PrEP Kuvanhu Vose | Decera Clinical Education

Mushandirapamwe wePrEP Kuvanhu Vose: Sarudzo Yakanaka

Released: December 04, 2025

Linda-Gail Bekker, MBChB, DTMH, DCH, FCP(SA), PhD

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Key Takeaways

Pakupedzisira, kutaura nezvePrEP tichinyanya kutarisa njodzi kunoita kuti PrEP ionekwe seinonyadzisa uye kunosiyira kunze vanhu vakawanda vangadai vakakodzera, vasingazvione sevanoita “zvine njodzi”
Kupa vanhu mukana wekusarudza PrEP zvichienderana nezvavanoda uye zvavanofarira kunosimudzira, kwete kuvasungisira, uye kunowedzera kushandiswa uye kuenderera mberi kwePrEP.

Kuunzwa kweantiviral-based pre-exposure prophylaxis (PrEP) kwakashandura kudzivirirwa kwepakutanga kweHIV. Kana ichishandiswa nguva dzose uye zvakanyanya, PrEP ine mukana wekuderedza hutachiona hweHIV zvikuru kuburikidza nekuderedza zvakanyanya kuwanikwa kweHIV. Zvisinei, hazvina kukwana kungopa PrEP kuvanhu vanonzi vari “panjodzi” chete.

Zvidzidzo kuAfrica, uko denda richiri rakapararira zvikuru, zvakaratidza kuti kuongorora vanokodzera PrEP pachishandiswa maitiro ekutarisa ari panjodzi kunogona kuderedza huremu hwekushanda kwayo: Kunosiya kunze vazhinji vanogona kubatsirwa, uye kunogona zvakare kushoresa PrEP.

Zvidzidzo zvakaratidza kuti munzvimbo dzine HIV yakapararira uye kutsimbirirwa kwakaderera kwehutachiona kweHIV kusiri kwevanhu vose (zvichiratidza kutapuriranwa kwehutachiona), huwandu hwekutapukirwa kweHIV hunodziviswa kana PrEP ichipihwa kune vose vanogona kubatsirwa nayo. Huremu hwekushanda kwayo kunobva kwaenderana nekuwanikwa kwayo, kugamuchirwa kwayo, kushandiswa zvakanaka, uye kuenderera mberi nekushandiswa.

Tingazviite sei? Ndinotenda kuti hutano hwepabonde uye hwekubereka hunokosha zvikuru sechikamu chekutanga kurapwa. Patinosangana nemunhu ari kuita zvepabonde, tinofanira kuongorora kana kudzivirira HIV kungave kwakakodzera kutaura. Vanhu vangade nezvePrEP vanogona kuratidzwa nzira dzakasiyana dziripo kuti vasarudze inokodzerana navo zvakanyanya. Tava nesarudzo dzePrEP dzinosanganisira PrEP yekunwa, vaginal ring, nemhando 2 dzemajekiseni ePrEP anoshanda kwenguva refu. Imwe neimwe nzira ine hunhu hwayo hwakasiyana, kusanganisira nzira yekushanda uye nguva yekutora mushonga.

Munzvimbo medu, panopihwa hurongwa hwakarongeka hwekuraira, hunosimbiswa nemapepa etsanangudzo nemidziyo yemakombiuta inopa rumwe ruzivo, ichiyera zvakanakira nezvakaipira uye ichibatsira vanogona kuzoshandisa PrEP kuona zvaavanofarira vasati vasangana nachiremba wavo (HCP). Ruzivo urwu runozoongororwa nachiremba wavo (HCP) maererano nekukodzera kwekurapa nenzira dzakasiyana dzePrEP, zvichibatsira kutanga kushandisa PrEP.

Kukosha kweKusarudza
Ruzivo kubva kuEast Africa rwakaratidza kukosha kwekupa vanhu sarudzo dzePrEP dzinoenderana nezvavanoda pachavo Vaongorori vakapa vakapinda mutsvakurudzo sarudzo pakati peLong-Acting Cabotegravir (LA CAB), PrEP yekunwa, uye post-exposure prophylaxis, pamwe nesarudzo yekuchinja nekufamba kwenguva (SEARCH dynamic choice prevention intervention). Vakawana kuti kupa sarudzo kwakawedzera nguva yekudzivirira kubatwa kwezvirwere zvepabonde ne69.7%, zvichienzaniswa ne13.3% inowanikwa pakudzivirira HIV zvakajairika. Zvakaderedzawo kuwanikwa kweHIV ku0%, zvichienzaniswa ne1.8% yekurapa zvakajairika.

Tadzidzawo zvimwe zvinhu zvakakosha kubva muzvirongwa zvedu zvekupa PrEP munzvimbo dzisina kunyatsobudirira pahupfumi nemagariro uye dzine mutoro mukuru weHIV muCape Town.

Kupa munhu sarudzo kunokwanisika kana paine kurairwa kwakarongeka, kusanganisira mubvunzo unonakidza wekuongorora zvaanofarira. Kupanga mazano kwekubatsira sarudzo kunogona kushanda zvakanaka kana kuchiitwa nanachipangamazano vakadzidzira basa asi vasiri vashandi vehutano, neongororo inotungamirwa namukoti pakupedzisira kutarisa kuti munhu haana HIV. Mutsvakurudzo yedu, takapa LA CAB, dapivirine vaginal ring, nePrEP yekumwa. Vechidiki vazhinji vari pakati pemakore 16-29 vakasarudza PrEP yekubaiwa, uye vashomanana vavo vakasarudza vaginal ring. Zvikonzero zvikuru zvaitarisa mararamiro, kukosha kushoma kuchipihwa kumigumisiro nemabatiro ekurapa.
Sarudzo inoshanduka, kwete chete munguva refu asi kunyangwe mukati menguva pfupi. Takawana kuti mushure memavhiki mashomanana, vanhu vakawanda vakabva pakusarudza PrEP yekunwa vachida PrEP yekubaiwa, pamwe nekuti vakanga vava kunzwa kusununguka nenhau yePrEP.
Sarudzo inowedzera kugamuchirwa uye kupararira kwePrEP. MuSouth Africa, takaratidza kuti kuwedzera dzimwe sarudzo dzePrEP kwawedzera kushandiswa kwePrEP senzira yekudzivirira.
Sarudzo inounza kutsungirira kuri nani: kana vanhu vakava nechokwadi nesarudzo yavo, vanowanzotsungirira zviri nani pakushandisa PrEP yavakasarudza.
Zvishandiso zvemakombiuta zvinogona kubatsira pakuita sarudzo uye kuderedza mutoro kunanachipangamazano nanamukoti.
Panogona kuva nekuenzanisa zvakanaka kana zvakaipa zvichienderana nenzira yekupa PrEP. Semuyenzaniso, mushandisi wePrEP anoda zvakavanzika anogona kusarudza PrEP yekunwa kana yeringi, zvinogona kuendeswa kunzvimbo yakakavanzika, panzvimbo pekuenda kukiriniki kana nzvimbo yekusvika kuti apiwe jekiseni, iro rinofanira kubaiwa nachiremba (HCP).

Pakupedzisira, kutaura nezvePrEP tichinyanya kutarisa njodzi kunoita kuti PrEP ionekwe seinonyadzisa uye kunosiyira kunze vanhu vakawanda vangadai vakakodzera, vasingazvione sevanoita “zvine njodzi”. Panzvimbo pazvo, vashandi vehutano (maHCPs) vanofanira kuratidza PrEP sechinhu chakajairika mukuchengetedzwa kwehutano nekudzivirira. Kupa vanhu mukana wekuzvisarudzira zvichienderana nezvavanoda nezvavanofarira kunovapa masimba, kwete kunzwa kutariswa zvakasiyana. Muchidimbu, kubatana tichitsigira kuti PrEP iwanikwe nemunhu wese, zvichienderana nezvaanoda nesarudzo yake kwete kufungidzirwa kuti ane njodzi, kwakakosha zvikuru mukuita mutsauko wakakura mukuderedza denda reHIV.

Mafungiro Enyu
Munotanga sei nhaurirano dzePrEP munzvimbo yenyu yekushandira? Ndeipi nzira yamunofunga kuti yakanakisisa kuita nhaurirano yePrEP nemunhu anofunga kuti haana chikonzero chekuitora? Siyai mhinduro kuti mupinde munhaurirano!

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