UKaposi Sarcoma

-Delile

• Yiziphi Izinhlobo Zekaposi Sarcoma?
• IKaposi Sarcoma Ehlobene Nengculazi
• IKaposi Sarcoma yakudala
• I-African Cutaneous Kaposi Sarcoma
• I-Kaposi Sarcoma ehlobene ne-Immunosuppression
• Ziyini Izimpawu zeKaposi Sarcoma?
• Ihlonza Kanjani I-Kaposi Sarcoma?
• Yiziphi Izindlela Zokwelapha zeKaposi Sarcoma?
• Ukususwa
• Ukwelashwa ngamakhemikhali
• Okunye Ukwelashwa
• Uyini Umbono Wesikhathi Eside?
• Ngingakugcina Kanjani Ukuvimbela iKaposi Sarcoma?

Kuyini iKaposi Sarcoma?

I-Kaposi sarcoma (KS) iyisimila somdlavuza. Imvamisa ivela ezindaweni eziningi esikhumbeni nasendaweni eyodwa noma eziningi ezilandelayo:

• ikhala
• umlomo
• izitho zangasese
• ingquza

Ingakhula futhi ezithweni zangaphakathi. Kungenxa yegciwane elibizwa nge- I-herpesvirus yomuntu 8, noma i-HHV-8.

Ngokwe-American Cancer Society, iKaposi sarcoma iyisimo “esichaza ingculaza”. Lokho kusho ukuthi uma i-KS ikhona kumuntu one-HIV, i-HIV yakhe isidlulele ku-AIDS. Ngokuvamile, futhi kusho ukuthi amasosha abo omzimba ayacindezelwa kuze kube sezingeni lokuthi i-KS ingakhula.

Kodwa-ke, uma une-KS, lokho akusho ukuthi une-AIDS. I-KS ingakhula kumuntu onempilo futhi.

Yiziphi Izinhlobo Zekaposi Sarcoma?

Kunezinhlobo eziningi ze-KS:

IKaposi Sarcoma Ehlobene Nengculazi

Kubantu abane-HIV, i-KS ivela cishe kubantu besilisa abathandana nabobulili obufanayo kunabanye abathola i-HIV ngokusebenzisa imithambo yegazi noma ngokuthola ukumpontshelwa. Ukulawula ukutheleleka nge-HIV ngemithi yokwelashwa ngezidambisi gciwane kube nomthelela omkhulu ekwakhiweni kwe-KS.

IKaposi Sarcoma yakudala

I-Classic, noma i-indolent, i-KS iqala kakhulu emadodeni amadala aseningizimu yeMedithera noma eMpumalanga Yurophu. Imvamisa ivela kuqala emilenzeni nasezinyaweni. Ngaphansi kokujwayelekile, kungathinta ulwelwesi lomlomo nolwelwesi lwesisu (GI). Iqhubeka kancane kancane eminyakeni eminingi futhi imvamisa ayisiyo imbangela yokufa.

I-African Cutaneous Kaposi Sarcoma

I-African Cutaneous KS ibonakala kubantu abahlala eningizimu ye-Sahara e-Afrika, mhlawumbe ngenxa yokusabalala kwe-HHV-8 lapho.

I-Kaposi Sarcoma ehlobene ne-Immunosuppression

I-KS ehlobene ne-immunosuppression ivela kubantu abake baba nezinso noma okunye ukufakelwa izitho zomzimba. Kuhlobene nemithi yokuvikela umzimba enikezwa ukusiza umzimba ukwamukela isitho esisha. Kungase futhi kuhlobane nesitho somnikeli esine-HHV-8. Inkambo ifana ne-KS yakudala.

Ziyini Izimpawu zeKaposi Sarcoma?

I-KS enqamulelayo ibukeka njengesiqeshana esicwebezelayo noma esibomvu noma esinsomi esikhunjeni. I-KS ivame ukuvela ebusweni, ezungeze ikhala noma umlomo, noma ngasesitho sangasese noma endunu. Kungaba nokubonakala okuningi ngezimo nobukhulu obuhlukile, futhi isilonda singashintsha ngokushesha ngokuhamba kwesikhathi. Lesi silonda singopha futhi noma sibe nesilonda lapho ubuso baso buphuka. Uma kuthinta imilenze engezansi, ukuvuvukala komlenze nakho kungenzeka.

I-KS ingathinta izitho zangaphakathi ezifana namaphaphu, isibindi namathumbu, kepha lokhu akujwayelekile kune-KS ethinta isikhumba. Uma lokhu kwenzeka, kaningi azikho izimpawu noma izimpawu ezibonakalayo. Kodwa-ke, ngokuya ngendawo nosayizi, ungathola ukopha uma amaphaphu akho noma umgudu wamathumbu uhilelekile. Ukuphefumula okuncane nakho kungenzeka. Enye indawo engathuthukisa i-KS ulwelwesi lomlomo wangaphakathi. Noma iyiphi yalezi zimpawu yisizathu sokufuna usizo lwezokwelapha.

Noma ivame ukuqhubeka kancane, i-KS ekugcineni ingabulala. Kufanele njalo ufune ukwelashwa kwe-KS.

Izinhlobo ze-KS ezivela emadodeni nasezinganeni ezincane ezihlala ezindaweni ezishisayo zase-Afrika yizo ezibucayi kakhulu. Uma engalashwa, lawa mafomu angaholela ekufeni kungakapheli iminyaka embalwa.

Ngenxa yokuthi i-KS engavumi ivela kubantu asebekhulile futhi kuthatha iminyaka eminingi ukukhula nokukhula, abantu abaningi babulawa ngesinye isimo ngaphambi kokuba i-KS yabo ibe sibi ngokwanele ukuba ibulale.

I-KS ehlobene nengculaza ivame ukwelashwa hhayi imbangela yokufa iyodwa.

Ihlonza Kanjani I-Kaposi Sarcoma?

Udokotela wakho uvame ukuxilonga i-KS ngokuhlolwa okubukwayo nangokubuza imibuzo ethile ngomlando wakho wezempilo. Ngoba ezinye izimo zingabukeka zifana ne-KS, ukuhlolwa kwesibili kungadingeka. Uma kungekho zimpawu ezibonakalayo ze-KS kepha udokotela wakho uyasola ungaba nayo, ungadinga ukuhlolwa okwengeziwe.

Ukuhlolelwa i-KS kungenziwa nganoma iyiphi yalezi zindlela ezilandelayo, ngokuya ngokuthi isilonda esisolwayo sikuphi:

• I-biopsy ifaka phakathi ukususwa kwamaseli endaweni okusolwa kuyo. Udokotela wakho uzothumela le sampuli ebhodini lokuhlola.
• I-X-ray ingasiza udokotela wakho ukuthi abheke izimpawu ze-KS emaphashini.
• I-endoscopy inqubo yokubuka ngaphakathi kwepheshana elingenhla le-GI, okubandakanya i-esophagus nesisu. Udokotela wakho angasebenzisa ithubhu ende, ezacile enekhamera nethuluzi le-biopsy ekugcineni ukubona ingaphakathi lepheshana le-GI futhi athathe ama-biopsies noma amasampula wezicubu.
• I-bronchoscopy iyi-endoscopy yamaphaphu.

Yiziphi Izindlela Zokwelapha zeKaposi Sarcoma?

Kunezindlela eziningi zokwelapha i-KS, kufaka phakathi:

• ukususwa
• ukwelashwa ngamakhemikhali
• i-interferon, eyi-ejenti elwa namagciwane
• imisebe

Khuluma nodokotela wakho ukunquma ukwelashwa okungcono kakhulu. Ngokuya ngesimo, ukubukwa kungabuye kunconywe kwezinye izimo. Kubantu abaningi abane-KS ehlobene nengculazi, ukuphatha i-AIDS ngemishanguzo yokuthithibalisa igciwane lengculazi kungenzeka kwanele ukuphatha iKS.

Ukususwa

Kunezindlela ezimbalwa zokususa izicubu ze-KS ngokuhlinzwa. Ukuhlinzwa kusetshenziswa uma othile enezilonda ezincane ezimbalwa, futhi kungaba ukuphela kokungenelela okudingekayo.

I-Cryotherapy ingenziwa ukubamba iqhwa nokubulala isimila. Ukufakwa kwe-electrodeiccation kungenziwa ukushisa nokubulala isimila. Lezi zindlela zokwelapha zilapha kuphela izilonda ngazinye futhi azikwazi ukugcina izilonda ezintsha zingakhuli ngoba azithinti ukutheleleka okuyisisekelo kwe-HHV-8.

Ukwelashwa ngamakhemikhali

Odokotela basebenzisa i-chemotherapy ngokuqapha ngoba iziguli eziningi sezivele zinamasosha omzimba anciphile. Isidakamizwa esisetshenziswa kakhulu ukwelapha i-KS yi-doxorubicin lipid complex (Doxil). I-Chemotherapy ivame ukusetshenziswa kuphela uma kunokubandakanyeka okukhulu kwesikhumba, lapho i-KS idala izimpawu ezithweni zangaphakathi, noma lapho izilonda zesikhumba ezincane zingaphenduli kunoma yiziphi izindlela zokususa ezingenhla.

Okunye Ukwelashwa

I-Interferon yiprotheni eyenzeka ngokwemvelo emzimbeni womuntu. Udokotela angajova uhlobo olwenzelwe ukwelashwa ukusiza iziguli ezine-KS uma zinamasosha omzimba aphilile.

Imisebe ibhekiswe, imisebe ephezulu yamandla ibhekiswe engxenyeni ethile yomzimba. Ukwelashwa ngemisebe kuyasiza kuphela lapho izilonda zingaveli engxenyeni enkulu yomzimba.

Uyini Umbono Wesikhathi Eside?

I-KS iyelapheka ngokwelashwa. Ezimweni eziningi, ikhula kancane kakhulu. Kodwa-ke, ngaphandle kokwelashwa, kwesinye isikhathi kungabulala. Kuhlale kubalulekile ukuxoxa ngezindlela zokwelashwa nodokotela wakho

Musa ukuveza noma ngubani ezilondeni zakho uma ucabanga ukuthi ungaba neKS. Bona udokotela wakho bese uqala ukwelashwa khona manjalo.

Ngingakugcina Kanjani Ukuvimbela iKaposi Sarcoma?

Akufanele uthinte izilonda zanoma ngubani one-KS.

Uma une-HIV, uke wafakelwa isitho somzimba, noma kungenjalo kungenzeka ube ne-KS, udokotela wakho angase asikisele ukwelashwa ngezidambisigciwane okusebenza kakhulu (HAART). I-HAART inciphisa amathuba okuthi abantu abane-HIV bahlakulele i-KS ne-AIDS ngoba ilwa nokutheleleka nge-HIV.