E noʻonoʻo ʻoe ua loaʻa koke iā ʻoe nā kiko kala ʻē a i ʻole nā puʻupuʻu liʻiliʻi ma kou ʻili, i loko o kou waha, a i ʻole i loko o kou ihu. ʻAʻole paha ʻoe e nānā nui i kēia mau mea. Akā, he hōʻailona paha kēia o kahi maʻi kanesa laha ʻole i kapa ʻia ʻo Kaposi Sarcoma. Mai makaʻu i kou lohe ʻana i kēia inoa, ʻaʻole kēia he maʻi i loaʻa i nā poʻe he nui. Akā, he mea nui loa ia e makaʻala i kēia. No laila, e kamaʻilio maʻalahi kākou e pili ana.
He aha maoli ka sarcoma o Kaposi (KS)?
I ka ʻōlelo maʻalahi, ʻo ka sarcoma ʻo Kaposi kahi ʻano maʻi kanesa e ulu ana i loko o nā ʻiʻo palupalu o ko mākou kino. Hoʻoulu ia i nā puʻupuʻu liʻiliʻi a i ʻole nā ʻeha e hana ma ko mākou ʻili, i loko o ko mākou waha, i loko o ko mākou ihu, a ma nā membrane mucous ma nā wahi e like me ka anus. He ʻulaʻula, poni, ʻeleʻele, a ʻeleʻele paha ke kala o kēia mau mea. Hiki i kēia mau puʻupuʻu ke like me ka pae o ka ʻili a i ʻole hiki ke hāpai ʻia ma luna o ka ʻili a nānā aku e like me nā puʻupuʻu.
ʻAʻole i kaupalena ʻia kēia mau puʻupuʻu i ka ʻili. I kekahi manawa, hiki iā lākou ke hana i loko o nā ʻōpū o loko e like me ke akepaʻa, ka ʻōpū, a me nā māmā.
ʻO ke kumu nui o kēia kūlana, ʻo ia ka maʻi o kahi maʻi i kapa ʻia ʻo Human Herpesvirus 8 (HHV-8) a me ka nāwaliwali o ka ʻōnaehana pale o kou kino . Eia naʻe, ʻaʻole nā kānaka a pau i loaʻa ka HHV-8 i loko o ko lākou kino e loaʻa i ka sarcoma ʻo Kaposi. I ka wā e nāwaliwali ai ka ʻōnaehana pale, loaʻa i kēia maʻi ka manawa kūpono e hoʻololi i nā cell i nā cell cancer.
He aha nā ʻano nui o ka sarcoma Kaposi?
Hiki ke hoʻokaʻawale ʻia ka sarcoma o Kaposi i ʻehā ʻano nui. He ʻano ʻokoʻa ko kēlā me kēia ʻano o ka ulu ʻana a me nā hui o ka poʻe i maʻamau nui ʻia ai.
| ʻAno sarcoma Kaposi | ʻIke hou aku |
|---|---|
| Ka maʻi ahulau KS | ʻO kēia ke ʻano maʻamau. Pili pono ia i ka HIV/AIDS . ʻOi aku ka nui o ka hiki ʻana mai o kēia ʻano ke hoʻonāwaliwali nui ʻia ka ʻōnaehana pale o ke kino e ka maʻi HIV. |
| KS Kuʻuna | ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma luna o 60 mau makahiki, ʻoi aku hoʻi ma nā wahi e like me ke Kaiwaenahonua, ʻAsia Hema Komohana, a me ʻEulopa Hikina. I kēia ʻano, ulu nā puʻupuʻu i loko o nā puʻupuʻu. I kekahi manawa hiki ke laha i nā ʻōpū o loko. |
| KS maʻi āpau | ʻO kēia ʻano ka mea maʻamau i ka poʻe e noho kokoke ana i ka equator ʻApelika. Ua like ia me ka KS maʻamau, akā ʻike pinepine ʻia i ka wā ʻōpio loa (ma lalo o 40 mau makahiki). |
| Loaʻa ʻo KS | Hiki ke hana kēia ma muli o kekahi maʻi ʻē aʻe. No ka laʻana, inā ua loaʻa iā ʻoe kahi hoʻoili kino, e like me ka puʻupaʻa a i ʻole ke akepaʻa, a ke lawe nei ʻoe i nā immunosuppressants, hiki ke hana ʻia kēia ʻano maʻi no ka mea ua nāwaliwali kou ʻōnaehana pale. |
He aha nā hōʻailona o kēia maʻi?
Aia nā hōʻailona o ka sarcoma o Kaposi ma kahi o nā ʻeha. ʻO ia hoʻi, ʻokoʻa nā hōʻailona inā aia ma ka ʻili wale nō, a ʻokoʻa nā hōʻailona inā aia i loko o nā māmā.
| Kahi o nā hōʻailona | Nā hōʻailona e ʻike ʻia |
|---|---|
| ʻIli | Nā kiko a i ʻole nā puʻupuʻu ʻē aʻe e ʻike ʻia ma ka ʻili ma kekahi a ʻoi aku paha mau wahi. Hiki ke pālahalaha a piʻi aʻe paha kēia mau mea. ʻAʻohe ʻeha. |
| ʻŌnaehana Hoʻoheheʻe | Hiki ke loaʻa ka ʻeha o ka ʻōpū, ke koko i loko o ka ʻōpala, ka paʻa ʻana o ka ʻōpū, ka maʻi palahēhē, a i ʻole ka luaʻi ʻana. |
| Nā māmā | Hiki ke hana i nā mea e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a me ke kuʻi ʻana o ke koko. |
| Nā Pūnaehana Lymph | Inā ālai kēia mau puʻupuʻu i nā kīʻaha lymph, hiki ke pehu o nā lālā (Lymphedema). |
| Waha | Inā hana ʻia kēia mau puʻupuʻu i loko o ka waha, hiki iā lākou ke hōʻeha i ka wā e ʻai ai a moni ai. |
He aha nā kumu pilikia e hoʻoikaika ai i ka hoʻomohala ʻana o ka sarcoma o Kaposi?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ka maʻi HHV-8 a me ka ʻōnaehana pale nāwaliwali nā kumu nui, akā aia kekahi mau kumu pilikia ʻē aʻe e kōkua i kēia maʻi.
- Makahiki: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe ma waena o 40 a me 70 mau makahiki.
- Lāhui/ʻĀpana: ʻOi aku ka pilikia o ka poʻe o ke Kaiwaenahonua, ʻAsia Hema Hema, ʻEulopa Hikina, a i ʻole ka lāhui Iudaio Ashkenazi. ʻOi aku ka pilikia o ka poʻe e noho kokoke ana i ka equator ma ʻApelika.
- Ka pale ʻana i ka maʻi: ʻO kēia ka mea nui loa . Inā ua nāwaliwali ka ʻōnaehana pale o kou kino, ma muli paha o kahi maʻi e like me ka HIV/AIDS a i ʻole ma muli o ka lawe ʻana i nā immunosuppressants ma hope o kahi hoʻoili kino, ʻoi aku ka kiʻekiʻe o kou pilikia.
- Kāne: ʻOi aku ka nui o nā kāne e loaʻa i ka sarcoma ʻo Kaposi ma mua o nā wahine.
- Hana moekolohe: Hoʻonui ka moekolohe palekana ʻole i ka pilikia o ka loaʻa ʻana o HHV-8 a me ka HIV. Hoʻolaha pinepine ʻia kēia mau maʻi ma o nā wai o ke kino.
ʻO ka mea nui loa, ʻaʻole kēia maʻi e laha. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke loaʻa i ka maʻi ma ka hoʻopā ʻana i kahi mea i loaʻa i ka sarcoma ʻo Kaposi, ke kamaʻilio ʻana me lākou, a i ʻole ka hoʻohana ʻana i kahi mea a lākou e hoʻohana ai.
Pehea e ʻike ai ke kauka i kēia maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. E nānā mua ʻo ia i kou kino, e ʻimi pono ana i nā kiko a i ʻole nā puʻupuʻu ma kou ʻili. A laila, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me nā kūlana olakino āu i loaʻa ai ma mua.
No ka mea, he maʻi laha ʻole ka sarcoma o Kaposi, hiki ke lōʻihi ka manawa e loaʻa ai kahi hōʻailona pololei. Pono paha ʻoe e ʻike i kekahi mau loea. Mai hopohopo no ia mea.
He aha nā hoʻokolohua e hana ʻia?
Paipai ke kauka i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
- Biopsy: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a i ʻole kahi kiko a hoʻouna iā ia i kahi keʻena hoʻokolohua e nānā ʻia ma lalo o kahi microscope. E hoʻoholo pono kēia inā he mau hunaola kanesa i loko.
- ʻO ke kiʻi X-ray a i ʻole CT scan: Kōkua kēia mau hoʻokolohua e ʻike inā he mau puʻupuʻu i loko o nā māmā.
- Endoscopy: Hoʻohana ʻia kahi ʻōmole lahilahi me kahi kāmela e nānā i nā mea ʻino i loko o ke ala ʻai, e like me ka ʻōpū a me nā ʻōpū.
- Bronchoscopy: Ua like kēia me ka endoscopy, akā nānā ia i loko o ka trachea a me nā ala ea e alakaʻi ana i nā māmā.
- Immunohistochemistry: He hoʻāʻo kūikawā kēia. Ke nānā nei ia i kahi protein kikoʻī (LANA-1) e pili ana me ka maʻi HHV-8 i loko o nā ʻiʻo i lawe ʻia mai ka biopsy. Hiki i kēia ke kōkua i ka hoʻokaʻawale ʻana ma waena o ka sarcoma o Kaposi a me kekahi maʻi ʻē aʻe e like ke ʻano.
Pehea e mālama ʻia ai?
E ʻokoʻa ka hoʻolālā lapaʻau mai kēlā kanaka a kēia kanaka. Na kāu kauka e hoʻomohala i ka hoʻolālā lapaʻau maikaʻi loa nāu ma muli o ke ʻano o KS āu, ka nui o nā puʻupuʻu āu, kahi o lākou e kū ai, a me kou olakino holoʻokoʻa.
Aia kekahi mau ʻano lapaʻau nui i hoʻohana ʻia:
- Lapaʻau Antiretroviral: Inā loaʻa iā ʻoe ka maʻi HIV, hoʻomalu kēia lāʻau i ka maʻi HIV. A laila hoʻoikaika kēia i kāu ʻōnaehana pale. Ke ikaika kāu ʻōnaehana pale, emi pinepine nā puʻupuʻu KS a nalo paha iā lākou iho.
- Kemoterapi: Nā lāʻau lapaʻau i hāʻawi ʻia e pepehi i nā hunaola kanesa. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he inikini a i ʻole he mau pila.
- Lapaʻau radiation: Hoʻohana kēia i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana pinepine ʻia kēia no nā puʻupuʻu ʻili.
- ʻOki kino: Hiki ke ʻoki ʻia a wehe ʻia kekahi a ʻelua paha mau puʻupuʻu ʻili liʻiliʻi.
- Cryotherapy: Hoʻohana i ke anu nui (naikokene wai) e hoʻopau i nā ʻōpū ʻili.
- Lapaʻau i kuhikuhi ʻia: Hoʻopili wale kēia mau lāʻau i nā mea kikoʻī e pono ai nā hunaola kanesa e ulu, no laila e hōʻemi ana i ka hōʻino ʻana i nā hunaola olakino.
E wehewehe kāu kauka maʻi kanesa i kahi o kēia mau lāʻau lapaʻau kūpono loa iā ʻoe.
He aha kāu e makaʻala ai ma hope o ka lāʻau lapaʻau a ma ke ola o kēlā me kēia lā?
Hiki i ka sarcoma o Kaposi ke hoʻi hou mai ma hope o ka mālama ʻana. No laila, he mea nui e hoʻomau i ka launa pū ʻana me kāu kauka.He mea nui loa ia e mālama. E haʻi mau ana ʻo ia iā ʻoe e hele mai no nā hoʻokolohua. E hōʻoia e hele a nānā ʻia i kēlā manawa.
E kōkua kēia mau mea i ka hoʻoikaika ʻana i kou ʻōnaehana pale maʻi.
Inā loaʻa iā ʻoe ka sarcoma ʻo Kaposi, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana nou iho, ʻo ia ke hoʻāʻo e mālama i kou ʻōnaehana pale maʻi.
- E ʻai i nā meaʻai momona: E ʻai i ka nui o nā huaʻai a me nā mea kanu hou.
- Hiamoe maikaʻi: E hiamoe maikaʻi ma ka liʻiliʻi he 7-8 mau hola i ka lā.
- E pale i ka puhipaka: Hoʻonāwaliwali ka puhipaka i ka ʻōnaehana pale.
- E kaupalena i ka waiʻona.
- E hoʻokele i ke kaumaha: Hiki i nā hana e like me ka noʻonoʻo ʻana a me ka yoga ke kōkua.
- E holoi pinepine i kou mau lima: He mea nui kēia e pale iā ʻoe iho mai nā maʻi.
- E kiʻi i nā lāʻau pale i ʻōlelo ʻia e kāu kauka i ka manawa kūpono.
Leka Lawe-Home
- ʻO ka sarcoma o Kaposi (KS) kahi ʻano maʻi kanesa laha ʻole i hoʻokumu ʻia e ka maʻi HHV-8 a me kahi ʻōnaehana pale maʻi nāwaliwali.
- ʻO nā kiko poni, ʻulaʻula, a ʻeleʻele paha a i ʻole nā puʻupuʻu ma ka ʻili nā hōʻailona nui, akā hiki iā lākou ke ulu aʻe ma nā ʻōpū o loko.
- Inā loaʻa iā ʻoe ka maʻi HIV/AIDS, a inā ua loaʻa iā ʻoe kahi hoʻoili kino, he mea nui e makaʻala loa i kēia.
- E like me nā maʻi kanesa āpau, he mea nui loa ka ʻike a me ka mālama ʻana i kēia i ka wā mua .
- Inā ʻike ʻoe i kahi wahi ʻē aʻe, ʻaʻole e ho'ōla ʻia a i ʻole kahi puʻupuʻu ma kou ʻili, mai makaʻu a kānalua paha a e ʻike koke i kāu kauka.
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