Halk aras\u0131nda kan kanseri olarak bilinen l\u00f6semi hastal\u0131\u011f\u0131 en s\u0131k 2-5 ya\u015f aras\u0131ndaki \u00e7ocuklarda g\u00f6r\u00fcl\u00fcyor. Yap\u0131lan son ara\u015ft\u0131rmalara g\u00f6re hastal\u0131kta g\u00fcn\u00fcm\u00fczde \u00f6l\u00fcmle sonu\u00e7lanan vakalar y\u00fczde 50 oran\u0131nda azald\u0131.<\/p>\n
L\u00f6seminin kan ve kemik ili\u011fi dokusunda bulunan kan yap\u0131m\u0131ndan sorumlu h\u00fccrelerin kanserle\u015fmesi sonucu olu\u015fan bir t\u00fcr kan hastal\u0131\u011f\u0131 oldu\u011funu ifade eden Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 Uzman\u0131 \u00d6\u011fr. G\u00f6r. Dr. Ne\u015fe Akcan, kanserle\u015fen ilik h\u00fccrelerinin sa\u011fl\u0131kl\u0131 kan \u00fcretemedikleri gibi kemik ili\u011fini istila ederek sa\u011fl\u0131kl\u0131 kan \u00fcretebilecek h\u00fccrelere de yer b\u0131rakmad\u0131\u011f\u0131n\u0131 belirtti. L\u00f6seminin \u00e7o\u011funlukla beyaz kan h\u00fccreleri kanseri iken nadiren di\u011fer kan h\u00fccrelerinin kontrols\u00fcz \u00e7o\u011falmas\u0131 ile de olu\u015fabilece\u011fini s\u00f6yleyen Dr. Akcan, l\u00f6seminin t\u00fcm \u00e7ocukluk ya\u015f grubu kanserlerinin y\u00fczde 25-30\u2019unu olu\u015fturarak \u00e7ocuk ya\u015f grubu kanserlerinin ilk s\u0131ras\u0131nda yer ald\u0131\u011f\u0131n\u0131 belirtti. L\u00f6seminin en s\u0131k 2-5 ya\u015flar\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yleyen Akcan, l\u00f6semilerin klinik seyrine g\u00f6re kabaca akut ve kronik olmak \u00fczere iki gruba ayr\u0131labildi\u011fini kaydetti.<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerin y\u00fczde 97\u2019si h\u0131zl\u0131 geli\u015fen l\u00f6semi<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerinin y\u00fczde 97\u2019sinin akut, yani h\u0131zl\u0131 geli\u015fen l\u00f6semiler oldu\u011funu s\u00f6yleyen Akcan, \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerine ili\u015fkin risk fakt\u00f6rleri ile ilgili genetik fakt\u00f6rler aras\u0131nda kal\u0131t\u0131msal sendromlar, kal\u0131tsal immun sistem bozukluklar\u0131 ve l\u00f6semili karde\u015fe sahip olman\u0131n yer ald\u0131\u011f\u0131n\u0131 belirterek, \u201cYa\u015fam tarz\u0131 ile ili\u015fkili risk fakt\u00f6rleri aras\u0131nda yap\u0131lan baz\u0131 \u00e7al\u0131\u015fmalarda kesin olmamakla birlikte gebelik d\u00f6neminde al\u0131nan alkol ile \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semileri aras\u0131nda ili\u015fki g\u00f6sterilmektedir. \u00c7evresel risk fakt\u00f6rleri aras\u0131nda radyasyona veya kimyasallara maruz kalmak, ba\u015fka bir kanser i\u00e7in kemoterapi g\u00f6rm\u00fc\u015f olmak, immunsupresyon tedavisi almak yer almaktad\u0131r. \u0130spatlanm\u0131\u015f, \u00e7eli\u015fkili risk fakt\u00f6rlerini ise elektromanyetik ya da g\u00fc\u00e7 santrallerine yak\u0131n oturmak, erken ya\u015fta ge\u00e7irilen enfeksiyonlar, do\u011fumda anne ya\u015f\u0131, baban\u0131n sigara i\u00e7mesi, baban\u0131n kimyasal \u00e7\u00f6z\u00fcc\u00fclerle ilgili bir i\u015fte \u00e7al\u0131\u015fmas\u0131, yer alt\u0131 sular\u0131n\u0131n kimyasallar ile temas\u0131 ve fetal d\u00f6nemde maruz kal\u0131nan baz\u0131 endokrin bozucular olu\u015fturmaktad\u0131r\u201d dedi.<\/p>\n
\u201c\u00c7o\u011funlukla hastalar semptomlar\u0131n ba\u015flamas\u0131 ile doktora ba\u015fvurunca tan\u0131 almaktad\u0131r\u201d<\/p>\n
Eri\u015fkin \u00e7a\u011fdaki kanserlerden farkl\u0131 olarak \u00e7evresel fakt\u00f6rlerin etkisi l\u00f6semi olu\u015fumunda daha az etkili oldu\u011fundan \u00e7o\u011fu vakada l\u00f6semileri \u00f6nlemeye \u00e7al\u0131\u015fman\u0131n pek m\u00fcmk\u00fcn olmad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Akcan, di\u011fer taraftan l\u00f6semiyi erken tan\u0131mak i\u00e7in yap\u0131labilecek \u00f6nerilen bir tarama testi bulunmad\u0131\u011f\u0131n\u0131 ifade etti. Dr. \u201cGenetik olarak kanser riski ta\u015f\u0131yan sendromlar\u0131n varl\u0131\u011f\u0131nda ya da ba\u015fka bir kanser nedeniyle tedavi g\u00f6rm\u00fc\u015f veya immunsupresyon tedavisi alan hastalar daha dikkatli izlenmeli, bilinen risk fakt\u00f6rlerinden uzak tutulmal\u0131d\u0131r. \u00c7o\u011funlukla hastalar semptomlar\u0131n ba\u015flamas\u0131 ile doktora ba\u015fvurunca tan\u0131 almaktad\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
L\u00f6seminin semptom ve bulgular\u0131<\/p>\n
L\u00f6semi tan\u0131s\u0131n\u0131n kan testleri, kemik ili\u011fi aspirasyon\/biyopsisi ve ard\u0131ndan da h\u00fccre tipini belirleme ve genetik tetkikler sonucu konup, kesinle\u015fti\u011fini ifade eden Dr. Akcan, tan\u0131daki ayr\u0131nt\u0131l\u0131 testlerin genellikle l\u00f6semi tiplerini, tedavi prensiplerini belirlemede yard\u0131mc\u0131 oldu\u011funu s\u00f6yleyerek, \u201cK\u0131rm\u0131z\u0131 kan h\u00fccrelerinin fonksiyon kayb\u0131na ba\u011fl\u0131 olarak yorgunluk, g\u00fc\u00e7s\u00fczl\u00fck, \u00fc\u015f\u00fcme, solukluk, ba\u015f a\u011fr\u0131lar\u0131, beyaz kan h\u00fccrelerinin fonksiyon kayb\u0131na ba\u011fl\u0131 olarak ate\u015f, enfeksiyon bulgular\u0131, trombosit (p\u0131ht\u0131la\u015fma ile ilgili h\u00fccreler) h\u00fccrelerinin fonksiyon kayb\u0131na ba\u011fl\u0131 olarak ise kolay berelenme, ciltte morluklar, di\u015f eti veya burun kanamalar\u0131 g\u00f6r\u00fclmektedir. Bunlara ek hastalarda kemik ve eklem a\u011fr\u0131lar\u0131, l\u00f6semik h\u00fccrelerin karaci\u011fer veya dalakta birikmesine ba\u011fl\u0131 organlarda b\u00fcy\u00fcme ve bunlar\u0131n kar\u0131nda ele gelen kitle \u015feklinde hissedilmesi, kar\u0131n a\u011fr\u0131s\u0131, i\u015ftah azalmas\u0131, kilo kayb\u0131, lenf nodlar\u0131na yay\u0131lma sonucu ele gelen lenf bezleri, g\u00f6\u011f\u00fcsteki lenf bezlerinin ya da timus denilen organ\u0131n i\u015fgali ile havayollar\u0131na bas\u0131 ve ge\u00e7meyen \u00f6ks\u00fcr\u00fck ya da solunum s\u0131k\u0131nt\u0131s\u0131, bu bezelerin damarlara bas\u0131s\u0131 ile vena cava superior sendromu denilen y\u00fczde ve g\u00f6vde \u00fcst yar\u0131s\u0131nda \u00f6dem ve solunum s\u0131k\u0131nt\u0131s\u0131, santral sinir sistemi metastaz\u0131 ile ba\u015f a\u011fr\u0131s\u0131, epileptik n\u00f6bet, kusma, g\u00f6rme bozukluklar\u0131 izlenmektedir\u201d a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n
Tedavi y\u00f6ntemi<\/p>\n
Hastal\u0131\u011f\u0131n tedavisine de de\u011finen Akcan, tedavi s\u00fcrecine \u00f6ncelikle genel durumun d\u00fczeltilmesi, ek s\u0131k\u0131nt\u0131lar\u0131n giderilmesi ve enfeksiyonlar\u0131n tedavisi ile ba\u015fland\u0131\u011f\u0131n\u0131, b\u00f6brekler, karaci\u011fer ve kalbin, kemoterapi ila\u00e7lar\u0131n\u0131n yan etkilerinden korunmas\u0131 i\u00e7in \u00f6nlemler al\u0131nmas\u0131n\u0131n tedavi \u00f6ncesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirtti. Akcan, l\u00f6seminin primer tedavisinin kemoterapi olup, hastan\u0131n ya\u015f\u0131 ve di\u011fer t\u00fcm risk fakt\u00f6rleri ile h\u00fccre tipi belirlenerek hastaya uygun kemoterapi protokollerinin d\u00fczenlendi\u011fini, y\u00fcksek doz kemoterapi ihtiyac\u0131 olan hastalarda ise kemik ili\u011fi transplantasyonu ya da l\u00f6seminin tipine g\u00f6re radyoterapilerin de tedaviye eklendi\u011fini s\u00f6yledi.<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131 kanserlerinde hayatta kalma oranlar\u0131 ge\u00e7mi\u015fe k\u0131yasla daha fazla<\/p>\n
\u00c7ocukluk \u00e7a\u011f\u0131 kanserlerinde 1975\u2019ten 2010 y\u0131l\u0131na kadarki d\u00f6nemde neredeyse \u00f6l\u00fcm h\u0131zlar\u0131nda y\u00fczde 50\u2019den fazla d\u00fc\u015f\u00fc\u015f oldu\u011funu s\u00f6yleyen Akcan, artan sa\u011f kal\u0131m oranlar\u0131n\u0131n ileri seviyelere t\u0131rmand\u0131\u011f\u0131n\u0131 bildirdi.<\/p>\n
Psikiyatri deste\u011fi \u00f6nemli<\/p>\n
Profesyonel psikiyatri deste\u011finin yan\u0131 s\u0131ra, hastalara ve ailelerine verilecek sosyal deste\u011fin \u00f6nemini vurgulayan Akcan, bu ama\u00e7la \u00e7e\u015fitli sosyal destek kurulu\u015flar\u0131n\u0131n yap\u0131land\u0131r\u0131ld\u0131\u011f\u0131n\u0131 ve faaliyet g\u00f6sterdi\u011fini, l\u00f6semi hastal\u0131\u011f\u0131n\u0131 daha iyi tan\u0131mak, b\u00f6ylelikle tan\u0131n\u0131n atlanmas\u0131n\u0131 engellemek, l\u00f6semiden korkmak yerine onunla ba\u015f edebilmeyi ve onu y\u00f6netmeyi kavramak ad\u0131na \u00e7e\u015fitli fark\u0131ndal\u0131k projelerinin tasarland\u0131\u011f\u0131n\u0131 kaydetti. Minik, cesur ama \u00fcrkek y\u00fcreklerin bu zorlu yolculukta a\u015fmalar\u0131 gereken bir\u00e7ok engel bulundu\u011funu s\u00f6yleyen Akcan, ailelerin ise en k\u0131ymetlilerinin bu yolculu\u011funda \u00e7o\u011fu zaman endi\u015felerine yenik d\u00fc\u015febilece\u011fini, kendilerini \u00e7aresiz ve \u00e7\u0131kmazda hissedebileceklerini ancak yaln\u0131z kalmad\u0131klar\u0131 s\u00fcrece onlar\u0131n korkular\u0131n\u0131 yenebileceklerini ve ba\u015faracaklar\u0131na inanabileceklerini s\u00f6yledi.<\/p>\n","protected":false},"excerpt":{"rendered":"
HALK ARASINDA KAN KANSER\u0130 OLARAK B\u0130L\u0130NEN L\u00d6SEM\u0130 HASTALI\u011eININ EN SIK 2 \u2013 5 YA\u015e ARASINDA G\u00d6R\u00dcL\u00dcYOR. BU HASTALIK, V\u00dcCUTTAK\u0130 H\u00dcCRELER\u0130N KONTROLS\u00dcZ \u00c7O\u011eALMASI SONUCU ORTAYA \u00c7IKIYOR VE L\u00d6SEM\u0130DEN KORUNMAK M\u00dcMK\u00dcN OLMUYOR. FAKAT YAPILAN SON ARA\u015eTIRMALARA G\u00d6RE, G\u00dcN\u00dcM\u00dcZDE \u00d6L\u00dcMLE SONU\u00c7LANAN VAKALARDA Y\u00dcZDE 50 ORANINDA AZALMA G\u00d6R\u00dcLD\u00dc\u011e\u00dc TESP\u0130T ED\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":200334,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[11267,2733,11754,7305,3849,3715,5404],"class_list":["post-200333","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-sik","tag-2-5","tag-arasindaki","tag-cocuklarda","tag-goruluyor","tag-losemi","tag-yas"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/losemi-en-sik-2-5-yas-arasindaki-cocuklarda-goruluyor_ce565c8.jpg?fit=723%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Q7b","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/200333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=200333"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/200333\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/200334"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=200333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=200333"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=200333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}