So wote ehu anaa asiane bi nka wɔ mmoawa a wɔfrɛ no HIV no ho? Ebia woredwene ho sɛ wobɛtumi anya HIV esiane w’asetena, wo abusuabɔ, anaa nneɛma foforɔ nti. Sɛ asiane a ɛte saa wɔ hɔ a, mprempren ɔkwan a etu mpɔn yiye wɔ nnɛyi nnuruyɛ mu a wobɛfa so abɔ wo ho ban afi ho. Yɛreka ho asɛm nnɛ. Ɛno ne nnuru a wɔde sa yare a wɔfrɛ no PrEP.
Sɛ yɛbɛka no tiawa a, dɛn ne PrEP?
PrEP din mũ no nyinaa ne Pre-Exposure Prophylaxis . Momma yɛnte ase wɔ Sinhala kasa mu.
- Pre-Exposure kyerɛ sɛ ‘ansa na wɔbɛda no adi’. Ɛne sɛ, ansa na wɔde wɔn ho ahyɛ mmoawa no mu.
- Prophylaxis kyerɛ sɛ ‘ayaresa a wɔde siw yareɛ ano’.
Enti, sɛ yɛbɛka no tiawa a, PrEP yɛ nnuru a wɔde sa yare a wodi kan nom de bɔ HIV mmoawa no ho ban ansa na akɔ nipadua no mu. Ɛyɛ aduruyɛ mu ahobammɔ a wɔde bɔ wɔn ho ban fi HIV ho, te sɛ nea wɔde nwansena asau di dwuma de bɔ wɔn ho ban fi dengue ho no.
Enti dɛn ne HIV?
Sɛnea wunim no, HIV (Human Immunodeficiency Virus) yɛ mmoawa a wɔtow hyɛ yɛn nipadua mu tumi a ɛko tia nyarewa, asraafo a wɔko tia nyarewa no so. Saa mmoawa yi nam:
- Ɔne obi a ɔwɔ HIV da a ɔmmɔ ho ban .
- Ɛdenam nnade, syringe, ne nea ɛkeka ho a obi a ɔwɔ HIV de di dwuma a efĩ wom a ɔne obi foforo bɛkyɛ so.
Sɛ wɔantumi anhyɛ HIV yare no so a, bere kɔ so no, ebetumi abɛyɛ tebea a emu yɛ den a wɔfrɛ no AIDS (Acquired Immune Deficiency Syndrome). Sɛ AIDS ba a, ɛkame ayɛ sɛ nipadua no mu tumi a ɛko tia nyarewa no sɛe koraa. Ɛno nti na ɛho hia paa sɛ wɔsiw HIV yareɛ ano. PrEP yɛ adwinnade a tumi wom yiye ma ɛno.
Hena na ɔfata sɛ ɔde PrEP di dwuma?
Saa ayaresa yi yɛ ma nnipa a wonni HIV nanso asiane kɛse wom sɛ wobenya HIV. Hwehwɛ sɛ ebia wowɔ asiane mu anaa.
- So wo ne obi a ɔwɔ HIV bɛda?
- Wonnim no yie sɛ wo hokafoɔ a ɔne no da no wɔ HIV anaasɛ onni bi?
- So woyɛ obi a ɔnom nnubɔne a wɔde twitwiw nipadua mu? Anaasɛ wo ne obi a ɔwɔ HIV anaa onnim kyɛ nnade?
- So woyɛ ɔbea a woreyɛ nhyehyɛe sɛ wubenyinsɛn? Na so wowɔ asiane mu sɛ wobɛnya HIV? Sɛ saa a, PrEP betumi abɔ wo ho ban na mmoawa no ankɔ wo ba no nkyɛn bere a wonyinsɛn ne bere a worema nufu no.
Nea ɛho hia ne sɛ PrEP nyɛ aduru a wɔde ma nnipa a wɔanya HIV dedaw. Ɛyɛ aduru a nnipa a wonni HIV nom de siw ano.
Dɛn na ɛsɛ sɛ woyɛ ansa na woafi PrEP ase?
PrEP nyɛ aduru a wubetumi anantew akɔ nnurutɔnbea kɛkɛ na woatɔ. Ɛhwehwɛ sɛ oduruyɛfo kyerɛw krataa ma.
Sɛ wokɔ wo duruyɛfo nkyɛn a, ɔbɛtaa ayɛ nhwehwɛmu ahorow yi ansa na wafi ase ayɛ wo PrEP:
1. HIV nhwehwɛmu: Ansa na wobɛhyɛ PrEP ase no, ɛsɛ sɛ wogye di 100% sɛ woannya HIV.
2. Asaabo dwumadi ho sɔhwɛ: Esiane sɛ PrEP nnuru bi betumi aka asaabo no nti, wɔbɛhwɛ w’asaabo akwahosan.
3. Nna mu nyarewa afoforo a wɔsɔ hwɛ: Nnipa a wɔwɔ asiane mu sɛ wobenya HIV nso betumi anya nna mu nyarewa afoforo (STIs), enti wɔyɛ wɔn nso nhwehwɛmu hwɛ sɛ wɔwɔ saa nyarewa yi.
- Hepatitis B a ɛyɛ mmerɛw
- Hepatitis C a ɛma obi nya mmerɛbo mu yare
- Syphilis a ɛyɛ yare
- Chlamydia a wɔde di dwuma
- Gonorrhea a ɛma obi ho kyere no
Sɛ wohwɛ eyinom nyinaa wie a, sɛ wunni ɔhaw biara wɔ PrEP a wode bedi dwuma ho a, wo duruyɛfo bɛkamfo PrEP aduru a ɛfata wo kɛse akyerɛ wo.
PrEP ahorow bɛn na ɛwɔ hɔ wɔ Sri Lanka ne wiase nyinaa?
Nnuru atitiriw pii wɔ hɔ a wɔde yɛ PrEP. Wo duruyɛfo bɛpaw nea ɛfata wo sen biara.
| PrEP type | Nkyerɛmu | Henanom na ɛfata? |
|---|---|---|
| Nnuru a wɔde di dwuma da biara da (Oral PrEP) . Sɛ nhwɛso no: Truvada®, Descovy®, na ɛwɔ hɔ | Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma. Wonom aduru biako wɔ bere pɔtee bi mu da biara. Nnuru a ɛwɔ saa nnuru yi mu no mma HIV mmoawa no ntumi nkɔ nipadua no mu nkwammoaa mu na ɛntrɛw. | Ɛfata ma obiara, a mmarima, mmea, ne nnipa a wɔsakra wɔn bɔbeasu (titiriw Truvada®) ka ho. Mprempren wɔapene pill Descovy® so ama nnipa a wɔakyerɛw wɔn din sɛ mmarima wɔ awo mu. |
| PrEP a wɔde twitwiw nipadua mu (wɔnom asram abien biara) . Sɛ nhwɛso no: Apretude® | Eyi yɛ ɔkwan pa a wɔn a wɔn werɛ fi sɛ wɔbɛnom wɔn da biara da nnuru no betumi afa so. Wɔde nnuru abien a wɔde twitwiw nipadua no mu na efi ase sa yare, a ɛda ntam ɔsram biako. Ɛno akyi no, asram abien biaraNea ehia ara ne sɛ wobɛma wo nnuru a wɔde bɔ wo ho ban. | Ɛfata obiara , a mmarima ne mmea ka ho. |
So PrEP ho nsunsuanso bɔne bi wɔ hɔ?
Te sɛ nnuru biara no, PrEP betumi de ɔhaw nketenkete aba. Nanso, eyinom taa yɛ bere tiaa mu de na ɛkɔ wɔ adapɛn kakraa bi akyi bere a wɔafi ayaresa ase no.
| PrEP type | Nneɛma nketenkete a ɛtaa ba | Nneɛma bɔne a anibere wom a wɔntaa nhu |
|---|---|---|
| Nnuru a wɔde di dwuma da biara da | Atiridiinini, akisikuru, yafunu mu yaw, tiyɛ, ɔbrɛ, mu duru a ɛso tew. | Asaabo a ɛsɛe, nnompe a ɛyɛ mmerɛw, mmerɛbo a ɛsɛe, lactic acidosis. |
| Nnuru a wɔde bɔ nkurɔfo ho ban | Wɔ atifi hɔ nsunsuanso bɔne no akyi no, ebia ɛbɛhonhon, ɛyaw, akuru bi bɛba honam ani, na ɔhyew bɛba baabi a wɔde aduru no ahyɛ no. | Nea yɛaka ho asɛm wɔ atifi hɔ no, nsunsuanso bɔne a emu yɛ den. |
Sɛ saa nsunsuanso bɔne yi kɔ so anaasɛ emu yɛ den a, ka kyerɛ wo duruyɛfo ntɛm ara.
PrEP tu mpɔn dɛn?
Eyi ne ade a ɛho hia sen biara. Sɛ wɔde di dwuma sɛnea wɔakyerɛ no pɛpɛɛpɛ a , PrEP yɛ ɔkwan a etu mpɔn yiye a wobɛfa so abɔ wo ho ban afi HIV ho.
- Ɛtew asiane a ɛwɔ hɔ sɛ wobenya HIV denam nna so no so bɛyɛ 99% .
- Nnade a wɔde kyɛ no ma asiane a ɛwɔ hɔ sɛ wobenya HIV no so tew bɛyɛ 74% .
Wo de susuw sɛnea eyi yɛ ahobammɔ kɛse no ho hwɛ.
Nneɛma kakraa bi a ɛsɛ sɛ wuhu bere a worenom PrEP no
1. PrEP nsiw nyarewa afoforo a wonya fi nna mu (STI) ano!
Kae eyi yiye. PrEP bɔ obi ho ban fi HIV nkutoo ho. Sɛ wobɛbɔ wo ho ban afi STI afoforo te sɛ syphilis, gonorrhea, ne chlamydia ho a, ɛsɛ sɛ wode kɔndɔm di dwuma bere nyinaa.
2. Mma w’aduru no nmpa wo ti so!
Titiriw sɛ wonom nnuru a wɔde sa yare da biara da a, ɛsɛ sɛ wonom no bere ano pɛpɛɛpɛ, a wompa da koro mpo. Sɛ wɔantumi anyɛ saa a, ɛbɛtew aduru no a etu mpɔn no so.
3. Nkitahodi a ɛne nnuru afoforo betumi aba.
Sɛ worenom nnuru a wɔde sa tebea afoforo (e.g. akisikuru, nsamanwaw) a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Ebia nnuru bi ne PrEP bedi nkitaho.
4. Aduruyɛ mu nhwehwɛmu a wɔayɛ ho nhyehyɛe .
Bere a wode PrEP redi dwuma no nyinaa mu no, anyɛ yiye koraa no, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn pɛnkoro wɔ asram 3 biara mu kɔyɛ HIV nhwehwɛmu ne nhwehwɛmu afoforo a ɛho hia.
Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?
Sɛ biribi a ɛte sɛɛ si bere a worenom PrEP a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wususuw sɛ ebia woanya HIV (sɛ nhwɛso no, sɛ wo ne obi da a ahobammɔ nnim a woanhyɛ kɔndɔm) a, ebia ɛho behia sɛ wokɔ Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) saa bere yi.
- Sɛ nsunsuanso bɔne no mu yɛ den anaasɛ bere kɔ so no, ɛnkɔ yiye a.
- Sɛ wunya mmerɛbo mu yare ho sɛnkyerɛnne te sɛ honam ani anaa w’ani a ɛyɛ kɔkɔɔ, anaa nsu a ɛyɛ tumm a.
- Sɛ wunya adwene mu nsakrae te sɛ adwenemhaw ne dadwen a.
- Sɛ wuhu sɛ woanyinsɛn anaasɛ wote nka sɛ ebetumi aba sɛ wubenyinsɛn a.
PrEP yɛ adwinnade a ɛsom bo wɔ yɛn ko a yɛko tia HIV no mu. Sɛ wowɔ asiane mu sɛ wobɛnya HIV a, nsuro anaa nnyɛ wo aniwu sɛ wo ne oduruyɛfoɔ a wowɔ ne mu ahotosoɔ bɛkasa. Ɔbɛma wo akwankyerɛ a ɛfata.
Nkrasɛm a Wɔde Kɔ Fie
- PrEP (Pre-Exposure Prophylaxis) yɛ aduru a nnipa a wonni HIV nanso wɔwɔ asiane mu sɛ wobenya no di kan fa de bɔ wɔn ho ban fi mmoawa no ho.
- Ɛsɛ sɛ wɔnom saa aduru yi wɔ aduruyɛ mu afotu nkutoo so, na ɛsɛ sɛ wɔyɛ HIV ne nhwehwɛmu afoforo ansa na wɔafi ase.
- Bere a PrEP tumi tew asiane a ɛwɔ hɔ sɛ obi benya HIV so bɛyɛ 99% no, ɛmmɔ ho ban mfi nyarewa afoforo a wonya fi nna mu, te sɛ akisikuru ne akisikuru ho.
- Ɛyɛ ahyɛde sɛ wɔde kɔndɔm di dwuma de bɔ wɔn ho ban fi nyarewa afoforo a wonya fi nna mu ho.
- Bere a worenom PrEP no, ɛho hia yiye sɛ anyɛ yiye koraa no wobɛkɔ wo duruyɛfo nkyɛn pɛnkoro wɔ asram 3 biara mu akɔhwɛ wo daa .
- Sɛ wosusu sɛ wowɔ asiane mu sɛ wobɛnya HIV a, nsuro sɛ wo ne oduruyɛfoɔ bɛkasa na woabisa sɛ PrEP fata wo anaa.
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