Nukae Nye Multiple Myeloma? Mina míaƒo nu tso dɔléle sesẽ sia ŋu!

Èse dɔléle aɖe si woyɔna be Multiple Myeloma ŋu nya kpɔa? Ðewohĩ ŋkɔa ɖi nusi wɔ nuku vie na wò, alo ɖewohĩ mèsee kpɔ o. Le nyateƒe me la, enye kansa si mebɔ o, gake wòsẽa ŋu, si gblẽa nu le míaƒe ʋu ŋu. Ele vevie be nànyae, elabena ne èkpɔe kaba la, ate ŋu akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ eye nànɔ agbe nyuitɔ kekeake.

Nukae Nye Multiple Myeloma?

Enyo, mina míakpɔ nusi nye multiple myeloma sia ɖa. Kpuie ko la, enye kansa si dona le lãmenugbagbevi ƒomevi aɖe si woyɔna be plasma cells me le míaƒe ʋu me.

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukae nye plasma cell siawo?" Esiawo nye ʋumenugbagbevi ɣi ƒomevi aɖe si le míaƒe ŋutilã me. Be míaɖe eme ayi ŋgɔe la, wonye míaƒe dɔlélenutsiŋutete , si nye dɔlékui si kpɔa mía ta tso dɔléle me ƒe akpa vevi aɖe ŋutɔ. Ɣeaɖewoɣi la, wogayɔa esiawo be B-lãmenugbagbeviwo . Plasma lãmenugbagbevi siawoe wɔa dɔlékuiwutikewo , alo dɔlélenutsiŋutetewo . Dɔlékuiwutike siawoe wɔa avu kple dɔlékuiwo, dɔlékuiwo, kple dɔlékui siwo gena ɖe míaƒe ŋutilã me eye wokpɔa mía ta be míagadze dɔ o. Wole abe amedzikpɔla suewo ene le míaƒe ŋutilã me.

Eyata ne multiple myeloma va dze la, ʋumenugbagbevi dzĩ siawo siwo le lãmesẽ me la trɔna le susu aɖewo ta eye wozua kansa lãmenugbagbevi siwo mesɔ o . Emegbe lãmenugbagbevi siawo siwo mesɔ o la dzea mama gɔme henɔa dzidzim ɖe edzi kabakaba, eye womeɖua wo dzi o. Plasme lãmenugbagbevi siwo mesɔ o siwo dona le mɔ sia nu hã wɔa dɔlékuiwutike siwo mesɔ o, siwo ŋu viɖe aɖeke mele o. Míeyɔa esia be M proteinwo .

Lãmenugbagbevi siawo siwo mesɔ o la dzina ɖe edzi eye wowɔa M protein, si ate ŋu ahe kuxiwo vɛ. Woate ŋu agblẽ nu le wò ƒuwo ŋu eye woakpɔ ŋusẽ ɖe wò ayiku ƒe dɔwɔwɔ dzi. Woate ŋu ado kplamatse ƒumeŋuɖui ƒe ŋutete hã be wòawɔ ʋumenugbagbevi ɣiwo, ʋumenugbagbevi dzĩwo, kple ʋumenugbagbevi dzĩ siwo le lãmesẽ me, siwo kpena ɖe ʋu ŋu.

Ðe esia nye dɔléle si womate ŋu ada oa?

Le nyateƒe me la, fifia la, womekpɔ atike aɖeke na Multiple Myeloma o. Emae nye nyateƒe wɔnublanui la. Gake megatsi dzi o , ɖɔktawo ate ŋu ada dɔléle sia ƒe nugbegblẽ kple dzesiwo. Woate ŋu ana dɔlélea ƒe kaka hã nagbɔdzɔ.

Ame geɖe ate ŋu ahaya ɣeyiɣi aɖe si me dzesi aɖeke manɔ o le atikewɔwɔ vɔ megbe. Míeyɔa esia be tsɔtsɔke ƒe ɣeyiɣi. Eyae nye be le atikewɔwɔ vɔ megbe la, àte ŋu anɔ agbe abe alesi wòle ene evɔ màkpɔ dzesi aɖeke be dɔléle si nye multiple myeloma o. Le ame aɖewo gome la, dɔlélea ƒe tsɔtsɔke ƒe ɣeyiɣi sia nɔa anyi eteƒe didi.

Aleke gbegbee Multiple Myeloma bɔe?

Esia nye dɔléle si mebɔ ŋutɔŋutɔ o.. Akɔntabubuwo ɖee fia be ame siwo ade 7 le ame 100,000 domee dɔléle sia gblẽa nu le ƒe sia ƒe. Le dukɔ abe Amerika ene me la, wobu akɔnta be ame siwo ade 100,000 ye le dɔléle sia lém. Togbɔ be nyatakaka aɖeke meli si ku ɖe ame agbɔsɔsɔme si wòxɔ le míaƒe dukɔa me ŋu tututu o hã la, wobua esia be enye dɔléle si mebɔ kura o.

Amekae ate ŋu axɔ dɔléle sia wu?

Multiple myeloma bɔ ɖe ŋutsuwo me wu nyɔnuwo . Wokpɔe hã be egblẽa nu le to aɖewo ŋu wu bubuwo. Le kpɔɖeŋu me, ameyibɔwo ate ŋu axɔ dɔlélea zi gbɔ zi eve wu yevuwo.

Le ƒexɔxɔ gome la, ame siwo xɔ tso ƒe 40 va ɖo ƒe 70 ye wokpɔnɛ zi geɖe.

Aleke Multiple Myeloma kpɔa ŋusẽ ɖe ŋutilãa dzii?

Ðewohĩ dzesi aɖeke madze ame aɖewo ŋu le gɔmedzedzea me o, gake nuwo abe ʋudodokpɔ ene ate ŋu aɖe dzesiwo afia be woate ŋu axɔ multiple myeloma le etsɔme.

Le kpɔɖeŋu me, ƒumeŋuɖui ƒe ʋuʋu alo lãmenugbagbeviwo ɖeɖe ate ŋu aɖe ʋumenugbagbevi dzĩ siwo mesɔ o kple domenyiŋusẽfianu ƒe tɔtrɔwo afia. Esia ate ŋu afia be dɔléle aɖe le ŋuwò do ŋgɔ na kansa si woyɔna be smoldering multiple myeloma (SMM) , si nye nusi doa ŋgɔ na kansa geɖe. Ʋu kple aɖuɖɔ dodokpɔ hã ate ŋu ade dzesi M protein siwo ʋumenugbagbevi dzĩ siwo mesɔ o wɔna. Woyɔa nɔnɔme sia be monoclonal gammopathy of undetermined significance (MGUS) . Ðɔktawo alé ŋku ɖe ŋuwò nyuie be nàkpɔ nusiawo hã.

Multiple myeloma ƒe dzesiwo dzena vivivi le ɣeyiɣi aɖe megbe. Woate ŋu aɖi dɔléle bubuwo ƒe dzesiwo. Nɔnɔme vevi siwo dɔléle sia ate ŋu ahe vɛ kple nusiwo gbɔ wòtsonae nye esi:

• Ʋusɔgbɔdɔ: Wò ʋumenugbagbevi dzĩwo ƒe anyimanɔmanɔ. Esia dzɔna elabena ʋumenugbagbevi dzĩ siwo mesɔ o yɔa ƒumeŋuɖui me, si wɔnɛ be mete ŋu wɔa ʋumenugbagbevi dzĩ siwo le lãmesẽ me o.
• Dɔlékuiwo ƒe dɔléle, vevietɔ aklãdɔ: Tsɔ kpe ɖe ʋumenugbagbevi dzĩwo ŋu la, ʋumenugbagbevi dzĩ siwo mesɔ o dzina ɖe edzi, si wɔnɛ be ʋumenugbagbevi ɣi siwo le lãmesẽ me siwo wɔa avu kple dɔlékuiwo la xea mɔ na wo. Esia ate ŋu ana wòanɔ bɔbɔe be dɔlékuiwo nadze ame dzi.
• Thrombocytopenia: Ʋumenugbagbeviɣidɔ si mebɔ o le wò ʋu me. Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi siwo kpena ɖe ŋuwò be wò ʋu natsi. Plasma me lãmenugbagbevi siwo mesɔ o hã ate ŋu ado kplamatse ʋumenugbagbevi dzĩ siawo wɔwɔ.
• Ƒu ƒe vevesese/ƒu ƒe gbagbã:Plasma me lãmenugbagbevi siwo mesɔ o gblẽa ƒu ƒe lãkusiwo dome, si wɔnɛ be ƒuwo gbɔdzɔna, wosea veve, eye wogbãna bɔbɔe. Wogayɔa esia be ƒumeŋuɖui ƒe abi .
• Ayiku ƒe kuxiwo/do kpo nu: Míaƒe ayikuwoe ɖea gbeɖuɖɔ kple aɖiwo ɖa le míaƒe ŋutilã me. M proteinwo ate ŋu ado kplamatse ayikuawo ƒe ʋuʋu eye wòagblẽ nu le wo ŋu.
• Amyloidosis: Esia nye ne protein siwo mesɔ o (amyloid proteins) de ŋutilã ƒe ŋutinu vovovowo me.
• Hypercalcemia: Calcium si sɔ gbɔ ɖe ƒu siwo gblẽ, siwo gbɔdzɔ me la ƒoa ƒu ɖe ʋua me.
• Hyperviscosity syndrome: M proteinwo nana ʋu ƒoa ƒu, si fia be ele be dzia nawɔ dɔ sesĩe wu hafi akɔ ʋu.
• Cryoglobulinemia: Multiple myeloma ate ŋu ana protein siwo le ʋua me naƒo ƒu ɖekae le vuvɔ me ɣeaɖewoɣi.

Nukae nye Multiple Myeloma ƒe dzesiwo?

Multiple myeloma ate ŋu ahe dzesi vovovowo vɛ. Gake ame geɖe sea ƒu ƒe vevesese gbã , vevietɔ le akɔta kple akɔta. Dzesi bubu aɖewoe nye esi:

• Gbɔdzɔgbɔdzɔ kple abɔwo kple afɔwo ƒe ʋuʋu. Ne ƒu siwo le akɔta la gblẽ la, woate ŋu adze anyi ahate ɖe aklãa dzi.
• Ðeɖiteameŋu - Esia fia be ɖeɖi te ŋuwò akpa be yeate ŋu awɔ gbesiagbedɔwo, be yease le ye ɖokui me be yegbɔdzɔ. Esiawo ate ŋu anye ʋusɔgbɔdɔ ƒe dzesiwo.
• Aɖuɖɔtoe kple ʋuʋudedi . Esia ate ŋu anye nɔnɔme aɖe si woyɔna be hypercalcemia ƒe dzesi.
• Nuɖuɖudzroame ƒe vɔvɔ kple/alo tsikɔwuame wu alesi wònɔna ɖaa. Esiawo ate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesiwo hã.
• Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o .
• Asrã si womeɖe o . Esia ate ŋu anye dɔlékui ƒe dɔléle ƒe dzesi.
• Abi alo ʋu si dona le ame ŋu bɔbɔe . Esia fia be ŋutilãa mete ŋu wɔa ʋumenugbagbevi dzĩ siwo sɔ o le ʋumenugbagbevi dzĩ siwo mesɔ o ta.
• Memory loss , ŋutetemanɔamesi be yeƒe susu nanɔ nu ŋu, sese le ame ɖokui me be "foggy".

Ðo ŋku edzi be ne dzesi siawo dometɔ ɖeka alo eve le ŋuwò la, mefia be dɔléle si nye multiple myeloma le ŋuwò o. Gake ne dzesi siawo gakpɔtɔ li la, anyo wu be woayi ɖɔkta gbɔ eye woado wo kpɔ.

Nukawoe hea Multiple Myeloma vɛ?

Ðɔktawo kple numekulawo menya nusi tututu hea multiple myeloma vɛ haɖe o, gake nu aɖewo li siwo ŋu woke ɖi le eye wole numekuku wɔm le wo ŋu:

• Domenyiŋusẽfianu ƒe tɔtrɔ: Wole numekuku wɔm be woakpɔe ɖa be kadodo aɖe le domenyiŋusẽfianu aɖewo ( oncogenes ) siwo kpɔa míaƒe lãmenugbagbeviwo ƒe tsitsi dzi ƒe tɔtrɔ kple multiple myeloma dome hã. Wokpɔe hã be domenyiŋusẽfianu aɖewo ƒe akpa aɖewo bu na ame geɖe siwo ŋu dɔléle sia le.
• Nutoa me ƒe nɔnɔmewo: Numekuku aɖewo ɖee fia be keklẽŋusẽ, nudzodzoeviwutikewo, amiwo, kple atikewo abe Agent Orange ene hã ate ŋu anɔ eme.
• Dɔléle si nana ame ƒe lãme ʋãna ƒe amesinɔnɔ: Le kpɔɖeŋu me, dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi abe dzidɔ, suklidɔ ƒomevi evelia, kple ƒunukpeƒetetedɔ ene.
• Lolo akpa: Esia fia be ami nasɔ gbɔ ɖe ame ƒe ŋutilã me.

Esiawoe nye nusiwo ŋu wole ɖi kem le fifia. Gake womeɖo kpe esiawo dometɔ aɖeke dzi haɖe be eya gbɔe wòtso o.

Aleke ɖɔktawo wɔa dea dzesi dɔléle siae?

Ðɔkta zɔna ɖe afɔɖeɖe geɖe dzi tsɔ dea dzesi dɔléle si nye multiple myeloma.

Gbã la, woado wò ŋutilã kpɔ . Woalé ŋku ɖe wò dzesiwo ŋu nyuie. Woabia wò ƒomea ƒe atikewɔwɔ ŋutinya hã. Emegbe, woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi. Nyatakaka siwo woakpɔ tso nusiawo katã me ye afia afisi kansa la le, abe alesi dɔdzẽa loloe kple afisi wòkaka ɖo ene.

Dodokpɔ kawoe wowɔna na esia?

Ðɔktawo wɔa dodokpɔ vovovowo tsɔ nyaa nenye be dɔléle si nye multiple myeloma le ŋuwò, eye ne ele nenema la, nenye be ele eƒe gɔmedzedze alo kaka vie. Wo dometɔ aɖewoe nye esi:

• Ʋu Xexlẽme Blibo (CBC): Esia dzidzea ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ.
• Ʋu me dodokpɔ: Esia akpɔ wò creatinine ƒe agbɔsɔsɔ (si dzidzea alesi wò ayikuwo le dɔ wɔm nyuie), albumin protein ƒe agbɔsɔsɔ, calcium ƒe agbɔsɔsɔ, kple lactate dehydrogenase (LDH) ƒe agbɔsɔsɔ. LDH ate ŋu anye dɔdzẽ ƒe dzesi.
• Dɔlélenutsiŋutete ƒe agbɔsɔsɔme dodokpɔ: Ʋudodokpɔ sia dzidzea dɔlékuiwutike ƒomevi vovovowo ƒe agbɔsɔsɔ le wò ʋu me.
• Electrophoresis: Dodokpɔ sia léa ŋku ɖe M proteinwo ƒe anyinɔnɔ le ʋua me ŋu.
• Aɖuɖɔ dodokpɔ: Wodoa aɖuɖɔ si woxɔ le gaƒoƒo 24 me la kpɔna.Àte ŋu akpɔ protein bubu si woyɔna be Bence Jones protein, si nye dzesi bubu si ɖea dɔléle si nye multiple myeloma fia.
• X-ray: Wozãa X-ray tsɔ kpɔae ɖa be multiple myeloma gblẽ nu le ƒuwo ŋu hã.
• CT Scan (Computed Tomography - CT scan): Esia nye dodokpɔ bubu si woatsɔ adi ƒu ƒe gbagbã.
• MRI scan (Magnetic Resonance Imaging - MRI): Esia zãa magnet sesẽ aɖe kple radio ƒutsotsoewo tsɔ wɔa wò ƒuwo kple akɔta ƒe nɔnɔmetata tsitotsito. Wozãnɛ tsɔ dia nuwo abe plasmacytomas , siwo nye dɔdzẽ siwo dzɔna ɖe ʋumenugbagbevi dzĩ siwo mesɔ o ƒe hatsotsowo me.
• PET scan (Positron Emission Tomography - PET scan): Esia nye scan ƒomevi bubu si wozãna tsɔ dea dzesi plasmacytomas.
• Ƒumeŋuɖui ƒe lãmenugbagbeviwo ɖeɖe: Ðɔktawo ɖea ƒumeŋuɖui sue aɖe hedaa eme kpɔna be ʋumenugbagbevi dzĩ siwo sɔ kple esiwo mesɔ o ƒe alafa memamã le eme hã. Woate ŋu alé ŋku ɖe tɔtrɔ siwo le DNA me si ate ŋu ahe kansa vɛ hã ŋu.

Aleke wowɔna nyaa Multiple Myeloma ƒe afɔɖeɖewoe?

Ðɔktawo nyaa afisi multiple myeloma kple kansa bubuwo le to alesi gbegbe kansa la kakae kple afisi wòkaka ɖo didi me. Wozãa afɔɖeɖe sia tsɔ wɔa ɖoɖo ɖe atikewɔwɔ ŋu. Mɔ si dzi woato anya afisi lãmeka geɖe ƒe dɔlélea le dzea egɔme kple dɔlélea mama ɖe hatsotso ene dometɔ ɖeka me:

1. MGUS (Monoclonal Gammopathy of Undetermined Significance): Ʋudodokpɔwo ɖee fia be M protein sue aɖe le eme. Ame siwo ŋu MGUS le la dometɔ siwo ade 1% - 2% ate ŋu axɔ multiple myeloma.

2. Plasmacytomas ɖekaɖeka alo esiwo woɖe ɖe aga: Esiawo nye plasma cells siwo mesɔ o ƒe ƒuƒoƒo siwo dzɔna ɖekaɖeka, le teƒe ɖeka.

3. SMM (Smoldering Multiple Myeloma): Esia nye dɔléle si do ŋgɔ na kansa si doa ŋgɔ na Multiple Myeloma. Dzesi siwo mesẽ o ate ŋu anɔ amesiwo ŋu SMM le ŋu, eye woaɖe M protein sue aɖe afia le ʋu me eye ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi le ƒumeŋuɖui me.

4. Multiple Myeloma: Ƒomedodo sia fia be dodokpɔwo ɖea ʋumenugbagbevi dzĩ siwo mesɔ o ƒe hatsotso geɖe fiana, M protein sɔ gbɔ ɖe ʋu alo aɖuɖɔ me, kple ʋumenugbagbevi dzĩ siwo mesɔ o ƒe alafa memamã geɖe le ƒumeŋuɖui me. Zi geɖe la, ʋusɔgbɔdɔ, ʋumenugbagbeviɣidɔ, ayiku ƒe dɔmawɔmawɔ nyuie, kple ƒumeŋuɖui ƒe abi nɔa ame siawo ŋu.

Emegbe, ɖɔktawo zãa Dukɔwo Dome Staging System (R-ISS) si wogbugbɔ trɔ asi le.Wozãa mɔnu aɖe si woyɔna be R-ISS system tsɔ nyaa afisi myeloma geɖe le. Nuɖoanyi sia nɔ te ɖe albumin, beta-2 microglobulin, kple lactate dehydrogenase ƒe agbɔsɔsɔ si le ʋua me dzi. Ebua dodokpɔ siwo wowɔna hena domenyiŋusẽfianu tɔxɛ aɖewo siwo mesɔ o hã ŋu.

Nukawoe nye Multiple Myeloma ƒe atikewo?

Ðɔktawo nɔa te ɖe wò dzesiwo kple alesi dɔlélea keke tae dzi daa dɔléle si nye multiple myeloma. Le kpɔɖeŋu me, zi geɖe la, mehiã be woawɔ atike na amesiwo ŋu MGUS le enumake o. Gake woƒe ɖɔkta alé ŋku ɖe woƒe lãmesẽ ŋu edziedzi. Woate ŋu awɔ atikewɔwɔ ƒe ɖoɖo hã be woawɔ afɔɖeɖe enumake ne dzesiawo do mo ɖa.

Ne multiple myeloma ƒe dzesiwo le ŋuwò la, ɖɔktawo ate ŋu azã atike siawo:

• Vevesesenutsitikewo: Ame geɖe hiã esiawo elabena ƒuwo vea wo vevie.
• Dɔlékuiwutikewo: Ne dɔlélenutsiŋutete le gbɔdzɔgbɔdzɔm la, dɔlékuiwo va nɔa bɔbɔe wu. Ðewohĩ wò ɖɔkta aŋlɔ dɔlékuiwutikewo na wò be woatsɔ ada dɔlékui siawo.
• Steroids: Steroids, ne wonae le agbɔsɔsɔ gã me la, ate ŋu awu kansa lãmenugbagbeviwo eye wòaɖe dɔdzẽ dzi akpɔtɔ.
• Atikewɔmɔnu: Wozãa atikewɔmɔnu tsɔ ɖea ʋumenugbagbevi dzĩ siwo mesɔ o ƒe xexlẽme dzi kpɔtɔna.
• Dɔlélenutsiŋutete ƒe atikewɔwɔ: Dɔdamɔnu sia doa ŋusẽ wò dɔlélenutsiŋutete be wòawɔ lãmenugbagbevi geɖe siwo wɔa avu kple kansa.
• Kekeli ƒe dɔdamɔnu: Atike sia gblẽa kansa lãmenugbagbeviwo eye wòɖea ƒumeŋuɖuiwo dzi kpɔtɔna.
• Lãmenugbagbeviwo dodo na ame: Lãmenugbagbeviwo nye lãmenugbagbevi tɔxɛ ƒomevi aɖe si le míaƒe ƒumeŋuɖui alo ʋu me. Woate ŋu akpe asi ɖe plasma lãmenugbagbevi yeye siwo le lãmesẽ me wɔwɔ ŋu. Zi geɖe la ɖɔktawo ɖoa aɖaŋu be woado lãmenugbagbeviwo na ame ɖokui . Esia bia be nàzã lãmenugbagbevi siwo le lãmesẽ me tso wò ŋutɔ wò ŋutilã me atsɔ aɖɔli lãmenugbagbevi siwo gblẽ alo esiwo mele lãmesẽ me o. Ƒã hafi woate ŋu akpɔ lãmenugbagbevi siwo le lãmesẽ me tso nunala bubu gbɔ. Woyɔa esia be allogenic stem cell transplant .

Ɣeyiɣi didi kae nàte ŋu anɔ agbe kple Multiple Myeloma?

Ame aɖewo nɔa agbe kple multiple myeloma ƒe 10 alo esi wu nenema. Abe alesi wòle le kansa geɖe gome ene la, ekpɔkpɔ kaba kple edada kaba nye nu vevitɔ.Esiae kpena ɖe amewo ŋu wonɔa agbe didi. Le kpɔɖeŋu me, amesiwo ŋu plasmacytoma ɖeka le la dometɔ siwo ade 78% gakpɔtɔ le agbe ƒe atɔ̃ le dɔlélea kpɔkpɔ vɔ megbe. Ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme bliboa na amesiwo ŋu multiple myeloma le tso 40% va ɖo 82%. Wotu xexlẽme siawo ɖe R-ISS staging system si míeyɔ va yi dzi.

Gake ɖo ŋku edzi be xexlẽme siawo nye mamã dedie. Womebua wò ƒexɔxɔ alo wò lãmesẽ bliboa ŋu o, si nye ame ŋutɔ tɔ. Ne multiple myeloma le ŋuwò la, wò ɖɔkta ate ŋu ana nyatakaka nyuitɔ kekeake wò tso wò nɔnɔmea ŋu.

Ðe woate ŋu axe mɔ ɖe esia nu be wòagadzɔ oa?

Ao, fifia la, mɔ aɖeke meli si dzi woato axe mɔ ɖe multiple myeloma ƒe dzɔdzɔ nu o. Numekulawo le agbagba dzem be yewoadi mɔ siwo dzi yewoato atɔ te ɣeyiɣi si do ŋgɔ na kansa si woyɔna be SMM (Smoldering Multiple Myeloma) be wòagazu active multiple myeloma o.

Aleke nèléa be na ɖokuiwòe?

Multiple myeloma gblẽa nu le amesiame ŋu le mɔ vovovowo nu. Le kpɔɖeŋu me, ɖewohĩ mahiã be woawɔ atike na amesiwo ŋu MGUS alo SMM le enumake o. Gake ahiã be woayi woƒe ɖɔkta gbɔ edziedzi be woado wo kpɔ. Ne èle gbɔdzɔe tso multiple myeloma me la, wò ɖɔkta awɔ ɖoɖo be woado wò kpɔ ahadoe kpɔ le wò nɔnɔmea nu.

Ne èle Multiple Myeloma dɔlélea lém la, nu geɖe li nàte ŋu awɔ be wò lãmesẽ bliboa nanɔ anyi:

• Ðu nuɖuɖu siwo me nunyiame le gbesiagbe. Multiple myeloma ate ŋu ana nuɖuɖu magadzro ame o. Eyata dze agbagba nàɖu nu suesuesue ene va ɖo atɔ̃ gbesiagbe.
• Ne atamanolae nènye la, dze agbagba nàdzudzɔ.
• Na gbɔɖeme si wò ŋutilã hiã eye nàdɔ alɔ̃ nyuie.
• Takpɔ ɖokuiwò ta tso dɔlékuiwo me. Bia wò ɖɔkta tso mɔ siwo dzi nàto axe mɔ ɖe dɔlékuiwo xɔxɔ nu ŋu.
• Wɔ kame vie, gake bia wò ɖɔkta gbã. Agblɔ kamedede si ƒomevi sɔ na wò na wò.
• Lé ŋku ɖe wò susu ƒe lãmesẽ hã ŋu. Enye nusi sɔ be nàlé blanui, atsi dzimaɖi, eye nàlé blanui ne èle nɔnɔme sia tɔgbe gbɔ kpɔm. Gake ne blanuiléle alo dzimaɖitsitsi sia nɔa anyi wu kwasiɖa eve, alo doa kplamatse wò gbesiagbedɔwo la, ƒo nu tso eŋu na wò ɖɔkta.
• If you’re in remission , ate ŋu adzɔ dzi na wò be atikewɔwɔa wu enu. Gake ɖewohĩ àtsi dzi hã be kansa la agatrɔ ava. Ðo dze kple wò ɖɔkta tso wò nɔnɔmea kple nusi nàkpɔ mɔ na le etsɔme ŋu.

Multiple myeloma nye ʋumenugbagbeviɣidɔ si mebɔ o. Togbɔ be womate ŋu adae o hã la, ɖɔktawo ate ŋu ada dɔléle siwo do ƒome kplii, dzesiwo, eye woaɖu dɔlélea ƒe kaka dzi. Ame aɖewo nɔa agbe kple dɔlélea ƒe geɖe. Ame bubuwo hã le tsɔtsɔke me. Ke hã, agbenɔnɔ kple kansa si medzona o eye wòte ŋu trɔna la mele bɔbɔe o. Efia be nànɔ agbe kple atikewɔwɔ kple dodokpɔwo gbesiagbe le wò agbe me. Ðɔktawo sea kuxi siawo gɔme. Ne èhiã kpekpeɖeŋu be nàsrɔ̃ alesi nànɔ agbe kple multiple myeloma la, bia wò ɖɔkta. Woate ŋu agblɔ subɔsubɔdɔ kple ɖoɖo siwo akpe ɖe ŋuwò na wò.

Nu vevitɔ kekeake si míedi be míatsɔ ayi aƒemee

Enyo, eyata, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me enye esiawo:

• Multiple Myeloma nye ʋumenugbagbeviɣidɔ si mebɔ o si dzɔna le ʋumenugbagbevi dzĩwo me .
• Togbɔ be womate ŋu adae keŋkeŋ o hã la, atikewɔwɔ ate ŋu aɖu dzesiawo dzi, adidi agbenɔƒe ɖe edzi, eye wòana agbenɔnɔ nanyo ɖe edzi .
• Ne dzesiwo abe ƒu ƒe vevesese, ɖeɖiteameŋu vevie, alo dɔlékuiwo xɔxɔ enuenu ene le ŋuwò la, yi ɖɔkta gbɔ enumake.
• Zi alesi wokpɔ dɔlélea kabae la, zi nenemae wòanɔ bɔbɔe be atikewɔwɔ nadze edzi.
• Ne èle agbe kple dɔléle sia la, ele vevie ŋutɔ be nàlé be na ɖokuiwò nyuie, awɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖowo dzi, eye nànɔ susu me sẽm .

Mègatsi dzi o, menye wò ɖeka koe o. Atikeŋutinunya le ŋgɔ yim, eye atikewɔmɔnu yeyewo le dodom ɣesiaɣi. Wò ɖɔkta kple lãmesẽnyawo gbɔ kpɔha le klalo ɣesiaɣi be yewoakpe ɖe ŋuwò.

` multiple myeloma, plasma cells, ʋumenugbagbeviɣidɔ, ƒumeŋuɖui, M protein, kansa ƒe dzesiwo, kansa dada