Kaposi Sarcoma
Anter
- He aha nā ʻano o Kaposi Sarcoma?
- Kaposi Sarcoma e pili ana i ka maʻi AIDS
- ʻO Kaposi Sarcoma Classic
- ʻApelika Cutaneus Kaposi Sarcoma
- Kaposi Sarcoma e pili ana i ka Immunosuppression
- He aha nā hōʻailona o Kaposi Sarcoma?
- Pehea e kuhikuhi ʻia ai ʻo Kaposi Sarcoma?
- He aha nā ʻano hana no Kaposi Sarcoma?
- Lawe ʻia
- ʻO Chemotherapy
- Nā Hana ʻē aʻe
- He aha ka hiʻohiʻona lōʻihi?
- Pehea e hiki ai iaʻu ke pale aku iā Kaposi Sarcoma?
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.