Eyaziwayo njenge- adnexa ye-ocne , eli candelo le-anatomy yoluntu linika ukhuselo kunye ne-lubrication kwijiso ngokwayo kwaye luquka ijwabu leso, udibanisa amathanga kunye ne-conjunctiva (emhlophe kwamehlo).
Kubantu abanentsholongwane kaGawulayo , izifo eziqhelekileyo ukuza kubandakanya kule mimandla zibandakanya
- IHermes zoster virus (HSV)
- Kaposi sarcoma (KS)
- I-Molluscum contagiosum (eyaziwa nangokuthi "imivumba yamanzi")
Izinguqu ezincinci-ezibonakaliswe ngama-micro-aneurysms kunye nokuhluthwa kweemvini kunye nemithambo yegazi-ziyaziwa ukuba zenzeka malunga nama-70% ukuya kwi-80% yezigulane ezineNTSholongwane kaGawulayo kwaye zinokuthi zihambelane ngqo ne-HIV.
Herpes Zoster
I-Herpes zoster (i-HSV) ibangelwa ukuhlaziywa kwendawo ye-varicella yoster virus (VZV), ehamba ngeendlela zesigulane ngaphakathi kwidermmenti ethile (oko kukuthi, indawo yesikhumba ehlinzekwa ngentshontsho enye). Xa ivuselelwa kwisahlulo se-ophthalmic se-so-called trigeminal nerve , ingabonisa intlungu eninzi kunye nokugqithisa okumanzi, okungaqhele ukuqhuma kunye nokugqithisa. Usulelo oluthile lubizwa ngokuba yi-Herpes zoster ophthalmicus (HZO).
I-HZO ibonisa malunga nama-10% abantu abane-HIV, ngokukodwa kulabo abaneengxelo ze- CD4 ngaphantsi kweeseli 200 / mL. Ukunyuka kwiminyaka (iminyaka engama-60 okanye ngaphezulu) kunokuba yinto ebangela ukuba imeko leyo, kunye nokukhathazeka kwengqondo.
I-acalclovir yomlomo yinkqubo eqhelekileyo yonyango kwi-HZO, ngomlomo okanye kwi-steroids emiselweyo rhoqo kufuneka kubekho ubungqina bokubandakanyeka komntu (umz., I-nertic optic kunye neliso ngokwalo). Ukuxilongwa kwangaphambili kunye nonyango kubalulekile ekukhuseleni umonakalo kwi-cornea, i-retina, i-choroid okanye i-optic neerves.
Kukho ukugonya kwe-VZV , ekhuthazwe ukuba isebenzise kubantu abadala abaneminyaka engama-50 ubudala okanye ngaphezulu nangama-US Food and Drug Administration (FDA) ngo-2011. Nangona akukho ziphakamiso ezisesikweni zinikezelwe ukusetyenziswa kwazo kubantu abadala abadala abane-HIV, ixhaswa ukuxhasa ukusetyenziswa kwayo kwizigulane ezikhuselekileyo ezikhuselekileyo ezilawulwa yi-virus.
Kaposi Sarcoma
I-Kaposi sarcoma (KS) yintlungu ebomvu, ebomvu-e-purplish edla ukuxhatshazwa ngamandla. Ebangelwa yintsholongwane ye-herpes 8 (HHV8), inokungena kunye neenxa zonke iibhokhwe ze-20% zamatyala, ngokuqhelekileyo kunye nokuvuvukala kwendawo.
Nangona iziganeko ze-KS zinciphile kakhulu ngokuza kwe- antiretroviral therapy (ikarita) , kusenokwenzeka nakhona kulabo abanamaxabiso aphantsi kwe-CD4, ngakumbi ukuba ukunyanzelwa kwegciwane kungagcinwa. Ngokuqaliswa kwekhadi, ukutshatyalaliswa kwezilonda kuya kubakho ngexesha elincinane elifutshane, linyamalale njengoko umsebenzi wokhuseleko lomzimba uphindiswa.
Ukunikezwa kwe-Ocular ye-KS izidumbu ezingabonakaliyo, nangona amehlo abomvu, amehlo aomileyo, i-photophobia (ukungahambisani nokukhanya) kunye nombono otyhafayo bayaziwa ngokuba ngenxa yezifunu ezijikelezayo kwiindawo ezinobungqina beentloko zeentloko kunye neengqungquthela zokugqabhuka.
Molluscum Contagiosum
I-Molluscum contagiosum yintsholongwane ekhuselweyo kakhulu yesikhumba ebangelwa yi-molluscum contagiosum virus (MSV). Isasazeka ukusuka kumntu ukuya kumntu ngokungaxhamli kunye kwaye kubangele ubuhlungu obungenabuhlungu, izilwanyana ezinobumba, izilonda ezizaliswe ngamanzi ezikhumbeni, kunye neembumba. Izilonda zinomsoco omhlophe onzima kwaye zihlala zifana nombala wesikhumba somntu, nangona kubonakala kuluhlaza.
I-Molluscum contagiosum ihlala ivela kubantwana abancinci kunye nabantu abanokuxhatshazwa ngamandla omzimba. Ingabonakalisa kuyo nayiphi na isikhumba, kuquka ijikeleze iliso kunye nejwabu leso ngokwayo. Ukubandakanyeka kwe-OMS kubonakala kungabonakali.
Kubantu abaphilileyo, izifo zihlala zizincipha, zizilungisa
I-MSV izifo ziba nzima kakhulu kubantu abane-HIV kunye ne-HIV. Izinyango zokwelapha zilinganiselwe kwaye zingabandakanya ama-creams kunye neyeza-counter-counter-counter-wart amayeza okukhutshwa ngokuthe ngcembe kwezilonda ezincinci, okanye ukusetyenziswa kwe-nitrojeni okanye i-laser yonyango kulabo abafuna ukususwa ngokukhawuleza. Akukho sitofu se-MSV.
Imithombo:
Rocha Lima, B. "Ukubonakaliswa kwe-Ophthalmic kwi-HIV Infection." Digital Journal ye-Ophthalmology. Oktobha 29, 2004; 10 (3): inguqulelo ye-intanethi.
Sudhakar, P .; IKedare, iS .; kunye noBergger, J. "I-neuro-ophthalmology ye-HIV / AIDS yokuphononongwa kwe-HIV ne-HIV." Iingxaki zeNtsholongwane kaGawulayo . NgoSeptemba 17, 2012; 2012 (4): 99-111.
ISebe lezeMpilo leSebe lezeMpilo (DHHS). "Izikhokelo Zokuthintela Nokunyangwa Kwezonyango Ezichaphazelekayo Kwi-HIV-Abathintekayo Abantwana Nama-Adolescents: engekho-CMV Herpes - Varicella Zoster Virus." Rockville, Maryland.
US Administration and Drug Administration (FDA). "I-FDA ivumela isitofu sokugonya i-Zostavax ukukhusela izibonda kubantu abaneminyaka engama-50 ukuya kwe-59 ubudala." Silver Springs, Maryland; isikhululo sokupapashwa esikhishwe ngoMeyi 24, 2011.
Benson, C; Hua, L .; Andersen, J .; okqhubekayo. "I-ZOSTAVAX ngokubanzi ikhuselekile kwaye i-immunogenic kwi-HIV + yabantu abadala banqatshelwe ngokugqithiseleyo kwi-ART: iziphumo zesigaba sesi-2, isisombululo esingaqhelekanga, esingaba yimpumputhe, esilungelelwe yi-placebo." INgqungquthela ye-19 kwi-Retroviruses kunye neeNtsholongwane eziKhuselekileyo (CROI); Seattle, Washington; Matshi 5-8, 2012; ezingabonakaliyo 96.
DHHS. "Izikhokelo Zokuthintela Nokunyangwa Kwezonyango Ezichaphazelekayo Kwi-HIV-Abathintekayo Abantwana Nama-Adolescents: Awona-CMV Herpes - Human Herpesvirus 8." Rockville, Maryland.
DHHS. "Izikhokelo Zokuthintela Nokunyangwa Kwezonyango Ezichaphazelekayo Kwi-HIV-Abathintekayo Abantwana Nama-Adolescents: Awona-CMV Herpes - Human Herpesvirus 8." Rockville, Maryland.
Amaziko okuLawula nokuKhuselwa kwezifo (CDC). Ulwazi lwezonyango: Molluscum Contagiosum. Atlanta, Georgia.