Yu pikin want fɔ no bak bɔt Nɔn-Hɔdgkin Limfoma? Lɛ wi tɔk bɔt am!

Ivin if wi smɔl pikin dɛn kol smɔl, dɛn kin fil bad bad wan, nɔto so? Sɔmtɛm, ivin if yu tink se na nɔmal sik, i kin bi sɔntin we siriɔs smɔl. Na so i bi, wan kayn kansa we kin apin to pikin dɛn, bɔt dɛn kin mɛn am if dɛn trit am fayn, dɛn kɔl am Nɔn-Hɔdgkin Limfoma . Nɔ fred we yu yɛri dis nem, bikɔs i rili impɔtant fɔ no bɔt am gud gud wan. Wi go tɔk bɔt dis smɔl mɔ ?

Wait wan minit, wetin na dis Nɔn-Hɔdgkin Limfoma?

Fɔ tɔk am simpul wan, nɔ-Hɔdgkin limfoma na wan kayn kansa we kin bigin na di limfatik sistɛm na pikin dɛn. Yu bɔdi gɛt sɔntin we dɛn kɔl di limfatik sistɛm . I tan lɛk di we aw wi bɔdi de fɛt. I de ɛp fɔ protɛkt wi frɔm sik ɛn jem . dis sistεm gεt pat dεm lεk limf no dεm εn limf vεsεl dεm. Dɛn tin ya kin skata ɔlsay na di bɔdi.

Dis sik kin ambɔg pikin dɛn we ol bitwin 5 ɛn 19. Bɔt sɔntɛnde pikin dɛn we dɛn jɔs bɔn kin gɛt am bak. Di gud nyus na dat dɔktɔ dɛn gɛt fayn tritmɛnt fɔ dis, ɛn bɔku pikin dɛn kin mɛn. Bɔt sɔm pikin dɛn kin gɛt di prɔblɛm dɛn we kin apin let sɔm ia afta dɛn dɔn trit dɛn. Na dat mek di wan dɛn we de stɔdi bɔt dis kin tray ɔltɛm fɔ fɛn mɔ tritmɛnt dɛn we go wok fayn ɛn we nɔ kin gɛt bɔku tin dɛn we kin apin let.

Aw dis sik kin afɛkt mi pikin?

dis sik we dεn kכl Non-Hodgkin's Lymphoma, kin kam na di lymphoid tisu enisay na pikin in bכdi. I kin ivin afɛkt di sɛntral nervɔs sistɛm . dis limfoyd tisu na pat pan di imyun sistεm bak.

dis kansa de stat pan spεshal tכp sεl dεm na di limfatik sistεm. dis na B-limfosayt dεm (B-sεl dεm), T-limfosayt dεm (T-sεl dεm), כ Natural Killer (NK) sεl dεm. Dɛn sɛl ya de protɛkt wi frɔm difrɛn baktri ɛn vayral infɛkshɔn dɛn .

Tri men kayn non-Hodgkin’s lymphoma de pan pikin dɛm. Ɛni kayn kin afɛkt pikin dɛn difrɛn we.

1. Machɔ B-sɛl limfoma dɛn

dis na di kayn limfoma we de kכmכt frכm di B-sεl dεm. Dɛn kin mek pas af pan ɔl di nɔ-Hɔdgkin limfoma dɛn na pikin dɛn. Di gud nyus na dat, pas 90% pan di pikin dɛm wae gɛt dis kayn limfoma kin wɛl bak afta dɛn dɔn trit dɛn. Bɔku men kayn dɛn de:

• Burkitt lymphoma/leukemia: Dɛn kayn sik ya na difrɛn kayn sik. Di tritmɛnt dɛn rili fiba. i kin stat na di limf no dεm na di bכdi כ di chεst. Bɔt sɔntɛnde i kin afɛkt di bon mɛro, lɔng bon dɛn na di an ɛn fut, ɔ di sɛntral nervɔs sistɛm. Insay Bɔkit lukimiya, bɔku bɔku nɔmal sɛl dɛn de na di pikin in blɔd, we kɔmɔt frɔm sɛl dɛn na di bon mɛro. Bɔkit limfoma ɛn lukimiya ɔl tu kin gro kwik kwik wan.
• difכs big B-sεl limfoma: Dis kin kכmכn pan yכŋ pikin dεm we ol bitwin 12-19 ia pas yכng pikin dεm.
• praymari mεdiεstinal B-sεl limfoma: dis de stat na di B-sεl dεm na di mεdiastinum, we na wan εria bihayn pikin in brεstbon. I kin spre bak to di limf no dɛm. Dis kin apin bak pan yɔŋ pikin dɛn.

2. Limfoblastik limfoma

dis kayn we de mek lεk wan tכd pan כl di nכn-Hכdgkin limfoma dεm na pikin dεm. I kin apin bak pan smɔl pikin dɛn pas big pikin dɛn. Limfoblastik limfoma kin afɛkt ɛni wan pan di B-sεl dεm ɔ di T-sεl dεm.

i kin stat na di limf no dεm na di pikin in mεdiastinum (di εria bihayn di chεst bon) כ in nεk. Bɔt i kin afɛkt bak di limf no dɛm na di bɛlɛ, bon mɛro, ɔ ɔda pat dɛm. Mɔ pas 80% pan di pikin dɛn we dɛn kin trit fɔ dis kayn tin kin liv.

3. Anaplastik big sɛl limfoma (ALCL) .

dis de mek lεk 15% pan כl di nכn-Hכdgkin limfoma dεm na pikin dεm. i kin afekt di T-sεl dεm εn i kin bigin na di limf no dεm. I kin afɛkt di skin ɛn di bon dɛn bak. כlmost 70% pan di pikin dεm we gεt ALCL de liv.

Aw dis sik kin kam pan pikin dɛm?

Ɛvri ia, dɛn kin no se bitwin 800 ɛn 1,000 pikin dɛn gɛt wan sik we dɛn kɔl non-Hodgkin’s lymphoma. I kin apin smɔl mɔ pan wayt bɔy pikin dɛn. Di risk fɔ gɛt dis sik kin difrɛn wit di pikin in ej, ɛn di risk kin go ɔp smɔl as di pikin de gro.

Wetin na di sayn dɛm fɔ non-Hodgkin lymphoma?

Sɔmtɛm, de sayn dɛm fɔ dis sik kin tan lɛk ɔda sik dɛm wae nɔr kin siriɔs. Na dat mek yu fɔ wɔri. If yu pikin gɛt swɛlin limf no dɛm, i nɔ de blo fayn ɔltɛm, i nɔ de kɔf ɔltɛm, ɔ in nos de rɔn, .Yu fɔ rili go to dɔktɔ.

Ɔda sayn dɛn kin bi:

• Fiva ɔltɛm fɔ no rizin.
• Kɔf.
• Nayt swet dɛn.
• We yu de lɔs yu wet fɔ natin.
• Di ed, nɛk, ɔp bɔdi, ɔ an dɛn kin swel.
• I nɔ izi fɔ swɛla (dysphagia).

Mɛmba se, we yu jɔs gɛt wan ɔ tu pan dɛn sayn ya, dat nɔ min se yu pikin gɛt dis sik. Bɔt if dɛn sik ya kɔntinyu ɔ wɔs, yu fɔ rili go to dɔktɔ.

Wetin kin mek pikin dɛn gɛt dis sik?

Infakt, dɛn nɔ dɔn fɛn di rayt tin we kin mek pikin dɛn gɛt di sik we dɛn kɔl non-Hodgkin’s lymphoma yet. Bɔt dɔktɔ dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik. Ivin if dɛn tin ya we kin mek i gɛt dis sik, i nɔ min se pikin go mɔs gɛt dis sik. Bɔt i fayn fɔ mek wi no bɔt dɛn tin ya.

If yu pikin gɛt ɛni wan pan dɛn wɛlbɔdi prɔblɛm ya, aks yu dɔktɔ bɔt dis sik:

• If dɛn dɔn trit yu pikin fɔ ɔda kayn kansa.
• If yu pikin dɔn gɛt di sik we dɛn kɔl mononucleosis (Mononucleosis – Epstein-Barr virus) ɔ HIV (Human Immunodeficiency Virus).
• If yu pikin in imyun sistɛm wik (fɔ ɛgzampul, if dɛn dɔn transplant ɔgan ɔ bon mɛrɔ).
• If di pikin de tek mɛrɛsin dɛn we de stɔp di imyun sistɛm.
• If di pikin gɛt sɔm sik dɛn we i kin gɛt frɔm in mama ɛn papa we kin afɛkt di imyun sistɛm.

Di sik dɛn we pɔsin kin gɛt we i gɛt di imyun sistɛm

Di sik dɛm we pɔsin kin gɛt frɔm dɛn mama ɛn papa lɛk dis kin mek di risk fɔ gɛt non-Hodgkin’s lymphoma:

• Ataxia-telangiectasia: Dis na nyurolכjik sik we de afekt di sεntri nεv sεstem, imyun sistεm, εn כda sistεm dεm na di bכdi na pikin dεm.
• Chediak-Higashi syndrome: Dis kin afɛkt di imyun sistɛm ɛn di nervɔs sistɛm na pikin dɛn.
• Kכmכn vεriεbul imyun dεfisiεns: Pikin dεm we gεt dis kכndyushכn gεt lכw lεvεl כf antibodi dεm (protein dεm we de fכt infεkshכn) na dεn bכdi.
• Nijmegen breakage syndrome: Pikin dεm we gεt dis kכndyushכn gεt imyun dεfisiεns εn lכw lεvεl fכ imyun sistεm protin dεm εn T-sεl dεm.
• Sivεr kכmbayn imyunodefisiεns dizכrd (SCID): Dis kin afekt pikin dεm in T-sεl dεm εn B-sεl dεm, i kin wik di imyun sistεm εn put dεm pan hכy risk fכ gεt sכm kεnsar dεm, inklud nכn-Hכdgkin limfoma.
• Di sik we dɛn kɔl Wiskott-Aldrich:Dis kin afɛkt di pikin dɛn blɔd sɛl ɛn di imyun sistɛm sɛl dɛn. Pikin dɛn we gɛt dis sik kin gɛt smɔl smɔl pletlɛt dɛn. Plɛtlɛt na sɛl dɛn we de ɛp fɔ mek blɔd klɔt. We dɛn tin ya nɔ bɔku, dɛn kin mek i izi fɔ mek yu brus ɛn blɔd. dis sεndrכm de afekt di T-sεl dεm εn di B-sεl dεm na di imyun sistεm bak.
• X-linked lymphoproliferative syndrome: Dis kin afɛkt di imyun sistɛm na pikin dɛn. Pikin dεm we gεt dis sεndrכm kin gεt wan כnusual rεspכns to Epstein-Barr vayrus infεkshכn.

Aw dɔktɔ dɛn kin no se pikin dɛn gɛt nɔ-Hɔdgkin limfoma?

Fɔ no dis sik na smɔl tin we dɛn kin du fɔ no bɔt dis sik. Bɔku tɛm, dɛn kin du sɔm blɔd tɛst dɛn, difrɛn difrɛn tɛst dɛn fɔ tek pikchɔ dɛn, ɛn dɛn kin tek bayɔpsi. Di dɔktɔ go tek tɛm luk di pikin fɔ si if ɛnitin de we nɔ fayn, lɛk we i gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dɛn go luk bak pan di wɛlbɔdi infɔmeshɔn fɔ di famili, dat na, dɛn fambul dɛn we de nia dɛn ɛn dɛn fambul dɛn we de fa, ɛn if i dɔn gɛt kansa.

Blɔd tɛst dɛn

• Kɔmplit blɔd kɔnt (CBC): Dis de sho di nɔmba fɔ difrɛn kayn sɛl dɛn we de na yu pikin in blɔd. Di rizɔlt kin ɛp fɔ no if yu pikin gɛt sayn dɛn fɔ limfoma na in bon mɛrɔ ɔ if di tritmɛnt dɔn afɛkt in bon mɛrɔ.
• Blɔd kemistri stɔdi: Dɛn kin tek blɔd sɛmpul fɔ no di lɛvɛl we sɔm tin dɛn we de kɔmɔt na di pikin in ɔgan ɔ tisu dɛn de kɔmɔt na di blɔd. If yu gɛt wan tin we nɔrmal ɔr smɔl, dat kin bi sayn fɔ sik.
• Test fɔ mek di liva wok fayn: Dis na blɔd tɛst bak. I de mɛzhɔ di amount ɔf sɔm tin dɛn we di liva de pul insay di blɔd. If i pas di nɔmal amɔnt, i kin bi sayn fɔ kansa.

Apat frɔm dat, dɔktɔ dɛn kin yuz blɔd tɛst bak fɔ chɛk fɔ si if dɛn gɛt vayrɔs dɛn we kin gɛt fɔ du wit di sik we dɛn kɔl non-Hodgkin’s lymphoma na pikin dɛn.

Test dɛn fɔ tek imej

• CT scan (Computed tomography – CT scan): Dis kin tek ditayla pikchɔ fɔ di say dɛn we de insay yu pikin in bɔdi. Dɛn kin du dis tɛst fɔ luk fɔ di limf no dɛm we dɔn swel ɔ ɔda sayn dɛm fɔ limf no.
• MRI skan (Magnetic resonance imaging – MRI): Dis de yuz magnet, redio wev, ɛn kɔmpyuta fɔ mek sɔm ditayla pikchɔ dɛn we de insay di bɔdi. Dɛn kin yuz am fɔ chɛk fɔ si if i gɛt sayn dɛn we de sho se pɔsin gɛt limfoma na di pikin in bren ɔ in spɛshal kɔd.
• PET skan (Positron ɛmishin tomografi – PET skan):Dɛn kin yuz dis fɔ si if pikin gɛt limfoma ɔ aw di tritmɛnt dɔn afɛkt di limfoma. PET skan min se dɛn kin injɛkt smɔl redioaktiv glukɔs, ɔ wan kayn shuga, insay di pikin in bɔdi. di kansa sel dεm de wok bכku pas di nכmal sεl dεm, so dεn de yuz bכku glukכs. So dis skan kin sho usay di kansa sɛl dɛn de.
• Ultrasound: Dis kin yuz sawnd wev dɛn we gɛt bɔku ɛnaji. Dɛn wev ya kin bounce pan di tisu ɔ ɔgan dɛn we de insay di bɔdi ɛn mek ikɔ. Dɛn kin yuz dɛn ikɔ dɛn ya fɔ mek wan pikchɔ we dɛn kɔl sonogram. dis dεn kin yus fכ luk fכ limf no dεm we de nia di pikin in bכdi, כ na di bכdi, liva, כ splin.

Bayopsi dɛn we dɛn kin du

Dɔktɔ dɛn kin du bayɔpsi fɔ tek sɛmpul dɛn pan di limf no dɛn, kansa lumps, ɛn bon mɛro ɛn chɛk dɛn ɔnda maykroskɔp ɔ insay ɔda lab tɛst dɛn. Bayɔpsi na di wangren we fɔ no di sik klia wan. di mכr imכtant, di bayopsi risכlt kin εp fכ no di εksakכt kayn limfoma. Dɔn dis kin ɛp fɔ no di bɛst tritmɛnt fɔ da kayn tritmɛnt de.

Difrɛn kayn bayɔpsi dɛn de. Dɔktɔ dɛn kin pik di kayn bayɔpsi we go mek di pikin nɔ gɛt bɛtɛ sayd ɛfɛkt ɛn we go pul inof sɛl ɛn tisu fɔ tɛst. We dɛn de du dɛn tɛst ya, dɛn kin gi di pikin mɛrɛsin fɔ mek i nɔ fil fayn, dɛn kin gi am mɛrɛsin fɔ mek i nɔ fil fayn, ɔ dɛn kin gi am lokal ɔ jenɛral anestezi fɔ mek shɔ se i nɔ fil ɛni prɔblɛm.

• Ɔspitul bayɔpsi: Dɛn kin ɔpreshɔn wan wan ol limf node, wan smɔl tisu, ɔ wan smɔl pat pan wan big kansa.
• Nidul bayopsi: dεn kin du di kכr bayopsi כ fayn-nidul bayopsi fכ pul di tisu כ pat dεm na di limf node.

Ɔda kayn bayɔpsi dɛn

If yu pikin gɛt non-Hodgkin’s lymphoma, dɛn kin du ɔda tɛst fɔ gɛda di tisu fɔ si if di lymphoma dɔn skata. Jɔs lɛk ɔda bayɔpsi, dɛn kin du dɛn tin ya ɔnda sɛdishɔn ɛn/ɔ anestezi fɔ mek shɔ se yu pikin nɔ fil ɛni prɔblɛm.

• lכmba pankshכn (spinal tap): dεn kin du dis fכ si if di kansa dכn spre to di pikin in bren εn spεnal kכd.
• bon mכro aspirashכn εn bon mכro bayopsi: dεn kin du dεn tεst ya fכ si if di limfoma dכn spre to yu pikin in bon mכro. Fɔ du dis, dɔktɔ kin put wan nidul we gɛt ol na yu pikin in hipbon ɛn tek smɔl smɔl bon mɛrɔ ɛn bon.
• Thoracentesis we dɛn kin yuz: .If di limfoma dɔn spre to di layn na yu pikin in chɛst ɔ di mɛmbran we de kɔba dɛn lɔng, wata kin gɛda. Dɛn kin yuz wan nidul we gɛt olo fɔ pul di wata ɛn chɛk fɔ si if i gɛt kansa sɛl dɛn.
• Paracentesis: Dis involv fכ pul wata na di pikin in bεlε.
• Mediastinoscopy: Dis na ɔpreshɔn we dɛn kin du ɔnda jenɛral anestezi. Dɛn kin du am fɔ luk fɔ abnɔmal tin dɛn na di ɔgan dɛn, tisu dɛn, ɛn limf no dɛn bitwin yu pikin in lɔng dɛn. Dɛn kin du am wit wan tin we dɛn kɔl mediastinoscope. Na tin we tan lɛk tiub we gɛt layt ɛn lens fɔ si tru, ɛn na tul fɔ tek tisu ɔ limf sɛmpul. Dɛn kin put am tru wan smɔl say we dɛn kɔt na di ɔp pat na yu pikin in bɔdi.

Dɔktɔ dɛn kin sheb di pikin dɛn we nɔ gɛt Hɔdgkin limfoma to stej dɛn?

Yes, stej dεm de fכ klas di Non-Hodgkin’s lymphoma. Dɛn kin yuz dɛn kansa stej sistɛm ya fɔ mek tritmɛnt plan.

Di stej dɛm we nɔ gɛt Hɔdgkin limfoma

• Stej I: di kansa de na wan eria nכmכ, oba כ dכn di pikin in dayafragm (di big mכsul we de separet di chεst εn bεlε).
• Stej II: Kansa de na wan eria ɛn nia di limf no dɛm, ɔ na tu ɔ mɔ limf no dɛm, ɔ na ɔda say dɛm na di sem say na di dayafragm.
• Stej III: Di kansa de insay wan pan dɛn 4 stej ya:
• kansa de na di tisu dεm כ di limf no dεm na di tu say dεm na di dayafragm.
• Di pikin gɛt bɔdi kansa.
• Di pikin gɛt bɛlɛ kansa, ɛn dɛn nɔ go ebul fɔ pul am wit ɔpreshɔn.
• Stej IV: Di kansa de na di pikin in bon mכro, spεnal kכd, εn/כ in bren.

Aw dɛn kin trit nɔ-Hɔdgkin limfoma na pikin dɛn?

Dɔktɔ dɛn de kɔntinyu fɔ luk fɔ nyu tritmɛnt dɛn, mɔ di we dɛn fɔ mɛn limfoma we nɔ go mek i gɛt siriɔs prɔblɛm dɛn let. Let ifekt na siriɔs wɛl bɔdi kɔndishɔn wae kin kam fɔ lɔng tɛm afta di tritmɛnt dɔn dɔn ɛn di pikin in nɔr-Hɔdgkin limfoma dɔn go.

Siks men kayn tritmɛnt de:

• Kimotɛrapi: Dis na di men tritmɛnt fɔ pikin dɛn we gɛt nɔ-Hɔdgkin limfoma. Dɔktɔ dɛn kin yuz jɔs wan mɛrɛsin ɔ dɛn kin yuz bɔku mɛrɛsin dɛn togɛda.
• Ɔpreshɔn: Sɔntɛnde, dɛn kin ɔpreshɔn di wan dɛn we gɛt kansa di sem tɛm we dɛn kin pul di bɔdi we dɛn kin pul di bɔdi. Ivin da tɛm de, di pikin kin nid ɔda tritmɛnt dɛn lɛk kemotɛrapi ɔ imyunotɛrapi.
• Tɛrapi we dɛn de tɔk to:Dis kin afɛkt sɔm patikyula kansa jin dɛm, di prɔtin dɛm, ɔ smɔl smɔl tin dɛm we de insay di limfoma sɛl dɛm we de ɛp dɛn fɔ liv di ifɛkt dɛm we di kemotɛrapi kin gɛt.
• Imyun tεrapi: Dis tritmεnt de wok bay we i de mek di pikin in imyun sistεm, כ bay we i de yuz atifishal kכmכpכnt dεm na di imyun sistεm, fכ pwεl di limfoma sεl dεm.
• Radieshɔn tɛrapi: Sɔntɛnde, dɛn kin yuz redyushɔn tɛrapi fɔ pwɛl ɛni kansa sɛl we lɛf.
• stεm sεl transplant: dεn de yuz stεm sεl dεm we dεn tek frכm di bכdi כ bon mכro fכ riples di sεl dεm we nכ hεlth wit hεlty sεl dεm.

Wetin na di let ifekt dɛm wae de kam wit kansa tritmɛnt?

Di let ifekt dɛm fɔ kansa tritmɛnt na wɛl bɔdi kɔndishɔn wae kin kam fɔ mɔnt ɔr ia afta di tritmɛnt dɔn. Sɔm tin dɛn we kin apin let kin mek pɔsin in layf de pan denja. As mɔ ɛn mɔ pikin dɛn de liv lɔng afta dɛn dɔn gɛt tritmɛnt fɔ non-Hodgkin’s lymphoma, dɔktɔ dɛn de tray fɔ no ɛn trit dɛn let ifɛkt ya kwik kwik wan.

Sɔm pan di let ifɛkt dɛm we dɛn kin si pan pikin dɛm we gɛt nɔ-Hɔdgkin limfoma na:

• Sεkɔndari kansa: As di nem sho, dis na nyu kansa dεm we de kam pan pikin dεm afta dεn trit dεm fכ non-Hodgkin lymphoma. Di wan dɛn we kin bɔku na akyu mayloid lukimiya, maylodisplastik sindrom, bɔdi kansa, ɛn tayroyd kansa.
• At sik: Sɔm pikin dɛm we dɛn kin gɛt kemotɛrapi kin gɛt at sik lɛk we dɛn at kin pwɛl, at kin wik (cardiomyopathy), di at kin at ɔ smɔl (koronary artery disease), at bit we nɔr kin bit (arithmia), ɔr di hat we de protɛkt di at kin pwɛl (pericarditis).
• Nyumonitis (inflammation of the lungs): Sɔm kemotɛrapi drɔgs kin afɛkt di lɔng dɛn na pikin dɛn.
• Liva prɔblɛm: Pikin dɛn we de tek sɔm kemotɛrapi drɔgs kin gɛt liva we big ɔ sirosis na di liva.

Wetin bɔt klinik trial fɔ pikin dɛn nɔ-Hɔdgkin limfoma?

Yu pikin in dɔktɔ kin se yu fɔ tek pat pan klinik trial fɔ trit di nɔ-Hɔdgkin limfoma. Insay klinik trial, sɔm pipul dɛn kin gɛt di standad fɔ kia, ɔda wan dɛn kin gɛt tritmɛnt dɛn we dɛn de evalyu.

Standart tritmɛnt na drɔgs ɛn ɔda tritmɛnt dɛm we dɛn dɔn ɔlrɛdi gri fɔ ɛn we dɛn dɔn pruv se dɛn de wok. Trial tritmɛnt, lɛk aw di nem sho, na tritmɛnt dɛm we dɛn de tɛst fɔ si if dɛn de wok bɛtɛ pas standad tritmɛnt dɛm, ɔ if dɛn de wok di sem we bɔt nɔ gɛt bɛtɛ sayd ɛfɛkt.

Klinik trial kin involv nyu drɔgs, nyu dos fɔ di mɛrɛsin dɛn we dɔn de, ɔ nyu kɔmbaynshɔn fɔ di tritmɛnt dɛn we dɔn de. Bɔku tɛm, dɔktɔ dɛn na di say dɛn we dɛn kin mɛn pikin dɛn we gɛt kansa kin kia fɔ dɛn klinik trial dɛn ya. Aks yu dɔktɔ if klinik trial kin bi tritmɛnt opshɔn fɔ yu pikin.

Yu tink se dɛn kin mɛn non-Hodgkin lymphoma na pikin dɛn?

Yɛs, dɔktɔ dɛn kin mɛn bɔku pikin dɛn we gɛt non-Hodgkin’s lymphoma wit di tritmɛnt dɛn we dɛn gɛt. Dat kin rili kɔrej wi, nɔto so?

Wetin na di rεt wae de liv fכ pikin dεm nכn-Hכdgkin limfoma?

di rεt we pikin dεm we nכ gεt hכdgkin in limfoma de liv de difrεn dipכnt pan di kayn limfoma. Na avrej, bitwin 70% ɛn 90% pan di pikin dɛm wae gɛt dis sik kin liv pas fayv ia afta dɛn dɔn no se dɛn gɛt dis sik.

Wetin kin apin afta mi pikin dɔn fɔ trit am fɔ non-Hodgkin lymphoma?

We di tritmɛnt fɔ kansa dɔn, yu ɛn yu pikin go mɔs fil fri ɛn gladi. Sɛlibret da gladi at de, bɔt mɛmba se yu pikin go stil gɛt fɔ kɔntinyu fɔ tɔk to di dɔktɔ fɔ sɔm ia mɔ.

Insay di fɔs sɔm ia afta di tritmɛnt, yu dɔktɔ go mɔs tɛl yu fɔ du ɛgzam ɛn tɛst ɔltɛm fɔ fala yu. Dis go ɛp fɔ wach yu pikin in ɔl wɛl bɔdi, chɛk fɔ ɛni kansa we de kam bak, ɛn wach fɔ si if i gɛt sayn dɛn we de sho se di kansa dɔn apin afta dat. Yu pikin go nid fɔ gɛt blɔd tɛst ɛn skan.

Aw mi/mi pikin go ebul fɔ manej di afta-ɛfɛkt dɛm fɔ kansa tritmɛnt?

Pikin dɛn kin gɛt afta-efɛkt fɔ kansa tritmɛnt mɔnt ɔ ivin ia afta di tritmɛnt dɔn. We yu ɛn yu pikin no dis, dat kin mek yu wɔri bɔt tumara bambay. Bɔt no se yu pikin in dɔktɔ go wach yu pikin in wɛlbɔdi afta dɛn dɔn trit am, so dɛn go ebul fɔ no ɛni prɔblɛm ɛn trit am kwik kwik wan.

Aks yu dɔktɔ bɔt di pɔsibul afta ɛfɛkt dɛm we yu pikin kin gɛt ɛn wetin na di fɔs sayn dɛm. Ɛnkɔrej yu pikin fɔ de wach fɔ di sayn dɛm fɔ dɛn tin ya we kin apin afta i dɔn yɔŋ ɛn bigin fɔ kia fɔ in yon wɛlbɔdi.

A kin ridyus di chans we mi pikin gɛt fɔ gɛt non-Hodgkin lymphoma?

Pikin dεm we dεn imyun sistεm wik kin gεt nכn-Hכdgkin in limfoma. Fɔ ɛgzampul, if yu pikin dɔn gɛt bon mɛrɔ ɔ ɔgan transplant, dɛn kin de pan denja fɔ gɛt dis sik. Dɔn bak, if yu pikin gɛt sɔm sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa we kin afɛkt di imyun sistɛm, di prɔblɛm kin bɔku.

Yu pikin in dɔktɔ no yu pikin in wɛlbɔdi istri. If yu gɛt wɔri bɔt dis, aks yu dɔktɔ if yu pikin gɛt ɛni sik we de put am pan denja fɔ gɛt dis sik. Dɔn, yu kin luk fɔ sɔm patikyula tin dɛm wae kin bi fɔs sayn dɛm fɔ non-Hodgkin lymphoma.

Mi pikin gɛt non-Hodgkin lymphoma. Aw a go ɛp am?

Kansa at fɔ ɔlman, bɔt i at mɔ fɔ pikin dɛn. Sɔntɛm yɔŋ pikin dɛn nɔ kin ol fɔ ɔndastand wetin mek i nɔ kin izi fɔ dɛn. Dɛn kin fred fɔ tɛst ɛn tritmɛnt. Na nɔmal tin fɔ mek yɔŋ pikin dɛn we de lan bɔt dɛn sik kin vɛks ɛn fred fɔ di tin we de apin to dɛn. If yu ɛn yu pikin de tray tranga wan fɔ bia wit di tin dɛn we kansa kin du, aks yu dɔktɔ bɔt di savis fɔ di pikin dɛn layf. Na spɛshal pipul dɛn we de ɛp pikin ɛn famili fɔ bia wit di prɔblɛm dɛn we kin kam wit kansa kin gi dɛn savis ya.

Wan mɔnt yu gɛt pikin we gɛt wɛlbɔdi, ɛn yu tink se dɛn gɛt nɔmal sik. Di nɛks tɛm, yu gɛt pikin we gɛt kansa. I nɔ izi fɔ no se yu pikin gɛt non-Hodgkin lymphoma. Pan ɔl we dɔktɔ dɛn kin mɛn bɔku pikin dɛn we gɛt dis sik, yu pikin stil gɛt fɔ gɛt bɔku bɔku mɛrɛsin dɛn we go ambɔg in layf ɛvride. Ivin afta yu dɔn gɛt tritmɛnt, yu pikin kin gɛt afta-ɛfɛkt, siriɔs wɛlbɔdi prɔblɛm dɛn we nid fɔ gɛt ɔda tritmɛnt. I at fɔ bia wit ɔl dis. Yu go fil lɛk se dɛn dɔn tɔn yu wɔl ɔpsayd, ɛn yu go de wɔnda if i go ɛva rayt bak.

Bɔt mɛmba se yu pikin in dɔktɔ ɔndastand wetin yu ɛn yu pikin de go tru. Aks dɛn fɔ ɛp, we kin inklud infɔmeshɔn bɔt yu pikin in kɔndishɔn, tin dɛn fɔ yu ɛn yu famili, ɛn dɛn kin gladi fɔ du ɛnitin we dɛn ebul.

Fɔ dɔn, mɛsej we yu kin kɛr go na os

• Nɔn-Hɔdgkin Limfoma na pikin dɛm na kansa we kin apin na di limfatik sistɛm.
• Bɔku tɛm, dɛn kin trit dis fayn fayn wan, mɔ if dɛn no am kwik.
• Yu fɔ no bɔt di sayn dɛm (lɛk di limf no dɛm we swel, we yu de kɔf ɔltɛm, fiva, we yu de lɔs yu wet). If dɛn tin ya kɔntinyu, go to dɔktɔ.
• Bɔku tritmɛnt dɛn de we yu kin gɛt (lɛk kemotɛrapi, ɔpreshɔn, ɛn redyushɔn tɛrapi). Di dɔktɔ go pik di tritmɛnt we go fayn fɔ yu pikin.
• Afta-ɛfɛkt kin apin afta tritmɛnt, so i impɔtant fɔ kɔntinyu fɔ gɛt mɛdikal chɛk-ap.
• Nɔto yu wan de. Dɔktɔ, nɔs, ɛn advaysa dɛn de fɔ ɛp yu ɛn yu pikin. Nɔ fred fɔ aks dɛn fɔ ɛp.

A op se dis infɔmeshɔn dɔn ɛp yu fɔ gɛt sɔm ɔndastandin bɔt dis sik. Mɛmba se if yu tink gud wan ɛn gɛt di rayt tritmɛnt, yu go ebul fɔ win dis prɔblɛm.

` Nɔn-Hɔdgkin Limfoma, Pikin Kansa, Limfoma, Limfatik Sistɛm, Kansa Simptom, Kansa Tritmɛnt, Pikin dɛn Wɛlbɔdi