Nkwupụta site na Ngalaba Na-ahụ Maka Ahụike na Ọrụ Ndị Ọrụ na United States
Na May 2014, Ngalaba Na-ahụ Maka Ahụike na Ọrụ Ụmụaka na United States (DHHS) weghaara usoro nduzi nje HIV, na-atụ aro ka e mejuputa ọgwụ nje (ART) n'ime ndị okenye niile a chọpụtara na nje HIV, n'agbanyeghị na CD4 dị ma ọ bụ ọrịa nke ọrịa .
Nkwenye ndị a na-akpọ maka ART na CD4 dị n'okpuru mkpụrụ ndụ 500 / mL, yana ndụmọdụ dị oke mma maka ART na-atụle ihe karịrị sel 500 / mL.
Akara maka ọgwụgwọ HIV na nchoputa
Mkpebi DHHS na akwado nkwado na-egosi na a na-ejikọta ọgwụgwọ oge mbụ na ọtụtụ nti ntipụtara, ya bụ:
- Mbelata nke ọnwụ na ọrịa ndị metụtara ọrịa HIV.
- mbelata ihe ize ndụ nke nnyefe site na nne ruo na nwata.
- nbelata ihe ize ndụ nke ịnyefe site na onye nwere nje HIV.
Nkwado ikpeazụ a na-akwado nkwado na-egosi na iji ART eme ihe nwere ike belata ngwa ngwa nke onye nwere nje HIV, usoro a maara nke ọma dị ka Ngwọta dịka Mgbochi (TasP)
E gosiputarala na ndị mmadụ nyere ART ozugbo bụ 53% na o yikarịrị ka ha ga-ebute ọrịa siri ike , ma ndị HIV ma ndị na-abụghị ndị metụtara ya, karịa onye onye ART na-egbu oge.
Ọzọkwa, ART mbụ na-enye ọ bụghị nanị maka nhapụta dị mma kama ogologo ndụ. Dị ka ndị nchọpụta na Ngalaba Na-ahụ Maka Ọrịa AIDS na North America AIDS na Research and Design (NA-ACCORD), onye dị afọ 20 nwere nje HIV nwere ike ugbu a na-adị ndụ n'ime afọ 70 ya ma ọ bụrụ na a na-emeso ya n'oge nchoputa.
N'aka nke ọzọ, ichikota ART ruo mgbe ọnụ ọgụgụ CD4 nke mmadụ gbadaa n'okpuru 200 sel / mL nwere ike belata afọ ndụ onye ahụ site na afọ 15.
Aro maka Ngwọta Nri Na Mbụ na Ndị okenye
Maka ndị ọrịa na-emebeghị ọgwụgwọ (ndị ọkachamara na-agwọ ọrịa), ụlọ ọrụ ndị dị na United States na-atụ aro otu n'ime usoro ọgwụgwọ isii dịka nhọrọ kachasị mma maka ọgwụgwọ mbụ:
- Triumeq (dolutegravir + abacavir + lamivudine), otu ugboro kwa ụbọchị
- Tivicay (dolutegravir) + Truvada (tenofovir + emtricitabine), were otu ugboro kwa ụbọchị
- Mbube (elvitegravir + cobicistat + tenofovir + emtricitabine), were otu ugboro kwa ụbọchị
- Genvoya (elvitegravir + cobicistat + tenofovir AF + emtricitabine), were otu ugboro kwa ụbọchị
- Isentress (ratelgravir) + Truvada (tenofovir + emtricitabine), otu ugboro kwa ụbọchị
- Prezista (darunavir) + Norvir (ritonavir) + Truvada (tenofovir + emtricitabine), otu ugboro kwa ụbọchị
Isi ihe kachasị maka DHHS na-agụnye ọnọdụ na-agụnye ibu arọ nke mpempe akwụkwọ, usoro ntanetị dị mfe, njedebe mmetụta dị mma, na nnukwu ihe mgbochi nye nguzogide ọgwụ.
Ebe ọ bụ na ụfọdụ ọnọdụ nwere ike wepu ụfọdụ site na-ewere nhọrọ (dị ka Truvada na ndị ọrịa na-enwe adịghị ike akụrụ), DHHS depụtara usoro isii ọzọ maka ọgwụgwọ mbụ na-esote:
- Atripla (efavirenz + tenofovir + emtricitabine), otu ugboro kwa ụbọchị
- Complete (rilpivirine + tenofovir + emtricitabine), otu ugboro kwa ụbọchị
- Evotaz (atazanavir + cobicistat) + Truvada (tenofovir + emtricitabine), were otu ugboro kwa ụbọchị
- Reyataz (atazanavir) + Norvir (ritonavir) + Truvada (tenofovir + emtricitabine), were otu ugboro kwa ụbọchị
- Prezcobix (darunavir + cobicistat) OR Prezista (darunavir) + Norvir (ritonavir) e tinyere na Epzicom (abacavir + lamivudine), otu ugboro kwa ụbọchị
Isi mmalite:
Ngalaba Ahụike na Ọrụ Ndị Mmadụ (DHHS). "Ntuziaka Maka Eji Ndị Na-akpata Antiretroviral na HIV-1-Adults Adults and Adolescents." Rockville, Maryland.
Hogg, R .; Althoff, K .; Samji, H .; et al. Na-amụba na atụmanya ndụ n'etiti ndị na-arịa ọrịa HIV na United States na Kanada, 2000-2007. "Nzukọ Maka Ọrịa AIDS nke Mba Ụwa nke Otu (IAS) na Pathogenesis, Ọgwụgwọ na Mgbochi. Azụ TUPE260.
Skarbinski, J .; Furlow-Parmley, C .; na Frazie, E. "Ndị nnọchiteanya nke National National Estimates of Number of HIV + Adults Who Received Medical Care, ART Dọpụtara, na Nweta Mmetụta Ịgba Ọgwụ-Ọrụ Nlekọta Ahụike, 2009 ruo 2010-US." 19th Conference on Retroviruses and Opportunity Diseases (CROI); Seattle, Washington; March 8, 2013; ederede nkịtị # 138.
Lasry, A; Sansom, S .; Wolitski, R .; et al. "Mmekọahụ na-ebute nje HIV site na ndị di na nwunye na-achọ ịlụ ọgụ: nyochaa mmetụta nke ijikọta usoro mgbochi." AIDS . June 14, 2014; 28 (10): 1521-1529.
Kitahata, M .; Gange, S .; Abraham, A., et al. "Mmetụta nke usoro ọgwụgwọ antiretroviral na-adabere n'oge na-adịghị anya maka nje HIV." New England Journal of Medicine. April 30, 2009; 360 (18): 1815-1826.