Makemake pū kāu keiki e ʻike e pili ana i ka Non-Hodgkin's Lymphoma? E kamaʻilio kākou e pili ana!

ʻOiai inā e anu iki kā mākou poʻe liʻiliʻi, makaʻu loa lākou, ʻeā? I kekahi manawa, inā manaʻo ʻoe he maʻi maʻamau ia, hiki ke lilo i mea koʻikoʻi iki. ʻAe, ʻo kahi ʻano maʻi kanesa e kū mai ana i nā keiki, akā hiki ke ho'ōla ʻia inā mālama pono ʻia, ua kapa ʻia ʻo Non-Hodgkin's Lymphoma . Mai makaʻu i kou lohe ʻana i kēia inoa, no ka mea, he mea nui loa ka ʻike pono ʻana i ia mea. E kamaʻilio hou aku kākou e pili ana i kēia?

E kali iki, he aha kēia Non-Hodgkin's Lymphoma?

I ka ʻōlelo maʻalahi, ʻo ka lymphoma non-Hodgkin kahi ʻano maʻi kanesa e hoʻomaka ana i loko o ka ʻōnaehana lymphatic i nā keiki. Loaʻa i kou kino kahi mea i kapa ʻia ʻo ka ʻōnaehana lymphatic . Ua like ia me ka ʻōnaehana pale o ko mākou kino. Kōkua ia i ka pale ʻana iā mākou mai nā maʻi a me nā germs . Loaʻa i kēia ʻōnaehana nā ʻāpana e like me nā lymph nodes a me nā kīʻaha lymph. Hoʻolaha ʻia kēia mau mea ma ke kino holoʻokoʻa.

Hoʻopilikia pinepine kēia maʻi i nā keiki ma waena o 5 a me 19 mau makahiki. Akā i kekahi manawa hiki ke hoʻopilikia ʻia nā pēpē hānau hou. ʻO ka nūhou maikaʻi, he mau lāʻau lapaʻau kūpono nā kauka no kēia, a hiki ke ho'ōla ʻia nā keiki he nui. Eia nō naʻe, hiki i kekahi mau keiki ke loaʻa nā hopena hope i nā makahiki ma hope o ka mālama ʻana. ʻO ia ke kumu e hoʻāʻo mau nei nā mea noiʻi e ʻimi i nā lāʻau lapaʻau ʻoi aku ka maikaʻi me ka emi ʻana o nā hopena hope.

Pehea ka hopena o kēia maʻi i kaʻu keiki?

ʻO kēia maʻi, i kapa ʻia ʻo Non-Hodgkin's Lymphoma, hiki ke ulu i loko o nā ʻiʻo lymphoid ma nā wahi āpau o ke kino o ke keiki. Hiki iā ia ke hoʻopilikia i ka ʻōnaehana nerve waena . ʻO kēia ʻiʻo lymphoid kekahi ʻāpana o ka ʻōnaehana pale.

Hoʻomaka kēia maʻi kanesa i nā ʻano pūnaewele kūikawā i loko o ka ʻōnaehana lymphatic. ʻO kēia nā B-lymphocytes (B-cells), T-lymphocytes (T-cells), a i ʻole Natural Killer (NK) cells. Mālama kēia mau pūnaewele iā mākou mai nā maʻi bacteria a me nā viral like ʻole.

ʻEkolu mau ʻano nui o ka lymphoma non-Hodgkin i nā keiki. Hiki i kēlā me kēia ʻano ke hoʻopilikia i nā keiki ma ke ʻano ʻokoʻa.

1. Nā lymphomas B-cell makua

ʻO kēia nā ʻano lymphoma e kū mai ana mai nā pūnaewele B. ʻOi aku ka hapalua o nā lymphoma non-Hodgkin āpau i nā keiki ma muli o lākou. ʻO ka nūhou maikaʻi, ʻoi aku ma mua o 90% o nā keiki me kēia ʻano lymphoma e hoʻōla piha ma hope o ka mālama ʻana. Aia kekahi mau ʻano nui:

• ʻO Burkitt lymphoma/leukemia: He ʻano like ʻole kēia o ka maʻi hoʻokahi. Ua like loa nā lāʻau lapaʻau. Hoʻomaka pinepine ia ma nā lymph node ma ka ʻōpū a i ʻole ka umauma. Akā i kekahi manawa hiki ke hoʻopilikia i ka iwi ʻōpala, nā iwi lōʻihi ma nā lālā, a i ʻole ka ʻōnaehana nerve waena. Ma ka leukemia Burkitt, he nui nā cell ʻano ʻē i loko o ke koko o ke keiki, i puka mai nā cell i loko o ka iwi ʻōpala. Ulu wikiwiki loa ka lymphoma Burkitt a me ka leukemia.
• ʻO ka lymphoma B-cell nui e pālahalaha ana: ʻOi aku ka maʻamau o kēia i nā keiki ʻōpio ma waena o nā makahiki 12-19 ma mua o nā keiki ʻōpio.
• ʻO ka lymphoma B-cell mediastinal mua: Hoʻomaka kēia i nā cell B ma ka mediastinum, kahi wahi ma hope o ka iwi umauma o ke keiki. Hiki iā ia ke laha i nā lymph nodes. He mea maʻamau kēia i nā keiki ʻōpio.

2. Lymphoma lymphoblastic

ʻO kēia ʻano he hapakolu o nā lymphoma non-Hodgkin āpau i nā keiki. ʻOi aku ka maʻamau i nā keiki ʻōpio ma mua o nā keiki makua. Hiki i ka lymphoma Lymphoblastic ke hoʻopilikia i nā cell-B a i ʻole nā ​​​​cell-T.

Hoʻomaka pinepine ia ma nā lymph nodes ma ka mediastinum o ke keiki (ka ʻāpana ma hope o ka iwi umauma) a i ʻole ka ʻāʻī. Akā hiki iā ia ke hoʻopilikia i nā lymph nodes ma ka ʻōpū, ka iwi iwi, a i ʻole nā ​​​​​​ʻano ʻē aʻe. ʻOi aku ma mua o 80% o nā keiki i mālama ʻia no kēia ʻano ola.

3. ʻO ka lymphoma cell nui anaplastic (ALCL)

ʻO kēia ka helu ʻana ma kahi o 15% o nā lymphoma non-Hodgkin āpau i nā keiki. Hoʻopilikia ia i nā T-cell a hoʻomaka pinepine i nā lymph node. Hiki iā ia ke hoʻopilikia i ka ʻili a me nā iwi. Ma kahi o 70% o nā keiki me ALCL e ola nei.

Pehea ka maʻamau o kēia maʻi i waena o nā keiki?

I kēlā me kēia makahiki, ma waena o 800 a me 1,000 mau keiki i ʻike ʻia me ka lymphoma non-Hodgkin. ʻOi aku ka maʻamau i nā keikikāne keʻokeʻo. ʻOkoʻa ka pilikia o ka loaʻa ʻana o kēia maʻi me ka makahiki o ke keiki, a hiki ke piʻi iki ka pilikia i ka wā e ulu ana ke keiki.

He aha nā hōʻailona o ka lymphoma non-Hodgkin?

Hiki i nā hōʻailona o kēia maʻi ke like me nā maʻi ʻē aʻe, ʻaʻole koʻikoʻi loa. ʻO ia ke kumu e hopohopo ai ʻoe. Inā he pehu nā lymph nodes o kāu keiki, he pilikia hanu mau, he ʻū mau, a he ihu wai paha,Pono ʻoe e ʻike i ke kauka.

ʻO nā hōʻailona ʻē aʻe paha:

• Ka wela pinepine me ke kumu ʻole.
• Kuke.
• Ka hou o ka pō.
• Ka pohō kaumaha me ke kumu ʻole.
• Ka pehu ʻana o ke poʻo, ka ʻāʻī, ke kino o luna, a i ʻole nā ​​​​lima.
• Ka paʻakikī i ke ale ʻana (dysphagia).

E hoʻomanaʻo, ʻo ka loaʻa ʻana o hoʻokahi a ʻelua paha o kēia mau hōʻailona ʻaʻole ia he manaʻo ua loaʻa i kāu keiki kēia maʻi. Eia nō naʻe, inā hoʻomau a ʻoi aku paha ka ʻino o kēia mau hōʻailona, ​​​​pono ʻoe e ʻimi i ke kōkua lapaʻau.

He aha ke kumu o kēia maʻi i nā keiki?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa ke kumu kikoʻī o ka lymphoma non-Hodgkin i nā keiki. Eia nō naʻe, ua ʻike nā kauka i kekahi mau kumu pilikia. ʻOiai inā loaʻa kēia mau kumu pilikia, ʻaʻole ia he manaʻo e loaʻa maoli i kahi keiki kēia maʻi. Akā he mea maikaʻi ke ʻike i kēia mau mea.

Inā loaʻa i kāu keiki kekahi o kēia mau pilikia olakino, e nīnau i kāu kauka e pili ana i kēia kūlana:

• Inā ua mālama ʻia kāu keiki no kekahi ʻano maʻi kanesa ʻē aʻe.
• Inā ua loaʻa kāu keiki i ka mononucleosis (Mononucleosis - Epstein-Barr virus) a i ʻole HIV (Human Immunodeficiency Virus).
• Inā ua nāwaliwali ka ʻōnaehana pale o kāu keiki (no ka laʻana, inā ua loaʻa iā lākou kahi hoʻoili kino a iwi paha).
• Inā ke lawe nei ke keiki i nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale.
• Inā loaʻa i ke keiki kekahi mau maʻi hoʻoilina e hoʻopilikia ai i ka ʻōnaehana pale.

Nā maʻi ʻōnaehana pale hoʻoilina

ʻO nā maʻi hoʻoilina e like me kēia e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka lymphoma non-Hodgkin:

• Ataxia-telangiectasia: He maʻi neurological kēia e hoʻopilikia ai i ka ʻōnaehana nerve waena, ka ʻōnaehana pale, a me nā ʻōnaehana ʻē aʻe o ke kino i nā keiki.
• ʻO ka maʻi Chediak-Higashi: Hoʻopilikia kēia i ka ʻōnaehana pale a me ka ʻōnaehana nerve i nā keiki.
• ʻO ka hemahema maʻamau o ka immunodeficiency: ʻO nā keiki me kēia maʻi he haʻahaʻa nā pae o nā antibodies (nā protein e hakakā nei i ka maʻi) i loko o ko lākou koko.
• ʻO ka maʻi haki Nijmegen: ʻO nā keiki me kēia maʻi he immunodeficiency a me nā pae haʻahaʻa o nā protein ʻōnaehana pale a me nā T-cell.
• ʻO ka maʻi immunodeficiency hui koʻikoʻi (SCID): Hoʻopilikia kēia i nā cell-T a me nā cell-B o nā keiki, e hoʻonāwaliwali ana i ka ʻōnaehana pale a kau iā lākou i kahi pilikia kiʻekiʻe o ka hoʻomohala ʻana i kekahi mau maʻi kanesa, me ka lymphoma non-Hodgkin.
• ʻO ka maʻi Wiskott-Aldrich:Hoʻopilikia kēia i nā hunaola koko o nā keiki a me nā hunaola ʻōnaehana pale. He haʻahaʻa nā pae o nā platelets i nā keiki me kēia maʻi. ʻO nā platelets nā hunaola e kōkua i ke kāpili ʻana o ke koko. Ke haʻahaʻa kēia mau mea, hiki iā lākou ke hoʻoulu i ka ʻeha a me ke kahe koko maʻalahi. Hoʻopilikia pū kēia maʻi i nā hunaola T a me nā hunaola B o ka ʻōnaehana pale.
• ʻO ka maʻi lymphoproliferative i hoʻopili ʻia me ka X: Hoʻopilikia kēia i ka ʻōnaehana pale maʻi i nā keiki. Hiki i nā keiki me kēia maʻi ke loaʻa kahi pane koʻikoʻi loa i ka maʻi Epstein-Barr.

Pehea e ʻike ai nā kauka i ka lymphoma non-Hodgkin i nā keiki?

He hana kikoʻī iki ka ʻike ʻana i kēia maʻi. ʻO ka maʻamau, hana ʻia kekahi mau hoʻāʻo koko, nā hoʻāʻo kiʻi like ʻole, a me nā biopsies. E nānā pono ke kauka i ke keiki e ʻike inā he mau mea ʻē aʻe, e like me nā puʻupuʻu a i ʻole nā ​​​​gland pehu. E nānā pū lākou i ka ʻike olakino o ka ʻohana, ʻo ia hoʻi, nā hoahānau pili a me nā hoahānau mamao, a inā he mōʻaukala o ka maʻi kanesa.

Nā hoʻāʻo koko

• Helu koko piha (CBC): Ke ana kēia i ka helu o nā ʻano ʻano hunaola like ʻole i loko o ke koko o kāu keiki. Hiki i nā hopena ke kōkua i ka hoʻoholo ʻana inā he mau hōʻailona o ka lymphoma i loko o ko lākou iwi iwi a inā ua hoʻopilikia ka lāʻau i ko lākou iwi iwi.
• Nā haʻawina kemika koko: Lawe ʻia nā hāpana koko e ana i nā pae o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko mai nā ʻōpū a i ʻole nā ​​​​ʻiʻo o ke keiki. ʻO ke kiʻekiʻe a haʻahaʻa paha o kahi mea hiki ke lilo i hōʻailona o ka maʻi.
• Nā hoʻāʻo hana ate: He hoʻāʻo koko nō hoʻi kēia. Ana ia i ka nui o kekahi mau mea i hoʻokuʻu ʻia e ke akepaʻa i loko o ke koko. Inā ʻoi aku ka nui ma mua o ka maʻamau, he hōʻailona paha ia o ka maʻi kanesa.

Eia kekahi, hoʻohana pū nā kauka i nā hoʻāʻo koko e nānā i nā maʻi i pili paha i ka lymphoma non-Hodgkin i nā keiki.

Nā hoʻokolohua kiʻi

• CT scan (Computed tomography - CT scan): Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o nā wahi i loko o ke kino o kāu keiki. Hana ʻia kēia hoʻāʻo e ʻimi i nā lymph nodes pehu a i ʻole nā ​​​​hōʻailona ʻē aʻe o ka lymphoma.
• ʻO ke kiʻi MRI (Magnetic resonance imaging - MRI): Hoʻohana kēia i kahi magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o loko o ke kino. Hoʻohana ʻia ia e nānā i nā hōʻailona o ka lymphoma i loko o ka lolo o ke keiki a i ʻole ke kaula kuamoʻo.
• Nānā PET (Positron emission tomography - nānā PET):Hoʻohana ʻia kēia e ʻike inā he lymphoma ke keiki a pehea paha ka hopena o ka lāʻau lapaʻau i ka lymphoma. ʻO kahi scan PET e pili ana i ka hoʻokomo ʻana i kahi liʻiliʻi o ka glucose radioactive, a i ʻole kekahi ʻano kō, i loko o ke kino o ke keiki. ʻOi aku ka hana o nā hunaola kanesa ma mua o nā hunaola maʻamau, no laila hoʻohana lākou i ka nui o ka glucose. No laila hiki i kēia scan ke hōʻike i kahi o nā hunaola kanesa.
• Ultrasound: Hoʻohana kēia i nā nalu kani ikehu kiʻekiʻe. Lele kēia mau nalu mai nā ʻiʻo a i ʻole nā ​​​​​​ʻōkana i loko o ke kino a hana i nā leo. Hoʻohana ʻia kēia mau leo ​​e hana i kahi kiʻi i kapa ʻia he sonogram. Hoʻohana ʻia kēia e nānā i nā lymph node e kokoke ana i ka ʻili o ke kino o ke pēpē, a i ʻole i loko o ka ʻōpū, ke akepaʻa, a i ʻole ka spleen.

Nā Biopsies

Hana nā kauka i nā biopsies e lawe i nā laʻana o nā lymph nodes, nā puʻupuʻu kanesa, a me ka iwi iwi a nānā iā lākou ma lalo o kahi microscope a i ʻole ma nā hoʻokolohua lab ʻē aʻe. ʻO ka biopsy wale nō ke ala e ʻike maopopo ai i ka maʻi. ʻOi aku ka mea nui, hiki i nā hopena biopsy ke kōkua i ka hoʻoholo ʻana i ke ʻano kikoʻī o ka lymphoma. A laila hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka lāʻau lapaʻau maikaʻi loa no kēlā ʻano.

Aia kekahi mau ʻano biopsies. Koho nā kauka i ke ʻano o ka biopsy e hoʻopilikia iki i ke keiki a e wehe i nā ʻāpana a me nā ʻiʻo lawa no ka hoʻāʻo ʻana. I loko o kēia mau hoʻokolohua, hāʻawi ʻia ke keiki i nā lāʻau hoʻomaha, nā lāʻau hoʻomāʻū, a i ʻole ka anesthesia kūloko a laulā paha e hōʻoia ʻaʻole lākou e ʻike i kekahi ʻeha.

• ʻO ka biopsy ʻoki kino: Hiki ke wehe ʻia kahi node lymph holoʻokoʻa, kahi puʻu o ka ʻiʻo, a i ʻole kahi ʻāpana liʻiliʻi o kahi puʻu kanesa nui e ke ʻoki kino.
• Nā biopsies nila: Hana ʻia nā biopsies koʻikoʻi a i ʻole nā ​​​​biopsies nila maikaʻi e wehe i ka ʻiʻo a i ʻole nā ​​​​ʻāpana o ka lymph node.

Nā ʻano biopsies ʻē aʻe

Inā loaʻa i kāu keiki ka lymphoma non-Hodgkin, hiki ke hana ʻia nā hoʻokolohua hou aʻe e hōʻiliʻili i nā ʻiʻo e ʻike ai inā ua pālahalaha ka lymphoma. E like me nā biopsies ʻē aʻe, hana ʻia kēia mau mea ma lalo o ka hoʻomaha a/a i ʻole ka anesthesia e hōʻoia ʻaʻole e ʻoluʻolu kāu keiki.

• ʻO ke kī ʻana o ka lumbar (spinal tap): Hana ʻia kēia e ʻike ai inā ua pālahalaha ke kanesa i ka lolo a me ke kaula spinal o ke keiki.
• ʻO ka ʻume ʻana o ka iwi a me ka biopsy iwi: Hana ʻia kēia mau hoʻokolohua e ʻike ai inā ua pālahalaha ka lymphoma i ka iwi o kāu keiki. No ka hana ʻana i kēia, hoʻokomo ke kauka i kahi nila hakahaka i loko o ka iwi ʻūhā o kāu keiki a lawe i kahi hāpana liʻiliʻi o ka iwi a me ka iwi.
• Ka hoʻokaʻawale ʻana o ke kino:Inā ua pālahalaha ka lymphoma i ka uhi o ka umauma o kāu keiki a i ʻole ka membrane e uhi ana i ko lākou mau māmā, hiki ke hōʻiliʻili i ka wai. Hoʻoneʻe ʻia ka wai me ka hoʻohana ʻana i kahi nila hakahaka a nānā ʻia no nā hunaola kanesa.
• Paracentesis: Pili kēia i ka wehe ʻana i ka wai mai ka ʻōpū o ke pēpē.
• Mediastinoscopy: He hana ʻoki kino kēia i hana ʻia ma lalo o ka anesthesia laulā. Hana ʻia ia e nānā i nā ʻano ʻē i loko o nā ʻōpū, nā ʻiʻo, a me nā lymph node ma waena o nā māmā o kāu keiki. Hana ʻia ia me kahi mea i kapa ʻia he mediastinoscope. He mea hana lahilahi ia e like me ka paipu me ke kukui a me ka lens e ʻike ai, a me kahi mea hana e lawe i nā ʻiʻo a i ʻole nā ​​​​​​laʻana lymph. Hoʻokomo ʻia ia ma o kahi ʻoki liʻiliʻi ma ka ʻaoʻao o luna o ka iwi umauma o kāu keiki.

Ua hoʻokaʻawale nā ​​kauka i ka lymphoma pediatric non-Hodgkin i nā pae?

ʻAe, aia nā pae e hoʻokaʻawale i ka lymphoma Non-Hodgkin. Hoʻohana ʻia kēia mau ʻōnaehana hoʻonohonoho maʻi kanesa e hana i nā hoʻolālā lapaʻau.

Nā pae lymphoma non-Hodgkin

• Pae I: Aia ke kanesa ma hoʻokahi wale nō wahi, ma luna a ma lalo paha o ka diaphragm o ke keiki (ka ʻiʻo nui e hoʻokaʻawale ana i ka umauma a me ka ʻōpū).
• Pae II: Aia ke kanesa ma kekahi wahi a me nā lymph nodes kokoke, a i ʻole ma ʻelua a ʻoi aku paha nā lymph nodes, a i ʻole ma nā wahi ʻē aʻe ma ka ʻaoʻao like o ka diaphragm.
• Pae III: Aia ke kanesa ma kekahi o nā pae ʻehā:
• Aia ke kanesa i loko o nā ʻiʻo a i ʻole nā ​​​​kikowaena lymph ma nā ʻaoʻao ʻelua o ka diaphragm.
• Loaʻa i ke keiki ka maʻi ʻaʻai umauma.
• Loaʻa i ke keiki ka maʻi ʻōpū, a ʻaʻole hiki ke wehe ʻia me ke ʻoki ʻana.
• Pae IV: Aia ke kanesa i loko o ka iwi iwi, ke kaula kuamoʻo, a me/a i ʻole ka lolo o ke keiki.

Pehea e mālama ʻia ai ka lymphoma non-Hodgkin i nā keiki?

Ke hoʻomau nei nā kauka i ka ʻimi ʻana i nā lāʻau lapaʻau hou, ʻoiai nā ala e hoʻōla ai i ka lymphoma me ka ʻole o ka hoʻoulu ʻana i nā hopena koʻikoʻi. ʻO nā hopena hope loa he mau kūlana olakino koʻikoʻi e hiki ke ulu i nā makahiki ma hope o ka pau ʻana o ka lāʻau lapaʻau a ua nalowale ka lymphoma non-Hodgkin o ke keiki.

ʻEono ʻano nui o ka lāʻau lapaʻau:

• Chemotherapy: ʻO kēia ka lāʻau lapaʻau nui no nā keiki me ka lymphoma non-Hodgkin. Hiki i nā kauka ke hoʻohana i hoʻokahi lāʻau lapaʻau a i ʻole ka hui pū ʻana o kekahi mau lāʻau lapaʻau.
• ʻO ke ʻoki kino: I kekahi mau hihia, wehe ʻia nā puʻupuʻu kanesa i ka manawa like me ka biopsy. ʻOiai i kēlā manawa, pono paha ke keiki i nā lāʻau lapaʻau hou aʻe, e like me ka chemotherapy a i ʻole immunotherapy.
• Hoʻōla i kuhikuhi ʻia:Hoʻopilikia kēia i nā ʻano maʻi kanesa kikoʻī, nā protein, a i ʻole nā ​​​​ʻāpana liʻiliʻi i loko o nā cell lymphoma e kōkua iā lākou e ola i nā hopena o ka chemotherapy.
• Immunotherapy: Hana kēia lāʻau lapaʻau ma ka hoʻoulu ʻana i ka ʻōnaehana pale o ke keiki, a i ʻole ma ka hoʻohana ʻana i nā ʻāpana hana o ka ʻōnaehana pale, e luku i nā pūnaewele lymphoma.
• Lapaʻau radiation: I kekahi mau hihia, hoʻohana ʻia ka radiation therapy e luku i nā hunaola kanesa i koe.
• Ke hoʻoili ʻana i nā pūnaewele kumu: Hoʻohana ʻia nā pūnaewele kumu i lawe ʻia mai ke koko a i ʻole ka iwi iwi e pani i nā pūnaewele maikaʻi ʻole me nā pūnaewele olakino.

He aha nā hopena hope o ka mālama ʻana i ka maʻi kanesa?

ʻO nā hopena lohi o ka mālama ʻana i ka maʻi kanesa he mau kūlana olakino e hiki ke ulu i nā mahina a i ʻole nā ​​​​makahiki ma hope o ka pau ʻana o ka mālama ʻana. Hiki i kekahi mau hopena lohi ke hoʻoweliweli i ke ola. I ka nui o nā keiki e ola lōʻihi ana ma hope o ka mālama ʻana no ka lymphoma non-Hodgkin, ke hoʻāʻo nei nā kauka e ʻike a mālama i kēia mau hopena lohi i ka wā hikiwawe.

ʻO kekahi o nā hopena hope loa i ʻike pinepine ʻia i nā keiki me ka lymphoma non-Hodgkin:

• Nā maʻi ʻaʻai lua: E like me ka inoa e hōʻike nei, he mau maʻi ʻaʻai hou kēia e ulu ana i nā keiki ma hope o ka mālama ʻia ʻana no ka lymphoma non-Hodgkin. ʻO nā mea maʻamau e komo pū me ka leukemia myeloid acute, myelodysplastic syndrome, ka maʻi ʻaʻai umauma, a me ke kanesa thyroid.
• Nā kūlana puʻuwai: Hiki i kekahi mau keiki i loaʻa i ka chemotherapy ke loaʻa i nā kūlana puʻuwai e like me ka congestive heart failure, nāwaliwali o ka puʻuwai (cardiomyopathy), ka paʻakikī a i ʻole ka hāʻule ʻana o nā aʻa (coronary artery disease), ka puʻuwai puʻuwai kūpono ʻole (arrhythmia), a i ʻole ka hōʻino ʻana i ka uhi pale o ka puʻuwai (pericarditis).
• Pneumonitis (ka mumū o nā māmā): Hiki i kekahi mau lāʻau chemotherapy ke hoʻopilikia i nā māmā i nā keiki.
• Nā pilikia o ke akepaʻa: ʻO nā keiki e lawe ana i kekahi mau lāʻau chemotherapy e loaʻa paha i kahi akepaʻa i hoʻonui ʻia a i ʻole cirrhosis o ke akepaʻa.

Pehea e pili ana i nā hoʻokolohua lapaʻau no ka lymphoma non-Hodgkin pediatric?

Hiki i ke kauka o kāu keiki ke ʻōlelo aku iā ʻoe e komo i kahi hoʻokolohua lapaʻau no ka mālama ʻana i ka lymphoma non-Hodgkin. I loko o kahi hoʻokolohua lapaʻau, loaʻa i kekahi poʻe ke kūlana mālama, aʻo kekahi poʻe e loaʻa nā lāʻau lapaʻau e loiloi ʻia nei.

ʻO nā lāʻau lapaʻau maʻamau he mau lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe i ʻāpono mua ʻia a ua hōʻoia ʻia e hana. ʻO nā lāʻau lapaʻau hoʻāʻo, e like me ka inoa e hōʻike nei, he mau lāʻau lapaʻau e hoʻāʻo ʻia nei e ʻike inā hana maikaʻi lākou ma mua o nā lāʻau lapaʻau maʻamau, a inā hana like lākou akā emi nā hopena ʻaoʻao.

Hiki i nā hoʻokolohua lapaʻau ke komo i nā lāʻau lapaʻau hou, nā mahele hou o nā lāʻau lapaʻau e kū nei, a i ʻole nā ​​​​hui hou o nā lāʻau lapaʻau e kū nei. ʻO ka pinepine, nā kauka ma nā kikowaena maʻi kanesa pediatric e nānā i kēia mau hoʻokolohua lapaʻau. E nīnau i kāu kauka inā he koho lapaʻau paha kahi hoʻokolohua lapaʻau no kāu keiki.

Hiki ke ho'ōla ʻia ka lymphoma non-Hodgkin i nā keiki?

ʻAe, hiki i nā kauka ke ho'ōla i nā keiki he nui me ka lymphoma non-Hodgkin me nā lāʻau lapaʻau a lākou e loaʻa ai. He mea hōʻoluʻolu maoli kēlā, ʻeā?

He aha ka nui o ke ola no ka lymphoma non-Hodgkin pediatric?

ʻOkoʻa ka nui o ke ola ʻana no nā keiki me ka lymphoma non-Hodgkin ma muli o ke ʻano o ka lymphoma. Ma ka awelika, ma waena o 70% a me 90% o nā keiki me ka maʻi e ola ana ma mua o ʻelima mau makahiki ma hope o ka hōʻoia ʻana.

He aha ka mea e hana ma hope o ka pau ʻana o ka mālama ʻana o kaʻu keiki no ka lymphoma non-Hodgkin?

Ke pau ka mālama ʻana i ka maʻi kanesa, e ʻike paha ʻoe a me kāu keiki i kahi manaʻo nui o ka hōʻoluʻolu a me ka hauʻoli. E hoʻolauleʻa i kēlā hauʻoli, akā e hoʻomanaʻo, pono nō kāu keiki e hoʻomau i ka launa pū ʻana me ke kauka no kekahi mau makahiki hou aku.

I nā makahiki mua ma hope o ka mālama ʻana, e paipai paha kāu kauka i nā hoʻokolohua a me nā hoʻokolohua maʻamau. E kōkua kēia i ka nānā ʻana i ke olakino holoʻokoʻa o kāu keiki, e nānā i nā hoʻi hou ʻana o ke kanesa, a nānā i nā hōʻailona o nā hopena ma hope. Pono kāu keiki i nā hoʻokolohua koko a me nā scan.

Pehea e hiki ai iaʻu/kaʻu keiki ke mālama i nā hopena ma hope o ka mālama ʻana i ka maʻi kanesa?

Hiki i nā keiki ke ʻike i nā hopena ma hope o ka mālama ʻana i ka maʻi kanesa i nā mahina a i ʻole nā ​​makahiki ma hope o ka pau ʻana o ka mālama ʻana. ʻO ka ʻike ʻana i kēia hiki iā ʻoe a me kāu keiki ke hopohopo no ka wā e hiki mai ana. Akā e ʻike ʻoe e nānā ke kauka o kāu keiki i ke olakino o kāu keiki ma hope o ka mālama ʻana, no laila hiki ke ʻike koke ʻia a mālama ʻia nā pilikia.

E nīnau i kāu kauka e pili ana i nā hopena ma hope e hiki ai i kāu keiki ke ʻike a me nā hōʻailona mua. E paipai i kāu keiki e makaʻala no nā hōʻailona o kēia mau hopena ma hope i ko lākou wā ʻōpiopio a hoʻomaka e mālama i ko lākou olakino ponoʻī.

Hiki iaʻu ke hōʻemi i ka manawa kūpono o kaʻu keiki e hoʻomohala i ka lymphoma non-Hodgkin?

ʻOi aku ka nui o ka loaʻa ʻana o ka lymphoma non-Hodgkin i nā keiki me nā ʻōnaehana pale kino nāwaliwali. No ka laʻana, inā ua loaʻa i kāu keiki kahi iwi iwi a i ʻole kahi hoʻoili kino, aia paha lākou i ka pilikia no kēia maʻi. Eia kekahi, inā loaʻa i kāu keiki kekahi mau maʻi hoʻoilina e hoʻopilikia ai i ka ʻōnaehana pale kino, hiki ke hoʻonui ʻia ka pilikia.

Ua ʻike ke kauka o kāu keiki i ka mōʻaukala olakino o kāu keiki. Inā he mau hopohopo kou e pili ana i kēia, e nīnau i kāu kauka inā he mau kūlana ko kāu keiki e hoʻoweliweli ai iā lākou no ka loaʻa ʻana o kēia maʻi. A laila, hiki iā ʻoe ke nānā i nā mea kikoʻī e hiki ke lilo i mau hōʻailona mua o ka lymphoma non-Hodgkin.

Loaʻa i kaʻu keiki ka lymphoma non-Hodgkin. Pehea e hiki ai iaʻu ke kōkua iā ia?

He mea paʻakikī ke kanesa no nā kānaka a pau, akā he mea paʻakikī loa ia no nā keiki. ʻAʻole paha i lawa ka nui o nā keiki liʻiliʻi e hoʻomaopopo i ke kumu he mea paʻakikī loa ia no lākou. Makaʻu paha lākou i nā hoʻokolohua a me nā lāʻau lapaʻau. He mea maʻamau no nā keiki liʻiliʻi e aʻo ana e pili ana i ko lākou maʻi ke huhū a makaʻu i ko lākou kūlana. Inā ʻoe a me kāu keiki e hakakā nei e kū i nā hopena o ke kanesa, e nīnau i kāu kauka e pili ana i nā lawelawe ola keiki. Hāʻawi ʻia kēia mau lawelawe e nā loea e kōkua ana i nā keiki a me nā ʻohana e kū i nā pilikia o ke kanesa.

I kekahi manawa, loaʻa iā ʻoe kahi keiki olakino, a manaʻo ʻoe he maʻi maʻamau ko lākou. I kekahi manawa aʻe, loaʻa iā ʻoe kahi keiki me ka maʻi kanesa. ʻAʻole maʻalahi ka ʻike ʻana he lymphoma non-Hodgkin kāu keiki. ʻOiai ua ho'ōla nā kauka i nā keiki he nui me kēia maʻi, pono nō i kāu keiki ke alo i nā lāʻau lapaʻau koʻikoʻi e hoʻopilikia i ko lākou ola o kēlā me kēia lā. ʻOiai ma hope o ka lāʻau lapaʻau, hiki i kāu keiki ke loaʻa nā hopena ma hope, nā kūlana olakino koʻikoʻi e pono ai ka lāʻau hou. He mea paʻakikī ke hoʻomanawanui. Manaʻo paha ʻoe ua hoʻohuli ʻia kou honua i lalo, a noʻonoʻo paha ʻoe inā e pololei hou ia.

Akā e hoʻomanaʻo, ua maopopo i ke kauka o kāu keiki nā mea āu e ʻike nei a me kāu keiki. E noi iā lākou no ke kōkua, hiki ke komo pū me ka ʻike e pili ana i ke kūlana o kāu keiki, nā kumuwaiwai nou a me kou ʻohana, a hauʻoli lākou e hana i nā mea hiki iā lākou.

ʻO ka mea hope loa, leka lawe i ka home

• ʻO ka Lymphoma Non-Hodgkin i nā keiki he maʻi kanesa ia e kū ana i loko o ka ʻōnaehana lymphatic.
• Hiki ke mālama pono ʻia kēia, ʻoiai inā ʻike ʻia i ka wā mua.
• E makaʻala i nā hōʻailona (e like me nā ʻōuli lymph pehu, ke kuni mau, ke kuni, ka pohō kaumaha). Inā hoʻomau kēia mau mea, e ʻike i ke kauka.
• Aia kekahi mau koho lapaʻau (e like me ka chemotherapy, ke ʻoki kino, a me ka radiation therapy). Na ke kauka e koho i ka lāʻau lapaʻau kūpono loa no kāu keiki.
• Hiki ke loaʻa nā hopena ma hope o ka lāʻau lapaʻau, no laila he mea nui e hoʻomau i nā hoʻokolohua olakino.
• ʻAʻole ʻoe hoʻokahi. Aia nā kauka, nā kahu maʻi, a me nā kākā'ōlelo e kōkua iā ʻoe a me kāu pēpē. Mai makaʻu e noi iā lākou no ke kōkua.

Manaʻolana wau ua kōkua kēia ʻike iā ʻoe e loaʻa kahi ʻike o kēia maʻi. E hoʻomanaʻo, me kahi ʻano maikaʻi a me ka mālama lapaʻau kūpono, hiki iā ʻoe ke lanakila i kēia pilikia.

ʻO ka Lymphoma Non-Hodgkin, Kanesa o nā Kamaliʻi, Lymphoma, ʻŌnaehana Lymphatic, Nā Hōʻailona o ke Kanesa, Ka Lāʻau ʻana i ke Kanesa, Ola Kino o nā Keiki