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Showing posts with label Multiple Myeloma. Show all posts
Showing posts with label Multiple Myeloma. Show all posts

Wednesday, September 24, 2014

Methods of Treatment of Multiple Myeloma

Integrative Medicine: Integrative Medicine is the treatment of choice. Patients during chemotherapy if it can be added with Chinese medicine can support the result of chemotherapy, reducing the side effects of chemotherapy to restore bone marrow function and boost the immune fungis. At this time, Chinese medicine does not stop cease attacks against myeloma cells to eradicate the rest of the rest of myeloma that does not bounce bac. During chemotherapy indigestion some kind of reaction, the drug will not be inserted orally, Modern Cancer Hospital Guangzhou provide a method of treatment using injections of a drug that can be entered into the patient's body.
Chemotherapy: conventional therapy for the treatment of myeloma.

Radiotherapy: rarely used, is suitable for the treatment of myeloma focus, and with local bone pain symptoms until the pressure on the spinal cord.

Hematopoietic stem cell transplantation: allogeneic stem cell transplantation and autologous hematopoietic stem cell transplantation may be used for the treatment of multiple myeloma.

Several methods for the home care

1. Break: may perform usual activities, but should not do strenuous activities, in order to avoid the fall or collision

2. In order to avoid pathological fractures: make a bed with hard board, avoid using elastic mattress.

3. Diet : give food high in calories, high in protein, rich in vitamins, foods that are easily digested. Patients with renal insufficiency, should be given a low-sodium foods, low protein or wheat starch diet, to reduce the burden on the kidneys.

4. For patients with advanced age is difficult to move should be assisted by gently flicking trackback body / light to avoid fractures. Give a massage with a warm towel on the skin, note the bed is always dry and flat to avoid decubitus.

5. Oral Care: patients with renal impairment, due to excessive accumulation of metabolites, some of the waste / garbage into the respiratory tract, causing bad breath, affects the patient's appetite, should perform good oral care, prevention of bacterial and fungal infections

6. Psychological treatments: switch flavors patient concerns by providing love, attention, help patients in mental burden, helping the patient to face reality and get rid of the fear,
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Symptoms of Multiple Myeloma

Symptoms in patients with multiple myeloma in addition to anemia is infection, bleeding, bone pain can occur (most severe fractures), proteinuria (uremia), other symptoms, namely blood hypercoagulability or venous thrombosis.
Multiple myeloma diagnosis rate reached 40% -50%, the most common cause of diagnosis are:

1 infection: patients are susceptible to respiratory infections and urinary tract infections, delay can cause death. Therefore, in elderly patients with persistent infection, do not have to be limited to anti-infective therapy, at the same time anti-infective therapy can search for the primary cause. If the patient has bone pain, anemia, bleeding and other symptoms should consider the possibility of this disease.

2 Anemia in patients with multiple myeloma usually depressed bone marrow pressure can cause anemia.

3 Symptoms of bone: bone pain, local mass, fractures and even paralysis.

4. hypercalcemia: that seen with symptoms such as vomiting, fatigue, confusion, polyuria, constipation, and other symptoms.

5. hyperviscosity: usually seen with symptoms of dizziness, vertigo, tinnitus, can suddenly disturbed consciousness, numbness of the fingers, heart disorders, chronic heart failure and other symptoms.

6 Impaired renal function: the time of diagnosis, patients often accompanied by renal insufficiency.

Diagnosis of Multiple Myeloma

Clinical findings, almost two-thirds of patients in the early diagnosis and treatment when diagnosed with advanced, many patients because of the wrong diagnosis could be wrong. Expert of Modern Cancer Hospital Guangzhou advise patients if experiencing bone pain, anemia, kidney abnormalities, recurrent infections and other symptoms, patients are advised to immediately perform hematology treatment so that early detection can be timely and effective in controlling the progression of the disease.

Index of suspicion of multiple myeloma patients is quite high, immunoglobulin should be timely, urine Bence Jones protein, X-ray radiography and bone marrow examination. X-ray examination with lots of help diagnose the disease, can be found in a variety of sizes with a circular area some bone damage (especially the bones of the skull, ribs, spine, pelvis), if necessary a CT-scan or MRI. MRI examinations can help to find whether there is compression of the bone marrow; CT scan can help show extramedullary lesion. Sometimes, only the X-ray find a wide variety of multiple myeloma as osteoporosis. Examination of multiple myeloma requires a multi-site examination of puncture or bone marrow biopsy.

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Multiple Myeloma

Multiple myeloma is a malignant cancer cells derived from plasma cells (a type of white blood cell produced in the bone marrow). Normal plasma cells served to produce antibodies that fight infection and cancer of plasma cells - myeloma cells proliferate in the bone marrow, which makes the patient can not live a normal life, body condition, among others, such as anemia, bone pain, fractures, decreased immunity, symptoms of disease hypercalcemia, proteinuria, and renal insufficiency.
Cases of multiple myeloma disease

Cases of multiple myeloma occupy 200/1000, regarded as the second most common malignancy of the blood. It occurs in older people, 50-65 years of age is a high incidence, age of onset in the last few years in advance. The incidence of males than females, the male to female ratio is 1.6: 1. With increasing age, the incidence of multiple myeloma will increase the life of the community and quality of life is already a more serious loss, parents should not be overlooked hematological malignancies. The incidence of multiple myeloma and race there is something slightly higher incidence rate of blacks.

The cause of multiple myeloma

The cause of multiple myeloma can not be ascertained clearly, can be caused by ionizing radiation, severe antigenic stimulation, EB virus, or Kaposi's sarcoma related with herpes virus infection. Can also be associated with several cytokines, IL-6 is a growth factor for multiple myeloma.

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