00:00Thank you so much for joining us.
00:30and oncologist na magbabahagi
00:32ng mga lagang kalamahan hinggil sa lymphoma
00:34na isang uri ng blood cancer.
00:36Rise and shine, Dr. Desiree.
00:37This is Profi, together with Diane.
00:42Doktora, good morning po.
00:44Rise and shine, good morning po.
00:46Magandang umaga.
00:47Magandang umaga. Thank you for joining us, Doc.
00:49Alright, Doc, ano po ba ang lymphoma?
00:51Can you give us more details about this?
00:53At paano po ito naiiba sa ibang uri ng
00:55blood cancer, Doc?
01:00Okay, yung lymphoma po
01:02ay isang uri ng cancer
01:04or bukol na
01:06abnormal yung pagdami ng
01:08anyo ng cells
01:09na natawag natin
01:12na lymphocytes.
01:14Yung mga lymphocytes kasi nakikita natin
01:16sa kulani
01:17or sa lymph node,
01:19English.
01:20So, ito ay pwedeng kumalat
01:23sa utak
01:24or sa bone marrow.
01:26Ang nakakaiba
01:27doon sa mga
01:28blood cancers
01:29kagaya ng leukemia
01:31ay yung leukemia
01:32sa dugulang natin
01:33nakikita.
01:35Minsan,
01:36lumalaki yung kulani
01:37pero hindi ganun kalaki
01:38kagaya ng lymphoma.
01:41Alright, Doc,
01:42ano-ano po
01:43mga uri
01:44o mga pangulayang uri
01:45or types
01:46ng lymphoma?
01:46Okay,
01:54yung lymphoma,
01:55meron tayong dalawang klase.
01:57Merong non-Hodgkin's lymphoma
01:59at meron din yung
02:00Hodgkin's lymphoma.
02:02Yung Hodgkin's lymphoma
02:03naman,
02:04kahit anong
02:05iba-ibang klase
02:06ng subtype,
02:08pareho lang yung treatment.
02:11But yung non-Hodgkin's lymphoma,
02:13marami siyang subtypes.
02:15So, may B-cell,
02:17may Burkitt's,
02:18merong T-cell,
02:19iba-ibang klase
02:20ng non-Hodgkin's lymphoma,
02:21iba-iba din yung
02:22treatment protocol
02:23na ginagamit natin.
02:26Alright, Doc,
02:27ano naman po
02:28yung mga sintomas
02:29na dapat
02:29pagdating sa lymphoma, Doc?
02:40Doc?
02:42Nakon, medyo
02:42nagkakaroon lang tayo
02:43ng langit.
02:44Yung lymphoma,
02:45kasi kadalasan
02:46nakikita natin siya
02:47sa lymph node
02:48or kulane.
02:48So,
02:49makikita natin
02:50yung paglaki ng kulane
02:51kadalasan sa mukha,
02:54dito sa leeg,
02:56tapos sa chest,
02:57sa loob.
02:58So,
02:58pag sa chest kasi,
02:59medyo
03:00lalaki talaga yun.
03:01Yan,
03:02dyan sa leeg.
03:03tapos sa mga bata
03:08na sa mga bata
03:08kung saan merong kulane,
03:12pwede yun lumaki.
03:14Alright, Doc,
03:15tapos sa location.
03:20Okay.
03:20Depende sa location
03:22ang mga sintomas, Doc.
03:23Pero other signs
03:24na kailangan namin
03:24bantayan?
03:25Ano-ano po ito?
03:29Yung mga signs
03:30and symptoms
03:30na bantayan
03:31ay yung fever
03:32na hindi nawawala.
03:33So,
03:34pag merong lagnat
03:36na lumampas na tayo
03:37ng isang linggo,
03:38tapos hindi siya
03:39nawawala
03:39ng antibiotic
03:40o kahit na anong gamot,
03:42kailangan natin
03:42magpacheck.
03:44Tapos,
03:44pag meron tayong napansin
03:46na kulaning
03:47lumalaki sa leeg,
03:49pwedeng masakit,
03:50pwedeng hindi masakit,
03:52pero pag matigas siya,
03:54hindi yun magandang sign.
03:56Tapos,
03:57pag yung kulaning naman
03:58nandito sa chest,
04:00yung mga sintomas niyan
04:01ay yung
04:02mahirapan sila
04:03na lumunok,
04:05mahihirapan sila
04:06na magsalita,
04:07parang
04:08yung boses
04:09ay
04:10parang
04:11horse.
04:13Tapos,
04:14pag yung kulaning naman,
04:15yung lymphoma
04:16nasa chan,
04:17syempre,
04:19malapit siya sa bituka,
04:20meron tayong mga
04:21signs ng obstruction,
04:22nagsusuka yung
04:23pasyente,
04:24hindi siya
04:24nakakapag-dumin
04:26ng ganun kadalas,
04:28ng normal.
04:29Alright,
04:30Doc,
04:30paano po
04:31nadadiagnose ang lymphoma?
04:32Ano po yung mga
04:33tests na dapat
04:35pong isa-ilalim
04:36ng isang individual?
04:36Ang pinaka-importante
04:40sa pag-diagnose
04:41ng lymphoma
04:42ay kailangan
04:43po natin
04:44na gumawa
04:44ng mga
04:45imaging.
04:46So,
04:47kung kunyari,
04:48depende kung saan
04:49yung sintomas,
04:50nasa chest ba
04:51o yung nasa chan
04:52o dito sa leeg,
04:54so kailangan
04:55natin ng imaging
04:56yung CT scan
04:57or MRI.
04:59Tapos,
05:00kasama po
05:00sa staging
05:01ng lymphoma
05:02ay kailangan po
05:03natin gawin
05:04yung bone marrow
05:05aspiration
05:06kasi yung lymphoma
05:08pwede po siyang
05:08kumalat sa dugo,
05:10sa bone marrow.
05:11And then,
05:12kailangan din natin
05:13mag-check sa utak.
05:15So,
05:15kailangan tayo
05:16ng kumuha
05:17ng spine
05:18para ma-check
05:19pag na kumalat
05:20din yung lymphoma.
05:21And then,
05:22yung pinaka-importante
05:24ang pag-diagnose
05:25ng lymphoma
05:26ay syempre
05:26kailangan natin
05:27ng biopsy
05:28kasi kailangan din
05:30natin malaman
05:30kung anong
05:31klaseng lymphoma
05:32siya.
05:33Kasi nagde-depende
05:34sa klase
05:35yung treatment.
05:36Alright.
05:37Doc,
05:37posible po ba
05:38bumalik
05:38ang lymphoma
05:39kahit gumaling
05:39na yung pasyente?
05:43Posible
05:44talaga siya
05:45bumalik
05:45kasi yung
05:46unique feature
05:48na hindi maganda
05:49for cancers
05:50ay ito
05:51ay nag-mutate.
05:52So,
05:53kahit matapos na tayo
05:54ng treatment
05:55around 6 to 9 months,
05:58kailangan pa din tayo
05:59ng merong
05:59post-treatment surveillance.
06:01So,
06:01kailangan may monitoring
06:02after treatment
06:03para ma-check
06:05kung bumalik
06:06ba yung cancer.
06:08Well,
06:08panghuli na lamang po
06:09ngayong
06:09Blood Cancer
06:10Awareness Month.
06:11Doc,
06:11ano yung mga
06:12importanteng
06:13malaman
06:14ng ating
06:14mga kababayan
06:15patungkol pa
06:16dito
06:16sa blood
06:17cancer na ito?
06:21Thank you po
06:22sa pag-celebrate
06:23kasama sa amin.
06:24Yung September
06:25po kasi
06:25ay Childhood
06:26Cancer Awareness
06:28Month.
06:29So,
06:29sa mga bata
06:30lang po
06:31yung sa September
06:32kaya
06:32kadalasan yung
06:33mga sinasabi ko
06:34ay sa mga bata
06:35lang din.
06:36Meron po kami
06:37maraming programs
06:38to drive
06:39awareness
06:40para sa
06:41publiko
06:42kung paano
06:43natin
06:43malaman
06:45kung kailangan
06:46talaga natin
06:47na magpacheck.
06:48Kasi
06:48pag kahit
06:49na anong
06:49klaseng
06:49cancer,
06:51the earlier
06:51po tayo
06:52magpacheck up,
06:53the better
06:54kasi
06:54mas lower
06:55pa po yung
06:56stage,
06:56then mas shorter
06:57po yung
06:58treatment.
06:58Mas malaki
07:01yung chances
07:01for cure.
07:03On that note,
07:03maraming salamat po
07:04sa pagbabahagi
07:05ng inyong oras,
07:06Dr. Desiree D.
07:08Holaysan.
07:08Thank you so much.
07:09Thanks, Doc.
07:11Thank you po.
