Nā Rashes a me nā ʻ Skin ʻili i pili pū me ka maʻi HIV a me ka maʻi AIDS: nā ʻōuli a me nā mea hou aku

Anter

• Hōʻike Overview
• ʻO nā pae o ka maʻi HIV ke hiki mai kahi ʻano ʻili
• Nā kiʻi o nā ʻino a me nā ʻili i pili i ka maʻi HIV a me ka maʻi ʻaʻa
• Dermatitis hoʻāla
• Xerosis
• Atopic dermatitis
• Dermatitis Seborrheic
• Photodermatitis
• Eosinophillic folliculitis
• Prurigo nodularis
• Nā maʻi ʻino
• Syphilis
• ʻO Candidiasis
• ʻO ka maʻi herpes zoster (shingles)
• ʻO ka maʻi herpes simplex (HSV)
• Molluscum contagiosum
• Leukoplakia huluhulu waha
• Nā ʻūlū
• ʻ canpala ʻili
• ʻO Carcinoma
• Melanoma
• Kaposi sarcoma (KS)
• E kamaʻilio me kahi mea mālama ola
• Nā hopena o nā lāʻau HIV

Hōʻike Overview

Ke hoʻonāwaliwali ʻia ka ʻōnaehana pale o ke kino e ka maʻi HIV, hiki iā ia ke alakaʻi i nā ʻano ʻili e hoʻoulu ai i nā huhū, nā ʻeha, a me nā ʻeha.

Hiki i nā ʻili ʻili ke lilo i waena o nā hōʻailona mua loa o ka maʻi HIV a hiki ke noho i ka wā o kāna pae mua. Hōʻike paha lākou i ka holomua o ka maʻi, ʻoiai hiki i nā maʻi ʻino a me nā maʻi ke hoʻohana i ka maʻi pale i nā pae hope o ka maʻi.

Ma kahi o 90 pākēneka o ka poʻe me ka maʻi HIV e hoʻomōhala i kahi ʻano ʻili i ka wā o ko lākou maʻi. Hāʻule mau kēia mau ʻili i kekahi o nā mahele ʻekolu.

• dermatitis huehue, a i ʻole nā ​​huehue o ka ʻili
• nā maʻi a me nā infestations, me nā koʻohune, fungal, viral, a me nā mea parasitic
• ʻāpala ʻili

Ma ke ʻano he rula, hoʻomaikaʻi ʻia nā ʻili ma muli o ka maʻi HIV me ka antiretroviral therapy.

ʻO nā pae o ka maʻi HIV ke hiki mai kahi ʻano ʻili

Hele pinepine ka HIV ma o nā hanana ʻekolu:

E ʻike paha ke kanaka i nā kūlana ʻili i ka pae 1 a me ka pae 3 o ka maʻi HIV.

Kūleʻa pinepine nā maʻi fungal i ka wā nāwaliwali loa o ka ʻōnaehana pale, i ke kolu o ka pae. Kāhea ʻia nā maʻi ʻino i kēia wā i kapa ʻia ʻo nā maʻi aukona.

Nā kiʻi o nā ʻino a me nā ʻili i pili i ka maʻi HIV a me ka maʻi ʻaʻa

Dermatitis hoʻāla

ʻO Dermatitis ka hōʻailona maʻamau o ka maʻi HIV. Hoʻopili maʻamau nā mālama ʻana i hoʻokahi a ʻoi paha o kēia mau mea:

• antihistamines
• nā lāʻau lapaʻau antiretroviral
• steroid
• moisturizers kumuhana

ʻO kekahi mau ʻano dermatitis:

Xerosis

ʻO Xerosis kahi maloʻo o ka ʻili, i ʻike pinepine ʻia e like me ka ʻūlū, nā pāheona scaly ma nā lima a me nā wāwae. Kūlohelohe loa kēia ʻano, ʻoiai i ka poʻe me ka maʻi ʻole o ka maʻi HIV. Hiki ke kumu ʻia e ka wā maloʻo a wela paha, ka hōʻike ākea i ka lā, a i ʻole nā ​​ua wela.

Hiki ke mālama ʻia ʻo Xerosis me nā moisturizers a me nā loli nohona, e like me ka hōʻalo ʻana i nā wā lōʻihi, nā ʻauʻau wela a i ʻole nā ​​ʻauʻau. ʻO nā hihia ʻoi aku ka koʻikoʻi i koi ʻia i nā hamo kuhikuhi a i ʻole nā ​​kalima.

Atopic dermatitis

ʻO Atopic dermatitis kahi maʻi kūpilikiʻi mau e kumu pinepine ai i nā ʻulaʻula, scaly, a me nā aniani. Hiki ke ʻike ʻia ma nā ʻāpana he nui o ke kino, me nā:

• wawae
• kuʻekuʻe wāwae
• lima
• nā kūpeʻe lima
• ʻāʻī
• ʻōmaka maka
• i loko o nā kuli a me nā kuʻe lima

Pili ia e pili ana i ka poʻe ma ʻAmelika Hui Pū ʻIa, a ʻike ʻia he mea maʻamau ia i nā wahi maloʻo a i ʻole nā ​​kaona.

Hiki ke mālama ʻia ʻo atopic dermatitis me nā kalima korticosteroid, nā kalima hoʻomaikaʻi i ka ʻili i ʻike ʻia me nā mea kaohi cineineurin, a i ʻole nā ​​lāʻau anti-itch. Hiki ke kuhikuhi ʻia nā lāʻau antibiotic no nā maʻi. Eia nō naʻe, maʻamau ka hana hou i ka poʻe me ka maʻi HIV.

Dermatitis Seborrheic

Hoʻopili ka Seborrheic dermatitis i ka maka a me ke poʻo, e hopena ai i ka ʻula, nā unahi, a me ka dandruff. Hoʻomaopopo pū ʻia ke ʻano he seborrheic eczema.

ʻOiai e kū ana ma kahi o 5 pākēneka o ka heluna lehulehu, ʻike ʻia ke ʻano ma 85 a 90 pākēneka o ka poʻe me ka maʻi HIV.

Mālama ka hoʻomaʻamaʻa e hōʻoluʻolu i nā ʻōuli a me nā ʻano kumuhana kumuhana, e like me shampoos antidandruff a me nā kalima hoʻoponopono hou.

Photodermatitis

Hana ʻia nā Photodermatitis ke hoʻomālamalama nā kukuna UV mai ka lā mai ka lā i nā huehue, nā palapū, a i ʻole nā ​​pā maloʻo ma ka ʻili. Ma waho aʻe o ka ʻeha ʻana o ka ʻili, hiki paha i kekahi kanaka me ka photodermatitis ke ʻeha i ka ʻeha, ʻeha poʻo poʻo, nausea, a i ʻole ke kuni.

Kūleʻa kēia ʻano i ka wā o ka antiretroviral therapy, ke lilo ka ʻōnaehana immune i hyperactive, a i ka wā o ka immunodeficiency koʻikoʻi.

Eosinophillic folliculitis

Hoʻohālikelike ʻia ʻo Eosinophillic follikulitis e ka ʻili, ʻulaʻula nā puʻupuʻu e kau ana ma luna o nā follicle o ka lauoho ma ke poʻo o ke poʻo a me luna. ʻIke pinepine ʻia kēia ʻano dermatitis i ka poʻe i nā pae hope o ka maʻi HIV.

Hiki ke hoʻohana ʻia nā lāʻau lapaʻau, nā kalima, a me nā shampo lāʻau e kōkua ai i ka mālama ʻana i nā ʻōuli, akā paʻakikī ke ʻano e mālama.

Prurigo nodularis

ʻO Prurigo nodularis kahi kūlana i nā puʻupuʻu ma ka ʻili e hana ai i ka ʻili a me kahi ʻano scab-like. Hōʻike ka hapanui ma nā wāwae a me nā lima.

Hoʻopili kēia ʻano dermatitis i ka poʻe me nā ʻōnaehana pale ʻino loa. Hiki ke lilo i ka ʻili ka nui loa i ka hou ʻana o ka ʻili ʻana i kumu e kahe ai ke koko, hāmama nā ʻeha, a me nā maʻi hou aʻe.

Hiki ke mālama ʻia ʻo Prurigo nodularis me nā kalima steroid a i ʻole nā ​​antihistamines. I nā hihia koʻikoʻi, hiki i kahi mea mālama ola ke paipai i ka cryotherapy (ka hau ʻana i nā lumps). Hiki ke kuhikuhi ʻia nā lāʻau lāʻau antibiotic no nā maʻi i hoʻokumu ʻia e ka ʻānai nui ʻana.

ʻO ka Photodermatitis ka mea maʻamau i ka poʻe o ke kala. ʻO ka poʻe o ke kala e hoʻomohala i ka prurigo nodularis.

Nā maʻi ʻino

Hoʻohui ʻia kekahi mau maʻi bacteria, fungal, viral, a me nā maʻi palapū i ka poʻe me ka maʻi HIV. ʻO nā maʻi i hōʻike pinepine ʻia e pili pū me:

Syphilis

Hoʻokumu ʻia ka sipili e ka maʻi koʻohune Treponema pallidum. Alakaʻi ia i ka ʻeha ʻole, a i ʻole nā ​​chancres, ma ka genitalia a i ʻole ma loko o ka waha. ʻO ka pae ʻelua o ka syphilis kahi hopena i ka ʻāʻī ʻeha, pehu nā lymph node, a me ka hū.ʻAʻole makaʻu ka hū a ʻike pinepine ʻia ma nā palma a me nā kapuaʻi.

Hiki i ke kanaka ke ʻaelike wale aku i ka syphilis ma o ka hoʻopili pololei ʻana, e like me ka pili moekolohe, me nā ʻeha syphilitic. Lapaʻau maʻamau ʻo Syphilis me ka pahu o penicillin. I ke kumu o kahi alapiʻi penicillin, e hoʻohana ʻia kahi antibiotic ʻē aʻe.

Ma muli o ka mahele like ʻana o ka syphilis a me ka maʻi HIV, makemake paha ka poʻe e loaʻa ana i kahi hōʻailona syphilis e noʻonoʻo pū i kahi hōʻike hōʻike HIV.

ʻO Candidiasis

Hiki i ka maʻi HIV ke alakaʻi i ka thrush oral, kahi ʻano o ka maʻi ʻili i hoʻokumu ʻia e ka fungus ʻO Candida albicans (C. albicans). ʻO kēia maʻi hou ka hopena i nā māwae ʻeha ma nā kihi o ka waha (ʻike ʻia ʻo angular cheilitis) a i ʻole kahi papa keʻokeʻo mānoanoa ma ke alelo.

Hana ʻia ia ma nā helu helu CD4 haʻahaʻa. ʻO ka hana lapaʻau makemake ʻia ʻo antiretroviral therapy a me ka hoʻonui ʻana i ka helu CD4.

ʻO nā maʻi ʻino ʻē aʻe i ʻike ʻia i nā poʻe me ka maʻi HIV:

• nā maʻi intertriginous, i loaʻa i loko o nā pale o ka ʻili i pulu e like me ke aʻa a i ʻole ka ʻūlima; alakaʻi lākou i kaʻeha a me kaʻulaʻula
• nā maʻi kui, ka mea hiki ke hoʻonā i nā kui ku mānoanoa
• nā maʻi o ka wāwae ma nā wahi e pili ana i nā kui, hiki ke hōʻeha i ka ʻeha a me ka pehu
• maʻi maʻi hū

Hiki ke hoʻohana ʻia i nā ʻano lāʻau antifungal e mālama i kēia mau maʻi.

ʻO nā ʻano lapaʻau ʻē aʻe no ka thrush pū me nā holoi holoi a me nā lozenges waha. Hiki ke mālama ʻia nā maʻi hū ʻo ke kino me nā kōkua ʻē aʻe e like me ka boric acid a me ka aila lāʻau ti. ʻO ka ʻaila kumulāʻau kahi lāʻau lapaʻau kaulana no ka fungus kaʻi pū kekahi.

ʻO ka maʻi herpes zoster (shingles)

ʻO ka maʻi herpes zoster ʻike ʻia ʻo shingles. Hoʻokumu ʻia ia e ka maʻi varicella-zoster, ka maʻi ma lalo like me ka moa. Hiki i nā Shingles ke alakaʻi i ka ʻeha o ka ʻili ʻeha a ʻike ʻia nā pā. ʻIke ʻia paha i ka wā o ke kanaka i ka mua a i ʻole ka hopena o ka maʻi HIV.

Makemake paha kekahi kanaka i ʻike ʻia me nā shingles e noʻonoʻo i kahi hōʻike loiloi HIV inā ʻaʻole ʻike ʻia ko lākou kūlana HIV. ʻOi aku ka maʻamau o ka shingles a ʻoi aku ka paʻakikī i ka poʻe e noho ana me ka maʻi HIV, ʻo ka mea ʻoi aku ka nui o nā maʻi o ka maʻi HIV.

Hoʻopili pinepine ka mālama ʻana i nā regimens lāʻau antiviral. Eia nō naʻe, ke hoʻomau mau nei ka ʻeha e pili ana i nā leona ma hope o ka hoʻōla ʻana o nā leona.

Makemake paha ka poʻe hopohopo nui no ka shingles e kūkākūkā i ka lāʻau lapaʻau me kā lākou kauka. Ma muli o ka piʻi ʻana o ka maka o ka shingles me ka makahiki, paipai nui ʻia ka lāʻau lapaʻau no nā mākua ma mua o 50.

ʻO ka maʻi herpes simplex (HSV)

ʻO ka maʻi herpes simplex maʻi mau a hoʻomau (HSV) kahi ʻano wehewehe i ka maʻi SIDA. Kuhi kona alo ua hōʻea kekahi kanaka i kēia pae kiʻekiʻe loa o ka maʻi HIV.

Hoʻokumu ʻo HSV i nā maʻi anuanu ma ka waha a me ka maka e like me nā lehelehe genital. ʻOi aku ka ʻoi loa o nā liona mai HSV i ka poʻe me ka maʻi kiʻekiʻe o ka HIV.

Hoʻomaʻamaʻa ʻia paha ka mālama ʻana i episodically - i ka wā o ka maʻi ʻana - a i ʻole i kēlā me kēia lā. Hoʻomaopopo ʻia ka mālama ʻana i kēlā me kēia lā ʻo suppressive therapy.

Molluscum contagiosum

Hōʻike ʻia ka Molluscum contagiosum e nā puʻupuʻu a me nā ʻiʻo kikokiko i ka ʻili. Hoʻopili pinepine kēia maʻi maʻi ʻili loa i ka poʻe me ka maʻi HIV. Pono paha nā hana hou e hoʻopau loa i ke kino o kēia mau puʻupuʻu i makemake ʻole ʻia.

ʻO nā puʻupuʻu i hoʻokumu ʻia e molluscum contagiosum he mea ʻeha ʻole a kū pinepine ʻia ma ka:

• alo
• kino kiʻekiʻe
• lima
• wāwae

Hiki ke ʻano i kēlā me kēia wā o ka HIV, akā ʻo ka ulu wikiwiki a hoʻolaha ʻana o ka molluscum contagiosum kahi hōʻailona o ka holomua o ka maʻi. ʻIke pinepine ʻia ke kaomi ʻana o ka helu CD4 ma lalo o 200 mau hunaola i kēlā me kēia mm3 (ʻo ia nō ke kiko e ʻike ʻia ai ke kanaka me ka maʻi SIDA).

ʻAʻole hiki i ka Molluscum contagiosum ke hana i nā pilikia olakino koʻikoʻi, no laila he cosmetic ka lapaʻau. ʻO nā koho lapaʻau e kū nei me ka hoʻopaʻa ʻana i nā puʻupuʻu me ka nitrogen wai, nā hamo kumuhana, a me ka hemo ʻana o ka laser.

Leukoplakia huluhulu waha

ʻO ka leukoplakia huluhulu waha he maʻi e pili ana me ka maʻi Epstein-Barr (EBV). Inā ʻaelike kekahi kanaka iā EBV, e noho ia i loko o ko lākou kino no ko lākou koena o ko lākou ola. Moe pinepine ka virus, akā hiki ke hoʻoulu ʻia ke hoʻonāwaliwali ʻia ka ʻōnaehana pale (ʻoiai ma HIV).

Hoʻohālikelike ʻia e nā liona mānoanoa, keʻokeʻo ma ke alelo a ma muli paha o ka paka ʻana a me ka puhi paka ʻana paha.

ʻO ka leukoplakia huluhulu waha ʻehaʻeha a hoʻonā me ka ʻole o ka lāʻau.

ʻOiai ʻaʻole koi ʻia ka mālama pololei ʻana i nā leona, e noʻonoʻo paha ka poʻe me ka maʻi HIV i ka hoʻomau antiretroviral therapy me ka nānā ʻole. E hoʻomaikaʻi ia i ka ʻōnaehana pale o ke kino, a kōkua paha i ka EBV e hiamoe.

Nā ʻūlū

ʻO nā warts ka ulu ʻana ma ka papa luna o ka ʻili a i ʻole ka membrane mucous. Hoʻokumu ʻia lākou e ka papillomavirus kanaka (HPV).

Hoʻohālikelike lākou me nā puʻupuʻu me nā kiko ʻeleʻele ma luna o lākou (ʻike ʻia he ʻanoʻano). ʻIke ʻia kēia mau hua ma ke kua o nā lima, ka ihu, a i ʻole ka lalo o nā wāwae.

Akā, ʻo nā warts genital, ʻeleʻele a i ʻole ʻona nā manu, me nā poʻo e like me ka pua kō. Hiki iā lākou ke hōʻike ma nā ʻūhā, ka waha, a me ka puʻu a me ka wahi genital.

Loaʻa ka nui o ka makaʻu o ka poʻe maʻi HIV i ka anal a me ka cervle HPV, no laila he mea nui e hele pinepine lākou i nā aniani a me nā ʻeha Pap.

Hiki ke mālama ʻia nā warts me kekahi mau kaʻina hana, me ke kūpuna ʻana a i ʻole ka hemo ʻana ma o ke kaha liʻiliʻi. Eia naʻe, ʻoi aku ka paʻakikī o ka maʻi HIV no ka ʻōnaehana pale pale e kāpae aku ai i nā warts a pale iā lākou i ka wā e hiki mai ana.

Hiki i ka poʻe HIV-maikaʻi a me ka poʻe HIV-maikaʻi ke hōʻemi i ko lākou pilikia no nā warts genital ma o ka loaʻa ʻana o ka lāʻau vaccine HPV. Hoʻouna wale ʻia ka lāʻau lapaʻau i nā makahiki 26 a ʻoi.

ʻ canpala ʻili

Hoʻonui ka HIV i ka makaʻu o ke kanaka i kekahi ʻano maʻi ʻaʻai, me kahi mau mea e hoʻopili i ka ʻili.

ʻO Carcinoma

ʻOi aku paha ka poʻe me ka maʻi HIV ma mua o ka heluna lehulehu e hoʻomohala i ka carcinoma basal cell (BCC) a me ka carcinoma squamous cell (SCC). ʻO BCC a me SCC nā ʻano maʻamau o ka maʻi ʻaʻai ʻili ma United States. Eia naʻe, kākaʻikahi lākou e hoʻoweliweli i ke ola.

Pili nā kūlana ʻelua i ka hala o ka lā i hala a pili i ke poʻo, ka ʻāʻī, a me nā lima.

Ua loaʻa i kahi Denemaka o ka poʻe e noho nei me ka maʻi HIV ka hoʻonui ʻia o ka helu o BCC i nā kāne kūleʻa HIV i moe kolohe me nā kāne (MSM). Ua ʻike ʻia ka hoʻonui ʻia o ka helu o SCC i ka poʻe me nā helu CD4 haʻahaʻa.

ʻO ka mālama ʻana he ʻōpala e wehe i nā ulu o ka ʻili. Hana ʻia paha ʻo Cryosurgery.

Melanoma

Melanoma kahi ʻano laha ʻole akā hiki ke make i ka maʻi ʻaʻai. Hoʻokumu pinepine ia i nā mole he asymmetrical, kala, a nui paha. E loli paha ke ʻano o kēia mau mole i ka hala ʻana o ka manawa. Hiki i ke Melanoma ke hana i nā kaula o ka pigmentation ma lalo o nā kui.

ʻOi aku ka ikaika o Melanoma i ka poʻe e noho ana me ka maʻi HIV, ʻo ka mea hoʻi me nā ʻili maikaʻi.

E like me nā carcinomas, mālama pū ʻia ka melanoma me ke ʻoki kino e hemo ai nā ulu a cryosurgery paha.

Kaposi sarcoma (KS)

ʻO Kaposi sarcoma (KS) kahi ʻano o ka maʻi ʻaʻai e hoʻopili i ka uhi o nā kīʻaha koko. ʻIke ʻia e like me nā liona ʻeleʻele ʻeleʻele, poni, a ʻulaʻula. Hiki i kēia ʻano maʻi ʻaʻai ke hoʻopili i nā akemāmā, nā wahi digestive, a me ke ake.

Hiki ke kumu o ka hanu, paʻakikī ka hanu ʻana, a me ka pehu ʻana o ka ʻili.

Hōʻike pinepine ʻia kēia mau leona ke hāʻule nui ka helu o ke koko keʻokeʻo (WBC). ʻO ko lākou helehelena he hōʻailona pinepine ia ua lilo ʻo HIV i AIDS, a ua hoʻohoka nui ʻia ka ʻōnaehana pale.

Pane aku ʻo KS i ka chemotherapy, radiation, a me ke kaha ʻana. Ua hōʻemi nui nā lāʻau Antiretroviral i ka helu o nā hihia KS hou i ka poʻe me ka HIV a me ke koʻikoʻi o nā hihia KS e kū nei.

E kamaʻilio me kahi mea mālama ola

Inā loaʻa ka maʻi i kekahi kanaka, e ʻike paha lākou i hoʻokahi a i ʻole mau ʻano ʻili a me nā ʻino.

Eia nō naʻe, ke ʻike ʻia i nā wā mua o ka maʻi HIV, e hoʻomaka ana i ka mālama ʻana ma hope koke iho, a me ka pili ʻana i ka lāʻau hoʻomalu e kōkua i ka poʻe e hōʻalo i nā ʻōuli ʻoi loa. E hoʻomanaʻo i ka nui o nā ʻili i pili me ka maʻi HIV e hoʻomaikaʻi me ka antiretroviral therapy.

Nā hopena o nā lāʻau HIV

Hiki i kekahi mau lāʻau lapaʻau HIV maʻamau ke hoʻoulu i nā ʻōpala, me:

• non-nukleoside hoʻohuli transcriptase mea kāohi (NNRTI), e like me efavirenz (Sustiva) a i ʻole rilpivirine (Edurant)
• nā mea hoʻopukapuka transposase nucleoside (NRTI), e like me abacavir (Ziagen)
• nā protease protease, e like me ritonavir (Norvir) a me atazanavir (Reyataz)

Ma muli o ko lākou kaiapuni a me ka ikaika o kā lākou ʻōnaehana pale, hiki i ke kanaka ke loaʻa i hoʻokahi o kēia mau ʻano i ka manawa like. Pono paha ka lāʻau e kamaʻilio iā lākou pākahi a i ʻole i ka manawa hoʻokahi.

Inā loaʻa kahi wī ma ka ʻili, e noʻonoʻo e kūkākūkā i nā ʻōuli me kahi mea mālama ola. E nānā lākou i ke ʻano o ka hū, e noʻonoʻo i nā lāʻau i kēia manawa, a kuhikuhi i kahi papa hana e hōʻoluʻolu i nā ʻōuli.

E heluhelu i kēia ʻatikala ma ka Paniolo.