Yu no bɔt HIV ɛn AIDS? Lɛ wi tɔk bɔt dɛn denja tin ya (HIV & AIDS)!

We yu yɛri di wɔd dɛn HIV ɛn AIDS, sɔntɛm yu kin fred smɔl, nɔto so? Pan ɔl we bɔku stori dɛn de bɔt dɛn tin ya na sosayti, i rili impɔtant fɔ no gud gud wan wetin dɛn kin bi, aw dɛn kin kam wit dɛn, ɛn aw fɔ protɛkt yusɛf. So tide, wi go tɔk bɔt dɛn tin ya ditayli, di we we yu go ɔndastand.

Wetin na HIV? (Wetin na HIV?)

Fɔ tɔk am simpul wan, HIV tinap fɔ Human Immunodeficiency Virus. We dis vayrɔs kam insay wi bɔdi, i kin atak wi imyun sistɛm. Na di men tin we dis vayrɔs de atak na di CD4 sɛl dɛn, we na wan kayn wayt blɔd sɛl we de protɛkt wi bɔdi frɔm sik dɛn. As di HIV vayrɔs de pwɛl dɛn sɛl ya, di ebul we wi bɔdi ebul fɔ fɛt sik dɛn de go dɔŋ smɔl smɔl.

Dis HIV vayrɔs de wok na wan we we rili kɔni. I de put in yon instrɔkshɔn dɛn insay di DNA na wi sɛl dɛn. Wi kin kɔl vayrɔs dɛn we de wok bak lɛk dis rεtrovayrɔs .

So wetin na AIDS? (Wetin na AIDS?)

AIDS tinap fɔ Acquired Immunodeficiency Syndrome . Dis na di las ɛn di stej we kin rili bad fɔ mek pɔsin gɛt HIV. Pɔsin we gɛt AIDS min se in imyun sistɛm dɔn wik bad bad wan bikɔs ɔf di HIV vayrɔs, ɛn dɛn CD4 sɛl dɛn dɔn drɔp bad bad wan. Dis kin mek dɛn kin gɛt difrɛn sik dɛn (opportunistic infections) ɛn ivin kansa we pɔsin we nɔmal fɔ gɛt wɛlbɔdi nɔ go izi fɔ gɛt.

Bɔku tɛm, if dɛn nɔ trit di HIV infɛkshɔn, i kin go bifo to AIDS insay lɛk 10 ia so.

Wetin na di difrɛns bitwin HIV ɛn AIDS?

Bɔku pipul dɛn kin kɔnfyus dɛn tu tin ya. HIV na wan vayrɔs. Na di vayrɔs we de mek wi imyun sistɛm wik. AIDS na di bad bad tin we pɔsin kin gɛt we i gɛt HIV. Na wan kɔlekɛshɔn fɔ sik dɛm we kin apin we di imyun sistɛm wik bad bad wan.

Di tin we impɔtant pas ɔl na dat pɔsin we nɔ gɛt HIV nɔ go ebul fɔ gɛt AIDS.

Wit di advans tritmɛnt tide, nɔto ɔlman we gɛt HIV go gɛt AIDS. Bɔt if dɛn nɔ trit dɛn, bɔku pipul dɛn we gɛt HIV kin gɛt prɔblɛm wit AIDS.

Wetin di HIV vayrɔs kin du to pɔsin?

We di HIV vayrɔs kam insay wi bɔdi, i de go stret fɔ fɛn di CD4 sɛl dɛn (Helper T cells) na wi imyun sistɛm. Dɔn i kin pwɛl dɛn sɛl dɛn ya. Dis kin mek di wayt blɔd sɛl dɛn we de na wi bɔdi nɔ bɔku. Dis kin mek wi bɔdi in difɛns sistɛm, we kin ebul fɔ wɛl izi wan ilɛksɛf wi sik, kin wik. Ivin smɔl sik kin kam siriɔs.

We yu fɔs gɛt HIV, yu kin gɛt sɔm sayn dɛm lɛk kol ɔr flu. Dɔn, di vayrɔs kin ledɔm na yu bɔdi fɔ lɔng tɛm ɛn nɔ gɛt ɛni sayn. Insay da tɛm de, i kin tif fɔ pwɛl yu CD4 sɛl dɛn.We di nɔmba fɔ di CD4 sɛl dɛn go dɔŋ bad bad wan, ɔ we yu bigin fɔ gɛt sik dɛn we pipul dɛn we gɛt wɛlbɔdi nɔ kin gɛt, dɛn kin se di HIV infɛkshɔn dɔn go bifo to AIDS.

We yu gɛt AIDS, yu kin bigin fɔ lɛf fɔ it bɔku bɔku it dɛn wantɛm wantɛm, yu kin taya pasmak, yu kin gɛt sos na yu mɔt ɔ yu bɔdi, yu kin gɛt fiva, yu kin swet na nɛt, ɛn yu skin kin chenj in kɔlɔ. Dɔn bak, pipul dɛn we gɛt AIDS kin gɛt ɔda sik ɛn kansa, so sɔm sayn dɛn we gɛt fɔ du wit dɛn sik dɛn de kin apin bak.

Lɛ wi lan smɔl bɔt wetin na rɛtrovayrɔs.

di sεl dεm na wi bכdi de wok akɔdin to wan bluprint (wan sεt כf instrכkshכn) we dεn kכl DNA. Dis DNA de mek wan mɛsej we dɛn kɔl RNA, ɛn akɔdin to da mɛsej de, dɛn mek di prɔtin dɛn we wi bɔdi nid.

Bɔt di rεtrovayrɔs dɛn kin wok di ɔda we. Dɛn rayt dɛn instrɔkshɔn dɛn wit RNA. we vayrus go insay wi sεl dεm, i de mכdify in RNA fכ lεk di DNA we de insay wi sεl dεm. Dɔn, i kin kɔt di DNA we de na wi sɛl dɛn ɛn put in instrɔkshɔn dɛn insay. Dɔn, wi sɛl dɛn de wok akɔdin to wetin di vayrɔs tɛl wi fɔ du. HIV na wan pan dɛn kayn rεtrovayrɔs ya.

Udat dɛn gɛt HIV pas ɔlman?

Di biliv we pipul dɛn biliv se "na sɔm pipul dɛn nɔmɔ kin gɛt HIV" nɔ rayt atɔl. Ɛnibɔdi we gɛt di vayrɔs kin gɛt HIV. Seks we nɔ gɛt protɛkshɔn ɛn fɔ sheb nidul fɔ injɛkt drɔgs na di men we dɛn we HIV kin skata.

Bɔt, akɔdin to sɔm pipul dɛn we gɛt HIV mɔ. Dɛn tin ya na:

• Gay, Bayseksual, MSM, ɛn ɔda pipul dɛn.
• Sɔm etnik grup dɛm, fɔ ɛgzampul blak pipul dɛm ɛn Hispanik dɛm (dis nɔ rili impɔtant to Sri Lanka, bɔt dis na di wɔl sityueshɔn).
• Pipul dɛn we de gi mami ɛn dadi biznɛs fɔ chenj fɔ mɔni ɔ ɔda tin dɛn kin gɛt bɔku prɔblɛm wit HIV.

Nɔto dɛn pipul ya nɔmɔ gɛt HIV. Bɔt dɛn grup ya kin gɛt bɔku tin dɛn we kin ambɔg dɛn fɔ mek dɛn nɔ gɛt HIV, fɔ tɛst dɛn, ɛn fɔ gɛt di rayt tritmɛnt. Di we aw pipul dɛn de et dɛnsɛf, di we aw dɛn de trit dɛn kɔmpin dɛn bikɔs dɛn kɔmɔt na ɔda kɔntri, po, ɛn di bad we aw pipul dɛn de trit pipul dɛn we gɛt HIV, de mek bɔku pipul dɛn nɔ ebul fɔ gɛt ay kwaliti wɛlbɔdi savis.

Aw kɔmɔn HIV de?

Di nɔmba fɔ nyu pipul dɛn we gɛt HIV na di wɔl dɔn go dɔŋ smɔl naw. Bɔt bɔku pipul dɛn stil de liv wit HIV. Impɔtant tin na dat, bɔku pipul dɛn we gɛt HIV nɔ kin ivin no se dɛn gɛt am. Na dat mek i impɔtant fɔ mek dɛn du tɛst fɔ HIV ɔltɛm.

Wetin na di sayn dɛm fɔ HIV?

Yu kin gɛt HIV ivin if yu nɔ gɛt ɛni sayn. Na dat mek i impɔtant fɔ mek dɛn du tɛst fɔ HIV ivin if yu nɔ fil se yu sik.

Sɔntɛnde, we yu fɔs gɛt HIV, yu kin gɛt sayn dɛn we tan lɛk fiva ɔ kol. Dɛn kɔl dis "Acute Retroviral Syndrome" (ARS) . Dɛn sayn ya na:

• Fiva
• A de kam kol.
• We pɔsin taya
• Trot de at
• Mɔsul dɛn kin pen
• Nayt swet dɛn
• Rash na di skin
• Di limf no dɛm we dɔn swel
• Sɔl dɛn na yu mɔt

Bɔrku tɛm, dɛn sayn ya kin stɔp insay wan ɔr tu wik, ɔr ivin wan mɔnt.

Wetin na di stej dɛm fɔ HIV?

Tri men stej dɛn de we pɔsin kin gɛt HIV:

Stej 1: Akyu HIV Infɛkshɔn

Sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk fiva ɔ kol insay wan ɔ tu mɔnt afta dɛn dɔn gɛt HIV. Bɔrku tɛm, dɛn sayn ya kin dɔn insay wan wik ɔr wan mɔnt. Insay dis tɛm , di vayrɔs de bɔku kwik kwik wan na di bɔdi, so i kin rili izi fɔ mek i gɛt ɔda pipul dɛn.

Stej 2: Kronik HIV Infεkshכn/Klinik Latεns

Afta di akyu faz, yu kin liv wit HIV fɔ lɔng tɛm ɛn nɔr kin fil sik. Dɛn kɔl dis “chronic phase” ɔ “clinical latency.” De impɔtant tin fɔ mɛmba na dat, ivin if yu nɔr fil sik, yu kin stil pas HIV to ɔda pipul dɛm. If yu nɔr gɛt tritmɛnt, dis faz kin las fɔ 10 ia ɔr mɔr. Bɔt fɔ sɔm pipul dɛn, dis pat kin dɔn kwik kwik wan. Pipul wae gɛt tritmɛnt kin de na dis faz fɔ bɔku bɔku ia.

Stej 3: AIDS

AIDS na di stej wae de pasmak pan HIV infεkshכn. Na dis stej, di HIV vayrɔs dɔn rili wik yu imyun sistɛm, we dɔn mek yu gɛt mɔ chans fɔ gɛt infɛkshɔn .

Opportunistic infection na infekshɔn wae kin izi fɔ pɔrsin wae gɛt wɛl bɔdi imyun sistɛm kin kɔntrol. Bɔt we di imyun sistɛm wik bikɔs ɔf HIV, dɛn sik ya kin ambɔg di bɔdi bad bad wan.

Di risk fɔ gɛt sɔm kayn kansa kin bɔku bak pan pipul dɛn we gɛt AIDS. Dɛn kansa ya ɛn opportunistic infɛkshɔn ya na dɛn ɔl togɛda "AIDS-defining illnesses."

Fɔ mek dɛn no se pɔsin gɛt AIDS, i fɔ gɛt HIV ɛn i fɔ gɛt at le wan pan dɛn tin ya:

• fכ gεt fכs pas 200 CD4 sεl dεm pan wan kubik milimita bכdi (200 sεl/mm3).
• Fɔ gɛt wan ɔ mɔ "AIDS-difayn sik dɛm".

Wetin na di sik dɛm we de mek pɔsin gɛt AIDS?

Dɛn tin ya na di infɛkshɔn we pɔsin kin gɛt we i gɛt chans, sɔm kansa (bɔku tɛm na vayrɔs kin kam wit am), ɛn sɔm sik dɛn we de na di nervɔs sistɛm. Sɔm ɛgzampul dɛn na:

• Burkitt lymphoma we gɛt di sik
• Kandidiasis na di brכnki, εsophagus, trakya כ di lכng
• Krכnik intestinal isosporiasis (cystoisosporiasis) we de las pas wan mכnt
• Coccidioidomycosis, we de skata/ekstrapulmonari
• Krכnik intestinal kriptosporidiosis we de las pas wan mכnt
• Saytomegalovayrɔs sik (nɔto di liva, splin, ɔ limf no dɛm), we kin apin to pipul dɛm we dɔn pas wan mɔnt.
• Saytomegalovayrɔs rɛtinayt (wit we pɔsin nɔ de si fayn) .
• Ɛnsɛfalɔpati we dɛn se na HIV
• Ekstrapulmonari kriptokɔkɔsis
• Hɛpi simpul ɔlsa (we kin las pas wan mɔnt) .
• Hɛpi simpul brɔnkayt, nyumonitis ɔ ɛsophagitis (we kin apin to pipul dɛn we dɔn ol pas wan mɔnt) .
• Histoplasmosis, we de skata/ekstrapulmonari
• HIV west sindrom (HIV wasting syndrome - we yu de lɔs yu wet pasmak) .
• Invasive sεvikal kεnsar
• Imyunoblastik Limfoma we dɛn kɔl
• Kaposi sarkoma
• Bɔku ɔ baktri infɛkshɔn dɛn we kin kam bak
• Mycobacterium avium komplex (MAC), we de skata/ekstrapulmonari
• Mycobacterium kansasii, we de skata/ekstrapulmonari
• Mycobacterium tuberculosis (TB) na ɛni say
• כda maykobakteriכm spεshal כ spεshal dεm we dεn nכ no, we dεn skata/εkstrapulmonari
• Nyumosistis jirovecii nyumonia (PCP) .
• Praymari limfoma na di bren
• Progresiv maltifokal lukoεnsεfalopati (PML) .
• Nyumonia we kin kam bak
• Salmonella septicemia we de kam bak bak (nɔto tayfɔyd) .
• Toxoplasmosis na di bren (de kin apin pan pipul dɛm wae dɔn pas wan mɔnt) .

Wetin na di sayn dɛm fɔ AIDS?

Di sayn dɛm fɔ AIDS kin kam bikɔs yu gɛt HIV insɛf, ɛn ɔda sik dɛm we de tek advantej pan yu imyun sistɛm we wik. Sɔm pan dɛn tin ya na:

• Fɔ lɔs yu wet kwik kwik wan
• Fiva ɔltɛm ɔ yu kin swet pasmak na nɛt
• Fɔ fil taya pasmak fɔ natin
• Di armpit, groin, ɔ di nɛk eria we de swel
• Dayarɛa we kin las fɔ sɔm wiks
• Sɔl dɛn na di mɔt, anus, ɔ di say dɛn we di uman in bɛlɛ de
• Nyumonia
• Rɛd, brawn, pink, ɔ pepul pat dɛn na di skin, insay di mɔt, nos, ɔ di yaylid
• Di mɛmori lɔs, pwɛl hat, ɛn ɔda nyurolɔjik prɔblɛm dɛn

Wetin kin mek pɔsin gɛt HIV/AIDS?

HIV na wan vayrɔs we dɛn kɔl Human Immunodeficiency Virus . dis vayrus de atak di CD4 sεl dεm (hεlp T-sεl dεm) na wi imyun sistεm.Dɛn kin atak dɛn ɛn pwɛl dɛn, ɛn dis kin mek di imyun sistɛm wik.

AIDS kin apin we HIV kin ridyus di nɔmba fɔ di imyun sɛl dɛn bad bad wan, ɛn dis kin mek di imyun sistɛm wik te i nɔ ebul fɔ fɛt ɔda sik dɛn.

Aw HIV de skata?

HIV kin pas tru di bכdi, sεmεn, vagina fluid, mama in milk, εn anal sekreshכ n fכ pכsin we gεt HIV. Ɛnibɔdi we gɛt ɛni jɛnɛral aydentiti ɔ we gɛt sɛkshɔnal ɔriɛnteshɔn kin gɛt HIV ɛn pas am to ɔda pipul dɛn.

Di vayrɔs kin go insay yu bɔdi tru yu mɔt, yu rɛkɛt, yu penis, yu vagina, ɔ yu skin we brok. If dɛn nɔ kɔt ɔ sɔri na di skin, di vayrɔs nɔ go ebul fɔ go insay di skin we gɛt wɛlbɔdi. If yu gɛt bɛlɛ ɛn yu gɛt HIV, di vayrɔs kin pas to yu pikin bak.

Fɔ du mami ɛn dadi biznɛs we nɔ gɛt protɛkshɔn ɛn fɔ sheb nidul fɔ injɛkt drɔgs na di men we dɛn we HIV de skata. Ivin if yu nɔr fil sik, yu kin stil pas HIV to ɔda pipul dɛm.

Yu tink se HIV kin pas tru kis?

Bikɔs HIV nɔ de pas tru saliva, i nɔ kɔmɔn fɔ transmit HIV tru kis. Bɔt if dɛn tu patna dɛn gɛt mɔt sos ɔ blɔd gam, chans rili smɔl fɔ mek dɛn gɛt HIV we dɛn de kis dip, opin mɔt, bikɔs dɛn kin chenj ɔda wata we de na di bɔdi.

Dɔn bak, HIV nɔ go ebul fɔ pas tru dɛn tin ya:

• Na bay we yu tɔch ɔ ɔg pɔsin we gɛt HIV/AIDS.
• Frɔm pɔblik tɔylɛt ɔ swimin pul dɛn.
• Fɔ sheb kɔp, dish, ɔ fon wit pɔsin we gɛt HIV/AIDS.
• Frɔm insɛkt dɛn we de bit lɛk mɔskito.
• Bay we dɛn gi blɔd (di tin dɛn we dɛn kin yuz fɔ gi blɔd na Sri Lanka rili sef).

Aw a go no if a gɛt HIV?

Yu nɔ go ebul fɔ no if pɔsin gɛt HIV bay we yu luk am. Dɔn bak, yu kin gɛt HIV ɛn yu nɔ kin gɛt ɛni sayn. Di wangren we fɔ no if yu gɛt HIV na fɔ du HIV tɛst.

Bikɔs lɛk wan pan ɛvri sɛvin pipul dɛn we gɛt HIV nɔ no se dɛn gɛt am, i fayn fɔ mek ɔlman we ol bitwin 13 ɛn 64 ia du tɛst fɔ HIV at le wan tɛm as pat pan di rutin wɛlbɔdi chɛk. Dis tɛst na fɔ yusɛf ɛn na kɔnfidɛns.

Aw dɛn kin no se pɔsin gɛt HIV? (Diagnosis) .

Dɛn kin no se yu gɛt HIV bay we dɛn tɛst yu blɔd ɔ yu saliva . Yu kin gɛt dis tɛst na os (wit tɛst kit dɛn we yu kin gɛt na os), na dɔktɔ in ɔfis, ɔ na tɛst sɛnta na yu eria.

If yu tɛst rizɔlt na "Negative" , yu nɔ nid fɔ du ɔda tɛst pan dɛn kayn tin ya:

• If yu nɔ bin dɔn gɛt HIV ɛni we insay di tri mɔnt bifo di tɛst.
• If yu nɔ bin dɔn gɛt di vayrɔs insay di "window period" fɔ di blɔd tɛst (di tɛm we i tek fɔ mek dɛn no di vayrɔs). (If yu nɔ shɔ bɔt di winda tɛm fɔ di tɛst we yu dɔn tek, aks yu dɔktɔ.)

If yu bin dɔn ɛkspos insay tri mɔnt afta yu tek di tɛst, i fayn fɔ mek yu du tɛst bak fɔ kɔnfɔm "nɔ" rizɔlt.

If yu tɛst rizɔlt kam bak "Positive," di lab go du ɔda tɛst fɔ kɔnfɔm di rizɔlt.

Wetin na di kayn tɛst fɔ no if pɔsin gɛt HIV?

Tri men kayn HIV tɛst de:

1. Antijen/Antibodi Tεst dεm:

• di antijen tεst dεm de luk fכ wan mak we dεn kכl p24 na di say we di HIV vayrus de. Antibodi test dεm de luk fכ kεmεkal dεm we wi bכdi de mek agens dεn mak dεm de. Dis tɛst de luk fɔ ɔl tu.
• Dɔktɔ kin tek smɔl blɔd frɔm wan vein we de na yu an. Dɛn kin sɛn am na lab ɛn tɛst am fɔ p24 ɛn antibodies to am. Dis tɛst kin no HIV bitwin 18 ɛn 45 dez afta dɛn dɔn gɛt am.
• Dɛn kin du wan rɔpid antijen/antibɔdi tɛst wit finga stik blɔd sɛmpul. Dis tɛst kin no HIV at le 18 dez afta dɛn dɔn gɛt am. I kin tek 90 dez fɔ gɛt kɔrɛkt rizɔlt. ("Rapid" de tɔk bɔt di tɛm we i tek fɔ gɛt rizɔlt, nɔto di tɛm we i tek fɔ no di vayrɔs).

2. Antibodi Tεst dεm:

• Dɛn tɛst ya kin luk fɔ antibodi dɛm fɔ HIV na yu blɔd ɔ saliva. Dis kin bi bay we yu tek blɔd sɛmpul frɔm vein na yu an, finga prik, ɔ saliva sɛmpul frɔm swab na yu gam.
• I kin tek bitwin 23 ɛn 90 dez afta dɛn dɔn ɛkspos fɔ mek dɛn du antibodi tɛst fɔ no HIV. Antibodi tɛst, we dɛn kin du pan blɔd we dɛn pul frɔm vein, kin no HIV kwik kwik wan pas tɛst we dɛn kin du pan saliva ɔ blɔd we dɛn pul frɔm finga stik.

3. Nyukliyk Asid Tɛst (NAT): .

• NAT dɛn kin luk fɔ di HIV vayrɔs na yu blɔd. Dɔktɔ kin tek smɔl blɔd frɔm wan vein we de na yu an. Dɛn kin sɛn am na lab fɔ mek dɛn tɛst am fɔ HIV.
• Wan NAT kin ɔltɛm no HIV bitwin 10 ɛn 33 dez afta dɛn dɔn gɛt am. Bɔt, dɛn kin jɔs du dis tɛst if yu dɔn gɛt ay risk ɛksposhɔn.

If yu tɛst rizɔlt "positiv," yu dɔktɔ go tɛl yu fɔ du ɔda tɛst fɔ no if yu gɛt wɛlbɔdi. Dɛn tin ya kin bi:

• Kɔmplit Blɔd Kɔnt (CBC) .
• Vayral ɛpatitis skrinin
• X-ray na di chɛst
• Pap smear (fɔ uman dɛn) .
• CD4 sel kכnt (CD4 kכnt) .
• Tubakulɔsis tɛst

Ɛni HIV tɛst de we dɛn kin du na os? (Tɛst dɛn we dɛn kin du na os)

Yɛs, HIV tɛst kit dɛn de we yu kin du na os. Sɔm pan dɛn na tɛst dɛn we kin apin kwik kwik wan. Insay dɛn, yu kin rɔb yu gam wit sɔft, fleksibul swab. Dɔn, dɛn kin put di swab insay wan tiub wit spɛshal wata ɛn rid di rizɔlt. Di rizulyt kin de insay 15-20 minit.

Ɔda tɛst dɛn we yu kin du na os kin yuz wan tin fɔ chuk yu finga wit smɔl nidul. Dɛn kin put wan drɔp blɔd pan kad, ɛn dɛn kin sɛn di tɛst kit to wan lɛb fɔ no di rizɔlt.

If yu os tɛst rizɔlt "positiv," yu fɔ rili go to yu dɔktɔ ɛn gɛt ɔda tɛst fɔ kɔnfɔm di rizɔlt.

Yu tink se mɛrɛsin de fɔ HIV?

Naw, no mɛrɛsin nɔ de fɔ HIV. Bɔt bɔku tritmɛnt dɛn de we rili ebul fɔ kɔntrol di we aw HIV de go bifo.

Aw dɛn kin trit HIV? (Tritmɛnt)

Dɛn kin trit HIV wit wan mɛrɛsin we dɛn kin it ɛvride we dɛn kɔl antiretroviral therapy (ART) .

Fɔ tek wan kɔmbayn difrɛn mɛrɛsin, pas fɔ tek wan mɛrɛsin nɔmɔ, na di bɛst we fɔ stɔp HIV fɔ mek i nɔ skata ɛn pwɛl di sɛl dɛn. Kɔmbayn pils dɛn de bak we gɛt bɔku drɔgs dɛn na wan pil. Yu dɔktɔ go tek tɛm pik di rayt kɔmbayn fɔ yu.

Di gol fɔ ART tritmɛnt na fɔ ridyus di HIV we de na di blɔd (vayral lod) to di lɛvɛl we dɛn nɔ go ebul fɔ no bay HIV tɛst ɛn fɔ kɔntrol di wikɛd we di imyun sistɛm de wik we HIV de mek.

Di mɛrɛsin dɛn we dɛn kin yuz fɔ HIV

Ɛni kayn mɛrɛsin we dɛn kin yuz na ART kin wok difrɛn we fɔ stɔp di HIV vayrɔs fɔ mek i nɔ mek mɔ kɔpi fɔ insɛf ɔ fɔ infɛkt yu sɛl dɛn. Di sem kayn ART mɛrɛsin kin gɛt difrɛn brand nem dɛn.

Bɔku kayn ART mɛrɛsin dɛn de:

• Nyukliosayd rivεs transkriptεz inhibito dεm (NRTI) .
• Nɔn-nyukliɔsayd rivas transkriptayz inhibito dɛn (NNRTIs) .
• Protease inhibito dεm (PI dεm) .
• Fyushɔn inhibito dɛn
• CCR5 rεsεptכr blכkεr dεm (CCR5 antagonist dεm) .
• Integrase strand transfכm inhibito dεm (INSTI dεm) .
• Di tin dɛn we de mek pɔsin nɔ atak pɔsin
• Pɔst-atachmɛnt inhibito dɛn
• Famakokinɛtik ɛnhansa dɛn
• Kɔmbaynshɔn fɔ HIV mɛrɛsin dɛn

Aw a go tek kia ɔf misɛf we a de liv wit HIV?

I rili impɔtant fɔ tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am, di rayt tɛm, ɛn nɔ fɔ skip yu dɔktɔ in apɔntinmɛnt. Dɛn kɔl disDɛn kɔl am tritmɛnt adherence.

If yu mis fɔ tek yu mɛrɛsin, ivin bay aksidɛnt, di HIV vayrɔs kin chenj di we aw i de ambɔg di sɛl dɛn (mutate). If dat apin, di mɛrɛsin we yu de tek nɔ go wok. If yu wok schedule de mek yu nɔ ebul fɔ tek yu mɛrɛsin di rayt tɛm ɔ kip di apɔntinmɛnt, tɔk to yu dɔktɔ bɔt dat.

Wetin a fɔ ɛkspɛkt if a gɛt HIV?

If dɛn no se yu gɛt HIV, di tin we impɔtant pas ɔl fɔ no na dat pipul dɛn we gɛt HIV we de fala di tritmɛnt instrɔkshɔn kɔrɛkt wan kin liv ful, lɔng layf, jɔs lɛk pɔsin we nɔ gɛt HIV.

Risach dɔn sho se if yu CD4 sɛl kɔnt bɔku ɛn yu nɔ go ebul fɔ no yu vayral lod insay wan ia we yu bigin fɔ trit yu, yu go gɛt di bɛst rizɔlt, as lɔng as yu kɔntinyu fɔ fala di tritmɛnt plan.

Yu kin mek yu tink bɛtɛ bay we yu du dɛn tin ya:

• Gɛt tɛst as pat pan di rutin wɛl bɔdi chɛk-ap, ɔ if yu tink se yu go dɔn gɛt dis sik.
• Start ART tritmɛnt kwik kwik wan afta dɛn dɔn no se yu gɛt HIV.
• Tek yu mɛrɛsin kɔrɛkt wan ɛvride.
• Kip apɔntinmɛnt wit yu mɛdikal tim.

Pan ɔl we ART kin ridyus di vayrɔs we de na yu blɔd to di lɛvɛl we yu nɔ go ebul fɔ no, i nɔ kin ebul fɔ pul di vayrɔs kɔmɔt na yu bɔdi kpatakpata (i kin ledɔm insay yu sɛl dɛn). If yu nɔr de tek yu mɛrɛsin ɔltɛm, di vayrɔs kin bigin fɔ skata bak ɛn chenj, ɛn yu mɛrɛsin kin stɔp fɔ wok.

If dɛn nɔ trit am, i kin tek lɛk 10 ia so fɔ mek HIV go bifo to AIDS. If yu gɛt AIDS ɛn dɛn nɔ trit yu, yu kin tink se yu go liv fɔ lɛk tri ia mɔ.

Bɔt pan di wan dɛn we de pan tritmɛnt, if di CD4 sɛl kɔnt bɔku ɛn dɛn nɔ ebul fɔ no di vayral lod insay wan ia we dɛn bigin fɔ trit dɛn, dɛn kin liv lɔng lɛk pɔsin we nɔ gɛt HIV. If di CD4 sɛl kɔnt smɔl insay wan ia we dɛn bigin fɔ trit am, ɔ if dɛn nɔ ebul fɔ no di vayral lod, i go mɔs bi se dɛn go liv 10-20 ia smɔl pas pɔsin we nɔ gɛt HIV.

Yu tink se HIV kin go fɔ insɛf?

HIV nɔ de go fɔ insɛf. Bikɔs i de jɔyn to yu DNA, yu sɛl dɛn kin tink se na pat pan yu. Pan ɔl we yu nɔ go gɛt ɛni sayn fɔ lɔng tɛm afta yu gɛt di sik fɔs, ɛn yu nɔ go fil sik, di HIV vayrɔs kin kɔntinyu fɔ pwɛl yu imyun sistɛm.

We yu de tek mɛrɛsin, tɛm kin de we di vayrɔs kin tu smɔl fɔ mek dɛn no am pan HIV tɛst. Insay dɛn tɛm ya, HIV kin de ayd na yu bɔdi, we yu nɔ go ebul fɔ no. i kin "wek" insay di fכs tεm εn bigin fכ pwεl yu sεl dεm bak.

Na dat mek i rili impɔtant fɔ kɔntinyu fɔ tek yu HIV mɛrɛsin, ivin if yu nɔ fil sik ɔ yu gɛt di vayrɔs lɛvɛl we yu nɔ go ebul fɔ no. If yu nɔ gɛt tritmɛnt, HIV kin mek yu imyun sistɛm wik, ɛn leta i nɔ kin ebul fɔ fɛt ɔda siriɔs sik dɛn.

Aw a go ridyus di risk fɔ gɛt HIV?

Di bɛst we fɔ ridyus yu risk fɔ gɛt HIV na fɔ no aw i de skata ɛn fɔ protɛkt yusɛf pan sɔm tin dɛn we yu de du. Fɔ du mami ɛn dadi biznɛs we nɔ gɛt protɛkshɔn ɛn fɔ sheb nidul fɔ injɛkt drɔgs na di men we dɛn we HIV de skata.

Na sɔm we dɛn ya we yu go ebul fɔ ridyus di prɔblɛm we yu gɛt:

• Yuz lɛtɛks kɔndɔm (rɔba) fɔ ɛni kayn mami ɛn dadi biznɛs (vagina, anal, ɔ ɔral). Nɔ yuz kɔndɔm we dɛn mek wit animal prɔdak (e.g., ship skin).
• Yuz wata-based lɔbrikɛnt (lɔshɔn).
• Nɔ ɛva sheb nidul fɔ injɛkt drɔgs.
• Gɛt tɛst ɛn tritmɛnt fɔ ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI). If yu gɛt ɔda STI, dat kin mek yu gɛt HIV mɔ ɛn mɔ.
• Nɔ drɔnk ɔ yuz drɔgs fɔ pul yu maynd pan sɔntin. Pipul dɛn we dɔn chak nɔ kin ebul fɔ protɛkt dɛnsɛf.
• If yu de pan big risk fɔ gɛt HIV, aks yu dɔktɔ if yu fɔ tek PrEP (pre-exposure prophylaxis) .
• If yu tink se yu go dɔn gɛt HIV, go to yu dɔktɔ kwik kwik wan fɔ si if yu nid fɔ tek PEP (Post-exposure prophylaxis) .
• Tink bɔt fɔ du tɛst fɔ si if yu kin pas HIV to ɔda pipul dɛn.

Fɔ yuz kɔndɔm kɔrɛkt wan rili impɔtant fɔ protɛkt yusɛf frɔm HIV. Yuz man kɔndɔm we yu de du ɛni sɛkshɔnal aktiviti we gɛt fɔ du wit yu penis.

Yu kin protɛkt yu vagina ɔ yu an wit ɛni wan pan di dɛnt dɛm ɔ intanɛnt kɔndɔm (uman kɔndɔm) . Dental dɛm na flat pat pan polyurethane ɔ latex we dɛn kin put oba di vagina ɔ anus we dɛn de du ɔral sɛks. yu kin put intanεt kכndכm insay di vagina כ anus εn yuz am.

Na wan kayn kɔndɔm nɔmɔ yu fɔ yuz wan tɛm. Nɔ yuz man kɔndɔm ɛn intanɛnt kɔndɔm di sem tɛm.

Yu tink se mɛrɛsin kin mek yu nɔ gɛt HIV?

Dɛn mɛrɛsin dɛn de we kin ɛp fɔ mek dɛn nɔ gɛt HIV fɔ di wan dɛn we dɔn gɛt dis sik ɔ di wan dɛn we gɛt ay risk fɔ gɛt dis sik. Dɛn kɔl dɛn tin ya PrEP (Pre-exposure prophylaxis) ɛn PEP (Post-exposure prophylaxis) .

Prε-εkspכzishכn prכfylaksis (PrEP) .

PrEP na wan pil we yu kin tek ɛvride if yu nɔ gɛt HIV bɔt yu de pan ay risk fɔ gɛt di sik.

Na mɔtalman, if yu nɔ gɛt HIV, yu dɔn du mami ɛn dadi biznɛs wit yu anal ɔ vagina insay di pas siks mɔnt, ɛn ɛni wan pan dɛn tin ya na tru, i fayn fɔ tek PrEP:

• Yu patna we yu de du mami ɛn dadi biznɛs wit gɛt HIV.
• Yu nɔ bin de yuz kɔndɔm ɔltɛm.
• Yu dɔn gɛt wan sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs wit ɔda pɔsin (STI) insay di las siks mɔnt.

Dɛn kin se yu fɔ du PrEP if yu nɔ gɛt HIV, yu injɛkt drɔgs, ɛn if ɛni wan pan dɛn tin ya na tru:

• Yu injekt drɔgs wit yu patna we gɛt HIV.
• Yu kin sheb nidul ɔ ɔda tin dɛn fɔ injɛkt drɔgs.

PrEP nɔto sɔbstityuyt fɔ ɔda kayn protɛkshɔn. Ivin we yu de tek PrEP, yu fɔ stil yuz kɔndɔm ɛn avɔyd fɔ sheb nidul fɔ injɛkt drɔgs.

Pɔst-ɛksplɔshɔn prɔfylaksis (PEP) .

PEP de yuz HIV mɛrɛsin fɔ tray fɔ mek yu nɔ gɛt HIV kwik kwik wan afta yu dɔn gɛt am. PEP na fɔ pipul dɛm wae nɔr gɛt HIV, ɔr wae nɔr no if dɛn gɛt HIV bɔt dɛn tink se dɛn kin dɔn gɛt dis sik bay we dɛn gri fɔ du mami ɛn dadi biznɛs, we dɛn kin du mami ɛn dadi biznɛs wit dɛn, we dɛn sheb nidul (ɔ ɔda tin dɛn), ɔ we dɛn kin gɛt fɔ du wit di wok we dɛn de du.

Yu fɔ bigin PEP insay 72 awa afta yu dɔn gɛt am ɛn tek am ɛvride fɔ 28 dez. PEP na fɔ imejensi nɔmɔ, ɛn nɔto fɔ tek ɔda kayn protɛkshɔn, lɛk fɔ yuz kɔndɔm.

If a gɛt HIV, aw a go mek i nɔ skata to ɔda pipul dɛn?

Di bɛst we fɔ mek yu nɔ gɛt HIV to ɔda pipul dɛn, bɔku pan dɛn na di sem wit di we dɛn fɔ protɛkt yusɛf:

• Tɛl yu patna dɛn we yu de du mami ɛn dadi biznɛs wit ɛn di wan dɛn we de injekt drɔgs wit yu se yu gɛt HIV.
• Fɔ fala yu tritmɛnt plan ɛn nɔ skip yu mɛrɛsin. If yu vayral lod nɔ de no, yu risk fɔ transmit HIV tru sɛkshɔnal kɔntakt de ridyus bad bad wan (U=U: Undetectable = Untransmittable).
• Tɔk to yu sɛkshɔnal patna bɔt aw fɔ tek PrEP.
• Ivin if yu nɔ de si yu vayral lod, wɛr kɔndɔm we yu de du mami ɛn dadi biznɛs wit yu vagina, anal, ɛn ɔral.
• Nɔ sheb nidul ɔ ɔda tin dɛn we dɛn kin yuz fɔ injɛkt drɔgs.
• Limit yu nɔmba fɔ di wan dɛn we yu de du mami ɛn dadi biznɛs wit.
• If yu gɛt bɛlɛ ɛn yu gɛt HIV, fɔ fala yu tritmɛnt plan, inklud ART mɛrɛsin, kin ridyus di risk fɔ pas di vayrɔs to yu pikin.

A kin gɛt bɛlɛ if a gɛt HIV?

Sɔm pipul dɛn kin tink se HIV kin mek i nɔ izi fɔ gɛt bɛlɛ, bɔt dat nɔto tru. If yu gɛt HIV ɛn yu want fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ. Tugeda una kin mek plan fɔ mek una, yu patna, ɛn yu pikin dɛn we yu go gɛt tumara bambay gɛt wɛlbɔdi.

Yu kin pas HIV to yu patna tru mami ɛn dadi biznɛs we yu nɔ protɛkt, ɛn to yu pikin we i gɛt bɛlɛ, we i de bɔn pikin, ɛn we i de gi in bɛlɛ. If yu tek ART, i kin ridyus di risk fɔ pas HIV to yu pikin, mɔ if yu nɔ ebul fɔ no yu vayral lod. Yu dɔktɔ kin se yu fɔ gi yu pikin fɔmula instead fɔ gi yu mama in milk.

Ustɛm a fɔ go to mi dɔktɔ?

If yu tink se yu go dɔn gɛt HIV, kɔl yu dɔktɔ wantɛm wantɛm. If yu gɛt HIV, i rili impɔtant fɔ bigin fɔ trit yu kwik kwik wan .

If yu dɔn no se yu gɛt HIV, fala wetin yu dɔktɔ tɛl yu bɔt ustɛm fɔ tɔk. E fayn fɔ trit ɛni kayn infekshɔn, so tɔk to dɛm if yu gɛt nyu sik lɛk fiva, swet na nɛt, dayarɛa, ɔr ɛni ɔda tin wae de wɔri yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• A de pan risk fɔ gɛt HIV?
• Wetin a kin du fɔ ridyus di risk fɔ gɛt HIV?
• Aw a go mek shɔ se a tek mi mɛrɛsin kɔrɛkt wan?
• Wetin a go du fɔ protɛkt misɛf frɔm ɔda sik dɛn?
• Aw fɔ mek HIV nɔ skata?
• Wetin mi tɛst rizɔlt min?
• Wetin mi blɔd kɔnt min?
• Us vaksin dɛn a fɔ gɛt?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Di we aw dɛn kin trit pipul dɛn bɛtɛ tide pas aw dɛn bin de du di tɛm we AIDS bin de bɔku. If dɛn no se yu gɛt di sik kwik kwik wan, put ART, ɛn stik to am, yu gɛt di bɛst chans fɔ liv lɔng layf. Tide, pipul dɛm wae gɛt HIV kin woke, gɛt aktif soshal layf, mɛn famili, ɛn gɛt fayn fayn padi biznɛs. Infakt, dɛn tin ya kin afɛkt yu maynd fayn fayn wan.

I nɔ mata aw fa wi dɔn kam pan tritmɛnt, i sɔri fɔ no se di stigma we de arawnd HIV stil de. Apat frɔm de frayd ɛn nɔr kin no wetin fɔ du wit nyu sik, yu kin wɔri bak bɔt aw pipul dɛm wae de arawnd yu go biev. If yu de shem fɔ gɛt tɛst ɔ tritmɛnt, ɔ if yu nɔ shɔ bɔt yu nɛks step, tɔk to kɔmyuniti ɔganayzeshɔn we spɛshal pan HIV. Mɛmba se yu gɛt rayt fɔ sɔpɔt, sɔri-at, ɛn fɔ kia fɔ yu wɛlbɔdi biznɛs fayn fayn wan.

` HIV, AIDS, imyun sistεm, rεtrovayrus, CD4 sεl dεm, ART tritmεnt, sεkswal hεlth