Chii chinonzi HIV Rash Chinotarisa?

Ikoko hakuna rimwe rash kana chimwe chinokonzera kukanganisa

Rash yakajairika munguva yehutachiona hweHIV , uye zvinokonzera zvinogona kunge zvakasiyana semashes pachavo.

Vanhu vazhinji vachashandisa izwi rokuti "HIV rinokurumidza" kurondedzera kukanganisika kweganda (ganda) rinoitika sechigumisiro chetachiona chitsva. Uye nechisimba zvingave, zvechokwadi, kuva chiratidzo chekutapukirwa kwepakutanga , vanhu vaviri chete pavashanu vanhu vachava nechiratidzo chakadaro.

Pakupedzisira, hapana kana chirwere chimwe chete kana chikonzero chimwe chekutsvaga mune vanhu vane HIV. Chinhu chakanaka ndechekuti kuputika kunogona kuitika pane imwe nhanho yehutachiona. Kuziva chinokonzera-chingava nehutachiwana hweHIV kana kwete-kunoda kunyatsoongorora uye kuongororwa kwekuonekwa, kugoverwa, nekuenzanisa kwekupararira.

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IHIV Rash

Kuparara kwechimbichimbi kunogona kuitika semugumisiro wehutachiwana hutachiwana hweHIV uye huchazoonekwa mavhiki maviri kusvika matanhatu mushure mekutsvaga semugumisiro wezvatinonzi acute retroviral syndrome (ARS) .

Rushino inorondedzerwa se maculopapular , izwi rokuti macule rinotsanangura gorofa, nzvimbo dzakatsanurwa pamusoro peganda apo papule inotsanangura zviduku, zvakasimudza.

Kunyange zvazvo zvirwere zvakawanda zvinogona kukonzera izvi, ARS chirwere ichichawanzochinja chikamu chepamusoro chemuviri, dzimwe nguva ichienda nemaronda mumuromo kana mazamu. Zviratidzo-zvakaita sefuru zvinowanzonzi.

Kuvhiringidzika kazhinji kunopedza muvhiki imwe chete kusvika kwemaviri. Antiretroviral therapy inofanira kutanga pakarepo kana utachiona hweHIV hunosimbiswa.

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Seborrheic Dermatitis

Seborrheic dermatitis ndechimwe chezvinhu zvinowanzojairika zveganda zvinokonzerwa nehutachiwana hutachiona hweHIV, zvinowanikwa mumapfumbamwe makumi mapfumbamwe evanhu vane zvirwere zvakanyanya. Zvisinei, hazvisi zvisizvo kuti kukwikwidza kwakadaro kuonekwe kune vanhu vane mafungiro ekudzivirirwa kwemasimba ekuzvidzivirira apo CD4 count iri pasi pe500.

Seborrheic dermatitis chirwere chepachivhu chinoputika kazhinji chinokanganisa chikafu, chiso, uye torso. Inowanzoonekwa mune dzimwe nhengo dzeganda, kuratidzira nehupuru hwakatsvuka, ruvara rwechitsvuku, uye zvipembenene zveganda. Mune mamwe maitiro akaoma, zvinogona kukonzera scaly pimples kumeso uye shure kwe nzeve uye pamhino, mashizha, chifuva, kumusoro, kumashure, uye mukati mezeve.

Zvimwe zvinokonzera rash hazvizivikanwi zvachose, kunyange zvazvo kupererwa kwemaviri emusana kunonyanya kukosha. Nyaya dzepamusoro corticosteroids dzinogona kubatsira mumatambudziko akaoma. Vanhu vane HIV vanenge vasati vava kurapwa vanofanira kupiwa nokukurumidza antiretroviral therapy kubatsira kuchengeta kana kudzorera muviri.

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Drug Hypersensitivity Reaction

Rashes inogona kukura semugumisiro wezvinoitika kune mamwe madhiragi, kusanganisira HIV antiretrovirals uye antibiotics. Izvi zvinowanzoonekwa mushure memavhiki maviri mushure mokutanga kurapwa, kunyange zvazvo vachigona kuratidza munguva shoma semamwe mazuva matatu.

Kuparara kwechimbichimbi kunogona kutora mhando dzakawanda asi kunowanzoita morbilliform, zvinoreva kuti imasera-yakafanana pakuonekwa. Inotanga kukura padanda pakutanga ndokuzopararira kumakumbo uye mumitsipa muyero yakasiyana.

Mune zvimwe zviitiko, kukwikwidza kunogonawo kunge kune maculopapular muhurukuro uye yakapararira pink-to-red patches yakafukidzwa nemakumbo maduku akawandisa zvishoma zvidhiji paanopfigirwa.

Zvinodhaka zvinodhaka zvinogona kuendeswa nefivha, kuputika lymph nodes, kana zvinetso zvokufema.

Kugumisa kwekufungidzirwa kwechirwere kunowanzogadzirisa kuputika kwevhiki rimwe chete kusvika kune maviri, kana zvisiri nyore. Nyaya dzinonzi corticosteroids kana muromo antihistamine inogona kurongerwa kuti ibatsire kubvisa tsvina.

Ziagen (abacavir) neViramune (nevirapine) vane mishonga miviri yeHIV inotakura mungozi yakanyanya yezvinodhaka zvehutachiona, kunyange zvazvo chero mishonga inokwanisa kuita saizvozvo.

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Stevens-Johnson Syndrome

Stevens-Johnson syndrome (SJS) inzira inogona kutyisa upenyu hwemishonga inokonzerwa nemishonga inofanirwa nehurukuro "yehasha". Rush is a form of toxic epidermal necrosis iyo iyo yakakwirira yeganda (epidermis) inotanga kuvhara kubva pasi peganda (dermis).

SJS inofungidzirwa kuva chirwere chemuviri wechirwere chemuviri chinokonzerwa kana nehutachiona, mushonga, kana zvose.

SJS inowanzotanga nefivha uye kupora kwehuro kwemavhiki matatu kana matatu mushure mokutanga kurapa. Inokurumidza kuteverwa nemaronda anorwadza pamuromo, maziso, uye anus. Pasi pose, zvipembenene zvisingasviki pamusoro pemasendimita kubva ipapo zvichabva zvatanga kukura pazviso, trunk, mitezo, uye netsoka dzemakumbo. Iro rinowanzopararira, richiratidzwa nemablisters ayo kazhinji anowanzobatanidzwa mune rimwechete rinoputika rinenge richiitika kumativi akashama (kunyanya kumativi ose emiromo).

Mishonga inofanira kumira pakarepo kana zviratidzo zvikaonekwa. Iwe unenge uchitsvaga kutsvaga rubatsiro rwekukurumidzira runogona kusanganisira muromo wemishonga inorwisa mabhakitiriya, mvura inopisa, uye marapirwo ekudzivirira kuora kweziso. SJS inotakura huwandu hwevakafa hwevashanu muzana.

Viramune (nevirapine) uye Ziagen (abacavir) ndiwo madhiyabhakitiriya maviri anowanzobatanidzwa neSJS ngozi, kunyange zvazvo mamwe mishonga yakawanda (kusanganisira srafa antibiotics ) inozivikanwa kuti inotanga SJS mhinduro.

> Kwakabva:

> Altman, A .; Vanness, E ;; uye Westergaard, R. "Zviratidzo Zvisingazivikanwi zveHuman Immunodeficiency Virus: Chipatara Chinovandudzwa." Curr Infect Dis Rep. 2015; 17 (3): 464. DOI: 10.1007 / s11908-015-0464-y.