Hiki ke paʻakikī ke ola me ka maʻi HIV i kekahi manawa, akā ua ʻike ʻoe me ka mālama kūpono, hiki iā ʻoe ke ola i kahi ola maʻamau a olakino. He mea nui e hoʻomaopopo i nā lāʻau lapaʻau āu e lawe nei i kēia huakaʻi mālama. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi hui kūikawā o ʻekolu mau lāʻau antiretroviral e hiki ke kōkua i ka kaohi ʻana i ka maʻi HIV. E nānā kākou i ke ʻano o ia mea, pehea e hana ai, a me nā mea āu e pono ai e ʻike.
E ʻike pono kākou i ke ʻano o kēia lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻekolu mau lāʻau lapaʻau. ʻO ia hoʻi, aia nā lāʻau antiviral ʻekolu , ʻo Emtricitabine, Rilpivirine, a me Tenofovir Disoproxil Fumarate, i loko o hoʻokahi pila. Ma ko mākou ʻāina, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo 'Complera'.
ʻO kāna hana nui, ʻo ia ka hoʻemi ʻana i ka nui o ka maʻi HIV (viral load) i loko o kou kino, hoʻoikaika i kou ʻōnaehana pale, a kōkua iā ʻoe e noho olakino.
E hoʻomanaʻo: He lāʻau lapaʻau kēia no ka maʻi HIV, ʻaʻole he lāʻau lapaʻau. Eia kekahi, hōʻemi kēia lāʻau i ka pilikia o ka hoʻoili ʻana i ka maʻi HIV i nā poʻe ʻē aʻe, akā ʻaʻole ia e pale loa iā ia. No laila, he mea nui loa ka hoʻomau ʻana i nā ʻano palekana.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kou kūlana | No ke aha he mea nui e hoʻomaopopo i ke kauka? |
|---|---|
| Nā pilikia iwi (e.g. osteoporosis) | Hiki i ka lāʻau lapaʻau Tenofovir ke hoʻopilikia i ka nui o ka iwi i kekahi manawa. |
| Maʻi puʻupaʻa | Ma muli o ka hoʻokuʻu ʻia ʻana o kēia mau lāʻau mai ke kino ma o nā puʻupaʻa, he mea nui e makaʻala i ka hana o kāu puʻupaʻa. |
| ʻO nā maʻi ate, ʻoiai ʻo Hepatitis B | Hiki ke ʻoi aku ka ʻino o nā hōʻailona o ka Hepatitis B ke hoʻōki ʻia kēia lāʻau lapaʻau. Hiki ke hoʻopilikia ʻia ka hana o ke akepaʻa. |
| Kaumaha a i ʻole nā manaʻo pepehi kanaka | Pono ke kauka e makaʻala i kekahi o nā mea hoʻohui i loko o kēia lāʻau lapaʻau, no ka mea, hiki iā lākou ke hoʻololi i ke ʻano o ka naʻau. |
| Maʻi puʻuwai | He mea nui i ke kauka ke makaʻala i kekahi mau maʻi puʻuwai. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea ʻē aʻe | He mea nui kēia e ʻike inā he maʻi ʻoe i kekahi mea i loko o kēia lāʻau lapaʻau. |
| Ke hāpai nei a ke kali nei paha i kahi pēpē | Pono ʻoe e kūkākūkā i ka hoʻohana ʻana i kēia lāʻau lapaʻau i ka wā hāpai me kāu kauka. |
| Ka hānai ʻana i ka waiū umauma | ʻAʻole ʻōlelo ʻia ka hānai ʻana i ka waiū umauma no nā makuahine i loaʻa i ka maʻi HIV, no laila e kamaʻilio pū me kāu kauka e pili ana i kēia. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
- E lawe me ka meaʻai: E lawe i kēia pila me ke aniani wai me ka ʻai . Mai lawe i ka ʻōpū ʻole. ʻOi aku ka maikaʻi o ka hoʻopili ʻana o Rilpivirine e ke kino ke lawe ʻia 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. E kōkua kēia i ka mālama ʻana i nā pae o ka lāʻau lapaʻau i loko o kou koko.
- Mai hōʻalo i nā lāʻau lapaʻau: ʻO ka mea nui loa i ka mālama ʻana i ka maʻi HIV, ʻo ia ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ka haʻalele ʻana i hoʻokahi lāʻau lapaʻau. ʻOiai inā ʻoe e ʻoi aku ka maikaʻi, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe.
- No ke aha he mea maikaʻi ʻole ke kāpae i nā lāʻau lapaʻau? Inā ʻoe e kāpae i nā lāʻau lapaʻau, hiki i ka maʻi ke kū'ē i kēia lāʻau lapaʻau. Inā hana ʻia kēlā, e paʻakikī ke kāohi i ka maʻi me kēia lāʻau lapaʻau a me nā lāʻau HIV ʻē aʻe.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe ke hoʻomanaʻo ʻoe (no ka laʻana, ʻaʻole i hala ma mua o 12 mau hola), e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe hewa ʻoe i kēia lāʻau lapaʻau, mai hopohopo. E kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo. A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He mea nui loa e haʻi aku i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka pono o kēia lāʻau HIV.
| MAI LAWE pū me kēia mea kēia lāʻau lapaʻau. | |
|---|---|
| Nā lāʻau lapaʻau PPI no ka gastritis | Nā lāʻau lapaʻau e like me Esomeprazole, Omeprazole, Lansoprazole, a me Pantoprazole. Hoʻemi nui kēia i ka omo ʻana o nā lāʻau HIV i loko o ke kino. |
| Kekahi mau lāʻau lapaʻau i hāʻawi ʻia no nā maʻi (nā lāʻau hoʻomake) | Nā lāʻau lapaʻau e like me Carbamazepine, Phenobarbital, Phenytoin. |
| Rifampin, Rifapentine | He mau lāʻau antibiotic kēia i hāʻawi ʻia no ka maʻi puʻupuʻu. |
| ʻO ka wort o St. John | He huahana lāʻau lapaʻau ia no ka maikaʻi o ka noʻonoʻo. |
| ʻO Dexamethasone | (Inā ʻoe e lawe i nā lāʻau he nui ma mua o hoʻokahi i ka manawa hoʻokahi). |
| Inā ʻoe e lawe ana i kēia mau mea, e ʻōlelo pono i kāu kauka (E HOʻOʻIKE I KOU KAUKA) | |
| Nā lāʻau lapaʻau gastritis ʻē aʻe (antacids, H2-blockers) | Nā antacid e like me Digene, Gaviscon a i ʻole nā lāʻau lapaʻau e like me Famotidine, Cimetidine. Pono e lawe ʻia kēia mau mea i kekahi mau hola ma mua a ma hope paha o ka lāʻau lapaʻau HIV. |
| ʻO kekahi mau antibiotics a me nā antifungals | Nā lāʻau lapaʻau e like me Clarithromycin a me Ketoconazole. |
| Methadone | He lāʻau lapaʻau no ka ʻona lāʻau. |
Nā hopena ʻaoʻao e hiki mai ana i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao i kekahi poʻe. He mea liʻiliʻi kekahi, aʻo kekahi e pono ai ka mālama koke ʻia.
Nā hopena ʻino koʻikoʻi e pono e hōʻike koke ʻia i ke kauka:
- Nā hopena ʻili koʻikoʻi: kuni, ʻeha kino, ʻulaʻula, pehu a ʻili paha o ka ʻili. Pehu o ka maka, nā lehelehe, a me nā puʻupuʻu liʻiliʻi ma ka ʻāʻī a i ʻole nā armpits.
- Nā hopena aleri: ʻūlū , ʻāʻī, urticaria.
- Nā hōʻailona o ka hōʻino ʻia o ke akepaʻa: 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 loa, nausea.
- Nā hōʻailona o ka hōʻino ʻia ʻana o nā puʻupaʻa: Paʻakikī i ka mimi ʻana a i ʻole kahi loli i ka nui o ka mimi i hana ʻia.
- Nā hōʻailona o ka Lactic Acidosis: paʻakikī ka hanu ʻana, ʻeha ʻiʻo, ʻeha ʻōpū ʻē, nausea, luaʻi, poniuniu.
- Nā loli noʻonoʻo: ke kaumaha nui, nā manaʻo pepehi kanaka, ka hoʻonāukiuki.
- Nā loli i ka helu o ka puʻuwai: Manaʻo e like me ka wikiwiki o kou puʻuwai a i ʻole ke kuʻi ʻano ʻole.
Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou:
- Ka haunaele o ka hiamoe a i ʻole nā moeʻuhane ʻē
- ʻEha poʻo
- Ka maʻi pākī
- Nā loli i ke kala o ka ʻili (ʻoiai nā poho lima a me nā kapuwaʻi o nā wāwae)
- Nā loli i ke ʻano o ka waiho ʻana o ka momona o ke kino (e.g., ka hoʻonui ʻia o ka momona a puni ka ʻōpū, ke kua, a me ka pūhaka, ka lahilahi ʻana o nā lālā).
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau kēia e kaohi ai i ka maʻi HIV, akā, ʻaʻole ia e ho'ōla loa ia.
- E lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, me ka ʻai . Mai hoʻokuʻu i ka ʻai.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino ʻē aʻe āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena ʻino, e like me nā hopena ʻili koʻikoʻi, ka melemele o nā maka, ka ʻeha nui o ka ʻōpū, a i ʻole nā loli noʻonoʻo.
- Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe.
- He mea nui loa ia no kou olakino maikaʻi ka mālama ʻana i ka launa pū ʻana me kāu kauka a me ka hele ʻana i nā keʻena lapaʻau e like me ka hoʻonohonoho ʻana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Emtricitabine, Rilpivirine, a me Tenofovir (Tenofovir / Odefsey, Complera)?
He hui pū kēia o ka ART - Antiretroviral Therapy ikaika loa a me nā lāʻau lapaʻau 3 hou loa i loko o kahi pila hoʻokahi (Single-tablet Regimen) i loaʻa ma nā hale kūʻai lāʻau lapaʻau e hakakā i ka maʻi 'AIDS / HIV (Human Immunodeficiency Virus)'! Ma hope o ka lawe ʻana i kēia pila i hoʻokahi manawa i ka lā (me ka meaʻai), kāohi ia i ka maʻi HIV mai ka hoʻonui ʻana i loko o ke koko ma 100%, e kaohi ana i ka maʻi i kahi ukana viral hiki ʻole ke ʻike ʻia.
💬 Pehea e hoʻōki loa ai kēia pila (Complera/Odefsey) i ka hoʻonui ʻia (ka laha ʻana) o ka maʻi HIV?
I mea e hoʻopili hou ai kahi maʻi, pono ia e komo i kekahi o kā mākou mau cell a kope i kāna leka kumu (RNA) i loko o kā mākou DNA. ʻO ka mīkini a ka maʻi e hoʻohana ai no kēia, ʻo ia ka enzyme Reverse Transcriptase. Hele mai kēia pila mai nā ʻaoʻao ʻelua a hoʻokomo i nā 'mea hewa (NRTI/Emtricitabine/Tenofovir)' a me nā 'pōhaku pale (NNRTI/Rilpivirine)' i loko o kēlā mīkini. A laila, ʻaʻole hiki i ka maʻi HIV ke hoʻopili hou a lilo ia i mea nāwaliwali.
💬 He aha nā hopena ʻaoʻao nui a me nā pōʻino weliweli loa (Black Box Warning) e hiki ke loaʻa i ka wā e lawe ai i kēia pila HIV?
ʻO ka pōʻino nui loa o kēia mau lāʻau lapaʻau 3 mai Tenofovir mai! Hiki i kēia ke hoʻoheheʻe/haʻi maʻalahi i nā iwi o ka mea maʻi (Bone loss / Osteoporosis) a hoʻōki loa nā puʻupaʻa (Lactic acidosis / Renal Toxicity). Eia kekahi, mai lawe i kēia pila inā 'pōloli ʻoe me ka ʻai ʻole (ʻōpū hakahaka)' no kekahi kumu! (ʻAʻole komo ʻo Rilpivirine i loko o ke kino, ʻaʻole hana ka lāʻau lapaʻau)!
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