Arthritis ndi HIV: Kodi Pali Kulumikizana?

Matenda a Rheumatic Associated with HIV: Kuchiza ndi Matenda

Kodi pali kugwirizana pakati pa kachilombo ka HIV ndi nyamakazi? Kodi anthu ambiri omwe ali ndi kachilombo ka HIV amakumana ndi matenda otani? Kodi ndi liti pamene anthu omwe ali ndi ululu wamagulu, minofu, kapena matenda a nyamakazi ayenera kuyesedwa ku HIV / AIDS?

HIV ndi zizindikiro za Arthritis

HIV (HIV) (HIV) (HIV) (HIV) (HIV) (HIV) (HIV) (HIV) (HIV) (kachilombo ka HIV) .

Vutoli lingayambitse:

• Kupweteka kwa nyamakazi
• Chisoni chophatikizana
• Kupweteka kwa minofu
• Kufooka kwa minofu

Komabe, kuwonjezera pa kupweteka kofanana ndi minofu, kachilombo ka HIV / Edzi kamagwirizanitsidwa ndi zizindikiro zingapo zapadera.

HIV Yogwirizana ndi Rheumatic Diseases

Matenda a chifuwa chachikulu ndi ofala kwambiri pakati pa anthu omwe ali ndi kachilombo koyambitsa matenda a Edzi, ndi kuyerekezera kuti anthu opitirira 70 peresenti ya anthu omwe ali ndi kachirombo ka HIV angapangitse chimodzi mwazimenezo asanayambe kapena ataphunzira. Matenda a chifuwa chachikulu omwe amapezeka ndi HIV ndi awa:

• Matenda a kutupa nyamakazi: Matenda a nyamakazi ndi mtundu wa nyamakazi umene umapezeka ngati momwe amachitira ndi kachilombo kwinakwake m'thupi, ndipo amatha kupezeka ndi matenda ambirimbiri kuphatikizapo kachilombo ka HIV.
• Matenda a Psoriatic: Matenda a Psoriatic ndi amodzi mwa magulu otchedwa spondyloarthropathies.
• Matenda a nyamakazi: Matenda a nyamakazi amafala kwambiri pakati pa anthu omwe ali ndi HIV.
• Matenda opweteka kwambiri: Matenda opweteka kwambiri amadzimva okhaokha koma amamva kupweteka kwamtundu wa mafupa osakanikirana ndi mapiritsi m'munsi mwake.

• Osteomyelitis: Osteomyelitis ndi matenda a mafupa amene amayamba chifukwa cha mabakiteriya, ndipo kawirikawiri amafunika mankhwala otalika kwambiri kuti athetse matendawa.
• Polymyositis: Ndi chisokonezo cha magulu a zizindikiro, polymyositis ndi wogwirizana ndi minofu matenda omwe amadziwika ndi kutupa ndi kuphulika kwa minofu.

• Vasculitis: Vasculitis ndi chikhalidwe chomwe chimaphatikizapo kutupa mitsempha ya magazi.
• Magulu opatsirana: Matenda ophatikizana amachokera ku matenda ena omwe ali m'thupi lanu omwe amachokera ku gulu lokhudzidwa.
• Fibromyalgia: Fibromyalgia ndi chikhalidwe chokhala ndi thupi, kupweteka, mavuto ogona, kutopa kwambiri, kupanikizika, nkhawa, malingaliro abwino. Nthaŵi zina amatchedwa "ntchito" yachipatala popeza palibe mayeso omveka kuti apangidwe.

Kusanthula HIV-Yothandizidwa ndi Rheumatic Diseases

Matenda a chifuwa chachikulu angayambe kusanayambe kapena atapezeka kuti ali ndi HIV.

Kwa munthu amene sanapeze kuti ali ndi kachilombo koyambitsa matenda, kachilombo ka kachilomboka kameneka kangasonyeze kukhalapo kwa matenda. Ndipotu, ena amaganiza kuti kuyang'anitsitsa anthu omwe ali ndi matenda opatsirana kachilombo ka HIV kungakhale kupulumutsa moyo pozindikira kuti ali ndi kachilombo koyambitsa matenda a HIV, ngakhale popanda chiopsezo cha HIV / AIDS. Malingana ndi American College of Rheumatology, "Matenda opatsirana pogonana omwe ali ndi kachirombo ka HIV angayambitse matenda a HIV." Ngati munthu ali pachiopsezo chachikulu kuti kachilombo ka HIV ndi mphatso ndi zizindikiro zopweteka, minofu yopweteka, kapena zizindikiro zina za chifuwa chachikulu, kuyesa kachilombo ka HIV kungatsimikizire kapena kutaya kachilombo ka HIV.

Chimodzimodzinso, kwa munthu yemwe watulukira kuti ali ndi HIV ndipo ali ndi zizindikiro zogwirizana, ntchito yodutsa chifuwa iyenera kuganiziridwa.

Matenda opatsirana omwe ali ndi kachilombo ka HIV angakhudze msinkhu uliwonse, mtundu, kapena amuna, koma zambiri zimakhudza anthu pakati pa zaka 20 ndi 40.

Nchifukwa chiyani mafupa a ziwombankhanza zimagwirizana kwambiri ndi anthu omwe ali ndi HIV / AIDS?

Ngakhale n'zoonekeratu kuti matendawa ndi ofala kwambiri kwa anthu omwe ali ndi kachilombo ka HIV / Edzi kusiyana ndi chiwerengero cha anthu, chifukwa chenicheni cha izi sikumveka bwino. Pali ziphunzitso zambiri zotheka. Choyamba ndi chakuti zizindikiro za mafupa zimakhudzana ndi matenda omwe ali ndi HIV.

Lingaliro lina ndiloti vuto la rheumatic lingayambidwe ndi kusintha kwa ma chitetezo cha mthupi chokhudzana ndi HIV. Koma lingaliro lina ndiloti zizindikiro zokhudzana ndi matendawa zimakhala zogwirizana ndi matenda opatsirana omwe ali opezeka mu HIVAIDS. Popeza kusiyana pakati pa kachilombo ka HIV ndi Edzi, komanso kumvetsetsa kwa matenda opatsirana kumasokoneza, tiyeni tione mafunso awa musanayambe kupeza njira zomwe mungasankhe.

Kodi kusiyana kwa pakati pa HIV ndi Edzi ndi kotani?

Anthu ambiri amatsanzira HIV ndi Edzi. Komabe, kachilombo ka HIV ndi Edzi ndizipatala zosiyana. Makamaka, munthu amayamba ndi kachilombo ka HIV, koma zingatenge zaka zingapo kuti apange AIDS. Kuwonjezera apo chifukwa mankhwala omwe ali ndi HIV / Edzi apita patsogolo, anthu ambiri omwe ali ndi kachilombo ka HIV omwe amatenga mwamphamvu mankhwala omwe ali ndi HIV tsiku ndi tsiku amakhala ndi mwayi wambiri wosapititsa patsogolo nthawi yomwe amayamba kukhala ndi Edzi; angapitirize kukhala ndi moyo wathanzi.

HIV imayambitsa ma CD4 maselo (T cells) omwe amathandiza matupi athu kumenyana ndi matenda. Pamene CD4 cell imafika pansi pa maselo 200 / cubic millimeter, munthu amayamba AIDS. Mwinanso, munthu akhoza kukhala ndi Edzi ngati atakhala ndi matenda opatsirana.

Kodi kachilombo ka HIV / AIDS kamakhala ndi mwayi wotani?

HIV / AIDS nthawi zambiri imagwirizanitsidwa ndi matenda opatsirana . Matenda opatsirana amayamba chifukwa cha mabakiteriya, mavairasi, fungus kapena protozoa zomwe zimagwiritsa ntchito mphamvu za thupi zomwe zimafooketsa chitetezo cha mthupi. Matenda a rheumatic si matenda opatsirana, komabe matendawa angayambitse matenda a nyamakazi otchulidwa pamwambapa, ndipo ndi imodzi mwa njira zothetsera vuto la HIV ndi matenda a rheumatic. Ena mwa matenda opatsirana omwe ali ndi HIV / AIDS ndi awa:

• Candida
• Cryptokocus
• Cytomegalovirus
• Histoplasmosis
• MAC
• PCP
• Toxoplasmosis
• Chifuwa chachikulu

Matenda Omwe Ali ndi Matenda a HIV

Kuphatikizana ndi zizindikiro zomwe zimatchulidwa pamwambapa, zotsatira za mankhwala a HIV zingathenso kutsogolera mafupa, maphatikizidwe, ndi zinthu zofewa monga:

• Gout
• Tenosynovitis
• Myopathy (kutupa kwa minofu)
• Osteonecrosis
• Osteoporosis

Izi ndizomwe, mwachimwemwe, zosazolowereka tsopano ndi njira zatsopano zothandizira HIV / AIDS.

Kuchiza Matenda a Kachilombo ka HIV

Mankhwala odwala matenda a rheumatic omwe amapezeka ndi kachirombo ka HIV amachititsa njira ziwiri: Kuchiza zizindikiro zokhudzana ndi matenda a nyamakazi, ndi kuchiza matenda omwe ali ndi kachilombo ka HIV.

Izi zinati, mankhwala odwala matenda a rheumatic kwa anthu omwe ali ndi kachilombo ka HIV angakhale ovuta kwambiri.

Mankhwala osokoneza bongo (mankhwala osokoneza bongo omwe amachititsa kuti chitetezo cha mthupi chitetezeke m'magulu) monga Imuran ndi methotrexate amagwiritsidwa ntchito kwambiri pa matenda a rheumatic, koma mankhwalawa amatsutsana (sayenera kugwiritsidwa ntchito) mwa anthu omwe ali ndi kachilombo ka HIV) monga kachilombo ka HIV kamathandizanso kuti munthu asatenge kachilombo ka HIV). Mwachidziwitso, pali kudandaula kuti kuphatikiza kumeneku kungapangitse zotsatira za kugonana, koma palibe zambiri zambiri zokhudza chitetezo cha chizoloŵezi ichi.

HaART (Antily Active Anti-Retroviral Therapy) , yakhala ikuthandiza kuthetsa mavuto okhudza kachilombo ka HIV. Mwa njirayi, chithandizo cha kachirombo ka HIV kokha kokha chikhoza kusintha zizindikiro za matenda a chifuwa chachikulu.

Kwa anthu omwe ali ndi nyamakazi yambiri, DMARDS (matenda opanga mankhwala osokoneza bongo) amagwiritsidwa ntchito, koma kwa omwe ali ndi kachilombo ka HIV / AIDS ndi matenda a nyamakazi pakalipano palibe umboni wokhuza mankhwalawa.

Anthu omwe ali ndi matenda opatsirana pogonana omwe ali ndi kachilombo ka HIV angathandizenso ndi mankhwala opweteka ndi mankhwala odana ndi kutupa kuti athe kuchepetsa zizindikiro za matendawa.

Kugonjetsa kwa HIV kuphatikizapo Matenda a Chifuwa

Mwamwayi, awo omwe amayamba chikhalidwe chophatikizapo kachilombo ka HIV / Edzi nthawi zambiri amakhala osauka kwambiri kuposa anthu omwe ali ndi kachirombo ka HIV / Edzi koma alibe vuto.

Mfundo Zowunika Zokhudza HIV ndi Matenda Ochepetsa Matenda

Pali mfundo zingapo zofunika pakufotokozera za mgwirizano wa HIV ndi matenda a rheumatic. Izi zikuphatikizapo:

• Matenda amtundu uliwonse akhoza kuchitika popanda HIV.
• Kuchokera pa 30 peresenti kufika pa 70 peresenti ya anthu omwe ali ndi kachilombo ka HIV angayambe kukhala ndi matenda ophatikizana.
• Kukhalapo kwa matenda okhudzana ndi nthendayi kumapangitsa kuti munthu asatenge kachirombo ka HIV.
• Anthu omwe ali ndi matenda opatsirana pogwiritsa ntchito kachirombo ka HIV ali ndi umoyo wosauka.

Pamunsi pa HIV ndi Rheumatic Diseases

Monga taonera, matendawa amayamba kuyesa anthu omwe ali pachiopsezo cha matenda. Mosiyana ndi zimenezi, anthu omwe ali ndi kachirombo ka HIV ayenera kuyang'anitsitsa kuti akhale ndi vuto la chifuwa chachikulu. Kuti izi zikhale zosokoneza kwambiri, matenda aliwonse a rheumatic angapezeke popanda kachilombo ka HIV ndipo sikungadziwike ngati matendawa angachitike okha kapena ngati ali ndi kachilomboka.

Tikudziwa kuti anthu omwe ali ndi kachilombo ka HIV omwe ali ndi matenda opatsirana amakhala ndi umphawi wathanzi komanso amakhala osauka. Zina mwa izi zikhoza kukhala chifukwa choopa kugwiritsira ntchito mankhwala osokoneza bongo chifukwa cha matenda a rheumatic kwa anthu omwe ali kale osatetezedwa chifukwa cha kachirombo ka HIV. Udindo wa mankhwalawa komanso chitetezo sichidziwikiratu. Mwamwayi, matenda a rheumatic nthawi zambiri amakula ndi kuchiza HIV yekha.

Ngati muli ndi kachilombo ka HIV ndi matenda a chifuwa, ndikofunikira kugwira ntchito ndi akatswiri odwala matenda opatsirana ndi odwala matenda a rheumatology omwe ali okonzeka kuthetsa mavuto awiriwa pamodzi, ndipo ndani angagwire ntchito limodzi kuti apange dongosolo ndikuwunika momwe mukuyendera.

> Zotsatira:

> Adizie, T., Moots, R., Hodkinson, B., French, N., ndi A. Adebajo. Matenda a kutupa magazi m'thupi mwa odwala HIV: Buku lothandiza. Matenda a BMC Opatsirana . 2016. 16: 100.

> American College of Rheumatology. HIV ndi Rheumatic Disease. Chiwongola dzanja

> Cunha, B., Mota, L., Pileggi, G., Otetezeka, I., ndi M. Lacerda. HIV / Edzi ndi Chifuwa cha Matenda. Zomwe Zidasinthidwe . 2015. 14 (5): 396-400.

> Shah, D., Flanigan, T., ndi E. Lally. Kuwonetsa Nthawi Zonse za HIV mu Rheumatology Practice. Journal of Clinical Rheumatology . 2011. 17 (3): 154-6.