Whakaarohia kua moe tāne koe, kāore rānei he ārai i te moe, he whakapae iti rānei kei te pangia koe e te huaketo HIV i tētahi atu ara. He mea noa te mataku me te manukanuka i tēnei wā. Engari kaua e mataku. He maimoatanga motuhake kei reira hei ārai i te mate HIV i roto i tēnei āhuatanga ohorere. Kei te kōrero tātou mō tēnā i tēnei rā.
He aha te PEP?
Ko te tikanga whānui o te PEP ko te Prophylaxis i muri i te pānga ki te mate . I te reo Sinhala, ko tōna tikanga he maimoatanga ārai i muri i te pānga ki tētahi mate. He mea tino nui tēnei ina tae mai ki te huaketo HIV.
He whakarāpopototanga noa iho, ko te PEP he rongoā e hoatu ana hei ārai i te noho o te mate ki roto i te tinana mēnā kei te whakapaetia kua pāngia koe e te huaketo HIV. He huinga rongoā tēnei o tētahi, neke atu rānei. Me tango tēnei maimoatanga i ia rā mō ngā rā 28 .
Ko te mea nui, kia whai hua ai tēnei maimoatanga, me tīmata koe ki te tango i tēnei rongoā i roto i ngā hāora 72 (e toru ngā rā) mai i te wā i whakaaro ai koe kua pāngia koe e te huaketo HIV. Ko te wawe o te tīmatanga, ko te pai ake o ngā hua.
He āhuatanga ohorere hauora te pānga ki te HIV. Nō reira, ki te whakaaro koe kua pāngia koe e te HIV mā te moe tāne, te whakaeke moepuku, te tohatoha ngira werohanga, te whara ngira rānei i te mahi, haere tonu ki te tari ohorere o te hōhipera tata (ETU).
Engari kia maumahara ki tētahi mea. Ko te PEP he mea mō ngā āhuatanga ohorere anake. Kāore e taea te whakamahi hei tiaki mō te wā roa mō te tangata e tino mōrearea ana ki te pangia e te HIV. Mena kei te tino mōrearea koe, kōrero ki tō tākuta mō tētahi tikanga tiaki mō te wā roa e kiia nei ko te PrEP (Pre-Exposure Prophylaxis).
He aha ngā mea ka tupu i mua i te tīmatanga o te PEP?
I mua atu, i te wā tonu rānei ka tīmata ai koe i te maimoatanga PEP, ka whakatau tō tākuta ki te whakahaere i ētahi whakamātautau ki tō tinana. Hei mahi i tēnei, ka tangohia pea ngā tauira pēnei i te toto me te mimi. Ka mahia ēnei whakamātautau hei whakatau i te momo me te horopeta tika o te rongoā e tika ana kia hoatu ki a koe.
Ko te tikanga, ka tirohia ngā mea pēnei:
- Me whakamātau koe kia kitea ai mēnā kua pangia koe e te HIV.
- Kei te pāngia koe e te mate hepatitis B me te mate hepatitis C?
- Whakaūtia mēnā kei te hapu koe.
- Tirohia mēnā kei te pai te mahi a ō whatukuhu me tō ate.
I runga i ngā hua o ēnei whakamātautau, ka tohua e tō tākuta te rongoā PEP tino tika me te tino haumaru māu.
Ka whakamātau anō koe mō ētahi atu mate pāwera?
Āe. Nā te mea ahakoa kotahi te moepuku ka taea te tuku i ngā mate tuku iho maha i te wā kotahi. Nō reira, i runga i te āhua o tō pānga, ka whakamātautau pea tō tākuta, ka rongoā rānei i a koe mō ētahi atu mate tuku iho. Hei tauira:
- Te mate korokoro
- Chlamydia
- Trichomoniasis
Me pēhea te mahi a te maimoatanga PEP?
Ko ngā rongoā e whakamahia ana i roto i te maimoatanga PEP e kiia ana he rongoā antiretroviral . Koinei ngā rongoā e whakamahia ana hei rongoā i te HIV. He tino māmā te mahi a ēnei rongoā. Ka aukati i te huaketo HIV kia kaua e tāruatia, kia wehea, kia horapa hoki i roto i tō tinana.
Whakaarohia he tahae. Ka haere mai taua tahae ki roto i tō whare, ko tō tinana te ingoa, ā, ka ngana ki te hanga i ētahi atu tahae pērā i a ia. Ka mahi ngā rongoā PEP mā te kati i ngā tatau me te whakatū i ngā ārai kia kore ai e taea e te tahae te hanga i ētahi atu tahae.
He rerekē ngā mahi a ngā momo rongoā rerekē ki te wawahi i ēnei arai. Nō reira, ina whakakotahihia ētahi momo rongoā, ka tino whakaitihia te tūponotanga o te ora o te huaketo. Ka angitu ake te maimoatanga.
Ki te tīmata tātou ki te tango i ēnei rongoā ārai huaketo i te wā wawe , ka taea e tātou te aukati i te huaketo HIV kia kore ai e noho hei mate tuturu i roto i tō tinana (mate mau tonu). Kia whakatūria te mate, kāore e taea e ngā rongoā te whakakore katoa, ko te whakahaere anake ka taea. Ko te whāinga o te PEP he whakamutu i te huaketo i mua i tōna taenga ki taua taumata.
He aha ngā rongoā e whakamahia ana mō te PEP?
Ka tohua e ngā tākuta he huinga o ngā rongoā ārai huaketo mō te PEP. Ka tangohia ēnei hei pire. Ko ngā huinga tino noa kua whakarārangihia ki te ripanga i raro nei.
| Huinga Tūāpapa | Rongoā Tāpiri |
|---|---|
Emtricitabine me Tenofovir disoproxil fumarate (FTC/TDF) - (Truvada®) Rānei Emtricitabine me Tenofovir alafenamide (FTC/TAF) - (Descovy®) | Raltegravir/RAL (Isentress®) |
| Dolutegravir/DTG (Tivicay™) | |
| Te whakakotahitanga o Darunavir/DRV (Prezista®) me Ritonavir/RTV (Norvir®) ranei Cobicistat/COBI |
I runga i te momo rongoā, me tango pea e koe kotahi, e rua rānei i te rā. Nō reira, i mua i te tīmatanga o te PEP, me pātai atu ki tō tākuta mō te wā me te tikanga tango i te rongoā. Tērā pea ka whakarerekētia e tō tākuta te momo, te horopeta rānei o ēnei rongoā i runga i ētahi atu āhuatanga hauora kei a koe.
He pēhea te whai huatanga o te maimoatanga PEP? He aha i kore ai e angitu?
Kua whakaatuhia e ngā rangahau, ki te tangohia tika te maimoatanga PEP, ka taea te whakaiti i te mōrearea o te mate HIV mā te neke atu i te 80% . He angitu nui tēnā.
Heoi, i ētahi wā, kāore pea tēnei maimoatanga e angitu pērā i te mea i tumanakohia. He maha ngā take mō tēnei. Kia tirohia tātou he aha ēnei.
| Te take mō te korenga | He whakamārama ngāwari noa iho |
|---|---|
| Te whakaroa i te tīmatanga o te maimoatanga | Ki te tīmata i roto i ngā haora 72 i muri i te pānga, kua tīmata kē pea te huaketo ki te noho pumau i roto i te tinana. |
| Te peke i ngā horopeta rongoā | Ki te kore koe e tango i te rongoā i te wā tika i ia rā, ka heke te kukū o te rongoā i roto i te tinana, ka hoatu he whai wāhi ki te huaketo kia mahi anō. |
| Kāore i oti ngā rā 28 | Ki te kore e oti i a koe te akoranga katoa, tērā pea kāore e tino whakahaeretia te huaketo, ā, ka ara ake anō pea. |
| Te whakaaturanga anō | Ki te pāngia anō koe e te HIV me te kore he ārai i a koe e tango ana i te PEP, ka heke te angitu o te maimoatanga. |
| He huaketo ātete ki te rongoā | He tino onge te āhua o te momo HIV kua pāngia koe, ā, tērā pea ka ātete ki ngā rongoā e hoatu ana mō te PEP. |
He pānga taha anō kei te rongoā PEP?
Ehara te PEP i te rongoā e puta ai ngā pānga taha nui. Heoi, tera pea ētahi tāngata ka pāngia e te mamae iti. Ka memeha haere ēnei i roto i ētahi rā.
Ko ngā pānga taha tino noa ko:
- Te ngenge (Fatigue)
- Whakapairuaki
- Ruaki
- Korere
- Ngā mamae o te upoko
Ki te pāngia koe e tētahi o ēnei tohu, kōrero ki tō tākuta. He maha ngā wā ka taea te whakaora i ēnei mā te whakamahi i ngā rongoā māmā noa iho. Kaua e tango i tētahi rongoā me te kore e kōrero ki tō tākuta.
Me haere ahau ki hea mēnā me hiahia ahau ki te PEP?
Koinei te wāhanga tino nui. He āhuatanga ohorere hauora te pānga ki te HIV. Nō reira kaua e moumou taima, engari rapua tonutia he tohutohu hauora. He maha ngā wāhi ka taea e koe te haere.
1. Te Wāhanga Maimoatanga Ohotata (ETU) i te hōhipera tata: Koinei te kōwhiringa pai rawa atu, tere hoki. Haere ki te ETU o tētahi hōhipera kāwanatanga, ka whakamārama i tō āhuatanga, kei reira koe e whiwhi ai i te maimoatanga taketake me ngā tohutohu e hiahiatia ana e koe.
2. Whare Hauora Ira Tangata: Kei roto i ngā hōhipera nui o Sri Lanka ngā whare hauora mate pāwera. Ka taea e koe te tiki i ngā tohutohu me ngā maimoatanga e hiahiatia ana e koe mai i ēnei whare hauora, me te pupuri tonu i te muna o ngā kōrero.
3. Tō Tākuta Whānau: Ka taea hoki e tō tākuta whānau te kōrero ki a koe mō tēnei. Heoi, i ētahi wā, ki te kore ia e nui te wheako ki tēnei mea, ka tukuna pea koe e ia ki tētahi ETU, ki tētahi tohunga rānei.
Ahakoa te wāhi e haere ana koe, me kī mārama mai , "E whakapae ana ahau kua pāngia ahau e te HIV, ā, e hiahia ana ahau ki te mōhio mō te maimoatanga PEP." Me kī hoki he āhuatanga ohorere tēnei.
He aha ngā mea ka tupu i muri i te maimoatanga PEP?
Kia oti i a koe ō rā 28 o te maimoatanga PEP, kāore anō kia mutu tō mahi. Me mahi anō koe i ētahi atu whakamātautau HIV kia tino mōhio ai koe kāore koe i pangia e te HIV.
I te nuinga o te wā,
- I roto i ngā wiki 4-6 o te pānga
- I te 12 wiki (i roto i ngā marama 3)
- I te 24 wiki (i roto i ngā marama 6)
E kī ana te tākuta kia whakamātauria anō koe i ngā wā katoa. He mea tino nui kia mahia ēnei whakamātautau katoa kia kore ai koe e pangia e te mate.
Karere Tangohia ki te Kāinga
- He maimoatanga ohorere te PEP e hoatu ana hei ārai i te mate i muri i te pānga ki te huaketo HIV.
- Mō te hua angitu, me tīmata tēnei maimoatanga i roto i ngā hāora 72 (3 rā) o te pānga.
- He akoranga rongoā tēnei e 28 ngā rā te roa , me whakaoti kia rite ki te wā i whakaritea, kaua e mahue tetahi rā.
- Ki te whakaaro koe kua pāngia koe e te huaketo HIV, kaua e whakama, kaua e mataku, engari me haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata, ki te toro atu rānei ki tētahi tākuta.
- Ehara te PEP i te whakakapi mō ngā tikanga tiaki pēnei i te ure tāwharau. Mō ngā āhuatanga ohorere anake.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero