Kuyenda kwa anthu omwe ali ndi kachilombo ka HIV kungakhale kovuta, makamaka poyenda kunja kapena kutalika. Zingaphatikize katemera kapena mankhwala apadera pamene mukuchezera maiko ena kapena mukufuna kuti musinthe ndondomeko yanu ya dosing pamene mukuuluka pafupipafupi.
Nthawi zina, pangakhale ngakhale malamulo kapena malamulo omwe amalepheretsa kuyenda kwa odwala omwe ali ndi HIV.
Koma, kukonzekera ndikofunikira kuti achepetse nkhawa za kuyenda komanso kupewa zovuta ndi zovuta zomwe zingathe kuwononga ulendo wabwino.
Katemera Wokwerera
Anthu a ku America oposa 12 miliyoni amapita kunja chaka chilichonse, ndi chiwerengero chowonjezereka chomwe chikuyenda ulendo wopita ku mayiko osauka. Malingana ndi bungwe la US Centers for Disease Control and Prevention (CDC), oposa theka la oyendayendawa adzadwala, ndi zifukwa zomwe zimayambira ku matenda mpaka kuvulazidwa ndi zakudya kapena matenda opatsirana ndi madzi.
Anthu omwe ali ndi chitetezo cha chitetezo cha mthupi amakhala otetezeka kwambiri. Izi sizikudetsa nkhaŵa kwa anthu omwe ali ndi kachilombo koyambitsa matendawa ( CD4 chiwerengero cha pansi pa 200 maselo / mL), koma ngakhale omwe ali ndi mphamvu zolimbitsa thupi (CD4 chiwerengero cha pakati pa 200-500 maselo / mL).
Pokonzekera ulendo wopita kudziko lotukuka, katemera ndi omwe amalimbikitsa alendo onse, kachilombo ka HIV kapena ayi. Izi ndizothandiza kuonetsetsa kuti matenda opatsirana omwe amapezeka m'derali (monga chiwindi cha typhoid kapena chifuwa chachikulu) amapewa.
Nthawi zina, mankhwala odziteteza pakamwa angathe kuuzidwa.
Ngakhale zambiri za mankhwalawa zimalangizidwa kwambiri pamaso pa HIV, ena sali. Ndipotu ambiri mwa omwe amatchedwa kuti ali ndi katemera wambiri (katemera opangidwa ndi kachilombo ka HIV) amatsutsana ndi anthu omwe ali ndi kachirombo ka HIV omwe angathe kuchititsa matenda osati kuwaletsa.
Matenda ena omwe amatetezedwa kwambiri, monga a chiwindi , amakhala abwino kwambiri kwa anthu omwe ali ndi HIV. Zina, monga tizilombo toyambitsa matenda, zimayenera kupeŵa anthu onse omwe ali ndi HIV, mosasamala za CD4 count.
Malamulo abwino kwambiri a thumb ndikumana ndi dokotala wanu masabata anayi mpaka asanu ndi limodzi musanayambe ulendo wa kutsidya lina kuti mukakambirane za katemera ndi / kapena mankhwala omwe ali oyenera. Mukhoza kuyang'ana webusaiti ya Traveler's Health, yomwe imayendetsedwa ndi CDC, chifukwa cha malangizo othandizira azaumoyo ndi maulendo oyendayenda.
Ngati simungathe katemera chifukwa chake, dokotala wanu angapereke chikalata chokhululukidwa chomwe chikufotokozera chifukwa chake mankhwala sangathe kuperekedwa. Akulangizidwe, komabe, kuti kuchotserako sikungalandiridwe m'mayiko onse ( onani m'munsimu ) ndipo kuti ziphatikizepo zambiri zokhudza HIV yanu yomwe simufuna kugawana nawo.
Ndipo pamene mwafikapo, dziwani matenda alionse kapena madzi omwe mungakumane nawo. Pewani zotsatirazi ngati mukuchezera dziko lotukuka:
- Zipatso ndi ndiwo zamasamba (zowonongeka zipatso zingakhale zabwino ngati mwazijambula nokha)
- Thirani madzi kapena ayezi opangidwa kuchokera ku madzi a pampu (omwe akuphatikizapo kusamba mano ndi madzi a matepi)
- Zophika kapena nyama yaiwisi
- Mkaka wosakanizidwa kapena mkaka
- Chakudya chogulidwa kuchokera kwa ogulitsa pamsika
- Zakumwa zam'madzi zimene simunatsegule
Malamulo a Maulendo Oyendayenda ndi Zoyimitsidwa
Ngakhale kuti mayiko ambiri alibe njira zoyendera maulendo oyendetsa anthu omwe ali ndi kachilombo ka HIV, pali 18 omwe amachita ndi ena ambiri omwe alibe malamulo omveka kapena malamulo oyenera kulowa. Kukhazikitsa malamulo kumakhala kosiyana kwambiri, pofufuza mozama nthawi zambiri amakhala pa alendo omwe amakhalapo kwa nthawi yayitali osati alendo osowa alendo.
Musanayambe ulendo uliwonse wa ulendo wa kunja kwa dziko, onetsetsani kuti mukutsatira mndandanda wa malamulo a dzikoli pochezera The Global Database, webusaiti yopanda phindu yomwe inayendetsedwa ndi European AIDS Treatment Group, Deutsche AIDS-Hilfe, ndi International AIDS Society.
Zomwe zilipo nthawi zonse zimasinthidwa ndipo zimapereka chidziwitso chofunikira pazinthu zambiri zomwe mungakhale nazo monga alendo kapena woyenda bizinesi.
Ngakhale ngati dziko liribe malamulo oletsedwa okhudza alendo omwe ali ndi kachirombo ka HIV, musaganize kuti mudzalandira ndi manja. Ngati simukukayika, funsani ambassy, consulate, kapena mkulu ofesi ya dziko lomwe mukukonzekera kuti mudzacheze, ndipo funsani zomwe malamulo amasiku ano ali okhudza anthu omwe ali ndi HIV. Yesetsani kukhala owonetsetsa momwe mungathere ndikukumbukira kuti simukuyenera kutchula dzina lanu kapena kukhala ndi HIV.
Ngati, pa chifukwa china chilichonse, muyenera kuyendera dziko lokhala ndi malamulo olowa m'deralo (nenani kuti, chifukwa cha bizinesi yofunikira kapena banja lanu), yesani kuopsa kwake ndikuonetsetsa kuti muli ndi manambala a ambassy wa ku United States kapena a ku United States omwe mukuyenera kuwathamangira. muzovuta zilizonse.
Pamapeto pake, sizingatheke kuti mudzafunsidwa ngati muli ndi HIV mukalowa. Ngati wogwira ntchito pazomwe akuyendetsa malire akufunsani kuti afufuze thumba lanu ndikufunsani za mankhwala anu, muuzeni kuti ali ndi matenda aakulu. Pokhapokha mutabweretsa mankhwala ochuluka, nthawi zambiri sangaimitse nkhaniyi. Gwiritsani ntchito malingaliro anu abwino ndikuganiza ngati kuyendayenda ku dziko lokhazikitsa kachilombo ka HIV kuli kofunika kwambiri.
Inshuwalansi yaumoyo
Inshuwalansi ya umoyo ndi yofunika kwambiri pamene mukuyenda ulendo wanu bwinobwino. Onetsetsani kuti muwone ngati ndondomeko yanu idzagwira ntchito "chipatala ndi cholingalira" kuchipatala ngati matenda akuyenda kapena kuvulala kumachitika. Izi zimaphatikizapo ndalama zowonongeka kunja kwa dziko, zomwe sizikupezeka kawiri ka inshuwalansi.
Ngati ndondomeko yanu ikuchepa, mungapeze mndandanda wamaphunziro a inshuwalansi oyendayenda omwe akuchokera ku US Bureau of Consulate Affairs. Deta yosanthulayi ingaperekenso malingaliro onena za madokotala ndi zipatala zapanyumba komanso kupereka mauthenga okhudzana ndi ambassy, pafupi nawo, kapena ntchito zapadera.
Akulangizidwe kuti palibe mankhwala kapena mankhwala omwe amalandira akapezeka kunja. Okalamba angasankhe kugula njira yothandizira mankhwala (C kupyolera mwa J) , zomwe zimaphatikizapo kupindula kwadzidzidzi kwa masiku 60 oyambirira. Ena amafunika kugula inshuwalansi yowonjezera yomwe ikuyenera kufunikira pa zosowa zawo.
Kuyika Pakompyuta
Kutaya kapena kusoŵa kwa mankhwala anu a HIV sikungowononga tchuthi, kungapweteke thanzi lanu. Pokonzekera ulendo, kaya pakhomo kapena kunja, onetsetsani kunyamula mankhwala owonjezera pokhapokha ulendo wanu utapitilira, ndege ikuchedwa, kapena mankhwala ena akuwonongeka kapena akusowa.
Kwa maulendo apfupi, nthawi zambiri ndibwino kuti mutenge ndalama ziwiri zofunika. Onetsetsani kuti nthawi zonse mumanyamula mankhwala anu m'dzanja lanu (osati matumba anu ochezera) ndi kuwasungira kutali ndi zakumwa zilizonse zomwe mungakhale mutanyamula. Chikwama chotsekedwa cha zip chikhoza kukhala chinyengo pofuna kupewa kuwonongeka kwa madzi mwangozi.
Zina zomwe mungakambirane zikuphatikizapo:
- Ngati mukupita kumayiko kumene matenda opatsirana ndi udzudzu (monga chiwindi cha malungo kapena malungo) akufalikira, onetsetsani kuti mupereka mankhwala ochulukirapo opatsirana ndi tizilombo toyambitsa matenda. Nsomba za udzudzu (kuphatikizapo zitsanzo zomwe zimaphatikizidwa ndi DEET) zingagulidwe kuchokera kwa ogulitsira pa Intaneti ndipo zimapereka chitetezo chowonjezera pamene mukugona.
- Pofuna kuti zinthu zikhale zosavuta kulamulira m'malire, mukhoza kupempha dokotala kuti akupatseni kalata ndi mankhwala omwe akufotokoza kuti mankhwala anu ndi othandizira kuti muzitha kuchipatala. Mosiyana, mungabweretse mapiritsi anu mu botolo losakanizidwa la mankhwala ndi dzina lanu losindikizidwa pa chizindikiro. Apanso, mauthenga okhudza kachilombo koyambitsa matenda a HIV sayenera kuphatikizidwa.
- Bweretsani khadi lanu la chiphaso cha inshuwalansi ndi mawonekedwe angapo a madandaulo ngati mukufuna kupita kuchipatala, kuchipatala, kapena chipinda chodzidzimutsa mukuyenda. Nthawi zina mukhoza kukopera ma fomu pa webusaiti yanu ya inshuwalansi kapena pemphani kuti kampani ikulembeni inu musanayambe kuchoka kwanu.
- Mankhwala ambiri a kachilombo ka HIV amayenera kutengedwa ndi chakudya. Ngakhale zonyamulira zitaliatali zimapereka chakudya chokwanira paulendo waulendo, tenga zakudya ngati zili choncho. Ndibwino kuti mwachitsanzo, Edurant (rilpivirine) atenge makilogalamu 390 a chakudya. Mapuloteni nthawi zambiri amatha kusankha bwino.
Kusintha kwa Ndondomeko ya Kusankha
Ngati mukuyenda pa nthawi imodzi kapena zingapo, konzekerani kuti musinthe pa dosing yanu kuti mupewe mipata ya mankhwala. Kwa maulendo afupikitsa, mukhoza kusunga ndondomeko yanu nthawi zonse popanda kuthandizira pa nthawi imene mukugona kapena mukukwera.
Poyenda maulendo angapo pa nthawi yambiri, yesani pulogalamu yoyenera kuti mugwirizane ndi momwe mungagwiritsire ntchito nthawi yokwanira, maola osiyana maola makumi awiri ndi awiri pokhapokha pokhapokha pa tsiku limodzi ndi maola 12 pambali pa maulendo awiri a tsiku ndi tsiku. Zowonongeka zam'manja zam'manja zingakhale zothandiza makamaka, makamaka maulendo akumadzulo kumene mumataya maola m'malo mowapindula.
Kulowetsa mitsempha yayikulu pakati pa mlingo (kapena kusowa kwa mankhwala) kumachepetsa mlingo wa mankhwala m'thupi lanu. Izi ndizofunika kuzipewa monga momwe zingayambitsire kubwereza kwa tizilombo toyambitsa matenda ndipo zingathandize kuti tisakanikizidwe mofulumira ndi mankhwala . Komabe, ngati muphonya mlingo, musawononge mlingo kuti mupeze. Ingobwereranso ku maola 12 kapena ora la maola 24, pogwiritsira ntchito zipangizo zilizonse zoyamikila zomwe muyenera kuzilemba.
> Zotsatira:
> Zomwe Zingathetsere Kudwala ndi Kuteteza Matenda (CDC). "Zojambula Zogwirizana ndi Matenda Oyenda, 2000-2010." Matenda Ochepetsa Matenda. July 2013; 19 (7): 1049-1073.
> Office National Travel and Tourism (NTTO). "Kutuluka kwa Mwezi kwa Mwezi US kwa Mayiko Osiyanasiyana." Washington, DC; 2016.
> Global Global Database zokhudzana ndi HIV. "Mayiko omwe ali ndi zoletsedwa kuti azikhala kanthawi kochepa (
> U / S. Maofesi a Medicaid ndi Medicare Services (CMMS). "Ulendo (pamene mukusowa chithandizo chamankhwala kunja kwa US" Medicare.gov.
> US Food and Drug Administration (FDA). " Edurant - Mfundo zazikulu zofotokozera." Silver Springs, Maryland; August 2015.