Sida myeloma waxaa lagu daaweeyaa in Israa'iil?

Myeloma ama plasmacytoma waxa ay sidoo kale myeloma waa cudur kansarka halkaas oo ay jiraan ku lug dhuuxa lafta ah.

Unugyada kansarku, haddii ay taasi soo koraya ee plasma (component ee dareeraha ah ee dhiigga ku jirto platelets, leukocytes iyo erythrocytes). In lafta dhuuxa soo saaray unugyada asliga ah in jeesan mid ka mid ah noocyada kor ku galay unugyada dhiigga.

Sidaas darteed, horumarinta myeloma in aadanuhu si weyn hoos u wax soo saarka ee unugyada kuwaas oo ay u adkeysan kala duwan ee cudurada awoodaan.

Sida laga soo xigtay tirakoob, cudurka sida caadiga ah dhacdaa in da'da dhexe ama jir ah, oo intaa ka badan ee ragga.

Calaamadaha myeloma ka mid ah:

• Bone xanuun, inta badan madaxa, dhabarka, miskaha, sternum;
• Neefta oo ku qabata, tamar darro, dhiig soo noqnoqda, dawakhaad,
• Calaamadaha lesions habdhiska dhexe (xanuun aad u daran, tabar iyo kabuubyo in cagaha), ay sabab u tahay xaqiiqada ah in araxda saameysey cadaadisaa dareemayaasha ballaadhan yahay;
• Xanuunka of kelyaha,
• La'aanta ilaalinta cudurada, gaar ahaan pneumonia.

Waxay jeelyihiin in si dabiici ah, daaweynta myeloma in Israa'iil u baahan koorso of Baadhista xanuunada tayo sare leh, taas oo ka mid ah hawlaha soo socda:

• taariikhdaada caafimaad iyo baaritaan jireed;
• hababka ogaanshaha Laboratory;
• Soo saarida tijaabada unugyada burada (biopsy) waxbarasho histological dheeraad ah;
• waxbarashada difaaca;
• raajada;
• raajito loogu xisaabiyaa ;
• imaging resonance magnetic.

Intaa waxaa dheer in la xakameeyo ah baaritaan dhiig daaweynta myeloma waxaa fuliyay Israa'iil inaad wax ka barato tirada unugyada dhiigga cas ee u, calcium, paraprotein. Sidoo kale la bartay kelyaha.

Tan iyo myeloma waa cudur saameeya jirka oo dhan, hab ugu fiican waa adag, oo ka kooban hannaanka ka mid ah hababka daaweynta. Si aad u taariikhda, daaweynta kansarka ugu caansan oo wax ku ool ah ay kala yihiin: chemotherapy, radiotherapy, qaliin.

Si kastaba ha ahaatee, taariikhda, natiijada ugu wanaagsan ee daaweynta ee myeloma in Israa'iil waxay muujinaysaa chemotherapy ee lala soo dhaweynta ah ee hormoonnada tuubooyinka. Bukaanka laga yaabaa in lagu siiyo daawo sida: Melphalan, Cyclophosphamide, Vincristine, Cyclophosphamide, Doxorubicin.

Iyadoo ku xiran xaaladda bukaanka yaabaa in lagu taliyo vysokodozirovannaya chemotherapy. Saas ma aha ee si faahfaahsan u muhiim ah waa xaqiiqada ah in ka hor bilowga daaweynta myeloma isticmaalaya chemotherapy vysokodozirovannoy in bukaan qaadan tiro yar oo unugyada asliga ah, waayo, soo kabashada ee habka hematopoietic.

Intaa waxaa dheer, markii cudurka myeloma loo qori karaa kooras ah biotherapy, taas oo ah si ay u helaan interferon - protein ah ka dhigaysa unugyada boogeed fayrusyada. Tani nooca daawaynta ee bixisaa duro subcutaneous.

Waxa kale oo laga yaabaa in lagu isticmaalay antibodies Mono-channel in lagu ogaan karaa unugyada kansarka iyo joojiyaan faafinta iyo horumarinta.

Dawaynta ilayska ee daaweynta ee myeloma, caadi ahaan loo isticmaalo in laga nafiso calaamadaha cudurkan. Bandhigi shucaaca ama wiiqay lafaha keeni meelaha xanuun.

daaweynta Qalliinka ee myeloma sidoo kale Qisoon daaweynta palliative, in la faray at hagaajinta xaaladda bukaanka. Ujeedada this la fuliyaa hawlaha oo kala ah:

• Removal of burooyinka halista ah, taas oo cadaadis saartay xubnaha gudaha,
• Ka hortagga jab iyo xoojinta lafaha.

Intaas waxaa sii dheer, in xaaladaha qaarkood lagu daaweyn jiray myeloma soo jeediyey ee dhiig lagu shubo, iyadoo ay daahirinta ku xiga (plasmapheresis) ee paraproteins la isticmaalayo qalab gaar ah.

All of daawaynta waxaa ku gaari kartaa, haddii aan dib u soo kabashada buuxda ee bukaan-socodka, markaas ugu yaraan si weyn u yareeyo xaaladiisa.