Chirwere cheWaldenstrom

Zvemukati

• Ndezvipi Zviratidzo zveChirwere cheWaldenstrom?
• Ndezvipi Zvinokonzera Zvirwere zveWaldenstrom?
• Chirwere cheWaldenstrom Chinoonekwa Sei?
• Chirwere cheWaldenstrom Chinobatwa Sei?
• Chemotherapy
• Plasmapheresis
• Biotherapy
• Kuvhiya
• Clinical Miedzo
• Ndeapi Maonero Ekureba-Kure?

Chii Chinonzi Chirwere cheWaldenstrom?

Immune system yako inoburitsa maseru anodzivirira muviri wako kuhutachiona. Rimwe sero rakadai B lymphocyte, inozivikanwawo seB sero. B maseru anogadzirwa mumongo wemapfupa. Ivo vanofamba uye vanokura mune yako lymph node uye spleen. Anogona kuve masero eplasma, ayo ane basa rekuburitsa antibody inozivikanwa seye immunoglobulin M, kana IgM. Maantibodies anoshandiswa nemuviri wako kurwisa zvirwere zvinopinda.

Muzviitiko zvisingawanzoitika, muviri wako unogona kutanga kuburitsa yakawandisa IgM. Kana izvi zvikaitika, ropa rako rinobva ranyanya. Izvi zvinozivikanwa sehyperviscosity, uye zvinoita kuti zviomere nhengo dzako dzese uye nyama kuti zvishande nemazvo. Aya mamiriro umo muviri wako unoita yakawandisa IgM inozivikanwa sechirwere cheWaldenstrom. Icho inyanzvi mhando yekenza.

Chirwere cheWaldenstrom kenza isingawanzoitiki. IAmerican Cancer Society (ACS) inoshuma kuti kune angangoita chiuru nemazana zana kusvika chiuru nemazana mashanu echirwere cheWaldenstrom chinoonekwa gore rega rega muUnited States. Chirwere ichi hachisi Hodgkin lymphoma inokura zvishoma. Chirwere cheWaldenstrom chinozivikanwawo se:

• Waldenstrom's macroglobulinemia
• lymphoplasmacytic lymphoma
• chikuru macroglobulinemia

Ndezvipi Zviratidzo zveChirwere cheWaldenstrom?

Zviratidzo zvechirwere cheWaldenstrom zvichasiyana zvichienderana nekuoma kwemamiriro ako. Mune zvimwe zviitiko, vanhu vane chirwere ichi havana zviratidzo. Zviratidzo zvakajairika zvechirwere ichi ndeizvi:

• kushaya simba
• kuneta
• kubuda ropa kubva mumatadza kana mumhino
• kuonda
• mavanga
• maronda eganda
• kushanduka kweganda
• kuzvimba gland

Kana huwandu hweIgM mumuviri wako ukave wakanyanya kukwirira, unogona kuona zvimwe zviratidzo. Zviratidzo izvi zvinowanzoitika semhedzisiro ye hyperviscosity uye zvinosanganisira:

• maonero anochinja, kusanganisira kuona kwakashata uye kurasikirwa kwemaonero
• kutemwa nemusoro
• dzungu kana vertigo
• shanduko muchimiro chepfungwa

Ndezvipi Zvinokonzera Zvirwere zveWaldenstrom?

Chirwere cheWaldenstrom chinokura kana muviri wako uchinge wanyanyisa masoja ekudzivirira IgM. Chinokonzera chirwere ichi hachizivikanwi.

Mamiriro acho akajairika pakati pevanhu vane nhengo dzemhuri dzine chirwere ichi. Izvi zvinoratidza kuti inogona kunge iri nhaka.

Chirwere cheWaldenstrom Chinoonekwa Sei?

Kuti uongorore chirwere ichi, chiremba wako anotanga nekuita bvunzo dzepanyama uye nekukubvunza nezvenhoroondo yehutano hwako. Chiremba wako anogona kutarisa kuzvimba mupleen yako, chiropa, kana lymph node panguva yekuongorora.

Kana iwe uine zviratidzo zvechirwere cheWaldenstrom, chiremba wako anogona kuraira mimwe bvunzo kuti asimbise kuongororwa kwako. Iyi bvunzo inogona kusanganisira:

• kuongororwa kweropa kuti uone huwandu hwako hweIgM uye kuongorora kukora kweropa rako
• pfupa remongo
• CT inoongorora yemapfupa kana yakapfava tishu
• X-ray yemapfupa kana zvinyoro zvinyoro

CT scan uye X-ray yemapfupa uye zvinyoro zvinyoro zvinoshandiswa kusiyanisa chirwere cheWaldenstrom nerumwe rudzi rwekenza inonzi multiple myeloma.

Chirwere cheWaldenstrom Chinobatwa Sei?

Iko hakuna kurapwa kwechirwere cheWaldenstrom. Zvisinei, kurapwa kunogona kushanda pakudzora zviratidzo zvako. Kurapa kwechirwere cheWaldenstrom kunoenderana nekuoma kwezviratidzo zvako. Kana iwe uine chirwere cheWaldenstrom chisina chero zviratidzo zvechirwere, chiremba wako anogona kusakurudzira chero kurapwa. Iwe haugone kuda kurapwa kusvika iwe waita zviratidzo. Izvi zvinogona kutora makore akati wandei.

Kana iwe uine zviratidzo zvechirwere, kune akatiwandei marapirwo akasiyana ayo chiremba wako anogona kukurudzira. Izvi zvinosanganisira:

Chemotherapy

Chemotherapy mushonga unoparadza masero mumuviri anokura nekukurumidza. Iwe unogona kuwana kurapwa uku sepiritsi kana intravenously, zvinoreva kuburikidza nemutsinga dzako. Chemotherapy yechirwere cheWaldenstrom yakagadzirirwa kurwisa masero asina kujairika achiburitsa yakawandisa IgM.

Plasmapheresis

Plasmapheresis, kana plasma kuchinjana, inzira iyo mapuroteni akawandisa anonzi IgM immunoglobulins ari muplasma anobviswa muropa nemuchina, uye yakasara plasma inosanganiswa neyeanopa plasma uye inodzoserwa mumuviri.

Biotherapy

Biotherapy, kana biology therapy, inoshandiswa kusimudzira kugona kwemasoja ekudzivirira chirwere chegomarara. Inogona kushandiswa nekemotherapy.

Kuvhiya

Zvinokwanisika chiremba wako anogona kukurudzira kuvhiyiwa kuti abvise spleen. Izvi zvinonzi splenectomy. Vanhu vane maitiro aya vanogona kudzikisira kana kubvisa zviratidzo zvavo kwemakore mazhinji. Zvisinei, zviratidzo zvechirwere zvinowanzodzoka kune vanhu vane splenectomy.

Clinical Miedzo

Kutevera kuongororwa kwako, iwe unofanirwa zvakare kubvunza chiremba wako nezve kiriniki miedzo yemishonga mitsva nemaitiro ekurapa chirwere cheWaldenstrom. Kliniki miedzo inowanzo shandiswa kuyedza marapirwo matsva kana kutsvaga nzira nyowani dzekushandisa kurapa kuripo. National Cancer Institute inogona kunge iri kutsigira kiriniki miedzo inogona kukupa iwe mamwe marapiro ekurwisa chirwere ichi.

Ndeapi Maonero Ekureba-Kure?

Kana iwe ukabatwa nechirwere cheWaldenstrom, maonero anoenderana nekuenderera kwechirwere chako. Hosha yacho inofambira mberi pamitengo yakasiyana zvichienderana nemunhu. Avo vane chirwere chinononoka kufambira mberi vane nguva yakareba yekurarama kana ichienzaniswa neavo vane chirwere chinokura nekukurumidza. Zvinoenderana nechinyorwa chiri mukati, maonero echirwere cheWaldenstrom anogona kusiyana. Avhareji yekupona inotanga kubva pamashanu kusvika angangoita makore gumi nerimwe mushure mekuongororwa.