Ukukhubazeka kweLymphoma nokukhathazeka kubantu abane-HIV?
Iyini isixhumanisi phakathi kwe-HIV / AIDS nomdlavuza wegazi? Uma umuntu onesifo sengculazi eba nesifo se-lymphoma, uphathwa kanjani?
I-HIV / AIDS kanye neCanscer
Sekuyiminyaka eminingi abacwaningi bazi ukuthi ukususwa kwesimiso somzimba sokuzivikela kuhlotshaniswa nomdlavuza. Iziguli ezithola izidakamizwa ukunciphisa amasosha omzimba emva kokufakelwa komzimba, isibonelo, zingase zibe nobungozi bokuba nomdlavuza ophindwe kaningi kunabanye abantu.
Ngakho-ke, akumangalisi ukuthi igciwane lesandulela ngculazi (i-HIV) noma i-immune deficiency syndrome (i-AIDS) - eyabangela ukukhubazeka okukhulu emzimbeni wesigciwane - ihlotshaniswa nengozi enkulu yomdlavuza.
Ngaphandle kwezinto ezinomdlavuza we-"tumor eqinile", i-HIV ibhekwa njengengozi engozini emangqamuzaneni egazi. Eqinisweni, i- non Hodgkin lymphoma (i-NHL) ingumdlavuza wesibili ovame kakhulu kwiziguli ze-HIV. Ngokuvamile, i- Hodgkin lymphoma , i- leukemia ne- myeloma nayo ixhunywe ne-HIV .
Iyini Ingozi Yomdlavuza Wezandulela Ngculaza?
Kusukela ekuthuthukiseni imishanguzo ye-antiretroviral esebenzayo (HAART) , iziguli ze-HIV zihlala isikhathi eside kakhulu. Ukuphazamiseka kulezi zindaba ezinhle ukuthi baphila isikhathi eside ngokunciphisa umzimba omzimba ovumela ithuba lomdlavuza ukuthuthukisa. Esikhathini esidlule, kulinganiselwa ukuthi abaningi abangaba ngu-40% wegciwane lesandulela ngculaza nengculaza bangase bahlakulele umdlavuza ohlobene nengculaza.
Ezinsukwini zokuqala ze-AIDS, ezinye izinhlobo ze-lymphoma zenzeka kaningi ngokuphindaphindiwe kweziguli ze-HIV kunabanye abantu. Kusukela ukwethulwa kwe-HAART ngo-1996, lezi zindleko ziye zinciphisa kakhulu kodwa ukutheleleka nge-HIV kuyaqhubeka kuba yingozi engozini ye-NHL.
Imiphumela yokufunda ayifuni ngokucacile ukuthi umphumela we-HAART unamanani ama-Hodgkin lymphoma.
Ingozi ye-NHL iyafana nabo bonke abantu abane-HIV, kungakhathaliseki ukuthi lesi sifo senziwe kanjani.
Yiziphi izinhlobo ze-Lymphoma ezixhunywe kwi-HIV?
Iningi lama-lymphomas ahlobene ne-AIDS yiB cell NHL. I-HIV ishukumisa ama-B-amangqamuzana, yandisa isilinganiso sabo sokukhiqiza, futhi iyasebenza.
I-CNS i-lymphoma eyinhloko , evela ebuchosheni, ilandisa cishe isigamu sayo yonke i-lymphoma ehlobene ne-AIDS. Iningi le-NHL elihlobene ne-AIDS "liyi-extranodal," okusho ukuthi lesi sifo sitholakala ezindaweni ezingaphandle kwe-lymph system. Izindawo ezivame kakhulu lapho i-NHL itholakala khona kule nqubo yisistimu yesisu, isibindi, inhliziyo, amaphaphu, isikhumba, kanye nomnyosa wethambo .
Ingabe i-Lymphoma ingavinjelwa ezithombeni ze-HIV / AIDS?
Hhayi ngokuphelele, kepha iziguli ezitholwa nge-HAART zizoba nomngcipheko wokunciphisa ukwelapha ngegazi le-HIV. Noma kunjalo, ulwazi nokuqwashisa ngezibonakaliso nezimpawu zezingosi ezivame kakhulu ze-lymphoma kubalulekile uma une-HIV noma i-AIDS.
Abahlinzeki bezempilo abanezifo ezithathelwana nge-HIV kufanele bahambe ngokushesha ekuphenyweni ngokukhathazeka ngalezi zinhlobo zezimpawu. Ukubona umdlavuza nokuqala ukwelashwa kungakunika ithuba elihle lokuphumelela ekwelapheni.
Izimpawu ze-AIDS- I-Lymphoma ehlobene
Iningi labantu abane-lymphoma ehlobene ne-AIDS bayoba nezibonakaliso ezifanayo ezifana nanoma yisiphi esinye isifo se- lymphoma:
- Ukulahlekelwa kwesisindo okungenakuchazwa
- Imfiva engekho enye isibonakaliso sokutheleleka
- I-lymph nodes yokuvuvukala ngokushesha
- Ukushaywa ebusuku okuvuza ama-bedsheets
Njengoba i-lymphoma ehlobene ne-AIDS ivame ukutholakala ngaphandle kwesimiso se-lymph, izimpawu zingase zibe ngqo lapho umdlavuza ukhona khona. Isibonelo, izibonakaliso ze-lymphoma ebuchosheni zingabandakanya ukugubha, ukuqina noma ukwehla kwemizwa, ukudideka noma ikhanda. I-lymphoma ohlelweni lwamathunjini angabangela ubuhlungu besisu esiswini noma igazi emanzini okuhlanza noma emathunjini.
Ukwelashwa kwe-Lymphoma Ehlobene Ne-AIDS
Njenga-lymphoma kwabanye abantu, i-lymphoma ezigulwini ze-AIDS ngokuvamile iphathwa nge-radiation, chemotherapy, noma kokubili. Kodwa-ke inselele ukuthi iningi lalezi ziguli zinokucindezelwa komnumzana we-bone kanye nesandulela-ngculaza esincane ngaphambi kokuba ukwelashwa kwabo kuqale. Ngenxa yalokho, basengozini enkulu yokuthola isifo sokufaka ingculaza ngesikhathi beselashwa. Ngaphezu kwalokho, kukholelwa ukuthi ukucindezelwa kwamagciwane okubangelwa yi-chemotherapy kungase kuqiniswe isifo se-HIV.
Ucwaningo luyaqhubeka nendlela yokunqoba lezi zinselelo. Inhlanganisela ehlukene ye-dose ephansi ye-chemotherapy regimens, imithi ehlosiwe, ukufakelwa kwe-stem cell, kanye nokwengeza i-chemotherapy ku-HAART kuqhutshwa njalo. Iziguli ezinomdlavuza ohlobene ne-AIDS zingakhetha ukuhlanganyela kwezinye zale cwaningo ngokusebenzisa izilingo zomtholampilo.
Iyifinyelela phezulu
Abantu abanegciwane lesandulela ngculaza basengozini enkulu yokwenza umdlavuza, kuhlanganise neHodgkin lymphoma, i- myeloma , futhi ngokuvamile, i-NHL. Kubalulekile ukuthi iziguli ze-HIV / AIDS ziqaphele izibonakaliso nezimpawu ze-lymphoma ukuze kuqalwe ukwelashwa okusheshayo.
Ucwaningo oluqhubekayo luqhubeka nokusiza abantu abane-lymphoma ehlobene nengculaza ukuthola izindlela ezingcono kakhulu zokwelapha. Njengoba isisekelo esiyinhloko sokusinda okuphansi kwe-lymphoma kubantu abane-AIDS kubonakala sengathi yisilinganiso esincane sokuthola i-chemotherapy, ukuhlolwa ukuhlola izindlela zokunciphisa imiphumela emibi ye-chemotherapy kubantu abane-AIDS kubalulekile.
Imithombo
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