Kia ora! Kei te pēhea koe? I tēnei rā, ka kōrero tātou mō tētahi mea tino nui mō te tini tāngata, me tētahi tikanga hei āwhina i te tiaki i te huaketo HIV—te huaketo e puta ai te AIDS —i mua i tōna urunga ki te tinana. Ko te PrEP tēnei. Kua rongo pea koe i tēnei. Me titiro tātou ki te aha, ki te tangata e whai tikanga ana, me pēhea te whakamahi tika, me ngā āhuatanga me aro atu koe.
He aha te PrEP (Te Ārai i mua i te Pāwera)?
Ki te whakarāpopototanga, ko te PrEP te whakarāpopototanga mō te 'Pre-Exposure Prophylaxis' . Ko te tikanga o te 'Pre-Exposure' i mua i te pānga ki te huaketo HIV. Ko te tikanga o te 'Prophylaxis' he tikanga e mahia ana hei tiaki i te tangata mai i te mate i mua i tōna putanga mai. Nō reira, ko te PrEP he rongoā e tangohia ana e te tangata kāore i te pangia e te huaketo HIV hei whakaiti i te tūponotanga o te pangia e te HIV. Whakaarohia he rite ki te kawe i te maru i mua i te ua. Heoi, mō te HIV anake tēnei, ehara i te mea mō ētahi atu mate.
E rua ngā huarahi matua e taea ai te tiki i tēnei rongoā PrEP:
- Ko tētahi he pire e horomia ana i ia rā . Pērā i te tango i te huaora, me tango i te wā kotahi i ia rā kia whai hua ai te mahi.
- Ko tētahi atu tikanga he werohanga ka hoatu i ia rua marama . Ka tukuna tēnei e te tākuta, e te nēhi rānei kua whakangungua.
Ka taea e koe te kōrero ki tō tākuta ko tēhea o ēnei tikanga e rua te mea e pai ake ana māu, me te whakaaro ki tō momo noho me te watea.
Ki a wai te mea nui rawa atu o te PrEP?
Tērā pea kei te whakaaro koe, 'Āe, e mārama ana ahau he rongoā te PrEP hei tiaki i te mate HIV. Engari ko wai e hiahia ana ki tēnei?' Ehara te PrEP i te mea mā te katoa. He mea tino taunaki tēnei mō te hunga he nui ake te mōrearea ki te pangia e te HIV , nā te mea ka taea e te HIV kāore i rongoā te arahi ki te mate kino e mōhiotia ana ko te AIDS. Me titiro tātou ko wai kei te nui ake te mōrearea:
- Mena he HIV-pai tō hoa moepuku . I roto i tēnei āhuatanga, he huarahi tino nui te PrEP hei tiaki i a koe mai i te mate HIV.
- Ki te moe tāne koe, kāore he ure , he mahi moe tāne te moe tāne, ā, he nui ake te tūponotanga o te horapa o te HIV. Ki te moe tāne koe me te kore ure, he mea tika kia whakaarohia te PrEP.
- Mena kua pāngia koe e tētahi atu mate tuku iho (STD) i roto i ngā marama e 6 kua pahure ake nei , pērā i te Gonorrhea, te Syphilis rānei. Ko te whai i te STD he tohu kei te iti ake te parenga i te wā e moe ana. Waihoki, ka whakanui ake ētahi STD i te tūponotanga o te urunga o te HIV ki te tinana.
- Mena ka moe tāne koe me te kore he ure tāne ki tētahi kāore i te mōhiotia tōna tūnga HIV . I ētahi wā, kāore tātou e mōhio ki te tūnga HIV o te tangata e noho tahi ana tātou. I roto i ēnei āhuatanga, he mōrearea te moe tāne me te kore he ure tāne. Ka taea e te PrEP te whakaiti i tēnei mōrearea.
- Ki te whakamahi koe i ngā ngira, i ngā pūwero rānei hei wero i ngā rongoā , he tino morearea tēnei. Ehara i te mea ko te HIV anake, engari ko ētahi atu mate pērā i te Hepatitis B me te C ka taea te horapa i tēnei ara. Nō reira, he mea nui kia mōhio te hunga katoa e mahi ana i tēnei mea ki te PrEP.
Ko te mea nui, ki te whakaaro koe e pā ana ēnei ki a koe, kōrerotia whānuitia ki te tākuta . Kāore he mea e whakama ai, e wehi ai rānei. Kei reira ngā tākuta hei āwhina i a koe me te tiaki i tō tūmataitinga.
Ka ārai tonu rānei te tango i te PrEP i te HIV?
He pātai tēnei a te tini tāngata. He tikanga tino whai hua te PrEP hei tiaki i te mate HIV, engari mēnā ka whakamahia tika, ā, kia rite ki ngā tohutohu a te rata . Ko te tikanga, mēnā he pire ia rā, me tango i ia rā, me te kore e kore, i te wā kotahi anō te pai. Mēnā he werohanga, me tango i te rā kua whakaritea. Kaua rawa e ngaro i a koe tetahi horopeta kotahi.
Heoi anō, kotahi anō te mea. Ahakoa ka ārai te PrEP i te horapa o te HIV i te nuinga o ngā wā (neke atu i te 99%) , ehara i te mea 100% . Ko te tikanga he tino iti te tūponotanga ka pangia te tangata e tango tika ana i te PrEP e te HIV. He rite ki te mau i te koti ua pai rawa atu; i ētahi wā, ka mākū tonu te kara o tō hāte.
Nō reira, i tua atu i te tango i te PrEP, ko te whakamahi i te ure tāne i ngā wā katoa e moe ai - ahakoa he tāne, he wahine, he wahine rānei - te huarahi pai rawa atu, me te huarahi tino katoa hoki hei tiaki i a koe mai i te HIV me ētahi atu mate tuku iho. Me maumahara koe ehara te PrEP i te whakakapi mō te ure tāne, engari he paparanga tiaki anō . He nui ake te tiakitanga e whiwhihia ana i te whakamahi tahi i te PrEP me ngā ure tāne.
Ka whakaratohia e te PrEP he parenga ki ētahi atu mate tuku iho?
He mea tino nui anō hoki tēnei. Ko te PrEP anake hei tiaki i a koe mai i te huaketo HIV . Kāore e taea te tiaki i a koe mai i ētahi atu mate tuku iho pērā i te Gonorrhea, te Syphilis, te Chlamydia, ngā kiriuhi ira tangata rānei.
Whakaarohia te PrEP hei raka haumaru motuhake hei ārai i te tahae motuhake e kiia nei ko te HIV. Engari kāore he painga o taua raka ki ētahi atu tahae (ētahi atu mate tuku iho), nā te mea ka taea e rātou te tomo mai i ngā huarahi rerekē.
Nō reira, ahakoa kei te tango koe i te PrEP, hei tiaki i a koe mai i ētahi atu mate tuku iho, me whakamahi koe i te ure i ngā wā katoa e moe ai koe—te tara, te waha, te ihu rānei . Ko te ure tō hoa pai e tiaki ana i a koe mai i ētahi atu mate tuku iho, tae atu ki te HIV. Mā te whakamahi i ngā ure i a koe e tango ana i te PrEP ka rua te tiakitanga me te rangimarie o te hinengaro.
Me pēhea te whiwhi PrEP? He aha ngā mea hei tūpato māu?
Ki te mea kei te hiahia koe ki te PrEP, kāore e taea e koe te haere noa ki te whare rongoā ka tono atu. He rongoā te PrEP me tohua e te tākuta .
Anei ētahi mea hei mōhio māu i te wā e whiwhi ana, e whakamahi ana hoki i te PrEP:
1. Te rapu tohutohu hauora:
- Tuatahi, me toro atu koe ki tētahi tākuta whai tohu , me te kōrero taipitopito mō te PrEP. Ka taea e koe te tiki i tēnei ratonga mai i tētahi whare hauora ā-ira tangata, i tētahi tākuta rānei e mōhio ana ki tēnei mara. Kātahi ka whakaarohia e te tākuta tō āhua hauora me te mōrearea HIV hei whakatau mēnā he pai te PrEP māu.
- I mua i te tīmatanga o te PrEP, me whakamātau koe i te HIV hei whakaū kāore he HIV i a koe . Nā te mea ko te PrEP he mea mā te hunga kāore he HIV hei ārai i a rātou kei pangia, ehara i te rongoā mā te hunga kua pangia kētia. Ki te tango te tangata whai HIV i te PrEP, ka ātete pea te huaketo ki te rongoā, ā, ka kore e whai hua ngā maimoatanga a meake nei.
2. Te whakamahi tika i te rongoā (Te piripono):
- Ki te whakahau te tākuta i ngā pire ā-waha , me tango e koe i ia rā i te wā kotahi, kaua e whakaroa . Mēnā ka ngaro te rongoā i te rā kotahi, ka taea te whakaiti i te whai huatanga o te rongoā. He rite ki te mekameka e ngaro ana tōna kaha mēnā ka motu tetahi hononga. Whakatakotoria he whakamaumahara ki tō waea pūkoro, tāpirihia rānei ki tō mahinga o ia rā kia kore ai e warewaretia e koe.
- Mena ka tohua he werohanga ki a koe i ia rua marama , me haere koe ki te tiki i te werohanga i ngā rā kua whakaritea . Kaua e mahue tētahi wā whakarite. Kia maumahara ki te rā e whai ake nei i homai e te tākuta, ā, haere i taua wā.
3. Te tirotiro hauora auau:
- I te wā e whakamahi ana koe i te PrEP, me whakamātau koe i te HIV i ia toru marama .
me mahi. Hei whakaū tonu tēnei kei te noho kore-HIV koe.
Te rangimarie o te hinengaro me te PrEP
Mā te noho tahi me te mōrearea o te HIV ka nui te ahotea hinengaro me te wehi mō ētahi tāngata. Ko te manukanuka "Ka pangia ahau e te HIV?" ka noho tonu ki roto i te hinengaro o te tangata. Ina whakamahia tika te PrEP, ka nui te rangimarie o te hinengaro mā te whakaaro kua kaha te hikoi ki te tiaki i a koe mai i te HIV. Ka taea hoki e tēnei te whakapai ake i tō kounga o te oranga me te harikoa. Heoi, kia mahara ehara te PrEP i te otinga mō ngā mea katoa; he wāhanga noa iho o te rautaki ārai HIV whānui .
Karere Tangohia ki te Kāinga
Āe, kua kōrerohia e tātou he maha ngā mea mō te PrEP (Pre-Exposure Prophylaxis) i tēnei rā. Me whakarapopoto tātou i ngā kōrero tino nui:
- He rongoā te PrEP hei ārai i te mate HIV i roto i te hunga kāore i te pangia e te huaketo.
- He mea tino pai mō te hunga he nui ake te mōrearea ki te mate HIV . I kōrerohia e tātou i mua ake nei ko wai aua tāngata.
- Me tango tika te PrEP, i ia rā (mō ngā pire) i ia wā rānei (mō ngā werohanga) kia whai hua ai te mahi.
- Ahakoa he tino kaha te tiaki a te PrEP i te HIV, kāore i te tino taurangihia . Nō reira, he mea nui anō hoki te whakamahi i ngā ure tāwharau . Ko te PrEP me ngā ure tāwharau te huinga pai rawa atu!
- Kāore te PrEP e tiaki i a koe mai i ētahi atu mate tuku iho i te taatai (STD) . Ko ngā ure tāne te tiaki pai rawa atu mō ēnei mate.
- He mea nui te tohutohu me te tirotiro hauora hei tīmatanga me te whakamahi tonu i te PrEP. Me whai whakamātautau HIV auau koe me ētahi atu tirotiro hauora e tika ana.
Mena he pātai anō āu mō te PrEP, he wehi, he ruarua rānei āu, kaua e huna tetahi mea ki a koe anō; kōrero ki tētahi tākuta pono . Kei te rite rātou ki te whakautu i ō pātai me te whakarato i te āwhina e hiahiatia ana e koe. Ko tō hauora tō kawenga! He mea tino nui te tiaki i a ia.
Ngā Tohu: PrEP, Prophylaxis i mua i te pānga, HIV, AIDS, ārai HIV, hauora ā-ira tangata, ure tākihi, STD, mate tuku iho i te taatai
