Kuchepetsa kubwezeretsa chitetezo cha mthupi, kumachepetsa chiopsezo cha HIV
Vuto la kachilombo ka HIV ndi muyeso wa kuchuluka kwa kachirombo ka HIV komwe kakuyenda m'magazi anu ngati muli ndi HIV. Vutoli limagwiritsidwa ntchito pofuna kudziwa momwe mankhwala anu opatsirana pogonana akugwiritsira ntchito bwino komanso amatha kuuza madotolo ngati mankhwala anu akulephera kapena simutenga mankhwala anu monga momwe mwafunira.
Cholinga cha HIV
Cholinga cha kachilombo ka HIV ndikuteteza HIV kuti isabwererenso pofuna kubweretsa chiwerengero cha tizilombo kuti chisakhale chosaoneka.
Zomwe sizingatheke sizikutanthauza kuti palibe kachirombo ka HIV kapena kuti kachilombo kamene kamasulidwa mwadzidzidzi kuchokera mthupi lanu. Zimangotanthauza kuti palibe kachilombo ka HIV kamene kakuwoneka pogwiritsira ntchito matekinoloje omwe akupezekapo. Kamene kachilombo ka HIV kamayimitsidwa, kachilombo kawirikawiri kamabweranso ndikuyamba kubwereza kachiwiri.
Ndikofunika kudziwa kuti kachilombo ka HIV kamatha kusiyana poyesera magazi ndi madzi ena. Mwachitsanzo, kuchuluka kwa tizilombo toyambitsa matenda m'magazi sikutanthauza kuti simukuwonekeratu mu umuna. Chodabwitsa ichi, chomwe chimadziwika kuti kukhetsa mavairasi , chingapangitse chiopsezo chotenga kachilombo ka HIV kuchokera kwa anthu omwe angaoneke ngati alibe kachilomboka.
Anthu omwe ali ndi mavailasi osadziletsa amalephera kuwononga ma chitetezo awo a mthupi, kuvulaza komwe kumachititsa kuti thupi liwoneke ndi matenda opatsirana.
Mmene Vutoli Amagwirira Ntchito
Kawirikawiri, dokotala wanu amakoka kamodzi pa miyezi itatu kapena sikisi iliyonse kuti muyese kuchuluka kwa chiwerengero chanu cha tizilombo.
Mayesero atsopano, omwe amadziwika kwambiri ndi mavairasi amatha kudziwa kuti mavairasi asanu ndi asanu kapena mamililo asanu ndi amodzi amaposa oposa 1,000,000 / mL.
Mosiyana ndi zimenezi, kuyesera kwa ma ARV kumagwiritsidwa ntchito pofuna kutsimikizira kukhalapo kwa HIV ndipo kawirikawiri amagwiritsidwa ntchito kuyesa ana ndi makanda obadwa ndi amayi omwe ali ndi HIV .
Kutanthauzira zotsatira za Viral Load
Cholinga cha chiwerengero cha tizilombo ndi chosavuta: zochepa za kachilombo ka HIV m'magazi anu zimakhala bwino.
Poyamba chithandizo, mayesero amtundu wa tizilombo amapereka miyeso yoyambira yomwe mayesero amtsogolo amafaniziridwa. Dontho lililonse la khumi ndilo muyezo wa tizilombo limatengedwa ngati dothi lokha. Mwachitsanzo, ngati chiwerengero cha mavairasi chimachokera ku 50,000 makope / mL kufika 500 makilogalamu / mL, wodwalayo akuti ali ndi vuto lokhala ndi mavitamini awiri.
Kawirikawiri, ali ndi kachilombo ka HIV kameneka, wina akhoza kuyembekezera kuti ali ndi kachilombo kosaoneka kosawerengeka kulikonse kuchokera miyezi iwiri kapena isanu ndi iwiri. Ngakhale liwiro limene lingathetsere lingasinthe, limakhala lochedwa kwambiri mwa anthu omwe ayamba kuchepetsa chithandizo ndi kuwononga kwambiri chitetezo cha mthupi.
Timayesa izi ndi chiwerengero cha CD4 cha munthu chomwe chimatanthawuza kuchuluka kwa maselo a CD4 T otetezeka m'magazi. Munthu amene ali ndi thupi loteteza thupi lake amatha kukhala ndi magulu 500 mpaka 1,500 maselo / mL, pamene anthu omwe ali ndi chitetezo cha m'thupi amatenga maselo osachepera 200 / mL.
Komanso, ngati munthu wapanga kapena akutsutsa mankhwala alionse omwe akuyenera kutero, kuthekera kwa chiopsezo choterechi kungasokonezedwe kwambiri. Zikatero, chithandizo chiyenera kusinthidwa pambuyo pa kuyesa kwa majini kumasonyeza kuti mankhwala kapena mankhwala omwe wodwalayo ali nawo.
Ubwino Wopanda Vuto Losayembekezereka
Cholinga cha kachilombo ka HIV ndikuteteza zowonongeka kwa vutolo kwa zaka zambiri zomwe sizikuteteza zokhazokha zamtsogolo koma zimachepetsa chiopsezo cha matenda aakulu mwa 53 peresenti .
Kuwonjezera apo, kusunga kachilombo kosaoneka komweko kumachepetsetsa mwayi wanu wopatsirana kachilombo kwa ena, njira yothandizira yotchedwa kachilombo ka HIV monga kupewa (TasP) . Zofukufuku zathandiza kwambiri kugwiritsira ntchito TasP mu maubwenzi osiyana-siyana ( osodiscordant ), akusonyeza kuti zingachepetse chiopsezo ndi pafupifupi 96 peresenti.
> Zotsatira:
> Cohen, M ;; Chen, Y .; McCauley, M. et al. "Kupewa kachilombo ka HIV-1 ndi mankhwala oyambirira a antiretroviral." New England Journal of Medicine. August 11, 2011; 365 (6): 493-505.
> Ma Institutes of Health. "Kuyamba mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito ma ARV." Bethesda, Maryland; inatulutsidwa pa May 27, 2015.