An san shi a matsayin adnexa , wannan ɓangare na jikin mutum yana ba da kariya da lubrication zuwa idanu kanta kuma ya hada da fatar ido, hawaye ducts da conjunctiva (fararen idanu).
A cikin mutanen da ke dauke da kwayar cutar HIV , yawan cututtukan da suka fi dacewa a cikin waɗannan yankunan sun hada da
- Herpes zoster cutar (HSV)
- Kaposi sarcoma (KS)
- Molluscum contagiosum (wanda aka sani da "warts")
Canje-canje na kwayoyin halitta-wanda aka nuna ta hanyar micro-anerysms da dilage na veins da arteries-an kuma san su faruwa a kimanin kashi 70% zuwa 80% na marasa lafiya da kwayar cutar HIV kuma suna iya alaka da cutar HIV kanta.
Herpes Zoster
Harshen Hesv (HSV) ya haifar da sakewa na gida na varicella zoster virus (VZV), wanda ke tafiya tare da hanyar daji a ciki a cikin wani takamaiman ƙwayar cuta (watau yankin da aka ba da fata). Lokacin da aka mayar da hankali a kan sashin ƙwayar magunguna na abin da ake kira jijiyar cututtuka , zai iya gabatar da mummunan ciwo da ƙananan, rassan ruwa mai cikawa wanda zai iya saukowa da kuma ɓawon burodi. An yi amfani da kamuwa da ƙwayar da ake kira a matsayin Herpes zoster ophthalmicus (HZO).
HZO ya gabatar da kimanin kashi 10 cikin dari na mutanen da ke dauke da kwayar cutar HIV, da farko waɗanda ke da CD4 suna ƙidayar fiye da 200 kwayoyin / mL. Yarinya (shekaru 60 ko tsufa) na iya zama abin da zai taimaka wajen yanayin, har ma da damuwa na zuciya.
Aralclovir na maganin shi ne tsari na al'ada na HZO, tare da maganin steroid din da aka ba da umurni akai-akai ya kamata a sami shaida na saka hannu (misali, jijiya mai kama da ido kanta). Sakamakon asali da maganin farko shine mahimmanci don guje wa lalacewa da launi, retina, choroid ko jijiyoyin jijiya.
Akwai maganin rigakafin VZV , wanda aka bada shawarar don amfani da manya shekaru 50 da haihuwa daga Cibiyar Abinci da Druggun Amurka (FDA) a shekara ta 2011. Duk da yake ba a bayar da shawarwari masu dacewa don amfani da ita a cikin tsofaffi da ke dauke da kwayar cutar HIV ba. yana da mahimmanci don tallafawa amfani da shi a cikin marasa lafiya marasa lafiya da ke kula da kwayar cutar.
Kaposi Sarcoma
Kaposi sarcoma (KS) marar zafi ne, mai juyayi-fatawa wanda ya fi dacewa da maye gurbin cutar. Sakamakon cutar cutar ta mutum 8 (HHV8), zai iya gabatarwa a ciki da kuma kusa da eyelids na kimanin kashi 20 cikin dari na lokuta, sau da yawa tare da ƙumburi da ke ciki.
Duk da yake yanayin KS ya ragu sosai tare da zuwan haɗuwa da maganin cutar antiretroviral (cART) , har yanzu ana iya faruwa a wadanda ba su da ƙananan CD4, musamman idan an kawar da maye gurbin hoto. Tare da farawa na cART, shrinkage daga cikin raunuka zai faru sau da yawa a cikin ɗan gajeren lokaci kaɗan, bace kamar yadda aka dawo da aikin rigakafi.
Kwararrun kwayoyin cutar KS yana da wuya sosai, ko da yake kullun idanu, idanu bushe, kyamarar hoto (rashin haƙuri haske) da hangen nesa da aka sani sun faru ne sakamakon sakamakon ciwace-ciwacen da ke kusa da yankunan da suka fi dacewa da fatar ido da kuma hawaye.
Molluscum Contagiosum
Molluscum contagiosum ne kamuwa da cututtukan fata wanda ke haifar da cutar molluscum contagiosum (MSV). Ana yadawa daga mutum zuwa mutum ta hanyar saduwa ta jiki kuma yana haifar da ciwon daji, fata mai cike da ƙumi, a jikin fata, da mucous membranes. Raunuka suna da fata mai farin ciki kuma yawanci suna da launi daya kamar fata ta mutum, duk da haka yana da bayyanar waxy.
Molluscum contagiosum ya fi sau da yawa yakan faru a kananan yara da kuma mutane da tsananin maye gurbin. Zai iya gabatarwa akan kowane fata, ciki har da ido da ido da kanta. An yi la'akari da sanya hannu a kan rashin amincewa.
A cikin mutane masu lafiya, cututtuka sukan zama masu iyakancewa, suna gyara kansu
Harkokin MSV sun fi zama mai tsanani a cikin mutane masu fama da cutar HIV. Yanayin magani suna iyakance kuma zasu iya haɗawa da magungunan ƙwayoyi masu mahimmanci da magungunan magungunan magungunan magungunan magungunan magungunan magungunan ƙwayar magungunan ƙwayoyin cuta, ko yin amfani da nitrogen ko na'urar laser ga wadanda suke son saurin cirewa. Babu maganin alurar rigakafin MSV.
Sources:
Rocha Lima, B. "Alamar Ophthalmic a cikin HIV Kamuwa." Digital Journal of Ophthalmology. Oktoba 29, 2004; 10 (3): layi na intanet.
Sudhakar, P .; Kedar, S .; da Berger, J. "Neuro-ophthalmology na HIV / AIDs nazarin cutar Neurobehavioral HIV." Neurobehavioral HIV Medicine . Satumba 17, 2012; 2012 (4): 99-111.
Ma'aikatar Lafiya ta Amurka da Ayyukan Dan Adam (DHHS). "Sharuɗɗa don Rigakafin da maganin cututtukan da ke tattare da cutar HIV-Cutar da ke Yara da matasa: Ƙananan marasa lafiya CMV - Varicella Zoster Virus." Rockville, Maryland.
Cibiyar Abinci da Druggun Amurka (FDA). "FDA ta amince da rigakafin Zostavax don hana shingles daga mutane 50 zuwa 59." Silver Springs, Maryland; wani saki na wallafawa Mayu 24, 2011.
Benson, C .; Hua, L ;; Andersen, J; et al. "ZOSTAVAX na da lafiya kuma immunogenic a cikin kwayar cutar HIV + manya da aka lalata a kan ART: sakamako na lokaci 2, bazuwar, mutum biyu makafi, jarrabawar wuribo." Taro na 19 a kan Magungunan Tsarin Kasuwanci da Hanyoyi (CROI); Seattle, Washington; Maris 5-8, 2012; m 96.
DHHS. "Sharuɗɗa don Rigakafin da magance cututtukan da ke tattare da cutar HIV-Cutar da ke da yara da kuma matasa: Cutar da ba a CMV - Human Herpesvirus 8." Rockville, Maryland.
DHHS. "Sharuɗɗa don Rigakafin da magance cututtukan da ke tattare da cutar HIV-Cutar da ke da yara da kuma matasa: Cutar da ba a CMV - Human Herpesvirus 8." Rockville, Maryland.
Cibiyoyin Kula da Cututtuka da Cututtuka (CDC). "Bayanin Bincike: Molluscum Contagiosum." Atlanta, Jojiya.