Kwete-Hodgkin lymphoma muvana

Isiri-Hodgkin lymphoma (NHL) kenza yeiyo lymph tishu. Lymph tishu inowanikwa mune ma lymph node, spleen, tonsils, bone marora, uye dzimwe nhengo dze immune system. Ma immune immune anotidzivirira kuzvirwere nezvirwere.

Ichi chinyorwa chiri pamusoro peNHL muvana.

NHL inowanzoitika kazhinji muvakuru. Asi vana vanowana mamwe marudzi eNHL. NHL inoitika kazhinji muvakomana. Kazhinji hazviitike muvana vadiki pazera rechitatu.

Chikonzero chaicho cheNHL muvana hachizivikanwe. Asi, kukura kwema lymphomas muvana kwakabatana ne:

• Kurapa kenza yapfuura (radiation radiation, chemotherapy)
• Iyo isina kusimba immune system kubva kunhengo yekumisikidza
• Epstein-Barr hutachiona, hutachiona hunokonzera mononucleosis
• HIV (human immunodeficiency virus) hutachiona

Kune akawanda marudzi eNHL. Chimwe chikamu (kuronga) ndechekuti kenza inopararira nekukurumidza zvakadii. Iyo kenza inogona kunge iri yakaderera giredhi (inononoka kukura), yepakati giredhi, kana yakakwira giredhi (inokurumidza kukura).

NHL inowedzeredzwa nemapoka na:

• Masero anotaridzika sei pasi pe microscope
• Rudzii rweropa jena reropa rinobva kwariri
• Kunyangwe paine kumwe kuchinjika kweDNA mumasumbu echirwere pachawo

Zviratidzo zvinoenderana nenzvimbo yemuviri inobatwa nekenza uye nekukurumidza kuti gomarara riri kukura sei.

Zviratidzo zvinogona kusanganisira:

• Kuzvimba lymph node mumutsipa, underarm, mudumbu, kana kugomera
• Kuzvimba kusingarwadzi kana bundu mumachende
• Kuzvimba kwemusoro, mutsipa, maoko kana kumusoro muviri
• Dambudziko kumedza
• Kunetseka kufema
• Kushungurudza
• Kuramba uchikosora
• Kuzvimba mudumbu
• Night sweats
• Kuonda
• Kuneta
• Fivha isingatsanangurike

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 NHL inofungidzirwa:

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

Lymph node biopsy inosimbisa kuongororwa kweNHL.

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

• CT scan yechipfuva, dumbu uye chiuno
• 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 ne:

• Rudzi rweNHL (kune akawanda marudzi eNHL)
• Chikamu (uko kenza yakapararira)
• Zera remwana wako uye hutano hwakazara
• Zviratidzo zvemwana wako, zvinosanganisira kuonda, kupisa muviri, uye kudikitira usiku

Chemotherapy inowanzo kuve yekurapa kwekutanga:

• Mwana wako angangoda kugara muchipatara pakutanga. Asi mazhinji ekurapwa kweNHL anogona kupihwa kukiriniki, uye mwana wako acharamba achigara pamba.
• Chemotherapy inopiwa kunyanya mutsinga (IV), asi imwe chemotherapy inopihwa 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.
• High-dose chemotherapy inogona kuteverwa ne stem cell transplant (uchishandisa yako yemwana masero maseru).
• Kuvhiya kubvisa rudzi urwu rwekenza hakuwanzo, asi kunogona kudikanwa mune dzimwe nguva.

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/

Mazhinji mafomu eNHL anorapika. Kunyangwe nhanho dzekupedzisira dzeNHL dzinorapika muvana.

Mwana wako anozoda kugara aine bvunzo nekufungidzira bvunzo kwemakore mushure mekurapwa kuti ave nechokwadi chekuti bundu haridzoke.

Kunyangwe kana bundu rikadzoka, pane mukana wakanaka wekurapwa.

Kugara uchitevera-kunobatsirawo timu yekutarisira hutano kutarisa zviratidzo zvegomarara rinodzoka uye nechero kurapwa kwenguva refu.

Mishonga yeNHL inogona kuva nezvinetso. 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.

Dana mupi wemwana wako kana mwana wako akazvimba lymph nodes nefivha isingatsanangurike isingaperi kana ine zvimwe zviratidzo zveNHL.

Kana mwana wako aine NHL, danaidza mupi kana mwana wako aine fivha inoramba iripo kana zvimwe zviratidzo zvehutachiona.

Lymphoma - isiri Hodgkin - vana; Lymphoblastic lymphoma - vana; Burkitt lymphoma - vana; Makuru maseru lymphomas - vana, Cancer - isiri-Hodgkin lymphoma - vana; Kuparadzanisa yakakura B-cell lymphoma - vana; Vakakura B cell lymphoma - vana; Anaplastic yakakura sero lymphoma

American Cancer Society webhusaiti. Chii chinonzi Non-Hodgkin lymphoma muvana? www.cancer.org/cancer/childhood-non-hodgkin-lymphoma/about/non-hodgkin-lymphomain-children.html. Yakagadziridzwa Nyamavhuvhu 1, 2017. 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. Udiki husiri-Hodgkin lymphoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/lymphoma/hp/child-nhl-kurapa-pdq. Yakagadziridzwa Kukadzi 12, 2021. Yakasvika muna Kukadzi 23, 2021.