Lymphoma Kuitika uye Kuzvidya Mwoyo Kune Vanhu vane HIV / AIDS
Chii chinobatana pakati peHIV / AIDS nekenza yeropa? Kana mumwe munhu ane AIDS akawedzera lymphoma, inoitwa sei?
HIV / AIDS neCancer
Kwemakore mazhinji, vatsvakurudzi vakaziva kuti kubviswa kwemuviri wechirwere chemuviri kwakabatanidzwa nekenza. Varwere vanowana madhiragi ekuderedza zvirwere zvavo zvemashure mushure mekugadzirwa kwechimiro, somuenzaniso, vanogona kuva nehutano hwekuva nekenza iyo mazana emakore akakwirira kudarika vamwe vanhu vose.
Nokudaro, hazvishamisi kuti munhu ane hutachiona hwehutachiona (HIV) kana kuti akawana zvirwere zvekudzivirira muviri (AIDS) - izvo zvinokonzera kukanganisa kukuru muzvirwere zvezvirwere zvezvirwere - zvinosanganiswa nehuwandu hwekenza pamwe chete.
Mukuwedzera kune dzakawanda zve "tumori yakasimba" kanzira, HIV inonzi inogona kuisa mukana wekenza yeropa. Ichokwadi, kwete Hodgkin lymphoma (NHL) ndiyo yechipiri inowanzosangana nekenza mune varwere veHIV. Zvishoma nezvishoma, Hodgkin lymphoma , leukemia , uye myeloma zvakabatanawo neHIV .
Ndeipi Dambudziko reKanare yevarwere veHIV?
Kubva pakurwiswa kwemasimba anonyanya kushandisa antiretroviral therapies (HAART) , varwere veHIV vari kurarama kwenguva refu. Izvo zvakaderera kune aya akanaka ndezvokuti vari kurarama kwenguva yakareba nechechidzikisa masimba ezvirwere anobvumira mukana wekenza kukura. Munguva yakapfuura, yakave ichifungidzirwa kuti vazhinji vanenge 40 muzana yeVIV / AIDS varwere vanogona kukura nekenza yakabatwa neAIDS.
Mumazuva okutanga ehutachiwana hweAIDS, mamwe maitiro e-lymphoma akaitika kanomwe kazhinji pane varwere veHIV pane vanhu vose. Kubva pakuiswa kweHART muna 1996, izvi zvikwereti zvakaderera zvikuru asi hutachiona hweHIV hunoramba huri ngozi yeNHL.
Chidzidzo chekudzidza hachina kujeka pamusoro pemigumisiro iyo HAART yave nayo pamitengo yeHodgkin lymphoma.
Ngozi yeNHL yakafanana kune vose vane hutachiona hweHIV, pasinei nokuti chirwere chacho chakabvumirwa sei.
Ndeapi Mhando YeLymphoma Inobatanidzwa kune HIV?
Zvizhinji zvemuviri zvinokonzera AIDS zvinonzi B cell NHL. Utachiwana hweHIV hunoita kuti B-seli dziwedzere, huwedzera huwandu hwekuberekwa, uye hunovabatsira.
Primary Primary CNS lymphoma , inotangira muuropi, nhoroondo yehafu yezvose zvinokonzerwa neAIDS-related lymphoma. Yakawanda yeNHL yakabatana neAIDS ine "extranodal," zvinoreva kuti chirwere ichi chinowanikwa kune dzimwe nzvimbo kunze kwe lymph system. Nzvimbo dzakawanda dzinoshandiswa NHL dziri muhuwandu hwevanhu ndezvehutachiona hwehutachiona, chiropa, mwoyo, mapapu, ganda, uye marora .
Ko Lymphoma Inogona Kudziviswa muvarwere veHIV / AIDS?
Kwete zvachose, asi varwere muhutano hweHART huchava nehuwandu hwekudzivirira hutachiona hweHIV hune hutano. Kunyange zvakadaro, ruzivo uye kuziva pamusoro pezviratidzo uye zviratidzo zvezvivako zvinowanzoonekwa zverymphma inokosha kana une HIV kana AIDS.
Vashandi vehutachiona hwevanhu vane hutachiona hweHIV vanofanira kuve nekukurumidza mukutsvaga kunetseka pamusoro pemhando idzi dzezviratidzo. Kuongorora kenza uye kutanga utachiona mangwanani kunogona kupa mukana wakanakisisa wokubudirira kurapwa.
Zviratidzo zveAIDS- Yakabatana neLymphoma
Vanhu vakawanda vane AIDS-related lymphoma vachawana zviratidzo zvakafanana sevamwe vanorwara nemaronda:
- Kurasikirwa kwemahombeko kusingagoni kutsanangurwa
- Fever isina chimwe chiratidzo chekutapukirwa
- Kukurumidza kukurira lymph nodes
- Kupika usiku iyo inowedzera mabheji
Kubvira pakakonzerwa neAIDS-related lymphoma inowanzowanikwa kunze kweropa, zviratidzo zvingave zvakare zvakananga kune kenza iripo. Semuenzaniso, zviratidzo zve lymphoma muuropi zvinogona kusanganisira kukanganisa, kushaya simba kana kuderera kwekunzwa, kuvhiringidzika kana kuora musoro. Lymphoma mumitambo yepamuviri inogona kutungamirira kumarwadzo asina kuvhiringidzika mumimba kana ropa mumarutsi kana kutama.
Kurapa kweAIDS-Related Lymphoma
Kufanana nemararamiro kune vamwe vanhu, lymphoma mune varwere veAIDS inowanzobatwa nehudhi, chemotherapy, kana maviri. Dambudziko, kunyange zvakadaro, nderokuti vazhinji vevarwere ava vane kukwepa kwemapfupa emapfupa uye hutachiona husati vasati varapwa kunyange vanotanga. Somugumisiro, ivo vari pangozi yakawanda yekugadzirisa hutachiwana hunotyisa munguva yekurapa kwavo. Mukuwedzera, zvinofungidzirwa kuti kudzvinyirirwa nemuviri kunokonzerwa nekemotherapy kunogona kupedzisa chirwere cheHIV.
Kutsvakurudza kunoenderera mberi pamusoro pokuti ungakunda sei matambudziko aya. Kusiyana kwakasiyana-siyana kwechirwere chekemikari remakemikari pasi, chinangwa cherapies, stem cell transplant, uyewo kuwedzera chemotherapy kune HAART vari kuongororwa nguva dzose. Varwere vane kenza yakasangana neAIDS vanogona kusarudza kutora chikamu mune zvimwe zvekutsvakurudza kuburikidza nemakiriniki ekuedzwa.
Kuisa pfungwa yacho kumusoro
Vanhu vane hutachiwana hweHIV vari pahuwandu hwekuve nekenza, kusanganisira Hodgkin lymphoma, myeloma , uye zvakare, NHL. Zvakakosha kuti varwere veHIV neAIDS vazive zviratidzo nezviratidzo zve lymphoma kuitira kuti kurapwa kwekutanga kungatangwa.
Zvidzidzo zvinoenderera mberi zvinoramba zvichibatsira vanhu vane lymphoma dzine chokuita neAIDS kuwana nzira dzakanakisisa uye dzakanakisisa dzokurapa. Sezvo chikonzero chepamusoro chekupona kwechirwere chemuviri kune vanhu vane AIDS chinoratidzika kuva mukana wakaderera wekugamuchira chemotherapy, miedzo kutarisa nzira dzokuderedza migumisiro yemakemikari mune vanhu vane AIDS inokosha.
Sources
Biggar, R., Jaffe, E., Goedart, J. et al. "Hodgkin lymphoma uye immunodeficiency muvanhu vane HIV / AIDS" Ropa 2006. 108: 3786-3791
Grogg, K., Miller, R., Dogan, A. "HIV Infection uye Lymphoma" Journal of Clinical Pathology 2007. 60: 1365-1372
Krause, J. "AIDS-Yakabatana neHodgkin's Lymphomas" Microscopy Research and Technique 2005. 68: 168-175.
Levine, A. "AIDS-Related Lymphoma" Seminari muOnicology Nursing 2006. 22 (2) pp.80-89
Lim, S., Levine, A. "Kufambira Mberi Kwava Kuwana Immunodeficiency Syndrome (AIDS) -inonzi Lymphoma" CA: A Cancer Journal for Clinicians 2005. 55: 229-241
Matthews GV, Bower M, Mandalia S, Powles T, Nelson MR, Gazzard BG. "Kuchinja kwekuwana immunodeficiency syndrome-related lymphoma kubvira pakuiswa kwekushanda kwakasimba kweraretroviral therapy" Ropa. 2000; 96 (8): 2730.
Olszewski, A., uye J. Castillo. Migumisiro kana HIV inobatanidza Hodgkin lymphoma munguva ye antiretroviral therapy: kuongorora kweNational Cancer Data Base. AIDS . 2016 Jan 4. (Epub mberi kwekudhinda).
Pace, J. "Related-Malignancies" muJarbro, C., Frogge, M., Goodman, M., Groenwald, S. (eds) (2000) Kuchengetedza Kanzera: Mazano uye Maitiro edition 5: Jones naBartlett: Sudbury, MA. (pp. 933- 949).
Seaberg EC, Wiley D, Martinez-Maza O, Chmiel JS, Kingsley L, Tang Y, Margolick JB, Jacobson LP, Multicenter AIDS Cohort Yokudzidza (MACS) "Chirwere chekenza mumusangano mukuru weAIDS Cohort Chidzidzo chekutanga uye munguva yeHART: 1984 kusvika muna 2007 " Cancer. 2010; 116 (23): 5507.