Ihe Na-akpata Ọganihu Na-aga n'ihu Na Ọrịa Cancer
Ọrịa Osteolytic (nke a makwaara dịka ogbugbu osteoclastic) bụ ebe mmebi ọkpụkpụ ebe ọkpụkpụ na-agbaji n'ihi nkwarụ dịka myeloma na kansa. Ọrịa ahụ dị ka obere oghere na X-ray. Ndị mmadụ na-ezo aka n'ebe ha nọ dịka enwere "nsị-eri" ma ọ bụ ọdịdị "nsị".
Mmepe nke ọnya osteolytic nwere ike ibute ihe mgbu, mkpịsị akwara ogwu, na ọnụọgụ nke ọkpụkpụ ọkpụkpụ.
Ọgwụgwọ na-agụnye ịṅụ ọgwụ iji gbochie ọkpụkpụ ọkpụkpụ ọzọ na ọgwụgwọ redio iji gbochie ihe mgbu na mgbaàmà ndị ọzọ metụtara.
Ihe kpatara ọnya Osteolytic
Ọrịa osteolytic na-etolite mgbe enweghi aha na usoro ndu nke a na-ekwu na ọkpụkpụ ọkpụkpụ. Nke a bụ ebe a na-agbaji mkpụrụ ndụ ochie na ọkpụkpụ ma dochie ndị ọhụrụ. N'ime ụdị ọrịa kansa, dịka myeloma, a ga-atụfu usoro a na mmepụta mkpụrụ ndụ ndị ọhụrụ na-enweghị ike ịnagide ọnwụ nke ndị agadi.
N'ihe banyere myeloma kpọmkwem, e nwere ọtụtụ ihe mere nke a ji eme. E nwere otu ụdị sel a na-akpọ osteoblast bụ nke na-ahụ maka ọkpụkpụ ọkpụkpụ; onye nke ọzọ bụ osteoclast nke na-agbanwe ihe ndị na-agbaji ọkpụkpụ dịka akụkụ nke usoro nhazi. Mgbe myeloma na-abanye n'anụ ahụ, ọ na-egbochi osteoblast ka ọ na-akpali osteoclasts iji belata mkpụrụ ndụ ọbụna ngwa ngwa.
Ihe ndị na-esi na ya pụta bụ ihe mgbarụ ahụ ebe usoro nhazi cell dịkarị ka nke afafa.
Na mgbakwunye na myelomas, ihe kachasị akpata ọrịa ọnya bụ ọnya ọrịa (nke na-arịa ọrịa cancer). Ndị a gụnyere ọrịa cancer metastatic nke prostate, thyroid, akpa ume, akụrụ, na ara.
A na-ahụkarị ọnya na ọkpụkpụ buru ibu, dịka okpokoro isi, spine, pelvis, ribcage, na ọkpụkpụ buru ibu nke ụkwụ.
Ihe na-esi na mmebi mebiri emebi na Myeloma
Ọrịa osteolytic ọkpụkpụ nwere ike ime ka ihe mgbaàmà dị iche iche n'agbanyeghị na kansa n'onwe ya. N'etiti ha:
- Ihe mgbu mgbu na -emekarị bụ nke nwere ike dị oke njọ, na-ejikọta ya na nhụjuanya akwara na ihe mgbu nke mmejiri afọ
- Osteoporosis (ọkpụkpụ nke ọkpụkpụ na-aga n'ihu)
- Ọkpụkpụ ọrịa nke ọrịa ọkpụkpụ nke ọkpụkpụ na-eme ka ike gwụ ya
- Hypercalcemia nke malignancy nke okpukpu na-agbaji site na cancer ịhapụ oke calcium n'ime ọbara. Nke a nwere ike iduga na ọgbụgbọ, vomiting, adịghị ike, mgbagwoju anya, myalgia (ahụ mgbu mgbu) na arthralgia (ihe mgbu mgbu). Arrhythmia (oge ọnụ ọgụgụ na-adịghị mma) bụkwa nsogbu nkịtị, na ọ bụrụ na a naghị agwọ ya, nwere ike ịnwụ.
Na-emeso Ọrịa Osteolytic
A na-emeso ọnya osteolytic na nchikota nke radiation na bisphosphonates , ụdị ọgwụ na-ejikarị ndị osteoporosis eme ihe. Reclast (zoledronic acid) bụ ọgwụ ọzọ a na-eji agwọ ọrịa iji gbochie njọ nke ọnya ọkpụkpụ.
A na-enyefe bisphosphonates n'ụzọ ọ bụla n'ime izu anọ ọbụla. Mmetụta ndị gụnyere gụnyere ọrụ akụrụ arụ ọrụ na, n'ọnọdụ ndị dịkarịsịrị, osteonecrosis nke agba (ebe ọkpụkpụ agba na-amalite ịda njọ).
> Isi mmalite
- > Bhutani, M .; Turkbey, B .; Tan, E,; et al. "Ọkpụkpụ ụbụrụ nke na-egbu egbu na ọnyá ndị ọkpụkpụ mbụ na otutu myeloma na ọrịa na-ebute ụzọ: A ga-atụ anya ịmụ ihe site na iji foto na arụmụrụ." Ọrịa ọbara ọbara na Lymphoma . 2015: 57 (5): 1114-21.
- > Rajkumar, S. "Myeloma taa: Nkọwa ọrịa na ịme ọganihu." Akwụkwọ akụkọ America nke Hematology . 2016. 91 (1): 90-100.
- > Reagan, M .; Liaw, L .; Rosen, C .; et al "Dynamic interplay between bone and multiple myeloma: arụ ọrụ nke ogbugbu." Egburu . 2015; 75: 161-9.