Momwe Edzi imakhudzira masomphenya

Zamkati

• 1. Kuwonongeka kwa chotengera chamagazi
• 2. CMV retinitis
• 3. Matenda a varicella zoster virus
• 4. Matenda a toxoplasmosis
• 5. Kaparc's sarcoma
• 6. Matenda ena

HIV imatha kukhudza gawo lirilonse la maso, kuchokera kumadera opitilira maso monga zikope, kupita kumatenda akuya monga retina, vitreous ndi mitsempha, zomwe zimayambitsa matenda monga retinitis, detinalment, Kaposi's sarcoma, kuphatikiza mitundu ingapo yamatenda amaso .

Mwayi wokhala ndi masomphenya omwe akhudzidwa ndi matendawa ndi wokulirapo pamene matendawa apita patsogolo kwambiri, chifukwa cha kusintha kwa chitetezo cha mthupi chomwe chimayambitsidwa ndi matendawa, komanso matenda opatsirana omwe amapezerapo mwayi pakutha kwa chitetezo.

Pambuyo pakupatsirana ndi kachirombo ka HIV, ndizotheka kukhalabe opanda zizindikiritso kwazaka zambiri, kufikira pomwe chitetezo chochepa chimathandizira kupezeka kwa matenda ndi matenda m'matumba angapo, kuphatikiza maso, kotero ndikofunikira kuti tipewe zovuta izi popewa matenda ndi kuyezetsa kuti adziwe msanga. Dziwani zizindikiro zazikulu za Edzi komanso momwe mungadziwire ngati muli ndi matendawa.

Matenda akulu amaso omwe amayambitsidwa ndi HIV ndi awa:

1. Kuwonongeka kwa chotengera chamagazi

Ma Microangiopathies ndi zotupa m'mitsempha yaying'ono yamafuta yomwe imayambitsa kutuluka kwa magazi kapena kutuluka magazi, komwe kumatha kusintha mawonekedwe owonekera a munthu wokhudzidwayo.

Nthawi zambiri, chithandizo chimachitidwa ndi mankhwala ochepetsa mphamvu ya kachilombo ka HIV, monga Zidovudine, Didanosine kapena Lamivudine, mwachitsanzo, omwe amagwiritsidwa ntchito motsogozedwa ndi katswiri wazamagetsi. Mvetsetsani momwe chithandizo cha Edzi chimachitikira.

2. CMV retinitis

Matenda a Cytomegalovirus (CMV) amapezeka kwambiri kwa anthu omwe ali ndi kachilombo ka HIV, amatha kuyambitsa retinitis ndi zotupa m'mitsempha yaying'ono yam'magazi, yomwe imakhudza mawonekedwe ofunika amaso ndipo imatha kusokoneza masomphenya. Matendawa amapezeka nthawi zambiri ngati ali ndi Edzi chifukwa chotsika kwambiri m'magulu a CD4, omwe atha kukhala ochepera 50 / mcL.

Chithandizo cha matendawa chimapangidwa ndi kugwiritsa ntchito ma antiviral agents, monga Ganciclovir, Foscarnete, Aciclovir kapena Valganciclovir, mwachitsanzo, omwe akuwonetsedwa ndi kachilomboka. Mankhwala ochepetsa mphamvu ya kachilombo ka HIV amafunikanso kuti apewe chitetezo chokwanira komanso kuti matenda asatengeke.

3. Matenda a varicella zoster virus

Matenda a m'maso a varicella zoster virus nthawi zambiri amayambitsa matenda oopsa kwambiri, pomwe ma CD a chitetezo cha CD4 amakhala pansi pa 24 / mcL. Matendawa amatchedwa retinal necrosis syndrome, ndipo amadziwika ndi mapangidwe a zotupa pa diso, zomwe zimatha kukulitsa ndi kusokoneza diso lonse, zomwe zimapangitsa kuti asamayende bwino.

Chithandizo chimachitika ndikupitilira mankhwala ochepetsa mphamvu ya kachilombo ka HIV, komabe, sikuti nthawi zonse zimakhala zotheka kukonza vutoli ndikuwonanso.

4. Matenda a toxoplasmosis

Anthu omwe ali ndi chitetezo chofooka ku kachirombo ka HIV amatha kutenga toxoplasmosis, yomwe imafalikira makamaka chifukwa chomwa madzi ndi chakudya chodetsa. Matendawa amakhudza kwambiri vitreous ndi diso, ndipo amayambitsa zizindikilo monga kuchepa kwa masomphenya, kuzindikira kwa kuwala kapena kupweteka kwamaso.

Chithandizo chimachitika pogwiritsa ntchito mankhwala okhala ndi maantibayotiki ndi anti-inflammatory properties. Nthawi zina, ophthalmologist amatha kuchita maopaleshoni monga photocoagulation, cryotherapy kapena vitrectomy, ngati njira yochepetsera zovuta za matendawa. Phunzirani zambiri za toxoplasmosis, momwe mungapezere ndi momwe mungamuthandizire.

5. Kaparc's sarcoma

Kaposi's sarcoma ndichotupa chodziwika bwino cha anthu omwe ali ndi kachilombo ka HIV, chomwe chimakhudza dera lililonse lomwe lili ndi khungu komanso ntchofu, ndipo chitha kuwonekeranso m'maso, ndipo chimakhudza kwambiri masomphenya.

Chithandizochi chimachitika ndi mankhwala ochepetsa mphamvu ya kachilombo ka HIV, chemotherapy, ndipo ngati kuli kofunikira, opaleshoni ya diso. Mvetsetsani bwino chomwe Kaposi sarcoma ndi momwe zimakhalira.

6. Matenda ena

Matenda ena angapo angakhudze masomphenya a anthu omwe ali ndi kachilombo ka HIV, ndipo ena mwa iwo ndi herpes, gonorrhea, chlamydia kapena candidiasis, mwachitsanzo, onse omwe ayenera kuchiritsidwa ndi opatsirana pogwirizana ndi ophthalmologist. Dziwani zambiri za matenda okhudzana ndi Edzi.