Kuzindikira ndi Kuteteza Edzi Kufotokozera Chikhalidwe
Mwachidule
Kumayambiriro kwa mliri wa Edzi kuyambira kumayambiriro kwa m'ma 1980, kansa ya khungu yosawerengeka yotchedwa Kaposi's sarcoma (KS) inakhala chizindikiro cha HIV. Kuti, kuphatikizapo kulemera kwakukulu, adalongosola zomwe ambiri amaona kuti ndi "kuyang'ana kwa Edzi." Tidawawonera mafilimu ngati Filadelphia , kumene Tom Hank, omwe anali oonda kwambiri, ankakongoletsedwa ndi zilonda zamtundu wa KS.
Masiku ano, timawona KS mochepa kuposa kale chifukwa cha ntchito yowonjezereka ya mankhwala ochepetsa kachilombo ka HIV , komabe palibenso china chomwe chingathe kuwonetsedwa m'mayiko osauka kapena anthu omwe alibe chithandizo cha matenda awo.
Kaposi's sarcoma (omwe amatchedwanso Kaposi sarcoma) ndi chotupa choyambitsa matenda a herpesvirus (HHV8) omwe amapezeka makamaka pakhungu ndi m'kamwa, koma amathanso kukhudza ziwalo za mkati. KS kawirikawiri imapereka ngati malo otupa ngati malo omwe siwapweteka kapena osokoneza. Makamaka m'mayambiriro oyambirira, nthawi zambiri amalakwitsa chifukwa cha mikwingwirima yosavuta.
Ngati patali khungu, KS sichinthu chowopsya. Komabe, ngati zilonda zikufalikira m'matumbo, mapapo, ubongo kapena ziwalo zina zamkati, zingakhale zoopsa komanso zingathe kupha.
Kutumiza
HHV8 imafalitsidwa kudzera mu kugonana, malaya, kuika magazi, ndi ziwalo zogonana. "Kupsompsona kwakukulu" kumatengedwa kuti ndi njira yabwino yofalitsira, ngakhale kuti chiwerengero cha amuna okhwima ndi oposa asanu ndi atatu kuposa anthu ena.
Nkhani yabwino ndi yakuti ngakhale kuti KS ndi yofala, ziwoneka zikuchepa.
Zizindikiro ndi Zizindikiro
Zilonda za KS zambiri zimawoneka ngati zowonongeka, malo amdima pakhungu kapena mkati mwa pakamwa. Nthawi zambiri maonekedwe awo omwe amavulaza amawapangitsa kukhala ovuta kuzindikira. Pamene zikupita patsogolo, zimatha kukhala mdima komanso zimaoneka ngati zotupa.
Kuyesedwa kosavuta kusiyanitsa kachilombo ka KS kuchokera ku kuvunda ndikokakamiza dera ndi chidutswa chimodzi. Mtundu wakuda wa mdima udzachoka ndi kupanikizika kwa chala, koma KS lesion's sichidzatero.
Komabe, njira yokhayo yodziwira kuti KS ndiyomwe ikuchitika. Chiwopsezo chimaphatikizapo kuchotseratu kachilombo kakang'ono kameneka, kamene kamasankhidwa pansi pa microscope.
Pamene KS imafalikira ku chiwalo chamkati, imatha kupezeka m'njira zingapo malingana ndi tsamba la matenda.
KS ya Tsamba la M'mimba:
- Kupweteka m'mimba
- Kutsekula m'mimba
- Kutsekera m'mimba
- Kutaya thupi
- Kusuta / kusanza
- Magazi amagazi
- Kuthamanga magazi
KS ya thirakiti yopumitsa:
- Kukuda
- Kupweteka pachifuwa
- Kupuma pang'ono
- Kuvuta kupuma
- Kusungunuka kwapakhomo
- Kudula magazi
- Kupweteka pachifuwa
Kuchiza
Ngakhale kuti KS sichikhoza "kuchiritsidwa," imatha kuchiritsidwa bwino. Kubwezeretsedwa kwa chitetezo cha chitetezo cha mthupi kungathetseretu vutoli pogwiritsa ntchito mankhwala opatsirana pogonana (ART) panthawi yomwe akudziwunikira. Kwa anthu omwe ali ndi matenda opatsirana, zingatenge nthawi koma nthawi zambiri zimatha kusintha vutoli ngati ART ikuyenera kumamatira.
Ngati ART yokha ingathe kulandira zilonda, mankhwala ena angagwiritsidwe ntchito pamodzi ndi ART. Izi zingaphatikizepo:
- Mankhwala othandiza anthu odwala khansa omwe amagwiritsidwa ntchito pochiza khansa akhala akugwiritsidwa ntchito pochiza ndi kuchepetsa zilonda za KS, makamaka zomwe zimachitika m'mapapepala a kupuma ndi m'mimba. Zotsatirapo zingakhale zovuta, ndi kunyoza, kusanza, kuchepa magazi, ndi kutaya tsitsi.
- Khungu lachikopa lofewa ndi mankhwala a nayitrojeni amaonedwa kuti ndi othandiza ndi zilonda zazing'onong'ono, ngakhale kuti zowonjezereka ndi zovuta, zimayambitsa mitsempha.
- Nthawi zina opaleshoni amatulutsidwa, ngakhale kuti nthawi zambiri silingayamikiridwe ngati kupweteka kungathe kufalikira ndi m'mphepete mwawoneka.
Ndikofunika kuzindikira kuti zilonda za KS zingabwererenso, makamaka kwa anthu omwe ali ndi vuto lalikulu lakugonjetsa thupi, ngati ART satsatira .
Kupewa
Chifukwa cha kufalitsa komanso kusowa kwa zida zowonetsera HHV8, pali njira yochepa yopewera matenda. Ndikunena kuti, kuyezetsa magazi ndi matenda oyamba a HIV kungathandize kuti chitetezo cha mthupi chikhalebe chosasunthika, motero kuchepetsa chiopsezo cha KS kukhala osayenerera.
Zotsatira:
Antman, K. ndi Chang, Y. "Kaposi's Sarcoma." New England Journal of Medicine. 2002: 342 (14): 1027-1038.
Cattelan, A .; Calabrò, M .; De Rossi, A .; et al. "Zotsatira zachipatala cha Kaposi's sarcoma zokhudzana ndi Edzi panthaŵi yomwe imakhala yotanganidwa kwambiri ndi mankhwala opatsirana pogonana." International Journal of Oncology. 2005; 27 (3): 779-785.