Kwiminyaka yakutshanje, phantse zonke iintsholongwane ze-HIV ezenzeka kubantwana base-US ziye zaba ngumphumo wokutshatyalaliswa komama kumntwana, okunye okubizwa ngokuba ngumtshintshi we-postinatal . Nangona kunjalo, ubhubhane luya ngaphantsi kolawulo. Ngo-2005, kuphela abantwana aba-141 abazalwa ne-HIV, engaphantsi kweshumi kwishumi inani labantwana abathintekayo abazalwa ngonyaka ngamnye kwiminyaka ephakamileyo ye-1990, kwaye inani liye laqhubeka lincipha ukususela ngaloo ndlela.
Oku kuninzi kokunciphisa kuye kwabangelwa ukufumanisa kwangaphambili ukusuleleka koGawulayo kwabasetyhini abakhulelweyo ukwenzela ukuba unyango lwe-antiretroviral kunye namanye amanyathelo okukhulelwa ngexesha lokukhulelwa, abasebenzi kunye nokuhanjiswa kungaqaliswa ukukhusela ukuthunyelwa kwintsana. Olu hlobo lonyango, oludibaniswe nophatho olutsha kunye nokukhusela ukuncelisa, lunokunciphisa umngcipheko wokutshatyalaliswa kwe-HIV kumntu ovela kwi-25% ukuya ngaphantsi kwe-1%.
Ngelishwa, ukwenzela ukuba unyango luyenze luncedo njengoko kunokwenzeka, abafazi kufuneka bafumane ukuba banesifo se-HIV ngokukhawuleza ngexesha lokukhulelwa. Yingakho izikhokelo ze-CDC zangoku zicebisa ukuvavanywa kubo bonke abafazi ngexesha lokutyelela kokuqala kokubeletha kwaye kwakhona kwakhona ngelixa lesithathu. Nangona kunjalo, nabasetyhini abangakhange bavavanywe ngexesha lokukhulelwa banokuzuza ngokuvavanya ngexesha lokunikezelwa. Unyango ngexesha lokunikezelwa liboniswe ukunciphisa izinga lokudluliselwa kwe- HIV kwintsana ngaphaya kwesigamu.
Nangona kunjalo, nangona isinconyiso sokuvavanywa kwindalo yabasetyhini abakhulelweyo, ngo-2007, ngaphezu kwekota enye yabasetyhini ababelethe umntwana osuswe ngu-HIV abazange bazi ukuba basuleleke kuba lixesha lokuzala.
Ukwazi iHlf ye-Battle
Ngo-2005, ubuncinane ngaphezu kwekota enye yesifo se-HIV esanda kuhlolelwa i-United States yabasetyhini, kwaye ezininzi zale ntsholongwane zaba ngumphumo wobudlelwane bezesondo kunye namadoda anesifo sengculaza.
Ngaphezulu, ama-80% eqikelelweyo angama-120 000 ukuya ku-160,000 abafazi abane-HIV eMelika bahlala kwiminyaka yokuzala, kwaye ininzi yesine yala mabhinqa ayinakukwazi isimo sabo. La mabhinqa, awaziyo imeko yawo ye-HIV, inokuba yingozi enkulu yokudlulisa intsholongwane kubantwana babo ukuba ukhetha ukukhulelwa, ingakumbi ukuba abafumani uvavanyo lwe-HIV kunye nonyango, njengenxalenye yokufumana umntwana ngaphambi kokubeleka. nya mekela.
Ukuba ukhulelwe, kubaluleke kakhulu ukuba uhlolwe i-HIV ngokukhawuleza ngexesha lokunyamekela kokubeleka. Nangona umngcipheko wokungcola ungancinci, kungcono ukukhuseleka kunokuba uxolo. Ukukwazi isimo sakho se-HIV kuya kunceda uxolo lwakho lwengqondo. Okubaluleke ngakumbi, nangona kunjalo, ukuba ulungile, ngokukhawuleza uqala unyango, ukhuselekileyo unokugcina umntwana wakho wesikhathi esizayo.
Ukuba ukhulelwe, kwaye awukwazi isimo sakho se-HIV, cela udokotela wakho ukuba ahlolwe i-HIV njengengxenye yonyango lwakho lokubeleka. Nangona bonke oogqirha kufuneka banikeze iimvavanyo ze-HIV kwisigulana ngasinye esikhulelweyo, abaninzi abanalo. Oku kulubuhlungu kukuba ukuvavanywa kwindalo kunye nokunyanga kwabasetyhini abakhulelweyo banokukunceda ekuphelelweni kwe-HIV kumama ukuya kwabantwana.
Ukukhetha Ukuba Ngumlwelwe Xa i-HIV +
Kule mihla yeyeza-antiretroviral ye-anti-antiretroviral (HAART) kakhulu, i- HIV sele isifo abantu abahlala nabo kwiminyaka emininzi.
Abaninzi nabasetyhini abane-HIV banomdla wokuba nabantwana babo. Nangona iingozi zokusasazeka ngexesha lokukhulelwa azizange zipheliswe, unyango olutsha kunye nobuchwepheshe buye lwabenza lukhuselekileyo kwiintsapho ze-HIV + ukuba zibe nabantwana.
Ukuba uyingxenye yesibini apho omnye okanye bobabini unayo i-HIV, kwaye ucinga ukuba noonyana, kubalulekile ukubona ugqirha wakho ngokucebisa ngaphambi kokuzama ukukhulelwa. Ugqirha wakho unokukunceda ukuba unqume ukuba ukuzama ukukhulelwa kwangokwemvelo kukulungele. Ukuba kunjalo, banokukunceda ukunciphisa umngcipheko wokusasazela kuwe, iqabane lakho elingasathinteki kunye / okanye umntwana wakho ozayo.
Ezinye iinketho zokubeletha zingabandakanya ukusetyenziswa kobuchwepheshe bokuzala okanye ukwamkelwa, kwaye emva kweengcebiso, ezinye izibini zingenza isigqibo sokuhlala zingenamntwana.
Ukuba ngaba wena okanye iqabane lakho unentsholongwane kaGawulayo, akufuneki ukuphela kwamaphupha akho okuba nosapho. Nangona kunjalo, kunokuyenza inzima yokwenza izigqibo. Ngoko ke, kubalulekile ukuqala inkqubo kunye nolwazi oluninzi ngangokunokwenzeka. Ukuba ugqirha wakho akanakuxubusha ukuxoxa ngeendlela zokuzala, funani omnye umntu onokukunika uncedo olufunayo. Kunokwenzeka ukwenza isigqibo esinesibopho sokuba nabantwana xa omnye wenu ephila ne-HIV, kwaye kukho oogqirha abazi ukuba, bahloniphe ukuzimela kwabathengi babo abane-HIV, kwaye bazimisele kwaye banako ukunceda.
> Imithombo:
> Barreiro P. et al. (2006) "Izinketho zokuzalisa izibini ze-HIV-serodiscordant couples". UGawulayo u-8 (3): 158-70.
> Iinkcukacha ezisisiseko zeHIV / AIDS ezivela kumaziko okuLawula izifo.
> I-HIV Phakathi kwabasetyhini abakhulelweyo, iintsana kunye nezingane ezivela kwiiNgingqi zokuLawula izifo.
> Uvavanyo olulodwa. Bomi babini. Ukuhlolwa kweNtsholongwane kaGawulayo yokuNakekelwa kweNtsholongwane kwaseKlinikeni okuLawula izifo.
> Iphepha leNtsholongwane kaGawulayo ye-Perinatal evela kumaziko okuLawula izifo.