Tangoganizani kuti munagonana mosadziteteza, kapena mukukayikira pang'ono kuti mwina mwatenga kachilombo ka HIV mwanjira ina. Ndizachilendo kumva mantha ndi nkhawa zambiri panthawi ngati iyi. Koma musachite mantha. Pali chithandizo chapadera chomwe chingateteze kutenga kachilombo ka HIV pakagwa mwadzidzidzi. Tikulankhula za izi lero.
Mwachidule, kodi PEP ndi chiyani?
Tanthauzo lonse la PEP ndi Post-Exposure Prophylaxis . Mu Chisinhala, limatanthauza chithandizo chodzitetezera chomwe chimatengedwa mutakumana ndi kachilombo ka HIV. Izi ndizofunikira kwambiri pankhani ya kachilombo ka HIV.
Mwachidule, PEP ndi mankhwala omwe amaperekedwa kuti ateteze kachilomboka kuti kasakhazikike m'thupi ngati pali kukayikira kuti mwina mwapezeka ndi kachilombo ka HIV. Iyi ndi mankhwala osakaniza amodzi kapena angapo. Mankhwalawa ayenera kumwedwa tsiku lililonse kwa masiku 28 .
Chofunika kwambiri ndichakuti kuti chithandizochi chikhale chogwira ntchito, muyenera kuyamba kumwa mankhwalawa mkati mwa maola 72 (masiku atatu) kuchokera pamene mukuganiza kuti mwatenga kachilombo ka HIV. Mukayamba msanga, zotsatira zake zimakhala zabwino.
Kupezeka ndi kachilombo ka HIV ndi vuto lachipatala . Chifukwa chake, ngati mukuganiza kuti mwakhala mukupezeka ndi kachilombo ka HIV kudzera mu kugonana, kugwiriridwa, kugawana singano zobayira mankhwala osokoneza bongo, kapena kuvulala ndi singano kuntchito, pitani ku dipatimenti yadzidzidzi yachipatala (ETU) yapafupi nthawi yomweyo.
Koma kumbukirani chinthu chimodzi. PEP ndi yogwiritsidwa ntchito mwadzidzidzi kokha. Singagwiritsidwe ntchito ngati chitetezo cha nthawi yayitali kwa munthu amene ali pachiwopsezo chachikulu chotenga kachilombo ka HIV. Ngati muli pachiwopsezo chachikulu, lankhulani ndi dokotala wanu za njira yodzitetezera ya nthawi yayitali yotchedwa PrEP (Pre-Exposure Prophylaxis).
Kodi chimachitika ndi chiyani PEP isanayambe?
Musanayambe kapena mwamsanga mukangoyamba kulandira chithandizo cha PEP, dokotala wanu adzasankha kuchita mayeso enaake m'thupi lanu. Pachifukwa ichi, zitsanzo monga magazi ndi mkodzo zitha kutengedwa. Mayesowa amachitika kuti adziwe mtundu weniweni ndi mlingo wa mankhwala omwe muyenera kupatsidwa.
Kawirikawiri, zinthu ngati izi zimafufuzidwa:
- Kayezetseni kuti muwone ngati muli kale ndi kachilombo ka HIV.
- Kodi pali matenda aliwonse a hepatitis B ndi hepatitis C?
- Tsimikizirani ngati muli ndi pakati.
- Yang'anani ngati impso zanu ndi chiwindi chanu zikugwira ntchito bwino.
Kutengera ndi zotsatira za mayesowa, dokotala wanu adzakupatsani mankhwala oyenera komanso otetezeka a PEP kwa inu.
Kodi mumayesanso matenda ena opatsirana pogonana?
Inde. Chifukwa ngakhale kugonana kamodzi kokha kungayambitse matenda opatsirana pogonana angapo nthawi imodzi. Chifukwa chake kutengera momwe mudadziwikira, dokotala wanu angakuyezeni kapena kukuthandizani matenda ena opatsirana pogonana. Mwachitsanzo:
- Chizonono
- Chlamydia
- Trichomoniasis
Kodi chithandizo cha PEP chimagwira ntchito bwanji?
Mankhwala omwe amagwiritsidwa ntchito pochiza matenda a PEP amatchedwa mankhwala ochepetsa mphamvu ya kachilombo ka HIV. Mankhwalawa ndi omwe amagwiritsidwa ntchito pochiza kachilombo ka HIV. Zimene mankhwalawa amachita n'zosavuta. Amaletsa kachilombo ka HIV kuti kasadzipangire, kudzigawa, ndi kufalikira m'thupi lanu.
Taganizirani ngati wakuba. Wakubayo amabwera m'nyumba mwanu wotchedwa thupi lanu ndipo akuyesera kupanga akuba ambiri ngati iye. Mankhwala osokoneza bongo a PEP amagwira ntchito potseka zitseko ndikuyika zotchinga kuti wakubayo asapange akuba ambiri.
Mitundu yosiyanasiyana ya mankhwala imagwira ntchito m'njira zosiyanasiyana kuti ithetse zopingazi. Choncho mukaphatikiza mitundu ingapo ya mankhwala, mwayi woti kachilomboka kapulumuke umachepa kwambiri. Mankhwalawa amakhala opambana kwambiri.
Ngati titayamba kumwa mankhwala oletsa mavairasi awa msanga , tikhoza kuletsa kachilombo ka HIV kukhala matenda osatha m'thupi lanu (matenda osatha). Matendawa akakhazikika, mankhwala sangathe kuwathetsa kwathunthu, amangowaletsa. Cholinga cha PEP ndikuletsa kachilomboka kasanafike pamlingo umenewo.
Ndi mankhwala ati omwe amagwiritsidwa ntchito pa PEP?
Madokotala amapereka mankhwala ophatikizika a PEP. Mankhwalawa amatengedwa ngati mapiritsi. Mankhwala ophatikizika kwambiri alembedwa patebulo pansipa.
| Kuphatikiza Koyambira | Mankhwala Owonjezera |
|---|---|
Emtricitabine ndi Tenofovir disoproxil fumarate (FTC/TDF) - (Truvada®) Kapena Emtricitabine ndi Tenofovir alafenamide (FTC/TAF) - (Descovy®) | Raltegravir/RAL (Isentress®) |
| Dolutegravir/DTG (Tivicay™) | |
| Kuphatikiza kwa Darunavir/DRV (Prezista®) ndi Ritonavir/RTV (Norvir®) kapena Cobicistat/COBI |
Kutengera mtundu wa mankhwala, mungafunike kumwa kamodzi kapena kawiri patsiku. Chifukwa chake, musanayambe PEP, onetsetsani kuti mwafunsa dokotala wanu za nthawi ndi njira yogwiritsira ntchito mankhwalawa. Dokotala wanu angasinthenso mitundu kapena milingo ya mankhwala awa kutengera matenda ena omwe muli nawo.
Kodi chithandizo cha PEP chili chothandiza bwanji? N’chifukwa chiyani chingalephereke?
Kafukufuku wasonyeza kuti chithandizo cha PEP, chikatengedwa moyenera, chingachepetse chiopsezo cha kachilombo ka HIV ndi oposa 80% . Imeneyo ndi njira yopambana kwambiri.
Komabe, nthawi zina chithandizochi sichingayende bwino monga momwe timayembekezera. Pali zifukwa zingapo zomwe zimapangitsa izi. Tiyeni tiwone zomwe zili.
| Chifukwa cholephera | Kufotokoza mwachidule |
|---|---|
| Kuchedwa kuyamba chithandizo | Ngati iyamba patatha maola 72 kuchokera pamene yapezeka, kachilomboka kakhoza kukhala katayamba kale kukhazikika m'thupi. |
| Kudumpha mlingo wa mankhwala | Ngati simumwa mankhwalawo panthawi yoyenera tsiku lililonse, kuchuluka kwa mankhwala m'thupi kumachepa, zomwe zimapangitsa kuti kachilomboka kayambenso kugwira ntchito. |
| Sikutha masiku 28 | Ngati simumaliza maphunziro onse, kachilomboka sikangathe kulamuliridwa mokwanira ndipo kangabwerenso. |
| Kuwonekeranso | Ngati mwapezekanso ndi kachilombo ka HIV popanda chitetezo pamene mukumwa PEP, kupambana kwa chithandizocho kudzachepa. |
| Kachilombo kosamva mankhwala | Kawirikawiri, mtundu wa kachilombo ka HIV komwe mwakumana nako ungakhale wosagonja ku mankhwala operekedwa a PEP. |
Kodi pali zotsatirapo zilizonse zoyipa za chithandizo cha PEP?
PEP si mankhwala omwe nthawi zambiri amayambitsa zotsatirapo zoyipa zazikulu. Komabe, anthu ena amatha kumva kusasangalala pang'ono. Izi nthawi zambiri zimatha patatha masiku ochepa.
Zotsatira zoyipa kwambiri ndi izi:
- Kumva kutopa (Kutopa)
- Kusanza
- Kusanza
- Kutsegula m'mimba
- Mutu
Ngati mukukumana ndi zizindikiro izi, lankhulani ndi dokotala wanu. Nthawi zambiri, izi zimatha ndi mankhwala osavuta. Musamwe mankhwala aliwonse popanda kufunsa dokotala wanu.
Kodi ndiyenera kupita kuti ngati ndikufuna PEP?
Iyi ndi gawo lofunika kwambiri. Kupezeka ndi kachilombo ka HIV ndi vuto lachipatala. Choncho musataye nthawi ndikupempha upangiri wa dokotala nthawi yomweyo. Pali malo angapo omwe mungapiteko.
1. Chipatala cha Zadzidzidzi (ETU) kuchipatala chapafupi: Iyi ndi njira yabwino komanso yachangu kwambiri. Pitani ku ETU ya chipatala chilichonse cha boma ndipo mufotokozere momwe zinthu zilili, komwe mungapeze chithandizo choyambira ndi upangiri womwe mukufuna.
2. Chipatala cha Zaumoyo Wogonana: Pali zipatala za matenda opatsirana pogonana zomwe zili m'zipatala zazikulu ku Sri Lanka. Mutha kupeza upangiri ndi chithandizo chomwe mukufuna kuchokera kuzipatalazi uku mukusunga chinsinsi chonse.
3. Dokotala Wanu Wabanja: Dokotala wanu wabanja angakuuzeninso za izi. Komabe, nthawi zina ngati alibe chidziwitso chokwanira pa izi, angakutumizireni kwa ETU kapena katswiri.
Kulikonse komwe mungapite, nenani momveka bwino kuti , "Ndikuganiza kuti mwina ndapezeka ndi kachilombo ka HIV, ndipo ndikufuna kudziwa za chithandizo cha PEP." Nenaninso kuti ndi vuto ladzidzidzi.
Kodi chimachitika ndi chiyani mukalandira chithandizo cha PEP?
Mukamaliza kulandira chithandizo cha PEP kwa masiku 28, ntchito yanu siimatha. Muyenera kuyesedwanso kangapo kuti muwonetsetse kuti simunatenge kachilombo ka HIV.
Kawirikawiri,
- Mkati mwa masabata 4-6 kuchokera pamene munthu wakhudzidwa ndi matendawa
- Pa masabata 12 (m'miyezi itatu)
- Pa masabata 24 (m'miyezi 6)
Dokotala akulangizani kuti muyezedwenso nthawi ndi nthawi. Ndikofunikira kwambiri kuchita mayeso onsewa kuti muwonetsetse kuti mulibe matenda.
Uthenga Wopita Nawo Kunyumba
- PEP ndi chithandizo chadzidzidzi chomwe chimaperekedwa kuti chiteteze matenda mutatenga kachilombo ka HIV.
- Kuti zotsatira zake zitheke, chithandizochi chiyenera kuyamba mkati mwa maola 72 (masiku atatu) kuchokera pamene munthu wakhudzidwa ndi kachilomboka.
- Iyi ndi njira ya mankhwala ya masiku 28 , yomwe iyenera kumalizidwa monga momwe yakonzedwera, popanda kulumpha tsiku limodzi.
- Ngati mukuganiza kuti mwatenga kachilombo ka HIV, musachite manyazi kapena mantha, koma pitani ku chipatala chapafupi cha Emergency Department (ETU) kapena pitani kwa dokotala nthawi yomweyo.
- PEP si njira yopezera chitetezo m'malo mwa njira zodzitetezera monga makondomu. Ndi ya zadzidzidzi zokha.











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