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SAVREMENA TERAPIJA MULTIPLOG MIJELOMA – ZNAČAJ ZA PRIMARNU ZDRAVSTVENU ZAŠTITU /

CONTEMPORARY TREATMENT FOR MULTIPLE MYELOMA - SIGNIFICANCE FOR PRIMARY HEALTH PROTECTION

Authors

 

Miloš Jakovljević 1, Žaklina Stanković 2, Jana Kocić 3

1Dom zdravlja Kruševac,
2Dom zdravlja Medveđa,
3Medicinski fakultet Univerziteta u Nišu

 

UDK: 616.71-006.44


The paper was received / Rad primljen: 13.01.2022.

Accepted / Rad prihvaćen: 15.02.2022.

 

 

Sažetak

 

 

Na globalnom nivou incidencija multiplog mijeloma je u porastu, tako da je uvođenje jedinstvene strategije dijagnostikovanja i novih terapijskih principa neophodno. Etiologija ove bolesti nije do kraja utvrđena, tako da je lečenje otežano. Dijagnoza multiplog mijeloma se zasniva na: inicijalnoj, prognostički-značajnoj i dopunskoj dijagnostici i teško je sprovodljiva u primarnoj zdravstvenoj zaštiti u kompletnom obimu. Terapijske smernice savremenog lečenja zasnovane su na analizi prognostičkog profila bolesnika, individualnog terapijskog pristupa, proceni stepena i dužine terapijskog odgovora. U skladu sa dobijenim rezultatima osnova lečenja multiplog mijeloma u budućnosti išla bi u pravcu kombinovanja terapije sa bortezomibom  proteazom inhibitorom.

 

Ključne reči:

multipli mijelom, primarna zdravstvena zaštita, savremena terapija

 

 

 

Abstract

The global incidence of multiple myeloma is generally in the rise, so the introduction of a uniform strategy for diagnostics and new therapy principles is necessary. The ethiology of this disease does not have full determination cycles and due to that the treatment of disease is hard. Definitive causes of multiple myeloma are not well known yet. The basic diagnostics covers initial, prognoses-significant and additional diagnostics but they all hard to implement in primary health care in full volume. Modern therapy principles include the analysis of patients prognosis profile, adjusted therapy method, evaluation of the level and length of treatment response. In accordance with acquired results, the foundation of multiple myeloma therapy in the future will probably proceed in a form of combined Bortesomib proteasome inhibitor therapy.

 


Key words:

multiple myeloma, primary health care, modern therapy

 

 

 

 

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PDF: Jakovljević M. et al MD-Medical Data 2022;14(1-2): 007-012

 

 

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