Sazi kanjani ukuthi ukungabonakali kutsho ukuthi awukwazi ukudlulisela i-HIV?
OKwesikhathi eside siyakwazi ukuthi ukunamathela ekwelatshweni kwehlisa ingozi yokudlulisela i-HIV, kodwa okwakhathesi nje sikwazile ukutshengisa ukuthi ubungozi bokudlulisela i-HIV kuku-zero nxa umuntu elenani legcikwane egazini elingabonakaliyo .
Kube lezifundo ezimbili eziyinhloko yokukhombisa lokhu. Esokuqala senziwa ngo-2016, futhi sahlanganisa abathandanayo abangu 516. Kubo bonke abathandanayo umlingani olegcikwane wayelenani legcikwane egazini elingabonakali. Kulo lonke ucwaningo, ayikho i-HIV eyadluliselwa komunye lanxa kube lezimo ezingu-36,000 zocansi 'olungavikelekile.' Lokhu okutholakele kwaphinde kwaphindwa ngomnyaka ka-2018, kucwayisiso olwaluhlanganisa abathandanayo abesilisa besimo esixubile abangu-972. Kubo bonke umlingani olegcikwane wayelenani legcikwane egazini elingabonakaliyo. Laba abathandanayo babe lezenzo zocansi olungavikelekile lweAnus ezingaba ngu-77,000 futhi, ayizange idluliselwe i-HIV.
Kuhlanganiswe, lezi zifundo ezimbili zihlanganisela izenzo zocansi ngaphandle kwekhondomu eziyi-113,000, lapho i-HIV ingadluliswanga. Lobu ubufakazi banele ukuthi nxa umuntu elegciwane elingabonakali akakwazi ukudlulisela i-HIV ngocansi lwesitho sowesifazane noma sangemuva.
Ukungabonakali kwegcikwane kutsho ukuthini kimi?
Kubantu abanengi inzuzo enkulu yokwazi ukuthi igcikwane alibonakali kuzoba umuzwa wokuqinisekisa. Akusadingeki bakhathazeke ngokudlulisela i-HIV futhi bayakwazi ukuthi impilo yabo kanye lamasotsha abo omzimba avikelekile.
Umlayezo wokuthi wkuongatholakali = ukungadluliseleki futhi uhlose ukubhekana lokunye ukubandlululwa nge-HIV. Nxa abantu sebezwisisa ukuthi ukwelatshwa kungalicindezela ngempumelelo igcikwane, ngethemba ukuthi lokhu kutsho ukuthi abayesabi kangako i-HIV - kubakhuthaze ukuthi bahlolwe futhi bathole ukunakekelwa.
Noma kunjalo, ukuze usebenzise lezi nzuzo ngokugcwele, abantu kufanele babe lokufinyelela okuhle ekunakekelweni. Ukuze igcikwane libangabonakali, abantu kufanele baqale bahlolwe bese beqala ukwelatshwa ngezidambisigcikwane (ART). Nxa lezi nhlelo zingatholakali, inani legcikwane egazini labantu lizohlala liphezulu. Kubalulekile futhi ukuthi abantu bahlale behlolwa inani legcikwane egazini nxa benatha imithi, ukuze baqinisekise ukuthi isebenza kahle yini lokuthi inani legcikwane egazini alibonakali yini. Kungasenani ezindaweni ezinengi ukufinyelela ekuqaphelweni kwenani legcikwane egazini kuphansi kakhulu. Ngaphandle kwalokhu, abantu abakwazi ukuthola isiqinisekiso sokuba kwazi ukuthi ngeke bakwazi ukudlulisa i-HIV. Ngalokho, kubalulekile ukuzwisisa inzuzo zokwelatshwa noma kunjalo, njengoba ukwazi amaqiniso 'ngokungabonakali' kungakhuthaza abantu ukuthi babambelele ku-ART. Bangazizwa bethakazelela ukubakwazi ukuthi ukwelatshwa kungavikela kanjani impilo yabo kanye lempilo yabalingani babo bezocansi.
Kuyini ukutheleleka kakutsha futhi kuyingozi yini nxa ababili belegcikwane elingatholakali?
Ukutheleleka kakutsha yilapho umuntu osevele ele-HIV etheleleka ngolunye uhlobo lwe-HIV lwesibili olutshiyeneyo. Lokhu kungenzeka nxa besiya ecansini olungavikelekile lomuntu olohlobo olutshiyeneyo lwe-HIV noma othile oseke wakwazi ukungazweli kumithi ethile yezidambisigciwane. Ukutheleleka kakutsha nge-HIV kungenza ukuthola ukwelatshwa okukusebenzelayo kube nzima kakhulu.
Noma kunjalo, ukuphinda utheleleke akuyona ingozi nxa bobabili abalingani belenani legcikwane egazini elingabonakaliyo. Lokhu kungenxa yokuthi nxa inani le-HIV emzimbeni wakho liphansi ngale indlela, awukwazi ukudlulisela igcikwane. Okutsho ukuthi noma yikuphi ukungazweli lakho ngeke kudluliselwe.
Ukuze igcikwane lingabonakali udinga ukunamathela ekwelatshweni kwakho ngezidambisigcikwane. Kufanele futhi uye lapho okukhangelwa khona inani legcikwane egazini njalo ukuze wazi ukuthi inani legcikwane egazini lihlala ezingeni elingabonakaliyo.