Kodi inunso muli ndi zizindikiro zachilendozi? Tiyeni tikambirane za Plasmacytoma

Kupweteka kosamveka bwino m'mbali zosiyanasiyana za thupi, nthawi zina mavuto osayerekezeka a mafupa, kapena zolakwika m'minofu yofewa m'malo monga khosi ndi mutu... Izi nthawi zina zingakhale zinthu zomwe sitiziganizira kwambiri. Komabe, nthawi zina, izi zingakhalenso zizindikiro za matenda osowa otchedwa Plasmacytoma. Musadandaule, uwu si matenda omwe amakhudza anthu ambiri. Koma ndikofunikira kwambiri kudziwa izi.

Kodi plasmacytoma iyi ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, Plasmacytoma ndi matenda ofanana ndi Multiple Myeloma, koma osowa kwambiri. Tonsefe tili ndi mtundu wa selo m'thupi mwathu wotchedwa Plasma cells . Anthu ena amatchanso maselo a B awa. Awa ndi gawo lofunika kwambiri la chitetezo chathu chamthupi. Maselo a plasma abwino amapanga ma antibodies, kapena ma immunoglobulins, omwe amathandiza matupi athu kulimbana ndi matenda.

Komabe, nthawi zina maselo athanzi a plasma amenewa amakhala osazolowereka ndipo amayamba kugawikana ndikuchulukana mofulumira kwambiri. Maselo osazolowerekawa amasonkhana ndikupanga zotupa. Zotupazi zimatha kupangika m'mafupa athu, m'minofu yofewa ya mutu ndi khosi, kapena m'chiwalo chilichonse, monga chikhodzodzo, mapapo, kapena impso.

Kodi Plasmacytoma imakhudza bwanji thupi langa?

Monga tanenera kale, vutoli limayamba pamene maselo a plasma athanzi asintha kukhala osakhazikika. Maselo a plasma osakhazikikawa amachulukana ndikupanga mtundu wa antibody wosakhazikika wotchedwa mapuloteni a M. Mapuloteni a M awa akachuluka, chiwerengero cha maselo enieni a plasma athanzi omwe amatiteteza ku matenda chimachepa. Izi zikutanthauza kuti chitetezo chathu chamthupi chikhoza kufooka.

Pali mitundu iwiri ikuluikulu ya plasmacytoma, kutengera ziwalo za thupi zomwe zimakhudza:

1. Solitary Plasmacytoma ya Mafupa (SPB): Apa ndi pamene maselo a plasma osazolowereka amapanga chotupa mu fupa limodzi m'thupi lanu. Ganizirani ngati vertebra imodzi yokha mu msana wanu, kapena malo amodzi okha m'chiuno mwanu. SPB iyi ingayambitse kuwonongeka kwa mafupa ndi kupweteka. Pafupifupi 50% ya anthu omwe ali ndi SPB pamapeto pake amakhala ndi multiple myeloma.

2. Extramedullary Plasmacytoma (EMP): Mu EMP, chotupa chimodzi chopangidwa ndi maselo a plasma osazolowereka chimakhudza minofu yofewa . Minofu yofewa ndi minofu yomwe imazungulira, kulumikiza, ndikuthandizira ziwalo ndi mafupa athu. Mwachitsanzo, izi zikuphatikizapo minofu yathu, minyewa, khungu, mafuta, ndi fascia. EMP ikhoza kuchitika mu minofu iliyonse yofewa m'thupi, koma imapezeka kwambiri m'njira yopumira yapamwamba.. Izi zikutanthauza kuti, m'malo monga m'mphuno, m'mphuno, m'mphuno, ndi m'khosi. Koma zimatha kuchitika m'chiwalo chilichonse. Pafupifupi 15% ya anthu omwe ali ndi EMP amatha kukhala ndi multiple myeloma pambuyo pake.

Ndani amalandira plasmacytoma iyi? Kodi ndi yofala bwanji?

Plasmacytoma nthawi zambiri imapezeka mwa anthu azaka zapakati pa 55 ndi 60. Zapezekanso kuti amuna ndi omwe ali ndi vutoli kuposa akazi.

Plasmacytoma ndi vuto losowa kwambiri . Madokotala amangopeza milandu yatsopano pafupifupi 450 ya SPB ndi milandu yatsopano pafupifupi 300 ya EMP chaka chilichonse. Komabe, anthu ena omwe akhala akulimbana ndi multiple myeloma kwa nthawi yayitali amathanso kudwala plasmacytoma.

Kodi zizindikiro za SPB ndi ziti?

Solitary Plasmacytoma of Bone (SPB) ndi matenda a mafupa omwe amadziwika ndi kupweteka kwa mafupa kapena kusweka kwa mafupa . Mwachitsanzo, mungamve kupweteka kwa msana mwadzidzidzi popanda chifukwa chomveka, kapena kupweteka m'nthiti. Zizindikiro zina za SPB ndi izi:

• Ululu kapena kusweka kwa mafupa m'malo monga nthiti, mafupa a m'khosi, chiuno, ndi m'chiuno .
• Kusweka kwa msana. Izi zitha kuwononga msana wanu kapena mizu ya mitsempha. Ngati izi zitachitika, mutha kumva ululu waukulu womwe umadutsa m'miyendo yanu ndikulowa m'mbuyo.
• Kawirikawiri, ngati SPB ikakhudza chigaza, ingayambitse mutu, chizungulire, komanso mavuto a maso .

Nanga kodi zizindikiro za EMP ndi ziti?

Zizindikiro za Extramedullary Plasmacytoma (EMP) zimachitika pamene chotupacho chikukankhira minofu yofewa, zomwe zimayambitsa kupweteka komanso kusokoneza magwiridwe antchito a thupi.

Mwachitsanzo, ngati muli ndi EMP mkati mwa mphuno yanu, mungamve ngati chinachake chatsekedwa mu mphuno mwanu, ndipo zingakhale zovuta kupuma kudzera mu mphuno mwanu. Ngakhale kuti EMPs zimatha kuchitika kulikonse m'thupi, 80% mpaka 90% ya milandu imachitika m'mutu ndi m'khosi. Zizindikiro zodziwika bwino za EMPs ndi izi:

• Mutu
• Kutuluka m'mphuno
• Kuvuta kumeza (Dysphagia)
• Kupweteka pakhosi kapena matenda (pharyngitis)
• Kutuluka magazi m'mphuno (Epistaxis)

Kawirikawiri, ngati EMP imakhudza kholingo lanu (bokosi la mawu), mungakumanenso ndi zizindikiro monga:

• Kusamveka bwino
• Njira yolowera mpweya yotsekedwa
• Kupuma movutikira

Zofunika:Zizindikiro za plasmacytoma nthawi zambiri zimakhala zofanana ndi za matenda ena osaopsa kwenikweni. Choncho musachite mantha ngati muwona chinthu chonga ichi. Komabe, ngati zizindikirozi zikupitirira kwa milungu iwiri kapena zikuipiraipira, muyenera kuwona dokotala.

N’chifukwa chiyani plasmacytoma imeneyi imapanga? Kodi chifukwa chake n’chiyani?

Ndipotu, tsopano tikudziwa kuti plasmacytoma imayamba chifukwa cha maselo athanzi a plasma omwe amasanduka maselo osazolowereka ndikuchulukana mosalamulirika. Komabe, ofufuza sakudziwabe chomwe chimayambitsa kusinthaku. Izi zikutanthauza kuti palibe chifukwa chenicheni chomwe chapezeka.

Kodi madokotala amazindikira bwanji Plasmacytoma?

Madokotala amagwiritsa ntchito mayeso angapo kuti adziwe mitundu ya plasmacytoma, ndipo ngati ilipo, kuti adziwe siteji ya EMP.

Nazi zina mwa mayeso amenewo:

• Kujambula kwa CT (Computed Tomography - CT scan): Izi zimagwiritsa ntchito X-ray ndi kompyuta kuti zipange chithunzi cha magawo atatu (3D) cha minofu ndi mafupa anu ofewa. Madokotala amagwiritsa ntchito CT scans kuti aone kuwonongeka kwa mafupa komwe kumachitika chifukwa cha plasmacytomas.
• Kujambula kwa MRI (Magnetic Resonance Imaging - MRI): Kuyesa kumeneku kungapangitse zithunzi zatsatanetsatane za thupi lanu popanda kugwiritsa ntchito kuwala kwa dzuwa. MRI ingathandize kuwona kuwonongeka kwa minofu yofewa komwe kumachitika chifukwa cha EMP.
• Mayeso a magazi ndi mkodzo: Mayeso awa amagwiritsidwa ntchito poyesa kuchuluka kwa mapuloteni a M omwe tidakambirana.
• Endoscopy ya mphuno: Ngati mukukayikira kuti muli ndi vuto la EMP, njirayi ingagwiritsidwe ntchito pofufuza njira ndi ma sinuses mkati mwa mphuno. Izi zimaphatikizapo kulowetsa chubu chokhala ndi kamera yaying'ono mkati mwa mphuno.
• Kuyeza singano yopyapyala: Njira iyi ingagwiritsidwe ntchito kupeza chitsanzo cha minofu ndi madzi kuchokera ku minofu yofewa yomwe yakhudzidwa ndi EMP.
• Kufufuza za maselo: Izi zimachitikanso kuti munthu atenge chitsanzo cha minofu kapena madzi kuti aone maselo a m'magazi. Izi ndi kutsimikizira ngati pali maselo olakwika.

Kodi magawo a EMP ndi ati?

Madokotala amaganizira zinthu zotsatirazi kuti adziwe siteji ya Extramedullary Plasmacytoma (EMP):

• Gawo Loyamba: Mayeso akusonyeza kuti pali chotupa chimodzi chokha pamalo amodzi pa thupi lanu.
• Gawo Lachiwiri: Mayeso akuwonetsa kuti maselo a EMP amapezekanso m'ma lymph nodes anu.
• Gawo Lachitatu: Mayeso akusonyeza kuti pali chotupa cha EMP choposa chimodzi.

Kodi mankhwala a Plasmacytoma ndi ati?

Chabwino n'chakuti, pali njira zochizira vutoli. Madokotala amachiritsa solidious plasmacytoma of bone (SPB) pogwiritsa ntchito radiation therapy.Nthawi zina, ngati wina ali ndi mapuloteni osazolowereka (mapuloteni a M) m'magazi kapena mkodzo wawo komanso ali ndi plasmacytoma, madokotala amagwiritsanso ntchito mankhwala a multiple myeloma.

Extraosseous plasmacytoma (EMP) ikhoza kuchiritsidwa ndi opaleshoni ndi/kapena chemotherapy kapena immunotherapy . Dokotala wanu adzasankha chithandizo choyenera kwambiri kutengera vuto lanu.

Kodi chitukuko cha plasmacytoma chingapewedwe?

Ndipotu, monga momwe zilili ndi multiple myeloma, palibe njira yodziwika yopewera kukula kwa plasmacytoma. Popeza chifukwa chenicheni sichikudziwika, n'zovuta kunena momwe mungapewere.

Kodi mungakhale ndi moyo wautali bwanji ndi Plasmacytoma?

Vutoli ndi la anthu ambiri. Pafupifupi 60% ya anthu omwe ali ndi SPB akadali ndi moyo zaka zisanu atapezeka ndi matendawa. Pafupifupi 82% ya anthu omwe ali ndi EMP akadali ndi moyo zaka zisanu atapezeka ndi matendawa. Izi ndi ziwerengero chabe, izi zitha kusiyana malinga ndi munthu ndi munthu.

Mwatsoka, plasmacytoma nthawi zina imatha kubwerera , kapena kufalikira kwina m'thupi. Komanso, anthu ena omwe ali ndi SPB kapena EMP amatha kukhala ndi multiple myeloma pambuyo pake. Izi zingakhudze nthawi yomwe amakhala ndi moyo.

Kodi ndimadzisamalira bwanji? Ndiyenera kuchita chiyani?

Popeza vuto lotchedwa plasmacytoma limatha kukhala multiple myeloma, ngati muli ndi plasmacytoma, mudzafunika chisamaliro cha moyo wanu wonse ngakhale chithandizo chitatha. Izi ndizofunikira kwambiri.

Chisamaliro chotsatirachi nthawi zambiri chimaphatikizapo kuyezetsa magazi nthawi zonse ndi kuyezetsa zithunzi (monga CT ndi MRI). Madokotala awa adzakuyang'anirani ngati muli ndi zizindikiro za multiple myeloma. Ngati muli ndi plasmacytoma, funsani dokotala wanu mtundu wa chisamaliro chotsatira chomwe muyenera kuyembekezera.

Plasmacytoma ndi matenda osowa kwambiri m'magazi ofanana ndi multiple myeloma. Mwamwayi, madokotala amatha kuchiza bwino matenda ambiri a plasmacytoma, kuchepetsa chotupa ndikuchepetsa zizindikiro. Komabe, kupezeka ndi plasmacytoma kumatanthauza kuti muyenera kukhala ndi dokotala moyo wanu wonse. Sikophweka kukhala ndi matenda omwe satha konse. Ngati mukukhala ndi plasmacytoma, funsani dokotala wanu njira zokuthandizani kuthana ndi matendawa osatha. Adzasangalala kukuthandizani.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikambirane zina mwa zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Plasmacytoma ndi matenda osowa omwe amayamba chifukwa cha zotupa zomwe zimachokera ku maselo a plasma .
• Pali mitundu iwiri ikuluikulu ya izi: SPB, yomwe imakhudza mafupa , ndi EMP, yomwe imakhudza minofu yofewa .
• Zizindikiro zake zingakhale kupweteka kwa mafupa, kusweka kwa mafupa, mutu, mphuno yotuluka madzi, komanso kuvutika kumeza . Ngati zizindikirozi zikupitirira kapena kukulirakulira, funsani upangiri kwa dokotala.
• Chifukwa chenicheni cha izi sichinapezekebe , kotero palibe njira yopewera izi.
• Pali njira zochizira monga radiation therapy, opareshoni, chemotherapy, ndi immunotherapy .
• Kutsatira chithandizo kwa moyo wonse pambuyo pa chithandizo ndikofunikira kwambiri, chifukwa izi zimatha kukhala myeloma yambiri kapena kubwereranso.
• Kukhala ndi vutoli kungakhale kovuta. Lankhulani ndi dokotala wanu kuti mupeze thandizo lomwe mukufuna.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

plasmacytoma , khansa, matenda a magazi, khansa ya mafupa, khansa ya minofu yofewa, myeloma yambiri