Funso: Zimatenga nthawi yaitali bwanji kuti HIV ipite patsogolo ku AIDS?
Yankho: Monse mwa anthu ochepa chabe, ngati osatengedwa, kachilombo ka HIV kadzafika pa siteji ya matenda omwe timatcha AIDS. Izi ndizo pamene chitetezo cha mthupi chagonjetsedwa, ndipo thupi silingathe kudziteteza polimbana ndi matenda opatsirana.
Nthawi zambiri, nthawi yomwe imatengera kachilombo koyambitsa matenda a Edzi ndi zaka pafupifupi 5-10 ngati palibe mankhwala omwe amaperekedwa.
Kusiyana kwa nthawi kungakhale chifukwa cha zifukwa zingapo, kuphatikizapo:
- Mavuto a kachilombo ka HIV munthu ali ndi kachilombo ka HIV (zina zomwe zingakhale zochepa kwambiri kuposa ena )
- Umoyo wabwino wa munthu aliyense
- Malo omwe munthu amakhala (kuphatikizapo kupeza chithandizo chamankhwala, matenda a matenda ena kapena matenda)
- Mbiri ya munthu kapena mbiri ya banja
- Kusuta ndi zosankha zina za moyo wanu
Izi ndizowona ngati munthuyo sadzalandira chithandizo. Chithunzicho chimasintha kwathunthu ngati iye atero.
Kuchokera mu 1996, kuyambitsidwa kwa mankhwala opatsirana pogonana kwasintha kwambiri chikhalidwe cha kachirombo ka HIV. Ngakhale kuti kachilombo ka HIV sikanathe kuchiritsidwa, anthu omwe amapezeka kuti ali ndi kachilombo ka HIV omwe amachiritsidwa ndikukhalabe osamalidwa ayenera kuyembekezera kukhala ndi chiyembekezo chokhalitsa. Mofanana ndi matenda ena akuluakulu, kufufuza koyambirira ndikofunika kuti mudziwe ndi kuchiza matenda mwamsanga.
Kumvetsetsa magawo a HIV
Miyeso ya matenda kuchokera kwa munthu kupita kwa munthu imasiyanasiyana pang'ono, palimodzi mwamphamvu ndi liwiro lakupitirira. Zigawo izi zimapanga mapulogalamu a chitetezo cha mthupi (otchedwa CD4 T-cells ) pamene chitetezo cha thupi chimaipitsa. Pazifukwa zonse, chiopsezo cha matenda opatsirana (OI) chimawonjezeka mpaka chitetezo cha mthupi chitanenedweratu.
Ndi panthawi imeneyi kuti chiopsezo cha matenda ndi imfa ndipamwamba kwambiri.
Zigawo za matendawa zingathe kusankhidwa motere:
- Matenda oopsa - siteji yomwe thupi limalimbana ndi matenda atsopano, nthawi zambiri kumayambitsa matenda, omwe amachititsa kutupa, otchedwa acute retrovirus syndrome (kapena ARS) .
- Matenda opatsirana - patatha kachilombo koyambitsa matendawa, kachilomboka kakabisala muzipinda zamakono , osadziwika ndi chitetezo cha mthupi. Gawo lachilomboli (kapena lachilendo) la matenda lingathe kukhala kwa zaka zambiri ngakhale makumi khumi mwa anthu ena mpaka nthawi yomwe mavaira obisika amasinthidwanso (nthawi zambiri pamene chitetezo cha mthupi chimasokonezeka komanso nthawi yayitali).
- Edzi - malo omwe amadziwika kuti ali ndi kachilombo ka HIV kapena CD4 ya pansi pa 200 maselo / ml.
Kufufuza kwa Edzi sikukutanthauza kuti munthuyo adzadwala kapena kufa, ngakhale kuti mwayi umenewu ndi wapamwamba kuposa kale lonse.
Sizitanthauzanso kuti munthu akhoza kusintha ndi boma limene alibe kachilombo ka HIV. Ngakhale munthu ali ndi kachilombo ka CD4 pansi pa maselo 100 / mL, kuyambitsidwa kwa mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogonana kungayambitsenso ntchito yoteteza thupi kuthupi, nthawi zina mpaka magulu omwe amawoneka pafupi-mwachibadwa ndi ozolowereka.
Komabe, mwayi wodzala ndi chitetezo cha mthupi umachepetsanso nthawi imene munthu amadikirira. Ndikofunika kwambiri kuti chithandizo chiperekedwe panthawi yochidziwitsira, mosasamala za CD4 count, ndi kuti munthuyo akhalebe wothandizira kuchipatala kwa nthawi yake.
Zotsatira:
Zachigawo za US za Kuletsa ndi Kupewa Matenda (CDC). "1993 Revised Classification System for HIV Infection ndi Nkhani Yowonjezera Yowunika Tanthauzo la Edzi Pakati pa Achinyamata ndi Achikulire." Kufa ndi Kukhumudwitsa Sabata Sabata. December 18, 1992; 41 (RR-17).
Djawe, K .; Buchacz, K .; Hsu, L., et al. "Kuopsa kwa Imfa Pambuyo pa Edzi Kufotokoza Matenda Opanda Pakati Pa Anthu Odwala HIV-San Francisco, 1981-2012." Journal of Infectious Diseases. June 3, 2015; 212 (9): 1366-1375.