Ingaba i-HIV Rash ibonakala ngathi?

Akukho namnye umntu oza kuphazamisa okanye ayikho imbangela yokukhawuleza

I-Rash iyaqheleka ngexesha lokusuleleka kuGawulayo , kwaye izizathu ziyakwazi ukuhluka njengeziqhwala ngokwazo.

Abantu abaninzi baya kusebenzisa igama elithi "i-HIV yokuqhawula" ukuchaza ukuqhekeka kwe-cutaneous (isikhumba) eyenzeka ngenxa yentsholongwane entsha. Yaye ngoxa ukugqithisa kunokuba ngumqondiso wokusuleleka kwintsholongwane , abantu ababini kuphela kwabahlanu abaza kuvelisa uphawu olunjalo.

Ekugqibeleni, akukho nanye i-rash okanye enye imbangela yokukhawuleza kubantu abane-HIV. Inyaniso elula kukuba ukukhawuleza kuya kwenzeka nasiphi na isigaba sosulelo. Ukuchonga imbangela-ingaba inxulumene ne-HIV okanye ayikho-idinga uviwo olupheleleyo kunye nokuvavanywa kwendlela yokubonakala, ukuhanjiswa kunye nokulingana kokuqhambuka.

1 -

I-HIV Rash

Ukuqhaqhazeka kokugqithisa kungenzeka ngenxa yentsholongwane kaGawulayo kwangoko kwaye iya kubonakala iiveki ezimbini ukuya kweyesithupha emva kokuchazwa ngenxa yento esiyibiza ngokuba yi -retroviral syndrome (ARS) .

Ukugqithwa kuthiwa yi- maculopapular , i-term macule echaza iiplati, isicatshulwa phezu kwesikhumba ngelixa i- papule ichaza amancinci aphakanyisiweyo.

Nangona izifo ezininzi zingabangela oku, i-ARS i-rash iya kuthintela inxalenye engaphezulu yomzimba, ngamanye amaxesha ihamba kunye nezilonda emlonyeni okanye kwizitho zangasese. Izimpawu ezinjenge-Flu nazo ziqhelekile.

Iziqhwithi zivame ukuxazulula enye kwiiveki ezimbini. I-antiretroviral therapy kufuneka iqaliswe ngokukhawuleza xa ukusuleleka koGawulayo kuqinisekiswa.

2 -

Seborrheic Dermatitis

I-seborrheic dermatitis yenye yeemeko eziqhelekileyo ezikhuselweyo ne-HIV, ezenzeka kuma-80 ekhulwini abantu abanezifo eziphambili. Nangona kunjalo, akuqhelekanga ukuba ukugqithisa okunjalo kubonakale kubantu abanokuxhatshazwa kwe-immune xa i- CD4 ingaphantsi kwe-500.

I-seborrheic dermatitis yintlupheko yesikhumba evuthayo echaphazela ngokusesikhumba, ubuso kunye nesibini. Ngokuqhelekileyo kubonakala kwiindawo ze-oilier zesikhumba, zibonakalisa ngobomvu obomvu, ubophu obuphuzi kunye nezilonda zesikhumba. Kwiimeko ezinzima kakhulu, kunokubangela i-scaly pimples ebusweni kunye nasemva kweendlebe kunye neempumlo, amaqabunga, isifuba, umva ongasentla, i-armpits, nangaphakathi kwendlebe.

Iimbangela zokugqithisa azikwazanga ngokupheleleyo, nangona umsebenzi okhuselweyo wokulwa nomzimba ngokucacileyo uyinto ebalulekileyo. I-corticosteroids yezihloko ziyakunceda kwiimeko ezinzima kakhulu. Abantu abanentsholongwane kaGawulayo abangekho kunyango kufuneka banikezwe unyango olusandulweyo lwe-antiretroviral ukulungiselela ukugcina okanye ukubuyisela ukusebenza komzimba.

3 -

Ukusetyenziswa koMhlaza woLuntu

Uhlaselo luyakwazi ukuphuhliswa ngenxa yempembelelo engafanelekanga kwiziyobisi ezithile, kuquka i-antiretrovirals ne-antibiotics. Ezi zivame ukubonakala emva kweeveki ezimbini emva kokuqalisa unyango, nangona zingabonakalisa ngolufutshane nje ngeentsuku ezintathu.

Ukuqhaqhaqhaqhaqhaza kunokuthatha iindidi ezininzi kodwa kuninzi ngokuqhelekileyo i-morbilliform, oku kuthetha ukuba i-measle-efana nokubonakala. Kuqala ukuphuhlisa kwi-trunk kuqala kwaye isasazeka kwimilenze kunye nentamo kumzekelo olinganayo.

Kwezinye iimeko, i-rash inokuba yinto eninzi ye-hymphonpapular kwintetho kunye neentambo ezibomvu ezibomvu-ezibomvu ezigqityiweyo ezinobuncwane abancinci obukhupha umlinganiselo omncinci xa ushicilelwe.

Ukuphendulwa kwezidakamizwa kweziyobisi ngamanye amaxesha kunokuhamba kunye nomkhuhlane, i-lymph nodes, okanye ubunzima bokuphefumla.

Ukupheliswa kwesilwanyana esikhankanywe ngokusoloko kusombulula ukukhawuleza kwinye iveki ezimbini, ukuba kunzima. I-corticosteroids yezihloko okanye i-antihistamines yomlomo inganyulwa ukuba incede ukukhulula itchki.

Ziagen (abacavir) kunye neViramune (i-nevirapine) ziiyeza ezimbini ze-HIV ezithwala umngcipheko omkhulu we-drug hypersensitivity, nangona nasiphi na isilwanyana sinakho ukuphendula.

4 -

Stevens-Johnson Syndrome

I-Stevens-Johnson syndrome (i-SJS) yindlela yokwenza impilo isongela i-hypersensitivity yezidakamizwa ebonakaliswa yintetho "enomsindo". Ukugqithisa luhlobo lwenetyhefu ye-epidermal necrosis apho uluhlu oluphezulu lwesikhumba (i-epidermis) luqala ukususa kwi-ecalermal yolusu (i-dermis).

I-SJS ikholelwa ukuba yintlupheko yesistim somzimba sokukhuselana nomzimba esabangela nokuba sisifo, isifo, okanye zombini.

I-SJS idla ngokuqala ngentsholongwane kunye nesifo somqala emva kweyure ukuya kwiiveki ezintathu emva kokuqala unyango. Ngokukhawuleza kulandelwa izilonda ezibuhlungu emlonyeni, kwizitho zangasese kunye ne-anus. Ukujikeleza, izilonda ezingavumelekanga malunga no-intshi ngaphesheya ziya kuqala ukuhlakulela ebusweni, kwisiqu, izitho, kunye neengcambu zeenyawo. Ukugqithisa ngokuqhelekileyo kusasazeka, kubonakaliswe nge-blisters eziza kudibanisa zibe nye kunye ne-crusting eyenzekayo malunga nokuqhuma okuvulekileyo (ngokukodwa emlonyeni).

Unyango kufuneka unqunywe ngokukhawuleza xa iimpawu zivela. Uya kufuneka ufune unonophelo lwengxamiseko oluya kubandakanya i-antibiotiki yomlomo, i-intravenous fluids kunye neyeza ukukhusela umonakalo weso. I-SJS ithatha inani lokufa kweepesenti ezintlanu.

I-Viramune (i-nevirapine) kunye neZiagen (abacavir) zezidakamizwa ezibini ezinxulumene ne-SJS mngcipheko, nangona ezinye iziyobisi (kuquka i- anti-antibiotics ye-sulfa ) ziyaziwa ukuba zenze impendulo ye-SJS.

> Umthombo:

> Altman, A .; Vanness, E .; kunye noWestergaard, R. "Ukubonakaliswa ngokukodwa kwe-Human Immunodeficiency Virus: Uhlaziyo lwezonyango." I-Curr I-Dis Rep. 17 (3): 464. INGXELO: 10.1007 / s11908-015-0464-y.