I CD4 Cell Count hriat i duh em? Kan sawi dun teh ang!

``CD4 cell count'' emaw ``T-cell test'' emaw tih i hre tawh em? I doctor-in a sawi tawh pawh a ni mai thei, a nih loh leh heng thu hi khawi emaw laiah i hre tawh mai thei. A buaithlak deuhin lang mahse, awlsam taka hriatthiam tum ila. A chhan chu hei hi kan immune system hriselna chungchanga hriat tur pawimawh tak tak min hrilh thei test a nih vang a ni.

CD4 cell count chu engzat nge ni?

A awlsam zawngin sawi ila, CD4 cell count hi thisen test a ni a, i thisen tlemtea thisen var chi khat bik awm zat tehna a ni. Doctor-te chuan HIV-in i immune system a nghawng dan leh antiretroviral therapy (ART) ang chi enkawlna a hlawkzia en nan an hmang a ni. Natna dang enfiahna atan pawh hman a ni \hin.

HIV hi dam chhung zawnga virus infection a ni a, kan CD4 cells (helpher T-cells emaw CD4+ T-cells tia hriat bawk) te chu direct-in a tichhia tih i hria em. Chuvangin heng T-cells te hi a tlem chuan kan taksain natna hrik a do theihna pawh a tlahniam bawk.

CD4 percentage chu engzat nge ni?

I doctor pawhin ``CD4 percentage'' hmangin i immune system hriselna chungchang ngaihtuahna a nei thei bawk. Hei hi ``CD4+ T cells'' zat chu ``lymphocytes'' (thisen var chi dang) awm zawng zawng nen then a, a result chu 100-a puntir a ni.

A then phei chuan `(CD4 cell count)` en mai mai hi a rintlak vak lo mai thei. Entirnan, i `(lymphocyte)` zat zawng zawng tichhe thei natna i neih chuan, emaw, naupang tê, naupai, emaw kum 65 chunglam ang mite tan chuan `(CD4 percentage)` hi a tangkai zawk mai thei.

CD4 count atang hian eng nge kan zir theih ang?

CD4 count hian doctor te hnenah i immune system chungchangah information pawimawh tak tak a pe a ni. Hetiang zat hi a tlangpui aia sang a nih chuan hri kai, natna dang emaw, HIV kai chhoh zel dan emaw a ni thei.

Mahse thil pakhat hriat reng tur a awm. I CD4 count hi nitin a danglam deuh thei. Hei hi thisen i pek lai, chutih laia natna hrik i neih leh neih loh, etc. I kum, hriselna dinhmun dang, leh damdawi i ei te pawhin he chhiarpui hi a nghawng thei bawk. Chuvangin doctor te chuan i total count leh hun kal zelah a inthlak dan an en thin.

CD4 count hi eng atan nge hman?

Tunah chuan he test hi eng atan nge hman ber tih i en ang u.

HIV i vei chuan:

HIV kai i nih chuan doctor-te chuan CD4 count hmangin:

• HIV hrik kai tawhna stage (i.e. natna hi eng chen nge a lo kal tawh) tih hriat chian .
• ``Antiretroviral Therapy - ART'' tih damdawi hian a thawh that dan enfiah rawh .
• ``Opportunistic Infections'' (infection na tak tak, immunity a chak loh huna awlsam taka lo awm thei) i vei theihna tur tehfung siam rawh .

Thil dang dangah chuan:

T-cell test hi a chang chuan thil hrang hrang atan hman a ni:

• Organ transplant hnuah anti-rejection damdawi te enfiah thin ang che.
• Autoimmune natna thenkhat enkawl dan enfiah.
• Lymphoma chi thenkhat (lymphatic system cancer) leh DiGeorge syndrome ang chi natna te hriatchhuah.

Engtikah nge heng T-cell test te hi tih thin?

HIV i vei tih hriat hmasak ber hunah i doctor chuan i CD4 count a enfiah ang. Chumi hnuah chuan he test hi an ti chhunzawm zel ang a, i tih that dan leh i damdawi ei hian engtiang chiahin nge hna a thawh tih an en ang.

ART i tan tirh hian a tir lamah thla thum atanga thla ruk danah i CD4 cell count check tir a ngai mai thei. Hun a kal zel a, i doctor chuan thla ruk atanga thla sawm leh pahnih danah hei hi a thlak danglam thei a ni . Tin, i HIV viral load enfiah nan test hran an ti bawk ang.

Engtin nge CD4 cell count test hi tih a nih?

A awlsam khawp mai. Lab technician pakhat chuan i thisen sample hmangin i ``CD4 count'' chu a zawng a, i thisen sample-a ``T-cells'' awmte chu technique bik ``Flow Cytometry'' tih hmangin an chhiar thin.Hetah hian cell te chu special label hmanga chhinchhiah a ni.

He test atan hian engtin nge ka inbuatsaih ang?

Inbuatsaihna bik a ngai lo. I damdawi ei tur chu a pangngai angin i ei thei a, i ei thei bawk.

Test neih chhung hian eng nge ka beisei ang?

Doctor emaw nurse emaw chuan i kut vein pakhatah needle te tak te dahin thisen sample a la ang. Needle dah leh lakchhuah hian natna emaw, nuam lo emaw i nei thei a, mahse hun rei lote chhung chauh a ni ang. Chumi hnuah thisen sample chu lab-ah test turin thawn a ni ang.

CD4 count test hian eng hlauhawmna nge a neih?

He test hi a hlauhawmna a tlem hle. A châng chuan vein hmuh tumin needle vawi tam tak i poke a ngai a nih chuan a harsa deuh thei. Thisen ei hian hlauhawmna tenau tak tak a awm a, chungte chu:

• Tlemte a luak chhuak emaw, a muhil emaw tih hriat.
• Vun hnuaia hliam lian tak emaw, thisen khawlkhawm (hematoma).
• Infection neih a ni.
• Thisen chhuak chhunzawm zel (hei hi a thleng tlem hle).

Eng ang result nge kan hmuh?

CD4 count hi cubic millimeter khata cell awm zat (cubic millimeter khat chu thisen tla khat ang vel a ni) anga sawi a ni tlangpui. Hei hi number hnuaiah “mm3” emaw “mcL” (microliters) emaw tia ziah a ni tlangpui. A châng chuan CD4 count hi lymphocytes (thisen var cell) percentage angin i hmu bawk ang.

A result chu hetiang hian a lang thei:

• CD4 count pangngai: 500mm3 atanga 1,200mm3 thleng a ni
• CD4 count hniam: 500mm3 aia tlem
• CD4 count sang: 1,200mm3 aia tam

Heng "normal" level, a bik takin upper limit te value hi lab thenkhatah chuan a danglam deuh thei. Chuvangin i report-a normal range kha check rawh.

CD4 count hniam hian eng nge a awmzia?

HIV i vei a nih chuan CD4 count hniam chuan i thisen var tam tak a tichhia a, i immune system a tichak lo tihna a ni. Hei hian natna hrik kai theihna a tipung zawk a, a then chu nunna atana hlauhawm thei a ni. I CD4 count 200mm3 aia tlem a nih chuan stage 3 HIV i nei tihna a ni a, chu chu AIDS stage a ni.

HIV i neih loh chuan CD4 count hniam lutuk hi hetiang hian a awm thei a ni:

• Infection dang a awm leh bawk.
• Chemotherapy hi cancer damdawi a ni.
• Immune system tichak lo thei damdawi (immunosuppressants).

CD4 count tihpun chhante chu engte nge ni?

Infection thenkhat leh thisen cancer vangin CD4 count chu normal range aiin a sang zawk thei a ni.

A result hriat nan eng chen nge hun a duh?

I doctor hnenah engtikah nge i CD4 count result i hmuh dawn tih leh engtin nge i hmuh ang tih zawt rawh (e.g. doctor chuan a rawn call ang che em, report a rawn thawn ang che em). A tam zawkah chuan darkar 24 chhungin thisen lakchhuah leh test a ni a, mahse result a thlen theih nan hun rei zawk a la ngai thei.

Ka CD4 count a hniam chuan eng nge thleng ang?

I test result chu i doctor beisei ang a nih loh chuan test nawn leh turin a ti thei che a ni. I result a zirin i doctor chuan hetiang hi a ti thei ang:

• I enkawlna tur ruahmanna chu a awm reng ang a, i CD4 count lo awm tur chu a hmaa i ruahman aia hmaa ei turin an ti ang che.
• I immune system nasa taka a chak loh chuan natna hrik laka invenna atana pui turin antibiotics emaw antifungals emaw an pe thei che a ni.
• Tuna i ei mek ``Antiretroviral - ART'' damdawi chi hrang hrang hi thlak a tha.

Engtikah nge Doctor ka hmuh ang?

I test result chungchanga zawhna i neih chuan i doctor nen inbia ang che. Infection chhinchhiahna (e.g., natna, hring, pus, fever) i neih chuan emergency room-ah kal nghal rawh.

Engtin nge ka CD4 count hi ka tihpun theih ang?

Antiretroviral therapy (ART) hian i taksaa HIV awm zat (viral load) tihtlem nan leh i CD4 count tihpun nan a hlawk hle fo thin. Mahse, he damdawi hi a pek ang chiah chiah i ei a ngai a ni. I ART ei harsatna i neih chuan i doctor nen sawiho rawh.

Thil engemaw takah chuan - HIV vei lo tan, entirnan, taksa peng thlak tawh leh immunosuppressive damdawi ei mek tan - CD4 count hniam chuan an damdawi a thawk tha tihna a ni thei. Chuvangin, i dinhmun a zirin i doctor hnenah eng nge i beisei ang tih zawt rawh.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

CD4 count hi i doctor-in HIV-in i immune system a nghawng dan leh i enkawlnain a thawh that dan a hriat theihna tur a ni. A chang chuan thil dangin result a nghawng thei a, chuvangin beisei loh number i hmuh chuan hlauthawng suh. I doctor nen a result awmzia leh i enkawlna ruahmannaah eng emaw tihdanglam i mamawh leh mamawh loh chungchang sawipui rawh. Antiretroviral therapy (ART) ei fo hian HIV hian i immune system a tihchhiat loh nan a pui thei a, i T-cell count pawh a ti hrisel thei bawk.

` CD4 count, HIV, immunity, T-cells, thisen test, ART, enkawl dan