Manavgat \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Dr. Mustafa Er, L\u00f6semili \u00c7ocuklar Haftas\u0131 (2-8 Kas\u0131m) nedeniyle l\u00f6semide erken tan\u0131ya dikkat \u00e7ekti.<\/p>\n\n\n\n
L\u00f6semi (Kan Kanseri), normalde farkl\u0131 tiplerde kan h\u00fccrelerine d\u00f6n\u00fc\u015fecek olan h\u00fccrelerden k\u00f6ken alan ve \u00e7ocukluk \u00e7a\u011f\u0131nda en s\u0131k g\u00f6r\u00fclen kanserdir. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (DS\u00d6) Uluslararas\u0131 Kanser Ara\u015ft\u0131rmalar\u0131 Kurumu (IARC) verilerine g\u00f6re; 2022 y\u0131l\u0131nda D\u00fcnyada 0-14 ya\u015f aral\u0131\u011f\u0131nda 64.566 vaka say\u0131s\u0131 ile \u00e7ocukluk \u00e7a\u011f\u0131nda g\u00f6r\u00fclen t\u00fcm kanserlerin \u00fc\u00e7te birini (%31,9) olu\u015fturmu\u015ftur. \u00dclkemizde de d\u00fcnya ile benzer bi\u00e7imde t\u00fcm \u00e7ocukluk \u00e7a\u011f\u0131 kanserlerinin yakla\u015f\u0131k \u00fc\u00e7te birini (%34,3) l\u00f6semiler olu\u015fturmaktad\u0131r.<\/p>\n\n\n\n
L\u00f6semi zamanla yar\u0131\u015fan bir hastal\u0131kt\u0131r ve erken tan\u0131 bu y\u00fczden \u00e7ok \u00f6nemlidir. L\u00f6semiye neden olan atipik h\u00fccrelerin \u00fcreme h\u0131zlar\u0131, di\u011fer kanser t\u00fcrlerindeki h\u00fccrelerin \u00fcreme h\u0131zlar\u0131na g\u00f6re \u00e7ok daha h\u0131zl\u0131d\u0131r ve t\u00fcm\u00f6r y\u00fck\u00fcn\u00fc saatler i\u00e7inde katlayarak art\u0131r\u0131rlar. Bu da hastan\u0131n hayat\u0131n\u0131 ciddi \u015fekilde tehdit edebilir.<\/p>\n\n\n\n
Akut l\u00f6semide tan\u0131 ve tedavi uygulamalar\u0131ndaki yenilikler, destek tedavilerinin geli\u015fmesi ve daha etkili ila\u00e7 birlikteliklerinin uygulamaya girmesi gibi son yirmi y\u0131ldaki geli\u015fmeler; hastaya \u00f6zg\u00fc tedavilerin se\u00e7ilebilmesini ve daha uzun s\u00fcre ya\u015fama \u015fans\u0131 verirken di\u011fer yandan daha az kemoterapi toksisitesi sa\u011flamaktad\u0131r. Baz\u0131 l\u00f6semi tiplerinde hasta \u00e7ocuklar\u0131n %80-90’\u0131 tekrarlama olmadan, 5 y\u0131l s\u00fcre ile sessiz kalabilmekte ve bu hastalar\u0131n tamamen iyile\u015fmesi ile sonu\u00e7lanabilmektedir.<\/p>\n\n\n\n
\u00c7ocukluk ya\u015f grubunda L\u00f6semi, ba\u015flang\u0131\u00e7 evresinde bulgu verebilece\u011fi gibi ender olarak ilk d\u00f6nemlerinde bariz bulgu vermeden de seyredebilir.<\/p>\n\n\n\n
Tan\u0131<\/p>\n\n\n\n
L\u00f6seminin erken te\u015fhisi i\u00e7in yayg\u0131n olarak kullan\u0131m\u0131 \u00f6nerilen bir kan tetkiki veya di\u011fer tarama testleri bulunmamakta olup \u00e7ocuklarda n\u00fcfusa dayal\u0131 tarama programlar\u0131n\u0131 destekleyen y\u00fcksek kalitede kan\u0131t yoktur. \u00c7ocu\u011fun doktora gitmesini sa\u011flayacak belirtilere yol a\u00e7t\u0131\u011f\u0131nda \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerine tan\u0131 konabilmektedir. Ba\u015fvuru sonras\u0131 hekimler tan\u0131 koyma s\u00fcrecinde l\u00f6semiye i\u015faret edebilecek kan testlerini uygularlar. L\u00f6semileri erken saptaman\u0131n en iyi yolu, s\u00f6z konusu hastal\u0131\u011f\u0131n olas\u0131 belirtilerini g\u00f6zden ka\u00e7\u0131rmamakt\u0131r. Dolay\u0131s\u0131yla ebeveynlerin fark\u0131ndal\u0131\u011f\u0131n\u0131n artmas\u0131 hayat kurtar\u0131c\u0131 rol oynamaktad\u0131r.<\/p>\n\n\n\n
Tan\u0131, esasen hastan\u0131n \u015fik\u00e2yet ve muayene bulgular\u0131 de\u011ferlendirilirken l\u00f6semi ihtimalinin g\u00f6z \u00f6n\u00fcnde bulundurulmas\u0131na dayan\u0131r. \u00c7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerinin en s\u0131k ba\u015fvuru bulgular\u0131n\u0131n hastay\u0131 ilk g\u00f6ren hekim taraf\u0131ndan bilinir olmas\u0131 hastan\u0131n vakit kaybetmeden tan\u0131 ve tedaviye ula\u015fmas\u0131n\u0131 sa\u011flamada en \u00f6nemli fakt\u00f6rd\u00fcr.<\/p>\n\n\n\n
Erken tan\u0131 3 bile\u015fenden olu\u015fur:<\/p>\n\n\n\n
Ailelerin ve birinci basamak sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131n\u0131n hastal\u0131\u011f\u0131n belirtilerine ili\u015fkin fark\u0131ndal\u0131\u011f\u0131<\/p>\n\n\n\n
Do\u011fru ve zaman\u0131nda klinik de\u011ferlendirme, tan\u0131 ve evreleme (kanserin ne \u00f6l\u00e7\u00fcde yay\u0131ld\u0131\u011f\u0131n\u0131n belirlenmesi)<\/p>\n\n\n\n
H\u0131zl\u0131 tedaviye eri\u015fim i\u00e7in bilgilendirme ve y\u00f6nlendirme.<\/p>\n\n\n\n
L\u00f6semi \u015f\u00fcphesi sonras\u0131nda yap\u0131lacak kan testleri ile tan\u0131 netle\u015ftirilebilir. Ard\u0131ndan kemik ili\u011fi aspirasyonu\/biyopsisi, \u00f6zel kan testleri ve genetik testler yap\u0131labilir<\/p>\n\n\n\n
L\u00f6semi belirtileri \u015fu \u015fekilde s\u0131ralanabilir:<\/p>\n\n\n\n
Kans\u0131zl\u0131k (anemi)<\/p>\n\n\n\n
Enfeksiyonlara yatk\u0131nl\u0131k, s\u0131k hastalanma, y\u00fcksek ate\u015f<\/p>\n\n\n\n
\u00c7e\u015fitli kanamalar (burun kanamas\u0131, di\u015f eti kanamalar\u0131, cilt alt\u0131 kanamas\u0131 gibi), ciltte s\u0131k s\u0131k \u00e7\u00fcr\u00fck\/morluk olu\u015fumu, kesik olu\u015ftu\u011funda kanaman\u0131n g\u00fc\u00e7l\u00fckle durdurulmas\u0131<\/p>\n\n\n\n
\u0130\u015ftahs\u0131zl\u0131k, kilo kayb\u0131<\/p>\n\n\n\n
Dalak ve\/veya karaci\u011ferde b\u00fcy\u00fcme<\/p>\n\n\n\n
Lenf d\u00fc\u011f\u00fcmlerinde \u015fi\u015flikler (ciltte ele gelen yumrular)<\/p>\n\n\n\n
Halsizlik, solukluk, \u00e7abuk yorulma, \u00e7arp\u0131nt\u0131<\/p>\n\n\n\n
Kemik ve eklemlerde a\u011fr\u0131lar, \u015fi\u015flik ve hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131<\/p>\n\n\n\n
\u00c7ocukluk \u00e7a\u011f\u0131 kanserlerinin genetik nedenleri kanserli \u00e7ocuklar\u0131n yaln\u0131zca k\u00fc\u00e7\u00fck bir k\u0131sm\u0131nda ge\u00e7erlidir.<\/p>\n\n\n\n
Yukar\u0131da say\u0131lan belirtilerden bir\u00e7o\u011funun l\u00f6semi d\u0131\u015f\u0131 herhangi ba\u015fka bir sebepten de kaynaklanabilece\u011fi ve asl\u0131nda bu ihtimalin daha y\u00fcksek oldu\u011fu unutulmamal\u0131d\u0131r. Ancak, an\u0131lan belirtilerin var olmas\u0131 halinde bir hekim taraf\u0131ndan kontrol edilerek olas\u0131 nedenin saptanmas\u0131 ve tedavinin d\u00fczenlenmesi \u00f6nem arz etmektedir.<\/p>\n\n\n\n
Tedavi<\/p>\n\n\n\n
L\u00f6semi genellikle kemoterapi ile tedavi edilmektedir. Gerekli oldu\u011fu durumlarda kemik ili\u011fi nakli, radyoterapi gibi tedaviler de kullan\u0131lmaktad\u0131r. Hedefe y\u00f6nelik tedaviler, molek\u00fcler d\u00fczeyde y\u00fcr\u00fct\u00fclen laboratuvar \u00e7al\u0131\u015fmalar\u0131 ve g\u00f6r\u00fcnt\u00fcleme teknolojisindeki geli\u015fmeler tedavi ba\u015far\u0131s\u0131n\u0131 etkileyen di\u011fer fakt\u00f6rler aras\u0131nda yer almaktad\u0131r. \u00c7ocuklarda l\u00f6semi tedavisi, \u00dclkemizde Genel Sa\u011fl\u0131k Sigortas\u0131 kapsam\u0131nda olup \u00fccretsiz yap\u0131lmaktad\u0131r. <\/p>\n\n\n\n
\u00c7ocuklarda, \u00f6zellikle akut l\u00f6semilerde hastal\u0131\u011f\u0131n tamamen tedavi edilme oran\u0131 \u00e7ok y\u00fcksektir. Di\u011fer l\u00f6semilerde de sa\u011fkal\u0131m oranlar\u0131 y\u00fcksektir. \u00dclkemizin verilerinin de yer ald\u0131\u011f\u0131 K\u00fcresel Kanser Sa\u011fkal\u0131m E\u011filimleri S\u00fcrveyans\u0131 (CONCORD-3) \u00e7al\u0131\u015fmas\u0131na g\u00f6re; akut lenfoblastik l\u00f6seminin 5-y\u0131ll\u0131k sa\u011f kal\u0131m oran\u0131 %80.9 olarak bulunmu\u015ftur. <\/p>\n\n\n\n
\u00d6nleme<\/p>\n\n\n\n
\u00c7ocukluk \u00e7a\u011f\u0131 l\u00f6semilerinin, ya\u015fam tarz\u0131 ve \u00e7evre ile ilgili olas\u0131 sebepleri \u00e7ok azd\u0131r. Bu nedenle \u00e7o\u011fu durumda anne-baba ve \u00e7ocuklar\u0131n bu kanserleri \u00f6nlemek i\u00e7in bireysel bazda yap\u0131labilecekler sa\u011fl\u0131kl\u0131 ya\u015fam bile\u015fenleri ile s\u0131n\u0131rl\u0131d\u0131r.<\/p>\n\n\n\n
Sloganlar<\/p>\n\n\n\n
L\u00f6semi i\u00e7in her bir fark\u0131ndal\u0131k, bir umut demektir.<\/p>\n\n\n\n
L\u00f6semiye dikkat \u00e7ekelim, hayatlara dokunal\u0131m.<\/p>\n\n\n\n
L\u00f6semiye kar\u015f\u0131 bir ad\u0131m atal\u0131m, gelece\u011fi kucaklayal\u0131m.<\/p>\n\n\n\n
B\u00fc\u015fra Deveci \/ Haber<\/p>\n","protected":false},"excerpt":{"rendered":"
Manavgat \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Dr. Mustafa Er, L\u00f6semili \u00c7ocuklar Haftas\u0131 (2-8 Kas\u0131m) nedeniyle l\u00f6semide erken tan\u0131ya dikkat \u00e7ekti. L\u00f6semi (Kan Kanseri), normalde farkl\u0131 tiplerde kan [more…]<\/a><\/p>\n","protected":false},"author":2,"featured_media":26407,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-26406","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem"],"_links":{"self":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/26406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=26406"}],"version-history":[{"count":1,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/26406\/revisions"}],"predecessor-version":[{"id":26408,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/26406\/revisions\/26408"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/media\/26407"}],"wp:attachment":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=26406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=26406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=26406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}