Hodgkin lymphoma muvana

Hodgkin lymphoma kenza yemakemikari tishu. Lymph tishu inowanikwa mune ma lymph node, spleen, tonsils, chiropa, mwongo wemabhonzo, uye dzimwe nhengo dzemuviri immune. Ma immune immune anotidzivirira kuzvirwere nezvirwere.

Ichi chinyorwa chiri nezvechinyakare Hodgkin lymphoma muvana, iyo yakajairika mhando.

Muvana, Hodgkin lymphoma inowanzoitika pakati pemakore gumi nemashanu kusvika pamakore gumi nemapfumbamwe. Chikonzero cherudzi urwu rwegomarara hachizivikanwe. Asi, zvimwe zvinhu zvinogona kutora chinzvimbo muHodgkin lymphoma muvana. Izvi zvinhu zvinosanganisira:

• Epstein-Barr hutachiona, hutachiona hunokonzera mononucleosis
• Zvimwe zvirwere uko immune system isingashande zvakanaka
• Nhoroondo yemhuri yeHodgkin lymphoma

Kazhinji hutachiona hwepakutanga hwevana hunogona kuwedzera njodzi.

Zviratidzo zveHodgkin lymphoma zvinosanganisira:

• Kusazvimba kusazvimba kwema lymph node mumutsipa, muhapwa, kana kugomera (kuzvimba gland)
• Fivha isingatsanangurike
• Kusanzwisisika kuonda
• Night sweats
• Kuneta
• Kupererwa nechido
• Kuchenesa muviri wese

Anopa hutano anotora nhoroondo yemwana wako yekurapa. Iye mupi achaita bvunzo dzepanyama kuti aone kuti yazvimba lymph node.

Iye mupi anogona kuita bvunzo idzi dzebhu apo chirwere cheHodgkin chiri kufungidzirwa:

• Ropa chemistry bvunzo - kusanganisira mapuroteni mazinga, chiropa mashandiro bvunzo, itsvo basa bvunzo, uye uric acid nhanho
• ESR ("Sed chiyero")
• Yakazara kuverenga ropa (CBC)
• Chest x-ray, iyo inowanzo kuratidza zviratidzo zvehukuru munzvimbo iri pakati pemapapu

Lymph node biopsy inosimbisa kuongororwa kweHodgkin lymphoma.

Kana bhiopsy inoratidza kuti mwana wako ane lymphoma, mimwe miedzo ichaitwa kuti uone kuti kenza yapararira zvakadii. Uku kunodaidzwa kunzi staging. Kugadzira matanho kunobatsira kutungamira kurapwa mune ramangwana nekutevera.

• CT scan yemutsipa, chipfuva, dumbu, uye pelvis
• Bone marora bhiopsy
• PET scan

Immunophenotyping bvunzo yeLabhoritari inoshandiswa kuzivisa maseru, zvichibva pamhando dzemaantigen kana mamaki ari pamusoro pechitokisi. Uyu muedzo unoshandiswa kuongorora iyo chaiyo mhando ye lymphoma nekufananidza maseru ekenza nemasero akajairwa e immune system.

Iwe unogona kusarudza kutsvaga kuchengetwa kunzvimbo yekenza yevana.

Kurapa kunoenderana neboka renjodzi rinowira mumwana wako. Zvimwe zvinhu zvichazeyiwa zvinosanganisira:

• Zera remwana wako
• Zvepabonde
• Kurapa mhedzisiro

Lymphoma yemwana wako ichaiswa mumapoka senjodzi yakadzika, yepakati-njodzi, kana njodzi yakanyanya kubva pa:

• Rudzi rweHodgkin lymphoma (kune akasiyana mafomu eHodgkin lymphoma)
• Chikamu (uko chirwere chapararira)
• Kunyangwe iro bundu hombe rakakura uye rakarongedzwa se "hosha hombe"
• Kana iri kenza yekutanga kana kuti yakadzoka (yakadzoka)
• Kuvapo kwefivha, kuonda, uye kudikitira usiku

Chemotherapy inowanzo kuve yekutanga kurapwa.

• Mwana wako angangoda kugara muchipatara pakutanga. Asi iyo chemotherapy mishonga inowanzo kupihwa kukiriniki, uye mwana wako acharamba achigara kumba.
• Chemotherapy inopihwa mutsinga (IV) uye dzimwe nguva nemuromo.

Mwana wako anogona zvakare kugamuchira radiation kurapwa achishandisa yakakwira-inofambiswa x-rays munzvimbo dzinokanganiswa nekenza.

Mimwe mishonga inogona kusanganisira:

• Targeted Therapist inoshandisa zvinodhaka kana antibodies kuuraya cancer maseru
• Yakakwira-dose chemotherapy inogona kuteverwa ne stem cell transplant (uchishandisa yako yemwana masero maseru)
• Kuvhiya hakuwanzo kushandiswa kubvisa mhando yekenza iyi, asi inogona kudikanwa mune zvisingawanzoitika zviitiko

Kuva nemwana ane gomarara ndechimwe chezvinhu zvakaomesesa zvaungazosangana nazvo semubereki. Kutsanangura zvazvinoreva kuva nekenza kumwana wako hazvizove nyore. Iwe zvakare unozofanirwa kudzidza nzira yekuwana rubatsiro uye rutsigiro kuti ugone kurarama zviri nyore.

Kuve nemwana ane cancer kunogona kunetsa. Kujoinha boka rekutsigira uko vamwe vabereki kana mhuri vanogovana zvakajairika zviitiko zvinogona kubatsira kudzikamisa kushushikana kwako.

• Leukemia uye Lymphoma Society - www.lls.org
• Sangano reNational Children's Cancer Society - www.thenccs.org/how-we-help/

Hodgkin lymphoma inorapika kazhinji. Kunyangwe kana fomu iri rekenza richidzoka, mikana yekurapa yakanaka.

Mwana wako anozoda kugara aine bvunzo uye bvunzo dzekufungidzira kwemakore mushure mekurapwa. Izvi zvinobatsira mupi wekutarisa zviratidzo zvekenza zvinodzoka uye nezve chero kwenguva refu yekurapa mhedzisiro.

Mishonga yeHodgkin lymphoma inogona kunge iine matambudziko. Zvimwe zvinokanganisa chemotherapy kana radiation radiation inogona kuoneka mwedzi kana makore mushure mekurapwa. Izvi zvinonzi "kunonoka mhedzisiro." Izvo zvakakosha kuti utaure nezvekurapa mhedzisiro neboka rako rezvehutano. Chii chaunotarisira maererano nemhedzisiro mhedzisiro zvinoenderana nematanho chaiwo anorapwa nemwana wako. Iko kunetsekana kwemhedzisiro mhedzisiro kunofanirwa kuyerwa pamwe nekudiwa kwekurapa uye kuporesa kenza.

Ramba uchitevera nachiremba wemwana wako kuti atarise uye abatsire kudzivirira matambudziko aya.

Bata mupi wako kana mwana wako akazvimba lymph node nefivha inogara kwenguva refu kana ine zvimwe zviratidzo zveHodgkin lymphoma. Fonera mupi wemwana wako kana mwana wako aine Hodgkin lymphoma uye ane mhedzisiro kubva pakurapwa.

Lymphoma - Hodgkin - vana; Hodgkin chirwere - vana; Kenza - Hodgkin lymphoma - vana; Udiki Hodgkin lymphoma

American Society yeClinical Oncology (ASCO) webhusaiti. Lymphoma - Hodgkin - hudiki. www.cancer.net/cancer-types/lymphoma-hodgkin-childhood. Yakagadziridzwa Zvita 2018. Yakasvika Gumiguru 7, 2020.

Hochberg J, Goldman SC, Cairo MS. Lymphoma. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 523.

National Cancer Institute webhusaiti. Yemwana Hodgkin lymphoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/lymphoma/hp/child-hodgkin-treatment-pdq. Yakagadziridzwa Kukadzi 3, 2021. Yakasvika muna Kukadzi 23, 2021.