Manaʻo ʻia ua pili ʻia i ka maʻi HIV? ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka PEP (Post-Exposure Prophylaxis)!

E noʻonoʻo ua moe kolohe ʻoe me ka pale ʻole ʻia, a i ʻole he kānalua iki kou ua loaʻa paha iā ʻoe ka maʻi HIV ma kekahi ʻano ʻē aʻe. He mea maʻamau loa ka manaʻo nui i ka makaʻu a me ka hopohopo i ka manawa e like me kēia. Akā, mai hopohopo. Aia kekahi lāʻau lapaʻau kūikawā e hiki ke pale aku i ka maʻi HIV i loko o ia ʻano pilikia. Ke kamaʻilio nei mākou e pili ana i kēlā i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka PEP?

ʻO ke ʻano piha o PEP ʻo ia ka Post-Exposure Prophylaxis . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi ka lāʻau pale i lawe ʻia ma hope o ka hōʻike ʻana i kahi pathogen. He mea nui loa kēia i ka wā e pili ana i ka maʻi HIV.

I ka ʻōlelo maʻalahi, ʻo ka PEP kahi papa lāʻau i hāʻawi ʻia e pale aku i ka hoʻokumu ʻia ʻana o ka maʻi i loko o ke kino inā he kānalua ua loaʻa paha iā ʻoe ka maʻi HIV. He hui pū kēia o hoʻokahi a ʻoi aku paha nā lāʻau lapaʻau. Pono e lawe ʻia kēia lāʻau i kēlā me kēia lā no 28 mau lā .

He pilikia olakino ka loaʻa ʻana o ka maʻi HIV. No laila, inā manaʻo ʻoe ua loaʻa paha ʻoe i ka maʻi HIV ma o ka moekolohe, ka hoʻouka kaua moekolohe, ka kaʻana like ʻana i nā nila no ka hoʻokomo ʻana i nā lāʻau lapaʻau, a i ʻole kahi ʻeha i ka nila ma ka hana, e hele koke i ka keʻena pilikia haukapila kokoke loa (ETU).

Akā e hoʻomanaʻo i hoʻokahi mea. No ka hoʻohana pilikia wale nō ka PEP. ʻAʻole hiki ke hoʻohana ʻia ma ke ʻano he pale lōʻihi no kekahi mea i pilikia nui i ka loaʻa ʻana o ka maʻi HIV. Inā pilikia nui ʻoe, e kamaʻilio me kāu kauka e pili ana i kahi ʻano pale lōʻihi i kapa ʻia ʻo PrEP (Pre-Exposure Prophylaxis).

He aha ka mea e hana ʻia ma mua o ka hoʻomaka ʻana o PEP?

Ma mua a i ʻole ma hope koke iho o kou hoʻomaka ʻana i ka mālama ʻana iā PEP, e hoʻoholo kāu kauka e hana i kekahi mau hoʻokolohua ma kou kino. No kēia, hiki ke lawe ʻia nā laʻana e like me ke koko a me ka mimi. Hana ʻia kēia mau hoʻokolohua e hoʻoholo ai i ke ʻano a me ka nui o ka lāʻau lapaʻau e pono ai ʻoe e hāʻawi.

ʻO ka maʻamau, ua nānā ʻia nā mea e like me kēia:

• E hoʻāʻo ʻia ʻoe e ʻike inā ua loaʻa mua ʻoe i ka maʻi HIV.
• Aia kekahi mau maʻi maʻi hepatitis B a me ka hepatitis C?
• E hōʻoia inā ua hāpai ʻoe.
• E nānā inā e hana maikaʻi ana kou mau puʻupaʻa a me ke akepaʻa.

Ma muli o nā hopena o kēia mau hoʻokolohua, e kuhikuhi ana kāu kauka i ka lāʻau PEP kūpono a palekana loa nāu.

Ke hoʻāʻo nei hoʻi ʻoe no nā maʻi ʻē aʻe i laha ma ke moekolohe?

ʻAe. No ka mea, hiki i hoʻokahi hālāwai moekolohe ke hoʻoili i nā STI he nui i ka manawa like. No laila, ma muli o ke ʻano o kou hōʻike ʻia ʻana, hiki i kāu kauka ke hoʻāʻo a mālama paha iā ʻoe no nā STI ʻē aʻe. Eia kekahi laʻana:

• ʻO ka maʻi gonorrhea
• ʻO Chlamydia
• ʻO ka maʻi Trichomoniasis

Pehea e hana ai ka lāʻau PEP?

ʻO nā lāʻau lapaʻau i hoʻohana ʻia i ka mālama ʻana o ka PEP ua kapa ʻia he mau lāʻau antiretroviral . ʻO kēia nā lāʻau lapaʻau like i hoʻohana ʻia e mālama i ka maʻi HIV. He maʻalahi loa ka hana a kēia mau lāʻau. Hoʻōki lākou i ka maʻi HIV mai ka hana kope ʻana iā ia iho, ka māhele ʻana, a me ka laha ʻana i loko o kou kino.

E noʻonoʻo e like me ka ʻaihue. Hele mai kēlā ʻaihue i loko o kou hale i kapa ʻia ʻo kou kino a hoʻāʻo e hana i nā ʻaihue he nui e like me ia. Hana nā lāʻau lapaʻau PEP ma ka pani ʻana i nā puka a me ke kau ʻana i nā pale i ʻole e hiki i ka ʻaihue ke hana i nā ʻaihue hou aku.

Hana nā ʻano lāʻau like ʻole ma nā ʻano like ʻole e wāwahi i kēia mau pale. No laila, ke hoʻohui ʻoe i kekahi mau ʻano lāʻau, ua emi nui ka manawa e ola ai ka maʻi. ʻOi aku ka holomua o ka lāʻau.

Inā hoʻomaka mākou e lawe i kēia mau lāʻau antiviral i ka wā mua , hiki iā mākou ke pale aku i ka maʻi HIV mai ka lilo ʻana i maʻi mau loa i loko o kou kino (maʻi mau). Ke hoʻokumu ʻia ka maʻi, ʻaʻole hiki i nā lāʻau ke hoʻopau loa iā ia, hiki iā lākou ke kāohi wale iā ia. ʻO ka pahuhopu o PEP ka hoʻōki ʻana i ka maʻi ma mua o ka hiki ʻana i kēlā wahi.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka PEP?

Kuhikuhi nā kauka i ka hui pū ʻana o nā lāʻau antiviral no PEP. Lawe ʻia kēia mau mea ma ke ʻano he mau pila. Aia nā hui maʻamau i helu ʻia ma ka papa ma lalo nei.

Ma muli o ke ʻano o ka lāʻau lapaʻau, pono paha ʻoe e lawe i hoʻokahi a ʻelua paha i ka lā. No laila, ma mua o ka hoʻomaka ʻana o ka PEP, e nīnau pono i kāu kauka e pili ana i nā manawa a me ke ʻano o ka lawe ʻana i ka lāʻau. Hiki i kāu kauka ke hoʻololi i nā ʻano a i ʻole nā ​​​​​​lāʻau o kēia mau lāʻau lapaʻau ma muli o nā kūlana olakino ʻē aʻe āu.

Pehea ka maikaʻi o ka mālama ʻana o ka PEP? No ke aha e hiki ai ke hāʻule?

Ua hōʻike ʻia nā noiʻi e hiki i ka lāʻau PEP, ke lawe pono ʻia, ke hōʻemi i ka pilikia o ka maʻi HIV ma mua o 80% . He holomua nui kēlā.

Eia nō naʻe, i kekahi manawa ʻaʻole paha e holomua kēia lāʻau e like me ka mea i manaʻo ʻia. Aia kekahi mau kumu no kēia. E nānā kākou i ke ʻano o lākou.

Aia kekahi mau hopena ʻaoʻao o ka mālama ʻana o ka PEP?

ʻAʻole ʻo PEP kahi lāʻau lapaʻau e hoʻoulu pinepine i nā hopena ʻaoʻao nui. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kahi ʻeha iki. Hoʻopau pinepine kēia i loko o kekahi mau lā.

ʻO nā hopena ʻaoʻao maʻamau:

• Manaʻo luhi (Fatigue)
• Ka luaʻi
• Ka luaʻi ʻana
• Ka maʻi pākī
• Nā ʻeha poʻo

Ma hea wau e hele ai inā makemake au i ka PEP?

ʻO kēia ka ʻāpana koʻikoʻi loa. ʻO ka loaʻa ʻana o ka maʻi HIV he pilikia olakino ia. No laila, mai hoʻonele i ka manawa a e ʻimi koke i ke kōkua lapaʻau. Aia kekahi mau wahi hiki iā ʻoe ke hele.

1. Ke Keʻena Lapaʻau Pōpilikia (ETU) ma ka haukapila kokoke loa: ʻO kēia ke koho maikaʻi loa a wikiwiki hoʻi. E hele i ka ETU o kekahi haukapila aupuni a wehewehe i kou kūlana, kahi e hiki ai iā ʻoe ke loaʻa ka lāʻau lapaʻau maʻamau a me nā ʻōlelo aʻoaʻo āu e pono ai.

2. Keʻena Lapaʻau Ola Kino: Aia nā keʻena lapaʻau maʻi i laha ma ke kino ma nā haukapila nui ma Sri Lanka. Hiki iā ʻoe ke loaʻa ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau āu e pono ai mai kēia mau keʻena lapaʻau me ka mālama ʻana i ka pilikino loa.

3. Kou Kauka ʻOhana: Hiki i kāu kauka ʻohana ke haʻi iā ʻoe e pili ana i kēia. Eia nō naʻe, i kekahi manawa inā ʻaʻole nui kona ʻike ma kēia, hiki iā ia ke kuhikuhi iā ʻoe i kahi ETU a i ʻole kahi loea.

Ma nā wahi a pau āu e hele ai, e ʻōlelo akāka , "Manaʻo wau ua loaʻa paha iaʻu ka maʻi HIV, a makemake wau e ʻike e pili ana i ka mālama ʻana i ka PEP." E ʻōlelo pū he pilikia ia.

He aha ka mea e hana ma hope o ka mālama ʻana o ka PEP?

Ma hope o kou hoʻopau ʻana i kāu 28 mau lā o ka mālama ʻana iā PEP, ʻaʻole i pau kāu hana. Pono ʻoe e hana i kekahi mau hoʻāʻo HIV hou aʻe e hōʻoia piha ʻaʻole ʻoe i loaʻa i ka maʻi HIV.

ʻO ka maʻamau,

• I loko o 4-6 mau pule o ka hōʻike ʻana
• I nā pule he 12 (i loko o 3 mahina)
• I ka hala ʻana o 24 mau pule (i loko o 6 mau mahina)

Ke aʻo aku nei ke kauka iā ʻoe e hoʻāʻo hou ʻia i nā manawa maʻamau. He mea nui loa e hana i kēia mau hoʻokolohua a pau e hōʻoia ʻaʻole ʻoe i loaʻa i kahi maʻi.