Anozivikanwa sey ocular adnexa , chikamu ichi chemaatomy ocular chinodzivirira nekugadzirisa kune ziso pachako uye chinosanganisira maziso, kubvarura mahara uye conjunctiva (machena emeso).
Muvanhu vane HIV , zvirwere zvinowanzoonekwa munzvimbo idzi zvinosanganisira
- Herpes zoster virus (HSV)
- Kaposi sarcoma (KS)
- Molluscum contagiosum (inozivikanwawo se "mvura yehondo")
Kugadziriswa kwezvinhu zvitsva-zvinoratidzwa ne-micro-aneurysms uye kuputika kwemitsipa nemishonga-zvinozivikanwa zvinoitika munenge makumi manomwe kubva ku70 kusvika ku80 muzana yevarwere vane HIV uye inogona kuwirirana zvakananga nehutachiona hweHIV.
Herpes Zoster
Herpes zoster (HSV) inokonzerwa nekugadziriswa kwevaricella zoster virus (VZV), iyo inofamba nemugwagwa mukati meimwe dermatome (kureva, nzvimbo yeganda inoshandiswa nenyota imwe chete). Kana ikashandurwa pane chikamu chechifu cheiyo inonzi chegumi chemitema , inogona kuuya nekutambudzika kwakanyanya uye zviduku, kuputika kwemvura kunogona kubuda uye kuputika. Ikoko hutachiona hwemunharaunda hunozonzi Herpes zoster ophthalmicus (HZO).
HZO inopa inenge 10% yevanhu vane HIV, kunyanya kune avo vane maCD4 pasi apa 200 masero / mL. Kufambira mberi (makore makumi matanhatu kana kupfuura) kunogona kuvawo chinhu chinokonzera mamiriro acho ezvinhu, pamwe nekutambudzika kwepfungwa.
Muchirevo acyclovir ndiyo nzira yakakwana yerapi yeHZO, ine muromo kana kuti intravenous steroid inowanzorongerwa inofanira kunge iine uchapupu hwekushanda kwemashoko (semuenzaniso, mutsara wemagetsi uye ziso pachako). Kunyanya kuongororwa uye kurapwa chinhu chikuru chekudzivirira kukanganisa kwe-cornea, retina, choroid kana optic nerves.
Kune chirongwa cheVZV , chakakurudzirwa kuti chishandiswe kune vanhu vakuru makore makumi mashanu kana kupfuura neAmerican Food and Drug Administration (FDA) muna 2011. Kunyange zvazvo pasina mazano akakurumbira akabudiswa kuti ashandiswe kune vakwegura vane HIV, maonero anokura inowanzosimudzira kushandiswa kwayo muzvirwere zvekuzvidzivirira vane varwere vane utachiona hwekuchengetedzwa kwehutachiwana.
Kaposi Sarcoma
Kaposi sarcoma (KS) haina chinorwadza, tsvuku-ye-purplish tumarara yeganda iyo inowanzobatanidzwa nehosha yakawanda yekuderedza ropa. Inokonzerwa nehupenyu hwemakamera herpes 8 (HHV8), inogona kuisa mukati uye kumativi ose maziso emaviramu makumi maviri ematambudziko, kazhinji nekunzwa kuputika.
Kunyange zvazvo chiitiko cheKS chave chichiderera zvikuru nekusvika kwekubatanidza antiretroviral therapy (kadhi) , ichiri kuchiri kuitika kune avo vane madiki eCD4, kunyanya kana kuperesi kwehutachiona husingatsigiri. Nekutanga kweKART, shrinkage yezvipembenene inowanzoitika mukati mechinguva chiduku, inopera sezvinoita masimba ekudzivirira muviri.
Mharidzo ye-Ocular yemakumbo e-KS haawanzokwanisi, kunyange zvazvo maziso matsvuku, maziso akaoma, photophobia (kusagadzikana kwechiedza) uye maonero akajeka anozivikanwa kuti anowanzoitika semagumisiro emakumbo anenge akapoteredza nzvimbo dzakaoma dzemaziso emawere uye kubvaruka.
Molluscum Contagiosum
Molluscum contagiosum chirwere cheganda chinopararira zvikuru chinokonzerwa ne molluscum contagiosum virus (MSV). Inopararira kubva kumunhu kusvika kune munhu nekushamwaridzana uye kunokonzera kusuruvara, dome-akafanana, maronda anozadzwa mumvura paganda, uyewo mucous membrane. Zvironda zvine danda dema rakaoma uye kazhinji zvinenge zvakafanana nemuviri wemunhu, zvisinei nekuonekwa kwewaxy.
Molluscum contagiosum kakawanda inowanikwa muvana vaduku uye vanhu vane simba rakanyanya rekudzivirira immune. Inogona kuisa pane chero ganda, kusanganisira pedo neziso uye eyelidhi pachayo. Kubatanidzwa kweOcular kunoratidzika kuva kushoma.
Muvanhu vane hutano, zvirwere zvinowanzotadza kuzvidzora, kuzvichenesa pachavo
MSV zvirwere zvinowanzova zvakanyanya muvanhu vanodzivirira zvirwere uye vane HIV. Mishonga inoshandiswa inogadzikana uye inogona kusanganisira miti yepamusoro uye mishonga yepamusoro-w-wart mishonga yekubvisa zvishoma zviduku zviduku, kana kushandiswa kwemvura inonzi nitrogen kana kuti laser therapy kune avo vanoda kukurumidza kubviswa. Hakuna mushonga we MSV.
Sources:
Rocha Lima, B. "Zviratidzo zveAphthalmic muHIV Infection." Digital Journal yeOphthalmology. Gumiguru 29, 2004; 10 (3): muIndaneti.
Sudhakar, P .; Kedhari, S.; uye Berger, J. "Inonzi neuro-ophthalmology yeHIV / AIDS kuongorora kweNeurobehavioral HIV Medicine." Neurobehavioral HIV Mushonga . Svondo 17, 2012; 2012 (4): 99-111.
Dhipatimendi reUnited Health (Health Services) uye Human Services (DHHS). "Mazano ekudzivirira uye kurapwa kwezvirwere zvinotapukira muHIV-Vakabatwa nevakuru nevana vaduku: Kwete-CMV Herpes - Varicella Zoster Virus." Rockville, Maryland.
US Food and Drug Administration (FDA). "FDA inobvumira vachengeti veZostavax kudzivirira shingles mumakore makumi mashanu kusvika kune makumi mashanu emakore." Silver Springs, Maryland; shanduro yakabudiswa musi waMay 24, 2011.
Benson, C .; Hua, L .; Andersen, J .; et al. "ZOSTAVAX inowanzochengeteka uye inofanana nehutachiona hweHIV + vanhu vanodzvinyirirwa pamusana peART: migumisiro yechikamu chechipiri, chinonzi randomized, double-blind, testbo-controlled-trial." 19th Conference pamusoro peRevroviruses uye Mikana Yakasangana (CROI); Seattle, Washington; March 5-8, 2012; abstract 96.
DHHS. "Mazano ekudzivirira uye kurapwa kwezvirwere zvinopesana nevarwere vane HIV nevanotapukirwa nevana vaduku: Kwete-CMV Herpes - Human Herpesvirus 8." Rockville, Maryland.
DHHS. "Mazano ekudzivirira uye kurapwa kwezvirwere zvinopesana nevarwere vane HIV nevanotapukirwa nevana vaduku: Kwete-CMV Herpes - Human Herpesvirus 8." Rockville, Maryland.
Nzvimbo dzeDaase Control and Prevention (CDC). "Clinical Information: Molluscum Contagiosum." Atlanta, Georgia.