Kude Kangakanani Ngemuva kokuthi I-HIV Ngaphandle Kwangathi Kufanele Ngilinde Ukuhlolwa?

Ukuqonda i-Window Period yokuhlolwa kwe-HIV

Uma umuntu evezwe i-HIV, kunesikhathi lapho ukuhlolwa kwe-HIV kungakwazi ukuletha umphumela onembile. Lokhu kubizwa ngokuthi isikhathi sewindi . Njengoba ukuhlolwa kwegciwane lesandulela ngculaza kuklanyelwe ukuthola amamaki athile okutheleleka, njengama- antigens kanye nama-antibodies, angeke akwenze kuze kube yilezi ziprotheni ezanele ezenzelwe ukubhekana nesifo.

Kungaba yisikhathi sokukhathazeka umuntu okufanele ahlale futhi alinde ukuba ahlolwe, kodwa izindaba ezinhle ukuthi ukuhlolwa kwesizukulwane esisha kunciphise leso sikhathi phansi ngokuphawulekayo.

Okufanele Ukwenze Uma Isimo Sengculazi Sakho Singaziwa

Uma ungazi isimo se-HIV somlingani wezocansi, kwakusatshelwe ukuthi uhlale kuphi kusukela emavikini amabili kuya kwangu-8 ngaphambi kokuhlolwa. Lokhu kungenxa yokuthi iningi lezilinganiso zokuzalwa zasemuva zibona amasosha omzimba, okuyinto umzimba okhiqiza ngesilinganiso esincane kakhulu sokuthi ama-antigens.

Ngokuqaliswa kwezinhlobonhlobo ezintsha zokuhlolwa , okuhloswe ukuthi zithole zombili izifo zomzimba, leso sikhathi sishiye kakhulu. Namuhla, uchwepheshe welebhu usebenzisa ukuhlolwa kwenhlanganisela angenza ukufundwa okunembile kuzungeze izinsuku ezingu-26 ngokwesilinganiso.

Noma kunjalo, kunethuba lokuthi ukuhlola kungase kungaboni kahle ngezigaba zokuqala zokutheleleka. Uma ukholelwa ukuthi usanda kutholakala ne-HIV maduzane, kungase kube ngcono ukulinda amasonto ambalwa ngaphambi kokuba uhlolwe, noma okungenani uthole ama-4 kuya kwamasonto ayisithupha emuva kwesikhathi ukuqinisekisa ukuthi umphumela omubi awusalungile.

Njengoba ezinye izivivinyo ze-HIV zinembile kunabanye , ungakhetha ukubuza ukuthi yikuphi ukuhlolwa okusetshenzisiwe. Ngenkathi isicelo sakho singase sihlangabezane ngokumangazayo, noma singavumelani, unelungelo lokubuza ukuthi ngabe uzokunikeza ukuthula okukhulu kwengqondo.

Okufanele Ukwenze Uma Isimo Sengqikithi Sengculazi Siyaziwa

Uma ukholelwa ukuthi uvele ubonakala nge-HIV, kunomthetho owodwa okufanele ulandele: thatha isenzo manje. Lokhu kuyiqiniso ikakhulu uma wazi ukuthi umlingani wakho wezocansi une-HIV.

Uma kwenzeka ekuvezeni, unethuba lokugwema ukutheleleka nge-28-day course ye- HIV post-exposure prophylaxis (PEP) .

Isikhathi se-PEP siboniswe ukuthi siphumelele kakhulu ngokushesha uma sekuqalisiwe: okungenani ngaphansi kwamahora ayisithupha ngemuva kokuvezwa kodwa kungabi ngaphezu kwamahora angu-72 ngesikhathi sakamuva. Isinqumo sokuqala i-PEP sisekelwe ekuhloleni (isib., Isilwane, isisu, ukuhlukunyezwa ngokocansi, ukujova ukusetshenziswa kwezidakamizwa , ukulimala kwesidingo ), kanye nesimo esaziwa noma esingaziwa se-HIV somlingani wakho wesini.

Ukubusa okulula kwesithupha kungukuthi uma uke wadalulwa ngumlingani wakho owaziwa ukuthi unesandulela ngculazi, kufanele uvakashele udokotela noma igumbi lesiphuthumayo ngokushesha, okungcono manje .

Futhi, okubaluleke kakhulu mhlawumbe, ungavumeli amahloni noma amahloni akudikibele ekufuneni i-PEP noma i-HIV yokuhlola. E-United States, okwamanje kunconywa ukuthi wonke amaMelika aneminyaka eyi-15-65 anikezwe ukuhlolwa kwe-HIV yesikhathi esisodwa njengengxenye yokuvakashela odokotela njalo.

Imithombo:

Kuhar, D .; I-Henderson, D .; I-Struble, K .; et al. "Kubuyekezwe Izinkombandlela Zesevisi Zempilo Yomphakathi e-US yokuphathwa kwama-Occupational Exposures to Virus Human Immunodeficiency Virus kanye Nencomo Ze-Postexposure Prophylaxis." Ukulawulwa Kwezifo Ne-Epidemiology Yezibhedlela. Agasti 6, 2013; 34 (9): 875-892.

I-Pilcher, D .; Louie, B; Facente, S .; et al. "Ukusebenza kwe-Rapid Point-of-Care kanye nezivivinywa zeLebhubhu zeSandulela ngculazi eQinisekile futhi eqinisiwe eSan Francisco." I-PLOS | Eyodwa. NgoDisemba 12, 2013; I-DOI: 10.1371 / iphephandaba.pone.0080629.

Smith, D .; Grohskopf, L .; Omnyama, R., et al. "I-Antiretroviral Postexposure Prophylaxis Ngemuva kokusetshenziswa kwezocansi, ukulimala-ukusetshenziswa kwezidakamizwa, noma ukunye ukuvezwa okungahambi kahle kwe-HIV e-United States." Ukulimala nokufa Ukubika ngeviki. NgoJanuwari 21, 2005; 55 (RR02): 1-20.

I-US Preventive Services Task Force (USPSTF). "Ukuhlolwa kwesandulela ngculazi: Isitatimende Sokuncoma Sezinsizakalo Zezinsizakalo Ze-US Preventive Services." I-Rockville, e-Maryland; April 2013.