Chikamu chinonzi anterior cheziso chinoumba kamuri rekare, the cornea, uye iris. Inopfuura hafu yevanhu vasina HIV inotaridzika inogona kuwedzera kuwirirana kwemukati wepakati unenge wakakomba kubva pameso akaoma kusvika kune zvirwere zvehutachiona zvinogona kukonzera upofu.
Vachibatana neHIV-Vachibatanidza Maziso Eyes
Chirwere chinotarisana neHIV chinowanzoonekwa munzvimbo yekare chinosanganisira:
- Iridocyclitis, kuputika kwe iris
- Keratitis , utachiona hwekonoa
- Microsporidiosis , hutachiona hwehutachiona husingaiti hunoita cornea
Iridocyclitis ndiko kuvhiringidzwa kweiyris, iyo inogona kuwirirana nehuwandu hwehutachiona husina kunaka (OIs), kusanganisira cytomegalovirus (CMV) , herpes simplex virus (HSV) , toxoplasmosis , TB, uye varicella zoster virus (VZV) . Kuoma kwekuputika kunobatanidzwa zvakasimba nekuoma kweOI uye inogona kuva chiratidzo chekutanga chechirwere chinopfuurira. Mhosva dzakaoma zvikuru dzinowanzobatanidza varwere vane maCD4 akawandisa.
Iridocyclitis inogona kuratidzawo semagumisiro echirwere , pamwe nemishonga yakafanana nerfabutin (inowanzoshandiswa muhutachiona hwetachiona) uye cidofovir (inoshandiswa kurapa maitiro akaoma eCMV).
Iridocyclitis inogona kupa mune rimwe kana maziso ose, nezviratidzo zvinogona kusanganisira maziso matsvuku, kuputika zvakanyanya, chiedza chekunzwa (photophobia) uye kudzivirira vadzidzi.
Iridocyclitis inowedzera kuvandudza nekubudirira kweraretroviral therapy pamwe nekurapa hutachiona hunoratidzika.
Keratitis inokonzerwa neCornea inogona kukonzerwa neHSV, VSV, candidiasis (utachiona hwehutachiona hunowanzoonekwa nevanhu vane HIV), nezvimwe zvirwere zvinogona kuitika. Mune zviitiko zvakawanda, kuvhara muviri kunogadzirisa murwere ku keratitis, zviratidzo zvingasanganisira maziso matsvuku, kuputika zvakanyanya, kurwadziwa kweziso, kusvinura kwemaziso, chiedza chekunzwisisa (photophobia) uye kunzwa kwegrittiness muziso.
Mharidzo inogona kunge yakabatana (inosanganisira maziso ose) uye unilateral (inosanganisira ziso rimwe). Zvimwe zvinetso zvinogona kubva kune corneal ulcers uye kushaya kukanganisa kurasikirwa kwemaonero uye kunyange hupofu.
Sezvakaita iridocyclitis, kutanga kwe antiretroviral therapy kunorudzirwa kuti kuderedze njodzi yezvinetso, pamwe nekurapa kwehutachiona hunotaridzika (kazhinji ne acyclovir yeHSV neVZV, kana kuti yakakodzera kufungidzirwa mune dzimwe nyaya dze candidiasis).
Microsporidiosis inorwisa zvirwere zvinokonzera mafungiro, izvo zvinowanzoitika apo murwere weCD4 wemurwere anowira pasi pemasero zana, mL. Kunyange zvazvo zvirwere zvechirwere zvisingawanzoitiki mumakumbo e microsporidiosis, vanogona kupa nekunzwa kweziso, kunyanya kuputika, kuonekwa kwemaonero uye chiedza chekunzwisisa (photophobia).
Mukuwedzera pakushandisa antiretroviral therapy , microsporidiosis inowanzobatwa nezozole zvinodhaka zvakadai se albendazole uye itraconazole. Matinhi anopungal madonhwe dzimwe nguva anoshandiswa nezozole therapy.
Sources:
Cunningham, E. naMargolis, T. "Zviratidzo zveIndaneti Yeziso." New England Journal of Medicine. July 23, 1998; 339: 236-244.
Parrish, C .; O'Day, D .; uye Hoyle, T. "Kuramba kwemaFungal Corneal Ulcer seChiratidzo cheAcular cheAIDS." American Journal of Ophthalmology. Svondo 15, 1987; 104 (3): 302-303.
Rocha Lima, B. "Zviratidzo zveAphthalmic muHIV Infection." Digital Journal yeOphthalmology. Gumiguru 29, 2004; 10 (3): muIndaneti.
Sudhakar, P .; Kedhari, S.; uye Berger, J. "Neuro-Ophthalmology yeHIV / AIDS Review yeNeurobehavioral HIV Medicine." Neurobehavioral HIV Mushonga . Svondo 17, 2012; 2012 (4): 99-111.