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Характеризуется критическим истощением иммунитета, при котором организм не может противостоять вирусам, бактериям, грибкам [5](https://gemotest.ru/info/spravochnik/zabolevaniya/spid/). \n\nУсловной границей начала СПИДа считают критическое (менее 200 клеток в одном микролитре крови) снижение T-лимфоцитов — клеток иммунной системы, которые борются с инфекциями, — а также развитие хотя бы одного из СПИД-ассоциированных заболеваний [5](https://gemotest.ru/info/spravochnik/zabolevaniya/spid/).\n\n\n\n## Причины\nВ большинстве случаев СПИД развивается на фоне заражения **ВИЧ** [5](https://gemotest.ru/info/spravochnik/zabolevaniya/spid/). Вирус в разных концентрациях обнаруживается в крови, слюне, влагалищном секрете, эякуляте, поте, слезах и грудном молоке [5](https://gemotest.ru/info/spravochnik/zabolevaniya/spid/). Инфицирование происходит при контакте с заражёнными биологическими жидкостями [5](https://gemotest.ru/info/spravochnik/zabolevaniya/spid/). \n\nТакже тяжёлый иммунодефицит может развиться у людей с генетическими мутациями: когда поломаны участки генов, отвечающих за работу иммунной системы [5](https://gemotest.ru/info/spravochnik/zabolevaniya/spid/).\n\n## Симптомы\nНекоторые проявления СПИДа: \n* гриппоподобное состояние (лихорадка, боли в горле, головная боль, кашель) [4](https://www.medicina.ru/patsientam/zabolevanija/spid/); \n* тошнота и рвота без видимых причин [4](https://www.medicina.ru/patsientam/zabolevanija/spid/); \n* ночное потение и частая гипертермия [4](https://www.medicina.ru/patsientam/zabolevanija/spid/); \n* дерматит, кандидоз, онихомикоз [4](https://www.medicina.ru/patsientam/zabolevanija/spid/); \n* воспаление лимфатических узлов [4](https://www.medicina.ru/patsientam/zabolevanija/spid/); \n* потеря веса [4](https://www.medicina.ru/patsientam/zabolevanija/spid/); \n* длительная диарея [4](https://www.medicina.ru/patsientam/zabolevanija/spid/). \n\nВ зависимости от стадии заболевания симптомы проявляются в разном сочетании и с разной интенсивностью [4](https://www.medicina.ru/patsientam/zabolevanija/spid/).\n\n## Диагностика\nДиагноз СПИД ставится после консультации с врачом-инфекционистом [1](https://www.Renewal.ru/voprosy-zdorovya/chto-takoe-spid/). При постановке диагноза учитывают эпидемиологические данные, данные осмотра, результаты лабораторных и инструментальных исследований [12](https://polyclinika.ru/tech/spid-prichiny-kak-peredaetsya-simptomy-lechenie-profilaktika/). \n\n**Важно**: СПИД устанавливается только при наличии соответствующих клинических проявлений, а не на основании вирусной нагрузки и уровня CD4 [12](https://polyclinika.ru/tech/spid-prichiny-kak-peredaetsya-simptomy-lechenie-profilaktika/).\n\n## Лечение\n**Полностью вылечить СПИД нельзя**, но можно контролировать заболевание с помощью **антиретровирусной терапии (АРТ)** [15](https://citilab.ru/articles/vich/). Препараты подавляют размножение вируса, защищают и восстанавливают клетки иммунной системы [13](https://www.invitro.ru/library/bolezni/24188/). \n\n**АРТ назначается пожизненно** [15](https://citilab.ru/articles/vich/). 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