Leukemia pūnana huluhulu

ʻO ka leukemia pūnana huluhulu (HCL) kahi maʻi ʻaʻai maʻamau o ke koko. Hoʻopili ia i nā hunaola B, kahi ʻano o ke koko keʻokeʻo (lymphocyte).

Hoʻokumu ʻia ʻo HCL e ka ulu pono ʻole o nā hunaola B. Nānā nā huluhulu i "huluhulu" ma lalo o ka microscope no ka mea he wānana maikaʻi kā lākou mai ko lākou ʻilikai.

Ke alakaʻi pinepine nei ʻo HCL i kahi helu haʻahaʻa o nā hunaola maʻamau.

ʻAʻole ʻike ʻia ke kumu o kēia maʻi. ʻO kekahi mau hoʻololi kūlohelohe (hoʻololi) i nā hunaola maʻi ʻaʻa ke kumu. Hoʻopili pinepine ia i nā kāne ma mua o nā wahine. ʻO ka makahiki maʻamau o ka ʻike he 55.

Pākuʻi ʻia paha nā ʻōuli o HCL i kekahi o kēia mau mea:

• Māʻeha a hoʻokahe wale paha
• ʻO ka sweating kaumaha (ʻoi loa i ka pō)
• Ka luhi a me ka nāwaliwali
• Manaʻo piha ma hope o ka ʻai ʻana i kahi mea liʻiliʻi wale nō
• Nā maʻi a me nā fiva hou
• Ka ʻeha a i ʻole piha i ka ʻōpū hema hema (spleen hoʻonui ʻia)
• Liʻiliʻi kelepaʻi
• Kaumaha emi

I ka wā o kahi hoʻokolohua kino, hiki i ka mea mālama olakino ke manaʻo i kahi maʻi pehu a i ʻole ke ake. Hiki ke hana ʻia kahi CT scan ʻokiʻoki a i ʻole ultrasound e loiloi i kēia pehu.

Hiki ke hana ʻia nā hoʻokolohua koko e:

• Helu piha ke koko (CBC) e nānā i nā pae haʻahaʻa o ke keʻokeʻo a me nā ʻulaʻula o ke koko, a me nā platelet.
• Nā hoʻokolohua koko a me kahi biopsy o ka iwi iwi e nānā ai i nā hunaola huluhulu.

ʻAʻole pono ka lapaʻau ʻana no nā pae mua o kēia maʻi. Pono paha kekahi poʻe i ka hoʻokaʻa koko i kekahi manawa.

Inā pono ka lapaʻau ma muli o ke kahena haʻahaʻa o ke koko, hiki ke hoʻohana ʻia i nā lāʻau chemotherapy.

I ka hapanui o nā hihia, hiki i ka chemotherapy ke hoʻokuʻu i nā hōʻailona no nā makahiki he nui. Ke hala nā hōʻailona a me nā hōʻailona, ​​ʻōlelo ʻia ʻoe i ke kala.

ʻO ka hemo ʻana o ka spleen hiki ke hoʻomaikaʻi i ka helu o ke koko, akā ʻaʻole hiki ke hoʻōla i ka maʻi. Hiki ke hoʻohana i nā lāʻau antibiotic e mālama i nā maʻi. Hiki i nā poʻe me ke koko haʻahaʻa ke loaʻa i nā mea ulu a, malia paha, transfusions.

Hiki i ka hapanui o ka poʻe me HCL ke ola i 10 mau makahiki a ʻoi paha ka lōʻihi ma hope o ka ʻike a me ka lāʻau.

ʻO nā helu haʻahaʻa o ke koko i hoʻokumu ʻia e ka leukemia huluhulu i hiki ke alakaʻi iā:

• Nā maʻi ʻino
• Ka luhi
• Kahe nui ke koko

Kāhea i kāu mea hāʻawi inā he kahe nui kou. Kāhea pū inā he hōʻailona kou o ka maʻi, e like me ke kuni hoʻomau, ka ʻū, a i ʻole ka manaʻo maʻi maʻamau.

ʻAʻohe ala i ʻike ʻia e pale aku ai i kēia maʻi.

Leukemic reticuloendotheliosis; HCL; Leukemia - keʻena huluhulu

• ʻIʻini iwi iwi
• Leukemia pūnana huluhulu - nānā microscopic
• ʻLepala hoʻonui

Pūnaewele ʻo National Cancer Institute. ʻO ka hoʻomaʻamaʻa olakino ka maʻi leukemia (PDQ).www.cancer.gov/types/leukemia/hp/hairy-cell-treatment-pdq. Hoʻohou i Malaki 23, 2018. Loaʻa iā Iulai 24, 2020.

ʻO Ravandi F. Leukemia pūnana huluhulu. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 78.