E noʻonoʻo, i ka wā āu e manaʻo ʻole ai, ke manaʻo nei ʻoe ua loaʻa iā ʻoe ka maʻi HIV. Malia paha ma muli o ka moekolohe pale ʻole ʻia, a i ʻole ma muli o ka kaʻana like ʻana i kahi nila me kahi mea nāna i hoʻokomo i nā lāʻau lapaʻau. ʻAʻole hiki ke hōʻike ʻia ka makaʻu a me ka haʻalulu āu e manaʻo ai i ka manawa e like me kēia. Akā, ʻaʻole lawa ka makaʻu wale nō. Aia kekahi lāʻau lapaʻau kūikawā e hiki ke pale iā ʻoe i loko o ia ʻano pilikia. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha ka PEP (Post-Exposure Prophylaxis)?
I ka ʻōlelo maʻalahi, ʻo ka PEP kahi lāʻau lapaʻau e pale ai i ka maʻi mai ka hoʻopili mau ʻana i ke kino ma hope o ka hōʻike ʻana i ka maʻi HIV. He lāʻau lapaʻau ia e pono e lawe ʻia i kēlā me kēia lā no 28 mau lā .
ʻO ka mea nui loa, i mea e pono ai kēia lāʻau lapaʻau, pono ʻoe e hoʻomaka e lawe i kēia lāʻau i loko o 72 mau hola (ʻekolu lā) mai ka wā āu e manaʻo ai ua loaʻa paha iā ʻoe ka maʻi HIV.
He maʻi hiki ke mālama ʻia ka HIV (Human Immunodeficiency Virus), akā ʻaʻole hiki ke hoʻōla piha ʻia, no ke ola holoʻokoʻa. No laila, he pilikia olakino ka pili ʻana i ka HIV. Inā manaʻo ʻoe ua pili ʻia ʻoe, e hele koke i ka lumi pilikia haukapila kokoke loa (ETU).
No ka hoʻohana pilikia wale nō ka PEP. ʻAʻole ia i manaʻo ʻia e hoʻohana ʻia ma ke ʻano he pale lōʻihi no kekahi mea i loaʻa i ka maʻi HIV kiʻekiʻe. Inā loaʻa iā ʻoe ka pilikia kiʻekiʻe, e kamaʻilio me kāu kauka e pili ana i ka PrEP (Pre-Exposure Prophylaxis), kahi lāʻau lapaʻau hiki iā ʻoe ke lawe ma mua o kou hōʻike ʻia ʻana i ka HIV.
He aha kāu e hana ai ma mua o ka hoʻomaka ʻana i ka lāʻau PEP?
Ma mua a ma hope koke iho paha o kou hoʻomaka ʻana i ka mālama ʻana iā PEP, e lawe kāu kauka i nā laʻana o kou koko a me kou mimi a hana i kekahi mau hoʻokolohua e hoʻoholo ai i ke ʻano a me ka nui o ka lāʻau lapaʻau e pono ai ʻoe e hāʻawi. ʻO nā hoʻokolohua nui e komo pū me:
- E nānā inā ua loaʻa mua ʻoe i ka maʻi HIV.
- E nānā no ka maʻi Hepatitis B a me Hepatitis C.
- E hōʻoia inā ua hāpai ʻoe.
- E nānā inā e hana pono ana kou akepaʻa a me kou mau puʻupaʻa.
Eia kekahi, ma muli o ke ʻano o kou hōʻike ʻia ʻana, hiki ke hoʻāʻo ʻia a mālama ʻia paha ʻoe no nā maʻi ʻē aʻe i laha ma ke moekolohe (STIs), no ka mea, hiki ke loaʻa nā maʻi he nui i ka manawa like. No ka laʻana, gonorrhea a me chlamydia.
Pehea e pale aku ai kēia lāʻau PEP i ka maʻi HIV?
He mea maʻalahi loa kēia e hoʻomaopopo. E noʻonoʻo i ka maʻi HIV e like me ka ʻaihue e hoʻāʻo nei e komo i loko o kou hale. ʻO nā lāʻau antiretroviral i ka mālama ʻana o PEP e pale aku i kēia ʻaihue mai ka noho ʻana i loko o kou hale a hana i nā kope o kāna mau mea (ka maʻi).
Hoʻouka kēia mau lāʻau i ka maʻi ma nā ʻano like ʻole. No laila, ʻoi aku ka maikaʻi o ka lāʻau lapaʻau ke hāʻawi pū ʻia kekahi mau lāʻau. Inā hoʻomaka mua mākou i kēia mau lāʻau, hiki iā mākou ke kāohi i ka maʻi HIV ma mua o ka lilo ʻana i maʻi mau i loko o ke kino.
He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka PEP?
Kuhikuhi nā kauka i ka hui pū ʻana o nā lāʻau antiretroviral no PEP. ʻO kēia nā lāʻau like i hoʻohana ʻia e mālama i ka poʻe me ka maʻi HIV. Lawe ʻia lākou ma ke ʻano he mau pila. Na kāu kauka e hoʻoholo i ke ʻano a me ka nui o nā lāʻau āu e lawe ai ma muli o kou kūlana olakino.
| Māhele lāʻau lapaʻau | Nā lāʻau lapaʻau i hoʻohana pinepine ʻia |
|---|---|
| ʻO ka hui pū ʻana o nā lāʻau lapaʻau maʻamau (ʻelua mau lāʻau lapaʻau i hoʻokahi pila) | ʻO Emtricitabine lāua ʻo Tenofovir Disoproxil Fumarate (FTC/TDF, i ʻike ʻia ʻo Truvada® ) A i ʻole ʻO Emtricitabine lāua ʻo Tenofovir Alafenamide (FTC/TAF, i ʻike ʻia ʻo Descovy® ) |
| ʻO ke kolu o ka lāʻau i hoʻohui ʻia i ka lāʻau i luna | ʻO kekahi o kēia mau mea:
|
E nīnau i kāu kauka i ka manawa kūpono e lawe ai i kēia lāʻau lapaʻau a me ka nui o nā manawa e lawe ai i ka lā.
He aha nā kūlana e kūleʻa ʻole ai ka mālama ʻana o ka PEP?
Ua hōʻike ʻia nā haʻawina e hōʻemi ana ka mālama ʻana o PEP i ka pilikia o ka maʻi HIV ma mua o 80%. Eia nō naʻe, i kekahi manawa ʻaʻole paha kēia e like me ka mea i manaʻo ʻia.
| Kumu | Wehewehena |
|---|---|
| Ka lohi o ka hoʻomaka ʻana o ka lāʻau lapaʻau | Inā hoʻomaka ʻia ma hope o 72 mau hola o ka hoʻopili ʻia ʻana, haʻahaʻa loa ka holomua. |
| Ke hōʻalo nei i nā lāʻau lapaʻau | Inā ʻaʻole ʻoe e lawe i kāu lāʻau lapaʻau i ka manawa kūpono i kēlā me kēia lā, ʻaʻole hiki iā ʻoe ke kaohi i ka maʻi. |
| ʻAʻole i hoʻopau i nā lā 28 | Inā ʻoe e hoʻōki i ka lāʻau lapaʻau i ka wā mua, e loaʻa i ka maʻi ka manawa e hana hou ai. |
| Hoʻike hou ʻia | Inā loaʻa hou iā ʻoe ka maʻi i ka wā e lawe ana i ka PEP. |
| He maʻi pale lāʻau | Inā kūpaʻa ke ʻano o ka maʻi HIV i loaʻa iā ʻoe i nā lāʻau PEP. |
Aia kekahi mau hopena ʻaoʻao o ka mālama ʻana o ka PEP?
Hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi mai ka lāʻau PEP, akā ʻaʻole koʻikoʻi kēia mau mea.
- Luhi
- Ka luaʻi
- Ka luaʻi ʻana
- Ka maʻi pākī
- Nā ʻeha poʻo
Inā loaʻa kekahi mea e like me kēia , mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau . Hiki iā ʻoe ke kamaʻilio me kāu kauka a loaʻa kahi hopena.
Ma hea wau e hele ai inā loaʻa iaʻu ka maʻi HIV?
He pilikia olakino ka loaʻa ʻana o ka maʻi HIV. Mai hoʻonele i ka manawa.
Hiki iā ʻoe ke hele i kēia mau wahi:
1. Ke Keʻena Lapaʻau Pōpilikia (ETU) o ka haukapila kokoke loa:ʻO kēia ke ala maikaʻi loa a wikiwiki hoʻi. Ke wehewehe ʻoe i kou kūlana, e hana lākou i nā mea e pono ai.
2. Keʻena Lapaʻau Ola Kino / Keʻena Lapaʻau STD: Hiki iā ʻoe ke loaʻa ke kōkua no kēia ma ke kipa ʻana i nā keʻena lapaʻau STD i loaʻa ma nā haukapila aupuni.
3. Kou Kauka ʻOhana: Hiki paha i kāu kauka ke kuhikuhi iā PEP, akā e kuhikuhi paha lākou 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 iaʻu ka maʻi HIV, a pono iaʻu e ʻike koke i ke kauka." He mea nui ka manawa ma ʻaneʻi.
He aha ka mea e hana ma hope o 28 mau lā?
Ma hope o kou hoʻopau ʻana i ka PEP, pono ʻoe e hoʻāʻo hou ʻia no ka HIV e like me ke kuhikuhi a kāu kauka. ʻO ka maʻamau, e hoʻāʻo hou ʻia ʻoe he 4-6 mau pule ma hope o ka hōʻike ʻana, 12 mau pule (3 mau mahina), a me 24 mau pule (6 mau mahina). ʻO kēia wale nō ke ala e maopopo ai ʻaʻole ʻoe i loaʻa i ka maʻi.
Leka Lawe-Home
- He pilikia olakino ka loaʻa ʻana o ka maʻi HIV. Mai hoʻonele i ka manawa e makaʻu ai a hilahila paha.
- He mea nui e hoʻomaka i ka mālama ʻana iā PEP i loko o 72 mau hola o ka loaʻa ʻana o ka maʻi. ʻO ka wikiwiki o kou hoʻomaka ʻana, ʻo ka ʻoi aku ka holomua.
- Pono e lawe ʻia ka lāʻau PEP no 28 mau lā , me ka ʻole o ka haʻalele ʻana i hoʻokahi lā, a e like me ke kauoha a ke kauka.
- Inā he kānalua kou, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
- E hoʻohana mau i ka condom i ka wā e moe ai ʻoe i ka wā e lawe ana i ka PEP a hiki i ka hōʻoia ʻana o kāu hoʻāʻo HIV hope loa ʻaʻole ʻoe i loaʻa i ka maʻi.
- He mea nui loa e lawe i nā hoʻāʻo HIV i ʻōlelo ʻia e kāu kauka i nā manawa i hoʻonohonoho ʻia ma hope o ka lāʻau lapaʻau.
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