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Nemhaka yei mishonga yangu yeropa inobhururuka?Lymphadenopathy ndiyo yakawedzera mukukura kana nhamba ye lymph nodes. Lymph nodes dzinoparidzwa mumuviri wose uye dzinotsigira maitiro ezvirwere zvezvirwere zvezvirwere nekusvina mabhakitiriya, mavairasi, nezvimwe zvipembenene kubva muropa. Zvinyorwa zvino zvinourayiwa nemasero akachena eropa anozivikanwa lymphocytes .
Chero huwandu hwezvirwere hunogona kukonzera lymphadenopathy kubva kune strep throat kune zvirwere zvinopisa upenyu. Kuvhiringidzika kunokonzerwa nekuunganidza kwe-lymphocytes sezvo masero akawanda uye akawanda anonatswa kuburikidza nemasikirini.
Nharaunda ye lymphadenopathy kune vanhu vane HIV inonyanya kukwirira uye inogona kuitika pane imwe nhanho yehutachiona. Iyo inowanzokura kune rumwe rutivi rwemutsipa, pasi pemasana, kana mumakumbo uye kugomera. Mune zvimwe zviitiko, zvinogona kuva zvinorwadza uye zvinooneka zvichibhururuka.
Lymphadenopathy haisi chiratidzo chekuvhiringidza. Pane kudaro, chiratidzo chekudzivirirwa kwemasimba omumakumbo nechinangwa chokudzora utachiona.
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Inguva yakareba rini lymph nodes yangu ichapuka?Lymphadenopathy inowanzoonekwa panguva yekutapukira kweHIV . Icho chiri panguva iyi yakaoma iyo muviri unotanga kudzivirirwa kwezvirwere zvekuzvidzivirira muzvirwere zvekudzivirira zvirwere. Mune zvimwe zviitiko, izvi zvinogona kutora mwedzi kana kunyange makore.
Lymphadenopathy panguva yehutachiona hwehutachiona kazhinji inowanzoitika, zvichireva kuti inowanikwa muzvikamu zviviri kana kupfuura zvemuviri. Apo node idzi dzakakura kudarika masendimita maviri (inenge inch inch) uye dzinoguma kwemwedzi inopfuura mitatu, mamiriro acho anowanzoonekwa seanoramba achiwedzera lymphadenopathy (PGL).
Kana usina kuongororwa neHIV uye lymph glands inoramba ichibhururuka kwemavhiki maviri kusvika mana, ona chiremba wako kana kushanyira kliniki yako yega. IU.S. Preventive Services Task Force ikozvino inorumbidza kuti vose veAmerica vane makore 15 kusvika ku65 vanoongororwa nezveHIV sechikamu chechiitiko chekushanyira chiremba.
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Inogona kuvhunika zvinyunyuti kuva chiratidzo chechimwe chinhu chakaipa here?Munguva yekutanga kutapukirwa kweHIV, lymphadenopathy inowanzotadza uye inogadzirisa. Kazhinji, nguva uye kuoma kwemamiriro acho zvakananga zvakananga nehuwandu hwekudzivirira kwekuzvidzivirira kwemuviri sekuenzaniswa neCD4 count .
Iwe haufaniri kumbofungidzira kuti lymphadenopathy ndiyo chiratidzo chekutachiwana kweHIV. Mune zvimwe zviitiko, lymphadenopathy haisi kuonekwa kusvika pamatanho ekupedzisira echirwere uye inowedzera chiratidzo chetachiona chinokonzerwa nehutachiona kana kuti toxoplasmosis .
Lymphadenopathy inowanikwa munguva isingaperi yeHIV infectio n ichawanzogadzirisa apo utachiona hweHIV hwakatanga. Munguva yehutachiona hwakakura, apo CD4 count yakanyura pasi pe100, kukurumidza kukurumidza kwema lymphadenopathy (kureva kuti lymph nodes inodzokera kune yakanaka pasina kurapwa) inogona kuva chiratidzo chekuuya kwekuzvidzivirira kwekudzivirira muviri uye kutanga kwechirwere chinokanganisa chakakosha.
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Ko lymphadenopathy inogona kurapwa here?Imwe nzira inofadza yekurapa HIV-inobatanidza lymphadenopathy ndeyokutanga antiretroviral therapy . Haisi kungobvisa hutachiona chete, nekugadzirisa mutoro paine lymphatic system, inobatsira kuchengeta kana kudzorera mishonga yekudzivirira zvirwere kuti zvirwe zvakanaka kurwisa zvirwere zvakabatana.
Pari zvino, zvinokurudzirwa kuti kurapwa kunotangarwa pahutachiona pasinei neCD4 count kana chikamu chechirwere. Maererano nekuongororwa, haisi kungowedzera mikana yekurwara ne 53 muzana , inopa zvipo maererano nehupenyu hurefu uye huwandu huri kuderedzwa hwekutengesa .
Kusvikira lymphadenopathy yakagadziriswa zvakakwana, kune-over-the-counter nonsteroidal anti-inflammatory drug ( NSAID ) inogona kushandiswa kugadzirisa kuzvimba, unyoro, uye kurwadziwa.
> Sources:
> Dhipatimendi Rezvoutano uye Human Services. "Mirayiridzo yeKushandiswa kweAntiretroviral Agents muHIV -1-Vakabatwa Vakuru Nevana Vari Kuyaruka." Rockville, Maryland; yakasvika munaNovember 19, 2015.
> National Institutes of Health. "Kutanga antiretroviral therapy pakutanga kunowedzera zvibereko zvevanhu vanotapukirwa neHIV." Bethesda, Maryland; yakabudiswa musi waMay 27, > 2015.
> US Preventive Services Task Force (USPSTF). "Kuchengetedzwa kweHIV: US Preventive Services Task Force Recommendation Statement." Rockville, Maryland; April 2013.