Kufamba kune vanhu vanogara neHIV kunogona kushungurudza, kunyanya kana uchifamba kune dzimwe nyika kana kupfuura marefu marefu. Inogona kusanganisira zvirwere kana mishonga inokosha apo unoshanyira dzimwe nyika kana kuti unoda kuti uchinje dheji yako purogiramu paunenge uchibhururuka pane dzimwe nguva nzvimbo.
Mune zvimwe zviitiko, pangangodaro kune mitemo kana mitemo inodzivisa kufamba kune vanofamba neHIV.
Asi, kugadzirira ndicho chinhu chinokosha pakuderedza kufambira mberi kwekufamba uye nekudzivirira matambudziko uye matambudziko zvinogona kungoparadza rwendo rwakakwana.
Travel Vaccinations
Vanopfuura mamiriyoni gumi nemaviri vekuAmerica vanoenda kune dzimwe nyika gore negore, vachiwedzera nhamba vachiita rwendo rwekuenda kune dzimwe nyika munyika dzichiri kusimukira. Maererano neU.S. Centers for Disease Control and Prevention (CDC), vanopfuura hafu yevafambi vanoenda kurwara, vane zvinokonzera kubva kuhutachiwana kusvika kunekukuvara kune zvirwere-kana zvirwere zvinotakura mvura.
Vanhu vane immune system yakaderedzwa ndivo vanowanzoshungurudzwa. Izvi hazvisi zvekuda kune vanhu vane chirwere cheHIV chekupedzisira ( maCD4 pasi pe200 cells / mL), asi kunyange avo vane mafungiro ekudzivirira anonzi immune (CD4 chikamu pakati pe200-500 masero / mL).
Paanoronga kuenda kune imwe nyika iri kusimukira, zvirwere zvinowanzogadziriswa kune vose vashanyi, vane HIV kana kwete. Izvi zvinobatsira zviri nani kuchengetedza kuti zvirwere zvinotapukira zvinowanikwa munzvimbo iyoyo (zvakadai sefivhaidhivha kana chifuva) zvinodziviswa.
Pane dzimwe nguva, kudzivirira mishonga yemuromo kunogona kurongerwa.
Kunyange zvazvo zvizhinji zvezvigadzirwa izvi zvakanyatsorayirwa muhupo hweHIV, vamwe havasi. Zvechokwadi, vazhinji vezvinonzi vanorarama zvirwere zvakakosha (zvirwere zvakagadzirwa nehutachiona hwehutachiona huri kurarama) zvinopesana nevanhu vane HIV vanokwanisa kukonzera zvirwere kwete kuvadzivisa.
Vamwe vanorarama zvirwere zvakakanganiswa, zvakadai seaya yellow fever , zvakanyatsonaka kune vane utano hwakanaka, vanhu vane HIV. Vamwe, semuromo wehupidhi yehupidhi, inofanira kudziviswa kuvanhu vose vane HIV, pasinei neCD4 count.
Mutemo wakanakisisa wegumbo ndeyekusangana nachiremba wako mavhiki mana kusvika matanhatu musati waenda rwendo rwekune dzimwe nyika kuti ukurukure maipi majekiseni uye / kana mishonga inodzivirira yakanaka. Iwe unogona kutarisa webhusaiti yeWatano's Health, inotungamirirwa neCDC, kune mazano ehutano ehutano uye mazano ekufamba.
Kana iwe usingagoni kukonzerwa nechikonzero chipi nechipi, chiremba wako anogona kubudisa chidziro chekuregererwa achitsanangura kuti nei kurapwa kusingagoni kuiswa. Ita mazano, zvisinei, kuti kuregererwa hakugoni kugamuchirwa munyika dzose ( ona pasi apa ) uye kuti inogona kusanganisira ruzivo pamusoro pehutachiwana hweHIV hwaunoda kuti usazogovana.
Uye kana uchingosvika, zivai chero zvirwere-kana kuti zvirwere zvinotakura zvingave zvaungasangana nazvo. Dzivisa zvinotevera kana ukashanyira nyika iri kusimukira:
- Muchero uye miriwo (michero yakakanganiswa inogona kunge yakanaka kana wakazvifungidzira iwe pachako)
- Dhadza mvura kana yega yakagadzirwa kubva pamvura yemapopu (iyo inosanganisira kusvina meno ako nemvura yepombi)
- Inotorwa kana nyama yakasvibirira
- Umukaka usingakanganisiki kana mishonga yemiti
- Zvokudya zvinotengwa kubva kune vatengesi vomugwagwa
- Zvimwiwa zvewaini mausina kuzarura iwe
International Travel Mitemo & Zvibvumirano
Kunyange zvazvo nyika dzakawanda dzisina zvipingamupinyi zvekufambisa vanhu vane HIV, pane 18 vanoita uye nevamwe vazhinji vasina mitemo yakajeka kana mitemo inotungamirira kupinda. Kuteerera kwemitemo kunowanzosiyana zvakasiyana, nekuongororwa kukuru kunowanzoiswa kune nguva refu-kugara nevashanyi uye vanobva kune dzimwe nyika kwete panzvimbo yevashanyi.
Usati wagadzirisa chero rwendo rworwendo rwemahombekombe, iva nechokwadi chokuti uwane mufananidzo wakazara wemitemo yenyika nekushanyira The Global Database, webhusaiti yebasa risina purogiramu inotungamirirwa neEuropean AIDS Treatment Group, Deutsche AIDS-Hilfe, uye International AIDS Society.
Zvinyorwa zvinogara zvichishandurwa uye zvinopa mazano anokosha mune zvakawanda zvezvinetso zvingangodaro iwe sevatariri kana kuti mutambi webhandi.
Kunyange kana nyika isina zviremera zvepamutemo maererano nevashanyi vane HIV, musafunga kuti muchagamuchirwa nemaoko akazaruka. Kana usina kusava nechokwadi, sidza ambassy, ​​consulate, kana kuti high office office yenyika yauri kuronga kushanyira, uye mubvunze kuti mitemo iripo ndeyei iyo inobatana nevanhu vane HIV. Edza kuva wakananga sezvinobvira uye yeuka kuti iwe haufaniri kuzivisa zita rako kana kuti hutachiwana hweHIV.
Kana, nokuda kwechikonzero chipi nechipi, iwe unofanirwa kushanyira nyika ine zvipingamupinyi zvekupinda (taura, nezvebhizimisi rinokosha kana mhuri inoshanyira), ureve njodzi dzakanyatsochenjerera uye iva nechokwadi kuti uine nhamba dzomumishinari wekuAmerica wekuAmerica kana hurumende paruoko iwe unofanira kumhanya mune chero matambudziko.
Pakupedzisira, hazvisi nyore kuti iwe uchabvunzwa kana une HIV kana uchipinda. Kana mukuru wehurumende achitarisa kumiganhu achikumbira kutsvaga bhagi rako uye kubvunzurudza nezvemishonga yako yeHIV, ingomuudza kuti ndeyekugara kwenguva refu. Kunze kwekunge uri kuunza mishonga yakawanda, kazhinji haazopindi nyaya yacho. Shandisa zvakanakisisa kutonga kwako uye funga kana kuenda kune imwe nyika yeHIV-inogadzirisa inonyanya kufarira.
Health Insurance
Inishuwarenzi yehutano inonyanya kukosha paunenge uchifamba sezvaunenge uine kumba zvakanaka. Iva nechokwadi chekutarisisa kana hurongwa hwako huchafukidza "chimiro uye chinonzwisisika" chipatara mari kana chirwere chekufamba kana kukuvara kuchiitika. Izvi zvinosanganisira kunze kwemaawa evacuation cost, izvo zvisingawanzofukidzirwa nemishuwarisi mitemo.
Kana hurongwa hwako hwehuwandu hwekugovera hushoma, iwe unogona kuwana runyoro rwekurudziro yekufambisa inshuwarisi vanobva kuU.S. Bureau of Consulate Affairs. Iyi tsvakurudzo yekutsvakurudza inogona kupawo mazano pamusoro pechiremba uye zvipatara zvekumba uyewo kupa ruzivo rwekufambisa kumumiririri weunoswedera pedyo weUnited States, hurumende, kana hurumende.
Itaurwa kuti hakuna medicaid kana vatsigiri vemishonga vanovharwa kana vachifamba kune imwe nyika. Vakuru vanogona kusarudza kutenga mishonga yekuwedzera yemishonga (C kuburikidza neJ) , iyo inosanganisira kune imwe nyika inofambisa rubatsiro rwekuda kwemazuva 60 ekutanga rwendo rwako. Vamwe vanozofanira kutenga supplemental inshuwarheni yakakodzera kune zvavanoda.
Smart Packing
Kurasikirwa kana kuperevedzwa kwemishonga yako yeHIV hakugone kuparadza zororo, zvinogona kukuvadza utano hwako. Paunenge uchironga rwendo, mungave mumusha kana kune dzimwe nyika, iva nechokwadi chekutakura mishonga yakawanda kana chiitiko chako chinowedzera, ndege inonoka, kana zvimwe zvemishonga yako zvinokuvara kana kuti zvinoshaya.
Nokuda kwenguva shoma, inowanzova pfungwa yakanaka kutakura kaviri mari yaidiwa. Iva nechokwadi chokuti nguva dzose unotakura mishonga yako muruoko rwako (kwete mabhegi ako akaongororwa) uye unozvichengetedza zvakanaka kubva kune chero zvinodhaka kana gel iwe unogona kunge wakaisa. Bhokisi rakachengetedzwa rakachengetwa rinogona kuita zvinyengeri mukudzivirira kukanganisa kwemvura.
Zvimwe zvinokurudzirwa kufungisisa zvinosanganisira:
- Kana uchienda kune dzimwe nyika apo zvirwere zvinotapukirwa nemasikito (zvakadai sedheengue fever kana malaria) zvakapararira, iva nechokwadi chekuunza zvinhu zvakakwana zvezvipembenene zvinodzivirira nechinosvika 30 muzana DEET. Utsi hwekudzivirira (hunosanganisira mitero inosanganiswa neDEET) inogona kutengwa kubva kune vatengesi vepaIndaneti uye inopa chimwe chidziviriro chekudzivirira paunorara.
- Kuita kuti zvinhu zvive nyore pakudzora kwemuganhu, unogona kukumbira chiremba kuti akupe tsamba uye mishonga inotsanangura kuti mishonga yako ndeyekushandisa iwe pachako kuraramisa chirwere chisingaperi. Zvimwe, iwe unogona kuuya nemapiritsi ako mune bhodhoro risina kuvharwa remishonga yepasita rine zita rako rakadhindwa pane zita racho. Zvakare, ruzivo pamusoro pako hutachiona hweHIV harudi kuiswa.
- Uya nehodhi yako yerishuwarenzi uye mafomu akawanda ekutsvaga unofanira kufanira kushanyira chiremba, kliniki, kana mukana wekukurumidza paunofamba. Iwe unogona dzimwe nguva kutora mafomu painishuwarenzi yako yepaiti webhusaiti kana kukumbira kuti kambani iko kukutumira iwe kopi nguva isati yasvika.
- Mishonga yakawanda yeHIV inoda kutorwa nechingwa. Kunyange zvazvo vatakuri venguva refu vachatora zvokudya zvekudya panguva yekufambisa, tora zvokudya pamwe chete. Inokurudzirwa, somuenzaniso, kuti Edurant (rilpivirine) inotorwa nechinosvika 390 makori ekudya. MaPuroteni mabhadharo kazhinji kacho chisarudzo chakanaka chekudzokera shure.
Kusarudzwa Purogiramu Kuchinja
Kana uchifamba pane imwe nguva kana kupfuura nguva, gadzirira kuita shanduko kudhora rako rekuita kuti usapedzisira wapera mukurapa. Nokufamba kwenguva pfupi, unogona kuramba uchienda purogiramu yako yenguva dzose usingabatsiri pakurara kwako kana purogiramu yekumuka.
Kwekufamba kwenguva kwenguva yakareba, fambisa dosing purogiramu isati yaitika kuti iwe unogona kuomerera kune zvinonzwisisika, zvakanaka maawa mashoma maawa makumi maviri nemasere kubva pamagadziro ezuva rimwechete uye nemaawa gumi nemaviri zvakapetwa kaviri-mazuva ose emitambo. Automated cell phone alerts inogona kubatsira zvikuru, kunyanya kumafambi ekumavirira uko iwe unorasikirwa nemaawa pane kuvawana.
Kubvumira nguva huru mazamu pakati pematokisi (kana kushayikwa doses zvachose) kunoderedza hurongwa hwekurapa hwechirwere muropa rako. Ichi chinhu chinoedza kudzivisa sezvo chinogona kutungamirira kumudzoka kwechiito cheropa uye zvinogona kuita kuti nguva isati yasvika . Zvisinei, kana iwe uchinge uchinge uchinge uchinge uchinge uchitadza, usapindira kaviri mukuedza kuti uwane. Ingodzokera kumaawa gumi nemaviri kana maawa makumi maviri nemaviri, usingashandisi chero matanho ekutevedzera iwe unoda kuchengetedza.
> Sources:
> Centers for Disease Control and Prevention (CDC). "Kurwara-kunobatanidza Zvirwere Zvirwere uye Clusters, 2000-2010." Emerging Infectious Diseases. July 2013; 19 (7): 1049-1073.
> National Travel and Tourism Office (NTTO). "Mwedzi Mwedzi US Inenge Mhepo Inofamba Inofamba Kudzoka Munyika Dzose." Washington, DC; 2016.
> Global Global Database pamusoro peHIV-Related related Restrictions. "Nyika dzine mvumo yekugara kwenguva pfupi (
> U / S. Centers for Medicaid uye Medicare Services (CMMS). "Kufamba (apo iwe unoda kutarisira utano kunze kweU US" Medicare.gov.
> US Food and Drug Administration (FDA). " Edurant - Highlights of Defcribing Information." Silver Springs, Maryland; August 2015.