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Plasma Cell Neoplasms (Ciki har da Multi Myeloma) Jiyya (®) -Paent Version

Janar Bayani Game da Ciwon Plasma Cell Neoplasms

MAGANAN MAGANA

• Plasma cell neoplasms cuta ce da jiki ke yin ƙwayoyin plasma da yawa.

• Neoplasms na ƙwayar Plasma na iya zama mai rauni (ba kansar ba) ko m (ciwon daji).

• Akwai nau'ikan plaopma cell neoplasms.

• Gammonpathy na Monoclonal na mahimmancin ƙaddara (MGUS)

• Plasmacytoma

• Myeloma mai yawa

• Myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms na iya haifar da yanayin da ake kira amyloidosis.

• Shekaru na iya shafar haɗarin ƙwayoyin jini.

• Ana amfani da gwaje-gwajen da ke bincikar jini, da kashin ƙashi, da fitsari don tantance myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms.

• Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.

Plasma cell neoplasms cuta ce da jiki ke yin ƙwayoyin plasma da yawa.

Kwayoyin Plasma suna tasowa daga kwayar B lymphocytes (B cells), wani nau'in farin jini ne wanda ake yi a cikin kashin kashi. A yadda aka saba, idan kwayoyin cuta ko ƙwayoyin cuta suka shiga jiki, wasu ƙwayoyin B za su canza zuwa ƙwayoyin jini. Kwayoyin plasma suna yin garkuwar jiki don yaƙar ƙwayoyin cuta da ƙwayoyin cuta, don dakatar da kamuwa da cuta.

Myeloma mai yawa. Kwayoyin myeloma da yawa sune kwayoyin plasma mara kyau (wani nau'in farin jini) wanda ke tashi a cikin kashin kashin kuma yana haifar da ciwace-ciwace a cikin kasusuwa da yawa na jiki. Kwayoyin plasma na al'ada suna yin kwayoyi don taimakawa jiki yaƙar kamuwa da cuta. Yayin da adadin ƙwayoyin myeloma da yawa ke ƙaruwa, ana yin ƙarin kwayoyi. Wannan na iya sa jini ya dunkule ya kuma hana kashin kashin ya sami isasshen ƙwayoyin jini. Kwayoyin myeloma da yawa suna lalata kuma raunana ƙashi.

Plasma cell neoplasms cututtuka ne wanda ƙananan ƙwayoyin plasma ko ƙwayoyin myeloma suke haifar da ƙari a cikin ƙasusuwa ko laushin nama na jiki. Kwayoyin plasma kuma suna yin furotin na jikin mutum, wanda ake kira M protein, wanda jiki baya buƙata kuma baya taimakawa yaƙar kamuwa da cuta. Wadannan sunadaran sunadaran suna tasowa a cikin kasusuwan kasusuwa kuma suna iya sanya jini yayi kauri ko kuma zai iya lalata koda.

Neoplasms na ƙwayar Plasma na iya zama mai rauni (ba kansar ba) ko m (ciwon daji).

Gammopathy na Monoclonal na mahimmancin ƙaddara (MGUS) ba shine ciwon daji ba amma yana iya zama kansa. Wadannan nau'ikan neoplasms na plasma cell sune cutar kansa:

• Lymphoma na lymphoplasmacytic. (Dubi Kula da Magungunan Lymphoma marasa Adult don ƙarin bayani.)

• Plasmacytoma.

• Myeloma mai yawa.

Akwai nau'ikan plaopma cell neoplasms.

Kwayoyin cutar jini sun hada da masu zuwa:

Gammonpathy na Monoclonal na mahimmancin ƙaddara (MGUS)

A wannan nau'in ƙwayar plasma cell neoplasm, ƙasa da kashi 10 cikin ɗari na ɓargon ƙashi ya ƙunshi ƙwayoyin plasma mara kyau kuma babu cutar kansa. Cellsananan ƙwayoyin plasma suna yin furotin na M, wanda wani lokacin ana samun sa yayin gwajin jini ko fitsari na yau da kullun. A mafi yawan marasa lafiya, yawan sunadarin M yana kasancewa daya kuma babu alamun, alamu, ko matsalolin lafiya.

A wasu marasa lafiya, MGUS na iya zama daga baya ya zama mummunan yanayin, kamar amyloidosis, ko haifar da matsala tare da kodan, zuciya, ko jijiyoyi. MGUS na iya zama ciwon daji, kamar su myeloma mai yawa, lymphoplasmacytic lymphoma, ko cutar sankarar bargo ta lymphocytic.

Plasmacytoma

A cikin wannan nau'in kwayar halittar plasma neoplasm, kwayoyin cuta na mahaifa (kwayoyin myeloma) suna wuri guda kuma suna samar da ƙari guda ɗaya, wanda ake kira plasmacytoma. Wasu lokuta ana iya warkewarta daga cutar. Akwai plasmacytoma iri biyu.

• A keɓaɓɓen ƙwayar plasmacytoma na ƙashi, ana samun ƙwayar ƙwayar ƙwayar plasma guda ɗaya a cikin ƙashin, ƙasa da 10% na ɓargon ƙashi ya ƙunshi ƙwayoyin plasma, kuma babu wasu alamun cutar kansa. Plasmacytoma na kashi yakan zama myeloma mai yawa.

• A cikin cututtukan plasmacytoma na extramedullary, ana samun ƙwayar ƙwayar plasma guda ɗaya a cikin nama mai laushi amma ba a cikin ƙashi ko ƙashin ƙashi ba. Extramedullary plasmacytomas yawanci suna samuwa a cikin kyallen takarda na makogwaro, tonsil, da paranasal sinuses.

Alamomi da alamomi sun dogara da inda ƙari yake.

• A cikin kashi, plasmacytoma na iya haifar da ciwo ko karye ƙashi.

• A cikin laushi mai laushi, ƙwayar cuta na iya matsawa a kan wuraren da ke kusa da su kuma haifar da ciwo ko wasu matsaloli. Misali, plasmacytoma a cikin maƙogwaro na iya sa wuya a haɗiye shi.

Myeloma mai yawa

A cikin myeloma da yawa, ƙwayoyin plasma mara ƙyau (ƙwayoyin myeloma) suna haɓaka a cikin ƙashin kashin kuma suna samar da ƙari a cikin ƙasusuwa da yawa na jiki. Waɗannan ciwace-ciwacen ƙwayoyin cuta na iya kiyaye bargon ƙashi daga yin isasshen ƙwayoyin jini. A yadda aka saba, ɓacin kashi yana yin ƙwayoyin halitta (ƙwayoyin da ba su balaga ba) waɗanda suka zama nau'ikan ƙwayoyin jini guda uku:

• Jajayen jini wadanda suke daukar iskar oxygen da sauran abubuwa zuwa dukkan kyallen takarda.

• Farin jini wanda ke yakar kamuwa da cuta.

• Yaran da ke haifar da daskarewar jini don taimakawa hana zubar jini.

Yayinda adadin kwayoyin myeloma ke karuwa, ana yin karancin kwayoyin jini ja, da fararen jini, da platelets. Kwayoyin myeloma suma suna lalata kashin.

Wani lokaci myeloma mai yawa baya haifar da alamu ko alamomi. Wannan shi ake kira smoldering multiple myeloma. Ana iya samun shi lokacin da aka yi gwajin jini ko fitsari don wani yanayin. Ana iya haifar da alamu ta hanyar myeloma da yawa ko wasu yanayi. Duba tare da likitanka idan kuna da ɗayan masu zuwa:

• Ciwon ƙashi, musamman a bayan ko haƙarƙari.

• Kasusuwa masu karya sauƙi.

• Zazzabi ba tare da sananne dalili ba ko yawan kamuwa da cututtuka.

• Aramar rauni ko zubar jini.

• Rashin numfashi.

• Raunin hannu ko ƙafa.

• Jin kasala sosai.

Wani ƙari zai iya lalata ƙashi kuma ya haifar da hypercalcemia (alli mai yawa a cikin jini). Wannan na iya shafar gabobi da yawa a cikin jiki, gami da ƙoda, jijiyoyi, zuciya, tsokoki, da hanyar narkewar abinci, kuma yana haifar da matsalolin lafiya.

Hypercalcemia na iya haifar da alamomi da alamomi masu zuwa:

• Rashin ci.

• Tashin zuciya ko amai.

• Jin kishirwa.

• Yin fitsari akai-akai.

• Maƙarƙashiya

• Jin kasala sosai.

• Raunin jijiyoyi.

• Rashin natsuwa.

• Rikicewa ko matsalar tunani.

Myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms na iya haifar da yanayin da ake kira amyloidosis.

A cikin wasu lokuta, myeloma da yawa na iya haifar da jijiyoyin gefe (jijiyoyin da ba sa cikin kwakwalwa ko laka) da gabobin su gaza. Wannan na iya faruwa ta yanayin da ake kira amyloidosis. Sunadaran antibody suna ginawa kuma suna mannewa cikin jijiyoyi da gabobin jiki, kamar koda da zuciya. Wannan na iya haifar da jijiyoyi da gabobi su zama masu tauri kuma ba za su iya aiki yadda ya kamata ba.

Amyloidosis na iya haifar da alamomi da alamomi masu zuwa:

• Jin kasala sosai.

• Launi mai laushi a fata.

• Harshen faɗaɗa.

• Gudawa.

• Kumburi sanadiyyar ruwa a jikin kyallen takarda.

• Jin zafi ko rauni a ƙafafunku da ƙafafunku.

Shekaru na iya shafar haɗarin ƙwayoyin jini.

Duk wani abu da zai kara maka hadarin kamuwa da cuta to ana kiran sa mai hadari. Samun haɗari ba ya nufin cewa za ku kamu da cutar kansa; ba tare da haɗarin abubuwan haɗari ba yana nufin cewa ba zaku sami cutar kansa ba. Yi magana da likitanka idan kuna tsammanin kuna iya fuskantar haɗari.

Kwayar halittar Plasma sun fi yawa ga mutanen da suka manyanta ko suka fi shekaru. Don yawan myeloma da plasmacytoma, wasu abubuwan haɗarin sun haɗa da masu zuwa:

• Da yake baki.

• Kasancewa namiji.

• Samun tarihin mutum na MGUS ko plasmacytoma.

• Kasancewa da radiation ko wasu sunadarai.

Ana amfani da gwaje-gwajen da ke bincikar jini, da kashin ƙashi, da fitsari don tantance myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms.

Za a iya amfani da waɗannan gwaje-gwajen da hanyoyin:

• Jarabawa ta jiki da tarihin lafiya: Jarabawa ta jiki don bincika alamomin lafiya gaba ɗaya, gami da bincika alamun cuta, kamar kumburi ko wani abu da kamar baƙon abu. Za a kuma ɗauki tarihin al'adun lafiyar marasa lafiya da cututtukan da suka gabata da magunguna.

• Nazarin immunoglobulin na jini da na fitsari: Hanya ce da ake bincikar jini ko fitsari don auna adadin wasu kwayoyi (immunoglobulins). Don yawan myeloma, beta-2-microglobulin, furotin M, sarkar haske kyauta, da sauran sunadaran da kwayoyin myeloma sukeyi ana auna su. Adadin da ya fi-na al'ada na waɗannan abubuwa na iya zama alamar cuta.

• Burin kasusuwan kasusuwa da kuma biopsy: Cire kasusuwan kasusuwa, jini, da karamin guntun kashi ta hanyar sanya allura mara kyau a cikin kashin hanji ko kashin mama. Wani masanin ilimin ɗan adam ya kalli kasusuwan kasusuwa, jini, da ƙashi a ƙarƙashin microscope don neman ƙwayoyin cuta mara kyau.

Burin kasusuwa da biopsy. Bayan an lasafta wani karamin yanki na fata, ana saka allurar kasusuwa ta kashin a cikin kashin hancin mara lafiyar. Ana cire samfurorin jini, kashi, da kashin nama don bincike a karkashin wani madubin likita.

Za'a iya yin gwaje-gwaje masu zuwa a kan samfurin naman da aka cire yayin burin kasusuwa da biopsy:

• Nazarin Cytogenetic: Gwajin dakin gwaje-gwaje wanda ake kirga chromosomes na kwayoyin halitta a cikin samfurin kashin ƙashi da bincika duk wani canje-canje, kamar karye, ɓacewa, sake gyarawa, ko ƙarin ƙwayoyin cuta. Canje-canje a cikin wasu chromosomes na iya zama alamar cutar kansa. Ana amfani da nazarin Cytogenetic don taimakawa gano cutar kansa, shirya magani, ko gano yadda magani ke aiki.
• KIFI (haske a cikin yanayin haɗuwa): Gwajin gwaje-gwaje da ake amfani dashi don kallo da ƙididdigar kwayoyin halitta ko chromosomes a cikin ƙwayoyin halitta da kyallen takarda. Ana yin yanki na DNA da ke ɗauke da launuka masu kyalli a cikin dakin gwaje-gwaje kuma an ƙara su zuwa samfurin ƙwayoyin marasa lafiya ko kyallen takarda. Lokacin da wadannan sassan DNA din da aka rina suka hade da wasu kwayoyin halitta ko bangarorin chromosomes a cikin samfurin, suna haskakawa idan aka kalleshi a karkashin madubin hangen nesa. Ana amfani da gwajin FISH don taimakawa wajen gano kansar da kuma taimakawa shirya magani.
• Gudun cytometry: Gwajin dakin gwaje-gwaje wanda ke auna yawan kwayoyin halitta a cikin samfurin, yawan kwayoyin rai a cikin samfurin, da wasu halaye na kwayoyin, kamar girman su, sifar su, da kuma kasancewar ciwace ciwace ciwace (ko wasu) Tantanin tantanin halitta Kwayoyin daga samfurin kashin kashin maras lafiya suna da datti tare da dye mai kyalli, an sanya shi a cikin ruwa, sannan a wuce daya bayan daya ta hanyar hasken haske. Sakamakon gwajin ya ta'allaka ne akan yadda ƙwayoyin da aka lalata tare da fenti mai kyalli ke amsa ga katangar haske. Ana amfani da wannan gwajin don taimakawa wajen ganowa da kuma sarrafa wasu nau'ikan cutar kansa, kamar cutar sankarar bargo da cutar lymphoma.

• Binciken ƙashi na kwarangwal: A cikin binciken ƙashi na ƙashi, ana daukar x-ray duk ƙasusuwan da ke cikin jiki. Ana amfani da x-ray don gano wuraren da ƙashin ya lalace. X-ray wani irin katako ne na katako wanda zai iya ratsa jiki zuwa fim, yana yin hoton wurare a cikin jiki.
• Cikakken ƙidayar jini (CBC) tare da banbanci: Hanyar da za'a zana samfurin jini kuma a bincika ta mai zuwa:

• Yawan jajayen kwayoyin jini da platelets.
• Adadi da nau'in farin jini.
• Adadin haemoglobin (furotin da ke ɗauke da iskar oxygen) a cikin ƙwayoyin jinin jini.
• Yankin samfurin jini ya kunshi jajayen ƙwayoyin jini.

• Nazarin ilimin sunadarai na jini: Hanya ce da ake bincikar samfurin jini don auna adadin wasu abubuwa, kamar kalsiyam ko albumin, wanda aka saki a cikin jini ta gabobin jiki da na jijiyoyi a jiki. Adadin abu na yau da kullun (mafi girma ko ƙasa da al'ada) na iya zama alamar cuta.

• Gwajin fitsari na awanni ashirin da hudu: Gwaji ne wanda ake tattara fitsari na tsawon awanni 24 don auna adadin wasu abubuwa. Adadin abu mai ban mamaki (mafi girma ko ƙasa da al'ada) na abu zai iya zama alamar cuta a cikin gaɓaɓɓiyar jiki ko nama da ke yin ta. Mafi girma fiye da adadin furotin na yau da kullun na iya zama alamar ƙwayar myeloma da yawa.

• MRI (hoton maganadisu ): Hanya ce wacce ke amfani da maganadisu, raƙuman rediyo, da kuma kwamfuta don yin jerin hotuna dalla-dalla na wurare a cikin jiki. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI). Ana iya amfani da MRI na kashin baya da ƙashin ƙugu don nemo wuraren da ƙashin ya lalace.

• PET scan (positron emission tomography scan): Hanya ce don gano ƙwayoyin cuta masu illa a jiki. An sanya ƙwayar glucose mai ƙarancin rediyo (sukari) a cikin jijiya. Na'urar daukar hoton PET tana juyawa a jiki kuma tana yin hoto inda ake amfani da glucose a jiki. Kwayoyin cuta masu illa suna nuna haske a hoton saboda suna aiki kuma suna ɗaukar glucose fiye da ƙwayoyin al'ada.

• CT scan (CAT scan): Hanya ce da ke yin jerin hotuna dalla-dalla na wurare a cikin jiki, kamar su kashin baya, an ɗauke su daga kusurwa daban-daban. Ana yin hotunan ne ta wata kwamfuta da aka haɗa ta da na'urar da ke ɗauke da x-ray. Ana iya yin allurar fenti a cikin jijiya ko haɗiye don taimakawa gabobin ko kyallen takarda su fito fili karara. Wannan hanya ana kiranta yanayin ƙididdigar lissafi, ƙirar kwamfuta, ko ƙirar ƙwaƙwalwar ajiyar kwamfuta.

• PET-CT scan: Hanya ce wacce ta haɗu da hotuna daga sifar fitar sinadarin positron (PET) da kuma hoton da aka ƙididdiga (CT) Ana yin sikanin PET da CT a lokaci guda tare da inji ɗaya. Scididdigar da aka haɗu yana ba da cikakkun hotuna na wurare a cikin jiki, kamar kashin baya, fiye da kowane hoto da kansa yake bayarwa.

Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.

Hangen nesa ya dogara da masu zuwa:

• Nau'in ƙwayar plasma cell neoplasm.

• Matakin cutar.

• Ko akwai wani immunoglobulin (antibody) yana nan.

• Ko akwai wasu canje-canje na kwayoyin halitta.

• Kodai koda ta lalace.

• Ko ciwon daji ya amsa magani na farko ko sake dawowa (ya dawo).

Zaɓuɓɓukan jiyya sun dogara da masu zuwa:

• Nau'in ƙwayar plasma cell neoplasm.

• Shekaru da lafiyar lafiyar mai haƙuri.

• Ko akwai alamu, alamomi, ko matsalolin kiwon lafiya, kamar gazawar koda ko kamuwa da cuta, masu alaka da cutar.

• Ko ciwon daji ya amsa magani na farko ko sake dawowa (ya dawo).

Matakan Plasma Cell Neoplasms

MAGANAN MAGANA

• Babu daidaitattun tsarin tsaran tsabtace yanayin gammopathy na mahimmin mahimmanci (MGUS) da plasmacytoma.

• Bayan an gano myeloma da yawa, ana yin gwaje-gwaje don gano yadda cutar kansa ke cikin jiki.

• Matakin yawan myeloma ya dogara ne akan matakan beta-2-microglobulin da albumin a cikin jini.

• Ana amfani da matakai masu zuwa don myeloma mai yawa:

• Mataki na daya myeloma

• Mataki na II myeloma mai yawa

• Mataki na III myeloma mai yawa

• Neoplasms na ƙwayar Plasma bazai amsa ba ga magani ko kuma zai iya dawowa bayan jiyya.

Babu daidaitattun tsarin tsaran tsabtace yanayin gammopathy na mahimmin mahimmanci (MGUS) da plasmacytoma.

Bayan an gano myeloma da yawa, ana yin gwaje-gwaje don gano yadda cutar kansa ke cikin jiki.

Hanyar da ake amfani da ita don gano yawan ciwon daji a jiki ana kiranta staging. Yana da mahimmanci a san matakin don shirya magani.

Ana iya amfani da gwaje-gwaje da hanyoyin da za a iya amfani da su don gano yadda yawan ciwon daji yake a cikin jiki:

• Binciken ƙashi na kwarangwal: A cikin binciken ƙashi na ƙashi, ana daukar x-ray duk ƙasusuwan da ke cikin jiki. Ana amfani da x-ray don gano wuraren da ƙashin ya lalace. X-ray wani irin katako ne na katako wanda zai iya ratsa jiki zuwa fim, yana yin hoton wurare a cikin jiki.

• MRI (hoton maganadisu ): Hanya ce wacce ke amfani da maganadisu, igiyar ruwa ta rediyo, da kuma kwamfuta don yin jerin hotuna dalla-dalla na wuraren da ke cikin jiki, kamar su ɓargon ƙashi. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).

• Done densitometry: Hanyar da ke amfani da nau'in x-ray na musamman don auna ƙimar ƙashi.

Matakin yawan myeloma ya dogara ne akan matakan beta-2-microglobulin da albumin a cikin jini.

Ana samun Beta-2-microglobulin da albumin a cikin jini. Beta-2-microglobulin furotin ne wanda ake samu akan kwayoyin plasma. Albumin shine mafi girman sashin jini. Yana hana ruwa fita daga jijiyoyin jini. Hakanan yana kawo abinci mai gina jiki zuwa kyallen takarda, kuma yana ɗauke da hormones, bitamin, kwayoyi, da sauran abubuwa, kamar calcium, duk cikin jiki. A cikin jinin marasa lafiya tare da myeloma da yawa, an kara adadin beta-2-microglobulin kuma an rage adadin albumin.

Ana amfani da matakai masu zuwa don myeloma mai yawa:

Mataki na daya myeloma

A mataki na myeloma mai yawa, matakan jini kamar haka:

• matakin beta-2-microglobulin ya yi ƙasa da 3.5 mg / L; kuma

• matakin albumin shine 3.5 g / dL ko mafi girma.

Mataki na II myeloma mai yawa

A cikin mataki na II myeloma da yawa, matakan jini suna tsakanin matakan matakan I da na III.

Mataki na III myeloma mai yawa

A cikin mataki na III myeloma da yawa, matakin jini na beta-2-microglobulin shine 5.5 mg / L ko mafi girma kuma mai haƙuri shima yana da ɗayan masu zuwa:

• manyan matakan lactate dehydrogenase (LDH); ko

• wasu canje-canje a cikin chromosomes.

Neoplasms na ƙwayar Plasma bazai amsa ba ga magani ko kuma zai iya dawowa bayan jiyya.

Plasma cell neoplasms ana kiransu da ƙyama lokacin da adadin ƙwayoyin plasma ke ci gaba da hauhawa kodayake ana ba da magani. Plasma cell neoplasms ana kiransa dawowar lokacin da suka dawo bayan jiyya.

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani iri daban-daban ga marasa lafiya masu dauke da cutar neoplasms.

• Ana amfani da nau'ikan magani takwas:

• Chemotherapy

• Sauran maganin magani

• Ciwon da aka yi niyya

• -Aramin magani mai ƙarfi tare da dasawar ƙwayar ƙwayar ƙwayar ƙwayar cuta

• Immunotherapy

• Radiation far

• Tiyata

• Jiran jira

• Ana gwada sababbin nau'ikan magani a gwajin asibiti.

• Sabbin hanyoyin kwantar da hankali

• Jiyya don ƙwayoyin cuta na jini na iya haifar da sakamako masu illa.

• Ana ba da kulawa na tallafi don rage matsalolin da cutar ta haifar ko kuma maganinta.

• Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

• Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

• Ana iya buƙatar gwaje-gwaje na gaba.

Akwai nau'ikan magani iri daban-daban ga marasa lafiya masu dauke da cutar neoplasms.

Akwai nau'ikan jiyya iri daban-daban ga marasa lafiya masu fama da cutar neoplasms. Wasu jiyya suna daidaito (magani da ake amfani dashi yanzu), kuma wasu ana gwada su a gwajin asibiti. Gwajin gwajin magani shine binciken bincike wanda aka tsara don taimakawa inganta ingantattun jiyya na yanzu ko samun bayanai game da sababbin jiyya ga marasa lafiya da ciwon daji. Lokacin da gwaji na asibiti ya nuna cewa sabon magani ya fi magani na yau da kullun, sabon magani na iya zama daidaitaccen magani. Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.

Ana amfani da nau'ikan magani takwas:

Chemotherapy

Chemotherapy magani ne na cutar kansa wanda ke amfani da magunguna don dakatar da haɓakar ƙwayoyin kansa, ko dai ta hanyar kashe ƙwayoyin ko ta hana su rarraba. Lokacin da ake shan chemotherapy ta baki ko allura a cikin jijiya ko tsoka, magungunan suna shiga cikin jini kuma zasu iya kaiwa ga kwayoyin cutar kansa a cikin jiki duka (systemotherapy chemotherapy).

Duba Magungunan da aka Amince dasu don Myeloma da yawa da Sauran Newayoyin Plasma Cell don ƙarin bayani.

Sauran maganin magani

Corticosteroids sune masu sihiri waɗanda ke da tasirin antitumor a cikin myeloma da yawa.

Ciwon da aka yi niyya

Farfaɗar da aka yi niyya magani ce da ke amfani da ƙwayoyi ko wasu abubuwa don ganowa da kai hari takamaiman ƙwayoyin cuta. Therapywayar da aka yi niyya na iya haifar da ƙasa da cutar ga ƙwayoyin al'ada fiye da cutar sankara ko maganin wutan lantarki. Za a iya amfani da nau'ikan maganin da aka yi niyya don magance myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms. Akwai nau'ikan maganin farfadowa daban-daban:

• Maganin kare lafiyar proteasome: Wannan magani yana toshe aikin proteasomes a cikin ƙwayoyin kansa. Proteasome shine furotin wanda yake cire wasu sunadaran da kwayar halitta baya bukata. Lokacin da ba a cire sunadarin daga tantanin halitta ba, suna yin gini kuma yana iya sa kwayar cutar kansa ta mutu. Bortezomib, carfilzomib, da ixazomib sune masu hana ƙwayar cuta waɗanda ake amfani dasu don maganin myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms.

• Monoclonal antibody far: Wannan magani yana amfani da kwayar cutar da aka yi a dakin gwaje-gwaje, daga nau'in kwayar halitta guda daya. Wadannan kwayoyin cuta na iya gano abubuwan da ke jikin kwayoyin cutar kansar ko kuma wasu abubuwa na yau da kullun wadanda zasu iya taimakawa kwayoyin halittar cutar kansa. Kwayoyin rigakafin suna haɗuwa da abubuwan kuma suna kashe ƙwayoyin cutar kansa, toshe haɓakar su, ko kiyaye su daga yaɗuwa. Ana ba da ƙwayoyin cuta na Monoclonal ta hanyar jiko. Ana iya amfani da su su kaɗai ko ɗaukar ƙwayoyi, gubobi, ko kayan aikin rediyo kai tsaye zuwa ƙwayoyin kansa. Daratumumab da elotuzumab sune kwayoyin cutar monoclonal da ake amfani dasu wajen maganin myeloma da yawa da sauran kwayoyin plasma cell neoplasms. Denosumab shine mai maganin monoclonal wanda ake amfani dashi don rage kasusuwa da rage ciwon kashi cikin marasa lafiya da yawan myeloma.

• Tarihin mai hana maganin Histone deacetylase (HDAC): Wannan maganin yana toshe enzymes da ake buƙata don rarrabuwar kwayar halitta kuma yana iya dakatar da haɓakar ƙwayoyin kansa. Panobinostat mai hanawa HDAC ne wanda aka yi amfani dashi don maganin myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms.

• BCL2 maganin hanawa: Wannan magani yana toshe furotin da ake kira BCL2. Toshe wannan furotin na iya taimakawa kashe ƙwayoyin kansa kuma yana iya sa su zama masu saurin kula da maganin kansa. Venetoclax shine mai hanawa na BCL2 wanda ake karatunsa a cikin maganin sake dawowa ko kuma myeloma mai tsauri.

Duba Magungunan da aka Amince dasu don Myeloma da yawa da Sauran Newayoyin Plasma Cell don ƙarin bayani.

-Aramin magani mai ƙarfi tare da dasawar ƙwayar ƙwayar ƙwayar ƙwayar cuta

An bayar da babban allurai don kashe ƙwayoyin kansa. Kwayoyin lafiya, gami da ƙwayoyin halitta masu jini, suma ana lalata su ta hanyar maganin kansa. Dasawar sel shine magani don maye gurbin kwayoyin halitta. Ana cire ƙwayoyin kara (ƙwayoyin jinin da basu balaga ba) daga jini ko ƙashin kashin majiyyaci (autologous) ko mai bayarwa (allogeneic) kuma ana daskarewa kuma ana adana su. Bayan mai haƙuri ya gama shan magani, sai a narke ƙwayoyin ƙwayoyin da aka adana kuma a mayar da su ga mai haƙuri ta hanyar jiko. Waɗannan ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin magungunan za a ɗibar

Dasawar dasa kara (Mataki na 1): Ana ɗaukar jini daga jijiya a hannun mai bayarwa. Mai haƙuri ko wani mutum na iya zama mai ba da gudummawa. Jinin yana gudana ta cikin injin da ke cire ƙwayoyin sel. Sannan jinin yana dawowa ga mai bayarwa ta wata jijiya a daya hannun. (Mataki 2): Mai haƙuri yana karɓar magani don kashe ƙwayoyin halitta. Mai haƙuri na iya karɓar maganin radiation (ba a nuna ba). (Mataki na 3): Mai haƙuri yana karɓar ƙwayoyin sel ta hanyar catheter da aka sanya a cikin jijiyoyin jini a cikin kirji.

Immunotherapy

Immunotherapy magani ne wanda ke amfani da garkuwar jikin mara lafiya don yaƙar kansa. Abubuwan da jiki ya yi ko aka yi a dakin gwaje-gwaje ana amfani da su don haɓaka, kai tsaye, ko maido da kariya ta jiki daga cutar kansa. Wannan nau'in maganin cutar kansa ana kiransa biotherapy ko biologic therapy.

• Immunomodulator far: Thalidomide, lenalidomide, da pomalidomide sune immunomodulators da ake amfani dasu don magance myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms.

• Interferon: Wannan maganin yana shafar rarrabuwa daga kwayoyin cutar kansa kuma zai iya rage ci gaban ƙari.

• CAR T-cell therapy: Wannan maganin yana canza ƙwayoyin T na marasa lafiya (wani nau'in kwayar garkuwar jiki) don haka zasu kai farmaki ga wasu sunadarai akan ƙwayoyin kansa. Ana ɗaukar ƙwayoyin T daga mai haƙuri kuma an ƙara masu karɓa na musamman zuwa saman su a cikin dakin gwaje-gwaje. Sel ɗin da aka canza ana kiran su ƙwayoyin chimeric antigen receptor (CAR) T. Kwayoyin CAR T suna girma a cikin dakin gwaje-gwaje kuma ana ba mai haƙuri ta hanyar jiko. Kwayoyin CAR T suna ninka cikin jinin mai haƙuri kuma suna kai wa ƙwayoyin kansa hari. CAR T-cell far yana nazarin a cikin maganin myeloma mai yawa wanda ya sake dawowa (dawo).

CAR T-cell far. Wani nau'in magani wanda ake canza ƙwayoyin T mai haƙuri (wani nau'in ƙwayoyin cuta na rigakafi) a cikin dakin gwaje-gwaje don haka zasu haɗu da ƙwayoyin kansa kuma su kashe su. Jini daga wata jijiya a hannun mara lafiyan yana gudana ta wani bututu zuwa na’urar apheresis (ba a nuna ba), wanda ke cire fararen ƙwayoyin jinin, gami da ƙwayoyin T, sa’annan ya mai da sauran jinin ga mai haƙuri. Bayan haka, an shigar da kwayar halitta ga mai karba na musamman da ake kira mai karbar sinadarin antim na chimeric (CAR) a cikin kwayoyin T a cikin dakin binciken. Miliyoyin ƙwayoyin CAR T suna girma a cikin dakin gwaje-gwaje sannan kuma a ba wa mai haƙuri ta hanyar jiko. Kwayoyin CAR T suna iya ɗaure kan antigen akan ƙwayoyin kansa kuma su kashe su.

Duba Magungunan da aka Amince dasu don Myeloma da yawa da Sauran Newayoyin Plasma Cell don ƙarin bayani.

Radiation far

Radiation therapy magani ne na cutar kansa wanda yake amfani da hasken rana mai ƙarfi ko wasu nau'ikan radiation don kashe ƙwayoyin kansa ko hana su girma. Magungunan radiation na waje yana amfani da wata na'ura a wajen jiki don aika jujjuyawar zuwa jikin jiki da cutar kansa.

Tiyata

Za a iya yin aikin tiyata don cire ƙari. Bayan likita ya cire dukkan cutar daji da za a iya gani a lokacin tiyatar, wasu marasa lafiya za a iya ba su maganin fitila bayan tiyata don kashe duk ƙwayoyin cutar kansa da suka rage. Maganin da ake bayarwa bayan tiyatar, don rage haɗarin kamuwa da cutar kansa zai dawo, ana kiran sa adjuvant therapy.

Jiran jira

Tsayawa a hankali yana lura da yanayin mai haƙuri ba tare da ba da wani magani ba har sai alamu ko alamu sun bayyana ko canzawa.

Ana gwada sababbin nau'ikan magani a gwajin asibiti.

Wannan ɓangaren taƙaitaccen bayani yana bayanin jiyya waɗanda ake nazarin su a gwajin asibiti. Yana iya ba ambaci kowane sabon magani ana nazarin. Ana samun bayani game da gwaji na asibiti daga gidan yanar gizon NCI.

Sabbin hanyoyin kwantar da hankali

Gwajin gwaji suna nazarin haɗuwa daban-daban na immunotherapy, chemotherapy, steroid steroid, da kwayoyi. Ana kuma nazarin sababbin ka'idojin magani ta amfani da selinexor.

Jiyya don ƙwayoyin cuta na jini na iya haifar da sakamako masu illa.

Don bayani game da illolin da cutar ta kansar ta haifar, duba shafin mu na Side Side.

Ana ba da kulawa na tallafi don rage matsalolin da cutar ta haifar ko kuma maganinta.

Wannan maganin yana sarrafa matsaloli ko illolin da cutar ko magani ke haifarwa, kuma yana inganta rayuwa. Ana ba da kulawa mai tallafi don magance matsalolin da myeloma da yawa da sauran ƙwayoyin plasma cell neoplasms ke haifarwa.

Taimako na tallafi na iya haɗa da masu zuwa:

• Plasmapheresis: Idan jini ya zama mai kauri tare da karin sunadaran antibody kuma ya tsoma baki tare da zagayawa, ana yin plasmapheresis don cire karin plasma da sunadaran antibody daga jini. A wannan aikin ana cire jini daga majiyyacin kuma a aika ta wata na’ura wacce ta raba jini (sashin ruwa na jini) da ƙwayoyin jinin. Plasma na mai haƙuri ya ƙunshi ƙwayoyin cuta da ba a bukata kuma ba a mayar da shi ga mai haƙuri. Ana dawo da kwayoyin jinin al'ada zuwa jini tare da gudummawar jini ko maye gurbin plasma. Plasmapheresis baya kiyaye sabbin kwayoyin cuta daga samuwar su.

• Chemwararren ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta tare da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ta jiki tare da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta tare da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta tare da ƙwayar ƙwayar ƙwayar ƙwayar cuta: Idan amyloidosis ya faru, magani na iya haɗawa da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ta bi ta hanyar amfani da ƙwayoyin ƙwayoyin marasa lafiya.

• Immunotherapy: An ba da magani tare da thalidomide, lenalidomide, ko pomalidomide don magance amyloidosis.

• Tsarin da aka yi niyya: An ba da magani don magance yawan immunoglobulin M a cikin jini kuma ya bi da amyloidosis. An ba da niyya tare da anti-monoclonal don rage raunin kashi da rage ciwo na ƙashi.

• Radiation na radiation: Ana ba da radiation don raunin kashi na kashin baya.

• Chemotherapy: Ana ba da Chemotherapy don rage ciwon baya daga osteoporosis ko ƙarar rauni na kashin baya.

• Bisphosphonate far: Ana ba da maganin bisphosphonate don rage kashin kashi da rage ciwo na ƙashi. Duba taƙaitawar mai zuwa don ƙarin bayani game da bisphosphonates da matsalolin da suka danganci amfani da su:

• Ciwon daji

• Maganin maganganun Chemotherapy da Radiation Kai / Neck

Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

Ga wasu marasa lafiya, shiga cikin gwaji na asibiti na iya zama mafi kyawun zaɓin magani. Gwajin gwaji wani bangare ne na aikin binciken cutar kansa. Ana yin gwaje-gwajen asibiti don gano ko sabbin maganin cutar daji suna da lafiya da tasiri ko kuma sun fi magani na yau da kullun.

Yawancin yau da kullun na yau da kullun don cutar kansa sun dogara ne akan gwajin asibiti na farko. Marasa lafiya da ke cikin gwaji na asibiti na iya karɓar daidaitaccen magani ko kuma su kasance cikin farkon waɗanda za su karɓi sabon magani.

Marasa lafiya da ke shiga cikin gwaji na asibiti suma suna taimakawa inganta hanyar da za a bi da kansar a nan gaba. Koda lokacin gwajin asibiti bai haifar da sababbin magunguna ba, sau da yawa sukan amsa mahimman tambayoyi kuma suna taimakawa ci gaba da bincike gaba.

Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

Wasu gwaji na asibiti kawai sun haɗa da marasa lafiya waɗanda ba su sami magani ba tukuna. Sauran gwaje-gwajen suna gwada jiyya ga marasa lafiya waɗanda cutar kansa ba ta samu sauki ba. Hakanan akwai gwaji na asibiti da ke gwada sabbin hanyoyin dakatar da cutar kansa daga sake dawowa (dawowa) ko rage tasirin maganin kansar.

Gwajin gwaji na gudana a sassa da yawa na ƙasar. Bayani game da gwajin asibiti wanda NCI ke tallafawa ana iya samun shi akan shafin binciken gwaji na NCI. Ana iya samun gwajin gwaji na asibiti wanda wasu kungiyoyi ke tallafawa akan gidan yanar gizon ClinicalTrials.gov.

Ana iya buƙatar gwaje-gwaje na gaba.

Za a iya maimaita wasu gwaje-gwajen da aka yi don gano cutar kansa ko don gano matakin cutar kansa. Za a maimaita wasu gwaje-gwaje don ganin yadda magani ke aiki. Shawarwari game da ci gaba, canji, ko dakatar da magani na iya dogara ne da sakamakon waɗannan gwaje-gwajen.

Wasu daga cikin gwaje-gwajen za a ci gaba da yi daga lokaci zuwa lokaci bayan an gama jiyya. Sakamakon waɗannan gwaje-gwajen na iya nuna idan yanayin ku ya canza ko kuma idan kansar ta sake dawowa (dawo). Wadannan gwaje-gwajen wasu lokuta ana kiran su gwaje-gwaje na gaba ko dubawa.

Jiyya na Monoclonal Gammopathy na eterimar Mahimmanci

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na gammopathy na ƙimar mahimmin ƙima (MGUS) yawanci ana jiran kallo ne. Gwajin jini na yau da kullun don bincika matakin furotin na M a cikin jini da gwajin jiki don bincika alamu ko alamomin cutar kansa za a yi su.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na keɓance Plasmacytoma na Kashi

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Maganin keɓancewar plasmacytoma na ƙashi yawanci magani ne na radiation zuwa ga kashin ƙashi.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Extramedullary Plasmacytoma

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na plasmacytoma mai ƙwayar cuta na iya haɗa da masu zuwa:

• Radiation far ga ƙari da kusa lymph nodes.

• Yin aikin tiyata, yawanci ana bi da shi ta hanyar amfani da radiation.

• Yin jira da hankali bayan jiyya ta farko, sannan kuma maganin fuka-fuka, tiyata, ko magani idan ƙari ya girma ko haifar da alamu ko alamomi.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Myeloma da yawa

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Marasa lafiya ba tare da alamu ko alamu ba na iya buƙatar magani. Wadannan marasa lafiya na iya jiran kallo har sai alamu ko alamu sun bayyana.

Lokacin da alamu ko alamu suka bayyana, akwai rukuni biyu don marasa lafiya masu karɓar magani:

• Arami, fitattun majinyatan da suka cancanci dashen kwayar halitta.

• Tsofaffi, marasa lafiyar da basu cancanci dashen kwayar halitta ba.

Marasa lafiya fiye da shekaru 65 yawanci ana ɗauka matasa da dacewa. Marasa lafiya da suka girmi shekaru 75 yawanci basu cancanci dashen ƙwayoyin halitta ba. Ga marasa lafiya tsakanin shekarun 65 zuwa 75, lafiyar jiki da sauran abubuwan ne ke tabbatar da dacewa.

Maganin ƙwayar myeloma da yawa yawanci ana yin shi ne cikin matakai:

• Induction far: Wannan shine farkon wajan magani. Manufarta ita ce ta rage adadin cuta, kuma yana iya haɗawa da ɗaya ko fiye na masu zuwa:

• Ga ƙaramin, masu dacewa (sun cancanci dasawa):

• Chemotherapy.

• Neman da aka yi niyya tare da mai hana yaduwar cutar (bortezomib).

• Immunotherapy (lenalidomide).

• Corticosteroid far.

• Ga tsofaffi, marasa lafiya marasa lafiya (basu cancanci dasawa ba):

• Chemotherapy.

• Anyi niyya tare da mai hana yaduwar cutar (bortezomib ko carfilzomib) ko maganin kashe kwayoyin cuta (daratumumab).

• Immunotherapy (lenalidomide).

• Corticosteroid far.

• Haɗakarwa da ƙwayar cuta: Wannan shi ne kashi na biyu na magani. Jiyya a cikin lokacin karfafawa shine a kashe sauran kwayoyin cutar kansa. Eitheraɗaɗɗiyar ƙwayar cutar shan magani ta biye da ko dai:

• daya daskararren kwayar halittar jikin mutum, wanda ake amfani da kwayoyin halittar mara lafiya daga jini ko kashin kashi; ko

• daskararren kwayar halitta guda biyu masu hadewa ta atomatik wanda aka biyo baya ta hanyar kwayar halitta ta autologous ko allogeneic, wanda maras lafiya yake karbar kwayoyin halitta daga jini ko kashin kashin mai bayarwa; ko

• dasawar kwayar halittar allogeneic daya.

• Kulawa da kulawa: Bayan magani na farko, ana ba da magungunan kulawa don taimakawa ci gaba da cutar cikin gafartawa na dogon lokaci. Ana nazarin nau'o'in magani da yawa don wannan amfani, gami da waɗannan masu zuwa:

• Chemotherapy.

• Immunotherapy (interferon ko lenalidomide).

• Corticosteroid far.

• Neman da aka yi niyya tare da mai hana kariya ta proteasome (bortezomib ko ixazomib).

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Myeloma Mai Sauƙi ko Refarfafawa

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na sake dawowa ko ƙananan myeloma na iya haɗawa da masu zuwa:

• Kula da marasa lafiya waɗanda cutar ta daidaita.

• Magani daban da magani da aka riga aka bayar, ga marasa lafiya waɗanda ƙari ya ci gaba da girma yayin magani. (Duba Zaɓuɓɓukan maganin Myeloma da yawa.)

• Ana iya amfani da irin magungunan da aka yi amfani da su kafin sake dawowa idan sake dawowa ya faru shekara ɗaya ko fiye bayan jiyya ta farko. (Duba Zaɓuɓɓukan maganin Myeloma da yawa.)

Magungunan da aka yi amfani da su na iya haɗawa da masu zuwa:

• Farfaɗar da aka yi niyya tare da magungunan ƙwayoyin cuta (daratumumab ko elotuzumab).

• Neman da aka yi niyya tare da masu hana kariya (bortezomib, carfilzomib, ko ixazomib).

• Immunotherapy (pomalidomide, lenalidomide, ko thalidomide).

• Chemotherapy.

• Tarihin hana maganin deacetylase tare da panobinostat.

• Corticosteroid far.

• Gwajin gwaji na CAR T-cell far.

• Gwajin gwaji na maganin farfadowa tare da ƙaramin mai hana kwayoyin (selinexor) da maganin corticosteroid.

• Gwajin gwaji na maganin farfadowa tare da mai hana BCL2 (venetoclax).

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Don Moreara Koyo Game da Neoplasms ɗin Plasma Cell

Don ƙarin bayani daga Cibiyar Cancer ta cerasa game da myeloma da yawa da sauran ƙwayoyin plasma cell, duba masu zuwa:

• Myeloma da yawa / Sauran Kwayoyin Plasma Neoplasms Home Page

• An Amince da Magunguna don Myeloma da yawa da Sauran Neoplasms Cell Plasma

• Magungunan Ciwon Cutar da Aka Yi niyya

• Tattara Kwayoyin Halitta mai Yin jini

• Immunotherapy don Kula da Ciwon daji

Don cikakkun bayanai game da cutar kansa da sauran albarkatu daga Cibiyar Cancer ta Kasa, duba mai zuwa:

• Game da Ciwon daji

• Tsayawa

• Chemotherapy da ku: Tallafi ga Mutanen da ke Ciwon daji

• Radiation Far da Kai: Taimako ga Mutane Tare da Ciwon daji

• Yin fama da Ciwon daji

• Tambayoyi don Tambayar Doctor game da Ciwon daji

• Don Tsira da Kulawa

Tace ta kwanan wata Tace ta ci

Enable sharhi mai-sabuntawa na atomatik

Yourara tsokaci

love.co tana maraba da duk tsokaci . Idan baku so a san ku, yi rijista ko shiga . Kyauta ne