Indlela uGawulayo anokuchaphazela ngayo umbono

Umxholo

• 1. Umonakalo wenqanawa yegazi
• 2. I-CMV retinitis
• 3. Usulelo lwe-Varicella zoster virus
• 4. I-toxoplasmosis ye-Ocular
• 5. I-sarcoma kaKaposi
• 6. Olunye usulelo

Intsholongwane kaGawulayo inokuchaphazela naliphi na iliso, ukusuka kwimimandla engaphezulu njengeenkophe, ukuya kwizicwili ezinzulu ezifana ne-retina, i-vitreous kunye neerves, ezibangela izifo ezinjenge-retinitis, i-retinal detachment, i-Kaposi's sarcoma, ukongeza kwiindidi ezininzi zosulelo lwamehlo .

Amathuba okuba umbono ochatshazelwe lusulelo mkhulu xa isifo sikwinqanaba eliphambili, ngenxa yotshintsho lomzimba olubangelwa sesi sifo, kunye nosulelo olungenelelayo oluthatha ithuba lokwehla komzimba wokhuselo ukuzinzisa.

Emva kokosulelwa yintsholongwane kaGawulayo, kunokwenzeka ukuba uhlale ngaphandle kwempawu iminyaka emininzi, de imeko ephantsi yokhuselo iququzelele ubukho bosulelo kunye nezifo kumalungu aliqela, kubandakanya namehlo, ke kubaluleke kakhulu ukuthintela le ngxaki kunye nokuthintela isifo kunye novavanyo lokufumanisa kwangoko. Zazi ezona mpawu ziphambili zikaGawulayo kwaye wazi njani ukuba unesi sifo.

Izifo zamehlo eziphambili ezibangelwa yi-HIV zezi:

1. Umonakalo wenqanawa yegazi

IiMicroangiopathies zizilonda kwimithambo encinci yeoyoni ebangela ukuphuma kwegazi okanye ukopha, okunokutshintsha ukubonwa komntu ochaphazelekayo.

Ngokubanzi, unyango lwenziwa ngonyango lwe-antiretroviral, olufana neZidovudine, iDidanosine okanye iLamivudine, umzekelo, esetyenziswa phantsi kwesikhokelo sosulelo. Qonda ukuba lwenziwa njani unyango lwe-AIDS.

2. I-CMV retinitis

Usulelo lweCytomegalovirus (CMV) luxhaphake kubantu abane-HIV, kuba nakho ukubangela i-retinitis enezilonda kwimithambo yegazi encinci, echaphazela ukwakheka okubalulekileyo kwamehlo kwaye inokuphazamisa umbono. Olu suleleko luhlala luvela kumatyala kaGawulayo ukwehla okukhulu kumanqanaba e-CD4 yemolekyuli, enokuba ngaphantsi kwe-50 / mcL.

Unyango lwolu sulelo lwenziwa ngokusetyenziswa kweearhente zentsholongwane, ezinje ngeGanciclovir, Foscarnete, Aciclovir okanye iValganciclovir, umzekelo, eziboniswa ngugqirha wosulelo. Unyango lwe-antiretroviral lukwabalulekile ekuthinteleni ukwanda kokuzikhusela komzimba kunye nokwenza lula kosulelo.

3. Usulelo lwe-Varicella zoster virus

Usulelo lwamehlo yintsholongwane ye-varicella zoster intsholongwane ihlala ibangela usulelo olubi kakhulu, ngamanqanaba ee-CD4 zokhuselo engaphantsi kwama-24 / mcL. Olu sulelo lubizwa ngokuba yi-retinal necrosis syndrome, kwaye lubonakaliswa ngokwenziwa kwezilonda kwi-retina, ezinokwandisa kunye nokubeka esichengeni i-retina, ekhokelela ekuzimiseleni nasekulahlekelweni ngumbono.

Unyango lwenziwa ngokuqhubekeka kwonyango lwe-antiretroviral, nangona kunjalo, akusoloko kunokwenzeka ukuphucula imeko kunye nokuchacha okubonakalayo.

4. I-toxoplasmosis ye-Ocular

Abantu abanokungakhuseleki ekukhuseleni intsholongwane kagawulayo kunokwenzeka ukuba bafumane i-toxoplasmosis ye-ocular, edluliselwa ikakhulu kukusetyenziswa kwamanzi angcolileyo kunye nokutya. Olu sulelo luchaphazela ikakhulu i-vitreous kunye ne-retina, kwaye lubangela iimpawu ezinje ngokuncipha kombono, uvakalelo ekukhanyeni okanye kwintlungu yamehlo.

Unyango lwenziwa kusetyenziswa iziyobisi kunye neepropathi zokulwa nokudumba. Ngamanye amaxesha, ugqirha wamehlo angenza utyando olunje nge-photocoagulation, i-cryotherapy okanye i-vitrectomy, njengendlela yokunciphisa iingxaki zesi sifo. Funda ngakumbi malunga ne-toxoplasmosis, ukuba uyifumana njani kwaye uyinyanga njani.

5. I-sarcoma kaKaposi

I-Kaposi's sarcoma sisifo esibuhlungu kubantu abosuleleke yi-HIV, esichaphazela nawuphina ummandla oqukethe ulusu kunye nenwebu yangaphakathi, kwaye unokuvela emehlweni, kwaye uchaphazele umbono.

Unyango lwenziwa ngonyango lwe-antiretroviral, chemotherapy, kwaye, ukuba kukho imfuneko, ngotyando lwamehlo. Qonda ngcono ukuba yintoni i-Kaposi's sarcoma kwaye ivela njani.

6. Olunye usulelo

Olunye usulelo oluninzi lunokuchaphazela umbono wabantu abane-HIV, kwaye ezinye zibandakanya i-herpes, gonorrhea, chlamydia okanye i-candidiasis, umzekelo, zonke ezi kufuneka ziphathwe ngugqirha osulelayo ngokudibeneyo ne-ophthalmologist. Fumana okunye malunga nezifo ezinxulumene ne-AIDS.