He aha ka Leukemia Lymphatic Kūmau? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka leukemia lymphatic kūmau (CLL) kahi ʻano o ka maʻi kanesa koko e pili ana i kāu mau keʻena koko keʻokeʻo i kapa ʻia ʻo nā lymphocytes. ʻO kēia mau keʻena e kōkua mau ana i ka hakakā ʻana i nā maʻi, akā i ka CLL, ulu lākou i ka ʻano kūpono ʻole a hōʻiliʻili i loko o kou koko, iwi ʻiʻo, a me nā lymph nodes.

ʻAʻole like me nā leukemias ʻē aʻe, ulu mālie ka CLL ma luna o nā mahina a i ʻole nā makahiki. Nui nā kānaka e ola ana me kēia kūlana no nā ʻumi makahiki, a ʻaʻole pono kekahi i ka lapaʻau.

He aha ka Leukemia Lymphatic Kūmau?

Hana ʻia ka CLL i ka wā e hana nui ai kāu iwi ʻiʻo i nā B-lymphocytes kūpono ʻole, kahi ʻano kikoʻī o ka keʻena koko keʻokeʻo. ʻAʻole hiki i kēia mau keʻena hewa ke hakakā pono i nā maʻi a hoʻopiha i nā keʻena koko olakino.

ʻO ka huaʻōlelo “kūmau” ʻo ia hoʻi e holomua mālie ana, ʻo ia hoʻi kahi lono maikaʻi. Hiki i ka hapa nui o nā kānaka me ka CLL ke mālama i ko lākou ola no nā makahiki he nui. Hoʻopili nui ka kūlana i nā poʻe mākua, me ka hapa nui o nā ʻike ma hope o 55 mau makahiki.

ʻO ka CLL ka ʻano leukemia maʻamau loa i nā mākua ma nā ʻāina Komohana. He ʻokoʻa ia mai nā leukemias ʻoi aku, e ulu wikiwiki ana a pono i ka lapaʻau koke.

He aha nā hōʻailona o ka Leukemia Lymphatic Kūmau?

Nui nā kānaka me ka CLL i ka wā mua ʻaʻohe hōʻailona. ʻIke pinepine ʻia ka kūlana i nā hoʻokolohua koko maʻamau ma mua o ka ʻike ʻia o nā hōʻailona hōʻoia.

Ke ʻike ʻia nā hōʻailona, ​​e ʻike ʻia lākou i ka wā e hoʻonui ai nā keʻena kūpono ʻole i loko o kou kino. Eia nā hōʻailona maʻamau e nānā ai:

• Nā lymph nodes pehu i kou ʻāʻī, nā ʻūhā, a i ʻole ka ʻūhā ʻaʻole ʻeha.
• ʻO ka luhi a i ʻole ka nāwaliwali, ʻoiai me ka hoʻomaha kūpono.
• Nā maʻi pinepine e lōʻihi ka ho'ōla.
• Ka nalowale kaumaha ʻole i nā mahina he nui.
• Nā sweat i ka pō e hoʻoinu i kou kapa a i ʻole ka moe.
• ʻO ka ʻeha maʻalahi a i ʻole ke kahe koko mai nā ʻeha liʻiliʻi.
• ʻO ka manaʻo piha koke i ka ʻai ma muli o ka spleen nui.
• ʻO ka hanu pōkole i nā hana maʻamau.

Hiki i nā hōʻailona ʻaʻole maʻamau ke komo pū me ka mahana me ka kumu ʻike ʻole a i ʻole ka ʻeha ʻōpū. E hoʻomanaʻo, hiki i kēia mau hōʻailona ke loaʻa nā wehewehe ʻē aʻe, no laila ʻaʻole ʻo ka loaʻa ʻana o lākou he manaʻo ʻoe he CLL.

He aha nā ʻano o ka Leukemia Lymphatic Kūmau?

Hoʻokaʻawale nā kauka i ka CLL i nā ʻano like ʻole ma muli o ke ʻano o nā keʻena kanesa ma lalo o ka microscope a me nā protein a lākou e lawe ai. ʻO ka ʻokoʻa nui ma waena o ka CLL maʻamau a me nā kūlana pili ʻē aʻe.

ʻO ka CLL maʻamau kahi 95% o nā hihia a pili i nā B-lymphocytes. Aia kekahi ʻano i kapa ʻia ʻo ka prolymphocytic leukemia, kahi e holomua wikiwiki ai akā he mea maʻamau loa.

Hiki i kāu hui lapaʻau ke ʻōlelo pū inā loaʻa i kāu mau keʻena CLL kekahi mau loli genetic. ʻO kekahi mau ʻano e ulu mālie ana, ʻoiai ʻo kekahi mau mea e pono ai ka lapaʻau koke. E kōkua kēia mau kikoʻī i kāu kauka e hana i ka papahana mālama maikaʻi loa no kou kūlana kikoʻī.

He aha ka mea e hoʻokumu ai i ka Leukemia Lymphatic Kūmau?

ʻAʻole maopopo loa ke kumu o ka CLL, akā hoʻomaka ia i ka wā e loli ai ka DNA i nā B-lymphocytes. E hoʻokumu kēia mau mutations genetic i ka ulu ʻana o nā keʻena a ola lōʻihi ma mua o ko lākou pono.

ʻO ka hapa nui o nā hihia e hana ʻia me ka mea hoʻonāukiuki maopopo ʻole. ʻAʻole ia i hana ʻia e kekahi mea āu i hana ai a i ʻole ʻaʻole i hana ai. ʻAʻole like me kekahi mau kanesa, ʻaʻole pili ka CLL i ka puhipaka, ka ʻai, a i ʻole nā ​​koho ola.

Hiki i kekahi mau mea ke kōkua i ka hoʻomohala ʻana o ka CLL, ʻoiai ʻaʻohe mea e hōʻoiaʻiʻo ai e loaʻa iā ʻoe ka maʻi:

• Makahiki - ʻoi aku ka nui o nā kānaka i ʻike ʻia ma mua o 55 mau makahiki.
• Kūlana - ʻoi aku ka nui o nā kāne i ka CLL ma mua o nā wahine.
• Mōʻaukala ʻohana - ʻoi aku ka nui o ka pilikia inā loaʻa iā ʻoe nā ʻohana me ka CLL a i ʻole nā ​​kanesa koko ʻē aʻe.
• Lāhui - ʻoi aku ka nui o ka CLL i nā kānaka o ka lāhui ʻEulopa.
• Ka hōʻike ʻana i kekahi mau kemika e like me Agent Orange (maʻamau ʻole).

ʻAʻole ʻo ka loaʻa ʻana o kēia mau mea pilikia he manaʻo e loaʻa iā ʻoe ka CLL. Nui nā kānaka me nā mea pilikia he nui ʻaʻole loaʻa ka maʻi, ʻoiai kekahi poʻe me nā mea pilikia ʻike ʻole ʻole.

I ka wā e ʻike ai i ke kauka no ka Leukemia Lymphatic Kūmau?

Pono ʻoe e kelepona i kāu kauka inā ʻike ʻoe i nā hōʻailona mau loa e lōʻihi ma mua o kekahi mau pule. ʻOiai he nui nā wehewehe maikaʻi o kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka nānā ʻana iā lākou.

E hoʻonohonoho i kahi manawa inā ʻike ʻoe i nā lymph nodes pehu ʻaʻole hele ma hope o ʻelua pule, ʻoiai inā ʻaʻohe ʻeha. E ʻimi pū i ka mālama lapaʻau no ka luhi mau loa ʻaʻole hoʻomaikaʻi me ka hoʻomaha a i ʻole nā ​​maʻi pinepine.

Mai kali inā loaʻa iā ʻoe nā hōʻailona hopohopo e like me ka nalowale kaumaha wehewehe ʻole, nā sweat i ka pō mau loa, a i ʻole ka ʻeha maʻalahi. Hoʻomaka pinepine ka ʻike mua i nā hopena maikaʻi, ʻoiai e holomua mālie ka CLL.

He aha nā mea pilikia no ka Leukemia Lymphatic Kūmau?

ʻOiai e holomua mālie ka CLL, hiki iā ia ke alakaʻi i nā pilikia e pono ai ka mālama lapaʻau. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i ka wā e ʻimi koke ai i ka mālama.

ʻO nā pilikia maʻamau loa e hana ʻia ma muli o ka hoʻopiha ʻana o nā keʻena CLL i nā keʻena koko olakino. Hiki kēia ke hoʻoliʻiliʻi iā ʻoe i nā maʻi a hoʻolohi i ka ho'ōla ʻana mai nā ʻeha.

Eia nā pilikia hiki ke ʻike ʻia:

• Hoʻonui ʻia ka pilikia maʻi ma muli o ka nāwaliwali o ka ʻōnaehana pale.
• Anemia e hoʻokumu ana i ka luhi nui a me ka nāwaliwali.
• He helu platelet haʻahaʻa e alakaʻi ana i ka ʻeha maʻalahi a i ʻole ke kahe koko.
• ʻO ka spleen nui e hoʻokumu ana i ka ʻeha ʻōpū.
• Hoʻololi i ka lymphoma ʻoi aku ka ikaika (maʻamau ʻole).
• Hoʻomohala ʻana i nā kanesa ʻelua ma hope i ke ola.
• Nā pilikia autoimmune kahi e hoʻouka ai kou kino i nā keʻena olakino.

ʻO ka Richter's transformation, kahi e loli ai ka CLL i ka lymphoma ikaika, e hana ʻia ma kahi o 3-10% o nā kānaka. ʻOiai he mea koʻikoʻi, hiki ke mālama maikaʻi ʻia kēia pilikia ke hopu ʻia i ka wā mua.

Pehea ka ʻike ʻana i ka Leukemia Lymphatic Kūmau?

Hoʻomaka pinepine ka ʻike ʻana o ka CLL me nā hoʻokolohua koko e hōʻike ana i nā helu keʻena koko keʻokeʻo kūpono ʻole. E kauoha aku kāu kauka i nā hoʻokolohua hou e hōʻoia i ka ʻike a hoʻoholo i ka holomua o ke kūlana.

ʻO ka hoʻokolohua ʻike nui ʻia ʻo ia ka flow cytometry, kahi e ʻike ai i nā protein kikoʻī ma kāu mau keʻena koko. Hiki i kēia hoʻokolohua ke hoʻokaʻawale i nā keʻena CLL mai nā ʻano lymphocytes ʻē aʻe me ka pololei nui.

Hiki i kāu hui lapaʻau ke paipai i nā hoʻokolohua he nui e kiʻi i kahi kiʻi piha:

• Helu koko piha e nānā i nā ʻano keʻena koko a pau.
• Flow cytometry e ʻike i nā māka CLL kikoʻī.
• Hoʻokolohua genetic e nānā i nā loli chromosomal.
• Nā scan CT e nānā i ka nui o nā lymph node.
• Biopsy iwi ʻiʻo (pono kekahi manawa).
• Nā pae immunoglobulin e loiloi i ka hana pale.

E kōkua kēia mau hoʻokolohua i kāu kauka e hoʻonohonoho i kāu CLL a hoʻolālā i ke ala lapaʻau maikaʻi loa. E haʻi aku ka hoʻonohonoho ʻana iā ʻoe i ka nui o ka laha ʻana o ka kanesa a e kōkua i ka wānana ʻana i kona ʻano.

He aha ka lapaʻau no ka Leukemia Lymphatic Kūmau?

ʻO ka lapaʻau no ka CLL e pili ana i kāu kahua, nā hōʻailona, ​​a me kou olakino holoʻokoʻa. Nui nā kānaka me ka CLL i ka wā mua ʻaʻole pono i ka lapaʻau koke a hiki ke nānā ʻia me nā nānā maʻamau.

Hiki i kēia ala “nānā a kali” ke kani hopohopo, akā ʻo ia ka hana maikaʻi loa no nā kānaka he nui. ʻAʻole hoʻomaikaʻi ka hoʻomaka ʻana i ka lapaʻau koke i nā hopena a hiki ke hoʻokumu i nā hopena ʻaoʻao pono ʻole.

Ke pono ka lapaʻau, loaʻa iā ʻoe kekahi mau koho maikaʻi:

• Nā lāʻau lapaʻau kikoʻī e hoʻouka i nā protein kanesa kikoʻī.
• Immunotherapy e kōkua i kou ʻōnaehana pale e hakakā i ka kanesa.
• Chemotherapy, pinepine i hui pū ʻia me nā lapaʻau ʻē aʻe.
• Nā antibodies monoclonal e hoʻouka i nā keʻena CLL.
• Hoʻololi keʻena kumu no nā poʻe ʻōpio me ka maʻi ikaika.
• Radiation therapy no nā lymph nodes nui (i kekahi manawa).

Ua hoʻololi nā lāʻau lapaʻau kikoʻī hou e like me ka ibrutinib a me ka venetoclax i ka lapaʻau CLL. Hoʻomaikaʻi pinepine kēia mau lāʻau ma mua o ka chemotherapy maʻamau me nā hopena ʻaoʻao liʻiliʻi.

Pehea e hoʻokele ai i nā hōʻailona ma ka home i ka wā o ka Leukemia Lymphatic Kūmau?

ʻO ka hoʻokele ʻana i ka CLL ma ka home e pili ana i ke kākoʻo ʻana i kou olakino holoʻokoʻa a pale aku i nā maʻi. Hiki i nā koho liʻiliʻi i kēlā me kēia lā ke hoʻololi nui i kou manaʻo.

ʻOiai e hoʻopili ana ka CLL i kou ʻōnaehana pale, lilo ka pale ʻana i nā maʻi i mea nui loa. E holoi pinepine i kou mau lima a pale aku i nā poʻe i ka wā o ka anu a me ka maʻi maʻi.

Eia nā hana hana hiki iā ʻoe ke hana ma ka home:

• ʻAi i ka ʻai kaulike piha i nā hua, nā mea kanu, a me nā protein liʻiliʻi.
• E inu nui i ka wai i kēlā me kēia lā.
• E hiamoe lawa e kākoʻo i kou ʻōnaehana pale.
• E hoʻoikaika mālie e mālama i ka ikaika.
• E hoʻomaʻamaʻa i ka hoʻokele kaumaha ma o ka noʻonoʻo a i ʻole ka hoʻomaha.
• E mālama i nā injections i manaʻo ʻia.
• E nānā i kou mahana a e hōʻike koke i nā mahana.

E hoʻolohe i kou kino a e hoʻomaha i ka wā e pono ai. ʻO ka luhi ka mea maʻamau me ka CLL, a ʻo ka hoʻoikaika nui ʻana iā ʻoe iho e hiki ke hoʻopilikia i nā hōʻailona.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

Hiki i ka hoʻomākaukau ʻana no kāu manawa ke kōkua iā ʻoe e kiʻi i ka mea nui loa mai kāu manawa me kāu hui mālama ola. E kākau i kāu mau nīnau ma mua e ʻaʻole ʻoe e poina i nā manaʻo nui.

E lawe mai i kahi papa inoa o nā lāʻau āpau āu e lawe nei, me nā mea hoʻohui a me nā lāʻau over-the-counter. E hōʻiliʻili pū i nā hopena hoʻokolohua mua a i ʻole nā ​​moʻolelo lapaʻau e pili ana i kou kūlana.

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike a hāʻawi i ke kākoʻo manaʻo. Hiki i ka loaʻa ʻana o kekahi mea ʻē aʻe ke kōkua nui i ka wā e kūkākūkā ai i nā koho lapaʻau paʻakikī.

E hoʻomākaukau i kēia mau mea no kāu kipa:

• Papa inoa o nā hōʻailona o kēia manawa a me ka wā i hoʻomaka ai lākou.
• Nā lāʻau āpau, nā huaora, a me nā mea hoʻohui āu e lawe nei.
• Mōʻaukala ʻohana o ka kanesa a i ʻole nā ​​maʻi koko.
• Nā hopena hoʻokolohua mua a i ʻole nā ​​hoʻonaʻauao kiʻi.
• ʻIke ʻinikua a me ka ʻike.
• Nā nīnau kākau e pili ana i kou kūlana a me ka lapaʻau.

Mai kānalua e noi i ka wehewehe inā ʻaʻole ʻoe i maopopo i kekahi mea. Makemake kāu hui lapaʻau e hōʻoia i kou manaʻo ʻike a ʻoluʻolu me kāu papahana mālama.

He aha ka mea nui e pili ana i ka Leukemia Lymphatic Kūmau?

ʻO ka CLL pinepine kahi kūlana hiki ke hoʻokele ʻia e ola ai nā kānaka no nā makahiki me ka hopena nui ʻole i ko lākou ola i kēlā me kēia lā. ʻOiai ke manaʻo nui ka loaʻa ʻana o kahi ʻike kanesa, e hoʻomanaʻo e holomua mālie ka CLL.

Nui nā kānaka me ka CLL e hoʻomau i ka hana, ka huakaʻi, a me ka leʻaleʻa i ko lākou mau hana maʻamau. ʻOi aku ka maikaʻi o nā lapaʻau hou a he liʻiliʻi nā hopena ʻaoʻao ma mua o ka wā ma mua.

ʻO ka mea nui loa ka mālama ʻana i ka kamaʻilio ākea me kāu hui mālama ola a hahai i kā lākou mau ʻōlelo aʻo no ka nānā ʻana a me ka lapaʻau. Me ka mālama kūpono, hiki i nā kānaka he nui me ka CLL ke manaʻo e ola i nā ola piha a hana.

Nā nīnau pinepine e pili ana i ka Leukemia Lymphatic Kūmau

Hiki ke ho'ōla ʻia ka leukemia lymphatic kūmau?

ʻAʻole hiki ke hoʻōla ʻia ka CLL i kēia manawa, akā hiki ke mālama ʻia a hoʻokele ʻia. Nui nā kānaka e ola ana i nā ola ola maʻamau me kēia kūlana. Ke hoʻomaikaʻi mau nei nā lapaʻau hou i nā hopena, a ke hana nei nā mea noiʻi i nā lapaʻau maikaʻi aʻe e alakaʻi paha i ka hoʻōla ʻana i ka lā.

Pehea ka wikiwiki o ka holomua o ka leukemia lymphatic kūmau?

ʻO ka CLL pinepine e holomua mālie ana ma luna o nā makahiki a i ʻole nā ​​ʻumi makahiki. ʻAʻole pono kekahi i ka lapaʻau, ʻoiai kekahi mau mea e pono ai ka lapaʻau ma hope o kekahi mau makahiki o ka nānā ʻana. Hiki i kāu kauka ke kuhikuhi i kāu wānana kikoʻī ma muli o ka hoʻokolohua genetic a me nā mea ʻē aʻe.

Hiki iā ʻoe ke ola i kahi ola maʻamau me ka leukemia lymphatic kūmau?

ʻAe, nui nā kānaka me ka CLL e hoʻomau i ka ola i nā ola hana, hoʻokō. Pono paha ʻoe e lawe i kekahi mau palekana e kūʻē i nā maʻi a hele i nā manawa kauka maʻamau, akā hiki ke hoʻomau i ka hapa nui o nā hana i kēlā me kēia lā e like me ka maʻamau. ʻAe pinepine ka lapaʻau, ke pono, i nā kānaka e mālama i ko lākou ola.

He aha nā meaʻai e pono ai wau e pale aku i ka leukemia lymphatic kūmau?

ʻAʻohe meaʻai kikoʻī āu e pono ai e pale aku i ka CLL, akā e nānā i ka ʻai palekana e pale aku i nā maʻi. E pale aku i nā ʻiʻo maka a i ʻole nā ​​mea ʻai ʻole, nā hua a me nā mea kanu holoi ʻole, a me nā waiū ʻole i hoʻomaʻemaʻe ʻia. E kākoʻo ka ʻai olakino a kaulike i kou ʻōnaehana pale a me kou olakino holoʻokoʻa.

He mea hoʻoilina anei ka leukemia lymphatic kūmau?

Loaʻa i ka CLL kahi ʻāpana genetic, ʻoiai e holo ana ia i nā ʻohana ma mua o nā kanesa ʻē aʻe. Eia naʻe, ʻaʻohe mōʻaukala ʻohana o ka maʻi i ka hapa nui o nā kānaka me ka CLL. ʻOi aku ka nui o ka pilikia inā loaʻa iā ʻoe kahi ʻohana me ka CLL, akā ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ke kūlana.