Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau hou e kāohi i kou kūlana HIV? Me he mea lā ua lōʻihi iki kēlā lāʻau lapaʻau, ʻeā? ʻO Efavirenz, Lamivudine, Tenofovir... ʻEkolu ʻano lāʻau lapaʻau kēia. Akā no kou maʻalahi, ua hui pū ʻia nā ʻano lāʻau lapaʻau ʻekolu i hoʻokahi pila. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, pehea e hoʻohana ai, nā mea e makaʻala ai, a me nā hopena ʻaoʻao, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, aia i loko o kēia pila ʻekolu ʻano lāʻau lapaʻau e hakakā ana i ka maʻi HIV. Kāhea mākou i kēia mau lāʻau antiretroviral. Hoʻohana ʻia kēia lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau no ka maʻi HIV.
He mea nui e hoʻomanaʻo ʻaʻole kēia he lāʻau lapaʻau no ka maʻi HIV . Eia nō naʻe, ke kāohi nei ia i ka maʻi HIV i loko o kou kino a mālama iā ia ma kahi pae haʻahaʻa loa. E kōkua kēia i ka mālama ʻana i kou ʻōnaehana pale kino a kōkua iā ʻoe e ola i kahi ola lōʻihi a olakino.
A i ka wā e hoʻohana pono ʻia ai, hōʻemi nui kēia lāʻau lapaʻau i ka pilikia o ka hoʻoili ʻana i ka maʻi HIV i kekahi. Akā, ʻaʻole ia e hoʻopau loa i ka pilikia. No laila, he mea nui e hoʻomau i ka hahai ʻana i nā ʻano palekana.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa e kūkākūkā i kou mōʻaukala olakino me kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. E hoʻoholo kēia ʻike inā kūpono kēia lāʻau lapaʻau iā ʻoe. He mea nui loa ia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Nā pilikia iwi (e like me nā haki mua, osteoporosis )
- Nā kūlana puʻuwai
- Inā ua hoʻohana mua ʻoe i nā lāʻau lapaʻau a i ʻole ka waiʻona
- Nā pilikia noʻonoʻo ( kaumaha , manaʻo pepehi kanaka, a i ʻole nā maʻi noʻonoʻo ʻē aʻe)
- Nā kūlana e like me ka pancreatitis
- Nā kūlana e like me ka maʻi epilepsy a i ʻole nā hōʻiliʻili
- Inā loaʻa iā ʻoe kahi hopena maʻi i kekahi o nā mea hoʻohui i loko o kēia lāʻau lapaʻau (Efavirenz, Lamivudine, Tenofovir) a i ʻole i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana
He mea nui loa ke kamaʻilio ākea e pili ana i kēia mau mea no kou palekana.
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui e lawe iā ia e like me ke kuhikuhi ʻana.
- Pehea e lawe ai: E ale i kēia papa me ke aniani wai.
- Ka manawa e lawe ai: E lawe e like me ke kuhikuhi a kāu kauka. Lawe pinepine ʻia kēia lāʻau lapaʻau i ka wā hiamoe, no ka mea hiki ke kōkua i ka pale ʻana i ka poniuniu i kou hiamoe ʻana .
- E lawe i ka ʻōpū ʻole : He mea nui loa kēia. Pono e lawe ʻia kēia lāʻau lapaʻau ma ka ʻōpū ʻole . ʻO ia hoʻi, e lawe iā ia ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai ʻana a i ʻole 2 mau hola ma hope o ka ʻai ʻana . Mai lawe i kēia lāʻau lapaʻau me ka meaʻai.
- E lawe i ka manawa kūpono: E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
- Mai hōʻalo i nā lāʻau lapaʻau: ʻO kēia ka mea nui loa. ʻOiai inā ʻoe e manaʻo maikaʻi ana, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hōʻalo paha i kahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. Inā ʻoe e poina i kēlā mau lāʻau lapaʻau, hiki i ka maʻi HIV ke kūʻē i kēia lāʻau lapaʻau. Kāhea mākou i kēia '(Drug Resistance)'. Ma hope o kēlā, hiki paha i kēia mau lāʻau lapaʻau ke kāohi i ka maʻi.
Ka nui o ka lāʻau
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o kēia lāʻau lapaʻau,
e hele koke i ka ʻOihana Hoʻopilikia o ka haukapila kokoke loa (ETU) a kāhea aku paha
i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .
He aha inā e hala wau i kahi lāʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi. Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
I ka wā e lawe ai i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, me nā mea i kuhikuhi ʻia e kāu kauka, nā mea i kūʻai ʻia ma ka hale kūʻai lāʻau lapaʻau, nā lāʻau hoʻomaha ʻeha, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā huahana lāʻau. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau lapaʻau a hoʻoulu i nā pilikia. ʻO ka papa ma lalo nei he mau wale nō o kēia mau lāʻau lapaʻau. ʻAʻole piha kēia papa inoa. No laila, he mea nui loa
e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei .
| ʻAno lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe ʻia | Aia kekahi mau lāʻau lapaʻau ʻaʻole pono e lawe ʻia i ka wā e lawe ana i kēia lāʻau. ʻO nā laʻana: `voriconazole`, `rifapentine`, `elbasvir; grazoprevir`. |
| Nā lāʻau lapaʻau e hiki ai ke hoʻopilikia | - Kekahi mau lāʻau antibiotic (e.g. clarithromycin, rifampin)
- Nā lāʻau hoʻohaʻahaʻa kolesterol (e.g. atorvastatin, simvastatin)
- Nā lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko kiʻekiʻe
- Nā lāʻau antiepileptic (e.g. carbamazepine, phenytoin)
- Nā lāʻau lapaʻau hormonal, me nā lāʻau hoʻomalu hānau
- Nā lāʻau antifungal (e.g. ketoconazole)
- Nā lāʻau hoʻopau ʻeha (NSAIDS - e.g. ibuprofen)
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Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau: E hele i nā manawa maʻamau i ke keʻena lapaʻau e like me ke kauoha a kāu kauka. He mea nui loa hoʻi e hana i nā hoʻokolohua koko i nā manawa i hoʻonohonoho ʻia.
- Nā hopena ʻili koʻikoʻi: I kekahi manawa, hiki ke loaʻa kahi hopena ʻili koʻikoʻi i nā pule ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe ka ʻili ʻulaʻula, maneʻo me ke kuni, nā ʻeha kino, nā pehu, ka pehu ʻana o ka ʻili, nā ʻeha i loko o ka waha, a i ʻole ka pehu ʻana o ka maka a i ʻole nā lehelehe, e kāhea koke i kāu kauka.
- Hepatitis B: Inā loaʻa iā ʻoe ka Hepatitis B, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻōki ʻana i kēia lāʻau lapaʻau, no ka mea, ʻo ka hoʻōki ʻana i kēia lāʻau lapaʻau e hoʻonui paha i nā hōʻailona o ka Hepatitis B.
- Pōniuniu a me ka hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻomālielie iā ʻoe. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini , a hiki i kou ʻike pono ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E kū mālie i luna ke ala ʻoe mai kahi noho a i ʻole ke ala ʻoe mai kahi moe.
- Kaohi hānau: He mea nui loa kēia. ʻAʻole paha e maikaʻi nā lāʻau kaohi hānau i ka wā e lawe ana i kēia lāʻau. No laila, inā makemake ʻoe e pale i ka hāpai ʻana, pono ʻoe e hoʻohana i kekahi ʻano kaohi hānau ʻē aʻe, e like me ka condom . E kamaʻilio me kāu kauka e pili ana i kēia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
Ka Hoʻokaʻawale ʻana o nā hopena ʻaoʻaoNā hopena ʻaoʻao e pono ai ke kōkua koke ʻana i ke kaukaNā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou
- ʻO ka pehu nui o ka ʻili, ka maneʻo, ka ʻili ʻana
- Ka pehu ʻana o ka maka, nā lehelehe, ke alelo
- Paʻakikī ka hanu ʻana
- Nā loli koʻikoʻi o ka noʻonoʻo (kaumaha nui, manaʻo pepehi kanaka)
- Puʻuwai wikiwiki a ʻano ʻole paha
- ʻEha a nāwaliwali paha nā ʻiʻo
| - Nā hōʻailona o ka hōʻino ʻia o ke ake (mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o nā maka a me ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, luhi nui)
- Nausea nui, luaʻi, ʻeha ʻōpū ʻē aʻe
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- Kuke, hanu ʻū
- Ka maʻi ʻōpū (ʻeha ʻōpū)
- ʻAʻole hiki ke hiamoe, nā moeʻuhane ʻē
- ʻEha poʻo
- Nā loli i ke ʻano o ke kino, e like me ka hōʻiliʻili ʻana o ka momona ma kekahi mau wahi o ke kino (ʻōpū, kua) a me ka lahilahi o nā lima, nā wāwae, a me ka maka
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ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa i kauoha ʻia, ma ka ʻōpū ʻole. Mai poina i kahi lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona o kahi hopena maʻi koʻikoʻi, e like me ka pehu nui o ka ʻili a me ka pehu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- ʻAʻole ho'ōla kēia lāʻau i ka maʻi HIV. Hoʻomalu wale ia iā ia. No laila e hoʻomau i ka hahai ʻana i nā ʻano palekana.
- Inā he wahine ʻoe i hiki ke hānau keiki, he mea nui e hoʻohana i kahi ʻano kaohi hānau ʻē aʻe, e like me ka condom, i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kekahi pilikia. Aia lākou ma laila e kōkua iā ʻoe.
HIV, Efavirenz, Lamivudine, Tenofovir, Antiretroviral, Lapaʻau HIV, AIDS, Lāʻau lapaʻau, Nā hopena ʻaoʻao, Ola kino
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