Ka myeloma e tšoaroa Iseraele?

Myeloma kapa plasmacytoma e boetse e myeloma ke lefu bakeng sa kankere moo ho nang le lesapo moko ho kenya letsoho.

lisele tse kankere, tabeng ena e ho ntshetsa pele ka lero la mali (e mokelikeli karolo ea mali e nang le li-platelet, leukocytes le erythrocytes) li. Ka bone bone moko hlahiswa lisele tse bakoang hore bo qetelle e le e mong oa mefuta e ka holimo ea lisele tsa mali.

Ka lebaka leo, ntshetsopele ya myeloma multiple batho haholo decreases tlhahiso ea lithibela-mafu tse khonang ho mamella mefuta e fapaneng ya ho tsoaetsoa mafu a.

Ho ea ka lipalo-palo, le maloetse hangata le hlaha ka lilemo bohareng kapa khale, 'me hangata ho feta e leng banna.

Matšoao a myeloma kenyeletsa:

• Bone bohloko, hangata e leng hlooho, lesapo la mokokotlo, noka, sternum;
• Bokhutšoanyane phefumoloho, bofokoli, mali khafetsa, ho tsekela;
• Matšoao a diso bohareng tsamaiso ea methapo (utloe bohloko bo boholo, ho fokola le shoohlo ka maoto), ka lebaka la ho 'nete ea hore vertebrae ba anngoeng ho compress methapo e kgolo;
• Mafu a ya liphio;
• Ho haella ha tšireletso ea khahlanong le tšoaetso ea, haholo-holo pneumonia.

Haholo ka tlhaho, ho phekola myeloma Iseraele hloka tsela ea tlhathoba boleng bo phahameng, e kenyeletsang mesebetsi e latelang:

• Medical histori le ho hlahloba ka 'meleng;
• mekhoa laboratori ea tepelletse maikutlong;
• Ho tlosa hlahala dinama tse nyenyane tse sampole (biopsy) bakeng sa ho ithuta ka ho eketsehileng histological;
• Immunological lithuto;
• radiography;
• Ea computed tomography ;
• Matla a khoheli gomoso litšoantšo.

Ho phaella tabeng ea ho laola myeloma liteko kalafo mali a etsoa Iseraeleng ea ho ithuta palo ea lisele tse khubelu tsa mali ho eona, k'halsiamo, paraprotein. Hape ntse a ithuta a liphio.

Kaha Myeloma ke lefu le amang 'mele kaofela, tsela e atlehang ka ho fetisisa ke e rarahaneng, se se akaretsang sa plurality mekhoa kalafo. Ho fihlela joale, ho phekola kankere e ratoang ka ho fetisisa le e atlehang ke: etsoa chemotherapy, radiotherapy, ho buuoa.

Leha ho le joalo, ho fihlela joale, ho sephetho molemo ka ho fetisisa ea ho phekola ba myeloma Iseraele o bontša ka chemotherapy ka kopanelo le mokete oa hormone corticosteroid. Bakuli ba ka 'na ba fuoa lithethefatsi tse kang: Melphalan, Cyclophosphamide, Vincristine, Cyclophosphamide, Doxorubicin.

Ho itšetlehile ka boemo ba mokuli a ka ho kgothaletswa vysokodozirovannaya chemotherapy. Ho ena le hoo ntlha ea bohlokoa ke 'nete ea hore pele ho qala kalafo bakeng sa myeloma sebelisa vysokodozirovannoy etsoa chemotherapy ka mamello nka palo e nyenyane ea lisele bakoang bakeng sa ho hlaphoheloa ea tsamaiso hematopoietic.

Ho phaella moo, ha myeloma tepelletse maikutlong ka balletsweng tsela ea biotherapy, e leng ho fumana interferon - protheine etsa lisele impervious ho likokoana-hloko. mofuta ona wa kalafo e fana ka bakeng sa ente subcutaneous.

Ho ka 'na boela ho sebediswa e lisireletsi mono,-le kanaleng e ka khona ho utloa lisele tse kankere le emisa boikatiso bona le ntshetsopele.

Mahlaseli a phekolo ea ho phekola ba myeloma, ba ka tloaelo ho sebelisoa ho imolla matšoao a lefu lena. Pepesehetse mahlaseli a kotsi kapa fokola masapo a bakela libakeng tse bohloko.

Ho buoa kalafo ya myeloma e boetse e re ho kalafo palliative, hore e lebisitsoe ho ntlafatsa boemo ba mokuli. Bakeng sa morero ona li etsoa liopereishene tse:

• Tlosa lihlahala tse kotsi, tseo hatella litho tsa ka hare;
• Thibelo ea fractures le e matlafatsang masapo.

Ho feta moo, maemong a mang bakeng sa kalafo ya myeloma sisintsweng ho tšelo ea mali, ka tlhoekiso lona morago ga moo e (plasmapheresis) ya paraproteins sebelisa thepa e khethehileng.

Kaofela ha liphekolo tsena ka finyella, haeba e se ka ho hlaphoheloa e feletseng ea mamello, ka nako eo bonyane haholo fokotsa boemo ba hae.