Aw bɔku HIV vayrɔs de na yu bɔdi? Lɛ wi no bɔt HIV Vayral Lod insay wan simpul we!

Na nɔmal tin fɔ fil bad we yu kam fɔ no se yu gɛt HIV. Bɔt yu dɔktɔ go tɔk bɔku tɛm bɔt dis `(HIV Viral Load)`. So, yu go mɔs gɛt bɔku kwɛstyɔn bɔt wetin na `(HIV Viral Load)`, wetin i min, ɛn wetin mek dɛn de tɛst am. Nɔ wɔri, lɛ wi tɔk bɔt ɔl dis simpul ɛn klia wan.

Wetin na HIV Vayral Lod? Wetin i rili min?

Fɔ tɔk am simpul wan, di HIV vayral lod na fɔ no ɔmɔs HIV (Human Immunodeficiency Virus) de na yu blɔd. Fɔ tɔk mɔ, na di kayn vayrɔs we dɛn kin no we dɛn du blɔd tɛst. Yu dɔktɔ kin yuz dis tɛst fɔ si aw yu antiretroviral therapy (ART) de wok fayn fayn wan.

Naw luk, HIV na wan vayral infεkshכn we de fכ wi layf we de mek wi imyun sistεm wik, we de ridyus wi ebul fכ fεt sik. So, we yu gɛt ay vayral lod min se di vayrɔs de rili aktif na yu bɔdi ɛn de mek mɔ kɔpi. Dat min se di sik kin tranga smɔl. Bɔt, we di vayral lod smɔl, dat min se di vayrɔs we de na yu blɔd rili smɔl. Wetin wi ɔl op fɔ, wetin dɔktɔ dɛn de tray fɔ du na fɔ yuz dɛn `(ART)` drɔgs ya fɔ ridyus di vayrɔs to wan lɛvul we nɔ ivin detekt bay di tɛst dɛn we dɛn de du naw, dat na, to wan "undetectable" lɛvɛl.

Wetin dɛn kin yuz vayral lod tɛst fɔ?

If yu gɛt HIV, dɔktɔ dɛn kin yuz dɛn vayral lod valyu ya fɔ sɔm rizin dɛn:

• Monitor aw yu antiretroviral therapy (ART) de wok fayn . Dis impɔtant fɔ ɔndastand if di mɛrɛsin de wok ɔ if yu nid fɔ chenj.
• Dis valyu de ɛp yu dɔktɔ fɔ disayd fɔ du tritmɛnt . I kin ivin chenj di kayn ɔ di doz fɔ yu mɛrɛsin.
• Dɛn kin yuz dis tɛst fɔ no if dɛn gɛt HIV pan pikin dɛn we mama dɛn we gɛt HIV bɔn we dɛn smɔl .
• Sɔntɛnde dɛn kin yuz am bak fɔ kɔnfirm se pɔsin gɛt HIV kwik kwik wan . Pan ɔl we ɔda tɛst dɛn de we kin mek pɔsin no HIV, yu kin gɛt dis biɛn tɛm:
• If i bin gɛt ay risk fɔ gɛt HIV.
• If pɔsibiliti de fɔ mek yu gɛt HIV ɛn yu de sho sayn dɛm fɔ HIV .
• Dis kin ɛp yu bak fɔ wach if yu de tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek , bikɔs na we yu tek yu mɛrɛsin kɔrɛkt wan nɔmɔ yu vayral lod go go dɔŋ.

Imajin, yu padi Sumit gɛt HIV. If i tek in mɛrɛsin (ART) lɛk aw di dɔktɔ tɛl am, in vayral lod go go dɔŋ smɔl smɔl. Dat min se di mɛrɛsin de wok! Bɔt if i nɔ tek in mɛrɛsin, in vayral lod kin bɔku bak. Na dat mek dis tɛst impɔtant.

Ustɛm dɛn kin du dis vayral lod tɛst?

We dɛn fɔs no se yu gɛt HIV, yu dɔktɔ go du dis vayral lod tɛst. Dɔn, fɔ si aw yu de ansa yu tritmɛnt, dɛn go de wach yu vayral lod wit yu CD4 kɔnt (wan kayn imyun sɛl). Dɛn valyu ya kin tɛl yu dɔktɔ aw yu mɛrɛsin de wok fayn ɛn if ɛni chenj nid fɔ mek yu tritmɛnt plan.

Tipikli, yu go gɛt vayral lod tɛst tu to tri mɔnt afta yu dɔn bigin fɔ tek ART. Afta dat, yu go nid fɔ mek dɛn ripit dis tɛst ɛvri tri to siks mɔnt . As tɛm de go, yu dɔktɔ kin ajɔst dis schedule bay aw yu sik.

Aw di HIV Vayral Lod tɛst de wok?

Insay di lab, wan tɛknishian go tɛst wan sɛmpul fɔ yu blɔd fɔ no yu HIV vayral lod. Dɛn kin yuz wan spɛshal tɛst we dɛn kɔl Nyukliyk Asid Amplifyeshɔn Tɛst (NAAT) fɔ no ɔmɔs HIV jenɛtik matirial (RNA) de na yu blɔd. Tink bɔt NAAT as magnifying glas fɔ vayrɔs. I kin no ivin smɔl smɔl tin dɛn pan di vayrɔs.

A nid fɔ pripia ɛnitin bifo di tɛst?

Nɔ, yu nɔ nid fɔ du ɛni spɛshal tin fɔ rɛdi fɔ dis vayral lod tɛst. Yu kin it ɛn tek yu mɛrɛsin dɛn lɛk aw yu kin it.

Wetin yu fɔ ɛkspɛkt we yu de tek di tɛst?

Dɔktɔ ɔ nɔs go yuz smɔl nidul fɔ tek blɔd sɛmpul frɔm wan vein na yu an. Yu kin fil sɔm pen ɔ nɔ fil fayn we dɛn put di nidul ɛn pul am. I kin jɔs las fɔ sɔm sɛkɔn dɛn. Dɔn dɛn kin sɛn di blɔd sɛmpul to wan lɛb fɔ mek dɛn tɛst am.

Ɛni risk de wit dis HIV vayral lod tɛst?

Di risk dɛm fɔ dis vayral lod tɛst rili smɔl. Sɔntɛnde, i kin tranga smɔl if yu fɔ chuk di nidul pas wan tɛm fɔ fɛn vein. Ɔda tin, na sɔm pan di smɔl smɔl prɔblɛm dɛn we kin apin we pɔsin tek blɔd:

• Fɔ fil se yu nɔ ebul fɔ du natin, ɔ lɛk se yu de kam fɔ lɔs yu kɔnshɛns.
• I fayn fɔ gɛt big brus, we na wan kɔlekɛshɔn fɔ blɔd ɔnda di skin (`(Hematoma)`).
• Infεkshכn (dis kin rili rare).
• Blɔd we de kɔntinyu fɔ de (dis bak nɔ kin apin so ɔltɛm).

Nɔ fred dɛn tin ya, bikɔs dɛn nɔ kin apin bɔku tɛm.

Wetin na di rizɔlt fɔ di vayral lod tɛst?

Dɔktɔ dɛn kin ripɔt di vayral lod as di nɔmba fɔ di kɔpi dɛn fɔ HIV RNA pan wan mililita plasma (di likwid pat pan yu blɔd). dis kin rayt as εither (kכpi/mL) כ (yunit/mL) wit di nכmba we fit.

di rizulεt kin kכmכt frכm less dan 20 kכpi/mL to mכr dan 100,000 kכpi/mL. Bɔt, wetin impɔtant pas wan nɔmba na aw yu rizɔlt kin chenj as tɛm de go. If yu vayral lod de go dɔŋ , dat min se yu ART de wok fayn. If yu vayral lod de go ɔp , yu dɔktɔ kin nid fɔ chenj yu mɛrɛsin.

Yu kin gɛt "Negative" rizɔlt bak . Dis min se di tɛst nɔ bin ebul fɔ no HIV `(RNA)`. Dis na wetin wi de kɔl "Undetectable".

Yu tink se "nɔmal" vayral lod de fɔ HIV?

Nɔtin nɔ de we dɛn kɔl "nɔmal" HIV vayral lod. Di impɔtant tin na dat yu lɛvɛl de go dɔŋ as tɛm de go. di bεst tin na dat yu vayral lod de go dכn to "undetectable" lεvεl (bitwin 20 εn 50 kכpi/mL, dipכnt pan di lab).

"Undetectable" nɔ min se yu dɔn wɛl – yu kin stil bi "positiv" if yu tek ɔda HIV tɛst. Dis na bikɔs HIV kin ledɔm na yu sɛl dɛn ɛn i kin bi aktif bak we yu stɔp fɔ tek ART. Fɔ bi "undetectable" min se yu gɛt rili lɔw vayral lod, we min se yu ART de wok fayn. As lɔng as di HIV we de na yu blɔd de na "undetectable" lɛvɛl, ɛn yu ART de kɔntinyu fɔ wok fayn, yu nɔ go ebul fɔ pas HIV to ɔda pɔsin tru mami ɛn dadi biznɛs. Dis rili impɔtant!

Wetin di vayral lod we na 200 min?

If yu vayral lod de dכn 200, dεn kכl am "vayral sכpreshכn." Dis min se yu gɛt rili smɔl HIV na yu blɔd. Stɔdi dɔn sho se if yu vayral lod ɔltɛm de dɔŋ 200 kɔpi/mL, yu chans fɔ gɛt HIV frɔm pɔsin we yu du mami ɛn dadi biznɛs wit na lɛk ziro. trade, enitin we dכn dכn 200 kכpi/mL dεn bin de kכnsidr am as "undetectable." Bɔt nyu, mɔ sɛnsitiv tɛst dɛn kin no ivin smɔl lɛvul fɔ HIV—bitwin 20 ɛn 50 kɔpi/mL. So naw "undetectable" min sohmtin lek dat.

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

Aks yu dɔktɔ ustɛm fɔ ɛkspɛkt yu vayral lod tɛst rizɔlt ɛn aw yu go gɛt am. Bɔku tɛm, i kin tek lɛk wan ɔ tu wik so fɔ gɛt di rizɔlt.

Ustɛm a fɔ kɔntak mi dɔktɔ?

If yu gɛt ɛni kwɛstyɔn bɔt yu tɛst rizɔlt, kɔl yu dɔktɔ. Dɔn bak, if yu gɛt sayn fɔ infekshɔn – fɔ ɛgzampul, pen, swel, pus, fiva – go na ɔspitul wantɛm wantɛm.

A nid PrEP if dɛn kɔntrol mi patna in vayral lod?

If yu nɔ gɛt HIV ɛn yu patna gɛt HIV, i go fayn fɔ tek PrEP (Pre-Exposure Prophylaxis) . Dis impɔtant mɔ if yu patna in vayral lod kin "detektabl" sɔm tɛm ɔ if sɔmtɛm dɛn kin skip ART dos.

Bɔt if in HIV lɛvɛl stil "undetectable" ɛn i de tek in ART kɔrɛkt wan, we i nɔ mis dos, yu kin tink bɔt fɔ nɔ tek PrEP. Bɔt yu patna fɔ kɔntinyu fɔ tek in ART kɔrɛkt wan ɛn mek dɛn chɛk in vayral lod ɔltɛm. Tɔk to yu dɔktɔ bɔt di bɛst we fɔ ridyus yu risk fɔ gɛt HIV.

Mɛmba se, di kɔnsɛpt fɔ "Undetectable = Untransmittable" (U=U) naw na ɔlman aksept am. Dis min se if pɔsin we gɛt HIV gɛt vayral lod we dɛn nɔ go ebul fɔ no, dɛn nɔ go ebul fɔ transmit HIV tru mami ɛn dadi biznɛs. Dis na big rilif fɔ pipul dɛn we gɛt HIV ɛn di wan dɛn we dɛn lɛk.

Di tin we impɔtant pas ɔl fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt (Take-Home Message)

HIV vayral lod na di mכsu we de sho aw HIV de aktif na yu bכdi. Vayral lod tɛst na fayn we fɔ mek yu dɔktɔ wach yu wɛlbɔdi ɛn aw di mɛrɛsin dɛn we yu de tek de wok fayn.

Naw, bɔku difrɛn kayn antiretroviral therapy (ART) de. If yu mɛrɛsin nɔ de wok fayn lɛk aw yu go want, ɔ if i stɔp fɔ wok afta sɔm tɛm, ɔda tin dɛn kin de fɔ mek yu kɔntrol yu vayral lod bak. Nɔ ɛva giv ɔp op.

Mek shɔ se yu ɔndastand wetin yu vayral lod rizɔlt min ɛn aw dɛn kin afɛkt yu tritmɛnt plan. I impɔtant fɔ mek dɛn no bɔt yu wɛlbɔdi ɛn wok wit yu dɔktɔ.

` HIV, vayral lod, ART, antiretroviral tεrapi, HIV tεst, we dεn nכ de dεtekt, U=U