Kwenziwe ntoni ekukhulelweni ukuze ungadluliseli i-AIDS emntwaneni

Umxholo

• Lunjani unonophelo lwangaphambi kokubeleka kwabasetyhini abakhulelweyo abane-HIV
• Unyango lwe-AIDS xa ukhulelwe
• Imiphumela
• Kunjani ukuhanjiswa
• Wazi njani ukuba umntwana wakho une-HIV

Ukosulelwa nguGawulayo kunokwenzeka ngexesha lokukhulelwa, ukubeleka okanye ukuncancisa kwaye ke ngoko, into ekufuneka ayenze umfazi okhulelweyo one-HIV ukunqanda ukungcoliseka kosana kubandakanya ukuthatha amayeza aboniswe ngugqirha, ukuba necandelo lokuyeka kunye nokungancancisi umntwana.

Nazi ezinye iinkcukacha eziluncedo kukhathalelo lwangaphambi kokubeleka kunye nokuzala kwabasetyhini abane-HIV.

Lunjani unonophelo lwangaphambi kokubeleka kwabasetyhini abakhulelweyo abane-HIV

Unonophelo lwangaphambi kokubeleka kwabasetyhini abakhulelweyo abane-HIV + bohluke kancinane, okufuna ukhathalelo olungakumbi. Ukongeza kuvavanyo oluqhelekileyo olwenziwe ngexesha lokukhulelwa, ugqirha unokuyalela:

• Inani leeseli ze-CD4 (kwikota nganye)
• Umthwalo wentsholongwane (kwikota nganye)
• Umsebenzi wesibindi kunye nezintso (ngenyanga)
• Gcwalisa ubalo lwegazi (ngenyanga)

Olu vavanyo lubalulekile kuba luyanceda kuvavanyo, eqongeni kunye nokubonisa irejimeni ye-antiretroviral, kwaye lunokwenziwa kumaziko ekubhekiswa kuwo kunyango lwe-AIDS. Kwizigulana ezinesifo sikaGawulayo ngaphambi kokukhulelwa, ezi mvavanyo kufuneka zi-odolwe njengoko kufuneka.

Zonke iinkqubo ezingenayo, ezinje nge-amniocentesis kunye ne-chorionic villus biopsy, ziyaphikiswa kuba zonyusa umngcipheko wokosulela umntwana kwaye, ke ngoko, kwimeko yokurhanelwa kokungalunganga komntwana, uvavanyo lwe-ultrasound kunye negazi zezona zibonisiweyo.

Izitofu zokugonya ezinokuhanjiswa kwabasetyhini abakhulelweyo be-HIV zezi:

• Amachiza wokunyanga isifo sokuqina kwemiphunga kunye nesifo sokubola komqala;
• Isitofu sokugonya se-Hepatitis A no-B;
• Isitofu somkhuhlane;
• Ukugonya kwenkukhu.

Ugonyo kathathu lwentsholongwane luyaphikiswa xa ukhulelwe kwaye i-yellow fever ayiboniswanga, nangona inokwenziwa kwitrimester yokugqibela, kwimeko yesidingo esibi.

Unyango lwe-AIDS xa ukhulelwe

Ukuba umfazi okhulelweyo akawathathi amayeza e-HIV, kufuneka aqale ukuthatha phakathi kweeveki ezili-14 ukuya kwezingama-28 zokumitha, ngokungenisa amayeza omlomo ama-3. Elona chiza lisetyenziswa kakhulu kunyango lwe-AIDS ngexa lokukhulelwa yi-AZT, enciphisa umngcipheko wosulelo kusana.

Xa owasetyhini enomthamo wentsholongwane ophezulu nenani eliphantsi le-CD4, unyango akufuneki luqhubeke emva kokubeleka, ukuthintela owasetyhini ekubeni asuleleke kakhulu, njenge-pneumonia, meningitis okanye isifo sephepha.

Imiphumela

Iziphumo ebezingalindelekanga ezibangelwa ngamayeza kaGawulayo kwabasetyhini ngexesha lokukhulelwa kubandakanya ukwehla kweeseli ezibomvu zegazi, i-anemia ebukhali kunye nokusilela kwesibindi. Ukongeza, kunokubakho umngcipheko okhulayo wokunganyangeki kwe-insulin, isicaphucaphu, iintlungu esiswini, ukuqaqanjelwa sisisu, intloko ebuhlungu kunye nezinye iimpawu ekufuneka zixelwe kugqirha ukuze kuqinisekiswe ukuba irejimeni ye-antiretroviral, kuba kwezinye iimeko kunganyanzeleka ukuba utshintshe indibaniselwano yamayeza.

Kuyabonakala ukuba amachiza awazichaphazeli kakubi iintsana, nangona kukho iingxelo zamatyala abantwana abanesisindo sokuzalwa esisezantsi okanye ukuzalwa ngaphambi kwexesha, kodwa ezingenakunxulumana nokusetyenziswa kukanina ngamachiza.

Kunjani ukuhanjiswa

Ukuhanjiswa kwabasetyhini abakhulelweyo abanesifo sikaGawulayo kufuneka kube kukhethwe ngoqhaqho kwiiveki ezingama-38 zokukhulelwa, ukuze i-AZT ibaleke kumthambo wesigulana ubuncinci kwiiyure ezi-4 ngaphambi kokuzalwa komntwana, oko ke kunciphisa ithuba lokudluliselwa kwe-HIV nkqo kwimveku engekazalwa.

Emva kokubeleka owasetyhini okhulelweyo noGawulayo, umntwana kufuneka athathe i-AZT iiveki ezintandathu kwaye ukuncancisa kuyangqinelana, kwaye kufuneka kusetyenziswe ubisi olungumgubo.

Wazi njani ukuba umntwana wakho une-HIV

Ukufumanisa ukuba umntwana wosulelwe yintsholongwane kaGawulayo, kufuneka kwenziwe iimvavanyo ezintathu zegazi. Eyokuqala kufuneka yenziwe phakathi kweentsuku ezili-14 ukuya kwezingama-21 zobomi, okwesibini phakathi kwenyanga yoku-1 neye-2 yobomi kunye neyesithathu phakathi kwenyanga yesi-4 neyesi-6.

Ukufunyaniswa kukaGawulayo emntwaneni kuqinisekiswa xa kukho iimvavanyo zegazi ezi-2 neziphumo ezincumisayo ze-HIV. Jonga ukuba ziintoni iimpawu ze-HIV kusana.

Iziyobisi zikaGawulayo zibonelelwa simahla yi-SUS kunye neefomula zobisi kusana olusandul 'ukuzalwa.