Varwere Kuwana Antiretroviral Therapy Kufambira Mberi
Vanotsvakurudza vanotenda kuti zvose zvinodhakwa zvinodhaka uye hutachiwana hweHIV hunoita basa mukunyengedza muviri wemuviri. Ichokwadi, kumwe kutsvakurudza kunoratidza kuti doro rinogona kukurumidza kufambira mberi kwechirwere cheHIV.
Ichi chinetso nokuti nhamba dzinoratidza zvakare kuti matambudziko ewaini anowanda kune vanhu vane hutachiwana hwehutachiona hweHIV (HIV) kupfuura huwandu hwevanhu vose.
Ive yakagara yakasimbiswa kuti kunwa doro zvisina kukodzera kunogona kudzivisa mabasa akawanda emuviri wechirwere chemuviri, zvichiita kuti kuwedzerwa ngozi yezvirwere. Mukudhakwa-kushungurudza varwere, nzira yakarongeka uye kugadziriswa kwepabhakitiriya uye hutachiona hwehutachiona husina kunaka.
Zvidzidzo zvakawana kuti vane varwere vane HIV vane nhoroondo yezvinetso zvewaini, vari kugamuchira zvakanyanya kushandura antiretroviral therapy (HAART), uye iye zvino vari kunwa, vane huwandu hwekuwedzera kweHIV kune avo vasinganwi.
Kunwa Doro uye Immune System
"Chikamu chekufarira kwedu kuongorora hukama pakati pekushandisa doro uye utachiona hweHIV hwakanga huchibva pane zvakaitika muzvipatara," akatsanangura kudaro Jeffrey H. Samet, purofesa wezvokurapa uye hutano hwevoruzhinji kuBoston University, uye munyori wekutanga wokudzidza. "Munharaunda yemuguta kwandinoshanda, nhamba yakawanda yevarwere-vane kana vasina HIV, asi kunyanya neHIV-vane dambudziko rewaini."
"Munyika isati yatanga utachiwana hweHIV, taiziva kuti kusingaperi kushandiswa kwewaini kunotungamirira kune zvinetso zvinowanzoonekwa muhutachiona hwehutachiona hunoita sechirwere chetachiona uye pneumonia.Zvino, tinozivawo kuti HIV inorwisa masimba ezvirwere zvemuviri, saka iwe unogona kumubvunza mubvunzo, zvinogona here zvinhu izvi zviviri - HIV newaini - kubatana mune imwe nzira iyo inoita kuti hutachiona hwehutachiona huve huri nani pane HIV chete? '"
Kunwa Kunoita Kurapa Kunyoresa
"Kunyange zvazvo tisati tanzwisisa kuti doro rinonyatsobatana sei nehutachiona hutachiona hwehutachiona hweHIV," akadaro Amy C. Justice, muongorori ane University of Pittsburgh School of Medicine uye VA Pittsburgh Healthcare System, "asina munhu zvidzidzo zvinoratidza kuti doro rinodhaka rinogona kuwedzera nokukurumidza hutachiona hwemhepo, zvichida nokuderedza kukwanisa kuuraya virusi. "
Ruramisiro yakawedzera kuti migumisiro isina kufanira yekudhakwa inokonzerwawo nekunetseka. "Kunwa doro zvakanyanya kunozivikanwa kuderedza kukwanisa kwemunhu kubatana nehutano hweHIV," akadaro, "uye kusaremekedza kunozivikanwa kutungamirira kukurumidza kufambira mberi kwechirwere." Uyezve, doro rinozivikanwa kuti rinowedzera kuwirirana kwevanhu vane HIV, zvakadai sehepatitis C kana chisingakoshi hepatitis B. "
Inowedzera Dambudziko Rekutyisa
"Pakupedzisira, doro rinodhaka rinogona kutungamirira kuwandu hwehuwandu hunokonzerwa nehutachiona hwehutachiona hwehutachiona hwehutachiona sezvo zvose zvinogona kuva chepfu kune chiropa uye mafuta emasese. Nokudaro, doro rinodhaka rinogona kukonzera kusava nehanya uye kunyange kupera kwakakwana kweraretroviral therapy kuburikidza nehuwandu hwe nzira. "
Kurapa ikozvino kwehutachiona hweHIV, HAART, kwakabatanidzwa mukuderera kuderera muhutachiwana hweHIV uye kufa.
Izwi haritauri zvakananga kune chero mishonga ipi zvayo, asi kune zvishoma zvitanhatu zvemishonga inorwisa mabhakitiriya inozivikanwa kuti inoshanda neHIV, iyo yeboka re retroviruses.
High RNA Levels, Lower Cell Counts
Nokuda kwechidzidzo ichi, vatsvakurudzi vakatsvaga 349 (276 kana 79 muzana yevarume; 73 kana 21 muzana yevakadzi) vane utachiona hweHIV vane nhoroondo yezvinetso zvewaini. HAART inoshandisa mumwedzi wapfuura yakatemwa; sezvakanga zvakaita doro kushandiswa, uye zvino inoshandiswa seisina, kuenzanisa, kana pangozi. Mukuwedzera, zviratidzo zviviri zvehutachiona hweHIV zvakaongororwa: CD4 cell count, uye HIV ribonucleic acid (RNA).
Chidzidzo chacho chakawana kuti pakati pevarwere vane HIV vane nhoroondo yezvinetso zvewaini uye avo vakabatwa neHART, avo vaidya doro rakawandisa kana kuti vari pangozi yewaini vakange vane hutachiona hwakanyanya hweHIV RNA uye pasi peCD4 mahesera, zvichienzanisa nevaya vasina kunwa. Hapana maonero akasiyana akawanikwa muhutachiwana hweHIV RNA kana kuti CD4 cell inowanikwa pakati pevarwere vane hutachiona hweHIV vakadya doro asi vakanga vasina antiretroviral therapy.
Doro, HIV neTsika yeBumbo
Zvimwe zvidzidzo zvakasimbisa kuti doro rinoshandiswa nevanhu vane hutachiwana hweHIV rinogona kuwedzera hutachiona hwemajeri hwakatotadza. Chimwe chidzidzo chakawana kuwirirana kwakajeka pakati pezvinodhaka, HIV nehutachiona hwehutachiona muhutachiva hwepamuviri apo doro rinokuvadza kumucheka mucosal yematumbo.
Izvi zvinogona kukonzera kuvhiringidzika, kuparara kwekudzivirira, uye kuputika kwebhakitiriya, izvo zvinozoonekwa zvichisimbisa kubata kweHIV pamuviri, vatsvakurudzi vanodavira. Izvozvowo ndizvo zvinoitika pakudhakwa kune zvakawanda zvemuviri wemukati mucosal - mumatumbo, nzira yepabonde, nemapapu.
Dambudziko rekudhakwa kune izvozvi zvinogona kuguma mukusika nzvimbo inogona kukuvadza kufambira mberi kwezvirwere uye kuwedzera njodzi yekupararira kwehutachiona.
Sources:
Bagby, GJ, et al. "Doro uye Migumisiro yeHIV kuMusana Wemuviri." Kunwa doro: Chipatara & Ongororo Ongororo 2015
Molina, PE, et al. "Fungidzira Doro uye Immune System." NIAAA: Doro uye Utano
Samet, JH, et al. "Kudha Doro uye HIV Zvirwere Kuwedzera: Ndizvo Zvakabatana Here?" Kunwa doro: Kuongorora uye Kuongorora Ongororo May 2003