4 Miitiro Inokuvadza HIV Kurapa

Izvozvo Zvimwe Zvasarudzo Zvoupenyu Zvingakusiya Iwe Makore

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Dambudziko rekushandisa zvinodhaka: Kurasikirwa kwemakore gumi

Ive yakanyatsosimbiswa kuti kunyanya kuongororwa uye kurapwa kweHIV kunogona kuwedzera kutarisira hupenyu . Kutaura zvazviri, kutsvakurudza kubva ku Multicenter AIDS Cohort Study (MAC) yakagumisa kuti munhu anotanga kurapwa kwemishonga inonzi antiretroviral therapy (ART) paCD4 inopfuura makumi matatu nemazana masere / μL anogona kunge ane upenyu hwakaenzana kana kuti kunyange hukuru pane hwevasina kutapukirwa mumwe munhu. MuUnited States, iyo inoshandura kune tarisiro yehupenyu yeanenge makore 76 evanhu uye makore 81 kuvakadzi.

Kunyangadza nhasi ndechokuti, nepo ART ichibatanidza nekubudirira kwakakura mumakore ehupenyu, tsika dzezuva nezuva uye zvisarudzo zvatinoita zvinogona kudzorera vazhinji-kana kwete yose-yeavo vanowana. Zvinotevera ndezviitiro 4 zvinogona kuderedza mararamiro ako nemakore gumi nemashanu uye matanho aunogona kutora kuti udzose mararamiro ako kana une HIV.

Kushaya chiitiko chinowanzoitika pamishonga yako yeHIV ndeyevanhu chete. Kuita saizvozvo kugara kune imwe nyaya, kusanganisa kwete kungoshanda kwemishonga yako, asi iyo chaiyo yehosha yako.

Kunyange zvazvo antiretroviral therapies iri nyore zvikuru nhasi kupfuura kare-neine mapiritsi mashomanana, madhara emigumisiro yakaderera, uye zvirongwa zvekurapa zviri nyore-sevashomanana kana 60 muzana yevaya vari kurapa vanogona kuchengetedza mazinga ekutevedza anodikanwa kupedza zvachose utachiona. Nokukundikana kutsigira hutachiona hwehutachiona husingaoneke , varwere vanowanzosangana nekukundikana kwehutano sezvavanowedzera kusagadzikana pamishonga yavo yeHIV. Somugumisiro, zvisarudzo zvinokosha zvekurapa zvakarasika, kazhinji nokusingaperi.

Kurasikirwa kwekodzero kunowanzobatanidzwa nehutachiwana hwekuchengetedza zvinodhaka , kunyange pakati pevaya vane utachiona hwakanyanya. Kutsvakurudza kubva kuYunivhesiti yeMcGill kuMontreal kwakaratidza kuti varwere vane "zvinotaridzika" zvinowanikwa mumavhuvira (kureva, pakati pemakore 50 ne1999 / mL) vane 400 mukana mukuru wekurapa kurapwa kune avo vane chirwere chinorarama uye chakakwana.

Muna 2015, Chikwata cheKubatanidzwa cheHIV Chikoro (UK CHIC) Chidzidzo chakatarisa mumigumisiro yekuderedza hutachiwana pamararamiro ehupenyu hwemunhu uye akagumisa kuti munhu ane makore 35 anokwanisa kukwanisa kuwana simba risingaoneki rehutachiona apo ART inogona kutarisira kurasikirwa 10 makore ehupenyu tarisiro, kunyange kana CD4 chiverengero chaive pamusoro pe 350 masero / μL.

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Injecting Drug Use: Inopera makore gumi nemana

Kushandisa mishonga yemishonga haisi kungoenderana nehuwandu hwekuwana HIV uye hepatitis C , inogonawo kuwedzera mukana wekufa nemhaka yehutachiona hwehutachiwana hweHIV, kunyange pakati pevaya vanogona kuwana hutachiona hwekuderedza.

Chidzidzo chinobva kuBritish Columbia Center for Excellence muHIV neAIDS muVancouver chakaongorora hutariro hwehupenyu hwehutachiwana hwehutachiwana hwehutachiwana hunokwana 2 637 hutachiona hweHIV huri pamusoro pemakore makumi maviri, kuunganidza nguva uye zvikonzero zvekufa kwevadzidzi vanenge 200 vakafa pamusoro pemakore manomwe emakore. Kunyange zvazvo kudarika uye kuzviuraya kwakaverengera 19 muzana yevakafa, HIV nehutachiona hwakakonzerwa nehuwandu hwakaita sehuwandu huwandu, hubatana nekurasikirwa kwemakore anopfuura gumi ehupenyu pasinei nemamiriro ekurapa.

Chimwe chidzidzo chakafanana kubva kuTufts-New England Medical Center chakatarisawo 656 IDU pamusoro pemakore mashanu uye yakagumisa kuti vazhinji vevakafa pakati pevaHIV-positive (66 muzana) vakafanirwa neHIV kana kuti hutachiwana hwehutachiona, asi zvishoma chetatu chakanga chakabatana zvakananga nekushandisa zvinodhaka kana chisimba.

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Kusvuta: Kurashika Kwemakore 12

Kusvuta , sekuzvimiririra, kunofungidzirwa kuva nechinonyanya kukosha pakuparara nekufa kune vanhu vane HIV kune dzimwe humwe hutachiona hweHIV-kana husina HIV. Chinokonzera izvi kunyanya kunetseka ndechokuti vanhu vane HIV vanowanzosvuta kusvuta kupfuura vasiri vanhu vane utachiona uye vanotanga kuwedzera zvirwere zvinosvuta fodya makore gumi kusvika kune gumi apfuura.

Chidzidzo che2013 kubva kuCopenhagen University Hospital chakashuma kuti kusvuta, mukati uye pachako, kunoderedza mararamiro ehupenyu kuburikidza nevhareji yemakore gumi nemaviri kune vanhu vane HIV-kaviri kechipiri chechirwere chemwoyo chinokanganisa, kaviri kechiitiko chekufa kubva kune chirwere chisingaperi chinoparadza chirwere cheplm (COPD) ), uye kuwedzera njodzi yemukenza wemapapu neyakaipisisa 1400 muzana kana ichienzaniswa nevanhu vakawanda.

Kusiyana neizvi, kusvuta kupera pakati pevanhu vane HIV kunobatanidzwa ne 65% kuderedzwa kwehutano hwemwoyo mushure mekunge kwemakore matatu chete uye 50 muzana inokonzerwa nehutachiona hwemapapu mushure megore rimwe chete.

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Kurara kweHIV Kurapa: Kurasikirwa Kwemakore 15

Kuzvipira uye kuzvidzivirira maitiro maviri ane munhu ane HIV haagoni kukwanisa kuzviita, kunyanya kana ine chokuita nehutano hweHIV. Nokunonoka kuporesa kwemakore nemakumi emakore, iwe unobvumira kuti hutachiona husakanganise kubvisa muviri wako wechirwere chekuzvidzivirira paunenge uchiisa muviri wako kusvika kumakore ekuputika izvo zvinogona kutungamirira kukurumidza kufambira mberi kwehutano hunobatanidza kukwegura .

Vatsvakurudzi vekuKritain CHIC Vakagumisa kuti munhu anononoka kurapwa kusvikira CD4 count yake inodonha pasi pemakiromita 350 / μL inogona kutarisira kurarama makore gumi nemashanu pane munhu anotanga pamusoro pe350 / μL. Pamusoro peflip side, kutanga chirwere panguva yekuongororwa , pasinei neCD4 count, haisi kungowedzera mikana yekurarama kwenguva yakatarwa asi inoderedza dambudziko reHIV-uye risina hutachiona hweHIV ne 53%.

> Sources:

> INSIGHT START Chidzidzo Chekudzidza. "Kutanga kweAntiretroviral Therapy muAt Early Asymptomatic HIV Infection." New England Journal of Medicine. July 20, 2015; DOI: 10.1056 / NEJMoa1506816.

> Laprise, C .; de Pokomandy, A .; Baril, J .; et al. "Kukundikana kwechirogiki mushure mekuramba kuripo pasi-viremia muboka revarwere vane HIV / HIV: migumisiro kubva pamakore gumi nemaviri ekucherechedza." Clinical Infectious Diseases. November 2013; 57 (10): 1489-96

> May, M .; Gompels, M .; Delpech, V .; et al. "Ndinosangana nehupenyu hwehutachiwana hweHIV-1 vanhu vane hutano hweCD4 + masero esero uye utachiona hwehutachiona hwehutachiona hunopesana nehutachiona." AIDS. May 15, 2014; 28 (8): 1193-1202.

> Helleberg M .; Afzal, S ;; Kronborg, G ;; et al. "Kufa kunokonzerwa nekusvuta pakati pevanhu vane HIV-1: rudzi rwevanhu vose vanoongorora boka." Clinical Infectious Diseases. March 2013; 56 (5): 723-734.

> Clifford G .; Lise, M .; Franceschi, S .; et al. "Kanza yemaperembudzi muSwitzerland HIV cohort study: basa rekutsvuta, kudzivirira muviri uye zvirwere zvepemmune." British Journal of Cancer. January 12, 2012; 106 (3): 447-452.