Khawucinge nje, xa ungalindelanga, ukrokrela ukuba ukhe wachaphazeleka yintsholongwane kaGawulayo. Mhlawumbi kungenxa yesondo esingakhuselekanga, okanye mhlawumbi kungenxa yokwabelana ngenaliti nomntu ofake iziyobisi. Uloyiko kunye nokothuka okuvayo ngexesha elinje akunakuchazwa ngamazwi. Kodwa ukoyika nje akwanelanga. Kukho unyango olukhethekileyo olunokukukhusela kwimeko engxamisekileyo enjalo. Yiloo nto sithetha ngayo namhlanje.
Yintoni i-PEP (Post-Exposure Prophylaxis)?
Ngamafutshane, i-PEP lunyango oluthintela intsholongwane ukuba ingangeni emzimbeni emva kokuba ichaphazeleke yi-HIV. Liyeza ekufuneka lithathwe 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 sele uchaphazelekile yi-HIV.
I-HIV (i-Human Immunodeficiency Virus) yimeko enokunyangeka, kodwa ayinakunyangeka ngokupheleleyo, ubomi bonke. Ke ngoko, ukuchatshazelwa yi-HIV yimeko engxamisekileyo yezonyango . Ukuba ukrokrela ukuba ukhe wachatshazelwa, yiya kwigumbi likaxakeka lesibhedlele elikufutshane (ETU) ngoko nangoko.
I-PEP yenzelwe ukusetyenziswa ngokukhawuleza kuphela. Ayijoliswanga ekusetyenzisweni njengokhuseleko lwexesha elide kumntu osengozini enkulu yokosulelwa yi-HIV. Ukuba usengozini enkulu, thetha nogqirha wakho malunga ne-PrEP (Pre-Exposure Prophylaxis), unyango onokuluthatha ngaphambi kokuba utyhileke kwi-HIV.
Wenza ntoni ngaphambi kokuba uqalise unyango lwe-PEP?
Ngaphambi okanye kwangoko emva kokuba uqale unyango lwe-PEP, ugqirha wakho uza kuthatha iisampulu zegazi lakho nomchamo aze enze iimvavanyo ezininzi ukuze amisele uhlobo kunye nomthamo wamayeza omele uwanikwe. Uvavanyo oluphambili luya kuquka:
- Jonga ukuba sele wosulelwe yi-HIV.
- Jonga iintsholongwane zeHepatitis B kunye neHepatitis C.
- Qinisekisa ukuba ukhulelwe na.
- Jonga ukuba isibindi sakho kunye nezintso zakho zisebenza kakuhle na.
Ukongeza, kuxhomekeke kwindlela oye wavezwa ngayo, ungavavanywa okanye unyangwe ezinye izifo ezidluliselwa ngesondo (ii-STI), njengoko izifo ezininzi zinokwenzeka ngaxeshanye. Umzekelo, i-gonorrhea kunye ne-chlamydia.
Eli yeza le-PEP liyithintela njani i-HIV?
Kulula kakhulu ukuyiqonda le nto. Cinga ngentsholongwane kaGawulayo njengesela elizama ukungena endlwini yakho. Amayeza okulwa nentsholongwane kaGawulayo kunyango lwe-PEP ayayithintela le sela ekubeni lihlale endlwini yakho lize lenze iikopi zezinto zalo (intsholongwane).
La mayeza ahlasela intsholongwane ngeendlela ezahlukeneyo. Ngoko ke, unyango lusebenza ngakumbi xa kunikwa amayeza amaninzi kunye. Ukuba siwaqala kwangethuba la mayeza, singayilawula intsholongwane kaGawulayo ngaphambi kokuba ibe lusulelo olungapheliyo emzimbeni.
Ngawaphi amayeza asetyenziswa kwi-PEP?
Oogqirha banika indibaniselwano yamayeza okulwa nentsholongwane i-PEP. La ngamayeza afanayo asetyenziswa ukunyanga abantu abane-HIV. Athathwa njengeepilisi. Ugqirha wakho uya kugqiba uhlobo kunye nomthamo wamayeza oza kuwathatha ngokuxhomekeke kwimeko yakho yempilo.
| Udidi lweziyobisi | Amayeza asetyenziswa rhoqo |
|---|---|
| Indibaniselwano yamayeza asisiseko (amayeza amabini kwipilisi enye) | I-Emtricitabine kunye neTenofovir Disoproxil Fumarate (FTC/TDF, eyaziwa ngokuba yiTruvada® ) Okanye I-Emtricitabine kunye ne-Tenofovir Alafenamide (FTC/TAF, eyaziwa ngokuba yiDescovy® ) |
| Iyeza lesithathu elongezwe kwiyeza elingasentla | Enye yezi zilandelayo:
|
Buza ugqirha wakho ukuba uza kusela nini na eli yeza kwaye kangaphi ngemini.
Ngawaphi amathuba okuba unyango lwe-PEP lungaphumeleli?
Izifundo zibonise ukuba unyango lwe-PEP lunciphisa umngcipheko wosulelo lwe-HIV ngaphezu kwama-80%. Nangona kunjalo, ngamanye amaxesha oku kusenokungasebenzi njengoko bekulindelwe.
| Isizathu | Inkcazo |
|---|---|
| Ukulibaziseka kokuqala unyango | Ukuba iqalwe emva kweeyure ezingama-72 zokuvezwa, impumelelo iphantsi kakhulu. |
| Ukutsiba iidosi zamayeza | Ukuba awusebenzisi amayeza akho ngexesha elifanelekileyo yonke imihla, awuyi kukwazi ukulawula intsholongwane. |
| Ayigqibi iintsuku ezingama-28 | Ukuba uyeka amayeza kwangethuba, intsholongwane iya kuba nethuba lokuphinda isebenze kwakhona. |
| Ukuphinda ubonakale | Ukuba uphinde wachaphazeleka yintsholongwane ngelixa usela iPEP. |
| Intsholongwane enganyangekiyo ngamayeza | Ukuba uhlobo lwe-HIV olubekwe kulo alunazo iipilisi ze-PEP. |
Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango lwe-PEP?
Abanye abantu banokufumana iziphumo ebezingalindelekanga ezincinci ezivela kumayeza e-PEP, kodwa ezi azisoloko zimbi kakhulu.
- Ukudinwa
- Isicaphucaphu
- Ukuhlanza
- Urhudo
- Intloko ebuhlungu
Ukuba kwenzeka into efana nale , ungayeki ukusebenzisa amayeza . Ungathetha nogqirha wakho uze ufumane isisombululo.
Ndingaya phi xa ndichaphazeleka yi-HIV?
Ukuchanabeka kwi-HIV yingxaki yezonyango . Musa ukuchitha ixesha.
Ungaya kwezi ndawo:
1. IYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele esikufutshane:Le yeyona ndlela ilungileyo nekhawulezayo. Wakuba uchaze imeko yakho, baza kwenza oko kufunekayo.
2. Ikliniki yezeMpilo yesondo / ikliniki yezifo ezithathelwana ngesondo: Ungafumana uncedo koku ngokutyelela iikliniki zezifo ezithathelwana ngesondo ezikwizibhedlele zikarhulumente.
3. Ugqirha wakho wosapho: Ugqirha wakho unokukwazi ukukunika i-PEP, kodwa kusenokwenzeka ukuba akuthumele kwi-ETU okanye kwingcali.
Naphi na apho uya khona, chaza ngokucacileyo uthi , "Ndicinga ukuba ndikhe ndachaphazeleka yi-HIV, kwaye kufuneka ndibone ugqirha ngoko nangoko." Ixesha libaluleke kakhulu apha.
Kwenzeka ntoni emva kweentsuku ezingama-28?
Emva kokuba ugqibile i-PEP, kufuneka uphinde uvavanyelwe i-HIV njengoko ugqirha wakho ekuyalele. Ngokwesiqhelo, uza kuphinda uvavanyelwe emva kweeveki ezi-4-6 emva kokudibana ne-HIV, iiveki ezili-12 (iinyanga ezi-3), kunye neeveki ezingama-24 (iinyanga ezi-6). Le yindlela ekuphela kwayo yokuqiniseka nge-100% ukuba awosuleleki.
Umyalezo Wokuya Ekhaya
- Ukuchanabeka kwi-HIV yingxaki yezonyango. Musa ukuchitha ixesha ukoyika okanye ukuziva uneentloni.
- Kubalulekile ukuqala unyango lwe-PEP zingadlulanga iiyure ezingama-72 emva kokuba uchaphazelekile yintsholongwane. Okukhona uqala ngokukhawuleza, kokukhona uphumelela ngakumbi.
- Unyango lwe-PEP kufuneka luthathwe iintsuku ezingama-28 , ngaphandle kokulahlekelwa lusuku olunye, kwaye kanye njengoko ugqirha emyalele.
- Ukuba unamathandabuzo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Sebenzisa ikhondom rhoqo xa usabelana ngesondo ngelixa usela i-PEP kwaye ude uvavanyo lwakho lokugqibela lwe-HIV luqinisekise ukuba awunayo intsholongwane.
- Kubaluleke kakhulu ukwenza uvavanyo lwe-HIV olucetyiswe ngugqirha wakho ngamaxesha amiselweyo emva konyango.
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