Apo mabhinhire emadzimai akatanga kubudiswa semichina yekudzivirira, maitiro aisanganiswa. Kune rumwe rutivi, vakange vari nzira itsva itsva yokuti vanhu vashandise kupora kwemishonga yekudzivirira. Ropa rehomoni ringave rakaderera nekutengeswa kwaro. Zvakanga zviri nyore uye zviri nyore kushandisa. Kune rumwe rutivi, vamwe vanhu vakanga vasinganzwisisiki nekuvaisa. Vakanga vari kunetseka pamusoro pezvaizoitika munguva yepabonde.
Vaifunga kuti vangave vasina simba kana vasinganzwisisiki.
Nokufamba kwemazuva, vanhu vakawana zvakajairika kune pfungwa yemaketani emaketani. Vamwe vanhu vanovada. Vamwe vanhu havafariri zvikuru. Zviri pachena, zvisinei, kuti zviri nyore kushandisa kune vanhu vanoda kuzvishandisa. Uyezve, iyo nzira inobatsira yekuendesa mashoma ematomu kumudzimai.
Mbira yeVaginal uye STD Prevention
Hormonal contraception haisi iyo chete nzira yemadzimai mabheti anogona kubatsira. Mumakore achangobva kupfuura, masayendisiti nevatsvakurudzi vakaongororawo mamwe maitiro anoshandiswa aya aya. Imwe nzira yakadaro ndeyekuendesa zvinodhaka nemishonga. Semuenzaniso, miedzo yakawanda yakaratidza kuti mavhare emukadzi anogona kunge ari nzira inobatsira yekugovera pre-exposure prophylaxis pamusoro peHIV.
Pre-exposure prophylaxis ndizvo chaizvo zvinonzwika. Vanhu vanopiwa mishonga vasati vawana HIV. Chinangwa ndechokuti kuderedze njodzi yehutachiona kwaive kuve pachena.
Muzvizhinji, zvidzidzo zvep-pre-exposure prophylaxis (kana kuti PrEP) zvinowanikwa munzvimbo dzine ngozi dzevarume varume uye sero-inopesana nemurume nemudzimai vakaroorana.
Chizvarwa chekutanga chekuongorora kwePrEP chakabudirira kwazvo. Yakaratidza kuti kutora antiretroviral madhiragi kunogona kuderedza dambudziko rehupenyu hweHIV. Zvisinei, izvozvo zvakashanda apo vanhu vakatora mishonga nguva dzose .
Zvinosuruvarisa, havasi vose vaikwanisa kutenderana. Nokudaro, tsvakurudzo dzakagadzirirwa kuwana nzira dzekutora mishonga iyi nyore. Imwe nzira yakadaro yakanga ichivaendesa kuburikidza nemhete yevakadzi.
Kushandisa chindori chepachivha chePPR pane zvakafanana nekushandisa imwe yekubata pamuviri. Mukadzi anoisa iyo inonyorera polymer ring mumudzimai wayo uye inobudisa mishonga pakarepo. Mhete yacho inozoshandurwa nguva dzose.
Ongororo yepakutanga inoratidza kuti rin'i rine antiretroviral mishonga inogona kuderedza ngozi ye HIV. Zvisinei, mune zvidzidzo zvevanhu zvakave zvichirondedzerwa kusvikira zvino, zvindori hazvina kubvisa ngozi. Zvinokwanisika kuti ramangwana rakagadzirisa inogona kuva nehuwandu hunoshanda, sezvakaonekwa mune zvidzidzo mu monkey model. Kusiyana kwakasiyana kana makirasi emishonga inogona kushandiswa kushanda zviri nani ... kana kuti yakaipa.
Iko kusati kwava nemhete yemadzimai ane mishonga yeHIV pamusika,. Kunyange zvakadaro, mumwe angasunungurwa mune ramangwana risati ravapo. Kunyanya kufadza ndeyekuti vanachiremba uye masayendisiti ari kutaura nezvekwanisi yekuita zvindori zviviri zvechinangwa. Zvingave zvisinganzwisisiki kugadzira chigadzirwa chakange chiine mishonga yekudzivirira nekudzivirira HIV. Izvozvo zvinogona kureva gungwa kuchinja mukudzivirira.
Zvisinei, zvakakosha kuziva kuti chigadzirwa chakadaro chinongodzivirira kurwisana neHIV uye kwete mamwe maDDD . Icho hachisi kuzova magic bullet. Izvo zvingave zvakadaro zvinogona kuita kusiyana kukuru muupenyu hwevakadzi vakawanda.
Sources:
Baeten, JM, et al. uye MTN-020 ASPIRE Study Team. Kushandiswa kweVaginal Ring Rine Dapivirine yeHIV-1 Kudzivirira muvakadzi. New England Journal of Medicine. 2016 February 22. Yakabudiswa Pamberi pePepa. doi: 10.1056 / NEJMoa1506110
National Institutes of Allergy and Infectious Diseases. Rhinhi yeMaginhi Inopa Rusununguko Rwokusarudzwa kubva kune HIV muChikumbiro Chekukuru Kwemarudzi. 2016 February 22. Akawana 2/22/16 pa http://www.niaid.nih.gov/news/newsreleases/2016/Pages/ASPIRE.aspx
Smith JM, Rastogi R, Teller RS, Srinivasan P, Mesquita PM, Nagaraja U, McNicholl JM, Hendry RM, Dinh CT, Martin A, Herold BC, Kiser PF. Intravaginal ring rinoshandura tenofovir disoproxil fumarate inodzivirira zvachose macaques kubva kune vaginal vaginal simian-HIV zvinetso. Proc Natl Acad Sci US A. 2013 Oct 1; 110 (40): 16145-50. doi: 10.1073 / pnas.1311355110.