I-post-exposure prophylaxis (i-PEP) iyindlela ejwayele ukuvimbela ukutheleleka ngemuva kokuba othile evezwe yipathogen . Isetshenziselwa ngemuva kokuvezwa noma ukusola okusobala kuma-agent angenelelayo.
Isibonelo, umhlengikazi obanjwe inaliti ecatshangelwe ukuthi ungcotshwe ne- HIV anganikezwa izidambisigciwane ukuze amenze angenwe igciwane. Ngokufanayo, umuntu osolakala ukuthi uthola i-anthrax uyokwenzelwa ama-antibiotic afanelekile.
I-Post-exposure prophylaxis ibizwa kanjalo ngenxa yokuthi inikezwa emva ( ukuthunyelwa ) umuntu obeka engozini yokutheleleka ( ukuvezwa ). I-Prophylaxis enye enye indlela yokusho ukuvimbela . I-Post-exposure prophylaxis ngokuvamile isetshenziswa kuphela ukuvimbela izifo ezibhekwa njengengozi kakhulu.
Umehluko Phakathi kwePEP ne-PrEP
Kubalulekile ukuhlukanisa i-post-exposure prophylaxis (i-PEP) kusuka eku-exposure prophylaxis (i-PrEP) uma ukhuluma nge-HIV. I-Post-exposure prophylaxis ngokuvamile inikezwa njengenkambo emfushane yezidakamizwa ezingasetshenziswa ukuvimbela i-HIV emaqenjini lapho kube khona umcimbi owaziwayo wengozi - njengomsebenzi wezokwelapha oxhumana nomuntu onegciwane noma umuntu ohlukunyezwa ngumuntu okungenzeka ukuthi unegciwane lesandulela ngculaza noma walala nomuntu onegciwane ngekhondomu ephukile. Ngakolunye uhlangothi, i-pre-exposure prophylaxis ixoxwa njengendlela yokwelashwa isikhathi eside ukuvimbela ukutheleleka kubantu abasengozini enkulu ye-HIV.
Kungenzeka, isibonelo, isetshenziswe ngabantu abangenayo igciwane lesandulela-ngculazi abasemibhangqwana ye-serodiscordant , lapho abalingani babo besulele khona igciwane futhi kukhona ingozi eqhubekayo yokuchayeka.
Ososayensi nodokotela banezinkinga eziningana mayelana nokuphepha kwe-pre-exposure prophylaxis. Esinye sezikhathazeka kakhulu ukuthi abantu bayothatha imithi yabo ngokungapheli futhi bagcine sebebhekene ne-anti-drug resistant strain ye-HIV okuyinto enzima kakhulu ukuyiphatha.
Lokhu akuncane kokukhathazeka nge-post-exposure prophylaxis ye-HIV. Ngokungafani ne-PrEP, i-PEP inikezwa isikhathi esifushane (ngokuvamile amaviki angu-4), ngakho-ke kulula ukuba abantu basebenzise ngendlela efanele futhi njalo.
Ukuzijabulisa : Amakhondomu abuye abizwe ngegama elithi prophylactics, noma "Pros" igama elichaza ngokunembile ikhono labo lokuvimbela kokubili izifo nokukhulelwa.
Ezinye izipelingi : i- PEP, i-postexposure prophylaxis, i-post exposure prophylaxis
Ama-misspellings ajwayelekile: i- PrEP, i-Pre-exposure prophylaxis
Izibonelo
I-post-exposure prophylaxis yokuvimbela ukutheleleka nge-HIV kucatshangwa ukuthi iyasebenza kakhulu. Kodwa-ke, kuncane kakhulu ucwaningo lwangempela esihlokweni, ngoba ukwehluleka ukuhlinzeka nge-prophylaxis enjalo kubantu abangase bayidinge kungacatshangwa ukuthi akuyona into ehlelekile. Okuye kwaboniswa, okungenani okutadisha ukulawulwa kocansi, ukuthi abantu abathintekayo emva kokutholakala komsebenzi owaziwayo nge-HIV akunakwenzeka kakhulu ukuba banikwe prophylaxis. Lokhu kusikisela ukuthi le nqubo isebenza, futhi kunezizathu ezinhle zokuphila ukuthi zizokwenza. Kunzima kakhulu ukukhombisa ukuhlolwa.
Naphezu kokuntuleka kobufakazi obunzima bokusebenza kwalo, i-post-exposure prophylaxis iyamukelwa kabanzi njengezinga lokunakekelwa ngemuva kwe-needle-stick noma okunye ukuvezwa kwe-HIV.
Ngaphezu kwalokho, abanye abacwaningi batadisha ukusetshenziswa kwe-post-exposure prophylaxis ngemuva kweminye imithi yokuvezwa kwegciwane - njengengculazi engozini noma ukusetshenziswa kwezidakamizwa. Nakuba kunezinye izinto ezikhathazayo ukuthi ukusetshenziswa kwe-PEP ezimweni ezinjalo kungakwandisa ukuziphatha okuyingozi, okungakaze kutholakale ukuthi kuyinkinga. Ucwaningo oluthile luye lwabona ukuthi ukusetshenziswa kwe-PEP ngamadoda aphezulu kakhulu engozini akuthinteki ekuziphatheni kwabo engozini kunoma iyiphi indlela.
I-Post-exposure prophylaxis ye-HIV nezinye izifo ze-STD ngokuvamile ziyingxenye yokunakekela izisulu zokuhlukunyezwa ngokocansi.
Imithombo:
Donnell D, Mimiaga MJ, Mayer K, Chesney M, Koblin B, Coates T. Ukusetshenziswa kwe-post-exposure prophylaxis engasebenzi emsebenzini akuholeli ukwanda kwezenzo zokuziphatha ngokobulili emadodeni alala nobulili namadoda abamba iqhaza ku-EXPLORE ukuhlolwa. I-AIDS Behav. 2010 Okthoba; 14 (5): 1182-9.
I-Poynten IM, i-Jin F, i-Mao L, i-Prestage GP, i-Kippax SC, i-Kaldor JM, i-Imrie J, i-Grulich AE. I-postexposure postphyposis nonoccupational, ukuziphatha okulandelayo okubangelwa ingozi kanye nesigciwane se-HIV eqenjini lama-homosexual ase-Australia. AIDS. 2009 Jun 1; 23 (9): 1119-26.
I-Young TN, i-Arens FJ, uKennedy GE, uLaurie JW, uRutherford Gw. I-post-exposure prophylaxis (i-PEP) yokuvezwa kwe-HIV emsebenzini. I-Cochrane Database Syst Rev. 2007 Jan 24; (1): CD002835