Created at:1/16/2025
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I-Kaposi's sarcoma uhlobo lomdlavuza oluvela ezintweni eziqopha imithambo yegazi ne-lymph. Yakha izilonda noma amabala anemibala ehlukile oluswini, emlonyeni, noma ezingutsheni zangaphakathi ezingaba pinki kuya eziphuzi ezimnyama.
Lesi simo ngesikhathi esidlule sasibhekwa njengesiyindlala kakhulu, kodwa saba semqoka kakhulu ngesikhathi se-HIV/AIDS ema-1980s. Namuhla, siqonda okuningi ngokuthi sithuthuka kanjani, ukuthi ubani osezingozini, futhi okubaluleke kakhulu, ukuthi singalwelapha kanjani ngokuphumelelayo.
I-Kaposi's sarcoma umdlavuza ovela ezintweni ze-endothelial eziqopha imithambo yegazi yakho nesistimu ye-lymphatic. Cabanga ngalezi zinto njengokugqoka kwangaphakathi kwenethiwekhi yokuthutha yomzimba wakho yegazi nengxube ye-lymph.
Umdlavuza ubangelwa yi-virus ebizwa nge-human herpesvirus 8 (HHV-8), eyaziwa nangokuthi i-Kaposi's sarcoma-associated herpesvirus. Noma kunjalo, ukuba nale virus akusho ukuthi uzophula umdlavuza. Abantu abaningi abane-HHV-8 abazange baphulise i-Kaposi's sarcoma ngaphandle uma isimiso sabo somzimba sibuthakathaka.
Lesi simo sivame ukubonakala njengezilonda ezinemibala oluswini lwakho, kodwa singathinta nomlomo wakho, ama-lymph nodes, nezingutsheni zangaphakathi njengemiphunga yakho noma isimiso sakho sokuhlanza.
Kunezinhlobo ezine eziyinhloko ze-Kaposi's sarcoma, ngayinye ithonya amaqembu ahlukene abantu. Ukuqonda ukuthi yiluphi uhlobo onalo kuzosiza udokotela wakho ukuhlela indlela yokwelapha engcono kakhulu.
I-Classic Kaposi's sarcoma ithonya ikakhulukazi amadoda amadala ase-Mediterranean, aseMpumalanga Ephakathi, noma aseMpumalanga Yurophu. Lolu hlobo luhlala lukhula kancane futhi lubonakala ikakhulukazi ezinyaweni nasezinyaweni. Akukhulu ukuthi lusakazeke ezingutsheni zangaphakathi futhi ngokuvamile lubukeka kahle.
I-Endemic (African) Kaposi's sarcoma ivela ezingxenyeni zase-sub-Saharan Africa lapho ukutheleleka kwe-HHV-8 kuvamile khona. Lolu hlobo lungathinta abantu bazo zonke izinsuku futhi lungaba lukhulu kunohlobo oluqhelekile.
I-Immunosuppression-associated Kaposi's sarcoma ithuthuka kubantu abasistimu zabo zomzimba zibuthakathaka ngemithi. Lokhu kuvame ukwenzeka kubantu abamukele izitho abasebenzisa imithi ukuvimbela ukuphika komzimba wabo omusha.
I-Epidemic (AIDS-related) Kaposi's sarcoma ivela kubantu abane-HIV/AIDS. Ngaphambi kokuba kube khona ukwelashwa okuphumelelayo kwe-HIV, lolu kwakuwuhlobo oluvamile kakhulu. Namuhla, luncane kakhulu ngenxa yemithi ye-HIV eyenziwe kangcono esiza ekuvuseleleni umsebenzi we-immune.
Izimpawu ezibonakalayo kakhulu ze-Kaposi's sarcoma yizilonda zesikhumba ezibonakala kuphi na emzimbeni wakho. Lezi zilonda ngokuvamile yizimpawu zokuqala zokuthi kukhona okuthile okudinga ukunakekelwa kwezokwelapha.
Nanku ongakubona oluswini lwakho:
Uma i-Kaposi's sarcoma ithinta umlomo wakho, ungase ubona amabala aphethwe noma abomvu obomvu emagagini akho, olulimi, noma ophahleni lomlomo wakho. Lezi zilonda zomlomo ngezinye izikhathi zingenza ukudla noma ukukhuluma kube nzima.
Uma umdlavuza usakazeka ezingutsheni zakho zangaphakathi, ungase ube nezimpawu ezahlukene. Emiphungeni yakho, kungabangela ukukhokha okuqhubekayo, ukuphefumula okunzima, noma ubuhlungu esifubeni. Uma uthinta isimiso sakho sokuhlanza, ungase ube nobuhlungu esiswini, isicanucanu, noma ukushintsha ekuhambeni kwesisu sakho.
Abanye abantu nabo baba nokuvuvukala ezinyaweni, ezinyaweni, noma eduze kwamehlo abo. Lokhu kwenzeka uma umdlavuza uthinta ama-lymph nodes akho, angaphazanyiswa ukukhipha okungavamile komzimba wakho.
I-Kaposi's sarcoma ibangelwa ukutheleleka yi-human herpesvirus 8 (HHV-8). Noma kunjalo, ukuba nale virus yodwa akwanele ukukhulisa umdlavuza - isimiso sakho somzimba sidinga futhi ukuba sibuthakathaka ngandlela thile.
I-HHV-8 isakazeka ngezindlela eziningi, yize indlela eqondile ingabonakali njalo. I-virus ingadlula ngesaliva, okungachaza ukuthi ngezinye izikhathi isakazeka phakathi amalungu omndeni noma abalingani bobulili. Ingasakazeka futhi ngegazi, ukuthutha izitho, noma kusuka kunina kuya engwaneni ngesikhathi sokuzalwa.
Into ebalulekile enqamula ukuthi ukutheleleka kwe-HHV-8 kuholela emdlavuzini yinamandla yesistimu yakho yomzimba. Uma ukuvikela kwakho kwe-immune kusebenza ngokujwayelekile, ngokuvamile kungagcina i-virus ilawulwa. Kodwa uma ukuvikelwa kwe-immune kubuthakathaka, i-virus ingase isebenze futhi iqalise ukukhula okungavamile kweselula okuholela e-Kaposi's sarcoma.
Kungakho lesi simo sivame kakhulu kubantu abane-HIV/AIDS, labo abasebenzisa imithi ye-immunosuppressive ngemuva kokuthutha izitho, noma abantu abanesimiso somzimba esibuthakathaka ngokwemvelo ngenxa yobudala noma ezinye izimo zezokwelapha.
Izinto eziningi zingandisa amathuba akho okukhulisa i-Kaposi's sarcoma, ukubuthakathaka kwesistimu ye-immune kuyinto ebaluleke kakhulu. Ukuqonda lezi zinto ezingozini kungakusiza wena nodokotela wakho ukuba niqaphele izimpawu zokuqala.
Izingozi eziyinhloko zihlanganisa:
Ezinye izingozi ezingavamile zihlanganisa ukunakekelwa kwezakhiwo futhi nezinto ezingqongile. Abantu abane-immune deficiencies ezithile eziwusizo bangase babe sengozini enkulu, yize lokhu kuyindlala.
Kubalulekile ukukhumbula ukuthi ukuba nezingozi akusho ukuthi uzophula i-Kaposi's sarcoma. Abantu abaningi abanezi zinto ezingozini abazange baphulise lesi simo, kuyilapho ukwelashwa okuphumelelayo kunganciphisa kakhulu ingozi kubantu abasezingozini eziphezulu.
Kufanele uxhumane nodokotela wakho uma uqaphela izilonda ezintsha, ezingavamile zesikhumba, ikakhulukazi uma ziphuzi, bomvu, noma zimnyama futhi azinyamalali. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kungenza umehluko omkhulu emiphumeleni.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa amabala amaningi anemibala noma amabala oluswini olukhula noma oluguquka. Lokhu kubaluleke kakhulu uma une-HIV, usebenzisa imithi ye-immunosuppressive, noma unezinye izingozi ze-Kaposi's sarcoma.
Ungalindi uma uhlangabezana nezimpawu ezingase zibonise ukubandakanyeka kwangaphakathi. Ukukhokha okuqhubekayo, ukuphefumula okunzima okungachazwanga, ubuhlungu besiswini obuqhubekayo, noma ukuvuvukala ezinyaweni zakho noma eduze kwamehlo akho konke kudinga ukuhlolwa kwezokwelapha ngokushesha.
Uma usuvele uthola ukwelashwa kwe-Kaposi's sarcoma, xhumana nodokotela wakho ngezilonda ezintsha, ukushintsha kwamabala akhona, noma yiziphi izimpawu ezintsha. Uhlelo lwakho lokwelapha lungase ludinge ukulungiswa, futhi ukuqaphela ukushintsha kwangaphambi kwesikhathi kuvame ukubangela ukuphathwa kangcono.
Ngenkathi abantu abaningi abane-Kaposi's sarcoma bengaphila impilo evamile ngokwelashwa okufanele, lesi simo ngezinye izikhathi singabangela ubunzima obukhulu. Ukuqonda lezi zinto ezingase zenzeke kuzokusiza uqonde ukuthi nini kufanele ufune ukunakekelwa kwezokwelapha ngokushesha.
Ubunzima obukhulu kakhulu buvela uma umdlavuza usakazeka ezingutsheni zangaphakathi:
Ubunzima obuhlobene nesikhumba, yize bungabi yingozi enkulu ebomini, bungathinta kakhulu ikhwalithi yempilo yakho. Izilonda ezinkulu zingase zibe buhlungu, zithola ukutheleleka, noma zikhawulele ukuhamba kwakho. Izilonda ebusweni zingathinta ukubonakala kwakho nokuthembela kwakho, kuyilapho izilonda zomlomo zingase zihlanganise ukudla noma ukukhuluma.
Kubantu abanesimiso somzimba esibuthakathaka kakhulu, i-Kaposi's sarcoma ingathuthuka ngokushesha futhi ibe yingozi ebomini. Noma kunjalo, ukwelashwa kwamanje kuye kwathuthukisa kakhulu imiphumela, futhi ubunzima obuningi bungavimbeka noma bulawulwe kahle ngokunakekelwa kwezokwelapha okufanele.
Ukuhlola i-Kaposi's sarcoma ngokuvamile kuqala ngodokotela wakho ehlola izilonda ezimangalisayo oluswini lwakho noma emlonyeni wakho. Ukubonakala okuhlukile kwalezi zilonda ngokuvamile kunikeza isilondolosi sokuqala, kodwa ukuhlolwa okwengeziwe kudingeka ukuqinisekisa ukuxilongwa.
Udokotela wakho cishe uzokwenza i-biopsy, ehlanganisa ukususa ingxenye encane yesilonda ukuze ihlolwe elabhoratri. Lokhu ngokuvamile kwenziwa njengendlela elula yokwelashwa kwangaphandle usebenzisa i-anesthesia yendawo. Isampula yethishu bese ihlolwa ngaphansi komkhiqizo ukuze ibuke izinto ezibonakalayo nezindlela ze-Kaposi's sarcoma.
Izivivinyo zegazi zidlalela indima ebalulekile enkambeni yokuxilongwa. Udokotela wakho uzohlola ama-antibodies e-HHV-8 ukuqinisekisa ukutheleleka yi-virus. Uma awukahlolwa muva nje, bazohlola futhi isimo sakho se-HIV, njengoba lokhu kuthonya kakhulu izinqumo zokwelapha.
Uma udokotela wakho ekholelwa ukuthi umdlavuza usakazeke ngaphakathi, ungase udinga izifundo zokubonisa. I-CT scans yesifuba sakho nesisu zingaveza izilonda eziphungeni zakho noma esiswini sakho. Kwezinye izimo, ungase udinga i-endoscopy ukuhlola umlomo wakho, isisu, noma ama-intestines ngokuqondile.
Yonke inqubo yokuxilongwa ngokuvamile ithatha amasonto ambalwa, kodwa udokotela wakho ngokuvamile angenza ukuxilongwa okuqala ngokususelwa ekubonakaleni kwezilonda zakho kanye nomlando wakho wezokwelapha.
Ukwelashwa kwe-Kaposi's sarcoma kuncike ezintweni eziningi, kuhlanganise uhlobo olukhona, ukuthi lusakazeke kangakanani, kanye nekhwalithi yakho yonke yempilo. Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha ezitholakalayo, futhi imiphumela iye yathuthuka kakhulu phakathi kwamashumi eminyaka adlule.
Kubantu abane-Kaposi's sarcoma ehlobene ne-HIV, ukwelashwa okubaluleke kakhulu yilokhu okuthiwa yi-highly active antiretroviral therapy (HAART) yokutheleleka kwe-HIV. Lokhu kusiza ekuvuseleleni isimiso sakho somzimba, esingalawula noma siqede izilonda ze-Kaposi's sarcoma ngaphandle kokwelashwa okwengeziwe komdlavuza.
Ukwelashwa kwendawo kusebenza kahle ngenani elincane lezinto ezimbi. Udokotela wakho angase asebenzise i-liquid nitrogen ukuze ayeke izilonda (cryotherapy), afake imithi ye-chemotherapy ngokuqondile ezilondeni, noma asebenzise i-radiation therapy ukuqondisa izindawo ezithile. Lezi zindlela zingasebenza kakhulu ezilondeni ezihluphayo noma ezingaphansi kwendawo ezinzima.
Uma unezilonda eziningi noma ukubandakanyeka kwangaphakathi, ukwelashwa kwesistimu kuyadingeka. Imithi ye-chemotherapy efana ne-doxorubicin, paclitaxel, noma i-bleomycin ingasiza ekuqedeni izilonda emzimbeni wakho wonke. Lokhu ukwelashwa ngokuvamile kunikezwa nge-IV futhi kungase kudinge izikhathi eziningi.
Ukwelashwa okusha kuhlanganisa imithi ye-immunotherapy esiza isimiso sakho somzimba ukulwa nomdlavuza ngokuphumelelayo. Imithi ye-anti-angiogenic, evikela ukwakheka kwemithambo yegazi emisha ekondla iziphumo, ibuye ibonise ithemba ekwelapheni i-Kaposi's sarcoma.
Ukuphatha i-Kaposi's sarcoma ekhaya kugxile ekusekiseni impilo yakho yonke, ukunakekela izilonda zakho zesikhumba, nokugcina ikhwalithi yempilo yakho. Iqembu lakho lezokwelapha lizokukhokhela, kodwa kukhona okuningi ongakwenza ukuze uzizwe ukhulu usuku nosuku.
Ukukhathalela izilonda zakho zesikhumba kuhlanganisa ukuhlanza okuthambile nokuvikelwa. Geza izindawo ezithintekile ngesepu elithambile namanzi afudumele, bese uqeda ngobumnene. Gwema ukukrazula noma ukukhetha izilonda, njengoba lokhu kungabangela ukugeleza noma ukutheleleka. Uma izilonda zisezindaweni ezishayela izingubo, ukugcwalisa okuthambile noma amabhande kungakwazi ukunikeza ukuvikelwa.
Ukugcina ukudla okuhle kusekela isimiso sakho somzimba futhi kusiza umzimba wakho ukuba ubhekane nokwelashwa. Gxila ekudleni ukudla okulinganiselayo okunemithombo eminingi yezithelo, imifino, neprotheni. Uma izilonda zomlomo zenza ukudla kube nzima, zama ukudla okuthambile, ama-smoothies, noma izithasiselo zokudla.
Ukusebenza ngaphakathi kwemingcele yakho kungasiza ekugcineni amandla akho nengqondo yakho. Ukuzivocavoca okuthambile njengokuhamba noma ukuqina ngokuvamile kuphephile, kodwa hlola nodokotela wakho ngalokho okulungele isimo sakho. Phumula uma udinga, njengoba ukhathala kuvamile kokubili lesi simo nokuphathwa kwalo.
Ukuphatha ukucindezeleka nokugcina ubuhlobo bomphakathi kubaluleke kakhulu ekuphileni kwakho konke. Cabanga ngokujoyina amaqembu wokusekela, ukukhuluma nomxhumanisi, noma ukuthola imisebenzi ekuphumulisayo ekulethela injabulo.
Ukulungiselela imihlangano yakho yezokwelapha kungakusiza uthole okuningi ngesikhathi sakho nabaphakeli bezempilo. Ukulungiselela okuhle kuqinisekisa ukuthi izihloko ezibalulekile zihlanganiswe futhi kusiza udokotela wakho ukuba anikeze ukunakekelwa okuhle kakhulu.
Ngaphambi komhlangano wakho, yenza uhlu lwezipawu zakho zonke, kuhlanganise nokuthi zaqala nini nokuthi zishintshe kanjani ngokuhamba kwesikhathi. Thatha izithombe zezilonda zakho zesikhumba uma kungenzeka, njengoba lokhu kungasiza udokotela wakho ukuba alandelele ukushintsha phakathi kokuvakashela. Qaphela noma yiziphi izinto ezibukeka zenza izimpawu zibe ngcono noma zibe zimbi.
Buka ulwazi ngomlando wakho wezokwelapha, kuhlanganise noma yikuphi ukwelashwa kwangaphambili, imithi oyithathayo, nezinye izimo zezokwelapha. Uma une-HIV noma usebenzisa imithi ye-immunosuppressive, letha amarekhodi okuhlolwa kwelabhori kwamuva noma ukushintsha kwemithi.
Lungisa uhlu lwemibuzo ofuna ukuyibuza. Ungase ufune ukwazi ngezindlela zokwelapha, imiphumela emibi, ukuthi yini okulindelekile ezinyangeni ezizayo, noma ukuthi lesi simo singathinta kanjani impilo yakho yansuku zonke. Ukubhala imibuzo phansi kusiza ekuqinisekiseni ukuthi awulibali izihloko ezibalulekile ngesikhathi somhlangano.
Cabanga ngokuletha umngani othembekile noma ilungu lomndeni emihlanganweni ebalulekile. Bangakusiza ukuba ukhumbule ulwazi oluxoxwe futhi banikeze ukwesekwa ngokomzwelo. Abanye abantu bathola ukuthi kuwusizo ukuthatha amanothi noma ukubuza uma bangarekhoda ingxoxo ukuze bayibheke kamuva.
Ngenkathi ungakwazi ukuvimbela ngokuphelele i-Kaposi's sarcoma, ungathatha izinyathelo zokunciphisa ingozi yakho, ikakhulukazi uma useqenjini elisezingozini eziphezulu. Ukuvimbela kugxile ekugcineni impilo yesistimu ye-immune nokugwema ukutheleleka kwe-HHV-8 uma kungenzeka.
Kubantu abane-HIV, isu elibaluleke kakhulu lokuvimbela ukusebenzisa imithi ye-antiretroviral ngokuqhubekayo nokugcina i-viral load yakho ingabonakali. Lokhu kusiza ekugcineni isimiso somzimba esinamandla esingalawula ukutheleleka kwe-HHV-8 futhi sivikele i-Kaposi's sarcoma ekukhuleni.
Uma usezingozini yokutheleleka kwe-HHV-8, ukwenza ubulili obulondekile kunganciphisa ingozi yokusakazeka. Ukusebenzisa izithiyo njenge-condoms ngesikhathi sobulili nokugwema ukwabelana ngezinto zomuntu siqu njenge-toothbrushes noma i-razors kungasiza, yize izindlela ezicacile zokusakazeka zingaqondakali ngokuphelele.
Kubantu abamukele izitho, ukusebenza eduze neqembu lakho lezokwelapha ukuze ube ne-immunosuppression elilinganiselayo kubalulekile. Odokotela bakho bazamile ukusebenzisa imithi ye-immunosuppressive ephansi ephumelelayo kuyilapho bevimbela ukuphika komzimba.
Ukusekela kwesistimu ye-immune ngokujwayelekile ngokukhetha impilo enempilo kungasiza futhi. Lokhu kuhlanganisa ukudla ukudla okunempilo, ukulala ngokwanele, ukuphatha ukucindezeleka, ukugwema ukubhema, nokulinganisela ukusetshenziswa kotshwala.
I-Kaposi's sarcoma isimo esilawuleka, ikakhulukazi uma itholakala kwangaphambi kwesikhathi futhi iwelashwe ngokufanele. Ngenkathi ingase ibukeke iyesabekayo ekuqaleni, ukwelashwa kwamanje kuye kwaguqula ukubukeka kwabantu abaningi abanelilo xilongo.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-Kaposi's sarcoma iphendula kahle ekwelapheni, ikakhulukazi uma izinkinga zesimiso somzimba eziyisisekelo zilungiswa. Kubantu abane-HIV, ukwelashwa okuphumelelayo kwe-antiretroviral ngokuvamile kungalawula lesi simo ngaphandle kokwelashwa okwengeziwe komdlavuza.
Ukutholakala kwangaphambi kwesikhathi kwenza umehluko omkhulu emiphumeleni. Uma uqaphela izilonda ezimangalisayo zesikhumba, ikakhulukazi uma unezingozi, ungangabazi ukubona umhlinzeki wezempilo. Okungase kubukeke kuyikhathaza kuwe kungase kulashwe kalula ngokunakekelwa kwezokwelapha okufanele.
Ukuhlala ne-Kaposi's sarcoma akusho ukushiya ikhwalithi yempilo yakho. Abantu abaningi abalesi simo baqhubeka besebenza, behamba, futhi bajabulela ubuhlobo babo. Ngokusekelwa kwezokwelapha okufanele nokunakekelwa kwakho, ungagcina impilo esebenzayo, ezele injabulo ngenkathi uphatha lesi simo.
I-Kaposi's sarcoma ngokwayo ayidluliseki, kodwa i-virus eyibangela (HHV-8) ingasakazeka phakathi kwabantu. I-virus ingasakazeka ngesaliva, igazi, noma ubulili, kodwa abantu abaningi abathintekayo abazange baphulise i-Kaposi's sarcoma ngaphandle uma isimiso sabo somzimba sibuthakathaka.
Ngenkathi kungekho ukwelashwa okuqinisekisiwe kwe-Kaposi's sarcoma, ngokuvamile kungalawulwa kahle ngokwelashwa. Abantu abaningi baphila isikhathi eside ngokuphathwa kahle kwesifo. Kwezinye izimo, ikakhulukazi uma umsebenzi we-immune uthuthuka, izilonda zingase ziqede ngokuphelele futhi zihlale zikude iminyaka eminingi.
Isilinganiso sokukhula sihluka kakhulu kuye ngohlobo nesimo sakho se-immune. I-Classic Kaposi's sarcoma ngokuvamile ikhula kancane iminyaka eminingi, kuyilapho izinhlobo ze-epidemic (ezinhlobene ne-HIV) zingathuthuka ngokushesha uma i-HIV ingalawulwa kahle. Izinhlobo eziningi ziphendula kahle ekwelapheni, okunganciphisa noma kuyeke ukukhula.
Ezinye izilonda zingase ziyeke izindawo ezimnyama noma ukushintsha kancane kwesikhumba ngemuva kokwelashwa, kodwa ukuba namabala okukhulu akukhona okuvamile. Izilonda eziningi ziyaphela noma ziyaphela ngokuphelele ngokwelashwa okuphumelelayo. Udokotela wakho angaxoxa ngezinkinga zokubonakala nokwelashwa okungenzeka ukuze unciphise noma yikuphi ukushintsha kwesikhumba okuhlala njalo.
Ukuba ne-Kaposi's sarcoma akusho ukuthi awukwazi ukuba nabantwana, kodwa kukhona izinto ezibalulekile okufanele uzixoxe neqembu lakho lezokwelapha. Uma une-HIV, ukwelashwa okufanele kunganciphisa ingozi yokusakazeka cishe kuze kube yizero. Odokotela bakho bangakusiza uhlele ukukhulelwa okuvikelekile nokubeletha ngenkathi uphatha lesi simo ngokuphumelelayo.