Ukutshatyalaliswa kweMpawu zokuqala zeCancercer Blood
I-myeloma emininzi ngumhlaza weeseli ze-plasma kwintsi. Iiseli zamaplasma ziyinxalenye ebalulekileyo yesistim somzimba. Xa la maseli ahlambalaza, avelisa isisu, ngokuqhelekileyo esithambo kodwa nakwezinye iindawo zomzimba.
Iimpawu zokuqala ze-myeloma zingakwazi ukungaqapheli kuba zihlala zingacacanga kwaye zingezizo. Esi sifo sinokuzifanisa nezinye iimeko kwaye zingabonakali emva kokuhlolwa kwegazi rhoqo.
Ukwazi impawu ze-myeloma yindlela efanelekileyo yokufumana unyango kwaye uphathwe ngokukhawuleza xa amazinga okuphumelela aphezulu.
Iimpawu zokuqala ze-Myeloma ezininzi
Iimpawu eziqhelekileyo ze-myeloma zintlungu zentlungu kunye nokuphuka. Ezinye iimpawu zihambelana neengxaki zesifo njengoko ziqala, ngokuthe ngqo nangendlela engathanga ngqo, zichaphazela ezinye iinkqubo zesebe, kubandakanywa neentso, ingqondo kunye nesondlo.
Ukuqala, iimpawu ezingabonakaliyo zingabandakanya:
- ukukhathala
- ukwanda okanye ukunciphisa ukuchama
- ukungazinzi kulandelwa ukudinwa
- isicupunu kunye nokuhlanza
- ukulahleka kwesisindo esingachazwanga
- ukwandisa amathuba okusuleleka kwizifo
Naliphi na le mpawu iza kuqinisekisa ngokutyelela ugqirha, ngokukodwa ukuba ayichazi, iqhubeka, okanye iyanda. Ukulahleka kwesisindo esingachazwanga, ngokukodwa, kuyinto eqhelekileyo yazo zonke i-cancer, kuquka i-myeloma eninzi.
Iimpawu ezixhamle ngeThambo ze-Myeloma ezininzi
Iintlungu zesifo esinye sezibonakaliso zokuqala ze-myeloma.
Iintlungu ezibuhlungu ezisezantsi ziqhelekile, nangona intlungu ingaba zijikeleze iimbambo, iinqumle, kunye nekhanga. Nangona intlungu yesifo ingabangelwa ezinye iimeko ezingekho kakubi, impawu kufuneka zihlale zixhalabisa kubantu abancinci abaneengxaki zesifo.
Ukuqhekeza amathambo angachazwanga ngokuqhelekileyo ngumcimbi okhokela oogqirha ukuba bahlolisise i-myeloma eninzi njengento enokwenzeka.
Umlenze, iimbambo kunye neentsimbi zindawo apho iindawo ezininzi zenzeke ngenxa yesifo sokulahleka kwethambo (i- osteoporosis ) kubonwa ngabantu abane-myeloma.
I-Calcium ephakamileyo njengeSimboli se-Myeloma ezininzi
Amanqanaba aphakanyisiweyo e-calcium egazini, eyaziwa ngokuba yi- hypercalcemia , nayo ingumqondiso we-myeloma ezininzi. Njengamaseli e-myeloma aphula into yeethambo, i-calcium ikhutshelwe kwigazi, ibangela ukuqokelela.
Iimpawu ze hypercalcemia ziquka:
- isicaphulelo
- ukulahleka kwesidlo
- ukhathala nobuthathaka
- ukomeleza ngokweqile okanye ukucola
- ukuqothulwa
- kudideka
- ukuphelelwa kweengtso
IAnemia kwi-Myeloma yamaninzi
Njengamaseli e-myeloma aqala ukwandisa emnzini wethambo, iiseli eziqhelekileyo ziyacinywa ngokuqhubekayo. Oku kubangela ukutshatyalaliswa kweeseli ezibomvu zegazi, ezibizwa ngokuba yi-hemoglobin, ezibangele imeko ebizwa ngokuba yi- anemia .
Nangona umntu enokuthi abe ngumdla wamanzi ngenxa yeliphi na izizathu, ukuhamba kwamaconsi egazi ezimhlophe kunye neeplatelets kudla ngokukhokelela oogqirha ukuba baphando.
Iimpawu ze-anemia ziquka:
- i ntlungu
- ukungcola
- ubuthathaka kunye nokukhathala
- ukuqhawukelwa ngumphefumlo
- ntliziyo
Ukuchithwa kweeseli ezimhlophe zegazi kunokwandisa umngcipheko womntu wesifo, kubandakanya i- pneumonia kunye nezifo zogcino . Inani elinciphile leeplatelets lingenza ukuba umntu aphephe ngokulula.
Izifo zeengxaki njengezibonakaliso ze-Myeloma ezininzi
Amanqanaba aphezulu e-calcium kunye neprotheyini ye-myeloma angawonakalisa iinjongo njengoko zihlanjululwa egazini kwaye ziqokelele ngaphakathi kwenethiwekhi yesistim yeentso. Xa oko kwenzeka, iintso zilahlekelwa amandla abo okulawula inkunkuma yomzimba, izifo zamanzi, kunye neengcinezelo zegazi kwaye ekugqibeleni zihluleka.
Impawu eziqhelekileyo zokuhluleka kwezintso ziquka:
- ukuvuvukala kwemilenze kunye neenqaqa
- ubuthathaka
- ukunciphisa urination
- ukuqhawukelwa ngumphefumlo
- ukuphika isicuphuso
- intlungu okanye uxinzelelo esifubeni
Nangona ukungafuneki kweengqondo kubakho ngokuqhelekileyo kubantu abane-myeloma ehamba phambili, kwaye kwaziwa ukuba kwenzeka ngexesha lokuqala kwesifo.
Ukungabi nongqondo njengempawu ye-Myeloma yamaninzi
Igazi elinamahlombe, elibizwa ngokuba yi-hyperviscosity, libangelwa ukuqokelela ngokweqile kweeprotheyini eziveliswa ngamaseli e-plasma echaphazela umdlavuza. Xa oko kwenzeka, igazi alixhatshazi ukuhamba, okubangele impawu ezinobungqina:
- impumlo iphuma
- Umbono obolileyo
- ukuphazamisa okanye ukubetha kwiingalo okanye emilenzeni
- ukumelwa yintliziyo
Ubungqina kunye nokuThetha njengeSimboli seMyeloma yamaninzi
Xa amathambo omgudu aphelelwe amandla okanye aphule, angakwazi ukuwa phantsi kweengcambu zeengcambu aze azicinezele. Oku kunokukhokelela kwimeko ebizwa ngokuba yi- radiculopathy . Iimpawu ziquka ukugada, ukubetha, kunye nobuthathaka kwikhosi yonke.
Ukuba kuqukwa intambo yomgogodla, imeko ebizwa ngokuba yi- spinal cord compression ingabangela intlungu ebuhlungu, ukulahleka kwesilwanyana okanye ukulawula imilenze, ukuphazamiseka kwengqondo kunye nobuthakathaka bomlenze. Kuthathwa njengongxamiseko lwezokwelapha kunye nomqondiso ocacileyo wengxaki enkulu ebandakanya iinkqubo zamathambo kunye neentlanzi.
ILizwi
Imigangatho yokuxilonga i-myeloma eninzi iyanzima ukuba akukho vavanyo lwebhubhanki olulodwa olukwazi ukuchonga ngokucacileyo eso sifo. Ngako oko, ukuphawula iimpawu zokuqala zomhlaza-nokuba ngaba kufundwa kwegazi okungavamile, utshintsho kwimpilo, okanye intlungu engachazwanga okanye ukulahleka kwesisindo - iba yinto ebaluleke ngakumbi ekunqumeni ukuba kungekudala unokufunyanwa kwaye uphathwe.
Xa kufika ukuxilongwa kwangaphambili, le mithetho ilandelayo iyasebenza:
- Ungalokothi uhoxise imeko eqhubekayo okanye ucinge ukuba "yinto evamile" njengoko ukhula.
- Yiya kugqirha wakho ukuba ufumana nawuphi na uphawu ongenakukwazi ukuchaza okanye nje aluyi kuhamba.
- Kancinci, cwangcisa umzimba wonyaka kunye nohlu olupheleleyo lweemvavanyo zegazi ukuze ubone nayiphi na inguqu enokuba yinkxalabo.
Imithombo
- > I-American Cancer Society. "Ziyini i-Myeloma ezininzi? "Washington, DC; gqibela ukuhlaziywa ngoJanuwari 2016.
- > Rajkumar, S .; Dimopoulos, M .; Palumbo, A .; okqhubekayo. "Iqela lasebenzi lase-myeloma lamazwe ngamazwe lihlaziywa imigaqo yokuxilongwa kwe-myeloma." I- Lancet Oncol . 2014; 15 (12): e538-48.