Kuziva Zviratidzo Zvinokurudzira Kuchengeta Nokurapa Kwokutanga
Mune matanho ekutanga ehutachiona, vanhu vazhinji vachawedzera zvishoma kana kuti hapana zviratidzo zvekurwara. Izvi, zvichida, chimwe chezvikonzero nei 20 muzana yemamiriyoni 1,2 evaAmerica vanorarama neHIV vachienda. Ivo havazivi kuti vakatapukirwa kana vanozoita chete kana zviratidzo zvekunze zvatanga kuonekwa.
Zvisinei, nepamusoro pemakumi mana emakumi mana ematambudziko, zviratidzo zvakadai semapukirwo zvicharamba zviri mukati memazuva manomwe kusvika kwema14 ekutsvaga.
Izvi zvinowanzonzi " acrovirus syndrome", kana ARS (iyo inonyanya kuzivikanwa senyoka yakaoma seroconversion syndrome kana chirwere cheSerononversion).
ARS inowanzouya nezviratidzo zvinotevera, kubvira pakuneta kusvikira kune yakaoma:
- fever
- kuneta
- headache
- pharyngitis (gumbo remwoyo)
- myalgia (muscular aches uye kurwadziwa)
- arthralgia (marwadzo akabatana)
- lymphadenopathy (kubvumira lymph glands)
Dzimwe nguva, zviratidzo izvi zvichaendeswa nechisimba (chinowanzozivikanwa sehutachiona hweHIV ) chinoratidzika ne-pink-red-bumps bumps iyo inoshanduka ikava mumatanda makuru, kunyanya pachikamu chepamusoro chemuviri. Uyezve, makumi matatu kubva muzana yevanhu vachawana nguva shoma shoma, chirwere, kana kurutsa.
Zvizhinji zvezviratidzo izvi ndezvikonzero zvemhinduro yemuviri kune HIV, sezvo inopararira nokukurumidza kubva panzvimbo yehutachiona kusvika kune lymph tissue, zvichiita kuti munhu apindure.
ARS inogona kuramba ichiita kwemwedzi kusvikira panguva yakadai sokudzivirirwa kwezvirwere zvemuviri kunotanga kutora utachiona uye kunopinda mune zvatinonzi chisingagumi (chimiro) chetachiona chetachiona.
Kunyange zvazvo hutachiwana hweHIV huchiri kuve ichidzokorora munguva inotevera yechirwere chetachiona, inowanzoita saizvozvo zvishoma nezvishoma kusvikira HIV yehutachiona hwemishonga inogadziriswa uye yakagadziriswa nehutachiwana hunosimbiswa.
Kugutsikana neHIV Infection
ARS inogona kuraswa kunyange nachiremba nokuti zviratidzo zvinowanzotanga kufanana nemishonga muhurukuro yavo.
Saka, zvinokosha, kunzwisisa kuti HIV inoparadzirwa sei ; kuti uone zviratidzo zvakakomba zveHIV, uye kuti uwane hutachiwana hweHIV kana iwe uchifungidzira kuti wakatapukirwa.
Sezvo kuongororwa kweHIV kunogona kuunza chiito chisina kunaka kana chisingazogadziriswi munguva dzekutanga dzehutachiona, chirwere che HIV chetachiona chekushandisa chinogona kushandiswa kana zviratidzo zvinofadza zveArS. Mumamiriro ezvinhu akadaro, kana munhu ane chirwere chisina kunaka kana chisingagadziriswi asi chiremera chakanyanya kuwedzera (kupfuura 100 000 makopi / mL), iye aizotaridzika kuti ane HIV. Kurapa kwaizotanga kukurumidza, apo kuongorora kwekutevera kwaizoitwa pane imwe nguva inotevera kuzosimbisa mhinduro.
Zvitsva zvinosanganiswa nemaitiro anonzi antigen / antigen assays zvakaratidzawo zvakakosha zvikuru mukusimbisa serostatus munguva yeArS, pamwe nedzimwe muedzo unoratidza hukuru hwakakwana hwehutano.
Somugumisiro weizvi, US Preventive Services Task Force yakabudisa mazano matsva muna May 2013 achikumbira kuongororwa kwevaAmerica vose vane makore 15 kusvika ku65 sechikamu chechiitiko chekushanyira chiremba. Vamwe vari pangozi yakakura yehutachiwana & 8218 # kusanganisira varume vanoita zvepabonde vanoita zvepabonde nevarume (MSM) - vanofanira kuongororwa gore negore.
Kubatsirwa Kwokutanga Kuona
Kuziva zviratidzo zveAAR zvakakosha sezvo zvinopa munhu mukana wekuona kare.
Izvi hazvibatsiri chete kuvimbisa kuti HIV haina kupararira kune vamwe asi inopa rubatsiro munzira yekurapa kwokutanga.
Kutsvakurudza kunoratidza kuti kutanga kwekutanga kweraretroviral therapy correlates kusvika panjodzi yakaderera yezvirwere zvose zvinokonzerwa neHIV uye AIDS. Kusiyana neizvi, kunonoka kurapwa kusvikira CD4 count yemunhu inonaya pasi pe 350 masero / mL inobatanidza kwete kwete zvimwe zviitiko zvinorwara zvechipatara, asi zvakakosha-uye kunyange zvakanyanya- kuderedza mumakore ehupenyu .
Pakupedzisira, kurapwa kwekutanga kunodzivisa kupera kwemaCD4 masikati pakati pemagunha ekuzvidzivirira mumuviri. Inogonawo kuderedza njodzi yekupedza hutachiona kune vamwe nekuderedza hutachiona hwehutachiona hwomunhu ane hutachiona, urongwa hunozivikanwa hunozivikanwa seKushandiswa seKurinda (TasP) .
Ikozvino yakakurudzirwa kuti utachiona hweHIV hunotangwa panguva yekuongororwa , tsika iyo inozivikanwa kuderedza mikana yekurwara nekufa ne 57 muzana.
Sources:
Cohen, M ;; Gay, C .; Busch, P .; uye Hecht, F. "Kuziva kweAIDS HIV." Journal of Infectious Diseases. 2010; 202 (Supplement2): S270-S277.
> Heinrich, T. naGandhi, R. "Kurapa Kwokutanga neHIV Reservoirs: A Stitch Panguva?" Journal of Infectious Diseases. July 2013; doi: 10.1093 / infdis / jit307.
Hogg, R .; Althoff, K .; Samji, H .; et al. "Kuwedzerwa mune tarisiro yehupenyu pakati pevanhu vanobatwa neHIV muUnited States neCanada, 2000-2007." 7th International AIDS Society (IAS) Musangano wePathogenesis, Treatment uye Prevention. Kuala Lumpur, Malaysia. June 30-July 3, 2013; Abstract TUPE260.
> INSIGHT START Chidzidzo Chekudzidza. "Kutanga kweAntiretroviral Therapy muAt Early Asymptomatic HIV Infection." New England Journal of Medicine. July 20, 2015; DOI: 10.1056 / NEJMoa1506816.
Moyer, V. "Kuongorora kweHIV: US Preventive Services Task Force Recommendation Statement." April 30, 2013. Annals we Internal Medicine. April 30, 2013; doi: 10.7326 / 0003-4819-159-1-201307020-00645.