So woate yare bi a wɔfrɛ no Multiple Myeloma ho asɛm pɛn? Ebia edin no te sɛ nea ɛyɛ nwonwa kakra ma wo, anaasɛ ebia wontee ho asɛm koraa. Nokwarem no, ɛyɛ kokoram a ɛntaa nsi, nanso emu yɛ den a ɛka yɛn mogya. Ɛho hia sɛ wuhu, efisɛ sɛ wuhu ntɛm a, ebetumi aboa wo ma woadi wo sɛnkyerɛnne ahorow no ho dwuma na woabɔ bra a eye sen biara.

Dɛn ne Multiple Myeloma?

Okay, ma yɛnhwɛ nea saa multiple myeloma yi yɛ. Sɛ yɛbɛka no tiawa a, ɛyɛ kokoram a ɛba nkwammoaa bi a wɔfrɛ no plasma nkwammoaa mu wɔ yɛn mogya mu.

Afei ebia woresusuw ho sɛ, "Dɛn ne saa plasma nkwammoaa yi?" Eyinom yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn nipadua mu. Sɛ yɛbɛkyerɛkyerɛ mu akɔ akyiri a, wɔyɛ yɛn nipadua mu tumi a ɛko tia nyarewa , nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho no fã a ɛho hia yiye. Ɛtɔ mmere bi a wɔsan frɛ eyinom B-nkwaboaa . Saa plasma nkwammoaa yi na ɛyɛ nneɛma a ɛko tia nyarewa , anaasɛ immunoglobulins . Saa nnuru a ɛko tia nyarewa yi na ɛko tia mmoawa, mmoawa, ne mmoawa a wɔhyɛn yɛn nipadua mu na wɔbɔ yɛn ho ban na yɛannyare. Wɔte sɛ awɛmfo nketewa wɔ yɛn nipadua mu.

Enti, sɛ multiple myeloma ba a, saa plasma nkwammoaa a ɛte apɔw na eye yi sesa esiane biribi nti na ɛbɛyɛ kokoram nkwammoaa a ɛnyɛ ne kwan so . Afei saa nkwammoaa a ɛnteɛ yi fi ase kyekyɛ na ɛdɔɔso ntɛmntɛm, a wontumi nni so. Plasma nkwammoaa a ɛnteɛ a ɛba saa kwan yi so no nso ma nipadua no mu nkwammoaa a ɛko tia nyarewa a ɛnyɛ ne kwan so na mfaso nni so. Yɛfrɛ eyinom M protein ahorow .

Saa nkwammoaa a ɛnteɛ yi dɔɔso na wɔyɛ M protein ahorow, na ebetumi de ɔhaw ahorow aba. Wobetumi asɛe wo nnompe na aka w’asaabo dwumadi. Afei nso, wobetumi asiw nnompe mu ntini a ɛma mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, ne mogya mu nkwammoaa a ɛte apɔw, a ɛboa ma mogya tu no kwan.

So eyi yɛ yare a wontumi nsa?

Nokwarem no, mprempren wonni Multiple Myeloma aduru biara. Ɛno ne nokware a ɛyɛ awerɛhow no. Nanso mma ɛnhaw wo , nnuruyɛfo betumi asa yare yi ho nsunsuanso bɔne ne ne sɛnkyerɛnne ahorow. Afei nso, wotumi ma yare no trɛw brɛoo.

Nnipa pii betumi anya bere bi a wɔn ho atɔ wɔn a wonni sɛnkyerɛnne biara wɔ ayaresa akyi. Yɛfrɛ eyi sɛ bɔne fafiri bere. Ɛne sɛ, sɛ wosa wo yare wie a, wubetumi atra ase sɛnea ɛsɛ a wunnya multiple myeloma ho sɛnkyerɛnne biara. Wɔ nnipa binom fam no, saa bere a wɔde gyae wɔn ho yi kyɛ.

Multiple Myeloma abu so dɛn?

Eyi yɛ yare a ɛntaa nsi ankasa.. Akontaabu kyerɛ sɛ nnipa 100,000 biara mu bɛyɛ 7 na yare yi ka wɔn afe biara. Wɔ ɔman te sɛ Amerika mu no, wobu akontaa sɛ nnipa bɛyɛ 100,000 na wɔyare saa yare yi. Ɛwom sɛ wonni nsɛm pɔtee biara a ɛkyerɛ nnipa dodow a ɛka wɔn wɔ yɛn man yi mu de, nanso wobu eyi sɛ yare a ɛntaa nsi koraa.

Hena na ɛda adi sɛ obenya saa yare yi?

Multiple myeloma abu so wɔ mmarima mu sen mmea mu . Wɔahu nso sɛ ɛka mmusuakuw bi sen afoforo. Sɛ nhwɛso no, abibifo betumi anya yare no mmɔho abien sen aborɔfo.

Sɛ yɛhwɛ mfe a obi adi a, wɔtaa hu wɔ nnipa a wɔadi fi mfe 40 kosi 70. Sɛ wɔkyekyem pɛpɛɛpɛ a, mfe a obi adi bere a wɔahu no yɛ 65 kosi 74. Ɛno kyerɛ sɛ ɛtaa da adi bere a woanyin kakra no.

Ɔkwan bɛn so na Multiple Myeloma ka nipadua no?

Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara mfiase no, nanso nneɛma te sɛ mogya mu nhwehwɛmu betumi ada sɛnkyerɛnne ahorow adi sɛ ebia wobenya multiple myeloma daakye.

Sɛ nhwɛso no, nnompe mu ntini a wɔtwetwe anaa nipadua mu nhwehwɛmu betumi ada plasma nkwammoaa a ɛnteɛ ne awosu mu nsakrae adi. Eyi betumi akyerɛ sɛ wowɔ tebea bi a edi kokoram anim a wɔfrɛ no smoldering multiple myeloma (SMM) , a ɛyɛ nea edi multiple myeloma anim. Mogya ne nsu mu nhwehwɛmu nso tumi hu M protein ahorow a plasma nkwammoaa a ɛnteɛ no yɛ no. Wɔfrɛ saa tebea yi monoclonal gammopathy of undetermined significance (MGUS) . Nnuruyɛfo bɛhwɛ wo yiye wɔ eyinom ho.

Multiple myeloma ho sɛnkyerɛnne ahorow no da adi nkakrankakra bere a bere kɔ so no. Ebia wɔbɛte sɛ nyarewa afoforo ho sɛnkyerɛnne. Tebea atitiriw a yare yi betumi de aba ne nea ɛde ba ni:

• Mogya a ɛtɔ kɔ mogya mu: Ɛyɛ wo mogya mu nkwammoaa kɔkɔɔ a enni hɔ. Eyi ba efisɛ mogya mu nkwammoaa a ɛnteɛ hyɛ nnompe mu ntini no ma, na ɛmma entumi mma mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw.
• Mmoawa a wɔde nyarewa ba, titiriw ahurututu mu yare: Nea ɛka mogya mu nkwammoaa kɔkɔɔ ho no, mogya mu nkwammoaa a ɛnyɛ ne kwan so no dɔɔso, na ɛhyɛ mogya mu nkwammoaa fitaa a ɛte apɔw a wɔko tia ɔyare mmoawa no mu. Eyi betumi ama ayɛ mmerɛw sɛ nyarewa bɛba.
• Thrombocytopenia: Ntini mu nkwammoaa a ɛwɔ wo mogya mu a ɛba fam. Nkwammoaa a ɛma mogya tu yɛ nkwammoaa a ɛboa ma wo mogya tu. Plasma nkwammoaa a ɛnteɛ nso betumi asiw mogya nkwammoaa yi a wɔyɛ no kwan.
• Nnompe mu yaw/nnompe a abubu:Plasma nkwammoaa a ɛnteɛ sɛe nnompe mu ntini, na ɛma nnompe yɛ mmerɛw, ɛyɛ yaw, na ɛnyɛ den sɛ ebebubu. Wɔsan frɛ eyi sɛ osteolytic lesions .
• Asaabo mu haw/a huammɔdi: Yɛn asaabo na ɛyi nwura ne awuduru fi yɛn nipadua mu. M protein ahorow betumi asiw asaabo no kwan a wɔfa so yiyi mu no kwan na asɛe no.
• Amyloidosis: Eyi ne bere a protein ahorow a ɛnyɛ ne kwan so (amyloid proteins) gu nipadua no akwaa ahorow mu.
• Hypercalcemia: Calcium a ɛboro so a efi nnompe a asɛe na ayɛ mmerɛw mu no boaboa ano wɔ mogya no mu.
• Hyperviscosity syndrome: M protein ma mogya yɛ den, na ɛkyerɛ sɛ ɛsɛ sɛ koma no yɛ adwumaden na ama mogya no akɔ.
• Cryoglobulinemia: Ɛtɔ mmere bi a, multiple myeloma betumi ama protein ahorow a ɛwɔ mogya no mu ayɛ biako wɔ awɔw mu.

Dɛn ne Multiple Myeloma ho sɛnkyerɛnne ahorow?

Multiple myeloma betumi de sɛnkyerɛnne ahorow aba. Nanso nnipa pii di kan te nnompe mu yaw , titiriw wɔ akyi berɛmo ne wɔn mpampam. Nsɛnkyerɛnne afoforo bi ni:

• Mmerewa ne akwaa a ɛyɛ mmerɛw. Sɛ nnompe a ɛwɔ akyi berɛmo no mu no sɛe a, ebetumi abubu na amia akyi berɛmo no so.
• Ɔbrɛ - Wei kyerɛ sɛ wobɛte nka sɛ woabrɛ dodo sɛ wobɛyɛ da biara da nnwuma, wobɛte nka sɛ woayɛ mmerɛw. Eyinom betumi ayɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne.
• Akisikuru ne ɔfe . Eyi betumi ayɛ tebea bi a wɔfrɛ no hypercalcemia ho sɛnkyerɛnne.
• Aduan ho akɔnnɔ a ɛyera ne/anaasɛ sukɔm a ɛba no kɛse sen sɛnea ɔtaa yɛ. Eyinom nso betumi ayɛ hypercalcemia ho sɛnkyerɛnne.
• Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu .
• Atiridii a wontumi nkyerɛkyerɛ mu . Eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa.
• Ɛnyɛ den sɛ wobɛpirapira anaasɛ mogya bɛtɔ wo . Eyi kyerɛ sɛ nipadua no ntumi nyɛ mogya nkwammoaa a ɛdɔɔso esiane plasma nkwammoaa a ɛnteɛ nti.
• Memory loss , ntumi mfa n'adwene nsi biribi so, te nka sɛ "foggy".

Kae sɛ, sɛ wunya saa sɛnkyerɛnne ahorow yi mu biako anaa abien a, ɛnkyerɛ sɛ wowɔ multiple myeloma. Nanso, sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn na woakɔhwɛ.

Dɛn ne nneɛma a ɛde Multiple Myeloma ba?

Nnuruyɛfo ne nhwehwɛmufo da so ara nnim nea ɛde multiple myeloma ba ankasa, nanso nneɛma bi wɔ hɔ a wosusuw sɛ wɔreyɛ ho nhwehwɛmu:

• Awosu mu nkwaadɔm mu nsakrae: Wɔreyɛ nhwehwɛmu de ahwɛ sɛ ebia abusuabɔ bi wɔ awosu mu nkwaadɔm bi mu nsakrae ( oncogenes ) a ɛhwɛ yɛn nkwammoaa nyin so ne multiple myeloma ntam anaa. Wɔahu nso sɛ nnipa pii a wɔwɔ saa yare yi wɔ chromosome ahorow bi afã horow bi ayera.
• Nneɛma a atwa yɛn ho ahyia: Nhwehwɛmu ahorow bi ada no adi sɛ ebia mframa a ano yɛ den, nnuru a wɔde kum mmoawa, nnuru a wɔde yɛ nnɔbae, ne nnuru te sɛ Agent Orange nso ka ho.
• Nyarewa a ɛma obi ho hyehye no: Sɛ nhwɛso no, ɔyare a ɛma obi ho hyehye no bere tenten te sɛ komayare, asikreyare a ɛto so abien, ne ntini mu yare.
• Kɛse mmoroso: Eyi kyerɛ sɛ nipadua mu srade dɔɔso dodo.

Eyinom ne nneɛma a wosusuw sɛ mprempren. Nanso wonnya nkyerɛɛ sɛ eyinom mu biara na ɛde bae.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi?

Oduruyɛfo di anammɔn pii akyi de hu sɛ ɔwɔ multiple myeloma.

Nea edi kan no, wɔbɛyɛ wo nipadua mu nhwehwɛmu . Wɔbɛhwehwɛ wo sɛnkyerɛnne ahorow no mu yiye. Wobebisa wo w’abusua aduruyɛ ho abakɔsɛm nso. Afei, wobetumi ayɛ nhwehwɛmu ahorow pii de akyerɛ sɛ wɔahu yare no. Nsɛm a wobenya afi eyinom nyinaa mu no na ɛbɛkyerɛ baabi a kokoram no wɔ, te sɛ akisikuru no kɛse ne baabi a atrɛw akodu.

Sɔhwɛ ahorow bɛn na wɔyɛ ma eyi?

Nnuruyɛfo yɛ nhwehwɛmu ahorow de hu sɛ ebia wowɔ multiple myeloma, na sɛ ɛte saa a, sɛ ebia ɛrefi ase anaasɛ atrɛw kakra. Wɔn mu bi ni:

• Mogya Dodow a Edi Mu (CBC): Eyi kyerɛ mogya mu nkwammoaa kɔkɔɔ dodow, mogya mu nkwammoaa fitaa, ne hemoglobin dodow a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ mu.
• Mogya mu nnuruyɛ mu nhwehwɛmu: Eyi bɛhwɛ wo creatinine dodow (a ɛkyerɛ sɛnea w’asaabo reyɛ adwuma yiye), albumin protein dodow, calcium dodow, ne lactate dehydrogenase (LDH) dodow. LDH betumi ayɛ akisikuru agyiraehyɛde.
• Quantitative immunoglobulin test: Saa mogya mu nhwehwɛmu yi susuw nipadua mu nkwammoaa ahorow a ɛko tia nyarewa a ɛwɔ wo mogya mu no dodow.
• Electrophoresis: Saa sɔhwɛ yi hwɛ sɛ M protein ahorow wɔ mogya no mu anaa.
• Nsu mu nhwehwɛmu: Wɔsɔ nsu a wɔaboaboa ano wɔ nnɔnhwerew 24 mu hwɛ.Wubetumi ahwɛ sɛ protein foforo bi a wɔfrɛ no Bence Jones protein a ɛyɛ multiple myeloma agyiraehyɛde foforo no wɔ hɔ.
• X-ray: Wɔde X-ray di dwuma de hwɛ sɛ ebia multiple myeloma asɛe nnompe no anaa.
• CT Scan (Computed Tomography - CT scan): Eyi yɛ sɔhwɛ foforo a wɔde hwehwɛ sɛ nnompe asɛe anaa.
• MRI scan (Magnetic Resonance Imaging - MRI): Eyi de magnet a ano yɛ den ne radio asorɔkye di dwuma de yɛ wo nnompe ne w’akyi berɛmo ho mfonini a ɛkɔ akyiri. Wɔde hwehwɛ nneɛma te sɛ plasmacytomas , a ɛyɛ akisikuru a ɛba wɔ mogya mu nkwammoaa a ɛnyɛ ne kwan so akuwakuw mu.
• PET scan (Positron Emission Tomography - PET scan): Eyi yɛ scan foforo a wɔde hu plasmacytomas.
• Nnompe mu ntini mu nhwehwɛmu: Nnuruyɛfo fa nnompe mu ntini ketewaa bi na wɔhwehwɛ mu hwɛ sɛnea mogya mu nkwammoaa a ɛteɛ ne nea ɛnteɛ no ɔha biara mu nkyem 100 te. Wobetumi nso ahwɛ sɛ nsakrae bi aba DNA mu a ebetumi ama obi anya kokoram anaa.

Ɔkwan bɛn so na wohu Multiple Myeloma no fã ahorow?

Nnuruyɛfo kyerɛ baabi a multiple myeloma ne kokoram afoforo wɔ denam sɛnea kokoram no atrɛw ne baabi a atrɛw akodu a wobehu no so. Wɔde saa fã yi di dwuma de yɛ ayaresa ho nhyehyɛe. Adeyɛ a wɔde hu faako a myeloma pii no fi ase denam yare no a wɔkyekyɛ mu akuw anan no mu biako so:

1. MGUS (Monoclonal Gammopathy of Undetermined Significance): Mogya mu nhwehwɛmu kyerɛ sɛ M protein kakraa bi na ɛwɔ mu. Nnipa a wɔwɔ MGUS no mu bɛyɛ 1% - 2% betumi anya multiple myeloma.

2. Plasmacytomas a ɛyɛ ankonam anaasɛ atew ne ho: Eyinom yɛ plasma nkwammoaa a ɛnyɛ ne kwan so akuwakuw a ɛyɛ biako, wɔ beae biako.

3. SMM (Smoldering Multiple Myeloma): Eyi yɛ tebea a edi kokoram anim a edi Multiple Myeloma anim. Ebia nnipa a wɔwɔ SMM no benya yare no ho sɛnkyerɛnne a emu nyɛ den, na wɔada M protein kakraa bi adi wɔ mogya mu na plasma nkwammoaa a ɛwɔ nnompe mu ntini mu no akɔ soro.

4. Multiple Myeloma: Saa nkyekyɛmu yi kyerɛ sɛ nhwehwɛmu ahorow kyerɛ sɛ plasma nkwammoaa a ɛnyɛ ne kwan so akuwakuw pii, M protein a ɛdɔɔso wɔ mogya anaa nsu mu, ne plasma nkwammoaa a ɛnyɛ ne kwan so ɔha biara mu nkyem a ɛkɔ soro wɔ nnompe mu ntini mu. Saa nkurɔfo yi taa nya mogya a ɛtɔ kɔ nipadua no mu, mogya mu nsu a ɛdɔɔso dodo, asaabo a entumi nyɛ adwuma yiye, ne akuru a ɛma nnompe mu yɛ den.

Afei, nnuruyɛfo de Revised International Staging System (R-ISS) di dwuma.Wɔde ɔkwan bi a wɔfrɛ no R-ISS nhyehyɛe na ɛkyerɛ sɛnea multiple myeloma no te. Saa nhyehyɛe yi gyina albumin, beta-2 microglobulin, ne lactate dehydrogenase dodow a ɛwɔ mogya no mu so. Ɛsan nso susuw nhwehwɛmu ahorow a wɔyɛ de hwehwɛ awosu mu nkwaadɔm pɔtee bi a ɛnteɛ ho.

Dɛn ne ayaresa ahorow a wɔde sa Multiple Myeloma?

Nnuruyɛfo gyina wo sɛnkyerɛnne ne baabi a yare no kodu so sa multiple myeloma. Sɛ nhwɛso no, mpɛn pii no, nnipa a wɔwɔ MGUS no nhia ayaresa ntɛm ara. Nanso wɔn duruyɛfo no bɛhwɛ wɔn akwahosan so daa. Wobetumi nso ayɛ ayaresa nhyehyɛe a wɔde bɛyɛ ho biribi ntɛm ara sɛ sɛnkyerɛnne ahorow no ba a.

Sɛ wowɔ multiple myeloma ho sɛnkyerɛnne a, nnuruyɛfo betumi de ayaresa ahorow yi adi dwuma:

• Nnuru a wɔde sa ɛyaw: Nnipa pii hia eyinom efisɛ wɔte nnompe mu yaw a emu yɛ den.
• Nnuru a ekum ɔyare mmoawa: Bere a nipadua no mu tumi a ɛko tia nyarewa no reyɛ mmerɛw no, ɔyare mmoawa no yɛ nea ɛda adi kɛse. Ebia wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa de asa saa nyarewa yi.
• Steroids: Sɛ wɔde steroid dodow ma a, ebetumi akum kokoram nkwammoaa na ɛtew ɔfe so.
• Nnuru a wɔde sa yare: Wɔde nnuru a wɔde sa yare di dwuma de tew mogya mu nkwammoaa a ɛnteɛ dodow so.
• Nkwammoaa a ɛko tia nyarewa: Saa ayaresa yi kanyan wo nipadua mu tumi a ɛko tia nyarewa no ma ɛyɛ nkwammoaa pii a ɛko tia kokoram.
• Mframa a wɔde sa yare: Saa ayaresa yi sɛe kokoram nkwammoaa na ɛtew nnompe mu akisikuru so.
• Nkwammoaa a wɔde si ananmu: Ntini mu nkwammoaa yɛ nkwammoaa titiriw bi a ɛwɔ yɛn nnompe mu ntini anaa mogya mu. Wobetumi aboa ma wɔayɛ plasma nkwammoaa foforo a ɛte apɔw. Nnuruyɛfo taa kamfo kyerɛ sɛ wɔmfa autologous stem cell nsi ananmu . Nea ɛka eyi ho ne sɛ wode ntini mu nkwammoaa a ɛte apɔw a efi w’ankasa wo nipadua mu bedi dwuma de asi ntini mu nkwammoaa a asɛe anaasɛ enni apɔwmuden ananmu. Ɛntaa mma sɛ wobetumi anya ntini mu nkwammoaa a ɛte apɔw afi obi foforo a ɔde ma no hɔ. Wɔfrɛ eyi sɛ allogenic stem cell transplant .

Bere tenten ahe na wubetumi atra ase wɔ Multiple Myeloma ho?

Nnipa binom de multiple myeloma tra ase mfe 10 anaa nea ɛboro saa. Sɛnea ɛte wɔ kokoram pii ho no, ntɛm a wobehu na wɔasa no ntɛm no yɛ ade titiriw.Eyi ne nea ɛboa nkurɔfo ma wɔtra ase kyɛ. Sɛ nhwɛso no, nnipa a wɔwɔ plasmacytoma biako no mu bɛyɛ 78% da so ara te ase wɔ mfe anum akyi wɔ bere a wɔahu sɛ wɔanya bi no. Mfeɛ anum nkwa nna a nnipa a wɔwɔ multiple myeloma nya nyinaa firi 40% kɔsi 82%. Saa akontabuo yi gyina R-ISS staging system a yɛadi kan aka ho asɛm no so.

Nanso kae sɛ saa akontaabu ahorow yi yɛ sɛ wɔkyekyem pɛpɛɛpɛ a. Wonsusuw mfe a woadi anaa w’akwahosan nyinaa ho, a ɛyɛ w’ankasa de. Sɛ wowɔ multiple myeloma a, wo duruyɛfo betumi ama wo wo tebea no ho nsɛm a eye sen biara.

So wobetumi asiw eyi ano na amma?

Dabi, mprempren ɔkwan biara nni hɔ a wɔbɛfa so asiw multiple myeloma ano. Nhwehwɛmufo rebɔ mmɔden sɛ wɔbɛhwehwɛ akwan a wɔbɛfa so asiw kokoram a edi kan a wɔfrɛ no SMM (Smoldering Multiple Myeloma) no ano na anyɛ multiple myeloma a ɛyɛ nnam.

Wobɛyɛ dɛn ahwɛ wo ho?

Ɛsono sɛnea multiple myeloma ka obiara. Sɛ nhwɛso no, ebia nnipa a wɔwɔ MGUS anaa SMM no renhia ayaresa ntɛm ara. Nanso ɛho behia sɛ wɔkɔ wɔn duruyɛfo nkyɛn daa ma wɔyɛ nhwehwɛmu. Sɛ worenya gyae fi multiple myeloma mu a, wo duruyɛfo bɛyɛ nhyehyɛe ahwɛ wo na wayɛ nhwehwɛmu a egyina wo tebea no so.

Sɛ wo ne Multiple Myeloma te a, nneɛma pii wɔ hɔ a wubetumi ayɛ de akura w’akwahosan nyinaa mu:

• Di nnuan a ahoɔden wom da biara da. Multiple myeloma betumi ama obi ahwere aduan ho akɔnnɔ. Enti bɔ mmɔden sɛ wubedi nnuan nketenkete anan kosi anum da biara.
• Sɛ woyɛ obi a ɔnom sigaret a, bɔ mmɔden sɛ wubegyae.
• Ma wo nipadua no ahomegye a ehia na da yiye.
• Bɔ wo ho ban fi nyarewa ho. Bisa wo duruyɛfo no akwan a wobɛfa so asiw nyarewa ano.
• Yɛ apɔw-mu-teɛteɛ kakra, nanso di kan bisa wo duruyɛfo. Ɔbɛkyerɛ wo apɔw-mu-teɛteɛ ko a ɛfata wo.
• Hwɛ w’adwene mu akwahosan nso. Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow, dadwen, ne adwenemhaw nka bere a woredi tebea a ɛte sɛɛ ho dwuma no. Nanso sɛ saa awerɛhow anaa dadwen yi kɔ so bɛboro adapɛn abien, anaasɛ ɛmma wuntumi nsɛe wo da biara da dwumadi ahorow a, wo ne wo duruyɛfo nka ho asɛm.
• Sɛ wowɔ remission mu a, ebia w’ani begye sɛ ayaresa no aba awiei. Nanso ebia ɛhaw wo nso sɛ kokoram no bɛsan aba bio. Wo ne wo duruyɛfo nkasa mfa wo tebea no ne nea wobɛhwɛ kwan wɔ w’anim ho.

Multiple myeloma yɛ mogya mu kokoram a ɛntaa nsi. Ɛwom sɛ wontumi nsa de, nanso nnuruyɛfo betumi asa tebea horow a ɛbata ho, sɛnkyerɛnne ahorow, na wɔadi yare no trɛw so. Nnipa binom de yare no tra ase mfe pii. Afoforo nso wɔ bɔne fafiri mu. Nanso, kokoram a entumi nkɔ na ebetumi asan aba a wobɛtra ase no nyɛ mmerɛw. Ɛkyerɛ sɛ wode ayaresa ne sɔhwɛ bɛtra ase da biara wɔ w’asetra mu. Nnuruyɛfo te saa nsɛnnennen yi ase. Sɛ wuhia mmoa a wode besua sɛnea wobɛtra ase wɔ multiple myeloma ho a, bisa wo duruyɛfo. Wobetumi aka nnwuma ne nhyehyɛe ahorow a ɛboa ho asɛm akyerɛ wo.

Ade a ɛho hia sen biara a yɛpɛ sɛ yɛde kɔ fie

Okay, enti, nneɛma a ɛho hia paa a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu ne eyinom:

• Multiple Myeloma yɛ mogya mu kokoram a ɛntaa nsi a ɛba mogya mu nkwammoaa mu .
• Ɛwom sɛ wontumi nsa koraa de, nanso ayaresa betumi adi yare no ho sɛnkyerɛnne ahorow so, atrɛw nkwa nna mu, na ama asetra atu mpɔn .
• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ nnompe mu yaw, ɔbrɛ a emu yɛ den, anaasɛ wotaa nya ɔyare mmoawa a , kɔ oduruyɛfo nkyɛn ntɛm ara.
• Dodow a wohu yare no ntɛm no, dodow no ara na ɛda adi sɛ ayaresa no bɛyɛ yiye.
• Sɛ wo ne yare yi te a, ɛho hia yiye sɛ wohwɛ wo ho yiye, di wo duruyɛfo afotu akyi, na wokɔ so yɛ den wɔ w’adwene mu .

Mma ɛnhaw wo, ɛnyɛ wo nko ara. Aduruyɛ ho nyansahu renya nkɔso, na ayaresa foforo reba bere nyinaa. Wo duruyɛfo ne akwahosan ho kuw no ayɛ krado bere nyinaa sɛ wɔbɛboa wo.

` multiple myeloma, plasma nkwammoaa, mogya mu kokoram, nnompe mu ntini, M protein, kokoram ho sɛnkyerɛnne, kokoram ayaresa