Qhov Tseem Ceeb Qhov txawv - Myeloma vs Multiple Myeloma
Ob lo lus myeloma thiab ntau yam myeloma yog siv sib hloov cov lus uas piav qhia txog cov kab mob uas tshwm sim los ntawm cov plasma hlwb hauv cov pob txha pob txha. Tsis muaj qhov sib txawv ntawm myeloma thiab ntau yam myeloma. Yog li ntawd, nws yog ib qho tseem ceeb, tsis txhob xav tias lawv yog ob yam kab mob sib txawv. Nyob rau tib lub sijhawm, kev txhim kho lub zej zog kev paub tshwj xeeb tshaj yog ntawm cov cim qhia thiab cov tsos mob ntawm qhov mob hnyav no tuaj yeem ua rau muaj txiaj ntsig zoo hauv kev ua tiav qhov kev soj ntsuam zoo dua.
Myeloma yog dab tsi?
Cov kab mob phem tshwm sim los ntawm cov ntshav plasma hauv cov pob txha pob txha hu ua myelomas. Tus kab mob no cuam tshuam nrog kev loj hlob ntawm cov ntshav plasma ntau dhau, ua rau muaj kev tsim tawm ntau dhau ntawm monoclonal paraproteins, feem ntau yog IgG. Kev tshem tawm ntawm lub teeb chains hauv cov zis (Bence Jones proteins) tuaj yeem tshwm sim hauv paraproteinemia. Myelomas feem ntau pom ntawm cov txiv neej laus.
Cytogenetic abnormalities tau txheeb xyuas los ntawm FISH thiab microarray cov txheej txheem hauv feem ntau ntawm myeloma. Cov pob txha lytic lesions tuaj yeem pom nyob rau hauv tus txha nraub qaum, pob txha taub hau, cov pob txha ntev thiab tav vim qhov tsis zoo ntawm cov pob txha hloov kho. Kev ua haujlwm osteoclastic tau nce ntxiv nrog tsis muaj kev nce ntxiv hauv kev ua haujlwm osteoblastic.
Clinicopathological nta
pob txha puas tuaj yeem ua rau vertebral vau lossis tawg ntawm cov pob txha ntev thiab hypercalcemia. Tus txha caj qaum compression tuaj yeem tshwm sim los ntawm cov nqaij mos plasmacytomas. Cov pob txha pob txha infiltration nrog cov ntshav plasma tuaj yeem ua rau mob ntshav qab zib, neutropenia, thiab thrombocytopenia. Kev raug mob raum tuaj yeem tshwm sim los ntawm ntau qhov laj thawj xws li theem nrab hypercalcemia lossis hyperuricemia, siv NSAIDs thiab lwm yam amyloidosis.
Symptoms
- Symptoms of anemia
- Kev kis kab mob rov muaj dua
- Cov tsos mob ntawm lub raum tsis ua haujlwm
- pob txha
- Cov tsos mob ntawm hypercalcemia
Kev tshawb nrhiav
- Cov ntshav suav tag nrho - Hemoglobin, cov qe dawb thiab cov platelet suav yog qhov qub lossis qis
- ESR (Erythrocyte Sedimentation Rate) - feem ntau siab
- Urea thiab electrolytes
- Serum calcium - ib txwm lossis siab
- tag nrho cov qib protein
- Serum protein electrophoresis -tus yam ntxwv qhia tau hais tias monoclonal band
- Kev tshawb fawb pob txha - tus yam ntxwv lytic lesions tuaj yeem pom
zaj movie
Daim duab 01: Myeloma / Multiple Myeloma
Kev nyuaj siab
- Lub raum tsis ua haujlwm - qhov no yog vim hypercalcemia cuam tshuam nrog myeloma. Lub sijhawm ntev peritoneal lossis hemodialysis yog qee zaum yuav tsum tau.
- Spinal cord compression uas tuaj yeem ua rau muaj ntau yam kev puas hlwb. Qhov no yuav tsum tau kho nrog dexamethasone tom qab siv xov tooj cua.
- Hyperviscosity ntawm cov kua circulating uas yuav tsum tau kho los ntawm plasmapheresis.
Kev tswj hwm
Txawm hais tias lub neej expectancy ntawm cov neeg mob myeloma tau txhim kho los ntawm li tsib xyoos nrog kev txhawb nqa zoo thiab kev kho tshuaj khomob tseem tsis muaj qhov kho tau zoo rau tus mob no. Txoj kev kho no yog tsom rau kev tiv thaiv cov teeb meem ntxiv thiab ua kom muaj sia nyob ntev.
Kev Pab Txhawb Kev Kho Mob
Kev ntshav ntshav tuaj yeem kho nrog ntshav. Hauv cov neeg mob hyperviscosity, ntshav yuav tsum tau ua kom qeeb. Erythropoietin tuaj yeem siv tau. Hypercalcemia, raum raug mob thiab hyperviscosity yuav tsum tau kho kom tsim nyog. Cov kab mob tuaj yeem kho nrog tshuaj tua kab mob. Kev txhaj tshuaj txhua xyoo tuaj yeem muab tau yog tias tsim nyog. Kev mob pob txha tuaj yeem txo tau los ntawm kev siv xov tooj cua thiab kev siv tshuaj khomob lossis tshuaj dexamethasone siab. Pathological fractures tuaj yeem tiv thaiv tau los ntawm kev phais orthopedic.
Kev Kho Mob Tshwj Xeeb
- YChemotherapy-Thalidomide/Lenalidomide/bortezomib/steroids/Melphalan
- Autologous pob txha pob txha hloov
- Radiotherapy
Ntau Myeloma yog dab tsi?
Ob leeg myeloma thiab ntau yam myeloma tseem ceeb txhais tau tias tib yam. Tsis muaj qhov sib txawv ntawm myeloma thiab ntau yam myeloma sib nrug los ntawm qhov tom qab raug kho kom zoo nkauj los ntawm cov npe "ntau yam".
Qhov txawv ntawm Myeloma thiab Ntau Yam Myeloma yog dab tsi?
Raws li tau hais dhau los tsis muaj qhov sib txawv ntawm myeloma thiab ntau yam myeloma. Ob lub npe sib pauv tau siv los paub txog tib yam ntawm cov chaw kho mob
Summary – Myeloma vs Multiple Myeloma
Myelomas lossis ntau yam myelomas yog cov kab mob uas tshwm sim los ntawm cov ntshav plasma hauv cov pob txha pob txha. Txawm hais tias ob lo lus no feem ntau yuam kev rau cov kab mob sib txawv, tsis muaj qhov sib txawv ntawm myeloma thiab ntau yam myeloma.
Download PDF Version of Myeloma vs Multiple Myeloma
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li cov ntawv sau tseg. Thov download PDF version ntawm no Qhov txawv Ntawm Myeloma thiab Ntau Myeloma
