得了艾滋病自然发病的四个阶段

刘君 原创 | 2009-04-16 21:50 | 收藏 | 投票

得了艾滋病自然发病的四个阶段

关键词:艾滋病 艾滋病症状 艾滋病初期症状 艾滋病检测 艾滋病日 爱滋病 aids 艾滋病潜伏期 艾滋

  艾滋病的完整过程分为四期:急性感染期、潜伏期、艾滋病前期、典型艾滋病期。

  不是每个感染者都会完整的出现四期表现,但每个疾病阶段的患者在临床上都可以见到。四个时期不同的临床表现是一个渐进的和连贯的病程发展过程。中国性健康网

  1、急性感染期 窗口期也在这个时间。HIV侵袭人体后对机体的刺激所引起的反应。病人发热、皮疹、淋巴结肿大、还会发生乏力、出汗、恶心、呕吐、腹泻、咽炎等。有的还出现急性无菌性脑膜炎,表现为头痛、神经性症状和脑膜刺激症。末梢血检查,白细胞总数正常,或淋巴细胞减少,单核细胞增加。急性感染期时,症状常较轻微,容易被忽略。当这种发热等周身不适症状出现后5周左右,血清HIV抗体可呈现阳性反应。此后,临床上出现一个长短不等的、相对健康的、无症状的潜伏期。

  2、潜伏期 感染者可以没有任何临床症状,但潜伏期不是静止期,更不是安期,病毒在持续繁殖,具有强烈的破坏作用。潜伏期指的是从感染HIV开始,到出现艾病临床症状和体征的时间。艾滋病的平均潜伏期,现在认为是2-10年。这对早期发现病人及预防都造成很大困难。

  3、艾滋病前期 潜伏期后开始出现与艾滋病有关的症状和体征,直至发展成典型的艾滋病的一段时间。这个时期,有很多命名,包括艾滋病相关综合症、淋巴结病相关综合症、持续性泛发性淋巴结病、艾滋病前综合症等。这时,病人已具备了艾滋病的最基本特点,即细胞免疫缺陷,只是症状较轻而已。主要的临床表现有:

  A。淋巴结肿大 此期最主要的临床表现之一。主要是浅表淋巴结肿大。发生的部位多见于头颈部、腋窝、腹股沟、颈后、耳前、耳后、股淋巴结、颌下淋巴结等。一般至少有两处以上的部位,有的多达十几处。肿大的淋巴结对一般治疗无反应,常持续肿大超过半年以上。约30%的病人临床上只有浅表淋巴结肿大,而无其他全身症状。

  B、全身症状 病人常有病毒性疾病的全身不适,肌肉疼痛等症状。约50%的病有疲倦无力及周期性低热,常持续数月。夜间盗汗,1月内多于5次。约1/3的病人体重减轻10%以上,这种体重减轻不能单纯用发热解释,补充足够的热量也不能控制这种体重减轻。有的病人头痛、抑郁或焦虑,有的出现感觉神经末梢病变,可能与病毒侵犯神经系统有关,有的可出现反应性精神紊乱。3/4的病人可出现脾肿大。

  C、各种感染 此期除了上述的浅表淋巴结肿大和全身症状外,患者经常出现各种特殊性或复发性的非致命性感染。反复感染会加速病情的发展,使疾病进入典型的艾滋病期。约有半数病人有比较严重的脚癣,通常是单侧的,对局部治疗缺乏有效的反应,病人的腋窝和腹股沟部位常发生葡萄球菌感染大疱性脓庖疮,病人的肛周、生殖器、负重部位和口腔黏膜常发生尖锐湿疣和寻常疣病毒感染。口唇单纯疱疹和胸部带状疱疹的发生率也较正常人群明显增加。口腔白色念菌也相当常见,主要表现为口腔黏膜糜烂、充血、有乳酪状覆盖物。

其他常见的感染有非链球菌性咽炎,急性和慢性鼻窦炎和肠道寄生虫感染。许多病人排便次数增多,变稀、带有黏液。可能与直肠炎及多种病原微生物对肠道的侵袭有关。此外,口腔可出现毛状白斑,毛状白斑的存在是早期诊断艾滋病的重要线索。

  4、典型的艾滋病期 有的学者称其为致死性艾滋病,是艾滋病病毒感染的最终阶段。此期具有三个基本特点:

  严重的细胞免疫缺陷。

  发生各种致命性机会性感染。

  发生各种恶性肿瘤。

  艾滋病的终期,免疫功能全面崩溃,病人出现各种严重的综合病症,直至死亡。

  确诊艾滋病不能光靠临床表现,最重要的根据是检查者的血液检测是否为阳性结果,所以怀疑自身感染HIV后应当及时到当地的卫生检疫部门做检查,千万不要自己乱下诊断。

AIDS had four stages of natural disease

Keywords: symptoms of AIDS AIDS AIDS AIDS in the early detection of symptoms of aids AIDS AIDS AIDS Day HIV latency

AIDS complete process is divided into four phases: acute infection period, incubation period, pre-AIDS, a view typical of AIDS.

Not everyone infected with the emergence of four will complete the performance, but each disease stage of all patients seen in clinical practice. Four different clinical manifestations of the period is a gradual and consistent course of the development process. China's sexual health network

1, the window period of acute infection is also the time period. HIV attacks the human body to stimulate the body caused by the reaction. Patients with fever, rash, swollen lymph nodes, but also occurred in fatigue, sweating, nausea, vomiting, diarrhea, pharyngitis, etc.. Some acute aseptic meningitis, manifested as headache, nerve disorder symptoms and meningeal irritation. Peripheral blood examination, the total number of normal leukocytes, or lymphocytes decreased monocyte increase. Period of acute infection, the symptoms often relatively minor, easily ignored. When the whole body, such as symptoms of fever after about five weeks, serum HIV antibody positive. Since then, the clinical duration ranging from a relatively healthy, asymptomatic incubation period.

2, the incubation period can be infected without any clinical symptoms, but the latency is not quiescent, but not the security phase, the virus continues to reproduce, with a strong role in the destruction. Mean incubation period from HIV infection until the emergence of AIDS Clinical symptoms and signs of time. The average incubation period of AIDS is now considered to be 2-10 years. This early detection and prevention of patients have caused great difficulties.

3, pre-AIDS began to appear after the incubation period of AIDS-related symptoms and signs, until the development of AIDS as a typical period of time. This period, there are many names, including AIDS-related syndrome, SARS-related lymphadenopathy, persistent generalized lymphadenopathy, AIDS syndrome, such as the former. At this time, AIDS patients have the most basic features, namely, cellular immune defects, but no more than minor symptoms. The main clinical manifestations are:

A. Lymph nodes in this period one of the most important clinical manifestations. Mainly superficial lymphadenopathy. Part of which occurred mostly in the head and neck, armpits, groin, neck, ears ago, the ears, the shares lymph nodes, submandibular lymph nodes and so on. General at least two or more parts, some as many as a dozen Department. Swollen lymph node on the general treatment of non-response, often sustained for more than six months or more nodes. About 30% of patients with clinically superficial lymph nodes only, without other systemic symptoms.

B, patients often have systemic symptoms of viral general malaise, muscle pain and other symptoms. About 50% of the patients have low cyclical weakness and fatigue, often continuing for several months. Night sweats, in January with more than 5 times. About 1 / 3 of patients more than 10% weight loss, such weight loss can not be explained simply by heat, add enough heat not be able to control this weight loss. Some patients with headaches, depression or anxiety, and some sensory nerve endings lesions appear, may be associated with HIV-related violations of the nervous system, and some may be reactive mental disorders. 3 / 4 of patients may be splenomegaly.

C, a variety of infections in this period apart from the superficial lymph nodes and systemic symptoms, the patients with a variety of special nature or recurrent non-fatal recurrent infections. Repeatedly infected with the disease will accelerate development of AIDS disease to enter the typical period. About half of the patients have more serious athlete's foot, usually unilateral, and the lack of an effective local treatment of the reaction, the patient's armpit and groin site aureus infection often bullous kitchen septic sores, patients with perianal, genital, weight location and occurrence of oral condyloma acuminatum and verruca vulgaris often infected with a virus. Oral herpes simplex and herpes zoster of the chest than normal incidence of a marked increase in the crowd. Oral bacteria also read quite common, mainly for the oral mucosa erosion, hyperemia, and cheese-like cover.

Other common non-streptococcal pharyngitis infection, acute and chronic sinusitis and intestinal parasitic infections. Many patients the increased frequency of defecation,-thinning, with mucus. May be associated with proctitis and a variety of pathogenic microorganisms on the invasion of the intestinal tract. In addition, oral hairy leukoplakia can occur, the existence of hairy leukoplakia is an important early clues to diagnosis of AIDS.

4, a typical period of AIDS, some scholars called for the death of AIDS, HIV infection is the final stage. This period has three basic characteristics:

Serious defects in cellular immunity.

Occurred in a variety of fatal opportunistic infections.

Various malignant tumors.

The end of AIDS, the total collapse of immune function, patients with serious syndrome, until death.

AIDS diagnosis can not rely on clinical manifestations, the most important thing is to check the basis of the blood test results are positive, so after suspected HIV infection should be their own in time to the local health inspection and quarantine departments to do, do not own under the diagnosis of disorder.

 

[1]

 
 
 
 
 

[ 作者:佚名    转贴自:本站原创    点击数:197    更新时间:2009-4-15    文章录入:nnb ]

 

个人简介
协和专家门诊部艾滋病治疗中心主任、教授、专家,中医药疑难病专治网站长等。论文《艾滋病中医论治探析》登载《中国性病艾滋病》2003版杂志,发明的艾滋病治疗新药康生丹自2002年临床应用至今疗效显著,现有中国唯一艾滋病新药3代…
每日关注 更多
赞助商广告