Ukuphikisana phakathi kweSylisula ne-HIV

I-Syphilis ne- HIV zihluke kakhulu izifo ezithathelwana ngocansi . I-Syphilis yi-infection yebhaktheriya elashwa ngama-antibiotic. Kungaba nemiphumela engathí sina, ngisho neyingozi uma ingelashwa, kodwa ukuphilisa kulula ukuphulukisa nokuphulukisa uma sekutholakala ukutheleleka. I-HIV, ngokuphambene, ibangelwa igciwane. Kungaphathwa kahle, ngokuphumelelayo, nge-anti-retroviral esebenza kahle (ebizwa ngokuthi i- HAART noma i- CART ), kodwa njengamanje ayikwazi ukuphulukiswa ngokugcwele.

Ukutheleleka kwe-Syphilis kanye ne-HIV nakho kunezinto eziningana ezifanayo. Esikhathini sokuqala sokutheleleka, bobabili kunzima ukubona ngaphandle kokungenelela kwezokwelapha. Izisindo zokulwa ne-syphilis zakuqala azibuhlungu. Uma kungenjalo endaweni ebonakalayo, abalahlekelwa kalula. Ukutheleleka okusha kwe-HIV okwanele ngokuvamile akunazo izimpawu ezibonakalayo, futhi i-HIV ingabangeli izimpawu ezimbi iminyaka noma amashumi eminyaka. Ngaphezu kwalokho, ukutheleleka ngalunye sekuye kwaziwa isikhathi eside ukuze umuntu abe nomunye umuntu . Izilonda ze-syphilis zinikeza iphuzu lokungena kalula le-HIV. I-HIV ikhubaza amasosha omzimba ngezindlela ezenza kube lula ukuthi i-syphilis ibambe.

Ucwaningo lwakamuva lubonisa ukuthi kungase kube nokuxhumana okuningi phakathi kwe-syphilis ne-HIV okwakwaziwa ngaphambili. Ezinye zihlobene ngokuqondile nezifo. Ezinye zihlobene nokuphathwa kwezifo nokuziphatha ngokocansi.

Ukuxhumanisa ukwelashwa kwe-HIV kanye ne-Syphilis Infection?

Ngo-2017, iqembu labososayensi laqaphela ukuthi ukutheleleka kwe-syphilis kwakhula ngokushesha kunezinye izifo zesifo sofuba phakathi kwamadoda alala namadoda.

Kuze kube yilelo phuzu, abantu abaningi bacabanga ukuthi ukwelashwa kwegciwane lesandulela ngculaza kwaholela ekwandiseni izinga lokutheleleka kwe-STD phakathi kwamadoda ane-HIV ngenxa yezici zokuziphatha. Ngamanye amazwi, inkolelo ekhona yilapho abantu bebazi ukuthi ukwelashwa okuphumelelayo kwe-HIV kanye ne- prophylaxis kunciphisa ingozi yegciwane lesandulela ngculaza, bebenomzimba ocansini ophephile kakhulu.

Lokhu kuye kwandisa ingozi ye-STD ngaphandle kwe-HIV. Kodwa-ke, uma ama-syphilis amanani ekhula ngokushesha kunamanye amazinga we-STD, kukhona okunye okungase kwenzeke futhi.

Abacwaningi bacabanga ukuthi i-HAART ingashintsha indlela amasosha omzimba asabela ngayo kwizifo. Ngokuqondile, bacabanga ukuthi lezo zinguquko zingase zithuthukise amandla okuthola uhlobo lwamabhaktheriya abangela ukuphikisa. Lokhu kungase kuchaze ukuthi kungani ama-syphilis amazinga ayekhuphuka ngokushesha kunamazinga e- chlamydia ne- gonorrhea . Lokho kusho ukuthi ucwaningo lwaluyimpumelelo, futhi kwakukhona nezinye izincazelo. Phakathi kwezinye izinto, odokotela bangase bangasebenzi kangcono mayelana nokuhlola amadoda nge-gonorrhea kanye ne-chlamydia kune-HIV kanye ne-syphilis. Noma kunjalo, umbuzo ofanelwe ukuhlola okuqhubekayo.

Ingabe lokho kusho ukuthi i-HAART ingumqondo omubi? Akunjalo neze. Ukwelashwa kwasekuqaleni akubalulekile nje ukuthuthukisa impilo yomuntu ngamunye , kodwa futhi nokunciphisa ukusakazwa kwe-HIV. Kodwa-ke, kusho ukuthi kudingeka ukuthi uqhubeke nokufundiswa ngengozi ye-STD ngaphandle kwe-HIV, ikakhulukazi kumongo wokwelapha. Kukhona futhi okudingeka kube nokuhlolwa okusebenzayo nokuthenjelwa okuthe xaxa nokwelashwa kwe-syphilis.

Ukuxhumanisa isifo sofuba kanye nokuvimbela i-HIV

Enye intuthuko ebalulekile ekuqondeni ukuxhumana phakathi kwe-syphilis ne-HIV ukuqaphela okukhulayo ukuthi ukuxilongwa okusha kwezifo ezithathelwana ngocansi kubonisa amathuba okuvimbela.

Amaqembu amaningana abacwaningi bathole ukuthi amadoda alala namadoda (MSM) asanda kutholakala ukuthi une-syphilis abasengozini enkulu yokutheleleka nge-HIV.

Isho ukuthini? Sebenzisa izifo ezintsha ze-syphilis ukubeka phambili ekutholeni amadoda ukufinyelela koku-exposure prophylaxis ( PrEP ). Ukuhlinzeka ngamadoda aphezulu engozini nge-PrEP kunganciphisa ingozi yabo yokuthola i-HIV ngokubaphatha ngaphambi kokutheleleka. Ukubeka phambili abantu abangengozini enkulu kungenza iPrEP ibe nemali engcono kakhulu, njengoba yenza ukuthi ukwelashwa kuqala kufike kubantu abayidinga kakhulu. Kulesi simo, ukukhomba i-MSM nge-syphilis ukuxilongwa kubonisa abantu abaningi abengozi bokungabonakali kokubili ukuthi bavuleleke kuma-STD futhi bahlukumezi ngokobulili ngokuphepha.

Izwi elivela

I-Syphilis ne-HIV zihluke kakhulu izifo ezithathelwana ngocansi, kodwa ukufana kwazo kungabangela ukuxhumana okuyinkinga. Njengalokhu, kubalulekile ukugcizelela ukubaluleka kokubili ukuhlolwa nokuvimbela. Ayikho yalezi zifo ezibonakala kalula ngaphandle kokuvakasha kukadokotela. Lokhu kusho ukuthi ukuhlolwa kwesifo se-STD njalo kufanele kube yinto ebaluleke kakhulu kunoma ubani osemngciphekweni omkhulu wokuthuthukisa noma yiliphi i-STD, kuhlanganise ne-syphilis ne-HIV. Zombili lezi zifo ziyakwazi ukuvimbela uma abantu beqhuba ubulili obuphephile . Ukugqugquzela abantu ukuba bazame ukwenza kanjalo kufanele kube okubaluleke kakhulu. Lokhu kuyiqiniso ngisho nalapho bengakwazi ukuphelela. Emva kwakho konke, ama-STD awasakazeki njalo lapho umuntu elala ocansini . Lokhu kusho ukuthi ukukhohlwa ukusebenzisa ikhondomu ngenkathi kuhlangane okufanayo akusona isizathu esihle sokugwema ukusebenzisa ikhondomu uma ubona futhi.

Noma kunjalo, ukuhlolwa okujwayelekile kanye nezindlela zokuziphatha zobulili eziphephile akuzona ongakhetha kuzo wonke umuntu. Akuwona wonke umuntu onokuthola ukunakekelwa kwezokwelapha okungabizi. Akuwona wonke umuntu okwazi ukuxoxa ngocansi oluvikelekile. Yingakho kubalulekile ukuqaphela ukusetshenziswa kwamanye amathuluzi, njenge-pre-exposure prophylaxis kanye nokwelashwa njengokuvimbela. Kubalulekile futhi ukwamukela ukuthi akekho ophelele ekuziphatheni kwabo. Abaqeqeshiwe badinga ukusiza abantu benze konke abakwaziyo ukugcina nokuthuthukisa impilo yabo yezocansi. Kuwusizo kakhulu kunesizotha ukubajezisa ngokungenzi lokho odokotela nabafundisi bacabanga ukuthi kufanele.

> Imithombo:

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> Rekart ML, Ndifon W, Brunham RC, Dushoff J, Park SW, Rawat S, Cameron CE. Inkemba enezinhlangothi ezimbili: ingabe ukwelashwa kwama-antiretroviral esebenzayo kunomthelela ekwenzeni i-syphilis izifo ngokulimaza i-Treponema pallidum? I-Sex Transm iphelele. 2017 Aug; 93 (5): 374-378. i-doi: 10.1136 / i-sextrans-2016-052870.

> Solomon MM, Mayer KH, Glidden DV, Liu AY, McMahan VM, Guanira JV, Chariyalertsak S, Fernandez T, Grant RM; Ithimba Lokufunda le-iPrEx. I-Syphilis ibikezela isandulela-ngculaza phakathi kwamadoda nabesifazane be-transgender abanobulili namadoda esilingo se-preexposure prophylaxis. I-Dis Infect Dis. 2014 Oct; 59 (7): 1020-6. doi: 10.1093 / cid / ciu450.

> Tuddenham S, Shah M, Ghanem KG. I-Syphilis ne-HIV: Ingabe i-HAART enhliziyweni yalesi sifo? I-Sex Transm iphelele. 2017 Aug; 93 (5): 311-312. i-doi: 10.1136 / i-sextrans-2016-052940.