Ungave nedambudziko iri 'rakanyarara' muropa rako here? Ngatidzidzei nezveSmoldering Multiple Myeloma (SMM)!

Dzimwe nguva, matambudziko makuru anogona kumuka mumiviri yedu pasina zviratidzo zvekunze. Ungafunga kuti, "Oh, izvozvo zvingaitika sei?" Ehe, zvinogona kuitika. Nhasi tichataura nezvechirwere chinogona kukura chinyararire, chisina kuratidza zviratidzo, asi chine mukana wekukura kuita kenza yakakomba mune ramangwana. Vanachiremba vanodana izvi kuti (Smoldering Multiple Myeloma - SMM) . Zvichitaurwa zviri nyore, izvi zvakafanana nedanho rekutanga rechirwere chinonzi "chronic multiple myeloma."

Chii chinonzi Smoldering Multiple Myeloma (SMM)?

Zvichitaurwa zviri nyore, Smoldering Multiple Myeloma chirwere chinokanganisa ropa rako nemapfupa ako. Izvi zvinogona kukura kuita kenza yeropa isingawanzoitiki inonzi active Multiple Myeloma (MM) . Iye zvino ungave uchishamisika kuti, "Chii chinonzi multiple myeloma iyi?" Masero eplasma rudzi rwemasero machena eropa muimmune system yedu. Aya ndiwo anogadzira ma antibodies anobatsira muviri wedu kurwisa zvirwere. Zvisinei, dzimwe nguva masero aya eplasma anogona kuchinja-chinja ova masero asina kujairika. Ndipo panoitika chirwere chinonzi multiple myeloma.

Saka, SMM inhanho "isina kunyarara" isati yava kenza inonzi multiple myeloma, isina zviratidzo. Dzimwe nguva zvinogona kutora makore kuti SMM ive active multiple myeloma. Zvinoshamisa kuti vamwe vanhu vane SMM havamboiti active multiple myeloma. Ndosaka vanachiremba vachigara vachitarisa vanhu vane SMM kuti vaone kana paine zviratidzo zvekuti inogona kushanduka kuita kenza inoshanda.

Ko (SMM) kenza here?

Uyu mubvunzo wakaoma. SMM hairapwe sekenza pachayo. Zvisinei, nekuti inogona kukura kuita kenza inonzi active multiple myeloma, inoonekwa senzira yekutanga kenza. Fungidzira uine nzvimbo isingawanzoitiki paganda rako, chiratidzo chekuzvarwa. Izvozvo zvinogona kuva chiratidzo chekutanga chekenza yeganda, handiti? Ndizvo zvinoreva SMM. Zvinoreva kuti une mukana wekuti uwane multiple myeloma. Ndosaka vanachiremba vachinyatsoongorora vanhu vane chirwere ichi .

Pane zvimwe zvirwere zvinokanganisa multiple myeloma here?

Ehe, kune imwezve. Inonzi Monoclonal Gammopathy of Undetermined Significance (MGUS) . Kufanana neSMM, ichi chirwere chinogona kuitika multiple myeloma isati yatanga. Vanachiremba vanoona MGUS (inodudzwa kuti "M-gus") senzira yekutanga multiple myeloma.

(SMM) inokanganisa sei muviri wangu? Ndezvipi zviratidzo?

Heino chinhu chakakosha: Vanhu vazhinji vane (SMM) havaratidzi zviratidzo.Izvi zvinoreva kuti ungasanzwa kusagadzikana kana kurwadziwa. Vanhu vazhinji vanoona kuti vane SMM kana vakaongororwa ropa nguva dzose nekuda kwechimwe chikonzero. Kuongororwa kweropa ikoko kunogona kuratidza kuti une mhando isiriyo yemapuroteni inonzi M proteins , ayo anogadzirwa nemasero eplasma asina kujairika mumuviri wako.

Kuongororwa kweropa kunoratidza kuti masero aya eplasma asina kujairika ari kugadzira mapuroteni ekudzivirira muviri asina kujairika (mapuroteni eM). Zvakare, kana ukaita biopsy yemapfupa, vanachiremba vanogona kuona masero aya eplasma asina kujairika mumapfupa. Zvisinei, panguva iyi "yekupfungaira", myeloma haisi kukonzera matambudziko mumuviri wako, saka vanhu vane SMM kazhinji havawanzo kuva nezviratidzo.

Ndiani anogona kubatwa nechirwere ichi (SMM)? Ichi chirwere chinowanzoitika here?

Chirwere ichi chinowanzobata vanhu vane makore anopfuura makumi matanhatu. Avhareji yezera rekuonekwa kwechirwere ichi iri pakati pemakore makumi matanhatu nemaviri nemakumi matanhatu nemanomwe.

(SMM) chirwere chinowanzoitika. Vaongorori vanofungidzira kuti chinongobata munhu mumwe chete pavanhu 100,000. Zvisinei, multiple myeloma inobata vanhu vanomwe chete pavanhu 100,000. Saka, (SMM) chirwere chisingawanzoitiki.

Ndeipi njodzi yekukura (SMM) kuita active multiple myeloma?

Izvi zvakakoshawo kuziva. Mukati memakore mashanu ekutanga mushure mekuonekwa kuti vane SMM, vanhu vanosvika 10% vane SMM vanowana active multiple myeloma gore rega rega. Mumakore mashanu anotevera, huwandu ihwohwo hunodzikira kusvika pa3% pagore. Mushure memakore gumi ekutanga, njodzi iyi inodzikira zvakanyanya kusvika pa1% pagore.

Izvi zvinoreva kuti havasi vese vane chirwere che (SMM) vachawana multiple myeloma. Zvisinei, pane njodzi, saka kugara uchitarisa chiremba kwakakosha zvikuru.

Pane here bvunzo dzinogona kufanotaura nemazvo kana munhu achava ne multiple myeloma?

Zvinosuwisa kuti parizvino hapana bvunzo inogona kufanotaura nemazvo kana munhu achava ne multiple myeloma. Vanachiremba nevatsvagiri vari kuramba vachiongorora shanduko dzemajini dzine chekuita ne multiple myeloma uye vari kutsvaga kana vachigona kuona kana munhu ane SMM achave ne multiple myeloma.

Ndezvipi zvikonzero zvekubuda kwe (SMM)?

Vaongorori vanoziva kuti masero eplasma asina kujairika nezvinhu zvinonzi mapuroteni eM zviratidzo zve multiple myeloma (MM) uye multiple myeloma (MM). Zvisinei, havasati vaziva chaizvo chinokonzera kuti masero eplasma asina kujairika ave asina kujairika. Vari kuferefeta zvimwe zvinogona kukonzera:

• Kuchinja kwemajini: Vaongorori vari kutsvaga kana paine hukama pakati pekuchinja kwemajini mamwe (oncogenes - majini anokurudzira kukura kwemasero) uye multiple myeloma (MM).
• Kufuta: Pane fungidziro yekuti mafuta akawandisa mumuviri anogonawo kuva chikonzero chacho.

Nzira yekuziva (SMM)? Ndedzipi mhando dzebvunzo dzinoitwa?

Vanachiremba vanogona kuita bvunzo dzinoverengeka kuti vaone kana uine chirwere ichi. Yeuka, kana bvunzo yeropa uye/kana weti ikaita seyeM protein, ndiyo inogona kunge iriyo nzira yekutanga yekuti une multiple myeloma. Vanachiremba vanozoita bvunzo dzekutanga kuti vaone kana chirwere chako chiri kufambira mberi kuita multiple myeloma. Miedzo iyi inogona kusanganisira:

• Kuverengwa Kweropa Kwakakwana (CBC): Izvi zvinoyera huwandu hwemasero matsvuku eropa, masero machena eropa, uye maplatelet anogadzirwa nemapfupa ako.
• Kuongororwa kwemakemikari eropa: Izvi zvinoongorora huwandu hwe creatinine yako (kutarisa kuti itsvo dzako dziri kushanda zvakanaka sei), huwandu hwe albumin (kutarisa kuti itsvo dzako nechiropa zviri kushanda zvakanaka sei), uye huwandu hwe calcium (kutarisa kurasikirwa kwemapfupa).
• Kuongororwa kwehuwandu hwe immunoglobulin: Kuongororwa kweropa uku kunoyera huwandu hweM proteins (immune proteins) muropa rako.
• Electrophoresis uye serum immunofixation: Miedzo iyi inotsvaga mapuroteni eM muropa rako.
• Kuongororwa kweweti: Vanachiremba vanogona kukukumbira kuti utore weti kumba kwemaawa makumi maviri nemana kuti utarise mapuroteni eM.
• X-rays: X-rays inoshandiswa kuona kana paine kukuvara kwemapfupa nekuda kwe multiple myeloma.
• Kuongororwa kweComputed Tomography (CT): Iyi imwe nzira yekuona kukuvara kwemapfupa.
• Kuyedza kweMagnetic Resonance Imaging (MRI): Kuyedza uku kunoshandisa mafungu eredhiyo nemagineti akasimba kuti vagadzire mifananidzo yakadzama yemapfupa ako nemusana. Kuyedza uku kunogona kushandiswa kutsvaga humbowo hwekukuvara kwemapfupa pakutanga.
• Kuongororwa kwemapfupa emubondo: Vanachiremba vanogona kutora sampuli yemapfupa ako voiongorora kuti vaone huwandu hwemasero eplasma akajairwa uye asina kujairika ari mairi. Vanogonawo kutarisa sampuli yemapfupa emubondo kuti vaone shanduko dziri muDNA yako dzinogona kukonzera kenza.

Ndezvipi zvinodiwa zve (SMM)?

Vanachiremba pavanotaura nezve "zvinodiwa," vanoreva mhedzisiro yebvunzo inosangana nezvinodiwa zvehutano zvinodiwa kuti pave nechirwere. Zvinodiwa zve (SMM) ndeizvi:

• Kuongororwa kweropa kunoratidza huwandu hweprotein yeM inodarika 3g/dl (3 gramu pa deciliter yeropa).
• Kuongororwa kweweti kwemaawa makumi maviri nemana kunoratidza mamirigiramu mazana mashanu kana kupfuura eprotein. Kana...
• Kuongororwa kwemapfupa emubofu kunoratidza kuti masero eplasma anoumba pakati pe10% ne59% yemasero ese eropa ari mubhofu rako. Uye...
• Hapana zviratidzo zvemaronda emapfupa asina kujairika kana kukuvara kweitsvo zvinogona kukonzerwa ne myeloma, huwandu hwemasero eropa rako hwakajairika, uye calcium yako yakajairika.

Dambudziko iri rinorapwa sei?

Parizvino, kurapwa kwakajairika kweSMM ndekwekuti "kumirira wakangwarira." Izvi zvinosanganisira vanachiremba vachiita bvunzo dzenguva dzose kuti vaongorore huwandu hweprotein yeM muropa rako uye huwandu hwemasero eplasma mumongo wako wemapfupa. Kufanana nemurindi, vari kutarisa kuti vaone kana chirwere chacho chikawedzera.

Vamwe vanhu vanogona kunge vaine njodzi yakakura yekubatwa nechirwere che myeloma yakawanda. Muzviitiko zvakadaro, vamwe vanachiremba vanogona kukurudzira kutanga kurapwa ne multiple myeloma nekukurumidza. Kana uine multiple myeloma (MM), chiremba wako ndiye munhu akakodzera kukupa ruzivo nemazano ekurapwa aunoda.

Ndingaderedza here njodzi yekubatwa nechirwere ichi (SMM)?

Zvinosuwisa kuti pari zvino hapana nzira inozivikanwa yekudzivirira kuumbwa kwe (SMM).

Ungagara kwenguva yakareba sei ne (SMM)?

Mabatiro anoita chirwere ichi munhu wese akasiyana. Vamwe vanhu vanogona kuva nacho asi havamboiti multiple myeloma. Vamwe vanhu vanozoita multiple myeloma mwedzi kana makore mushure mekuonekwa kuti vane chirwere ichi. Kana uchinetseka nezvekurarama neSMM, bvunza chiremba wako zvaunotarisira. Ndivo vanhu vakanakisa kukupa ruzivo rwakananga.

Unogona kurarama kwenguva yakareba sei uine multiple myeloma?

Iri idambudzikowo kune vanhu vazhinji. Vanhu vanosvika 40% kusvika 82% vane multiple myeloma vanorarama makore mashanu mushure mekuonekwa vaine chirwere ichi. Izvi zvinoenderana nezvinhu zvakawanda, kusanganisira rudzi rwechirwere uye maitiro ekurapwa.

Ndingachengetedza sei hutano hwangu?

Kana uine multiple myeloma, ungasada kurapwa nekukasika - kana zvachose. Chiremba wako achakuudza kuti uuye kuzoongororwa nguva dzose. Izvi ndezvekutarisa kana mamiriro ako achinja kuita multiple myeloma. Kurarama ne multiple myeloma kunogona kushungurudza uye kukonzera kuzvidya mwoyo . Ungafunga kuti, "Dai ndaigona kuita chimwe chinhu nezveizvi." Izvozvo zvakajairika. Asi pane zvimwe zvinhu zvaunogona kuita kuti utarisire hutano hwako hwese:

• Idya chikafu chine mwero. Kana usina chokwadi nezveizvi, bvunza nyanzvi yezvekudya.
• Kana uri munhu anoputa fodya, ndapota edza kurega.
• Zorora zvakakwana.
• Zvidzivirire kubva kuzvirwere. Bvunza chiremba wako nezvenzira dzekudzivirira hutachiona.
• Rovedza muviri nguva dzose.Asi, tanga wataura nachiremba wako wobvunza kuti rudzii rwekurovedza muviri rwakakunakira uye kuti unofanira kuita zvakawanda sei. Hazvina kunakawo kuita zvakawanda.
• Nyatsocherechedza hutano hwepfungwa dzako. Kana uri kunzwa kusuruvara kana kuora mwoyo nezvechirwere chako, taura nachiremba wako nezvazvo. Iva nechokwadi chekuvaudza, kunyanya kana kusuruvara kana kuora mwoyo kuchitora mavhiki anopfuura maviri kana kukanganisa mabasa ako ezuva nezuva.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uine chirwere ichi (SMM), heino mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Sei izvi zvakaitika kwandiri?
• Izvi zvinokanganisa sei hupenyu hwangu hwezuva nezuva?
• Zvinotora nguva yakareba sei kuti multiple myeloma ibude?
• Pane zviratidzo here zvinogona kuratidza multiple myeloma, uye ndinofanira kuzviziva here?
• Pane here mishonga yekudzivirira chirwere ichi (SMM) kuti chisakure kuita multiple myeloma?

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Smoldering Multiple Myeloma (SMM) chirwere chinoitika kana multiple myeloma (MM) isati yatanga kenza. Zvisinei, havasi vese vane SMM vanozotanga active multiple myeloma. Vanhu vane SMM vanowanzoda kuziva kana vachazotanga active multiple myeloma, uye kana zvakadaro, rini. Iyi mibvunzo yakaoma kupindura. Vanachiremba havasati vava nemhinduro dzese.

Zvisinei, tsvakiridzo yazvino inoratidza kuti nekutarisa shanduko mumajini mamwe, zvinogona kuitika kufanotaura kusvika pamwero wakati kana (SMM) ichakura kuita multiple myeloma, uye kana zvakadaro, rini.

Kana uine chirwere ichi, bvunza chiremba wako kana paine ruzivo rutsva rune chekuita nechirwere chako. Vachafara kukubatsira. Chinhu chinonyanya kukosha kutevedzera zano rachiremba wako uye kuramba wakasimba mupfungwa.

Myeloma Inopfungaira, SMM, Myeloma Yakasiyana-siyana, kenza, chirwere cheropa, mwongo wemapfupa, mapuroteni eM, kenza yeropa, masero eplasma