What are the principles of treatment for myelodysplastic syndromes MDS?

Myelodysplastic syndrome, referred to as MDS, is the case of pathological hematopoiesis of the bone marrow, ineffective hematopoiesis, the same is not able to make normal blood cells, you can understand the bone marrow as a hematopoietic factory, the factory has hematopoietic workers, and the workers normally make 10 stem cells a day, suddenly one day, in order to achieve this quantity regardless of quality, 20 stem cells are made, but among these 20 stem cells, 15 are unhealthy, immature, naïve, that is, do not have the function of normal stem cells. So only 5 can be used, so there are fewer cells that are good.

Then we take conventional **, hormone medication, it can promote bone marrow hematopoiesis, you can imagine that hormones are a leather whip, has been whipping only 5 workers, in order to speed up production, the work indicators are completed, and then after whipping, 5 workers may exceed the work indicators of the day, at this time the hemoglobin value of peripheral blood is normal.

However, once the hormone is reduced or stopped, the 5 workers do not want to make blood because they are tired, and it is always the 5 workers who are working, so the hormone medication treats the symptoms but not the root cause, if you want to treat the root cause, we Chinese medicine said that we should cure the 5 sick workers, that is, to improve the function of bone marrow hematopoiesis, so that they can work normally.

If you need to consult the condition of myelodysplastic syndrome, you can poke the [Blood Disease Public Welfare Consultation Appointment Application Form.

Get help. Code words are hard, hope.

Which of the following is FALSE about myelodysplastic syndrome?

a."Pathological hematopoiesis" occurs in the bone marrow

b."Pathological hematopoiesis" is characteristic of MDS.

c.Some patients develop acute myeloid leukemia.

Elimination of RAEB-T in new typing of MDS

Patients may have chromosomal abnormalities.

Correct answer: B

Answer]: Type C: Refractory anemia (RA), annular ferrugranules, refractory anemia (RAS), refractory anemia with increased blasts (RAEB), refractory anemia, Chai blood with increased blasts, transformational (RAEB-T), chronic myelounicellular leukemia (CMML).

Hemographic Glide ( ) blasts 1% blasts 1% blasts 5% blasts 5% blasts 5% blasts with a monocyte count of 1 109 l

Bone marrow like ( ) blast 5% blast 5%, ring sideroblast 15% blast 5 20% blast 20 30% or auer body blast 5 20% 20%, predominantly young single cell.

Which stage of MDS is diagnosed on bone piercing, what drugs are being used now**, and what are the specific symptoms.

The syndrome differentiation is qi and yin deficiency, yin deficiency and yang, spleen and kidney double loss, and most patients are mainly anemia, manifested as dizziness, fatigue and fatigue, palpitation and shortness of breath, yellow or pale complexion, pale nails, pale tongue and thin pulse. Adopt kidney, marrow, and blood-based throughout the whole process, and select the preparation of Shou Wu, Rehman, Yamagi meat, deer horn gum, wolfberry, Morinda officinalis, ginseng, astragalus, lotus grass, ligustrum, Cordyceps sinensis, etc. to form "Fuzheng Shengxue Soup", which is clinically applied to improve the body's immune function, stabilize the normal cell function state, promote the normal proliferation of hematopoietic stem cells, repair cell damage, and restore bone marrow pathological nucleated cells to normal.

Hello! Due to the different lengths of the natural course of MDS and the complexity of the disease, it brings certain difficulties to the patient, and can only be given according to the specific condition of each patient. It is best to stage by type**, e.g., RA can be by aplastic or general support**; RAS can be added with vitamin B, etc. according to RA**, RAEB and RAEB T do not need to be strong ** in principle, but drugs that induce cell differentiation can be tried, and some RAEB T cases can also be combined with chemotherapy or bone marrow transplantation according to acute leukemia according to the condition.

The western medicine of MDS** has the following points:

1) Support**: such as blood transfusion, anti-infection, etc.

2) Vitamins**: such as vitamin B12, etc.;

3) Hormones: corticosteroids and male hormones;

4) Induced differentiation**: low-dose cytarabine, etc.:

5) aggressive chemotherapy;

6) Bone marrow transplant.

Dialectical diagnosis and treatment of traditional Chinese medicine, the combination of Chinese and Western medicine has a better effect.

At present, there is no specific method for myelodysplastic syndrome (MDS), and MDS is divided into low-risk group and high-risk group in clinical practice. The low-risk group is mostly RA, RAS, and RCMD patients, with anemia as the main manifestations of dizziness, fatigue, fatigue, palpitation, shortness of breath, yellowish or pale complexion, pale tongue and thin pulse. Most of the high-risk groups are RAEB patients, with anemia with fever, hemorrhage, hepatosplenomegaly, and dark yellow tongue as the main manifestations, and the treatment is mainly to detoxify and eliminate stasis, regulate bone marrow hematopoiesis, treat pathological blood cell production, supplemented by kidney tonic and sperm filling, so as to promote normal hematopoiesis.