Kei a koe anō ēnei tohu rerekē? Me kōrero tātou mō te Plasmacytoma

Te mamae kāore i te mārama i ngā wāhanga rerekē o te tinana, ētahi wā he raruraru wheua kāore e taea te whakaaro, he rerekētanga rānei o ngā kiko ngohengohe i ngā wāhi pēnei i te kaki me te upoko... He mea ēnei kāore e aro nuitia ana e tātou. Heoi, i ētahi wā onge, he tohu pea ēnei o tētahi mate onge e kiia nei ko te Plasmacytoma. Kaua e manukanuka, ehara tēnei i te mate e pāngia ana e te tini tāngata. Engari he mea tino nui kia mōhio ki tēnei.

He aha tēnei plasmacytoma? Kia mārama tātou ki tēnei mea.

Ki te whakarapopoto, he āhua rite te Plasmacytoma ki te Multiple Myeloma, engari he onge ake. He momo pūtau kei roto i ō tātou tinana katoa e kiia nei ko ngā pūtau Plasma . Ka karangatia hoki ēnei e ētahi tāngata e ngā pūtau B. He wāhanga nui ēnei o tō tātou pūnaha ārai mate. Ka whakaputa ngā pūtau Plasma hauora i ngā paturopi, arā, ngā immunoglobulin, hei āwhina i ō tātou tinana ki te whawhai ki te mate.

Heoi, i ētahi wā ka rerekē te āhua o ēnei pūtau plasma hauora, ka tere rawa te wehewehe me te whakanui. Kātahi ka huihui ēnei pūtau rerekē, ka hanga he pukupuku. Ka taea e ēnei pukupuku te hanga i roto i ō tātou wheua, i roto i ngā kiko ngohengohe o te mahunga me te kaki, i roto rānei i tētahi okana, pērā i te pūkahukahu, ngā pukahukahu, ngā whatukuhu rānei.

He aha te pānga o te Plasmacytoma ki tōku tinana?

E ai ki tā tātou i kōrero ai i mua, ka tīmata tēnei raruraru ina rerekē haere ngā pūtau toto hauora. Ka whakanuia ēnei pūtau toto rerekē, ka hanga he momo paturopi rerekē e kiia nei ko ngā pūmua M. Ina piki ake ēnei pūmua M, ka heke te maha o ngā pūtau toto tūturu, hauora e āwhina ana ki te tiaki i a tātou i te mate. Ko te tikanga o tēnei ka ngoikore pea tō tātou ārai mate.

E rua ngā momo matua o te plasmacytoma, i runga i ngā wāhanga o te tinana e pāngia ana:

1. Te Plasmacytoma Tūkotahi o te Wheua (SPB): Koinei te wā e hangaia ai e ngā pūtau plasma rerekē he pukupuku i roto i te wheua kotahi o tō tinana. Whakaarohia he kotahi noa te tuaiwi i roto i tō tuaiwi, he kotahi noa rānei te wāhi i roto i tō hope. Ka taea e tēnei SPB te whakararu i te wheua me te mamae. Tata ki te 50% o te hunga whai SPB ka pāngia e te myeloma maha.

2. Extramedullary Plasmacytoma (EMP): I roto i te EMP, ka pāngia ngā kiko ngohengohe e tētahi pukupuku kotahi i hangaia mai i ngā pūtau plasma rerekē. Ko te kiko ngohengohe te kiko e karapoti ana, e hono ana, e tautoko ana hoki i ō tātou whekau me ō tātou wheua. Hei tauira, kei roto i tēnei ko ō tātou uaua, uaua, kiri, ngako, me te fascia. Ka puta te EMP i roto i tētahi kiko ngohengohe o te tinana, engari ko te mea tino noa i te ara manawa o runga.Arā, i ngā wāhi pēnei i te kōhao ihu, ngā sinuses, te nasopharynx, me te larynx. Engari ka taea te puta i roto i tētahi okana. Tata ki te 15% o te hunga whai EMP ka pāngia pea e te myeloma maha i muri mai.

Ko wai ka pāngia e tēnei mate plasmacytoma? He pēhea te noa o tēnei mate?

Ko te Plasmacytoma te mea e kitea ana i roto i te hunga i waenga i te 55 me te 60 tau te pakeke. Kua kitea hoki he nui ake te tūponotanga o te pāngia o ngā tāne e tēnei mate i ngā wāhine.

He tino onge te mate Plasmacytoma. Tata ki te 450 ngā kēhi hou o te SPB me te tata ki te 300 ngā kēhi hou o te EMP ka tātaritatia e ngā tākuta i ia tau. Heoi, ka taea hoki e ētahi tāngata kua roa e whawhai ana ki te myeloma maha te whakawhanake i te plasmacytoma.

He aha ngā tohu o te SPB?

Ko te Solitary Plasmacytoma of Bone (SPB) he mate wheua e tohuhia ana e te mamae wheua, te whati wheua rānei . Hei tauira, ka pāngia pea koe e te mamae tuara, kāore he take e kitea ana, e te mamae rara rānei. Ko ētahi atu tohu o te SPB ko:

• Te mamae, te whati rānei o ngā wāhi pēnei i ō rara, ō tuaiwi uma, ō femur, me tō pelvis .
• Ngā whati pēhanga o te tuaiwi. Ka pā kino pea tēnei ki tō taurakira, ki ngā pakiaka io rānei. Ki te tupu tēnei, ka pāngia pea koe e te mamae koi, e wero ana, ka heke iho i ō waewae ki roto i tō tuara.
• I ētahi wā, ki te pā te SPB ki te angaanga, ka pā te ānini, te whanoke, me ngā raruraru tirohanga .

Nā, he aha ngā tohu o te EMP?

Ka puta ngā tohu o te Extramedullary Plasmacytoma (EMP) ina pēhia e te puku ngā kiko ngohengohe, ka mamae, ka whakararuraru hoki i te mahi a te tinana.

Hei tauira, ki te mea he EMP kei roto i tō ihu, tera pea ka rongo koe me te mea kei te mau tetahi mea i roto i tō ihu, ā, tera pea ka uaua ki te manawa mā roto i tō ihu. Ahakoa ka puta ngā EMP i ngā wāhi katoa o te tinana, 80% ki te 90% o ngā take ka puta i te mahunga me te kaki. Ko ngā tohu noa o ngā EMP ko:

• Ānini
• Te rerenga ihu
• Te uaua ki te horomi (Dysphagia)
• Korokoro mamae, mate pāwera rānei (Pharyngitis)
• Te toto o te ihu (Epistaxis)

I ētahi wā, ki te pā te EMP ki tō larynx (pouaka reo), ka pāngia pea koe e ngā tohu pēnei i:

• Te pāorooro
• Te ara manawa kua āraia
• Te whewhe

He mea nui:He rite tonu ēnei tohu o te plasmacytoma ki ērā o ētahi atu mate iti ake te kino. Nō reira kaua e mataku mēnā ka kite koe i tētahi mea pēnei. Heoi, mēnā ka roa ake ēnei tohu mō ngā wiki e rua neke atu rānei, ka kino haere rānei, me toro atu koe ki te tākuta.

He aha i puta ai tēnei plasmacytoma? He aha te take?

Ina hoki, e mōhio ana tātou ināianei ko te plasmacytoma te take o te hurihanga o ngā pūtau plasma hauora hei pūtau rerekē, me te whakanui haere i roto i te kore e taea te whakahaere. Heoi, kāore anō kia tino mōhiotia e ngā kairangahau te take o tēnei huringa. Arā, kāore anō kia kitea he take motuhake.

Me pēhea te tautuhi a ngā tākuta i te Plasmacytoma?

He maha ngā whakamātautau ka whakamahia e ngā tākuta hei tautuhi i ngā momo plasmacytoma, ā, mēnā kei te wātea, hei whakatau i te wāhanga o te EMP.

Anei ētahi o aua whakamātautau:

• Matawai CT (Tomography Rorohiko - Matawai CT): Ka whakamahia e tēnei he hihi-X me te rorohiko hei hanga i tētahi whakaahua toru-ahu (3D) o ō kiko ngohengohe me ō wheua. Ka whakamahia e ngā tākuta ngā matawai CT hei rapu i ngā kino o te wheua i puta mai i ngā plasmacytomas.
• Matawai MRI (Whakaahua Āhua Aukume - MRI): Ka taea e tēnei whakamātautau te whakaputa whakaahua taipitopito o tō tinana me te kore e whakamahi i te irahiko. Ka taea e te MRI te āwhina ki te aromatawai i te kino o ngā kiko ngohengohe i puta mai i te EMP.
• Ngā whakamātautau toto me te mimi: Ka whakamahia ēnei whakamātautau hei ine i ngā taumata o ngā pūmua M i kōrerohia e tātou.
• Te tirotiro ihu: Mena kei te whakapaehia he mate EMP, ka taea te whakamahi i tēnei tikanga hei tirotiro i ngā ara me ngā sinus i roto i te ihu. Ko te tikanga o tēnei ko te whakauru i tētahi ngongo me tētahi kāmera iti ki roto i te ihu.
• Kohikohi ngira pai: Ka taea te whakamahi i tēnei tikanga hei tiki tauira o te kiko me te wai mai i ngā kiko ngohengohe e pāngia ana e te EMP.
• Biopsy: Ka mahia hoki tēnei hei tango tauira o te kiko, o te wai rānei hei tirotiro i ngā pūtau plasma. Hei whakaū mēnā he pūtau rerekē kei roto.

He aha ngā wāhanga o te EMP?

Ka whakaarohia e ngā tākuta ngā āhuatanga e whai ake nei hei whakatau i te wāhanga o te Extramedullary Plasmacytoma (EMP):

• Wāhanga I: E whakaatu ana ngā whakamātautau kotahi anake te pukupuku kei te wāhi kotahi o tō tinana.
• Wāhanga II: E whakaatu ana ngā whakamātautau kei roto hoki i ō pona lymph ngā pūtau EMP.
• Wāhanga III: E whakaatu ana ngā whakamātautau he nui atu i te kotahi te pukupuku EMP.

He aha ngā maimoatanga mō te Plasmacytoma?

Ko te mea pai rawa atu, kei reira ngā maimoatanga mō tēnei mate. Ka rongoatia e ngā tākuta te plasmacytoma wheua takitahi (SPB) mā te rongoā irahiko.I ētahi wā, mēnā kei roto i te toto, i te mimi rānei aua pūmua rerekē (ngā pūmua M) o te tangata, ā, he plasmacytoma anō hoki tōna, ka whakamahia hoki e ngā tākuta he maimoatanga mō te myeloma maha.

Ka taea te rongoā i te extraosseous plasmacytoma (EMP) mā te pokanga me/ranei te chemotherapy , te immunotherapy rānei. Mā tō tākuta e whakatau te maimoatanga tino tika i runga i tō āhua.

Ka taea te ārai i te whanaketanga o te plasmacytoma?

Ina hoki, pērā i te myeloma maha, kāore he huarahi e mōhiotia ana hei ārai i te whanaketanga o te plasmacytoma. Nā te mea kāore i te mōhiotia te tino take, he uaua ki te kī me pēhea te ārai.

Kia pēhea te roa ka taea e koe te ora me te Plasmacytoma?

He raruraru tēnei mō te tini o te tangata. Tata ki te 60% o te hunga whai SPB kei te ora tonu i muri i te rima tau i te tātaritanga. Tata ki te 82% o te hunga whai EMP kei te ora tonu i muri i te rima tau i te tātaritanga. He tatauranga noa iho ēnei, ka rerekē pea tēnei i ia tangata, i ia tangata.

Engari, ka hoki mai anō te plasmacytoma i ētahi wā, ka puta rānei i ētahi atu wāhi o te tinana. Waihoki, ko ētahi tāngata he SPB, he EMP rānei, ka pāngia pea e te myeloma maha i muri mai. Ka pā tēnei ki te roa o tō rātou oranga.

Me pēhea taku tiaki i ahau anō? Me aha ahau?

Nā te mea ka taea e te mate e kiia nei ko te plasmacytoma te whanake hei myeloma maha, ki te mea he plasmacytoma tōu, me whai tiaki tonu koe mō te wā katoa ahakoa kua oti te maimoatanga. He mea tino nui tēnei.

Ko tēnei tiaki whai muri ko ngā whakamātautau toto me ngā whakamātautau whakaahua (pēnei i te CT me te MRI). Ka aroturukihia koe e ēnei tākuta mō ngā tohu o te myeloma maha. Mena he plasmacytoma tōu, pātai atu ki tō tākuta he aha te momo tiaki whai muri me tumanako koe.

He mate toto tino onge te Plasmacytoma, he rite ki te myeloma maha. He waimarie, ka taea e ngā tākuta te rongoā angitu i te nuinga o ngā mate o te plasmacytoma, te whakaiti i te pukupuku me te whakaora i ngā tohu. Heoi, ki te kitea he plasmacytoma koe, me noho koe me te tirotiro hauora mō te toenga o tō oranga. Ehara i te mea ngāwari te noho me te mate e kore e memeha rawa. Mena kei te noho koe me te plasmacytoma, pātai atu ki tō tākuta mō ngā huarahi hei āwhina i a koe ki te whakatau i tēnei mate mau tonu. Ka koa rātou ki te āwhina i a koe.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, me whakarapopoto tātou i ētahi o ngā mea hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• He mate onge te Plasmacytoma e puta mai ana i ngā pukupuku e tupu rerekē ana mai i ngā pūtau plasma .
• E rua ngā momo matua o tēnei: ​​ko te SPB, e pā ana ki ngā wheua , me te EMP, e pā ana ki ngā kiko ngohengohe .
• Ko ngā tohu pea ko te mamae o te wheua, te whati o te wheua, te ānini o te upoko, te ihu pupuhi, me te uaua ki te horomi . Mēnā ka mau tonu, ka kino rānei ēnei tohu, rapua he tohutohu hauora.
• Kāore anō kia kitea he tino take mō tēnei , nō reira kāore he huarahi hei ārai.
• Kei reira ngā tikanga maimoatanga pēnei i te radiation therapy, te pokanga, te chemotherapy, me te immunotherapy .
• He mea tino nui te aroturukitanga mō te wā katoa i muri i te maimoatanga, nā te mea ka taea e tēnei te whanake hei myeloma maha, te hoki mai rānei.
• He uaua pea te noho me tēnei mate. Kōrero ki tō tākuta kia whiwhi ai koe i te tautoko e hiahiatia ana e koe.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` plasmacytoma, mate pukupuku, mate toto, mate pukupuku wheua, mate pukupuku kiko ngohengohe, myeloma maha