I-Lifespans eqhelekileyo iyafezeka kodwa iingxaki zihlala
Kungokwemvelo ukuzibuza ukuba ungaphila ixesha elide ukuba unayo i-HIV. Ngelixa abantu baya kukuqinisekisa ukuba sisifo esiphefumlelweyo, oko kuthetha ntoni ngokubhekiselele kwimizuzu yokuphila kuphela kodwa umgangatho wobomi?
Impendulo ilula kwaye ayinayo-elula. Ngokubanzi, imbono ikhangeleke kakhulu. Ngentuthuko ye- antiretroviral therapy , abantu abanentsholongwane kaGawulayo namhlanje banokulindela ukuba baphile ixesha elide kwaye baphilile kunanini ngaphambili Ukuba unyango luqaliswa kusasa kwaye luthathwa nsuku zonke njengoko luyalelwe.
Enyanisweni, umntu oneminyaka engama-20 ubudala oqaliswe ngonyango lwe-HIV unokulindela ukuba aphile kwiminyaka engama-70 ubudala, ngokutsho kophando oluvela kwi-North American AIDS Cohort Ukubambisana ngokuPhando kunye neNyunithi (NA-ACCORD).
Uhlaziyo lophando olwenziwa ngo-2011 oluvela kwiSwitzerland Cohort Study lusekela ngakumbi abo bafumanayo, bacebisa ukuba abantu abaqala unyango kuqala (kwi-CD4 ababa ngaphezu kwama-350) banako ukuphumeza ixesha lokuphila elilinganayo okanye likhulu kunelo lonke uluntu.
Izinto ezenza ukunciphisa Ubomi obungalindelekanga
Kodwa oko akuthethi ukuba akukho mingeni enokubuyisela amaninzi kulawo mahle. Ukususela kumbono womntu, ixesha elide lixhomekeka kwiimeko ezininzi ezinokunyusa okanye ukunciphisa ukulinda komntu kumntu one-HIV. Ezi zinto zivela kwizinto esinokuzilawula (ezifana nokunamathela kwezidakamizwa ) kwizinto esingenako (ezifana nobuhlanga okanye isimo sengeniso ).
Ngaphezu koko, i-HIV yinyani kuphela yenkxalabo yexesha elide.
Kwabo banako ukugcina umthamo we-virus engabonakaliyo, umngcipheko weengxaki ezingenayo i-HIV, ezifana nomhlaza kunye nesifo senhliziyo , lukhulu kunabo bonke abantu kwaye luya kwenzeka naphakathi kweminyaka eyi-10 ukuya kwe-15 ngaphambili.
Ngokubalulekileyo kukuba le nkxalabo yokuba umntu onentsholongwane kaGawulayo unokufa ngokukhawuleza kokugula okungenayo intsholongwane kaGawulayo kunokuba unxulumene ne-HIV.
Ukuzuza kunye nokulahlekelwa kwiminyaka yokuphila
Izinto ezichaphazela ukuhlala kwimiba zimila (zitshintshile) okanye zinamandla (zinako ukutshintsha ixesha elide).
Izizathu ezinobomi , njengobuhlanga okanye ukuxhatshazwa ngokwesondo, zichaphazela ukulindela ubomi ngenxa yokuba abantu bahlala bengakwazi ukuphepha. Umzekelo, amanqanaba aphakamileyo entlupheko kwiindawo zase-Afrika zaseMerika ezidibaniswe nokungabikho kokufikelela kwiinkonzo zempilo kunye namazinga aphakamileyo e-HIV.
Izinto ezinamandla , ngokuthelekisa, zinobudlelwane obubangela-nesefuthe kumaxesha okuphila. Ngokomzekelo, ukunamathela kwonyango kuhambelana ngqo nokukhula kwesifo. Ukunyanzeliswa okuncinci kugcinwa, umngcipheko omkhulu wokunganyanga kweziyobisi kunye nokungaphumeleli kwonyango. Ngokwehluleka ngalunye, umntu ulahlekelwa ezininzi iinkqubo zokonyango.
Xa sibheke kuzo zombini izinto ezinobungozi, sisenokuqala ukufumanisa apho umntu unokufumana okanye alahlekelwe yiminyaka yokuphila ngaphandle kokukwazi. Phakathi kwabo:
- Inani le-CD4 yomntu ekuqaleni kokunyanga luhlala linye yezona zibonakaliso ezinamandla kakhulu zokuphila. Ukuqala unyango xa inani le-CD4 lingaphantsi kwe-200 linganciphisa iminyaka engama-15 ukusuka ebomini bomntu .
- Ababhemayo abanentsholongwane kaGawulayo banokulahlekelwa iminyaka engakumbi yokubhema kune-HIV. Enyanisweni, umngcipheko wokufa ngokutshaya uphezulu kabini phakathi kwababhemayo abane-HIV kwaye unokunciphisa iminyaka engama-12 ubomi bomntu kungakhathaliseki ukuba ne-HIV.
- Uhlanga kunye nokuphila ixesha elide lidibanisene neHIV. Ngokomphando ovela kwiSikolo soLuntu seBloomberg yezeMpilo, ama- Afrika aseMerika aseNtsholongwane kaGawulayo ahlala kwiminyaka engama-8.5 ngaphantsi kohlobo lwabo abamhlophe.
- Abasebenzisi bokusetyenziswa kweziyobisi belahlekelwa yilahleko, zombini ngokubhekiselele kwi-HIV-kunye nezifo ezinxulumene ne-HIV. Iimbongo ezinamandla kunokuba zihambelana nokunyamezela kunye nokutheleleka kwe-hepatitis C. Yonke into echazwe, ukulinda komntu wokufaka injecting users users is 20 years less than all other groups.
ILizwi
Ekugqibeleni, kubalulekile ukuba ukhumbule ukuba iinkcukacha ezingabonakaliyo. Abakwazi ukuqikelela oko kuza kwenzeka ngexesha lokusuleleka.
Banokubonisa kuphela ukuba unyathelo elingakuthatha ukuthintela umngcipheko wokugula ngokusekelwe kwimibandela wena, njengomntu, unokukwazi ukutshintsha ngokulula.
> Imithombo:
> Hogg, R .; Althoff, K .; Samji, H. et al. "Ukunyuka kwexesha lokuphila phakathi kwabantu abanogciwane lesandulela ngculazi eMelika naseCanada, 2000-2007." I-7 ye-International AIDS Society (IAS) Inkomfa kwiPathogenesis, Treatment and Prevention. Kuala Lumpur, eMalaysia. NgoJuni 30-Julayi 3, 2013; TUPE260.
> Hasse, B; Ledergerber, B; Egger, M. et al. "Ukuguga kunye (non-HIV-inxulumene) Ukudibanisa abantu abane-HIV: I-Swiss Cohort Study (SHCS)." INgqungquthela ye-18 kwiiRevroviruses kunye nezifo ezithintekayo, iBoston; NgoFebruwari 27-Matshi 3, 2011; 792.
> Thorsteinsson, K .; Ladelund, S .; Jensen-Fangel, S. et al. "Impembelelo yesini kwisichengeni sokugula kunye nokufa kwabantu kwizigulane ezinegciwane le-HIV-1: isizwe sonke sifundo." I-Scandinavia Journal of Infectious Disease. Oktobha 2012; 44 (10): 766-75. INGXELO: 10.3109 / 00365548.2012.684220,
> Helleberg, M .; Afzal, S; Kronborg, G. et al. "Ukufa okubangelwa ukutshaya phakathi kwabantu abane-HIV-1: i-nationwide, based population-based study." Izifo ezithathelwanayo zonyango. Matshi 2013; 56 (5): 727-34. INGXELO: 10.1093 / cid / cis933.
> Murray, M .; Hogg, R .; Lima, V .; okqhubekayo. I-Impact of Use Injecting Drug Use History of Disease Ukunyuka Nokufa Phakathi Kwabantu abane-HIV Ukuqalisa Inxube ye-Antiretroviral Therapy. " IHIV. Fe bruwari 2012; 13 (2): 89-97. INGXELO: 10.1111 / j.1468-1293.2011.00940.x.