Litlhahiso tse tsoang Lefapha la Bophelo le Litšebeletso tsa Botho tsa United States
Ka May 2014, Lefapha la Bophelo le Litšebeletso tsa Botho tsa United States (DHHS) le ile la ntlafatsa tataiso ea lona ea phekolo ea HIV, e khothalletsa ts'ebetsong ea phekolo ea li-antiretroviral (ART) ho batho bohle ba baholo ba fumanoeng ba e-na le HIV, ho sa tsotellehe lipalo tsa CD4 kapa sethaleng sa lefu .
Litlhahiso tse fetileng li ne li bitsa ART ka litekanyetso tsa CD4 tse ka tlaase ho lisele tse 500 / mL, tse nang le khothatso e itekanetseng bakeng sa ART ka lipalo tse fetang 500 l / mL.
Tlhaloso bakeng sa phekolo ea HIV ka Tlhahlobo
Qeto ea DHHS e tšehetsoa ke bopaki ba hore phekolo ea pele e amahanngoa le liphello tse ngata tse ntle, e leng:
- ho fokotsa kotsi ea lefu le mafu a amanang le lefu la HIV.
- ho fokotsa kotsi ea tšoaetso ho tloha ho 'm'a ho ea ho ngoana.
- ho fokotsa kotsi ea tšoaetso ho motho ea nang le tšoaetso ea HIV.
Litlhahiso tsa morao-rao li tšehetsoa ke bopaki ba hore tšebeliso ea ART e ka fokotsa haholo tšoaetso ea motho ea nang le tšoaetso ea HIV, leano le tummeng le tsejoang e le Phekolo e le Thibelo (TasP)
Ho bontšitsoe ka ho eketsehileng hore batho ba fanang ka ART ka potlako ke monyetla o ka tlaase ho 53% oa ho hlaolela boloetse bo tebileng , bobeli bo amanang le HIV le bo seng bo amanang le bona, ho feta motho eo ART e liehang.
Ho feta moo, ART ea mathoasong ha e fane feela ka liphello tse molemo empa e le bophelo bo telele. Ho ea ka bafuputsi ba North American AIDS Cohort Cooperation ka Lipatlisiso le ho Etsa (NA-ACCORD), motho ea lilemo li 20 ea nang le tšoaetso ea kokoana-hloko ea HIV a ka lebella hore a phele lilemong tsa bo-70 pele a tšoaroa nakong ea ho hlahlojoa.
Ka lehlakoreng le leng, ho tlohela ART ho fihlela lenane la CD4 ea motho le theohela ka tlase ho lisele tse 200 / mL le ka fokotsa nako ea bophelo ba motho eo ka karolelano ea lilemo tse 15.
Litlhahiso tsa Phekolo ea Mantsoe a Pele ho Batho ba sa Tsejoeng
Bakeng sa bakuli ba neng ba sa phekoloe ("bakuli ba nang le bokooa"), sehlopha sa United States hona joale se buella e 'ngoe ea mefuta e tšeletseng ea lithethefatsi e le mekhoa ea bona e khethiloeng bakeng sa phekolo ea pele:
- Triumeq (dolutegravir + abacavir + lamivudine), e nkiloeng hang ka letsatsi
- Tivicay (dolutegravir) + Truvada (tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
- Stribild (elvitegravir + cobicistat + tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
- Genvoya (elvitegravir + cobicistat + tenofovir AF + emtricitabine), e nkiloeng hang ka letsatsi
- Isentress (ratelgravir) + Truvada (tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
- Prezista (darunavir) + Norvir (ritonavir) + Truvada (tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
Ntho e ka sehloohong ea boemo ba khethollo ea DHHS e kenyeletsa moroalo o tlase oa lipilisi, kemiso e bonolo ea ho itokolla, palo e fokolang ea likarolo tse fokolang, le tšitiso e kholo ea ho hanyetsa lithethefatsi.
Kaha maemo a mang a ka 'na a thibela ba bang ho nka mekhoa e khethiloeng (e kang Truvada ho bakuli ba nang le ho holofala ha liphio), DHHS e thathamisa mefuta e meng e tšeletseng ea phekolo e latelang:
- Atripla (efavirenz + tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
- Complera (rilpivirine + tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
- Evotaz (atazanavir + cobicistat) + Truvada (tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
- Reyataz (atazanavir) + Norvir (ritonavir) + Truvada (tenofovir + emtricitabine), e nkiloeng hang ka letsatsi
- Prezcobix (darunavir + cobicistat) OR Prezista (darunavir) + Norvir (ritonavir) e nkiloeng hammoho le Epzicom (abacavir + lamivudine), hang ka letsatsi
Lisebelisoa:
Lefapha la Bophelo le Litšebeletso tsa Botho (DHHS). "Tataiso ea Tšebeliso ea Basebetsi ba Antiretroviral bathong ba nang le HIV-1-ba nang le tšoaetso le bacha." Rockville, Maryland.
Hogg, R .; Althoff, K .; Samji, H .; et al. Ho eketsa nako ea ho phela har'a batho ba nang le tšoaetso ea HIV United States le Canada, 2000-2007. "Seboka sa 7 sa International AIDS Society (IAS) se buang ka Pathogenisis, Phekolo le Thibelo ho ea ho la 30 ho la 3 July 2013; Tšoaea TUPE260.
Skarbinski, J .; Furlow-Parmley, C .; le Frazie, E. "Moemeli oa Sechaba Bokhahla ba Palo ea Batho ba nang le HIV + Baholo ba Fuoeng Tlhokomelo ea Bongaka, E ne e Ngotsoe ka ART, le Morero oa Tlhokomelo ea Bongaka oa Tšebeliso ea Bongaka, e leng 2010 ho ea ho US-2010." Seboka sa bo19 sa li-retroviruses le mafu a mangata a sa tšoaneng (CROI); Seattle, Washington; La 8 March, 2013; molomo oa molomo # 138.
Lasry, A; Thekollo, S .; Wolitski, R .; et al. "Ts'oaetso ea thobalano ea HIV ka kotsing har'a balekane ba serodiscordant: ho hlahloba liphello tsa ho kopanya mekhoa ea thibelo." AIDS . La 14 Mantsiboea 2014; 28 (10): 1521-1529.
Kitahata, M .; Gange, S .; Abrahama, A., le al. "Phello ea phekolo ea meriana ea li-antiretroviral bakeng sa HIV e ntse e phela." New England Journal of Medicine. La 30 April, 2009; 360 (18): 1815-1826.