Kuongorora uye Kurapa Iyi AIDS Inotsanangura Chimiro
Overview
Pakutanga kwechirwere cheAIDS chekutanga-kusvika kuma1980, kenza inowanika yenguruvo inonzi Kaposi's sarcoma (KS) yakava chiratidzo chekutapukira kweHIV. Izvo, pamwe nekurema kwakanyanya kurasikirwa, zvinotsanangura izvo vazhinji vanofunga kuti "AIDS inotarisa." Takazviona mafirimu akadai seFiladelphia , uko Tom Hank akacheka, akabatanidzwa akave mavara nezvironda zveKS.
Nhasi, tinoona KS zvishoma kudarika kare nekuda kwekushandiswa kwema antiretroviral zvinodhaka , asi zvakadaro chimwe chinhu chinogona kuonekwa mune zvishoma nyika dzakasimudzika kana kune vamwe vanhu vasina kurapwa nehosha yavo.
Kaposi's sarcoma (inonziwo Kaposi sarcoma) inonzi chiremara chinokonzerwa nevanhu hispesvirus (HHV8) iyo inonyanya kuratidza paganda nemuromo, asi inogona kukanganisa nhengo dzomukati. KS inowanzopa sechinhu chiduku-kufanana nenzvimbo isingarwadziri kana kuti chinotyisa. Kunyanya mumatanho ekutanga, ivo vanowanzosavhiringidzika nematambudziko asina kuoma.
Kana yakasarudzwa paganda, KS haina kufungidzirwa kuti upenyu hunopisa. Zvisinei, kana zvipembenene zvikapararira kumucheto wemukati, mapapu, uropi kana zvimwe zviviri zvemukati, zvinogona kuva zvakakomba uye zvinogona kuuraya.
Transmission
HHV8 inoparidzirwa kuburikidza nekuita zvepabonde, salivha, kuwedzerwa ropa, uye kuputika kwomuviri. "Kutsvoda kwakadzika" kunoonekwa senzira inobatsira yekuendesa mberi, kunyange zvazvo chiyero pakati pevarume vanoita zvepabonde chikawanda kanomwe kupfuura mamwe mapoka evanhu.
Mashoko akanaka ndeokuti kunyange zvazvo KS yakajairika, chiitiko chinoratidzika sechichiderera.
Zviratidzo nezviratidzo
KS zvipembenene zvinowanzoonekwa sezvinyorwa, zvakasvibiswa panzvimbo yeganda kana mukati memuromo. Maitiro avo-kufanana-dzimwe nguva anoita kuti zvive nyore kuziva. Sezvavanenge vachifambira mberi, vanogona kusviba uye kuonekwa sevakasimudza dutu.
Chiyero chakareruka kuti chiparadzanise kS lesion kubva mukupwanya ndechokuisa nzvimbo yacho nemumwe. A bruise's dark color will go away with a finger pressure, but a KS lesion's will not.
Zvisinei, nzira chete yekunyatsoziva kuti KS ndeyokuita biopsy. Bhiopsy inosanganisira kubviswa kwechinyorwa chiduku chechilonda, icho chinozoongororwa pasi microscope.
Kana KS ichipararira kune nhengo yechipfuva, inogona kupa nenzira dzakasiyana siyana zvichienderana nenzvimbo yehutachiona.
KS yechipfuva chemukati:
- Marwadzo emudumbu
- Diarrhea
- Kuvhiringidzika kwepamuviri
- Kuonda
- Nausea / kurutsa
- Ropa ropa
- Kuputika kweropa
KS yemutemo weHumipiritiri:
- Kukosora
- Chipfuva chepfu
- Kupfupika kwemhepo
- Kuoma kufema kufema
- Pulmonary blockage
- Kuchema ropa
- Chipfuva chepfu
Mishonga
Kunyange zvazvo KS isingagoni "kurapwa," inogona kunyatsorapwa. Kudzorerwa kwezvirwere zvinogona kuchinja hutsika kuburikidza nekushandisa antiretroviral therapy (ART) panguva yekuongororwa. Muvanhu vane zvirwere zvakanyanya, zvinogona kutora nguva asi zvinogona kuchinja hutachiwana hunofanirwa kuti hutachiwana hweHIV huchengetwe.
Kana ART iga inogona kubata zvirwere, dzimwe nzira dzingashandiswa pamwe chete neAART. Izvi zvinogona kusanganisira:
- Kurapa kenza chemotherapi maitiro akashandiswa kurapa uye kuora mwoyo KS zvipembenene, kunyanya izvo zvemapfupa ekufema uye matumbo. Migumisiro inogona kuva yakaoma, nekutsvaga, kusutsa, kuperevedza muviri, nekushaiwa bvudzi.
- Cryogenically inopisa ganda rezvipembenene neine nitrojeni yakasviba inoonekwa seyakagadzikana nemakumbo maduku, kunyange zvazvo zvisingabatsiri uye zvakaoma, zvakasimudza dutu.
- Kugadziriswa kubviswa kwezvipembenene dzimwe nguva kunoitwa, kunyange zvazvo kazhinji isingakurudzirwi sezvo kuora kunogona kupararira nematauriro, anooneka.
Zvakakosha kuziva kuti KS zvipembenene zvinogonazve kubudazve, kunyanya kune vanhu vane simba rakakura rekudzivirira muviri, kana ART isingateereri .
Kudzivirira
Zvichipa nzira yekufambisa uye kusakwanisa kweHHV8 yekuongorora, pane nzira shoma yekudzivisa kuvhara utachiona. Nezvo izvo zvichitaurirwa, kufungidzirwa kwepakutanga uye kurapwa kweHIV kunogona kuvimbisa kuti kudzivirirwa kwemunhu kunoramba kusingaiti, nokudaro kuderedza dambudziko reKS kusvika kune zvisingatarisirwi.
Sources:
Antman, K. uye Chang, Y. "Kaposi's Sarcoma." New England Journal of Medicine. 2002: 342 (14): 1027-1038.
Cattelan, A .; Calabrò, M .; De Rossi, A .; et al. "Kwenguva refu yekurapa kwechirwere cheKA Kaposi's sarcoma panguva inoshandiswa zvikuru ye antiretroviral therapy." International Journal of Oncology. 2005; 27 (3): 779-785.