Kei te hiahia koe ki te mōhio ki te maha o ō pūtau CD4? Me kōrero tāua!

Kua rongo kē koe i tētahi "tau o ngā pūtau CD4" me tētahi "whakamātautau pūtau-T" rānei? Tērā pea kua kōrerohia tēnei e tō tākuta, kua rongo rānei koe i ēnei kupu i tētahi wāhi. Ahakoa he ahua uaua, me ngana tātou ki te mārama ngāwari. Nā te mea he whakamātautau tēnei e whakaatu mai ana i ngā kōrero nui mō te hauora o tō tātou pūnaha ārai mate.

He aha te maha o ngā pūtau CD4?

He whakarāpopototanga noa iho, he whakamātautau toto te tatau pūtau CD4 e ine ana i te maha o tētahi momo pūtau toto mā i roto i tētahi wāhanga iti o tō toto. Ka whakamahia e ngā tākuta hei tirotiro i te pānga o te HIV ki tō pūnaha ārai mate me te whai huatanga o ngā maimoatanga pēnei i te rongoā antiretroviral (ART). I ētahi wā ka whakamahia hoki hei aroturuki i ētahi atu mate.

I mōhio koe he mate huaketo te HIV mō te wā roa e whakangaro tika ana i ō tātou pūtau CD4 (e mōhiotia ana ko ngā pūtau-T āwhina, ko ngā pūtau-T CD4+ rānei). Nō reira, ina iti ēnei pūtau-T, ka iti hoki te kaha o tō tātou tinana ki te whawhai ki ngā iroriki.

He aha te ōrau CD4?

Ka taea hoki e tō tākuta te whakamahi i te "ōrau CD4" hei whakaaro mō te hauora o tō pūnaha ārai mate. Ka tatauhia tēnei mā te wehewehe i te maha o ngā "pūtau CD4+ T" ki te tapeke o ngā "lymphocytes" (tētahi atu momo pūtau toto mā) me te whakarea i te hua mā te 100.

I ētahi wā, kāore pea te titiro noa ki te (tau o ngā pūtau CD4) e tino pono. Hei tauira, ki te mea he mate tōu e pā ana ki tō tau katoa (lymphocyte), mō te hunga pēnei i ngā tamariki nohinohi, ngā wāhine hapu, ngā tāngata neke atu rānei i te 65 tau te pakeke, tera pea he pai ake te (ōrau CD4).

He aha ngā mea ka taea e tātou te ako mai i te tatau CD4?

Mā te tatau CD4 ka hoatu he kōrero nui ki ngā tākuta mō tō pūnaha ārai mate. Mēnā he nui ake tēnei tatau i te mea noa, ka tohu pea tēnei i ngā mate pāwera, i ētahi atu mate rānei, i te whanaketanga rānei o te mate HIV.

Engari kotahi te mea hei maumahara. Ka rerekē pea tō tatau CD4 i ia rā, i ia rā. Tērā pea nā ngā āhuatanga pēnei i te wā i koha toto ai koe, mēnā i pangia koe e te mate i taua wā, me ētahi atu. Ka pā pea tō tau, ētahi atu āhuatanga hauora, me ngā rongoā e tangohia ana e koe ki tēnei tatau. Koia te take ka tirohia e ngā tākuta tō tatau katoa me te āhua o tōna rerekētanga i roto i te wā.

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He aha te whakamahinga o te tatau CD4?

Nā, kia kite tātou he aha te whakamahinga matua o tēnei whakamātautau.

Mena kei a koe te HIV:

Mena kua pangia koe e te HIV, ka whakamahia e ngā tākuta te tatau CD4 hei:

• Whakatauhia te wāhanga o te mate HIV (arā, te tawhiti kua horapa te mate).
• Aroturukihia te pai o te mahi a te maimoatanga e kiia nei ko te "Whakaora Antiretroviral - ART" .
• Aromatawaihia tō tupono ki te whakawhanake i ngā "Mate Urutau" (ngā mate kino ka puta ngāwari ina ngoikore te pūnaha ārai mate).

I ētahi atu wā:

I ētahi wā ka whakamahia te whakamātautau pūtau-T mō ngā mea pēnei i:

• I muri i te whakawhitinga okana, me aroturuki te whakamahinga o ngā rongoā ārai-whakakorenga.
• Aroturuki i te maimoatanga mō ētahi mate pūnaha ārai mate.
• Tāutuhia ētahi momo lymphoma (he mate pukupuku o te pūnaha lymphatic) me ngā mate pēnei i te mate DiGeorge.

Āhea ēnei whakamātautau pūtau-T e mahia ai?

Ina kitea tuatahitia koe he HIV, ka tirohia e tō tākuta tō tatau CD4. Whai muri i tēnā, ka haere tonu rātou ki te mahi i tēnei whakamātautau hei tirotiro i te pai o tō hauora me te pai o te mahi a tō rongoā.

Ina tīmata koe i te ART, me tirotiro pea tō tatau pūtau CD4 i ia toru ki te ono marama i te tuatahi. I roto i te wā, ka huri pea tō tākuta i tēnei ki ia ono ki te tekau mā rua marama . Ka whakahaerehia hoki e rātou tētahi whakamātautau motuhake hei tirotiro i tō kawenga huaketo HIV.

Me pēhea te whakahaere i te whakamātautau i te maha o ngā pūtau CD4?

He tino māmā noa iho. Ka whakamahia e te tohunga taiwhanga tētahi tauira o tō toto hei kimi i tō "tau CD4". Ka tatauhia e rātou ngā "pūtau-T" i roto i tō tauira toto mā te whakamahi i tētahi tikanga motuhake e kiia nei ko te "Flow Cytometry." I roto i tēnei, ka tohua ngā pūtau ki ngā tapanga motuhake.

Me pēhea taku whakarite mō tēnei whakamātautau?

Kāore he whakaritenga motuhake e hiahiatia ana. Ka taea e koe te kai me te tango i ō rongoā pērā i te tikanga.

He aha taku e tumanako ai i te wā o te whakamātautau?

Ka tangohia he tauira toto e te tākuta, e te nēhi rānei mā te wero i tētahi ngira iti ki roto i tētahi uaua i tō ringa. Tērā pea ka pāngia koe e te mamae, e te kore whakamarie rānei ina werohia, ina tangohia te ngira, engari he wā poto noa iho. Kātahi ka tukuna te tauira toto ki tētahi taiwhanga hei whakamātautau.

He aha ngā mōrearea o te whakamātautau tatau CD4?

He tino iti ngā mōrearea o tēnei whakamātautau. I ētahi wā ka uaua pea mēnā me werohia te ngira kia maha ngā wā hei kimi i te uaua. He iti noa ngā mōrearea ina tangohia te toto, pēnei i:

• He pōuri te āhua, he ngoikore rānei.
• He maru nui, he kohinga toto rānei i raro i te kiri (hematoma).
• Te pāngia e te mate.
• Te toto tonu (he tino onge tēnei e puta ana).

He aha ngā hua ka puta mai i a tātou?

Ko te nuinga o te wā ka whakaatuhia ngā tatau CD4 hei te maha o ngā pūtau mō ia mirimita pūtoru (he rite te rahi o te mirimita pūtoru ki te pata toto). Ko te nuinga o te wā ka tuhia tēnei hei "mm³" "mcL" rānei (microliters) i muri i te tau. I ētahi wā ka kite koe i ngā tatau CD4 hei ōrau o ngā lymphocytes (ngā pūtau toto mā).

Tērā pea ka pēnei te āhua o ngā hua:

• Te maha noa o ngā CD4: 500mm³ ki te 1,200mm³
• Te iti o te maha o ngā CD4: iti iho i te 500mm³
• Te nui o te CD4: neke atu i te 1,200mm³

Tērā pea ka rerekē ngā uara mō ēnei taumata "noa", inā koa te rohe o runga, i ētahi taiwhanga. Nō reira, tirohia te awhe noa i runga i tō pūrongo.

He aha te tikanga o te iti o te tau CD4?

Mena kei a koe te HIV, ko te iti o te maha o ngā CD4 e tohu ana kua whakangaromia e te huaketo te nuinga o ō toto ma, ā, kua ngoikore hoki tō pūnaha ārai mate. Ka nui ake te tūponotanga o te pangia e ngā mate, ko ētahi o ēnei ka mate pea. Mena he 200mm³, he iti iho rānei tō maha CD4, ko te tikanga kei a koe te HIV wāhanga 3, arā, te wāhanga AIDS.

Mena kāore he HIV i a koe, ka puta pea te iti o te maha o ngā CD4 i:

• Tētahi atu mate urutā.
• He maimoatanga te chemotherapy mō te mate pukupuku.
• Ngā rongoā e whakaiti ana i te pūnaha ārai mate (ngā immunosuppressants).

He aha ngā take e piki ake ai te maha o ngā CD4?

Ka taea e ētahi mate pukupuku me ngā matepukupuku toto te whakanui ake i te maha o ngā CD4 i te awhe noa.

Kia pēhea te roa ka mōhiotia ai ngā hua?

Pātai atu ki tō tākuta āhea koe ka whiwhi i ō hua tatau CD4 me pēhea koe e whiwhi ai (hei tauira, ka waea atu te tākuta ki a koe, ka tukuna atu rānei he pūrongo ki a koe). I te nuinga o te wā, ka tangohia te toto ka whakamatautauria i roto i ngā haora 24, engari tera pea ka roa ake te taenga mai o ngā hua.

Ka aha mēnā he iti taku tau CD4?

Mena kāore ngā hua o tō whakamātautau i rite ki tā tō tākuta i tumanako ai, ka tono pea ia kia tuaruatia te whakamātautau. I runga i ō hua, ka mahi pea tō tākuta i ngā mea penei:

• Ka noho tonu tō mahere maimoatanga, ā, ka tonoa koe kia tangohia tō tatau CD4 e whai ake nei i mua atu i te rā i whakaritea i mua.
• Mena kua ngoikore rawa tō pūnaha ārai mate, ka tohua pea he rongoā paturopi, he rongoā harore rānei hei ārai i ngā mate urutā.
• E taunakihia ana kia whakarerekētia e koe te momo rongoā "Antiretroviral - ART" e tangohia ana e koe i tēnei wā.

Āhea ahau me kite i te tākuta?

Mena he pātai āu mō ngā hua o tō whakamātautau, kōrero ki tō tākuta. Mena he tohu mate pāwera kei a koe (hei tauira, te mamae, te pupuhi, te pupuhi, te kirika), haere tonu ki te rūma whawhati tata.

Me pēhea taku whakanui ake i taku tau CD4?

He tino whai hua te rongoā ārai huaketo (ART) ki te whakaiti i te nui o te HIV i roto i tō tinana (viral load) me te whakanui ake i tō tau CD4. Heoi, me tango e koe tēnei rongoā kia rite ki te whakahaunga. Mena kei te raru koe ki te tango i tō ART, kōrero ki tō tākuta mō tēnei.

I ētahi wā - mō te hunga kāore he mate HIV, hei tauira, ko tētahi kua whakawhiti okana, ā, kei te tango rongoā ārai mate - ko te iti o te maha o ngā CD4 he tohu pea kei te pai te mahi a tā rātou rongoā. Nō reira, pātai atu ki tō tākuta he aha ngā mea hei tumanakohia i runga i tō āhuatanga.

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

He huarahi te tatau CD4 mā tō tākuta ki te kite i te pānga o te HIV ki tō pūnaha ārai mate me te pai o te mahi a tō maimoatanga. I ētahi wā ka pāngia ngā hua e ētahi atu mea, nō reira kaua e mataku mēnā ka kite koe i tētahi tau ohorere. Kōrero ki tō tākuta mō te tikanga o ngā hua me te mea me huri koe i tō mahere maimoatanga. Mā te tango i te rongoā antiretroviral (ART) i ia wā ka āwhina i te ārai i te HIV kei kino tō pūnaha ārai mate me te pupuri i te hauora o tō tatau pūtau-T.