论坛 › 北京 › 当老年人显现这些症状，需排查骨髓瘤

tw4ld6 发表于 2024-6-23 12:43:22

当老年人显现这些症状，需排查骨髓瘤

<img src="https://mmbiz.qpic.cn/mmbiz_jpg/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNiaeiaPzKicibQL5vIqNJGV3WiaSPGDAYfePnU91hdYMrce8SYZPSdQAe2dAA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNiaicYicqHchvlONtGia8ibOicbCp6L8xusehTldWqY3gvIulcwNgbkFOy6u6Q/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNiaP90Mt6jhHplVJpQaKdENFv24bdoW4F8p8XOc3jzbIA4b1YUZ43gsbw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">2019</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">08.09</p>

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">星期五</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">随着我国老龄化程度<span style="color: black;">持续</span>加剧，<span style="color: black;">哪些</span>高发于老年群体的肿瘤发病率<span style="color: black;">亦</span><span style="color: black;">持续</span><span style="color: black;">提升</span>，骨髓瘤<span style="color: black;">便是</span>其中之一。</span><span style="color: black;"><span style="color: black;">非常多</span>人想当然地以为骨髓长瘤就该看骨科，大部分病人初诊基本都跑到骨科或风湿免疫科就诊，其实该病属血液科范畴。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">看病</span></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNiankCI3yw6xIh4zdgqpUZShoV1wXGRm0tOc3Sswz0TCZAgqsQfAsRXTA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">骨髓瘤是血液系统恶性肿瘤</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">多发性骨髓瘤是起源于骨髓浆细胞的恶性肿瘤，是发病率仅次于淋巴瘤的血液系统最<span style="color: black;">平常</span>的恶性肿瘤之一。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">南方医科大学南方医院血液内科多发性骨髓瘤亚专科负责人、副<span style="color: black;">专家</span>医师魏永强介绍，其<span style="color: black;">重点</span>特征为骨髓浆细胞<span style="color: black;">反常</span>增生伴有单克隆免疫球蛋白或轻链（M蛋白）过度生成，<span style="color: black;">引起</span>广泛的骨质破坏、肾功能损害以及贫血、高钙血症等表现。</span><span style="color: black;">多发于中老年<span style="color: black;">病人</span>，男性多于女性。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNiafSQNQyZ1zG1Nmn5jf5mTEicPoPIAOpfKTkUAnuKCyuacLKrdWb7n3AA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">警觉</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">不明<span style="color: black;">原由</span>的<span style="color: black;">各样</span>症状需<span style="color: black;">警觉</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">他提醒，中老年<span style="color: black;">病人</span><span style="color: black;">显现</span>以下症状<span style="color: black;">必须</span><span style="color: black;">警觉</span><span style="color: black;">是不是</span>为骨髓瘤：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1.<span style="color: black;">显现</span>不明<span style="color: black;">原由</span>的骨痛，<span style="color: black;">或</span>轻轻用力、弯腰捡东西<span style="color: black;">乃至</span>打个喷嚏<span style="color: black;">病痛</span><span style="color: black;">忽然</span>加重，<span style="color: black;">没</span>法<span style="color: black;">自动</span>缓解，X线等影像学<span style="color: black;">检测</span><span style="color: black;">发掘</span>有病理性骨折或骨质破坏。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2.双下肢或颜面水肿、小便<span style="color: black;">泡泡</span><span style="color: black;">增加</span>或尿量减少，查尿常规<span style="color: black;">发掘</span>尿蛋白或血生化<span style="color: black;">发掘</span>肌酐<span style="color: black;">上升</span>、白蛋白<span style="color: black;">显著</span>减少。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3.<span style="color: black;">显现</span>头昏、乏力、面色苍白等贫血症状，查血常规<span style="color: black;">发掘</span>贫血，并且排除营养性贫血（如缺乏铁、叶酸、维生素B12）、地中海贫血等。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4.反复<span style="color: black;">显现</span>感冒、发热<span style="color: black;">或</span><span style="color: black;">呼气</span>道感染，查血生化<span style="color: black;">发掘</span>球蛋白<span style="color: black;">上升</span>或降低，查血清蛋白电泳或血尿免疫固定电泳<span style="color: black;">发掘</span>M蛋白。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">5.不明<span style="color: black;">原由</span><span style="color: black;">显现</span>食欲<span style="color: black;">衰退</span>、恶心、呕吐、烦渴、<span style="color: black;">尿多</span>、思维混乱、<span style="color: black;">认识</span>模糊，<span style="color: black;">乃至</span><span style="color: black;">晕倒</span>，查血电解质<span style="color: black;">发掘</span>血钙<span style="color: black;">上升</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">6.不明<span style="color: black;">原由</span><span style="color: black;">忽然</span><span style="color: black;">显现</span>截瘫、<span style="color: black;">体积</span>便功能<span style="color: black;">阻碍</span>，影像学<span style="color: black;">检测</span><span style="color: black;">发掘</span>椎体有破坏、脊髓有压迫。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其他少见<span style="color: black;">状况</span><span style="color: black;">包含</span>：</span><span style="color: black;">舌体肿大、皮肤淤斑、消化道<span style="color: black;">流血</span>、眩晕、耳鸣、手足麻木等。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">重点</strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNiakzk6d4ohKoIDKSDtN1THyCCaWvUxYxJY8JCic0NBhQqw97CRBdiccVAQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">像慢性病<span style="color: black;">同样</span>管理骨髓瘤</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">魏永强指出，就像高血压、糖尿病<span style="color: black;">同样</span>，多发性骨髓瘤是一种不可治愈但<span style="color: black;">能够</span>治疗的慢性<span style="color: black;">疾患</span>。</span><span style="color: black;">尽管多发性骨髓瘤是一种恶性<span style="color: black;">疾患</span>，<span style="color: black;">然则</span>浆细胞属于分化成熟的细胞，<span style="color: black;">因此</span>大<span style="color: black;">都数</span>多发性骨髓瘤是恶性程度较低的<span style="color: black;">疾患</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在<span style="color: black;">无</span>新药<span style="color: black;">显现</span>的时代，多发性骨髓瘤的平均<span style="color: black;">存活</span>时间仅2-3年。</span><span style="color: black;">随着造血干细胞移植以及新药时代的到来，经过正规、系统化治疗后，<span style="color: black;">病人</span>的<span style="color: black;">存活</span>期<span style="color: black;">逐步</span>延长，由一种<span style="color: black;">不可</span>治愈的<span style="color: black;">疾患</span>转变为一种<span style="color: black;">能够</span><span style="color: black;">掌控</span>的<span style="color: black;">疾患</span>。</span><span style="color: black;"><span style="color: black;">日前</span>约60%的<span style="color: black;">病人</span>发病后<span style="color: black;">存活</span>期超过5年，<span style="color: black;">非常多</span><span style="color: black;">病人</span>经过前期治疗转入维持治疗<span style="color: black;">周期</span>后，<span style="color: black;">作为</span>像高血压、糖尿病<span style="color: black;">同样</span>的慢性<span style="color: black;">疾患</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（<span style="color: black;">转载</span>羊城晚报）</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNiafpCRz8LARasB2n9iblsICDXHyRDlZx4KTlLSRaBF1TfMdB8VgKWDDTg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">自强不息|群体抗癌</p>

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">排版：乐轩</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">照片</span>：乐轩</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">文案</span><span style="color: black;">源自</span>：网络</p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/StCEdJp2mia1PNEUCiamB0vTU7SxH0bfNia62BqqPWg2rJQCV1uKsiaFhfmGzSnBaIHxtynkbMbPo8HYLqo6KuatqA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">

xuaiqiang 发表于 2024-9-1 12:34:09

我完全同意你的观点，说得太对了。

nykek5i 发表于 2024-9-27 07:33:19

一看到楼主的气势，我就觉得楼主同在社区里灌水。

wrjc1hod 发表于 2024-10-16 10:21:38

我完全同意你的观点，说得太对了。

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