Njengoba myeloma iphathwa kwa-Israyeli?

Myeloma noma plasmacytoma liphinde myeloma iyisifo umdlavuza lapho kukhona khona umnkantsha ukuzibandakanya.

Umdlavuza amaseli, kulesi simo asathuthuka-plasma (ingxenye ewuketshezi yegazi equkethe zegazi, leukocyte futhi erythrocyte). Ngo umnkantsha ekhiqizwa stem cells ukuthi iphenduke uhlobo olulodwa ngaphezu kwamangqamuzana egazi.

Ngenxa yalokho, ukuthuthukiswa myeloma amaningi abantu kakhulu kunciphisa ukukhiqizwa kwamasosha omzimba ekwazi ukumelana ezihlukahlukene nezifo.

Ngokwezibalo, lesi sifo ngokuvamile kwenzeka yobudala emaphakathi noma ubudala, isikhathi esiningi siye sitholakale kubantu abathokozelwa nguye.

Izimpawu myeloma zihlanganisa:

• ubuhlungu Bone, ngokuvamile ikhanda, emgogodleni, ukhalo, sternum;
• Ukuphelelwa ngumoya, ubuthakathaka, ukopha njalo, isiyezi;
• Izimpawu ze-sezinzwa uhlelo izilonda (sebuhlungwini obunzima, ubuthakathaka kanye ndikindiki izinyawo), ngenxa yokuthi amathambo ethintekile cindezela nezinzwa ezinkulu;
• Ukungasebenzi kahle we nezinso;
• Ukuntuleka kokukhulumisana Ukuvikelwa ezifweni, ikakhulukazi i-pneumonia.

Izimo zethu zihluke kakhulu ngokwemvelo, ukwelapha myeloma e Israyeli kudinga inkambo ukuhlola eliphezulu, okuhlanganisa imisebenzi elandelayo:

• umlando Medical behlolwa;
• izindlela Laboratory uphethwe;
• Ukususa isampula isimila nezicubu (biopsy) sokucwaninga histological;
• izifundo Immunological;
• esimweni;
• computed tomography ;
• Magnetic resonance imaging.

Ngaphezu ukulawula myeloma ukuhlolwa kwegazi yokuzelapha kwenziwe Israyeli ukufunda inani egazi abomvu ke, i-calcium, paraprotein. Futhi lafundvwako izinso.

Njengoba myeloma iyisifo esithinta kwayo yonke indikimba, indlela ephumelela kangcono sinzima, ehlanganisa sebuningini Izindlela zokwelapha. Kuze kube manje, wokwelapha isifo somdlavuza ethandwa kakhulu futhi ngempumelelo yilezi: nokwelashwa ngamakhemikhali, welashwa ngemisebe, ukuhlinzwa.

Nokho, kuze kube manje, imiphumela emihle kakhulu ekwelapheni myeloma kwa-Israyeli ubonisa imiphumela emibi yokwelashwa ngamakhemikhali ngokuhlanganyela yokwamukela hormone ngama-corticosteroid. kungenzeka Iziguli unikezwa imithi efana: Melphalan, Cyclophosphamide, Vincristine, Cyclophosphamide, Doxorubicin.

Kuye ngezimo zesiguli kungenzeka Kunconywa vysokodozirovannaya ngamakhemikhali. Kunalokho mniningwane obalulekile Kuyaphawuleka ukuthi ngaphambi kokuqala ukwelashwa myeloma usebenzisa vysokodozirovannoy nokwelashwa ngamakhemikhali e isiguli ukuthatha inani elincane stem cells ngoba nokuvulwa uhlelo hematopoietic.

Ngaphezu kwalokho, lapho myeloma uphethwe kungenziwa ebekiwe inkambo biotherapy, okuyinto ukuthola interferon - iprotheni kwenza amaseli ungenakonakala amagciwane. Lolu hlobo ukwelashwa sihlinzekela umjovo ongama.

Kungase futhi isetshenziswe amasosha omzimba mono-isiteshi ezingaba ukubona amangqamuzana omdlavuza futhi ayeke esiphelweni nokuthuthuka kwazo.

ukwelashwa ngemisebe ekwelapheni myeloma, ngokujwayelekile esetshenziswa ukuze akhulule izimpawu zalesi sifo. Ukudalulwa emisebeni noma buthaka amathambo ubuhlungu izindawo.

ukuphathwa Steel ka myeloma futhi sihlobene ukwelashwa okuthuthukisa, ukuthi sibhekiswe ekuthuthukiseni ngezimo zesiguli. Ngenxa yale njongo abazenzi imisebenzi okuyizinto:

• Ukususwa izimila ebulalayo, okuyinto acindezele izitho zangaphakathi;
• Ukuvimbela waphuka bone oluqinisayo.

Ngaphezu kwalokho, ngezinye izikhathi ukwelapha myeloma ezihlongozwayo ngaphandle kokumpontshelwa igazi, nge ukuhlanzwa kwalo okwalandela (plasmapheresis) ka paraproteins usebenzisa imishini ekhethekile.

Konke lokhu kwelashwa ingafinyelela, uma kungekhona ukuthi alulame ngokugcwele nesineke, okungenani-ke kakhulu ukuphungula isimo sakhe.