Kodi kachilombo ka HIV kamayang'ana bwanji?

Palibe kuthamanga kamodzi kapena chifukwa chimodzi chowombera

Nthendayi imakhala yachilendo panthawi ya kachirombo ka HIV , ndipo zifukwa zingakhale zosiyana monga rashes okha.

Anthu ambiri amagwiritsa ntchito mawu akuti "kuthamanga kwa HIV" pofotokoza kuphulika kwa khungu komwe kumachitika chifukwa cha matenda atsopano. Ndipo ngakhale kuthamanga kungathe kukhala chizindikiro cha matenda oyambirira , anthu awiri okha mwa asanu aliwonse adzakhala ndi chizindikiro choterocho.

Pamapeto pake, palibe chigamulo chimodzi kapena chifukwa chimodzi chowombera anthu omwe ali ndi HIV. Chodziwikiratu ndi chakuti kuphulika kumachitika panthawi iliyonse ya matenda. Kudziwa chomwe chimayambitsa matendawa, chimafuna kuyang'anitsitsa ndikuwonetsa maonekedwe, kufalitsa, ndi kufanana kwa chiyambi.

1 -

Vuto la HIV

Kuphulika kwa chiwombankhanga kumachitika chifukwa cha kachilombo ka HIV komwe kangobwera kumene ndipo kawirikawiri imawoneka masabata awiri mpaka asanu pambuyo poti tuluka chifukwa cha zomwe timazitcha kuti acroviral syndrome (ARS) .

Chiphuphuchi chimatchedwa maculopapular , mawu akuti macule akufotokoza malo apamwamba, opototira pamwamba pa khungu pamene papule akufotokoza zazing'ono, zopweteka.

Ngakhale matenda ambiri angayambitse izi, ARS chiwombankhanga chidzakhudza mbali yakumtunda ya thupi, nthawi zina limodzi ndi zilonda m'makamwa kapena m'mimba. Zizindikiro zofanana ndi chimfine ndizofala.

Kuphulika kumathera kawirikawiri pakatha masabata awiri. Thandizo la antiretroviral liyenera kuyambitsidwa mwamsanga pamene kachilombo ka HIV kamatsimikiziridwa.

2 -

Seborrheic Dermatitis

Dermatitis ya Seborrheic ndi imodzi mwa zizindikiro za khungu zomwe zimagwirizanitsidwa ndi kachilombo ka HIV, zomwe zimachitika pa 80 peresenti ya anthu omwe ali ndi matenda akuluakulu. Komabe, si zachilendo kuti kuthamanga koteroko kuonekere mwa anthu omwe ali ndi mphamvu zolimbana ndi chitetezo cha m'thupi pamene CD4 count ili pansi pa 500.

Dermatitis ya seborrheic ndi matenda opweteka a khungu ambiri omwe amakhudza khungu, nkhope, ndi torso. Nthawi zambiri zimapezeka m'magazi oundana, kuwonetsa ndi ubweya wofiira, utoto wachikasu, ndi zilonda za khungu. Pa milandu yowopsa kwambiri, imatha kuyambitsa ziphuphu kumaso ndi kumbuyo kwa makutu komanso pamphuno, nsidya, chifuwa, kumbuyo kwakumbuyo, ziphuphu, ndi mkati mwa khutu.

Zomwe zimayambitsa ziphuphu sizidziwika bwino, ngakhale kuti chitetezo chochepa cha thupi chimakhala chofunikira kwambiri. Matenda a corticosteroids angathandize pa milandu yovuta kwambiri. Anthu omwe ali ndi kachilombo ka HIV omwe sanayambe kulandira chithandizo ayenera kuperekedwa mwamsanga mankhwala opatsirana pogonana kuti ateteze kapena kubwezeretsa chitetezo cha mthupi.

3 -

Zomwe Mankhwala Omwe Amadziletsa Osokoneza Bongo

Ma Rashes angapangidwe chifukwa cha kusagwirizana ndi mankhwala ena, kuphatikizapo kachilombo ka HIV ndi maantibayotiki. Izi zimawonekera patatha masabata awiri pambuyo pa kulandira chithandizo, ngakhale kuti zikhoza kusonyeza mwachidule ngati masiku amodzi kapena atatu.

Kuphulika kwa chiwombankhanga kungabweretse mitundu yambiri koma nthawi zambiri imakhala yovuta kwambiri, kutanthauza kuti imatuluka ngati chikuku. Zimayamba kukula pamtengo ndikuyamba kufalikira kumapazi ndi m'khosi mofanana.

Nthaŵi zina, kutukuka kungakhalenso maculopapular kwambiri poyerekeza ndi ziphuphu zofiira zofiira zomwe zimakhala ndi mabampu ang'onoang'ono omwe amakhala ndi madzi pang'ono pokhapokha.

Mankhwala ogwiritsira ntchito mankhwala osokoneza bongo nthawi zina amaphatikizapo kutentha thupi, kutentha kwa maselo, kapena kupuma.

Kuchotsedwa kwa mankhwala omwe akudandaula nthawi zambiri kumathetsa vutoli pakatha masabata awiri, ngati kuli kovuta. Matenda a corticosteroids kapena olemba antihistamines angapangidwe kuti athandize kuthetsa vutoli.

Ziagen (abacavir) ndi Viramune (nevirapine) ndimadokotala awiri omwe ali ndi chiopsezo chachikulu cha mankhwala osokoneza bongo, ngakhale kuti mankhwala ena ali ndi mphamvu yotero.

4 -

Stevens-Johnson Syndrome

Matenda a Stevens-Johnson (SJS) ndi njira yowopsya yogwiritsira ntchito mankhwala osokoneza bongo omwe amadziwika ndi mawu ake "okwiya". Kuthamanga ndi mtundu wa poizoni wa epidermal necrosis umene umatuluka pamwamba pa khungu (dermis).

SJS amakhulupirira kuti ndi matenda a chitetezo cha mthupi chomwe chimayambitsa mwina kaya matenda, mankhwala, kapena zonse.

SJS kawirikawiri imayamba ndi malungo ndi pakhosi pakapita masabata atatu kapena atatu mutayamba mankhwala. Posakhalitsa, zilonda zowawa pamilomo, m'mimba, ndi anus zimatuluka. Zilonda zosavuta kuzungulira pang'onopang'ono zimayamba kukula pamaso, thunthu, miyendo, ndi mapazi a mapazi. Chiphuphuchi chimakhala chofala, chikuwonetseredwa ndi zotupa zomwe nthawi zambiri zimagwirizanitsa ndi zimodzi zomwe zimachitika pang'onopang'ono (makamaka kuzungulira milomo).

Chithandizo chiyenera kuimitsidwa mwamsanga pamene zizindikiro zikuwoneka. Muyenera kufunafuna chithandizo chadzidzidzi chomwe chingaphatikizepo mankhwala opatsirana pakamwa, madzi opatsirana, ndi mankhwala kuti asamawononge maso. SJS ili ndi kuchuluka kwa anthu asanu pa anthu 100 alionse.

Viramune (nevirapine) ndi Ziagen (abacavir) ndi mankhwala awiri ochepetsa kachilombo ka HIV omwe amagwirizanitsidwa ndi vuto la SJS, ngakhale kuti mankhwala ena ambiri (kuphatikizapo mankhwala osokoneza bongo ) amadziwika kuti ayambitsa yankho la SJS.

> Chitsime:

> Altman, A .; Vanness, E ;; ndi Westergaard, R. "Zowonongeka Zowonongeka kwa Anthu: Kuchulukitsidwa kwachipatala." Curr Infect Dis Rep 2015; 17 (3): 464. DOI: 10.1007 / s11908-015-0464-y.