Eyaziwa ngokuthi i- adnexa ye-ocular , lesi sigaba se-anatomy ocular sihlinzeka ukuvikelwa nokugcoba kweso ngokwayo futhi kufaka phakathi ijwabu leso, ukudonsa amadada kanye ne-conjunctiva (umhlophe wamehlo).
Kubantu abanesandulela ngculazi , izifo ezivame kakhulu ukwethula kulezi zindawo zifaka phakathi
- I-Herpes zoster virus (HSV)
- I-Kaposi sarcoma (KS)
- I-Molluscum contagiosum (eyaziwa nangokuthi "ama-warts wamanzi")
Izinguquko ezincane ezincane-eziboniswa ama-micro-aneurysms kanye nokuhlanjululwa kwemithanjeni nemithambo yegazi-ziyaziwa ukuthi zenzeka ngamaphesenti angaba ngu-70 kuya kwangu-80 ezigciwane lesandulela ngculazi futhi zingahlobene ngqo nokutheleleka nge-HIV ngokwayo.
I-Herpes Zoster
I-Herpes zoster (i-HSV) ibangelwa ukuvuselelwa kwendawo ye-varicella zoster virus (VZV), ehamba ngomzila wezinzwa ngaphakathi kwesimemezelo esithile (ie, indawo yesikhumba esinikezwe yisisindo esisodwa). Lapho kuvuselelwa engxenyeni ye-ophthalmic ye-so-called nerve trigeminal , ingabonisa ubuhlungu obunzima nokukhwabanisa okuncane okwenziwe oketshezi okungajwayele ukuqhuma nokukhuphuka. Ukutheleleka kwangasese kuthiwa yi-Herpes zoster ophthalmicus (HZO).
I-HZO inikeza abantu abangaba ngu-10% abane-HIV, ngokuyinhloko kulabo abanezibalo ze- CD4 ngezansi 200 amaseli / mL. Ukukhula (iminyaka engama-60 noma ngaphezulu) kungabangela ukuba isimo, kanye nokucindezeleka kwengqondo.
I-Oral acyclovir iyinkambo evamile yokwelapha ye-HZO, nge-steroids yomlomo noma emangalisa njalo kufanele kube khona ubufakazi bokubandakanyeka komuntu (isib., Umlenze we-optic kanye neliso ngokwayo). Ukuxilongwa kokuqala kanye nokwelapha kuyisihluthulelo sokugwema ukulimala ku-cornea, i-retina, i-choroid noma i-optic neva.
Kukhona umgomo wokuvota we- VZV , owawunconywa ukuthi usebenzise abantu abadala abaneminyaka engama-50 noma ngaphezulu nge-US Food and Drug Administration (FDA) ngo-2011. Nakuba kungekho izincomo ezisemthethweni ezikhishwe ukuze zisetshenziswe kubantu abadala asebekhulile abane-HIV, umbono okhulayo ijwayele ukusekela ukusetshenziswa kwayo kuziguli ezikwazi ukuzivikela ezivivinya umzimba ezinokulawulwa kwegciwane eliqhubekayo.
Kaposi Sarcoma
I-Kaposi sarcoma (KS) iyisisu esikhumba esingenabuhlungu, esiluhlaza-obomvu, esivame ukuhlotshaniswa nokucindezelwa okukhulu kwamagciwane. Ebangelwa yi-human herpes virus 8 (i-HHV8), ingabonakala futhi ijikeleze amajwabu amehlo angama-20% amacala, ngokuvamile evame ukuvuvukala kwendawo.
Ngenkathi isifo se-KS sesinciphile kakhulu ngokutholakala kwe- antiretroviral therapy (i-MAP) , kusengaba khona kulabo abanezibalo eziphansi ze-CD4, ikakhulukazi uma ukucindezelwa kwegciwane kungagcini. Ngokuqaliswa kwekhadi, ukuguqulwa kwezilonda kuzovame ukwenzeka phakathi nesikhathi esincane esifushane, ukunyamalala njengokusebenza komzimba kuvuselelwe.
Isethulo se-Ocular se-KS izifo ezingavamile kakhulu, nakuba amehlo abomvu, amehlo asomile, i-photophobia (ukungabekezelelani kokukhanya) kanye nombono ongenayo ziyaziwa ukuthi zenzeke ngenxa yezifo ezizungezile ezindaweni ezibucayi zezinkophe nezinsipho.
Molluscum Contagiosum
I-Molluscum contagiosum iyisifo esithinta kakhulu isikhumba esibangelwa igciwane le-molluscum contagiosum (MSV). Isakazwa kusuka kumuntu kuya komuntu ngokuxhumana okungajwayelekile futhi kubangele ukungabi nabuhlungu, izilonda ezinamakhaza, izilonda ezigcwele uketshezi esikhumbeni, kanye nezinambuzane ezifakwe emanzini. Izilonda zinomsoco onzima omhlophe futhi ngokuvamile zifana nombala womuntu, naphezu kokubonakala kwe-waxy.
Iningi le-Molluscum contagiosum lwenzeka ezinganeni ezincane kanye nabantu abanokucindezelwa okukhulu kwamagciwane. Kungabonakala kunoma yimuphi wesikhumba, kuhlanganise eduze kweso kanye nejwabu leso ngokwayo. Ukubandakanyeka kwe-ocula kubonakala kungavamile.
Kubantu abanempilo, izifo zivame ukuzithiba, zizivuselela ngokwazo
Ukutheleleka kwe-MSV kuvame ukuba nzima nakakhulu kubantu abanegciwane lesandulela ngculaza abane-HIV. Izinketho zokwelapha zilinganiselwe futhi zingabandakanya izikhwama ze-topical kanye nemithi yokwelapha ngaphezulu kwe-counter for the counter for the ukususwa kancane kancane kwezilonda ezincane, noma ukusetshenziswa kwe-nitrogen noma i-laser therapy kulabo abafuna ukususwa ngokushesha. Ayikho imithi ye-MSV.
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-ophthalmology yokuhlolwa kwe-HIV / AIDS ye-Neurobehavioral HIV Medicine." Imithi ye-HIV ye-Neurobehavioral . Ngo-September 17, 2012; 2012 (4): 99-111.
UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu (DHHS). "Imihlahlandlela Yokuvimbela Nokunakekelwa Kwezifo Ezingavamile Ezinganeni Ezikhulelwe Ne-Adolescents: I-Non-CMV Herpes - Varicella Zoster Virus." I-Rockville, e-Maryland.
I-US Food and Drug Administration (FDA). "I-FDA ivumela ukugonywa kwe-Zostavax ukuvimbela ama-shingles kubantu abaneminyaka engu-50 kuya kwangu-59 ubudala." I-Silver Springs, eMadland; i-release release eyakhishwe ngoMeyi 24, 2011.
Benson, C .; Hua, L .; U-Andersen, J .; et al. "I-ZOSTAVAX ngokuvamile iphephile futhi i-immunogenic kubantu abadala be-HIV + basuswa ngokweqile kwi-ART: imiphumela yesigaba sesibili, isivivinyo esilawulwa ngokuphindaphindiwe, esinezinhlangothi ezimbili, esibucayi." Ingqungquthela ye-19 yama-Retroviruses kanye nezifo ezivame ukuqhutshwa (CROI); Seattle, Washington; NgoMashi 5-8, 2012; abstract 96.
DHHS. "Imihlahlandlela Yokuvimbela Nokunakekelwa Kwezifo Ezingavamile Ezinganeni Ezikhulelwe Ne-Adolescents: I-Herb-Non-CMV Herpes - I-Human Herpesvirus 8." I-Rockville, e-Maryland.
DHHS. "Imihlahlandlela Yokuvimbela Nokunakekelwa Kwezifo Ezingavamile Ezinganeni Ezikhulelwe Ne-Adolescents: I-Herb-Non-CMV Herpes - I-Human Herpesvirus 8." I-Rockville, e-Maryland.
Amasevisi Okulawula Nokuvimbela Izifo (CDC). Ulwazi LwaseMtholampilo: Molluscum Contagiosum. " I-Atlanta, Georgia.