ʻO ka maʻi ʻo Waldenstrom

Anter

• He aha nā hōʻailona o ka maʻi ʻo Waldenstrom?
• He aha nā kumu o ka maʻi ʻo Waldenstrom?
• Pehea e kuhikuhi ʻia ai ka maʻi ʻo Waldenstrom?
• Pehea e mālama ʻia ai ka maʻi ʻo Waldenstrom?
• ʻO Chemotherapy
• Plasmapheresis
• ʻO Biotherapy
• ʻOki kino
• Nā Hoʻokolohua Lapaʻau
• He aha ka hiʻohiʻona lōʻihi?

He aha ka maʻi ʻo Waldenstrom?

Hoʻopuka kāu ʻōnaehana pale i nā hunaola e pale i kou kino i ka maʻi. ʻO kekahi o nā pūnaewele ʻo ia ka B lymphocyte, kahi i ʻike ʻia ma ke ʻano he B cell. Hana ʻia nā hunaola B i loko o ka iwi iwi. Hele lākou a oʻo i kou mau lymph node a me ka spleen. Hiki iā lākou ke lilo i mau hunaola plasma, nā kuleana e hoʻokuʻu i kahi antibody i kapa ʻia immunoglobulin M, a i ʻole IgM. Hoʻohana ʻia nā Antibodies e kou kino e hoʻouka kaua aku i nā maʻi.

I nā hihia maʻamau, hoʻomaka paha kou kino e hana IgM nui loa. Ke kū kēia, e mānoanoa kou koko. Ua ʻike ʻia kēia ma ke ʻano he hyperviscosity, a he mea paʻakikī ia no ka hana pono ʻana o nā mea āpau a me nā kino iā ʻoe. ʻO kēia kūlana a kou kino e hana nui ai i ka IgM ʻike ʻia ʻo Waldenstrom's disease. ʻO ka ʻenehana kekahi ʻano o ka maʻi ʻaʻai.

ʻO ka maʻi o Waldenstrom kahi maʻi ʻaʻai liʻiliʻi. Ua hōʻike ka American Cancer Society (ACS) aia ma kahi o 1,100 a 1,500 mau hihia o ka maʻi o Waldenstrom i ʻike ʻia i kēlā me kēia makahiki i United States. ʻO ka maʻi he lymphoma non-Hodgkin e ulu mālie. ʻO ka maʻi ʻo Waldenstrom ʻike ʻia ʻo:

• Walcrenstrom's macroglobulinemia
• lymphoplasmacytic lymphoma
• macroglobulinemia kumu

He aha nā hōʻailona o ka maʻi ʻo Waldenstrom?

E loli nā ʻōuli o ka maʻi o Waldenstrom ma muli o ka paʻakikī o kou maʻi. I kekahi mau hanana, ʻaʻohe ʻōuli o ka poʻe me kēia ʻano. ʻO nā ʻōuli maʻamau o kēia maʻi ʻo:

• nāwaliwali
• luhi
• e kahe ana ke kahe mai ka gum a ihu paha
• Kaumaha emi
• ʻōpala
• lesion ʻili
• ʻiliʻiliʻili
• ʻōpū pehu

Inā piʻi kiʻekiʻe ka nui o IgM i kou kino, ʻike paha ʻoe i nā hōʻailona hou aʻe. Kū pinepine kēia mau ʻōuli ma ke ʻano he hopena o hyperviscosity a hoʻopili pū ʻia:

• hoʻololi i ka hihiʻo, e like me ka ʻike maka a me ka nalo ʻana o ka hihi
• ʻeha poʻo
• dizziness a i ʻole vertigo
• nā hoʻololi i ke kūlana noʻonoʻo

He aha nā kumu o ka maʻi ʻo Waldenstrom?

Hoʻoulu ka maʻi o Waldenstrom ke hoʻonui nui kou kino i nā Anthem IgM. ʻAʻole ʻike ʻia ke kumu o kēia maʻi.

ʻOi aku ka maʻi maʻamau i waena o ka poʻe i loaʻa nā lālā ʻohana me ka maʻi. Hōʻike kēia he hoʻoilina paha ia.

Pehea e kuhikuhi ʻia ai ka maʻi ʻo Waldenstrom?

E hōʻoia i kēia maʻi, e hoʻomaka kāu kauka ma ka hana ʻana i kahi hoʻokolohua kino a nīnau iā ʻoe e pili ana i kāu moʻaukala olakino. Hiki i kāu kauka ke nānā no ka pehu ʻana i kou palapū, ke ake, a i ʻole nā ​​lymph node i ka wā o ka hoʻokolokolo.

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi o Waldenstrom, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aku e hōʻoia i kāu hōʻoia. Pili pū paha kēia mau hoʻāʻo:

• nā ho'āʻo koko e hoʻoholo i kāu pae o IgM a e loiloi i ka mānoanoa o kou koko
• he biopsy iwi pū iwi
• Nānā CT i nā iwi a i ʻole nā ​​mea palupalu
• X-kukuna o nā iwi a palupalu paha

Hoʻohana ʻia ka CT scan a me ka X-ray o nā iwi a me nā iwi palupalu e hoʻokaʻawale i waena o ka maʻi o Waldenstrom a me kekahi ʻano maʻi ʻaʻai i kapa ʻia he myeloma he nui.

Pehea e mālama ʻia ai ka maʻi ʻo Waldenstrom?

ʻAʻohe mea ola no ka maʻi o Waldenstrom. Eia nō naʻe, hiki ke lilo i ka lāʻau no ke kaohi ʻana i kāu mau ʻōuli. ʻO ka mālama ʻana no ka maʻi o Waldenstrom e kaukaʻi ʻia i ke koʻikoʻi o kāu mau ʻōuli. Inā loaʻa iā ʻoe ka maʻi o Waldenstrom me ka ʻole o nā hōʻailona o ka maʻi, ʻaʻole paha e koi aku kāu kauka i kekahi ʻano lapaʻau. ʻAʻole paha ʻoe e koi i ka lāʻau lapaʻau a hiki i kou hoʻomohala ʻana i nā ʻōuli. He mau makahiki paha kēia.

Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi, aia kekahi mau ʻano lapaʻau ʻē aʻe e ʻōlelo ai ke kauka. Pākuʻi ʻia kēia mau mea:

ʻO Chemotherapy

ʻO Chemotherapy kahi lāʻau e luku i nā hunaola i ke kino e ulu koke. Hiki iā ʻoe ke loaʻa i kēia lapaʻau ma ke ʻano he pill a i ʻole intravenously, ʻo ia hoʻi ma o kou mau uaua. Hoʻokumu ʻia ʻo Chemotherapy no ka maʻi o Waldenstrom e hoʻouka i nā hunaola ʻino e hana ana i ka IgM nui loa.

Plasmapheresis

ʻO Plasmapheresis, a i ʻole pānaʻi plasma, kahi hana e lawe ʻia ai nā proteins ʻoi loa i kapa ʻia ʻo IgM immunoglobulins i ka plasma mai ke koko e kahi mīkini, a hui pū ʻia ka plasma i koe me ka donor plasma a hoʻihoʻi ʻia i ke kino.

ʻO Biotherapy

Hoʻohana ʻia ka Biotherapy, a i ʻole ka biotherapy therapy e hoʻonui ai i ka hiki i ka ʻōnaehana pale pale kaua i ke kanesa. Hiki ke hoʻohana ʻia me chemotherapy.

ʻOki kino

Hiki paha i kāu kauka ke ʻōlelo aku i ke ʻoki e hemo i ka māpala. Kapa ʻia kēia he splenectomy. Hiki i ka poʻe i loaʻa kēia kaʻina hana ke hōʻemi a hōʻoki paha i kā lākou mau hōʻailona no nā makahiki he nui. Eia nō naʻe, hoʻi pinepine nā ʻōuli o ka maʻi i ka poʻe i loaʻa i ka splenectomy.

Nā Hoʻokolohua Lapaʻau

Ma hope o kāu hōʻoia ʻana, pono ʻoe e nīnau i kāu kauka e pili ana i nā hoʻokolohua hoʻokolohua no nā lāʻau hou a me nā kaʻina hana e mālama ai i ka maʻi o Waldenstrom. Hoʻohana pinepine ʻia nā hoʻokolohua hoʻokolohua e hoʻāʻo i nā mālama hou ʻana a i ʻole e nānā i nā ala hou e hoʻohana ai i nā mālama ʻana. Ke kākoʻo nei paha ka National Cancer Institute i nā hoʻokolohua hoʻokolohua e hāʻawi iā ʻoe i nā hoʻoponopono ʻē aʻe e hakakā i ka maʻi.

He aha ka hiʻohiʻona lōʻihi?

Inā ʻike ʻia ʻoe me ka maʻi o Waldenstrom, e kau ka maka i ka holomua o kāu maʻi. Ke holo nei ka maʻi i nā helu ʻokoʻa ma muli o ke kanaka. ʻO ka poʻe i lohi i ka holomua o ka maʻi e ʻoi aku ka lōʻihi o ke ola manawa ke hoʻohālikelike ʻia me ka poʻe e holo wikiwiki ana ka maʻi. Wahi a kahi ʻatikala ma, hiki ke ʻokoʻa ka nānā ʻana no ka maʻi o Waldenstrom. Kahi awawa ola mai 5 a aneane 11 mau makahiki ma hope o ke kuhi.