Pehea e hiki ai i ka maʻi maʻi ke hoʻopili i ka hihiʻo

Anter

• 1. Poino ke kīʻaha koko
• 2. CMV retinitis
• 3. ʻO ka maʻi maʻi ʻo Varicella zoster
• 4. ʻO ka toxoplasmosis Ocular
• 5. Kaposi's sarcoma
• 6. Nā maʻi ʻē aʻe

Hiki i ka maʻi HIV ke hoʻopili i nā ʻāpana o nā maka, mai nā wahi nui wale e like me ka eyelids, i nāʻiʻo hohonu e like me ka retina, vitreous a me nā aʻalolo, e hana ana i nā maʻi e like me retinitis, retinal detachment, Kaposi's sarcoma, me ka hoʻohui pū i nā ʻano maʻi o ka maka. .

ʻOi aku ka nui o ka ʻike o ka maʻi i ka wā i ʻoi aku ka maikaʻi o ka maʻi, ma muli o nā hoʻololi kūlohelohe i hoʻokumu ʻia e ka maʻi, a me nā maʻi maʻi kūpono e hoʻohana pono ai i ka hāʻule o ka pale e hoʻonā.

Ma hope o ka maʻi ʻana e ka maʻi HIV, hiki ke noho me ka ʻole o nā ʻōuli no nā makahiki he nui, a hiki i ka manawa haʻahaʻa ke kōkua i ka noho ʻana o nā maʻi a me nā maʻi i loko o nā lālā, me nā maka, no laila he mea nui e hōʻalo i kēia pilikia me ka pale ʻana. maʻi a me ka hoʻāʻo ʻana no ka ʻike mua ʻana. E ʻike i nā ʻōuli nui o ka maʻi AIDS a pehea e ʻike ai inā loaʻa ka maʻi iā ʻoe.

ʻO nā maʻi maka maka i hoʻokumu ʻia e ka HIV ʻo:

1. Poino ke kīʻaha koko

ʻO nā Microangiopathies he mau liona i loko o nā moku liʻiliʻi liʻiliʻi e hoʻoulu ai i ke kahe o ke koko a i ʻole ke kahe ʻana o ka toto, i hiki ai ke hoʻololi i ka hiki ke ʻike ʻia o ka mea i hoʻopilikia ʻia.

ʻO ka maʻamau, hana ʻia ka lapaʻau me ka antiretroviral therapy, e like me Zidovudine, Didanosine a i ʻole Lamivudine, no ka laʻana, hoʻohana ʻia ma lalo o ke alakaʻi a ka infectologist. E hoʻomaopopo pehea e hana ai i ka mālama ʻana i ka maʻi.

2. CMV retinitis

ʻO ka maʻi Cytomegalovirus (CMV) ka mea maʻamau i ka poʻe me ka maʻi HIV, hiki ke hana i ka retinitis me nā liona i loko o nā kīʻaha koko liʻiliʻi, kahi e hoʻopili ai i nā hanana maka a hiki ke hōʻino i ka ʻike. Kū pinepine kēia maʻi i nā hihia o ka AIDS me ka hāʻule nui o nā pae o ka pale mole pale CD4, aia ma lalo o 50 / mcL.

Hana ʻia ka lapaʻau no kēia maʻi me ka hoʻohana ʻana o nā agivirus, e like me Ganciclovir, Foscarnete, Aciclovir a i ʻole Valganciclovir, no ka laʻana, i hōʻike ʻia e ka infectologist. He mea nui ka Antiretroviral therapy e pale ai i ka pale ʻana i ka maʻi a me ka maʻalahi o nā maʻi.

3. ʻO ka maʻi maʻi ʻo Varicella zoster

ʻO ka maʻi o ka maka e ka maʻi ʻino varicella zoster ke kumu o nā maʻi ʻino loa, me nā pae o nā mole pale CD4 ma lalo o 24 / mcL. Kapa ʻia kēia maʻi i ka maʻi holomua retinal nekrosis syndrome, a kuhi ʻia e ka hoʻokumu ʻia ʻana o nā leona ma ka retina, hiki ke hoʻonui a hoʻololi i ka retina holoʻokoʻa, e alakaʻi ai i kāna detachment a me ka nalo ʻana o ka ʻike.

Lawe ʻia ka mālama ʻana me ka hoʻomau ʻana o ka antiretroviral therapy, akā naʻe, ʻaʻole hiki ke hoʻomaikaʻi mau i ke kūlana a me ka ʻike hou ʻana.

4. ʻO ka toxoplasmosis Ocular

ʻO ka poʻe me ka pale nawaliwali i ka maʻi HIV e loaʻa paha iā ia ka toxoplasmosis ocular, i lawe pinepine ʻia e ka ʻai ʻana o ka wai i hoʻohaumia ʻia a me nā meaʻai. Hoʻopili nui kēia maʻi i ka vitreous a me ka retina, a kumu i nā ʻōuli e like me ka hoʻemi ʻana o ka ʻike, ka ʻike ʻana i ka ʻeha a me ka ʻeha o ka maka.

Hana ʻia ka lapaʻau me ka hoʻohana ʻana i nā lāʻau me ka lāʻau antibiotic a me nā anti-inflammatory. I kekahi mau hihia, hiki i ka ophthalmologist ke hana i nā hana ʻoki e like me photocoagulation, cryotherapy a i ʻole vitrectomy, ma ke ʻano he ala e hōʻemi ai i nā pilikia o ka maʻi. E aʻo hou e pili ana i ke ʻano o ka toxoplasmosis, pehea e loaʻa ai a pehea e mālama ai.

5. Kaposi's sarcoma

ʻO ka sarcoma a Kaposi kahi ʻano tumo o ka poʻe i loaʻa i ka maʻi HIV, e pili ana i kēlā me kēia wahi i loaʻa ka ʻili a me nā membrane mucous, a hiki ke ʻike ʻia i nā maka, a hoʻopili nui i ka ʻike.

Hana ʻia ka lapaʻau me ka antiretroviral therapy, chemotherapy, a, inā pono, ʻoki kino maka. E hoʻomaopopo maikaʻi i ke ʻano o ka sarcoma a Kaposi a pehea e ala ai.

6. Nā maʻi ʻē aʻe

Hiki i kekahi mau maʻi ʻē aʻe ke hoʻopili i ka hihiʻo o ka poʻe me ka maʻi HIV, a ʻo kekahi me herpes, gonorrhea, chlamydia a i ʻole candidiasis, e laʻa me ia mau mea āpau e ka infectologist i hui pū ʻia me ka ophthalmologist. E ʻike hou aʻe e pili ana i nā maʻi e pili ana i ka maʻi SIDA.