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本帖最后由 flyapple 于 2011-2-18 14:58 编辑
大家好，本人恐艾很多年。
本人男，25岁。在我还是10岁小孩的时候，路上被不明男青年劫钱，然后他把我带到阴暗小巷强迫我给他kj，这件事情让我挥之不去，后来知道了hiv，心中一直有恐惧，因为小时候有过这段猥亵的经历，我至今也没对任何人提起，自己好几次却偷偷在被窝里哭。我并不专业，但是我想通过我自己的语言给大家一点帮助。
我今天去了Medhelp论坛，把我遭到猥亵的事情描述了，而且时间我缩短到去年，年龄我写着14岁。以下是我得到的答案：
by hope242（三颗星）
“No, you did not get HIV from oral sex. I'm sorry to hear that happened to you, but you can be sure you don't have HIV from that exposure.”
不，你不可能通过kj感染HIV. 对你的经历我表示很遗憾，但你必须明白在暴露情况下你是无法感染HIV的（我想kj算是将生殖器暴露在空气当中，所以没有感染可能，这是我单方面的理解）。
by NickOne7(五颗星）
1. Can I suffer HIV because of that abuse experience? NO
我会因为这次经历感染吗？不会
3. Need I go to have a test? NO
我需要去医院做检查吗？不用
大家还可以看一下这篇帖子：http://www.120x.net/thread-30004-1-1.html
Medhelp的HIV Prevention Community的论坛中，今天碰巧有个医生发了个话题：《 Can I get HIV through oral sex》（通过kj我能否感染上HIV)
文章链接：http://www.medhelp.org/user_jour ... IV-through-oral-sex
Can I get HIV through oral sex? is probably one of the most frequent questions we get asked at Freedomhealth either in person or via our Sexual Health Forum. The answer is yes, possibly, but it is exceptionally unlikely.
能否通过kj感染HIV? 在Freedomhealth论坛一直是个热门话题。答案是“能。”但是，可能性异常的低。（请别害怕，继续看）
There has been a great deal of interest and many research papers written about the HIV risks associated with oral sex and similarly many studies to try to determine why the risk of oral sex with an HIV positive person might be less than that associated with unprotected penetrative vaginal or anal sex.
有关kj和HIV感染风险的研究论文非常多。这些研究试图去找出为什么kj风险相对于没保护的xj及gj的风险低很多。
Romero and others, in their article describing an excellent and diligent long term study failed to identify any risk at all in transfer of HIV from an HIV positive to an HIV negative partner through oral sex. In total 19000 episodes of oral sex were documented amongst 135 heterosexual couples over ten years and in 34% of these episodes the HIV positive male ejaculated into the HIV negative females' mouth. (Romero J et al. Evaluating the risk of HIV transmission through unprotected orogential sex. AIDS 16:9:1269-97, 2002.)
Romero 等人有个长期的调查研究，最终的数据却无法证明阴性者和阳性者发生kj会带来风险。所调查的对象是135对儿十年以上的异性情侣总共发生过19000次kj，其中又有34%的情况是男性感染者将精液射在女性未感染者的口腔中。
Baggaley and others, in their article Systematic review of orogenital HIV-1 transmission probabilities. International Journal of Epidemiology 37 : 1255-65, 2008 have reviewed the major articles to date and conclude that the risks of HIV transmission via oral sex are low.
To reach their conclusions they conducted a systematic review of the available literature. Ten studies from North America and Europe were identified as meeting the required criteria.
Baggaley等人则针对有生殖综合症的HIV-1传染可能性进行调查后发现，通过kj感染的概率很低。 这个结论是回顾现有文献得出的，文献来自北美及欧洲的10个研究。
The authors noted some difficulties with the methodology of the studies. These were mainly the common ones of:-
可是Baggaley这份调查却有许多专家质疑。因为有一些重点被忽略了：
- People rarely confining their sexual activity to oral sex alone
被调查对象往往都有除了kj以外的其他性行为（我相信那些号称自己因为kj感染的人都在说谎，有一对儿法国人说接吻感染，到后来也承认了他们也有其他高危行为的）。
- where people have had other sorts of sex including unprotected anal or vaginal penetration it is assumed that the higher risk activity will have given them HIV
其他性行为是指没有保护的xj以及gj，这些行为很有可能是真正导致他们感染的原因。
- exact details of the sexual activity have been missed out - ie whether or not ejaculation into the mouth etc
有一些细节被忽略了，例如是否在口腔内有过射精。
- Studies where one partner is known to be HIV positive and the other HIV negative are likely to be slightly skewed because the HIV positive person is likely to be on anti-retroviral medications and consequently probably less infectious anyway.
其中，如果有一方是HIV阳性者，那么他很有可能已经在接受抗逆转录的治疗，他感染其他人的概率就更低了。
The overall conclusion was that:-
最终结论：
- Chances of acquiring HIV through oral sex with an HIV infected partner are very low. The majority of the studies reporting zero to miniscule risk.
通过kj感染HIV的概率非常低（由于这是出自医学论坛，非常低=0，并且目前没有数据支撑kj感染HIV的情况）。大多数调查研究最后的结论都是0风险或极低风险（我认为那些说自己kj患病的人就是在撒谎，应该还隐藏了其他性行为的事实）。
- Very large, very expensive, well controlled studies would be needed to define the question exactly.
想要得到最正确的答案还需要更加准确及先进的，大规模的调查与研究。
The results of a study due to appear shortly in AIDS seem to show that HIV negative gay males in sero-discordant ( a relationship where one of the partners is HIV positive and the other HIV negative) relationships have saliva which has an HIV neutralising capacity. Consequently one of the conclusions drawn is that repeated exposure to low levels of HIV may produce a level of resistance to HIV in this population.
同性恋情况： 男同性恋中一方阳性，一方阴性的情况，由于唾液具有使得HIV脱酸的能力（就是破坏其结构吧，我的理解）。最终一个结论就是这种低风险的方式能够防止HIV在这些人群中蔓延。
Posted by Freedomhealth
我还看过一个文章，上面说至于口腔破损的情况：很多人担心什么牙龈出血，一般溃疡什么的。这里的口腔破损是那种极端例子，比如大规模的创伤，口腔刚做完手术，刚拔完牙还在淌血等情况，那种牙龈出血，一般溃疡，上火，咬破个小口子什么的，基本不构成所所谓的口腔破损，谈不上感染。而且，就算发生了那种嘴中大规模创伤的情况，由于有唾液的保护，患病的概率是异常的低。
如果以一般口腔溃疡定义破损的话，所有人的口腔内都有一定的”破损“。倘若这个感染路径是存在的话，那我就很难想象今天的HIV感染者为何没有出现井喷现象。
我还浏览了其他帖子，基本上回答者都是一句话：Cannot get infected just through oral sex (仅仅通过kj无法感染）
我的结论就是，你如果说是kj感染了，要么你就是在说谎，要么你就成为全世界第一人了。
kj感染目前只是理论上存在，实际中有个例，但是大多数专家都对这些例子起怀疑态度，而且其中有一些人也承认了他们自己除了kj外还有其他行为。
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发表于 2011-2-18 13:07
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