Akawanda myeloma

Multiple myeloma kenza yeropa inotanga mumasero eplasma mumongo wemapfupa. Bone mwongo ndiyo yakapfava, yakasviba matishu anowanikwa mukati memapfupa mazhinji. Inobatsira kugadzira masero eropa.

Masero eplasma anobatsira muviri wako kurwisa hutachiona nekugadzira mapuroteni anonzi ma antibodies. Iine akawanda myeloma, maseru eplasma anokura kunze kwekudzora mumapfupa emapfupa uye oumba mamota munzvimbo dzefupa rakasimba. Kukura kwemamota aya emapfupa kunoderedza mapfupa akasimba. Izvo zvinoitawo kuti zviomere kuti mwongo wemabhonzo ugadzire masero eropa ane hutano nemaplatelet.

Chikonzero cheakawanda myeloma hachizivikanwe. Kurapa kwekare ne radiation radiation kunowedzera njodzi yerudzi urwu rwegomarara. Multiple myeloma inonyanya kubata vakuru vakura.

Multiple myeloma inowanzo kukonzera:

• Yakadzika tsvuku masero eropa kuverenga (kupererwa neropa), izvo zvinogona kukonzera kuneta uye kupfupika kwemweya wekufema
• Yakadzika chena masero eropa kuverenga, izvo zvinoita kuti iwe uwedzere kuwana hutachiona
• Yakaderera maplatelet kuverenga, izvo zvinogona kutungamira mukubuda ropa zvisina kujairika

Sezvo maseru ekenza achikura mumapfupa emapfupa, unogona kuve nekurwadziwa kwepfupa, kazhinji mumumbabvu kana kumashure.

Masero ekenza anogona kushomeka mapfupa. Semagumo:

• Unogona kukura mapfupa akavhunika (pfupa kutsemuka) kubva pakuita zvakajairika zviitiko.
• Kana gomarara richikura mumapfupa emusana, rinogona kutsimbirira tsinga. Izvi zvinogona kutungamira kukundwa kana kushaya simba kwemaoko kana makumbo.

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako.

Kuongororwa kweropa kunogona kubatsira kuongorora chirwere ichi. Iyi bvunzo inosanganisira:

• Chikamu cheAlbumin
• Calcium chikamu
• Yakazara protein protein
• Itsvo basa
• Yakazara kuverenga ropa (CBC)
• Immunofixation
• Kuwanda nephelometry
• Serum protein electrophoresis

Bone x-rays, CT inoongorora, kana MRI inogona kuratidza kutsemuka kana kuburitsa nzvimbo dzefupa. Kana wako mupi achifungidzira rudzi urwu rwegomarara, pfupa remongo wemapfupa anozoitwa.

Kuongororwa kwehuwandu hwepfupa kunogona kuratidza kurasikirwa kwepfupa.

Kana bvunzo dzichiratidza kuti une multiple myeloma, mimwe miedzo ichaitwa kuti uone kuti kenza yapararira zvakadii. Uku kunodaidzwa kunzi staging. Kutepfenyura kunobatsira kutungamira kurapwa uye kutevera.

Vanhu vane chirwere chakapfava kana mukati mavo chirwere chisina chokwadi vanowanzo tariswa zvakanyanya. Vamwe vanhu vane chimiro chemyeloma yakawanda inokura zvishoma nezvishoma (smoldering myeloma), zvinotora makore kukonzera zviratidzo.

Mhando dzakasiyana dzemishonga inoshandiswa kurapa akawanda myeloma. Iwo anowanzo kupiwa kudzivirira kusagadzikana senge kuputsika kwemapfupa uye kukuvara kweitsvo.

Radiation kurapa kunogona kushandiswa kudzikamisa kurwadziwa kwepfupa kana kudzikisira bundu riri kusundira pamutsipa wepelinha.

Kuiswa kwemongo wemapfupa kunogona kukurudzirwa:

• Autologous bone marora kana stem cell transplantation inoitwa uchishandisa masisitimu emunhu.
• An allogeneic transplant inoshandisa masero emumwe munhu. Kurapa uku kune njodzi dzakakomba, asi kunogona kupa mukana wekurapwa.

Iwe nemupi wako ungangoda kugadzirisa zvimwe zvinonetsa panguva yekurapa kwako, kusanganisira:

• Kuva nekemotherapy kumba
• Kugadzirisa mhuka dzako dzinovaraidza
• Zvinetso zvekubuda ropa
• Muromo wakaoma
• Kudya macalorie akakwana
• Kudya zvakachengeteka panguva yekurapa gomarara

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Maonero anoenderana nezera remunhu uye danho rechirwere. Mune zvimwe zviitiko, chirwere chinofambira mberi nekukurumidza zvakanyanya. Mune zvimwe zviitiko, zvinotora makore kuti zviratidzo zvioneke.

Kazhinji, myeloma yakawanda inorapika, asi mune zvisingawanzoitika mamiriro anogona kurapwa.

Itsvo kutadza kunowanzo kuve kuomarara. Zvimwe zvinogona kusanganisira:

• Bone kutsemuka
• Yakakwira mwero wecalcium muropa, iyo inogona kuve ine njodzi huru
• Kuwedzera mikana yehutachiona, kunyanya mumapapu
• Anemia

Fonera mupiki wako kana uine multiple myeloma uye iwe uchikura hutachiona, kana chiveve, kurasikirwa kwekufamba, kana kurasikirwa kwekunzwa.

Plasma sero dyscrasia; Plasma sero myeloma; Yakaipa plasmacytoma; Plasmacytoma pfupa; Myeloma - yakawanda

• Bone marrow kuisirwa - kubuda

• Cryoglobulinemia yeminwe
• Immune system zvimiro
• Antibodies

National Cancer Institute webhusaiti. PDQ plasma sero neoplasms (kusanganisira akawanda myeloma) kurapwa. www.cancer.gov/types/myeloma/hp/myeloma-treatment-pdq. Yakagadziridzwa Chikunguru 19, 2019. Yakasvika muna Kukadzi 13, 2020.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira maitiro mune oncology: akawanda myeloma. Shanduro 2.2020. www.nccn.org/professionals/physician_gls/pdf/myeloma.pdf. Yakagadziridzwa Gumiguru 9, 2019. Yakasvika muna Kukadzi 13, 2020.

Rajkumar SV, Dispenzieri A. Multiple myeloma uye zvinetso zvinoenderana. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 101.