Arthritis neHIV: Pane Kubatana Here?

Rheumatic Disease Yakabatana neHIV: Kuchivirira uye Kurapa

Pane kuwirirana pakati peHIV neArthritis? Ndezvipi zvirwere zvakanyanya kuwanda kwevanhu vane HIV uye ndezvipi zvinetso zvingangotarisana nazvo maererano nekurapa? Ndeipi nguva iyo vanhu vane hutano, hupombwe, kana hutachiona hunoongororwa neHIV / AIDS?

HIV neArthritis Zviratidzo

HIV (human immunodeficiency virus) , hutachiona hunokonzera AIDS (inowana immune deficiency syndrome) inogonawo kukonzera dzakawanda zviratidzo zvinowanzoonekwa zveArthritis uye zvirwere zveRheumatic, uye sangano iri rakaonekwa makore matatu mushure mekuwanikwa kwehutachiona.

Izvi zvinogona kukonzera:

• Arthritis pain
• Joint pain
• Uturu hunorwadza
• Utsi husina simba

Asi, kunze kwekukonzera hutano pamwe uye hutsika, HIV / AIDS inobatanidza nedzimwe nhaurwa dzakasiyana.

HIV-Yakabatana Rheumatic Diseases

Zvirwere zveRheumatic zvakajairika pakati pevanhu vane utachiona hweHIV, uye kuenzanisa kunoratidza kuti kusvika makumi manomwe kubva muzana yevanhu vanotapukirwa nehutachiona vanogona kutanga chimwe chezviitiko izvi kana vasati vamboongorora kana kuti vashure. Zvirwere zveRheumatic zvine chokuita neHIV zvinosanganisira:

• Reactive arthritis: Dhiyabhorosi arthritis chirwere cheArthritis chinowanzoita sechiitiko chetachiona kune imwe nzvimbo mumuviri, uye inogona kuitika nemhando dzakawanda dzehutachiona hunosanganisira HIV.
• Psoriatic arthritis: Psoriatic arthritis imwe yeboka rezvirwere zvinonzi spondyloarthropathies.
• Rheumatoid arthritis: Rheumatoid arthritis yakakurumbira pakati pevanhu vane HIV.
• Painful reticular syndrome: Painful reticular syndrome inenge isingakwanisi asi inorwadza zvikuru mamiriro ekubatisa mapfupa emapfupa uye marwadzo ekubatana mumumucheto wakaderera.

• Osteomyelitis: Osteomyelitis ihosha yepafu inowanzokonzerwa nemaabhakitiriya, uye kazhinji inoda kurapwa kwenguva refu kuti ibudise utachiona.
• Polymyositis: Nechiratidzo chekunyanganisa kwezviratidzo, polymyositis chirwere chinobatanidza chirwere chinoratidzirwa nekuputika uye kupera kwemaviri.

• Vasculitis: Vasculitis chirwere chinosanganisira kuvhiringidza kwemidziyo yeropa.
• Majoini ane utachiona: Joint mawere anogona kunobva kune utachiona kune imwe nzvimbo mumuviri wako iyo inotakurwa kumubatanidzwa.
• Fibromyalgia: Fibromyalgia chirwere chinoratidzwa nemuviri aches, kurwadziwa, matambudziko ekurara, kuneta zvakanyanya, kuora mwoyo, kuzvidya mwoyo, zvinyorwa zvinyoro. Iko dzimwe nguva inonzi "hutano" hutano hwehutano sezvo pasina maitiro akajeka ekuita kuti kuongororwa.

Kuongorora hutachiwana hutachiona hweHIV (Associated Rheumatic Diseases)

Zvirwere zveRheumatic zvinogona kuitika mushure mekunge vatarisana neHIV.

Kune mumwe munhu asina kumboonekwa kuti ane HIV, hutachiona hutsva hwehutachiona hunogona kuratidza kuvapo kwehutachiona. Zvechokwadi, zvinofungidzirwa nevamwe kuti kurongedza kuongorora vanhu vane zvirwere zverheumatic zveHIV zvinogona kuponesa mukuona kutapurirwa kweAIDS kare, kunyange pasina ngozi kune HIV / AIDS. Maererano neAmerican College yeRheumatology, "zvirwere zvinokonzerwa neHIV zvinokonzerwa neHIV." Kana munhu ari pangozi yakakura yehutachiona hweHIV uye anopa zviratidzo zvehutano hunorwadza, maronda anorwadza, kana zvimwe zviratidzo zverheumatic, kuongororwa kwehutachiona hweHIV kunogona kusimbisa kana kubvisa kunze kwekuongororwa kweHIV.

Saizvozvowo, kune mumwe munhu akaonekwa kuti ane HIV uye ane zviratidzo zvakabatana zvakabatana, basa rinoenderana nehutuku hwemahedheni rinofanira kuonekwa.

Zvirwere zvehutachiona hweHIV zvinobata zvirwere zvinogona kukanganisa mazera ose emakore, dzinza, kana kuti vakadzi, asi kazhinji inobatanidza vanhu pakati pemakore makumi maviri nemakumi mana emakore.

Sei Chirwere Chirwere Chirwere Chinowedzera Kuwanda Muvanhu vane HIV / AIDS?

Kunyange zvazvo zvakajeka kuti zvirwere zverheumatic zvinowanzoonekwa kuvanhu vane HIV / AIDS kupfuura vanhu vazhinji, chikonzero chaicho cheicho hachisi pachena. Kune zvinyorwa zvingaverengeka. Chimwe ndechokuti zvirwere zvemukoko zvine chokuita nehutachiona hweHIV pachahwo.

Imwe pfungwa ndeyokuti rheumatic conditions inogona kukonzerwa nekushandurwa mumuviri wechirwere chemuviri unobatanidza neHIV. Asi imwe pfungwa ndeyekuti zviratidzo zvehutachiona zvinogona kunge zvakabatana pane zvepachirwere chinotarisana chinowanikwa muHIVAIDS. Sezvo kusiyana kweHIV neAIDS, uyewo kunzwisisa kwezvirwere zvakakosha kunopesana, ngatitarirei mibvunzo iyi tisati tadzorera maitiro ekurapa maitiro.

Ndeupi Kusiyana pakati peHIV neAIDS?

Vanhu vazhinji vanongoratidzira kuenzana neHIV neAIDS. Zvisinei, HIV neAIDS zvakasiyana zvakasiyana-siyana zvipatara. Kunyanya, munhu anotanga kubatwa nehutachiona hweHIV, asi zvingatora makore mashomanana kuti ave neAIDS. Uyezve nokuti kurapa kweHIV neAIDS kwave kuchipfuurira mberi, vanhu vazhinji vane HIV vanotora zvirwere zvezuva nezuva vachirapa majekiseni vane mukana wakaisvonaka wekuti vasambopedza kubhadhara kusvika pavanotanga AIDS; vanogona kuramba vachirarama upenyu husina hutano hwakanaka.

Utachiona hweHIV hurwisa masero CD4 (T cells) ayo anobatsira miviri yedu kurwisa utachiona. Apo CD4 cell inowira kuwira kusvika pasi pemasero 200 / cubic millimeter, munhu anoudza AIDS. Zvimwewo, munhu anogona kukura AIDS kana vachikurira utachiwana hunotarisana.

Ndeipi HIV neAIDS inopesana neHIV?

HIV / AIDS ndiyo inowanzobatanidzwa nehutachiona husinganzwisisiki . Chirwere chinotapukira chinokonzerwa nebhakitiriya, mavairasi, fungi kana protozoa inoshandisa zvakakosha iyo mutevedzeri ane simba rekudzivirirwa mumuviri. Rheumatic chirwere haisi chirwere chinotarisirwa, asi, zvirwere izvi zvinogona kutungamirira kune chirwere chinokonzerwa nehutachiona chakataurwa pamusoro apa, uye ndeimwe yenzira dzinokwanisa kubva musangano reHIV uye rheumatic conditions. Zvimwe zvirwere zvinotarisirwa zvinosangana neHIV / AIDS zvinosanganisira:

• Candida
• Cryptococcus
• Cytomegalovirus
• Histoplasmosis
• MAC
• PCP
• Toxoplasmosis
• Tuberculosis

Zvirwere Zvichibatanidzwa neHIV Mishonga

Mukuwedzera kune rheumatic conditions inorondedzerwa pamusoro apa, migumisiro yemishonga yeHIV inogonawo kutungamirira kumapfupa, masangano, uye mhando dzakashata dzakaita se:

• Gout
• Tenosynovitis
• Myopathy (kusuruvara kwemuviri)
• Osteonecrosis
• Osteoporosis

Aya mamiriro acho, nerufaro, asingazivikanwi iye zvino nemishonga itsva yeHIV neAIDS.

Kurapa HIV-Yakabatana Rheumatic Diseases

Kurapa kwezvirwere zverheumatic zvinokonzerwa neHIV zvinosanganisira nzira mbiri: Kurapa zviratidzo zvine chokuita neArthritis, uye kurapa hutachiona hweHIV hunobatanidzwa nezvirwere izvi.

Izvozvo zvakati, kurapwa kwezvirwere zverheumatic kuvanhu vane HIV zvinogona kunge zvakaoma zvikuru.

Immunosuppressive mishonga (zvinodhaka zvinodzvinyirira mafungiro evomuviri) semu Imuran uye methotrexate zvinowanzoshandiswa zvirwere zverheumatic, asi izvi zvinorapa zvinogona kupesana (hazvifaniri kushandiswa) kune vanhu vane hutachiona hweHIV) sehutachiwana hunoguma nekuita kuti zvirwere zvisapinde). Panofungidzira, pane kunetseka kuti kusanganiswa uku kunogona kuwedzera migumisiro yekudzivirira mafungiro, asi hapana ruzivo rwakanyanya pamusoro pekuchengetedzwa kwemuitiro uyu.

HART (Highly Active Anti-Retroviral Therapy) , yakashanda mukurapa matambudziko ehutano anowanikwa neHIV. Munzira iyi, kurapwa kweHIV chete kunogona kuvandudza zviratidzo zvehutachiona hwemamiriro ezvinhu.

Kune vanhu vane rheumatoid arthritis, DMARDS (chirwere chinoshandisa anti-rheumatic drugs) chinowanzoshandiswa, asi kune avo vane HIV neAIDS uye rheumatoid arthritis pane ikozvino hazvikwanisi uchapupu hwokurumbidza mishonga iyi.

Vanhu vane zvirwere zvehutachiona hweHIV vanogonawo kubatsirwa nekurapa nemishonga inorwadza uye zvinorwisa-zvinodhaka zvinoderedza kuderedza zviratidzo zvehutano hwavo.

Zvirwere zveHIV zvakasanganiswa neRumatoid Diseases

Zvinosuruvarisa, avo vanoita rheumatic condition pamwe nehutachiwana hweHIV / AIDS vanowanzova nehurombo hwehuwandu hwevanhu vane HIV / AIDS asi pasina rheumatic condition.

Zvinonyanya kukosha Nezve HIV neRheumatic Diseases

Kune huwandu hunokosha hukuru hunotarisa paunenge uchitaura nezvesangano reHIV uye zvirwere zverheumatic. Izvi zvinosanganisira:

• Chero chirwere cherheumatic chinogona kuitika pasina HIV.
• Kubvira pamapfumbamwe kusvika makumi manomwe kubva kuzana kubva muzana zvevanhu vane utachiona hweHIV vanogona kuwedzera chirwere chinokonzera rheumatic.
• Kuvapo kwechirwere chinokonzera rheumatic kunowedzera kufungidzira kwehutachiona hweHIV.
• Vanhu vane zvirwere zverheumatic mukuwedzera kune HIV vane hurombo hwehupenyu.

Pasi Pepamusoro paHIV uye Rheumatic Diseases

Sezvakataurwa, chirwere chitsva chechirwere chinotyisa chinofanira kukurudzira kuongororwa kweHIV kune vanhu vanogona kunge vari pangozi yehutachiona. Kusiyana neizvi, vanhu vane HIV vanofanira kuchengetedzwa zvakasimba nokuda kwehutachiona hwehutachiona. Kuita kuti izvi zviwedzere kuvhiringidza, chirwere chero chipi zvacho chinogona kuitika pasina hutachiwana hutachiwana hweHIV uye hazvizivikanwe kana chirwere chacho chingave chakaitika choga kana kana chichibatanidzwa nehutachiona.

Tinoziva kuti vanhu vane HIV vane hutachiona hwehutachiwana vane hurombo hwehupenyu uye hurombo hwehurombo. Chikamu cheizvi chinogona kunge chiripo nekuda kwekutya kushandisa majekiseni ekudzivirira zvirwere zverheumatic zvirwere kune vanhu vatove vasina immunosuppressed nekuda kwehutachiona. Basa remishonga iyi pamwe nekuchengeteka hakuzivikanwi zvikuru. Nenzira yakanaka, zvirwere zverheumatic zvinowanzovandudza nekurapwa kweHIV chete.

Kana uine HIV uye chirwere chemukoko, zvakakosha kushanda nehutachiona hwehutachiona uye nyanzvi dzehu rheumatology dzakanyatsogadzirisa kubata zvinhu zviviri pamwe chete, uye ndiani angashanda pamwechete kuti agadzire hurongwa uye kuongorora kufambira mberi kwako.

> Sources:

> Adizie, T., Moots, R., Hodkinson, B., French, N., na A. Adebajo. Inflammatory Arthritis muHIV Zvirwere Zvakanaka: Bhuku Rinobatsira. BMC Inotapukisa Zvirwere . 2016. 16: 100.

> American College of Rheumatology. HIV neRheumatic Disease. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/HIV-Rheumatic-Diseases

> Cunha, B., Mota, L., Pileggi, G., Safe, I., uye M. Lacerda. HIV / AIDS uye Rumatoid Arthritis. Selfimmune Reviews . 2015. 14 (5): 396-400.

> Shah, D., Flanigan, T., uye E. Lally. Kwose Kuongorora kweHIV muRheumatology Practice. Nyaya yeKliniki Rheumatology . 2011. 17 (3): 154-6.