Zvipembenene zvemumuromo zvinogona kuve zviratidzo zveHIV Zvirwere
Hairy leukoplakia (inozivikanwawo semuromo wemaperembudzi leukoplakia, kana OHL) inowanzoonekwa chironda chemuviri mumunhu anozvidzivirira pamuviri, iyo inoratidza mavara machena kurutivi rworurimi uye chimiro che "chiuno". Icho chimwe chezvirwere zvakasiyana-siyana zvemukanwa zvinogona kugara zvichibata vanhu vane HIV, kazhinji apo CD4 count yemunhu inoderera pasi pemasero 200 / mL.
OHL inokonzerwa ne Epstein Barr virus (EBV), utachiona hwemhuri ye herpes inobata anenge 95% yehuwandu hwevanhu, kunyange zvazvo vazhinji vachakudzivirira hutachiona hunogadzirisa hunoita kuti utachiona urege kuratidza pachena. Zvisinei, kune vanhu vane HIV, hutachiona hunopedzisira hune hutachiona hunoita kuti OHL mukana wekubudirira. Sezvo zvakadaro, inofungidzirwa kuti ine HIV inobatanidza hutachiwana hwehutachiwana (OI) .
OHL zvipembenene zvine bhendi uye hazvikonzeri zvimwe zviratidzo. Pane kudaro, mamiriro acho ezvinhu anoratidza kuti munhu akadzivirirwa nekudzivirirwa nekudzivirirwa kwekudzivirira immune uye kuwedzerwa kunowedzera kune dzimwe, zvakanyanya zvikuru OIs. Kazhinji, OHL inowanzoonekwa mumarume kupfuura vakadzi, uye inowanzoonekwa muvana.
Isati yasvika pakasvika antiretroviral therapy (ART) , OHL yakanyatsotaura nezvekufambira mberi kune chirwere chekupedzisira, apo 47% yakafambira mberi kubva kune HIV kusvika kuAIDS mukati memakore maviri.
Nhasi, nekutangira kweAIDS, chiitiko cheOHL chaderera zvakanyanya, kusiyana nemamwe zvirwere zveAIDS zvinosangana neHIV izvo zvakasimba uye zviripo kumazinga akakwirira eCD4.
Panguva iyi, kutsvakurudza kwakapfuura kwakaratidza zvakare kuti kusvuta , pamwe chete nechepasi yeCD4 count, kunowedzera inenge inowedzera kaviri panjodzi yeOHL.
Kuongororwa, Kurapa nekudzivirira kweOHL
OHL zvipembenene zvakasiyana muhukuru. Iyo inogona kupa pane imwechete kana kuti mapande maviri omutauro kana mukati mukati dama. Hazvisi zvinorwadza kunze kwekunge kune chechipiri, utachiona hwehutachiona.
Pane dzimwe nguva, zvipembenene zvinogona kuonekwa zvakadzika, zvichiita kuti zvive zvakaoma kusiyanisa kubva kune dzimwe, zvirwere zvakafanana. Zvisinei, kusiyana nemashoko epandiroasis omuromo (thrush) , OHL haikwanise kutorwa kubva mururimi. Izvi, pamwe chete nemazita echechi anooneka, ndiwo maitiro anonyanya kuratidza OHL kune vanhu vane HIV.
Nepo kliniki yekuongorora inowanzokwanira kutsigira chirwere ichi, zvimwe zvidzidzo zvinoratidza kuti kusvika ku17% yezviongororwa zvekuona hazvina kunaka. Kana zvichidiwa, tsanangudzo yekujekesa inogona kugadzirwa nekuongorora kwechidiki chebhiopsy uye dzimwe nzira dzekuongorora kuti uone EBV utachiona.
Nemhaka yokuti OHL lesion ine bhendi, hapana kurapwa kunowanzodiwa. Zvisinei, kune vamwe-kunyanya avo vane CD4 inoderera-nhamba-yakanyanya-dose Zovirax (acyclovir) inogona kubatsira kugadzirisa mamiriro acho. Kunyangwe zvakadaro, OHL kudzokorora yakakwirira apo once acyclovir therapy inomira kunze kwekunge muviri wemiviri isati yadzorerwa.
OHL inogonawo kudzoka apo kusapindira kwemishonga yeHIV ichiri kuwedzera uye mishonga yevarwere yeAraretroviral inenge isina simba mukudzivirira HIV.
Kudzivirirwa kweOHL kunonyanya kutendeseka pakuongorora uye kutanga kurapwa kweHIV, nemitemo yeUnited States ikozvino inorayira kutanga kweART paCD4 chiyero pakati pe 350 ne500 masero / mL, uye kunyange pamadhadhi eCD4 anopfuura 500 masero / mL.
Kusvuta kusvuta kunonyatsokurudzirwa kuti kudzivirira kuonekwa kweOHL, uyewo dzimwe dzakawanda dzine hutachiwana hweHIV hune hutachiona hweHIV.
Sources:
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