Kuongorora ropa kuongorori kunobatsira kufanotaura migumisiro yehutano
Kuyera CD4 T-seli kunokosha pakubatsira vanachiremba kuziva danho uye zvichida kuguma kwekutapukirwa kweHIV. Kunyange zvazvo vasisati vashandiswa kuongorora kana chirwere cheHIV chichifanira kutanga-chirwere chinogara chichifanira kutanga panguva yekuongororwa -iyo inogona kupa vanachiremba pfungwa yakajeka yekuti munhu akadini uye chii chinogona kuitwa kuti awedzere nguva yake yakareba utano.
Kunzwisisa CD4 uye CD8 T-Cells
Kutanga, lymphocytes rudzi rwemuchena weropa rega rinobatsira muviri kurwisa utachiona. Kune miviri miviri mikuru ye lymphocytes: B-lymphocytes uye T-lymphocytes. Pakati peizvi, kune marudzi maviri eT-masero atinocherechedza panguva yehutachiona hweHIV:
- CD4 T-seli dzinonzi T-lymphocytes dzine ma molecule anonzi CD4 ari pamusoro pavo. Vanotanga maitiro ezvirwere zvekuzvidzivirira nekudzivirira zvirwere zvekuzvidzivirira nekudzivirira mamwe masero edziviriro edziviriro ezvirwere zvinotapukira zvakadai semabhakitiriya nemavirusi.
- CD8 T-seli dzine malekemu panzvimbo yavo inonzi CD8. Aya ndiwo "muurayi" T-lymphocytes anoshanda nekuparadza masero ane utachiona uye kubudisa zvinhu zvinorwisa zvirwere zvinorwisa zvirwere zvinotapukira.
Kukosha kweA Absolute CD4 Count
Mhedziso yeCD4 yakawanda ndeyekuyera kwehuwandu hunoshanda huwandu hweCD4 T-seli huchipararira muropa rako. Icho chiri pasi pasi zvachose CD4 count, iyo inowedzera simba rekuzvidzivirira mumuviri.
Mhedziso yeCD4 yakawanda inotaridzirwa neruzhinji rweruzhinji rwekuongorora ropa, izvo zvinowanikwa zvinonzi nhamba yeCD4 masero per cubic millimeter yeropa. Vanhu vane HIV havaiti kazhinji vane ma CD4 akaenzana pakati pe 600 uye 1200 CD4 masero pa cubic millimeter. Kusiyana neizvi, vanhu vane simba rekudzivirira zvirwere vanorarama neHIV vanoverenga izvo zvinowanzosvika pasi pe500, zvichienderana nechetatu rehutachiona, asi vanhu vane HIV yakakura vanogona kuva neCD4 T-seli pamubhiyamu mamiriyoni maviri kana pasi.
Mhedziso yeCD4 yakaverengwa inofanirwa kuti ndiyo inonyanya kushandiswa iyo yekufanotaura kuitika kwekuwedzera kweHIV.
Chii icho CD4 Percentage Inotiudza
Iyo CD4 muzana inomiririra chiyero chema-lymphocytes akawanda ane CD4 masero uye inotarwa achishandisa kuenzana kweropa rakafanana neyoyo yakazara CD4 count.
Kazhinji, vanhu vane hutachiwana hweHIV havazove neCD4 muzana ye inenge 40 muzana, nepo vanhu vane HIV4 vane utachiona hweHIV vanogona kunge vari pasi kana 25 muzana kana pasi. Zviri pachena, iyo yakakwirira yepakati, inowedzera simba rekuzvidzivirira mumuviri.
Kana CD4 yako yakawanda yakaderera pane yaunotarisira, CD4 muzana inogona kuiisa mumaonero akanaka nekuudza izvi kana iri kuchinja kwechokwadi kana kungoshanduka.
CD4 / CD8 Ratio seSpapshot yeAppune Health
Imwe nzira yekuwana ruzivo rwakanakisisa rwemuviri wemuviri wemurwere ndeyekuwedzera kuongorora ma CD4 / CD8 yemuviri yehuwandu, iyo inoongorora nhamba yeCD4 T-seli yakaenzaniswa nenhamba yeCD8 T-seli. Nekuedzwa, tinokwanisa kuona kana chirwere chacho chiri kufambira mberi nekutsvaga kupera kwe "muurayi" T-masero muropa samples.
Kazhinji, mukufambira mberi kwezvirwere, sezvo simba rekudzivirira muviri rinopera simba , hazvikwanise kubudisa T-seli kuti dzizvidzivirire. Iko CD4 / CD8 muzana inotibatsira kuona izvi.
Mumakore achangobva kupfuura, kunyanya kusimbiswa kwakaiswa paCD4 / CD8 simba mukati mehutachiwana hweHIV . Zvidzidzo zvekare zvekuchirapa zvakaratidza kuti varwere pahutano hwakanaka, kwenguva yakareba ART nehuwandu hweCD4 / CD8 yehuwandu hune huwandu hwekusava nehutachiona hweHIV hune hutano uye hunofa.
Chikonzero nei Iyi miedzo ichikosha
Mhedziso yakakwana yeCD4 neCD4 muzana inopa chiremba wako chidimbu chehutano hwemajoni ehurumende yako, pamwe nekufananidzira kwechirwere chako chinofambira mberi.
Nenzira yaro yakajeka, tinoziva kuti CD4 inosvika pasi pe2004 inopa munhu ane HIV ane pangozi yezvirwere zvinotapukira . Iko CD4 muzana, panguva iyo, inotarisa kuwanda kwenhamba ye lymphocytes uye kune zvimwe zvinopedzisira kuitika kwehutano hwemunhu uye hurefu kwenguva refu.
Kana, somuenzaniso, iyo CD4 count yakakwirira chete nokuti inonzi lymphocyte count yakareba, tinenge tichiine chikonzero chekufungisisa nezvehutano hwomurwere. Kana, nedzimwe rutivi, CD4 yakaderera sechikonzero chechechi yakaderera yecymphocyte, tinogona kududzira zviito zvakasiyana.
> Kwakabva:
> Gompels, M .; Dunn, D .; Phillips, A .; et al. "Inorambidzana pakati peCD4 Count uye CD4 Percentage muHIV-Vanhu Vanokanganisa Zvinokonzera Hurukuro Pamusoro Pemaitiro Anonyanya Kuita Antiretroviral Therapy?" J Inofadza Dis. 2012; 205 (4): 540-547.
> Kutama, R .; Huang, R .; Ledergerber, B ;; et al. "CD4 / CD8 chiyero uye CD8 inofanirwa kufanotaura kupindura kweCD4 muHIV-1-ine utachiona husina utano uye kune varwere pamusana." Medicine. 2016; 95 (42): e5094.