Ungade kuziva huwandu hwemasero eCD4 ako here? Ngatikurukurei!

Wakambonzwa here nezve "CD4 cell count" kana "T-cell test"? Pamwe chiremba wako akataura nezvazvo, kana kuti wakambonzwa mashoko aya pane imwe nzvimbo. Kunyangwe zvingaita sezvakaoma zvishoma, ngatiedzei kuzvinzwisisa zviri nyore. Nekuti iyi bvunzo inotiudza ruzivo rwakakosha nezvehutano hwemasoja edu ekudzivirira muviri.

Chii chinonzi CD4 cell count?

Zvichitaurwa zviri nyore, huwandu hwemasero eCD4 kuongororwa kweropa kunoyera huwandu hwemhando chaiyo yemasero machena eropa muropa diki. Vanachiremba vanoishandisa kuona kuti HIV yakakanganisa sei masoja emuviri wako uye kuti mishonga yakaita seantiretroviral therapy (ART) inoshanda sei. Dzimwe nguva inoshandiswawo kuongorora zvimwe zvirwere.

Waizviziva here kuti HIV chirwere chinopararira kwehupenyu hwese chinoparadza zvakananga masero edu eCD4 (anozivikanwawo semasero eT-cells anobatsira kana kuti CD4+ T-cells). Saka kana masero aya eT-cells ari mashoma, kugona kwemuviri wedu kurwisa utachiona kunenge kwakadererawo.

Chii chinonzi CD4 percentage?

Chiremba wako anogona zvakare kushandisa "CD4 percentage" kuti azive hutano hwemasoja emuviri wako. Izvi zvinoverengerwa nekukamura huwandu hwe "CD4+ T cells" nehuwandu hwe "lymphocytes" (rumwe rudzi rwemasero machena eropa) uye kuwedzera mhedzisiro yacho ne100.

Mune zvimwe zviitiko, kungotarisa `(CD4 cell count)` kungasava kwakavimbika. Semuenzaniso, kana uine chirwere chinokanganisa huwandu hwese hwe`(lymphocyte)`, kana kuvanhu vakaita sevana vadiki, vakadzi vane pamuviri, kana vanhu vane makore anopfuura 65, `(CD4 percentage)` inogona kubatsira zvakanyanya.

Chii chatingadzidza kubva muhuwandu hweCD4?

Kuverengwa kweCD4 kunopa vanachiremba ruzivo rwakakosha nezvemasoja emuviri wako. Kana huwandu uhwu hwakapfuura zvakajairika, hunogona kuratidza hutachiona, zvimwe zvirwere, kana kufambira mberi kwehutachiona hweHIV.

Asi pane chimwe chinhu chekuyeuka. CD4 count yako inogona kusiyana zvishoma zuva nezuva. Izvi zvinogona kukonzerwa nezvinhu zvakaita sepawakapa ropa, kungave waive nehutachiona panguva iyoyo, nezvimwewo. Zera rako, mamwe matambudziko ehutano, uye mishonga yaunotora zvinogonawo kukanganisa huwandu uhwu. Ndosaka vanachiremba vachitarisa huwandu hwako hwese uye kuti hunochinja sei nekufamba kwenguva.

Chii chinoshandiswa pakuverenga CD4?

Iye zvino ngationei kuti bvunzo iyi inonyanya kushandiswa pai.

Kana uine HIV:

Kana uine hutachiona hweHIV, vanachiremba vanoshandisa CD4 counts ku:

• Sarudza danho rehutachiona hweHIV (kureva kuti chirwere chacho chafambira mberi kusvika papi).
• Tarisa kuti mushonga unonzi ``Antiretroviral Therapy - ART'' unoshanda sei .
• Ongorora njodzi yako yekubatwa ne "Opportunistic Infections" (hutachiona hwakakomba hunokura nyore nyore kana masoja emuviri akadzikira).

Mune zvimwe zviitiko:

Dzimwe nguva bvunzo yeT-cell inoshandiswa pazvinhu zvakaita se:

• Mushure mekuisirwa nhengo, tarisa mishonga inorwisa kurambwa.
• Tarisa kurapwa kwezvimwe zvirwere zve autoimmune.
• Tsvaga mamwe marudzi e lymphoma (kenza ye lymphatic system) nezvirwere zvakaita se DiGeorge syndrome.

Kuongororwa kwemasero eT kunoitwa rini?

Kana wangoonekwa uine HIV kekutanga, chiremba wako achaongorora huwandu hweCD4 yako. Mushure meizvozvo, vacharamba vachiita bvunzo iyi kuti vaone kuti uri kushanda zvakanaka sei uye kuti mishonga yako iri kushanda zvakanaka sei.

Paunotanga kushandisa ART, ungangoda kuongororwa huwandu hwemasero eCD4 ako mwedzi mitatu kusvika mitanhatu yekutanga. Nekufamba kwenguva, chiremba wako anogona kuchinja izvi kuita mwedzi mitanhatu kusvika gumi nemiviri yega yega . Vachaitawo bvunzo yakasiyana kuti vaone huwandu hwehutachiona hweHIV hwako.

Kuongororwa kweCD4 cell count kunoitwa sei?

Zviri nyore kwazvo. Nyanzvi yekurabhoritari inoshandisa sampuro yeropa rako kuti ione "CD4 count" yako. Vanoverenga "T-cells" musampuli yeropa rako vachishandisa nzira yakakosha inonzi "Flow Cytometry." Muizvi, masero anonyorwa nemazita akakosha.

Ndinofanira kugadzirira sei bvunzo iyi?

Hapana kugadzirira kwakakosha kunodiwa. Unogona kudya uye kunwa mishonga yako sezvawagara uchiita.

Chii chandinofanira kutarisira panguva yebvunzo?

Chiremba kana nesi achatora ropa nekuisa tsono diki mutsinga iri muruoko rwako. Unganzwa kurwadziwa kana kusagadzikana kana tsono ikaiswa yobviswa, asi zvichangoitika kwenguva pfupi chete. Ropa richazotumirwa kurabhoritari kuti riongororwe.

Ndezvipi njodzi dzekuongororwa kweCD4 count?

Njodzi dzebvunzo iyi dzakaderera zvikuru. Dzimwe nguva zvinogona kuoma kana uchifanira kubaya tsono kakawanda kuti uwane tsinga. Pane dzimwe njodzi diki pakutora ropa, dzakadai se:

• Kunzwa dzungu kana kupera simba.
• Kukuvara kukuru kana kuunganidzwa kweropa pasi peganda (hematoma).
• Kubatwa nechirwere.
• Kubuda ropa nguva dzose (izvi hazviwanzoitika).

Tinowana mhedzisiro yerudzii?

Kuverengwa kweCD4 kunowanzo nyorwa sehuwandu hwemasero pa cubic millimeter (cubic millimeter inenge yakakura sedonhwe reropa). Izvi zvinowanzo nyorwa se "mm³" kana "mcL" (microliters) mushure mehuwandu hwacho. Dzimwe nguva uchaonawo huwandu hweCD4 sechikamu chema lymphocytes (masero machena eropa).

Mhedzisiro yacho inogona kutaridzika seizvi:

• Kuwanda kweCD4 kwakajairika: 500mm³ kusvika 1,200mm³
• CD4 count yakaderera: pasi pe500mm³
• CD4 yakawanda: inopfuura 1,200mm³

Makoshero emazinga aya "akajairika", kunyanya muganho wepamusoro, anogona kusiyana zvishoma mune mamwe marabhoritari. Saka tarisa huwandu hwakajairika pamushumo wako.

Chii chinorehwa neCD4 count yakaderera?

Kana uine HIV, CD4 count yakaderera zvinoreva kuti hutachiona hwaparadza akawanda emasero machena eropa rako uye hwaderedza simba remuviri wako. Izvi zvinokuisa panjodzi huru yekuwana hutachiona, humwe hwacho hunogona kuisa hupenyu panjodzi. Kana CD4 count yako iri 200mm³ kana pasi, zvinoreva kuti une HIV stage 3, inova stage yeAIDS.

Kana usina HIV, CD4 count shoma inogona kukonzerwa ne:

• Chimwe chirwere.
• Chemotherapy inzira yekurapa kenza.
• Mishonga inopedza simba remuviri (immunosuppressants).

Ndezvipi zvikonzero zvekuwedzera kweCD4 count?

Zvimwe zvirwere nekenza yeropa zvinogona kukonzera kuti huwandu hweCD4 huve hwakakwira kupfuura huwandu hwemazuva ese.

Zvinotora nguva yakareba sei kuti uzive mhedzisiro?

Bvunza chiremba wako kuti uchawana riini zvabuda muCD4 count yako uye kuti uchazviwana sei (semuenzaniso chiremba achakufonera here kana kukutumira mushumo). Kazhinji, ropa rinotorwa uye rinoongororwa mukati memaawa makumi maviri nemana, asi zvinogona kutora nguva yakareba kuti zvabuda zvisvike.

Chii chinoitika kana huwandu hwangu hweCD4 hwaderera?

Kana zvabuda muongororo yako zvisiri izvo zvaitarisirwa nachiremba wako, anogona kukukumbira kuti udzokorore bvunzo yacho. Zvichienderana nezvawakabuda, chiremba wako anogona kuita zvinhu zvakaita se:

• Chirongwa chenyu chekurapa chicharamba chakafanana, uye muchakumbirwa kutora CD4 count yenyu inotevera nekukurumidza kupfuura zuva rakarongwa kare.
• Kana masoja emuviri wako asina simba zvakanyanya, unogona kupihwa mishonga inorwisa mabhakitiriya kana mishonga inorwisa fungus kuti ubatsire kudzivirira hutachiona.
• Zvinokurudzirwa kuti uchinje mhando yemishonga ye "Antiretroviral - ART" yauri kutora parizvino.

Ndinofanira kuona chiremba rini?

Kana muine mibvunzo nezve zvabuda muongororo yenyu, taurai nachiremba wenyu. Kana muine zviratidzo zvehutachiona (semuenzaniso, kurwadziwa, kuzvimba, urwa, fivha), endai kuchipatara nekukurumidza.

Ndingawedzera sei huwandu hweCD4 yangu?

Kurapa nemishonga inorwisa utachiona (ART) kunowanzo shanda zvikuru mukuderedza huwandu hweHIV mumuviri wako (viral load) uye kuwedzera CD4 count yako. Zvisinei, unofanira kutora mushonga uyu sezvawakarairwa. Kana uchiomerwa nekutora ART yako, taura nachiremba wako nezvazvo.

Muzvimwe zviitiko - kune vanhu vasina HIV, semuenzaniso munhu akamboisirwa nhengo uye ari kutora mishonga inoderedza simba remuviri - CD4 count yakaderera inogona kureva kuti mishonga yavo iri kushanda nemazvo. Saka, bvunza chiremba wako zvekutarisira zvichienderana nemamiriro ako ezvinhu.

Chekupedzisira, yeuka izvi (Mharidzo Yekuenda Kumba)

Kuverengwa kweCD4 inzira yekuti chiremba wako aone kuti HIV yakakanganisa sei masoja emuviri wako uye kuti kurapwa kwako kuri kushanda zvakanaka sei. Dzimwe nguva zvimwe zvinhu zvinogona kukanganisa mhedzisiro, saka usavhunduke kana ukaona nhamba isingatarisirwi. Taura nachiremba wako nezvezvinorehwa nemhedzisiro uye kana uchida kuchinja chero chirongwa chekurapa kwako. Kutora mushonga weantiretroviral therapy (ART) nguva dzose kunogona kubatsira kudzivirira HIV kuti isakuvadze masoja emuviri wako uye kuchengetedza huwandu hwemasero eT hune hutano.

Kuwanda kweCD4 , HIV, dziviriro yemuviri, T-cells, kuongororwa kweropa, ART, kurapwa