Mbali yapansi ya diso ili ndi chipinda chamkati, cornea, ndi iris. Anthu oposa theka la anthu omwe alibe kachilombo ka HIV amatha kukhala ndi vuto la chigawo choyambirira chomwe chimakhala chowopsa kuchokera ku maso ouma kupita ku matenda opatsirana omwe angayambitse khungu.
HIV Yogwirizana ndi Edzi
Matenda okhudzidwa ndi kachirombo ka HIV omwe amawonekera kwambiri m'mbali yamkati ndi awa:
- Iridocyclitis, kutukusira kwa iris
- Keratitis , matenda a cornea
- Microsporidiosis , matenda opatsirana omwe amachititsa kuti cornea iwonongeke
Iridocyclitis ndi kutupa kwa iris, yomwe ingagwirizane ndi matenda angapo opatsirana (OIs), kuphatikizapo cytomegalovirus (CMV) , herpes simplex HIV (HSV) , toxoplasmosis , chifuwa chachikulu komanso varicella zoster virus (VZV) . Kulemera kwa kutupa kumagwirizanitsidwa kwambiri ndi kuuma kwa OI ndipo nthawi zambiri kumakhala chizindikiro choyamba cha matenda opititsa patsogolo. Milandu yoopsa kwambiri imakhala ndi odwala omwe ali ndi CD4 zochepa.
Iridocyclitis ikhoza kuwonetsetsanso chifukwa cha syphilis , komanso mankhwala monga rifabutin (omwe amagwiritsidwa ntchito nthawi zonse ndi mankhwala a chifuwa chachikulu) ndi cidofovir (omwe amagwiritsidwa ntchito pochiza matenda akuluakulu a CMV).
Iridocyclitis ikhoza kupezeka m'modzi kapena onse awiri, ndi zizindikiro zomwe zingakhale ndi maso ofiira, kudula kwambiri, kutsegula kwamphamvu (photophobia) ndi ophunzira osamalidwa.
Iridocyclitis amayamba kusintha ndi mankhwala opatsirana pogonana komanso kuthana ndi matenda omwe amadziwika.
Keratitis ndi matenda a cornea omwe angayambitsidwe ndi HSV, VSV, candidiasis (matenda opatsirana omwe amapezeka kawirikawiri kwa anthu omwe ali ndi kachirombo ka HIV), ndi zina zotheka matenda. Nthaŵi zambiri, kuteteza thupi kumatengera wodwalayo ku keratitis, zizindikiro zomwe zimaphatikizapo maso ofiira, kupweteka kwambiri, ululu wa diso, kuwona bwino, kuwonetsa kuwala (photophobia) ndi kumverera kwa grittiness mu diso.
Msonkhanowu ukhoza kugwirizana (kuphatikizapo maso) ndi kusagwirizana (kuphatikizapo diso limodzi). Zovuta zowonjezera zingakhale zochokera ku zilonda zam'mimba komanso zosawonongeka za masomphenya komanso ngakhale khungu.
Monga ndi iridocyclitis, kuyambitsidwa kwa mankhwala opatsirana pogonana kumalimbikitsa kuchepetsa mavuto, komanso kuchiza matenda omwe amadziwika (kawirikawiri ndi acyclovir ya HSV ndi VZV, kapena atifungal ngati candidiasis).
Microsporidiosis ndi matenda opatsirana a fungalomu, omwe amapezeka makamaka pamene CD4 ya wodwala imagwa pansi pa maselo 100, mL. Ngakhale kuti matenda opatsirana amakhala osowa nthawi zambiri pamakhala microsporidiosis, amatha kupweteketsa maso, kupweteka kwambiri, masomphenya osamvetseka komanso kutsegula maso (photophobia).
Kuwonjezera pa kukhazikitsa mankhwala opatsirana pogonana , microsporidiosis nthawi zambiri amachizidwa ndi mankhwala a azole monga albendazole ndi itraconazole. Madontho amtundu wotsitsimodzinso amatha kugwiritsidwa ntchito ndi mankhwala a azole.
Zotsatira:
Cunningham, E. ndi Margolis, T. "Mawonedwe Oyera a Diso." New England Journal of Medicine. July 23, 1998; 339: 236-244.
Parrish, C .; O'Day, D .; ndi Hoyle, T. "Ululu Wambiri wa Fungal Corneal Ulcer monga Maonekedwe Ocula a Edzi." American Journal of Ophthalmology. September 15, 1987; 104 (3): 302-303.
Rocha Lima, B. "Maonekedwe Ophthalmic mu HIV." Digital Journal ya Ophthalmology. October 29, 2004; 10 (3): mawonekedwe a pa intaneti.
Sudhakar, P .; Kedara, S.; ndi Berger, J. "The Neuro-Ophthalmology of HIV / AIDS Review of Neurobehavioral HIV Medicine." Nthenda ya HIV ya HIV . September 17, 2012; 2012 (4): 99-111.