Ke Kaua o Wu: Ke ʻeha nei i ka myeloma lehulehu

Ua ʻike ʻia ʻo ka mea maʻi ʻo Wu, he kāne 71 makahiki, me ka myeloma lehulehu.

Ua ʻimi ʻo ia i ka lāʻau lapaʻau ma Bioocus International Medical Center i ka makahiki 2022 a ua māʻona loa ʻo ia i kāna mālama ʻana. Ua hōʻike ka pathology mua i nā ʻike lumbar MRI a me T5T scan, me nā haki cone T10, T11, a me L1 me ka edema iwi iwi. Eia kekahi, ua ʻike ʻia nā hōʻailona liʻiliʻi ʻē aʻe ma ke kino vertebral L2. Ua hōʻoia kahi biopsy puncture vertebral i ka myeloma cell plasma. Ua hōʻike nā hoʻokolohua hou aku i ka plasma prokaryotic e loaʻa ana he 46% o ka biopsy iwi iwi, me nā cell i hoʻopaʻa ʻia ʻē aʻe e hana ana i 14% i ka cytometry kahe. Ua hōʻike ka biopsy hui iwi i ka 70% problastoma. Ua hōʻike ka loiloi FISH i nā pohō gene ma lq21 (CKSIB) a me 1m32 (CDKN2C), ʻoiai ua maikaʻi ka hoʻāʻo FTSH no ka holoi ʻana o ka gene p53, a ua maikaʻi ʻole ʻo ICH i ka hoʻāʻo FISH. ʻO ka hōʻailona hope loa he multiple osteoblastic follipoma (ʻano kaulahao māmā L), me ka hoʻonohonoho ʻana o DS ma ka hui kahua B, ISS staging III, a me RISS staging ma Stage II. Ua hōʻike ʻo Patient Wu i ka mahalo no ka lāʻau lapaʻau piha a pilikino i hāʻawi ʻia e ke kikowaena lapaʻau.

Ka moʻolelo lapaʻau ma mua:

He ʻokoʻa nā hōʻike lapaʻau o ka myeloma lehulehu, ʻo ia hoʻi ka anemia, ka ʻeha o ka iwi, ka lawa ʻole o ka puʻupaʻa, ka maʻi, ke kahe ʻana o ke koko, nā hōʻailona neurological, hypercalcemia, a me nā ʻōpala amyloid. Ua hana ka haukapila i ka lāʻau anti-infection ikaika a hoʻoponopono i ka anemia a me nā platelets haʻahaʻa. Ma kahi o 2 mau mahina ma hope o ka hoʻokomo ʻana o ke kelepona BCMA CAR-T, ua hoʻi mālie nā hōʻailona o ka mea maʻi i ka maʻamau, a ua kaohi ʻia kona kūlana. Ke nānā mau nei ʻo Bioocus International Medical Center i ka mea maʻi e hōʻoia i ka paʻa mau o nā hopena lapaʻau.