PrEP: ndi chiyani, ndi chiyani ndipo chiwonetsero chiti
Zamkati
- Zomwe zimapangidwira komanso momwe zimagwirira ntchito
- Zikawonetsedwa
- Kodi pali kusiyana kotani pakati pa PrEP ndi PEP?
PrEP HIV, yomwe imadziwikanso kuti HIV Pre-Exposure Prophylaxis, ndi njira yopewa kutengapo kachirombo ka HIV ndipo imafanana ndi kuphatikiza mankhwala awiri omwe amaletsa kuti kachilomboka kachulukane m'thupi, kuteteza munthu kuti asatenge kachilomboka.
PrEP iyenera kugwiritsidwa ntchito tsiku lililonse kuti ikhale yothandiza popewa kutenga kachilomboka. Mankhwalawa akhala akupezeka kwaulere ndi SUS kuyambira 2017, ndipo ndikofunikira kuti ntchito yake iwonetsedwe ndikuwongoleredwa ndi dokotala wamba kapena matenda opatsirana.
Zomwe zimapangidwira komanso momwe zimagwirira ntchito
PrEP imagwiritsidwa ntchito popewa kutenga kachirombo ka HIV, ndipo tikulimbikitsidwa kugwiritsa ntchito mankhwalawa tsiku lililonse malinga ndi malangizo a dokotala. PrEP imafanana ndi kuphatikiza kwa mankhwala awiri ochepetsa mphamvu ya kachilombo ka HIV, Tenofovir ndi Entricitabine, omwe amagwira ntchito molunjika pa kachilomboka, kuteteza kulowa m'maselo ndikuchulukirachulukira, kukhala othandiza kupewa kachilombo ka HIV ndikukula kwa matendawa.
Mankhwalawa amangokhala ndi mphamvu ngati atamwedwa tsiku lililonse kuti pakhale kuchuluka kwa mankhwala m'magazi ndipo chifukwa chake, ndi othandiza. Chida ichi nthawi zambiri chimayamba kugwira ntchito patatha masiku asanu ndi awiri, pogonana, komanso patadutsa masiku 20 ogonana.
Ndikofunika kuti ngakhale ndi PrEP, makondomu amagwiritsidwa ntchito pogonana, chifukwa mankhwalawa saletsa kutenga mimba kapena kufalitsa matenda ena opatsirana pogonana, monga chlamydia, gonorrhea ndi syphilis, mwachitsanzo, zomwe zimakhudza kachilombo ka HIV kokha . Phunzirani zonse za matenda opatsirana pogonana.
Zikawonetsedwa
Ngakhale kuti amapezeka mwaulere kudzera mu Unified Health System, malinga ndi Unduna wa Zaumoyo, PrEP siyabwino kwa aliyense, koma kwa anthu omwe ali mgulu la anthu, monga:
- Trans anthu;
- Ogonana;
- Anthu omwe amagonana ndi amuna anzawo;
- Anthu omwe nthawi zambiri amagonana, kumatako kapena kumaliseche, opanda kondomu;
- Anthu omwe amagonana nthawi zambiri opanda kondomu ndi munthu yemwe ali ndi kachirombo ka HIV ndipo samalandira chithandizo kapena chithandizo sakuchitidwa moyenera;
- Anthu omwe ali ndi matenda opatsirana pogonana.
Kuphatikiza apo, anthu omwe agwiritsa ntchito PEP, yomwe ndi Post-Exposure Prophylaxis yomwe ikuwonetsedwa pambuyo paziwopsezo, atha kukhala oyeneranso kugwiritsa ntchito PrEP, ndikofunikira kuti atagwiritsa ntchito PEP munthuyo amamuyesa dotolo ndikukayezetsa kachilombo ka HIV kuti aunike kuti palibe kachilombo ndipo kufunika koyambitsa PrEP kungayesedwe.
Chifukwa chake, kwa anthu omwe ali ndi mbiri iyi yomwe idakhazikitsidwa ndi Unduna wa Zaumoyo, tikulimbikitsidwa kuti akafunse upangiri wa zamankhwala pa PrEP ndikugwiritsa ntchito mankhwalawa monga momwe adalangizira. Dokotala nthawi zambiri amapempha mayeso kuti aone ngati munthuyo ali ndi matenda kale, motero, atha kuwonetsa momwe angagwiritsire ntchito mankhwalawa. Onani momwe mungayezetse HIV.
Kodi pali kusiyana kotani pakati pa PrEP ndi PEP?
Onse awiri a PrEP ndi PEP amafanana ndi mankhwala ochepetsa mphamvu ya kachilombo ka HIV omwe amagwira ntchito poletsa kulowa kwa kachilombo ka HIV m'maselo ndikuchulukirachulukira kwawo, kuteteza kukula kwa matendawa.
Komabe, PrEP imawonetsedwa musanakhale machitidwe owopsa, akuwonetsedwa kwa gulu lokhalo la anthu, pomwe PEP imalimbikitsidwa pambuyo pakuchita zoopsa, ndiye kuti, pambuyo poti musadziteteze kapena kugawana masingano kapena ma syringe, mwachitsanzo, pofuna kuteteza chitukuko za matendawa. Dziwani zoyenera kuchita ngati mukukayikira kachilombo ka HIV komanso momwe mungagwiritsire ntchito PEP.