Ankara Etlik \u015eehir Hastanesi \u00c7ocuk Hematoloji ve Onkoloji Klini\u011fi E\u011fitim Sorumlusu Do\u00e7. Dr. \u015eule Ye\u015fil, 15 \u015eubat \u00c7ocukluk \u00c7a\u011f\u0131 Kanser G\u00fcn\u00fc dolay\u0131s\u0131yla, AA muhabirine yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, h\u00fccrelerin anormal \u015fekilde kontrols\u00fcz \u00e7o\u011falmas\u0131n\u0131n kanser olarak isimlendirildi\u011fini s\u00f6yledi.<\/p>\n
Kanserlerin, eri\u015fkinlerde oldu\u011fu gibi \u00e7ocuklarda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Ye\u015fil, d\u00fcnyada her y\u0131l 300 bin, T\u00fcrkiye’de ise yakla\u015f\u0131k 3 bin 500 ila 4 bin \u00e7ocu\u011fa kanser tan\u0131s\u0131 konuldu\u011funu bildirdi.<\/p>\n
Ye\u015fil, “D\u00fcnyada ve T\u00fcrkiye’de \u00e7ocuklarda en s\u0131k g\u00f6r\u00fclen kanserler aras\u0131nda birinci s\u0131rada l\u00f6semi g\u00f6r\u00fcl\u00fcrken, beyin t\u00fcm\u00f6rleri ikinci ve lenfoma \u00fc\u00e7\u00fcnc\u00fc s\u0131radad\u0131r. L\u00f6semi, \u00e7ocukluk \u00e7a\u011f\u0131 kanserlerinin yakla\u015f\u0131k y\u00fczde 30’unu olu\u015fturuyor.” bilgisini verdi.<\/p>\n
Son y\u0131llarda tan\u0131 ve tedavide kaydedilen geli\u015fmeler sayesinde \u00e7ocuklarda kanserin tedavi edilebilen bir hastal\u0131k oldu\u011funu belirten Ye\u015fil, \u00f6zellikle geli\u015fmi\u015f \u00fclkelerde tedavide ba\u015far\u0131 oran\u0131n\u0131n y\u00fczde 80’in \u00fczerinde ger\u00e7ekle\u015fti\u011fini s\u00f6yledi.<\/p>\n
T\u00fcrkiye’de ise tedavi ba\u015far\u0131 oran\u0131n\u0131n y\u00fczde 70’leri buldu\u011funu aktaran Ye\u015fil, “Tedavide ba\u015far\u0131y\u0131 etkileyen en \u00f6nemli etkenlerden biri erken te\u015fhistir. Erken te\u015fhis edilerek tedavisi ba\u015flanan hastalarda tedavi ba\u015far\u0131 oranlar\u0131 daha da artmaktad\u0131r.” diye konu\u015ftu.<\/p>\n
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Kolay morarma, kar\u0131n \u015fi\u015fli\u011fi, kans\u0131zl\u0131k gibi belirtilere dikkat<\/h3>\n
Do\u00e7. Dr. \u015eule Ye\u015fil, erken te\u015fhis i\u00e7in baz\u0131 belirtiler a\u00e7\u0131s\u0131ndan ebeveynlerin dikkatli olmalar\u0131 ve doktora ba\u015fvurmalar\u0131 gerekti\u011fine i\u015faret ederek, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
“\u00c7ocukluk \u00e7a\u011f\u0131 kanserlerinde bu belirtiler, a\u00e7\u0131klanamayan kilo kayb\u0131, kemik a\u011fr\u0131s\u0131, y\u00fcr\u00fcmeye ba\u015flam\u0131\u015f olan \u00e7ocu\u011fun y\u00fcr\u00fcmeyi reddetmesi, halsizlik, yorgunluk, kans\u0131zl\u0131k, son d\u00f6nemde s\u0131k enfeksiyon ve iyile\u015fmeyen enfeksiyonun g\u00f6r\u00fclmesi, kolay morarma, kar\u0131n \u015fi\u015fli\u011fi, v\u00fccudun herhangi bir yerinde ele gelen \u015fi\u015flik \u015feklinde olabilir. Bu belirtilere kar\u015f\u0131 duyarl\u0131 olunmal\u0131d\u0131r.<\/p>\n
Bunun yan\u0131 s\u0131ra boyunda, koltuk alt\u0131nda, kas\u0131k b\u00f6lgesinde ele gelen bezeler, \u00f6zellikle sabahlar\u0131 olan \u015fiddetli ba\u015f a\u011fr\u0131s\u0131 ve e\u015flik eden f\u0131\u015fk\u0131r\u0131r tarzda kusma, son d\u00f6nemde olan ki\u015filik de\u011fi\u015fiklikleri ve okul ba\u015far\u0131s\u0131nda d\u00fc\u015fme, y\u00fcr\u00fcme bozuklu\u011fu, denge problemleri, g\u00f6z bebe\u011finde parlakl\u0131k, g\u00f6zde kayma ve \u00e7ift g\u00f6rme de \u00e7ocukluk \u00e7a\u011f\u0131 kanserlerinin belirtileri aras\u0131ndad\u0131r.”<\/p>\n
Bilimsel \u00e7al\u0131\u015fmalar\u0131n, \u00e7ocukluk \u00e7a\u011f\u0131 kanserlerinin g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n erkeklerde k\u0131zlara oranla bir miktar daha fazla oldu\u011funu ortaya koydu\u011funu anlatan Ye\u015fil, farkl\u0131 ya\u015f gruplar\u0131nda ise farkl\u0131 kanser t\u00fcrlerinin g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc dile getirdi.<\/p>\n
Ye\u015fil, “\u0130lk 5 ya\u015fta embriyonel t\u00fcm\u00f6rlerle (kar\u0131n i\u00e7i ve beyin t\u00fcm\u00f6rleri s\u0131k kar\u015f\u0131la\u015f\u0131l\u0131yor. \u00d6zellikle ilk bir ya\u015fta kar\u0131nda \u015fi\u015flik halinde dikkatli olunmal\u0131 ve hastaneye ba\u015fvurulmal\u0131. Bunun d\u0131\u015f\u0131nda 1-4 ya\u015f aras\u0131nda l\u00f6semiler \u00f6ne \u00e7\u0131k\u0131yor. Bu durumda \u00e7ocuklarda a\u015f\u0131r\u0131 yorgunluk, kemik ve bacaklarda a\u011fr\u0131 oldu\u011funda hekime ba\u015fvurulmal\u0131. Yine 0-20 ya\u015f aras\u0131nda l\u00f6semiler ve lenfoma g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 art\u0131yor. Bu ya\u015f grubunda lenfoma bulgular\u0131 a\u00e7\u0131s\u0131ndan lenf bezindeki b\u00fcy\u00fcmeler de hekim taraf\u0131ndan takip edilmeli.” dedi.<\/p>\n
Bu hastal\u0131klar\u0131n tedavilerinde ise kemoterapi, radyoterapi, cerrahi, k\u00f6k h\u00fccre nakilleri veya bunlar\u0131n kombinasyonunun kullan\u0131ld\u0131\u011f\u0131n\u0131 belirten Ye\u015fil, son y\u0131llarda bir\u00e7ok kanser tedavisinde kullan\u0131lmaya ba\u015flanan ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin g\u00fc\u00e7lendirilmesi esas\u0131na dayanan imm\u00fcnoterapinin de tedavi se\u00e7enekleri aras\u0131nda yer ald\u0131\u011f\u0131n\u0131 kaydetti.<\/p>\n