Izifo ezinxulumene noGawulayo

Umxholo

• Izifo eziphambili ezinxulumene noGawulayo
• 1. Izifo zokuphefumla
• 2. Izifo zolusu
• 3. Izifo ezosulelayo
• 4. Izifo zentliziyo
• 5. Izifo zezintso
• 6. Umhlaza
• 7. Ukwehla kwesisindo
• Unyango lwezifo ezinxulumene noGawulayo

Izifo ezinxulumene noGawulayo zezo zichaphazela abaguli abane-HIV, ngenxa yokuba buthathaka kwamajoni abo omzimba, anjengeSifo sePhepha, inyumoniya okanye iLymphoma, umzekelo.

Ayizizo zonke ezinzulu kwaye ezinokulawulwa, kodwa nanini na xa isigulana sinazo, unyango kufuneka luphindwe kabini kuba ukongeza kwii-antiretrovirals, kubalulekile ukulwa nosulelo olungenelelayo ukuqinisekisa ubomi besigulana.

Izifo eziphambili ezinxulumene noGawulayo

Abantu abafunyaniswe ukuba banoGawulayo kunokwenzeka ngakumbi ukuba baphuhle ezinye izifo ngenxa yokuqaqamba kwamasosha omzimba kunye nomzimba uphela. Ke, ezona zifo ziphambili ezinokuthi zinxulunyaniswe noGawulayo zezi:

1. Izifo zokuphefumla

Abaguli abanoGawulayo banokuba nomkhuhlane nomkhuhlane ngokulula, onokusonjululwa lula. Nangona kunjalo, ngenxa yokungasebenzi kakuhle kwamajoni omzimba, kunokubakho ukukhula kwezifo ezibi kakhulu, ezinjengesifo sephepha kunye nenyumoniya, umzekelo, olunyango lwayo lunzima ngakumbi.

Iimpawu eziphambili: Iimpawu zezifo zokuphefumla ziyafana, nokuba nomkhuhlane, intloko ebuhlungu, ukuziva ubunzima emzimbeni, ukuphuma empumlweni, ukuba buthathaka kunye nokukhohlela okomileyo okanye iphlegm, kuxhaphake kakhulu kwimeko yesifo sephepha kunye nenyumoniya, umzekelo. Yazi indlela yokwahlula phakathi komkhuhlane kunye neempawu ezibandayo.

Unyango njani: Unyango lwezifo zokuphefumla zihlala zibandakanya ukuphumla nokusela ulwelo oluninzi. Ukongeza, kunokucetyiswa ukusetyenziswa kwamayeza okuphelisa impumlo okanye okubulala iintsholongwane, kwimeko yesifo sephepha kunye nenyumoniya, xa ibangelwa yintsholongwane. Isithinteli-ntsholongwane ekucetyiswa ukuba senziwe kufuneka senziwe ngokuyalelwa ngugqirha ukuze kungabikho kuphinda kubandakanyeke emzimbeni.

2. Izifo zolusu

Izifo zolusu zinokuba yinto eqhelekileyo kubantu abane-AIDS ngenxa yokwehla komsebenzi wamajoni omzimba, ovumela iintsholongwane ezikhoyo eluswini ukuba zikhule, zandise amathuba ezifo, ezinje ngeentshulube, umzekelo, esisifo ulusu olubangelwa ngundo.

Ukongeza, abaguli bakaGawulayo kunokwenzeka ukuba babe ne-purpura, enokwenzeka ngenxa yokukrala kwemithambo yegazi, ekhokelela ekubonakaleni kwamabala abomvu kulusu. Yazi ezona ntlobo ziphambili zemfusa.

Iimpawu eziphambili: Iimpawu zentshulube zicace gca, zinolusu olurhawuzayo kunye nokubonakala kwezilonda ezibomvu, ezinamaxolo. Imfusa kukwakho ukubonakala kwamabala abomvu athe saa eluswini, kodwa kusenokubakhona umkhuhlane kunye nokopha kwimpumlo, kwiintsini okanye kumchamo.

Unyango njani: Kwimeko ye-mycoses, olona cetyiso lukhokelayo kugqirha wesikhumba ukuze izilonda zivavanywe kwaye ioyile efanelekileyo okanye ikrimu eza kufakwa kuloo ndawo ingabonakaliswa. Kwimeko ye-purpura, ugqirha unokucebisa ukuba kusetyenziswe ukhilimu otyebileyo kwi-vitamin K, enje nge-Thrombocid, umzekelo, ekufuneka isetyenziswe eluswini de amabala anyamalale.

3. Izifo ezosulelayo

Ngenxa yokwehla komsebenzi wamajoni omzimba, abantu abanoGawulayo kunokwenzeka ukuba bahlasele usulelo, olunokubangelwa zizo zombini iintsholongwane, ibhaktiriya kunye ne-parasites, ezinje nge-neurotoxoplasmosis, umzekelo, esisifo esosulelayo esibonakaliswa bubukho sisidleleleli Toxoplasma gondii kwinkqubo yemithambo-luvo.

Ukongeza, ngenxa yokonakala komzimba, izinto ezincinci zomzimba zinokuqalisa ukwanda ngendlela engalungelelananga, nosulelo, njengokuphindaphindeka okanye ukuphindaphindeka kwecandidiasis.

Iimpawu eziphambili: Iimpawu zezifo ezosulelayo ziyahluka ngokwendawo esosulelwe kuyo kunye ne-causative agent, nangona kunjalo ixesha elininzi kunokubakho umkhuhlane, ukuqaqanjelwa ngumzimba, ukudinwa kakhulu, ukubila okubandayo, ukungonwabi esiswini kunye nokurhawuzelela, umzekelo.

Unyango njani: Unyango lwenziwa ngokuxhomekeka kuhlobo losulelo kunye neempawu ezibonakaliswa sisigulana, ukongeza ekuqwalaseleni imeko yezempilo yomntu. Ke, ugqirha angabonisa ukusetyenziswa kwee-antibiotics, ii-antiparasitic okanye ii-antitifungal agents, nangona kunjalo, isibonakaliso sonyango senziwa ngokwamayeza asetyenziswa ngumntu ukunyanga i-AIDS, kuba kungenjalo kunokubakho ukuhlangana kweziyobisi.

4. Izifo zentliziyo

Izifo zentliziyo zinokunxulumana noGawulayo ngenxa yokwanda kokuqokelela amanqatha ngaphakathi kwimithambo, okwandisa umngcipheko we-atherosclerosis, stroke okanye infarction.

Iimpawu eziphambili: Iimpawu eziphambili zeengxaki zentliziyo ziintlungu esifubeni, ukudinwa okugqithisileyo kwaye akukho sizathu sibonakalayo, ukubila okubandayo, ukutshintsha kwentliziyo, isiyezi kunye nokufa isiqaqa. Kubalulekile ukuba uye kwagqirha kwakamsinya nje xa kuvela iimpawu zeengxaki zentliziyo ukuze unobangela wezi mpawu uphandwe.

Unyango njani: Olona hlobo lonyango kunyango lwezifo zentliziyo kukuthintela ukuqokelelwa kwamanqatha ngokutya okunempilo kunye nokutya okunamafutha asezantsi, ukongeza kwimisebenzi yokuziqhelanisa rhoqo kwaye ikhatshwa yingcali yemfundo yomzimba.

Nangona kunjalo, nje ukuba kuvele iimpawu zokuqala zezifo zentliziyo, kubalulekile ukuba uqhagamshelane nodokotela wezentliziyo ukuze kwenziwe uvavanyo kwaye unyango luqaliswe, ukuthintela iingxaki ezinokubakho. Yazi ixesha lokuya kugqirha wezentliziyo.

5. Izifo zezintso

Izifo zezintso zinokwenzeka nakubantu abanesifo sikagawulayo ngenxa yokusebenzisa amayeza ebomini, anokubeka esichengeni umsebenzi wezintso ngokuhluza nokukhupha izinto ezigqithisileyo emzimbeni, oko kuthanda ukubakho kwamatye ezintso.

Iimpawu eziphambili: Kwimeko yamatye ezintso, ezona mpawu ziphambili ziintlungu eziqatha kumqolo osezantsi kwaye zinokuthintela, umkhuhlane kunye nentlungu xa uchama. Kwimeko yokusilela kwezintso, kulapho izintso ziphulukana namandla okucoca igazi kunye nokuphelisa i-urea kunye ne-creatinine ngomchamo, umzekelo, ezona mpawu ziphambili ngumchamo wamagwebu, ivumba elinamandla kunye nenani elincinci, umkhuhlane ongaphezulu kwe-39ºC, ukudinwa okulula kunye noxinzelelo olwandayo.

Unyango njani: Unyango lwezifo zezintso lwenziwa ngokwesikhokelo se-nephrologist okanye i-urologist, kunye nokusetyenziswa kwamachiza oxinzelelo lwegazi kunye ne-diuretics, njengeFurosemide, umzekelo, ngokubanzi kubonisiwe. Kukwabalulekile ukuba usele ulwelo oluninzi emini, ugcine ukutya okunezakha-mzimba kwaye unqande ukusebenzisa iiprotheyini ezininzi, njengoko zinokugcwalisa izintso ngakumbi.

Kwimeko yamatye ezintso, kubalulekile ukuba ugqirha achonge indawo elikuyo eli litye kunye nobungakanani ukuze kuboniswe eyona ndlela ilungileyo yonyango, ikwathathela ingqalelo iminyaka yomntu kunye nenqanaba lezempilo. Zazi ezona ndlela ziphambili zonyango lwamatye ezintso.

6. Umhlaza

Abanye abantu abafunyaniswe ukuba banoGawulayo basemngciphekweni omkhulu wokuba nomhlaza kubo bonke ubomi babo ngenxa yotshintsho kumajoni abo omzimba. Uhlobo oluphambili lomhlaza onxulumene noGawulayo yi-lymphoma, apho iiseli eziphambili zichaphazelekayo zii-lymphocyte, eziziiseli zegazi ezinoxanduva lokukhusela umzimba. Funda konke malunga ne-lymphoma.

Iimpawu eziphambili: Olona phawu luhambelana kakhulu ne-lymphoma kukudumba kwee-lymph node ezikwi-armpit, groin, intamo, isisu, amathumbu kunye nolusu. Ukongeza, kukho ukwehla kobunzima, iintlungu, umkhuhlane, ukuphelelwa ngumdla wokutya kunye nokuqaqamba komzimba.

Unyango njani: Unyango lwe-lymphoma lwenziwa ngokwenqanaba lesi sifo, ubudala bomntu kunye nempilo ngokubanzi, kwaye kufuneka icetyiswe yi-oncologist okanye i-hematologist. Ngokwesiqhelo unyango oluchaziweyo yi-chemotherapy, i-radiotherapy okanye ukufakelwa umongo wethambo.

7. Ukwehla kwesisindo

Eli ligama elibhekisa kwilahleko ye-10% okanye nangaphezulu yobunzima ngaphandle kwesizathu esibonakalayo kwaye esinokwenzeka ngenxa yotshintsho lwe-metabolic olubangelwa yintsholongwane, ezinye izifo ezingenelelayo okanye njengempembelelo yecala.

Izigulana ezininzi zikaGawulayo zikwanazo neengxaki zemithambo-luvo, ezinje ngeengxaki zememori, ukungabikho koxinzelelo kunye nobunzima ekwenzeni imisebenzi enzima, umzekelo.

Unyango lwezifo ezinxulumene noGawulayo

Unyango lwezifo ezinxulumene noGawulayo kufuneka lwenziwe ngokusetyenziswa kwamayeza amiselwe ngugqirha ukulawula usulelo, ukongeza kunyango lwe-antiretroviral, kusetyenziswa i-cocktail. Nangona kunjalo, kunokwenzeka ukuba kukho ukuhlangana kweziyobisi kunye nokunciphisa iimpawu ezingathandekiyo zesigulana ugqirha anokubonisa ukusetyenziswa kwezinye iziyobisi.

Unyango ngamanye amaxesha lunokwenziwa ekhaya, kodwa oogqirha abaninzi bancomela ukulaliswa esibhedlele kulawulo olungcono losulelo ukuba lwenzeke, ukwandisa amathuba onyango. Emva kokulawula esi sifo, ugqirha usenokucebisa ukuba isigulana sihlale kunyango lwe-antiretroviral kuphela kwaye senze uvavanyo lwe-AIDS ukuqinisekisa ukuxinaniswa kwe-lymphocyte kunye ne-CD4 egazini.

Ukukunceda ukufumanisa esi sifo, jonga ukuba zeziphi iimpawu eziphambili ze-AIDS.