Kutchuka ndi Gawo la HIV ndi Malo Amtenda
Matenda a maso omwe ali ndi kachilombo ka HIV amapezeka pakati pa anthu omwe ali ndi kachilombo ka HIV, ndipo pakati pa 70 ndi 80 ali ndi vuto lina la maso panthawi ya matenda awo. Ngakhale zambiri za matendawa zikugwiritsidwa ntchito ndi siteji yamtsogolo - pamene CD4 ya munthu imakhala pansi pa masentimita 250 / mL (ndi zina zambiri pansi pa maselo 100 / mL) - zikhoza kuchitika pa siteji ya matenda.
Zina mwa zovuta zokhudzana ndi diso zokhudzana ndi HIV:
- Pansi pa maselo 500: herpes zoster (shingles) ; Kaposi sarcoma (KS) , lymphoma , chifuwa chachikulu (TB)
- Pansi pa maselo 200: kachilombo ka herpes simplex (HSV) , pneumocystosis , toxoplasmosis
- Pansi pa maselo 100: aspergillosis, cytomegalovirus (CMV) , cryptococcosis , matenda a HIV , microsporidiosis, molluscum contagiosum (MC) , mycobacterium avium complex (MAC ) , vartifella-zoster virus (VZV)
Ngakhale kuti matenda a maso omwe ali ndi kachilombo ka HIV amayamba chifukwa cha matendawa ndi ena omwe amawoneka kuti ali ndi kachilombo ka HIV, amawonetseratu ndi kusintha-nthawi zina kuchepa , mwinamwake kwambiri diso lomwelo.
Kuchokera pobwera kwa mankhwala opatsirana pogonana (ART) , chiŵerengero cha matendawa ambiri chachepa kwambiri, ngakhale kuti amakhalabe m'madera omwe malo opita kuchipatala amakhala ochepa komanso / kapena matendawa ndi osauka.
Kudziwa chomwe chimayambitsa matenda a maso omwe ali ndi kachilombo ka HIV kamayambira makamaka pozindikira komwe matendawa akuwonekera.
Matenda a Khungu, Misozi Yamkuntho, ndi Conjunctiva
Dokotalayu amadziwika kuti mankhwalawa , ndipo mbali imeneyi imakhala yotetezedwa ndi diso kumaso, ndipo imaphatikizapo khungu la maso, kutulutsa mazira, ndi maso (maso oyera).
Matenda ambiri omwe amapezeka m'maderawa ndi herpes zoster virus (HSV), Kaposi sarcoma (KS), ndi molluscum contagiosum (amadziwika kuti "mafunde a madzi"). Kusintha kwapakati pa mitsempha ya mitsempha yambiri-kuchepetsa mitsempha ndi mitsempha, michulukidwe yazing'ono-amadziwikanso kuti amachitika pafupifupi 70 mpaka 80 peresenti ya anthu omwe ali ndi kachirombo ka HIV, ndipo amatha kugwirizana kwambiri ndi kachilombo ka HIV.
Matenda a mchere amatha kukhala ndi mitsempha yowawa yomwe imayendetsa mitsempha yamphongo ku diso; mitsempha yamdima yofiira ndi kuzungulira khungu; kapena zovuta ngati zovuta zomwe zimakhudza chimodzi kapena ziwirizikulu ... Werengani zambiri
Matenda Pamaso pa Diso (Cornea, Iris, ndi Lens)
Mbali yoyamba (kutsogolo) ya diso ikugwira ntchito makamaka potsutsa kuwala ndikusintha zofunikira pa masomphenya, kuphatikizapo cornea, iris, lens, ndi chipinda chamkati (malo odzaza madzi pakati pa cornea ndi iris). Zina mwa matenda omwe amapezeka kwambiri m'kati mwawo ndi varicella-zoster virus (kachilombo kamene kamayambitsa nkhuku ndi mbozi); microsporidiosis (matenda a protozoa); herpes simplex (tizilombo toyambitsa matenda ndi zilonda zamkati); ndi matenda ena opatsirana opatsirana kapena mabakiteriya.
Zambiri mwazirombozi zimayambitsa matendawa pakapita nthawi pamene munthu yemwe ali ndi kachilombo ka HIV akugonjetsedwa bwino.
Keratitis, kupweteka kwina nthawi zina komanso koopsa kwa cornea, ndi chimodzi mwa zizindikiro zozizwitsa m'magulu amtundu wa anterior, kaya ndi a varicella-zoster virus, herpes simplex, kapena matenda a fungal monga Candida kapena Aspergillus ... Werengani zambiri
Matenda Kumbuyo kwa Diso (Retina ndi Mitsempha Yamagetsi)
Mbali yotsatila (kumbuyo) ya diso ikugwira ntchito mwa kukhala ndi mawonekedwe a diso, kusunga mitsempha pamalo, ndi kuchititsa maganizo a mitsempha ku ubongo kuchokera ku maselo a photoreceptor kumbuyo kwa maso. Retina, choroid (minofu yambiri ya diso), ndi mitsempha ya optic imakhala ndi gawo limodzi lamaseri, ndi matenda angapo okhudzana ndi kachirombo ka HIV omwe amapezeka mkati mwa zigawo izi, nthawi zambiri m'mbuyo mwa matenda a HIV.
Kusokonezeka kwa gawo lotsatira-makamaka kuwonetsa ndi kusintha kwakukulu kwa retina-kumawoneka mwa 50 peresenti kwa 70 peresenti ya anthu omwe ali ndi kachirombo ka HIV, ndipo nthawi zina amatha kuwonongeka mosavuta kapena kovuta ku retina (yotchedwa retinopathy).
Matenda ena okhudzana ndi kachilombo ka HIV omwe ali m'mbuyo mwawo ndi cytomegalovirus (chimodzi mwa matenda omwe amafala kwambiri pakati pa anthu omwe ali ndi HIV); chifuwa chachikulu (TB); toxoplasmosis (matenda opatsirana omwe amafala komanso ochepa); ndi cryptococcosis (matenda ena okhudzana ndi kachilombo ka HIV) ... Werengani zambiri
Matenda a Sopo Yoyang'ana
Ngakhale pali matenda ochepa okhudza kachilombo ka HIV, omwe amadziwika ndi maso, amadziwika kuti aspergillosis-matenda opatsirana omwe amapezeka mwa anthu omwe ali ndi kachilombo ka HIV-amadziwika kuti amachititsa kutupa kwa minofu ya maso (cellulitis) mwa ena. Mofananamo, mafupa (maselo a maselo a magazi) angapereke mkati mwa gawoli, kachiwiri pamene CD4 ya munthuyo yatsika pansi pa maselo 100 / mL.
Zotsatira:
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-ophthalmalogy ya kachirombo ka HIV / Edzi kafukufuku wa HIV ndi Edzi." Nthenda ya HIV ya HIV . September 17, 2012; 2012 (4): 99-111.