Abstract
TREATMENT OF CHRONIC PAIN IN CHILDREN WITH ONCOLOGICAL DISEASES (case report)
T.B.Ischenko, О.V. Omelchenko, L.P. Marinich , N.V. Orlova
Acute myeloid leukemia accounts for about 4.2% of all forms of cancer in children and adolescents. Significant progress has been made in the treatment of oncohematological pathology in recent years, especially in the treatment of lymphoblastic leukemia (survival rate is up to 80%). However, unsolved problems remain in many diseases, in particular in myeloid leukemia, in which the survival rate is 38-41%. In this regard, the most critical issue is the provision of care for children with an unfavorable prognosis with malignant neoplasms. The death of a child is always incredibly difficult to accept, but understanding the feelings that causes death can help find the right approach to proper organization and provision of care for critically ill patients at the end of life.
Key words: chronic pain, children, palliative care, oncological blood diseases.
ЛІКУВАННЯ ХРОНІЧНОГО БОЛЮ У ДІТЕЙ З ОНКОЛОГІЧНИМИ ЗАХВОРЮВАННЯМИ (клінічний випадок).
Іщенко Т.Б., Омельченко О.В., Марініч Л.П., Орлова Н.В.
Серед усіх форм раку у дітей і підлітків гострий мієлоїдний лейкоз займає близько 4,2%. У лікуванні онкогематологічної патології в останні роки досягнуто значних успіхів, особливо при лікуванні лімфобластної лейкемії (виживаємість становить до 80%). Однак невирішеними питаннями залишаються при багатьох захворюваннях, зокрема при мієлоїдній лейкемії, при яких виживаємість становить 38-41%. У зв'язку з цим особливо гостро стоїть питання з наданням допомоги дітям з несприятливим прогнозом із злоякісними новоутвореннями. Смерть дитини завжди неймовірно важко прийняти, однак розуміння почуттів, які викликає смерть, допоможе знайти потрібний підхід до того, як правильно організувати і здійснювати догляд за смертельно хворими в кінці життя.
Ключові слова: хронічний біль, діти, паліативна допомога, онкологічні захворювання крові.
ЛЕЧЕНИЕ ХРОНИЧЕСКОЙ БОЛИ У ДЕТЕЙ С ОНКОЛОГИЧЕСКИМИ ЗАБОЛЕВАНИЯМИ (клинический случай)
Ищенко Т.Б., Омельченко Е.В., Маринич Л.П., Орлова Н.В.
Среди всех форм рака у детей и подростков острые миелоидные лейкозы занимают около 4,2 %. В лечении онкогематологической патологии в последние годы достигнуты значительные успехи, особенно при лечении лимфобластной лейкемии (выживаемость составляет до 80%). Однако нерешенными вопросами остаются при многих заболеваниях, в частности при миелоидной лейкемии, при которых выживаемость составляет 38-41%. В связи с этим особенно остро стоят вопросы с оказанием помощи детям с неблагоприятным прогнозом со злокачественными новообразованиями. Смерть ребенка всегда невероятно тяжело принять, однако понимание чувств, которые вызывает смерть, поможет найти нужный подход к тому, как правильно организовать и осуществлять уход за смертельно больными в конце жизни.
Ключевые слова: хроническая боль, дети, паллиативная помощь, онкологические заболевания крови.
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