Multiple myeloma ni kanseri itera mu bwoko bw'uturemangingo tw'amaraso yera twitwa plasma cells. Plasma cells zizima zifasha mu kurwanya indwara zandura, zikora poroteyine zitwa antibodies. Antibodies zishakisha kandi zigatabara mikorobe.
Muri multiple myeloma, plasma cells zibasiwe na kanseri zikwirakwira mu mugozi w'amagufa. Umugozi w'amagufa ni ibintu byoroshye biri mu magufa aho uturemangingo tw'amaraso dukora. Mu mugozi w'amagufa, uturemangingo twa kanseri turushaho kuba menshi kurusha uturemangingo tw'amaraso duzima. Aho gukora antibodies zigira akamaro, uturemangingo twa kanseri dukora poroteyine zitakora neza. Ibi bituma habaho ingaruka z'indwara ya multiple myeloma.
Ubuvuzi bwa multiple myeloma ntibuhora bukenewe ako kanya. Niba multiple myeloma itera gahoro kandi idatera ibimenyetso, kwitondera byaba ari intambwe ya mbere. Ku bantu bafite multiple myeloma bakeneye ubuvuzi, hari uburyo bwinshi bwo gufasha kugenzura iyi ndwara.
Ibitaro
Itsinda ryacu ry'inzobere riri kwitegura gushyira gahunda y'umubonano wawe wa myeloma ubu.
Arizona: 520-675-7496
Florida: 904-850-5836
Minnesota: 507-792-8718
Mu ntangiriro z'indwara ya multiple myeloma, bishobora kuba nta bimenyetso. Iyo ibimenyetso n'ibibonwa bigaragaye, bishobora kuba birimo:
Jya kwa muganga cyangwa undi mwuga wo kwita ku buzima niba ufite ibimenyetso bikubangamiye. Kanda hano wiyandikishe ubuntu, ubone igitabo gikubiyemo uburyo bwo guhangana na kanseri, ndetse n'amakuru afatika y'uko wakwemererwa kujya kubona undi muganga. Ushobora gukuramo izina ryawe igihe icyo ari cyo cyose. Igikoresho cyuzuye cyo guhangana na kanseri kizaba kiri muri inbox yawe mu kanya gato. Uzabona kandi
Ntabwo birasobanutse icyateza myeloma.
Myeloma nyinshi itangira n'iseli imwe ya plasma mu mugozi w'amagufa. Umugozi w'amagufa ni ibintu byoroshye biri mu magufa aho uturemangingo tw'amaraso dukora. Hari ikintu kibaho gihindura iseli ya plasma iseli ya myeloma ya kanseri. Iseli ya myeloma itangira gukora ibinini byinshi bya myeloma vuba.
Uturemangingo twiza dukura ku muvuduko runaka kandi dupfa igihe runaka. Uturemangingo twa kanseri ntibikurikiza aya mategeko. Bakora uturemangingo twinshi cyane. Uturemangingo dukomeza kubaho igihe uturemangingo twiza twapfa. Muri myeloma, uturemangingo twa kanseri twubakira mu mugozi w'amagufa kandi bikurura uturemangingo twiza tw'amaraso. Ibi bituma umuntu ananirirwa kandi adashobora kurwanya indwara.
Uturemangingo twa myeloma dukomeza kugerageza gukora antikorora, nk'uko uturemangingo twiza twa plasma bikora. Ariko umubiri ntushobora gukoresha aya antikorora, yitwa poroteyine za monoclonal cyangwa poroteyine za M. Ahubwo, poroteyine za M zikwirakwira mu mubiri kandi zikaba intandaro y'ibibazo, nko kwangiza impyiko. Uturemangingo twa myeloma dushobora kwangiza amagufa no kongera ibyago byo gucika amagufa.
Myeloma nyinshi itangira nk'uburwayi bwitwa monoclonal gammopathy of undetermined significance, bita kandi MGUS. Muri MGUS, urwego rwa poroteyine za M mu maraso rurake. Poroteyine za M ntizangiza umubiri.
Ibintu bishobora kongera ibyago byo kurwara kanseri nyinshi y'amaraso (multiple myeloma) birimo:
Nta buryo bwo gukumira kanseri nyinshi y'amaraso. Niba uyirwaye, ntabwo wabitewe n'icyo wakoze.
Ingaruka z'indwara ya multiple myeloma zirimo:
Hari aho umukozi w’ubuzima ashobora kubona myeloma nyinshi mu bipimo by’amaraso byakozwe ku rundi burwayi. Ibindi bihe ibimenyetso byawe bishobora gutuma umukozi w’ubuzima akora ibizamini bya myeloma nyinshi.
Ibizamini n’ibikorwa byo gupima myeloma nyinshi birimo:
Ibizamini by'umushishi. Utuntu twa M turashobora kugaragara mu mbuto z'umushishi. Mu mushishi, utuntu twa poroteyine twitwa poroteyine za Bence Jones.
Ibizamini by'amasogwe y'amagufa. Biopsi y'amasogwe y'amagufa no gukurura amasogwe y'amagufa bikoresha kugira ngo bakusanye ibipimo by'amasogwe y'amagufa kugira ngo bipimwe. Amasogwe y'amagufa afite igice gikomeye n'igice cya liquide. Mu gupima amasogwe y'amagufa, igikoresho cyo kubaga gikoreshwa mu gukusanya igice gito cy'umubiri ukomeye. Mu gukurura amasogwe y'amagufa, igikoresho cyo kubaga gikoreshwa mu gukurura igice cya liquide. Ibipimo bikunze gukurwa mu gice cy'amagufa cyo ku kirenge.
Ibipimo bijyanwa muri laboratwari kugira ngo bipimwe. Muri laboratwari, ibizamini bishakisha utuntu twa myeloma. Ibindi bizamini bidasanzwe bitanga amakuru y'inyongera ku itsinda ry'ubuvuzi rwawe ku birebana n'utuntu twa myeloma. Urugero, ikizamini cya fluorescence in situ hybridization gishakisha impinduka mu mubiri w'utuntu, twitwa ADN.
Ibizamini byo kubona ishusho. Ibizamini byo kubona ishusho bishobora kwerekana ibibazo by'amagufa bifitanye isano na myeloma nyinshi. Ibizamini bishobora kuba harimo X-ray, MRI scan, CT scan, cyangwa positron emission tomography scan, izwi kandi nka PET scan.
Ibizamini by'amaraso. Utuntu twa M twakozwe n'utuntu twa myeloma turashobora kugaragara mu kigero cy'amaraso. Ibizamini by'amaraso bishobora kandi kubona indi poroteyine utuntu twa myeloma dukora, yitwa beta-2-microglobulin.
Ibindi bizamini by'amaraso bitanga amakuru ku itsinda ry'ubuvuzi rwawe ku birebana n'uburwayi bwawe. Ibi bizamini bishobora kuba harimo ibizamini bireba imikorere y'impyiko, umubare w'uturemangingo tw'amaraso, urwego rwa calcium n'urwego rwa acide urique.
Ibizamini by'amasogwe y'amagufa. Biopsi y'amasogwe y'amagufa no gukurura amasogwe y'amagufa bikoresha kugira ngo bakusanye ibipimo by'amasogwe y'amagufa kugira ngo bipimwe. Amasogwe y'amagufa afite igice gikomeye n'igice cya liquide. Mu gupima amasogwe y'amagufa, igikoresho cyo kubaga gikoreshwa mu gukusanya igice gito cy'umubiri ukomeye. Mu gukurura amasogwe y'amagufa, igikoresho cyo kubaga gikoreshwa mu gukurura igice cya liquide. Ibipimo bikunze gukurwa mu gice cy'amagufa cyo ku kirenge.
Ibipimo bijyanwa muri laboratwari kugira ngo bipimwe. Muri laboratwari, ibizamini bishakisha utuntu twa myeloma. Ibindi bizamini bidasanzwe bitanga amakuru y'inyongera ku itsinda ry'ubuvuzi rwawe ku birebana n'utuntu twa myeloma. Urugero, ikizamini cya fluorescence in situ hybridization gishakisha impinduka mu mubiri w'utuntu, twitwa ADN.
Ibyavuye mu bipimo byawe bifasha itsinda ry'ubuvuzi rwawe gufata umwanzuro ku cyiciro cya myeloma yawe. Muri myeloma nyinshi, ibyiciro biri hagati ya 1 na 3. Icyiciro kibwira itsinda ry'ubuvuzi rwawe uburyo myeloma yawe ikura vuba. Myeloma yo mu cyiciro cya 1 ikura buhoro buhoro. Uko ibyiciro bigenda byiyongera, myeloma iba ikomeye cyane. Myeloma yo mu cyiciro cya 3 irushaho kuba mbi vuba.
Myeloma nyinshi ishobora kandi guhabwa urwego rw'ingaruka. Iyi ni indi nzira yo kuvuga uburyo ubwo burwayi bukomeye.
Itsinda ry'ubuvuzi ryawe rikoresha icyiciro cya myeloma nyinshi n'urwego rw'ingaruka kugira ngo rimenye uko ubwo burwayi buzagenda n'uko buzavurwa.
Ubuvuzi bwa myeloma nyinshi ntibukunzwe kuba ngombwa ako kanya. Niba nta bimenyetso biriho, ushobora gukora ibizamini kugira ngo urebe ko myeloma ikomeza kuba mbi. Iyo myeloma nyinshi itera ibimenyetso, ubuvuzi bukunze gutangira hakoreshejwe imiti. Ubuvuzi bushobora gufasha kugabanya ububabare, kugenzura ingaruka mbi, no kugabanya ukwaguka kw'uturemangingo twa myeloma. Rimwe na rimwe myeloma nyinshi ntigira ibimenyetso. Abaganga babyita myeloma nyinshi itarimo ibimenyetso. Uyu muhango wa myeloma nyinshi ushobora kutakeneye ubuvuzi ako kanya. Niba myeloma iri mu cyiciro cyambere kandi ikura buhoro, ushobora kugira isuzuma buri gihe kugira ngo ugenzure kanseri. Umukozi wubuzima ashobora gupima amaraso yawe n'umwanya kugira ngo arebe ibimenyetso byerekana ko myeloma ikomeza kuba mbi. Wowe nitsinda ryawe ry'ubuvuzi mushobora gufata umwanzuro wo gutangira ubuvuzi niba ugize ibimenyetso bya myeloma nyinshi. Ubuvuzi bushobora kuba burimo:
Niba ufite ibimenyetso bikubabaza, hamagara umuganga cyangwa undi muhanga mu buvuzi.
Niba ufite myeloma nyinshi, ushobora koherezwa kwa muganga w’inzobere. Uyu muganga ashobora kuba:
Dore amakuru azagufasha kwitegura igihe uzajya kwa muganga.
Umuryango wawe cyangwa inshuti ikujyanye ishobora kugufasha kwibuka amakuru waba wahawe.
Tegura urutonde rwa:
Ibibazo wakwibaza mu gihe ugiye kwa muganga bwa mbere bishobora kuba birimo:
Ibibazo wakwibaza niba ubonye umuganga w’inzobere birimo:
Jya ubaza ibibazo byose ufite ku burwayi bwawe.
Tegura gusubiza ibibazo bimwe ku bimenyetso byawe n’ubuzima bwawe, birimo:
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.