Kuwonetsa Zizindikiro Zoyambirira za Khansa Yakupha Yamagazi
Myeloma zambiri ndi khansa ya maselo a m'magazi mumphongo. Maselo a plasma ndi mbali yofunikira ya chitetezo cha mthupi. Pamene maselowa amakhala opweteka, amapanga chotupa, kawirikawiri mumphongo komanso m'madera ena a thupi.
Zizindikiro zoyambirira za myeloma zingapo zimakhala zosazindikirika chifukwa nthawi zambiri zimakhala zosavuta komanso zosadziwika. Matendawa amatha kutsanzira zochitika zina, zochepa kwambiri ndipo zimawoneka pambuyo poyezetsa magazi nthawi zonse.
Kudziwa zizindikiro za myeloma ndi njira yabwino kwambiri yopezeramo ndi kuchiritsidwa msanga pamene chiwongoladzanja chikukwera kwambiri.
Zizindikiro Zoyambirira za Myeloma Yambiri
Zizindikiro zowonjezereka za myeloma ndi kupweteka kwa fupa ndi kupasuka. Zizindikiro zina zimagwirizana ndi zovuta za matendawa pamene zimayamba, mwachindunji ndi mosiyana, zimakhudza ziwalo zina za thupi, kuphatikizapo impso, ubongo, ndi m'mimba.
Zizindikiro zoyambirira, zopanda malire zingaphatikizepo:
- kutopa
- kuwonjezeka kapena kuchepa kukodza
- kusagwedezeka kumatsatiridwa ndi kutopa
- kunyoza ndi kusanza
- osadziwika bwino
- kuwonjezeka kwa chiopsezo ku matenda
Chimodzi mwa zizindikirozi chikayenera kubwera kwa dokotala, makamaka ngati sichinafotokozedwe, kupitiriza, kapena kuwonjezeka. Kulemera kosayembekezereka, makamaka, ndikofala kwa khansa zonse, kuphatikizapo multipleeloma angapo.
Zizindikiro Zogwirizana ndi Matenda Zambiri za Myeloma
Kupweteka kwa mafupa ndi chimodzi mwa zizindikiro zoyamba za myeloma.
Kupwetekedwa kwapansi kumakhala kofala, ngakhale kuti ululu ukhoza kuchitika kuzungulira nthiti, chiuno, ngakhalenso chigaza. Ngakhale kupweteka kwa mafupa kungayambitsidwe ndi zina zomwe sizili zoipitsa, chizindikirocho chiyenera kukhala chodetsa nkhaŵa kwa achinyamata amene vuto lawo silikufala.
Kugwidwa kwa mafupa osadziŵika kaŵirikaŵiri ndikochitika kuti madotolo afufuze myeloma yambiri ngati chifukwa chotheka.
Mphepete, nthiti, ndi nkhono zimakhala zofalikira zambiri chifukwa cha matenda osokoneza bongo ( osteoporosis ) omwe amawonedwa mwa anthu omwe ali ndi myeloma yambiri.
Calcium Yokwera ngati Chizindikiro cha Myeloma Yambiri
Mankhwala a calcium ambiri m'magazi, omwe amadziwika kuti hypercalcemia , amakhalanso chizindikiro cha myeloma. Pamene maselo a myeloma amathyola mafupa, kashiamu amamasulidwa m'magazi, ndipo amachititsa kuti asungunuke.
Zizindikiro za hypercalcemia zikuphatikizapo:
- kunyoza
- kusowa kwa njala
- kutopa ndi kufooka
- ludzu lalikulu kapena kukodza
- kudzimbidwa
- chisokonezo
- impso kulephera
Anemia mu Myeloma Yambiri
Pamene maselo a myeloma amayamba kufalikira m'mafupa, maselo ozolowereka amapindula pang'onopang'ono. Zimenezi zimapangitsa kuti maselo ofiira ofiira, omwe amatchedwa hemoglobin, athandizidwe ndi matenda otchedwa anemia .
Ngakhale kuti munthu akhoza kukhala ndi nthendayi chifukwa cha zifukwa zirilonse, kuperewera m'maselo oyera a magazi ndi mapapulaneti nthawi zambiri kumapangitsa madokotala kufufuzira kwambiri.
Zizindikiro za kuchepa kwa magazi zikuphatikizapo:
- kulapa
- chizungulire
- kufooka ndi kutopa
- kupuma pang'ono
- zovuta za mtima
Kuchepa kwa maselo oyera a magazi kungapangitse munthu kutenga chiopsezo chotenga matenda, kuphatikizapo chibayo komanso matenda opangira mkodzo . Chiwerengero chochepa cha mapaleti chikhoza kuchititsa kuti munthu asambe magazi.
Matenda a Impso Monga Zizindikiro za Myeloma Yambiri
Mankhwala a calcium ndi myeloma mapuloteni amatha kuwononga impso pamene amasankhidwa kuchokera ku magazi ndipo amatha kuika mkati mwa mitsempha ya impso. Izi zikachitika, impso zimasowa kuthetsa kuwonongeka kwa thupi, madzi, ndi kuthamanga kwa magazi ndipo pamapeto pake zimalephera.
Zizindikiro zambiri za impso zolephera zikuphatikizapo:
- Kutupa kwa miyendo ndi mabotolo
- kufooka
- kuchepetsa kuchepa
- kupuma pang'ono
- chizoloŵezi chotsutsa
- ululu kapena kupanikizika mu chifuwa
Ngakhale kuti matenda a impso amachitika nthawi zambiri anthu omwe ali ndi myeloma yambiri, amadziwikanso kuti amachitika nthawi yoyamba ya matendawa.
Kusadziwika ngati Chizindikiro cha Myeloma Yambiri
Magazi owopsa, omwe amadziwikanso kuti kutaya thupi, amayamba chifukwa cha kuchuluka kwa mapuloteni opangidwa ndi maselo a khansa ya m'magazi. Izi zikachitika, magazi amatsutsana ndi kutuluka, zomwe zimabweretsa zizindikilo zingapo:
- Mphuno yamphuno
- masomphenya olakwika
- kupweteka kapena kugwedeza m'manja kapena miyendo
- mtima kulephera
Kununkhira ndi Kumangirira monga Chizindikiro cha Myeloma Yambiri
Pamene mafupa a msanawo afooka kapena amathyoka, amatha kugwa pamphuno ya mitsempha ndi kuikakamiza. Zimenezi zingayambitse vuto lotchedwa radiculopathy . Zisonyezero zimaphatikizapo kupha, kumangirira, ndi kufooka pambali yonse ya mitsempha.
Ngati chingwe cha msana chikuphatikizidwa, vutoli limatchedwa kupweteka kwa msana , kupweteka kwa chikhodzodzo kapena kutsegula m'mimba, kusokonezeka maganizo, ndi kufooka kwa mwendo. Zili ngati vuto lachipatala ndi chizindikiro chodziwikiratu cha matenda akuluakulu okhudza zigoba ndi zamanjenje.
Mawu Ochokera
Miyezo yodziwira myeloma yambiri ndi yovuta kwambiri popanda kalasi imodzi yothetsera yothetsera matendawa. Choncho, kuwona zizindikiro zoyambirira za khansara - kaya kuwerengedwa kwachidziwitso kwa magazi, kusintha kwa thanzi, kapena kupweteka kosawerengeka kapena kuperewera kwa thupi - kumakhala kofunikira kwambiri pakuzindikira momwe mwamsanga mungapezedwe ndi kuchiritsidwa.
Mukadzapeza matenda oyambirira, malamulo awa akugwiritsidwa ntchito:
- Musanyalanyaze chikhalidwe chokhazikika kapena chiganizireni kuti "chatsopano" pamene mukukula.
- Pitani kwa dokotala wanu ngati mukukumana ndi chisonyezo chilichonse chomwe simungathe kuchifotokoza kapena simungachoke.
- Osachepera, yonganizani chaka ndi chaka ndi mayeso osiyanasiyana a magazi kuti muwone kusintha komwe kungakhale kovuta.
Zotsatira
- > American Cancer Society. "Kodi Myeloma Yambiri Ndi Chiyani? "Washington, DC; yomaliza anawonanso mu 2016.
- > Rajkumar, S.; Dimopoulos, M .; Palumbo, A .; et al. "Mayiko onse omwe amagwira ntchito ku myeloma amawunikira kuti ndipeze matenda osiyanasiyana a myeloma." Lancet Oncol . 2014; 15 (12): e538-48.