Ihlukaniswe yiSiteleka se-HIV kanye nendawo yokutheleleka
Ukukhathazeka kwamehlo okuhlotshaniswa negciwane lesandulela ngculazi kuvamile kubantu abaphila negciwane lesandulela ngculazi, phakathi kwamaphesenti angu-70 no-80 abanenkinga ethile yeso ngesikhathi besifo sabo. Nakuba eziningi zalezi zifo zihlotshaniswa nesifo sengculaza-lapho umuntu we- CD4 count ewela ngaphansi kwama-250 cells / mL (futhi ngisho nangaphansi kwamangqamuzana angama-100 / mL) -ngempela, angenzeka esiteji sokutheleleka.
Phakathi kwezifo ezihlobene ne-eye ezihlobene ne-HIV:
- Ngaphansi kwamangqamuzana angu-500: i- herpes zoster (ama-shingles) ; I-Kaposi sarcoma (KS) , i- lymphoma , isifo sofuba (i-TB)
- Ngaphansi kwamangqamuzana angu-200: i- herpes simplex virus (HSV) , i- pneumocystosis , i- toxoplasmosis
- Ngaphansi kwamangqamuzana angu-100: i-aspergillosis, i- cytomegalovirus (CMV) , i- cryptococcosis , i- HIV encephalopathy , microsporidiosis, i- molluscum contagiosum (MC) , i- mycobacterium avium complex (MAC) , i- encephalopathy (PML) , i- varicella-zoster virus (VZV)
Nakuba izifo zamehlo ezihlotshaniswa ne-HIV zivame ukubangelwa yizifo nezinye izifo ezithandanayo (OIs) , zingase zibe nomphumela oqondile wokutheleleka nge-HIV ngokwayo, zibonakalise ngezinguquko-ngezinye izikhathi zibe ziyingcosana, ngezinye izikhathi zijulile-isakhiwo sezinzwa nesisombululo iso ngokwalo.
Kusukela kutholakala ukwelashwa kwama-antiretroviral (i-ART) , izifo eziningi zalezi zifo ziyeke kakhulu, nakuba zihlala ezikhungweni eziphezulu lapho ukutholakala kokwelashwa kuhlala khona okuncane futhi / noma ukulawulwa kwezifo kuyimpofu.
Ukubona imbangela yenkinga ye-HIV ehlotshaniswa ne-HIV ngokuvamile iqala ngokunquma ukuthi ukutheleleka kuvela kuphi.
Izifo ze-Eyelide, Izinyembezi Zokugcoba, ne-Conjunctiva
Eyaziwa ngokuthi i- adnexa ye-ocular , lesi sigaba se-anatomy se-ocular sihlinzeka ukuvikelwa nokugcoba iso, futhi kufaka ijwabu leso, izinyembezi zokuqabula, kanye ne-conjunctiva (umhlophe wamehlo).
Izifo ezivame kakhulu ukwethula kulezi zindawo yi-herpes zoster virus (HSV), Kaposi sarcoma (KS), kanye ne-molluscum contagiosum (eyaziwa nangokuthi "ama-water warts"). Izinguquko ezincane ezincane-ukuxoshwa kwemithanjeni nemithambo yegazi, ama-micro-aneurisms-aziwa ukuthi zenzeka ngamaphesenti angaba ngu-70 kuya kwangu-80 abantu abane-HIV, futhi angase ahlobene ngqo nokutheleleka nge-HIV ngokwayo
Izifo ze-ocne adnexa zingase zibe ne-shingles ebuhlungu ehamba nge-nerf ophthalmic esweni; izicubu ezimnyama eziphambukayo futhi zizungeza ijwabu leso; noma ama-bumps-like-bumps afinyelela eyodwa noma kokubili amajwabu amehlo ... Funda kabanzi
Izifo Ngaphambi Kwamehlo (i-Cornea, Iris, ne-Lens)
Ingxenye yangaphambili (yangaphambili) yamehlo ngokuyinhloko ngokuphikisa ukukhanya nokulungisa ukugxila okudingekayo embonweni, futhi ihlanganisa i-cornea, iris, lens, nekamelo langaphakathi (isikhala esigcwele amanzi ophakathi kwe-cornea ne-iris). Ezinye zezifo ezijwayelekile kakhulu ezingxenyeni zangaphakathi ziyi-varicella-zoster virus (igciwane elihlobene ne-chickenpox ne-shingles); i-microsporidiosis (ukutheleleka kwe-protozoan); i-herpes simplex (igciwane elihambisana nezilonda ezibandayo namagciwane omzimba); kanye nezinye izifo ezithathelanayo ezifakwe emangcwabeni noma amabhaktheriya.
Eziningi zalezi zifo zivame ukwenzeka esikhathini esizayo lapho isifo somzimba we-HIV sithinteka kahle.
I-Keratitis, ukuvuvukala okwezinye izikhathi ezibuhlungu nokubabazayo kwe-cornea, ingenye yezimpawu zamanothi ezikhungweni ze-anterior, kungakhathaliseki ukuthi zibangelwa i-varicella-zoster virus, i-herpes simplex, noma i-infungal fungal njengo- Candida noma i- Aspergillus ... Funda kabanzi
Izifo Emuva Kweso (i-Retina ne-Optic Nerve)
I-posterior (emuva) ingxenye yemisebenzi yamehlo ngokugcina isimo se-eyeball, ibambe i-lens endaweni, futhi idale impulses ye-nerve ebuchosheni kusuka kumaseli we-photoreceptor ngemuva kwamehlo. I-retina, i-choroid (i-layer layer ye-iso), ne-optic nerve ihlanganisa ingxenye enkulu ye-posterior, enezinkinga eziningi ezihambisana ne-HIV ezethula kulezi zigaba zomzimba, kaningi ngesifo se-HIV kamuva.
Ukuphazamiseka kwesigaba se-posterior-ngokuyinhloko okwethulwa ngezinguquko zamathambo ku-retina-kubonakala kunamaphesenti angu-50 kuya kuma-70% abantu abane-HIV, futhi kungase kube nomphumela wokulimala okuqhubekayo noma okunamandla ku-retina (ebizwa ngokuthi i-retinopathy).
Ezinye izifo ezihlobene ne-HIV ezingxenyeni ezihamba phambili ziyi-cytomegalovirus (enye yezifo ezithandwa kakhulu kubantu abane-HIV); isifo sofuba (i-TB); i-toxoplasmosis (isifo sofuba esivamile futhi esithwala kalula); kanye ne-cryptococcosis (okunye ukutheleleka kwe-fungal ehlobene ne-HIV) ... Funda kabanzi
Izifo zeSock Socket
Ngenkathi kunezifo ezimbalwa ezihlobene ne-HIV ezingxenyeni ze-eyebital (eyaziwa nangokuthi i-eyecket), i-aspergillosis-ukutheleleka kwe-fungal okuyinto eyenzeka kubantu abanesandulela-ngculaza-iyaziwa ukuthi ibangele ukuvuvukala kwezicubu ze-eyebital eye (cellulitis) kwezinye. Ngokufanayo, i-lymphomas (i-blood cells tumors) ingabonisa ngaphakathi kwalesi sigaba, futhi kaningi uma i-CD4 yomuntu ihlehlile ngaphansi kwamangqamuzana angu-100 / mL.
Imithombo:
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-ophthalmalogy yokuhlolwa kwe-HIV / AIDS ye-Neurobehavioral HIV Medicine." Imithi ye-HIV ye-Neurobehavioral . Ngo-September 17, 2012; 2012 (4): 99-111.