Odwala akulandira chithandizo cha mankhwala opatsirana pogonana mofulumira
Ochita kafukufuku amakhulupirira kuti kumwa mowa mopitirira muyeso komanso kutenga kachilombo ka HIV kumathandiza kugwira ntchito yoteteza thupi. Ndipotu, kafukufuku wina amasonyeza kuti mowa ukhoza kuchepetsa kukula kwa HIV.
Izi ndizovuta chifukwa ziŵerengero zimasonyezanso kuti vuto la mowa lafala kwambiri pakati pa anthu okhala ndi kachilombo ka HIV (HIV) kusiyana ndi anthu ambiri.
Zakhala zikudziwika kuti kumwa mowa mwauchidakwa kungathetsere ntchito zambiri za chitetezo cha mthupi, zomwe zimapangitsa kuti chiopsezo chiwonjezeke. Pokhala mowa mopweteka odwala, njira yachibadwa ndi kuthetsa mabakiteriya ndi matenda a tizilombo ndi ovuta kwambiri.
Kafukufuku apeza kuti odwala kachilombo ka HIV omwe ali ndi vuto lakumwa mowa, omwe amalandira chithandizo chowopsa cha antiretroviral (HAART), ndipo akumwa tsopano, ali ndi kachilombo ka HIV kuposa omwe samamwa.
Kumwa Mowa ndi Mankhwala a Immune
Jeffrey H. Samet, pulofesa wa zamankhwala ndi zaumoyo ku Bwunivesite ya Boston, ananena kuti: "Mbali imodzi yomwe timachita chidwi ndi kuyesa ubale pakati pa kumwa mowa ndi kachilombo ka HIV kunayambira pa zochitika zachipatala. "Kumidzi komwe ndikugwira ntchito, odwala ambiri - omwe ali ndi HIV kapena alibe, komabe makamaka ndi kachilombo ka HIV - akhala akumwa mowa."
"Padzikoli tisanakhale ndi HIV, tinkadziwa kuti kumwa mowa mopitirira muyeso kumayambitsa mavuto omwe amafala kwambiri ku matenda a chifuwa chachikulu monga chifuwa chachikulu cha TB komanso chibayo. Ndipotu timadziwanso kuti kachirombo ka HIV kakuyambitsa chitetezo cha mthupi. kodi zinthu ziwirizi - HIV ndi mowa - zikhonza kugwirizana mwa njira ina zomwe zimapangitsa chitetezo cha mthupi kukhala choipa kuposa HIV yekha? '"
Kutha Kumwa Kukhudzidwa kwa Chithandizo
"Ngakhale kuti sitikumvetsa momwe mowa umagwirizanirana ndi kalembedwe ka chitetezo cha munthu yemwe ali ndi kachilombo ka HIV," adawonjezera Amy C. Justice, wofufuza kafukufuku wa University of Pittsburgh School of Medicine ndi VA Pittsburgh Healthcare System, "wosakhala munthu Kafukufuku amasonyeza kuti kumwa mowa mwamsanga kumawonjezera mphamvu ya tizilombo, mosakayika mwa kuchepetsa kupha tizilombo. "
Woweruza adanenanso kuti zotsatira zoledzeretsa za mowa zimayambanso kudandaula. Iye anati: "Kumwa kwambiri mowa kumadziwitsa kuti munthu athe kulimbana ndi kachilombo ka HIV," adatero, "ndipo kusadziwika kumadziwika kuti kumayambitsa matenda ofulumira kwambiri. Komanso, mowa umadziwika kuti zikhale zovuta kwambiri pakati pa anthu omwe ali ndi kachirombo ka HIV, monga hepatitis C kapena matenda a chiwindi a B. "
Kuwonjezera Zoopsa Zowopsa
"Potsiriza, kumwa mowa mopitirira muyeso kungayambitsenso kuchuluka kwa mankhwala oopsa a antiretroviral mankhwala chifukwa zonsezi zingakhale poizoni kwa chiwindi ndi fupa la mafupa. Choncho, kumwa mowa mopitirira muyeso kungayambitse kusaganizira komanso kuthetsa kuthetsa kwa mankhwala opatsirana pogonana njira. "
Matenda atsopano a kachilombo ka HIV, HAART, athandizira kuchepetsa kufala kwa HIV ndi kufa.
Mawuwo samatchulidwa mwachindunji kwa mankhwala enaake, koma kwa mankhwala osachepera atatu omwe amadziwika kuti amatsutsana ndi HIV, omwe ali m'gulu la ma retroviruses.
Mipamwamba ya RNA, Lower Cell Counts
Pa kafukufukuyu, ofufuza anafufuza 349 (amuna 276 kapena 79 peresenti, amuna 73 kapena 21 peresenti) akazi omwe ali ndi kachilombo ka HIV omwe ali ndi vuto lakumwa mowa. HAART imagwiritsa ntchito mwezi watha unatsimikiziridwa; monga mowa mowa, ndipo kenako amatsindikiza monga palibe, mopitirira malire, kapena pangozi. Kuwonjezera pamenepo, zizindikiro ziwiri za matenda a HIV zinayesedwa: CD4 cell counts, ndi HIV ribonucleic acid (RNA).
Kafukufukuyu anapeza kuti pakati pa odwala kachilombo ka HIV omwe ali ndi vuto lakumwa mowa komanso omwe anadwala HAART, omwe amadya mowa mwauchidakwa kapena pangozi anali ndi kachilombo koyambitsa matenda a HIV RNA komanso kuchepa kwa CD4, poyerekeza ndi omwe sanali kumwa. Palibe kusiyana kwakukulu komwe kunapezeka mu HIV RNA kapena CD4 cell omwe ali ndi kachilombo ka HIV omwe adamwa mowa koma sanali mankhwala opatsirana pogonana.
Mowa, kachilombo ka HIV ndi katemera wa m'mimba
Kafukufuku wina wasonyeza kuti kumwa mowa ndi anthu omwe ali ndi kachilombo ka HIV kungawononge chitetezo cha mthupi. Kafukufuku wina anapeza kugwirizana pakati pa mowa, kachilombo ka HIV ndi kutetezeka kwa chitetezo cha m'mimba m'matumbo omwe amamwa mowa kwambiri.
Kuwonongeka kumeneku kungachititse kutupa, kuwonongeka kwachitsulo, ndi kuphulika kwa mabakiteriya, komwe kumawonekera kuti kulimbitsa kachilombo ka HIV m'thupi, ofufuza amakhulupirira. N'chimodzimodzinso ndi zakumwa za mowa pamatenda ambiri a mucosal - m'matumbo, m'magazi, ndi m'mapapo.
Zotsatira za mowa pamatendawa zingabweretse chilengedwe chomwe chingawononge kukula kwa matenda ndikuonjezera chiopsezo chotenga kachilombo ka HIV .
Zotsatira:
Bagby, GJ, et al. "Zotsatira za mowa ndi kachilombo ka HIV pachitetezo cha m'thupi." Kuledzeretsa: Kufufuza ndi Kufufuza Zakale 2015
Molina, PE, ndi al. "Ganizirani Mowa Mwauchidakwa ndi Matenda a Immune." NIAAA: Mowa ndi Thanzi
Samet, JH, et al. "Kugwiritsa Ntchito Mowa ndi Matenda a kachilombo ka HIV Kuwonjezeka: Kodi Zimagwirizana?" Kumwa mowa: Kufufuza kwachipatala ndi kafukufuku May 2003