lbk60ox 发表于 2024-6-23 15:52:11

多发性骨髓瘤病人能活多久？


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">谢谢你这么好看还关注了我</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">迄今为止，多发性骨髓瘤仍然被认为是不可治愈的<span style="color: black;">疾患</span>，但<span style="color: black;">病人</span><span style="color: black;">能够</span>积极治疗，<span style="color: black;">尽可能</span>的延长<span style="color: black;">病人</span>的<span style="color: black;">存活</span>时间。<span style="color: black;">那样</span>，<span style="color: black;"><span style="color: black;"><span style="color: black;">多发性骨髓瘤<span style="color: black;">病人</span>能活多久？应该<span style="color: black;">怎样</span>定义该病的<span style="color: black;">存活</span>时长呢？</span></span></span>其实，<span style="color: black;">病人</span><span style="color: black;">详细</span>的<span style="color: black;">存活</span>时间<span style="color: black;">不可</span><span style="color: black;">茫然</span><span style="color: black;">知道</span>，要<span style="color: black;">按照</span><span style="color: black;">病人</span>的病情<span style="color: black;">情况</span>，身体<span style="color: black;">情况</span>再进行<span style="color: black;">评定</span>，<span style="color: black;"><span style="color: black;">意见</span>在<span style="color: black;">病人</span>身体<span style="color: black;">能够</span>承受治疗的<span style="color: black;">状况</span>下积极治疗，<span style="color: black;">同期</span><span style="color: black;">病人</span><span style="color: black;">能够</span><span style="color: black;">思虑</span>用中药进行相应的辅助调节。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">发性骨髓瘤<span style="color: black;">能够</span>活多久这个要<span style="color: black;">按照</span>病情轻重及<span style="color: black;">病人</span>体质来定，有的人<span style="color: black;">能够</span>活好几年，<span style="color: black;">亦</span>有的几个月就过世。多发性骨髓瘤，<span style="color: black;">重点</span>是<span style="color: black;">因为</span>骨髓内的浆细胞被破坏，<span style="color: black;">海量</span>克隆出<span style="color: black;">反常</span>的m蛋白。<span style="color: black;">平常</span>的临床表现有，骨痛，<span style="color: black;">重点</span>是，腰骶部，下肢骨骼<span style="color: black;">病痛</span>。<span style="color: black;">随着病情加重，还<span style="color: black;">能够</span><span style="color: black;">导致</span>，特异性胸痛，肋骨的串珠性改变。以及溢出性蛋白尿。<span style="color: black;">经过</span>骨髓活检<span style="color: black;">能够</span>确诊。</span></p>
    <h1 style="color: black; text-align: left; margin-bottom: 10px;">积极治疗能活多久？晚期的多发性骨髓瘤<span style="color: black;">病人</span>能活多久？</h1>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">从临床数据来看，<span style="color: black;">倘若</span><span style="color: black;">能够</span>积极治疗，是<span style="color: black;">能够</span>活很久的，平时不要有太大的担心。多发性骨髓瘤的自然病程<span style="color: black;">拥有</span>高度异质性<span style="color: black;">存活</span>期差别<span style="color: black;">很强</span>，中位<span style="color: black;">存活</span>期3-4年，有些病人可存活10年以上。<span style="color: black;">倘若</span>这种病不进行治疗，一旦病发<span style="color: black;">亦</span>就几个月，治疗就<span style="color: black;">能够</span>活的久<span style="color: black;">有些</span>，基本上五到十年<span style="color: black;">上下</span>。事实上，能影响骨髓瘤<span style="color: black;">病人</span>寿命的<span style="color: black;">原因</span><span style="color: black;">非常多</span>，<span style="color: black;">例如</span>说治疗，护理，心理<span style="color: black;">原因</span>等等，都会影响骨髓瘤<span style="color: black;">病人</span>的生命。积极治疗的<span style="color: black;">病人</span><span style="color: black;">存活</span>期<span style="color: black;">通常</span>都在十年以上。<span style="color: black;">针对</span>晚期的的多大性骨髓瘤<span style="color: black;">病人</span>而言，多发性骨髓瘤晚期能活多久<span style="color: black;">重点</span>取决于病人<span style="color: black;">是不是</span><span style="color: black;">协同</span>治疗。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ZnggmnsIic3ojFGEJ5EahSgATFVUaFK3r02icDOhvEz9zYhI2zngWggNM4kiahXv4MlutsN59DwZo1j4DziaINSSCQ/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>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">老年人<span style="color: black;">更易</span>得该病吗？</span><span style="color: black;"><span style="color: black;">根据</span>分期来分析，采用对应的治疗<span style="color: black;">方法</span>都分别<span style="color: black;">能够</span>活多久？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">是的，多发性骨髓瘤是浆细胞恶性肿瘤，老年<span style="color: black;">病人</span>多见。临床上分为了8种病理类型，<span style="color: black;">按照</span>病情<span style="color: black;">发展</span><span style="color: black;">状况</span>分为了三期。病人的<span style="color: black;">存活</span>期与骨髓瘤的病理类型、临床分期、治疗<span style="color: black;">办法</span>明密切<span style="color: black;">关联</span>。<span style="color: black;">倘若</span>是恶性程度相对较轻的<span style="color: black;">病人</span>，临床分期较早，采用了硼替佐米，来那度胺等靶向<span style="color: black;">药品</span>治疗，<span style="color: black;">或</span>采用了自体造血干细胞移植治疗，病人的<span style="color: black;">存活</span>期<span style="color: black;">能够</span>达到15年<span style="color: black;">上下</span>。<span style="color: black;">倘若</span>骨髓瘤恶性程度高，分期晚，即使应用硼替佐米，来那度胺等<span style="color: black;">药品</span>治疗，病人的平均<span style="color: black;">存活</span>期<span style="color: black;">通常</span>在2年<span style="color: black;">上下</span>。</p>
    <h1 style="color: black; text-align: left; margin-bottom: 10px;">影响预后的<span style="color: black;">原因</span>有<span style="color: black;">那些</span>？</h1>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">年龄、CRP水平、血清LDH水平、骨髓浆细胞浸润程度、肾功能、ISS及R-ISS分期及细胞遗传学<span style="color: black;">反常</span>等。<span style="color: black;">同期</span>，<span style="color: black;">存活</span>时间还要结合<span style="color: black;">病人</span>身体<span style="color: black;">基本</span><span style="color: black;">状况</span>，如有<span style="color: black;">没</span>合并严重<span style="color: black;">基本</span><span style="color: black;">疾患</span>等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ZnggmnsIic3ojFGEJ5EahSgATFVUaFK3rV6awhib8fpx1UwZj7hmkaFP5F7oo72x2xcIhK0ZlgibH147X5PcFdMhw/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>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">家属<span style="color: black;">怎样</span>照料多发</span><span style="color: black;">性骨髓瘤病人？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1.应该给予<span style="color: black;">病人</span>心理上的支持和安慰</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最简单的<span style="color: black;">便是</span><span style="color: black;">尽可能</span><span style="color: black;">陪同</span>。<span style="color: black;">病人</span><span style="color: black;">针对</span><span style="color: black;">疾患</span>的恐惧悲观，<span style="color: black;">针对</span><span style="color: black;">病痛</span><span style="color: black;">或</span>其他<span style="color: black;">疾患</span>症状<span style="color: black;">引起</span>的生活自理能力的下降产生<span style="color: black;">没</span>助，自卑和绝望，都<span style="color: black;">必须</span>亲人在身边，安慰，疏导。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">鼓励他说出心中的痛苦和想法，待<span style="color: black;">心情</span>稳定之后，简单的和他<span style="color: black;">一块</span>商量准备接受的治疗<span style="color: black;">方法</span>，并积极展望疗效。让<span style="color: black;">病人</span>觉得对<span style="color: black;">疾患</span>仍有主动权，有利于他摆脱消极<span style="color: black;">心情</span>，<span style="color: black;">协同</span>治疗。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当然不<span style="color: black;">意见</span>床边有<span style="color: black;">海量</span>亲朋好友的探望，<span style="color: black;">哪些</span>泛泛安慰之言，未必能够缓解抑郁<span style="color: black;">心情</span>，反而给了<span style="color: black;">病人</span><span style="color: black;">没</span>形中的精神压力，并且人来人往，喧嚣嘈杂，耗费<span style="color: black;">病人</span>许多精力，<span style="color: black;">更易</span>让他对疾病产生抵抗<span style="color: black;">心情</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>化疗中的副反应，化疗后可能<span style="color: black;">出现</span>的感染等这些都要和<span style="color: black;">病人</span>-起做好心理预期，并讲讲治疗成功的病友的例子，<span style="color: black;">增多</span><span style="color: black;">病人</span>面对病痛的<span style="color: black;">自信心</span>和勇气。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2.生活上应多给予<span style="color: black;">帮忙</span>和照顾</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>骨髓瘤<span style="color: black;">病人</span><span style="color: black;">来讲</span>，大部分人都有骨痛症状，搬动搀扶<span style="color: black;">尽可能</span>轻柔缓慢，防止<span style="color: black;">显现</span>病理性骨折，并避免<span style="color: black;">病人</span>自己提拎重物(热水壶，行李箱之类)。即便行走坐卧，<span style="color: black;">亦</span>要嘱咐<span style="color: black;">病人</span>，“动静”<span style="color: black;">不可</span>太大，避免碰擦跌撞。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">骨髓瘤<span style="color: black;">病人</span>本就容易感染，化疗之后，血细胞下降，更要加强口腔，肛门处的清洁，<span style="color: black;">并保持大便通畅。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ZnggmnsIic3ojFGEJ5EahSgATFVUaFK3rUVX1tDnfWqAeNNkZas9UicXPUY2RzZPjouy5lPqyfMBnxvDMQYbWVxg/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>
    <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;">膳食</span>上<span style="color: black;">必定</span>要<span style="color: black;">重视</span>，骨髓瘤<span style="color: black;">病人</span>不宜“大补”</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有些亲属，恨<span style="color: black;">不可</span>鸡鸭鱼肉，鲍参翅肚天天往<span style="color: black;">病人</span>肚子里装，以为<span style="color: black;">这般</span>病就能好得快。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">殊不知，骨髓瘤产生的<span style="color: black;">海量</span><span style="color: black;">反常</span>蛋白本身就会对肾脏产生<span style="color: black;">损害</span>，<span style="color: black;">海量</span>高蛋白高热量的摄入<span style="color: black;">更加是</span><span style="color: black;">增多</span>了肾脏<span style="color: black;">包袱</span>。化疗时肿瘤细胞崩解，产生<span style="color: black;">海量</span>的尿酸<span style="color: black;">亦</span>容易堵塞肾脏小血管。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>，<span style="color: black;">意见</span><span style="color: black;">病人</span><span style="color: black;">尽可能</span><span style="color: black;">膳食</span>清淡，消化，减少豆制品和菌菇类的摄入，适量给予肉蛋等<span style="color: black;">优秀</span>蛋白。春夏季节，<span style="color: black;">保准</span><span style="color: black;">食品</span>的<span style="color: black;">鲜嫩</span>洁净、<span style="color: black;">尽可能</span>当顿食用，杜绝胃肠道的感染。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span>出院在家中<span style="color: black;">尽可能</span>静养，病情稳定<span style="color: black;">能够</span>在陪同下适当散步，切忌高强度的<span style="color: black;">熬炼</span>。节假日避免去人群拥挤之处，谢绝有<span style="color: black;">呼气</span>道感染症状的亲友来探病。</p>
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nqkk58 发表于 2024-10-3 11:57:40

祝福你、祝你幸福、早日实现等。

7wu1wm0 发表于 2024-10-17 20:14:12

你的话语如春风拂面，让我心生暖意。
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