Kia ako tātou mō te Lymphoma pūtau-T i roto i ngā kupu māmā noa iho. He rite ki te kōrero a te tākuta me te hoa ki a koe!

Ka ngenge, ka ngoikore rānei koe i ētahi wā, kāore he take e kitea ana? Tērā pea he puku iti, he puku rānei kei tō kaki, kei ō ringaringa, kei tō hope rānei? I ētahi wā ka kite pea koe i ngā ira rerekē, i ngā mātā rānei kei tō kiri. Ehara ēnei i te tohu o tētahi mate kino, engari i ētahi wā, ka hono pea ēnei mea ki tētahi mate e kiia nei ko te T-cell Lymphoma . Nō reira, me kōrero tātou mō tēnei i tēnei rā, engari he tino māmā noa iho, āe? Kaua e mataku, ko te mea nui ko te tūpato.

He aha tēnei lymphoma pūtau-T?

Ki te kī māmā noa, ko te lymphoma pūtau-T he momo mate pukupuku e kiia nei ko te lymphoma non-Hodgkin . Kei roto i tō tātou tinana tētahi momo toto ma motuhake e kiia nei ko ngā pūtau-T . Koinei ngā hōia matua o tō tātou pūnaha ārai mate, e tiaki ana i a tātou mai i ngā mate me ngā mate pāwera. Nō reira, mō ētahi take, ka wehea noatia ēnei pūtau-T, ka whakanuia rawatia, ka huri hei mate pukupuku, koinei te take o te lymphoma pūtau-T.

Ka puta tēnei mate pukupuku i roto i ngā kiko lymphoid o tō tātou tinana. Hei tauira, ka puta pea i ngā wāhi pēnei i ngā kōpū lymph (e kiia ana ko ngā kōpū lymph), te kiri, te ara kai , me te whēkau . He mea nui, he maha ngā momo lymphoma pūtau-T. Nō reira, he rerekē te maimoatanga i runga i te momo.

He aha ngā momo lymphoma pūtau-T kei reira?

E rua ngā momo o ngā lymphoma pūtau-T e whakarōpūhia ana e ngā tākuta, i runga i te tere o te horapa:

1. Ngā momo pukuriri

2. Ngā momo mangere

Kia tirohia takitahitia ia o ēnei kāwai.

Ngā lymphoma pūtau-T kaha

He momo iti tino tere te tipu, ā, ka horapa hoki.

• Te mate pukupuku pūtau-T pakeke/te mate pukupuku toto (momo huaketo lymphotropic pūtau-T tangata momo I) : He momo tēnei e pā pinepine ana ki ngā pakeke. Ka pā pea ki te kiri me ngā wheua. E pā ana ki tētahi huaketo e kiia nei ko te huaketo lymphotropic pūtau-T tangata momo I.
• Te lymphoma pūtau nui anaplastic (ALCL) : Ka pā tēnei ki te tinana , ki te kiri rānei ( kiri ). He tino onge te kitea o tētahi momo ALCL e pā ana ki ngā whakaurunga ū.
• Te lymphoma pūtau-T angioimmunoblastic (AITL) : Ka puta pea ngā tohu o tēnei momo e rite ana ki ngā mate pūnaha ārai mate , pērā i te anemia hemolytic pūnaha ārai mate (AIHA) .Ngā āhuatanga pēnei i te immunothrombocytopenia (ITP) .
• Te lymphoma pūtau-T e pā ana ki te enteropathy : E ai ki te ingoa, he momo lymphoma tēnei e whanake ana i roto i ngā whekau.
• Te lymphoma pūtau-T gamma/delta hepatosplenic : Ko te ate me te whēkau te nuinga o te pānga ki tēnei.
• Lymphoma NK/pūtau-T ihu : Ko te NK tētahi atu momo pūtau toto mā e kiia nei he pūtau whakamate tūturu , he rite tonu ki ngā pūtau-T. Ko tēnei lymphoma ka pā ki te arai o te ihu me te ara manawa o runga, engari i ētahi wā ka puta i roto i te kiri, i te ara nakunaku rānei.
• Te lymphoma pūtau-T ā-rohe, kāore i te whakahuatia i tētahi atu wāhanga (PTCL-NOS) : He wāhanga whānui tēnei. Kei roto i ngā tākuta ngā momo lymphoma pūtau-T kāore e uru ki ngā momo motuhake kua whakahuatia i runga ake nei.

Ngā lymphoma pūtau-T mangere

He momo iti ēnei e puhoi ake ana te tipu me te horapa i ngā momo kua whakahuatia i mua.

• Te lymphoma pūtau-T kiri (CTCL) : Koinei te momo lymphoma pūtau-T tino noa. Kei roto i tēnei rōpū te Mycosis fungoides me te mate Sézary . Ko te kiri te nuinga e pāngia ana.
• Te mate toto toto prolymphocytic pūtau-T : Ko tētahi atu momo mate tēnei e puhoi ana te tipu.
• Te lymphoma pūtau-T rite ki te panniculitis i raro i te kiri : Ka pā tēnei ki te kiko ngako i raro i te kiri.

He aha ngā tohu o te lymphoma pūtau-T?

Nā te mea ka pā te mate pukupuku pūtau-T ki ngā wāhanga rerekē o te tinana, ka rerekē pea ngā tohu i runga i te wāhi i tīmata ai te mate. Hei tauira, ka puta he whero, he mākūkū, he ira rānei i runga i te kiri i roto i te mate pukupuku pūtau-T kiri.

Ko ētahi atu tohu noa ko:

• Te werawera nui i te pō : Ehara i te mea ko te werawera anake, engari ko te nui rawa o te werawera ka mākū ngā whāriki.
• Mamae i roto i te puku, i ngā wheua, i te uma rānei : Mamae mau tonu, kāore e taea te whakamārama.
• Ngenge tonu : Te ngenge nui atu i te tikanga, me te mea kāore he kaha ahakoa te ara ake i te ata, mō ngā rā maha, kāore he take.
• Ngā kōpū waikura pupuhi : He pupuhi kore mamae i te kaki, i ngā kēkē, me te uma, ā, ka rite ki te puku.
• Te kirika kore whakamārama : Ka puta te kirika i te wā e whawhai ana te tinana ki tētahi mate. Mēnā kāore te kirika e heke i muri i ngā hāora e rua o te maimoatanga kāinga, mēnā rānei ka roa te kirika mō ngā rā e rua neke atu, he tohu tēnei hei āwangawanga māu.
• Te ngaronga taumaha mō te kore takeKa ngaro tō taumaha me te kore e ngana, e whakahaere rānei i tō kai. Mēnā ka ngaro atu i te 10% o tō taumaha tinana katoa i roto i ngā marama e ono, he mea nui tēnei kia kōrero koe ki te tākuta.

Kia maumahara, ka kitea pea ēnei tohu i roto i ētahi atu mate kāore i te tino kino. Mēnā kei a koe tētahi, neke atu rānei o ēnei tohu, ehara i te mea kei a koe te mate pukupuku pūtau-T. Heoi, ki te roa ake i te rua wiki te roa o ēnei tohu, inā koa te kirika me ngā kōpuku lymph pupuhi, he mea pai tonu kia toro atu ki te tākuta mō ētahi tohutohu.

He aha te take o te lymphoma pūtau-T?

Kāore he tino take mō te mate pukupuku pūtau-T. He māmā noa iho, nā ngā huringa (e kiia ana ēnei e ngā tākuta he whakarerekētanga ira ) i roto i ngā ira e whakahaere ana i te tipu me te mahi a ngā pūtau-T, ka hua ake ai te hanganga o ngā pūtau-T rerekē. Kāore ngā tākuta e tino mārama he aha tēnei e tupu ai, engari e whakapono ana rātou kei roto ngā whakarerekētanga ira kua riro mai . (Ko ēnei ngā huringa ka puta i roto i te wā, ehara i te mea i whānau mai tātou).

Heoi anō, kei reira ētahi āhuatanga mōrearea e whakanui ake ana i te tūponotanga o te whanaketanga o tēnei mate. Ko te āhuatanga mōrearea he mea e whakanui ake ana i te tūponotanga o te whanaketanga o tētahi mate.

• Tau : Ko te tikanga, ko te hunga neke atu i te 55 tau te pakeke ka nui ake te tūponotanga ka pāngia e tēnei mate i te hunga taitamariki.
• Ira Tangata : He nui ake te tūponotanga o te tāne ki te pāngia e te lymphoma pūtau-T i ngā wāhine.
• Iwi : Kua whakaatuhia e ētahi rangahau he nui ake te kitea o tēnei mate i roto i ētahi iwi (hei tauira, te iwi mā, te iwi Āhia rānei, ki te whakaritea ki te iwi mangu).
• Kei a koe ētahi mate pūnaha ārai mate .
• Te pānga ki ngā matū whakaputa mate pukupuku . Hei tauira, te pānga roa ki te rā nui rawa (ina koa ko te hihi UV ) te pānga rānei ki ētahi matū i te wāhi mahi.

Me pēhea te tātaritanga o te lymphoma pūtau-T?

Mena kei te whakapae te tākuta he lymphoma pūtau-T tōu, ka mahia pea e rātou ētahi whakamātautau hei whakaū.

• Te tatau toto katoa (CBC) me te rerekētanga : Ka whakamātautauhia ngā momo pūtau rerekē i roto i te toto me ō rātou rahinga.
• Papatohu Pūmua Whānui (CMP) : Ka tirotiro i te mahi me te taurite matū o ngā whekau nui o te tinana (pērā i te ate me ngā whatukuhu).
• Whakamātautau lactate dehydrogenase (LDH) : Tērā pea ka teitei ake ngā taumata o tēnei whākōkī i roto i ētahi lymphoma.
• Te paninga toto ā-taha : Ka tirohia he tauira toto i raro i te karuārai hei tirotiro i te āhua me te āhua o ngā pūtau.
• Ngā whakamātautau mō ētahi huaketo: hei tauira , te huaketo Epstein Barr , te huaketo ngoikore o te ārai mate tangata (HIV), te huaketo lymphotropic pūtau-T tangata momo I , ngā momo huaketo hepatitis rānei.
• Te tango i te hinu wheua me te koiora : Ka mahia tēnei hei tirotiro mēnā kua horapa te lymphoma ki te hinu wheua.
• Te Tātaritanga Ārai Mate : Ka āwhina tēnei whakamātautau ki te tautuhi i ngā pūmua motuhake i runga i te mata o ngā pūtau-T, me te tautuhi motuhake i te momo lymphoma.
• Matawai whakaahua aukume (MRI) .
• Matawai i te tomotanga tukunga Positron (PET) .

Mā ēnei whakamātautau ka taea e ngā tākuta te mārama ki te āhua o te mate pukupuku lymphoma kei a koe, mēnā he pērā, he aha te momo, me te whānui o tōna horapa.

He aha ngā wāhanga o te lymphoma pūtau-T?

I muri i te tautuhi i te mate pukupuku, ka whakatauhia e ngā tākuta tōna "wāhanga." E pā ana tēnei ki te tawhiti o te horapa o te mate pukupuku i roto i te tinana. He mea nui te mōhio ki tēnei wāhanga hei whakarite maimoatanga me te aromatawai i te matapae. E whā ngā wāhanga matua o te lymphoma pūtau-T:

• Wāhanga I : Kei te rohe kotahi anake o te kōpū lymph te lymphoma, kei roto rānei i te okana kotahi o te pūnaha lymphatic, pērā i te repe thymus, te whēkau, te hinu wheua rānei.
• Wāhanga II : Kei roto te lymphoma i ngā rōpū e rua, neke atu rānei, o ngā kōpuku lymph i te taha kotahi o tō diaphragm (te uaua i waenganui i tō uma me tō puku).
• Wāhanga III : Kei roto i ngā pona lymph i runga ake, i raro hoki i te diaphragm te lymphoma, i ngā taha e rua. Tērā pea kei roto i te whēkau.
• Wāhanga IV : Kua horapa te lymphoma ki te iti rawa i te kotahi okana i waho o te pūnaha lymphatic (hei tauira, te hinu wheua, te ate, ngā pukahukahu).

Heoi anō, i ētahi wā ka whakamahia pea he pūnaha whakatau āhua rerekē mō te lymphoma pūtau-T kiri nā te mea he rerekē te huarahi e horapa ai i ētahi atu momo lymphoma.

Me pēhea te rongoā i te lymphoma pūtau-T?

He rerekē te maimoatanga mō te lymphoma pūtau-T i ia tūroro, i ia momo, i ia momo lymphoma. Mō ētahi momo mangere, ki te kore he tohu i te tīmatanga, ka whakamahia pea e ngā tākuta tētahi rautaki e kiia nei ko te "tatari mataara/mātakitaki kaha." Ko te tikanga tēnei kāore te tūroro e rongoātia tonutia, engari ka tirotirohia tata. Ka tīmata noa te maimoatanga mēnā ka puta ngā tohu, ka kino haere rānei te mate.

Ko ētahi atu maimoatanga ko:

• Te rongoā matū : He rongoā kaha tēnei e patu ana i ngā pūtau matepukupuku. Koinei te rongoā matua mō te lymphoma kore-Hodgkin, tae atu ki te lymphoma pūtau-T.
• Whakaora arotahi : Ka arotahi, ka whakaeke hoki ēnei maimoatanga i ngā ngota motuhake o ngā pūtau matepukupuku. Ko te rongoā paturopi monoclonal tētahi tauira o tēnei.
• Te Whakaora Ārai Mate : E kiia ana hoki ko te whakaora koiora , ko te whakaoho i te pūnaha ārai mate o tō tinana hei āwhina i te whawhai ki ngā pūtau matepukupuku. Ko te whakaora pūtau-T CAR he maimoatanga matatau i tēnei mara.
• Te rongoā irahiko : Ka whakamahia ngā hihi kaha-nui (pērā i ngā hihi-X) hei whakangaro i ngā pūtau matepukupuku.
• Te rongoā matū me te whakawhitinga pūtau take : Ko ngā pūtau take he pūtau toto kāore anō kia pakari i roto i tō toto, i tō hinu wheua rānei. I muri i te rongoā matū nui, ka whakawhitingahia e ngā tākuta ētahi pūtau take mai i a koe ( whakawhitinga pūtau take autologous ). He onge pea te whakawhitinga i ngā pūtau take mai i tētahi atu kaituku ōrite ( whakawhitinga pūtau take allogeneic ).

I ētahi wā, ka whai wāhi pea ngā tūroro ki te whai wāhi atu ki ngā whakamātautau haumanu, ina rangahauhia ana e ngā tākuta ngā maimoatanga hou.

Ka taea te whakaora katoa i te lymphoma pūtau-T?

He pātai tēnei e pātaihia ana e te tini tāngata. Ka taea e ētahi momo lymphoma pūtau-T te memeha haere i muri i te maimoatanga. Ko te tikanga o te memehatanga ko te kore o ngā tohu, ā, kāore he tohu o te mate e whakaatuhia ana i ngā whakamātautau. Ka taea te whakaora katoa i ētahi momo mate pukupuku i muri i te wā roa o te memehatanga. Tērā pea ka pēnei te āhua mō ētahi momo lymphoma pūtau-T.

Heoi, he maha ngā wā ka hoki anō te mate pukupuku pūtau-T i muri i te maimoatanga . Nō reira, ki te mea he mate pukupuku pūtau-T tōu, ka taea e tō tākuta te tohutohu pai ki a koe mō te āhua me te matapae o tō mate.

He aha te āhua o te mate pukupuku pūtau-T?

Ko te "Prognosis" he whakaaro e tukuna ana e ngā tākuta ki a koe mō ngā mea hei tumanako atu māu i a koe e noho ana me te lymphoma pūtau-T. He maha ngā wā ka ahu mai tēnei i ngā wheako me ngā raraunga o tētahi rōpū nui o ngā tūroro. Nō reira, ko ngā mea kua pono mō ētahi atu, kāore pea e tika mōu. Koia anake te take ka taea e tō tākuta te hoatu ki a koe ngā mōhiohio tino tika me te whaiaro mō tō heke mai .

Ka taea te ārai i te lymphoma pūtau-T?

Nā te mea kāore anō kia mōhiotia te tino pūtake o te mate pukupuku pūtau-T, he uaua ki te ārai katoa. Heoi, kei reira ētahi āhuatanga mōrearea ka taea e koe te whakahaere, e ai ki tā tātou i kōrero ai i mua ake nei. Hei tauira, te karo i te pānga ki ngā matū carcinogens, te tiaki i a koe anō i ētahi mate, me te noho i tētahi momo oranga hauora.

He aha te āhua o te noho me te lymphoma pūtau-T?

Nā te mea he maha ngā momo lymphoma pūtau-T, kāore e ōrite te noho me tēnei mate mō te katoa. He uaua ki te kī tika he aha te āhua. Mena he lymphoma pūtau-T tōu, me whakaaro pea koe ki te tiaki mamae . Ko te tiaki mamae he tiaki motuhake e āwhina ana i te hunga e noho ana me ngā mate kino ki te whakaiti i ngā tohu, ki te whakahaere i te mamae, ki te noho kaha hinengaro, me te whakapai ake i te kounga o te oranga. Ka taea e koe te whiwhi i tēnei tiaki mamae anake, i te taha rānei o te maimoatanga lymphoma pūtau-T.

Me pēhea taku tiaki i ahau anō i te kāinga?

He mea tino nui te tiaki i a koe anō hei whakahaere i tō āhua. Ahakoa kāore ēnei mea e whakakore rawa i te mate, ka taea e rātou te āwhina i a koe ki te hanga i te kaha me te māia ki te noho tahi me ia:

• Kai i ngā kai totika : He pūngao te kai. Mā te kai i tētahi kai taurite ka āwhina i te pupuri i te pūngao o tō tinana. Ki te tika, kōrero ki tētahi tohunga kai, ka tiki tohutohu mō tētahi kai e pai ana ki a koe.
• Kia nui te okiokinga : Ka taea e ngā maimoatanga pēnei i te chemotherapy te whakararuraru i a koe. He mea nui te okiokinga kia ora ai tō tinana, kia kaha ai anō hoki.
• Korikori Tinana : Mā te korikori tinana māmā, kaua e taumaha (e ai ki ngā tohutohu a te tākuta) ka āwhina i te whakaiti i te ahotea me te pupuri i te kaha tinana.

Āhea ahau me haere ki te tākuta? / Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

• Ki te kite koe i ngā tohu hou, i ngā huringa rānei o tō lymphoma pūtau-T e kino haere ana (hei tauira, he puku hou, he kirika nui, he tino hekenga taumaha), me toro atu ki tō tākuta tonu.
• Ki te kore ngā pānga taha o te maimoatanga e memeha i muri i te tango i te rongoā i tohua e te tākuta , ā, ki te kaha ake i te mea i whakaarohia, ki te roa rānei te wā e mau ana, me haere koe ki te Tari Whawhati Tata (ETU) .

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

He maha pea āu pātai me ō āwangawanga i te wā e tātaritanga me te rongoā ana i te lymphoma pūtau-T. He mea nui kia kōrerohia ēnei ki tō tākuta. Anei ētahi pātai ka taea e koe te pātai:

• He aha te momo lymphoma pūtau-T kei a au?
• He aha te wāhanga o tōku mate?
• He aha te whāinga matua o taku maimoatanga?
• He aha ngā maimoatanga e taunaki ana koe māku? He aha ai?
• He aha ngā pānga taha ka pā mai i ēnei maimoatanga? Me pēhea te whakahaere i ēnei?
• Me whakaaro ahau ki te whai wāhi atu ki tētahi whakamātautau haumanu? He aha ngā painga mōku?

He mea noa te lymphoma pūtau-T?

Kāo, ehara te lymphoma pūtau-T i te momo mate pukupuku tino noa. Hei tauira, e ai ki te American Cancer Society, e matapaetia ana kia kitea he mate pukupuku hou e 89,000 i te United States anake i te tau 2023. Heoi, ko te lymphoma pūtau-T anake te 10% o ngā lymphoma katoa. Arā, tata ki te 8,000 ngā mate pukupuku hou ia tau.

He aha te rerekētanga i waenga i te lymphoma pūtau-B me te lymphoma pūtau-T?

Ki te whakarapopototanga, e rua ngā momo lymphocytes (he momo pūtau lymph) o roto i tō tātou pūnaha ārai mate e pāngia ana e te lymphoma pūtau-B me te lymphoma pūtau-T. Ko te lymphoma pūtau-B he momo mate pukupuku e kitea whānuitia ana i te lymphoma pūtau-T.

He mea uaua te mate pukupuku, inā koa he mate pukupuku onge pērā i te lymphoma pūtau-T. Tērā pea he maha āu pātai, ā, kei hea koe e kimi ai i ngā mōhiohio mō tēnei mate. Kaua e mataku, me tono atu ki tō rōpū hauora mō te āwhina ki te mārama ki tō tātaritanga, maimoatanga, me tetahi atu mea e hiahiatia ana e koe . Ko rātou te puna mōhiohio pai rawa atu me te tino pono, tae atu ki ngā mea hei tumanakohia mai i tō maimoatanga mate pukupuku.

Ngā mea tino nui hei maumahara mai i tēnei tuhinga (Karere hei tango ki te kāinga)

Āe, mai i ngā kōrero kua kōrerotia e tātou mō te T-cell Lymphoma, anei ētahi o ngā mea tino nui hei maumahara māu:

• Ko te lymphoma pūtau-T he momo mate pukupuku e puta mai ana ina tipu rerekē, kāore e taea te whakahaere, ngā pūtau-T, he wāhanga nui o tō tātou pūnaha ārai mate.
• He maha ngā momo o tēnei, tae atu ki te pukuriri me te mangere, ā, he rerekē ngā maimoatanga.
• Mena kei a koe ngā tohu pēnei i te kirika pumau, te pupuhi o ngā kōpū lymph, te ngenge nui, te werawera nui i te pō, me te ngaronga taumaha kāore i te whakamāramatia, he mea tino nui kia whakamōhio koe i te tākuta.
• He rerekē ngā kōwhiringa maimoatanga; ko te chemotherapy, te radiation therapy, te therapy arotahi, me te immunotherapy ka whakatauhia i runga i te momo mate, te wāhanga, me te hauora whānui o te tūroro.
• Ehara i te mea he rite katoa ngā lymphoma pūtau-T, nō reira ko tō tākuta anake te mea e tino mārama ana ki tō āhua, ki tō maimoatanga, me tō tirohanga.
• Kōrero māhorahora ki tō tākuta, pātai atu, me te whakapuaki i ō kare ā-roto.

Kia maumahara, kāore koe i te mokemoke i tēnei haerenga. Kei a koe te tautoko a ngā tākuta, ngā nēhi, te whānau, me ngā hoa. Kaua e ngākau rua!