Unewo zviratidzo izvi zvisinganzwisisike here? Ngatitaurei nezvePlasmacytoma

Kurwadziwa kusingatsananguriki muzvikamu zvakasiyana zvemuviri, dzimwe nguva matambudziko emapfupa asingafungidzike, kana kusarongeka kwenyama dzakapfava munzvimbo dzakadai semutsipa nemusoro... Izvi dzimwe nguva zvinogona kunge zviri zvinhu zvatisinganyatsotarisiri. Zvisinei, muzviitiko zvisingawanzoitiki, izvi zvinogonawo kuva zviratidzo zvechirwere chisingawanzoitiki chinonzi Plasmacytoma. Usazvidya mwoyo, ichi hachisi chirwere chinokanganisa vanhu vazhinji. Asi zvakakosha kuziva izvi.

Chii chinonzi plasmacytoma iyi? Ngatinzwisise zviri nyore.

Zvichitaurwa zviri nyore, Plasmacytoma chirwere chakafanana neMultiple Myeloma, asi chisingawanzoitiki. Tese tine rudzi rwesero mumiviri yedu rinonzi Plasma cells . Vamwe vanhu vanodanawo aya maB cells. Aya ndiwo chikamu chakakosha cheimmune system yedu. Masero ePlasma ane hutano anogadzira ma antibodies, kana kuti immunoglobulins, anobatsira miviri yedu kurwisa zvirwere.

Zvisinei, dzimwe nguva masero aya eplasma ane hutano anova asina kujairika uye anotanga kupatsanurana nekukurumidzira kuwanda. Masero aya asina kujairika anobva aungana oumba mabundu. Mabundu aya anogona kuumbwa mumapfupa edu, munyama dzakapfava dzemusoro nemutsipa, kana mune chero nhengo, senge dundira, mapapu, kana itsvo.

Plasmacytoma inokanganisa sei muviri wangu?

Sezvatakambotaura, dambudziko iri rinotanga kana masero eplasma ane hutano achinja kuva asina kujairika. Masero aya eplasma asina kujairika anowanda uye anoita rudzi rweantibody rusina kujairika runonzi mapuroteni eM . Kana mapuroteni aya eM akawedzera, huwandu hwemasero chaiwo eplasma ane hutano anobatsira kutidzivirira kubva kuzvirwere hunoderera. Izvi zvinoreva kuti dziviriro yedu inogona kupera simba.

Kune mhando mbiri huru dze plasmacytoma, zvichienderana nenhengo dzipi dzemuviri dzavanokanganisa:

1. Solitary Plasmacytoma yeBone (SPB): Apa ndipo apo masero eplasma asina kujairika anoumba bundu mubhonzo rimwe chete mumuviri wako. Funga nezvaro se vertebra imwe chete mumusana wako, kana kuti nzvimbo imwe chete muhudyu mako. SPB iyi inogona kukonzera kukuvara kwemapfupa nekurwadziwa. Vanhu vanosvika 50% vane SPB vanozopedzisira vava ne multiple myeloma.

2. Extramedullary Plasmacytoma (EMP): MuEMP, bundu rimwe chete rinoumbwa nemasero eplasma asina kujairika rinokanganisa nyama yakapfava . Nyama yakapfava inhengo inokomberedza, inobatanidza, uye inotsigira nhengo dzedu nemapfupa. Semuenzaniso, izvi zvinosanganisira tsandanyama dzedu, tsinga, ganda, mafuta, uye fascia. EMP inogona kuitika mune chero nyama yakapfava mumuviri, asi inonyanya kuitika muchikamu chepamusoro chekufema.Kureva kuti, munzvimbo dzakadai semhino, sinuses, nasopharynx, uye larynx. Asi zvinogona kuitika munhengo chero ipi zvayo. Vanhu vanosvika 15% vane EMP vanogona kuzova nemultiple myeloma gare gare.

Ndiani anowana plasmacytoma iyi? Yakajairika zvakadii?

Plasmacytoma inowanzoonekwa muvanhu vane makore ari pakati pe55 ne60. Zvakaonekwawo kuti varume ndivo vanowanzobatwa nechirwere ichi kupfuura vakadzi.

Plasmacytoma chirwere chisingawanzoitiki . Vanachiremba vanongoongorora vanhu vatsva vanosvika 450 vane SPB uye vanhu vatsva vanosvika 300 vane EMP gore rega rega. Zvisinei, vamwe vanhu vanga vachirwara nemultiple myeloma kwenguva yakareba vanogonawo kuwana plasmacytoma.

Ndezvipi zviratidzo zveSPB?

Solitary Plasmacytoma yeBone (SPB) chirwere chemapfupa chinoratidzwa nekurwadziwa kwemapfupa kana kutyoka kwemapfupa . Semuenzaniso, unogona kungoerekana wanzwa kurwadziwa kwemusana pasina chikonzero chakajeka, kana kurwadziwa kwembabvu. Zvimwe zviratidzo zveSPB zvinosanganisira:

• Marwadzo kana kutyoka munzvimbo dzakadai sembabvu, mapfupa echipfuva, femur, uye chiuno .
• Kupwanyika kwemusana. Izvi zvinogona kukonzera kukuvara kwemutsipa wako wemusana kana midzi yetsinga. Kana izvi zvikaitika, unogona kunzwa kurwadziwa kwakapinza, kunobaya kunofamba nemakumbo ako uye kumusana.
• Kashoma, kana SPB ikakanganisa dehenya, inogona kukonzera musoro, dzungu, uye matambudziko ekuona .

Saka zviratidzo zveEMP ndezvipi?

Zviratidzo zveExtramedullary Plasmacytoma (EMP) zvinoitika kana bundu rikadzvanya nyama yakapfava, zvichikonzera kurwadziwa nekukanganisika kwekushanda kwemuviri.

Semuenzaniso, kana uine EMP mumhino dzako, unganzwa sekuti pane chinhu chakanamira mumhino dzako, uye zvingave zvakaoma kufema nemhino dzako. Kunyangwe EMP dzichigona kuitika chero kupi mumuviri, 80% kusvika 90% yezviitiko zvinoitika mumusoro nemutsipa. Zviratidzo zvinowanzoonekwa zveEMP zvinosanganisira:

• Musoro
• Kubuda kwemhino
• Kuoma kumedza (Dysphagia)
• Huro kana hutachiona (Pharyngitis)
• Kubuda ropa mumhino (Epistaxis)

Kashoma, kana EMP ikakanganisa muromo wako (voice box), unogona zvakare kuona zviratidzo zvakaita se:

• Kushoshoma
• Nzira yekufema yakavharika
• Kufemereka

Zvakakosha:Zviratidzo zveplasmacytoma izvi zvinowanzofanana nezvezvimwe zvirwere zvisina kunyanya kuoma. Saka usavhunduke kana ukaona chimwe chinhu chakadai. Zvisinei, kana zviratidzo izvi zvikaramba zviripo kweanopfuura mavhiki maviri kana zvikawedzera kuipa, unofanira kuona chiremba.

Sei plasmacytoma iyi ichiumbwa? Chii chinokonzera?

Kutaura zvazviri, tava kuziva kuti plasmacytoma inokonzerwa nemasero eplasma ane hutano anoshanduka kuita masero asina kujairika uye achiwanda zvisingadzoreki. Zvisinei, vaongorori havasati vaziva chaizvo chinokonzera shanduko iyi. Kureva kuti, hapana chikonzero chaicho chakawanikwa.

Vanachiremba vanoongorora sei chirwere chePlasmacytoma?

Vanachiremba vanoshandisa bvunzo dzinoverengeka kuti vaone mhando dzeplasmacytoma uye, kana dziripo, kuti vaone danho reEMP.

Heano mimwe yemiedzo iyoyo:

• CT scan (Computed Tomography - CT scan): Izvi zvinoshandisa X-rays nekombiyuta kugadzira mufananidzo wezvikamu zvitatu (3D) wenyama yako yakapfava nemapfupa. Vanachiremba vanoshandisa CT scans kutsvaga kukuvara kwemapfupa kunokonzerwa neplasmacytomas.
• MRI Scan (Magnetic Resonance Imaging - MRI): Bvunzo iyi inogona kuburitsa mifananidzo yakadzama yemuviri wako pasina kushandisa mwaranzi. MRI inogona kubatsira kuongorora kukuvara kwenyama yakapfava kunokonzerwa neEMP.
• Kuongororwa kweropa neweti: Kuongororwa uku kunoshandiswa kuyera huwandu hwemapuroteni eM atakataura nezvawo.
• Endoscopy yemhino: Kana paine fungidziro yekuti pane chirwere cheEMP, nzira iyi inogona kushandiswa kuongorora nzira dzemumhino ne sinuses dziri mukati memhino. Izvi zvinosanganisira kupinza chubhu ine kamera diki mukati memhino.
• Kuongororwa kwetsono diki: Nzira iyi inogona kushandiswa kuwana sampuro yenyama nemvura kubva munyama dzakapfava dzakakanganiswa neEMP.
• Kuongororwa kwemuviri: Izvi zvinoitwawo kuti munhu atore sampuli yenyama kana mvura kuti aongorore masero eplasma. Izvi zvinoitirwa kusimbisa kana paine masero asina kujairika.

Ndezvipi zvikamu zveEMP?

Vanachiremba vanofunga nezvezvinhu zvinotevera kuti vaone danho reExtramedullary Plasmacytoma (EMP):

• Danho Rokutanga: Kuongororwa kunoratidza kuti pane bundu rimwe chete panzvimbo imwe chete pamuviri wako.
• Danho rechipiri: Kuongororwa kunoratidza kuti masero eEMP aripowo muma lymph nodes ako.
• Danho rechitatu: Kuongororwa kunoratidza kuti kune bundu reEMP rinopfuura rimwe chete.

Ndeipi mishonga yekurapa Plasmacytoma?

Chinhu chakanaka ndechekuti, kune nzira dzekurapa chirwere ichi. Vanachiremba vanorapa solidated plasmacytoma of bone (SPB) nemwaranzi.Dzimwe nguva, kana mumwe munhu aine mapuroteni asina kujairika (mapuroteni eM) muropa kana weti uye aine plasmacytoma, vanachiremba vanoshandisawo mishonga yekurapa multiple myeloma.

Extraosseous plasmacytoma (EMP) inogona kurapwa nekuvhiyiwa uye/kana chemotherapy kana immunotherapy . Chiremba wako ndiye achasarudza kurapwa kwakakodzera zvichienderana nemamiriro ako ezvinhu.

Kukura kweplasmacytoma kunogona kudzivirirwa here?

Kutaura zvazviri, kufanana nemultiple myeloma, hapana nzira inozivikanwa yekudzivirira kukura kwe plasmacytoma. Nekuti chikonzero chaicho hachizivikanwe, zvakaoma kutaura kuti chingadziviswe sei.

Unogona kurarama kwenguva yakareba sei nePlasmacytoma?

Iri idambudziko revanhu vazhinji. Vanhu vanosvika 60% vane SPB vachiri vapenyu makore mashanu mushure mekuonekwa vaine chirwere ichi. Vanhu vanosvika 82% vane EMP vachiri vapenyu makore mashanu mushure mekuonekwa vaine chirwere ichi. Idzi ingori nhamba, izvi zvinogona kusiyana kubva pamunhu nemunhu.

Zvinosuwisa kuti plasmacytoma dzimwe nguva inogona kudzoka , kana kukura kune imwe nzvimbo mumuviri. Uyewo, vamwe vanhu vane SPB kana EMP vanogona kuzova nemultiple myeloma gare gare. Izvi zvinogona kukanganisa kuti vanorarama kwenguva yakareba sei.

Ndingaita sei kuti ndizvitarisire? Ndinofanira kuitei?

Nekuti chirwere chinonzi plasmacytoma chinogona kukura kuita multiple myeloma, kana uine plasmacytoma, uchada kutarisirwa kwehupenyu hwako hwese kunyangwe kurapwa kwapera. Izvi zvakakosha zvikuru.

Kutarisirwa uku kunowanzo sanganisira kuongororwa ropa nguva dzose uye kuongororwa kwemifananidzo (senge CT neMRI). Vanachiremba ava vanokutarisa zviratidzo zve multiple myeloma. Kana uine plasmacytoma, bvunza chiremba wako kuti rudzii rwekutarisirwa kwekutarisirwa kwaunofanira kutarisira.

Plasmacytoma chirwere cheropa chisingawanzoitiki chakafanana ne multiple myeloma. Nerombo rakanaka, vanachiremba vanogona kurapa zvirwere zvakawanda zve plasmacytoma zvinobudirira, zvichideredza bundu uye zvichideredza zviratidzo. Zvisinei, kuonekwa uine plasmacytoma zvinoreva kuti uchafanira kurarama nekurapwa kwechiremba kweupenyu hwako hwese. Hazvisi nyore kurarama nechirwere chisingamboperi zvachose. Kana uchirarama ne plasmacytoma, bvunza chiremba wako nezvenzira dzekukubatsira kurarama nechirwere ichi chisingaperi. Vachafara kukubatsira.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, ngatitaurei zvimwe zvezvinhu zvamunofanira kurangarira kubva pane zvatataura nezvazvo:

• Plasmacytoma chirwere chisingawanzoitiki chinokonzerwa nemabundu anokura zvisina kujairika kubva mumasero eplasma .
• Kune mhando mbiri huru dzeizvi: SPB, inokanganisa mapfupa , uye EMP, inokanganisa nyama dzakapfava .
• Zviratidzo zvinogona kusanganisira kurwadziwa kwemapfupa, kutyoka kwemapfupa, musoro, mhino inoyerera, uye kuoma kumedza . Kana zviratidzo izvi zvikaramba zviripo kana kuti zvikawedzera, tsvaga rubatsiro rwechiremba.
• Chikonzero chaicho cheizvi hachisati chawanikwa , saka hapana nzira yekudzivirira.
• Kune nzira dzekurapa dzakadai sekurapa nemwaranzi, kuvhiyiwa, chemotherapy, uye immunotherapy .
• Kutevera mushure mekurapwa kwehupenyu hwese kwakakosha zvikuru, sezvo izvi zvinogona kukura kuita multiple myeloma kana kudzoka.
• Kurarama nechirwere ichi kunogona kuoma. Taura nachiremba wako uwane rutsigiro rwaunoda.

Ndinovimba ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!

plasmacytoma , kenza, chirwere cheropa, kenza yemapfupa, kenza yenyama yakapfava, myeloma yakawanda