Myeloma multiple

Multiple length myeloma (lefu Rustitskogo Clair) le ea mong tse ling tse ho feta lesapo moko hlahala, e entsoe ka lisele tse lero la mali ea khōlong e feletseng fapaneng. Tlhaloso ea lefu lena le le teng lilemong tsa bo-XIX. Ha e le hantle, le maloetse e ka tlasa ho isa karolong e moholo ea baahi le batho ba hōlileng.

Ho lumeloa hore sephetho sa myeloma multiple na liphetoho tse bang teng tsa B-lymphocytes. Lefu lena le ke keketseho pathological lisele tse lero la mali, eo e etsa hore ho timetsoa ha ba bone bone ntho le ho timetsoa ha masapo. Ka lebaka la le thulaganyo, fractures khafetsa le fetola sebopeho bona. Hōtse ka bongata, lisele tse lero la mali hlahisa paraprotein, a etsa hore ho eketseha ha protheine dikahare maling. Hyperproteinemia hangata e baka lefu le a liphio le tsoelo-pele ea liketsahalo tsa ho hloleha renal. Beha ka thōko ho tubules e, paraprotein bakang nefrogidroz le amyloidosis.
Letotong la lefu lena le etsa hore liphetoho pathological maling, phytoteratology hematopoiesis. Setšoantšong se ka u bona le mali khaello ea mali, li-platelet tlaase ea mali le lisele tse tšoeu tsa mali.

liponahatso lefu

Multiple length myeloma ha nako e telele e etsa ka boeona e ile a ikutloa, 'me boemo ba mokuli ka ba batlang e le e khotsofatsang. Ka nako ea pele ea lefu lena le hlaha malaise, mokhathala, asthenia. Hangata, le letšoao la pele hore susumelletsang ho bona ngaka, ke bohloko ba ka tlaase morao, lesapo la mokokotlo le masapo, le bohloko atisa ho eketsa. matšoao a ka ho eketsehileng le ka ho amana le phytoteratology hematopoiesis (khaello ea mali, thrombocytopenia), ntshetsa pele hemorrhagic lefu, myocardial viscera, thromboses. Ka har'a matšoao a lefu lena le amahanngoa le ho eketseha insufficiency renal le Hyperproteinemia.

tlhathoba

Ka nako ea pele ho na le keketseho ea mali erythrocyte sedimentation sekhahla ho fella dysproteinemia. Le letotong la tshebetso hlaha khaello ea mali, fokotseha-platelet le leukocytes. Ka ho hlahloba ba tahlehelo moroto protheine hlokomela kgolo. Ha and analysis skeletal mali e laolwang ke ho eketseha ha palo yohle protheine. Le matšoao a ho hloleha liphio - eketseha creatinine le urea, electrolyte imbalance.
The phumano ya "myeloma multiple" e behiloeng e thehiloeng ka lebaka la ho hlahloba lisele tse lesapo moko. Sena ke tekotshupo mesebetsi e khōlō. Mothusi mokhoa ke ho phetha X-ray lesapo ho lemoha mefokolo le deformities lesapo, diso osteoporosis. Ke bohlale ho khanna proteinogram.

Kalafo ya mangata Myeloma

Haeba tlhahlobo e fumanoang myeloma, kalafo ea lefu lena ho letsatsi - bothata bileng le eona. E lokela ho ba hlokomela hore nako ea bophelo ba bakuli ba le kalafo e nepahetseng le e batlang e le a bataletseng tsela ea lefu lena le ke tse ka bang hlano lilemo tse. The phekolo ea lefu lena sebetsa medicaments eo thibela metsoako hlahala ntshetsopeleng (cytostatics). Empa lithethefatsi tsena li ka feela lelefatsa bophelo ba bakuli. Qalong ea kalafo bona e hlophisitsweng ka tekanyetso ea makala, ka mor'a ho qeta tsela switjha ho phekolo tokiso.

"Prednisolone" le sebelisitsoe ka hammoho le oa lithethefatsi cytotoxic. e sebelisa thibela ka ho timetsoa ha lesapo le na le le phello e ntle ka ho eketseha ha k'halsiamo e. regimens tsoetseng pele hore kenyeletsa tlhakantsuke e 'maloa ea lithethefatsi, tekanyetso e fapaneng ho itšetlehile ka ho tiea le ho mofuta oa myeloma. Diphetho tsa kalafo li hlahlojoa ka mor'a likhoeli tse tharo ka mor'a ho qala ha chemotherapy.

Holim 'a kamohelo, renal ho hloleha, o ka hloka kalafo lenaneo hemodialysis.

Mohlomong u ka ho sebelisa phekolo ea mahlaseli. Ho e hlophisitsweng bakeng sa kalafo ya nodes fokolang hlahala teng ka masapo a ka le lisele tse bonolo.