Cabanga nje ukuthi ngokuzumayo uvela amabala anemibala engavamile noma amaqhubu amancane esikhumbeni sakho, emlonyeni wakho, noma ekhaleni lakho. Ungase ungazinaki kakhulu lezi zinto. Kodwa lezi zingaba uphawu lomdlavuza ongavamile obizwa ngokuthi i-Kaposi Sarcoma. Ungesabi uma uzwa leli gama, lesi akusona isifo abantu abaningi abasitholayo. Kodwa kubaluleke kakhulu ukuqaphela lokhu. Ngakho ake sixoxe ngakho kalula.
Iyini ngempela i-Kaposi's sarcoma (KS)?
Kalula nje, i-Kaposi's sarcoma uhlobo lomdlavuza oluvela ezicutshini ezithambile zomzimba wethu. Ibangela ukwakheka kwamaqhubu amancane noma izilonda esikhumbeni sethu, emlonyeni wethu, ekhaleni lethu, nasezingxeni zamafinyila ezindaweni ezifana ne-anus. Lawa ngokuvamile anombala obomvu, onsomi, onsundu, noma omnyama. Lawa maqhubu angaba sezingeni elifanayo nesikhumba noma angaphakanyiswa ngaphezu kwesikhumba futhi abukeke njengamaqhubu.
Lezi ziqhubu azigcini nje esikhumbeni. Ngezinye izikhathi, zingakheka ngisho nasezithweni zangaphakathi njengesibindi, isisu namaphaphu.
Isizathu esiyinhloko salesi simo ukutheleleka kwegciwane elibizwa ngokuthi i-Human Herpesvirus 8 (HHV-8) kanye nokuba buthaka kwesimiso somzimba wakho sokuzivikela . Kodwa-ke, akuwona wonke umuntu one-HHV-8 emzimbeni wakhe othola i-Kaposi's sarcoma. Kuphela lapho isimiso somzimba sokuzivikela sibuthakathaka lapho leli gciwane lithola ithuba lokuguqula amangqamuzana abe amangqamuzana omdlavuza.
Yiziphi izinhlobo eziyinhloko ze-Kaposi sarcoma?
I-Kaposi's sarcoma ingahlukaniswa ngezinhlobo ezine eziyinhloko. Uhlobo ngalunye lunendlela ehlukile yokukhula kanye namaqembu abantu oluvame kakhulu kubo.
| Uhlobo lwe-Kaposi sarcoma | Ulwazi olwengeziwe |
|---|---|
| I-Epidemic KS | Lolu uhlobo oluvame kakhulu. Luhlobene ngqo ne -HIV/AIDS . Lolu hlobo luvame kakhulu ukwenzeka lapho amasosha omzimba ebuthakathaka kakhulu yigciwane le-HIV. |
| I-KS yakudala | Lolu hlobo luvame kakhulu kwabesilisa abaneminyaka engaphezu kwengu-60, ikakhulukazi ezindaweni ezifana neMedithera, iNingizimu-ntshonalanga ye-Asia, kanye neMpumalanga Yurophu. Kulolu hlobo, amaqhubu akhula ngamaqoqo. Ngezinye izikhathi angasakazekela ezithweni zangaphakathi. |
| I-Endemic KS | Lolu hlobo luvame kakhulu kubantu abahlala eduze kwenkabazwe yase-Afrika. Lufana ne-KS yakudala, kodwa luvame ukutholakala lusencane kakhulu (ngaphansi kweminyaka engama-40). |
| I-KS etholiwe | Lokhu kungenzeka ngenxa yesinye isimo sezokwelapha. Isibonelo, uma uke wafakelwa isitho somzimba, njengesinso noma isibindi, futhi uthatha imithi yokucindezela amasosha omzimba, lolu hlobo lokutheleleka lungenzeka ngoba isimiso sakho somzimba sokuzivikela sibuthakathaka. |
Yiziphi izimpawu zalesi sifo?
Izimpawu ze-Kaposi's sarcoma zincike ekutheni izilonda zikuphi. Okusho ukuthi, izimpawu zihlukile uma zisesikhumbeni kuphela, kanti izimpawu zihlukile uma zisemaphashini.
| Indawo yezimpawu | Izimpawu ezingabonakala |
|---|---|
| Isikhumba | Amabala noma izigaxa ezingavamile ezivela esikhumbeni endaweni eyodwa noma ngaphezulu. Lezi zingaba ziyisicaba noma ziphakame. Zingase zingabi buhlungu. |
| Uhlelo Lokugaya Ukudla | Ubuhlungu besisu, igazi esitulweni, ukuqunjelwa, uhudo, noma ukuhlanza kungase kwenzeke. |
| Amaphaphu | Izinto ezinjengobunzima bokuphefumula, ubuhlungu besifuba, nokukhwehlela igazi zingase zenzeke. |
| Ama-Lymph Node | Uma lezi ziqhubu zivimba imithambo ye-lymph, ukuvuvukala kwamalungu (i-Lymphedema) kungenzeka. |
| Umlomo | Uma lezi ziqhubu zakheka emlonyeni, zingadala ubuhlungu lapho udla futhi ugwinya. |
Yiziphi izinto ezingabangela i-Kaposi's sarcoma?
Njengoba sesixoxile ngaphambili, igciwane le-HHV-8 kanye nohlelo lokuzivikela olubuthakathaka yizona zimbangela eziyinhloko, kodwa kunezinye izici eziningana eziyingozi ezibangela lesi simo.
- Ubudala: Le ngozi ngokuvamile iphakeme kubantu abaneminyaka ephakathi kuka-40 no-70.
- Ubuzwe/isifunda: Abantu baseMedithera, eNingizimu-ntshonalanga ye-Asia, eMpumalanga Yurophu, noma abavela e-Ashkenazi, amaJuda basengozini enkulu. Abantu abahlala eduze kwenkabazwe e-Afrika nabo basengozini enkulu.
- Ukucindezeleka Kwamasosha omzimba: Lesi yisici esibaluleke kakhulu . Uma amasosha omzimba wakho ebuthakathaka, kungaba ngenxa yesimo esifana ne-HIV/AIDS noma ngenxa yokuthatha imithi yokucindezela amasosha omzimba ngemva kokufakelwa isitho, ingozi yakho iphakeme kakhulu.
- Ubulili: Amadoda anamathuba amaningi okuthola i-Kaposi's sarcoma kunabesifazane.
- Isenzo socansi: Ukuya ocansini okungavikelwe kwandisa ingozi yokuthola i-HHV-8 kanye ne-HIV. Lawa magciwane avame ukusabalala ngoketshezi lomzimba.
Into ebaluleke kakhulu ukuthi lesi sifo asithelelani. Lokhu kusho ukuthi awukwazi ukuthola lesi sifo ngokuthinta umuntu one-Kaposi's sarcoma, ukukhuluma naye, noma ukusebenzisa into ayisebenzisayo.
Udokotela usithola kanjani lesi sifo?
Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela. Uzoqala ngokuhlola umzimba wakho, ikakhulukazi ebheka noma yimaphi amabala noma amaqhubu esikhumbeni sakho. Ngemuva kwalokho, bazobuza ngezimpawu zakho kanye nanoma yiziphi izimo zezokwelapha oke waba nazo esikhathini esidlule.
Ngenxa yokuthi i-Kaposi's sarcoma iyisifo esingavamile, kungathatha isikhathi ukuthola ukuxilongwa okunembile. Kungase kudingeke ukuthi ubonane nochwepheshe abaningana. Ungakhathazeki ngakho.
Yiziphi izivivinyo ezenziwayo?
Udokotela utusa ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.
- I-Biopsy: Lolu vivinyo olubaluleke kakhulu. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu eqhubu noma endaweni bese uyithumela elabhorethri ukuze ihlolwe ngaphansi kwe-microscope. Lokhu kuzonquma ngqo ukuthi kukhona yini amangqamuzana omdlavuza kuyo.
- I-X-ray yesifuba noma i-CT scan: Lokhu kuhlolwa kusiza ukubona ukuthi kukhona yini amaqhubu emaphashini.
- I-Endoscopy: Ipayipi elincane elinekhamera lisetshenziselwa ukubheka noma yikuphi ukukhubazeka ngaphakathi kwendlela yokugaya ukudla, njengesisu namathumbu.
- I-Bronchoscopy: Lokhu kufana ne-endoscopy, kodwa kubonakala ngaphakathi kwe-trachea kanye nemigudu yomoya eholela emaphashini.
- I-Immunohistochemistry: Lolu ukuhlolwa okukhethekile. Kubheka iphrotheni ethile (i-LANA-1) ehlotshaniswa negciwane le-HHV-8 esicutshini esithathwe ku-biopsy. Lokhu kungasiza ukuhlukanisa phakathi kwe-Kaposi's sarcoma kanye nesinye isifo esifana naso.
Iphathwa kanjani?
Uhlelo lokwelashwa luzohluka kumuntu nomuntu. Udokotela wakho uzokwakha uhlelo lokwelashwa olungcono kakhulu olusekelwe ohlotsheni lwe-KS onayo, ukuthi zingaki izigaxa onazo, ukuthi zikuphi, kanye nempilo yakho iyonke.
Kunezindlela eziningana zokwelapha eziyinhloko ezisetshenziswayo:
- Ukwelashwa nge-antiretroviral: Uma une-HIV, lokhu kwelashwa kulawula igciwane le-HIV. Lokhu kuqinisa amasosha omzimba wakho. Uma amasosha omzimba wakho enamandla, amaqhubu e-KS avame ukushwabana noma anyamalale ngokwawo.
- Ukwelashwa ngamakhemikhali: Imithi enikezwa ukubulala amangqamuzana omdlavuza. Le mithi inganikezwa njengomjovo noma amaphilisi.
- Ukwelashwa ngemisebe: Lokhu kusebenzisa imisebe enamandla amakhulu ukubhubhisa amangqamuzana omdlavuza. Lokhu kuvame ukusetshenziselwa izimila zesikhumba.
- Ukuhlinzwa: Isigaxa esisodwa noma ezimbili ezincane zesikhumba zingasikwa futhi zisuswe.
- Ukwelapha nge-cryotherapy: Kusebenzisa umkhuhlane omkhulu (i-nitrogen ewuketshezi) ukubhubhisa izimila zesikhumba.
- Ukwelashwa okuqondiwe: Le mithi ihlose kuphela izinto ezithile ezidingwa amangqamuzana omdlavuza ukuze akhule, ngaleyo ndlela ibangele umonakalo omncane kumaseli anempilo.
Udokotela wakho womdlavuza uzochaza ukuthi yikuphi kwalokhu kwelashwa okungcono kakhulu kuwe.
Yini okufanele uyinake ngemva kokwelashwa kanye nokuphila kwansuku zonke?
I-Kaposi's sarcoma ingaphinde ivele ngemva kokwelashwa. Ngakho-ke, kubalulekile ukuthi uhlale uxhumana nodokotela wakho njalo .Kubaluleke kakhulu ukuyigcina. Uzohlala ekutshela ukuthi uze uzohlolwa. Qiniseka ukuthi uyahamba uyohlolwa ngaleso sikhathi.
Lezi zinto zizosiza ukugcina amasosha omzimba wakho eqinile.
Uma une-Kaposi's sarcoma, into engcono kakhulu ongayenza ukuzama ukugcina amasosha omzimba wakho eqinile.
- Yidla ukudla okunomsoco: Yidla izithelo nemifino emisha eminingi.
- Lala kahle: Lala okungenani amahora angu-7-8 ngosuku.
- Gwema ukubhema: Ukubhema kwenza amasosha omzimba abe buthaka.
- Nciphisa utshwala.
- Lawula ukucindezeleka: Izinto ezifana nokuzindla kanye ne-yoga zingasiza.
- Geza izandla zakho njalo: Lokhu kubalulekile ukuze uzivikele ezifweni.
- Thola imijovo enconywe udokotela wakho ngesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Kaposi's sarcoma (KS) uhlobo lomdlavuza olungavamile olubangelwa yigciwane le-HHV-8 kanye nokukhubazeka kwesistimu yomzimba yokuzivikela.
- Amabala noma amaqhubu ansomi, abomvu, noma ansundu esikhumbeni yizimpawu eziyinhloko, kodwa angavela nasezithweni zangaphakathi.
- Uma une-HIV/AIDS, noma uma uke wafakelwa isitho, kubalulekile ukuqaphela kakhulu ngalokhu.
- Njenganoma yimuphi umdlavuza, kubaluleke kakhulu ukuwuthola nokwelapha kusenesikhathi .
- Uma ubona indawo engavamile, engapholi noma iqhubu esikhumbeni sakho, ungesabi noma usole futhi ubone udokotela wakho ngokushesha.
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