Myeloma - Zvinokonzera, Zviratidzo neMarapirwo

Oncological zvirwere - dambudziko nguva yedu. Multiple myeloma - isingawanzowanikwi chaizvo kenza chirwere, kenza ropa. Kashoma vachirwara vanhu pasi pemakore makumi mana okuberekwa, rurefu mukana hosha rinowanikwa mune vakwegura. Kakawanda chirwere kupesvedzera vanhurume. Kana uchiri kudai vakanzwisisa chirwere ichi anotyisa, usaora mwoyo. Kune Varwere vanorarama ne chirwere ichi kwemakore anopfuura matatu. Zvinosuruvarisa zvinokonzera chirwere vakawanda myeloma vasingazivikanwi.

Myeloma: Zviratidzo

Tinofanira kuziva kuti vakawanda myeloma zvingaitika refu pasina zviratidzo, chete pashure kupa ropa kuti ongororo kunogona akawedzera ESR. Uye chete pashure zviratidzo kuoneka, akadai kurasikirwa kudya, mapfupa marwadzo, utera, uremu.

Nokuti vanhu vakawanda vane chirwere ichi chikuru chiratidzo riri kurwadziwa mapfupa. Kana uchityaira ipapo marwadzo ari mbabvu yake nomuzongoza. Ko kuparadzwa pfupa, inotungamirira leaching calcium kubva mapfupa uye vave matambudziko (hope, kurutsa, kuda kurutsa, uye zvakaipisisa - pakoma). Kana zviratidzo musana compression, deposition kunoitika vertebra.
Kakawanda, varwere hadzina kudzivirirwa kubva zvinotapukira, sezvo zinyekenyeke zvirwere. Vanopfuura hafu varwere hosha yeitsvo kunotanga. Inosimudzira ropa viscosity, saka pane zviratidzo zvakadai kuneta, nomusoro, asi the retina weziso, zvakaratidzwa vasingadzoreki. Maoko nemakumbo tingling manotsi.

Myeloma: siteji

1) flaccid

2) NEAND

In kuchava kutanga kwekupwanyiwa kusimukira chirwere, uye parameters ropa haigoni kuchinjwa, asi varwere kupererwa neropa. The chikuru zvinoratidza chirwere pakutanga uye mune ramangwana kungava kupererwa neropa. Zvinosuruvarisa vakawanda myeloma kwakaoma chaizvo kubatwa.

Treatment.

Kurapa rakasiyana, uye uwandu zvakasiyana, zvose zvinoenderana padariro chirwere. Mune vamwe varwere, myeloma ari kunonoka kunoita, izvo kazhinji zvinoda anticancer mishonga. Myeloma zvikuru amenable kurapwa mukuvamba nezvishoma. Radiation mushonga unoshanda Varwere ane oga plazmotsidy downtime. In varwere anononoka ichingowedzera chimiro chirwere, Zvinokurudzirwa kuvandira nguva. With kuwedzera bundu guru raitongwa cytostatics. Mureza kurapwa raitongwa melphalan, hlorbutin cyclophosphamide akabatana prednisolone, mishonga kunotora mazuva 5 kusvika 7 ose 5 - 6 mavhiki, kana kushandisa gadziriro izvi kunoitika zvakaenzana. Kana uri inonyatsoziva kurapwa, ipapo iwe akakurumidza akaderedza pfupa marwadzo, kuwedzera ropa Chizenga mumatunhu. Kuti kuva inobudirira zvikuru kurapa zvinofanira akaramba zvinenge 2 years. Uyewo tiite mabasa kuti kudzivirira matambudziko.

Nokuti kudzivirirwa uye rutapudzo calcium muropa glucocorticoid waakaudzwa akabatana zhinji nezvinobata. Vhitamini D chinotarisirwa kuti kuderedza osteoporosis kubva renal kukuvara kana raitongwa aplopurinol zvakawanda Used zvokunwa. Plasmapheresis pamwe hemodialysis kushandiswa pamusoro pokumuka renal kukundikana. Achifuridzirwa nemwaranzi mishonga anogona kutapudza marwadzo mafupa.

Chii Zvaifungidzirwa mune vakawanda myeloma?

With nzira ano kurapa varwere nevazukuru upenyu avhareji yemakore mana, zvikasadaro nayo achatapudzwa makore maviri. Chokwadi, nguva upenyu kunoenderana aikanganiswa kurapwa pamwe cytotoxic vamiririri, uye varwere chikuru nemishonga yokurapa vane yakaderera wokurarama. Asi kurapwa kwenguva refu pamwe cytotoxic yomuchipatara zvingamuka rikwanise neleukemia, uye kashoma ikabuda varwere vasina kurapwa. Lifespan hakubvi chete pamusoro kurapwa, asi padariro chirwere, iro akaonekwa sezvo bundu.
VaBennett rufu kungava myeloma kuchiita chirwere, sepsis, sitiroko, itsvo kukundikana, varwere vakawanda vanofa myocardial infarction uye nezvimwe zvirwere zvakawanda.