Ukunciphisa ukuvuselela ukusebenza komzimba, kunciphise ingozi ye-HIV
Umthamo wegciwane lesandulela ngculaza yisilinganiso senani le- HIV elijikelezayo egazini lakho uma une-HIV. Umthamo wesandulela ngculaza usetshenziselwa ukunquma ukuthi imithi yakho ye- antiretroviral isebenze kanjani futhi ingatshela ngisho nodokotela uma ukwelashwa kwakho kwehluleka noma ungathathi izidakamizwa njengoba kunqunywe.
Injongo ye-HIV Therapy
Umgomo we-HIV ukwelapha ukuvimbela i-HIV ukuthi ingabe iphindaphinda ukuze idale inani legciwane lesandulela ngculazi libe yizinga elingenakulinganiswa.
Ukungatholakali akusho ukuthi ayikho igciwane noma ukuthi igciwane lisuswe ngokungazelelwe emzimbeni wakho. Kusho nje ukuthi akukho gciwane elingatholakala uma usebenzisa ubuchwepheshe bokuhlola okwamanje. Uma ngabe i-ART ivaliwe, igciwane lizobuyela njalo futhi liqale ukuphindaphinda futhi.
Kubalulekile ukuqaphela ukuthi umthamo wegciwane lesandulela ngculazi ungahluka uma uhlola igazi nezinye izifo zomzimba. Isibonelo, umthamo wegciwane elingenakulinganiswa egazini akusho ukuthi awubonakali embonini. Lesi simo, esaziwa ngokuthi ukuchitha igazi , singandisa ingozi yokudluliselwa kubantu abangase bangabhekwe njengegciwane.
Abantu abanezinhlekelele ezingalawulwayo ezibangelwa igciwane lesandulela ngculaza banomonakalo omkhulu emasimini abo omzimba, ukulimala okushiya umzimba ukuvezwa kwezifo eziningi ezithandanayo.
Ukuvivinywa kwe-Viral Load Ukukhishwa
Ngokuvamile, udokotela wakho uzodonsa kanye njalo ezinyangeni ezintathu kuya kweziyisithupha ukulinganisa umthamo wakho wegciwane.
Ukuhlolwa kwamandla wegciwane lesandulela ngculaza omusha, okutholakala nge-ultrasentivity kungathola ukuthi i-viral activity iphansi kwamakhophi amahlanu / mL kumakhophi angaphezu kuka-1,000,000 / mL.
Ngokuphambene nalokho, izivivinyo zegciwane lesandulela ngculaza ezihambisana ne-HIV zisetshenziselwa ukufakazela ukuba khona kwe-HIV futhi zivame ukusetshenziselwa ukuhlola izinsana nezinsana ezalwa nabamama -HIV .
Ukuhumusha imiphumela ye-Viral Load
Inhloso ye-viral load ilula: amakhophi ambalwa we-HIV egazini lakho angcono.
Uma uqala ukwelashwa, ukuhlolwa kwe-viral load inikeza izinyathelo eziyisisekelo lapho izivivinyo zamuva ziqhathaniswa khona. Ukudonsa okuphindwe kabili kumthamo wesandulela ngculazi kubhekwa njengokudonsa okukodwa. Isibonelo, uma umthamo wegciwane wehla kusuka kumakhophi angu-50,000 / mL kuya kumakhophi angu-500 / mL, isiguli kuthiwa une-drop-log emibili emthamo wegciwane.
Ngokuvamile, ngezidakamizwa zesandulela ngculaza zamanje, umuntu angalindela ukuthi abe nomthamo wegciwane elingenakutholakala kunoma yikuphi kusuka ezinyangeni ezimbili kuya kweziyisishiyagalolunye. Nakuba isivinini lapho ukucindezelwa kufinyelelwa khona kungahlukahluka, kuvame ukuhamba kancane kubantu abaye bephuza ukwelashwa futhi banomonakalo omkhulu wokuzivikela omzimba.
Silinganisela lokhu ngenani le- CD4 yomuntu elichaza ukuthi mangaki amangqamuzana e-CD4 avikelayo asele egazini. Umuntu onomzimba wokuzivikela omzimba angaba nomaphi kusuka ku-500 kuya ku-1,500 amaseli / mL, kuyilapho abantu abanesisindo somzimba sokuzivikela esithintekayo bayoba nengaphansi kuka-200 cell / mL.
Ngaphezu kwalokho, uma umuntu ehlakulele noma ephikisana nanoma yikuphi kwezidakamizwa ezibekiwe, amathuba okunciphisa i-viral angase ahlehliswe kakhulu. Esimweni esinjalo, ukwelashwa kuzodingeka kushintshwe emva kokuhlolwa kwezakhi zofuzo kwembula ukuthi yimiphi imithi noma izidakamizwa isiguli esingamelana nayo.
Izinzuzo Zomthwalo Oyingqayizivele Wengculazi
Inhloso yokwelashwa kwe-HIV ukugcina imithwalo engavamile engavamile engavamile eminyakeni eminingi engagcini nje kuphela ukonga izinketho zokwelashwa esikhathini esizayo kodwa inciphisa ingozi yokugula okubi ngamaphesenti angu-53 .
Ukwengeza, ukugcina igciwane elingenakutholakali kakhulu kunciphisa ithuba lakho lokudlulisela igciwane kwabanye, isu lokuvikela elibizwa ngokuthi ukwelashwa kwe-HIV njengokuvimbela (TasP) . Ucwaningo luye lwasekela kakhulu ukusetshenziswa kwe-TasP esimweni esixubile-isimo (imibhangqwana ye- serodiscordant ), ephakamisa ukuthi inganciphisa ingozi ngamaphesenti angu-96.
> Imithombo:
> Cohen, M .; I-Chen, i-Y .; UMcCauley, M. et al. "Ukuvimbela ukutheleleka nge-HIV-1 nge-antiretroviral yokuqala yokwelapha." I-New England Journal of Medicine. Agasti 11, 2011; 365 (6): 493-505.
> Izikhungo Zikazwelonke Zempilo. "Ukuqala imithi yokwelapha imishanguzo ye-antiretroviral yandisa imiphumela yabantu abanegciwane lesandulela ngculaza." I-Bethesda, e-Maryland; ikhishwe ngoMeyi 27, 2015.