Zvinokonzera, Kurapa nekudzivirira kusina kujekeswa kwekureruka kwehupfumi
HIV kuparadza syndrome kunotsanangurwa sekufambira mberi, kusinganzwisisiki kurasikirwa kunowanikwa kune varwere vane HIV. Sangano reUnited States for Disease Control and Prevention (CDC) rinoratidzira hutachiona hweHIV semamiriro ezvinhu ekujekesa AIDS muna 1987, uye yakaratidza izvi nenzira inotevera:
- Kurasikirwa kwemahombekombe kweanenge 10%;
- ichiitika muhupo hwekurambana kana kusingaperi kusingaperi;
- rine firipi yakanyorwa;
- kwenguva yakareba kwemazuva makumi matatu;
- iyo isiri iyo inokonzerwa nechiitiko chakafanana kunze kwehutachiwana hweHIV pachahwo.
Kukanganiswa (cachexia) hakufaniri kukanganiswa nekurema kwekureruka, iyo yekupedzisira iyo inoreva kurasikirwa kwehutatu hwemuviri. Kusiyana neizvi, kuparara kunoreva kurasikirwa kwemasimba emuviri uye uwandu, kunyanya kunyanya kuonda kwemisasa. Zvinogoneka, somuenzaniso, kune mumwe munhu ane HIV kuti arasikirwe nehutachiona hwemusasa paanenge achiwedzera mafuta mumuviri.
Chii Chinokonzera Kuipa kweHIV?
Munguva yekutapukirwa kweHIV, muviri unogona kudya zvakawanda zvekuchengetedza simba. Ichokwadi, zvidzidzo zvakaratidza kuti vanhu vane HIV-kunyange avo vane hutano hwakanaka uye vasina simba-vachapisa 10% mamwe makoriyamu paavhareji kupfuura vanhu vasina chirwere. Sezvo mapuroteni ari mafuta anowanzoshandurwa kuti ave nesimba kudarika mafuta, muviri unowanzogadzirisa mapuroteni emuviri mushure mokunge zvinhu zvapera kana kuti zvisingawanikwi muropa.
Kuparara kweprotheni yakadai kunogona kuva mugumisiro wekushaya zvokudya zvinovaka muviri kana chirwere chema malabsorptive umo muviri usingakwanisi kunyanya kudya. Muzviitiko zveHIV kuparara, chirwere chisingaperi chinowanzobatanidzwa nehutachiona hwemakumbo, uye inogona kuva chibereko cheHIV pachayo sezvo hutachiona hunokonzera kukuvadza kwemasukisi emukati ematumbo.
Izvi zvishoma nezvishoma (uye dzimwe nguva zvakanyanya) kurasikirwa kwemuviri wechipfuva kazhinji kunowanikwa kune vanhu vane AIDS, kunyange zvazvo zvichigona kuitika pane imwe nhanho yekutapukirwa kweHIV .
Kurwisa HIV uye Antiretroviral Therapy
Pamberi kwekusvika kwema- antiretroviral therapy (ART) , kupararira kwekuparara kwakafungidzirwa kuva yakakwirira se 37%. Asi, pasinei nekubudirira kweAIDS, kuparadza kunoramba kuri kunetseka, uye zvimwe zvidzidzo zvinoratidza kuti kubva kune 20% kusvika ku 34% yevarwere vanozowana huwandu hwekuparadza, asi kwete pamatambudziko akamboonekwa kare.
Kunyange zvazvo ART ichizivikanwa nekuvandudza kuora muviri nekushaya zvokudya zvinovaka muviri kune vanhu vanorarama neHIV, zvinogona kunge zvisingaiti kudzivirira kurasikirwa kwemasimba kana kuidzosera kana muviri wakadzorerwa zvakare. Kunyanya pamusoro pacho ndechokuti kurasikirwa kwepashoma se 3% yemasisita mashoma kunogona kuwedzera mukana wekufa kune varwere vane HIV, asi kurasikirwa kwema 10% kunosanganiswa nehutanhatu kusvika matanhatu huwandu hwehutano.
Kuchengetedza nekudzivirira hutachiona hweHIV
Parizvino hapana nzira yakagadziriswa yekurapa kuparara kweHIV sezvo kune dzimwe nguva inoputira zvinhu zvinoita kuti zvive nemamiriro ezvinhu (semuenzaniso; kugadzirisa zvirwere, zvinodhaka zvinodhaka, kusagadzikana).
Zvisinei, pane mazano akawanda anotevera kutevera zvakanyanya kugadzirisa kushama kwekurema uye kuparara kune vanhu vane HIV:
- Kutanga kweART kunoderedza njodzi yehutachiwana hunotapukira , kusanganisira iyo yechipfuva chemuviri.
- Kugadziriswa kwezvokudya kunowedzera caloric kudya ne 10% (uye kusvika 30% kune avo vanorwara kubva kurwere). Chiyero chekudya chemafuta, makhahydrates uye mapuroteni anofanira kuramba akafanana. Dzidzo yezvokudya uye kupa mazano kunofanira kuongororwa kune avo vane uremu hwehutachiona (kusanganisira kurema kwehutano kana chirwere chemagetsi) kana kusakwanisa kuwana zviratidzo zvine utano hwakanaka.
- Iva nechokwadi chekurovedza muviri nguva dzose, uchitarisa mukudzivirira kudzivirira kuvaka kana kuchengetedza misi mizhinji.
- Kunyange zvazvo kushanda kwe testosterone kushandiswa kwechirwere kunoramba kusina kujeka kana HIV ichiparara, inogona kudanwa mumamiriro ezvinhu apo kushaya testosterone (hypogonadism) kunozivikanwa.
- Mishonga yezvokudya zvinokonzerwa nemishonga (kufanana neBhoost VHC, Iva nechokwadi kana Plus kana Nestlé Nutren) inogona kubatsira kune vanhu vanonetseka kudya zvokudya zvakasimba kana avo vanodya asi vasingakwanisi kuwanda. Zvisinei, kufanana nezvose zvinowedzera kudya, izvi hazvirevi kutora nzvimbo yakakodzera, kudya kwakakwana.
- Kunyange zvazvo zuva rezuva re-multivitamin rinokurudzirwa kuti rive nechokwadi chekudya kwakanaka, kune uchapupu hushoma hwokuratidza kuti micronutrient supplementation imwe neimwe inobatsira kana kuti inobatsira mune zviitiko zvekuparara kweHIV (uye inogona, kuwedzera, kuwedzera mararadhi uye malabsorption kana inotorwa kupfuura).
- Muchiitiko chekugara kwenguva refu kana chirwere chisingaperi, kliniki uye kuongororwa kutsvaga kunorudzirwa kuti uone zvinokonzera zvinokonzera. Anti-diarrheal mishonga inofanira kurongerwa kuti ibatsire kubvisa kana kuderedza kuoma kwemararha uye mumatambudziko. Chirwere cheMytesi (crofelemer) chakagamuchirwa neU.S. Food and Drug Administration muna 2012 pakurapa kwehurwere kuvanhu vane HIV.
- Mukana wekuparara kwakanyanya, kushandiswa kwevanhu kukura kwehomoni (HGH) kunogona kubatsira kudzorera misi miviri mune dzimwe nguva, kunyange zvazvo kurapwa kunodhura zvikuru uye zvinoguma zvinowanzoitika kamwe chete pakurapwa.
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