Kei te pāngia koe e ngā puku i tō tinana? He mate pukupuku Hodgkin Lymphoma pea? Me kōrero tāua!

Kua kite koe i tētahi puku iti i tō kaki, i tō kēkē, i tō hope rānei? Kua tino ngenge koe mō ngā rā, kua pāngia rānei koe e te kirika ohorere? I ētahi wā he mea noa ēnei. Heoi, ki te pāngia koe e ēnei tohu, he mea pai kia āwangawanga koe. Nā te mea he tohu pea ēnei o tētahi mate e kiia nei ko te Hodgkin Lymphoma. Ahakoa te ahua whakamataku o te ingoa, he mate tēnei ka taea te rongoā me te whakaora. Nō reira, i tēnei rā ka kōrero taipitopito tātou mō te Hodgkin Lymphoma.

He aha te mate pukupuku Hodgkin?

Ki te whakarāpopototanga, ko te Hodgkin Lymphoma he momo mate pukupuku e puta ana i roto i tō tātou pūnaha lymphatic , te pūnaha e whawhai ana ki ngā iroriki i roto i tō tātou tinana. I mua, i huaina hoki ko te mate a Hodgkin. E rua ngā momo matua o te lymphoma. Ko tētahi ko te Hodgkin lymphoma, ko tētahi ko te Non-Hodgkin Lymphoma. E pāngia ana e ēnei mate pukupuku e rua ngā lymphocytes, he momo toto ma e tino hiahiatia ana mō tō tātou pūnaha ārai mate.

Ko te lymphoma Hodgkin ka puta mai i te whakarerekētanga o ngā ira o ō tātou pūtau toto B (ngā pūtau B). Ka puta ēnei huringa puta noa i te oranga. I te nuinga o te wā, ka tīmata tēnei lymphoma i ngā kōpū lymph i te kaki, i te uma rānei. I ētahi wā, ka taea hoki te whanake i roto i ngā kōpū lymph i ngā kēkē, i te uma, i te puku, i te hope rānei.

Ko te rongo pai, kei te piki haere te tokomaha o te hunga e rongoatia ana mō te mate pukupuku Hodgkin, ā, e roa ake ana te ora i ia tau. I roto i te nuinga o ngā wā, ka taea e te maimoatanga te whakaora katoa i te mate pukupuku Hodgkin. Heoi, i ētahi wā ka hoki anō te mate. Mena ka tupu tēnā, kei te rapu tonu ngā kairangahau hauora i ngā maimoatanga hou.

He aha ngā momo matua o te Lymphoma Hodgkin?

E whā ngā momo matua o te lymphoma Hodgkin. Me titiro tātou ki ēnei momo:

• Te mate pukupuku nodular lymphoma Hodgkin: Koinei te momo lymphoma Hodgkin tino noa. He maha ake te pānga ki ngā taiohi, inā koa ngā wāhine. Ko ngā kōpū lymph i waenganui o te uma te nuinga o te wā ka pā ki tēnei mate.
• Te lymphoma Hodgkin pūtau-whakaranu: Ka puta tēnei momo i roto i te hunga 60 tau te pakeke. I ētahi wā ka puta i roto i te puku (puku).
• Te lymphoma Hodgkin matarohia e nui ana ngā pūtau toto: E 6% pea o te hunga whai lymphoma Hodgkin ka pā tēnei momo ki tēnei. He nui ake te kitea i roto i ngā tāne.
• Te lymphoma Hodgkin kua whakaitihia e te lymphocyte: He tino onge tēnei. Ka puta i roto i te 1% o te hunga whai lymphoma Hodgkin. Ko te mea tino noa i roto i te hunga neke atu i te 60 tau te pakeke, ā,Ka nui ake te pānga o tēnei ki te hunga whai HIV/AIDS.

He pēhea te noa o te Hodgkin Lymphoma?

He mate onge te lymphoma Hodgkin. E toru noa iho i roto i te 100,000 tāngata ka pāngia i ia tau. Engari he mea miharo, koinei te momo mate pukupuku tino noa i roto i ngā tamariki me ngā taiohi i waenga i te 15 me te 19 tau te pakeke.

Heoi, he iti ake te kitea o te lymphoma Hodgkin i te lymphoma non-Hodgkin.

He aha ngā tohu o te Hodgkin Lymphoma?

Ko te tohu tuatahi e tino kitea ana o te lymphoma Hodgkin ko te pupuhi o ngā kōpū lymph i roto i te kaki, i te kēkē, i te uma rānei, kāore he mamae . Hei tāpiri, tera pea ētahi atu tohu:

• Ngenge tonu: Ka nui ake te ngenge i tō te tikanga mō ētahi rā. Me te mea kāore he kaha o tō tinana.
• Te kirika kāore i te mārama: Ko te kirika nui kāore e memeha i muri i ngā haora e rua o te maimoatanga kāinga, ka roa rānei mō ngā rā e rua neke atu, he tohu pea tēnei o tētahi mea kino.
• Te werawera nui i te pō: Te nui o te werawera i te pō, ka mākū ngā whāriki me ngā kākahu.
• Te whakahekenga taumaha kāore i te mārama: Te whakahekenga taumaha me te kore e uaua. Mēnā ka ngaro te 10%, neke atu rānei o tō taumaha katoa i roto i ngā marama e ono, he mea tēnei hei āwangawanga māu.
• Mākūkū (Pruritus): Ka tino mākūkū te kiri o ētahi tāngata i muri i te inu waipiro, i te kaukau rānei.
• Te mamae o te puku, te pupuhi rānei: Ehara i te mea ko ngā mamae puku katoa he tohu o tētahi mate kino. Engari ki te mamae tonu tō puku, ā, kāore e memeha, me toro atu ki te tākuta.
• Mamae o te uma: Ka puta pea tēnei tohu mēnā kei roto i te kiko o te pukahukahu, i ngā kōpuku lymph rānei i roto i te uma te lymphoma Hodgkin.
• Te uaua ki te manawa: He tohu pea tēnei nō te mate pukupuku Hodgkin i roto i ngā pukahukahu, he puku nui rānei i roto i te uma.

Ka huaina hoki e ngā tākuta ēnei tohu e toru—te kirika, te whakaheke taumaha, me te werawera pō—he "tohu B." Mā te kitea o ēnei tohu ka āwhina i ngā tākuta ki te whakamahere i tō matapae me te maimoatanga.

He aha te take o te Hodgkin Lymphoma?

E ai ki tā mātou i kōrero ai i mua ake nei, ka puta te lymphoma Hodgkin ina puta ngā huringa ira i roto i ō pūtau-B . Ehara ēnei huringa i te mea i whānau mai koe me ia, engari he mea ka riro mai i a koe i te wā e ora ana koe.

Ina huri pēnei ngā pūtau-B, ka puta he momo pūtau matepukupuku he nui ake i ngā pūtau noa. Ka kiia ēnei ko ngā pūtau Reed-Sternberg . Ka puta he cytokine i ēnei pūtau Reed-Sternberg.Ka kukume mai ēnei cytokine i ngā pūtau noa ki ngā kōpū lymph kei roto ngā pūtau rerekē. Kātahi ka nui ake te tipu o ngā pūtau Reed-Sternberg nā ngā matū e tukuna ana e ēnei pūtau noa. Ka hua ake tēnei i te pupuhi o ngā kōpū lymph.

Ka taea e tēnei mate pukupuku te horapa mā roto i tō pūnaha lymphatic ki ētahi atu kōpū lymph, pērā i te thymus me te spleen . Ka taea hoki te horapa ki ngā kōpū lymph puta noa i te tinana. I ētahi wā, ka pā ki ētahi atu okana, pērā i te pukahukahu, te ate, me te hinu wheua .

He aha ngā āhuatanga mōrearea?

Kua tautuhia e ngā tākuta ētahi āhuatanga e whakanui ana i te mōrearea o te whakawhanake i te Hodgkin Lymphoma:

• Tō tau: Mena kei waenganui i te 20 me te 39 tau te pakeke, neke atu rānei i te 65 tau, he nui ake te tūponotanga ka pāngia koe e tēnei mate.
• Tō ira tangata: He nui ake te tūponotanga o ngā tāne ki te pāngia e te lymphoma Hodgkin. Heoi, ko te momo i kōrerohia i mua ake nei, arā, te nodular sclerosis, he nui ake te kitea i roto i ngā wāhine.
• Tō hītori hauora whānau: Mena kua pāngia ōu tuākana, tuākana rānei, ō mātua rānei e te mate Hodgkin lymphoma, he nui ake te tūponotanga ka pāngia koe e taua mate anō hoki.
• Mena kua whakawhitinga okana koe: Mena kua whakawhitinga okana koe, me tango e koe ngā rongoā ārai-whakakorenga, ka nui ake ai tō tūponotanga ki te whakawhanake i te lymphoma.
• Ētahi mate huaketo: Mā te whai mate huaketo pēnei i te HIV , te huaketo T-lymphotropic tangata momo 1, te huaketo Epstein-Barr rānei ka nui ake te tūponotanga ki te whakawhanake i te lymphoma Hodgkin.

Me pēhea te tautuhi i te mate Hodgkin Lymphoma?

Ka tirohia tuatahitia koe e te tākuta kia tirohia ai ngā tohu o te lymphoma Hodgkin, pērā i te pupuhi o ngā kōpū lymph. Ka pātai atu hoki rātou mō ngā huringa kua pā ki a koe, pērā i te kirika tonu, te ngaronga taumaha rānei kāore i te mārama. Tērā pea ka mahia ētahi whakamātautau hei tautuhi i te lymphoma Hodgkin. Tērā pea kei roto i ēnei ko ngā whakamātautau toto, ngā whakamātautau whakaahua, me ngā biopsies .

Ngā whakamātautau toto

Mā ngā whakamātautau toto ka taea e tō tākuta te whakaaro mō tō hauora whānui. Ka taea hoki e rātou te kite i ngā tohu o te mate pukupuku. Ko ētahi o ngā whakamātautau ka mahia pea māu ko:

• Te tatau toto katoa (CBC): Mā tēnei ka tirohia mēnā he iti te tatau toto mēnā he lymphoma kei roto i te toto, i te hinu wheua rānei.
• Rangahau matū toto: Ka ine tēnei i ō taumata electrolyte, te mahi a te ate me te whatukuhu, ā, ka rapu i ngā matū e kohia ana i roto i te toto ina pakaru ngā whekau me ngā kiko.
• Te tere o te whakatōtō i ngā toto whero (ESR): Ka ine tēnei i te mumura i roto i te tinana. Tērā pea ka teitei ake tēnei uara i roto i te lymphoma Hodgkin.
• Whakamātautau lactate dehydrogenase (LDH): Ka ine tēnei i te pūmua e tukuna ana ina pakaru ngā pūtau. I ētahi wā ka piki ake ngā taumata LDH me te lymphoma.
• Ngā whakamātautau huaketo: Ka taea e ēnei whakamātautau te kite i ngā mate huaketo o nāianei, o mua rānei, e pā ana ki te lymphoma Hodgkin, pērā i te HIV , te hepatitis B , me te hepatitis C. Ka taea e ngā hua te āwhina i tō tākuta ki te whakamahere i tō maimoatanga.

Ngā whakamātautau whakaahua

Ka taea e ngā matawai te rapu i ngā tohu o te mate pukupuku i roto i tō tinana. Ko te momo matawai e hiahiatia ana e koe ka whakawhirinaki ki te wāhi kei reira te mate pukupuku me te mea kei te hapu koe. (Ka pā kino pea ngā matawai e whakamahi ana i ngā hihi-X ki te tamaiti kei roto i te kōpū.) Kei roto i ēnei whakamātautau:

• X-ray o te uma
• Matawai CT (Matawai CT - Matawai Tomography Rorohiko)
• Matawai PET (matawai tomografi tukunga Positron)
• Matawai MRI (matawai whakaahua aukume) (haumaru i te wā e hapu ana)
• Matawai Ultrasound (haumaru i te wā e hapu ana)

Te koiora

Ko te tikanga, ka tātaritatia e ngā tākuta te lymphoma Hodgkin mā te whakamahi i te koiora o ngā kōpū lymph . I roto i tēnei tikanga, ka tangohia e te tākuta te katoa, te wāhanga rānei o te kōpū lymph. Kātahi ka tirohia e te tohunga mate te kiko i raro i te karuārai hei tirotiro mēnā kei reira ngā pūtau Reed-Sternberg, i kōrerohia e tātou i mua ake nei. (Ko te noho mai o ēnei pūtau Reed-Sternberg he tikanga kei a koe te lymphoma Hodgkin, ehara i te lymphoma non-Hodgkin.)

I ētahi wā, ka taea hoki te tātaritanga o te lymphoma Hodgkin i runga i ngā hua o te koiora o te kiko i tangohia mai i tētahi atu wāhi, pērā i te pukahukahu, te ate, te whēkau, te hinu wheua rānei.

He aha ngā wāhanga o te Hodgkin Lymphoma?

I muri i te tātaritanga a tō tākuta mō te mate Hodgkin lymphoma, mā ngā hua o ō whakamātautau e whakatau te taumata o te mate. Mā te mōhio ki te taumata o tō mate pukupuku ka āwhina i ngā tākuta ki te whakatau i te tawhiti o te horapa o te mate pukupuku, te tere o tōna horapa, me te maimoatanga pai rawa atu māu. Anei ngā taumata o te Hodgkin lymphoma:

• Wāhanga I: Kei roto ngā pūtau matepukupuku i te rohe kotahi o te kōpū lymphatic, i tētahi okana rānei i roto i te pūnaha lymphatic (hei tauira, te thymus, te spleen, te hinu wheua). Kei roto rānei te lymphoma i te rohe kotahi o tētahi okana i waho o te pūnaha lymphatic.
• Wāhanga II: Tō diaphragmHe pūtau matepukupuku kei roto i ngā rōpū e rua, neke atu rānei o ngā pona lymph i te taha kotahi (tērā pea ka pāngia ētahi atu pona lymph e tata ana ki te diaphragm).
• Wāhanga III: He pūtau lymphoma kei roto i ngā kōpū lymph i ngā taha e rua o te diaphragm, he pūtau matepukupuku rānei kei roto i ngā kōpū lymph i runga ake i te diaphragm me te whēkau.
• Wāhanga IV: Kei roto i te iti rawa i te kotahi okana i waho o te pūnaha lymphatic te lymphoma (hei tauira, te ate, ngā pukahukahu, te hinu wheua).

Ka whakamahia hoki e ngā tākuta ngā kupu "pai" me te "kore pai" hei whakarōpū i te lymphoma Hodgkin, i runga i te pai o te urupare ki te maimoatanga me te kore o ngā tohu (murunga).

Me pēhea te rongoā i te Lymphoma Hodgkin?

He rerekē ngā maimoatanga a ngā tākuta mō te lymphoma Hodgkin, i runga i te taumata o te mate pukupuku. Ka patua e ēnei maimoatanga ngā pūtau mate pukupuku, ka aukati rānei i a rātou kia kore e horapa. Ko ngā kōwhiringa maimoatanga ko:

• Te rongoā matū: Koinei te rongoā tino noa mō te lymphoma Hodgkin. Ka whakamahia tētahi, neke atu rānei ngā rongoā hei patu i ngā pūtau matepukupuku, hei aukati rānei i tō rātou tipu haere. Ka whakamahia pea e ngā tākuta tētahi momo rongoā matū, tētahi huinga rānei o ētahi momo rongoā matū.
• Whakaora irahiko: Ka whakamahia e tēnei maimoatanga ngā hihi pūngao nui hei patu i ngā pūtau matepukupuku i roto i ngā kōpū lymph e pāngia ana, i ngā wāhi rānei kua horapa te matepukupuku. Ka whakamahia hoki me te chemotherapy hei rongoā i te lymphoma Hodgkin i te wā tōmua.
• Te Whakaora Ārai Mate: Ka mahi tēnei maimoatanga mā te whakaoho i te pūnaha ārai mate o tō tinana kia āwhina i a ia ki te kite me te whakangaro i ngā pūtau matepukupuku. He maimoatanga whakaora mate nui ngā aukati Checkpoint mō te lymphoma Hodgkin.
• Whakaora arotahi: Ka whakamahia e te whakaora arotahi ngā rongoā, ētahi atu matū rānei hei whakaeke i ngā pūtau matepukupuku anake. Hei tauira, he maimoatanga e kiia nei ko ngā hononga paturopi-rongoā . I roto i tēnei, ka piri ngā paturopi i hangaia i te taiwhanga ki tētahi rongoā chemotherapy, kātahi ka rapu, ka whakangaro hoki i ngā pūtau matepukupuku.
• Te rongoā matū me te whakawhitinga pūtau take: Ka whakamahia pinepine tēnei maimoatanga mēnā kua hoki anō te lymphoma Hodgkin i muri i te hokinga ki te whakaoranga, kāore rānei e aro ki te maimoatanga. I tēnei wā, ka tukuna atu he momo rongoā matū rerekē ki a koe i tērā i hoatu ki a koe i te tīmatanga. Mēnā ka aro te mate pukupuku ki a ia, ka whakahaerehia e tō tākuta he whakawhitinga pūtau take.

Ngā pānga taha o ngā maimoatanga

He rerekē ngā pānga taha o ia maimoatanga. Hei tauira, ka ngaro te makawe me te whakapairuaki i te chemotherapy. Ka pāngia te wāhi e rongoatia ana e te radiation therapy e te werawera. Ko ngā pānga taha o te immunotherapy ko te kiri mākūkū, te korere, me te mumura o ngā pukahukahu, ka uaua ai te manawa me te maremare.

Pātai atu ki tō tākuta mō ngā pānga taha pea i mua i te tīmatanga o te maimoatanga. Māna koe e āwhina ki te paunatia ngā pānga taha pea me ngā painga o te maimoatanga.

He aha te tirohanga mō te Hodgkin Lymphoma?

E whakaaro ana ngā tākuta he mate pukupuku ka taea te rongoā i te lymphoma Hodgkin, ā, he nui te wā ka taea te whakaora. Ko tō tirohanga ka whakawhirinaki ki te wāhanga o te mate me ētahi atu āhuatanga. Ka taea e tō tākuta te kōrero ki a koe mō tēnei. Heoi, i ētahi wā kāore te maimoatanga e angitu, ā, ka hoki mai anō pea te mate pukupuku. Pātai atu ki tō tākuta me pēhea te pānga o ēnei whakarōpūtanga ki tō matapae.

He aha te tere ora mō te Hodgkin Lymphoma?

Kei te piki haere tonu ngā reiti oranga mō te lymphoma Hodgkin i te mea kei te whakawhanake ngā tākuta i ngā maimoatanga hou, kua pai ake hoki. E ai ki te US National Cancer Institute, 88% o te hunga i kitea he lymphoma Hodgkin i waenga i te tau 2014 me te tau 2020 i ora tonu i muri i ngā tau e rima i muri i te maimoatanga.

Ka rerekē ngā reiti oranga i runga i te taumata o te mate pukupuku. E ai ki ngā tatauranga kotahi, i waenga i te 92% me te 95% o te hunga i kitea he mate tōmua i ora tonu i muri i te rima tau i te tātaritanga. I waenga i te 81% me te 87% o te hunga i kitea he mate tōmuri i ora tonu i muri i te rima tau i te tātaritanga. E whakaatu ana tēnei i te hiranga o te kite wawe i te mate, kāore?

Me pēhea taku tiaki i ahau anō?

Tērā pea ka marino koe i te mōhio kei te memeha haere ō tohumate o te lymphoma Hodgkin mā te rongoā. Heoi anō, tērā pea ka āwangawanga, ka mataku rānei koe kei hoki mai anō te mate. Mā ēnei whakaaro ka māmā ake te noho tahi me te lymphoma Hodgkin:

• Okiokinga: Ka taea e ngā maimoatanga mate pukupuku me te mate pukupuku te whakararuraru i te ngenge nui. Hoatu te okiokinga e hiahiatia ana e tō hinengaro me tō tinana.
• Kai i tētahi kai taurite, kai totika: Kāore he hononga mārama i waenga i tāu e kai ana me te mate pukupuku Hodgkin lymphoma. Heoi, mā te kai pai ka āwhina i te tiaki i tō pūnaha ārai mate me te whakaiti i tō tūponotanga ki te pangia e ngā huaketo. Ki te hiahia koe ki te ako atu mō te kai pai, kōrero ki tētahi tohunga kai.
• Whakahaerehia te ahotea: Ka hoki mai anō pea te lymphoma Hodgkin i muri i te maimoatanga. Ka taea e te manukanuka kei mate anō koe i te wā e pāngia ana koe e te ahotea. Ki te mea kei te āwangawanga tonu koe kei hoki mai anō tō āhua, kōrero ki tō tākuta. Ko ia te tangata pai rawa atu hei mōhio mō tō āhua. Mā te mōhio ki ngā mea hei tumanako ka āwhina i te whakaiti i tō ahotea.
• Whakakorikori Tinana : Ehara i te mea ka āwhina noa te whakakorikori tinana i tō pūnaha ārai mate, engari ka āwhina anō hoki ki te whakahaere i te ahotea. He huarahi pai anō hoki hei whawhai i te ngenge, he pānga taha noa o te maimoatanga mate pukupuku.

Ko te mea nui, ko te mea kua kitea koe he mate pukupuku Hodgkin, ehara i te mea kāore e taea e koe te ora i tō oranga ki te taumata teitei. Me huri koe i ētahi mea hei whakatau i ngā pānga taha. Me toro atu koe ki tō tākuta i ngā wā maha atu i te tangata kāore i kitea he mate pukupuku. Engari, mā te iti haere, ka kitea e koe he tikanga me te tere e pai ana ki a koe.

Āhea ahau me toro atu ki taku tākuta?

Mena kei te rongoatia koe mō te lymphoma Hodgkin, tirohia tō tākuta mēnā ka kite koe i ētahi tohu e kino haere ana tō āhua ahakoa te maimoatanga (hei tauira, he puku hou, he kirika). Kia oti te maimoatanga, ka whai wā tirotiro anō koe hei aroturuki i tō hauora whānui, hei tirotiro hoki mēnā ka hoki anō te mate.

Āhea ahau me haere ki te rūma whawhati tata?

Mena ka pā mai ngā pānga taha o te maimoatanga kāore e memeha i muri i te tango i te rongoā kua tohua, he kino rawa atu i tō whakaaro, he roa ake rānei te mau, haere ki te rūma whawhati tata. Ma tō tākuta me te tīma hauora koe e kōrero mō tēnei.

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

Tērā pea he maha āu pātai i te wā e tātaritanga ana, e rongoā ana hoki i te mate pukupuku Hodgkin lymphoma. Anei ētahi pātai hei pātai atu ki tō tākuta:

• He aha te momo lymphoma Hodgkin kei a au?
• He aha te wāhanga o tōku mate?
• He aha te maimoatanga e taunaki ana koe?
• He aha ngā pānga taha e tika ana kia tumanakohia mai i te maimoatanga?
• Ka taea e koe te whakaora i tōku āhua?
• He aha te tūponotanga ka hoki mai anō te mate pukupuku?

He aha te rerekētanga i waenga i te Hodgkin Lymphoma me te Non-Hodgkin Lymphoma?

He mate pukupuku te Hodgkin lymphoma me te non-Hodgkin lymphoma e pā ana ki ō pūtau lymphocyte, engari he iti noa ngā rerekētanga i waenganui i ngā mea e rua.

E whakaaro ana ngā tākuta ko te lymphoma Hodgkin tētahi o ngā momo mate pukupuku ka taea te rongoā. Ka taea e ngā maimoatanga hou te whakakore i ngā tohu o te lymphoma Hodgkin, ā, tata kore rawa e ora te mate.

Heoi, ko tō tirohanga ka whakawhirinaki ki te momo o te lymphoma Hodgkin me te taumata o te mate pukupuku. E whakaatu ana ngā rangahau neke atu i te 90% o te hunga e rongoatia ana mō te lymphoma Hodgkin i te wā tōmua kei te ora tonu i te rima tau i muri i te tātaritanga. Arā, ko te wawe o te kitenga, ko te pai ake.

Kia tūpato ki ngā panonitanga o tō tinana, pērā i te pupuhi o ngā kōpū lymph, te kirika tonu, me te ngenge. Ahakoa kei a koe ēnei tohu, ehara i te mea kei a koe te mate pukupuku Hodgkin, engari he mea pai kia whakamātauria koe. Mō tēnei mate, mā te tātaritanga wawe ka piki ake te tūponotanga kia ora kore mate pukupuku.

Hei whakamutunga, he karere hei kawe ki te kāinga:

He mea noa te mataku ina rongo koe i te ingoa Hodgkin Lymphoma. Engari kia maumahara, he mate pukupuku tēnei ka taea te rongoā. Ko te mea nui ko te rapu tohutohu hauora i te wā tonu ka kite koe i ngā tohu. Ina koa mēnā kei a koe ngā tohu pēnei i te pupuhi kore mamae i te kaki, i ngā kēkē, i te hope rānei, te ngenge tonu, te kirika kāore i te whakamāramatia, te werawera nui i te pō, me te ngaronga taumaha, me toro atu koe ki te tākuta.

Mā te tātaritanga wawe me te maimoatanga tika, he tokomaha kua ora katoa mai i te mate pukupuku Hodgkin lymphoma me te noho noa i te oranga noa. Nō reira, kaua e mutu te tumanako. Ko te karere nui rawa atu māku ki a koe, me rapu tohutohu hauora i te wā e taea ai mēnā kei a koe, kei tētahi rānei e mōhio ana koe, ēnei tohu.

` Hodgkin lymphoma, mate pukupuku, ngā kōpuku lymph, ngā tohu, te maimoatanga, ngā pūtau B, ngā pūtau Reed-Sternberg