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Mob Multiple Myeloma yog dab tsi? Cia peb tham txog tus kab mob loj no!

Mob Multiple Myeloma yog dab tsi? Cia peb tham txog tus kab mob loj no!

Koj puas tau hnov ​​txog ib yam kab mob hu ua Multiple Myeloma? Tej zaum lub npe ntawd yuav txawv me ntsis rau koj, lossis tej zaum koj tsis tau hnov ​​txog nws kiag li. Qhov tseeb, nws yog ib yam mob qog nqaij hlav uas tsis tshua muaj, tab sis loj heev uas cuam tshuam rau peb cov ntshav. Nws yog ib qho tseem ceeb uas yuav tsum paub txog nws, vim tias kev kuaj pom thaum ntxov tuaj yeem pab koj tswj koj cov tsos mob thiab ua koj lub neej zoo tshaj plaws.

Multiple Myeloma yog dab tsi?

Zoo, cia peb saib seb tus kab mob multiple myeloma no yog dab tsi. Hais yooj yim xwb, nws yog ib hom mob qog nqaij hlav uas tshwm sim hauv ib hom cell hu ua plasma cells hauv peb cov ntshav.

Tam sim no tej zaum koj yuav xav paub tias, "Cov hlwb ntshav no yog dab tsi?" Cov no yog ib hom hlwb ntshav dawb hauv peb lub cev. Yuav piav qhia ntxiv, lawv yog ib feem tseem ceeb ntawm peb lub cev tiv thaiv kab mob , lub cev uas tiv thaiv peb ntawm kab mob. Qee zaum cov no kuj hu ua B-cells . Cov hlwb ntshav no yog cov uas ua cov tshuaj tiv thaiv kab mob , lossis immunoglobulins . Cov tshuaj tiv thaiv kab mob no yog cov uas tawm tsam cov kab mob, cov kab mob me me, thiab cov kab mob uas nkag mus rau hauv peb lub cev thiab tiv thaiv peb kom tsis txhob mob. Lawv zoo li cov neeg zov me nyuam me me hauv peb lub cev.

Yog li ntawd, thaum muaj ntau yam mob myeloma tshwm sim, cov hlwb plasma zoo no hloov pauv rau qee qhov laj thawj thiab dhau los ua cov hlwb qog nqaij hlav tsis zoo . Tom qab ntawd cov hlwb tsis zoo no pib faib thiab nthuav dav sai sai, tsis muaj kev tswj hwm. Cov hlwb plasma tsis zoo uas tsim tawm hauv txoj kev no kuj tsim cov tshuaj tiv thaiv tsis zoo, tsis muaj txiaj ntsig. Peb hu cov protein M no .

Cov hlwb tsis zoo no loj hlob thiab tsim cov protein M, uas tuaj yeem ua rau muaj teeb meem. Lawv tuaj yeem ua rau koj cov pob txha puas tsuaj thiab cuam tshuam rau koj lub raum ua haujlwm. Lawv kuj tseem tuaj yeem cuam tshuam rau cov pob txha lub peev xwm los tsim cov qe ntshav dawb, cov qe ntshav liab, thiab cov platelets noj qab haus huv, uas pab cov ntshav txhaws.

Qhov no puas yog ib yam kab mob uas kho tsis tau?

Qhov tseeb, tam sim no tsis muaj tshuaj kho tau tus kab mob Multiple Myeloma. Qhov ntawd yog qhov tseeb tu siab. Tab sis tsis txhob txhawj , cov kws kho mob tuaj yeem kho cov kev mob tshwm sim thiab cov tsos mob ntawm tus kab mob no. Lawv kuj tseem tuaj yeem ua rau qeeb qeeb ntawm kev kis tus kab mob.

Muaj ntau tus neeg uas muaj lub sijhawm zoo rov qab los tsis muaj tsos mob tom qab kho mob. Peb hu qhov no ua lub sijhawm zam txim . Uas yog, tom qab kho mob, koj tuaj yeem ua neej nyob li qub yam tsis muaj tsos mob ntawm ntau yam mob myeloma. Rau qee tus neeg, lub sijhawm zam txim no kav ntev heev.

Mob Multiple Myeloma feem ntau tshwm sim li cas?

Qhov no yog ib yam kab mob uas tsis tshua muaj.Cov ntaub ntawv qhia tias muaj li ntawm 7 ntawm 100,000 tus neeg raug tus kab mob no txhua xyoo. Hauv lub tebchaws zoo li Asmeskas, kwv yees li ntawm 100,000 tus neeg raug tus kab mob no. Txawm hais tias tsis muaj cov ntaub ntawv tseeb txog pes tsawg tus neeg raug tus kab mob no hauv peb lub tebchaws, qhov no suav tias yog ib qho kab mob tsis tshua muaj.

Leej twg yuav muaj feem kis tau tus kab mob no tshaj?

Kab mob multiple myeloma feem ntau tshwm sim rau cov txiv neej dua li cov poj niam . Nws kuj tau pom tias cuam tshuam rau qee pawg neeg ntau dua li lwm tus. Piv txwv li, cov neeg dub muaj feem yuav mob tus kab mob ob npaug ntau dua li cov neeg dawb.

Hais txog hnub nyoog, feem ntau kuaj pom tias muaj tus kab mob no rau cov neeg hnub nyoog ntawm 40 thiab 70 xyoo. Lub hnub nyoog nruab nrab thaum kuaj pom tias muaj tus kab mob no yog ntawm 65 thiab 74 xyoo. Qhov ntawd txhais tau tias nws feem ntau tshwm sim thaum koj laus me ntsis.

Mob Multiple Myeloma cuam tshuam li cas rau lub cev?

Tej zaum ib txhia neeg yuav tsis muaj tsos mob thaum xub thawj, tab sis tej yam xws li kev kuaj ntshav tuaj yeem qhia tau tias lawv yuav muaj mob multiple myeloma yav tom ntej.

Piv txwv li, kev rho cov pob txha los yog kev kuaj mob tuaj yeem pom cov qe ntshav dawb tsis zoo thiab kev hloov pauv caj ces. Qhov no txhais tau tias koj muaj tus mob ua ntej mob qog noj ntshav hu ua smoldering multiple myeloma (SMM) , uas yog tus ua ntej ntawm multiple myeloma. Kev kuaj ntshav thiab zis kuj tuaj yeem ntes cov protein M uas tsim los ntawm cov qe ntshav dawb tsis zoo. Tus mob no hu ua monoclonal gammopathy of undetermined significance (MGUS) . Cov kws kho mob yuav saib xyuas koj ze rau cov no.

Cov tsos mob ntawm ntau yam mob myeloma maj mam tshwm sim raws sijhawm. Lawv yuav zoo ib yam li cov tsos mob ntawm lwm yam kab mob. Nov yog cov mob tseem ceeb uas tuaj yeem tshwm sim los ntawm tus kab mob no thiab lawv cov ua rau:

  • Kab mob ntshav tsis txaus (Anemia): Ib yam mob uas koj lub cev tsis muaj cov qe ntshav liab txaus. Qhov no tshwm sim vim tias cov qe ntshav dawb tsis zoo (plasma cells) puv cov pob txha, ua rau nws tsis tsim cov qe ntshav liab zoo.
  • Cov kab mob bacterial, tshwj xeeb tshaj yog mob ntsws: Ib yam li cov qe ntshav liab, cov qe ntshav plasma uas tsis zoo kuj nce ntxiv, ua rau cov qe ntshav dawb uas tawm tsam kev kis kab mob tsis muaj zog. Qhov no ua rau kev kis kab mob yooj yim dua.
  • Thrombocytopenia: Cov platelets tsawg hauv koj cov ntshav. Platelets yog cov cell uas pab koj cov ntshav txhaws. Cov cell plasma uas tsis zoo kuj tuaj yeem cuam tshuam rau kev tsim cov platelets no.
  • Mob pob txha/pob txha tawg:Cov qe ntshav dawb uas tsis zoo li qub ua rau cov pob txha puas tsuaj, ua rau cov pob txha tsis muaj zog, mob, thiab yooj yim tawg. Qhov no kuj hu ua osteolytic lesions .
  • Teeb meem/kev ua tsis tau haujlwm ntawm lub raum: Peb lub raum muaj lub luag haujlwm lim cov khib nyiab thiab cov tshuaj lom tawm ntawm peb lub cev. Cov protein M tuaj yeem cuam tshuam rau cov txheej txheem lim dej ntawm lub raum thiab ua rau lawv puas tsuaj.
  • Amyloidosis: Qhov no yog thaum cov protein tsis zoo (amyloid proteins) raug tso rau hauv ntau yam kabmob ntawm lub cev.
  • Hypercalcemia: Cov calcium ntau dhau los ntawm cov pob txha uas puas lawm thiab tsis muaj zog sib sau ua ke hauv cov ntshav.
  • Hyperviscosity syndrome: Cov protein M ua rau cov ntshav tuab, uas txhais tau tias lub plawv yuav tsum ua haujlwm hnyav dua los tso cov ntshav.
  • Cryoglobulinemia: Multiple myeloma tej zaum yuav ua rau cov protein hauv cov ntshav sib sau ua ke thaum lub caij txias.

Cov tsos mob ntawm Multiple Myeloma yog dab tsi?

Kab mob multiple myeloma ua rau muaj ntau yam tsos mob. Tiam sis ntau tus neeg yuav mob pob txha ua ntej, tshwj xeeb tshaj yog mob nraub qaum thiab tav. Nov yog qee cov tsos mob ntxiv:

  • Tsis muaj zog thiab loog ntawm ob txhais ceg. Yog tias cov pob txha hauv tus txha nqaj qaum raug puas tsuaj, lawv tuaj yeem vau thiab nias rau ntawm tus txha nqaj qaum.
  • Qaug zog - Qhov no txhais tau tias koj nkees dhau ua tsis tau tej haujlwm niaj hnub, koj xav tias koj tsis muaj zog. Cov no yog cov cim qhia tias koj tsis muaj ntshav txaus.
  • Xeev siab thiab ntuav . Qhov no tuaj yeem yog ib qho cim qhia txog tus mob hu ua hypercalcemia.
  • Tsis xav noj mov thiab/lossis nqhis dej ntau dua li niaj zaus. Cov no kuj tseem yog cov tsos mob ntawm hypercalcemia.
  • Kev poob phaus yam tsis paub meej .
  • Kub taub hau uas tsis paub meej . Qhov no yuav yog ib qho cim qhia txog kev kis kab mob los ntawm cov kab mob.
  • Yooj yim raug mob los yog los ntshav . Qhov no txhais tau tias lub cev tsis muaj peev xwm tsim cov ntshav txaus vim yog cov qe ntshav dawb tsis zoo.
  • Tsis nco qab , tsis muaj peev xwm tsom ntsoov, xav tias "pom tsis meej".

Nco ntsoov tias, muaj ib lossis ob qho ntawm cov tsos mob no tsis tau txhais hais tias koj muaj mob multiple myeloma. Txawm li cas los xij, yog tias cov tsos mob no tseem muaj, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thiab mus kuaj mob.

Dab tsi yog cov ua rau muaj ntau yam mob Myeloma?

Cov kws kho mob thiab cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau muaj ntau yam mob myeloma, tab sis muaj qee yam uas lawv xav tias thiab tab tom tshawb nrhiav:

  • Kev Hloov Pauv ntawm Cov noob caj noob ces: Kev tshawb fawb tab tom ua los saib seb puas muaj kev sib txuas ntawm kev hloov pauv hauv qee cov noob caj noob ces ( oncogenes ) uas tswj kev loj hlob ntawm peb cov hlwb thiab ntau yam mob myeloma. Kuj tau pom tias ntau tus neeg uas muaj tus kab mob no muaj qee qhov chromosomes uas ploj lawm.
  • Tej yam ib puag ncig: Qee qhov kev tshawb fawb tau qhia tias kev raug hluav taws xob, tshuaj tua kab, chiv, thiab cov tshuaj xws li Agent Orange kuj tseem yuav koom nrog.
  • Muaj kab mob o: Piv txwv li, cov mob o mus sij hawm ntev xws li kab mob plawv, ntshav qab zib hom 2, thiab mob pob qij txha rheumatoid.
  • Kev rog dhau: Qhov no txhais tau tias muaj rog ntau dhau hauv lub cev.

Cov no yog tej yam uas tam sim no raug xav tias muaj. Tab sis tseem tsis tau muaj pov thawj tias yog tus ua rau muaj qhov teeb meem no.

Cov kws kho mob kuaj mob li cas?

Tus kws kho mob ua raws li ob peb kauj ruam los kuaj mob multiple myeloma.

Ua ntej, koj yuav raug kuaj lub cev . Koj cov tsos mob yuav raug kuaj xyuas kom zoo. Koj kuj tseem yuav raug nug txog koj tsev neeg keeb kwm kev kho mob. Tom qab ntawd, yuav muaj ntau qhov kev kuaj mob kom paub tseeb tias koj tau kuaj mob. Cov ntaub ntawv tau los ntawm txhua yam no yuav txiav txim siab txog theem ntawm tus mob qog noj ntshav, xws li qhov loj ntawm lub qog thiab nws tau kis mus deb npaum li cas.

Yuav ua li cas thiaj kuaj tau qhov no?

Cov kws kho mob ua ntau yam kev kuaj mob kom paub seb koj puas muaj mob multiple myeloma, thiab yog tias muaj, seb nws puas tseem nyob rau theem pib lossis tau kis mus rau lwm qhov. Nov yog qee qhov ntawm lawv:

  • Kev suav cov ntshav tag nrho (CBC): Qhov no ntsuas tus naj npawb ntawm cov qe ntshav liab, cov qe ntshav dawb, thiab qhov ntau ntawm hemoglobin hauv koj cov qe ntshav liab.
  • Kev kuaj ntshav: Qhov no yuav kuaj xyuas koj cov creatinine (uas ntsuas seb koj lub raum ua haujlwm zoo npaum li cas), albumin protein, calcium, thiab lactate dehydrogenase (LDH). LDH tuaj yeem yog lub cim qhia txog qog nqaij hlav.
  • Kev kuaj ntshav immunoglobulin kom muaj nuj nqis: Kev kuaj ntshav no ntsuas cov qib ntawm ntau hom tshuaj tiv thaiv kab mob hauv koj cov ntshav.
  • Electrophoresis: Qhov kev kuaj no xyuas seb puas muaj M proteins nyob rau hauv cov ntshav.
  • Kev kuaj zis: Ib qho zis uas tau sau los ntawm lub sijhawm 24 teev raug kuaj.Koj tuaj yeem kuaj xyuas lwm cov protein hu ua Bence Jones protein, uas yog lwm qhov cim ntawm ntau yam myeloma.
  • Cov duab X-ray: Cov duab X-ray yog siv los saib seb ntau yam myeloma puas tau ua puas rau cov pob txha.
  • CT Scan (Computed Tomography - CT scan): Qhov no yog lwm qhov kev kuaj mob los nrhiav kev puas tsuaj rau pob txha.
  • Kev Ntsuas MRI (Magnetic Resonance Imaging - MRI): Qhov no siv lub hlau nplaum muaj zog thiab cov nthwv dej xov tooj cua los ua cov duab ntxaws ntxaws ntawm koj cov pob txha thiab tus txha nqaj qaum. Nws yog siv los nrhiav cov khoom xws li plasmacytomas , uas yog cov qog nqaij hlav uas tsim ua pawg ntawm cov hlwb plasma tsis zoo.
  • PET scan (Positron Emission Tomography - PET scan): Qhov no yog lwm hom scan siv los ntes plasmacytomas.
  • Kev kuaj cov pob txha hauv cov nqaij: Cov kws kho mob muab ib qho qauv me me ntawm cov pob txha thiab tshuaj xyuas nws kom paub txog feem pua ​​​​​​ntawm cov hlwb plasma zoo thiab tsis zoo. Lawv kuj tseem tuaj yeem kuaj xyuas seb puas muaj kev hloov pauv hauv DNA uas tuaj yeem ua rau mob qog noj ntshav.

Cov theem ntawm Multiple Myeloma raug txiav txim li cas?

Cov kws kho mob txiav txim siab theem ntawm ntau yam mob myeloma thiab lwm yam mob qog noj ntshav los ntawm kev nrhiav seb tus mob qog noj ntshav tau kis mus deb npaum li cas thiab nws tau kis mus deb npaum li cas. Theem no yog siv los npaj kev kho mob. Cov txheej txheem ntawm kev txiav txim siab theem ntawm ntau yam mob myeloma pib los ntawm kev faib tus kab mob ua ib qho ntawm plaub pawg:

1. MGUS (Monoclonal Gammopathy of Undetermined Significance): Cov kev kuaj ntshav qhia tau tias muaj me ntsis M protein. Kwv yees li 1% - 2% ntawm cov neeg uas muaj MGUS yuav muaj mob multiple myeloma.

2. Cov plasmacytomas uas nyob ib leeg lossis cais tawm: Cov no yog cov pawg ntawm cov hlwb plasma uas tsis zoo li qub uas tsim ib leeg xwb, hauv ib qho chaw.

3. SMM (Multiple Myeloma Kub Hnyiab): Qhov no yog ib qho mob ua ntej mob qog noj ntshav uas ua ntej mob Multiple Myeloma. Cov neeg uas muaj SMM tej zaum yuav muaj cov tsos mob me me, thiab pom me ntsis ntawm cov protein M hauv cov ntshav thiab muaj cov hlwb pob txha ntau ntxiv.

4. Mob Myeloma Ntau Yam: Qhov kev faib tawm no txhais tau tias cov kev kuaj mob qhia ntau pawg ntawm cov hlwb plasma uas tsis zoo, cov protein M ntau hauv cov ntshav lossis zis, thiab feem pua ​​​​​​ntawm cov hlwb plasma uas tsis zoo hauv cov pob txha. Cov neeg no feem ntau muaj ntshav tsis txaus, hypercalcemia, mob raum tsis ua haujlwm, thiab cov pob txha tawg.

Tom qab ntawd, cov kws kho mob siv Revised International Staging System (R-ISS).Qib ntawm ntau yam mob myeloma yog txiav txim siab los ntawm kev siv txoj kev hu ua R-ISS system. Lub kaw lus no yog raws li cov theem ntawm albumin, beta-2 microglobulin, thiab lactate dehydrogenase hauv cov ntshav. Nws kuj suav nrog kev kuaj mob rau cov teeb meem tshwj xeeb ntawm cov noob caj noob ces.

Cov kev kho mob rau Multiple Myeloma yog dab tsi?

Cov kws kho mob kho mob multiple myeloma raws li koj cov tsos mob thiab qhov mob hnyav npaum li cas. Piv txwv li, cov neeg uas muaj MGUS feem ntau tsis tas yuav kho mob tam sim ntawd. Tab sis lawv tus kws kho mob yuav saib xyuas lawv txoj kev noj qab haus huv tsis tu ncua. Lawv kuj tseem tuaj yeem tsim ib txoj kev npaj kho mob kom ua tiav tam sim ntawd yog tias muaj cov tsos mob tshwm sim.

Yog tias koj muaj cov tsos mob ntawm ntau yam mob myeloma, cov kws kho mob yuav siv cov kev kho mob no:

  • Cov tshuaj loog mob: Muaj coob tus neeg xav tau cov no vim lawv mob pob txha hnyav.
  • Tshuaj tua kab mob: Thaum lub cev tiv thaiv kab mob tsis muaj zog, kev kis kab mob yuav tshwm sim ntau dua. Koj tus kws kho mob yuav sau ntawv kom siv tshuaj tua kab mob los kho cov kab mob no.
  • Cov tshuaj steroids: Cov tshuaj steroids, thaum muab rau hauv cov koob tshuaj ntau, tuaj yeem tua cov hlwb qog noj ntshav thiab txo qhov o.
  • Kev Kho Mob Siv Tshuaj: Kev kho mob siv tshuaj los txo cov qe ntshav dawb tsis zoo.
  • Kev Kho Mob Tiv Thaiv Kab Mob: Kev kho mob no ua rau koj lub cev tiv thaiv kab mob ua rau muaj ntau cov hlwb uas tawm tsam mob qog noj ntshav.
  • Kev kho mob hluav taws xob: Kev kho mob no rhuav tshem cov hlwb qog noj ntshav thiab ua rau cov pob txha me dua.
  • Kev Hloov Cov Qog Ntshav: Cov Qog Ntshav yog ib hom qe ntshav tshwj xeeb uas pom muaj nyob rau hauv peb cov pob txha lossis cov ntshav. Lawv tuaj yeem pab tsim cov qe ntshav plasma tshiab, noj qab nyob zoo. Cov kws kho mob feem ntau pom zoo kom hloov cov qe ntshav autologous . Qhov no suav nrog kev siv cov qe ntshav noj qab nyob zoo los ntawm koj lub cev los hloov cov qe ntshav uas puas lawm lossis tsis noj qab nyob zoo. Tsis tshua muaj, cov qe ntshav noj qab nyob zoo tuaj yeem tau txais los ntawm lwm tus neeg pub dawb. Qhov no hu ua kev hloov cov qe ntshav allogenic .

Koj yuav muaj sia nyob ntev npaum li cas nrog Multiple Myeloma?

Muaj ib txhia neeg nyob nrog mob multiple myeloma tau 10 xyoo lossis ntau dua. Ib yam li ntau yam mob qog noj ntshav, kev kuaj pom thaum ntxov thiab kev kho mob thaum ntxov yog qhov tseem ceeb.Qhov no yog qhov uas pab tib neeg nyob ntev dua. Piv txwv li, kwv yees li 78% ntawm cov neeg uas muaj ib qho plasmacytoma tseem muaj sia nyob tsib xyoos tom qab kuaj pom. Tus nqi tag nrho ntawm tsib xyoos ntawm cov neeg uas muaj ntau yam myeloma yog txij li 40% txog 82%. Cov lej no yog raws li R-ISS staging system uas tau hais ua ntej.

Tiam sis nco ntsoov, cov lej no yog qhov nruab nrab xwb. Lawv tsis suav nrog koj lub hnub nyoog lossis kev noj qab haus huv tag nrho, uas yog tus kheej. Yog tias koj muaj ntau yam mob myeloma, koj tus kws kho mob tuaj yeem muab cov ntaub ntawv zoo tshaj plaws rau koj txog koj tus mob.

Qhov no puas tiv thaiv tau kom tsis txhob tshwm sim?

Tsis yog, tam sim no tsis muaj txoj hauv kev los tiv thaiv kom tsis txhob muaj mob multiple myeloma. Cov kws tshawb fawb tab tom sim nrhiav txoj hauv kev los tiv thaiv theem ua ntej mob qog noj ntshav hu ua SMM (Smoldering Multiple Myeloma) kom tsis txhob dhau los ua mob multiple myeloma uas nquag ua haujlwm.

Koj saib xyuas koj tus kheej li cas?

Kab mob multiple myeloma cuam tshuam rau txhua tus neeg sib txawv. Piv txwv li, cov neeg uas muaj MGUS lossis SMM tej zaum yuav tsis xav tau kev kho mob tam sim ntawd. Tab sis lawv yuav tsum mus ntsib lawv tus kws kho mob tsis tu ncua kom kuaj mob. Yog tias koj tsis muaj mob multiple myeloma lawm, koj tus kws kho mob yuav teem sijhawm mus kuaj mob thiab kuaj mob raws li koj tus mob.

Yog tias koj muaj mob Multiple Myeloma, muaj ntau yam uas koj ua tau los tswj koj txoj kev noj qab haus huv:

  • Noj cov khoom noj muaj txiaj ntsig txhua hnub. Kab mob multiple myeloma tuaj yeem ua rau tsis xav noj mov. Yog li sim noj plaub txog tsib pluag mov me me hauv ib hnub.
  • Yog koj haus luam yeeb, sim tso tseg.
  • Muab sijhawm so rau koj lub cev thiab pw tsaug zog zoo.
  • Tiv thaiv koj tus kheej kom tsis txhob muaj kab mob. Nug koj tus kws kho mob txog cov hau kev los tiv thaiv kab mob.
  • Ua qee yam kev tawm dag zog, tab sis nug koj tus kws kho mob ua ntej. Nws yuav qhia koj seb hom kev tawm dag zog twg yog qhov zoo rau koj.
  • Ua tib zoo saib xyuas koj txoj kev noj qab haus huv ntawm lub hlwb thiab. Nws yog ib qho ib txwm muaj uas koj yuav tu siab, ntxhov siab, thiab nyuaj siab thaum koj ntsib teeb meem zoo li no. Tab sis yog tias qhov kev tu siab lossis kev ntxhov siab no kav ntev tshaj ob lub lis piam, lossis cuam tshuam rau koj cov dej num txhua hnub, nrog koj tus kws kho mob tham txog qhov ntawd.
  • Yog tias koj lub cev tsis mob lawm , tej zaum koj yuav zoo siab uas kev kho mob tas lawm. Tab sis koj kuj tseem yuav txhawj tias tus mob qog yuav rov qab los. Tham nrog koj tus kws kho mob txog koj tus mob thiab yuav muaj dab tsi tshwm sim rau yav tom ntej.

Kab mob multiple myeloma yog ib hom mob qog ntshav uas tsis tshua muaj. Txawm hais tias nws kho tsis tau los, cov kws kho mob tuaj yeem kho cov mob, cov tsos mob, thiab tswj kev kis tus kab mob. Ib txhia neeg nyob nrog tus kab mob tau ntau xyoo. Lwm tus neeg nyob hauv kev zam txim. Txawm li cas los xij, kev nyob nrog tus kab mob uas tsis ploj mus thiab tuaj yeem rov qab los tsis yooj yim. Nws txhais tau tias nyob nrog kev kho mob thiab kev kuaj mob txhua hnub ntawm koj lub neej. Cov kws kho mob nkag siab txog cov teeb meem no. Yog tias koj xav tau kev pab kawm kom nyob nrog ntau hom mob myeloma, nug koj tus kws kho mob. Lawv tuaj yeem qhia koj txog cov kev pabcuam thiab cov kev pab cuam pab tau.

Qhov tseem ceeb tshaj plaws uas peb xav coj mus tsev

Zoo, yog li, qhov tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog yog cov no:

  • Multiple Myeloma yog ib hom mob qog ntshav tsawg tsawg uas tshwm sim hauv cov hlwb ntshav .
  • Txawm hais tias nws tsis tuaj yeem kho tau tag nrho los xij, kev kho mob tuaj yeem tswj cov tsos mob, ua kom lub neej ntev dua, thiab txhim kho lub neej zoo dua .
  • Yog koj muaj cov tsos mob xws li mob pob txha, qaug zog heev, lossis muaj kab mob ntau zaus , mus ntsib kws kho mob tam sim ntawd.
  • Thaum ntxov kuaj pom tias muaj mob, ces yuav muaj feem ntau dua uas kev kho mob yuav ua tiav.
  • Thaum nyob nrog tus kab mob no, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj tus kheej kom zoo, ua raws li koj tus kws kho mob cov lus qhia, thiab ua kom lub siab muaj zog .

Tsis txhob txhawj, koj tsis nyob ib leeg xwb. Kev tshawb fawb txog kev kho mob tab tom nce qib, thiab muaj kev kho mob tshiab tawm los txhua lub sijhawm. Koj tus kws kho mob thiab pab neeg saib xyuas kev noj qab haus huv yeej ib txwm npaj txhij los pab koj.


` multiple myeloma, plasma cells, mob qog ntshav hauv cov ntshav, pob txha pob txha, M protein, cov tsos mob ntawm mob qog ntshav, kev kho mob qog ntshav hauv cov ntshav

Frequently Asked Questions (FAQ)

Yuav ua li cas thiaj kuaj tau qhov no?

Cov kws kho mob ua ntau yam kev kuaj mob kom paub seb koj puas muaj mob multiple myeloma, thiab yog tias muaj, seb nws puas tseem nyob rau theem pib lossis tau kis mus rau lwm qhov. Nov yog qee qhov ntawm lawv:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

Ntxiv koj cov lus

Thov xam: 4 + 9 =
Mob Multiple Myeloma yog dab tsi? Cia peb tham txog tus kab mob loj no!

Mob Multiple Myeloma yog dab tsi? Cia peb tham txog tus kab mob loj no!

Koj puas tau hnov ​​txog ib yam kab mob hu ua Multiple Myeloma? Tej zaum lub npe ntawd yuav txawv me ntsis rau koj, lossis tej zaum koj tsis tau hnov ​​txog nws kiag li. Qhov tseeb, nws yog ib yam mob qog nqaij hlav uas tsis tshua muaj, tab sis loj heev uas cuam tshuam rau peb cov ntshav. Nws yog ib qho tseem ceeb uas yuav tsum paub txog nws, vim tias kev kuaj pom thaum ntxov tuaj yeem pab koj tswj koj cov tsos mob thiab ua koj lub neej zoo tshaj plaws.

Multiple Myeloma yog dab tsi?

Zoo, cia peb saib seb tus kab mob multiple myeloma no yog dab tsi. Hais yooj yim xwb, nws yog ib hom mob qog nqaij hlav uas tshwm sim hauv ib hom cell hu ua plasma cells hauv peb cov ntshav.

Tam sim no tej zaum koj yuav xav paub tias, "Cov hlwb ntshav no yog dab tsi?" Cov no yog ib hom hlwb ntshav dawb hauv peb lub cev. Yuav piav qhia ntxiv, lawv yog ib feem tseem ceeb ntawm peb lub cev tiv thaiv kab mob , lub cev uas tiv thaiv peb ntawm kab mob. Qee zaum cov no kuj hu ua B-cells . Cov hlwb ntshav no yog cov uas ua cov tshuaj tiv thaiv kab mob , lossis immunoglobulins . Cov tshuaj tiv thaiv kab mob no yog cov uas tawm tsam cov kab mob, cov kab mob me me, thiab cov kab mob uas nkag mus rau hauv peb lub cev thiab tiv thaiv peb kom tsis txhob mob. Lawv zoo li cov neeg zov me nyuam me me hauv peb lub cev.

Yog li ntawd, thaum muaj ntau yam mob myeloma tshwm sim, cov hlwb plasma zoo no hloov pauv rau qee qhov laj thawj thiab dhau los ua cov hlwb qog nqaij hlav tsis zoo . Tom qab ntawd cov hlwb tsis zoo no pib faib thiab nthuav dav sai sai, tsis muaj kev tswj hwm. Cov hlwb plasma tsis zoo uas tsim tawm hauv txoj kev no kuj tsim cov tshuaj tiv thaiv tsis zoo, tsis muaj txiaj ntsig. Peb hu cov protein M no .

Cov hlwb tsis zoo no loj hlob thiab tsim cov protein M, uas tuaj yeem ua rau muaj teeb meem. Lawv tuaj yeem ua rau koj cov pob txha puas tsuaj thiab cuam tshuam rau koj lub raum ua haujlwm. Lawv kuj tseem tuaj yeem cuam tshuam rau cov pob txha lub peev xwm los tsim cov qe ntshav dawb, cov qe ntshav liab, thiab cov platelets noj qab haus huv, uas pab cov ntshav txhaws.

Qhov no puas yog ib yam kab mob uas kho tsis tau?

Qhov tseeb, tam sim no tsis muaj tshuaj kho tau tus kab mob Multiple Myeloma. Qhov ntawd yog qhov tseeb tu siab. Tab sis tsis txhob txhawj , cov kws kho mob tuaj yeem kho cov kev mob tshwm sim thiab cov tsos mob ntawm tus kab mob no. Lawv kuj tseem tuaj yeem ua rau qeeb qeeb ntawm kev kis tus kab mob.

Muaj ntau tus neeg uas muaj lub sijhawm zoo rov qab los tsis muaj tsos mob tom qab kho mob. Peb hu qhov no ua lub sijhawm zam txim . Uas yog, tom qab kho mob, koj tuaj yeem ua neej nyob li qub yam tsis muaj tsos mob ntawm ntau yam mob myeloma. Rau qee tus neeg, lub sijhawm zam txim no kav ntev heev.

Mob Multiple Myeloma feem ntau tshwm sim li cas?

Qhov no yog ib yam kab mob uas tsis tshua muaj.Cov ntaub ntawv qhia tias muaj li ntawm 7 ntawm 100,000 tus neeg raug tus kab mob no txhua xyoo. Hauv lub tebchaws zoo li Asmeskas, kwv yees li ntawm 100,000 tus neeg raug tus kab mob no. Txawm hais tias tsis muaj cov ntaub ntawv tseeb txog pes tsawg tus neeg raug tus kab mob no hauv peb lub tebchaws, qhov no suav tias yog ib qho kab mob tsis tshua muaj.

Leej twg yuav muaj feem kis tau tus kab mob no tshaj?

Kab mob multiple myeloma feem ntau tshwm sim rau cov txiv neej dua li cov poj niam . Nws kuj tau pom tias cuam tshuam rau qee pawg neeg ntau dua li lwm tus. Piv txwv li, cov neeg dub muaj feem yuav mob tus kab mob ob npaug ntau dua li cov neeg dawb.

Hais txog hnub nyoog, feem ntau kuaj pom tias muaj tus kab mob no rau cov neeg hnub nyoog ntawm 40 thiab 70 xyoo. Lub hnub nyoog nruab nrab thaum kuaj pom tias muaj tus kab mob no yog ntawm 65 thiab 74 xyoo. Qhov ntawd txhais tau tias nws feem ntau tshwm sim thaum koj laus me ntsis.

Mob Multiple Myeloma cuam tshuam li cas rau lub cev?

Tej zaum ib txhia neeg yuav tsis muaj tsos mob thaum xub thawj, tab sis tej yam xws li kev kuaj ntshav tuaj yeem qhia tau tias lawv yuav muaj mob multiple myeloma yav tom ntej.

Piv txwv li, kev rho cov pob txha los yog kev kuaj mob tuaj yeem pom cov qe ntshav dawb tsis zoo thiab kev hloov pauv caj ces. Qhov no txhais tau tias koj muaj tus mob ua ntej mob qog noj ntshav hu ua smoldering multiple myeloma (SMM) , uas yog tus ua ntej ntawm multiple myeloma. Kev kuaj ntshav thiab zis kuj tuaj yeem ntes cov protein M uas tsim los ntawm cov qe ntshav dawb tsis zoo. Tus mob no hu ua monoclonal gammopathy of undetermined significance (MGUS) . Cov kws kho mob yuav saib xyuas koj ze rau cov no.

Cov tsos mob ntawm ntau yam mob myeloma maj mam tshwm sim raws sijhawm. Lawv yuav zoo ib yam li cov tsos mob ntawm lwm yam kab mob. Nov yog cov mob tseem ceeb uas tuaj yeem tshwm sim los ntawm tus kab mob no thiab lawv cov ua rau:

  • Kab mob ntshav tsis txaus (Anemia): Ib yam mob uas koj lub cev tsis muaj cov qe ntshav liab txaus. Qhov no tshwm sim vim tias cov qe ntshav dawb tsis zoo (plasma cells) puv cov pob txha, ua rau nws tsis tsim cov qe ntshav liab zoo.
  • Cov kab mob bacterial, tshwj xeeb tshaj yog mob ntsws: Ib yam li cov qe ntshav liab, cov qe ntshav plasma uas tsis zoo kuj nce ntxiv, ua rau cov qe ntshav dawb uas tawm tsam kev kis kab mob tsis muaj zog. Qhov no ua rau kev kis kab mob yooj yim dua.
  • Thrombocytopenia: Cov platelets tsawg hauv koj cov ntshav. Platelets yog cov cell uas pab koj cov ntshav txhaws. Cov cell plasma uas tsis zoo kuj tuaj yeem cuam tshuam rau kev tsim cov platelets no.
  • Mob pob txha/pob txha tawg:Cov qe ntshav dawb uas tsis zoo li qub ua rau cov pob txha puas tsuaj, ua rau cov pob txha tsis muaj zog, mob, thiab yooj yim tawg. Qhov no kuj hu ua osteolytic lesions .
  • Teeb meem/kev ua tsis tau haujlwm ntawm lub raum: Peb lub raum muaj lub luag haujlwm lim cov khib nyiab thiab cov tshuaj lom tawm ntawm peb lub cev. Cov protein M tuaj yeem cuam tshuam rau cov txheej txheem lim dej ntawm lub raum thiab ua rau lawv puas tsuaj.
  • Amyloidosis: Qhov no yog thaum cov protein tsis zoo (amyloid proteins) raug tso rau hauv ntau yam kabmob ntawm lub cev.
  • Hypercalcemia: Cov calcium ntau dhau los ntawm cov pob txha uas puas lawm thiab tsis muaj zog sib sau ua ke hauv cov ntshav.
  • Hyperviscosity syndrome: Cov protein M ua rau cov ntshav tuab, uas txhais tau tias lub plawv yuav tsum ua haujlwm hnyav dua los tso cov ntshav.
  • Cryoglobulinemia: Multiple myeloma tej zaum yuav ua rau cov protein hauv cov ntshav sib sau ua ke thaum lub caij txias.

Cov tsos mob ntawm Multiple Myeloma yog dab tsi?

Kab mob multiple myeloma ua rau muaj ntau yam tsos mob. Tiam sis ntau tus neeg yuav mob pob txha ua ntej, tshwj xeeb tshaj yog mob nraub qaum thiab tav. Nov yog qee cov tsos mob ntxiv:

  • Tsis muaj zog thiab loog ntawm ob txhais ceg. Yog tias cov pob txha hauv tus txha nqaj qaum raug puas tsuaj, lawv tuaj yeem vau thiab nias rau ntawm tus txha nqaj qaum.
  • Qaug zog - Qhov no txhais tau tias koj nkees dhau ua tsis tau tej haujlwm niaj hnub, koj xav tias koj tsis muaj zog. Cov no yog cov cim qhia tias koj tsis muaj ntshav txaus.
  • Xeev siab thiab ntuav . Qhov no tuaj yeem yog ib qho cim qhia txog tus mob hu ua hypercalcemia.
  • Tsis xav noj mov thiab/lossis nqhis dej ntau dua li niaj zaus. Cov no kuj tseem yog cov tsos mob ntawm hypercalcemia.
  • Kev poob phaus yam tsis paub meej .
  • Kub taub hau uas tsis paub meej . Qhov no yuav yog ib qho cim qhia txog kev kis kab mob los ntawm cov kab mob.
  • Yooj yim raug mob los yog los ntshav . Qhov no txhais tau tias lub cev tsis muaj peev xwm tsim cov ntshav txaus vim yog cov qe ntshav dawb tsis zoo.
  • Tsis nco qab , tsis muaj peev xwm tsom ntsoov, xav tias "pom tsis meej".

Nco ntsoov tias, muaj ib lossis ob qho ntawm cov tsos mob no tsis tau txhais hais tias koj muaj mob multiple myeloma. Txawm li cas los xij, yog tias cov tsos mob no tseem muaj, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thiab mus kuaj mob.

Dab tsi yog cov ua rau muaj ntau yam mob Myeloma?

Cov kws kho mob thiab cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau muaj ntau yam mob myeloma, tab sis muaj qee yam uas lawv xav tias thiab tab tom tshawb nrhiav:

  • Kev Hloov Pauv ntawm Cov noob caj noob ces: Kev tshawb fawb tab tom ua los saib seb puas muaj kev sib txuas ntawm kev hloov pauv hauv qee cov noob caj noob ces ( oncogenes ) uas tswj kev loj hlob ntawm peb cov hlwb thiab ntau yam mob myeloma. Kuj tau pom tias ntau tus neeg uas muaj tus kab mob no muaj qee qhov chromosomes uas ploj lawm.
  • Tej yam ib puag ncig: Qee qhov kev tshawb fawb tau qhia tias kev raug hluav taws xob, tshuaj tua kab, chiv, thiab cov tshuaj xws li Agent Orange kuj tseem yuav koom nrog.
  • Muaj kab mob o: Piv txwv li, cov mob o mus sij hawm ntev xws li kab mob plawv, ntshav qab zib hom 2, thiab mob pob qij txha rheumatoid.
  • Kev rog dhau: Qhov no txhais tau tias muaj rog ntau dhau hauv lub cev.

Cov no yog tej yam uas tam sim no raug xav tias muaj. Tab sis tseem tsis tau muaj pov thawj tias yog tus ua rau muaj qhov teeb meem no.

Cov kws kho mob kuaj mob li cas?

Tus kws kho mob ua raws li ob peb kauj ruam los kuaj mob multiple myeloma.

Ua ntej, koj yuav raug kuaj lub cev . Koj cov tsos mob yuav raug kuaj xyuas kom zoo. Koj kuj tseem yuav raug nug txog koj tsev neeg keeb kwm kev kho mob. Tom qab ntawd, yuav muaj ntau qhov kev kuaj mob kom paub tseeb tias koj tau kuaj mob. Cov ntaub ntawv tau los ntawm txhua yam no yuav txiav txim siab txog theem ntawm tus mob qog noj ntshav, xws li qhov loj ntawm lub qog thiab nws tau kis mus deb npaum li cas.

Yuav ua li cas thiaj kuaj tau qhov no?

Cov kws kho mob ua ntau yam kev kuaj mob kom paub seb koj puas muaj mob multiple myeloma, thiab yog tias muaj, seb nws puas tseem nyob rau theem pib lossis tau kis mus rau lwm qhov. Nov yog qee qhov ntawm lawv:

  • Kev suav cov ntshav tag nrho (CBC): Qhov no ntsuas tus naj npawb ntawm cov qe ntshav liab, cov qe ntshav dawb, thiab qhov ntau ntawm hemoglobin hauv koj cov qe ntshav liab.
  • Kev kuaj ntshav: Qhov no yuav kuaj xyuas koj cov creatinine (uas ntsuas seb koj lub raum ua haujlwm zoo npaum li cas), albumin protein, calcium, thiab lactate dehydrogenase (LDH). LDH tuaj yeem yog lub cim qhia txog qog nqaij hlav.
  • Kev kuaj ntshav immunoglobulin kom muaj nuj nqis: Kev kuaj ntshav no ntsuas cov qib ntawm ntau hom tshuaj tiv thaiv kab mob hauv koj cov ntshav.
  • Electrophoresis: Qhov kev kuaj no xyuas seb puas muaj M proteins nyob rau hauv cov ntshav.
  • Kev kuaj zis: Ib qho zis uas tau sau los ntawm lub sijhawm 24 teev raug kuaj.Koj tuaj yeem kuaj xyuas lwm cov protein hu ua Bence Jones protein, uas yog lwm qhov cim ntawm ntau yam myeloma.
  • Cov duab X-ray: Cov duab X-ray yog siv los saib seb ntau yam myeloma puas tau ua puas rau cov pob txha.
  • CT Scan (Computed Tomography - CT scan): Qhov no yog lwm qhov kev kuaj mob los nrhiav kev puas tsuaj rau pob txha.
  • Kev Ntsuas MRI (Magnetic Resonance Imaging - MRI): Qhov no siv lub hlau nplaum muaj zog thiab cov nthwv dej xov tooj cua los ua cov duab ntxaws ntxaws ntawm koj cov pob txha thiab tus txha nqaj qaum. Nws yog siv los nrhiav cov khoom xws li plasmacytomas , uas yog cov qog nqaij hlav uas tsim ua pawg ntawm cov hlwb plasma tsis zoo.
  • PET scan (Positron Emission Tomography - PET scan): Qhov no yog lwm hom scan siv los ntes plasmacytomas.
  • Kev kuaj cov pob txha hauv cov nqaij: Cov kws kho mob muab ib qho qauv me me ntawm cov pob txha thiab tshuaj xyuas nws kom paub txog feem pua ​​​​​​ntawm cov hlwb plasma zoo thiab tsis zoo. Lawv kuj tseem tuaj yeem kuaj xyuas seb puas muaj kev hloov pauv hauv DNA uas tuaj yeem ua rau mob qog noj ntshav.

Cov theem ntawm Multiple Myeloma raug txiav txim li cas?

Cov kws kho mob txiav txim siab theem ntawm ntau yam mob myeloma thiab lwm yam mob qog noj ntshav los ntawm kev nrhiav seb tus mob qog noj ntshav tau kis mus deb npaum li cas thiab nws tau kis mus deb npaum li cas. Theem no yog siv los npaj kev kho mob. Cov txheej txheem ntawm kev txiav txim siab theem ntawm ntau yam mob myeloma pib los ntawm kev faib tus kab mob ua ib qho ntawm plaub pawg:

1. MGUS (Monoclonal Gammopathy of Undetermined Significance): Cov kev kuaj ntshav qhia tau tias muaj me ntsis M protein. Kwv yees li 1% - 2% ntawm cov neeg uas muaj MGUS yuav muaj mob multiple myeloma.

2. Cov plasmacytomas uas nyob ib leeg lossis cais tawm: Cov no yog cov pawg ntawm cov hlwb plasma uas tsis zoo li qub uas tsim ib leeg xwb, hauv ib qho chaw.

3. SMM (Multiple Myeloma Kub Hnyiab): Qhov no yog ib qho mob ua ntej mob qog noj ntshav uas ua ntej mob Multiple Myeloma. Cov neeg uas muaj SMM tej zaum yuav muaj cov tsos mob me me, thiab pom me ntsis ntawm cov protein M hauv cov ntshav thiab muaj cov hlwb pob txha ntau ntxiv.

4. Mob Myeloma Ntau Yam: Qhov kev faib tawm no txhais tau tias cov kev kuaj mob qhia ntau pawg ntawm cov hlwb plasma uas tsis zoo, cov protein M ntau hauv cov ntshav lossis zis, thiab feem pua ​​​​​​ntawm cov hlwb plasma uas tsis zoo hauv cov pob txha. Cov neeg no feem ntau muaj ntshav tsis txaus, hypercalcemia, mob raum tsis ua haujlwm, thiab cov pob txha tawg.

Tom qab ntawd, cov kws kho mob siv Revised International Staging System (R-ISS).Qib ntawm ntau yam mob myeloma yog txiav txim siab los ntawm kev siv txoj kev hu ua R-ISS system. Lub kaw lus no yog raws li cov theem ntawm albumin, beta-2 microglobulin, thiab lactate dehydrogenase hauv cov ntshav. Nws kuj suav nrog kev kuaj mob rau cov teeb meem tshwj xeeb ntawm cov noob caj noob ces.

Cov kev kho mob rau Multiple Myeloma yog dab tsi?

Cov kws kho mob kho mob multiple myeloma raws li koj cov tsos mob thiab qhov mob hnyav npaum li cas. Piv txwv li, cov neeg uas muaj MGUS feem ntau tsis tas yuav kho mob tam sim ntawd. Tab sis lawv tus kws kho mob yuav saib xyuas lawv txoj kev noj qab haus huv tsis tu ncua. Lawv kuj tseem tuaj yeem tsim ib txoj kev npaj kho mob kom ua tiav tam sim ntawd yog tias muaj cov tsos mob tshwm sim.

Yog tias koj muaj cov tsos mob ntawm ntau yam mob myeloma, cov kws kho mob yuav siv cov kev kho mob no:

  • Cov tshuaj loog mob: Muaj coob tus neeg xav tau cov no vim lawv mob pob txha hnyav.
  • Tshuaj tua kab mob: Thaum lub cev tiv thaiv kab mob tsis muaj zog, kev kis kab mob yuav tshwm sim ntau dua. Koj tus kws kho mob yuav sau ntawv kom siv tshuaj tua kab mob los kho cov kab mob no.
  • Cov tshuaj steroids: Cov tshuaj steroids, thaum muab rau hauv cov koob tshuaj ntau, tuaj yeem tua cov hlwb qog noj ntshav thiab txo qhov o.
  • Kev Kho Mob Siv Tshuaj: Kev kho mob siv tshuaj los txo cov qe ntshav dawb tsis zoo.
  • Kev Kho Mob Tiv Thaiv Kab Mob: Kev kho mob no ua rau koj lub cev tiv thaiv kab mob ua rau muaj ntau cov hlwb uas tawm tsam mob qog noj ntshav.
  • Kev kho mob hluav taws xob: Kev kho mob no rhuav tshem cov hlwb qog noj ntshav thiab ua rau cov pob txha me dua.
  • Kev Hloov Cov Qog Ntshav: Cov Qog Ntshav yog ib hom qe ntshav tshwj xeeb uas pom muaj nyob rau hauv peb cov pob txha lossis cov ntshav. Lawv tuaj yeem pab tsim cov qe ntshav plasma tshiab, noj qab nyob zoo. Cov kws kho mob feem ntau pom zoo kom hloov cov qe ntshav autologous . Qhov no suav nrog kev siv cov qe ntshav noj qab nyob zoo los ntawm koj lub cev los hloov cov qe ntshav uas puas lawm lossis tsis noj qab nyob zoo. Tsis tshua muaj, cov qe ntshav noj qab nyob zoo tuaj yeem tau txais los ntawm lwm tus neeg pub dawb. Qhov no hu ua kev hloov cov qe ntshav allogenic .

Koj yuav muaj sia nyob ntev npaum li cas nrog Multiple Myeloma?

Muaj ib txhia neeg nyob nrog mob multiple myeloma tau 10 xyoo lossis ntau dua. Ib yam li ntau yam mob qog noj ntshav, kev kuaj pom thaum ntxov thiab kev kho mob thaum ntxov yog qhov tseem ceeb.Qhov no yog qhov uas pab tib neeg nyob ntev dua. Piv txwv li, kwv yees li 78% ntawm cov neeg uas muaj ib qho plasmacytoma tseem muaj sia nyob tsib xyoos tom qab kuaj pom. Tus nqi tag nrho ntawm tsib xyoos ntawm cov neeg uas muaj ntau yam myeloma yog txij li 40% txog 82%. Cov lej no yog raws li R-ISS staging system uas tau hais ua ntej.

Tiam sis nco ntsoov, cov lej no yog qhov nruab nrab xwb. Lawv tsis suav nrog koj lub hnub nyoog lossis kev noj qab haus huv tag nrho, uas yog tus kheej. Yog tias koj muaj ntau yam mob myeloma, koj tus kws kho mob tuaj yeem muab cov ntaub ntawv zoo tshaj plaws rau koj txog koj tus mob.

Qhov no puas tiv thaiv tau kom tsis txhob tshwm sim?

Tsis yog, tam sim no tsis muaj txoj hauv kev los tiv thaiv kom tsis txhob muaj mob multiple myeloma. Cov kws tshawb fawb tab tom sim nrhiav txoj hauv kev los tiv thaiv theem ua ntej mob qog noj ntshav hu ua SMM (Smoldering Multiple Myeloma) kom tsis txhob dhau los ua mob multiple myeloma uas nquag ua haujlwm.

Koj saib xyuas koj tus kheej li cas?

Kab mob multiple myeloma cuam tshuam rau txhua tus neeg sib txawv. Piv txwv li, cov neeg uas muaj MGUS lossis SMM tej zaum yuav tsis xav tau kev kho mob tam sim ntawd. Tab sis lawv yuav tsum mus ntsib lawv tus kws kho mob tsis tu ncua kom kuaj mob. Yog tias koj tsis muaj mob multiple myeloma lawm, koj tus kws kho mob yuav teem sijhawm mus kuaj mob thiab kuaj mob raws li koj tus mob.

Yog tias koj muaj mob Multiple Myeloma, muaj ntau yam uas koj ua tau los tswj koj txoj kev noj qab haus huv:

  • Noj cov khoom noj muaj txiaj ntsig txhua hnub. Kab mob multiple myeloma tuaj yeem ua rau tsis xav noj mov. Yog li sim noj plaub txog tsib pluag mov me me hauv ib hnub.
  • Yog koj haus luam yeeb, sim tso tseg.
  • Muab sijhawm so rau koj lub cev thiab pw tsaug zog zoo.
  • Tiv thaiv koj tus kheej kom tsis txhob muaj kab mob. Nug koj tus kws kho mob txog cov hau kev los tiv thaiv kab mob.
  • Ua qee yam kev tawm dag zog, tab sis nug koj tus kws kho mob ua ntej. Nws yuav qhia koj seb hom kev tawm dag zog twg yog qhov zoo rau koj.
  • Ua tib zoo saib xyuas koj txoj kev noj qab haus huv ntawm lub hlwb thiab. Nws yog ib qho ib txwm muaj uas koj yuav tu siab, ntxhov siab, thiab nyuaj siab thaum koj ntsib teeb meem zoo li no. Tab sis yog tias qhov kev tu siab lossis kev ntxhov siab no kav ntev tshaj ob lub lis piam, lossis cuam tshuam rau koj cov dej num txhua hnub, nrog koj tus kws kho mob tham txog qhov ntawd.
  • Yog tias koj lub cev tsis mob lawm , tej zaum koj yuav zoo siab uas kev kho mob tas lawm. Tab sis koj kuj tseem yuav txhawj tias tus mob qog yuav rov qab los. Tham nrog koj tus kws kho mob txog koj tus mob thiab yuav muaj dab tsi tshwm sim rau yav tom ntej.

Kab mob multiple myeloma yog ib hom mob qog ntshav uas tsis tshua muaj. Txawm hais tias nws kho tsis tau los, cov kws kho mob tuaj yeem kho cov mob, cov tsos mob, thiab tswj kev kis tus kab mob. Ib txhia neeg nyob nrog tus kab mob tau ntau xyoo. Lwm tus neeg nyob hauv kev zam txim. Txawm li cas los xij, kev nyob nrog tus kab mob uas tsis ploj mus thiab tuaj yeem rov qab los tsis yooj yim. Nws txhais tau tias nyob nrog kev kho mob thiab kev kuaj mob txhua hnub ntawm koj lub neej. Cov kws kho mob nkag siab txog cov teeb meem no. Yog tias koj xav tau kev pab kawm kom nyob nrog ntau hom mob myeloma, nug koj tus kws kho mob. Lawv tuaj yeem qhia koj txog cov kev pabcuam thiab cov kev pab cuam pab tau.

Qhov tseem ceeb tshaj plaws uas peb xav coj mus tsev

Zoo, yog li, qhov tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog yog cov no:

  • Multiple Myeloma yog ib hom mob qog ntshav tsawg tsawg uas tshwm sim hauv cov hlwb ntshav .
  • Txawm hais tias nws tsis tuaj yeem kho tau tag nrho los xij, kev kho mob tuaj yeem tswj cov tsos mob, ua kom lub neej ntev dua, thiab txhim kho lub neej zoo dua .
  • Yog koj muaj cov tsos mob xws li mob pob txha, qaug zog heev, lossis muaj kab mob ntau zaus , mus ntsib kws kho mob tam sim ntawd.
  • Thaum ntxov kuaj pom tias muaj mob, ces yuav muaj feem ntau dua uas kev kho mob yuav ua tiav.
  • Thaum nyob nrog tus kab mob no, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj tus kheej kom zoo, ua raws li koj tus kws kho mob cov lus qhia, thiab ua kom lub siab muaj zog .

Tsis txhob txhawj, koj tsis nyob ib leeg xwb. Kev tshawb fawb txog kev kho mob tab tom nce qib, thiab muaj kev kho mob tshiab tawm los txhua lub sijhawm. Koj tus kws kho mob thiab pab neeg saib xyuas kev noj qab haus huv yeej ib txwm npaj txhij los pab koj.


` multiple myeloma, plasma cells, mob qog ntshav hauv cov ntshav, pob txha pob txha, M protein, cov tsos mob ntawm mob qog ntshav, kev kho mob qog ntshav hauv cov ntshav

Frequently Asked Questions (FAQ)

Yuav ua li cas thiaj kuaj tau qhov no?

Cov kws kho mob ua ntau yam kev kuaj mob kom paub seb koj puas muaj mob multiple myeloma, thiab yog tias muaj, seb nws puas tseem nyob rau theem pib lossis tau kis mus rau lwm qhov. Nov yog qee qhov ntawm lawv:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

Ntxiv koj cov lus

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