Mhinduro 4 Inowanzobvunzwa Kazhinji
Kunzwisisa zviratidzo nezviratidzo zveHIV zvinotitendera kuti tibate (uye kunyange kudzivisa) zvimwe zvakanaka zvisati zvaitika. Zvakakosha kucherechedza, zvisinei, kuti pane dzimwe nguva hapana zviratidzo zvekutanga kwehutachiona hweHIV, uye kuti apo zviratidzo zvinopedzisira zvichionekwa, kazhinji mushure mekunge hutachiona hwaita kuti kusakanganiswa kusinganzwisisike kwemasimba evanhu.
Kutya nemafungiro asina kunaka pamusoro peHIV zvinowanzoita kuti vanhu vasatsvaga kurapwa uye kutarisirwa kwavanoda , nekunyatsotsanangura izwi rokuti "kusagadzikana" sekureva "kusina utachiona."
Vamwe, zvakadaro, vakamirira kusvikira zviratidzo zviwedzerwa kana kuti zvisingakanganwi zvachose kusvikira vazoguma-vasingakwanisi kuona kuti kuderedzwa kwezviratidzo zvenguva pfupi haisi chiratidzo chekuvandudza kana chiratidzo che "zvose zvakajeka" kuti utachiona hwadziviswa.
Saka zvakapararira ndezve pfungwa idzi dzakaipa dzokuti vazhinji vanoramba vachirega kurapwa zvisina kufanira, kazhinji kwemakore. Nhasi, mavhareji eCD4 ekutanga kweraretroviral therapy (ART) inomirira masero 145 / mL kune nyika shoma inowana mari, 155 masero / mL kune nyika dziri pasi-pasi, 135 masero / mL yenyika dzakapfuma, uye 274 masero / mL munyika dzakawanda dzekupfuma.
(Mazano eUnited States anorayira ART pane kana kuti kunyange pamusoro peCD4 chiverengero che500, apo vanhu vane CD4 count pasi pemakumi maviri vanofungidzirwa vane AIDS .)
Saka kunyange zvazvo zvichikosha kuziva zvirwere zveHIV, zviratidzo chete hazvibviri kusimbisa kana chirwere chakaitika kana kuti chirwere chinotarisana neHIV chiri kukura.
Kuongororwa kweHIV chete kana kuongororwa kubva kuchiremba wako kunogona kusimbisa izvozvo.
Zvaunogona kuita ndezvidzidzo iwe pachako. Uye zvose zvinotanga nokuzvibvunza zvishoma, mibvunzo inokosha:
1. Ndezvipi zviratidzo zvekare zve HIV?
Muchikamu makumi mana kubva kuzana makumi mana zvehutachiona hweHIV huchangobva kuitika, zviratidzo zvakadai semaperembudzi zvinokura mumazuva manomwe kusvika kwema14 kusvika pakusununguka. Izvi zvinowanzotaurwa nezve "acute retroviral syndrome" (kana ARS).
Zviratidzo zvinogona kubva pane zvinyoro kusvikira kune zvakanyanya uye zvinopfuurira kwemwedzi nenguva uye zvinosanganisira:
- Fever
- Headache
- Night sweats
- Malaise
- Myalgia (a generalized, muscular ache kana kurwadziwa)
- Rash (eczema-yakaita sechitarisiko uye inowanzogoverwa kumativi ekumusoro emuviri uye / kana mapindu emaoko)
Dzidza kuti sei zvakakosha kuziva zviratidzo zveAAR, uye kuti kupindira kwekutanga kunogona kudzivirira sei kukura kwehutano hwemazuva mazhinji, zvose zveHIV- uye zvisina hutachiona hweHIV.
2. Ndezvipi zviratidzo zveHIV neHage?
Zvizhinji zvezviratidzo zvine chokuita nehutachiona hwepakutanga hunokonzerwa nemhinduro yemuviri weHIV pachayo, iyo maitiro ezvirwere zvemuviri anosungirirwa pakusvinura pamberi pekune imwe nyika inopinda. Zviratidzo zvehutachiona hwekupedzisira-hutachiona hunoitika apo HIV inopedza zvishoma nezvishoma kudzivirirwa kwemuviri, kudzivirira kukwanisa kwayo kurwisa utachiona. Dzidza kuti sei ichi ichiitika uye kuti HIV isingateereri ingakonzera sei kukurudzirwa kwezvinonzi "AIDS kurondedzera zvirwere."
3. Chii chinonzi AIDS Kurondedzera Kurwara? "
Utachiona hunoti "hutachiona" apo kupera kwemaviri edziviriro ezvirwere mumuviri kunobvumira mabhakitiriya, mavairasi uye vamwe vatorwa vomukana mukana wokutapukira. Pakati peizvi zvirwere zvinoshandiswa neAIDS, hutachiona hwechirwere chinotarirwa neCenters for Disease Control and Prevention (CDC) sekubatanidza zvakananga kuora kwemasimba ezvirwere semuviri nekuda kwehutachiona hweHIV.
Ikozvino pane makiriniki makumi maviri nemakumi maviri nematanhatu anonzi AIDS anotsanangura:
- Mabhakitiriya mawere, akawanda kana akadzoka
- Candidiasis yebronchi, trachea, kana mapapu
- Candidiasis yeropa
- Chirwere chemucheche (invasive)
- Coccidioidomycosis , kuparadzirwa kupfuura mupapu
- Cryptococcosis, ichipa kunze kwepapu
- Cryptosporidiosis , chisingakoshi mumatumbo kwemwedzi inopfuura mwedzi
- Cytomegalovirus (kunze kwechiropa, spleen, kana lymph nodes)
- Chirwere cheCytomegalovirus nekurasikirwa kwemaonero
- Encephalopathy (zvine chokuita neHIV)
- Herpes simplex virusi , inogara kwenguva yakareba kupfuura mwedzi umwe kana mune imwe nzvimbo kunze kweganda, rakadai sesophagus kana mapapu
- Histoplasmosis , kuparadzirwa kunze kwepapu
- Kaposi's sarcoma (KS)
- Lymphoid interstitial pneumonia kana pulmonary lymphoid hyperplasia complex
- Burkitt lymphoma (kana kuti nguva yakaenzana)
- Immunoblastic lymphoma (kana kuti nguva yakafanana)
- Primary lymphoma yeuropi
- Mycobacterium avium complex kana Mycobacterium kansasii , akaparadzirwa kunze kwepapu
- Mycobacterium tuberculosis yenzvimbo chero ipi zvayo (mapapu, kuparadzirwa, kana kunze kwepapu)
- Mycobacterium, mamwe marudzi kana kuti zvisikwa zvisingazivikanwi, akaparadzirwa kunze kwemapapu
- Pneumocystis carinii pneumonia (PCP), inokonzerwa nefungus Pneumocystis jiroveci
- Pneumonia (yakadzoka)
- Progressive multifocal leukoencephalopathy (PML)
- Salmonella septicemia (yakadzoka)
- Toxoplasmosis yeuropi
- Tuberculosis
- Kukurira syndrome
Dzidza kuti nei zvirwere izvi zvichionekwa seAIDS zvinotsanangura uye kuti kuvepo kwemamiriro aya kunorevei kuhutano hwako hwemazuva mazhinji.
4. Ndinogona Kurarama Nguva Yakadini Kana Ndiine HIV?
Chidzidzo che2014 ne Multicenter AIDS Cohort Chidzidzo chinoratidza kuti vanhu vanotanga HIV kurapwa kana kupfuura CD4 nhamba ye 350 mammita / mL vanogona kukwanisa kurarama hupenyu hunoenzana-kana hukuru kune huwandu hwevanhu. Dzidza zvinhu zvinoita kuti upenyu huvepo kune vanhu vanorarama neHIV, pamwe chete nemamiriro ezvinhu anokwanisa kuderedza nguva yakareba nemakore makumi maviri nemaviri.
Sources:
Willard, S ;; Holzemer, W ;; Wantland, D .; et al. "Ko 'Kusarudzwa' Kunoreva Pasina Zviratidzo Zvevaya Vanorarama neHIV Vachirwere?" AIDS Care. March 2009; 21 (3): 322-328.
IEDEA uye ART Cohort Kubatanidzwa. "CD4 inonzi antiretroviral therapy inokura pasi rose, asi inogona kubudirira!" Journal of Acquired Immune Deficiency Syndromes. January 2014; 65 (1): e8-e16. doi: 10.1097