CD4 vs Viral Load: What is in a Number?

Zamkati

• Kodi CD4 count ndi chiyani?
• Kodi kuchuluka kwa ma virus ndi chiyani?
• Kodi pali ubale wanji pakati pa awiriwa?
• Kodi munthu angayesedwe kangati?
• Chifukwa chiyani kuli kofunika kukayezetsa pafupipafupi?
• Ziphuphu
• Kukana mankhwala
• Kodi ndichifukwa chiyani chithandizo cha HIV chili chofunikira kwambiri?
• Kodi anthu omwe ali ndi kachilombo ka HIV amawaona bwanji?

Kuwerengera kwa CD4 ndi kuchuluka kwa ma virus

Ngati wina walandira kachilombo ka HIV, pali zinthu ziwiri zomwe akufuna kudziwa: kuchuluka kwake kwa CD4 ndi kuchuluka kwa ma virus ake. Izi zimawapatsa iwo ndi omwe amawapatsa chithandizo chofunikira chokhudza:

• thanzi la chitetezo cha mthupi lawo
• kukula kwa HIV mthupi lawo
• momwe thupi lawo limayankhira mankhwala a HIV
• momwe kachilombo ka HIV kamayankhira mankhwala a HIV

Kodi CD4 count ndi chiyani?

Kuwerengera CD4 ndi kuyesa magazi kuti muwone kuchuluka kwa ma CD4 mthupi. Ma CD4 ndi mtundu wama cell oyera (WBC). Amathandiza kwambiri chitetezo cha mthupi. Amachenjeza maselo ena amthupi kuti apeze matenda monga mabakiteriya ndi ma virus ena mthupi. Maselo a CD4 ndi gawo limodzi lama cell amthupi otchedwa T cell.

Munthu akakhala ndi kachilombo ka HIV, kachilomboka kamaukira ma CD4 m'magazi ake. Njirayi imawononga ma CD4 ndipo imapangitsa kuchuluka kwa iwo mthupi kutsika, zomwe zimapangitsa kuti zikhale zovuta kulimbana ndi matenda.

Kuwerengera kwa CD4 kumawonetsa kulimba kwa chitetezo chamthupi. Chitetezo chamthupi chokwanira nthawi zambiri chimakhala ndi CD4 kuyambira 500 mpaka 1,600 cell pa cubic millimeter yamagazi (cell / mm3), malinga ndi HIV.gov.

CD4 count ikakhala yochepera 200 cell / mm3, munthu amalandila matenda a Edzi. Edzi imachitika pagawo lachitatu la HIV. Pakadali pano, chitetezo chamthupi chimakhala chofooka chifukwa cha kuchepa kwa ma CD4 omwe amapezeka kuti athane ndi matenda.

Kodi kuchuluka kwa ma virus ndi chiyani?

Kuyezetsa kuchuluka kwa kachilombo ka HIV kumayeza kuchuluka kwa tinthu ta HIV mu milililita (mL) yamagazi. Tinthu ting'onoting'ono timatchulidwanso kuti "makope." Kuyesaku kumawunika momwe kachilombo ka HIV kamakulira m'thupi. Ndizofunikanso kuwona momwe mankhwala a kachirombo ka HIV amayendetsera bwino thupi la munthu.

Kuchuluka kwa mavairasi kumatha kuwonetsa kufalitsa kachilombo ka HIV posachedwa, kapena kachilombo ka HIV kamene sikakusamaliridwa kapena kosalamulirika. Katundu wambiri nthawi zambiri amakhala wapamwamba kwakanthawi atangotenga kachilombo ka HIV. Amachepa pamene chitetezo cha mthupi chimalimbana ndi HIV, koma kenako chimakulanso pakapita nthawi pamene ma CD4 amafa. Kuchuluka kwa ma virus kumatha kuphatikizira mamiliyoni a makope pa ml ml yamagazi, makamaka pomwe kachilomboka kamayamba.

Kuchuluka kwa mavairasi otsika kumawonetsa ma virus ochepa a HIV m'magazi. Ngati njira yothandizira kulandira kachilombo ka HIV ndi yothandiza, munthu amatha kukhala ndi chiwopsezo chochepa cha ma virus.

Kodi pali ubale wanji pakati pa awiriwa?

Palibe ubale wachindunji pakati pa kuchuluka kwa CD4 ndi kuchuluka kwa ma virus. Komabe, kuchuluka kwama CD4 komanso kuchuluka kwa mavairasi ndikofunikira. Kuchuluka kwa CD4, kumawonjezera thanzi chitetezo chamthupi. Kuchepetsa kuchuluka kwa ma virus, ndikowoneka bwino kuti mankhwala a HIV akugwira ntchito.

HIV ikalowa ma CD4 athanzi, kachilomboka kamawasandutsa mafakitore kuti apange makope atsopano a HIV asanawawononge. HIV ikapanda kuchiritsidwa, CD4 count imachepa ndipo kuchuluka kwa ma virus kumawonjezeka.

Kodi munthu angayesedwe kangati?

Wopereka chithandizo chamankhwala amatha kuyezetsa kuchuluka kwa CD4 ndi kuyezetsa kuchuluka kwa ma virus nthawi zambiri kumayambiriro kwa chithandizo cha HIV kapena kusintha kwamankhwala. Anthu ambiri omwe ali ndi kachilombo ka HIV amayenera kuyezetsa mayeso a labu miyezi itatu kapena inayi iliyonse, malinga ndi malangizo aposachedwa a mayeso a labu.

Kuyesedwa pafupipafupi kumafunikira kwa anthu ena, monga omwe ali ndi zaka ziwiri zoyambirira zamankhwala kapena omwe vuto lawo silimaponderezedwa. Kuyesedwa kosafupika kumafunikira kwa anthu omwe amamwa mankhwala tsiku lililonse kapena amakhala ndi kachilombo koyambitsa matendawa kwa zaka zopitilira ziwiri. Amangofunika kuyesedwa kawiri pachaka.

Chifukwa chiyani kuli kofunika kukayezetsa pafupipafupi?

CD4 imodzi kapena zotsatira za kuchuluka kwa ma virus zimangoyimira chithunzithunzi munthawi yake. Ndikofunika kutsatira zonsezi ndikulingalira zomwe zikuchitika muzotsatira m'malo mongoyang'ana zotsatira zoyeserera zawokha.

Kumbukirani kuti izi zitha kukhala zosiyanasiyana pazifukwa zambiri, ngakhale tsiku lonse. Nthawi ya tsiku, matenda aliwonse, ndi katemera waposachedwa zonse zimatha kukhudza kuchuluka kwa CD4 ndi kuchuluka kwa ma virus. Pokhapokha kuchuluka kwa CD4 kukakhala kotsika kwambiri, kusinthaku sikukhala kovuta.

Kuyezetsa magazi pafupipafupi, osati ma CD4, amagwiritsidwa ntchito kuti adziwe ngati mankhwala a kachilombo ka HIV ali ndi mphamvu. Munthu akayamba chithandizo cha HIV, wothandizira zaumoyo adzafuna kuwona momwe kachilombo ka HIV kamayankhira mthupi lake. Cholinga cha chithandizo cha HIV ndikuchepetsa kapena kupondereza kuchuluka kwa ma virus pamlingo wosaoneka. Malinga ndi HIV.gov, kuchuluka kwa ma virus a HIV nthawi zambiri sikupezeka m'munsi mwa makope 40 mpaka 75 / mL. Chiwerengero chenicheni chimadalira labu yomwe imasanthula mayeso.

Ziphuphu

Anthu ena amatha kutuluka. Izi ndizosakhalitsa, nthawi zambiri kuwonjezeka kwakung'ono kwamavuto. Wothandizira zaumoyo amayang'anitsitsa kuchuluka kwa ma virus kuti awone ngati abwerera pamlingo wosawoneka popanda kusintha kwa mankhwala.

Kukana mankhwala

Chifukwa china choyeserera kuchuluka kwa ma virus ndikumayang'anira kukana mankhwala aliwonse omwe angaperekedwe ku HIV. Kukhala ndi chiwopsezo chochepa cha ma virus kumachepetsa chiopsezo chokana mankhwala. Wopereka chithandizo chamankhwala amatha kugwiritsa ntchito mayeso a kuchuluka kwa ma virus kuti apange kusintha koyenera kwamachitidwe amtundu wa kachilombo ka HIV.

Kodi ndichifukwa chiyani chithandizo cha HIV chili chofunikira kwambiri?

Mankhwala a HIV amatchedwanso mankhwala ochepetsa mphamvu ya kachilombo ka HIV kapena mankhwala ochepetsa mphamvu ya kachilombo ka HIV (HAART). Amakhala ndi kuphatikiza mankhwala ochepetsa mphamvu ya kachilombo ka HIV. Amapangidwa kuti azitha kufalitsa kachilomboka mthupi lanu lonse polimbana ndi mapuloteni osiyanasiyana kapena njira zomwe kachilombo kamene kamagwiritsira ntchito kutengera.

Mankhwala ochepetsa mphamvu ya kachilombo ka HIV angapangitse kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Izi zimatchedwa an. Ngati munthu waponderezedwa ndi kachilombo kapena ali ndi kachilombo kosaoneka, kachilombo ka HIV kamakhala kakulamuliridwa.

Kuyamba chithandizo cha HIV akangodziwa kulandira kachilombo ka HIV kumapangitsa kuti munthu akhale ndi moyo wautali, wathanzi. Malangizo apano ochokera kuchipatala cha U.S.Dipatimenti ya Zaumoyo ndi Ntchito za Anthu amalimbikitsa kuti munthu amene ali ndi kachilombo ka HIV ayambe mankhwala ochepetsa mphamvu ya kachilombo ka HIV posachedwa atapezeka. Izi ndizofunikira pochepetsa matenda operewera komanso kupewa zovuta kuchokera ku HIV.

Ubwino winanso wopeza kachilombo ka HIV ndikukhala ndi chiwopsezo chosaoneka ndikuti zimathandiza kupewa kufalitsa kachirombo ka HIV kwa ena. Izi zimadziwikanso kuti "chithandizo chothandizira kupewa." Malinga ndi malipoti, anthu omwe ali ndi kachilombo ka HIV omwe amamwa mankhwala omwe amalandira ndikukhala ndi kachilombo kosazindikirika alibe "chiopsezo" chotengera HIV kwa anthu omwe alibe.

Kodi anthu omwe ali ndi kachilombo ka HIV amawaona bwanji?

Ziribe kanthu momwe HIV ilili, pali zabwino zowerengera manambalawa. Chithandizo cha HIV chafika patali mzaka zaposachedwa. Kutsatira dongosolo loyenera la chithandizo chamankhwala komanso kukhala ndi moyo wathanzi kumatha kuthandiza munthu kuti CD4 yake ikhale yochuluka komanso kuchuluka kwa ma virus m'munsi mwake.

Chithandizo choyambirira komanso kuwunika moyenera kumatha kuthandiza munthu kuthana ndi mavuto awo, kuchepetsa mavuto omwe angakhale nawo, ndikukhala moyo wautali komanso wathanzi.