Kodi mukufuna kuti mwana wanu adziwe za Non-Hodgkin's Lymphoma? Tiyeni tikambirane za izo!

Ngakhale ana athu aang'ono atayamba kuzizira pang'ono, amaopa kwambiri, sichoncho? Nthawi zina, ngakhale mutaganiza kuti ndi matenda wamba, akhoza kukhala chinthu choopsa kwambiri. Inde, mtundu wa khansa womwe umapezeka mwa ana, koma ungachiritsidwe ngati utachiritsidwa bwino, umatchedwa Non-Hodgkin's Lymphoma . Musachite mantha mukamva dzinali, chifukwa ndikofunikira kwambiri kudziwa bwino za izi. Kodi tikambirane za izi mwatsatanetsatane ?

Dikirani kaye, kodi Non-Hodgkin's Lymphoma iyi ndi chiyani?

Mwachidule, non-Hodgkin lymphoma ndi mtundu wa khansa yomwe imayamba mu lymphatic system mwa ana. Thupi lanu lili ndi chinthu chotchedwa lymphatic system . Lili ngati chitetezo cha thupi lathu. Limatithandiza kuteteza ku matenda ndi majeremusi . Dongosololi lili ndi ziwalo monga lymph nodes ndi lymph vessels. Izi zimafalikira m'thupi lonse.

Matendawa nthawi zambiri amakhudza ana azaka zapakati pa 5 ndi 19. Koma nthawi zina makanda obadwa kumene amathanso kukhudzidwa. Nkhani yabwino ndi yakuti madokotala ali ndi mankhwala othandiza pa izi, ndipo ana ambiri amatha kuchiritsidwa. Komabe, ana ena amatha kukhala ndi zotsatirapo mochedwa patatha zaka zambiri chithandizo chitatha. Ichi ndichifukwa chake ofufuza nthawi zonse akuyesera kupeza mankhwala othandiza omwe alibe zotsatirapo zochepa mochedwa.

Kodi vutoli limakhudza bwanji mwana wanga?

Matendawa, otchedwa Non-Hodgkin's Lymphoma, amatha kufalikira m'minofu ya lymphoid kulikonse m'thupi la mwana. Amathanso kukhudza dongosolo la mitsempha yapakati . Minofu ya lymphoid iyi ndi gawo la chitetezo chamthupi.

Khansa iyi imayamba m'mitundu yapadera ya maselo mu dongosolo la lymphatic. Awa ndi ma B-lymphocytes (ma B-cells), ma T-lymphocytes (ma T-cells), kapena maselo a Natural Killer (NK). Maselo amenewa amatiteteza ku matenda osiyanasiyana a bakiteriya ndi mavairasi .

Pali mitundu itatu ikuluikulu ya non-Hodgkin's lymphoma mwa ana. Mtundu uliwonse ungakhudze ana mosiyana.

1. Ma lymphoma a B-cell okhwima

Izi ndi mitundu ya lymphoma yomwe imachokera ku maselo a B. Ndiwo omwe amapanga oposa theka la ma lymphoma onse omwe si a Hodgkin mwa ana. Nkhani yabwino ndi yakuti ana opitilira 90% omwe ali ndi mtundu uwu wa lymphoma amachira kwathunthu atalandira chithandizo. Pali mitundu ingapo yayikulu:

• Burkitt lymphoma/leukemia: Izi ndi mitundu yosiyanasiyana ya matenda omwewo. Mankhwalawa ndi ofanana kwambiri. Nthawi zambiri amayamba m'maselo a m'mimba kapena pachifuwa. Koma nthawi zina zimatha kukhudza mafupa, mafupa ataliatali m'miyendo, kapena dongosolo lapakati la mitsempha. Mu Burkitt leukemia, pali maselo ambiri osazolowereka m'magazi a mwana, omwe amachokera ku maselo a m'mafupa. Burkitt lymphoma ndi leukemia zonse zimakula mofulumira kwambiri.
• Kufalitsa lymphoma ya B-cell yayikulu: Izi zimachitika kwambiri mwa ana aang'ono azaka zapakati pa 12-19 kuposa ana aang'ono.
• Matenda a B-cell lymphoma a m'mimba: Izi zimayambira mu maselo a B mu mediastinum, dera lomwe lili kumbuyo kwa fupa la m'mawere la mwana. Amathanso kufalikira ku ma lymph nodes. Izi zimachitikanso kwambiri mwa ana aang'ono.

2. Lymphoblastic lymphoma

Mtundu uwu umakhudza pafupifupi gawo limodzi mwa magawo atatu a ma lymphoma onse omwe si a Hodgkin mwa ana. Umapezekanso kwambiri mwa ana aang'ono kuposa ana akuluakulu. Lymphoblastic lymphoma imatha kukhudza maselo a B kapena maselo a T.

Kawirikawiri imayamba m'malo olumikizirana mafupa a mwana omwe ali kumbuyo kwa fupa la pachifuwa kapena pakhosi. Koma imathanso kukhudza malo olumikizirana mafupa m'mimba, m'mafupa, kapena m'ziwalo zina. Ana opitilira 80% omwe amalandira chithandizo chamtunduwu amapulumuka.

3. Anaplastic large cell lymphoma (ALCL)

Izi zimapangitsa kuti pakhale pafupifupi 15% ya ma lymphoma onse omwe si a Hodgkin mwa ana. Zimakhudza maselo a T ndipo nthawi zambiri zimayambira m'malo olumikizirana mafupa. Zingakhudzenso khungu ndi mafupa. Pafupifupi 70% ya ana omwe ali ndi ALCL amapulumuka.

Kodi matendawa ndi ofala bwanji pakati pa ana?

Chaka chilichonse, ana pakati pa 800 ndi 1,000 amapezeka ndi matenda a non-Hodgkin's lymphoma. Matendawa amapezeka kwambiri mwa anyamata oyera. Chiwopsezo chotenga matendawa chimasiyana malinga ndi msinkhu wa mwana, ndipo chiopsezocho chingakwere pang'ono pamene mwana akukula.

Kodi zizindikiro za non-Hodgkin lymphoma ndi ziti?

Zizindikiro za matendawa nthawi zina zimakhala zofanana ndi za matenda ena osaopsa kwenikweni. Ndicho chifukwa chake muyenera kuda nkhawa. Ngati mwana wanu ali ndi ma lymph nodes otupa, kupuma movutikira, chifuwa chosatha, kapena mphuno yotuluka madzi,Muyeneradi kuonana ndi dokotala.

Zizindikiro zina zingaphatikizepo:

• Kutentha thupi pafupipafupi popanda chifukwa.
• Chifuwa.
• Thukuta la usiku.
• Kuchepetsa thupi popanda chifukwa.
• Kutupa kwa mutu, khosi, thupi lapamwamba, kapena manja.
• Kuvuta kumeza (dysphagia).

Kumbukirani, kungokhala ndi chizindikiro chimodzi kapena ziwiri mwa zizindikirozi sizikutanthauza kuti mwana wanu ali ndi matendawa. Komabe, ngati zizindikirozi zikupitirira kapena kukulirakulira, muyenera kufunsa upangiri wa dokotala.

Kodi n’chiyani chimayambitsa matendawa mwa ana?

Ndipotu, chomwe chimayambitsa matenda a non-Hodgkin's lymphoma mwa ana sichinapezekebe. Komabe, madokotala apeza zinthu zingapo zomwe zingawachititse kuti adwale matendawa. Ngakhale zinthuzi zitakhalapo, sizikutanthauza kuti mwana adzadwala matendawa. Koma ndi bwino kudziwa zimenezi.

Ngati mwana wanu ali ndi vuto lililonse la thanzi, funsani dokotala wanu za vutoli:

• Ngati mwana wanu walandira chithandizo cha mtundu wina wa khansa.
• Ngati mwana wanu wadwala matenda a mononucleosis (Mononucleosis - Epstein-Barr virus) kapena HIV (Human Immunodeficiency Virus).
• Ngati mwana wanu ali ndi chitetezo chamthupi chofooka (monga, ngati adasamutsidwa chiwalo kapena mafupa).
• Ngati mwana akumwa mankhwala oletsa chitetezo cha mthupi.
• Ngati mwanayo ali ndi matenda enaake obadwa nawo omwe amakhudza chitetezo cha mthupi.

Matenda a chitetezo chamthupi chobadwa nawo

Matenda obadwa nawo monga awa angapangitse kuti pakhale chiopsezo chotenga matenda a non-Hodgkin's lymphoma:

• Ataxia-telangiectasia: Iyi ndi matenda amitsempha omwe amakhudza dongosolo lapakati la mitsempha, chitetezo chamthupi, ndi machitidwe ena a thupi mwa ana.
• Matenda a Chediak-Higashi: Izi zimakhudza chitetezo cha mthupi ndi mitsempha mwa ana.
• Kusowa kwa chitetezo chamthupi chosiyanasiyana: Ana omwe ali ndi vutoli amakhala ndi ma antibodies ochepa (mapuloteni omwe amalimbana ndi matenda) m'magazi mwawo.
• Matenda a Nijmegen breakage: Ana omwe ali ndi vutoli amakhala ndi chitetezo chamthupi chofooka komanso amakhala ndi mapuloteni ochepa a chitetezo chamthupi komanso ma T-cell ochepa.
• Matenda oopsa a immunodeficiency (SCID): Izi zimakhudza maselo a T ndi maselo a B a ana, zomwe zimafooketsa chitetezo cha mthupi ndikuwapatsa chiopsezo chachikulu chotenga khansa zina, kuphatikizapo non-Hodgkin lymphoma.
• Matenda a Wiskott-Aldrich:Izi zimakhudza maselo a magazi a ana ndi maselo a chitetezo chamthupi. Ana omwe ali ndi vutoli amakhala ndi ma platelet ochepa. Ma platelet ndi maselo omwe amathandiza magazi kuundana. Izi zikachepa, zimatha kuyambitsa mabala ndi kutuluka magazi mosavuta. Matendawa amakhudzanso maselo a T ndi B a chitetezo chamthupi.
• Matenda a X-linked lymphoproliferative: Izi zimakhudza chitetezo cha mthupi mwa ana. Ana omwe ali ndi matendawa akhoza kukhala ndi vuto lalikulu kwambiri chifukwa cha kachilombo ka Epstein-Barr.

Kodi madokotala amazindikira bwanji matenda a non-Hodgkin lymphoma mwa ana?

Kuzindikira matendawa ndi njira yofunikira kwambiri. Nthawi zambiri, kuyezetsa magazi, kuyesa zithunzi zosiyanasiyana, ndi biopsy kumachitika. Dokotala amamufufuza mwanayo mosamala kuti aone ngati pali zinthu zina zolakwika, monga ziphuphu kapena kutupa kwa glands. Adzayang'ananso zambiri zaumoyo wa banja, kutanthauza abale apamtima ndi achibale akutali, komanso ngati pali mbiri ya khansa.

Kuyezetsa magazi

• Kuchuluka kwa magazi (CBC): Izi zimayesa kuchuluka kwa mitundu yosiyanasiyana ya maselo m'magazi a mwana wanu. Zotsatira zake zingathandize kudziwa ngati mwana wanu ali ndi zizindikiro za lymphoma m'mafupa ake kapena ngati chithandizo chakhudza mafupa ake.
• Kafukufuku wa chemistry ya magazi: Zitsanzo za magazi zimatengedwa kuti ziyeze kuchuluka kwa zinthu zina zomwe zimatulutsidwa m'magazi kuchokera m'ziwalo kapena minofu ya mwana. Kuchuluka kwa chinthu chochuluka kapena chotsika kwambiri kungakhale chizindikiro cha matenda.
• Kuyezetsa kwa chiwindi: Uku ndi kuyezetsa magazi. Kumayesa kuchuluka kwa zinthu zina zomwe chiwindi chimatulutsa m'magazi. Ngati pali kuchuluka kopitilira muyeso, kungakhale chizindikiro cha khansa.

Kuphatikiza apo, madokotala amagwiritsanso ntchito mayeso a magazi kuti aone ngati pali mavairasi omwe angagwirizane ndi matenda a non-Hodgkin's lymphoma mwa ana.

Mayeso ojambula zithunzi

• Kujambula kwa CT (Computed tomography - CT scan): Izi zitha kujambula zithunzi zatsatanetsatane za malo omwe ali mkati mwa thupi la mwana wanu. Kuyesaku kumachitika kuti aone ngati pali ma lymph nodes otupa kapena zizindikiro zina za lymphoma.
• Kujambula kwa MRI (Magnetic resonance imaging – MRI): Izi zimagwiritsa ntchito maginito, mafunde a wailesi, ndi kompyuta kuti apange zithunzi zambiri zamkati mwa thupi. Zimagwiritsidwa ntchito pofufuza zizindikiro za lymphoma mu ubongo wa mwana kapena msana.
• Kujambula kwa PET (Positron emission tomography - PET scan):Izi zimagwiritsidwa ntchito kuona ngati mwana ali ndi lymphoma kapena momwe chithandizo chakhudzira lymphoma. Kujambula kwa PET kumaphatikizapo kubaya shuga pang'ono, kapena mtundu wina wa shuga, m'thupi la mwana. Maselo a khansa amagwira ntchito kwambiri kuposa maselo wamba, kotero amagwiritsa ntchito shuga wambiri. Chifukwa chake kujambulidwa kumeneku kungasonyeze komwe maselo a khansa ali.
• Ultrasound: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri. Mafunde awa amatuluka m'thupi kapena ziwalo zomwe zili mkati mwa thupi ndikupanga ma echo. Ma echo awa amagwiritsidwa ntchito popanga chithunzi chotchedwa sonogram. Izi zimagwiritsidwa ntchito pofufuza ma lymph nodes omwe ali pafupi ndi pamwamba pa thupi la mwana, kapena m'mimba, chiwindi, kapena ndulu.

Kufufuza za matenda a ubongo

Madokotala amachita kafukufuku wa biopsy kuti atenge zitsanzo za ma lymph nodes, zotupa za khansa, ndi mafuta a m'mafupa ndikuwayang'ana pansi pa maikulosikopu kapena mu mayeso ena a labu. Kufufuza ndi njira yokhayo yodziwira matendawa. Chofunika kwambiri, zotsatira za kafukufukuyu zingathandize kudziwa mtundu weniweni wa lymphoma. Izi zingathandize kudziwa chithandizo chabwino kwambiri cha mtundu umenewo.

Pali mitundu ingapo ya biopsy. Madokotala amasankha mtundu wa biopsy womwe ungayambitse zotsatirapo zochepa kwa mwana ndipo umachotsa maselo ndi minofu yokwanira kuti ayesere. Pa nthawi ya mayesowa, mwanayo amapatsidwa mankhwala ochepetsa ululu, mankhwala oletsa dzanzi, kapena mankhwala oletsa ululu am'deralo kapena wamba kuti atsimikizire kuti sakumva kupweteka kulikonse.

• Kuyezetsa magazi: Chipolopolo chonse cha lymph, chotupa cha minofu, kapena chidutswa chaching'ono cha chotupa chachikulu cha khansa chingachotsedwe mwa opaleshoni.
• Kufufuza za singano: Kufufuza za core biopsies kapena kusanthula kwa singano zazing'ono kumachitika kuti muchotse minofu kapena ziwalo za lymph node.

Mitundu ina ya biopsy

Ngati mwana wanu ali ndi non-Hodgkin's lymphoma, mayeso ena angachitike kuti asonkhanitse minofu kuti aone ngati lymphoma yafalikira. Monga momwe zimakhalira ndi biopsy zina, izi zimachitika pansi pa mankhwala oletsa ululu ndi/kapena mankhwala oletsa ululu kuti mwana wanu asamve kupweteka kulikonse.

• Kuboola msana (kupopera msana): Izi zimachitika kuti zione ngati khansa yafalikira ku ubongo ndi msana wa mwana.
• Kufufuza za mafuta a m'mafupa ndi kusanthula za mafuta a m'mafupa: Mayesowa amachitika kuti aone ngati lymphoma yafalikira ku mafupa a mwana wanu. Kuti achite izi, dokotala amaika singano yopanda kanthu m'chiuno cha mwana wanu ndipo amatenga chitsanzo cha mafuta a m'mafupa ndi mafupa pang'ono.
• Thoracentesis:Ngati lymphoma yafalikira mpaka pakhungu la chifuwa cha mwana wanu kapena pakhungu lomwe limaphimba mapapo ake, madzi amatha kusonkhana. Madziwo amachotsedwa pogwiritsa ntchito singano yopanda kanthu ndikuyang'ana maselo a khansa.
• Paracentesis: Izi zimaphatikizapo kuchotsa madzi m'mimba mwa mwana.
• Mediastinoscopy: Iyi ndi njira yochitira opaleshoni yomwe imachitidwa pansi pa mankhwala oletsa ululu. Imachitika pofuna kufufuza zolakwika m'ziwalo, minofu, ndi ma lymph nodes pakati pa mapapo a mwana wanu. Imachitika ndi chipangizo chotchedwa mediastinoscope. Ndi chida chopyapyala, chofanana ndi chubu chomwe chili ndi kuwala ndi lenzi yoti muwone, komanso chida chojambulira minofu kapena ma lymph sampulo. Imayikidwa kudzera mu kudula pang'ono kumtunda kwa fupa la pachifuwa la mwana wanu.

Kodi madokotala amagawaniza ana omwe si a Hodgkin lymphoma m'magawo osiyanasiyana?

Inde, pali magawo ogawa Non-Hodgkin's lymphoma. Njira zoyezera khansa izi zimagwiritsidwa ntchito popanga mapulani ochizira.

Gawo la Non-Hodgkin lymphoma

• Gawo Loyamba: Khansa ili m'dera limodzi lokha, kaya pamwamba kapena pansi pa diaphragm ya mwana (minofu yayikulu yomwe imalekanitsa chifuwa ndi mimba).
• Gawo Lachiwiri: Khansa imapezeka m'dera limodzi ndi pafupi ndi ma lymph nodes, kapena m'ma lymph nodes awiri kapena angapo, kapena m'madera ena omwe ali mbali yomweyo ya diaphragm.
• Gawo Lachitatu: Khansa ili m'gulu limodzi mwa magawo anayi otsatirawa:
• Pali khansa m'maselo kapena m'maselo a lymph mbali zonse ziwiri za diaphragm.
• Mwanayo ali ndi khansa ya m'mawere.
• Mwanayo ali ndi khansa ya m'mimba, ndipo sangachotsedwe ndi opaleshoni.
• Gawo Lachinayi: Khansa ili m'mafupa a mwana, msana, ndi/kapena muubongo.

Kodi matenda a non-Hodgkin lymphoma mwa ana amachiritsidwa bwanji?

Madokotala akupitilizabe kufunafuna njira zatsopano zochiritsira lymphoma popanda kuyambitsa zotsatirapo zoyipa kwambiri mochedwa. Zotsatirapo zake ndi matenda oopsa omwe amatha kuchitika patatha zaka zambiri chithandizo chitatha ndipo matenda a mwana omwe si a Hodgkin's lymphoma atatha.

Pali mitundu ikuluikulu isanu ndi umodzi ya chithandizo:

• Mankhwala a Chemotherapy: Uwu ndiye mankhwala akuluakulu a ana omwe ali ndi vuto la lymphoma losakhala la Hodgkin. Madokotala angagwiritse ntchito mankhwala amodzi okha kapena kuphatikiza mankhwala angapo.
• Opaleshoni: Nthawi zina, ziphuphu za khansa zimachotsedwa opaleshoni nthawi yomweyo ndi biopsy. Ngakhale zili choncho, mwanayo angafunike chithandizo china, monga chemotherapy kapena immunotherapy.
• Chithandizo cholunjika:Izi zimakhudza majini enaake a khansa, mapuloteni, kapena tinthu tating'onoting'ono mkati mwa maselo a lymphoma omwe amawathandiza kuti apulumuke zotsatira za chemotherapy.
• Chithandizo cha Immunotherapy: Chithandizochi chimagwira ntchito polimbikitsa chitetezo cha mthupi cha mwana, kapena pogwiritsa ntchito zinthu zopangidwa ndi chitetezo cha mthupi, kuti ziwononge maselo a lymphoma.
• Chithandizo cha radiation: Nthawi zina, chithandizo cha radiation chimagwiritsidwa ntchito kuwononga maselo otsala a khansa.
• Kusamutsa maselo oyambira: Maselo oyambira omwe amatengedwa kuchokera m'magazi kapena m'mafupa amagwiritsidwa ntchito m'malo mwa maselo osadwala ndi maselo athanzi.

Kodi zotsatira za chithandizo cha khansa ndi ziti?

Zotsatira za chithandizo cha khansa mochedwa ndi matenda omwe amatha kuchitika miyezi kapena zaka chithandizo chitatha. Zotsatira zina za mochedwa zimatha kukhala zoopsa. Pamene ana ambiri akukhala ndi moyo wautali atalandira chithandizo cha non-Hodgkin's lymphoma, madokotala akuyesera kuzindikira ndikuchiza zotsatira za mochedwa izi mwachangu momwe angathere.

Zina mwa zotsatira zodziwika bwino zomwe zimapezeka mwa ana omwe ali ndi non-Hodgkin lymphoma ndi izi:

• Khansa yachiwiri: Monga momwe dzinalo likusonyezera, awa ndi khansa yatsopano yomwe imayamba mwa ana atalandira chithandizo cha non-Hodgkin lymphoma. Khansa zofala kwambiri ndi monga khansa ya m'magazi ya acute myeloid leukemia, myelodysplastic syndrome, khansa ya m'mawere, ndi khansa ya chithokomiro.
• Matenda a Mtima: Ana ena omwe amalandira mankhwala a chemotherapy amatha kukhala ndi matenda a mtima monga kulephera kwa mtima, kufooka kwa mtima (cardiomyopathy), kuuma kapena kuchepa kwa mitsempha yamagazi (matenda a mitsempha ya mtima), kugunda kwa mtima kosazolowereka (arrhythmia), kapena kuwonongeka kwa chophimba choteteza mtima (pericarditis).
• Chibayo (kutupa kwa mapapo): Mankhwala ena a chemotherapy amatha kukhudza mapapo mwa ana.
• Mavuto a chiwindi: Ana omwe akumwa mankhwala a chemotherapy amatha kukulitsa chiwindi kapena matenda a chiwindi.

Nanga bwanji za mayeso azachipatala a ana omwe si a Hodgkin lymphoma?

Dokotala wa mwana wanu angakulangizeni kuti mutenge nawo mbali mu kafukufuku wamankhwala wochiza matenda a non-Hodgkin's lymphoma. Mu kafukufuku wamankhwala, anthu ena amalandira chithandizo chamankhwala chokhazikika, pomwe ena amalandira chithandizo chomwe chikuwunikidwa.

Mankhwala ochiritsira wamba ndi mankhwala ndi mankhwala ena omwe avomerezedwa kale ndipo atsimikiziridwa kuti akugwira ntchito. Mankhwala ochizira, monga momwe dzinalo likusonyezera, ndi mankhwala omwe akuyesedwa kuti awone ngati akugwira ntchito bwino kuposa mankhwala ochiritsira wamba, kapena ngati amagwira ntchito mofanana koma alibe zotsatirapo zoyipa zambiri.

Mayeso azachipatala angaphatikizepo mankhwala atsopano, mlingo watsopano wa mankhwala omwe alipo, kapena kuphatikiza kwa mankhwala atsopano omwe alipo. Nthawi zambiri, madokotala ku malo ochizira khansa ya ana amayang'anira mayeso awa azachipatala. Funsani dokotala wanu ngati mayeso azachipatala angakhale njira yothandizira mwana wanu.

Kodi matenda a non-Hodgkin lymphoma mwa ana angachiritsidwe?

Inde, madokotala amatha kuchiritsa ana ambiri omwe ali ndi matenda a non-Hodgkin's lymphoma pogwiritsa ntchito mankhwala omwe ali nawo. Zimenezo n'zotonthoza kwambiri, sichoncho?

Kodi chiŵerengero cha kupulumuka kwa ana omwe si a Hodgkin lymphoma ndi chiyani?

Chiŵerengero cha kupulumuka kwa ana omwe ali ndi matenda a lymphoma omwe si a Hodgkin chimasiyana malinga ndi mtundu wa lymphoma. Pa avareji, pakati pa 70% ndi 90% ya ana omwe ali ndi matendawa amakhala ndi moyo zaka zoposa zisanu atapezeka ndi matendawa.

Kodi chimachitika ndi chiyani mwana wanga akamaliza kulandira chithandizo cha non-Hodgkin lymphoma?

Chithandizo cha khansa chikatha, inu ndi mwana wanu mwina mudzamva mpumulo waukulu komanso chisangalalo. Kondwererani chisangalalo chimenecho, koma kumbukirani kuti mwana wanu adzayenerabe kulankhulana ndi dokotala kwa zaka zingapo.

M'zaka zingapo zoyambirira mutalandira chithandizo, dokotala wanu angakulangizeni kuti mupite kukayezetsa ndi kuyesedwa nthawi zonse. Izi zithandiza kuyang'anira thanzi la mwana wanu, kuwona ngati khansa yabwereranso, komanso kuwona zizindikiro za zotsatirapo zake. Mwana wanu adzafunika kuyezetsa magazi ndi kusanthula.

Kodi ine/mwana wanga ndingathe bwanji kuthana ndi zotsatira za chithandizo cha khansa?

Ana amatha kukumana ndi zotsatirapo za chithandizo cha khansa miyezi ingapo kapena zaka zambiri chithandizo chitatha. Kudziwa izi kungakupangitseni inu ndi mwana wanu kuda nkhawa ndi tsogolo. Koma dziwani kuti dokotala wa mwana wanu adzayang'anira thanzi la mwana wanu atatha chithandizo, kotero mavuto aliwonse akhoza kuzindikirika ndikuchiritsidwa mwachangu.

Funsani dokotala wanu za zotsatirapo zomwe mwana wanu angakumane nazo komanso zizindikiro zoyambirira. Limbikitsani mwana wanu kuti akhale tcheru ndi zizindikiro za zotsatirapozi akamakula ndikuyamba kusamalira thanzi lake.

Kodi ndingachepetse mwayi wa mwana wanga wopeza matenda a non-Hodgkin lymphoma?

Ana omwe ali ndi chitetezo chamthupi chofooka akhoza kukhala ndi mwayi waukulu wopeza matenda a non-Hodgkin's lymphoma. Mwachitsanzo, ngati mwana wanu adapatsidwa mafupa kapena chiwalo china, akhoza kukhala pachiwopsezo cha matendawa. Komanso, ngati mwana wanu ali ndi matenda enaake obadwa nawo omwe amakhudza chitetezo chamthupi, chiopsezocho chikhoza kuwonjezeka.

Dokotala wa mwana wanu amadziwa mbiri ya thanzi la mwana wanu. Ngati muli ndi nkhawa ndi izi, funsani dokotala wanu ngati mwana wanu ali ndi matenda aliwonse omwe amamuika pachiwopsezo chotenga matendawa. Kenako, mutha kuyang'ana zinthu zinazake zomwe zingakhale zizindikiro zoyambirira za non-Hodgkin lymphoma.

Mwana wanga ali ndi vuto la lymphoma lotchedwa non-Hodgkin. Ndingamuthandize bwanji?

Khansa ndi yovuta kwa aliyense, koma ndi yovuta makamaka kwa ana. Ana aang'ono sangakhale okulira mokwanira kuti amvetse chifukwa chake zimakhala zovuta kwa iwo. Angaope mayeso ndi chithandizo. Ndizachibadwa kuti ana aang'ono omwe akuphunzira za matenda awo azikwiya komanso kuchita mantha ndi vuto lawo. Ngati inu ndi mwana wanu mukuvutika kuthana ndi zotsatira za khansa, funsani dokotala wanu za mautumiki a moyo wa ana. Mautumikiwa amaperekedwa ndi akatswiri omwe amathandiza ana ndi mabanja kuthana ndi mavuto a khansa.

Nthawi ina mukapeza mwana wathanzi, ndipo mukuganiza kuti ali ndi matenda abwinobwino. Nthawi ina, mukapeza mwana wodwala khansa. Sizophweka kudziwa kuti mwana wanu ali ndi vuto la non-Hodgkin lymphoma. Ngakhale madokotala amachiza ana ambiri omwe ali ndi vutoli, mwana wanu akuyenerabe kukumana ndi chithandizo chamankhwala chomwe chimasokoneza moyo wawo watsiku ndi tsiku. Ngakhale mutalandira chithandizo, mwana wanu akhoza kukhala ndi zotsatirapo zake, matenda aakulu omwe amafunika chithandizo china. Zonse n'zovuta kupirira. Mungamve ngati dziko lanu lasintha kwambiri, ndipo mungadabwe ngati lidzabwerera m'mbuyo.

Koma kumbukirani kuti dokotala wa mwana wanu amamvetsa zomwe inu ndi mwana wanu mukukumana nazo. Apempheni thandizo, lomwe lingaphatikizepo zambiri zokhudza matenda a mwana wanu, zinthu zomwe zingakuthandizeni inu ndi banja lanu, ndipo ali okondwa kuchita chilichonse chomwe angathe.

Pomaliza, uthenga wopita nawo kunyumba

• Non-Hodgkin's Lymphoma mwa ana ndi khansa yomwe imapezeka m'thupi la lymphatic system.
• Izi nthawi zambiri zimatha kuchiritsidwa bwino, makamaka ngati zapezeka msanga.
• Dziwani zizindikiro (monga kutupa kwa ma lymph nodes, chifuwa chosatha, kutentha thupi, kuchepa thupi). Ngati izi zikupitirira, pitani kwa dokotala.
• Pali njira zingapo zochizira (monga chemotherapy, opaleshoni, ndi radiation therapy). Dokotala adzasankha chithandizo chomwe chili choyenera mwana wanu.
• Zotsatirapo zingachitike mutalandira chithandizo, choncho ndikofunikira kupitiliza kukaonana ndi dokotala.
• Simuli nokha. Madokotala, anamwino, ndi alangizi alipo kuti akuthandizeni inu ndi mwana wanu. Musaope kuwapempha thandizo.

Ndikukhulupirira kuti izi zakuthandizani kumvetsetsa matendawa. Kumbukirani, ndi malingaliro abwino komanso chithandizo choyenera chamankhwala, mutha kuthana ndi vutoli.

` Non-Hodgkin's Lymphoma, Khansa ya Ana, Lymphoma, Dongosolo la Lymphatic, Zizindikiro za Khansa, Chithandizo cha Khansa, Thanzi la Ana