Kaansarii, Maayilaa Myeliyooma

Maaylamaa hedduun kanseeri dha, inni immoo gosaa seellata dhiiga adii kan jedhamu seellata plaazmaa keessatti uumamu dha. Seellata plaazmaa fayyaa dhukkuba irraa ittisuuf prootiinii antiiboodii jedhamu hojjetu gargaaru. Antiiboodiin jeequmsa barbaadaa fi weerara.

Maaylamaa hedduu keessatti, seellata plaazmaa kanseeraa inni bal'inaan lafee keessa guuta. Lafeen immoo wanta qal'aa lafee keessa jiru yoo ta'u, seellata dhiigaa uumamu. Lafee keessatti, seellata kanseeraa seellata dhiiga fayyaa dhiqisu. Antiiboodii fayyadaa hojjechuun utuu hin ta'in, seellata kanseeraa prootiinii sirriitti hin hojjetne hojjetu. Kunis rakkoolee maaylamaa hedduu fidu.

Maaylamaa hedduu waliin wal'aansoo yeroo hundaa barbaachisaa miti. Yoo maaylamaa hedduun gadi aanaa fi mallattoo hin fidne, ilaaluu dhiyeenyaan tarkaanfiin duraa ta'uu danda'a. Namootni maaylamaa hedduu waliin wal'aansoo barbaachisan, mala hedduu dhukkuba to'achuuf jiru.

Klinik

Gareen ogeessota keenyaa yeroo ammaa maaylamaa waliin waliin qophii godhachuufi.

Arizoona:  520-675-7496

Floorida:  904-850-5836

Minnesoota:  507-792-8718

Jalqaba maalummaa myeloma hedduutti, hin jiru mallattoowwan. Yeroo mallattoowwanii fi quuqamtoowwan uumamu, kana keessaatti argan:

• Dhukkubbii lafee, keessumaa baqaqsaa, harmee ykn dhiira keessatti.
• Haalaa kufuu.
• Qabamni.
• Hirmaanni nyaataa dhabu.
• Yaadannoo dadhabbii ykn wal-morkii.
• Dadhabbii.
• Infeekshinii.
• Gurraachaa hir'isu.
• Dadhabbii.
• Dhaluun.
• Baayyee akka dhiiraa deemuu barbaadu.

Yoo simtoomiin si yaaddessan qabaatte, dhaamsa bilbilaa fayyaa ykn ogeessa fayyaa biraa godhadhu. \nGuutumaan galmaa'i, qajeelfama gadi fageenya qabuuf walitti dhiheeffannaa kaansarii wajjin walitti dhiheessuuf, akkasumas odeeffannoo gargaaraa argachuuf yaalii lammaffaa argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf 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Maaltuun kan myelooman kan fidu hin beekkamu.

Maayelooman baay'inaa, inni jalqabbiinsa isaa keessatti selli plaazmaa tokko inni dhiiga uumaa keessa jiru irraa jalqaba. Dhiiga uumaa, inni qooda gadi lafa qal'oo keessa jiru, iddoo selloonni dhiiga uumaman. Wanti tokko selli plaazmaa sana gara selli kaansarii myeloomanitti jijjiira. Sella myelooman sun selli myelooman hedduu baay'ee saffisaan uumaa jalqaba.

Sellonni fayyaa saffisa qofa guddatanii yeroo qofa du'a. Selloonni kaansarii seerri kana hin hordofu. Selli dabalataa hedduu uuma. Selloonni kun yeroo selloonni fayyaa du'an jiraatu itti fufan. Myelooman keessatti, selloonni kaansarii kun dhiiga uumaa keessa walitti guuranii selloonni dhiiga fayyaa sanaa baqatan. Kunis dadhabbii fi dhukkuba ittisuu dadhabuu geessa.

Selloonni myelooman kun, akka selloonni plaazmaa fayyaa godhanitti, antibaadii uumaa yaalu itti fufan. Garuu, qaamni kun antibaadii kana, kan prootiinii monoklonaal ykn prootiinii M jedhamu, fayyadamuu hin dandeessu. Uumama sana, prootiinii M kun qaama keessatti walitti guuraa rakkinoota, akka miidhaa kallattii geessisu. Selloonni myelooman lafee miidhaa godhanii balaa lafee cabu guddisu.

Myelooman baay'inaa, haala gammopatii monoklonaal kan hiika hin qabne jedhamu, kan MGUS jedhamuun beekkamu irraa jalqaba. MGUS keessatti, sadarkaan prootiinii M dhiiga keessa jiru gadi. Prootiinii M kun qaama keessatti miidhaa hin geessisu.

Dhimma inni myeloma hedduu uumaa danda'u kana keessa jiru:

• Waggaa guddatu. Namoonni hedduun umurii isaanii 60 darbanitti rakkoo kana argamu.
• Dhiira ta'uu. Dhiironni dubartoota irra caalaa rakkoo kana argatu.
• Garaa gurguraa ta'uu. Namoonni garaa gurguraan kanneen biroo irra caalaa myeloma hedduu argatu.
• Seenaa maatii myeloma hedduu qabaachuu. Obboleessa ykn warraa myeloma hedduu qabu qabaachuun rakkoo kana argachuu danda'a.
• Monoclonal gammopathy of undetermined significance, kan MGUS jedhamu qabaachuu. Myeloma hedduun MGUS irraa eegala, kanaafuu kunis rakkoo kana argachuu danda'a.

Myeloma hedduu ittisuuf mala hin jiru. Myeloma hedduu yoo argatte, wanta kana uumee hojjettee hin jiru.

Rakkoolee Maayalooma Myelomaa hedduu kanneen armaan gadii ni dabalata:

• Infeekshinii. Maayalooma myelomaa hedduu qabaachuun dandeettii qaamaa dhukkuba ittisuu hir'isa.
• Rakkoowwan lafee. Maayalooma myelomaa hedduun, dhiphinna lafee, lafee hir'inaa fi lafee cabuuf sababa ta'a.
• Rakkoowwan kallattii. Maayalooma myelomaan rakkoowwan kallattii uuma. Inni, kufuu kallattiiitti geessisa.
• Lakkoofsa seellonni diimaa diimaa xixiqqaa, kan aniimiya jedhamu. Akkuma seellonni myeloma seellonni diimaa fayyaa itti dhiqxu, maayalooma myelomaan aniimiyaa fi rakkoolee diimaa biroo uuma

Yeroo tokko tokko, ogeessi fayyaa myeloma hedduu yeroo qorannoo dhiiga dhibee biraaf godhame keessatti arga. Yeroo biraa immoo, mallattoowwan kee ogeessi fayyaa kee myeloma hedduu qorachuuf akka qoratu godhu.

Qorannoo fi tarkaanfiin myeloma hedduu beekuuf fayyadamani:

• Qorannoo dhiiga. Prootiinii M dhiiga keessatti mul'atu. Dhiiga keessatti, prootiiniiwwan kun prootiinii Bence Jones jedhaman.

• Qorannoo dhidhin lafee. Bioopsii dhidhin lafee fi dhidhin lafee baasuun, sampila dhidhin lafee qorachuuf fayyadamani. Dhidhin lafee kutaa qaraa fi soora qaba. Bioopsii dhidhin lafee keessatti, injinni kutaa qaama qaraa xinnoo argachuuf fayyadamata. Dhidhin lafee baasu keessatti, injinni sampila soora baasuuf fayyadamata. Sampiloota kunneen yeroo baay'ee lafee gogaa irraa fudhatamani.

  Sampiloota kunneen gara laaboraatoorii deemaniif qorataman. Laaboraatoorii keessatti, qorannoolee selli myeloma barbaadu. Qorannoolee adda addaa biroo gareen fayyaa kee odeeffannoowwan dabalataa selli myeloma kee irratti kennu. Fakkeenyaaf, qorannoo fluorescence in situ hybridization jijjiirama maatiriyaala genee selli, jedhamu DNA barbaada.

• Qorannoo suuraa. Qorannoo suuraa rakkoo lafee wajjin wal qabate myeloma hedduu agarsiisu danda'a. Qorannooleen kun X-rey, MRI, CT, ykn positron emission tomography jedhamu PET ta'uu danda'u.

Qorannoo dhiiga. Prootiinii M selli myeloma hojjetan dhiiga keessatti mul'atu. Qorannoo dhiiga prootiinii biraa selli myeloma hojjetu, beta-2-microglobulin jedhamu argachuu danda'a.

Qorannoo dhiiga biroo gareen fayyaa kee beekkumsa beekkumsa hubannoo kee irratti kennu. Qorannooleen kunneen qorannoo hojii kallattii, lakkoofsa selli dhiiga, sadarkaa kalsiyumii fi sadarkaa asiidii uurik qoratu ta'uu danda'a.

Qorannoo dhidhin lafee. Bioopsii dhidhin lafee fi dhidhin lafee baasuun, sampila dhidhin lafee qorachuuf fayyadamani. Dhidhin lafee kutaa qaraa fi soora qaba. Bioopsii dhidhin lafee keessatti, injinni kutaa qaama qaraa xinnoo argachuuf fayyadamata. Dhidhin lafee baasu keessatti, injinni sampila soora baasuuf fayyadamata. Sampiloota kunneen yeroo baay'ee lafee gogaa irraa fudhatamani.

Sampiloota kunneen gara laaboraatoorii deemaniif qorataman. Laaboraatoorii keessatti, qorannoolee selli myeloma barbaadu. Qorannoolee adda addaa biroo gareen fayyaa kee odeeffannoowwan dabalataa selli myeloma kee irratti kennu. Fakkeenyaaf, qorannoo fluorescence in situ hybridization jijjiirama maatiriyaala genee selli, jedhamu DNA barbaada.

Bu'aan qorannoo kee gareen fayyaa kee sadarkaa myeloma kee murteessuuf gargaara. Myeloma hedduu keessatti, sadarkaan 1 hanga 3 dha. Sadarkaan gareen fayyaa kee myeloma kee akkamitti akka guddatu beekuuf isaan gargaara. Myeloma hedduu sadarkaa 1 gadi aanaa guddata. Sadarkaan yeroo ol ka'u, myelomaan hammaataa ta'a. Myeloma hedduu sadarkaa 3 ari'ataa ta'aa jira.

Myeloma hedduu sadarkaa balaa kennamuu danda'a. Kun karaa biraa dhukkuba hammaataa ta'uu jechuudha.

Gareen fayyaa kee sadarkaa myeloma hedduu fi sadarkaa balaa hubannoo prognoosi kee hubachuu fi walitti qindeessuu kee karoorfachuuf fayyadama.

Walitti qaamaa hedduu myelomaa yeroo hundumaa barbaachisaa miti. Yoo mallattoowwan hin jirre, myelomaa sanaa hamma itti hammaatuu ilaaluuf qorannoo qabaachuu dandeessa. Yeroo walitti qaamaa hedduu myelomaa mallattoowwan uume, walitti qabamni yeroo baay'ee qoricha irraa eegala. Walitti qabamni, dhiphina hir'isuuf, rakkoolee to'achuuf, fi qe'ee myelomaa guddatuuf gargaara. Gargaarsa walitti qabamni yeroo tokko tokko mallattoowwan hin uumu. Doktarri kana, myelomaa hedduu qabamni ibidda jedhanii waama. Kanaa walitti qaamaa hedduu myelomaa yeroo baay'ee walitti qabamni hin barbaachisu. Yoo myelomaa sadarkaa jalqabaatti yoo gadi aanaa guddata, kaansarii sanaa hordofuuf yeroo yeroo tilmaama qabaachuu dandeessa. Ogeessi fayyaa dhiiga kee fi si'i kee qorachuu danda'a, myelomaa hammaatuu agarsiisuuf. Yoo mallattoowwan walitti qaamaa hedduu myelomaa uume, ati fi garee fayyaa kee walitti qabamni jalqabuu murteessuu dandeessa. Walitti qabamni kana keessa jiraachuu danda'a:

• Daawwannaa qajeelchaa. Daawwannaa qajeelchaa qe'ee kaansarii keessatti keemikaaloota adda addaa haleelu daawwannaa fayyadamu. Keemikaaloota kana cufuudhaan, walitti qabamni qajeelchaa qe'ee kaansarii du'uu danda'a.
• Immunotherapy. Immunotherapy daawwannaa qaama ittisuu qaama kaansarii ajjeesuuf gargaaruudha. Qaama ittisuun dhukkuba irratti loluudhaan, dhibee fi qe'ee biyya keessatti hin jirreef irratti loluudha. Qe'ee kaansarii qaama ittisuu irraa dhokatee jiraata. Immunotherapy qaama ittisuu qe'ee kaansarii argatee ajjeesuuf gargaara.
• CAR-T qe'ee walitti qabamni. Chimeric antigen receptor T qe'ee walitti qabamni, CAR-T qe'ee walitti qabamni jedhamee waamamu, qaama ittisuu kee walitti qaamaa hedduu myelomaa irratti loluuf leenjisuu dha. Walitti qabamni kun dhiiga kee irraa qe'ee dhiiga adii tokko, T qe'ee dabalatee, baasuudhaan jalqaba. Qe'een kun laaboraatooriitti ergama. Laaboraatooriitti, qe'een kun walitti qabamni adda addaa uumuuf walitti qabama. Walitti qabamni qe'een kun mallatoo qe'ee myelomaa irratti argamu beekuuf gargaara. Sana booda qe'een kun gara qaama kee deebi'a. Amma walitti qaamaa hedduu myelomaa qe'ee barbaadaa fi balleessuu danda'a.
• Keemoterapii. Keemoterapii qe'ee kaansarii ajjeesuuf daawwannaa cimaa fayyadamu. Daawwannaan kun qe'ee hatattamaan guddatu, qe'ee myelomaa dabalatee, ajjeesa.
• Kortikosteroid. Daawwannaa kortikosteroid, qaama keessatti dhufeenya fi dhiphina, jedhamee waamamu, to'achuuf gargaara. Kana malees qe'ee myelomaa irratti hojjeta.
• Maraa lafee guutamu. Maraa lafee guutamu, qe'ee uumama guutamu jedhamee waamamu, maraa lafee dhukkubsatee fayyaa maraa lafee guuta. Maraa lafee guutamu dura, qe'ee uumama dhiiga dhiiga kee irraa walitti qabama. Keemoterapii cimaa sana booda maraa lafee dhukkubsatee balleessuuf kennama. Sana booda qe'een uumama gara qaama kee seenna. Lafee seenuun maraa lafee ijaaru jalqaba. Kana walitti qabamni qe'ee ofii fayyadamu autologous maraa lafee guutamu jedhama. Yeroo tokko tokko qe'een uumama kennitu irraa dhufti. Kana walitti qabamni allogenic maraa lafee guutamu jedhama.
• Daawwannaa raadiyeeshinii. Daawwannaa raadiyeeshinii qe'ee kaansarii ajjeesuuf humna cimaa fayyadamu. Humni kun X-rey, prootoniifi kan biraa irraa dhufuudha. Raadiyeeshiniin hatattamaan qe'ee myelomaa guddatu hir'isuudha. Yoo qe'ee myelomaa plasmacytoma jedhamee waamamu uume fayyadamuu danda'a. Raadiyeeshiniin dhiphina uumu ykn lafee balleessu plasmacytoma to'achuuf gargaara. CAR-T qe'ee walitti qabamni. Chimeric antigen receptor T qe'ee walitti qabamni, CAR-T qe'ee walitti qabamni jedhamee waamamu, qaama ittisuu kee walitti qaamaa hedduu myelomaa irratti loluuf leenjisuu dha. Walitti qabamni kun dhiiga kee irraa qe'ee dhiiga adii tokko, T qe'ee dabalatee, baasuudhaan jalqaba. Qe'een kun laaboraatooriitti ergama. Laaboraatooriitti, qe'een kun walitti qabamni adda adda uumuuf walitti qabama. Walitti qabamni qe'een kun mallatoo qe'ee myelomaa irratti argamu beekuuf gargaara. Sana booda qe'een kun gara qaama kee deebi'a. Amma walitti qaamaa hedduu myelomaa qe'ee barbaadaa fi balleessuu danda'a. Maraa lafee guutamu. Maraa lafee guutamu, qe'ee uumama guutamu jedhamee waamamu, maraa lafee dhukkubsatee fayyaa maraa lafee guuta. Maraa lafee guutamu dura, qe'ee uumama dhiiga dhiiga kee irraa walitti qabama. Keemoterapii cimaa sana booda maraa lafee dhukkubsatee balleessuuf kennama. Sana booda qe'een uumama gara qaama kee seenna. Lafee seenuun maraa lafee ijaaru jalqaba. Kana walitti qabamni qe'ee ofii fayyadamu autologous maraa lafee guutamu jedhama. Yeroo tokko tokko qe'een uumama kennitu irraa dhufti. Kana walitti qabamni allogenic maraa lafee guutamu jedhama. Yaaddoon walitti qabamni kee maraa lafee guutamuu dandeessuu irratti hundaa'a. Maraa lafee guutamuu siif gaarii ta'uu murteessuuf, garee fayyaa kee wantoota hedduu yaada. Kanatti keessa, walitti qaamaa hedduu myelomaa hammaatuu, umuriifi fayyaa keetti hundaa'a.
• Yeroo maraa lafee guutamu filannoo ta'u. Yoo garee fayyaa kee maraa lafee guutamuu siif gaarii ta'uu yaada, walitti qabamni yeroo baay'ee daawwannaa walitti qabamuudhaan jalqaba. Walitti qabamni daawwannaa qajeelchaa, immunotherapy, kortikosteroidii fi yeroo tokko tokko keemoterapii dabalachuu danda'a. Ji'oota muraasa walitti qabamni booda, qe'ee uumama dhiiga dhiiga kee irraa walitti qabama. Maraa lafee guutamuun qe'een walitti qabamuun booda ta'uu danda'a. Yookaan yoo jiraate, deebi'uu booda eegdee dandeessa. Yeroo tokko tokko dokteroonni walitti qaamaa hedduu myelomaa qabanitti maraa lafee guutamu lama yaadu. Maraa lafee guutamuu booda, daawwannaa qajeelchaa yookaan immunotherapy qabaachuu dandeessa. Kun myelomaa deebi'uu ittisuuf gargaara.
• Yeroo myelomaa deebi'u yookaan walitti qabamni deebii hin kennine. Walitti qabamni walitti qabamni itti aansuudhaan ta'uu danda'a. Filannoo biraa walitti qaamaa hedduu myelomaa walitti qabamni biraa tokko yookaan caalaa yaaluudha. Walitti qabamni haaraa irratti qorannoo itti fufuu jira. Qorannoo keessa seenuun daawwannaa haaraa qoratamu yaaluu dandeessa. Qorannoo walitti qabamni siif jiru ilaaluuf garee fayyaa kee gaafadhu. Yeroo maraa lafee guutamu filannoo ta'u. Yoo garee fayyaa kee maraa lafee guutamuu siif gaarii ta'uu yaada, walitti qabamni yeroo baay'ee daawwannaa walitti qabamuudhaan jalqaba. Walitti qabamni daawwannaa qajeelchaa, immunotherapy, kortikosteroidii fi yeroo tokko tokko keemoterapii dabalachuu danda'a. Ji'oota muraasa walitti qabamni booda, qe'ee uumama dhiiga dhiiga kee irraa walitti qabama. Maraa lafee guutamuun qe'een walitti qabamuun booda ta'uu danda'a. Yookaan yoo jiraate, deebi'uu booda eegdee dandeessa. Yeroo tokko tokko dokteroonni walitti qaamaa hedduu myelomaa qabanitti maraa lafee guutamu lama yaadu. Maraa lafee guutamuu booda, daawwannaa qajeelchaa yookaan immunotherapy qabaachuu dandeessa. Kun myelomaa deebi'uu ittisuuf gargaara. Yeroo myelomaa deebi'u yookaan walitti qabamni deebii hin kennine. Walitti qabamni walitti qabamni itti aansuudhaan ta'uu danda'a. Filannoo biraa walitti qaamaa hedduu myelomaa walitti qabamni biraa tokko yookaan caalaa yaaluudha. Qorannoo walitti qabamni haaraa irratti qorannoo itti fufuu jira. Qorannoo keessa seenuun daawwannaa haaraa qoratamu yaaluu dandeessa. Qorannoo walitti qabamni siif jiru ilaaluuf garee fayyaa kee gaafadhu. Walitti qabamni walitti qaamaa hedduu myelomaa rakkoolee walitti qabuu dabalachuu danda'a. Fakkeenyaaf:
• Dhiphina lafee. Daawwannaa dhiphina, daawwannaa raadiyeeshinii fi yaala dhiphina lafee to'achuuf gargaara.
• Miidhaa kidaaniitii. Namoota miidhaa kidaaniitii cimaa qaban, daayalaasis barbaachisaa ta'uu danda'a.
• Infeekshinii. Vaaksiiniin infeekshinii, akka dhibee fi nyumoniyaa, ittisuuf gargaara.
• Lafee badu. Daawwannaa lafee ijaaru lafee badu ittisuuf gargaara.
• Anemia. Daawwannaan lakkoofsa qe'ee dhiiga diimaa keessatti dabaluu danda'a. Kun anemia itti fufuu hir'isuuf gargaara. Bilbilaa bilisaatiin galmaa'aa fi qajeelchaa gadi fageenya qabu qabxii kaansarii wajjin walitti qabamuuf, akkasumas yaada lammaffaa argachuuf odeeffannoo gargaaraa argadhu. E-meelii keessatti jiru link bilbiluu irraa bilbiluu dandeessa. Qajeelchaa gadi fageenya qabu keessan kaansarii wajjin walitti qabamuuf yeroo muraasa keessa sanduuqa keessanitti jiraata. Kana malees... Daawwannaa biraa walitti qaamaa hedduu myelomaa walitti qabuuf argamu hin jiru. Garuu daawwannaa biraa myelomaa fi walitti qabamni myelomaa dhiphinaa fi dhiphinaa walitti qabuu wajjin walitti qabuu gargaara. Filannoon kana keessa jiraachuu danda'a:
• Daawwannaa uumamaa.
• Yaalii.
• Qalbii yaadu.
• Daawwannaa muuziqaa.
• Yaalii boqonnaa.
• Hafuuraa. Yaalii kana keessaa tokko yaaluun dura, balaa hin qabne mirkaneessuuf ogeessa fayyaa kee wajjin dubbadhu. Dhukkubni kaansarii rifatoo ta'uu danda'a. Yeroo booda, kaansarii wajjin jiraachuu dhiphinaa wajjin walitti qabuu dandeessaa argattaa. Siif hojjetu argachuutti, yaali:
• Walitti qabamni kee gargaaruuf baradhu. Walitti qabamni kee murteessuu dandeessuuf walitti qaamaa hedduu myelomaa ilaali. Filannoon walitti qabamni kee fi dhiphina isaanii ilaaluuf garee fayyaa kee gaafadhu. Odeeffannoo gaarii itti yaadduuf garee fayyaa kee gaafadhu. Inistitiyuutii Kaansarii Biyyaalessaa fi Walda Myelomaa Idil Addunyaa irraa jalqabuu dandeessa.
• Deeggarsa cimaa qabaadhu. Kun dhiphinaa fi yaaddoo uumamuu dandeessu wajjin walitti qabuu siif gargaara. Deeggarsaaf hiriyyaa fi maatii kee gaafadhu. Gareen deeggarsa namoota kaansarii wajjin walitti qabatan gargaaraa ta'uu danda'a. Garee deeggarsa keessa walitti qabattan, guyyaa guyyaatti rakkoolee wajjin walitti qabuuuf gorsa kennuu danda'u.
• Kaayyoo argachuu dandeessu murteessuu. Kaayyoon to'annoo qabaachuu siif gargaara, kaayyoo qabaachuu siif gargaara. Garuu kaayyoo argachuu hin dandeenye hin filatin. Fakkeenyaaf, yeroo guutuu hojjechuu hin dandeessuu ta'uu danda'a. Garuu yeroo muraasa hojjechuu dandeessa. Namoonni hedduun walitti qabamni kaansarii yeroo hojjechuun yaada isaanii gargaaru argani.
• Ofii keeef yeroo kennuu. Fayyaa nyaachuun, boqonnaa ta'uun, fi boqonnaa gahaa argachuun dhiphinaa fi dadhabbii kaansarii uumu ittisuuf gargaara. Yeroo baay'ee boqonnaa barbaachisu yookaan hojii gadi aanaa gochuu barbaachisuuf karoorfadhu. Walitti qabamni kee gargaaruuf baradhu. Walitti qabamni kee murteessuu dandeessuuf walitti qaamaa hedduu myelomaa ilaali. Filannoon walitti qabamni kee fi dhiphina isaanii ilaaluuf garee fayyaa kee gaafadhu. Odeeffannoo gaarii itti yaadduuf garee fayyaa kee gaafadhu. Inistitiyuutii Kaansarii Biyyaalessaa fi Walda Myelomaa Idil Addunyaa irraa jalqabuu dandeessa. Deeggarsa cimaa qabaadhu. Kun dhiphinaa fi yaaddoo uumamuu dandeessu wajjin walitti qabuu siif gargaara. Deeggarsaaf hiriyyaa fi maatii kee gaafadhu. Gareen deeggarsa namoota kaansarii wajjin walitti qabatan gargaaraa ta'uu danda'a. Garee deeggarsa keessa walitti qabattan, guyyaa guyyaatti rakkoolee wajjin walitti qabuuuf gorsa kennuu danda'u.