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IZIKHOKELO EZINTSHA<br />
NETHENDA<br />
4<br />
Ibali lika-<br />
Eunice<br />
U-Mary-Jane Matsolo<br />
wenza udliwano-ndlebe<br />
no-Eunice Lindiso<br />
malunga namava akhe<br />
ngokutshintsha kwistavudine<br />
(d4T) waya<br />
kwi-tenofovir (TDF).<br />
U-Eunice Lindiso ngowasetyhini oneminyaka engama-33 ohlala eKhayelitsha unonyana<br />
one-14 leminyaka. U-Eunice kwafunyaniswa ngovavanyo ngo-2007 ukuba une-HIV,<br />
emva kokufumanisa ukuba isithandwa sakhe awayethandana naso iminyaka emininzi<br />
sasinganyanisekanga kuye sithandana nowasetyhini owayesaziwa ekuhlaleni ukuba une-<br />
HIV. Ukufunyaniswa kwakhe ngoxilongo u-Eunice isibalo sakhe se-CD4 sasingama-192,<br />
kodwa ke ngelo xesha wayengabonisi mpawu ezimandundu zosulelo lwe-HIV.<br />
Ngo-2007 waqalisa unyango lwe-antiretroviral (ART) esebenzisa i-stavudine (d4T),<br />
lamivudine (3TC) ne-nevirapine (NVP). Emalunga neenyanga ezine kolu nyango u-<br />
Eunice waqalisa ukuphawula iziphumo ebezingalindelekanga. Waba nobucaphu-caphu<br />
obukhulu wagabha rhoqo ngenxa yesiphimo ebesingalindelekanga esixhaphakileyo<br />
se- d4t esaziwa ngokuba yi-lactic acidosis (imeko apho i-lactic acid yakheka egazini<br />
ngokukhawuleza kunokuba unokukwazi ukuyisusa umzimba). Oku kwenza kwanzima<br />
kakhulu kuye ukuba akhathalele unyana wakhe kuba ixesha elininzi wayengaphilanga<br />
ngokwaneleyo ukuba akwenze oko.<br />
Wathi akukhalaza malunga noku, ugqirha wakhe watshintshela u-Eunice kwirejimeni<br />
ene-Zidovudine (AZT), 3TC ne-nevirapine. Kule rejimeni waye waqala ukwehlelwa<br />
bubunzima kodwa kwangaxesha nye amabele akhe akhula ukusuka kwisayizi 32B ukuya<br />
ku-36D. Le yindibaniselwano yokwehlelwa ngamafutha kunye nokufumana amafutha<br />
sesinye isiphumo ebesingalindelekanga se- d4t esaziwa angokuba yi-lipodystrophy.<br />
Nge-3 ka Febuwari 2010 unyango luka-Eunice lwaye lwatshintshwa kwakhona. Kweli<br />
tyeli waye waqala irejimeni ye-tenofovir (TDF), 3TC ne-nevirapine. Ugqirha wakhe<br />
wamcacisela ukuba olu unyango luneziphumo ebezingalindelekanga ezimbalwa kunye<br />
nokuba angaphathwa yintloko kunye nobucaphucaphu. Koko, akukhange kwenzeke oku.<br />
Endaweni yoko, u-Eunice ufumanise ukuba unyango olutsha luye lwaziguqula ezinye<br />
iziphumo ebezingalindelekanga ezimbalwa ezamehlela kwi-d4t. Isayizi yakhe yebhodi<br />
yabuyela ku-32B kwaye uphila ubomi obunempilo. Enkosi kwi-tenofovir akasaziva egula<br />
ngalo lonke ixesha ngoku kwaye unobudlelwane obuhle nonyana wakhe.