Kusokonekera kumakhala kosavuta koma kumakhala kofala kwambiri kwa anthu omwe ali ndi HIV
Matenda a EDZI (ADC), omwe amadziwikanso kuti HIV, amakhala ndi matenda a ubongo omwe amayamba chifukwa cha HIV . Ndicho chikhalidwe chomwe chimaikidwa ndi Centers for Disease Control and Prevention (CDC) ngati matenda a Edzi ndipo amadziwika ndi kuwonongeka kwa chidziwitso, magalimoto ndi khalidwe, zizindikiro zomwe zingaphatikizepo:
- kukumbukira ndi kukumbukira mavuto
- kuchepa maganizo komanso / kapena kuyankha mwachidwi
- kusintha kwa makhalidwe
- kuchepa mphamvu / zofooka
- kuperewera kwa maluso abwino (motero, kunjenjemera)
- kuperewera kwa kuyenda
- matenda a maganizo
Dementia imatanthauzidwa kukhala ndi kusokonezeka kosalekeza kwa njira zamaganizo zomwe zimasinthidwa ndi kusintha kwa umunthu, kusokonezeka m'maganizo, ndi kulingalira zolakwika.
Zifukwa za AIDS Dementia
ADC kawirikawiri imapezeka mu matenda apamwamba pamene CD4 ya wodwalayo ili pansi pa 200 maselo / μl ndipo kawirikawiri imatsatiridwa ndi chiwerengero chachikulu cha mavairasi.
Mosiyana ndi zochitika zambiri za AIDS, ADC si matenda opatsirana chifukwa cha matenda omwe amabwera chifukwa cha HIV. Kafukufuku amasonyeza kuti maselo oyera a magazi omwe amatenga kachilombo ka HIV amatchedwa macrophages ndi maselo a mitsempha omwe amatchedwa microglia secrete neurotoxins omwe amachititsa kuti minofu ikukula komanso yowopsya. M'kupita kwa nthawi, izi zingayambitse kusokoneza mphamvu (mwachitsanzo, kupatsirana kwa chidziwitso pakati pa neurons), komanso kusokoneza selo imfa m'thupi.
Kuzindikira ndi Kuchiza AIDS Dementia
Palibe mayeso omwe angatsimikizire kuti ali ndi kachilombo ka HIV. Kusanthula kumapangidwa makamaka chifukwa chochotsedwa, kuthetsa zina zomwe zingayambitse vutoli. Kufufuza kwathunthu kumayenera kupangidwa ndi dokotala wodziŵa zambiri, kufufuza mbiri ya wodwalayo, mayeso a ma laboni (mwachitsanzo, kutsegulidwa ), ubongo (MRI, CT scan) , ndi kubwereza zomwe zimatchedwa "masitepe."
Makhalidwe a masitepe amatsimikizira kufooketsa kwa kulemera kwa 0 mpaka 4 motere:
- Gawo 0: Magalimoto ndi magetsi.
- Gawo lachiwiri: Kutayika kochepa kokhala ndi mphamvu komanso mphamvu. Munthu amatha kugwira ntchito ndi kuchita masewera olimbitsa thupi tsiku ndi tsiku.
- Gawo 1: Kuwonongeka kwa magalimoto ndi / kapena maluso. Munthu akhoza kuyenda popanda thandizo ndi kupitiriza zonse koma ntchito zovuta tsiku ndi tsiku.
- Gawo 2: Sangathe kugwira ntchito ndipo zimakhala zovuta kuthana ndi zovuta kwambiri pa moyo wa tsiku ndi tsiku. Komabe, munthuyo amathabe kudzisamalira yekha komanso amatha kuyenda (ngakhale nthawi zina ndi chithandizo chokha).
- Gawo 3: Maganizo akuluakulu kapena / kapena magalimoto osalephera. Munthu sangathe kudzisamalira yekha.
- Gawo lachinayi: Pafupi ndi nthaka ya vegetative.
Ngakhale mawonetseredwe oopsa a ADC adacheperachepera kwambiri kuyambira chiyambi cha mankhwala opatsirana pogonana (ART) , kuwonongeka kochepa kwa matendawa kumapezekabe pa 30 peresenti ya anthu omwe ali ndi kachirombo ka HIV ndi 50 peresenti ya omwe ali ndi AIDS.
Kawirikawiri, chiopsezo cha ADC chimawoneka kukhala chapamwamba mwa anthu omwe sanakwanitse kuthetsa vutoli, ngakhale kuti akhoza kupitirira atatu kapena 10 peresenti ya anthu omwe ali ndi kachilombo koyambitsa matenda.
Izi zikuperekedwa kuti kuthandizira kwa ART kumayimitsa kapena kuchepetsa chiopsezo cha ADC.
Kwa iwo omwe ali ndi vuto lopanda ubongo, ART imaphatikizapo mankhwala awiri ndi kuyamika kwabwino kwa ubongo wa magazi. Zosankha zikuphatikizapo nucleoside reverse transcriptase inhibitor-class drugs Retrovir (AZT) ndi Ziagen (abacavir), komanso protease inhibitor-class drug Crixivan (indinavir).
Komanso:
- HIV yodetsa nkhawa
- Matenda okhudzidwa ndi kachirombo ka HIV (MAN)
- Maganizo okhudza HIV (EDD)
> Zotsatira:
> Heaton, K .; Perekani, I .; Butters; et al. "HNRC 500-Maphunziro a Neuropsychology of HIV at matenda osiyanasiyana." Journal ya International Neuropsychological Society. May 1995: 1 (3), 231-251.
> Grant, I .; Sacktor, N .; McArthur, J .; et al. "Matenda a munthu amene amateteza thupi lake kuteteza thupi lake. Annals of Neurology. June 2010; 67 (6): 699-714.
> Robertson, K .; Smurzynski, M ;; Parsons, T .; et al. "Kufala ndi kuwonongeka kwa matenda osokoneza bongo m'nthaŵi ya HAART." AIDS. September 12, 2007; 21 (14): 1915-1921.
> Tozzi, V .; Balestra, P .; Bellagamba, R .; et al. "Kupirira Kusowa kwa Maphunziro a Kutsekula kwa Matenda Okhudza Matenda Okhudza Matenda Opatsirana Ngakhale Kulimbana Kwambiri Ndi Matenda Oopsa Kwambiri Odwala Matenda Ochepetsa Matenda Ochepetsa Matenda a Mthupi Odwala Odwala Matenda Okhudzana ndi Vuto la Edzi: Kukula ndi Zoopsa." Journal of Deficiency Immune Deficiency Syndromes. June 1, 2007; 45 (2): 174-182.
> Eden, A .; Mtengo, R; Hagberg, L .; et al. "Kupulumuka kwachilendo ndi odwala omwe ali ndi kachilombo ka HIV pa ART yodalirika." Msonkhano wachisanu ndi chiwiri pa ma Retroviruses ndi Matenda Opondereza. San Francisco, California; 2010.