Hodgkin lymphoma i nā keiki

ʻO Hodgkin lymphoma ka maʻi ʻaʻai o ka aʻa lymph. Loaʻa nā mea Lymph i nā lymph node, spleen, tonsils, ate, iwi o ka iwi, a me nā mea ʻē aʻe o ka ʻōnaehana pale. Pale ka ʻōnaehana pale iā mākou i nā maʻi a me nā maʻi.

ʻO kēia ʻatikala e pili ana i ka lymphoma Hodgkin kahiko i nā keiki, ke ʻano maʻamau.

I nā keiki, ʻoi aku ka nui o ka Hodgkin lymphoma ma waena o 15 a 19 mau makahiki. ʻAʻole ʻike ʻia ke kumu o kēia ʻano maʻi ʻaʻai. Akā, pili paha kekahi mau mea i ka Hodgkin lymphoma i nā keiki. Aia kēia mau mea i:

• ʻO ka maʻi Epstein-Barr, ka maʻi hoʻomaʻamaʻa e kumu ai ka mononucleosis
• ʻO kekahi mau maʻi kahi e holo pono ʻole ai ka ʻōnaehana pale
• ʻO ka moʻolelo ʻohana o Hodgkin lymphoma

Hiki i nā maʻi ma ke ʻano kamaliʻi ke hoʻonui i ka makaʻu.

ʻO nā ʻōuli o Hodgkin lymphoma:

• ʻO ka pehu ʻole o nā lymph node i ka ʻāʻī, nā ʻāpana lima, a i ʻole nā ​​ʻūlū (nā kelena).
• Ke kuni kuhi ʻole
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia
• Hoʻoulu ka pō
• Ka luhi
• Loaʻa ka ʻai ʻole
• Mākaʻu i ke kino holoʻokoʻa

E lawe ka mea mālama ola i ka mōʻaukala olakino o kāu keiki. E hana ana ka mea hāʻawi i kahi hoʻokolohua kino e nānā no nā wahi lymph pehu.

Hiki i ka mea hāʻawi ke hana i kēia mau hoʻokolohua hoʻokolohua ke manaʻo ʻia ka maʻi ʻo Hodgkin:

• Nā hoʻāʻo kemika koko - me nā pae protein, nā hoʻokolohua hana ate, nā hoʻāʻo ʻana o ka hakuʻala, a me ka pae uric acid
• ESR ("Sed rate")
• Helu piha koko (CBC)
• ʻO ka x-ray umauma, e hōʻike pinepine nei i nā hōʻailona o ka nuipa i ka wahi ma waena o nā akemāmā

ʻO kahi biopsy lymph node e hōʻoia i ka hōʻoia o Hodgkin lymphoma.

Inā hōʻike kahi biopsy he lymphoma kāu keiki, e hana hou ʻia nā hoʻokolohua e ʻike ai i ka lōʻihi o ka laha ʻana o ka maʻi ʻaʻai. Kāhea ʻia kēia. Kōkua ke kau ʻana i ke alakaʻi ʻana i ka mālama e hiki mai ana a me ka ukali.

• CT scan o ka ʻāʻī, ka umauma, ʻōpū, a me ke pelvis
• Biopsy iwi ʻōiwi
• Scanner PET

ʻO ka Immunophenotyping kahi hoʻokolohua hoʻokolohua e hoʻohana ai e ʻike i nā hunaola, e pili ana i nā ʻano antigens a i ʻole nā ​​māka ma ka ʻili o ka pūnaewele. Hoʻohana ʻia kēia hoʻokolohua e kuhikuhi i ke ʻano kikoʻī o ka lymphoma ma ka hoʻohālikelike ʻana i nā hunaola maʻi ʻaʻai i nā hunaola maʻamau o ka ʻōnaehana pale.

Hiki iā ʻoe ke koho e ʻimi i ka mālama ma kahi kikowaena maʻi ʻaʻai o nā keiki.

E pili ka mālama ʻana i ka pūʻulu makaʻu e hāʻule ai kāu keiki. ʻO nā kumu ʻē aʻe e noʻonoʻo ʻia e like me:

• Ka makahiki o kāu keiki
• Moekolohe
• Nā hopena ʻaoʻao

E hōʻiliʻili ʻia ka lymphoma o kāu keiki ma ke ʻano he kūlana haʻahaʻa haʻahaʻa, a me ka pōpilikia waena ma muli o:

• Ke ʻano o Hodgkin lymphoma (aia kekahi mau ʻano o Hodgkin lymphoma)
• Ke kahua (kahi i laha ai ka maʻi)
• Inā nui ka tumo nui a hoʻokaʻawale ʻia kahi "maʻi nui"
• Inā ʻo kēia ka maʻi ʻaʻai mua a i ʻole inā hoʻi mai ia (recurred)
• Ke kū ʻana o ke kuni, ka hoʻēmi kino, a me ka hou o ka pō

ʻO Chemotherapy ka mea lapaʻau pinepine pinepine.

• Pono paha kāu keiki e noho ma ka haukapila i ka mua. Akā hāʻawi pinepine ʻia nā lāʻau chemotherapy i loko o kahi keʻena maʻi, a noho mau kāu keiki ma ka home.
• Hāʻawi ʻia ʻo Chemotherapy i loko o nā veins (IV) a i kekahi manawa me ka waha.

Hiki i kāu keiki ke loaʻa i ka radiation radiation me ka hoʻohana ʻana i nā kukuna x kiʻekiʻe loa ma nā wahi i loaʻa i ka maʻi ʻaʻai.

Hiki i nā mālama ʻē aʻe ke:

• Hoʻopaʻa kaulike e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻino e pepehi i nā hunaola maʻi ʻaʻai
• Hiki ke ukali ʻia ka chemotherapy kiʻekiʻe e ka transplant cell stem (e hoʻohana ana i nā hunaola o kāu keiki ponoʻī)
• ʻAʻole hoʻohana pinepine ʻia ke kaha ʻana e wehe i kēia ʻano maʻi ʻaʻai, akā pono ʻia paha i nā hihia kakaikahi

ʻO ka loaʻa ʻana o kahi keiki me ka maʻi ʻaʻai kekahi mea paʻakikī loa āu e hana ai ma ke ʻano he makua. ʻAʻole maʻalahi ka wehewehe ʻana i ke ʻano o ka loaʻa ʻana i ka maʻi ʻaʻai i kāu keiki. Pono ʻoe e aʻo pehea e loaʻa ai ke kōkua a me ke kākoʻo i hiki ai iā ʻoe ke pale maʻalahi.

ʻO ka loaʻa ʻana o kahi keiki me ka maʻi ʻaʻai hiki ke kaumaha. ʻO ka hui ʻana i kahi hui kākoʻo kahi e hoʻokaʻawale ai nā mākua a ʻohana paha i nā ʻike maʻamau i hiki ke hōʻoluʻolu i kou kaumaha.

• Leukemia a me Lymphoma Society - www.lls.org
• ʻO ka National Children's Cancer Society - www.thenccs.org/how-we-help/

Hiki ke hoʻōla ʻia ʻo Hodgkin lymphoma i ka hapanui o nā hihia. ʻOiai inā hoʻi kēia ʻano maʻi ʻaʻai, maikaʻi ka manawa o ka hoʻōla.

Pono kāu keiki e loaʻa i nā hōʻike maʻamau a me nā hoʻokolohua kiʻi no nā makahiki ma hope o ka mālama ʻana. E kōkua kēia i ka mea lawelawe e nānā no nā hōʻailona o ka maʻi ʻaʻai e hoʻi ana a no nā hopena mālama wā lōʻihi.

Loaʻa i nā mālama ʻana no Hodgkin lymphoma nā pilikia. Hiki ke ʻike ʻia nā hopena o ka chemotherapy a i ʻole ka radiation therapy ma hope o ka mālama ʻana. Kapa ʻia kēia mau mea ʻo "hopena hopena." He mea nui e kamaʻilio e pili ana i nā hopena lapaʻau me kāu hui mālama ola. ʻO ka mea e manaʻo ai e pili ana i nā hopena hopena e pili ana i nā hana maʻamau i loaʻa i kāu keiki. Pono e kaulike ʻia ka hopohopo o nā hopena hopena e ka pono e mālama a hoʻōla i ka maʻi ʻaʻai.

E hoʻomau i ka ukali ʻana me kāu kauka o kāu keiki e nānā a kōkua i ka pale ʻana i kēia mau pilikia.

Kāhea aku i kāu mea hāʻawi inā loaʻa kāu keiki i nā lymph node pehu me kahi kuni e noho no ka manawa lōʻihi a i ʻole he mau hōʻailona ʻē aʻe o Hodgkin lymphoma. Kāhea i ka mea hāʻawi i kāu keiki inā loaʻa iā Hodgkin lymphoma kāu keiki a loaʻa nā hopena ʻaoʻao mai ka lāʻau.

Lymphoma - Hodgkin - keiki; Maʻi Hodgkin - keiki; Kanesa - Hodgkin lymphoma - keiki; ʻO lyodoma Hodgkin kamaliʻi

ʻAhahui ʻAmelika o ka Clinical Oncology (ASCO) pūnaewele. Lymphoma - Hodgkin - wā kamaliʻi. www.kanaka.net/cancer-types/lymphoma-hodgkin-childhood. Hoʻohou Ianuali 2018. Loaʻa iā ʻOkakopa 7, 2020.

Hochberg J, Goldman SC, Cairo MS. Lymphoma. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 523.

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka lyodoma Hodgkin Childhood (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/lymphoma/hp/child-hodgkin-treatment-pdq. Hoʻohou ʻia ʻo Pepeluali 3, 2021. Loaʻa iā Pepeluali 23, 2021.