Waxaa soocaya heerarka HIV iyo meesha lagu hayo cudurka
Xanuunada la xiriirta HIV-ga waxay caadi ahaan ka dhexaysaa dadka qaba HIV, iyada oo inta u dhaxeysa 70 boqolkiiba iyo 80 ay la kulmaan nooc ka mid ah dhibaatooyinka indhaha inta lagu jiro muddada cudurka. In kasta oo cuduradaas badani ay la xiriiraan marxaladda dambe ee infekshanka - marka qofka lakala qaado CD4 uu ka hooseeyo 250 unug / mL (iyo weliba in ka badan 100 ka hooseeya unugyada / mL) - dhab ahaantii, waxay ku dhici karaan heerka infekshanka.
Dhibaatooyinka indhaha ee la xiriirta HIV-ga:
- Hoosta hoose ee unugyada: herpes zoster (shingles) ; Kaposi sarcoma (KS) , lymphoma , qaaxada (tiibayda)
- Hoosada 200 unugyada: herpes simplex virus (HSV) , pneumocystosis , toxoplasmosis
- Hoos waxaa ku jira 100 unug: aspergillosis, cytomegalovirus (CMV) , cryptococcosis , HIV encephalopathy , microsporidiosis, molluscum contagiosum (MC) , mycobacterium avium complex (MAC) , infakshan encephalopathy (PML) , fayruska varicella-zoster (VZV)
In kasta oo cudurada isha ee la xiriira HIV ay badanaa keenaan kuwan iyo infakshannada kale ee caabuqa ah (OIs) , waxay sidoo kale noqon karaan natiijo toos ah oo infekshanka HIV, loona muujiyo isbeddelo mararka qaarkood-yar, marmarka qaarkoodna nuxur ahaan u ah qaabdhiska dareeraha iyo xididada isha isha.
Tan iyo markii ay soo ifbaxday daaweynta antiretroviral ee isku-dhafan (ART) , dhacdooyinka infekshannada badan ayaa si aad ah hoos ugu dhacay, inkastoo ay ku sii badan yihiin gobollada helitaanka daweyntu ay weli ku yar tahay iyo / ama kantaroolka cudurku yahay mid liita.
Aqoonsiga sababta keenta cudurka isha ee isha ku haya HIV wuxuu caadi ahaan billaabaa goorta meesha lagu ogaanayo cudurka.
Cudurada indhaha, jeexjeexyada, iyo shubanka
Waxaa loo yaqaan ' adnexa' , qaybtan qaybta dabiiciga ah ee dabiiciga ah waxay bixisaa difaac iyo agabka isha ee isha, waxaana ka mid ah indhaha, jeexjeexyada, iyo konjunctiva (caddaan indhaha).
Cudurada ugu caamsan ee laga helo meelahaas waa fayraska herpes zoster (HSV), Kaposi sarcoma (KS), iyo molluscum contagiosum (oo sidoo kale loo yaqaan "boogaha biyaha"). Isbeddelka Microvascular-kicinta xididada iyo halbowlayaasha, micro-aneurisms-ayaa sidoo kale loo yaqaanaa inay dhacaan qiyaastii 70 illaa 80 boqolkiiba dadka qaba HIV, waxaana laga yaabaa inay si toos ah ula xiriiraan infekshanka HIV laf ahaantiisa
Infekshanka adnexa waxaa laga yaabaa inuu soo bandhigo shingles xanuun leh oo ku socda indhaha oo indhuhu ku dhaco isha; burooyinka madow ee ku wareegsan iyo hareeraha indhaha; ama kuuskuuska oo ku waxyeeleeya mid ama labadaba indhaha ... Arag in dheeraad ah
Infekshanada kudhaca wajiga Eye (Cornea, Iris, iyo Lens)
Qaybta hore ee ilkuhu waxay u shaqaysaa ugu horrayn iyadoo la adeegsanayo iftiiminta iftiinka iyo hagaajinta diirada loo baahan yahay ee aragtida, waxaana ka mid ah gunta, iris, muraayada iyo qolka hore (meesha dheecaanka laga buuxiyo ee u dhexeeya jeexa iyo iris). Qaar ka mid ah infekshannada caadiga ah ee qaybta hore waa fayruska varicella-zoster (fayraska la xiriira busbuska iyo shingles); microsporidiosis (caabuq protozoan); Herpes simplex (fayruska la xiriira nabarrada qabowga iyo herpes xubinta taranka); iyo infakshannada kale ee fungal ama bakteeriyada.
Badanaa infekshankan ayaa u muuqda inay dhacaan marxaladda dambe marka qofka jirkiisa difaaciisu uu si wax ku ool ah u waxyeelleeyo.
Keratitis, mararka qaarkood xanuun badan oo cuncun leh oo ka yimaada isha, waa mid ka mid ah calaamadaha soo noqnoqda ee infekshanka qaybta hore, haddii uu keeno fayraska varicella-zoster, herpes simplex, ama fungal infection sida Candida ama Aspergillus .
Cudurrada xagga dambe ee Eye (Retina iyo Optic Nerve)
Qeybta dambe ee indhaha ee isha ku shaqeynaya iyada oo la ilaalinayo qaabka indhaha ah, qabashada muraayadda meel ku taal, iyo dhalinta dareemaha dareenka maskaxda ee unugyada fotoreceptor ee ku yaal indhaha indhaha. Raajada, choroid (lakabka lafaha ee isha), iyo indhaha indhaha oo ka kooban qaybta hore ee qaybta hoose, oo leh dhowr cudur oo HIV-la xiriira oo soo bandhiga gudaha buqarrooyinkan xajmiga, badanaa marxaladda dambe ee cudurka HIV.
Dhibaatooyinka qaybta dambe ee -fadlinka ah ee isbeddelada ku yimaada isbedelka ku yimaada isha-shucaaca - ayaa lagu arkaa boqolkiiba 50 ilaa 70 boqolkiiba dadka qaba HIV, waxaana laga yaabaa inay keenaan dhaawac joogta ah ama dhaawac culus oo loo yaqaan 'retinopathy'.
Caabuqyada kale ee la xiriira HIV ee calaacalaha ah waa cytomegalovirus (mid ka mid ah cudurrada ugu badan ee caabuqa ee dadka qaba HIV); qaaxada (tiibayda); toxoplasmosis (cudur faafa oo si fudud u faafa); iyo cryptococcosis (cudur kale oo faafa HIV-ga la xiriira) ... Read more
Infekshanka EJubada Eye
Inkasta oo ay jiraan infekshinada HIV-ga ee isha qaybta isha ee isha (sidoo kale loo yaqaano 'eye-opted'), aspergillosis-faafin fungal ah oo caadi ahaan ku dhacda dadka qabta cudurka Hore ee Hiv-waxaa loo yaqaanaa inay keenaan caabuqa unugyada isha ee isha (cellulitis) qaar ka mid ah. Sidoo kale, lymphomas (unugyada dhiigga unugyada) ayaa laga yaabaa inay soo bandhigaan qaybtaas, marar badanaa marka ay CD4 shaqsi ka hooseyso 100 unug / mL.
Ilaha:
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-ophthalmalogy ee dib-u-eegista HIV / AIDS ee Daawada Xanuunka HIV-ga." Daaweynta Naasnuujiyadda Naasnuujinta . Sebtembar 17, 2012; 2012 (4): 99-111.