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肝胆相照论坛 论坛 肝癌,肝移植 存档 1 酪胺酸血症: Kyle Wimberg 两次肝脏移植的小故事 ...
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酪胺酸血症: Kyle Wimberg 两次肝脏移植的小故事 [复制链接]

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发表于 2005-5-5 17:02

简单翻译

叫Kyle的这名小男孩, 在一岁的时候被诊断出来患有"酪胺酸血症"(Tyrosinemia),. 在他三岁生日前, Kyle已经接受了两次肝脏移植(Liver transplants), 感染两次"病毒性脑膜炎(Viral meningitis), 得过"血清病"(serum sickness)... . 折断过两条腿...在经过所有这些恶梦和艰难曲折后, Kyle还是以奇异的跨快乐地活着. 他感人的微笑, 可爱的眨眼给人们带来一天的快乐和溶化的感觉.

周岁前小Kyle一切正常只是四肢皮包骨头很瘦. 在Kyle一周岁的例行检查时候, 小儿科医生发现他肝脏, 脾脏, 肾脏都很肿大. 医生马上将他转入辛辛纳提儿童医院. 一周后儿童医院肝脏移植小组诊断出他患有"酪胺酸血症", 需要肝脏移植. 这对于小小的Kyle父母来说如同胸口扎了一刀.

这个疾病是遗传造成, 全球统计大约有600例, 美国有100例. 如果不治疗, 肝脏会产生伤疤, 造成肝细胞癌变. Kyle的情况, 他需要即可移植.

一个月后, 2002年三月, 接到医院电话, Kyle将接受一个18岁死去青年的部分肝脏进行移植. 手术进展顺利.

接下来的6个星期住院期间, Kyle的免疫系统被药物抑制好来接受新的肝脏. 但是Kyle的体质太低, 无法和一族轮状病毒. 血液堵住了肝脉, 需要手术将它打开.

同年夏天, 同样因为免疫力低落, Kyle感染了EB病毒. 同年八月, 医生诊断Kyle的肝脏患有不能逆转的排斥, 他需要重新移植. 十月份Kyle清楚所有病毒, 再次被排名在肝脏移植名单上.

万圣节(鬼节)时候, Kyle情况突然恶化再次入院. 移植小组说, 如果在5-7天内找不到捐赠的肝脏, Kyle将不能活下去了. 这个时候他的父母和医生都非常焦急, 为这个小生命祈福.

接下来几天进入十一月, 他们终于等到一名儿童家属捐赠的肝脏. 这对于Kyle父母来说也是一件非常悲痛的事情, 因为只有别人的孩子死, 才有他们的孩子生.

可是移植后Kyle的机体开始排斥攻击免疫抑制药物, 造成"血清病"; 在更换了一个新的抗免疫药物后, Kyle再次感染了"EB病毒", 并续继感染"病毒脑炎", 而且同时感染一种癌症.

为了治疗癌症, Kyle接受了一种"化疗灯光"治疗, 因为这样比化疗轻松.

2003年的九月Kyle最后一次化疗. 之后检查都没有再发现癌症. 他的第二次肝脏移植后肝脏也贝机体接受工作正常. 因为服用的药物关系, Kyle摔断了两条腿骨. 当石膏架拿下来的时候Kyle开心乱跑, 结果又将股骨骨折, 结果又全身打上石膏架延长了很久.

对年龄发育来说, Kyle说话正常, 还在服用抗免疫药物, 很快会接受理疗帮助因为骨折造成的走路不正常现象.

Kyle的妈妈从儿童医院在那里都不知道变成一个活跃人士, 不仅仅知道孩子疾病的细节和道理, 而且还要帮助其它又同样困难的人们度过心理难关, 让Kyle的微笑和眨眼给患有疾病的人们温暖....

[此贴子已经被作者于2005-5-5 4:04:33编辑过]

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发表于 2005-5-5 17:05
<< Return to Site Tyrosinemia: Kyle Wimberg Thrives After Two Liver Transplants"Things Could Be Worse"

As printed in the February 2004 edition of Leaps and Bounds.

At age 1, Kyle was diagnosed with a rare condition called tyrosinemia. With his third birthday just around the corner, he has already endured two liver transplants, two bouts of viral meningitis, serum sickness, a form of cancer and two broken bones in his left leg. After all this little boy has been through, he's surprisingly happy and content. His contagious smile brightens your day, and his adorable wink makes you melt.

Kyle Wimberg Thrives After Two Liver TransplantsWith his third birthday just around the corner, Kyle Wimberg already has endured two liver transplants, two bouts of viral meningitis, serum sickness, a form of cancer and two broken bones in his left leg.

Yet his mother says, "Things could be worse." What she has learned is to appreciate what she and her family have. "When he was in so much pain, I prayed, 'Let him live.' But I also said to God, 'I'll be miserable for the rest of my life, but take him now if it will stop his suffering.' Today, I say 'thank you' for every day without pain," says Janet Wimberg.

Like most healthy babies, Kyle was chubby, but his arms and legs were skinny. At his one-year checkup, scheduled on his first birthday, Kyle's pediatrician detected an enlarged liver, spleen and kidneys, and immediately sent the Wimbergs to Cincinnati Children's Hospital Medical Center for testing. A week later, on Valentine's Day, staff from the Liver Transplant Team informed them that Kyle had a rare condition called tyrosinemia and needed a liver transplant.

"A Punch in the Stomach"

"That news felt like a punch in the stomach," Janet recalls. It triggered a whirlwind of consultations to get Kyle placed on the donor waiting list for a liver, along with meetings with all members of the Liver Transplant Team to prepare this Cincinnati family for what was to come.

Tyrosinemia is an inherited disorder that causes severe liver disease in infancy. It is so rare that there are only about 600 cases worldwide, and 100 in the United States. If undiagnosed and untreated, tyrosinemia scars the liver and can cause liver cell cancer. In Kyle's case, the only treatment option was a liver transplant.

After a month of waiting, the Wimbergs got the call in March 2002 that a liver had become available. That same day, Kyle went into surgery to receive part of a liver from an 18-year-old who had passed away.

During the next six weeks of hospitalization, Kyle's immune system was suppressed with a drug to help his body accept the new liver. As a result of this routine post-transplant treatment, Kyle was too weak to fight a bout of rotavirus. Then a blood clot closed a liver vein, requiring more surgery to reopen it.

During the summer, Kyle contracted Epstein-Barr virus, which, due to his immune-suppressed state, caused viral meningitis. And in August, doctors diagnosed him with irreversible chronic liver rejection; he would need another transplant. By October, Kyle was virus-free and able to be listed again on the transplant waiting list.

Rapid Deterioration

On Halloween, Kyle was readmitted to Cincinnati Children's because his liver was failing faster than anticipated. "They told us if Kyle didn't get a liver in five to seven days, he would die. I was even considered as a possible living-related donor, but my liver lobe was too small," Janet says. To the family's great relief, Kyle rallied and went home a week later, still waiting.

Their vigil ended in November 2002, when a liver became available from a child who had passed away. "The hardest thing for me to reconcile was that, again, someone else lost their child," Janet says. "We didn't lose Kyle, but we came close. The pastor on the Liver Transplant Team helped us through this."

This time, Kyle's body started to attack the anti-rejection drug he was receiving, causing serum sickness. He was given a new immune-suppressing drug, then contracted Epstein-Barr virus again. It caused not only viral meningitis, but also a form of cancer called post-transplant lymphoproliferative disease.

To treat this new condition, Kyle received "chemotherapy light," Janet says, "which is not nearly as aggressive as the treatment for full-blown cancer."

A Hope-Filled Future For a Pediatric Liver Transplant Patient

Kyle had his last chemotherapy treatment in September 2003, and the latest tests show no signs of cancer. Just as important, his new liver is working well a year after the second transplant.

In the fall, Kyle fractured his leg, since his bones are weak from medications. The day before he was to get his cast off, Kyle slipped from one rung to the next while playing on his toy slide and fractured his femur. His cast extends from his chest down, but Kyle takes it all in stride.

After all this little boy has been through, he's surprisingly happy and content. His contagious smile brightens your day, and his adorable wink makes you melt.

Kyle's language abilities are normal for his age. He continues on anti-liver-rejection drugs, and he will begin working with a physical therapist to catch up on walking.

Throughout this rollercoaster experience, Janet became an assertive and knowledgeable advocate for her son. At Cincinnati Children's, she found physicians, nurses, social workers, financial counselors, a pastor and other staff to support her.

"Before Kyle was born, I didn't even know where Cincinnati Children's was; I just knew it was really good if we needed it. Now, I would highly recommend it. They truly care for the whole family," she says. Janet and her husband, John, also have three daughters, ages 5, 14 and 17.

"When the doctors recommended a transplant, they told us we'd be taking a relatively healthy child and making him sick. They said we were trading off a death sentence for a chronic illness. That's what we did, and I'll take the latter."

Related ServicesLiver Care Center Hematology / Oncology

Back to the Cincinnati Children's Patient Stories main page.

©1999-2005, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati, Ohio 45229-3039 513-636-4200 | 1-800-344-2462 | TTY: 513-636-4900 Legal Notice Serving infants to adolescents, Cincinnati Children's Hospital Medical Center is an international leader in pediatric health care, research and education.

[此贴子已经被作者于2005-5-5 4:08:27编辑过]

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发表于 2005-5-5 17:13

http://www.cincinnatichildrens.org/about/patient/tyrosinemia-kyle-wimberg.htm?view=content

[此贴子已经被作者于2005-5-5 4:14:14编辑过]

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发表于 2005-5-5 20:35

很可爱的孩子!

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