Lalacewa yana da muhimmanci amma duk da haka al'amuran mutane da ke dauke da kwayar cutar HIV
Ciwon ƙwayar cutar AIDS (ADC), wanda aka fi sani da cututtukan HIV, ita ce cutar da ke dauke da cutar HIV . Ƙungiyar da Cibiyoyin Kula da Cututtuka na Cututtuka (CDC) ke tsarawa a matsayin yanayin AIDS kuma ya nuna halin da ake ciki na halayen zuciya, motsa jiki da kuma halin halayen, wanda alamun sun iya hada da:
- ƙwaƙwalwar ƙwaƙwalwar ajiya da ƙaddamarwa
- rage sauraron tunani da / ko hankali
- alamace canje-canje
- rage ƙarfi / frailty
- asarar basirar mota (misali razana, damuwa)
- hasara mai haɗari na motsi
- dementia
An bayyana ladabi da ci gaba da rushe hanyoyi na tunanin mutum da aka nuna ta canzawar mutum, yanayin ƙwaƙwalwar ajiya, da kuma dalili.
Sanadin cutar ta AIDS
ADC yakan kasance a cikin cutar ci gaba yayin da ƙwayar CD4 na marasa lafiya ya kasance a kasa 200 kwayoyin / μl kuma an haɗa shi tare da babban nauyin hoto na hoto.
Sabanin mafi yawan yanayin cutar AIDS, ADC ba ƙananan kamuwa da illa ba ne kamar yadda yanayin cutar HIV ke kanta. Bincike ya nuna cewa kwayoyin jini mai tsabta da ke dauke da cutar kwayar cutar HIV da ake kira macrophages da kwayoyin jijiyoyin da ake kira 'microglia secrete neurotoxins' wadanda ke da tasiri a kan ci gaba da kuma girma cikin jiki. Bayan lokaci, wannan zai iya haifar da degeneration na aikin synaptic (watau watsa bayanai tsakanin masu amfani da na'urar), kazalika da mutuwar kwayar halitta a cikin ƙananan ƙwayoyin cuta.
Bincike da kuma magance cutar kanjamau
Babu gwajin da zai iya tabbatar da ganewar asibiti na HIV. An gano asali da yawa ta hanyar cirewa, yin hukunci akan wasu yiwuwar haddasa matsalar. Dole ne likita mai gwadawa ya yi cikakken cikakken bincike, nazarin tarihin mai haƙuri, jarrabawar jarraba (misali lumbar damuwa ), ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa (MRI, CT scan) , da kuma nazarin abubuwan da aka kira "alamu".
Sifofin sigogi na ƙayyade rashin rashin daidaito akan sikelin 0 zuwa 4, kamar haka:
- Mataki na 0: Maimakon al'ada da aikin tunani.
- Sashe na 0.5: Dysfunction mafi kyau tare da al'ada da ƙarfi. Mutum yana iya yin aiki da yin aikin yau da kullum.
- Sashe na 1: Raunin aiki na mota da / ko tunanin basira. Mutum zai iya tafiya ba tare da taimako ba kuma yana ci gaba da aiki sai dai ayyukan da ake buƙatarwa kullum.
- Sashe na 2: Ba za a iya yin aiki ba kuma yana da matsalolin matsawa tare da al'amurran da suka fi wuya a rayuwar yau da kullum. Duk da haka, mutumin yana iya kula da kansa kuma zai iya tafiya (albeit lokaci-lokaci tare da taimako na daya prop).
- Sashe na 3: Mahimmanci da kuma / ko mota incapacity. Mutum bai iya kula da kansa / kansa ba.
- Sashe na 4: Kusan tsarin vegetative.
Yayin da bayyanar cututtuka na ADC sun ragu ƙwarai a cikin lambobin tun lokacin da aka haɗu da maganin rigakafi (ART) , an nuna rashin lafiyar rashin lafiya a cikin kimanin kashi 30 cikin dari na wadanda ke da cutar HIV da kashi 50 cikin dari na wadanda ke fama da cutar AIDS.
Kullum, haɗarin ADC yana ganin ya zama mafi girma a cikin mutanen da ba su samu ciwon hoto ba, ko da yake zai iya ci gaba da kashi uku zuwa 10 bisa dari na wadanda ke dauke da kwayar cutar mai sarrafawa.
An nuna cewa samfurin ART zai iya jinkirta ko rage hadarin ADC.
Ga wadanda ke da nakasar rashin lafiya, za su iya haɗawa da kwayoyi guda biyu tare da jin daɗin jin dadi da ƙuƙwalwar ƙwaƙwalwar ƙwaƙwalwa. Zaɓuɓɓuka sun haɗa da magungunan ƙwayoyin ƙwayoyin ƙwayoyin cuta na Retrovir (AZT) da Ziagen (abacavir), kazalika da magungunan maganin protease na Crixivan (indinavir).
Har ila yau Known As:
- Kwayar cutar HIV
- Ciwon ƙwayar cutar ta HIV (HAND)
- Abun da ke dauke da cutar HIV (HAD)
> Sources:
> Heaton, K .; Grant, I. Magoya; et al. "HNRC 500-Neuropsychology na cutar HIV a wurare daban-daban cututtuka." Jaridar International Society Neuropsychological Society. Mayu 1995: 1 (3), 231-251.
> Grant, I; Sacktor, N. McArthur, J .; et al. "Ciwon rashin lafiya na nakasassu na kwayar cutar dan adam: ƙirar rata." Annals of Neurology. Yuni 2010; 67 (6): 699-714.
> Robertson, K .; Smurzynski, M .; Parsons, T. et al. "Yaduwar cutar da rashin lafiyar jiki a cikin HAART." AIDS. Satumba 12, 2007; 21 (14): 1915-1921.
> Tozzi, V .; Balestra, P .; Bellagamba, R .; et al. "Tsarin Neuropsychologic Deficits Duk da Gwanin Tsarin Mulki Mai Saurin Kwayar Kwayoyin cuta a cikin marasa lafiya da ke dauke da kwayar cutar HIV. Rajistar Jirgin Ƙunƙasar Ƙaƙwalwar Lalacewa. Yuni 1, 2007; 45 (2): 174-182.
> Eden, A; Farashin, R; Hagberg, L; et al. "Yau gudun hijira ba shi da kyau a cikin marasa lafiya HIV-1 a kan tsararren ART." 17th Conference on Retroviruses and Opportunistic Infections. San Francisco, California; 2010.