I-arthritis ne-HIV: Ingabe Kukhona Ukuxhumana?

Izifo Zama-Rheumatic Associated With HIV: Ukwelashwa Nokubikezela

Ingabe kukhona ukuxhumana phakathi kweHIV ne-arthritis? Zivame kangakanani izifo ze-rheumatic kubantu abane-HIV nokuthi yiziphi izinkinga ezikhethekile ezingase zibhekane nazo mayelana nokwelashwa? Ngabe kufanele kube nini abantu abanezinhlungu ezihlangene, izifo, noma izifo ezihlolwe i-HIV / AIDS?

I-HIV ne-Arthritis Izimpawu

I-HIV (i-immunodeficiency virus virus) , igciwane elibangela i-AIDS (etholakale ekuzivikelweni kwe-immune) kungabangela eziningi zezimpawu ezivamile ze-arthritis nezifo ze-rheumatic, futhi lokhu kubambisene kwaqokwa eminyakeni emithathu nje kokutholakala kwegciwane.

Leli gciwane lingabangela:

• Ubuhlungu be-arthritis
• Ubuhlungu obuhlangene
• Ubuhlungu besisu
• Ubuthakathaka bemisipha

Noma kunjalo, ngaphezu kokubangela ubuhlungu obuhlangene nobunzima, i-HIV / AIDS ihlotshaniswa nezimo eziningana ze-rheumatic discrete.

Izifo Ezihlobene Ne-HIV

Izifo ze-rheumatic zivame kakhulu kubantu abanegciwane lesandulela ngculaza, ngokulinganisa okubonisa ukuthi amaphesenti angaba ngu-70 abantu abathintekile igciwane angathuthukisa enye yalezi zimo ngaphambi noma ngemva kokuxilongwa. Izifo ze-Rheumatic ezihambisana ne-HIV zihlanganisa:

• I-arthritis esebenzayo: I-arthritis esebenzayo iyimvelo ye-arthritis eyenzeka njengendlela yokusabela ekutheleleni kwezinye izindawo emzimbeni, futhi kungenzeka ngezinhlobo eziningi zezifo ezibandakanya i-HIV.
• I-arthritis ye-Psoriatic: I-Psoriatic arthritis ingenye yezifo ezibizwa ngokuthi i-spondyloarthropathies.
• Isifo samathambo: I-rheumatoid arthritis ivame kakhulu kubantu abane-HIV.
• I-syndrome eyinkimbinkimbi ebuhlungu: I-syndrome ye-paintic reticular yisimo esizimele kodwa esibuhlungu kakhulu esibandakanya amathambo asymmetric kanye nobuhlungu obuhlangene emaphethelweni aphansi.

• I-Osteomyelitis: I-Osteomyelitis iyisifo sofuba ngokuvamile esibangelwa ama-bacteria, futhi ngokuvamile sidinga ukwelashwa okude isikhathi eside ukuze ususe ukutheleleka.
• I-polymyositis: Nge-constellation edidekile yezimpawu, i-polymyositis iyisifo sofuba esixhumayo esibonakala ukuvuvukala nokuguquka kwemisipha.

• I-Vasculitis: I- Vasculitis yisimo esibandakanya ukuvuvukala kwemithambo yegazi.
• Amagciwane afanelekile: Izifo ezihlangene zingase zivela ekutheleleni kwezinye izindawo emzimbeni wakho ezithintekayo.
• I-Fibromyalgia: I-Fibromyalgia yisimo esibonakala ngama-aches omzimba, ubuhlungu, izinkinga zokulala, ukukhathala okukhulu, ukucindezeleka, ukukhathazeka, amaphuzu amathenda. Ngezinye izikhathi kuthiwa yi-"functional" isimo sezokwelapha njengoba kungekho ukuhlolwa okucacile kokwenza ukuxilongwa.

Ukuthola izifo ze-Rheumatic ezihambisana ne-HIV

Izifo ze-rheumatic zingase zenzeke ngaphambi noma ngemva kokuxilongwa nge-HIV.

Kumuntu ongenakuthola ukuthi unesandulela ngculazi, ukuqala okusha kwesimiso se-rheumatoid kungase kusiphakamise ukuthi kukhona ukutheleleka. Eqinisweni, abanye bacatshangwa ukuthi ukuhlolisisa abantu abanezifo zengculaza kungasindisa impilo ekutholeni ukutheleleka kwegciwane lesandulela ngculaza, ngisho nangaphandle kwezinkinga ezibangelwa i-HIV / AIDS. Ngokusho kwe-American College of Rheumatology, "izifo zesifo se-HIV ezihambisana ne-HIV zingase ziqale ukutholakala nge-HIV." Uma umuntu esengozini enkulu yegciwane lesandulela ngculaza kanye nezipho ezinamajozi abuhlungu, imisipha ebuhlungu, noma ezinye izimpawu ze-rheumatic, ukuhlolwa kwegciwane lesandulela ngculaza kungaqinisekisa noma kukhishwe ukuxilongwa kwe-HIV.

Ngokufanayo, kumuntu oye wathola ukuthi unesandulela-ngculaza futhi unezimpawu ezihlobene ngokuhlanganyela, umsebenzi obhekene nezimo ze-rheumatoid kufanele ucatshangelwe.

Izifo ze-rheumatic ezihambisana ne-HIV zingathinta noma yiliphi iqembu lobudala, ubuhlanga, noma ubulili, kodwa ngokuvamile ngokuvamile kuthinta abantu abaneminyaka engama-20 no-40 ubudala.

Kungani Izifo Zama-Rheumatic Common Common in Abantu abane-HIV / AIDS?

Nakuba kucacile ukuthi izifo zesifo se-rheumatic zivame kakhulu kubantu abane-HIV / AIDS kunabantu abaningi, isizathu esiqondile salokhu akucacile. Kunemibono eminingi engenzeka. Omunye wukuthi izimo ze-rhumatoid zihlobene nokutheleleka nge-HIV ngokwayo.

Omunye umqondo wukuthi izimo ze-rheumatic zingase zenziwe yizinguquko esimisweni somzimba sokuzivikela esihlotshaniswa ne-HIV. Kanti omunye umqondo wukuthi izimpawu zesifo se-rheumatic zingase zihlotshaniswe nezifo ezithandanayo ezivamile kwi-HIVAIDS. Njengoba umehluko phakathi kwegciwane lesandulela ngculazi nengculaza, kanye nokuqonda izifo ezithandanayo kuyaphazamisa, ake sibuke le mibuzo ngaphambi kokuhlola izinketho zokwelashwa ezingenzeka.

Uyini umehluko phakathi kwe-HIV ne-AIDS?

Abantu abaningi balinganisa nge-HIV nge-AIDS. Kodwa-ke, i-HIV ne-AIDS yizinhlangano ezihlukene zemitholampilo. Ngokuyinhloko, umuntu uhlaselwe isandulela ngculaza, kodwa kungathatha iminyaka embalwa ukuthuthukisa i-AIDS. Ngaphezu kwalokho ngoba ukwelashwa kwe-HIV / AIDS kuye kwaqhubeka kakhulu, abantu abaningi abanesandulela ngculazi abasebenzisa ngokunakekelwa ukwelashwa nsuku zonke kwe-antiretroviral banethuba elihle lokuthi bangalokothi baphoqe ngokwezinga lapho bahlakulela khona i-AIDS; bangase baqhubeke bephila impilo enempilo.

Ukuhlaselwa kwegciwane lesandulela ngculaza kuhlasela ama- CD4 cells (T cells) ezisiza imizimba yethu ukulwa nokutheleleka. Uma i- CD4 cell ibalwa iwela ngaphansi kwamangqamuzana angu-200 / cubic millimeter, umuntu udala i-AIDS. Ngaphandle kwalokho, umuntu angathuthukisa i-AIDS uma ehlakulela isifo sofuba.

Kuyini ukutheleleka kwe-HIV / AIDS?

I-HIV / AIDS ivame ukuhlotshaniswa nezifo ezithatha amathuba . Ukutheleleka okunomthelela kubangelwa amabhaktheriya, amagciwane, isikhunta noma i-protozoa ehlukumeza isimiso somzimba sokuzivikela esibuthakathaka. Isifo se-Rheumatic akuyona igciwane lesandulela ngculazi, kodwa lezi zifo zingase ziholele emthonjeni we-arthritis osebenzayo okhulunywe ngenhla, futhi ingenye yezindlela ezikhona ezihlobene nokuhlangana kwe-HIV nezimo ze-rheumatic. Ezinye izifo ezithandanayo ezihlobene neHIV / AIDS zibandakanya:

• Candida
• Cryptococcus
• I-Cytomegalovirus
• Histoplasmosis
• I-MAC
• PCP
• I-Toxoplasmosis
• Isifo sofuba

Izifo ezihambisana nemithi ye-HIV

Ngaphandle kwezimo ze-rheumatic ezichazwe ngenhla, imiphumela emibi yemithi yokwelapha i-HIV ingabuye iholele ekutheni izimo zethambo, ezihlangene, nezithambile ezifana nezi:

• Gout
• Tenosynovitis
• I-Myopathy (ukuvuvukala kwemisipha)
• Osteonecrosis
• I-osteoporosis

Lezi zimo zithi, ngenhlanhla, azivamile kangako manje ngezokwelapha ezintsha ze-HIV / AIDS.

Ukwelapha izifo ezihambisana ne-HIV

Ukwelashwa kwezifo zesifo se-rheumatic ezihlobene ne-HIV kuhilela indlela ephindwe kabili: Ukwelapha izimpawu ezihlobene ne-arthritis, nokuphatha ukutheleleka nge-HIV okuhambisana nalezi zifo.

Lokhu kusho ukuthi ukwelashwa kwezifo zesifo sofuba kubantu abane-HIV kungaba inselele kakhulu.

Imithi ye-immunosuppressive (izidakamizwa ezivimbela ukuphendula nge-immune) njenge-Imuran ne-methotrexate ngokuvamile isetshenziselwa izifo ze-rheumatic, kodwa lezi zonyango zingase zingaphambene (akufanele zisetshenziswe) kubantu abane-HIV) njengoba i-HIV iholela ekutheni i-immunosuppression). Ngokweqikithi, kunokukhathazeka ukuthi le nhlanganisela ingahlanganisa imiphumela yokuzivikela komzimba, kodwa akukho ulwazi oluningi mayelana nokuphepha kwalo mkhuba.

I-HAART (Ukwelashwa Okunamandla Okumelana Ne-Retroviral Highly Active) , iye yaphumelela ekwelapheni izinkinga zesifo se-rheumatic ezihlobene ne-HIV. Kule ndlela, ukwelashwa kwe-HIV kuphela kungathuthukisa izimpawu zesimo se-rhumumid.

Kubantu abane-arthritis ye-rheumatoid, i- DMARDS (isifo sokuguqula izidakamizwa ezilwa ne-rheumatic) ngokuvamile isetshenziselwa, kodwa kulabo abane-HIV / AIDS kanye ne-rheumatoid arthritis okwamanje ayinakho ubufakazi obanele bokuncoma lezi zidakamizwa.

Abantu abanezifo zesifo se-HIV ezihambisana ne-HIV bangase bazuze ekwelapheni ngemithi yobuhlungu kanye nezidakamizwa eziphikisayo zokunciphisa izimpawu zesimo sabo se-rheumatic.

Ukuchazwa kwesandulela-ngculaza kuhlanganiswe nezifo ezibizwa nge-Rheumatoid Diseases

Ngeshwa, labo abahlakulela isimo se-rheumatic ngaphezu kwesandulela ngculazi nengculazi bavame ukuhlaselwa okubi kakhulu kunabantu abanesandulela ngculazi nengculazi kodwa ngaphandle kwesimo sokuzibulala.

Amaphuzu Okubalulekile Ngokuphathelene Negciwane lesandulela ngculaza neRheumatic

Kunamaphuzu amaningana ayisihluthulelo okumele abhale lapho ekhuluma ngokuhlangana kwegciwane lesandulela ngculazi nesifo se-rheumatic. Lokhu kufaka:

• Noma yisiphi isifo se-rheumatic singenzeka ngaphandle kokutheleleka nge-HIV.
• Ukusuka kumaphesenti angu-30 ukuya kuma-70 amaphesenti abantu abanegciwane lesandulela ngculaza bangase bahlakulele isifo esihambisana nesifo sofuba.
• Ukutholakala kwesifo esihambisana nesifo se-rheumatic kugcizelela ukubikezelwa kokutheleleka nge-HIV.
• Abantu abanesifo se-rheumatic ngaphezu kwe-HIV banempilo ephansi kakhulu.

Ngaphansi kwe-HIV ne-Rheumatic Diseases

Njengoba kuphawuliwe, ukuqala okusha kwesifo se-rheumatic kufanele kuhlolwe ukuhlolwa kwe-HIV kubantu abangase babe engozini yokutheleleka. Ngakolunye uhlangothi, abantu abanesandulela ngculaza kufanele babhekwe ngokucophelela ngokutholakala kwezimo ze-rhumatoid. Ukuze wenze lokhu kudideke nakakhulu, noma yisiphi isifo se-rheumatic singase singenzeki ngaphandle kokutheleleka nge-HIV futhi kungase kungaziwa ukuthi ngabe lesi sifo senzeke yedwa noma uma sihlotshaniswa nesifo.

Siyazi ukuthi abantu abanesandulela ngculaza abahlakulela izifo zesifo sofuba banekhwalithi yokuphila empofu kanye nokuhlushwa okubi kakhulu. Ingxenye yalokhu ingase ibe ngenxa yokwesaba ukusebenzisa izidakamizwa ezingenasifo sengculaza ngezifo zesifo se-rheumatic kubantu asebevele bengenakuzivikela ngenxa yegciwane. Indima yalezi zidakamizwa kanye nokuphepha akwaziwa kakhulu. Ngenhlanhla, izifo ze-rheumatic zivame ukuthuthukisa ukwelashwa kwe-HIV kuphela.

Uma unesandulela ngculazi nesimo sohudo, kubalulekile ukusebenza nezifo ezithathelwanayo kanye nochwepheshe be-rheumatology abakhululekile ukuphatha lezi zimo ezimbili ndawonye, ​​futhi ngubani ongasebenza ndawonye ukuze enze uhlelo futhi aqaphe intuthuko yakho.

> Imithombo:

> Adizie, T., Moots, R., Hodkinson, B., isiFulentshi, uN. noAdebajo. I-arthritis evuvukalayo ezigulini ezithintekayo ze-HIV: Umhlahlandlela Owusizo. I-BMC Izifo Ezithathelwanayo . 2016. 16: 100.

> I-American College of Rheumatology. I-HIV ne-Rheumatic Disease. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/HIV-Rumatic-Diseases

> Cunha, B., Mota, L., Pileggi, G., Safe, I., noMnu Lacerda. I-HIV / AIDS ne-Rheumatoid Arthritis. Ukubuyekeza okuzenzakalelayo . 2015. 14 (5): 396-400.

> Shah, D., Flanigan, T., no-E. Lally. Ukuhlola njalo i-HIV ku-Rheumatology Practice. Journal of Rheumatology Clinical . 2011. 17 (3): 154-6.