COGNITIVE IMPAIRMENT FOR PEOPLE LIVING WITH HIV

Cognitive impairment in people living with HIV
Background
Cognitive disorder are common issue impacting those living with human immune deficiency virus[HIV] effective antiretroviral treatment has lessened the severity but not the frequency of these impairment. Such deficits reduce quality of life and present a significant challenge to clinicians in the context of an ageing HIV population with a growing number of co morbidities.
Source of data
This review is based on recent published literature in the field of HIV associated cognitive impairment [hand]
Areas of agreement
The pathogenesis of HAND is a multifactorial and can be categorized into HIV viral factors antiretroviral factors and individual factors. The risk factors associated with HAND are well documented.
Areas of controversy
The prevalence of HAND in HIV population studied and assessment batteries used. Disease progression is poorly understood and has important implication for screening programmes. The relative contribution of pathogenic mechanisms causing HAND is unclear but recent paper point to inflammation as a significant contributor.
Growing areas
The role of psychiatric disease such as depression in the development and maintenance of HAND has recently been examined and require clinical consideration. Furthermore; as the HIV population ages, its clinical management faces new challenges.
Areas timely for developing research
Identifying biomarkers for HAND which is practical in a clinical setting and utilizing new imaging technologies to better monitor’s diagnosis and disease progression. Furthermore; the development of therapeutics targeting inflammation appears of increasing importance.

Comments

  1. Unknown14 February 2019 at 04:45

    Can someone help me understand am literally lost

    ReplyDelete
  2. Yasmin Abdisaman14 February 2019 at 08:36

    This comment has been removed by the author.

    ReplyDelete
  3. Yasmin Abdisaman14 February 2019 at 08:39

    Changes to your lifestyle can reduce your risk of cognitive impairment. Generally, things which are recommended in order to protect the health of your heart will also protect your cognitive abilities. It’s also important to continue to be socially connected and mentally engaged.

    ReplyDelete
  4. ZAKARIYA R SHEIKH14 February 2019 at 09:16

    If your problems appear to be linked to HIV, a vital part of treatment is to optimise your HIV treatment. If you are not yet taking HIV treatment, you should start. If you do not have an undetectable viral load, you may need help with adherence to achieve this

    ReplyDelete
  5. benson14 February 2019 at 10:23

    Cognitive disorders are a common issue impacting those living with human immunodeficiency virus (HIV). Effective antiviral treatment has lessened the severity but not the frequency of these impairments. Such deficits reduce quality of life and present a significant challenge to clinicians in the context of an ageing HIV population with a growing number of commodities. BENSON WANJOHI

    ReplyDelete
  6. Ian Wanjohi 14 February 2019 at 11:45

    This article ,I can't understand a thing or two

    ReplyDelete
    Replies
    1. Ian Wanjohi 14 February 2019 at 12:25

      The government should put up suitable measures to control the spread of HIV/AIDS

      Delete
  7. Unknown14 February 2019 at 11:50

    Many of the risk factors do cognitive impairment can be treated or changed.By dealing with them,it may be possible to lower your risks of having problems or prevent problems from getting worse..
    Diana..

    ReplyDelete
  8. Judy14 February 2019 at 12:11

    Government should provide rehabilitation
    centre to help people living with hiv learn
    ways to cope with cognitive impairment

    ReplyDelete
  9. Benjamin william14 February 2019 at 21:29

    Goverment should do something on HIV like puting rehibilitation center that can help people who are affected with the virus know how to stay a life that is good and heaalthy

    ReplyDelete
  10. Serah14 February 2019 at 23:34

    Effective antiretroviral treatment has lessened the severity but not the frequency of these impairment

    ReplyDelete
  11. Pauline14 February 2019 at 23:39

    HIV-associated cognitive disorder ,,sometimes called HIV-associated neurocognitive disorder,,, occurs when HIV itself or the response of the immune system to HIV ,directly affect the brain and cause cognitive disorders. This form of cognitive impairment is more common in people who has a low CD4 count before they began HIV treatment.
    By Pauline mbithe

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  12. Selina15 February 2019 at 09:16

    HIV associated cognitive disorder tend to affect decision making,physical co-ordination and concentration .good adherence to effective HIV treatment and going through guiding and counseling lowers the risk.

    ReplyDelete
  13. Quinter15 February 2019 at 09:29

    Lack of concentration, trouble remembering and making decision among those living with HIV is mostly caused by to much stress and negative attitude they have on themselves

    ReplyDelete
  14. Victor15 February 2019 at 10:43

    cognitive disorder afects one on making decission of life.through this ,providing councelling may help the infected and follow the right medical intructions .victor mutuku

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  15. mercy mbuthia15 February 2019 at 13:14

    Cognitive impairment (mental disorder) affects PLWHA resulting to stress caused by the virus inhibiting in their body with such people they should be treated with tender love and care

    ReplyDelete
  16. Simon16 February 2019 at 06:30

    Hiv greatly affect the impairment of one leading to poor thinking and therefore poor decision making

    ReplyDelete
  17. Koech16 February 2019 at 12:07

    Cognitive impairment affects the patient's ability to take ARVs and hence without supervision they tend to lack proper medical care ...
    These patients need a lot of supervision and love and care from family and the community

    Kaisy

    ReplyDelete
  18. Unknown16 February 2019 at 12:09

    More rehabilitation centres should be built in the country. BY; SAMIA

    ReplyDelete
  19. Unknown16 February 2019 at 12:31

    The government should remember this people and help them to have a settled mind by building up rehabilitation center
    Faiza

    ReplyDelete
  20. Nisteho16 February 2019 at 12:42

    The infected people need alot of love ,care from family and society

    ReplyDelete
  21. Zanzam17 February 2019 at 00:58

    Government should give extra care for people infected in HIV/AIDS by allowing those people who have NHIF card to use any hospital whenever they get sick...zamzam

    ReplyDelete
  22. Mueni17 February 2019 at 05:04

    Cognitive disorder impacts those living with human immune deficiency virus effective antiretroviral treatment hence has lessened the severity but not the frequency of those impairment ,,by christine

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  23. Angelyne otieno17 February 2019 at 06:45

    Communities need to give love to those infected and government should put more effort in building rehabilitation centers so they can be help.

    ReplyDelete
  24. Anonymous18 February 2019 at 00:43

    Society need to show love to the infected and, great care and give them guidance and cuonseling so that that the government can come in in the building of rehabilitation centers in order to help them now there status.

    ReplyDelete
  25. Sharon18 February 2019 at 02:02

    The HIV infected people should start medication as soon as they find themselves positive, also they should be treated well to avoid cognitive impairment.

    ReplyDelete
  26. Naomi18 February 2019 at 04:53

    Cognitive impairment affects people living with HIV/AIDS negatively.it disturbs most of their, body parts including their brain.The goodness is,everything is preventable and manageable.once a person is diagnosed with the disease,he/she should come out and start treatments before the disease develops much to avoid further problems.By Naomi.

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  27. Unknown18 February 2019 at 09:35

    Government should provide enough health centre that give out medicine to the affected individuals.... By Rahma

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  28. Unknown18 February 2019 at 22:16

    The goverment should build more rehabilitation centres where people living with hiv/Aids can be taught on how to make good decision making about their lives..

    ReplyDelete
  29. Unknown19 February 2019 at 13:02

    More rehabilitation center should be build to help the infected come back to track. The government should then stand with them and show them care and support.

    Maureen

    ReplyDelete
  30. EMMA20 February 2019 at 00:38

    Cognitive impairment affects people living with HIV mostly due to too much stress ,,this should not be allowed to happen since people who have knowledge about the infection should be able to help out ..........by immaculate

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  31. faith20 February 2019 at 01:44

    Care,love and hope should be applied because cognitive impairment affects the infected people due to lack showing them love,discrimination.these makes them have a lot of stress.BY FAITH

    ReplyDelete
  32. Anonymous1 March 2019 at 00:16

    a vital part of treatment is to optimize your HIV treatment. If you are not yet taking HIV treatment, you should start. If you do not have an undetectable viral load, you may need help with adherence to achieve this
    ANN NDUTA

    ReplyDelete
  33. Unknown1 March 2019 at 04:29

    Am literary lost
    I have read this countlessly but still not getting
    Hellen

    ReplyDelete
  34. Janet3 March 2019 at 00:58

    Care will really help here for those living with HIV and one should start the treatment if one is infected

    ReplyDelete
  35. Paul Shikanda4 March 2019 at 12:04

    When someone discovers that he/she has HIV virus , cognitive impairment comes in. Here is where the infected person lose the value of life ,gets alot of stress and their self esteem is lowered. It is everyone's duty to show love and care to the infected so that the feel they are part of the society.

    ReplyDelete
  36. Edward Lepash5 March 2019 at 01:29

    The government together with other organizations should put up rehabilitation centres where HIV/AIDS patients will get the mental help they need.

    ReplyDelete
  37. Benjamin william5 March 2019 at 11:22

    They should seek more medical attation and advice instead of worry

    ReplyDelete
  38. Unknown6 March 2019 at 13:28

    This is a major issue which needs to be dealt with effectively and also immediately one discovers that he/she is HIV positive. It can be dealt with by guidance and counselling

    ReplyDelete
  39. rachel gichia8 March 2019 at 22:58

    Most educative centres should be set aside for educating infected people on self acceptance and healthy living

    ReplyDelete
  40. siyad muhumed14 March 2019 at 04:15

    Cognitive impairment affects people living with HIV/AIDS negatively.it disturbs most of their, body parts including their brain.The goodness is,everything is preventable and manageable.once a person is diagnosed with the disease,he/she should come out and start treatments before the disease develops much to avoid further problems.

    ReplyDelete
  41. Irene muthoni14 March 2019 at 07:32

    All the inffected need is love assurance care and counselling.

    ReplyDelete
  42. Dennis maina23 March 2019 at 10:42

    Through guidance and counseling will help the infected person to follow the correct decision in medical treatment

    ReplyDelete
  43. Zahara Ibrahim26 March 2019 at 11:14

    The risk of congnitive increases as you get older because of genetic factors you are at greater risk if aclose family members has had congnitive women are agreatera risk

    ReplyDelete

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