If dɛn dɔn no se yu gɛt HIV, yu go mɔs dɔn yɛri yu dɔktɔ tɔk bɔt ‘vayral lod’. We i se tin dɛm lɛk, "Wi nid fɔ chɛk yu vayral lod," "Lɛ wi si if yu vayral lod dɔn go dɔŋ," i kin tan lɛk se i kɔmplikt smɔl. Wetin dis rili min? Wetin mek dis tɛst impɔtant to yu wɛlbɔdi? Nɔ wɔri, wi go ɛksplen ɔltin di simpul we we yu go ɔndastand.
Wetin rili na HIV Vayral Lod?
Fɔ tɔk am simpul wan, HIV vayral lod na di kayn HIV vayrɔs we de insay wan sɛmpul na yu blɔd. Fɔ tɔk mɔ, i de mɛzhɔ ɔmɔs kɔpi dɛn pan di HIV vayrɔs in jɛnɛtik matirial (RNA) de insay wan mililita pan yu blɔd (dat na lɛk 20 drɔp blɔd).
Tink bɔt am dis we. If yu bɔdi na os, di HIV vayrɔs tan lɛk pɔsin we kam insay da os de. Di vayrɔs de bɔku bay we i de mek kɔpi fɔ insɛf insay di bɔdi. ay vayral lod min se di vayrɔs de aktiv wan fɔ skata ɛn mek kɔpi fɔ insɛf insay di bɔdi. lכw vayral lod min se pan כl we di vayrus de insay di bכdi, in aktiviti εn kwantiti de rili lכw.
Di men gol fɔ di tritmɛnt we wi de tek fɔ HIV infɛkshɔn, dat na, antiretroviral therapy (ART) , na fɔ stɔp di vayrɔs fɔ bɔku na di bɔdi ɛn briŋ di vayral lod to wan lɛvɛl we so smɔl dat i nɔ go ivin ebul fɔ no bay tɛst, dat na, to wan "undetectable" lɛvɛl.
Wetin dis vayral lod tɛst de luk fɔ?
If yu gɛt HIV, yu dɔktɔ go yuz dis vayral lod tɛst fɔ sɔm rizin dɛn. I tan lɛk gej we de na di dashbɔd fɔ motoka. Jɔs lɛk aw i de tɛl yu aw di injin de wok, dis tɛst kin tɛl yu bɔku tin bɔt di wɛlbɔdi na yu bɔdi ɛn aw yu tritmɛnt go wok fayn.
- Si aw yu tritmɛnt de wok fayn: Dis na de tin wae impɔtant pas ɔl. Wae yu stat ART, yu vayral lod fɔ go dɔŋ smɔl smɔl. Dis na aw yu dɔktɔ kin mek shɔ se di mɛrɛsin we yu de tek de wok.
- Mek di tritmɛnt disizhɔn: Imajin se yu vayral lod de de di sem ɔ i de go ɔp bak. Dis min se di mɛrɛsin we yu de tek naw nɔ de wok fayn, ɔ di vayrɔs kin dɔn bigin fɔ bia wit di mɛrɛsin. Dɔn yu dɔktɔ kin chenj di mɛrɛsin we yu de tek.
- Tεst pikin dεm we mama dεm we gεt HIV bכn: We mama we gεt HIV bכn pikin, dεn kin yuz dis tεst fכ no if di pikin infεkt.
- Kɔnfɛm wan fɔs stej infɛkshɔn:Sɔntɛnde, insay di fɔs wik afta pɔsin gɛt HIV, ɔda tɛst dɛn nɔ kin no am kɔrɛkt wan. Bɔt wan vayral lod tɛst kin kɔnfɔm am.
- Mek shɔ se yu de tek yu mɛrɛsin kɔrɛkt wan: If yu nɔ tek yu mɛrɛsin di rayt tɛm ɛn kɔrɛkt wan, yu vayral lod kin bɔku bak. So dis tɛst na fɔ mɛmba yu ɛn yu dɔktɔ bɔt aw i impɔtant fɔ tek yu mɛrɛsin kɔrɛkt wan.
Ustɛm dɛn kin du di vayral lod tɛst?
Bɔku tɛm, yu dɔktɔ go du dis tɛst we dɛn fɔs no se yu gɛt HIV. I go tɛl yu yu statin vayral lod. Dɔn, yu go gɛt tɛst bak lɛk tu to tri mɔnt afta yu dɔn bigin fɔ tek ART. Na da tɛm de dɛn go si if di tritmɛnt de wok.
Afta dat, if ɔltin de go fayn, yu dɔktɔ go tɛl yu fɔ du dis tɛst ɛvri tri to siks mɔnt . Bɔt dis schedule kin difrɛn difrɛn wan bay aw yu gɛt wɛlbɔdi. Apat frɔm dis tɛst, dɛn go aks yu bak fɔ du wan tɛst we dɛn kɔl CD4 sɛl kɔnt, we de mɛzhɔ di trɛnk we yu imyun sistɛm gɛt.
Aw dɛn kin du di tɛst?
Dis na wan rili simpul blɔd tɛst. Dɛn kin tek yu blɔd sɛmpul ɛn sɛn am na lɛb ɛn tɛst am bay we dɛn yuz wan spɛshal we we dɛn kɔl nyukliyk asid amplifyeshɔn tɛst (NAAT) .
Tink bɔt dis teknɔlɔji we dɛn kɔl NAAT as wan rili pawaful magnifying glas. I de mek ivin smɔl smɔl pan di vayrɔs big. Dis min se ivin if di vayrɔs de na di blɔd we rili smɔl, dis tɛst kin no am.
dis mεtכd de alaw fכ mεzj di vayral lod we rili akכrd.
Wetin kin apin bifo ɛn we dɛn de du di tɛst?
Yu nɔ nid fɔ du ɛni spɛshal pripia fɔ dis. Yu kin it ɛn drink nɔmal wan, tek yu mɛrɛsin dɛn we yu de tek ɛvride, ɛn go na di tɛst.
Na di lab, nɔs ɔ tɛknishian go yuz smɔl nidul fɔ tek blɔd sɛmpul frɔm wan vein na yu an. Yu kin fil smɔl smɔl we yu put di nidul ɛn pul am, bɔt i kin jɔs las fɔ sɔm sɛkɔn. Dɔn dɛn kin sɛn di blɔd sɛmpul fɔ mek dɛn tɛst am.
Di prɔblɛm dɛn we kin apin we pɔsin pul blɔd nɔ kin bɔku, bɔt i nɔ kin apin so ɔltɛm, dɛn tin ya kin apin:
- Fɔ fil lɛk se na slob
- Brus we de tɔn blu ɛn tan lɛk blɔd klot (hematoma) na di say we di sting de
- Infεkshכn (dis kin apin bכku bכku wan) .
- Blɔd de kɔntinyu fɔ kɔmɔt.
Wetin di valyu dɛn we de na di tɛst ripɔt min?
Yu rizulyt go ripɔt insay "kɔpi/mL." Dis na aw bɔku kɔpi dɛn fɔ di vayrɔs de insay wan mililita blɔd. dis valyu kin kכmכt frכm lכw 20 kכpi/mL to 100,000 kכpi/mL.
Bɔt di impɔtant tin ya nɔto fɔ luk wan valyu, bɔt fɔ si if yu valyu de go dɔŋ ɔ de go ɔp as tɛm de go. If yu vayral lod de go dɔŋ, dat min se yu ART de wok fayn. If i de bɔku, yu dɔktɔ go nid fɔ tink bak bɔt di we aw yu de trit yu.
Lɛ wi ɛksplen dɛn valyu ya smɔl mɔ na di tebul we de dɔŋ ya.
| Vayral Lod Lɛvɛl | Simpul minin |
|---|---|
| I rili ay (i pas 100,000) . | Di vayrɔs de bɔku pasmak na di bɔdi. Di risk fɔ pwɛl di imyun sistɛm bɔku. Dɛn kin si am wae dɛn nɔr de tek tritmɛnt ɔr na di fɔs stej. |
| Vayrɔs Sɔprɛs (lɛs dan 200) . | Di vayrɔs de na wan rili lɔw lɛvɛl. Di tritmɛnt kin wok fayn. Na dis lɛvul, i nɔ go izi fɔ mek pɔsin gɛt HIV pan mami ɛn dadi biznɛs. |
| Nɔ detektabl (lɛs dan 20-50) . | Maksimal sakses fɔ tritmɛnt! Di vayrɔs de na so low level dat ivin di most sensitiv test dɛm we de naw nɔ kin ebul fɔ no am. Na dis lɛvul, yu nɔ go ebul fɔ transmit HIV to ɔda pɔsin bay mami ɛn dadi biznɛs . Dɛn kɔl dis U=U (Undetectable = Untransmittable). |
"undetectable" min se HIV dɔn wɛl?
Nɔ, dis rili impɔtant. Undetectable nɔ min se yu dɔn wɛl. Di HIV vayrɔs kin stil de slip (inactive) insay di sɛl dɛn na yu bɔdi. If yu stɔp fɔ tek ART, dis vayrɔs we de slip kin bi aktif bak ɛn yu vayral lod go bigin fɔ bɔku.
So, ivin if yu rich wan lɛvul we yu nɔ go ebul fɔ no, i impɔtant fɔ tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu fɔ di res ɔf yu layf. Bikɔs yu nɔ go no yu mɛrɛsin, dat min se yu mɛrɛsin de wok fayn, yu gɛt gud wɛlbɔdi, ɛn yu nɔ go ebul fɔ gi HIV to ɔda pɔsin tru mami ɛn dadi biznɛs.
Wetin yu kin du we yu gɛt di ripɔt ɛn if ɛni prɔblɛm de?
Bɔku tɛm, i kin tek wan ɔ tu wiks fɔ mek di ripɔt kam. Aks yu dɔktɔ ustɛm yu go gɛt di ripɔt ɛn aw yu go no. We yu gɛt di ripɔt, mek shɔ se yu tɔk to yu dɔktɔ bɔt di valyu dɛn we de insay. I go ɛksplen wetin dɛn min ɛn yu tritmɛnt plan fɔ tumara bambay.
If sayn dɛn de fɔ se yu gɛt di sik, lɛk pen, swel, ɔ pus na di say we dɛn pul di blɔd, go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
If mi patna in vayral lod nɔ detekt, a fɔ tek PrEP?
Dis na kwɛstyɔn we rili impɔtant. PrEP (Pre-exposure prophylaxis) na mɛrɛsin we pɔsin we nɔ gɛt HIV kin tek bifo tɛm fɔ mek i nɔ gɛt di sik.
If yu patna gɛt HIV, ɛn dɛn nɔ de no dɛn vayral lod ɔltɛm fɔ at le 6 mɔnt, ɛn dɛn de tek dɛn mɛrɛsin kɔrɛkt wan, yu nɔ de pan denja fɔ gɛt HIV pan mami ɛn dadi biznɛs.
Bɔt if sɔm tɛm dɛn de in vayral lod pas di lɛvɛl dɛn we pɔsin nɔ go ebul fɔ no, ɔ if sɔntɛnde i mis in mɛrɛsin, i go fayn fɔ mek yu tek PrEP. Dis na disizhɔn we yu ɛn yu dɔktɔ fɔ tɔk bɔt. I go gi yu di bɛst advays fɔ di tin we de apin to yu.
HIV vayral lod na di mכsu we de sho aw HIV de aktif na yu bכdi. Dis tɛst na impɔtant tin wae de ɛp yu dɔktɔ fɔ wach yu wɛl bɔdi ɛn aw yu tritmɛnt go wok fayn. If wan mɛrɛsin nɔr woke, bɔrku ɔda tritmɛnt de wae kin ɛp fɔ briŋ yu vayral lod dɔŋ. So nɔ ɛva giv ɔp op.
Mɛsej we dɛn kin kɛr go na os
- HIV vayral lod na tɛst we de sho aw di HIV vayrɔs de na yu blɔd.
- di men gol fכ antiretroviral tεrapi (ART) na fכ bכn di vayral lod to wan "undetectable" lεvεl.
- If yu nɔ de no yu vayral lod, yu nɔ go ebul fɔ transmit HIV to ɔda pɔsin tru mami ɛn dadi biznɛs. (U=U) (U=U) .
- Undetectable nɔ min se i dɔn wɛl. So, i impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am ɔlsay na yu layf.
- Fɔ mek dɛn tɛst yu vayral lod di rayt tɛm rili impɔtant fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi.
- Ɔltɛm tɔk bɔt yu tɛst ripɔt ɛn ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt am wit yu dɔktɔ.
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