Doctor-in HIV i vei tih a hriat hnu khan, "CD4 count i tih a ngai a ni?" A nih loh leh khawi emaw laiah heng thute hi i hre a, hei hi eng nge ni tih i ngaihtuah em? Heng thute hi i hriat chuan scientific deuh leh buaithlak deuhin a lang thei a, mahse a awmzia chu a awlsam hle. Hlauhna tur a awm lo. Kan taksa hriselna dinhmun tarlanna darthlalang ang a ni. He thuziak ah hian he CD4 hi eng nge a nih, he test hian eng nge a teh tih leh HIV vei nun i hriselna zinkawng atana a pawimawh dan te chu awlsam tak leh friendly takin kan sawi dawn a ni.
A awlsam zawngin, he CD4 hi eng nge ni?
Kan taksa hi ram ang maiin han ngaihtuah teh. Ram tin hian venghimtu sipai kan nei ang bawkin kan taksa pawhin natna leh hrik laka min vengtu sipai a nei bawk. He sipai hi Immune System kan ti a .
Chuvangin, he immune army-a sipai bik leh pawimawh ber pakhat chu heng CD4 cells te hi an ni . Hengte hi a takah chuan kan thisena thisen var chi khat an ni. An hna ber chu taksa chhunga lut virus leh bacteria ang chi hmelma zawng chhuak a, sipai dangte (immune cell dang) te hriattir a, chu hmêlma donaah chuan mi zawng zawng an tel ve vek a ni. Chuvangin heng CD4 cell te hi "helper T-cells" kan ti bawk.
Tunah chuan CD4 cells te hi kan taksa immune system tan a pawimawh zia i hrethiam tawh mai thei.
CD4 count test hian eng nge a tih?
CD4 count hi thisen test awlsam tak a ni. I thisen tlemte (cubic millimeter vel)-ah CD4 cell engzat nge awm tih a chhiar a ni.
HIV hrik (Human Immunodeficiency Virus) hi hmelma fing tak a ni. He virus hian heng CD4 cells te hi direct in a bei a, chungte chu kan immune army hruaitute ang mai an ni. HIV virus hian heng CD4 cell-ah hian a lut a, a tichhia a, a copy maktaduai tam tak a siam a ni. Hun a kal zel a, taksaa CD4 cell awm zat hi a tlahniam zauh zauh tan a.
CD4 sipai an tlem chuan eng nge thleng? Kan taksa invenna a chak lo. Tichuan, natna hrik tenau, a tlangpuiin min tichhe thei vak lo pawh hian taksa a tichhe nasa thei a, natna khirh tak tak a thlen thei bawk.
Chuvangin, CD4 count hi HIV virus hian i immune system a tihchhiat zat tehna a ni. I damdawi ei tur chu engtiang chiahin nge a hlawk tih hriat a pui bawk.
Doctor ten he CD4 count hi eng atan nge an hman?
HIV i vei chuan i doctor chuan he CD4 count hi thil pawimawh pathum hriatthiam nan a hmang ang.
1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.HIV hrik kai stage hriatfiah: CD4 count hian HIV infection stage a hril thei a ni. CD4 count a hniam lutuk chuan natna kai chu a nasat ber lai a ni tihna a ni.
2. Enkawlna hlawhtlinna teh rawh: HIV enkawlna i tan hnuah (hei hi Antiretroviral Therapy emaw ART emaw kan ti thin) i doctor chuan he CD4 test hi a hun takah a ti ang Damdawi hian hna a thawk tha a nih chuan i taksaa virus chu control theih a ni a, i CD4 cell count pawh a pung leh tan tur a ni. Chumi awmzia chu enkawlna a hlawhtling tihna a ni.
3. Infection dang i vei theihna tur tehfung (Opportunistic Infections): I CD4 count chu level engemaw zat aia hniam a nih chuan i immune system a chak lo a, chu chuan infection na tak dang i neih theihna a tipung zawk a ni. Chungte chu opportunistic infection an ti a . Entirnan, pneumonia leh TB ang chi thil te. I doctor chuan i CD4 count a enfiah thei a, heng natna laka invenna tur damdawi dang a pe thei bawk.
Engtin nge test atan ka inbuatsaih ang? A hrehawm em?
Ngaihtuah pawh ngaihtuah suh. CD4 test hi thisen test dang i neih thin ang bawkin a ni.
- Inbuatsaihna bik a ngai lo: A hma ni khatah engmah tih a ngai lo, ei leh in loh ang chi. I ei leh in, i damdawi te chu a hma ang bawkin i ei thei bawk.
- Eng nge thleng: Nurse emaw doctor emaw chuan syringe te tak te hmangin i kut vein atanga thisen sample a la ang. Needle dah leh lakchhuah hian natna emaw, nuam lo emaw i nei thei. Mahse second tlemte chauh a daih.
- Side effects a awm em?: Hei hi risk lian tham a awm lo. Mahse, a tlem hle a, thisen lakna hmun chu a sen deuh (bruise), thisen tlemte a khawlkhawm (hematoma), a rilru a hah a, natna hrik a nei thei bawk. Hengte hi thil thleng tlem tak a ni.
He thisen sample hi lab-ah thawn a ni a, chutah chuan technique bik Flow Cytometry tih hmangin i thisena CD4 cell awmte chu chhiar a ni.
Report-a number tarlan te hian eng nge a sawi?
I CD4 report a lo luh chuan number nen a rawn lang ang a, chu chu "mm3" emaw "mcL" emaw a ni ang. Hei hi cubic millimeter khata cell awm zat (thisen tla khat vel) a ni. A hnuaia table hian heng value te hi a hriatthiam theih nan a pui ang che.
| CD4 level a ni | Cell chhiar zat (cell/mm3) 1.1. | Awmzia |
|---|---|---|
| Normal/Hriselna Level | 500 - 1,200 vel a ni | HIV hrik kai lo mi hrisel chuan immune system chak tak a nei a. |
| Level hniam tak a ni | 500 aia tlem lo | Immune system a chhiat tawh hle. He virus hian CD4 cells a tichhe mek a ni. |
| A hniam hle/risk level a ni | 200 aia tlem lo a ni | Immune system a tichhe nasa hle a ni. He stage hi AIDS (Acquired Immunodeficiency Syndrome) , a nih loh leh HIV kai stage 3 an ti a. Hetiang dinhmunah hian opportunistic infection neih theihna a sang hle. |
Pawimawh: Lab hrang hrangah hian normal value hi a inang lo deuh thei tih hre reng la, chuvangin i report-a value awmte chu i doctor nen sawiho fo ang che .
Ka CD4 count a hniam chuan engtin nge ka tih ang?
A hmasa ber leh pawimawh ber chu, hlauthawng suh . CD4 count hniam hi khawvel tawp a ni lo. I immune system hian tanpuina a mamawh tihna chauh a ni. I doctor chu tanpui turin a awm a ni.
I CD4 count a hniam chuan i doctor hian hetiang hi a ti thei ang:
- ART tan emaw thlak danglam: ART i la tan loh chuan tan tir turin prescribe i ni ang. Damdawi i ei tawh a nih chuan i tana tha zawk damdawi chi hrang hrang an pe thei che a ni.
- Infection laka invenna damdawi: I CD4 count 200 hnuai lam a nih chuan opportunistic infection laka invenna tur damdawi dang, antibiotics ang chi te pek i ni thei bawk.
- Monitoring neih fo: I CD4 count chu a hun pangngai aia hnaih deuha chhiarin i dinhmun i enfiah thei ang.
Engtin nge ka CD4 count hi ka tihpun theih ang?
Chutianga tih theih dan tha ber leh scientific awmchhun chuART (Antiretroviral Therapy) enkawlna khauh taka zawm.
ART damdawi hian taksaa HIV hrik pung (copy siam) a titawp a, hna a thawk a ni. Virus hi control theih a nih chuan CD4 cells a tichhe tawh lo. Chumi hnuah taksa chuan CD4 cell thar a siam thei a, a immune system a siam thar leh thei bawk.
Chuvangin, i damdawi ei tur chu i doctor-in a tih ang chiah chiah, a hun taka ei a, ni khat pawh tlai lova ei a pawimawh hle . Damdawi ei harsatna i neih emaw, i ei theihnghilh emaw a nih chuan zak suh la, i doctor hnenah sawipui rawh.
Engtikah nge Doctor ka hmuh ang?
- I CD4 report result chungchanga zawhna i neih chuan, a nih loh leh thil chiang lo a awm chuan i doctor nen inbia ngei ang che.
- Infection chhinchhiahna i neih chuan khawsik, taksa na, hliam, emaw, hliam luang chhuak emaw i neih chuan doctor lam pan nghal rawh. A nasat chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
CD4 count hi i hlauhthawn tur thil a ni lo. Car dashboard-a meter khat ang mai a ni. I hriselna kawng zawh tur chu nang leh i doctor tan hriatna tha tak a pe a ni. Chumi hmang chuan i tana enkawlna tha ber tur i rel thei a, nun hrisel, rei tak leh hlim takin i nung thei bawk.
Take-Home Thuchah a ni
- CD4 cells hi i immune system-a sipai pawimawh ber an ni.
- HIV virus hian heng CD4 cells te hi direct in a bei thin. CD4 count hian heng sipai zingah hian engzat nge an awm tih a teh a ni.
- CD4 count hniam chuan immune system chak lo a nih thu a tarlang. CD4 count 200 hnuai lam chu AIDS an ti a.
- CD4 count tihpun dan tha ber chu i doctor-in ART damdawi a pek chu a hun taka ei hi a ni a, ni khat pawh tlai lo.
- I CD4 result chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawi rawh. I tanpui turin an awm reng a ni.
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