Ngaihtuah teh, i beisei loh ber lai khan HIV virus i kai tawh tih i ringhlel a ni. Invenna tel lo sex vang pawh a ni thei a, ruihhlo inject tu nen needle an insem vang pawh a ni thei. Hetiang hun laia hlauhna leh mangang i neih hi thuin sawi theih a ni lo. Mahse hlauh mai mai chu a tawk lo. Chutiang emergency-a venghim thei tur enkawlna bik a awm a. Chu chu vawiina kan sawi tum chu a ni.
PEP (Post-Exposure Prophylaxis) tih hi eng nge ni?
A awlsam zawngin sawi ila, PEP hi damdawi hmanga enkawlna a ni a, HIV kai hnua virus hian taksa a kai reng loh nan a veng thei a ni. Damdawi a ni a , ni 28 chhung nitin ei tur a ni .
A pawimawh ber chu he damdawi hi a hlawk ber tur chuan HIV kai tawh nia i ngaih atanga darkar 72 (ni thum) chhungin he damdawi hi i ei tan a ngai a ni.
HIV (Human Immunodeficiency Virus) hi dam chhung zawnga enkawl theih, mahse tihdam kim theih loh, dam chhung zawnga natna a ni. Chuvangin HIV kai hi medical emergency a ni . I exposed nia i rinhlelh chuan hospital emergency room (ETU) hnai ber pan nghal rawh.
PEP hi emergency hman tur chauh a ni. HIV hrik kai theihna sang tak nei mi tan hun rei tak chhunga venhimna atana hman tum a ni lo. Risk sang tak i nih chuan i doctor nen HIV i kai hmaa i ei theih tur PrEP (Pre-Exposure Prophylaxis) chungchang sawipui rawh.
PEP enkawlna i tan hmain eng nge i tih thin?
PEP enkawlna i tan hma emaw, i tan hnu lawkah emaw, i doctor chuan i thisen leh zun sample a la ang a, damdawi chi leh a pek tur zat hriat nan test eng emaw zat a nei ang. Test lian ber berte chu:
- HIV hrik i kai tawh em tih enfiah thin ang che.
- Hepatitis B leh Hepatitis C virus awm leh awm loh enfiah thin ang che.
- Naupai i nih leh nih loh finfiah rawh.
- I liver leh kidney te a thawk tha em tih enfiah thin ang che.
Tin, i inkaichhawn dan azirin, mipat hmeichhiatna hmanga kai theih natna dang (STI) te pawh test emaw, enkawl emaw i ni thei bawk a, a rualin natna tam tak a awm thei a ni. Entirnan, gonorrhea leh chlamydia.
He PEP damdawi hian engtin nge HIV a veng?
Hei hi hriatthiam a awlsam hle. HIV hrik hi rukru pakhatin i in chhunga luh tum ang maiin ngaihtuah rawh. PEP enkawlna atana antiretroviral damdawi te hian he rukru hi i in chhunga awm a, a thil neih (virus) copy siam a titawp a ni.
Heng damdawi te hian virus hi kawng hrang hrangin an bei a. Chuvangin damdawi engemaw zat pek khawm a nih chuan enkawlna a hlawk zawk. Heng damdawi te hi kan tan hma chuan , HIV virus hi taksaa natna khirh tak a nih hmain kan control thei ang.
PEP atan hian eng damdawi nge hman thin?
Doctor-te chuan PEP atan hian antiretroviral drugs combination an pe a. Hengte hi HIV vei enkawlna atana hman thin damdawi ang chiah kha a ni. Pill angin an ei thin. I doctor chuan i hriselna dinhmun a zirin damdawi chi leh i ei tur zat a rel ang.
| Ruihhlo chi hrang hrang | Ruihhlo hman tlanglawn tak tak |
|---|---|
| Basic drug combination (pill khatah damdawi pahnih) . | Emtricitabine leh Tenofovir Disoproxil Fumarate (FTC/TDF, Truvada® tia hriat) te a awm a. Emaw Emtricitabine leh Tenofovir Alafenamide (FTC/TAF, Descovy® tia hriat) te hi a hlawhtling hle. |
| Damdawi pathumna chuan a chunga damdawi hi a belhchhah a | A hnuaia mi pakhat hi:
|
He damdawi hi engtikah nge ei tur tih leh ni khatah vawi engzat nge ei tur tih chiang takin doctor zawt rawh.
PEP enkawlna a hlawhtlin loh theihna chance engzat nge awm?
Zirchianna atanga a lan dan chuan PEP hmanga enkawlna hian HIV hrik kai theihna chu 80% aia tam a tihniam a ni. Mahse, a châng chuan hei hi beisei angin a hlawhtling lo thei a ni.
| Chhan | Hrilhfiahna |
|---|---|
| Enkawl tan hun sawn hlat | Darkar 72 chhung exposure hnua tan a nih chuan hlawhtlinna a hniam hle. |
| Damdawi hman dan tur skip | Nitin a hun takah i damdawi ei loh chuan hri hi i thunun thei lovang. |
| Ni 28 chhung a zo lo | Damdawi i chawlh hma chuan virus hian active leh theihna hun a nei leh ang. |
| Re-exposure leh a ni | PEP ei laiin virus i kai leh a nih chuan. |
| Damdawi do thei virus a ni | HIV chi i tawh kha PEP damdawi laka a do theih loh chuan. |
PEP enkawlna hian side effect a nei em?
Mi thenkhat chuan PEP damdawi avanga side effect tenau te an nei thei a, mahse hengte hi a nasat loh tlangpui.
- Chau
- Luhai
- Luak chhuak
- Kawthalo
- Lu na
Hetiang thil hi a thleng a nih chuan damdawi ei kha bansan suh . I doctor nen in inbia a, a chinfel dan tur i zawng thei bawk.
HIV ka vei a nih chuan khawiah nge ka kal ang?
HIV hrik kai hi medical emergency a ni . Hun khawhral suh.
Heng hmunah te hian i kal thei ang:
1. Damdawi in hnai ber Emergency Treatment Unit (ETU)-ah:Hei hi a tha ber leh rang ber a ni. I dinhmun i sawifiah hnu chuan a tul ang chu an ti ang.
2. Sexual Health Clinic / STD Clinic: Hemi atan hian sorkar damdawi ina awm STD clinic te tlawh pawhin tanpuina i dawng thei bawk.
3. I Chhungkaw Doctor: I doctor hian PEP a pe thei a, mahse ETU emaw specialist emaw hnenah an refer ngei ang che.
I kalna apiangah chiang takin sawi rawh , "HIV ka kai tawh niin ka ring a, doctor ka hmuh nghal a ngai a ni." Hetah hian hun hi a pawimawh ber a ni.
Ni 28 hnuah eng nge thleng?
PEP i tih zawh hnuah i doctor-in a tih angin HIV test leh tur a ni. A tlangpuiin, i exposure atanga kar 4-6 hnuah, kar 12 (thla 3), leh kar 24 (thla 6) ah test leh i ni ang. Hei chauh hi 100% in hri kai i ni lo tih i hriat chian theihna tur kawng awmchhun a ni.
Take-Home Thuchah a ni
- HIV hrik kai hi medical emergency a ni. Hlauthawng leh mualpho takin hun khawhral suh.
- Hri kai atanga darkar 72 chhunga PEP enkawl tan a pawimawh hle. I tan hma poh leh a hlawhtling zawk thin.
- PEP enkawlna hi ni 28 chhung ei tur a ni , ni khat pawh tlai lo, doctor-in a tih ang chiah chiah a ni.
- Rinhlelhna i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
- PEP i ei lai leh HIV test hnuhnung berin i kai lo tih a finfiah hma loh chuan sex hman laiin condom hmang fo ang che.
- I doctor-in a rawtna angin HIV test hi enkawl zawh hun ruat saah tih a pawimawh hle.
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