Ubwoko / leukemia / umurwayi / umwana-byose-bivura-pdq

Ubwana Bwiza Lymphoblastique Leukemia Umuti (®) –Umurwayi

Amakuru Rusange Yerekeye Ubwana Acide Lymphoblastique Leukemia

INGINGO Z'INGENZI

• Ubwana bukabije lymphoblastique leukemia (BYOSE) ni ubwoko bwa kanseri aho igufwa ryamagufa rikora lymphocytes nyinshi zidakuze (ubwoko bwamaraso yera).

• Leukemia irashobora kwanduza selile zitukura, selile yera, na platine.

• Ubuvuzi bwa kanseri hamwe nibibazo bimwe na bimwe bigira ingaruka ku byago byo kubyara BYOSE.

• Ibimenyetso byubwana BYOSE birimo umuriro no gukomeretsa.

• Ibizamini bisuzuma amaraso n'amagufa bikoreshwa mugushakisha (gushakisha) no gusuzuma ubwana BYOSE.

• Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Ubwana bukabije lymphoblastique leukemia (BYOSE) ni ubwoko bwa kanseri aho igufwa ryamagufa rikora lymphocytes nyinshi zidakuze (ubwoko bwamaraso yera).

Ubwana bukabije lymphoblastique leukemia (nanone yitwa BYOSE cyangwa acute lymphocytic leukemia) ni kanseri yamaraso namagufa. Ubu bwoko bwa kanseri burakomera vuba iyo butavuwe.

Anatomy yamagufwa. Igufwa rigizwe n'amagufwa magufi, amagufwa ya spongy, n'amagufwa. Amagufwa magufi agize igice cyinyuma cyamagufwa. Amagufwa ya spongy aboneka cyane kumpera yamagufa kandi arimo umusemburo utukura. Amagufwa yo mu magufa aboneka hagati yamagufwa menshi kandi afite imiyoboro myinshi yamaraso. Hariho ubwoko bubiri bwamagufwa: umutuku numuhondo. Umutuku utukura urimo ingirangingo z'amaraso zishobora guhinduka selile zitukura, selile yera, cyangwa platine. Umuhondo wumuhondo ugizwe ahanini namavuta.

BYOSE ni ubwoko bwa kanseri bukunze kugaragara mubana.

Leukemia irashobora kwanduza selile zitukura, selile yera, na platine.

Mumwana muzima, igufwa ryamagufa rikora ingirangingo zamaraso (selile zidakuze) zihinduka selile zamaraso zikuze mugihe. Ingirabuzimafatizo y'amaraso irashobora guhinduka myeloid stem selile cyangwa lymphoide stem selile.

Ingirabuzimafatizo ya myeloid ihinduka bumwe mu bwoko butatu bw'amaraso akuze:

• Uturemangingo twamaraso dutukura dutwara ogisijeni nibindi bintu mubice byose byumubiri.

• Amashanyarazi akora amaraso kugirango areke kuva amaraso.

• Utugingo ngengabuzima twera turwanya indwara n'indwara.

Lymphoide stem selile ihinduka lymphoblast selile hanyuma bumwe mubwoko butatu bwa lymphocytes (selile yera):

• B lymphocytes B ikora antibodies zifasha kurwanya kwandura.

• T lymphocytes T ifasha lymphocytes B gukora antibodies zifasha kurwanya kwandura.

• Ingirabuzimafatizo zica zitera kanseri na virusi.

Gukura kw'amaraso. Ingirabuzimafatizo y'amaraso inyura mu ntambwe nyinshi kugirango ihinduke selile itukura, platine, cyangwa selile yera.

Mumwana ufite BYOSE, ingirabuzimafatizo nyinshi zihinduka lymphoblasts, B lymphocytes, cyangwa lymphocytes T. Ingirabuzimafatizo ntizikora nka lymphocytes zisanzwe kandi ntizishobora kurwanya kwandura neza. Utugingo ngengabuzima ni kanseri (leukemia). Nanone, uko umubare w'uturemangingo twa leukemia wiyongera mu maraso no mu magufa, nta mwanya muto w'uturemangingo tw'amaraso twera dufite ubuzima bwiza, selile zitukura, na platine. Ibi birashobora gutera kwandura, kubura amaraso, no kuva amaraso byoroshye.

Iyi ncamake yerekeye lymphoblastique ikaze ya leukemia mubana, ingimbi, nabakuze. Reba incamake ya ikurikira kumakuru yerekeye ubundi bwoko bwa leukemia:

• Ubwana Bukaze Myeloid Leukemia / Ubundi buryo bwo kuvura indwara ya Myeloid

• Abakuze Bavura Lymphoblastique Kuvura Leukemia

• Kuvura indwara ya Lymphocytike idakira

• Abakuze Acute Myeloid Leukemia

• Umuti wa karande Myelogenous Leukemia

• Umuti wimitsi ya leukemia

Ubuvuzi bwa kanseri hamwe nibibazo bimwe na bimwe bigira ingaruka ku byago byo kubyara BYOSE.

Ikintu cyose cyongera ibyago byo kwandura byitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wumwana wawe niba utekereza ko umwana wawe ashobora guhura nibibazo.

Impamvu zishobora gutera ingaruka kuri BOSE zirimo ibi bikurikira:

• Guhura na x-imirasire mbere yo kuvuka.

• Guhura n'imirase.

• Ubuvuzi bwa kera hamwe na chimiotherapie.

• Kugira imiterere ya genetike, nka:

• Indwara ya syndrome.

• Neurofibromatose ubwoko bwa 1.

• Indwara ya syndrome.

• Amaraso make.

• Ataxia-telangiectasia.

• Indwara ya Li-Fraumeni.

• Itegeko nshinga ridahuye no gusana (ihinduka ryimiterere ya genes zimwe na zimwe zibuza ADN kwikosora, biganisha ku mikurire ya kanseri akiri muto).

• Kugira impinduka zimwe muri chromosomes cyangwa genes.

Ibimenyetso byubwana BYOSE birimo umuriro no gukomeretsa.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa nubwana BYOSE cyangwa nibindi bihe. Menyesha umuganga wumwana wawe niba umwana wawe afite kimwe muri ibi bikurikira:

• Umuriro.

• Gukomeretsa byoroshye cyangwa kuva amaraso.

• Petechiae (igororotse, igaragara, ibibara byijimye-umutuku munsi y'uruhu biterwa no kuva amaraso).

• Kubabara amagufwa cyangwa ingingo.

• Ibibyimba bitababara mu ijosi, munsi yintoki, igifu, cyangwa igituba.

• Kubabara cyangwa kumva wuzuye munsi yimbavu.

• Intege nke, kumva unaniwe, cyangwa usa neza.

• Kubura ubushake bwo kurya.

Ibizamini bisuzuma amaraso n'amagufa bikoreshwa mugushakisha (gushakisha) no gusuzuma ubwana BYOSE.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa mugupima ubwana BYOSE no kumenya niba selile ya leukemia yakwirakwiriye mubindi bice byumubiri nkubwonko cyangwa testicles:

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.

Umubare wuzuye wamaraso (CBC) ufite itandukaniro: Uburyo bwo gukuramo urugero rwamaraso no kugenzurwa kuri ibi bikurikira:

• Umubare w'uturemangingo tw'amaraso atukura na platine.

• Umubare nubwoko bwingirangingo zamaraso yera.

• Ingano ya hemoglobine (proteyine itwara ogisijeni) mu ngirangingo z'amaraso atukura.

• Igice cy'icyitegererezo kigizwe na selile zitukura.

Kubara amaraso yuzuye (CBC). Amaraso akusanywa no kwinjiza inshinge mumitsi no kwemerera amaraso gutembera mumiyoboro. Icyitegererezo cyamaraso cyoherezwa muri laboratoire hanyuma selile zitukura, selile yera, na platine zirabaze. CBC ikoreshwa mugupima, gusuzuma, no gukurikirana ibintu byinshi bitandukanye.

• 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.

• Amagufa ya marrow aspiration na biopsy: Gukuraho igufwa ryamagufwa nigice gito cyamagufwa winjiza urushinge rufunitse mumatako cyangwa amabere. Inzobere mu by'indwara ireba igufwa n'amagufwa munsi ya microscope kugira ngo ishakishe ibimenyetso bya kanseri.

Amagufa ya marrow icyifuzo na biopsy. Nyuma yuko agace gato k'uruhu kamaze kunanirwa, urushinge rw'amagufwa rwinjizwa mu igufwa ry'umwana. Ingero z'amaraso, amagufwa, n'amagufwa byavanyweho kugirango bisuzumwe kuri microscope.

Ibizamini bikurikira bikorerwa kumaraso cyangwa ingirangingo zamagufa zavanyweho:

• Isesengura rya Cytogenetike: Ikizamini cya laboratoire kibarwa chromosomes yingirabuzimafatizo mu cyitegererezo cyamaraso cyangwa igufwa ryamagufwa ikabarwa kandi ikagenzurwa niba hari impinduka, nko kuvunika, kubura, gutondekanya, cyangwa chromosomes ziyongera. Impinduka muri chromosomes zimwe zishobora kuba ikimenyetso cya kanseri. Kurugero, muri Philadelphia chromosome - nziza BYOSE, igice cya chromosome imwe ihindura ahantu hamwe nigice cya chromosome. Ibi byitwa “Chromosome ya Philadelphia.” Isesengura rya Cytogenetike rikoreshwa mu gufasha gusuzuma kanseri, gutegura gahunda yo kuvura, cyangwa kumenya uburyo ubuvuzi bukora neza.

Chromosome ya Philadelphia. Igice cya chromosome 9 nigice cya chromosome 22 kirahagarara hamwe nubucuruzi. Gene ya BCR-ABL ikorwa kuri chromosome 22 aho igice cya chromosome 9 gifatanye. Chromosome yahinduwe 22 yitwa Philadelphia chromosome.

• Immunophenotyping: Ikizamini cya laboratoire ikoresha antibodies kugirango hamenyekane kanseri ya kanseri ukurikije ubwoko bwa antigene cyangwa ibimenyetso hejuru ya selile. Iki kizamini gikoreshwa mugufasha gusuzuma ubwoko bwihariye bwa leukemia. Kurugero, selile ya kanseri isuzumwa kugirango irebe niba ari lymphocytes B cyangwa Lymphocytes T.

• Gutobora Lumbar: Uburyo bukoreshwa mugukusanya icyitegererezo cyamazi yo mu bwonko (CSF) kuva kumugongo. Ibi bikorwa mugushira urushinge hagati yamagufa abiri murugongo no muri CSF ikikije uruti rwumugongo no gukuramo icyitegererezo cyamazi. Icyitegererezo cya CSF gisuzumwa munsi ya microscope kugirango ibimenyetso byerekana ko selile ya leukemia yakwirakwiriye mu bwonko no mu ruti rw'umugongo. Ubu buryo bwitwa LP cyangwa igikanda.

Gutobora. Umurwayi aryamye mumwanya uhetamye kumeza. Nyuma yumwanya muto kumugongo wo hasi ucecetse, urushinge rwumugongo (urushinge rurerure, ruto) rwinjizwa mubice byo hepfo yinkingi yumugongo kugirango rukureho ubwonko bwubwonko (CSF, bwerekanwe mubururu). Amazi arashobora koherezwa muri laboratoire kugirango isuzumwe.

Ubu buryo bukorwa nyuma yo gupimwa indwara ya leukemia kugirango hamenyekane niba selile ya leukemia yakwirakwiriye mu bwonko no mu ruti rw'umugongo. Imiti ya chimiotherapie itangwa nyuma yicyitegererezo cyamazi yakuweho kugirango ivure ingirabuzimafatizo zose zishobora kuba zarakwirakwiriye mu bwonko no mu ruti rw'umugongo.

• Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri. Igituza x-ray ikorwa kugirango harebwe niba selile ya leukemia yakoze misa hagati yigituza.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kumenyekanisha (amahirwe yo gukira) biterwa na:

• Nigute byihuse nuburyo buke selile selile igabanuka nyuma yukwezi kwa mbere kwivuza.

• Imyaka mugihe cyo kwisuzumisha, igitsina, ubwoko, n'amoko.

• Umubare w'uturemangingo tw'amaraso yera mu maraso mugihe cyo gusuzuma.

• Niba selile leukemia yatangiriye kuri lymphocytes B cyangwa lymphocytes T.

• Niba hari impinduka zimwe muri chromosomes cyangwa genes za lymphocytes hamwe na kanseri.

• Niba umwana afite syndrome de Down.

• Niba selile ya leukemia iboneka mumazi ya cerebrospinal.

• Ibiro byumwana mugihe cyo kwisuzumisha no mugihe cyo kwivuza.

Uburyo bwo kuvura buterwa na:

• Niba selile leukemia yatangiriye kuri lymphocytes B cyangwa lymphocytes T.

• Niba umwana afite ibyago-bisanzwe, ibyago byinshi, cyangwa ibyago byinshi-ibyago BYOSE.

• Imyaka yumwana mugihe cyo kwisuzumisha.

• Niba hari impinduka zimwe na zimwe muri chromosomes ya lymphocytes, nka chromosome ya Philadelphia.

• Niba umwana yaravuwe na steroid mbere yo gutangira kuvura induction.

• Nigute byihuse nuburyo buke bwa selile selile igabanuka mugihe cyo kuvura.

Kuri leukemia isubiramo (igaruka) nyuma yo kuvurwa, uburyo bwo kuvura no kuvura biterwa ahanini nibi bikurikira:

• Igihe kingana iki hagati yigihe cyo kwisuzumisha nigihe leukemia igarutse.

• Niba leukemia igaruka mumagufwa cyangwa mubindi bice byumubiri.

Amatsinda Yibyago Kubana Akara Lymphoblastique Leukemia

INGINGO Z'INGENZI

• Mu bwana BYOSE, amatsinda yingaruka akoreshwa mugutegura imiti.

• Gusubira mu bwana BYOSE ni kanseri yagarutse nyuma yo kuvurwa.

Mu bwana BYOSE, amatsinda yingaruka akoreshwa mugutegura imiti.

Hano hari amatsinda atatu yingaruka mubana BOSE. Basobanuwe nka:

• Ibyago bisanzwe (hasi): Harimo abana bafite kuva kumyaka 1 kugeza kumyaka 10 bafite selile yera yera iri munsi ya 50.000 / µL mugihe cyo kwisuzumisha.

• Ibyago byinshi: Harimo abana bafite imyaka 10 nayirenga na / cyangwa abana bafite selile yamaraso yera ibarirwa muri 50.000 / µL cyangwa irenga mugihe cyo kwisuzumisha.

• Ibyago byinshi cyane: Harimo abana barengeje imyaka 1, abana bafite impinduka zimwe na zimwe muri gen, abana bafite ibisubizo bitinze kubuvuzi bwambere, hamwe nabana bafite ibimenyetso bya leukemia nyuma yibyumweru 4 byambere byo kwivuza.

Ibindi bintu bigira ingaruka kumatsinda yibibazo harimo ibi bikurikira:

• Niba selile leukemia yatangiriye kuri lymphocytes B cyangwa lymphocytes T.

• Niba hari impinduka zimwe muri chromosomes cyangwa genes ya lymphocytes.

• Nigute byihuse nuburyo buke selile ya selile igabanuka nyuma yo kuvurwa bwa mbere.

• Niba selile ya leukemia iboneka mumazi ya cerebrospinal mugihe cyo gusuzuma.

Ni ngombwa kumenya itsinda ryibyago kugirango utegure kuvura. Abana bafite ibyago byinshi cyangwa ibyago byinshi - Bose mubisanzwe bakira imiti myinshi ya anticancer hamwe na / cyangwa urugero rwinshi rwimiti igabanya ubukana kurusha abana bafite ibyago-BYOSE.

Gusubira mu bwana BYOSE ni kanseri yagarutse nyuma yo kuvurwa.

Leukemia irashobora kugaruka mumaraso no mumagufa, ubwonko, uruti rwumugongo, testicles, cyangwa ibindi bice byumubiri.

Kwanga kuva mu bwana BYOSE ni kanseri idasubiza imiti.

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura indwara ikaze ya lymphoblastique yo mu bwana (BYOSE).

• Abana bafite BOSE bagomba gutegurwa nubuvuzi bwitsinda ryabaganga ninzobere mu kuvura kanseri yo mu bwana.

• Umuti wo mu bwana bukabije lymphoblastique leukemia irashobora gutera ingaruka.

• Ubuvuzi bwubwana Bose mubusanzwe bufite ibyiciro bitatu.

• Ubwoko bune bwo kuvura busanzwe bukoreshwa:

• Chimoterapi

• Imiti ivura imirasire

• Chimoterapi hamwe no guhinduranya ingirangingo

• Ubuvuzi bugamije

• Umuti utangwa kugirango wice selile ya leukemia yakwirakwiriye cyangwa ishobora gukwirakwira mu bwonko, uruti rw'umugongo, cyangwa testicles.

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Chimeric antigen reseptor (CAR) T-selile ivura

• Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

• Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

• Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura indwara ikaze ya lymphoblastique yo mu bwana (BYOSE).

Ubwoko butandukanye bwo kuvura burahari kubana barwaye lymphoblastique ikaze (BYOSE). Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe.

Kubera ko kanseri mu bana idasanzwe, kugira uruhare mu igeragezwa ry’amavuriro bigomba kwitabwaho. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Abana bafite BOSE bagomba gutegurwa nubuvuzi bwitsinda ryabaganga ninzobere mu kuvura kanseri yo mu bwana. Umuti uzakurikiranwa n’umuganga w’abana oncologue, umuganga winzobere mu kuvura abana barwaye kanseri. Umuganga wa oncologue w'abana akorana n'abandi bahanga mu by'ubuzima bw'abana b'inzobere mu kuvura abana barwaye leukemia kandi bazobereye mu bice bimwe na bimwe by'ubuvuzi. Aba bashobora kuba barimo inzobere zikurikira:

• Umuganga w'abana.

• Hematologue.

• Umuganga wa oncologue.

• Umuganga ubaga abana.

• Imirasire ya oncologue.

• Neurologue.

• Inzobere mu by'indwara.

• Radiologue.

• Inzobere mu baforomo b'abana.

• Ushinzwe imibereho myiza.

• Inzobere mu gusubiza mu buzima busanzwe.

• Umuhanga mu by'imitekerereze ya muntu.

• Inzobere mu buzima bw'umwana.

Umuti wo mu bwana bukabije lymphoblastique leukemia irashobora gutera ingaruka.

Kumakuru yingaruka zitangira mugihe cyo kuvura kanseri, reba urupapuro rwuruhande rwacu.

Ibizamini byo gukurikirana buri gihe ni ngombwa. Ingaruka ziterwa no kuvura kanseri zitangira nyuma yo kuvurwa zikomeza amezi cyangwa imyaka byitwa ingaruka zitinze.

Ingaruka zo kuvura kanseri zishobora kuba zikubiyemo ibi bikurikira:

• Ibibazo byumubiri, harimo ibibazo byumutima, imiyoboro yamaraso, umwijima, cyangwa amagufwa, nuburumbuke. Iyo dexrazoxane ihabwa imiti ya chimiotherapie yitwa anthracyclines, ibyago byo gutinda k'umutima biragabanuka.

• Impinduka mumyumvire, ibyiyumvo, gutekereza, kwiga, cyangwa kwibuka. Abana barengeje imyaka 4 bahawe imiti ivura imirasire mubwonko bafite ibyago byinshi byizo ngaruka.

• Kanseri ya kabiri (ubwoko bushya bwa kanseri) cyangwa izindi miterere, nk'ibibyimba byo mu bwonko, kanseri ya tiroyide, leukemia ikaze ya myeloid, na syndrome ya myelodysplastic.

Ingaruka zimwe zitinze zishobora kuvurwa cyangwa kugenzurwa. Ni ngombwa kuganira n'abaganga b'umwana wawe ku ngaruka zishobora gutinda ziterwa no kuvurwa. Reba incamake ya ku ngaruka zitinze zo kuvura kanseri y'abana.

Ubuvuzi bwubwana Bose mubusanzwe bufite ibyiciro bitatu.

Kuvura ubwana BYOSE bikorwa mubice:

• Induction induction: Iki nicyiciro cyambere cyo kuvura. Intego nukwica selile ya leukemia mumaraso no mumagufa. Ibi bishyira leukemia mubisubizo.

• Guhuriza hamwe / gukomera: Iki nicyiciro cya kabiri cyo kuvura. Itangira iyo leukemia imaze gukira. Intego yo guhuza / gukaza umurego ni ukwica selile iyo ari yo yose iguma mu mubiri kandi ishobora gutera kwisubiraho.

• Kubungabunga: Iki nicyiciro cya gatatu cyo kuvura. Intego nukwica selile zose zisigaye zishobora gusubira kandi zigatera kwisubiraho. Akenshi kuvura kanseri bitangwa mukigero cyo hasi ugereranije nicyakoreshejwe mugihe cyo kwinjiza no guhuza / gukomera. Kudafata imiti nkuko byateganijwe na muganga mugihe cyo kuvura byongera amahirwe kanseri izagaruka. Ibi byitwa kandi gukomeza kuvura icyiciro.

Ubwoko bune bwo kuvura busanzwe bukoreshwa:

Chimoterapi

Chimiotherapie ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi ya cerebrospinal fluid (intrathecal), urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Imiti ya chimiotherapie ni imiti ikoresheje imiti irenze imwe ya anticancer.

Uburyo chimiotherapie itangwa biterwa nitsinda ryibyago byumwana. Abana bafite ibyago byinshi BOSE bakira imiti igabanya ubukana hamwe na dosiye nyinshi yimiti igabanya ubukana kurusha abana bafite ibyago-BYOSE. Imiti ya chimiotherapie irashobora gukoreshwa mu kuvura ubwana BYOSE byakwirakwiriye, cyangwa bishobora gukwirakwira, mu bwonko no mu ruti rw'umugongo.

Reba Ibiyobyabwenge Byemewe kuri Lymphoblastique Acute Lyukemia kubindi bisobanuro.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Hariho ubwoko bubiri bwo kuvura imirasire:

• Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri.

• Imiti ivura imbere ikoresha ibintu bifata radiyo bifunze inshinge, imbuto, insinga, cyangwa catheteri bishyirwa muri kanseri cyangwa hafi yayo.

Uburyo imiti ivura imirasire itangwa biterwa n'ubwoko bwa kanseri ivurwa. Ubuvuzi bwo hanze bushobora gukoreshwa mu kuvura ubwana BYOSE byakwirakwiriye, cyangwa bishobora gukwirakwira mu bwonko, uruti rw'umugongo, cyangwa intangangore. Irashobora kandi gukoreshwa mugutegura igufwa ryamagufa yo guterwa ingirangingo.

Chimoterapi hamwe no guhinduranya ingirangingo

Chimiotherapie kandi rimwe na rimwe irrasi yumubiri yose itangwa kugirango yice kanseri. Ingirabuzimafatizo nzima, harimo na selile zikora amaraso, nazo zirasenywa no kuvura kanseri. Gutera ingirabuzimafatizo ni uburyo bwo gusimbuza ingirabuzimafatizo. Ingirabuzimafatizo (selile zidakuze) zivanwa mumaraso cyangwa igufwa ryumurwayi cyangwa umuterankunga hanyuma bikonjeshwa bikabikwa. Umurwayi amaze kurangiza imiti ya chimiotherapie hamwe nimirasire yimirasire, ingirabuzimafatizo zabitswe zashwanyagujwe hanyuma zisubizwa umurwayi binyuze mu gushiramo. Izi ngirabuzimafatizo zongeye gukoreshwa zikura (kandi zigarura) ingirangingo z'amaraso z'umubiri.

Gutera ingirabuzimafatizo ntikunze gukoreshwa nkubuvuzi bwambere kubana ningimbi hamwe na BYOSE. Irakoreshwa cyane nkigice cyo kuvura BYOSE isubira (igaruka nyuma yo kuvurwa).

Reba Ibiyobyabwenge Byemewe kuri Lymphoblastique Acute Lyukemia kubindi bisobanuro.

Gutera ingirabuzimafatizo. (Intambwe ya 1): Amaraso yakuwe mumitsi mumaboko yumuterankunga. Amaraso atembera mumashini ikuraho ingirabuzimafatizo. Noneho amaraso asubizwa abaterankunga binyuze mumitsi mumaboko yandi. (Intambwe ya 2): Umurwayi yakira chimiotherapie kugirango yice selile zikora amaraso. Umurwayi arashobora guhabwa imiti ivura imirasire (iterekanwa). (Intambwe ya 3): Umurwayi yakira ingirabuzimafatizo binyuze muri catheter yashyizwe mu maraso mu gituza.

Ubuvuzi bugamije

Ubuvuzi bugamije ni ubuvuzi bukoresha ibiyobyabwenge cyangwa ibindi bintu kugirango umenye kandi utere kanseri yihariye itangiza ingirabuzimafatizo zisanzwe. Hariho ubwoko butandukanye bwo kuvura:

• Tyrosine kinase inhibitor (TKIs) ni imiti igamije kuvura ibuza enzyme, tyrosine kinase, itera ingirabuzimafatizo kuba selile yera cyangwa guturika kuruta umubiri ukeneye. Imatinib mesylate ni TKI ikoreshwa mukuvura abana bafite Philadelphia chromosome - nziza BYOSE. Dasatinib na ruxolitinib ni TKIs zirimo kwigwa mukuvura indwara zanduye vuba zose.

• Ubuvuzi bwa Monoclonal antibody nubuvuzi bwa kanseri bukoresha antibodies zakozwe muri laboratoire, uhereye mubwoko bumwe bwimikorere yumubiri. Iyi antibodies irashobora kumenya ibintu biri muri kanseri ya kanseri cyangwa ibintu bisanzwe bishobora gufasha kanseri gukura. Antibodiyite ifata ibintu kandi ikica selile ya kanseri, ikabuza gukura kwayo, cyangwa ikabuza gukwirakwira. Antibodiyite za Monoclonal zitangwa no gushiramo. Bashobora gukoreshwa bonyine cyangwa gutwara ibiyobyabwenge, uburozi, cyangwa ibikoresho bya radio bikoresha kanseri ya kanseri. Blinatumomab na inotuzumab ni antibodiyite za monoclonal zirimo kwigwa mukuvura abana bato bato.

• Proteasome inhibitor therapy ni ubwoko bwubuvuzi bugamije guhagarika ibikorwa bya proteasomes muri selile. Proteasomes ikuraho poroteyine zitagikenewe na selile. Iyo poroteyine zifunze, poroteyine ziba mu ngirabuzimafatizo kandi zishobora gutera kanseri ya kanseri. Bortezomib ni ubwoko bwa proteasome inhibitor ivura ikoreshwa mu kuvura ubwana bwasubiye inyuma BYOSE.

Ubwoko bushya bwubuvuzi bugamije nabwo burimo kwigwa mukuvura abana BOSE.

Reba Ibiyobyabwenge Byemewe kuri Lymphoblastique Acute Lyukemia kubindi bisobanuro.

Umuti utangwa kugirango wice selile ya leukemia yakwirakwiriye cyangwa ishobora gukwirakwira mu bwonko, uruti rw'umugongo, cyangwa testicles.

Umuti wo kwica selile ya leukemia cyangwa kurinda ikwirakwizwa rya selile ya leukemia mubwonko no mugongo (central nervous system; CNS) byitwa CNS iyobora. Chimiotherapie irashobora gukoreshwa mu kuvura ingirabuzimafatizo ya leukemia yakwirakwiriye, cyangwa ishobora gukwirakwira, mu bwonko no mu ruti rw'umugongo. Kuberako ibipimo bisanzwe bya chimiotherapie bidashobora kugera muri selile ya leukemia muri CNS, selile zirashobora kwihisha muri CNS. Sisitemu ya chimiotherapie itangwa muri dosiye nyinshi cyangwa chimiotherapie intrathecal (mumazi ya cerebrospinal fluid) irashobora kugera muri selile ya leukemia muri CNS. Rimwe na rimwe, imishwarara yo hanze ivura ubwonko nayo iratangwa.

Imiti ya chimiotherapie. Imiti igabanya ubukana yatewe mu mwanya wa intrathecal, niwo mwanya ufite amazi yo mu bwonko (CSF, yerekanwe mu bururu). Hariho inzira ebyiri zitandukanye zo gukora ibi. Bumwe mu buryo, bwerekanwa mu gice cyo hejuru cy’ishusho, ni ugutera imiti mu kigega cya Ommaya (ikintu kimeze nk'ikizenga gishyirwa munsi y’umutwe mu gihe cyo kubagwa; gifata imiti uko inyura mu muyoboro muto mu bwonko ). Ubundi buryo, bwerekanwe mugice cyo hasi cyigishushanyo, ni ugutera inshinge muri CSF mugice cyo hepfo yinkingi yumugongo, nyuma yumwanya muto kumugongo wo hasi ubuze.

Ubu buvuzi butangwa hiyongereyeho ubuvuzi bukoreshwa mu kwica selile ya leukemia mu mubiri wose. Abana bose bafite BOSE bahabwa imiti iyobowe na CNS murwego rwo kuvura induction no guhuriza hamwe / kuvura imbaraga hamwe rimwe na rimwe mugihe cyo kuvura.

Niba selile ya leukemia ikwirakwira muri testicles, ubuvuzi burimo dosiye nyinshi za chimiotherapie sisitemu ndetse rimwe na rimwe bivura imirasire.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Iki gice cyincamake gisobanura imiti irimo kwigwa mubigeragezo byamavuriro. Ntishobora kuvuga ubuvuzi bushya burimo kwigwa. Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Chimeric antigen reseptor (CAR) T-selile ivura

CAR T-selile ivura ni ubwoko bwa immunotherapie ihindura selile ya T yumurwayi (ubwoko bwimikorere yumubiri) kuburyo bazatera proteine ​​zimwe na zimwe hejuru ya selile kanseri. T selile yakuwe kumurwayi kandi reseptor zidasanzwe zongerwa hejuru yazo muri laboratoire. Ingirabuzimafatizo zahinduwe zitwa chimeric antigen reseptor (CAR) T. Ingirabuzimafatizo za CAR T zikurira muri laboratoire ziha umurwayi infusion. Ingirabuzimafatizo za CAR T zigwira mu maraso y’umurwayi kandi zigatera kanseri. CAR T-selile ivura irimo kwigwa mukuvura ubwana BYOSE byagarutse (garuka) ubugira kabiri.

CAR T-selile. Ubwoko bwo kuvura aho selile ya T yumurwayi (ubwoko bwimikorere yumubiri) ihindurwa muri laboratoire kugirango ihuze ingirangingo za kanseri ikabica. Amaraso ava mumitsi mumaboko yumurwayi anyura mumiyoboro yerekeza mumashini ya aperesi (iterekanwa), ikuraho selile yera, harimo na selile T, kandi igasubiza amaraso asigaye kumurwayi. Hanyuma, gene ya reseptor idasanzwe yitwa chimeric antigen reseptor (CAR) yinjizwa muri selile T muri laboratoire. Amamiriyoni ya selile CAR T akura muri laboratoire hanyuma agahabwa umurwayi yatewe. Ingirabuzimafatizo za CAR T zishobora guhuza antigen kuri selile ya kanseri ikabica.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba imiterere y'umwana wawe yarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Amagufa ya marrow aspiration na biopsy bikorwa mugihe cyicyiciro cyose cyo kuvura kugirango urebe uburyo ubuvuzi bukora neza.

Amahitamo yo kuvura akiri umwana Lymphoblastique Leukemia

Muri iki gice

• Ubuzima bushya bwasuzumwe bwana Lymphoblastique Leukemia (Risk risanzwe)

• Ubuzima bushya bwasuzumwe bwana Lymphoblastique Leukemia (Ibyago byinshi)

• Ubuzima bushya bwapimwe bwana Lymphoblastique Leukemia (Ibyago Byinshi)

• Indwara Yasuzumwe Ubwana Bukaze Lymphoblastique Leukemia (Amatsinda adasanzwe)

• T-selile yo mu bwana ikaze lymphoblastique leukemia

• Impinja hamwe na BOSE

• Abana imyaka 10 nayirenga ningimbi hamwe na BOSE

• Philadelphia chromosome - nziza BYOSE

• Kwanga Ubwana Bukaze Lymphoblastique Leukemia

• Gusubiramo Ubwana Bukaze Lymphoblastique Leukemia

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Ubuzima bushya bwasuzumwe bwana Lymphoblastique Leukemia (Risk risanzwe)

Ubuvuzi busanzwe-bwana bwana lymphoblastique leukemia (BYOSE) mugihe cyo kwinjiza imiti, guhuriza hamwe / gukomera, no kubungabunga ibyiciro buri gihe bikubiyemo imiti ivura imiti. Iyo abana bari mubisubizo nyuma yubuvuzi bwa remuction induction, hashobora gukorwa transplant stem stem ukoresheje selile stem yatanzwe numuterankunga. Iyo abana batakiriwe nyuma yubuvuzi bwa induction, ubundi buvuzi mubisanzwe ni ubuvuzi bumwe buhabwa abana bafite ibyago byinshi BYOSE.

Imiti ya chimiotherapie itangwa kugirango hirindwe ikwirakwizwa ry'uturemangingo twa leukemia mu bwonko no mu ruti rw'umugongo.

Ubuvuzi burimo kwigwa mubigeragezo byamavuriro kubibazo bisanzwe-BYOSE harimo uburyo bushya bwa chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Ubuzima bushya bwasuzumwe bwana Lymphoblastique Leukemia (Ibyago byinshi)

Kuvura ibyago byinshi byubwana bukabije lymphoblastique leukemia (BYOSE) mugihe cyo kwinjiza imiti, guhuriza hamwe / gukomera, no kubungabunga ibyiciro buri gihe bikubiyemo imiti ivura imiti. Abana bari mu kaga gakomeye BOSE bahabwa imiti myinshi ya antikanseri hamwe na dosiye nyinshi y’imiti igabanya ubukana, cyane cyane mugihe cyo guhuriza hamwe / gukomera, kuruta abana bo mu itsinda risanzwe rishobora kwibasirwa.

Imiti ya chimoterapi na sisitemu itangwa kugirango ikingire cyangwa ivure ikwirakwizwa rya selile ya leukemia mu bwonko no mu ruti rw'umugongo. Rimwe na rimwe, imiti ivura ubwonko nayo iratangwa.

Ubuvuzi burimo kwigwa mubigeragezo bivura ibyago byinshi BYOSE harimo uburyo bushya bwa chimiotherapie hamwe nubuvuzi butagenewe cyangwa buterwa ingirabuzimafatizo.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Ubuzima bushya bwapimwe bwana Lymphoblastique Leukemia (Ibyago Byinshi)

Kuvura cyane ibyago byinshi byubwana bukabije lymphoblastique leukemia (BYOSE) mugihe cyo kwinjiza imiti, guhuriza hamwe / gukomera, no kubungabunga ibyiciro buri gihe bikubiyemo imiti ivura imiti. Abana bari mu kaga gakomeye cyane Itsinda RYOSE bahabwa imiti igabanya ubukana kurusha abana bo mu itsinda rifite ibyago byinshi. Ntabwo byumvikana niba guterwa ingirangingo ngengabuzima mugihe cyo kuvura bwa mbere bizafasha umwana kuramba.

Imiti ya chimoterapi na sisitemu itangwa kugirango ikingire cyangwa ivure ikwirakwizwa rya selile ya leukemia mu bwonko no mu ruti rw'umugongo. Rimwe na rimwe, imiti ivura ubwonko nayo iratangwa.

Ubuvuzi burimo kwigwa mubigeragezo byamavuriro kubibazo byinshi - ibyago BYOSE harimo uburyo bushya bwa chimiotherapie hamwe nubuvuzi butagenewe.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Indwara Yasuzumwe Ubwana Bukaze Lymphoblastique Leukemia (Amatsinda adasanzwe)

T-selile yo mu bwana ikaze lymphoblastique leukemia

Ubuvuzi bwa T-selile bwana acute lymphoblastique leukemia (BYOSE) mugihe cyo kwinjiza imiti, guhuriza hamwe / gukomera, hamwe no gufata ibyiciro buri gihe bikubiyemo kuvura imiti. Abana bafite T-selile BOSE bahabwa imiti igabanya ubukana hamwe ninshi yimiti igabanya ubukana kurusha abana bo mumatsinda aherutse gupimwa.

Imiti ya chimoterapi na sisitemu itangwa kugirango hirindwe ikwirakwizwa ry'uturemangingo twa leukemia mu bwonko no mu ruti rw'umugongo. Rimwe na rimwe, imiti ivura ubwonko nayo iratangwa.

Ubuvuzi burimo kwigwa mubigeragezo byamavuriro ya T-selile BOSE harimo imiti mishya ya anticancer hamwe na chimiotherapie hamwe nubuvuzi butagenewe.

Impinja hamwe na BOSE

Kuvura impinja hamwe na BYOSE mugihe cyo kwinjiza remise, guhuriza hamwe / gukomera, hamwe nicyiciro cyo kubungabunga buri gihe harimo imiti ya chimiotherapie. Impinja zifite BYOSE zihabwa imiti igabanya ubukana hamwe na dosiye nyinshi y’imiti igabanya ubukana kurusha abana bafite imyaka 1 nayirenga mu itsinda risanzwe rishobora kwibasirwa. Ntabwo byumvikana niba guterwa ingirangingo ngengabuzima mugihe cyo kuvura bwa mbere bizafasha umwana kuramba.

Imiti ya chimoterapi na sisitemu itangwa kugirango hirindwe ikwirakwizwa ry'uturemangingo twa leukemia mu bwonko no mu ruti rw'umugongo.

Ubuvuzi burimo kwigwa mubigereranyo byamavuriro kubana bafite BYOSE harimo chimiotherapie kubana bafite ihinduka rya gen.

Abana imyaka 10 nayirenga ningimbi hamwe na BOSE

Ubuvuzi bwa BOSE mubana ningimbi (imyaka 10 nayirenga) mugihe cyo kwinjiza remise, guhuriza hamwe / gukomera, no kubungabunga ibyiciro buri gihe birimo imiti ivura imiti. Abana bafite imyaka 10 nayirenga hamwe ningimbi hamwe na BOSE bahabwa imiti myinshi ya anticancer hamwe na dosiye nyinshi yimiti igabanya ubukana kurusha abana bo mumatsinda asanzwe.

Imiti ya chimoterapi na sisitemu itangwa kugirango hirindwe ikwirakwizwa ry'uturemangingo twa leukemia mu bwonko no mu ruti rw'umugongo. Rimwe na rimwe, imiti ivura ubwonko nayo iratangwa.

Ubuvuzi burimo kwigwa mubigeragezo byamavuriro kubana bafite imyaka 10 nayirenga hamwe ningimbi hamwe na BOSE harimo imiti mishya ya anticancer hamwe na chimiotherapie hamwe nubuvuzi butabigenewe.

Philadelphia chromosome - nziza BYOSE

Ubuvuzi bwa Philadelphia chromosome - ubwana bwiza bwabana BOSE mugihe cyo kwinjiza remise, guhuriza hamwe / gukomera, no kubungabunga ibyiciro bishobora kubamo ibi bikurikira:

• Gukomatanya chimiotherapie hamwe nubuvuzi bugamije hamwe na tyrosine kinase inhibitor (imatinib mesylate) hamwe cyangwa idafite transplant selile ikoresheje ingirabuzimafatizo zikomoka kumuterankunga.

Ubuvuzi burimo kwigwa mubigeragezo byamavuriro ya Philadelphia chromosome - ubuzima bwiza bwabana BOSE harimo uburyo bushya bwo kuvura bugamije (imatinib mesylate) hamwe na chimiotherapie hamwe cyangwa nta transplant selile.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kwanga Ubwana Bukaze Lymphoblastique Leukemia

Nta buvuzi busanzwe bwo kuvura bwana bwana lymphoblastique leukemia (BYOSE).

Ubuvuzi bwubwana bwanone BYOSE bushobora kubamo ibi bikurikira:

• Ubuvuzi bugamije (blinatumomab cyangwa inotuzumab).

• Chimeric antigen reseptor (CAR) T-selile ivura.

Gusubiramo Ubwana Bukaze Lymphoblastique Leukemia

Ubuvuzi busanzwe bwisubiramo bwana lymphoblastique leukemia (BYOSE) bugaruka mumagufa yamagufa bushobora kuba bukubiyemo ibi bikurikira:

• Gukomatanya chimiotherapie hamwe cyangwa idafite intego yo kuvura (bortezomib).

• Gutera ingirabuzimafatizo, ukoresheje ingirabuzimafatizo ziva kumuterankunga.

Ubuvuzi busanzwe bwisubiramo bwana lymphoblastique leukemia (BYOSE) bugaruka hanze yamagufa arashobora kubamo ibi bikurikira:

• Sisitemu ya chimiotherapie hamwe na chimiotherapie intrathecal hamwe nubuvuzi bwimirasire yubwonko na / cyangwa uruti rwumugongo kuri kanseri igaruka mubwonko no mugongo gusa.

• Gukomatanya chimiotherapie hamwe nimiti ivura kanseri igaruka muri testicles gusa.

• Gutera ingirabuzimafatizo ya kanseri yagarutse mu bwonko no / cyangwa uruti rw'umugongo.

Bumwe mu buvuzi burimo kwigwa mubigeragezo byamavuriro byongeye gusubira mu bwana BOSE harimo:

• Uburyo bushya bwo guhuza imiti hamwe nubuvuzi bugamije (blinatumomab).

• Ubwoko bushya bwimiti ya chimiotherapie.

• Chimeric antigen reseptor (CAR) T-selile ivura.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kugira ngo Wige byinshi kubyerekeye Ubwana Acide Lymphoblastique Leukemia

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeranye na lymphoblastique ikaze yo mu bwana, reba ibi bikurikira:

• Kubara Tomografiya (CT) Gusikana na Kanseri

• Ibiyobyabwenge Byemewe Kurwara Lymphoblastique

• Gutera Amaraso Yimitsi Yimitsi

• Intego zo kuvura Kanseri

Kubindi bisobanuro bya kanseri yo mu bwana hamwe nubundi buryo rusange bwa kanseri, reba ibi bikurikira:

• Ibyerekeye Kanseri

• Kanseri yo mu bwana

• Umuti wo Gushakisha Kanseri Yabana Kureka

• Ingaruka Zitinze Kuvura Kanseri Yabana

• 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 kuri Kanseri

• Abacitse ku icumu n'abarezi