Qaybta dambe ee ilkuhu waxay ka kooban tahay qolka hore, koontada, iyo iris. In ka badan kala bar dadka qaba HIV-ga waxay u badan tahay inay ku dhacaan dhibaatooyin ka yimaada qaybta dambe ee ka mid ah darnaanta indhaha qalalan ilaa infekshannada fayraska ah ee keeni kara indho la'aan.
Cudurrada indhaha ee HIV-ku-xiran
Xanuunka HIV-ga la xiriirta waxay u badan tahay inuu soo bandhigo qaybta hore ee soo socota:
- Iridocyclitis, oo ah irbadda irid
- Keratitis , cudur infakshanka kudhaca
- Microsporidiosis , infakshanka fungal si aan macquul ahayn u saameeya geeska
Iridocyclitis waa infakshanka Iris, kaas oo la xidhiidha dhowr infekshanka cudurrada fursadaha (OIs), oo ay ku jiraan cytomegalovirus (CMV) , herpes simplex virus (HSV) , toxoplasmosis , tuberculosis, iyo fayraska varicella zoster (VZV) . Xanuunka infakshanku wuxuu si aad ah ula xiriiraa darnaanta OI wuxuuna noqon karaa calaamada ugu horeysa ee cudur-soo-kicin. Xaaladaha ugu khatarsan ayaa u muuqda inay ku lug leeyihiin bukaanada qaba CD4 aad u hooseeya.
Iridocyclitis waxay sidoo kale muujin kartaa natiijada waraabowga , iyo sidoo kale daawooyinka sida rifabutin (si joogto ah loo isticmaalo daaweynta qaaxada) iyo cidofovir (loo isticmaalo daawaynta xaaladaha daran ee CMV).
Iridocyclitis waxay ku imaan kartaa hal ama labada indhood, oo leh astaamo ay ku jiraan indhaha casaanka, jeexjeexin xad dhaaf ah, dareenka iftiinka (sawir-maskaxeed) iyo ardayda la xannibay.
Iridocyclitis waxay u egtahay in ay kor u qaaddo daaweynta antiretroviral ee lagu guuleysto iyada oo la daaweynayo cudurka infekshinka lagu ogaaday.
Keratitirku waa infakshan ku dhaca isha oo laga yaabo inay keento HSV, VSV, candidiasis (infakshan fungal ah oo inta badan lagu arko dadka qaba HIV), iyo infekshannada kale ee suurtagalka ah. Xaalado badan, immunosuppression ayaa saadaalisay bukaanka keratitis, calaamadaha ay ku jiri karaan indhaha guduudan, jeexjeexin xad dhaaf ah, indho xanuun, aragga cilladda leh, dareenka iftiinka (sawir-maskaxeed) iyo dareenka is-qabsiga ee isha.
Soo bandhigu wuxuu noqon karaa mid laba dhinac ah (labadaba indhaha) iyo hal dhinac (hal hal isha). Dhibaatooyinka suurtagalka ah waxay ka iman karaan boogaha nabarada iyo nabarada oo lumay indho beelid iyo xitaa indho la'aan.
Sida iridocyclitis-ka, bilawga daaweynta antiretroviral waxaa lagu talinayaa in la yareeyo khatarta dhibaatooyinka, iyo sidoo kale daaweynta infekshinka la ogaaday (badanaa leh xanuunkana leh HSV iyo VZV, ama antifungal ku haboon xaaladaha kookaska).
Microsporidiosis waa faafin faafin ah, oo guud ahaan dhacda marka tirada bukaanka CD4 ay hoos uga dhacdo 100 unug, mL. Inkasta oo infakshanka faafa uu dhif yahay marxalado microsporidiosis, waxay la imaan karaan indho xanuun, jeexitaan xad dhaaf ah, aragtida cilladda leh iyo dareenka iftiinka.
Marka lagu daro fulinta daaweynta antiretroviral , microsporidiosis waxaa badanaa lagu daaweeyaa daawooyinka yar yar sida albendazole iyo itraconazole. Dhibaatooyinka maaddada daawada maadada ah waxaa sidoo kale loo isticmaalaa daaweynta azole.
Ilaha:
Cunningham, E. iyo Margolis, T. "Muuqaalka Ocular Indhaha." Somali Journal of Medicine. Julaay 23, 1998; 339: 236-244.
Parrish, C .; O'Day, D .; iyo Hoyle, T. "Maqnaanshaha Fungal Corneal Ulcer sida Maqal Ocular Aids AIDS." Somali Journal of Ophthalmology. Sebtembar 15, 1987; 104 (3): 302-303.
Rocha Lima, B. "Muuqaalka Ophthalmic ee Caabuqa HIV." Warbaahinta Dijital ah ee Ophthalmology. Oktoobar 29, 2004; 10 (3): version online.
Sudhakar, P .; Kedar, S .; iyo Berger, J. "Nuuro-Ophthalmology ee HIV / AIDS Dib u Eegista Daawada Xanuunka HIV-ga." Daaweynta Naasnuujiyadda Naasnuujinta . Sebtembar 17, 2012; 2012 (4): 99-111.