What is leukemia?

What is leukemia?Childhood leukemia are:Of 5 cases of cancer in childhood leukemia and the first place creates. By type of leukemia cells; ALL (acute lymphoblastic leukemia) and AML (acute myeloblastic leukemia) is to be divided into two main groups. Tanımlanabilir.Türkiye themselves from lower classes' under the age of 16 in each year from 1200 to 1500 new cases of children with leukemia have been reported.Causes of leukemia are not yet fully elucidated. Cytogenetic and molecular techniques in the new developments, genetic predisposition, radiation, benzene and its derivatives (glue, etc..), Pesticides such as chemicals, some hereditary diseases and some viral diseases together, causing leukemia that studies have shown. Leukemia is seen in every age. Most frequently in childhood is increasing in 2-5 years. One under the age of 10 years of age on the response to treatment in the new cases is decreasing.Any effect of circulating blood in our veins is essential in making our home in cells of bone marrow blasts with a password change is not what we call mature blood cells occurs in growth. These cells spread rapidly to the bone marrow, lymph glands, spleen, liver, brain and central nervous system are kept.


Symptoms: The symptoms of leukemia in children:
 * Loss of appetite
* Anemia
* Weight Loss
* Bone pain in the legs
* Bleeding under the skin (red spots or bruising) *
Bleeding from the nose and gums
* Fire




 bulgulardır.Ayrıca first observed signs of spreading to organs, for example, headache, vomiting, abdominal pain, visual disturbances may importance. Admitted that their children's complaints hematology (blood disease) experts in the examination, mainly the liver and spleen enlargement, enlarged lymph glands, bleeding manifestations may be detected. Blood, bone marrow cells and genetic tests to determine the type of results can be diagnosed. The diagnostic tests are usually more of this type of leukemia, will aid in determining treatment principles. TREATMENT: Treatment primarily starts with an overview of the correction methods. In this phase of blood or blood in the special cell of the donors (voluntary blood donors persons) taking leukemias be given to the infection exists, the necessary struggle to make, kidneys, liver and heart of the chemotherapy drugs side effects of protection measures to be taken is very important. In addition, patients and families are informed about the disease, leukemia is not hopeless, in contrast with a good moral support leukemia treatment and up to rise up to 85% healing rate is classified as second-line treatment is disclosed. FIRST PRINCIPLES TREATMENT and TREATMENT: Very high doses, for at least six different varieties within 4-6 weeks of intravenous and oral medication is given. The aim of the blast, called a malignant parent cell is destroyed. However, these chemotherapy drugs, unfortunately, does not affect only the bad cells, our body is good, useful cells are destroyed. Therefore, our children are balding, their mouths, gaping wounds in his intestine, behave sluggish. Again, the defense that protects our body cells to infection with drugs to destroy the immune system was being destroyed, the smallest microbe, disease agents spread all over the body, even with a heavy fever is caused by infection. Therefore, the people around our children with leukemia, the air, water, wear a mask to protect against microbes and are not taken. Treatment Methods The basic principle for the treatment of leukemia in the bone marrow of password changes that occur in the main blood cells with mature cells called blasts proliferation of non-stop and then is to ensure normal blood elements. Malignant blast cells reproduce very quickly. According to maturity and reproduce when they are divided into several stages: 1) mitosis, 2) G circuit, 3) S is a circuit. The aim of the treatment, effects of different drugs within the framework of a program using a long time is to kill all stages in the blasts. Approximately 3 years of treatment takes place in four stages: 1 - INSTALLING THE TREATMENT (Operation Sledgehammer) 5-6 different types of intravenous drugs are given simultaneously. The aim of malignant cells is to die quickly in two months. We have invaded the body of friendly forces against enemy forces gather, rifle, is attacked with grenades. Nearly started a war of independence. 2 - Treatment of reinforcement (Influence of Jet) Panicky, break the bad cells immediately to protect themselves, to resist is wrapped in armor, hiding and are trying to replicate. Our armed forces, friendly forces of the body with air, land and sea is attacked by enemy bombs. This treatment takes 3-4 months at very high doses of intravenous drugs are given different effective. Unfortunately, that's the secret to dying cells in our body benefit, is hair loss, sores in the mouth is out. 3 - preventive treatment (Intelligence): Bone marrow was defeated, shattered, scattered the enemy cells of our brain and nervous system and reproductive organs in place, to prowl through the activities of the preventive treatment. In some cases, radiotherapy (radiation treatment) may be applied. They functioned as a kind of secret service. 4 - Non-Permanence TREATMENT AGAIN ALLOW be ORGANIZATIONS: The aim was now completely destroy enemy cells in our body in any way to prevent re-replication. Until recently no one has blast and fragmentation is provided. Continues until approximately 2.5-3 years. CAN Repeater? 3-3.5 years up to rise up to 85% of the total rate of complete recovery at the end of the treatment is provided. Only observed after treatment with control children, siblings and friends all right shall pursue their lives as normal. Like all of us can be eaten disease in individuals at risk of leukemia, again, even if there are less. In this case, a similar treatment and / or bone marrow transplantation can be applied. TREATMENT PROGRAMS: Selected in the times at which chemotherapy drugs and what doses given lengthy to-be determined after the experiments and applications. The most valuable scientists from Turkey participated in this study, hematology journals, are available to be announced at the congress. Scientific institutions were created in the success or failure of the treatment being evaluated and monitored. The point of interruption, in national and international scientific board reviews of new drugs, new dosages or different methods are implemented. Chemotherapy drugs: Unfortunately all teavisine leukemia-specific drugs are being supplied from abroad. in transit not be compromised, in appropriate circumstances dilution of heat and light protection, the desired time and speed delivery and veins outside not miss such an extremely difficult and exacting work together should be. COST: The drugs used in treatment is extremely expensive. A box is around 100 million pounds. Hundreds of bottles of medicine are used. Catheters, kits, serum, blood products can be calculated if the treatment costs hundreds of billions of pounds are found. CHILDREN AND FAMILY PROBLEMS of leukemia: To stay away from school Be discriminated by friends Improvement of society, these children had no chance to think Mask think that is because the disease is contagious Children's inability to participate in social activities (Cinema, Theatre, ...) The obligation of children to stay away from foods they love Blood can not find Poverty Accompany their children to hospital for families who want their business to the business end of a very common result of granting permission HEMOLOJİ-ONCOLOGY H1N1 vaccine and bone marrow TRANPLANTASYON PATIENTS AND TREATMENT FOR PROPOSALS Currently supplied to our country-risk groups and the dose of the vaccine company Novartis for vaccine-related recommendations that are based on information at hand. Also prepared by the Ministry of Health and H1N1 disease prophylaxis was organized according to the follow-up algorithm. Patient groups, and suggestions: 1.KİT for patients: EBMT is offered by the implementation of the protocol is recommended. 2.Lösemi, for patients with lymphoma and solid tumors: a.Halen intensive chemotherapy patients Patients on maintenance therapy b.Halen c.Halen ambulatory patients receiving chemotherapy d.Halen cut chemotherapy, patients in the first year immunosuppressive therapy for various reasons not e.Malignitesi fields (including corticosteroids) All of the patients in this group, the vaccine is recommended; * Novartis vaccine: Be done immediately after the second dose of 0.5 ml is recommended four weeks. * Glaxo vaccine 6ay-nine years: 0.25ml be done immediately after the second dose four weeks to make 1 0 years later: whether four weeks immediately after the second dose of 0.5 ml is recommended. * Accompanying mother and if possible, all family members must be recommended to be vaccinated. * After treatment of infections in febrile neutropenic patients are recommended to be vaccinated. f. Currently, chemotherapy has been lost, more than a year past, such as patients with normal healthy children in schools is recommended to receive vaccination protocol. Antiviral therapy applications: Treatment Showing signs of disease following implementation of treatment is recommended (over 1 year of age); Oseltamivir 5 days ≤ 15kg: 30 mg / dose, two doses per day; 15-23 kg: 45 mg / dose, two doses per day; 23 -40 kg: 60 mg / dose, two doses per day; > 40 kg: 75 mg / dose, two doses per day; Prophylaxis H1N1 is considered to be in contact with patients to implement recommended (on an age); Oseltamivir 10 days ≤ 15kg: 30 mg / dose, single dose; 15-23 kg: 45 mg / dose, single dose; 23 -40 kg: 60 mg / dose, single dose; > 40 kg: 75 mg / dose, single dose; After treatment (10 days later) is applied to the vaccination program. Oseltamivir in patients younger than one application, dated September 2009 was included in the CDC reported. Pandemic and serious infections have been reported can be applied. Are attached in the literature.



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