Utachiwana hweHIV- uye husina hutachiwana hweHIV huri kuwedzera
Zvirwere zvekenza kuvanhu vane hutachiona hweHIV vave kwenguva yakareba nzvimbo yekufungisisa uye chinangwa chekuwedzera kuongororwa nevatsvakurudza vezvokurapa. Kunyange zvazvo njodzi yeAIDS-kujekesa kanzira se Kaposi sarcoma uye isiri Hodgkin lymphoma (NHL) yakaderera zvakanyanya nekuda kwekufambira mberi kweraretroviral therapy , zvinokonzerwa nedzimwe kenza zvinomuka zvakanyanya.
Izvi zvinorehwa neHIV-AIDS zvinoshandiswa nhasi sechikonzero chikuru chekufa kwevanhu vanotapukirwa nehutachiwana munyika yakabudirira, maererano nekutsvakurudza kubva kuSwitzerland HIV Cohort Study. Zviitiko zvezvakaipa zvakadai semukenza wemapapu uye kenza yemuviri ikozvino inomhanya kubva pamatatu kusvika kune makumi mashanu pakupamhi kupfuura iyo yevanhu vakawanda.
AIDS-Kurondedzera Kancers
Pakutanga kwema1980, chimiro chisingawanzo chekenza yeganda chinonzi Kaposi sarcoma (iyo, kusvikira panguva iyoyo, yakanga yakanyanya kukanganisa varume vakwegura muEastern Europe) yaiva pakati peboka rezvirwere zvakaratidzwa kune vanhu vakaonekwa vane HIV. muna 1981. Nguva pfupi mushure mekunge, kwete-Hodgkin lymphoma uye yakavhiringidzika cervical carcinoma (ICC) yakawedzerwa kune zvakarongwa sezvinonzi kanzura inonzi AIDS-kujekesa.
Nekuiswa kwesangano rinorwisa antiretroviral therapy (ART) muna 1996, mamiriro ezvinhu akachinja zvikuru. Zvine chirwere chezvinodhaka izvo zvino zvingadzivisa zvachose hutachiona uye kudzorera muviri, muviri weKapasi neNHL wakadonhedzwa nechokuita ne50%, nepo ICC yakaramba ichiwedzera-kana-isiri isina kuchinja kusvikira nhasi.
(Chikonzero cheizvi hachina kunyatsonzwisisika kunyange vamwe vachifunga kuti mamwe, asingagoni kuporesa mapiromavirus (HPV) anozivikanwa kuti anokonzera chirwere chepachirwere-anogona kunyanya kune vakadzi vane HIV.)
Pasinei nehuwandu hwekufambira mberi uku, vanhu vane HIV vanoramba vachikwanisa kanomwe kuti vawane ICC, makumi matanhatu nemashanu vanogona kuwedzera NHL, uye kazhinji kanowanikwa mazana matatu pane kukura Kaposi sarcoma kupfuura avo vasina HIV.
Kwete-AIDS-Kurondedzera Kancers
Nekuwedzera kukuru kwekugara kwehupenyu nekuda kweART uye nekukwegura zvishoma kwehuwandu hweHIV, vatsvakurudzi vakatanga kuona mamwe marudzi ekenza achionekwa kakawanda kune vanhu vane HIV. Kuwanda kweizvi kwakaitika kwakakonzera vazhinji kuti vatende kuti paive nekubatana kwechirwere pakati peHIV uye mamwe marudzi ekenza.
Kune mamwe aya, akafanana nekenza yemaronda , chibvumirano chakaita sechajeka. Pane imwe nguva zvisingaoneki muUnited States, ine zvinyorwa zvinopfuura 20 000 zvichitaurirwa pakati pe1980 ne2005, kenza yemana nhasi ndiyo yechina inowanzosangana nekenza yakawanikwa nevanhu vane HIV. Uyezve, varume vanoita zvepabonde kana varume vanoita zvepabonde vane HIV vanokwanisa kuva nemikana kanopfuura makumi matanhatu mukana mukuru wekuve nekenza yemunhu pane vasina vanhu vane HIV.
Saizvozvowo, chirwere cheHodgkin (chirwere chekenza yeropa rakafanana neicho chisina Hodgkin lymphoma) chiri pakati pemashanu kusvika ku10 ore angangodaro inokonzera vanhu vane HIV, apo kenza yemusoro / yemutsipa uye kenza yeropa, iyo inotevera, hupfumbamwe nepfumbamwe inowanikwa zvinoitika.
Zvose zvakataurwa, kanzira dzehupfungwa, muromo, huro, mapapu, chiropa, itsvo, cervix, anus uye lymph tissue zvinoratidzika kuti hazvisi kuitika kune vanhu vane HIV, uye vazhinji vanowanikwa makore gumi nemaviri apfuura kupfuura vamwe vavo vasina kutapukirwa.
(Pamusoro peflip side, vanhu vane HIV vanowanzoonekwa sevari pangozi ipi neipi yekukudzidzira kwekenza yemazamu, maevari, chivako, prostate, colon kana rectum.)
Zvinokonzera Ngozi Yakawedzerwa
Zvimwe kuwirirana-maitiro zvakaratidzwa kuti zvibatsire kuwedzera ngozi, yakadai seyo pakati pehepatitis C nekenza yeropa; HPV uye kenza yemuviri; uye Epstein Barr HIV uye chirwere cheHodgkin.
Zvichakadaro, tsika dzetsika dzehupenyu, sekusvuta uye doro, zvinogona kukonzera njodzi, zvikurukuru nemukenza yemapapu kana chiropa.
Zvinonyanya kukosha, zvichida, iyo inhengo yeHIV pachayo. Kunyange zvazvo tichiziva kuti HIV haina kunyanya kukonzera chirwere, kuputika kwechirwere kunopindirana nehutachiona kunoita kunge kwakabatana zvikuru nehuwandu hwehutachiwana.
Izvi zvinoita sechokwadi kunyange kana varwere vari paIART vane zvizere zvisingaoneki zvehutachiona .
Kutsvakurudza nhasi kwakanyatsoratidza kuti kuputika kusingagumi, kunyange pamatanho akadzora, kunogona kuve nemakore mashoma ekudzivirira muviri. Uku kudengenyeka (kunozivikanwa sekuti premature senescence) kunoonekwa sechisikigo kuvanhu vakuru. Zvisinei, nehutachiona hunokonzerwa nehutachiona hweHIV, uku kuchembera kusati kwasvika kunongomhanyira nguva yekutora kenza, inodaro nehumwe humwe humwe hutano hwehuchembere , kubva pakushaya hutano hwehutano kusvika pakufa kwehutano hwehutano hwehutano .
Nzira Yokuderedza Nayo Ngozi Yako Yenharaunda
Chinokosha kugadziriswa kwechirwere chekenza ndekwekutanga kuongororwa uye kurapwa kwehutachiona hweHIV. Kutanga kweAIDS panguva yekuongororwa kunogona kuchengetedza kana kudzorera utano hwakanaka hwehutachiona huripo nekuderedza ngozi yevamwe kanzira neanenge 50 muzana.
Zvimwe zvinorayirwa kune vanhu vane HIV zvinosanganisira:
- Gore negore pap smear kuongororwa kwemukenza wechibereki
- Hepatitis B uye kuongorora hepatitis C
- Periodic anal pap smear miedzo yevarume nevarume vanoita zvepabonde kana munhu chero upi zvake ane war warts
- Kuvharwa kweHIVV yevakadzi vane makore 11 kusvika ku26, varume vane makore gumi nemasere kusvika ku21, varume vanoita zvepabonde vanoita zvepabonde nevarume (MSM) vane makore 22 kusvika ku26, kana varume vanorwara nemukiriniki vane makore 22 kusvika ku26
- Kuputa kusvuta
- Kuderedza kunwa doro, zvikurukuru kune vanhu vane hepatitis B kana C
- Kuita zvepabonde zvakachengeteka kunodzivirira hepatitis C neHIVV chirwere
- Mamwe mimwe mutsva-chekuongorora kuongororwa sezvinorayirwa nachiremba wako
Sources:
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Shiels, M ;; Pfeiffer, R .; Gail, M., et al. "Kanzura Mutoro muVanhu Vachiwana HIV vane Utachiona muUnited States." XVIII International Conference Conference, Vienna. Abstract WEAB0101, 2010.
Nguyen, M .; Farrell, K .; uye Gunthel C. "Kwete-AIDS-Kurondedzera Kuipa Kwevarwere muVachipatara neHIV muHART Era .: Current Infection Disease Report." Ikozvino Inotapukirwa Nezvirwere Zvirwere. January 2010; 12 (1): 46-55.
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