Onkọwe Ọkunrin: William Ramirez
ỌJọ Ti ẸDa: 17 OṣU KẹSan 2021
ỌJọ ImudojuiwọN: 13 OṣUṣU 2024
Anonim
How HIV kills so many CD4 T cells | Infectious diseases | NCLEX-RN | Khan Academy
Fidio: How HIV kills so many CD4 T cells | Infectious diseases | NCLEX-RN | Khan Academy

Akoonu

Kini kika CD4 kan?

Nọmba CD4 jẹ idanwo ti o wọn nọmba awọn sẹẹli CD4 ninu ẹjẹ rẹ. Awọn sẹẹli CD4, ti a tun mọ ni awọn sẹẹli T, jẹ awọn sẹẹli ẹjẹ funfun ti o ja ija ati ṣe ipa pataki ninu eto alaabo rẹ. Nọmba CD4 kan ni a lo lati ṣayẹwo ilera ti eto ajẹsara ni awọn eniyan ti o ni arun HIV (ọlọjẹ aipe aipe eniyan).

HIV kọlu ati run awọn sẹẹli CD4. Ti ọpọlọpọ awọn sẹẹli CD4 ti sọnu, eto aiṣedede rẹ yoo ni wahala lati ja awọn akoran. Nọmba CD4 kan le ṣe iranlọwọ fun olupese ilera rẹ lati wa boya o wa ni eewu fun awọn ilolu to ṣe pataki lati HIV. Idanwo naa tun le ṣayẹwo lati rii bi awọn oogun HIV ṣe n ṣiṣẹ daadaa.

Awọn orukọ miiran: CD4 lymphocyte kika, CD4 + kika, T4 kika, Tii oluranlọwọ alagbeka alagbeka, ogorun CD4

Kini o ti lo fun?

A ka CD4 le ṣee lo si:

  • Wo bi HIV ṣe n ni ipa lori eto ara rẹ. Eyi le ṣe iranlọwọ fun olupese ilera rẹ lati wa boya o wa ni eewu ti o ga julọ fun awọn ilolu lati aisan naa.
  • Pinnu boya lati bẹrẹ tabi yi oogun HIV rẹ pada
  • Ṣe ayẹwo Arun Kogboogun Eedi (ti a gba aarun ailera)
    • Awọn orukọ HIV ati Arun Kogboogun Eedi ni a lo lati ṣapejuwe arun kanna. Ṣugbọn ọpọlọpọ eniyan ti o ni HIV ko ni Arun Kogboogun Eedi. Arun kogboogun Eedi jẹ ayẹwo nigbati kika CD4 rẹ ba kere pupọ.
    • Arun Kogboogun Eedi ni ọna ti o buru julọ ti arun HIV. O ṣe ibajẹ eto aarun ati pe o le ja si awọn akoran anfani. Iwọnyi jẹ pataki, igbagbogbo ni idẹruba aye, awọn ipo ti o lo anfani awọn eto aito alailagbara pupọ.

O tun le nilo kika CD4 ti o ba ti ni gbigbe ohun ara. Awọn alaisan asopo ara mu awọn oogun pataki lati rii daju pe eto alaabo kii yoo kọlu ara tuntun. Fun awọn alaisan wọnyi, kika CD4 kekere kan dara, o tumọ si pe oogun naa n ṣiṣẹ.


Kini idi ti Mo nilo kika CD4 kan?

Olupese ilera rẹ le paṣẹ iwe kika CD4 nigbati o ba kọkọ ayẹwo pẹlu HIV. O ṣee ṣe ki o wa ni idanwo lẹẹkansi ni gbogbo awọn oṣu diẹ lati rii boya awọn iye rẹ ba ti yipada lati idanwo akọkọ rẹ. Ti o ba nṣe itọju HIV, olupese iṣẹ ilera rẹ le paṣẹ awọn iṣiro CD4 deede lati rii bi awọn oogun rẹ ṣe n ṣiṣẹ daradara.

Olupese rẹ le pẹlu awọn idanwo miiran pẹlu kika CD4 rẹ, pẹlu:

  • Iwọn CD4-CD8 kan. Awọn sẹẹli CD8 jẹ iru sẹẹli ẹjẹ funfun ninu eto alaabo. Awọn sẹẹli CD8 pa awọn sẹẹli akàn ati awọn ikọlu miiran. Idanwo yii ṣe afiwe awọn nọmba ti awọn sẹẹli meji lati ni imọran ti o dara julọ ti iṣẹ eto mimu.
  • Fifuye gbogun ti HIV, idanwo kan ti o ṣe iwọn iye HIV ninu ẹjẹ rẹ.

Kini o ṣẹlẹ lakoko kika CD4 kan?

Onimọṣẹ ilera kan yoo mu ayẹwo ẹjẹ lati iṣọn kan ni apa rẹ, ni lilo abẹrẹ kekere kan. Lẹhin ti a fi sii abẹrẹ, iye ẹjẹ kekere yoo gba sinu tube idanwo tabi igo kan. O le ni irọra diẹ nigbati abẹrẹ ba wọ inu tabi jade. Eyi maa n gba to iṣẹju marun.


Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

O ko nilo eyikeyi awọn ipese pataki fun kika CD4 kan.

Ṣe eyikeyi awọn eewu si idanwo naa?

Ewu pupọ wa si nini idanwo ẹjẹ. O le ni irora diẹ tabi ọgbẹ ni aaye ibiti a ti fi abẹrẹ sii, ṣugbọn ọpọlọpọ awọn aami aisan lọ ni kiakia.

Kini awọn abajade tumọ si?

Awọn abajade CD4 ni a fun ni nọmba awọn sẹẹli fun milimita onigun ẹjẹ. Ni isalẹ ni atokọ ti awọn abajade aṣoju. Awọn abajade rẹ le yatọ si da lori ilera rẹ ati paapaa laabu ti a lo fun idanwo. Ti o ba ni awọn ibeere nipa awọn abajade rẹ, sọrọ si olupese iṣẹ ilera rẹ.

  • Deede: Awọn ẹyin 500-1,200 fun milimita onigun
  • Ajeji: Awọn sẹẹli 250-500 fun millimita onigun. O tumọ si pe o ni eto alaabo alailagbara ati pe o le ni arun HIV.
  • Ajeji: 200 tabi awọn sẹẹli to kere ju fun milimita onigun. O tọka Arun Kogboogun Eedi ati eewu giga ti awọn akoran ti o ni idẹruba aye.

Lakoko ti ko si iwosan fun HIV, awọn oogun oriṣiriṣi wa ti o le mu lati daabo bo eto rẹ ati pe o le ṣe idiwọ fun ọ lati ni Arun Kogboogun Eedi. Loni, awọn eniyan ti o ni kokoro HIV n gbe pẹ, pẹlu igbesi aye to dara julọ ju ti igbagbogbo lọ. Ti o ba n gbe pẹlu HIV, o ṣe pataki lati wo olupese ilera rẹ nigbagbogbo.


Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.

Awọn itọkasi

  1. AIDSinfo [Intanẹẹti]. Rockville (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Iwe-ẹri HIV / Arun Kogboogun Eedi: Iṣeduro Ajẹsara Ti a Gba (AIDS); [imudojuiwọn 2017 Nov 29; toka si 2017 Oṣu kọkanla 29]; [nipa iboju 3]. Wa lati: https://aidsinfo.nih.gov/understanding-hiv-aids/glossary/3/acquired-immunodeficiency-syndrome
  2. AIDSinfo [Intanẹẹti]. Rockville (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; HIV / AIDS Glossary: ​​CD4 Nọmba; [imudojuiwọn 2017 Nov 29; toka si 2017 Oṣu kọkanla 29]; [nipa iboju 3]. Wa lati: https://aidsinfo.nih.gov/understanding-hiv-aids/glossary/822/cd4-count
  3. Awọn ile-iṣẹ fun Iṣakoso ati Idena Arun [Intanẹẹti]. Atlanta: Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Nipa HIV / Arun Kogboogun Eedi; [imudojuiwọn 2017 May 30; toka si 2017 Oṣu kọkanla 29]; [nipa iboju 3]. Wa lati: https://www.cdc.gov/hiv/basics/whatishiv.html
  4. Awọn ile-iṣẹ fun Iṣakoso ati Idena Arun [Intanẹẹti]. Atlanta: Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Ngbe pẹlu HIV; [imudojuiwọn 2017 Aug 22; toka si 2017 Dec 4]; [nipa awọn iboju 9]. Wa lati: https://www.cdc.gov/hiv/basics/livingwithhiv/index.html
  5. Awọn ile-iṣẹ fun Iṣakoso ati Idena Arun [Intanẹẹti]. Atlanta: Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Idanwo; [imudojuiwọn 2017 Sep 14; toka si 2017 Dec 4]; [nipa iboju 7] .XT Wa lati: https://www.cdc.gov/hiv/basics/testing.html
  6. Johns Hopkins Oogun [Intanẹẹti]. Johns Hopkins Oogun; Ile-ikawe Ilera: Dena Awọn Aarun Anfani ni HIV / AIDS; [toka si 2017 Oṣu kọkanla 29]; [nipa iboju 3]. Wa lati: https://www.hopkinsmedicine.org/healthlibrary/condition/adult/infectious_diseases/preventing_opportunistic_infections_in_hivaids_134,98
  7. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington DC: Association Amẹrika fun Kemistri Iṣoogun; c2001–2018. CD4 Ka; [imudojuiwọn 2018 Jan 15; toka si 2018 Feb 8]; [nipa iboju 2]. Wa lati: https://labtestsonline.org/tests/cd4-count
  8. Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2017. HIV / Arun Kogboogun Eedi: Awọn idanwo ati ayẹwo; 2015 Keje 21 [ti a sọ ni Oṣu kọkanla 29]; [nipa awọn iboju 7]. Wa lati: https://www.mayoclinic.org/diseases-condition/hiv-aids/basics/tests-diagnosis/con-20013732
  9. Ẹya Olumulo Afowoyi Merck [Intanẹẹti]. Kenilworth (NJ): Merck & Co., Inc.; c2017. Iwoye Arun Kogboogun Eniyan (HIV); [toka si 2017 Oṣu kọkanla 29]; [nipa iboju 3]. Wa lati: http://www.merckmanuals.com/home/infections/human-immunodeficiency-virus-hiv-infection/human-immunodeficiency-virus-hiv-infection
  10. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Awọn idanwo ẹjẹ; [toka si 2018 Feb 8]; [nipa iboju 3]. Wa lati: https://www.nhlbi.nih.gov/health-topics/blood-tests
  11. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2017. Encyclopedia Health: Fifuye Gbogun ti HIV; [toka si 2017 Oṣu kọkanla 29]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=hiv_viral_load
  12. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2017. Encyclopedia Health: Iwọn CD4-CD8; [toka si 2017 Oṣu kọkanla 29]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=cd4_cd8_ratio
  13. Ẹka Ile-iṣẹ ti Awọn Ogbologbo Amẹrika [Intanẹẹti]. Washington DC: Ẹka U.S. ti Awọn Ogbologbo Ogbo; CD4 kika (tabi T-cell count); [imudojuiwọn 2016 Aug 9; toka si 2017 Oṣu kọkanla 29]; [nipa iboju 5]. Wa lati: https://www.hiv.va.gov/patient/diagnosis/labs-CD4-count.asp
  14. Ẹka Ile-iṣẹ ti Awọn Ogbologbo Amẹrika [Intanẹẹti]. Washington DC: Ẹka U.S. ti Awọn Ogbologbo Ogbo; Kini HIV?; [imudojuiwọn 2016 Aug 9; toka si 2017 Oṣu kọkanla 29]; [nipa iboju 4]. Wa lati: https://www.hiv.va.gov/patient/basics/what-is-HIV.asp
  15. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2017. CD4 + Ka Awọn abajade; [imudojuiwọn 2017 Mar 3; toka si 2017 Oṣu kọkanla 29]; [nipa awọn iboju 7]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/t-lymphocyte-measurement/tu6407.html#tu6414
  16. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2017. CD4 + Ka Akopọ Idanwo; [imudojuiwọn 2017 Mar 3; toka si 2017 Oṣu kọkanla 29]; [nipa iboju 2]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/t-lymphocyte-measurement/tu6407.html
  17. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2017. CD4 + Ka Idi ti O Fi Ṣe; [imudojuiwọn 2017 Mar 3; toka si 2017 Oṣu kọkanla 29]; [nipa iboju 3]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/t-lymphocyte-measurement/tu6407.html#tu6409

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.

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