Yeka ukuthi izifo ezifana ne-Gonorrhea ne-Syphilis zingandisa kanjani ingozi ye-HIV
Ngokuvamile kuvunyelwe ukuthi umthetho wokuba nesifo socansi (STD) sanda emngciphekweni womuntu wokuthola i- HIV , kokubili ngezizathu eziphilayo nezokuziphatha. Ngokusho kocwaningo, ama-STD afana ne- syphilis ne- gonorrhea awanikezeli kalula i-HIV ukufinyelela amangqamuzana namascuba asemzimbeni, ukutheleleka nge-STD kwandisa ukutheleleka komuntu onesandulela ngculaza ukuba benze amathuba okudlulisela igciwane kwabanye.
Ama-STD angandisa ukwanda kwe-HIV ngezindlela eziningi:
- Amanye ama-STD adala amanxeba avulekile noma izilonda ukuze zenze endaweni yesisu (njenge-syphilis, evame ukunikeza ama-chancres ulcerative). Lezi zilonda, ngezinye izikhathi ezibonwayo futhi ngezinye izikhathi ezingenjalo, zinikeza i-HIV umzila oqondile phakathi kwegazi.
- Ngenkathi amanye ama-STD engabangeli amanxeba avulekile, ukutholakala kwesifo kungenza umzimba ukwandise ukuhlushwa kwama- CD4 T-cell endaweni yangasese. Kuye kwacaca ukuthi ukugxila okukhudlwana lawa maseli anganikeza i-HIV ngenhloso efanele yokutheleleka.
- Abantu abanegciwane lesandulela ngculazi banesifo segciwane lesandulela ngculaza ekukhuleni kwabo kanye nasezikhuzeni zangasese, okwandisa amathuba okudlulisela i-HIV. Ucwaningo olulodwa lubonisa ukuthi amadoda anesandulela ngculaza kanye ne-gonorrhea ane-10 izikhathi ezingaphezulu kwe-HIV emzimbeni wazo kunamadoda anesandulela ngculaza kuphela.
Okuyinhloko phakathi kokukhathazeka yi-STD njenge-infective syphilis, i-gonorrhea, ne- herpes (HSV) , enobufakazi bokuthi i- chlamydia nayo ingandisa ukwanda kwe-HIV kubantu besifazane.
Izinzuzo ze-STD Screening and Treatment
Ngaphambi kokuba kutholakale isifo se-STD, abantu kufanele bathole ukwelashwa ngokushesha ngangokunokwenzeka-hhayi kuphela ukuphatha ukutheleleka kodwa ukuze kunciphise ingozi yokudlulisela phambili uma kufanele ube ne-HIV.
Ngokusho kocwaningo lwamuva, abantu abanegciwane lesandulela ngculazi ngesifo se-STD bavame ukuchitha i-HIV engaphansi kakhulu futhi bachithe igciwane kancane kakhulu kunelabo abangenalo ukwelashwa.
(Ukukhwabanisa yisimo lapho i-HIV ikhona khona emzimbeni, ukuvinjelwa kwesiswini, igazi, noma ubisi ngisho nalapho umuntu enesisindo esingenakulinganiswa nesandulela ngculaza ).
Ukwengeza, ukwelulekwa kocansi okuphephile okuhambisana ne-STD yokwelashwa kungasiza umuntu angathinteki nge-HIV ukuze abone ukuthi yiziphi izinto eziyingozi futhi athole izindlela zokunciphisa kangcono ingozi ye-HIV.
Amaphuzu Ekhaya Lokuthatha
Ngokuvamile, sivame ukubheka igciwane lesandulela ngculazi ngokuzihlukanisa, ikakhulu uma kuziwa ezindabeni zokuvimbela nokwelapha. Kodwa iqiniso yilokhu: noma ngabe umuntu usepilisi lokuvimbela i-HIV (PrEP) noma uthatha ukwelashwa okuqhubekayo kwe-antiretroviral , ama-STD angandisa ingozi yokudlulisela i-HIV, uzibeke wena noma abanye besengozini.
Ngakho-ke, kubalulekile ukukhumbula amaphuzu alandelayo:
- Umuntu ongenayo i-HIV ene-STD unethuba elikhulu lokuthola i-HIV.
- Ukuba khona kwe-STD kumuntu onesandulela ngculazi kungandisa ithuba lomuntu lokusakaza igciwane.
- Ukwelashwa kwe-STD kungasiza ukunciphisa ukusakazwa kwe-HIV.
- Ukwelapha i-HIV akwenzi lutho ukunciphisa ingozi yokuthola olunye uhlobo lwe-STD.
- Amakhondomu aseyindlela engcono kakhulu yokunciphisa ingozi yokuthola i-STD, kuhlanganise ne-HIV.
Imithombo
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Pathela, P .; I-Braunstein, i-S .; Schillinger, J .; et al. "Abesilisa abalala nobulili banesisindo esingaphezu kuka-140 esiphezulu sokuthola ukuthi i-HIV ne-syphilis esanda kutholakala ihlolwe uma kuqhathaniswa namadoda angasithandana nabo eNew York City." I-Journal of Immune Deficiency Deficiency Syndrome. 2011; 58: 408-416.
Peterman, T .; U-Newman, uD .; Maddox, L; et al. "Ingozi yegciwane lesandulela ngculazi ngemuva kokuxilongwa kwe-syphilis, i-gonorrhea noma i-chlamydia: abesifazane abangu-328,456 eFlorida, 2000-2011." I-International Journal ye-STD ne-AIDS. 2014; eshicilelwe ngo-8 Ephreli DOI: 10.1177 / 0956462414531243.
Freeman, E .; Weiss, H .: Glynn, J .; et al. "I-Herpes simplex virus 2 ukutheleleka kwandisa ukwelashwa kwe-HIV kumadoda nakwabesifazane: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta-study of longitudinal studies." AIDS. 2006; 20: 73-83.