Saturday, January 14, 2023

AIDS HIV Treatment Centers in Delhi

 The Signs of HIV

The HIV Doctor in Delhi virus weakens the immune system. A virus is the cause of HIV. HIV can spread through sexual contact, sharing needles for illicit substances or injections, coming into contact with contaminated blood, or mother-to-child transmission during pregnancy, childbirth, or breastfeeding. The initial few weeks following HIV infection are considered the acute infection period. During this stage, the virus reproduces very swiftly. Some individuals initially experience none of these symptoms during this time. However, many people experience symptoms in the first month or two after contracting the virus, but frequently without realizing that HIV is the cause of those symptoms. HIV can present with early signs like: 

  • Fever
  • Chills
  • An enlarged lymph node
  • Aches and pains in general
  • Body rash
  • Unwell throat
  • Headache

HIV symptoms are similar in men and women despite the fact that they vary from person to person. These symptoms could change or gradually get worse. If a person has been exposed to HIV, they may have also been exposed to other STDs (STIs). Trichomonas, gonorrhoea, Chlamydia, and syphilis are a few of these. STI symptoms, such as sores on the genitalia, may be seen earlier by men and those with a penis than by women.

VIRUS OF HUMAN IMMUNODEFICIENCY

Peripheral neuropathies are one of the many neurologic issues that HIV infection can cause. A neuropathy affects 20% of HIV-infected people, either directly from the virus, indirectly via other viral infections or neurotoxicity brought on by antiviral drugs (see below). Distal symmetric polyneuropathy (DSP), inflammatory demyelinising polyneuropathy, numerous mononeuropathies, polyradiculopathy, autonomic neuropathy, and sensory ganglionitis are the main peripheral neuropathy manifestations linked to HIV infection.

Distal symmetric polyneuropathy associated with HIV

The most prevalent type of peripheral neuropathy linked to HIV infection is DSP, which is typically found in AIDS patients. The distal extremities experience numbness and severe parenthesis, which define it. Although the pathogenic cause of DSP is uncertain, true peripheral nerve infection is not the cause. The production of cytokines from nearby inflammatory cells may be the reason why the neuropathy is immune-mediated. Although it may play a role occasionally, a vitamin B12 deficiency is not the main factor in the majority of DSP cases. Older antiviral drugs can potentially lead to a painful sensory neuropathy and are neurotoxin as well.

Inflammatory Demyelinising Polyradiculoneu- Ropathy Associated with HIV

HIV infection can result in the complications of CIDP and acute inflammatory demyelinising polyneuropathy (AIDP). While CIDP can happen at any point during the duration of the infection, AIDP typically develops at the time of seroconversion. Idiopathic AIDP or CIDP is not differentiated based on clinical or EDX findings. This HIV-associated polyradiculoneuropathy can be distinguished from idiopathic AIDP/CIDP due to lymphocyte pleocytosis and increased protein levels in the CSF.

Progressive Polyradiculopathy associated with HIV

Patients with AIDS may develop an acute, progressive lumbosacral polyradiculoneuropathy, which is typically caused by CMV infection. Patients typically present with asymmetrical severe radicular pain, numbness, and limb paralysis. The CSF is aberrant, showing a high protein level, a low glucose level, and most noticeably, neutrophilic pleocytosis. Active axonal degeneration characteristics are revealed by ED investigations. Antiviral medication may help the polyradiculoneuropathy.

Multiple Môn neuropathies Associated with HIV

Patients with HIV infection can also develop multiple mononeuropathies, typically in the context of AIDS. Wherever the damaged nerves are distributed, weakness, numbness, parenthesis, and pain are experienced. Axonal degeneration with necrotizing vacuities or perivascular inflammation may be seen in nerve biopsies. Treatment with glucocorticoids is advised for vacuities caused directly by HIV infection.

Sensory Neuronopathy/Ganglionopathy Associated with HIV

A extremely uncommon side effect of HIV infection called dorsal root ganglionitis might appear as neuronopathy. Similar to idiopathic sensory neuronopathy/ganglionopathy, patients experience sensory ataxia. Reduced amplitudes or the absence of sensory nerve action potentials are revealed by NCS (SNAPs).

HIV Testing

Either a blood test or a saliva test can be used to diagnose HIV. A test can be taken at home, in a doctor's office, or at a testing facility in your neighbourhood. All HIV antibody tests will search for HIV-1, which is more prevalent than HIV-2. HIV antigen assays named p24 antigens and combination testing for HIV antibodies have been developed. Since a person can contract the virus even if they don't feel sick, testing is crucial to safeguarding others.

HIV Treatment and Medicine Options

If you test positive for HIV, evidence indicates that if you begin treatment right away (or even resume it after a break) and stick with it, you can lower your viral load to undetectable levels, strengthen your immune system, and stop the spread of the disease to others. Proper up arrow.  You should begin HIV therapy as soon as possible following diagnosis, according to organisations like the National Institutes of Health. Eight classes and more than 30 distinct HIV medications are available. They work in several ways to stop the virus from multiplying and are together referred to as antiretroviral therapy (ART). Proper up arrow although new drug combinations only provide for two medications to be mixed in one pill, people frequently take a combination of three medications from at least two separate classes.

 

 

 

Dr. Raina’s Safe Hands Clinic

Dr. Vinod Raina HIV Doctors in Kailash Colony

Contact Us-9136363692 | 9871605858

Address: — Saket E-34, Ekta Apartments near

Malviya Nagar Metro Station Gate No-4 New Delhi-110017

 

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