Kuchiramba kuve pasinei nehutachiona hweHIV kana hutachiona hweHIV
Kunzwa kurasikirwa hakusi kujairika kune vanhu vanorarama neHIV, uye kusvika munguva ichangobva kuve nekukakavara kwekuti HIV inorapwa ; chirwere chisingaperi chine chokuita nehutachiona hwemazuva mazhinji; kana HIV pachayo inogona kuve yakakonzera kurasikirwa kwakadaro.
Zvinopesana Nezvidzidzo Zvidzidzo, Zvidzidzo Zvidzidzo
Kudzoka muna 2011, kutsvakurudza kwemakore mashanu kwakaitwa neYunivhesiti yeRochester muNew York kwakagumisa kuti hapana hutachiona hweHIV kana kurapa kwahwo hwaibatanidza nekurasikirwa kwekunzwa.
Kuongorora, kwakabatanidza mashoko kubva kumakwikwi maviri akareba-Ma Multicenter AIDS Cohort Yokudzidza (MACS) uye Women's Interagency HIV Study (WIHS) - vakaongorora kubuda kweptoacoustic (kureva kuti, manzwi akapiwa nenzeve yomukati kana ichikurudzirwa ) muna 511 varwere vane HIV.
Maererano nemigumisiro, vatsvakurudzi vakapedzisa kuti iyo yehutakisi yekuteerera pakati pevatori vechidzidzo vakanga vasina misiyano-uye zvichida zvishoma-kupfuura iyo yevanhu vakawanda veUnited States.
Pakazosvika gore ra2014, rimwe boka rekutsvakurudza rakadzokororazve nyaya yacho, uye nguva ino yakaongorora kana vane vemazana vane makore vane makore makumi matanhatu kubva kumakore makumi mashanu kusvika kumakore makumi mashanu ekupedzisira-vaigona kunzwa toni dzakasiyana-siyana dzinotangira 250 kusvika ku8000 hertz (Hz) pane zvakasiyana-siyana. Panguva ino, zvigumisiro zvakange zvakasiyana kwazvo: varume nevakadzi vose vane HIV vaine dambudziko rekunzwa matinhi makuru uye pasi, nekunzwa kunonzwika ma-decibel gumi kupfuura evamwe avo vasina HIV.
Kunyange zvazvo kurasikirwa kwekunzwa kwepamusoro kwepamusoro (inopfuura 2000 Hz) inowanzoonekwa pakati pevanhu vane makore, pakati pemaodzanyemba zvinowanzoramba zvakasimba. Muboka raAIDS, kurasikirwa kwakakwana kwezvinhu zvose zvakaderera-uye zvepamusoro-kunzwa zvakaratidzwa kuva zvakakosha uye zvakaitika pasinei nechirwere chetachiona , antiretroviral therapy , kana kuti kubatisisa kurapwa .
Izvo zvinopesana nezvinoitwa zvidzidzo chete zvinoshandisa kujekesa mutsara wemibvunzo yakasara isina kupindurwa, kwete kungoziva kuti kurasikirwa kwekunzwa kwakananga kana kusina zvakananga kunobatanidza neHIV, asi ndeipi nzira, kana iripo, inogona kuve yakakonzera kurasikirwa kwakadaro.
Kunzwa Kunorasikirwa Nongova Chiitiko Chezera Here?
Zvichipa kugadzirwa kweMACS neWIHS tsvakurudzo, vamwe vanogona kugumisa kuti HIV inongowedzera "kuwedzera" kune kurasikirwa kwekunzwa kwevakaona kunoonekwa nevanhu vakuru. Zvechokwadi, zvinobvumirwa kuti kuramba kuripo, kwenguva yakareba kuputira kunobatanidza neHIV kunogona kukonzera senescence isati yasvika (kusakara nguva isati yakwana) mune dzimwe nhengo dzesangano, kusanganisira moyo uye uropi. Zvingava zvine musoro here kuratidza kuti zvimwe chetezvo zvinogona kuitika nekuteerera kwomunhu?
Vakawanda vatsvakurudzi havakwanisi zvakadaro. Chimwe chidzidzo kubva kuTaipei Medical Centre muTaiwan chinangwa chekutarisa kurasikirwa kwekunzwa mune boka revarume 8 760 vane HIV uye 43,800 varwere vasina HIV. Kunzwa kurasikirwa kwakaongororwa zvichienderana nemabhuku ekurapa kwemakore mashanu kubva munaJanuary 1, 2001, kusvikira munaDecember 31, 2006.
Maererano nekutsvakurudza, kurasikirwa kwekunzwa kamwe-kamwe (kunotsanangurwa sekurasikirwa kwema-decibel 30 kana kupfuura muzvikamu zvitatu zvinokonzera kusangana kwemaawa mashomanana kusvika mumazuva matatu) zvakaitika kaviri kazhinji kune vane HIV vane makore 18 kusvika ku35 asi kwete mumakore makumi matatu nemaviri wezera kana yekare.
Kunyange zvazvo vaongorori vasina kukwanisa kugumisa kuti HIV ndiyo inokonzera kukanganisa kwakadai-kunyanya sezvo zvinhu zvakadai sokuputika kwekunzwika uye kusvuta zvakabviswa kubva pakuongororwa-chiyero chekudzidza chinoratidza kuti HIV inogona kuita chimwe chinhu .
Saizvozvowo, chidzidzo che2012 kubva kuNational Institutes of Health (NIH) tsvakurudzo yakaratidza kuti vana vanotapukirwa nehutachiwana muhuro (muchizvaro) vane mbiri kana katatu inowanzoita kuti vanzwe kurasikirwa nezera remakore gumi nematanhatu kupfuura avo vasina kutapukirwa counterparts.
Nokuda kwekudzidza uku, kurasikirwa kwekunzwa kwakatsanangurwa sekukwanisa kungoona mazwi makumi maviri emaviri kana kupfuura kupfuura izvo zvingatarisirwa muhuwandu hwevechidiki.
Chidzidzo cheNIH chinowedzera kugumisa kuti vana vakadaro vanenge kaviri vanokwanisa kunzwa kunzwa kurasikirwa kwekunzwa kupfuura vana vanorwara nehutachiwana muUtero asi vasina kutapukirwa. Izvi zvinonyatsoratidza kuti hutachiona hweHIV, mukati uye pachahwo, hunoita kukurudzirwa kwehutano hwekuongorora uye hunogona kutsanangura kuti nei vechidiki vaduku vane HIV vachizivisa nokukurumidza, kupera kwekunonoka kwekunzwa mune hupenyu hupenyu.
Zvinogona Kuita Antiretroviral Zvinodhaka Zvinokonzera Here?
Kubatanidza kurasikirwa kwekunzwa kune antiretroviral therapy (ART) kwakava dambudziko rinotonyanya kukakavara kupfuura kubatanidza kurasikirwa neHIV pachako. Kubvira pakati pemakore ekupedzisira-1990, zvidzidzo zvishomanana zvakaratidza kuti ART, sechinhu chakazvimiririra, yakabatanidzwa nehuwandu hwekutadza kurasikirwa. Zvizhinji zvezviongorori izvi kubvira kare zvakabvunzwa zvakapiwa kuti mumwe munhu anoshandisa mishonga yemishonga akanga asina kumboongororwa uye zvakaita sechirwere chetachiona, kutanga kweART uye kusateerera hakuna kumbobatanidzwa.
Chidzidzo chiduku, gore ra2011 kubva kuSouth Africa chakatsvaga kutsvaga kukanganisa kwe stavudine, lamivudine , uye efavirenz (zvinoshandiswa nyore nyore mumutsetse wekutanga weAIDS muU.S. kubva kuma1900 kusvika pakutanga kwe2000) pakunzwa. Uye apo dhidhiyo yakaratidza zvishoma zvakanyanya kuwanda kwematambudziko pakati pevarwere vane HIV vane hutachiona hweHIV, mupuriri haana kukwanisa kubatanidza kurasikirwa ikoko kumishonga pachavo.
Pasinei nourombo hwehumwe uchapupu, pane zvinetso zvisingatarisirwi zvakakwana zviri kubhadharwa kune maitiro ekutenderera maitiro ekurwisa maitiro ekurapa , kusanganisira zvinodhaka zvinokonzerwa nezvinodhaka zvinokonzerwa nezvinodhaka zvinogona kuwedzera kana kuwedzera zvirwere zvinokonzerwa neHIV, zvikurukuru izvo zvine chokuita neurological system .
Sezvo huwandu hwekuwedzera huri kuiswa pahutano hwehupenyu uye nekudzivisa kukwegura kwehutano hwekukwegura muhutachiona hwekureba kwenguva refu, kuwedzera kukuru kunogona kudiwa kutorwa kuitira kupa mhinduro dzakasimba kumubvunzo wokurasikirwa kwekunzwa mune HIV- vane hutachiwana hwevanhu.
Sources:
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Torre, P .; Hoffman, H .; Springer, G ;; et al. "Cochlear Function Pakati pekudzidza Multicenter AIDS Cohort (MACS) uye Women's Interagency HIV Study (WIHS) Vadzidzi." 16th IAS Musangano weHIV Pathogenesis, Treatment uye Prevention; Roma, Italy; Chikunguru; 17-20 2011; abstract TUPE138.
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