Lapho amasongo omzimba wesifazane eqala ukufakwa njengamadivaysi okuvimbela ukukhulelwa, ukusabela kwahlanganiswa. Ngakolunye uhlangothi, babeyindlela entsha entsha yokusebenzisa imithi ye-hormonal. Amazinga we-hormone yegazi angase aphansi ngokulethwa kwendawo. Bekulula futhi kulula ukuyisebenzisa. Ngakolunye uhlangothi, abanye abantu babengakhululekile ukuwafaka. Babekhathazekile ngalokho okwakwenzeka ngesikhathi socansi.
Babecabanga ukuthi bangaba yisimanga noma bangakhululekile.
Ngokuhamba kwesikhathi, abantu sebeye bajwayele umqondo wezindandatho zamasondo. Abanye abantu bayabathanda. Abanye abantu abanentshiseko encane. Kusobala ukuthi kulula ukuyisebenzisa kubantu abazimisele ukuwasebenzisa. Ngaphezu kwalokho, yindlela ephumelelayo yokuletha ama-molecule amancane kuya kwesifazane.
I-Ring Vaginal ne-STD Prevention
Ukuvimbela ukubeletha kwe-hormonal akuyona yodwa indlela izindandatho zamaginini ezingasiza ngayo. Eminyakeni yamuva, ososayensi nabacwaningi baye bahlola nezinye izindlela ezingasebenzisa la madivayisi. Enye ukusetshenziswa okunjalo ukuletha izidakamizwa nemithi. Isibonelo, izilingo eziningana zibonise ukuthi izindandatho zangasese zingase zibe yindlela ephumelelayo yokuletha isandulela-prophylaxis ngaphambi kwe- HIV.
I-pre-exposure prophylaxis yilokho okuzwakalayo. Abantu banikezwa imithi ngaphambi kokuba bavelele kwi-HIV. Umgomo ukunciphisa ingozi yokutheleleka kwaba ukuvezwa okwenzekayo.
Ngokuvamile, izifundo eziningi zangaphambi kwe-exposure prophylaxis (noma i-PrEP) zenziwa emasongweni abesilisa abesilisa abesilisa nabesilisa nabesifazane abahlukunyezwayo ngabesifazane.
Isizukulwane sokuqala socwaningo lwe-PrEP siphumelele kakhulu. Kubonise ukuthi ukuthatha izidambisigciwane kunganciphisa ingozi yomuntu yokutholakala kwe-HIV. Kodwa-ke, lokhu kwasebenza kuphela lapho abantu bethatha izidakamizwa njalo .
Ngeshwa, akuwona wonke umuntu owayehambisanayo. Ngakho-ke, uphenyo lubekwe ukuze uthole izindlela zokwenza lezi mithi zilula. Enye indlela enjalo yayibahambisa ngezindandatho zendondo.
Ukusebenzisa i-ring yangasese ye-PrEP kufana nokusebenzisa enye yokuvimbela ukukhulelwa. Owesifazane ufaka i-polymer ring enesiswini sakhe futhi ukhulula lo muthi ngokuzenzekelayo. Indandatho ishintshwe ngezikhathi ezithile.
Ucwaningo lokuqala luveza ukuthi indandatho ene-antiretroviral imithi inganciphisa ingozi ye-HIV. Nokho, ezifundweni zabantu eziye zabikwa kuze kube manje, izindandatho azizange ziqede ingozi. Kungenzeka ukuthi ukwakheka kwesikhathi esizayo kungase kube nokusebenza okukhulu, njengoba kuboniswe kwizifundo ezinamamodeli. Inhlanganisela ehlukene noma amakilasi wezidakamizwa angase asebenze kangcono ... noma ngaphezulu.
Akusekho isondo lomugqa eliqukethe imishanguzo ye-HIV emakethe ,. Noma kunjalo, umuntu angakhululeka esikhathini esizayo. Okuthakazelisayo nakakhulu ukuthi odokotela nososayensi baxoxa ngokuthi kungenzeka ukwenza izindandatho ezimbili. Kungaba okungaqondile ukukwenza idivayisi eyayinezo zombili izakhiwo zokukhulelwa kanye nezakhiwo zokulwa ne-HIV. Lokho kungafanekisela ushintsho olwandle ekuvimbeleni.
Kodwa-ke, kufanele kuqaphele ukuthi umkhiqizo onjalo uyovikela kuphela nge-HIV hhayi amanye ama-STD . Ngeke kube yilezi zinhlamvu zemilingo. Kusengenza umehluko omkhulu empilweni yabesifazane abaningi.
Imithombo:
I-Baeten, JM, et al. kanye neTN-020 ASPIRE Team Team. Ukusetshenziswa Kwendandatho YamaVaginal Ephethe Dapivirine ye-HIV-1 Ukuvimbela Kwabesifazane. I-New England Journal of Medicine. 2016 Februwari 22. Ishicilelwe ku-Online Ngaphambi Kokuphrinta. i-doi: 10.1056 / NEJMoa1506110
Izikhungo Zikazwelonke Zokungezwani Kwegazi kanye Nezifo Eziphefumulayo. Ingxenyeni yamaVagini inikeza isivikelo esiyingqayizivele kusuka kuHIV kuHlelo Olukhulu Lwezombusazwe. 2016 Febhuwari 22. Kufinyelelwe ku-2/22/16 ku-http: //www.niaid.nih.gov/news/newsreleases/2016/Pages/ASPIRE.aspx
U-Smith JM, uRustogi R, Teller RS, uSrinivasan P, PM PM Mesquita, uNagaraja U, McNicholl JM, uHendry RM, Dinh CT, uMartin A, uHerold BC, uKiser PF. Indandatho engapheliyo ephikisayo i-tenofovir disoproxil fumarate ivikela ngokuphelele ama-maca kusuka ezinselele eziningi ze-vagin-HIV. Proc Natl Acad Sci US A. 2013 Okthoba 1; 110 (40): 16145-50. doi: 10.1073 / pnas.1311355110.