Ingxenye yangaphambili yeso ihlanganisa ikamelo langaphakathi, i-cornea, ne-iris. Ingxenye engaphezu kwesigamu sabantu abangenayo i- HIV kungenzeka ukuthi bahlakulele inkinga yezingxenye zangaphakathi ezisebunzima kusukela kwamehlo omile kuya kwezifo ezibangelwa amagciwane ezingabangela ubumpumputhe.
Ukutheleleka Kwamehlo Okuhlangene ne-HIV
Ukutheleleka okuhlobene negciwane lesandulela-ngculazi cishe okuzovela engxenyeni yangaphakathi kuhlanganisa:
- Iridocyclitis, ukuvuvukala kwe-iris
- I-Keratitis , ukutheleleka kwe-cornea
- I-Microsporidiosis , ukutheleleka okufayo kungathinta i-cornea
Iridocyclitis ukuvuvukala kwe-iris, okungahlanganiswa nezifo eziningana ezithandanayo (OIs), kuhlanganise ne- cytomegalovirus (CMV) , i- herpes simplex virus (HSV) , i- toxoplasmosis , isifo sofuba kanye ne- varicella zoster virus (VZV) . Ubunzima bokuvuvukala buhlobene eduze nobukhulu be-OI futhi kaningi kungaba isibonakaliso sokuqala sesifo esiqhubekayo. Amacala amabi kakhulu ajwayele ukubandakanya iziguli ezinezibalo eziphansi kakhulu ze- CD4 .
Iridocyclitis nayo ingabonakalisa njengomphumela we- syphilis , kanye nezidakamizwa ezifana ne-rifabutin (ejwayele ukusetshenziselwa ukwelashwa kwesifo sofuba) kanye ne-cidofovir (esetshenziselwa ukuphatha amacala aphezulu we-CMV).
U-Iridocyclitis angabonisa ngenye indlela noma kokubili amehlo, ngezimpawu ezingabandakanya amehlo abomvu, ukuqothula ngokweqile, ukuzwela okukhanyayo (photophobia) kanye nabafundi abanomkhawulo.
Iridocyclitis ijwayele ukuthuthukisa nge- antiretroviral therapy ephumelelayo kanye nokuphatha ukutheleleka okuveziwe.
I-Keratitis isifo se-cornea esingabangelwa yi-HSV, i-VSV, i-candidiasis (ukutheleleka kwe-fungal kubonakala njalo kubantu abane-HIV), nezinye izifo ezingenzeka. Ezimweni eziningi, ukuzivikela komzimba kubeka isiguli ku-keratitis, izimpawu ezingabandakanya amehlo abomvu, ukuphuza ngokweqile, ubuhlungu beso, umbono obonakalayo, ukuzwela okukhanyayo (photophobia) nomzwelo we-grittiness iso.
Iphrezentheshini ingaba ngamazwe amabili (okubandakanya kokubili amehlo) futhi ahlangane (afaka iso elilodwa). Izinkinga ezingase zibe khona zingabuka ezilonda zamakhomikhali futhi zilahlekelwe ekulahlekelweni kombono ngisho nasempumputhe.
Njenge-iridocyclitis, ukuqaliswa kwe-antiretroviral therapy kunconywa ukunciphisa ingozi yezinkinga, kanye nokwelapha ukutheleleka okuveziwe (ngokuvamile nge-acyclovir ye-HSV ne-VZV, noma i- antifungal efanelekile kumacala e-candidiasis).
I-Microsporidiosis i-infection fungal opportunism, ejwayelekile lapho kwenzeka inani le-CD4 yesiguli liwela ngaphansi kwamangqamuzana angu-100, mL. Ngenkathi izifo ezithathelwanayo zingavamile ezimweni ze-microsporidiosis, zingabonisa ubuhlungu beso, ukuphuca ngokweqile, umbono obonakalayo nokuzwela kokukhanya (photophobia).
Ngaphandle kokusebenzisa ukwelashwa kwama-antiretroviral , i-microsporidiosis ivame ukuphathwa ngezidakamizwa ze-azole ezifana ne-albendazole ne-itraconazole. Amaconsi antifungal aphezulu abuye asetshenziswe nge-azole therapy.
Imithombo:
UCunningham, E. noMargolis, T. "Ukubonakaliswa kwe-Ocular ye-Eye." I-New England Journal of Medicine. NgoJulayi 23, 1998; 339: 236-244.
I-Parrish, C .; O'Day, D .; kanye noHoyle, T. "I-Fungal Ulne Corneal Ulcer njenge-Ocular Manifestation of AIDS." I-American Journal of Ophthalmology. Ngo-September 15, 1987; 104 (3): 302-303.
Rocha Lima, B. "Ukubonakaliswa kwezifo ezithathelwanayo nge-HIV Infection." I-Digital Journal ye-Ophthalmology. Okthoba 29, 2004; 10 (3): inguqulo ye-intanethi.
I-Sudhakar, i-P .; IKedari, uS .; noBergger, J. "I-Neuro-Ophthalmology ye-HIV / AIDS Ukubuyekezwa kwe-Neurobehavioral HIV Medicine." Imithi ye-HIV ye-Neurobehavioral . Ngo-September 17, 2012; 2012 (4): 99-111.