He aha te Leukemia Lymphoma Matetake? Tohutohu, Take, me te Maimoatanga

Ko te leukemia lymphoma matetake (CLL) tētahi momo mate pukupuku toto e pā ana ki ō pū toto ma, e kiia nei ko ngā lymphocytes. Ko ēnei pū e awhina ana i te whawhai ki ngā mate, engari i roto i te CLL, ka tipu kino rātou ka kohikohi ki roto i tō toto, i tō wheua wheua, me ō ngutu lymph.

Kāore i rite ki ētahi atu leukemia, ka puea haere te CLL i roto i ngā marama, i ngā tau rānei. He tokomaha ngā tāngata e ora ana me tēnei āhuatanga mō ngā tekau tau, ā, kahore pea e hiahiatia e ētahi te maimoatanga.

He aha te Leukemia Lymphoma Matetake?

Ka puta te CLL ina nui rawa te whakaputa a tō wheua wheua i ngā B-lymphocytes, tētahi momo pū toto ma motuhake. Kāore ēnei pū he, e whawhai tika ana ki ngā mate, ka whakakiia ngā pū toto hauora.

Ko te kupu "matetake" te tikanga ka haere haere, he rongo pai tēnā. Ka taea e te nuinga o ngā tāngata e mate ana i te CLL te pupuri i tō rātou kounga ora mō ngā tau maha. Ko te āhuatanga e pā ana ki ngā tāngata pakeke, me te nuinga o ngā whakatau i muri i te 55 tau.

Ko te CLL te momo leukemia tino noa i roto i ngā tāngata pakeke i ngā whenua o te Hauauru. He rerekē i ngā leukemia koi, e puea haere ana ka hiahia tonu ki te maimoatanga.

He aha ngā tohu o te Leukemia Lymphoma Matetake?

He tokomaha ngā tāngata e mate ana i te CLL i te tīmatanga kahore he tohu. Ka kitea te āhuatanga i roto i ngā whakamātau toto noa i mua i te puta mai o ētahi tohu whakatūpato.

Ina puta mai ngā tohu, ka puta haere mai i te whakaraupapa o ngā pū he i roto i tō pūnaha. Ko ēnei ngā tohu tino noa hei titiro:

• Ngā ngutu lymph pupū i tō kaki, i raro i ō ringa, i tō pūkahukahu rānei, kāore e mamae
• Te ngenge, te ngoikore rānei, ahakoa te okioki pai
• Ngā mate e puta pinepine ana, e roa ana te ora
• Te ngaro taimaha kahore he take i roto i ngā marama
• Te wera i te pō e makuku ana ō kakahu, ō moenga rānei
• Te mārōngaro ngāwari, te toto rānei mai i ngā kōhatu iti
• Te ngawari te makona ina kai, na te pupū o te kōpū
• Te poto o te manawa i ngā mahi noa

Ko ētahi atu tohu kaore i te noa, tae atu ki te kirikahore he take mārama, te mamae puku rānei. Kia mahara, he maha atu ngā whakamārama mō ēnei tohu, no reira, kāore te whai i ēnei tohu e kī ana kei a koe te CLL.

He aha ngā momo o te Leukemia Lymphoma Matetake?

Ka whakarōpū ngā tākuta i te CLL ki ngā momo rerekē i runga i te ahua o ngā pū mate i raro i te microscope me ngā pūtau e mau ana. Ko te wehewehe matua i waenganui i te CLL noa me ētahi atu āhuatanga e pā ana.

Ko te CLL noa te nuinga o ngā take, ā, ko ngā B-lymphocytes. He momo rerekē kei reira, e kiia nei ko te leukemia prolymphocytic, e tere haere ana, engari he iti rawa.

Ka kōrero pea tō rōpū hauora mō te whai rānei o ō pū CLL i ētahi huringa ira. Ko ētahi momo e puea haere ana, ko ētahi atu pea e hiahia ana ki te maimoatanga i mua. Ka awhina ēnei kōrero i tō tākuta ki te hanga i te mahere tiaki pai mō tō āhuatanga motuhake.

He aha ngā take o te Leukemia Lymphoma Matetake?

Kāore i tino mōhiotia te take tika o te CLL, engari ka tīmata ina puta ngā huringa DNA i roto i ngā B-lymphocytes. Ka puta ēnei huringa ira ki te tipu o ngā pū kaore i te mana, ka ora roa atu i te mea e tika ana.

Ko te nuinga o ngā take ka puta mai kahore he take mārama. Kāore i puta mai i tetahi mea i mahi koe, i kore rānei i mahi. Kāore i rite ki ētahi mate pukupuku, kāore te CLL e hono atu ki te wāhine, te kai, te oranga rānei.

He maha ngā take ka awhina i te whanaketanga o te CLL, ahakoa kahore he mea e whakamana ana ka whiwhi koe i te mate:

• Te tau - ko te nuinga o ngā tāngata i whakatauhia he neke atu i te 55 tau
• Te ira tangata - ko ngā tāne te rua te tūpono ki te whanake i te CLL i ngā wāhine
• Te hītori whānau - te whai whānau e mate ana i te CLL, i ētahi atu mate pukupuku toto rānei e whakapiki ana i te tūpono
• Te iwi - ko te CLL he noa atu i roto i ngā tāngata o te iwi Pākehā
• Te whakaū ki ētahi kemikara penei i te Agent Orange (kaore i te noa)

Ko te whai i ēnei tūpono kaore e kī ana ka whanake koe i te CLL. He tokomaha ngā tāngata e whai ana i ngā tūpono maha kaore e whiwhi i te mate, ko ētahi atu kaore he tūpono mārama e whiwhi ana.

Nōhea te haere ki te tākuta mō te Leukemia Lymphoma Matetake?

Me whakapiri atu koe ki tō tākuta ki te kite koe i ngā tohu mau tonu e neke atu ana i ngā wiki. Ahakoa he maha ngā whakamārama ngāwari mō ēnei tohu, he pai tonu te tirotiro.

Whakatau rānei he hui ki te pāngia koe e ngā ngutu lymph pupū kaore e ngaro i muri i ngā wiki e rua, ina koa ki te kore e mamae. Rapua hoki te tiaki hauora mō te ngenge e kore e pai ake me te okioki, te mate pinepine rānei.

Kaua e tatari ki te whai koe i ngā tohu āwangawanga penei i te ngaro taimaha kahore he take, te wera i te pō, te mārōngaro ngāwari rānei. Ko te kite wawe e ārahi ana ki ngā hua pai ake, ahakoa ka puea haere te CLL.

He aha ngā tūpono mō te Leukemia Lymphoma Matetake?

He maha ngā take ka whakapiki i ō tūpono ki te whanake i te CLL, ahakoa ko te whai i ngā tūpono kaore e whakamana ana ka whiwhi koe i te mate. Ko te mārama ki ēnei ka taea te awhina i a koe ki te noho mataara kaore e nui rawa te manukanuka.

Ko te tau te tūpono nui rawa. Kāore te CLL e pā ana ki ngā tāngata i raro i te 40, ka piki haere tō tūpono i muri i te 55. Ko te nuinga o ngā tāngata i whakatauhia kei roto i ō rātou tekau tau 60, 70 rānei.

Ko ēnei ngā tūpono matua i kitea e ngā tākuta:

• Ko te tane - ko ngā tāne te rua te tūpono ki te whanake i te CLL i ngā wāhine
• Te whai hītori whānau o te CLL, i ētahi atu mate pukupuku toto rānei
• Ko te iwi Hūrai Ashkenazi
• Te whakaū ki ētahi kemikara, ki te radiation rānei i mua
• Te whai i ētahi mate pūnaha ārai mate kua oti te whakararangi

He iti rawa ngā syndrome ira kaore i te noa e whakapiki ana i te tūpono CLL, engari ko ēnei te iti rawa o ngā take. Ko te nuinga o ngā tāngata e mate ana i te CLL kahore he hītori whānau mārama o te mate.

He aha ngā raruraru pea o te Leukemia Lymphoma Matetake?

Ahakoa ka puea haere te CLL, ka taea e ia te ārahi ki ngā raruraru e hiahia ana ki te tiaki hauora. Ko te mārama ki ēnei wāhi ka taea te awhina i a koe ki te mohio ki te rapu tiaki wawe.

Ko ngā raruraru tino noa e puta mai ana na te mea ka whakakiia e ngā pū CLL ngā pū toto hauora. Ka taea e tēnei te whakapiki i tō tūpono ki ngā mate, te whakaheke i te ora mai i ngā whara.

Ko ēnei ngā raruraru pea hei matapae:

• Te piki o te tūpono mate na te ngoikore o te pūnaha ārai mate
• Te anemia e puta ana i te ngenge nui, te ngoikore rānei
• Te iti o te taumaha paplatelet e ārahi ana ki te mārōngaro ngāwari, te toto rānei
• Te pupū o te kōpū e puta ana i te mamae puku
• Te huri ki te lymphoma koi ake (kaore i te noa)
• Te whanaketanga o ngā mate pukupuku tuarua i muri mai i te ora
• Ngā raruraru autoimmune e whakaeke ana tō tinana i ngā pū hauora

Ko te huringa o Richter, kei reira te CLL e huri ai ki te lymphoma koi, e puta ana i te 3-10% o ngā tāngata. Ahakoa he kino, ka taea te maimoatanga pai o tēnei raruraru ina kitea wawe.

Me pēhea te whakatau i te Leukemia Lymphoma Matetake?

Ko te whakatau i te CLL e tīmata ana me ngā whakamātau toto e whakaatu ana i ngā tau o ngā pū toto ma he. Ka tono tō tākuta i ngā whakamātau atu hei whakamana i te whakatau, hei whakatau i te whānuitanga o te āhuatanga.

Ko te whakamātau whakatau matua ko te flow cytometry, e tautuhi ana i ngā pūtau motuhake i runga i ō pū toto. Ka taea e tēnei whakamātau te wehewehe i ngā pū CLL i ētahi atu momo lymphocytes.

Ka tūtohu pea tō rōpū hauora i ngā whakamātau maha hei whiwhi i te whakaahua katoa:

• Te tau toto katoa hei tirotiro i ngā momo pū toto katoa
• Te flow cytometry hei tautuhi i ngā tohu CLL motuhake
• Te whakamātau ira hei titiro ki ngā huringa chromosomal
• Ngā whakaahua CT hei tirotiro i te rahi o ngā ngutu lymph
• Te biopsy wheua wheua (ka hiahiatia pea)
• Ngā taumata immunoglobulin hei aromatawai i te mahi ārai mate

Ka awhina ēnei whakamātau i tō tākuta ki te whakarōpū i tō CLL, ki te whakarite i te huarahi maimoatanga pai.

He aha te maimoatanga mō te Leukemia Lymphoma Matetake?

Ko te maimoatanga mō te CLL e whakawhirinaki ana ki tō wāhi, tohu, me tō hauora katoa. He tokomaha ngā tāngata e mate ana i te CLL i te tīmatanga kaore e hiahia ana ki te maimoatanga wawe ka taea te tirotiro me ngā tirotiro noa.

Ko tēnei "tirotiro me te tatari" pea ka āwangawanga, engari ko te rautaki pai tēnā mō te tokomaha o ngā tāngata. Ko te tīmatanga o te maimoatanga i mua rawa kaore e pai ake ngā hua, ka taea te whakaputa i ngā pānga kaore e hiahiatia.

Ina hiahiatia te maimoatanga, he maha ngā kōwhiringa whai hua kei a koe:

• Ngā rongoā whakaeke e whakaeke ana i ngā pūtau mate pukupuku motuhake
• Te immunotherapy hei awhina i tō pūnaha ārai mate ki te whawhai ki te mate pukupuku
• Te chemotherapy, e whakakotahitia ana me ētahi atu maimoatanga
• Ngā antibodies monoclonal e whakaeke ana i ngā pū CLL
• Te whakawhiti pūtau pūtau mō ngā tāngata taitamariki e mate kino ana
• Te rongoā radiation mō ngā ngutu lymph pupū (i etahi wa)

Kua hurihia e ngā rongoā whakaeke hou penei i te ibrutinib me te venetoclax te maimoatanga CLL. Ko ēnei rongoā e mahi pai ana i te chemotherapy noa me ngā pānga iti ake.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te Leukemia Lymphoma Matetake?

Ko te whakahaere i te CLL i te kāinga e aro ana ki te tautoko i tō hauora katoa me te ārai i ngā mate. Ka taea e ngā whiringa iti o ia rā te whakarereke nui ki tō ahua.

Na te pānga o te CLL ki tō pūnaha ārai mate, ka nui ake te ārai i ngā mate. Horoihia ō ringa pinepine, kaua hoki e haere ki ngā mano i te wā o te mate huka, o te mate huaketo rānei.

Ko ēnei ngā mahi whai hua ka taea e koe i te kāinga:

• Kai i te kai tōtika e whai hua ana i ngā hua, ngā huawhenua, me ngā pūtau ngako iti
• Noho makuku mā te inu wai maha i te rā
• Whiwhi moe pai hei tautoko i tō pūnaha ārai mate
• Whakapakari ngāwari kia rite ki te manawanui hei pupuri i te kaha
• Whakamahia te whakahaere ahotea mā te whakaaroaro, te whakamahinga rānei
• Haere tonu ki ngā whakakakahu e tūtohutia ana
• Tirohia tō pāmahana, whakamōhio wawe hoki ki ngā kirika

Whakarongo ki tō tinana, okioki hoki ina hiahia koe. Ko te ngenge he noa ki te CLL, ko te pehi i a koe ki te nui rawa ka taea te whakaiti i ngā tohu.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka taea te awhina i a koe ki te whiwhi i te nuinga mai i tō wā me tō rōpū hauora. Tuhia ō pātai i mua kia kaua e wareware i ngā āwangawanga nui.

Kawe mai i te rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā taapiri me ngā rongoā kaore i te hiahiatia te rongoā. Kohikohi hoki i ngā hua whakamātau i mua, i ngā rēkōta hauora rānei e pā ana ki tō āhuatanga.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei hei awhina i a koe ki te mahara ki ngā kōrero, ki te whakarato tautoko hinengaro hoki. Ko te whai i tētahi atu kei reira ka taea te awhina motuhake ina kōrero ana mō ngā kōwhiringa maimoatanga uaua.

Whakaritea ēnei mea mō tō haerenga:

• Rārangi o ngā tohu o nāianei me te wā i tīmata ai
• Ngā rongoā katoa, ngā huaora, me ngā taapiri e inu ana koe
• Te hītori whānau o te mate pukupuku, o ngā mate toto rānei
• Ngā hua whakamātau i mua, i ngā rangahau whakaahua rānei
• Ngā kōrero inihua me te whakaū
• Ngā pātai tuhituhi mō tō āhuatanga me te maimoatanga

Kaua e whakaroa ki te tono whakamārama ki te kore koe e mārama ki tetahi mea. E hiahia ana tō rōpū hauora kia mohio koe, kia pai hoki ki tō mahere tiaki.

He aha te mea nui mō te Leukemia Lymphoma Matetake?

Ko te CLL he āhuatanga e taea te whakahaere, e ora ana te tokomaha o ngā tāngata mō ngā tau kahore he pānga nui ki ō rātou oranga o ia rā. Ahakoa te āwangawanga o te whiwhi i te whakatau mate pukupuku, kia mahara ka puea haere te CLL.

He tokomaha ngā tāngata e mate ana i te CLL e mahi tonu ana, e haereere ana, e pai ana hoki ki ō rātou mahi noa. Ko ngā maimoatanga hou he whai hua ake, he iti ake ngā pānga i mua.

Ko te mea nui ko te pupuri i te kōrero whakatuwhera me tō rōpū hauora, me te whai i ō rātou tūtohu mō te tirotiro me te maimoatanga. Me te tiaki tika, ka taea e te tokomaha o ngā tāngata e mate ana i te CLL te tumanako ki te ora i ngā oranga tino, mahi.

Ngā pātai e ui pinepinetia ana mō te Leukemia Lymphoma Matetake

Ka taea te whakaora i te leukemia lymphoma matetake?

Kāore i te taea te whakaora i te CLL i tēnei wā, engari he maha ngā maimoatanga, he taea te whakahaere. He tokomaha ngā tāngata e ora ana i ngā oranga noa me tēnei āhuatanga. Ka haere tonu ngā maimoatanga hou ki te whakapai ake i ngā hua, kei te mahi ngā kairangahau ki ngā maimoatanga pai ake ka taea pea te ārahi ki te whakaora i tētahi rā.

E hā o te tere o te puea o te leukemia lymphoma matetake?

Ko te CLL e puea haere ana i roto i ngā tau, i ngā tekau tau rānei. Kāore pea e hiahiatia e ētahi te maimoatanga, ko ētahi atu pea e hiahia ana ki te maimoatanga i muri i ngā tau maha o te tirotiro. Ka taea e tō tākuta te whakatau i tō whakatau motuhake i runga i te whakamātau ira me ētahi atu take.

Ka taea te ora i te oranga noa me te leukemia lymphoma matetake?

Ae, he tokomaha ngā tāngata e mate ana i te CLL e ora tonu ana i ngā oranga mahi, whai hua. Pea ka hiahia koe ki te tango i ētahi tūpato ki ngā mate, ki te haere atu ki ngā hui hauora noa, engari ka taea te haere tonu o ngā mahi o ia rā. Ko te maimoatanga, ina hiahiatia, e taea ai e ngā tāngata te pupuri i tō rātou kounga ora.

He aha ngā kai me karo i te leukemia lymphoma matetake?

Kāore he kai motuhake me karo koe me te CLL, engari kia aro ki te kai haumaru hei ārai i ngā mate. Karohia ngā mīti mata, ngā hua, ngā huawhenua kaore i horoia, me ngā hua waiū kaore i te wera.

He whakatūpato te leukemia lymphoma matetake?

He mea ira te CLL, na te mea ka rere i roto i ngā whānau atu i ētahi atu mate pukupuku. Engari, ko te nuinga o ngā tāngata e mate ana i te CLL kahore he hītori whānau o te mate. Ko te whai whānau e mate ana i te CLL e whakapiki ana i tō tūpono, engari kaore e kī ana ka whanake koe i te āhuatanga.