Multiple myeloma is a malignant tumor that originates from plasma cells in the bone marrow and is a relatively common malignancy. It is a relatively common malignant tumor. It can be classified as solitary or multiple, but the latter is more common. It belongs to the category of “deficiency labor” and “bone paralysis” in Chinese medicine.
Diagnostic points
1.Gender and age: mostly in men aged 40-60.
2. Site: The lesion invades the adult hematogenous bone marrow, mostly in the vertebrae, ribs, skull and skeleton, and in the late stage invades the femur and humerus, but it is rare that the bone below the knee and elbow is damaged. The lesions are multiple, and “solitary” myeloma is essentially a localized lesion of a diffuse systemic lesion. Wang Shumei, Department of Oncology, The Second Hospital of Chongqing Medical University
3. Local manifestation: The main symptom is pain, mainly bone pain or peripheral pain of back and leg. The pain increases when combined with pathological fracture. Swelling and deformity may appear in the lesion. When the crestal vertebra is invaded, severe radiological pain or paraplegia may occur.
4. Systemic manifestations: mainly wasting and weakness, dizziness, palpitation, abdominal pain, nausea, vomiting, chest pain, shortness of breath, cough and anemia, lung and kidney damage.
Life care]
1, rest: general patients can be appropriate exercise, but never strenuous exercise, should avoid excessive load, to prevent falls, bruises, depending on the specific use of lumbar girth, splints, but to prevent the resulting poor blood circulation. If the body’s immune function decreases due to the consumption of long illness, the patient should rest in bed and reduce activities. When there is bone destruction, absolute bed rest should be taken to prevent causing pathological fracture.
2.Prevent pathological fracture: should sleep on a hard bed, avoid using elastic bed. Keep the patient in a comfortable position and avoid injuries, especially injuries from falling out of bed.
3.Prevent infection: this disease is more common with whistle infection and pneumonia, followed by urinary tract infection, so you should keep the room air fresh and new, the temperature is appropriate, avoid getting cold and prevent cross-infection, change the position often, and timely sputum discharge.
4, maintain emotional stability, eliminate fear, anxiety, face the reality, establish confidence to overcome the disease.
Dietary care
1. Give a high-calorie, high-protein, vitamin-rich and easy-to-digest diet. Patients with renal insufficiency should be given a low sodium, low protein or wheat starch diet to reduce the burden on the kidneys. If you have hyperuricemia and hypercalcemia, you should drink more water and keep the daily urine volume above 2000ml to prevent or reduce hypercalcemia or hyperuricemia.
2.It is advisable to eat more food with anti-myelopathy and osteosarcoma, such as kelp, nori, tamari, almond, peach kernel, etc.
3.Bone pain can eat turtle plate, turtle meat, Impatiens, oysters, walnuts.
4.Spleen enlargement is appropriate to eat snapper, loach, kelp, etc.
5, anemia is appropriate to eat pig liver, mushrooms, sesame, yellow fish, peanuts, sea cucumber, etc.
6, avoid smoking, alcohol and spicy stimulating food; avoid moldy, pickled, fried, fatty food; avoid mutton, goose, pig head meat and other hairy things.
Chinese medicine diet]
1, astragalus and silver fungus soup: astragalus 9g, silver fungus 12g, add 300ml of water, cook for 1 hour with ice sugar, serve once a day. Treatment of multiple myeloma in remission, qi-yin deficiency, dry mouth, night sweating, insomnia.
2. Fish fillet with peach kernel: fish in appropriate amount, 10g of peach kernel. shred the fish and fry it. Suitable for all types of multiple myeloma.
3.Hawthorn soup: 50g of hawthorn and 50g of safflower, cooked as a snack. Suitable for patients with multiple myeloma with hyperviscosity.