Ngokuqinisekileyo uhlobo lombuzo oza kuvela engqondweni, ngokuqhelekileyo ngaphambi kokuba umntu acinge ukuba ahlolwe. Yithuba lexesha apho abantu beza kubangela ukuba baphendule i-HIV kunye nokuzama ukufumana ingcamango engcono malunga nokuba baya kukwazi ukuhlangabezana nayo.
Kwaye nangona kungenakwenzeka ukutsho ukuba inentsholongwane kaGawulayo iyahluke kakhulu kunokuba ibe yiminyaka eyi-20 (okanye i-10) edlulileyo, oko akuthethi ukuba awuyi kuba neengxaki zokwesaba, ukwesaba, ukudakumba okanye ulaka xa uva Iindaba.
Ngelo xesha, akuqhelekanga ukuba umntu aphendule ngokufanelekileyo, avumele ukuba batshintshe ubomi babo, ubudlelwane kunye nezinto eziphambili ezibhetele.
Ukuchonga oko ufanele ukwenze xa ufumanisa uvavanyo lwe-HIV kufuneka uhlale uqala ngeenkcukacha ezimbalwa eziphambili, oko kukuthi:
Yintoni Eyona Ntsholongwane KaGawulayo?
I-post-diagnostic ye-HIV ithetha ukuba unikwe uvavanyo lwe-HIV, nokuba uvavanyo lwegazi okanye u-saliva, kwaye luqinisekisile ukuba khona kwe- HIV emzimbeni wakho. Iimvavanyo zibona ukuba i-antibodies (ii-antibodies) ze-HIV (apho umzimba uvelisa khona phambi kwe-HIV) okanye iintsholongwane ze-HIV (iiprotheni ebusweni bentsholongwane). Ukuvavanywa kovavanyo olutsha olutsha kunye neentsholongwane ze-HIV.
Ukuxilongwa ngentsholongwane kaGawulayo kuthetha ukuba usulelekile. Yaye nangona ungeke uphilwe usulelo, unokufumana unyango ukuqinisekisa ukuba intsholongwane ayikwazi ukulimaza isistim somzimba wakho, kwaye ke, yenza ukuba usengozini kwiindawo ezininzi ezichaphazelekayo .
Ukuxilongwa kwe-HIV akuthethi ukuba unayo i- AIDS . UGawulayo ngumane nje kwisigaba kwisifo apho isistim somzimba somzimba siphumelele kwaye ingozi yokugula iphakamileyo. Oku kwenzeka rhoqo xa eso sifo singathatyathwa, okubangela ukuba kubekho mngcipheko omkhulu weengculazi ezichaza izifo .
Namhlanje kucetyiswa ukuba unyango lwe-HIV (usebenzisa iziyobisi ezibizwa ngokuba yimishanguzo ye-antiretrovirals ) luqaliswe ngexesha ofunyanisiweyo .
Ngokuvavanywa nokuphulukiswa kwangaphambili, ngaphambi kokuba umzimba wokuzikhusela umonakalo uwonakalise kakhulu, uya kuba nethuba elikhulu lokuhlala ixesha elide kunye nabanye abantu obaziyo.
Yintoni Into Yokuqala Ndiyenze?
Qala ngokuzichaza iimvakalelo zakho kwaye uvumele ukuba uzive kakuhle oko ukwenzayo. Ukuba, nangona kunjalo, uzive ungenakukwazi ukujamelana nayo, kubalulekile ukuba ufikelele kumntu kwaye ungazihlukanisi. Ungeke uzive ukhululekile ukubonakalisa ukuxilongwa kwakho kwintsapho okanye abathandekayo, kodwa ungathatha ixesha lokuthetha nomcebisi kwindawo yokuvavanya, uhanjiswe kwimibutho yezempilo yasekuhlaleni, okanye uhanjiswe oogqirha kwindawo yakho eneengcali ze-HIV .
Ngenye indlela, qha ga mshelana ne-AIDS yeeyure ezingama-24 zokuxhasa, iingcebiso okanye ukuthumela. Kukho nenani leengcebiso ongayisebenzisa ukufumana ingcali ye-HIV efanelekileyo kuwe.
Kubalulekile ukuqonda ukuba ngelixa ungaziva unganyaniseki kwaye udinga ixesha lokucwangcisa iindaba, awufanelekanga ukuyenza, ngakumbi ukuba unayo impawu okanye izifo ezichaphazelekayo ne-HIV . Ukunyamezela akusiyo isiganeko kodwa inkqubo kunye nokulawula kuyona yokuqala yokwakha izakhono zokujamelana ozifunayo.
Ukucwangcisa Ukuqeshwa kwakho koDokotela wokuqala
Injongo yokutyelela ugqirha wakho wokuqala kukufumana umntu ongeyena kuphela onolwazi kunye nolwazi kodwa unomntu onokubamba ubambiswano phakathi kwexesha elide.
Intsholongwane kaGawulayo yisifo esingasigxina, oku kuthetha ukuba kufuna ukubeka iliso kunye nokunyango.
Ngoko ke, kufuneka ufumane umntu ongeyena "umhlobo" wakho ngomntu, kodwa umntu onokunyaniseka naye ovulekile. Oku, kwakhona, ingaba yinkqubo. Ekugqibeleni injongo kukufumana ugqirha onayo (a) amandla, (b) ukufumaneka, kunye (c) nokukhubazeka kuloo myalelo.
Emva kokuba udibana, uya kunikwa iimvavanyo ukujonga isimo se-immune system kunye nenqanaba lomsebenzi wentsholongwane emzimbeni wakho:
- Uvavanyo lokuqala luya kuba yi- CD4 count , echaza ngokoqobo inani le-CD4 ebizwa ngokuba yi-cell sundune kwi sampuli yegazi. Iiseli ezingaphezulu kwe-CD4, ezinamandla iimpendulo zomzimba.
- Uvavanyo lwesibini ngumthwalo wentsholongwane kaGawulayo, osixelela ukuba iincinci ze-HIV zingasetyenziswa njani kwisampuli segazi. Ephakamileyo umthamo wentsholongwane, ininzi i-HIV ikhona egazini lakho.
Ezi mvavanyo ziza kusetyenziswa ukukhetha ukudibanisa izidakamizwa ze-antiretroviral ezimiselweyo. Ezinye iimvavanyo zingasetyenziselwa ukuchonga ukuba zeziphi iziyobisi eziza kusebenza ngokusemandleni akho kunye nemiphumela emibi yecala kunye neshedyuli ye-dosing elula nsuku zonke.
Injongo yonyango kukuthintela i-HIV ukuba ivelise kwigazi lakho, apho izidakamizwa zifezekisa ngokuphazamisa umjikelezo we-HIV. Ngokuthatha iziyobisi zakho imihla ngemihla njengoko kunqunyiwe, uya kuba nako ukunqanda intsholongwane "kumanqanaba" angathabathekiyo-kuthetha ukuba intsholongwane ayikwazi ukufunyanwa kwiimvavanyo zentsholongwane.
(Oku akuthethi ukuba usuphelile intsholongwane, kodwa umane ube nomsebenzi okhuselekileyo kumanqanaba apho intsholongwane inokuyenza encinci ukuba ikhona, yingozi.)
Ukufumana inkxaso kunye noxolo lwengqondo oyifunayo
Inkxaso kunye noxolo lwengqondo kuthetha izinto ezahlukeneyo kubantu abahlukeneyo. Kwabanye, kuthetha ukufikelela kwabanye ukuxhaswa ngemvakalelo ekujonganeni kangcono nokwesaba kunye nexhala. Kwabanye, kusenokuthetha ukujongana neendleko zonyango okanye ukufumana iindlela zokuthintela ukudlulisa intsholongwane kwabanye.
Naluphi na iinjongo, ukusebenzisana nabanye othembelayo kunokukunceda kuphela ukukwazi ukuzinzisa isifo ebomini bakho. Konke kuqala ngoqhagamshelwano kunye nokusebenzisana ukuba kuphela ukufumana ingqondo engcono yento enokuyenza ukuze unqobe i-plethora ye "ntoni ukuba" kwintloko yakho.
Ezinye zezona zixhobo ezifanelekileyo zokugcina i-HIV ziquka:
- Ukukhetha iqela lokuxhasa i-HIV elungile.
- Ukuqonda indlela unyango lwe-HIV linganciphisa ngayo umngcipheko wokudlulisela i-HIV kwabanye.
- Ukuchonga indlela yokufikelela kwiinkonzo zempilo okanye ukufumana uncedo ekuhlawuleleni iziyobisi ze-HIV.
- Ukufumana izigonyana onokuzifuna ukukhusela inani le-HIV echaphazelekayo.
- Ukufumana iindlela zokwazisa i-HIV kwabanye xa ixesha lilungile.
- Ukufumana iingcebiso malunga nendlela yokugcina ukunyanzeliswa kweziyobisi ngokusemgangathweni.
Ukufumana ukuxilongwa kwe-HIV kungabakho isiganeko sokuguqula ubomi. Kodwa yenza kube lula kuwe ngokungazivumeli ngokugqithiseleyo. Ukuzifundisa wena uyisinyathelo sokuqala ukunciphisa isithunzi sokwesaba nokungathandabuzeki okugcina abaninzi ekufikeleleni ukuvavanywa, ukunakekelwa, kunye nonyango abayidingayo.
Okulungileyo akuthethi ukuphela. Kuthetha ukutshintsha. Kwaye ngelixa lisesabisayo, lingaba utshintsho olulungileyo.
Imithombo:
Iziko zeSizwe zezeMpilo (NIH). "Ukuqala unyango lwe-antiretroviral kuqala kuphucula iziphumo zabantu abane-HIV." EBethesda, eMaryn; kukhutshwa ngoMeyi 27, 2015.