Mankhwala a HIV ndi EDZI - PIH Model Online - Partners in Health

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138 Mutu 5: Mankhwala a HIV ndi EDZI 1 2 » Ndondomeko Mankhwala a HIV ndi EDZI Uzani ophunzirawa kuti gawo lino likufotokoza nkhani za ma-ARV. Funsani ophunzira kuti: Kodi inu kapena wina amene mukumudziwa adamwapo mankhwala? » azimwedwa? » Kodi pali nthawi zake zenizeni zimene mankhwala ena ake a mafunika kuti Kodi pali malangizo alionse amene amafunika kutsatidwa pakumwa mankhwala ena? » Izi zili chomwechi chifukwa chiyani? (Mankhwala osiyanasiyana amagwira nthito m’matupi athu mosiyananso ndipo ndikofunika kuti ife tisinthe zochita zathu kuti mankhwalawo atithandize mokwanira.) 3 Fotokozani kuti ma-ARV amaletsa HIV kuswana ndi kupha ma-CD4, omwe ndi ofunika kwambiri pachitetezo cha m’thupi. HIV ikakaswana imafooketsa chitetezo cha m’thupi. Ngati munthu amwa ma-ARV moyenera komanso mosadumphitsadumphitsa, chitetezo cha m’thupi lake chimakhala champhamvu. Munthu akapezeka ndi kachirombo ka HIV, sikuti amayamba kumwa mankhwala a ma-ARV nthawi yomweyo. Dokotala kapena namwino pamodzi ndi wazaumoyo wa m’mudzi angaone nthawi yoti munthuyo ayambe kumwa mankhwala a ma- ARV malinga ndi nthazi lake. 4 Mutu 5 Mankhwala a HIV ndi EDZI Partners In Health Zanmi Lasante Bo-Mphato Litsebeletsong tsa Bophelo Inshuti Mu Buzima Abwenzi Pa Za Umoyo 52 Anthu amene apezeka ndi HIV amakakumana ndi dokotala kamodzi mwezi ulionse. Ngati sanayambe kumwa ma-ARV adokotala kapena anamwino amawayeza n’kuona ngati akufunikira kuyamba ma-ARV. Ngati akumwa ma- ARV dokotala amawayeza kuti aone ngati mankhwalawo akugwira nthito. Chitetezo cha m’thupi (CD4) chikachepera pa 250, dokotala kapena namwino amamuyambitsa munthuyo ma-ARV. (Nambalayi ikhonza kusintha mtsogolomu kufika 350.) Bukhu Lophunzitsira Alangizi Azaumoyo a M’mudzi a Bungwe la Abwenzi Pa Za Umoyo: Chisindikizo Choyeserera
5 6 7 Mutu 5: Mankhwala a HIV ndi EDZI Fotokozani kuti pofuna kuletsa kachirombo ka HIV kuti kasaswane, wodwalayo ayenera kumwa mitundu itatu ya ma-ARV tsiku ndi tsiku. Tili ndi mwayi kuti ma-ARV ambiri amene tili nawo ku Malawi kuno, anaphatikizamo mitundu iwiri kapena itatu m’pilisi limodzi kuti munthu asamachite kumwa mapilisi ambirimbiri. Mapilisi amenewa amatchedwa amphamvu zingapo. Anthu amene ali ndi HIV akangoyamba kumwa mankhwala afunika kumwa mankhalawa nthawi yomweyomweyo tsiku lililonse moyo wawo wonse. Uku ndiko timati kumwa mankhwala kosadukiza. Ngati wodwala alekeza kumwa mankhwala kapena adumphitsadumphitsa kamwedwe kake, HIV imayamba kuswana ndi kupha ma-CD4. Ngati odwala ali ndi chizolowezi chomamwa ndi kulekeza kumwa ma-ARV, kachirombo ka HIV kamene kali m’thupi lawo kadzatha kulimbana ndi ma-ARV. Zikafika apa timati kachilomboko sikakumva mankhwala ndipo ndizoopsa kwambiri. Mankhwala a ma-ARV sadzathanso kugwira nthito yawo monga m’mene amayenera kuchitira. Fotokozani kuti amayi oyembekezera amene ali ndi HIV amathandzidwa mosiyana ndi anthu ena. Atha kuyambitsidwa kumwa ma-ARV pofuna kupewa kuti angapatsire kachirombo ka HIV mwana yemwe akuyembekezerayo. Amayi oyembekezera amene ali ndi HIV angafunike kupita ku chipatala kangapo pa mwezi m’malo mwa kamodzi. Wodwala akayamba kumwa ma-ARV dokotala kapena namwino amakumana ndi wazaumoyo wa m’mudzi pamodzi ndi wodwalayo n’kuwafotokozera mankhwala amene wodwalayo azimwa, nthawi yomwera ndiponso kuchuluka kwake. Zimenezi azidzilemba pa pepala kuti wodwalayo ndi wazaumoyo wa m’mudzi adzitha kukumbukila. 8 Mu ntchito iyi ophunzirawa aphunzira nkhani zokhudza ma-ARV. Ayesetse kukumbukira zomwe aphunzirazi, komabe mfundozi ziliponso mu Bukhu la Wazaumoyo wa M’mudzi (gawo 5 tsamba 113). 9 10 Gawani ophunzirawa m’magulu asanu powauza kuti aliyense azitchula manambala kuchokera 1 mpaka 5 — onse amene anatchula 1 akhale gulu limodzi, amene anatchula 2 akhalenso gulu lawo mpaka 5. (Yesetsani kuika munthu amene amatha kulemba ndi kuwerenga kapena wazaumoyo wa m’mudzi yemwe amadziwa bwino ntchito yake pa gulu lililonse.) Uzani ophunzirawa kuti pagulu lililonse pali makhadi olandirira mankhwala. (mtundu ulionse wa ARV uli ndi khadi lake) ndi mapilisi a ma-ARV. Awa ndi ma-ARV osiynasiyana amene akupezeka m’dziko muno. Apatseni ophunzirawa nthawi yokwanira kuti awaone makhadi olandirira mankhwala ndi kufunsa mafunso okhudza makhadiwo. Onetsetsani kuti akutha kuwerenga makhadiwa. Fotokozani kuti mu gawo 6, aphunzira mavuto amene amadza munthu akamamwa ma-ARV kotero kuti asadere nkhawa za zimenezi panopa. Onetsetsani kuti ophunzirawa akumvetsa zomwe zithunzi zomwe zili pa makhadi olandirira mankhwala zikuimira. Bukhu Lophunzitsira Alangizi Azaumoyo a M’mudzi a Bungwe la Abwenzi Pa Za Umoyo: Chisindikizo Choyeserera 139
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