Tsis-Hodgkin lymphoma rau cov menyuam yaus

Tsis Yog-Hodgkin lymphoma (NHL) yog mob qog nqaij hlav tawm. Cov qog ua kua muaj nyob hauv cov qog ntshav, qe ntshav, tonsils, 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 NHL rau menyuam yaus.

NHL nquag tshwm sim ntau rau cov laus. Tab sis menyuam yaus tau qee yam ntawm NHL. NHL tshwm sim ntau rau cov tub. Feem ntau nws tsis tshwm sim rau cov menyuam yaus hnub nyoog qis dua 3 xyoos.

Tsis paub meej tias yog vim li cas NHL hauv menyuam yaus tsis paub. Tab sis, kev loj hlob ntawm cov lymphomas hauv cov menyuam yaus tau cuam tshuam nrog:

• Yav dhau los kev kho mob qog nqaij hlav (kho hluav taws xob, siv tshuaj kho)
• Lub cev tsis muaj zog tiv thaiv kab mob los ntawm hloov khoom nruab nrog cev
• Tus kab mob Epstein-Barr, tus kab mob uas ua rau mob mononucleosis
• Kab mob HIV (tib neeg kev txhaj tshuaj tiv thaiv kab mob) kis mob

Muaj ntau hom NHL. Ib qho kev faib ua pawg (pab pawg) yog los ntawm cov mob qog nqaij hlav mus sai npaum li cas. Kab mob qog yuav qib qis (loj hlob qeeb), qib theem nrab, lossis theem siab (nce ceev).

NHL raug txuas ntxiv sib sau los ntawm:

• Yuav ua li cas lub hlwb ntsia hauv qab lub tshuab tsom
• Hom ntshav dawb li cas nws keeb kwm los ntawm
• Txawm hais tias muaj qee yam DNA hloov pauv hauv cov qog hlwb lawv tus kheej

Cov tsos mob nyob ntawm thaj chaw twg hauv lub cev muaj feem cuam tshuam rau mob qog noj ntshav thiab mob cancer sai npaum li cas.

Cov tsos mob tuaj yeem suav nrog:

• Cov qog ntshav hauv lub caj dab, underarm, plab, lossis puab tais
• Tsis mob o los yog qog hauv cov noob qes
• O rau lub taub hau, caj dab, caj npab lossis lub cev
• Teeb meem nqos
• Teeb meem ua pa
• Hawb pob
• Pheej hnoos
• Pw hauv plab
• Hmo ntuj tawm hws
• Lub cev yuag
• Nkees
• Tsis yoog li npaws

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 zov me nyuam yuav ua cov kev sim ntsuas no thaum NHL xav tias tsam tsis tau:

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

Kev tso qog nqaij hlav rau lub cev tawm mus kuaj pom tseeb txog kev kuaj mob NHL.

Yog lis kuaj me me qhia pom tias koj tus menyuam muaj NHL, yuav tau sim ntau yam ntxiv seb tus mob cancer kis tau mus deb npaum li cas. 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 ntawm lub 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.

Kev kho mob yuav yog nyob ntawm:

• Hom NHL (muaj ntau ntau hom NHL)
• Theem (qhov mob qog nthuav tawm)
• Koj tus menyuam lub hnub nyoog thiab kev noj qab haus huv tag nrho
• Koj tus menyuam cov tsos mob, suav nrog poob phaus, kub cev 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 feem ntau cov tshuaj NHL tuaj yeem muab rau hauv chaw kho mob, thiab koj tus menyuam tseem yuav nyob hauv tsev.
• Kev siv tshuaj kho mob yog muab rau cov leeg (IV), tab sis qee cov tshuaj kho mob muab 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 cell (siv koj tus menyuam li keeb kem).
• Kev phais mob txhawm rau tshem tawm hom mob qog nqaij hlav no tsis yog muaj ntau yam, tab sis qee zaum xav tau qee zaum.

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 ntawm cov qauv ntawm NHL yog txoj kev kho mob tuaj yeem siv tau. Txawm tias qib theem qeeb ntawm NHL yeej tuaj yeem kho tau hauv cov menyuam yaus.

Koj tus menyuam yuav tsum tau kuaj thiab ntsuam xyuas cov quab yuam nyob rau ntau xyoo tom qab kev kho mob kom paub tseeb tias cov qog tsis rov qab los.

Txawm hais tias qhov mob qog yuav rov qab los, nws muaj txoj hmoo zoo ntawm kev kho mob.

Kev rov soj ntsuam ib txwm kuj tseem yuav pab pawg kws saib xyuas kev noj qab haus huv txheeb xyuas cov cim qhia txog tus mob qog nqaij hlav cancer thiab kom rov zoo mus kho ntev.

Cov kev kho mob NHL yuav 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.

Hu rau koj tus menyuam tus kws khomob yog tias koj tus menyuam mob qog ntshav nrog lub qhov txhab tsis tau zoo uas tsis ploj mus lossis muaj lwm cov tsos mob ntawm NHL.

Yog tias koj tus menyuam muaj NHL, hu rau tus kws kho mob yog tias koj tus menyuam ua npaws kub ntev lossis lwm cov tsos mob ntawm tus mob.

Lymphoma - tsis-Hodgkin - menyuam yaus; Lymphoblastic lymphoma - menyuam yaus; Burkitt lymphoma - cov menyuam yaus; Cov lymphomas loj hauv cell - menyuam yaus, Cancer - tsis-Hodgkin lymphoma - menyuam yaus; Diffuse loj B-cell lymphoma - cov menyuam yaus; Maim B cell lymphoma - cov menyuam yaus; Anaplastic cov cell loj lymphoma

American Cancer Society lub vev xaib. Dab tsi yog Hodgkin lymphoma hauv cov menyuam yaus? www.cancer.org/cancer/childhood-non-hodgkin-lymphoma/about/non-hodgkin-lymphomain-children.html. Hloov kho thaum Lub Yim Hli 1, 2017. 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. Kev kho me nyuam thaum tsis yog Hodgkin lymphoma kho (PDQ) - kev kho mob hauv lub neej ntev. www.cancer.gov/types/lymphoma/hp/child-nhl-nyuj-pdq. Hloov kho Lub Ob Hlis 12, 2021. Nkag mus Lub Ob Hlis 23, 2021.