Gore Rakazozivikanwa nePrEP, Breakthroughs, uye Obamacare Zvinetso
2017 yaiva gore rePrEP. Kupfuura chero humwe humwe hutano hwekuchirapa, HIV pre-exposure prophylaxis (PrEP) yakaiswa munzvimbo inoona kuti zvingaita sei kuti tisapinda chirwere ichi chete asi kupa vanhu chidziviriro chekuzvidzivirira kubva kune utachiona.
Kwete kuti ndiyo ndiyo nyaya iyo yakatora misoro mu 2017. Takazviona isu tichigadzira pedyo nekudzorera tsika dzechipatara zvitatu nemishonga pamwe chete.
Isu tinogona kunge tiri pamusana pokuva nemishonga yakareba yeHIV zvinodhaka zvisingadi kudarika kupfura kamwe chete kusvika kumwedzi mitatu.
Pamusoro pemigumisiro, uchapupu hunoratidza kuti kurwisana nemishonga, tenofovir , chivakwa uye kuti zvipo kune masangano eHIV ane hutano zvakaderera seAmerica nevamwe G12 vanobatana nekusarura nyika kuburikidza nekushandira pamwe.
Uye zuva rega rega tinoona Mutengo Wakanaka weChechi weChechi uri kushandiswa uye uchibviswa neTrump administration, kuisa hutano hweavo vanorarama nezvirwere zvisingaperi, zvakadai seHIV, pasi pemumvuri wekusatenda.
Kuchengetedza 2018 gore rekuenderera mberi hutano hwakanaka, kune zvishanu zvisarudzo munhu wese anofanira kuita:
1. Edza Kuedzwa Nhasi
Parizvino muUnited States, zvinokurudzirwa kuti munhu wese ari pakati pemakore 15 ne65 ave akaongororwa neHIV sechikamu chekushanya kwechiremba wenguva dzose. Nekufungidzirwa kuti 200,000-pamwe nevaAmerica vachiri kusati vatsvaga nokuda kwechirwere ichi, kudana kwekuongorora kwepasi rose hakuna kumbosimba.
Zvisarudzo zvekuedza zvinosanganisira zvizvarwa zvinotevera kuongororwa kweHIV kunobvumidzwa neDhipatimendi reHutano neHuman Services. Izvi zvisinganzwisisiki, zvigunwe-zvigunwe zvigunwe zvinogona kuvhara zvakanaka nguva yewindo kubva pavhareji yemavhiki mana kusvika zvishoma kwemazuva gumi nemaviri.
Kupfuura-the-counter, kukurumidza mu-kuongororwa kwemusha kunowanikwa kune avo vangave vasiri kudzivirira zvivako zvekuongorora vanhu.
Kunyange zvazvo zvisiri izvo zvakakwana kudarika zviyero, zvinongororwa-zve-kutarisira, zvinogona kupa munhu ruzivo rwakakura rwekuzvimirira nekuvanzika pamwe nekutsigirwa kwetline kunofanirwa kuve nekuedzwa kwakanaka kunodzorerwa.
2. Kutanga Utachiona hweHIV Nhasi
2017 ndiyo gore apo hurumende dzakawanda dzehutano hwepasi pose dzakagadzirisa kudanwa kwepasi rose nekuedzwa uye kubata. Hakufanirizve kurapwa kunonoka zvichienderana neCD4 count Nhasi, kurapwa pahutachiona hakusi kungoita kuti huve hutano, hupenyu hurefu asi huderedza zvikuru njodzi yekuendesa kune mumwe munhu asina kufanira.
Uyezve, kutanga kwekutanga kwerapi kunoshandura kune hupenyu hurefu kune vanhu vane HIV, vane tarisiro yehupenyu ikozvino yakaenzana neyevanhu vakawanda .
3. Tora uye Usaramba Usingaoneki
Kubatsira kwekurapwa kwekutanga kunotowedzera kune avo vasina kutapukirwa neHIV. Nekusimbisa hutachiona hwehutachiwana husingaoneki, munhu anogara nehutachiwana hweHIV ari kusvika ku 96 muzana zvishoma kudarika kuendesa utachiona kune mumwe munhu asina kufanira.
Tanga nekuzviisa iwe kusinganzwisisiki kunamatira zvinodhaka . Izvi zvinosanganisira kuchengetedza nguva dzechiremba nekushanyira maitiro uye yekuwana rubatsiro kana iwe uchiwana zvakaoma kurarama.
Nhasi, vashomanana 65 kubva muzana veAmerica vane hutachiona hweHIV vanogona kuwana zviitiko zvisingaoneki zvehutachiona.
Migumisiro yekukundikana inogona kuva yakakura, zvichiita kuti kuderedzwa kwekutarisira hupenyu nekusvika makore gumi nemana.
4. Tora PrEP
PrEP inzira inodzivisa umo chirwere chezuva nezuva cheTruvada chinogona kuderedza dambudziko rehupenyu hwekuwana HIV nepamusoro pe 92 muzana. PrEP ikozvino inokurudzirwa kuvanhu vari pangozi yekutapukirwa, kusanganisira varume vanoita zvepabonde nevarume , injecting vashandisi vezvinodhaka , uye vakaroorana-maonero vakaroorana vane HIV.
Kunyange zvazvo kupiwa kwePPR kwave kunonoka kubva apo mazano akatanga kubudiswa muna 2014, kugamuchirwa kwevatengi kwave kuri kuwedzera. Pakazosvika pakati pa20177, vanopfuura 136 000 vakanga vatarirwa PrEP, maererano nemuiti wezvinodhaka.
Co-kubhadhara mapurogiramu anobatsira kune avo vanofanirwa, vachiita kuti vawane PrEP zvakanyanya nyore kune avo vanoramba kurapwa ne inshuwarisi yavo.
5. Ita Zvakaenderana Nekurapa
HIV ndeyekusingaperi, mamiriro ezvinhu eupenyu hwose, iyo inogona kunyatsorapwa asi inoda kutarisirwa kushandiswa kweutano. Kurapa kwekurapa kunonyanya kuitika-kwechibereko chekuchengetedza kusinganzwisisiki, umo vanhu vanowira mukati uye kunze kwegadziriro inoita kuti varatidze varombo kune avo vanogara vakachengetedza mukuchengeta.
Kuongororwa kwemazuva ano kwakaratidza kuti 68 kubva muzana yevanhu vakachengetwa mukutarisira vakakwanisa kubudirira uye kuchengetedza kusingaoneki kwehutachiona hwehutano zvichienderana ne 43% chete yevaya vanozvidira vakasiya kunze kwehurongwa.
Zvipingamupinyi zvekuchengetedzwa kweHIV zvinowanzooma, kunyanya kune avo vasingakwanisi kuwana mari yakakwirira yekurapa kweHIV. Asi kune mhinduro, kwete chete kune vanhu vashoma vanowana mari asi kune vanhu chero vapi zvavo vanotambura kubhadhara mishonga yavo kana inshuwarisi.
Tanga nekudzidza rubatsiro rwunogona kukwanisa kuwana nekutsvaga nzira itsva dzekuwana inshuwarisi inodhura yakawanda chero ipi zvayo yaunowana mari.
> Sources:
> Branson, B .; Owen, S ;; Wesolowski, M .; et al. "Kubhizheni Kuongororwa Kuongororwa kweHIV Kurwisa: Mazano Anowanikwa." US Centers for Disease Control and Prevention (CDC). Atlanta, Georgia; yakabudiswa musi waDecember 26, 2017.
> Hogg, R .; Althoff, K .; Samji, H .; et al. "Kuwedzerwa mune tarisiro yehupenyu pakati pevanhu vanobatwa neHIV muUnited States neCanada, 2000-2007." 7th International AIDS Society (IAS) Musangano wePathogenesis, Treatment, uye Kudzivirira. Kuala Lumpur, Malaysia. June 30-July 3, 2013; Abstract TUPE260.
> US Preventive Services Task Force. "Kuchengetedzwa kweHIV: US Preventive Services Task Force Recommendation Statement." Rockville, Maryland; April 2013.