He aha ka maʻi ʻaʻai Bone?
Anter
- Hōʻike Overview
- Nā ʻano o ka maʻi ʻaʻai pū iwi
- Myeloma lehulehu
- Leukemia
- Lymphoma
- Nā ʻōuli o ka maʻi ʻaʻa pū iwi
- Nā kumu o ka maʻi ʻaʻa pū iwi
- Ke hōʻike nei i ka maʻi ʻaʻai pūpū
- ʻO ka mālama ʻana no ka maʻi ʻaʻai pū iwi
- Outlook no ka maʻi ʻaʻai pū iwi
- Nānā maʻamau no ka myeloma maha
- ʻO ka nānā ākea no ka leukemia
- ʻO ka nānā ākea no ka lymphoma
- ʻO ka lawe lawe ʻana
Hōʻike Overview
ʻO ka momona ka ʻōpala-like i loko o kou mau iwi. Aia i loko o ka momona ka nui o nā hunaula, i hiki ke hoʻomohala i nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a me nā platelet.
Hana ka maʻi 'aʻai iwi i ka wā e hoʻomaka ai ke ulu maʻamau o nā hunaola i ka momona. Kāhea ʻia ka maʻi ʻaʻa e hoʻomaka i ka momona o ka iwi i ka maʻi ʻaʻa iwi a i ʻole ke kanesa maʻi koko, ʻaʻole ka maʻi ʻaʻa iwi.
Hiki ke pālahalaha aʻe i nā ʻano maʻi ʻaʻai ʻē aʻe i kou mau iwi a me ka iwi iwi, akā ʻaʻole lākou ka maʻi ʻaʻa pū iwi.
E hoʻomau i ka heluhelu ʻana e aʻo ai e pili ana i nā ʻano ʻano like ʻole o ka maʻi ʻaʻai iwi, pehea e ʻike ʻia ai, a me ka mea āu e manaʻo ai.
Nā ʻano o ka maʻi ʻaʻai pū iwi
Myeloma lehulehu
ʻO ka ʻano maʻamau o ka maʻi ʻaʻai iwi ʻo ka myeloma maha. Hoʻomaka ia i nā hunaola plasma. He mau keʻokeʻo koko keʻokeʻo kēia e hana i nā mea pale e pale ai i kou kino mai nā mea komo hewa haole.
Kū nā tumors ke hoʻomaka kou kino e hana i nā hunaola plasma he nui loa. Hiki i kēia ke alakaʻi i ka nalo ʻana o ka iwi a me ka hōʻemi ʻia o ka hiki ke kaua i nā maʻi.
Leukemia
Pili pinepine ka leukemia i nā hunaola keokeo.
Hana ke kino i nā hunaola kūlohelohe e make ʻole e like me ka mea e pono ai. Ke ulu nei ko lākou helu, hoʻopili lākou i nā hunaola keokeo maʻamau, nā hunaola ʻulaʻula, a me nā platelet, keakea i ko lākou hiki ke hana.
ʻO ka leukemia ākea e pili ana i nā hunaola kō ʻole i kapa ʻia ʻo blasts, a hiki i nā ʻōuli ke holo wikiwiki. ʻO ka leukemia maʻi e pili ana i nā hunaola koko makua. Hiki ke maʻalahi nā hōʻailona ma ka mua, no laila ʻaʻole ʻoe e ʻike he mau makahiki kāu.
E aʻo hou aʻe e pili ana i nā ʻokoʻa ma waena o ka leukemia maʻi a koʻikoʻi.
Nui a hewahewa nā ʻano maʻi leukemia, e like me:
- leukemia lymphocytic mau, e pili ana i nā mākua
- leukemia lymphocytic huʻi, pili i nā keiki a me nā mākua
- leukemia myelogenous mau, e pili nui i nā mākua
- leukemia myelogenous koʻikoʻi, e pili ana i nā keiki a me nā mākua
Lymphoma
Hiki i ka Lymphoma ke hoʻomaka i nā lymph node a i ʻole ka iwi iwi.
Aia he ʻano nui ʻelua o ka lymphoma. ʻO kekahi o ka lymphoma o Hodgkin, i ʻike ʻia ʻo ka maʻi ʻo Hodgkin, e hoʻomaka nei i nā lymphocytes B kikoʻī. ʻO ka ʻano ʻē aʻe ka lymphoma non-Hodgkin, e hoʻomaka ana ma nā hunaola B a i ʻole T. Nui a hewahewa hoʻi nā subtypes.
Me ka lymphoma, ulu ka lymphocytes mai ka kaohi, e hana ana i nā tumors a paʻakikī i kāu ʻōnaehana pale e hana i kāna hana.
Nā ʻōuli o ka maʻi ʻaʻa pū iwi
Nā hōʻailona a me nā hōʻailona o myeloma maha komo pū paha:
- nāwaliwali a me ka luhi ma muli o ka lawa ʻole o nā hunaola ʻulaʻula (anemia)
- kahe a me ka ʻeha ma muli o nā platelet liʻiliʻi (thrombositopenia)
- nā maʻi ma muli o ka hemahema o nā keokeo keokeo maʻamau (leukopenia)
- make wai loa
- urination pinepine
- hoʻomake wai
- abdominal eha
- nalo ʻai ʻole
- hiamoe
- huikau ma muli o ke kiʻekiʻe o ka puna i loko o ke koko (hypercalcemia)
- ʻeha iwi a nāwi nāwaliwali paha
- hōʻino kīhāpai a i ʻole kōwi hakuʻala
- ʻo ka neuropathy ākea, a i ʻole ke kani ʻana, ma muli o ka ʻino o ke aʻalolo
Kekahi o nā hōʻailona a me nā ʻōuli o maʻi leukemia he:
- ke kuni a me ka haʻalulu
- nāwaliwali a luhi hoʻi
- nā maʻi pinepine a koʻikoʻi paha
- lilo kaumaha maopopo ʻole
- pehu lymph node
- hoʻonui ākea a i ʻole ʻūhā
- ʻūpī a hoʻokahe koko paha, me nā nosebleeds pinepine
- nā kiko ʻulaʻula liʻiliʻi ma ka ʻili (petechiae)
- sweating nui loa
- puhū pō
- ʻeha iwi
Kekahi o nā hōʻailona a me nā ʻōuli o lymphoma he:
- pehu i ka ʻāʻī, underarm, ka lima, ka wāwae, a i ʻole ke ʻū
- hoʻonui ʻia nā lymph node
- ʻeha nerve, numbness, tingling
- manaʻo o ka piha i loko o ka ʻōpū
- lilo kaumaha maopopo ʻole
- puhū pō
- ke kuni a me ka haʻalulu
- ikehu haʻahaʻa
- ʻeha ʻeha a i ʻole ʻaoʻao i lalo
- ʻākeʻakeʻa a ʻili ranei
Nā kumu o ka maʻi ʻaʻa pū iwi
ʻAʻole maopopo i ke kumu o ka maʻi ʻaʻa pū iwi. Hiki i nā mea hāʻawi ke hoʻopili i:
- ka hōʻike ʻana i nā kemika ʻino i nā mea hoʻoheheʻe, nā wahie, ka hoʻopau ʻana o ka ʻenekini, kekahi huahana hoʻomaʻemaʻe, a i ʻole nā huahana mahiʻai
- kū i ka pāhawewe atomic
- kekahi mau mea hoʻomaʻi, e like me HIV, hepatitis, kekahi retroviruses, a me kekahi virus herpes
- hoʻopau ʻia ka ʻōnaehana pale maʻi a i ʻole maʻi plasma
- nā maʻi kūlohelohe a i ʻole ka moʻolelo ʻohana o ka maʻi ʻaʻa pū iwi
- ka chemotherapy mua a i ʻole radiation radiation
- puhipaka
- momona
Ke hōʻike nei i ka maʻi ʻaʻai pūpū
Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ʻaʻa pū iwi, e nānā kāu kauka i kāu mōʻaukala olakino a hana i kahi hoʻokolokolo kino holoʻokoʻa.
Kaukaʻi ʻia i kēlā mau hopena a me kāu mau ʻōuli, pili paha i nā hoʻokolohua diagnostics:
- nā hoʻokolohua koko, e like me ka helu piha o ke koko, ka ʻike kemika, a me nā māka tumo
- nā mimi e nānā i nā pae protein a loiloi i nā hana o ka hakuʻala
- nā noiʻi kiʻi e like me MRI, CT, PET, a me X-ray e nānā i nā hōʻike o nā tumors
- ka biopsy o ka iwi iwi a i ʻole hoʻonui ʻia ka lymph node e nānā no ke alo o nā hunaola maʻi ʻo
Hiki i nā hopena o ke biopsy ke hōʻoia i kahi kuhi ʻōiwi iwi a hāʻawi i ka ʻike e pili ana i kahi ʻano maʻi ʻaʻai. Hiki i nā hoʻokolohua kiʻi ke kōkua i ka hoʻoholo ʻana i ka lōʻihi o ka laha ʻana o ka maʻi ʻaʻai a me nā mea i hoʻopili ʻia.
ʻO ka mālama ʻana no ka maʻi ʻaʻai pū iwi
E mālama ʻia ka mālama ʻana no ka maʻi ʻaʻai pū iwi a hoʻokumu ʻia i ka ʻano kikoʻī a me ke kahua o ka maʻi ʻaʻai ma ka hōʻoia ʻana, a me nā manaʻo olakino ʻē aʻe.
Hoʻohana ʻia nā ʻano mālama aʻe no ka maʻi ʻaʻai pū iwi.
- ʻO Chemotherapy. ʻO Chemotherapy kahi lapaʻau ʻōnaehana i hoʻolālā ʻia e ʻike a luku i nā hunaola maʻi ʻaʻai i loko o ke kino. E kauoha aku kāu kauka iā ʻoe i ka lāʻau a i ʻole ka hui pū ʻana o nā lāʻau i hoʻokumu ʻia i kāu ʻano maʻi ʻaʻai.
- Lapaʻau olaola. Hoʻohana kēia therapy i kāu ʻōnaehana pale pilikino e luku i nā hunaola maʻi ʻaʻai.
- ʻO nā lāʻau lapaʻau i hoʻomāka ʻia. Hoʻouka kēia mau lāʻau i kekahi ʻano kikoʻī o nā hunaola maʻi ʻaʻai i kahi kikoʻī. ʻAʻole like me ka chemotherapy, pale lākou i ka hōʻino ʻana i nā hunaola olakino.
- Lapaʻau hoʻomākala. Hāʻawi ka radiation radiation i nā kaola ikaika nui i kahi i hoʻolālā ʻia e pepehi i nā hunaola maʻi ʻaʻai, hoʻemi i ka nui o ka tumo, a hoʻomāmā i ka ʻeha.
- Transplant. Me kahi ʻōiwi ʻōiwi a i ʻole ke kuhi ʻana o ka iwi iwi, ua hoʻololi ʻia ka momona o ka iwi iwi me ka momona momona mai kahi mea hāʻawi. Hiki i kēia lāʻau ke komo i ka chemotherapy kiʻekiʻe a me ka radiation radiation.
Ke komo nei i ka hoʻokolohua hoʻokolohua he koho ʻē aʻe paha. ʻO nā hoʻokolohua hoʻokolohua nā papa hana noiʻi e hoʻāʻo i nā lāʻau hou ʻaʻole i ʻae ʻia no ka hoʻohana maʻamau. Loaʻa iā lākou nā kulekele kūpono kūpono. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ka ʻike ma nā hoʻāʻo i kūpono paha.
Outlook no ka maʻi ʻaʻai pū iwi
Hoʻohālikelike nā helu helu ola e pili ana i ke ola o ka poʻe me kahi maʻi ʻaʻai i ka poʻe i loaʻa ʻole i ka maʻi ʻaʻai. Ke nānā nei i nā helu ola, he mea nui e hoʻomanaʻo he ʻano like ʻole lākou mai kēlā me kēia kanaka.
Hōʻike kēia mau helu i ke ola o ka poʻe i ʻike ʻia i nā makahiki i hala. ʻOiai ke hoʻomaikaʻi wikiwiki nei ka hoʻomaʻamaʻa ʻana, hiki i nā helu ola ke ʻoi aku ka maikaʻi ma mua o ka hōʻike ʻana o kēia mau helu.
ʻO kekahi ʻano o ka maʻi ʻaʻa pū iwi ʻoi aku ka hakakā ma mua o nā poʻe ʻē aʻe. ʻO ka ʻōlelo maʻamau, ʻo ka mua e hopu ʻoe i ka maʻi ʻaʻai, ʻoi aku ka maikaʻi o kou manawa e ola ai. Pili ʻo Outlook i nā kumuhana kū hoʻokahi iā ʻoe, e like me kou olakino olakino, makahiki, a pehea kou pane ʻana i ka lāʻau.
Hiki i kāu kauka ke hāʻawi i ka ʻike hou aku i ka mea āu e manaʻo ai.
Nānā maʻamau no ka myeloma maha
ʻAʻole hiki ke hoʻōla maʻamau ka myeloma maha, akā hiki ke hoʻokele ʻia.
nhs.uk/conditions/multiple-myeloma/treatment/
Wahi a ka National Cancer Institute's Surveillance, Epidemiology, a me nā Hopena hopena (SEER) mai ka 2008 a hiki i ka 2014, nā helu ola ʻelima mau makahiki no ka nui myeloma:
seer.cancer.gov/statfacts/html/mulmy.html
| Anuʻu kūloko | 72.0% |
| Paʻa mamao (ua metastasized ka maʻi ʻaʻai) | 49.6% |
ʻO ka nānā ākea no ka leukemia
Hiki ke hoʻōla ʻia kekahi ʻano leukemia. ʻO kahi laʻana, aneane 90 pakeneka o nā keiki me ka leukemia lymphocytic huikau e hoʻōla ʻia.
my.clevelandclinic.org/health/diseases/4365-leukemia/outlook–prognosis
Wahi a ka ʻike SEER mai ka makahiki 2008 a hiki i ka 2014, ʻo ke ola he ʻelima mau makahiki e ola ai no ka leukemia he 61.4 pakeneka.
seer.cancer.gov/statfacts/html/leuks.html
ʻO ka nānā ākea no ka lymphoma
He mea hiki ke mālama ʻia ka lymphoma o Hodgkin. Ke loaʻa wawe, hiki i nā mākua a me nā kamaliʻi hoʻi o Hodgkin's lymphoma ke hoʻōla maʻamau.
Wahi a ka ʻike SEER mai 2008 a 2014, nā helu ola ʻelima mau makahiki e ola ai no ka lymphoma o Hodgkin:
seer.cancer.gov/statfacts/html/hodg.html
| Kahua 1 | 92.3% |
| Kahua 2 | 93.4% |
| Kahua 3 | 83.0% |
| Kahua 4 | 72.9% |
| Kahua ʻike ʻole ʻia | 82.7% |
Wahi a ka ʻike SEER mai 2008 a 2014, nā helu ola ʻelima mau makahiki e ola ai no ka lymphoma non-Hodgkin:
seer.cancer.gov/statfacts/html/nhl.html
| Kahua 1 | 81.8% |
| Kahua 2 | 75.3% |
| Kahua 3 | 69.1% |
| Kahua 4 | 61.7% |
| Kahua ʻike ʻole ʻia | 76.4% |
ʻO ka lawe lawe ʻana
Inā ua loaʻa iā ʻoe kahi hōʻailona maʻi ʻaʻai pū iwi, nui paha kāu mau nīnau e pili ana i ka mea e hana hou ai.
Eia kekahi mau mea e kūkākūkā me kāu kauka:
- ke ʻano kikoʻī a me ke kahua o ka maʻi ʻaʻai
- nā pahuhopu o kāu koho koho
- he aha nā hoʻokolohua e mālama ʻia e nānā i kāu holomua
- he aha kāu e hiki ai ke hana e hoʻokele i nā ʻōuli a loaʻa ke kākoʻo āu e makemake ai
- inā kūpono kahi hoʻokolohua hoʻokolohua nāu
- kau kou kuanaʻike e pili ana i kāu kuhi a me ke olakino holoʻokoʻa
E noi i ka wehewehe inā pono ʻoe. Aia kāu oncologist e kōkua iā ʻoe e hoʻomaopopo i kāu hōʻailona a me kāu mau koho lapaʻau āpau. E kōkua ka wehe ʻana i kāu kamaʻilio me kāu kauka iā ʻoe e hoʻoholo pono loa no kāu lapaʻau ʻana.
ʻO Ke Koho A Lunahoora
Nā Hana Hoʻomaha Cardiac
