Myeloma maha: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Pehea e hōʻoia ai
• Pehea e ulu ai ka myeloma maha
• Hiki ke hoʻōla i ka myeloma maha?
• Pehea e hana ai i ka lāʻau

ʻO ka myeloma maha he maʻi ʻaʻai e hoʻopili i nā hunaola i hana ʻia e ka iwi iwi, i kapa ʻia ʻo plasmosit, a hoʻomaka i ka hana ʻia ʻana o kā lākou hana a hoʻonui i kahi ala i loko o ke kino.

ʻOi aku ka maʻi o kēia maʻi i ka poʻe ʻelemākule, a i nā wā mua ʻaʻole ia e kumu i nā ʻōuli, a hiki i ka hoʻonui ʻana o nā hunaola plasma kīnā ʻole e hoʻonui i nā mea he nui a hana i nā hōʻailona a me nā ʻōuli e like me ka anemia, nā loli o ka iwi, ka hoʻonui ʻia ʻana o ke kalipuna i ke koko, ka hana hakuʻala hōʻino a hoʻonui i nā hana hakuʻala. ka makaʻu i nā maʻi.

Manaʻo ʻia ka myeloma maha he maʻi hiki ʻole ke hoʻōla ʻia, akā naʻe, me nā lāʻau i loaʻa i kēia manawa hiki ke loaʻa nā wā paʻa o ka maʻi no nā makahiki a ʻoi paha mau makahiki. Hōʻike ʻia nā koho lapaʻau e ka hematologist, a komo pū me ka chemotherapy me ka hoʻohuihui ʻana o nā lāʻau, me ka hoʻohui ʻana i ka iwi iwi.

Nā hōʻailona nui a me nā ʻōuli

I ka pae mua, ʻaʻole nā ​​maʻi e hoʻokumu i nā ʻōuli. Ma kahi pae holomua, hiki i ka myeloma maha ke kumu:

• Hoʻoemi i ka ikaika o ke kino;
• Māluhiluhi;
• Nāwaliwali;
• Nusea a me ka luaʻi;
• Ka nele o ka makemake;
• Slimming;
• ʻEha iwi;
• Nā haki iwi pinepine;
• ʻO nā maʻi o ke koko, e like me ka anemia, ua hoʻēmi i nā hunaola keokeo a me nā pā. E ʻike i ka mea hou aʻe e pili ana i kēia kūpilikiʻi iwi ʻōiwi koʻikoʻi.
• Hoʻololi i nā aʻa ākea.

ʻO nā ʻōuli e pili ana i ka hoʻonui ʻia o nā pae o ka calcium, e like me ka luhi, hilahila ʻole a i ʻole arrhythmia, a me nā loli i ka hana o ka hakuʻala, e like me nā loli urinary, hiki ke ʻike ʻia hoʻi.

Pehea e hōʻoia ai

No ka hōʻoia ʻana i ka myeloma he nui, ma ka hoʻohui o ka loiloi hoʻokolohua, e kauoha ka hematologist i nā hoʻokolohua e kōkua ai e hōʻoia i kēia maʻi. ʻ myelogram he hōʻike nui ia, no ka mea, he ʻiʻini iwi o ka iwi e ʻae ai i ke kālailai ʻana o nā hunaola e hana i ka momona, hiki ke ʻike i ka puʻupuʻu plasmositte, kahi i loaʻa i ka maʻi ma mua o 10% o kēia pūnaewele. Hoʻomaopopo i ke ʻano o ka myelogram a pehea e hana ai.

Kāhea ʻia kekahi hōʻike pono hou aʻe protein electrophoresis, hiki ke hana ʻia me kahi hāpana koko a mimi paha, a hiki ke ʻike i ka hoʻonui ʻana o ka antibody defective i hana ʻia e nā plasmositita, i kapa ʻia ʻo protein M. Hiki ke hoʻopili ʻia kēia mau hoʻāʻo me nā hoʻokolohua immunological, e like me ka protein protokolization.

Pono nō hoʻi e hoʻokō i nā hoʻokolohua e nānā a loiloi i nā pilikia o ka maʻi, e like me ka helu ʻana o ke koko e nānā i ka anemia a me nā maʻi o ke koko, ke ana calcium, e hoʻokiʻekiʻe ʻia paha, e hoʻāʻo i ka creatinine e nānā i ka hana o nā puʻupaʻa a me nā hōʻike kiʻi kiʻi iwi, e like me nā lekiō a me MRI.

Pehea e ulu ai ka myeloma maha

ʻO ka myeloma maha he maʻi ʻaʻai o ke kumu kūlohelohe, akā ʻaʻole maopopo maopopo ʻia kāna mau kumu kikoʻī. Hoʻokumu ia i ka multiplication disordered o plasmosittes, he mau pūnaewele nui i hoʻokumu ʻia i ka iwi iwi me ka hana o nā antibodies no ka pale o ka meaola.

I ka poʻe me kēia maʻi, hiki i kēia mau plasmosit ke hoʻohua i nā huhui e hōʻiliʻili i ka iwi iwi, e hoʻololi ai i ka hana ʻana, a me nā ʻāpana ʻē aʻe o ke kino, e like me nā iwi.

Hoʻohui ʻia, ʻaʻole hana pono nā plasmosit i nā antibodies, e hana ana i kahi protein pono ʻole i kapa ʻia ʻo protein M, me kahi predisposition ʻoi aku i nā maʻi a me nā manawa o ka hoʻowalewale ʻana i nā tubules filtration kidney.

Hiki ke hoʻōla i ka myeloma maha?

I kēia mau lā, ua ulu nui ka hoʻomaʻamaʻa ʻana i nā myeloma he nui e pili ana i nā lāʻau i loaʻa, no laila, ʻoiai ʻaʻole ia i ʻōlelo ʻia he maʻi ko kēia maʻi, hiki ke noho pū me ia i kahi ala paʻa no nā makahiki he nui.

No laila, i ka wā i hala, ua ola ka mea maʻi me ka myeloma maha i 2, 4 a i ʻole 5 mau makahiki, eia nō naʻe, i kēia mau lā a me ka lapaʻau kūpono hiki ke ola ma mua o 10 a 20 mau makahiki paha. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻohe rula, a he loli kēlā me kēia hihia e like me nā kumu like, e like me ka makahiki, nā kūlana olakino a me ke koʻikoʻi o ka maʻi.

Pehea e hana ai i ka lāʻau

Hōʻike wale ʻia ka mālama lāʻau ʻana no nā mea maʻi me ka myeloma he nui me nā ʻōuli, a ʻo ka poʻe i loaʻa nā hoʻokolohua kūlohelohe akā ʻaʻohe o lākou hoʻopiʻi kino pono e noho me ka hematologist, ma ke alapine i hoʻoholo ʻia e ia, a hiki i kēlā me kēia 6 mahina.

ʻO kekahi o nā koho lāʻau nui e komo pū me Dexamethasone, Cyclophosphamide, Bortezomib, Thalidomide, Doxorubicin, Cisplatin a i ʻole Vincristine, no ka laʻana, i alakaʻi ʻia e ka hematologist, i hui pinepine ʻia, i nā wā o ka chemotherapy. Eia hou, ua hoʻāʻo ʻia kekahi mau lāʻau e hoʻonui i ka hoʻomaʻamaʻa ʻana i nā mea maʻi me kēia maʻi.

He koho maikaʻi ka hoʻoneʻe ʻana i ka iwi iwi e mālama pono i ka maʻi, akā naʻe, koi wale ʻia ia no nā mea maʻi ʻaʻole ʻelemakule loa, ʻoi aku ka maikaʻi ma lalo o 70 mau makahiki, a i ʻole nā ​​maʻi nui e kaupalena ana i ko lākou hiki kino, e like me ka puʻuwai a i ʻole maʻi lolo. E ʻike hou aʻe e pili ana i ka hana ʻia ʻana o ka iwi iwi, ke hōʻike ʻia a me nā pilikia.