9q13nh 发表于 2024-6-23 15:39:01

不要动不动就化疗,这2种类型的骨髓瘤可暂缓给药!


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不要动不动就化疗,这2种类型的骨髓瘤可暂缓给药!</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>多发性骨髓瘤的病人,治疗方面<span style="color: black;">通常</span>都是首选化疗,但<span style="color: black;">非常多</span>病人<span style="color: black;">暗示</span>不愿意接受化学治疗,<span style="color: black;">重点</span><span style="color: black;">原由</span>是化疗的副<span style="color: black;">功效</span>痛苦让人产生抵触心理。医者<span style="color: black;">暗示</span>,在临床上有两种类型的骨髓瘤<span style="color: black;">能够</span>暂缓化疗——分期Ⅰ期骨髓瘤与冒烟型骨髓瘤。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-a58fdc98542f6bc39aaae56e92c03f93_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;"><span style="color: black;">为何</span><span style="color: black;">能够</span>暂缓治疗?不是说确诊就得立即治疗吗?冒烟型骨髓瘤<span style="color: black;">指的是</span>M蛋白≥30g/L和(或)骨髓中浆细胞≥10%,<span style="color: black;">无</span><span style="color: black;">关联</span>器官或组织损害症状。划重点——冒烟型骨髓瘤不治疗<span style="color: black;">亦</span><span style="color: black;">能够</span>维持<span style="color: black;">非常多</span>年。而分期Ⅰ期的多发性骨髓瘤<span style="color: black;">病人</span>则M蛋白量较低,<span style="color: black;">无</span><span style="color: black;">显著</span>的贫血、高钙血症或骨骼病变。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">综上所述,冒烟型骨髓瘤和分期Ⅰ期的多发性骨髓瘤在<span style="color: black;">疾患</span><span style="color: black;">发展</span>前<span style="color: black;">能够</span>维持几个月至几年不等,这类<span style="color: black;">病人</span><span style="color: black;">通常</span><span style="color: black;">大夫</span>会<span style="color: black;">意见</span>临床观察不化疗,但<span style="color: black;">必须</span>每3~6个月随访1次。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">冒烟性以及一期骨髓瘤什么时候<span style="color: black;">必要</span>治疗?若<span style="color: black;">疾患</span><span style="color: black;">显现</span><span style="color: black;">发展</span>(指血清<span style="color: black;">或</span>尿中的M蛋白增长&gt;25%,<span style="color: black;">或</span><span style="color: black;">显现</span>新的溶骨病变,或高钙血症,或浆细胞瘤的体积<span style="color: black;">增多</span>)至Ⅱ期或是更高的<span style="color: black;">周期</span>,则须<span style="color: black;">按照</span><span style="color: black;">发展</span>期多发性骨髓瘤治疗<span style="color: black;">方法</span>治疗。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-80ab572bec53a4826dd76392141100d9_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;"><span style="color: black;">日前</span><span style="color: black;">针对</span>这两者<span style="color: black;">疾患</span>早期不治疗的思路<span style="color: black;">导致</span>了争议,有的说:难道<span style="color: black;">不该</span>该在病情未<span style="color: black;">发展</span>之前<span style="color: black;">掌控</span>住病情吗?有的则说:<span style="color: black;">初期</span>化疗可能会适得其反而加速病情<span style="color: black;">发展</span>,到时就得不偿失了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实这两种说法都没错,权衡利<span style="color: black;">坏处</span>下,病人<span style="color: black;">能够</span>在<span style="color: black;">初期</span>运用<span style="color: black;">有些</span>相对稳定,<span style="color: black;">无</span>高强度副<span style="color: black;">功效</span>的治疗方式,<span style="color: black;">能够</span>适当开取汤药方<span style="color: black;">护理</span>(<span style="color: black;">亦</span>可<span style="color: black;">协同</span>维持口服<span style="color: black;">药品</span>进行)</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">强调——<span style="color: black;">详细</span>开什么方子<span style="color: black;">必须</span>病人<span style="color: black;">自动</span>面诊专业的中医血液内科的<span style="color: black;">医生</span>,存在个体差异,<span style="color: black;">亦</span><span style="color: black;">必须</span>辨证施治。<span style="color: black;">由于</span>骨髓瘤的病人<span style="color: black;">大都是</span>中老年人,一方面中药调治<span style="color: black;">生效</span><span style="color: black;">能够</span>有效延缓病情<span style="color: black;">发展</span>,一方面则<span style="color: black;">能够</span><span style="color: black;">护理</span>身体,一举两得。</p>




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