Yini i-Rash Rash ebukeka?

Ayikho i-rash eyodwa noma isizathu esisodwa sokuqeda

I-Rash ivamile ngesikhathi sokutheleleka ngegciwane lesandulela ngculaza , futhi izimbangela zingase zibe zihlukahlukene njengoba ukuhlukumeza ngokwabo.

Abantu abaningi bazothatha igama elithi "ukuhlaselwa kwegciwane lesandulela ngculazi" ukuchaza ukuqubuka kwezicucu (isikhumba) okwenzeka njengomphumela wesifo esisha. Futhi ngenkathi ukuqhuma kungaba isibonakaliso sokutheleleka kokuqala , abantu ababili kuphela kulabo abahlanu bazoba nesimo esinjalo.

Ekugcineni, akekho ukuqhuma okukodwa noma isizathu esisodwa sokuqhuma kubantu abane-HIV. Iqiniso liwukuthi ukuqhuma kungenzeka kunoma yisiphi isigaba sokutheleleka. Ukubona imbangela-kungakhathaliseki ukuthi ihlobene ne-HIV noma cha-kudinga ukuhlolwa okuphelele kanye nokuhlolwa kokubonakala, ukusatshalaliswa, nokulingana kokugqashuka.

1 -

I-HIV Rash

Ukuqubuka kwesibindi kungaba khona ngenxa yokutheleleka kwegciwane lesandulela ngculaza futhi kuzovame ukuvela amasonto amabili kuya kweyisithupha emva kokuvezwa ngenxa yalokho esikubiza ngokuthi i- acute retroviral syndrome (ARS) .

Ukuqhuma kuchazwa ngokuthi i- maculopapular , i-term macule echaza izindawo eziphathekayo, ezikhanyayo phezu kwesikhumba ngenkathi i- papule ichaza ama-bumps.

Ngenkathi izifo eziningi zingabangela lokhu, i-ARS i-rash iyoba nomthelela kakhulu engxenyeni engenhla yomzimba, ngezinye izikhathi ihambisana nezilonda emlonyeni noma ezithombeni. Izimpawu ezinjenge-flu zibuye zivame.

Izivunguvungu ngokuvamile zixazulula emasontweni amabili kuya kwamabili. I-antiretroviral therapy kufanele iqale ngokushesha uma ukutheleleka nge-HIV kuqinisekiswa.

2 -

I-Seborrheic Dermatitis

I-seborrheic dermatitis ingenye yezimo zesikhumba ezivame kakhulu ezihambisana nokutheleleka nge-HIV, ezenzeka ezingaphezu kuka-80 amaphesenti abantu abanezifo eziphambili. Kodwa-ke, kuyinto engavamile ukuthi ukuqhuma okunjalo kubonakale kubantu abanokucindezelwa kwe-immune ngisho nokulinganisela uma inani le- CD4 lingaphansi kuka-500.

I-seborrheic dermatitis yinkinga yokuvuvukala yesikhumba evame ukuthinta isicwebe, ubuso nesimo. Ivame ukuvela ezingxenyeni ze-oilier zesikhumba, ebonakaliswa ngobomvu obumnene, i-flakiness ephuzi, nezilonda zesikhumba se-scaly. Ezimweni ezimbi kakhulu, kungabangela izimpungushe ze-scaly ezungeze ubuso nasemuva kwezindlebe kanye nasemakhaleni, amashiya, esifubeni, emhlane wangemuva, ama-armpits, nangaphakathi kwendlebe.

Izimbangela ze-rash aziwa ngokuphelele, nakuba ukuzivikela komzimba okunciphile kubonakala kuyisici esibalulekile. I-corticosteroids yezihloko zingasiza ezimweni ezimbi kakhulu. Abantu abanesandulela ngculazi abangakabi ukwelashwa kufanele banikezwe ukwelapha okulwa ne-antiretroviral ngokushesha ukusiza noma ukubuyisela ukusebenza komzimba.

3 -

Ukuphendulela kwezidakamizwa zeDrug

Ama-Rashes angathuthuka ngenxa yendlela yokusabela okwenziwe ngayo izidakamizwa ezithile, okubandakanya imishanguzo yegciwane lesandulela ngculazi namagciwane. Lezi zivame ukubonakala ngemva kwamasonto amabili emva kokuqala ukwelashwa, nakuba zingabonakalisa ezincane njengezinsuku ezintathu kuya kwezintathu.

Ukuqubuka kwesibindi kungathatha izinhlobo eziningi kepha ngokuvamile kuvame ukuguquka, okusho ukuthi kuyisimungumzimba efana nokubukeka. Kuvame ukwakhiwa ku-trunk kuqala bese usakazeka emlenzeni nasentanyeni ngephethini elilinganiselwe.

Kwezinye izimo, ukuqhuma kungabuye kube maculopapular kakhulu ekubonisweni ngezingqimba ezibomvu ezibomvu nezibomvu ezimbozwe ama-bumps amancane anesilinganiso esincane somswakama uma ucindezelwe.

Izimpendulo ze-Drug hypersensitivity ngezinye izikhathi zihambisana ne-fever, i-lymph nodes, noma ubunzima bokuphefumula.

Ukuqedwa kwesidakamizwa osolwayo kuzovamise ukuxazulula ukuqhuma emasontweni owodwa kuya kwamabili, uma kunzima. I-corticosteroids yama-topical noma ama-antihistamine omlomo angase anqunywe ukusiza ukukhulula itch.

Ziagen (abacavir) ne-Viramune (i-nevirapine) yizidakamizwa ezimbili ze-HIV ezithwala ingozi enkulu ye-drug hypersensitivity, yize noma yisiphi isidakamizwa sinamandla okwenza kanjalo.

4 -

Stevens-Johnson Syndrome

I-Stevens-Johnson syndrome (i-SJS) iyindlela engasongela impilo ye-hypersensitivity yezidakamizwa efanekiselwa isethulo sayo "esithukuthele". Ukuqhuma kuyindlela enobuthi ye-epidermal necrosis lapho uhlaka oluphezulu lwesikhumba (i-epidermis) luqala ukusuka kusuka engxenyeni engezansi yesikhumba (i-dermis).

I-SJS ikholelwa ukuthi iyisifo se-immune system esabangelwa noma isifo, isifo, noma kokubili.

I-SJS ivame ukuqala ngomkhuhlane kanye nomphimbo obuhlungu emasontweni owodwa kuya kwamathathu ngemuva kokuqala ukwelashwa. Ngokushesha kulandelwa izilonda ezibuhlungu emlonyeni, ezithombeni zobulili kanye ne-anus. Izilonda ezingavamile ezingamaphesenti angama-intshi yonkana zizoqala ukuthuthuka ebusweni, esitokisini, emilenzeni, nasezinyaweni ezinyaweni. Ukuvuthwa kuvame ukusabalalisa, kubonakale nge-blisters okuzovame ukuhlangana ibe neyodwa nge-crusting eyenzeka nxazonke ezivulekile (ikakhulukazi ezungeze izindebe).

Ukwelashwa kufanele kumiswe ngokushesha lapho izimpawu zivela. Kuzodingeka ufune ukunakekelwa okuphuthumayo okungafaka phakathi imithi yama-antibiotics, amanzi okugcoba, kanye nokwelashwa ukuvimbela ukulimala kweso. I-SJS inesilinganiso sokufa samaphesenti amahlanu.

I-Viramune (i-nevirapine) ne-Ziagen (abacavir) yizidakamizwa ezimbili ezidambisigciwane ezihlobene kakhulu ne-SJS engozini, nakuba ezinye izidakamizwa eziningi (kubandakanya imithi yama-sulfa ) ziyaziwa ukuqala impendulo ye-SJS.

> Umthombo:

> Altman, A .; UVanness, E .; kanye noWestergaard, R. "Ukubonakaliswa okuncane kwe-Human Immunodeficiency Virus: Ukubuyekezwa Kwemitholampilo." I-Curr Infect Dis Rep. 2015; 17 (3): 464. I-DOI: 10.1007 / s11908-015-0464-y.