Ma hope o ka ʻike ʻana o ke kauka iā ʻoe me ka maʻi HIV, ua makaʻu iki anei ʻoe i kāna ʻōlelo ʻana, "Pono ʻoe e helu i ka CD4?" A i ʻole ua lohe ʻoe i kēia mau huaʻōlelo ma kekahi wahi a noʻonoʻo i ke ʻano o kēia? ʻOiai paha e kani iki kēia mau huaʻōlelo i ka ʻepekema a paʻakikī ke lohe ʻoe iā lākou, he maʻalahi loa ko lākou manaʻo. ʻAʻohe kumu e makaʻu ai. Ua like ia me ke aniani e hōʻike ana i ke kūlana olakino o ko mākou kino. Ma kēia ʻatikala, e kamaʻilio maʻalahi a aloha mākou e pili ana i ke ʻano o kēia CD4, nā mea a kēia hoʻāʻo e ana ai, a pehea kona koʻikoʻi no kāu huakaʻi olakino e noho nei me ka maʻi HIV.
I ka ʻōlelo maʻalahi, he aha kēia CD4?
E noʻonoʻo ʻoe ua like ko kākou kino me kahi ʻāina. E like me kēlā me kēia ʻāina he pūʻali koa e pale aku iā ia, he pūʻali koa ko ko kākou kino e pale aku iā kākou mai nā maʻi a me nā huakino. Kāhea mākou i kēia pūʻali koa ʻo ka ʻōnaehana pale maʻi .
No laila, ʻo kekahi o nā koa kūikawā a koʻikoʻi loa i loko o kēia pūʻali koa pale ʻana, ʻo ia kēia mau pūnaewele CD4 . He ʻano koko keʻokeʻo kēia i loko o ko kākou koko. ʻO kā lākou hana nui, ʻo ia ka ʻimi ʻana i nā ʻenemi e like me nā virus a me nā bacteria e komo i loko o ke kino, e hoʻomaopopo i nā koa ʻē aʻe (nā pūnaewele pale ʻē aʻe) e pili ana i ia mea, a hui pū nā mea a pau i ke kaua ʻana i kēlā mau ʻenemi. ʻO ia ke kumu e kapa ai mākou i kēia mau pūnaewele CD4 he "nā pūnaewele T kōkua."
I kēia manawa ua maopopo paha iā ʻoe ke koʻikoʻi o nā pūnaewele CD4 i ka ʻōnaehana pale o ko mākou kino.
He aha ka hana a ka hoʻāʻo helu CD4?
He hoʻāʻo koko maʻalahi loa ka helu CD4. Helu ia i ka nui o nā pūnaewele CD4 i loko o kahi liʻiliʻi loa (ma kahi o hoʻokahi milimita cubic) o kou koko.
He ʻenemi maalea loa ka maʻi HIV (Human Immunodeficiency Virus) . Hoʻouka pololei kēia maʻi i kēia mau pūnaewele CD4, e like me nā alakaʻi o ko kākou pūʻali koa pale. Komo ka maʻi HIV i loko o kēia mau pūnaewele CD4, luku iā lākou, a hana i nā piliona kope o ia iho. I ka hala ʻana o ka manawa, hoʻomaka ka helu o nā pūnaewele CD4 i loko o ke kino e emi mālie.
He aha ka mea e hana ʻia ke emi ka nui o nā koa CD4? Hoʻonāwaliwali nā pale o ko kākou kino. A laila, ʻoiai nā germs liʻiliʻi ʻaʻole hiki ke hana nui iā kākou hiki ke hōʻeha nui i ke kino a hoʻoulu i nā maʻi koʻikoʻi.
No laila, ʻo ka helu CD4 kahi ala e ana ai i ka nui o ka pōʻino a ka maʻi HIV i hana ai i kāu ʻōnaehana pale. He mea kōkua nō hoʻi ia e ʻike i ka maikaʻi o ka lāʻau lapaʻau āu e lawe nei.
He aha ka mea a nā kauka e hoʻohana ai i kēia helu CD4?
Inā loaʻa iā ʻoe ka maʻi HIV, e hoʻohana kāu kauka i kēia helu CD4 e hoʻomaopopo ai i ʻekolu mau mea nui.
1.E hoʻoholo i ke kahua o ka maʻi HIV: Hiki i ka helu CD4 ke hoʻoholo i ke kahua o ka maʻi HIV. Ke haʻahaʻa loa ka helu CD4, ʻo ia hoʻi ua hiki ka maʻi i kahi pae koʻikoʻi.
2. E ana i ka holomua o ka lāʻau lapaʻau: Ma hope o kou hoʻomaka ʻana i ka lāʻau no ka maʻi HIV (kapa mākou i kēia ʻo Antiretroviral Therapy a i ʻole ART ), e hana kāu kauka i kēia hoʻāʻo CD4 i nā manawa maʻamau. Inā hana pono ka lāʻau lapaʻau, pono e kaohi ʻia ka maʻi i loko o kou kino a pono e hoʻomaka hou ka helu o kāu mau cell CD4 e piʻi. ʻO ke ʻano kēia ua holomua ka lāʻau lapaʻau.
3. E loiloi i kou pilikia o nā maʻi ʻē aʻe (Nā Maʻi Loaʻa): Ke hāʻule kāu helu CD4 ma lalo o kekahi pae, hoʻonāwaliwali ʻia kāu ʻōnaehana pale, e ʻoi aku ka nui o kou loaʻa ʻana o nā maʻi koʻikoʻi ʻē aʻe. Ua kapa ʻia kēia mau mea he mau maʻi loaʻa . No ka laʻana, nā mea e like me ka niumonia a me ka maʻi puʻupuʻu. Hiki i kāu kauka ke nānā i kāu helu CD4 a kuhikuhi i nā lāʻau lapaʻau hou e pale aku iā ʻoe mai kēia mau maʻi.
Pehea e hoʻomākaukau ai no ka hoʻokolohua? He ʻeha anei?
Mai noʻonoʻo e pili ana i ia mea. Ua like ka hoʻāʻo CD4 me nā hoʻāʻo koko ʻē aʻe āu e hana mau ai.
- ʻAʻohe hoʻomākaukau kūikawā e pono ai: ʻAʻole pono ʻoe e hana i kekahi mea i ka lā ma mua, e like me ka ʻai ʻole ʻana a i ʻole ka inu ʻana i kekahi mea. Hiki iā ʻoe ke ʻai, inu, a lawe i kāu mau lāʻau lapaʻau e like me ka mea maʻamau.
- He aha ka mea e hana ʻia: E lawe kahi kahu maʻi a kauka paha i kahi hāpana koko mai kahi aʻa koko ma kou lima me ka hoʻohana ʻana i kahi syringe liʻiliʻi. Hiki iā ʻoe ke manaʻo i kahi ʻeha a ʻoluʻolu ʻole paha ke hoʻokomo ʻia a wehe ʻia ka nila. Akā he mau kekona wale nō ia.
- Aia kekahi mau hopena ʻaoʻao?: ʻAʻohe pilikia nui me kēia. Eia nō naʻe, he mea kakaikahi loa, hiki i kahi i lawe ʻia ai ke koko ke lilo i polū iki (palaoa), hōʻiliʻili i kahi koko liʻiliʻi (hematoma), manaʻo palupalu, a i ʻole e loaʻa kahi maʻi. He mau hanana kakaikahi loa kēia.
A laila hoʻouna ʻia kēia hāpana koko i ka lab, kahi e hoʻohana ʻia ai kahi ʻano hana kūikawā i kapa ʻia ʻo Flow Cytometry e helu ai i nā pūnaewele CD4 i loko o kou koko.
He aha ka ʻōlelo a nā helu ma ka hōʻike?
Ke hiki mai kāu hōʻike CD4, e helu ʻia me kahi helu, e like me "mm³" a i ʻole "mcL." ʻO kēia ka helu o nā cell i loko o ka millimeter cubic (e pili ana i kahi kulu o ke koko). E kōkua ka papa ma lalo iā ʻoe e hoʻomaopopo i kēia mau waiwai.
| Pae CD4 | Helu o nā kelepona (nā kelepona/mm³) | Manaʻo |
|---|---|---|
| Pae Maʻamau/Ola Kino | 500 - 1,200 | He ikaika ka ʻōnaehana pale maʻi o ke kanaka olakino me ka ʻole o ka maʻi HIV. |
| Pae haʻahaʻa | Ma lalo o 500 | Ua hōʻino ʻia ka ʻōnaehana pale. Ke luku nei ka maʻi i nā pūnaewele CD4. |
| Pae haʻahaʻa loa/pilikia | 200 a emi mai paha | Ua hōʻino nui ʻia ka ʻōnaehana pale. Ua kapa ʻia kēia pae ʻo AIDS (Acquired Immunodeficiency Syndrome) , a i ʻole pae 3 o ka maʻi HIV. I kēia pae, kiʻekiʻe loa ka pilikia o nā maʻi kūpono. |
Mea nui: E hoʻomanaʻo, hiki ke ʻokoʻa iki nā waiwai maʻamau ma waena o nā labs, no laila e kūkākūkā mau i nā waiwai i kāu hōʻike me kāu kauka .
He aha kaʻu e hana ai inā haʻahaʻa kaʻu helu CD4?
ʻO ka mea mua a me ka mea nui loa, mai hopohopo . ʻAʻole ka helu CD4 haʻahaʻa ka hopena o ka honua. ʻO ia hoʻi, pono kāu ʻōnaehana pale i ke kōkua. Eia kāu kauka e kōkua iā ʻoe.
Inā haʻahaʻa kāu helu CD4, hiki i kāu kauka ke hana i nā mea e like me:
- Hoʻomaka a hoʻololi paha i ka ART: Inā ʻaʻole ʻoe i hoʻomaka i ka ART, e kuhikuhi ʻia ʻoe e hoʻomaka. Inā ʻoe e lawe nei i ka lāʻau lapaʻau, hiki ke kuhikuhi ʻia ʻoe i kahi hui like ʻole o nā lāʻau lapaʻau i kūpono iā ʻoe.
- Lāʻau lapaʻau e pale aku i nā maʻi: Inā ʻoi aku ka nui o kāu helu CD4 ma mua o 200, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau hou aʻe, e like me nā antibiotics, e pale aku i nā maʻi kūpono.
- Ka nānā pinepine ʻana: Hiki iā ʻoe ke nānā i kou kūlana ma ka helu ʻana i kāu helu CD4 i kahi kokoke iki i ka manawa maʻamau.
Pehea e hoʻonui ai i kaʻu helu CD4?
ʻO ke ala ʻepekema maikaʻi loa a hoʻokahi wale nō e hana ai i kēiaKa mālama pono ʻana i ka lāʻau lapaʻau ART (Antiretroviral Therapy).
Hana nā lāʻau ART ma ke kāohi ʻana i ka hoʻonui ʻana o ka maʻi HIV (hana kope ʻana) i loko o ke kino. Ke kāohi ʻia ka maʻi, hoʻōki ia i ka luku ʻana i nā pūnaewele CD4. A laila hiki i ke kino ke hana i nā pūnaewele CD4 hou a kūkulu hou i kona ʻōnaehana pale.
No laila, he mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau e like me ke kuhikuhi ʻana a kāu kauka, i ka manawa kūpono, a me ka ʻole o ka hala ʻana i hoʻokahi lā . Inā pilikia ʻoe i ka lawe ʻana i kāu lāʻau lapaʻau a poina paha iā ʻoe e lawe, mai hilahila a kamaʻilio me kāu kauka e pili ana i ia mea.
Āhea wau e ʻike ai i ke kauka?
- Inā he mau nīnau kāu e pili ana i nā hopena o kāu hōʻike CD4, a inā he mea maopopo ʻole, e kamaʻilio me kāu kauka.
- Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi e like me ke kuni, ka ʻeha o ke kino, ka pehu ʻana, a i ʻole kahi ʻeha e kahe ana, e ʻimi koke i ke kōkua lapaʻau. Inā koʻikoʻi, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
ʻAʻole ka helu CD4 he mea e hoʻoweliweli iā ʻoe. Ua like ia me ka mika ma ka dashboard o ke kaʻa. Hāʻawi ia iā ʻoe a me kāu kauka i kahi manaʻo maikaʻi no kahi e hele ai kāu huakaʻi olakino. Me ka hoʻohana ʻana iā ia, hiki iā ʻoe ke hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu, a ola i kahi ola olakino, lōʻihi, a hauʻoli hoʻi.
Leka Lawe-Home
- ʻO nā pūnaewele CD4 nā koa koʻikoʻi loa i loko o kāu ʻōnaehana pale maʻi.
- Hoʻouka pololei ka maʻi HIV i kēia mau pūnaewele CD4. Ana ka helu CD4 i ka nui o kēia mau koa.
- ʻO ka helu CD4 haʻahaʻa e hōʻike ana i kahi ʻōnaehana pale i nāwaliwali. ʻO ka helu CD4 ma lalo o 200 ua kapa ʻia ʻo AIDS.
- ʻO ke ala maikaʻi loa e hoʻonui ai i kāu helu CD4, ʻo ia ke lawe i ka lāʻau ART i kuhikuhi ʻia e kāu kauka i ka manawa kūpono, me ka ʻole o ka hala ʻana o hoʻokahi lā.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kāu mau hopena CD4. Aia lākou ma laila e kōkua iā ʻoe.
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