Imajin se yu bin du mami ɛn dadi biznɛs we yu nɔ bin protɛkt, ɔ yu gɛt smɔl saspek se yu go gɛt di HIV vayrɔs ɔda we. E rili nɔrmal fɔ fil bɔrku frayd ɛn wɔri na tɛm lɛk dis. Bɔt nɔ panik. Wan spɛshal tritmɛnt de we kin mek pɔsin nɔ gɛt HIV pan dis kayn imejensi. Wi de tɔk bɔt dat tide.
Fɔ tɔk am simpul wan, wetin na PEP?
Di ful minin fɔ PEP na Post-Exposure Prophylaxis . Insay Sinhala, i min tritmɛnt we dɛn kin tek fɔ mek dɛn nɔ gɛt sik afta dɛn dɔn gɛt wan sik we de mek pɔsin gɛt sik. Dis na impɔtant tin we i kam pan di HIV vayrɔs.
Fɔ tɔk am simpul wan, PEP na wan kɔs fɔ mɛrɛsin we dɛn kin gi fɔ mek di infɛkshɔn nɔ establish na di bɔdi if yu tink se yu go dɔn gɛt di HIV vayrɔs. Dis na wan ɔ mɔ mɛrɛsin dɛn we dɛn jɔyn togɛda. Dɛn fɔ tek dis tritmɛnt ɛvride fɔ 28 dez .
Di tin we impɔtant pas ɔl na dat fɔ mek dis tritmɛnt wok fayn, yu fɔ bigin tek dis mɛrɛsin insay 72 awa (tri dez) frɔm we yu tink se yu bin gɛt di HIV vayrɔs. Di kwik we yu bigin, na di mɔ yu go gɛt bɛtɛ tin fɔ du.
Fɔ gɛt HIV na tin we pɔsin kin du fɔ mɛn pɔsin . So, if yu tink se yu go dɔn gɛt HIV tru mami ɛn dadi biznɛs, we yu de du mami ɛn dadi biznɛs wit yu, we yu de sheb nidul fɔ injɛkt drɔgs, ɔ we yu wund wit nidul na yu wokples, go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
Bɔt mɛmba wan tin. PEP na fɔ yuz am we i gɛt ɛnitin fɔ du wit am. Dɛn nɔ go ebul fɔ yuz am as lɔng tɛm protɛkshɔn fɔ pɔsin we de pan ay risk fɔ gɛt HIV. If yu de pan big risk, tɔk to yu dɔktɔ bɔt wan we fɔ protɛkt yu fɔ lɔng tɛm we dɛn kɔl PrEP (Pre-Exposure Prophylaxis).
Wetin kin apin bifo PEP bigin?
Bifo ɔ jɔs afta yu bigin fɔ tek PEP tritmɛnt, yu dɔktɔ go disayd fɔ du sɔm tɛst dɛn na yu bɔdi. Fɔ dis, dɛn kin tek sɛmpul dɛn lɛk blɔd ɛn urine. Dɛn kin du dɛn tɛst ya fɔ no di rayt kayn ɛn di doz fɔ di mɛrɛsin we dɛn nid fɔ gi yu.
Bɔku tɛm, dɛn kin chɛk tin dɛn lɛk dis:
- Gɛt tɛst fɔ si if yu dɔn ɔlrɛdi gɛt HIV.
- Ɛni epataytis B ɛn epataytis C vayrɔs infɛkshɔn de?
- Kɔnfɛm if yu gɛt bɛlɛ.
- Chek if yu kidni ɛn liva de wok fayn.
Bay di rizɔlt fɔ dɛn tɛst ya, yu dɔktɔ go gi yu di PEP mɛrɛsin we fit ɛn sef fɔ yu.
Yu kin tɛst bak fɔ ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs?
Yɛs. Bikɔs ivin wan tɛm we pɔsin du mami ɛn dadi biznɛs wit ɔda pɔsin, i kin mek pɔsin gɛt bɔku bɔku STI dɛn di sem tɛm. So dipen pan aw yu bin gɛt dis sik, yu dɔktɔ kin tɛst ɔ trit yu bak fɔ ɔda STI. Fɔ ɛgzampul:
- Gɔnoria we de mek pɔsin gɛt sik
- Klamidia we gɛt di sik
- Di sik we dɛn kɔl Trichomoniasis
Aw PEP tritmɛnt de wok?
Dɛn kɔl di mɛrɛsin dɛn we dɛn kin yuz fɔ trit PEP antiretroviral drɔgs . Dis na di sem drɔgs we dɛn kin yuz fɔ mɛn HIV. Wetin dɛn drɔgs ya de du rili simpul. Dɛn kin stɔp di HIV vayrɔs fɔ mek kɔpi fɔ insɛf, sheb, ɛn skata insay yu bɔdi.
Tink bɔt am lɛk tifman. Dat tifman de kam insay yu os we dɛn kɔl yu bɔdi ɛn tray fɔ mek bɔku ɔda tifman dɛn lɛk am. PEP drɔgs kin wok bay we dɛn kin lɔk domɔt ɛn put barɛri so dat di tifman nɔ go ebul fɔ mek mɔ tifman dɛn.
Difrɛn kayn drɔgs kin wok difrɛn we fɔ brok dɛn tin ya we de ambɔg dɛn. So we yu jɔyn sɔm kayn drɔgs, di chans fɔ mek di vayrɔs nɔ day kin ridyus bad bad wan. Di tritmɛnt kin wok fayn mɔ.
If wi bigin fɔ tek dɛn antivayrɔs drɔgs ya kwik , wi kin stɔp di HIV vayrɔs fɔ bi infɛkshɔn we go de sote go na yu bɔdi (chronic infection). Wae di infekshɔn dɔn establish, drɔgs nɔ kin ebul fɔ pul am kpatakpata, dɛn kin jɔs kɔntrol am. Di gol fɔ PEP na fɔ stɔp di vayrɔs bifo i rich da say de.
Us mɛrɛsin dɛn kin yuz fɔ PEP?
Dɔktɔ dɛn kin gi yu wan kɔmbayn antivayrɔs drɔgs fɔ PEP. Dɛn kin tek dɛn tin ya as pils. Di kɔmbaynshɔn dɛn we dɛn kin yuz mɔ, de na di tebul we de dɔŋ ya.
| Base Kɔmbaynshɔn | Atikul we dɛn kin yuz fɔ drɔgs |
|---|---|
Emtricitabin ɛn Tenofovir disoproksil fumarɛt (FTC/TDF) - (Truvada®) . Ɔ Emtricitabin ɛn Tenofovir alafenamid (FTC/TAF) - (Dɛscovy®) . | Raltegravir/RAL (Isentress®) we gɛt di sik. |
| Dolutegravir/DTG (TivicayTM) ɛn di wan dɛn we de gi di mɛrɛsin. | |
| Kɔmbaynshɔn fɔ Darunavir/DRV (Prezista®) ɛn Ritonavir/RTV (Norvir®) ɔ Cobicistat/COBI |
Dipen pan di kayn mɛrɛsin, yu kin nid fɔ tek am wan ɔ tu tɛm insay di de. So, bifo yu bigin fɔ tek PEP, mek shɔ se yu aks yu dɔktɔ bɔt di tɛm ɛn di we aw yu fɔ tek di mɛrɛsin. Yu dɔktɔ kin chenj di kayn ɔ doz fɔ dɛn mɛrɛsin ya bak dipen pan ɔda mɛrɛsin dɛn we yu gɛt.
Aw PEP tritmɛnt kin wok fayn? Wetin mek i kin fel?
Stɔdi dɔn sho se we dɛn tek PEP tritmɛnt kɔrɛkt wan, i kin ridyus di risk fɔ gɛt HIV pas 80% . Dat na big big sakrifays.
Bɔt sɔntɛnde, dis tritmɛnt nɔ kin wok fayn lɛk aw dɛn bin de tink. Bɔku rizin dɛn de fɔ dis. Lɛ wi si wetin dɛn bi.
| Rizin fɔ mek yu nɔ ebul fɔ du am | Fɔ ɛksplen am simpul wan |
|---|---|
| Delay fɔ bigin tritmɛnt | If i bigin 72 awa afta i dɔn ɛkspos, di vayrɔs kin dɔn bigin fɔ stebul na di bɔdi. |
| Skip di dos dɛm fɔ di mɛrɛsin | If yu nɔ tek di mɛrɛsin di rayt tɛm ɛvride, di kɔnsɛntreshɔn fɔ di mɛrɛsin na di bɔdi de go dɔŋ, we de gi di vayrɔs chans fɔ bi aktif bak. |
| Nɔ dɔn fɔ 28 dez | If yu nɔ dɔn di wan ol kɔs, dɛn nɔ go ebul fɔ kɔntrol di vayrɔs ɔl ɛn i kin kam bak. |
| Ri-ɛksplɔshɔn | If yu gɛt HIV bak we yu nɔ protɛkt yu we yu de tek PEP, di sakrifays we di tritmɛnt go gɛt go ridyus. |
| Wan vayrɔs we nɔ de tek drɔgs | Na smɔl tɛm nɔmɔ, di kayn HIV we yu dɔn gɛt kin ebul fɔ bia wit di mɛrɛsin dɛn we dɛn kin gi yu fɔ PEP. |
Ɛni sayd ɛfɛkt de fɔ PEP tritmɛnt?
PEP nɔto tritmɛnt we kin mek big big sayd ɛfɛkt. Bɔt sɔm pipul dɛn kin gɛt sɔm smɔl smɔl tin dɛn we nɔ kin izi fɔ dɛn. Bɔku tɛm, dɛn tin ya kin stɔp insay sɔm dez.
Di sayd ɛfɛkt dɛm we kin apin pas ɔl na:
- Fɔ fil taya (Fatigue) .
- Vɔmit
- Fɔ vɔmit
- Rɔnbɛlɛ
- Ɛd we de at
If yu gɛt ɛni wan pan dɛn sayn ya, tɔk to yu dɔktɔ. Bɔku tɛm, dɛn kin pul dɛn tin ya wit simpul mɛrɛsin. Nɔ tek ɛni mɛrɛsin we yu nɔ go to yu dɔktɔ.
Usay a fɔ go if a nid PEP?
Dis na di pat we impɔtant pas ɔl. Fɔ gɛt HIV na mɛdikal imejensi. So nɔ west tɛm ɛn go to dɔktɔ wantɛm wantɛm. Bɔku ples dɛn de we yu kin go.
1. Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu: Dis na di bɛst ɛn kwik opshɔn. Go na di ETU fɔ ɛni gɔvmɛnt ɔspitul ɛn ɛksplen yu sityueshɔn, usay yu kin gɛt di bɛsis tritmɛnt ɛn advays we yu nid.
2. Sekswal Ɛlth Klinik: Sɔm klinik dɛn de we gɛt sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs we de na big ɔspitul dɛn na Sri Lanka. Yu kin gɛt di advays ɛn tritmɛnt we yu nid frɔm dɛn klinik ya ɛn yu kin kip di kɔnfidɛns we yu nid.
3. Yu Famili Dɔkta: Yu famili dɔktɔ kin tɛl yu bak bɔt dis. Bɔt sɔntɛnde if i nɔ gɛt bɔku ɛkspiriɛns pan dis, i kin rifer yu to ETU ɔ spɛshal pɔsin.
Ɛnisay we yu go, tɔk klia wan se , "A sɔspɛkt se a kin dɔn gɛt HIV, ɛn a want fɔ no bɔt PEP tritmɛnt." Tɔk bak se na imejensi.
Wetin kin apin afta PEP tritmɛnt?
Afta yu dɔn yu 28 dez PEP tritmɛnt, yu wok nɔr dɔn. Yu go nid fɔ tek sɔm ɔda HIV tɛst fɔ mek shɔ se yu nɔ gɛt HIV.
Kin,
- Insay 4-6 wiks we yu dɔn ɛkspos
- Na 12 wik (insay 3 mɔnt) .
- Na 24 wik (insay 6 mɔnt) .
Di dɔktɔ advays yu fɔ du tɛst bak ɔltɛm. I rili impɔtant fɔ du ɔl dɛn tɛst ya fɔ mek shɔ se yu nɔ gɛt infekshɔn.
Mɛsej we dɛn kin kɛr go na os
- PEP na imejensi tritmɛnt we dɛn kin gi fɔ mek dɛn nɔ gɛt di sik afta dɛn dɔn gɛt di HIV vayrɔs.
- Fɔ mek dis tritmɛnt go fayn, dɛn fɔ bigin dis tritmɛnt insay 72 awa (3 dez) afta dɛn dɔn ɛkspos am.
- Dis na 28 dez kɔs fɔ tek mɛrɛsin, we dɛn fɔ dɔn lɛk aw dɛn dɔn plan am, ɛn yu nɔ fɔ skip wan de.
- If yu tink se yu dɔn gɛt di HIV vayrɔs, nɔ shem ɔ fred, bɔt go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ go to dɔktɔ.
- PEP nɔto sɔbstityuyt fɔ di we dɛn we de protɛkt pɔsin lɛk kɔndɔm. Na fɔ imejensi nɔmɔ.
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