Munhu ane hutachiona hwehutachiona hweHIV (utachiona hweHIV) utachiona hunopinza uye hunoparadza mamwe marudzi emasero machena ( CD4 + T-cells ) kuvanhu. Kurasikirwa kwemasero matsvuku eropa kunotungamirira pakuvandudza zvirwere zvakasiyana-siyana, kenza, nezvimwe zvinetso zvemuviri. Nhasi, kune vanhu vanopfuura mamiriyoni makumi matatu munyika yose vanorarama nehutachiona hweHIV, vane vanopfuura 1 mamiriyoni ava vanogara muUnited States.
Apo HIV yakatanga kuzivikanwa pakutanga-kusvika pakati pe1980, utachiona hwacho hwakakurumidza huchienda kune yakawana immunodeficiency syndrome (AIDS) kune vanhu vakawanda vakapararira. Mumakore ekuma1990, kuisa mishonga yakasiyana-siyana yemishonga yekurapa yakanga yakaderera zvakanyanya kana kuti yakadzivirira kufambira mberi kwehutachiona hweAIDS. Vanhu vane HIV vari kurarama kwenguva yakareba uye varikudziridza dzimwe zvirwere zvisingaperi zvinowanikwa kune vanhu vasina HIV vane utachiona, zvakadai sezvirwere zvakasiyana-siyana zvehutachiona .
Vanhu vane HIV Vanowana Mamwe Mishonga Here?
Vanhu vane hutachiona hweHIV vanozivikanwa kuti vane huwandu hwakakosha hwehutachiona hwehutachiona (IgE) , kunyanya sezvo maCD4 + T-cell levels achiderera. Aya mazinga akareba eEG haafaniri kunge ari kuratidza kuderedza kuora kwemakemikari , zvisinei, asi zvinogona kunge chiratidzo chekuwedzera hutachiona hwehutachiona hunokonzerwa neB-cell dysfunction. Zvirwere zvinonzi IgE zvinotungamirirwa nezvirwere zvakasiyana-siyana (kusanganisira HIV), panzvimbo pokurwisa zvirwere.
Vanhu vane utachiwana hweHIV vanowanzowana huwandu hwakawanda hwemamiriro ezvinhu, asi, kusanganisira allergenic rhinitis (hay fever) , zvipembenene zvezvinodhaka uye mweya .
Izvi zvinogona kunge zvakakonzerwa nokuvhiringidzika kwehutachiona hwemasimba ehurumende, izvo zvinogona kutungamirira pakurasikirwa kwemazuva ose ekugadzirisa zvirongwa zvekudzivirira zvirwere, uye zviratidzo zvehutachiona hwehutachiona.
Hay Fever muvanhu vane HIV
Vanhu vane HIV vane zvirwere zvakakwirira zvezviratidzo zvemumvura, uye zvidzidzo zvinoratidza 66% kunyunyuta kwemazamu uye zvirwere zvinopfuura chikamu chimwe chete muzvitatu zvevarwere veHIV vane zviratidzo zve sinusitis .
Zvidzidzo zvakasiyana-siyana zvinoratidzawo kuti vanhu vane utachiwana hweHIV vane zvikwereti zvakakwirira zvemigumisiro yakaisvonaka pamusoro pekunwa kwepachivi kuongororwa , zvichienzaniswa nevanhu vasina HIV.
Chirapa g inoric rhinitis kune vanhu vane utachiona hweHIV yakafanana nevanhu vasina HIV. Kana kusagadzikana kwemajeri kusakwanisika, kurapwa nemuromo antihistamines , nasal steroid sprays , nemimwe mishonga yemishonga inogona kushandiswa zvakanaka. Allergen immunotherapy , kana kuti kurwisana kwemazuva ose , zvinokakavadzana kune vanhu vane utachiona hweHIV kubvira panguva yakareba yemigumisiro yekusimudzira masimba ezvirwere kuburikidza ne immunotherapy hazvizivikanwi nevanhu vane HIV.
Zvinodhaka Kurwisa Vanhu Vane HIV
Vanhu vane HIV vane hutachiwana hwepamusoro yehutachiona hwehutachiona hwehutano, zvichida semugumisiro wekuvhiringidza hutachiona hwemasimba ehurumende. Izvi zvinonyanya kuitika kune trimethoprim-sulfamethoxazole (TMP-SMX), iyo inonzi sulfa-ine antibiotic . Kukanganisa kwakashata kune TMP-SMX kunoitika kune vanopfuura hafu yevanhu vanotapukirwa neHIV (vachienzaniswa nevashoma kusvika 10% yevasina kutapukirwa neHIV). Nenzira yakanaka, kuora mwoyo kweTMP-SMX kurwisa kunowanzobudirira, iyo inowanzotarisirwa kudzivirira nekubata maitiro anowanzoonekwa zvirwere kune vanhu vane HIV.
Chimwe chinowanzoonekwa chinodhaka chinokonzerwa nehutachiona hweHIV chinonzi abacavir.
Abacavir inonzi nucleoside reverse transcriptase inhibitor iyo inogona kukonzera upenyu hunotyisa hypersensitivity kugadzirisa mu 5-8% yevanhu vanotapukirwa neHIV. Ikoko kune maitiro ekufananidzira kune abacavir hypersensitivity iyo inofanira kuongororwa nekushandiswa kwekuongorora ropa musati munhu aine abacavir. Kana munhu asina geni rinosanganiswa nemhinduro, saka abacavir inogona kutorwa zvakanaka.
Chirwere muvanhu vane HIV
Kurapwa kwehutachiwana hweHIV nemishonga inorwisa maitiro kwakakonzera kuwedzera kwematambudziko emapapu anoonekwa kune ava varwere. Varume vane hutachiona hweHIV vakaratidzirwa mune zvidzidzo kuti vave nezviyero zvakakwirira zvemhepo zvichienzaniswa nevarume vasina utachiona hweHIV, kunyanya kune avo vanosvuta michina yefodya.
Vana vanotapukirwa neHIV vachiwana mishonga inorapwa nemishonga inoratidzawo kuwedzerwa kwehutachiwana hwechirwere vachienzaniswa nevana vanotapukirwa neHIV vasingatori mishonga yemishonga.
Izvi zvidzidzo zvinoratidza kuti vanhu vane hutachiona hweHIV vanonyanya kunetseka nemigumisiro inosuruvarisa yeutsi hwefodya, uye kushandiswa kwemishonga yemishonga yemishonga yekurapa HIV inodzivirira pakurasikirwa kwezvirwere zvemuviri, izvo zvinogona kuwedzera mungozi wehutachiona hwehutachiona, hwakadai sa asthma. Kurapa kwechirwere muvanhu vane utachiona hweHIV kwakafanana neyevanhu vane utachiona hweHIV, kunyange zvazvo muromo corticosteroids unofanirwa kudzivirirwa pose pazvinobvira, nekuda kwekuderedza kwavo simba kumusimba wesimba.
Kunobva:
Stokes SC, Tankersley MS. VHIV: Kubatsira Kunobatsira Kuita Allergist-Immunologist. Ann Allergy Chirwere Immunol. 2011; 107: 1-8.