Nā Hōʻailona Lymphoma
Anter
- Ka luhi
- Hoʻoulu ka pō, hōʻalili, a me ke kuni
- ʻO ka pohō kaumaha i wehewehe ʻole ʻia
- ʻEhu a me ka ʻili
- ʻEha o ka umauma a ʻeha hoʻi ma lalo
- Nā ʻano o ka lymphoma
- Kahi e loaʻa ai
- Nā ʻōuli i nā keiki
- Kānāwai
- Lapaʻau
- Outlook
- Q&A: Kāne vs. wahine
- Q:
- A:
Nā ʻōuli Lymphoma
Hiki i ka Lymphoma ke paʻakikī i ke diagnose i kona wā mua. ʻAʻohe paha a akahai paha nā ʻōuli o ke kakahiaka. ʻO nā ʻōuli o ka lymphoma kekahi nonspecific. Nānā ʻole ʻia a nānā ʻole ʻia paha nā ʻōuli maʻamau. Pākuʻi ʻia lākou:
- luhi
- puhū pō
- haʻalulu
- fiva
- lilo kaumaha maopopo ʻole
- ʻūlili
Ka luhi
ʻO ka luhi a me ka nele o ka ikaika a me ka hoihoi hiki ke lilo i mau hōʻailona o lymphoma.
Eia nō naʻe, hiki i ka luhi ke hōʻailona o ka lawa ʻole o ka hiamoe a me ka papaʻai maikaʻi ʻole. ʻO ka luhi paʻa mau kahi mea āu e kamaʻilio ai me kāu kauka. ʻOiai ʻaʻole ia ma muli o ka lymphoma, he hōʻailona paha ia o kekahi ʻano e pono ai ka lāʻau.
Ua manaʻo ʻia ʻaneʻane e ʻike ka luhi i nā poʻe āpau me ka maʻi ʻaʻai. Manaʻo ʻia ʻo ka hōʻailona maʻamau o ka lymphoma. Kaukaʻi ʻia i kēlā me kēia, hiki i ka luhi ke akahai a ʻino hoʻi.
Hoʻoulu ka pō, hōʻalili, a me ke kuni
ʻO ka fiva kahi pane kūlohelohe i kahi maʻi, akā he hōʻailona paha ia o ka lymphoma holomua. ʻO ka hapa nui o nā fiva e pili ana i ka lymphoma me ke kūlana haʻahaʻa. Hele pū lākou me ka haʻalulu.
Hiki paha i nā sweats i ka pō inā he kuni ʻoe ke hiamoe. ʻO nā sweats o ka pō nui e pili ana i ka lymphoma hiki ke hoʻāla iā ʻoe e ala i nā lau wai pulu. Hiki ke hoʻonui i ka hou nui i kekahi manawa i ke ao.
Pono ʻoe e haʻi i kāu kauka e pili ana i nā fiva i hōʻike ʻole ʻia e hele mai a hele no ʻelua pule, pinepine. Hiki iā lākou ke lilo i hōʻailona o lymphoma.
ʻO ka pohō kaumaha i wehewehe ʻole ʻia
ʻO ka lilo ʻana o ke kaupaona hiki ʻole ke wehewehe ʻia o 10 pākēneka a ʻoi paha o kou kaumaha o ke kino he hōʻailona paha ia o ka lymphoma. E like me nā ʻōuli lymphoma ʻē aʻe, hiki i kēia ke kumu o nā kūlana olakino ʻē aʻe.
Me ka lymphoma, hiki i nā hunaola maʻi ʻaʻai ke hoʻopau i nā mea hou aku o ka ikehu o kou kino ke hoʻāʻo nei kou kino e hakakā i kēia mau hunaola. Hiki i kēia ke alakaʻi i ka lilo koke o ke kaumaha, ʻoiai ʻoiai nui nā lymphomas i ulu pinepine.
Pono ʻoe e kūkā kamaʻilio me nā kauka e pili ana i ka pohō kaumaha a me ka manaʻo ʻole. Hiki iā ia ke hōʻailona o kahi pilikia olakino koʻikoʻi. Inā ʻoe e lilo i 5 pākēneka o kou kino kaumaha i ka mahina, a i ʻole 10 pākēneka i loko o ʻeono mau mahina, e hoʻoholo i ka manawa e ʻike ai i kāu kauka.
ʻEhu a me ka ʻili
Hiki i ka Lymphoma i kekahi manawa ke kumu i ka huehue huehue. ʻIke pinepine ʻia nā rashes i nā lymphomas o ka ʻili. ʻIke paha lākou he ʻulaʻula a ʻulaʻula paha.
Kū pinepine kēia mau rashes i nā pale o ka ʻili a hiki ke maʻalahi ʻia me nā ʻano ʻē aʻe e like me ka eczema. Hiki iā lākou ke pālahalaha ke holo ka lymphoma. Hiki i ka Lymphoma ke hana i nā puʻupuʻu a i ʻole nā nodule i loko o ka ʻili.
Ma kahi o ka hapakolu o ka poʻe me Hodgkin's lymphoma e ʻike ai i ka ʻūlū. Eia nō naʻe, he mea liʻiliʻi ia i nā mea me ka lymphoma non-Hodgkin. Hiki i ka aniani ke hana me ka ʻole o ka huhū.
Manaʻo ʻia ʻo nā kemika i kapa ʻia he cytokines, i hoʻokuʻu ʻia e hakakā i nā hunaola maʻi ʻaʻai, e kōkua i ka hana ʻana o ka ʻili i ka ʻili. Inā hoʻoholo ʻole kekahi hū ma kāna iho ma hope o ʻelua pule, pono ʻoe e ʻike i kāu kauka no ka loiloi hou aʻe.
ʻEha o ka umauma a ʻeha hoʻi ma lalo
ʻO ka thymus kahi mea liʻiliʻi, ʻelua lobed i hoʻonoho ʻia ma hope o kāu sternum a ma waena o nā māmā. ʻO kahi o kāu ʻōnaehana pale. ʻO ka manawa maʻamau, hoʻopili ka lymphoma i ka momona o ka thymus, hiki ke hōʻeha i ka umauma.
Kākaʻikahi ka hopena o ka lymphoma i nā lymph node ma ke kua i lalo. ʻO ka pehu ma laila e hoʻokau i ka ʻāʻī o nā kuamoʻo. Eia nō naʻe, nui aʻe nā kumu o ka ʻeha hope ma lalo o ka lymphoma.
Pono ʻoe e launa i kāu kauka e pili ana i nā ʻeha hoʻomau ma nā wahi āpau o kou kino.
Nā ʻano o ka lymphoma
Hāʻule nā subtypes o ka lymphoma i nā mahele nui ʻelua: Hodgkin's lymphoma a me non-Hodgkin's lymphoma (NHL). ʻO nā ʻokoʻa i nā ʻāpana ʻelua pehea ka hoʻomohala ʻana o nā maʻi ʻaʻai, hohola, a mālama ʻia.
ʻOi aku ka maʻamau o ka NHL a lilo i 4 pākēneka o nā maʻi ʻaʻai āpau ma United States.
Hoʻopili pololei ʻo Lymphoma i ka ʻōnaehana lymphatic, kahi e hoʻopili ai i nā ʻāpana o ke kino. Hiki iā ia ke hoʻololi i nā ʻāpana like ʻole o ke kino i loaʻa ka pūnana lymph, e like me ka:
- nā puka lymph a me nā moku lymph
- ʻili
- ʻāpala
- kāuaka
- tonsons
- ʻōpū
- kolonā
- ʻōpū liʻiliʻi
- ʻōiwi iwi
- ʻūhā
- adenoids
Kahi e loaʻa ai
ʻO ka hōʻailona ʻike mua ʻia o ka hiki i ka lymphoma pinepine kahi lymph node hoʻonui ʻia. Hiki palupalu a ʻehaʻeha paha nā lymph nodes ke hoʻopili. Eia naʻe, ʻaʻohe ʻeha nā poʻe he nui. Hiki i nā NHL ke kumu i ka pehu ʻole ʻole.
Hoʻolahalaha nui ʻia nā lymph node ma ke kino holoʻokoʻa. Hohonu kekahi, ʻo kekahi kokoke i ka papa. ʻO nā pehu ma nā wahi ʻoi aku ka nui ke ʻike ʻia. Hoʻopili kēia i nā lymph node i ka lima, ka ʻāʻī, a me ke ʻūlū.
ʻAʻole hōʻike kahi lump ma kekahi o kēia mau pūnaewele i ka lymphoma. ʻOi aku ka hopena o nā lymph node pehu i ka maʻi ma mua o ka maʻi ʻaʻai.
ʻO kahi laʻana, hoʻopili pinepine ka pehu ʻana i nā lymph nodes o ka ʻāʻī i nā maʻi puʻu. ʻO Lymphocytes, a i ʻole nā aʻa koko keʻokeʻo, e hoʻopiha i nā pona i ka wā o ka maʻi.
ʻO nā pehu i nā piko o nā ʻelima a i ʻole ka ʻōpū e pono e nānā koke. ʻAʻole pili iki lākou i nā maʻi kūlohelohe.
Nā ʻōuli i nā keiki
Hiki ke nānā ʻokoʻa ka Lymphoma i nā keiki ma mua o ka poʻe mākua. E loli paha nā ʻōuli ma muli o kahi o ka lymphoma i loko o ke kino.
Hiki i kekahi o nā ʻōuli maʻamau o ka lymphoma i nā mākua ke hoʻopili pū i nā keiki. Pākuʻi ʻia kēia mau mea:
- hoʻonui ʻia a pehu paha i nā lymph node, ʻeha a ʻeha paha
- fiva
- Kaumaha emi
- puhū pō
- luhi
Eia nō naʻe, loaʻa i nā keiki nā ʻōuli ʻē aʻe. ʻO nā ʻōuli maʻamau o nā keiki me ka lymphoma:
- he ʻōpū pehu
- abdominal eha
- piha ka manaʻo ma hope o ka ʻai ʻana i ka liʻiliʻi
- he puʻu a he hanu paha
Inā loaʻa i kāu keiki nā maʻi pinepine a i ʻole kekahi o kēia mau ʻōuli, e ʻike i kāu kauka no kahi hoʻokolokolo.
ʻOiai ka hapanui o kēia mau hōʻailona i ka hopena o nā maʻi ʻē aʻe a me nā kūlana, he mea nui nō naʻe e nānā i kāu keiki.
Kānāwai
Inā ʻoe e ʻike nei i nā ʻōuli e like me ka lymphoma, e holo kāu kauka i nā hoʻokolohua e hoʻoholo ai i ke kumu kumu. Inā loaʻa iā ʻoe ka lymphoma, e hōʻoia kāu kauka i ke ʻano a laila hoʻoholo i kona holomua.
Hiki paha iā lākou ke holo i nā hoʻokolohua koko mua e nānā no nā mea kūpono ʻole, e like me ka helu ʻulaʻula a me ke keʻokeʻo o ke koko keʻokeʻo. Inā ua hoʻonui ʻoe i nā pūnana lymph, e lawe pū paha lākou i kahi mea kikoʻi a i ʻole biopsy mai ka lymph node e nānā ai i nā hunaola maʻi ʻaʻai.
Inā kuhi kāu kauka ua pālahalaha ka lymphoma a i ʻole aia paha i loko o kou iwi iwi, kauoha paha lākou i kahi biopsy iwi pūpū. Hana ʻia kēia hana ma lalo o ka anesthesia kūloko. Lawe ʻia ka iwi iwi mai loko mai o ka iwi e kahi nila kuha.
Hiki paha i kāu kauka ke hoʻohana i nā hōʻike aʻe e kiʻi i kahi ʻike kūloko o kou umauma, ʻōpū, a pelvis. Pākuʻi ʻia kēia mau mea:
- ultrasound
- CT scan
- Scanner PET
- MRI
E kōkua kēia mau hoʻokolohua i kāu kauka e nānā no nā lymph node a me nā puʻupuʻu maʻamau a ʻae iā lākou e loiloi i ke ʻano o nā ʻokena a me nā ʻaʻa.
Lapaʻau
E hilinaʻi ka lāʻau Lymphoma i ke ʻano o ka lymphoma i loaʻa iā ʻoe, ma hea ia e noho ai, a pehea kona holomua.
Hoʻohana pinepine ʻia ʻo Chemotherapy, immunotherapy, a me radiation e mālama i nā ʻano lymphoma he nui. Kuhi kēia mau ʻano hana āpau i ka luku ʻana i nā hunaola maʻi ʻaʻai a hoʻēmi i ka nui o nā tumors.
I kekahi manawa, hoʻohana ʻia paha kahi hoʻoneʻe iwi o ka iwi i mea e pani ai i ka iwi iwi o ka maʻi i hiki i ke kino ke hana i nā hunaola olakino e pono ai.
I nā hihia maʻamau, hiki i kāu kauka ke koi i ke ʻoki. ʻOi aku ka maʻamau o ke kaha inā ʻaʻole pālahalaha ka lymphoma a hoʻomaka i nā ʻāpana o ke kino e like me ka palapū, ʻōpū, a me ka thyroid.
Outlook
Kaukaʻi ʻia kāu nānā i ke ʻano o ka lymphoma āu a pehea ka holomua i ka manawa o ke kuhi. ʻO nā kumu ʻē aʻe, e like me ka makahiki, hāʻawi i ka nānā pū kekahi. ʻO ka poʻe ma lalo o 60 mau makahiki i loaʻa ka nui o nā helu ola, no ka laʻana.
ʻO ka helu ola 5 mau makahiki no NHL he 71 pakeneka. Eia nō naʻe, pili ka nui i kāu olakino holoʻokoʻa, ke ʻano a me ke kahua o ka maʻi ʻaʻai, a me kāu pane i ka lāʻau.
Q&A: Kāne vs. wahine
Q:
ʻOkoʻa ka lymphoma ma waena o nā kāne a me nā wahine?
A:
ʻO ka NHL, ka hoʻokaʻina maʻamau o ka lymphoma, ʻoi aku ka maʻamau o nā kāne, akā ʻoi aku ka maikaʻi o ka wahine.
ʻO nā ʻōuli maʻamau e like me ka luhi, ka sweats o ka pō, a me nā lymph node nui e like me nā kāne a me nā wahine. Ma waho o ka ʻōnaehana lymph, ka gastrointestinal tract, ke poʻo a me ka ʻāʻī, a me ka ʻili nā wahi maʻamau no nā kāne ʻelua. Eia nō naʻe, ʻoi aku ka nui o nā lymphomas e pili ana i ka umauma, thyroid, a me nā ʻōnaehana hanu i nā wahine. ʻO ka Lymphoma o ka umauma i nā wahine a me ka lymphoma o nā hōʻike ma nā kāne he mea nui loa ia a no 1-2% wale nō o nā hihia āpau o NHL.
Ke hiki mai i ka mālama ʻana i ka lymphoma, ua ʻoi aku ka maikaʻi o ka hopena o nā wahine ma mua o nā kāne. I ka ʻoiaʻiʻo, me ka ʻokoʻa o ka maʻi ʻaʻai o ka maʻi ʻai, hana ʻoi aku ka maikaʻi o nā wahine e pili ana i ka mālama ʻana a me ke ola ʻana o nā maʻi ʻino āpau. Heʻoiaʻiʻo loa kēia i nā wahine ma lalo o 55 mau makahiki. ʻAʻole maopopo ka ʻokoʻa o ka nānā ma waena o nā wahine a me nā kāne me ka maʻi ʻaʻai, me ka lymphoma. ma kēia kumuhana.
ʻO Judith Marcin, MDAnswers e hōʻike i nā manaʻo o kā mākou loea loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.