Yu fil eni frayd ɔr risk bɔt di vayrɔs we dɛn kɔl HIV? Sɔntɛm yu de tink bɔt aw yu go gɛt HIV bikɔs ɔf yu layf, rilayshɔnship, ɔ ɔda rizin. If dis kayn risk de, naw wan rili fayn we de na di mɔdan mɛrɛsin fɔ protɛkt yusɛf frɔm am. Wi de tɔk bɔt am tide. Dat na di drɔg tritmɛnt we dɛn kɔl PrEP.
Fɔ tɔk am simpul wan, wetin na PrEP?
Di ful nem fɔ PrEP na Pre-Exposure Prophylaxis . Mek wi ɔndastand am insay Sinhala.
- Pri-Exposure min ‘bifo yu exposure’. Dat min se, bifo yu gɛt di vayrɔs.
- Prɔfylaksis min ‘tritmɛnt fɔ mek yu nɔ gɛt sik’.
So, fɔ tɔk am simpul wan, PrEP na drɔg tritmɛnt we dɛn kin tek bifo tɛm fɔ protɛkt di HIV vayrɔs bifo i go insay di bɔdi. Na mɛrɛsin we dɛn kin yuz fɔ protɛkt yusɛf frɔm HIV, jɔs lɛk aw dɛn kin yuz mɔskito nɛt fɔ protɛkt yusɛf frɔm dengue.
So wetin na HIV?
As yu no, HIV (Human Immunodeficiency Virus) na wan vayrɔs we de atak wi bɔdi in imyun sistɛm, di sojaman dɛn we de fɛt sik. Dis vayrɔs kin pas am mɔ bay:
- Fɔ du mami ɛn dadi biznɛs wit pɔsin we gɛt HIV we nɔ gɛt protɛkshɔn.
- Na bay we dɛn sheb di nidul, sirinj, ɛn ɔda tin dɛn we gɛt dɔti we pɔsin we gɛt HIV de yuz wit ɔda pɔsin.
If dɛn nɔ kɔntrol di HIV infɛkshɔn, as tɛm de go i kin bi wan siriɔs sik we dɛn kɔl AIDS (Acquired Immune Deficiency Syndrome). We AIDS bigin, i kin lɛf smɔl fɔ lɛ di bɔdi in imyun sistɛm dɔnawe wit am. Na dat mek i rili impɔtant fɔ mek dɛn nɔ gɛt HIV. PrEP na wan rili pawaful tul fɔ dat.
Udat fit fɔ yuz PrEP?
Dis tritmɛnt na fɔ pipul dɛm wae nɔr gɛt HIV bɔt wae gɛt bɔrku risk fɔ gɛt HIV. Fɛn ɔut if yu de pan denja.
- Yu go du mami ɛn dadi biznɛs wit pɔsin we gɛt HIV?
- Yu nɔ no fɔ tru if yu man we yu de du mami ɛn dadi biznɛs wit gɛt HIV ɔ nɔ gɛt HIV?
- Yu na pɔsin we de yuz injɛkshɔn fɔ tek drɔgs? Ɔ yu kin sheb nidul wit pɔsin we gɛt HIV ɔ we nɔ no am?
- Yu na uman we de plan fɔ gɛt bɛlɛ? Ɛn yu de pan denja fɔ gɛt HIV? If na so, PrEP kin protɛkt yu fɔ mek yu nɔ pas di vayrɔs to yu pikin we yu gɛt bɛlɛ ɛn we yu de gi in bɛlɛ.
Di impɔtant tin na dat PrEP nɔto mɛrɛsin we dɛn kin gi pipul dɛn we dɔn ɔlrɛdi gɛt HIV. Na drɔg we pipul dɛn we nɔ gɛt HIV kin tek fɔ mek i nɔ gɛt am.
Wetin yu fɔ du bifo yu bigin PrEP?
PrEP nɔto drɔg we yu kin jɔs waka insay famasi ɛn bay. I nid fɔ gɛt prɛskrishɔn frɔm dɔktɔ.
We yu si yu dɔktɔ, bɔku tɛm i go du dɛn tɛst ya bifo i bigin yu fɔ tek PrEP:
1. HIV test: Bifo yu stat PrEP, yu nid fɔ shɔ 100% se yu nɔ gɛt HIV.
2. Kidni fכnshכn tεst: Bikɔs sכm PrEP mεdikeshכn kin afekt di kidni dεm, dεn go chεk yu kidni hεlth.
3. Test fɔ ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs: Pipul dɛn we de pan risk fɔ gɛt HIV kin gɛt ɔda sik dɛn bak we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI), so dɛn kin tɛst dɛn bak fɔ dɛn sik ya.
- Epataytis B we gɛt di sik
- Epataytis C we dɛn kɔl C
- Sifilis we dɛn kɔl Sifilis
- Klamidia we gɛt di sik
- Gɔnoria we de mek pɔsin gɛt sik
Afta yu dɔn chɛk ɔl dis, if yu nɔ gɛt prɔblɛm fɔ yuz PrEP, yu dɔktɔ go tɛl yu di PrEP mɛrɛsin we go fayn fɔ yu.
Us kayn PrEP de na Sri Lanka ɛn di wɔl?
Bɔku men kayn mɛrɛsin dɛn de fɔ PrEP. Yu dɔktɔ go pik di wan we go fayn fɔ yu.
| PrEP tayp | Tɔk bɔt | Udat i fayn fɔ? |
|---|---|---|
| Pils dɛn we dɛn kin gi ɛvride (Oral PrEP) . Eks: Truvada®, Descovy®, ɛn ɔda pipul dɛn | Dis na di we aw dɛn kin yuz mɔ. Yu kin tek wan pil na wan tɛm we yu dɔn sɛt ɛvride. Di drɔgs we de insay dɛn pils ya de mek di HIV vayrɔs nɔ go insay ɛn spre insay di bɔdi in sɛl dɛn. | I fayn fɔ ɔlman, ivin man, uman, ɛn transjɛndor pipul dɛn (especially Truvada®). Naw dɛn dɔn gri fɔ di pil we dɛn kɔl Descovy® fɔ pipul dɛn we rɛjista as man we dɛn bɔn dɛn. |
| PrEP we dɛn kin tek injɛkshɔn (dɛn kin tek am ɛvri tu mɔnt) . Fɔ ɛgzampul: Apretude® | Dis na fayn tin fɔ di wan dɛn we fɔgɛt fɔ tek dɛn pils dɛn we dɛn kin it ɛvride. Di tritmɛnt kin bigin wit tu injɛkshɔn, wan mɔnt bitwin dɛn. Afta dat, ɛvri tu mɔntYu jɔs nid fɔ gɛt di vaysin. | I fayn fɔ ɔlman , ivin man ɛn uman. |
Ɛni sayd ɛfɛkt de we PrEP gɛt?
Lɛk ɛni mɛrɛsin, PrEP kin mek smɔl smɔl sayd ɛfɛkt. Bɔt bɔku tɛm, dɛn tin ya kin apin fɔ sɔm tɛm ɛn dɛn kin go insay sɔm wiks afta dɛn bigin fɔ trit am.
| PrEP tayp | Kɔmɔn smɔl smɔl sayd ɛfɛkt dɛn | Siriɔs sayd ɛfɛkt dɛn we dɛn nɔ kin si ɔltɛm |
|---|---|---|
| Pils dɛn we dɛn kin gi ɛvride | Dayarɛa, nɔs, bɛlɛ at, ed we de at, taya, we yu de lɔs yu wet. | Kidni de damej, bon de tan, liva de damej, laktik asid. |
| Vaksin dɛn we dɛn kin yuz | Apat frɔm di sayd ɛfɛkt dɛn we wi dɔn tɔk bɔt, i kin gɛt swel, pen, wan lump ɔnda di skin, ɛn wam na di say we dɛn injekt am. | Di bad bad sayd ɛfɛkt dɛn we wi bin dɔn tɔk bɔt. |
If dɛn sayd ɛfɛkt ya nɔ de chenj ɔ i de kam tranga, tɛl yu dɔktɔ wantɛm wantɛm.
Aw PrEP kin wok fayn?
Dis na di tin we impɔtant pas ɔl. We dɛn yuz am jɔs lɛk aw dɛn tɛl yu , PrEP na rili fayn we fɔ protɛkt yusɛf frɔm HIV.
- I de ridyus di risk fɔ gɛt HIV tru mami ɛn dadi biznɛs bay lɛk 99% .
- We dɛn sheb nidul de ridyus di risk fɔ mek dɛn gɛt HIV bay lɛk 74% .
Imajin aw dis na sef sef.
Fɔs tin fɔ no we yu de tek PrEP
1. PrEP nɔ de mek ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI)!
Mɛmba dis gud gud wan. PrEP de jɔs protɛkt pɔsin frɔm HIV. Fɔ protɛkt yusɛf frɔm ɔda STI dɛn lɛk sifilis, gɔnoria, ɛn klamidia, yu fɔ yuz kɔndɔm ɔltɛm.
2. Nɔ mis yu mɛrɛsin!
Ɛspɛshali if yu de tek pils ɛvride, yu nid fɔ tek am jɔs di rayt tɛm, ɛn yu nɔ fɔ mis wan de. If yu nɔ du dat, dat go mek di mɛrɛsin nɔ wok fayn.
3. Intarakshɔn wit ɔda mɛrɛsin kin apin.
If yu de tek mɛrɛsin fɔ ɔda tin dɛn (e.g. epilepsy, tuberculosis), mek shɔ se yu tɛl yu dɔktɔ. Sɔm mɛrɛsin dɛn kin intarakt wit PrEP.
4. Dɛn dɔn sɛtul fɔ du mɛdikal ɛgzam.
Ɔl di tɛm we yu de yuz PrEP, yu fɔ go to yu dɔktɔ wan tɛm ɛvri 3 mɔnt fɔ mek dɛn du HIV tɛst ɛn ɔda tɛst dɛn we yu nid.
Ustɛm a fɔ go to mi dɔktɔ?
If ɛnitin lɛk dis apin we yu de tek PrEP, go to dɔktɔ wantɛm wantɛm.
- If yu sɔspɛkt se yu go dɔn gɛt HIV (fɔ ɛgzampul, if yu du mami ɛn dadi biznɛs we nɔ sef we yu nɔ gɛt kɔndɔm), yu kin nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) dis tɛm.
- If di sayd ɛfɛkt dɛn bad ɔ nɔr de bɛtɛ as tɛm de go.
- If yu gɛt sɔm sayn dɛm fɔ di liva sik, lɛk we yu skin ɔ yu yay yɔlɔ, ɔ yu urine dak.
- If yu gɛt chenj na yu maynd lɛk pwɛl hat ɛn wɔri.
- If yu kam fɔ no se yu gɛt bɛlɛ ɔ yu fil se i pɔsibul fɔ mek yu gɛt bɛlɛ.
PrEP na wan tin we rili valyu fɔ wi fɔ fɛt HIV. If yu de pan denja fɔ gɛt HIV, nɔr frayd ɔ shem bɔt am, tɔk to dɔktɔ we yu kin trɔst. I go gi yu di rayt gayd.
Mɛsej we dɛn kin kɛr go na os
- PrEP (Pre-Exposure Prophylaxis) na wan mɛrɛsin we pipul dɛn we nɔ gɛt HIV bɔt we de pan denja fɔ am kin tek bifo tɛm fɔ protɛkt dɛnsɛf frɔm di vayrɔs.
- Dis mɛrɛsin fɔ jɔs tek pan dɔktɔ advays, ɛn dɛn fɔ du HIV ɛn ɔda tɛst bifo dɛn bigin am.
- Pan ɔl we PrEP kin ridyus di risk fɔ gɛt HIV bay lɛk 99%, i nɔ de protɛkt frɔm ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs, lɛk sifilis ɛn gɔnoria.
- Yu fɔ yuz kɔndɔm fɔ protɛkt yusɛf frɔm ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.
- We yu de tek PrEP, i rili impɔtant fɔ go to yu dɔktɔ wan tɛm ɛvri 3 mɔnt fɔ mek dɛn chɛk yu ɔltɛm .
- If yu tink se yu de pan denja fɔ gɛt HIV, nɔ fred fɔ tɔk to dɔktɔ ɛn aks if PrEP rayt fɔ yu.
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