Kubva pazvirwere zvinowanzowanzoita zvirwere zvichida Upenyu Hunopisa Zvirwere
Zvirwere zvefungal zvakajairika kuvanhu vanogara neHIV uye vanogona kupa pane zvikamu zvakasiyana zvechirwere, kubva pakutanga kwechikamu chakanyanya kusvika pakupedzisira AIDS inotsanangura mamiriro ezvinhu . Zvirwere zvitatu zvakanyanya kufanana nezvirwere zvinonzi fungal zvinonzi candidiasis , cryptococcosis , histoplasmosis , uye coccidiomycosis.
Candidiasis
Candidiasis inokonzerwa nerudzi rwembiriso inonzi Candida .
Utachiona hunonyanya kuwanikwa mumuromo nemukadzi, kunyange mune dzimwe nzvimbo dzomuviri (kunyanya kune vanhu vane hutachiwana hweHIV).
Iyo inopa mumuromo sechitsva , iyo inowanzoonekwa nehupamhi, muchena mutsvuku parurimi uye zvimwe zvikamu zvemukanwa nemutsipa. Apo inowedzera mumudzimai sehutachiona hwehupiriso , inoratidzirwa nehombe yakadzika-cheese-se "kubuda.
Apo chirwere ichi chinopararira kune sophagus, bronchi, trachea, kana mapapu, utachiona hunoonekwa sehutano uye hwepamutemo hunorondedzerwa sehutachiona hweAIDS kune vanhu vane HIV.
Zviratidzo zve candidiasis zvinosanganisira:
- Muchena mutsvuku mumuromo, kumusoro kwehuro kana rurimi.
- Hora uye kuchinja kunonaka kunowanzoitika.
- Kuchepa kwepfuva uye kuoma kunomedza kuenda nesophageal candidiasis.
- Kuvhenekera kwegagasi, kupisa, uye kuchena kwakachena kwechichena kunoratidza vaginal candidiasis.
Cryptococcosis
Cryptococcosis chirwere chinouraya chinokonzera huwandu hwevanhu vanopfuura mamiriyoni pasi pose gore negore. Muvanhu vane HIV, inogona kuenderera mberi kune imwe nzvimbo inozivikanwa se cryptococcal meningitis, iyo inokanganisa hurumende yehurumende uye nhasi ndiyo yechitatu inowanzobatana nevanhu vane AIDS.
Iyo fungi inokonzera, C. neoformans kana C. gatti, inowanikwa mune ivhu rine inodonha shiri. Kazhinji kutaura, nzira yehutachiona ndeyokuputira fungal spores. Kuwedzerwa kwe spores hakusi kunzi nzira inobatsira yekufambisa, apo vanhu-kusvika-vanhu kutapurirwa kunonzi vasingawanzoitiki.
Extrapulmonary cryptococcosis (iyo inosanganisira cryptococcal meningitis) inotsanangurwa neCenters for Disease Control and Prevention (CDC) sehutachiona hweAIDS kune vanhu vane HIV.
Zviratidzo zve cryptococcal meningitis zvinosanganisira:
- fever
- kusvibiswa kwemaonero ne photophobia (zvakanyanya senzwivheni kusvika chiedza)
- kukanganiswa mupfungwa
- headache
- Mutsvuku, mutsipa unorwadza
Histoplasmosis
Histoplasmosis inokonzerwa nefungus inowanzozivikanwa inonzi H. capsulatum , inogona kuwanikwa nguva dzose mumvura yakanyorova, shiri inodonha, uye guano. Utachiona hunozivikanwa kuti hwakapararira kumabvazuva uye nechepakati peUnited States (pamwe neAfrica, Southeast Asia, kumaodzanyemba kweEurope, uye Central neSouth America), kunyange zvazvo vanhu vazhinji vanovhiringidzika chete vachaona zviratidzo zvishoma, zvirwere-firi uye zvisingaiti kwenguva refu.
Zvisinei, kune vanhu vane hutachiona hweHIV, histoplasmosis inogona kukura kusvika kuhutachiona husingaperi hwemapapu hwakafanana nehutachiona . Inogona kupararira zvakanaka kupfuura mapapu uye inokanganisa nhengo dzakawanda dzakawanda, kazhinji pane vane varwere vane HIV vane nhamba dzeCD4 pasi pe 150.
Sezvo zvakadaro, histoplasmosis yakarongedzwa neCDC semamiriro ekujekesa AIDS mune vanhu vanogara neHIV.
Zviratidzo zve histoplasmosis zvinogona kusanganisira:
- fever
- kubvumira lymph glands
- kukosora
- kukurumidza kufema
- kurema kuora kurasikirwa
Coccidiomycosis
Coccidioimycosis inokonzerwa nefungus C. immitis kana C. posadaii , uye inowanzonzi Valley Valley. Yakapararira vanhu vakawanda muSouthwestern US, kusanganisira Texas nekumaodzanyemba kweCalifornia, uyewo kuchamhembe kweMexico, Central America, uye South America.
Kufanana ne cryptococcosis, coccidiomycosis inoparadzirwa nefungal spores inowanikwa muvhu, iyo inoenda mumhepo uye inoputirwa mumapapu.
Zviratidzo zvinowanzopfupika uye zvinyoro uye zvinogona kusanganisira:
- fever
- headache
- kukosora
- kukurumidza kufema
- musuru kurwadziwa
- kuneta
Zvisinei, apo utachiona hunopararira kubva kumapapu kuenda mune dzimwe hutano hunoonekwa sehutachiona hweAIDS , hunoita kuti uwane zvirwere zvakakomba zveganda remaronda, meningitis, mapfupa emapfupa, uye kuora mwoyo.
Sources:
Nzvimbo dzeDaase Control and Prevention (CDC). "Vanhu vanorarama neHIV / AIDS: Zvaunoda kuziva pamusoro pezvirwere zvefungal." Atlanta, Georgia; yakasvika musi waMay 27, 2016.
CDC. "Mirayiridzo Yekudzivirira uye Kurapwa Kwezvirwere Zvichida muHIV-Vakabatwa Vakuru Nevana Vari Kuyaruka." Kufa uye Kuipa Kwevhiki Yega Ongororo. 2009; 58 (RR04): 1-198.