HIV an tih virus chungchangah hian hlauhna emaw, hlauhawmna emaw i nei em? I nunphung, inlaichinna emaw, chhan dang emaw avanga HIV kai theih dan tur i ngaihtuah a ni mai thei. Chutiang hlauhawmna a awm a nih chuan tunah chuan tunlai damdawiah hian chutiang laka invenna kawng tha tak a awm ta. Vawiin hian kan sawi dawn a ni. Chu chu damdawi hmanga enkawlna PrEP an tih chu a ni.
A awlsam zawngin, PrEP chu eng nge ni?
PrEP hming kimchang chu Pre-Exposure Prophylaxis a ni. Sinhala tawngin i hrethiam ang u.
- Pre-Exposure tih awmzia chu ‘exposure hma’ tihna a ni. Chu chu hri kai hmaa inkaichhawn hma tihna a ni.
- Prophylaxis tih awmzia chu ‘natna laka invenna’ tihna a ni.
Chuvangin, a awlsam zawngin sawi ila, PrEP hi damdawi enkawlna a ni a, HIV virus taksaa a luh hmaa a laka invenna atana ei hmasak a ni. Dengue laka invenna atana mosquito net hman ang bawka HIV laka invenna atana hman thin medical safety measure a ni.
Chuti a nih chuan HIV chu eng nge ni?
I hriat angin HIV (Human Immunodeficiency Virus) hi kan taksa immune system, natna dotu sipaite beitu virus a ni. He virus hi a kai darh ber a ni:
- HIV vei mi nena invenna tel lova sex hman.
- HIV vei mi pakhatin a hman thin needle bawlhhlawh, syringe, etc. te chu midang nena insem darh a, hei hian.
HIV hrik kai hi thunun a nih loh chuan hun kal zelah natna khirh takah AIDS (Acquired Immune Deficiency Syndrome) an tihah a lo chang thei a ni. AIDS a lo awm chuan taksa natna dotu (immune system) chu a chhe vek tawh mai. Chuvang chuan HIV hrik kai laka inven a pawimawh em em a ni. Chumi atan chuan PrEP hi hmanraw chak tak a ni.
PrEP hmang thei tur hian tute nge tling?
He enkawlna hi HIV hrik kai lo mahse HIV kai theihna sang tak nei te tan a ni. Risk i nih leh nih loh zawng rawh.
- HIV positive nen sex i hmang dawn em ni?
- I mipat hmeichhiatna hmanpui hian HIV a vei em tih i hre chiang lo em ni?
- Injecting drug hmangtu i ni em? A nih loh leh HIV positive emaw, hre lo emaw hnenah needle i share thin em?
- Hmeichhia naupai tum i ni em? Tin, HIV vei theihna i nei em? Chutiang a nih chuan PrEP hian naupai lai leh nau hnute i pek laiin i naute hnena virus a thlen loh nan a venghim thei che a ni.
A pawimawh ber chu PrEP hi HIV hrik kai tawhte hnena pek a ni lo. HIV vei lote’n a vei loh nan damdawi an ei thin a ni.
PrEP i tan hmain eng nge i tih tur?
PrEP hi damdawi dawrah kal a, lei mai mai theih damdawi a ni lo. Doctor hnen atanga prescription lak a ngai a ni.
I doctor i hmuh hunah PrEP i ei tan hmain heng test te hi a ti fo ang:
1. HIV test: PrEP i tan hmain HIV kai i ni lo tih 100% in i hriat chian a ngai.
2. Kidney function test: PrEP damdawi thenkhat hian kal a tichhe thei a, chuvangin i kal hriselna endik a ni ang.
3. Mipat hmeichhiatna hmanga kai theih natna dang endik: HIV vei hlauhawma awmte pawhin mipat hmeichhiatna lama kai theih natna dang (STI) an nei thei bawk a, chuvangin heng natnate hi an enfiah bawk.
- Hepatitis B a ni
- Hepatitis C natna a ni
- Syphilis natna a ni
- Chlamydia natna (Chlamydia) a awm
- Gonorrhea a awm
Heng zawng zawng hi i enfiah hnuah PrEP hman harsatna i neih loh chuan i doctor chuan i tana tha ber PrEP damdawi chu a rawn rawt ang che.
Sri Lanka leh khawvelah eng PrEP chi hrang hrang nge awm?
PrEP damdawi chi hrang hrang a awm a. I doctor chuan i tana tha ber tur a thlang ang.
| PrEP chi hrang hrang | Hrilhfiahna | Tu tan nge a inhmeh? |
|---|---|---|
| Nitin damdawi ei tur (Oral PrEP) . Ex: Truvada®, Descovy® tih te hi a ni | Hei hi hmanraw hman tlanglawn ber a ni. Nitin hun ruatah pill pakhat i ei thin. Heng pill-a damdawi awmte hian HIV hrik chu taksa cell-a lut leh darh loh nan a veng a ni. | Mi zawng zawng tan a tha a, mipa, hmeichhia, leh transgender (a bik takin Truvada®) te tan pawh a tha. Tunah hian pill Descovy® hi pian tirh atanga mipa anga register tawhte tan phalsak a ni. |
| Injectable PrEP (thla hnih danah ei thin) . Ex: Apretude® tih a ni | Hei hi nitin damdawi ei theihnghilh tan chuan duhthlan tur tha tak a ni. Enkawlna hi injection pahnih hmanga tan a ni a, thla khat inkar a ni. Chumi hnuah chuan thla hnih danahVaccine lak mai a ngai a ni. | Mi zawng zawng tan a tha , hmeichhia leh mipa tan pawh. |
PrEP hian side effect a nei em?
Damdawi dang ang bawkin PrEP hian side effect tenau te a nei thei a ni. Mahse, hengte hi hun eng emaw chen atan a ni fo a, enkawl tan atanga kar tlemte chhungin a bo vek a ni.
| PrEP chi hrang hrang | Side effect tenau lo awm fo thin | Side effect na tak tak hmuh tur a awm lo |
|---|---|---|
| Nitin pills ei thin | Diarrhea, luak chhuak, pum na, lu na, hah, taksa rihna tlahniam. | Kidney a chhiat, ruh a ti na a, liver a chhia a, lactic acidosis a awm bawk. |
| Vaccine pek dan tur | A chunga kan sawi tak side effects bakah hian vun hnuaiah vun hring, natna, leh injection na hmuna lumna a awm thei bawk. | A chunga kan sawi tawhte hian side effect na tak tak a nei. |
Heng side effects te hi a awm reng emaw, a nasat emaw chuan doctor hnenah hrilh nghal rawh.
PrEP hi engtiang chiahin nge a hlawkpui?
Hei hi a pawimawh ber a ni. When used exactly as directed , PrEP hi HIV laka invenna tha tak a ni.
- Mipat hmeichhiatna hmanga HIV kai theihna chu 99% velin a tihtlem .
- Needle sharing hian HIV kai theihna chu 74% velin a tihtlem a ni .
Hei hi eng ang security nge a nih tih han ngaihtuah teh.
PrEP ei huna hriat tur tlemte
1. PrEP hian mipat hmeichhiatna hmanga kai theih natna dang (STI) a veng lo!
Hei hi hre reng ang che. PrEP hian HIV lakah chauh a veng. STI dang syphilis, gonorrhea, leh chlamydia laka inven nan condom i hmang fo tur a ni.
2. I damdawi ei kha bansan suh!
A bik takin nitin pill i ei chuan a hun takah i ei a ngai a, ni khat pawh tlai lo. Chutianga tih loh chuan damdawi hman thatna a ti tlem ang.
3. Damdawi dang nena inzawmna a awm thei.
Thil dang (e.g. epilepsy, tuberculosis) atana damdawi i ei a nih chuan i doctor hnenah hrilh ngei ang che. Damdawi thenkhat chu PrEP nen an inzawm thei.
4. Damdawi lam enfiahna hun ruat sa .
PrEP i hman chhung zawng hian thla 3 danah vawi khat tal doctor i pan tur a ni a, HIV test leh test tul dangte i nei tur a ni.
Engtik hunah nge ka doctor ka hmuh ang?
PrEP ei laiin hetiang thil hi a thleng a nih chuan damdawi lam thurawn la nghal rawh.
- HIV hrik i vei nia i rinhlelh chuan (entir nan, condom tel lova sex him lo i hman chuan), hetih lai hian Emergency Treatment Unit (ETU) pan a ngai mai thei.
- Side effects a nasat emaw, hun kal zelah a tha lo emaw a nih chuan.
- Liver disease symptoms i neih chuan vun emaw mit emaw a sen emaw, zun dum emaw i neih chuan.
- Rilru lama inthlak danglamna, lungngaihna leh lungkhamna i tawn chuan.
- I naupai tih i hriat emaw, naupai theihna a awm nia i hriat emaw chuan.
HIV dona kawngah hian PrEP hi hmanraw hlu tak a ni. HIV vei hlauhawm i nih chuan, hlau lo la, zak lo la, doctor rintlak tak nen inbia ang che. Ani chuan kaihhruaina dik tak a pe ang che.
Take-Home Thuchah a ni
- PrEP (Pre-Exposure Prophylaxis) hi HIV hrik kai lo , mahse a hlauhawmna hmuna awmte chuan hri laka inven nan an ei lawk thin a ni.
- He damdawi hi damdawi lam thurawn chauha ei tur a ni a, HIV leh test dangte pawh a tan hmain tih hmasak phawt tur a ni.
- PrEP hian HIV vei theihna chu 99% velin a tihniam theih laiin, mipat hmeichhiatna hmanga kai theih natna dang, syphilis leh gonorrhea lakah a veng thei lo.
- Mipat hmeichhiatna hmanga kai theih natna dang laka inven nan condom hman ngei ngei tur a ni.
- PrEP i ei lai hian thla 3 danah vawi khat tal doctor pan a pawimawh hle a, regular checkup neih a pawimawh hle.
- HIV vei hlauhawma i inhriat chuan Doctor biak a, PrEP hi i tan a tha em tih zawt hlau suh.
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