Ziva sarudzo dzako dzekurova akawanda myeloma! Kubva pakurapa kwepamusoro kusvika kukurapa kwemunhu, tsvaga nzira chaiyo yekupora.
Zvinodhaka zve Multiple Myeloma
Kana zvasvika pakurapa akawanda myeloma, marudzi akasiyana emishonga anoita basa rakakosha. Iyi mishonga inosarudzwa nemachiremba akawanda emyeloma muIndia kuti ave nechokwadi chokuti inoshanda zvakanaka kumurwere mumwe nomumwe.
Chemotherapy: Kurapa uku kunoshandisa mishonga yakaita secyclophosphamide, doxorubicin, melphalan, uye etoposide kuti inonoke kukura kwemasero egomarara. Nhamba yezvikamu zvinodiwa inosiyana pakuoma kwemamiriro acho.
Steroids: Mishonga yakaita seDexamethasone nePrednisone inowanzopihwa chemotherapy kuti ishande zvirinani uye kuderedza zvinhu zvakaita sekurutsa nekusvotwa.
Histone deacetylase (HAC) Inhibitor: Panobinostat, mushonga wakanangwa wekurapa, unobatsira kumisikidza majini anodzivirira kenza masero kubva mukukura.
Immunomodulators: Mishonga yakadai seLenalidomide, Pomalidomide, neThalidomide inobatsira immune system kurwisa nekuuraya maseru egomarara.
Proteasome Inhibitors: Bortezomib, carfilzomib, uye ixazomib mishonga inovhara kenza masero kubva pakugaya mapuroteni anodzora kukura kwavo. Izvo zvakakosha pakurapa zvichangobva kuongororwa kana kudzokororwa zviitiko zve multiple myeloma.
immunotherapy
Immunotherapy inzira yekuchinja inokwirisa immune system yemurwere muhondo yekurwisa cancer. Iyi nzira inoshandisa nzira dzakasiyana-siyana, ingave pamaoko kana mumarabhoritari, kuvandudza mashandiro e immune system.
CAR-T cell kurapwa imhando yepamusoro yeimmunotherapy umo maT-seli anotorwa kubva muropa remurwere. Aya T-masero anobva anyatsogadzirwa murabhoritari, kwaanodzidziswa kuziva nekuparadza masero emyeloma mumuviri.
Aya maseru anodzoserwa mumuviri wemurwere mushure mekushandurwa, achiita seuto remunhu kunanga nekuparadza maseru egomarara. Uku ndiko kurapwa kwakanyanya kweakawanda myeloma muIndia.
Radiation Therapy
Radiation therapy inoshandisa madosi akakwira emwaranzi kunanga nekudzikisa mapundu kana kudzikamisa kusagadzikana kwenzvimbo ine myeloma. External beam radiation inonangana nenhengo dzakanangana dzemuviri, nepo yakanangana neradiation therapy inonanga maseru egomarara uku ichikonzera kukuvadza kushoma kune hutano huri pedyo.
Shamba Cell Kutapurirana
Iyi nzira yekurapa inova yakakosha apo myeloma inokuvadza stem masero mumwongo, ayo ane basa rekugadzira masero matsva, ane hutano eropa. Masero emurwere ega ane hutano stem anounganidzwa uye anorimwa kunze kwemuviri asati aisirwa.
Kugadzirira murwere kuisirwa, chemotherapy, uye mamwe marapirwo emishonga anopihwa kubvisa chero asara ane cancer maseru eplasma.
Chiremba anonyatso verenga muyero uye nhamba yezvirongwa zvinodiwa kubvisa aya masero asina kujairika. Kutevera chemotherapy, murwere anogashira akaunganidzwa ane hutano stem maseru, ayo anobva adzoserwa mumuviri kuburikidza nekuiswa intravenous (IV). Mutengo wekuisirwa stem cell pamultiple myeloma kuIndia unotanga kubva paRs.15Lakhs zvichienderana nerudzi rwekuisira.
Plasmapheresis
Plasmapheresis inzira inobvisa ropa, inoparadzanisa plasma ine mapuroteni asina kujairika, uye inodzosera zvikamu zvakasara kuti zvigadzirise matambudziko ane chekuita nekuwedzera kweprotein mumyeloma yakawanda.
Kunyangwe isiri iyo yakananga kurapwa kwegomarara, inobatsira kudzoreredza zviratidzo zvine hukama uye kugadzirisa hutano.