专家系列问答翻译5------关于6周

noix

http://www.medhelp.org/posts/HIV-Prevention/Negative-HIV-results-after-6-weeks/show/349452

07年的帖子

Q: Doc,

I am a 20 year old white male collegestudent. It has now been about ten weeks since I had a little too much to drinkone night and had unprotected sex with a 19 year old white girl that I didn'tknow. She was a year younger than I am and I'm not sure of her past history asfar as sex goes. I am pretty sure that she is not a drug user however. At sixweeks after possible exposure I tested negative for HIV at our universityhealth clinic. I got in contact with a doctor in the men's clinic there and hesaid that he believes that I should be confident that I am in fact HIVnegative. Should I take this negative result as a fact that I am HIV negative?Is it necessary to get tested further? I would really like this all to be overbecause it has been ruined my life for the past 10 weeks.

Thanks

A：Almost nobody ever catches HIV heterosexually in the circumstances you describe.  The chance your partner had HIV is near zero.  In newly infected persons, modern HIV tests almost always are positive within 6 weeks.  Therefore, I agree with your student health clinic doctor.

Sounds like you need to get a perspective on the real risks of HIV.  There is nothing in this that should have "ruined my life for the past 10 weeks" and  you really didn't need testing at all after such an event.  (Do you think every person with a new sex partner should run out and have an HIV test?  Ridiculous.  The health care system couldn't handle the load.)  Like many young persons today, you probably got a misunderstanding due to inappropriately fear-based health and sexuality education in many high schools in the US.  In other words, your anxieties probably are the result of inappropriate influences of religion and politics in relation to sex.  You're not alone.  But learn the true facts and mellow out. Best wishes--  HHH, MD
Q: Doc, So can I be 100% confident, if I had to, in telling somebody that I don't have HIV? I'm sorry to sound repetitive and wound up but I am just looking for some closure here. It would be really helpful if I could be certain that I don't have HIV. If you had to say percentage wise, how confident I can be that I don't have HIV? If it's not 100% what can I do to get myself to 100% certainty. Thanks
A: Did you think I would have changed my mind?? It's 100%--or as they say in the sports field, 110%.  Move on.  I won't have any further comments.

问：医生好：

我是一名大学生，20岁，白人男性。事情距今10周时间了，那晚我喝多了和一名不认识的19岁白人女孩发生无保护性行为。她小我一岁，我对她的性史不了解。但我很确定她不吸毒。那次事情六周后我去校诊所检测，结果为阴性。我和那里的男科医生进行了交流，医生说他相信检测结果是准确的。我可以把这个阴性结果当作是脱恐的依据吗？还需要检测吗？我真希望这一切赶快结束，这十个礼拜简直不是人过的日子。

答：几乎没有人在你所描述的异性性行为中感染HIV。你的性伴感染HIV的几率几乎为零。在新感染的人群当中，现代HIV检测阳性结果几乎都是在6周内发现的。因此，我同意你们校医生的意见。

看上去你需要对HIV真正的感染风险有所了解。根本没有什么“十个礼拜不是人过的日子”之类的东西，而你真的不必再去检测了。（你认为每一个有了新性伴的人都要跑出去做HIV检测吗？太滑稽了。医疗机构也担负不起如此重担。）因为对健康问题有着不当的恐惧担忧以及美国中学的性教yu，你会像现今很多年轻人一样有些误解。换句话说，你的焦虑很可能来自于和性有关的不当宗教与政治影响。像你一样的还有很多，但请了解一些真实情况然后放松就好。

再问：医生好：

所以如果别人问起我，我可以100%自信地告诉对方我没有感染HIV吗？很抱歉又很紧张地问重复性问题，但我确实想在这里找到肯定性的结论。如果我能确定自己没有感染HIV那将对我是非常有帮助的。如果用百分比来形容的话，我有多大可能性能够确信自己没有感染？我如何才能100%确信排除？

谢谢。

再答：你认为我会改变主意吗？

100%确信不会感染，或者像在体育界说的那样：110%。继续你的生活吧，我再没有什么意见可以发表了。