Mnohopočetný myelóm

Nevieme prečo tento zvláštny druh rakoviny vzniká, neviem ani to, ako mu možno predísť. Vieme ho však liečiť a zabezpečiť si aj s tak vážnym ochorením dlhý a kvalitný život.


Neprehliadajme to, čo dokážeme riešiť!

Jedným z ochorení, ktoré postihuje najmä starších ľudí a spôsobuje vrásky lekárom po celej Európe, je ochorenie s názvom mnohopočetný myelóm.
Nevieme prečo tento zvláštny druh rakoviny vzniká, neviem ani to, ako mu možno predísť. Vieme ho však liečiť a zabezpečiť si aj s tak vážnym ochorením dlhý a kvalitný život.
To čo viacerých odborníkov trápi, je fakt, že verejnosť a mnohokrát aj lekári prvého kontaktu ochorenie prehliadajú a k pomoci dochádza neraz pozde. Aj preto sa rozhodli spojiť sily a tento celoeurópsky zdravotnícky problém riešiť.


Čo je to mnohopočetný myelóm a prečo o je potrebné o ňom vedieť?

Mnohopočetný myelóm je zriedkavý, predstavuje zhruba 1% všetkých rakovín. Avšak toto číslo mu nedáva dôvod na to, aby sa mu venovala menšia pozornosť. Podľa informácií Slovenskej myelómovej spoločnosti v súčasnosti týmto ochorením trpí 84 000 ľudí v Európe, pričom až 600 prípadov ochorenia pochádza zo Slovenska. Odborníci sa domnievajú, že toto číslo môže byť v skutočnosti oveľa vyššie. Zdôrazňujú, že za jeho neskorým odhalením je práve nedostatočná informovanosť o jeho existencii a možných príznakoch. Aj preto bol spustený program, ktorý má zabezpečiť väčšiu informovanosť nie len lekárov prvého kontaktu, ale i širokej verejnosti.


MUDr. Katarína Masárová - 
hematologička z Univerzitnej nemocnice Bratislava - Nemocnica sv. Cyrila a Metoda

„Mnohopočetný myelóm je zhubné lymfoproliferatívne ochorenie. Mnohí si jeho pomenovanie uľahčujú a jednoducho ho len zaradia medzi nádorové ochorenie kostnej drene. Mnohopočetný myelóm je však o niečo špecifickejšie ochorenie, pri ktorom sa určitý druh bielych krviniek, ktoré voláme plazmatické bunky, začnú v kostnej dreni množiť vo veľkom počte a tým pádom sa začnú vytvárať osteolytické ložiská  v kostiach“, začína vysvetľovať zákernosť choroby hematologička MUDr. Katarína Masárová.

Na rozdiel od mnohých iných druhov rakoviny, mnohopočetný myelóm nemá formu hrčky alebo nádoru. Namiesto toho sa myelómové bunky vytvárajú a šíria práve v rámci kostnej drene a čo je zaujímavé, ochorenie postihuje prevažne staršie generácie. „Najviac pacientov máme vo veku 55-70 rokov, ale výnimkou nie sú ani štyridsiatnici, ba dokonca evidujeme aj malú skupinku tridsiatnikov“, potvrdzuje európske štatistiky slovenská odborníčka.


Symptómy

Medzi najčastejšie symptómy a vedľajšie účinky mnohopočetného myelómu patria bolesť kostí, zlomeniny kostí, únava, opakované alebo pretrvávajúce infekcie, zápaly, poškodenie obličiekhyperkalcémia. Tohto ochorenia sa nemožno úplne zbaviť, no ako hovorí MUDr. Masárová, dá sa s ním naučiť žiť. „Mnohopočetný myelóm sa ráta medzi chronické, nevyliečiteľné ochorenia, ale na druhej strane dobre liečiteľné. To znamená, že dobre reaguje na liečbu. Choroba sa môže vracať, ale pacienti s ňou môžu prežiť skutočne kvalitný život ešte ďalších dvadsať rokov“, ubezpečuje Katarína Masárová.

V súčasnosti sa tento celoeurópsky zdravotnícky problém dostal do popredia a prijímajú sa potrebné riešenia. Slovenská myelómová spoločnosť a teda i množstvo slovenských odborníkov a lekárov koná po celom Slovensku aj pre obvodných lekárov raz do mesiaca prednášky, kde sa dozvedia všetky potrebné informácie, s ktorými pacient môže prísť a ktoré môžu pomôcť k včasnému odhaleniu mnohopočetného myelómu. „Stávalo sa, že k nám prišiel pacient už na vozíčku. Tvrdil, že prišiel k obvodnému lekárovi s bolesťami chrbtice a odchádzal z vyšetrenia s vyhodnotením, že veď koho dnes nebolí chrbtica,“ spomína s pohoršením vyhľadávaná hematologička a vzápätí potvrdzuje, že potreba väčšej informovanosti nie len lekárov prvého kontaktu, ale i širokej verejnosti sa ukázala pri liečbe mnohopočetného myelómu ako kľúčová: „Po tom, ako sa rozbehlo toto vzdelávanie, narástol aj prísun pacientov, ktorým bolo možne včas podať potrebnú liečbu. Tí, ktorým bola diagnóza stanovená už v neskoršom štádiu, to znamená, že už boli na vozíku alebo na lôžku, sa majú dnes dobre, znovu chodia, poniektorí dokonca športujú,“ dodáva Katarína Masárová. 

Základné informácie o ochorení:

• Mnohopočetný myelóm je zriedkavý druh rakoviny kostnej drene prameniaci z plazmatických buniek v kostnej dreni.

• Nie je vyliečiteľný. Cieľom liečby je zabrániť rozvoju choroby, navodiť remisiu a zlepšiť kvalitu života.

• Obvykle ním trpia ľudia starší ako 60 rokov a postihuje viac mužov ako ženy.

• Najčastejšími symptómami a vedľajšími účinkami sú bolesť kostí, zlomeniny kostí, únava, opakované alebo pretrvávajúce infekcie, poškodenie obličiek a hyperkalcémia, čiže zvýšená hladina vápnika v krvi.

Viac informácií o ochorení pre laickú verejnosť, pacientov a ich rodinných príslušníkov, taktiež pre lekárov sa možno dočítať na www.myelom.sk

Foto:  MUDr. Katarína Masárová

13 komentárov

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  • Komentár Chanel %AM, %24 %538 %2025 %11:%mar napísal Chanel

    Pull-ups target the again muscle tissue, primarily the lats, but in addition involve your rear delts and arms, making them an excellent train for building
    overall upper-body pulling strength. And likelihood is,
    being that you want to achieve both muscle mass and strength, so do you.

    If you want results from this exercise routine, you have to eat huge.
    In theory, lifting weights builds both muscle mass and power.
    Implement them to ensure your exhausting work pays off
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    It’s finest to not do full body four occasions per week as a end
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    You can’t lift the identical 10-pound dumbbell forever and count on to keep including much muscle and energy.
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    Full physique workouts are a good way to construct muscle as a outcome
    of they have a tendency to focus on huge heavy lifts that give you an excellent alternative for progressive
    overload. With conventional muscle constructing beginner workout plans you’re
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    They interact multiple muscle teams and promote total energy.
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    When you'll be able to perform the highest number of reps listed for an train set, add weight the following time
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    It’s fantastic when you complete your split routine in eight or
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    If the push press is more of an athletic power exercise, the seated dumbbell press is more of a bodybuilding train.
    Keep these 5 various kinds of exercises in thoughts as you make the
    choice which will be the best bodybuilding exercise program for you.
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    with it.
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    If you solely eat plant-based foods, increasing your general protein intake by
    25% is a good suggestion.
    The face pull targets each the side and rear delts, along with
    numerous muscular tissues within the higher again. While there are lots of
    different ways to do cable face pulls, relying
    on the muscles you’re making an attempt to work,
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    rope, V bar or straight bar. Although your triceps have carried out some work earlier within the workout, a couple of units
    of direct work will give them a pleasant increase in progress.
    It is possible, for some individuals at least, to realize muscle in calorie deficit.

    In addition to consuming well, sleep can additionally be extremely essential for your coaching results.
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    Your muscle tissue are very adaptive, and what was once a difficult exercise
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    be sufficient to work off of. Lastly, all the exercises have
    a link to a video the place the exercise is performed.
    This is till I construct a library of my very own with visible demos
    of workouts. For instance, let’s say that you’re doing barbell curls –
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    Some additionally argue that newbies or "skinny guys" want different approaches,
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    high quality muscle. Embrace endurance and adaptability exams
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    As somebody that already spends an excellent few hours per week within the gym you’re no stranger to hard work and heavy weights.
    Lastly, I’ll repeat what I said about progressive overload.
    It is the lacking key in most people’s exercise routines,
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    any progress. The purpose the long head of the triceps
    is labored so nicely from the barbell mendacity tricep extension is that the
    muscle head passes each your elbow joint and your shoulder joint.

    For anyone seeking to optimize mass, increase power or just enhance
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    features are non-existent. It can take time for sure, however what we’re after
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    In this detailed guide we take you thru every step of the mass building course of.

    The concepts for again day additionally apply to your chest
    exercise. You’ll hit a little traps at the finish (kind of such as you hit a little quads after back).
    There are 2 core explanation why you go to the health club and pound the weights.

    They are the best methods to increase your whole calories.
    After protein, we’ll be filling up our plate with calories
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    restricted time, energy, and effort. You’ll work with our
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    This means, you’re making better use of your inter-set rest durations by doing another
    train. You won’t want as a lot relaxation between single-joint workouts, similar to dumbbell curls,
    lateral raises and pressdowns. So make certain to
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    With train and dietary plans in general, you need to
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    Whereas healthy fat aren’t necessarily tied to muscle building, they’re a great supply of power, together with carbs.
    Early on, you’ll likely experience some lingering soreness.

    This is a real full-body exercise that immediately hits your hamstrings, decrease back, lats, rhomboids, trapezius, deltoids and biceps.
    In this exercise, you may be doing a twist on the standard deadlift rep scheme that can ramp up the
    intensity over 6 sets of 6 reps. A exercise that comes with heavy compound workout routines with a combine of
    isolation workouts and general volume (more units and reps).
    I’ll clarify why below, however first let’s check out what a easy
    bodybuilding exercise appear to be. This part continues to make use of a four-day cut up, however bodyparts are paired differently—namely, chest and back are trained on the identical day (Day 1), as are biceps and triceps (Day 4).
    This is little greater than a way of adjusting things up, giving your muscular tissues
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    new muscle growth.
    By continuously difficult yourself with heavier hundreds and more reps, you will
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    It Is necessary to notice that development doesn't must be linear.

    If you reach a degree the place completing all sets at 10 reps turns
    into difficult, don't worry.
    The handiest break up is one that fits your particular person wants and lets you prepare regularly with
    out burnout. Additionally, overcomplicating the cut up can result in confusion. Stick to a structure
    that permits you to focus on your lifts and progress with out pointless complexity.

    One Other mistake is selecting a split that doesn’t align together with your objectives.
    For instance, when you're focused on hypertrophy but follow a
    strength-oriented program, you may not obtain the specified outcomes.

    One of the main benefits of the Full Physique Split is its versatility.

    This is often accomplished in your last set and in path
    of the end of your workout. Either way, I do
    recommend taking at least 1 day of rest after 4 consecutive workouts.

    You’re going to want to have restoration time with these intense exercises.
    Talking of injury, you wish to try to shake up your routine once in a while.
    If you progressively overload the same muscles again and again in a brief period of time,
    you run the danger of damage from overusing these muscles.

    The best training cut up is dependent upon your physique, objectives, and recovery capability.
    Flexibility in your coaching schedule is important
    for long-term success.
    It automates your programming, adapts to your progress, and optimizes your exercises, so you don’t need to
    overthink it. However, whereas full body splits can preserve
    your muscle mass, they may not be optimal for long-term
    progress. The lack of specialization can lead to insufficient quantity for particular
    muscle teams. If your aim is to construct muscle, contemplate this
    method a stopgap somewhat than a permanent resolution. For occasion, many
    bodybuilders advocate for splits that allow for muscle restoration whereas maximizing tension. They often argue that training a muscle group two to 3 instances every
    week can improve growth.
    Talk About NANBF/IPE, INBF/WNBF, OCB, ABA, INBA/PNBA,
    and IFPA bodybuilding, noncompetitive bodybuilding, diets for the natural
    lifters, exercise routines and more! All are welcome here however this sub is intended for intermediate to advanced lifters, we ask that newbies utilize the weekly and every day dialogue threads on your needs.
    It’s referred to as "getting in shape," and it ought to be done no less than 4 days per week.

    Your body adapts to changes, however only if those modifications are executed with
    consistency. Getting to the health club, or understanding inconsistently, will translate to inconsistent results.

    Set aside no less than forty five minutes of devoted to your workout program 4-5 days per week.
    In this text, we’ll take a glance at a push exercise that is equally effective
    for growing your strength and adding muscle mass. We’ll cover the exercises, sets and reps,
    and other necessary components for your positive aspects.

    It is not necessary to carry out all workouts you're acquainted with
    on a regular basis. Choose 5-6 workout routines that work well
    together (without duplicating movements), focusing on the identical muscle group or
    body space but in a novel manner.

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