ʻO ka lymphoma mua o ka lolo

ʻO ka lymphoma mua o ka lolo ka maʻi ʻaʻai o nā hunaola keʻokeʻo e hoʻomaka i ka lolo.

ʻAʻole ʻike ʻia ke kumu o ka lymphoma lolo mua.

ʻO ka poʻe me ka ʻōnaehana pale nawaliwali e makaʻu nui no ka lymphoma mua o ka lolo. ʻO nā kumu maʻamau o kahi ʻōnaehana pale nāwaliwali e komo pū me ka maʻi HIV / AIDS a me ka loaʻa ʻana o kahi ʻōpala (ʻo ia hoʻi ka hoʻoliʻiliʻi puʻuwai).

Hiki ke hoʻopili ʻia ka lymphoma mua o ka lolo iā Epstein-Barr Virus (EBV), keu hoʻi i ka poʻe me HIV / AIDS. ʻO EBV ka maʻi hoʻomaʻamaʻa e kumu ai ka mononucleosis.

ʻOi aku ka maʻamau o ka lymphoma o ka lolo ma mua i nā makahiki 45 a 70 paha ka makahiki. Ke piʻi nei ka nui o ka lymphoma o ka lolo mua. ʻAneʻane 1,500 mau maʻi hou i ʻike ʻia me ka lymphoma o ka lolo mua i kēlā me kēia makahiki i United States.

Hiki i nā ʻōuli o ka lymphoma lolo mua ke komo i kekahi o kēia mau mea:

• Hoʻololi i ka ʻōlelo a i ʻole ka hihiʻo
• Huikau a hoʻoliʻiliʻi paha
• Ka hopu ʻana i nā maʻi
• Headaches, nausea, a i ʻole ka luaʻi
• Ke hilinaʻi nei i kekahi ʻaoʻao ke hele wāwae
• Nāwaliwali i nā lima a i ʻole ka nalo ʻana o ka hoʻohui ʻana
• Pōpō i ka wela, ke anuanu, a me ka ʻeha
• Hoʻololi ka pilikino
• Kaumaha emi

E hana ʻia paha kēia mau hoʻāʻo e kōkua ai i ke kuhi ʻana i ka lymphoma mua o ka lolo.

• ʻO Biopsy o ka lolo tumo
• ʻImi CT poʻo, scan PET a MRI paha
• Spinal tap (lumbar puncture)

Hoʻomaʻamaʻa pinepine ʻia ka lymphoma mua o ka lolo me corticosteroids. Hoʻohana ʻia kēia mau lāʻau e kāohi i ka pehu ʻana a hoʻomaikaʻi i nā ʻōuli. ʻO ka lapaʻau nui me ka chemotherapy.

Hiki i ka poʻe ʻōpio ke loaʻa i ka chemotherapy kiʻekiʻe, a ukali ʻia paha e kahi transplant cell autologous stem cell.

Hiki ke hana i ka radiation radiation o ka lolo holoʻokoʻa ma hope o ka chemotherapy.

ʻO ka hoʻoholomua ʻana i ka ʻōnaehana pale, e like me ka poʻe me ka maʻi HIV / AIDS, e hoʻāʻo ʻia nō hoʻi.

Pono ʻoe a me kāu mea mālama olakino e hoʻokele i nā hopohopo ʻē aʻe i kāu wā e mālama ai, 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
• ʻAi palekana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai

Me ka ʻole o ka mālama ʻana, ola ka poʻe me ka lymphoma o ka lolo mua ma lalo o 6 mau mahina. Ke mālama ʻia me chemotherapy, e kala ʻia ka hapalua o nā mea maʻi ma hope o 10 mau makahiki ma hope o ka ʻike ʻia. Hiki ke hoʻomaikaʻi ke ola me ka transplant cell autologous stem cell.

ʻO nā pilikia i hiki ke hoʻopili ʻia:

• Nā hopena ʻaoʻao Chemotherapy, me nā helu koko haʻahaʻa
• Nā hopena ʻaoʻao uila, me ka huikau, nā poʻo poʻo, nā pilikia o ka ʻōnaehana (neurologic), a me ka make ʻana o nā kiko
• Hoʻi (hoʻi hou) o ka lymphoma

Lymphoma lolo; Cerebral lymphoma; ʻO ka lymphoma mua o ka ʻōnaehana waena; PCNSL; Lymphoma - B-cell lymphoma, lolo

• Lolo
• MRI o ka lolo

Baehring JM, Hochberg FH. ʻO nā tumors ʻōnaehana mua i nā mākua. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 74.

ʻO Grommes C, DeAngelis LM. ʻO ka lymphoma CNS mua. ʻO J Clin Oncol. 2017; 35 (21): 2410-2418. PMID: 28640701 pubmed.ncbi.nlm.nih.gov/28640701/.

Pūnaewele ʻo National Cancer Institute. Lapaʻau CNS lymphoma lapaʻau (PDQ) - mana ʻoihana olakino. www.cancer.gov/cancertopics/pdq/treatment/primary-CNS-lymphoma/HealthProfessional. Hoʻohou ʻia Mei 24, 2019. Loaʻa ʻia ma Pepeluali 7, 2020.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā papa hana hoʻomaʻamaʻa NCCN i ka oncology (nā alakaʻi NCCN): nā ʻōkuhi ʻōnaehana waena. Mana 2.2020. www.nccn.org/professionals/physician_gls/pdf/cns.pdf. Hoʻohou ʻia ʻApelila 30, 2020. Loaʻa iā ʻAukake 3, 2020.