Kei a koe anō ēnei tohu? Me kōrero tātou mō te MALT Lymphoma!

Kua rongo kē koe i tētahi mate tauhou e kiia nei ko te MALT Lymphoma? Kāore pea. Nā te mea he onge noa iho, arā, ehara i te mate e pāngia ana e te katoa. Engari he mea pai kia mōhio tātou ki tēnei mate. Nā te mea he momo mate pukupuku anō hoki tēnei. Kaua e mataku, ka horapa mārire ki roto i te tinana. I tēnei rā, ka kōrerohia e tātou tēnei mate me te taipitopito, me te mea kei te kōrero tātou ki tētahi hoa.

He aha te MALT Lymphoma? He māmā noa iho...

Āe, he momo iti te MALT Lymphoma o te rōpū matepukupuku nui e kiia nei ko te 'non-Hodgkin lymphoma'. Arā, ko tētahi o ngā momo lymphoma puhoi te tipu e kiia nei ko te 'marginal zone lymphoma'.

Ko te tikanga ka pāngia te hunga neke atu i te 65 tau te pakeke e tēnei mate. He nui ake hoki te kitea i roto i ngā tāne i ngā wāhine. Ko te mea pai rawa atu, he maimoatanga ā ngā tākuta hei whakaora i tēnei mate. Arā, ka taea e rātou te whakahoki i te mate ki te "whakakorenga" , ki te āhua moe rānei. Heoi, me mahara tātou i ētahi wā ka hoki anō mai anō.

He aha ngā momo o te MALT Lymphoma?

E rua ngā momo matua o te lymphoma MALT:

1. Lymphoma MALT Puku: Ka tīmata tēnei i roto i tō puku, arā, i roto i te puku. Ko te paparanga o roto o te puku, e kiia nei e tātou ko te 'mucosa' , te wāhi ka tīmata ai. I te nuinga o te wā, ka noho tonu tēnei momo ki te wāhi i tīmata ai, engari i ētahi wā ka horapa ki ngā wāhi i waho o te puku. Koinei te momo lymphoma MALT tino noa.

2. Lymphoma MALT kore-puku: Ka pā pea tēnei momo ki ngā kiriuhi mucous i roto i ō pukahukahu, i ngā repe huware, i te repe tairoi, me te kiri . Ka pā pea hoki ki ngā kiko e karapoti ana i ō kanohi, pērā i ngā awa roimata .

He pēhea te noa o tēnei mate?

He mate tino onge te lymphoma MALT. E 7% pea o ngā lymphoma kore-Hodgkin katoa e pā ana ki tēnei mate. Hei whakamārama i tēnā, e ai ki te American Cancer Society, ka kitea he 80,550 tāngata kua pāngia e te lymphoma kore-Hodgkin i te tau 2023 anake. He rite tēnei ki te 300,590 ngā kēhi hou o te mate pukupuku ū. Nō reira, ka kite koe i te onge o tēnei mate.

Kia pēhea te tere o te horapa o te MALT Lymphoma?

He mea nui tēnei. Ka tino puhoi te tipu o tēnei mate i roto i te tinana. I ngā wāhanga tōmua, kāore pea he tohu nui e kitea. I ētahi wā, ka kitea te mate pukupuku MALT mā te tūpono i te wā e whakamātautauhia ana mō tētahi atu mate.

He aha ngā tohu o tēnei?

Ka rerekē ngā tohu i runga i te wāhi kei reira te lymphoma. Heoi, ka tīmata ngā lymphoma MALT katoa i:He kiriuhi mucosa (`mucosa`). He arai makuku tēnei kiriuhi mucosa e whakarārangi ana i te taha o roto o ētahi okana o te tinana.

Ngā Tohu o te Lymphoma MALT Gastric

Nā te puku tēnei i hua ai, ā, ko ētahi o ngā tohu ko:

• Te ngau o te uma me te koretake o te kai: Pērā i te ngau o te uma me te koretake o te kai e mōhiotia ana e tātou katoa.
• Mamae puku.
• Whakapairuaki me te ruaki.
• Kāore he reka o te kai.
• Te hiroki noa iho, kāore he take.
• Te toto o te puku.

Ngā Tohu o te Lymphoma MALT Kore-Gastric

Ka pā pea tēnei momo ki ngā kanohi, ki ngā pukahukahu, ki ngā repe huware, ki te kiri, me te repe tairoi.

Mena ka pāngia ngā kanohi:

• Kamo kamo e piko ana.
• Te whero, te mumura rānei o ngā kanohi.
• Te pupuhi huri noa i ngā kanohi.
• Tirohanga takirua.

Mena ka pāngia ngā pukahukahu:

• Te uaua ki te manawa.
• Mamae o te uma.
• Te maremare, te maremare toto rānei.

Mena ka pāngia ngā repe huware:

Ka kitea te pupuhi:

• Kei mua ngā taringa.
• I raro i te kauae.
• I roto i te waha.

Mena ka pāngia te kiri:

• He whero, he māwhero, he papura rānei ngā ira i runga i te kiri.
• Ngā puku kiri.

Mena ka pāngia te repe tairoi:

• Ngā tohu o te hypothyroidism: Kei roto i ēnei ko te ngenge nui, te kiri maroke, te pikinga o te taumaha kāore i te whakamāramatia, te kaha ake rānei o te aro ki te makariri.
• He puku i te mua o te kaki.

He aha ngā take o te MALT Lymphoma?

He maha ngā tino take o tēnei mate, tae atu ki ngā mate kitakita, mate huaketo rānei, me ngā mate pūnaha ārai mate .

• Ngā huakita me ngā huaketo:
• Ko te mate roa o te huakita `H. pylori` te tino take o te lymphoma MALT puku. Ko te `H. pylori` he huakita e hua ai te gastritis me ngā mate puku.
• Kua kitea hoki he hononga kei waenganui i ngā momo lymphoma MALT e rua me ētahi atu huakita pērā i te `Achromobacter xylosoxidans`, `Campylobacter jejuni`, `Borrelia burgdorferi` me te `C. psittiaci`.
• Ka taea hoki te hono atu i te huaketo Hepatitis C ki te lymphoma MALT puku me te lymphoma MALT kore-puku.

• Ngā mate pūnaha ārai mate:
• 'Te mate a Hashimoto' (he mate e pā ana ki te repe tairoiti) me te 'Sjögren's syndrome' (Sjögren's syndrome)(Ka puta mai ngā āhuatanga pēnei i te maroke o ngā kanohi me te waha) ka puta ai ētahi lymphoma MALT kore-puku.

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

Mena kua pāngia tētahi o tō whānau e te lymphoma, tera pea ka tūpono koe ki te pāngia e te lymphoma MALT. Heoi, ehara tēnei i te mea noa mō te katoa.

Me pēhea te tātaritanga o te MALT Lymphoma?

He maha ngā whakamātautau ka mahia e ngā tākuta hei tātaritanga i tēnei mate, hei tirotiro hoki i te whānui o tōna horapa.

Ngā whakamātautau toto

Ka taea e ngā tākuta te whakahaere i ngā whakamātautau toto penei:

• `CBC (tātai toto katoa):` e titiro ana ki ngā momo pūtau i roto i te toto.
• `LDH (lactate dehydrogenase): Ka taea tēnei te piki ake i roto i ētahi mate pukupuku.
• `CMP (pānui pākia whānui)` (whakamātautau pākia whānui): Ka tirotiro i te mahi a ngā whekau pēnei i ngā whatukuhu me te ate.
• Whakamātautau mō te Hepatitis C.

Te koiora

Ka taea e ngā tākuta te mahi i ngā koiora pēnei:

• Kohikohi ira wheua: Hei tirotiro mēnā kua horapa te mate pukupuku ki te hinu wheua.
• Kohikohi ngira: Ka tangohia he wahi kiko iti mai i tētahi puku whakapae, ka tirotirohia.

I ētahi wā, mēnā e whakapaetia ana he mate pukupuku MALT lymphoma, ka taea te tango i te koiora i te wā o te endoscopy o runga , arā, ko te whakauru i tētahi kāmera iti mā te waha hei tirotiro i te puku.

Ngā whakamātautau whakaahua

Mā ēnei whakamātautau ka kitea te wāhi kei reira te lymphoma me te tawhiti kua horapa (wāhanga):

• Ngā matawai tomography rorohiko (CT)`.
• Ngā matawai PET (positron emission tomography).

Ngā whakamātautau taiwhanga

Ka whakamahia e ngā tākuta mate hauora ēnei whakamātautau hei tirotiro i ngā pūtau kiko, ngā pūtau matepukupuku rānei:

• 'Whakamātautau H. pylori': Ka tangohia he tauira koiora hei tirotiro i te aroaro o ēnei huakita.
• Te ine i te rere o te pūtau: He whakamātautau motuhake hei āwhina i te tautuhi i te āhua o ngā pūtau.

Te whakatau i te wāhanga o te mate pukupuku (mō te lymphoma MALT puku) (Te wāhanga o te mate pukupuku)

Ka whakamahia e ngā tākuta ngā tikanga whakatau i te mate pukupuku hei whakarite maimoatanga me te matapae i te putanga e tumanakohia ana i muri i te maimoatanga. Mō te lymphoma MALT puku, ka taea te whakamahi i tētahi o ngā tikanga e whai ake nei:

• Wāhanga I: Kei te paparanga o roto o te puku anake te mate pukupuku.
• Wāhanga II: Kua horapa te mate pukupuku ki ngā kōpū lymph tata, ki ngā kōpū lymph tawhiti, ki ngā whekau me ngā kiko tata rānei.
• Wāhanga IV:Kua horapa te mate pukupuku ki ētahi pūnga lymph, ki te hinu wheua, ki runga ake, ki raro hoki i te diaphragm.
• Kāore he mea e kiia ana he Wāhanga III mō te lymphoma MALT gastric.

Me pēhea te rongoā i te MALT Lymphoma?

He maha ngā āhuatanga e whakawhirinaki ana ki te maimoatanga, tae atu ki te momo lymphoma MALT, tōna pūtake, me te wāhanga o te mate. Hei tauira, e kī ana ētahi rangahau ka taea te whakaora katoa i te lymphoma MALT puku i te wāhanga tōmua mā te whakamahi i ngā paturopi, inā koa mēnā i puta mai i te mate H. pylori.

Ko ngā kōwhiringa maimoatanga pea ko:

• 'Tatari mataara/tirotiro kaha': Ka tūtohu pea ngā tākuta i tēnei huarahi mō te hunga whai mate pukupuku MALT i te wā tōmua, kāore nei e whakaatu i tētahi tohu. Ko te tikanga o tēnei ko te tirotiro i te mate me te kore he maimoatanga.
• Paturopi: Ka patua e tēnei maimoatanga te huakita H. pylori, e puta ai te lymphoma MALT puku. E kī ana ētahi rangahau ka taea e te patu i te H. pylori te whakaora i te mate.
• Whakaora irahiko: Ka whakamahia pea e ngā tākuta te rongoā irahiko hei rongoā i ngā momo lymphoma MALT e rua.
• Te rongoā paturopi monoclonal: Tērā pea ka āwhina tēnei maimoatanga i te hunga whai lymphoma MALT puku kāore e aro ki te rongoā irahiko, i te hunga rānei he lymphoma MALT kore-puku.

Ka taea te whakaora katoa i te MALT Lymphoma?

Ae, e ai ki te kōrero i mua ake nei, ka taea te whakaora i te lymphoma MALT gastric i te wā tōmua, inā koa ko te mea i puta mai i te H. pylori, mā te whakamahi i ngā paturopi. I ētahi atu wā, ka taea e te maimoatanga te 'whakaora' i te mate, arā, he āhua moe. Heoi, ka taea e ia te hoki mai ('ka hoki anō').

He aha te matapae mō te mate?

Tērā pea ka harikoa koe i te rongonga i tēnei. Ka taea e te hunga whai mate pukupuku MALT te ora mō ngā tau maha, ahakoa ka hoki anō te mate i muri i te maimoatanga. Nā te mea he momo puhoi te tipu.

He aha te auau oranga?

E ai ki tētahi rangahau, tata ki te 88% o te hunga whai mate lymphoma MALT e ora tonu ana i muri i te rima tau i te tātaritanga. Engari kia maumahara ko ēnei reiti oranga he whakatau tata noa iho i runga i ngā wheako o ētahi atu me ngā raraunga i kohia i roto i te wā. Tērā pea ka rerekē ō wheako. I ēnei wā, ko tō tākuta te tangata pai rawa atu hei tuku kōrero ki a koe.

Ka taea te ārai i te MALT Lymphoma?

Ina hoki, kāore anō kia mōhiotia e ngā kairangahau hauora ngā āhuatanga katoa e whai wāhi ana ki te whanaketanga o tēnei mate e te tangata. I kitea i roto i tētahi rangahauMā te karo i te mate H. pylori ka taea te whakaiti i te mōrearea o te whakawhanake i te lymphoma MALT puku.

Me pēhea taku tiaki i ahau anō?

He tokomaha te hunga e hiahia ana ki te tiaki hauora mō te wā katoa. Ko te tikanga o tēnei he tirotiro auau hei tirotiro mēnā kua hoki mai te mate. I te nuinga o te wā, me whai whakamātautau me te matawai koe i ia toru ki te ono marama mō te rima tau. Whai muri i tēnā, me tirotiro koe i ia tau.

Āhea ahau me kite i te tākuta?

Ko te hunga whai mate pukupuku MALT ka kite i ā rātou tākuta i ia wā, i ia wā. Heoi, me toro atu ki tō tākuta tonu mēnā kei a koe:

• Mena kei a koe te MALT Lymphoma, ā, ka kite koe i ngā huringa hou (he tohumate pea) i roto i tō tinana.
• Mena kei te rongoatia koe, ā, ka kino haere ō tohumate.
• Mena kei roto koe i te 'whakamāramatanga', arā, kua pai ake te mate, kei te kite koe i ngā panonitanga o tōna āhua, me te mea nei kei te 'hoki mai anō' te mate.

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

Mena kei a koe te mate pukupuku lymphoma MALT, me pātai atu pea koe ki tō tākuta i ēnei pātai:

• He aha te momo lymphoma MALT kei a au?
• He aha te wāhanga o tōku mate?
• Me whai maimoatanga ahau?
• Mena me rongoā ahau, he aha te rongoā ka tūtohu koe?
• He whakamātautau haumanu anō kei reira hei whakaaroaro māku?

Kia maumahara: Ko te MALT Lymphoma he momo mate pukupuku onge e pā ana ki te arai o ō tātou whekau me ētahi atu wāhanga o te tinana, he momo lymphoma non-Hodgkin. Ka puhoi te tipu, nō reira he maha ngā wā kāore e puta he tohu nui. Ka taea e ngā tākuta te rongoā, ā, i ētahi wā ka rongoatia. Engari ka taea e te mate te hoki mai anō, nō reira me nui ake te rongoā. Mena kei a koe tēnei mate, kōrero ki tō tākuta mō ngā mea hei tumanako atu.

Hei whakamutunga, he karere hei kawe ki te kāinga

Āe, me kōrero noa atu e au ētahi mea hei maumahara māu i roto i ngā kōrero kua kōrerotia nei e tātou:

• He momo mate pukupuku puhoi te tipu o te MALT Lymphoma. Kaua e wehi, engari kia mataara.
• E rua ngā momo: te puku (i roto i te puku) me te kore-puku (i ētahi atu wāhi).
• Ko te huakita 'H. pylori' tētahi o ngā tino take o te gastritis.
• Ka whakawhirinaki ngā tohu ki te wāhi kei reira te lymphoma, ā, kāore pea he tohu e kitea i te tīmatanga.
• He maimoatanga kei reira, ā, i ētahi wā ka taea te whakaora rawa, inā koa i ngā wāhanga tōmua o te matepukupuku puku.
• Ka taea e te mate te hoki mai anō i muri i te whakahekenga o te pāmahana, nō reira me noho tonu koe i raro i te tirotiro a te taote.
• Ki te mea he ruarua, he pātai rānei āu, kaua e wehi ki te kōrero ki tō tākuta. Koinei te mea pai hei mahi.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

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