Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio mākou e pili ana i kahi mea nui paha i nā poʻe he nui, a me kahi ala e kōkua ai i ka pale ʻana iā ʻoe iho mai ka maʻi HIV - ka maʻi e hoʻoulu ai i ka AIDS - ma mua o kona komo ʻana i loko o kou kino. Kāhea mākou i kēia ʻo PrEP. Ua lohe paha ʻoe iā ia. E nānā kākou i ke ʻano o ia mea, no wai ia, pehea e hoʻohana ʻia ai, a me nā mea āu e pono ai e ʻike.

He aha ka PrEP (Pre-Exposure Prophylaxis)?

I ka ʻōlelo maʻalahi, ʻo PrEP kahi huaʻōlelo pōkole no 'Pre-Exposure Prophylaxis' . ʻO 'Pre-Exposure' ke ʻano 'ma mua o ka hōʻike ʻana', ʻo ia hoʻi ma mua o kou hōʻike ʻia ʻana i ka maʻi HIV. ʻO 'Prophylaxis' kahi hana i hana ʻia e pale iā ʻoe iho mai kahi maʻi ma mua o kona ulu ʻana. ʻO PrEP kahi lāʻau lapaʻau a ke kanaka ʻaʻohe maʻi HIV i loko o ko lākou kino e lawe ai e hōʻemi i ka pilikia o ka loaʻa ʻana o ka maʻi HIV. E noʻonoʻo e like me ka hoʻomākaukau ʻana i kahi umbrella ma mua o ka ua. Akā he mea maikaʻi kēia no ka HIV wale nō, ʻaʻole no nā maʻi ʻē aʻe.

Hiki iā mākou ke loaʻa i kēia lāʻau PrEP ma nā ʻano nui ʻelua:

• ʻO kekahi he pila waha āu e lawe ai i kēlā me kēia lā . E like me ka lawe ʻana i kahi pila huaora, pono ʻoe e lawe iā ia i ka manawa like i kēlā me kēia lā i mea e hana pono ai.
• ʻO ke ʻano hana ʻē aʻe he inikini i kēlā me kēia ʻelua mahina . Hāʻawi ʻia kēia iā ʻoe e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia.

Hiki iā ʻoe ke hoʻoholo i kahi o kēia mau ʻano ʻelua e kūpono loa iā ʻoe ma ke kamaʻilio ʻana me ke kauka, e noʻonoʻo ana i nā mea e like me kou nohona a me kou pono.

ʻO wai ka mea nui loa iā PrEP?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'ʻAe, no laila he lāʻau lapaʻau ʻo PrEP hiki iā ʻoe ke lawe e pale iā ʻoe iho mai ka maʻi HIV. Akā ʻo wai ka mea e pono ai?' ʻAʻole pono nā kānaka a pau e lawe i ka PrEP. Paipai nui ʻia ia no ka poʻe i loaʻa i ka pilikia nui o ka loaʻa ʻana o ka maʻi HIV . ʻO kēia no ka mea hiki i ka maʻi HIV ke holomua i ke kūlana weliweli i kapa ʻia ʻo AIDS inā ʻaʻole mālama ʻia. E nānā kākou i ka poʻe i loaʻa i ka pilikia kiʻekiʻe:

• Inā loaʻa i kāu hoa moe ka maʻi HIV (ʻo ia hoʻi, inā he maʻi HIV kāu hoa), he ala koʻikoʻi loa ka PrEP nou e pale aku ai iā ʻoe iho mai ka maʻi HIV.
• Inā ʻoe e komo i ka moekolohe anal me ka hoʻohana ʻole ʻana i ka condom . ʻO ka moekolohe anal ke ʻano o ka hana moekolohe me ka pilikia kiʻekiʻe loa o ka laha ʻana o ka maʻi HIV. No laila, inā ʻoe e komo i kēlā ʻano moekolohe me ka ʻole o ka condom, pono ia e noʻonoʻo i ka PrEP.
• Inā ua loaʻa iā ʻoe kekahi maʻi i laha ma ke ʻano moekolohe (STD) i nā mahina 6 i hala . No ka laʻana, gonorrhea a syphilis paha. ʻO ka loaʻa ʻana o kahi STD he hōʻailona ia ʻaʻole ʻoe e hoʻohana nei i ka moekolohe palekana. Hoʻonui pū kekahi mau STD i ka pilikia o ka maʻi HIV.
• Inā moe kolohe ʻoe me ka ʻole o ka condom me kekahi kanaka i ʻike ʻole ʻia kona kūlana HIVI kekahi manawa, ʻaʻole mākou i ʻike i ke kūlana HIV o ka mea a mākou e moe pū nei. I ia mau hihia, he pilikia ka moe me ka ʻole o ka condom. Hiki i ka PrEP ke hōʻemi i kēia pilikia.
• Inā ʻoe e hoʻohana i nā nila/syringe like me nā poʻe ʻē aʻe i ka wā e hoʻokomo ai i nā lāʻau lapaʻau, a i ʻole inā ʻoe e kaʻana like iā lākou . He mea weliweli loa kēia. ʻAʻole wale ka HIV, akā, hiki ke laha ma kēia ʻano nā maʻi ʻē aʻe e like me ka hepatitis B a me C. No laila, he mea nui i ka mea nāna e hana i kēia ke makaʻala i ka PrEP.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me ke kauka e pili ana i kekahi o kēia mau pilikia inā manaʻo ʻoe e pili ana iā ʻoe. ʻAʻohe mea e hilahila ai a makaʻu paha. Aia nā kauka ma laila e kōkua iā ʻoe, me ka pale ʻana i kou pilikino.

Ke pale mau nei anei ka lawe ʻana i ka PrEP i ka maʻi HIV?

He pilikia kēia no nā kānaka he nui. He ala kūpono loa ka PrEP e pale aku ai iā ʻoe iho mai ka maʻi HIV, akā hana wale ia inā ʻoe e lawe ia mea e like me ke kuhikuhi ʻana . ʻO ia hoʻi, e lawe i ka pila i kēlā me kēia lā, i ka manawa like i kēlā me kēia lā, i nā manawa he nui e hiki ai. He mea nui ka lawe ʻana i ka lāʻau pale i ka lā i hoʻonohonoho ʻia. Mai poina i hoʻokahi lā.

Akā eia kekahi mea ʻē aʻe. Pale ʻo PrEP i ka laha ʻana o ka maʻi HIV no ka pakeneka nui (ma luna o 99%) , akā ʻaʻole 100% . ʻO ia hoʻi, inā lawe pololei kekahi i ka PrEP, he liʻiliʻi loa ka manawa e loaʻa ai iā lākou ka maʻi HIV. Ua like ia me ke komo ʻana i ka ʻaʻahu ua maikaʻi loa, akā i kekahi manawa ua pulu iki ke kola o kou pālule.

No laila, ma waho aʻe o ka lawe ʻana i ka PrEP, ʻo ka hoʻohana ʻana i ka condom i kēlā me kēia hana moekolohe, inā he vaginal, oral, a anal paha, ʻo ia ke ala maikaʻi loa a piha loa e pale aku ai iā ʻoe iho mai ka maʻi HIV a me nā maʻi ʻē aʻe i hoʻouna ʻia ma ke ʻano moekolohe (STD). He mea nui e hoʻomanaʻo ʻaʻole ʻo PrEP kahi pani no nā condom, akā he ʻano pale hou aʻe . ʻO ka hoʻohana pū ʻana iā PrEP a me nā condoms e hāʻawi i ka palekana nui aʻe.

Ke pale nei ʻo PrEP i nā maʻi ʻē aʻe i hoʻouna ʻia ma ke moekolohe (STDs)?

He mea nui loa nō hoʻi kēia. Mālama wale ʻo PrEP iā ʻoe mai ka maʻi HIV . ʻO ia hoʻi, ʻaʻole hiki iā PrEP ke pale iā ʻoe mai nā maʻi ʻē aʻe i laha ma ke ʻano moekolohe (STD) e like me Gonorrhea, Syphilis, Chlamydia, a me nā ʻōuli genital.

E noʻonoʻo i kēia ʻano: Ua like ʻo PrEP me kahi laka palekana kūikawā e pale aku ai i kahi ʻaihue kūikawā i kapa ʻia ʻo HIV. Akā, ʻaʻole pono nā ʻaihue ʻē aʻe (nā STD ʻē aʻe) i kēlā laka, hiki iā lākou ke hele mai ma nā ʻano ʻē aʻe.

No laila, ʻoiai inā ʻoe e lawe ana i ka PrEP, i mea e pale aku ai iā ʻoe iho mai nā maʻi ʻē aʻe i laha ma ke ʻano moekolohe, pono ʻoe e hoʻohana i ka condom i kēlā me kēia hana moekolohe, inā he vaginal, oral, a anal paha . ʻO ka condom kāu hoaaloha maikaʻi loa e pale aku iā ʻoe mai nā STD ʻē aʻe ma waho aʻe o ka HIV. ʻO ka hoʻohana ʻana i ka condom i ka wā e lawe ana i ka PrEP e hāʻawi iā ʻoe i ka pale pālua a me ka maluhia o ka noʻonoʻo.

Pehea e loaʻa ai iaʻu ka PrEP? He aha nā mea e pono ai ke makaʻala?

Inā manaʻo ʻoe e pono ʻoe e lawe i ka PrEP, ʻaʻole hiki iā ʻoe ke hele wale i kahi hale kūʻai lāʻau a noi aku. He lāʻau lapaʻau kauka ʻo PrEP e pono e kuhikuhi ʻia e ke kauka .

Eia kekahi mau mea e pono ai ʻoe e ʻike e pili ana i ka loaʻa ʻana a me ka hoʻohana ʻana iā PrEP:

1. Ke ʻimi nei i ka ʻōlelo aʻoaʻo lapaʻau:

• ʻO ka mea mua, pono ʻoe e hālāwai me ke kauka kūpono e kūkākūkā kikoʻī iā PrEP. Hiki iā ʻoe ke loaʻa i kēia lawelawe mai kahi keʻena olakino moekolohe a i ʻole ke kauka i loaʻa ka ʻike ma kēia kahua. A laila e noʻonoʻo ke kauka i kou kūlana olakino, ka pilikia HIV, a me nā mea ʻē aʻe e hoʻoholo ai inā kūpono ʻo PrEP iā ʻoe.
• Ma mua o ka hoʻomaka ʻana i ka PrEP, pono ʻoe e loaʻa i kahi hoʻāʻo HIV e hōʻoia ʻaʻole ʻoe i loaʻa i ka maʻi HIV . ʻO kēia no ka mea ʻo PrEP kahi ala e pale aku ai i ka maʻi HIV i nā poʻe me ka ʻole o ka HIV, ʻaʻole ia he lāʻau lapaʻau no ka HIV. Inā lawe kekahi me ka HIV i ka PrEP, hiki i ka maʻi ke kūʻē i nā lāʻau lapaʻau a ʻaʻole paha e holo pono ka lāʻau.

2. Hoʻohana pololei ʻana i ka lāʻau lapaʻau (Adherence):

• Inā kuhikuhi kāu kauka i nā pila waha , pono ʻoe e lawe iā lākou i ka manawa like i kēlā me kēia lā, me ka poina ʻole . Inā ʻoe e hala i hoʻokahi lā, hiki ke hoʻemi ʻia ka pono o ka lāʻau lapaʻau. E like me ka wā e haki ai kekahi loulou i ke kaulahao, e nalowale ana ka ikaika o ke kaulahao. E hoʻonohonoho i kahi mea hoʻomanaʻo ma kāu kelepona, a i ʻole e hoʻohui iā ia i kāu hana maʻamau i kēlā me kēia lā e hoʻomanaʻo iā ʻoe.
• Inā ua kuhikuhi ʻia ʻoe i kahi inikini e hāʻawi ʻia i kēlā me kēia ʻelua mahina , he mea nui e hele a loaʻa ka inikini i nā lā i hoʻonohonoho ʻia . Mai poina i kahi manawa. E hoʻomanaʻo i ka lā aʻe a ke kauka e hāʻawi ai iā ʻoe a hele i kēlā manawa.

3. Ka nānā mau ʻana i ke kauka:

• ʻOiai e hoʻohana ana i ka PrEP, pono ʻoe e lawe i kahi hoʻāʻo HIV i kēlā me kēia 3 mahina e hoʻomau i ka hōʻoia ʻaʻole ʻoe i loaʻa i ka maʻi HIV.
• Hiki i kāu kauka ke hana i nā hoʻokolohua hana puʻupaʻa. E like me nā lāʻau lapaʻau āpau, hiki i ka PrEP ke hana i kekahi mau hopena ʻaoʻao liʻiliʻi. ʻO nā hopena ʻaoʻao maʻamau ka ʻeha o ka ʻōpū a me ka poniuniu i nā pae mua. Eia naʻe, ʻaʻole lākou he mea koʻikoʻi a e emi iho i loko o kekahi mau lā a i ʻole mau pule. E hōʻike kāu kauka iā ʻoe. Inā ʻike ʻoe i kekahi mea ʻē, e haʻi koke i kāu kauka .

ʻO ka hōʻoluʻolu noʻonoʻo o PrEP

Hiki i ka noho ʻana me ka maʻi HIV ke lilo i mea hopohopo a weliweli hoʻi no kekahi poʻe. ʻO ka hopohopo mau o 'E loaʻa anei iaʻu ka maʻi HIV?' hiki ke hoʻoluhi nui ʻia. Ke hoʻohana pono ʻia, hiki iā PrEP ke hāʻawi i kahi manaʻo o ka maluhia a me ka ʻoluʻolu, me ka manaʻo ua lawe ʻoe i kahi ʻanuʻu ikaika e pale aku iā ʻoe iho mai ka maʻi HIV. Hiki iā ia ke hoʻomaikaʻi i kou ʻano ola a me ka hauʻoli. Akā e hoʻomanaʻo, ʻaʻole ʻo PrEP ka lāʻau lapaʻau no nā mea āpau, ʻo ia kaHoʻokahi wale nō ʻāpana ia o ka hoʻolālā holoʻokoʻa no ka pale ʻana i ka maʻi HIV.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka PrEP (Pre-Exposure Prophylaxis) i kēia lā. E hōʻuluʻulu kākou i kēia mau manaʻo koʻikoʻi:

• He lāʻau lapaʻau ʻo PrEP e kōkua ana i ka pale ʻana i ka maʻi HIV i loko o kekahi kanaka ʻaʻole i loaʻa i ka maʻi HIV.
• ʻOi aku ka maikaʻi o kēia no ka poʻe i loaʻa i ka pilikia nui o ka maʻi HIV . Ua kamaʻilio mākou e pili ana i kēlā ma mua.
• Pono e lawe pololei ʻia ka PrEP, i kēlā me kēia lā (inā ʻo ka pila) a i ʻole i nā manawa i hoʻonohonoho ʻia (inā ʻo ka lāʻau pale) e hana pono ai.
• ʻOiai ʻo PrEP e hāʻawi i kahi pae kiʻekiʻe o ka palekana mai ka maʻi HIV, ʻaʻole ia he 100% i hōʻoia ʻia . ʻO ia ke kumu he mea nui loa hoʻi ka hoʻohana ʻana i nā condom . ʻO PrEP a me nā condom ka hui maikaʻi loa!
• ʻAʻole pale ʻo PrEP i nā maʻi ʻē aʻe i laha ma ke moekolohe (STD) . ʻO nā condom ka pale maikaʻi loa e kūʻē iā lākou.
• He mea nui ka ʻōlelo aʻoaʻo lapaʻau a me ka nānā ʻana e hoʻomaka a hoʻomau i ka hoʻohana ʻana iā PrEP. Pono ʻoe e loaʻa i nā hoʻokolohua HIV maʻamau a me nā hoʻokolohua ʻē aʻe inā pono.

Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana iā PrEP, mai kānalua a kamaʻilio me ke kauka hilinaʻi . Ua mākaukau lākou e pane i kāu mau nīnau a hāʻawi i ke kōkua āu e pono ai. ʻO kou olakino kou kuleana! He mea kūpono ia e noʻonoʻo ai.

ʻO PrEP, Prophylaxis Pre-Exposure, HIV, AIDS, pale ʻana i ka HIV, olakino moekolohe, condoms, STD, nā maʻi i laha ma ke moekolohe