Tangoganizirani, pamene simukuyembekezera, mukukayikira kuti mwapezeka ndi kachilombo ka HIV. Mwina chifukwa cha kugonana kosadziteteza, kapena mwina chifukwa chogawana singano ndi munthu amene anabaya mankhwala osokoneza bongo. Mantha ndi mantha omwe mumamva panthawi ngati iyi sizingatheke kufotokoza. Koma kungoopa sikokwanira. Pali chithandizo chapadera chomwe chingakutetezeni pamavuto otere. Ndicho chimene tikukamba lero.
Kodi PEP (Post-Exposure Prophylaxis) ndi chiyani?
Mwachidule, PEP ndi mankhwala omwe amaletsa kachilomboka kuti kasalowe m'thupi kwamuyaya munthu akapezeka ndi kachilombo ka HIV. Ndi mankhwala omwe ayenera kumwedwa tsiku lililonse kwa masiku 28 .
Chofunika kwambiri ndichakuti kuti chithandizochi chikhale chothandiza kwambiri, muyenera kuyamba kumwa mankhwalawa mkati mwa maola 72 (masiku atatu) kuchokera pamene mukuganiza kuti mwakhala mukutenga kachilombo ka HIV.
Kachilombo ka HIV (Human Immunodeficiency Virus) ndi matenda ochiritsika, koma osachiritsika kwathunthu, kwa moyo wonse. Chifukwa chake, kufalikira kwa kachilombo ka HIV ndi vuto lachipatala . Ngati mukukayikira kuti mwapezeka ndi kachilomboka, pitani ku chipinda chadzidzidzi chachipatala chapafupi (ETU) nthawi yomweyo.
PEP ndi yogwiritsidwa ntchito mwadzidzidzi kokha. Sikuti cholinga chake ndi kuteteza munthu amene ali pachiwopsezo chachikulu chotenga kachilombo ka HIV kwa nthawi yayitali. Ngati muli pachiwopsezo chachikulu, lankhulani ndi dokotala wanu za PrEP (Pre-Exposure Prophylaxis), mankhwala omwe mungamwe musanakumane ndi kachilombo ka HIV.
Kodi mumatani musanayambe chithandizo cha PEP?
Musanayambe kapena nthawi yomweyo mutangoyamba kulandira chithandizo cha PEP, dokotala wanu adzatenga zitsanzo za magazi ndi mkodzo wanu ndikuchita mayeso angapo kuti adziwe mtundu ndi mlingo wa mankhwala omwe muyenera kupatsidwa. Mayeso akuluakulu adzaphatikizapo:
- Yang'anani ngati muli kale ndi kachilombo ka HIV.
- Yang'anani mavairasi a Hepatitis B ndi Hepatitis C.
- Tsimikizirani ngati muli ndi pakati.
- Yang'anani ngati chiwindi ndi impso zanu zikugwira ntchito bwino.
Kuphatikiza apo, kutengera momwe mudawululidwira, muthanso kuyezetsa kapena kulandira chithandizo cha matenda ena opatsirana pogonana (STIs), chifukwa matenda angapo amatha kuchitika nthawi imodzi. Mwachitsanzo, chinzonono ndi chlamydia.
Kodi mankhwala a PEP awa amateteza bwanji kachilombo ka HIV?
Izi n'zosavuta kuzimvetsa. Ganizirani kachilombo ka HIV ngati wakuba amene akuyesera kulowa m'nyumba mwanu. Mankhwala ochepetsa mphamvu ya kachilomboka omwe amagwiritsidwa ntchito pochiza matenda a PEP amaletsa wakuba uyu kukhala m'nyumba mwanu ndikupanga zinthu zake (kachilomboka).
Mankhwalawa amalimbana ndi kachilomboka m'njira zosiyanasiyana. Chifukwa chake, chithandizo chimakhala chothandiza kwambiri ngati mankhwala angapo aperekedwa pamodzi. Ngati tiyamba mankhwalawa msanga , titha kuwongolera kachilombo ka HIV kasanakhale matenda osatha m'thupi.
Ndi mankhwala ati omwe amagwiritsidwa ntchito pa PEP?
Madokotala amalemba mankhwala oletsa ma ARV ophatikizana ndi PEP. Mankhwalawa ndi omwe amagwiritsidwa ntchito pochiza anthu omwe ali ndi kachilombo ka HIV. Amatengedwa ngati mapiritsi. Dokotala wanu adzasankha mtundu ndi mlingo wa mankhwala omwe mudzamwe kutengera thanzi lanu.
| Gulu la mankhwala | Mankhwala ogwiritsidwa ntchito kwambiri |
|---|---|
| Kuphatikiza mankhwala oyambira (mankhwala awiri mu piritsi limodzi) | Emtricitabine ndi Tenofovir Disoproxil Fumarate (FTC/TDF, yodziwika kuti Truvada® ) Kapena Emtricitabine ndi Tenofovir Alafenamide (FTC/TAF, yodziwika kuti Descovy® ) |
| Mankhwala achitatu omwe awonjezeredwa ku mankhwala omwe ali pamwambapa | Chimodzi mwa izi:
|
Funsani dokotala wanu nthawi yeniyeni yoti mumwe mankhwalawa komanso kangati patsiku.
Kodi pali mwayi wotani woti chithandizo cha PEP sichingapambane?
Kafukufuku wasonyeza kuti chithandizo cha PEP chimachepetsa chiopsezo cha kachilombo ka HIV ndi zoposa 80%. Komabe, nthawi zina izi sizingakhale zothandiza monga momwe zimayembekezeredwa.
| Chifukwa | Kufotokozera |
|---|---|
| Kuchedwa kuyamba chithandizo | Ngati yayamba patatha maola 72 kuchokera pamene yayamba kugwiritsidwa ntchito, ndiye kuti kupambana kwake kumakhala kochepa kwambiri. |
| Kudumpha mlingo wa mankhwala | Ngati simumwa mankhwala anu pa nthawi yoyenera tsiku lililonse, simungathe kuletsa kachilomboka. |
| Sikutha masiku 28 | Ngati musiya kumwa mankhwala msanga, kachilomboka kadzakhala ndi mwayi woyambiranso kugwira ntchito. |
| Kuwonekeranso | Ngati mwakumananso ndi kachilomboka pamene mukumwa PEP. |
| Kachilombo kosamva mankhwala | Ngati mtundu wa kachilombo ka HIV komwe mudakumana nako sikulandira mankhwala a PEP. |
Kodi pali zotsatirapo zilizonse zoyipa za chithandizo cha PEP?
Anthu ena angakumane ndi zotsatirapo zazing'ono kuchokera ku mankhwala a PEP, koma nthawi zambiri izi sizikhala zoopsa.
- Kutopa
- Kusanza
- Kusanza
- Kutsegula m'mimba
- Mutu
Ngati chinthu chonga ichi chichitika , musasiye kumwa mankhwalawo . Mutha kulankhula ndi dokotala wanu kuti mupeze yankho.
Kodi ndiyenera kupita kuti ngati ndili pachiwopsezo cha kachilombo ka HIV?
Kupezeka ndi kachilombo ka HIV ndi vuto lachipatala . Musataye nthawi.
Mukhoza kupita ku malo awa:
1. Chipatala cha Zadzidzidzi (ETU) cha chipatala chapafupi:Iyi ndi njira yabwino komanso yachangu kwambiri. Mukawafotokozera vuto lanu, iwo adzachita zomwe zikufunika.
2. Chipatala cha Zaumoyo Wogonana / Chipatala cha Matenda Opatsirana: Muthanso kupeza thandizo pa izi popita kuzipatala za matenda opatsirana pogonana zomwe zili m'zipatala za boma.
3. Dokotala Wanu Wabanja: Dokotala wanu akhoza kukupatsani mankhwala a PEP, koma mwina angakutumizireni kwa ETU kapena katswiri.
Kulikonse komwe mungapite, nenani momveka bwino kuti , "Ndikuganiza kuti ndapezeka ndi kachilombo ka HIV, ndipo ndikufunika kupita kwa dokotala nthawi yomweyo." Nthawi ndi yofunika kwambiri apa.
Kodi chimachitika ndi chiyani patatha masiku 28?
Mukamaliza PEP, muyenera kuyezetsanso kachilombo ka HIV monga momwe dokotala wanu wanenera. Nthawi zambiri, mudzayezetsanso pakatha milungu 4-6 mutapezeka ndi kachilomboka, milungu 12 (miyezi itatu), ndi milungu 24 (miyezi 6). Iyi ndiyo njira yokhayo yotsimikizira 100% kuti simunatenge kachilomboka.
Uthenga Wopita Nawo Kunyumba
- Kupezeka ndi kachilombo ka HIV ndi vuto lachipatala. Musataye nthawi mukuopa kapena kuchita manyazi.
- Ndikofunikira kuyamba kulandira chithandizo cha PEP pasanathe maola 72 kuchokera pamene kachilomboka kakufalikira. Mukayamba msanga, zimakhala bwino kwambiri.
- Chithandizo cha PEP chiyenera kutengedwa kwa masiku 28 , osaphonya tsiku limodzi, komanso monga momwe dokotala wanenera.
- Ngati muli ndi kukayikira kulikonse, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi nthawi yomweyo.
- Gwiritsani ntchito kondomu nthawi zonse pogonana mukumwa PEP komanso mpaka mayeso anu omaliza a HIV atatsimikizira kuti mulibe kachilomboka.
- Ndikofunikira kwambiri kuyezetsa HIV komwe dokotala wanu wakupatsani panthawi yomwe mwakonza mutalandira chithandizo.
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