Nā koho koho Myeloid Leukemia Secondary Acute: He aha e nīnau ai i kāu kauka

Anter

• He aha kaʻu mau koho lapaʻau?
• He aha nā makaʻi kūpono?
• Pono wau i ka manaʻo ʻelua?
• He aha ke ʻano o ka ukali e pono ai?
• He aha ka manaʻo e hiki iaʻu ke kali?
• He aha kaʻu mau koho inā ʻaʻole holo ka lāʻau a hoʻi paha kaʻu AML?
• Lawe aku

ʻO ka leukemia myeloid ākea (AML) kahi maʻi ʻaʻai e hoʻopili i kou momona iwi. I ka AML, hoʻopuka ka iwi iwi i ke kino keokeo o ke keokeo, nā hunaola ʻulaʻula, a i ʻole nā ​​platelet. Pākuʻi nā hunaola keʻokeʻo i nā maʻi, lawe nā hunaola ʻulaʻula i ka oxygen ma loko o ke kino, a kōkua nā platelet i ke kōkuʻu koko.

ʻO AML kekona kahi ʻano subtype o kēia maʻi ʻaʻai e pili ana i ka poʻe:

• ʻo ia ka maʻi ʻaʻa pūpū o ka iwi i ka wā i hala
• ʻo wai ka mea i loaʻa ka chemotherapy a i ʻole ka radiation radiation no
  maʻi ʻaʻai ʻē aʻe
• nona nā maʻi koko i kapa ʻia myelodysplastic
  nā syndrome
• ka mea pilikia me ka iwi iwi o kēlā
  kumu e hana ia i nui ke koko ʻulaʻula, i ke koko keʻokeʻo, a i ʻole nā ​​platelet
  (myeloproliferative neoplasms)

Hiki i ka AML kiʻekiʻe ke paʻakikī e mālama, akā nui nā koho. Lawe i kēia mau nīnau i kāu kau e hiki mai ana me kāu kauka. E kūkākūkā i kāu mau koho āpau e ʻike pono i ka mea e manaʻo ai.

He aha kaʻu mau koho lapaʻau?

Hoʻomaʻamaʻa pinepine ka AML kiʻekiʻe me ka AML maʻamau. Inā ua ʻike ʻia ʻoe me AML ma mua, loaʻa hou iā ʻoe ka mālama like.

ʻO ke ala nui e mālama ai i ka AML lua me ka chemotherapy. Pepehi kēia mau lāʻau ikaika i nā hunaola maʻi ʻaʻai a i ʻole hoʻokū iā lākou mai ka hoʻokaʻawale ʻana. Hana lākou i ka maʻi ʻaʻai a puni kou kino.

Hoʻohana pinepine ʻia nā lāʻau Anthracycline e like me daunorubicin a i ʻole idarubicin no ka AML lua. E hoʻopili kāu mea olakino i nā lāʻau chemotherapy i loko o ke aa i kou lima, ma lalo o kou ʻili, a i ʻole i ka wai e hoʻopuni ana i kou iwi kuamoʻo. Hiki iā ʻoe ke lawe i kēia mau lāʻau i nā huaale.

ʻO kahi translog cell stem allogenic kahi lapaʻau mua ʻē aʻe, a ʻo ka mea e hiki ke hoʻōla i ka AML kiʻekiʻe. ʻO ka mea mua, e kiʻi ʻoe i nā koina kiʻekiʻe loa o ka chemotherapy e pepehi i nā keena maʻi ʻaʻai e hiki. Ma hope, e loaʻa ʻoe i kahi infusion o nā iwi momona o ka iwi olakino mai kahi mea hāʻawi maikaʻi e hoʻololi i nā hunaola āu i nalo.

He aha nā makaʻi kūpono?

Pepehi ʻo Chemotherapy i nā pūnaewele hoʻokaʻawale wikiwiki i kou kino. Ulu koke nā hunaola maʻiʻaʻai, akā pēlā nō nā hunaola lauoho, nā hunaola pale, a me nā ʻano ʻano ʻē aʻe o nā hunaola olakino. ʻO ka lilo ʻana o kēia mau hunaola ke alakaʻi i nā hopena ʻē aʻe e like me:

• poho lauoho
• ʻeha nā waha
• luhi
• nausea a me ka luaʻi
• poho ʻai
• pāhoehoe a i ʻole ka paʻa paʻa
• ʻoi aku nā maʻi ma mua o ka maʻamau
• ʻūpā a hoʻokahe paha

ʻO nā hopena ʻē aʻe āu e hilinaʻi ai i ka lāʻau chemotherapy āu e lawe ai, ka hopena, a me ka hopena o kou kino iā ia. E hala nā hopena ʻaoʻao ke pau kāu lapaʻau ʻana. E kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i nā hopena inā loaʻa iā ʻoe.

Hāʻawi kahi transplant cell stem i ka manawa kūpono loa e hoʻōla ai i ka AML kiʻekiʻe, akā hiki ke loaʻa nā hopena ʻino. ʻIke paha kou kino i nā pūnaewele o ka mea hāʻawi he haole a hoʻouka iā lākou. Kapa ʻia kēia ʻo ka maʻi graft-versus-host (GVHD).

Hiki i ka GVHD ke hōʻino i nā ʻāpana e like me kou ake a me nā akemāmā, a hana i nā hopena e like me:

• ʻeha ka ʻili
• nā pilikia hanu
• melemele o ka ʻili a keʻokeʻo o nā maka
  (jaundice)
• luhi

E hāʻawi aku kāu kauka iā ʻoe i ka lāʻau e kōkua ai i ka pale ʻana iā GVHD.

Pono wau i ka manaʻo ʻelua?

Nui nā ʻano subtypes like ʻole o kēia maʻi ʻaʻai, no laila he mea nui e loaʻa ka ʻike kūpono ma mua o kou hoʻomaka ʻana i ka lāʻau. Hiki i ke AML kiʻekiʻe kahi maʻi paʻakikī loa e mālama.

Kūlohelohe ka makemake i ka manaʻo lua. ʻAʻole pono e hōʻino ʻia kāu kauka inā noi ʻoe i hoʻokahi. Nui nā hoʻolālā ʻinikua e uku no ka manaʻo ʻelua. Ke koho ʻoe i kahi kauka e kiaʻi i kāu mālama, e ʻike pono he ʻike lākou i ka mālama ʻana i kāu ʻano maʻi ʻaʻai, a ʻoluʻolu ʻoe me lākou.

He aha ke ʻano o ka ukali e pono ai?

Hiki i ke AML kiʻekiʻe - a hoʻi pinepine - hoʻi ma hope o ka mālama ʻana. E ʻike ʻoe i kāu hui lapaʻau no nā kipa ukali maʻamau a me nā hoʻāʻo e hopu iā ia i ke kakahiaka inā hoʻi mai ia.

E hoʻomaopopo i kāu kauka e pili ana i nā hōʻailona hou āu i loaʻa ai.Hiki i kāu kauka ke kōkua iā ʻoe e mālama i nā hopena ʻaoʻao lōʻihi e loaʻa iā ʻoe ma hope o kāu lapaʻau.

He aha ka manaʻo e hiki iaʻu ke kali?

ʻAʻole pane ka AML kiʻekiʻe i ka lapaʻau a me ka AML mua. ʻOi aku ka paʻakikī e hoʻokō i ke kala ʻana, ʻo ia hoʻi ʻaʻohe hōʻike o ka maʻi ʻaʻai i kou kino. He mea maʻamau no ka maʻi ʻaʻai e hoʻi mai ma hope o ka lapaʻau ʻana. ʻO kou manawa kūpono loa e hele i ke kala ʻana me ka loaʻa ʻana o kahi transplant cell stem.

He aha kaʻu mau koho inā ʻaʻole holo ka lāʻau a hoʻi paha kaʻu AML?

Inā holo ʻole kāu lāʻau lapaʻau a hoʻi mai paha kou kanesa, hiki i kāu kauka ke hoʻomaka iā ʻoe ma ka lāʻau hou a i ʻole ka therapy. Ke aʻo mau nei nā mea noiʻi i nā hoʻomaʻamaʻa hou e hoʻomaikaʻi ai i ka nānā no ka AML lua. ʻOi aku ka maikaʻi o kekahi o kēia mau hoʻoponopono ma mua o nā mea i loaʻa i kēia manawa.

ʻO kahi ala e hoʻāʻo ai i kahi lāʻau hou ma mua o ka loaʻa i nā mea āpau e kākau inoa i ka hoʻokolokolo hoʻokolohua. E nīnau i kāu kauka inā loaʻa kahi haʻawina kūpono i kūpono no kāu ʻano AML.

Lawe aku

Hiki i ka AML lua ke lilo i mea paʻakikī e mālama ma mua o ka AML mua. Akā me nā transplants cell stem a me nā hana lapaʻau hou ma lalo o ka hoʻokolokolo ʻana, hiki nō ke hele i ke kala kala ʻana a noho i kēlā manawa lōʻihi.