And he eventually told me an old dream and I decided to go check it out, as Aracy de Almeida said. And it's not that I've found something that will make you smile already, 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 healthCom 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. With proper HIV treatment and care, most people can expect to have an almost normal life expectancy.
In fact, a recent study in the UK showed that people living with HIV who have a good initial response to HIV treatment have a similar life expectancy to people in the general population.
Even when the initial response to treatment was not so good - for example, with a CD4 count between 200 and 350, or with a viral load still detectable after one year - people with HIV were expected to live well into their seventies.
Good access to effective HIV treatment, which reduces viral load to undetectable levels and allows the immune system to recover, is necessary for a long life with HIV.
People who start HIV treatment as soon as possible are able to stay with HIV and who regularly attend the high quality services provided by the SUS are likely to have a similar life expectancy for peers who do not have HIV.
This is similar to the general population.
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.
Other risk factors are available to change. You can expect to have a longer and healthier life if you don't smoke, are physically active, have a balanced diet, maintain a healthy weight, avoid excessive alcohol or drug use, stay socially connected, and keep your mind active.
Other health problems affecting the quality of life of people with HIV
The risk of getting health problems like heart disease and cancer increases for everyone as they get older. 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.
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, researchers and all serious actors, we must emphasize the serious ones, can follow to treat us. At this point I miss Sig sore. and An.e, I think it is now quite clear that the damage done to my psyche is indelible!…… .it's us, these Highlanders and diagnosed in the 90 decade that we are serving, is an exchange, always is, as research subjects, where doctors whose qualities I already mentioned will have to go, bit by bit, literally in MD. in their eagerness to keep us alive so that others will suffer less!
And this is one of the innumerable variables to be respected when patients without pain references are unable to empathize and apologize for the lack of references.
Just come to my blog!
It would have been enough, this door is now closed!
It's a document with almost 20 years of history! Ask politely and I give you a wizard access or something, so you can see, tim-tim, tim-tim pain references I could register in more than 3.000 texts! It's a constellation of stories to palely but accurately document the loss of over thirty million lives and, yes, it's inexcusable not to respect these people and their families! What am I talking about?
100.000.000 of people considering the * collateral * victims? Do I call collateral victims all those people?
How many were the orphans?
There was a terrible time in all this where the surviving “head of household” was a child of seven or even less.
I didn't know I was, because I was already HIV-positive when I heard that in the sound of the Plaza Wagon, before the house opened and I sat on the floor and cried! Just a minimum of empathy, a bit of goodwill and having caught a lot of life…. No pain, no gain….
You know, I almost hear James Spader's voice impersonating Ultron and 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!
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 about that question. There is no consensus among scientists on the issue of HIV and 'premature aging'.
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..
Also, while HIV treatment strengthens the immune system and prevents many HIV-related illnesses, it may not completely restore health and reverse all damage to the immune system..
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.
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, people with HIV are more likely to smoke and have higher stress levels 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 and HIV-negative people can be misleading. Indeed, in the most carefully conducted studies comparing very similar groups of HIV-positive and HIV-negative people, the health differences between the groups are very small. Moreover, it does not appear that people with HIV are aging faster than their non-HIV peers.
HIV treatment as you get older
Studies show that HIV treatment works well for older people. Viral load drops to an undetectable level (the goal of treatment) as quickly as in younger people. Older people are often better than younger people in taking medication as prescribed.
Conversely, people who start treatment older than 50 may have a slower and less complete immune system restoration. CD4 cell count does not always increase as rapidly as in young adults.
In addition to preventing HIV-related illness, effective HIV treatment helps protect against heart disease, cancer, kidney and liver disease. Among people living with HIV, rates of these conditions are lower in people receiving treatment than in people who do not.
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.
- 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.
- 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.
- 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.
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 United Kingdom, standards for HIV treatment are set by the British HIV Association, the professional association for HIV doctors. Their guidelines recommend that doctors exercise caution when prescribing the following anti-HIV drugs to people who have specific health conditions or who have risk factors for this condition.
- Depression and other mental health problems: efavirenz.
- Heart disease: abacavir, lopinavir or maraviroc.
- Renal disease: tenofovir disoproxil or atazanavir.
- Bone problems: tenofovir disoproxil.
Multiple drugs 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?
You should tell them about everything you take - medications prescribed by another doctor; non-prescription drugs (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 disease of the young.
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
After several years of HIV treatment, it is inevitable that you will develop resistance to anti-HIV drugs and run out of treatment options.
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 medications you are taking.
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 testing to detect subtle changes in memory and thought processes. Some have shown slight differences between seropositive and seronegative 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.
And this is my people! I am incorporating into this text a video that, in my life, has only stimulated me to continue, even if only with the indicators! This gentleman, Pedro Calabrês, is The Guy when it comes to Brain