Hodgkin lymphoma a cikin yara

Hodgkin lymphoma shine ciwon daji na ƙwayar lymph. Lymph nama ana samun shi a cikin ƙwayoyin lymph, saifa, tonsils, hanta, bargon ƙashi, da sauran gabobin na tsarin garkuwar jiki. Tsarin rigakafi yana kare mu daga cututtuka da cututtuka.

Wannan labarin yana magana ne game da kwayar Hodgkin ta lymphoma a cikin yara, nau'in da ya fi kowa.

A cikin yara, lymphoma Hodgkin zai iya faruwa tsakanin shekaru 15 zuwa 19. Ba a san dalilin wannan nau'in na sankara ba. Amma, wasu dalilai na iya taka rawa a cikin lymphoma Hodgkin a cikin yara. Wadannan dalilai sun hada da:

• Epstein-Barr virus, kwayar cutar dake haifar da mononucleosis
• Wasu cututtuka inda tsarin rigakafi baya aiki da kyau
• Tarihin iyali na Hodgkin lymphoma

Cutar cututtukan yara na yau da kullun kuma na iya ƙara haɗarin.

Kwayar cututtukan Hodgkin lymphoma sun hada da:

• Rashin kumburin ƙwayoyin lymph a cikin wuyansa, armpits, ko gwaiwa (kumbura gland)
• Zazzabin da ba'a bayyana ba
• Rashin nauyi mara nauyi
• Zufar dare
• Gajiya
• Rashin ci
• Itanƙara a jiki duka

Mai ba da sabis na kiwon lafiya zai ɗauki tarihin lafiyar ɗanku. Mai ba da sabis ɗin zai yi gwajin jiki don bincika kumburin lymph nodes.

Mai ba da sabis ɗin na iya yin waɗannan gwaje-gwajen gwajin lokacin da ake zargin cutar Hodgkin:

• Gwajin sunadarai na jini - gami da matakan gina jiki, gwajin aikin hanta, gwajin aikin koda, da matakin sinadarin uric acid
• ESR ("Yawan kuɗi")
• Kammala ƙididdigar jini (CBC)
• Kirjin x-ray, wanda galibi yana nuna alamun taro a yankin tsakanin huhu

Kwayar lymph kumburi biopsy ya tabbatar da ganewar asali na Hodgkin lymphoma.

Idan biopsy ya nuna cewa ɗanka yana da cutar lymphoma, za a yi ƙarin gwaje-gwaje don gano yadda nisan kansa ya bazu. Wannan ana kiran sa staging. Tsarin kallo yana taimakawa jagorar kulawa da gaba.

• CT scan na wuyansa, kirji, ciki, da ƙashin ƙugu
• Gwajin kasusuwa
• PET scan

Immunophenotyping gwaji ne na dakin gwaje-gwaje da ake amfani dashi don gano kwayoyin halitta, gwargwadon nau'in antigens ko alamomi a saman tantanin. Ana amfani da wannan gwajin don tantance takamaiman nau'in lymphoma ta hanyar kwatanta ƙwayoyin cutar kansa zuwa ƙwayoyin cuta na yau da kullun.

Kuna iya zaɓar neman kulawa a cibiyar ciwon daji na yara.

Jiyya zai dogara ne akan ƙungiyar haɗarin da ɗanka ya faɗa ciki. Sauran abubuwan da za a yi la'akari da su sun haɗa da:

• Yaron ku
• Jima'i
• Jiyya sakamako masu illa

Kwayar lymphoma na ɗanka za a haɗa shi azaman ƙananan haɗari, matsakaici-haɗari, ko babban haɗari dangane da:

• Nau'in hompkin lymphoma (akwai nau'ikan daban-daban na Hodgkin lymphoma)
• Mataki (inda cutar ta bazu)
• Ko babban kumburin yana da girma kuma an ayyana shi "cuta mai yawa"
• Idan wannan shine cutar daji ta farko ko kuma idan ta dawo (sake dawowa)
• Kasancewar zazzabi, ragin nauyi, da kuma gumin dare

Chemotherapy shine mafi yawan lokuta magani na farko.

• Yaronku na iya buƙatar zama a asibiti da farko. Amma yawanci ana ba da magungunan ƙwayoyi a asibiti, kuma ɗanka zai ci gaba da zama a gida.
• Ana ba Chemotherapy a cikin jijiyoyin (IV) wani lokacin kuma ta bakin.

Hakanan ɗanka zai iya karɓar raɗaɗɗen fitila ta amfani da hasken rana mai ƙarfi a wuraren da cutar kansa ta shafa.

Sauran jiyya na iya haɗawa da:

• Neman da aka yi niyya wanda ke amfani da ƙwayoyi ko ƙwayoyin cuta don kashe ƙwayoyin kansa
• -Wararren ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta zata iya biyo baya ta hanyar ƙwayar ƙwayar ƙwayar cuta (ta amfani da ƙwayoyin ɗiyarku na kansa)
• Ba a amfani da tiyata don cire wannan nau'in ciwon daji, amma ana iya buƙata a cikin wasu lokuta

Samun ɗa mai cutar kansa shine ɗayan mawuyacin abu da zaku taɓa ma'amala dashi azaman mahaifa. Bayyana ma’anar cutar kansa ga yaro ba zai zama da sauki ba. Hakanan kuna buƙatar koyon yadda ake samun taimako da tallafi don ku iya jurewa cikin sauƙi.

Samun ɗa mai cutar kansa na iya zama damuwa. Shiga ƙungiyar tallafi inda sauran iyaye ko iyalai ke raba abubuwan gogewa ɗaya na iya taimaka sauƙaƙa damuwar ku.

• Cutar sankarar bargo da Lymphoma Society - www.lls.org
• Canungiyar Ciwon Ciwon Yara ta Childrenasa - www.thenccs.org/how-we-help/

Lymphoma Hodgkin yana iya warkewa a mafi yawan lokuta. Ko da wannan nau'in na sankara ya dawo, damar samun waraka na da kyau.

Yaron ku na buƙatar yin gwaji na yau da kullun da gwajin hoto tsawon shekaru bayan jiyya. Wannan zai taimaka wa mai bayarwa duba alamun dawowar kansa da kuma duk wani tasirin magani na dogon lokaci.

Jiyya don Hodgkin lymphoma na iya samun rikitarwa. Illolin illa na chemotherapy ko radiation na iya bayyana watanni ko shekaru bayan jiyya. Wadannan ana kiran su "ƙarshen sakamako." Yana da mahimmanci magana game da tasirin magani tare da ƙungiyar kula da lafiyar ku. Abin da za ku yi tsammani dangane da ƙarshen sakamako ya dogara da takamaiman maganin da yaronku ya karɓa. Dole ne damuwar ƙarshen sakamako ya daidaita ta buƙatar buƙata da warkar da cutar kansa.

Ci gaba da bin likitan likitanku don saka idanu da kuma taimakawa hana waɗannan matsalolin.

Tuntuɓi mai ba da sabis idan ɗanka ya kumbura lymph nodes tare da zazzaɓi wanda ya tsaya na dogon lokaci ko kuma yana da wasu alamun alamun Hodgkin lymphoma. Kira mai ba da sabis na yara idan ɗanka yana da Hodgkin lymphoma kuma yana da sakamako masu illa daga jiyya.

Lymphoma - Hodgkin - yara; Cutar Hodgkin - yara; Ciwon daji - Hodgkin lymphoma - yara; Yara Hodgkin lymphoma

Yanar gizo ta (ungiyar (asar Amirka ta Clinical Oncology (ASCO). Lymphoma - Hodgkin - ƙuruciya. www.cancer.net/cancer-types/lymphoma-hodgkin-kamara. An sabunta Disamba 2018. Samun damar Oktoba 7, 2020.

Hochberg J, Goldman SC, Alkahira MS. Lymphoma. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 523.

Yanar gizo Cibiyar Cancer ta Kasa. Kula da yara lymphoma Hodgkin (PDQ) - fasalin ƙwararrun masu kiwon lafiya. www.cancer.gov/types/lymphoma/hp/child-hodgkin-treatment-pdq. An sabunta Fabrairu 3, 2021. An shiga Fabrairu 23, 2021.