He aha ka Lymphoma Hodgkin? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka lymphoma Hodgkin kahi ʻano kanesa e hoʻomaka ana i loko o kāu ʻōnaehana lymphatic, ʻo ia kekahi hapa o ka pūnaewele pale mai nā maʻi o kou kino. ʻAʻole like me nā kanesa ʻē aʻe, he manaʻo maikaʻi loa kēia, me ka loaʻa ʻana o ka hoʻōla piha i ka hapa nui o nā kānaka i ka wā i loaʻa koke ʻia.

ʻO ka mea e hoʻokaʻawale ai i ka lymphoma Hodgkin, ʻo ia ka loaʻa ʻana o nā sela kūpono ʻole i kapa ʻia ʻo Reed-Sternberg cells. Kūkulu kēia mau sela i nā kauka e hoʻokaʻawale iā ia mai nā ʻano lymphoma ʻē aʻe a alakaʻi i ke ala lapaʻau kūpono loa no ʻoe.

He aha ka Lymphoma Hodgkin?

Loaʻa ka lymphoma Hodgkin i ka wā e hoʻomaka ai nā keʻokeʻo koko i loko o kou mau lymph nodes e ulu kūpono ʻole a me ka mana ʻole. Loaʻa i kāu ʻōnaehana lymphatic nā lymph nodes, spleen, iwi marrow, a me nā ʻōnaehana ʻē aʻe e kōkua maʻamau i ka hakakā ʻana i nā maʻi.

Hoʻolaha maʻamau ka maʻi i kahi ʻano i manaʻo ʻia mai kahi hui lymph node i nā mea kokoke. Kūkulu kēia hoʻolaha hoʻonohonoho i kāu pōmaikaʻi, e maʻalahi ai i nā kauka ke hahai a mālama pono.

Ma kahi o 8,500 mau kānaka ma ʻAmelika Hui Pū ʻIa e ʻike ʻia me ka lymphoma Hodgkin i kēlā me kēia makahiki. ʻO ka lono maikaʻi, ʻo ia kekahi o nā ʻano kanesa i hiki ke hoʻōla ʻia, ʻoi aku hoʻi i ka wā i ʻike koke ʻia.

He aha nā Hōʻailona o ka Lymphoma Hodgkin?

ʻO ka hōʻailona mua maʻamau ka pehu ʻole o nā lymph nodes, maʻamau ma kou ʻāʻī, nā armpits, a i ʻole ka ʻāpana groin. Hiki i kēia mau nodes pehu ke ʻike ʻia he paʻa a i ʻole rubbery i ka wā e pā aku ai ʻoe iā lākou, a ʻaʻole lākou e emi i ka nui maʻamau.

He nui nā kānaka me ka lymphoma Hodgkin e ʻike i nā mea a nā kauka i kapa ai ʻo "nā hōʻailona B," hiki ke ʻike ʻia me he maʻi flu mau loa. Eia nā mea āu e ʻike ai:

• Fever wehe ʻole e hele mai a hele aku
• Nā sweats pō nui e hoʻoinu i kou kapa a i ʻole nā lole moe
• Ka emi ʻana o ke kaumaha me ka manaʻo ʻole ma mua o 10% o ke kaumaha o kou kino
• Ka luhi mau ʻole e hoʻomaikaʻi ʻole me ka hoʻomaha
• Ka ʻōhū mau a i ʻole ka ʻeha umauma
• Ka ʻili ʻili nui ma kou kino holoʻokoʻa

ʻIke kekahi poʻe i ka ʻeha maʻamau i ko lākou mau lymph nodes ma hope o ka inu ʻana i ka waiʻona. ʻOiai he mea maʻamau ʻole kēia hōʻailona, ​​hiki iā ia ke lilo i hōʻailona hoʻomaopopo mua e pono ai ke kūkākūkā me kāu kauka.

ʻAʻole pinepine, hiki iā ʻoe ke ʻike i ka pilikia o ka hanu, ʻoi aku hoʻi i ka wā e moe ana, a i ʻole ka pehu i kou maka a me kou ʻāʻī. Hiki i kēia mau hōʻailona ke loaʻa inā e kaomi nā lymph nodes nui i nā ʻano kokoke.

He aha nā ʻAno o ka Lymphoma Hodgkin?

ʻElua mau ʻano nui o ka lymphoma Hodgkin, a ʻo ka ʻike ʻana i ke ʻano āu e loaʻa ai e kōkua i kāu kauka e koho i ka papahana lapaʻau maikaʻi loa. ʻO ka hapa nui o nā hihia e hāʻule ana i loko o ka māhele mua.

ʻO ka lymphoma Hodgkin Classical kahi ma kahi o 95% o nā hihia a pau. Loaʻa i kēia ʻano nā sela Reed-Sternberg hiʻohiʻona a he ʻehā mau ʻano: nodular sclerosis, mixed cellularity, lymphocyte-rich, a me lymphocyte-depleted.

ʻOi aku ka maʻamau ʻole o ka lymphoma Hodgkin Nodular lymphocyte-predominant, ma kahi o 5% o nā hihia. Hoʻomaha mālie kēia ʻano a pono paha i nā ala lapaʻau ʻokoʻa ma mua o ka lymphoma Hodgkin Classical.

He aha nā Kumu o ka Lymphoma Hodgkin?

ʻAʻole maopopo loa ke kumu pololei o ka lymphoma Hodgkin, akā manaʻo nā mea noiʻi e ulu ia i ka wā e hoʻololi ai nā sela pale o kou kino i nā genetics. Hoʻokumu kēia mau hoʻololi i nā sela e ulu a hoʻonui me ka mana ʻole.

Hiki i kekahi mau maʻi ke hoʻonāukiuki i kēia mau hoʻololi i kekahi poʻe. Loaʻa ka Epstein-Barr virus, ka mea e hoʻokumu ai i ka mononucleosis, ma kahi o 40% o nā hihia lymphoma Hodgkin, ʻoiai ʻaʻole loaʻa ka hapa nui o nā kānaka i loaʻa i ka mono e loaʻa i ka lymphoma.

Hiki i ka hoʻohaʻahaʻa ʻia o ka ʻōnaehana pale ke hoʻonui i kou pilikia. Hiki paha kēia ma muli o ka maʻi HIV, nā lāʻau lapaʻau transplant ʻōnaehana, a i ʻole kekahi mau maʻi autoimmune e pono ai nā lapaʻau hoʻohaʻahaʻa pale.

I nā hihia maʻamau ʻole, hiki i nā lapaʻau kanesa ma mua, ʻoi aku hoʻi ka radiation therapy, ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka lymphoma Hodgkin ma hope o nā makahiki. Eia naʻe, he liʻiliʻi loa kēia pilikia i hoʻohālikelike ʻia i nā pono o ka mālama ʻana i ka kanesa mua.

I ka Wā e ʻIke ai i ke Kauka no ka Lymphoma Hodgkin?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i ka pehu ʻole, mau loa i kou mau lymph nodes e mau ana ma mua o ʻelua mau pule. ʻOiai ʻo nā lymph nodes pehu ka mea maʻamau e hoʻokumu ʻia e nā maʻi maʻamau, he mea nui ia e nānā ʻia inā ʻaʻole lākou e hoʻi i ka nui maʻamau.

E ʻimi i ka mālama lapaʻau inā ʻike ʻoe i ka maʻi wela wehe ʻole, nā sweats pō, a i ʻole ka emi ʻana o ke kaumaha me ka manaʻo ʻole e mau ana ma mua o kekahi mau pule. Kūkulu kēia mau hōʻailona, ​​ʻoi aku hoʻi i ka wā e loaʻa pū ai, i ka loiloi koke.

Mai kali inā pilikia ʻoe i ka hanu, ʻeha umauma, a i ʻole ka pehu i kou maka a me kou ʻāʻī. Hiki i kēia mau hōʻailona ke hōʻike i kaomi ʻana o nā lymph nodes nui i nā ʻano nui a pono i ka nānā koke.

He aha nā Pilikia no ka Lymphoma Hodgkin?

ʻOiai he mea hiki ke mālama ʻia loa ka lymphoma Hodgkin, hiki i ka maʻi a me kāna lapaʻau ke alakaʻi i nā pilikia. Hiki ke mālama ʻia ka hapa nui o kēia mau mea me ka mālama lapaʻau kūpono a me ka nānā.

Hiki i ka lymphoma ponoʻī ke hoʻohaʻahaʻa i kou ʻōnaehana pale, e hoʻolilo iā ʻoe i mea maʻalahi i nā maʻi. Hiki iā ʻoe ke ʻike i kou maʻi maʻalahi a i ʻole ka lōʻihi e hoʻōla mai nā maʻi maʻamau.

Hiki i nā pilikia e pili ana i ka lapaʻau ke komo pū:

• Hoʻonui ʻia ka pilikia o nā kanesa ʻē aʻe, ʻoi aku hoʻi ka māmā, umauma, a i ʻole ka kanesa thyroid ma hope o nā makahiki
• Nā pilikia naʻau mai kekahi mau lāʻau chemotherapy a i ʻole ka radiation umauma
• Ka hōʻino ʻana o ka māmā mai ka radiation therapy i ka umauma
• Nā pilikia momona mai ka chemotherapy a i ʻole ka radiation
• Nā pilikia thyroid inā mālama ʻia ka ʻāpana ʻāʻī me ka radiation

Hiki i nā mea ola lōʻihi ke loaʻa i nā kanesa lua 10-20 mau makahiki ma hope o ka lapaʻau, ʻoiai he liʻiliʻi loa kēia pilikia. E nānā pono kāu hui lapaʻau iā ʻoe no kēia mau hopena ma hope.

I nā hihia maʻamau ʻole, inā waiho ʻole ʻia, hiki i ka lymphoma Hodgkin ke pālahalaha i nā ʻōnaehana ma waho o ka ʻōnaehana lymphatic, me ka ate, nā māmā, a i ʻole ka iwi marrow. ʻO ia ke kumu o ka ʻike koke ʻana a me ka mālama ʻana he mea nui loa.

Pehea e Pale ʻia ai ka Lymphoma Hodgkin?

ʻAʻole maopopo, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka lymphoma Hodgkin mai ka wā ʻaʻole mākou i maopopo loa i ke kumu o ia mea. Loaʻa ka hapa nui o nā hihia i nā kānaka me nā pilikia ʻike ʻole.

Eia naʻe, hiki i ka mālama ʻana i kahi ʻōnaehana pale olakino ma o nā hana olakino maikaʻi ke kōkua i ka hoʻohaʻahaʻa ʻana i kou pilikia kanesa holoʻokoʻa. Hoʻokomo kēia i ka ʻai ʻana i ka ʻai kaulike, ka hoʻoikaika kino maʻamau, ka loaʻa ʻana o ka hiamoe lawa, a me ka pale ʻana i ka puhipaka.

Inā loaʻa iā ʻoe ka HIV a i ʻole kekahi kūlana e hoʻohaʻahaʻa i kou ʻōnaehana pale, hiki i ka hana pili kokoke me kāu hui olakino e mālama pono ai ke kōkua i ka hoʻohaʻahaʻa ʻana i kou pilikia o ka loaʻa ʻana o nā lymphomas.

Pehea e ʻIke ʻia ai ka Lymphoma Hodgkin?

Pono ka ʻike ʻana i ka lymphoma Hodgkin e wehe i kahi ʻāpana o ka lymph node nui no ka nānā ʻana ma lalo o ka microscope. ʻO kēia biopsy wale nō ke ala e hōʻoia ai i ka ʻike a me ka ʻike ʻana i ke ʻano kūikawā.

E hoʻomaka paha kāu kauka me kahi nānā kino, e nānā ana i nā lymph nodes pehu ma kou kino holoʻokoʻa. E nīnau nō hoʻi lākou e pili ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau e hoʻomaopopo i ke kiʻi piha.

Hiki i nā ho'āʻo koko ke hāʻawi i ka ʻike kōkua e pili ana i kou olakino holoʻokoʻa a me ka hana ʻōnaehana. ʻOiai ʻaʻole hiki iā lākou ke ʻike i ka lymphoma Hodgkin ma o lākou iho, kōkua lākou i kāu hui lapaʻau e hoʻolālā i kāu lapaʻau.

Kōkua nā ho'āʻo kiʻi e like me nā CT scans, PET scans, a i ʻole MRIs e hoʻoholo i kahi i pālahalaha ai ka lymphoma ma kou kino. He mea nui kēia ʻike staging no ka hoʻolālā ʻana i ke ala lapaʻau kūpono loa.

I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i kahi biopsy iwi marrow e nānā inā ua pālahalaha ka lymphoma ma laila. Hoʻokomo kēia ho'āʻo i ka lawe ʻana i kahi laʻana liʻiliʻi o ka iwi marrow, maʻamau mai kou iwi hip.

He aha ka Lapaʻau no ka Lymphoma Hodgkin?

He mea holomua loa ka lapaʻau no ka lymphoma Hodgkin, me nā helu hoʻōla i ʻoi aku ma mua o 85% holoʻokoʻa a ʻoi aku ka kiʻekiʻe no ka maʻi i ke kahua mua. Kūkulu kāu papahana lapaʻau kūikawā i ke kahua, ke ʻano, a me kou olakino holoʻokoʻa.

ʻO ka chemotherapy ke kumu o ka hapa nui o nā papahana lapaʻau. He mea maikaʻi loa nā hui chemotherapy hou i ka luku ʻana i nā sela lymphoma ma kou kino holoʻokoʻa ʻoiai e hoʻoemi ana i nā hopena maikaʻi i hoʻohālikelike ʻia i nā lapaʻau kahiko.

ʻO ka hui chemotherapy maʻamau loa i kapa ʻia ʻo ABVD, kahi e komo pū ai i ʻehā mau lāʻau like ʻole i hāʻawi ʻia intravenously. Hoʻokomo maʻamau ka lapaʻau i nā pōʻai he nui ma luna o 3-6 mau mahina, me nā hoʻomaha ma waena o nā pōʻai e hāʻawi i kou kino e hoʻōla.

Hiki ke hoʻohui ʻia ka radiation therapy i ka chemotherapy, ʻoi aku hoʻi no ka maʻi i ke kahua mua a i ʻole nā ​​tumors nui. Hoʻokumu pono nā ʻenehana radiation hou i ka kanesa ʻoiai e pale ana i nā ʻōnaehana olakino kokoke.

No nā hihia holomua a i ʻole inā hoʻi mai ka lymphoma, hiki i kāu kauka ke kuhikuhi:

• Chemotherapy nui i hahai ʻia e ka hoʻololi ʻana o nā sela kumu
• Nā lāʻau lapaʻau hou e like me brentuximab vedotin
• Nā lāʻau immunotherapy e kōkua i kou ʻōnaehana pale e hakakā i ka kanesa
• Nā ho'okolohua klinika e ho'āʻo ana i nā lapaʻau hou e manaʻo ʻia

E nānā pono kāu hui lapaʻau iā ʻoe i ka wā o ka lapaʻau, e hoʻoponopono ana i nā lāʻau e like me ka pono e mālama i nā hopena maikaʻi a hōʻoia i ka hopena maikaʻi loa.

Pehea e Lawe ai i ka Lapaʻau Home i ka wā o ka Lymphoma Hodgkin?

ʻO ka mālama ʻana i kāu mālama ma ka home i ka wā o ka lapaʻau he ʻāpana nui ia o kāu hoʻōla. Hiki i ka hapa nui o nā kānaka ke mālama i ka nui o kā lākou mau hana maʻamau ʻoiai e loaʻa ana ka lapaʻau no ka lymphoma Hodgkin.

ʻO ka mālama ʻana i kou ʻōnaehana pale he mea nui, ʻoiai hiki i ka chemotherapy ke hoʻohaʻahaʻa iā ia no kekahi manawa. E holoi pinepine i kou mau lima, e pale aku i nā poʻe nui i ka wā haʻahaʻa kou helu keʻokeʻo koko, a e noho mamao aku i nā kānaka maʻi.

Eia nā hana hana e kākoʻo i kou olakino i ka wā o ka lapaʻau:

• E ʻai i nā meaʻai momona a e inu wai, ʻoiai inā e loli kou makemake
• E loaʻa ka hoʻomaha nui a e hoʻolohe i ka pono o kou kino no ka hiamoe
• E lawe i nā lāʻau e like me ke kuhikuhi ʻia, me nā lāʻau anti-nausea
• E hōʻike koke i kekahi maʻi wela ma luna o 100.4°F i kāu hui lapaʻau
• E pale i kou ʻili mai ka hoʻolaha o ka lā, ʻoi aku hoʻi inā loaʻa ka radiation

Hiki i ka hoʻoikaika māmā e like me ka hele wāwae ke kōkua i ka mālama ʻana i kou ikaika a me nā pae ikehu. Eia naʻe, e pale aku i nā haʻuki hoʻopili a i ʻole nā ​​hana e alakaʻi ai i ka hōʻino i ka wā haʻahaʻa kou helu koko.

Mai kānalua e noi aku no ke kōkua me nā hana o kēlā me kēia lā i ka wā e luhi a maʻi ʻoe. Hiki i ke kākoʻo ʻana mai ka ʻohana a me nā hoaaloha ke hoʻolilo i kahi ʻokoʻa nui i kāu ʻike lapaʻau.

Pehea ʻoe e Hoʻomākaukau ai no kāu Hālāwai Kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua iā ʻoe e hoʻohana nui i kou manawa me ka hui olakino. E kākau i kāu mau hōʻailona, ​​me ka wā i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa.

E lawe mai i kahi papa inoa piha o nā lāʻau āu e lawe nei, me nā lāʻau over-the-counter, nā wikamina, a me nā mea hoʻohui. Hiki i kekahi o kēia mau mea ke launa pū me nā lapaʻau kanesa a i ʻole e hoʻopilikia i kou helu koko.

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi i kāu mau hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo i ka wā o nā kūkākūkā paʻakikī.

E hoʻomākaukau i kahi papa inoa o nā nīnau e nīnau i kāu kauka. Hiki i nā kumuhana nui ke komo pū:

• He aha ke kahua o kaʻu lymphoma a he aha ka manaʻo o ia mea?
• He aha nā koho lapaʻau a me kā lākou mau hopena maikaʻi?
• Pehea ka hopena o ka lapaʻau i koʻu ola o kēlā me kēia lā a me ka hana?
• He aha nā hōʻailona āu e nānā ai e pono ai ka nānā koke?
• Aia nā pilikia momona āu e pono ai ke hoʻoponopono ma mua o ka lapaʻau?

Mai makaʻu e noi aku no ka wehewehe inā ʻaʻole ʻoe i hoʻomaopopo i kekahi mea. Makemake kāu hui lapaʻau e hōʻoia iā ʻoe ua ʻike piha ʻoe i kāu ʻike a me nā koho lapaʻau.

He aha ka Mea Nui e Pili ana i ka Lymphoma Hodgkin?

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia kekahi o nā ʻano kanesa i hiki ke hoʻōla ʻia ka lymphoma Hodgkin. Me nā lapaʻau hou, loaʻa ka hapa nui o nā kānaka i ka remission piha a hele aku e ola i nā ola maʻamau, olakino.

Hoʻolilo ka ʻike koke i ka lapaʻau i mea maikaʻi a hāʻawi pinepine i ka lapaʻau emi ikaika. Inā ʻike ʻoe i ka pehu lymph node mau loa, ʻole a i ʻole nā ​​hōʻailona wehe ʻole e like me ka maʻi wela a me nā sweats pō, mai kānalua e ʻike i kāu kauka.

ʻOiai hiki i ka ʻike ke manaʻo nui, ʻaʻole ʻoe wale nō i kēia huakaʻi. Aia kāu hui olakino, ʻohana, a me nā hoaaloha e kākoʻo iā ʻoe ma o ka lapaʻau a me ka hoʻōla. E hoʻomaʻamaʻa i ka mālama ʻana iā ʻoe iho i kēlā me kēia lā.

Nā Nīnau Pinepine e Pili ana i ka Lymphoma Hodgkin

Q1: He mea hoʻoilina anei ka lymphoma Hodgkin?

ʻAʻole hoʻoilina pololei ʻia ka lymphoma Hodgkin, akā ʻo ka loaʻa ʻana o kahi lālā ʻohana me ka maʻi e hoʻonui iki i kou pilikia. He liʻiliʻi ka hoʻonui ʻana o ka pilikia, a ʻaʻole loaʻa ka hapa nui o nā kānaka me ka mōʻaukala ʻohana i ka lymphoma. Hiki i nā kumu genetic ke hoʻolilo i kekahi poʻe i mea maʻalahi, akā he kuleana nō hoʻi nā kumu kūlohelohe.

Q2: Hiki i nā ʻōpio ke loaʻa i ka lymphoma Hodgkin?

ʻAe, hoʻopili pinepine ka lymphoma Hodgkin i nā ʻōpio, me kahi piko e loaʻa ana i nā kānaka i ko lākou mau makahiki 20 a me 30. ʻO ka ʻoiaʻiʻo, ʻo ia kekahi o nā kanesa maʻamau loa i kēia hui makahiki. ʻO ka lono maikaʻi, ʻo ia ka pane maikaʻi loa o nā ʻōpio, nā kānaka olakino i ka lapaʻau me nā helu hoʻōla maikaʻi loa.

Q3: Pehea ka lōʻihi o ka lapaʻau no ka lymphoma Hodgkin?

Hoʻomau maʻamau ka lapaʻau no 3-6 mau mahina, ma muli o ke kahua a me ke ʻano o ka lymphoma. Loaʻa ka hapa nui o nā kānaka i ka chemotherapy i kēlā me kēia 2-4 mau pule no nā pōʻai he nui. Inā pono, hoʻomau maʻamau ka radiation therapy no 2-4 mau pule. E hana kāu kauka i kahi manawa kūikawā ma muli o kāu kūlana pilikino.

Q4: Hiki iā ʻoe ke ola i kahi ola maʻamau ma hope o ka lapaʻau lymphoma Hodgkin?

Hoʻi ka hapa nui o nā kānaka i kā lākou mau hana maʻamau a ola i nā ola piha, olakino ma hope o ka lapaʻau holomua. ʻOiai pono ʻoe i ka mālama hoʻomau mau e nānā no nā hopena ma hope a i ʻole ka hoʻi hou ʻana, hele aku ka nui o nā mea ola e loaʻa i nā ʻohana, e alualu i nā ʻoihana, a e hauʻoli i nā hana a pau a lākou i hana ai ma mua o ka ʻike.

Q5: He aha ka ʻokoʻa ma waena o ka lymphoma Hodgkin a me ka non-Hodgkin?

ʻO ka ʻokoʻa nui, ʻo ia ka loaʻa ʻana o nā sela Reed-Sternberg i ka lymphoma Hodgkin, ʻaʻole loaʻa i ka lymphoma non-Hodgkin. Hoʻolaha pinepine ka lymphoma Hodgkin i kahi ʻano i manaʻo ʻia a maʻamau ka prognosis maikaʻi loa. Hoʻokaʻawale pū nā ala lapaʻau ma waena o nā ʻano ʻelua.