I-Myeloma eninzi: Ubuhlungu Bone kunye nezilonda

Umxholo

• Oonobangela beentlungu ezininzi zethambo le-myeloma
• Unyango lweentlungu zethambo kunye nezilonda
• Unyango lwezamayeza
• Unyango lwendalo
• Izixhobo zendalo
• Iziphumo zexesha elide ze-myeloma ezininzi

Ushwankathelo

I-myeloma eninzi luhlobo lomhlaza wegazi. Yenza kwiiseli ze-plasma, ezenziwe kumongo wethambo, kwaye ibangela ukuba iiseli zomhlaza apho zande ngokukhawuleza. Ezi iiseli zomhlaza ekugqibeleni ziyaxinana zize zitshabalalise iplasma kunye neeseli zegazi kumongo wethambo.

Iiseli zePlasma zinoxanduva lokuvelisa ii-antibodies. Iiseli zeMyeloma zinokubangela ukuba kuveliswe ii-antibodies ezingaqhelekanga, ezinokubangela ukuba ukuhamba kwegazi kucothe. Le meko ikwabonakaliswa bubukho bamathumba amaninzi.

Ngokuqhelekileyo kwenzeka emnkantsheni wethambo kunye nomsebenzi omkhulu, onokubandakanya umongo emathanjeni, njenge:

• iimbambo
• isinqe
• amagxa
• umqolo
• amathambo e-pelvic

Oonobangela beentlungu ezininzi zethambo le-myeloma

I-myeloma eninzi inokubangela amabala athambileyo kwithambo elibizwa ngokuba zizilonda ze-osteolytic, ezibonakala njengemingxunya kwi-X-ray. Ezi zilonda ze-osteolytic zibuhlungu kwaye zinokunyusa umngcipheko wokuphuka kabuhlungu okanye ukwaphuka.

I-Myeloma nayo inokubangela ukulimala kwentsholongwane okanye intlungu xa i-tumor icinezela ngokuchasene ne-nerve. Izidumba zinokucinezela intambo yomqolo, enokubangela iintlungu zangasemva kunye nobuthathaka bemisipha.

Ngokwe-Multiple Myeloma Research Foundation, malunga neepesenti ezingama-85 zezigulana ezifunyenwe zinamava amaninzi e-myeloma kwinqanaba lokulahleka kwethambo kunye nentlungu ehambelana nayo.

Unyango lweentlungu zethambo kunye nezilonda

I-myeloma eninzi ingaba buhlungu. Ngelixa ukunyanga i-myeloma uqobo kuyinto yokuqala ephambili, iindlela zonyango ezininzi ziyafumaneka ezijolise ekupheliseni iintlungu. Unyango kunye neendlela zokonyango zendalo ziyafumaneka ukunyanga iintlungu zethambo kunye nezilonda.

Soloko uthetha nogqirha wakho ngaphambi kokuqala unyango olutsha. Unyango lweentlungu lunokunceda iintlungu zethambo kodwa alunakuyeka i-myeloma ekubeni ikhule yodwa.

Unyango lwezamayeza

Ukhetho lonyango lwezonyango lubandakanya oku kulandelayo:

• “Uhlalutyo”Ligama elichaza iindlela ezahlukeneyo zokuthomalalisa iintlungu. Ezona analgesics ziqhelekileyo zisetyenziselwa ukunyanga iintlungu zethambo ziiopioid kunye neziyobisi, ezinje nge morphine okanye ikhowudi.
• IBisphosphonates amayeza amiselweyo anokuthintela iiseli zethambo ukuba zingaphuli kwaye zonakalise ithambo. Unokubathatha ngomlomo okanye ubamkele ngomthambo (ngaphakathi).
• IiAnticonvulsants kwaye iziyobisi maxa wambi zisetyenziselwa ukunyanga iintlungu ezibangelwa ngumonakalo wemithambo-luvo. Ngamanye amaxesha kunokuphazamisa okanye kucothise imiqondiso yeentlungu ezithunyelwa kwingqondo zivela kwiseli ye-nerve.
• Ugqirha isoloko isetyenziselwa ukunyanga ukwaphuka.Ugqirha wakho unokucebisa utyando ukuze kufakwe iintonga okanye iipleyiti kulwaphuluko ukuxhasa amathambo abuthathaka nabuthathaka.
• Unyango ngemitha ihlala isetyenziselwa ukuzama ukuncipha amathumba. Oku kunokukunceda ukukhulula imithambo okanye iipilisi zomqolo ezixineneyo.

Kuya kufuneka uphephe amayeza e-over-the-counter (OTC) kuba anokusebenzisana namanye amayeza eentlungu okanye unyango lomhlaza. Dibana nogqirha wakho ngaphambi kokuba uthathe amayeza e-OTC.

Unyango lwendalo

Unyango lwendalo luhlala lusetyenziswa kunye nongenelelo lonyango olufana nonyango kunye notyando. Unyango lwendalo lunokubonelela ngesiqabu seentlungu kwaye zibandakanya:

• ulungiso lwenyama, ezinokubandakanya ukwakhiwa kwamandla ngokubanzi okanye zinokusetyenziselwa ukwandisa uluhlu lwentshukumo okanye amandla endawo yomzimba emva kokonakala kwethambo okanye uqhaqho
• ukusebenzisa unyango, ezinokukhuthaza amathambo asempilweni kunye nokunciphisa iintlungu ezizayo
• unyango lokuthambisa, ezinokuthi zikhulule izihlunu, ukudibana kunye nethambo
• ukutshizaOlunyango olukhuselekileyo lokunyusa impilo yemithambo-luvo kunye nokunceda ekunciphiseni iintlungu

Izixhobo zendalo

Ezinye izongezo zendalo zinokunceda impilo yakho iphela kwaye zibe yinxalenye yerejimeni yentlungu yakho. Kodwa banako, njengamayeza e-OTC, ukunxibelelana namanye amayeza osele uwathatha.

Ungaze uthathe naziphi na izongezo ezitsha ngaphandle kokuqala uthethe nogqirha wakho.

Izongezo zendalo zinokubandakanya ioyile yeentlanzi kunye nemagnesium:

• Iifomsile zeoyile yentlanzi kunye nolwelo ziqulathe ubuninzi be-omega-3 fatty acids, ezinokuthi ziphucule impilo ye-peripheral ye-nerve kwaye zinciphise ukonakala kwentliziyo kunye nokudumba.
• I-Magnesium inakho:
  • ukuphucula impilo yentsholongwane
  • yomeleza amathambo
  • thintela iintlungu zethambo ezizayo
  • lawula amanqanaba e-calcium ukukhusela i-hypercalcemia

Ngelixa abanye abantu bethatha izongezo zekhalsiyam ukuzama ukomeleza amathambo, oku kunokuba yingozi. Nge-calcium evela kumathambo aqhekekileyo sele ekhukula igazi, ukongeza izongezo ze-calcium kunokubangela i-hypercalcemia (ukuba ne-calcium eninzi egazini).

Musa ukuthatha le ncediso ngaphandle kokuba ugqirha wakho akucebise ukuba wenze njalo.

Iziphumo zexesha elide ze-myeloma ezininzi

I-myeloma eninzi yimeko enzima yodwa, kodwa zombini umhlaza kunye nomonakalo wethambo onokubangela kwiziphumo ezibi kakhulu zexesha elide. Eyona nto icace gca kwezi ziphumo zexesha elide kukungabinamandla kwithambo kunye nentlungu.

Izilonda kunye neendawo ezithambileyo emathanjeni ezenzeka ngenxa ye-myeloma kunzima ukunyanga kwaye kunokubangela ukuqhubeka kokuqhekeka nokuba i-myeloma ngokwayo iye yaxolelwa.

Ukuba amathumba acinezela ngokuchasene nemithambo-luvo okanye abangele uxinzelelo lomqolo womqolo, unokufumana ukonakala kwenkqubo yexesha elide. Kuba ezinye iindlela zonyango lwe-myeloma zinokubangela nomonakalo wemithambo-luvo, abantu abaninzi bakhulisa ukurhawuzelela okanye iintlungu kwiindawo zomonakalo wemithambo-luvo.

Unyango luyafumaneka ukunika isiqabu, njenge-pregabalin (iLyrica) okanye i-duloxetine (iCymbalta). Unakho ukunxiba iikawusi ezikhululekileyo kunye neesiliphu ezihonjisiweyo kwaye uhambe rhoqo ukunceda ukunciphisa iintlungu.