Created at:1/13/2025
Question on this topic? Get an instant answer from August.
ʻO ka Abacavir-dolutegravir-lamivudine he lāʻau hui pū ʻia e hoʻohana ʻia e mālama i ka maʻi HIV. Aia i loko o kēia papa hoʻokahi nā lāʻau lapaʻau HIV ʻekolu like ʻole e hana pū ana e kōkua i ka mālama ʻana i ka maʻi i loko o kou kino.
Inā ua kauoha ʻia kēia lāʻau lapaʻau iā ʻoe, ke lawe nei ʻoe i ka mea a nā kauka e kapa ai he
ʻO ka pahuhopu o kēia lapaʻau, ʻo ia ke kōkua iā ʻoe e loaʻa a mālama i kahi "uku maʻi ʻike ʻole ʻia." Ke lilo nā pae HIV i mea ʻike ʻole ʻia, hiki iā ʻoe ke ola i ke ola olakino a ʻaʻole e hoʻoili i ka maʻi i nā hoa pili.
Ua manaʻo ʻia he lāʻau lapaʻau HIV ikaika a maikaʻi loa. Hana ia ma ka hoʻouka ʻana iā HIV ma nā pae ʻelua like ʻole o kona ola, e paʻakikī loa ai ka maʻi e ola a hoʻonui.
Hana nā mea abacavir a me lamivudine e like me nā poloka kūkulu wahaheʻe ke hoʻāʻo ʻo HIV e kope iā ia iho. Ke hoʻohana ka maʻi i kēia mau ʻāpana wahaheʻe, ʻaʻole hiki iā ia ke hoʻopau i ke kaʻina kope a make. I kēia manawa, pale ʻo dolutegravir i kahi ʻanuʻu ʻokoʻa kahi e hoʻāʻo ai ʻo HIV e hoʻokomo i kāna code genetic i loko o kāu mau pūnaewele immune olakino.
ʻO kēia ala hana pālua ke kumu e ikaika loa ai ka lāʻau lapaʻau. ʻOiai inā e lanakila kekahi mau ʻāpana maʻi i kekahi pale, aia ka mīkini ʻelua e kāohi iā lākou. ʻIke ka hapa nui o nā kānaka i ka emi nui o kā lākou uku maʻi i nā pule mua o ka lapaʻau.
E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, maʻamau hoʻokahi papa i hoʻokahi manawa i ka lā. Hiki iā ʻoe ke lawe me ka ʻole o ka meaʻai, akā e hoʻāʻo e lawe ia i ka manawa like i kēlā me kēia lā e mālama i nā pae paʻa i loko o kou kino.
E ale i ka papa holoʻokoʻa me ka wai. Mai ʻoki, nau, a i ʻole e māhele i ka papa, no ka mea, hiki i kēia ke hoʻopilikia i ke ʻano o ka lawe ʻia ʻana o ka lāʻau lapaʻau. Inā pilikia ʻoe i ka ale ʻana i nā pila, e kamaʻilio me kāu kauka e pili ana i nā koho ʻē aʻe.
Hiki i ka hoʻonohonoho ʻana i kahi hoʻomanaʻo i kēlā me kēia lā ma kāu kelepona ke kōkua iā ʻoe e hoʻomanaʻo e lawe i kāu lāʻau lapaʻau. He mea nui ka kūlike no kēia lapaʻau e hana pono. ʻO ka nalo ʻana i nā lāʻau lapaʻau hiki ke ʻae iā HIV e hoʻonui a hiki ke hoʻomohala i ke kūpaʻa i ka lāʻau lapaʻau.
Pono ʻoe e lawe i kēia lāʻau no ke koena o kou ola e mālama ai i ka HIV. ʻAʻole like me nā lāʻau antibiotic āu e lawe ai no ka manawa pōkole, hana nā lāʻau HIV i ka wā e hoʻomau ai ʻoe i ka lawe ʻana iā lākou.
Hiki paha ke manaʻo nui i ka wā mua, akā e hoʻomanaʻo i ka nui o nā miliona o nā kānaka e ola ana i ke ola piha a olakino i ka wā e lawe ana i ka lāʻau HIV i kēlā me kēia lā. ʻO ke kī, ʻo ia ka hana ʻana i ʻāpana o kāu hana i kēlā me kēia lā, e like me ka palaki ʻana i kou mau niho.
E nānā kāu kauka i kou holomua me nā hoʻokolohua koko maʻamau e hōʻoia i ka hana maikaʻi ʻana o ka lāʻau. Inā ʻoe e ʻike i nā hopena ʻaoʻao a i ʻole nā pilikia ʻē aʻe, hiki iā lākou ke hoʻoponopono i kāu lapaʻau, akā ʻaʻole maʻamau ka hoʻōki ʻana i ka lāʻau HIV.
Hoʻomanawanui ka hapa nui o nā kānaka i kēia lāʻau, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka lono maikaʻi, he maʻalahi ka nui o nā hopena ʻaoʻao a hiki ke hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau.
Eia nā hopena ʻaoʻao maʻamau e ʻike ai ʻoe i nā pule mua:
ʻO ka maʻamau, e emi ana kēia mau hōʻailona i ka wā e maʻa ai kou kino i ka lāʻau. ʻO ka lawe ʻana i ka papa me ka meaʻai e kōkua paha i ka hōʻemi ʻana i nā hopena ʻaoʻao e pili ana i ka ʻōpū.
Aia kekahi mau hopena ʻaoʻao kakaʻikahi akā koʻikoʻi e koi ai i ka lāʻau lapaʻau koke. ʻOiai ʻaʻole pinepine kēia mau mea, he mea nui e ʻike i ka mea e nānā ai:
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona koʻikoʻi, e kelepona koke i kāu kauka a i ʻole e ʻimi i ka mālama olakino ulia pōpilikia. ʻO kou palekana ka mea nui loa, a aia pinepine nā ala e hoʻoponopono ai i kāu lapaʻau inā pono.
ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea a pau. E nānā kāu kauka i kāu moʻolelo olakino a hiki ke kauoha i nā hoʻokolohua kūikawā ma mua o ke kau ʻana.
ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau inā he maʻi ʻoe i kekahi o kāna mau mea, ʻo abacavir. Ma mua o ka hoʻomaka ʻana i ka lapaʻau, e hoʻāʻo paha kāu kauka iā ʻoe no kahi hōʻailona genetic i kapa ʻia ʻo HLA-B*5701 e hoʻonui ai i ka pilikia o nā maʻi maʻi nui i ka abacavir.
Pono ka poʻe me kekahi mau maʻi olakino i ka mālama keu a i ʻole e pono ai i nā lapaʻau like ʻole:
Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e kūkākūkā i kēia me kāu kauka. ʻOiai he mea nui ka lapaʻau HIV i ka wā hāpai, hiki i kāu kauka ke ʻōlelo aku i kahi hui lāʻau lapaʻau like ʻole i aʻo nui ʻia i nā wahine hāpai.
Kūʻai ʻia kēia lāʻau lapaʻau hui ma lalo o ka inoa inoa Triumeq ma ka hapa nui o nā ʻāina. Hiki iā ʻoe ke ʻike iā ia i kapa ʻia e kona inoa generic a i ʻole ma ke ʻano he "ABC/DTG/3TC" i nā wahi olakino.
Loaʻa nō hoʻi nā mea i hana ʻia i kēlā me kēia ma ke ʻano he lāʻau lapaʻau kaʻawale a i ʻole i nā hui ʻē aʻe. Eia naʻe, ʻoi aku ka maʻalahi o ka lawe ʻana i ka papa ʻekolu-i-hoʻokahi a kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe nā lāʻau lapaʻau ʻekolu a pau i nā ʻāpana kūpono.
E hōʻoia mau e loaʻa ana iā ʻoe ka hana pololei i kauoha ʻia e kāu kauka. Inā hoʻololi kāu hale kūʻai lāʻau lapaʻau i kahi brand ʻē aʻe a i ʻole ka mana generic, e nānā me kāu kauka e hōʻoia i kūpono ia no kou kūlana.
Loaʻa nā hui lāʻau HIV ʻē aʻe inā ʻaʻole kūpono kēia iā ʻoe. Hiki i kāu kauka ke noʻonoʻo i nā koho ʻē aʻe e pili ana i kāu mau pono kikoʻī, nā hopena ʻaoʻao, a i ʻole nā maʻi olakino ʻē aʻe.
ʻO nā ʻano lāʻau HIV hoʻokahi-lā piha ʻē aʻe e pili ana i nā hui me nā mea hoʻopili integrase like ʻole e like me bictegravir a i ʻole nā ʻano i hoʻokumu ʻia i ka rilpivirine. Aia kekahi mau koho ʻaʻole i loaʻa ka abacavir inā he maʻi ʻoe i kēlā mea.
Aia ke koho ʻana i ka lāʻau HIV i nā mea he nui, me kāu ukana viral, helu CD4, nā maʻi olakino ʻē aʻe, a me nā pilina lāʻau lapaʻau. E hana kāu kauka me ʻoe e ʻimi i ke koho kūpono loa e kūpono i kou ola a me nā pono olakino.
Ua manaʻo ʻia kēia lāʻau lapaʻau kekahi o nā lāʻau lapaʻau HIV maikaʻi loa i loaʻa i kēia lā. Hōʻike nā haʻawina lapaʻau he kūleʻa loa ia i ka hoʻopaʻa ʻana i ka HIV i nā pae hiki ʻole ke ʻike ʻia i ka hapa nui o nā kānaka e lawe mau ana.
I ka hoʻohālikelike ʻana me nā lāʻau HIV kahiko, hāʻawi kēia hui i nā mea maikaʻi he nui. Pono ia i hoʻokahi pila i hoʻokahi manawa i ka lā, ʻoi aku ka liʻiliʻi o nā pilina lāʻau lapaʻau, a ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao. He mea maikaʻi loa ka mea dolutegravir a he pale kiʻekiʻe i ke kūʻē.
Eia naʻe, pili ka “maikaʻi” i kou kūlana pilikino. Hiki i kekahi poʻe ke pane maikaʻi i nā lāʻau lapaʻau like ʻole, a i ʻole he mau maʻi olakino e kūpono ai nā koho ʻē aʻe. E noʻonoʻo kāu kauka i kou mau kūlana kikoʻī i ke koho ʻana i ka lāʻau lapaʻau maikaʻi loa nāu.
Pono kēia lāʻau lapaʻau i ka mālama kūikawā inā loaʻa iā ʻoe ka hepatitis B. Hoʻohana ʻia nā mea ʻelua (abacavir a me lamivudine) no ka mālama ʻana i ka hepatitis B, no laila, ʻo ka hoʻōki ʻana iā lākou i ka wā koke e hiki ai ke hoʻoulu nui i kāu hepatitis B.
Inā loaʻa iā ʻoe ka HIV a me ka hepatitis B, e nānā pono kāu kauka iā ʻoe a pono paha e hoʻohui i ka lāʻau lapaʻau hepatitis B hou inā pono ʻoe e hoʻōki i kēia lāʻau lapaʻau. Mai hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka, ʻoiai inā loaʻa iā ʻoe ka hepatitis B.
Inā lawe hewa ʻoe i ka nui ma mua o kāu kau ʻana, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ke kikowaena mana ʻawa. ʻOiai ʻaʻole paha e hōʻeha nui kahi mahele keu hoʻokahi, he mea nui e kiʻi i ka ʻōlelo aʻo lapaʻau.
Mai hoʻāʻo e “hoʻoponopono” i ka mahele keu ma ka haʻalele ʻana i kāu mahele i hoʻonohonoho ʻia e hiki mai ana. Akā, e hoʻomau me kāu papa manawa maʻamau e like me ke kuhikuhi ʻana a kāu mea mālama ola. E mālama i ka lāʻau lapaʻau i loko o kāna pahu mua a mālama pono ia mai nā keiki a me nā holoholona.
Inā haʻalele ʻoe i kahi mahele a ua hala ma mua o 12 mau hola mai kou manawa maʻamau, e lawe i ka mahele i haʻalele ʻia i ka wā e hoʻomanaʻo ai ʻoe. Inā ua hala ma mua o 12 mau hola, e haʻalele i ka mahele i haʻalele ʻia a lawe i kāu mahele e hiki mai ana i ka manawa maʻamau.
Mai lawe i nā lāʻau ʻelua i ka manawa hoʻokahi e pani ai i ka lāʻau i hala. Hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao me ka ʻole o ka hāʻawi ʻana i ka pōmaikaʻi hou. Inā poina pinepine ʻoe i nā lāʻau, e kamaʻilio me kāu kauka e pili ana i nā hoʻolālā e kōkua iā ʻoe e hoʻomanaʻo, e like me nā mea hoʻonohonoho pila a i ʻole nā polokalamu kelepona.
ʻAʻole pono ʻoe e hooki i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka. Hana wale nā lāʻau HIV i ka wā e hoʻomau ai ʻoe i ka lawe ʻana iā lākou, a hiki i ka hooki ʻana ke ʻae i ka maʻi e hoʻonui wikiwiki a hiki ke kūkulu i ke kūpaʻa.
ʻOiai inā manaʻo ʻoe he olakino loa a ʻaʻole hiki ke ʻike ʻia kāu ukana viral, ʻo ka lāʻau lapaʻau ka mea e mālama nei i ka maʻi. Inā ʻoe e ʻike nei i nā hopena ʻaoʻao a i ʻole nā hopohopo ʻē aʻe, e kūkākūkā me kāu kauka. Hiki iā lākou ke hoʻoponopono i kāu lapaʻau a i ʻole ke kōkua i ka mālama ʻana i nā hopena ʻaoʻao me ka ʻole e hooki i ka lāʻau.
Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau lāʻau ʻē aʻe, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā huahana lāʻau lapaʻau āu e lawe ai. Hiki i kekahi mau pilina ke hoʻemi i ka maikaʻi o ka lāʻau HIV a i ʻole e hoʻonui i nā hopena ʻaoʻao.
ʻO nā lāʻau lapaʻau maʻamau e launa pū ana me kekahi mau antacids, nā lāʻau lapaʻau hopu, a me kekahi mau antibiotics. Hiki i kāu kauka a i ʻole ka mea kūʻai lāʻau lapaʻau ke nānā i nā pilina a hāʻawi iā ʻoe i ka manawa kūpono inā pono ʻoe e lawe i nā lāʻau ʻē aʻe. E kūkākūkā mau me kāu mea mālama ola ma mua o ka hoʻomaka ʻana i nā lāʻau lapaʻau hou i ka wā e lawe ana i kēia lāʻau HIV.