Ese nawe ufite ibi bimenyetso bidasanzwe? Reka tuvuge kuri Plasmacytoma

Ububabare budasobanutse mu bice bitandukanye by'umubiri, rimwe na rimwe ibibazo bidasanzwe by'amagufwa, cyangwa ibitagenda neza mu ngingo zoroshye ahantu nko mu ijosi no mu mutwe... Ibi rimwe na rimwe bishobora kuba ibintu tutitaho cyane. Ariko, mu bihe bidasanzwe, ibi bishobora no kuba ibimenyetso by'indwara idakunze kugaragara yitwa Plasmacytoma. Ntugahangayike, iyi si indwara yibasira abantu benshi. Ariko ni ngombwa cyane kubimenya.

Iyi plasmacytoma ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mu magambo make, Plasmacytoma ni indwara isa na Multiple Myeloma, ariko ikunze kugaragara cyane. Twese dufite ubwoko bw'uturemangingo mu mibiri yacu twitwa Plasma cells . Hari n'abantu bita utu turemangingo twa B. Utu turemangingo ni ingenzi mu buvuzi bwacu. Uturemangingo twa Plasma tuzima dukora antibody, cyangwa immunoglobulins, bifasha imibiri yacu kurwanya indwara.

Ariko, rimwe na rimwe izi selile zizima za plasma ziba zitameze neza zigatangira kwigabanya no kwiyongera vuba cyane. Izi selile zidasanzwe zihita ziterana zigakora ibibyimba. Izi selile zishobora kwirema mu magufwa yacu, mu ngingo zoroshye zo mu mutwe no mu ijosi, cyangwa mu ngingo iyo ari yo yose, nko mu ruhago, mu bihaha, cyangwa mu mpyiko.

Plasmacytoma igira ingaruka zite ku mubiri wanjye?

Nkuko twabivuze mbere, iki kibazo gitangira iyo uturemangingo tw’amaraso tuzima tuba tumeze nabi. Utwo turemangingo tw’amaraso tudasanzwe turagwira tugakora ubwoko budasanzwe bwa antibody bwitwa poroteyine za M. Iyo izo poroteyine za M ziyongera, umubare w’uturemangingo tw’amaraso nyatwo kandi dufite ubuzima bwiza tudufasha kwirinda indwara uragabanuka. Ibi bivuze ko ubudahangarwa bwacu bushobora gucika intege.

Hari ubwoko bubiri bw'ingenzi bwa plasmacytoma, bitewe n'ibice by'umubiri bigira ingaruka kuri yo:

1. Plasmacytoma y'amagufwa yonyine (SPB): Iki ni igihe uturemangingo tw'amaraso tudasanzwe dukora ikibyimba mu igufwa rimwe mu mubiri wawe. Tekereza nk'uruti rw'umugongo rumwe gusa, cyangwa ahantu hamwe mu kibuno cyawe. Iyi SPB ishobora kwangiza amagufwa no kubabara. Abantu bagera kuri 50% barwaye SPB amaherezo bazarwara myeloma nyinshi.

2. Extramedullary Plasmacytoma (EMP): Muri EMP, ikibyimba kimwe kigizwe n'uturemangingo tudasanzwe twa plasma kigira ingaruka ku ngingo zoroshye . Ingingo zoroshye ni ingingo zikikije, zihuza, kandi zishyigikira ingingo n'amagufwa yacu. Urugero, ibi birimo imitsi yacu, imitsi, uruhu, ibinure, na fascia. EMP ishobora kubaho mu ngingo zoroshye mu mubiri, ariko ikunze kugaragara cyane mu nzira yo hejuru y'ubuhumekero.Ni ukuvuga ahantu nko mu mazuru, mu mazuru, mu mazuru, no mu ruhu. Ariko bishobora kubaho mu ngingo iyo ari yo yose. Abantu bagera kuri 15% bafite EMP bashobora kurwara myeloma nyinshi nyuma yaho.

Ni nde urwara iyi plasmacytoma? Ni ku rugero rungana iki?

Plasmacytoma ikunze kugaragara ku bantu bari hagati y'imyaka 55 na 60. Byagaragaye kandi ko abagabo ari bo bafite amahirwe menshi yo kurwara iyi ndwara kurusha abagore.

Plasmacytoma mu by’ukuri ni indwara idakunze kugaragara . Abaganga bapima gusa abantu bashya bagera kuri 450 barwaye SPB n’abashya bagera kuri 300 barwaye EMP buri mwaka. Ariko, bamwe mu bantu bamaze igihe kinini barwaye myeloma nyinshi bashobora no kurwara plasmacytoma.

Ni ibihe bimenyetso bya SPB?

Indwara ya Plasmacytoma y'amagufwa yonyine (SPB) ni indwara y'amagufwa irangwa no kubabara amagufwa cyangwa kuvunika amagufwa . Urugero, ushobora kubabara umugongo mu buryo butunguranye nta mpamvu igaragara, cyangwa kubabara imbavu. Ibindi bimenyetso bya SPB birimo:

• Ububabare cyangwa kuvunika ahantu nko mu mbavu, mu gituza, mu kibuno no mu kibuno .
• Gucika intege k'umugongo. Ibi bishobora kwangiza uruti rw'umugongo cyangwa imizi y'imitsi. Ibi nibibaho, ushobora kugira ububabare bukabije bunyura mu maguru no mu mugongo.
• Ni gake cyane, iyo SPB igize ingaruka ku gahanga, ishobora gutera kuribwa umutwe, isereri, ndetse n'ibibazo byo kutabona neza .

None se ibimenyetso bya EMP ni ibihe?

Ibimenyetso bya Extramedullary Plasmacytoma (EMP) bibaho iyo ikibyimba gikandagiye ku ngingo zoroshye, bigatera ububabare kandi bikabangamira imikorere y'umubiri.

Urugero, niba ufite EMP mu mazuru yawe, ushobora kumva ikintu cyagufashe mu mazuru, kandi bishobora kugorana guhumeka binyuze mu mazuru yawe. Nubwo EMP zishobora kubaho ahantu hose ku mubiri, 80% kugeza kuri 90% by'abarwayi biba mu mutwe no mu ijosi. Ibimenyetso bisanzwe bya EMP birimo:

• Umutwe
• Amazuru asohoka
• Kugorwa no kumira (Dysphagia)
• Kubabara mu muhogo cyangwa indwara yandurira mu mitsi (Pharyngitis)
• Kuva amaraso mu mazuru (Epistaxis)

Ni gake cyane, iyo EMP igize ingaruka ku maraso yawe (agasanduku k'ijwi), ushobora no kugira ibimenyetso nk'ibi:

• Gushwanyagurika
• Uburyo bwo guhumeka bw'imyanya y'ubuhumekero budakora neza
• Guhumeka

Icy'ingenzi:Ibi bimenyetso bya plasmacytoma akenshi bisa n'iby'izindi ndwara zidakabije cyane. Ntugatinye rero niba ubonye ikintu nk'iki. Ariko, niba ibi bimenyetso bikomeje mu gihe kirenga ibyumweru bibiri cyangwa bikarushaho kuba bibi, ugomba kujya kwa muganga.

Kuki iyi plasmacytoma ibaho? Ni iyihe mpamvu?

Mu by’ukuri, ubu tuzi ko plasmacytoma iterwa n’uko uturemangingo tw’amaraso tuzima duhinduka uturemangingo tudasanzwe hanyuma tukiyongera mu buryo butunguranye. Nyamara, abashakashatsi ntibaramenya neza icyateye iyi mpinduka. Ni ukuvuga ko nta mpamvu yihariye iraboneka.

Ni gute abaganga bapima Plasmacytoma?

Abaganga bakoresha ibizamini byinshi kugira ngo bamenye ubwoko bwa plasmacytoma, kandi niba ihari, bamenye icyiciro cya EMP.

Dore bimwe muri ibyo bizamini:

• CT scan (Computed Tomography - CT scan): Iyi scan ikoresha X-rays na mudasobwa kugira ngo hakorwe ishusho y'ibice bitatu (3D) by'uturemangingo tw'umubiri wawe tworoshye n'amagufwa. Abaganga bakoresha CT scans kugira ngo barebe niba amagufwa yangiritse bitewe na plasmacytomas.
• MRI Scan (Magnetic Resonance Imaging - MRI): Iki kizamini gishobora gutanga amashusho arambuye y'umubiri wawe hatakoreshejwe imirasire. MRI ishobora gufasha gusuzuma ibyangiritse by'uturemangingo tworoshye biterwa na EMP.
• Ibipimo by'amaraso n'inkari: Ibi bizamini bikoreshwa mu gupima urugero rwa poroteyine za M twavuze.
• Endoskopi y'izuru: Iyo hakekwa ikibazo cya EMP, ubu buryo bushobora gukoreshwa mu gusuzuma inzira n'utuzuru turi mu mazuru. Ibi bikubiyemo kohereza umuyoboro ufite kamera nto mu mazuru.
• Uburyo bwo gusuzuma urushinge rw'ingufu: Ubu buryo bushobora gukoreshwa mu kubona icyitegererezo cy'uturemangingo n'amazi bivuye mu turemangingo tworoshye twagizweho ingaruka na EMP.
• Isuzuma ry'umubiri: Ibi bikorwa kandi kugira ngo hafatwe icyitegererezo cy'uturemangingo cyangwa amazi kugira ngo hasuzumwe uturemangingo twa plasma. Ibi ni ukugira ngo hemezwe niba hari uturemangingo tudasanzwe.

Ni ibihe byiciro bya EMP?

Abaganga basuzuma ibintu bikurikira kugira ngo bamenye icyiciro cya Extramedullary Plasmacytoma (EMP):

• Icyiciro cya mbere: Ibizamini bigaragaza ko hari ikibyimba kimwe gusa ahantu hamwe ku mubiri wawe.
• Icyiciro cya Kabiri: Ibizamini byerekana ko uturemangingo twa EMP natwo tuba turi mu turemangingo twa lymph nodes.
• Icyiciro cya gatatu: Ibizamini byerekana ko hari ikibyimba cya EMP kirenze kimwe.

Ni ubuhe buryo bwo kuvura Plasmacytoma?

Ikintu cyiza ni uko hari uburyo bwo kuvura iyi ndwara. Abaganga bavura plasmacytoma y'amagufwa yonyine (SPB) bakoresheje imirasire.Hari igihe, iyo umuntu afite izo poroteyine zidasanzwe (poroteyine za M) mu maraso cyangwa mu nkari ze kandi akaba afite plasmacytoma, abaganga bazanakoresha uburyo bwo kuvura myeloma nyinshi.

Extraosseous plasmacytoma (EMP) ishobora kuvurwa hakoreshejwe kubagwa na/cyangwa chemotherapy cyangwa immunotherapy . Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura bitewe n'uburwayi bwawe.

Ese iterambere rya plasmacytoma rishobora kwirindwa?

Mu by’ukuri, kimwe na myeloma nyinshi, nta buryo buzwi bwo gukumira ikwirakwira rya plasmacytoma. Kubera ko impamvu nyayo itazwi, biragoye kuvuga uburyo bwo kuyirinda.

Ushobora kumara igihe kingana iki urwaye Plasmacytoma?

Iki ni ikibazo ku bantu benshi. Abantu bagera kuri 60% bafite SPB baracyariho nyuma y'imyaka itanu basanzwe barwaye. Abantu bagera kuri 82% bafite EMP baracyariho nyuma y'imyaka itanu basanzwe barwaye. Iyi ni imibare gusa, ibi bishobora gutandukana bitewe n'umuntu ku wundi.

Ikibabaje ni uko plasmacytoma rimwe na rimwe ishobora kugaruka , cyangwa ikavuka ahandi mu mubiri. Nanone, bamwe mu bantu bafite SPB cyangwa EMP bashobora kurwara myeloma nyinshi nyuma yaho. Ibi bishobora kugira ingaruka ku gihe bamara.

Ni gute niyitaho? Nkwiye gukora iki?

Kubera ko indwara yitwa plasmacytoma ishobora kuvamo myeloma nyinshi, niba ufite plasmacytoma, uzakenera ubuvuzi bw'ubuzima bwawe bwose ndetse na nyuma yuko ubuvuzi burangiye. Ibi ni ingenzi cyane.

Ubu buryo bwo gukurikirana ubusanzwe burimo gupimwa amaraso buri gihe no gupimwa amashusho (nk'ibizamini bya CT na MRI). Aba baganga bazagukurikirana kugira ngo barebe ibimenyetso bya myeloma nyinshi. Niba ufite plasmacytoma, baza muganga wawe ubwoko bw'ubuvuzi bwo gukurikirana ugomba kwitega.

Plasmacytoma ni indwara idakunze kugaragara mu maraso isa na multiple myeloma. Ku bw'amahirwe, abaganga bashobora kuvura neza inyinshi mu ndwara ya plasmacytoma, bagabanye ikibyimba kandi bakagabanya ibimenyetso. Ariko, kuba waranduye plasmacytoma bivuze ko ugomba kubaho ukurikiranwa n'abaganga ubuzima bwawe bwose. Ntibyoroshye kubaho ufite indwara idashira burundu. Niba ubana na plasmacytoma, baza muganga wawe uburyo bwo kugufasha guhangana n'iyi ndwara idakira. Bazishimira kugufasha.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka dusubiremo bimwe mu bintu ugomba kwibuka mu byo twavuze:

• Plasmacytoma ni indwara idakunze kugaragara iterwa n'ibibyimba bikura mu buryo budasanzwe bivuye mu turemangingo twa plasma .
• Hari ubwoko bubiri bw'ingenzi bw'ibi: SPB, igira ingaruka ku magufwa , na EMP, igira ingaruka ku ngingo zoroshye .
• Ibimenyetso bishobora kuba birimo kubabara amagufwa, kuvunika amagufwa, kuribwa umutwe, izuru riva, no kugorwa no kumira . Niba ibi bimenyetso bikomeje cyangwa bikarushaho kwiyongera, shaka ubufasha kwa muganga.
• Impamvu yihariye itera ibi ntiraboneka , bityo nta buryo bwo kubikumira buhari.
• Hari uburyo bwo kuvura nko kuvura hakoreshejwe imirasire, kubaga, imiti ivura indwara zandurira mu mubiri, no kuvura indwara ziterwa n’imitsi .
• Gukurikirana ubuzima bwose nyuma yo kuvurwa ni ingenzi cyane, kuko bishobora kuvamo myeloma nyinshi cyangwa bikagaruka.
• Kubana n'iki kibazo bishobora kugorana. Vugana na muganga wawe ubone ubufasha ukeneye.

Ndizera ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

` plasmacytoma, kanseri, indwara z'amaraso, kanseri y'amagufwa, kanseri y'imitsi yoroshye, myeloma nyinshi