Afta yu dɔktɔ dɔn kɔnfyus se yu gɛt HIV, dɛn kin dɔn tɛl yu fɔ bigin tek dis kɔmbayn mɛrɛsin. Bikɔs i gɛt tri nem dɛn (Efavirenz, Lamivudine, Tenofovir), i kin tan lɛk se i kɔnfyus smɔl fɔs. Bɔt nɔ wɔri. Dis na wan kɔmbaynshɔn we rili fayn fɔ yuz fɔ kɔntrol HIV ɔlsay na di wɔl. So tide, lɛ wi tɔk bɔt dis mɛrɛsin, aw i de wok na di bɔdi, aw fɔ tek am, ɛn wetin fɔ wach fɔ insay wan simpul we we izi fɔ ɔndastand.
Wetin kin rili apin wit dis kɔmbayn mɛrɛsin?
Fɔ tɔk am simpul wan, dis na tri kayn drɔgs we dɛn jɔyn togɛda. Wi kin kɔl dɛn tin ya "antiretroviral mɛrɛsin dɛm." Wetin dis pil de du na fɔ stɔp di HIV vayrɔs na yu bɔdi fɔ mek i nɔ skata mɔ, dat na, i de kɔntrol di vayrɔs fɔ mek i nɔ bɔku.
Tink bɔt di HIV vayrɔs lɛk ɛnimi we de atak yu bɔdi in difɛns sistɛm (immune system). Dis mɛrɛsin de ridyus di pawa we da ɛnimi de gɛt ɛn mek i kɔntinyu fɔ kɔntrol am. Dis kin mek yu imyun sistɛm wok strɔng bak.
Di tin we impɔtant pas ɔl: Dis mɛrɛsin nɔ de mɛn HIV ɔltogɛda. Dat min se i nɔ de pul di vayrɔs kɔmɔt na di bɔdi kpatakpata. Bɔt i kin kɔntrol di vayrɔs we de prɛd na di bɔdi fayn fayn wan, ɛn i kin ɛp yu fɔ liv wɛl, nɔmal layf fɔ lɔng tɛm.
Wan ɔda tin we yu fɔ mɛmba na dat, ivin we yu tek dis mɛrɛsin, di risk fɔ transmit HIV to ɔda pɔsin nɔ kin dɔn kɔmɔt kpatakpata. So, i rili impɔtant fɔ kɔntinyu fɔ fala di we aw pɔsin kin du mami ɛn dadi biznɛs we nɔ gɛt wan prɔblɛm. Dɔn bak, dis mɛrɛsin nɔ de protɛkt frɔm ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI).
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i go nid fɔ no yu kɔmplit wɛlbɔdi istri. So if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ. Nɔ ayd ɛnitin, bikɔs i rili impɔtant fɔ yu sef.
| Sik ɔ ɔda tin dɛn | Wetin mek dat impɔtant? |
|---|---|
| Bɔn prɔblɛm (e.g., ɔstioporosis) . | Di tin we de insay dis mɛrɛsin, Tenofovir, kin afɛkt di bon dɛnsiti sɔntɛnde. |
| At sik | Sɔntɛnde, di ritm we di at de bit kin afɛkt. |
| Wan histri bɔt mɛntɛl hεlth prɔblɛm (lɛk pwɛl hat, wɔri) ɔr fɔ yuse sɔm kayn mɛrɛsin | Di ingridiɛnt we dɛn kɔl Efavirenz kin afɛkt di maynd wɛlbɔdi. I impɔtant fɔ no bɔt dis if yu bin dɔn gɛt prɔblɛm dɛn bifo. |
| Pankriaytis we gɛt sik | Dis mɛrɛsin nɔ kin rili mek pɔsin gɛt pankrias. De risk kin pasmak if yu bin dɔn gɛt am bifo. |
| Epilepsy ɔr sik wae de mek pɔrsin fil bad (Seizures) . | Bikɔs dis mɛrɛsin kin afɛkt di nervɔs sistɛm, yu fɔ no se yu kin gɛt sik. |
| Alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | I impɔtant fɔ tɛl wi if yu gɛt ɛni alɛji fɔ di tin dɛn we de insay dis mɛrɛsin ɔ ɛni ɔda tin. |
| If yu de tray fɔ gɛt bɛlɛ ɔ yu gɛt bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt aw dis mɛrɛsin sef we yu gɛt bɛlɛ. |
| If dɛn de gi di pikin in mama in bɛlɛ | Dis mɛrɛsin kin pas to di pikin tru in mama in milk, so tɔk bɔt dis wit yu dɔktɔ. |
Wetin na di bɛst we fɔ tek di mɛrɛsin?
Dis na di pat we impɔtant pas ɔl we yu nid fɔ fala di rayt we. Fɔ mek yu gɛt di bɛst pan di mɛrɛsin, yu nid fɔ tek am jɔs lɛk aw dɛn tɛl yu fɔ tek am.
- Tek wit wata: Swɛla dis tablɛt ɔl wit wan glas wata.
- Tek ɛmti bɛlɛ: Dis rili impɔtant. Yu nid fɔ tek di mɛrɛsinTek at le 30 minit bifo yu it, ɔ 2 awa afta yu it. Di mɛrɛsin kin bɛtɛ we di bɔdi tek am we i tek am ɛmti bɛlɛ.
- Tek am bifo yu go slip: Bɔku tɛm, if yu tek dis mɛrɛsin bifo yu go slip, dat min se ɛni diziz ɔ slip we i go mek go apin we yu de slip, so i nɔ go ambɔg yu de du tin dɛn.
- Nɔ skip di doz fɔ ɛni rizin: Tek yu mɛrɛsin di sem tɛm ɛvride, jɔs lɛk aw yu dɔktɔ dɔn tɛl yu. If yu skip di dos, dat kin mek di HIV vayrɔs nɔ ebul fɔ tek di mɛrɛsin. Dis kin mek nɔto dis mɛrɛsin nɔmɔ bɔt ɔda HIV mɛrɛsin dɛn nɔ kin wok na yu bɔdi. Dis na tin we rili denja.
- Nɔ stɔp te yu dɔktɔ tɛl yu fɔ: Ilɛk aw yu fil fayn, kɔntinyu fɔ tek dis tritmɛnt te yu dɔktɔ tɛl yu fɔ stɔp.
Wetin fɔ du if yu ɔvados ?
If yu tink se yu dɔn tek mɔ pils pas aw yu tink, nɔ delay. Go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Wi ɔl kin fɔgɛt tin dɛn sɔntɛnde. Nɔ wɔri if yu mis wan doz.
- Tek di doz we yu mis as yu mɛmba.
- Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba, skip di doz we yu mis ɛn jɔs tek di nɛks doz na di tɛm we yu dɔn sɛtul.
- Nɔ tek dɛbul doz fɔ mek di doz we yu mis.
Speshal tin dɛn we yu fɔ wach bɔt we yu de tek mɛrɛsin
Yu nid fɔ tek smɔl ɛkstra kia fɔ yu wɛlbɔdi we yu de yuz dis mɛrɛsin.
- Yu fɔ chɛk yu dɔktɔ ɔltɛm: Bɔku tɛm, yu dɔktɔ go aks yu fɔ mek dɛn chɛk yu blɔd. Mek dɛn du ɔl dɛn tɛst dɛn de di rayt tɛm. Dɛn go ɛp yu fɔ si aw di mɛrɛsin de afɛkt yu bɔdi, if di vayrɔs de ɔnda kɔntrol, ɛn if yu ɔgan dɛm lɛk yu liva ɛn kidni de wok fayn fayn wan.
- Siriɔs riakshɔn na dɛn skin: Sɔm pipul dɛn kin gɛt siriɔs riakshɔn na dɛn skin sɔm wik ɔ mɔnt afta dɛn dɔn bigin dis mɛrɛsin. If yu gɛt fiva, yu bɔdi de at, yu skin gɛt rɛd ɔ pepul spat, yu gɛt blista, yu skin de pul, ɔ yu gɛt limf no dɛm we swel na yu fes, lip, nɛk, ɔ yu armpit, go to dɔktɔ wantɛm wantɛm.
- Drayv ɛn ɔpreshɔn mashin: Dis mɛrɛsin kin mek sɔm pipul dɛn gɛt diziz ɛn i nɔ kin izi fɔ pe atɛnshɔn pan. So, nɔ drayv ɔ yuz mashin te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu.
- Yuz rɔm:If yu tek dis mɛrɛsin wit rɔm, i kin mek yu gɛt mɔ sayd ɛfɛkt lɛk fɔ tɔn diziz ɛn fɔ slip. I nɔ fayn bak fɔ yu liva.
- Epataytis B: If yu gɛt HIV ɛn Epataytis B, if yu stɔp dis mɛrɛsin wantɛm wantɛm, dat kin mek yu Epataytis B simptom dɛn wɔs. So, mek shɔ se yu tɔk to yu dɔktɔ bɔt aw fɔ stɔp di mɛrɛsin.
- Fɔ mek yu nɔ gɛt bɛlɛ: If yu de yuz bɔn kɔntrol pils (we gɛt ɛstrojen ɛn projɛstin), if yu tek dis mɛrɛsin i go mek i nɔ wok fayn. So, tɔk to yu dɔktɔ bɔt aw fɔ yuz ɔda we fɔ kɔntrol bɔn pikin, lɛk kɔndɔm, apat frɔm we yu de yuz am.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, dis kin mek pɔsin gɛt sayd ɛfɛkt. Bɔt nɔto ɔlman kin gɛt dɛn. Sɔm dɛn siriɔs, ɛn ɔda wan dɛn nɔmal. Di tin we impɔtant pas ɔl na fɔ no bɔt dɛn tin ya ɛn go to dɔktɔ wantɛm wantɛm if yu notis ɛnitin we siriɔs.
Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm
If yu si ɛni wan pan dɛn sayn ya we de dɔŋ ya, go to dɔktɔ ɔ go na ɔspitul ɛn nɔ de te.
| Sayd ɛfɛkt we pɔsin kin gɛt | Aw yu de fil |
|---|---|
| Riakshɔn dɛn we pɔsin kin gɛt we i gɛt alɛji | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Liva Injuri we pɔsin kin gɛt | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ ɔ brawn, yu yay ɔ yu skin de yɔlɔ, ɛn yu taya pasmak. |
| Di chenj dɛn we de apin na di maynd ɛn di we aw pɔsin de biev | Bɔrku wɔri, nɔr de rεst, kɔnfyus, de si tin, wae yu de vɛks, yu de tink bɔt fɔ kil yusɛf, yu gɛt pwɛl hat. |
| Pankriaytis we gɛt sik | Siriɔs bɛlɛ pen we de rayt to di bak, pen we kin wɔs we yu de it ɔ tɔch di bɛlɛ, fiva, nɔs, ɛn vɔmit. |
| Kidni Injuri we pɔsin kin gɛt | di urine we de kכmכt dכn, di ankכl, an, כ fut de swel. |
| Laktik Asidכsis (we di laktik asid de bכku na di bכdi) . | Mɔsul dɛn de pen ɔ stiff, bɛlɛ de pen, i nɔ izi fɔ blo, jenɛral diskɔmfɔt ɛn taya. |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | Di an ɛn fut dɛn kin swɛla ɔ pen, di mɔsul dɛn kin wik, di we aw yu de si kin chenj, i nɔ kin izi fɔ tɔk, i nɔ kin izi fɔ waka, i kin gɛt sik. |
Sayd ɛfɛkt dɛn we kin apin bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de
Bɔku tɛm, dɛn tin ya kin stɔp insay sɔm dez, bɔt if dɛn kɔntinyu ɔ de mɔna yu bɔku, tɔk to yu dɔktɔ.
- Bak pen
- Rɔnbɛlɛ
- Ed de at
- Vɔmit
- Bɛlɛ de pen
- Inshɔmnia ɔ strenj drim dɛn
Ɔda mɛrɛsin dɛn we yu nɔ fɔ yuz wit dis mɛrɛsin ɛn we kin mek yu gɛt prɔblɛm
Dis na pat we rili impɔtant. Yu fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). Sɔm mɛrɛsin kin miks wit dis HIV mɛrɛsin ɛn mek dɛn gɛt siriɔs prɔblɛm.
Mɛrɛsin dɛn we dɛn nɔ fɔ ɛva tek togɛda:
- Ɛni ɔda mɛrɛsin we gɛt di tin dɛn we de insay dis mɛrɛsin (efavirenz, emtricitabine, lamivudine, tenofovir) .
- Disopiramid we dɛn kɔl disopyramid
- Ɛlbasvir; grazoprevir we dɛn kɔl grazoprevir
- Rifapentin we dɛn kɔl
- Vorikonazɔl we dɛn kɔl Voriconazole
Ɔda mɛrɛsin dɛn we kin mek yu gɛt prɔblɛm (tɛl yu dɔktɔ if yu de tek dɛn tin ya):
- Mεdikeshכn dεm we de dכn kכlestכl (e.g., Atorvastatin, Simvastatin) .
- Antibayɔtiks (e.g. Klaritromaysin, Rifampin) .
- Antifכngal dεm (e.g. Kεtokonazכl, Itrakonazכl) .
- Mɛrɛsin fɔ at sik ɛn ay blɔd prɛshɔn (e.g. Diltiazem, Verapamil) .
- Mεdikeshכn dεm fכ antikonvulsant (e.g. Carbamazepine, Phenytoin) .
- Mεdikeshכn dεm fכ mental sik (e.g. Bupropion, Sertraline) .
- Di tin dɛn we de mek pɔsin nɔ fil pen (NSAIDS) (e.g. Ibuprofen, Naproxen) .
- Warfarin (wan tin we de mek blɔd tan) .
- Mɛrɛsin fɔ HIV ɔ ɔda vayral infɛkshɔn
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek.
Mɛsej we dɛn kin kɛr go na os
- Dis mɛrɛsin de kɔntrol aw di HIV vayrɔs de skata na yu bɔdi. I nɔ de mɛn di sik, bɔt i de ɛp yu fɔ liv fayn layf.
- Tek di mɛrɛsin na ɛmti bɛlɛ , di sem tɛm ɛvride, lɛk aw di dɔktɔ se. Nɔ ɛva skip wan doz.
- Tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt, lɛk bad bad alɛji na yu skin, yu liva prɔblɛm, ɔ yu maynd chenj bad bad wan, go to dɔktɔ wantɛm wantɛm.
- If yu fil se yu wangren de ɔr pwɛl hat wae yu de tek dis mɛrɛsin, tɔk to yu dɔktɔ, yu fambul, ɔr yu padi wae yu kin abop pan. Nɔto yu wan de.
- If yu gɛt di rayt tritmɛnt, yu kin liv fayn fayn wan wit HIV.
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