Izifo ezinjani njengeGonorrhea kunye neSyphilis zinokunyusa ingozi ye-HIV
Ngokuqhelekileyo yamukelwa njengommiselo wokuba isifo sesifo esithathelwana ngesondo (STD) sanda emngciphekweni womntu wokufumana i- HIV , zombini ngezizathu zezinto eziphilayo kunye neziphathamandla. Ngokomphando, ii-STD ezinjenge- syphilis kunye ne- gonorrhea awanikezeli kuphela i-HIV ukungena kwiiseli ezisengozini kunye nezicubu zomzimba, ukusuleleka kwintsholongwane ka-STD kwandisa ukwanda komntu onentsholongwane kaGawulayo okwenza ukuba banakho ukuhambisa intsholongwane kwabanye.
Ii-STD zingandisa ukwanda kwe-HIV ngeendlela ezininzi:
- Ezinye i-STD zidala amanxeba avulekileyo okanye izilonda ukuba zifake kwindawo yomzimba (njenge-syphilis, edla rhoqo nge-chancres yesilonda). Ezi zilonda, ngamanye amaxesha zibonwa kwaye ngamanye amaxesha azinjalo, zinika i-HIV indlela eya ngqo kwigazi.
- Nangona ezinye ii-STD zingabangeli izilonda ezivulekileyo, ubukho bentsholongwane bungabangela ukuba umzimba ukwandise i- CD4 T-cell kwi -cell area. Kuye kwachongwa ngokucacileyo ukuba ukunyuka okujoliswe kuloo maseli kunokunika i-HIV ngentsingiselo efanelekileyo yokusuleleka.
- Abantu abanentsholongwane ye-STD banako ukunyuka kweengxaki ze-HIV kwimizimba yabo yesisu kunye namanzi asemzimbeni, okwandisa amathuba okudluliselwa kwe-HIV. Olunye uphando lubonisa ukuba amadoda anesifo se-HIV kunye ne-gonorrhea anamaxesha angama-10 ngaphezulu kwe-HIV kwimbilini yabo kunamadoda asuleleke yi-HIV kuphela.
Intloko phakathi kweengxaki ze-STD ezifana ne-infecti syphilis, i-gonorrhea, kunye ne- herpes (HSV) , ngobungqina bokuba i- chlamydia inokunyusa umngcipheko we-HIV kubasetyhini.
Izinzuzo ze-STD Screening kunye noTyango
Ngaphambi kokuxilongwa kwe-STD, abantu kufuneka bafumane unyango ngokukhawuleza-kungekhona kuphela ukunyangwa kosuleleko kodwa ukuba banokunciphisa umngcipheko wokudluliselwa kwe-HIV kufuneka ube ne-HIV.
Ngokutsho kophando olutsha, abantu abanentsholongwane kaGawulayo kwi-STD unyango bavame ukunyusa i-HIV engaphantsi kakhulu kwaye bachithe intsholongwane kangangoko kunokuba bangekho kunyango.
(Ukukhutshwa ngumbuso apho i-HIV ikhona kwi-semen, izifihla zangasese, igazi, okanye ubisi lwebele nangona umntu enomdlavuza we-HIV ongabonakaliyo ).
Ukongezelela, ukuxilwa ngesondo ngokukhuselekileyo ngesondo kunye ne-STD yonyango kunokunceda umntu angakhuselekanga yi-HIV ukufumanisa izinto eziyimngcipheko kunye nokufumana iindlela zokunciphisa ingozi ye-HIV.
Amaphupha asekhaya
Ngezinye iinkqubo, sinokugxila kwi-HIV kwedwa, ngakumbi xa kufikelele kwimicimbi yokukhusela kunye nokonyango. Kodwa into yile: nangona umntu ekhuselweni kwipilisi yokukhusela i-HIV (PrEP) okanye ethatha ixesha elizeleyo unyango lwe-antitroviral , ii-STD zingandisa ukwanda kwe-HIV, ukubeka wena okanye abanye abasengozini.
Ngoko ke, kubalulekile ukukhumbula ezi zilandelayo:
- Umntu ongenayo i-HIV ene-STD unethuba elikhulu lokufumana i-HIV.
- Ukuba khona kwe-STD kumntu onentsholongwane kaGawulayo kunokunyusa ithuba lomntu lokusasaza intsholongwane.
- Unyango lwe-STD lunokunceda ukuphucisa ukusasazeka kwe-HIV.
- Ulwaphulo lwe-HIV alunanto yokunciphisa ingozi yokufumana olunye uhlobo lwe-STD.
- Iikhondom zisona ndlela zingcono zokunciphisa umngcipheko wokufumana i-STD, kuquka ne-HIV.
Imithombo
UFleming, D. kunye noWasserheit, J. "Ukususela kwintsebenziswano ye-epidemiological kwinkqubo yomgaqo-nkqubo wezempilo kunye nokusebenza: Igalelo lezinye izifo ezithathelwana ngesondo ngokusasazeka ngesondo ngoGawulayo." Izifo ezithathelwana ngesondo. 1999; 75: 3-17.
Pathela, P .; Braunstein, S .; Schillinger, J .; okqhubekayo. "Amadoda abelana ngesondo kunye nabesilisa banomngcipheko ophezulu wama-140 wokufumana i-HIV kunye ne-syphilis esanda kutshatyalaliswa ngokuthelekiswa namanye amadoda e-New York City." I-Journal ye-Immune Deficiency Syndrome. 2011; 58: 408-416.
Peterman, T .; Newman, D .; Maddox, L; okqhubekayo. "Ingozi ye-HIV emva kokuxilongwa kwe-syphilis, i-gonorrhea okanye i-chlamydia: abafazi abangama-328,456 eFlorida, ngo-2000-2011." I-International Journal ye-STD ne-AIDS. 2014; ipapashwe nge-intanethi ngomhla we-8 ku-Epreli INGXELO: 10.1177 / 0956462414531243.
Freeman, E .; Weiss, H .: Glynn, J .; okqhubekayo. "Intsholongwane ye-Herpes simplex 2 intsholongwane yandisa ukwanda kwe-HIV kumadoda nakwabasetyhini: ukuphononongwa ngendlela echanekileyo kunye nokuhlaziywa kwe-meta-analysis of longitudinal studies." AIDS. 2006; 20: 73-83.