Medical brain notes 7

  AIDS and the Nervous system AIDS means Acquired Immuno-Deficiency Syndrome that occurs due to HIV i.e. Human Immuno-Deficiency virus. It affects the immune system of the body, causing many problems. AIDS is not just a single disease, it points towards a group of diseases. Normally, our body has two types of mechanisms to  fight against infections. Cell mediated immunity -provided by the Lymphocytes   Humoral immunity - conferred by the antibodies. HIV hampers the functioning of the T-lymphocytes by infecting them as well as decreasing their numbers. Due to the dwindling of these cells, which are the most important defence mechanism of the body, the entire immune system of the body gets affected and the immunity power of the body gradually decreases. Because of this, the organisms, which cannot infect a healthy normal person, are easily able to infect a person suffering from AIDS. How the AIDS spreads? 1.          By heterosexual o...

  How the AIDS spreads? 1.          By heterosexual or homosexual intercourse.  2. Transfusion of the blood of an AIDS patient to a normal person. 3.          Mothers suffering from HIV can transmit the disease to her fetus during pregnancy in 30 to 40% of the cases. 4.          By the needle of the injection, syringe and other operative instruments. 5.          If a normal person uses a needle used by an AIDS person, addicted to intravenous drug abuse, the infection can easily spread. 6.          There are many misconceptions that are still prevalent in our society regarding AIDS. For example, AIDS can be transmitted by staying with a patient, shaking hands, playing, eating etc. All these notions are only myths. It is very necessary that an AIDS patient is not isolated but social...

  Tips for prevention of AIDS 1.          Disposable syringes and needles should be used for injections and injections should be avoided for common diseases unless absolutely essential. 2.          Don’t have sexual relations with a stranger. 3.          If blood transfusion is required the blood should be used only after testing the blood for HIV in a laboratory. If possible take blood only from family members and relatives. Don’t take blood from professional blood donors. 4.          Use individual razors and blade and avoid sharing.

  Symptoms of AIDS : 1.          The first illness occurs within 6 to 8 weeks. The patient gets fever, muscular pain, swelling of lymph glands, red spots on the skin, swelling in the throat etc. The patient is cured without any treatment in a week. This first illness is called as sero conversion illness. After this first illness HIV test is positive. In the initial 6 to 8 weeks the laboratory test is negative but the patient can still spread AIDS during this phase. This phase is called Window period. 2.          After the first illness, the patient enters the non-symptomatic HIV carrier phase. This phase can last up to 5 to 10 years. This period is dependent on the overall health and habits of the patient. 3.          After this phase various symptoms are seen like swelling of the lymph glands, continuous or frequent fever, ulceration in the mouth and throat, sple...

  1.          Brain encephalitis, herpes simplex, varicella zoster, AIDS dementia complex (memory disorder), diseases of the metabolism of the brain, TB of the brain, lymphoma, toxoplasmosis, P.M.L, abscess, syphilis of the brain, fungal infection of the brain etc. can cause extensive damage, by direct infection of brain. 2.          Edema of the spinal cord called myelitis, myelopathy etc. can occur, which can hamper the movements of the patient. 3.          Infections in the membranes of the brain (meningitis) resulting in meningitis. These infections can be due to organisms of TB, syphilis, fungus, and can cause unconsciousness, seizures or paralysis.   4.          Damage to the nerves of the nervous system result in neuritis caused by infectious organisms like Herpes etc. This may result in burning sensation in the ...

  Treatment : The treatment of AIDS is usually long term and very expensive. Still the treatment, which can cure AIDS completely, has not yet been discovered. With the present medicines and the treatment it is only possible to stop the spread of the disease as well as improve the immune system (CD 4  count) to some extent. As a result the quality of the patients life can be improved, the infectious diseases can be prevented and the patient can move around and can remain mentally sound. The medicines available to kill the AIDS virus are very expensive. Many a times the doctors use a combination of three medicines whose average monthly expense is around Rs. 10,000/-. The irony is that in spite of this expenditure, the disease is neither completely cured nor controlled. It is to be remembered that the infection of HIV is not the primary cause of death. The AIDS patient dies mainly because of the infections of microorganisms and infectious agents. Therefore, if the diagnosis of th...