Kudzidza kuti une HIV unogona kukura. Kuvhiringidzika kunosangana nehutachiona kunogona kuva kwakanyanya, uye vanhu vazhinji vanotambudzika mukugadzira nyaya kuti vane HIV vanotapukirwa. Zvisinei, kana vachinge vaita, kazhinji chimwe chezvinhu zvekutanga zvavanofunga ndezvekusarudza kwavo kwehutano hweHIV. Izvo zvinowanzotaura zvakananga kune vanorapwa-vasingatendi varwere, asi kusarudza kodzero yakabatanidzwa yakaitwa antiretroviral therapy (chirwere) regimen inogona kuva yakaoma kune varwere vane chirwere chisingawirirani nemishonga yeHIV.
Kunyangwe Kurwisa Kwemishonga Kunokurudzirwa
HIV inotama uye inochinja nekukurumidza. Sezvo zvakadaro, kurapa hutachiona hakusi nyore nguva dzose. Mumakore ekutanga ehutachiona , paiva nemapoka mashoma ekurapa. Vanhu vakaiswa pamushonga mumwe chete panguva imwe chete, uye kurwisana nemishonga iyoyo dzimwe nguva yakakurumidza kusvika.
Sezvo mishonga yakawanda yeHIV - uye makirasi emishonga yeHIV - yakagadzirwa, vanachiremba vanoshanduka kune marudzi akawanda emishonga yemishonga inozivikanwa seyakashanda zvikuru ye antiretroviral therapy kana HAART. Izvi zvinowanzova nemishonga miviri yekurapa majekiseni kubva kumakero akasiyana-siyana emishonga.
Mumakore achangobva kupfuura, zvisinei, izwi racho rakashanduka. Iye zvino vanachiremba vanowanzotaurirana nezveKART - pamwe pamwe nehutachiona hwehutachiona hwehutachiona. Zvisinei, mutungamiriri wacho achiri zvimwe chete. Chikoro chimwe nechimwe chezvinodhaka chinoshanda kushandura chikamu chakasiyana chehupenyu hwehutachiwana, uye nekubatanidza mishonga yakawanda zvinowedzera zvakaoma kuti utachiona huve nekushandura uye kusagadzikana nemumwe mushonga weHIV.
Kupera kweDrug Resistance
Nemhaka yekuwedzera kwehutachiwana hutachiona hutachiwana hutachiona hweHIV, huwandu hwekurwisa zvinodhaka hwave kuchiri kupera munguva. Kuchinja mazano ekurapa kuita mapiritsi nyore nyore kutora, uye kuwedzerwa kuterera, kwakabatsirawo zvikuru. Izvozvi kuchinja, mune dzimwe nzira, zvakanakisisa zvinoratidzwa nekuvandudzirwa kwemapirisi maviri ekurapa kweHIV.
Izvi zvinowanzova nemishonga mitatu kana ina mune imwe mapiritsi inotorwa kamwe chete pazuva.
Izvi zviri nyore kwazvo kuvarwere vazhinji kuti vatarisane pane kuronga nhamba yakawanda yemapiritsi panguva dzakasiyana-siyana zuva rose. Kana utachiona hwehutano hwakanyatsogadziriswa pamishonga yavo yeHIV, uye vanochengetedza zvisingaoneki zvehutachiona hwehutano zvakapfurikidza nekufamba kwemazuva, hazvisati zvave zvakakonzerwa nekurwisa mishonga.
Mhando yekuti HIV Virus Inoramba Sei Ichirwisana Nemamwe Mishonga?
Vanhu vane hutachiona hweHIV vanogona kuguma nemishonga inopesana nemishonga yeHIV mune imwe nzira mbiri. Chokutanga ndechekuti ivo vangave vatapukirwa nechisimba chinopesana nemishonga. Chechipiri ndechekuti hutachiona hwavo hunogona kupikisana nemumwe kana mishonga inopfuura nguva. Zvimwe zvinhu zvinogona kuwedzera huwandu hweHIV huri kukanganisa zvinodhaka zvinosanganisira:
- Kuterera kusina kunaka / kutambira : Vanhu vasingatori mishonga yavo nenzira yakakodzera, sezvakataurwa, vane mikana yekukudziridza utachiona husingagadzirwi utachiona. Izvi zvinonyanya kukosha kune vanhu vane matambudziko nekuteerera kwenguva refu.
- Kusakwanisa kupindura mushonga wekutanga-mutsara : Kana kurapwa kwekutanga kusingatungamiri kurwara kwehutachiwana mumwedzi gumi nemaviri, zvino inonyanya kuvepo kuti utachiona hwako, kana hukava, kusagadzirirwa kurapwa. Izvi zvinonyanya kukosha mumamiriro ekudzivirira-pasi mashoma apo vanhu vanorapwa nekutanga nonnucleoside reverse-transcriptase inhibitor (NNRTI) yakarapwa. Zvisinei, zvakakosha kuziva kuti kusakwanisa kupindura hakureve kuti mishonga yekutanga yakakonzera kuti utachiona hwako husagadzikana. Kushaya kwakadaro kwakadaro kunowanzoratidza chiratidzo chekuti vanachiremba vanoshandisa kukurudzira kuongorora kana iwe wakanga uine utachiona hwekusagadzikana.
- Kufanirwa kurapwa : Izvi zvinoitika kana vanachiremba vasati vasvika pamusana pekufambira mberi kwezvinoitika mune mishonga yeHIV, kana nokuda kwechimwe chikonzero, kurapa kwakanakisisa hakuwaniki. Pane zvirevo zvakananga zvemishonga zvinorayirwa kuti kuderedze mikana yekurwisa mishonga inoitika. Izvi hazvirevi kungobatanidza makirasi emishonga zvakakodzera asi kunyanya mishonga yakananga mukati mekirasi iyo isingakwanise kukonzera kusagadzikana kana kugoverana nekudzivirira nzira.
- Kusava nekugadzirisa kutarisa : Pese pazvinogoneka, vanachiremba vanofanira kugara vachicherechedza mutachiona hwehutachiona hwezvirwere zvezviratidzo zvekusimba. Izvi zvinobvumira vanachiremba kushandura zvinodhaka nokukurumidza kutarisa izvo zvichashanda zvakabudirira. Zvisinei, mune dzimwe nzvimbo, kurwisana kunoratidzika hakuwaniki, kana varwere havagoni kana kuti vanoda kuongororwa nguva dzose. Kazhinji, kushaiwa kwekuzvidzivirira kunowedzera muenzaniso wekuti vanachiremba vaizofungidzira sei kushorwa, panzvimbo pechikonzero.
Kuona Zvinodhaka-Kurwisa HIV
Dzimwe mhando dzekumirwisa zvinodhaka zvinogona kuonekwa kuburikidza nehutachiona hwemagenome sequencing. Zvimwe zviitiko zvekutengesa zvinodhaka zvakagadziriswa, uye kuchinja uku kwakave kwakabatana nekuderedza kurapwa kwehutano hwemunhu mumwe nemishonga kana mapoka emishonga. Ruzivo rwekushanduka-shanduka kuripo mumararome emuropa anokwanisa kubatsira vanachiremba kusarudza chirongwa chakakosha chemishonga kune murwere. Zvisinei, kuongororwa kweHIV-1 genome haisi nguva dzose chiitiko chechirongwa chekliniki.
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