Singathetha nge-PrEP (Pre-Exposure Prophylaxis) ukuze sikhuseleke kwi-HIV?

Molo! Unjani? Namhlanje siza kuthetha ngento enokuba ibalulekile kubantu abaninzi, nendlela yokuzikhusela kwi-HIV - intsholongwane ebangela i-AIDS - ngaphambi kokuba ingene emzimbeni wakho. Le PrEP siyibiza ngokuba yiyo. Usenokuba ukhe wayiva. Makhe sijonge ukuba yintoni, yenzelwe bani, isetyenziswa njani kanye kanye, kwaye yintoni ekufuneka uyiqaphele.

Yintoni iPrEP (Pre-Exposure Prophylaxis)?

Ngamafutshane, i-PrEP sisifinyezo segama elithi 'Pre-Exposure Prophylaxis' . 'Pre-Exposure' ithetha 'ngaphambi kokuvezwa', oko kuthetha ngaphambi kokuba uvezwe kwintsholongwane ye-HIV. 'Prophylaxis' linyathelo elithathwayo ukuzikhusela kwisifo ngaphambi kokuba sivele. I-PrEP liyeza elithathwa ngumntu ongenantsholongwane ye-HIV emzimbeni wakhe ukunciphisa umngcipheko wokufumana i-HIV. Cinga ngayo njengokulungiselela isambrela ngaphambi kokuba kune imvula. Kodwa oku kulungile kuphela kwi-HIV, kungekhona kwezinye izifo.

Singayifumana le mithi ye-PrEP ngeendlela ezimbini eziphambili:

• Enye ifana nepilisi yomlomo oyithatha yonke imihla . Njengokuba uthatha ipilisi yevithamini, kufuneka uyithathe ngexesha elifanayo yonke imihla ukuze isebenze kakuhle.
• Enye indlela kukufaka inaliti qho emva kweenyanga ezimbini . Le ndlela uyinikwa ngugqirha okanye ngumongikazi oqeqeshiweyo.

Ungakhetha ukuba yeyiphi kwezi ndlela zimbini ekulungeleyo ngokuthetha nogqirha, ucinga ngezinto ezifana nendlela ophila ngayo kunye nendlela oziva ngayo lula.

Ngubani obaluleke kakhulu kwi-PrEP?

Ngoku mhlawumbi ucinga, 'Kulungile, ngoko ke i-PrEP liyeza onokulisebenzisa ukuze uzikhusele kwi-HIV. Kodwa ngubani ngokwenene olidingayo?' I-PrEP ayisiyonto wonke umntu afanele ayithathe. Icetyiswa ngakumbi kubantu abasengozini enkulu yokufumana i-HIV . Oku kungenxa yokuba i-HIV inokuqhubela phambili kwimeko eyingozi ebizwa ngokuba yi-AIDS ukuba ayinyangwa. Makhe sijonge ukuba ngubani osengozini enkulu:

• Ukuba iqabane lakho lesondo lisulelekile yi-HIV (oko kukuthi, ukuba iqabane lakho line-HIV), i-PrEP yindlela ebaluleke kakhulu yokuzikhusela kwi-HIV.
• Ukuba ulalana ngempundu ngaphandle kokusebenzisa ikhondom , isondo lempundu lolona hlobo lwesenzo sokwabelana ngesondo esinomngcipheko omkhulu wokosulelwa yi-HIV. Ngoko ke ukuba ulalana ngempundu ngaphandle kwekhondom, ngokuqinisekileyo kufanelekile ukuba ucinge nge-PrEP.
• Ukuba ukhe waba nesinye isifo esidluliselwa ngesondo (STD) kwiinyanga ezi-6 ezidlulileyo . Umzekelo, i-gonorrhea okanye i-syphilis. Ukuba ne-STD luphawu lokuba awusebenzisi isondo esikhuselekileyo. Ezinye izifo ezidluliselwa ngesondo ziyandisa umngcipheko wokosulelwa yi-HIV.
• Ukuba ulala nomntu ongayaziyo imeko yakhe ye-HIV ngaphandle kwekhondomNgamanye amaxesha asiyazi imeko ye-HIV yomntu esabelana naye ngesondo. Kwimeko ezinjalo, ukulala nomntu ngaphandle kwekhondom kuyingozi. I-PrEP inokunciphisa le ngozi.
• Ukuba usebenzisa iinaliti/iisirinji ezifanayo nabanye xa ufaka iziyobisi, okanye ukuba wabelana ngazo . Oku kuyingozi kakhulu. Ayisiyo i-HIV kuphela, kodwa nezinye izifo ezininzi ezifana ne-hepatitis B kunye ne-C zinokudluliselwa ngale ndlela. Ke ngoko, kubalulekile ukuba umntu owenza oku aqaphele i-PrEP.

Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha ngayo nayiphi na kwezi zinto ukuba ucinga ukuba ziyasebenza kuwe. Akukho nto unokuba neentloni ngayo okanye uyoyike. Oogqirha bakhona ukukunceda, ngelixa bekhusela ubumfihlo bakho.

Ngaba ukuthatha i-PrEP kusoloko kuthintela i-HIV?

Le yingxaki kubantu abaninzi. I-PrEP yindlela esebenzayo kakhulu yokuzikhusela kwi-HIV, kodwa isebenza kuphela ukuba uyithatha kanye njengoko kuyalelwe . Oko kuthetha ukuba uthatha ipilisi yonke imihla, ngexesha elifanayo yonke imihla, rhoqo kangangoko kunokwenzeka. Ukuthabatha isitofu ngosuku olucwangcisiweyo kubalulekile. Ungaphoswa lusuku olunye.

Kodwa nantsi enye into. I-PrEP ithintela ukudluliselwa kwe-HIV ngepesenti enkulu (ngaphezulu kwe-99%) , kodwa hayi nge-100% . Oko kuthetha ukuba nokuba umntu uthatha i-PrEP ngqo, kukho ithuba elincinci kakhulu lokuba afumane i-HIV. Kufana nokunxiba ijazi lemvula elilungileyo, kodwa ngamanye amaxesha ikhola yehempe yakho iyamanzi kancinci.

Ngoko ke, ukongeza ekuthatheni i-PrEP, ukusebenzisa ikhondom ngexesha lesenzo ngasinye sesondo, nokuba kukwilungu lobufazi, lomlomo, okanye lomva, yeyona ndlela ilungileyo nepheleleyo yokuzikhusela kwi-HIV kunye nezinye izifo ezidluliselwa ngesondo (STDs). Kubalulekile ukukhumbula ukuba i-PrEP ayithathi indawo yeekhondom, kodwa yindlela eyongezelelweyo yokuzikhusela . Ukusebenzisa i-PrEP kunye neekhondom kunye kunika ukhuseleko olukhulu kakhulu.

Ngaba i-PrEP ikhusela kwezinye izifo ezidluliselwa ngesondo (STDs)?

Le yingongoma ebaluleke kakhulu. I-PrEP ikukhusela kuphela kwi-HIV . Oko kuthetha ukuba i-PrEP ayinakukukhusela kwezinye izifo ezidluliselwa ngesondo (STDs) ezifana neGonorrhea, iSyphilis, iChlamydia, kunye neentsholongwane zesini.

Cinga ngale ndlela: I-PrEP ifana nesitshixo sokhuseleko esikhethekileyo esikhusela kwisela elikhethekileyo elibizwa ngokuba yi-HIV. Kodwa amanye amasela (ezinye izifo ezithathelwana ngesondo) awadingi eso sitshixo, anokuza ngezinye iindlela.

Ngoko ke, nokuba usebenzisa i-PrEP, ukuze uzikhusele kwezinye izifo ezidluliselwa ngesondo, kufuneka usebenzise ikhondom ngexesha lesenzo ngasinye sokwabelana ngesondo, nokuba seludongeni, emlonyeni, okanye ngasemva . Ikhondom ngumhlobo wakho osenyongweni okukhusela kwezinye izifo ezithathelwana ngesondo ukongeza kwi-HIV. Ukusebenzisa ikhondom ngelixa usebenzisa i-PrEP kukunika ukhuseleko oluphindwe kabini kunye noxolo lwengqondo.

Ndingayifumana njani i-PrEP? Zeziphi izinto ekufuneka ndiziqaphele?

Ukuba uziva ngathi kufuneka uthathe i-PrEP, awunakuya nje kwikhemesti uyokucela. I-PrEP liyeza elibhalwe ngugqirha elifanele linikwe ngugqirha .

Nazi ezinye izinto ekufuneka uzazi malunga nokufumana nokusebenzisa i-PrEP:

1. Ukufuna ingcebiso kagqirha:

• Okokuqala, kufuneka udibane nogqirha ofanelekileyo ukuze nixoxe nge-PrEP ngokweenkcukacha. Ungayifumana le nkonzo kwikliniki yezempilo yesondo okanye kugqirha onolwazi kweli candelo. Ugqirha uya kuqwalasela imeko yakho yempilo, umngcipheko we-HIV, kunye nezinye izinto ukuze agqibe kwelokuba i-PrEP ikulungele na.
• Ngaphambi kokuba uqale i-PrEP, kufuneka wenze uvavanyo lwe-HIV ukuqinisekisa ukuba awosuleleki yi-HIV . Oku kungenxa yokuba i-PrEP yindlela yokuthintela i-HIV kubantu abangenayo i-HIV, ayilonyango lwe-HIV. Ukuba umntu one-HIV uthatha i-PrEP, intsholongwane inokuba namandla okumelana namayeza kwaye unyango lusenokungasebenzi.

2. Ukusetyenziswa ngokuchanekileyo kwamayeza (Ukunamathela):

• Ukuba ugqirha wakho unika iipilisi zomlomo , kufuneka uzithathe ngexesha elifanayo yonke imihla, ungalibali . Ukuba uphoswa nalusuku olunye, ukusebenza kakuhle kwamayeza kunokuncipha. Njengokuba ikhonkco elinye kwityathanga liqhekeka, ityathanga liphelelwa ngamandla. Beka isikhumbuzi kwifowuni yakho, okanye usongeze kwimisebenzi yakho yemihla ngemihla ukuze sikukhumbuze.
• Ukuba unikwe inaliti enikwa rhoqo emva kweenyanga ezimbini , kubalulekile ukuba uye kuyifumana ngemihla emiselweyo . Ungaphoswa yidibano. Khumbula umhla olandelayo ugqirha akunike wona uze uye ngelo xesha.

3. Ukuhlolwa rhoqo kwezonyango:

• Ngelixa usebenzisa i-PrEP, kuya kufuneka wenze uvavanyo lwe-HIV rhoqo emva kweenyanga ezi-3 ukuze uqinisekise ukuba awosulelwanga yi-HIV.
• Ugqirha wakho angenza uvavanyo lokusebenza kwezintso. Njengayo nayiphi na iyeza, i-PrEP inokubangela ezinye iziphumo ebezingalindelekanga ezincinci. Ezona ziphumo bezingalindelekanga zixhaphakileyo kukuphazamiseka kwesisu kunye nesiyezi kwizigaba zokuqala. Nangona kunjalo, zihlala zingekho mbi kakhulu kwaye ziya kuphela kwiintsuku okanye iiveki ezimbalwa. Ugqirha wakho uza kukwazisa. Ukuba ubona into engaqhelekanga, xelela ugqirha wakho ngoko nangoko.

Intuthuzelo yengqondo ye-PrEP

Ukuphila ne-HIV kunokuba ngamava abangela uxinzelelo noloyiko kwabanye abantu. Ukukhathazeka rhoqo kokuba ‘Ngaba ndiza kufumana i-HIV?’ kunokuba nzima kakhulu. Xa isetyenziswa ngokuchanekileyo, i-PrEP inokubonelela ngoxolo nentuthuzelo, kunye nokuziva ngathi uthathe inyathelo eliqinileyo lokuzikhusela kwi-HIV. Ingaphucula nomgangatho wobomi bakho kunye nolonwabo. Kodwa khumbula, i-PrEP ayisiyonto yonyango, yiyoYinxalenye enye kuphela yesicwangciso sokuthintela i-HIV.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-PrEP (Pre-Exposure Prophylaxis) namhlanje. Masiphinde sichaze la manqaku abalulekileyo:

• I-PrEP liyeza elinceda ekuthinteleni ukosuleleka yi-HIV kumntu ongena-HIV.
• Oku kulungele kakhulu abo basengozini enkulu ye-HIV . Sithethe ngabo ngaphambili.
• I-PrEP kufuneka ithathwe ngokuchanekileyo, yonke imihla (ukuba yipilisi) okanye ngamaxesha amiselweyo (ukuba yigonyo) ukuze isebenze kakuhle.
• Nangona i-PrEP inika ukhuseleko oluphezulu kwi-HIV, ayiqinisekiswanga ngokupheleleyo . Yiyo loo nto kubaluleke kakhulu ukusebenzisa iikhondom . I-PrEP kunye neekhondom zezona ntlanganisela zibalaseleyo!
• I-PrEP ayikhuseli kwezinye izifo ezidluliselwa ngesondo (STDs) . Iikhondom zezona zikhuselo zibalaseleyo kuzo.
• Ingcebiso nolawulo lwezonyango zibalulekile ukuze uqale kwaye uqhubeke nokusebenzisa i-PrEP. Kuya kufuneka wenze uvavanyo lwe-HIV rhoqo kunye nezinye iimvavanyo ukuba kuyimfuneko.

Ukuba unemibuzo, iinkxalabo, okanye amathandabuzo malunga ne-PrEP, musa ukuzibamba uze uthethe nogqirha othembekileyo . Bakulungele ukuphendula imibuzo yakho kwaye bakunike uncedo olufunayo. Impilo yakho luxanduva lwakho! Kufanelekile ukucinga ngayo.

I - PrEP, Uthintelo Ngaphambi Kokubhencwa, i-HIV, i-AIDS, uthintelo lwe-HIV, impilo yesondo, iikhondom, izifo ezidluliselwa ngesondo, izifo ezidluliselwa ngesondo