Mmene Matenda monga Gonorrhea ndi Syphilis Angapangitse Kuopsa kwa HIV
Anthu ambiri amavomereza kuti kukhala ndi matenda opatsirana pogonana (STD) kumawonjezera chiopsezo cha munthu kuti adziwe kachilombo ka HIV , potsatira zifukwa za chilengedwe ndi zikhalidwe. Malingana ndi kafukufuku, matenda opatsirana pogonana monga syphilis ndi gonorrhea sikuti amangopereka kachilombo ka HIV mosavuta ku maselo osatetezeka ndi matupi a thupi, matenda opatsirana pogonana amachititsa kuti munthu amene ali ndi kachilombo ka HIV apitirize kutengera kachilombo ka HIV.
Matenda opatsirana pogonana angayambe kuchulukitsa kachirombo ka HIV m'njira zingapo:
- Matenda ena opatsirana pogonana amachititsa mabala otseguka kapena zilonda kuti zipangidwe m'mimba (monga syphilis, omwe nthawi zambiri amapereka ndi ulcerative chancres). Mabala awa, omwe nthawi zina amawoneka ndipo nthawi zina osati, amapereka kachilombo ka HIV mwachindunji m'magazi.
- Ngakhale kuti matenda ena opatsirana pogonana samayambitsa mabala otseguka, kupezeka kwa kachilomboko kungachititse thupi kuwonjezera ma CD4 T-maselo m'deralo. Zakhala zatsimikizirika kuti maselo ambiri angapereke kachilombo koyambitsa matenda kwa HIV.
- Anthu omwe ali ndi matenda opatsirana pogonana ali ndi kuchuluka kwa kachilombo ka HIV m'mimba mwawo komanso m'madzi amadzi, kuonjezera kuthekera kwa HIV. Kafukufuku wina adawonetsa kuti amuna omwe ali ndi kachilombo ka HIV ndi matendawa amakhala ndi kachilombo ka HIV katatu kuposa amuna omwe ali ndi HIV.
Choyamba pazovuta ndizo matenda opatsirana pogonana monga matenda opatsirana pogonana, gonorrhea, ndi herpes (HSV) , ndi umboni wakuti chlamydia ikhozanso kuonjezera chiopsezo cha HIV kwa amayi.
Ubwino wa Kuyezetsa kwa STD ndi Chithandizo
Pamaso pa matenda opatsirana pogonana, anthu ayenera kulandira chithandizo mwamsanga-osati kungochiza matenda koma kuti athe kuchepetsa chiopsezo chotenga kachilombo ka HIV ngati muli ndi HIV.
Malingana ndi kafukufuku waposachedwapa, anthu omwe ali ndi kachilombo ka HIV pa matenda opatsirana pogonana amawononga kachilombo kochepa kwambiri ka HIV ndipo amatsitsa kachilombo kocheperako kusiyana ndi omwe sali kuchipatala.
(Shedding ndi boma komwe HIV imapezeka mu umuna, zobisika za m'mimba, magazi, kapena mkaka ngakhale pamene munthu ali ndi kachilombo koyambitsa HIV ).
Kuonjezera apo, uphungu wokhudzana ndi kugonana ndibwino ndi matenda opatsirana pogonana angathandize munthu amene alibe kachilombo ka HIV kuti adziŵe zoopsa zawo ndikupeza njira zowonjezera chiopsezo cha HIV.
Tengani Mfundo Zomangira
Kawirikawiri, timakonda kuganizira za HIV padera, makamaka pankhani za kupewa ndi kuchiza. Koma mfundo ndi iyi: ngakhale munthu ali ndi kachilombo koyambitsa HIV (PrEP) kapena akudwala nthawi zonse, mankhwala opatsirana pogonana angapangitse chiopsezo chotenga kachilombo ka HIV, kudziyika nokha kapena ena pangozi.
Ndichofunika kwambiri kukumbukira mfundo zotsatirazi:
- Munthu yemwe alibe kachirombo ka HIV yemwe ali ndi matenda opatsirana pogonana ali ndi mwayi waukulu wotenga HIV.
- Kukhalapo kwa matenda opatsirana pogonana m'mthupi mwa munthu yemwe ali ndi kachirombo ka HIV kungapangitse mwayi wa munthuyo kuti afalitsa kachilomboka.
- Matenda opatsirana pogonana angathandize kuchepetsa kufalikira kwa HIV.
- Kachilombo ka HIV sikungapangitse kanthu kochepetsa chiopsezo chanu chopeza mtundu wina wa matenda opatsirana pogonana.
- Makondomu akadali njira zabwino zothetsera chiopsezo chotenga matenda opatsirana pogonana, kuphatikizapo HIV.
Zotsatira
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Pathela, P .; Braunstein, S .; Schillinger, J .; et al. "Amuna omwe amagonana ndi amuna ali ndi chiopsezo chachikulu cha 140 cha kachilombo ka HIV ndi kachilombo ka HIV kamodzi kokha poyerekeza ndi amuna omwe sagonana nawo mumzinda wa New York City." Journal of Immacular Immune Deficiency Syndrome. 2011; 58: 408-416.
Peterman, T .; Newman, D .; Maddox, L; et al. "Kuopsa kwa kachilombo koyambitsa matenda a HIV pambuyo pozindikira kuti ali ndi syphilis, gonorrhea kapena chlamydia: akazi 328,456 ku Florida, 2000-2011." International Journal ya STD ndi AIDS. 2014; lofalitsidwa pa Intaneti 8 April DOI: 10.1177 / 0956462414531243.
Freeman, E ;; Weiss, H .: Glynn, J ;; et al. "Matenda a Herpes simplex 2 amachulukitsa kachilombo ka HIV mwa abambo ndi amai: kuwongolera mwatsatanetsatane komanso kufufuza kafukufuku wa nthawi yaitali." AIDS. 2006; 20: 73-83.