Chii chinonzi Wilms Bumor? Mwana wako ari panjodzi here? Ngatizivei!

Waizonzwa sei kudai waigeza, uchipfeka, kana kungobata mwana wako wonzwa bundu diki mudumbu make? Izvozvo zvinotyisa zvechokwadi, handiti? Panguva dzakadai, tinofanira kufunga nezvechirwere ichi chinonzi bundu reWilms. Ngatitaurei nezvazvo nhasi.

Chii chaizvo chinonzi Wilms Tumor?

Zvichitaurwa zviri nyore, Wilms bundu rudzi rwekenza yeitsvo inowanikwa muvana vadiki. Inokonzera 90 muzana yekenza yeitsvo muvana. Dzimwe nguva, bundu reWilms rinogona kuitika pamwe chete nedzimwe zvirwere zviripo pakuzvarwa. Tinodaidza kuti "congenital syndromes" kana kuti muunganidzwa wezvirwere zviripo pakuzvarwa.

Izvi zvinonziwo `(Wilms' bundu)` uye `(nephroblastoma)`. Kazhinji, pane bundu rimwe chete muitsvo imwe. Zvisinei, vamwe vana vanogona kuva nemabundu muitsvo dzose `(dzakabatana)` kana kuti panogona kuva nenzvimbo dzinopfuura imwe dzekenza muitsvo imwe.

Ndiani anonyanya kuwana izvi?

Ichi chirwere chisingawanzoitiki chinobata vanhu vakuru. Wilms bundu igomarara rinonyanya kubata vana vari pasi pemakore gumi nemashanu. 95% yevana vane chirwere ichi vanoonekwa vasati vasvitsa makore gumi.

Vana vatema vanobva kuAfrica vane njodzi yakakura zvishoma. Vana vekuAsia vane njodzi shoma. Uyewo, vasikana vane mukana wekukura nayo kupfuura vakomana.

Mumhuri diki kwazvo, izvi zvinonziwo zvinobva mumajini.

Dambudziko iri rakajairika zvakadii?

Munyika yakaita seAmerica, zvinonzi vanhu vanosvika mazana mashanu vanobatwa negomarara reWilms vanoonekwa gore rega rega. Zvakaoma kuwana nhamba chaiyo yekuti zviri sei muSri Lanka, asi iyi igomarara rinogona kuonekwa pakati pevana.

Ndezvipi zvirwere zvekuzvarwa nazvo zvinogona kuonekwa neWilms bundu?

Kashoma kuti vana vane bundu reWilms vave nezvimwe zvirwere zvekuzvarwa nazvo. Asi zvinogona kuitika. Heano mamwe ematambudziko makuru:

• Beckwith-Wiedemann syndrome: Vana vane chirwere ichi vane mukana we5% kusvika 10% wekuva negomarara reWilms. Ichi chirwere chinoita kuti zvikamu zvemuviri zvikure kupfuura zvakajairika. Dzimwe nguva rimwe divi remuviri rinogona kunge rakakura kupfuura rimwe.
• WAGR syndrome: Vana vane chirwere ichi vane mukana we50% wekuva negomarara reWilms' (zita rekuti W rinoreva Wilms). Izvi zvinogona kukonzera kurasikirwa kwechikamu che iris (Aniridia), pamwe nematambudziko enhengo dzesikarudzi neitsvo.
• Chirwere cheDenys-Drash:Vana vane zviratidzo izvi vane mukana mukuru wekuva negomarara reWilms, iro rinogonawo kukonzera matambudziko munhengo dzekubereka neitsvo.

Ndezvipi zviratidzo zvegomarara reWilms?

Tarisa zviratidzo izvi mumwana wako:

• Bundu kana kuoma/bundu riri mudumbu (mudumbu). Bundu iri kana bundu rinogona kurwadza dzimwe nguva, asi kazhinji harirwadzi.
• Kurwadziwa nemudumbu.
• Ropa muweti (hematuria).
• Kupindwa nechando.
• Kukwira kweropa (BP). Izvi zvinogona kukonzera kubuda ropa mumhino, musoro, uye maziso matsvuku mumwana.

Kana uine chimwe chezviratidzo izvi kana kupfuura , unofanira kuona chiremba nekukasika.

Chii chinokonzera bundu reWilms?

Kutaura zvazviri, hatisati taziva kuti chii chinokonzera bundu reWilms. Kunyangwe vanhu vashoma vangangove nechirwere chegene, hazvisati zvanyatsojeka kuti sei chichiitika muzviitiko zvakawanda.

Bundu reWilms rinoonekwa sei (rinoonekwa sei)?

Kana ukaona bundu riri munzvimbo yemwana wako ine manapukeni, kana kuti bundu racho riri kukonzera kuti ushandise manapukeni makuru, chiremba wako angangoda kuyedza bundu reWilms. Mabundu aya dzimwe nguva anogona kunge akakura kupfuura itsvo.

Kana mwana wako aine chimwe chezvirwere zvatakakurukura kare kana kuti dambudziko remajini, unogona kutaura nachiremba wako wosarudza kana uchida kuramba uchiongororwa.

Miedzo inoshandiswa kuongorora bundu reWilms ndeiyi:

• Kuongororwa kwemuviri: Panguva iyi, chiremba anobaya-baya dumbu remwana nokungwarira.
• Miedzo yemifananidzo:
• Kuongororwa kweultrasound yedumbu.
• CT scan - Izvi zvinowanzoitwa nekuisa mushonga wakakosha (contrast).
• Chiremba anogona zvakare kuita X-ray yechipfuva kana CT scan kuti aone kana kenza yapararira mumapapu.
• Kuongororwa uku kunogona kubatsira kuona kana mwana wako aine bundu. Kunogonawo kubatsira kusiyanisa bundu reWilms nerumwe rudzi rwekenza yeitsvo.
• Kuongororwa kweropa neweti: Izvi zvinosanganisira kuongororwa kwebasa rechiropa uye kuongororwa kwekugwamba kweropa.
• Kuongororwa kwemuviri: Izvi zvinosanganisira kutora chidimbu chidiki chenyama kubva mubundu wochitumira kurabhoritari kuti chiongororwe.

Chii chaunofanira kuziva nezvematanho ekurapa cancer?

Pane nzira mbiri dzekuziva danho regomarara reWilms, kureva kuti, kenza yapararira kusvika papi. Izvi zvinonzi "staging." Kana nhamba yacho yakakura, kenza yacho inopararira zvakanyanya.

Vanachiremba munyika dzekuEurope vanoshandisa nzira yeInternational Society of Paediatric Oncology (SIOP). Vanachiremba muUnited States neCanada vanoshandisa nzira yeChildren's Oncology Group (COG).

Musiyano mumwe chete uripo pakati penzira mbiri idzi ndewekuti munzira yeCOG, danho rebundu rinoongororwa mushure mekuvhiyiwa uye chemotherapy (mishonga yekurwisa kenza) isati yapihwa. Munzira yeSIOP, kuvhiyiwa kunoitwa mushure mechemotherapy uye danho rinoongororwa chete mushure meizvozvo.

Matanho ari pasi peCOG system akakamurwa seizvi:

• Danho rekutanga: Bundu iri riri muitsvo yemwana chete uye rinogona kubviswa zvachose nekuvhiyiwa.
• Danho rechipiri: Bundu racho rakura kubva muitsvo, asi rinogona kubviswa zvachose nekuvhiyiwa.
• Danho rechitatu: Bundu harigone kubviswa zvachose. Masero egomarara anoramba ari mudumbu remwana (mudumbu).
• Danho rechina: Gomarara rapararira kupfuura dumbu remwana nechiuno kuenda kune dzimwe nzvimbo, dzakadai semapapu, chiropa, mapfupa, nepfungwa.
• Danho rechitatu: Bundu iri riri muitsvo dzose dziri mbiri (dzakabatana). Padanho iri, vanachiremba vanoongorora danho reitsvo dzese dziri mbiri zvakasiyana.

Bundu reWilms rinorapwa sei?

Bundu reWilms rinowanzo shandiswa kuvhiyiwa pamwe chete nechemotherapy. Dzimwe nguva kurapwa nemwaranzi kunogona kushandiswawo.

Vana vane bundu risina njodzi yakawanda, uko kenza isina kupararira uye bundu rinogona kubviswa zvachose, vanogona kuvhiyiwa vega. Dzimwe nguva, chemotherapy inogona kupiwa vasati vavhiyiwa kuti bundu riderere, zvichiita kuti kuvhiyiwa kuve kwakachengeteka.

Kurapwa nemakemikari kunowanzoitwa netsinga (IV). Izvi zvinogona kuitwa pakurapwa kunze kwechipatara kana muchipatara.

Mwana wako anogona kunge aine migumisiro yakaipa kubva kuchemotherapy kana radiation therapy. Kana izvi zvikaitika, iva nechokwadi chekuudza chiremba wako. Pane zvinhu zvaunogona kuita kuderedza migumisiro yakaipa nemishonga yaunogona kupa mwana wako.

Bundu raWilms rinogona kudzivirirwa here?

Hapana chaungaite iwe kana mwana wako kukonzera kana kudzivirira bundu reWilms. Ichi chinhu chatisingagoni kudzora.

Chii chingave chiri fungidziro yemunhu ane bundu reWilms?

Kufanotaura kuti Wilms' bundu richavapo kazhinji kwakanaka. Mugumisiro wacho unowanzova wakanaka, kunyanya kana chiremba akakwanisa kubvisa bundu racho zvachose uye kenza yacho isina kupararira kune imwe nzvimbo mumuviri. Zvisinei, pane mukana mudiki wekuti bundu reWilms "richadzoka".

Bundu reWilms rinogona kuuraya here?

Kunyangwe bundu reWilms richigona kurapwa zvinobudirira nekuvhiyiwa, chemotherapy, uye/kana kurapwa nemwaranzi,Iyi ichiri kenza. Saka, inogona kuuraya. Ndosaka zvichikosha kuiona nekukurumidza uye kutanga kurapwa.

Chiyero chekurarama kwegomarara reWilms chiri papi?

Vanhu vanosvika 90% vakaonekwa vaine bundu reWilms vachiri vapenyu mushure memakore mashanu. Mwero uyu unogona kusiyana zvishoma zvichienderana nezvinhu zvakaita sedanho regomarara, saizi yebundu, uye kuti masero egomarara anotaridzika sei pasi pemaikorosikopu (histology). Kunyange zvazvo zvaimbonzi vana vari pasi pemakore maviri vane mukana mudiki wekudzoka kwechirwere ichi, zera harisisina kukosha kupfuura kare.

Ndinofanira kuona chiremba wangu rini nezve bundu reWilms?

Kana mwana wako ari kurapwa bundu reWilms, ona chiremba wako kana uine zvinokunetsa kana mibvunzo. Kunyanya kana ukaona zviratidzo zvitsva kana kana chimwe chinhu chichiita sechiri kuipa, muzivise nekukurumidza.

Munguva yekurapwa kwako, timu yako yezvekurapa ichakuudza zvekungwarira, zvakaita sezviratidzo zvehutachiona hweweti. Kana izvi zvikaitika, ungangoda kuenda kuchipatara.

Mwana anofanirawo kuenda kunoongororwa nguva nenguva kuti ave nechokwadi chekuti ari kugara zvakanaka. Chiremba anogonawo kuendesa mwana kuna chiremba weitsvo (nephrologist) kana nyanzvi yezve weti (urologist).

Ndingabatsira sei mwana wangu kuti arambe akasimba mushure mekurapwa kwebundu reWilms?

Zvakakosha kuti mwana wako aite zvinhu zvinotevera:

• Inwa mvura yakakwana kuti itsvo dzako dzishande zvakanaka.
• Deredza kushandiswa kwemishonga yakaita seaspirin, ibuprofen, uye naproxen. Taura nachiremba wemwana wako nezvemishonga isingakuvadze itsvo dzemwana wako.
• Tarisa BP yako nguva nenguva.

Bundu reWilms rinorwadza here?

Dzimwe nguva bundu reWilms rinogona kurwadza, asi harisi nguva dzose rinorwadza.

Ndeupi musiyano uripo pakati pebundu reWilms (nephroblastoma) neneuroblastoma?

Kunyangwe mazwi maviri aya achinzwika akafanana, imhando mbiri dzegomarara dzinotanga mumhando mbiri dzakasiyana dzemasero. Nephroblastoma igomarara reitsvo. Neuroblastoma igomarara rinotanga mumasero etsinga. Rinowanzo tanga muadrenal glands, asi rinogonawo kupinda muitsvo. Mhando dzese dzegomarara dzinoitika kuvana, uye dzese dzinogona kubuda sebundu mudumbu. Saka, zvakakosha kuti uwane kuongororwa kwakarurama.

Kana mwana wako akaonekwa aine bundu reWilms, chiremba wako angangokukurudzira kuti utaure nechipatara chinonyanya kurapa kenza dzevana. Kunyange hazvo bundu reWilms risingawanzoitiki, chirwere chinorapika. Mwana wako anogonawo kukodzera kupinda muongororo yekiriniki. Vana vazhinji vane bundu reWilms vakanyoreswa muchirongwa ichi. Kufambira mberi kwakawanda mukurapa bundu reWilms kwakakonzerwa nemiedzo iyi yekiriniki.

Chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezvebundu raWilms, handiti? Chinhu chikuru chekurangarira ndechekuti kana ukaona mapundu asina kujairika kana kuzvimba mudumbu remwana wako, usavhunduke wobva waona chiremba nekukasika.

• Bundu reWilms igomarara rinokura muitsvo dzevana vadiki.
• Kunyangwe chikonzero chaicho cheizvi chisingazivikanwi, panogona kunge paine zvimwe zvinokanganisa majini.
• Kana chirwere chikaonekwa nekukurumidza uye chikarapwa nemazvo, mikana yekupora inokwira zvikuru.
• Kuvhiyiwa, chemotherapy, uye dzimwe nguva kurapwa nemwaranzi ndiyo nzira huru yekurapa.
• Kunyangwe mushure mekurapwa, zvakakosha zvikuru kutevedzera mirairo yachiremba nokungwarira uye kuenda kunoongororwa panguva dzakatarwa.

Musatya. Sainzi yezvekurapa yafambira mberi zvikuru nhasi. Chinhu chakakosha ndechekuteerera kwenyu uye kuita chimwe chinhu nekukurumidza. Ndinoshuvira mwana wenyu kuti apore nekukurumidza!

Bundu reWilms , nephroblastoma, kenza yehudiki, kenza yeitsvo, hutano hwevana, zviratidzo zvekenza, kurapwa kwekenza