We yu kam fɔ no se yu gɛt HIV, yu go dɔn fil big big shɔk, fred, ɛn yu wan de. Yu go dɔn de wɔnda se, “Wetin a de du naw?” Bɔt nɔ wɔri. Tide, mɛrɛsin sayɛns dɔn go bifo bɔku. HIV na wan sik wae, if yu de manej am fayn, yu kin liv wit am fɔ lɔng tɛm, wɛl bɔdi, ɛn nɔrmal. Di pawaful ɛn impɔtant wɛpɔn fɔ dis na di tritmɛnt we dɛn kɔl ART. Tide, wi go tɔk bɔt dis simpul we we go ansa ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd.
Fɔ tɔk am simpul wan, wetin na ART?
ART, we tinap fɔ Antiretroviral Therapy , na wan kɔmbayn mɛrɛsin we dɛn kin gi fɔ trit di HIV vayrɔs. Fɔ ɔndastand dis, lɛ wi fɔs luk wetin di HIV vayrɔs de du to wi bɔdi.
Tink bɔt wi bɔdi lɛk fɔt we dɛn dɔn gayd fayn fayn wan. Speshal sojaman dɛn de we de protɛkt dis fɔt. Wi kin kɔl dɛn CD4 sɛl dɛn . Dɛn sɛl ya na di men pat pan wi imyun sistɛm. Wetin HIV (Human Immunodeficiency Virus) de du, lɛk tifman, na fɔ go insay dis fɔt ɛn pwɛl dɛn sikyɔriti sojaman ya, dat na, CD4 sɛl dɛn, wan bay wan. Dɔn di difens fɔ wi fɔt kin wik. Dis kin mek ɔda sik ɛn infɛkshɔn dɛn we nɔmal wan nɔ kin ebul fɔ du bɔku bad tin kin kam insay wi bɔdi izi wan ɛn mek wi gɛt siriɔs sik.
Na dis na wetin ART de du. Pan ɔl we dɛn mɛrɛsin ya nɔ kin ebul fɔ pul di HIV vayrɔs kɔmɔt na di bɔdi kpatakpata, dɛn kin stɔp di vayrɔs fɔ bɔku insay di bɔdi, dat na fɔ mek mɔ kɔpi dɛn. Dɔn di vayrɔs we de na di bɔdi, we wi kin kɔl di vayral lod , kin go dɔŋ smɔl smɔl. we dεn kכntrol di vayrus, wi bכdi kin ebul fכ mek nyu CD4 sεl dεm fכ tek di CD4 sεl dεm we dεn dכn pwεl. Dɔn wi imyun sistɛm kin strɔng bak.
Bɔku tɛm, ART kin min fɔ gi tu ɔ mɔ drɔgs togɛda. Di tritmɛnt kin wok fayn we dɛn gi wan kɔmbayn mɛrɛsin we de wok difrɛn we dɛn, pas fɔ jɔs gi wan mɛrɛsin. Dis de ridyus di risk fɔ mek di vayrɔs nɔ ebul fɔ tek di mɛrɛsin dɛn ɛn fɔ mek i nɔ ebul fɔ fɛt.
Wetin na di "Undetectable" lɛvɛl?
Dis na di impɔtant ɛn fayn rizɔlt fɔ ART tritmɛnt. We yu tek yu mɛrɛsin kɔrɛkt wan, di HIV vayrɔs (vayral lod) we de na yu blɔd go dɔŋ to wan lɛvul we so smɔl dat yu nɔ go ivin ebul fɔ no am bay tɛst. Dis na wetin wi kɔl "undetectable" lɛvɛl.
Bɔt dis nɔ min se yu dɔn wɛl frɔm HIV ɔltogɛda. Di vayrɔs kin kɔntinyu fɔ ayd insay di sɛl dɛn na di bɔdi. If yu stɔp fɔ tek di mɛrɛsin, di vayrɔs we ayd kin wok bak. So, i impɔtant fɔ tek di mɛrɛsin fɔ di res ɔf yu layf.
Bɔt wetin na di bɛnifit dɛn we dis "Undetectable" lɛvɛl gɛt?
- Bikɔs yu imyun sistɛm strɔng, yu kin liv wɛl, nɔmal layf.
- Di tin we impɔtant pas ɔl: Pɔsin we gɛt stebul vayral lod we na "Undetectable" nɔ kin ebul fɔ transmit HIV to ɔda pɔsin tru mami ɛn dadi biznɛs. Wi kɔl dis kɔnsɛpt U=U (Undetectable = Untransmittable) . Dis na big fridɔm fɔ yu ɛn yu patna.
Aw ART tritmɛnt kin woke?
Di HIV vayrɔs de yuz wan rili kɔmpleks prɔses fɔ go insay wi CD4 sɛl dɛn ɛn mek kɔpi fɔ insɛf. ART dεm de wok bay we dεn de intarap difrεn stεp dεm na dis prכsεs. Tink bɔt am lɛk we tifman de tek bɔku stɛp fɔ brok insay os, ɛn ART de wok bay we i de sɛt difrɛn trap dɛn fɔ stɔp ɛni stɛp.
Lɛ wi luk dis tebul fɔ ɔndastand aw ART mɛrɛsin dɛn de wok.
| Drug Klas we dɛn de yuz | Di we aw i de wok na simpul wan. |
|---|---|
| NRTI dɛn (Nyukliɔsayd Rivas Transkriptayz Inhibitɔ dɛn) . | insted fכ di ‘brik’ dεm we di vayrus nid fכ mek in כwn jεnεtik kכpi (DNA), dεn de gi am yusles ‘fek brik’. Dɔn di DNA we dɛn de mek kin stɔp af-af. |
| NNRTIs (Nɔn-Nyukliɔsayd Rivas Transkriptayz Inhibitɔ dɛn) . | insted fכ gi ‘fek brik’, dεn de dεaktiv di ‘mason base’ (wan εnzym) we de mek DNA. Ivin da tɛm de, di wok kin stɔp. |
| INSTI dɛn (Integrase Inhibitɔ dɛn) . | I de mek di DNA we di vayrɔs mek nɔ kam togɛda wit di rial DNA we de na wi sɛl dɛn, jɔs lɛk aw i de blok di instɔleshɔn fɔ wan vayrɔs program. |
| Protease Inhibitors (PI) we de mek pɔsin nɔ ebul fɔ du sɔntin . | di nyu vayrus kכpi dεm we dεn fכm dεn de kam togεda εn dεn de dεaktiv wan ‘siza’ (wan εnzym) we nid fכ dεn aktiv. Dɔn nyu vayrɔs dɛn nɔ de fɔm. |
| Di tin dɛn we de mek pɔsin nɔ ebul fɔ go insay | I jɔs de blok di vayrɔs fɔ mek i nɔ go insay wi CD4 sɛl dɛn. I tan lɛk se yu lɔk di domɔt. |
Aw a go pik di rayt ART tritmɛnt fɔ mi?
Dis nɔto tin we yu wan kin disayd fɔ du. Yu dɔktɔ go pik di bɛst kɔmbayn mɛrɛsin fɔ yu. I go tɔk bɔt bɔku tin dɛn.
- Yu vayral lod ɛn CD4 kɔnt we yu bigin fɔ trit.
- If yu bin dɔn tek ɔda tritmɛnt fɔ HIV (lɛk PrEP ɔ PEP).
- Test rizulyt fɔ si if di vayrɔs na yu bɔdi nɔ ebul fɔ tek sɔm mɛrɛsin dɛn.
- Yu gɛt bɛlɛ ɔ yu op fɔ gɛt bɛlɛ?
- Ɔda mɛrɛsin wae yu gɛt (lɛk kidni sik, liva sik, dayabitis, at sik) ɛn de mɛrɛsin wae yu de tek fɔ dɛm.
- If yu kin tek yu mɛrɛsin di rayt tɛm.
Mɛrɛsin ɛn sayd ɛfɛkt dɛn
Fɔ bɔku pipul dɛn, dɛn kin gi ART as pil we dɛn kin gi ɛvride. Sɔntɛnde, dɛn kin put bɔku mɛrɛsin dɛn togɛda fɔ mek wan pil. I rili kɔvinant. Ɛn naw, dis tritmɛnt de bak as injɛkshɔn we dɛn kin tek wan tɛm insay di mɔnt ɔ ɛvri tu mɔnt.
Sɔm pipul kin gɛt smɔl smɔl sayd ɛfɛkt wae dɛn bigin dis mɛrɛsin. Tin dɛm lɛk nɔs, vɔmit, bɛlɛ we de at, ed we de at, we yu nɔ de slip, ɛn we yu gɛt rɔsh na yu skin. Bɔt bɔku tɛm, dɛn tin ya go dɔn kpatakpata afta sɔm wiks as di bɔdi de yus to di mɛrɛsin.
Di tin we impɔtant pas ɔl na dat, ilɛksɛf yu gɛt sayd ɛfɛkt we yu nɔ go ebul fɔ bia, nɔ ɛva stɔp fɔ tek yu mɛrɛsin fɔ yusɛf. If yu du dat, i kin mek di vayrɔs skata kwik kwik wan bak ɛn i kin mek i nɔ ebul fɔ tek di mɛrɛsin. Dat rili denja. If yu gɛt ɛni prɔblɛm, tɔk to yu dɔktɔ wantɛm wantɛm. I kin chenj yu mɛrɛsin ɔ ɛp yu fɔ kɔntrol di sayd ɛfɛkt dɛn.
Monitoring di sakses fɔ di tritmɛnt
Afta yu dɔn bigin fɔ trit yu, yu dɔktɔ go de wach yu sik ɔltɛm. Dis go gɛt fɔ du wit tu men blɔd tɛst dɛn.
1. Vayral Lod Test: Chek di amount of vayrɔs na di bɔdi.
2. CD4 Kɔnt: Si di trɛnk we di imyun sistɛm gɛt.
כltεm, di vayral lod de fכl to "undetectable" lεvεl insay 1-6 mכnt afta dεn stat tritmεnt. Afta dat, dɛn kin kɔntinyu fɔ du dɛn tɛst ya di tɛm we di dɔktɔ tɛl dɛn fɔ si if ɔltin de go fayn.
Mɛsej we dɛn kin kɛr go na os
- HIV nɔto day sɛnt. Wit ART tritmɛnt, yu kin liv kɔmplit wɛl bɔdi, nɔrmal, ɛn lɔng layf.
- Dɛn fɔ tek ART tritmɛnt fɔ layf, jɔs lɛk aw di dɔktɔ tɛl am fɔ du, ɛn dɛn nɔ fɔ mis wan de .
- If yu vayral lod de na "Undetectable" lɛvɛl, yu nɔ go ebul fɔ pas HIV to ɔda pɔsin tru sɛks (U=U).
- If yu gɛt ɛni prɔblɛm ɔ sayd ɛfɛkt frɔm di mɛrɛsin, mek shɔ se yu tɔk to yu dɔktɔ bifo yu disayd fɔ yusɛf.
- Nɔto yu wan de. Yu dɔktɔ, yu fambul, ɛn yu padi dɛn we yu kin abop pan de fɔ ɛp yu fɔ du dis waka. Yu kin gɛt bɔku trɛnk bak na sɔpɔt grup dɛn.
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