12月1日世界艾滋病日:恐艾症不是身病是心病
12月1日,是第21个“世界艾滋病日”。
随着关于艾滋病防治的宣传日益增多,一个特殊的群体正在悄然出现:恐惧艾滋病,总是怀疑自己得了艾滋病,每天提心吊胆,日子过得并不比真正的艾滋病患者轻松——这就是“恐艾症”患者。
专家指出,对待艾滋病,既要有预防意识和警惕观念,但也无需杯弓蛇影、过度恐惧,“恐艾症”患者“心病还需心药医”。
四类“恐艾症”大盘点
A.强迫型
既有曾有过高危行为(指容易引起艾滋病病毒感染的行为)的人,也有没有过高危行为、恐惧完全出自自己的主观想象和联想的人。“恐艾症”一般可分为以下四种类型。
无高危行为,但知道艾滋病毒可以通过血液传播,所以老觉得献血、理发、刮胡子等有出血情况很可能让自己染上艾滋,导致过分小心谨慎,极力回避各种可能被感染的场合。
案例:林女士去年献过血,回家后一直担心采血时所用的针头不干净,怕自己被传染艾滋病,开始对血产生恐惧,不敢去医院,回避所有可能会见到血的场合。如果哪个同事脸上长了青春痘挤破出了血,她就会对这个同事产生恐惧。慢慢的林女士所恐惧和回避的东西越来越多,她不敢使用公共厕所的马桶,对蚊子非常恐惧,认为蚊子咬过别人,会携带别人的血等。
专家分析:血液传播的确可以传播艾滋病,而且一度是国内传播艾滋病的主要传播途径,因此在拔牙、理发、刮胡子时选择卫生、规范的机构是很必要的。然而对于艾滋病的认识也要科学:艾滋病的传播途径只有性、母婴和血液传播。该病毒在体外的生存力非常弱,离开人体存活时间不超过半小时。与艾滋病病毒感染者或病人握手、拥抱、说话甚至一起吃饭、共用工具(如电话)、共用钱币、共用卧具、共用马桶,都不能感染上艾滋病,因此人们大可不必谈“艾”色变。
B.焦虑型
有过高危行为,经常提心吊胆,处于高警觉状态,担心自己已感染艾滋病,整天把艾滋症状和自身情况进行对照,越对照越觉得自己患有艾滋,如临大敌。
案例:付先生也曾有过高危行为,3个星期后出现了腹泻、感冒、身体发痒等症状,他惊恐万分,坚信自己已经感染了艾滋病。症状出现的第3天到当地最好的医院做了艾滋病检测,结果为阴性,过后3个月又做检测还是阴性。虽然医生说高危行为3个月后检测是阴性的话可以99.9%排除,但他却认为自己就是那“0.1%”。
专家分析:艾滋病的确存在潜伏期,而且有的感染者潜伏期会长达10多年,因此有高危行为者每3个月到半年都要做一次艾滋病检测,但一定要相信科学的检测手段,如果定期检测没问题,就没必要杯弓蛇影。要知道即使感染了艾滋病,生活也总要继续的。
C.逃避型
曾经有过高危行为,看到“艾滋病”这三个字及艾滋病的相关报道就紧张不安和烦躁,但却不敢去医院做检测。
案例:刘先生曾经有过高危行为,但他不敢去做检测,因为他认为反正现在艾滋病还没有很有效的药物可治,早知道还不如晚知道呢。
专家分析:这是恐艾症里最不可取的,有过高危行为并有感染艾滋病风险的人,为了不让自己的亲人处于艾滋病的感染风险下、不增加传播艾滋病的几率,一定要到医院检测。否则每天生活在艾滋病的阴影下,日子比艾滋病患者还难过。只有勇敢面对才能正视生活,一旦发现真的感染了艾滋病,可尽早积极采取治疗,逃避解决不了问题。
对于那些整日忧心忡忡、生活在对艾滋病恐惧中的人们来说,最佳的心理疏导办法,就是让他们更全面地了解有关艾滋病的知识。
1.急性期常见症状有哪些?
艾滋病病毒感染早期,亦称急性期,多数无症状,但有一部分病人在感染数天至数周时,出现像流感或传染性单核细胞增多症样症状,如发热、寒战、关节疼、肌肉疼、头疼、咽痛、腹泻、皮疹等。
2.去哪里检测?
本市各大综合医院、北京地坛医院、北京佑安医院、市区县疾病预防控制中心、性病防治机构等都可以提供艾滋病病毒抗体检测服务。
3.用试纸自测的准确率高吗?
只要是正规厂家生产的试剂,并且自测时操作方法正确,一般都还是比较准确的。但建议还是去正规或者专门的检测机构进行检测。
4.是不是快速法自测不准确呢?
只要是检测操作方法正确,并且试剂质量有保证,大多数情况检测也是比较准确的,不过一般还是建议去正规机构检测。
5.检测可能出现假阳或假阴吗?
任何方法都有可能出现假阳性和假阴性。
6. 什么是空窗期?
人体受到艾滋病病毒感染后,病毒激发人体免疫系统产生抗体,抗体达到一定数量时,可在血液及其它体液中测出。从感染艾滋病病毒到抗体可测出这段时间称为“窗口期”或“空窗期”。
7.窗口期一般多长时间?
窗口期一般为2周至3个月。
8.检测是血检还是尿检?
常用血检,更准确。
9.检测4周为阴可以排除吗?
大致可以排除,建议3个月时再测一次。
10.一般什么时候可以拿到检测结果?
视不同的方法和检测单位的工作效率而定。对于抗体检测,快速法大约需要20—30分钟,用酶联法一般第二天可以取。确认试验和病毒载量时间要长些,一般数天。
11.安全套可以防治艾滋病毒的传播吗?
绝大多数情况下安全套都可以有效预防艾滋病传播,不过只针对性传播途径有效。
12.使用了安全套,但我的包皮过长,会感染吗?
使用了安全套,只要方法正确,安全套没有破损,很难感染,与包皮过长无关。
13.急性期症状一般什么时候出现?
一般在感染后数天至数周。
14.吃药可以缓解急性期症状吗?
比较困难。
15.高危后吃阻断药物有效吗?
72小时内有效,最好是24小时内服用,而且越早越好。
16.艾滋病是不是性病?
艾滋病属于性传播疾病的一种,但是不一定每个人的艾滋病都是性途径感染的。
17.目前的试剂可以检测出所有类型的艾滋病毒吗?
不能。
18.艾滋病潜伏期或无症状期有多长?
艾滋病病毒侵入人体后一部分人出现流感样或传染性单核细胞增多症样症状,一些人一直无症状,直接进入无症状期。艾滋病潜伏期的长短个体差异极大,一般为6-10年,但是有大约5%-15%的人在2-3年内就进展为艾滋病,称为快速进展者,另外还有5%的患者其免疫功能可以维持正常达12年以上,我们称为长期不进展者。
19.为什么口交也较易传播艾滋病?
因为一方难免有牙龈炎、口腔溃疡等口腔常见病;另一方的外生殖器又难免在口交时被对方的牙齿划伤。
20.怎样预防经血液传播艾滋病?
首先要避免使用血液或血制品,必须使用时,要使用经艾滋病抗体检测的血液和血制品;避免不必要的静脉注射,使用一次性或经过严格消毒的输液器。不使用毒品,不与他人共用牙刷、剃须刀等用品,不到消毒不严格的理发店、美容院剃须、修脚、文身等。
At 10:08 on November 26, 2008 Source: Beijing Times
December 1, is the first of 21 "World AIDS Day."
With regard to AIDS prevention and treatment of the growing awareness that a special group of people are quietly emerged: fear of AIDS, had always suspected that she had AIDS, live in fear every day, than in real life is not easy for AIDS patients - this is the "fear of disease Ai "Patients.
Experts pointed out that the treatment of AIDS, only to have the concept of prevention awareness and vigilance, but without extremely suspicious, over fear, "Ai fear of disease" patients "cured by the medicine for heart disease need."
Four categories of "fear of disease Ai" inventory
A. Forced -
Both had high-risk behavior (defined as easily lead to HIV infection behavior), there have been no high-risk behavior, full of fear from their own subjective imagination and association. "Ai fear of disease" in general can be divided into four types.
No high-risk behavior, but know that HIV can be spread through blood, so that the old blood, hair, shave, and so there is bleeding is likely to allow themselves infected with HIV, leading to over-cautious in the eye may be infected with a variety of occasions.
Case: Last year, she had blood Xian, home has been worried about blood used dirty needles, afraid of being infected AIDS, blood began to fear, afraid to go to the hospital to avoid all possible occasions would like to see blood. If any of my colleagues face a long squeeze acne break out of the blood, she would have my colleagues on this fear. Ms. slowly by fear and avoid more and more things, she did not dare to use public toilets in the toilet, the very fear of mosquitoes, mosquitoes that bite other people too, will carry other people's blood, and so on.
Expert analysis: blood-borne spread of AIDS can be really, and once spread of AIDS is the major route of transmission, so in the extraction, hair-dressing, shaving on the selection of Health, the standardizing bodies are essential. However, for AIDS awareness to science: The only way to the spread of AIDS, and maternal blood-borne. The virus in vitro viability of the very weak, leaving the survival of the human body less than half an hour. AIDS and HIV patients or to shake hands, hug, talk and even eat together, sharing tools (such as telephone), shared money, shared bedding, shared toilet, can not be infected with AIDS, there is no need to talk about "Ai" terribly.
B. anxiety -
Have high-risk behavior, always on tenterhooks in a high state of alert, worried that she had been infected with AIDS, day symptoms of the HIV and self-control situation, the more control the more feel that they are suffering from HIV, a formidable enemy.
Case: Mr. Fu has had some high-risk behavior, 3 weeks after the diarrhea, colds, physical symptoms such as itching, very frightened, convinced that he had been infected with AIDS. Symptoms of the 3rd day to the best of the local hospital for the AIDS test results are negative, after 3 months and make detection or negative. Although doctors say high-risk behavior 3 months after the testing is negative, then 99.9 percent can be ruled out, but he think it is "0.1 percent."
Experts: AIDS, the incubation period does exist, and some will be infected with latent period of up to 10 years, there is a high-risk actors every 3 months to every six months to do an AIDS testing, but must believe that the scientific means of detection, if the testing on a regular basis No problem, there is no need for extremely suspicious. To know that even if infected with AIDS, life must continue.
C.-escape
There have been high-risk behavior, see "AIDS" and the words AIDS-related reports on the nervous and irritable, but are afraid to go to the hospital to do testing.
Case: Mr. Liu had high-risk behavior, but he did not dare to do testing, anyway, because he believed that AIDS is not very effective drug to rule as early as late as not know know anything about it.
Expert Analysis: This is the fear of disease Ai most desirable, and there was a high-risk behavior and HIV risk, to prevent their loved ones at risk of AIDS infection, increasing the risk of spread of AIDS, we must go to the hospital Testing. Otherwise, daily life in the shadow of AIDS, than the days when AIDS was also sad. Only the brave can face up to life in the face, once found to be infected with AIDS, as soon as possible to take an active treatment, to avoid not solve the problem.
For those worried about the day, live in fear of AIDS in people, the best psychological approach is that they should be more comprehensive understanding of AIDS-related knowledge.
1. Common symptoms of acute phase What?
Early HIV infection, also known as acute phase, the silent majority, but some of the patients infected in a few days to several weeks, like influenza or infectious mononucleosis-like symptoms like fever, shivering, joint pain, muscle Pain, headache, sore, diarrhea, skin rashes and so on.
2. Where testing?
Major general hospital in the city, Beijing Ditan Hospital, Beijing You An Hospital, the city district disease prevention and control centers, sexually transmitted diseases prevention and control organizations and provide HIV antibody testing services.
3.'s Self-rated paper with high accuracy it?
As long as the regular production of reagent manufacturers and self-test when the correct method of operation generally is quite accurate. But the proposal or to regular or special testing to detect bodies.
4. Is not a quick self-test method is not accurate?
As long as testing is the correct method of operation, reagents and quality assurance testing in most cases is more accurate, but is generally recommended to the regular testing agencies.
5. Detection of possible false positive or false negative it?
Any method may have false positive and false negative.
6. What is the window?
Human being infected with HIV, the virus to stimulate the body's immune system to produce antibodies that reach a certain number of antibodies, in blood and other body fluids to detect. From antibodies to HIV could be detected during this period of time known as the "window period" or "window."
7. Window usually how long?
General window period for 2 weeks to 3 months.
8. Detection is a blood or urine test?