HIV /AIDS:ARV MEDICINES IMPROVES CD4,DECREASE VIRAL LOAD-LEAD TO ALMOST A NORMAL LIFE EXPECTANCY IN HIV PATIENTS

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
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HIV is better controlled by GOOD ARV MEDICINES IF TAKEN REGULARLARLY,NOW A DAYS GOOD LESS TOXIC MEDICINES IS AVAILABLE IF TAKEN REGULARLARLY IT INCREASES CD4 COUNT AND DECREASES VIRAL LOAD AND ULTIMATELY PERSON BECOME FREE OF INFECTION DOESNOT GET OPPURTUNISTIC INFECTIONS AND AS A RESULT LIVES A NORMAL LIFE.

In the UK, where ART is free and available in an established National Health Service, people living with HIV infection can expect to live as long as the general population if successfully treated. Our study showed that longevity depends on both restoration of CD4+ cell count to near normal levels and suppression of the virus to undetectable levels in peripheral blood.
Life expectancy of HIV-positive individuals treated with antiretroviral therapy (ART) in the UK improved by nearly 16 years between 1996 and 2008. Although some groups of HIV-positive individuals may expect to live a similar life span to that of the general population, others have reduced life expectancy due to the impact of late diagnosis and late initiation of ART. A previous study estimated life expectancies of HIV patients in the UK stratified by CD4+ cell count at ART start,but not gains in years of life in response to ART. A European study showed that successfully treated patients who attained a CD4+ cell count more than 500 cells/μl have a standardized mortality ratio (SMR) approaching .However, SMRs are more difficult to communicate to patients than life expectancies and not all patients attain a CD4+ cell count more than 500 cells/μl.The lower limit of the normal CD4+ cell count range is below 500 cells/μl, and therefore exceeding this level might be an unrealistic target for patients who had low preinfection counts. Furthermore, viral suppression is an important factor in treatment success and virological replication may have an effect on prognosis that is independent of CD4+ cell count.
We aimed to investigate the improvement in life expectancy due to CD4+ cell count restoration and viral suppression in patients on ART. We used data from the UK Collaborative HIV Cohort (UK CHIC) Study, on HIV-positive individuals in care in the UK between 2000 and 2012, to estimate life expectancy of those treated for HIV-infection at different durations of ART according to latest CD4+ cell count and viral suppression status.

Weight loss surgery, also called bariatric surgery, is used as a last resort to treat people who are dangerously obese (carrying an abnormally excessive amount of body fat).
This type of surgery is available to treat people with potentially life-threatening obesity that will not respond to non-surgical treatments, such as lifestyle changes.

Read More: http://drbcshah.com/bariatric-surgery-gastric-bypass/

A bunion is a bony deformity of the joint at the base of the big toe. This joint is known as the metatarsophalangeal (MTP) joint. The medical name for a bunion is hallux valgus.

Read More: http://drbcshah.com/bunion-removal/

psychiatric compulsive disorder of pulling and swallowing their own hair.
The stomach acid can not digest the hair. At times the stomach is unable to push the hair into to intestine because of the slippery nature of the hairs.

Read More : http://drbcshah.com/rapunzel-syndrome/

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI –NCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
FOLLOW ON FACE BOOK:www.facebook.com/ramkumar
FOLLOW ON TWITTER:www.twitter.com/profdrram
RECENT ADVANCEMENT OF ART THERAPY FOR CONTROL OF HIV/AIDS ARE AS FOLLOWS:---

1.ARV IS THE ONLY THE METHOD OF TREATMENT ALL HERBAL, HOMEO, AYURVEDIC, PLANT AND OTHER MEDICINES LACKS CRDIBILITY AND GOOD STUDIES SO THEY ARE SOLD MOSTLY FOR EARNING MONEY,BETTER BE AWAY FROM THEM.
2.MEDICINES ONCE STARTED SHOULD TAKE IT FOR LIFE TIME AS ONCE CLOSED THEN VIRAL REAPPEARS AND THIS VIRUS BECOME RESISTANT TO THESE DRUGS SO NEW TYPE OF DRUG HAS TO BE STARTED.
3.WHEN TO START TREATMENT IS OPTIONAL IN OUR COUNTRY INDIA ART CENTRES GIVE ARV MEDICICINES IF CD4 COUNT IS BELOW 350 BUT AS PER WHO,UK,USA TRAETMENT IS STARTED AS CD4 COUNT FALLS BELOW 500,BUT AS PER NEW RESEARCH TREATMENT SHOULD BE STARTED AS SOON AS IT IS CONFIRMED AND IT IS IN CHILDREN STARTED SOON AFTER BIRTH AS WHEN IT IS SUSPECTED AS IN NEW BORN CD4 AND VIRAL LOAD IS NOT DAIGNOSTIC BUT MORE FEW ANTIGENS DETECTED AFTER 3RD WK OR AFTER 09 MONTHS ANTIBODIES APPEAR AND TREATMENT STARTED NOT DEPENDANT ON CD4 BUT ON VIRAL LOAD IF IT IS MORE THAN 500-5000 COPIES/ML TREATMENT SHOULD BE STARTED TAKING CONSENT OF PATIENT.
4.USUALLY 03 DRUGS STARTED,TRAIL WITH 02 DRUGS IS NOT SATISFACORY AND TRAIL WITH 04 DRUGS IS NOT REQUIED AS EFFICACY SAME WITH 03 DRUGS,TWO NTIS AND ONE PROTEASE INHIBITOR BOOSTED OR 03 NRTIS.
5,INFUSION INHIBITOR LIKE RALTEGRAVIR DALUTEGRAVIR SHOWING GOOD RESULT WITH OR WITHOUT COBISTAT AND TWO NRTIS BUT IF PROTEASE INHIBITOR USED GOOD RESULT ALSO FOUND.
6.TREATMENT SHOULD BE STARTED BY A COMPETANT HIV SPECIALIST AS THESE DRUGS AR VERY TOXIC MAY CAUSE ANY SIDE EFFECT.
7.TREATMENT SHOULD BE STARTED AFTER THOROUGH CLINICAL EXAMINATION OF PATIENT AND KNOWING STATUS OF COINFECTION OF TB,HEPATITIS B AND C AND OTHER OPPURUNISTIC INFECTION AND KNOWING LIVER,KIDNEY,LIPID FUNCTION OF THE PATIENT INCLDING IRON,HAEMOGLBIN,TOTAL LEUKOCYTE COUNT ETC.
8.TREATMENT SHOULD BE CHANGED IF VIRAL LOAD INCREASE OR CD4 DOWNS OR CLINICALLY PATIENT DETEIORATES THEN DRUG SENSITIVITY CAN BE DONE IF AFFORDABLE AND GENOTYPE STUDY SHOULD BE DONE.
9.NOW A DAYS NO MORE CLSSIFICATION LIKE FIRST GENERATION, 2ND GENERATION,3RD GENERATION DRUG IS DONE IF PATIENT CAN AFFORD OR MEDICINES AVAILABLE THEN ANY GOOD COMBINATION MAY BE STARTED.
10.WHILE ON ARV GOOD FOOD,AVOIDING ALCOHOL,DRUGS,NICOTINE UNSAFE ,UNPROTECTED SEX SHOULD BE DONE,USE CONDOM ALWAYS EVEN WITH A PARTNER EXCEPT 1-2 TIMES TO HAVE PREGNANCY IF BOTH HAVE MINIMUM VIRAL LOAD.
11.TREAT TB HEPATITIS C ,B OR LUNG INFECTION OR DIARRHOEA WITH IT AND IF PERSON CD4 COUNT IS LESS THAN 200 THEN COTRIMAXAZOLE SHOULD BE ADDED AND ALL PROPHYLAXIS FOR FUNGAL,TOXOPLASMA INFECTION MAY BE ADDED.