Huʻi myeloid leukemia (AML) - keiki

ʻO ka leukemia myeloid ākea ka maʻi ʻaʻai o ke koko a me ka iwi o ka iwi. ʻO ka iwi iwi ka mea palupalu i loko o nā iwi e kōkua ai e hana i nā huna koko. ʻO ke kumu ke ulu koke ka maʻi ʻaʻai.

Hiki i nā mākua a me nā keiki ke loaʻa i ka maʻi myeloid leukemia (AML). ʻO kēia ʻatikala e pili ana iā AML i nā keiki.

I nā keiki, kākaʻikahi loa ka AML.

Hoʻopili ka AML i nā hunaola i ka iwi iwi e lilo maʻamau i mau hunaola keokeo. Kūkulu kēia mau huna leukemia i loko o ka iwi iwi a me ke koko, me ka waiho ʻole i kahi no nā ʻulaʻula a me nā keʻokeʻo olakino olakino maikaʻi e hana ai. Ma muli o ka lawa ʻole o nā pūnaewele olakino e hana ai i kā lākou hana, ʻoi aku ka nui o nā keiki me AML:

• Anemia
• Hoʻonui i ka makaʻu no ke kahe ʻana a me ka palapū
• Nā maʻi ʻino

ʻO ka hapanui o ka manawa, he aha ka mea i ʻike ʻole ʻia ai ʻo AML. I nā keiki, hiki i kekahi mau mea ke hoʻonui i ka makaʻu o ka hoʻomōhala ʻana iā AML:

• Hōʻike i ka waiʻona a i ʻole ka uahi paka ma mua o ka hānau ʻana
• ʻO kahi moʻaukala o kekahi mau maʻi, e like me ka anemia aplastic
• Nā maʻi genetical, e like me Down Syndrome
• ʻO ka mālama i hala me kekahi mau lāʻau i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai
• Ka hana i hala me ka radiation radiation

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o nā kumu pilikia ʻaʻole ia he kumu e ulu ai kāu keiki i ka maʻi ʻaʻai. ʻO ka hapa nui o nā keiki e hoʻomohala i ka AML ʻaʻohe mea i ʻike ʻia i ka pilikia.

Nā ʻōuli o ka AML:

• Iwi a ʻeha pū paha
• Nā maʻi pinepine
• ʻO ke kahe maʻalahi a ʻeha paha
• Manaʻo nāwaliwali a luhi paha
• Fever me ka loaʻa ʻole o kahi maʻi
• Hoʻoulu ka pō
• ʻO nā puʻupuʻu ʻole i ka ʻāʻī, nā lima lima, ʻōpū, ʻūlū, a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino e polū a poni paha.
• Nā kiko kiko ma lalo o ka ʻili i hoʻokumu ʻia e ke kahe
• Pokole o ka hanu
• Loaʻa ka ʻai ʻole a ʻai liʻiliʻi i ka meaʻai

E hana ka mea mālama ola i kēia mau hōʻike a me nā hōʻike aʻe:

• ʻO ka hoʻāʻo kino a me ka mōʻaukala olakino
• Helu piha ke koko (CBC) a me nā hoʻokolohua koko ʻē aʻe
• Ke aʻo kemika koko
• Pākuʻi x-ray
• ʻO Biopsies o ka iwi iwi, ʻōiwi, a i ʻole pūnana lymph
• ʻO kahi hoʻāʻo e nānā i nā loli i nā chromosome i ke koko a i ʻole ka iwi iwi

Hana ʻia paha nā hoʻokolohua ʻē aʻe e hoʻoholo ai i ke ʻano kikoʻī o AML.

Hoʻomaopopo ʻia ka mālama ʻana no nā keiki me ka AML:

• Nā lāʻau lapaʻau anticancer (chemotherapy)
• Radiation therapy (kākaʻikahi)
• ʻO kekahi ʻano o ka hoʻomōhala hoʻomōhala
• Hāʻawi ʻia ke kahe koko e kōkua i ka mālama ʻana i ka anemia

E ʻōlelo paha ka mea hāʻawi i ka neʻe ʻana o ka iwi iwi. ʻAʻole hana pinepine ʻia kahi transplan a hiki i ke kala ʻana o ka AML mai ka chemotherapy mua. ʻO ke kala ʻana ʻaʻole hiki ke ʻike ʻia nā hōʻailona koʻikoʻi o ka maʻi ʻaʻai i loko o kahi hōʻike a me ka hoʻāʻo ʻana. Hiki i kahi transplant ke hoʻomaikaʻi i nā manawa o ke ola a me ke ola wā lōʻihi no kekahi mau keiki.

E wehewehe ke kime lapaʻau o kāu keiki i nā koho ʻokoʻa iā ʻoe. E makemake paha ʻoe e kākau memo. E nīnau pono i nā nīnau inā ʻaʻole maopopo iā ʻoe i kekahi mea.

ʻO ka loaʻa ʻana o kahi keiki me ka maʻi ʻaʻai hiki iā ʻoe ke ʻano kaʻawale. I loko o kahi hui kākoʻo maʻi ʻino, hiki iā ʻoe ke ʻike i ka poʻe e hele nei i nā mea like āu. Hiki iā lākou ke kōkua iā ʻoe e kūpale i kou mau manaʻo. Hiki iā lākou ke kōkua iā ʻoe e ʻike i ke kōkua a i ʻole nā ​​hāʻina no nā pilikia. E noi i kāu hui mālama ola a i ʻole limahana ma ke kikowaena maʻi ʻaʻai e kōkua iā ʻoe e loaʻa i kahi hui kākoʻo.

Hiki i ka maʻi ʻaʻai ke hoʻi mai i kēlā me kēia manawa. Akā me AML, ʻaʻole paha e hoʻi hou ma hope o ka hala ʻana no 5 mau makahiki.

Hiki ke hoʻolaha ʻia nā huna leukemia mai ke koko a i nā ʻāpana ʻē aʻe o ke kino, e like me:

• Lolo
• Lāʻau ʻōiwi
• ʻIli
• Nā gums

Hiki i nā hunaola maʻi ʻaʻai ke hana i kahi tumo paʻa i loko o ke kino.

Kāhea aku i kahi manawa me kāu mea hoʻolako inā loaʻa i kāu keiki nā ʻōuli o AML.

Eia kekahi, e ʻike i kāu mea hāʻawi inā loaʻa ka maʻi AML o kāu keiki a me ke kuni a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi e hele ʻole.

ʻAʻole hiki ke pale ʻia nā maʻi ʻōpio he nui. ʻO ka hapa nui o nā keiki e hoʻomohala i ka leukemia ʻaʻohe mea pilikia.

Huʻi myelogenous leukemia - keiki; AML - keiki; Huʻi granulosittic leukemia - keiki; Huʻi myeloblastic leukemia - keiki; ʻO ka leukemia non-lymphocytic koʻikoʻi (ANLL) - nā keiki

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. He aha ka leukemia kamaliʻi? www.cancer.org/cancer/leukemia-in- Children/about/what-is-childhood-leukemia.html. Hoʻohou i Pepeluali 12, 2019. Loaʻa iā ʻOkakopa 6, 2020.

Gruber TA, Rubnitz JE. Huʻi myeloid leukemia i nā keiki. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 62.

Pūnaewele ʻo National Cancer Institute. ʻO ka leukemia myeloid ʻoi loa / kahi mālama maʻi myeloid malignancies (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/leukemia/hp/child-aml-treatment-pdq. Hoʻohou i ʻAukake 20, 2020. Loaʻa iā ʻOkakopa 6, 2020.

ʻO Redner A, Kessel R. Loaʻa leukemia myeloid. I: Lanzkowsky P, Lipton JM, Fish JD, eds. ʻO Lanzkowsky's Manual of Pediatric Hematology a me Oncology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 19.