The HIV viral load test measures the number of HIV copies in a milliliter of blood.â
A high HIV viral load is ââ10,000 copies to 100,000 range. It can be as high as 1 million or more.â
In your case, the HIV viral load is very high, which indicates that HIV is reproducing at a faster rate and the disease may progress more quickly.
CD4 cells are a type of white blood cell that fights infection. Another name for them is T-helper cells. CD4 cells are âmade in the spleen, lymph nodes, and thymus gland, which are part of the lymph or infection-fighting system.â
Along with other tests, the CD4 count helps tell how strong your immune system is, indicates the stage of your HIV âdisease, guides treatment, and predicts how your disease may progress. Keeping your CD4 count high can reduce âcomplications of HIV disease and extend your life.â
A normal CD4 count is from 500 to 1,500 cells per cubic millimeter of blood. It is more important to pay attention to âthe pattern of the change in the counts rather than to any one test result. In general, HIV disease is progressing if âthe CD4 count is going down. This means the immune system is getting weaker and you are more likely to get sick. In âsome people, CD4 counts can drop dramatically, even going down to zero. â
In your case, the CD 4 count of 178 is very low. As mentioned above, a correlation with your previous test results is âneeded to analyze your specific condition currently. â
In case, your count is reducing over time, you may either need initiation or change of Anti retroviral therapy (ART) , âor Specific treatment or prevention of opportunistic infections. â
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