{"id":8469,"date":"2022-01-30T16:38:54","date_gmt":"2022-01-30T14:38:54","guid":{"rendered":"https:\/\/amen.org.il\/%d7%9e%d7%aa%d7%99-%d7%9e%d7%aa%d7%97%d7%99%d7%9c%d7%99%d7%9d-%d7%91%d7%98%d7%99%d7%a4%d7%95%d7%9c\/"},"modified":"2022-06-09T10:40:25","modified_gmt":"2022-06-09T08:40:25","slug":"when-to-start-treatment","status":"publish","type":"page","link":"https:\/\/amen.org.il\/ar\/when-to-start-treatment\/","title":{"rendered":"\u0645\u062a\u0649 \u0646\u0628\u062f\u0623 \u0628\u0627\u0644\u0639\u0644\u0627\u062c\u061f"},"content":{"rendered":"\n

\u0644\u0627 \u0646\u0628\u062f\u0623 \u0639\u0627\u062f\u0629 \u0628\u0639\u0644\u0627\u062c \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f (\u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627) \u0645\u0628\u0627\u0634\u0631\u0629 \u0628\u0639\u062f \u0627\u0644\u062a\u0634\u062e\u064a\u0635. \u0641\u064a \u0627\u0644\u0641\u0635\u0644 \u0627\u0644\u062a\u0627\u0644\u064a \u0633\u0646\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a \u0627\u0644\u062a\u064a \u062a\u0624\u062b\u0631 \u0639\u0644\u0649 \u0627\u0644\u0642\u0631\u0627\u0631 \u0645\u062a\u0649 \u0646\u0628\u062f\u0623 \u0628\u0627\u0644\u0639\u0644\u0627\u062c.<\/p>\n\n\n\n

\u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0627\u0644\u062a\u064a \u0644\u0627 \u062a\u0648\u062c\u0628 \u0627\u0644\u0639\u0644\u0627\u062c – MGUS \u0648\u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627 \u0627\u0644\u0632\u0627\u062d\u0641\u0629 (\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0632\u0627\u062d\u0641).<\/h3>\n\n\n\n

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  1. MGUS<\/strong>
    <\/strong>(Monoclonal Gammopathy of Undetermined significance)<\/strong><\/li><\/ol>\n\n\n\n

    \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0627\u0639\u062a\u0644\u0627\u0644 \u0627\u0644\u062c\u0627\u0645\u0627\u0626\u064a \u0623\u062d\u0627\u062f\u064a \u0627\u0644\u0646\u0633\u064a\u0644 MGUS \u062a\u064f\u0643\u062a\u0634\u0641 \u0641\u064a \u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u062f\u0645 \u0625\u0641\u0631\u0627\u0632\u0627\u062a \u0645\u0641\u0631\u0637\u0629 \u0628\u0639\u0636 \u0627\u0644\u0634\u064a\u0621 \u0644\u0644\u0628\u0631\u0648\u062a\u064a\u0646 \u0623\u062d\u0627\u062f\u064a \u0627\u0644\u0646\u0633\u064a\u0644 \u062f\u0648\u0646 \u0623\u0646 \u062a\u0643\u0648\u0646 \u0623\u064a \u0639\u0648\u0627\u0631\u0636 \u0644\u0644\u0645\u0631\u0636. \u0647\u0646\u0627\u0643 \u0632\u064a\u0627\u062f\u0629 \u062e\u0641\u064a\u0641\u0629 \u0628\u0639\u062f\u062f \u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0628\u0644\u0627\u0632\u0645\u0627 \u0627\u0644\u0635\u0627\u062f\u0631\u0629 \u0645\u0646 \u062e\u0644\u064a\u0629 \u0648\u062d\u064a\u062f\u0629\u060c \u0648\u0644\u0643\u0646 \u0644\u0627 \u062a\u062a\u0633\u0628\u0628 \u0628\u0636\u0631\u0631 \u0644\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u062c\u0633\u062f \u0627\u0644\u0645\u062e\u062a\u0644\u0641\u0629 (\u0645\u0627 \u064a\u064f\u0639\u0631\u0641 \u0643\u0640\u201d\u062f\u0648\u0646 \u0627\u0644\u0645\u0633\u0627\u0633 \u0628\u0623\u0639\u0636\u0627\u0621 \u0627\u0644\u0647\u062f\u0641\u201d).<\/p>\n\n\n\n

    \u0641\u064a \u062d\u0627\u0644\u0629 MGUS \u062a\u0634\u0643\u0644 \u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0628\u0644\u0627\u0632\u0645\u0627 \u201c\u0627\u0644\u0646\u0633\u064a\u0644\u064a\u0629\u201d \u0623\u0642\u0644 \u0645\u0646 10% \u0645\u0646 \u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0646\u062e\u0627\u0639 \u0627\u0644\u0646\u064f\u062e\u0627\u0639 \u0627\u0644\u0639\u0638\u0645\u064a\u0651 \u0648\u062a\u0643\u0627\u062b\u0631\u0647\u0645 \u0627\u0644\u0637\u0641\u064a\u0641 \u0644\u0627 \u064a\u062a\u0633\u0628\u0628 \u0628\u0636\u0631\u0631 \u0644\u0644\u0639\u0638\u0627\u0645 \u0623\u0648 \u0644\u0623\u064a \u0623\u0636\u0631\u0627\u0631 \u0623\u062e\u0631\u0649.<\/p>\n\n\n\n

    \u0641\u064a \u0647\u0630\u0647 \u0627\u0644\u062d\u0627\u0644\u0629 \u0644\u0627 \u062d\u0627\u062c\u0629 \u0628\u0627\u0644\u0639\u0644\u0627\u062c\u060c \u0648\u0625\u0646\u0645\u0627 \u0628\u0627\u0644\u0645\u062a\u0627\u0628\u0639\u0629 \u0627\u0644\u0637\u0628\u064a\u0629 \u0641\u062d\u0633\u0628.<\/strong><\/p>\n\n\n\n

    \u0627\u0644\u063a\u0627\u0644\u0628\u064a\u0629 \u0627\u0644\u0639\u0638\u0645\u0649 \u0645\u0646 \u062d\u0627\u0644\u0627\u062a MGUS \u0644\u0627 \u062a\u062a\u0637\u0648\u0651\u0631 \u0625\u0644\u0649 \u0648\u0636\u0639\u064a\u0629 \u062a\u0633\u062a\u0648\u062c\u0628 \u0627\u0644\u0639\u0644\u0627\u062c. \u0644\u0623\u0633\u0628\u0627\u0628 \u063a\u064a\u0631 \u0645\u0643\u062a\u0645\u0644\u0629 \u0627\u0644\u0648\u0636\u0648\u062d\u060c \u0641\u064a \u0642\u0633\u0645 \u0635\u063a\u064a\u0631 \u0645\u0646 \u0627\u0644\u062d\u0627\u0644\u0627\u062a\u060c \u0646\u062d\u0648 1% \u0645\u0646 \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0633\u0646\u0648\u064a\u064b\u0627\u060c \u0642\u062f \u064a\u062a\u0637\u0648\u0651\u0631 MGUS \u0625\u0644\u0649 \u0648\u0631\u0645 \u0646\u062e\u0627\u0639\u064a\u0651 \u0645\u062a\u0639\u062f\u062f \u064a\u0633\u062a\u0648\u062c\u0628 \u0627\u0644\u0639\u0644\u0627\u062c.<\/p>\n\n\n\n

    \u062c\u062f\u064a\u0631 \u0628\u0627\u0644\u0630\u0643\u0631 \u0623\u0646 \u062d\u0627\u0644\u0629 \u062a\u0648\u0627\u062c\u062f \u0628\u0631\u0648\u062a\u064a\u0646\u0627\u062a \u0623\u062d\u0627\u062f\u064a\u0629 \u0627\u0644\u0646\u0633\u064a\u0644 \u0641\u064a \u0627\u0644\u062f\u0645\u060c \u062f\u0648\u0646 \u0623\u0646 \u064a\u0643\u0648\u0646 \u0623\u0630\u0649 \u0645\u0627 \u0648\u0628\u0634\u0643\u0644 \u0644\u0627 \u064a\u0633\u062a\u0648\u062c\u0628 \u0627\u0644\u0639\u0650\u0644\u0627\u062c\u060c \u0644\u064a\u0633\u062a \u062d\u0627\u0644\u0629 \u0646\u0627\u062f\u0631\u0629 \u0641\u064a \u0627\u0644\u0645\u062c\u062a\u0645\u0639 \u0628\u0644 \u062d\u0627\u0644\u0629 \u0634\u0627\u0626\u0639\u0629 \u0623\u0643\u062b\u0631 \u0648\u0623\u0643\u062b\u0631 \u0643\u0644\u0645\u0627 \u0632\u0627\u062f \u0627\u0644\u0639\u0645\u0631.<\/p>\n\n\n\n

    2. \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a\u0651 \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0645\u0647\u0627\u0648\u062f \/ \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627 \u0627\u0644\u0632\u0627\u062d\u0641\u0629 (Smoldering Myeloma)<\/strong><\/p>\n\n\n\n

    \u0641\u064a \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u0642\u0648\u064a \u0627\u0644\u0645\u064f\u0647\u0627\u0648\u062f (\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0645\u064f\u0647\u0627\u0648\u062f \/\u00a0 \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627 \u0627\u0644\u0632\u0627\u062d\u0641\u0629) \u0646\u0642\u0648\u0645 \u0628\u062a\u0634\u062e\u064a\u0635 \u0625\u0641\u0631\u0627\u0632 \u0645\u0641\u0631\u0637 \u0644\u0644\u0623\u062c\u0633\u0627\u062f \u0627\u0644\u0645\u0636\u0627\u062f\u0629 \u0623\u062d\u0627\u062f\u064a\u0629 \u0627\u0644\u0646\u0633\u064a\u0644\u064a\u0629 \u0641\u064a \u0627\u0644\u062f\u0645 \u0623\u0648 \u0627\u0644\u0628\u0648\u0644\u060c \u0643\u0645\u0627 \u0641\u064a \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f\u060c \u062f\u0648\u0646 \u0623\u0646 \u064a\u062a\u0633\u0628\u0628 \u0628\u0636\u0631\u0631 \u0623\u0648 \u0623\u0630\u0649 \u0644\u0623\u0639\u0636\u0627\u0621 \u0627\u0644\u062c\u0633\u0645 \u0627\u0644\u0645\u062e\u062a\u0644\u0641\u0629.
    \u0644\u0647\u0630\u0627 \u0627\u0644\u0633\u0628\u0628\u060c \u064a\u0645\u0643\u0646 \u0623\u0646 \u0646\u0633\u0645\u064a \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u0642\u064a\u064a \u0627\u0644\u0645\u064f\u0647\u0627\u0648\u062f (\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0645\u064f\u0647\u0627\u0648\u062f) \u0623\u064a\u0636\u064b\u0627 \u0643\u0640: \u0648\u0631\u0645 \u0646\u064f\u062e\u0627\u0639\u064a \u0645\u062a\u0639\u062f\u062f \u0639\u062f\u064a\u0645 \u0627\u0644\u0623\u0639\u0631\u0627\u0636.<\/p>\n\n\n\n

    \u0628\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u0642\u0648\u064a \u0627\u0644\u0645\u064f\u0647\u0627\u0648\u062f (\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0645\u0647\u0627\u0648\u062f) \u0646\u0642\u0648\u0645 \u0628\u062a\u0634\u062e\u064a\u0635 \u062e\u0644\u0627\u064a\u0627 \u0633\u0631\u0637\u0627\u0646\u064a\u0629 \u0641\u064a \u0627\u0644\u0646\u062e\u0627\u0639 \u0627\u0644\u0639\u0638\u0645\u064a\u0651 \u0628\u062f\u0631\u062c\u0629 10% \u0623\u0648 \u0623\u0643\u062b\u0631\u060c \u0623\u0648 \u0623\u0646 \u0645\u0633\u062a\u0648\u064a\u0627\u062a \u0627\u0644\u0627\u062c\u0633\u0627\u0645 \u0627\u0644\u0645\u0636\u0627\u062f\u0629 \u0623\u062d\u0627\u062f\u064a\u0629 \u0627\u0644\u0646\u0633\u064a\u0644\u064a\u0629 \u0641\u064a \u0627\u0644\u062f\u0645 \u0623\u0648 \u0627\u0644\u0628\u0648\u0644 \u062a\u0643\u0648\u0646 \u062d\u0627\u0636\u0631\u0629 \u0628\u0634\u0643\u0644 \u0623\u0643\u0628\u0631\u060c \u0648\u0641\u064a \u0627\u0644\u0645\u0642\u0627\u0628\u0644\u060c \u0644\u0627 \u064a\u0648\u062c\u062f \u0623\u064a \u0636\u0631\u0631 \u0623\u0648 \u0623\u0630\u0649 \u0644\u0623\u0639\u0636\u0627\u0621 \u0627\u0644\u062c\u0633\u0645 \u0627\u0644\u0645\u062e\u062a\u0644\u0641\u0629. \u0628\u0645\u0627 \u0623\u0646 \u0646\u0633\u0628\u0629 \u062e\u0637\u0648\u0631\u0629 \u0638\u0647\u0648\u0631 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0623\u0639\u0644\u0649 \u0641\u064a \u062d\u0627\u0644\u0629 MGUS \u0633\u0646\u0642\u0648\u0645 \u0628\u0645\u062a\u0627\u0628\u0639\u0629 \u0628\u0648\u062a\u064a\u0631\u0629 \u0623\u0643\u0628\u0631.\u0623\u062c\u0631\u064a\u062a \u0645\u0624\u062e\u0631\u064b\u0627 \u0623\u0628\u062d\u0627\u062b \u0645\u062e\u062a\u0644\u0641\u0629 \u0642\u064f\u062f\u0645 \u062e\u0644\u0627\u0644\u0647\u0627 \u0639\u0644\u0627\u062c \u0645\u0633\u0628\u0642 \u0641\u064a \u0645\u0631\u062d\u0644\u0629 \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627 \u0627\u0644\u0632\u0627\u062d\u0641\u0629 (\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0632\u0627\u062d\u0641) \u0628\u0647\u062f\u0641 \u0641\u062d\u0635 \u0645\u0627\u0647\u064a\u0629 \u0627\u0644\u062f\u0645\u062c \u0627\u0644\u0623\u0643\u062b\u0631 \u0646\u062c\u0627\u0639\u0629 \u0644\u0648\u0642\u0641 \u062a\u0642\u062f\u0645 \u0627\u0644\u0645\u0631\u0636 \u0627\u0644\u0641\u0639\u0651\u0627\u0644. \u0644\u0627 \u064a\u0632\u0627\u0644 \u0644\u0627 \u064a\u0648\u062c\u062f \u0623\u064a \u0627\u062b\u0628\u0627\u062a \u0644\u0646\u062c\u0627\u0639\u0629 \u0647\u0630\u0627 \u0627\u0644\u062a\u0648\u0651\u062c\u0647\u060c \u0648\u0644\u0630\u0644\u0643 \u0641\u0625\u0646 \u0627\u0644\u062a\u0648\u0635\u064a\u0629 \u0627\u0644\u064a\u0648\u0645 \u0647\u064a \u0628\u0645\u0648\u0627\u0635\u0644\u0629 \u0627\u0644\u0645\u062a\u0627\u0628\u0639\u0629 \u0628\u0648\u062a\u064a\u0631\u0629 \u0623\u0643\u0628\u0631 (\u0645\u0631\u0629 \u0643\u0644 2 – 4 \u0623\u0634\u0647\u0631) \u0648\u0644\u0643\u0646 \u0644\u064a\u0633 \u0627\u0644\u0639\u0644\u0627\u062c.<\/strong><\/p>\n\n\n\n

    <\/p>\n\n\n\n

    \u0645\u062a\u0649 \u0646\u0628\u062f\u0623 \u0628\u0627\u0644\u0639\u0644\u0627\u062c \u0628\u0627\u0644\u0641\u0639\u0644\u061f<\/h2>\n\n\n\n

    \u0643\u0645\u0627 \u0630\u0643\u0631\u0646\u0627\u060c \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0645\u0648\u0635\u0648\u0641\u0629 \u0623\u0639\u0644\u0627\u0647\u060c \u0647\u064a \u062d\u0627\u0644\u0627\u062a \u0645\u0633\u0628\u0642\u0629 \u0646\u0634\u062f\u062f \u0641\u064a\u0647\u0627 \u0639\u0644\u0649 \u0645\u062a\u0627\u0628\u0639\u0629 \u0648\u0645\u0631\u0627\u0642\u0628\u0629 \u0645\u0646\u062a\u0638\u0645\u0629\u060c \u0641\u064a \u0623\u062d\u064a\u0627\u0646 \u0642\u062f \u062a\u0645\u062a\u062f \u0644\u0639\u062f\u0629 \u0633\u0646\u0648\u0627\u062a\u060c \u0644\u0643\u0646 \u062f\u0648\u0646 \u0623\u0646 \u0646\u0628\u062f\u0623 \u0628\u0623\u064a \u0639\u0644\u0627\u062c. \u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u0634\u0627\u0630\u0629 \u0641\u064a \u0647\u0630\u0647 \u0627\u0644\u062d\u0627\u0644 \u062a\u064f\u0639\u0646\u0649 \u0628\u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u0648\u0625\u0646 \u0643\u0627\u0646\u0648\u0627 \u064a\u0639\u0627\u0646\u0648\u0646 \u0645\u0646 \u0627\u0644\u0627\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a\u0651 \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0644\u0643\u0646 \u0645\u0639 \u0646\u0633\u0628\u0629 \u062e\u0637\u0648\u0631\u0629 \u0639\u0627\u0644\u064a\u0629 \u0628\u0634\u0643\u0644 \u062e\u0627\u0635.<\/p>\n\n\n\n

    <\/h3>\n\n\n\n

    CRAB – \u0645\u0624\u0634\u0631\u0627\u062a \u0644\u0628\u062f\u0621 \u0627\u0644\u0639\u0644\u0627\u062c \u0628\u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0646\u062e\u0627\u0639\u064a\u0651 (\u0645\u064a\u0627\u0644\u0648\u0645\u0627)<\/strong><\/p>\n\n\n\n

    \u0641\u064a \u0627\u0644\u0645\u0627\u0636\u064a \u0643\u0627\u0646\u0648\u0627 \u064a\u0628\u0627\u0634\u0631\u0648\u0646 \u0627\u0644\u0639\u0644\u0627\u062c \u0639\u0646\u062f\u0645\u0627 \u0643\u0627\u0646 \u064a\u062a\u0645 \u0623\u0630\u0649 \u0623\u0648 \u0636\u0631\u0631 \u0641\u0639\u0644\u064a\u0651 \u0641\u064a \u0648\u0627\u062d\u062f \u0623\u0648 \u0623\u0643\u062b\u0631 \u0645\u0646 \u0627\u0644\u0623\u0639\u0636\u0627\u0621 \u0627\u0644\u0645\u0633\u062a\u0647\u062f\u0641\u0629 \u0627\u0644\u062a\u0627\u0644\u064a\u0629:<\/p>\n\n\n\n

    C – \u0627\u0631\u062a\u0641\u0627\u0639 \u0628\u0646\u0633\u0628\u0629 \u0627\u0644\u0643\u0627\u0644\u0633\u064a\u0648\u0645 \u0641\u064a \u0627\u0644\u062f\u0645\u060c <\/strong>\u0641\u0631\u0637 \u0627\u0644\u0643\u0650\u0644\u0633\u0645\u064a\u0629 (hyperc<\/strong>alcemia).<\/p>\n\n\n\n

    R – \u0636\u0631\u0631 \u0628\u0623\u062f\u0627\u0621 \u0627\u0644\u0643\u0650\u0644\u0649 – \u0627\u0644\u0641\u0634\u0644 \u0627\u0644\u0643\u064f\u0644\u0648\u0650\u064a\u0651 <\/strong>\u0648\u0627\u0641\u0631\u0627\u0632 \u0628\u0631\u0648\u062a\u064a\u0646 \u0628\u0645\u0633\u062a\u0648\u064a\u0627\u062a \u0645\u0639\u0632\u0632\u0629 \u0641\u064a \u0627\u0644\u0628\u0648\u0644 (R<\/strong>enal failure)\u00a0<\/p>\n\n\n\n

    A – \u0641\u0642\u0631 \u0627\u0644\u062f\u0645 (\u0627\u0644\u0634\u064f\u062d\u0627\u0628 Anemia) <\/strong>\u0627\u0646\u062e\u0641\u0627\u0636 \u0627\u0644\u0647\u064a\u0645\u0648\u063a\u0644\u0648\u0628\u064a\u0646 \u0641\u064a \u0623\u0639\u0642\u0627\u0628 \u0627\u0636\u0637\u0631\u0627\u0628 \u0627\u0644\u0627\u0646\u062a\u0627\u062c \u0627\u0644\u0633\u0644\u064a\u0645 \u0644\u0643\u0631\u064a\u0627\u062a \u0627\u0644\u062f\u0645 \u0627\u0644\u062d\u0645\u0631\u0627\u0621\u060c \u0648\u0646\u062a\u064a\u062c\u0629 \u0630\u0644\u0643 \u064a\u062a\u0633\u0628\u0628 \u0628\u0627\u0644\u0634\u0639\u0648\u0631 \u0628\u0627\u0644\u0636\u0639\u0641 \u0648\u0627\u0644\u0627\u0631\u0647\u0627\u0642 (A<\/strong>nemia).<\/p>\n\n\n\n

    B – \u062a\u0622\u0643\u0644 \u0645\u0636\u0627\u0639\u0641 \u0644\u0644\u0639\u0638\u0645 <\/strong>\u0648\u0627\u0644\u0627\u0635\u0627\u0628\u0629 \u0628\u0645\u0628\u0646\u0649 \u0627\u0644\u0639\u0638\u0627\u0645\u060c \u0645\u0627 \u064a\u062a\u0633\u0628\u0628 \u0628\u0622\u0644\u0627\u0645 (B<\/strong>one).<\/p>\n\n\n\n

    \u0648\u0628\u0647\u0630\u0627 \u0623\u0637\u0644\u0642 \u0639\u0644\u064a\u0647\u0645 \u062d\u0643\u0645\u0627\u0626\u0646\u0627 \u0627\u0644\u0645\u0624\u0634\u0631\u0627\u062a – \u201cCRAB\u201d.<\/strong><\/p>\n\n\n\n

    \u0627\u0644\u062c\u0627\u0646\u0628 \u0627\u0644\u0633\u0644\u0628\u064a \u0627\u0644\u0623\u0633\u0627\u0633\u064a \u0644\u0647\u0630\u0627 \u0627\u0644\u062a\u0648\u0651\u062c\u0647 \u0647\u0648 \u0623\u0646 \u0627\u0644\u062a\u0648\u0635\u064a\u0629 \u0628\u0628\u062f\u0621 \u0627\u0639\u0637\u0627\u0621 \u0627\u0644\u0639\u0644\u0627\u062c \u062a\u062a\u0637\u0631\u0642 \u0641\u0642\u0637 \u0644\u0644\u0623\u0634\u062e\u0627\u0635 \u0627\u0644\u0630\u064a\u0646 \u0633\u0628\u0642 \u0648\u0639\u0627\u0646\u0648\u0627 \u0645\u0646 \u0636\u0631\u0631 \u0645\u0639\u064a\u0651\u0646 \u0641\u064a \u0648\u0627\u062d\u062f \u0645\u0646 \u0623\u0639\u0636\u0627\u0621 \u062c\u0633\u062f\u0647\u0645. \u0641\u064a \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u062d\u0627\u0644\u0627\u062a \u0636\u0631\u0631 \u0643\u0647\u0630\u0627 \u064a\u0643\u0648\u0646 \u0645\u064f\u0639\u062a\u0628\u0631\u064b\u0627 \u0648\u063a\u064a\u0631 \u0642\u0627\u0628\u0644 \u0644\u0644\u062a\u0635\u062d\u064a\u062d. \u0623\u0634\u062e\u0627\u0635 \u064a\u0639\u0627\u0646\u0648\u0646 \u0645\u0646 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u0642\u064a\u064a \u0627\u0644\u0645\u064f\u0647\u0627\u0648\u062f (\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u0647\u0627\u0648\u062f) \u062f\u0648\u0646 \u0636\u0631\u0631 \u0628\u0627\u0644\u0623\u0639\u0636\u0627\u0621\u060c \u0644\u0645 \u064a\u062d\u0635\u0644\u0648\u0627 \u0639\u0644\u0649 \u0639\u0644\u0627\u062c.<\/p>\n\n\n\n

    SLIM CRAB – \u0645\u0639\u0627\u064a\u064a\u0631 \u062c\u062f\u064a\u062f\u0629<\/strong><\/p>\n\n\n\n

    \u0645\u0639 \u0627\u0644\u0648\u0642\u062a \u0648\u0639\u0644\u0649 \u0648\u0642\u0639 \u0646\u062a\u0627\u0626\u062c \u0648\u0627\u0633\u062a\u062e\u0644\u0627\u0635\u0627\u062a \u0627\u0644\u0623\u0628\u062d\u0627\u062b \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629\u060c \u062a\u0645 \u062a\u0637\u0648\u064a\u0631 \u0645\u0639\u0627\u064a\u064a\u0631 \u0645\u064f\u062d\u062f\u0651\u062b\u0629 \u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a\u0651 \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0641\u0639\u0651\u0627\u0644. \u0647\u0630\u0647 \u0627\u0644\u0645\u0639\u0627\u064a\u064a\u0631 \u0627\u0644\u062c\u062f\u064a\u062f\u0629 \u062a\u0633\u0627\u0647\u0645 \u0628\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u0642\u062f \u064a\u0633\u062a\u0641\u064a\u062f\u0648\u0646 \u0645\u0646 \u0627\u0644\u0639\u0644\u0627\u062c \u0641\u064a \u0645\u0631\u062d\u0644\u0629 \u0645\u0628\u0643\u0631\u0629\u060c \u062d\u062a\u0649 \u0642\u0628\u0644 \u0623\u0646 \u064a\u0643\u0648\u0646 \u0642\u062f \u062a\u0633\u0628\u0628 \u0628\u0636\u0631\u0631 \u0628\u0633\u064a\u0637 \u0644\u0644\u0623\u0639\u0636\u0627\u0621 \u0641\u064a \u062c\u0633\u062f\u0647\u0645. \u0627\u0644\u0645\u0624\u0634\u0631\u0627\u062a \u0627\u0644\u0645\u0628\u0643\u0631\u0629 \u062a\u064f\u0634\u064a\u0631 \u0625\u0644\u0649 \u0627\u062d\u062a\u0645\u0627\u0644 \u0643\u0628\u064a\u0631 \u0639\u0644\u0649 \u0648\u062c\u0647 \u0627\u0644\u062e\u0635\u0648\u0635 (\u0628\u0646\u0633\u0628\u0629 \u0623\u0639\u0644\u0649 \u0645\u0646 80%) \u0644\u062a\u0637\u0648\u0651\u0631 \u0636\u0631\u0631 \u0641\u0639\u0644\u064a\u0651 \u0628\u0627\u0644\u0623\u0639\u0636\u0627\u0621 \u0627\u0644\u0645\u0633\u062a\u0647\u062f\u0641\u0629 \u062e\u0644\u0627\u0644 \u0641\u062a\u0631\u0629 \u0633\u0646\u062a\u064a\u0646 \u0623\u0648 \u0623\u0642\u0644 \u0645\u0646 \u0630\u0644\u0643. \u0641\u064a \u0639\u0627\u0645 2014 \u062d\u062f\u062b\u062a \u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u0639\u0645\u0644 \u0627\u0644\u062f\u0648\u0644\u064a\u0629 \u0644\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a\u0651 (\u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f – \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627)  The International Myeloma Working Group -(IMWG) <\/strong>\u0627\u0644\u0645\u0639\u0627\u064a\u064a\u0631 \u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f – \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627.<\/p>\n\n\n\n

    \u0623\u0636\u064a\u0641\u062a \u0644\u0644\u0645\u0639\u0627\u064a\u064a\u0631 \u0627\u0644\u0642\u062f\u064a\u0645\u0629 \u0645\u0639\u0627\u064a\u064a\u0631 \u062c\u062f\u064a\u062f\u0629 \u062a\u0633\u0645\u0649 SLIM CRAB \u0648\u0627\u0644\u062a\u064a \u0646\u062a\u0646\u0627\u0648\u0644\u0647\u0627 \u0647\u0646\u0627 \u0628\u0627\u0644\u062a\u0641\u0635\u064a\u0644:<\/strong><\/p>\n\n\n\n

    S – <\/strong>\u0648\u062c\u0648\u062f 60% (\u0628\u0627\u0644\u0627\u0646\u062c\u0644\u064a\u0632\u064a\u0629 S<\/strong>ixty) \u0623\u0648 \u0623\u0643\u062b\u0631 \u0645\u0646 \u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0628\u0644\u0627\u0632\u0645\u0627 \u0641\u064a \u062e\u0650\u0632\u0639\u0629 \u0627\u0644\u0646\u064f\u062e\u0627\u0639 \u0627\u0644\u0639\u0638\u0645\u064a\u0651.<\/p>\n\n\n\n

    LI – <\/strong>\u062a\u062a\u0637\u0631\u0642 \u0644\u0644\u0633\u0644\u0627\u0633\u0644 \u0627\u0644\u062e\u0641\u064a\u0641\u0629 (\u0628\u0627\u0644\u0627\u0646\u062c\u0644\u064a\u0632\u064a\u0629 \u062a\u0639\u0646\u064a L<\/strong>ight chains) \u0628\u062d\u064a\u062b \u062a\u0643\u0648\u0646 \u0627\u0644\u0646\u0633\u0628\u0629 \u0628\u064a\u0646 \u0627\u0644\u0633\u0644\u0627\u0633\u0644 \u0627\u0644\u062e\u0641\u064a\u0641\u0629 \u0627\u0644\u0645\u062a\u062f\u0627\u062e\u0644\u0629 \u0641\u064a \u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a – \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627 \u0644\u062a\u0644\u0643 \u0627\u0644\u062a\u064a \u0644\u0627 \u062f\u062e\u0644 \u0644\u0647\u0627\u060c \u0647\u064a \u0646\u0633\u0628\u0629 100% \u0648\u0623\u0643\u062b\u0631.
    \u0645\u0644\u0627\u062d\u0638\u0629: \u0647\u0646\u0627\u0643 \u0646\u0648\u0639\u064a\u0646 \u0645\u0646 \u0627\u0644\u0633\u0644\u0627\u0633\u0644 \u0627\u0644\u062e\u0641\u064a\u0641\u0629: \u0643\u0627\u0628\u0627 \u0623\u0648 \u0644\u0627\u0645\u0628\u062f\u0627. \u0627\u0644\u0633\u0644\u0627\u0633\u0644 \u0627\u0644\u0645\u062a\u062f\u0627\u062e\u0644\u0629 \u0641\u064a \u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a – \u0627\u0644\u0645\u064a\u0627\u0644\u0648\u0645\u0627 \u0647\u064a \u062a\u0644\u0643 \u0627\u0644\u0645\u062a\u0648\u0627\u062c\u062f\u0629 \u0641\u0648\u0642 \u0627\u0644\u0645\u062c\u0627\u0644 \u0627\u0644\u0637\u0628\u064a\u0639\u064a\u0651. \u0627\u0644\u0633\u0644\u0627\u0633\u0644 \u063a\u064a\u0631 \u0627\u0644\u0645\u062a\u062f\u0627\u062e\u0644\u0629 \u062a\u062a\u0648\u0627\u062c\u062f \u0641\u064a \u0627\u0644\u0645\u062c\u0627\u0644 \u0627\u0644\u0637\u0628\u064a\u0639\u064a \u0623\u0648 \u0645\u0627 \u062f\u0648\u0646.<\/p>\n\n\n\n

    M <\/strong>– \u062a\u062a\u0637\u0631\u0642 \u0644\u0641\u062d\u0635 \u062a\u0635\u0648\u064a\u0631 \u0627\u0644\u0631\u0646\u064a\u0646 \u0627\u0644\u0645\u063a\u0646\u0627\u0637\u064a\u0633\u064a M<\/strong>RI – \u0627\u0630\u0627 \u0645\u0627 \u062a\u0628\u064a\u0651\u0646 \u0645\u0646 \u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0627\u0635\u0627\u0628\u0629 \u0628\u0623\u0643\u062b\u0631 \u0645\u0646 \u0648\u0631\u0645 \u0628\u062d\u062c\u0645 5 \u0645\u064a\u0644\u064a\u0645\u062a\u0631 \u0641\u0645\u0627 \u0641\u0648\u0642 \u064a\u0645\u0643\u0646 \u0627\u0644\u0627\u0633\u062a\u0639\u0627\u0646\u0629 \u0628\u0641\u062d\u0635 PET-CT \u0628\u0645\u0648\u062c\u0628 \u0627\u0644\u062a\u0639\u0644\u064a\u0645\u0627\u062a \u0627\u0644\u0645\u062d\u062a\u0644\u0646\u0629 \u0645\u0646 \u0627\u0644\u0639\u0627\u0645 2017.<\/p>\n\n\n\n

    \u0648\u062d\u0633\u0628 \u0627\u0644\u062a\u0648\u0651\u062c\u0647 \u0627\u0644\u0645\u062d\u062a\u0644\u0646 (\u0627\u0644\u0645\u062d\u062f\u062b)\u060c \u064a\u064f\u0646\u0635\u062d \u0628\u0628\u062f\u0621 \u0627\u0644\u0639\u0644\u0627\u062c \u0645\u0639 \u0638\u0647\u0648\u0631 \u0648\u0627\u062d\u062f \u0623\u0648 \u0623\u0643\u062b\u0631 \u0645\u0646 \u0627\u0644\u0639\u0648\u0627\u0631\u0636 \u0627\u0644\u0643\u0644\u0627\u0633\u064a\u0643\u064a\u0629 \u0644\u0644\u0640 CRAB <\/strong>\u0648\/ \u0623\u0648 \u0623\u0643\u062b\u0631 \u0645\u0646 \u0627\u0644\u0645\u0639\u0627\u064a\u064a\u0631 \u0627\u0644\u0627\u0636\u0627\u0641\u064a\u0629 \u0644\u0640 SLIM CRAB.<\/strong><\/p>\n\n\n\n

    \u062a\u0644\u062e\u064a\u0635<\/strong><\/p>\n\n\n\n

    \u0648\u062c\u0648\u062f \u0645\u0639\u064a\u0627\u0631 \u0648\u0627\u062d\u062f \u0639\u0644\u0649 \u0627\u0644\u0623\u0642\u0644 \u0645\u0646 CRAB \u0623\u0648 SLIM CRAB\u060c \u0645\u0639\u0646\u0627\u0647 \u0627\u0644\u0648\u0631\u0645 \u0627\u0644\u0646\u064f\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f \u0627\u0644\u0641\u0639\u0651\u0627\u0644 \u0627\u0644\u0630\u064a \u064a\u0633\u062a\u0648\u062c\u0628 \u0627\u0644\u0639\u0644\u0627\u062c\u060c \u062d\u062a\u0649 \u0644\u0648 \u0644\u0645 \u064a\u0643\u0646 \u0647\u0646\u0627\u0643 \u0625\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0623\u0639\u0636\u0627\u0621 \u0627\u0644\u0645\u0633\u062a\u0647\u062f\u0641\u0629 \u0627\u0644\u0645\u0648\u0635\u0648\u0641\u0629 \u0641\u064a CARB.<\/strong><\/p>\n\n\n\n

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    <\/p>\n","protected":false},"excerpt":{"rendered":"

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