Mea Kākau: Lewis Jackson
Lā O Ka Hana: 7 Mei 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
Kaposi Sarcoma
Wikiō: Kaposi Sarcoma

Anter

He aha ka Kaposi Sarcoma?

ʻO Kaposi sarcoma (KS) kahi tumo maʻi ʻaʻai. Hōʻike maʻamau ia i nā wahi he nui ma ka ʻili a ma kahi o hoʻokahi a ʻoi paha nā wahi aʻe:

  • ihu
  • waha
  • genital
  • anus

Hiki iā ia ke ulu ma nā ʻōnaehana o loko. Ma muli o kahi maʻi i kapa ʻia ʻo ʻO ka herpesvirus kanaka 8, a i ʻole HHV-8.

Wahi a ka ʻAhahui Kanaka ʻAmelika, ʻo Kaposi sarcoma kahi ʻano "wehewehe ʻia ʻo AIDS." ʻO ia hoʻi ke loaʻa ʻo KS i loko o kekahi mea HIV-maikaʻi, ua holomua ko lākou maʻi HIV i ka maʻi SIDA. ʻO ka maʻamau, ʻo ia hoʻi kaomi ʻia ʻana o kā lākou ʻōnaehana pale maʻi a hiki i kahi i hiki ai iā KS ke ulu.

Eia nō naʻe, inā he KS kāu, ʻaʻole ia he manaʻo no ka loaʻa ʻana iā ʻoe ka maʻi SIDA. KS hiki ke hoʻomohala i kahi kanaka olakino ʻē aʻe.

He aha nā ʻano o Kaposi Sarcoma?

Aia kekahi mau ʻano o KS:

Kaposi Sarcoma e pili ana i ka maʻi AIDS

I ka heluna kanaka HIV-positive, aneane wale nō ʻo KS i nā kāne kāne homosexual ma mua o ka poʻe ʻē aʻe i loaʻa i ka maʻi HIV ma o ka hoʻohana ʻana i ka lāʻau a i ʻole ma o ka loaʻa ʻana o kahi transfusion. ʻO ka kaohi ʻana i ka maʻi HIV me ka antiretroviral therapy i hopena i ka ulu ʻana o KS.


ʻO Kaposi Sarcoma Classic

Kūkulu, a palaualelo paha, hoʻomohala pinepine ʻo KS i nā kāne makua o ka hema o ke Kaiwaenahonua a i ʻole ka Hikina ʻEulopa. ʻIke pinepine ia ma nā wāwae a me nā wāwae. ʻO ka liʻiliʻi, hiki iā ia ke hoʻopili i ka uhi o ka waha a me ka gastrointestinal (GI) tract. Holomua mālie ia i loko o nā makahiki he nui a ʻaʻole pinepine ke kumu o ka make.

ʻApelika Cutaneus Kaposi Sarcoma

ʻIke ʻia ʻo KS ʻĀina ʻApelika i ka poʻe e noho ana ma ʻApelika sub-Sahara, ma muli paha o ka laha ʻana o HHV-8 ma laila.

Kaposi Sarcoma e pili ana i ka Immunosuppression

KS pili ka Immunosuppression i ka poʻe i loaʻa ka hakuʻala a i ʻole nā ​​mea hoʻoliʻiliʻi okoa.Pili ia i nā lāʻau pale pale i hāʻawi ʻia e kōkua i ke kino e ʻae i kahi hui hou. Pili paha ia i ka mea hāʻawi manawaleʻa i loaʻa iā HHV-8. Ua like ka papa me KS kahiko.

He aha nā hōʻailona o Kaposi Sarcoma?

Ke nānā aku nei ʻo Cutaneous KS i kahi pālahalaha a i ʻulaʻula a ʻulaʻula paha i ka ʻili. Hōʻike pinepine ʻo KS i ka maka, a puni ka ihu a waha paha, a i ʻole nā ​​genital a i ʻole anus. Hiki paha i nā hiʻohiʻona he nui i nā ʻano like ʻole a me nā nui, a loli koke paha ka liona i ka hala ʻana o ka manawa. Hiki ke kahe ʻia a i ʻole ka ulcerate ka liona ke wā e haki ai kona ʻili. Inā pili ia i nā wāwae haʻahaʻa, hiki pū kekahi ka pehu o ka wāwae.


Hiki i ka KS ke hoʻopili i nā mea o loko e like me nā akemāmā, ke ake, a me nā ʻōpū, akā ʻoi aku ka liʻiliʻi o kēia ma mua o KS e hoʻopili ai i ka ʻili. Ke hiki mai kēia, ʻaʻohe pinepine nā hōʻailona a i ʻole nā ​​hōʻailona ʻike ʻia. Eia nō naʻe, kaukaʻi ʻia i ka wahi a me ka nui, ʻike paha ʻoe i ke kahe ʻana inā pili kou mau māmā a i ʻole gastrointestinal tract. Hiki pū kekahi o ka hanu. ʻO kahi ʻē aʻe e hoʻomohala iā KS ka uhi o ka waha o loko. ʻO kekahi o kēia mau ʻōuli ke kumu e ʻimi ai i ka lāʻau.

ʻOiai holomua mālie ia, KS hiki i ka hopena make. E ʻimi mau ʻoe i ka lāʻau no KS.

ʻO nā ʻano o KS e hōʻike ʻia i loko o nā kāne a me nā keiki ʻōpio e noho nei ma tropical Africa ʻo ia ka mea koʻikoʻi loa. Inā lākou i mālama ʻole ʻia, hiki i kēia mau ʻano ke hopena i ka make i loko o kekahi mau makahiki.

Ma muli o ka ʻike ʻole o ka KS molowa i ka poʻe ʻelemakule a hala nā makahiki he nui e hoʻomohala a ulu, nui ka poʻe i make i kahi ʻano ʻē aʻe ma mua o ka lilo ʻana o kā lākou KS i mea make.

ʻO KS e pili ana i ka maʻi AIDS he maʻa maʻamau a ʻaʻole ia he kumu o ka make e ia iho.


Pehea e kuhikuhi ʻia ai ʻo Kaposi Sarcoma?

Hiki i kāu kauka ke hōʻoia maʻamau iā KS e kahi nānā nānā a me ka nīnau ʻana i kekahi mau nīnau e pili ana i kāu moʻolelo olakino. Ma muli o ke ʻano like o nā kūlana ʻē aʻe me KS, pono paha kahi hōʻike ʻelua. Inā ʻaʻohe ʻōuli o KS e ʻike ʻia akā kānalua kāu kauka inā loaʻa paha iā ʻoe, pono paha ʻoe e ʻike hou ʻia.

Hiki i ka hoʻāʻo ʻana no KS ma o kekahi o kēia mau ʻano, ke kaukaʻi ʻia i kahi o ka leona i manaʻo ʻia.

  • Pili kahi biopsy i ka lawe ʻia ʻana o nā pūnaewele mai kahi pūnaewele i manaʻo ʻia. E hoʻouna kāu kauka i kēia laʻana i kahi lab no ka hoʻāʻo ʻana.
  • Hiki i kahi X-ray ke kōkua i kāu kauka e nānā i nā hōʻailona o KS i nā akemāmā.
  • ʻO kahi endoscopy kahi hana no ka nānā ʻana i loko o ka ʻaoʻao GI o luna, kahi e hoʻopili ʻia ai ka esophagus a me ka ʻōpū. Hiki i kāu kauka ke hoʻohana i kahi paipu lōʻihi, lahilahi me ka pahu paʻi kiʻi a me kahi mea hana biopsy ma ka hopena e ʻike i ka loko o ka GI a lawe i nā biopsies a i ʻole nā ​​mea kiko kiko.
  • ʻO kahi bronchoscopy kahi endoscopy o nā ake māmā.

He aha nā ʻano hana no Kaposi Sarcoma?

Nui a hewahewa nā ala e mālama ai iā KS, me:

  • ka hemo ʻana
  • chemotherapy
  • interferon, he agena antiviral
  • pāhawewe

E kamaʻilio me kāu kauka e hoʻoholo i ka lāʻau maikaʻi loa. Kaukaʻi ʻia i ke kūlana, koi ʻia paha ka nānā ʻana ma kekahi mau hanana. No nā poʻe he nui me ka KS e pili ana i ka maʻi AIDS, lawa paha ka mālama ʻana i ka maʻi me ka antiretroviral therapy e mālama pū ai hoʻi i ka KS.

Lawe ʻia

Aia kekahi mau ala e wehe ai i nā tumors KS ma ke kaʻe. Hoʻohana ʻia ke kaha inā loaʻa kekahi i kekahi mau leona liʻiliʻi, a ʻo ia wale nō paha ke kōkua e pono ai.

Hiki ke hana ʻia ʻo Cryotherapy e hoʻokio a make i ka tumo. Hiki ke hana i ka electrodesiccation e puhi a make i ka tumo. Mālama wale kēia mau therapies i nā leona pākahi a ʻaʻole hiki ke mālama i nā leona hou mai ka hoʻomohala ʻana ʻaʻole lākou e hoʻopili i ka maʻi o ka maʻi ʻo HHV-8.

ʻO Chemotherapy

Hoʻohana nā kauka i ka chemotherapy me ka akahele no ka mea he nui nā mea maʻi i loaʻa i kahi ʻōnaehana immune hōʻemi. ʻO ka lāʻau i hoʻohana pinepine ʻia e mālama iā KS ʻo ia ka doxorubicin lipid complex (Doxil). Hoʻohana wale ʻia ʻo Chemotherapy ke loaʻa ka ʻili nui i ke komo ʻana, ke KS ke hana nei i nā ʻōuli i loko o nā ʻāpana o loko, a i ʻole ke pane ʻole ʻia o nā ʻili liʻiliʻi o ka ʻili i kekahi o nā hana hemo ma luna.

Nā Hana ʻē aʻe

ʻO Interferon kahi protein i kū maoli i ke kino o ke kanaka. Hiki i ke kauka ke hoʻopili i ka mana i hoʻomohala ʻia e kōkua i nā mea maʻi me KS inā loaʻa iā lākou kahi ʻōnaehana pale ola olakino.

Hoʻonohonoho ʻia ka uila He mea maikaʻi wale nō ka radiation radiation ke ʻike ʻole nā ​​leona ma luna o kahi ʻāpana nui o ke kino.

He aha ka hiʻohiʻona lōʻihi?

Hiki ke mālama iā KS me ka lāʻau. I ka hapanui o nā hihia, ulu lohi ia. Eia naʻe, me ka ʻole o ka mālama ʻana, hiki i kekahi manawa ke make. He mea nui mau ke kūkākūkā i nā koho lapaʻau me kāu kauka

Mai hōʻike i kekahi i kāu mau leona inā manaʻo ʻoe he KS paha kāu. E ʻike i kāu kauka a hoʻomaka koke i ka mālama ʻana.

Pehea e hiki ai iaʻu ke pale aku iā Kaposi Sarcoma?

ʻAʻole pono ʻoe e hoʻopā i nā leona o kēlā me kēia mea i loaʻa iā KS.

Inā maikaʻi ʻoe i ka maʻi HIV, ua loaʻa i kahi transplant organ, a i ʻole ʻoi aku paha e hoʻomohala iā KS, e ʻōlelo paha kāu kauka i ka antiretroviral therapy (HAART) ikaika loa. Hoʻoemi ʻo HAART i ka likelihood e hoʻomohala ka poʻe i loaʻa ka maʻi maikaʻi iā KS a me ka maʻi AIDS no ka mea e hakakā ana ia i ka maʻi HIV.

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