Isifo sofuba kanye negciwane lesandulela ngculaza ngamunye unamazinga okudlula okuphindwe kabili e-COVID-19 eNingizimu Afrika. ILancet iveze ukuthi i-COVID-19 ingasizakala ngezinsizakalo zesifo sofuba kanye ne-HIV.

Ukusebenzisana okwenzeka phakathi kwesifo sofuba, i-HIV, kanye ne-COVID-19, kanye nezici zohlelo lwezempilo, kunomthelela kumthelela we-COVID-19 kubantu abasengozini. Abantu abangaphezu kwezigidi eziyi-17 banenkontileka ye-COVID-19 emhlabeni jikelele. Bangaphezu kwesigamu sesigidi abafile ngakho. I-Lancet ikhiphe iphepha lapho kubikwa ukuthi imodeli yedatha ikhombisa ukuthi I-COVID-19 ingadala ukuthi kube ngaphezu kwezigidi eziyisithupha zokufa kwesifo sofuba ngo-6, ngokuncipha kokuxilongwa, ukuqalwa kokulashwa, kanye nokuphothulwa kokwelashwa okuphumelelayo. Okufanayo, ukuphazamiseka kwezinyanga eziyisithupha ku ukwelashwa ngezidambisigciwane (Ama-ART) ukulethwa kwegciwane lengculazi kungaholela ekufeni okungemva kwesigidi. Njengoba kungukudluliselwa kukamama kuye kwengane emazweni asezansi kweSahara ngonyaka owodwa, lokhu kwandisa ukufa kwabantu okufika kuma-40% eminyakeni emi-5 ezayo.

 

INDLELA i-COVID-19 inomthelela ngayo kwisimo se-HIV kanye nesifo sofuba eNingizimu Afrika

Ukumelana nezidakamizwa, ngenxa yokuphazamiseka kwezidakamizwa kungaholela ekwandiseni izindleko zokuphatha lolu bhubhane olugxilile. Yize imodeli inemikhawulo, ngokungangabazeki i-COVID-19 izokuba nomthelela omubi kuzo zombili lezi zifo.

Kulezi zinsuku, isifo sofuba kanye ne-HIV eNingizimu Afrika kuye kwalawulwa ngempumelelo eminyakeni eyi-10 edlule. Kodwa-ke, lezi zinzuzo manje sezisongelwa yi-COVID-19. UMnyango Wezempilo waseNingizimu Afrika kanye noMédecins Sans Frontières amashumishumi amabili eminyaka weseka umphakathi ekulweni nokulethwa kwezinsiza zesifo sofuba nokungazweli emalokishini elokishini laseKhayelitsha eNtshonalanga Kapa.

I-COVID-19 manje isithinta iKhayelitsha, enomthwalo owodwa ophakeme kakhulu wama-coronavirus eWestern Cape, okuyiwona odala amacala angaphezu kwehafu wengxenye waseNingizimu Afrika. Ukuphazamiseka okubangelwa impendulo ephuthumayo qokomisa okungenzeka kungadingeki ukusebenzisana kohlelo lwezempilo phakathi kwabantu abanesifo sofuba nabantu abane-HIV, okubandakanya ukwelulekwa okusekwe esikhungweni, izikhathi zokulinda emtholampilo ezinde ukwamukela imithi, ngisho nasezigulini eziphilile kahle emtholampilo.

Ngakho-ke, izindlela ze-COVID-19 zingasiza kanjani ukwenza ngcono lesi simo?

Isidingo sokunciphisa ukuya emtholampilo ukuvikela ababuthakathaka futhi sinciphise ukuvezwa kwaso ukunakekela impilo abasebenzi futhi nethuba lokwakha ukunakekelwa kwasekhaya, qinisa umphakathi kanye nokuzilungiselela ukwelashwa kwesifo sofuba ozisebenzelayo, kuqhubeke ukuthathwa kokuqalwa kwemithi, futhi kunwetshwe imishanguzo ye-ART kanye ne-pre-exposure prophylaxis.

Lesi simo sinikeza ithuba loshintsho oluqondile, lwesikhathi eside, oluhlelekile lokuguqula ukungasebenzi kahle, izinqubomgomo nezinqubo ezingasebenzi kahle. Isibonelo, ngo ukuhlinzeka ngokubonisana ngemitholampilo noma ngokululekwa ngocingo ukuze uxhase iziguli ngenkathi unciphisa ukuthintana kwabo bobabili abahlinzeki bezokunakekelwa kwempilo nabamukelayo.

Ngokuqondile, ukungenelela kwe-COVID-19 nakho ukuthuthukisa izinsizakalo zesifo sofuba kanye ne-HIV. Isibonelo, amanethiwekhi omphakathi enzelwe i- Ukuhlolwa kwe-COVID-19 ingathengiselwa kabusha ukusekela sofuba futhi Igciwane lesandulela ngculaza. Ukuhlonza abantu abadinga ukwesekelwa okwengeziwe kuyisinyathelo esisodwa sokwandisa ukuhlolwa kwesifo sofuba nokuzihlolela i-HIV. Isinyathelo sesibili singase sixhumanise amacala amasha noma iziguli okufanele zilandelwe ukuze zinakekele.

Imikhankaso yokunciphisa ukucwaswa kwe-COVID-19 nayo ingakwazi amukele imiyalezo emihle nge-HIV kanye nesifo sofuba.
Ngakolunye uhlangothi, ubhubhane lwe-COVID-19 luveze ubuthakathaka obuhlelekile, njengokuncipha kokunikezwa kwemithi kanye nokushoda kwabasebenzi. Lokhu kuzodinga ukuqinisa uhlelo lwezempilo oluzinikele kanye nokutshalwa kwezimali okukhulu ukulungisa.

I-COVID-19 nayo ikhangisile usengozini enkulu kwezomnotho yabantu abaphila nesifo sofuba kanye ne-HIV, kanye nokuzibophezela ekwehliseni abashayeli bezenhlalo kanye nemiphumela yazo zombili lezi zifo kumele kugcinwe eminyakeni ezayo.

Noma i-COVID-19 ingubhubhane olungalindelekile futhi ichithe izinkolelo zamazwe amaningi, iNingizimu Afrika yabona ukusabela okuqinile kwezepolitiki nokuqiniseka kukho. Lokhu kwembula ebaluleke kakhulu kukho konke ukubukwa kwezinye izifo.

 

FUNDA

INingizimu Afrika, inkulumo kaMongameli Ramaphosa esizweni. Izinyathelo ezintsha mayelana ne-COVID-19

ICuba ithumela ama-medics nabahlengikazi abangama-200 eNingizimu Afrika ukuzobhekana ne-COVID-19

Ukuvela kwe-HIV 'kube uhlobo oluncane'

Ukuvimbela Ukutheleleka Nokulawula kumayunithi we-dialysis. Ngabe zithini izinkombandlela ze-IPC zikaHulumeni waseNdiya?

I-Lancet: iphaneli yokufingqa yezinzuzo zokubumbana ezingaba khona kusuka ku-COVID-19 bhubhane kuya kwisifo sofuba kanye nezinsizakalo ze-HIV.