Chizindikiro chowoneka m'matenda oyambirira komanso matenda otha msinkhu
Chimodzi mwa zizindikiro zofala kwambiri za HIV ndi matenda a lymphadenopathy, kutupa kwa mitsempha yam'mimba m'mphepete mwa mitsempha, kuphulika (nsimba za inguinal), khosi (nkhono za m'mimba), ndi mimba (m'mimba).
Ngakhale kuti kutupa kungakhale kogwirizana kwambiri ndi HIV, makamaka kumayambiriro koyamba, ingakhalenso chifukwa cha matenda opatsirana kachilombo ka HIV komanso omwe alibe HIV .
Anatomy ya Lymph Nodes
Zilonda zam'mimba zimakhala zochepa, ziwalo za nyemba zogawanika m'thupi lonse lomwe liri mbali ya chitetezo cha mthupi. Lymph, yomwe imadziwika bwino, yomwe imakhala ndi matenda-kumenyana ndi maselo a chitetezo cha mthupi, imadulidwa kudzera m'matenda am'mimba kudzera m'maselo ang'onoang'ono. Ndi m'magawo omwe thupi lamaliseche liyeretsedwa musanabwerenso.
Mankhwalawa amaphatikizapo osati maselo okhaokha koma nthata, chithokomiro, matayoni, adenoids, ndi ma nthumisi a lymphoid.
Zifukwa za Lymphadenopathy
Lymphadenopathy ndi chizindikiro choyambirira cha kachilombo koyambitsa matenda a Edzi komanso mbali ina ya matenda opatsirana omwe amatha . Sichizindikiro cha matenda kapena chotupa koma m'malo mwake zimasonyeza kuti zimakhala zotheka kwambiri ku chitetezo cha mthupi.
Poyamba matenda opatsirana , pamene maselo amphongo amadutsa m'magulu a mitsempha, maselo ambiri a chitetezo cha mthupi ndi tizilombo tina tizilombo tomwe timayamba kuunjikira mkati mwa matenda. Izi zingachititse kuti dongosololo liziyenda bwino, zomwe zimachititsa kuti ziphuphu zidzipepetse, nthawi zina kuti zisamayende bwino.
Lymphadenopathy ikhoza kuchitika mu gawo limodzi kapena magawo ambiri a thupi, chitsanzo chomwe chingatiuze zambiri zokhudza zomwe zikuchitika.
- Lymphadenopathy m'malo mwake ndi kutupa kwa ma lymph nodes mu gawo lina la thupi, makamaka chifukwa cha matenda omwe ali pafupi. Zitsanzo zimaphatikizapo matenda omwe amachititsa kutupa kwa nkhono za chiberekero kapena matenda a chlamydial omwe amachititsa kutupa kwa nthenda za inguinal.
- Mankhwalawa amachititsa kuti thupi lonse lidzipweteke, limatanthawuza machitidwe a thupi, matenda onse a thupi monga chimfine, matenda opatsirana a mononucleosis , chifuwa chachikulu cha TB, toxoplasmosis , leukemia, komanso, kachilombo ka HIV.
- Kulimbana ndi matenda opatsirana kwambiri (PGL) ndi mtundu umene umapitiriza, nthawi zambiri popanda chifukwa. Kawirikawiri ndi chizindikiro cha matenda osatetezedwa omwe amatenga kachilomboka komanso kachilombo ka HIV. PGL ikhoza kupitirira kwa miyezi kapena zaka.
Nthawi zina zimbudzi zimatha kutenthedwa ndi kachilombo. Izi nthawi zambiri amatchedwa lymphadenitis.
Zizindikiro za Lymphadenopathy
Kutupa kwa ma lymph nodes kapena kusakhala kowonekera. Ndipotu, kukhumudwa ndi kupweteka nthawi zambiri zimakhala zizindikiro zoyambirira za matenda a mitsempha yambiri asanayambe kutupa. Ngakhale kuti siziwoneka mosavuta, nthawi zambiri mumakhala ndi node zokulitsa pansi pa khosi, pamutu, kumbuyo kwa makutu, kapena m'mimba.
Nthaŵi zina, mumatha kumva chinthu chimodzi chokha, chowonjezera. Panthawi zina, pakhoza kukhala gulu la matenda opopa omwe amakhala pamagulu angapo a thupi.
Ngakhale kuti maselo am'mimba amakhala ofatsa komanso opweteka, nthawi zina amakhala opanda ululu. Khungu lophimba nodes likhoza kukhala lofiira komanso lotentha.
Chiwombankhanga chikhoza kutsagana, makamaka pa matenda aakulu.
Kuchiza Lymphadenopathy
Kwa anthu omwe ali ndi kachilombo ka HIV, njira yoyamba ndi yopambana yochizira lymphadenopathy ndi mankhwala opatsirana pogonana . Polepheretseratu kachilombo ka HIV m'magulu osadziwika , nkhawa zomwe zimakhalapo m'magulu am'thupi zimatha kuchepa. Lymphadenopathy kawirikawiri imatha mkati mwa masabata angapo kapena miyezi kamodzi kamodzi katayamba mankhwala.
Ngakhalenso lymphadenopathy imayambitsidwa ndi OI, mankhwala opatsirana pogonana amaonedwa kuti ndi ofunika. Pochiza OI poletsa kupatsirana kachilombo ka HIV ndi mankhwala opatsirana pogwiritsa ntchito ma ARV, munthu angakhale ndi mwayi wabwino kwambiri wobwezeretsa chitetezo cha mthupi komanso kupewa matenda otsogolera.
Ngati lymphadenopathy ili yopweteka kwambiri, mankhwala osokoneza bongo omwe sagwiritsiridwa ntchito ndi anti-inflammatory (NSAID) monga ibuprofen angathandizire. Izi, komanso compress ofunda, zingathandize kuchepetsa kutupa kapena kutupa.
> Chitsime:
> Cainelli, F .; Vallone, C .; Tanko, M. et al. "Lymph nodes ndi pathogenesis za matenda omwe ali ndi HIV-1." Matenda Opatsirana a Lancet. 2015; 10 (2): 71-72.