Ngithola imibuzo ehlukahlukene kubantu abasha abangaphezu kwengxenye yesigidi abalandela amakhasi ami ezinkundleni zokuxhumana nsuku zonke. Kunombuzo engivame ukuwubuzwa yintsha eyesaba kakhulu futhi ekhathazekile ngemva kokuya ocansini olungavikelekile:
"Dokotela Priya, ngilale nomuntu ongavikelekile izolo ebusuku. Sengisaba kakhulu manje ukuthi ngingase ngithole i-HIV. Yini okufanele ngiyenze ngokushesha ukuze ngisindise impilo yami?"
Ngesikhathi ngihlangana no-Asanga (oneminyaka engu-24) owayethumele lo myalezo, into yokuqala engamtshela yona kwaba ukwehlisa umoya. "Asanga, kungokwemvelo ukwesaba ngemva kokuya ocansini olungavikelekile. Kodwa ngalesi sikhathi , i-PEP (Post-Exposure Prophylaxis), engathathwa zingakapheli amahora angu-72, ingasindisa impilo yakho. Namuhla, sizoxoxa ngokuningiliziwe ngendlela yokuvikela emangalisayo ebizwa ngokuthi i-PrEP (Pre-Exposure Prophylaxis), engasetshenziswa ukuvimbela ukwesaba okunjalo esikhathini esizayo."
๐จ Amafulegi Abomvu: Isikhathi Sokufuna Ukunakekelwa Kwezokwelapha Ngokushesha
Uma uke wabhekana nanoma yiziphi izimo ezilandelayo eziyingozi, kufanele uye emtholampilo kahulumeni wezifo ezithathelwana ngocansi ngokushesha bese ucela ukwelashwa okuphuthumayo zingakapheli amahora angu-72:
- Ukulala nomuntu onegciwane lengculazi noma ongaqiniseki ngesimo sakhe ngaphandle kokusebenzisa ikhondomu.
- Ikhondomu iyaqhuma noma iphume ngesikhathi socansi.
- Umkhuhlane, izinhlungu zomzimba, umphimbo obuhlungu, kanye nokuqubuka ngemva kocansi olungavikelekile emasontweni amabili kuya kwamane edlule.
- Ukwabelana ngenaliti noma isirinji esisetshenziswa kanye kuphela.
Uyini umehluko phakathi kwe-PrEP ne-PEP?
Abantu abaningi badidanisa i-PrEP ne-PEP, ngakho-ke kubalulekile ukuqonda umehluko oyisisekelo phakathi kwazo:
| Isici | ๐ I-PrEP (Ukuvimbela Ukuchayeka Ngaphambi Kokuchayeka) | ๐งช I-PEP (Ukuvimbela Ukuchayeka Ngemva Kokuchayeka) |
|---|---|---|
| Incazelo | Ukwelashwa kokuvimbela okuthathwa ngaphambi kocansi. | Ukwelashwa okuphuthumayo ngemva kocansi. |
| Isikhathi sokuthatha imithi | Kufanele kuthathwe nsuku zonke kusukela ezinsukwini ezimbalwa ngaphambi kocansi. | Kufanele kuqalwe zingakapheli amahora angu-72 kusukela ocansini olungavikelekile. |
| Inkambo yezokwelapha | Qhubeka uthatha nsuku zonke uma nje ingozi isaqhubeka. | Amaphilisi kumele aphuzwe njalo izinsuku ezingama-28. |
| Impumelelo | Uma isetshenziswa kahle, ivimbela i-HIV ngo-99%. | Uma ithathwa ngendlela efanele, ivimbela kakhulu ukudluliswa kwe-HIV. |
Isebenza kanjani i-PrEP?
I-PrEP umuthi olwa namagciwane ovimbela igciwane lesandulela ngculaza ukuthi lingaphindaphindeki emzimbeni ngaphambi kokuba umzimba uvezwe kulo. Ingathathwa ngezindlela ezimbili:
1. Amaphilisi Omlomo: Ukuthatha iphilisi elilodwa nsuku zonke, njengeTruvada noma iDescovy .
2. Okujovwayo: Umuthi wokugomela i-Apretude osanda kwethulwa unikezwa nge-intramuscular njalo ngenyanga ezinyangeni ezimbili zokuqala, bese kuba njalo ezinyangeni ezimbili ngemva kwalokho.
Zombili lezi zindlela, uma zisetshenziswa kahle futhi ngokweseluleko sezokwelapha, zivimbela ingozi yokuthola i-HIV ngocansi ngo-99% .
> [!KUBALULEKILE]
> I-PrEP ivimbela kuphela ukutheleleka nge-HIV (igciwane le-human immunodeficiency virus). I-PrEP ayikwazi ukusetshenziselwa ukuvimbela ukukhulelwa noma ezinye izifo ezithathelwana ngocansi (STI) njenge-syphilis, i-gonorrhea, kanye ne-herpes.
Ubani okufanele athathe i-PrEP?
Odokotela batusa imithi ye-PrEP kubantu abangenayo i-HIV okwamanje (abangenayo i-HIV) futhi abawela ezigabeni ezilandelayo:
- Abantu abalala nabalingani abaningi njalo ngaphandle kokusebenzisa amakhondomu.
- Abantu abalingani babo abatheleleke ngegciwane lesandulela ngculazi (Serodiscordant Couples).
- Amadoda alala namadoda (MSM).
- Abantu abasebenzisa izinaliti noma amasirinji ahlanganyelwe ukujova izidakamizwa.
Izinto okufanele uzicabangele uma usebenzisa i-PrEP
- Ukuhlolwa njalo kwezokwelapha: Ngaphambi kokuqala i-PrEP, kufanele nakanjani uhlolwe i-HIV ukuqinisekisa ukuthi awunayo i-HIV. Kufanele futhi uthole ukuhlolwa kwe-HIV kanye nokuhlolwa kokusebenza kwezinso njalo ezinyangeni ezi-3 ngenkathi uthatha i-PrEP.
- Isikhathi esithathayo ukuze isivikelo sisebenze: Okungenani amaphilisi e-PrEP angu-7 kumele athathwe nsuku zonke ukuze avikelwe ngokugcwele ngesikhathi socansi lwendunu. Okungenani amaphilisi angu-21 kumele athathwe njalo nsuku zonke ukuze avikelwe ngokugcwele ngesikhathi socansi lwendunu.
Ingabe ikhona imiphumela emibi yemithi ye-PrEP?
Njenganoma yimuphi umuthi waseNtshonalanga, amaphilisi e-PrEP angabangela imiphumela emibi emincane njengokucanuzela kwenhliziyo, ukuphatheka kabi kwesisu, kanye nekhanda elibuhlungu phakathi namasonto ambalwa okuqala okusebenzisa. Kodwa-ke, lokhu kuvame ukuphela ngokuphelele phakathi namasonto amabili kuya kwamathathu njengoba umzimba ujwayela umuthi. Kungase kube nobuhlungu obuncane noma ukuvuvukala endaweni yomjovo. Le miphumela emibi emincane ayilutho uma iqhathaniswa nomonakalo obangelwa ukuthola i-HIV.
Ungayithola kanjani insizakalo ye-PrEP yamahhala eSri Lanka?
Uhlelo Lukazwelonke Lokulawula Izifo Ezithathelwana Ngocansi kanye Nengculazi lwaseSri Lanka (i-NSACP)Ihlinzeka ngemithi ye-PrEP, ukuhlolwa kwe-HIV, ukwelulekwa, kanye namakhondomu mahhala ngokuphelele ngemitholampilo etholakala kulo lonke isiqhingi.
Ungabhukha ama-aphoyintimenti emtholampilo ngasese ngewebhusayithi ye-Know4Sure.lk .
๐ Imitholampilo Kahulumeni Emikhulu Yezifo Ezithathelwana Ngocansi:
- Umtholampilo Kazwelonke waseColombo: 29, The Serum Place, Colombo 10. Ucingo: 0706477044 / +94 112 667 163
- Umtholampilo waseKalutara: Isibhedlela Esijwayelekile Sesifunda saseKalutara. Ucingo: 034-2236937
- Umtholampilo waseMahamodara (Galle): Isibhedlela Sokufundisa iMahamodara. Ucingo: 091-2245998
- I-Kurunegala Clinic: Isibhedlela Sokufundisa Kurunegala. Ucingo: 037-2224339
- Umtholampilo wase-Anuradhapura: Isibhedlela Sokufundisa sase-Anuradhapura. Ucingo: 025-2236461
- Umtholampilo waseJaffna: Isibhedlela Sokufundisa saseJaffna. Ucingo: 021-2217756
- Umtholampilo waseChilaw: Isibhedlela Esijwayelekile Sesifunda saseChilaw. Ucingo: 032-2220750
- Umtholampilo waseBadulla: Isibhedlela Sokufundisa eBadulla. Ucingo: 055-2222578
Okumele Ukwenze Nokungafanele Ukwenze
| โ๏ธ Izinto okufanele uzenze (Okufanele Uzenze) | โ Okungafanele ukwenze |
|---|---|
| Uma uke walala nomuntu ongavikelekile, iya esibhedlela ngokushesha bese ucela ukwelashwa nge-PEP zingakapheli amahora angu-72. | Ungaqali ukusebenzisa imithi ye-PrEP ngaphambi kokuba uhlolwe ngokwezokwelapha ukuqinisekisa ukuthi awunayo i-HIV. |
| Sebenzisa amakhondomu kanye nomuthi we-PrEP ukuze uvikeleke kakhulu njalo uma uya ocansini. | Ungenzi ucansi olungavikelekile ngaphambi kokuba kuphele inani lezinsuku (izinsuku ezingu-7 noma ezingu-21) ezidingekayo ukuze wakhe isivikelo esanele emzimbeni. |
| Khumbula ukuphuza amaphilisi akho e-PrEP nsuku zonke ngesikhathi esifanayo nsuku zonke, ngaphandle kokweqa. | Ungayeki ngokuzumayo ukuthatha i-PrEP ngaphandle kweseluleko nokuhlolwa ngudokotela wakho. |
โ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Ingabe ukusebenzisa i-PrEP kungavimbela ukukhulelwa ngocansi ?
Cha, i-PrEP ayinawo amandla okulawula inzalo. Ukuze uvimbele ukukhulelwa, kufanele usebenzise amakhondomu noma olunye uhlobo lokuhlela umndeni.
Yini okufanele ngiyenze uma ngiphuthelwa usuku olulodwa lwe-PrEP ?
Thatha iphilisi ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi sephilisi elilandelayo, ungaphuzi amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele iphilisi ongazange ulisebenzise, โโkodwa phuza iphilisi ngesikhathi esilandelayo esivamile.
Ingabe kudingeka incwadi kadokotela ukuze uthole i-PrEP ?
Yebo, i-PrEP umuthi okumele unqunywe udokotela ngemuva kokuhlolwa kokusebenza kwezinso kanye nesimo se-HIV. Ngakho-ke, kufanele uvakashele umtholampilo kahulumeni wezifo ezithathelwana ngocansi oseduze bese ubona udokotela.
Ingabe ukhokhisa imali yemithi ye-PrEP kanye ne-PEP emitholampilo kahulumeni ?
Cha, yonke imitholampilo kahulumeni ye-STD eSri Lanka inikeza i-PrEP, imithi ye-PEP, izinsizakalo zokwelulekwa, kanye nokuhlolwa kwegazi mahhala ngokuphelele.
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