Ngaba ufuna umntwana wakho azi nge-Non-Hodgkin's Lymphoma? Masithethe ngayo!

Nokuba abantwana bethu babanda kancinci, baziva besoyika kakhulu, akunjalo? Ngamanye amaxesha, nokuba ucinga ukuba sisifo esiqhelekileyo, sinokuba yinto enzulu ngakumbi. Kulungile, uhlobo lomhlaza oluvela ebantwaneni, kodwa olunokunyangwa ukuba lunyangwa ngokufanelekileyo, lubizwa ngokuba yi-Non-Hodgkin's Lymphoma . Musa ukoyika xa usiva eli gama, kuba kubaluleke kakhulu ukuba nolwazi olupheleleyo ngalo. Ngaba singathetha ngale nto ngokweenkcukacha ?

Linda kancinci, yintoni le Non-Hodgkin's Lymphoma?

Ngamafutshane, i-non-Hodgkin lymphoma luhlobo lomhlaza oluqala kwinkqubo ye -lymphatic ebantwaneni. Umzimba wakho unento ebizwa ngokuba yi-lymphatic system . Ifana nenkqubo yokuzikhusela yomzimba wethu. Isinceda ekusikhuseleni kwizifo nakwiintsholongwane . Le nkqubo inamalungu afana ne -lymph nodes kunye nemithambo ye-lymph. Ezi zisasazeka emzimbeni wonke.

Esi sifo sidla ngokuchaphazela abantwana abaphakathi kweminyaka emi-5 neli-19 ubudala. Kodwa ngamanye amaxesha iintsana ezisandul’ ukuzalwa nazo zinokuchaphazeleka. Iindaba ezimnandi zezokuba oogqirha baneendlela zonyango ezisebenzayo zokunyanga oku, kwaye abantwana abaninzi banokunyangwa. Nangona kunjalo, abanye abantwana banokuba neziphumo ezisemva kwexesha emva kweminyaka emininzi yonyango. Yiyo loo nto abaphandi besoloko bezama ukufumana unyango olusebenzayo oluneziphumo ezisemva kwexesha ezimbalwa.

Le meko imchaphazela njani umntwana wam?

Esi sifo, esibizwa ngokuba yi-Non-Hodgkin's Lymphoma, sinokukhula kwizicubu ze-lymphoid naphi na emzimbeni womntwana. Sinokuchaphazela nenkqubo yemithambo-luvo ephakathi . Esi zicubu ze-lymphoid sikwayinxalenye yenkqubo yokuzikhusela komzimba.

Lo mhlaza uqala kwiintlobo ezikhethekileyo zeeseli kwinkqubo ye-lymphatic. Ezi zii-B-lymphocytes (ii-B-cells), ii-T-lymphocytes (ii-T-cells), okanye ii-Natural Killer (NK). Ezi seli zisikhusela kwiintsholongwane ezahlukeneyo zebhaktiriya kunye neentsholongwane .

Kukho iintlobo ezintathu eziphambili ze-non-Hodgkin's lymphoma ebantwaneni. Uhlobo ngalunye lunokuchaphazela abantwana ngokwahlukileyo.

1. Ii-lymphomas ze-B-cell ezivuthiweyo

Ezi ziintlobo ze-lymphoma ezivela kwii-B-cells. Zibangela ngaphezu kwesiqingatha sazo zonke ii-non-Hodgkin lymphomas ebantwaneni. Iindaba ezimnandi zezokuba ngaphezu kwama-90% abantwana abanolu hlobo lwe-lymphoma bayachacha ngokupheleleyo emva konyango. Kukho iintlobo ezininzi eziphambili:

• I-Burkitt lymphoma/leukemia: Ezi ziintlobo ezahlukeneyo zesifo esifanayo. Unyango lufana kakhulu. Ludla ngokuqala kwi-lymph nodes esiswini okanye esifubeni. Kodwa ngamanye amaxesha lunokuchaphazela umongo wethambo, amathambo amade kwimilenze, okanye inkqubo yemithambo-luvo ephakathi. Kwi-Burkitt leukemia, kukho inani elikhulu leeseli ezingaqhelekanga egazini lomntwana, ezivela kwiiseli ezikumongo wethambo. Zombini i-Burkitt lymphoma kunye ne-leukemia zikhula ngokukhawuleza kakhulu.
• I-lymphoma enkulu ye-B-cell esasazwayo: Oku kuxhaphake kakhulu kubantwana abancinci abaphakathi kweminyaka eli-12 ukuya kweli-19 kunabantwana abancinci.
• I-mediastinal B-cell lymphoma ephambili: Oku kuqala kwii-B-cells kwi-mediastinum, indawo engasemva kwethambo lesifuba lomntwana. Ingasasazeka nakwii-lymph nodes. Oku kuxhaphake kakhulu kubantwana abancinci.

2. I-lymphoma ye-lymphoblastic

Olu hlobo lubandakanya malunga nesithathu see-non-Hodgkin lymphomas ebantwaneni. Ikwaxhaphake kakhulu kubantwana abancinci kunakubantwana abadala. I-lymphoma ye-lymphoblastic inokuchaphazela ii-B-cells okanye ii-T-cells.

Idla ngokuqala kwii-lymph nodes kwi-mediastinum yomntwana (indawo engasemva kwethambo lesifuba) okanye entanyeni. Kodwa inokuchaphazela nee-lymph nodes esiswini, kumongo wethambo, okanye kwamanye amalungu omzimba. Ngaphezulu kwama-80% abantwana abanyangwa ngolu hlobo bayasinda.

3. I-Anaplastic large cell lymphoma (ALCL)

Oku kwenza malunga ne-15% yazo zonke ii-non-Hodgkin lymphomas ebantwaneni. Kuchaphazela ii-T-cells kwaye kudla ngokuqala kwii-lymph nodes. Kunokuchaphazela nolusu kunye namathambo. Malunga nama-70% abantwana abane-ALCL bayasinda.

Ixhaphake kangakanani le sifo ebantwaneni?

Unyaka ngamnye, abantwana abaphakathi kwama-800 ne-1,000 bafunyaniswa bene-non-Hodgkin's lymphoma. Ixhaphake kancinci kubafana abamhlophe. Umngcipheko wokufumana esi sifo uyahluka ngokweminyaka yomntwana, kwaye umngcipheko unokwanda kancinci njengoko umntwana ekhula.

Ziziphi iimpawu ze-non-Hodgkin lymphoma?

Iimpawu zesi sifo ngamanye amaxesha zinokufana nezezinye izifo ezingabalulekanga kangako. Yiyo loo nto kufuneka ukhathazeke. Ukuba umntwana wakho unee-lymph nodes ezivuvukileyo, ubunzima bokuphefumla obungapheliyo, ukukhwehlela okungapheliyo, okanye impumlo egobhozayo,Ngokuqinisekileyo kufuneka ubone ugqirha.

Ezinye iimpawu zingabandakanya:

• Umkhuhlane oqhelekileyo ngaphandle kwesizathu.
• Ukukhwehlela.
• Ukubila ebusuku.
• Ukunciphisa umzimba ngaphandle kwesizathu.
• Ukudumba kwentloko, intamo, umzimba ongasentla, okanye iingalo.
• Ubunzima bokuginya (dysphagia).

Khumbula, ukuba nenye okanye ezimbini kwezi mpawu akuthethi ukuba umntwana wakho unesi sifo. Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka okanye ziyanda, ngokuqinisekileyo kufuneka ufune ingcebiso kugqirha.

Yintoni ebangela esi sifo ebantwaneni?

Enyanisweni, unobangela ochanekileyo we-non-Hodgkin's lymphoma ebantwaneni awukafunyanwa. Nangona kunjalo, oogqirha bachonge izinto ezininzi ezinobungozi. Nokuba ezi zinto zinobungozi zikhona, akuthethi ukuba umntwana ngokuqinisekileyo uza kuba nesi sifo. Kodwa kulungile ukuzazi ezi zinto.

Ukuba umntwana wakho unenye yezi ngxaki zempilo, buza ugqirha wakho ngale meko:

• Ukuba umntwana wakho unyangelwe olunye uhlobo lomhlaza.
• Ukuba umntwana wakho wosulelwe yi-mononucleosis (i-Mononucleosis – i-Epstein-Barr virus) okanye i-HIV (i-Human Immunodeficiency Virus).
• Ukuba umntwana wakho unenkqubo yomzimba yokuzikhusela ebuthathaka (umzekelo, ukuba ukhe wafakelwa isitho okanye umongo wethambo).
• Ukuba umntwana usebenzisa amayeza athintela inkqubo yomzimba yokuzikhusela.
• Ukuba umntwana unezifo ezithile ezidluliselwa kwilifa ezichaphazela inkqubo yomzimba yokuzikhusela.

Izifo zenkqubo yomzimba yokuzikhusela ezizuzwe njengelifa

Izifo ezidluliselwa ngegazi ezifana nezi zinokunyusa umngcipheko wokufumana i-non-Hodgkin's lymphoma:

• I-Ataxia-telangiectasia: Esi sisifo semithambo-luvo esichaphazela inkqubo yemithambo-luvo ephakathi, inkqubo yokuzikhusela komzimba, kunye nezinye iinkqubo zomzimba ebantwaneni.
• Isifo seChediak-Higashi: Oku kuchaphazela inkqubo yomzimba yokuzikhusela kunye nenkqubo yemithambo-luvo ebantwaneni.
• Ukunqongophala kwamasosha omzimba okuqhelekileyo: Abantwana abanale meko banamanqanaba aphantsi ee-antibodies (iiproteni ezilwa nosulelo) egazini labo.
• I-Nijmegen breakage syndrome: Abantwana abanale meko bane-immunodeficiency kunye namanqanaba aphantsi eeproteni zenkqubo yomzimba yokuzikhusela kunye nee-T-cells.
• Isifo esibi kakhulu sokungakwazi ukuzikhusela komzimba (i-SCID): Oku kuchaphazela ii-T-cells kunye nee-B-cells zabantwana, kunciphisa amandla omzimba kwaye kubabeka emngciphekweni omkhulu wokufumana umhlaza othile, kuquka ne-non-Hodgkin lymphoma.
• Isifo seWiskott-Aldrich:Oku kuchaphazela iiseli zegazi zabantwana kunye neeseli zenkqubo yomzimba yokuzikhusela. Abantwana abanale meko banamanqanaba aphantsi eeplatelets. Iiplatelets ziiseli ezinceda ukujiya kwegazi. Xa ezi ziphantsi, zinokubangela ukukruquka nokuphuma kwegazi ngokulula. Esi sifo sikwachaphazela iiseli ze-T kunye neeseli ze-B zenkqubo yomzimba yokuzikhusela.
• I-X-linked lymphoproliferative syndrome: Oku kuchaphazela inkqubo yomzimba yokuzikhusela ebantwaneni. Abantwana abanale syndrome banokuba nempendulo engaqhelekanga kwintsholongwane ye-Epstein-Barr.

Oogqirha bayixilonga njani i-non-Hodgkin lymphoma ebantwaneni?

Ukuchonga esi sifo yinkqubo eneenkcukacha ezininzi. Ngokwesiqhelo, kwenziwa uthotho lweemvavanyo zegazi, iimvavanyo ezahlukeneyo zomfanekiso, kunye ne-biopsy. Ugqirha uza kumhlola umntwana ngononophelo ukuze abone ukuba kukho naziphi na izinto ezingaqhelekanga, ezifana namaqhuma okanye iindlala ezidumbileyo. Baza kujonga nolwazi lwempilo losapho, oko kukuthi, izalamane ezisondeleyo kunye nezihlobo ezikude, kunye nokuba ngaba kukho imbali yomhlaza.

Uvavanyo lwegazi

• Ukubalwa kwegazi okupheleleyo (CBC): Oku kulinganisa inani leentlobo ezahlukeneyo zeeseli egazini lomntwana wakho. Iziphumo zinokunceda ekuqinisekiseni ukuba umntwana wakho uneempawu ze-lymphoma kwi-bone morrow yakhe okanye ukuba unyango luye lwachaphazela i-bone morrow yakhe.
• Izifundo zekhemistri yegazi: Kuthathwa iisampulu zegazi ukuze kulinganiswe amanqanaba ezinto ezithile ezikhutshwa egazini ezivela kwizitho okanye kwizicubu zomntwana. Amanqanaba aphezulu okanye aphantsi ngendlela engaqhelekanga ento anokuba luphawu lwesifo.
• Uvavanyo lokusebenza kwesibindi: Olu luvavanyo lwegazi. Lulinganisa ubungakanani bezinto ezithile ezikhutshwa sisibindi egazini. Ukuba kukho ubuninzi obungaphezulu kobuqhelekileyo, oko kungaba luphawu lomhlaza.

Ukongeza, oogqirha basebenzisa uvavanyo lwegazi ukujonga iintsholongwane ezinokunxulunyaniswa ne-non-Hodgkin's lymphoma ebantwaneni.

Uvavanyo lokufota

• I-CT scan (i-computed tomography – i-CT scan): Oku kungathatha imifanekiso eneenkcukacha zeendawo ezingaphakathi emzimbeni womntwana wakho. Olu vavanyo lwenzelwe ukujonga ii-lymph nodes ezivuvukileyo okanye ezinye iimpawu ze-lymphoma.
• I-MRI scan (iMagnetic resonance imaging – i-MRI): Oku kusebenzisa imagnethi, amaza erediyo, kunye nekhompyutha ukwenza uthotho lwemifanekiso eneenkcukacha zangaphakathi lomzimba. Isetyenziselwa ukujonga iimpawu ze-lymphoma engqondweni yomntwana okanye emgogodleni.
• I-PET scan (i-Positron emission tomography – i-PET scan):Oku kusetyenziselwa ukubona ukuba umntwana une-lymphoma okanye ukuba unyango luyichaphazele njani i-lymphoma. I-PET scan ibandakanya ukufaka inani elincinci le-radioactive glucose, okanye uhlobo lweswekile, emzimbeni womntwana. Iiseli zomhlaza zisebenza kakhulu kuneeseli eziqhelekileyo, ngoko ke zisebenzisa i-glucose eninzi. Ngoko ke olu scan lunokubonisa apho iiseli zomhlaza zikhoyo.
• I-Ultrasound: Oku kusebenzisa amaza esandi anamandla aphezulu. La maza aphuma kwizicwili okanye kwizitho zomzimba ngaphakathi emzimbeni aze enze amaza. La maza asetyenziselwa ukwenza umfanekiso obizwa ngokuba yi-sonogram. Oku kusetyenziswa ukukhangela ama-lymph nodes akufutshane nomphezulu womzimba womntwana, okanye esiswini, esibindini, okanye kwi-spleen.

Iibhayoloji

Oogqirha benza i-biopsies ukuze bathathe iisampulu zee-lymph nodes, amaqhuma anomhlaza, kunye nomongo wethambo baze bazihlole phantsi kwe-microscope okanye kwezinye iimvavanyo zelebhu. I-biopsy yeyona ndlela yokufumanisa ngokuqinisekileyo isifo. Okubaluleke ngakumbi, iziphumo ze-biopsy zinokunceda ekufumaneni uhlobo oluchanekileyo lwe-lymphoma. Oku kunokunceda ekufumaneni unyango olungcono kolo hlobo.

Kukho iintlobo ezahlukeneyo ze-biopsy. Oogqirha bakhetha uhlobo lwe-biopsy oluya kubangela iziphumo ezingezizo ezinganelisiyo emntwaneni kwaye luza kususa iiseli kunye nezicubu ezaneleyo zokuvavanya. Ngexesha lezi zilingo, umntwana unikwa amayeza okuthomalalisa, amayeza okudambisa iintlungu, okanye i-anesthesia yendawo okanye ngokubanzi ukuqinisekisa ukuba akaziva engonwabanga.

• I-biopsy yotyando: I-lymph node epheleleyo, iqhuma lezicubu, okanye iqhekeza elincinci leqhuma elikhulu elinomhlaza linokususwa ngotyando.
• Iibhayopsi zenaliti: Nokuba ziibhayopsi zentloko okanye iibhayopsi zenaliti ezincinci zenziwa ukususa izicubu okanye iindawo ze-lymph node.

Ezinye iintlobo ze-biopsy

Ukuba umntwana wakho une-non-Hodgkin's lymphoma, kunokwenziwa olunye uvavanyo ukuze kuqokelelwe izicubu ukuze kubonwe ukuba i-lymphoma isasazekile na. Njengakwezinye ii-biopsy, ezi zenziwa phantsi kotyando kunye/okanye i-anesthesia ukuqinisekisa ukuba umntwana wakho akaziva engonwabanga.

• Ukubhobozwa kwe -Lumbar (i-spinal tap): Oku kwenzelwa ukubona ukuba umhlaza usasazeke na kwingqondo yomntwana nakwi-spinal cord.
• Ukufunxwa komnkantsha wethambo kunye ne-bone marrow biopsy: Olu vavanyo lwenziwa ukuze kubonwe ukuba i-lymphoma isasazeke na kumongo wethambo lomntwana wakho. Ukuze enze oku, ugqirha ufaka inaliti engenanto kwithambo lesinqe lomntwana wakho aze athathe isampuli encinci yomnkantsha wethambo kunye nethambo.
• I-Thoracentesis:Ukuba i-lymphoma isasazeke kwingqayi yesifuba somntwana wakho okanye kwingqayi egquma imiphunga yakhe, ulwelo lunokuqokelelana. Ulwelo lususwa kusetyenziswa inaliti engenanto kwaye luhlolwe ukuba alunazo na iiseli zomhlaza.
• I-Paracentesis: Oku kuquka ukukhupha ulwelo esiswini somntwana.
• I-Mediastinoscopy: Le yinkqubo yotyando eyenziwa phantsi kwe-anesthesia eqhelekileyo. Yenzelwa ukujonga iingxaki kwizitho zomzimba, izicubu, kunye nee-lymph nodes phakathi kwemiphunga yomntwana wakho. Yenziwa ngesixhobo esibizwa ngokuba yi-mediastinoscope. Sisixhobo esibhityileyo, esifana netyhubhu esinokukhanya kunye nelensi yokubona, kunye nesixhobo sokuthatha iisampulu zezicubu okanye ze-lymph. Ifakwa ngomngxuma omncinci kwinxalenye ephezulu yesifuba somntwana wakho.

Ngaba oogqirha bahlulahlula i-lymphoma yabantwana engeyiyo iHodgkin ibe ngamanqanaba?

Ewe, kukho amanqanaba okwahlulahlula i-Non-Hodgkin's lymphoma. Ezi nkqubo zokulinganisa umhlaza zisetyenziselwa ukwenza izicwangciso zonyango.

Amanqanaba e-non-Hodgkin lymphoma

• Inqanaba lokuQala: Umhlaza ukwindawo enye kuphela, nokuba ngaphezulu okanye ngaphantsi kwe-diaphragm yomntwana (umsipha omkhulu owahlula isifuba nesisu).
• Inqanaba lesiBini: Umhlaza ukwindawo enye nakwii-lymph nodes ezikufutshane, okanye kwii-lymph nodes ezimbini okanye ngaphezulu, okanye kwezinye iindawo ezikwicala elinye le-diaphragm.
• Inqanaba lesi-3: Umhlaza ukwinqanaba elinye kwezine zilandelayo:
• Kukho umhlaza kwizicubu okanye kwi-lymph nodes kumacala omabini e-diaphragm.
• Umntwana unomhlaza webele.
• Umntwana unomhlaza wesisu, kwaye awunakususwa ngotyando.
• Inqanaba lesi-4: Umhlaza ukwithambo lomntwana, umqolo, kunye/okanye ingqondo.

Iphathwa njani i-non-Hodgkin lymphoma ebantwaneni?

Oogqirha bayaqhubeka bekhangela unyango olutsha, ingakumbi iindlela zokunyanga i-lymphoma ngaphandle kokubangela iziphumo ezibi kakhulu emva kwexesha. Iziphumo ezibi kakhulu ziimeko zempilo ezinokuthi zivele emva kweminyaka unyango luphelile kwaye i-non-Hodgkin's lymphoma yomntwana iphelile.

Kukho iintlobo ezintandathu eziphambili zonyango:

• Unyango lweKhemotherapy: Olu lolona nyango luphambili lwabantwana abane-non-Hodgkin lymphoma. Oogqirha banokusebenzisa iyeza elinye okanye indibaniselwano yamayeza amaninzi.
• Utyando: Kwezinye iimeko, amaqhuma anomhlaza asuswa ngotyando ngaxeshanye novavanyo lwe-biopsy. Nangona kunjalo, umntwana usenokufuna unyango olongezelelweyo, olufana ne-chemotherapy okanye i-immunotherapy.
• Unyango olujoliswe kulo:Oku kuchaphazela ii-genes ezithile zomhlaza, iiproteni, okanye amasuntswana amancinci ngaphakathi kweeseli ze-lymphoma ezibanceda ukuba basinde kwimiphumo ye-chemotherapy.
• Unyango lwe-Immunotherapy: Olu nyango lusebenza ngokuvuselela inkqubo yokuzikhusela yomzimba yomntwana, okanye ngokusebenzisa izinto ezenziweyo zenkqubo yokuzikhusela, ukutshabalalisa iiseli ze-lymphoma.
• Unyango ngemitha: Kwezinye iimeko, unyango ngemitha lusetyenziselwa ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo.
• Ukufakelwa kweeseli ze-stem: Iiseli ze-stem ezithathwe egazini okanye kumongo wethambo zisetyenziselwa ukutshintsha iiseli ezingaphilanga ngeeseli eziphilileyo.

Zithini iziphumo zonyango lomhlaza emva kwexesha?

Iziphumo zonyango lomhlaza emva kwexesha ziimeko zempilo ezinokuvela kwiinyanga okanye iminyaka emva kokuba unyango luphelile. Ezinye iziphumo emva kwexesha zingasongela ubomi. Njengoko abantwana abaninzi bephila ixesha elide emva konyango lwe-non-Hodgkin's lymphoma, oogqirha bazama ukuchonga nokunyanga ezi ziphumo emva kwexesha kwangoko.

Ezinye zezona ziphumo zixhaphakileyo ezibonwa ebantwaneni abane-non-Hodgkin lymphoma zezi:

• Umhlaza wesibini: Njengoko igama lisitsho, le yimihlaba emitsha ekhula ebantwaneni emva konyango lwe-non-Hodgkin lymphoma. Eqhelekileyo ibandakanya i-acute myeloid leukemia, i-myelodysplastic syndrome, umhlaza webele, kunye nomhlaza we-thyroid.
• Iimeko zentliziyo: Abanye abantwana abafumana i-chemotherapy banokuba neemeko zentliziyo ezifana nokusilela kwentliziyo, ubuthathaka bentliziyo (cardiomyopathy), ukuqina okanye ukuncitshiswa kwemithambo yegazi (isifo semithambo yegazi), ukubetha kwentliziyo okungaqhelekanga (arrhythmia), okanye umonakalo kwisigqubuthelo sokukhusela sentliziyo (pericarditis).
• I-Pneumonitis (ukudumba kwemiphunga): Amanye amayeza e-chemotherapy anokuchaphazela imiphunga ebantwaneni.
• Iingxaki zesibindi: Abantwana abasebenzisa amayeza e-chemotherapy banokuba nesibindi esikhulu okanye isifo sesibindi.

Kuthekani ngezilingo zeklinikhi ze-non-Hodgkin lymphoma yabantwana?

Ugqirha womntwana wakho unokucebisa ukuba uthathe inxaxheba kuvavanyo lweklinikhi lokunyanga i-non-Hodgkin's lymphoma. Kuvavanyo lweklinikhi, abanye abantu bafumana unyango olusemgangathweni, ngelixa abanye befumana unyango oluvavanywayo.

Unyango oluqhelekileyo ngamayeza kunye nolunye unyango olusele luvunyiwe kwaye lubonakalisiwe ukuba luyasebenza. Unyango lovavanyo, njengoko igama lisitsho, lunyango oluvavanywayo ukuze kubonwe ukuba lusebenza ngcono kunonyango oluqhelekileyo, okanye ukuba lusebenza ngendlela efanayo kodwa luneziphumo ebezingalindelekanga ezimbalwa.

Uvavanyo lweklinikhi lunokubandakanya amayeza amatsha, iidosi ezintsha zamayeza akhoyo, okanye indibaniselwano emitsha yonyango olukhoyo. Rhoqo, oogqirha kwiziko lomhlaza wabantwana bajonga olu vavanyo lweklinikhi. Buza ugqirha wakho ukuba uvavanyo lweklinikhi lunokuba lolona khetho lonyango lomntwana wakho.

Ngaba i-non-Hodgkin lymphoma ebantwaneni inganyangeka?

Ewe, oogqirha banokunyanga abantwana abaninzi abane-non-Hodgkin's lymphoma ngonyango abanalo. Oko kuyathuthuzela ngokwenene, akunjalo?

Ingakanani izinga lokusinda kwi-non-Hodgkin lymphoma yabantwana?

Izinga lokusinda kwabantwana abane-non-Hodgkin's lymphoma liyahluka ngokuxhomekeke kuhlobo lwe-lymphoma. Ngokomyinge, phakathi kwama-70% nama-90% abantwana abanesifo baphila iminyaka engaphezu kwemihlanu emva kokufunyaniswa ukuba banaso.

Kwenzeka ntoni emva kokuba umntwana wam egqibile unyango lwe-non-Hodgkin lymphoma?

Xa unyango lomhlaza luphelile, wena nomntwana wakho niza kuziva nikhululekile kwaye nivuya. Bhiyozelani olo vuyo, kodwa khumbula, umntwana wakho kuya kufuneka ahlale enxibelelana nogqirha iminyaka eliqela.

Kwiminyaka embalwa yokuqala emva konyango, ugqirha wakho uya kucebisa ukuba uhlolwe rhoqo kwaye uvavanywe. Oku kuya kunceda ukujonga impilo yomntwana wakho iyonke, ukujonga ukuba umhlaza awuphinde ubuye na, kunye nokujonga iimpawu zemiphumo emva koko. Umntwana wakho uya kufuna uvavanyo lwegazi kunye neeskeni.

Ndingayilawula njani/ndingayilawula njani imiphumo yonyango lomhlaza?

Abantwana banokufumana iziphumo zonyango lomhlaza emva kweenyanga okanye iminyaka emva kokuba unyango luphelile. Ukwazi oku kunokukwenza wena nomntwana wakho nizive nixhalabile ngekamva. Kodwa yazi ukuba ugqirha womntwana wakho uza kujonga impilo yomntwana wakho emva konyango, ngoko ke naziphi na iingxaki zinokuchongwa kwaye zinyangwe ngokukhawuleza.

Buza ugqirha wakho ngemiphumo enokubakho emva koko umntwana wakho anokuyiva kunye neempawu zokuqala. Khuthaza umntwana wakho ukuba aqaphele iimpawu zale miphumo njengoko ekhula aze aqale ukunyamekela impilo yakhe.

Ndinganciphisa na amathuba omntwana wam okufumana i-non-Hodgkin lymphoma?

Abantwana abaneenkqubo zokuzikhusela zomzimba ezibuthathaka banokuba sengozini enkulu yokuba ne-non-Hodgkin's lymphoma. Umzekelo, ukuba umntwana wakho uye wafakelwa umongo wethambo okanye watyandwa amalungu omzimba, usenokuba sengozini yesi sifo. Kwakhona, ukuba umntwana wakho unezifo ezithile ezidluliselwa kwilifa ezichaphazela inkqubo yokuzikhusela komzimba, umngcipheko unokwanda.

Ugqirha womntwana wakho uyayazi imbali yempilo yomntwana wakho. Ukuba uneenkxalabo malunga noku, buza ugqirha wakho ukuba umntwana wakho uneemeko ezimbeka esichengeni sokufumana esi sifo. Emva koko, ungajonga izinto ezithile ezinokuba ziimpawu zokuqala ze-non-Hodgkin lymphoma.

Umntwana wam une-non-Hodgkin lymphoma. Ndingamnceda njani?

Umhlaza unzima kuye wonke umntu, kodwa unzima ngakumbi ebantwaneni. Abantwana abancinci basenokungakhuli ngokwaneleyo ukuqonda ukuba kutheni kunzima kangaka kubo. Banokoyika iimvavanyo kunye nonyango. Kungokwemvelo ukuba abantwana abancinci abafunda ngesifo sabo bazive benomsindo kwaye besoyika imeko yabo. Ukuba wena nomntwana wakho nizabalazela ukumelana nemiphumo yomhlaza, buza ugqirha wakho ngeenkonzo zobomi bomntwana. Ezi nkonzo zinikezelwa ziingcali ezinceda abantwana kunye neentsapho ukuba zijongane nemingeni yomhlaza.

Ngomzuzu omnye unomntwana ophilileyo, kwaye ucinga ukuba unesifo esiqhelekileyo. Ngomzuzu olandelayo, unomntwana onomhlaza. Akulula ukufumanisa ukuba umntwana wakho une-non-Hodgkin lymphoma. Nangona oogqirha bephilisa abantwana abaninzi abanale meko, umntwana wakho kusafuneka ajongane nonyango olunzulu oluphazamisana nobomi bakhe bemihla ngemihla. Kwanasemva konyango, umntwana wakho usenokuba nemiphumo emibi emva koko, iimeko zempilo ezinzulu ezifuna unyango olongezelelweyo. Konke kunzima ukujamelana nako. Ungaziva ngathi ihlabathi lakho litshintshiwe, kwaye ungazibuza ukuba liya kuze lilunge kwakhona na.

Kodwa khumbula, ugqirha womntwana wakho uyayiqonda into ojongene nayo wena nomntwana wakho. Cela uncedo kuye, olunokubandakanya ulwazi malunga nemeko yomntwana wakho, izixhobo zakho kunye nosapho lwakho, kwaye bayavuya ukwenza nantoni na abanako ukuyenza.

Okokugqibela, umyalezo oya ekhaya

• I-Non-Hodgkin's Lymphoma ebantwaneni ngumhlaza owenzeka kwinkqubo ye-lymphatic.
• Oku kunokunyangeka ngempumelelo, ingakumbi ukuba kubonwe kwangethuba.
• Qaphela iimpawu (ezifana nokudumba kwee-lymph nodes, ukukhwehlela okungapheliyo, umkhuhlane, ukwehla kobunzima). Ukuba ezi zinto ziyaqhubeka, bona ugqirha.
• Kukho iindlela ezahlukeneyo zonyango (ezifana ne-chemotherapy, utyando, kunye nonyango lwe-radiation). Ugqirha uya kukhetha unyango olulungele umntwana wakho.
• Iziphumo emva konyango zinokwenzeka emva koko, ngoko ke kubalulekile ukuqhubeka nokuhlolwa ngugqirha.
• Awuwedwa. Oogqirha, abahlengikazi, kunye nabacebisi bakhona ukunceda wena nomntwana wakho. Musa ukoyika ukucela uncedo kubo.

Ndiyathemba ukuba olu lwazi lukuncedile ukuba uqonde esi sifo. Khumbula, ngesimo sengqondo esihle kunye nonyango olufanelekileyo, ungayoyisa le ngxaki.

I- Non-Hodgkin's Lymphoma, Umhlaza woBuntwana, I-Lymphoma, Inkqubo ye-Lymphatic, Iimpawu zoMhlaza, Unyango loMhlaza, Impilo yabantwana