I wonder if you have been watching the TV series “Dear Child” recently?
This series tells the story of a pair of divorced parents trying to save their daughter from leukemia.
But after watching this TV series, many people found out —Why are the domestic dramas becoming more and more troublesome today?
A series of plots, such as postpartum pregnant mother asking for water and being ignored by her mother-in-law, child mother giving birth and father sneaking away to deliver the placenta, and the third child kicking out her husband cheating at the child’s birthday banquet, really made many viewers We watched blood pressure soar.
But when my daughter was diagnosed with leukemia, the acute lymphoblastic leukemia and a new dilemma in desperate need of a bone marrow transplant.
At first, it was hard to wait until the recipient of the bone marrow, but suddenly changed his mind, and the doctor proposed a “last resort” – to have a child born by the biological parents.
Although the plot of “giving birth to a baby to save the baby” is full of artistic appeal, from a professional medical point of view, this kind of plot is wrong and particularly “outrageous”.
Acute lymphoblastic leukemia, what exactly is it?
The so-called leukemia is actually a malignant tumor disease in the hematopoietic system. related reasons.
Acute and chronic disease can be divided into two types according to the progress of the disease. Once suffering from this disease, the patient’s body will have a variety of abnormal symptoms.
1. Fever
Once contracted, the patient will have a significant fever.
This kind of fever is mainly caused by infection. It can be low fever or high fever. The high fever can generally reach above 39 to 40 degrees.
High fever often indicates secondary infection, which can occur in various parts of the body, such as lungs, gums, perianal, etc. In severe cases, sepsis and sepsis may occur .
2. Bleeding
People with this condition experience significant bleeding throughout the body, with bleeding gums, nosebleeds, and skin ecchymosis The most common, intracranial, urinary tract bleeding is relatively rare.
This bleeding is mainly caused by problems with the circulatory system. In severe cases, it may also cause gastrointestinal or heavy respiratory tract bleeding.
3. Anemia
In the early stage, patients may develop anemia due to bleeding from various parts of the body, and then show symptoms such as paleness and fatigue.
Most patients already have moderate-to-severe anemia when they visit a doctor, and some acute patients have a short course of disease and no major bleeding.
4. Joint pain
The disease will cause joint pain due to infiltration. This pain is relatively severe, and the location is not fixed. It mainly occurs in the limbs, spine, pelvis, sternum, etc., and will limit daily activities. .
Acute lymphocytes require bone marrow transplantation? 8 children were cured with chemotherapy alone
In fact, the plot of TV series like “Dear Child” often makes many viewers have the concept that “childhood leukemia is difficult to treat”.
But actually, asThe most common type of leukemia in children, acute lymphoblastic leukemia accounts for 80% of children. And 80% of patients with acute lymphoblastic leukemia actually do not need bone marrow transplantation at all, and can be cured only by chemotherapy.
Yes, I said it right, and you heard it right.
Children’s acute lymphoblastic leukemia does not actually discuss the survival rate of several years, but directly talks about cure. Because its prognosis is relatively good, it usually does not relapse for 5 years, basically 99% chance of no recurrence.
Even with a bone marrow transplant, the best donor is not from a sibling
In fact, bone marrow transplantation is only considered if the disease is particularly high-risk, or if severe drug resistance occurs after chemotherapy, or if the leukemia recurs.
However, the cases themselves are not high, about 10%-15%. Even if transplantation is required, the medical community will not prefer HLA (ie human leukocyte antigen, half of the Inherited from the father, half inherited from the mother) with identical siblings as donors.
This also means that the plot like “giving birth to a baby to save the baby” in TV series is not actually advocated.
This is because lymphocytic leukemia is not the same as myeloid leukemia. It belongs to the canceration of lymphocytes, which will recognize the residual cancer in the patient after transplantation. cells, which can easily lead to cancer recurrence.
Nowadays, with the advancement of medical care, there is actually no need to be too fearful or anxious about acute lymphocytes in children.
We need to do a good job—trust science, trust medicine.
