He aha ka Leukemia Lymphoblastic Akea? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka leukemia lymphoblastic akea (ALL) kahi ʻano o ka maʻi kanesa koko e ulu ana i ka wā e hana ai kou iwi ʻōiwi i nā keʻokeʻo koko he nui loa i kapa ʻia ʻo lymphoblasts. Hoʻopiʻi kēia mau pūnaewele ʻōpiopio i nā keʻokeʻo koko olakino a ʻaʻole hiki ke kaua i nā maʻi e like me kā lākou hana.

ʻOiai e neʻe koke ana ka ALL ma kou kino, ʻo ia kekahi o nā ʻano leukemia maʻalahi loa e mālama ʻia, ʻoiai ke hopu ʻia i ka wā mua. Hiki i ka hoʻomaopopo ʻana i nā mea e hana ana i kou kino ke kōkua iā ʻoe e ʻike ʻoi aku ka mākaukau a me ka hilinaʻi e pili ana i ke ala i mua.

He aha ka Leukemia Lymphoblastic Akea?

Hoʻomaka ka ALL i kou iwi ʻōiwi, ka ʻiʻo spongy i loko o kou mau iwi kahi i hana ʻia ai nā keʻokeʻo koko. E noʻonoʻo i kou iwi ʻōiwi e like me ka hale hana e hana maʻamau ana i nā ʻano like ʻole o nā keʻokeʻo koko olakino ma nā nui kūpono.

I ka ALL, ua hewa kekahi mea me nā ʻōlelo aʻo no ka hana ʻana i nā lymphocytes, kahi ʻano o nā keʻokeʻo koko. Ma kahi o ka hana ʻana i nā pūnaewele makua, e kaua ana i nā maʻi, hoʻomaka kou iwi ʻōiwi e hana i nā helu nui o nā lymphoblasts ʻōpiopio ʻaʻole hana pono.

Hoʻonui koke kēia mau pūnaewele kūpono ʻole a lawe i kahi e pono ai nā keʻokeʻo koko ʻulaʻula olakino, nā keʻokeʻo koko, a me nā platelets. ʻO kēia hopena hoʻopiʻi ka mea e hoʻokumu ai i nā hōʻailona he nui āu e ʻike ai.

ʻO ka huaʻōlelo

• Luhi mau a me ka nāwaliwali ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Nā maʻi pinepine e like me ke anu, ka ʻeha ʻāʻī, a i ʻole ka wela
• Hōʻino maʻalahi a i ʻole nā ​​kiko ʻulaʻula liʻiliʻi ma kou ʻili i kapa ʻia ʻo petechiae
• Ke kahe koko e lōʻihi ke kū ʻana, me ka ihu kahe a i ʻole nā ​​manawa nui
• ʻEha iwi a me nā hono, ʻoi aku hoʻi ma kou mau wāwae, lima, a i ʻole kua
• Nā lymph nodes pehu i kou ʻāʻī, nā ʻūhā, a i ʻole ka ʻūhā
• Nalo o ka makemake a me ka nalowale kaumaha i manaʻo ʻole ʻia
• Pōkole o ka hanu i ka wā o nā hana maʻamau

Loaʻa pū kekahi i kekahi poʻe nā hōʻailona maʻamau ʻole e hiki ke hopohopo. Hiki i kēia ke komo pū me nā poʻo ʻeha nui, ka huikau, a i ʻole ka pilikia e hoʻoikaika inā ua pālahalaha nā sela leukemia i kāu ʻōnaehana hoʻomaha kikowaena.

Hiki iā ʻoe ke ʻike i kou ʻōpū piha a i ʻole ka ʻoluʻolu ʻole ma muli o ka ʻōpū a i ʻole ke ate nui. Hoʻomohala kekahi poʻe i nā sweat i ka pō a i ʻole ka wela haʻahaʻa e hele mai ana a hele aku me ka kumu maopopo ʻole.

E hoʻomanaʻo he nui nā kumu like ʻole o kēia mau hōʻailona, ​​a ʻaʻole pono ia ke ʻano he leukemia kāu. Eia naʻe, inā ʻoe e ʻike ana i kekahi o kēia mau hōʻailona i hui pū ʻia, ʻoi aku hoʻi inā mau a ʻino paha lākou, pono ia e kūkākūkā me kāu kauka.

He aha nā ʻano o ka Acute Lymphocytic Leukemia?

Hoʻokaʻawale ʻia ʻo ALL i nā ʻano like ʻole ma muli o nā lymphocytes kikoʻī i hoʻopilikia ʻia a me kekahi mau ʻano o nā sela kanesa. E hoʻoholo kāu kauka i kāu ʻano kikoʻī ma o ka hoʻokolohua kikoʻī, kahi e kōkua ai i kāu hoʻolālā mālama.

Hoʻokaʻawale ka ʻōnaehana hoʻokaʻawale nui iā ALL i nā ʻano B-cell a me T-cell. ʻOi aku ka maʻamau o ka B-cell ALL, e pili ana i ka 85% o nā hihia i nā mākua a me kahi pakeneka kiʻekiʻe i nā keiki.

Hoʻomohala ʻia ka B-cell ALL i ka wā e lilo ai nā B-lymphocytes ʻōpio i kanesa. Hoʻomaʻamaʻa maʻamau kēia mau sela i nā sela plasma e hana i nā antibodies e hakakā i nā maʻi. I ka B-cell ALL, noho lākou i kahi kūlana ʻōpio a hoʻonui ʻia me ka manaʻo ʻole.

Hoʻopili ka T-cell ALL i nā T-lymphocytes, ka mea maʻamau e kōkua ana i ka hoʻonohonoho ʻana i kou pane pale kino a hoʻouka pololei i nā cell maʻi a i ʻole nā ​​cell hewa. ʻOi aku ka liʻiliʻi o kēia ʻano akā hiki ke ʻoi aku ka ikaika ma mua o ka B-cell ALL.

E ʻimi pū kāu hui lapaʻau i nā loli genetic kikoʻī a i ʻole nā ​​hewa chromosomal i loko o kāu mau cell leukemia. E kōkua kēia mau ʻike i ka hoʻoholo ʻana i kāu prognosis a me ke ala mālama maikaʻi loa no kāu kūlana kikoʻī.

He aha ka mea e hoʻoulu ai i ka Acute Lymphocytic Leukemia?

ʻAʻole maopopo loa ke kumu kūpono o ka ALL, akā e ulu ana ia i ka wā e loaʻa ai nā loli genetic i nā cell kumu lymphocyte i loko o kou iwi ʻōiwi. E hoʻoulu kēia mau loli i nā cell e ulu a hoʻokaʻawale me ka manaʻo ʻole ma mua o ka hoʻomohala ʻana i nā cell koko keʻokeʻo olakino a makua.

ʻIke ʻia ka hapa nui o nā hihia o ka ALL me ka ʻole o kahi mea hoʻoulu maopopo. ʻO nā loli genetic e alakaʻi ai i ka leukemia e hana pinepine ana i loko o ke ola o ke kanaka ma mua o ka hoʻoilina ʻia mai nā mākua.

Hiki i kekahi mau mea ke hoʻopili i kēia mau loli cellular, ʻoiai ʻo ka loaʻa ʻana o kēia mau mea ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka ALL:

• Ka mālama ʻana i ka maʻi kanesa ma mua me ka chemotherapy a i ʻole ka radiation therapy
• Ka hōʻike ʻia ʻana i nā kiʻekiʻe kiʻekiʻe o ka radiation
• Nā maʻi genetic e like me ka Down syndrome
• Kekahi mau maʻi hoʻoilina o ka ʻōnaehana pale kino
• Ka hōʻike ʻia ʻana i kekahi mau kemika, ʻoiai ʻaʻole i hōʻoia ʻia kēia pilina

He mea nui e hoʻomaopopo ʻaʻole hoʻoili ʻia ka ALL a ʻaʻole hiki ke hoʻolaha ʻia mai ke kanaka a i ke kanaka. ʻAʻole hiki iā ʻoe ke hopu mai i kekahi a hoʻoili paha i nā lālā ʻohana a i ʻole nā ​​hoaaloha.

I ka hapa nui o nā hihia, ʻaʻohe mea hiki iā ʻoe ke hana ʻokoʻa e pale aku ai i ka ulu ʻana o ka ALL. ʻO nā loli genetic e hoʻoulu ai i kēia maʻi kanesa e hana pinepine ana ma ka manawa ma mua o ka hopena o nā koho ola a i ʻole nā ​​hōʻike ʻana i ke kaiapuni.

I ka wā e ʻike ai i ke kauka no ka Acute Lymphocytic Leukemia?

E pono ʻoe ke hoʻokaʻaʻike aku i kāu kauka inā loaʻa iā ʻoe nā hōʻailona mau loa ʻaʻole i hoʻomaikaʻi a i ʻole e like me ka ʻoi aku ka ʻino ma mua o ka manawa. ʻOiai he nui nā kumu o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka nānā ʻana iā lākou ma mua o ka hope.

Hoʻonohonoho i kahi kūkākūkā i loko o kekahi mau lā inā ʻike ʻoe i nā hōʻailona ALL āpau i hui pū ʻia, e like me ka luhi mau i hui pū ʻia me nā maʻi pinepine, ka palupalu maʻalahi, a i ʻole ka ʻeha iwi wehe ʻole ʻia. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i ke kumu o kāu mau hōʻailona a inā pono ke hoʻokolohua hou aku.

E ʻimi koke i ka mālama lapaʻau inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e hōʻike ana i kahi pilikia lapaʻau. ʻO kēia mau kūlana wikiwiki e komo pū ana me ka wela kiʻekiʻe me ka ʻōhule, ka koko nui ʻaʻole e pau, ka pilikia o ka hanu, a i ʻole nā ​​hōʻailona o ka maʻi koʻikoʻi.

E ʻike pū ʻoe i kāu kauka koke inā ʻike ʻoe i nā loli koke i kou noʻonoʻo, e like me ka huikau nui, nā poʻo ʻeha mau, a i ʻole nā ​​loli ʻike. Hiki i kēia ke hōʻike i ka hoʻopili ʻana o nā cell leukemia i kāu ʻōnaehana hoʻomalu kikowaena.

Mai kali e ʻimi i ka mālama inā e hoʻopilikia nui kāu mau hōʻailona i kou ola i kēlā me kēia lā a i ʻole inā manaʻo ʻoe ʻaʻole kūpono kekahi mea i kou olakino. E hilinaʻi i kou mau manaʻo e pili ana i kou kino, a e hoʻomanaʻo ʻo ka ʻike mua ʻana a me ka mālama ʻana e alakaʻi pinepine i nā hopena maikaʻi aʻe.

He aha nā mea pilikia no ka Leukemia Lymphocytic Acute?

ʻO nā mea pilikia nā mea e hoʻonui paha i kou manawa e loaʻa ai ka ALL, akā ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i kēia maʻi kanesa. Nui nā kānaka me nā mea pilikia ʻaʻole loaʻa ka ALL, ʻoiai ke loaʻa i nā poʻe ʻē aʻe me nā mea pilikia ʻike ʻole ʻia.

ʻO ka makahiki kekahi o nā mea pilikia nui loa, ʻoiai ke hoʻopilikia ʻokoʻa ʻia ka ALL i nā kānaka ma nā hui makahiki. ʻOi aku ka maʻamau o ka maʻi i nā keiki liʻiliʻi, me ka nui o ka maʻi ma waena o nā makahiki 2 a me 5, a laila liʻiliʻi ka maʻamau ma o nā makahiki ʻōpio a me ka wā ʻōpio.

ʻO nā mea pilikia nui i ʻike ʻia e nā mea noiʻi e komo pū ana:

• He ʻōpio loa (ma lalo o 5 mau makahiki) a i ʻole kahiko loa (ma luna o 50 mau makahiki)
• He kāne, ʻoiai ʻoi aku ka nui iki o ka ALL i nā kāne ma mua o nā wāhine
• Ka mālama ʻana i ka maʻi kanesa ma mua me kekahi mau lāʻau chemotherapy a i ʻole ka radiation
• Nā maʻi kino e like me ka Down syndrome a i ʻole ka Li-Fraumeni syndrome
• Nā maʻi pale ʻea kūikawā i hoʻoilina ʻia
• Loaʻa kahi māhoe like i loaʻa ka ALL ma mua o 6 mau makahiki

ʻO kekahi mau kumu pilikia liʻiliʻi ʻē aʻe e komo pū ana ka hōʻike ʻia ʻana i nā kiʻekiʻe kiʻekiʻe o ka radiation, e like me nā pahū o ka pōkā atomika a i ʻole nā ​​uaki nuklea. Eia naʻe, ʻaʻole i ʻike ʻia ka pae o ka hōʻike ʻia ʻana o ka radiation mai nā hoʻokolohua lapaʻau e like me nā X-rays a i ʻole nā ​​CT scans e hoʻonui nui i ka pilikia ALL.

Hiki i kekahi mau maʻi viral ke pāʻani i kahi kuleana i kekahi mau hihia, ʻoiai nā maʻi me nā virus kūikawā e hoʻopilikia ana i ka ʻōnaehana pale. Eia naʻe, ʻaʻole i maopopo loa kēia pilina a ʻaʻole pili i nā maʻi viral maʻamau e like me nā anu a i ʻole ka maʻi flu.

He mea kūpono ke hoʻomaopopo ʻaʻole loaʻa i ka hapa nui o nā kānaka i loaʻa ka ALL kekahi mau kumu pilikia i ʻike ʻia. Hoʻomaka pinepine ka maʻi ma muli o nā loli genetic i hana ma ka manawa kūpono i ke ola o ke kanaka.

He aha nā pilikia hiki ke loaʻa i ka Acute Lymphocytic Leukemia?

Hiki i ka ALL ke alakaʻi i nā pilikia like ʻole no ka mea e hoʻopilikia ana nā cell ʻano ʻole i ka hiki o kou kino ke hana i nā cell koko olakino a hakakā i nā maʻi. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua iā ʻoe e ʻike i nā hōʻailona hoʻomaopopo a hana pū me kāu hui lapaʻau e pale a mālama paha iā lākou.

ʻO nā pilikia koke loa e kū mai ana mai ka loaʻa ʻana o nā cell koko olakino liʻiliʻi i kou ʻōnaehana. I ka wā i piha ai kou iwi kuamoʻo me nā cell leukemia, ʻaʻole hiki iā ia ke hana i nā cell koko maʻamau e pono ai e mālama i ka hana pono o kou kino.

ʻO nā pilikia maʻamau āu e ʻike ai e komo pū ana:

• Nā maʻi ʻino nui ma muli o ka emi ʻana o ka helu o nā keʻokeʻo koko
• Ke kahe koko nui a i ʻole ka ʻūlū maʻalahi mai ka emi ʻana o ka helu o nā platelets
• Anemia a me ka luhi nui mai ka emi ʻana o ka helu o nā ʻulaʻula koko
• Ka hōʻino ʻana o nā loko kino inā hōʻiliʻili nā sela leukemia i nā loko kino e like me ke akepaʻa a i ʻole ka spleen
• Ka komo ʻana o ka ʻōnaehana hoʻoikaika kikowaena e hoʻokumu ana i nā headaches, ka huikau, a i ʻole nā ​​seizures
• Nā pilikia hanu inā hōʻiliʻili nā sela leukemia i loko o nā māmā

Hoʻomohala kekahi poʻe i kahi kūlana i kapa ʻia ʻo ka tumor lysis syndrome, kahi e hōʻeha ai nā sela leukemia i ka wā o ka mālama ʻana. Hiki i kēia ke hoʻokumu i nā loli weliweli i ke kemika koko e pono ai ka mālama koke.

ʻAʻole pinepine, hiki i ka ALL ke hoʻokumu i nā pilikia e pili ana i ka nui loa o nā keʻokeʻo koko, kahi kūlana i kapa ʻia ʻo hyperleukocytosis. Hiki i kēia ke alakaʻi i nā pilikia me ke kahe koko a me ka lawe ʻana i ka oxygen i nā loko kino nui.

ʻO ka ʻoiaʻiʻo maikaʻi, e nānā pono kāu hui lapaʻau iā ʻoe no kēia mau pilikia a loaʻa iā lākou nā ala maikaʻi e pale aku ai a i ʻole e mālama ai i ka hapa nui o lākou. Hiki ke mālama maikaʻi ʻia nā pilikia he nui me ka mālama lapaʻau koke a me nā mālama kākoʻo.

Pehea e ʻike ʻia ai ka Acute Lymphocytic Leukemia?

Hoʻomaka pinepine ka ʻike ʻana i ka ALL me kāu kauka e nīnau ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. E nānā lākou i nā hōʻailona e like me nā lymph nodes nui, ke akepaʻa, a i ʻole ka spleen, a e ʻimi i ka ʻūlū a i ʻole ke kahe koko maʻamau ʻole.

ʻO ka hoʻokolokolo nui mua ʻo ia ka helu koko piha (CBC), kahi e ana ai i ka nui a me ke ʻano o nā sela i loko o kou koko. I ka ALL, hōʻike pinepine kēia hoʻokolokolo i nā kiʻekiʻe maʻamau ʻole o nā keʻokeʻo koko, nā ʻulaʻula koko, a i ʻole nā ​​platelets.

Inā hōʻike nā hopena CBC i ka leukemia, e kauoha aku kāu kauka i nā hoʻokolokolo hou aku e hōʻoia i ka ʻike:

1. Biopsy o ka iwi kuamoʻo e nānā pono i nā cell mai kou iwi kuamoʻo
2. Flow cytometry e ʻike i ke ʻano kūikawā o nā cell leukemia
3. Hoʻokolohua gene e ʻimi i nā loli chromosomal i nā cell kanesa
4. Lumbar puncture e nānā inā ua pālahalaha nā cell leukemia i kāu wai spinal
5. Nā hoʻokolohua kiʻi e like me nā CT scan a i ʻole nā X-ray umauma e nānā i nā kino nui

ʻO ka biopsy o ka iwi kuamoʻo ka hoʻokolohua nui loa no ka ʻike ʻana i ka ALL. I loko o kēia hana, lawe ʻia kahi ʻāpana liʻiliʻi o ka iwi kuamoʻo, maʻamau mai kou iwi hip, a nānā ʻia ma lalo o ka microscope.

E hana pū kāu hui lapaʻau i nā hoʻokolohua e hoʻoholo i ke ʻano kūikawā o ka ALL āu i loaʻa ai a ʻike i nā loli gene i nā cell kanesa. He mea nui kēia ʻike no ka hoʻomohala ʻana i ka papahana lapaʻau kūpono loa no kou kūlana kūikawā.

ʻO ka hana ʻike holoʻokoʻa maʻamau he mau lā a hiki i hoʻokahi pule. ʻOiai ke kali nei no nā hopena hiki ke manaʻo kaumaha, he mea nui ka loaʻa ʻana o ka ʻike pololei no ka loaʻa ʻana o ka lapaʻau kūpono i ka wikiwiki loa.

He aha ka lapaʻau no ka Acute Lymphocytic Leukemia?

ʻO ka lapaʻau ALL maʻamau e pili ana i ka chemotherapy i hāʻawi ʻia i nā papa hana i hoʻolālā pono ʻia e hoʻopau i nā cell leukemia a kōkua i kou kino e ola hou. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka ALL pinepine e pane maikaʻi loa i ka lapaʻau, ʻoi aku hoʻi i ka wā i ʻike mua ʻia.

ʻO ka lapaʻau maʻamau e hana ʻia i ʻekolu papa nui. ʻO ka papa mua, i kapa ʻia ʻo ka induction therapy, ke kumu e luku ai i nā cell leukemia e like me ka hiki a kōkua i kāu helu koko e hoʻi i nā pae maʻamau. ʻO kēia papa maʻamau e lōʻihi ana ma kahi o hoʻokahi mahina.

ʻO nā ala lapaʻau nui e komo pū ana me:

• Ka hoʻohui ʻana o nā lāʻau lapaʻau kanesa he nui
• Nā lāʻau lapaʻau kuhikuhi i hoʻouka i nā hiʻohiʻona kūikawā o nā sela leukemia
• Ka immunotherapy e kōkua i kou ʻōnaehana pale e hakakā i ka maʻi kanesa
• Hoʻololi ʻana i nā sela kumu i kekahi mau hihia pilikia kiʻekiʻe
• Ka lāʻau lapaʻau radiation e mālama i nā sela leukemia ma nā wahi kūikawā
• Ka mālama kākoʻo e hoʻokele i nā hopena ʻaoʻao a pale aku i nā pilikia

Ma hope o ka hoʻomaka ʻana, e loaʻa pinepine iā ʻoe ka mālama hoʻopaʻa e kāpae i nā sela leukemia i koe e hiki ʻole ke ʻike ʻia. Hiki i kēia wā ke mau i mau mahina a hoʻohana pinepine ʻia i nā hui like ʻole o nā lāʻau lapaʻau chemotherapy.

ʻO ka wā hope loa, i kapa ʻia ʻo ka mālama mālama, e pili ana i nā nui haʻahaʻa o ka chemotherapy i hāʻawi ʻia ma kahi manawa lōʻihi, i kekahi manawa a hiki i ʻelua a ʻekolu paha mau makahiki. Kōkua kēia e pale aku i ka hoʻi ʻana mai o ka leukemia.

E pilikino ʻia kāu papahana mālama ma muli o nā mea e like me kou makahiki, olakino holoʻokoʻa, ke ʻano kūikawā o ka ALL āu i loaʻa ai, a pehea ka maikaʻi o kou pane ʻana i ka mālama mua. E hoʻoponopono kāu hui lapaʻau i kāu mālama e like me ka pono i ka wā holoʻokoʻa.

Pehea e hoʻokele ai i nā hōʻailona ma ka home i ka wā o ka mālama ʻana i ka Acute Lymphocytic Leukemia?

ʻO ka hoʻokele ʻana i kāu mau hōʻailona a me nā hopena ʻaoʻao ma ka home he ʻāpana nui ia o kāu papahana mālama holoʻokoʻa. E hāʻawi kāu hui lapaʻau i nā kuhikuhi kūikawā, akā nui nā mea hiki iā ʻoe ke hana e kōkua iā ʻoe iho e ʻoluʻolu a noho olakino e like me ka hiki.

ʻO ka pale ʻana i nā maʻi he mea nui loa ia ʻoiai ua nāwaliwali paha kou ʻōnaehana pale e ka leukemia a me ka mālama ʻana. E holoi pinepine i kou mau lima, e pale aku i nā poʻe nui i ka hiki, a e noho mamao aku i nā kānaka maʻi.

Eia nā ʻano hana nui e kōkua i ka hoʻokele ʻana i kāu mālama ma ka home:

• E ʻai i ka ʻai kaulike me ka nui o ka protein e kākoʻo i ka hoʻōla a me ka ikehu
• E mālama i ka wai nui ma o ka inu wai nui i ka lā āpau
• E loaʻa ka hoʻomaha a me ka hiamoe lawa e kōkua i kou kino e ola hou
• E lawe i nā lāʻau lapaʻau e like me ke kauoha ʻia, me nā lāʻau anti-nausea
• E nānā i kou mahana a hōʻike koke i nā mahana wela
• E pale i nā hana e hiki ai ke hana i nā ʻokiʻoki a i ʻole nā ​​ʻehaʻeha
• E hoʻohana i nā huahana mālama pilikino mālie e pale i ka ʻili nāwaliwali

Pono ʻoe e makaʻala loa e pili ana i ka palekana o ka ʻai i ka wā o ka mālama ʻana. E pale i nā meaʻai maka a i ʻole nā ​​meaʻai ʻole i kuke ʻia, nā huaʻai a me nā huaʻai ʻole i holoi ʻia, a me nā meaʻai e hiki ke loaʻa nā bacteria. Hiki i kāu hui olakino ke hāʻawi i nā kuhikuhi ʻai kikoʻī.

He mea nui ka mālama ʻana i ka luhi no kou ola maikaʻi. E hoʻolālā i kāu mau hana no nā manawa i loaʻa ai iā ʻoe ka ikehu nui loa, a mai kānalua e noi aku i nā ʻohana a me nā hoaaloha no ke kōkua i nā hana o kēlā me kēia lā.

E mālama i kahi puke moʻolelo hōʻailona e hahai i kou manaʻo i kēlā me kēia lā. Kōkua kēia ʻike i kāu hui lapaʻau e hoʻoponopono i kāu mālama a me ka mālama kōkua e like me ka pono. E kelepona mau i kāu mea lawelawe olakino inā loaʻa iā ʻoe nā hōʻailona pilikia a i ʻole inā ʻoi aku ka ʻino o nā hōʻailona i loaʻa.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu mau hālāwai kauka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka nui o kāu mau kipa a me ka ʻike hilinaʻi hou aku e pili ana i kāu mālama. ʻO ka loaʻa ʻana o ka ʻike hoʻonohonoho a me nā nīnau noʻonoʻo e mākaukau e hana i kāu mau hālāwai i ʻoi aku ka hua.

E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona āpau, me ka manawa i hoʻomaka ai lākou, pehea ka nui o ko lākou ʻino, a me ka mea e hoʻomaikaʻi ai a ʻoi aku ka ʻino paha. E hoʻokomo i nā lāʻau lapaʻau a i ʻole nā ​​mea hoʻohui āu e lawe nei, me kā lākou mau dosages.

E lawe mai i kēia mau mea nui i kāu hālāwai:

• Papa inoa piha o kāu mau lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Nā moʻolelo lapaʻau ma mua, nā hopena hoʻokolohua, a i ʻole nā haʻawina kiʻi
• Kāu mau kāleka ʻinikua a me ka hōʻike pilikino
• Kahi puke a i ʻole kelepona e kākau ai i nā memo i ka wā o ka kipa
• Kahi papa inoa o nā nīnau āu e makemake ai e nīnau
• Lālā ʻohana hilinaʻi a hoaaloha paha no ke kākoʻo, inā makemake ʻia

E hoʻomākaukau i nā nīnau kūikawā e pili ana i kāu ʻike maʻi, nā koho mālama, a me ka mea e manaʻo ʻia. Hiki i nā nīnau maikaʻi ke komo i ka nīnau ʻana e pili ana i kāu prognosis, nā hopena ʻaoʻao o ka mālama ʻana, a pehea e hiki ai i ka mālama ʻana ke hoʻopilikia i kou ola i kēlā me kēia lā.

Mai kānalua e noi i kāu kauka e wehewehe i nā mea ma nā ʻōlelo āu e maopopo ai. Hiki i ka ʻike lapaʻau ke kaumaha, a he mea maʻamau loa ka pono ʻana i ka wehewehe hou ʻana a i ʻole ka nīnau ʻana i ka nīnau hoʻokahi ma mua o hoʻokahi manawa.

E noʻonoʻo e lawe mai i kekahi me ʻoe i nā hālāwai, ʻoi aku hoʻi no nā kūkākūkā koʻikoʻi e pili ana i nā hoʻolālā ʻike maʻi a me ka mālama ʻana. Hiki i ka loaʻa ʻana o kahi hui pepeiao ke kōkua i ka wā e hoʻoponopono ai i ka ʻike lapaʻau paʻakikī.

He aha ka lawe nui e pili ana i ka Leukemia Lymphocytic Acute?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i ka ALL, ʻoiai he kūlana koʻikoʻi ia e pono ai ka mālama koke, he mea hiki ke mālama ʻia loa ia, ʻoi aku hoʻi i ka wā i hopu ʻia ai i ka wā mua. He nui nā kānaka me ka ALL e ola ana i nā ola piha a olakino ma hope o ka mālama kūleʻa.

Ua holomua nui nā mālama hou no ka ALL i nā makahiki he nui i hala. ʻO ka hui pū ʻana o ka chemotherapy, nā therapies kikoʻī, a me ka mālama kākoʻo ua alakaʻi i nā hopena maikaʻi loa no nā kānaka me kēia kūlana.

Loaʻa i kāu hui lapaʻau ka ʻike nui i ka mālama ʻana i ka ALL a e hana pili pono me ʻoe e hoʻomohala i kahi hoʻolālā mālama pilikino. Mai kānalua e nīnau i nā nīnau, e hōʻike i nā hopohopo, a i ʻole e noi i ke kākoʻo hou aku i kou huakaʻi mālama.

E hoʻomanaʻo ʻaʻole ke ʻano o ka loaʻa ʻana o ka ALL iā ʻoe, a nui nā kumu kōkua e kōkua iā ʻoe e hoʻoponopono i nā ʻaoʻao lapaʻau a me ka manaʻo o kāu hōʻailona. Hiki i nā hui kākoʻo, nā lawelawe kūkākūkā, a me nā hui hoʻokūkū maʻi ke hāʻawi aku i nā kōkua waiwai.

ʻOiai paha e paʻakikī ke ala i mua, ʻo ka nānā ʻana i hoʻokahi kapuaʻi i ka manawa a me ka hilinaʻi ʻana i kāu pūnaewele kākoʻo e kōkua iā ʻoe e holo i kēia huakaʻi me ka hilinaʻi a me ka manaʻolana nui aʻe.

Nā nīnau pinepine e pili ana i ka Leukemia Lymphoblastic Acute

Ua hoʻoilina ʻia anei ka ALL?

ʻAʻole maʻamau ka hoʻoilina ʻana o ka ALL mai nā mākua. ʻO ka hapa nui o nā hihia e kū mai ana ma muli o nā loli genetic e hana ana i loko o ke ola o ke kanaka ma mua o ka hoʻoili ʻia ʻana ma waena o nā ʻohana. Eia naʻe, hiki i kekahi mau kūlana genetic e like me ka Down syndrome ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka ALL.

Pehea ka lōʻihi o ka mālama ʻana i ka ALL?

ʻO ka mālama ʻana i ka ALL maʻamau he 2 a 3 mau makahiki ka lōʻihi, ʻoiai ke loli nei kēia ma muli o kēlā me kēia hihia. ʻO ka papa hana ikaika maʻamau he 6 a 8 mau mahina, a laila he papa mālama lōʻihi me ka mālama ʻana ʻaʻole ikaika loa. E hāʻawi kāu kauka i kahi papa manawa kikoʻī e pili ana i kou kūlana.

Hiki iā ʻoe ke hana i ka wā o ka mālama ʻana i ka ALL?

Hiki i nā kānaka he nui ke hoʻomau i ka hana ʻana i kekahi mau papa o ka mālama ʻana i ka ALL, ʻoiai paha e pono ʻoe e hoʻololi i kāu papa hana a i ʻole nā ​​hoʻonohonoho hana. ʻO nā papa hana ikaika e pono pinepine ai ka manawa hoʻomaha, ʻoiai hiki i ka mālama mālama ke ʻae i nā hana maʻamau. E kūkākūkā i kou kūlana hana me kāu hui mālama ola.

He aha ka nui o ka ola no ka ALL?

ʻO ka nui o ka ola no ka ALL e loli ana ma muli o ka makahiki a me nā mea ʻē aʻe, akā ua hoʻomaikaʻi nui ʻia nā hopena holoʻokoʻa. I nā keiki, ʻoi aku ka nui o ka nui o ka ola 5-makahiki ma mua o 90%, ʻoiai i nā mākua, mai 30-40% a hiki i 80% ma muli o nā mea kikoʻī e like me ka makahiki a me nā ʻano genetic o ka leukemia.

E pono anei iaʻu kahi hoʻololi iwi ʻiwi?

ʻAʻole pono nā kānaka a pau me ka ALL i kahi hoʻololi iwi iwi. E ʻōlelo aku kāu kauka i kēia lāʻau wale nō inā loaʻa iā ʻoe nā hiʻohiʻona pilikia kiʻekiʻe a i ʻole inā ʻaʻole pane maikaʻi ka leukemia i ka chemotherapy maʻamau. He nui nā kānaka i loaʻa ka remission lōʻihi me ka chemotherapy wale nō.