Ua lohe paha ʻoe i ka huaʻōlelo HIV PrEP. I ka ʻōlelo maʻalahi, he hana lapaʻau ia i hoʻohana ʻia e hōʻemi i ka pilikia o ka loaʻa ʻana o ka maʻi HIV. No ka manawa lōʻihi, ua pili kēia i ka lawe ʻana i nā pila i kēlā me kēia lā. Akā i kēia manawa, me ka holomua o ka ʻenehana, aia kahi lāʻau pale e hiki ke hāʻawi ʻia i hoʻokahi manawa i kēlā me kēia mau mahina. No laila i kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau pale hou a ʻoi aku ka maʻalahi i kapa ʻia ʻo Cabotegravir .
He aha maoli ka Cabotegravir?
He lāʻau lapaʻau ʻo Cabotegravir i hāʻawi ʻia ma ke ʻano he ʻāpana o kahi regimen i kapa ʻia ʻo HIV PrEP (pre-exposure prophylaxis). ʻO ke ʻano kēia he lāʻau lapaʻau ia i lawe ʻia ma mua o ka hōʻike ʻana i ka maʻi HIV, ʻo ia hoʻi, ma mua o ka hiki ʻana mai o ka maʻi , e pale aku iā ia. Hana kēia lāʻau pale ma ka kaupalena ʻana i ka laha ʻana o ka HIV i loko o ko kākou kino.
Akā, hoʻokahi mea nui e hoʻomanaʻo ai. ʻOiai e pale aku kēia lāʻau pale iā ʻoe mai ka maʻi HIV, ʻaʻole ia e pale aku iā ʻoe mai nā maʻi ʻē aʻe i laha ma ke ʻano moekolohe ( STI ). No laila, he mea nui loa ka moekolohe palekana.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kēia lāʻau pale, he mea nui loa ia e kamaʻilio ākea me kāu kauka. Pono lākou e hoʻomaopopo piha ʻia e pili ana i kou olakino. E hōʻoia e haʻi i kēia mau mea:
- Nā hōʻailona e like me ka maʻi palū: Inā ua loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha kino , ke kuʻi, ka ʻeha poʻo , a me ka luhi nui.
- Maʻi akepaʻa: Inā loaʻa iā ʻoe kahi maʻi akepaʻa mua.
- Nā pilikia olakino noʻonoʻo : Inā ʻoe e ʻeha nei i ke kaumaha, ke kaumaha, a i ʻole kekahi maʻi olakino noʻonoʻo ʻē aʻe.
- Nā maʻi ʻaleka: Inā he maʻi ʻaleka kou iā Cabotegravir a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Hāpai keiki: Inā ʻoe e hāpai nei, e hoʻāʻo ana e hāpai, a e hānai waiū paha, pono ʻoe e haʻi aku i kāu kauka.
Pehea e hoʻohana ai i ka lāʻau pale a me ka papa hana
ʻAʻole kēia he pana hiki iā ʻoe ke lawe i ka home a hāʻawi iā ʻoe iho. Pono e hāʻawi ʻia i loko o kahi ʻiʻo e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau.
ʻO ka maʻamau, penei ka papa hana:
1. Nā mahina mua ʻelua: Hoʻokahi inikini e hāʻawi ʻia i hoʻokahi manawa i ka mahina.
2. Ma hope o kēlā: Hoʻokahi wale nō inikini e pono ai ʻoe e loaʻa i kēlā me kēia ʻelua mahina.
I kekahi manawa, e kuhikuhi paha kāu kauka i hoʻokahi pila Cabotegravir, e lawe ʻia i hoʻokahi manawa i ka lā, no hoʻokahi mahina ma mua o ka hoʻomaka ʻana i ka lāʻau pale. ʻO kēia ke ʻike pehea e pane ai kou kino i ka lāʻau lapaʻau a inā hiki iā ʻoe ke ʻae iā ia.
He kūpono kēia no nā kamaliʻi liʻiliʻi?
Hiki ke ʻōlelo ʻia kēia lāʻau pale no nā keiki ma luna o 12 mau makahiki i kekahi mau hihia. Eia nō naʻe, pono e mālama ʻia nā hana palekana kūikawā. Na kāu kauka e wehewehe i kēia iā ʻoe.
He aha inā e hala wau i ka lā e pono ai iaʻu e loaʻa ka lāʻau pale?
He mea nui loa kēia. I mea e pale aku ai i ka maʻi HIV, he mea nui e loaʻa ka lāʻau pale i nā lā kikoʻī . Mai hōʻalo i kēia mau lā no kekahi kumu.
Inā ʻaʻole hiki iā ʻoe ke hele mai i ka manawa kūpono, e kāhea koke aku i kāu kauka a e hoʻomaopopo iā lākou. E wehewehe ʻo ia i ka mea e hana ai ma hope.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻAʻole kūpono nā lāʻau lapaʻau āpau āu e lawe ai me Cabotegravir. Hiki i kekahi mau lāʻau lapaʻau ke hōʻemi i ka pono o kēia lāʻau pale. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā lāʻau lapaʻau kūʻai ʻole ʻia, nā lāʻau lapaʻau kuʻuna, nā huaora, a me nā mea ʻē aʻe.
| Māhele lāʻau lapaʻau | Nā lāʻau lapaʻau e pono ai ka mālama kūikawā |
|---|---|
| Mai lawe pū me kēia mau mea i ka lāʻau pale ʻo Cabotegravir. | |
| ʻO kekahi mau lāʻau hopu | ʻO Carbamazepine, Oxcarbazepine, Phenobarbital, Phenytoin |
| Kekahi mau lāʻau lapaʻau maʻi puʻupuʻu | Rifampin, Rifapentine |
| E haʻi i kāu kauka no ka mea aia paha he mau pilina me kēia. | |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Methadone, Rifabutin |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua koko maʻamau: He mea nui e kipa aku i ke keʻena lapaʻau i nā manawa i hoʻonohonoho ʻia e like me ke kauoha a kāu kauka e hoʻokolokolo iā ʻoe iho a hana i nā hoʻokolohua koko e pono ai.
- Hoʻāʻo HIV: ʻO kēia ka mea nui loa. Ma mua o kou loaʻa ʻana o kēlā me kēia lāʻau pale, pono ʻoe e loaʻa i kahi hoʻāʻo HIV. ʻO ke kumu o kēia, ʻo ia ka hōʻoia ʻana ʻaʻole ʻoe i loaʻa i ka maʻi HIV.
- Palekana: Hoʻolaha ʻia ka maʻi HIV ma o ka moekolohe a me ke koko. E kamaʻilio me kāu kauka e pili ana i ke ʻano e hiki ai iā ʻoe ke pale aku i ka laha ʻana o ka maʻi HIV.
- Nā hopena ma kahi i hoʻokomo ʻia ai: He mea maʻamau ka ʻike ʻana i kekahi ʻeha, ʻulaʻula, a pehu paha ma kahi i hoʻokomo ʻia ai. Nui ka poʻe e ʻike i kēia. Hoʻomaha pinepine kēia i loko o kekahi mau lā. E nīnau i kāu kauka e pili ana i nā mea hiki iā ʻoe ke hana e hōʻemi i kēia ʻeha.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka lāʻau pale ʻo Cabotegravir ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, a he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka. | |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻEha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a i ʻole ka ʻili, luhi ʻē. |
| Nā loli olakino noʻonoʻo | Nā manaʻo pepehi kanaka, nā manaʻo e hōʻeha iā ʻoe iho, ka ʻino ʻana o ke kūlana noʻonoʻo, nā hōʻailona o ke kaumaha. |
| ʻAʻohe mea e hopohopo ai (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Nā hopena ʻaoʻao liʻiliʻi ʻē aʻe | ʻŌpū pehu, luhi, kuni, ʻeha poʻo, nausea, ʻeha a ʻulaʻula paha ma kahi i inikini ʻia, hiamoe ʻole. |
ʻO ka mea hope loa, ʻoiai ua hāʻawi ʻia kēia lāʻau pale ma kahi haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole pono ʻoe e mālama i kēia lāʻau lapaʻau ma ka home. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai hūnā i kekahi mea, akā e nīnau pololei i kāu kauka.
Leka Lawe-Home
- ʻO ka Cabotegravir kahi lāʻau pale i hoʻohana ʻia e pale aku i ka maʻi HIV (PrEP), ʻaʻole ia he lāʻau lapaʻau e ho'ōla ai i ka maʻi HIV.
- He mea nui e hāʻawi ʻia kēia lāʻau pale e like me ka papa manawa i kuhikuhi ʻia a ma lalo o ka nānā ʻana a ke kauka a kahu maʻi paha.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- He mea nui e hana i kahi hoʻāʻo HIV ma mua o ka loaʻa ʻana o kēlā me kēia mahele o ka lāʻau pale.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe ka ʻulaʻula nui o ka ʻili, ka melemele o nā maka, a i ʻole nā loli koʻikoʻi o ka noʻonoʻo (ʻoiai nā manaʻo o ka pepehi kanaka).
- ʻAʻole pale kēia lāʻau pale i nā maʻi ʻē aʻe i laha ma ke moekolohe, no laila he mea nui e hoʻomau i ka hahai ʻana i nā ʻano hana palekana.
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