei te hoki mai tō AML. Mā tēnei koe e āwhina ki te mōhio āhea me whakapā atu ki a rātou mō ngā maimoatanga hou, ngā maimoatanga tāpiri rānei.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kei a koe te AML, me pātai atu pea koe ki a koe anō i ēnei pātai:

• He aha te momo AML kei a au?
• He aha aku kōwhiringa maimoatanga?
• He aha ngā mōrearea me ngā pānga taha o te maimoatanga?
• Me pēhea taku whakahaere i ngā pānga taha o te maimoatanga?
• He aha te tiaki whai muri i te maimoatanga e hiahiatia ana e au?
• Me tūpato ahau ki ngā tohu o ngā raruraru?
• He whakamātautau haumanu anō kei reira hei whakaaroaro māku?

Hei whakamutunga, ngā mea hei maumahara

Ko te Acute Myeloid Leukemia (AML) he mate pukupuku onge e pā ana ki tō hinu wheua me tō toto. I te nuinga o te wā ka pā te AML ki te hunga neke atu i te 65 tau te pakeke, engari ka pā hoki ki ngā tamariki me ngā taiohi. Nā ngā maimoatanga hou, he maha ake ngā tāngata e noho ana me te AML i roto i te wā e marino ana i muri i te maimoatanga. Ahakoa ka hoki mai anō te mate pukupuku, kei te haere tonu ngā kairangahau hauora ki te rangahau i ngā huarahi hei rongoā i te AML e hoki mai ana.

Mena kei a koe, kei tāu tamaiti rānei te mate pukupuku toto myeloid acute, tera pea ka rite koe ki te mea kua makahia koe i te whenua totoka ki roto i te moana pōuri. Tērā pea ka whakaaro koe mēnā ka whakaorangia koe e te maimoatanga. Mēnā koinā, tera pea ka āwangawanga koe mō te roa o taua whakaora. E mārama ana ō tākuta ki ō kare ā-roto. Ka noho tahi rātou me koe i a koe e whakatau ana i ngā wero o te AML. Nō reira, kia kaha, kaua e mangere ki te tiki i te āwhina e hiahiatia ana e koe.

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