Lɛ wi lan bɔt di sik dɛn we kin mek pɔsin gɛt AIDS.

Yu mɛmba, sɔmtɛm we wi kin sik we wi nɔ bin de ɛkspɛkt, wi kin wɔnda, "Usay dis sik kɔmɔt?" Ɛspɛshali we di bɔdi in immunity nɔ de, sik dɛn kin tray fɔ kam insay di bɔdi izi wan. Tide wi go tɔk bɔt sɔm spɛshal sik dɛn we kin kam we wi gɛt di vayrɔs we dɛn kɔl `HIV` (Human Immunodeficiency Virus) ɛn di kɔndishɔn kin wɔs smɔl, dat na, we sɔm pipul dɛn se i kin rich di stej fɔ AIDS. Dis na wetin dɔktɔ dɛn kin kɔl `AIDS-Defining Illnesses (ADIs)`. dis dεm lεk rεd layt, we de sho se wi imyun sistεm dεn dכn wik bikoz fכ di `HIV` infεkshכn na wi bכdi.

Wetin na dɛn sik ya we de mek pɔsin gɛt AIDS (ADI)?

Fɔ tɔk am simpul wan, dɛn `ADI` ya na kansa ɛn sik dɛm we de fɔdɔm insay di kategori we dɛn kɔl `Opportunistic Infections` we kin apin we di `HIV` infɛkshɔn kin bi siriɔs, dat na we wi bɔdi in imyun sistɛm kin wik bad bad wan.

Yu no wetin na "opportunistic infections"? Imajin se yu lɛf ɔl di domɔt ɛn winda dɛn na yu os opin ɛn sef nɔ de. Dɔn ɛnibɔdi kin ebul fɔ go insay izi wan. That's how it is, when our body's immune system is weakened by `HIV`, even very small germs that normally cannot cause illness in a healthy person easily get an 'opportunity' to enter the body and cause major illnesses. Na dat wi kin kɔl `opportunistic infections`. Nɔmal wan, wi kin si dɛn jem ya na wi envayrɔmɛnt, bɔt di imyun sistɛm fɔ pɔsin we gɛt wɛlbɔdi kin fɛt dɛn ɛn kɔntrol dɛn.

Dɔktɔ dɛn kin yuz di CD4 sɛl kɔnt ɛn dɛn ADI ya fɔ no aw HIV infɛkshɔn siriɔs, dat na aw fa i dɔn skata ɛn aw i bad. dis CD4 sel dεm na rili imכtant pat pan wi imyun sistεm, lεk spεshal polis כfisa dεm na wi bכdi. Di HIV vayrɔs de pwɛl dɛn CD4 sɛl ya. So, if yu gɛt HIV ɛn yu gɛt dɛn ADI ya, dɔktɔ dɛn kin kɔl dis di tɔd stej fɔ HIV, we na AIDS.

Sɔntɛnde, na we pɔsin gɛt `ADI` nɔmɔ dɛn kin no se i gɛt `HIV`. Bɔt i impɔtant fɔ mɛmba se nɔto ɔlman we gɛt `ADI` gɛt `HIV`. Pan ɔl we sɔm `ADI` dɛn kin bɔku pan pipul dɛn we gɛt `HIV` ɔ di wan dɛn we gɛt wik imyun sistɛm, bɔku `ADI` kin apin bak pan pipul dɛn we gɛt wɛlbɔdi ɛn we nɔ gɛt ɛni ɔndalayn sik. So, di bɛst we fɔ no fɔ tru na fɔ du dɔktɔ tɛst.

Wetin na di kayn sik dɛm wae de mek pɔrsin gɛt AIDS (ADI)?

Difrɛn kayn dɛn de fɔ dɛn `ADI` ya. Dɛn kin gɛt mɔ sik dɛn we kin kam pan pɔsin (fɔngal, baktriyal, parasayt, vayral infɛkshɔn), sɔm kayn kansa, ɛn sɔm tin dɛn we gɛt fɔ du wit di nervɔs sistɛm. Lɛ wi si wetin dɛn bi.

Infεkshכn dεm fכ fכn

We yu imyun sistɛm wik, i izi fɔ mek di fεn infεkshɔn go ɔlsay na yu bɔdi. Sɔm pan dɛn tin ya na:

• Nyumocystis nyumonia (PCP): Dis na siriɔs infεkshɔn na di lכng.
• Kandidiasis na di brכnki, εsophagus, trakya, כ di lכng
• Coccidioidomycosis - we de skata/ekstrapulmonari
• Krכnik intestinal kriptosporidiosis we de las pas wan mכnt
• Kriptokokɔsis - ɛkstrapulmonari
• Histoplasmosis - we de skata/ekstrapulmonari

Jɔs tink bɔt, we wi imyun sistɛm strɔng, dɛn fɛns ya nɔ kin ebul fɔ du bɔku tin. Bɔt we wi imyun sistɛm wik bikɔs ɔf HIV, dɛn kin bigin fɔ kɔz prɔblɛm.

Baktri Infεkshכn

Baktri kin mek pipul dɛn gɛt difrɛn difrɛn sik dɛn bak. Sɔm baktriyal infɛkshɔn dɛm we dɛn kin tek as `ADI` na:

• Tuberculosis (Mycobacterium tuberculosis) fɔ pikin dɛn we ol 6 ia ɔ pas dat: Dis na sik we bɔku pipul dɛn dɔn yɛri bɔt, ɛn i kin afɛkt di lɔng dɛn ɛn ɔda pat dɛn.
• כda Mycobacterium infεkshכn dεm we dεn spre ausayd di lכng dεm: εgzampl dεm na Mycobacterium kansasii εn Mycobacterium avium complex (MAC).
• baktriyal infεkshכn we de kam bak pan pikin dεm we nכ rich 6 ia yet.
• Rikɔrɛnt nɔ-tayfɔyd Salmonella septicemia: Insay dis, di Salmonella infɛkshɔn kin go insay di blɔd ɛn i kin skata ɔlsay na di bɔdi.

Parasayt Infɛkshɔn dɛn

Parasayt kin mek bak `ADI`. Ɛgzampul dɛn:

• Toxoplasmosis na di bren: Bɔt dis nɔ kin apin to pikin dɛn we nɔ rich wan mɔnt yet.
• Krεse intestinal cystoisosporiasis we de las pas wan mכnt

Vayral Infɛkshɔn dɛn

HIV na vayrɔs bak. Dɔn bak, we di imyun sistɛm wik, i kin izi fɔ mek ɔda vayrɔs dɛn atak.

• Hɛpi simpul brɔnkayt, nyumonitis, ɔ ɛsophagitis: Dis nɔ kin apin bak to pikin dɛn we nɔ rich wan mɔnt yet.
• Hɛpi simpul ɔlsa we kin las pas wan mɔnt
• Saytomegalovayrɔs sik: Insay ɔda ɔgan dɛn we nɔto di liva, splin, ɔ limf no dɛm (e.g., saytomegalovayrɔs rɛtinayt - we de afɛkt di yay). Dis nɔ kin apin bak to pikin dɛn we nɔ rich wan mɔnt yet.
• Progressive multifocal leukoencephalopathy (PML): Dis na wan sik we nɔ kin apin so ɔltɛm bɔt we kin afɛkt di bren.

Kansa dɛn we gɛt kansa

we wi T sel dεm (CD4 sεl dεm na wan kayn T sεl dεm bak) dכn dכn, di risk fכ gεt kεnsar we vayrus כ kεnsar we de afekt di imyun sistεm insεf de kכz de bכku. Di kayn kansa dɛm we dɛn kin tek as ADI pan pipul dɛm we gɛt HIV:

• Kaposi sarkoma: Na kansa we kin apin na say dɛm lɛk di skin, di limf no dɛm, ɛn di mɔt.
• Burkitt lymphoma we gɛt di sik
• Invasive sεvikal kεnsar
• Imyunoblastik limfoma we de mek pɔsin gɛt sik
• Praymari limfoma na di bren

Ɔda Kɔndishɔn dɛn

Apat frɔm dis, sɔm ɔda kɔndishɔn dɛn we dɛn kin kɔl bak `ADI`:

• Nyumonia we kin kam bak: Fɔ big pipul ɛn pikin dɛn we dɔn pas 6 ia. Nyumonia na infεkshכn na di lכng dεm we vayrus, baktri, כ fεnshכn de kכz.
• HIV εnsifalopati: Insay dis, di HIV vayrɔs de afɛkt di we aw di bren de wok.
• HIV wasting syndrome: Dis kin mek di bɔdi tan ɛn wik.

Wetin na di sik dɛm wae kin mek pɔrsin gɛt AIDS (ADI)?

Nɔto ɔl dɛn tin ya kin apin to ɔlman. Bɔt sɔm pan di `ADI` dɛm we kɔmɔn pas ɔl na:

• Nyumosistis nyumonia (PCP) .
• Kaposi sarkoma
• HIV west sindrom
• Kandidiasis we de na di εsophageal
• Mycobacterium avium complex (MAC) infεkshכn dεm
• Tubakulosis sik we dɛn kɔl Tuberculosis

Wetin na di sayn dɛm fɔ dɛn sik ya?

Di sayn dɛm fɔ `ADI` kin difrɛn difrɛn wan fɔ di sik. Bɔt bɔku pan di infɛkshɔn dɛn gɛt sɔm kɔmɔn tin dɛn:

• Fiva
• Ed de at
• Bɔdi pen, mɔsul pen
• Trot de at
• I nɔ kin izi fɔ yu fɔ blo
• Rash na di skin
• Rɔnbɛlɛ
• Kɔnfyushɔn ɔ ɔda chenj dɛn we kin apin to pɔsin in maynd

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, mɔ if yu no se yu gɛt HIV, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.

Wetin mek dɛn sik ya we de mek pɔsin gɛt AIDS (ADI) kin apin?

as wi bin dכn tכk, di vayrus `HIV` de pwεl di `T` sεl dεm (especially `CD4` sεl dεm) na wi imyun sistεm. dis `T` sεl dεm na dεn de εp wi fכ fכt infεkshכn. so, we di nכmba fכ dεn `T` sεl dεm ya dכn tu mכch, wi bכdi nכ kin fכt infεkshכn nכmal wan. Dɔn, wi kin sik frɔm tin dɛm wae nɔr de kɔz sik to pɔrsin wae gɛt wɛl bɔdi imyun sistɛm. Dɔn bak, dis na rizin fɔ mek kansa dɛn we gɛt fɔ du wit di imyun sistɛm ɔ kansa dɛn we vayrɔs kin kam wit.

Antiretroviral therapy (ART) kin rili ɛp fɔ mek wi imyun sistɛm wɛl. Bɔt sɔmtɛm ADI kin kam ivin we yu de tek ART. Bɔku tin dɛn de we kin mek i apin:

• If yu nɔ ebul fɔ tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek ɛn di rayt tɛm.
• If di mɛrɛsin we yu de tek nɔ de wok fayn.
• Yu kin dɔn gɛt ADI we nɔ gɛt ɛni sayn bifo yu bigin fɔ tek ART, ɛn i kin kam bak we yu imyun sistɛm kam bak afta yu bigin fɔ tek ART (dɛn kin kɔl dis bak imyun rikonstitushɔn inflammatory syndrome - IRIS).

Aw dɛn kin no di sik dɛn we de mek pɔsin gɛt AIDS (ADI)?

Yu dɔktɔ go no se yu gɛt ADI bay di sayn dɛm we yu gɛt. Dis kin min fɔ tɛst blɔd ɔ ɔda wata we de na di bɔdi, ɛn sɔntɛm fɔ du bayɔpsi. Dɛn kin du imej tɛst bak, lɛk ɛkstrem rayt ɔ CT skan fɔ luk fɔ chenj dɛn na yu lɔng ɔ ɔda pat dɛn.

If dɛn nɔ bin dɔn no se yu gɛt HIV bifo tɛm, ɛn na ADI nɔmɔ yu gɛt, yu dɔktɔ kin tɛst yu fɔ HIV ɛn ɔda tin dɛn we kin mek yu nɔ ebul fɔ fɛt di sik.

Us kayn tɛst dɛn kin du?

Sɔm tɛst dɛn we di dɔktɔ kin yuz:

• Blɔd tɛst dɛn
• Tek wan sampul frɔm di nos (Nasal swab) .
• Bayopsi we dɛn kin du
• Sputum test: Dɛn kin tek wan sampul fɔ di swɛt frɔm di lɔng fɔ chɛk fɔ si if i gɛt infekshɔn.
• Stɔl tɛst
• X-ray na di chɛst
• CT skan we dɛn kin du
• Lumbar pankshכn/spinal tap
• HIV tɛst

Aw dɛn kin trit dɛn sik ya?

Di tritmɛnt opshɔn dɛn kin dipen pan di kayn sik we yu gɛt ɛn yu patikyula sityueshɔn. If yu nɔ de tek ART, yu dɔktɔ kin bigin fɔ tek ART kwik kwik wan ɔ insay tu to 4 wiks afta yu bigin fɔ trit yu fɔ gɛt chans fɔ gɛt infɛkshɔn.

If dɛn dɔn no se yu gɛt HIV ɛn yu de tek ART, yu dɔktɔ kin du mɔ tɛst fɔ si aw yu mɛrɛsin de wok fayn.

Di tritmɛnt fɔ sɔm patikyula ADI dɛn kin inklud:

• Antibayɔtik fɔ baktriyal infɛkshɔn
• Antifungals fɔ fungal infɛkshɔn
• Antiparasitic drugs fɔ parasayt infɛkshɔn
• Ɔpreshɔn, raytin, ɔ kemotɛrapi fɔ kansa

Wetin kin apin if a gɛt sik we de mek a gɛt AIDS (ADI)?

If yu gɛt ADI, dat kin mek yu day bikɔs ɔf prɔblɛm dɛn we gɛt fɔ du wit AIDS. Bɔt di gud nyus na dat, insay di las ia dɛn, di nɔmba fɔ pipul dɛn we de day bikɔs ɔf AIDS dɔn go dɔŋ bad bad wan bikɔs ɔf ART. Pan ɔl we dɛn se na lɛk wan pat pan di pipul dɛn we gɛt HIV kin day bikɔs ɔf prɔblɛm dɛn we gɛt fɔ du wit AIDS, we dɛn bigin fɔ tek ART kwik kwik wan, bɔku pipul dɛn we gɛt HIV kin liv fayn layf we dɛn nɔ kin gɛt AIDS.

Yu tink se dɛn kin ebul fɔ avɔyd sik dɛn we de mek pɔsin gɛt AIDS (ADI)?

Yɛs, i rili ebul fɔ du am!

ART kin ɛp fɔ mek di vayrɔs we de na yu blɔd (vayral lod) smɔl. dis de mek yu nכmba fכ T sεl dεm (CD4 sεl dεm) go כp. Dis kin ɛp yu imyun sistɛm fɔ gɛt wɛl bɔdi ɛn fɛt infɛkshɔn. I de ɛp bak fɔ fɛt di vayrɔs dɛm we de mek pɔsin gɛt kansa we gɛt fɔ du wit HIV.

Bɔku ɔda we dɛn de fɔ ridyus di risk fɔ gɛt di sik:

• Di mɛrɛsin dɛn we dɛn kin yuz fɔ mek dɛn nɔ gɛt dis sik:Yu dɔktɔ kin gi yu tin dɛn lɛk antibayɔtik ɔ antifungal mɛrɛsin fɔ ridyus di risk fɔ gɛt sɔm infɛkshɔn.
• Vaksin: Aks yu dɔktɔ us vaysin yu nid fɔ gɛt ɛn if ɛni wan de yu fɔ avɔyd.
• Skrin: Yu dɔktɔ kin tɛl yu fɔ chɛk ɔltɛm fɔ sɔm kansa ɛn sik dɛn we pɔsin kin gɛt.
• Nɔ sheb di ikwipmɛnt fɔ injɛkshɔn fɔ drɔgs: We yu de yuz di mɛrɛsin dɛn we dɛn kin gi yu ɛn di wan dɛn we yu nɔ kin gi yu, nɔ sheb nidul, sirinj, ɛn ɔda tin dɛn wit ɔda pipul dɛn.
• Gud klin: Was yu an ɔltɛm, mɔ bifo yu pripia it, bifo yu it, ɛn afta yu dɔn yuz di bafa. Nɔ sheb it, drink, ɔ yu yon tin wit ɔda pipul dɛn.
• Fɔ it sef: Nɔ it eg we nɔ kuk fayn, milk we nɔ pastɔrayz (inklud chiz ɛn ayskrim), ɛn frut jus we nɔ pastɔrayz. Wash ɔ pul frut ɛn vɛjitebul dɛn fayn fayn wan bifo yu it.
• Nɔ yuz wata we dɛn nɔ trit: Nɔ gɛt wata na yu mɔt we yu de was na ples dɛn lɛk lek ɛn pɔnd, ɛn nɔ drink tap wata we nɔ trit. If yu go na ples we yu nɔ shɔ bɔt aw di wata klin, drink bɔtul wata ɛn yuz di sem wata fɔ kuk.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt HIV, mek shɔ se yu kip ɔl yu apɔntinmɛnt wit yu dɔktɔ. Tɛl yu dɔktɔ if yu gɛt nyu ɔr de wɔs, ɔr if yu gɛt prɔblɛm fɔ tek yu ART. Fɛn ɔda tin dɛn we yu kin du fɔ mek yu nɔ gɛt di sik ɛn wetin fɔ du if yu gɛt sayn dɛn fɔ di sik.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu tink se yu go dɔn gɛt HIV, ɔ if yu gɛt ɛni wan pan dɛn bad bad sayn ya, go na di imejensi rum wantɛm wantɛm:

• Fiva we pas 103 digri F (40 digri sɛlshiɔs).
• I nɔ kin izi fɔ yu fɔ blo.
• Fɔ vɔmit bad bad wan ɔ fɔ gɛt dayarɛa.
• Chɛst de pen.
• Kɔnfyushɔn ɔ lɔs pan kɔnshɛns.
• If wund wam, rɛd, swel, i de fil pen, ɔ i nɔ de wɛl.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw a go tek mi mɛrɛsin kɔrɛkt wan?
• Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?
• Wetin a kin du fɔ mek a nɔ gɛt di sik?
• Us sayn dɛn a fɔ luk fɔ?
• Ustɛm a fɔ go na di imejensi rum?

Fɔ dɔn, mɛsej we yu kin kɛr go na os

AIDS-defining illnesses (ADI) na tɛst dɛm wae de ɛp dɔktɔ dɛm fɔ no aw di HIV vayrɔs dɔn afɛkt yu bɔdi. We yu gɛt HIV, yu de pan ay risk fɔ gɛt siriɔs prɔblɛm frɔm ɛni infɛkshɔn.

Bɔt,Di tin we impɔtant pas ɔl na dat, if yu tek antiretroviral therapy (ART) kɔrɛkt wan ɛn ɔltɛm i kin mek yu imyun sistɛm gɛt wɛlbɔdi ɛn gi yu bɔdi di trɛnk fɔ fɛt infɛkshɔn. Dɛn mɛrɛsin ya dɔn ɛp fɔ mek dɛn nɔ gɛt AIDS ɛn mek pipul dɛn we gɛt HIV ebul fɔ liv lɔng lɛk di wan dɛn we nɔ gɛt HIV.

So, tɔk to yu dɔktɔ bɔt ɔda tin dɛn we yu go tek fɔ mek yu nɔ gɛt siriɔs sik. Nɔr wɔri, yu kin fɛt dɛn sik ya wit di rayt no ɛn tritmɛnt.

` AIDS, HIV, AIDS diagnosis, opportunistic infεkshכn, imyuniti, CD4 sεl dεm, ART tritmεnt