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发表于 2008-10-24 16:36
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续上
案例1 ：
无套口交（男女）-接受方
你并没有任何应该担心的问题，因为你身体所接受到的只是唾液，除非给与方口腔内有血流出。唾液本身有强大的杀菌功能。
以下是医生对接受方口交危险性的看法
Receiving oral sex hardly counts as a terrifying experience! Nobody
has been proved to ever catch HIV by receiving a BJ, and some experts
believe it to be no risk at all. Everyone agrees that if there is a
risk, it is in the range of 1 per 20,000 exposures. To put that in
perspective, that means receiving a BJ by an infected partner every day
for 55 years before getting infected.
其实接受口交并不能说为一个那么差的经历吧（医生显然是开玩笑）没有任何人被证明是由于接受口交而感染艾滋病。而且有专家相信这是一个零高危的活动。假如同意这是一个有危险性的活动，那就是1在每2万个同类接触，更好去理解的话就是，从一个艾滋病感染者那里接受口交，每天如此，那也是在55年后才被感染。
评价：由于给与方输出大量唾液，降低被感染几率。前提是只要在双方（私处或口腔）没有出血，破裂。被感染几率还是非常小的。
案例2：
无套口交（男女）-给与方
虽然在理论上，危险还是存在的。但是与3位专家咨询后，1位说是可能性非常小。另外2位则是非常肯定给与方的传染率几乎为0。在他们十几年与HIV战斗的日子里，并无任何病人有此感染，也没有看到任何可靠资料承认口交给与方有任何危险。下面是医生与一个病人的谈话。
病人：
Dear Sirs,
I cannot believe my own stupidity, I work in Nigeria and 10 weeks
ago got very drunk and brought a girl I met in a club home. I gave her
unprotected oral sex and then we had protected vaginal sex. I have been
worried since I woke up and relalized what I had done. I went for a
test today and will get the results on Friday. I feel physically sick
at the thought of going and picking up the results. Any thoughts you
have on the chances of HIV transmission through giving oral sex to a
woman would be appreciated, there is alot of conflicting infomation out
there and I have nobody here to talk to.
病人在尼加拉瓜的迪厅里一位女性发生了性关系，给与对方口交和有套性交。
医生回答
Relax. Most likely you weren't infected. To my knowledge, there are
no documented cases of acquiring HIV by performing cunnlingus on an
infected woman. If it occurs, undoubtedly it is rare. If this is your
only risky behavior recently, you can expect your test result to be
negative. (In fact, if you were my patient and the test came back
positive, I would look you in the eye and say "OK, let's talk about
your real risks, because you didn't catch it during that oral sex
event.")
请你放松，你非常可能没有被感染。从我的经验来讲，HIV病史上没有任何记载病例是由给与（已感染）女性口交行为。假如真的发生了，不可置疑那是极为少见的，假如这只是你唯一的高危经历，你可以等待一个阴的报告。（你要真的是我的病人，而且检测为阳的报告，我会看着你的眼睛，说，ok,我们来谈谈你真正的高危吧，因为你并没有从给与口交传染hiv)
案例3 ：
关于手交和男方给与女方口交
咨询问：
I had sex with an Escort in New York city 28 days ago (Jan 21st). I wore a condom but I gave her oral sex and I also fingered her. After the encounter I realized that there was an open cold sore and a small cut on my finger the one I used to finger her (the sore and cut were there prior to the encounter) so I'm worried now about HIV, also I'm worried because I gave her cunnilingus.
我与一位性工作者在纽约，28天前（1月21号）。我有带保险套但是我给与她口交，并且给与手交。在性交之后我才发现我的是指上有伤口。（伤口是在经历前就有的了）所以我担心是否被传染艾滋病，而且我也担心因为我有给与她口交。
医生回答：
You had safe sex by all definitions. Even if she were, the likelihood you were infected was near zero; there has never been a documented HIV transmission (in either direction) by cunnilingus or by hand-genital contact, with or without cuts or other lesions The likelihood you were infected with HIV is zero. But for anxiety relief, have a standard HIV antibody test 6 weeks after the event.
你其实是被保护性交。即使她是艾滋病病毒携带者，你被感染的几率也接近与零；从来没有一个hiv感染记载（双方）由于男给女口交，或者手交，有或者没有伤口。你被感染的可能性是于零。但是为了心里解脱，可以去查一个平常（任何)HIV抗体检测在6周之后
3。 日常生活中有没有被可能传染艾滋病毒。
咨询问：
My very close friend has tested positive for HIV recently. We used to
be very very close, so i used to share the same soda(drink) from the
same straw with her. meaning i used to share and consume her saliva. I
did that lot of times, may be ten times until now. We used to drink
from the same glass, that is how close we are,sharing the drink. Do i
need to worry about getting HIV from this incident?
Please answer.
咨询者提问 ：我非常要好得一个朋友最近查出是HIV阳。我们原来真的非常密切，我们经常用一个吸管喝饮料。也就是说我原来说过她的口水。这类事情我做过许多次，大概至少有10次了吧。我能不能这样被感染呢？
医生回答：
They call HIV an STD because you have to have sex to transmit it. Or
direct blood exposure, such as by injection drug use. People who live
in the same households of HIV infected people, sharing bathrooms,
eating utensils, and the like, day in and day out, never get
HIV. Everybody knows these things and so should you.
You are not at risk. Your HIV infected friend needs your
friendship and support, not your withdrawal for fear of infection. If
she has a wound and bleeds, and you are the cleaner-upper, wear gloves
and wash your hands. Otherwise don't worry about it. There simply is
no chance.
他们叫hiv也是一种性传播疾病，是因为必须有过性行为方可感染的疾病.或者血液传染,比如针头注射毒品.那些与hiv感染者同吃同住的人们,每日如此,共用餐具,厕所.永远不会得到hiv.所有人都应该明白这点,包括你在内.
你并没有任何危险.你已被感染hiv的朋友需要你的友谊和支持.并不是远离或者恐惧. 假如她有伤口以及流血,而且你又是去清理的那个人,戴上手套并洗手. 所以不必担心.你被感染根本不可能.
4。专家采访：
今天由于本来想采访的专家不可以今天与我促膝长谈，我就投奔去了上次帮助我的测验医生（指导员）那里。
以下我就已ME来简称，医生以DSM简称
me: hi, i'd like to thank you at first for seeing me today.
(谢谢你今天愿意见我）
DSM: oh, that's not a problem at all.
(没有什么关系的）
me: well, let's start with some questions
(那我来问一些问题吧）
DSM: alright, go ahead
(好的，请讲）
me: Which type of test do you preform when someone comes in for a HIV test.
(你都用什么样的测试给那些来检测HIV的人们）
DSM: many doctors have their own ways, but we run rapid test, OralQuick Advance HIV anitbody 1-2.
(每个医生做法不同，但是我是用快速法（口腔）
me: Is that any different to blood draw from finger rapid test?
(这个与从手指抽血快速法有任何不同吗？）
DSM:no, they are all very highly accurate
(没有，他们都是非常准确地）
me: There is this very interesting and new saying about, antibody can generate enough in 6 weeks to be detected by modern test, do you have any comments on this?
(现在有一个非常新影，有意思的说法，就是抗体可以产在6周内产生足够的抗体可以让现在的检测查出来，你对这个有任何看法吗？）
(上次他明显的支持6周论,但是自从我听说我是正式访问他开始保守了)
DSM: I can not really comment on that.
(我不能发表任何意见)
me: I am sorry if that was rude to ask, let me change the question, have you seen any one turn postive from a negative result by 6 weeks? From you 11 years of fighting HIV.
(对不起,我刚才那么问有些不礼貌,让我从新问,从你11年与艾滋病接触的时间,你有见过任何人6周后转阳的吗?)
DSM: No, i have not seen any cases as that
(没有,我没有见过)
me: how many people do you have come and tested for HIV per week?
(你们每周有多少人来测验hiv?)
DSM: not as many as we would like. There are people who encountered a high risk, but without any acknowledgement about HIV. We encourage people to get tested if you have a concern.
(我希望更多的人来, 有些人接触了高危险经历以后,却并不了解hiv.我们鼓励那些有疑问的人来测验)
me: from the people whom are tested postive with HIV, what is the first thing you do ?
(从那些测验阳性HIV的人们,你们下一步怎么做)
DSM: We will try to comfort him or her,and use WB and ELISA to comfirm whether if it is reactive.
(我们先安慰他或者她,并且用WB与EIA共同测验来确定结果)
me: the infected group, tested postive at your clinic, what are their sexual behavior?
(那些被感染的人们,是什么性行为?)
DSM: Most are homosexual and bisexual, from giving or reciving anal sex without protection. But hetrosexual's number is coming up as well.
(主要是同性与双性恋, 原因是接受或者给与肛交,在不用安全套的行为下. 但是男女性交也在逐渐上升)
me: Are those infected from hetrosxual used a condom
(那些男女性交的没有用安全套吗?)
DSM: no they did not, and some were ripped.
(没有使用, 并且有些是破损安全套)
me: do you consider oral sex ( giving and reciving) on both sex, or masterbate someone's private part is dangerous.
(你觉得口交(给与或者接受)男女方,或者手淫是危险的吗?)
DSM: there is a risk for oral sex, but it is exteremly low.
(口交是有一定的危险, 但是是非常渺小的)
me: have you ever seen anyone infected with oral sex?
(你有见过由于口交而感染的人吗?)
DSM:no, never seen one.
(没有,从来没有)
me: When do you think there will be a cure for AIDS?
(你觉得什么时候才能真正的治疗艾滋病)
DSM: hopefully 5 years, hopefully
(希望在5年后,希望是)
由于我觉得他可能有事情要做了,于是我就问他有什么话相对咱们论坛的人们说.
DSM: Educate yourself if you do not know about HIV, do not concludes without a testing result! I encourage everyone to get tested if you were at a risky encounter, do say there s skin rash, or you caught a cold, or your joint hurts. And concludes you have caught HIV, get tested and always use a condom.
(让自己去学习,认识艾滋病,不要在测试前就自我判断你是否感染! 我建议那些有过高危险的人们去测验,不要说你敢冒了,皮肤痒了,关节痛了,就结论说你得艾滋病了. 去测验并且一定要用安全套)
me: thank you very much for your time
(非常谢谢你的时间)
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发表于 2008-10-24 16:35
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