Kaposi sarcoma

ʻO Kaposi sarcoma (KS) kahi tumo maʻi ʻaʻai o ka mea hoʻopili.

ʻO KS ka hopena o ka maʻi me kahi gamma herpesvirus i ʻike ʻia ʻo Kaposi sarcoma-herpesvirus (KSHV), a i ʻole herpesvirus kanaka 8 (HHV8). Aia ia i loko o ka ʻohana like me ka maʻi Epstein-Barr, ke kumu o mononucleosis.

Hoʻouna ʻia ʻo KSHV ma o ka lawai ʻana. Hiki iā ia ke pālahalaha ʻia ma o ka pili moekolohe, ka hoʻokaʻa koko, a i ʻole nā ​​transplants. Ma hope o kona komo ʻana i loko o ke kino, hiki i ka maʻi maʻi ke hoʻopili i nā ʻano ʻokoʻa o nā hunaola, keu hoʻi o nā hunaola e kū ana i nā kīʻaha koko a me nā moku lymphatic. E like me nā herpesvirus āpau, noho mau ʻo KSHV i kou kino no ke koena o kou ola. Inā hoʻonāwaliwali kou ʻōnaehana pale i ka wā e hiki mai ana, hiki i kēia virus ke loaʻa ka manawa kūpono e hoʻouluulu hou ai, e hana ana i nā ʻōuli.

ʻEhā ʻano o KS e pili ana i nā hui o nā poʻe i loaʻa i ka maʻi:

• KS Kikiko: pili nui i nā kāne makua o ka Hikina ʻEulopa, Hikina Waena, a me ka moʻokūʻauhau Mediterranean. Hoʻonui mālie ka maʻi.
• Epidemik (pili pili i ka AIDS) KS: Kū pinepine pinepine ʻia i ka poʻe i loaʻa i ka maʻi HIV a ua hoʻomohala ʻia ka maʻi SIDA.
• Endemik (ʻApelika) KS: Hoʻololi nui i nā poʻe o nā makahiki āpau ma ʻApelika.
• Pili-Immunosuppression, a i ʻole transplantation-pili, KS: Hana ʻia i ka poʻe i loaʻa kahi hoʻoliʻiliʻi a he lāʻau lapaʻau ia e kāohi i kā lākou ʻōnaehana pale.

ʻIke pinepine nā tumors (lesions) e like me ka ʻulaʻula a ʻulaʻula paha i ka ʻili. ʻUlaʻula ʻulaʻula lākou no ka mea waiwai lākou i nā kīʻaha koko.

Hiki ke ʻike ʻia nā leona ma nā ʻāpana o ke kino. Hiki iā lākou ke hōʻike i loko o ke kino. Hiki ke kahe i nā leona i loko o ke kino. Hiki i nā leona i nā akemāmā ke kumu i ka sputum koko a i ka liʻiliʻi o ka hanu.

E hana ka mea mālama ola i kahi hoʻokolohua kino, e kia ana i nā leona.

E hana ʻia paha nā mea e hōʻike aʻe nei e hōʻike iā KS:

• ʻO Bronchoscopy
• CT scan
• Hoʻopau
• ʻ biiwi lāʻau

Pehea ka mālama ʻana iā KS ma muli o:

• Pehea ka nui o ka pale ʻana o ka pale pale (immunosuppression)
• Helu a me kahi o nā tumors
• Nā ʻōuli

Loaʻa nā mālama iā:

• Hoʻomaʻamaʻa Antiviral e kūʻē iā HIV, ʻoiai ʻaʻohe mālama kūikawā no HHV-8
• Hoʻohui chemotherapy
• Ke anuanu i nā leona
• Lapaʻau hoʻomākala

Hiki i nā leona ke hoʻi ma hope o ka lapaʻau.

ʻAʻole hoʻomaikaʻi ka mālama ʻana iā KS i nā manawa e ola ai mai ka maʻi HIV / AIDS ponoʻī. Aia ka nānā i ke kūlana pale o ke kanaka a pehea ka nui o ka maʻi HIV i loko o kā lākou koko (viral load). Inā kaohi ʻia ka HIV me ka lāʻau, e emi pinepine nā leona iā lākou iho.

Hiki i nā pilikia ke hoʻopili:

• Cough (hiki ke koko) a me ka hanu ʻana inā aia ka maʻi i loko o nā akemāmā
• ʻEha ka ʻūhā o ka wāwae a i ʻole nā ​​kumu o nā maʻi inā aia ka maʻi i nā lymph nodes o nā wāwae

Hiki i nā tumors ke hoʻi ma hope o ka mālama ʻana. Hiki i KS ke lilo i mea make no ke kanaka me ka maʻi AIDS.

Hiki ke pālahalaha koke kahi ʻano KS o ka endemik KS i nā iwi. ʻO kekahi ʻano i loaʻa i nā keiki ʻApelika ʻaʻole pili i ka ʻili. Ma kahi o ia mea, pālahalaha ia ma o nā lymph node a me nā mea ola, a hiki koke ke lilo i mea make.

Hiki i nā hana moekolohe ke palekana i ka maʻi HIV. Pale kēia i ka maʻi HIV / AIDS a me nā pilikia, me KS.

ʻAʻohe kokoke o KS i ka poʻe me ka maʻi HIV / AIDS nona ka maʻi e kāohi maikaʻi ʻia.

Kaposi’s sarcoma; HIV - Kaposi; AIDS - Kaposi

• Kaposi sarcoma - lesion ma ka wāwae
• Kaposi sarcoma ma ka hope
• Kaposi sarcoma - pani
• ʻO ka sarcoma a Kaposi ma ka ʻūhā
• Kaposi sarcoma - perianal
• Kaposi sarcoma ma ka wāwae

Kaye KM. Herpesvirus e pili ana iā Kaposi sarcoma (herpesvirus kanaka 8). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 140.

Merrick ST, Jones S, Glesby MJ. Nā hōʻike ʻōnaehana o HIV / AIDS. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 366.

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻamaʻa Kaposi sarcoma (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/soft-tissue-sarcoma/hp/kaposi-treatment-pdq. Hoʻohou i Iulai 27, 2018. Loaʻa iā Pepeluali 18, 2021.