I-Syphilis kunye ne- HIV zintsholongwane ezahlukeneyo zesondo . I-Syphilis yintsholongwane yebhaktheriya enokunyangwa ngamayeza. Ingaba nemiphumo engathà sina, nokuba yingozi xa ingaphathwa, kodwa i-syphilis kulula ukuyiphatha kunye nokunyanga xa usulelekile. I-HIV, ngokuchaseneyo, ibangelwa yi-virus. Iyakwazi ukuphathwa, ngokuchanekileyo, kunye ne-anti-retroviral ye-anti-retroviral (ebizwa ngokuba yi- HAART okanye ikarita ), kodwa ngoku ayikwazi ukuphiliswa ngokupheleleyo.
Ukunyangwa kwama-Syphilis kunye ne-HIV kunezinto ezininzi ezifanayo. Kwiindlela zokuqala zentsholongwane, bobabini kunzima ukubona ngaphandle kokungenelela kwezonyango. Ekuqaleni kwinqanaba le-syphilis zilonda azibuhlungu. Ukuba akukho kwindawo ebonakalayo, balahlekelwa lula. Izifo ezithathwe ngokutsha nge-HIV azikwazi ukuba nezimpawu ezibonakalayo, kwaye i-HIV ingabangela ukuba kubekho iimpawu ezinzulu kwiminyaka okanye kwamashumi eminyaka. Ukongezelela, intsholongwane nganye sele iyaziwa ngokudala ukwenza umntu angenelele kwenye . Izilonda ze-Syphilis zibonelela ngokulula kwi-HIV. Intsholongwane kaGawulayo yonakalisa i-immune system ngeendlela ezenza kube lula ukuba i-syphilis ibambe.
Uphando olutsha lubonisa ukuba kunokubambisana ngakumbi phakathi kwe-syphilis ne-HIV kunokuba beyaziwa ngaphambili. Ezinye zihambelana ngqo nezifo. Abanye banxulumene nokuphathwa kwezifo kunye nokuziphatha ngokwesondo.
Ukudibanisa unyango lwe-HIV kunye ne-Syphilis Infection?
Ngowe-2017, iqela leengcali zenzululwazi zaqaphela ukuba ukusuleleka kwe-syphilis kwakhula ngokukhawuleza kunezinye ii-STD ezinqwelweni phakathi kwamadoda alala namadoda.
Kuze kube yile ngongoma, abaninzi abantu bacinga ukuba unyango lwe-HIV lukhokelela ekunyusweni kwamazinga okusuleleka kwi-STD kubantu abane-HIV ngenxa yeendlela zokuziphatha. Ngamanye amazwi, inkolelo ekhokelela kukuba ngenxa yokuba amadoda ayazi ukuba unyango olululo lwe-HIV kunye neprophylaxis luncitshiswe ingozi ye-HIV, bebesenza isondo esingakhuselekanga kangangoko.
Oku, kwandisa ukwanda komngcipheko we-STD ngaphandle kwe-HIV. Nangona kunjalo, ukuba amazinga e-syphilis ayanda ngokukhawuleza kunamanani ama-STD, kunokunye into enokuqhubeka nayo.
Abaphandi bacetyisa ukuba i-HAART inokutshintsha indlela umzimba wokuzivikela ngayo usabela ngayo kwizifo. Ngokukodwa, babecinga ukuba olo tshintsho lunokuphucula ukukhutshwa komzimba kubakteria obangela isifo se-syphilis. Oku, kunokuchaza ukuba kutheni ama-syphilis amazinga ayekhuphuka ngokukhawuleza kuneentlawulo ze- chlamydia kunye ne- gonorrhea . Oko kwathiwa, uphando lwangaphambili, kwaye kukho ezinye iinkcazelo. Phakathi kwezinye izinto, oogqirha abanako ukuphumelela malunga nokuhlola abantu nge-gonorrhea kunye ne-chlamydia kune-HIV kunye ne-syphilis. Sekunjalo, ngumbuzo ofanelekileyo ukuhlola.
Ngaba oko kuthetha ukuba i-HAART yinto engalunganga? Akunjalo. Uphulo lwangokokuqala alubalulekanga nje kuphela ekuphuculeni impilo , kodwa kwanokunciphisa ukusasazeka kwe-HIV. Kodwa oko kuthetha ukuba kukho imfuneko yokuqhubeka nemfundo malunga nomngcipheko we-STD ngaphandle kwe-HIV, ngokukodwa kwimeko yonyango. Kukho kwakhona kufuneka kusebenze ukuhlola nokusebenza okunokwenene nokunyangwa kwe-syphilis.
Ukuqhagamshela iSyphilis Infection kunye neNtsholongwane kaGawulayo
Olunye uphuhliso olubalulekileyo ekuqondeni ikhonkco phakathi kwe-syphilis kunye ne-HIV kukuqonda ukuba ukwanda kwezifo zesifo esithathelwana ngesondo kubonisa amathuba okukhusela.
Amaqela amaninzi abaphandi afumene ukuba amadoda alala ngesondo kunye nabesilisa (MSM) abasandul 'ukuvavanywa ukuba banesifo se-syphilis basengozini enkulu yokusuleleka ngoGawulayo.
Intsingiselo? Sebenzisa izifo ezitsha zokuswela i-syphilis ukubeka phambili ukufikelela kwamadoda kwi-prophylaxis yangaphambili ( PrEP ). Ukubonelela abantu abasengozini enkulu ne-PrEP kunokunciphisa ingozi yabo yokufumana i-HIV ngokuyiphatha ngaphambi kokusuleleka. Ukubeka phambili abantu abasengozini enkulu bangenza i-PrEP ibe yindleko ephezulu, njengoko yenza ukuba unyango lufike kuqala kubantu abafuna kakhulu. Kule meko, ukujoliswa kwe-MSM kunye nokuxilongwa kwe-syphilis kubonisa abantu abasemngciphekweni ophezulu ocacileyo bobabini bavelele kwi-STD kwaye bengathembekanga ngesondo ngokukhuselekileyo.
ILizwi
I-Syphilis ne-HIV zihluke kakhulu kwizifo ezithathelwana ngesondo, kodwa ukufana kwazo kunokubangela ukuba kube nenani leengxaki zokusebenzisana. Ngaloo nto, kubalulekile ukugqamisa ukubaluleka kokubhenca nokukhusela. Akukho kwezi zifo ziyabonakala lula ngaphandle kokutyelela ugqirha. Oko kuthetha ukuba ukuhlolwa kwe-STD rhoqo kufuneka ibe yinto ephambili kuyo nayiphi na ingozi enkulu yokuphuhlisa nayiphi na i-STD, kuquka i-syphilis ne-HIV. Zomibini zezi zifo ziyakhuselwa ukuba abantu bahlale bexhatshazwa ngokwesondo . Ukukhuthaza abantu ukuba bazame ukwenza njalo kufuneka kube yinto ephambili. Kuyinyani nangona bengakwazi ukugqibelela. Emva koko, ii-STD azifaki rhoqo xa umntu elala ngesondo . Oko kuthetha ukulibala ukusebenzisa ikhondom ngexesha lokuhlangana omnye akusiyo isizathu esihle sokuphepha ukusebenzisa ikhondom xa ubona kwakhona.
Sekunjalo, ukuhlolwa rhoqo kunye neendlela ezikhuselekileyo zesondo ezingafaniyo azikhethi ngamnye. Akuyena wonke umntu onokufikelela ekunakekeleni unyango. Akuyena wonke umntu okwazi ukuthetha ngesondo ngokukhuselekileyo. Yingakho kubalulekile ukuqaphela ukusetyenziswa kwamanye amathuluzi, njengokwenziwa kwangaphambili kwe-exposure prophylaxis kunye nonyango njengokhuseleko. Kwakhona kubalulekile ukwamkela ukuba akukho mntu uphelele ekuziphatheni kwabo. Iingcali zifuna ukunceda abantu benze oko banako ukugcina nokuphucula impilo yabo yesondo. Kuwusizo ngakumbi kunesiko ukuba baqeqe ukuba bangenzi oko oogqirha nabafundisi bacinga ukuba kufanele.
> Imithombo:
> I-Girometti N, i-Gutierrez A, i-Nwokolo N, i-McOwan A, i-Whitlock G. Isiganeko esiphezulu se-HIV kumadoda abelana ngesondo kunye nabesilisa emva kokuxilongwa kwesifo se-syphilis: ngaba kukho indawo yokuhlaselwa kwangaphambili kweprophylaxis njengeqhinga lokukhusela? UkuThatshazwa ngokwesondo. 2017 Aug; 93 (5): 320-322. i-doi: 10.1136 / i-sextrans-2016-052865.
> Rekart ML, Ndifon W, Brunham RC, iDushoff J, Park SW, Rawat S, Cameron CE. Ikrele elihlangene ngokuphindaphindiweyo: ingabe unyango olukhuselekileyo lwe-antiretroviral unyango lufaka isandla kwi-syphilis iziganeko ngokuphazamisa ukukhuselwa kwe-Treponema pallidum? UkuThatshazwa ngokwesondo. 2017 Aug; 93 (5): 374-378. i-doi: 10.1136 / i-sextrans-2016-052870.
> USolomon MM, uMeyaer KH, uGlidden DV, Liu AY, McManhan VM, Guanira JV, Chariyalertsak S, Fernandez T, Grant RM; Iqela lePrEx lokuFunda. I-Syphilis iqikelela ukuba iziganeko zentsholongwane kaGawulayo phakathi kwamadoda kunye nabafazi be-transgender abelana ngesondo kunye namadoda kwisivivinyo se-preexposure prophylaxis. Iiklinikhi ezingenayo. 2014 Oct; 59 (7): 1020-6. i-doi: 10.1093 / cid / ciu450.
> Tuddenham S, Shah M, Ghanem KG. I-Syphilis ne-HIV: Ngaba i-HAART isentliziyweni yale bhubhane? UkuThatshazwa ngokwesondo. 2017 Aug; 93 (5): 311-312. I-doi: 10.1136 / i-sextrans-2016-052940.