Uma Ungakaze Uthole Ukwelashwa Okuqondile Ngaphambi Kokuthi, Uyi-Treatment Naive
Umuntu uthathwa njengokwelashwa okungenangqondo uma engakaze athole ukwelashwa kwesifo esithile. Ezweni lezifo ezithathelwana ngocansi, leli gama livame ukusetshenziselwa ukubhekisela kubantu abanegciwane lesandulela ngculaza futhi abangazange bathathe noma yiluphi uhlobo lwe- antiretroviral therapy ngenxa yokutheleleka kwabo. Abantu asebevele bathathe imithi eyodwa noma ngaphezulu yemithi ye-HIV babhekwa njengokwelashwa okuhlangenwe nakho.
Ukwelapha-Iziguli Eziphikisayo Ne-Antiretroviral Therapy
Ngokuvamile, iziguli ezingelashwayo zinezinketho eziningi zokwelashwa kwama-antiretroviral kuneziguli ezibhekene nokwelashwa. Lokhu kungenxa yokuthi odokotela abakhathazeki ngalutho ukuthi kungenzeka baye bahlaselwa imithi eyodwa noma ngaphezulu, noma amakilasi ezidakamizwa.
Kodwa-ke, nakuba iningi labantu abasebenzisa ukwelashwa abangenayo imithi kunezinketho eziningi zokwelashwa, akulona iqiniso kuwo wonke umuntu. Ngesinye isikhathi abantu banesandulela ngculaza asebevele ephikisana nenye yezokwelapha noma eyodwa .
Akucaci ukuthi ngabe ukwelashwa okungokwenyama kuyadingeka noma ngabe kungenzeka ukuthi abantu abanolwazi lwezokwelapha baphinde bashintshe emiphakathini emisha yezidakamizwa.
Kuyini Okungcono Ukwelashwa-Kuphikisiwe?
Nakuba imithi ivame ukutholakala ephumelela kakhulu kwiziguli ezilashwa-naive, lokho akusho ukuthi ufuna ngempela ukuhlehlisa ukwelashwa ukulinda ukhetho olungcono ukuvela, ikakhulukazi uma ukhuluma nge-HIV.
Kukhona ucwaningo olukhulayo olubonisa ukuthi ukubaluleka kokuqala kwe-HIV kungaba ikakhulukazi uma kuzama ukunciphisa imiphumela yesikhathi eside yokutheleleka.
Ngesikhathi esidlule emlandweni we-AIDS ubhubhane abantu bakhuthazwa ukuba balinde ukuqala ukwelashwa, izizathu zalesi sikhuthazo azisasebenza.
Imiphumela emibi evela emithini ye-antiretroviral yehlisiwe kakhulu, futhi izinketho zokwelashwa ezilula zenza kube lula ngeziguli ukuba zihlale zihambisana nezidakamizwa. Ngakho-ke, ukwelashwa kuqaliswa ekuqaleni nangaphambilini ngesikhathi sokutheleleka, okungenani iziguli ezingakwazi ukukukhokhela.
Esinye isizathu sokuthi ukwelashwa kokuqala sekuvame kakhulu ukuthi odokotela manje bayaqonda ukuthi bangasebenzisa ukwelashwa njengokuvimbela . Ukunciphisa umthamo wegciwane lesandulela ngculaza nge ukwelashwa okufanelekile kuyindlela enhle yokunciphisa amathuba okuthi bayodlula ukutheleleka kwabo kwabanye. Izindlela zokudlulisela i-HIV zihambisana kakhulu nomthelela wegciwane umuntu onegazi lakhe.
Amaphilisi Aphethwe Ukwelapha Nge-Hepatitis C
Kubantu abane- hepatitis C , abanye bangakwazi ukusula ukutheleleka ngaphandle kokwelashwa. Amasosha omzimba awo asusa ukutheleleka yedwa. Abanye abantu abane-hep-C bakhetha ukuhlala bengenalutho yokwelashwa, benethemba lokuthi bangadingi ukwelashwa nge-interferon ne-ribavirin. Kuyindlela yomuthi yokwelapha engaba yinto engavamile kakhulu.
Ngokungafani negciwane lesandulela ngculazi, akusiyo ngempela inzuzo ekwelapheni izifo zesifo sofuba ngokushesha lapho zitholakala.
Ngaphandle kwezikhathi ezingavamile lapho i-HCV ithola khona ngezigaba eziyingozi zokutheleleka, ukwelashwa ngokuvamile akuqaliwe kuze kube yilapho ukutheleleka kungagculanga nje kuphela, kodwa igciwane seliqale ukuba nemiphumela ebonakalayo esibindi somuntu.
Lokho kuthiwa, kuze kube yamuva, kwakungaqondakali ukuthi kubaluleke kanjani ukuphatha ukutheleleka nge-HIV ekuqaleni. Kodwa-ke, ukutheleleka kwesifo sesifo sofuba kuye kwaba khona futhi kwaqaphela isikhathi eside kune-HIV, futhi izifo ziqondwa kangcono.