Non-Hodgkin lymphoma

ʻO ka non-Hodgkin lymphoma (NHL) ka maʻi ʻaʻai o ke aʻa lymph. Loaʻa nā kiko o Lymph i nā lymph node, spleen, a me nā mea ʻē aʻe o ka ʻōnaehana pale.

ʻO nā hunaola keʻokeʻo, i kapa ʻia he lymphocytes, i loaʻa i nāʻiʻo lymph. Kōkua lākou i ka pale ʻana i nā maʻi. Hoʻomaka ka hapa nui o nā lymphomas i kahi ʻano o ke keʻokeʻo keʻokeʻo i kapa ʻia ʻo B lymphocyte, a i ʻole B cell.

No ka hapanui o ka poʻe, ʻike ʻole ʻia ke kumu o NHL. Akā hiki i nā lymphomas ke ulu i ka poʻe me nā ʻōnaehana pale nawaliwali, e like me ka poʻe i loaʻa i kahi hoʻoliʻiliʻi a i ʻole nā ​​kānaka me ka maʻi HIV.

Hoʻololi pinepine ka NHL i nā mākua. Hoʻonui pinepine nā kāne i ka NHL ma mua o nā wahine. Hiki i nā keiki ke hoʻomohala i kekahi ʻano o ka NHL.

Nui a hewahewa nā ʻano NHL. Hoʻokahi ka hoʻonohonoho ʻana (hoʻonohonoho ʻana) e ka wikiwiki o ka hoʻolaha ʻana o ka maʻi ʻaʻai. Hiki i ka maʻi ʻaʻai ke papa haʻahaʻa (lohi i ka ulu ʻana), pae waena, a i ʻole papa kiʻekiʻe (e ulu wikiwiki ana).

Hoʻohui hou ʻia ʻo NHL e ka nānā ʻana o nā hunaola ma lalo o ka microscope, he aha ke ʻano o ke aʻa koko keʻokeʻo e hoʻomaka ai, a inā paha aia kekahi mau DNA e loli i nā pūpuʻu tumo iā lākou iho.

Pili nā ʻōuli i ka ʻāpana o ke kino e hoʻopili ʻia e ka maʻi ʻaʻai a me ka wikiwiki o ka ulu ʻana o ka maʻi ʻaʻai.

Pākuʻi ʻia paha nā ʻōuli:

• Hoʻoulu ka pulu o ka pō
• ʻO ka fiva a me ke anuanu e hele mai a hele
• Kāwili
• Pehu nā lymph node i ka ʻāʻī, underarms, ʻūhū, a i ʻole nā ​​wahi ʻē aʻe
• Kaumaha emi
• ʻO ka ʻeha a me ka pōkole o ka hanu inā pili ka maʻi ʻaʻai i ka gland o ka thymus a i ʻole nā ​​lymph node i ka umauma, e kaomi ana i ka pehu (trachea) a i ʻole nā ​​lālā
• ʻO ka ʻeha o ka ʻōpū a i ʻole ka pehu ʻana, e alakaʻi ana i ka nalo ʻana o ka makemake, ka paʻa paʻa, ka pīhoihoi, a me ka luaʻi
• ʻEha poʻo, nā pilikia noʻonoʻo, hoʻololi i ke ʻano, a i ʻole ka hopu ʻana inā pili ka maʻi ʻaʻai i ka lolo

E hana ka mea mālama ola i kahi hoʻokolohua kino a nānā i nā wahi o ke kino me nā lymph node e manaʻo inā pehu lākou.

ʻIke ʻia ka maʻi ma hope o ka biopsy o nā mea i manaʻo ʻia, he biopsy lymph node.

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• Nānā ke koko e nānā i nā pae protein, ka hana ate, ka hana a ka hakuʻala, a me ka pae uric acid
• Helu piha koko (CBC)
• CT scan o ka umauma, ʻōpū a me ka pelvis
• Biopsy iwi ʻōiwi
• Scanner PET

Inā hōʻike nā hōʻike iā ʻoe he NHL, e hana ʻia nā hōʻike hou aku e ʻike i ka lōʻihi o kona laha ʻana. Kāhea ʻia kēia. Kōkua ke kau ʻana i ke alakaʻi ʻana i ka mālama e hiki mai ana a me ka ukali.

Ma muli o ka mālama ʻana:

• Ke ʻano kikoʻī o ka NHL
• ʻO ke kahua ke ʻike mua ʻia ʻoe
• ʻO kou mau makahiki a me kou olakino holoʻokoʻa
• Nā ʻōuli, e like me ke kaupaona ʻana, ke kuni, a me ka hou o ka pō

Loaʻa paha iā ʻoe ka chemotherapy, radiation radiation, a i ʻole ʻelua paha. A i ʻole ʻaʻole pono ʻoe e lapaʻau koke. Hiki i kāu mea hoʻolako ke haʻi hou aku iā ʻoe e pili ana i kāu lapaʻau pilikino.

Hiki ke hoʻohana ʻia ʻo Radioimmunotherapy i kekahi mau hihia. Hoʻopili kēia i ka hoʻopili ʻana i kahi mea radioactive i kahi antibody e kuhikuhi i nā hunaola maʻi ʻaʻai a me ka hoʻokomo ʻana i ka mea i loko o ke kino.

Hiki ke hoʻāʻo ʻia kahi ʻano chemotherapy i kapa ʻia ʻo terapy therapy.Hoʻohana ia i kahi lāʻau e nānā i nā pahuhopu kikoʻī (nā mole) i a i ʻole nā ​​hunaola maʻi ʻaʻai. Ke hoʻohana nei i kēia mau pahuhopu, hoʻopau ka lāʻau i nā hunaola maʻi ʻaʻai no laila ʻaʻole hiki iā lākou ke pālahalaha.

Hiki ke hāʻawi ʻia i ka chemotherapy lāʻau kiʻekiʻe ke hoʻi hou ʻo NHL a pane ʻole paha i ka hana mua i lawelawe ʻia. Hoʻopili ʻia kēia e kahi autologous stem cell transplant (e hoʻohana ana i kāu mau cell stem) e hoʻopakele i ka iwi iwi ma hope o ka chemotherapy kiʻekiʻe. Me kekahi mau ʻano NHL, hoʻohana ʻia kēia mau hana i ka kala mua ʻana e hoʻāʻo a loaʻa kahi lāʻau.

Koi ʻia ke kōpili a i ʻole ka platelet transfusions inā haʻahaʻa nā helu o ke koko.

Pono ʻoe a me kāu mea lawelawe e mālama i nā hopohopo ʻē aʻe i kāu mālama leukemia, e like me:

• Loaʻa ka chemotherapy ma ka home
• 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 kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

ʻAʻole hiki ke hoʻōla pinepine ʻia ka NHL papa haʻahaʻa e ka chemotherapy wale nō. Holomua mālie ka NHL papa haʻahaʻa a hala paha i mau makahiki ma mua o ka piʻi ʻana o ka maʻi a koi ʻia paha i ka lāʻau. Hoʻoholo pinepine ʻia ka pono no ka mālama ʻana e nā ʻōuli, pehea ka wikiwiki o ka maʻi e holo nei, a inā haʻahaʻa ka helu o ke koko.

Hiki i ka Chemotherapy ke hoʻōla i nā ʻano lymphomas kiʻekiʻe. Inā ʻaʻole pane ka maʻi ʻaʻai i ka chemotherapy, hiki i ka maʻi ke hana i ka make wikiwiki.

Hiki i ka NHL ponoʻī a me kāna mau hōʻailona ke alakaʻi i nā pilikia olakino. Pākuʻi ʻia kēia mau mea:

• ʻO ke anemia hemolytic autoimmune, kahi ʻano e luku ʻia nā hunaola ʻulaʻula e ka ʻōnaehana pale
• Maʻi kīnā
• Nā hopena o nā lāʻau chemotherapy

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 hoʻomohala ʻoe i nā ʻōuli o kēia maʻi.

Inā loaʻa iā NHL, kāhea i kāu mea hāʻawi inā ʻike ʻoe i ke kuni hoʻomau a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi.

Lymphoma - non-Hodgkin; Lymphocytic lymphoma; Lymphoma Histiocytic; Lymphoblastic lymphoma; Kanesa - non-Hodgkin lymphoma; NHL

• Hoʻoneʻe iwi iwi - hoʻokuʻu
• Chemotherapy - he aha e nīnau aku ai i kāu kauka
• ʻO ka radiation radiation - nā nīnau e nīnau ai i kāu kauka

• Lymphoma, maʻi hōʻino - CT scan
• Nā hanana ʻōnaehana pale ʻole

ʻO Abramson JS. Nā lymphomas non-Hodgkin. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 103.

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka lymphoma non-Hodgkin makua (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/lymphoma/hp/adult-nhl-treatment-pdq. Hoʻohou i Kepakemapa 18, 2019. Loaʻa iā Pepeluali 13, 2020.

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka lymphoma non-Hodgkin Childhood (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/lymphoma/hp/child-nhl-treatment-pdq. Hoʻohou i Pepeluali 5, 2020. Loaʻa iā Pepeluali 13, 2020.