Khawuthelekelele ukuba ngequbuliso kuvela amabala anemibala engaqhelekanga okanye amaqhuqhuva amancinci eluswini lwakho, emlonyeni wakho, okanye empumlweni yakho. Usenokungazinaki kangako ezi zinto. Kodwa ezi zinokuba luphawu lomhlaza ongaqhelekanga obizwa ngokuba yiKaposi Sarcoma. Musa ukoyika xa usiva eli gama, esi asisosifo esifunyanwa ngabantu abaninzi. Kodwa kubaluleke kakhulu ukuqaphela oku. Ngoko masithethe ngayo ngokulula.
Yintoni kanye kanye i-Kaposi's sarcoma (KS)?
Ngamafutshane, i-Kaposi's sarcoma luhlobo lomhlaza oluvela kwizicubu ezithambileyo zomzimba wethu. Ibangela ukuba kubekho amaqhuma amancinci okanye izilonda eluswini lwethu, emlonyeni wethu, empumlweni yethu, nakwiinwebu ze-mucous kwiindawo ezifana ne-anus. La maqhuma adla ngokuba bomvu, mfusa, mdaka, okanye mnyama ngombala. La maqhuma anokuba kwinqanaba elifanayo nolusu okanye anokuphakanyiswa ngaphezu kolusu aze abonakale njengamaqhuma.
La maqhuqhuva awapheleli nje eluswini. Ngamanye amaxesha, anokwakheka nakwizitho zangaphakathi ezifana nesibindi, isisu, kunye nemiphunga.
Isizathu esiphambili sale meko kukwasulelwa yintsholongwane ebizwa ngokuba yiHuman Herpesvirus 8 (HHV-8) kunye nokuba buthathaka kwenkqubo yomzimba yokuzikhusela . Nangona kunjalo, ayinguye wonke umntu one-HHV-8 emzimbeni wakhe ofumana i-Kaposi's sarcoma. Kuphela xa inkqubo yomzimba yokuzikhusela ibuthathaka apho le ntsholongwane ifumana ithuba lokuguqula iiseli zibe ziiseli zomhlaza.
Ziziphi iintlobo eziphambili zeKaposi sarcoma?
I-Kaposi's sarcoma inokwahlulwa ibe ziintlobo ezine eziphambili. Uhlobo ngalunye lunendlela eyahlukileyo yophuhliso kunye namaqela abantu oluqheleke kakhulu kubo.
| Uhlobo lwe-Kaposi sarcoma | Iinkcukacha ezithe xaxe |
|---|---|
| Ubhubhane we-KS | Olu lolona hlobo luxhaphakileyo. Lunxulumene ngokuthe ngqo ne -HIV/AIDS . Olu hlobo lunokwenzeka ngakumbi xa inkqubo yomzimba yokuzikhusela ibuthathaka kakhulu yintsholongwane ye-HIV. |
| I-KS yakudala | Olu hlobo luxhaphake kakhulu kumadoda angaphezulu kweminyaka engama-60 ubudala, ingakumbi kwiindawo ezifana neMeditera, eMzantsi-ntshona weAsia, naseMpuma Yurophu. Kulo hlobo, amaqhuma akhula ngokwamaqela. Ngamanye amaxesha anokusasazeka kwizitho zangaphakathi. |
| I-Endemic KS | Olu hlobo luxhaphake kakhulu kubantu abahlala kufutshane ne-equator yase-Afrika. Lufana ne-KS yakudala, kodwa ludla ngokuchongwa xa lusemncinci kakhulu (ngaphantsi kweminyaka engama-40). |
| I-KS efunyenweyo | Oku kungenzeka ngenxa yesinye isifo. Umzekelo, ukuba ukhe wafakelwa isitho somzimba, njengesintso okanye isibindi, kwaye uthatha amayeza okunciphisa umzimba, olu hlobo losulelo lunokwenzeka kuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka. |
Zingaba yintoni iimpawu zesi sifo?
Iimpawu ze-Kaposi's sarcoma zixhomekeke ekubeni izilonda zikuphi. Oko kukuthi, iimpawu zahlukile ukuba ziselusu kuphela, kwaye iimpawu zahlukile ukuba zisemiphungeni.
| Indawo yeempawu | Iimpawu ezinokubonwa |
|---|---|
| Ulusu | Amabala okanye amaqhuma angaqhelekanga avela eluswini kwindawo enye okanye ezingaphezulu. La maqhuma anokuba tyaba okanye aphakame. Asenokuba buhlungu. |
| Inkqubo yoKutya | Intlungu yesisu, igazi eliphuma esitulweni, ukuqhinwa, urhudo, okanye ukuhlanza kunokwenzeka. |
| Imiphunga | Izinto ezinje ngobunzima bokuphefumla, iintlungu zesifuba, kunye nokukhohlela igazi zinokwenzeka. |
| Ithumba | Ukuba la maqhuqhuva avala imithambo ye-lymph, ukudumba kwamalungu (i-Lymphedema) kunokwenzeka. |
| Umlomo | Ukuba la maqhuqhuva akheka ngaphakathi emlonyeni, anokubangela intlungu xa usitya naxa uginya. |
Ziziphi izinto ezibangela umngcipheko wokufumana i-Kaposi's sarcoma?
Njengoko besikhe sathetha ngaphambili, intsholongwane ye-HHV-8 kunye nobuthathaka benkqubo yomzimba yokuzikhusela zezona zinto ziphambili, kodwa kukho ezinye izinto ezininzi ezibangela le meko.
- Ubudala: Lo mngcipheko uphezulu kakhulu kubantu abaphakathi kweminyaka engama-40 ukuya kwengama-70 ubudala.
- Uhlanga/ummandla: Abantu baseMeditera, eMzantsi-ntshona Asia, eMpuma Yurophu, okanye abavela kwimvelaphi yamaJuda angama-Ashkenazi basengozini enkulu. Abantu abahlala kufutshane ne-equator eAfrika nabo basengozini enkulu.
- Ukunciphisa amasosha omzimba: Le yeyona nto ibalulekileyo . Ukuba amasosha omzimba wakho abuthathaka, mhlawumbi ngenxa yemeko efana ne-HIV/AIDS okanye ngenxa yokuthatha amayeza okunciphisa amasosha omzimba emva kokufakelwa amalungu omzimba, umngcipheko wakho uphezulu kakhulu.
- Isini: Amadoda anamathuba amaninzi okufumana i-Kaposi's sarcoma kunabafazi.
- Isenzo sokwabelana ngesondo: Ukulala ngesondo okungakhuselekanga kwandisa umngcipheko wokosulelwa yi-HHV-8 kunye ne-HIV. Ezi ntsholongwane zihlala zisasazeka ngolwelo lomzimba.
Eyona nto ibalulekileyo kukuba esi sifo asisuleli. Oku kuthetha ukuba awunakufumana esi sifo ngokuchukumisa umntu one-Kaposi's sarcoma, ukuthetha naye, okanye ukusebenzisa into ayisebenzisayo.
Ugqirha uxilonga njani esi sifo?
Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha. Uza kuqala ahlole umzimba wakho, ingakumbi ekhangela amabala okanye amaqhuma kulusu lwakho. Emva koko, baza kukubuza ngeempawu zakho kunye nazo naziphi na iimeko zempilo okhe waba nazo ngaphambili.
Ngenxa yokuba i-Kaposi's sarcoma sisifo esingaqhelekanga, kungathatha ixesha ukufumana uxilongo oluchanekileyo. Kusenokufuneka ubone iingcali ezininzi. Ungakhathazeki ngayo.
Zeziphi iimvavanyo ezenziwayo?
Ugqirha ucebisa iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.
- I-Biopsy: Olu lolona vavanyo lubalulekileyo. Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesicwili kwiqhuma okanye kwindawo ethile uze ulithumele kwilabhoratri ukuze lihlolwe phantsi kwemakroskopu. Oku kuya kuqinisekisa ukuba kukho iiseli zomhlaza na kuso.
- I-X-ray yesifuba okanye i-CT scan: Olu vavanyo lunceda ekuboneni ukuba kukho na amaqhuma emiphungeni.
- I-Endoscopy: Ityhubhu encinci enekhamera isetyenziselwa ukujonga naziphi na iingxaki ngaphakathi kwendlela yokugaya ukutya, njengesisu namathumbu.
- I-Bronchoscopy: Oku kufana ne-endoscopy, kodwa ijonge ngaphakathi kwi-trachea kunye neendlela zomoya ezikhokelela emiphungeni.
- I-Immunohistochemistry: Olu luvavanyo olukhethekileyo. Lukhangela iproteni ethile (i-LANA-1) enxulumene nentsholongwane ye-HHV-8 kwizicubu ezithathwe kwi-biopsy. Oku kunokunceda ukwahlula phakathi kwe-Kaposi's sarcoma kunye nesinye isifo esifana nayo.
Iphathwa njani?
Isicwangciso sonyango siya kwahluka kumntu nomntu. Ugqirha wakho uza kukwenza isicwangciso sonyango esifanelekileyo ngokusekwe kuhlobo lwe-KS onayo, inani lamaqhuqhuva onawo, apho akhoyo, kunye nempilo yakho iyonke.
Kukho iindlela ezininzi zonyango eziphambili ezisetyenziswayo:
- Unyango lwe-antiretroviral: Ukuba une-HIV, olu nyango lulawula intsholongwane ye-HIV. Oku ke kuyawomeleza amasosha omzimba wakho. Xa amasosha omzimba wakho enamandla, amaqhuma e-KS adla ngokuncipha okanye anyamalale ngokwawo.
- Unyango lweKhemotherapy: Amayeza anikwa ukubulala iiseli zomhlaza. La mayeza anokunikwa njengeenaliti okanye iipilisi.
- Unyango ngemitha: Oku kusebenzisa imitha enamandla aphezulu ukutshabalalisa iiseli zomhlaza. Oku kudla ngokusetyenziselwa iithumba zesikhumba.
- Utyando: Iqhuma elinye okanye amabini amancinci eluswini anokunqunyulwa aze asuswe.
- I-Cryotherapy: Isebenzisa ubushushu obugqithisileyo (i-nitrogen engamanzi) ukutshabalalisa iithumba zesikhumba.
- Unyango olujoliswe kulo: La mayeza ajolise kuphela kwizinto ezithile ezifunekayo ukuze iiseli zomhlaza zikhule, ngaloo ndlela zibangela umonakalo omncinci kwiiseli eziphilileyo.
Ugqirha wakho we-oncologist uza kukuchazela ukuba loluphi unyango olulungele wena.
Yintoni ekufuneka uyiqwalasele emva konyango nakwimpilo yemihla ngemihla?
I-Kaposi's sarcoma inokuphinda ivele ngamanye amaxesha emva konyango. Ke ngoko, kubalulekile ukuhlala unxibelelana rhoqo nogqirha wakho.Kubaluleke kakhulu ukuyigcina. Uza kuhlala ekuxelela ukuba uze kuvavanywa. Qiniseka ukuba uya kuhlolwa ngelo xesha.
Ezi zinto ziya kunceda ukugcina amajoni akho omzimba eqinile.
Ukuba une-Kaposi's sarcoma, eyona nto ingcono onokuyenza kukuzigcina unamandla omzimba wakho.
- Yitya ukutya okunesondlo: Yitya iziqhamo nemifuno emininzi emitsha.
- Lala kakuhle: Lala ubuncinane iiyure ezisi-7-8 ngosuku.
- Kuphephe ukutshaya: Ukutshaya kuyawunciphisa umzimba.
- Nciphisa utywala.
- Lawula uxinzelelo: Izinto ezifana nokucamngca kunye neyoga zinokunceda.
- Hlamba izandla zakho rhoqo: Oku kubalulekile ukuze uzikhusele kwiintsholongwane.
- Fumana imigonyo ecetyiswe ngugqirha wakho ngexesha.
Umyalezo Wokuya Ekhaya
- I-Kaposi's sarcoma (KS) luhlobo olungaqhelekanga lomhlaza olubangelwa yintsholongwane ye-HHV-8 kunye nenkqubo yomzimba yokuzikhusela ebuthathaka.
- Amabala okanye amaqhuma amfusa, abomvu, okanye amdaka eluswini zezona mpawu ziphambili, kodwa anokuvela nakwizitho zangaphakathi.
- Ukuba une-HIV/AIDS, okanye ukuba ukhe wafakelwa ilungu lomzimba, kubalulekile ukuba ulumke kakhulu ngale nto.
- Njengayo nayiphi na imhlaza, kubaluleke kakhulu ukuyifumanisa nokunyanga kwasekuqaleni .
- Ukuba ubona indawo engaqhelekanga, engapholiyo okanye iqhuma eluswini lwakho, ungoyiki okanye ukrokre kwaye bonana nogqirha wakho ngoko nangoko.
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