Chirwere chefungal chinogona kuenderera kune chirwere chinorondedzera AIDS
Candidiasis chirwere chinokonzerwa nefungal chinokonzerwa nematambudziko eC Candida , rudzi rwembiriso. Kazhinji inonzi kutapisa, utachiona hunoonekwa nehupamhi, muchena mutsvuku parurimi, pamwe chete nedzimwe nhengo dzomuromo nehuro. Muromo unorwadza uye kuoma mukugedza kunogonawo kuenda.
Apo candidiasis inowanikwa mumudzimai, inowanzonzi sehutachiona hwehupusi uye inoratidzika sehombe, cottage cheese-sekubuda kunobva mumudzimai.
Vaginal inopisa, kuchenesa, uye kusuruvara zvinowanzozivikanwa panguva dzekubuda.
Kunyange zvazvo zvisingawanzoonekwi, Candida zvirwere zvinogona kuitikawo pane ganda, pasi peminwe yezvigunwe, pane rectum, anus kana peni, kana mukati memukosi kana pharynx .
Candida chikamu chinogona kubviswa kubva parurimi, masvingo emuromo, kana masvingo emadzimai, achiratidza donda, tsvuku, rakasvibiswa pasi. Iyo ibwe rinenge risina kunaka.
Candidiasis haisi isiri yemamiriro ezvinhu uye inowanzoratidza apo munhu anenge achiita zvirwere zvemuviri. Muchiri weC Candida uripo kune vanhu vakawanda, mukati memafuta chaiwo emuromo uye gumbo rekudya, pamwe chete neganda. Ndizvo chete apo kuchinja kune maitiro aya kunoitika kuti Candida anogona kukura zvakanaka, kazhinji kuratidzira nehutachiona hwepamusoro.
Zvisinei, apo zvirwere zvekudzivirirwa kwezvirwere zvinopesana zvakanyanya, sezvinogona kuitika neHIV isati yashandurwa, Candida inogona kuva yakawanda uye inopararira mumuviri wose, zvichikonzera chirwere chakakomba uye zvichida kufa.
Candidiasis mune HIV Infection
Nokuti hutachiwana hutachiona hweHIV hunoita kuti munhu apinde mumuviri wake, candidiasis inowanzozivikanwa kune vanhu vanorarama nehutachiona. Kunyange zvazvo iyo inogona kupa zvakanyanya kunyange kune avo vane antiretroviral therapy (ART) , inonyanya kutaurwa kune vanhu vane maitiro ekudzivirira zvirwere zvakanyanya uye vanowanzoshanda sechiratidzo chekuyeuchidza kwekuwedzera kwezvirwere zvakakomba zveHIV .
Kana hutachiona hweHIV husiyiwa husingarambi uye huwandu hwemunhu weCD4 hunoputika pasi pe200 cells / mL (imwe yezvinyorwa zvepamutemo zveAIDS ), dambudziko rekupinda candidiasis risina kuwedzera. Somugumisiro, candidiasis yehuputi, bronchi, trachea kana mapapu (asi kwete muromo) nhasi inotsanangurwa mamiriro ekujekesa AIDS .
Mungozi ye candidiasis haisi kungoenderana nehutachiona hwemunhu asi nehutachiona hwehutachiona sezvinoenzaniswa nehutachiona hweHIV . Nokudaro, kunyange mumunhu ane hutachiona hweHIV hwakanyanya, kushandiswa kweART kunogona kupa zvikwereti nenzira yekudzivisa zvirwere-uye kwete chete kweChrisida zvirwere asi zvimwe zvirwere zvinotyisa, pamwe chete.
Aina dzeCandidiasis
Candidiasis inogona kupa chero nzira dzakasiyana-siyana: pane mucosal tissue, paganda, kana kusingagumi mumuviri wose. Zvinowanzosanganiswa sezvizvi:
Mucosal candidiasis
- Oral candidiasis (oral thrush, oropharyngeal candidiasis)
- Candidal vulvovaginitis (vaginal mbiriso chirwere)
- Esophageal candidiasis (candidiasis yeeophagus)
- Candidal balanitis (candidiasis yepenis, inenge inenge iine varume vasina kudzingiswa chete)
Mucheka (ganda) candidiasis
Invasive candidiasis
- Systemic candidiasis, inosanganisira nhengo imwe chete
- Yakaparadzirwa candidiasis, inosanganisira nhengo dzakawanda
Kuongororwa kwehutachiona hweC Candida kunowanzoitwa nekuongorora kukuru-duku uye / kana kugadzira mbiriso.
Kuchivirira uye Kudzivirira kweCandidiasis
Chinokosha kupfuura chekutanga chekutora kana kudzivirira candidiasis kune vanhu vanorarama neHIV ndezvekuvandudza muviri wemunhu nekutanga ART . Kurapa chirwere che Candida ndoga hachiiti zvishoma kuti kudzivirira kupora kunofanirwa kuti mhinduro dzomuviri dzisingabvumirwe zvakakwana.
Ivhareta ya Candida pachayo inowanzobatwa nemishonga inogadziriswa yakadai se fluconazole, topical clotrimazole, topical nystatin, uye ketoconazole yetiyopiyo.
Oral candidiasis kazhinji inopindura zvakanaka kumarapirwo epamusoro, kunyange zvazvo mishonga yemuromo inogona kunyorwa zvakare. Kubhakwa kwepopuiti kunogona kurapwa mumuromo kana mukati, zvichienderana nekuoma, kazhinji nekushandiswa kweAmphotericin B mune zviitiko zvakanyanya.
Kirasi itsva yeantifungal inonzi echinocandins iri kushandiswawo mukurapwa kwecandidiasis yakakwirira. Kazhinji, echinocandins inopa hutachiona hwakaderera uye zvishomanana kudyidzana kwezvinodhaka-zvinodhaka, kunyange zvazvo zvinowanzotarisirwa kune varwere vasingateereri kune mamwe maitiro antifungal. Zvose zvitatu (anidulafungin, caspofungin, micafungin) zvinotarisirwa mukati.
Shanduro yakagadziriswa uye inoparidzirwa candidiasis inobata mapfupa, hutachiona hwehutachiona, maziso, itsvo, chiropa, musimba, kana chirwere chinowanzobatwa zvakanyanya, nekutaura uye / kana kutengesa kushandiswa kwemishonga inogadziriswa. Amphoterin B imwe nzira inogona kuitika.
Kunobva:
> National Institutes of Health (NIH). "Mirayiridzo Yekudzivirira uye Kurapwa Kwezvirwere Zvichida muHIV-Vakabatwa Vakuru Nevana Vari Kuyaruka." AIDSInfo; Bethesda, Maryland; yakasvika musi waJune 21, 2015.
> NIH. " Candidiasis yakabatana neHIV ." AIDSInfo; yakabudiswa musi waApril 1, 1995; yakarongwa musi waMay 24, 2016.