Koj puas muaj cov tsos mob txawv txawv no thiab? Cia peb tham txog Plasmacytoma

Qhov mob uas tsis paub meej nyob rau ntau qhov ntawm lub cev, qee zaum muaj teeb meem pob txha uas tsis tuaj yeem xav txog, lossis qhov tsis zoo ntawm cov nqaij mos mos hauv qhov chaw xws li caj dab thiab taub hau ... Cov no yog cov khoom uas peb qee zaum tsis tau them sai sai rau. Txawm li cas los xij, qee zaum, cov no yuav yog cov tsos mob ntawm tus mob tsis tshua muaj hu ua Plasmacytoma. Tsis txhob txhawj, qhov no tsis yog kab mob uas cuam tshuam rau ntau tus neeg. Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Tus mob plasmacytoma no yog dab tsi? Cia peb nkag siab yooj yim heev.

Hais yooj yim xwb, Plasmacytoma yog ib yam mob zoo ib yam li Multiple Myeloma, tab sis tsis tshua muaj. Peb txhua tus muaj ib hom cell hauv peb lub cev hu ua Plasma cells . Ib txhia neeg kuj hu cov B cells no. Cov no yog ib feem tseem ceeb ntawm peb lub cev tiv thaiv kab mob. Cov Plasma cells noj qab nyob zoo tsim cov tshuaj tua kab mob, lossis immunoglobulins, uas pab peb lub cev tiv thaiv kab mob.

Txawm li cas los xij, qee zaum cov qe ntshav dawb no zoo li txawv txav thiab pib faib thiab loj hlob sai dhau. Cov qe ntshav dawb no ces sib sau ua ke thiab tsim cov qog nqaij hlav. Cov qog nqaij hlav no tuaj yeem tsim nyob rau hauv peb cov pob txha, hauv cov nqaij mos ntawm lub taub hau thiab caj dab, lossis hauv txhua yam kabmob, xws li lub zais zis, lub ntsws, lossis lub raum.

Kab mob Plasmacytoma cuam tshuam li cas rau kuv lub cev?

Raws li peb tau tham txog ua ntej lawm, qhov teeb meem no pib thaum cov hlwb plasma noj qab nyob zoo dhau los ua qhov tsis zoo. Cov hlwb plasma tsis zoo no loj hlob thiab tsim cov tshuaj tiv thaiv kab mob hu ua M proteins . Thaum cov M proteins no nce ntxiv, cov hlwb plasma noj qab nyob zoo uas pab tiv thaiv peb ntawm kab mob yuav txo qis. Qhov no txhais tau tias peb lub cev tiv thaiv kab mob yuav qaug zog.

Muaj ob hom plasmacytoma tseem ceeb, nyob ntawm seb lawv cuam tshuam rau qhov twg ntawm lub cev:

1. Cov Pob Txha Plasmacytoma Ib Leeg (SPB): Qhov no yog thaum cov qe ntshav dawb tsis zoo tsim ib lub qog hauv ib pob txha hauv koj lub cev. Xav txog nws tsuas yog ib lub pob txha caj qaum hauv koj tus txha nqaj qaum, lossis tsuas yog ib qho chaw hauv koj lub duav. SPB no tuaj yeem ua rau pob txha puas tsuaj thiab mob. Kwv yees li 50% ntawm cov neeg uas muaj SPB thaum kawg yuav tsim cov mob myeloma ntau yam.

2. Extramedullary Plasmacytoma (EMP): Hauv EMP, ib lub qog ua los ntawm cov qe ntshav dawb tsis zoo cuam tshuam rau cov nqaij mos . Cov nqaij mos yog cov nqaij uas nyob ib puag ncig, txuas, thiab txhawb nqa peb cov kabmob thiab pob txha. Piv txwv li, qhov no suav nrog peb cov leeg, cov leeg, daim tawv nqaij, cov rog, thiab cov fascia. EMP tuaj yeem tshwm sim hauv txhua cov nqaij mos hauv lub cev, tab sis nws feem ntau tshwm sim hauv txoj hlab pa sab saud.. Ntawd yog, nyob rau hauv cov chaw xws li lub qhov ntswg, sinuses, nasopharynx, thiab larynx. Tab sis nws tuaj yeem tshwm sim rau txhua lub cev. Kwv yees li 15% ntawm cov neeg uas muaj EMP yuav tom qab ntawd tsim ntau yam myeloma.

Leej twg thiaj muaj tus mob plasmacytoma no? Nws tshwm sim ntau npaum li cas?

Feem ntau pom muaj cov neeg hnub nyoog ntawm 55 thiab 60 xyoo uas muaj cov kab mob Plasmacytoma. Kuj tseem pom tias cov txiv neej muaj feem yuav muaj tus mob no ntau dua li cov poj niam.

Kab mob Plasmacytoma yeej yog ib yam mob tsis tshua muaj . Cov kws kho mob tsuas kuaj pom li ntawm 450 tus neeg mob SPB tshiab thiab li ntawm 300 tus neeg mob EMP tshiab txhua xyoo. Txawm li cas los xij, qee tus neeg uas tau tawm tsam ntau yam mob myeloma ntev lawm kuj tuaj yeem mob plasmacytoma.

Cov tsos mob ntawm SPB yog dab tsi?

Kab mob Solitary Plasmacytoma of Bone (SPB) yog ib yam kab mob pob txha uas ua rau mob pob txha lossis pob txha tawg . Piv txwv li, koj yuav mob nraub qaum yam tsis muaj laj thawj, lossis mob tav. Lwm cov tsos mob ntawm SPB suav nrog:

• Mob los yog pob txha tawg rau hauv qhov chaw xws li koj cov tav, cov pob txha caj qaum hauv siab, cov pob txha caj qaum, thiab lub duav .
• Kev tawg pob txha caj qaum uas raug nias . Qhov no tuaj yeem ua rau koj cov hlab ntsha caj qaum lossis cov hauv paus hlab ntsha puas tsuaj. Yog tias qhov no tshwm sim, koj yuav hnov ​​​​​​mob ntse, mob threading uas mus rau hauv koj ob txhais ceg thiab mus rau hauv koj nraub qaum.
• Tsis tshua muaj, yog tias SPB cuam tshuam rau lub pob txha taub hau, nws tuaj yeem ua rau mob taub hau, kiv taub hau, thiab muaj teeb meem pom kev .

Yog li cov tsos mob ntawm EMP yog dab tsi?

Cov tsos mob ntawm Extramedullary Plasmacytoma (EMP) tshwm sim thaum lub qog nias rau ntawm cov nqaij mos, ua rau mob thiab cuam tshuam kev ua haujlwm ntawm lub cev.

Piv txwv li, yog tias koj muaj EMP hauv koj lub qhov ntswg, koj yuav xav tias muaj ib yam dab tsi daig hauv koj lub qhov ntswg, thiab nws yuav nyuaj rau ua pa los ntawm koj lub qhov ntswg. Txawm hais tias EMPs tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev, 80% txog 90% ntawm cov neeg mob tshwm sim hauv thaj chaw taub hau thiab caj dab. Cov tsos mob feem ntau ntawm EMPs suav nrog:

• Mob taub hau
• Cov kua ntswg tawm
• Nyuaj nqos (Dysphagia)
• Mob caj pas los yog kab mob (Pharyngitis)
• Ntshav Qhov Ntswg (Epistaxis)

Tsis tshua muaj, yog tias EMP cuam tshuam rau koj lub larynx (lub suab), koj kuj tseem yuav muaj cov tsos mob zoo li:

• Qaug zog
• Txoj kev ua pa uas raug thaiv
• Ua pa nrov nrov

Tseem Ceeb:Cov tsos mob ntawm plasmacytoma no feem ntau zoo ib yam li lwm yam kab mob uas tsis hnyav heev. Yog li ntawd, tsis txhob ntshai yog tias koj pom ib yam dab tsi zoo li no. Txawm li cas los xij, yog tias cov tsos mob no tseem muaj ntau tshaj ob lub lis piam lossis hnyav dua, koj yuav tsum mus ntsib kws kho mob.

Vim li cas cov plasmacytoma no thiaj li tshwm sim? Dab tsi yog qhov ua rau?

Qhov tseeb, tam sim no peb paub tias plasmacytoma yog tshwm sim los ntawm cov hlwb plasma noj qab haus huv hloov mus ua cov hlwb tsis zoo thiab loj hlob tsis tuaj yeem tswj tau. Txawm li cas los xij, cov kws tshawb fawb tseem tsis tau paub meej tias dab tsi ua rau muaj qhov kev hloov pauv no. Uas yog, tseem tsis tau pom qhov ua rau tshwj xeeb.

Cov kws kho mob kuaj mob Plasmacytoma li cas?

Cov kws kho mob siv ntau yam kev kuaj los txheeb xyuas cov hom plasmacytoma thiab, yog tias muaj, los txiav txim siab theem ntawm EMP.

Nov yog qee qhov kev sim ntawd:

• CT scan (Computed Tomography - CT scan): Qhov no siv cov duab X-rays thiab lub khoos phis tawj los tsim cov duab peb-seem (3D) ntawm koj cov nqaij mos thiab pob txha. Cov kws kho mob siv CT scans los nrhiav kev puas tsuaj rau pob txha los ntawm plasmacytomas.
• Kev Ntsuas MRI (Magnetic Resonance Imaging - MRI): Qhov kev kuaj no tuaj yeem thaij duab ntxaws ntxaws ntawm koj lub cev yam tsis siv hluav taws xob. MRI tuaj yeem pab soj ntsuam kev puas tsuaj ntawm cov nqaij mos uas tshwm sim los ntawm EMP.
• Kev kuaj ntshav thiab zis: Cov kev kuaj no yog siv los ntsuas cov qib ntawm cov protein M uas peb tau tham txog.
• Kev kuaj xyuas qhov ntswg: Yog tias xav tias muaj mob EMP, cov txheej txheem no tuaj yeem siv los kuaj xyuas cov txoj hlab pas thiab cov hlab ntsha hauv lub qhov ntswg. Qhov no suav nrog kev ntxig ib lub raj nrog lub koob yees duab me me rau hauv lub qhov ntswg.
• Kev siv koob txhaj tshuaj me me: Txoj kev no siv tau los kuaj cov ntaub so ntswg thiab kua dej los ntawm cov ntaub so ntswg mos uas cuam tshuam los ntawm EMP.
• Kev kuaj mob: Qhov no kuj yog ua los ntawm kev coj cov ntaub so ntswg lossis cov kua dej los kuaj cov hlwb ntshav. Qhov no yog los xyuas kom meej tias puas muaj cov hlwb txawv txav.

Cov theem ntawm EMP yog dab tsi?

Cov kws kho mob xav txog cov yam hauv qab no los txiav txim siab theem ntawm Extramedullary Plasmacytoma (EMP):

• Theem I: Cov kev kuaj qhia tias tsuas muaj ib lub qog nyob rau hauv ib qho chaw ntawm koj lub cev.
• Theem II: Kev kuaj qhia tau tias cov hlwb EMP kuj tseem muaj nyob hauv koj cov qog ntshav.
• Theem III: Cov kev kuaj qhia tias muaj ntau tshaj ib lub qog EMP.

Cov kev kho mob rau Plasmacytoma yog dab tsi?

Qhov zoo tshaj plaws yog, muaj kev kho rau qhov mob no. Cov kws kho mob kho cov pob txha ib leeg (SPB) los ntawm kev siv hluav taws xob.Qee zaum, yog tias ib tug neeg muaj cov protein tsis zoo (M proteins) hauv lawv cov ntshav lossis zis thiab kuj muaj plasmacytoma, cov kws kho mob kuj tseem yuav siv kev kho mob rau multiple myeloma.

Mob plasmacytoma sab nraud (EMP) kho tau los ntawm kev phais thiab/lossis chemotherapy lossis immunotherapy . Koj tus kws kho mob yuav txiav txim siab qhov kev kho mob zoo tshaj plaws raws li koj tus mob.

Puas tiv thaiv tau qhov kev loj hlob ntawm plasmacytoma?

Qhov tseeb, zoo li ntau yam mob myeloma, tsis muaj txoj hauv kev paub los tiv thaiv kev loj hlob ntawm plasmacytoma. Vim tias tsis paub qhov ua rau muaj qhov no, nws nyuaj rau hais tias yuav ua li cas tiv thaiv nws.

Koj muaj peev xwm ua neej nyob tau ntev npaum li cas nrog tus kab mob Plasmacytoma?

Qhov no yog ib qho teeb meem rau ntau tus neeg. Kwv yees li 60% ntawm cov neeg uas muaj SPB tseem muaj sia nyob tsib xyoos tom qab kuaj pom. Kwv yees li 82% ntawm cov neeg uas muaj EMP tseem muaj sia nyob tsib xyoos tom qab kuaj pom. Cov no tsuas yog cov ntaub ntawv xwb, qhov no tuaj yeem txawv ntawm ib tus neeg mus rau ib tus neeg.

Tu siab kawg li, qee zaum plasmacytoma tuaj yeem rov qab los , lossis tshwm sim rau lwm qhov hauv lub cev. Tsis tas li ntawd, qee tus neeg uas muaj SPB lossis EMP tom qab ntawd yuav tshwm sim ntau yam myeloma. Qhov no tuaj yeem cuam tshuam rau lawv lub neej ntev npaum li cas.

Kuv yuav tsum saib xyuas kuv tus kheej li cas? Kuv yuav tsum ua li cas?

Vim tias ib yam mob hu ua plasmacytoma tuaj yeem hloov mus ua multiple myeloma, yog tias koj muaj plasmacytoma, koj yuav xav tau kev saib xyuas tas mus li txawm tias tom qab kev kho mob tiav lawm los xij. Qhov no tseem ceeb heev.

Feem ntau cov kev saib xyuas tom qab no suav nrog kev kuaj ntshav thiab kev kuaj duab (xws li CT thiab MRI). Cov kws kho mob no yuav saib xyuas koj kom paub txog cov cim ntawm multiple myeloma. Yog tias koj muaj plasmacytoma, nug koj tus kws kho mob seb koj yuav tsum tau txais kev saib xyuas tom qab li cas.

Plasmacytoma yog ib yam kab mob ntshav uas tsis tshua muaj neeg paub zoo ib yam li multiple myeloma. Zoo hmoo, cov kws kho mob tuaj yeem kho tau feem ntau ntawm cov neeg mob plasmacytoma, ua rau lub qog me dua thiab txo cov tsos mob. Txawm li cas los xij, kev kuaj pom tias muaj plasmacytoma txhais tau tias koj yuav tsum tau nyob nrog kev saib xyuas kev kho mob mus tas koj lub neej. Nws tsis yooj yim rau kev nyob nrog tus kab mob uas yeej tsis ploj mus tag. Yog tias koj nyob nrog plasmacytoma, nug koj tus kws kho mob txog cov hau kev los pab koj daws qhov mob ntev no. Lawv yuav zoo siab pab koj.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb rov hais dua qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Plasmacytoma yog ib yam kab mob tsis tshua muaj uas tshwm sim los ntawm cov qog nqaij hlav uas loj hlob tsis zoo los ntawm cov qe ntshav dawb .
• Muaj ob hom tseem ceeb ntawm qhov no: SPB, uas cuam tshuam rau cov pob txha , thiab EMP, uas cuam tshuam rau cov nqaij mos .
• Cov tsos mob yuav muaj xws li mob pob txha, pob txha tawg, mob taub hau, ntswg ntws, thiab nyuaj nqos . Yog tias cov tsos mob no tseem muaj lossis hnyav zuj zus, nrhiav kev pab kho mob.
• Tseem tsis tau pom ib qho laj thawj tshwj xeeb rau qhov no , yog li tsis muaj txoj hauv kev los tiv thaiv nws.
• Muaj cov kev kho mob xws li kev kho hluav taws xob, phais, tshuaj kho mob qog noj ntshav, thiab kev kho mob tiv thaiv kab mob .
• Kev saib xyuas tas mus li tom qab kev kho mob yog qhov tseem ceeb heev, vim qhov no tuaj yeem hloov mus ua ntau yam mob myeloma lossis rov qab los.
• Kev nyob nrog tus mob no yuav nyuaj heev. Tham nrog koj tus kws kho mob thiab nrhiav kev pab txhawb nqa uas koj xav tau.

Vam tias cov ntaub ntawv no yuav pab tau koj. Nyob zoo!

` plasmacytoma, mob qog noj ntshav, mob qog noj ntshav ntawm pob txha, mob qog noj ntshav ntawm cov nqaij mos, mob qog noj ntshav ntawm ntau yam mob myeloma