Hodgkin lymphoma
![Hodgkin’s lymphoma | Hodgkin’s Disease | Reed-Sternberg Cell](https://i.ytimg.com/vi/2I4GsJbJHSM/hqdefault.jpg)
ʻO Hodgkin lymphoma kahi maʻi ʻaʻai o nā aʻa lymph. Loaʻa nā mea Lymph i nā lymph node, spleen, ate, iwi iwi, a me nā pūnaewele ʻē aʻe.
![](https://a.svetzdravlja.org/medical/hodgkin-lymphoma.webp)
ʻAʻole ʻike ʻia ke kumu o Hodgkin lymphoma. ʻO ka lyodoma Hodgkin ka mea maʻamau i waena o nā poʻe 15 a 35 mau makahiki a 50 a 70 mau makahiki. ʻO ka maʻi i hala me ka Epstein-Barr virus (EBV) i manaʻo ʻia e kōkua i kekahi mau hihia. Hoʻonui ka pilikia o ka poʻe me ka maʻi HIV ke hoʻohālikelike ʻia i ka heluna lehulehu.
ʻO ka hōʻailona mua o Hodgkin lymphoma pinepine kahi pona lymph puhū i ʻike ʻia me ke kumu ʻole i ʻike ʻia. Hiki ke pālahalaha ka maʻi i nā lymph node kokoke. Ma hope e pāhola paha i ka palā, akepaʻa, iwi iwi, a i ʻole nā mea ʻē aʻe.
Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:
- Luhi nui loa i nā manawa āpau
- ʻO ka fiva a me ke anuanu e hele mai a hele
- Ka ʻume ʻana a puni ke kino i hiki ʻole ke wehewehe ʻia
- Loaʻa ka ʻai ʻole
- Hoʻoulu ka pulu o ka pō
- ʻO ka pehu ʻole o nā lymph node i ka ʻāʻī, nā ʻāpana lima, a i ʻole nā ʻūlū (nā kelena).
- ʻO ke kaupaona hiki ʻole ke wehewehe ʻia
Nā ʻōuli ʻē aʻe i hiki ke loaʻa me kēia maʻi.
- ʻO ka ʻeha, nā ʻeha o ka umauma, a me nā pilikia hanu inā loaʻa nā ʻōhū lymph pehu i ka umauma
- Nui ka hou ʻana i ka hou
- Ka ʻeha a i ʻole ke ʻano o ka piha ma lalo o nā iwi ʻaoʻao ma muli o ka pehu o ke aʻa a me ke ake
- ʻEha ma nā lymph nodes ma hope o ka inu ʻana i ka ʻalekohola
- Hoʻomaʻamaʻa i ka ʻili a i ʻole ka holo ʻana
ʻO nā ʻōuli i hoʻokumu ʻia e Hodgkin lymphoma e kū ʻia me nā kūlana ʻē aʻe. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hōʻailona kikoʻī.
E hana ka mea hāʻawi i kahi hoʻokolohua kino a nānā i nā wahi o ke kino me nā lymph node e manaʻo inā pehu lākou.
![](https://a.svetzdravlja.org/medical/hodgkin-lymphoma-1.webp)
Hoʻomaopopo pinepine ʻia ka maʻi ma hope o kahi biopsy o nā kino i manaʻo ʻia, he node lymph maʻamau.
![](https://a.svetzdravlja.org/medical/hodgkin-lymphoma-2.webp)
E hana maʻamau nā kaʻina hana penei:
- Nā hoʻāʻo kemika koko e like me nā pae protein, nā hoʻokolohua hana ate, nā hoʻāʻo ʻana o ka hakuʻala, a me ka pae uric acid
- Biopsy iwi ʻōiwi
- CT scan o ka umauma, ʻōpū, a pelvis
- Helu piha ke koko (CBC) e nānā no ka anemia a me ka helu o ke koko keʻokeʻo
- Scanner PET
Inā hōʻike nā hōʻike e loaʻa iā ʻoe ʻo Hodgkin lymphoma, e hana ʻia nā hōʻike hou aku e ʻike i ka lōʻihi o ka palahalaha ʻana o ka maʻi ʻaʻai. Kāhea ʻia kēia. Kōkua ke kau ʻana i ke alakaʻi ʻana i ka lapaʻau a me ka ukali ʻana.
Kaukaʻi hilinaʻi nui i ka kēia:
- Ke ʻano o Hodgkin lymphoma (aia kekahi mau ʻano o Hodgkin lymphoma)
- Ke kahua (kahi i laha ai ka maʻi)
- ʻO kou mau makahiki a me nā pilikia olakino ʻē aʻe
- ʻO nā kumu ʻē aʻe, e like me ka pohō kaumaha, ka hou ʻana i ka pō, a me ke kuni
Loaʻa paha iā ʻoe ka chemotherapy, radiation radiation, a i ʻole ʻelua paha. Hiki i kāu mea hoʻolako ke haʻi hou aku iā ʻoe e pili ana i kāu lapaʻau pilikino.
Hiki ke hāʻawi ʻia i ka chemotherapy lāʻau kiʻekiʻe ke hoʻi mai ʻo Hodgkin lymphoma ma hope o ka lapaʻau ʻana a pane ʻole paha i ka lāʻau mua. Hāpai ʻia kēia e kahi transplant cell stem e hoʻohana i kāu mau huna pū.
Pono ʻoe a me kāu mea lawelawe e mālama i nā hopohopo ʻē aʻe i kāu wā e mālama ai, e like me:
- Ka mālama ʻana i kāu mau holoholona i ka manawa o ka chemotherapy
- Nā pilikia koko
- Waha maloo
- ʻO ka ʻai ʻana i ka nui o nā calories
Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻanalike ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike maʻamau hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.
ʻO Hodgkin lymphoma kekahi o nā maʻi ʻaʻai ʻoi loa. ʻOi aku paha ka hoʻōla inā ʻike ʻia a mālama mua ʻia. ʻAʻole like me nā maʻi maʻi ʻē aʻe, hiki ke mālama ʻia ʻo Hodgkin lymphoma i kāna hopena hope loa.
Pono ʻoe e loaʻa i nā hōʻike maʻamau no nā makahiki ma hope o kāu mālama ʻana. Kōkua kēia i kāu mea lawelawe e nānā no nā hōʻailona o ka maʻi ʻaʻai e hoʻi ana a no nā hopena mālama wā lōʻihi.
Hiki i nā mālama ʻana no Hodgkin lymphoma ke loaʻa nā pilikia. ʻO nā pilikia lōʻihi o ka chemotherapy a i ʻole radiation radiation pū me:
- Nā maʻi pūpū iwi (e like me leukemia)
- Maʻi maʻi puʻuwai
- Hiki ʻole i nā keiki (infertility)
- Nā pilikia o ka lepa
- Nā maʻi maʻi ʻē aʻe
- Nā pilikia thyroid
E hoʻomau i ka ukali ʻana me kahi mea hoʻolako e ʻike e pili ana i ka nānā ʻana a me ka pale ʻana i kēia mau pilikia.
Kāhea i kāu mea hāʻawi inā:
- Loaʻa iā ʻoe nā ʻōuli o Hodgkin lymphoma
- Loaʻa iā ʻoe ka Hodgkin lymphoma a loaʻa iā ʻoe nā hopena ʻē aʻe mai ka lāʻau
Lymphoma - Hodgkin; Maʻi Hodgkin; Kanesa - Hodgkin lymphoma
- Hoʻoneʻe iwi iwi - hoʻokuʻu
- Chemotherapy - he aha e nīnau aku ai i kāu kauka
- Pāhawewe umauma - hoʻokuʻu
- Keʻai nei i nā calorie keu ke maʻi - nā mākua
- Pākuʻi ka waha a me ka ʻāʻī - hoʻokuʻu
- ʻO ka radiation radiation - nā nīnau e nīnau ai i kāu kauka
- Ke loaʻa ka nausea a me ka luaʻi
ʻŌnaehana Lymphatic
Maʻi ʻo Hodgkin - komo ke akepaʻa
Lymphoma, maʻi hōʻino - CT scan
Nā hanana ʻōnaehana pale ʻole
ʻO Bartlett N, Triska G. Hodgkin lymphoma. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 102.
Pūnaewele ʻo National Cancer Institute. Mālama makua makua Hodgkin lymphoma (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/lymphoma/hp/adult-hodgkin-treatment-pdq. Hoʻohou i Ianuali 22, 2020. Loaʻa iā Pepeluali 13, 2020.
Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka lyodoma Hodgkin Childhood (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/lymphoma/hp/child-hodgkin-treatment-pdq. Hoʻohou i Ianuali 31, 2020. Loaʻa iā Pepeluali 13, 2020.
Pūnaewele Pūnaewele Manuahi Manuahi. Nā kulekele hana lapaʻau NCCN ma ka oncology: Hodgkin lymphoma. Mana 1.2020. www.nccn.org/professionals/physician_gls/pdf/hodgkins.pdf. Hoʻohou i Ianuali 30, 2020. Loaʻa iā Pepeluali 13, 2020.