Ndinogamuchira mibvunzo yakasiyana-siyana kubva kune vechidiki vanopfuura hafu yemiriyoni vanotevera mapeji angu pasocial media zuva nezuva. Pane mubvunzo wandinowanzo bvunzwa nevechidiki vanotya uye vanonetseka mushure mekuita bonde vasina dziviriro:
"Dr. Priya, ndakaita bonde ndisina dziviriro husiku hwapfuura. Ndava kutya zvikuru ikozvino kuti ndingangobatwa neHIV. Ndoita sei nekukasika kuti ndiponese hupenyu hwangu?"
Pandakasangana naAsanga (ane makore 24) akanga atumira meseji iyi, chinhu chekutanga chandakamuudza kwaive kudzikamisa hasha. "Asanga, zvakajairika kuti utye mushure mekuita bonde risina dziviriro. Asi panguva ino , PEP (Post-Exposure Prophylaxis), iyo inogona kutorwa mukati memaawa 72, inogona kuponesa hupenyu hwako. Uye nhasi, tichataurawo zvakadzama nezvenzira yakanaka yekudzivirira inonzi PrEP (Pre-Exposure Prophylaxis), iyo inogona kushandiswa kudzivirira kutya kwakadaro mune ramangwana."
๐จ Zviratidzo Zvikuru: Nguva Yekutsvaga Rubatsiro Rwekurapa Nekukurumidza
Kana wakambosangana nechimwe chezviitiko zvinotevera zvine njodzi, unofanira kuenda kukiriniki yehurumende yeSTD nekukasika wotsvaga rubatsiro rwekukurumidzira mukati memaawa makumi manomwe nemaviri:
- Kuita zvepabonde pasina kushandisa kondomu nemunhu ane HIV kana kuti asina chokwadi nezvemamiriro ake ezvinhu.
- Kondomu rinoputika kana kubuda panguva yebonde.
- Fivha, kurwadziwa kwemuviri, pahuro, uye mapundu mushure mekuita bonde risina dziviriro mavhiki maviri kusvika mana apfuura.
- Kugovana tsono kana sirinji inoshandiswa kamwe chete.
Musiyano uripo pakati pePrEP nePEP ndeupi?
Vanhu vazhinji vanovhiringidza PrEP nePEP, saka zvakakosha kunzwisisa mutsauko mukuru pakati pazvo:
| Chinhu | ๐ PrEP (Kudzivirira Kusangana Neganda) | ๐งช PEP (Kudzivirira Mushure meKusangana Nechirwere) |
|---|---|---|
| Zvinoreva | Kurapa kwekudzivirira kunotorwa usati waita zvepabonde. | Kurapwa nekukurumidza mushure mekuita zvepabonde. |
| Nguva yekutora mushonga | Inofanira kutorwa zuva nezuva kutanga mazuva mashoma vasati vaita zvepabonde. | Inofanira kutanga mukati memaawa makumi manomwe nemaviri mushure mekusangana pabonde pasina dziviriro. |
| Kosi yemishonga | Ramba uchitora zuva nezuva chero bedzi njodzi ichiripo. | Mapiritsi anofanira kunwiwa nguva dzose kwemazuva makumi maviri nemasere. |
| Kubudirira | Kana ikashandiswa nemazvo, inodzivirira HIV ne99%. | Kana ikatorwa nemazvo, inodzivirira kutapurirana kweHIV zvakanyanya. |
PrEP inoshanda sei?
PrEP mushonga unorwisa mavhairasi unodzivirira hutachiona hweHIV kuti husawande mumuviri usati wabatwa nawo. Unogona kutorwa mumhando mbiri:
1. Mapiritsi Emumuromo: Kutora piritsi rimwe chete pazuva, rakaita seTruvada kana Descovy .
2. Inobayiwa jekiseni: Jekiseni reApretude rakaburitswa munguva pfupi yapfuura rinopihwa nepamutsipa mwedzi wega wega kwemwedzi miviri yekutanga, uye wozopihwa mwedzi miviri yega yega mushure meizvozvo.
Nzira idzi dzese, kana dzikashandiswa nemazvo uye zvichienderana nemazano echiremba, dzinodzivirira njodzi yekutapukirwa neHIV kuburikidza nebonde ne99% .
> [!ZVINOKOSHA]
> PrEP inodzivirira chete hutachiona hweHIV (human immunodeficiency virus). PrEP haigone kushandiswa kudzivirira pamuviri kana zvimwe zvirwere zvepabonde (STIs) zvakaita sesyphilis, gonorrhea, uye herpes.
Ndiani anofanira kutora PrEP?
Vanachiremba vanokurudzira mushonga wePrEP kuvanhu vasina HIV parizvino (vasina HIV) uye vari muzvikamu zvinotevera:
- Vanhu vanoita zvepabonde nevanhu vakawanda kakawanda vasina kushandisa makondomu.
- Vanhu vane mudiwa ane hutachiona hweHIV (Serodiscordant Couples).
- Varume vanoita zvepabonde nevarume (MSM).
- Vanhu vanoshandisa tsono kana majekiseni anoshandiswa pamwe chete kubaya mishonga.
Zvinhu zvekufunga nezvazvo pakushandisa PrEP
- Kuongororwa nachiremba nguva dzose: Usati watanga PrEP, unofanira kuongororwa HIV kuti uve nechokwadi chekuti hauna HIV. Unofanirawo kuongororwa HIV uye kuongororwa mashandiro eitsvo mwedzi mitatu yega yega paunenge uchitora PrEP.
- Nguva inotorwa kuti dziviriro ishande: Mapiritsi ePrEP anosvika manomwe anofanira kutorwa zuva nezuva kuti adzivirirwe zvizere panguva yebonde rekumashure. Mapiritsi anosvika makumi maviri nerimwe anofanira kutorwa nguva dzose zuva nezuva kuti adzivirirwe zvizere panguva yebonde rekumashure.
Pane mimwe migumisiro yakaipa yemushonga wePrEP here?
Kufanana nemushonga weWestern, mapiritsi ePrEP anogona kukonzera matambudziko madiki akadai sekusvotwa, dumbu, uye musoro mukati memavhiki ekutanga ekushandiswa. Zvisinei, izvi zvinowanzopera zvachose mukati memavhiki maviri kusvika matatu muviri paunotanga kutevedzera mushonga. Panogonawo kuva nekurwadziwa kudiki kana kuzvimba panzvimbo yejekiseni. Matambudziko madiki aya haana kana tichienzanisa nekukuvara kunokonzerwa neHIV.
Ungawana sei sevhisi yePrEP yemahara muSri Lanka?
Chirongwa cheNyika cheKudzora STD neAIDS muSri Lanka (NSACP)Inopa mishonga yePrEP, kuongororwa kweHIV, mazano, uye makondomu mahara kuburikidza nemakiriniki ari pachitsuwa chose.
Unogona kubhuka nguva dzekuonana nekiriniki muchivande kuburikidza newebhusaiti yeKnow4Sure.lk .
๐ Makiriniki Makuru eHurumende eSTD:
- Kiriniki yeNyika yeColombo: 29, The Serum Place, Colombo 10. Nhare: 0706477044 / +94 112 667 163
- Kiriniki yeKalutara: Chipatara cheDunhu reKalutara. Nhare: 034-2236937
- Mahamodara (Galle) Kliniki: Kudzidzisa Chipatara Mahamodara. Nhare: 091-2245998
- Kurunegala Clinic: Kudzidzisa Chipatara Kurunegala. Nhare: 037-2224339
- Kiriniki yeAnuradhapura: Chipatara Chekudzidzisa Anuradhapura. Nhare: 025-2236461
- Kiriniki yeJaffna: Chipatara Chekudzidzisa Jaffna. Nhare: 021-2217756
- Chilaw Clinic: Chipatara Chikuru cheDunhu Chilaw. Nhare: 032-2220750
- Kiriniki yeBadulla: Chipatara Chekudzidzisa Badulla. Nhare: 055-2222578
Zvinofanira kuitwa uye Zvisingafaniri kuitwa
| โ๏ธ Zvinhu zvekuita (Zviito) | โ Zvisingafaniri kuitwa |
|---|---|
| Kana wakamborara nemukadzi usina dziviriro, enda kuchipatara nekukasika wokumbira rubatsiro rwePEP mukati memaawa makumi manomwe nemaviri. | Usatange kushandisa mushonga wePrEP usati waongororwa nachiremba kuti uonekwe kuti hauna HIV. |
| Shandisa makondomu pamwe chete nemushonga wePrEP kuti udzivirire zvakanyanya pese paunosangana pabonde. | Usaite bonde risina dziviriro usati wapedza mazuva (7 kana 21) anodiwa kuti muviri wako uzvidzivirire zvakakwana. |
| Yeuka kunwa mapiritsi ako ePrEP zuva nezuva panguva imwe chete zuva nezuva, usingade kunwa. | Usangoerekana warega kutora PrEP usina kupiwa zano nachiremba wako uye usina kuongororwa. |
โ Mimwe mibvunzo yaungave nayo (FAQ)
Kushandisa PrEP kunogona kudzivirira kubata pamuviri kuburikidza nekuita zvepabonde here? โผ
Kwete, PrEP haina simba rekudzivirira pamuviri. Kuti udzivise pamuviri, unofanira kushandisa makondomu kana imwe nzira yekuronga mhuri.
Chii chandinofanira kuita kana ndikapotsa zuva rePrEP? โผ
Inwa piritsi nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekutora piritsi rinotevera, usatore mapiritsi maviri panguva imwe chete kuti udzorere piritsi rawakarasikirwa naro, asi inwa piritsi panguva inotevera.
Pane mushonga wekurapa unodiwa here kuti uwane PrEP? โผ
Ehe, PrEP mushonga unofanirwa kunyorerwa nachiremba mushure mekuongororwa mashandiro eitsvo uye mamiriro eHIV. Saka, unofanira kushanyira kiriniki yehurumende yeSTD iri pedyo woona chiremba.
Munobhadharisa mari yemishonga yePrEP nePEP kubva kumakiriniki ehurumende here? โผ
Kwete, makiriniki ese ehurumende eSTD muSri Lanka anopa PrEP, mishonga yePEP, mabasa ekupa mazano, uye kuongororwa ropa mahara.
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