Ntau yam myeloma yog mob qog noj ntshav ntawm cov ntshav ntshav, uas yog ib hom ntawm koj cov qe ntshav dawb. Cov ntshav ntshav tau pom feem ntau hauv cov pob txha pob txha, ntxiv rau hauv qee qhov chaw hauv lub cev. Yog tias koj tau kuaj pom tias muaj ntau yam mob myeloma, muaj ntau txoj kev xaiv kho. Txawm hais tias nws yog qhov nyuaj los kho ntau yam mob myeloma, nws tuaj yeem tshwm sim hauv qee kis, thiab kev kho mob zoo li yuav txhim kho tus mob ntxiv rau koj li kev kwv yees yav tom ntej.
Cov kauj ruam
Txoj Kev 1 ntawm 2: Sim Kho Mob
Kauj Ruam 1. Xaiv cov txheej txheem tshuaj kho mob
Cov kws kho mob kho tus txheej txheem suav nrog Melphalan (Algerian), Cyclophosphamide (Cytoxan), Doxorubicin (Adriamycine), thiab Liposomal Doxorubicin (Doxil). Kev siv tshuaj kho mob feem ntau ua tiav zoo ntawm kev tswj hwm ntau yam mob qog noj ntshav; txawm li cas los xij, siv ntawm nws tus kheej, nws tsis tshua muaj kev kho kom zoo (txawm hais tias muaj qee qhov xwm txheej qhia qhov twg nws tau ua rau tshem tawm tag nrho ntawm kev mob qog noj ntshav).
Kauj Ruam 2. Nug koj tus kws kho mob rau daim ntawv xaj tshuaj steroid
Steroids feem ntau siv hauv kev kho mob ntau yam myeloma suav nrog Dexamethasone thiab Prednisone. Dexamethasone feem ntau yog siv, thiab nws tuaj yeem muab tshuaj raws li cov ntsiav tshuaj lossis tshuaj.
Dexamethasone ua haujlwm ob qho tib si los ntawm kev txo qis qhov mob thiab qhov mob uas tshwm sim los ntawm kev mob qog noj ntshav, ntxiv rau los ntawm kev ua kom tuag ntawm cov qog nqaij hlav cancer lawv tus kheej, yog li cov txiaj ntsig ntawm cov tshuaj yog ob peb zaug
Kauj Ruam 3. Sim cov tshuaj tshiab tshwj xeeb rau ntau yam myeloma
Tus lej ntawm cov tshuaj tshiab tau tshwm sim raws li qhov muaj peev xwm tshiab rau kev kho mob ntawm ntau yam myeloma thiab tsis ntev los no tau pom zoo rau kev kho mob. Cov no suav nrog thalidomide (Thalomid), lenalidomide (REVLIMID), bortezomib (Velcade), carfilzomib (Kyprolis), ixazomib (Ninlaro), thiab pomalidomide (Pomalyst). Cov no feem ntau tau txiav txim siab rau kev kuaj mob tshiab ntawm ntau yam mob myeloma, thiab/lossis rau cov xwm txheej uas tsis tau ua tiav ntawm kev kho ntawm lwm txoj hauv kev. Tham nrog koj tus kws kho mob kom paub ntxiv txog kev txiav txim siab cov tshuaj tshiab no.
Kauj Ruam 4. Tau txais kev kho mob
Cov npe ntawm cov tshuaj no yog elotuzumab (Empliciti) thiab daratumumab (Darzalex). Lawv tau tsim tshwj xeeb rau lub hom phiaj ntawm cov qog nqaij hlav qog noj ntshav ntawm cov txheej txheem tiv thaiv kab mob (siv cov tshuaj tiv thaiv kab mob tshwj xeeb txuas rau cov qog nqaij hlav qog noj ntshav), nrog lub hom phiaj tshem tawm cov qog nqaij hlav qog nqaij hlav no los ntawm lub cev.
Kev kho tshuaj tiv thaiv kab mob feem ntau siv rau cov neeg uas muaj ntau yam mob myeloma tau txuas ntxiv mus, txawm hais tias tau sim lwm yam kev kho mob
Kauj Ruam 5. Tham nrog koj tus kws kho mob kom txiav txim siab txoj kev kho mob zoo tshaj rau koj
Thaum kawg, kev kho mob ntawm ntau yam myeloma yog qhov teeb meem nyuaj uas tau hais los zoo tshaj los ntawm kws kho mob tshwj xeeb. Muaj ntau yam kev xaiv muaj, thiab koj yuav feem ntau tau txais ntau hom kev kho mob, ib lub sijhawm lossis ib ntu, los kho koj tus mob qog noj ntshav.
Txoj Kev 2 ntawm 2: Txheeb Xyuas Koj Li Kev Tsim Nyog Rau Kev Hloov Cov Qia Cell
Kauj Ruam 1. Nkag siab tias kev hloov pauv qia cell yog lwm txoj kev kho mob
Kev hloov pauv qia cell tuav lub peev xwm los ua daim ntawv kho mob tau zoo, thiab nws tuaj yeem ua rau kho tau los ntawm ntau yam mob myeloma txog li 4% ntawm tib neeg (hauv lwm tus, nws txhim kho tus kab mob tab sis tsis txog rau qhov kho tau). Qhov kev ceeb toom rau kev hloov pauv qia cell yog qhov ntawd, vim tias lawv yog cov txheej txheem kev pheej hmoo siab dua, muaj qee yam kev tsim nyog uas yuav tsum tau ua kom thiaj li tau txais kev kho mob no.
Kev hloov pauv qia cell feem ntau yog autologous, lub ntsiab lus tias lawv siv koj tus kheej lub hlwb txhawm rau txhawm rau txhawm rau ua kom muaj kev sib tw meej. Qee zaum lwm lub cell tuaj yeem siv rau kev hloov pauv, tab sis qhov no tsis tshua muaj tshwm sim
Kauj Ruam 2. Paub txog qhov tsim nyog tau txais kev hloov pauv qia cell
Vim tias muaj kev pheej hmoo siab dua ntawm kev kho mob no, nws yog nyob ntawm koj tus kws kho mob qhov kev txiav txim siab seb nws puas xav kom nws mus txuas ntxiv nrog nws. Yam uas kws kho mob xav tau tsis pom zoo hloov pauv qia cell suav nrog:
- Hnub nyoog tshaj 70 xyoo
- Teeb meem plawv loj lossis kab mob hauv lub plawv
- Kev ua haujlwm tsis zoo ntawm lub raum
- Kev ua haujlwm tsis zoo ntawm lub siab
- Kev noj qab haus huv tsis zoo tag nrho thiab kev ua haujlwm niaj hnub, raws li kev tshuaj xyuas los ntawm koj tus kws kho mob.
Kauj Ruam 3. Tau txais kev kho mob hnyav ua ntej yuav hloov pauv qia cell
Koj yuav tau txais koob tshuaj kho mob siab ua ntej yuav hloov pauv kom tshem tawm cov qog nqaij hlav cancer ntau li ntau tau los ntawm koj cov pob txha pob txha. Qhov no yog lwm qhov laj thawj uas kev noj qab haus huv yog qhov tseem ceeb txhawm rau txhawm rau kho qhov kev kho mob no; cov neeg uas muaj kev noj qab haus huv tsis zoo yuav tsis tuaj yeem zam qhov kev siv tshuaj kho mob hnyav uas xav tau ua ntej yuav hloov pauv qia cell. Lub hom phiaj ntawm kev siv tshuaj kho mob yog tshem tawm cov kab mob uas muaj kab mob los ntawm koj cov pob txha ua ntej hloov mus rau cov noj qab nyob zoo. yog tias tag nrho cov kab mob tsis tuaj yeem tshem tawm tau, nws ua rau koj muaj kev pheej hmoo ntawm kev rov qab los ntawm txoj kev.
- Yog tias koj yuav raug kho ntawm ntau yam mob myeloma, kev kho mob hnyav ua raws li kev hloov pauv qia cell yog koj thawj koom ruam zoo tshaj. Txawm hais tias nws tuaj yeem yog txheej txheem nyuaj los hla, nws yuav zoo li ua tau zoo tshaj plaws.
- Cov hluav taws xob kuj tseem tuaj yeem muab ua ntej rau kev hloov pauv qia cell raws li txhais tau tias kom tshem tawm ntau cov qog nqaij hlav cancer ntau li ntau tau ua ntej kev hloov pauv.
