这种骨髓瘤能够不消治疗吗？从三个方向带你认识
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多发性骨髓瘤是一种恶性的浆细胞病，骨髓中恶性浆细胞<span style="color: black;">海量</span>的<span style="color: black;">没</span>限制的增殖，使<span style="color: black;">病人</span>正常的造血功能受到<span style="color: black;">控制</span>，从而<span style="color: black;">能够</span><span style="color: black;">显现</span>多发性溶骨性损害，高钙血症，贫血，肾脏损害等一系列的临床表现。<span style="color: black;">同期</span>，多发性骨髓瘤在临床上的治疗<span style="color: black;">重点</span>围绕三个类型去进行，一是<span style="color: black;">没</span>症状骨髓瘤，二是有症状骨髓瘤，三是孤立性浆细胞瘤。分别<span style="color: black;">必须</span><span style="color: black;">按照</span>实际病情<span style="color: black;">状况</span>去定义针对性适合的治疗方向，争取<span style="color: black;">得到</span><span style="color: black;">很久</span>的<span style="color: black;">存活</span>期是<span style="color: black;">一起</span>的治疗目的。下面，<span style="color: black;">咱们</span>重点介绍下这三种类型。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-0fb55194ae692e52aa03064e5e3ac23a_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①<span style="color: black;">没</span>症状骨髓瘤</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">针对这类<span style="color: black;">没</span>症状骨髓瘤的治疗，临床上不主张化疗等高强度的治疗<span style="color: black;">方法</span>，<span style="color: black;">通常</span>是<span style="color: black;">意见</span><span style="color: black;">初期</span>针对性中医思路的<span style="color: black;">护理</span>，有时会<span style="color: black;">协同</span>西医介入。有的病例是都不进行西医治疗<span style="color: black;">干涉</span>。<span style="color: black;">针对</span>高危的患病群体（有<span style="color: black;">发展</span>倾向的）可<span style="color: black;">按照</span><span style="color: black;">自动</span>意愿进行综合<span style="color: black;">思虑</span>或进入临床<span style="color: black;">实验</span>。这个类型的骨髓瘤<span style="color: black;">重点</span>围绕的治疗目的是不发展，不<span style="color: black;">发展</span>，不恶化。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②有症状骨髓瘤</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>有症状的骨髓瘤治疗，<span style="color: black;">通常</span>都是围绕诱导治疗+巩固治疗+维持治疗的模式去进行的。<span style="color: black;">针对</span>病人如有<span style="color: black;">显著</span>的CARB或SLiM表现，<span style="color: black;">必须</span>立即<span style="color: black;">起步</span>治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>年龄<span style="color: black;">少于</span>65岁的，体能<span style="color: black;">情况</span>好，或是虽然＞65岁<span style="color: black;">然则</span>全身体能状态评分良好的<span style="color: black;">病人</span>，在经过有效的诱导治疗后，<span style="color: black;">能够</span>进行自体移植，<span style="color: black;">以避免</span>随后的干细胞动员采集失败或是造血重建延迟。而<span style="color: black;">针对</span>体质较差，不适合自体移植的<span style="color: black;">病人</span>，可后续在达到缓解的<span style="color: black;">状况</span>下开启口服<span style="color: black;">药品</span>为主的维持治疗<span style="color: black;">方法</span>。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">③孤立性浆细胞瘤</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在骨髓瘤类型<span style="color: black;">其中</span>不怎么<span style="color: black;">平常</span>，<span style="color: black;">重点</span>是分为两个类型去进行治疗，一个是骨型，<span style="color: black;">必须</span>对受累野放疗，45Gy或是更大剂量。<span style="color: black;">另一</span>一个是骨外型，先对受累野放疗，<span style="color: black;">亦</span><span style="color: black;">一样</span>是45Gy或更大剂量的<span style="color: black;">意见</span>，必要的时候还会<span style="color: black;">触及</span>到手术治疗。如在这个<span style="color: black;">周期</span>内发展，<span style="color: black;">必须</span><span style="color: black;">根据</span>骨髓瘤<span style="color: black;">发展</span>（有症状）类型去<span style="color: black;">调节</span>治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">综上，<span style="color: black;">咱们</span>治疗多发性骨髓瘤的首要目的肯定是完全缓解，在达到缓解之后还<span style="color: black;">必须</span>介入<span style="color: black;">协同</span>巩固性治疗思路去进行，<span style="color: black;">例如</span>中西医联合的方式来得以最大化的延长缓解时间，与此<span style="color: black;">同期</span>做好<span style="color: black;">恰当</span>的防护<span style="color: black;">办法</span>以及护理，来<span style="color: black;">加强</span>体质差骨髓瘤<span style="color: black;">病人</span>的生活质量，在好的抗病能力加持下，病人的<span style="color: black;">存活</span>期会更好！<span style="color: black;">同期</span><span style="color: black;">亦</span>更<span style="color: black;">不易</span><span style="color: black;">出现</span>短期内复发的<span style="color: black;">状况</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><span style="color: black;">有一种骨髓瘤居然<span style="color: black;">不消</span>治疗？<span style="color: black;">认识</span>此病三个类型的治疗方向</span><span style="color: black;"><span style="color: black;"></span>mp.weixin.qq.com</span></span></a>/s?__biz=MzIxMzU4OTcwNw==&mid=2247487790&idx=1&sn=b63879dd1cd3888f92758dbb72c69f09&chksm=97b5da8aa0c2539c4a5ade4d71ec176387c8158bd241c4b93db594978dd800860d19a4ba87b3&mpshare=1&scene=23&srcid=0716so693YOy1VZyR2nnmIwC&sharer_sharetime=1626401141184&sharer_shareid=6e13bfb84ed2a1896e694d29a0123a57#rd<span style="color: black;"><img src="https://pic2.zhimg.com/v2-c3bee9f794807403c20f4b369fa1f945_180x120.jpg" style="width: 50%; margin-bottom: 20px;"></span></div>
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