Chii Chinonzi Bone Marrow Cancer?

Zvemukati

• Mhedziso
• Mhando dzekenza yemongo wemapfupa
• Akawanda myeloma
• Leukemia
• Lymphoma
• Zviratidzo zvegomarara remongo
• Zvinokonzera gomarara remongo
• Kuongorora kenza yemongo
• Kurapa kwekenza yemongo
• Maonero ekenza yemongo
• General tarisiro yeakawanda myeloma
• General tarisiro yeleukemia
• General tarisiro ye lymphoma
• Kutora

Mhedziso

Marrow ndiyo chipenga-senge zvinhu mukati memapfupa ako. Inowanikwa mukati memwongo mune masero emadzinde, ayo anogona kukura kuita masero matsvuku eropa, machena masero eropa, uye maplatelet.

Kenza yemwongo yemapfupa inoitika kana masero ari mumwongo atanga kukura zvisina kujairika kana nekukurumidza. Gomarara rinotanga mumwongo unonzi gomarara repfupa kana gomarara reropa, kwete gomarara repfupa.

Dzimwe mhando dzekenza dzinogona kupararira kumapfupa ako nemwongo wemapfupa, asi haasi gomarara remongo.

Enderera kuverenga kuti udzidze nezve akasiyana marudzi ekenza yemongo wemapfupa, kuti inoonekwa sei, uye zvaunogona kutarisira.

Mhando dzekenza yemongo wemapfupa

Akawanda myeloma

Rudzi rwakajairika rwecancer yemongo wemapfupa yakawanda myeloma. Inotanga mumasero eplasma. Aya machena masero eropa anogadzira masoja ekudzivirira muviri wako kubva kune vanopinda kunze kwenyika.

Mamota anoumba kana muviri wako ukatanga kuburitsa akawanda masero eplasma. Izvi zvinogona kutungamira kukundwa kwepfupa uye nekudzikira kugona kurwisa hutachiona.

Leukemia

Leukemia kazhinji inosanganisira machena masero eropa.

Muviri unoburitsa masero eropa asina kujairika asingafe sezvaanofanira. Sezvo huwandu hwavo hunowedzera, vanounganidza masero machena eropa, masero matsvuku eropa, uye maplatelet, zvichikanganisa kugona kwavo kushanda.

Acute leukemia inosanganisira masero eropa, anonzi kuputika, uye zviratidzo zvinogona kufambira mberi nekukurumidza. Chirwere cheleukemia chinosanganisira mamwe masero eropa akura. Zviratidzo zvinogona kuve zvakapfava pakutanga, saka unogona kusaziva kuti unayo kwemakore.

Dzidza zvakawanda nezve mutsauko uripo pakati pechirwere chisingaperi uye chakakomba cheleukemia.

Kune akawanda marudzi eleukemia, anosanganisira:

• chisingaperi lymphocytic leukemia, iyo inobata vanhu vakuru
• acute lymphocytic leukemia, inokanganisa vana nevakuru
• chisingaperi myelogenous leukemia, iyo inonyanya kubata vanhu vakuru
• acute myelogenous leukemia, iyo inobata vana nevakuru

Lymphoma

Lymphoma inogona kutanga mune ma lymph node kana pfupa remongo.

Kune maviri makuru marudzi e lymphoma. Imwe ndeye Hodgkin's lymphoma, inozivikanwawo sehosha yaHodgkin, iyo inotangira mune chaiyo B lymphocyte. Imwe mhando ndeye isiri-Hodgkin's lymphoma, iyo inotangira muB kana T maseru. Kune zvakare akawanda madiki.

Iine lymphoma, maLymphocyte anokura kunze kwekudzora, achiumba mamota uye achiita kuti zviome kuti immune system yako iite basa rayo.

Zviratidzo zvegomarara remongo

Zviratidzo nezviratidzo zve akawanda myeloma inogona kusanganisira:

• kushaya simba uye kuneta nekuda kwekushomeka kwemasero matsvuku eropa (anemia)
• kubuda ropa uye kupwanya nekuda kwepasi maplatelet eropa (thrombocytopenia)
• hutachiona nekuda kwekushomeka kwemazuva ese machena masero eropa (leukopenia)
• nyota yakanyanya
• kugara uchiita weti
• kupera mvura mumuviri
• marwadzo emudumbu
• kurasikirwa nenzara
• kutsimwaira
• nyonganiso nekuda kwenzvimbo dzakakwira dzecalcium muropa (hypercalcemia)
• kurwadziwa kwepfupa kana mapfupa asina simba
• itsvo kukuvara kana itsvo kutadza
• peripheral neuropathy, kana kurira, nekuda kwekukuvara kwenzara

Zvimwe zviratidzo nezviratidzo zve leukemia ndeaya:

• fivha uye kutonhora
• kushaya simba uye kuneta
• Kazhinji kana zvakakomba hutachiona
• kusanzwisisika kuonda
• kuzvimba lymph nodes
• chakawedzera chiropa kana spleen
• kupwanya kana kubuda ropa zviri nyore, kusanganisira kugara uchibuda ropa mumhino
• madiki madiki matsvuku paganda (petechiae)
• vangadikitira zvakanyanya
• husiku hweziya
• kurwadziwa kwepfupa

Zvimwe zviratidzo nezviratidzo zve lymphoma ndeaya:

• kuzvimba mumutsipa, pasi pesimbi, ruoko, gumbo, kana kugomera
• akawedzera lymph node
• kurwadziwa kwemutsipa, chiveve, kurira
• kunzwa kwekuzara mudumbu
• kusanzwisisika kuonda
• husiku hweziya
• fivha uye kutonhora
• simba rakaderera
• chipfuva kana kurwadziwa kwepazasi
• mapundu kana kuvava

Zvinokonzera gomarara remongo

Hazvizivikanwe kuti chii chinokonzera gomarara remongo. Zvinopa zvinhu zvinogona kusanganisira:

• kuratidzwa nemakemikari ane chepfu mumanyungudisi, mafuta, chiutsi cheinjini, zvimwe zvigadzirwa zvekuchenesa, kana zvigadzirwa zvekurima
• kuratidzwa kune radiation maatomu
• mamwe mavhairasi, anosanganisira HIV, hepatitis, mamwe ma retroviruses, uye mamwe mahepe herpes
• kudzvinyirira immune immune kana chirwere cheplasma
• kusagadzikana kwemajini kana nhoroondo yemhuri yekenza yemongo wemapfupa
• chemotherapy yapfuura kana radiation radiation
• kusvuta
• kufutisa

Kuongorora kenza yemongo

Kana iwe uine zviratidzo zvegomarara remongo wemapfupa, chiremba wako anoongorora nhoroondo yako yekurapa uye oongorora zvizere muviri.

Zvichienderana nezvakawanikwa uye zviratidzo zvako, kuongororwa kwekuongorora kunogona kusanganisira:

• kuongororwa kweropa, senge kwakazara kuwanda kweropa, chemistry chimiro, uye mamota mamaki
• weti bvunzo kuongorora mapuroteni mazinga uye kuongorora itsvo mashandiro
• imaging inoongorora yakadai MRI, CT, PET, uye X-ray kutsvaga humbowo hwemamota
• biopsy yemongo wemapfupa kana yakawedzera lymph node kuti utarise kuvapo kwemaseru ane cancer

Mhedzisiro yeiyo biopsy inogona kusimbisa kuongororwa kwemongo wemapfupa uye nekupa ruzivo nezveiyo chaiyo mhando yekenza. Kufungidzira bvunzo kunogona kubatsira kuona kuti kenza yapararira zvakadii uye ndeapi mitezo inobatwa.

Kurapa kwekenza yemongo

Kurapa kwekenza yemongo wemapfupa kuchave kwakasarudzika uye zvichibva pane yakasarudzika mhando uye nhanho yekenza pakuongororwa, pamwe nechero humwe hutano hunofunga.

Iyi yekurapa inotevera inoshandiswa kune kenza yemongo wemapfupa:

• Chemotherapy. Chemotherapy inzira yekurapa yakagadzirirwa kuwana nekuparadza cancer maseru mumuviri. Chiremba wako anokuraira mushonga kana musanganiswa wemishonga zvichibva parudzi rwekenza.
• Biological kurapa. Iyi kurapa inoshandisa yako immune system kuuraya cancer maseru.
• Targeted therapy mishonga. Iyi mishonga inorwisa chaiyo mhando dzekenza maseru nenzira chaiyo. Kusiyana nemakemikari, anodzivirira kukuvara kwemasero ane hutano.
• Radiation kurapa. Radiation kurapa kunounza yakakwira-simba matanda kunzvimbo yakanangwa kuuraya cancer maseru, kudzikisira bundu remarara, uye kurerutsa marwadzo.
• Kuisazve. Nedonhwe sero kana yemapfupa kupinza, mwongo wemapfupa wakakuvadzwa unotsiviwa nehutano hwakanaka kubva kumupi. Uku kurapwa kunogona kusanganisira yakakwira-dose chemotherapy uye radiation radiation.

Kubatanidzwa mukutongwa kwekliniki kunogona kuva imwe nzira. Zvekuedzwa zvemakiriniki zvirongwa zvekutsvaga izvo zvinoyedza mishonga mitsva isati yatenderwa kuti ishandiswe zvakanyanya. Ivo vanowanzove nemitemo yakasimba yekukodzera. Chiremba wako anogona kukubatsira iwe kuti uwane ruzivo nezve miedzo ingave yakakodzera kukwana.

Maonero ekenza yemongo

Hupenyu hwehukama hwehukama hunofananidza kupona kwevanhu vane chirwere checancer kune vanhu vasina cancer. Kana uchitarisa kumatunhu ekupona, zvakakosha kuti urangarire kuti zvinosiyana kubva pamunhu kusvika pamunhu.

Aya mazinga anoratidza kupona kwevanhu vakaonekwa makore apfuura. Sezvo kurapwa kuri kukurumidza kuvandudzika, zvinokwanisika kuti mwero wekupona uri nani pane aya manhamba anoratidza.

Dzimwe mhando dzekenza yemongo wemapfupa dzakanyanya hasha kupfuura dzimwe. Kazhinji kutaura, pakutanga iwe unobata kenza, zvirinani mikana yako yekurarama. Maonero anoenderana nezvinhu zvakasarudzika kwauri, senge hutano hwako hwese, zera, uye nemabatiro aunoita kurapwa.

Chiremba wako anozokwanisa kupa rumwe ruzivo pane izvo zvaunogona kutarisira.

General tarisiro yeakawanda myeloma

Multiple myeloma haiwanzo kurapwa, asi inogona kutarisirwa.Kurapa: Multiple myeloma. (2018).
nhs.uk/conditions/multiple-myeloma/treatment/ Kurapa kunogona kuvandudza hwakazara hupenyu hwehupenyu.

Zvinoenderana neNational Cancer Institute's Kuongorora, Epidemiology, uye End Mhedzisiro (SEER) Chirongwa data kubva muna2008 kusvika 2014, makore mashanu emakore ekupona kwehuwandu hwemyeloma ndeaya:Cancer stat chokwadi: Myeloma. (nd).
muoni.cancer.gov/statfacts/html/mulmy.html

General tarisiro yeleukemia

Dzimwe mhando dzeleukemia dzinogona kurapwa. Semuenzaniso, vangangoita makumi mapfumbamwe muzana evana vane acute lymphocytic leukemia vanorapwa.Leukemia: Outlook / kufungidzira. (2016).
my.clevelandclinic.org/health/diseases/4365-leukemia/outlook-prognosis

Zvinoenderana nedhata reSEER kubva muna2008 kusvika 2014, makore mashanu ekupona kweleukemia iri 61,4 muzana.Cancer stat chokwadi: Leukemia. (nd).
muoni.cancer.gov/statfacts/html/leuks.html Kufa kwehuwandu kwakadonha avhareji ye1.5 muzana gore rega kubva 2006 kusvika 2015.

General tarisiro ye lymphoma

Hodgkin's lymphoma inorapwa zvakanyanya. Kana yawanikwa kutanga, vese vakuru uye hudiki Hodgkin's lymphoma inogona kurapwa.

Zvinoenderana nedhata reSEER kubva muna2008 kusvika 2014, makore mashanu ekupona kweHodgkin's lymphoma ndeaya:Cancer stat chokwadi: Hodgkin lymphoma. (nd).
muoni.cancer.gov/statfacts/html/hodg.html

Zvinoenderana nedhata reSEER kubva muna2008 kusvika 2014, makore mashanu emakore ekupona kweasina-Hodgkin's lymphoma ndeaya:Cancer stat chokwadi: Kwete-Hodgkin lymphoma. (nd).
muoni.cancer.gov/statfacts/html/nhl.html

Kutora

Kana iwe wakagamuchira chirwere chegomarara remongo wemapfupa, iwe unogona kunge uine mibvunzo yakawanda nezve zvekuita zvinotevera.

Hezvino zvinhu zvishoma zvekukurukura nachiremba wako:

• iyo chaiyo mhando uye nhanho yekenza
• zvinangwa zvesarudzo dzako dzekurapa
• bvunzo dzipi dzichaitwa kuti uone kufambira mberi kwako
• zvaunogona kuita kugadzirisa zviratidzo uye kuwana rutsigiro rwaunoda
• kunyangwe kuyedzwa kwekiriniki kwakakukodzera
• maonero ako anoenderana nehutano hwako uye hutano hwakazara

Kumbira kujekeswa kana uchida. Wako oncologist aripo kuti akubatsire kuti unzwisise kuongororwa kwako uye zvese zvaunogona kurapwa. Kuvhura kutaurirana nachiremba wako kuchakubatsira iwe kuita sarudzo yakanakisa yekurapa kwako.