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THE ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) DISEASE

Umm Iman : There has been a lot of talk about AIDS; does it have any  relationship with reproduction ?  What is AIDS ?

Dr Ahmad :

It is a recent killing disease. The term "AIDS" is an abbreviation for the phrase : "the disease of acquired immune deficiency syndrome." It causes the affection of the immune system of the body. This, in turn, brings about the inability of this system to perform its task with the same capability as before; that is, prior to its affection. This makes the infected person liable to be affected by many infections that do not affect a healthy person. These days, AIDS is spreading very rapidly in some regions of the world.

This disease stems from a virus called "HIV", or the virus responsible for the loss of immunity in humans. This virus attacks the T4 lymph cells, amongst the functions of which is to attack microbes and to get rid of them. When the virus attacks these lymph cells, it multiplies in them, which leads to the reduction of their ratio [i.e that of the lymph cells] in the blood. The infected person's immunity against different diseases diminishes. As any of the viruses, it multiplies only in living infected cells. However, it differs from other viruses in that it secretes a special enzyme allowing for the copying of genitic information.

Umm Iman : How do we know that AIDS is present ?

Dr Ahmad :

The disease can be latent for several years with no symptoms appearing, then they will start to appear. Since the AIDS disease consists in loss of  immunity which leads to affection by a host of diseases- its symptoms differ in accordance with the type of infection. The most widespread symptoms are:

1. A continuous increase in temperature.

2. Skin ulceration and exanthema.

3. Strong diarrhea for more than a month, which brings about an intense slimming (this is why AIDS is called the "slim" disease, which means a severe weight loss, especially in African environments).

4. General swelling of the lymph glands.

5. Continuous inflammation in the upper part of the chest and the throat.

6. Acute cases of bronchitis and lung inflammations.

7. Skin cancer (called cancer of Kaposi).

8. Inflammations in the eye net which may bring about complete loss of eye sight (blindness).

9. Perturbations in the brain functions as well as inflammations in the  membrane cover of  the brain (meningitis).

Umm Iman : Is AIDS transmitted through hand-shaking ? How does the contagion  take place ?

Dr Ahmad :

No. We must know that the contagion takes place via the body's liquids, like: saliva, blood, sperm, the infected mother's milk, brain tissues, the liquid surrounding the brain (brain marrow) and the spinal marrow.

Means of contagion :

1. Abnornal sexual intercourse: because the membrane lining of the anus and the rectum walls is very thin and easy to tear during the sexual operation. This causes the speeding up of the contagion.

2. Intravenous injection via non-disinfected needles: this occurs frequently in intravenous drug injections in situations of drug addiction.

3. Normal sexual intercourse: this way is widespread in Africa.

4. The transfusion of contaminated blood, especially in the cases of  blood diseases requiring frequent transfusions; e.g. abnormal liquidity of the blood.

5. Newborn children of AIDS infected mothers.

6. Finally, there are 2% of the infected people for whom the source of contagion is unknown.

Umm Iman : How is the diagnosis arrived at ?

Dr Ahmad :

In view of the fact that the disease remains latent for a number of years before the symptoms appear, the best means to effect a diagnosis, when AIDS is suspected, is a blood examination (diagnostic serology). This is done in order to uncover the infected bodies or cells. This takes place, especially, before blood transfusion. There are many tests, amongst which are: (a) the "Elisia" serologic test, which is based upon colour changes for making the infected cells stand out; (b) The "Western Blot" test, which shows the infected bodies (or cells) in the virus' protein. Oftentimes, if the result of the "Elisa" test is positive, we resort  to the "Western Blot" test for confirmation. If these tests are conducted  six months before the infection and their result is negative, they must be repeated a second time, because the infected cells need a period ranging from a month to six months (in order to exhibit the infection). When the symptoms appear, this makes the diagnosis operation easier, in addition to the blood tests. The observance of a group of symptoms in a person below the age of sixty, who does not take any immunity impeding medecines like the cortisone, means that the patient is infected by AIDS.

Umm Iman : How do we avoid being infected by this disease ? What are the  means of treatment ?

Dr Ahmad :

The means of prevention (or prophylaxis) are the following :

1. Adherence to what is mentioned in the noble Islamic Shari'a as concerns the prohibition of adultery, pederasty, sodomizing women, and drugs. Allah (the Most High) says: "And come not near unto adultery. Lo! It is an abomination and an evil way." (Surah Al-Isrā’ (The Children of Israel); v. 32)

2. The testing of blood before transfusing it to the one who needs it. Refraining from donating blood when one is suspecting infection.

3. Prohibiting pregnancy for any woman (or her husband) who is infected by AIDS.

4. The use of preservatives (for males and females) when in doubt (about a possible infection).

5. Research is being conducted on producing an injectable serum to be administered to those exposed to the AIDS infection : e.g. doctors and other people who care for the AIDS infected patients. However, its success has not been established up to now.

Umm Iman : Is there any cure for this abominable disease ?

Dr Ahmad :

There does not exist, for the time being, an efficient cure. However, there are some attempts to produce a treatment for it.

First : There are attempts to treat the symptoms like the production of anti-bodies, diarrhea preventing medecines, anti-fungal medecines, antiparasites medecines.

Second : The strengthening of the immune system of the body by using  medecines like the "Interferon".

Third : The taking of medecines against the HIV virus, like "Zidofiodine," "Zidotimidine" or "Repiniarine."

 

 
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