Lymphoma ndi matenda osowa ana omwe amakhala ndi ana pafupifupi 100 ku Australia omwe amapezeka chaka chilichonse. Komabe, ngakhale ndizosowa, ndi khansa yachitatu yomwe imapezeka kwambiri mwa ana, achinyamata ndi achinyamata.
Achinyamata ambiri, ngakhale omwe ali ndi lymphoma yapamwamba amatha kuchiritsidwa atalandira chithandizo choyamba.
Lymphomas ndi gulu la khansa ya mtundu wa maselo oyera a magazi otchedwa lymphocytes, omwe amakhala kwambiri mwathu dongosolo la lymphatic. Iwo amakula pamene ma lymphocyte, omwe ndi mtundu wa maselo oyera a magazi, amapanga masinthidwe a DNA omwe amawapangitsa kugawanika ndikukula mosalamulirika, zomwe zimapangitsa kuti lymphoma. Pali mitundu iwiri ikuluikulu ya lymphoma, Hodgkin's lymphoma ndi sanali Hodgkin lymphoma (NHL).
Lymphoma ikhoza kugawidwa m'magulu awiri:
- Wosasamala (kukula pang'onopang'ono) lymphoma
- Aggressive (kukula mofulumira) lymphoma
- B-cell lymphoma Amayamba kuchoka ku B-cell lymphocyte ndipo ndi omwe amapezeka kwambiri, omwe amawerengera pafupifupi 85% ya ma lymphoma onse (zaka zonse).
- T-cell lymphoma Amayamba kuchokera ku T-cell lymphocyte osakhazikika ndipo amakhala pafupifupi 15% ya ma lymphoma onse (mibadwo yonse).
Chifukwa chiyani?
Nthawi zambiri, lymphoma chifukwa sichidziwika. Mosiyana ndi makhansa ena, sitidziwa zosankha zilizonse za moyo zomwe zimabweretsa lymphoma, kotero palibe chomwe mwachita kapena simunachite chomwe chakupangitsani inu (kapena mwana wanu) kutenga lymphoma. Sichipatsirana ndipo sichingapatsidwe kwa anthu ena. Zomwe tikudziwa ndikuti mapuloteni apadera kapena majini amawonongeka (amasinthidwa) kenako amakula mosalekeza.
Kodi achinyamata amalandila kuti mankhwala?
Ana ambiri amalandila chithandizo ku chipatala cha ana apadera komabe, achinyamata azaka zapakati pa 15-18 atha kutumizidwa ndi GP ku chipatala cha Ana (matenda) kapena chipatala cha akulu. Achinyamata opitilira zaka 18 amalandila chithandizo kuchipatala cha akulu akulu.
Mankhwala ena angatanthauze kuti uyenera kukhala m'chipatala, pamene chithandizo china chingaperekedwe mu nthawi ya tsiku lomwe mwalandira chithandizo, ndikupita kunyumba tsiku lomwelo.
Mitundu ya lymphoma achinyamata amapeza
Pali mitundu iwiri ikuluikulu ya lymphoma, Hodgkin's lymphoma ndi sanali Hodgkin lymphoma (NHL).
Hodgkin's lymphoma (HL)
Matenda a Hodgkin lymphoma amapezeka mwa ana osakwana zaka zisanu, koma amapezeka kwambiri kwa achinyamata ndi achinyamata. Komabe, zimatha kukhudza anthu amisinkhu yonse kuphatikiza makanda ndi akulu akulu.
Ndi khansa yoopsa ya B-cell lymphocytes ndipo imodzi mwa mitundu yofala kwambiri ya khansa yomwe ana amapeza. Mwa ana onse azaka za 0-14 omwe ali ndi lymphoma, pafupifupi 4 mwa 10 aliwonse adzakhala ndi Hodgkin Lymphoma.
Mitundu iwiri yayikulu ya Hodgkin lymphoma (HL) ndi:
- Classical Hodgkin lymphoma: Kachilombo kakang'ono ka Hodgkin lymphoma ndipo amadziwika ndi kukhalapo kwa maselo akuluakulu a Reed-Sternberg.
- Nodular lymphocyte makamaka Hodgkin lymphoma: zomwe zimaphatikizapo ma cell a Reed-Sternberg otchedwa 'popcorn' cell. Maselo a popcorn nthawi zambiri amakhala ndi mapuloteni otchedwa CD20, omwe Classical Hodgkin Lymphoma alibe.
Non-Hodgkin lymphoma (NHL)
NHL ikhoza kukhala yaukali (kukula mofulumira) kapena indolent (kukula pang'onopang'ono) mu khalidwe ndipo zimachitika pamene B-cell kapena T-cell lymphocyte yanu imakhala ndi khansa.
Pali mitundu pafupifupi 75 ya non-Hodgkin lymphoma. Ma 4 omwe amawonedwa kwambiri mwa ana alembedwa pansipa, mutha kudina kuti mudziwe zambiri.
- Kufalikira kwa Ana Aakulu a B-cell Lymphoma (DLBCL)
- Burkitt's Lymphoma ya Ana
- Matenda a Lymphoblastic Lymphoma
- Anaplastic Large Cell Lymphoma (ALCL)
Matenda a lymphoma mwa achinyamata
Matendawa ndi abwino kwambiri kwa achinyamata ambiri omwe ali ndi lymphoma. Achinyamata ambiri omwe ali ndi lymphoma amatha kuchiritsidwa ndi mankhwala ochiritsira omwe amaphatikizapo chemotherapy, ngakhale atapezeka kuti ali ndi lymphoma yoopsa kapena yapamwamba. Kuti mudziwe zambiri za momwe mungadziwire mitundu yosiyanasiyana ya lymphoma mwa achinyamata, chonde onani masamba ang'onoang'ono omwe atchulidwa pamwambapa.
N'zomvetsa chisoni kuti achinyamata ochepa sachita nawo chithandizo. Funsani dokotala wanu (kapena dokotala wa mwana wanu) za zomwe muyenera kuyembekezera komanso momwe zingakhalire kuti lymphoma yanu idzachiritsidwe.
Kupulumuka kwanthawi yayitali komanso chithandizo chamankhwala chimadalira pazinthu zingapo, kuphatikiza:
- zaka zanu pamene munapezeka kuti muli ndi lymphoma.
- ndi siteji matenda a lymphoma.
- ndi mtundu wanji wa lymphoma womwe muli nawo.
- momwe lymphoma imayankhira chithandizo.
Penyani - Zosowa zapadera za achinyamata ndi achinyamata omwe ali ndi lymphoma
Mverani kuchokera kwa Dr Orly - Katswiri wa magazi ku St Vincents Sydney akukamba za zosowa zapadera za achinyamata ndi achinyamata omwe ali ndi lymphoma
Chithandizo cha lymphoma
Inu (kapena mwana wanu) mudzafunika chithandizo ndipo zingaphatikizepo mankhwala amphamvu (nthawi zambiri kuphatikiza immunotherapy) ndipo nthawi zina chithandizo cha ma radiation nawonso. Malingana ndi mtundu wa lymphoma, mankhwala osiyanasiyana amagwiritsidwa ntchito pa mitundu yosiyanasiyana ya lymphoma.
Madokotala amaganizira zinthu zambiri zokhudza lymphoma ndi thanzi la mwana wanu kuti adziwe nthawi komanso chithandizo chomwe chikufunika. Izi zachokera pa:
- The siteji ya lymphoma.
- zizindikiro muli ndi pamene mwapezeka ndi lymphoma.
- Kaya muli ndi matenda ena aliwonse kapena mukumwa mankhwala ena.
- Thanzi lanu lonse kuphatikiza thanzi lanu ndi malingaliro anu.
- Zokonda zanu (kapena makolo anu) mutakhala ndi zonse zomwe mukufuna.
Kuteteza Chonde
Nkhani zaodwala
Zambiri ndi zothandizira kwa makolo ndi olera
Ngati ndinu kholo kapena wosamalira mwana yemwe wapezeka ndi matenda a lymphoma, zingakhale zovuta komanso zokhumudwitsa. Palibe chabwino kapena cholakwika.
Ndikofunikira kudzipatulira inu ndi banja lanu nthawi yokonzekera ndikuvomereza matendawo. Ndikofunikiranso kuti musanyamule kulemera kwa matendawa nokha chifukwa pali mabungwe angapo othandizira omwe ali pano kuti akuthandizeni inu ndi banja lanu panthawiyi.
Mutha kulumikizana ndi Anamwino athu a Lymphoma Care podina apa Lumikizanani nafe batani pansi pa tsamba ili.
Zida zina zomwe mungapeze zothandiza ndizomwe zili pansipa:
Sukulu ndi maphunziro
Ngati mwana wanu ali ndi zaka zakusukulu mukhoza kukhala ndi nkhawa kuti apitirize bwanji sukulu pamene akulandira chithandizo. Kapena mwina, mwakhala otanganidwa kwambiri ndi chilichonse chomwe chikuchitika mwakuti mulibe mwayi woziganizira.
Ana anu enanso akhoza kuphonya sukulu ngati banja lanu liyenera kuyenda maulendo ataliatali ndikukhala kutali ndi kwawo pamene mwana wanu yemwe ali ndi lymphoma ali m'chipatala.
Koma kuganizira za maphunziro n’kofunika. Ana ambiri omwe ali ndi lymphoma amatha kuchiritsidwa ndipo adzafunika kubwerera kusukulu nthawi ina. Zipatala zazikulu zambiri za ana zimakhala ndi ntchito yophunzitsa kapena sukulu yomwe mwana wanu yemwe ali ndi lymphoma ndi ana anu akhoza kupitako pamene mwana wanu akulandira chithandizo kapena kuchipatala.
Zipatala zazikulu zili m'munsimu zili ndi ntchito zapasukulu mkati mwa ntchito yawo. Ngati mwana wanu akulandira chithandizo ku chipatala chosiyana ndi chomwe chatchulidwa apa, mufunseni za chithandizo cha sukulu chomwe chilipo kwa ana anu.
Mtengo wa QLD. - Sukulu ya Chipatala cha Ana ku Queensland (eq.edu.au)
VIC. - Victoria, Education Institute: Education Institute (rch.org.au)
SA - Maphunziro a Zachipatala ku Sukulu ya South Australia
WA - Sukulu yachipatala (health.wa.gov.au)
NSW - Sukulu mchipatala | Sydney Children's Hospitals Network (nsw.gov.au)
Chidule
- Lymphoma ndi khansa yachitatu yofala kwambiri mwa ana, komanso khansa yofala kwambiri mwa achinyamata ndi achinyamata.
- Kuchiza zakhala zikuyenda bwino kwa zaka zambiri ndipo achinyamata ambiri omwe ali ndi lymphoma amatha kuchiritsidwa.
- Pali mitundu yosiyanasiyana ya chithandizo ndipo chithandizo chomwe mungapeze chimadalira mtundu wa lymphoma yanu.
- Funsani dokotala wanu momwe mungachitire sungani chonde chanu kotero mutha kukhala ndi ana pambuyo pake m'moyo. Funsani za izi musanayambe chithandizo.
- Zotsatira zoyipa zikhoza kuchitika mwamsanga pambuyo pa chithandizo kapena zaka pambuyo pake. Onetsetsani kuti mwayang'ana tsamba lathu lazotsatira.
- Nenani zonse zatsopano ndi zoyipa zizindikiro kwa dokotala wanu.
- Imbani Anamwino athu Osamalira Lymphoma 1800 953 081 ngati mukufuna kulankhula za wanu, kapena lymphoma mwana wanu kapena mankhwala.
