Kuyini ukubalwa kwamaseli e-CD4? Ake siqonde nje ubudlelwano bayo ne-HIV

Ngemva kokuba udokotela ekuthole une-HIV, ingabe wesaba kancane lapho ethi, "Udinga ukwenza i-CD4 count?" Noma ingabe wezwa la mazwi ndawana thize wazibuza ukuthi ayini? Nakuba la magama engase azwakale engokwesayensi futhi eyinkimbinkimbi uma uwezwa, incazelo yawo ilula kakhulu. Akukho sizathu sokwesaba. Afana nesibuko esibonisa isimo sempilo yomzimba wethu. Kulesi sihloko, sizokhuluma kalula futhi ngobungane ngokuthi iyini le CD4, ukuthi lokhu kuhlolwa kulinganisa ini, nokuthi kubaluleke kangakanani ohambweni lwakho lwempilo lokuphila ne-HIV.

Kalula nje, iyini le CD4?

Cabanga nje ukuthi imizimba yethu ifana nezwe. Njengoba nje wonke amazwe enebutho elilivikelayo, imizimba yethu nayo inebutho elisivikela ezifweni namagciwane. Leli butho silibiza ngokuthi iSistimu Yokuzivikela Emzimbeni .

Ngakho-ke, elinye lamasosha akhethekile futhi abaluleke kakhulu kuleli butho lokuzivikela komzimba yilawa maseli e-CD4 . Empeleni lawa uhlobo lwamaseli amhlophe egazini lethu. Umsebenzi wawo oyinhloko ukuthola izitha ezifana namagciwane namabhaktheriya angena emzimbeni, azise amanye amasosha (amanye amangqamuzana okuzivikela komzimba) ngakho, bese wonke umuntu ehlanganyela ekulweni nalawo maseli. Yingakho sibiza la maseli e-CD4 ngokuthi “amaseli e-T awusizo.”

Manje cishe usuyaqonda ukuthi amaseli e-CD4 abaluleke kangakanani ohlelweni lokuzivikela lomzimba wethu.

Ukuhlolwa kwe-CD4 count kwenziwa yini?

Ukubalwa kwe-CD4 kuyindlela elula kakhulu yokuhlola igazi. Kubalwa ukuthi mangaki amaseli e-CD4 ngenani elincane kakhulu (cishe i-cubic millimeter) yegazi lakho.

Igciwane le-HIV (i-Human Immunodeficiency Virus) liyisitha esinobuqili kakhulu. Leli gciwane lihlasela ngqo la maseli e-CD4, afana nabaholi bebutho lethu lokuzivikela komzimba. Igciwane le-HIV lingena kula maseli e-CD4, liwabhubhise, futhi lenze amakhophi ezigidigidi zalo. Ngokuhamba kwesikhathi, inani lamangqamuzana e-CD4 emzimbeni liqala ukwehla kancane kancane.

Kwenzekani uma inani lamasosha e-CD4 lehla? Izivikelo zomzimba wethu ziyabuthaka. Khona-ke, ngisho namagciwane amancane ngokuvamile angenakusilimaza kakhulu angabangela umonakalo omkhulu emzimbeni futhi abangele izifo ezinkulu.

Odokotela basebenzisani leli nani le-CD4?

Uma une-HIV, udokotela wakho uzosebenzisa lesi sibalo se-CD4 ukuze aqonde izinto ezintathu eziyinhloko.

1.Thola isigaba sokutheleleka nge-HIV: Inani le-CD4 linganquma isigaba sokutheleleka nge-HIV. Uma inani le-CD4 liphansi kakhulu, kusho ukuthi ukutheleleka kusesigabeni esibi kakhulu.

2. Linganisa impumelelo yokwelashwa: Ngemva kokuqala ukwelashwa kwe-HIV (lokhu sikubiza ngokuthi i-Antiretroviral Therapy noma i-ART ), udokotela wakho uzokwenza lokhu kuhlolwa kwe-CD4 ngezikhathi ezithile. Uma umuthi usebenza kahle, igciwane emzimbeni wakho kufanele lilawulwe futhi inani lamaseli akho e-CD4 kufanele liqale ukwanda futhi. Lokhu kusho ukuthi ukwelashwa kuphumelele.

3. Hlola ubungozi bakho bokutheleleka ngezinye izifo (Izifo Ezingenanjongo): Uma inani le-CD4 yakho lehla ngaphansi kwezinga elithile, amasosha omzimba wakho ayaba buthakathaka, okwenza ube sengozini enkulu yokuthola ezinye izifo ezinkulu. Lokhu kubizwa ngokuthi izifo ezingenangongongo . Isibonelo, izinto ezifana ne-pneumonia nesifo sofuba. Udokotela wakho angahlola inani le-CD4 yakho futhi akunikeze imithi eyengeziwe ukuze akuvikele kulezi zifo.

Ngizilungiselela kanjani ukuhlolwa? Ingabe kubuhlungu?

Ungacabangi ngisho nangalokho. Ukuhlolwa kwe-CD4 kufana nanoma yikuphi ukuhlolwa kwegazi okuvamile.

• Akukho ukulungiselela okukhethekile okudingekayo: Awudingi ukwenza lutho ngosuku olwandulele, njengokungadli noma ukuphuza noma yini. Ungadla, uphuze, futhi uthathe imithi yakho njengenjwayelo.
• Kwenzekani: Umhlengikazi noma udokotela uzothatha isampula yegazi emthanjeni osengalweni yakho esebenzisa isirinji esincane. Ungase uzizwe ubuhlungu noma ukungakhululeki lapho inaliti ifakwa futhi ikhishwa. Kodwa izohlala imizuzwana embalwa kuphela.
• Ingabe kukhona imiphumela emibi?: Akukho bungozi obukhulu ngalokhu. Kodwa-ke, akuvamile kakhulu, indawo lapho igazi lithathwe khona ingase ibe luhlaza okwesibhakabhaka kancane (ukulimala), iqoqe inani elincane legazi (i-hematoma), izizwe ibuthakathaka, noma ithole ukutheleleka. Lezi yizenzakalo ezingavamile kakhulu.

Leli sampula legazi libe selithunyelwa elabhorethri, lapho kusetshenziswa khona inqubo ekhethekile ebizwa ngokuthi i-Flow Cytometry ukubala amaseli e-CD4 egazini lakho.

Zithini izinombolo ezisembikweni?

Uma umbiko wakho we-CD4 ufika, uzofakwa ohlwini kanye nenombolo, njenge-"mm³" noma "mcL." Lena inombolo yamaseli ku-cubic millimeter (cishe iconsi legazi). Ithebula elingezansi lizokusiza ukuqonda la manani.

Ngenzenjani uma inani lami le-CD4 liphansi?

Okokuqala nokubaluleke kakhulu, ungesabi . Ukuba ne-CD4 ephansi akusona ukuphela komhlaba. Kusho ukuthi amasosha omzimba wakho adinga usizo. Udokotela wakho ulapha ukuzokusiza.

Uma inani lakho le-CD4 liphansi, udokotela wakho angenza izinto ezifana nalezi:

• Ukuqala noma ukushintsha i-ART: Uma ungakaqali i-ART, uzonikezwa umyalelo wokuyiqala. Uma usuvele uthatha imithi, ungase unikezwe inhlanganisela ehlukile yemithi ekufanelekela kangcono.
• Imithi yokuvimbela ukutheleleka: Uma inani lakho le-CD4 lingaphansi kuka-200, ungase unikezwe eminye imithi, njengama-antibiotic, ukuvikela izifo ezithathelwanayo.
• Ukuqapha njalo: Ungaqapha isimo sakho ngokubala inani le-CD4 yakho eduze nesikhathi esivamile.

Ngingayandisa kanjani i-CD4 count yami?

Indlela engcono kakhulu nesayensi kuphela yokwenza lokhuUkunamathela ngokuqinile ekwelashweni kwe-ART (Ukwelashwa Nge-Antiretroviral).

Ngakho-ke, kubaluleke kakhulu ukuphuza imithi yakho njengoba nje udokotela wakho ekuyalele, ngesikhathi, futhi ngaphandle kokulahlekelwa usuku olulodwa . Uma unenkinga yokuphuza imithi yakho noma ukhohlwa ukuyiphuza, ungabi namahloni futhi ukhulume nodokotela wakho ngayo.

Kufanele ngimbone nini udokotela?

• Uma unemibuzo mayelana nemiphumela yombiko wakho we-CD4, noma uma kukhona okungacacile, qiniseka ukuthi ukhuluma nodokotela wakho.
• Uma unezimpawu zokutheleleka njengomkhuhlane, izinhlungu zomzimba, ukuvuvukala, noma isilonda esiphumayo, funa iseluleko sezokwelapha ngokushesha. Uma sibi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

Ukubalwa kwe-CD4 akuyona into yokukwethusa. Kufana nemitha kudeshibhodi yemoto. Kukunika wena nodokotela wakho umbono omuhle wokuthi uhambo lwenu lwezempilo luyaphi. Ukukusebenzisa, unganquma ukwelashwa okungcono kakhulu kuwe, futhi uphile impilo enempilo, ende, nejabulisayo.