Akụkụ nke ihu nke anya na-agụnye ụlọ ime ụlọ, cornea, na iris. Ihe kariri ọkara nke ndị HIV na- arịa ọrịa na- arịa ọrịa nwere ike ịmepụta ihe mgbagwoju anya nke oghere nke ihu na-esi ike site na anya mmiri na-ebute ọrịa nje nwere ike ime ka ikpu ìsì.
Ọrịa na-akpata nje HIV
Ọrịa nje HIV nke yiri ka ọ ga-apụta na mpaghara nke mbụ gụnyere:
- Iridocyclitis, mbufụt nke iris
- Keratitis , ọrịa nke cornea
- Microsporidiosis , ọrịa ọrịa na-emetụta cornea
Iridocyclitis bụ mbufụt nke iris, bụ nke nwere ike jikọta ya na ọtụtụ ọrịa opportunistic (OI), gụnyere cytomegalovirus (CMV) , herpes simplex virus (HSV) , toxoplasmosis , ụkwara nta, na varicella zoster virus (VZV) . Mmetụta nke mbufụt ahụ nwere njikọ chiri anya na oke OI ma nwee ike ịbụ akara mbụ nke ọrịa na-aga n'ihu. Usoro ikpe kachasị njọ na-etinyekarị ndị ọrịa nwere CD4 dị ala.
Iridocyclitis pụkwara igosipụta dịka ụbụrụ na-ebute ọrịa , tinyere ọgwụ ndị dị ka rifabutin (a na-ejikarị agwọ ọrịa ụkwara nta) na cidofovir (a na-eji agwọ ọrịa CMV).
Iridocyclitis nwere ike ịpụta na otu ma ọ bụ abụọ anya, na mgbaàmà ndị nwere ike ịgụnye anya ọbara uhie, ịkwa mbà, nghọta ọkụ (photophobia) na ụmụ akwụkwọ na-emegiderịta.
Iridocyclitis na-eme ka ọganihu ọgwụ na-aga n'ihu na-eme ka ọ dị mma na ịgwọ ọrịa a mapụtara.
Keratitis bụ ọrịa nke cornea nke HSV, VSV, candidiasis (ọrịa ọrịa na-ahụkarị na ndị nwere nje HIV), na ọrịa ndị ọzọ nwere ike ibute. N'ọtụtụ ọnọdụ, immunosuppression na-egbochi onye ọrịa ka ọ na-arịa ọrịa na-egbu egbu, ihe mgbaàmà nke nwere ike ịgụnye anya uhie, nhụjuanya dị ukwuu, mgbu anya, ọhụụ na-adịghị ahụ anya, ụbụrụ na-enwu ọkụ (photophobia) na mmetụta nke grittiness n'anya.
Ihe ngosi nwere ike ịbụ bilateral (gụnyere ma anya) ma otu (metụtara otu anya). Nsogbu ndị pụrụ ịdị na-esite na ọrịa ọnya na ịgha ụfụ iji hụ ọdịdị nke ọhụụ na ọbụna ìsì.
Dị ka a na-eme na iridocyclitis, a na-atụ aro ịmalite ọgwụgwọ antiretroviral iji belata ihe ize ndụ nke nsogbu, yana ọgwụgwọ nke ọrịa a chọpụtara (nke a na-ejikarị acyclovir maka HSV na VZV, ma ọ bụ nkwenye kwesịrị ekwesị na ihe gbasara candidiasis).
Microsporidiosis bụ ọrịa na-akpata ọnwụnwa, bụ nke na-emekarị mgbe ọnụ ọgụgụ CD4 onye ọrịa dabara n'okpuru 100 sel, mL. Ọ bụ ezie na ọrịa ndị mmadụ na-adịghị adịkarị n'ọnọdụ microsporidiosis, ha nwere ike iji anya mgbu anya, oké nra, nhụsianya anya na nghọta ọkụ (photophobia).
Na mgbakwunye na mmejuputa usoro ọgwụgwọ antiretroviral , a na-emeso microsporidiosis na ọgwụ azole dika albendazole na itraconazole. A na-ejikwa ọgwụ ọgwụ azole mee ihe mgbe ụfọdụ iji mee ka ọ daa mbà.
Isi mmalite:
Cunningham, E. na Margolis, T. "Ihe ngosi nke anya nke anya." New England Journal of Medicine. July 23, 1998; 339: 236-244.
Parrish, C .; O'Day, D .; na Hoyle, T. "Ọhụụ na-ahụ maka ọrịa na-eme ka ọrịa AIDS na-apụta ìhè." American Journal of Ophthalmology. Septemba 15, 1987; 104 (3): 302-303.
Rocha Lima, B. "Ngosipụta Ophthalmic na HIV Ọrịa." Digital Journal of Ophthalmology. October 29, 2004; 10 (3): online version.
Sudhakar, P .; Kedar, S .; na Berger, J. "Neuro-Ophthalmology of HIV / AIDS Review of Medicine Neurobehavioral Medicine." Ọrịa na-arịa ọrịa na-adịghị na Neurobehavioral . Septemba 17, 2012; 2012 (4): 99-111.