Sudesh (emyaka 23) yajja mu ddwaaliro lyange ku lunaku olwo ng’ali ku bunkenke bungi. Gye buvuddeko yali asomye ku yintaneeti nti obulwadde bwa siriimu (human immunodeficiency virus) bweyongera mangu mu bavubuka mu Sri Lanka.
"Dr. Priya, mpulira nga ntya nnyo bwe ndaba data eno. Ddala embeera eri mu Sri Lanka mbi bwetyo? Kiki ekivuddeko okusaasaana kuno naddala mu bavubuka? Kino tetusobola kukisimattuka?" Sudesh yabuuza n’obwagazi bungi.
Mu bukkakkamu nannyonnyola Sudesh nti: "Sudesh, kikulu nnyo okubuuza ekibuuzo kino. Kubanga leero okweyongera kw'okukwatibwa akawuka ka siriimu mu mulembe omuto mu Sri Lanka kufuuse ekizibu eky'amaanyi eky'ebyobulamu by'abantu bonna. Naye ekisinga obukulu si kutya kino, wabula okumanya amawulire amatuufu aga ssaayansi n'enkola z'okuziyiza. Ka twogere ku nsonga eno mu lwatu leero."
Data eyogera: Lwaki siriimu yeeyongera mu bavubuka?
Singa tutunuulira ebikwata ku nteekateeka y’eggwanga eya Sri Lanka ey’okulwanyisa endwadde z’ekikaba n’okulwanyisa mukenenya, kirabika nti omuwendo omunene ogw’abantu abapya abaakakwatibwa akawuka ka siriimu mu biseera ebiyise bavubuka basajja.
Okusinziira ku biwandiiko ebyategeezebwa mu mwaka gwa 2022, abavubuka ab’emyaka 15-24 be bakola ebitundu nga 12% ku bantu bonna abakwatibwa akawuka ka siriimu. Ku bano, 92% bavubuka, ate 80% ku bo bategeezezza nti beegatta n’abasajja nga tebalina bukuumi.
Abantu abasinga okukwatibwa akawuka ka siriimu bavudde mu disitulikiti y’e Colombo, Gampaha, Kalutara ne Kurunegala mu masaza g’amaserengeta n’obukiikakkono bw’amaserengeta, ne mu disitulikiti y’e Galle mu ssaza ly’obugwanjuba. Abantu bangi bakizuula nti balina akawuka kano oluvannyuma lw’ekiseera ekiwanvu. Mu kiseera ekyo, omuwendo gwabwe ogwa CD4 (omuwendo gw’obutoffaali bw’abaserikale b’omubiri) guba mutono nnyo. Kino kiraga nti tebaddukira mu kwekebeza bulwadde buno nga bukyali.
Lwaki omukwano gw’abasajja ogw’ebisiyaga guleeta akabi ak’okusaasaanya akawuka ka siriimu?
Ensonga enkulu eziwerako ze ziviirako obulabe bw’okusiiga akawuka ka siriimu okweyongera mu basajja abeegatta n’abasajja (MSM) :
1. Obulabe bw’ebiramu: Mu kiseera ky’okwegatta mu nseke, ebitundu ebiseeneekerevu mu nseke bisobola bulungi okulumwa oba okukunya, ekyanguyira akawuka akali mu mazzi g’okwegatta okuyingira butereevu mu mubiri nga kayita mu musaayi.
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3. Okuvumwavumwa mu bantu: Olw’okutya okuvumwavumwa mu bantu n’okuziyizibwa mu mateeka, abantu bangi bakweka ekikula kyabwe. Kino kibaleetera obutayagala nnyo kugenda mu malwaliro g’ebyobulamu ne bakeberebwa akawuka ka siriimu.
🚨 Red Flags ezeetaaga okujjanjabibwa mu bwangu
Obubonero buno wammanga buyinza okulabika wakati wa wiiki 2 ne 6 nga akawuka ka siriimu kayingidde mu mubiri (mu kiseera ky’obulwadde bw’okukyusa omusaayi), era singa buno bulabika oluvannyuma lw’okukwatagana mu ngeri eyo eteeberezebwa, olina okugenda amangu mu ddwaaliro ly’abasawo:
- Omusujja omungi ogutaggwaawo n’okutuuyana ekisusse.
- Okugejja amangu mu kiseera ekitono awatali nsonga (Unexplained Weight Loss).
- Ensigo ezizimba mu bulago, mu nnyindo oba mu kisambi okumala wiiki eziwera.
- Ekiddukano okumala ebbanga eddene n’amabwa mu kamwa agatawona oba yinfekisoni za ffene.
Okwetangira otya okusaasaana kwa siriimu? (Okuziyiza) .
Amawulire amalungi gali nti akabi k’okukwatibwa akawuka ka siriimu kumpi kasobola okuggwaawo nga tugoberera emize emirungi egy’obulamu:
- Okukozesa obulungi kondomu: Okukozesa obulungi kondomu eziziyiza okuzaala buli lwe weegatta kiyinza okuziyiza okusaasaana kwa siriimu ebitundu ebisukka mu 90%.
- Okukozesa PrEP (Pre-Exposure Prophylaxis): Kino kiyitibwa okuziyiza nga tonnakwatibwa . Eddagala lino erimira buli lunaku abantu abali mu bulabe obw’amaanyi obw’okukwatibwa akawuka ka siriimu, liziyiza obulabe bw’okukwatibwa akawuka kano ebitundu nga 99%.
- Okwekebeza buli kiseera: Omuntu yenna eyeegatta alina okwekebeza akawuka ka siriimu waakiri omulundi gumu mu mwaka. Mu kiseera kino, ebitundu 86% ku bakwatibwa mu Sri Lanka bakimanyi nti balina akawuka kano, era UNAIDS (enteekateeka y’amawanga amagatte ey’awamu ku mukenenya) egenderera okwongera ku kino okutuuka ku bitundu 95%.
- Okukozesa PEP (Post-Exposure Prophylaxis): Singa akaboozi akatali ka bukuumi kabaawo, obujjanjabi buno obw’amangu, obutwalibwa mu ssaawa 72, busobola okuziyiza akawuka okusaasaana mu mubiri.
Obujjanjabi: Okubeera Omulamu obulungi nga olina akawuka ka siriimu
Wadde nga edda siriimu yatwalibwanga ng’obulwadde obutta abantu, obujjanjabi obw’omulembe busobozesezza abalwadde okuwangaala ng’omuntu omulamu obulungi owa bulijjo.
Obujjanjabi obukulu ye ART (Antiretroviral Therapy) . Eddagala lino lifuga ddala okukula kw’akawuka mu mubiri.
Abantu nga 80% abalina akawuka ka siriimu mu Sri Lanka mu kiseera kino bafuna eddagala lya ART, ate 87% ku bo balina akawuka akatazuulibwa. Omuwendo gw’akawuka bwe gufugibwa okutuuka ku ddaala eritalabika wadde mu kukeberebwa omusaayi (Undetectable = Untransmittable), akabi k’okusiiga akawuka eri omuntu omulala kakendeera okutuuka ku ziro (0%).
Ebikolebwa & By'otolina
| ✔️ Ebintu eby'okukola (Okukola) . | ❌ Tokola |
|---|---|
| Bw’oba olina akaboozi, genda mu ddwaaliro lya gavumenti erijjanjaba akaboozi oba mu ddwaaliro ly’obwannannyini eryesigika okebere akawuka ka siriimu mu kyama. | Obubonero ne bwe bulabika, tokweka bulwadde bwo ng’otogenda mu malwaliro g’abasawo olw’okutya endowooza z’abantu. |
| Bw’oba oli mu kibinja eky’akabi ennyo, kozesa PrEP buli lunaku ng’omusawo bw’akulagidde. | Weewale okugabana empiso (kino kitera okubaawo mu bakozesa ebiragalalagala). |
| Bw’oba olina akawuka ka siriimu, mira eddagala lya ART omusawo lye yakulagidde buli lunaku mu ssaawa etegekeddwa nga tobuuse. | Totunuulira bantu abalina akawuka ka siriimu mu bukyayi oba okusosola. |
❓ Ebibuuzo ebirala by’oyinza okuba nabyo (FAQ) .
Nsobola wa okukeberebwa akawuka ka siriimu ku bwereere mu Sri Lanka? ▼
Okukebera akawuka ka siriimu kuyinza okukolebwa mu ddwaaliro lyonna erya gavumenti ery’endwadde z’ekikaba mu kizinga kyonna, ku bwereere, nga kya kyama kyonna.
Okukozesa PrEP kisobola okuziyiza endwadde endala ez’ekikaba (STIs)? ▼
Nedda, PrEP eziyiza okukwatibwa akawuka ka siriimu kwokka. Kondomu zirina okukozesebwa okwekuuma endwadde endala ez’ekikaba, gamba nga kabootongo, kabootongo oba herpes.
Okusiiga akawuka ka siriimu okuva ku maama okutuuka ku mwana we kuyinza okuziyizibwa? ▼
Yee, nga owa maama obujjanjabi obutuufu obwa ART ng’ali lubuto n’eddagala ery’enjawulo eriweebwa omwana ng’amaze okuzaala, akabi k’okusiigibwa akawuka okuva ku maama okudda ku mwana kasobola okukendeera okutuuka ku bitundu ebitakka wansi wa 1%.
ART esobola okuwonya ddala siriimu okuva mu mubiri? ▼
Nedda, mu kiseera kino tewali ddagala lya siriimu mu nsi yonna. Wabula eddagala lya ART lisobola okukuuma akawuka kano nga tekakola mu mubiri ne lisobozesa abantu okubeera mu bulamu obwa bulijjo, obulungi.
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