Types/leukemia/patient/cll-treatment-pdq
Nā ʻikepili i loko
- 1 Maʻi Lymphocytic Leukemia Hana (®) –Patient Version
- 1.1 Nā ʻIkepili Nui e pili ana i ka Leukemia Lymphocytic maʻi
- 1.2 Nā pae oChronic Lymphocytic Leukemia
- 1.3 Kū hou a i ʻole Refractory Chronic Lymphocytic Leukemia
- 1.4 Laulā Manaʻo Option Oponopono
- 1.5 Nā koho lapaʻau e ke kahua
- 1.6 Nā koho lapaʻau no ka Lymphocytic Chronic a i ʻole Refractory
- 1.7 E aʻo hou aʻe e pili ana i ka Leukemia Lymphocytic maʻi
Maʻi Lymphocytic Leukemia Hana (®) –Patient Version
Nā ʻIkepili Nui e pili ana i ka Leukemia Lymphocytic maʻi
NA MANA KUNI
- ʻO ka leukemia lymphocytic maʻi mau kekahi ʻano o ka maʻi ʻaʻai kahi e hoʻonui ai ka iwi iwi i nā lymphocytes (kahi ʻano o ke keʻokeʻo keʻokeʻo).
- Hiki i ka leukemia ke hoʻololi i nā hunaola ʻulaʻula, nā hunaola keokeo, a me nā platelet.
- Hiki i nā makahiki ʻelemakule ke hoʻopili i ka makaʻu o ka hoʻomohala ʻana i ka leukemia lymphocytic mau.
- ʻO nā hōʻailona a me nā ʻōuli o ka leukemia lymphocytic mau e pili ana i nā lymph node a me ka luhi.
- Hoʻohana ʻia nā hoʻokolohua e nānā i ke koko, ka iwi iwi, a me nā pūnana lymph e ʻike pono ai i ka leukemia lymphocytic mau.
- Hoʻohālikelike kekahi mau mea i nā koho a me nā wānana (kahi o ke ola ʻana).
ʻO ka leukemia lymphocytic maʻi mau kekahi ʻano o ka maʻi ʻaʻai kahi e hoʻonui ai ka iwi iwi i nā lymphocytes (kahi ʻano o ke keʻokeʻo keʻokeʻo).
ʻO ka leukemia lymphocytic maʻi mau (i kapa ʻia ʻo CLL) he maʻi koko a me nā iwi pūpū ka mea e hele mālie ai ka ʻino. ʻO CLL kekahi o nā ʻano leukemia maʻamau i nā mākua. Hana pinepine ia i ka manawa a ma hope paha o ka makahiki waena; ʻaʻole hiki iki i nā keiki.
Hiki i ka leukemia ke hoʻololi i nā hunaola ʻulaʻula, nā hunaola keokeo, a me nā platelet. ʻO ka maʻa mau, hana ke kino i nā hunaula koko (immature cells) e lilo i mau hunaola makua i ka holo ʻana o ka manawa. Hiki i ke kinipōpō kūpoko ke lilo i cell cell myeloid a i ʻole ka cell stem lymphoid.
E lilo i kahi cell myeloid stem i hoʻokahi o ʻekolu mau ʻano o nā hunaola makua oʻo:
- ʻO nā hunaola ʻulaʻula e lawe i ka oxygen a me nā mea ʻē aʻe i nā kinona āpau o ke kino.
- ʻO nā hunaola keʻokeʻo e hakakā i ka maʻi a me ka maʻi.
- ʻO nā pāpale e hana ana i ke kahe o ke koko e hōʻoki i ke kahe ʻana o ke kahe.
Lilo kahi puʻupuʻu lymphoid i cell lymphoblast a laila kekahi o ʻekolu mau ʻano lymphocytes (nā keʻokeʻo koko keʻokeʻo):
- Nā lymphocytes B e hana i nā mea pale e kōkua i ke kaua ʻana i ka maʻi.
- ʻO nā lymphocytes T e kōkua i nā lymphocytes B e hana i nā mea pale e hakakā i ka maʻi.
- ʻO nā hunaola kūlohelohe e hoʻouka aku i nā hunaola maʻi ʻaʻai a me nā virus.
I CLL, nui a nui nā aʻa koʻokoʻo koko e lilo i lymphocytes abnormal a mai lilo i mau keʻo keokeo maikaʻi ʻO nā lymphocytes ʻē aʻe i kapa ʻia he mau leukemia. ʻAʻole hiki i nā lymphocytes ke hakakā maikaʻi loa i ka maʻi. Eia nō naʻe, i ka piʻi ʻana o ka nui o nā lymphocytes i ke koko a me ka iwi o ka iwi, ʻaʻole liʻiliʻi ka lumi no nā hunaola keokeo olakino, nā hunaola ʻulaʻula, a me nā platelet. Hiki i kēia ke kumu i ka maʻi, anemia, a me ke kahe maʻalahi.
ʻO kēia hōʻuluʻulu manaʻo e pili ana i ka leukemia lymphocytic mau. E ʻike i nā hōʻuluʻulu aʻe no ka ʻike hou aku e pili ana i ka leukemia.
- Hoʻomaʻo Lymphoblastic Leukemia Maʻi.
- ʻO ka hoʻomaʻamaʻa ʻana ʻo Lymphoblastic Leukemia Childhood.
- Mālama makua Myeloid Leukemia.
- ʻO ke kamaliʻi liʻiliʻi Myeloid Leukemia / Other Myeloid Malignancies Treatment.
- Mālama Myelogenous Leukemia Hana.
- Hoʻomaʻo Leukemia Cell
Hiki i nā makahiki ʻelemakule ke hoʻopili i ka makaʻu o ka hoʻomohala ʻana i ka leukemia lymphocytic mau.
ʻO nā mea āpau e hoʻonui i kou makaʻu i ka loaʻa ʻana i kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā manaʻo ʻoe ua makaʻu paha ʻoe. ʻO nā kumu pilikia no CLL me kēia mau mea:
- ʻO waena a ʻelemakule paha, kāne, a keʻokeʻo.
- He moʻolelo ʻohana o CLL a i ʻole maʻi ʻaʻai o ka ʻōnaehana lymph.
- Loaʻa nā hoahānau he Lūkini Lūkini a i ʻole Iudaio ʻEulopa Hema.
ʻO nā hōʻailona a me nā ʻōuli o ka leukemia lymphocytic mau e pili ana i nā lymph node a me ka luhi.
ʻAʻole maʻa mau ka CLL i nā hōʻailona a i ʻole nā hōʻailona a loaʻa i ka wā o ka hōʻoia maʻamau o ke koko. Nā CLL a i ʻole nā kumu ʻē aʻe i hoʻokumu ʻia ai nā hōʻailona a me nā hōʻailona. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- ʻO ka pehu ʻole o nā lymph node i ka ʻāʻī, underarm, ʻōpū, a me nā ʻūhū.
- Luhi nui loa.
- ʻEha a i ʻole piha ma lalo o nā iwi ʻaoʻao.
- Fiva a me maʻi.
- ʻO ka hōʻemi kaumaha no ke kumu ʻole.
Hoʻohana ʻia nā hoʻokolohua e nānā i ke koko, ka iwi iwi, a me nā pūnana lymph e ʻike pono ai i ka leukemia lymphocytic mau.
Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:
- ʻO ka hoʻāʻo kino a me ka mōʻaukala olakino: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.
- Helu piha ke koko (CBC) me ka ʻokoʻa: kahi kaʻina hana e huki ʻia ai kahi hāpana o ke koko a nānā ʻia no kēia mau mea:
- ʻO ka helu o nā hunaola ʻulaʻula a me nā platelet.
- ʻO ka helu a me ke ʻano o nā hunaola keokeo.
- ʻO ka nui o ka hemoglobin (ka protein i hāpai i ka oxygen) i loko o nā hunaola ʻulaʻula.
- ʻO ka ʻāpana o ka hāpana koko i hana ʻia i nā hunaola ʻulaʻula.
- Immunophenotyping: kahi hoʻokolohua hoʻokolohua e hoʻohana ai i nā mea ʻino e ʻike ai i nā hunaola maʻi ʻaʻai e pili ana i nā ʻano antigens a i ʻole nā māka ma ka ʻili o nā hunaola. Hoʻohana ʻia kēia hōʻike e kōkua i ke kuhi ʻana i nā ʻano maʻi leukemia.
- FISH (fluorescence in situ hybridization): kahi hoʻokolohua hoʻokolohua i hoʻohana ʻia e nānā a helu i nā gen a i ʻole nā chromosome i nā pūnaewele a me nā aʻa. Hana ʻia nā ʻāpana o ka DNA i loaʻa nā waihoʻoluʻu fluorescent i loko o ke keʻena hoʻokolohua a hoʻohui ʻia i kahi laʻana o nā hunaola a me nā aʻa o ka mea maʻi. Ke hoʻopili aku kēia mau ʻāpana DNA i kala ʻia i kekahi mau ʻāpana a i ʻole nā wahi o chromosome i loko o ka hāpana, hoʻomālamalama lākou ke nānā ʻia ma lalo o kahi microscope fluorescent. Hoʻohana ʻia ka hōʻike FISH e kōkua i ke kuhi ʻana i ka maʻi ʻaʻai a kōkua i ka hoʻolālā ʻana i ka lāʻau.
- Cytometry kahe: kahi hoʻokolohua hoʻokolohua e ana i ka helu o nā hunaola i kahi laʻana, ka pākēneka o nā pūnaewele ola i kahi hāpana, a me kekahi mau ʻano o nā hunaola, e like me ka nui, ke kinona, a me ke kū ʻana o nā tumo (a i ʻole nā mea kaha ʻē aʻe) ma ka ʻili pūnaewele. Hoʻopili ʻia nā hunaola mai kahi hāpana o ke koko o ka mea maʻi, ka iwi o ka iwi, a i ʻole nā mea ʻē aʻe me ka pena wai fluorescent, waiho ʻia i loko o kahi wai, a laila hele kekahi i hoʻokahi manawa i ke kaola o ke kukui. Hoʻokumu ʻia nā hopena o ka hoʻāʻo e pili ana i ka hopena o nā hunaola i hoʻohuehue ʻia me ka pena fluorescent i ke kaola o ke kukui. Hoʻohana ʻia kēia hoʻokolohua e kōkua i ke kuhi a mālama ʻana i kekahi ʻano o nā maʻi ʻaʻai, e like me leukemia a me lymphoma.
- ʻO ka hoʻāʻo ʻana o ka hoʻololi IgVH: kahi hoʻokolohua hoʻokolohua kahi e hoʻāʻo ʻia ai kahi laʻana o ke koko a i ʻole nā mea no kekahi mau loli i ka ʻiʻo IgVH. ʻO nā mea maʻi me ka hoʻololi ʻana o ka ʻaoʻao IgVH i kahi wānana maikaʻi aʻe.
- ʻO ka ʻiʻo o ka iwi iwi a me ka biopsy: Ka hemo ʻana o ka iwi iwi, ke koko, a me kahi ʻāpana o ka iwi ma ka hoʻokomo ʻana i kahi kui kolo i loko o ka hipbone a i ʻole ka umauma. ʻIke kahi pathologist i ka momona o ka iwi, ke koko, a me ka iwi ma lalo o kahi microscope e nānā no nā hunaola ʻokoʻa.
Hoʻohālikelike kekahi mau mea i nā koho a me nā wānana (kahi o ke ola ʻana).
Pili nā koho lapaʻau i:
- ʻO ke kahua o ka maʻi.
- ʻO ke koko koko ʻulaʻula, keʻokeʻo koko keʻokeʻo, a me ka helu platelet koko.
v Inā he mau hōʻailona a hōʻailona paha, e like me ke kuni, ke anuanu, a me ka pohō kaumaha.
- Inā ʻoi aku ka ake, ka spleen, a i ʻole nā lymph node ma mua o ka maʻamau.
- ʻO ka pane i ka lapaʻau mua.
- Inā ua hoʻi hou ka CLL (hoʻi hou).
Pili ka wānana i:
- Aia paha he loli i ka DNA a me ke ʻano o ka loli, inā aia hoʻokahi.
- Inā hoʻolaha ʻia nā lymphocytes a puni ka iwi iwi.
- ʻO ke kahua o ka maʻi.
- Inā ʻoi aku ka maikaʻi o ka CLL me ka lāʻau lapaʻau a i ʻole hoʻi hou (hoʻi hou).
- Inā holomua ka CLL i ka lymphoma a i ʻole prolymphocytic leukemia.
- ʻO ka makahiki o ka mea hoʻomanawanui a me ke olakino laulā.
Nā pae oChronic Lymphocytic Leukemia
NA MANA KUNI
- Ma hope o ka ʻike ʻia ʻana o ka leukemia lymphocytic mau, hana ʻia nā hoʻokolohua e ʻike a hiki i ka laha ʻana o ka maʻi ʻaʻai i loko o ke koko a me ka iwi iwi.
- Hoʻohana ʻia nā pae aʻe no ka leukemia lymphocytic mau.
- Kahua 0
- Ke kahua I
- Kahua II
- Kahua III
- Kahua IV
Ma hope o ka ʻike ʻia ʻana o ka leukemia lymphocytic mau, hana ʻia nā hoʻokolohua e ʻike a hiki i ka laha ʻana o ka maʻi ʻaʻai i loko o ke koko a me ka iwi iwi.
ʻO ke kau ʻana ke hana e ʻike ai i ka lōʻihi o ka laha ʻana o ka maʻi ʻaʻai. He mea nui ia e ʻike i ke kahua o ka maʻi i mea e hoʻolālā ai i ka lāʻau maikaʻi loa. Hiki ke hoʻohana ʻia nā hoʻokolohua aʻe i ke kaʻina hana.
- ʻO ke kukui x: kahi x-ray o nā mea a me nā iwi i loko o ka umauma. ʻO kahi x-ray kahi ʻano kukuna ikehu e hiki ke hele ma waena o ke kino a ma ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino, e like me nā lymph node.
- MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka lolo a me ka iwi kuamoo. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).
- CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.
- Nānā PET-CT: kahi hana e hoʻohui i nā kiʻi mai kahi scan tomography emission positron (PET) a me kahi scan tomography i helu ʻia (CT). Hana ʻia nā paʻi PET a me CT ma ka manawa like me ka mīkini like. Hāʻawi nā scans hui i nā kiʻi kikoʻī o nā wahi i loko o ke kino ma mua o ka scan e hāʻawi ai iā ia iho. ʻO kahi PET scan kahi hana e loaʻa ai nā kinikini tumo malignant i loko o ke kino. Hoʻokomo ʻia kahi liʻiliʻi o ka glucose radioactive (kō) i loko o kahi aa koko. Hoʻopili ka scanner PET a puni ke kino a hana i kahi kiʻi o kahi e hoʻohana ʻia ai ka glucose i ke kino. ʻOi aku ka mālamalama o nā hunaola tumo ma ke kiʻi no ka mea ʻoi aku ka hana a lawe i ka glucose ma mua o ka hana ʻana o nā hunaola maʻamau.
- Nā aʻo kemika koko: kahi hana e nānā ʻia ai kahi hāpana koko e ana i ka nui o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko e nā mea a me nā mea i loko o ke kino. ʻO kahi mea maʻamau (ʻoi aʻe a i ʻole haʻahaʻa ma mua o ka maʻamau) o kahi mea hiki ke lilo i hōʻailona o ka maʻi.
- Hōʻike Antiglobulin: ʻO kahi hōʻike kahi e nānā ʻia ai kahi hāpana o ke koko ma lalo o kahi microscope e ʻike inā aia kekahi mau mea ʻino ma ka ʻili o nā hunaola ʻulaʻula a i ʻole nā platelet. Hiki i kēia mau mea ʻino ke hana a hoʻopau i nā hunaola ʻulaʻula a me nā platelet. Kapa ʻia kēia hōʻike he hōʻike Coombs.
Hoʻohana ʻia nā pae aʻe no ka leukemia lymphocytic mau.
Kahua 0
I ke kaʻina 0 leukemia lymphocytic mau, he nui loa nā lymphocytes i loko o ke koko, akā ʻaʻohe mau hōʻailona ʻē aʻe a me nā ʻōuli o leukemia. ʻO ka pae 0 leukemia lymphocytic maʻi mau i molowa (ulu lohi).
Ke kahua I
I ke kahua I leukemia lymphocytic mau, he nui nā lymphocytes i ke koko a ʻoi aku ka nui o nā lymph node ma mua o ka maʻamau.
Kahua II
I ka pae II leukemia lymphocytic mau, he nui nā lymphocytes i loko o ke koko, ʻoi aku ka nui o ke akepaʻa a i ʻole nā pelu ma mua o ka maʻamau, a ʻoi aku ka nui o nā lymph nodes ma mua o ka maʻamau.
Kahua III
I ka pae III leukemia lymphocytic mau, nui a nui nā lymphocytes i loko o ke koko a he kakaikahi loa nā ʻula koko ʻulaʻula. ʻOi aku ka nui o nā lymph node, ka ate, a me ka spleen ma mua o ka maʻamau.
Kahua IV
I ka pae IV leukemia lymphocytic mau, nui a nui nā lymphocytes i loko o ke koko a he kakaikahi loa nā platelet. ʻOi aku paha ka nui o nā lymph node, ka ate, a me ka spleen ma mua o ka maʻamau a he nui paha nā hunaola ʻulaʻula.
Kū hou a i ʻole Refractory Chronic Lymphocytic Leukemia
ʻO ka leukemia lymphocytic mau o ka maʻi maʻamau ka maʻi ʻaʻai i hoʻi hou (hoʻi hou), maʻamau ma hope o kahi manawa o ka manawa ʻaʻole hiki ke ʻike ʻia ka maʻi ʻaʻa. ʻO ka leukemia lymphocytic mau ʻo Refractory ka maʻi ʻaʻai e maikaʻi ʻole me ka lāʻau.
Laulā Manaʻo Option Oponopono
NA MANA KUNI
- Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka leukemia lymphocytic mau.
- Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.
- Ke kali kiaʻi nei
- Lapaʻau hoʻomākala
- ʻO Chemotherapy
- ʻOki kino
- Pahuhopu kau ʻia
- Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
- ʻO Chemotherapy me ka transplant cell stem
- Immunotherapy
- ʻO ka mālama ʻana no ka leukemia lymphocytic mau e hoʻoulu ai i nā hopena ʻaoʻao.
- Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
- Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
- Pono paha nā hoʻokolohua ukali.
Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka leukemia lymphocytic mau.
Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka leukemia lymphocytic mau. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau. Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.
Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.
Ke kali kiaʻi nei
Ke kali nei ke kiaʻi me ka nānā pono ʻana i ke ʻano o ka mea maʻi me ka ʻole o ka hāʻawi ʻana i nā lāʻau a hiki i ka wā e ʻike ʻia ai nā hōʻailona a i ʻole nā loli. Kāhea ʻia kēia mea he nānā. I kēia manawa, mālama ʻia nā pilikia i hoʻokumu ʻia e ka maʻi, e like me ka maʻi.
ʻO ka radiation radiation ʻO ka radiation radiation kahi lāʻau lapaʻau e hoʻohana i nā x-ray kiʻekiʻe a i ʻole nā ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole i ka ulu ʻana Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i kahi o ke kino me ka maʻi ʻaʻai.
Hoʻohana ʻia ka radiation radiation e mālama i ka leukemia lymphocytic mau.
ʻO Chemotherapy
ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana i nā hunaola a i ʻole ke kāpae ʻana iā lākou mai ka hoʻokaʻawale. Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ka lua o ke kino e like me ka ʻōpū, a i ʻole nā lāʻau i pili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpana). Hāʻawi ʻia ke ala o ka chemotherapy i ka ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia.
E ʻike i nā lāʻau i ʻae ʻia no Chronic Lymphocytic Leukemia no ka ʻike hou aku.
ʻOki kino
ʻO Splenectomy kahi ʻoki e hemo ai ka ʻōpala.
Pahuhopu kau ʻia
ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā mea ʻē aʻe e ʻike a hoʻouka i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau. ʻO ka monoclonal antibody therapy, tyrosine kinase inhibitor therapy, a me BCL2 mea hoʻōla lāʻau lapaʻau he ʻano ia o ka lāʻau hoʻomoʻa i hoʻohana ʻia i ka mālama ʻana i ka leukemia lymphocytic mau.
ʻO Tyrosine kinase inhibitor therapy kahi lapaʻau maʻi ʻaʻai e ālai i nā hōʻailona pono no ka ulu ʻana o nā tumors.
ʻO ka BCL2 mea kāohi lāʻau lapaʻau kahi lapaʻau maʻi maʻi e ālai i kahi protein i kapa ʻia ʻo BCL2. Hiki i ka BCL2 mea hoʻokiʻoki ke hoʻomake i nā hunaola maʻi ʻaʻaʻi a hana paha iā lākou e maʻalahi i nā lāʻau anticancer ʻē aʻe
E ʻike i nā lāʻau i ʻae ʻia no Chronic Lymphocytic Leukemia no ka ʻike hou aku.
Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
Hōʻike kēia ʻāpana hōʻuluʻulu manaʻo i nā mālama e hoʻopaʻa ʻia nei i nā hoʻokolohua hoʻokolohua. ʻAʻole paha ia e ʻōlelo i kēlā me kēia lapaʻau hou e hoʻopaʻa ʻia ana. Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.
ʻO Chemotherapy me ka transplant cell stem
ʻO Chemotherapy me ka transplant cell stem kahi hana o ka hāʻawi ʻana i ka chemotherapy a me ka hoʻololi ʻana i nā hunaola koko e luku ʻia e ka lāʻau maʻi ʻaʻai. Lawe ʻia nā hunaola ʻōpala (ʻaʻaʻa ʻole o ke koko) mai ke koko a i ʻole ka iwi o ka mea maʻi a i ʻole he mea hāʻawi a hoʻopaʻa ʻia a mālama ʻia. Ma hope o ka pau ʻana o ka chemotherapy, hoʻoheheʻe ʻia nā pūnaewele i mālama ʻia a hoʻihoʻi ʻia i ka mea maʻi ma o ka hoʻopili ʻana. E ulu kēia mau hunaola i (a hoʻihoʻi) i nā huna koko o ke kino.
Immunotherapy
ʻO ka Immunotherapy kahi lapaʻau e hoʻohana i ka ʻōnaehana pale maʻi o ka mea maʻi e hakakā i ka maʻi ʻaʻai. Hoʻohana ʻia nā mea i hana ʻia e ke kino a i hana ʻia paha i kahi keʻena hoʻokolohua e hoʻonui, kuhikuhi, a hoʻihoʻi hou i nā pale kūlohelohe o ke kino i ka maʻi ʻaʻai. Kāhea ʻia kēia ʻano lapaʻau maʻi ʻaʻai a biotherapy a i ʻole biologic therapy.
ʻO CAR T-cell therapy kahi ʻano o ka immunotherapy e hoʻololi ai i nā hunaola T o ka mea maʻi (kahi ʻano o ke keʻena pale pale) no laila e hoʻouka lākou i kekahi mau protein i luna o nā hunaola maʻi ʻaʻai. Lawe ʻia nā pūnaewele T mai ka mea maʻi a hoʻohui ʻia nā mea loaʻa kūikawā i kā lākou ʻilikai i ka hale hana. Kapa ʻia nā hunaola i kapa ʻia he chimeric antigen receptor (CAR) nā pūnaewele T. Hoʻonui ʻia nā pūnaewele CAR T i loko o ke keʻena hoʻokolohua a hāʻawi ʻia i ka mea maʻi ma ka hoʻoulu ʻana. Hoʻonui nā ʻāpana CAR T i ke koko o ka mea maʻi a hoʻouka i nā hunaola maʻi ʻaʻai. Ke aʻo ʻia nei ʻo CAR T-cell therapy i ka mālama ʻana i ka leukemia lymphocytic mau.
ʻO ka mālama ʻana no ka leukemia lymphocytic mau e hoʻoulu ai i nā hopena ʻaoʻao.
No ka ʻike e pili ana i nā hopena i hopena ʻia e ka lapaʻau ʻana no ka maʻi ʻaʻai, e ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.
Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.
ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.
ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.
Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.
Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.
Pono paha nā hoʻokolohua ukali.
ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.
E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli kou ʻano a i ʻole inā ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā loiloi.
Nā koho lapaʻau e ke kahua
Ma keia Pauku
- ʻOihana 0 Leukemia Lymphocytic maʻi
- ʻOihana I, ke kahua II, ke kahua III, a me ka pae IV ʻoihana Lymphocytic Leukemia
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻOihana 0 Leukemia Lymphocytic maʻi
Ke kali nei ka mālama ʻana i ka leukemia lymphocytic maʻi 0 pae.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
ʻOihana I, ke kahua II, ke kahua III, a me ka pae IV ʻoihana Lymphocytic Leukemia
ʻO ka mālama ʻana i ke kahua I, pae II, pae III, a me ka pae IV mau leukemia lymphocytic mau e komo pū i kēia mau mea penei:
- Ke kali nei ke kiaʻi ke loaʻa kekahi mau hōʻailona a hōʻailona paha.
- Hoʻopaʻa kaulike ʻia me kahi antibody monoclonal, kahi mea kāpae tyrosine kinase, a i ʻole mea kāohi BCL2.
- Chemotherapy me 1 a ʻoi paha nā lāʻau, me a i ʻole me ka ʻole o nā steroid a i ʻole monoclonal antibody therapy.
- ʻO ka hoʻohaʻahaʻa radiation radiation kūwaho haʻahaʻa i nā wahi o ke kino kahi i loaʻa ai ka maʻi ʻaʻai, e like me ka spleen a i ʻole nā lymph node.
- ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy a me ka biologic therapy me ka transplant cell stem.
- ʻO kahi hoʻokolohua hoʻokolohua o kahi lapaʻau hou.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Nā koho lapaʻau no ka Lymphocytic Chronic a i ʻole Refractory
Leukemia
Hoʻomaʻamaʻa ʻia i ka leukemia lymphocytic mau a hoʻi hou ʻole paha i kekahi o nā koho lapaʻau i hōʻike ʻia ma luna a i ʻole ke kākau inoa ʻana i kahi hoʻokolohua hoʻokolohua o kahi lapaʻau hou. E ʻike i ka paepae I, ke kahua II, ke kahua III, a me ke kahua ʻo IV Chronic Lymphocytic Leukemia no ka ʻike hou aku.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
E aʻo hou aʻe e pili ana i ka Leukemia Lymphocytic maʻi
No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka leukemia lymphocytic mau, e ʻike i ka mea aʻe:
- ʻAoʻao Home Leukemia
- Ua ʻae ʻia nā lāʻau no ka Leukemia Lymphocytic maʻi
- ʻO nā Therapy Cancer i kau ʻia
- Immunotherapy e mālama i ka maʻi ʻaʻai
No ka ʻike ākea maʻi ʻaʻai a me nā kumuwaiwai ʻē aʻe mai ka National Cancer Institute, e ʻike i ka mea aʻe:
- E pili ana i ka maʻi ʻaʻai
- Ke hoʻokū nei
- ʻO Chemotherapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- Radiation Therapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- Ke kāohi nei i ka maʻi ʻaʻai
- Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai
- No nā mea ola a me nā mea mālama
