He aha ka Follicular Lymphoma?

Anter

• Ka hanana
• Nā ʻōuli
• Kānāwai
• Lapaʻau
• Ke kali kiaʻi nei
• Pāhawewe
• ʻO Chemotherapy
• Nā monemona monoclonal
• ʻO Radioimmunotherapy
• Ke kuʻi ʻōnaʻi ʻōnaeho
• Nā pilikia
• Hoʻoiho
• Outlook

Hōʻike Overview

ʻO ka lymphoma Follicular kahi ʻano o ka maʻi ʻaʻai e hoʻomaka i nā hunaola keokeo o kou kino. Aia he ʻano nui ʻelua o ka lymphoma: Hodgkin a me non-Hodgkin. ʻO ka lymphoma Follicular kahi lymphoma non-Hodgkin.

Ke ulu mālie nei kēia ʻano lymphoma, ka mea a nā kauka i kapa aku ai he "molowa."

E heluhelu e aʻo hou e pili ana i nā ʻōuli o follicular lymphoma a me nā koho i hiki ke loaʻa.

Ka hanana

ʻO ka lymphoma non-Hodgkin kekahi o nā maʻi ʻaʻai maʻamau i ʻAmelika Hui Pū ʻIa. Ma mua o 72,000 ka poʻe i ʻike ʻia me kahi ʻano o kēlā me kēia makahiki.

Ma kahi o hoʻokahi o kēlā me kēia ʻelima mau lymphomas i ʻAmelika Hui Pū ʻIa kahi lymphoma follicular.

ʻAʻole paʻakikī ka lymphoma Follicular i ka poʻe ʻōpio. ʻO ka makahiki maʻamau no kekahi me kēia ʻano maʻi ʻaʻai e pili ana iā 60.

Nā ʻōuli

Pākuʻi ʻia paha nā ʻōuli o follicular lymphoma:

• hoʻonui i nā lymph node i ka ʻāʻī, underarms, ʻōpū, a i ʻole ʻūhā
• luhi
• pokole o ka hanu
• nā wela fiva a i ʻole ka hou pulu o ka pō
• Kaumaha emi
• nā maʻi maʻi

ʻO kekahi poʻe me ka lymphoma follicular ʻaʻohe o lākou hōʻailona iki.

Kānāwai

No ke kuhi ʻana i ka lymphoma follicular, hana paha kāu kauka i kēia mau hoʻokolohua:

• ʻO Biopsy. Hana ʻia kahi biopsy e nānā i nā kiko ma lalo o kahi microscope a hoʻoholo inā he maʻi ʻaʻai ia.
• Hōʻike koko. Pono paha ʻoe i kahi hoʻokolohua e nānā ai i ka helu ʻana o kou aʻa koko.
• Nānā kiʻi. E kuhi paha kāu kauka he scan imaging kāu e ʻike ai i ka lymphoma i kou kino a hoʻolālā i kāu lāʻau. Hoʻohana maʻamau ʻia ka tomography compute (CT) a me ka positron emission tomography (PET).

Lapaʻau

Loaʻa nā koho lapaʻau he nui no ka poʻe me ka lymphoma follicular. E hoʻoholo kāu kauka i ka mea kūpono no ʻoe e pili ana i kāu ʻano maʻi ʻaʻai a pehea kona holomua.

Ke kali kiaʻi nei

Inā ʻike koke ʻia ʻoe a he mau ʻōuli wale nō, e ʻōlelo paha kāu kauka e nānā ʻoe a kali. ʻO kēia ka mea e nānā pono ai kāu kauka olakino i kou ʻano, akā ʻaʻole ʻoe e loaʻa i kahi lāʻau.

Pāhawewe

Hoʻohana ka uila i nā kaola ikaika loa e luku i nā hunaola maʻi ʻaʻai. Hāʻawi pinepine ʻia i ka poʻe me ka lymphoma follicular pae mua. I kekahi mau hihia, hiki i ka radiation wale nō ke hōʻola i kēia ʻano maʻi ʻaʻai. Hiki paha iā ʻoe ke hoʻomālamalama me nā hoʻoponopono ʻē aʻe inā ʻoi aku ka maikaʻi o kāu maʻi ʻaʻai.

ʻO Chemotherapy

Hoʻohana ʻo Chemotherapy i nā lāʻau e pepehi i nā hunaola maʻi ʻaʻai i loko o kou kino. Hāʻawi ʻia i kekahi manawa i ka poʻe me ka lymphoma follicular, a hui pinepine ʻia me nā lāʻau ʻē aʻe.

Nā monemona monoclonal

ʻO nā lāʻau monoclonal nā lāʻau lapaʻau e kuhikuhi i nā māka kikoʻī ma nā tumors a kōkua i kāu mau pale pale pale kaua i ka maʻi ʻaʻai. ʻO Rituximab (Rituxan) kahi antibody monoclonal e hoʻohana mau ʻia e mālama ai i ka lymphoma follicular. Hāʻawi ʻia ia ma ke ʻano he infusion IV ma ke keʻena o kāu kauka a hoʻohana pinepine ʻia me ka chemotherapy.

ʻO nā hui like pū:

• r-bendamustine (rituximab and bendamustine)
• R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, a me prednisone)
• R-CVP (rituximab, cyclophosphamide, vincristine, a me prednisone)

ʻO Radioimmunotherapy

Pili ʻo Radioimmunotherapy i ka hoʻohana ʻana i ka lāʻau yttrium-90 ibritumomab tiuxetan (Zevalin) e hāʻawi i ka pāhawewe i nā hunaola maʻi ʻea.

Ke kuʻi ʻōnaʻi ʻōnaeho

Hoʻohana ʻia kahi transplant cell stem no ka lymphoma follicular, keu hoʻi inā hoʻi mai kou maʻi ʻaʻai. Hoʻopili kēia hana i ke kuhi ʻana i nā hunaola olakino i loko o kou kino e pani i ka iwi iwi maʻi.

Aia ʻelua ʻano o nā transplants cell stem:

• Ke kuʻi Autologous. Hoʻohana kēia kaʻina hana i kāu mau cell stem ponoʻī e mālama ai i kou maʻi ʻaʻai.
• Kukuna Allogeneic. Hoʻohana kēia kaʻina hana i nā hunaola ola olakino mai kahi mea hāʻawi.

Nā pilikia

Ke hele a loli ka ulu ʻana o ka lymphoma, e like me ka lymphoma follicular, i kahi ulu ulu wikiwiki, ʻike ʻia ʻo ia me ka lymphoma i loli. Hoʻololi pinepine ka lymphoma i hoʻololi ʻia a koi paha i kahi lāʻau ʻoi loa.

Hiki i kekahi mau lymphomas follicular ke lilo i ʻano ulu wikiwiki o ka lymphoma i kapa ʻia diffuse nui B-cell lymphoma.

Hoʻoiho

Ma hope o ke kūleʻa maikaʻi ʻana, nui nā poʻe me ka lymphoma follicular e hele i ke kala. ʻOiai ʻo kēia kala kala ʻana hiki ke hala i mau makahiki, manaʻo ʻia ʻo follicular lymphoma kahi ʻano o ke ola holoʻokoʻa.

Hiki i kēia kanesa ke hoʻi mai, a i kekahi manawa, ʻaʻole pane ka poʻe e hoʻi hou i ka lāʻau.

Outlook

Hoʻohana mau ʻia nā lāʻau no ka lymphoma follicular e mālama i ka maʻi ma mua o ka hoʻōla ʻana i ke ʻano. Hiki ke hoʻokele maikaʻi ʻia kēia maʻi ʻaʻai no nā makahiki he nui.

Ua hoʻomohala nā kauka i ka Follicular Lymphoma International Prognostic Index (FLIPI) e kōkua i ka hoʻolako ʻana i kahi wānana no kēia ʻano maʻi ʻaʻai. Kōkua kēia ʻōnaehana i ka hoʻokaʻawale ʻana i ka lymphoma follicular i ʻekolu mau ʻano:

• haʻahaʻa hoʻoweliweli
• pōpilikia waena
• pilikia nui

Hoʻomaulia ʻia kāu makaʻikaʻi e pili ana i kāu "prognostic factor," e hoʻopili ana i nā mea e like me ka makahiki, ke kahua o kou maʻi ʻaʻai, a ehia mau lymph node e hoʻopili ʻia.

ʻO ka helu ola ʻelima mau makahiki no ka poʻe me ka lymphoma follicular ʻoi aku ka liʻiliʻi (ʻaʻohe a i ʻole hoʻokahi wale nō prognostic factor) ma kahi o 91 pākēneka. No ka poʻe me ka pilikia waena (ʻelua mau hanana prognostic ʻilihune), he 78 pakeneka ka pae ola ʻelima mau makahiki. Inā pilikia nui ʻoe (ʻekolu a ʻoi aku paha o nā mea prognostic ʻilihune), ʻo ka helu pākēneka ola he ʻelima mau makahiki.

Hiki i nā helu ke ola ke hāʻawi i ka ʻike kūpono, akā he mau manaʻo wale nō ia a ʻaʻole hiki ke wānana i nā mea e hiki mai ana i kāu kūlana. E kamaʻilio me kāu kauka e pili ana i kāu kuana kikoʻī a me nā hoʻolālā e kūpono ai no kāu kūlana.