Pitanja i odgovoriCategory: Hematologija – Bolesti krviŠta znači povećanje vrijednosti slobodnih lakih lanaca kod liječenja multiplog mijeloma a nakon transplatacije matičnih stanica

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Interchain wallet for Cosmos ecosystem – https://sites.google.com/mywalletcryptous.com/keplr-wallet-extension/ – explore IBC-enabled blockchains.

Browser extension for Solana – https://sites.google.com/solflare-wallet.com/solflare-wallet-extension – connect to Solana dApps seamlessly.

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Mladen Milosavljević asked 3 године ago
Poštovani,prošle godine mojoj supruzi je dijagnosticiran Multiply mijelom. Liječenje je provedeno sa 4x ciklus prema VCD protokolu, te 4xciklus prema KRd protokolu, nakon postignute minimalno VGPR učinjena je u februaru (veljači) ove godine transplatacija krvotvornih matičnih stanica. u martu (ožujku) je učinjena reevaluacija bolesti kojom je verificirana kompletna reemisija bolesti (MRD, IF negativan). Održavanje statusa – liječenje je nastavljeno lijekom Lenalidomid. Na posljednjoj kontroli 22.09.2022. godine preporučen je nastavak održavanja lenalidomidom. Nalazi su označeni kao zadovoljavajući iako se vide nešto više vrijednosti slobodnih lakih lanaca. Osim toga neki od parametara krvne slike su: L 4.30; Erc 3.03, HB 116, Hct 0,338 urea 6,5; kreatinin 123; sl Ig KAPPA 160.0 (mg/l)(6.7 – 22.4) i sl Ig LAMBDA 121.00 (mg/l)(8.3 – 27.0), sl K/L omjer 1.32 (0.31-1.56).Molim Vas da mi odgovorite o čemu se zapravo radi, šta znači to povišena vrijednost slobodnih lakih lanaca u odnosu na bolest i provedenu terapiju liječenjem (pretpostavljam da te vrijednosti pokazuju da supruga više nije u stanju reemisije i da se bolest polako vrača) i da li možete nešto savjetovati.S poštovanjem,Mladen Milosavljević

1 Answers
Dr Biljana Petrovic answered 3 године ago
Postovani 
Detekcijom slobodnih lakih lanaca kod Multiplog mijeloma pratimo bolest preciznije nego metodom odredjivanja tkz Bense Jonsovih proteina u 24 urinu .
Nalaz Vase supruge ukazuje na jedan stepen pogorsanja bolesti .
Lecenje je u domenu rada hematologa i potrebno je da se njemu obratite radi donosenja odluke o daljem lecenju .
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