La leukemia 'o ia ka ma'i 'a'ai o nā 'i'o ke kuleana no ka ho'okumu 'ana i ke koko, 'o ia ho'i nā keena koko 'ole i loa'a i loko o ka ka iwi o ka iwi (= mea palupalu, spongy aia i waenakonu o ka hapa nui o nā iwi).

Hoʻomaka maʻamau ka maʻi me kahi mea ʻino i ka hoʻokumu ʻana o nā ʻili koko i loko o ka iwi iwi. ʻO nā pūnaewele maʻamau (a i ʻole maʻi leukemia) hoʻonui a hoʻonui i nā pūnaewele maʻamau, e pale ana i kā lākou hana pono.

Nā ʻano o ka leukemia

Nui nā ʻano leukemia. Hiki ke hoʻokaʻawale ʻia lākou e like me ka wikiwiki o ka holomua o ka maʻi (acute a maʻi paha) a e like me ka nā pūmei pū mai ka iwi iwi kahi i ulu ai (myeloid a lymphoblastic paha). ʻO ka maʻi maʻi leukemia e pili ana i nā maʻi maʻi maʻi o nā keʻokeʻo keʻokeʻo (lymphocytes a me granulocytes, nā sela kuleana no ka pale ʻana), ʻoiai hiki i kekahi mau maʻi maʻi kakaʻikahi ke hoʻopilikia i nā keʻena koko ʻulaʻula a me nā platelets.

Huʻi leukemia:

ʻAʻole i oʻo ʻole ke koko koko ʻokoʻa (= blasts). ʻAʻole lākou e hoʻokō i kā lākou hana maʻamau a hoʻonui wikiwiki i ka holomua o ka maʻi. Pono e hoʻopaʻapaʻa a hoʻohana ʻia i ka wā hiki.

Leukemia lōʻihi:

ʻOi aku ka makua o nā pūnaewele pili. Hoʻonui mālie lākou a hoʻomau i ka hana no kekahi manawa. Hiki ke ʻike ʻole ʻia kekahi mau ʻano leukemia no kekahi mau makahiki.

Leukemia myeloid

Pili ia nā granulosit a me nā puʻu koko i loaʻa i loko o ka iwi iwi. Hana lākou i nā keʻokeʻo keʻokeʻo maʻamau (myeloblasts). ʻElua ʻano o leukemia myeloid :

• Leukemia myeloid huehue (AML)

Hoʻomaka koke kēia ʻano leukemia, pinepine i nā lā a i ʻole nā ​​pule.

ʻO ka AML ke ʻano maʻamau o ka maʻi maʻi leukemia i nā ʻōpio a me nā ʻōpio.

Hiki ke hoʻomaka ka AML i kēlā me kēia makahiki, akā ʻoi aku ka nui o ka ulu ʻana i nā pākeke ma 60 mau makahiki a ʻoi aku.

• Leukemia leukemia myelogenous (CML)

La ka maʻi leukemia maʻamau i kāhea ʻia leukemia myelocytic mau loa ou leukemia granular mau loa. Ke ulu mālie nei kēia ʻano leukemia, i nā mahina a i ʻole nā ​​makahiki. Hōʻike ʻia nā hōʻailona o ka maʻi i ka piʻi ʻana o ka nui o nā maʻi leukemia i loko o ke koko a i ʻole ka iwi iwi.

ʻO ia ke ʻano maʻamau o ka maʻi leukemia maʻamau i nā pākeke ma waena o nā makahiki 25 a me 60. I kekahi manawa ʻaʻole ia e koi i ka mālama ʻana no kekahi mau makahiki.

Leukemia Lymphoblastic

Hoʻopili ka maʻi maʻi lymphoblastic i nā lymphocytes a hana i nā lymphoblasts. ʻElua ʻano o ka maʻi leukemia lymphoblastic:

• ʻO ka leukemia lymphoblastic ākea (ALL)

Hoʻomaka koke kēia ʻano maʻi leukemia a piʻi wikiwiki i nā lā a i ʻole nā ​​pule.

Ua kāheaʻia hoʻi leukemia lymphocytic huʻi ou leukemia lymphoid huʻi, ʻo ia ke ʻano maʻamau o ka maʻi leukemia i nā keiki liʻiliʻi. Nui nā ʻano subtype o kēia ʻano leukemia.

• Leukemia lymphoblastic mau loa (CLL)

Pili pinepine kēia ʻano leukemia i ka poʻe mākua, ʻoi aku ka nui ma waena o nā makahiki 60 a me 70. ʻAʻole loaʻa a liʻiliʻi paha nā hōʻailona o ka poʻe me ka maʻi no nā makahiki a laila loaʻa kahi manawa e ulu wikiwiki ai nā pūnaeau leukemia.

Nā kumu o ka leukemia

ʻAʻole maopopo ka kumu o ka maʻi leukemia. Ua ʻae ka poʻe ʻepekema ʻo ka maʻi ka hui pū ʻana o nā ʻano genetic a me nā mea kūlohelohe.

ʻO ke kuhikuhina

Ma Kanada, hoʻokahi i loko o 53 kāne a hoʻokahi i 72 wahine e loaʻa i ka maʻi leukemia i ko lākou ola ʻana. I ka makahiki 2013, ua manaʻo ʻia he 5800 Canadians e hoʻopilikia ʻia. (Ahui Kanaka Ma'i Kanaka)

Ma Palani, pili ka leukemia ma kahi o 20 mau kānaka i kēlā me kēia makahiki. ʻO ka maʻi maʻi leukemia ma kahi o 000% o nā maʻi maʻi maʻi kamaliʻi, 29% o ia mau maʻi leukemia lymphoblastic acute (ALL).

ʻIke ʻia o ka maʻi leukemia

Hōʻaʻo koko. ʻO ka hoʻāʻo ʻana i kahi laʻana koko hiki ke ʻike inā he ʻano ʻole ke kiʻekiʻe o ke koko keʻokeʻo a i ʻole nā ​​platelets, e hōʻike ana i ka maʻi leukemia.

Biopsy iwi ʻōiwi. Hiki i kahi laʻana o ka iwi iwi i wehe ʻia mai ka ʻūhā ke ʻike i kekahi mau ʻano o ka maʻi leukemia a laila hiki ke hoʻohana ʻia e hōʻike i nā koho no ka mālama ʻana i ka maʻi.