Chithandizo cha khansa yaubwana - zoopsa zazitali

Mankhwala amasiku ano a khansa amathandiza kuchiritsa ana ambiri omwe ali ndi khansa. Mankhwalawa atha kubweretsanso mavuto azaumoyo mtsogolo. Izi zimatchedwa "zotsatira zakuchedwa."

Zotsatira zake ndizotsatira zoyipa zomwe zimawonekera miyezi ingapo kapena zaka chithandizo cha khansa. Zotsatira zakuchedwa zimakhudza gawo limodzi kapena angapo amthupi. Zotsatira zitha kukhala zofatsa mpaka zovuta.

Kaya mwana wanu azikhala ndi zovuta mochedwa zimadalira mtundu wa khansa komanso chithandizo chomwe mwana wanu ali nacho. Kudziwa za chiopsezo cha mwana wanu pamavuto azaumoyo kwakanthawi kungakuthandizeni kutsata omwe akupereka chithandizo chamankhwala ndikuzindikira mavuto aliwonse mwachangu.

Mankhwala ena a khansa amawononga maselo athanzi. Zowonongeka sizimawoneka panthawi ya chithandizo, koma thupi la mwana likamakula, kusintha kwa kukula kwa maselo kapena ntchito kumawonekera.

Mankhwala omwe amagwiritsidwa ntchito pochita chemotherapy komanso cheza champhamvu kwambiri chomwe chimagwiritsidwa ntchito pochiza ma radiation chitha kuvulaza maselo athanzi. Kuwonongeka kumeneku kumatha kusintha kapena kuchedwetsa momwe maselo amakulira. Thandizo la radiation limakhudza kwambiri kukula kwakanthawi kuposa chemotherapy.

Kuchita opaleshoni ya khansa kumatha, kumatha kusintha kusintha kapena kugwira ntchito kwa chiwalo.

Gulu la chisamaliro cha mwana wanu lidzabwera ndi njira yothandizira kupewa kupewa maselo athanzi momwe angathere.

Mwana aliyense ndi wapadera. Kuopsa kochedwa kuchepa kumadalira pazinthu zambiri monga:

• Thanzi lonse la mwana khansa isanachitike
• Zaka za mwana pa nthawi ya chithandizo
• Mlingo wa mankhwala a radiation ndi ziwalo ziti za thupi zomwe zidalandira radiation
• Chemotherapy mtundu ndi kuchuluka kwathunthu
• Mankhwalawa amafunika nthawi yayitali bwanji
• Mtundu wa khansa yothandizidwa komanso gawo la thupi lomwe likukhudzidwa
• Chibadwa cha mwana (ana ena amakhala ovuta kulandira chithandizo)

Pali mitundu yambiri yazotsatira zomwe zimatha kuchitika kutengera komwe khansara inali komanso mitundu yanji yothandizidwa. Zotsatira zakuchedwa nthawi zambiri zimanenedweratu potengera mankhwala omwe mwana amapereka. Zotsatira zake zambiri zitha kuyendetsedwa. Zotsatirazi ndi zitsanzo za zotsatira zina mochedwa zochokera ku ziwalo za thupi zomwe zakhudzidwa. Dziwani kuti ili ndi mndandanda wathunthu ndipo sizomwe zotsatira zake zingagwire ntchito kwa mwana kutengera mankhwala.

Ubongo:

• Kuphunzira
• Kukumbukira
• Chisamaliro
• Chilankhulo
• Khalidwe ndi mavuto am'maganizo
• Kugwidwa, kupweteka mutu

Makutu:

• Kutaya kwakumva
• Kulira m'makutu
• Chizungulire

Maso:

• Mavuto masomphenya
• Maso owuma kapena amadzi
• Kumvetsetsa kuunika
• Kukwiya
• Kutulutsa chikope
• Zotupa za chikope

Mapapo:

• Matenda
• Kupuma pang'ono
• Chifuwa chosalekeza
• Kuvuta kupuma
• Khansa ya m'mapapo

Pakamwa:

• Mano ang'ono kapena akusowa
• Chiopsezo cha zotsekemera
• Mano omverera
• Kuchedwa mano chitukuko
• Matenda a chingamu
• Pakamwa pouma

Zotsatira zina zakanthawi zingaphatikizepo:

• Minofu kapena fupa zimatha kukhudzidwa mdera lililonse la thupi pomwe amafunikira chithandizo. Zingakhudze momwe mwana amayendera kapena kuthamanga kapena kupweteketsa mafupa kapena minofu, kufooka, kapena kuuma.
• Matumbo ndi ziwalo zomwe zimapanga mahomoni amatha kulandira chithandizo. Izi zimaphatikizapo chithokomiro m'khosi ndi pituitary England. Izi zitha kukhala ndi gawo pakukula kwamtsogolo, kuchepa kwa thupi, kutha msinkhu, chonde, ndi ntchito zina.
• Nyimbo kapena mtima wa mtima ungakhudzidwe ndi mankhwala ena.
• Kuwonjezeka pang'ono pangozi yotenga khansa ina mtsogolo.

Zotsatira zambiri pamwambapa ndi zathupi. Pakhoza kukhala zovuta zakanthawi. Kulimbana ndi mavuto azaumoyo, kupita kuchipatala kwina, kapena nkhawa zomwe zimabwera ndi khansa zitha kukhala zovuta pamoyo wanu wonse.

Zotsatira zakuchedwa zambiri sizingapewe, koma zina zimatha kuyang'aniridwa kapena kuthandizidwa.

Pali zinthu zina zomwe mwana wanu angachite kuti athandize kupewa mavuto ena azaumoyo ndikupeza zovuta msanga monga:

• Idyani zakudya zabwino
• Osasuta
• Chitani masewera olimbitsa thupi nthawi zonse
• Pitirizani kulemera bwino
• Onetsetsani nthawi zonse ndi kuyesa, kuphatikiza mtima ndi mapapo

Kuyang'ana zotsatira zakuchedwa kudzakhala gawo lofunikira pakusamalira mwana wanu kwazaka zambiri. Gulu la Ana Oncology (COG) limapanga malangizo pakutsata kwanthawi yayitali kwa ana ndi achinyamata omwe akhala ndi khansa. Funsani wothandizira mwana wanu za malangizo. Tsatirani izi:

• Pangani maimidwe anu nthawi zonse kukayezetsa thupi ndi mayeso.
• Sungani zambiri mwatsatanetsatane zamankhwala amwana wanu.
• Pezani makalata onse azachipatala.
• Sungani mndandanda wamakalata okhudzana ndi thanzi la mwana wanu.
• Funsani wothandizira mwana wanu zomwe mwana wanu angafune kuyang'ana mochedwa malinga ndi mankhwala.
• Gawani zambiri za khansara ndi omwe adzakuthandizeni m'tsogolo.

Kutsatila pafupipafupi komanso chisamaliro chimapatsa mwana wanu mwayi wabwino wochira komanso kukhala ndi thanzi labwino.

Khansa yaubwana - zotsatira mochedwa

Tsamba la American Cancer Society. Zotsatira zakumwa kwa khansa yaubwana. www.cancer.org/treatment/childrenandcancer/whenyourchildhascancer/children-diagnosed-with-cancer-late-effects-of-cancer-treatment. Idasinthidwa pa Seputembara 18, 2017. Idapezeka pa Okutobala 7, 2020.

Tsamba la National Cancer Institute. Ana omwe ali ndi khansa: Upangiri wa makolo. www.cancer.gov/publications/patient-education/ ana-an-cancer.pdf. Idasinthidwa mu Seputembara 2015. Idapezeka pa Okutobala 7, 2020.

Tsamba la National Cancer Institute. Zotsatira zakumwa kwa khansa yaubwana (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/childhood-cancers/late-effects-hp-pdq#section/all. Idasinthidwa pa Ogasiti 11, 2020. Idapezeka pa Okutobala 7, 2020.

Vrooman L, Diller L, Kenney LB. Zowonjezera Kupulumuka kwa khansa yaubwana. Mu: Orkin SH, Fisher DE, Ginsburg D, Yang'anani AT, Lux SE, Nathan DG, eds. Nathan ndi Oski a Hematology ndi Oncology of Infancy and Childhood. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 72.

• Khansa Mwa Ana