Myeloma lehulehu

ʻO ka myeloma maha he maʻi ʻaʻa koko e hoʻomaka i nā hunaola plasma i ka iwi iwi. ʻO ka iwi iwi ka mea palupalu, spongy kiko i loaʻa i loko o ka hapa nui o nā iwi. Kōkua ia i nā hunaola koko.

Kōkua nā hunaola Plasma i kou kino e hakakā i ka maʻi ma o ka hana ʻana i nā protein i kapa ʻia he antibodies. Me ka myeloma he nui, ulu nā hunaola plasma mai ka kaohi ʻana i ka momona o ka iwi a hana i nā tumors ma nā wahi o ka iwi paʻa. ʻO ka ulu ʻana o kēia mau tumors iwi hoʻonāwaliwali i nā iwi paʻa. Hana ia i mea paʻakikī no ka momona o ka iwi e hana i nā hunaola olakino olakino a me nā platelet.

ʻAʻole ʻike ʻia ke kumu o ka myeloma maha. ʻO ka hana i hala me ka radiation radiation e hoʻonui ai i ka makaʻu no kēia ʻano maʻi ʻaʻai. Hoʻopili nui ka myeloma maha i nā mākua.

ʻO nā kumu myeloma he nui i kumu pinepine ʻia:

• Helu liʻiliʻi ke koko ʻulaʻula (anemia), hiki ke alakaʻi i ka luhi a me ka liʻiliʻi o ka hanu
• Helu heluna keʻokeʻo haʻahaʻa keʻokeʻo, kahi e hiki ai iā ʻoe ke loaʻa i nā maʻi
• Helu pālaha haʻahaʻa, hiki i ke kahe koko ʻole

Ke ulu nei nā hunaola maʻi ʻaʻai i ka momona o ka iwi, loaʻa paha iā ʻoe ka ʻeha o ka iwi, pinepine i nā iwi ʻaoʻao a i ʻole kua.

Hiki i nā hunaola maʻi ʻaʻai ke hoʻonāwaliwali i nā iwi. Ma ka hopena:

• Hiki iā ʻoe ke hoʻomōhala i nā iwi haʻi (haʻi haʻi iwi) mai ka hana ʻana i nā hana maʻamau.
• Inā ulu ka maʻi ʻaʻai i loko o nā iwi iwi kuamoo, hiki iā ia ke kaomi ma nā aʻa. Hiki i kēia ke alakaʻi i ka helu a nāwaliwali paha o nā lima a me nā wāwae.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona.

Hiki i nā hōʻoia koko ke kōkua i ke kuhi ʻana i kēia maʻi. Aia kēia mau hoʻāʻo:

• Pae Albumin
• Pae kalipuna
• Huina protein pae
• Nā hana hakuʻala
• Helu piha koko (CBC)
• Immun Mikaation
• Nephelometry nui
• ʻO ka electrophoresis protein protein

Hiki i nā iwi x-ray, CT scans, a i ʻole MRI ke hōʻike i nā haki a i ʻole ka hollowed o nā wahi o ka iwi. Inā kuhi kāu mea hāʻawi i kēia ʻano maʻi ʻaʻai, e hoʻokō ʻia kahi biopsy iwi iwi.

Hōʻike ka hoʻāʻo ʻana o ka iwi i ka nalo ʻana o ka iwi.

Inā hōʻike nā hōʻike he nui kāu myeloma, e hana ʻia nā hōʻike hou aku e ʻike i ka lōʻihi o ka palahalaha ʻana o ka maʻi ʻaʻai. Kāhea ʻia kēia. Kōkua ke kau ʻana i ke alakaʻi ʻana i ka lapaʻau a me ka ukali ʻana.

ʻO ka poʻe i loaʻa i ka maʻi ʻoluʻolu a i ʻole ʻaʻole ʻike ʻia ka hōʻailona e nānā pinepine ʻia. Kekahi kanaka i kekahi ʻano o ka mau myeloma e ulu lohi (smoldering myeloma), i mau makahiki e hana i nā ʻōuli.

Hoʻohana ʻia nā ʻano lāʻau like ʻole e mālama i nā myeloma he nui. Hāʻawi pinepine ʻia lākou e pale i nā pilikia e like me ka haʻi iwi a me ka hōʻino ʻana o ka hakuʻala.

Hiki ke hoʻohana ʻia ka radiation radiation e hōʻoluʻolu i ka ʻeha o ka iwi a i ʻole e hoʻoliʻiliʻi i kahi tumo e hoʻokeke ana i ka iwi kuamoʻo.

Kono ʻia kahi kuʻi iwi o ka iwi:

• Hana ʻia kahi iwi iwi autologous a i ʻole ke transplantation o ke koʻokoʻo ma ka hoʻohana ʻana i nā hunaola paʻa ponoʻī o kekahi kanaka.
• Hoʻohana kahi transplant allogeneic i nā hunaola paʻa o haʻi. He pilikia nui ko kēia hana, akā hāʻawi paha i ka manawa kūpono e ola ai.

Pono ʻoe a me kāu mea lawelawe e mālama i nā hopohopo ʻē aʻe i kāu wā e mālama ai, e like me:

• Loaʻa ka chemotherapy ma ka home
• Ka mālama ʻana i kāu mau holoholona
• Nā pilikia koko
• Waha maloo
• ʻO ka ʻai ʻana i ka nui o nā calories
• ʻAi palekana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Pili ʻo Outlook i ka makahiki o ke kanaka a me ke kahua o ka maʻi. I kekahi mau hihia, holo wikiwiki ka maʻi. I nā hihia ʻē aʻe, he mau makahiki ke kū ʻana o nā ʻōuli.

Ma ka laulaha, hiki ke mālama ʻia i nā myeloma he nui, akā i nā hanana kakaikahi wale nō ke hiki ke hoʻōla ʻia.

ʻO ka maikaʻi ʻole o ka hakuʻala he hana pinepine. Pili pū kekahi me:

• Haki iwi
• ʻO ke kiʻekiʻe o ka calcium i loko o ke koko, kahi hiki ke weliweli loa
• Hoʻonui i nā manawa kūpono no ka maʻi, ʻoi loa i nā akemāmā
• Anemia

Kāhea i kāu mea hāʻawi inā he nui kāu myeloma a hoʻomōhala ʻoe i kahi maʻi, a i ʻole ka helu, nalowale o ka neʻe, a i ʻole ka nalowale o ka manaʻo.

ʻO ka discrasia pūnana plasma; Myeloma Plasma cell; Plasmacytoma malignant; Plasmacytoma o ka iwi; Myeloma - lehulehu

• Hoʻoneʻe iwi iwi - hoʻokuʻu

• ʻO Cryoglobulinemia o nā manamana lima
• Nā hanana ʻōnaehana pale ʻole
• Nā Antibodies

Pūnaewele ʻo National Cancer Institute. ʻO nā neoplasms cell PDQ plasma (me myeloma maha). www.cancer.gov/types/myeloma/hp/myeloma-treatment-pdq. Hoʻohou i Iulai 19, 2019. Loaʻa iā Pepeluali 13, 2020.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā kulekele hana lapaʻau NCCN i ka oncology: myeloma maha. Mana 2.2020. www.nccn.org/professionals/physician_gls/pdf/myeloma.pdf. Hoʻohou ʻia ʻOkakopa 9, 2019. Loaʻa iā Pepeluali 13, 2020.

Rajkumar SV, Dispenzieri A. mau myeloma a me nā maʻi e pili pū ana. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 101.