He aha ka Multiple Myeloma? E kamaʻilio kākou e pili ana i kēia maʻi koʻikoʻi!

Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo Multiple Myeloma? Malia paha he mea ʻē iki ke kani ʻana o ka inoa iā ʻoe, a ʻaʻole paha ʻoe i lohe iki. He maʻi ʻaʻai laha ʻole ia, akā he koʻikoʻi e hoʻopilikia ana i ko kākou koko. He mea nui e makaʻala iā ia, no ka mea, hiki i ka ʻike mua ʻana ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a ola i kou ola maikaʻi loa.

He aha ka Myeloma Nui?

ʻAe, e nānā kākou i ke ʻano o kēia myeloma multiple. I ka ʻōlelo maʻalahi, he maʻi kanesa ia e ulu ana i loko o kahi ʻano cell i kapa ʻia he plasma cells i loko o ko kākou koko.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He aha kēia mau cell plasma?" He ʻano kēia o nā cell koko keʻokeʻo i loko o ko kākou kino. No ka wehewehe hou aku, he ʻāpana koʻikoʻi loa lākou o kā kākou ʻōnaehana pale kino , ka ʻōnaehana e pale ai iā kākou mai nā maʻi. I kekahi manawa ua kapa ʻia kēia mau mea he mau cell B. ʻO kēia mau cell plasma ka mea e hana ai i nā antibodies , a i ʻole immunoglobulins . ʻO kēia mau antibodies ka mea e hakakā ai i nā germs, bacteria, a me nā virus e komo i loko o ko kākou kino a pale iā kākou mai ka maʻi ʻana. Ua like lākou me nā kiaʻi liʻiliʻi i loko o ko kākou kino.

No laila, i ka wā e ulu ai ka myeloma maha, loli kēia mau cell plasma olakino a maikaʻi no kekahi kumu a lilo i mau cell kanesa maʻamau . A laila hoʻomaka kēia mau cell maʻamau e māhele a hoʻonui koke, me ke kaohi ʻole. ʻO nā cell plasma maʻamau e ulu ana ma kēia ʻano e hana pū i nā antibodies maʻamau a pono ʻole. Kāhea mākou i kēia mau protein M.

Hoʻonui kēia mau ʻāpana ʻē a hana i nā protein M, hiki ke hoʻopilikia. Hiki iā lākou ke hōʻino i kou mau iwi a hoʻopilikia i ka hana o kāu puʻupaʻa. Hiki iā lākou ke hoʻopilikia i ka hiki o ka iwi iwi ke hana i nā hunaola koko keʻokeʻo olakino, nā hunaola koko ʻulaʻula, a me nā platelets, e kōkua ana i ke kāpili ʻana o ke koko.

He maʻi hiki ʻole ke hoʻōla ʻia kēia?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau no ka Multiple Myeloma i kēia manawa. ʻO ia ka ʻoiaʻiʻo kaumaha. Akā, mai hopohopo , hiki i nā kauka ke mālama i nā hopena ʻaoʻao a me nā hōʻailona o kēia maʻi. Hiki iā lākou ke hoʻolohi i ka laha ʻana o ka maʻi.

Hiki i nā poʻe he nui ke loaʻa i kahi manawa o ka hoʻōla ʻana me ka ʻole o nā hōʻailona ma hope o ka mālama ʻana. Kāhea mākou i kēia he wā hoʻomaha . ʻO ia hoʻi, ma hope o ka mālama ʻana, hiki iā ʻoe ke ola maʻamau me ka ʻole o nā hōʻailona o ka myeloma maha. No kekahi poʻe, lōʻihi kēia manawa hoʻomaha.

Pehea ka maʻamau o ka Myeloma Multiple?

He maʻi laha ʻole kēia.. Hōʻike nā helu helu he 7 o 100,000 mau kānaka e pilikia ana i kēia maʻi i kēlā me kēia makahiki. Ma kahi ʻāina e like me ʻAmelika, ua manaʻo ʻia he 100,000 mau kānaka e pilikia ana i kēia maʻi. ʻOiai ʻaʻohe ʻikepili pololei e pili ana i ka nui o ka poʻe i pilikia ma ko mākou ʻāina, ua manaʻo ʻia kēia he maʻi laha ʻole loa.

ʻO wai ka mea i loaʻa pinepine i kēia maʻi?

ʻOi aku ka maʻamau o ka myeloma multiple i nā kāne ma mua o nā wahine . Ua ʻike ʻia hoʻi e hoʻopilikia nui ana i kekahi mau hui lāhui ma mua o nā poʻe ʻē aʻe. No ka laʻana, ʻelua ka nui o ka loaʻa ʻana o ka maʻi i ka poʻe ʻeleʻele ma mua o ka poʻe keʻokeʻo.

Ma ke ʻano o ka makahiki, ʻike pinepine ʻia ia i nā poʻe ma waena o 40 a me 70 mau makahiki. ʻO ka awelika o ka makahiki i ka wā i ʻike ʻia ai ma waena o 65 a me 74. ʻO ia hoʻi, ʻike pinepine ʻia ia i ka wā e ʻelemakule iki ai ʻoe.

Pehea ka hopena o ka Multiple Myeloma i ke kino?

ʻAʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona i ka wā mua, akā hiki i nā mea e like me nā hoʻokolohua koko ke hōʻike i nā hōʻailona e loaʻa paha iā lākou ka myeloma maha i ka wā e hiki mai ana.

Eia kekahi laʻana, hiki i kahi ʻimi ʻana o ka iwi iwi a i ʻole ka biopsy ke hōʻike i nā cell plasma maʻamau ʻole a me nā hoʻololi genetic. ʻO ke ʻano paha kēia he maʻi pre-cancerous kou i kapa ʻia ʻo smoldering multiple myeloma (SMM), ʻo ia ka mea mua o ka myeloma maha. Hiki i nā hoʻāʻo koko a me ka mimi ke ʻike i nā protein M i hana ʻia e nā cell plasma maʻamau ʻole. Ua kapa ʻia kēia ʻano he monoclonal gammopathy of undetermined significance (MGUS) . E nānā pono nā kauka iā ʻoe no kēia mau mea.

ʻIke mālie ʻia nā hōʻailona o ka myeloma maha i ka hala ʻana o ka manawa. Hiki iā lākou ke like me nā hōʻailona o nā maʻi ʻē aʻe. Eia nā kūlana nui i hiki ke hoʻokumu ʻia e kēia maʻi a me ko lākou mau kumu:

• Anemia: He kūlana i lawa ʻole ai nā hunaola koko ʻulaʻula o kou kino. Hana ʻia kēia no ka mea ua hoʻopiha nā hunaola plasma kūpono ʻole i ka iwi ʻiʻo, e pale ana iā ia mai ka hana ʻana i nā hunaola koko ʻulaʻula olakino.
• Nā maʻi bacteria, ʻoi aku ka maʻi pneumonia: Me nā hunaola koko ʻulaʻula, hoʻonui ka nui o nā hunaola plasma maʻamau ʻole, e hoʻokuke ana i nā hunaola koko keʻokeʻo olakino e hakakā ana i ka maʻi. Hiki i kēia ke maʻalahi i ka ulu ʻana o nā maʻi.
• Thrombocytopenia: He haʻahaʻa ka nui o nā platelets i loko o kou koko. ʻO nā platelets nā pūnaewele e kōkua i kou kāpili koko. Hiki i nā pūnaewele plasma maʻamau ʻole ke hoʻopilikia i ka hana ʻana o kēia mau platelets.
• ʻEha iwi/haʻi iwi:Hoʻopau nā pūnaewele plasma maʻamau ʻole i nā ʻiʻo iwi, e hoʻonāwaliwali ai i nā iwi, ʻeha, a haki maʻalahi. Ua kapa ʻia hoʻi kēia he mau ʻeha osteolytic .
• Nā pilikia/hāʻule ʻana o nā puʻupaʻa: ʻO ko mākou mau puʻupaʻa ke kuleana no ka kānana ʻana i nā ʻōpala a me nā mea ʻawahia mai ko mākou kino. Hiki i nā protein M ke hoʻopilikia i ke kaʻina kānana o nā puʻupaʻa a hōʻino iā lākou.
• Amyloidosis: ʻO kēia ka wā e waiho ʻia ai nā protein maʻamau ʻole (nā protein amyloid) i loko o nā ʻano kino like ʻole o ke kino.
• Hypercalcemia: Hoʻākoakoa ka calcium keu mai nā iwi i hōʻino ʻia a nāwaliwali i loko o ke koko.
• ʻO ka maʻi Hyperviscosity: Hoʻoulu nā protein M i ka mānoanoa o ke koko, ʻo ia hoʻi, pono ka puʻuwai e hana ikaika e pamu i ke koko.
• Cryoglobulinemia: Hiki i ka myeloma maha ke hana i nā protein i loko o ke koko e hui pū i ke anu.

He aha nā hōʻailona o ka Myeloma Multiple?

Hiki i ka myeloma lehulehu ke hana i nā ʻano hōʻailona like ʻole. Akā, nui ka poʻe e ʻike mua i ka ʻeha o ka iwi , ʻoiai ma ka iwi kuamoʻo a me nā iwi ʻaoʻao. Eia kekahi mau hōʻailona ʻē aʻe:

• Ka nāwaliwali a me ka mae ʻole o nā lālā. Inā ua hōʻino ʻia nā iwi o ka iwi kuamoʻo, hiki iā lākou ke hiolo a kaomi ma luna o ke kaula kuamoʻo.
• Luhi - ʻO ke ʻano kēia o ka manaʻo luhi loa e hana i nā hana o kēlā me kēia lā, a me ka manaʻo nāwaliwali. Hiki i kēia ke lilo i mau hōʻailona o ka anemia.
• Ka luaʻi a me ka luaʻi . Hiki i kēia ke lilo i hōʻailona o kahi maʻi i kapa ʻia ʻo hypercalcemia.
• Ka nalowale ʻana o ka makemake a/a i ʻole ka makewai nui ma mua o ka maʻamau. Hiki i kēia ke lilo i mau hōʻailona o ka hypercalcemia.
• Ka pohō kaumaha i wehewehe ʻole ʻia .
• Kuni i wehewehe ʻole ʻia . He hōʻailona paha kēia o kahi maʻi bacteria.
• ʻEha maʻalahi a kahe koko paha . ʻO ke ʻano kēia, ʻaʻole hiki i ke kino ke hana i nā platelets lawa ma muli o nā cell plasma kūpono ʻole.
• Poho ka hoʻomanaʻo , hiki ʻole ke noʻonoʻo pono, manaʻo "noe".

E hoʻomanaʻo, ʻo ka loaʻa ʻana o hoʻokahi a ʻelua paha o kēia mau hōʻailona ʻaʻole ia he manaʻo he myeloma multiple kou. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a nānā ʻia.

He aha nā kumu o ka Myeloma Multiple?

ʻAʻole maopopo i nā kauka a me nā mea noiʻi ke kumu o ka myeloma maha, akā aia kekahi mau mea a lākou e manaʻo nei a ke noiʻi nei:

• Nā hoʻololi ʻano hoʻoilina: Ke hana ʻia nei ka noiʻi e ʻike inā he pilina ma waena o nā hoʻololi ʻana i kekahi mau genes ( oncogenes ) e kāohi ana i ka ulu ʻana o kā mākou mau cell a me ka myeloma multiple. Ua ʻike ʻia hoʻi he nui ka poʻe me kēia maʻi i nele i nā ʻāpana o kekahi mau chromosomes.
• Nā kumu o ke kaiapuni: Ua hōʻike kekahi mau noiʻi e pili pū ana paha ka ʻike ʻana i ka radiation, nā pesticides, nā mea hoʻouluulu, a me nā kemika e like me Agent Orange.
• Loaʻa kahi maʻi mumū: No ka laʻana, nā kūlana mumū lōʻihi e like me ka maʻi puʻuwai, ka maʻi diabetes type 2, a me ka rheumatoid arthritis.
• Momona: ʻO ke ʻano kēia o ka nui o ka momona o ke kino.

ʻO kēia nā mea i kānalua ʻia i kēia manawa. Akā, ʻaʻohe o kēia mau mea i hōʻoia ʻia ʻo ia ke kumu.

Pehea e ʻike ai nā kauka i kēia maʻi?

Hana kekahi kauka i kekahi mau hana e ʻike ai i ka myeloma maha.

ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi hoʻokolokolo kino . E nānā pono ʻia kāu mau hōʻailona. E nīnau ʻia hoʻi ʻoe e pili ana i ka mōʻaukala olakino o kou ʻohana. A laila, hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona. ʻO ka ʻike i loaʻa mai kēia mau mea a pau e hoʻoholo i ke kahua o ke kanesa, e like me ka nui o ka puʻupuʻu a me ka mamao o kona laha ʻana.

He aha nā hoʻokolohua i hana ʻia no kēia?

Hana nā kauka i nā ʻano hoʻokolohua like ʻole e hoʻoholo ai inā he myeloma nui kou, a inā pēlā, inā paha i kona wā mua a ua pālahalaha iki paha. Eia kekahi o lākou:

• Helu Koko Piha (CBC): Ke ana kēia i ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me ka nui o ka hemoglobin i loko o kou mau hunaola koko ʻulaʻula.
• Hoʻāʻo kemika koko: E nānā kēia i kou pae creatinine (nāna e ana i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa), ka pae protein albumin, ka pae calcium, a me ka pae lactate dehydrogenase (LDH). Hiki i ka LDH ke lilo i hōʻailona puʻupuʻu.
• Hoʻāʻo immunoglobulin helu: Ke ana kēia hoʻāʻo koko i nā pae o nā ʻano antibodies like ʻole i loko o kou koko.
• Electrophoresis: Nānā kēia hoʻāʻo no ke alo o nā protein M i loko o ke koko.
• Nā hoʻāʻo mimi: Hoʻāʻo ʻia kahi hāpana mimi i hōʻiliʻili ʻia ma luna o kahi manawa 24-hola.Hiki iā ʻoe ke nānā i kahi protein ʻē aʻe i kapa ʻia ʻo ka protein Bence Jones, ʻo ia kekahi māka o ka myeloma maha.
• Nā kukuna X: Hoʻohana ʻia nā kukuna X e ʻike inā ua hōʻino nā iwi i ka myeloma maha.
• CT Scan (Computed Tomography - CT scan): He hoʻāʻo ʻē aʻe kēia e nānā ai i ka hōʻino ʻia o ka iwi.
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging - MRI): Hoʻohana kēia i kahi magnet ikaika a me nā nalu lekiō e hana i nā kiʻi kikoʻī o kou mau iwi a me kou iwi kuamoʻo. Hoʻohana ʻia ia e ʻimi i nā mea e like me plasmacytomas , he mau puʻupuʻu e hana ʻia ana i loko o nā hui o nā cell plasma ʻē.
• ʻO ka nānā PET (Positron Emission Tomography - PET scan): ʻO kēia kekahi ʻano o ka scan i hoʻohana ʻia e ʻike i nā plasmacytomas.
• Nā biopsies iwi iwi: Lawe nā kauka i kahi hāpana liʻiliʻi o ka iwi iwi a kālailai iā ia no ka pakeneka o nā cell plasma maʻamau a me nā mea ʻē. Hiki iā lākou ke nānā i nā loli i ka DNA e hiki ai ke alakaʻi i ka maʻi kanesa.

Pehea e ʻike ʻia ai nā pae o ka myeloma multiple?

Hoʻoholo nā kauka i ke kahua o ka myeloma maha a me nā maʻi ʻaʻai ʻē aʻe ma ka ʻike ʻana i ka nui o ka laha ʻana o ke kanesa a me ka mamao o kona laha ʻana. Hoʻohana ʻia kēia kahua e hoʻolālā i ka mālama ʻana. Hoʻomaka ke kaʻina hana o ka hoʻoholo ʻana i ke kahua o ka myeloma maha ma ka hoʻokaʻawale ʻana i ka maʻi i kekahi o nā ʻano ʻehā:

1. MGUS (Monoclonal Gammopathy of Undetermined Significance): Hōʻike nā hoʻokolohua koko i kahi liʻiliʻi o ka protein M. Ma kahi o 1% - 2% o ka poʻe me MGUS e loaʻa paha i ka myeloma multiple.

2. Nā plasmacytomas hoʻokahi a kaʻawale paha: He mau hui kēia o nā pūnaewele plasma ʻano ʻē e hana hoʻokahi ana, ma kahi hoʻokahi.

3. SMM (Smoldering Multiple Myeloma): He kūlana pre-cancerous kēia ma mua o ka Multiple Myeloma. Hiki i ka poʻe me SMM ke loaʻa nā hōʻailona liʻiliʻi, a hōʻike i kahi liʻiliʻi o ka protein M i loko o ke koko a me ka hoʻonui ʻia o nā cell plasma i loko o ka iwi iwi.

4. Multiple Myeloma: ʻO ke ʻano o kēia hoʻokaʻawale ʻana, hōʻike nā hoʻokolohua i nā hui he nui o nā cell plasma ʻano ʻē, nā pae kiʻekiʻe o ka protein M i loko o ke koko a i ʻole ka mimi, a me ka pakeneka kiʻekiʻe o nā cell plasma ʻano ʻē i loko o ka iwi iwi. Loaʻa pinepine i kēia poʻe ka anemia, hypercalcemia, ka hāʻule ʻana o ka puʻupaʻa, a me nā ʻeha osteolytic.

A laila, hoʻohana nā kauka i ka Revised International Staging System (R-ISS).Hoʻoholo ʻia ke kahua o ka myeloma maha me ka hoʻohana ʻana i kahi ʻano i kapa ʻia ʻo ka ʻōnaehana R-ISS. Hoʻokumu ʻia kēia ʻōnaehana ma nā pae o ka albumin, beta-2 microglobulin, a me ka lactate dehydrogenase i loko o ke koko. Hoʻomaopopo pū ia i nā hoʻokolohua no nā ʻano ʻē o ka gene.

He aha nā lāʻau lapaʻau no ka Multiple Myeloma?

Hoʻōla nā kauka i ka myeloma maha ma muli o kāu mau hōʻailona a me ka nui o ka maʻi. No ka laʻana, ʻaʻole pono ka poʻe me MGUS i ka lāʻau koke. Akā e nānā mau kā lākou kauka i ko lākou olakino. Hiki iā lākou ke hana i kahi hoʻolālā lapaʻau e hana koke inā kū mai nā hōʻailona.

Inā loaʻa iā ʻoe nā hōʻailona o ka myeloma maha, hiki i nā kauka ke hoʻohana i kēia mau lāʻau lapaʻau:

• Nā lāʻau ʻeha: Pono ka poʻe he nui i kēia no ka mea ua ʻeha nui ko lākou iwi.
• Nā lāʻau lapaʻau: Ke nāwaliwali ka ʻōnaehana pale, ʻoi aku ka nui o ka maʻi. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e mālama i kēia mau maʻi.
• Nā Steroid: Hiki i nā Steroid, ke hāʻawi ʻia i nā nui kiʻekiʻe, ke pepehi i nā hunaola kanesa a hōʻemi i ka mumū.
• Chemotherapy: Hoʻohana ʻia ka Chemotherapy e hōʻemi i ka helu o nā cell plasma maʻamau.
• Immunotherapy: Hoʻoulu kēia lāʻau i kāu ʻōnaehana pale e hana i nā cell hou aʻe e hakakā ana i ka maʻi kanesa.
• Lapaʻau radiation: Hoʻopau kēia lāʻau i nā hunaola kanesa a hoʻēmi i nā ʻōpū iwi.
• Nā hoʻoili ʻana o nā pūnaewele kumu: ʻO nā pūnaewele kumu kahi ʻano pūnaewele kūikawā i loaʻa i loko o ko kākou iwi iwi a i ʻole ke koko. Hiki iā lākou ke kōkua i ka hana ʻana i nā pūnaewele plasma hou a olakino. Paipai pinepine nā kauka i nā hoʻoili ʻana o nā pūnaewele kumu autologous . Pili kēia i ka hoʻohana ʻana i nā pūnaewele kumu olakino mai kou kino ponoʻī e pani i nā pūnaewele kumu i hōʻino ʻia a maikaʻi ʻole paha. I ka manawa kākaʻikahi, hiki ke loaʻa nā pūnaewele kumu olakino mai kekahi mea hāʻawi ʻē aʻe. Ua kapa ʻia kēia he hoʻoili ʻana o nā pūnaewele kumu allogenic .

ʻEhia ka lōʻihi e hiki ai iā ʻoe ke ola me ka Multiple Myeloma?

Noho kekahi poʻe me ka myeloma maha no 10 mau makahiki a ʻoi aku paha. E like me nā maʻi kanesa he nui, ʻo ka ʻike mua ʻana a me ka mālama mua ʻana he mea nui ia.ʻO kēia ka mea e kōkua ai i nā kānaka e ola lōʻihi. No ka laʻana, ma kahi o 78% o ka poʻe me hoʻokahi plasmacytoma e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻana. ʻO ka nui o ke ola ʻana o ʻelima mau makahiki no ka poʻe me ka myeloma he nui mai 40% a 82%. Hoʻokumu ʻia kēia mau helu ma ka ʻōnaehana hoʻonohonoho R-ISS i ʻōlelo ʻia ma mua.

Akā e hoʻomanaʻo, he awelika kēia mau helu. ʻAʻole lākou e noʻonoʻo i kou makahiki a i ʻole ke olakino holoʻokoʻa, he mea pilikino ia. Inā loaʻa iā ʻoe ka myeloma maha, hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻike maikaʻi loa e pili ana i kou kūlana.

Hiki ke pale ʻia kēia mai ka hana ʻana?

ʻAʻole, ʻaʻohe ala e pale aku ai i ka ulu ʻana o ka myeloma maha. Ke hoʻāʻo nei nā kānaka noiʻi e ʻimi i nā ala e pale aku ai i ke kahua pre-cancerous i kapa ʻia ʻo SMM (Smoldering Multiple Myeloma) mai ka lilo ʻana i myeloma maha ikaika.

Pehea ʻoe e mālama ai iā ʻoe iho?

Hoʻopilikia ka myeloma lehulehu i kēlā me kēia kanaka i kekahi ʻano like ʻole. No ka laʻana, ʻaʻole pono ka poʻe me MGUS a i ʻole SMM i ka lāʻau lapaʻau koke. Akā, pono lākou e ʻike pinepine i kā lākou kauka no nā hoʻokolohua. Inā ʻoe e hoʻomaha ana mai ka myeloma lehulehu, e hoʻonohonoho kāu kauka i nā nānā a me nā hoʻokolohua e pili ana i kou kūlana.

Inā ʻoe e noho ana me ka Multiple Myeloma, aia kekahi mau mea hiki iā ʻoe ke hana e mālama i kou olakino holoʻokoʻa:

• E ʻai i nā meaʻai momona i kēlā me kēia lā. Hiki i ka myeloma multiple ke hoʻemi i ka makemake e ʻai. No laila e hoʻāʻo e ʻai i ʻehā a ʻelima mau ʻai liʻiliʻi i ka lā.
• Inā he mea puhi paka ʻoe, e hoʻāʻo e hoʻōki.
• E hāʻawi i kou kino i ka hoʻomaha e pono ai a hiamoe maikaʻi.
• E pale iā ʻoe iho mai nā maʻi. E nīnau i kāu kauka e pili ana i nā ala e pale aku ai i nā maʻi.
• E hana i kekahi mau hoʻoikaika kino, akā e nīnau mua i kāu kauka. E haʻi aku ʻo ia iā ʻoe i ke ʻano o ka hoʻoikaika kino kūpono iā ʻoe.
• E makaʻala hoʻi i kou olakino noʻonoʻo. He mea maʻamau ke kaumaha, ka hopohopo, a me ke kaumaha i ka wā e hana ai me kahi kūlana e like me kēia. Akā inā ʻoi aku ka lōʻihi o kēia kaumaha a hopohopo paha ma mua o ʻelua pule, a i ʻole e hoʻopilikia i kāu mau hana o kēlā me kēia lā, e kamaʻilio me kāu kauka e pili ana i ia mea.
• Inā ʻoe e hoʻomaha ana , e hauʻoli paha ʻoe ua pau ka lāʻau lapaʻau. Akā e hopohopo paha ʻoe e hoʻi hou mai ana ke kanesa. E kamaʻilio me kāu kauka e pili ana i kou kūlana a me nā mea e manaʻo ai i ka wā e hiki mai ana.

He maʻi ʻaʻai koko laha ʻole ka myeloma lehulehu. ʻOiai ʻaʻole hiki ke ho'ōla ʻia, hiki i nā kauka ke mālama i nā kūlana pili, nā hōʻailona, ​​a kāohi i ka laha ʻana o ka maʻi. Noho kekahi poʻe me ka maʻi no nā makahiki. Aia kekahi i loko o ka hoʻomaha. Eia naʻe, ʻaʻole maʻalahi ka noho ʻana me kahi maʻi ʻaʻai i hele ʻole a hiki ke hoʻi hou mai. ʻO ia hoʻi ke ola me ka lāʻau lapaʻau a me nā hoʻāʻo i kēlā me kēia lā o kou ola. Hoʻomaopopo nā kauka i kēia mau pilikia. Inā makemake ʻoe i ke kōkua e aʻo e noho me ka myeloma lehulehu, e nīnau i kāu kauka. Hiki iā lākou ke haʻi iā ʻoe e pili ana i nā lawelawe a me nā papahana kōkua.

ʻO ka mea nui a mākou e makemake ai e lawe i ka home

ʻAe, no laila, ʻo nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai, ʻo ia kēia:

• ʻO ka Multiple Myeloma kahi maʻi koko kakaikahi e ulu ana i loko o nā pūnaewele plasma .
• ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia, hiki i ka lāʻau lapaʻau ke kāohi i nā hōʻailona, ​​hoʻolōʻihi i ke ola, a hoʻomaikaʻi i ka maikaʻi o ke ola .
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka iwi, ka luhi nui, a i ʻole nā ​​​​maʻi pinepine , e ʻike koke i ke kauka.
• ʻO ka wikiwiki o ka ʻike ʻana, ʻo ka nui aʻe o ka holomua ʻana o ka lāʻau lapaʻau.
• I ke ola ʻana me kēia maʻi, he mea nui loa ia e mālama pono iā ʻoe iho, e hahai i nā ʻōlelo aʻo a kāu kauka, a e noho ikaika i ka noʻonoʻo .

Mai hopohopo, ʻaʻole ʻoe hoʻokahi. Ke holomua nei ka ʻepekema lapaʻau, a ke puka mai nei nā lāʻau lapaʻau hou i nā manawa a pau. Ua mākaukau mau kāu kauka a me ka hui mālama ola e kōkua iā ʻoe.

` myeloma lehulehu, nā pūnaewele plasma, ke kanesa koko, ka iwi ʻiʻo, ka protein M, nā hōʻailona kanesa, ka mālama ʻana i ka maʻi kanesa