I-Myeloma eminingi: Ubuhlungu Bone kanye Nezilonda

-Delile

• Izimbangela zezinhlungu eziningi zethambo le-myeloma
• Ukwelashwa kobuhlungu bamathambo nezilonda
• Imithi yokwelashwa
• Ukwelashwa kwemvelo
• Izithako zemvelo
• Imiphumela yesikhathi eside ye-myeloma eminingi

Ukubuka konke

I-myeloma eminingi uhlobo lomdlavuza wegazi. Yakha amangqamuzana e-plasma, enziwa emnkantsheni wethambo, futhi abangela amangqamuzana omdlavuza lapho ukuba ande ngokushesha. Lawa maseli omdlavuza ekugcineni aqoqana abhubhise i-plasma enempilo namaseli egazi emnkantsheni wethambo.

Amaseli e-Plasma anesibopho sokukhiqiza ama-antibodies. Amaseli we-Myeloma angadala ukukhiqizwa kwama-antibody angajwayelekile, angadala ukuthi ukuhamba kwegazi kwehle. Lesi simo sibonakala nangokuba khona kwezicubu eziningi.

Imvamisa kwenzeka emnkantsheni wethambo ngomsebenzi omningi, ongafaka umnkantsha emathanjeni, njenge:

• izimbambo
• okhalweni
• emahlombe
• umgogodla
• amathambo okhalo

Izimbangela zezinhlungu eziningi zethambo le-myeloma

I-myeloma eminingi ingadala izindawo ezithambile ethanjeni elibizwa ngokuthi izilonda ze-osteolytic, ezibonakala njengezimbobo ku-X-ray. Lezi zilonda ze-osteolytic zibuhlungu futhi zingakhuphula ingozi yokuphuka okubuhlungu noma ukuphuka.

I-Myeloma nayo ingadala ukulimala kwezinzwa noma ubuhlungu lapho isimila sicindezela ngokumelene nenzwa. Izicubu zingaphinde zicindezele umgogodla, ongadala ubuhlungu beqolo nobuthakathaka bemisipha.

Ngokusho kwe-Multiple Myeloma Research Foundation, cishe amaphesenti angama-85 eziguli ezitholwe zine-myeloma amaningi zithola ukuwohloka kwamathambo ngezinga elithile nobuhlungu obuhambisana nakho.

Ukwelashwa kobuhlungu bamathambo nezilonda

I-myeloma eminingi ingaba buhlungu. Ngenkathi ukwelashwa kwe-myeloma uqobo kuyinto eza kuqala, kunezindlela zokwelashwa eziningana ezigxila ekunciphiseni ubuhlungu bakho. Izinketho zokwelashwa nezokwelapha zemvelo ziyatholakala ukwelapha ubuhlungu bamathambo nezilonda.

Njalo khuluma nodokotela wakho ngaphambi kokuqala ukwelashwa okusha. Ukwelashwa kobuhlungu kungasiza ubuhlungu bamathambo kepha ngeke kuvimbele i-myeloma ekukhuleni yodwa.

Imithi yokwelashwa

Izinketho zokwelashwa zifaka okulandelayo:

• “Ama-analgesics”Yigama lesambulela lezindlela ezahlukene zokuqeda izinhlungu. Ama-analgesics asetshenziswa kakhulu ukwelapha ubuhlungu bethambo ama-opioid kanye nezidakamizwa, njenge-morphine noma i-codeine.
• AmaBisphosphonates yimithi kadokotela engavimbela amangqamuzana amathambo ukuthi angahlehli futhi alimaze ithambo. Ungazithatha ngomlomo noma uzamukele ngomthambo (ngemithambo yegazi).
• Ama-anticonvulsants futhi imishanguzo kwesinye isikhathi kusetshenziselwa ukwelapha ubuhlungu obubangelwa ukulimala kwezinzwa. Lezi kwesinye isikhathi zingaphazamisa noma zinciphise izimpawu zobuhlungu ezithunyelwa ebuchosheni zisuka esitokisini sezinzwa.
• Ukuhlinzwa ivame ukusetshenziselwa ukwelapha ukuphuka.Udokotela wakho angancoma ukuhlinzwa ukuze kufakwe izinduku noma amapuleti kukwephuka ukuze asekele amathambo antekenteke nabuthakathaka.
• Ukwelashwa ngemisebe kuvame ukusetshenziselwa ukuzama ukunciphisa izicubu. Lokhu kungasiza ukukhulula izinzwa ezicindezelwe noma izintambo zomgogodla ezicindezelwe.

Kufanele ugweme imishanguzo ye-over-the-counter (OTC) ngoba ingahle ihlanganyele neminye imithi yakho yezinhlungu noma imishanguzo yomdlavuza. Xhumana nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi ye-OTC.

Ukwelashwa kwemvelo

Ukwelashwa kwemvelo kusetshenziswa kakhulu kanye nokungenelela kwezokwelapha okufana nemithi nokuhlinzwa. Ukwelashwa kwemvelo kunganikeza ukukhululeka kobuhlungu obuqinile futhi kubandakanya:

• ukwelashwa ngokomzimba, okungabandakanya ukwakhiwa kwamandla okujwayelekile noma kungasetshenziswa ukwandisa ububanzi bokunyakaza noma amandla endawo yomzimba ngemuva kokulimala kwethambo noma ukuhlinzwa
• ukuzivocavoca umzimba, ezingakhuthaza amathambo aphilile futhi zinciphise ubuhlungu besikhathi esizayo
• ukwelashwa kokubhucungwa, okungakhulula izinhlungu zemisipha, zamalunga nezethambo
• ukutshopa, okuyinto yokwelashwa okuphephile kokugqugquzela impilo yezinzwa nokusiza ekuphumuleni kobuhlungu bamathambo

Izithako zemvelo

Ezinye izithako zemvelo zingasiza impilo yakho yonke futhi zibe yingxenye yesimiso sakho sobuhlungu. Kepha bangakwazi, njengemithi ye-OTC, ukusebenzisana neminye imithi osuvele uyiphuza.

Ungalokothi uthathe noma yiziphi izithako ezintsha ngaphandle kokukhuluma nodokotela wakho kuqala.

Izithako zemvelo zingabandakanya uwoyela wezinhlanzi ne-magnesium:

• Ama-capsule kawoyela wezinhlanzi kanye noketshezi kuqukethe inqwaba yama-omega-3 fatty acids, angathuthukisa impilo yezinzwa zomzimba futhi anciphise ukulimala kwezinzwa okubuhlungu nokuvuvukala.
• I-Magnesium ingakwazi:
  • thuthukisa impilo yezinzwa
  • qinisa amathambo
  • ukuvimbela ubuhlungu besikhathi esizayo
  • lawula amazinga e-calcium ukuvimbela i-hypercalcemia

Ngenkathi abanye abantu bethatha izithasiselo ze-calcium ngomzamo wokuqinisa amathambo, lokhu kungaba yingozi. Nge-calcium evela emathanjeni aphukile asevele egcwele amanzi egazini, ukungeza izithasiselo ze-calcium kungaholela ku-hypercalcemia (ukuba ne-calcium eningi egazini).

Ungathathi lesi sithasiselo ngaphandle kokuthi udokotela wakho akwalule ukuthi wenze njalo.

Imiphumela yesikhathi eside ye-myeloma eminingi

I-myeloma eminingi iyinkinga ebucayi yodwa, kepha womabili umdlavuza kanye nomonakalo wamathambo oholelwayo kungaholela emiphumeleni emibi emide yesikhathi eside. Okusobala kakhulu kule miphumela yesikhathi eside ubuthakathaka obungapheli bethambo nobuhlungu.

Izilonda nezindawo ezithambile ethanjeni ezenzeka ngenxa ye-myeloma kunzima ukuzelapha futhi kungadala ukuqhuma okuqhubekayo noma ngabe i-myeloma uqobo lwayo seluthethelelwe.

Uma izicubu zicindezela emithanjeni noma zibangela ukucindezelwa kwentambo yomgogodla, ungathola ukulimala kohlelo lwesikhathi eside. Njengoba ezinye izindlela zokwelapha i-myeloma nazo zingadala ukulimala kwezinzwa, abantu abaningi baba nokuthinteka noma ubuhlungu ezindaweni zomonakalo wezinzwa.

Ukwelashwa kuyatholakala ukunikeza usizo, njenge-pregabalin (i-Lyrica) noma i-duloxetine (i-Cymbalta). Futhi ungagqoka amasokisi angaxegi nezilayidi ezigwedlile futhi uhambe njalo ukusiza ukudambisa izinhlungu.