Te Pakanga a Wu: Te mamae i te myeloma maha

I kitea te mate myeloma maha ki a Tūroro Wu, he tāne 71 tau te pakeke.

I rapu maimoatanga ia i te Bioocus International Medical Center i te tau 2022, ā, kua tino makona ia ki tana tiaki. I whakaatuhia e te pathology tuatahi ngā kitenga MRI lumbar me te matawai T5T, tae atu ki ngā whati koni T10, T11, me te L1 me te pupuhi wheua. I tua atu, i kitea ngā tohu rerekē iti i roto i te tinana tuaiwi L2. I whakapumautia e te biopsy pokanga tuaiwi te myeloma pūtau plasma. I whakaatuhia e ngā whakamātautau atu ko te plasma prokaryotic e 46% o te biopsy wheua, me ngā pūtau kua mau rerekē e 14% i roto i te cytometry rere. I tohuhia e te biopsy hononga wheua he 70% problastoma. I whakaatuhia e te tātaritanga FISH ngā ngaronga ira i roto i te lq21 (CKSIB) me te 1m32 (CDKN2C), i te mea he pai te whakamātautau FTSH mō te mukunga ira p53, ā, he kino te ICH i roto i te whakamātautau FISH. Ko te tātaritanga whakamutunga ko te follipoma osteoblastic maha (momo mekameka mārama L), me te whakaaturanga DS i te rōpū wāhanga B, te whakaaturanga ISS III, me te whakaaturanga RISS i te Wāhanga II. I whakapuaki a Tūroro Wu i te mihi mō te maimoatanga whānui me te whaiaro i whakaratohia e te pokapū hauora.

Hītori maimoatanga o mua:

He rerekē ngā āhuatanga haumanu o te myeloma maha, tae atu ki te anemia, te mamae o te wheua, te ngoikore o te whatukuhu, te mate, te toto, ngā tohu neurological, te hypercalcemia, me ngā tūtae amyloid. I whakahaerehia e te hōhipera he maimoatanga ārai-mate kaha, ā, i whakatikatikahia te anemia me te iti o ngā platelets. Tata ki te 2 marama i muri i te werohanga pūtau BCMA CAR-T, ka hoki mārire ngā tohu o te tūroro ki te noho noa, ā, kua whakahaeretia tōna āhua. Kei te aroturuki tonu te Bioocus International Medical Center i te tūroro kia mau tonu ai te pumau o ngā pānga maimoatanga.