There is life with HIV

Long Life and HIV / AIDS

I really want to be this old man Cláudio da old lady Mara

Long life and HIV / AIDS ???! Yes, it may seem strange to you. It is better to review concept. You see, it is important that you observe the world, as it is always in motion and changes; you must challenge your prejudices, or they will certainly confront you at some point !!!

Once, back in the 90s, a person at a domestic meeting said that the happy birthday for people with HIV / AIDS (or AIDS patients as he said 😤😡), should look like this:

Congratulations to you On this dear date Best wishes La la la [email protected]

It was not out of unwillingness that I stopped punching him in the face. But I was pleased to invite you, kindly, to leave the apartment!

Long Life and AIDS. Does it seem strange to you to read something like this?

Vida longa e HIV é possível
Image xaviandrew by Pixabay

Well, the life expectancy of people with HIV is up to ninety (90) years. A doctor, also a friend, said that, in those days, about four or five years ago, life expectancy was 80 years!

AIDS! Now Yes, without limits to dream! The life expectancy of people living with HIV and AIDS, AIDS or HIV is similar to that of a “normal” person!

Yesterday I was talking to a friend, one of whom the chain brought me and who really stayed! .

And he made a testimony, in audio, that I have not yet put online purely and simply because I am not taking care of everything and changing my voice, something that is often absolutely necessary!

And he ended up telling me an old dream and I decided to take a look “around there” as Araci de Almeida used to say. And it's not that I found something that will already make you smile, because it's all a matter of time and, as they say, time is the Lord of reason.

And so, I, who come from the untreated era and saw so much, so much, that I lost new and old friends, that I lost immaterialized love, I ended up living to read, translate and publish this text:

Longevity, HIV and your health

Vida Longa e HIV/AIDS, Blog Soropositivo.Org With great news in terms of andlife expectancy of people living with HIV! Friend, you will see what you dreamed. I put all the chips I have into it, spin the roulette, drop the ball and just come back to see the number !!!!!

The outlook has never been better for people with HIV.  Poor, or not, we already know everything! The life expectancy of people living with HIV and AIDS, AIDS or HIV is similar to that of a “normal person *

In fact, a recent study in the UK showed that people living with HIV and who have a good initial response to HIV treatment have a similar life expectancy to people in the general population. 

Specifically, a 50-year-old man who had a CD4 cell count above 350 and an undetectable viral load one year after ART (Antiretroviral Therapy) against HIV could live up to 83 years of age. A 50-year-old woman under the same circumstances would have a life expectancy of 85 years.

Even when the initial response to treatment was not so good - for example, cwith a CD4 count between 200 and 350, or with viral load still detectable after one year - people with HIV were expected to live well into their seventies.

Recovery of the Immune System is a condition Sine Qua Non

Vida Longa e HIV/AIDS, extremamente plausível
Whether afraid of a needle or not, the person with HIV, or what we define as a person sick with AIDS, will have to, like it or not, learn to manage with needles. Marcia it was such a person. And she taught me a lot about life. The truth is, every woman I've been with for more than a week has taught me something.

Good access to effective HIV treatment that reduces viral load to undetectable levels And allows the immune system to recover, it is necessary for a long life with HIV.

People who start HIV treatment as soon as possible, are able to stay with it and who regularly attend the high quality services provided by “SUS” are likely to have an expectation similar life for your couples who do not have HIV.

In this situation, it is unlikely that you will get sick or die as a direct result of the action of HIV, but it can be affected by other diseases and health conditions. And there are some possibilities that can make you sick or die as a direct result of HIV, the AIDS virus, but you can also be affected by other diseases or health conditions most common in people who do not have HIV and affect people living with HIV as they age, such as lipids (blood fat), high blood pressure and depression. A number of people with HIV have diabetes, cancer, bone problems and other conditions.

 

This is similar to the general population. The so-called “normal”

A wide range of factors affect your risk of developing these health conditions. Some of these are things you can't change, like your age, family history of certain diseases or have HIV. You can avoid using a condom. But once you have built it, then reader, reader ...

Other risk factors are at your fingertips to change.

You can expect to have a longer and healthier life if you don't smoke, you are physically active, have a balanced diet, maintain a healthy weight, avoid excessive consumption of alcohol or drugs, stay socially connected and keep your mind active. But keep in mind that using drugs is the end of the sting!

Other health problems affecting the quality of life of people with HIV

The risk of having health problems like heart disease and cancer increases for everyone as we age. 

Yes it's true! Time passes for everyone. But he does suffer a “subtle distortion” when it comes to aging with HIV!

The focus of your health probably will change as your doctors pay more attention to a wide range of health problems, as well as HIV itself. One of medical mines and friends said to me like this:

AIDS is the stippling iceberg of things that happen in your body after HIV comes into contact with your body!

Vida longa e HIV/AIDS
Image 358611 by Pixabay

I, Claudio, once again emphasize a “little thing”. We, the ones diagnosed in the 90 decade, and the Highlanders of the 80 decade have a complicating factor:

There is no clinical / laboratory literature, a kind of instruction manual with which doctors, doctors and researchers and all serious actors, it is necessary to emphasize the serious ones, can follow to treat us.

At this point I miss Sig. and An. And I believe that it is now very clear that the damage done to my psyche is indelible! ...

… .It's us, and these Highlanders, diagnosed also in the 90's, which we are serving, is an exchange, always is, as research subjects, where doctors whose qualities I already mentioned, will have to go, little by little, literally in MD. eager to keep us alive, so that others suffer less! 

And this is one of the innumerable variables to be respected when patients without pain references are incapable of empathy and apologize for the lack of references

Just come to my blog, very well referenced! Look 

It is a document with almost 20 years of history! Ask politely and I give an assistant access or something, so that you can see, tim-tim, tim-tim, the pain references that I could register.

Vida Longa e HIV/AIDS, Blog Soropositivo.Org There are more than 3.000 texts! IS a constellation of stories to document, poorly but accurately, the loss of more than thirty million lives and, yes, that is inexcusable, not respecting these people and their families! What am I talking about?

100.000.000 people, considering the victims side? Do I call all those people collateral victims?

How many were the orphans?

Excuse!???

There was a horrible phase in all of this where the surviving "head of the family" was a child of seven or even less. 

Excuse?

I didn't know that I was, because I was already, HIV positive when I heard that in the sound of the Plaza Car, before the house opened and I sat on the floor and cried!

Just a little empathy, a little bit of goodwill after getting a little bit of life….

No pain, no gain…. The Damn Hell because that, besides being cynical disrespect, it hurts!

Vida Longa e HIV/AIDS, Blog Soropositivo.Org
It hurts for chayote

You know, I almost hear James Spader's voice, impersonating Ultron by apologizing.

Star fruit !!!!!

The most common health conditions that affect people living with HIV as they get older are similar to those affecting people who do not have HIV. 

They are described in Other health problems.

Your health should include regular screening for these conditions. The most important aspects of its prevention and treatment are the same as for people who don't have HIV.

HIV and the aging process!

Vida Longa e HIV/AIDS
Image Eduin Escobar by Pixabay

Many people ask if HIV speeds up the aging process. In other words, do people living with HIV have a decline in physical function and age-related conditions at younger ages than their peers?

Still we haven't known for a long time on that issue. There is no consensus among scientists on the issue of HIV and 'premature aging'.

Long Life and HIV / AIDS is almost an endurance, a rally, a test of physical and intellectual endurance

We know that people with HIV are a little more likely to develop some health conditions than other people. This includes heart disease, diabetes, kidney disease, liver disease, bone problems and some cancers. 

But they do not necessarily have them at a much younger age. 

It is more the case that whatever the age group, people with HIV have slightly higher rates of these conditions than other people of the same age.

Scientists are still trying to figure out why this is the case. Part of the explanation may be that while current HIV treatment is quite safe, Some of the anti-HIV drugs that some people took in the 1990 and early 2000 had harmful effects on cholesterol, the kidneys, the liver and bones.

"EXCUSE?????" Just like that, yellow! 

In addition, while HIV treatment strengthens the immune system and prevents many HIV-related illnesses, may not completely restore health and reverse all damage to the immune system. Serious, very serious diseases must be combated at all costs!

HIV can continue to cause continued low-level inflammation and immune activation. These Useless immune system responses to HIV probably contribute to a wide range of health problems.

HIV, AIDS, Viral Load and Health Conditions

There are other reasons why people with HIV have high rates of these health conditions.

Things that are not directly linked to HIV can increase the risk of health problems in people living with HIV. In particular, the lifestyles and life experiences of people living with HIV are often not identical to those of the general population. 

For example, a company offering people with HIV are more likely to smoke and have higher levels of stress than other people, or that can partly explain the higher rate of heart disease in people with HIV.

This means that simple comparisons between HIV-positive people and HIV-negative people can be misleading.

In fact, in the most carefully conducted studies, which compare very similar groups of HIV-positive and HIV-negative people, the health differences between the groups are very small.

Furthermore, it does not appear that people with HIV are aging faster than their peers who do not have HIV.

Vida longa e HIV/AIDS
HIV treatment as grow old.

Studies show that HIV treatment works well for older people. The viral load drops to an undetectable level (the goal of treatment) as quickly as in younger people. Elderly people are often better than younger people at taking their medication as prescribed. Fear, readers, generates judgment and diligence!

On the other hand, people who start treatment over 50 years old may experience a slower and less complete restoration of the immune system. Cell count CD4 it does not always increase as quickly as in young adults.

In addition to preventing HIV-related illnesses, effective HIV treatment helps protect against heart disease, cancer, kidney and liver diseases. Among people living with HIV, the rates of these conditions are lower in people who get treatment than in people who don't.

Taking HIV treatment is one of the most important things you can do to protect your overall health.

Tailoring your treatment

If you have other health concerns as well as HIV, this may affect the choices you and your doctor make about which combination of HIV medications is right for you.

  1. There may be interactions between one of your anti-HIV medicines and a medicine you take for another health condition. There is more information on this below.
  2. As you get older, your body may change. The liver and kidneys may function less efficiently, affecting the way the medicine is processed in the body. Because of weight loss, decreased body fluid or increased fat tissue, medications can stay in the body longer and cause more side effects. Occasionally, your doctor may need to adjust your dose.
  3. Some specific anti-HIV medications are associated with a slightly increased risk of developing some health conditions, or may worsen your health condition. If this is the case, you will usually be able to take a different anti-HIV medicine.
  4. There are mobile apps that can help you do this.

For these reasons, your choice of anti-HIV medicines may need to be tailored to your specific situation. You may need a different dose of one of your medicines. This may mean that a single pill, which contains several drugs in fixed amounts, may not always be the right choice for you. You may need to change a combination of drugs that you have become accustomed to.

In the UK, standards for HIV treatment and treatment are set by the British HIV Association, the professional association for HIV doctors.

In Brazil, where we have a dignified, decent and fair treatment, which the law, the Constitution guarantees us, will always have to be like that!

Cautions, care and precautions in the life of people with HIV

Its guidelines recommend that physicians exercise caution when prescribing the following anti-HIV drugs to people who have specific health conditions or who have risk factors for that condition.

  1. Depression and other mental health problems: efavirenz.
  2. Heart disease: abacavir, lopinavir or Maraviroc.
  3. Kidney disease: Tenofovir Disoproxil or atazanavir.
  4. Bone problems: tenofovir disoproxil.
Multiple medications and multiple drug interactions!

The more health you have, the more medications you may need. And the more medication you take, more likely to experience drug interactions and side effects.

A drug interaction is when a drug affects the functioning of another drug. For example, when taken together, one of the medications may not be fully effective or its side effects may be worse.

Before starting a new medicine, always ask your doctor or pharmacist: Could the new medication interact with one of the other medications I'm already taking?

Meticulously cautious and restrained. Nothing is done without prior reflection
Vida Longa e HIV/AIDS, Blog Soropositivo.Org
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You must inform them of everything you take - medicines prescribed by another doctor; over-the-counter medications (including inhalers and nasal sprays); supplements, herbs and alternative treatments; and recreational drugs. 

This will be easier if you carry an up-to-date list of all your medicines.

The University of Liverpool provides an online tool for checking interactions between anti-HIV drugs, other drugs, and recreational drugs. Visit www.hiv-druginteractions.org/checker or download the Liverpool HIV iChart app para iPhone ou Android.

Having a yearly drug review is very helpful. This involves one of your pharmacists or doctors surveying everything you take and checking interactions and side effects. They will verify that the medications you are taking are still right for you.

Myths and Realities 

O HIV is a young person's disease! (if you consider Methuselah, at 130 years old, I agree)

People get HIV at all ages: in 2016, 19% of people diagnosed with HIV in the UK were over 50. And thanks to the success of HIV treatment in keeping people alive, the population of people living with HIV a little more each year. In 2016, 38% of people receiving treatment for HIV were over 50.

If I change medicine and are not satisfied with the new combination, I will not be able to go back.

It depends on your reason for changing treatment. If you are changing because you have drug resistance or if your treatment is not keeping your viral load undetectable, then you definitely need a new treatment. It would not be a good idea to go back to your original drugs.

However, if you are switching because of side effects, you will have more options. Sometimes people are nervous about changing treatment, worrying that the new treatment also has side effects and may be more difficult to live with. This is unlikely, but if it happens, you will probably be able to return to the anti-HIV medications you were using before.

Treatment Adherence Is Everything 

Pay close attention to that! 😡😡😡

After several years of HIV treatment, it is inevitable that you will develop resistance to anti-HIV drugs and run out of treatment options. But if you screw up, you could end up in a dead end with the name of cross resistance!

The excerpt below, which I considered important to "bring here", speaks of this cross-resistance in bacteria; nevertheless, however, the concept is applicable to viruses. And I would like to remind those who read it that this explains, and explains very well, the reasons why, for example, we have gonococcal infections, which cause gonorrhea, which are increasingly difficult to cure and, for those who have had one, “One time”, it is enough to not want a problem like this.

The text formatting will be very different. But Long Life and HIV / AIDS calls for every precaution in the world. You need to learn to love yourself!

 Cross resistance corresponds to resistance to all antibiotics belonging to the same class due to a single mechanism.
 As we saw above, the drugs assigned to the same class are chemically related, therefore, have the same purpose of action in the cell and, therefore, are subject to Cross-resistance:
Bacteria resistant to one member of the class are generally resistant to other members of the same class of medicines or drugs. 
However, there are degrees of cross-resistance: the more active the drug, the lower the level of resistance.  In general, newly developed drugs are more active than old molecules in the same class.
For example, among quinolones, ciprofloxacin is much more active than nalidixic acid. As a result, Gram-negative bacteria that suffered a mutational event in the quinolone target, type II topoisomerases (DNA gyrase and topoisomerase IV) become much more resistant to nalidixic acid (which has a high MIC) than to ciprofloxacin (which retains lower MICs). This observation emphasizes that a resistance mechanism has no absolute value. The level of resistance also depends on the degree of susceptibility of the host bacteria. 
The resistance of a given mechanism will be much greater if the bacterial species is not very susceptible. 
For example, the same mechanism P. aeruginosa, a species naturally little susceptible to antibiotics, which has a resistance level much higher than N. meningitidis, a species exquisitely susceptible to drugs. 
It is important to note that cross resistance implies cross selection: the use of a particular antibiotic can select resistance to other members of the class, but not to drugs belonging to other classes.
You can take the same drug combination for years and years without problems. In fact, if you adhere to treatment and maintain an undetectable viral load, your HIV cannot become resistant to the drugs you are taking. Click here to see, in another tab, in English, on another website the source of this text excerpt.
HIV will always be the most important health problem you will have to deal with.

Without treatment, HIV is life threatening. But highly effective treatments are available, making HIV relatively simple for an expert doctor to manage. You may have other health conditions that have a greater impact on your daily life or are more complicated to treat. Sometimes you may need to prioritize other health problems over HIV.

Many older people living with HIV have dementia.

You may have heard of studies that use cognitive tests to theect subtle changes in memory and thought processes. Some have demonstrated small differences between HIV-positive and HIV-negative people. In most cases, these minor declines are not noticeable in daily life.

This should not be confused with dementia, which is a serious disability that interferes with your daily life and independence. Dementia can have many causes, including Alzheimer's disease and other conditions that reduce blood flow to the brain. Currently, dementia associated with HIV is rarely seen except in people who are diagnosed with HIV at a very late stage with a very low CD4 count.

It is good that you seek knowledge about Viral Load

That's it my people! I am incorporating into this text a video that, in my life, only stimulated me to continue, even if only with the indicators! This gentleman, Pedro Calabrês, is O Cara when it comes to Brain!


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