Mfundo Zofunikira Zokuthandizani Kupeza Moyo Wanu ndi Thanzi Labwino
Kudziphunzitsa nokha za HIV ndizosakayikitsa njira yofunikira kwambiri kukhala ndi thanzi labwino ngati muli ndi kachilombo ka HIV kapena mukuyesera kupeŵa matenda. Ngakhale njira zamakono zamakono zili zophweka kusiyana ndi zomwe zakhala zikukhalapo - zosavuta ngati mapiritsi limodzi patsiku - kuteteza, kuyang'anira, ndi kuchiza matendawa kumatenga zambiri osati mankhwala okhaokha. Zimatengera kuzindikira.
Tikufuna kupereka zinthu 10 zomwe mungachite lero kuti mukhale osangalala, bwino, komanso opindulitsa kwa zaka zambiri zikubwera, kaya muli ndi kachilombo ka HIV kapena ayi.
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Yambani Podziwa Zizindikiro ndi ZizindikiroKumvetsetsa zizindikiro za HIV kumatithandiza kuti tiziteteza (komanso kupewa) matenda ena asanakhalepo. Ndikofunika kuzindikira kuti nthawi zambiri palibe zizindikiro zowopsa kwa kachilombo ka HIV, komanso kuti zizindikiro zikayamba kuonekera, nthawi zambiri kachilombo ka HIV kamayambitsa kuwonongeka kwa chitetezo cha munthu.
Mantha ndi malingaliro olakwika ponena za kachirombo ka HIV amalepheretsa anthu kupeza chithandizo ndi chisamaliro omwe amafunikira, popanda kutanthauzira molakwika liwu lakuti "kusazindikira" kutanthauza "popanda matenda." Ena, komabe, amanyalanyaza zizindikiro zoyambirira mpaka potsirizira pake akulephera, osadziŵa kuti kugwidwa kwa zizindikiro za kanthaŵi kochepa si chizindikiro cha kusintha kapena chizindikiro "choyera" kuti matendawa achotsedwa.
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Kuchiza kachirombo ka HIV kumapangitsa kuti moyo ukhale wochuluka, umachepetsa matendaPa September 30, 2015, World Health Organisation (WHO) inakonza ndondomeko yake yothandizira anthu omwe ali ndi kachilombo koyambitsa kachilombo ka HIV .
Chifukwa chiyani? Malingana ndi kafukufuku wochokera ku Strategic Timing yofufuza za matenda a Antiretroviral Treatment (START) , wofalitsidwa mu 2015, chithandizo cha matenda odwala matendawa sichimangopereka mwayi wokhala ndi moyo wokhazikika, chingathe kuchepetsa chiopsezo cha matenda oposa 50 peresenti mosasamala kanthu ndalama, mtundu, geography, kapena chikhalidwe cha mthupi.
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Kuyezetsa HIV ndiko Kwa aliyense (ndiko kulondola, aliyense)Matenda oyambirira = mankhwala oyambirira = thanzi labwino = moyo wochuluka. Fomuyo sikanakhala yophweka. Komabe, pafupifupi 20-25 peresenti ya anthu okwana 1.2 miliyoni a ku America omwe ali ndi kachilombo ka HIV sadziwa zambiri.
Poyankha, bungwe la US Preventive Services Task Force (USPSTF) linapereka malingaliro akuti anthu onse a zaka zapakati pa 15 ndi 65 ayesedwe ku HIV ngati gawo lachizoloŵezi chadokotala. Malangizowo anapangidwa mogwirizana ndi umboni wosonyeza kuti kuyambitsidwa kwa mankhwala ochepetsa kachilombo ka HIV kumayambitsa matenda ochepa omwe ali ndi kachilombo ka HIV komanso omwe alibe kachilombo ka HIV , komanso kuchepetsa kupatsirana kwa munthu amene ali ndi HIV.
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Wasinkhasinkha Zokhudza Kusunga Chinsinsi? Ganizirani za HIV Yoyamba KwathuMu July 2012, US Food and Drug Administration (FDA) inavomereza OraQuick In-Home HIV Test , powapatsa ogwira ntchito yoyamba, kachilombo ka HIV kamene kamatha kupereka chinsinsi mwa mphindi 20. Chivomerezo cha FDA chinalandiridwa ndi mabungwe ambiri, omwe akhala akulongosola phindu la kuyesa panyumba panthawi yomwe 20 peresenti ya anthu okwana 1.2 miliyoni a ku America omwe ali ndi kachilombo ka HIV sakudziwa bwino momwe alili.
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Thandizo la HIV Lingachepetse Kuopsa kwa Kutentha ndi 96%Chithandizo monga Chitetezo (kapena TasP) ndi njira yowonjezera umboni yomwe HIV -yomwe imakhudza anthu omwe ali ndi kachilombo koyambitsa matendawa sagwiritsidwa ntchito kwambiri popatsira kachilombo koyambitsa matendawa.
Kafukufuku wa chipatala wasonyeza kuti TasP ikhoza kuchepetsa kwambiri chiopsezo chotenga kachilombo koyambitsa matenda a Edzi pogwiritsa ntchito mankhwala osokoneza bongo (kuchepetsa chiopsezo cha HIV ) pogwiritsa ntchito kachilombo koyambitsa matendawa.
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Mukufuna Kupewa Kutengeka? PrEP AngathandizePre-exposure prophylaxis (PrEP) ndi njira yopewera HIV yomwe amagwiritsa ntchito tsiku ndi tsiku mankhwala ochepetsa ma ARV (anti-retroviral) amadziwika kuti amachepetsa kwambiri chiopsezo cha munthu kuti adziwe kachilombo ka HIV pena paliponse 75-92 peresenti. Njira yowonjezera umboni imatengedwa kuti ndi mbali yofunika kwambiri yothetsera HIV, yomwe imaphatikizapo kugwiritsa ntchito makondomu mosalekeza komanso kuchepetsa chiwerengero cha anthu ogonana. PrEP sikuti ikhale yogwiritsidwa ntchito padera.
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Kodi Ndiyenera Kutenga PreP?HIV pre-exposure prophylaxis (PrEP) imaonedwa kuti ndiyo njira yodalirika yopewera kutenga HIV kwa munthu yemwe alibe kachilombo ka HIV. Koma kodi zili bwino kwa aliyense?
Pa May 14, 2104, US Public Health Service (USPHS) inamasula machitidwe awo ochiritsira omwe akuyitanira kuti ntchito ya PrEP onse omwe ali ndi kachilombo ka HIV iwonedwe ngati "yowopsa".
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Inde, Mungathe Kukhala ndi Mwana ... Ngakhale Ngati Wopanda Mnzanu Ali WoipaMalingana ndi bungwe la United Nations Joint Program on HIV / AIDS (UNAIDS) , pafupifupi theka la mabanja onse omwe ali ndi kachilombo ka HIV padziko lapansi ndi serodiscordant, kutanthauza kuti wokondedwa mmodzi ali ndi HIV pamene wina alibe kachilombo ka HIV. Ku US kokha, akuti masiku ano pali anthu oposa 140,000 ogonana amuna kapena akazi okhaokha, omwe ambiri mwa iwo ali ndi zaka zakubadwa.
Ndi chitukuko chachikulu cha mankhwala opatsirana pogonana (ART) , komanso njira zina zothandizira, maanja omwe ali ndi vutoli amakhala ndi mwayi waukulu kwambiri wokhala ndi pakati kuposa kale lonse - kulola kutenga mimba komanso kuchepetsa chiopsezo chotenga kachilombo ka HIV kwa mwanayo komanso osakondedwa.
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Musaiwale Kondomu (Zoonadi, Osati)Ngakhale izi zikukhala zaka zomwe mankhwala omwe ali ndi kachilombo ka HIV amadziwika kuti achepetse chiopsezo chotenga kachilombo ka HIV, kwa anthu osatetezeka ndi anthu omwe ali ndi matendawa, chinthu chimodzi chimakhalabe chosasinthika: kuchepetsa kudziletsa, makondomu amakhala njira imodzi yokha yoteteza HIV lero.
Ngakhale kuti mitundu yosiyanasiyana yophunzira imasiyana, kafukufuku ambiri amasonyeza kuti makondomu amachepetsa chiopsezo cha HIV paliponse kuyambira 80 peresenti mpaka 93 peresenti. Poyerekeza, pre-exposure prophylaxis (PrEP) ikhoza kuchepetsa chiopsezo chotenga kachilomboka pakati pa 62 peresenti ndi 75 peresenti, pamene chithandizo monga kupewa (TasP) - kugwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogonana pofuna kuchepetsa kupatsirana kwa munthu amene ali ndi kachilombo ka HIV - Njira zothandizira kuchepetsa chiopsezo cha chiopsezo pakati pa zovuta za ubale wosiyana (serodiscordant).
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Kulimbana ndi Vutoli? Pezani ThandizoNgakhale kuti chithandizo cha mankhwala chawonjezeka kwa anthu omwe ali ndi kachilombo koyambitsa matendawa kuyambira pakugwiritsidwa ntchito kwa Care Affordable Care Act (ACA) mu 2014, mtengo wa mankhwala opatsirana pogwiritsa ntchito mankhwala ochepetsa kachilombo ka HIV umakhalabe vuto-ngakhale chotchinga-kwa ambiri. Malingana ndi ndalama zopanda phindu (Fair Pricing Coalition) (FPC), ena a inshuwalansi ayesa kuswa lamulo poyambitsa mankhwala osokoneza bongo omwe sapezeka kapena oposa mtengo wina wa mankhwala oyenera omwe ACA imafunikira.
Poyesetsa kuti athe kupeza mwayi wokwanira, a FDC adakambirana nawo mapulogalamu othandizira odwala komanso mapulogalamu othandizira odwala. Mapulogalamu onse awiriwa amapereka thandizo kwa odwala omwe amakwaniritsa zovomerezeka pogwiritsa ntchito Federal Poverty Level (kapena FPL).
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