Izifo zeRheumatic ezibandakanyeka ne-HIV: unyango kunye nokuhlaziya
Ngaba kukho uxhulumaniso phakathi kwe-HIV kunye ne-arthritis? Ziqhele kangakanani izifo ze-rheumatic kubantu abanentsholongwane kaGawulayo kunye naziphi iingxaki ezikhethekileyo abanokujamelana nazo malunga nophatho? Kufuneka nini na abantu abaneentlungu ezidibeneyo, izihlunu okanye i-arthritis kwi-HIV / AIDS?
HIV kunye neArthritis Symptoms
Intsholongwane kaGawulayo (igciwane lesandulela-ngculazi lomntu) , intsholongwane ebangela ukuba i-AIDS (ifunyenwe i-immune deficiency syndrome) inokubangela ezininzi iimpawu eziqhelekileyo ze-arthritis nezifo ze-rheumatic, kwaye le nhlangano iqaphele iminyaka emithathu emva kokufunyanwa kwegciwane.
Le ntsholongwane ingabangela:
- Intlungu yeArthritis
- Intlungu ehlangeneyo
- Ubuhlungu besisu
- Ubuthakathaka obuthathaka
Nangona kunjalo, ngaphezu kokubangela iintlungu ezidibeneyo kunye neentlungu, i-HIV / AIDS inxulumene neemeko ezininzi ze-rheumatic.
Izifo eziHlangeneyo zeHIV
Izifo ze-rheumatic zixhaphake kakhulu kubantu abane-HIV, ngokuqikelela ukuba abantu abangama-70 abantu abanentsholongwane bangakhusela enye yeemeko ngaphambi okanye emva kokuxilongwa. Izifo ze-Rheumatic ezibandakanya ne-HIV ziquka:
- I-arthritis esebenzayo: I-arthritis esebenzayo yintlobo yesifo se-arthritis esenzeka njengendlela yokusabela kwintsholongwane kwenye indawo emzimbeni, kwaye ingahle ibe neentlobo ezininzi zentsholongwane kuquka ne-HIV.
- I-Psoriatic arthritis: I- Psoriatic arthritis enye yeqela lezifo ezibizwa ngokuba yi-spondyloarthropathies.
- I-rheumatoid arthritis: I-rheumatoid arthritis ixhaphake kakhulu kubantu abane-HIV.
- I-syndrome yesifo esibuhlungu: I-paintic reticular syndrome yinkqubo engabalulekanga kodwa ibuhlungu kakhulu echaphazela i-bone asymmetric kunye nentlungu edibeneyo kwimida ephantsi.
- I-Osteomyelitis: I-Osteomyelitis yintsholongwane yeethambo edlalwa yiibhaktheriya, kwaye idla ngokufuna unyango olude lokukhusela intsholongwane.
- I-Polymyositis: Ngenkqantosi yokudideka kweempawu, i-polymyositis iyisifo esisisigxina sezilwanyana ezibonakalisa ukuvuvukala nokuguqulwa kwezihlunu.
- I-Vasculitis: I- Vasculitis yimeko equka ukuvuvukala kwemithambo yegazi.
- Amagulane achaphazelekayo: Izifo ezihlangeneyo zingabakho kwiintsholongwane kwenye indawo emzimbeni wakho oqhutyelwa kwidibaniselwano ezichaphazelekayo.
- I-Fibromyalgia: I-Fibromyalgia yimeko ebonakaliswa yintlungu yomzimba, intlungu, iingxaki zokulala, ukukhathala okukhulu, ukuxinezeleka, ukuxhalabisa, iindawo zethenda. Ngamanye amaxesha kuthiwa "yinkqubo" yonyango njengoko kungekho mvavanyo ecacileyo yokwenza ukuxilongwa.
Ukuchonga i-HIV-Associated Rheumatic Diseases
Izifo ze-Rheumatic zingenzeka ngaphambi okanye emva kokuxilongwa kwe-HIV.
Kumntu ongenakufumaniswa ukuba unesifo se-HIV, ukuqala ngokutsha kwesimo se-rheumatoid kunokubonisa ubungqina bentsholongwane. Enyanisweni, abanye bacinga ukuba ukuhlola abantu abaneengxaki ze-rheumatic ze-HIV kunokusindisa ubomi ekufumaneni ukusuleleka kwe-HIV, nangaphandle kwemingcipheko ye-HIV / AIDS. Ngokutsho kwe-American College of Rheumatology, "izifo zesifo se-HIV ezinxulumene neHIV zingasandulela ukuxilongwa kwe-HIV." Ukuba umntu usemngciphekweni omkhulu wentsholongwane kaGawulayo kwaye unika ngeempawu zamanxeba ezibuhlungu, izihlunu ezibuhlungu okanye ezinye iimpawu ze-rheumatic, ukuvavanya intsholongwane kaGawulayo kunokuqinisekisa okanye ukulawula ukuxilongwa kwe-HIV.
Ngokufanayo, kumntu ofunyaniswe ukuba une-HIV kwaye eneempawu ezihambelanayo, umsebenzi wokulungiselela izimo ze-rheumatoid kufuneka uqwalaselwe.
Izifo ze-rheumatic ezichaphazelekayo ne-HIV zinokuchaphazela nayiphi na ibakala leminyaka, ubuhlanga, okanye isini, kodwa ininzi ichaphazela abantu abaneminyaka engama-20 no-40 ubudala.
Kutheni i-Rheumatic Diseases Eziqhelekileyo Kubantu Abantu abane-HIV / AIDS?
Nangona kucacile ukuba izifo zengxubusho zixhaphake kakhulu kubantu abane-HIV / AIDS kunabantu abaninzi, isizathu esicacileyo salokhu asicaci. Kukho iingcamango ezininzi ezinokwenzeka. Enye into yokuba izimo ze-rhumatoid zihlobene nokusuleleka ngu-HIV ngokwayo.
Enye ingcinga kukuba iimeko zengqungquthela zingabangela ukuba utshintsho kwi-system immune echaphazelekayo ne-HIV. Kanti enye ingcamango yokuba iimpawu zesifo se-rheumatic zichanekile kunokuba zibe nezifo ezichaphazelekayo eziqhelekileyo kwi-HIVAIDS. Ekubeni umehluko phakathi kwe-HIV kunye noGawulayo, kunye nokuqonda izifo ezichaphazelekayo kudideka, makhe sijonge kule mibuzo ngaphambi kokuphononongwa kwindlela yokwenza unyango.
Yintoni eyahlukileyo phakathi kwe-HIV ne-AIDS?
Abantu abaninzi ngokuzenzekelayo balinganisa iHIV ne-AIDS. Nangona kunjalo, i-HIV kunye ne-AIDS zihlukeneyo zeenkliniki. Ngokukodwa, umntu uchaphazeleka ngentsholongwane kaGawulayo, kodwa kungathatha iminyaka embalwa ukuphucula i-AIDS. Ukongezelela ukuba unyango lwe-HIV / AIDS luye lwaqhubela phambili, abaninzi abantu abanentsholongwane kaGawulayo abasebenzisa ngokunyamekela unyango lwe-antiretroviral yemihla ngemihla banelungelo lokungafihlisi kwixesha apho bahlakulela khona i-AIDS; baqhubeke behlala ubomi obuphilileyo.
Ukutshatyalaliswa kwe-HIV kwintsholongwane ye- CD4 (iiseli ze-T) ezinceda imizimba yethu ukulwa nesifo. Xa i- CD4 cell count count falling below 200 cells / cubic millimeter, umntu uhlawula i-AIDS. Ngaphandle koko, umntu unokuhlakulela i-AIDS ukuba ahlakulele intsholongwane.
Yintoni i-Infection Opportunistic Infection?
INTSHOLONGWANE KAGAWULAYO / NGA-AIDS ixhaphake ngokuqhelekileyo nezifo ezichaphazelekayo Ukusuleleka kwintsholongwane kubangelwa yiibhaktheriya, iintsholongwane, iifungi okanye iprotozoa ezisebenzisayo nge-system's immune system. Isifo se-Rheumatic asiyingozi yokutheleleka, nangona kunjalo, ezi zifo zingakhokelela kwisifo se-arthritis esicacile esichazwe ngasentla, kwaye enye yeendlela ezinokwenzeka emva kobudlelwane be-HIV kunye nezimo ze-rheumatic. Ezinye zezifo ezichaphazelekayo ezinxulumene neHIV / AIDS ziquka:
- Candida
- Cryptococcus
- Cytomegalovirus
- Histoplasmosis
- IMAC
- PCP
- Toxoplasmosis
- Isifo sofuba
Izifo ezinxulumene neNtsholongwane kaGawulayo
Ukongeza kwiimeko ze-rheumatic ezichaziwe ngasentla, iimiphumo ezichaphazelekayo zemishanguzo ye-HIV nazo zingakhokelela kwiimeko zethambo, ezidibeneyo kunye nezicathulo ezinjenge:
- Gout
- Tenosynovitis
- I-Myopathy (ukuvuvukala kwemisipha)
- Osteonecrosis
- Osteoporosis
Le miqathango kukuba, ngethamsanqa, ayiqhelekanga ngoku ngoku kunyango olutsha olutsha lwe-HIV / AIDS.
Ukunyangwa kwe-HIV-Associated Rheumatic Diseases
Ukunyangwa kwezifo ze-rheumatic ezichaphazelekayo ne-HIV kubandakanya indlela ephindwe kabini: Ukunyanga iimpawu ezinxulumene ne-arthritis, kunye nokunyangwa kosulelo lwe-HIV oluhambelana nezi zifo.
Oko kwathiwa, unyango lwezifo ze-rheumatic kubantu abane-HIV lunokuba ngumngeni omkhulu.
Amachiza omzimba angama-immunosuppressive (izidakamizwa ezithintela iimpendulo zokhuseleko lomzimba) ezifana ne-Imuran kunye ne-methotrexate zisetyenziselwa izifo ze-rheumatic, kodwa ezi zonyango zingatshatyalaliswa (akufanele zisetyenziswe) kubantu abane-HIV. Kwiingcamango, kukho inkxalabo yokuba le nhlanganisela ingabandakanya imiphumo yokukhutshwa komzimba, kodwa akukho nkcazelo eninzi malunga nokukhuselwa kwesi sikhokelo.
I-HAART (i-Anti-Active Anti-Retroviral Treatment) , isiphumelele ekuphatheni iingxaki ze-rheumatic ezichaphazelekayo ne-HIV. Kulo ndlela, unyango lwe-HIV kuphela lunokuphucula impawu zesifo se-rhumum.
Kwabantu abane-arthritis ye-rheumatoid, i- DMARDS (isifo sokuguqula izidakamizwa ezichasene ne-rheumatic) isoloko isetyenziswa, kodwa kulabo abane-HIV / AIDS kunye ne-rheumatoid arthritis okwangoku akukho ubungqina obaneleyo bokuncoma la mayeza.
Abantu abanezifo ze-rheumatic ezichaphazelekayo ne-HIV banokuzuza kwonyango kunye neyeza zentlungu kunye nezidakamizwa ezichasayo zokunciphisa iimpawu zesimo sabo se-rheumatic.
Ukuxeliswa kwe-HIV kunye neZifo ze-Rheumatoid
Ngelishwa, abo bahlakulela imeko ye-rheumatic ngaphezu kwentsholongwane kaGawulayo kunye ne-AIDS banamaxesha amaninzi ahlaselekileyo kunabantu abanesifo se-HIV / AIDS kodwa ngaphandle kwesimo sengqondo.
Iingongoma ezibalulekileyo malunga neHIV ne-Rheumatic Diseases
Kukho amanqaku amanqaku angundoqo ekuphawuleni xa uxubusha inxulumano lwe-HIV kunye nezifo ze-rheumatic. Ezi ziquka:
- Nasiphi na isifo se-rheumatic sinokuvela ngaphandle kokusuleleka ngu-HIV.
- Ukususela kuma-30 ukuya kuma-70 ekhulwini kubantu abanentsholongwane kaGawulayo bangakhula isifo se-rheumatic.
- Ukuba khona kwesifo sesifo se-rheumatic kubangela ukugxekwa kwentsholongwane kaGawulayo.
- Abantu abanesifo se-rheumatic ngaphezu kwe-HIV banomgangatho obuthathaka obomi.
Ngaphantsi kwe-HIV kunye ne-Rheumatic Diseases
Njengoko kuphawuliwe, ukuqala ngokutsha kwesifo se-rheumatic kufanele kuhlolwe uvavanyo lwe-HIV kubantu abanokuba besengozini yokusulelwa. Ngokuchasene, abantu abane-HIV kufuneka bajongwe ngokukhawuleza malunga nobukho beemeko zesibhedlele. Ukwenza oku kudideke ngakumbi, naluphi na isifo se-rheumatic esingafumaneka ngaphandle kokusuleleka kwintsholongwane kaGawulayo kwaye kungenakwazi ukuba ingaba isifo sifanele senzeke sodwa okanye ukuba sidibene nentsholongwane.
Siyazi ukuba abantu abanentsholongwane kaGawulayo abahlakulela izifo zesifo se-rheumatic abanomgangatho omncinci wobomi kunye nokugxekwa kwabampofu. Ingxenye yale nto ingabangelwa ukwesaba ukusebenzisa izidakamizwa ezingenayo i-immunosuppress kwizifo ze-rheumatic kubantu abasele bengenakuxilongwa ngenxa yentsholongwane. Inxaxheba yalezi ziyobisi kunye nokukhuseleko ngokubanzi akungaziwa. Ngethamsanqa, izifo zesifo se-rheumatic zihlala ziphucula unyango lwe-HIV kuphela.
Ukuba unentsholongwane kaGawulayo kunye nesifo se-rheumatoid, kubalulekile ukusebenzisana nezifo ezithathelwanayo kunye neengcali ze-rheumatology ezikhululekile ukuphatha ezi zimbini kunye kunye nabani abangasebenzisana kunye nokwenza isicwangciso nokujonga inkqubela yakho.
> Imithombo:
> Adizie, T., Moots, R., Hodkinson, B., isiFrentshi, uN., no-A. Adebajo. I-Arthritis evuthayo kwi-HIV Abagulayo abafanelekileyo: Isikhokelo esiSebenzayo. IiMBC ezithathelwanayo . 2016. 16: 100.
> Ikholeji yaseMerika yaseRheumatology. HIV neRheumatic Disease. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/HIV-Rumumatic-Diseases
> Cunha, B., Mota, L., Pileggi, G., ukhuselekileyo, I., noMnu Lacerda. I-HIV / AIDS kunye neRumatoid Arthritis. IziPhuculo eziZenzekelayo . 2015. 14 (5): 396-400.
> Shah, D., Flanigan, T., no-E. Lally. Ukuhlolwa rhoqo kwe-HIV kwi-Rheumatology Practice. Umbhalo we-Clinical Rheumatology . 2011. 17 (3): 154-6.