{"id":44207,"date":"2018-08-30T23:17:33","date_gmt":"2018-08-30T20:17:33","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=44207"},"modified":"2024-09-16T11:02:42","modified_gmt":"2024-09-16T08:02:42","slug":"cocugumun-losemi-oldugunu-nasil-anlarim-nasil-gecer","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/cocugumun-losemi-oldugunu-nasil-anlarim-nasil-gecer\/","title":{"rendered":"\u00c7ocu\u011fumun L\u00f6semi Oldu\u011funu Nas\u0131l Anlar\u0131m Nas\u0131l Ge\u00e7er"},"content":{"rendered":"

L\u00f6semi, kan kanseri olarak da bilinir ve insan v\u00fccudunda beyaz kan h\u00fccresinin anormal miktarda artmas\u0131ndan kaynaklan\u0131r. Bu kanser t\u00fcr\u00fc \u00e7ocuklarda en s\u0131k g\u00f6r\u00fclen bir kanser t\u00fcr\u00fcd\u00fcr. L\u00f6semi beyaz kan h\u00fccresi kanseridir.<\/p>\n

L\u00f6semi, kan kanseri olarak da bilinir ve insan v\u00fccudunda beyaz kan h\u00fccresinin anormal miktarda artmas\u0131ndan kaynaklan\u0131r. Bu kanser t\u00fcr\u00fc \u00e7ocuklarda en s\u0131k g\u00f6r\u00fclen bir kanser t\u00fcr\u00fcd\u00fcr. L\u00f6semi beyaz kan h\u00fccresi kanseridir.<\/p>\n

L\u00f6semi Nedir?<\/strong><\/u><\/span><\/span><\/p>\n

L\u00f6semi; kemik iliginde g\u00f6r\u00fclen bir t\u00fcr kan kanseridir.<\/strong> Kemik ili\u011fi yumu\u015fak olup kemi\u011fin Kemik ili\u011fi, \u00fc\u00e7 ana tipte kan h\u00fccresi \u00fcreten baz\u0131 kemiklerin yumu\u015fak, s\u00fcngerimsi merkezidir. Bu \u00fc\u00e7 ana tip h\u00fccre: enfeksiyonla sava\u015fmak i\u00e7in beyaz kan h\u00fccreleri, oksijen ta\u015f\u0131yan k\u0131rm\u0131z\u0131 kan h\u00fccreleri ve kan p\u0131ht\u0131la\u015fmas\u0131 ve kanamay\u0131 durdurmada yard\u0131mc\u0131 olan trombositlerdir. \u00c7ocukta l\u00f6semi g\u00f6r\u00fcld\u00fc\u011f\u00fcnde kemik ili\u011fi bilinmeyen bir sebepten olgunla\u015fmam\u0131\u015f yeni kan h\u00fccreleri (genellikle beyaz kan h\u00fccreleri) \u00fcretmeye ba\u015flar ve \u00e7o\u011fal\u0131rlar. Normalde sa\u011fl\u0131kl\u0131 h\u00fccreler, sadece onlara uymalar\u0131 i\u00e7in yeterli alan oldu\u011funda \u00e7o\u011fal\u0131rlar. <\/strong>V\u00fccut, ne zaman duraca\u011f\u0131 sinyalleri g\u00f6ndererek h\u00fccrelerin \u00fcretimini d\u00fczenleyebilir. L\u00f6semi durumunda ise v\u00fccuttaki bu h\u00fccreler bo\u015f alan olmas\u0131na ra\u011fmen durma ve tekrar \u00fcretme sinyallerine cevap veremez.<\/p>\n

\u00c7ocuklarda L\u00f6semi Belirtileri<\/strong><\/u><\/span><\/span><\/p>\n

    \n
  1. Ciltte solukluk<\/li>\n
  2. Ba\u015f d\u00f6nmesi<\/strong><\/li>\n
  3. Di\u015fetlerinde kanama<\/li>\n
  4. K\u00fc\u00e7\u00fck kesik ve yaralanmalarda uzun s\u00fcren kanamalar<\/strong><\/li>\n
  5. S\u0131k ve kolay morarma<\/li>\n
  6. Burnun s\u0131k s\u0131k kanamas\u0131<\/strong><\/li>\n
  7. Kemiklerde a\u011fr\u0131<\/li>\n
  8. Nefes almada zorlanma<\/strong><\/li>\n
  9. Lenf bezlerinde \u015fi\u015fme<\/li>\n
  10. Kans\u0131zl\u0131k<\/strong><\/li>\n
  11. Midede \u015fi\u015flik<\/li>\n
  12. Tekrarl\u0131 enfeksiyon ve alerji ya\u015famak<\/strong><\/li>\n
  13. Ciltte k\u0131rm\u0131z\u0131 lekeler<\/li>\n
  14. Ani ve h\u0131zl\u0131 kilo kayb\u0131<\/strong><\/li>\n
  15. Gece terlemeleri<\/li>\n
  16. Burun ve di\u015f etlerinde kanama<\/strong><\/li>\n
  17. Ba\u015f a\u011fr\u0131s\u0131<\/li>\n
  18. Halsizlik<\/strong><\/li>\n
  19. Ate\u015f<\/li>\n
  20. \u0130\u015ftah kayb\u0131<\/strong><\/li>\n
  21. So\u011fuk alg\u0131nl\u0131\u011f\u0131 ve grip belirtileri ya\u015famak<\/li>\n
  22. Kar\u0131n b\u00f6lgesinde \u015fi\u015flik<\/strong><\/li>\n<\/ol>\n

    \u00c7ocuklarda L\u00f6semi Neden Olur?<\/strong><\/u><\/span><\/span><\/p>\n

    \u00c7ocuklarda l\u00f6seminin kesin nedeni bilinmemektedir. \u00c7o\u011fu l\u00f6semi vakas\u0131nda sebep meydana gelen genetik mutasyonlard\u0131r. Bu durum; l\u00f6seminin olu\u015fumunu tahmin etmenin veya engellemenin bir yolu olmad\u0131\u011f\u0131 anlam\u0131na gelir.<\/p>\n

    Bununla birlikte, \u00e7ocukta l\u00f6semi geli\u015fme riskini art\u0131ran baz\u0131 durumlar \u015funlard\u0131r:<\/p>\n

      \n
    1. L\u00f6semi olan bir karde\u015fe sahip olmak<\/li>\n
    2. Do\u011fum \u00f6ncesi zararl\u0131 \u0131\u015f\u0131nlara maruz kalmak<\/strong><\/li>\n
    3. Ge\u00e7mi\u015fte kanser tedavisi i\u00e7in kemoterapi veya radyasyon almak<\/li>\n
    4. Down sendromu d\u00e2hil olmak \u00fczere baz\u0131 genetik hastal\u0131klara sahip olmak<\/strong><\/li>\n
    5. Organ nakli sonras\u0131 imm\u00fcns\u00fcpresif ila\u00e7lar\u0131n kullan\u0131m\u0131<\/li>\n<\/ol>\n

      \u00c7ocuklarda L\u00f6semi Nas\u0131l Te\u015fhis Edilir?<\/strong><\/u><\/span><\/span><\/p>\n

        \n
      1. \u00c7ocuklarda l\u00f6semi te\u015fhisi i\u00e7in doktor enfeksiyon belirtileri, kans\u0131zl\u0131k, anormal kanama ve lenf bezlerinde \u015fi\u015flik olup olmad\u0131\u011f\u0131n\u0131 kontrol etmek i\u00e7in fiziksel muayene yapacakt\u0131r.  Ayn\u0131 zamanda doktor mide ve karaci\u011ferin de kontrol\u00fcn\u00fc yapacakt\u0131r. Bunun sebebi ise bu iki organ\u0131n baz\u0131 kanser t\u00fcrleri sebebi ile \u015fi\u015fmesidir.<\/li>\n
      2. \u00d6te yandan doktor, \u00e7ocu\u011fun sa\u011fl\u0131k ge\u00e7mi\u015fini,ailenin sa\u011fl\u0131k ge\u00e7mi\u015fini, belirtileri, \u00e7ocu\u011fun kulland\u0131\u011f\u0131 ila\u00e7lar\u0131, alerji ve di\u011fer konular hakk\u0131nda bilgi sahibi olmak isteyecektir.<\/strong><\/li>\n
      3. Muayene sonras\u0131 doktor; \u00e7ocu\u011fun kan\u0131ndaki beyaz kan h\u00fccresi,alyuvar ve trombosit seviyesini \u00f6l\u00e7mek i\u00e7in tam kan say\u0131m testi yapacakt\u0131r. L\u00f6semi hastalar\u0131nda g\u00f6r\u00fclen belirli anormal kan h\u00fccreleri tiplerini kontrol etmek i\u00e7in kan mikroskop alt\u0131nda incelenecektir. Kanda bulunan di\u011fer kimyasallar da kontrol edilir.<\/li>\n
      4. Sonras\u0131nda ise hastan\u0131n muayene ve kan testi sonu\u00e7lar\u0131na ba\u011fl\u0131 olarak \u015funlara ihtiya\u00e7 duyulabilir:<\/strong><\/li>\n
      5. Test i\u00e7in kemik ili\u011fi biyopsisi (genellikle kal\u00e7a arkas\u0131ndan)<\/li>\n
      6. Lenf bezlerinin \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 ve anormal h\u00fccrelerin aranmas\u0131 i\u00e7in lenf bezlerinin mikroskop alt\u0131nda incelenmesi<\/strong><\/li>\n
      7. Belden omurga s\u0131v\u0131s\u0131n\u0131n bir \u00f6rne\u011finin al\u0131n\u0131p incelendi\u011fi bir lomber ponksiyon (spinal tap). Bu test; l\u00f6seminin merkezi sinir sistemine (beyin ve omurilik) yay\u0131l\u0131p yay\u0131lmad\u0131\u011f\u0131n\u0131 g\u00f6sterecektir.<\/li>\n
      8. R\u00f6ntgen, ultrason, BT taramalar\u0131 veya MR gibi g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmalar\u0131<\/strong><\/li>\n<\/ol>\n

        \u00c7ocuklarda L\u00f6semi Nas\u0131l Tedavi Edilir?<\/strong><\/u><\/span><\/span><\/p>\n

        \u00c7ocuklarda g\u00f6r\u00fclen l\u00f6semi i\u00e7in esas tedavi y\u00f6ntemi kemoterapidir. Ancak hastan\u0131n durumuna g\u00f6re dozaj miktar\u0131 de\u011fi\u015fecektir. Kemoterapi ila\u00e7lar\u0131 oral,damar yolu veya omurga s\u0131v\u0131s\u0131 \u015feklinde verilebilir.<\/p>\n

        Di\u011fer tedavi t\u00fcrleri aras\u0131nda radyasyon tedavisi (kanser h\u00fccrelerini \u00f6ld\u00fcren y\u00fcksek enerjili \u0131\u015f\u0131nlar), hedefe y\u00f6nelik tedavi (normal h\u00fccrelere zarar vermeden kanser h\u00fccrelerini te\u015fhis eden ve spesifik ila\u00e7lar kullan\u0131m\u0131 ) ve k\u00f6k h\u00fccre nakli(v\u00fccuda sa\u011fl\u0131kl\u0131 k\u00f6k h\u00fccrelerin verilmesi\u0131) yer al\u0131r.<\/p>\n

        \u00c7ocuklarda L\u00f6semi \u00c7e\u015fitleri Nelerdir?<\/strong><\/u><\/span><\/span><\/p>\n

        Amerikan kanser \u00f6rg\u00fct\u00fcne g\u00f6re 2 tip l\u00f6semi vard\u0131r:<\/p>\n

          \n
        1. Akut lenfositik l\u00f6semi (ALL), \u00e7ocuklarda en s\u0131k g\u00f6r\u00fclen ve \u00e7o\u011funlukla 2 ile 3 ya\u015f aras\u0131nda etkileyen l\u00f6semi tipidir.  Bu l\u00f6semi tipi ABD’de her y\u0131l l\u00f6semi vakalar\u0131n\u0131n yakla\u015f\u0131k % 73’\u00fcn\u00fc olu\u015fturur.<\/strong><\/li>\n
        2. Akut miyelojen\u00f6z l\u00f6semi (AML) \u00e7ocuklarda ikinci en yayg\u0131n g\u00f6r\u00fclen l\u00f6semi t\u00fcr\u00fcd\u00fcr. AML genellikle 2 ya\u015f\u0131na kadar g\u00f6r\u00fcl\u00fcr ve genellikle ya\u015f\u0131 b\u00fcy\u00fck \u00e7ocuklarda g\u00f6r\u00fclmez. Yeti\u015fkinlerde AML en s\u0131k g\u00f6r\u00fclen akut l\u00f6semi t\u00fcr\u00fcd\u00fcr.<\/li>\n<\/ol>\n

          \u00c7ocuklarda kronik l\u00f6semi formlar\u0131 nadiren g\u00f6r\u00fcl\u00fcr.<\/p>\n

          \u00c7ocuklarda L\u00f6semi Tedavisinin Yan Etkileri Nelerdir?<\/strong><\/u><\/span><\/span><\/p>\n

            \n
          1. L\u00f6semi i\u00e7in uygulanacak kemoterapi tedavisinin k\u0131sa s\u00fcreli yan etkileri sa\u00e7 d\u00f6k\u00fclmesi, bulant\u0131, kusma, enfeksiyon ve kanama seyrinin artmas\u0131d\u0131r. <\/li>\n
          2. Radyasyon tedavisi ise halsizlik, sa\u00e7 d\u00f6k\u00fclmesi, ciltte tahri\u015f ve kurulu\u011fa sebep olabilir.<\/strong><\/li>\n
          3. \u0130lerleyen y\u0131llarda g\u00f6r\u00fclebilen yan etkileri;<\/li>\n
          4. Kanser riskinin artmas\u0131<\/strong><\/li>\n
          5. K\u0131s\u0131rl\u0131k<\/li>\n
          6. Uzun s\u00fcreli sinir hasar\u0131<\/strong><\/li>\n
          7. Akci\u011fer, karaci\u011fer, b\u00f6brek veya kalp problemleri<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

            L\u00f6semi, kan kanseri olarak da bilinir ve insan v\u00fccudunda beyaz kan h\u00fccresinin anormal miktarda artmas\u0131ndan kaynaklan\u0131r. Bu kanser t\u00fcr\u00fc \u00e7ocuklarda en s\u0131k g\u00f6r\u00fclen bir kanser t\u00fcr\u00fcd\u00fcr. L\u00f6semi beyaz kan h\u00fccresi kanseridir. L\u00f6semi, kan kanseri olarak da bilinir ve insan v\u00fccudunda beyaz kan h\u00fccresinin anormal miktarda artmas\u0131ndan kaynaklan\u0131r. Bu kanser t\u00fcr\u00fc \u00e7ocuklarda en s\u0131k g\u00f6r\u00fclen bir […]<\/p>\n","protected":false},"author":30,"featured_media":44206,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[111],"tags":[34751,34754,34752,34755,34753],"class_list":["post-44207","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-cocuk","tag-cocuk-losemi","tag-kan-kanseri","tag-losemi-belirtileri","tag-losemi-nedenleri","tag-losemi-tedavisi"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44207"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=44207"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44207\/revisions"}],"predecessor-version":[{"id":44208,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/44207\/revisions\/44208"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/44206"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=44207"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=44207"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=44207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}