Nangona ukwandisa ukhetho lweZonyango, iziphumo zihlala zixutywe kakhulu
I-lipodystrophy enxulumene ne-HIV yimeko ebonakaliswe ngokuphindaphindiweyo ngokusasazeka kwamafutha omzimba. Imeko ibonisa ngokugqithisa ngokucacileyo ubuso, iintambo, okanye iindawo eziphambili, ngelixa zivame ukubangela ukuqokelela kweenqweliso ezisezantsi esiswini, amabele, okanye umva entanyeni (ekugqibeleni ekubhekiswa kuyo ngokuthi "ibhokhwe") - kufana nokubonakala).
I-lipodystrophy enxulumene ne-HIV isoloko idibaniswe kwezinye iindidi zemishanguzo ye- antiretroviral , kuquka i- protease inhibitors (i-PIs) kunye nezinye i- nucleoside reverse transcriptors (NRTIs) njengeZerit (stavudine) kunye neVidex (didanosine) . Le meko ingakhokelela ekusulelekeni kwintsholongwane kaGawulayo, ngokukodwa ekuchaphazela izigulane ezingekaqalanga unyango lwe-antiretroviral.
Nangona i-lipodystrophy ibonakala ingaphantsi kwabantu abanentsholongwane kaGawulayo ukususela ekuqalisweni kwe-antiretrovirals yesizukulwana esitsha, ihlala ingxaki kuba imeko ayifumaneki kwakhona kwaye ihlala iqhubeka nokuba igalelo lonyango liyekile.
Ukwelashwa kwe-Lipodystrophy: Indlela kunye nokuqwalasela
Nangona kungekho nonyango lwe-lipodystrophy echaphazelekayo ne-HIV, kukho iindlela zokonyango ezinokuthi ziguqulwe ezinye zeempembelelo zokuhlengahlengiswa kweefayili, kunye nokujongana nezinye zeempilo ezinxulumene ne-cholesterol ephakamileyo kunye namazinga e-triglyceride egazini.
Phakathi kwezi ndlela:
- Ukutshintsha imishanguzo yentsholongwane kaGawulayo kunokunceda ukuba ugqirha wakho ukholelwa ukuba iziyobisi zakho ziyimbangela yakho yokusabalalisa amafutha / ukutshintsha kweli meko kuyanconywa ukuba kuphela ukuthintela ukunyusa okuqhubekayo kwimeko. Nangona kunokuba kukho ukuguqulwa kwemeko, ubuninzi becala ukubola (ubuso obonakalayo nge-lipoatrophy ebusweni), amaninzi okuguqulwayo athambekele ekunciphiseni. Kubalulekile ukwazi ukuba i-lipodystrophy ngezinye izihlandlo ihlala iqhubeka, nangona emva kokuba ii-PI zime, nangona imeko ihlala iphezulu kunye nexesha.
- Ukutshintshela kwi-tenofovir okanye nayiphina i-regenen-based tenofovir (umz., I- Truvada , i- Genvoya ) inokuphinda ishintshe i-lipoatrophy ebusweni, ngokwezinto eziliqela zophando. Ngelixa lingaqineki, uphando luxhasa ukusetyenziswa kwe-tenofovir okanye abacavir ( Ziagen ) kwiimeko ze-lipodystrophy ezinzulu njengoko kungekho nkunkuma ehambelana nale meko.
- Ukucacisa i-Egrifta (tesamorelin) kwiimeko zokubutha kwamafutha kwisisu nasemathambo. I-Egrifta ivunyelwe ukonyango lwe-lipodystrophy echaphazelekayo ne-HIV njengoko kuthethwa ngokukwakhiwa kwamafutha e-visceral ecaleni kwe-middlesection kunye nezitho zangaphakathi zesisu. I-Egrifta ibonakala ingaba ncinane, ukuba ikhona, inokulinganiswa kwintsilelo ekulahlekeni / ukubuyiswa kwakhona kweenqatha ebusweni, izibhokhwe, isifuba, umva okanye umva.
- Ukutya kunye nokuzilolonga akunakho ukuphazamiseka okubonakalayo kwezinye zezinto ezibonakalayo zomzimba we-lipodystrophy, kodwa ziyakwenza lula ukunceda amanqanaba aphantsi kunye ne-cholesterol ebonakalayo kwizigulane eziphathwe nge-PIs. Ukongezelela, banokukunceda ukunciphisa imiphumo ye-lipodystrophy ngokunyusa isisindo somzimba esisisigxina kwizandla, imilenze kunye neentambo; okanye ngokujongana nemiba enzima (umzekelo, ukukhuluphala , isifo se-metabolic syndrome) esenza ngcono ukuqokelela kweenqatha kwisisu, emva nangamabele. Ukutya okuncitshiswa kwamafutha kunye neenkqubo zokuzilolonga rhoqo ziyanconywa kubo bonke abantu abaphila ne-HIV, enkulu okanye encinci. Qhagamshelana nomculi wezilwanyana okanye isondlo sokutya ukuze kukuncede ekuphuhliseni imikhuba yokutya engcono.
- Thatha i-lipid imithi yokunciphisa amayeza ekunciphiseni amanqanaba e-triglycerides kunye ne-cholesterol egazini lakho. Ukusetyenziswa kwabo akunakunceda ekuphuculeni iziphumo zempilo jikelele (umzekelo, ukunciphisa ingozi yesifo senhliziyo kunye nokuphuhliswa kwesifo sikashukela), banokunciphisa ubunzima be-lipodystrophy.
- I-hormonal therapy iye yaphandwa kwakhona ekuphatheni i-lipodystrophy echaphazelekayo ne-HIV, mhlawumbi ngohlobo lwe- testosterone endaweni okanye kwizonyango usebenzisa i-hormone-release hormone (GHRH) yokukhula. Nangona ukusetyenziswa kokubini kuhambelana nokunyuka kwemizimba emininzi, akuqinisekanga ukuba uphatha njani imeko ngokwayo. Uninzi lweengcaphephe lubonisa ukuba kukho ukuphuculwa okunokulinganiswa kokusabalalisa i-fat, nangona ezininzi iimali zibonakala zilahlekile xa unyango lwe-hormone lugqityiwe.
- Ukuzaliswa kwezidumbu , ngokugqithisekayo ukusetyenziswa kwezonyiso, nazo ziyakwazi ukulungisa ezinye zezibonakaliso zenyama ye-lipoatrophy, ingakumbi ebusweni nasezintanjeni. Iimveliso ezinobungozi ezifana ne- Sculptra (i-poly-L-lactic acid) kunye neRadiesse (i-calcium hydroxylapatite) zihlala zisetyenziswa kwezi ziko kwaye zingadinga unyango ngaphezu kweyodwa ngonyaka, ngelixa zisebenza ngokugqithiseleyo xa zenziwa ngutitshala ofanelekileyo, kwezinye izigulane.
- I-liposuction ivame ukuhlolisiswa ngokususwa kweoli eqokelelwe ngasemva kwentamo (ebizwa ngokubizwa ngokuthi "i-bhut hump"). Ngethuba ngokukhawuleza nangokusebenzayo, kusekho ithuba lokubuyiselwa kwamathambo ngokwakha emva kokuhlinzwa. Ukongezelela, i-liposuction ingasusa kuphela amanqwanqwa angaphantsi kwendawo ephantsi kwesikhumba, oku kuthetha ukuba ukuqoqwa kwamafutha emgodini awukwazi ukuphathwa ngendlela. Yaye kunye nezo zonke iinkqubo zokuqapha, i- liposuction iquka umngcipheko othile .
Naluphi na ukhetho olukhethayo ukuhlolisisa, ungayeki unyango lwakho lwe-HIV ngaphandle kokuqala ukuthetha nodokotela wakho. Qiniseka ukuba, ukubandakanya ugqirha wakho we-HIV kunoma yimuphi unxibelelwano onokuthi unabo kunye nabagqirha bezonyango ngokubhekiselele ekuboniseni ukubonakala komzimba we-lipodystrophy.
Umthombo:
Iziko zeSizwe zezeMpilo (NIH). "Imiphumo emibi yeeNtsholongwane kaGawulayo: I-HIV kunye ne-Lipodystrophy." AIDSInfo. Rockville, Maryland; hlaziywa ngoJanuwari 1, 2016.