Ukutshengisa Izimpawu Zokuqala zaleli Khansa Eligazi Elibulalayo
I-myeloma eminingi ingumdlavuza wamangqamuzana e-plasma emnothweni wethambo. Amaseli e-plasma ayingxenye ebalulekile yesimiso somzimba. Lapho lawa maseli ehlambalaza, akhiqiza isisu, ngokuvamile esetheni kodwa nakwezinye izingxenye zomzimba.
Izimpawu zokuqala ze-myeloma eziningi zingakwazi ukungaqapheli ngoba zivame ukungaqondakali futhi aziqondile. Lesi sifo singaphinde silingise nezinye izimo ezingathí sina futhi zivele zibonakala ngemva kokuhlolwa kwegazi njalo.
Ukwazi izibonakaliso ze-myeloma amaningi yindlela engcono kakhulu yokuthola ukuthi uphinde uphathwe ngokushesha lapho amazinga okuphumelela ephakeme kakhulu.
Izimpawu zokuqala ze-Myeloma eminingi
Izimpawu ezivame kakhulu ze-myeloma eziningi zibuhlungu bethambo kanye nokuphuka. Ezinye izimpawu zihlobene nezinkinga zesifo njengoba ziqala, ngokuqondile nangokungaqondile, kuthinta ezinye izinhlaka zomzimba, kuhlanganise nezinso, ubuchopho, kanye namasongo omzimba.
Izimpawu zakuqala, ezingenasici zingabandakanya:
- ukukhathala
- ukwanda noma ukunciphisa ukuchama
- ukuphumula kulandelwa ukukhathala
- isicanucanu nokuhlanza
- ukulahlekelwa kwesisindo esingachaziwe
- ukukhushulwa kokutheleleka kwezifo
Noma iyiphi yalezi zimpawu zizoqinisekisa ngokuvakashelwa kukadokotela, ikakhulukazi uma kungachazwa, kuphikisana noma kuqhubeka. Ukulahleka kwesisindo esingachaziwe, ikakhulukazi, kuyisici esivamile samanqamu, kufaka phakathi i-myeloma eminingi.
Izimpawu ezihlobene ne-Bone ye-Myeloma eminingi
Ubuhlungu be-Bone ngenye yezibonakaliso zokuqala zokutshela i-myeloma eminingi.
Ubuhlungu obuphansi bokubuyela emuva buvamile, nakuba ubuhlungu bungaba khona eduze kwezimbambo, izintambo, ngisho ne-skull. Ngenkathi ubuhlungu be-bone bungabangelwa ezinye izimo ezingekho ezimbi, uphawu kufanele luhlale lukhathazeka kubantu abasha abangenazo izinkinga zethambo.
Ukuphuka kwethambo elingalindelekile ngokuvamile kuyisenzakalo esenza odokotela bahlole i-myeloma eminingi njengesizathu esithile.
Umgogodla, izimbambo, kanye nesikhumba kukhona lapho kutholakala khona ukuhlukumeza okuningi ngenxa yokulahleka kwethambo elibizayo ( ukuphuza i-osteoporosis ) kubantu abano-myeloma amaningi.
I-Calcium ephakeme njenge-Symbol of Myeloma eminingi
Amazinga aphakeme we-calcium egazini, eyaziwa ngokuthi i- hypercalcemia , futhi uyisibonakaliso se-myeloma eminingi. Njengoba amangqamuzana e-myeloma ephula i-bone matter, i-calcium ikhishwa egazini, okwenza ukuba kuqoqwe.
Izimpawu ze-hypercalcemia zifaka:
- isiyaluyalu
- ukulahlekelwa ukudla
- ukukhathala nokubuthakathaka
- ukoma ngokweqile noma ukuchama
- ukuqotshwa
- ukudideka
- ukuhluleka kwezinso
I-anemia ku-Myeloma eminingi
Njengoba amangqamuzana e-myeloma eqala ukwandisa emnothweni wamathambo, amangqamuzana avamile aqhutshwa kancane kancane. Lokhu kubangela ekunciphiseni kwamaseli abomvu abomvu, okuthiwa i-hemoglobin, okuholela esimweni esibizwa ngokuthi i- anemia .
Ngenkathi umuntu engaba yi-anemic nganoma yisiphi isizathu, ukuhambisana namaconsi amangqamuzana egazi amhlophe kanye namaplatelets ngokuvamile kuzoholela odokotela emiphenyweni enamandla.
Izimpawu ze-anemia zihlanganisa:
- i-paleness
- isiyezi
- ubuthakathaka nokukhathala
- ukuphelelwa umoya
- izinhliziyo ezinjengezinhliziyo
Ukuncipha kwamangqamuzana egazi amhlophe kungakhuphula ingozi yomuntu yokutheleleka, kuhlanganise ne- pneumonia kanye nokutheleleka kwamagciwane . Inani elinciphile lamaplatelet lingenza umuntu alahlekelwe kalula.
Izinkinga zezinso njengezibonakaliso ze-Myeloma eminingi
Amazinga aphezulu e-calcium namaprotheni e-myeloma angalimaza izinso njengoba zihlungiwe egazini futhi ziqoqa ngaphakathi kwenethiwekhi yezinthambo zezinso. Uma lokhu kwenzeka, izinso zilahlekelwa amandla azo okulawula imfucuza yomzimba, uketshezi, nokucindezelwa kwegazi futhi ekugcineni zihluleke.
Izimpawu ezivamile zokuhluleka kwezinso zihlanganisa:
- ukuvuvukala kwemilenze kanye nezinyawo
- ubuthakathaka
- ukunciphisa ukuchama
- ukuphelelwa umoya
- isicashunwe esiqhubekayo
- ubuhlungu noma ukucindezelwa esifubeni
Nakuba ukwehluleka kwezinso ngokuvamile kwenzeka kubantu abane-myeloma esithuthukisiwe, kuye kwaziwa nokuthi kwenzeke ngesikhathi sokuqala kwesifo.
Ukungazenzisi njengeSimangaliso se-Myeloma eminingi
Igazi eliqinile, elibizwa nangokuthi i-hyperviscosity, libangelwa ukuqoqwa ngokweqile kwamaprotheni akhiqizwa amangqamuzana e-plasma ekhanda. Uma lokhu kwenzeka, igazi aliphikisana nokugeleza, okuholela ekuboniseni izimpawu eziningana:
- ukuphuma kwempumu
- umbono ongenalutho
- ukubopha noma ukugoqa ezandleni noma emilenzeni
- ukuhluleka kwenhliziyo
Ubumbulu nokulinganisa njengesimangaliso se-Myeloma eminingi
Lapho amathambo omgogodla ebuthakathaka noma ephukile, angawa phansi ezimpandeni zezinzwa futhi azicindezele. Lokhu kungaholela esimweni esibizwa ngokuthi i- radiculopathy . Izimpawu zihlanganisa ukungena, ukugubha, nokubuthakathaka kuyo yonke inkinga yesibindi.
Uma kutholakala intambo yomgogodla, isimo esibizwa ngokuthi ukucindezeleka komgogodla kungabangela ubuhlungu obunzima emuva, ukulahleka kwesibindi noma ukulawula isisu, ukuphazamiseka kwemizwelo nokuqina komlenze. Kubhekwa njengesimo esiphuthumayo sezokwelapha kanye nesibonakaliso esicacile se-disorder enkulu ehilela izinhlelo ze-squelet and nerves.
Izwi elivela
Izindinganiso zokuxilonga i-myeloma eminingi ziyinkimbinkimbi ngaphandle kokuhlolwa komthamo owodwa okukwazi ukuhlolisisa lesi sifo ngokuqondile. Ngakho-ke, ukubona izibonakaliso zokuqala zomdlavuza - kungakhathaliseki ukuthi ukuhlolwa kwegazi okungavamile, ukuguqulwa empilweni, noma ubuhlungu obungacacisiwe noma ukulahlekelwa isisindo - kubaluleke kakhulu ekunqumeni ukuthi maduzane ungatholakala kanjani uphinde uphathwe.
Uma kufika ukuxilongwa ngokushesha, le mithetho elandelayo isebenza:
- Ungalokothi uphazamise isimo esiphikelelayo noma ucabange ukuthi "kuyinto evamile" njengoba ukhula.
- Iya kudokotela wakho uma uhlangabezana nanoma yisiphi isifo ongeke ukwazi ukuchaza noma nje ngeke usuke.
- Okungenani, hlela umzimba wonyaka ngalunye uhla lwegazi lokuhlola ukuze ubone noma yiziphi izinguquko ezingase zibe nzima.
Imithombo
- > I-American Cancer Society. "Iyini i-Myeloma eminingi? "Washington, DC; iphelile ukubuyekezwa ngoJanuwari 2016.
- > Rajkumar, S .; I-Dimopoulos, M .; I-Palumbo, A .; et al. "Iqembu labasebenzi be-myeloma lamazwe ngamazwe livuselelwe indlela yokuhlolwa kwe-myeloma eminingi." Lancet Oncol . 2014; 15 (12): e538-48.