Nguva dzose kuongororwa kunobatsira kutungamira uye kuongororwa utachiona hweHIV
Kana iwe une HIV, chiremba wako achagara achikumbira bhatiri rekuongorora ropa kuti uone zviri nani nekuongorora:
- mamiriro omunofomu ( CD4 count , CD8 count )
- uwandu hwehutachiona hwemuviri wako ( HIV viral load )
- kunyanya chiropa chako chiri kurarama nehutano hweHIV ( chiropa function test )
- kuti maitsvo ako ari kutarisana nehutachiona hweHIV
Pakati pemisheni iyi ndiyo imwe yero inonzi iyo yakazara ropa count (CBC). Ichi chiyero chepurogiramu chinokera kuumbwa kwemajeri enyu akasiyana-siyana eropa kuitira kuti muparidze chero shanduko inogona kuwira kunze kweiyo inofungidzirwa se "yakarongeka" mararamiro.
Nokuita kudaro, CBC inokwanisa kuona (uye inodzivirira kudzivirira) kukura kwehutano hwakabatana-nemigumisiro, pamwe nekuona dambudziko ripi zvingangodaro rakabatana nehutachiona hweHIV.
Muedzo wacho pachawo unoyera zvikamu zvakasiyana-siyana kana zvikamu zveropa rako, kusanganisira masero eropa, masero matsvuku eropa, uye maplatelets. Iko miedzo inowanzoitwa mwedzi mitanhatu kusvika ku12, asi inogona kurongedzwa kakawanda pamusana pokurwara kana kuti kuverenga kwemasero kunofungidzirwa kunge kusina tsvimbo kana "kuseka."
Chii Chinonzi White White Cell Count (WBC)?
Masoja matsvuku eropa , anonziwo leukocytes, inhengo yemasero anobudiswa muropa marrow, ane chinangwa chekutanga kurwisa utachiona.
A white blood cell count (WBC) inoitwa sechikamu cheCBC kuti iongorore masero aya.
Ikoshi yeWBC yakakwirira kana yakaderera inogona kuratidza kukura kwechirwere kana chirwere uye inogona kushandiswa navanachiremba kuti vaone kana kuchinja uku kwakabatana nehutachiona, mishonga yemishonga, kana zvimwe zvinetso zvakadai sokudzvinyirira, kukuvadza kwechigunwe, kana kunyange kuora mwoyo .
Muchikamu chetachiwana HIV, yeWBC yakakwirira inoreva kuti muviri wako uri kurwisana nehutachiona, zviratidzo zvingave kana zvisingaoneki. Dzimwe mimwe miedzo inogona kushandiswa iyo inoona chikonzero chaicho chekuchinja uku.
Kusiyana neizvi, pasi reWBC rinoratidza kuti mamwe marwadzo, kana ane hutachiona hweHIV kana asina hutachiona hweHIV, anokonzera kukanganisa kwemapfupa ekubudisa mavara matsvuku eropa. Apo ichi chiitiko (chinonzi cytopenia kana leukopenia) chinoitika, muviri haukwanisi kurwisa utachiona.
Pakati pemasero machena anokosha ma CD4 "mubatsiri" T-seli uye CD8 "muurayi" T-cells , izvo zvinokonzera kugadzirisa mafungiro evomuviri uye zvinotarisa kuvhara utachiona.
Uyezve, kune masero anonzi macrophages, mashandisi eDendritic, uye Langerhans masero ayo anosanganisira chikamu chemuviri wemuviri wemunhu (built-in). Aya masero anoshanda semutambo wekutanga wezvidziviriro chero nguva chero munhu ane hutachiona anotedza kupinda mumuviri.
Chii chinonzi Red Red Cell Count (RBC)?
Masero matsvuku eropa , anonziwo erythrocytes, ane mutoro wekutakura okisijeni kubva kumapapu kusvika kumasero akasiyana-siyana uye maviri emuviri.
Ropa tsvuku rinonzi count (RBC) rinoshandiswa sechikamu cheCBC kuti chienzanise nhamba yese yemasero muzamu reropa.
IRBC inoshandiswa inoshandiswa kuongorora hematocrit (muzana wehuwandu wegazi inotorwa nemasero matsvuku eropa), asi imwe nyamuyeso inoyera mapuroteni mumasero matsvuku eropa (anonzi hemoglobin) ayo anotakura kutakura mamolekemu eokisijeni.
Kuverenga kwakadzika kwazvo kwezvinhu izvi kunogona kuratidza anemia , chiitiko umo masero nemasukisi haapiwe zvinhu zvakawanda zve okisijeni. Kana izvi zvichiitika, munhu anowanzoora mwoyo kana kupera simba, nguva yakawanda nguva dzose, uye angangotaridzika kuonekwa kana kucheneswa kunze.
Mukati mehutachiwana hweHIV, kuperevedza ropa kunowanzozivikanwa kuti ndeimwe yemigumisiro inokonzerwa nemishonga zidovudine (Retrovir, AZT).
Kana chirwere chinopera simba chinowanikwa kana munhu ari pazidovudine, kuwedzera kwesimbi kunogona kurongerwa kana chirwere chemafuro chinonzi chinonzi chidiki. Mune zviitiko zvakanyanya kana zvakasimba, mishonga inogona kudikanwa kuti iiswe panzvimbo imwe neimwe inoshanda .
Kunyange zvazvo zidovudine isingawanzoshandiswa mumutsara wekutanga weAIDS, iyo inoramba iine hutano hunokosha kune vamwe, kunyanya panguva yekuzvitakura .)
Anemia inogonawo kubatanidza nehutachiona hwehutachiona kana zvimwe zvikonzero, zvose zveHIV- uye zvisina zveHIV. Mune zvimwe zviitiko, hutachiona hutachiona hweHIV hunochinja hutachiona hwema vitamine anokosha, kushayikwa kwahwo kunogona kuita kuti munhu ave nechirwere chemahyamu.
Matambudziko akawandisa anemia dzimwe nguva anobatwa ne erythropoietin, mishonga inorwisa mabhakitiriya iyo inogona kukurudzira kushandiswa kwemasero matsvuku eropa, kana kuti inoda kuwedzerwa ropa muropa kuti ibudirire mumasero aya.
Chii Chinonzi Platelets?
Platelets, inonziwo thrombocyte, masero asina ruvara anobatanidzwa mukugadzirisa ropa. Low platelet values zvinogona kutungamirira kubuda ropa nyore kana kuputika mumunhu akabatwa. Zviitiko zvakakomba zvingaguma nokuita kuti upenyu hunopisa mukati mekubuda ropa.
Mamiriro ezvinhu, anonzi thrombocytopenia, anowanikwa nechirwere cheHIV chisingagumi, kunyanya kune vanhu vane zvirwere zvakanyanya vasati vava kurapwa. Kutanga kwehutachiona hweHIV kunogona kugadzirisa mamiriro acho ezvinhu nekudzivisa mavhiringisi anokonzerwa nehutachiona, ayo anozivikanwa kuti anoderedza mapepa eplatelet.
Zvimwewo, mamwe madhiragi eHIV (zvikurukuru nucleoside analogs) anogona kukonzera pasi peplatelet zvinyorwa, pamwe nehutachiona hunosangana nehutachiona hweHIV hwakadai se cytomegalovirus (CMV) uye mycobacterium avium complex (MAC) .
Platelet yakawanda haisati yakambokwirira zvakanyanya sekukonzera zvinetso zveutano.
> Sources:
> Thachil, J. "Kuzara kwehuwandu hwehuwandu sechiratidzo chekuongororwa nekutapukirwa kweHIV." British Journal of Medicine. 2010; 341: DOI 10.1136 / bmj.c4583.
> Das, G. uye Baglioni, P. "Primary Primary Infection." British Journal of Medicine. 2010; 341: c4583.