Afta dɔktɔ dɔn no se yu gɛt HIV, yu bin fred smɔl we i se, "Yu nid fɔ du CD4 kɔnt?" Ɔ yu yɛri dɛn wɔd ya sɔmsay ɛn wɔnda wetin na dis? Pan ɔl we dɛn wɔd ya kin tan lɛk sayɛns smɔl ɛn kɔmplikt we yu yɛri dɛn, dɛn minin rili simpul. No rizin nɔ de fɔ mek wi fred. I tan lɛk miro we de sho aw wi bɔdi gɛt wɛlbɔdi. Insay dis atikul, wi go tɔk rili simpul ɛn fayn bɔt wetin na dis CD4, wetin dis tɛst de mɛzhɔ, ɛn aw i impɔtant fɔ yu wɛlbɔdi joyn fɔ liv wit HIV.
Fɔ tɔk am simpul wan, wetin na dis CD4?
Imajin se wi bɔdi tan lɛk kɔntri. Jɔs lɛk aw ɔl kɔntri gɛt ami fɔ protɛkt am, na so wi bɔdi gɛt ami bak fɔ protɛkt wi frɔm sik ɛn jem. Wi kɔl dis ami di Imyun Sistɛm .
So, wan pan di spεshal εn imכtant sojaman dεm na dis imyun ami na dεn CD4 sεl dεm ya . Dis na rili wan kayn wayt blɔd sɛl we de na wi blɔd. Dɛn men wok na fɔ fɛn ɛnimi dɛn lɛk vayrɔs ɛn baktri dɛm we de kam insay di bɔdi, tɛl ɔda sojaman dɛm (ɔda imyun sɛl dɛm) bɔt am, ɛn ɔlman kin jɔyn fɔ fɛt dɛn ɛnimi dɛm de. na dat mek wi kin kכl dεn CD4 sεl dεm ya bak "hεlp T-sεl dεm."
Naw yu go dɔn ɔndastand aw di CD4 sɛl dɛn impɔtant to wi bɔdi in imyun sistɛm.
Wetin CD4 kɔnt tɛst de du?
CD4 kɔnt na wan rili simpul blɔd tɛst. I de kɔnt ɔmɔs CD4 sɛl dɛn de na wan rili smɔl (lɛk kubik milimita) pan yu blɔd.
Di HIV vayrɔs (Human Immunodeficiency Virus) na ɛnimi we rili kɔni. dis vayrus de atak dεn CD4 sεl dεm ya dεn wan dεm we lεk di lida dεm fכ wi imyun ami. Di HIV vayrɔs kin go insay dɛn CD4 sɛl ya, pwɛl dɛn, ɛn mek bɔku bɔku kɔpi dɛn fɔ insɛf. as tεm de go, di nכmba fכ di CD4 sεl dεm na di bכdi de bigin fכ dכn sכmtεm.
Wetin kin apin we di nɔmba fɔ di CD4 sojaman dɛn dɔn go dɔŋ? Di tin dɛn we wi bɔdi kin ebul fɔ protɛkt kin wik. Dɔn, ivin smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
So, CD4 kɔnt na we fɔ no ɔmɔs damej di HIV vayrɔs dɔn du to yu imyun sistɛm. I kin ɛp bak fɔ no aw di mɛrɛsin we yu de tek kin wok fayn.
Wetin dɔktɔ dɛn kin yuz dis CD4 kɔnt fɔ?
If yu gɛt HIV, yu dɔktɔ go yuz dis CD4 kɔnt fɔ ɔndastand tri men tin.
1. 1. 1. .Fɔ no di stej we di HIV gɛt: Di CD4 kɔnt kin no di stej we di HIV gɛt. we di CD4 kכnt rili lכw, i min se di infεkshכn de na wan siriכs stej.
2. Mekɔp aw di tritmɛnt go wok fayn: Afta yu dɔn bigin fɔ trit HIV (wi kɔl dis Antiretroviral Therapy ɔ ART ), yu dɔktɔ go du dis CD4 tɛst ɔltɛm . If di mɛrɛsin de wok fayn, di vayrɔs na yu bɔdi fɔ de ɔnda kɔntrol ɛn yu CD4 sɛl kɔnt fɔ bigin fɔ bɔku bak. Dis min se di tritmɛnt de wok fayn.
3. Asɛs yu risk fɔ gɛt ɔda infɛkshɔn (Opportunistic Infections): We yu CD4 kɔnt go dɔŋ pas wan patikyula lɛvɛl, yu imyun sistɛm kin wik, we kin mek yu gɛt ɔda siriɔs infɛkshɔn. Dɛn kɔl dɛn tin ya opportunistic infection . Fɔ ɛgzampul, tin dɛn lɛk nyumonia ɛn TB. Yu dɔktɔ kin chɛk yu CD4 kɔnt ɛn gi yu ɔda mɛrɛsin fɔ protɛkt yu frɔm dɛn infɛkshɔn ya.
Aw a kin rɛdi fɔ di tɛst? Yu tink se i de mek pɔsin fil pen?
Nɔ ivin tink bɔt am. Di CD4 tɛst jɔs tan lɛk ɛni ɔda blɔd tɛst we yu go du nɔmal wan.
- Nɔ spɛshal pripiamɛnt: Yu nɔ nid fɔ du ɛnitin di de bifo, lɛk fɔ nɔ it ɔ drink ɛnitin. Yu kin it, drink, ɛn tek yu mɛrɛsin dɛn lɛk aw yu kin it.
- Wetin kin apin: Nɔs ɔ dɔktɔ go tek blɔd sɛmpul frɔm wan vein na yu an yuz smɔl sirinj. Yu kin fil sɔm pen ɔ nɔ fil fayn we dɛn put di nidul ɛn pul am. Bɔt i go jɔs las fɔ sɔm sɛkɔn dɛn.
- Ɛni sayd ɛfɛkt de?: Nɔr big risk nɔr de wit dis. Bɔt nɔto ɔltɛm, di say we dɛn tek di blɔd kin tɔn blu smɔl (bruiz), gɛda smɔl blɔd (ɛmatoma), fil fɔdɔm, ɔ gɛt infɛkshɔn. Dɛn tin ya kin apin we nɔ kin apin so ɔltɛm.
Dɔn dɛn kin sɛn dis blɔd sɛmpul to di lab, usay dɛn kin yuz wan spɛshal we we dɛn kɔl Flow Cytometry fɔ kɔnt di CD4 sɛl dɛn we de na yu blɔd.
Wetin di nɔmba dɛn we de na di ripɔt se?
We yu CD4 ripɔt kam insay, dɛn go rayt am wit wan nɔmba, lɛk "mm3" ɔ "mcL." dis na di nכmba fכ di sεl dεm we de insay wan kubik milimita (lεk wan drop pan bכdi). Di tebul we de dɔŋ ya go ɛp yu fɔ ɔndastand dɛn valyu dɛn ya.
| CD4 lɛvɛl | Sεl kכnt (sεl dεm/mm3) . | Minin |
|---|---|---|
| Nɔmal/Hɛlth Lɛvɛl | 500 - 1,200 pipul dɛn | Pɔsin we gɛt wɛlbɔdi ɛn we nɔ gɛt HIV gɛt strɔng imyun sistɛm. |
| Low level | I nɔ rich 500 | Di imyun sistɛm dɔn pwɛl. Di vayrɔs de pwɛl di CD4 sɛl dɛn. |
| Rili low/risk lɛvɛl | 200 ɔ smɔl pas dat | Di imyun sistɛm dɔn pwɛl bad bad wan. Dɛn kɔl dis stej AIDS (Acquired Immunodeficiency Syndrome) , ɔ stej 3 we pɔsin gɛt HIV. Na dis stej, di risk fɔ gɛt opportunistic infɛkshɔn rili bɔku. |
Impɔtant: Mɛmba se di nɔmal valyu kin difrɛn smɔl bitwin di lab dɛm, so ɔltɛm tɔk bɔt di valyu dɛm na yu ripɔt wit yu dɔktɔ .
Wetin a fɔ du if mi CD4 kɔnt smɔl?
Fɔs ɛn di men tin, nɔ fred . Wan low CD4 count nɔto di ɛnd fɔ di wɔl. I jɔs min se yu imyun sistɛm nid ɛp. Yu dɔktɔ de ya fɔ ɛp yu.
If yu CD4 kɔnt smɔl, yu dɔktɔ kin du tin dɛn lɛk:
- Start ɔ chenj ART: If yu nɔ stat ART yet, dɛn go tɛl yu fɔ stat am. If yu dɔn ɔlrɛdi de tek mɛrɛsin, dɛn kin gi yu difrɛn kɔmbayn mɛrɛsin we go fayn fɔ yu.
- Mɛrɛsin fɔ mek yu nɔ gɛt infɛkshɔn: If yu CD4 kɔnt nɔ rich 200, dɛn kin gi yu ɔda mɛrɛsin, lɛk antibayɔtik, fɔ protɛkt yu frɔm di infɛkshɔn dɛn we yu kin gɛt we yu de gɛt chans.
- Fɔ wach yu ɔltɛm: Yu kin wach yu kɔndishɔn bay we yu kɔnt yu CD4 kɔnt smɔl klos to di tɛm we yu kin yuz.
Aw a go inkrisayz mi CD4 kɔnt?
Di bɛst ɛn di wangren sayɛns we fɔ du dis naStrikt adherence to ART (Antiretroviral Therapy) tritmɛnt.
ART drɔgs de wok bay we dɛn de stɔp di HIV vayrɔs fɔ bɔku (mek kɔpi) na di bɔdi. We di vayrɔs de ɔnda kɔntrol, i kin stɔp fɔ pwɛl di CD4 sɛl dɛn. afta dat di bכdi kin ebul fכ mek nyu CD4 sεl dεm εn bil in imyun sistεm bak.
So, i rili impɔtant fɔ tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, di rayt tɛm, ɛn nɔ fɔ mis wan de . If yu gɛt ɛni prɔblɛm fɔ tek yu mɛrɛsin ɔ yu de fɔgɛt fɔ tek am, nɔ shem ɛn tɔk to yu dɔktɔ bɔt am.
Ustɛm a fɔ go to dɔktɔ?
- If yu gɛt ɛni kwɛstyɔn bɔt di rizɔlt fɔ yu CD4 ripɔt, ɔ if ɛnitin de we nɔ klia, mek shɔ se yu tɔk to yu dɔktɔ.
- If yu gɛt sayn dɛn fɔ se yu gɛt di sik lɛk fiva, bɔdi we de at, we yu de swel, ɔ wund we de kɔmɔt, go to dɔktɔ wantɛm wantɛm. If i bad, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
CD4 kɔnt nɔto sɔntin fɔ mek yu fred. I tan lɛk mita we de na di dashbɔd fɔ motoka. I de gi yu ɛn yu dɔktɔ gud aidia bɔt usay yu wɛlbɔdi joyn de go. We yu yuz am, yu kin disayd di bɛst tritmɛnt fɔ yu, ɛn liv wɛl, lɔng, ɛn gladi layf.
Mɛsej we dɛn kin kɛr go na os
- CD4 sel dεm na di mכst imכtant sojaman dεm na yu imyun sistεm.
- Di HIV vayrɔs de atak dɛn CD4 sɛl ya dairekt wan. Di CD4 kɔnt de mɛzhɔ ɔmɔs pan dɛn sojaman ya de.
- we CD4 kכnt lכw de sho se di imyun sistεm wik. If CD4 kɔnt dɔŋ 200, dɛn kɔl am AIDS.
- Di bɛst we fɔ mek yu CD4 kɔnt go ɔp na fɔ tek di ART mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm, we yu nɔ go mis wan de.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt yu CD4 rizɔlt. Dɛn de de fɔ ɛp yu.
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