Myeloma - Zoyambitsa, Zizindikiro ndi Chithandizo

matenda Oncological - mliri wa nthawi yathu. Angapo myeloma - ndi chosowa kwambiri matenda a khansa, khansa ya m'magazi. Anthu kawirikawiri kudwala osaposa zaka makumi anayi, ndi Mwina mkulu matenda kumachitika okalamba. Nthawi zambiri matenda ongoyendayenda amuna. Ngati muli anamvetsetsa matenda oopsa, musataye mtima. Pali odwala amene amakhala ndi matenda kwa zaka zoposa zitatu. Mwatsoka, zimayambitsa wa myeloma matenda angapo omwe sakudziwika.

Myeloma: Zizindikiro

Tiyenera kudziwa kuti myeloma angapo kumachitika nthawi yaitali popanda zizindikiro zilizonse, pokhapokha kupereka magazi kwa kusanthula akhoza kuchuluka ESR. Ndipo pokhapokha zizindikiro kuoneka, monga kusowa chilakolako cha ululu fupa, kufooka, kuwonda.

Chifukwa anthu ambiri ndi matenda a chizindikiro chachikulu ndi kupweteka mafupa. Pamene galimoto apo ululu nthiti yake ndi msana. Ndi chiwonongeko cha fupa, tidzapeza leaching kashiamu pa mafupa ndi kukhala mavuto (kusinza, kusanza, ndi koipa - chikomokere). Ngati zizindikiro za msana psinjika chingwe, mafunsidwe amapezeka linkawonongeka.
Nthawi zambiri, odwala si kutetezedwa matenda opatsirana, kuyambira zimafooka chitetezo cha m'thupi. Anthu oposa theka la odwala matenda a impso akuyamba. Kuchuluka magazi kukhuthala, motero pali zizindikiro monga kutopa, kupweteka kwa mutu, ndi diso kwa diso, masomphenya chakhungu. Manja ndi mapazi kumva kulasalasa zolemba.

Myeloma: siteji

1) flaccid

2) Moto

Mu siteji koyamba kudwala matenda, ndi magawo magazi sizingasinthidwe, koma odwala ndi magazi m'thupi. Mawonetseredwe chachikulu cha matenda pachiyambi ndi m'tsogolo akhoza kukhala magazi m'thupi. Mwatsoka, myeloma angapo zovuta kuti iwo akuchitireni.

Chithandizo.

Chithandizo kwa osiyana, ndi mosiyanasiyana, izo zidalira pa siteji ya matenda. Odwala ena myeloma ndi kupitirira pang'onopang'ono, omwe kawirikawiri amafuna anticancer mankhwala. Myeloma zambiri amenable mankhwala mu magawo oyambirira. Cheza mankhwala othandiza odwala ndi yekhayekha plazmotsidy downtime. Odwala ndi pang'onopang'ono kukula mawonekedwe a matenda, Ndi bwino kudikira nthawi. Ndi kuwonjezeka mu chotupa misa kutumikiridwa cytostatics. Muyezo chithandizo kutumikiridwa melphalan, hlorbutin cyclophosphamide osakaniza prednisolone, mankhwala chimakhala cha masiku 5 mpaka 7 iliyonse 5 - 6 masabata, pamene ntchito yokonzekera awa amapezeka mofanana. Ngati muli tcheru ndi mankhwala, ndiye inu msanga yafupika ululu fupa, kuwonjezera milingo hemoglobin magazi. Kuti ikhale yopambana chithandizo ayenera anapitiriza zaka zosachepera 2. Kugwira ntchito kuti kuteteza zosokonezeka.

Pakuti kupewa ndi kuchepetsa kashiamu mu glucocorticoid magazi Kwalamulidwa osakaniza ndi kumwa wochuluka. Vitamini D chikuyendetsedwera kuchepetsa kufooka kwa mafupa a msana aimpso pamene kutumikiridwa aplopurinol zambiri ntchito madzi. Plasmapheresis ndi hemodialysis ntchito ndi chitukuko cha kulephera aimpso. Mchikakamizo cha mankhwala cheza mwina kuchepa ululu fupa.

Kodi Zoneneratu mu myeloma angapo?

Ndi njira yamakono ya chithandizo cha odwala ndi moyo yaitali ndi avareji zaka zinayi, mwinamwake adzakhululukidwa adzafupikitsidwa kuti zaka ziwiri. Kumene, nthawi ya moyo zimadalira kudziwa mankhwala ndi wothandizila cytotoxic, ndipo odwala ndi kukana yaikulu chithandizo ndi mtengo kupulumuka m'munsi. Koma yaitali mankhwala ndi wothandizila cytotoxic angathe pachimake khansa, ndipo kawirikawiri akufotokozera odwala amene sanali ankachitira. Zachisangalalo kumadalira osati kokha pa chithandizo, komanso pa siteji ya matenda, amene anapezeka monga chotupa.
Zimayambitsa imfa kungakhale myeloma Kukula kwa matendawa, sepsis, sitiroko, kulephera impso, odwala ambiri amafa infarction m'mnyewa wamtima ndi matenda ena ambiri.