Lymphoma chirwere chisingawanzoitiki chevana vane vana vangangosvika zana muAustralia vanoonekwa gore rega rega. Nekudaro, kunyangwe isingawanzo, ikenza yechitatu yakajairika muvana, vechidiki uye vechidiki.
Vechidiki vazhinji, kunyangwe vane lymphoma yepamusoro vanogona kurapwa mushure memaitiro ekutanga ekutanga kurapwa.
Lymphomas iboka remagomarara erudzi rwewhite blood cell inonzi lymphocytes, inogara zvakanyanya mumatiri lymphatic hurongwa. Dzinokura apo lymphocytes, iyo imhando yemasero machena eropa, inovandudza DNA mutations inoita kuti iparadzane uye ikure zvisingadzoreki, zvichiita kuti lymphoma. Kune marudzi maviri makuru e lymphoma, Hodgkin's lymphoma uye isiri-Hodgkin lymphoma (NHL).
Lymphoma inogona kugoverwa zvakare kuva:
- Indolent (inononoka kukura) lymphoma
- Aggressive (inokurumidza kukura) lymphoma
- B-cell lymphoma Kukura kubva kune abnormal B-cell lymphocytes & ndiwo akajairika, anoverengera anosvika makumi masere neshanu muzana emalymphoma ese (ese mazera)
- T-cell lymphoma Kukura kubva kune abnormal T-cell lymphocytes uye inoverengera inosvika 15% yeese lymphomas (ese mazera).
Chii chinokonzera
Muzviitiko zvakawanda, lymphoma chikonzero hazvizivikanwi. Kusiyana nemamwe magomarara, isu hatizive nezve chero mararamiro esarudzo anokonzera lymphoma, saka hapana chawakaita kana chausina kuita chakonzera iwe (kana mwana wako) kuwana lymphoma. Haisi kutapuriranwa uye haigoni kupfuudzwa kune vamwe vanhu. Chatinoziva ndechekuti mapuroteni akakosha kana majini anokuvadzwa (anochinja) uye anokura zvisingadzoreki.
Vechidiki vanowanepi kurapwa?
Vana vazhinji vachanorapwa kuchipatara chevana vane mazvikokota zvisinei, vechidiki vane makore gumi nemashanu kusvika gumi nemasere vanogona kuendeswa naChiremba wavo kuchipatara chevana (vana) kana chipatara chevakuru. Vechidiki vanopfuura makore gumi nemasere vanozorapwa muchipatara chevakuru.
Kumwe marapirwo kunogona kureva kuti unofanira kugara muchipatara, ukuwo kumwe kurapwa kuchiitwa panguva yaunenge uchirapwa, wozoenda kumba zuva rimwe chetero.
Mhando dze lymphoma vechidiki vanowana
Kune marudzi maviri makuru e lymphoma, Hodgkin's lymphoma uye isiri-Hodgkin lymphoma (NHL).
Hodgkin's lymphoma (HL)
Hodgkin lymphoma inowanikwa muvana vari pasi pemakore mashanu, asi inowanikwa kune vechidiki uye vechidiki. Nekudaro, inogona kubata vanhu veese mazera kusanganisira vacheche nevakuru vakuru.
Ikenza ine hutsinye yeB-cell lymphocytes uye imwe yemhando dzekenza dzinowanikwa nevana. Pavana vose vane makore 0-14 vane lymphoma, vanenge vana pagumi voga voga vachava nechikamu cheHodgkin Lymphoma.
Iwo maviri makuru subtypes eHodgkin lymphoma (HL) ndeaya:
- Classical Hodgkin lymphoma: iyo inonyanya kuzivikanwa subtype yeHodgkin lymphoma uye inoratidzwa nekuvapo kwemasero makuru, asina kujairika eReed-Sternberg.
- Nodular lymphocyte yakawanda Hodgkin lymphoma: iyo inosanganisira akasiyana eReed-Sternberg masero anonzi 'popcorn' masero. Masero epopcorn kazhinji ane protein paari inonzi CD20, iyo Classical Hodgkin Lymphoma haina.
Kwete-Hodgkin lymphoma (NHL)
NHL inogona kunge ine hutsinye (inokurumidza kukura) kana indolent (inononoka kukura) muhunhu uye inoitika kana B-cell kana T-cell lymphocytes yako ikava kenza.
Kune anenge makumi manomwe neshanu emhando dzakasiyana dzenon-Hodgkin lymphoma. Iwo mana anonyanya kuonekwa muvana akanyorwa pazasi, unogona kudzvanya paari kuti uwane rumwe ruzivo.
- Vana Vanopararira Huru B-cell Lymphoma (DLBCL)
- Vana Burkitt's Lymphoma
- Vana Lymphoblastic Lymphoma
- Pediatric Anaplastic Large Cell Lymphoma (ALCL)
Prognosis ye lymphoma mune vechidiki
Kufungidzira kwakanakira vechidiki vazhinji vane lymphoma. Vechidiki vazhinji vane lymphoma vanogona kurapwa nekurapa kwakajairwa kunosanganisira chemotherapy, kunyangwe pavanotanga kubatwa nehutsinye kana advanced lymphoma. Kuti udzidze zvakawanda nezve prognosis yemhando dzakasiyana dze lymphoma muvechidiki, ndapota ona subtype mapeji akanyorwa pamusoro.
Zvinosuruvarisa kuti nhamba shoma yevechidiki haipinduriwo pakurapwa. Bvunza chiremba wako (kana chiremba wemwana wako) pamusoro pezvaunotarisira uye kuti zvingaita sei kuti lymphoma yako ichaporeswa.
Kurarama kwenguva refu uye nzira dzekurapa zvinoenderana nemhando yezvikonzero, zvinosanganisira:
- zera rako paunotanga kuonekwa kuti une lymphoma.
- ari siteji ye lymphoma.
- ndeipi subtype ye lymphoma yaunayo.
- kuti lymphoma inopindura sei kurapwa.
Tarisa - Zvido zvakasiyana zvevechiri kuyaruka uye vechidiki vechidiki vane lymphoma
Inzwa kubva kuna Dr Orly - Haematologist kuSt Vincents Sydney vanotaura nezve zvinodikanwa zvakasiyana zvevechiri kuyaruka uye vechidiki vechidiki vane lymphoma.
Kurapa lymphoma
Iwe (kana mwana wako) uchada kurapwa uye zvinogona kusanganisira chemotherapy (kazhinji kusanganisira immunotherapy) uye dzimwe nguva radiation therapy zvakare. Zvichienderana nerudzi rwe lymphoma, akasiyana chemotherapy agents anoshandiswa kumhando dzakasiyana dze lymphoma.
Vanachiremba vachafunga zvakawanda pamusoro pe lymphoma uye hutano huzhinji hwemwana wako kuti asarudze nguva uye kuti ndeipi kurapwa kunodiwa. Izvi zvinobva pa:
- The danho re lymphoma.
- zviratidzo Une kana waonekwa kuti une lymphoma.
- Ungave uine zvimwe zvirwere kana kuti uri kutora mimwe mishonga.
- Hutano hwako hwese hunosanganisira kugara zvakanaka kwemuviri nepfungwa.
- Zvaunofarira (kana vabereki vako) mushure mekunge wawana ruzivo rwese rwaunoda.
Kuchengetwa Kwesimba
Nhau dzevarwere
Ruzivo uye rutsigiro rwevabereki nevachengeti
Kana iwe uri mubereki kana muchengeti wemwana akaonekwa kuti ane lymphoma, inogona kuva chiitiko chinoshungurudza uye chepfungwa. Hapana kuita kwakanaka kana kusiri iko.
Zvakakosha kuzvibvumira iwe nemhuri yako nguva yekugadzirisa uye kubvuma kuongororwa. Zvakakoshawo kuti usatakura huremu hwechirwere ichi uri wega sezvo kune masangano akawanda anobatsira ari pano kuti akubatsire iwe nemhuri yako panguva ino.
Unogona kugara uchibata Lymphoma Care Nurses nekudzvanya iyo taura nesu bhatani riri pazasi pepeji ino.
Zvimwe zvekushandisa zvaungawana zvichibatsira zvakanyorwa pazasi:
Chikoro uye kudzidzisa
Kana mwana wako ari zera rechikoro unogona kunge uchinetsekana kuti achaenderera mberi nechikoro sei achirapwa. Kana kuti zvimwe, wanga wakabatikana nezvese zviri kuitika zvekuti hauna kana mukana wekufunga nezvazvo.
Vamwe vana vako vanogonawo kurovha chikoro kana mhuri yako ichifanira kufamba madaro uye kugara kure nemusha apo mwana wako ane lymphoma ari muchipatara.
Asi kufunga nezvechikoro kunokosha. Vana vazhinji vane lymphoma vanogona kurapwa uye vachada kudzokera kuchikoro pane imwe nguva. Zvipatara zvakawanda zvevana zvikuru zvine basa rekudzidzisa kana chikoro icho iwe mwana ane lymphoma uye vamwe vana vako vanogona kupinda apo mwana wako ari kurapwa kana muchipatara.
Zvipatara zvikuru zviri pazasi zvine masevhisi echikoro mukati mebasa razvo. Kana mwana wako achirapwa kuchipatara chakasiyana neakanyorwa pano, mubvunze nezverutsigiro rwechikoro runowanikwa kumwana/vana vako.
QLD. - Chikoro cheQueensland Vana Chipatara (eq.edu.au)
VIC. - Victoria, Education Institute: Education Institute (rch.org.au)
SA - Chipatara Chikoro cheSouth Australia zvirongwa zvedzidzo zvechipatara
WA - Chikoro muchipatara (health.wa.gov.au)
NSW - Chikoro muchipatara | Sydney Children's Hospitals Network (nsw.gov.au)
pfupiso
- Lymphoma ndiyo kenza yechitatu yakajairika muvana, uye kenza yakajairika muvechiri kuyaruka nevakuru vechidiki.
- Mishonga dzakavandudza zvikuru mumakore uye vechidiki vakawanda vane lymphoma vanogona kurapwa.
- Kune marudzi akasiyana ekurapa uye kurapwa kwaunowana kunotsamira pane subtype uye nhanho ye lymphoma yako.
- Bvunza chiremba wako nezvekuita chengetedza kubereka kwako saka iwe unogona kuita vana mushure mehupenyu. Bvunza nezve izvi usati watanga kurapwa.
- Mhedzisiro zvinogona kuitika munguva pfupi mushure mekurapwa kana makore gare gare. Iva nechokwadi chekutarisa yedu side-effects peji.
- Taura zvese zvitsva uye zviri kuwedzera zviratidzo kuna chiremba wako.
- Fonera maLymphoma Care Nurses pa 1800 953 081 kana iwe uchida kutaura nezve yako, kana lymphoma yemwana wako kana marapirwo.
