u1jodi1q 发表于 2024-6-19 13:36:17

多发性骨髓瘤病人“肌酐高”还能存活吗?


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>临床病例观察,多发性骨髓瘤在病情发展过程中容易<span style="color: black;">出现</span>脏器损害(<span style="color: black;">尤其</span>是肾功能不全)会表现为血肌酐水平<span style="color: black;">反常</span>,对<span style="color: black;">出现</span>此类<span style="color: black;">状况</span>的骨髓瘤病友而言<span style="color: black;">可否</span>还能够正常<span style="color: black;">存活</span>?对此下文进行<span style="color: black;">关联</span>解析!</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">多发性骨髓瘤病人“肌酐高”还能<span style="color: black;">存活</span>吗?</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q1.itc.cn/q_70/images01/20240427/eefb94330c7e4bb49ded28d9bb278689.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">此病在<span style="color: black;">全部</span>病程中大<span style="color: black;">大概</span>50%的病友会<span style="color: black;">显现</span>肾功能不全,<span style="color: black;">原由</span>多与病人的年龄、并发症、脱水、<span style="color: black;">疾患</span>累积毒性、还有<span style="color: black;">有些</span><span style="color: black;">药品</span><span style="color: black;">原因</span>等<span style="color: black;">相关</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>血肌酐水平高(肌酐高)说明多发性骨髓瘤病人的肾功能<span style="color: black;">已然</span><span style="color: black;">不可</span>满足<span style="color: black;">存活</span>需求了,<span style="color: black;">身体</span>产生的废物<span style="color: black;">持续</span><span style="color: black;">累积</span>。但并不会直接<span style="color: black;">引起</span>骨髓瘤病人<span style="color: black;">没</span>法<span style="color: black;">存活</span>,积极治疗仍然<span style="color: black;">能够</span><span style="color: black;">掌控</span>指标安全的<span style="color: black;">状况</span>下保持<span style="color: black;">存活</span>状态。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">划重点</strong>——肾脏是人体排泄废物的器官,肾脏功能不全后,废物<span style="color: black;">不可</span><span style="color: black;">即时</span>排出,就会留在<span style="color: black;">身体</span><span style="color: black;">导致</span>毒害。肌酐指标高<span style="color: black;">重点</span>是骨髓瘤<span style="color: black;">引起</span>肾脏功能<span style="color: black;">损害</span><span style="color: black;">或</span>是肾功能衰竭等<span style="color: black;">原由</span><span style="color: black;">导致</span>的非常严重的一种<span style="color: black;">疾患</span>。这是一种非良性病变。在发病<span style="color: black;">时期</span>会<span style="color: black;">导致</span>病人手脚麻胀,还会伴有身体水肿以及食欲不振。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对此<span style="color: black;">必须</span>积极开展正确治疗,骨髓瘤并发肾病的治疗原则是<span style="color: black;">掌控</span>骨髓瘤本病,降低肿瘤负荷,<span style="color: black;">从而</span>减轻骨髓瘤<span style="color: black;">病人</span>肾功能的进行性损害。<span style="color: black;">因此呢</span>,<span style="color: black;">初期</span>合适的高强度治疗(<span style="color: black;">例如</span>化疗)有助于降低肿瘤负荷以及肾功能恢复,<strong style="color: blue;">与此<span style="color: black;">同期</span><span style="color: black;">必须</span>强调多药联合思路,有利于<span style="color: black;">加强</span>生活质量,<span style="color: black;">从而</span>缓解骨髓瘤病友的病痛。</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/q_70/images01/20240427/0b0d87e88c73430a81788c4b23d36149.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其次,脱水状态下容易诱发和加重肾脏损害,应纠正脱水、水化以及碱化尿液。急性肾衰竭应纠正诱发<span style="color: black;">原因</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肾损害严重的多发性骨髓瘤病例必要时应该尽早到正规的医院采取血液透析来合并骨髓瘤主<span style="color: black;">方法</span>的治疗(阻止恶性细胞进一步增殖),防止病情的加重。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">本文来自<span style="color: black;">微X</span>公众号:MPD病友会</strong><a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛:http://www.fok120.com/</span>,查看<span style="color: black;">更加多</span></span></a></p>

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qzmjef 发表于 2024-9-28 19:08:13

你的言辞如同繁星闪烁,点亮了我心中的夜空。

4lqedz 发表于 2024-9-30 21:42:45

“沙发”(SF,第一个回帖的人)‌

nykek5i 发表于 2024-11-8 20:59:42

楼主发的这篇帖子,我觉得非常有道理。
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