Kaposi's sarcoma ndi matenda owonetseratu omwe amawonetsedwa ndi kuchuluka kwa zida zamagazi ndi zamagulu ndi kuwonongeka kwa khungu, ziwalo zamkati ndi mazira. Kawirikawiri, matendawa amapezeka kwa anthu a zaka zapakati pa 38 ndi 75, pamene abambo amachiwerewere amakhala oposa 8 kuposa amayi. Anthu a ku Africa amakhala ovuta kudwala.
Zifukwa za Kaposi's sarcoma
Tsopano zatsimikiziridwa kale kuti matendawa amayamba chifukwa cha ntchito ya herpes kachilombo ka mtundu wa 8, momwe kachilombo ka HIV kamayendera, pogwiritsa ntchito mpeni kapena magazi. Komabe, kachilombo ka HIV kamatha kugwira ntchito ngati chitetezo cha thupi chikuipiraipira.
Magulu otsatirawa ali pangozi:
- kukhala ndi kachilombo ka HIV ;
- odwala omwe ali ndi matenda a immunodeficiency, mwachitsanzo, pa mankhwala a chemotherapy kapena kuchipatala ndi immunosuppressors;
- ana ndi okalamba;
- okhala ku Africa ndi Mediterranean;
- odwala omwe ankagwiritsidwa ntchito.
Ngati Kaposi ali ndi kachilombo ka HIV, ndiye kuti odwala ali ndi AIDS. Kokha ngati kachilombo koyambitsa chitetezo cha thupi chitayamba kuchepa, imayambitsa matendawa.
Zizindikiro za Kaposi's sarcoma
Ndondomekoyi ikuphatikizidwa ndi maonekedwe a zizindikilo zotere:
- Zambiri za zotupa, kawirikawiri zimakonzedweratu;
- mtundu wa zojambulidwa kuchokera kufiira kupita ku nsalu yakuda;
- Chotupacho chimakhala chophweka, nthawi zambiri pamwamba pa khungu ndipo chimapangidwa ngati mawonekedwe aang'ono;
- Kaposi sarcoma pa mwendo angaperekedwe ndi hyperpigmentation khungu, ndi kupanga elephantiasis;
- kutupa kwa minofu yoyandikana ngati muli ndi vuto laling'ono;
- monga lamulo, matenda opweteka samayang'anitsitsa, koma nthawizina pamakhala kuyaka ndi kuyabwa;
- Popeza nthendayi imakhala ndi mitsempha ya magazi, magazi amatha kuchitika ndi matendawa.
Pankhani ya zilonda za mucous membrane, matendawa amakhala ndi zizindikiro zotere:
- ululu;
- magazi;
- Matenda otsekula m'mimba mukamawonongeka m'mimba mumimba ndi m'mimba.
Ngati phokoso la m'kamwa limapezeka mu Kaposi's sarcoma, wodwalayo amamva kuti:
- kupuma kovuta;
- chifuwa;
- kuchoka kwa mfuti wamagazi.
Kudziwa za Kaposi's sarcoma
Ngakhale ngati munthu wodwala herpesvirus-8 anawonekera, ndiye kuti ndiwe woyambirira kwambiri kuti akambirane za Kaposi's sarcoma ndi chitukuko chake m'tsogolomu.
Matendawa angapangidwe pokhapokha atachita njira izi:
- Kufufuza kotheratu khungu, m'kamwa mumlomo ndi ziwalo zoberekera;
- Ultrasound ya peritoneum ndi maselo amphamvu;
- esophagogastroduodenoscopy (kafukufuku wamagetsi ndi duodenum);
- sigmoidoscopy (kukayezetsa kachilomboka);
- bronchoscopy (kufufuza mapapo).
- chiwerengero cha malo okhudzidwa;
- kuchita immunogram.
Kuchiza kwa Kaposi's sarcoma
Mankhwalawa akuphatikizapo ntchito zothandizira kuteteza chitetezo, kumenyana ndi matenda a herpes ndi kuthetsa ziphuphu. Pakati pa kumwa mankhwala, zotupa za khungu zimatha pokhapokha. Odwala apatsidwa:
- chemotherapy, kuphatikizapo kugwiritsa ntchito Bleomycin, Palitaxel ndi Vincristine;
- Mafuta a malo owonongeka ndi Dinitrochlorobenzene ndi Paretin;
- Alfa-Interferon, yomwe imakhala yofanana ndi mankhwala opangidwa ndi chitetezo;
- cryotherapy, zomwe zimathandiza kuti zitsulo zisinthe;
- Thandizo la ma radiation ntchito m'malo osapezeka m'njira zina.
Ndi angati omwe ali ndi ssicoma ya Kaposi?
Maonekedwe ovuta amadziwika ndi kufulumira komanso kugwirizana kwa ziwalo za mkati. Ngati palibe mankhwala, imfa imatha miyezi isanu ndi umodzi mutangoyamba kumene. Mu mawonekedwe ophiphiritsa, imfa imapezeka zaka 3-5 pambuyo pake. Nthawi zambiri, chiyembekezo cha moyo chikhoza kufika zaka 10 kapena kuposerapo.