Ua ʻike mākou he paʻakikī ke ola me ka maʻi HIV i kekahi manawa. Akā me ka mālama pono ʻana a me ka ʻike, hiki iā ʻoe ke ola i kahi ola olakino a ikaika. He mea nui e hoʻomaopopo i nā lāʻau lapaʻau āu e lawe nei i kāu huakaʻi mālama. I kēia lā, e kamaʻilio mākou e pili ana i kahi pila kūikawā e hoʻohui pū ana i ʻekolu mau lāʻau like ʻole e kāohi i ka maʻi HIV.
He aha kēia lāʻau lapaʻau? E hoʻomaopopo maʻalahi kākou.
ʻEkolu mau lāʻau lapaʻau i loko o kēia lāʻau: ʻo Emtricitabine, Rilpivirine, a me Tenofovir alafenamide . Ua hui pū ʻia lākou a pau i hoʻokahi pila e maʻalahi ai iā ʻoe ke lawe. No loko lākou o kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo antiretrovirals . I ka ʻōlelo maʻalahi, hana kēia mau lāʻau lapaʻau ma ka hoʻōki ʻana i ka hoʻonui ʻana o ka maʻi HIV i loko o kou kino, ʻo ia hoʻi ke kāohi ʻana i ka laha ʻana o ka maʻi.
He mea nui e hoʻomanaʻo: ʻAʻole kēia he lāʻau lapaʻau no ka maʻi HIV. Akā ke hoʻohana pono ʻia, hiki iā ia ke mālama i kāu ukana viral haʻahaʻa loa. Hiki iā ia ke hōʻemi nui, inā ʻaʻole hoʻopau, i ka pilikia o ka hoʻoili ʻana i ka maʻi HIV i kekahi.
Loaʻa kēia lāʻau lapaʻau ma ka mākeke ma lalo o ka inoa ʻo Odefsey . I kekahi manawa, kuhikuhi paha nā kauka iā ia no nā kumu ʻē aʻe. No laila, inā he mau nīnau kāu, e nīnau i kāu kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono lākou e ʻike i kou mōʻaukala olakino piha. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka me ka hūnā ʻole i kekahi mea .
- Nā pilikia iwi: Inā ua loaʻa iā ʻoe kekahi mau kūlana pili iwi ma mua, e like me ka haki.
- Nā pilikia olakino noʻonoʻo: Inā loaʻa iā ʻoe ke kaumaha, a inā paha he mau manaʻo pepehi kanaka a hoʻāʻo paha ʻoe i ka wā ma mua, e haʻi i kāu kauka inā loaʻa i kekahi o kou ʻohana kahi moʻolelo o kēia.
- Maʻi ʻāʻī: Inā loaʻa iā ʻoe kekahi maʻi pili i ke akepaʻa, e like me ka Hepatitis B.
- Nā pilikia puʻupaʻa: Inā he mau pilikia kou me kāu hana puʻupaʻa.
- Maʻi puʻuwai: Inā he moʻolelo kou no ka maʻi puʻuwai.
- Ka hoʻohana ʻana i ka waiʻona: Inā ʻoe e inu i ka waiʻona, e haʻi mai iā mākou e pili ana.
- Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha: Inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha, he mea nui e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
- Inā he makuahine hānai ʻoe:Inā ʻoe e hānai waiū ana i kāu pēpē, e ʻoluʻolu e hoʻomaopopo mai iā mākou.
- Nā Maʻi ʻAleʻale ʻē aʻe: E haʻi mai iā mākou inā he maʻi ʻaleʻale kou, ʻaʻole wale i nā mea hoʻohui i loko o kēia lāʻau lapaʻau, akā, i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia e hoʻōla ai i kou ola. No laila e hahai pono i kēia mau kuhikuhi.
- Pono e lawe ʻia kēia pila me ke aniani wai a me ka ʻai . Mai lawe i ka ʻōpū ʻole.
- E lawe i kāu lāʻau lapaʻau i kēlā me kēia lā, i ka manawa kūpono , e like me ke kauoha a kāu kauka. Mai hōʻalo i nā lāʻau.
- ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hoʻōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. ʻO ka hōʻole ʻana i nā lāʻau lapaʻau hiki ke hoʻolilo i ka maʻi HIV i kūʻē i kēia lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe. Hiki i kēia ke hoʻolilo i ka lāʻau lapaʻau i mea paʻakikī loa ma hope.
- Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, e kamaʻilio me kāu pediatrician e pili ana i ia mea a e hahai pololei i kāna mau kuhikuhi.
He aha inā lawe wau i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā pilina me nā lāʻau lapaʻau ʻē aʻe
I ka wā e lawe ai i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, me nā huaora a me nā mea kanu, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hana me kēia lāʻau lapaʻau a hoʻoulu i nā kūlana weliweli.
| ʻAno lāʻau lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| ❌ Mai lawe pū i kēia me kēia lāʻau lapaʻau! | |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy | Nā lāʻau lapaʻau e like me Carbamazepine, Oxcarbazepine, Phenobarbital, Phenytoin. |
| ʻO kekahi mau lāʻau lapaʻau no ka gastritis/ka mumū o ka ʻōpū (Proton Pump Inhibitors) | Nā lāʻau lapaʻau e like me Dexlansoprazole, Esomeprazole, Pantoprazole, Omeprazole, Lansoprazole. |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻupuʻu | Rifampin, Rifapentine |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Dexamethasone, ka wort o St. John (he lāʻau lapaʻau) |
| ⚠️ Inā ʻoe e lawe nei i kēia mau mea, e ʻoluʻolu e nīnau i kāu kauka. | |
| Kekahi mau lāʻau antibiotic | ʻO Clarithromycin, Erythromycin, Rifabutin |
| Nā lāʻau antifungal | ʻO Ketoconazole, ʻItraconazole, Fluconazole |
| Nā lāʻau lapaʻau ʻē aʻe no ka ʻeha puʻuwai (antacids) | Nā lāʻau lapaʻau e like me Cimetidine, Famotidine. Inā ʻoe e lawe nei i kēia mau mea, pono ʻoe e lawe iā lākou i kekahi mau hola ma mua a ma hope paha o ka lawe ʻana i ka lāʻau HIV. E nīnau i kāu kauka e pili ana i kēia. |
Nā hopena ʻaoʻao e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He mea weliweli kekahi, he mea maʻamau kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau hōʻailona a hana koke inā pono.
🚨 Nā mea e haʻi koke aku i kāu kauka:
- Ka hopena maʻi ʻaleka koʻikoʻi: ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o nā maka/lehelehe/alelo.
- Paʻakikī ka hanu ʻana.
- Nā hopena ʻili koʻikoʻi: ʻUlaʻula, pehu, ʻili ʻana o ka ʻili (a hiki i loko o ka waha), nā ʻeha ʻili me ke kuni a me nā ʻeha kino. Pehu ʻana o ka ʻili ma ka ʻāʻī a i ʻole nā armpits.
- Nā hōʻailona o ka hōʻino ʻia o ke akepaʻa: mimi melemele/ʻeleʻele, melemele o nā maka a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale o ka makemake e ʻai, nausea, a me ka manaʻo palaualelo.
- Nā hōʻailona o ka hōʻino ʻia ʻana o nā puʻupaʻa: paʻakikī i ka mimi ʻana, loli i ka nui o ka mimi i hoʻokuʻu ʻia.
- Nā loli noʻonoʻo:Nā manaʻo pepehi kanaka, ka hopohopo nui, ke kaumaha.
- Nā hōʻailona o ka maʻi: kuni, anuanu, ʻū, ʻeha ka puʻu.
😐 Nā mea i maʻa mau ʻole e hopohopo ai, akā pono e haʻi ʻia i ke kauka inā hoʻomau lākou:
- ʻEha poʻo
- Ka maʻi pākī
- ʻAʻole hiki ke hiamoe a i ʻole nā moeʻuhane ʻē
- Nā loli i ke ʻano o ke kino, e like me ka ʻōpū nui a me ka pūhaka, akā he lahilahi nā lālā.
- Ka hoʻololi ʻili.
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē a hoʻopilikia paha, e kamaʻilio me kāu kauka e pili ana iā lākou.
Nā mea ʻē aʻe e hoʻomanaʻo i ka wā o ka mālama ʻana
- Nā nānā kino maʻamau: E hele i ke keʻena lapaʻau i nā lā a kāu kauka e haʻi aku ai iā ʻoe. Pono paha ʻoe e hana i nā hoʻāʻo koko e ʻike ai pehea e hana ai ka lāʻau lapaʻau i loko o kou kino a e nānā i ka hana o nā ʻōpū e like me ke akepaʻa a me nā puʻupaʻa.
- Ke kāohi ʻana i ka laha ʻana o ka maʻi HIV: ʻOiai ke kāohi nei kēia lāʻau i ka maʻi i loko o kou kino, aia nō ka pilikia o ka laha ʻana o ka maʻi HIV i kekahi kanaka ma o ka moekolohe a me ke koko. No laila e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i nā ʻano palekana, e like me nā condom.
- Inā loaʻa iā ʻoe ka maʻi Hepatitis B: Inā loaʻa iā ʻoe ka maʻi Hepatitis B, mai hoʻōki koke i ka lawe ʻana i kēia lāʻau HIV me ka ʻole o ke aʻo ʻana a kāu kauka no kekahi kumu. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui koke i kou mau hōʻailona Hepatitis B.
Leka Lawe-Home
- No ke kāohi wale ʻana i ka maʻi HIV kēia lāʻau lapaʻau, ʻaʻole no ka hoʻōla loa ʻana. Akā, he mea nui ia nou e ola i kahi ola olakino.
- E lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, me ka ʻai ʻana. Mai hōʻalo i kahi mahele lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau āu e lawe nei.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻino e like me ka pehu ʻana o ka ʻili, ka melemele ʻana, a i ʻole ke kaumaha nui, e ʻimi koke i ke kōkua lapaʻau.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
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