He aha ka lymphoma a Burkitt, nā ʻōuli a pehea ka mālama ʻana

Anter

• Nā hōʻailona nui
• He aha nā kumu
• Pehea e hōʻoia ai i ke kuhi
• Nā ʻano nui
• Pehea e hana ai i ka lāʻau
• Hiki ke curable ka lymphoma o Burkitt?

ʻO ka lymphoma o Burkitt kahi ʻano maʻi ʻaʻai o ka ʻōnaehana lymphatic, kahi e hoʻopili ai i nā lymphocytes, nā ʻāpana pale o ke kino. Pili paha kēia maʻi ʻaʻai me ka maʻi e ka Epstein Barr virus (EBV), ka maʻi hoʻomaʻemaʻe kanaka (HIV), akā hiki nō ke ala aʻe mai kahi hoʻololi kūʻē.

ʻO ka mea maʻamau, hoʻomohala nui kēia ʻano lymphoma i nā keiki kāne ma mua o nā mākua a pili pinepine i nā ʻōpū o ka ʻōpū. Eia nō naʻe, no ka mea he maʻi ʻaʻai kolohe ia, kahi e ulu wikiwiki ai nā hunaola maʻi ʻaʻai, hiki i nā mea ʻē aʻe, e like me ke akepaʻa, ʻeleu, iwi iwi a me nā iwi o ka maka.

ʻO ka hōʻailona mua o ka lymphoma a Burkitt ka helehelena o ka pehu ʻana ma ka ʻāʻī, nā ʻūlima, ke aʻa a i ʻole ka pehu ʻana i ka ʻōpū a i ʻole ke alo, e pili ana i ka wahi i hoʻopili ʻia e ka lymphoma. Ma hope o ka loiloi ʻana i nā ʻōuli, e hōʻoia ka hematologist i ka hōʻailona ma o ka biopsy a me nā hoʻokolohua kiʻi. No laila, me ka hōʻoia o ka lymphoma a Burkitt, hōʻike ʻia ka lapaʻau kūpono loa, ʻo ia hoʻi ka chemotherapy. E ʻike hou aʻe pehea e hana ai i ka chemotherapy.

Nā hōʻailona nui

Hiki ke loli nā ʻōuli o Burkitt's lymphoma ma muli o ka ʻano a me ka wahi o ka tumo, akā ʻo nā ʻōuli maʻamau o kēia ʻano maʻi ʻaʻai.

• Lelo i ka ʻāʻī, nā ʻāpana lima a me / a i ʻole ke aʻa;
• ʻO ka hou nui o ka pō;
• Fiva;
• Lahilahi me ke kumu ʻole;
• Ka luhi.

He mea maʻamau ia no ka lymphoma a Burkitt e hoʻopili ai i ka ʻāpana o ka iwi ā a me nā iwi ʻē aʻe o ka maka, no laila hiki ke hoʻoulu i kekahi ʻaoʻao o ka maka. Eia nō naʻe, hiki i ka tumo ke ulu i loko o ka ʻōpū, e hoʻoulu ai i ka ʻōpū a me ka ʻeha o ka ʻōpū, kahe ʻana o ke kahe a me ka ʻōpū. Ke pālahalaha ka lymphoma i ka lolo, hiki ke hoʻonā i ka nāwaliwali i ke kino a me ka paʻakikī e hele wāwae.

Eia hou, ʻo ka pehu ʻana ma muli o ka lymphoma a Burkitt, ʻaʻole ia he kumu no ka ʻeha a hoʻomaka pinepine a ʻino hoʻi i loko o kekahi mau lā.

He aha nā kumu

ʻOiai ʻaʻole i ʻike maopopo ʻia nā kumu o ka lymphoma a Burkitt, i kekahi mau hanana ua pili kēia maʻi ʻaʻai me nā maʻi e ka maʻi EBV a me ka maʻi HIV. Eia hou, ke loaʻa nei i kahi maʻi hānau, ʻo ia hoʻi, ka hānau ʻia ʻana me kahi pilikia kūpilikiʻi e hoʻopilikia ai i nā pale o ke kino, e hoʻopili ʻia paha me kēia ulu ʻana o kēia ʻano lymphoma.

ʻO ka limfoma ʻo Burkitt ka ʻano maʻamau o ka maʻi ʻaʻa kamaliʻi i nā wahi kahi e loaʻa ai nā maʻi malaria, e like me ʻApelika, a he mea maʻamau ia ma nā wahi ʻē aʻe o ka honua kahi e nui ai nā keiki i loaʻa i ka maʻi HIV.

Pehea e hōʻoia ai i ke kuhi

I ka palahalaha loa ʻana o ka lymphoma a Burkitt, he mea nui e hōʻike koke ʻia ke kuhi. Manaʻo paha ka loio maʻamau a pediatrician paha i ka maʻi ʻaʻai a kuhikuhi iā ia i ka oncologist a i ʻole hematologist, a ma hope o ka ʻike ʻana i ka lōʻihi o ke kau ʻana o nā hōʻailona, ​​e hōʻike ia i ka hana ʻana o kahi biopsy i ka wahi tumo. E ʻike pehea e hana ʻia ai ka biopsy.

Hoʻohui ʻia, hana ʻia nā hoʻokolohua ʻē aʻe e kuhikuhi i ka lymphoma o Burkitt, e like me ka tomography i helu ʻia, nā kiʻi resonance ʻume mākenue, scanner pet, hōʻiliʻili iwi iwi a me CSF. ʻO kēia mau hoʻokolohua na ke kauka e hoʻomaopopo i ka paʻakikī a me ka nui o ka maʻi a laila wehewehe i ke ʻano o ka lāʻau.

Nā ʻano nui

Hoʻonohonoho ka World Health Organization i ka lymphoma a Burkitt i ʻekolu mau ʻano ʻokoʻa, ʻo ia:

• Endemikā a ʻApelika paha: pili nui ia i nā keiki mai 4 a 7 mau makahiki a ʻoi aku ka palua o ka maʻamau i nā keikikāne;
• Sporadic a i ʻole ʻole ʻApelika: ʻo ia ka ʻano maʻamau a hiki ke hiki i nā keiki a me nā mākua ma ka honua holoʻokoʻa, e helu kokoke ana i ka hapalua o nā hihia o nā lymphomas i nā keiki;
• Hoʻopili ʻia me ka immunodeficiency: aia i loko o ka poʻe i loaʻa i ka maʻi HIV a loaʻa iā AIDS.

Hiki i ka lymphoma o Burkitt ke hana ʻia i ka poʻe i hānau ʻia me kahi maʻi maʻi e hiki ai i nā pilikia palekana haʻahaʻa a hiki i kekahi manawa ke hoʻololi i ka poʻe i loaʻa kahi transplant a hoʻohana i nā lāʻau hoʻomalu.

Pehea e hana ai i ka lāʻau

Pono e hoʻomaka i ka hoʻomaʻamaʻa ʻana no ka lymphoma a Burkitt ke hōʻoiaʻiʻo ʻia ke kuhi, no ka mea, he ʻano tumo ia e ulu wikiwiki ana. Paipai ka hematologist i ka mālama ʻana e like me ka wahi o ka tumo a me ke kahua o ka maʻi, akā i ka hapanui o nā hihia, mālama ʻia kēia ʻano lymphoma ma ka chemotherapy.

ʻO nā lāʻau i hiki ke hoʻohana pū ʻia i ka chemotherapy ʻo cyclophosphamide, vincristine, doxorubicin, dexamethasone, methotrexate a me cytarabine. Hoʻohana pū ʻia ʻo Immunotherapy, ʻo ka rituximab ka lāʻau i hoʻohana nui ʻia, nā mea e hoʻopili ai i nā protein i nā hunaola maʻi ʻino e kōkua ana e hoʻopau i ka maʻi ʻaʻai.

Hoʻokomo ʻia ka chemotherapy Intrathecal, kahi lāʻau i noi ʻia i ka iwi kuamoʻo, no ka mālama ʻana i ka lymphoma o Burkitt i ka lolo a hoʻohana ʻia e pale iā ia mai ka hoʻolaha ʻana i nā ʻāpana ʻē aʻe o ke kino.

Eia nō naʻe, hiki ke hōʻike ʻia i nā ʻano lapaʻau ʻē aʻe e ke kauka, e like me radiotherapy, ʻoki kino a me ka hoʻoulu iwi iwi autologous a i ʻole autotransplantation.

Hiki ke curable ka lymphoma o Burkitt?

ʻOiai ʻo ia ke ʻano ʻano maʻi ʻaʻai o ka maʻi ʻaʻai, aneane hiki ke hoʻōla ʻia ka lymphoma o Burkitt, akā pili kēia i ka manawa e ʻike ʻia ai ka maʻi, ka wahi i hoʻopilikia ʻia a inā ua hoʻomaka koke ka lāʻau ʻana. Ke kuhi ʻia ka maʻi i ka wā mua a i ka wā e hoʻomaka ai ka mālama ʻana ma hope, aia kahi manawa ʻoi aku ka nui o ka hoʻōla.

ʻO kā Lymphomas o Burkitt ma ke kahua I a me II i ʻoi aku ma mua o 90% o ka hoʻōla, akā ʻo nā lymphomas me ka pae III a me IV he awelika o 80% ka manawa o ka hoʻōla.

I ka hopena o ka lapaʻau ʻana, pono ia e ukali pū me ka hematologist ma kahi o 2 mau makahiki a hana i nā hōʻike i kēlā me kēia 3 mahina.

E nānā i kahi wikiō me kekahi mau ʻōlelo aʻoaʻo e pili ana i ka hana me nā ʻōuli maʻi ʻaʻai.