He aha te Lymphoma Hodgkin? Tohutohu, Take, me te Maimoatanga

Ko te lymphoma Hodgkin tētahi momo mate pukupuku e tīmata ana i roto i tō pūnaha lymphatic, arā, tētahi wāhanga o te whatunga whawhai mate o tō tinana. Kāore i rite ki ētahi atu mate pukupuku, he tino pai te tirohanga mō tēnei, ā, ka ora katoa te nuinga o te iwi ina kitea wawe.

Ko te mea e whakaaweawe ana i te lymphoma Hodgkin ko te noho o ngā pūtau rerekē e kiia nei ko ngā pūtau Reed-Sternberg. Ka āwhina ēnei pūtau i ngā tākuta ki te whakamārama i te rerekētanga i ngā momo lymphoma anō, ā, ka ārahi i te huarahi maimoatanga tino pai mōu.

He aha te Lymphoma Hodgkin?

Ka puta te lymphoma Hodgkin ina tīmata ngā pūtau toto ma i roto i ō kōpū lymph ki te tipu rerekē, ā, kāore e taea te whakahaere. Kei roto i tō pūnaha lymphatic ngā kōpū lymph, te kōpū, te wheua wheua, me ētahi atu tūpuna e āwhina ana i te whawhai i ngā mate.

Ka horapa te mate i te tikanga i te tauira e mōhiotia ana mai i tētahi rōpū kōpū lymph ki ētahi atu e tata ana. Ka mahi tēnei horapa whakarite ki tō painga, ka ngāwari ake te aroturuki me te maimoatanga pai a ngā tākuta.

E 8,500 te tokomaha o te iwi i te United States ka kitea he lymphoma Hodgkin ia tau. Ko te rongo pai, ko tētahi o ngā momo mate pukupuku tino ora, ina kitea wawe.

He aha ngā Tohutohu o te Lymphoma Hodgkin?

Ko te tohu wawe tino noa ko te pupuhi kore mamae o ngā kōpū lymph, i te nuinga i roto i tō kaki, ngā pokohiwi, i te rohe pūtiki. Ka rongo pea ēnei kōpū pupuhi he pakari, he ngohengohe rānei ina pā atu koe ki a rātou, ā, kāore e whakaiti ki te rahi noa.

He tokomaha ngā tāngata he lymphoma Hodgkin e pā ana ki te mea e kiia ana e ngā tākuta he “tohu B”, ā, ka rite pea te ahua ki te mate huka roa. Ko ēnei ngā mea ka kitea pea e koe:

• Te kirika kore whakamaarama e haere mai ana, e haere atu ana rānei
• Te wera o te po e whakamakuku ana i ō kakahu, i ō moenga rānei
• Te ngaro o te taumaha kore whakaaro neke atu i te 10% o te taumaha o tō tinana
• Te ngenge roa e kore e pai ake me te okioki
• Te mare roa, te mamae uma rānei
• Te kōkō mamae puta noa i tō tinana

Ka pāngia etahi i te mamae rerekē i ō rātou kōpū lymph i muri i te inu waipiro. Ahakoa he iti te noho o tēnei tohu, he tohu whakatūpato wawe pea tēnei e tika ana kia kōrerotia ki tō tākuta.

He iti te noho, ka kitea pea e koe te uaua o te manawa, ina moe, te pupuhi rānei i tō mata me tō kaki. Ka puta pea ēnei tohu mena ka pēhi ngā kōpū lymph nui ki ngā hanganga e tata ana.

He aha ngā Momo o te Lymphoma Hodgkin?

E rua ngā momo matua o te lymphoma Hodgkin, ā, ko te mōhio ki te momo kei a koe ka āwhina i tō tākuta ki te whiriwhiri i te mahere maimoatanga pai. Ko te nuinga o ngā take kei roto i te kātene tuatahi.

Ko te lymphoma Hodgkin matua te nuinga o ngā take, e 95% pea. Kei roto i tēnei momo ngā pūtau Reed-Sternberg tohu, ā, e whā ngā momo: te nodular sclerosis, te mixed cellularity, te lymphocyte-rich, me te lymphocyte-depleted.

He tino iti te noho o te lymphoma Hodgkin lymphocyte-predominant nodular, e 5% pea o ngā take. Ka tipu noa atu tēnei momo, ā, ka hiahia pea ki ngā huarahi maimoatanga rerekē i te lymphoma Hodgkin matua.

He aha ngā Take o te Lymphoma Hodgkin?

Kāore i tino mōhiotia te take tika o te lymphoma Hodgkin, engari e whakapono ana ngā kairangahau ka puta ina puta ngā huringa ira i roto i ngā pūtau pūnaha ārai mate o tō tinana. Ka whakaeke ēnei huringa i ngā pūtau ki te tipu, ki te whakaputa rānei i te kore e taea te whakahaere.

Ka taea e ētahi mate te whakaoho i ēnei huringa i etahi tāngata. Kei roto i te 40% pea o ngā take lymphoma Hodgkin te huaketo Epstein-Barr, e whakaeke ana i te mononucleosis, ahakoa ko te nuinga o te iwi e whiwhi ana i te mono kāore e puta he lymphoma.

Ka taea te whakapiki ake i tō tūponotanga ki te ngoikore o tō pūnaha ārai mate. Ka puta pea tēnei na te mate HIV, ngā rongoā whakawhiti tūpuna, i ētahi āhuatanga autoimmune e hiahia ana ki ngā maimoatanga whakaiti pūnaha ārai mate.

I roto i ngā take iti, ka taea e ngā maimoatanga mate pukupuku o mua, ina koa te rongoā radiation, te whakapiki ake i te tūponotanga o te whanau lymphoma Hodgkin i muri i ngā tau. Heoi, he iti rawa tēnei tūponotanga ki ngā painga o te maimoatanga i te mate pukupuku taketake.

Nōhea te Tiro atu ki te Tākuta mō te Lymphoma Hodgkin?

Me whakapiri atu koe ki tō tākuta mena ka kitea e koe te pupuhi kore mamae, roa i roto i ō kōpū lymph e roa atu ana i te rua wiki. Ahakoa ko te pupuhi o ngā kōpū lymph te take i ngā mate noa, he mea nui kia tirohia mena kāore e hoki ki te rahi noa.

Rapua te tiaki hauora mena ka pāngia koe e te kirika kore whakamaarama, te wera o te po, te ngaro o te taumaha kore whakaaro e roa atu ana i ngā wiki torutoru. Ko ēnei tohu, ina koa ka puta tahi, ka hiahia ki te aromatawai wawe.

Kaua e tatari mena kei te uaua tō manawa, te mamae uma, te pupuhi rānei i tō mata me tō kaki. Ka taea e ēnei tohu te tohu kei te pēhi ngā kōpū lymph nui ki ngā hanganga nui, ā, me whakawātea wawe.

He aha ngā Tūponotanga mō te Lymphoma Hodgkin?

Ahakoa he tino taea te rongoa te lymphoma Hodgkin, ka taea e te mate me tōna maimoatanga te arahi ki ngā raruraru. Ko te nuinga o ēnei ka taea te whakahaere me te tiaki hauora tika me te aroturuki.

Ka taea e te lymphoma anō te whakaiti i tō pūnaha ārai mate, ka nui ake ai tō tūponotanga ki ngā mate. Ka kitea pea e koe te ngāwari ake o te mate, te roa rānei o te ora mai i ngā mate noa.

Ko ēnei ngā raruraru e pā ana ki te maimoatanga:

• Te whakapiki ake i te tūponotanga o ētahi atu mate pukupuku, ina koa te mate pukupuku pūkahukahu, te uma, te thyroid rānei i muri i ngā tau
• Ngā raruraru ngakau mai i ētahi rongoā chemotherapy, i te radiation uma rānei
• Te kino o te pūkahukahu mai i te rongoā radiation ki te uma
• Ngā raruraru hua mai i te chemotherapy, i te radiation rānei
• Ngā raruraru thyroid mena i maimoatia te rohe kaki ki te radiation

Ka taea e ngā kaiora roa te whanau i ngā mate pukupuku tuarua 10-20 tau i muri i te maimoatanga, ahakoa he iti te tūponotanga. Ka aroturuki tata atu tō rōpū hauora ki ēnei pānga roa.

I roto i ngā take iti, mena kāore i maimoatia, ka taea te horapa o te lymphoma Hodgkin ki ngā tūpuna i waho o te pūnaha lymphatic, tae atu ki te ate, te pūkahukahu, te wheua wheua rānei. Koia te take he mea nui te kite wawe me te maimoatanga.

Me pēhea te ārai i te Lymphoma Hodgkin?

Heoi, kāore he huarahi kua whakamāramahia ki te ārai i te lymphoma Hodgkin, no te mea kāore i tino mōhiotia e tatou te take. Ko te nuinga o ngā take ka puta i ngā tāngata kāore he tūponotanga e mōhiotia ana.

Heoi, ko te pupuri i te pūnaha ārai mate hauora mā ngā mahi hauora whānui ka āwhina pea ki te whakaiti i tō tūponotanga mate pukupuku whānui. Kei roto i ēnei te kai kai rite, te whakakori tinana, te moe pai, me te karo i te wāhine.

Mena he HIV, he āhuatanga anō rānei kei a koe e whakaiti ana i tō pūnaha ārai mate, ko te mahi tata atu ki tō rōpū hauora ki te whakahaere pai ka āwhina pea ki te whakaiti i tō tūponotanga ki te whanau lymphoma.

Me pēhea te Whakamārama i te Lymphoma Hodgkin?

Ko te whakamārama i te lymphoma Hodgkin e hiahia ana ki te tango i tētahi wāhanga o te kōpū lymph nui hei tirotiro i raro i te microscope. Ko tēnei biopsy te huarahi anake ki te whakau i te whakamārama, ki te tohu i te momo motuhake.

Ka tīmata pea tō tākuta me te whakamātautau tinana, te tirotiro i ngā kōpū lymph nui puta noa i tō tinana. Ka ui atu rātou ki ō tohu me tō hītori hauora hei whakamārama i te whakaahua katoa.

Ka taea e ngā whakamātautau toto te whakarato i ngā korero whai hua mō tō hauora whānui me te mahi o ngā tūpuna. Ahakoa kāore e taea e rātou te whakamārama i te lymphoma Hodgkin, ka āwhina rātou i tō rōpū hauora ki te whakarite i tō maimoatanga.

Ka āwhina ngā whakamātautau whakaahua penei i ngā CT scan, PET scan, i ngā MRI ki te whakatau i te tawhiti o te horapa o te lymphoma puta noa i tō tinana. He mea nui tēnei korero whakatau mo te whakarite i te huarahi maimoatanga tino pai.

I etahi wā, ka tūtohutia pea e tō tākuta te biopsy wheua wheua ki te tirotiro mena kua horapa te lymphoma ki reira. Kei roto i tēnei whakamātautau te tango i tētahi tauira iti o te wheua wheua, i te nuinga mai i tō wheua huha.

He aha te Maimoatanga mō te Lymphoma Hodgkin?

He tino angitu te maimoatanga mō te lymphoma Hodgkin, me ngā reiti ora e neke atu ana i te 85% whānui, ā, he nui ake mō te mate i te tīmatanga. Ko tō mahere maimoatanga motuhake e whakawhirinaki ana ki te whakatau, te momo, me tō hauora whānui.

Ko te chemotherapy te pourewa o te nuinga o ngā mahere maimoatanga. He tino whai hua ngā whakakotahitanga chemotherapy hou ki te whakangaro i ngā pūtau lymphoma puta noa i tō tinana me te whakaiti i ngā pānga i te whakataurite ki ngā maimoatanga tawhito.

Ko te whakakotahitanga chemotherapy tino noa e kiia nei ko te ABVD, kei roto i ēnei e whā ngā rongoā rerekē e hoatu ana i roto i te uaua. Ko te maimoatanga i te nuinga e hiahia ana ki ngā huringa maha i roto i ngā marama 3-6, me ngā okioki i waenga i ngā huringa kia ora ai tō tinana.

Ka taea te tāpiri i te rongoā radiation ki te chemotherapy, ina koa mō te mate i te tīmatanga, i ngā mate nui rānei. Ka taea e ngā hangarau radiation hou te taumata tika i te mate pukupuku me te tiaki i ngā tūpuna hauora e tata ana.

Mō ngā take nui ake, mena ka hoki mai te lymphoma rānei, ka tūtohutia pea e tō tākuta:

• Te chemotherapy nui e whai ake nei i te whakawhiti pūtau pūtau
• Ngā maimoatanga hou penei i te brentuximab vedotin
• Ngā rongoā immunotherapy e āwhina ana i tō pūnaha ārai mate ki te whawhai i te mate pukupuku
• Ngā whakamātautau hauora e whakamātautau ana i ngā maimoatanga hou e whakaari ana

Ka aroturuki tata atu tō rōpū maimoatanga i a koe puta noa i te maimoatanga, te whakarite i ngā rongoā kia rite ki te hiahia ki te whakahaere i ngā pānga me te whakarite i te hua pai rawa atu.

Me pēhea te tango i te maimoatanga kāinga i te wā o te Lymphoma Hodgkin?

Ko te whakahaere i tō tiaki i te kāinga i te wā o te maimoatanga he wāhanga nui o tō ora. Ko te nuinga o te iwi ka taea te pupuri i te nuinga o ō rātou mahi noa i te wā e whiwhi ana i te maimoatanga mō te lymphoma Hodgkin.

He mea nui te tiaki i tō pūnaha ārai mate no te mea ka taea e te chemotherapy te whakaiti i te wā poto. Horoihia ō ringa i te maha, karohia ngā mano i te wā iti o tō tau pūtau toto ma, kia kaua e tata ki ngā tāngata e mate ana.

Ko ēnei ngā mahi whai hua hei tautoko i tō hauora i te wā o te maimoatanga:

• Kai kai kai hauora, kia makuku hoki, ahakoa ka huri tō hiahia kai
• Whiwhi i te nui o te okioki, whakarongo hoki ki te hiahia o tō tinana ki te moe
• Tangohia ngā rongoā kia rite ki te whakahau, tae atu ki ngā rongoā anti-nausea
• Whakamōhio wawe ki tō rōpū hauora ki tetahi kirika neke atu i te 100.4°F
• Tīakina tō kiri mai i te rā, ina koa mena kei te whiwhi koe i te radiation

Ka taea e te whakakori ngawari penei i te hikoi te āwhina i te pupuri i tō kaha me ō taumata kaha. Heoi, karohia ngā hākinakina hono, i ngā mahi rānei e taea ai te whara ina iti ō tau pūtau toto.

Kaua e whakaroa ki te tono awhina mō ngā mahi o ia rā ina ngenge koe, ina mate rānei. Ko te whiwhi tautoko mai i te whānau me ngā hoa ka taea te whakarereke nui i tō wheako maimoatanga.

Me pēhea te Whakarite mō tō Hui Tākuta?

Ko te whakarite mō tō hui ka āwhina i a koe ki te whakamahi pai i tō wā me te rōpū hauora. Tuhia ō tohu, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa i te wā.

Kawe mai i te rārangi katoa o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā-ā-te-kaute, ngā huaora, me ngā tāpiri. Ka taea e ētahi o ēnei te pā ki ngā maimoatanga mate pukupuku, te pā rānei ki ō tau pūtau toto.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei ki ō hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui, ki te whakarato hoki i te tautoko ngākau i ngā kōrero uaua.

Whakaritea he rārangi o ngā pūrongo hei ui ki tō tākuta. Ko ēnei ngā kaupapa nui pea:

• He aha te whakatau o taku lymphoma, he aha te tikanga o tera?
• He aha ōku whiringa maimoatanga me ō rātou pānga?
• Me pēhea te pā o te maimoatanga ki toku oranga o ia rā me te mahi?
• He aha ngā tohu me titiro atu ahau e hiahia ana ki te whakawātea wawe?
• He take hua kei te hiahia ahau ki te whakatika i mua i te maimoatanga?

Kaua e wehi ki te tono whakamārama mena kāore koe e mōhio ki tetahi mea. E hiahia ana tō rōpū hauora ki te whakarite kua tino whakamāramahia koe mō tō whakamārama me ō whiringa maimoatanga.

He aha te tango matua mō te Lymphoma Hodgkin?

Ko te mea nui rawa hei mahara ko te lymphoma Hodgkin tētahi o ngā momo mate pukupuku tino ora. Me ngā maimoatanga hou, ko te nuinga o te iwi ka whiwhi i te whakahokinga katoa, ka haere tonu ki te noho i ngā oranga noa, hauora.

Ka whai hua ake te maimoatanga i te kite wawe, ā, ka taea te whakaae i te maimoatanga iti ake. Mena ka kitea e koe te pupuhi roa, kore mamae o te kōpū lymph, i ngā tohu kore whakamaarama penei i te kirika me te wera o te po, kaua e whakaroa ki te kite i tō tākuta.

Ahakoa ka rongo te whakamārama he nui rawa, kāore koe i te kotahi i roto i tēnei haerenga. Kei reira tō rōpū hauora, whānau, me ngā hoa ki te tautoko i a koe puta noa i te maimoatanga me te ora.

Ngā Pūrongo Nui e Pā ana ki te Lymphoma Hodgkin

Q1: He whakatūpato te lymphoma Hodgkin?

Kāore te lymphoma Hodgkin i whakatūpato tika, engari ko te noho o tētahi mema whānau me te mate ka whakapiki ake pea i tō tūponotanga. He iti te whakapiki ake o te tūponotanga, ā, ko te nuinga o te iwi he hītori whānau kāore e whanau lymphoma. Ka taea e ngā take ira te whakaeke i ētahi tāngata, engari he wāhi hoki ngā take taiao.

Q2: Ka taea e ngā tāne taitamariki te whiwhi lymphoma Hodgkin?

Ae, ko te lymphoma Hodgkin te tikanga e pā ana ki ngā tāne taitamariki, me tetahi pito e puta ana i ngā tāngata i roto i ō rātou tau 20 me 30. Koinei tētahi o ngā mate pukupuku tino noa i roto i tēnei rōpū tau. Ko te rongo pai, ko ngā tāngata taitamariki, hauora e whakautu pai ana ki te maimoatanga me ngā reiti ora pai.

Q3: E hia te roa o te maimoatanga mō te lymphoma Hodgkin?

Ko te maimoatanga i te nuinga e roa ana i ngā marama 3-6, e whakawhirinaki ana ki te whakatau me te momo lymphoma. Ko te nuinga o te iwi e whiwhi ana i te chemotherapy i ngā wiki 2-4 mō ngā huringa maha. Ko te rongoā radiation, mena e hiahiatia ana, i te nuinga e roa ana i ngā wiki 2-4. Ka hanga e tō tākuta tētahi raupapa wā motuhake e whakawhirinaki ana ki tō tūāhua motuhake.

Q4: Ka taea te noho i te oranga noa i muri i te maimoatanga lymphoma Hodgkin?

Ko te nuinga o te iwi e hoki ana ki ō rātou mahi noa, ka noho i ngā oranga katoa, hauora i muri i te maimoatanga angitu. Ahakoa ka hiahia koe ki te tiaki aroturuki kia aroturukihia ai ngā pānga roa, i te hokinga mai rānei, ko te nuinga o ngā kaiora ka haere tonu ki te whānau, ki te whai mahi, ki te pai ki ngā mahi katoa i mua i te whakamārama.

Q5: He aha te rerekētanga i waenga i te lymphoma Hodgkin me te kore-Hodgkin?

Ko te rerekētanga matua ko te noho o ngā pūtau Reed-Sternberg i roto i te lymphoma Hodgkin, kāore i kitea i roto i te lymphoma kore-Hodgkin. Ko te lymphoma Hodgkin te tikanga ka horapa i te tauira e mōhiotia ana, ā, he pai ake te tirohanga. Ka rerekē hoki ngā huarahi maimoatanga i waenga i ngā momo e rua.