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ʻO ke olakino non-Hodgkin Lymphoma lapaʻau (®) - Mana Mana Manaʻo

ʻO ka ʻikepili e pili ana i ka Childhood Non-Hodgkin Lymphoma

NA MANA KUNI

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

• ʻO nā ʻano nui o ka lymphoma ʻo Hodgkin lymphoma a me non-Hodgkin lymphoma.

• Aia he ʻekolu mau ʻano nui o ka wā kamaliʻi non-Hodgkin lymphoma.

• ʻO ka lymphoma B-cell ʻole-Hodgkin makua

• Lymphoblastic lymphoma

• ʻO ka lymphoma pūnana nui Anaplastic

• ʻAno ʻole kekahi ʻano o ka lymphoma non-Hodgkin i nā keiki.

• ʻO ka mālama i hala no ka maʻi ʻaʻai a me ka loaʻa ʻana o kahi ʻōnaehana nawaliwali e hoʻopili i ka makaʻu o ka lymphoma non-Hodgkin.

• ʻO nā hōʻailona o ka lymphoma non-Hodgkin kamaliʻi e komo pū me nā pilikia hanu a me nā pona lymph pehu.

• Hoʻohana ʻia nā hoʻāʻo e nānā i ke kino a me ka ʻōnaehana lymph e ʻike ai (loaʻa) a ʻike ʻia ka lymphoma kamaliʻi ʻole Hodgkin.

• Hana ʻia kahi biopsy e hōʻoia i ka lymphoma non-Hodgkin keiki.

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

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

ʻO ke kamaliʻi non-Hodgkin lymphoma kahi ʻano maʻi ʻaʻai e hana ʻia i loko o ka ʻōnaehana lymph, kahi ʻāpana o ka ʻōnaehana pale o ke kino. 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 T a me B. ʻO Lymphocytes kahi ʻano o ke keʻokeʻo koko keʻokeʻo.

• 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.

Hiki ke hoʻomaka ka lymphoma non-Hodgkin i nā lymphocytes B, nā lymphocytes T, a i ʻole nā ​​aʻa make maoli. Hiki ke loaʻa pū ʻia nā Lymphocytes i loko o ke koko a ʻohiʻohi i loko o nā lymph node, spleen, and thymus.

ʻIke pū ʻia ka lāʻau Lymph i nā ʻāpana ʻē aʻe o ke kino e like me ka ʻōpū, ka pākiko thyroid, ka lolo, a me ka ʻili.

Hiki i ka lymphoma non-Hodgkin ke hana i nā mākua a me nā keiki. ʻOkoʻa ka mālama ʻana no nā keiki ma mua o ka mālama ʻana i nā mākua. E ʻike i nā hōʻuluʻulu aʻe no ka ʻike e pili ana i ka mālama ʻana i ka lymphoma non-Hodgkin i nā mākua.

• Lymphoma Non-Hodgkin makua

• Lapaʻau CNS Lymphoma

• ʻO Mycosis Fungoides (Me Sezary Syndrome) lapaʻau

ʻO nā ʻano nui o ka lymphoma ʻo Hodgkin lymphoma a me non-Hodgkin lymphoma.

Māhele ʻia ʻo Lymphomas i ʻelua mau ʻano laulā: Hodgkin lymphoma a me non-Hodgkin lymphoma. ʻO kēia hōʻuluʻulu manaʻo e pili ana i ka mālama ʻana i ka lymphoma non-Hodgkin o ke kamaliʻi. E ʻike i ka hōʻuluʻulu e pili ana i ka Hodgkin Lymphoma i ka hoʻomaʻamaʻa ʻana no ka ʻike e pili ana i ka lyodoma Hodgkin kamaliʻi.

Aia he ʻekolu mau ʻano nui o ka wā kamaliʻi non-Hodgkin lymphoma.

Hoʻoholo ʻia ke ʻano o ka lymphoma e ka nānā ʻana o nā hunaola ma lalo o kahi microscope. ʻO nā ʻano nui ʻekolu o ka limahana non-Hodgkin lymphoma:

ʻO ka lymphoma B-cell ʻole-Hodgkin makua

ʻO nā lymphomas B-cell ʻole-Hodgkin makua:

• ʻO Burkitt a me Burkitt-like lymphoma / leukemia: ʻO Burkitt lymphoma a me Burkitt leukemia nā ʻano like ʻole o ka maʻi like. ʻO Burkitt lymphoma / leukemia kahi maʻi hōʻeuʻeu (ulu wikiwiki) o nā lymphocytes B e ʻike pinepine ʻia i nā keiki a me nā ʻōpio makua. Kū paha ia i loko o ka ʻōpū, ke apo o Waldeyer, testicle, iwi, iwi iwi, ʻili, a i ʻole kikowaena ʻōnaehana (CNS). Hoʻomaka ka leukemia Burkitt i nā lymph node ma ke ʻano o ka lymphoma Burkitt a laila hohola i ke koko a me ka iwi o ka iwi, a i ʻole hoʻomaka paha ia i ke koko a me ka iwi o ka iwi me ka ʻole o ka hoʻokumu ʻana i nā lymph nodes.

ʻO ka leukemia Burkitt a me Burkitt lymphoma i hoʻopili ʻia i ka maʻi me ka maʻi Epstein-Barr (EBV), ʻoiai ʻo ka maʻi EBV ka mea i ʻoi aku ka maʻi ma ʻApelika ma mua o ʻAmelika Hui Pū ʻIa. Kuhi ʻia ʻo Burkitt a me Burkitt-like lymphoma / leukemia ke ʻike ʻia kahi laʻana o nā aʻa a loaʻa kahi loli i ka gen MYC.

• Diffuse B-cell lymphoma nui: ʻO ka lymphoma B-cell nui ke ʻano maʻamau o ka lymphoma non-Hodgkin. ʻO kahi ʻano o ka B-cell non-Hodgkin lymphoma e ulu koke ana i nā lymph node. Hoʻopili pinepine ʻia ke kīkala, ke ake, ka iwi iwi, a i ʻole nā ​​mea ʻē aʻe. Hoʻonui pinepine ka lymphoma B-cell nui i nā ʻōpio ma mua o nā keiki.

• ʻO ka lymphoma B-cell mediastinal mua: He ʻano lymphoma e hoʻomohala ʻia mai nā hunaola B i ka mediastinum (kahi ma hope o ka umauma). Pālahalaha paha ia i nā mea pili kokoke e like me nā akemāmā a me ka ʻeke a puni ka puʻuwai. Hoʻolahalaha paha ia i nā lymph node a me nā mea mamao e pili ana i nā puʻupaʻa. I nā keiki a me nā ʻōpio, ʻo ka mediasminal B-cell lymphoma mua pinepine pinepine ʻia i nā ʻōpio kahiko.

Lymphoblastic lymphoma

ʻO ka lymphoblastic lymphoma kahi ʻano lymphoma e pili nui i nā lymphocytes T-cell. Hana maʻamau ia i ka mediastinum (kahi ma hope o ka umauma). ʻO kēia ke kumu o ka hanu ʻana i ka hanu, ka hū ʻana, ka ale ʻana i ka ale ʻana, a me ka pehu ʻana o ke poʻo a me ka ʻāʻī. Hoʻolahalaha paha ia i nā lymph node, iwi, iwi iwi, ʻili, ka CNS, nā ʻōpū o ka ʻōpū, a me nā wahi ʻē aʻe. ʻO ka lymphoblastic lymphoma kahi mea like me ka leukemia lymphoblastic huehue (ALL).

ʻO ka lymphoma pūnana nui Anaplastic

ʻO ka lymphoma nui nui Anaplastic kahi ʻano o ka lymphoma e hoʻopili nui i nā lymphocytes T-cell. Hana ʻia ia i nā lymph node, ka ʻili, a i ʻole ka iwi, a i kekahi manawa hana ʻia i loko o ka gastrointestinal tract, lung, nā mea i uhi i nā ake māmā, a me nā mākala ʻO nā mea maʻi me ka anaplastic cell lymphoma nui loa he mea loaʻa, i kapa ʻia ʻo CD30, ma ka ʻili o kā lākou mau pūnaewele T. I nā keiki he nui, ua kahakaha ʻia ka limapoma nui nui anaplastic e nā loli i ka ʻāpana ALK e hana ana i kahi protein i kapa ʻia ʻo anaplastic lymphoma kinase. Nānā kahi pathologist i kēia mau loli a me nā loli e kōkua i ke kuhi ʻana i ka lymphoma nui anaplastic.

ʻAno ʻole kekahi ʻano o ka lymphoma non-Hodgkin i nā keiki.

ʻO kekahi ʻano o ke kamaliʻi non-Hodgkin lymphoma ʻoi aku ka liʻiliʻi. Pākuʻi ʻia kēia mau mea:

• ʻO ka lymphoma follicular-type pediatric: i nā keiki, ʻo ka lymphoma follicular ka mea nui i nā kāne. Loaʻa paha ia i hoʻokahi wahi a ʻaʻole pāhola i nā wahi ʻē aʻe o ke kino. Hana maʻamau ia i nā tonsil a me nā lymph node i ka ʻāʻī, akā hiki ke hana ʻia i nā testicle, nā puʻupaʻa, nā ʻōpū o ka gastrointestinal, a me ka salivary gland.

• ʻO ka lymphoma ʻoki liʻiliʻi: ʻo kahi lymphoma ʻoki liʻiliʻi kahi ʻano o ka lymphoma e ulu a ulu a lohi a ʻike pinepine ʻia i kahi wā mua. Loaʻa paha ia i nā lymph nodes a i ʻole nā ​​wahi ma waho o nā lymph node. ʻO ka lymphoma palena liʻiliʻi i loaʻa ma waho o nā lymph node i nā keiki i kapa ʻia ʻo ka limfa lymphoid e pili ana i ka mucosa (MALT) lymphoma. Pili paha ʻo MALT i ka maʻi Helicobacter pylori o ka maʻi gastrointestinal a me Chlamydophila psittaci maʻi o ka membrane conjunctival e hoʻopili ana i ka maka.

• ʻO ka lymphoma ʻōnaehana waena waena (CNS) lymphoma: ʻano nui loa ka lymphoma CNS mua i nā keiki.

• Peripheral T-cell lymphoma: Peripheral T-cell lymphoma kahi mea hoʻokūkū (ulu wikiwiki) non-Hodgkin lymphoma e hoʻomaka i ka lymphocytes T makua. Mālamalama nā T lymphocytes i loko o ka gland thymus a hele i nā ʻāpana ʻē aʻe o ka ʻōnaehana lymph, e like me nā lymph node, ka iwi iwi, a me ka iwi maha.

• Cutaneous T-cell lymphoma: Hoʻomaka ka Cutaneous T-cell lymphoma i loko o ka ʻili a hiki ke hoʻonāuki i ka ʻili a i ʻole hoʻokumu i kahi tumo. He kākaʻikahi loa ia i nā keiki, akā ʻoi aku ka maʻamau o nā ʻōpio a me nā ʻōpio makua. Aia nā ʻano like ʻole o ka limahana limanui T-cell, e like me ka lymphoma anaplastic cutaneus nui, subnutanitis pan-nthitisitis e like me ka T-cell lymphoma, lymaoma gamma-delta T-cell, a me mycosis fungoides. ʻAʻole loaʻa pinepine nā mycosis fungoides i nā keiki a me nā ʻōpio.

ʻO ka mālama i hala no ka maʻi ʻaʻai a me ka loaʻa ʻana o kahi ʻōnaehana nawaliwali e hoʻopili i ka makaʻu o ka lymphoma non-Hodgkin.

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 makemake ʻoe e pilikia paha kāu keiki.

ʻO nā kumuhana kūpono no ka lymphoma non-Hodgkin kamaliʻi e komo pū me kēia:

• ʻO ka mālama i hala no ka maʻi ʻaʻai.

• Ke maʻi nei i ka maʻi Epstein-Barr a i ʻole ka maʻi pale maʻi kanaka (HIV).

• Loaʻa i kahi ʻōnaehana pale nāwaliwali ma hope o kahi transplant a mai nā lāʻau i hāʻawi ʻia ma hope o kahi transplant.

• Loaʻa i kekahi mau maʻi hoʻoilina (e like me ka hoʻoponopono ʻana o DNA i nā syndrome kīnā e pili pū ana me ataxia-telangiectasia, Nijmegen breakage syndrome, a me nā hemahema kūlike ʻole o ke kumukānāwai).

Inā pili ka maʻi lymphoma a i ʻole lymphoproliferative i kahi ʻōnaehana nawaliwali nāwaliwali mai kekahi mau maʻi hoʻoilina, maʻi HIV, kahi transplant a i ʻole nā ​​lāʻau i hāʻawi ʻia ma hope o kahi transplant, ua kapa ʻia kēia ʻano he maʻi lymphoproliferative e pili ana i ka pale maʻi. ʻO nā ʻano ʻokoʻa o ka maʻi lymphoproliferative e pili pū ana me ka pale maʻi:

• ʻO ka maʻi Lymphoproliferative e pili ana me ka immunodeficiency mua.

• ʻO ka lymphoma non-Hodgkin pili i ka HIV.

• ʻO ka maʻi lymphoproliferative post-transplant.

ʻO nā hōʻailona o ka lymphoma non-Hodgkin kamaliʻi e komo pū me nā pilikia hanu a me nā pona lymph pehu.

ʻO kēia a me nā hōʻailona ʻē aʻe i kumu ʻia e ka kamaliʻi non-Hodgkin lymphoma a i ʻole nā ​​kūlana ʻē aʻe. E hōʻoia me ke kauka inā loaʻa i kāu keiki kekahi o kēia mau mea:

• Hī pilikia.

• ʻUhihi.

• ʻOughlelo huna.

• Kani ka hanu kiʻekiʻe kiʻekiʻe.

• ʻO ka pehu o ke poʻo, ka ʻāʻī, ke kino o luna, a i ʻole nā ​​lima.

• Pilikia i ka ale ʻana.

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

• Pahu painless a ʻōhū paha i kahi testicle.

• Fiva no ke kumu ʻole i ʻike ʻia.

• ʻO ka hōʻemi kaumaha no ke kumu ʻole.

• Hoʻoulu ka pō.

Hoʻohana ʻia nā hoʻāʻo e nānā i ke kino a me ka ʻōnaehana lymph e ʻike ai (loaʻa) a ʻike ʻia ka lymphoma kamaliʻi ʻole Hodgkin.

Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:

• ʻO ka hoʻāʻo kino a me ka mōʻaukala: 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.

• Nā aʻo kemika koko: kahi kaʻina e nānā ʻia kahi hāpana koko e ana i ka nui o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko e nā ʻokena a me nā mea i loko o ke kino, e like me nā electrolytes, lactate dehydrogenase (LDH), uric acid, koko urea nitrogen (BUN) , creatinine, a me nā hana hana ate. 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.

• Nā ho'āʻo hana ate: kahi kaʻina e nānā ʻia kahi laʻana koko e ana i ka nui o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko e ke ake. ʻO kahi kiʻekiʻe ma mua o ka nui maʻamau o kahi mea hiki ke lilo i hōʻailona o ka maʻi ʻaʻai.

• 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.

ʻO ka scan tomography compute (CT) o ka ʻōpū. Moe ke keiki ma ka papaʻaina e paheʻe ai i ka scanner CT, e kiʻi ana i nā kiʻi x-ray o loko o ka ʻōpū.

• 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. I kekahi manawa hana ʻia ka PET scan a me ka CT scan i ka manawa like. Inā loaʻa kekahi maʻi ʻaʻai, hoʻonui kēia i ka manawa e ʻike ʻia.

Positron emission tomography (PET) scan NineManga.com Moe ke keiki ma ka papaʻaina e heʻe ai ka scanner PET. Hoʻomaha ke poʻo a me ke kaula keʻokeʻo e kōkua i ke keiki e moe mau. Hoʻokomo ʻia kahi liʻiliʻi o ka glucose radioactive (kō) i ka aa o ke keiki, a hana kahi scanner i kiʻi i kahi e hoʻohana ʻia ai ka glucose i ke kino. Hōʻike ʻia nā hunaola maʻi ʻālohilohi i ke kiʻi no ka mea lawe lākou i ka glucose ma mua o ka hana ʻana o nā hunaola maʻamau.

• MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).

ʻO ke kiʻi ʻana o ka resonance ʻume mākenēki (MRI) o ka ʻōpū. Moe ke keiki ma ka papaʻaina e paheʻe i ka scanner MRI, e paʻi ana i nā kiʻi o loko o ke kino. Kōkua ka pale ma luna o ka ʻōpū o ke keiki e hoʻomaʻemaʻe i nā kiʻi.

• 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.

• ʻO ke kukui x: kahi x-ray o nā mea a me nā iwi i loko o ka umauma. ʻO ka 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.

• ʻO ka hoʻāʻo ʻana o Ultrasound: kahi kaʻina hana e kipaku ʻia ai nā nalu kani ikaika (ultrasound) mai nā aʻa a i ʻole nā ​​ʻola a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki ke paʻi ʻia ke kiʻi e nānā ma hope.

ʻO ke ultrasound ʻōpū. ʻO kahi transducer ultrasound e pili ana i kahi kamepiula e kaomi ʻia i ka ʻili o ka ʻōpū. Pākuʻi ka transducer i nā nalu kani i nā mea kūloko a me nā aʻa e hana i nā leo e hana i kahi sonogram (kiʻi kamepiula).

Hana ʻia kahi biopsy e hōʻoia i ka lymphoma non-Hodgkin keiki.

Lawe ʻia nā keena a me nā aʻa i ka wā o kahi biopsy i hiki ai iā lākou ke ʻike ma lalo o kahi microscope e kahi pathologist e nānā i nā hōʻailona o ka maʻi ʻaʻai. Ma muli o ka mālama ʻana i ke ʻano o ka lymphoma non-Hodgkin, pono e nānā ʻia nā laʻana biopsy e kahi pathologist i loaʻa ka ʻike i ke kuhi ʻana i ka lymphoma non-Hodgkin.

E hana ʻia paha kekahi o nā ʻano biopsies:

• ʻO Biopsy kūikawā: ʻO ka lawe ʻana i kahi kōpona lymph āpau a i ʻole puʻupuʻu o nā mea.

• ʻO Biopsy Incisional: Ka lawe ʻana i kahi ʻāpana o kahi puʻupuʻu, lyode node, a i ʻole kahi laʻana o nā meaola.

• ʻO ke biopsy Core: Ka hemo ʻana o nā aʻa a i ʻole ʻāpana o kahi pona lymph me ka hoʻohana ʻana i kahi nila ākea.

• ʻO ka biopsy aspiration maikaʻi-nila (FNA): Ka hemo ʻana o nā aʻa a i ʻole ʻāpana o kahi pona lymph me ka hoʻohana ʻana i kahi nila kuina.

ʻO ke kaʻina hana i hoʻohana ʻia e hemo ai i kahi hāpana o nā ʻano i pili i kahi o ka tumo i loko o ke kino.

• ʻO ka ʻiʻo o ka iwi iwi a me ka biopsy: Ka lawe ʻia ʻana o ka iwi iwi a me kahi ʻāpana o ka iwi ma ka hoʻokomo ʻana i kahi nila kuha i loko o ka hipbone a i ʻole ka umauma.

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 ke keiki. 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.

• Mediastinoscopy: ʻO kahi kaʻina hana e nānā i nā ʻōpala, nā aʻa, a me nā pūnana lymph ma waena o nā māmā no nā wahi kūpono ʻole. Hana ʻia kahi ʻoki (ʻoki) ma ka piko o ka umauma a hoʻokomo ʻia kahi mediastinoscope i ka umauma. ʻO ka mediastinoscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana. Loaʻa iā ia kahi mea hana e hemo ai i nā laʻana a i ʻole nā ​​lymph node Eia kekahi laʻana, i nānā ʻia ma lalo o kahi microscope no nā ʻōuli o ka maʻi ʻaʻai.

• Anterior mediastinotomy: ʻO kahi kaʻina hana e nānā i nā mea a me nā mea ma waena o nā māmā a ma waena o ka umauma a me ka puʻuwai no nā wahi kūpono ʻole. Hana ʻia kahi ʻoki (ʻoki) ma ka ʻaoʻao o ka umauma a hoʻokomo ʻia kahi mediastinoscope i ka umauma. ʻO ka mediastinoscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana. Loaʻa iā ia kahi mea hana e hemo ai i nā laʻana a i ʻole nā ​​lymph node Eia kekahi laʻana, i nānā ʻia ma lalo o kahi microscope no nā ʻōuli o ka maʻi ʻaʻai. Ua kapa ʻia kēia ka hana ʻo Chamberlain.

• Thoracentesis: Ka lawe ʻia ʻana o ka wai mai ke ākea ma waena o ka uhi o ka umauma a me ka akemāmā, e hoʻohana ana i ka nila. ʻIke kahi pathologist i ka wai ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai.

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.

• Kahe uila 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.

• 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.

• 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.

• 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.

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

ʻO ka wānana (loaʻa o ke ola) a me nā koho lapaʻau e pili iā:

• Ke ʻano o ka lymphoma.

• Ma hea ka tumo i loko o ke kino ke ʻike ʻia ka tumo.

• Ke kahua o ka maʻi ʻaʻai.

• Inā loaʻa kekahi mau hoʻololi i nā chromosome.

• Ke ʻano o ka lapaʻau mua.

• Inā paha i pane ka lymphoma i ka lapaʻau mua.

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

Nā kahua o ke kamaliʻi non-Hodgkin Lymphoma

NA MANA KUNI

• Ma hope o ka ʻike ʻia ʻana o ka lymphoma non-Hodgkin ma ke ʻano kamaliʻi, hana ʻia nā hoʻokolohua e ʻike inā ua hoʻolaha ʻia nā hunaola maʻi ʻino i loko o ka ʻōnaehana lymph a i 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 kamaliʻi:

• Ke kahua I

• Kahua II

• Kahua III

• Kahua IV

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

ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i kapa ʻia ka staging. ʻO nā hopena o nā hoʻokolohua a me nā kaʻina hana i hoʻohana ʻia e ʻike pono ʻole i ka lymphoma non-Hodgkin i hoʻohana ʻia no ke kau ʻana. E ʻike i ka ʻikepili ʻike ākea no ka wehewehe ʻana o kēia mau hoʻāʻo a me nā kaʻina hana. ʻO ka ʻikepili i hōʻiliʻili ʻia mai ke kaʻina hana e hoʻoholo ai i ka pae o ka maʻi. He mea nui ia e ʻike i ke kahua i mea e hoʻolālā ai i ka lāʻau.

Hiki ke hoʻohana ʻia i ke kaʻina hana e hoʻoholo ai i ka pae:

• ʻImi iwi: kahi hana e nānā ai inā aia he wikiwiki e hoʻokaʻawale i nā hunaola, e like me nā hunaola maʻi ʻaʻai, i ka iwi. Hoʻokomo ʻia kahi mea liʻiliʻi loa o nā mea radioactive i loko o ke aa a hele i waena o ke kahe o ke koko. Hōʻiliʻili ka mea lekiō i nā iwi me ka maʻi ʻaʻai a ʻike ʻia e kahi scanner.

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 kamaliʻi:

Ke kahua I

Ke kahua I kamaliʻi non-Hodgkin lymphoma. ʻIke ʻia ka maʻi ʻaʻai i loko o hoʻokahi hui o nā lymph node a i ʻole hoʻokahi wahi ma waho o nā lymph node, akā ʻaʻohe maʻi ʻaʻai i loaʻa i loko o ka ʻōpū a i ʻole mediastinum (kahi ma waena o nā akemāmā).

I ke kahua I kamaliʻi non-Hodgkin lymphoma, loaʻa ka maʻi ʻaʻai.

• i hoʻokahi hui o nā lymph node; a i ʻole

• i kahi ma waho o nā lymph node.

ʻAʻole loaʻa kahi maʻi ʻaʻai i loko o ka ʻōpū a i ʻole mediastinum (kahi ma waena o nā māmā).

Kahua II

Ke kahua II kamaliʻi non-Hodgkin lymphoma. ʻIke ʻia ka maʻi ʻaʻai ma hoʻokahi wahi ma waho o nā lymph node a ma nā lymph node kokoke (a); aiʻole ma nā wahi ʻelua a ʻoi paha ma luna (b) a i ʻole ma lalo (c) ka diaphragm; a i ʻole hoʻomaka ʻia ka maʻi ʻaʻai i loko o ka ʻōpū, hoʻopili, a i ʻole nā ​​ʻōpū (d) a hiki ke hoʻoneʻe ʻia e ke kaha.

I ka pae II kamaliʻi non-Hodgkin lymphoma, loaʻa ka maʻi ʻaʻai.

• ma kahi ma waho o nā lymph node a ma nā lymph node kokoke; a i ʻole

• i ʻelua a ʻoi paha mau wahi ma luna a ma lalo paha o ka diaphragm, a ua pāhola paha i nā lymph node kokoke; a i ʻole

• i hoʻomaka i ka ʻōpū a i ʻole nā ​​ʻōpū a hiki ke hoʻopau loa ʻia e ke kaha. Ua pālahalaha paha ka maʻi ʻaʻai i kekahi mau lymph node kokoke.

Kahua III

Ke kahua III kamaliʻi non-Hodgkin lymphoma. ʻIke ʻia ka maʻi ʻaʻai ma ka liʻiliʻi ma kahi o kahi a ma luna a ma lalo o ka diaphragm (a); aiʻole ka maʻi ʻaʻai i hoʻomaka i ka umauma (b); a i ʻole hoʻomaka ʻia ka maʻi ʻaʻai i loko o ka ʻōpū a hoʻolaha a puni ka ʻōpū (c); aiʻole ma kahi e puni ana i ka iwi kuamoʻo (ʻaʻole i hōʻike ʻia).

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

• i hoʻokahi ma luna o kahi diaphragm a ma ka liʻiliʻi i hoʻokahi ma lalo o ka diaphragm; a i ʻole

• i hoʻomaka i ka umauma; a i ʻole

• i hoʻomaka i loko o ka ʻōpū a pālahalaha i loko o ka ʻōpū; a i ʻole

• i ka wahi a puni ka iwi kuamoʻo.

Kahua IV

Ke kahua IV kamaliʻi non-Hodgkin lymphoma. ʻIke ʻia ka maʻi ʻaʻai i loko o ka iwi iwi, lolo, a me ka wai cerebrospinal (CSF). ʻIke ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.

I ke kahua IV kamaliʻi non-Hodgkin lymphoma, loaʻa ka maʻi ʻaʻai ma ka iwi iwi, ka lolo, a me ka wai o ka cerebrospinal. ʻIke ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.

ʻO Lymphoma Non-Hodgkin Lymphoma hou

ʻO ke kamaliʻi non-Hodgkin lymphoma hou ka maʻi ʻaʻai i hoʻi hou (hoʻi mai) ma hope o ka mālama ʻia ʻana. Hiki ke hoʻi ka lymphoma non-Hodgkin Childhood i ka ʻōnaehana lymph a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

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

• Pono nā keiki me ka non-Hodgkin lymphoma e hoʻolālā i kā lākou lapaʻau ʻana e kahi hui o nā kauka akamai i ka mālama ʻana i ka maʻi ʻaʻa kamaliʻi.

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

• Hoʻohana ʻia ʻeono ʻano o ka mālama maʻamau.

• ʻO Chemotherapy

• Lapaʻau hoʻomākala

• ʻO ka chemotherapy kiʻekiʻe me ka transplant cell stem

• Pahuhopu kau ʻia

• Laau lāʻau ʻē aʻe

• Phototherapy

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

• Immunotherapy

• 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 keiki me ka lymphoma non-Hodgkin.

Loaʻa nā ʻano lapaʻau like ʻole no nā keiki 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.

ʻO ka lawe ʻana i kahi hoʻokolohua hoʻokolohua e pono e noʻonoʻo ʻia no nā keiki āpau me ka non-Hodgkin lymphoma. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.

Pono nā keiki me ka non-Hodgkin lymphoma e hoʻolālā i kā lākou lapaʻau ʻana e kahi hui o nā kauka akamai i ka mālama ʻana i ka maʻi ʻaʻa kamaliʻi.

E mālama ʻia ka lapaʻau ʻana e kahi oncologist pediatric, he kauka i loea i ka mālama ʻana i nā keiki me ka maʻi ʻaʻai. Hana ka oncologist pediatric me nā mea lawelawe olakino ʻē aʻe i loea i ka mālama ʻana i nā keiki me ka non-Hodgkin lymphoma a i loea i kekahi mau wahi o ka lāʻau. Pākuʻi ʻia kēia mau mea i lalo:

• Kahuna Pediatrician.

• Oncologist uila.

• Hematologist Pediatric.

• Kauka ʻōpio.

• ʻO ka loea kahu maʻi Pediatric.

• Lapaʻau hoʻōla.

• ʻOlogistlapa psychologist.

• Limahana limahana.

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

no ka ʻike e pili ana i nā hopena i hoʻomaka i ka wā o ka lapaʻau ʻana no ka maʻi ʻaʻai, e 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. Hiki i nā hopena hope loa o ka mālama ʻana i ka maʻi ʻaʻai ke hoʻopili i kēia mau mea:

• Nā pilikia o ke kino.

• Nā loli i ke ʻano, nā manaʻo, ka noʻonoʻo, ke aʻo ʻana, a me ka hoʻomanaʻo paha.

• Nā maʻi ʻelua (nā ʻano maʻi ʻaʻai hou).

E mālama a kāohi ʻia paha kekahi mau hopena hopena. He mea nui e kamaʻilio pū me nā kauka o kāu keiki e pili ana i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai i kāu keiki. (E ʻike i ka hōʻuluʻulu e pili ana i nā hopena hope o ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi no ka ʻike hou aku.)

Hoʻohana ʻia ʻeono ʻano o ka mālama maʻamau.

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 hui, a i ʻole he kino o ke kino e like me ka ʻōpū, pili ka lāʻau i nā hunaola maʻi ʻaʻai i kēlā mau wahi. Hoʻohui ka chemotherapy me ka hoʻohana ʻana i ʻelua a ʻoi mau lāʻau anticancer.

Hāʻawi ʻia ke ala o ka chemotherapy i ka ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia.

Hoʻohana ʻia ka chemotherapy Intrathecal e mālama i ka lymphoma non-Hodgkin kamaliʻi i pālahalaha, a i ʻole pāhola paha i ka lolo. Ke hoʻohana ʻia e hōʻemi i ka manawa e laha ai ka maʻi ʻaʻai i ka lolo, kapa ʻia ʻo CNS prophylaxis. Hāʻawi ʻia ka chemotherapy Intrathecal ma kahi o chemotherapy e ka waha a i ʻole ka aa koko. Hiki ke hoʻohana ʻia nā kiʻekiʻena kiʻekiʻe o ka chemotherapy ma ke ʻano he 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.

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

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi lāʻau lapaʻau i hoʻohana i nā x-ray ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha iā lākou i ka ulu ʻana. ʻElua ʻano o radiation radiation:

• Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai.

• Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā ​​catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.

Hāʻawi ʻia ke ala o ka radiation radiation ma ke ʻano o ka mālama ʻole ʻana i ka lymphoma non-Hodgkin. Hiki ke hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i ka lymphoma non-Hodgkin o ke keiki i pālahalaha, a i ʻole pālahalaha ʻia, i ka lolo a me ka iwi kuamoo. ʻAʻole hoʻohana ʻia ka radiation radiation i loko no ka mālama ʻana i ka lymphoma non-Hodgkin.

ʻO ka chemotherapy kiʻekiʻe me ka transplant cell stem

Hāʻawi ʻia nā lāʻau kiʻekiʻe o ka chemotherapy e pepehi i nā hunaola maʻi ʻaʻai. Hoʻopau pū ʻia nā hunaola olakino, e like me nā hunaola koko, e ka lāʻau maʻi ʻaʻai. ʻO ka transplant cell Stem kahi lapaʻau e pani i nā hunaola koko. 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 i ka mea hoʻomanawanui, hoʻoheheʻe ʻia nā pūnaewele 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.

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

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.

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 nā kinikini Monoclonal, nā tyrosine kinase inhibitors, a me nā immunotoxins ʻekolu mau ʻano o ke ʻano hoʻomōhala ʻia e hoʻohana ʻia a hoʻopaʻa ʻia ai i ka mālama ʻana i ka lymphoma non Hodgkin.

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. Hāʻawi ʻia nā antibodies Monoclonal e ka hoʻokomo. Hoʻohana wale ʻia lākou a i ʻole lawe i nā lāʻau, toxins, a i ʻole radioactive pono i nā hunaola maʻi ʻaʻai.

• Hoʻohana ʻia ʻo Rituximab e mālama i nā ʻano o ke kamaliʻi non-Hodgkin lymphoma.

• Hoʻohana ʻia ʻo Pembrolizumab e mālama i ka mediastinal nui lymphoma B nui loa i pane ʻole i ka mālama ʻana a i ʻole hoʻi hou (hoʻi hou) ma hope o ka mālama ʻana me nā lāʻau ʻē aʻe. Ua aʻo nui ʻia ka mālama ʻana me pembrolizumab i ka poʻe mākua.

• ʻO Brentuximab vedotin kahi antibody monoclonal i hui pū ʻia me kahi lāʻau anticancer i hoʻohana ʻia e mālama ai i ka lymphoma nui anaplastic.

Hana ʻia kahi antibody monoclonal bispecific i ʻelua mau antibodies monoclonal ʻelua e nakinaki i nā mea ʻokoʻa ʻelua a pepehi i nā hunaola maʻi ʻaʻai. Hoʻohana ʻia ʻo Bispecific monoclonal antibody therapy i ka mālama ʻana iā Burkitt a me Burkitt-like lymphoma / leukemia a me ka diffuse nui ʻana i ka lymphoma B-cell.

Hoʻopau nā mea kāohi ʻo Tyrosine kinase (TKI) i nā hōʻailona pono e ulu nā tumors. Mālama pū kekahi ʻo TKI i nā tumors mai ka ulu ʻana ma ka pale ʻana i ka ulu ʻana o nā kīʻaha koko hou i nā tumors. Ke aʻo ʻia nei nā ʻano kūpina kinase ʻē aʻe, e like me crizotinib, no ka limahopa non-Hodgkin.

Hiki i nā Immunotoxins ke hoʻopaʻa i nā hunaola maʻi ʻino a make iā lākou. ʻO Denileukin diftitox kahi immunotoxin i hoʻohana ʻia e mālama ai i ka lymphoma T-cell cutaneous.

Ke aʻo ʻia nei ka lāʻau i hoʻomākaukau ʻia no ka mālama ʻana i ka lymphoma non-Hodgkin o ke kamaliʻi i hoʻi hou (hoʻi mai).

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

Laau lāʻau ʻē aʻe

ʻO Retinoids nā lāʻau e pili ana i ka wikamina A. Hoʻohana ʻia ʻo Retinoid therapy me ka bexarotene e mālama i nā ʻano he nui o ka lymphoma T-cell cutaneous.

ʻO nā steroid he mau hormones i hana kūlohelohe i ke kino. Hiki iā lākou ke hana i ka hale hana a hoʻohana ʻia e like me nā lāʻau. Hoʻohana ʻia ʻo Steroid therapy e mālama i ka lymphoma T-cell cutaneous.

Phototherapy

ʻO Phototherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i ka lāʻau lapaʻau a me kekahi ʻano o ke kukui laser e pepehi i nā hunaola maʻi ʻaʻai. ʻO kahi lāʻau e hana ʻole a hiki i ka wā e hōʻike ʻia i ka mālamu e hoʻopili ʻia i loko o kahi aa koko. Hōʻiliʻili ka lāʻau i nā mea maʻi ʻaʻai ma mua o nā hunaola maʻamau. No ka maʻi ʻaʻai ʻili i loko o ka ʻili, hoʻomālamalama ka kukuna kukui i ka ʻili a lilo ka lāʻau i mea hana a make i nā hunaola maʻi ʻaʻai. Hoʻohana ʻia ka Phototherapy i ka mālama ʻana i ka lymphoma T-cell cutaneous.

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.

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 ka Epstein-Barr virus (EBV) -kea kikoʻī cytotoxic T-lymphocytes kahi ʻano o ke keʻena pale pale i hiki ke pepehi i kekahi mau hunaola, e like me nā hunaola ʻē aʻe, nā hunaola maʻi ʻino, a me nā hunaola i loaʻa i ka EBV. Hiki ke hoʻokaʻawale ʻia ʻo Cytotoxic T-lymphocytes mai nā hunaola koko ʻē aʻe, ulu ʻia i loko o ke keʻena hoʻokolohua, a laila hāʻawi ʻia i ka mea maʻi e pepehi i nā hunaola maʻi ʻaʻai. Ke aʻo ʻia nei ʻo EBV kikoʻī cytotoxic T-lymphocytes e mālama ai i ka maʻi lymphoproliferative post-transplant.

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 ke ʻano o kāu keiki a i ʻole ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā ​​loiloi.

Nā koho lapaʻau no ka Childhood Non-Hodgkin Lymphoma

Ma keia Pauku

• ʻO Burkitt a me Burkitt-like lymphoma / leukemia

• Nā koho lapaʻau no Burkitt a me Burkitt e like me lymphoma / leukemia

• Nā koho lapaʻau no Burkitt hou a me Burkitt-like lymphoma / leukemia

• Hoʻololi i ka lymphoma B-cell nui

• Hoʻoholo nā koho no ka mea i ʻike hou ʻia e hoʻolaha i ka lymphoma B-cell nui

• Nā koho lapaʻau no ka hoʻolaha pinepine ʻana i ka lymphoma B-cell nui

• ʻO ka Lymphoma B-cell Mediastinal mua

• Nā koho lapaʻau no ka lymphoma B-cell mediastinal mua i hōʻike mua ʻia

• Nā koho lapaʻau no ka lymphoma B-cell mediastinal mua hou

• Lymphoblastic Lymphoma

• Nā koho lapaʻau no ka lymphoblastic lymphoma hou i ʻike ʻia

• Nā koho lapaʻau no ka lymphoblastic lymphoma hou

• ʻO ka Lymphoma Anaplastic nui nui

• Nā koho lapaʻau no ka mea i loiloi hou ʻia ka anaplastic cell lymphoma hou

• Nā koho lapaʻau no ka lymphoma anaplastic nui nui hou

• ʻO ka maʻi Lymphoproliferative i hui pū ʻia me Immunodeficiency i nā keiki

• Nā koho lapaʻau no ka maʻi lymphoproliferative e pili ana i ka maʻi pale maʻi mua

• Nā koho lapaʻau no ka lymphoma non-Hodgkin e pili ana me nā syndrome kīnā o DNA

• Nā koho lapaʻau no ka lymphoma non-Hodgkin e pili ana i ka maʻi HIV

• Nā koho lapaʻau no ka maʻi lymphoproliferative post-transplant

• NHL kakaʻikahi e hana nei i nā keiki

• Nā koho lapaʻau no ka lymphoma follicular-type pediatric

• Nā koho lapaʻau no ka lymphoma palena liʻiliʻi

• Nā koho lapaʻau no ka lymphoma CNS mua

• Nā koho lapaʻau no ka lymphoma T-cell peripheral

• Nā koho lapaʻau no ka lymphoma T-cell cutaneous

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

ʻO Burkitt a me Burkitt-like lymphoma / leukemia

Nā koho lapaʻau no Burkitt a me Burkitt e like me lymphoma / leukemia

ʻO nā koho lapaʻau no Burkitt a me Burkitt e like me lymphoma / leukemia e hoʻopili ʻia:

• ʻO ke kaha e wehe i ka nui o ka tumo i hiki, a ukali ʻia e ka chemotherapy hui pū.

• ʻO ka chemotherapy hui pū me a i ʻole me ka ʻole o ka lāʻau hoʻomoe (rituximab).

Nā koho lapaʻau no Burkitt hou a me Burkitt-like lymphoma / leukemia

Nā koho lapaʻau no Burkitt hou a me Burkitt e like me non-Hodgkin lymphoma / leukemia e komo pū paha:

• ʻO ka chemotherapy hui pū me a i ʻole me ka ʻole o ka lāʻau hoʻomoe (rituximab).

• ʻO ka chemotherapy kiʻekiʻe loa me nā transplant cell stem me nā huna ponoʻī o ka mea maʻi a i ʻole nā ​​pūnaewele mai kahi mea hāʻawi.

• Hoʻopaʻa kaulike ʻia me kahi antibody bispecific.

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

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.

Hoʻololi i ka lymphoma B-cell nui

Hoʻoholo nā koho no ka mea i ʻike hou ʻia e hoʻolaha i ka lymphoma B-cell nui

ʻO nā koho lapaʻau no ka diagnose hou diffuse nui B-cell lymphoma hiki ke hoʻopili ʻia:

• ʻO ke kaha e wehe i ka nui o ka tumo i hiki, a ukali ʻia e ka chemotherapy hui pū.

• ʻO ka chemotherapy hui pū me a i ʻole me ka ʻole o ka lāʻau hoʻomoe (rituximab).

Nā koho lapaʻau no ka hoʻolaha pinepine ʻana i ka lymphoma B-cell nui

Nā koho lapaʻau no ka diffuse nui ʻana o ka lymphoma B-cell nui e komo pū paha:

• ʻO ka chemotherapy hui pū me a i ʻole me ka ʻole o ka lāʻau hoʻomoe (rituximab).

• ʻO ka chemotherapy kiʻekiʻe loa me nā transplant cell stem me nā huna ponoʻī o ka mea maʻi a i ʻole nā ​​pūnaewele mai kahi mea hāʻawi.

• Hoʻopaʻa kaulike ʻia me kahi antibody bispecific.

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

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.

ʻO ka Lymphoma B-cell Mediastinal mua

Nā koho lapaʻau no ka lymphoma B-cell mediastinal mua i hōʻike mua ʻia

Nā koho lapaʻau no ka mea i ʻike hou ʻia i ka lystoma B-cell mediastinal mua:

• Hoʻohui chemotherapy a me ka hoʻomohala hoʻomohala (rituximab).

Nā koho lapaʻau no ka lymphoma B-cell mediastinal mua hou

Nā koho e mālama ai no ka lymphoma B-cell mediastinal mua hou e komo pū paha:

• Hoʻopaʻa kaulike ʻia (pembrolizumab).

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

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.

Lymphoblastic Lymphoma

Nā koho lapaʻau no ka lymphoblastic lymphoma hou i ʻike ʻia

Hiki ke hoʻohālikelike ʻia ka lymphoblastic lymphoma e like me ka maʻi like me ka leukemia lymphoblastic huehue (ALL). Nā koho lapaʻau no ka lymphoblastic lymphoma e hoʻopili pū ʻia:

• Hoʻohui chemotherapy. Hiki ke hāʻawi ʻia ʻo CNS prophylaxis me ka radiation radiation inā ua pāhola ka maʻi ʻaʻai i ka lolo a i ʻole ka iwi kuamoo.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy me nā regimens ʻokoʻa no CNS prophylaxis.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy hui pū me a i ʻole me ka ʻole o ka lāʻau hoʻomoe (bortezomib)

Nā koho lapaʻau no ka lymphoblastic lymphoma hou

Nā koho lapaʻau no ka lymphoblastic lymphoma hou e komo pū paha:

• ʻO Chemotherapy.

• ʻO ka chemotherapy kiʻekiʻe me ka transplant cell stem me nā hunaola mai kahi mea hāʻawi.

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

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.

ʻO ka Lymphoma Anaplastic nui nui

Nā koho lapaʻau no ka mea i loiloi hou ʻia ka anaplastic cell lymphoma hou

Nā koho lapaʻau no ka lymphoma nui nui anaplastic hiki ke hoʻopili ʻia:

• ʻO ke ʻoki lāʻau i ukali ʻia e ka chemotherapy hui pū.

• Hoʻohui chemotherapy.

• ʻO Intrathecal a me chemotherapy ʻōnaehana, no nā mea maʻi me ka maʻi ʻaʻai i ka lolo a i ʻole ka iwi kuamoo.

• ʻO kahi hoʻokolohua hoʻokolohua o ka therapy i hoʻomāka ʻia (crizotinib a i ʻole brentuximab) a me ka chemotherapy hoʻohui.

Nā koho lapaʻau no ka lymphoma anaplastic nui nui hou

Nā koho lapaʻau no ka lymphoma anaplastic nui hou e komo pū paha:

• ʻO Chemotherapy, brentuximab, a me / a i ʻole crizotinib.

• Hoʻopiʻi ke koʻokoʻo paʻa me nā huna ponoʻī o ka mea maʻi a i ʻole nā ​​pūnaewele mai kahi mea hāʻawi.

• ʻO ka radiation radiation a chemotherapy kiʻekiʻe loa no nā mea maʻi nāna e holo ka maʻi i ke kikowaena pūnaewele.

• ʻO kahi hoʻokolohua hoʻokolohua o ka therapy i hoʻomāka ʻia (crizotinib a i ʻole brentuximab) a me ka chemotherapy hoʻohui.

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

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.

ʻO ka maʻi Lymphoproliferative i hui pū ʻia me Immunodeficiency i nā keiki

Nā koho lapaʻau no ka maʻi lymphoproliferative e pili ana i ka maʻi pale maʻi mua

Nā koho lapaʻau ʻana no ka maʻi lymphoproliferative i nā keiki a me nā ʻōpio me nā ʻōnaehana pale nawaliwali e hoʻopili pū paha:

• Chemotherapy me ka ʻole o rituximab.

• ʻO ke kuʻi ʻana o ka pūnana paʻa me nā hunaola mai kahi mea hāʻawi.

Nā koho lapaʻau no ka lymphoma non-Hodgkin e pili ana me nā syndrome kīnā o DNA

Nā koho lapaʻau no ka lymphoma non-Hodgkin e pili pū ana me nā syndrome kīnā o DNA i nā keiki.

• ʻO Chemotherapy.

Nā koho lapaʻau no ka lymphoma non-Hodgkin e pili ana i ka maʻi HIV

ʻO ka mālama ʻana me ka antiretroviral therapy a i ʻole HAART (kahi hui pū ʻia o nā lāʻau antiretroviral) hoʻoliʻiliʻi ka pilikia o ka non-Hodgkin lymphoma i nā mea maʻi i loaʻa i ka maʻi pale maʻi (HIV).

Nā koho e mālama ai no ka lymphoma non-Hodgkin (NHL) pili i ka maʻi HIV i nā keiki e hoʻopili pū paha:

• Chemotherapy me ka ʻole o rituximab.

No ka mālama ʻana i ka maʻi hou, hilinaʻi nā koho lapaʻau i ke ʻano o ka non-Hodgkin lymphoma.

Nā koho lapaʻau no ka maʻi lymphoproliferative post-transplant

Nā koho lapaʻau no ka maʻi lymphoproliferative post-transplant i loko o:

• ʻOki kino e wehe i ka hikoko. Inā hiki, hāʻawi ʻia nā lāʻau ma lalo o nā lāʻau immunosuppressive ma hope o kahi cell stem a i ʻole transplant organ.

• Hoʻopaʻa kaulike (rituximab).

• ʻO Chemotherapy me a i ʻole me ka ʻole o ka lāʻau hoʻomākaukau ʻia (rituximab)

• Ke aʻo ʻia nei kahi lāʻau o ka immunotherapy me ka hoʻohana ʻana i nā lymphocytes donor a i ʻole nā ​​pūnaewele T ponoʻī o ka mea maʻi e hoʻopaʻa ʻia i ka maʻi Epstein-Barr. Loaʻa kēia lapaʻau ma kekahi mau kikowaena ma ʻAmelika Hui Pū ʻIa.

NHL kakaʻikahi e hana nei i nā keiki

Nā koho lapaʻau no ka lymphoma follicular-type pediatric

ʻO nā koho lapaʻau no ka lymphoma follicular i nā keiki e hoʻopili pū paha:

• ʻOki kino.

• Hoʻohui chemotherapy me a i ʻole rituximab.

No nā keiki nona ka maʻi ʻaʻai i kekahi mau loli i nā genes, like ka mālama ʻana me ka mea i hāʻawi ʻia i nā mākua me ka lymphoma follicular. E ʻike i ka ʻāpana Follicular Lymphoma i ka hōʻuluʻulu ma luna o nā mākua Non-Hodgkin Lymphoma no ka ʻike.

Nā koho lapaʻau no ka lymphoma palena liʻiliʻi

Nā koho lapaʻau no ka lymphoma palena liʻiliʻi (e like me ka lymphoid pili pili mucosa (MALT) lymphoma) i nā keiki e hoʻopili pū ʻia:

• ʻOki kino.

• Lapaʻau hoʻomākala.

• ʻO Rituximab me ka ʻole o ka chemotherapy.

• ʻO Antibiotic therapy, no ka MALT lymphoma.

Nā koho lapaʻau no ka lymphoma CNS mua

Nā koho lapaʻau no ka CNS lymphoma mua i nā keiki e hoʻopili pū paha:

• ʻO Chemotherapy.

Nā koho lapaʻau no ka lymphoma T-cell peripheral

Nā koho lapaʻau no ka lymphoma T-cell peripheral i loko o nā keiki e komo pū paha:

• ʻO Chemotherapy.

• Lapaʻau hoʻomākala.

• Hoʻopiʻi ke koʻokoʻo paʻa me nā huna ponoʻī o ka mea maʻi a i ʻole nā ​​pūnaewele mai kahi mea hāʻawi.

Nā koho lapaʻau no ka lymphoma T-cell cutaneous

Nā koho lapaʻau ʻana no ka subnutanitis pannikulitis-e like me ka limahana limahana T-cell i loko o nā keiki e hoʻopili pū ʻia:

• Ke kali kiaʻi nei.

• ʻO nā steroid ʻoi loa.

• Hoʻolālā pahuhopu (denileukin diftitox).

• Hoʻohui chemotherapy.

• Hoʻomaʻo Retinoid.

• Ke kuʻi ʻōnaʻi ʻōnaeho.

Nā koho lapaʻau no ka cutaneus anaplastic nui pūnaewele lymphoma e komo pū:

• ʻOki kino, radiation radiation, a i ʻole ʻelua paha.

I nā keiki, hiki i nā koho lapaʻau no ka mycosis fungoides ke komo pū:

• Pili nā steroid i ka ʻili.

• Hoʻomaʻo Retinoid.

• Lapaʻau hoʻomākala.

• Phototherapy (hoʻomālamalama māmā e hoʻohana ana i ka radiation ultraviolet B).

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

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

• Computers Tomography (CT) Scans a me ka maʻi ʻaʻai

• Ua ʻae ʻia nā lāʻau no Non-Hodgkin Lymphoma

• ʻO nā Transplant Cell-Blood Stem

• ʻO nā Therapy Cancer i kau ʻia

No ka ʻike hou aku i ka maʻi ʻaʻai kamaliʻi a me nā kumuwaiwai maʻi ʻaʻai ʻē aʻe, e ʻike i ka mea aʻe:

• E pili ana i ka maʻi ʻaʻai

• Nā maʻi ʻōpio

• Huli ʻo Cure no ka hōʻole ʻana i nā maʻi ʻaʻai keiki

• Nā hopena hope loa o ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi

• ʻO nā ʻōpio a me nā ʻōpio me ka maʻi ʻaʻai

• Nā keiki me ka maʻi ʻaʻai: He alakaʻi no nā mākua

• Ka maʻi ʻaʻai ma nā keiki a me nā ʻōpio

• Ke hoʻokū nei

• 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