Yaƙin Wu: Wahala daga myeloma da yawa

Patient Wu, mai shekaru 71, namiji, an gano shi da ciwon myeloma da yawa.

Ya nemi magani a Cibiyar Kiwon Lafiya ta Duniya ta Bioocus a cikin 2022 kuma ya gamsu sosai da kulawar sa. Kwayar cutar ta farko ta bayyana sakamakon binciken MRI na lumbar da T5T, ciki har da T10, T11, da L1 cone fractures tare da kasusuwa na kasusuwa. Bugu da ƙari, an ga ƙananan sigina mara kyau a cikin jikin kashin baya na L2. Wani biopsy na huda vertebral ya tabbatar da kwayar cutar myeloma ta plasma. Karin gwaje-gwajen sun nuna plasma na prokaryotic wanda ya ƙunshi kashi 46% na ƙwayar kasusuwan kasusuwa, tare da ƙwayoyin da ba su dace ba waɗanda suka ƙunshi 14% a cikin cytometry kwarara. Biopsy junction kashi ya nuna 70% problastoma. Binciken FISH ya nuna asarar kwayoyin halitta a lq21 (CKSIB) da 1m32 (CDKN2C), yayin da gwajin FTSH ya kasance tabbatacce don shafewar kwayoyin p53, kuma ICH ya kasance mara kyau a cikin gwajin FISH. Ganewar asali ta ƙarshe shine osteoblastic follipoma da yawa (nau'in sarkar haske L), tare da tsarawar DS a rukunin B, ISS staging III, da RISS staging a Stage II. Majinyacin Wu ya nuna godiya ga cikakkiyar kulawar da cibiyar kiwon lafiya ta yi.

Tarihin jiyya na baya:

Bayyanar cututtuka na myeloma da yawa sun bambanta, musamman ciki har da anemia, ciwon kashi, rashin gazawar koda, kamuwa da cuta, zubar jini, alamun cututtuka, hypercalcemia, da amyloid stools. Asibitin ya gudanar da maganin hana kamuwa da cuta mai tsanani tare da gyara anemia da ƙananan platelets. Kimanin watanni 2 bayan jiko tantanin halitta na BCMA CAR-T, alamun mara lafiya a hankali sun dawo daidai, kuma yanayinsa yana ƙarƙashin kulawa. Cibiyar Kiwon Lafiya ta Duniya ta Bioocus tana ci gaba da sa ido kan majiyyaci don tabbatar da dorewar kwanciyar hankali na tasirin jiyya.