Types/lymphoma/patient/adult-nhl-treatment-pdq

Hoʻomaʻemaʻe Lymphoma Non-Hodgkin makua (®) - Mana Mana Manaʻo

ʻO ka ʻike ākea e pili ana i ka makua non-Hodgkin Lymphoma

NA MANA KUNI

• ʻO ka lymphoma non-Hodgkin kahi maʻi kahi e kū ai nā pūnaewele malignant (cancer) i ka ʻōnaehana lymph.

• Hiki i ka non-Hodgkin lymphoma ke molowa a i ʻole ka hakakā.

• Hiki i nā makahiki ʻelemakule, ke kāne, a me ka ʻōnaehana pale nawaliwali ke hoʻonui i ka makaʻu o ka lymphoma non-Hodgkin makua.

• ʻO nā hōʻailona a me nā ʻōuli o ka lymphoma non-Hodgkin makua e hoʻopili ana i nā lymph node i pehu, ke kunu, ka wī ʻana i ka pō pulu, ka pohō kaumaha, a me ka luhi.

• Hoʻohana ʻia nā hoʻokolohua e nānā i ka ʻōnaehana lymph a me nā ʻāpana ʻē aʻe o ke kino e kōkua i ke kuhi a me ka pae i ka lymphoma makua ʻole Hodgkin.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka lymphoma non-Hodgkin kahi maʻi kahi e kū ai nā pūnaewele malignant (cancer) i ka ʻōnaehana lymph.

ʻO ka lymphoma non-Hodgkin kahi ʻano o ka maʻi ʻaʻai e kū ana i ka ʻōnaehana lymph. ʻO ka ʻōnaehana lymph kahi ʻāpana o ka ʻōnaehana pale. Kōkua ia i ka pale ʻana i ke kino mai ka maʻi a me ka maʻi.

Hana ʻia ka ʻōnaehana lymph o kēia mau mea:

• Lymph: ʻAno ʻole, wai wai e hele ma waena o nā kīʻaha lymph a hāpai i nā lymphocytes (nā keʻokeʻo koko keʻokeʻo). ʻEkolu ʻano lymphocytes:

• Nā lymphocytes B e hana i nā mea pale e kōkua i ke kaua ʻana i ka maʻi. Kāhea ʻia hoʻi nā pūnaewele B. Hoʻomaka ka hapa nui o nā lymphoma non-Hodgkin i ka lymphocytes B.

• ʻO nā lymphocytes T e kōkua i nā lymphocytes B e hana i nā mea pale e kōkua i ke kaua ʻana i ka maʻi. Kāhea ʻia hoʻi nā pūnaewele T.

• ʻO nā hunaola kūlohelohe e hoʻouka aku i nā hunaola maʻi ʻaʻai a me nā virus. Kāhea ʻia hoʻi nā pūnaewele NK.

• Nā moku Lymph: kahi pūnaewele o nā paipu lahilahi e hōʻiliʻili i ka lymph mai nā wahi like ʻole o ke kino a hoʻihoʻi iā ia i ke kahe o ke koko.

• Lymph nodes: nā liʻiliʻi, nā ʻano ʻano pēni e kānana i ka lymph a mālama i nā hunaola keokeo e kōkua i ke kaua ʻana i ka maʻi a me nā maʻi. Loaʻa nā lymph nodes ma kahi pūnaewele o nā kīʻaha lymph i loko o ke kino. Loaʻa nā hui o nā lymph node i ka ʻāʻī, underarm, mediastinum, ʻōpū, pelvis, a me nā ʻūlū.

• Spleen: ʻO kahi mea hana i nā lymphocytes, mālama i nā hunaola ʻulaʻula a me nā lymphocytes, kānana i ke koko, a luku i nā huna koko kahiko. Aia ka spleen ma ka ʻaoʻao hema o ka ʻōpū kokoke i ka ʻōpū.

• Thymus: ʻO kahi lālā a nā T lymphocytes i oʻo ai a hoʻonui. Aia ka timus ma ka umauma ma hope o ka umauma.

• Tonsils: ʻElua mau nui liʻiliʻi o nā kiko lymph ma ka hope o ka ʻāʻī. Aia hoʻokahi tonsil ma kēlā me kēia ʻaoʻao o ka puʻu.

• ʻO ka iwi iwi: ʻO ka mea palupalu, spongy kiko i waenakonu o kekahi mau iwi, e like me ka iwi pūhaka a me ka umauma. Hana ʻia nā hunaola keʻokeʻo, nā ʻulaʻula, a me nā platelet i ka iwi iwi.

ʻO Anatomy o ka ʻōnaehana lymph, e hōʻike ana i nā kīʻaha lymph a me nā mea lymph e like me nā lymph node, tonsils, thymus, spleen, a me ka iwi iwi. Hele ka Lymph (wai maʻemaʻe) a me nā lymphocytes ma waena o nā kīʻaha lymph a i loko o nā lymph node kahi e luku ai nā lymphocytes i nā mea hōʻeha. Komo ka lymph i ke koko ma o kahi aa nui kokoke i ka puʻuwai.

Loaʻa pū ʻia ka lymph kiko ma nā ʻāpana ʻē aʻe o ke kino e like me ka uhi ʻana o ka tract digestive, bronchus, a me ka ʻili. Hiki ke pālahalaha ka maʻi ʻaʻai i ke ake a me nā akemāmā.

ʻElua ʻano maʻamau o nā lymphomas: Hodgkin lymphoma a me non-Hodgkin lymphoma. ʻO kēia hōʻuluʻulu e pili ana i ka mālama ʻana i ka lymphoma non-Hodgkin makua, e like me ka wā hāpai.

No ka ʻike e pili ana i nā ʻano limu ʻē aʻe, e ʻike i nā hōʻuluʻulu e hiki mai ana.

• ʻO ka hoʻomaʻemaʻe Lymphoblastic Leukemia lapaʻau (lymphoblastic lymphoma)

• Mālama makua makua Hodgkin Lymphoma

• Lapaʻau-pili Lymphoma lapaʻau

• ʻO ka mālama ʻana i ka Lymphoma Non-Hodgkin Childhood

• Maʻi Lymphocytic Leukemia iapaau ana (liʻiliʻi lymphocytic lymphoma)

• Mycosis Fungoides (Me Sézary Syndrome) Hoʻomaʻamaʻa (cutaneous T-cell lymphoma)

• Lapaʻau CNS Lymphoma

Hiki i ka non-Hodgkin lymphoma ke molowa a i ʻole ka hakakā.

Piʻi ka lymphoma Non-Hodgkin a pālahalaha i nā helu like ʻole a hiki ke molowa a hoʻomāinoino paha. ʻO ka lymphoma indolent e ulu a ulu mālie, a he mau hōʻailona a me nā ʻōuli. Piʻi ka lympoma aggressive a pālahalaha koke, a he mau hōʻailona a me nā ʻōuli e hiki ke koʻikoʻi. ʻOkoʻa ka mālama ʻana no ka lymphoma molowa a me ka hakakā.

ʻO kēia hōʻuluʻulu e pili ana i nā ʻano o ka lymphoma non-Hodgkin:

ʻO ka lympomas non-Hodgkin molowa

ʻO ka lymphoma Follicular. ʻO ka lymphoma Follicular ka ʻano maʻamau o ka lymphoma non-Hodgkin indolent. He ulu lohi loa ia o ka lymphoma non-Hodgkin e hoʻomaka i nā lymphocytes B. Hoʻopili ia i nā lymph node a pāhola paha i ka iwi o ka iwi a i ʻole ka palapū. ʻO ka hapa nui o nā mea maʻi me ka lymphoma follicular he 50 mau makahiki a ʻoi paha ke ʻike ʻia lākou. Hele paha ʻo Follicular lymphoma me ka mālama ʻole ʻia. Nānā pono ʻia ka mea hoʻomanawanui no nā hōʻailona a hōʻailona paha i hoʻi mai ka maʻi. Pono ʻia ka mālama inā kū nā hōʻailona a i ʻole nā ​​hōʻailona ma hope o ka nalowale ʻana o ka maʻi ʻaʻai a ma hope paha o ka mālama mua ʻana i ka maʻi ʻaʻai. I kekahi manawa hiki i ka lymphoma follicular ke lilo i ʻanoʻano koʻikoʻi o ka lymphoma, e like me ka diffuse nui ʻana o ka lymphoma B-cell.

Lymphoplasmacytic lymphoma. I ka hapanui o nā hihia o ka lymphoplasmacytic lymphoma, ʻo nā lymphocytes B e hoʻohuli nei i nā hunaola plasma e hana i nā protein he nui i kapa ʻia he monoclonal immunoglobulin M (IgM) antibody. ʻO nā kiʻekiʻe kiʻekiʻe o ka Anthem IgM i ke koko e hoʻonui i ka plasma toto. Hiki i kēia ke kumu i nā hōʻailona a i ʻole nā ​​hōʻailona e like me ka ʻike ʻana i ka pilikia a hoʻolohe paha, nā pilikia o ka puʻuwai, ka hanu ʻana o ka hanu, ka maʻi poʻo, ʻūpē, a me ka numbness a me ke kani ʻana o nā lima a me nā wāwae. I kekahi manawa ʻaʻohe hōʻailona a hōʻailona paha o ka lymphoplasmacytic lymphoma. ʻIke ʻia paha ke hana ʻia kahi hōʻoia koko no kekahi kumu ʻē aʻe. Hoʻolahalaha pinepine ka lymphoplasmacytic lymphoma i ka momona o ka iwi, nā lymph node, a me ka spleen. ʻO nā mea maʻi me ka lymphoplasmacytic lymphoma e pono e nānā ʻia no ka maʻi maʻi hepatitis C. Kapa ʻia ia hoʻi ʻo Waldenström macroglobulinemia.

ʻO ka lymphoma palena palena. Hoʻomaka kēia ʻano lymphoma non-Hodgkin i ka lymphocytes B i kahi ʻāpana o nā kiko lymph i kapa ʻia ka ʻāpana marginal. ʻOi aku paha ka maikaʻi o ka wānana no nā mea maʻi ʻo 70 mau makahiki a ʻoi paha, ʻo nā mea me ka maʻi III a i ʻole pae IV, a me nā pae me ka lactate dehydrogenase (LDH) kiʻekiʻe. Aia he ʻelima mau ʻano ʻē aʻe o ka lymphoma palena palena. Hoʻohui ʻia lākou e ke ʻano o ke ʻano kahi i hoʻokumu ʻia ai ka lymphoma:

• ʻO ka lymphoma palena liʻiliʻi ʻo Nodal. Hana ʻia nā lymphoma mahele liʻiliʻi liʻiliʻi ma nā lymph node. ʻAno ʻole kēia ʻano non-Hodgkin lymphoma. Kapa ʻia ia hoʻi ʻo monocytoid B-cell lymphoma.

• Gastric mucosa-pili lymphoidʻaʻaʻa (MALT) lymphoma. Hoʻomaka maʻamau ka Gastric MALT lymphoma i ka ʻōpū. Kūkulu kēia ʻano limu o ka palena palena liʻiliʻi i nā hunaola i ka mucosa e kōkua i ka hana ʻana i nā mea pale. ʻO nā mea maʻi me ka gastric MALT lymphoma i loaʻa pū iā Helicobacter gastritis a i ʻole kahi maʻi autoimmune, e like me Hashimoto thyroiditis a i ʻole Sjögren syndrome.

• Extragastric MALT lymphoma. Hoʻomaka ka Extragastric MALT lymphoma ma waho o ka ʻōpū ma aneane o kēlā me kēia ʻāpana o ke kino e like me nā ʻāpana ʻē aʻe o ka gastrointestinal tract, salivary glands, thyroid, lung, ʻili, a puni ka maka. Kūkulu kēia ʻano limu o ka palena palena liʻiliʻi i nā hunaola i ka mucosa e kōkua i ka hana ʻana i nā mea pale. Hiki i nā Extragastric MALT lymphoma ke hoʻi mai i mau makahiki ma hope o ka lapaʻau ʻana.

• Lymphoma ʻōpū Mediterranean. ʻO kēia kahi ʻano o ka lymphoma MALT e kū nei i nā ʻōpio ʻōpio ma nā ʻāina hikina o ke Kaiwaenahonua. Hana pinepine ia i loko o ka'ōpū a maʻi pū kekahi nā mea maʻi i ka bacteria i kapa ʻia ʻo Campylobacter jejuni. Kāhea ʻia kēia ʻano lymphoma ʻo ka maʻi maʻi ʻōpū liʻiliʻi.

• ʻO ka lymphoma liʻiliʻi liʻiliʻi Splenic. Hoʻomaka kēia ʻano limu o ka palena palena liʻiliʻi i ka pelepelu a pāhola paha i ke koko ākea a me ka iwi iwi. ʻO ka hōʻailona maʻamau o kēia ʻano lympoma o ka splenic marginal zone he ʻōpala i ʻoi aku ka nui ma mua o ka maʻamau.

ʻO ka limahana capona mua anaplastic lymphoma nui. ʻO kēia ʻano lymphoma non-Hodgkin i ka ʻili wale nō. Hiki iā ia ke lilo i kahi nodule benign (ʻaʻole maʻi ʻaʻai) e hele wale ma ona iho a i ʻole hiki ke laha i nā wahi he nui ma ka ʻili a pono i ka lāʻau.

ʻO nā lymphomas non-Hodgkin aggressive

Hoʻololi i ka lymphoma B-cell nui. ʻO Diffuse B-cell lymphoma nui ka ʻano maʻamau o ka lymphoma non-Hodgkin. Ulu wikiwiki ia i nā lymph node a pinepine i ka pala, ke ake, ka iwi iwi, a i ʻole nā ​​mea ʻē aʻe i hoʻopili ʻia. ʻO nā hōʻailona a me nā ʻōuli o ka lymphoma B-cell diffuse nui e hoʻopili pū ʻia me ka fiva, ka pulu ʻana i ka hou o ka pō, a me ka pohō kaumaha. Kapa ʻia kēia mau mea he hōʻailona B.

• ʻO ka lymphoma B-cell nui nui waena. ʻO kēia ʻano lymphoma non-Hodgkin kahi ʻano diffuse nui B-cell lymphoma. Kaha ʻia ia e ka ulu nui o ka fibrous (scar-like) lymph tissue. Kū pinepine kahi tumo ma hope o ka umauma. Hiki paha iā ia ke kaomi ma nā alaloa ākea a hoʻohoʻe i ka hanu a pilikia i ka hanu ʻana. ʻO ka hapanui o nā mea maʻi me ka lymphoma B-cell nui nui waena he mau wahine i piha iā 30 a 40 mau makahiki.

ʻO ka lymphoma pūnaewele nui, pae III. ʻO ka lymphoma nui nui Follicular, ke kahua III, kahi ʻano laha ʻole o ka lymphoma non-Hodgkin. ʻO ka mālama ʻana i kēia ʻano lymphoma follicular e like me ka mālama ʻana i ka NHL kolohe ma mua o ka NHL palaualelo.

ʻO ka lymphoma pūnana nui Anaplastic. ʻO ka lympoma nui anaplastic nui kahi ʻano o ka lymphoma non-Hodgkin e hoʻomaka maʻamau i nā lymphocytes T. Loaʻa i nā hunaola maʻi ʻōkuhi kahi māka i kapa ʻia ʻo CD30 ma ka ʻili o ke kele.

Aia ʻelua ʻano o ka lymphoma nui pūnaewele anaplastic:

• Cutaneous anaplastic nui pūnaewele lymphoma. ʻO kēia ʻano lympoma nui nui anaplastic e hoʻopili i ka ʻili, akā e hoʻopili ʻia kekahi mau ʻāpana o ke kino. ʻO nā ʻōuli o ka cutaneous anaplastic cell cell lymphoma i hoʻokahi a ʻoi paha mau puʻupuʻu a i ʻole nā ​​ulcer ma ka ʻili. He kakaikahi a palaka kēia ʻano lymphoma.

• ʻO ka lymphoma cell cell anaplastic nui. Hoʻomaka kēia ʻano anaplastic cell cell lymphoma nui ma nā lymph node a hiki paha ke hoʻololi i nā ʻāpana ʻē aʻe o ke kino. ʻOi aku ka hakakā o kēia ʻano lymphoma. Loaʻa paha i nā mea maʻi ka nui o ka anaplastic lymphoma kinase (ALK) i loko o nā hunaʻi lymphoma. ʻOi aku ka maikaʻi o ka prognosis o kēia mau mea maʻi ma mua o ka poʻe maʻi ʻaʻohe o lākou protein ALK keu. ʻOi aku ka maʻamau o ka lympoma cell cell anaplastic nui i nā keiki ma mua o nā mākua. (E ʻike i ka hōʻuluʻulu ma Childhood Non-Hodgkin Lymphoma Hana no ka ʻike hou aku.)

• ʻO ka lymphoma Extranodal NK- / T-cell. Hoʻomaka ka hoʻomaka ʻana o ka lymphoma Extranodal NK- / T-cell ma ka wahi a puni ka ihu. Hiki paha iā ia ke hoʻololi i ka sinus paranasal (hollow space i nā iwi a puni ka ihu), kaupaku o ka waha, trachea, ʻili, ʻōpū, a me nā ʻōpū. ʻO ka hapa nui o nā lymphoma extranodal NK- / T-cell i loaʻa i ka maʻi Epstein-Barr i loko o nā hunaola tumele. I kekahi manawa kū mai ka maʻi hemophagocytic (kahi kūlana koʻikoʻi kahi nui loa nā histiocytes hana a me nā hunaola T e hoʻonāukiuki i ke kino). Pono ka mālama ʻana e kāohi i ka ʻōnaehana pale. ʻAʻohe maʻamau kēia ʻano lymphoma non-Hodgkin ma United States.

• ʻO Lymphomatoid granulomatosis. Hoʻopili ka Lymphomatoid granulomatosis i ka hake nui. Hiki paha ke hoʻololi i nā sinus paranasal (nā hollow space i nā iwi a puni ka ihu), ka ʻili, nā puʻupaʻa, a me nā ʻōnaehana waena. I ka lymphomatoid granulomatosis, hoʻouka ka maʻi ʻaʻai i nā kīʻaha koko a make i kaʻiʻo. Ma muli o ka palahalaha ʻana o ka maʻi ʻaʻai i ka lolo, hāʻawi ʻia ka chemotherapy intrathecal a i ʻole radiation therapy i ka lolo.

• ʻO ka lymphoma T-cell Angioimmunoblastic. Hoʻomaka kēia ʻano lymphoma non-Hodgkin i nā hunaola T. ʻO ka pehu lymph node kahi hōʻailona maʻamau. Hiki i nā ʻōuli ʻē aʻe ke kolo i ka ʻili, ke kuni, ka hoʻoliʻiliʻi o ke kaumaha, a i ʻole ka pulu ʻana i ka pō pulu. Nui aʻe paha nā pae kiʻekiʻe o ka gamma globulin (anti-antodies) i loko o ke koko. Hiki paha i nā mea maʻi ke loaʻa i nā maʻi āpau no ka mea nāwaliwali kā lākou ʻōnaehana pale.

• Peripheral T-cell lymphoma. Hoʻomaka ka Peripheral T-cell lymphoma i ka lymphocytes makua T. Ke oʻo nei kēia ʻano o ka lymphocyte T i loko o ka gland thymus a hele i nā wahi lymphatic ʻē aʻe i loko o ke kino e like me nā lymph node, ka iwi iwi, a me ka pelupelu. ʻEkolu mau subtypes o ka lymphoma T-cell peripheral:

• Hepatosplenic T-cell lymphoma. ʻO kēia kahi ʻano maʻamau o ka lymphoma T-cell peripheral e hanana ʻia i nā kāne ʻōpio. Hoʻomaka ia i ke akepaʻa a me ka spleen a loaʻa pū kekahi i nā cell cancer he receptor T-cell i kapa ʻia ʻo gamma / delta ma ka ʻili o ka pūnaewele.

• ʻO ka subnutanitis pancikulitis-e like me ka lymphoma T-cell. Hoʻomaka ka subnutanitis pancikulitis-e like me ka T-cell lymphoma i ka ʻili a i ʻole ka mucosa. Hiki paha ia me ka hemophagocytic syndrome (kahi kūlana koʻikoʻi kahi nui loa nā histiocytes hana a me nā pūnaewele T e hoʻonāukiuki i ke kino). Pono ka mālama ʻana e kāohi i ka ʻōnaehana pale.

• Enteropathy-ʻano ʻōpū T-cell lymphoma. Kēia ʻano o ke ākea T-keena lymphoma ia l occurs i loko o ka liʻiliʻi o nā maʻi me ka untreated celiac maʻi (kahi pale immune i ka gluten i kumu malnutrisi). ʻO nā mea maʻi i ʻike ʻia me ka maʻi celiac i ka wā kamaliʻi a noho i ka papaʻai gluten-ʻole e hoʻomōhala iki i ka enteropathy-type ʻōpū T lymphoma.

• ʻO ka lymphoma B-cell nui nui loa. ʻO kēia ʻano lymphoma non-Hodgkin e hoʻopili ai i nā kīʻaha koko, keu hoʻi i nā kīʻaha koko liʻiliʻi i ka lolo, ka hakuʻala, ka māmā a me ka ʻili. Hoʻokumu ʻia nā ʻōuli a me nā ʻōuli o ka lymphoma B-cell nui nui loa e nā kīʻaha koko i ālai ʻia. Kapa ʻia ia hoʻi ʻo ka lymphomatosis intravascular.

• Burkitt lymphoma.ʻO Burkitt lymphoma kahi ʻano o ka B-cell non-Hodgkin lymphoma e ulu a pālahalaha koke. Hoʻopili paha ia i ka iwi ā, nā iwi o ka maka, ʻōpū, nā puʻupaʻa, nā ovaries, a me nā mea ʻē aʻe. Aia he ʻekolu mau ʻano nui o Burkitt lymphoma (endemik, sporadic, a me nā pili pili palekana). Hana pinepine ʻia ka lymphoma Endemic Burkitt ma ʻApelika a pili ʻia i ka maʻi Epstein-Barr, a me ka lymphoma Burkitt sporadic e hana ʻia ma ka honua holoʻokoʻa. ʻO ka lymphoma Burkitt e pili ana i ka Immunodeficiency ʻike pinepine ʻia i nā mea maʻi i loaʻa i ka maʻi SIDA. Burkitt lymphoma e hohola paha i ka lolo a me ka iwi kuamoo a hāʻawi ʻia i ka lāʻau e pale ai i kona hoʻolaha ʻana. Burkitt lymphoma hana pinepine ʻia i nā keiki a me nā ʻōpio (ʻike i ka hōʻuluʻulu e pili ana i ka Childhood Non-Hodgkin Lymphoma Hana no ka ʻike hou aku.

• Lymphoblastic lymphoma. Hoʻomaka ka lymphoblastic lymphoma i nā hunaola T a i ʻole nā ​​pūnaewele B, akā hoʻomaka mau ia i nā hunaola T. I kēia ʻano lymphoma non-Hodgkin, nui loa nā lymphoblast (nā keʻokeʻo o ke koko keʻokeʻo ʻole) i nā pūnana lymph a me ka gland thymus. Hoʻolahalaha paha kēia mau lymphoblasts i nā wahi ʻē aʻe i ke kino, e like me ka momona o ka iwi, ka lolo, a me ka iwi kuamoo. ʻO ka lymphoblastic lymphoma ka mea maʻamau i nā ʻōpio a me nā ʻōpio makua. He like ia e like me ka leukemia lymphoblastic nui (loaʻa nui nā lymphoblast i ka iwi iwi a me ke koko). (E ʻike i ka hōʻuluʻulu e pili ana i ka hoʻomaʻamaʻa Lymphoblastic Leukemia Hana makua no ka ʻike hou aku.)

• ʻO ka leukemia T-cell / lymphoma makua. Hoʻokumu ʻia ka leukemia T-cell / lymphoma makua e ka maʻi maʻi leukemia T-cell ʻano 1 (HTLV-1). Hoʻopili nā hōʻailona me nā iwi o ka iwi a me ka ʻili, nā pae calcium kiʻekiʻe, a me nā pūnana lymph, spleen, a me ka ate i ʻoi aku ka nui ma mua o ka maʻamau.

• Mantmph cell lymphoma. Mantle cell lymphoma kahi ʻano o ka B-cell non-Hodgkin lymphoma e hana maʻamau i waena o nā ʻelemakule a makua paha. Hoʻomaka ia i nā lymph nodes a pālahalaha aku i ka mahuahua, ka iwi iwi, ke koko, a i kekahi manawa ka esophagus, ʻōpū, a me nā ʻōpū. ʻO nā mea maʻi me ka mantle cell lymphoma i loaʻa ka nui o kahi protein i kapa ʻia ʻo cyclin-D1 a i ʻole kekahi ʻano loli i nā hunaola lymphoma. I kekahi mau mea maʻi ʻole i nā hōʻailona a i ʻole nā ​​ʻōuli o ka lymphoma hoʻolohi ʻana i ka hoʻomaka ʻana o ka mālama ʻana ʻaʻole pili i ka wānana.

• ʻO ka maʻi maʻi lymphoproliferative posttransplantation. Kū kēia maʻi i nā mea maʻi i loaʻa ka puʻuwai, lung, ate, kidney, a i ʻole pancreas transplant a pono i kahi ola immunosuppressive therapy. ʻO ka hapa nui o nā maʻi lymphoproliferative posttransplant e hoʻopili i nā hunaola B a loaʻa i ka maʻi Epstein-Barr i nā hunaola. Mālama pinepine ʻia nā maʻi Lymphoproliferative e like me ka maʻi ʻaʻai.

• ʻO ka lymphoma histiocytic ʻoiaʻiʻo. He ʻano laha ʻole kēia, ikaika loa o ka lymphoma. ʻAʻole ʻike ʻia inā hoʻomaka ia i nā hunaola B a i ʻole nā ​​pūnaewele T. ʻAʻole ia e pane maikaʻi i ka mālama ʻana me ka chemotherapy maʻamau.

• ʻO ka lymphoma effusion mua. Hoʻomaka ka lymphoma effusion primer i nā hunaola B i loaʻa ma kahi kahi i kūkulu ʻia ai ka nui o ka wai, e like me nā wahi ma waena o ka uhi o ka paia māmā a me ka umauma (pleural effusion), ka ʻeke a puni ka puʻuwai a me ka puʻuwai. (pericardial effusion), a i ʻole i ka ʻōpū o ka ʻōpū. ʻAʻohe maʻamau he tumor i hiki ke ʻike ʻia. Kū pinepine kēia ʻano lymphoma i nā mea maʻi i loaʻa i ka maʻi HIV.

• ʻO ka lymphoma Plasmablastic. ʻO ka limfoma Plasmablastic kahi ʻano o ka lymphoma nui ʻo B-cell ʻaʻole he Hodgkin i ikaika loa. ʻIke pinepine ʻia ia i nā mea maʻi me ka maʻi HIV.

Hiki i nā makahiki ʻelemakule, ke kāne, a me ka ʻōnaehana pale nawaliwali ke hoʻonui i ka makaʻu o ka lymphoma non-Hodgkin makua.

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.

Hiki i kēia a me nā kumu pilikia ʻē aʻe ke hoʻonui i ka makaʻi o kekahi ʻano o ka lymphoma non-Hodgkin makua:

• ʻO ka ʻelemakule, kāne, a keʻokeʻo paha.

• Ke loaʻa nei kekahi o nā kūlana olakino e hoʻonāwaliwali ai i ka ʻōnaehana pale.

• ʻO kahi maʻi pale i hoʻoili ʻia (e like me hypogammaglobulinemia a i ʻole Wiskott-Aldrich syndrome).

• ʻO kahi maʻi autoimmune (e like me rheumatoid arthritis, psoriasis, a i ʻole Sjögren syndrome).

• HIV / AIDS.

• Kanaka T-lymphotrophic virus ʻano I a i ʻole Epstein-Barr maʻi maʻi maʻi.

• ʻO ka maʻi Helicobacter pylori.

• Lawe i nā lāʻau immunosuppressant ma hope o ke kolo ʻana o ke koʻokoʻo.

ʻO nā hōʻailona a me nā ʻōuli o ka lymphoma non-Hodgkin makua e hoʻopili ana i nā lymph node i pehu, ke kunu, ka wī ʻana i ka pō pulu, ka pohō kaumaha, a me ka luhi.

Hoʻokumu ʻia kēia mau hōʻailona a me nā ʻōuli e ka poʻe non-Hodgkin lymphoma a i ʻole nā ​​kūlana ʻē aʻe. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻO ka pehu ʻana i nā lymph node i ka ʻāʻī, underarm, ʻūhū, a i ʻole ka ʻōpū.

• Fiva no ke kumu ʻole i ʻike ʻia.

• Hoʻoulu ka pulu o ka pō.

• Luhi nui loa.

• ʻO ka hōʻemi kaumaha no ke kumu ʻole.

• ʻ rlapa ʻili a ʻili ʻili paha.

• ʻEha ma ka umauma, ʻōpū, a iwi paha me ke kumu ʻole i ʻike ʻia.

• Ke kuʻikuʻi, pulu ka wai i ka pō, a me ke kaupaona ʻana, hiki ke kapa ʻia kēia pūʻulu o nā ʻōuli B.

ʻO nā ʻōuli ʻē aʻe a me nā ʻōuli o ka lymphoma non-Hodgkin makua e kū a hilinaʻi i kēia mau mea:

• Kahi e ulu ai ka maʻi ʻaʻai i loko o ke kino.

• Ka nui o ka tumo.

• Pehea ka wikiwiki o ka ulu ʻana o ka tumo.

Hoʻohana ʻia nā hoʻokolohua e nānā i ka ʻōnaehana lymph a me nā ʻāpana ʻē aʻe o ke kino e kōkua i ke kuhi a me ka pae i ka lymphoma makua ʻole Hodgkin.

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. ʻO kahi moʻaukala o ke olakino o ka mea maʻi, e like me ke kuni, ka hou o ka pō, a me ka pohō kaumaha, nā ʻano olakino, a me nā maʻi i hala a me nā mālama ʻana.

• Helu piha o ke koko (CBC): Ke kaʻina hana e huki ʻia ai kahi laʻana o ke koko a nānā ʻia no kēia mau mea:

• ʻO ka helu o nā hunaola ʻulaʻula, nā aʻa koko keʻokeʻo, a me nā platelet.

• ʻO ka nui o ka hemoglobin (ka protein i hāpai i ka oxygen) i loko o nā hunaola ʻulaʻula.

• ʻO ka ʻāpana o ka laʻana i hana ʻia i nā hunaola ʻulaʻula.

Helu piha ke koko (CBC). Hōʻiliʻili ʻia ke koko ma ka hoʻokomo ʻana i kahi nila i loko o kahi aa a ʻae i ke kahe o ke koko i loko o kahi paipu. Hoʻouna ʻia ka laʻana koko i ke keʻena hoʻokolohua a helu ʻia nā ʻulaʻula o ke koko, nā hunaola keokeo, a me nā platelet. Hoʻohana ʻia ka CBC e hoʻāʻo ai, e hōʻoia ai, a nānā i nā ʻano like ʻole.

• 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.

• Ka hoʻāʻo LDH: kahi hana e nānā ʻia ai kahi laʻana koko e ana i ka nui o ka lactic dehydrogenase. ʻO ka hoʻonui ʻia o ka LDH i ke koko he hōʻailona paha ia o ka hōʻino ʻana o ka iʻa, lymphoma, a i ʻole nā ​​maʻi ʻē aʻe.

• ʻO ka hōʻoia Hepatitis B a me ka hepatitis C: kahi kaʻina kahi e nānā ʻia kahi hāpana o ke koko e ana i ka nui o nā antigens a me / a i ʻole nā ​​mea ʻino a he hepatitis C a me nā helu ʻino. Kapa ʻia kēia mau antigens a i ʻole nā ​​mea ʻāpana he hōʻailona. Hoʻohana ʻia nā māka ʻokoʻa a i ʻole ka hui ʻana o nā māka e ʻike ai inā he maʻi hepatitis B a C paha ka mea maʻi, ua loaʻa mua i ka maʻi a i ʻole ka lāʻau ʻana, a i ʻole hiki ke maʻi. ʻO nā mea maʻi i mālama ʻia no ka maʻi hepitis B i ka wā i hala e pono e hoʻomau i ka nānā ʻana inā ua hoʻololi hou ʻia. ʻO ka ʻike inā he hepatitis B a C paha kekahi e kōkua i ka hoʻolālā ʻana i ka lāʻau.

• Hoʻāʻo HIV: He hōʻike e ana i ke kiʻekiʻe o nā maʻi ʻino HIV i kahi hāpana o ke koko. Hana ʻia nā Antibodies e ke kino ke hoʻouka ʻia e kahi waiwai haole. ʻO ke kiʻekiʻe o nā mea ʻino HIV he mea paha ua maʻi ka maʻi i ka maʻi HIV.

• CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka ʻāʻī, ka umauma, ʻōpū, pelvis, a me nā lymph node, i lawe ʻia mai nā kihi 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.

• PET scan (positron emission tomography scan): kahi hana e loaʻa ai nā puʻupuʻu 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.

• ʻO ka ʻiʻo o ka iwi iwi a me ka biopsy: Ka hemo ʻana o ka iwi iwi a me kahi ʻāpana o ka iwi ma ka hoʻokomo ʻana i kahi nila i ka iwi ʻūʻī a i ʻole ka umauma. ʻIke kahi pathologist i ka momona o ka iwi a me ka iwi ma lalo o kahi microscope e nānā i nā hōʻailona o ka maʻi ʻaʻai.

ʻIʻini iwi a me ka biopsy. Ma hope o ka helu ʻia ʻana o kahi ʻili o ka ʻili, hoʻokomo ʻia kahi nila o ka iwi iwi i ka iwi ʻūhā o ka mea maʻi. Lawe ʻia nā laʻana o ke koko, ka iwi, a me ka iwi o ka iwi no ka ninaninau ʻana ma lalo o kahi microscope.

• ʻO ka biopsy Lymph node: Ka lawe ʻana o nā mea āpau a ʻāpana paha o kahi kōpona lymph. ʻIke kahi pathologist i ke kiko ma lalo o ka microscope e nānā ai i nā hunaola maʻi ʻaʻai. E hana ʻia paha kekahi o nā ʻano biopsies:

• ʻO Biopsy kūikawā: ʻO ka wehe ʻana i kahi kōpona lymph holoʻokoʻa.

• ʻO Biopsy Incisional: Ka wehe ʻana i kahi ʻāpana o kahi kōpona lymph.

• ʻO Biopsy Core: ʻO ka hemo ʻana o kahi ʻāpana o ka lymph node me ka hoʻohana ʻana i kahi nila ākea.

Inā loaʻa ka maʻi ʻaʻai, hiki ke hana i nā hoʻokolohua e aʻo ai i nā hunaola maʻi ʻaʻai.

• Immunohistochemistry: ʻO kahi hoʻokolohua hoʻokolohua e hoʻohana ai i nā anti-antibodies e nānā ai no kekahi antigens (markers) i kahi laʻana o kaʻiʻo o ka mea maʻi Hoʻopili pinepine ʻia nā mea ʻino i kekahi enzyme a i ʻole ka waihoʻoluʻu fluorescent. Ma hope o ka hoʻopili ʻana o nā mea ʻume i kekahi antigen kikoʻī i ka laʻana kiko, hoʻōla ʻia ka ʻimene a me ka kala, a laila ʻike ʻia ka antigen ma lalo o kahi microscope. Hoʻohana ʻia kēia ʻano hoʻāʻo e kōkua i ke kuhi ʻana i ka maʻi ʻaʻai a kōkua e haʻi i kekahi ʻano maʻi ʻaʻai mai kekahi ʻano maʻi ʻaʻai.

• Nānā Cytogenetic: kahi hoʻokolohua hoʻokolohua kahi e helu ai nā chromosome o nā hunaola i kahi hāpana o ke koko a i ʻole ka iwi iwi a nānā ʻia no nā loli, e like me ka haki, nalowale, hoʻoponopono hou ʻia, a i ʻole nā ​​chromosome keu. ʻO nā loli i kekahi mau chromosome he hōʻailona ia o ka maʻi ʻaʻai. Hoʻohana ʻia ka hoʻoponopono Cytogenetic e kōkua i ke kuhi ʻana i ka maʻi ʻaʻai, e hoʻolālā i ka lāʻau ʻana, a i ʻole e ʻike i ke ʻano o ka maikaʻi o ka mālama ʻana.

• 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 ho'āʻo e kōkua i ke kuhi ʻana i nā ʻano kikoʻī o ka lymphoma.

• 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.

Hiki ke hana ʻia nā hoʻokolohua a me nā kaʻina hana ʻē aʻe e pili ana i nā hōʻailona a me nā ʻōuli i ʻike ʻia a ma kahi o ka maʻi ʻaʻai i loko o ke kino.

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

Pili ka wānana a me nā koho lapaʻau i kēia mau mea:

• ʻO nā hōʻailona a me nā ʻōuli o ka mea hoʻomanawanui, e pili ana inā ʻaʻole a loaʻa iā lākou nā hōʻailona B (fever no ke kumu ʻole i ʻike ʻia, ka pohō kaumaha no ke kumu ʻole i ʻike ʻia, a me nā sweats i ka pō drenching).

• ʻO ke kahua o ka maʻi ʻaʻai (ka nui o nā puʻupuʻu maʻi ʻaʻai a inā ua pāhola ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino a i ʻole nā ​​lymph node).

• Ke ʻano o ka lymphoma non-Hodgkin.

• ʻO ka nui o ka lactate dehydrogenase (LDH) i loko o ke koko.

• Inā paha aia kekahi mau hoʻololi i nā gen.

• ʻO ka makahiki o ka mea hoʻomanawanui, ka wahine, a me ke olakino laulā.

• Inā ʻike hou ʻia ka lymphoma, hoʻomau e ulu i ka wā o ka mālama ʻana, a i ʻole ua hoʻi hou (hoʻi hou).

No ka lymphoma non-Hodgkin i ka wā hāpai, hilinaʻi ʻia nā koho lapaʻau ma:

• Nā makemake o ka mea hoʻomanawanui.

• I ka trimester o ka hāpai keiki ka i loko o ka mea maʻi.

• Inā paha e hiki ke hānau pēpē i ka wanaʻao.

Hoʻolahalaha koke kekahi ʻano o ka lymphoma non-Hodgkin ma mua o nā mea ʻē aʻe. ʻO ka hapa nui o nā lymphomas non-Hodgkin i kū i ka wā o ka hāpai keiki he mea hakakā. ʻO ka hoʻopaneʻe ʻana i ka mālama ʻana i ka lymphoma hōʻeuʻeu a hiki i ka hānau ʻana o ka pēpē e hōʻemi paha i ka manawa e ola ai ka makuahine. Paipai pinepine ʻia ka lapaʻau koke ʻana, ʻoiai i ka wā hāpai.

ʻO nā kahua o ka Lymphoma Non-Hodgkin makua

NA MANA KUNI

• Ma hope o ka ʻike ʻia ʻana o ka lymphoma non-Hodgkin makua, hana ʻia nā hoʻokolohua e ʻike ai inā ua hoʻolaha ʻia nā hunaola maʻi ʻino i loko o ka ʻōnaehana lymph a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

• ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

• Hoʻohana ʻia nā pae aʻe no ka lymphoma non-Hodgkin makua:

• Ke kahua I

• Kahua II

• Kahua III

• Kahua IV

• ʻO Lymphoma makua non-Hodgkin hou

• Hoʻohui ʻia nā lymphomas non-Hodgkin makua no ka mālama ʻana e like me ka palaualelo a palaka paha o ka maʻi ʻaʻa, inā pili paha kekahi mau lymph node i ke kino, a inā ʻike hou ʻia ka maʻi ʻaʻai a hoʻi hou paha.

Ma hope o ka ʻike ʻia ʻana o ka lymphoma non-Hodgkin makua, hana ʻia nā hoʻokolohua e ʻike ai inā ua hoʻolaha ʻia nā hunaola maʻi ʻino i loko o ka ʻōnaehana lymph a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

Hoʻohana ʻia ke kaʻina hana e ʻike i ke ʻano o ka maʻi ʻaʻai a inā ua pāhola nā hunaola maʻi maʻi i loko o ka ʻōnaehana lymph a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i kapa ʻia he staging. ʻO ka ʻikepili i hōʻiliʻili ʻia mai ke kaʻina hana e hoʻoholo ai i ka pae o ka maʻi. He mea nui e ʻike i ke kahua o ka maʻi i mea e hoʻolālā ai i ka lāʻau. ʻO nā hopena o nā hoʻokolohua a me nā kaʻina hana i hana ai e kuhikuhi i ka lymphoma non-Hodgkin i mea e kōkua ai i nā hoʻoholo e pili ana i ka lāʻau.

Hiki ke hoʻohana ʻia nā hoʻokolohua a me nā kaʻina hana i ke kaʻina hoʻonohonoho:

• MRI (kiʻi resonance ʻume mākenēki) me gadolinium: kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka lolo a me ka iwi kuamoo. Hoʻokomo ʻia kahi mea i kapa ʻia ʻo gadolinium i ka mea hoʻomanawanui ma o kahi aa. Hōʻiliʻili ka gadolinium a puni nā hunaola maʻi ʻula i mea e mālamalama ai lākou i ke kiʻi. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).

• Lumbar puncture: kahi hana i hōʻiliʻili ʻia e hōʻiliʻili ai i ka wai cerebrospinal (CSF) mai ke kolamu iwi kuamoʻo. Hana ʻia kēia ma ke kau ʻana i kahi nila i waena o ʻelua iwi i ka iwi kuamoʻo a i loko o ka CSF a puni ka iwi kuamoʻo a hemo i kahi hāpana o ka wai. Nānā ʻia ka laʻana o ka CSF ma lalo o kahi microscope no nā ʻōuli i palahalaha ʻia ka maʻi ʻaʻai i ka lolo a me ka iwi kuamoʻo. Kāhea ʻia kēia kaʻina hana he LP a i ʻole ka piulawi.

Pahu lumbar. Ke moe nei kahi mea maʻi i kahi kūlana curled ma ka papa. Ma hope o ka helu ʻana o kahi ʻāpana liʻiliʻi o ka ʻaoʻao haʻahaʻa, hoʻokomo ʻia kahi nila kuʻikuʻi (kahi nila lōʻihi, lahilahi) i ka ʻaoʻao haʻahaʻa o ka kolamu o ka iwi kuamoʻo e hemo ai ka wai cerebrospinal (CSF, i hōʻike ʻia i ka polū). Hoʻouna ʻia paha ka wai i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana.

No nā wahine hāpai me ka non-Hodgkin lymphoma, hoʻohana ʻia nā hoʻokolohua a me nā kaʻina hana e pale ai i ka pēpē i hānau ʻole ʻia mai nā ʻino o ka pāhawewe. ʻO kēia mau hoʻokolohua a me nā kaʻina hana me MRI (me ka ʻole o ka hoʻohālikelike), ka lumbar puncture, a me ka ultrasound.

ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino. Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.

• Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.

• ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.

• Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.

Hoʻohana ʻia nā pae aʻe no ka lymphoma non-Hodgkin makua:

Ke kahua I

ʻO ke kahua I lymphoma makua. ʻIke ʻia ka maʻi ʻaʻai i hoʻokahi a ʻoi aku paha o nā lymph node i kahi hui o nā lymph node a i ʻole i nā hihia kakaʻikahi, loaʻa ka maʻi ʻaʻai ma ke apo o Waldeyer's, thymus, a i ʻole spleen. I ke kahua IE (ʻaʻole hōʻike ʻia), ua pālahalaha ka maʻi ʻaʻai i hoʻokahi wahi ma waho o ka ʻōnaehana lymph.

Hoʻohana ʻia ka pae I makua ʻole ʻo Hodgkin lymphoma i nā pae I a me IE.

I ke kahua I, loaʻa ka maʻi ʻaʻai ma kekahi o nā wahi aʻe i ka ʻōnaehana lymph.

• Hoʻokahi a ʻoi paha nā lymph node i kahi hui o nā lymph node.

• Ke apo a Waldeyer.

• ʻO kāu

• ʻLepala

I ke kahua IE, loaʻa ka maʻi ʻaʻai i hoʻokahi wahi ma waho o ka ʻōnaehana lymph.

Kahua II

Mahele II a me IIE ka lymphoma non-Hodgkin makua.

• I ke kahua II, loaʻa ka maʻi ʻaʻai i ʻelua a ʻoi mau hui o nā lymph node ma luna o ka diaphragm a i ʻole ma lalo o ka diaphragm.

Ke kahua II makua lymphoma. ʻIke ʻia ka maʻi ʻaʻai i ʻelua a ʻoi mau hui o nā lymph node ma luna o ka diaphragm a i ʻole ma lalo o ka diaphragm.

• I ke kahua IIE, ua pālahalaha ka maʻi ʻaʻai mai kahi hui o nā lymph node i kahi kokoke i waho o ka ʻōnaehana lymph. Ua pālahalaha paha ka maʻi ʻaʻai i nā hui lymph node ʻē aʻe ma ka ʻaoʻao like o ka diaphragm.

Ke kahua IIE makua lymphoma. Ua pālahalaha ʻia ka maʻi ʻaʻai mai kahi hui o nā lymph node i kahi kokoke i waho o ka ʻōnaehana lymph. Ua pālahalaha paha ka maʻi ʻaʻai i nā hui lymph node ʻē aʻe ma ka ʻaoʻao like o ka diaphragm.

I ke kahua II, pili ka huaʻōlelo nui i kahi maʻi tumo i ʻoi aku ka nui. ʻO ka nui o ka nui o ka tumola i kuhikuhi ʻia e like me ka maʻi nui nui e like me ke ʻano o ka lymphoma.

Kahua III

Ke kahua III makua lymphoma. ʻIke ʻia ka maʻi ʻaʻai i nā hui o nā lymph node ma luna a ma lalo o ka diaphragm; aiʻole i kahi hui o nā lymph nodes ma luna o ka diaphragm a i ka lūlū.

I ka pae III makua non-Hodgkin lymphoma, loaʻa ka maʻi ʻaʻai.

• i nā hui o nā lymph node ma luna a ma lalo o ka diaphragm; a i ʻole

• i nā lymph nodes ma luna aʻe o ka diaphragm a i ka lūlū.

Kahua IV

Ke kahua IV makua lymphoma. Ua pālahalaha ka maʻi ʻaʻai (a) ma loko o hoʻokahi a ʻoi paha o nā mea ma waho o ka ʻōnaehana lymph; a i ʻole (b) loaʻa i nā hui ʻelua a ʻoi paha o nā lymph node ma luna aʻe o ka diaphragm a i ʻole ma lalo o ka diaphragm a i hoʻokahi mea ma waho o ka ʻōnaehana lymph a ʻaʻole kokoke i nā lymph node i hoʻopili ʻia a i ʻole (c) loaʻa i nā hui o nā lymph node ma luna aʻe o ka diaphragm a ma lalo o ka diaphragm a i loko o kekahi mea i waho o ka ʻōnaehana lymph; a i ʻole loaʻa (d) i loko o ke akepaʻa, ka iwi iwi, ʻoi aku ma mua o hoʻokahi wahi i ka akemāmā, a i ʻole ka wai cerebrospinal (CSF). ʻAʻole pālahalaha ka maʻi ʻaʻai i loko o ke ake, ka iwi o ka iwi, akemāmā, a me CSF mai nā lymph node kokoke.

I ke kahua IV makua ʻole Hodgkin lymphoma, maʻi ʻaʻai:

• ua pālahalaha aʻe ma loko o hoʻokahi a ʻoi paha nā mea ma waho o ka ʻōnaehana lymph; a i ʻole

• loaʻa i nā hui ʻelua a ʻoi paha o nā lymph node ma luna o ka diaphragm a i ʻole ma lalo o ka diaphragm a i hoʻokahi mea ma waho o ka ʻōnaehana lymph a ʻaʻole kokoke i nā lymph node i hoʻopili ʻia. a i ʻole

• Loaʻa ia i nā hui o nā lymph node ma luna a ma lalo o ka diaphragm a i kekahi mea i waho o ka ʻōnaehana lymph; a i ʻole

• loaʻa i ke akepaʻa, iwi iwi, ʻoi aku ma mua o hoʻokahi wahi i ka akemāmā, a i ʻole ka cerebrospinal fluid (CSF). ʻAʻole pālahalaha ka maʻi ʻaʻai i loko o ke ake, ka iwi o ka iwi, akemāmā, a me CSF mai nā lymph node kokoke.

ʻO Lymphoma makua non-Hodgkin hou

ʻO ka lymphoma makua ʻole Hodgkin hou he maʻi ʻaʻai i hoʻi hou (hoʻi) ma hope o ka mālama ʻia ʻana. Hiki ke hoʻi ka lymphoma i ka ʻōnaehana lymph a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino. Hiki i ka lympoma indolent ke hoʻi mai e like me ka lymphoma hakakā. Hiki ke hoʻi mai ka lymphoma aggressive ma ke ʻano he lympoma molowa.

Hoʻohui ʻia nā lymphomas non-Hodgkin makua no ka mālama ʻana e like me ka palaualelo a palaka paha o ka maʻi ʻaʻa, inā pili paha kekahi mau lymph node i ke kino, a inā ʻike hou ʻia ka maʻi ʻaʻai a hoʻi hou paha.

E ʻike i ka ʻāpana ʻike ākea no ka ʻike hou aku e pili ana i nā ʻano indolent (lohi-ulu) a me ka huhū (ulu wikiwiki) non-Hodgkin lymphoma.

ʻO ka lymphoma non-Hodgkin hiki ke wehewehe ʻia hoʻi me he contiguous a noncontiguous paha:

• Nā lymphomas pili: Lymphomas kahi e pili ai nā lymph node me ka maʻi ʻaʻai.

• ʻO nā lymphomas noncontiguous: Lymphomas kahi o nā lymph node me ka maʻi ʻaʻai ʻaʻole kokoke i kekahi me kekahi, akā aia ma ka ʻaoʻao like o ka diaphragm.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka non-Hodgkin lymphoma.

• ʻO nā mea maʻi me ka non-Hodgkin lymphoma e hoʻolālā i kā lākou mālama ʻana e kahi hui o nā lawelawe mālama ola he loea i ka mālama ʻana.

• nā lymphomas.

• ʻO ka mālama ʻana no ka lymphoma non-Hodgkin makua i kumu i nā hopena ʻaoʻao.

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

• Immunotherapy

• Pahuhopu kau ʻia

• Plasmapheresis

• Ke kali kiaʻi nei

• Laʻau lāʻau Antibiotic

• ʻOki kino

• Ke kuʻi ʻōnaʻi ʻōnaeho

• Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

• Hoʻoikaika lāʻau lapaʻau

• 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 non-Hodgkin lymphoma.

Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka non-Hodgkin lymphoma. 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.

No nā wahine hāpai me ka non-Hodgkin lymphoma, koho maikaʻi ʻia ka mālama ʻana e pale aku i ka pēpē i hānau ʻole ʻia. Hoʻokumu ʻia nā ʻōlelo hoʻoholo i ka makemake o ka makuahine, ke kahua o ka lymphoma non-Hodgkin, a me nā makahiki o ka pēpē i hānau ʻole ʻia. Hiki ke loli ke kumumanaʻo lapaʻau e like me nā ʻōuli a me nā ʻōuli, ka maʻi ʻaʻai, a me ka loli o ka hāpai ʻana. Ke koho nei i ka lapaʻau maʻi maʻi kūpono kūpono loa ka hoʻoholo e pili pono i ka mea maʻi, ʻohana, a me ka hui mālama olakino.

ʻO nā mea maʻi me ka non-Hodgkin lymphoma e hoʻolālā i kā lākou lapaʻau ʻana e kahi hui o nā lawelawe mālama ola i loea i ka mālama ʻana i nā lymphomas.

E mālama ʻia ka lapaʻau ʻana e kahi oncologist lapaʻau, he kauka i loea i ka mālama ʻana i ka maʻi ʻaʻai, a i ʻole he hematologist, he kauka i loea i ka mālama ʻana i nā maʻi maʻi koko. Hiki i ke kauka lāʻau lapaʻau ke kuhikuhi iā ʻoe i nā mea lawelawe olakino ʻē aʻe i loaʻa ka ʻike a he loea i ka mālama ʻana i ka lymphoma non-Hodgkin makua a me ka poʻe loea i kekahi mau wahi o ka lāʻau. Pākuʻi ʻia kēia mau mea i lalo:

• ʻO Neurosurgeon.

• Neurologist.

• Oncologist uila.

• Endocrinologist.

• Lapaʻau hoʻōla.

• ʻO nā loea oncology ʻē aʻe.

ʻO ka mālama ʻana no ka lymphoma non-Hodgkin makua i kumu i nā hopena ʻaoʻao.

No ka ʻike e pili ana i nā hopena i hoʻomaka i ka wā o ka mālama ʻana no ka maʻi ʻaʻai, ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.

ʻO nā hopena ʻē aʻe mai ka mālama ʻana i ka maʻi ʻaʻai e hoʻomaka ma hope o ka mālama ʻana a hoʻomau no nā mahina a i ʻole mau makahiki e kapa ʻia nā hopena hopena. ʻO ka mālama ʻana me chemotherapy, radiation radiation, a i ʻole ke transplant cell stem no non-Hodgkin lymphoma e hoʻonui ai i ka hopena o nā hopena hopena.

Hiki i nā hopena hope loa o ka mālama ʻana i ka maʻi ʻaʻai ke hoʻopili i kēia mau mea:

• Nā pilikia puʻuwai.

• Infertility (hiki ʻole ke hānau keiki).

• Ka nalowale ʻana o ka nui o ka iwi.

• Neuropathy (ʻino nā nerve e kumu i ka helu a i ʻole ka pilikia e hele wāwae).

• ʻO ka maʻi ʻaʻai ʻelua, e like me:

• Kanesa maʻi ʻōpū.

• Maʻi ʻaʻai lolo.

• Ka maʻi ʻaʻai ʻōpū.

• Kanesa maʻi ʻaʻai.

• Melanoma.

• Hodgkin lymphoma.

• Myelodysplastic maʻi maʻi.

• Leukemia myeloid huikau.

E mālama a kāohi ʻia paha kekahi mau hopena hopena. He mea nui e kamaʻilio me kāu kauka e pili ana i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai ma luna ou. ʻO ka ukali maʻamau e nānā ai no nā hopena hopena he mea nui.

Hoʻohana ʻia nā ʻano ʻeiwa o ka mālama maʻamau.

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha 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. I kekahi manawa hāʻawi ʻia ka irradiation kino holoʻokoʻa ma mua o kahi transplant cell stem.

Hoʻohana ka radiation radiation proton i nā kahawai o nā protons (nā huna liʻiliʻi me ka uku maikaʻi) e pepehi i nā hunaola tumora. Hiki i kēia ʻano lapaʻau ke hoʻohaʻahaʻa i ka nui o ka hōʻino ʻana o ka radiation i nā mea olakino kokoke i kahi tumo, e like me ka puʻuwai a me ka umauma.

Hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i ka lymphoma non-Hodgkin makua, a hoʻohana ʻia paha ma ke ʻano he palliative therapy e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o ke ola.

No kahi wahine hāpai me ka non-Hodgkin lymphoma, pono e hāʻawi ʻia ka radiation therapy ma hope o ka hānau ʻana, inā hiki, e hōʻalo i nā pilikia i ka pēpē i hānau ʻole ʻia. Inā pono ka lāʻau i kēia manawa koke, hoʻoholo paha ka wahine e hoʻomau i ka hāpai ʻana a loaʻa ka radiation radiation. Hoʻohana ʻia kahi pale alakaʻi e uhi i ka ʻōpū o ka wahine hāpai e kōkua ai i ka pale ʻana i ka pēpē i hānau ʻole ʻia mai ka radiation i ka hiki loa.

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 (chemotherapy intrathecal), kahi okana, a i ʻole he kino o ke kino e like me ka ʻōpū, pili ka lāʻau i nā hunaola maʻi ʻaʻai i loko o kēlā mau wahi (chemotherapy ʻāina). Hoʻohui ka chemotherapy me ka hoʻohana ʻana i ʻelua a ʻoi mau lāʻau anticancer. Hoʻohui ʻia paha nā lāʻau Steroid, e hoʻēmi ai i ka mumū a hoʻohaʻahaʻa i ka pane o ke kino.

Hoʻohana ʻia ka chemotherapy hui pū me ka chemotherapy no ka mālama ʻana i ka lymphoma non-Hodgkin makua.

Hoʻohana pū ʻia ka chemotherapy intrathecal i ka mālama ʻana i ka lymphoma i hana mua ʻia i loko o nā testicle a i ʻole sinuses (hollow area) a puni ka ihu, diffuse ka nui B-cell lymphoma, Burkitt lymphoma, lymphoblastic lymphoma, a me kekahi mau limahana limahiko T-cell. Hāʻawi ʻia ia e hoʻemi i ka manawa e laha aku nā lymphoma i ka lolo a me ka iwi kuamoʻo. Kāhea ʻia kēia CNS prophylaxis.

ʻO ka chemotherapy Intrathecal. Hoʻokomo ʻia nā lāʻau Anticancer i loko o ka intrathecal space, ʻo ia kahi e paʻa ai ka wai cerebrospinal (CSF, i hōʻike ʻia i ka polū). ʻElua ala ʻokoʻa e hana ai i kēia. ʻO kahi ala, i hōʻike ʻia ma ka ʻaoʻao kiʻekiʻe o ke kiʻi, e hoʻokomo i nā lāʻau i loko o kahi waihona wai o Ommaya (kahi ipu kope e waiho ʻia ma lalo o ka ʻili i ka wā o ke ʻoki kino ). ʻO ke ala ʻē aʻe, i hōʻike ʻia ma ka ʻaoʻao lalo o ke kiʻi, e hoʻopili pono i nā lāʻau i loko o ka CSF ma ka ʻaoʻao haʻahaʻa o ke kolamu iwi, ma hope o ka numbed o kahi ʻāpana liʻiliʻi ma ka ʻaoʻao i lalo.

Ke mālama ʻia kahi wahine hāpai me ka chemotherapy no non-Hodgkin lymphoma, ʻaʻole hiki ke pale ʻia ka pēpē i hānau ʻole ʻia mai ka chemotherapy. Hiki i kekahi regimens chemotherapy ke hana i nā kīnā hānau inā hāʻawi ʻia i ka trimester mua.

E ʻike i nā lāʻau i ʻae ʻia no Non-Hodgkin Lymphoma no ka ʻike hou aku.

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. ʻO nā Immunomodulator a me CAR T-cell therapy kekahi ʻano o ka immunotherapy.

• Immunomodulators: ʻO Lenalidomide kahi immunomodulator i hoʻohana ʻia e mālama i ka lymphoma non-Hodgkin makua.

• CAR T-cell therapy: Hoʻololi ʻia nā hunaola T (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. Hoʻohana ʻia ʻo CAR T-cell therapy (e like me axicabtagene ciloleucel a i ʻole tisagenlecleucel) e mālama ai i ka lymphoma B-cell nui i pane ʻole i ka lāʻau.

CAR T-cell therapy. Kahi ʻano lapaʻau e hoʻololi ʻia ai nā hunaola T (kahi ʻano o ke keʻena pale pale) i loko o ke keʻena hoʻokolohua no laila e paʻa lākou i nā hunaola maʻi ʻino a pepehi iā lākou. Ke kahe nei ke koko mai kahi aa i ka lima o ka mea maʻi ma waena o ka paipu i kahi mīkini ʻapheresis (ʻaʻole i hōʻike ʻia), nāna e hoʻoneʻe i nā hunaola keʻokeʻo, me nā pūnaewele T, a hoʻihoʻi i ke koena o ke koko i ka mea maʻi. A laila, ua hoʻokomo ʻia ka ʻāpana no kahi mea loaʻa kūikawā i kapa ʻia he chimeric antigen receptor (CAR) i loko o nā hunaola T i loko o ke keʻena hoʻokolohua. Hoʻonui ʻia nā miliona o nā ʻāpana CAR T i loko o ke keʻena hoʻokolohua a laila hāʻawi ʻia i ka mea maʻi ma ka hoʻoulu ʻana. Hiki i nā pūnaewele CAR T ke hoʻopaʻa i kahi antigen ma nā hunaola maʻi ʻaʻai a pepehi iā lākou.

E ʻike i nā lāʻau i ʻae ʻia no Non-Hodgkin Lymphoma no ka ʻike hou aku.

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, proteasome inhibitor therapy, a me ka kinase inhibitor therapy kekahi ʻano o ka lāʻau hoʻomoʻa ʻia i hoʻohana ʻia e mālama ai i ka lymphoma non-Hodgkin makua.

ʻO ka Monoclonal antibody therapy kahi lapaʻau maʻi maʻi e hoʻohana i nā mea pale i hana ʻia i loko o ke keʻena hoʻokolohua mai kahi ʻano hoʻokahi o ke kikowaena pale pale. Hiki i kēia mau lāʻau ʻino ke hoʻomaopopo i nā mea ma nā hunaola maʻi ʻaʻai a i ʻole nā ​​mea maʻamau e kōkua ai i nā hunaola maʻi ʻaʻai. Hoʻopili nā mea ʻino i nā mea a pepehi i nā hunaola maʻi ʻaʻai, ālai i ko lākou ulu ʻana, a i ʻole mālama iā lākou mai ka hoʻolaha ʻana. Hoʻohana wale ʻia lākou a i ʻole lawe i nā lāʻau, toxins, a i ʻole radioactive pono i nā hunaola maʻi ʻaʻai. Hāʻawi ʻia nā antibodies Monoclonal e ka hoʻokomo.

Nā ʻano o nā antibodies monoclonal:

• ʻO Rituximab, hoʻohana ʻia e mālama i nā ʻano he nui o ka lymphoma non-Hodgkin.

• ʻO Obinutuzumab, hoʻohana ʻia e mālama i ka lymphoma follicular.

• ʻO Brentuximab vedotin, kahi i loaʻa i kahi antibody monoclonal e hoʻopili ana i kahi protein i kapa ʻia ʻo CD30 i loaʻa ma kekahi mau huna lymphoma. Loaʻa iā ia kahi lāʻau anticancer i hiki ke kōkua i ka luku ʻana i nā hunaola maʻi ʻaʻai.

• Yttrium Y 90-ibritumomab tiuxetan, kahi laʻana o kahi antibody monoclonal radiolabeled.

ʻO ka Proteasome inhibitor therapy ka mea e ālai i ka hana o proteasome i nā pūnaʻi maʻi maʻi. Wehe i nā protein i nā protein ʻaʻole pono hou ʻia e ka pūnaewele. Ke ālai ʻia nā proteasome, kūkulu nā protein i loko o ke keena a make paha i ka make maʻi ʻaʻai. Hoʻohana ʻia ʻo Bortezomib e hōʻemi i ka nui o ka immunoglobulin M i loko o ke koko ma hope o ka mālama ʻana i ka maʻi ʻaʻa no lymphoplasmacytic lymphoma. Ke aʻo ʻia nei hoʻi e mālama i ka lymphoma cell cell relapsed.

Pale ka kinase inhibitor therapy i kekahi mau protein, i kōkua i ka mālama ʻana i nā hunaola lymphoma mai ka ulu ʻana a make paha iā lākou. ʻO nā hana hōʻoki kinase nā:

• ʻO Copanlisib, idelalisib, a me duvelisib, ka mea e ālai i nā protein P13K a hiki ke kōkua i ka mālama ʻana i nā hunaola lymphoma. Hoʻohana ʻia lākou e mālama i nā lymphomas non-Hodgkin follicular i hoʻi hou (hoʻi) a i ʻole maikaʻi maikaʻi aʻe ma hope o ka lapaʻau ʻana me ʻelua mau lāʻau ʻē aʻe.

• ʻO Ibrutinib a me acalabrutinib, ʻano o Bruton tyrosine kinase ka mea hoʻowalewale therapy. Hoʻohana ʻia lākou e mālama i ka lymphoplasmacytic lymphoma a me ka limle cell lymphoma.

Hiki paha ke hoʻohana ʻia ʻo Venetoclax e mālama ai i ka limle cell lymphoma. Paʻa ia i ka hana o kahi protein i kapa ʻia ʻo B-cell lymphoma-2 (BCL-2) a kōkua paha i ka make ʻana i nā hunaola maʻi ʻaʻai.

E ʻike i nā lāʻau i ʻae ʻia no Non-Hodgkin Lymphoma no ka ʻike hou aku.

Plasmapheresis

Inā mānoanoa ke koko me nā protein antibody keu a pili i ka holo ʻana, hana ʻia ka plasmapheresis e hemo i nā plasma keu a me nā protein antibody mai ke koko. I kēia kaʻina hana, lawe ʻia ke koko mai ka mea maʻi a hoʻouna ʻia ma o kahi mīkini e hoʻokaʻawale i ka plasma (ka ʻāpana wai o ke koko) mai nā hunaola koko. Aia i ka plasma o ka mea maʻi ka maʻi pale ʻaʻohe e pono ai a hoʻi ʻia i ka mea maʻi. Hoʻihoʻi ʻia nā hunaola kūlohelohe i ke kahe o ke koko me ka plasma i hāʻawi ʻia a i ʻole kahi pani plasma. ʻAʻole mālama ʻo Plasmapheresis i nā antibodies hou mai ka hoʻokumu ʻana.

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.

Laʻau lāʻau Antibiotic

ʻO Antibiotic therapy kahi lapaʻau e hoʻohana i nā lāʻau e mālama ai i nā maʻi a me ke kanesa i hoʻokumu ʻia e nā bacteria a me nā meaola ʻē aʻe.

E ʻike i nā lāʻau i ʻae ʻia no Non-Hodgkin Lymphoma no ka ʻike hou aku.

ʻOki kino

Hiki ke hoʻohana ʻia ke kaha ʻoki e wehe i ka lymphoma i kekahi mau maʻi me ka lympoma non-Hodgkin indolent a i ʻole ka hoʻokūkū.

Ke ʻano o ke ʻoki lāʻau i hoʻohana ʻia i ka lymphoma i hana ʻia i loko o ke kino.

• ʻO ka excision kūloko no kekahi mau mea maʻi me ka limu lymphoid e pili ana i ka mucosa (MALT) lymphoma, PTLD, a me ka liʻiliʻi liʻiliʻi ʻo T-cell lymphoma.

• Splenectomy no nā mea maʻi me ka palena liʻiliʻi lymphoma o ka ʻāpala.

ʻO nā mea maʻi i loaʻa ka puʻuwai, lung, ate, kidney, a i ʻole transplant pancreas pono e lawe i nā lāʻau e kāohi i kā lākou ʻōnaehana paleʻea no ke koena o ko lākou ola. Hiki i ka immunosuppression lōʻihi ma hope o kahi hoʻoliʻiliʻi ke hana i kekahi ʻano o ka lymphoma non-Hodgkin i kapa ʻia ʻo ka maʻi lymphoproliferative post-transplant (PLTD).

Pono pinepine ke kīpoki liʻiliʻi e hōʻoia i ka maʻi celiac i nā mākua e hoʻomohala i kahi ʻano o ka T-cell lymphoma.

Ke kuʻi ʻōnaʻi ʻōnaeho

ʻO ke kāpili ʻana o ka mole kahi hana o ka hāʻawi ʻana i nā lāʻau kiʻekiʻe o ka chemotherapy a me / a i ʻole ka irradiation o ke kino āpau a laila hoʻololi i nā hunaola koko e luku ʻia e ka lāʻau maʻi maʻi. Lawe ʻia nā hunaola (ʻaʻa ʻole o ke koko) mai ke koko a i ʻole ka iwi o ka mea maʻi (transplant autologous) a i ʻole kahi mea hāʻawi (allogeneic transplant) a paʻa a waiho ʻia. Ma hope o ka pau ʻana o ka chemotherapy a me / a i ʻole radiation radiation, hoʻoheheʻe ʻia nā hunaola i mālama ʻia a hoʻihoʻi ʻia i ka mea maʻi ma o ka infusion. E ulu kēia mau hunaola i (a hoʻihoʻi) i nā huna koko o ke kino.

Ke kuʻi ʻōnaʻi ʻōnaeho. (ʻAnuʻu 1): Lawe ʻia ke koko mai kahi aa i ka lima o ka mea hāʻawi. ʻO ka mea hoʻomanawanui a kanaka ʻē aʻe paha ka mea hāʻawi. Kahe ke koko i loko o kahi mīkini e hemo i nā hunaola kūmole. A laila hoʻihoʻi ʻia ke koko i ka mea hāʻawi ma o kahi aa i loko o ka lima ʻē aʻe. (ʻAnuʻu 2): Loaʻa i ka mea maʻi ka chemotherapy e pepehi i nā hunaola koko. Loaʻa i ka mea maʻi ka radiation radiation (ʻaʻole i hōʻike ʻia). (ʻAnuʻu 3): Loaʻa i ka mea maʻi ka maʻi ma o ka catheter i hoʻokomo ʻia i loko o kahi kīʻaha koko i ka umauma.

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.

Hoʻoikaika lāʻau lapaʻau

ʻO ka lāʻau lapaʻau lāʻau lapaʻau kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i kahi mea a i ʻole hui o nā mea e hoʻonāukiuki ai i ka ʻōnaehana pale e ʻike ai i ka tumo a make loa

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.

Lapaʻau o Indolent Non-Hodgkin Lymphoma

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

Hoʻomaʻamaʻa i ka palaualelo pae I a me ka palaualelo, contiguous pae II makua non-Hodgkin lymphoma i loko o kēia mau mea:

• Lapaʻau hoʻomākala.
• Monoclonal antibody therapy (rituximab) a me / a me chemotherapy.
• Ke kali kiaʻi nei.

Inā nui loa ka tumo e mālama ʻia me ka radiation radiation, e hoʻohana ʻia nā koho lapaʻau no ka indolent, noncontiguous stage II, III, a i ʻole IV makua non-Hodgkin lymphoma.

Hoʻomaʻamaʻa ʻia ka indolent, noncontiguous stage II, III, a i ʻole IV makua non-Hodgkin lymphoma i kēia mau mea:

• Ke kali nei ke kiaʻi no nā mea maʻi ʻaʻohe o lākou hōʻailona a hōʻailona paha.

• Monoclonal antibody therapy (rituximab) me ka ʻole a me ka ʻole o ka chemotherapy.

• Mālama mālama me rituximab.

• Monoclonal antibody therapy (obinutuzumab).

• Hoʻomaʻamaʻa PI3K (copanlisib, idelalisib, a i ʻole duvelisib).

• ʻO Lenalidomide a me rituximab.

• ʻO Radiolabeled monoclonal antibody therapy.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy kiʻekiʻe me ka ʻole a me ka ʻole o ka irradiation o ke kino a i ʻole radiolabeled monoclonal antibody therapy, ukali ʻia e

• ke kuʻi ʻōnaehana autologous a i ʻole allogeneic.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy me a i ʻole me ka ʻole o ka lāʻau lapaʻau.

• ʻO kahi hoʻokolohua hoʻokolohua o nā ʻano hou o nā antibodies monoclonal.

• ʻO kahi hoʻokolohua hoʻokolohua o ka radiation radiation i hoʻopili ʻia me nā lymph node kokoke, no nā mea maʻi i loaʻa i ka maʻi III maʻi.

• ʻO kahi hoʻokolohua hoʻokolohua o ka lāʻau radiation radiation, e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ke ola.

ʻO nā mālama ʻē aʻe no ka lympoma non-Hodgkin indolent hilinaʻi i ke ʻano o ka non-Hodgkin lymphoma. Hoʻomaopopo ʻia ka hana penei:

• No ka lymphoma follicular, ma loko paha o ka hoʻokolohua hoʻokolohua o ka monoclonal antibody therapy hou, ka chemotherapy regimen hou, a i ʻole kahi koʻokoʻo

hoʻoiho pūnaewele.

• No ka lymphoma follicular i hoʻi hou (hoʻi hou) a i ʻole maikaʻi maikaʻi aʻe ma hope o ka hoʻomaʻamaʻa ʻana, hiki i ka hoʻōla ke hoʻopili i kahi mea hōʻoki PI3K

(copanlisib, idelalisib, a i ʻole duvelisib).

• No ka lymphoplasmacytic lymphoma, Bruton tyrosine kinase inhibitor therapy a me / a i ʻole plasmapheresis a i ʻole proteasome inhibitor therapy (inā pono

e hoʻohana i ka lahilahi o ke koko) hoʻohana ʻia. Hāʻawi ʻia kekahi mau lāʻau ʻē aʻe e like me nā mea i hoʻohana ʻia no ka lymphoma follicular.

• No ka lymphoid gastric-pili mucosa-pili (MALT) lymphoma, hāʻawi ʻia ka lāʻau antibiotic e mālama iā Helicobacter pylori maʻi maʻi.

No nā tumors e pane ʻole i ka lāʻau antibiotic, ʻo ka mālama ʻana he radiation therapy, ʻoki kino ʻana, a i ʻole rituximab me a i ʻole chemotherapy.

• No ka extragastric MALT lymphoma o ka maka a me ka lyricoma ʻōpū Mediterranean, hoʻohana ʻia ka lāʻau antibiotic e mālama i ka maʻi.

• No ka lympoma liʻiliʻi liʻiliʻi liʻiliʻi, rituximab me a i ʻole me ka chemotherapy a me ka B-cell receptor therapy e hoʻohana ʻia e like me ka lapaʻau mua. Inā ʻaʻole pane ka tumo i ka lāʻau lapaʻau, hana ʻia paha kahi splenectomy.

Hoʻomaʻamaʻa i ka Aggressive Non-Hodgkin Lymphoma

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO ka hoʻomaʻamaʻa ʻana i ka pae I kūpikipiki a me ka hakakā, contiguous pae II makua non-Hodgkin lymphoma e komo pū me kēia:

• Monoclonal antibody therapy (rituximab) a me ka chemotherapy hui pū. I kekahi manawa hāʻawi ʻia ka radiation therapy ma hope.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi regimen hou o monoclonal antibody therapy a me ka chemotherapy hui pū.

ʻO ka mālama ʻana i ka pae hoʻokūkū hoʻokūkū II, III, a i ʻole IV makua ʻole Hodgkin lymphoma e hoʻopili ʻia i kēia mau mea:

• Monoclonal antibody therapy (rituximab) me ka chemotherapy hui pū.

• Hoʻohui chemotherapy.

• ʻO kahi hoʻokolohua hoʻokolohua o ka monoclonal antibody therapy me ka chemotherapy hui pū ʻia e radiation radiation.

Pili nā ʻano lāʻau ʻē aʻe i ke ʻano o ka non-Hodgkin lymphoma kolohe. Hoʻomaopopo ʻia ka hana penei:

• No ka lymphoma extranodal NK- / T-cell, radiation therapy i hāʻawi ʻia ma mua, i ka wā, a ma hope paha o ka chemotherapy a me CNS prophylaxis.

• No ka lymphoma cell cell mantle, monoclonal antibody therapy me ka chemotherapy hui, a ukali ʻia e ka transplant cell stem. Hiki ke hāʻawi ʻia i ka monoclonal antibody therapy ma hope ma ke ʻano he mālama mālama (lapaʻau i hāʻawi ʻia ma hope o ka hoʻōla mua e kōkua ai e mālama i ka maʻi ʻaʻai mai ka hoʻi ʻana).

• No ka maʻi lymphoproliferative posttransplantation, e pau paha ka mālama ʻana me nā lāʻau immunosuppressive. Inā ʻaʻole holo pono kēia a ʻaʻole hiki ke hana ʻia, hāʻawi ʻia ʻo monoclonal antibody therapy a i ʻole me ka chemotherapy. No ka maʻi ʻaʻai ʻaʻole pālahalaha, hoʻohana ʻia ke ʻoki e wehe i ka maʻi ʻaʻai a i ʻole radiation radiation.

• No ka lympoma plasmablastic, ua like nā mālama me nā mea i hoʻohana ʻia no ka lymphoblastic lymphoma a i ʻole Burkitt lymphoma.

No ka ʻike e pili ana i ka mālama ʻana i ka lymphoblastic lymphoma, e ʻike i nā koho lapaʻau no Lymphoblastic Lymphoma a no ka ʻike e pili ana i ka mālama ʻana i ka lymphoma Burkitt, e ʻike i nā koho lapaʻau no Burkitt Lymphoma.

Lapaʻau o Lymphoblastic Lymphoma

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO ka mālama ʻana i ka lymphoblastic lymphoma makua e komo pū me kēia:

• Hoʻohui chemotherapy a me CNS prophylaxis. I kekahi manawa hāʻawi ʻia ka radiation therapy e hōʻemi i kahi tumo nui.

• Hoʻopaʻa kaulike ʻia me kahi antibody monoclonal wale nō (rituximab) a i ʻole hoʻohui ʻia me ka kinase inhibitor therapy (ibrutinib)

• ʻO kahi hoʻokolohua hoʻokolohua o ka transplant cell stem ma hope o ka lapaʻau mua.

Ka mālama ʻana iā Burkitt Lymphoma

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO ka mālama ʻana i ka lymphoma Burkitt makua hiki ke hoʻopili ʻia i kēia mau mea:

• Hoʻohui chemotherapy me a i ʻole me ka ʻole o ka monoclonal antibody therapy.

• ʻO CNS prophylaxis.

Lapaʻau o Recurrent Non-Hodgkin Lymphoma

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

Hoʻomaʻamaʻa i ka palaualelo, lymphoma makua ʻole Hodgkin hou i kēia mau mea:

• Chemotherapy me hoʻokahi aʻoi aku paha nā lāʻau.

• Monoclonal antibody therapy (rituximab a i ʻole obinutuzumab).

• Lenalidomide.

• ʻO Radiolabeled monoclonal antibody therapy.

• ʻO ka radiation radiation ma ke ʻano he palliative therapy e hōʻoluʻolu ai i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o ke ola.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi autologous a i ʻole allogeneic stem cell transplant.

ʻO ka hoʻomaʻamaʻa ʻana i ka lymphoma non-Hodgkin makua ʻole i hoʻouluulu ʻia e komo pū paha penei:

• ʻO Chemotherapy me a i ʻole me ka lawe ʻana o ka cell cell.

• ʻO Monoclonal antibody therapy me a i ʻole me ka ʻole o ka chemotherapy i ukali ʻia e ka autologous cell cell transplant.

• ʻO ka radiation radiation ma ke ʻano he palliative therapy e hōʻoluʻolu ai i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o ke ola.

• ʻO Radiolabeled monoclonal antibody therapy.

• CAR T-cell therapy.

• No ka lymphoma cell cell mantle, hiki i ka mālama ke hoʻopili i kēia mau mea:

• ʻO Bruton tyrosine kinase mea hōʻoki lāʻau.

• Lenalidomide.

• ʻO kahi hoʻokolohua hoʻokolohua o lenalidomide me ka monoclonal antibody therapy.

• ʻO kahi hoʻokolohua hoʻokolohua e hoʻohālikelike ana i ka lenalidomide i nā lāʻau ʻē aʻe.

• ʻO kahi hoʻokolohua hoʻokolohua o ka proteasome inhibitor therapy (bortezomib).

• ʻO kahi hoʻokolohua hoʻokolohua o ke autologous a i ʻole ke allogeneic stem cell transplant.

ʻO ka mālama ʻana i ka lymphoma molowa i hoʻi mai e like me ka lymphoma hōʻeuʻeu e pili ana i ke ʻano o ka lymphoma non-Hodgkin a hoʻopili ʻia i radiation therapy ma ke ʻano he palliative therapy e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola. ʻO ka mālama ʻana i ka lymphoma hōʻeuʻeu e hoʻi mai e like me ka lympoma indolent e komo pū me chemotherapy.

Lapaʻau o Non-Hodgkin Lymphoma i ka wā o ka hāpai keiki

Ma keia Pauku

• ʻO ka Lymphoma Non-Hodgkin Indolent i ka wā o ka hāpaiʻana

• ʻO ka Lymphoma Non-Hodgkin aggressive i ka wā o ka hāpai ʻana

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO ka Lymphoma Non-Hodgkin Indolent i ka wā o ka hāpaiʻana

ʻO nā wahine i molowa (ulu lohi) i ka lymphoma non-Hodgkin i ka wā hāpai e hiki ke mālama ʻia me ke kali kiaʻi ʻana a hiki i ka wā e hānau ai lākou. (E ʻike i nā koho no ka Indolent Non-Hodgkin Lymphoma ʻāpana no ka ʻike hou aku.)

ʻO ka Lymphoma Non-Hodgkin aggressive i ka wā o ka hāpai ʻana

ʻO ka mālama ʻana i ka lymphoma non-Hodgkin huhū i ka wā hāpai e hoʻopili pū paha i kēia mau mea:

• Hāʻawi koke ʻia ka mālama ʻana ma muli o ke ʻano o ka lymphoma non-Hodgkin e hoʻonui ai i ka manawa e ola ai ka makuahine. Hiki i ka mālama ʻana ke komo pū me ka chemotherapy a me ka rituximab.

• ʻO ka hānau mua ʻana o ka pēpē a ukali ʻia e ka lāʻau e pili ana i ke ʻano o ka lymphoma non-Hodgkin.

• Inā i ka ʻekolu hapa mua o ka hāpai ʻana, ʻōlelo paha nā oncologist lapaʻau e hoʻopau i ka hāpai ʻana i hoʻomaka ka lāʻau. Pili ka mālama ʻana i ke ʻano o ka lymphoma non-Hodgkin.

E aʻo hou aʻe e pili ana i ka Lymphoma Non-Hodgkin makua

No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka lymphoma non-Hodgkin makua, e ʻike i ka mea aʻe:

• ʻAoʻao Home Lymphoma Non-Hodgkin

• Ua ʻae ʻia nā lāʻau no Non-Hodgkin Lymphoma

• 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