Kusamalira mazinyo nthawi zambiri kumaiwala mbali ya moyo wathanzi. Kwa munthu yemwe ali ndi kachilombo ka HIV, chisamaliro cha ma mano nthawi zonse sichimakhala chofunika kwambiri kuti mukhale ndi bwino pakamwa komanso kuti muteteze thupi lanu lonse ku matenda, kuphatikizapo a mtima , mapapo, ndi ubongo.
Kwa ena, palinso nkhaŵa za chitetezo cha njira zamankhwala pofalitsa kapena kupeza kachilombo ka HIV.
Kodi izi zikudetsa nkhawa ndipo pali chilichonse chomwe muyenera kuchita kuti muteteze matenda?
Zolinga za Dental Health mu HIV
Anthu ambiri amachititsa kuti thanzi lao lawo likhale lopanda mphamvu mpaka atadwala dzino kapena dzino lomwe limasokoneza moyo wawo wa tsiku ndi tsiku. Ngakhale izi zili zoona kwa anthu ambiri, anthu omwe ali ndi mphamvu zoziteteza ku chitetezo cha mthupi ali pangozi yapadera. Zilonda, matenda a chingamu, ndi kuvunda kwa dzino zimakhala zovuta zomwe zimayambitsa matenda aakulu ngati zimafalitsa pakamwa ndikufalitsa thupi lonse.
Mosiyana ndi zimenezi, matenda opatsirana nthawi zambiri amakhala zizindikiro zoyamba za matenda oopsa kwambiri a HIV ndipo nthawi zambiri amatenga matenda. Zina mwazofala kwambiri pamatendawa ndi:
- Candidiasis (thrush) , yomwe nthawi zambiri imakhala chizindikiro choyamba cha kachirombo ka HIV komanso kachilombo ka HIV kamene kamatha kufotokozedwa ngati matenda a AIDS pamene imafalitsa thupi lonse.
- Herpes simplex (HSV) , yomwe imapezeka mwa anthu onse omwe ali ndi kachilombo ka HIV komanso osatenga kachilombo ka HIV, komabe imatha kukhazikitsidwa ngati chidziwitso cha AID ngati chitha kupitirira mwezi kapena kupereka m'mapapu, bronchi kapena epopus.
- Lehuplakia yamphongo yam'mimba (OHL) , yomwe ingakhale yowononga matenda opititsa patsogolo anthu omwe alibe HIV.
- Matenda a bacterial periodontal, ena mwa iwo (monga necrotizing ulcerative periodontitis) amathandizidwa kupititsa patsogolo kugwa kwa chitetezo cha mthupi.
Kuzindikira nkhawa zaumoyo kumayambiriro kumathandiza kuti chithandizo chisanafike, mavuto aakulu kwambiri.
Kodi Ndondomeko Za Mankhwala Ndi Zotetezeka Bwanji?
Mankhwala opatsirana mavitamini adayambitsidwa mandala kumayambiriro kwa mliri wa Edzi pamene ankanenedwa kuti kachilomboka kankafalikira kudzera mu zipangizo za mano. Zolankhulidwa zoterezi zinaperekedwa pa chidziwitso cha anthu mu January 1990 pamene mkazi wina wa ku Pennsylvania dzina lake Kimberly Bergalis adanena kuti wadwala kachilombo ka HIV atachotsedwa ndi dokotala wa mano Dr. David Acer mu December 1987.
Nkhaniyi imatsutsana kwambiri, ndi kufufuza koyambirira komwe kumasonyeza kuti pali mafananidwe a mavitamini a asanu omwe kale anali acer omwe anali ndi HIV. Komabe, kukayikira kukupitirirabe pamene nthawi yomwe pakati pa kutchulidwa ndi chitukuko cha Edzi inali yochepa kwambiri (osachepera 1 peresenti ya anthu anapita ku Edzi nthawi ino). Komanso, Bergalis analephera kufotokoza matenda opatsirana pogonana omwe anali nawo asanafike pa malo ake.
Mofananamo, mu 2013, dokotala wa mano a Tulsa, Scott Harrington, adaimbidwa mlandu wosakhala wosabala omwe ena adawopa akhoza kuika odwala 7,000 pangozi ya HIV ndi matenda a chiwindi.
Chotsatira cha moto chidachititsa mantha chifukwa cha chiopsezo cha kachilombo ka HIV m'mayendedwe ka menyu, omwe anangowonjezereka pamene ena akufotokoza kuti odwala 89 a Harrington anali ndi chiwindi cha C, asanu anali ndi matenda a hepatitis B, ndipo anayi anayezetsa HIV.
Ndipotu, kuyerekezera kwa majeremusi ya zitsanzo za odwala kunatsimikizira kuti chochitika chimodzi chokha cha matenda odwala matenda a hepatitis C ndi odwala chifukwa cha zochitika zoipa zomwe Harrington anachita. (Chiwindi cha matenda a Hepatitis C ndi chowopsa, matenda opatsirana mwazi omwe makamaka akukhudzana ndi kusagwirizana kwa singano.)
Ngakhale izi sizikutanthauza kuti palibe chiopsezo chotenga kachilombo ka HIV, njira zamano zimayesedwa kuti ndizochepa.
Ndipotu, pali mwayi waukulu wa dokotala wa opaleshoni wa mano amene ali ndi kachilombo ka HIV kuposa momwe amachitira.
M'madera ena, palinso malamulo olakwira odwala omwe samalephera kufotokoza za HIV . Ngakhale kuti malamulo amenewa amawoneka ngati osakhalitsa, amasonyeza njira zomwe odwala onse komanso madokotala amatha kuchepetsa ngozi, kuphatikizapo:
- Munthu amene amakhulupirira kuti ali ndi kachilombo ka HIV chifukwa cha kusinthana kwa magazi pakamwa amatha kusankha kutenga HIV pre-exposure prophylaxis (PEP) , maphunziro a masiku 28 a mankhwala ochepetsa kachilombo ka HIV omwe angachepetse mwayi wa matenda. Ndondomeko ya PEP imathandizanso antchito azaumoyo .
- Anthu omwe ali ndi kachilombo ka HIV amachepetsa kuchepetsa matenda awo pogwiritsa ntchito mankhwala osokoneza bongo.
- Zowonongeka za mano komanso kutsatira njira zolimbitsa thupi zingathe kuchepetsa ngozi.
Kusunga Thanzi Lanu Labwino
Ulendo wokhazikika kwa dokotala wa meno ndi gawo lofunikira la kukhala ndi thanzi labwino la mano. Koma ngakhale simungakwanitse kupita maulendo ogwiritsidwa ntchito nthawi zonse, pali zinthu zomwe mungachite kunyumba kuti mukhale ndi mano abwino, kuphatikizapo:
- Sungunulani nthawi zonse moyenera komanso mobwerezabwereza kawiri tsiku lililonse pogwiritsira ntchito mankhwala opangira mano. Onetsetsani kuti nsapato za mano anu zimakhala zofewa kuti musapewe kupwetekedwa ndi minofu. Ndipo kumbukirani kuti mwachikondi muzimutsuka lilime lanu.
- Kuthamanga nthawi zonse ndi moyenera kumachotsa chikwangwani chomwe chimamanga pakati pa mano ndikulepheretsa chitukuko cha mimba, zilonda, ndi zilonda.
- Mitsempha ya m'magazi imatha kupereka chitetezo chowonjezeka ku mabakiteriya ndi matenda a bakiteriya. Ndikofunika, komabe, kuzindikira kuti kamwa imatsuka osati kusinthanitsa ndi kusinthanitsa ndi kuyandama koma kumathandizira machitidwe abwino a ukhondo.
> Zotsatira:
> Brown, D. "Kafukufuku wa mano a ku Florida mu 1990: Mfundo ndi Zoona". Annals of Internal Medicine : 124 (2): 255-256.
> Moise, K. "Dokotala wa mano a Tulsa Afalitsa Chiwindi cha Kutu kwa Chiwindi, Akuluakulu Zaumoyo Akuti." ABC News; September 18, 2013.
> Dipatimenti ya Zaumoyo ya Oklahoma. "Akuluakulu azaumoyo Amalengeza Zotsatira Zatsopano za Kafukufuku wa Harrington." Tulsa, Oklahoma; October 17, 2013.