Ke Kaua ʻo Wu: Ka ʻeha ʻana i ka myeloma lehulehu

ʻO ka maʻi Wu, he kāne 71 makahiki, ua ʻike ʻia me ka myeloma lehulehu.

Ua ʻimi ʻo ia i ka mālama ʻana ma Bioocus International Medical Center ma 2022 a ua ʻoluʻolu loa i kāna mālama. Ua hōʻike ka maʻi maʻi mua i ka lumbar MRI a me ka T5T scan loaʻa, me ka T10, T11, a me ka L1 cone fractures me ka edema marrow iwi. Eia hou, ua ʻike ʻia nā hōʻailona liʻiliʻi liʻiliʻi i loko o ke kino vertebral L2. Ua hōʻoia ʻia kahi biopsy puncture vertebral plasma cell myeloma. Ua hōʻike ʻia nā hoʻokolohua hou aʻe i ka plasma prokaryotic e pili ana i ka 46% o ka biopsy iwi iwi, me nā cell i kau ʻia ma ke ʻano he 14% i ka cytometry kahe. ʻO ka biopsy hui iwi i hōʻike ʻia he 70% problastoma. Ua hōʻike ʻia ka loiloi FISH i nā poho gene ma lq21 (CKSIB) a me 1m32 (CDKN2C), ʻoiai ua maikaʻi ka hoʻāʻo FTSH no ka holoi ʻana i ka gene p53, a ʻaʻole maikaʻi ʻo ICH i ka hoʻāʻo FISH. ʻO ka maʻi hope loa he mau osteoblastic follipoma (L light chain type), me DS i ka pae B pūʻulu, ISS staging III, a me RISS i ka pae II. Ua hōʻike ʻo Patient Wu i ka mahalo no ka hoʻomaʻamaʻa piha a pilikino i hāʻawi ʻia e ke kikowaena olakino.

Moʻolelo lapaʻau mua:

He ʻokoʻa nā hōʻike lapaʻau o ka myeloma lehulehu, ʻo ia hoʻi me ka anemia, ka ʻeha iwi, ka lawa ʻole o ka renal, ka maʻi, ke koko, nā hōʻailona neurological, hypercalcemia, a me ka amyloid stools. Ua mālama ka haukapila i ka hoʻomaʻamaʻa anti-infection a hoʻoponopono i ka anemia a me nā platelet haʻahaʻa. Ma kahi o 2 mau mahina ma hope o ka BCMA CAR-T cell infusion, ua hoʻi mālie nā hōʻailona o ka mea maʻi i ka maʻamau, a ua mālama 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.