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IMFUNO YAMACHIZA<br />
AMATSHA<br />
18<br />
Ingxaki ngonyango lomgca<br />
wesibini nomgca wesithathu<br />
Njengoko abantu abaninzi bechitha ixesha elininzi kunyango<br />
lwe-antiretroviral, sinokulindela ukuba unyango lomgca<br />
wesibini nomgca wesithathu luyakunyuka kwiminyaka ezayo.<br />
Kuba unyango lomgca wesibini nomgca wesithathu lubiza<br />
kakhulu kunonyango lomgca wokuqala, oku kungenzeka<br />
ukuba kukhokelele kwiingxaki ezinzima zenkxaso.<br />
Kubalulekile ke ngoko ukuba sikhankase kwangaphambili<br />
siqinisekise ukuba unyango olunobulunga lomgca wesibini,<br />
nomgca wesithathu nolulandelayo luyafikeleleka kwaye<br />
luyafumaneka kwinkqubo yempilo karhulumente.<br />
Alpha Mlondobozi<br />
Ifoto ngu-Adam Malapa<br />
Ukuhlala ngoloyiko<br />
U-Adam Malapa uye wadlana indlebe no-Alpha<br />
Mlondobozi oxhathisayo kunyango lwe-antiretroviral<br />
yomgca wokuqala kwaye okwangoku ekwirejimeni<br />
omgca wesibini.<br />
U-Alpha Mlondobozi uneminyaka engama-43<br />
yobudala. Uhlala e-Bridgeway, ngaphandle nje<br />
kwedolophu yase-Tzaneen kwiPhondo laseLimpopo.<br />
Unonyana oneminyaka engama-24 kwaye ube ne-HIV<br />
ukusukela ngo-2000.<br />
Wathi akufumanisa isimo sakhe se-HIV u-Alpha<br />
woya kakhulu. Awayekwazi nje yayikukuba i-HIV<br />
ayinayngeki kwaye wayecinga ukuba umntu<br />
uyafa msinyane nje awukwazi ngesimo sakhe.<br />
Ngecandelo labucala waye waqala ngoko nangoko<br />
unyango lwe-antiretroviral (ART). U-Alpha<br />
zange afumane kucetyiswa ngendela ezisebezna<br />
ngayo ii-antiretrovirals (ARVs), okanye nakuphi<br />
na ukucetyiselwa ukubambelela kumachiza.<br />
Ngamanye amaxesha unyango lwakhe wayeluthatha<br />
emva kwexesha ngeeyure ezimbalwa kuze okuke<br />
kumtatazelise kuba ugqirha wamxelela ukuba<br />
kufuneka awathathe ngexesha amayeza akhe.<br />
U-Alpha swaqala ngerejimeni ye-stavudine (d4t),<br />
lamivudine (3TC) ne-efivarenz (EFV). Wayephathwa<br />
lurhudo olungamandla rhoqo kwaye egabha.<br />
Indlela ekukuphela kwayo yokulawula ezi ziphumo<br />
bezingalindelekanga yaba kukuba angeniswe<br />
esibhedlele iintsuku ezimbalwa. Wayehlala ephethwe<br />
bubucaphucaphu kwaye eziva ebuthathaka.<br />
Emva kokungaboni bungcono kolu nyango waye<br />
watshintsela kwirejimeni yomgca wesibini. Kweli<br />
tyeli u-Alpha waye wabhalisa kwisibonelelo sempilo<br />
sikarhulumente. Waya kwizifundo zonyango<br />
kunye nakwiiseshoni zokubamabelela kunyango<br />
kwiSibhedlele iLetaba apho waye wazuza ulwazi<br />
oluninzi malunga ne-HIV kunye nokuba kubaluleke<br />
kanjani na ukuthatha unyango lwakho. Emva<br />
kweenyanga ezimbalwa ekunyango lomgca wesibini<br />
kwaye kwabakhona utshintsho olungundoqo<br />
empilweni yakhe. Waye waqala ukufumana amandla<br />
akhe kwakhona waze wazimanya namaqela enkxaso<br />
esibhedlele, apho waye wabelana namava akhe<br />
kunye nezinye izigulane ezine-HIV.<br />
Ku-Alpha, unyango lomgca wesibini lelona<br />
themba lakhe lokugqibela kwicandelo lempilo<br />
likarhulumente. Nangona unyango lunceda,<br />
akakwazi ukukuqhela ukukrakra kwamanye<br />
amachiza, umzekelo i-didanosine (ddI), ethathwa<br />
kanye ngemini ungekatyi. Iyipilisi enzima ukuba<br />
uyiginye kuba inkulu kakhulu. Mhlawumbi<br />
ungayinyibilikisa okanye uyihlafune ukuze ukwazi<br />
ukuyiginya. “Andikwazi ukuyichaza ukuba<br />
ingcamleka njani kodwa imbi,” utshilo u-Alpha.<br />
“Omnye umceli mngeni kum yi-lopinavir/ritonavir<br />
(LPV/r). Kufuneka ndithathe ama-100mg amane<br />
[iipilisi] ukwenza ama- 400mg [engumthamo<br />
olungileyo] obunzima bam. Kum [ezo] ziipilisi<br />
ezininzi kakhulu ngexesha elinye,” uphawule.<br />
“Ngaphambili kwakungcono kuba ndandizithatha<br />
njengeekhapsule, kodwa ngoku ndizithatha<br />
njengeepilisi ekufuneka ndizingcamle, eyinto embi<br />
kakhulu ke leyo kum.”<br />
U-Alpha woyika kwakhona into enokwenzeka kwixa<br />
elizayo ukuba ngaba uvela uxhathiso kwirejimeni<br />
ayesebenzisa ngoku. “Andazi ngenene ukuba yintoni<br />
eza kwenzeka. Ndicinga ukuba umntu uyakuvela<br />
alindele ukusweleka.”