Yintoni i-CD4 Cell Count? Masiqonde nje ubudlelwane bayo ne-HIV

Emva kokuba ugqirha ekufumanise ukuba une-HIV, ngaba woyika kancinci xa wathi, "Kufuneka wenze i-CD4 count?" Okanye ngaba uve la mazwi ndaweni ithile waza wazibuza ukuba yintoni le? Nangona la magama esenokuvakala ngathi angokwesayensi kwaye ayinkimbinkimbi xa uwava, intsingiselo yawo ilula kakhulu. Akukho sizathu sokoyika. Afana nesipili esibonisa imeko yempilo yomzimba wethu. Kweli nqaku, siza kuthetha ngokulula nangokunobuhlobo malunga nokuba yintoni le CD4, ukuba olu vavanyo lulinganisa ntoni, kunye nokuba lubaluleke kangakanani kuhambo lwakho lwempilo oluphila ne-HIV.

Kalula nje, yintoni le CD4?

Khawuthelekelele ukuba imizimba yethu ifana nelizwe. Njengokuba lonke ilizwe linomkhosi wokulikhusela, imizimba yethu ikwanawo nomkhosi wokusikhusela kwizifo nakwiintsholongwane. Lo mkhosi siwubiza ngokuba yiNkqubo yoKhuseleko lomzimba .

Ngoko ke, elinye lamajoni akhethekileyo nabalulekileyo kulo mkhosi wokuzikhusela komzimba ngala maseli e-CD4 . La ngamaseli amhlophe egazini lethu. Umsebenzi wawo ophambili kukufumana iintshaba ezifana neentsholongwane kunye neebhaktheriya ezingena emzimbeni, zixelele amanye amajoni (ezinye iiseli zokuzikhusela komzimba) ngayo, kwaye wonke umntu ujoyina ekulweni nezo ntshaba. Yiyo loo nto sikwabiza la maseli e-CD4 ngokuthi "ziiseli ze-T ezincedisayo."

Ngoku mhlawumbi uyaqonda ukuba zibaluleke kangakanani iiseli ze-CD4 kwinkqubo yomzimba wethu yokuzikhusela.

Yintoni eyenziwa luvavanyo lwe-CD4 count?

Uvavanyo lwegazi olulula kakhulu. Lubala ukuba zingaphi iiseli ze-CD4 kwinani elincinci kakhulu (malunga ne-cubic millimeter) yegazi lakho.

Intsholongwane ye-HIV (i-Human Immunodeficiency Virus) lutshaba olunobuqhophololo. Le ntsholongwane ihlasela ngokuthe ngqo ezi seli ze-CD4, ezifana neenkokheli zomkhosi wethu wokuzikhusela. Intsholongwane ye-HIV ingena kwezi seli ze-CD4, izitshabalalise, kwaye yenze iibhiliyoni zeekopi zayo. Ekuhambeni kwexesha, inani leeseli ze-CD4 emzimbeni liqala ukwehla kancinci kancinci.

Kwenzeka ntoni xa inani lamajoni e-CD4 lincipha? Ukuzikhusela komzimba wethu kuyaphela. Emva koko, neentsholongwane ezincinci eziqhele ukungasiniki mandla zinokubangela umonakalo omkhulu emzimbeni kwaye zibangele izifo ezinzulu.

Oogqirha basebenzisa olu hlobo lwe-CD4 ukuze benze ntoni?

Ukuba une-HIV, ugqirha wakho uza kusebenzisa olu hlobo lwe-CD4 count ukuqonda izinto ezintathu eziphambili.

1.Fumana inqanaba losulelo lwe-HIV: Inani le-CD4 linokuchaza inqanaba losulelo lwe-HIV. Xa inani le-CD4 liphantsi kakhulu, oko kuthetha ukuba usulelo lukwinqanaba elibi kakhulu.

2. Linganisa impumelelo yonyango: Emva kokuba uqale unyango lwe-HIV (silubiza ngokuba yi- Antiretroviral Therapy okanye i-ART ), ugqirha wakho uza kwenza olu vavanyo lwe-CD4 rhoqo . Ukuba iyeza lisebenza kakuhle, intsholongwane emzimbeni wakho kufuneka ilawulwe kwaye inani leeseli zakho ze-CD4 kufuneka liqale ukwanda kwakhona. Oku kuthetha ukuba unyango luphumelele.

3. Vavanya umngcipheko wakho wokufumana ezinye izifo (Iintsholongwane Ezingenamsebenzi): Xa inani le-CD4 yakho lihla ngaphantsi kwenqanaba elithile, amasosha omzimba wakho ayabuthathaka, nto leyo ekwenza ube sengozini yokufumana ezinye izifo ezinzulu. Ezi zibizwa ngokuba zizifo ezingenamsebenzi . Umzekelo, izinto ezifana ne-pneumonia kunye nesifo sephepha. Ugqirha wakho unokutshekisha inani le-CD4 yakho aze akunike amayeza ongezelelweyo okukhusela kwezi zifo.

Ndilungiselela njani uvavanyo? Ngaba lubuhlungu?

Ungacingi nokucinga ngayo loo nto. Uvavanyo lwe-CD4 lufana nalo naluphi na olunye uvavanyo lwegazi oqhele ukulwenza.

• Akukho mfuneko yokulungiselela okukhethekileyo: Akufuneki wenze nantoni na ngosuku olungaphambi koko, njengokungatyi okanye ukusela nantoni na. Ungatya, usele, kwaye uthathe amayeza akho njengesiqhelo.
• Kwenzeka ntoni: Umongikazi okanye ugqirha uza kusebenzisa isirinji encinci ukuthatha isampuli yegazi kumthambo osengalweni yakho. Usenokuziva iintlungu okanye ukungakhululeki xa inaliti ifakwa kwaye isuswa. Kodwa ihlala imizuzwana embalwa kuphela.
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga?: Akukho mngcipheko mkhulu ngale nto. Nangona kunjalo, kunqabile kakhulu, indawo apho igazi lithathwe khona inokutshintsha umbala ube luhlaza okwesibhakabhaka (imivumbo), iqokelele inani elincinci legazi (i-hematoma), ivakalelwe ngathi iyafa, okanye ifumane usulelo. Ezi ziziganeko ezingaqhelekanga kakhulu.

Le sampuli yegazi emva koko ithunyelwa kwilebhu, apho kusetyenziswa indlela ekhethekileyo ebizwa ngokuba yiFlow Cytometry ukubala iiseli ze-CD4 egazini lakho.

Athini amanani akwingxelo?

Xa ingxelo yakho ye-CD4 ifika, iya kufakwa kuluhlu lwenombolo, efana no-"mm³" okanye "mcL." Eli linani leeseli kwi-cubic millimeter (malunga nethontsi legazi). Le theyibhile ingezantsi iya kukunceda uqonde la maxabiso.

Ndenze ntoni ukuba inani lam le-CD4 liphantsi?

Okokuqala, ungoyiki . Ukuba ne-CD4 ephantsi akusosiphelo sehlabathi. Kuthetha nje ukuba inkqubo yakho yomzimba yokuzikhusela ifuna uncedo. Ugqirha wakho ulapha ukukunceda.

Ukuba inani lakho le-CD4 liphantsi, ugqirha wakho unokwenza izinto ezifana nezi:

• Ukuqala okanye ukutshintsha i-ART: Ukuba awukaqali i-ART, uya kumiselwa ukuba uyiqale. Ukuba sele usela amayeza, unganikwa indibaniselwano eyahlukileyo yamayeza afanelekileyo kuwe.
• Amayeza okuthintela usulelo: Ukuba inani lakho le-CD4 lingaphantsi kwama-200, unganikwa amanye amayeza, afana namayeza okubulala iintsholongwane, ukukhusela usulelo olungenamsebenzi.
• Ukuhlolwa rhoqo: Ungayijonga imeko yakho ngokubala inani le-CD4 yakho lisondele kancinci kwixesha eliqhelekileyo.

Ndingayonyusa njani i-CD4 count yam?

Eyona ndlela ilungileyo neyodwa yesayensi yokwenza oku kukubaUkunamathela ngokungqongqo kunyango lwe-ART (i-Antiretroviral Therapy).

Kungoko ke, kubaluleke kakhulu ukusela amayeza akho njengoko ugqirha wakho ekuyalele, ngexesha, kwaye ungaphoswa lusuku olunye . Ukuba unengxaki yokusela amayeza akho okanye ulibele ukuwasela, ungabi nazintloni kwaye uthethe nogqirha wakho ngawo.

Ndifanele ndimbone nini ugqirha?

• Ukuba unemibuzo malunga neziphumo zengxelo yakho ye-CD4, okanye ukuba kukho into engacacanga, qiniseka ukuba uthetha nogqirha wakho.
• Ukuba uneempawu zosulelo ezifana nomkhuhlane, iintlungu zomzimba, ukudumba, okanye inxeba eliphumayo, funa ingcebiso kagqirha ngoko nangoko. Ukuba imbi kakhulu, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.

Ukubalwa kwe-CD4 akuyonto yokukoyikisa. Kufana nemitha ekwideshibhodi yemoto. Ikunika wena nogqirha wakho umbono olungileyo wokuba uhambo lwenu lwempilo luya phi. Ukuyisebenzisa, ungenza isigqibo sonyango olungcono kuwe, kwaye uphile ubomi obusempilweni, obude, nobonwabisayo.