Soo hel fursadahaaga garaacista myeloma badan! Laga soo bilaabo daawaynta horumarsan ilaa daawaynta shakhsi ahaaneed, hel jidka saxda ah ee bogsashada.
Daawooyinka loogu talagalay Multiple Myeloma
Marka ay timaado daaweynta myeloma badan, noocyada kala duwan ee dawooyinka ayaa door muhiim ah ka ciyaara. Daawooyinkan waxaa si taxadar leh u doortay dhakhaatiirta myeloma ee badan ee Hindiya si ay u hubiyaan inay si fiican ugu shaqeeyaan bukaan kasta.
Chemotherapy: Daaweyntani waxay isticmaashaa daawooyinka sida cyclophosphamide, doxorubicin, melphalan, iyo etoposide si loo yareeyo koritaanka unugyada kansarka. Tirada fadhiyada loo baahan yahay way ku kala duwan tahay darnaanta xaaladda.
steroids: Daawooyinka sida Dexamethasone iyo Prednisone waxaa inta badan la siiyaa kemotherabi si ay si fiican u shaqeyso oo ay u yareyso waxyaabaha sida matagga iyo lallabada.
Histone deacetylase (HAC) joojiyaha: Panobinostat, oo ah daawaynta daawaynta ee la beegsaday, waxay caawisaa firfircoonida hiddo-wadaha ka hortagga unugyada kansarka inay koraan.
Immunomodulators: Daawooyinka sida Lenalidomide, Pomalidomide, iyo Thalidomide waxay ka caawiyaan habka difaaca jirka inuu la dagaallamo oo uu dilo unugyada kansarka.
Kahortagaha Proteasome: Bortezomib, carfilzomib, iyo ixazomib waa dawooyin ka horjoogsada unugyada kansarka dheefshiidka borotiinka xakameynaya korriimadooda. Waxay muhiim u yihiin daaweynta xaaladaha cusub ee la ogaaday ama soo noqnoqda ee myeloma badan.
immunotherapy
Immunotherapy waa hab kacaan ah oo kor u qaada habka difaaca bukaanka ee dagaalka lagula jiro kansarka. Habkani wuxuu isticmaalaa farsamooyin kala duwan, ha ahaato gacanta ama shaybaarada, si loo hagaajiyo shaqada habka difaaca jirka.
Daawaynta unugga CAR-T waa nooc horumarsan oo immunotherapy ah kaas oo unugyada T-yada laga soo saaro dhiigga bukaanka. Unugyadan T-yada ayaa markaa si taxadar leh loogu qaabeeyey shaybaar, halkaasoo lagu tababaray inay aqoonsadaan oo ay burburiyaan unugyada myeloma ee jirka.
Unugyadaas waxaa lagu soo celiyaa jirka bukaanka ka dib marka la beddelo, iyaga oo u dhaqma sidii ciidan gaar ah si ay u beegsadaan una burburiyaan unugyada kansarka. Tani waa daawaynta ugu fiican ee myeloma badan ee Hindiya.
Daaweynta Shucaaca
Daaweynta shucaaca waxay isticmaashaa qiyaaso sare oo shucaac ah si loo beegsado loona yareeyo burooyinka ama si loo yareeyo raaxo la'aanta deegaanka ee la xiriirta myeloma. Shucaaca iftiinka dibadda ayaa bartilmaameedsada qaybo gaar ah oo jidhka ah, halka daawaynta shucaaca diiradda lagu saarayaa unugyada kansarka iyada oo waxyeello yar u geysata unugyada caafimaadka qaba ee dhow.
Qalitaanka Qalitaanka Qalka
Noocan daawaynta ah waxa uu noqdaa lama huraan marka myeloma ay dhaawacdo unugyada asliga ah ee dhuuxa lafta, kuwaas oo ka masuul ah soo saarida unugyo dhiig oo caafimaad qaba. Unugyada asliga ee caafimaadka qaba ee bukaanka ayaa la ururiyaa oo lagu beeraa meel ka baxsan jidhka ka hor intaan la tallaalin.
Si loogu diyaariyo bukaan-socodka ku-tallaalidda, kiimoterabiga, iyo daawaynta kale ee daawaynta ayaa la bixiyaa si loo baabi'iyo wax kasta oo hadhay oo unugyo balaasma ah oo kansar ah.
Dhakhtarku wuxuu si taxadar leh u xisaabiyaa qiyaasta iyo tirada fadhiyada loo baahan yahay si loo baabi'iyo unugyadan aan caadiga ahayn. Kemotherabi ka dib, bukaanku waxa uu helayaa unugyadii asliga ahaa ee hore loo ururiyey, kuwaas oo dib loogu soo celinayo jidhka iyada oo la marinayo faleebo xidid (IV). Qiimaha ku-tallaalidda unugyada asliga ah ee myeloma-ka badan ee Hindiya wuxuu ka bilaabmaa Rs.15Lakhs iyadoo ku xiran nooca tallaalka.
Plasmapheresis
Plasmapheresis waa nidaam soo saara dhiigga, kala saara balaasmaha ay ku jiraan borotiinno aan caadi ahayn, oo soo celisa qaybaha soo haray si loo maareeyo dhibaatooyinka la xiriira kororka heerarka borotiinka ee myeloma badan.
Inkastoo aysan ahayn daawaynta kansarka tooska ah, waxay kaa caawinaysaa in la yareeyo calaamadaha la xidhiidha iyo hagaajinta fayoobida guud.
