Chithandizo HIV mu Israel - Kugwiritsa AIDS Chithandizo Lina

chithandizo HIV mu Isiraeli ndi kuonetsetsa kuti anthu ndi HIV angathe kukhala ndi moyo wabwinobwino. mankhwala Anti-HIV ntchito ndi kuchepetsa kuchuluka kwa HIV mu katundu magazi tizilombo. Cholinga cha mankhwala HIV: tizilombo katundu. Izi zikutanthauza kuti pambuyo mankhwala a HIV kunja, kuchuluka kwa HIV mu magazi ndi ang'onoang'ono kwambiri motero kuti silingathe kuonedwa ndi mayesero muyezo. Kuchepetsa kuchuluka kwa HIV mu magazi amathandiza kulimbikitsa chitetezo cha m'thupi. The apamwamba a CD4 cell chizengerezo; m'munsi ngozi ya matenda chifukwa chotenga HIV, mwinanso matenda ena oopsa.

Muyenera kukambirana ndi dokotala nthawi yabwino kuyamba chithandizo HIV kunja. Pali zinthu zingapo zimene inu mungafune kuganizira, kuphatikizapo: The phindu kuyambira mankhwala pa nthawi ino. Angathe ngozi, ngati pali akuchedwa chiyambi cha mankhwala. Kodi mwakonzeka kuyamba chithandizo tsopano? Pali zinthu zina mu moyo wanu zimene zimakhudza mphamvu ndi kufunika koyamba mankhwala AIDS ku Israel.

Nthawi zambiri, Mpofunika kwathunthu mankhwala matenda kulikonse pamaso kuyambitsa matenda a HIV. Ngati CD4 ndi za 350, izo tikulimbikitsidwa kuti akambirane chithandizo HIV ndi dokotala wanu ndi kuyamba mankhwala HIV mu Israel, mwamsanga pamene muli okonzeka. Odwala ena analangiza kuyamba mankhwala pamene foni awo CD4 akadali kuposa 350 Mwachitsanzo, anthu amene ali ndi matenda a chiwindi B kapena chiwindi C. Gulu lina la anthu amene akhoza kuyamba chithandizo mwamsanga awo ali ndi rhesus HIV negative. Ichi ndi chifukwa mankhwala a AIDS m'mayiko amachepetsa katundu tizilombo ndipo kumachepetsa amatenga kachilombo ka HIV.

Standard amalimbikitsa anthu kukhala ndi kachilombo ka HIV koyamba ndi osakaniza mankhwala atatu. mankhwala Anti-HIV a magulu osiyanasiyana, malingana ndi ntchito yawo pa HIV. Atatu makalasi yaikulu ya mankhwala odana ndi HIV: nucleoside chigamulocho zoletsa transcriptase (NRTIs), si nucleoside n'zosiyana transcriptase zoletsa (NNRTIs) ndi ritonavir zoletsa protease. Makamaka, osakaniza odana ndi HIV mankhwala kwa anthu kutenga kachilombo ka HIV kwa nthawi yoyamba ndi NNRTI efavirenz (Sustiva) kapena NRTI tenofovir (Viread) ndi FTC (emtricitabine, Emtriva) ndi 3TC (lamivudine, Epivir) ndi abacavir (Ziagen).

FTC, ndi TDF amaphatikizidwa ndi otchedwa mankhwala Truvada. 3TC (lamivudine, Epivir) ndi abacavir (Ziagen) Epzicom m'gulu la piritsi. Musanayambe Kivexa muyenera kuchita atayezetsa kuonetsetsa palibe ziwengo kuti abacavir. Kivexa akhoza kukhala wabwino, ngati pali chiopsezo cha matenda a mtima. Ndipo tenofovir sangakhale wabwino ngati muli ndi vuto la impso. Ngati inu mukutenga efavirenz, tenofovir ndi FTC, mwamsanga pamene chogwa katundu tizilombo kwa miyezi isanu ndi umodzi, mukhoza kusinthana ndi kutenga onse atatu mankhwala mu piritsi kuphatikiza otchedwa Atripla.

Mophunzitsa efavirenz, ritonavir, ndi protease woletsa. Nakweza protease woletsa kungakhale njira yabwino ngati HIV mankhwala kukana ali ndi NNRTIs ndi NRTIs. Yochezera ndi protease zoletsa lopinavir, atazanavir (Reyataz), darunavir (Presista), fosamprenavir (Telzir) kapena saquinavir (Invirase). protease onsewa zoletsa chinawonjezeka ndi mlingo osiyana ritonavir, lopinavir kupatula kuti zizipezeka mapiritsi osakaniza ritonavir (Kaletra). Integrase woletsa raltegravir (Isentress), ndi zoletsa wa CCR5 zolandilira maraviroc (Celsentri) anali kulandila anthu ndi chithandizo HIV kunja.

Akazi analangiza kuyamba kutenga mankhwala a nevirapine ngati awo CD4 cell kuwerenga woposa 250 chifukwa cha chiopsezo zotsatira zina zoyipa. AZT ndi 3TC (Combivir) tikulimbikitsidwa monga mankhwala ena awiri kwa akazi akukonzekera kukhala ndi pakati. Mankhwalawa atatu analimbikitsa woyembekezera, chifukwa iwo mwasonyezedwa kukhala chitetezo chabwino kuteteza kufala kwa Wamkulu Martyr kuchokera kwa mayi kupita kwa mwana.