Hodgkin lymphoma rau cov menyuam yaus

Hodgkin lymphoma yog mob qog nqaij hlav cancer. Cov qog ua kua muaj nyob hauv cov qog ntshav, qe ntshav, tonsils, mob siab, mob pob txha, thiab lwm yam hauv lub nruab nrog cev tiv thaiv kab mob. Lub cev tiv thaiv peb tiv thaiv kab mob thiab kis kab mob.

Kab lus no yog hais txog classical Hodgkin lymphoma hauv cov menyuam yaus, hom hom ntau tshaj.

Hauv cov menyuam yaus, Hodgkin lymphoma feem ntau tshwm sim rau cov hnub nyoog 15 txog 19 xyoos. Cov ua kom mob cancer no tseem tsis paub meej. Tab sis, qee yam yuav ua rau Hodgkin lymphoma rau cov menyuam yaus. Tej yam no suav nrog:

• Tus kab mob Epstein-Barr, tus kab mob uas ua rau mob mononucleosis
• Qee cov kab mob uas lub nruab zog tiv thaiv tsis ua haujlwm zoo
• Tsev neeg keeb kwm ntawm Hodgkin lymphoma

Cov kab mob uas tshwm sim rau cov menyuam yaus thaum ntxov tseem yuav muaj kev pheej hmoo siab ntxiv.

Cov tsos mob ntawm Hodgkin lymphoma suav nrog:

• Tsis mob o ntawm cov qog ntshav hauv lub caj dab, qhov tso tawm, lossis puab tais (cov qog o)
• Tsis yoog li npaws
• Kev yuag yuag uas tsis yoo
• Hmo ntuj tawm hws
• Nkees
• Tsis qab los noj mov
• Khaus thoob plaws lub cev

Tus kws kho mob yuav siv koj tus menyuam li keeb kwm kho mob. Tus kws kho mob yuav kuaj lub cev kom kuaj seb puas muaj cov qog ntshav hauv lub cev.

Tus kws kho mob yuav kuaj pom thaum kuaj pom tias tus kab mob Hodgkin:

• Kev kuaj ntshav cov ntshav - nrog rau qib protein, kev ntsuam xyuas lub siab, lub raum kev ua haujlwm, thiab qib uric acid
• ESR ("Sed rate")
• Ua kom tiav cov ntshav suav (CBC)
• Xoo hluav taws xob xoo, uas feem ntau qhia cov cim ntawm ib qhov loj ntawm thaj chaw nruab nrab ntawm lub ntsws

Lub qog nqaij hlav ua rau lub cev tawm mus kuaj mob Hodgkin lymphoma mob.

Yog kuaj me me qhia pom tias koj tus menyuam muaj mob qog nqaij hlav cancer no, yuav muaj ntau yam kev kuaj ntxiv los kuaj saib tus kabmob no kis mus deb npaum licas. Qhov no hu ua staging. Cov ntawv sau yuav pab qhia txog kev kho mob yav tom ntej thiab rov qab soj ntsuam.

• CT scan caj dab, hauv siab, plab, thiab pelvis
• Nqaij pob txha caj dab
• TSIAJ scan

Immunophenotyping yog kev sim tshuaj kuaj kab mob siv los txheeb cov hlwb, raws li hom antigens lossis cov cim rau saum npoo ntawm tes. Qhov kev kuaj no yog siv los kuaj txog hom qog ntshav tshwj xeeb los ntawm kev sib piv cov qog nqaij hlav cancer mus rau cov qub ntawm lub cev.

Koj tuaj yeem xaiv mus nrhiav kev saib xyuas tau hauv lub tsev menyuam yaus lub tsev kho mob qog nqaij hlav.

Txoj kev kho yuav nyob ntawm pab pawg uas koj tus menyuam poob rau. Lwm yam uas yuav txiav txim siab suav nrog:

• Koj tus menyuam lub hnub nyoog
• Poj niam txiv neej
• Kho cov kev mob tshwm sim

Koj tus menyuam cov qog ntshav yuav ua pab pawg raws qhov muaj feem tsawg, nyob nruab nrab, lossis pheej hmoo nyob ntawm:

• Hom Hodgkin lymphoma (muaj ntau hom Hodgkin lymphoma)
• Cov theem (uas tus kab mob tau kis tawm)
• Txawm hais tias lub qog loj tau loj thiab cais "hom kabmob"
• Yog tias qhov no yog thawj zaug mob cancer lossis yog tias nws tau rov qab los (muaj dua)
• Lub xub ntiag ua npaws, poob phaus, thiab tawm hws hmo ntuj

Kev siv tshuaj kho mob feem ntau yog thawj qhov kev kho mob.

• Koj tus menyuam yuav tsum tau nyob hauv tsev kho mob thaum xub thawj. Tab sis cov tshuaj siv tshuaj kho mob feem ntau tau muab rau hauv chaw kho mob, thiab koj tus menyuam tseem yuav nyob hauv tsev.
• Kev siv tshuaj kho mob tau muab rau hauv cov leeg (IV) thiab qee zaum los ntawm qhov ncauj.

Koj tus menyuam tuaj yeem raug xoo hluav taws xob nrog kev siv hluav taws xob xoo hluav taws xob ntawm thaj chaw muaj kev mob qog nqaij hlav.

Lwm yam kev kho mob suav nrog:

• Cov hom phiaj kho uas siv cov tshuaj lossis tshuaj ua kom tua mob qog noj ntshav
• Kev siv tshuaj siab ntau yuav ua raws kev qog hloov hlwb (siv koj tus menyuam li keeb kem)
• Kev phais mob tsis nquag siv los tshem tawm hom mob qog nqaij hlav no, tab sis tej zaum yuav xav tau thaum muaj qee yam

Muaj menyuam muaj kabmob kheesxaws yog ib yam nyuaj tshaj plaws uas koj tsis tau ua dhau los ntawm kev ua niam ua txiv. Piav qhia tias nws txhais tau tias kev mob qog mis rau koj tus menyuam yuav tsis yooj yim. Koj kuj yuav tsum tau kawm kom paub nrhiav kev pab thiab txhawb nqa koj thiaj li yuav nyiaj taus yooj yim dua.

Muaj menyuam muaj kabmob kheesxaws yuav ntxhov siab. Koom tes nrog pab txhawb uas lwm tus niam txiv lossis tsev neeg sib koom ua ke yuav pab tau koj txoj kev ntxhov siab yooj yim dua.

• Mob Ntshav Qab Zib thiab Lymphoma Society - www.lls.org
• Koom haum National Cancer's Cancer Society - www.thenccs.org/how-we-help/

Feem ntau Hodgkin lymphoma yuav kho tau. Txawm hais tias hom mob qog noj no rov qab los, feem ntau ntawm txoj kev kho tau zoo.

Koj tus me nyuam yuav tsum muaj kev ntsuam xyuas tsis tu ncua thiab kuaj cov duab rau lub xyoo tom qab kho tas. Qhov no yuav pab tus kws kho mob kuaj xyuas seb puas muaj mob khees xawj rov qab thiab rau ib qho kev kho mob ntev ntev.

Cov kev kho rau Hodgkin lymphoma tuaj yeem muaj teeb meem. Cov kev mob tshwm sim los ntawm kev siv tshuaj kho mob lossis tshuaj tua hluav taws xob yuav tshwm nyob rau ntau hli lossis xyoo tom qab kev kho mob. Cov no yog hu ua "cov teebmeem lig." Nws yog ib qho tseem ceeb los tham txog cov kev kho mob nrog koj pab neeg kho mob. Dab tsi xav kom hais txog cov kev ua hauj lwm lig yuav nyob ntawm cov kev kho mob uas koj tus menyuam tau txais. Qhov kev txhawj xeeb ntawm qhov cuam tshuam lig yuav tsum muaj qhov sib luag los ntawm qhov xav tau los kho thiab kho mob qog noj ntshav.

Kav tsij nrog koj tus menyuam tus kws kho mob soj qab taug xyuas thiab pab tiv thaiv kom txhob raug cov kev mob no.

Hu rau koj tus kws kho mob yog tias koj tus menyuam muaj cov qog ntshav ntawm lub qog ua npaws ntev heev los yog muaj lwm cov tsos mob ntawm Hodgkin lymphoma. Hu rau koj tus menyuam tus kws khomob yog tias koj tus menyuam muaj mob Hodgkin lymphoma thiab muaj kev phiv los ntawm kev kho.

Lymphoma - Hodgkin - menyuam yaus; Kab mob Hodgkin - menyuam yaus; Kab Mob Cancer - Hodgkin lymphoma - menyuam yaus; Thaum yau Hodgkin lymphoma

American Society of Clinical Oncology (ASCO) lub vev xaib. Lymphoma - Hodgkin - thaum yau. www.cancer.net/cancer-types/lymphoma-hodgkin-childhood. Hloov kho thaum Lub Kaum Ob Hlis 2018. Nkag mus Lub Kaum Hlis 7, 2020.

Hochberg J, Goldman SC, Cairo MS. Lymphoma. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 523.

Lub koom haum Cancer National website. Thaum yau Hodgkin lymphoma kho (PDQ) - kev muaj txuj ci kho mob. www.cancer.gov/types/lymphoma/hp/child-hodgkin-nyuj-pdq. Hloov kho Lub Ob Hlis 3, 2021. Nkag mus Lub Ob Hlis 23, 2021.