Yu go lɛk fɔ no yu CD4 Sɛl Kɔnt? Mek wi tok!

Yu dɔn ɛva yɛri bɔt ``CD4 sɛl kɔnt'' ɔ ``T-sɛl tɛst''? Sɔntɛm yu dɔktɔ dɔn tɔk bɔt am, ɔ yu go dɔn yɛri dɛn wɔd ya sɔmsay. Pan ɔl we i kin tan lɛk se i kɔmplikt smɔl, lɛ wi tray fɔ ɔndastand am simpul wan. Bikɔs dis na tɛst we de tɛl wi bɔku impɔtant tin dɛn bɔt di wɛlbɔdi we wi imyun sistɛm gɛt.

Wetin na di CD4 sɛl kɔnt?

Fɔ tɔk am simpul wan, CD4 sɛl kɔnt na blɔd tɛst we de sho di nɔmba fɔ wan patikyula kayn wayt blɔd sɛl we de na smɔl pat pan yu blɔd. Dɔktɔ dɛn kin yuz am fɔ si aw HIV dɔn afɛkt yu imyun sistɛm ɛn aw tritmɛnt dɛn lɛk antiretroviral therapy (ART) kin wok fayn. Sɔntɛnde, dɛn kin yuz am bak fɔ wach ɔda sik dɛn.

Yu no se HIV na wan vayral infεkshכn we de apin to wi layf we de pwεl wi CD4 sεl dεm (dεn kin kכl dεm bak hεlp T-sεl כ CD4+ T-sεl dεm). So we dɛn T-sɛl ya nɔ bɔku, di we aw wi bɔdi kin ebul fɔ fɛt di 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.

Wetin na di CD4 pasɛnt?

Yu dɔktɔ kin yuz di ``CD4 pasɛnt'' bak fɔ gɛt aydia bɔt di wɛlbɔdi fɔ yu imyun sistɛm. dis dεn kin kכl am bay we dεn divayd di nכmba fכ ``CD4+ T sεl dεm'' bay di tכtal nכmba fכ ``limfosayt'' (כda kayn wayt bכdi sεl) εn mכltiply di rizulεt wit 100.

insay sכm kes dεm, jכs fכ luk di `(CD4 sεl kכnt)` kin nכ rili rili. fכ egzampl, if yu gεt sik we de afekt yu tכtal `(limfosayt)` kכnt, כ fכ pipul dεm lεk yכng pikin, bεlε uman, כ pipul dεm we pas 65 ia, di `(CD4 pasεnshכn)` kin yus mכr.

Wetin wi kin lan frɔm di CD4 kɔnt?

CD4 kɔnt de gi dɔktɔ dɛn impɔtant infɔmeshɔn bɔt yu imyun sistɛm. If dis kɔnt pas di nɔmal, i kin sho se yu gɛt di sik, ɔda sik, ɔ di HIV infɛkshɔn de go bifo.

Bɔt wan tin de we wi fɔ mɛmba. Yu CD4 kɔnt kin difrɛn smɔl frɔm wan de to ɔda de. Dis kin bi bikɔs ɔf tin dɛm lɛk we yu gi blɔd, if yu bin gɛt infɛkshɔn da tɛm de, ɛn ɔda tin dɛm Yu ej, ɔda wɛlbɔdi kɔndishɔn, ɛn di mɛrɛsin dɛm we yu de tek kin afɛkt dis kɔnt bak. Na dat mek dɔktɔ dɛn kin luk pan yu tɔtal kɔnt ɛn aw i kin chenj as tɛm de go.

Wetin dɛn kin yuz CD4 kɔnt fɔ?

Naw lɛ wi si wetin dɛn kin yuz dis tɛst mɔ fɔ.

If yu gɛt HIV:

If yu gɛt HIV, dɔktɔ dɛn kin yuz CD4 kɔnt fɔ:

• Fɔ no di stej we di HIV infɛkshɔn de (i.e. aw fa di sik dɔn go bifo).
• Monitor aw di tritmɛnt we dɛn kɔl ``Antiretroviral Therapy - ART'' de wok fayn fayn wan .
• Asɛs yu risk fɔ gɛt ``Opportunistic Infections'' (siriɔs infɛkshɔn we de divɛlɔp izi wan we di imyuniti wik).

Insay ɔda kes dɛn:

Sɔntɛnde dɛn kin yuz di T-sɛl tɛst fɔ tin dɛn lɛk:

• Afta yu dɔn transplant ɔgan, monitar di mɛrɛsin dɛn we de mek yu nɔ gri fɔ tek am.
• Monitor tritmɛnt fɔ sɔm ɔtoimyun sik dɛm.
• Fɔ no sɔm kayn limfoma (wan kansa na di limfatik sistɛm) ɛn sik dɛn lɛk DiGeorge syndrome.

Ustɛm dɛn kin du dɛn T-sɛl tɛst ya?

We dɛn fɔs no se yu gɛt HIV, yu dɔktɔ go chɛk yu CD4 kɔnt. Afta dat, dɛn go kɔntinyu fɔ du dis tɛst fɔ si aw yu de du wɛl ɛn aw yu mɛrɛsin de wok fayn.

We yu bigin fɔ tek ART, yu kin nid fɔ mek dɛn chɛk yu CD4 sɛl kɔnt ɛvri tri to siks mɔnt fɔs. As tɛm de go, yu dɔktɔ kin chenj dis to ɛvri siks to twɛlv mɔnt . Dɛn go du wan sɛpret tɛst bak fɔ chɛk yu HIV vayral lod.

Aw dɛn kin du CD4 sɛl kɔnt tɛst?

I rili simpul. wan lab tεknishian de yuz sεmpl fכ yu bכdi fכ fכn yu ``CD4 kכnt.'' dεn de kכnt di ``T-sεl dεm'' na yu bכdi sεmpl yuz wan spεshal tεknik we dεn kכl ``Flow Cytometry.'' Insay dis, dεn de mak di sεl dεm wit spεshal lεbul dεm.

Aw a fɔ rɛdi fɔ dis tɛst?

No spɛshal pripia nɔ nid fɔ de. Yu kin it ɛn tek yu mɛrɛsin dɛn lɛk aw yu kin it.

Wetin a fɔ ɛkspɛkt we a de du di tɛst?

Dɔktɔ ɔ nɔs go tek blɔd sɛmpul bay we i put smɔl nidul insay wan vein na yu an. Yu kin fil sɔm pen ɔ nɔ fil fayn we dɛn put di nidul ɛn pul am, bɔt i go jɔs bi fɔ shɔt tɛm. Dɔn dɛn go sɛn di blɔd sɛmpul to lab fɔ mek dɛn tɛst am.

Wetin na di risk dɛm fɔ di CD4 kɔnt tɛst?

Di risk dɛm fɔ dis tɛst rili smɔl. Sɔntɛnde i kin tranga smɔl if yu fɔ chuk di nidul bɔku tɛm fɔ fɛn vein. Sɔm smɔl smɔl prɔblɛm dɛn de we pɔsin kin gɛt we i de tek blɔd, lɛk:

• Fɔ fil lɛk se yu de ed smɔl ɔ yu de fil fɔdɔm.
• Big brus ɔ blɔd we de gɛda ɔnda di skin (hematoma).
• Fɔ gɛt infɛkshɔn.
• Blɔd we de kɔntinyu fɔ de (dis kin apin smɔl smɔl).

Us kayn rizɔlt wi kin gɛt?

di CD4 kכnt dεm kin sho as di nכmba fכ di sεl dεm pan wan kubik milimita (kubik milimita na bכt di sayz fכ wan dכp blכd). Dɛn kin rayt dis as “mm3” ɔ “mcL” (maykrolita) afta di nɔmba. sכmtεm yu go si bak di CD4 kכnt dεm as pasεnshכn pan di limfosayt dεm (wayt bכdi sεl dεm).

Di tin dɛn we kin apin kin tan lɛk dis:

• Nɔmal CD4 kɔnt: 500mm3 to 1,200mm3
• Low CD4 kaunt: less dan 500mm3
• di hכy CD4 kכnt: i pas 1,200mm3

di valyu dεm fכ dεn "nכmal" lεvεl dεm, spεshal wan di כp limit, kin difrεn sכmtεm na sכm lab dεm. So chɛk di nɔmal rɛnj na yu ripɔt.

Wetin CD4 kɔnt we smɔl min?

If yu gɛt HIV, if yu CD4 nɔ bɔku, dat min se di vayrɔs dɔn pwɛl bɔku pan yu wayt blɔd sɛl dɛn ɛn mek yu imyun sistɛm wik. Dis kin put yu pan big risk fɔ gɛt infɛkshɔn, sɔm pan dɛn kin mek yu layf de pan denja. If yu CD4 kɔnt na 200mm3 ɔ less, dat min se yu gɛt stej 3 HIV, we na di stej fɔ AIDS.

If yu nɔ gɛt HIV, yu CD4 kɔnt smɔl kin bi bikɔs ɔf:

• Wan ɔda infɛkshɔn.
• Kimotɛrapi na tritmɛnt fɔ kansa.
• Drug dεm we de wik di imyun sistεm (immunosuppressants).

Wetin na di tin dɛm we kin mek di CD4 kɔnt go ɔp?

Sɔm infɛkshɔn ɛn blɔd kansa kin mek di CD4 kɔnt pas di nɔmal rɛnj.

Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?

Aks yu dɔktɔ ustɛm yu go gɛt yu CD4 kɔnt rizɔlt ɛn aw yu go gɛt am (e.g. di dɔktɔ go kɔl yu ɔ sɛn ripɔt to yu). Bɔku tɛm, dɛn kin pul di blɔd ɛn tɛst am insay 24 awa, bɔt i kin tek lɔng tɛm fɔ mek di rizɔlt kam.

Wetin kin apin if mi CD4 kɔnt smɔl?

If yu tɛst rizɔlt nɔto wetin yu dɔktɔ bin de op fɔ, i kin aks yu fɔ ripit di tɛst. Dipen pan yu rizulyt, yu dɔktɔ kin du tin dɛn lɛk:

• Yu tritmɛnt plan go stil de di sem, ɛn dɛn go aks yu fɔ tek yu nɛks CD4 kɔnt kwik pas di de we dɛn bin dɔn plan fɔ tek.
• If yu imyun sistɛm wik bad bad wan, dɛn kin gi yu antibayɔtik ɔ antifɔngal fɔ ɛp fɔ mek yu nɔ gɛt di sik.
• I fayn fɔ mek yu chenj di kayn ``Antiretroviral - ART'' mɛrɛsin we yu de tek naw.

Ustɛm a fɔ go to di dɔktɔ?

If yu gɛt ɛni kwɛstyɔn bɔt yu tɛst rizɔlt, tɔk to yu dɔktɔ. If yu gɛt sayn dɛn fɔ se yu gɛt di sik (e.g., pen, swel, pus, fiva), go na di imejensi rum wantɛm wantɛm.

Aw a go ebul fɔ inkrisayz mi CD4 kɔnt?

Bɔku tɛm, antiretroviral therapy (ART) kin rili ɛp fɔ ridyus di HIV na yu bɔdi (vayral lod) ɛn fɔ mek yu CD4 kɔnt go ɔp. Bɔt yu nid fɔ tek dis mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am. If yu gɛt ɛni prɔblɛm fɔ tek yu ART, tɔk to yu dɔktɔ bɔt am.

Sɔntɛnde - fɔ pipul dɛm wae nɔr gɛt HIV, fɔ ɛgzampul pɔrsin wae dɔn gɛt ɔgan transplant ɛn de tek imyunosuprɛsiv mɛrɛsin - if CD4 kɔnt smɔl kin min se dɛn mɛrɛsin de wok fayn fayn wan. So, aks yu dɔktɔ wetin fɔ ɛkspɛkt bay di tin we de apin to yu.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

CD4 kɔnt na we fɔ yu dɔktɔ fɔ si aw HIV dɔn afɛkt yu imyun sistɛm ɛn aw yu tritmɛnt de wok fayn fayn wan. Sɔntɛnde ɔda tin kin afɛkt di rizɔlt, so nɔ fred if yu si nɔmba we yu nɔ bin de ɛkspɛkt. Tɔk to yu dɔktɔ bɔt wetin di rizɔlt min ɛn if yu nid fɔ mek ɛni chenj na yu tritmɛnt plan. If yu tek antiretroviral therapy (ART) ɔltɛm, dat kin ɛp fɔ mek HIV nɔ pwɛl yu imyun sistɛm ɛn mek yu T-sɛl kɔnt wɛl.

` CD4 kɔnt, HIV, imuniti, T-sɛl, blɔd tɛst, ART, tritmɛnt