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Kaposi's sarcoma rudzi rwekenza runobva kumasero anovhara ropa nemidziyo yeropa. Inogadzira mabhuru akasiyana-siyana erima kana mavara paganda rako, muromo, kana nhengo dzemukati dzinosvika kubva pink kusvika kune rima rakajeka.
Iyi chirwere kare chaifungwa kuti chakanyanya kushomeka, asi chakazivikanwa zvakanyanya panguva yeHIV/AIDS epidemic muma1980s. Nhasi, tinoziva zvakawanda nezvekuti inokura sei, ani ari pangozi, uye zvakakosha, maitiro ekuirwisa zvinobudirira.
Kaposi's sarcoma kenza inoumbwa nemasero endothelial anovhara midziyo yeropa yako uye lymphatic system. Funga nezvemasero aya sekuvhara mukati kwenetiweki yekufambisa muviri wako yeropa nemvura ye lymph.
Kenza iyi inokonzerwa nehutachiona hunonzi human herpesvirus 8 (HHV-8), inozivikanwawo seKaposi's sarcoma-associated herpesvirus. Zvisinei, kuva neutachiona uhu hazvirevi kuti ucharwara nekenza. Vanhu vakawanda vane HHV-8 havazomboiti Kaposi's sarcoma kunze kwekunge immune system yavo ishaya simba.
Chirwere ichi kazhinji chinoonekwa semabhuru erima paganda rako, asi chinogona kukanganisawo muromo wako, lymph nodes, uye nhengo dzemukati senge mapapu ako kana digestive system.
Kune marudzi mana makuru eKaposi's sarcoma, imwe neimwe inokanganisa mapoka akasiyana evanhu. Kunzwisisa rudzi rwunogona kuva nerubatsiro kwachiremba wako kuronga nzira yakanakisa yekurapa.
Classic Kaposi's sarcoma inonyanya kukanganisa varume vakwegura veMediterranean, Middle Eastern, kana Eastern European descent. Rudzi urwu kazhinji runokura zvishoma nezvishoma uye runonyanya kuonekwa pamitsipa nemakumbo. Kazhinji harifambire kune nhengo dzemukati uye kazhinji ine tarisiro yakanaka.
Endemic (African) Kaposi's sarcoma inoitika muzvikamu zveSub-Saharan Africa uko HHV-8 infection yakajairika. Rudzi urwu runogona kukanganisa vanhu vezera ripi zvaro uye rinogona kuva rakasimba kupfuura fomu rekare.
Immunosuppression-associated Kaposi's sarcoma inokura muvanhu vane immune systems isina simba nekuda kwemishonga. Izvi zvinowanzoitika muvanhu vanogamuchira nhengo vanotora mishonga yekudzivirira kurambwa kwenhengo yavo itsva.
Epidemic (AIDS-related) Kaposi's sarcoma inoitika muvanhu vane HIV/AIDS. Tisati tava nemishonga inoshanda yeHIV, iyi yaive rudzi rwakajairika. Nhasi, yakaderera zvikuru nekuda kwemishonga yeHIV inobatsira kudzoreredza basa re immune system.
Zviratidzo zvinonyanya kuoneka zveKaposi's sarcoma ndeaya mabhuru eganda anogona kuoneka chero kupi zvako mumuviri wako. Aya mabhuru kazhinji ndiwo chiratidzo chekutanga chekuti chimwe chinhu chinoda kurapwa.
Heano zvaunogona kuona paganda rako:
Kana Kaposi's sarcoma ikakanganisa muromo wako, unogona kuona mabhuru epurpura kana matsvuku ari rima pagums, rurimi, kana pamusoro pemuromo wako. Aya mabhuru emuromo anogona dzimwe nguva kuita kuti kudya kana kutaura kusava nyore.
Kana kenza ikapararira kune nhengo dzako dzemukati, unogona kuwana zviratidzo zvakasiyana. Mumapapu ako, inogona kukonzera kukosora kwenguva refu, kushaya mweya, kana kurwadziwa pabvudzi. Painokanganisa digestive system yako, unogona kuva nekurwadziwa mudumbu, kusvotwa, kana kuchinja mumaitiro ako ekudya.
Vamwe vanhu vanonzwawo kuzvimba mumakumbo avo, tsoka, kana kumativi emaziso avo. Izvi zvinoitika kana kenza ikakanganisa lymph nodes yako, izvo zvinogona kukanganisa kubuda kwemvura mumuviri wako.
Kaposi's sarcoma inokonzerwa nehutachiona hwehuman herpesvirus 8 (HHV-8). Zvisinei, kuva neutachiona uhu chete hazvina kukwana kuti urove kenza - immune system yako inofanirawo kushaya simba nenzira iyi.
HHV-8 inopararira nenzira dzakawanda, kunyangwe nzira chaiyo haisi nguva dzose yakajeka. Utachiona hunogona kupfuura nemate, izvo zvinogona kutsanangura kuti nei dzimwe nguva huchipfuura pakati pehama kana vakaroorana. Hunogonawo kutapurirana kuburikidza neropa, kutapurirana kwenhengo, kana kubva kunaamai kuenda kumwana panguva yekuzvarwa.
Chinhu chikuru chinosiyanisa kana HHV-8 infection ichitungamira kukenza ndeyesimba re immune system yako. Kana kudzivirirwa kwako kwemukati kuri kushanda zvakanaka, kazhinji kunogona kuchengeta utachiona uhu pasi pekudzora. Asi kana immune system isina simba, utachiona hunogona kuva hwakasimba uye huchikonzera kukura kwemasero asinganzwisisiki kunotungamira kuKaposi's sarcoma.
Ndosaka chirwere ichi chiri chakajairika muvanhu vane HIV/AIDS, avo vanotora mishonga inodzora immune system mushure mekutambira nhengo, kana vanhu vane immune systems isina simba nekuda kwezera kana zvimwe zvirwere.
Zvinhu zvakawanda zvinogona kuwedzera mukana wako wekuwana Kaposi's sarcoma, nekudzikira kwesimba re immune system iri chinhu chakakosha. Kunzwisisa aya mazinga engozi kunogona kukubatsira iwe nechikurapa chako kuramba muri vakangwarira nezviratidzo zvepakutanga.
Zvinokonzera ngozi zvikuru zvinosanganisira:
Zvimwe zvinokonzera ngozi zvisingawanzoitika zvinosanganisira genetic predisposition nezvinhu zvakatipoteredza. Vanhu vane zvimwe zvirwere zve immune system vanogona kuva vakakurumidza kurwara, kunyangwe izvi zvisingawanzoitiki. Nzvimbo yekugara inotambawo basa, sezvo huwandu hweHHV-8 infection huchisiyana zvikuru pasi rose.
Zvakakosha kuyeuka kuti kuva nezvinokonzera ngozi hazvirevi kuti ucharwara neKaposi's sarcoma. Vanhu vakawanda vane aya mazinga engozi havazomboiti chirwere ichi, nepo kurapwa kunoshanda kunogona kudzikisa ngozi zvikuru muvanhu vane ngozi yakakura.
Unofanira kubata nachiremba wako kana ukaona mabhuru matsva, asinganzwisisiki paganda rako, kunyanya kana ari purpura, tsvuku, kana brown uye asingapere.
Tsvaka rubatsiro rwekurapa nekukurumidza kana ukawana mabhuru akawanda erima kana mavara paganda rako anotaridzika kunge ari kukura kana kuchinja. Izvi zvakakosha zvikuru kana uine HIV, uchitora mishonga inodzora immune system, kana uine zvimwe zvinokonzera ngozi zveKaposi's sarcoma.
Usamirira kana iwe ukawana zviratidzo zvinogona kuratidza kukanganisa kwemukati. Kukosora kwenguva refu, kushaya mweya kusinganzwisisiki, kurwadziwa mudumbu kwenguva refu, kana kuzvimba mumakumbo ako kana kumativi emaziso ako zvose zvinoda kuongororwa nekukurumidza.
Kana uri kurapwa kare neKaposi's sarcoma, taura nachiremba wako nezve mabhuru matsva, kuchinja kwemabhuru aripo, kana chero zviratidzo zvitsva. Chirongwa chako chekurapa chingada kuchinjwa, uye kubata kuchinja pakutanga kazhinji kunotungamira pakugadzirisa kwakanaka.
Nepo vanhu vakawanda vane Kaposi's sarcoma vanogona kurarama hupenyu hunowanzoitika nekurapa kwakakodzera, chirwere ichi chinogona dzimwe nguva kutungamira kumatambudziko akakomba. Kunzwisisa aya mikana kunokubatsira kuziva kana uchifanira kutsvaka rubatsiro rwekurapa nekukurumidza.
Matambudziko anotyisa zvikuru anoitika kana kenza ikapararira kune nhengo dzemukati:
Matambudziko ane chekuita neganda, kunyangwe asingakuvadzi zvakanyanya, anogona kukanganisa zvakanyanya hupenyu hwako. Mabhuru makuru anogona kuva anorwadza, ane hutachiona, kana kudzora kufamba kwako. Mabhuru pachiso anogona kukanganisa chitarisiko chako uye kuvimba kwako, nepo mabhuru emuromo anogona kukanganisa kudya kana kutaura.
Muvanhu vane immune systems isina simba zvikuru, Kaposi's sarcoma inogona kukura nekukurumidza uye kuva inotyisa. Zvisinei, kurapwa kwazvino kwakavandudza zvikuru migumisiro, uye matambudziko mazhinji anogona kudzivirirwa kana kugadziriswa zvinobudirira nekurapa kwakakodzera.
Kuziva Kaposi's sarcoma kazhinji kunotanga nachiremba wako achiongorora mabhuru anokonzera hanya paganda rako kana mumuromo mako. Kuonekwa kwakasiyana kweaya mabhuru kazhinji kunopa chiratidzo chekutanga, asi miedzo yakawanda inodiwa kuti uone chirwere ichi.
Chiremba wako anogona kuita biopsy, iyo inosanganisira kubvisa chidimbu chidiki chebhuru kuti chiongororwe murabhoritari. Izvi zvinowanzoitwa sechirongwa chekunze chisingadi kupinda muchipatara uchishandisa local anesthesia. Sampuli yetsinga inobva yanyatsoongororwa pasi pemikroskopu kuti ione masero anokosha uye maitiro eKaposi's sarcoma.
Miedzo yeropa inotamba basa rinokosha mukuongorora chirwere ichi. Chiremba wako achaongorora HHV-8 antibodies kuti aone kana wakamborwara neutachiona uhu. Kana usati wamboongororwa kare, vachaongororawo HIV yako, sezvo izvi zvinokanganisa zvikuru sarudzo dzekurapa.
Kana chiremba wako achifunga kuti kenza yakapararira mukati, unogona kuda kuongororwa nemidziyo yekuona. CT scans yepaburi nemuviri wako inogona kuratidza mabhuru mumapapu ako kana digestive system. Muzvimwe zviitiko, unogona kuda endoscopy kuongorora muromo wako, dumbu, kana matumbo zvakananga.
Iyi nzira yekuongorora chirwere inowanzoita mavhiki mashoma, asi chiremba wako anogona kazhinji kuita kuongorora kwekutanga zvichienderana nekuonekwa kweaya mabhuru uye nhoroondo yako yekurapa.
Kurapa kweKaposi's sarcoma kunoenderana nezvinhu zvakawanda, kusanganisira rudzi rwuripo, kuti yakapararira sei, uye hutano hwako hwese. Mashoko akanaka ndeawo kuti dzakawanda nzira dzekurapa dziripo, uye migumisiro yakavandudzwa zvikuru mumakore makumi mashanu apfuura.
Kune vanhu vane HIV-related Kaposi's sarcoma, kurapa kwakakosha kwazvo ndekwe highly active antiretroviral therapy (HAART) yeHIV infection. Izvi zvinobatsira kudzoreredza immune system yako, iyo inogona kazhinji kudzora kana kunyange kudzikisa mabhuru eKaposi's sarcoma pasina kurapwa kwekenza yakawedzerwa.
Kurapa kwemuno kunoshanda zvakanaka kune mabhuru mashoma. Chiremba wako anogona kushandisa nitrogen yakanyorova kufungisa mabhuru (cryotherapy), kuisa mishonga yekenza zvakananga mubhuru, kana kushandisa radiation therapy kunangisa nzvimbo dzakatarwa. Aya maitiro anogona kuva anoshanda zvikuru kune mabhuru anokanganisa chitarisiko kana ari munzvimbo dzakakosha.
Kana uine mabhuru mazhinji kana kukanganisa kwemukati, kurapa kwese kunodiwa. Mishonga yekenza senge doxorubicin, paclitaxel, kana bleomycin inogona kubatsira kudzikisa mabhuru mumuviri wako wese. Aya kurapa kazhinji anoitwa neIV uye anogona kuda zvikamu zvakawanda.
Kurapa kwazvino kunosanganisira mishonga ye immunotherapy inobatsira immune system yako kurwisa kenza zvakanyanya. Mishonga ye anti-angiogenic, iyo inodzivisa kuumbwa kwemidziyo mitsva yeropa inodyisa zvipembenene, yakaratidzawo tariro mukurapa Kaposi's sarcoma.
Kutarisira Kaposi's sarcoma pamba kunotarisa pakutsigira hutano hwako hwese, kutarisira mabhuru eganda rako, uye kuchengetedza hupenyu hwako. Timu yako yekurapa ichakutungamira, asi pane zvakawanda zvaunogona kuita kuti unzwe zvakanaka zuva nezuva.
Kutarisira mabhuru eganda rako kunosanganisira kuchenesa zvinyoro uye kudzivirirwa. Geza nzvimbo dzakakanganiswa neshampo yakapfava nemvura inodziya, wobva waoma zvinyoro nyoro. Dzivisa kushambidza zvakasimba kana kukwenya mabhuru, sezvo izvi zvinogona kukonzera kubuda ropa kana hutachiona. Kana mabhuru ari munzvimbo dzinokwenya nehembe, padding yakapfava kana mabhandeji anogona kupa dziviriro.
Kuchengetedza chikafu chakanaka kunotsigira immune system yako uye kunobatsira muviri wako kubata nekurapa. Tarisa pakudya chikafu chakaenzana chine zvibereko zvakawanda, miriwo, uye mapuroteni. Kana mabhuru emuromo aita kuti kudya kuoma, edza zvikafu zvinyoro, smoothies, kana zvinowedzera zvinovaka muviri.
Kuramba uchiita zvemitambo mukati memiganho yako kunogona kubatsira kuchengetedza simba rako uye manzwiro. Kuita zvemitambo zvinyoro senge kufamba kana kutambanudza kazhinji kuchengeteka, asi bvunza nachiremba wako nezve zvakakodzera mamiriro ako. Zorora kana uchida, sezvo kuneta kuri kazhinji nechirwere ichi nekurapa kwaro.
Kutarisira kushushikana uye kuchengetedza hukama hwemagariro zvakakosha zvakafanana kune hutano hwako hwese. Funga nezvekubatanidzwa nemapoka ekutsigira, kutaura nemurairidzi, kana kuwana mabasa anokugutsa anokupa mufaro.
Kuagadzirira misangano yako yekurapa kunogona kukubatsira kuti uwane zvakawanda kubva panguva yako nevanopa utano. Kugadzirira kwakanaka kunoona kuti nyaya dzakakosha dzakafukidzwa uye kunobatsira chiremba wako kupa hanya yakanakisa inogona.
Usati wasangana nachiremba wako, nyora zviratidzo zvako zvese, kusanganisira kuti zvakatanga riini uye zvakachinja sei nekufamba kwenguva. Tora mifananidzo yemabhuru eganda rako kana zvichibvira, sezvo izvi zvinogona kubatsira chiremba wako kutevera kuchinja pakati pemisangano. Cherechedza chero zvinhu zvinoita kuti zviratidzo zvive nani kana zvakanyanya kuipa.
Unganidza ruzivo nezve nhoroondo yako yekurapa, kusanganisira kurapwa kwakapfuura, mishonga yaunotora, nezvimwe zvirwere. Kana uine HIV kana uchitora mishonga inodzora immune system, uya nemakadhi emiedzo yekurapa yakapfuura kana kuchinja kwemishonga.
Gadzira runyorwa rwemibvunzo yaunoda kubvunza. Ungada kuziva nezvenzira dzekurapa, migumisiro inogona kuitika, zvaunofanira kutarisira mwedzi iri kuuya, kana kuti chirwere ichi chingakanganisa sei hupenyu hwako hwezuva nezuva. Kunyora mibvunzo kunobatsira kuona kuti hausi kukanganwa nyaya dzakakosha panguva yemisangano.
Funga nezvekukoka shamwari yakavimbika kana nhengo yemhuri kumisangano yakakosha. Vanogona kukubatsira kuyeuka ruzivo rwakataurwa uye kupa rutsigiro rwemanzwiro. Vamwe vanhu vanoona zviri nyore kunyora kana kubvunza kana vangarekodha hurukuro yacho kuti vaishandisa gare gare.
Nepo usingakwanisi kudzivirira zvachose Kaposi's sarcoma, unogona kutora matanho ekudzikisa ngozi yako, kunyanya kana uri muchikwata chine ngozi yakakura. Kudzivirira kunotarisa pakuchengetedza hutano hwe immune system uye kudzivirira HHV-8 infection kana zvichibvira.
Kune vanhu vane HIV, nzira yakakosha yekudzivirira ndeyekutora mishonga ye antiretroviral nguva dzose uye kuchengeta viral load yako isingawanikwi. Izvi zvinobatsira kuchengetedza immune system yakasimba inogona kudzora HHV-8 infection uye kudzivirira Kaposi's sarcoma kubva pakukura.
Kana uri pangozi yeHHV-8 infection, kuita zvepabonde zvakachengeteka kunogona kudzikisa ngozi yekutapurirana. Kushandisa zvinodzivirira senge condoms panguva yezvepabonde uye kudzivisa kugovana zvinhu zvemunhu senge mabhurashi ezino kana razors zvinogona kubatsira, kunyangwe nzira chaiyo yekutapurirana dzisinganzwisisiki zvizere.
Kune vanogamuchira nhengo, kushanda pedyo nechikwata chako chekurapa kubatanidza kudzora immune system kwakakosha. Vachiremba vako vachaedza kushandisa mishonga yakaderera inoshanda yemishonga inodzora immune system asi vachiri kudzivirira kurambwa kwenhengo.
Kutsigira kwese kwe immune system kuburikidza nezvinhu zvehupenyu zvine hutano kunogonawo kubatsira. Izvi zvinosanganisira kudya chikafu chine utano, kurara zvakakwana, kutarisira kushushikana, kudzivisa kusvuta, uye kudzikisa kushandisa doro.
Kaposi's sarcoma chirwere chinogona kugadziriswa, kunyanya kana chakaonekwa pakutanga uye kurapwa kwakakodzera. Nepo chingaratidzika kutyisa pakutanga, kurapwa kwazvino kwakachinja tarisiro kune vanhu vakawanda vane chirwere ichi.
Chinhu chakakosha kwazvo chekuyeuka ndechekuti Kaposi's sarcoma inopindura zvakanaka pakurapa, kunyanya kana zvinetso zve immune system zvakagadziriswa. Kune vanhu vane HIV, kurapwa kwakakodzera kwe antiretroviral kunogona kazhinji kudzora chirwere ichi pasina kurapwa kwekenza yakawedzerwa.
Kuonekwa pakutanga kunoita musiyano mukuru mumigumisiro. Kana ukaona mabhuru eganda asinganzwisisiki, kunyanya kana uine zvinokonzera ngozi, usambotanga kuona chiremba. Zvinogona kuita kutyisa kwauri zvinogona kurapwa nyore nyore nekurapa kwakakodzera.
Kurarama neKaposi's sarcoma hazvirevi kusiya hupenyu hwako hwakanaka. Vanhu vakawanda vane chirwere ichi vanoramba vachishanda, vachifamba, uye vachifarira hukama hwavo. Nekutsigirwa kwakakodzera kwemishonga uye kutarisira kwako, unogona kuchengetedza hupenyu hunoshanda, hunogutsa uchitarisira chirwere ichi.
Kaposi's sarcoma pachayo haitapurirani, asi utachiona hunokonzera (HHV-8) hunogona kutapurirana pakati pevanhu. Utachiona hunogona kutapurirana nemate, ropa, kana zvepabonde, asi vanhu vakawanda vanorwara havazomboiti Kaposi's sarcoma kunze kwekunge immune system yavo isina simba.
Nepo pasina mushonga wakajeka weKaposi's sarcoma, inogona kazhinji kudzorwa zvinobudirira nekurapa. Vanhu vakawanda vanorarama hupenyu hunowanzoitika nechirwere chakagadziriswa zvakanaka. Muzvimwe zviitiko, kunyanya kana basa re immune system rakavandudzwa, mabhuru anogona kupera zvachose uye kuramba akareba kwemakore.
Mwero wekukura unochinja zvikuru zvichienderana nerudzi uye immune system yako. Classic Kaposi's sarcoma kazhinji inokura zvishoma nezvishoma kwemakore, nepo maitiro eepidemic (HIV-related) anogona kukura nekukurumidza kana HIV isina kudzorwa zvakanaka. Marudzi mazhinji anopindura zvakanaka pakurapa, izvo zvinogona kudzikisa kana kumisa kukura.
Mamwe mabhuru anogona kusiya nzvimbo dzakadzika kana kuchinja kwepasi peganda mushure mekurapa, asi mavara makuru haawanzoitiki. Mabhuru mazhinji anoderera zvikuru kana kupera zvachose nekurapa kwakakodzera. Chiremba wako anogona kukurukura nezvekukanganisa chitarisiko uye kurapwa kunogona kuderedza chero kuchinja kwenguva refu kwepasi peganda.
Kuva neKaposi's sarcoma hakukuvadzi kubereka vana, asi pane zvinhu zvakakosha zvekurukura nechikwata chako chekurapa. Kana uine HIV, kurapwa kwakakodzera kunogona kudzikisa ngozi yekutapurirana kusvika padanho rakadzikira. Vachiremba vako vanogona kukubatsira kuronga pamuviri wakachengeteka uye kubereka uchitarisira chirwere chako zvakanaka.