I-post-exposure prophylaxis (PEP) yindlela yokusetyenziswa kokuthintela ukuthintela emva kokuba umntu evelele kwi- pathogen . It isetyenziswe emva kokuba eyaziwayo okanye ekhunjulwayo ukutshatyalaliswa kwiinkampani ezithathelwanayo.
Ngokomzekelo, umongikazi obambelele kwinaliti ecinga ukuba angcoliswe yi- HIV anganikwa izidakamizwa zokulwa ne-antiretroviral ukuze angagqithanga. Ngokufanayo, umntu onokurhonyelwa ukuba ahlaselwe i-anthrax uya kunikwa i-antibiotics efanelekileyo.
I-post-exposure prophylaxis yabizwa ngokuba ibizwa emva koko ( post ) umntu ubekwe engozini yokusuleleka. Iprophylaxis yindlela enye yokuthetha ukuthintela . I-post-exposure prophylaxis ngokuqhelekileyo isetyenziselwa ukukhusela izifo ezithathwa njengengozi kakhulu.
Ulwahluko phakathi kwe-PEP ne-PrEP
Kubalulekile ukuhlukanisa i-post-exposure prophylaxis (PEP) kwi-pre-exposure prophylaxis (PrEP) xa uthetha nge-HIV. I-post-exposure prophylaxis ngokuqhelekileyo inikezelwa njengekhosi elifutshane lemichiza engasetyenziselwa ukuthintela i-HIV kumaqela apho kubekho isiganeko esichengeni sengozi-njengengcali yonyango edibana nomntu ogulayo okanye umntu ohlaselwa ngokwesondo othe wafumana intsholongwane okanye wenza isondo kunye nomntu onentsholongwane kunye nekhondom ephukileyo. Ngakolunye uhlangothi, ukuxilongwa kwe-prophylaxis, kuxutyushwa njengoluhlobo lwexesha elide lokukhusela abantu abasengozini enkulu ye-HIV.
Ngokomzekelo, unokusetyenziswa ngabantu abangenayo i-HIV abasemabini ase- serodiscordant , apho abahlobo babo banesifo sengcinezelo kwaye kukho umngcipheko wokuqhubeka.
Oososayensi kunye noogqirha banenkxalabo emininzi malunga nokukhuselwa kwe-pre-exposure prophylaxis. Enye yezona nkxalabo kukuba abantu baya kuthatha imishanguzo yabo ngokuthe tye kwaye bagqibe ukusulelwa ngosulelo olungagxininiswa ne-HIV olunzima kakhulu kunyanga.
Oku kuncinci kwenkxalabo yeprophylaxis ye-post-exposure ye-HIV. Ngokungafani ne-PrEP, i-PEP inikwa kuphela ixesha elifutshane (ngokuqhelekileyo iiveki ezi-4), kwaye ke ke kulula ukuba abantu basebenzise ngokuchanekileyo nangokuzimeleyo.
Ukunyaniseka : Iikhondom zambi ngamanye amaxesha zibizwa ngokuba yiprophylactics, okanye "Ipros" igama elichaza ngokuchanekileyo amandla abo okukhusela izifo zombini kunye nokukhulelwa.
Ezinye iipellings : PEP, postexposure prophylaxis, post exposure prophylaxis
Iimpazamo eziqhelekileyo: i- PrEP, i-Pre-exposure prophylaxis
U mzekelo
I-post-exposure prophylaxis ukukhusela intsholongwane kaGawulayo icingelwa ukuba iyasebenza kakhulu. Nangona kunjalo, kukho uphando oluncinci kakhulu kwisihloko, kuba ukungaphumeleli ukubonelela iprophylaxis enjalo kubantu abanokuyidinga kuya kuthathwa njengento engenamsebenzi. Oko kubonisiwe, ubuncinane ubuncinci bokuhlola isifundo, kukuba abantu abanokusuleleka emva kokuchasana nokusebenza kwe-HIV banokungenakwenzeka ukuba banikezwe iprophylaxis. Oku kuphakamisa ukuba le nkqubo isebenza, kwaye kukho izizathu ezintle zokuba zicinga ukuba kuya kwenzeka. Kunzima kakhulu ukubonisa ukuzama.
Nangona kunqongophala kobuchule obunzima bokusebenza kwayo, i-post-exposure prophylaxis iyamkelwa ngokubanzi njengomgangatho wokunyamekela emva kwe-intsaliti-intonga okanye olunye uhlaselo lwe-HIV.
Ukongeza, abanye abaphandi bafunda ukusetyenziswa kwe-post-exposure prophylaxis emva kwezinye iindidi zokutshatyalaliswa kwintsholongwane-njengokuba isondo okanye i-injection usetyenziso lweziyobisi. Nangona kukho ukukhathazeka ukuba ukusetyenziswa kwe-PEP kwiimeko ezinjalo kunokwandisa ukuziphatha okubi, oku akuzange kufumaneke ukuba kunjalo. Iziphumo eziliqela ziye zafumanisa ukuba ukusetyenziswa kwe-PEP ngamadoda aphezulu kwingozi ayithinteli ekuziphatheni kwabo mngcipheko kwinqanaba.
I-post-exposure prophylaxis ye-HIV kunye nezinye ii-STD zihlala ziyinxalenye yomgangatho wokunyamekela amaxhoba okuhlaselwa ngokwesondo.
Imithombo:
U-Donnell D, u-Mimiaga MJ, uMeya K, u-Chesney M, uKoblin B, u-Coates T. Ukusetyenziswa kwe-post-exposed exposure prophylaxis akukhokelela ekunyuseni kwindlela yokuziphatha ngokwesondo ephezulu kubantu abalala ngesondo nabesilisa abachaphazelekayo kwi-EXPLORE ityala. AIDS Behav. 2010 Oct; 14 (5): 1182-9.
I-Poynten IM, i-Jin F, iMao L, i-Prestage GP, i-Kippax SC, i-Kaldor JM, i-Imrie J, i-Grulich AE. Ukungabikho komsebenzi wokungabikho kwezoxinzelelo kweprophylaxis, ukuziphatha kwengozi elandelayo kunye ne-HIV kwinqanaba lama-homosexual men. AIDS. 2009 Juni 1; 23 (9): 1119-26.
Intsha yaseTan, uArens FJ, uKennedy GE, uLaurie JW, uRutherford Gw. I-antiretroviral post-exposure prophylaxis (PEP) yokukhutshwa kwe-HIV. I-Cochrane Database Syst Rev. 2007 Jan 24; (1): CD002835