Daaweynta HIV ee Israa'iil - oolka ah AIDS Daaweynta Abroad

daaweynta HIV ee Israa'iil waa in la hubiyo in dadka qaba HIV ku noolaan karaan nolol caadi ah. daroogada Anti-HIV shaqeeyaan by yaraynta xaddiga HIV ee load dhiig viral ah. Hadafka daaweynta HIV: load viral. Taas macnaheedu waa in daaweynta HIV dibadda ka dib, xaddiga HIV ee dhiigga ku jira sidaas u yar tahay si aan la ogaan karaa by imtixaanada caadiga ah. Yaraynta xaddiga HIV ee dhiiga ka caawisaa in la xoojiyo nidaamka difaaca jirka. The sare tirinta unugyada CD4, hoose halista cudurka ay sabab u tahay cudurka HIV, iyo sida macquulka ah qaar ka mid ah cudurada kale oo halis ah.

Waa in aad la tashato dhakhtarkaaga waqtiga ugu habboon ee aad si ay u bilaabaan daaweynta HIV dibadda. Waxaa jira dhowr arrimood laga yaabaa in aad rabto in aad ka fiirsan, oo ay ku jiraan: Faa'iidada of laga bilaabo daaweynta waqtigan. Halista ka imaan karto, haddii ay jirto dib u dhac ku tahay bilowga daweynta. aad diyaar u tahay inay bilaabaan daaweynta haatan tahay? Waxaa jira arrimo kale ee nolosha saameeya awoodda iyo baahida loo qabo in la bilaabo daaweynta AIDS ee Israa'iil.

Xaaladaha intooda badan, waxaan ku talinaynaa koorso buuxda oo lagu daweeyo cudurka kasta oo ka hor inta aan la bilaabin daaweynta cudurka HIV. Haddii CD4 ah oo ku saabsan 350 waa, waxaa lagu talinayaa in ay ka munaaqashoodaan daaweynta HIV dhakhtarkaaga iyo bilaabaan daaweynta HIV ee Israa'iil, sida ugu dhaqsaha badan aad diyaar u tahay. Bukaanjiifka qaar ayaa waxaa lagula talinayaa laga yaabaa inuu ku soo bilowdo daawaynta marka ay tirada unugyada CD4 waa weli ka badan 350, tusaale ahaan, dadka qaba hepatitis B ama hepatitis C. koox kale oo dad ah kuwaas oo bilaabi kartaa daaweynta si degdeg ah waa kuwa la HIV rhesus negative. Tani waa sababta daaweynta AIDS dibadda yaraynaysaa load viral iyo yaraynaysaa halista isu gudbinta HIV.

therapy Standard loogu talo galay dadka haysta daaweynta HIV markii ugu horeysay waxa uu isugu jiraa mid ah saddexda daroogada. daroogada Anti-HIV iska leh fasalo kala duwan, iyagoo ku xidhan shaqada on HIV. Saddex nooc oo waaweyn ee daroogada-HIV anti: beddeli nucleoside inhibitors transcriptase (NRTI), inhibitors non-nucleoside dambe transcriptase (NNRTIs) iyo inhibitors protease ritonavir. Haboonba, daawooyinka isku dhafan-HIV anti loogu talagalay dadka qaadashada daaweynta HIV markii ugu horeysay waa efavirenz ku NNRTI (Sustiva) ama NRTI tenofovir (Viread) iyo FTC (emtricitabine, Emtriva) iyo 3TC (lamivudine, Epivir) iyo abacavir (Ziagen).

FTC, iyo TDF lagu daro oo loo yaqaan kiniini Truvada. 3TC (lamivudine, Epivir) iyo abacavir (Ziagen) Epzicom ka mid ahaa in kiniinka. Ka hor inta aadan qaadan Kivexa baahan tahay inaad samayso baaritaan dhiig si loo hubiyo in xasaasiyad u lahayn in ay abacavir. Kivexa noqon kartaa doorasho wanaagsan, haddii ay jirto halis ah in cudurka wadnaha. Oo tenofovir ma noqon karaan doorasho wanaagsan haddii aad qabto dhibaatooyin kelyaha. Haddii aad qaadato efavirenz, tenofovir iyo FTC ah, sida ugu dhakhsaha badan dayrta ee load viral ugu yaraan lix bilood, waxaad u wareegi kartaa si aad iyo u qaadan oo dhan seddex ka mid ah daawooyinkan in kiniinka isku dhafan ee loo yaqaan Atripla ah.

badiilka ah in efavirenz, ritonavir, waa inhibitor protease ah. Maqalka inhibitor protease noqon kartaa xulasho wanaagsan haddii adkeysiga daawada HIV in uu NNRTIs iyo NRTI. Preferred waa inhibitors protease Lopinavir, atazanavir (Reyataz), darunavir (Presista), fosamprenavir (Telzir) ama saquinavir (Invirase). Oo intaas oo dhammu protease inhibitors oo kordhay leh qiyaas gaar ah ritonavir, Lopinavir in la heli karo oo kaliya marka laga reebo in kiniin isku dhafan oo ritonavir (Kaletra). raltegravir inhibitor Integrase (Isentress), iyo inhibitors ee CCR5 dhaweeyayaasha maraviroc (Celsentri) ayaa sidoo kale ansixiyay dadka daaweyn HIV dibadda.

Dumarka aan lagula talinayaa in ay bilaabi sindheerta ah haddii ay unugyada CD4 tirin ka weyn tahay 250 sababtoo ah khatarta ah ee saameyn khatar ah. AZT iyo 3TC (Combivir) talinayaa sida labada alaabooyinka kale ee loogu tala galay dumarka uur. Saddexdan daawooyinka lagula talinayaa inta aad uurka leedahay, maxaa yeelay, waxay muujiyeen in difaacyo wanaagsan looga hortago isu gudbinta Martyr Weyn hooyada ilmaha.