Khawucinge ukuba ubukhe wabelana ngesondo ungakhuselekanga, okanye unesikrokro sokuba usenokuba unentsholongwane kaGawulayo ngenye indlela. Kuqhelekile ukuba uzive uloyiko olukhulu kwaye uxhalabile ngexesha elinje. Kodwa ungoyiki. Kukho unyango olukhethekileyo olunokuthintela ukosuleleka yintsholongwane kaGawulayo kwimeko engxamisekileyo enjalo. Sithetha ngaloo nto namhlanje.
Kalula nje, yintoni i-PEP?
Intsingiselo epheleleyo ye-PEP yi- Post-Exposure Prophylaxis . NgesiSinhala, ithetha unyango lokuthintela oluthathwa emva kokudibana nentsholongwane. Oku kubaluleke kakhulu xa kufikwa kwintsholongwane ye-HIV.
Ngamafutshane, i-PEP yinkqubo yamayeza anikwa ukuthintela usulelo ukuba lungangeni emzimbeni ukuba kukho ukurhaneleka kokuba usenokuba uchaphazelekile yintsholongwane ye-HIV. Olu ludibaniso lweyeza elinye okanye ngaphezulu. Olu nyango kufuneka luthathwe yonke imihla kangangeentsuku ezingama-28 .
Eyona nto ibalulekileyo kukuba ukuze olu nyango lusebenze kakuhle, kufuneka uqale ukuthatha eli yeza zingadlulanga iiyure ezingama-72 (iintsuku ezintathu) emva kokuba ucinga ukuba uhlaselwe yintsholongwane kaGawulayo. Okukhona uqala ngokukhawuleza, kokukhona iziphumo zingcono.
Ukuchatshazelwa yi-HIV yingxamiseko yezonyango . Ngoko ke, ukuba ucinga ukuba ukhe wachatshazelwa yi-HIV ngenxa yokwabelana ngesondo, ukuhlaselwa ngokwesondo, ukwabelana ngeenaliti zokujova iziyobisi, okanye ukwenzakala kwenaliti emsebenzini, yiya kwicandelo lezonyango elikufutshane (ETU) ngoko nangoko.
Kodwa khumbula into enye. I-PEP yeyokusetyenziswa ngokukhawuleza kuphela. Ayinakusetyenziswa njengokhuselo lwexesha elide kumntu osengozini enkulu yokuba sesichengeni se-HIV. Ukuba usengozini enkulu, thetha nogqirha wakho malunga nendlela yokhuseleko lwexesha elide ebizwa ngokuba yi-PrEP (Pre-Exposure Prophylaxis).
Kwenzeka ntoni ngaphambi kokuba kuqalwe i-PEP?
Ngaphambi okanye kwangoko nje kokuba uqale unyango lwe-PEP, ugqirha wakho uya kugqiba ekubeni enze uvavanyo oluthile emzimbeni wakho. Ngenxa yoku, iisampuli ezifana negazi nomchamo zinokuthathwa. Olu vavanyo lwenziwa ukuze kuchongwe uhlobo oluchanekileyo kunye nomlinganiselo wamayeza ekufuneka uwanikwe.
Ngokwesiqhelo, izinto ezinje ziyajongwa:
- Hlola ukuze ubone ukuba sele wosulelwe yi-HIV.
- Ngaba kukho naluphi na usulelo lwe-hepatitis B kunye ne-hepatitis C?
- Qinisekisa ukuba ukhulelwe na.
- Jonga ukuba izintso zakho nesibindi zisebenza kakuhle na.
Ngokusekelwe kwiziphumo zolu vavanyo, ugqirha wakho uza kukunika amayeza e-PEP afanelekileyo nakhuselekileyo kuwe.
Ngaba uyavavanya nezinye izifo ezidluliselwa ngesondo?
Ewe. Kuba nokuba ukudibana ngesondo kube kanye kunokudlulisela ii-STI ezininzi ngexesha elinye. Ngoko ke kuxhomekeke kwindlela oye wavezwa ngayo, ugqirha wakho unokukuvavanya okanye akunyange ezinye ii-STI. Umzekelo:
- I-Gonorrhea
- I-Chlamydia
- I-Trichomoniasis
Lusebenza njani unyango lwe-PEP?
Amayeza asetyenziswa kunyango lwe-PEP abizwa ngokuba ngamayeza okulwa nentsholongwane i-antiretroviral . La ngamayeza afanayo asetyenziswa ukunyanga i-HIV. Okwenziwa ngala mayeza kulula kakhulu. Athintela intsholongwane ye-HIV ekubeni izenzele iikopi zayo, yahlule, kwaye isasazeke emzimbeni wakho.
Cinga nje ngesela. Elo sela lingena endlwini yakho elibizwa ngokuba ngumzimba wakho lize lizame ukudala amanye amasela amaninzi afana nalo. Iziyobisi zePEP zisebenza ngokuvala iingcango nokubeka imiqobo ukuze isela lingakwazi ukudala amanye amasela.
Iindidi ezahlukeneyo zamayeza zisebenza ngeendlela ezahlukeneyo ukudiliza le miqobo. Ngoko ke xa udibanisa iintlobo ezahlukeneyo zamayeza, amathuba okusinda kwentsholongwane ayancipha kakhulu. Unyango luphumelela ngakumbi.
Ukuba siqala ukuthatha la mayeza okulwa neentsholongwane kwangethuba , singayithintela intsholongwane ye-HIV ekubeni yintsholongwane ehlala ihleli emzimbeni wakho (usulelo olungapheliyo). Xa usulelo lubonakalisiwe, amayeza awanakukwazi ukuluphelisa ngokupheleleyo, anokululawula kuphela. Injongo ye-PEP kukuyimisa intsholongwane ngaphambi kokuba ifikelele kwelo nqanaba.
Ngawaphi amayeza asetyenziswa kwi-PEP?
Oogqirha banika umxube wamayeza okulwa neentsholongwane kwi-PEP. La athathwa njengeepilisi. Umxube oqhelekileyo udweliswe kwitheyibhile engasezantsi.
| Umxube weSiseko | Iyeza elongezelelweyo |
|---|---|
I-Emtricitabine kunye ne-Tenofovir disoproxil fumarate (FTC/TDF) - (iTruvada®) Okanye I-Emtricitabine kunye ne-Tenofovir alafenamide (FTC/TAF) - (Descovy®) | I-Raltegravir/RAL (Isentress®) |
| I-Dolutegravir/DTG (Tivicay™) | |
| Ukudityaniswa kweDarunavir/DRV (Prezista®) kunye neRitonavir/RTV (Norvir®) okanye iCobicistat/COBI |
Ngokuxhomekeke kuhlobo lwamayeza, kunokufuneka uwathathe kube kanye okanye kabini ngemini. Ngoko ke, ngaphambi kokuba uqale i-PEP, qiniseka ukuba ubuza ugqirha wakho malunga nexesha kunye nendlela yokuthatha amayeza. Ugqirha wakho unokutshintsha uhlobo okanye umthamo wala mayeza kuxhomekeke kwezinye iimeko zempilo onazo.
Lusebenza kangakanani unyango lwe-PEP? Kutheni lunokungaphumeleli?
Izifundo zibonise ukuba unyango lwe-PEP, xa lusetyenziswa ngokuchanekileyo, lunokunciphisa umngcipheko wosulelo lwe-HIV ngaphezulu kwe-80% . Yimpumelelo enkulu leyo.
Nangona kunjalo, ngamanye amaxesha olu nyango lusenokungaphumeleli njengoko bekulindelwe. Kukho izizathu ezahlukeneyo zoku. Makhe sibone ukuba zeziphi.
| Isizathu sokungaphumeleli | Icacisiwe ngokulula |
|---|---|
| Ukulibaziseka ekuqaleni konyango | Ukuba iqala emva kweeyure ezingama-72 emva kokuvezwa, intsholongwane isenokuba sele iqalile ukuzinza emzimbeni. |
| Ukutsiba iidosi zamayeza | Ukuba awusebenzisi amayeza ngexesha elifanelekileyo yonke imihla, ubuninzi beyeza emzimbeni buyehla, nto leyo enika intsholongwane ithuba lokuba isebenze kwakhona. |
| Ayigqibi iintsuku ezingama-28 | Ukuba awuyigqibi yonke ikhosi, intsholongwane isenokungalawuleki ngokupheleleyo kwaye ingaphinda ivele. |
| Ukuphinda ubonakale | Ukuba uphinde wachatshazelwa yi-HIV ungakhuselekanga ngelixa uthatha i-PEP, impumelelo yonyango iya kuncipha. |
| Intsholongwane enganyangekiyo ngamayeza | Kunqabile kakhulu, uhlobo lwe-HIV oye wadibana nalo lusenokungamelani namayeza anikwa i-PEP. |
Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango lwe-PEP?
I-PEP ayilonyango oludla ngokuba nemiphumo emibi kakhulu. Nangona kunjalo, abanye abantu banokufumana ukungakhululeki okuncinci. Oku kudla ngokuphela kwiintsuku ezimbalwa.
Iziphumo ebezingalindelekanga eziqhelekileyo zezi:
- Ukuziva udiniwe (Ukudinwa)
- Isicaphucaphu
- Ukuhlanza
- Urhudo
- Intloko ebuhlungu
Ukuba ufumana naziphi na kwezi mpawu, thetha nogqirha wakho. Amaxesha amaninzi, ezi mpawu zinokuthomalaliswa ngamayeza alula. Musa ukuthatha naluphi na unyango ngaphandle kokubonisana nogqirha wakho.
Ndingaya phi xa ndifuna i-PEP?
Le yeyona nxalenye ibalulekileyo. Ukuvezwa kwi-HIV yingxaki yezonyango. Ngoko ke musa ukuchitha ixesha kwaye ufune ingcebiso yezonyango ngoko nangoko. Kukho iindawo ezininzi onokuya kuzo.
1. IYunithi yoNyango oluNgxamisekileyo (i-ETU) kwisibhedlele esikufutshane: Olu lolona khetho lulungileyo nolukhawulezayo. Yiya kwi-ETU yaso nasiphi na isibhedlele sikarhulumente uchaze imeko yakho, apho unokufumana khona unyango olusisiseko kunye neengcebiso ozifunayo.
2. Ikliniki yezeMpilo yesondo: Kukho iikliniki zezifo ezidluliselwa ngesondo ezikwizibhedlele ezinkulu eSri Lanka. Ungafumana iingcebiso kunye nonyango olufunayo kwezi kliniki ngelixa ugcina imfihlo epheleleyo.
3. Ugqirha wakho wosapho: Ugqirha wakho wosapho angakuxelela ngale nto. Nangona kunjalo, ngamanye amaxesha ukuba akanalo ulwazi oluninzi koku, unokukuthumela kwi-ETU okanye kwingcali.
Naphi na apho uya khona, chaza ngokucacileyo ukuba , "Ndicinga ukuba ndisenokuba ndichaphazeleke yi-HIV, kwaye ndifuna ukwazi ngonyango lwe-PEP." Kwakhona chaza ukuba yingxamiseko.
Kwenzeka ntoni emva konyango lwe-PEP?
Emva kokuba ugqibile unyango lwakho lwe-PEP lweentsuku ezingama-28, umsebenzi wakho awukapheli. Kuya kufuneka wenze olunye uvavanyo lwe-HIV ukuze uqiniseke ngokupheleleyo ukuba awukasuleleki yi-HIV.
Ngokwesiqhelo,
- Kwiiveki ezi-4-6 emva kokuvezwa
- Kwiiveki ezili-12 (kwiinyanga ezi-3)
- Kwiiveki ezingama-24 (kwiinyanga ezi-6)
Ugqirha ucebisa ukuba uphinde uvavanye rhoqo. Kubaluleke kakhulu ukwenza zonke ezi mvavanyo ukuqinisekisa ukuba awunaso isifo.
Umyalezo Wokuya Ekhaya
- I-PEP lunyango olungxamisekileyo olunikwa ukuthintela usulelo emva kokuchaphazeleka yintsholongwane kaGawulayo.
- Ukuze ufumane iziphumo eziphumelelayo, olu nyango kufuneka luqalwe kwiiyure ezingama-72 (iintsuku ezi-3) emva kokuba uchaphazelekile.
- Le yikhosi yeentsuku ezingama-28 yamayeza, ekufuneka igqitywe njengoko kucwangcisiwe, ngaphandle kokutsiba usuku olunye.
- Ukuba ukrokrela ukuba ukhe wachaphazeleka yintsholongwane kaGawulayo, musa ukuba neentloni okanye ukoyika, kodwa yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) okanye ubone ugqirha.
- I-PEP ayithathi indawo yeendlela zokuzikhusela ezifana neekhondom. Yenzelwe iimeko ezingxamisekileyo kuphela.
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