He aha ka Leukemia Myelogenous Mau? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka leukemia myelogenous mau (CML) kahi ʻano kanesa koko e ulu mālie ana i loko o kou iwi ʻōiwi, kahi e hana ai kou kino i nā keʻena koko. ʻAʻole like me nā leukemia ʻē aʻe e holomua koke ana, ulu mālie ka CML ma nā mahina a i ʻole nā ​​makahiki, ʻo ia hoʻi, loaʻa iā ʻoe ka manawa e hoʻolālā pono ai i kāu lapaʻau.

Hana kēia kūlana i ka wā e hoʻomaka ai kou iwi ʻōiwi e hana i nā keʻena koko keʻokeʻo he nui loa ʻaʻole hana pono. E noʻonoʻo e like me ka hale hana e hana ana i nā limahana wikiwiki ma mua o ka hiki ke hoʻomaʻamaʻa pono iā lākou. Hoʻopiʻi kēia mau keʻena maʻi i nā keʻena koko olakino, akā, no ka mea e holomua mālie ana ka CML, nui nā kānaka e ola ana i nā ola maʻamau, hana me ka lapaʻau kūpono.

He aha ka Leukemia Myelogenous Mau?

ʻO ka CML kahi kanesa o kāu mau keʻena hana koko e hoʻomaka ana i loko o kou iwi ʻōiwi a hoʻopili mālie i kou koko. ʻO kou iwi ʻōiwi ka ʻiʻo palupalu, spongy i loko o kou mau iwi kahi i hana ʻia ai kou mau keʻena koko a pau.

I ka CML, hana ʻia kahi loli genetic i loko o kāu mau keʻena kumu koko, e hoʻoulu ai iā lākou e hoʻonui me ka manaʻo ʻole. ʻAʻole hana kēia mau keʻena koko keʻokeʻo maʻi, i kapa ʻia ʻo nā keʻena leukemia, e like me nā keʻena koko keʻokeʻo olakino. Ma kahi o ka pale ʻana iā ʻoe mai nā maʻi, hoʻopiʻi lākou i nā keʻena koko maʻamau a hiki ke hoʻopilikia i ka hiki o kou kino ke kaua i nā maʻi, lawe i ka oxygen, a hoʻopau i ke kahe koko.

ʻO ka huaʻōlelo “mau” ʻo ia hoʻi e ulu mālie ana ka maʻi, ʻaʻole like me nā leukemia ʻoi aku ka wikiwiki. Hāʻawi pinepine kēia holomua mālie iā ʻoe a me kāu hui olakino i ka manawa hou aku e ʻimi i ke ala lapaʻau kūpono e hana ana no kou kūlana kikoʻī.

He aha nā hōʻailona o ka Leukemia Myelogenous Mau?

Nui nā kānaka me ka CML i ka wā mua ʻaʻole ʻike i kekahi hōʻailona, ​​ʻo ia ke kumu i ʻike ʻia ai i kekahi manawa i nā hoʻokolohua koko maʻamau. I ka wā e ʻike ʻia ai nā hōʻailona, ​​ulu pinepine lākou i ka mālie a hiki ke like me nā pilikia olakino maʻamau i kēlā me kēia lā.

Eia nā hōʻailona e ʻike paha ʻoe i ka holomua ʻana o ka CML:

• Luhi mau ʻole e hoʻomaikaʻi me ka hoʻomaha
• Pau ke kaumaha me ke kumu ʻole ma nā hebedoma a i ʻole mau mahina he nui
• Ka hou ʻana o ka ʻili i ka pō e hoʻoinu i kou kapa a i ʻole moe
• Piha koke ke ʻai, ʻoiai he meaʻai liʻiliʻi
• ʻEha a i ʻole ʻoluʻolu ma lalo o kou ʻaoʻao hema
• Nā maʻi pinepine e lōʻihi ka ho'ōla
• ʻUlaʻula maʻalahi a i ʻole ka kahe koko mai nā ʻoki liʻiliʻi
• Pōkole o ka hanu i nā hana maʻamau
• ʻIli palupalu a i ʻole ke anu nui
• ʻEha iwi a i ʻole ʻeha hono

Loaʻa nō hoʻi i kekahi poʻe ka mea i kapa ʻia ʻo ka spleen nui, kahi e hiki ai ke hoʻopiha piha a i ʻole e hōʻeha i lalo o kou ʻaoʻao hema. ʻAʻole pinepine, e ʻike paha ʻoe i nā lymph nodes nui a hoʻomohala i nā kiko ʻulaʻula liʻiliʻi ma kou ʻili i kapa ʻia ʻo petechiae.

E hoʻomanaʻo, hiki i kēia mau hōʻailona ke loaʻa nā kumu like ʻole, a ʻo ka loaʻa ʻana o lākou ʻaʻole ia he manaʻo he CML kāu. Eia naʻe, inā ʻoe e ʻike ana i kekahi o kēia mau hōʻailona mau loa, pono ia e kūkākūkā me kāu mea mālama ola.

He aha nā ʻano o ka Chronic Myelogenous Leukemia?

Hoʻokaʻawale ʻia ka CML i ʻekolu mau papa like ʻole ma muli o ka nui o nā cell abnormal i loko o kou koko a me ka iwi ʻiwi. ʻO ka maopopo ʻana i ka papa āu e noho nei e kōkua i kāu kauka e koho i ke ala lapaʻau kūpono loa.

ʻO ka papa hana lōʻihi ka pae mua loa a maʻalahi hoʻi, kahi ma lalo o 10% o kāu mau cell koko he mau cell blast immature. ʻIke ʻia ka hapa nui o nā kānaka i kēia pae, a me ka mālama kūpono, hiki iā ʻoe ke mālama i ka maikaʻi o ke ola no nā makahiki he nui. ʻO kāu mau hōʻailona i kēia pae he māmā maʻamau a ʻaʻole paha e loaʻa.

Hoʻomaka ka pae wikiwiki ke 10-19% o kāu mau keʻena koko he mau keʻena pahū, a hiki iā ʻoe ke hoʻomaka e ʻike i nā hōʻailona ʻoi aku ka ʻike. Kūpono loa kāu helu koko me nā lāʻau lapaʻau maʻamau, a hiki iā ʻoe ke luhi a i ʻole e loaʻa nā hōʻailona hou e like me ka maʻi wela a i ʻole ka ʻeha iwi.

ʻO ka pae pahū, i kapa ʻia hoʻi ʻo ka pahū pahū, ʻo ia ka pae holomua loa kahi 20% a ʻoi aku paha o kāu mau keʻena koko he mau keʻena pahū. Hoʻohālikelike kēia pae i ka leukemia nui a pono i ka lāʻau lapaʻau ikaika loa. Kūpono loa nā hōʻailona a hiki ke komo pū me nā maʻi koʻikoʻi, nā pilikia koko, a i ʻole nā ​​pilikia kino.

He aha ka mea e hoʻoulu ai i ka Leukemia Myelogenous Mau?

Hoʻomohala ʻia ka CML ke hana ʻia kahi loli genetic kūikawā i kāu mau keʻena kumu koko, e hana ana i ka mea i kapa ʻia ʻo ka chromosome Philadelphia. ʻAʻole kēia kahi mea āu e hoʻoilina mai kāu mau mākua, akā ʻo kahi loli e hana ana i kou ola i nā keʻena o kou iwi ʻiwi.

Hoʻokumu ʻia ka chromosome Philadelphia ke haki nā chromosome ʻelua (chromosome 9 a me chromosome 22) a hoʻololi i nā ʻāpana me kekahi. Hana kēia i kahi gene ʻino i kapa ʻia ʻo BCR-ABL, kahi e hana ai e like me kahi kī e paʻa ana i ke kūlana "on", e haʻi ana i nā keʻena e hoʻonui me ka manaʻo ʻole.

ʻAʻole like me kekahi mau kanesa ʻē aʻe, ʻaʻohe kumu kūlohelohe maopopo o ka CML e hiki iā mākou ke kuhikuhi. ʻAʻohe kumu pilikia maopopo a i ʻole ka mōʻaukala ʻohana o ka maʻi i ka hapa nui o nā kānaka e loaʻa ana i ka CML. ʻIke ʻia ka loli genetic i ka nui o nā hihia.

Eia naʻe, hiki i ka hōʻike ʻana i nā kiʻekiʻe kiʻekiʻe loa o ka radiation, e like me nā pahū o ka pōkā atomic a i ʻole kekahi mau lāʻau lapaʻau, ke hoʻonui iki i kou pilikia. Hōʻike kekahi mau noiʻi i ka hōʻike ʻana i ka benzene, kahi kemika i loaʻa i loko o ka gasoline a me kekahi mau kaʻina hana ʻoihana, hiki ke pāʻani i kahi kuleana, ʻoiai ʻaʻole i hōʻoia ʻia kēia pilina.

I ka wā e ʻike ai i ke kauka no ka Leukemia Myelogenous Mau?

E pono ʻoe ke hoʻokaʻaʻike aku i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona mau loa ʻaʻole i hoʻomaikaʻi ma hope o kekahi mau pule, ʻoi aku hoʻi inā loaʻa iā ʻoe nā hōʻailona he nui e hele pū ana. ʻOiai he nui nā kumu o kēia mau hōʻailona, he mea nui ia e nānā ʻia.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i ka nalowale kaumaha wehe ʻole ʻia ma mua o 10 paona, ka luhi mau loa e hoʻopilikia ana i kāu mau hana o kēlā me kēia lā, a i ʻole nā ​​maʻi pinepine e like me ka lōʻihi ma mua o ka maʻamau e hoʻōla. ʻO nā hanu pō e hoʻoinu mau ana i kou kapa a i ʻole ka moe moe e pono pū kekahi i ka loiloi lapaʻau.

E ʻimi koke ʻoe i ka mālama lapaʻau inā loaʻa iā ʻoe nā hōʻailona o nā pilikia koʻikoʻi, e like me ka hanu pōkole loa, ka ʻeha umauma, ka mahana kiʻekiʻe mau, ka ʻeha ʻōpū koʻikoʻi, a i ʻole ke kahe koko maʻamau ʻole ʻaʻole e pau. Hiki i kēia mau hōʻailona ke hōʻike i ka holomua ʻana o ke kūlana a i ʻole ke kumu ʻana i nā pilikia.

Mai kānalua e hilinaʻi i kou mau manaʻo inā manaʻo ʻoe ʻaʻole kūpono kekahi mea i kou olakino. Hiki i ka ʻike mua ʻana a me ka mālama ʻana i ka CML ke hoʻolilo i kahi ʻokoʻa nui i kou nānā lōʻihi a me ka maikaʻi o ke ola.

He aha nā mea pilikia no ka Leukemia Myelogenous Mau Loa?

ʻAʻohe mea pilikia i ʻike ʻia i ka hapanui o nā kānaka e loaʻa ana i ka CML, hiki ke manaʻo huikau a huhū. Me he mea lā e ulu kūlohelohe ana ke kūlana i ka hapanui o nā hihia, e hoʻopilikia ana i nā kānaka mai nā ʻano ola a pau.

Eia nā mea pilikia i ʻike ʻia, ʻoiai ʻo ka loaʻa ʻana o lākou ʻaʻole ia he manaʻo e loaʻa iā ʻoe ka CML:

• ʻO ka makahiki ma mua o 50, ʻoiai hiki ke loaʻa ka CML i kēlā me kēia makahiki
• ʻO ke kāne (ʻoi aku ka nui o nā kāne e loaʻa ai ka CML ma mua o nā wāhine)
• Ka hōʻike mua ʻana i nā kiʻekiʻe kiʻekiʻe loa o ka radiation
• Hiki ke hōʻike ʻia i kekahi mau kemika e like me ka benzene
• Loaʻa nā maʻi kino, ʻoiai he mea maʻamau loa kēia

He mea nui ke hoʻomaopopo ʻaʻole pilikia ka CML a ʻaʻole hiki ke hoʻolaha ʻia mai ke kanaka aku i ke kanaka. ʻAʻole hoʻi ia e kū mai i nā ʻohana ma ka hapanui o nā hihia, no laila ʻaʻole nui ka hoʻonui ʻana i kou pilikia inā loaʻa i kekahi lālā o kou ʻohana ka CML.

ʻO ka loli kino e hoʻokumu ai i ka CML e hana ana i loko o nā sela o kou iwi kuamoʻo i loko o kou ola, ʻaʻole i nā sela āu i hoʻoilina mai kou mau mākua. ʻO ia hoʻi ʻaʻole ʻoe e hoʻolaha i ka CML i kāu mau keiki, ʻo ia ka mea hiki ke hōʻoluʻolu i nā ʻohana he nui e pili ana i kēia ʻike.

He aha nā pilikia hiki ke loaʻa i ka Leukemia Myelogenous Mau?

ʻOiai e holomua mālie ana ka CML a nui nā kānaka e ola maikaʻi me ka mālama kūpono, he mea maʻamau ke noʻonoʻo e pili ana i nā pilikia hiki ke loaʻa. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i nā hōʻailona hoʻomaopopo a hana pū me kāu hui olakino e pale aku ai a mālama paha iā lākou.

ʻO ka pilikia nui loa ka holomua ʻana o ka maʻi i nā pae kiʻekiʻe aʻe. Inā ʻaʻole i kaohi pono ʻia ka CML, hiki ke holomua mai ke kahua mau loa aku i ke kahua wikiwiki a ma hope aku i ka pahū ʻana o ka pahū, kahi e hana ai e like me ka leukemia ʻoi a pono ai ka mālama ikaika.

Eia nā pilikia ʻē aʻe e hiki ke ulu:

• Hoʻonui ʻia ka pilikia o nā maʻi ma muli o ka hana ʻole o nā keʻokeʻo koko
• Nā pilikia koko mai nā helu platelet haʻahaʻa
• Anemia e hoʻokumu ana i ka luhi nui a me ka hanu pōkole
• ʻO ka spleen nui e hiki ke hoʻokumu i ka ʻeha ʻōpū a i ʻole ka māʻona koke
• ʻEha iwi mai nā sela leukemia e hoʻopiha ana i ka iwi kuamoʻo
• Nā hihia kakaikahi o nā sela leukemia e pālahalaha ana i nā ʻōnaehana ʻē aʻe
• Nā kanesa lua, ʻoiai he mea maʻamau ʻole kēia
• Nā pilikia naʻau mai ka anemia nui a i ʻole nā ​​hopena ʻaoʻao o ka mālama

ʻAʻole pinepine, hiki i kekahi poʻe ke loaʻa nā pilikia mai ka mālama ponoʻī, e like me ka wai wai, nā ʻeha o nā ʻiʻo, a i ʻole nā ​​ʻili ʻili mai nā lāʻau lapaʻau i hoʻopilikia ʻia. E nānā pono kāu hui olakino iā ʻoe no kēia mau pilikia a hoʻoponopono i kāu mālama e like me ka pono.

ʻO ka mea maikaʻi, me nā lāʻau lapaʻau hou, hiki ke pale ʻia a mālama pono ʻia ka hapa nui o nā pilikia. ʻO ka nānā mau a me ke kamaʻilio ākea me kāu hui olakino ka mea nui e hopu a hoʻoponopono i nā pilikia i ka wā mua.

Pehea ka ʻike ʻia ʻana o ka Leukemia Myelogenous Mau?

ʻO ka ʻike ʻana i ka CML e hoʻomaka pinepine me nā hoʻokolohua koko e hōʻike ana i ka nui ʻole o nā keʻena koko keʻokeʻo. Hiki i kāu kauka ke kauoha i kēia mau hoʻokolohua ma muli o nā hōʻailona āu e ʻike nei a i ʻole ma ke ʻano he ʻāpana o ka nānā olakino maʻamau.

ʻO ka hana mua ka helu piha o ke koko (CBC), kahi e ana ai i nā ʻano like ʻole o nā keʻena i loko o kou koko. I ka CML, hōʻike pinepine kēia hoʻokolohua i ka nui o nā keʻena koko keʻokeʻo, ʻo nā neutrophils ka mea nui, a hiki ke hōʻike i ka emi ʻana o nā keʻena koko ʻulaʻula a i ʻole nā ​​platelet.

Inā hōʻike kou mau hoʻokolohua koko i ka leukemia, e kauoha aku kāu kauka i nā hoʻokolohua kūikawā e hōʻoia i ka maʻi. ʻO ka biopsy o ka iwi kuamoʻo ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka iwi kuamoʻo mai kou iwi hip e nānā ma lalo o ka microscope. ʻOiai paha he mea ʻoluʻolu ʻole kēia, hana pinepine ʻia me ka anesthesia kūloko a lawe wale i kekahi mau minuke.

ʻO ka hoʻokolohua hoʻoholo no ka CML ke ʻimi nei i ka chromosome Philadelphia a i ʻole ka gene BCR-ABL. Hiki ke hana ʻia kēia ma o kekahi mau ʻano, me ka cytogenetic analysis, fluorescence in situ hybridization (FISH), a i ʻole polymerase chain reaction (PCR) testing. ʻAʻole wale kēia mau hoʻokolohua e hōʻoia ana he CML kāu, akā e kōkua pū kekahi i ka nānā ʻana i ka maikaʻi o ka lāʻau lapaʻau.

Hiki i kāu kauka ke kauoha aku i nā hoʻokolohua kiʻi e like me nā CT scan a i ʻole nā ​​ultrasound e nānā i ka nui o kou spleen a me nā lymph nodes. Kūkulu kēia mau hoʻokolohua i ka nui o ka maʻi a alakaʻi i nā hoʻoholo lapaʻau.

He aha ka lāʻau lapaʻau no ka Leukemia Myelogenous Mau?

Ua loli nui ka mālama ʻana i ka CML i loko o nā makahiki he iwakālua i hala, a ua hoʻololi ʻia ka maʻi ʻaʻai paʻakikī e mālama ai i kahi kūlana maʻi lōʻihi hiki ke mālama ʻia no ka hapa nui o nā kānaka. ʻO ke ala nui o ka mālama ʻana, ʻo ia ka hoʻohana ʻana i nā lāʻau lapaʻau i hoʻonohonoho pono ʻia e hoʻouka pololei i ka protein kūpono ʻole e hoʻokumu ana i ka CML.

ʻO nā mea pale tyrosine kinase (TKIs) ke kumu o ka mālama ʻana i ka CML. Hoʻopau kēia mau lāʻau waha i ka protein BCR-ABL e hoʻokele ana i ka maʻi ʻaʻai, e ʻae ana i kou iwi kuamoʻo e hoʻi i ka hana ʻana i nā keʻena koko maʻamau. ʻO ka TKI mua a hoʻohana pinepine ʻia ʻo imatinib (Gleevec), kahi i kōkua ai i nā kānaka he nui e loaʻa nā helu koko maʻamau a ola piha.

Eia nā ala nui o ka mālama ʻana āu kauka e hāpai paha:

• Nā TKI hana mua e like me imatinib no ka CML maʻi maʻi hou i ʻike ʻia
• Nā TKI hana ʻelua e like me dasatinib a i ʻole nilotinib inā ʻaʻole kūpono ka imatinib
• Nā TKI hana ʻekolu e like me ponatinib no nā hihia kū'ē
• Nā lāʻau lapaʻau hui no nā pae holomua
• Hoʻololi ʻana i nā pūnaewele kumu i nā hihia kakaikahi kahi ʻaʻole hana nā TKIs
• Mālama kākoʻo e hoʻokele i nā hōʻailona a me nā hopena ʻaoʻao
• Nā hoʻokolohua lapaʻau no nā ala mālama hou

Hoʻomaka ka hapa nui o nā kānaka i ka mālama ʻana ma hope koke o ka ʻike ʻia ʻana, ʻoiai inā ʻaʻohe o lākou hōʻailona, ​​no ka mea, pale ka mālama ʻana i ka wā mua i ka holomua o ka maʻi. ʻO ka pahuhopu, ʻo ia ka loaʻa ʻana o ka mea i kapa ʻia ʻo ka pane cytogenetic piha, kahi hiki ʻole ke ʻike ʻia ka chromosome Philadelphia i loko o kou iwi kuamoʻo.

E nānā kāu hui olakino i kāu pane i ka mālama ʻana ma o nā hoʻokolohua koko maʻamau a me nā biopsies iwi kuamoʻo. Loaʻa i nā kānaka he nui nā pane maikaʻi a hiki ke mālama i nā helu koko maʻamau no nā makahiki he nui me ka lāʻau waha i kēlā me kēia lā.

Pehea e mālama ai i ka Leukemia Myelogenous Lōʻihi ma ka home?

ʻO ka mālama ʻana i ka CML ma ka home, ʻo ia ka lawe mau ʻana i kāu lāʻau a me ke kākoʻo ʻana i kou olakino holoʻokoʻa i ka wā e noho ana me kahi maʻi lōʻihi. ʻO ka mea maikaʻi, ʻo ka hapa nui o nā kānaka me ka CML i kaohi maikaʻi ʻia, hiki iā lākou ke mālama i kā lākou mau hana a me nā hana maʻamau i kēlā me kēia lā.

ʻO ka lawe ʻana i kāu lāʻau TKI e like me ke kauoha ʻia, ʻo ia ka mea nui loa āu e hiki ai ke hana. Hana maikaʻi loa kēia mau lāʻau i ka wā e lawe ʻia ai i ka manawa hoʻokahi i kēlā me kēia lā, a ʻo ka nele o nā dosis hiki ke ʻae i nā cell leukemia ke hoʻonui. Hoʻonohonoho i kahi papa hana e kūpono iā ʻoe, inā paha ia ka lawe ʻana i nā lāʻau me ka ʻaina kakahiaka a i ʻole ka hoʻohana ʻana i nā leka hoʻomanaʻo kelepona.

Eia nā ala kūpono e kākoʻo ai i kou olakino ma ka home:

• Mālama i ka ʻai momona i piha i nā hua, nā huaʻai, a me nā protein liʻiliʻi
• E noho ikaika kino i loko o kou ikehu
• E loaʻa ka hiamoe lawa a me ka hoʻomaha i ka wā e pono ai
• E hana i ka hoʻomaʻemaʻe maikaʻi e pale aku i nā maʻi
• E pale aku i nā poʻe lehulehu nui a i ʻole nā ​​​​kānaka maʻi i ka wā i hoʻohaʻahaʻa ʻia ai kou ʻōnaehana pale
• E inu wai nui, ʻoi aku inā loaʻa iā ʻoe nā hopena ʻaoʻao
• E mālama i ke kaumaha ma o nā ʻano hoʻomaha, nā leʻaleʻa, a i ʻole ke kūkākūkā
• E mālama i kahi puke moʻolelo hōʻailona e hahai i kou manaʻo

E makaʻala i nā hopena ʻaoʻao mai kāu lāʻau, ʻo ia paha ka nausea, nā ʻeha o nā ʻiʻo, ka wai wai, a i ʻole nā ​​ʻili ʻili. Hiki ke mālama ʻia nā hopena ʻaoʻao he nui me nā ʻano maʻalahi e like me ka lawe ʻana i nā lāʻau me ka ʻai, ka noho ʻana i ka wai maikaʻi, a i ʻole ka hoʻohana ʻana i nā huahana mālama ʻili mālie.

Mai kānalua e hoʻopili aku i kāu hui olakino inā loaʻa iā ʻoe nā hōʻailona hopohopo a inā e hoʻopilikia ana nā hopena ʻaoʻao o kāu lāʻau i kou ola. Loaʻa pinepine nā hopena e kōkua iā ʻoe e ʻoluʻolu a mālama i ka mālama pono.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu mau hālāwai CML ke kōkua iā ʻoe e hoʻohana pono i kou manawa me kāu hui olakino a e hōʻoia i ka loaʻa ʻana o nā pane i kāu mau nīnau nui a pau. Ke hoʻomākaukau pono ʻia, e kōkua pū keia e ho'ēmi i ka hopohopo a hāʻawi iā ʻoe i ka mana nui aku ma luna o kāu mālama.

Ma mua o kāu hālāwai, e kākau i lalo i kekahi mau hōʻailona āu i ʻike ai, me ka manawa i hoʻomaka ai a pehea lā e hoʻopilikia ai i kou ola i kēlā me kēia lā. E hoʻomaopopo i nā hopena ʻaoʻao mai kāu lāʻau lapaʻau, ʻoiai inā he mea liʻiliʻi wale nō, no ka mea hiki i kāu kauka ke kōkua i ka mālama ʻana iā lākou.

E lawe mai i ka papa inoa piha o nā lāʻau āpau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka pākaukau, nā mea hoʻohui, a me nā lāʻau lapaʻau. Hiki i kekahi o kēia mau mea ke launa pū me nā lāʻau lapaʻau CML, no laila pono i kāu kauka kahi kiʻi piha o nā mea āu e lawe nei.

E noʻonoʻo e lawe mai i kahi hoa pilikino a hoaaloha paha i kāu mau hālāwai, ʻoi aku hoʻi no nā kūkākūkā nui e pili ana i nā loli mālama a i ʻole nā ​​hopuna o nā hoʻokolohua. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike a hāʻawi i ke kākoʻo manaʻo i ka wā o nā kūkākūkā paʻakikī.

E hoʻomākaukau i kahi papa inoa o nā nīnau e nīnau aku i kāu kauka. Hiki i kēia ke komo pū me nā nīnau e pili ana i kāu mau hopena hoʻokolohua hou loa, nā loli i kāu papahana mālama, ka mālama ʻana i nā hopena ʻaoʻao, a i ʻole nā ​​hopohopo e pili ana i kou nānā lōʻihi. Mai hopohopo e nīnau i nā nīnau he nui - makemake kāu hui olakino e kōkua iā ʻoe e hoʻomaopopo i kou kūlana a me ka mālama.

He aha ka mea nui e lawe aku e pili ana i ka Leukemia Myelogenous Mau?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i ka CML, ʻo ia kahi ʻano leukemia hiki ke mālama ʻia loa, ʻoi aku hoʻi i ka wā i loaʻa ai i ke kahua maʻamau. ʻOiai hiki i ka loaʻa ʻana o ka hōʻailona kanesa ke manaʻo nui, ua manaʻo pinepine ʻia ka CML he kūlana maʻamau hiki ke mālama ʻia ma mua o kahi maʻi make.

Ua hoʻololi nui nā lāʻau lapaʻau kuhikuhi hou i ka mālama ʻana i ka CML, e hiki ai i ka hapa nui o nā kānaka ke loaʻa nā helu koko maʻamau a ola i nā ola piha a hana nui. Nui nā kānaka me ka CML e hoʻomau nei i ka hana, ka huakaʻi, a me ka hahai ʻana i kā lākou mau pahuhopu ʻoiai e mālama ana i ko lākou kūlana me ka lāʻau lapaʻau waha i kēlā me kēia lā.

ʻO ke kī i ka holomua me ka CML, ʻo ia ka ʻike mua ʻana, ka mālama mau ʻana, a me ka nānā mau ʻana e kāu hui olakino. ʻOiai e pono ai ʻoe e lawe i ka lāʻau lapaʻau no ka manawa lōʻihi a hele i nā hālāwai lapaʻau maʻamau, ʻike ka hapa nui o nā kānaka hiki iā lākou ke hoʻololi i kēia mau koi a mālama i ka maikaʻi o ke ola.

E hoʻomanaʻo he kū hoʻokahi ka ʻike o kēlā me kēia kanaka me ka CML, a e hana pū kāu hui olakino me ʻoe e hoʻomohala i kahi papahana mālama e kūpono i kou kūlana a me kou mau pahuhopu. E komo mau i kāu mālama, e nīnau i nā nīnau ke loaʻa iā ʻoe, a mai kānalua e ʻimi i ke kākoʻo ke pono ʻoe.

Nā nīnau pinepine e pili ana i ka Leukemia Myelogenous Mau

Hiki iaʻu ke ola i kahi ola maʻamau me ka CML?

ʻAe, hiki i ka hapa nui o nā kānaka me ka CML e pane maikaʻi ana i ka mālama ʻana ke ola i nā ola maʻamau a hana nui. Nui nā kānaka e hoʻomau nei i ka hana, ka huakaʻi, a me ka komo ʻana i nā hana a lākou e leʻaleʻa ai ʻoiai e mālama ana i ko lākou kūlana me ka lāʻau lapaʻau i kēlā me kēia lā. ʻO ke kī, ʻo ia ka lawe mau ʻana i kāu lāʻau lapaʻau a noho pili kokoke me kāu hui olakino.

Hiki ke ho'ōla ʻia ka CML?

ʻOiai ua manaʻo ʻia ka CML he kūlana maʻi mau e pono ai ka mālama mau ʻana, ua loaʻa i kekahi poʻe ka mea i manaʻo ʻia he hoʻōla hana me ka lāʻau lapaʻau kuhikuhi. Ua hiki i kahi hapa liʻiliʻi o nā kānaka ke hoʻōki i ka mālama ʻana ʻoiai e mālama ana i nā pae ʻike ʻole ʻia o ka maʻi, ʻoiai pono kēia ke hana wale ʻia ma lalo o ka nānā pono olakino.

Pehea ka lōʻihi e hiki ai i kekahi ke ola me ka CML?

Me nā lāʻau lapaʻau hou, nui ka poʻe me ka CML e loaʻa ana kahi ola lōʻihi kokoke i ka maʻamau. Hōʻike nā haʻawina e ola lōʻihi nā kānaka i ʻike ʻia me ka CML pae lōʻihi e pane maikaʻi ana i ka lāʻau lapaʻau kikoʻī e like me nā kānaka ʻole ka maʻi. ʻO ka nui o ka ola ʻana i nā makahiki he 10 no ka CML pae lōʻihi ma luna o 90% me nā lāʻau lapaʻau o kēia manawa.

He aha ka mea e hana ai inā poina wau i nā lāʻau o kaʻu lāʻau CML?

ʻAʻole pilikia ka poina ʻana i nā lāʻau i kekahi manawa, akā ʻo ka poina mau ʻana i ka lāʻau lapaʻau e hiki ai i nā cell leukemia ke hoʻonui a hoʻomohala paha i ka pale ʻana i ka lāʻau lapaʻau. Inā poina ʻoe i kahi lāʻau, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke i ka manawa no kāu lāʻau lapaʻau aʻe. Mai pālua i nā lāʻau, a e kelepona i kāu hui olakino inā pilikia ʻoe i ka lawe mau ʻana i kāu lāʻau lapaʻau.

Hiki i ka CML ke hoʻi mai ma hope o ka lāʻau lapaʻau?

Hiki i ka CML ke hoʻi mai inā hoʻopau koke ʻia ka lāʻau lapaʻau a i ʻole inā hoʻomohala nā cell leukemia i ka pale ʻana i ka lāʻau lapaʻau. ʻO ia ke kumu e pono ai ka hapa nui o nā kānaka e hoʻomau i ka lawe ʻana i kā lākou lāʻau lapaʻau kikoʻī no ka manawa lōʻihi, ʻoiai inā ʻaʻohe hōʻailona o ka maʻi i nā hōʻike koko. E nānā pono kāu kauka iā ʻoe me nā hōʻike koko maʻamau e hopu i nā hōʻailona o ka hoʻi ʻana mai o ka maʻi i ka wā mua.