Kodi Burkitt Lymphoma ndi chiyani? Tiyeni tikambirane mwachidule!

Mwina mwaona kupweteka m'mimba mwa mwana wanu, kapena chotupa pakhosi kapena m'khwapa, ndipo mwina mwakhala mukuda nkhawa pang'ono. Nthawi zambiri, izi ndi zachilendo. Komabe, pali mtundu wosowa kwambiri wa khansa womwe ungafalikire mwachangu mthupi lonse . Ndicho chimene tikambirana lero. Umatchedwa Burkitt Lymphoma. Musachite mantha mukamva dzinalo, chifukwa chofunika kwambiri ndikudziwa bwino za dzinalo.

Kodi Burkitt Lymphoma ndi chiyani kwenikweni?

Mwachidule, Burkitt lymphoma ndi khansa yomwe ikukula mofulumira kwambiri yomwe imayamba m'maselo a B , mtundu wa maselo oyera m'magazi mwathu. Ili m'gulu la khansa lotchedwa lymphoma, ndipo ndi mtundu wa non-Hodgkin lymphoma . Imapezeka nthawi zambiri mwa ana aang'ono ndi achinyamata. Anthu ena amatchanso Burkitt's disease, Burkitt's lymphoma, kapena Burkitt's chotupa.

Kawirikawiri imayamba m'malo otupa m'mimba kapena m'chiuno. Koma imatha kufalikira mwachangu ku ziwalo zina za thupi lanu, monga:

• M'mimba (malo am'mimba)
• Mafupa
• M'mimba
• Malo a nsagwada
• Nkhumba
• Pakhosi
• Ma tonsil glands

Chifukwa chakuti ikukula mofulumira kwambiri, nthawi zina imatha kupha anthu. Koma chinthu chabwino kwambiri n'chakuti ngati chithandizo chiyamba msanga, anthu ambiri amatha kuchiritsidwa kwathunthu . Izi zikutanthauza kuti zizindikiro zimatha ndipo mutha kukhalabe ndi thanzi labwino popanda kubwereranso. Tikutcha izi kukhala 'kuchira kwa nthawi yayitali'.

Kodi mitundu ikuluikulu ya Burkitt Lymphoma ndi iti?

Pali mitundu itatu ikuluikulu ya izi:

1. Mtundu wa endemic: Izi zimapezeka kwambiri m'madera ena a Africa. Zapezeka kuti zimagwirizana ndi kachilombo kotchedwa Epstein-Barr virus (EBV) .

2. Mtundu wa matenda osakhazikika: Izi zimachitika m'maiko ngati United States, makamaka pakati pa ana aang'ono. Mtundu uwu umakhala ndi ana oposa 40% omwe si a Hodgkin lymphoma.

3. Kukhudzana ndi kuchepa kwa chitetezo chamthupi: Izi zimachitika mwa anthu omwe chitetezo chawo chamthupi chafooka, mwina chifukwa cha matenda monga HIV/AIDS kapena zifukwa zina.

Kodi izi ndi zofala bwanji? Ndani amakumana nazo kawirikawiri?

Burkitt lymphoma kwenikweni ndi khansa yosowa kwambiri. Mwachitsanzo, ku United States, mtundu wa khansa imeneyi umapezeka mwa ana pafupifupi anayi mwa ana miliyoni osakwana zaka 16. Imakhala pakati pa 1% ndi 2% ya khansa yonse ya m'magazi mwa akuluakulu.

Izi zimachitika kwambiri pakati pa ana aang'ono , nthawi zambiri pakati pa zaka 3 ndi 12.

Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji izi?

Zizindikiro zimatha kuwonekera mwadzidzidzi. Zikuphatikizapo:

• Kupweteka m'mimba, nseru, kusanza
• Malungo, malaise, thukuta la usiku
• Kutaya chilakolako cha chakudya ndi kuchepa thupi mosayembekezereka
• Ma lymph nodes otupa (angawoneke ngati ziphuphu m'malo monga khosi, m'khwapa, ndi m'mimba)

Tangoganizani kuti mwana wanu wakhala akudandaula za kupweteka m'mimba kwa masiku angapo, kuti sangathe kudya, ndipo akutuluka thukuta kwambiri usiku. Mungaganize kuti uku ndi kutentha thupi kwachibadwa. Koma ngati zizindikirozi zikuipiraipira tsiku ndi tsiku, muyenera kuwona dokotala. Chifukwa zotupa za Burkitt lymphoma zimatha kuwirikiza kawiri m'masiku ochepa okha. Ndicho chifukwa chake ndikofunikira kuchitapo kanthu mwachangu.

N’chifukwa chiyani matendawa amapezeka? Kodi zimayambitsa matenda amenewa ndi chiyani?

Madokotala sakudziwabe chomwe chimayambitsa Burkitt lymphoma. Komabe, apeza kuti ikugwirizana ndi kusintha kwa jini yotchedwa MYC, yomwe imalamulira kukula kwa maselo athu. Jini iyi ya MYC imatha kugwira ntchito mopitirira muyeso chifukwa cha vuto lapadera la majini lotchedwa translocation .

Ku Sri Lanka, monga m'maiko ena padziko lonse lapansi, anthu ena omwe ali ndi kachilombo ka Epstein-Barr (EBV) amadwala Burkitt lymphoma. Komabe, ndikofunikira kukumbukira kuti si aliyense amene ali ndi kachilombo ka EBV amene adzadwala khansa imeneyi.

Kodi ndi mavuto otani omwe angabwere chifukwa cha vutoli?

Khansa iyi ingayambitse mavuto ena, kuphatikizapo:

• Kuchepa kwa chiwerengero cha maselo m'magazi (kuchepa kwa magazi m'thupi, kuchuluka kwa maselo oyera m'magazi, kuchuluka kwa ma platelet). Izi zingafunike kuikidwa magazi.
• Matenda a Tumor Lysis : Uwu ndi mkhalidwe wadzidzidzi womwe umasokoneza kayendedwe ka mankhwala m'thupi chifukwa cha kutulutsidwa kwa zinthu kuchokera ku maselo a khansa pamene amafa msanga.
• Chitetezo chamthupi chofooka (chosavuta kudwala).

Ngati inu kapena mwana wanu mukuvutika kuthetsa zizindikiro izi, uzani dokotala wanu nthawi yomweyo.

Kodi madokotala amamvetsa bwanji izi?

Kuti mudziwe ngati muli ndi Burkitt Lymphoma, dokotala wanu angachite kaye biopsy ya lymph node , yomwe imaphatikizapo kutenga chitsanzo chaching'ono cha lymph node yotupa ndikuyang'ana pansi pa maikulosikopu.

Kuphatikiza apo, mayeso otsatirawa akhoza kuchitidwa:

• Kujambula kwa CT: Kufufuza ngati pali zotupa pachifuwa, m'mimba, ndi m'chiuno.
• Kujambula kwa PET: Kujambula kumeneku kumasonyeza makamaka malo a thupi omwe khansa imapezeka.
• Kufufuza ngati khansa yafalikira ku mafupa: Kuona ngati khansa yafalikira ku mafupa.
• Kuboola m'chiuno: Kuyang'ana maselo a khansa m'madzi am'msana.

Kodi magawo a khansa amadziwikira bwanji?

Madokotala amagwiritsa ntchito magawo awa kuti adziwe momwe khansa yafalikira:

• Gawo I (1): Khansa ili pamalo amodzi okha, kapena mu lymph node imodzi yokha.
• Gawo Lachiwiri (2): Khansa imapezeka m'malo awiri kapena kuposerapo mbali imodzi ya diaphragm , minofu yomwe imatithandiza kupuma.
• Gawo Lachitatu (3): Khansa imapezeka mbali zonse ziwiri za diaphragm.
• Gawo Lachinayi (4): Khansa yafalikira kunja kwa dongosolo la lymphatic, kupita kumadera monga chiwindi, mapapo, ndi mafupa.

Kodi mankhwala ake ndi otani?

Popeza Burkitt Lymphoma imafalikira mofulumira kwambiri, chithandizo chiyenera kuyambika mwamsanga. Njira zazikulu zochiritsira zomwe zilipo ndi izi:

• Chemotherapy: Iyi ndiyo njira yaikulu yochizira. Nthawi zambiri, mankhwala amphamvu kwambiri amaperekedwa, ndipo amayamba msanga matendawa akapezeka.
• Chithandizo cha Immunotherapy: Izi zimagwira ntchito pothandiza chitetezo cha mthupi lanu kupeza ndikuwononga maselo a khansa.
• Chithandizo cha radiation: Nthawi zina chimagwiritsidwa ntchito pamodzi ndi chemotherapy, koma nthawi zambiri chimaperekedwa kwa akuluakulu.
• Kusamutsa maselo oyambira: Izi zingathandize ngati khansa yabwereranso pambuyo polandira chithandizo.
• Opaleshoni: Izi sizigwiritsidwa ntchito kawirikawiri. Mwachitsanzo, ngati chotupa chikutseka matumbo.

Kodi muyenera kukaonana ndi dokotala liti?

Dokotala wanu adzakonza nthawi yoti azitsatira kuti ayang'anire thanzi lanu. Pa nthawi imeneyi, akhozanso kuchita mayeso a magazi ndi CT scan.

Ngati inu kapena mwana wanu muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo :

• Kupweteka pachifuwa kapena kupuma movutikira
• Ngati malungo ali pamwamba pa madigiri 38 Celsius (100.4 Fahrenheit)
• Kutuluka magazi m'mphuno kapena m'kamwa
• Ululu wosalekeza
• Khungu lotumbululuka kapena kuvulala mosavuta

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukadziwa kuti inu kapena mwana wanu ali ndi Burkitt Lymphoma, mungafune kufunsa dokotala wanu mafunso monga awa:

• Kodi khansa ili kuti?
• Kodi izi zili pa siteji iti?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi ine/mwana wanga adzatha kupita kuntchito/kusukulu?
• Kodi mukufunika kuchita mayeso ena?
• Kodi tingayembekezere chiyani mtsogolo (malingaliro)?

Kodi mungayembekezere chiyani ngati mutadwala Burkitt Lymphoma?

Burkitt Lymphoma ndi khansa yomwe nthawi zambiri imatha kuchiritsidwa.. Imayankha bwino chithandizo, makamaka pakati pa ana aang'ono ndi achinyamata. Ana amapirira bwino chithandizo cha chemotherapy kuposa akuluakulu. Akuluakulu akhoza kukhala ndi mavuto ena azaumoyo, kotero chithandizo chingakhale chovuta pang'ono.

Kodi chiŵerengero cha kuchira ndi chiyani?

Ngakhale kuti Burkitt Lymphoma ndi matenda oopsa komanso ofala mofulumira, anthu ambiri amachira bwino akalandira chithandizo. Chiwerengero cha anthu omwe amapulumuka ndi awa:

• Kumayambiriro kwa nthawi: Ana opitilira 90% amachira pakapita nthawi.
• Kwa ana okalamba: Pakati pa 80% ndi 90% amachira.
• Akuluakulu: Zizindikiro zoposa 50% zimatha pambuyo pa chithandizo (`remission`).

Izi ndi zinthu wamba. Mkhalidwe wanu ukhoza kukhala wosiyana. Chifukwa chake, lankhulani ndi dokotala wanu kuti mudziwe zambiri za mkhalidwe wanu. Musachite mantha, ndikofunikira kwambiri kukhala olimba mtima.

Ndi zinthu ziti zomwe mungachite? (Malangizo odzisamalira)

Nthawi yochizira ikhoza kukhala yovuta pang'ono, koma pali zinthu zomwe zingakuthandizeni kupirira:

• Pezani chithandizo: Kulankhula ndi anthu omwe adakumanapo ndi zinthu zofanana kungakhale gwero lalikulu la mphamvu. Pali magulu othandizira komwe anthu ngati inu angapeze chithandizo.
• Pumulani mokwanira: Perekani thupi lanu nthawi yoti lichiritse.
• Idyani bwino: Funsani upangiri kwa katswiri wa zakudya ndipo idyani zakudya zomwe zingapatse thupi lanu mphamvu panthawi ya chithandizo.
• Konzani pasadakhale: Funsani dokotala zomwe mungayembekezere.
• Pezani thandizo kwa okondedwa anu: Achibale ndi abwenzi ali okonzeka kukuthandizani.
• Thandizani mwana wanu: Pali akatswiri omwe angathandize ana kuthana ndi vuto la maganizo la matendawa (monga katswiri wa moyo wa ana).

Pomaliza, zinthu zoti muzikumbukira

Ndizachibadwa kumva kutopa kwambiri komanso kuda nkhawa mukazindikira kuti inu kapena mwana wanu ali ndi Burkitt Lymphoma. Mungakhale ndi mafunso ambiri komanso mantha. Koma simuli nokha.

Ngakhale khansa iyi imafalikira mofulumira, njira zochiritsira zimathandiza kwambiri. Gulu lanu lachipatala lidzayamba kulandira chithandizo msanga ndipo lidzakuthandizani pa sitepe iliyonse. Chifukwa chake, ndikofunikira kwambiri kuganiza bwino ndikutsatira malangizo omwe madokotala anu akupatsani.

Burkitt lymphoma, khansa, khansa ya ana, lymphoma, zizindikiro, chithandizo, maselo a B