Hodgkin lymphoma mwa ana

Hodgkin lymphoma ndi khansa yamagulu am'mimba. Minofu ya mitsempha imapezeka m'mimba, ndulu, matumbo, chiwindi, mafupa, ndi ziwalo zina za chitetezo cha mthupi. Chitetezo cha mthupi chimatiteteza kumatenda ndi matenda.

Nkhaniyi ikufotokoza za Hodgkin lymphoma wakale mwa ana, omwe ndiofala kwambiri.

Kwa ana, Hodgkin lymphoma imatha kuchitika pakati pa zaka 15 mpaka 19. Zomwe zimayambitsa khansa yamtunduwu sizidziwika. Koma, zifukwa zina zitha kukhala ndi gawo la Hodgkin lymphoma mwa ana. Izi ndi monga:

• Vuto la Epstein-Barr, kachilombo kamene kamayambitsa mononucleosis
• Matenda ena omwe chitetezo cha mthupi sichigwira ntchito bwino
• Mbiri ya banja la Hodgkin lymphoma

Matenda ofala aubwana akadatchulanso ngozi.

Zizindikiro za Hodgkin lymphoma ndi izi:

• Kutupa kopanda tanthauzo kwa ma lymph nodes m'khosi, kukhwapa, kapena kubuula (zotupa zotupa)
• Malungo osadziwika
• Kuchepetsa thupi kosadziwika
• Kutuluka thukuta usiku
• Kutopa
• Kutaya njala
• Kuyabwa thupi lonse

Wothandizira zaumoyo atenga mbiri yazachipatala ya mwana wanu. Wothandizira adzayesa thupi kuti awone ngati pali ma lymph node otupa.

Wothandizirayo akhoza kuyesa mayeso a labu pamene matenda a Hodgkin akukayikira:

• Mayeso am'magazi am'magazi - kuphatikiza kuchuluka kwa protein, kuyesa kwa chiwindi, kuyesa kwa impso, ndi uric acid
• ESR ("Mtengo wokhazikika")
• Kuwerengera kwathunthu kwa magazi (CBC)
• X-ray pachifuwa, yomwe nthawi zambiri imawonetsa kuchuluka kwa misa mdera lamapapo

Chidziwitso cha lymph node chimatsimikizira kuti matenda a Hodgkin lymphoma.

Ngati biopsy ikuwonetsa kuti mwana wanu ali ndi lymphoma, mayesero ena adzachitidwa kuti mudziwe momwe khansara yafalikira. Izi zimatchedwa staging. Kuyika masitepe kumathandizira kuwongolera chithandizo chamtsogolo ndikutsatira.

• Kujambula kwa CT pakhosi, pachifuwa, pamimba, ndi m'chiuno
• Kutupa kwa mafupa
• Kujambula PET

Immunophenotyping ndi mayeso a labotale omwe amagwiritsidwa ntchito kuzindikira ma cell, kutengera mtundu wa ma antigen kapena zolembera zomwe zili pamwamba pa selo. Mayesowa amagwiritsidwa ntchito pozindikira mtundu wa lymphoma poyerekeza ma cell a khansa ndi maselo abwinobwino amthupi.

Mungasankhe kukafunsira kuchipatala cha ana cha khansa.

Chithandizo chimadalira gulu lomwe lili pachiwopsezo chomwe mwana wanu agwere. Zina zomwe zilingaliridwe ndi monga:

• Msinkhu wa mwana wanu
• Kugonana
• Zotsatira za mankhwalawa

Lymphoma ya mwana wanu idzakhala m'magulu oopsa, owopsa, kapena owopsa motengera:

• Mtundu wa Hodgkin lymphoma (pali mitundu yosiyanasiyana ya Hodgkin lymphoma)
• Gawo (pomwe matenda afalikira)
• Kaya chotupa chachikulu ndi chachikulu ndipo chimadziwika kuti "matenda ambiri"
• Ngati iyi ndi khansa yoyamba kapena yabwereranso (yabwerezedwanso)
• Kupezeka kwa malungo, kuonda, ndi thukuta usiku

Chemotherapy nthawi zambiri ndimankhwala oyamba.

• Mwana wanu angafunikire kukhala kuchipatala poyamba. Koma mankhwala a chemotherapy amaperekedwa kuchipatala, ndipo mwana wanu azikhala kunyumba.
• Chemotherapy imaperekedwa m'mitsempha (IV) ndipo nthawi zina ndi pakamwa.

Mwana wanu amathanso kulandira chithandizo chama radiation pogwiritsa ntchito ma x-ray amphamvu kwambiri kumadera okhudzidwa ndi khansa.

Mankhwala ena atha kukhala:

• Njira zochiritsira zomwe zimagwiritsa ntchito mankhwala kapena ma antibodies kupha ma cell a khansa
• Chemotherapy yamphamvu kwambiri imatha kutsatiridwa ndi kuphatika kwa ma cell am'madzi (pogwiritsa ntchito maselo amwana anu)
• Opaleshoni sagwiritsidwa ntchito kawirikawiri kuchotsa khansa yamtunduwu, koma itha kukhala yofunikira nthawi zina

Kukhala ndi mwana yemwe ali ndi khansa ndichimodzi mwazinthu zovuta kwambiri kuchita nazo monga kholo. Kufotokozera tanthauzo la kukhala ndi khansa kwa mwana wanu sikungakhale kophweka. Muyeneranso kuphunzira momwe mungapezere thandizo ndi chithandizo kuti muthe kupirira mosavuta.

Kukhala ndi mwana yemwe ali ndi khansa kumatha kukhala kopanikiza. Kuyanjana ndi gulu lothandizira pomwe makolo ena kapena mabanja amagawana zokumana nazo zofananira kungathandize kuchepetsa nkhawa.

• Khansa ya m'magazi ndi Lymphoma Society - www.lls.org
• Bungwe la National Children's Cancer Society - www.thenccs.org/how-we-help/

Hodgkin lymphoma imachiritsidwa nthawi zambiri. Ngakhale mtundu uwu wa khansa ubwereranso, mwayi wochiritsidwa ndi wabwino.

Mwana wanu amafunika kukhala ndi mayeso ndi kuyerekezera kwazaka zambiri pambuyo pa chithandizo. Izi zithandizira wothandizirayo kuwunika ngati ali ndi khansa yomwe ingabwerere komanso ngati angalandire chithandizo chamankhwala chotenga nthawi yayitali.

Mankhwala a Hodgkin lymphoma atha kukhala ndi zovuta. Zotsatira zoyipa za chemotherapy kapena radiation radiation zitha kuwoneka miyezi kapena zaka mutalandira chithandizo. Izi zimatchedwa "zotsatira zakuchedwa." Ndikofunika kulankhula za zotsatira zamankhwala ndi gulu lanu lazachipatala. Zomwe mungayembekezere potengera zovuta mochedwa zimadalira mankhwala omwe mwana wanu amalandila. Zovuta zakuchedwa ziyenera kukhala zowunika pakufunika kochiza khansa.

Pitirizani kutsatira dokotala wa mwana wanu kuti aziyang'anira ndikuthandizira kupewa izi.

Lumikizanani ndi omwe amakupatsani ngati mwana wanu watupa ma lymph node ndi malungo omwe amakhala kwa nthawi yayitali kapena ali ndi zizindikiro zina za Hodgkin lymphoma. Itanani yemwe amakupatsani mwana wanu ngati mwana wanu ali ndi Hodgkin lymphoma ndipo ali ndi zovuta zina kuchokera kuchipatala.

Lymphoma - Hodgkin - ana; Matenda a Hodgkin - ana; Khansa - Hodgkin lymphoma - ana; Ubwana Hodgkin lymphoma

Tsamba la American Society of Clinical Oncology (ASCO). Lymphoma - Hodgkin - ubwana. www.cancer.net/cancer-types/lymphoma-hodgkin-childhood. Idasinthidwa Disembala 2018. Idapezeka pa Okutobala 7, 2020.

Hochberg J, Goldman SC, Cairo MS. Lymphoma. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 523.

Tsamba la National Cancer Institute. Chithandizo cha ubwana Hodgkin lymphoma (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/lymphoma/hp/child-hodgkin-kuchiza-pdq. Idasinthidwa pa February 3, 2021. Idapezeka pa February 23, 2021.