Zvichienzaniswa neStage yeHIV uye nzvimbo yeHIV
Zvinetso zveziso zvehutachiona hweHIV zvinowanzoonekwa pakati pevanhu vanogara neHIV, vane pakati pe70 nezana makumi mapfumbamwe nevane makumi mapfumbamwe uye vane humwe hutano hwemaziso munguva yezvirwere zvavo. Kunyange zvazvo zvakawanda zvezvinetso izvi zvinosanganiswa nekupedzisira kwehutachiwana- apo CD4 count yemunhu inodonha pasi pe 250 masero / mL (uye kunyange zvakadaro pasi pe100 masero / mL) -iyo inogona, chaizvoizvo, inowanikwa pachikwata chekutapukirwa.
Pakati pematambudziko anokonzerwa neziso anowanikwa neHIV:
- Pasi pemakumi mashanu masero: herpes zoster (shingles) ; Kaposi sarcoma (KS) , lymphoma , tuberculosis (TB)
- Pasi pemasero makumi maviri: herpes simplex virus (HSV) , pneumocystosis , toxoplasmosis
- Pasi pemasero zana: aspergillosis, cytomegalovirus (CMV) , cryptococcosis , HIV encephalopathy , microsporidiosis, molluscum contagiosum (MC) , mycobacterium avium complex (MAC) , progressive multifocal encephalopathy (PML) , varicella-zoster virus (VZV)
Kunyange zvazvo zvirwere zvemaziso zvinosangana neHIV zvinowanzokonzerwa nezvirwere izvi nezvimwe zvinopindira (OIs) , zvinogonawo kuva mugumisiro wakananga wehutachiona hweHIV pachahwo, kuratidzira nekuchinja-dzimwe nguva zviduku, dzimwe nguva zvakakosha-kumusana uye masimba emadziro ziso iro pacharo.
Kubvira pakuuya kwesangano reraretroviral therapy (ART) , chiitiko chezvizhinji zvezvipembenene izvi zvakaderera zvikuru, kunyange zvazvo zvichiri dzakakwirira munzvimbo dzisingabatsiri kurapwa uye / kana kutarisa zvirwere zvakashata.
Kuziva chinokonzera chirwere chemaziso chinokonzerwa neHIV chinowanzotanga nekugadzirisa kuti utachiona huripi.
Zvirwere zveEydd, Zvokudhonza Mucheka, uye Conjunctiva
Iyo inozivikanwa sey ocular adnexa , chikamu ichi chemaatomy ocular chinodzivirira nekugadzirisa kune ziso pachako, uye chinosanganisira mafiyasi, kubvarura mapundu, uye conjunctiva (chena chemaziso).
Zvirwere zvakanyanya kuonekwa mukati mezvikamu izvi ndeye herpes zoster virus (HSV), Kaposi sarcoma (KS), uye molluscum contagiosum (inozivikanwawo se "mvura yehondo"). Kugadziriswa kwemakumbo emakumbo-kuputika kwemitsipa nemaritiro, micro-aneurisms-inozivikanwawo kuti inoitika munenge makumi manomwe kusvika ku80 muzana yevanhu vane HIV, uye inogona kuwirirana zvakananga nehutachiwana hweHIV
Zvirwere zvey ocne adnexa zvinogona kuuya nemarwadzo anorwadza anowedzera mazamu ophthalmic kune ziso; mvere dzomukati dzakaputika uye dzakapoteredza chikozo; kana kuvhara-semakumbo anokanganisa imwe kana maviri maziso ... Read more
Utachiona Pamberi Pemaziso (Cornea, Iris, uye Lens)
Anterior (mberi) chikamu cheziso rinoshanda zvikuru nekuratidza chiedza uye kugadzirisa chinotarisirwa kuonekwa, uye inosanganisira cornea, iris, lens, uye chipinda chemukati (nzvimbo inozadza mvura iri pakati pe cornea ne iris). Zvimwe zvezvirwere zvinowanzoonekwa zvekare kune varicella-zoster virus (hutachiona hunobatanidzwa nehukupupox uye shingles); microsporidiosis (utachiona hweprotozoan); herpes simplex (utachiona hunobatanidza nemavanga anotonhora uye marital herpes); uye zvimwe zvirwere zvinokanganisa kana kuti mabhakitiriya.
Zvakawanda zvezvipembenene izvi zvinowanzoitika mune imwe nguva-chirwere chetachiona apo hutachiona hwehutachiona hweHIV hunobudirira.
Keratitis, dzimwe nguva inorwadza uye inokonzera kuputika kwekonoa, ndeimwe yezviratidzo zvinowanzoonekwa mune imwe nzvimbo yekunze zvirwere, kana yakakonzerwa ne varicella-zoster virus, herpes simplex, kana fungal zvirwere zvakadai sa Candida kana Aspergillus ... Read more
Zvirwere Kumushure Kwemaziso (Retina uye Optic Nerve)
Ikoko shure (shure) chikamu cheziso chinoshanda nekuchengetedza chimiro cheziso reziso, kubatisisa lens panzvimbo, uye kunokonzera manzwiro emagetsi kuuropi kubva ku photoreceptor masero kumashure kwemaziso. Iro retina, choroid (iyo yakakura yeziso yeziso), uye mutsara we optic unobatanidza chikamu chemazamu ekupedzisira, ane huwandu hwehutano hunosangana neHIV hunowanikwa mukati mezvikamu izvi, izvo zvinowanzotanga chirwere cheHIV.
Kushungurudzika kwemashure ekupedzisira-kunyanya kuratidza nemashanduki ekuchinja kwetina-zvinowanikwa mune makumi ezana nezana kubva muzana kusvika makumi manomwe kubva muzana yevanhu vane HIV, uye dzimwe nguva zvinoguma nekukuvadza kana kukuvadza kwakanyanya kune retina (inonzi retinopathy).
Zvimwe zvirwere zvinotapukirwa neHIV zvepastern segment ndeye cytomegalovirus (chimwe chezvirwere zvinowanzoitika kune vanhu vane HIV); tuberculosis (TB); toxoplasmosis (chirwere chinowanikwa uye chinowanikwa nyore nyore); uye chirptococcosis (imwe inowanzobatwa nehutachiona hwehutachiona hweHIV) ... Verenga zvakawanda
Zvirwere zveSiso Socket
Nepo kune mashoma mashoma anokonzerwa nehutachiona hweHIV (iyo inozivikanwawo sejoko reziso), aspergillosis-chirwere chinokonzera fungal chinowanzoitika kune vanhu vane hutachiona hweHIV-inozivikanwa kuti chinokonzera kuputika kwemaziso echiso chemaziso (cellulitis) kune imwe. Saizvozvowo, lymphomas (masero emasero emuropa) angapinda mukati mezvikamu izvi, zvakare kazhinji apo CD4 yomumwe munhu yakaderera pasi pe100 masero / mL.
Sources:
Rocha Lima, B. "Zviratidzo zveAphthalmic muHIV Infection." Digital Journal yeOphthalmology. Gumiguru 29, 2004; 10 (3): muIndaneti.
Sudhakar, P .; Kedhari, S.; uye Berger, J. "The neuro-ophthalmalogy yekuongorora nezveHIV / AIDS yeNeurobehavioral HIV Medicine." Neurobehavioral HIV Mushonga . Svondo 17, 2012; 2012 (4): 99-111.