Sudesh (we ol 23 ia) bin kam na mi klinik da de de ɛn i bin rili fred. I nɔ tu te yet we i bin dɔn rid na di intanɛt se di HIV (human immunodeficiency virus) infɛkshɔn de bɔku kwik kwik wan pan yɔŋ pipul dɛn na Sri Lanka.
"Dr. Priya, a de fil rili fred wen a si dis data. Di situeshɔn fo Sri Lanka rili bad dis? Wetin bi di rizin fo dis spred, espeshali fo yong man? Wi no fit eskap dis?" Sudesh aks wit big intres.
A bin ɛksplen to Sudesh wit kol at se: "Sudesh, i rili impɔtant fɔ mek yu aks dis kwɛstyɔn. Bikɔs tide di bɔku bɔku HIV infɛkshɔn pan di yɔŋ jɛnɛreshɔn na Sri Lanka dɔn bi siriɔs pɔblik wɛlbɔdi prɔblɛm. Bɔt di tin we impɔtant pas ɔl na fɔ nɔ fred dis, bɔt fɔ no di kɔrɛkt sayɛns infɔmeshɔn ɛn di we aw fɔ mek dɛn nɔ gɛt dis sik. Lɛ wi tɔk bɔt dis opin wan tide."
Di data de tɔk: Wetin mek HIV de bɔku pan yɔŋ man dɛn?
If wi luk di data frɔm Sri Lanka in Nashɔnal Sɛksual Transmitted Diseases ɛn AIDS Kɔntrol Program, i tan lɛk se bɔku pan di nyu wan dɛn we dɛn dɔn ripɔt bɔt HIV infɛkshɔn dis biɛn tɛm na yɔŋ man dɛn.
Akɔdin to di data we dɛn bin ripɔt insay 2022, yɔŋ pipul dɛn we ol 15-24 ia na lɛk 12% pan ɔl di wan dɛn we gɛt HIV. Fɔ dɛn wan ya, 92% na yɔŋ man dɛn, ɛn 80% pan dɛn dɔn ripɔt se dɛn dɔn du mami ɛn dadi biznɛs wit man dɛn we nɔ gɛt protɛkshɔn.
Di ay nɔmba fɔ pipul dɛn we gɛt HIV dɔn ripɔt frɔm di Kolombo, Gampaha, Kalutara ɛn Kurunegala distrikt dɛn na di Wɛstɛn ɛn Nɔt-Wɛst provins, ɛn di Galle distrikt na di Sawt provins. Bɔku pipul dɛn kin jɔs kam fɔ no se dɛn gɛt di vayrɔs afta lɔng tɛm. da tεm de, dεn CD4 kכnt (di nכmba fכ di imyun sεl dεm) de rili lכw. Dis sho se dɛn nɔ dɔn yuz fɔ tɛst fɔ di sik kwik kwik wan.
Wetin mek man dɛn we de du mami ɛn dadi biznɛs wit dɛnsɛf kin mek dɛn gɛt mɔ prɔblɛm fɔ mek dɛn gɛt HIV?
Bɔku men rizin dɛn kin mek di risk fɔ gɛt HIV kin bɔku pan man dɛn we de du mami ɛn dadi biznɛs wit man dɛn (MSM) :
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2. Yuz kɔndɔm smɔl: As difrɛn sɔv dɛn dɔn sho, na smɔl nɔmba nɔmɔ (lɛk 18%) pan pipul dɛn we gɛt di sem sɛks rileshɔnship dɔn yuz kɔndɔm kɔrɛkt wan di tɛm we dɛn bin dɔn du mami ɛn dadi biznɛs di las tɛm.
3. Sɔshial Stigma: Bikɔs ɔf di fred fɔ sɔshal stigma ɛn ligal kɔnstrakshɔn, bɔku pipul dɛn kin ayd dɛn sɛkshɔnal aydentiti. Dis kin mek dɛn nɔ kin rili want fɔ go na wɛlbɔdi klinik ɛn du tɛst fɔ HIV.
🚨 Rɛd Flag dɛn we nid fɔ go na dɔktɔ wantɛm wantɛm
Dɛn sayn ya kin apin bitwin 2 ɛn 6 wik afta di HIV vayrɔs dɔn kam insay di bɔdi (di tɛm we di sik we dɛn kɔl sɛrokɔnvɔshɔn sik), ɛn if dɛn tin ya apin afta dɛn kayn kɔntakt ya we yu nɔ biliv, yu fɔ go na mɛdikal klinik wantɛm wantɛm:
- Ay fiva we de kɔntinyu fɔ de ɛn we yu de swet pasmak na nɛt.
- Fɔ lɔs yu bɔdi wet kwik kwik wan insay shɔt tɛm fɔ no rizin (Unexplained Weight Loss).
- di limf no dεm we de swεla na di nεk, di armpit, כ di groin fכ sכm wik.
- Dayarɛa fɔ lɔng tɛm ɛn di mɔt sɔri ɔ fɔŋ infɛkshɔn we nɔ de mɛn.
Aw fɔ mek HIV nɔ skata? (Prɛvenshɔn) .
Di gud nyus na dat, di risk fɔ gɛt HIV kin dɔn ɔlmost ɔl if yu fala gud wɛlbɔdi abit dɛn:
- Yuz kɔndɔm kɔrɛkt wan: If yu yuz kɔndɔm fɔ kɔntrol bɔn kɔrɛkt wan ɛvri tɛm we yu de du mami ɛn dadi biznɛs, dat kin mek yu nɔ gɛt HIV pas 90%.
- Yuz PrEP (Pre-Exposure Prophylaxis): Dɛn kɔl dis prɛ-ɛksplɔshɔn prɔfylaksis . Dis mɛrɛsin we pipul dɛn we gɛt ay risk fɔ gɛt HIV kin tek ɛvride, kin mek dɛn nɔ gɛt di vayrɔs bay lɛk 99%.
- Gɛt tɛst ɔltɛm: Ɛnibɔdi we de du mami ɛn dadi biznɛs fɔ gɛt tɛst fɔ HIV at le wan tɛm insay di ia. Naw, 86% pan di wan dɛn we gɛt di sik na Sri Lanka no se dɛn gɛt di vayrɔs, ɛn UNAIDS (di Jɔyn Yunaytɛd Neshɔn Program fɔ AIDS) gɛt di aim fɔ mek dis go ɔp to 95%.
- Yuz PEP (Post-Exposure Prophylaxis): If du mami ɛn dadi biznɛs we nɔ gɛt protɛkshɔn, dis imejensi tritmɛnt, we dɛn tek insay 72 awa, kin mek di vayrɔs nɔ skata na di bɔdi.
Tritmɛnt: Liv wɛl bɔdi wit HIV
Pan ɔl we dɛn bin de tek HIV as sik we de kil pipul dɛn trade, di mɛrɛsin dɛn we dɛn de yuz tide dɔn mek di wan dɛn we sik de liv lɔng lɛk pɔsin we gɛt wɛlbɔdi.
Di men tritmɛnt na ART (Antiretroviral Therapy) . Dɛn drɔgs ya kin kɔntrol di bɔku bɔku vayrɔs na di bɔdi kɔmplit wan.
Na lɛk 80% pan di pipul dɛm wae gɛt HIV na Sri Lanka de tek ART naw, ɛn 87% pan dɛm gɛt vayral lod wae dɛn nɔr kin no. we dεn kכntrol di vayral lod to wan lεvεl we dεn nכ ivin detekt insay blכd tεst (Undetectable = Untransmittable), di risk fכ transmit di vayrus to כda pכsin de rεdכks to ziro (0%).
Di tin dɛn we yu fɔ du & wetin yu nɔ fɔ du
| ✔️ Tin dɛn fɔ du (Du) | ❌ Nɔ fɔ du am |
|---|---|
| If yu de du mami ɛn dadi biznɛs, go na gɔvmɛnt sɛks klinik ɔ prayvet klinik we yu kin abop pan ɛn du kɔnfidɛns HIV tɛst. | Ivin if di sayn dɛm de sho, nɔr ayd yu sik bay we yu nɔr go na mɛdikal klinik bikɔs yu de fred fɔ di sosayti opinion. |
| If yu de na grup we gɛt ay risk, yuz PrEP ɛvride lɛk aw yu dɔktɔ tɛl yu. | Nɔ sheb sirinj (dis na kɔmɔn tin fɔ di wan dɛn we de yuz drɔgs). |
| If yu gɛt HIV, tek di ART mɛrɛsin dɛn we yu dɔktɔ gi yu ɛvride di tɛm we yu dɔn sɛtul ɛn yu nɔ fɔ skip. | Nɔ si pipul dɛn we gɛt HIV wit et ɔ diskrimineshɔn. |
❓ Sɔm ɔda kwɛstyɔn dɛn we yu kin gɛt (FAQ)
Usay a kin gɛt fri HIV tɛst na Sri Lanka? ▼ we dɛn kɔl
Yu kin du HIV tɛst na ɛni gɔvmɛnt STD klinik ɔlsay na di ayland, fɔ fri, wit kɔmplit kɔnfidɛns.
Yu tink se fɔ yuz PrEP fɔ mek yu nɔ gɛt ɔda sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs (STI)? ▼ we dɛn kɔl
Nɔ, PrEP jɔs de mek pɔsin nɔ gɛt HIV. Dɛn fɔ yuz kɔndɔm fɔ protɛkt yusɛf frɔm ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs, lɛk sifilis, gɔnoria, ɔ hεpi.
Yu tink se dɛn go ebul fɔ mek dɛn nɔ gɛt HIV frɔm mama to in pikin? ▼ we dɛn kɔl
Yes, if dεn gi di mama di rayt ART tritmεnt we i bεlε εn spεshal mεdikeshכn dεm we dεn gi di pikin afta dεn bכn am, di risk fכ mכtalman to di pikin fכ transmit di vayrus kin rεdכks to less dan 1%.
Yu tink se ART kin mɛn HIV kɔmɔt na di bɔdi ɔltogɛda? ▼ we dɛn kɔl
Nɔ, naw, no mɛrɛsin nɔ de fɔ HIV na di wɔl. Bɔt di ART drɔgs kin mek di vayrɔs nɔ wok na di bɔdi ɛn alaw pipul dɛn fɔ liv nɔmal, wɛlbɔdi layf.
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