Chaka Chodziwika ndi Zowonjezera, Kupambana, ndi Mavuto a Obamacare
2017 anali chaka cha PrEP. Zambiri kuposa chitukuko china chilichonse, HIV pre-exposure prophylaxis (PrEP) imabweretsa poyera momwe tingapewerere kuchipatala koma kupereka anthu chida chodzitetezera ku matenda.
Osati kuti ndi nkhani yokha yomwe inalanda mutu wa nkhani mu 2017. Tinadziwona kuti tikukonzekera pafupi ndikuchotseratu mankhwala ochiritsira atatu.
Titha kukhala pafupi ndi kukhala ndi kachilombo koyambitsa kachilombo ka HIV kamene kamasowa kuposera miyezi itatu.
Zovuta, umboni umasonyeza kuti kumenyana ndi mankhwala, tenofovir ndikumanga komanso kuti zopereka ku mabungwe onse a HIV zikuchepa ngati a US ndi amzake ena a G12 amalandira chikhalidwe cha dziko chifukwa cha mgwirizano.
Ndipo tsiku lirilonse tikuwona kuti Zopindulitsa Care Act zimakhala zosokonezeka ndipo zimachotsedwanso ndi Dipatimenti ya Trump, kuika thanzi la anthu omwe ali ndi matenda aakulu, monga HIV, pansi pa mthunzi wosatsimikizika.
Kuonetsetsa kuti 2018 ndi chaka chokhala ndi thanzi labwino, palinso zisankho zisanu zomwe aliyense ayenera kupanga:
1. Pezani Mayesero Masiku Ano
Panopa ku United States, ndibwino kuti aliyense pakati pa zaka 15 ndi 65 ayesedwe kachilombo ka HIV monga gawo la ulendo wa dokotala. Akuti anthu 200,000 ndi amwenye Achimerika omwe sakudziwa kuti ali ndi matendawa, kuitanidwa kuwonetseredwe konse kwakhalabe kolimba.
Zosankha za kuyesedwa ndizo zotsatira zotsatizana zowononga kachirombo ka HIV zomwe zimaperekedwa ndi Dipatimenti ya Zaumoyo ndi Zaumoyo. Kuwunikira kosavuta, kwachitsulo kumatha kuchepetsa nthawi yawindo kuyambira masabata anai mpaka masiku 12 okha.
Kuwonjezera apo, kuyesa kwapakhomo kwapakhomo kumapezekanso kwa omwe angapewedwe poyesera anthu.
Ngakhale kuti sizowona molondola kusiyana ndi mayeso oyenerera, zosamalidwa, angapatse munthu kukhala wodalirika kwambiri komanso chinsinsi komanso thandizo la hotline ayenera kuyesedwa bwino.
2. Yambani mankhwala opatsirana pogonana lero
2017 inali chaka pamene akuluakulu ambiri azaumoyo padziko lonse adayitanitsa kuyesa kuti apeze mayeso onse. Mankhwala sakuyenera kuchepetsedwa malinga ndi CD4 count Masiku ano, chithandizo pa matendawa sichikuthandizani kukhala ndi thanzi labwino, koma motero limachepetsera chiopsezo chotenga kachilombo kwa munthu yemwe alibe.
Komanso, kuyambika kwa mankhwala oyambirira kumatanthawuzira kukhala ndi moyo wautali kwa anthu omwe ali ndi kachilombo koyambitsa matenda a Edzi, ndipo chiyembekezo cha moyo tsopano chikufanana ndi chiwerengero cha anthu ambiri .
3. Pezani ndi Kukhala Osayembekezereka
Phindu la mankhwala oyambirira ngakhale limapereka kwa omwe alibe kachilombo ka HIV. Pogwiritsa ntchito chiwerengero cha tizilombo toyambitsa matenda , munthu yemwe ali ndi kachilombo ka HIV amakhala osachepera 96 ​​peresenti kuti apatsire kachilombo kwa wina wosakondedwa.
Yambani mwa kudziyika nokha kusamalidwa kosamalidwa kwa mankhwala . Izi zikuphatikizapo kuonetsetsa kuti nthawi zonse madokotala akuyendera maulendo ndi ma laboni komanso kupeza thandizo ngati mukuvutika kuti mupirire.
Masiku ano, ochepa chabe mwa anthu 65 aliwonse a ku America omwe ali ndi kachilombo ka HIV amatha kupeza zovuta zomwe siziwoneka.
Zotsatira za kulephera zingakhale zazikulu, zomwe zimapangitsa kuchepa kwa nthawi ya moyo ndi zaka 11.
4. Tengani PrEP
PrEP ndi njira yothandizira kuti truvada tsiku lililonse likhoza kuchepetsa chiopsezo cha munthu kuti adziwe ngati ali ndi kachilombo ka HIV. Panopa PrEP ikulimbikitsidwa anthu omwe ali pachiopsezo chotenga kachilombo ka HIV, kuphatikizapo amuna omwe amagonana ndi amuna , omwe amagwiritsa ntchito mankhwala osokoneza bongo , komanso maukwati omwe ali ndi HIV.
Ngakhale kuti PrEP yafika pang'onopang'ono kuchokera pamene malangizowo adatulutsidwa mu 2014, kuvomereza kwa ogula kwakhala kotsika. Pofika pakati pa chaka cha 2017, oposa 136,000 adalamulidwa PrEP, malinga ndi wogulitsa mankhwala.
Mapulogalamu othandizira ndalama amapezeka kwa iwo omwe ali oyenerera, kupeza mwayi wa PrEP kwambiri kwa iwo omwe amatsutsidwa mankhwala ndi inshuwaransi yawo.
5. Gwiritsani Ntchito Thandizo Labwino
HIV ndi yachilendo, moyo wonse, womwe ukhoza kuchiritsidwa bwino koma ukufuna kuyang'anitsitsa kuchipatala. Chithandizo cholephera kuchipatala chimakhala chachikulu chifukwa cha kusamalidwa mosamalitsa, komwe anthu omwe amagwera ndi kutuluka m'ntchito amakhala osowa kwambiri kuposa omwe amakhala osasamala.
Kafukufuku waposachedwa wagwira kuti 68 peresenti ya anthu omwe adasamalidwa adakwanitsa kukwaniritsa ndi kusunga chiwerengero cha tizilombo chosaoneka chotheka poyerekeza ndi 43% peresenti ya iwo omwe adadzipereka mwachangu kuntchito.
Zolepheretsa kusamalidwa ka HIV nthawi zambiri zimakhala zovuta, makamaka kwa iwo omwe sangathe kupeza mtengo wapatali wa chithandizo cha HIV. Koma pali njira zothetsera mavuto, osati kwa anthu omwe ali ndi ndalama zochepa koma kwa anthu alionse omwe akuvutika kulipira mankhwala awo kapena inshuwaransi.
Yambani mwa kuphunzira pulogalamu yomwe mungakhale nayo yoyenera ndikufufuza njira zatsopano zopezera inshuwalansi yotsika mtengo ngakhale zilizonse zomwe mumapeza.
> Zotsatira:
> Branson, B .; Owen, S .; Wesolowski, M .; et al. "Kuyezetsa Mapulogalamu Kuti Adziwe Zachilombo ka HIV: Maphunziro Otsindika." Zachigawo za US za Kuletsa ndi Kupewa Matenda (CDC). Atlanta, Georgia; inatulutsidwa pa December 26, 2017.
> Hogg, R .; Althoff, K .; Samji, H ;; et al. "Kuwonjezeka kwa chiyembekezo cha moyo pakati pa anthu omwe ali ndi kachilombo ka HIV ku United States ndi Canada, 2000-2007." 7th International AIDS Society (IAS) Msonkhano wa Pathogenesis, Treatment, ndi Prevention. Kuala Lumpur, Malaysia. June 30-July 3, 2013; Mfundo TUPE260.
> US Preventive Services Task Force. "Kuyezetsa HIV: US Statue of Prevention Services Task Force Recommendation." Rockville, Maryland; April 2013.