Thola izinketho zakho zokunqoba i-myeloma eminingi! Kusukela ekwelashweni okuthuthukisiwe kuye ekwelashweni komuntu siqu, thola indlela elungile eya ekwelapheni.
Izidakamizwa ze-Myeloma eminingi
Uma kuziwa ekwelapheni i-myeloma eminingi, izinhlobo ezahlukene zezidakamizwa zidlala indima ebalulekile. Le mithi ikhethwa ngokucophelela odokotela abaningi be-myeloma eNdiya ukuze baqiniseke ukuthi basebenza kahle esigulini ngasinye.
I-Chemotherapy: Lokhu kwelashwa kusebenzisa imithi efana ne-cyclophosphamide, i-doxorubicin, i-melphalan, ne-etoposide ukunciphisa ukukhula kwamangqamuzana omdlavuza. Inani lezikhathi ezidingekayo liyahlukahluka ngobukhulu besimo.
Ukuphuza ama-steroid: Imithi efana ne-Dexamethasone ne-Prednisone ivamise ukunikezwa nge-chemotherapy ukuze isebenze kangcono futhi yehlise izinto ezinjengokuhlanza nesicanucanu.
I-Histone deacetylase (HAC) Inhibitor: I-Panobinostat, imithi yokwelapha ehlosiwe, isiza ukwenza kusebenze izakhi zofuzo ezivimbela amangqamuzana omdlavuza ukuthi athuthuke.
Ama-Immunomodulators: Izidakamizwa ezifana neLenalidomide, Pomalidomide, neThalidomide zisiza amasosha omzimba ukulwa futhi abulale amangqamuzana omdlavuza.
Ama-Proteasome Inhibitors: I-Bortezomib, i-carfilzomib, ne-ixazomib yimithi evimbela amangqamuzana omdlavuza ekugayeni amaprotheni alawula ukukhula kwawo. Zibalulekile ekwelapheni izigameko ezisanda kutholwa noma eziphindelelayo ze-myeloma eminingi.
immunotherapy
I-Immunotherapy iyindlela eguquguqukayo ekhokhisa amasosha omzimba esiguli ekulweni nomdlavuza. Le ndlela isebenzisa amasu ahlukahlukene, kungaba ngesandla noma kuma-laboratories, ukuthuthukisa ukusebenza kwamasosha omzimba.
Ukwelashwa kwamaseli e-CAR-T kuwuhlobo oluthuthukisiwe lwe-immunotherapy lapho ama-T-cell akhishwa khona egazini lesiguli. Lawa ma-T-cell abe eseklanywa ngokucophelela elabhorethri, lapho eqeqeshelwa ukubona nokubhubhisa amangqamuzana e-myeloma emzimbeni.
Lawa maseli abuyiselwa emzimbeni wesiguli ngemva kokuguqulwa, asebenze njengebutho eliqondene nomuntu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Lokhu ukwelashwa okungcono kakhulu kwe-myeloma eminingi eNdiya.
I-Radiation Therapy
Ukwelashwa ngemisebe kusebenzisa imithamo ephezulu yemisebe ukuze kuqondiswe futhi kunciphise izimila noma ukukhulula ukungakhululeki kwendawo okuhlobene ne-myeloma. Imisebe ye-beam yangaphandle iqondise ezingxenyeni ezithile zomzimba, kanti ukwelapha ngemisebe okugxilile kuqondise kumaseli omdlavuza kuyilapho kubangela umonakalo omncane ezicutshini ezinempilo eziseduze.
Ukufakelwa kweStem Cell
Lolu hlobo lokwelapha luba oludingekayo lapho i-myeloma ilimaza ama-stem cells emnkantsheni wamathambo, anesibopho sokukhiqiza amangqamuzana egazi amasha, anempilo. Amaseli e-stem anempilo esiguli ayaqoqwa futhi alinywe ngaphandle komzimba ngaphambi kokufakelwa.
Ukulungiselela isiguli ukufakelwa, i-chemotherapy, nezinye izindlela zokwelapha zemithi kunikezwa ukuze kuqedwe noma yimaphi amangqamuzana e-plasma anomdlavuza asele.
Udokotela ubala ngokucophelela umthamo kanye nenani lezikhathi ezidingekayo ukuze kuqedwe lawa maseli angajwayelekile. Ngemva kokwelashwa ngamakhemikhali, isiguli sithola ama-stem cell aqoqwe ngaphambilini anempilo, aphinde abuyiselwe emzimbeni ngokufakwa emthanjeni (IV). Izindleko zokufakelwa kwe-stem cell ye-myeloma eminingi e-India ziqala ukusuka ku-Rs.15Lakhs kuye ngohlobo lokufakelwa.
I-Plasmapheresis
I-Plasmapheresis iyinqubo ekhipha igazi, ihlukanise i-plasma equkethe amaprotheni angavamile, futhi ibuyisele izingxenye ezisele ukuze zilawule izinkinga ezihlobene nokwanda kwamazinga amaprotheni ku-myeloma eminingi.
Nakuba kungekona ukwelashwa okuqondile komdlavuza, kuyasiza ekudambiseni izimpawu ezihlobene nokuthuthukisa inhlalakahle evamile.