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Ingaruka Zitinze Kuvura Kanseri Yabana (®) –Icyiciro cya Patient

Amakuru Rusange Yerekeye Ingaruka Zitinze

INGINGO Z'INGENZI

  • Ingaruka zitinze nibibazo byubuzima bibaho amezi cyangwa imyaka nyuma yubuvuzi burangiye.
  • Ingaruka zitinze ku barokotse kanseri mu bwana zigira ingaruka ku mubiri no mu bwenge.
  • Hariho ibintu bitatu byingenzi bigira ingaruka kumpanuka zingaruka.
  • Amahirwe yo kugira ingaruka zitinze yiyongera mugihe.
  • Kwitaho buri gihe ni ngombwa cyane ku barokotse kanseri yo mu bwana.
  • Ingeso nziza zubuzima nazo ni ingenzi kubarokotse kanseri yo mu bwana.

Ingaruka zitinze nibibazo byubuzima bibaho amezi cyangwa imyaka nyuma yubuvuzi burangiye.

Kuvura kanseri birashobora gutera ibibazo byubuzima ku barokotse kanseri yo mu bwana amezi cyangwa imyaka nyuma yo kuvurwa neza birangiye. Kuvura kanseri birashobora kwangiza ingingo z'umubiri, ingirangingo, cyangwa amagufwa kandi bigatera ibibazo byubuzima nyuma yubuzima. Ibi bibazo byubuzima byitwa ingaruka zitinze.

Ubuvuzi bushobora gutera ingaruka zitinze zirimo ibi bikurikira:

  • Kubaga.
  • Chimoterapi.
  • Imiti ivura imirasire.
  • Gutera ingirabuzimafatizo.

Abaganga barimo kwiga ingaruka zitinze ziterwa no kuvura kanseri. Barimo gukora kunoza imiti ya kanseri no guhagarika cyangwa kugabanya ingaruka zitinze. Nubwo ingaruka nyinshi zitinze zidahungabanya ubuzima, zirashobora gutera ibibazo bikomeye bigira ingaruka kubuzima nubuzima bwiza.

Ingaruka zitinze ku barokotse kanseri mu bwana zigira ingaruka ku mubiri no mu bwenge.

Ingaruka zitinze ku barokotse kanseri mu bwana zishobora kugira ingaruka zikurikira:

  • Inzego, ingirangingo, n'imikorere y'umubiri.
  • Gukura no gutera imbere.
  • Imyifatire, ibyiyumvo, n'ibikorwa.
  • Gutekereza, kwiga, no kwibuka.
  • Guhindura imibereho n'imitekerereze.
  • Ibyago bya kanseri ya kabiri.

Hariho ibintu bitatu byingenzi bigira ingaruka kumpanuka zingaruka.

Benshi mu barokotse kanseri yo mu bwana bazagira ingaruka zitinze. Ibyago byo gutinda biterwa nibintu bifitanye isano n'ikibyimba, kuvura, n'umurwayi. Muri byo harimo ibi bikurikira:

  • Ibintu bifitanye isano n'ibibyimba
  • Ubwoko bwa kanseri.
  • Aho ikibyimba kiri mumubiri.
  • Uburyo ikibyimba kigira ingaruka kumyanya ningingo zikora.
  • Impamvu zijyanye no kuvura
  • Ubwoko bwo kubaga.
  • Ubwoko bwa chimiotherapie, igipimo, na gahunda.
  • Ubwoko bwo kuvura imirasire, igice cyumubiri kivuwe, hamwe nigipimo.
  • Gutera ingirabuzimafatizo.
  • Gukoresha ubwoko bubiri cyangwa bwinshi bwo kuvura icyarimwe.
  • Gutanga amaraso.
  • Indwara idakira-n'indwara-yakiriye.
  • Impamvu zijyanye n'abarwayi
  • Igitsina cy'umwana.
  • Ibibazo by'ubuzima umwana yagize mbere yo gufatwa na kanseri.
  • Imyaka yumwana nicyiciro cyiterambere mugihe basuzumwe kandi bakavurwa.
  • Uburebure bwigihe kuva kwisuzumisha no kuvurwa.
  • Impinduka murwego rwa hormone.
  • Ubushobozi bwimyenda myiza yibasiwe no kuvura kanseri yo kwikosora.
  • Impinduka zimwe na zimwe muri gen.
  • Amateka yumuryango wa kanseri cyangwa ibindi bihe.
  • Ingeso z'ubuzima.

Amahirwe yo kugira ingaruka zitinze yiyongera mugihe.

Ubuvuzi bushya bwa kanseri yo mu bwana bwagabanije umubare w'abantu bapfa bazize kanseri y'ibanze. Kubera ko abarokotse kanseri yo mu bwana babaho igihe kirekire, bafite ingaruka zitinze nyuma yo kuvura kanseri. Abacitse ku icumu ntibashobora kubaho igihe cyose abantu batarwaye kanseri. Impamvu zikunze kwibasira abantu barokotse kanseri mu bwana ni:

  • Kanseri y'ibanze iragaruka.
  • Ubwoko bwa kabiri (butandukanye) bwa kanseri yibanze.
  • Kwangirika k'umutima n'ibihaha.

Ubushakashatsi bwibitera ingaruka zitinze byatumye habaho impinduka mubuvuzi. Ibi byazamuye imibereho y'abacitse ku icumu rya kanseri kandi bifasha kwirinda indwara n'urupfu ingaruka zitinze.

Kwitaho buri gihe ni ngombwa cyane ku barokotse kanseri yo mu bwana.

Gukurikiranwa buri gihe ninzobere mu buzima zahuguwe gushakisha no kuvura ingaruka zitinze ni ngombwa ku buzima burambye bw’abacitse ku icumu rya kanseri. Gukurikirana ubuvuzi bizaba bitandukanye kuri buri muntu wavuwe na kanseri. Ubwoko bw'ubuvuzi buzaterwa n'ubwoko bwa kanseri, ubwoko bwo kuvura, ibintu bikomoka ku ngirabuzima fatizo, hamwe n'ubuzima rusange bw'umuntu n'ubuzima bwe. Gukurikirana ubuvuzi bukubiyemo kugenzura ibimenyetso nibimenyetso byingaruka zitinze hamwe nuburere bwubuzima kuburyo bwo kwirinda cyangwa kugabanya ingaruka zitinze.

Ni ngombwa ko abarokotse kanseri yo mu bwana bagira ikizamini byibura rimwe mu mwaka. Ibizamini bigomba gukorwa ninzobere mu buzima izi ibyago by’uwarokotse ingaruka zitinze kandi zishobora kumenya ibimenyetso byambere byingaruka. Ibizamini byo kumaraso no gufata amashusho nabyo birashobora gukorwa.

Gukurikirana igihe kirekire birashobora kuzamura ubuzima nubuzima bwiza kubarokotse kanseri. Ifasha kandi abaganga kwiga ingaruka zitinze zo kuvura kanseri kugirango habeho uburyo bwiza bwo kuvura abana bashya.

Ingeso nziza zubuzima nazo ni ingenzi kubarokotse kanseri yo mu bwana.

Imibereho yubuzima bwa kanseri irashobora kunozwa nimyitwarire iteza imbere ubuzima bwiza. Ibi birimo indyo yuzuye, imyitozo ngororamubiri, no kwisuzumisha kwa muganga no kuvura amenyo. Iyi myitwarire yo kwiyitaho ni ingenzi cyane kubarokotse kanseri kubera ibyago byabo byubuzima bujyanye no kuvurwa. Imyitwarire myiza irashobora gutuma ingaruka zitinda zikomera kandi bikagabanya ibyago byizindi ndwara.

Kwirinda imyitwarire yangiza ubuzima nabyo ni ngombwa. Kunywa itabi, kunywa inzoga nyinshi, gukoresha ibiyobyabwenge mu buryo butemewe, guhura n’izuba, cyangwa kudakora ku mubiri bishobora kwangiza ingingo zijyanye no kuvura kandi bishobora kongera ibyago bya kanseri ya kabiri.

Kanseri ya kabiri

INGINGO Z'INGENZI

  • Abacitse ku icumu rya kanseri mu bwana bafite ibyago byinshi byo kurwara kanseri ya kabiri nyuma y'ubuzima.
  • Uburyo bumwe na bumwe bwa genetike cyangwa syndromes bishobora kongera ibyago bya kanseri ya kabiri.
  • Abarwayi bavuwe na kanseri bakeneye kwipimisha buri gihe kugirango barebe kanseri ya kabiri.
  • Ubwoko bwikizamini cyakoreshejwe mugupima kanseri ya kabiri biterwa nuburyo bwo kuvura kanseri umurwayi yagize kera.

Abacitse ku icumu rya kanseri mu bwana bafite ibyago byinshi byo kurwara kanseri ya kabiri nyuma y'ubuzima.

Kanseri y'ibanze itandukanye ibaho byibuze amezi abiri nyuma yo kuvura kanseri irangiye yitwa kanseri ya kabiri. Kanseri ya kabiri irashobora kubaho amezi cyangwa imyaka nyuma yo kuvurwa. Ubwoko bwa kanseri ya kabiri ibaho biterwa ahanini nubwoko bwambere bwa kanseri no kuvura kanseri. Ibibyimba byiza (ntabwo ari kanseri) nabyo birashobora kubaho.

Kanseri ya kabiri ibaho nyuma yo kuvura kanseri harimo ibi bikurikira:

  • Ibibyimba bikomeye.
  • Indwara ya Myelodysplastic na acute myeloid leukemia.

Ibibyimba bikomeye bishobora kugaragara nyuma yimyaka irenga 10 nyuma yo gusuzuma no kuvura kanseri yibanze harimo ibi bikurikira:

  • Kanseri y'ibere. Hariho ibyago byinshi byo kurwara kanseri y'ibere nyuma yo kuvura imishwarara myinshi yo mu gatuza ya lymphoma ya Hodgkin. Abarwayi bavuwe nimirasire hejuru ya diaphragm itarimo imisemburo ya lymph mumaboko bafite ibyago bike byo kurwara kanseri yamabere.

Kuvura kanseri yakwirakwiriye mu gituza cyangwa mu bihaha hamwe n'imirasire y'igituza birashobora kandi kongera ibyago byo kurwara kanseri y'ibere.

Hariho kandi ibyago byinshi byo kurwara kanseri y'ibere ku barwayi bavuwe na alkylating agent na anthracyclines ariko ntibakoresheje imirasire y'igituza. Ibyago ni byinshi mubarokotse sarcoma na leukemia.

  • Kanseri ya tiroyide. Kanseri ya tiroyide irashobora kubaho nyuma yo kuvura imishwarara yo mu ijosi ya lymphoma ya Hodgkin, lymphocytike ikaze, cyangwa ibibyimba byo mu bwonko; nyuma yubuvuzi bwa iyode ivura neuroblastoma; cyangwa nyuma yumubiri wose (TBI) nkigice cyo guhinduranya ingirangingo.
  • Ibibyimba mu bwonko. Ibibyimba byo mu bwonko bishobora kubaho nyuma yo kuvura imirasire kumutwe hamwe na / cyangwa chimiotherapie intrathecal ukoresheje methotrexate kubibyimba byambere byubwonko cyangwa kanseri yakwirakwiriye mubwonko cyangwa uruti rw'umugongo, nka lymphocytike ikaze cyangwa lymphoma itari Hodgkin. Iyo chimiotherapie intrathecal ikoresheje methotrexate hamwe no kuvura imirasire itanzwe hamwe, ibyago byo kubyimba ubwonko birarenze.
  • Ibibyimba byamagufwa kandi yoroshye. Hariho ibyago byinshi byo kubyimba amagufwa nuduce tworoheje nyuma yo kuvura imirasire ya retinoblastoma, Ewing sarcoma, na kanseri yandi magufa.

Chimoterapi hamwe na anthracycline cyangwa imiti ya alkylating nayo yongera ibyago byo kubyimba amagufwa hamwe nuduce tworoshye.

  • Kanseri y'ibihaha. Hariho ibyago byinshi byo kurwara kanseri y'ibihaha nyuma yo kuvura imirasire mu gituza kuri lymphoma ya Hodgkin, cyane cyane ku barwayi banywa itabi.
  • Igifu, umwijima, cyangwa kanseri yibara. Kanseri yo mu gifu, umwijima, cyangwa kanseri yibara irashobora kubaho nyuma yo kuvura imirasire munda cyangwa munda. Ibyago byiyongera hamwe na dosiye nyinshi yimirasire. Hariho kandi ibyago byinshi byo kwandura polyps.

Kuvura hamwe na chimiotherapie yonyine cyangwa chimiotherapie hamwe no kuvura imirasire hamwe nabyo byongera ibyago byo kurwara igifu, umwijima, cyangwa kanseri yibara.

  • Kanseri y'uruhu ya Nonmelanoma (kanseri y'ibanze ya kanseri cyangwa kanseri y'udukoko). Hariho ibyago byinshi byo kurwara kanseri y'uruhu itari melanoma nyuma yo kuvura imirasire; mubisanzwe bigaragara mugace hatanzwe imirasire. Guhura nimirasire ya UV birashobora kongera ibyago. Abarwayi barwara kanseri y'uruhu itari melanoma nyuma yo kuvura imirasire bafite amahirwe menshi yo kwandura ubundi bwoko bwa kanseri mugihe kizaza. Ibyago byo kurwara kanseri yibanze na byo byiyongera nyuma yo kuvurwa hakoreshejwe imiti ya chimiotherapie, bita vinca alkaloide, nka vincristine na vinblastine.
  • Melanoma mbi. Melanoma mbi ishobora kubaho nyuma yimirasire cyangwa guhuza imiti ya chimiotherapie hamwe na alkylating imiti hamwe n imiti igabanya ubukana (nka vincristine na vinblastine). Abacitse ku icumu rya lymphoma ya Hodgkin, retinoblastoma ya hereditaire, tissue tissue sarcoma, hamwe n'ibibyimba bya gonadal birashoboka cyane ko bafite ibyago byinshi byo kugira melanoma mbi. Indwara ya melanoma nka kanseri ya kabiri ntabwo ikunze kugaragara kuruta kanseri y'uruhu ya nonmelanoma.
  • Kanseri yo mu kanwa. Kanseri yo mu kanwa irashobora kubaho nyuma yo guterwa ingirabuzimafatizo hamwe n'amateka y'indwara zidakira-zakira.

Kanseri y'impyiko. Hariho ibyago byinshi byo kurwara kanseri yimpyiko nyuma yo kuvurwa neuroblastoma, kuvura imirasire hagati yinyuma, cyangwa chimiotherapie nka cisplatine cyangwa karboplatine.

  • Kanseri y'uruhago. Kanseri y'uruhago irashobora kubaho nyuma ya chimiotherapie hamwe na cyclophosphamide.

Indwara ya Myelodysplastic na acute myeloid leukemia irashobora kugaragara mugihe kitarenze imyaka 10 nyuma yo gusuzuma kanseri yibanze ya lymphoma ya Hodgkin, lymphoblastique ikaze, cyangwa sarcoma no kuvura hamwe na chimiotherapie ikubiyemo ibi bikurikira:

  • Alkylating agent nka cyclophosphamide, ifosfamide, mechlorethamine, melphalan, busulfan, carmustine, lomustine, chlorambucil, cyangwa dacarbazine.
  • II inhibitor agent nka etoposide cyangwa teniposide.

Uburyo bumwe na bumwe bwa genetike cyangwa syndromes bishobora kongera ibyago bya kanseri ya kabiri.

Bamwe mu barokotse kanseri yo mu bwana barashobora kugira ibyago byinshi byo kwandura kanseri ya kabiri kuko bafite amateka mu muryango wa kanseri cyangwa syndrome ya kanseri yarazwe nka Li-Fraumeni. Ibibazo byuburyo ADN isanwa muri selile nuburyo imiti igabanya ubukana ikoreshwa numubiri bishobora no kugira ingaruka kuri kanseri ya kabiri.

Abarwayi bavuwe na kanseri bakeneye kwipimisha buri gihe kugirango barebe kanseri ya kabiri.

Ni ngombwa ko abarwayi bavuwe na kanseri basuzumwa kanseri ya kabiri mbere yuko ibimenyetso bigaragara. Ibi byitwa kwipimisha kanseri ya kabiri kandi birashobora gufasha kubona kanseri ya kabiri hakiri kare. Iyo ibibyimba bidasanzwe cyangwa kanseri bibonetse hakiri kare, birashobora kuvura byoroshye. Mugihe ibimenyetso bigaragara, kanseri irashobora kuba yatangiye gukwirakwira.

Ni ngombwa kwibuka ko umuganga wumwana wawe adashaka ko umwana wawe arwara kanseri mugihe agusabye kwipimisha. Ibizamini byo gusuzuma bitangwa mugihe umwana wawe adafite ibimenyetso bya kanseri. Niba ibisubizo byo kwipimisha bidasanzwe, umwana wawe arashobora gukenera kwipimisha byinshi kugirango amenye niba arwaye kanseri ya kabiri. Ibi byitwa ibizamini byo gusuzuma.

Ubwoko bwikizamini cyakoreshejwe mugupima kanseri ya kabiri biterwa nuburyo bwo kuvura kanseri umurwayi yagize kera.

Abarwayi bose bavuwe na kanseri bagomba kwipimisha kumubiri n'amateka y'ubuvuzi bikorwa rimwe mu mwaka. Isuzuma ryumubiri ryumubiri rikorwa kugirango hamenyekane ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba, impinduka zuruhu, cyangwa ikindi kintu cyose gisa nkidasanzwe. Amateka yubuvuzi yafashwe kugirango yige ibijyanye nubuzima bwumurwayi nindwara zashize nubuvuzi.

Niba umurwayi yakiriye imiti ivura imirasire, ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa mugusuzuma kanseri y'uruhu, amabere, cyangwa kanseri yibara:

  • Ikizamini cyuruhu : Muganga cyangwa umuforomo asuzuma uruhu rwibibyimba cyangwa ibibara bisa nkibara ridasanzwe, ibara, ubunini, imiterere, cyangwa imiterere, cyane cyane mukarere kahawe imirasire. Birasabwa ko ikizamini cyuruhu cyakorwa rimwe mumwaka kugirango hamenyekane ibimenyetso bya kanseri yuruhu.
  • Kwipimisha amabere: Ikizamini cyamabere numurwayi. Umurwayi yumva yitonze amabere no munsi yamaboko kubyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Birasabwa ko abagore bavuwe bafite imiti myinshi yo kuvura imishwarara mu gituza bakora buri kwezi kwisuzumisha amabere guhera mu bwangavu kugeza ku myaka 25. Abagore bavuwe bafite urugero ruke rw'imirasire mu gituza ntibakenera gutangira gusuzuma kanseri y'ibere bakiri ingimbi. Vugana na muganga wawe igihe ugomba gutangira kwisuzumisha.
  • Ikizamini cyamabere (CBE): Ikizamini cyamabere na muganga cyangwa undi muntu winzobere mubuzima. Muganga azumva yitonze amabere no munsi yamaboko kubyimba cyangwa ikindi kintu cyose kidasanzwe. Birasabwa ko abagore bavuwe bafite urugero rwinshi rwo kuvura imishwarara mu gituza bakora ikizamini cy’amabere buri mwaka guhera mu bwangavu kugeza ku myaka 25. Nyuma yimyaka 25 cyangwa imyaka 8 nyuma yo kuvura imirasire irangiye (niyo yaba iyambere), ibizamini byamabere byamavuriro bikorwa buri mezi 6. Abagore bavuwe bafite urugero ruke rw'imirasire mu gituza ntibashobora gukenera gutangira gusuzuma kanseri y'ibere bakiri ingimbi. Vugana na muganga wawe igihe ugomba gutangira ibizamini byamabere.
  • Mammogram: X-ray yamabere. Mammogram irashobora gukorwa mubagore bafite urugero rwinshi rwimirasire mugituza kandi badafite amabere yuzuye. Birasabwa ko abo bagore bafite mammogram rimwe mumwaka batangira imyaka 8 nyuma yo kuvurwa cyangwa kumyaka 25, iyaba nyuma. Vugana na muganga wawe igihe ugomba gutangira kugira mammogramu kugirango umenye kanseri y'ibere.
  • Amabere MRI (magnetic resonance imaging): Uburyo bukoresha magneti, imiraba ya radio, na mudasobwa mugukora urukurikirane rwamashusho arambuye yamabere. Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI). MRI irashobora gukorwa mubagore bafite urugero rwinshi rwimirasire mugituza kandi bafite amabere yuzuye. Birasabwa ko abo bagore bafite MRI rimwe mumwaka batangira imyaka 8 nyuma yo kuvurwa cyangwa kumyaka 25, iyaba nyuma. Niba ufite imirasire mu gituza, vugana na muganga wawe niba ukeneye MRI y'ibere kugirango umenye kanseri y'ibere.
  • Colonoscopy: Uburyo bwo kureba imbere muri rectum na colon kuri polyps, ahantu hadasanzwe, cyangwa kanseri. Colonoscope yinjizwa muri rectum muri colon. Colonoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Irashobora kandi kugira igikoresho cyo gukuraho polyps cyangwa ingero za tissue, zisuzumwa munsi ya microscope kugirango ibimenyetso bya kanseri. Bavuga ko abarokotse kanseri yo mu bwana bafite urugero rwinshi rw'imirasire ku nda, mu nda, cyangwa mu ruti rw'umugongo bafite colonoskopi buri myaka 5. Ibi bitangira kumyaka 35 cyangwa imyaka 10 nyuma yubuvuzi burangiye, ubwo aribwo bwose. Niba ufite imirasire munda, munda, cyangwa uruti rw'umugongo, vugana na muganga wawe igihe ugomba gutangira kugira colonoscopie kugirango urebe niba kanseri yibara.

Sisitemu yumutima

INGINGO Z'INGENZI

  • Ingaruka z'umutima n'amaraso zishobora gutinda nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Imirasire mu gituza hamwe na chimiotherapie zimwe na zimwe byongera ibyago byumutima nimiyoboro yamaraso.
  • Ingaruka zitinze zifata umutima nimiyoboro yamaraso zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byumutima nimiyoboro yamaraso ingaruka zitinze zirimo ikibazo cyo guhumeka no kubabara mu gatuza.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mumutima nimiyoboro yamaraso.
  • Ingeso zubuzima ziteza imbere umutima mwiza nimiyoboro yamaraso ningirakamaro kubarokotse kanseri yo mu bwana.

Ingaruka z'umutima n'amaraso ingaruka zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana. Kuvura kanseri nizindi zo mu bwana bishobora gutera umutima nu maraso gutinda:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Indwara ya myelogenous leukemia (AML).
  • Ibibyimba byo mu bwonko no mu ruti rw'umugongo.
  • Kanseri yo mu mutwe no mu ijosi.
  • Lymphoma ya Hodgkin.
  • Lymphoma itari Hodgkin.
  • Ikibyimba cya Wilms.
  • Kanseri ivurwa hamwe no guterwa ingirangingo.

Imirasire mu gituza hamwe na chimiotherapie zimwe na zimwe byongera ibyago byumutima nimiyoboro yamaraso.

Ibyago byubuzima burimo umutima nimiyoboro yamaraso byiyongera nyuma yo kuvurwa nibi bikurikira:

  • Imirasire mu gituza, uruti rw'umugongo, ubwonko, ijosi, impyiko, cyangwa imirasire y'umubiri wose (TBI) mu rwego rwo guhinduranya ingirangingo. Ibyago byibibazo biterwa nubuso bwumubiri wahuye nimirasire, ingano yimirasire yatanzwe, nimba imirasire yatanzwe mukigero gito cyangwa kinini.
  • Ubwoko bumwebumwe bwa chimiotherapie hamwe nigipimo rusange cya anthracycline yatanzwe. Chimoterapi hamwe na anthracycline nka doxorubicin, daunorubicin, idarubicin, na epirubicin, hamwe na anthraquinone nka mitoxantrone byongera ibyago byumutima nibibazo byamaraso. Ibyago byibibazo biterwa numubare wuzuye wa chimiotherapie watanzwe nubwoko bwibiyobyabwenge bikoreshwa. Biterwa kandi n’uko kuvura anthracycline byahawe umwana uri munsi y’imyaka 13 ndetse n’uko imiti yitwa dexrazoxane yatanzwe mu gihe cyo kuvura anthracycline. Dexrazoxane irashobora kugabanya umutima hamwe nimiyoboro yamaraso kugeza kumyaka 5 nyuma yo kuvurwa. Ifosfamide, methotrexate, na chimiotherapie hamwe na platine, nka karboplatine na cisplatine, birashobora kandi gutera umutima n'amaraso gutinda.
  • Gutera ingirabuzimafatizo.
  • Nephrectomy (kubaga gukuramo impyiko zose cyangwa igice).

Abacitse ku icumu rya kanseri mu bwana bavuwe n'imirasire y'umutima cyangwa imiyoboro y'amaraso ndetse n'ubwoko bumwe na bumwe bwa chimiotherapie bafite ibyago byinshi.

Ubuvuzi bushya bugabanya urugero rwimirasire yatanzwe kandi bugakoresha urugero rwa chimiotherapie cyangwa imiti ya chimiotherapie yangiza cyane bishobora kugabanya ibyago byumutima nimiyoboro yamaraso bitinze ugereranije nubuvuzi bukera.

Ibikurikira birashobora kandi kongera ibyago byumutima nimiyoboro yamaraso bitinze:

  • Igihe kinini kuva kwivuza.
  • Kugira umuvuduko ukabije w'amaraso cyangwa izindi mpamvu zishobora gutera indwara z'umutima, nk'amateka y'umuryango w'indwara z'umutima, kubyibuha birenze urugero, kunywa itabi, cholesterol nyinshi, cyangwa diyabete. Iyo ibyo bintu bishobora guhura nibibazo, ingaruka zingaruka zitinze ziba nyinshi.
  • Kugira munsi ya tiroyide isanzwe, gukura, cyangwa imisemburo yimibonano mpuzabitsina.

Ingaruka zitinze zifata umutima nimiyoboro yamaraso zishobora gutera ibibazo byubuzima.

Abacitse ku icumu rya kanseri mu bwana bakiriye imirasire cyangwa ubwoko bumwe na bumwe bwa chimiotherapie bafite ibyago byinshi byo gutinda ku mutima no mu maraso ndetse n'ibibazo by'ubuzima bijyanye. Muri byo harimo ibi bikurikira:

  • Umutima udasanzwe.
  • Intege nke z'umutima.
  • Umutima waka cyangwa isakoshi ikikije umutima.
  • Kwangirika kumutima.
  • Indwara yimitsi yumutima (gukomera kwimitsi yumutima).
  • Kunanirwa k'umutima.
  • Kubabara mu gatuza cyangwa kurwara umutima.
  • Amaraso atemba cyangwa inkoni imwe cyangwa nyinshi.
  • Indwara ya Carotide.

Ibimenyetso nibimenyetso byumutima nimiyoboro yamaraso ingaruka zitinze zirimo ikibazo cyo guhumeka no kubabara mu gatuza.

Ibi bimenyetso nibindi bimenyetso nibishobora guterwa numutima nimiyoboro yamaraso bitinze cyangwa nibindi bihe:

  • Guhumeka neza, cyane cyane iyo uryamye.
  • Umutima utera cyane, wihuta cyane, cyangwa utandukanye numutima usanzwe wumutima.
  • Kubabara mu gatuza cyangwa kubabara mu kuboko cyangwa ku kuguru.
  • Kubyimba ibirenge, amaguru, amaguru, cyangwa inda.
  • Iyo uhuye n'imbeho cyangwa ufite amarangamutima akomeye, intoki, amano, amatwi, cyangwa izuru bihinduka umweru hanyuma bigahinduka ubururu. Iyo ibi bibaye
  • ku ntoki, hashobora no kubaho ububabare no gutitira.
  • Gutungurwa gutunguranye cyangwa intege nke zo mumaso, ukuboko, cyangwa ukuguru (cyane cyane kuruhande rumwe rwumubiri).
  • Urujijo rutunguranye cyangwa ikibazo cyo kuvuga cyangwa kumva imvugo.
  • Ikibazo gitunguranye kubona nijisho rimwe cyangwa byombi.
  • Ikibazo gitunguranye kugenda cyangwa kumva uzunguye.
  • Gutungurwa gutunguranye cyangwa guhuza.
  • Mu buryo butunguranye kubabara umutwe nta mpamvu izwi.
  • Ububabare, ubushyuhe, cyangwa umutuku mu gice kimwe cyukuboko cyangwa ukuguru, cyane cyane inyuma yukuguru.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mumutima nimiyoboro yamaraso.

Ibi bizamini nibindi bizakoreshwa muburyo bwo kumenya cyangwa gusuzuma indwara z'umutima n'amaraso bitinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma umutima ibimenyetso byindwara, nko gutera umutima bidasanzwe, umuvuduko ukabije wamaraso, cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Electrocardiogram (EKG): Kwandika ibikorwa byamashanyarazi yumutima kugirango urebe igipimo cyayo nigitekerezo. Umubare muto muto (electrode) ushyirwa mugituza cyumurwayi, amaboko, namaguru, kandi bigahuzwa ninsinga kumashini ya EKG. Igikorwa cyumutima noneho cyandikwa nkigishushanyo cyumurongo kurupapuro. Ibikorwa by'amashanyarazi byihuta cyangwa bitinda kurenza ibisanzwe birashobora kuba ikimenyetso cyindwara z'umutima cyangwa kwangirika.
  • Echocardiogram: Uburyo bukoreshwa mu majwi y’amajwi menshi (ultrasound) asohoka ku mutima no ku ngingo cyangwa hafi y’ingingo no gukora echo. Ishusho ikora ikozwe mumutima na valve yumutima nkuko amaraso ava mumutima.
  • Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi menshi y’amajwi (ultrasound) asohoka mu ngingo zimbere cyangwa ingingo nkumutima kandi bigasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma.
  • CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya. Ubu buryo bukorwa kugirango hamenyekane amaraso.
  • Ubushakashatsi bwakozwe na Lipid: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwa triglyceride, cholesterol, hamwe na cholesterol ya lipoprotein nkeya kandi yuzuye cyane mu maraso.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byumutima nimiyoboro yamaraso. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Ingeso zubuzima ziteza imbere umutima mwiza nimiyoboro yamaraso ningirakamaro kubarokotse kanseri yo mu bwana.

Abacitse ku icumu rya kanseri mu bwana barashobora kugabanya ibyago byumutima nimiyoboro yamaraso bitinze mugira ubuzima bwiza, burimo:

  • Uburemere bwiza.
  • Indyo yuzuye umutima.
  • Imyitozo isanzwe.
  • Kutanywa itabi.

Sisitemu yo hagati

INGINGO Z'INGENZI

  • Ubwonko nubwonko bwumugongo bitinze birashoboka cyane nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Imirasire yubwonko byongera ibyago byubwonko nu mugongo ingaruka zitinze.
  • Ingaruka zitinze zifata ubwonko nu mugongo zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byubwonko nu mugongo ingaruka zitinze zirimo kubabara umutwe, gutakaza guhuza, hamwe no gufatwa.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mubwonko no mugongo.
  • Abacitse ku icumu rya kanseri yo mu bwana barashobora kugira impungenge no kwiheba bijyanye na kanseri yabo.
  • Bamwe mu barokotse kanseri yo mu bwana bafite ikibazo cy'ihungabana nyuma yo guhahamuka.
  • Abangavu basuzumwe kanseri barashobora kugira ibibazo byimibereho nyuma yubuzima.

Ubwonko nubwonko bwumugongo bitinze birashoboka cyane nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura kanseri nizindi zo mu bwana birashobora gutera ubwonko nu mugongo gutinda:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Ibibyimba byo mu bwonko no mu ruti rw'umugongo.
  • Kanseri yo mu mutwe no mu ijosi, harimo na retinoblastoma.
  • Lymphoma itari Hodgkin.
  • Osteosarcoma.

Imirasire yubwonko byongera ibyago byubwonko nu mugongo ingaruka zitinze.

Ibyago byubuzima bwibasira ubwonko cyangwa uruti rwumugongo byiyongera nyuma yo kuvurwa nibi bikurikira:

  • Imirasire yubwonko cyangwa uruti rwumugongo, cyane cyane imishwarara myinshi. Ibi birimo imirasire yumubiri wose yatanzwe nkigice cyo guterwa ingirangingo.
  • Imiti ya chimiotherapie.
  • Chimiotherapie hamwe na methotrexate ikabije cyangwa cytarabine ishobora kurenga inzitizi yubwonko bwamaraso (kurinda ubwonko).

Ibi birimo imiti myinshi ya chimiotherapie yatanzwe nkigice cyo guterwa ingirangingo.

  • Kubaga kugirango ukureho ikibyimba mu bwonko cyangwa uruti rw'umugongo.

Iyo imirasire yubwonko hamwe na chimiotherapie intrathecal itangwa icyarimwe, ibyago byingaruka zitinda biba byinshi.

Ibikurikira birashobora kandi kongera ibyago byubwonko nu mugongo ingaruka zitinda kubarokotse ikibyimba mu bwonko:

  • Kuba ufite imyaka 5 cyangwa irenga mugihe cyo kwivuza.
  • Kuba igitsina gore.
  • Kugira hydrocephalus hamwe na shunt yashyizwe kugirango ikureho amazi yinyongera mumashanyarazi.
  • Kugira ikibazo cyo kutumva.
  • Kugira ubwonko bwubwonko bukurikira kubagwa kugirango ukureho ikibyimba cyubwonko. Ubwonko bwa Cerebellar burimo kutabasha kuvuga, gutakaza
  • guhuza no kuringaniza, guhindagurika kumutima, kurakara, no gutaka cyane.
  • Kugira amateka yumuntu ku giti cye.
  • Kurwara.

Sisitemu yo hagati yubukererwe nayo iterwa nigihe ikibyimba cyakorewe mubwonko no mugongo.

Ingaruka zitinze zifata ubwonko nu mugongo zishobora gutera ibibazo byubuzima.

Abacitse ku icumu rya kanseri mu bwana bakiriye imirasire, ubwoko bumwe na bumwe bwa chimiotherapie, cyangwa kubagwa mu bwonko cyangwa uruti rw'umugongo bafite ibyago byinshi byo gutinda ku bwonko no mu ruti rw'umugongo hamwe n'ibibazo bijyanye n'ubuzima. Muri byo harimo ibi bikurikira:

  • Kubabara umutwe.
  • Gutakaza guhuza no gushyira mu gaciro.
  • Kuzunguruka.
  • Kurwara.
  • Gutakaza sheel ya myelin itwikiriye fibre nervice mubwonko.
  • Imyitwarire idahwitse igira ingaruka kumaguru n'amaso cyangwa ubushobozi bwo kuvuga no kumira.
  • Kwangiza imitsi mumaboko cyangwa ibirenge.
  • Indwara. Indwara ya kabiri irashobora kuba cyane kubarokotse bakiriye imirasire mu bwonko, bafite amateka yumuvuduko ukabije wamaraso,
  • cyangwa barengeje imyaka 40 mugihe bagize ubwonko bwa mbere.
  • Gusinzira ku manywa.
  • Hydrocephalus.
  • Gutakaza uruhago na / cyangwa kugenzura amara.
  • Cavernoma (ihuriro ry'imiyoboro y'amaraso idasanzwe).
  • Kubabara umugongo.

Abacitse ku icumu barashobora kandi kugira ingaruka zitinze zigira ingaruka kubitekerezo, kwiga, kwibuka, amarangamutima, nimyitwarire.

Uburyo bushya bwo gukoresha ibipimo byinshi kandi biri munsi yimirasire yubwonko bishobora kugabanya ibyago byubwonko nu mugongo ingaruka zitinze.

Ibimenyetso nibimenyetso byubwonko nu mugongo ingaruka zitinze zirimo kubabara umutwe, gutakaza guhuza, hamwe no gufatwa.

Ibi bimenyetso nibimenyetso bishobora guterwa nubwonko nubwonko bwumugongo bitinze cyangwa nibindi bihe:

  • Kubabara umutwe bishobora kugenda nyuma yo kuruka.
  • Kurwara.
  • Gutakaza uburimbane, kubura guhuza, cyangwa ikibazo cyo kugenda.
  • Ikibazo cyo kuvuga cyangwa kumira.
  • Ikibazo cyo kugira amaso akorera hamwe.
  • Kunanirwa, gutitira, cyangwa intege nke mumaboko cyangwa ibirenge.
  • Kuba udashobora kunama amaguru kugirango uzamure ikirenge hejuru.
  • Gutungurwa gutunguranye cyangwa intege nke zo mumaso, ukuboko, cyangwa ukuguru (cyane cyane kuruhande rumwe rwumubiri).
  • Gusinzira bidasanzwe cyangwa guhinduka murwego rwibikorwa.
  • Impinduka zidasanzwe mumiterere cyangwa imyitwarire.
  • Guhindura ingeso zo munda cyangwa ikibazo cyo kwihagarika.
  • Kwiyongera mubunini bwumutwe (mubana).
  • Urujijo rutunguranye cyangwa ikibazo cyo kuvuga cyangwa kumva imvugo.
  • Ikibazo gitunguranye kubona nijisho rimwe cyangwa byombi.
  • Mu buryo butunguranye kubabara umutwe nta mpamvu izwi.

Ibindi bimenyetso n'ibimenyetso birimo ibi bikurikira:

  • Ibibazo byo kwibuka.
  • Ibibazo byo kwitondera.
  • Ikibazo cyo gukemura ibibazo.
  • Ikibazo cyo gutegura ibitekerezo n'imirimo.
  • Buhoro buhoro ubushobozi bwo kwiga no gukoresha amakuru mashya.
  • Ingorane zo kwiga gusoma, kwandika, cyangwa gukora imibare.
  • Ikibazo cyo guhuza ingendo hagati y'amaso, amaboko, n'indi mitsi.
  • Gutinda kw'iterambere risanzwe.
  • Kwikuramo cyangwa ibibazo kubana nabandi.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mubwonko no mugongo.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma ubwonko nu mugongo ingaruka zitinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ikizamini cya Neurologiya: Urukurikirane rwibibazo n'ibizamini byo gusuzuma ubwonko, uruti rw'umugongo, n'imikorere y'imitsi. Ikizamini kigenzura imiterere yumuntu, guhuza, nubushobozi bwo kugenda bisanzwe, nuburyo imitsi, ibyumviro, na refleks ikora. Ibi birashobora kandi kwitwa ikizamini cya neuro cyangwa ikizamini cya neurologic. Rimwe na rimwe, ikizamini cyuzuye kirashobora gukorwa na neurologue cyangwa neurosurgeon.
  • Isuzuma rya Neuropsychologue: Urukurikirane rw'ibizamini byo gusuzuma imitekerereze y'umurwayi n'imyitwarire ye. Ibice bigenzurwa mubisanzwe birimo:
  • Kumenya uwo uriwe n'aho uri n'umunsi.
  • Ubushobozi bwo kwiga no kwibuka amakuru mashya.
  • Ubwenge.
  • Ubushobozi bwo gukemura ibibazo.
  • Gukoresha imvugo ivugwa kandi yanditse.
  • Guhuza amaso.
  • Ubushobozi bwo gutunganya amakuru nimirimo.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byubwonko bwumugongo. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Abacitse ku icumu rya kanseri yo mu bwana barashobora kugira impungenge no kwiheba bijyanye na kanseri yabo.

Abacitse ku icumu rya kanseri yo mu bwana barashobora kugira impungenge no kwiheba bijyanye n'imihindagurikire y'umubiri, kugira ububabare, uko basa, cyangwa ubwoba bwa kanseri igaruka. Izi ngingo nizindi zishobora gutera ibibazo mubucuti bwihariye, uburezi, akazi, nubuzima, kandi bigatera ibitekerezo byo kwiyahura. Abacitse ku icumu bafite ibyo bibazo ntibashobora kubaho bonyine nkabantu bakuru.

Ibizamini byakurikiranwe ku barokotse kanseri yo mu bwana bigomba kubamo gusuzuma no kuvura ibibazo bishobora guterwa na psychologiya, nko guhangayika, kwiheba, n'ibitekerezo byo kwiyahura.

Bamwe mu barokotse kanseri yo mu bwana bafite ikibazo cy'ihungabana nyuma yo guhahamuka.

Gusuzumwa no kuvurwa indwara ishobora guhitana ubuzima bishobora guhahamuka. Ihahamuka rishobora gutera ihungabana nyuma yo guhahamuka (PTSD). PTSD isobanurwa nko kugira imyitwarire imwe n'imwe ikurikira ibintu bitesha umutwe birimo urupfu cyangwa iterabwoba ry'urupfu, ibikomere bikomeye, cyangwa iterabwoba kuri wewe cyangwa ku bandi.

PTSD irashobora kwibasira abarokotse kanseri muburyo bukurikira:

  • Kureka igihe basuzumaga no kuvurwa kanseri, mubitotsi cyangwa flashback, no kubitekerezaho buri gihe.
  • Kwirinda ahantu, ibyabaye, nabantu bibibutsa uburambe bwa kanseri.

Muri rusange, abarokotse kanseri yo mu bwana bagaragaza urugero ruke rwa PTSD, bitewe nuburyo bwo guhangana n’abarwayi n’ababyeyi babo. Abacitse ku icumu bahawe imiti ivura imirasire ku mutwe iyo batarengeje imyaka 4 cyangwa abarokotse bavuwe cyane bashobora kuba bafite ibyago byinshi byo kwandura PTSD. Ibibazo byumuryango, bike cyangwa nta nkunga ituruka kumuryango cyangwa inshuti, hamwe no guhangayikishwa na kanseri bishobora kongera amahirwe yo kwandura PTSD.

Kubera ko kwirinda ahantu hamwe n’abantu bafitanye isano na kanseri bishobora kuba bimwe mu bigize PTSD, abarokotse bafite PTSD ntibashobora kwivuza bakeneye.

Abangavu basuzumwe kanseri barashobora kugira ibibazo byimibereho nyuma yubuzima.

Abangavu basuzumwe na kanseri barashobora kugera ku ntambwe nkeya mu mibereho cyangwa bakayigeraho nyuma y'ubuzima kurusha ingimbi zitasuzumwe na kanseri. Ibikorwa byingenzi birimo kugira umukunzi cyangwa umukobwa wambere, kurongora, no kubyara. Bashobora kandi kugira ikibazo cyo kubana nabandi bantu cyangwa bakumva badakunzwe nabandi bo mu kigero cyabo.

Abacitse ku icumu rya kanseri muri iki cyiciro bavuze ko batanyuzwe n'ubuzima bwabo ndetse n'ubuzima bwabo muri rusange ugereranije n'abandi bo mu kigero kimwe batigeze barwara kanseri. Ingimbi n'abangavu barokotse kanseri bakeneye gahunda zidasanzwe zitanga imitekerereze, uburezi, hamwe n'akazi.

Sisitemu y'ibiryo

INGINGO Z'INGENZI

  • Amenyo n'urwasaya
  • Ibibazo by'amenyo n'urwasaya ni ingaruka zitinze zishobora kugaragara nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Imirasire kumutwe no mumajosi hamwe nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byo gutinda kumenyo namenyo.
  • Ingaruka zitinze zifata amenyo nu rwasaya zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byingaruka zitinda kumenyo namenyo harimo kubora amenyo (cavites) no kubabara urwasaya.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu kanwa no mu rwasaya.
  • Kuvura amenyo buri gihe ni ngombwa cyane kubarokotse kanseri yo mu bwana.
  • Inzira y'ibiryo
  • Inzira zifungura gutinda birashoboka cyane nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Imirasire ku ruhago, prostate, cyangwa testicles hamwe nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byinzira zitinda.
  • Ingaruka zitinze zigira ingaruka kumyanya yumubiri zishobora gutera ibibazo byubuzima.
  • Ibimenyetso bishoboka nibimenyetso byinzira zifata gutinda harimo kubabara munda no gucibwamo.
  • Ibizamini hamwe nuburyo bumwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu nzira yigifu.
  • Imiyoboro y'umwijima n'umura
  • Umwijima n'umwijima w'ingaruka zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Ubwoko bumwebumwe bwa chimiotherapie hamwe nimirasire yumwijima cyangwa imiyoboro ya bile byongera ibyago byo gutinda.
  • Ingaruka zitinze zifata umwijima nuyoboro wa bile zirashobora gutera ibibazo byubuzima.
  • Ibimenyetso bishoboka nibimenyetso byumwijima nuyoboro wumuvuduko utinze harimo kubabara munda na jaundice.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu mwijima no mu muyoboro.
  • Ingeso zubuzima ziteza umwijima muzima ningirakamaro kubarokotse kanseri yo mu bwana.
  • Indwara ya pancreas
  • Imiti ivura imirasire yongera ibyago byo gutinda kwa pancreatic.
  • Ingaruka zitinze zifata pancreas zishobora gutera ibibazo bimwe byubuzima.
  • Ibimenyetso nibimenyetso byingaruka ziterwa na pancreatic gutinda harimo kwihagarika kenshi no kugira inyota.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima muri pancreas.

Amenyo n'urwasaya

Ibibazo by'amenyo n'urwasaya ni ingaruka zitinze zishobora kugaragara nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura kanseri n'izindi kanseri zo mu bwana birashobora gutera ingaruka zitinze z'amenyo n'amasaya:

  • Kanseri yo mu mutwe no mu ijosi.
  • Lymphoma ya Hodgkin.
  • Neuroblastoma.
  • Leukemia ikwirakwira mu bwonko no mu ruti rw'umugongo.
  • Kanseri yo mu mazuru.
  • Ibibyimba mu bwonko.
  • Kanseri ivurwa hamwe no guterwa ingirangingo.

Imirasire kumutwe no mumajosi hamwe nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byo gutinda kumenyo namenyo.

Ibyago byubuzima bigira ingaruka ku menyo no mu rwasaya byiyongera nyuma yo kuvurwa hamwe nibi bikurikira:

  • Ubuvuzi bwimirasire kumutwe no mumajosi.
  • Imirasire yumubiri wose (TBI) nkigice cyo guhinduranya ingirangingo.
  • Chimoterapi, cyane cyane hamwe na dosiye nyinshi ya alkylating agent nka cyclophosphamide.
  • Kubaga mu mutwe no mu ijosi.

Ibyago byiyongera kandi kubarokotse bari munsi yimyaka 5 mugihe cyo kuvurwa kuko amenyo yabo ahoraho yari atarakura neza.

Ingaruka zitinze zifata amenyo nu rwasaya zishobora gutera ibibazo byubuzima.

Amenyo n'urwasaya ingaruka zitinze hamwe nibibazo byubuzima birimo ibi bikurikira:

  • Amenyo adasanzwe.
  • Kubora amenyo (harimo na cavites) n'indwara y'amenyo.
  • Imvubura zamacandwe ntizikora amacandwe ahagije.
  • Urupfu rw'utugingo ngengabuzima two mu rwasaya.
  • Impinduka muburyo bwo mumaso, urwasaya, cyangwa igihanga.

Ibimenyetso nibimenyetso byingaruka zitinda kumenyo namenyo harimo kubora amenyo (cavites) no kubabara urwasaya.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa ningaruka zitinze zinyo na jasaya cyangwa nibindi bihe:

  • Amenyo ni mato cyangwa adafite imiterere isanzwe.
  • Kubura amenyo ahoraho.
  • Amenyo ahoraho yinjira mugihe kirenze imyaka isanzwe.
  • Amenyo afite enamel nkeya kurenza ibisanzwe.
  • Kubora amenyo menshi (cavities) n'indwara y'amenyo kurenza ibisanzwe.
  • Umunwa wumye.
  • Ingorane zo guhekenya, kumira, no kuvuga.
  • Kubabara urwasaya.
  • Urwasaya ntirukingura kandi rugafunga inzira igomba.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu kanwa no mu rwasaya.

Ibi bizamini hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma ingaruka zitinze zinyo na jasaya:

  • Ikizamini cy'amenyo n'amateka: Ikizamini cy'amenyo, umunwa, n'urwasaya kugira ngo hamenyekane ibimenyetso rusange by'ubuzima bw'amenyo, harimo no gusuzuma ibimenyetso by'indwara, nk'imyenge cyangwa ikindi kintu cyose gisa n'ikidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi. Ibi birashobora kandi kwitwa kwisuzumisha amenyo.
  • Panorex x-ray: X-ray y amenyo yose nimizi yabyo. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.
  • X-ray y'urwasaya: X-ray y'urwasaya. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.
  • CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, nkumutwe nijosi, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.
  • MRI (magnetic resonance imaging): Uburyo bukoresha magnet, imiraba ya radio, na mudasobwa kugirango ukore urukurikirane rwamashusho arambuye yibice biri mumubiri, nkumutwe nijosi. Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
  • Biopsy: Gukuraho ingirangingo z'amagufwa mu rwasaya kugira ngo zishobore kurebwa munsi ya microscope kugira ngo hamenyekane ibimenyetso by'urupfu rw'amagufwa nyuma yo kuvura imirasire.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso by amenyo ningaruka zitinze. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Kuvura amenyo buri gihe ni ngombwa cyane kubarokotse kanseri yo mu bwana.

Abaganga bavuga ko abarokotse kanseri yo mu bwana basuzumwa amenyo kandi bakavura isuku na fluor buri mezi 6. Abana bari bafite imiti ivura imirasire yo mu kanwa barashobora kandi kubona ortodontiste cyangwa otolaryngologue. Niba ibikomere biboneka mu kanwa, hashobora gukenerwa biopsy.

Inzira y'ibiryo

Inzira zifungura gutinda birashoboka cyane nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura kanseri n'izindi zo mu bwana birashobora gutera ingaruka zitinze z'inzira zifungura (esofagusi, igifu, amara mato manini, manini na anus):

  • Rhabdomyosarcoma y'uruhago cyangwa prostate, cyangwa hafi ya testicles.
  • Lymphoma itari Hodgkin.
  • Ibibyimba bya selile.
  • Neuroblastoma.
  • Ikibyimba cya Wilms.

Imirasire ku ruhago, prostate, cyangwa testicles hamwe nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byinzira zitinda.

Ibyago byubuzima bigira ingaruka kumitsi yigifu byiyongera nyuma yo kuvurwa nibi bikurikira:

  • Ubuvuzi bwimirasire yinda cyangwa ahantu hafi yinda, nka esofagusi, uruhago, prostate, cyangwa testicles, bishobora gutera ibibazo byigifu bitangira vuba kandi bikamara igihe gito. Mu barwayi bamwe na bamwe, ibibazo byinzira zifata biratinda kandi biramba. Izi ngaruka zitinze ziterwa no kuvura imirase yangiza imiyoboro yamaraso. Kwakira ibipimo byinshi byo kuvura imirasire cyangwa kwakira chimiotherapie nka dactinomycine cyangwa anthracycline hamwe nubuvuzi bwimirasire bishobora kongera ibyago.
  • Kubaga inda cyangwa kubaga pelvic kugirango bakureho uruhago.
  • Chimiotherapie hamwe na alkylating agent nka cyclophosphamide, procarbazine, na ifosfamide, cyangwa hamwe na platine nka cisplatine cyangwa karboplatine, cyangwa hamwe na anthracycline nka doxorubicin, daunorubicin, idarubicin, na epirubicin.
  • Gutera ingirabuzimafatizo.

Ibikurikira birashobora kandi kongera ibyago byinzira zifungura gutinda:

  • Ubusaza mugupima cyangwa mugihe ubuvuzi butangiye.
  • Umuti hamwe nubuvuzi bwimishwarara hamwe na chimiotherapie.
  • Amateka yindwara zidakira-nindwara yakiriye.

Ingaruka zitinze zigira ingaruka kumyanya yumubiri zishobora gutera ibibazo byubuzima.

Inzira zifungura gutinda hamwe nibibazo byubuzima bifitanye isano harimo ibi bikurikira:

  • Kugabanuka kwa esofagusi cyangwa amara.
  • Imitsi ya esofagus ntabwo ikora neza.
  • Kugarura
  • Impiswi, impatwe, kutagira fecal, cyangwa amara yafunzwe.
  • Gutobora amara (umwobo mu mara).
  • Gutwika amara.
  • Urupfu rw'igice cy'amara.
  • Amara ntashobora gukuramo intungamubiri ziva mu biryo.

Ibimenyetso bishoboka nibimenyetso byinzira zifata gutinda harimo kubabara munda no gucibwamo.

Ibi bimenyetso nibindi bimenyetso nibimenyetso bishobora guterwa ninzira zifungura gutinda cyangwa nibindi bihe:

  • Ingorane zo kumira cyangwa kumva ko ibiryo bifashe mu muhogo.
  • Gutwika.
  • Umuriro ufite ububabare bukabije munda no mu isesemi.
  • Kubabara mu nda.
  • Guhindura ingeso zo munda (impatwe cyangwa impiswi).
  • Isesemi no kuruka.
  • Kubabara gaze kenshi, kubyimba, kuzura, cyangwa kuribwa.
  • Indwara ya Hemorroide.
  • Kugarura.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini hamwe nuburyo bumwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu nzira yigifu.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma inzira zifungura gutinda:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkubwonko bwinda cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ikizamini cya rectal digitale: Ikizamini cyurukiramende. Muganga cyangwa umuforomo ashyiramo urutoki rwamavuta, rudodo muri rectum kugirango yumve ibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.
  • X-ray: x-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice biri mumubiri. X-ray irashobora gufatwa munda, impyiko, ureter, cyangwa uruhago kugirango hamenyekane ibimenyetso byindwara.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byinzira zitinda. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Imiyoboro y'umwijima n'umura

Umwijima n'umwijima w'ingaruka zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura kanseri nizindi kanseri zo mu bwana birashobora gutera umwijima cyangwa umuyoboro wa bili ingaruka zitinze:

  • Kanseri y'umwijima.
  • Ikibyimba cya Wilms.
  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Kanseri ivurwa hamwe no guterwa ingirangingo.

Ubwoko bumwebumwe bwa chimiotherapie hamwe nimirasire yumwijima cyangwa imiyoboro ya bile byongera ibyago byo gutinda.

Ingaruka z'umwijima cyangwa umuyoboro w'ingaruka zishobora kwiyongera ku barokotse kanseri yo mu bwana bavuwe hamwe muri ibi bikurikira:

  • Kubaga kugirango ukure igice cyumwijima cyangwa guhindurwa umwijima.
  • Chimiotherapie ikubiyemo urugero rwinshi rwa cyclophosphamide murwego rwo guhinduranya ingirangingo.
  • Chimiotherapie nka 6-mercaptopurine, 6-thioguanine, na methotrexate.
  • Imishwarara ivura umwijima nuyoboro. Ingaruka ziterwa nibi bikurikira:
  • Igipimo cyimirase nubunini bwumwijima bivurwa.
  • Imyaka iyo ivuwe (uko imyaka ikiri muto, niko ibyago byinshi).
  • Niba hari kubagwa kugirango bakure igice cyumwijima.
  • Haba chimiotherapie, nka doxorubicin cyangwa dactinomycine, yatanzwe hamwe no kuvura imirasire.

Gutera ingirangingo (hamwe namateka yindwara zidakira-nindwara-yakiriye).

Ingaruka zitinze zifata umwijima nuyoboro wa bile zirashobora gutera ibibazo byubuzima.

Umwijima n'umwijima ingaruka zitinze hamwe nibibazo byubuzima birimo ibi bikurikira:

  • Umwijima ntukora uko bikwiye cyangwa uhagarika akazi.
  • Amabuye.
  • Indwara y'umwijima.
  • Indwara ya Hepatite B cyangwa C.
  • Kwangirika kwumwijima guterwa n'indwara ya veno-occlusive / syndrome ya sinusoidal (VOD / SOS).
  • Fibrosis yumwijima (gukura kwinyama zihuza umwijima) cyangwa cirrhose.
  • Umwijima ufite ibinure birwanya insuline (imiterere umubiri ukora insuline ariko ntushobora kuyikoresha neza).
  • Tissue hamwe ningingo byangirika bivuye mubyuma byinyongera nyuma yo guterwa amaraso menshi.

Ibimenyetso bishoboka nibimenyetso byumwijima nuyoboro wumuvuduko utinze harimo kubabara munda na jaundice.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa numwijima nuyoboro wumuyoboro utinze cyangwa nibindi bihe:

  • Kongera ibiro cyangwa kugabanya ibiro.
  • Kubyimba mu nda.
  • Isesemi no kuruka.
  • Kubabara mu nda. Ububabare bushobora kugaragara hafi y'urubavu, akenshi kuruhande rwiburyo, cyangwa nyuma yo kurya ibiryo binuze.
  • Jaundice (umuhondo w'uruhu n'umweru w'amaso).
  • Amara afite amabara yoroheje.
  • Inkari zifite ibara ryijimye.
  • Gazi nyinshi.
  • Kubura ubushake bwo kurya.
  • Kumva unaniwe cyangwa ufite intege nke.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Rimwe na rimwe, nta kimenyetso cyangwa ibimenyetso byumwijima cyangwa umuyoboro wa bili ingaruka zitinze kandi kuvura ntibishobora gukenerwa.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu mwijima no mu muyoboro.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma umwijima cyangwa umuyoboro wa bili ingaruka zitinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara Urugero, hashobora kubaho urwego rwisumbuye rwa bilirubin, alanine aminotransferase (ALT), hamwe na aminotransferase (AST) mumubiri niba umwijima ufite byangiritse.
  • Urwego rwa Ferritine: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwa ferritine. Ferritine ni poroteyine ihuza fer ikayibika kugirango ikoreshwe n'umubiri. Nyuma yo guterwa ingirangingo fatizo, urugero rwa ferritine nyinshi rushobora kuba ikimenyetso cyindwara yumwijima.
  • Ubushakashatsi bwamaraso kugirango harebwe neza niba amaraso atembera neza: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwa platine mumubiri cyangwa igihe bifata kugirango amaraso atembera.
  • Indwara ya Hepatite: Uburyo bwo gusuzuma urugero rw'amaraso kugira ngo hamenyekane ibice bya virusi ya hepatite. Icyitegererezo cyamaraso kirashobora kandi gukoreshwa mugupima umubare wa virusi ya hepatite iri mumaraso. Abarwayi bose batewe amaraso mbere ya 1972 bagomba kwipimisha hepatite B. Abarwayi batewe amaraso mbere ya 1993 bagomba kwipimisha kuri hepatite C.

Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi y’amajwi menshi (ultrasound) asohoka mu ngingo cyangwa mu ngingo, nk'uruhago rwa gall, kandi bigasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma.

  • Biopsy: Gukuraho selile cyangwa tissue mu mwijima kugirango bibe byerekanwa munsi ya microscope kugirango barebe ibimenyetso byumwijima.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byumwijima cyangwa umuyoboro wa bili. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Ingeso zubuzima ziteza umwijima muzima ningirakamaro kubarokotse kanseri yo mu bwana.

Abacitse ku icumu rya kanseri bakiri bato bafite ingaruka z'umwijima bagomba kwitondera kurinda ubuzima bwabo, harimo:

  • Kugira ibiro byiza.
  • Kutanywa inzoga.
  • Kubona inkingo za virusi ya hepatite A na virusi ya hepatite B.

Indwara ya pancreas

Imiti ivura imirasire yongera ibyago byo gutinda kwa pancreatic.

Ibyago byo gutinda kwa pancreatic gutinda birashobora kwiyongera kubarokotse kanseri yo mu bwana nyuma yo kuvurwa hamwe nimwe muri ibi bikurikira:

  • Imiti ivura inda.
  • Imirasire yumubiri wose (TBI) nkigice cyo guhinduranya ingirangingo.

Ingaruka zitinze zifata pancreas zishobora gutera ibibazo bimwe byubuzima.

Ingaruka zo gutinda kwa pancreatic nibibazo byubuzima bijyanye nabyo bikurikira:

  • Kurwanya insuline: Imiterere umubiri udakoresha insuline nkuko bikwiye. Insuline irakenewe kugirango ifashe kugenzura ingano ya glucose (ubwoko bw'isukari) mu mubiri. Kubera ko insuline idakora uko bikwiye, glucose n'ibinure biriyongera.
  • Indwara ya Diyabete: Indwara umubiri udakora insuline ihagije cyangwa utayikoresha uko bikwiye. Iyo nta insuline ihagije, ubwinshi bwa glucose mumaraso bwiyongera kandi impyiko zikora inkari nyinshi.

Ibimenyetso nibimenyetso byingaruka ziterwa na pancreatic gutinda harimo kwihagarika kenshi no kugira inyota.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa ningaruka za pancreatic yatinze cyangwa nibindi bihe:

  • Inkari kenshi.
  • Kumva ufite inyota cyane.
  • Kumva ushonje cyane.
  • Kugabanya ibiro nta mpamvu izwi.
  • Kumva unaniwe cyane.
  • Indwara zikunze kugaragara cyane cyane kuruhu, amenyo, cyangwa uruhago.
  • Icyerekezo kidahwitse.
  • Gukata cyangwa gukomeretsa bitinda gukira.
  • Kunanirwa cyangwa gutitira mu biganza cyangwa ibirenge.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima muri pancreas.

Ibi nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma ingaruka ziterwa na pancreatic:

  • Ikizamini cya glycated hemoglobine (A1C): Hapimwe uburyo bwo gukuramo urugero rw'amaraso hamwe na glucose ifatanye na selile zitukura. Umubare urenze urugero rusanzwe rwa glucose ifatanye na selile yamaraso itukura birashobora kuba ikimenyetso cya diyabete.
  • Kwipimisha isukari mu maraso: Ikizamini gisuzumwa icyitegererezo cyamaraso kugirango bapime urugero rwa glucose mumaraso. Iki kizamini gikozwe nyuma yuko umurwayi atagize icyo kurya nijoro. Kurenza urugero rusanzwe rwa glucose mumaraso birashobora kuba ikimenyetso cya diyabete.

Sisitemu ya Endocrine

INGINGO Z'INGENZI

  • Indwara ya tiroyide
  • Indwara ya tiroyide itinda cyane kugaragara nyuma yo kuvura kanseri zimwe na zimwe zo mu bwana.
  • Kuvura imirasire kumutwe no mwijosi byongera ibyago byo gutinda kwa tiroyide.
  • Ingaruka zitinze zifata tiroyide zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byingaruka za tiroyide biterwa nuko haba mumisemburo ya tiroyide nkeya cyangwa nyinshi cyane mumubiri.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima muri tiroyide.
  • Glande ya pitoito
  • Ingaruka zitinda za Neuroendocrine zishobora guterwa nyuma yo kuvura kanseri zimwe na zimwe zo mu bwana.
  • Umuti ugira ingaruka kuri hypothalamus cyangwa pitoito gland byongera ibyago bya sisitemu ya neuroendocrine ingaruka zitinze.
  • Ingaruka zitinze zifata hypothalamus zishobora gutera ibibazo byubuzima.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima muri sisitemu ya neuroendocrine.
  • Amabya n'intanga ngore
  • Indwara ya metabolike
  • Indwara ya metabolike irashobora kubaho nyuma yo kuvura kanseri zimwe na zimwe zo mu bwana.
  • Imiti ivura imirasire yongera ibyago byo kwandura syndrome de metabolike.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma syndrome de metabolike.
  • Indwara ya metabolike irashobora gutera indwara z'umutima n'amaraso hamwe na diyabete.
  • Ibiro
  • Kuba ufite ibiro bike, umubyibuho ukabije, cyangwa umubyibuho ukabije ni ingaruka zitinze zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Imiti ivura imirasire yongerera ibyago byo kuba ufite ibiro bike, umubyibuho ukabije, cyangwa umubyibuho ukabije.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma impinduka mubiro.

Indwara ya tiroyide

Indwara ya tiroyide itinda cyane kugaragara nyuma yo kuvura kanseri zimwe na zimwe zo mu bwana.

Kuvura kanseri nizindi zo mu bwana birashobora gutera tiroyide itinze:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Ibibyimba mu bwonko.
  • Kanseri yo mu mutwe no mu ijosi.
  • Lymphoma ya Hodgkin.
  • Neuroblastoma.
  • Kanseri ivurwa hamwe no guterwa ingirangingo.

Kuvura imirasire kumutwe no mwijosi byongera ibyago byo gutinda kwa tiroyide.

Ibyago byo gutinda kwa tiroyide birashobora kwiyongera kubarokotse kanseri yo mu bwana nyuma yo kuvurwa na kimwe muri ibi bikurikira:

  • Imiti ivura tiroyide mu rwego rwo kuvura imirasire ku mutwe no mu ijosi cyangwa kuri glande ya pitoito mu bwonko.
  • Imirasire yumubiri wose (TBI) nkigice cyo guhinduranya ingirangingo.
  • MIBG (radiyo ikora iyode) ivura neuroblastoma.

Ibyago byiyongera kandi ku bagore, ku barokotse bari bakiri bato mu gihe cyo kwivuza, ku barokotse bafite imiti myinshi y’imishwarara, kandi uko igihe cyo kwisuzumisha no kuvurwa kiba kirekire.

Ingaruka zitinze zifata tiroyide zishobora gutera ibibazo byubuzima.

Indwara ya Thyroid itinze hamwe nibibazo byubuzima bifitanye isano harimo ibi bikurikira:

  • Hypothyroidism (ntabwo imisemburo ya tiroyide ihagije): Izi ningaruka za tiroyide ikunze kugaragara. Mubisanzwe bibaho nyuma yimyaka 2 kugeza kuri 5 nyuma yubuvuzi burangiye ariko bushobora kubaho nyuma. Bikunze kugaragara mubakobwa kurusha abahungu.
  • Hyperthyroidism (imisemburo myinshi ya tiroyide): Mubisanzwe ibaho nyuma yimyaka 3 kugeza kuri 5 nyuma yubuvuzi burangiye.

Goiter (tiroyide yagutse).

  • Ibibyimba muri tiroyide: Mubisanzwe bibaho nyuma yimyaka 10 cyangwa irenga nyuma yo kuvura birangiye. Bikunze kugaragara mubakobwa kurusha abahungu. Iterambere rishobora kuba ryiza (ntabwo ari kanseri) cyangwa ribi (kanseri).

Ibimenyetso nibimenyetso byingaruka za tiroyide biterwa nuko haba mumisemburo ya tiroyide nkeya cyangwa nyinshi cyane mumubiri.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa na tiroyide itinze cyangwa nibindi bihe:

Hypothyroidism (imisemburo mike ya tiroyide)

  • Kumva unaniwe cyangwa ufite intege nke.
  • Kuba wumva neza ubukonje.
  • Uruhu rwera, rwumye.
  • Umusatsi utoshye kandi unanutse.
  • Kumenagura urutoki.
  • Ijwi ribi.
  • Mu maso.
  • Imitsi hamwe no kubabara hamwe no gukomera.
  • Kuribwa mu nda.
  • Ibihe by'imihango biremereye kuruta ibisanzwe.
  • Kongera ibiro nta mpamvu izwi.
  • Kwiheba cyangwa ibibazo hamwe no kwibuka cyangwa gushobora kwibanda.

Ni gake, hypotherroidism ntabwo itera ibimenyetso.

Hyperthyroidism (imisemburo myinshi ya tiroyide)

  • Kumva ufite ubwoba, uhangayitse, cyangwa utuje.
  • Gusinzira.
  • Kumva unaniwe cyangwa ufite intege nke.
  • Kugira amaboko ahinda umushyitsi.
  • Kugira umutima wihuta.
  • Kugira uruhu rutukura, rushyushye rushobora kuba ruteye.
  • Kugira umusatsi mwiza, woroshye urimo kugwa.
  • Kugira amara kenshi cyangwa arekuye.
  • Kugabanya ibiro nta mpamvu izwi.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima muri tiroyide.

Ibi hamwe nibindi bizamini hamwe nibikorwa birashobora gukoreshwa mugushakisha cyangwa gusuzuma tiroyide itinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bw’imisemburo yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime ingano ya hormone zimwe na zimwe zisohoka mumaraso ningingo hamwe nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara mumubiri cyangwa tissue ituma. Amaraso arashobora kugenzurwa kugirango adasanzwe imisemburo itera tiroyide (TSH) cyangwa tiroxine yubusa (T4).
  • Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi menshi y’amajwi (ultrasound) asohoka mu ngingo cyangwa mu ngingo imbere hanyuma agasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma. Ubu buryo burashobora kwerekana ubunini bwa tiroyide kandi niba hari tiroyide (lumps) kuri tiroyide.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byindwara ya tiroyide. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Glande ya pitoito

Ingaruka zitinda za Neuroendocrine zishobora guterwa nyuma yo kuvura kanseri zimwe na zimwe zo mu bwana.

Sisitemu ya neuroendocrine ni sisitemu y'imitsi na sisitemu ya endocrine ikorera hamwe.

Kuvura kanseri nizindi zo mu bwana birashobora gutera ingaruka za neuroendocrine:

  • Ibibyimba byo mu bwonko no mu ruti rw'umugongo.
  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Kanseri yo mu mazuru.
  • Kanseri ivurwa hamwe na Irradasiyo yumubiri wose (TBI) mbere yo guterwa ingirangingo.

Umuti ugira ingaruka kuri hypothalamus cyangwa pitoito gland byongera ibyago bya sisitemu ya neuroendocrine ingaruka zitinze.

Abacitse ku icumu rya kanseri mu bwana bafite ibyago byinshi byo gutinda kwa neuroendocrine. Izi ngaruka ziterwa no kuvura imirasire yubwonko mugace ka hypothalamus. Hypothalamus igenzura uburyo imisemburo ikorwa ikarekurwa mumaraso na glande ya pitoito. Imishwarara irashobora gutangwa kugirango ivure kanseri hafi ya hypothalamus cyangwa nka irrasi yumubiri wose (TBI) mbere yo guterwa ingirabuzimafatizo. Izi ngaruka kandi ziterwa no kubagwa mugace ka hypothalamus, gland ya pitoito, cyangwa inzira ya optique.

Abacitse ku icumu rya kanseri mu bwana bafite ingaruka za neuroendocrine batinze barashobora kugira urugero ruto muri imwe mu misemburo ikurikira ikorwa muri glande ya pitoito ikarekurwa mu maraso:

  • Gukura imisemburo (GH; ifasha guteza imbere gukura no kugenzura metabolism).
  • Imisemburo ya Adrenocorticotropique (ACTH; igenzura gukora glucocorticoide).
  • Prolactine (igenzura gukora amata yonsa).
  • Imisemburo itera tiroyide (TSH; igenzura gukora imisemburo ya tiroyide).
  • Luteinizing hormone (LH; igenzura imyororokere).
  • Imisemburo itera imisemburo (FSH; igenzura imyororokere).

Ingaruka zitinze zifata hypothalamus zishobora gutera ibibazo byubuzima.

Ingaruka zitinze za Neuroendocrine nibibazo byubuzima birimo ibi bikurikira:

  • Gukura imisemburo ya hormone: Urwego rwo hasi rwa hormone yo gukura ningaruka zisanzwe zitinda kumirasire mubwonko kubarokotse kanseri mubana. Iyo imishwarara irenze urugero nigihe kinini kuva ivurwa, niko ibyago byinshi byingaruka zitinda. Urwego rwo hasi rwimisemburo ikura rushobora no kubaho mubana BOSE hamwe nabacitse ku icumu barokotse bahawe imiti ivura imirasire mubwonko no mugongo hamwe na / cyangwa chimiotherapie.

Urwego rwo hasi rwa hormone yo gukura mubana bivamo uburebure bwabantu bakuru bugufi kurenza ibisanzwe. Niba amagufa yumwana atarakura neza, imisemburo mike yo gukura irashobora kuvurwa hakoreshejwe imiti yo gusimbuza imisemburo ikura itangira umwaka umwe nyuma yo kuvurwa.

Kubura Adrenocorticotropin: Urwego rwo hasi rwa hormone ya adrenocorticotropique ningaruka zidasanzwe zitinze. Irashobora kugaragara mubana barokotse ikibyimba cyubwonko, abarokotse bafite imisemburo mike yo gukura cyangwa hypotherroidism yo hagati, cyangwa nyuma yo kuvura imirasire mubwonko.

Ibimenyetso byo kubura ntibishobora kuba bikomeye kandi ntibishobora kuboneka. Ibimenyetso nibimenyetso byo kubura adrenocorticotropine harimo ibi bikurikira:

  • Kugabanya ibiro nta mpamvu izwi.
  • Kutumva ushonje.
  • Isesemi.
  • Kuruka.
  • Umuvuduko ukabije w'amaraso.
  • Kumva unaniwe.

Urwego rwo hasi rwa adrenocorticotropine rushobora kuvurwa hakoreshejwe hydrocortisone.

  • Hyperprolactinemia: Urwego rwo hejuru rwa hormone prolactine rushobora kubaho nyuma yumubare munini wimirasire yubwonko cyangwa kubagwa bigira ingaruka mubice bya glande. Urwego rwo hejuru rwa prolactine rushobora gutera ibi bikurikira:
  • Ubugimbi n'ubwangavu nyuma yubusanzwe.
  • Urujya n'uruza rw'amata ku mugore udatwite cyangwa yonsa.
  • Ntibisanzwe cyangwa ntabihe byimihango cyangwa ibihe byimihango bitemba cyane.
  • Amashanyarazi ashyushye (mubagore).
  • Kudashobora gusama.
  • Kudashobora kugira igitsina gikenewe mu mibonano mpuzabitsina.
  • Igitsina cyo hasi (mubagabo nabagore).
  • Osteopenia (ubucucike bw'amagufwa make).

Rimwe na rimwe, nta bimenyetso n'ibimenyetso. Ni gake cyane kuvura.

  • Kubura imisemburo ya tiroyide (hypotherroidism yo hagati): Urwego rwo hasi rwa hormone ya tiroyide irashobora kugaragara gahoro gahoro mugihe nyuma yo kuvura imirasire mubwonko.

Rimwe na rimwe, ibimenyetso byo kubura imisemburo itera tiroyide ntibigaragara. Umusemburo muke wa tiroyide urashobora gutera gukura buhoro no gutinda kwubwangavu, kimwe nibindi bimenyetso. Urwego rwo hasi rwa hormone ya tiroyide irashobora kuvurwa hakoreshejwe imiti yo gusimbuza imisemburo ya tiroyide.

  • Luteinizing hormone cyangwa kubura imisemburo itera imisemburo: Urwego rwo hasi rwiyi misemburo rushobora gutera ibibazo bitandukanye byubuzima. Ubwoko bwikibazo biterwa numubare wimirasire.

Abacitse ku icumu rya kanseri bakiri bato bavuwe bafite imishwarara mike yo mu bwonko barashobora kugira ubwangavu hagati (indwara itera ubwangavu gutangira mbere yimyaka 8 ku bakobwa na 9 ans mu bahungu). Iyi ndwara irashobora kuvurwa hakoreshejwe imisemburo ya gonadotropine (GnRH) ivura agonist kugirango itinde ubwangavu kandi ifashe imikurire yumwana. Hydrocephalus irashobora kandi kongera ibyago byiyi ngaruka yatinze.

Abacitse ku icumu rya kanseri mu bwana bavuwe bafite imirasire myinshi mu bwonko bashobora kugira imisemburo mike ya luteinizing cyangwa imisemburo itera imisemburo. Iyi ndwara irashobora kuvurwa hakoreshejwe imiti yo gusimbuza imisemburo. Igipimo kizaterwa n'imyaka umwana afite kandi niba umwana ageze mu bugimbi.

  • Indwara ya diyabete yo hagati: Insipidus yo hagati ya diabete irashobora guterwa no kubura cyangwa kugabanuka kwinshi kwa hormone zose zakozwe mugice cyambere cya glande ya pitoito hanyuma ikarekurwa mumaraso. Irashobora kugaragara ku barokotse kanseri yo mu bwana bavuwe babagwa mu gace ka hypothalamus cyangwa glande ya pitoito. Ibimenyetso nibimenyetso bya diyabete yo hagati insipidus irashobora kuba ikubiyemo ibi bikurikira:
  • Kugira inkari nyinshi cyangwa impuzu zidasanzwe.
  • Kumva ufite inyota cyane.
  • Kubabara umutwe.
  • Ingorane hamwe niyerekwa.
  • Gutinda gukura niterambere.
  • Kugabanya ibiro nta mpamvu izwi.

Umuti urashobora kubamo kuvura imisemburo ya hormone hamwe na vasopressine, imisemburo igenzura ingano yinkari zikorwa mumubiri.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima muri sisitemu ya neuroendocrine.

Ibi hamwe nibindi bizamini hamwe nibikorwa birashobora gukoreshwa mugushakisha cyangwa gusuzuma tiroyide itinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime ingano yibintu bimwe na bimwe, nka glucose, bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.
  • Ubushakashatsi bw’imisemburo yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime ingano ya hormone zimwe na zimwe zisohoka mumaraso ningingo hamwe nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara mumubiri cyangwa tissue ituma. Amaraso arashobora kugenzurwa kugirango adasanzwe imisemburo itera imisemburo, imisemburo ya luteinizing, estradiol, testosterone, cortisol, cyangwa tiroxine yubusa (T4).
  • Ubushakashatsi bwakozwe na Lipid: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwa triglyceride, cholesterol, hamwe na cholesterol ya lipoprotein nkeya kandi yuzuye cyane mu maraso.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byingaruka za neuroendocrine. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Amabya n'intanga ngore

Reba igice cyimyororokere igice cyiyi ncamake kugirango umenye amakuru yatinze muri testicles na ovaries.

Indwara ya metabolike

Indwara ya metabolike irashobora kubaho nyuma yo kuvura kanseri zimwe na zimwe zo mu bwana.

Indwara ya metabolike ni itsinda ryubuvuzi burimo kugira ibinure byinshi hafi yinda kandi byibuze bibiri muri ibi bikurikira:

  • Umuvuduko ukabije w'amaraso.
  • Urwego rwinshi rwa triglyceride hamwe na cholesterol ya lipoprotein (HDL) yuzuye cyane mu maraso.
  • Urwego rwo hejuru rwa glucose (isukari) mumaraso.

Kuvura kanseri n'izindi kanseri zo mu bwana birashobora gutuma syndrome de metabolike ibaho nyuma y'ubuzima:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Kanseri ivurwa hamwe no guterwa ingirangingo.
  • Kanseri ivurwa n'imirasire mu nda, nk'ikibyimba cya Wilms cyangwa neuroblastoma.

Imiti ivura imirasire yongera ibyago byo kwandura syndrome de metabolike.

Ibyago bya syndrome de metabolique birashobora kwiyongera kubarokotse kanseri yo mu bwana nyuma yo kuvurwa na kimwe muri ibi bikurikira:

  • Imiti ivura ubwonko cyangwa inda.
  • Imirasire yumubiri wose (TBI) nkigice cyo guhinduranya ingirangingo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma syndrome de metabolike.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma syndrome de metabolike:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe, nka glucose, bisohoka mumaraso ningingo hamwe nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.
  • Ubushakashatsi bwakozwe na Lipid: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwa triglyceride, cholesterol, hamwe na cholesterol ya lipoprotein nkeya kandi yuzuye cyane mu maraso.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso bya syndrome de metabolike. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Indwara ya metabolike irashobora gutera indwara z'umutima n'amaraso hamwe na diyabete.

Indwara ya metabolike ifitanye isano no kwiyongera k'indwara z'umutima n'amaraso na diyabete. Ingeso zubuzima zigabanya izi ngaruka zirimo:

  • Kugira ibiro byiza.
  • Kurya indyo yuzuye umutima.
  • Kugira imyitozo isanzwe.
  • Kutanywa itabi.

Ibiro

Kuba ufite ibiro bike, umubyibuho ukabije, cyangwa umubyibuho ukabije ni ingaruka zitinze zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana. Kuvura kanseri hamwe nizindi kanseri zo mu bwana birashobora gutera impinduka mubiro:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Ibibyimba byubwonko, cyane cyane craniopharyngioma.
  • Kanseri ivurwa n'imirasire mu bwonko, harimo no kurasa umubiri wose (TBI) mu rwego rwo guhinduranya ingirangingo.

Imiti ivura imirasire yongerera ibyago byo kuba ufite ibiro bike, umubyibuho ukabije, cyangwa umubyibuho ukabije.

Ibyago byo kubyibuha birenze kwiyongera nyuma yo kuvurwa hamwe nibi bikurikira:

  • Imirasire yumubiri wose (TBI) kubagore.
  • Imishwarara ivura munda kubagabo.
  • Ubwoko bumwebumwe bwa chimiotherapie (imiti ya alkylating na anthracyclines).

Ibyago byumubyibuho ukabije byiyongera nyuma yo kuvurwa hamwe nibi bikurikira:

  • Imiti ivura ubwonko.
  • Kubaga byangiza hypothalamus cyangwa glande ya pituito, nko kubaga kugirango bakureho ikibyimba cya craniopharyngioma.

Ibikurikira birashobora kandi kongera ibyago byo kubyibuha:

  • Gusuzumwa kanseri mugihe ufite imyaka 5 kugeza 9.
  • Kuba igitsina gore.
  • Kugira imisemburo yo gukura cyangwa kubura imisemburo ya leptine.
  • Kudakora imyitozo ihagije kugirango ugumane ibiro byiza byumubiri.
  • Gufata imiti igabanya ubukana yitwa paroxetine.

Abacitse ku icumu rya kanseri mu bwana bakora imyitozo ihagije kandi bafite impungenge zisanzwe bafite ibyago bike byo kubyibuha.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma impinduka mubiro.

Ibi nibindi bizamini hamwe nibikorwa birashobora gukoreshwa mugushakisha cyangwa gusuzuma impinduka muburemere:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo uburemere cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe, nka glucose, bisohoka mumaraso ningingo hamwe nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.
  • Ubushakashatsi bwakozwe na Lipid: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwa triglyceride, cholesterol, hamwe na cholesterol ya lipoprotein nkeya kandi yuzuye cyane mu maraso.

Kuba ufite ibiro bike, umubyibuho ukabije, cyangwa umubyibuho ukabije ushobora gupimwa n'uburemere, igipimo cy'umubiri, ijanisha ry'amavuta yo mu mubiri, cyangwa ubunini bw'inda (ibinure by'inda).

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byerekana impinduka. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Sisitemu yo kwirinda

INGINGO Z'INGENZI

  • Kubagwa kugirango ukureho ururenda byongera ibyago byo kwirinda indwara.
  • Ingaruka zitinze zigira ingaruka kumubiri zishobora gutera kwandura.
  • Abana bakuyemo ururenda barashobora gukenera antibiyotike kugirango bagabanye ibyago byo kwandura.

Kubagwa kugirango ukureho ururenda byongera ibyago byo kwirinda indwara.

Ibyago byubuzima bigira ingaruka kumubiri byiyongera nyuma yo kuvurwa nibi bikurikira:

  • Kubaga kugirango ukureho ururenda.
  • Umuvuduko ukabije wimishwarara yimitsi itera ururenda guhagarika gukora.
  • Gutera ingirangingo ngengabuzima bikurikirwa na graft-na-host-host itera intanga guhagarika akazi.

Ingaruka zitinze zigira ingaruka kumubiri zishobora gutera kwandura.

Ingaruka zitinze zigira ingaruka kumubiri zishobora kongera ibyago byo kwandura indwara zikomeye. Izi ngaruka ni nyinshi ku bana bato kuruta mu bana bakuze kandi zishobora kuba nyinshi mu myaka ya mbere nyuma yuko ururenda ruhagaritse gukora cyangwa rukurwaho no kubagwa. Ibi bimenyetso nibimenyetso bishobora guterwa no kwandura:

  • Umutuku, kubyimba, cyangwa ubushyuhe bwigice cyumubiri.
  • Ububabare buri mu gice kimwe cyumubiri, nkijisho, ugutwi, cyangwa umuhogo.
  • Umuriro.

Indwara irashobora gutera ibindi bimenyetso biterwa nigice cyumubiri cyanduye. Kurugero, kwandura ibihaha bishobora gutera inkorora no guhumeka neza.

Abana bakuyemo ururenda barashobora gukenera antibiyotike kugirango bagabanye ibyago byo kwandura.

Antibiyotike ya buri munsi irashobora gutegekwa kubana barengeje imyaka 5 y'amavuko impyiko itagikora cyangwa byibuze umwaka 1 nyuma yo kubagwa kugirango bakureho ururenda. Ku barwayi bamwe bafite ibyago byinshi, antibiyotike ya buri munsi irashobora kwandikirwa mu bwana no mubukure.

Byongeye kandi, abana bafite ibyago byinshi byo kwandura bagomba gukingirwa kuri gahunda binyuze mu bwangavu kurwanya ibi bikurikira:

  • Indwara y'umusonga.
  • Indwara ya Meningococcal.
  • Indwara y'ibicurane bya Haemophilus b (Hib).
  • Diphtheria-tetanus-pertussis (DTaP).
  • Indwara ya Hepatite B.

Vugana na muganga wumwana wawe niba izindi nkingo zabana zitangwa mbere yo kuvura kanseri zigomba gusubirwamo.

Sisitemu ya Musculoskeletal

INGINGO Z'INGENZI

  • Amagufwa hamwe n'ingaruka zo gutinda birashoboka cyane nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Kubaga, chimiotherapie, kuvura imirasire, hamwe nubundi buvuzi byongera ibyago byamagufwa ningaruka zitinze.
  • Imiti ivura imirasire
  • Kubaga
  • Chimiotherapie hamwe nubundi buryo bwo kuvura imiti
  • Gutera ingirabuzimafatizo
  • Ibimenyetso nibimenyetso byamagufwa ningaruka zitinze zirimo kubyimba hejuru yamagufa cyangwa amagufwa hamwe nububabare.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu magufwa no mu ngingo.

Amagufwa hamwe n'ingaruka zo gutinda birashoboka cyane nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura izo kanseri nizindi kanseri zo mu bwana birashobora gutera amagufwa n'ingaruka zitinze:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Kanseri y'amagufwa.
  • Ibibyimba byo mu bwonko no mu ruti rw'umugongo.
  • Ewing sarcoma.
  • Kanseri yo mu mutwe no mu ijosi.
  • Neuroblastoma.
  • Lymphoma itari Hodgkin.
  • Osteosarcoma.
  • Retinoblastoma.
  • Sarkoma yoroheje.
  • Ikibyimba cya Wilms.
  • Kanseri ivurwa hamwe no guterwa ingirangingo.

Imirire mibi kandi imyitozo idahagije irashobora nanone gutera amagufwa gutinda.

Kubaga, chimiotherapie, kuvura imirasire, hamwe nubundi buvuzi byongera ibyago byamagufwa ningaruka zitinze.

Imiti ivura imirasire

Imiti ivura imirasire irashobora guhagarika cyangwa gutinda gukura kwamagufwa. Ubwoko bwamagufwa hamwe ningaruka zo gutinda biterwa nigice cyumubiri wakiriye imiti ivura imirasire. Ubuvuzi bwimirasire bushobora gutera kimwe muribi bikurikira:

  • Impinduka muburyo bwo mumaso cyangwa igihanga, cyane cyane iyo imishwarara ikabije hamwe na chimiotherapie ihabwa abana mbere yimyaka 5.
  • Uburebure buke (kuba bugufi kuruta ibisanzwe).
  • Scoliose (kugorora umugongo) cyangwa kifhose (kuzenguruka umugongo).
  • Ukuboko kumwe cyangwa ukuguru ni bigufi kurenza ukundi kuboko cyangwa ukuguru.
  • Osteoporose (amagufwa adakomeye cyangwa yoroheje ashobora kuvunika byoroshye).
  • Osteoradionecrosis (ibice by'amagufwa y'urwasaya bipfa kubura amaraso).
  • Osteochondroma (ikibyimba cyiza cy'amagufwa).

Kubaga

Kubagwa cyangwa kubaga ingingo zo gukuraho kanseri no kuyirinda kugaruka bishobora gutera ingaruka zitinze bitewe n'aho ikibyimba cyari, imyaka umurwayi, n'ubwoko bwo kubaga. Ibibazo byubuzima nyuma yo gucibwa cyangwa kubagwa amaguru bishobora kubamo:

  • Kugira ibibazo mubikorwa byubuzima bwa buri munsi
  • Kudashobora gukora nkibisanzwe.
  • Ububabare budashira cyangwa kwandura.
  • Ibibazo nuburyo prosthettike ikwiranye cyangwa akazi.
  • Amagufa yamenetse.
  • Amagufwa ntashobora gukira neza nyuma yo kubagwa.
  • Ukuboko kumwe cyangwa ukuguru ni bigufi kurenza ukundi.

Ubushakashatsi bwerekana ko nta tandukaniro riri hagati yubuzima bw’abacitse ku icumu rya kanseri bakiri bato bagabanijwe ugereranije n’ababazwe amaguru.

Chimiotherapie hamwe nubundi buryo bwo kuvura imiti

Ibyago birashobora kwiyongera kubarokotse kanseri yo mu bwana bahabwa imiti igabanya ubukana irimo methotrexate cyangwa corticosteroide cyangwa glucocorticoide nka dexamethasone. Kuvura ibiyobyabwenge bishobora gutera kimwe muri ibi bikurikira:

  • Osteoporose (amagufwa adakomeye cyangwa yoroheje ashobora kuvunika byoroshye).
  • Osteonecrosis (igice kimwe cyangwa byinshi byamagufwa bipfa kubura amaraso), cyane cyane mubibuno cyangwa ivi.

Gutera ingirabuzimafatizo

Gutera ingirangingo ngengabuzima bishobora kugira ingaruka ku magufa no mu ngingo mu buryo butandukanye:

  • Imirasire yumubiri wose (TBI) yatanzwe nkigice cyo guhinduranya ingirangingo fatizo irashobora kugira ingaruka kubushobozi bwumubiri bwo gukora imisemburo ikura kandi bigatera uburebure buke (kuba bugufi kuruta ibisanzwe). Irashobora kandi gutera osteoporose (amagufwa adakomeye cyangwa yoroheje ashobora kuvunika byoroshye).
  • Osteochondroma (ikibyimba cyiza cyamagufa maremare, nkamaboko cyangwa amagufwa yamaguru) arashobora gukora.
  • Indwara idakira-nindwara-yakiriye irashobora kubaho nyuma yo guterwa ingirangingo ngengabuzima kandi bigatera amasezerano (gukomera kwimitsi itera ingingo kugabanuka no gukomera cyane). Irashobora kandi gutera osteonecrosis (igice kimwe cyangwa byinshi byamagufwa apfa kubura amaraso).

Ibimenyetso nibimenyetso byamagufwa ningaruka zitinze zirimo kubyimba hejuru yamagufa cyangwa amagufwa hamwe nububabare.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa namagufa ningaruka zitinze cyangwa nibindi bihe:

  • Kubyimba hejuru yamagufa cyangwa amagufwa yumubiri.
  • Kubabara mu magufa cyangwa mu ngingo.
  • Umutuku cyangwa ubushyuhe hejuru yamagufa cyangwa ingingo.
  • Gukomera hamwe cyangwa ibibazo bigenda bisanzwe.
  • Amagufa avunika nta mpamvu izwi cyangwa avunika byoroshye.
  • Uburebure buke (kuba bugufi kuruta ibisanzwe).
  • Uruhande rumwe rwumubiri rusa hejuru kurundi ruhande cyangwa umubiri uhengamye kuruhande rumwe.
  • Buri gihe wicaye cyangwa uhagaze muburyo bunamye cyangwa ufite isura yinyuma.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu magufwa no mu ngingo.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma amagufwa ningaruka zitinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi, indwara zashize nubuvuzi. Ikizamini cyamagufwa n'imitsi byinzobere nacyo gishobora gukorwa.
  • Amagufa yubucucike bwamagufwa: Ikizamini cyerekana amashusho apima ubwinshi bwamagufwa (ingano yamagufwa yamagufwa mubwinshi bwamagufwa) unyuze x-imirasire hamwe nimbaraga ebyiri zitandukanye zinyuze mumagufwa. Ikoreshwa mugupima osteoporose (amagufwa adakomeye cyangwa yoroheje ashobora kuvunika byoroshye). Byitwa kandi BMD scan, DEXA, DEXA scan, ingufu ebyiri x-ray absorptiometric scan, x-ray absorptiometry, na DXA.
  • X-ray: X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice biri mumubiri, nkamagufwa.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byamagufwa hamwe ningaruka zitinze. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Sisitemu y'imyororokere

INGINGO Z'INGENZI

  • Amabya
  • Ingaruka zo gutinda zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Kubaga, kuvura imirasire, hamwe na chimiotherapie zimwe na zimwe byongera ibyago byo gutinda bigira ingaruka kuri testicles.
  • Ingaruka zitinze zifata intangangore zishobora gutera ibibazo byubuzima.
  • Intanga ngore
  • Intanga ngore zitinda zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Ubuvuzi bwimirasire yinda nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byintanga ngore.
  • Ingaruka zitinze zifata intanga ngore zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byintanga ngore zirimo gutinda harimo imihango idasanzwe cyangwa idahari hamwe no gushyuha.
  • Uburumbuke no kubyara
  • Kuvura kanseri birashobora gutera ubugumba ku barokotse kanseri mu bwana.
  • Abacitse ku icumu rya kanseri mu bwana barashobora kugira ingaruka zitinze zitwara inda.
  • Hariho uburyo bushobora gukoreshwa mu gufasha abarokotse kanseri mu bwana kubyara.
  • hildren yabarokotse kanseri yo mu bwana ntibaterwa nubuvuzi bwababyeyi mbere yo kuvura kanseri.

Amabya

Ingaruka zo gutinda zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura izi kanseri nizindi zo mu bwana birashobora gutera ingaruka zo gutinda:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Ibibyimba bya selile.
  • Lymphoma ya Hodgkin.
  • Lymphoma itari Hodgkin.
  • Sarcoma.
  • Kanseri y'udukoko.
  • Kanseri ivurwa hamwe na Irradasiyo yumubiri wose (TBI) mbere yo guterwa ingirangingo.

Kubaga, kuvura imirasire, hamwe na chimiotherapie zimwe na zimwe byongera ibyago byo gutinda bigira ingaruka kuri testicles.

Ibyago byubuzima bigira ingaruka kuri testicles byiyongera nyuma yo kuvurwa hamwe nimwe cyangwa byinshi muribi bikurikira:

  • Kubaga, nko gukuraho intangangore, igice cya prostate, cyangwa lymph node mu nda.
  • Chimiotherapie hamwe na alkylating agent, nka cyclophosphamide, dacarbazine, procarbazine, na ifosfamide.
  • Imiti ivura munda, munda, cyangwa mu gice cya hypothalamus mu bwonko.
  • Imirasire yumubiri wose (TBI) mbere yo guterwa ingirangingo.

Ingaruka zitinze zifata intangangore zishobora gutera ibibazo byubuzima.

Ingaruka zitinze za testicles nibibazo byubuzima bifitanye isano harimo ibi bikurikira:

  • Kubara intanga nke: Kubara intanga zeru cyangwa kubara intanga nke bishobora kuba igihe gito cyangwa gihoraho. Ibi biterwa nimirasire yimiterere na gahunda, agace k'umubiri kavuwe, n'imyaka iyo bivuwe.
  • Kutabyara: Kudashobora kubyara umwana.
  • Gusohora Retrograde: Guto cyane cyangwa ntamasohoro asohoka mu gitsina mugihe cya orgasm.

Nyuma yo kuvurwa hakoreshejwe chimiotherapie cyangwa imirasire, ubushobozi bwumubiri bwo gukora intanga ngabo burashobora kugaruka mugihe runaka.

Intanga ngore

Intanga ngore zitinda zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura kanseri nizindi zo mu bwana birashobora gutera intanga ngore:

  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Ibibyimba bya selile.
  • Lymphoma ya Hodgkin.
  • Kanseri yintanga.
  • Ikibyimba cya Wilms.
  • Kanseri ivurwa hamwe na Irradasiyo yumubiri wose (TBI) mbere yo guterwa ingirangingo.

Ubuvuzi bwimirasire yinda nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byintanga ngore.

Ibyago byintanga ngore bishobora kwiyongera nyuma yo kuvurwa hamwe muribi bikurikira:

  • Kubaga kugirango ukureho intanga imwe cyangwa zombi.
  • Chimiotherapie hamwe na alkylating agent, nka cyclophosphamide, mechlorethamine, cisplatine, ifosfamide, lomustine, busulfan, na procarbazine.
  • Imishwarara ivura munda, munda, cyangwa inyuma. Mu barokotse bagize imirasire mu nda, kwangirika kw'intanga biterwa n'umubare w'imirasire, imyaka igihe cyo kwivuza, ndetse niba inda zose cyangwa igice cyacyo cyabonye imirasire.
  • Imiti ivura munda cyangwa munda hamwe na alkylating agent.
  • Ubuvuzi bwimirasire mugace kegereye hypothalamus mubwonko.
  • Imirasire yumubiri wose (TBI) mbere yo guterwa ingirangingo.

Ingaruka zitinze zifata intanga ngore zishobora gutera ibibazo byubuzima.

Ovarian ingaruka zitinze nibindi bibazo bijyanye nubuzima harimo ibi bikurikira:

  • Gucura hakiri kare, cyane cyane ku bagore bakuyemo intanga ngabo cyangwa bakavurwa hakoreshejwe imiti ya alkylating hamwe n’imiti ivura mu nda.
  • Impinduka mugihe cyimihango.
  • Kutabyara (kudashobora gusama umwana).
  • Ubugimbi ntibutangira.

Nyuma yo kuvurwa hamwe na chimiotherapie, intanga ngore zirashobora gutangira gukora mugihe runaka.

Ibimenyetso nibimenyetso byintanga ngore zirimo gutinda harimo imihango idasanzwe cyangwa idahari hamwe no gushyuha.

Ibi bimenyetso nibindi bimenyetso bishobora guterwa nintanga ngore zitinze cyangwa nibindi bihe:

  • Ibihe bidasanzwe cyangwa nta mihango.
  • Amashanyarazi ashyushye.
  • Ibyuya bya nijoro.
  • Gusinzira.
  • Impinduka.
  • Kugabanya igitsina.
  • Kuma mu gitsina.
  • Kudashobora gusama umwana.
  • Ibiranga imibonano mpuzabitsina, nko gukura ukuboko, guswera, no kumaguru cyangwa kumabere manini, ntibibaho mugihe cyubwangavu.
  • Osteoporose (amagufwa adakomeye cyangwa yoroheje ashobora kuvunika byoroshye).

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Uburumbuke no kubyara

Kuvura kanseri birashobora gutera ubugumba ku barokotse kanseri mu bwana.

Ibyago byo kutabyara byiyongera nyuma yo kuvurwa hamwe nibi bikurikira:

  • Mu bahungu, kuvura hamwe n'imiti ivura imirasire.
  • Mu bakobwa, kuvura hakoreshejwe imishwarara y’imitsi, harimo intanga ngore na nyababyeyi.
  • Imiti ivura ahantu hafi ya hypothalamus mubwonko cyangwa inyuma yinyuma.
  • Imirasire yumubiri wose (TBI) mbere yo guterwa ingirangingo.
  • Chimiotherapie hamwe na alkylating agent, nka cisplatine, cyclophosphamide, busulfan, lomustine, na procarbazine.
  • Kubaga, nko kuvanaho intangangore cyangwa intanga ngore cyangwa lymph node mu nda.

Abacitse ku icumu rya kanseri mu bwana barashobora kugira ingaruka zitinze zitwara inda.

Ingaruka zitinze ku gutwita zirimo ibyago byinshi byibi bikurikira:

  • Umuvuduko ukabije w'amaraso.
  • Diyabete mugihe utwite.
  • Anemia.
  • Gutandukana cyangwa kubyara.
  • Abana bafite ibiro bike.
  • Imirimo yo hambere na / cyangwa kubyara.
  • Gutangwa nigice cya Cesarien.
  • Akayoya ntabwo kari muburyo bukwiye bwo kuvuka (urugero, ikirenge cyangwa ikibuno kiri mumwanya wo gusohoka mbere yumutwe).

Ubushakashatsi bumwe ntabwo bwerekanye ibyago byinshi byo gutinda gutwita.

Hariho uburyo bushobora gukoreshwa mu gufasha abarokotse kanseri mu bwana kubyara.

Uburyo bukurikira burashobora gukoreshwa kugirango abarokotse kanseri yo mu bwana bashobore kubyara:

  • Gukonjesha amagi cyangwa intanga mbere yo kuvura kanseri ku barwayi bageze mu bugimbi.
  • Gukuramo intanga ngabo (kuvanaho agace gato karimo intanga ngabo).
  • Gutera intanga za Intracytoplasmic (igi ryatewe intanga imwe yatewe mu magi hanze yumubiri).
  • Mu gufumbira kwa vitro (IVF) (amagi n'intanga bishyirwa hamwe mu kintu, bigaha intanga amahirwe yo kwinjira mu igi).

Abana barokotse kanseri yo mu bwana ntibaterwa nubuvuzi bwababyeyi mbere yo kuvura kanseri.

Abana barokotse kanseri yo mu bwana ntibagaragara ko bafite ibyago byinshi byo kuvukana ubumuga, indwara zikomoka ku ngirabuzima fatizo, cyangwa kanseri.

Sisitemu y'ubuhumekero

INGINGO Z'INGENZI

  • Ingaruka z'ibihaha zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Ubwoko bumwebumwe bwa chimiotherapie hamwe nimirasire yibihaha byongera ibyago byo gutinda kw'ibihaha.
  • Ingaruka zitinze zifata ibihaha zishobora gutera ibibazo bimwe byubuzima.
  • Ibimenyetso nibimenyetso byingaruka ziterwa nibihaha harimo ikibazo cyo guhumeka no gukorora.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu bihaha.
  • Ingeso zubuzima ziteza imbere ibihaha bizima ningirakamaro kubarokotse kanseri yo mu bwana.

Ingaruka z'ibihaha zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura izi kanseri nizindi zo mu bwana bishobora gutera ibihaha bitinze:

  • Lymphoma ya Hodgkin.
  • Ikibyimba cya Wilms.
  • Kanseri ivurwa hamwe no guterwa ingirangingo.

Ubwoko bumwebumwe bwa chimiotherapie hamwe nimirasire yibihaha byongera ibyago byo gutinda kw'ibihaha.

Ibyago byubuzima bwibasira ibihaha byiyongera nyuma yo kuvurwa nibi bikurikira:

  • Kubaga kugirango ukureho byose cyangwa igice cyibihaha cyangwa urukuta.
  • Chimoterapi. Mu barokotse bavuwe na chimiotherapie, nka bleomycine, busulfan, carmustine, cyangwa lomustine, hamwe no kuvura imirasire mu gituza, hari ibyago byinshi byo kwangirika kw'ibihaha.
  • Imishwarara ivura igituza. Mu barokotse bagize imirasire mu gituza, kwangirika kw'ibihaha no ku rukuta rw'igituza biterwa n'umubare w'imirasire, niba ibihaha cyangwa igice cyose cy'ibihaha n'urukuta rw'igituza byakiriye imirasire, niba imirasire yatanzwe mu ngano ntoya, igabanijwe buri munsi, na imyaka y'umwana igihe avurwa.
  • Imirasire yumubiri wose (TBI) cyangwa ubwoko bumwebumwe bwa chimiotherapie mbere yo guterwa ingirangingo.

Ibyago byo gutinda kw'ibihaha ni byinshi ku barokotse kanseri yo mu bwana bavurwa hamwe no kubaga, kuvura imiti, cyangwa / cyangwa kuvura imirasire. Ibyago nabyo byiyongera kubarokotse bafite amateka yibi bikurikira:

  • Indwara cyangwa graft-na-host-host nyuma yo guterwa ingirangingo.
  • Indwara y'ibihaha cyangwa umwuka, nka asima, mbere yo kuvura kanseri.
  • Urukuta rw'igituza rudasanzwe.
  • Kunywa itabi cyangwa ibindi bintu.

Ingaruka zitinze zifata ibihaha zishobora gutera ibibazo bimwe byubuzima.

Ingaruka zitinze zifata nibibazo byubuzima bifitanye isano nibi bikurikira:

  • Imirasire y'umusonga (ibihaha byaka biterwa no kuvura imirasire).
  • Fibrosis yo mu bihaha (kwiyubaka kw'imitsi y'inkovu mu bihaha).
  • Ibindi bibazo by ibihaha nu mwuka nkindwara zidakira zifata ibihaha (COPD), umusonga, inkorora idashira, na asima.

Ibimenyetso nibimenyetso byingaruka ziterwa nibihaha harimo ikibazo cyo guhumeka no gukorora.

Ibi bimenyetso nibindi bimenyetso nibimenyetso bishobora guterwa nibihaha bitinze cyangwa nibindi bihe:

  • Dyspnea (kubura umwuka), cyane cyane iyo ukora.
  • Kuzunguruka.
  • Umuriro.
  • Inkorora idakira.
  • Igiterane (kumva wuzuye mu bihaha biturutse ku mucyo wongeyeho).
  • Indwara zidakira.
  • Kumva unaniwe.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ingaruka zitinze zifata abarokotse kanseri zo mu bwana zishobora kubaho buhoro buhoro mugihe cyangwa nta bimenyetso bishobora kubaho. Rimwe na rimwe, kwangirika kw'ibihaha birashobora kugaragara gusa mugupima amashusho cyangwa gupima ibihaha. Ingaruka z'ibihaha zishobora gutera imbere mugihe.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu bihaha.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma ingaruka zihaha:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.
  • Ikizamini cyimikorere yibihaha (PFT): Ikizamini cyo kureba uko ibihaha bikora neza. Ipima umwuka uhagije ibihaha bishobora gufata nuburyo umwuka wihuta winjira no mu bihaha. Ipima kandi urugero rwa ogisijeni ikoreshwa hamwe na dioxyde de carbone itangwa mugihe cyo guhumeka. Ibi byitwa kandi ibizamini byo gukora ibihaha.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso by ingaruka zihaha. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Ingeso zubuzima ziteza imbere ibihaha bizima ningirakamaro kubarokotse kanseri yo mu bwana.

Abacitse ku icumu rya kanseri bakiri bato bafite ingaruka z'ibihaha bagomba kwitondera kurinda ubuzima bwabo, harimo:

  • Kutanywa itabi.
  • Kubona inkingo za ibicurane na pneumococcus.

Ibyiyumvo

INGINGO Z'INGENZI

  • Kumva
  • Ibibazo byo kumva ningaruka zitinze zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Imiti ivura ubwonko nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byo kutumva.
  • Kubura kumva nikimenyetso gikunze kugaragara cyo kumva ingaruka zitinze.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mumatwi nibibazo byo kumva.
  • Kubona
  • Ibibazo by'amaso n'iyerekwa ni ingaruka zitinze zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.
  • Imiti ivura ubwonko cyangwa umutwe byongera ibyago byo guhura namaso cyangwa kubura amaso.
  • Ingaruka zitinze zifata ijisho zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byamaso niyerekwa bitinze harimo impinduka mubyerekezo n'amaso yumye.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mumaso nibibazo byo kureba.

Kumva

Ibibazo byo kumva ningaruka zitinze zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura izi kanseri nizindi zo mu bwana zishobora gutera kumva gutinda:

  • Ibibyimba mu bwonko.
  • Kanseri yo mu mutwe no mu ijosi.
  • Neuroblastoma.
  • Retinoblastoma.
  • Kanseri y'umwijima.
  • Ibibyimba bya selile.
  • Kanseri y'amagufwa.
  • Sarkoma yoroheje.

Imiti ivura ubwonko nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byo kutumva.

Ibyago byo kutumva byiyongera kubarokotse kanseri yo mu bwana nyuma yo kuvurwa nibi bikurikira:

  • Ubwoko bumwebumwe bwa chimiotherapie, nka cisplatine cyangwa karboplatine ikabije.
  • Imiti ivura ubwonko.

Ibyago byo kutumva ni byinshi ku barokotse kanseri yo mu bwana bari bakiri bato igihe cyo kwivuza (umwana muto, niko ibyago byinshi), bavurirwaga ikibyimba mu bwonko, cyangwa bakira imiti ivura ubwonko hamwe na chimiotherapie icyarimwe igihe.

Kubura kumva nikimenyetso gikunze kugaragara cyo kumva ingaruka zitinze.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa no kumva ingaruka zitinze cyangwa nibindi bihe:

  • Kubura kumva.
  • Kuvuza amatwi.
  • Kumva uzunguye.
  • Ibishashara bikomereye cyane mu gutwi.

Kubura kumva bishobora kubaho mugihe cyo kuvura, nyuma yubuvuzi burangiye, cyangwa amezi menshi cyangwa imyaka nyuma yubuvuzi burangiye kandi bikarushaho kwiyongera mugihe. Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mumatwi nibibazo byo kumva.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma ingaruka zitinda kumva:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ikizamini cya Otoscopic: Ikizamini cyo gutwi. Otoscope ikoreshwa mu kureba umuyoboro w ugutwi na eardrum kugirango hamenyekane ibimenyetso byanduye cyangwa kutumva. Rimwe na rimwe, otoscope iba ifite itara rya pulasitike risunikwa kugira ngo irekure akayaga gato mu muyoboro w'ugutwi. Mu gutwi kwiza, ugutwi kwimuka. Niba hari amazi inyuma yugutwi, ntabwo azagenda.
  • Ikizamini cyo kumva: Ikizamini cyo kumva gishobora gukorwa muburyo butandukanye bitewe n'imyaka umwana afite. Ikizamini gikozwe kugirango harebwe niba umwana ashobora kumva amajwi yoroshye kandi aranguruye hamwe n'amajwi make- kandi menshi. Buri gutwi kugenzurwa ukwe. Umwana arashobora kandi kubazwa niba ashobora kumva hum-hum-hum yo hejuru yikibanza cyo kuringaniza iyo gishyizwe inyuma yugutwi cyangwa kuruhanga.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byerekana ingaruka zitinze. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Kubona

Ibibazo by'amaso n'iyerekwa ni ingaruka zitinze zishobora kubaho nyuma yo kuvurwa kanseri zimwe na zimwe zo mu bwana.

Kuvura kanseri n'izindi kanseri zo mu bwana birashobora gutera amaso n'amaso bitinze:

  • Retinoblastoma, rhabdomyosarcoma, nibindi bibyimba by'ijisho.
  • Ibibyimba mu bwonko.
  • Kanseri yo mu mutwe no mu ijosi.
  • Indwara ya lymphoblastique ikaze (BYOSE).
  • Kanseri ivurwa hamwe na Irradasiyo yumubiri wose (TBI) mbere yo guterwa ingirangingo.

Imiti ivura ubwonko cyangwa umutwe byongera ibyago byo guhura namaso cyangwa kubura amaso.

Ibyago by'amaso cyangwa kubura amaso birashobora kwiyongera kubarokotse kanseri yo mu bwana nyuma yo kuvurwa hamwe na kimwe muri ibi bikurikira:

  • Imishwarara ivura ubwonko, ijisho, cyangwa ijisho.
  • Kubagwa kugirango ukureho ijisho cyangwa ikibyimba hafi ya nervice optique.
  • Ubwoko bumwebumwe bwa chimiotherapie, nka cytarabine na doxorubicin cyangwa busulfan na corticosteroide murwego rwo guhinduranya ingirangingo.
  • Imirasire yumubiri wose (TBI) nkigice cyo guhinduranya ingirangingo.
  • Gutera ingirangingo (hamwe namateka yindwara zidakira-nindwara-yakiriye).

Ingaruka zitinze zifata ijisho zishobora gutera ibibazo byubuzima.

Ingaruka z'amaso zitinze hamwe nibibazo byubuzima bijyanye nabyo bikurikira:

  • Kugira ijisho ritoya bigira ingaruka kumiterere yumwana uko akura.
  • Gutakaza icyerekezo.
  • Ibibazo byo kureba, nka cataracte cyangwa glaucoma.
  • Kudashobora kurira.
  • Kwangiza imitsi ya optique na retina.
  • Ibibyimba byo mu jisho.

Ibimenyetso nibimenyetso byamaso niyerekwa bitinze harimo impinduka mubyerekezo n'amaso yumye.

Ibi bimenyetso nibindi bimenyetso bishobora guterwa nijisho ryerekwa bitinze cyangwa nibindi bihe:

  • Impinduka mubyerekezo, nka:
  • Kudashobora kubona ibintu biri hafi.
  • Kudashobora kubona ibintu biri kure.
  • Icyerekezo cya kabiri.
  • Icyerekezo cyijimye cyangwa kijimye.
  • Amabara asa naho yazimye.
  • Kuba wumva urumuri cyangwa ingorane zo kubona nijoro.
  • Kubona urumuri cyangwa halo bikikije amatara nijoro.
  • Amaso yumye ashobora kumva ko arikose, yaka, cyangwa yabyimbye, cyangwa nkaho hari ikintu mumaso.
  • Kubabara amaso.
  • Umutuku w'amaso.
  • Kugira imikurire y'ijisho.
  • Kunama kw'ijisho ryo hejuru.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mumaso nibibazo byo kureba.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma amaso n'amaso bitinze:

  • Ikizamini cy'amaso hamwe n'umunyeshuri wagutse: Ikizamini cy'ijisho aho umunyeshuri yagutse (yagutse) hamwe n'amaso y'amaso y’imiti kugira ngo umuganga arebe mu ndiba ndetse n’umunyeshuri kuri retina. Imbere yijisho, harimo retina na nervice optique, isuzumwa hifashishijwe igikoresho gikora urumuri rugufi. Ibi rimwe na rimwe byitwa ikizamini cyo gucana. Niba hari ikibyimba, umuganga arashobora gufata amashusho mugihe kugirango akurikirane impinduka mubunini bwikibyimba nuburyo bukura.
  • Indwara ya ophthalmoscopy itaziguye: Ikizamini cyimbere yinyuma yijisho ukoresheje lens ntoya nini nini.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byamaso nibitekerezo bitinze. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Sisitemu yinkari

INGINGO Z'INGENZI

  • Impyiko
  • Ubwoko bumwebumwe bwa chimiotherapie bwongera ibyago byimpyiko zitinze.
  • Ingaruka zitinze zifata impyiko zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byimpyiko zitinze zirimo ibibazo byo kwihagarika no kubyimba ibirenge cyangwa amaboko.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu mpyiko.
  • Ingeso zubuzima ziteza impyiko nzima ningirakamaro kubarokotse kanseri yo mu bwana.
  • Uruhago
  • Kubaga agace ka pelvic nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byuruhago rwatinze.
  • Ingaruka zitinze zifata uruhago zishobora gutera ibibazo byubuzima.
  • Ibimenyetso nibimenyetso byuruhu rwatinze harimo impinduka zo kwihagarika no kubyimba ibirenge cyangwa amaboko.
  • Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu ruhago.

Impyiko

Ubwoko bumwebumwe bwa chimiotherapie bwongera ibyago byimpyiko zitinze.

Ibyago byubuzima bigira ingaruka kumpyiko byiyongera nyuma yo kuvurwa nibi bikurikira:

  • Chimiotherapie harimo cisplatine, karboplatine, ifosfamide, na methotrexate.
  • Imishwarara ivura munda cyangwa hagati yinyuma.
  • Kubaga kugirango ukure igice cyangwa impyiko zose.
  • Gutera ingirabuzimafatizo.

Ibyago byo gutinda kw'impyiko ni byinshi ku barokotse kanseri yo mu bwana bavurwa hamwe no kubaga, kuvura imiti, cyangwa / cyangwa kuvura imirasire.

Ibikurikira birashobora kandi kongera ibyago byimpyiko zitinda:

  • Kugira kanseri mu mpyiko zombi.
  • Kugira syndrome genetique yongerera ibyago byimpyiko, nka syndrome ya Denys-Drash cyangwa syndrome ya WAGR.
  • Kuvurwa hamwe nuburyo burenze bumwe bwo kuvura.

Ingaruka zitinze zifata impyiko zishobora gutera ibibazo byubuzima.

Impyiko zitinze cyangwa ibibazo bijyanye nubuzima zirimo ibi bikurikira:

  • Kwangiza ibice byimpyiko byungurura kandi bigahanagura amaraso.
  • Kwangiza ibice byimpyiko bikuramo amazi yinyongera mumaraso.
  • Gutakaza electrolytite, nka magnesium, calcium, cyangwa potasiyumu, biva mu mubiri.
  • Hypertension (umuvuduko ukabije w'amaraso).

Ibimenyetso nibimenyetso byimpyiko zitinze zirimo ibibazo byo kwihagarika no kubyimba ibirenge cyangwa amaboko.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa nimpyiko zitinze cyangwa nibindi bihe:

  • Kumva bikenewe kwihagarika utabishoboye.
  • Inkari kenshi (cyane cyane nijoro).
  • Ikibazo cyo kwihagarika.
  • Kumva unaniwe cyane.
  • Kubyimba amaguru, amaguru, ibirenge, isura, cyangwa amaboko.
  • Uruhu.
  • Isesemi cyangwa kuruka.
  • Uburyohe busa nicyuma mumunwa cyangwa umwuka mubi.
  • Kubabara umutwe.

Rimwe na rimwe, nta bimenyetso cyangwa ibimenyetso bigaragara mu ntangiriro. Ibimenyetso cyangwa ibimenyetso bishobora kugaragara nkibyangiritse kumpyiko bikomeza mugihe. Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu mpyiko.

Ibi bizamini nibindi bizakoreshwa muburyo bwo kumenya cyangwa gusuzuma impyiko zitinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe, nka magnesium, calcium, na potasiyumu, bisohoka mumaraso ningingo hamwe nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara zimpyiko.
  • Urinalysis: Ikizamini cyo gusuzuma ibara ry'inkari n'ibiyirimo, nk'isukari, proteyine, selile zitukura, na selile yera.
  • Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi menshi y’amajwi (ultrasound) asohoka mu ngingo cyangwa mu ngingo, nk'impyiko, kandi bigasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byimpyiko zitinze. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Ingeso zubuzima ziteza impyiko nzima ningirakamaro kubarokotse kanseri yo mu bwana.

Abacitse ku icumu rya kanseri bakuweho impyiko zose cyangwa igice cyabo bagomba kuvugana na muganga wabo kuri ibi bikurikira:

  • Niba ari byiza gukina siporo ifite ibyago byinshi byo guhura cyane cyangwa ingaruka nkumupira wamaguru cyangwa umupira wamaguru.
  • Umutekano w'amagare no kwirinda ibikomere.
  • Kwambara umukandara uzengurutse ikibuno, ntabwo ari ikibuno.

Uruhago

Kubaga agace ka pelvic nubwoko bumwe na bumwe bwa chimiotherapie byongera ibyago byuruhago rwatinze.

Ibyago byubuzima bwibasira uruhago byiyongera nyuma yo kuvurwa nibi bikurikira:

  • Kubaga kugirango ukureho byose cyangwa igice cyuruhago.
  • Kubaga igitereko, umugongo, cyangwa ubwonko.
  • Ubwoko bumwebumwe bwa chimiotherapie, nka cyclophosphamide cyangwa ifosfamide.
  • Imiti ivura imirasire hafi yuruhago, uruhago, cyangwa inzira yinkari.
  • Gutera ingirabuzimafatizo.

Ingaruka zitinze zifata uruhago zishobora gutera ibibazo byubuzima.

Ingaruka z'uruhago n'ingaruka z'ubuzima zirimo ibi bikurikira:

  • Cystitis ya Hemorhagie (gutwika imbere y'urukuta rw'uruhago, biganisha ku kuva amaraso).
  • Kubyimba k'urukuta rw'uruhago.
  • Ikibazo cyo gusiba uruhago.
  • Kudashaka.
  • Guhagarika impyiko, ureter, uruhago, cyangwa urethra.
  • Indwara yinkari (karande).

Ibimenyetso nibimenyetso byuruhu rwatinze harimo impinduka zo kwihagarika no kubyimba ibirenge cyangwa amaboko.

Ibi bimenyetso nibindi bimenyetso bishobora guterwa nuruhago rwatinze cyangwa nibindi bihe:

  • Kumva bikenewe kwihagarika utabishoboye.
  • Inkari kenshi (cyane cyane nijoro).
  • Ikibazo cyo kwihagarika.
  • Kumva uruhago ntirubusa rwose nyuma yo kwihagarika.
  • Kubyimba amaguru, amaguru, ibirenge, isura, cyangwa amaboko.
  • Kugenzura uruhago ruto cyangwa ntarwo.
  • Amaraso mu nkari.

Vugana na muganga wumwana wawe niba umwana wawe afite ibibazo.

Ibizamini bimwe na bimwe bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibazo byubuzima mu ruhago.

Ibi hamwe nibindi bizamini hamwe nuburyo bushobora gukoreshwa mugushakisha cyangwa gusuzuma uruhago rwatinze:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe, nka magnesium, calcium, na potasiyumu, bisohoka mumaraso ningingo hamwe nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyibibazo byuruhago.
  • Urinalysis: Ikizamini cyo gusuzuma ibara ry'inkari n'ibiyirimo, nk'isukari, proteyine, selile zitukura, na selile yera.
  • Umuco w'inkari: Ikizamini cyo gusuzuma bagiteri, umusemburo, cyangwa izindi mikorobe mu nkari mugihe hari ibimenyetso byanduye. Imico yinkari irashobora gufasha kumenya ubwoko bwa mikorobe itera indwara. Kuvura ubwandu biterwa n'ubwoko bwa mikorobe itera ubwandu.
  • Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi y’amajwi menshi (ultrasound) asohoka mu ngingo cyangwa mu ngingo, nk'uruhago, kandi bigasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma.

Vugana na muganga wumwana wawe niba umwana wawe akeneye kwipimisha nuburyo bwo gusuzuma ibimenyetso byuruhago rwatinze. Niba ibizamini bikenewe, shakisha inshuro bigomba gukorwa.

Kumenya Byinshi Ingaruka Zitinda Kuvura Kanseri Yabana

Ukeneye ibisobanuro birambuye kubyerekeye ingaruka zitinze zo kuvura kanseri yo mu bwana, reba ibi bikurikira:

  • Amabwiriza maremare yo gukurikirana-abarokotse kanseri yo mu bwana, ingimbi, na bato bakuze Kanseri Yamagane
  • Ingaruka Zitinze Ubuyobozi bwa SerivisiIsohoka
  • Kubara Tomografiya (CT) Gusikana na Kanseri

Ushaka amakuru menshi ya kanseri yo mu bwana hamwe nubundi buryo rusange bwa kanseri buturuka mu kigo cyigihugu cya kanseri, reba ibi bikurikira:

  • Kanseri yo mu bwana
  • Umuti wo Gushakisha Kanseri Yabana Kureka
  • Ingimbi n'abangavu bafite kanseri
  • Abana barwaye Kanseri: Imfashanyigisho ku babyeyi
  • Kanseri mu bana n'ingimbi
  • Gutegura
  • Guhangana na Kanseri
  • Ibibazo byo Kubaza Muganga wawe Kanseri
  • Abacitse ku icumu n'abarezi
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