Rheumatic Disease Saduwa da HIV: Jiyya da Fassara
Shin akwai haɗin tsakanin HIV da ciwon maganin ƙwayar cuta? Yaya yawancin cututtuka na rheumatic a cikin mutanen da ke dauke da cutar HIV kuma menene matsaloli na musamman zasu fuskanta game da maganin? Yaushe ne za a jarraba mutane da haɗin gwiwa, tsoka, ko ciwo na arthritis ga HIV / AIDs?
HIV da Arthritis Symptoms
Kwayar cutar HIV (cututtukan kwayoyin halitta) , cutar da ke haifar da cutar kanjamau (samuwar ciwon rashin lafiya) ba zai iya haifar da yawancin alamun cututtuka na cututtuka da cututtuka na rheumatic, kuma an gano wannan ƙungiyar ne kawai bayan shekaru uku bayan gano cutar.
Wannan cutar zai iya haifar da:
- Maganin arthritis
- Haɗin gwiwa
- Abin ciwo
- Ƙarfin tsoka
Duk da haka, ban da haddasa haɗin gwiwa da kuma ciwon tsoka, HIV / AIDs yana haɗuwa da abubuwa masu yawa na rheumatic.
Ciwon Rheumatic Associated HIV
Kwayoyin rheumatic suna da yawa a cikin mutanen da ke dauke da kwayar cutar HIV, tare da kimantawa cewa kashi 70 cikin dari na mutanen da ke fama da kwayar cutar na iya bunkasa ɗaya daga cikin waɗannan yanayi kafin kafin bayan ko bayan ganewarsu. Kwayoyin Rheumatic da ke hade da HIV sun hada da:
- Rashin maganin arthritis: Rashin maganin arthritis shine nau'in ciwon maganin ƙwaro wanda yake faruwa a matsayin mai maganin kamuwa da cuta a wasu wurare a cikin jiki, kuma yana iya faruwa tare da nau'in cututtuka irin su HIV.
- Psotic arthritis: Psoriatic arthritis yana daya daga cikin rukuni na cututtuka da aka sani da spondyloarthropathies.
- Rheumatoid arthritis: Ritumatoid arthritis yana da yawa a cikin mutanen da ke dauke da kwayar cutar HIV.
- Mawuyacin cututtuka mai raɗaɗi: Ciwo mai cututtuka mai tsanani shi ne yanayin iyakacin jiki amma mai zafi wanda ya shafi ɓarna da kuma haɗin gwiwa a cikin ƙananan ƙananan.
- Osteomyelitis: Osteomyelitis ne ƙwayar cuta wanda yawancin kwayoyin cuta ke haifarwa, kuma yana buƙatar lokaci mai zurfi don kawar da kamuwa da cuta.
- Polymyositis: Tare da rikicewar rikicewa na bayyanar cututtuka, polymyositis ne cututtukan nama na haɗuwa wanda ke nuna kumburi da kuma yawan tsokoki.
- Vasculitis: Vasculitis ne yanayin da ya shafi kumburi da jini.
- Abubuwan da ke cikin cututtuka: Haɗin gwiwa zai iya samuwa daga kamuwa da cuta a wasu wurare a jikinka wanda aka kai ga haɗin gwiwa.
- Fibromyalgia: Fibromyalgia shine yanayin da ke fama da ciwon jiki, zafi, matsalolin barci, matsanancin gajiya, damuwa, damuwa, matakai masu tausayi. A wasu lokutan an kira shi a matsayin yanayin "aikin" likita saboda babu cikakkun gwaje-gwaje don yin ganewar asali.
Bincike kan cutar cututtukan HIV
Maganin rheumatic zai iya faruwa kafin ko bayan ganewar asibiti na HIV.
A cikin wanda ba'a gano shi ba tare da HIV, sabon salo na yanayin rashin lafiya zai iya nuna yiwuwar kamuwa da cuta. A gaskiya ma, wasu suna tsammanin cewa yin amfani da kwayoyin cutar kanjamau don magance cutar HIV zai iya zama mai rai a gano magungunan cutar HIV, har ma ba tare da hadarin cutar HIV / AIDs ba. A cewar Cibiyar Harkokin Rheumatology na Amirka, "cututtuka na rheumatic HIV da ke hade da cutar ta HIV, na iya haifar da ganewar cutar HIV." Idan mutum yana da mummunar haɗari ga cutar HIV kuma ya ba da alamun bayyanar cututtuka da raɗaɗi, tsokoki mai raɗaɗi, ko sauran alamun wariyar launin fata, gwaji ga cutar HIV zai iya tabbatarwa ko kuma kawar da bayyanar cutar HIV.
Haka kuma, a cikin wanda aka gano da kwayar cutar ta HIV kuma yana da alaƙa da alaƙa da juna, dole ne a yi la'akari da aikin da ake yi don maganganu.
Harkokin cutar rheumatic da ke hade da cutar HIV na iya shafar kowace shekara, tseren, ko jinsi, amma yawanci yana shafar mutane tsakanin 20 zuwa 40.
Me yasa cututtuka na rheumatic karin al'ada a mutanen da ke dauke da HIV / AIDs?
Yayinda yake bayyana cewa cututtuka na rheumatic sun fi kowa a cikin mutanen da ke dauke da cutar HIV / AIDs fiye da yawan jama'a, ainihin dalili ba wannan ba ne. Akwai hanyoyi masu yawa. Ɗaya shine cewa yanayin rheumatoid yana da alaka da kamuwa da cutar HIV kanta.
Wani tunani shine cewa yanayin rheumatic zai iya haifar da canje-canje a cikin tsarin da ke dauke da HIV. Duk da haka wani ra'ayi ita ce, alamar wariyar launin fata na iya kasancewa da alaka da cututtuka masu haɗari wanda ke cikin kwayar HIVAIDS. Tun da bambancin dake tsakanin HIV da AIDS, da kuma fahimtar cututtuka masu amfani da hanzari yana da rikici, bari mu bincika waɗannan tambayoyi kafin mu sake nazarin yiwuwar zaɓuɓɓuka.
Mene ne Bambanci tsakanin HIV da AIDS?
Mutane da yawa suna kwatanta HIV da AIDS. Duk da haka, kwayar cutar HIV da AIDs sun bambanta ɗakunan kwayoyi. Musamman, mutum yana da cutar ta farko da cutar ta HIV, amma yana iya ɗaukar shekaru masu yawa don bunkasa cutar AIDS. Bugu da ƙari kuma saboda maganin cutar HIV / AIDs ya ci gaba sosai, mutane da yawa da ke dauke da kwayar cutar HIV wadanda ke kulawa da hankali a kowace rana suna da damar da ba za su iya fadada wani abu ba inda suke bunkasa cutar AIDS; suna iya ci gaba da zama lafiya.
Kwayoyin CD4 suna dauke da kwayoyin CD4 (kwayoyin T) wanda ke taimaka wa jikin mu yaki da kamuwa da cuta. Lokacin da ƙididdigar CD4 ya faɗi a ƙasa da 200 kwayoyin / millimeter cubic, mutum yana tayar da cutar AIDS. A madadin haka, mutum zai iya ci gaba da cutar Sida idan har suka kamu da cutar.
Mene ne cutar Cutar HIV / AIDs?
Kwayar cutar HIV / AIDs tana da alaƙa da haɗari . Wani kamuwa da kwarewa yana haifar da kwayoyin cuta, ƙwayoyin cuta, fungi ko protozoa wadanda suke amfani da tsarin rashin lafiya na mai watsa shiri. Maganin rheumatic ba ƙari ba ne, duk da haka, waɗannan cututtuka na iya haifar da cututtukan maganin arthritis da aka ambata a sama, kuma suna daya daga cikin hanyoyin da zasu iya haifar da haɗin HIV da yanayin rheumatic. Wasu daga cikin cututtuka da ke tattare da HIV / AIDs sun hada da:
- Candida
- Cryptococcus
- Cytomegalovirus
- Histoplasmosis
- MAC
- PCP
- Toxoplasmosis
- Tarin fuka
Cututtuka da aka haɗa da kwayoyin cutar HIV
Bugu da ƙari da yanayin yanayi wanda aka bayyana a sama, illa masu cutar da kwayoyin cutar HIV na iya haifar da kashi, haɗin gwiwa, da yanayin laushi irin su:
- Gout
- Tenosynovitis
- Myopathy (tsoka ƙonewa)
- Osteonecrosis
- Osteoporosis
Waɗannan sharuɗɗa sune, abin sa'a, ba su da yawa a yanzu tare da sababbin cututtuka na HIV / AIDs.
Yin maganin cututtuka na Rheumatic Associated HIV
Yin maganin cututtukan rheumatic da ke hade da kwayar cutar ta HIV sun haɗa da juna biyu: Yin maganin bayyanar cututtuka da suka shafi cututtuka, da kuma magance cutar HIV wadda ke hade da waɗannan cututtuka.
Wannan ya ce, maganin cututtuka na rheumatic a cikin mutanen da ke dauke da kwayar cutar HIV zai iya zama kalubale.
Magungunan magungunan rigakafi (magungunan da ke hana maganin rigakafi) irin su Imuran da methotrexate suna amfani dashi ga cututtuka na rheumatic, amma waɗannan jiyya na iya hana su (wanda bazai amfani dashi) a cikin mutanen da ke dauke da kwayar cutar HIV) kamar yadda HIV ke haifar da immunosuppression). A ka'idar, akwai damuwa cewa wannan haɗuwa zai iya haifar da tasirin immunosuppression, amma ba a sami cikakken bayani game da lafiyar wannan aikin ba.
HAART (Magungunan Tsarin Rinjayar Kwayoyin Kyau) , yana da tasiri wajen magance matsalolin rheumatic da suka shafi HIV. A wannan hanyar, maganin cutar HIV kaɗai zai iya inganta alamun bayyanar cututtuka na rheumatoid.
Ga mutanen da ke dauke da maganin cututtuka, DMARDS (cututtukan cututtuka na maganin maganin ƙwayar cuta) ana amfani da su, amma ga wadanda ke tare da cutar kanjamau / AIDS da rheumatoid arthritis akwai yanzu basu da shaida don bayar da shawarar wadannan kwayoyi.
Mutanen da ke ɗauke da kwayar cutar Rheumatic na HIV suna iya amfana daga magani tare da magungunan maganin jinya da kwayoyi masu ƙwayoyin cutar ƙwayoyin cuta don rage alamar cututtuka na yanayin rheumatic.
Sanin cutar HIV ta haɗu da cututtukan Rheumatoid
Abin baƙin ciki shine, wadanda suke inganta yanayin ilimin wariyar launin fata tare da HIV / AIDs sau da yawa suna nuna rashin lafiya fiye da mutanen da ke dauke da kwayar cutar HIV / AIDs amma ba tare da yanayin rheumatic ba.
Mahimman Batu Game da HIV da Rheumatic Diseases
Akwai abubuwa da yawa da za a lura lokacin da suke tattaunawa game da hada kan HIV da cututtukan rheumatic. Wadannan sun haɗa da:
- Duk wani cututtukan rheumatic zai iya faruwa ba tare da kamuwa da HIV ba.
- Daga kashi 30 zuwa kashi 70 cikin 100 na kamuwa da cutar ta HIV zai iya haifar da cututtuka na rheumatic.
- Kasancewar cututtukan rheumatic da ke hade yana damuwa da bayyanar cutar HIV.
- Mutanen da suke da cututtuka na rheumatic banda HIV suna da mummunan rayuwa.
Gaba mai zurfi kan cutar HIV da cututtuka na Rheumatic
Kamar yadda aka sani, sabon farawa na cututtukan rheumatic ya kamata a gwada gwajin HIV a cikin mutanen da ke iya fuskantar hadarin. Hakanan, mutane da ke dauke da kwayar cutar ta HIV dole ne a lura da su a hankali saboda yanayin yanayi na rheumatoid. Don yin wannan mawuyacin hali, duk wani cuta na rheumatic zai iya faruwa ba tare da kamuwa da kwayar cutar HIV ba kuma bazai iya sanin ko cutar za ta faru kadai ko kuma idan an haɗa shi da kamuwa da cuta.
Mun san cewa mutanen da ke dauke da kwayar cutar HIV wadanda ke bunkasa cututtuka na rheumatic suna da talauci na rayuwa da rashin fahimta. Wani ɓangare na wannan zai iya zama saboda tsoron yin amfani da kwayoyi masu guba ga cututtuka don cututtuka na rheumatic a cikin mutanen da suka rigaya sun riga sun cutar saboda cutar. Halin wannan kwayoyi da kuma aminci shi ne mafi yawan wanda ba a sani ba. Abin farin ciki, yawancin cututtukan rheumatic sukan inganta tare da maganin HIV kadai.
Idan kuna da kwayar cutar HIV da yanayin rashin lafiya, yana da muhimmanci a yi aiki tare da cututtukan cututtuka da masana kimiyyar rheumatology waɗanda suke jin dadin magance yanayin biyu tare, da kuma wanda zai iya aiki tare don tsara tsarin da kuma kula da ci gabanku.
> Sources:
> Adizie, T., Moots, R., Hodkinson, B., Faransanci, N., da A. Adebajo. Magungunan cututtuka na inflammatory a cikin kwayar cutar HIV Wadanda ke da kyau: Jagoran Mai Amfani. BMC cututtukan cututtuka . 2016. 16: 100.
> Cibiyar Rheumatology ta Amirka. HIV da Rheumatic Disease. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/HIV-Rheumatic-Diseases
> Cunha, B., Mota, L., Pileggi, G., Safe, I., da M. Lacerda. HIV / AIDS da Rheumatoid Arthritis. Autoimmune Reviews . 2015. 14 (5): 396-400.
> Shah, D., Flanigan, T., da E. Lally. Gudanar da Juyin Halitta na HIV a Dandalin Rheumatology. Journal of Clinical Rheumatology . 2011. 17 (3): 154-6.