艾滋病的确诊过程是怎样的?哪些检查能确认是否感染艾滋病?
首先,感染后要做一些检查。你想知道自己的状况的时候,应该做哪一些检查呢?其实很简单,做一个抗体检测就可以了,而且这个检测到目前为止包括试剂的质量,包括检测的方法成熟与否,目前我们可以客观地说,我们一般意义上理解的就是准确性,或者说技术上的满意率可以达到99%以上,所以没有必要过多的去过多的检测,今天到这儿做一次,明天又到那儿做一次,这是没有必要的。
艾滋病诊断方式
现在最常用的艾滋病诊断方式是进行抗体检测.当人体感染了病毒后,免疫系统就会有所反应,即产生抗体。这种抗体一旦产生,可以帮助机体来控制病原体、病毒、寄生虫。因此我们可以根据这个进行诊断是否感染了艾滋病,可以说大部分的感染疾病,都可以通过检测抗体的方法诊断出来。
现在最常用的艾滋病抗体检测方法有两种:
(一)是通过免疫的方法:即通过一个仪器来自动检测这种抗体,具有简单、应用广等优势。它可以不受场地、规模的限制,甚至有些朋友在家里就可以操作,就是我们常说的快速诊断法。这种技术的特点,就是非常直观,任何人经过短期的培训,都可以判断出正确的结果。这种快速的诊断方法在一般情况下,20分钟就可以做出诊断。我们通过检测血清里的抗体就可以检测出是否感染了艾滋病,不过这种方法目前在我国暂时还不具备推广的可能性,原因很多,不在此赘述。
(二)通过尿液、唾液、口腔粘膜等分泌液检测:用这种方法检测,敏感性、特异性都非常好。
(三)检测口腔粘膜渗出液。这也是一种非常快速、简便的方法,对病人是无创的。这种无创检测有如下好处:一方面被检测的人没有痛苦,另外对操作的人来讲,也避免了一些职业暴露,一些操作中的污染。检测艾滋病抗体,相当于完成了一半,这是一个初筛实验,特异性稍微差一点,因为它还需要一个确证实验来确定抗体是否真的存在;艾滋病病毒的抗体,是否存在假阳性或交叉免疫的现象。
目前在我国最常用的是血清学抗体检测,该方法较稳定,并且准确性较高。
另外,艾滋病还有一个窗口期,即病原体感染人体之后有一个抗体产生的过程,但随着技术的不断改进,我们已经可以提早对一些窗口期感染的病人进行诊断。除了HIV病毒感染之外还有其他的性传播疾病,诊断的方法也是各种各样的。比如对梅毒的诊断,除了临床诊断之外,还可以直接在皮肤上取一些分泌物、皮屑。另外梅毒诊断和艾滋病感染诊断一样,也可以通过血清查抗体的方式。
总之,性传播疾病的诊断方法是非常丰富的,不同的疾病有不同的诊断方式,所以要根据不同的疾病采取不同的诊断方法,如果是两种以上的性传播疾病合并感染,我们就采取各自特异的方法,或者采取敏感性高的方法。所以说如果患了性传播疾病,一定要到专科医院去诊治,医生会根据你的临床表现、症状,还有既往的一些经历来判断,给你选择一个很好的检测方法。在这种情况下,可以最大程度上保护你的健康,使自己保持健康的状态。
艾滋病抗体检测,要花很多钱吗,那一级医院最准确?
如果问哪一级医院最准确,这不是一个级别的问题,在我们国家真正能够检测艾滋病的能够承担对这个结果负责任的,都是经过31个省市自治区的疾控中心、或者是省一级的卫生厅审批合格的具备这种实验室能力的,所以检测就应该是准确的,因为它具备了这种能力。
但在这里我想解释一点,实验室的能力包括医务人员保护自己、保护病人、保护周围环境等等,特别是实验室出来的结果的准确性,就牵涉到我前面谈到的,我给你一个阳性的结果,你可能会是什么样的心情,家庭、成员会是什么心情,周围会怎么看你,在早期都会这样。现在减小了这种歧视,但实际上还会有。给你一个阴性的结果你未必会相信,但给你一个阳性的结果你可能就会面临着很多压力,所以在这种情况下,我们对这方面的要求,对实验室能力的要求可能会更高,不是说任何一个医院我新开个门诊或者干什么都能随便做这样的实验,那是不允许的,因为从技术规范上面就要求得比较高。
我们国家早就有这方面的免费的检查和治疗的四免一关怀的政策。在国务院关于艾滋病的防治条例里明确有这个规定:一个是对艾滋病提供免费初筛,就是血液的初筛检测都是免费的。现在我们北京市已经设立了100多个给市民提供免费咨询和艾滋病检查的检验实验室,其中在我们市和18个区县的疾病预防控制中心,都建了这样的初筛实验室,同时还有在一些医院也有这样的实验室,一共有50多个。也许还有市民不知道这件事情,所以借这个机会我也宣传一下,任何市民如果自愿的愿意做艾滋病的检查,都可以到这些单位,如果好记的话,就是我们18个区县的疾病预防控制中心,都开有这种自愿免费咨询检测的实验室。大家随时都可以去,完全是免费的,是自愿的。同时我们北京市卫生局在全市还认定了艾滋病初筛实验室,就是都可以提供艾滋病检测服务的。现在二级医院原则上都是可以做这个检测,这点大家可以放心。
感染艾滋病有什么症状么?
事实上,在感染艾滋病病毒以后如果说严格的观察的话,有一部分人会有一定的表现,现在从医学的资料记载来看,一部分的人的感染了以后,在一两周的时间里,最长的可能有三周,这一段时间里可能类似于感冒的症状,有点乏力,有这种现象发生,但是在自然情况下一般的人感觉不出来。就是因为我们现在能查阅到的这些资料是在西方社会艾滋病发现的早期,发现很多医疗卫生工作者,包括医生护士在诊治病人的过程中,把自己的手划破,出现这种事情以后,隔一段时间经过检测,同时在这个事件发生以后要求他们每天记录自己的感觉,或者说是表现,只是在这种严格的观察的情况下,有一部分人觉得在这个事件发生以后的一段时间里有一种类似于感冒的很轻微的症状,很快就过去了,当然这一部分人事后也证明他确实是感染了,回过头来讲,我们认为感染了以后有一部分人会有这样的表现,但是实际上有相当一部分人根本就感觉不到。我的意思就是我们不要因为自己发生了一种类似于感冒的感觉的时候,就认为自己就一定是感染上了艾滋病病毒,因为感冒的症状很多的因素都可能造成有这种感觉,所以没有必要往自己头上套枷锁。
确诊后是否需要将病情告知患者?患者信息是否需要在有关部门备案?
有人曾经问我:有没有这样的检查机构,查出艾滋病来了,也替病人保密?如果有,是哪家呢?
我的回答是:去医院或者疾控中心都可以检查,医务人员的态度非常好,会先进行咨询,再给予帮助,并提供免费检测,一周出结果。如果检测结果是阳性,我们的专业人员也只会给予治疗建议,不会限制你的人身自由,并且是绝对保护你的隐私。如果检测结果是阳性,我们会上报给国家疾控中心,但是不会泄露你个人隐私的相关信息。
艾滋病检测和治疗过程当中,个人隐私是怎么样来保证?
对艾滋病我们是有严格的制度的,个人检测的结果应该严格保密的,它是跟伦理直接相关的,到目前为止,还没有发生在工作过程中,把人家相关的隐私都公布出去的事件;我们有我们的基本操作规程,也就是我们的职责,第一,我们是要进一步去预防,但同时要保障我们被检测者,被治疗者本人的所有隐私不被我们泄露出去,因为我们遵循的原则就是:艾滋病病人和感染者除了在“病”这个方面跟其他人不一样以外,其他方面与正常人没什么不同,我想这也是卫生机构的这些工作人员最基本的职业道德。
防治艾滋病 不能缺少法治规范下的人文关怀
艾滋病是个曾经让人“谈艾色变”的病。艾滋病的医学全名为“获得性免疫缺陷综合征”,由人类免疫缺陷病毒引起。这种病毒为终生感染,能够破坏人体免疫系统,使人丧失抵抗各种疾病的能力。
防控艾滋病,要强化其有效性。由于社会对艾滋病病人的歧视,许多人只能默默隐忍痛苦而不敢吐露。虽然艾滋病疫苗仍然没有出现,攻克艾滋病还有很长的路要走,但是,艾滋病已经变得不像当初那么可怕了。更多的人知道,与艾滋病人的正常接触不会被感染,这使得更多的普通人,可以自然地与艾滋病感染者一起工作生活,也使得艾滋病感染者可以像普通人一样过着正常的生活。艾滋病人不但能够得到很好的关心和治疗,而且他们的权益也得到保障,一系列保护艾滋病人的举措,使艾滋病感染者和患者感受到来自社会的温暖,使他们有勇气重新积极面对今后的人生。
爱,是一种责任。对待艾滋病患者,用爱心履行承诺,不仅是为了关爱艾滋患者和感染者,也是为了更好地控制艾滋病流行。这些年来,越来越多的公众人物积极参与到艾滋病防控的宣传工作中,与艾滋病感染者在一起参加活动,表达了普通人与艾滋病感染者之间的情感沟通,也体现了今天新的预防艾滋病理念:关爱艾滋病患者和感染者,让他们成为和我们一样的普通人,共同生活在社会大家庭爱的氛围中,这是一种预防控制艾滋病的有效措施。
AIDS diagnosis What is the process? What are the checks to confirm whether HIV infection?
First of all, to do some checking after infection. Do you want to know when their own situation, which should be done to check it? In fact, very simple, so you can detect an antibody, and the testing so far, including the quality of reagents, including sophisticated methods of detection or not, we can objectively say that we understand the general sense is that the accuracy of, or The satisfaction rate is technically more than 99% can be achieved, there is no need too much to too many tests done here today once again tomorrow, once there, it is not necessary.
AIDS diagnosis
AIDS is now the most commonly used diagnostic antibody detection is carried out. When the body is infected with a virus, the immune system will react, that is, antibodies generated. Once such antibodies can help the body to control the pathogens, viruses, parasites. According to this so we can diagnose whether or not infected with AIDS, can be said that most of the infectious disease, to pass through the detection of antibodies by the method of diagnosis.
AIDS is now the most commonly used antibody detection methods, there are two:
(A) is a method through immunization: the adoption of an instrument to automatically detect such antibodies, with a simple application of wide advantages. It can not be the venue, size restrictions, and even some friends at home can operate on is that we often say that the rapid diagnosis. The characteristics of this technology is very intuitive, any person who, after short-term training, can determine the correct results. Rapid diagnostic methods that under normal circumstances, 20 minutes to make a diagnosis. We detected antibodies in serum can detect whether or not infected with AIDS, but this method is not yet present in China with the possibility of promotion, many reasons, not repeat them here.
(B) through urine, saliva, oral mucosa, such as fluid detection: The detection of this method, the sensitivity and specificity are very good.
(C) detection of oral mucosal exudate. This is a very fast, easy way, and the patient is non-invasive. This non-invasive detection of the following advantages: on the one hand, those who were not suffering detection, and the operation of the people, also to avoid a number of occupational exposure, a number of operational pollution. AIDS antibody testing, which is equivalent to the completion of the half, this is a screening test, almost a little specific, for it requires a confirmation test to determine whether the existence of antibodies; HIV antibodies, the presence of false positive or cross-immunity phenomenon.
At present in China is the most commonly used serological antibody detection, the method more stable and higher accuracy.
In addition, there is a window period of AIDS, that is, after pathogen infection in a human antibody generated by the process, but with the continuous improvement of technology, we are able to advance a number of patients infected with the window period for diagnosis. In addition to HIV infection in addition there are other sexually transmitted diseases, diagnosis is also a variety of ways. For example, the diagnosis of syphilis, in addition to the clinical diagnosis, but also can directly access some of the skin secretions, dander. Another diagnosis of syphilis infection and AIDS diagnosis, as can also search through the serum antibody approach.
In short, the diagnosis of sexually transmitted diseases is very rich and different diagnosis of the disease have different ways, so different diseases according to different diagnostic methods, if two or more sexually transmitted diseases infection, we have to take their specific method, or methods of high sensitivity. So that if suffering from sexually transmitted diseases, we must go to hospital treatment, doctors will be based on your clinical performance, symptoms, there are a number of past experience to determine and give you a very good choice of detection method. In this case, the maximum extent possible to protect your health, to keep themselves healthy state.
AIDS antibody testing, it takes a lot of money, and that the most accurate one hospital?
If you ask a hospital where the most accurate, this is not a question of level, in our country is capable of detecting AIDS really able to take responsible for this result, 31 provinces and municipalities are autonomous regions of the CDC, or Province Health Department-level approval of qualified laboratory capacity to have that, so detection should be accurate, because it has such capability.
But here I would like to explain that the ability of laboratories, including medical personnel to protect themselves, to protect patients, protect the surrounding environment, especially the laboratory of the accuracy of the results, it involves talking about in front of me, I'll give you a positive result, you may feel like, family, members of what will be feeling will be around to see how you would do at an early stage. Now reduced to such discrimination, but in reality there will be. Give you the results of a negative may not believe you, but give you a positive result you may be faced with a lot of pressure, so in this case, we request in this regard, the requirements of the laboratory capacity may be more high, not to say that any one of the hospital, I open a new out-patient, or what can not do this kind of experiment, it is not allowed, because from the technical specifications higher than the above required.
Our country in this regard is long overdue for free examination and treatment of the Four Frees and One Care policy. State Council Regulations on AIDS prevention and treatment of this clearly states: one is to provide free screening for AIDS, screening of blood testing is free of charge. Now we have set up in Beijing to more than 100 members of the public to provide free AIDS test counseling and testing laboratories, which in our cities and 18 districts of the Center for Disease Control and Prevention, have built such a screening laboratory, but also Some hospitals are also in this laboratory, a total of more than 50. Perhaps there are members of the public do not know this matter, so I take this opportunity to a bit of advertising, any member of the public is willing to do a voluntary inspection of AIDS, these units can, if so remember that we are 18 districts and counties of the disease prevention Control Center, have opened this voluntary counseling and testing laboratories free of charge. We can go at any time, completely free of charge, on a voluntary basis. At the same time we are in the city of Beijing Health Bureau also found that AIDS screening laboratory that can provide HIV testing services. Now in principle, two hospitals are doing this testing, we can be assured.
What are symptoms of HIV infection it?
In fact, after HIV infection if strictly observed, then some people have a certain degree of performance information is now recorded from the medical point of view, part of the infected person after a period of two weeks, the most there may be three weeks long, this period of time may be similar to flu symptoms, a bit weak, is there such a phenomenon occurred, but in the case of natural persons in general do not come out feeling. It is because we are now able to access to such information is found in the West of the early AIDS, found that many medical and health workers, including doctors and nurses in the treatment of patients in the process of hand-cut their own, such things happen in the future, the following tested for some time, at the same time after the incident in the day asking them to record their feelings, or performance, but in such a strict observation of the circumstances, some people think that after the incident in this period of time there is a species is similar to a very mild cold symptoms have passed very quickly, of course, after this part of the personnel to prove that he is infected, in turn, we believe that after infection some people have such a performance, but the actual There are a considerable number of people simply do not feel. What I mean is we should not have taken place because of his flu-like feeling of a time on that they must be infected with the AIDS virus, because the symptoms of flu are a lot of factors that may cause such a feeling, there is no need sets of shackles to his head.
The need for diagnosis in patients with this condition? The need for patient information in the relevant departments of the record?
Some people have asked me: Is there such an inspection body to detect AIDS, and also for the patient confidentiality? If so, then which?
My answer is: go to the hospital or can check the CDC, the medical staff's attitude is very good, will carry out a consultation, give them additional assistance and to provide free testing, the results of the week. If test results are positive, our professional staff will be given treatment recommendations, will not limit your personal freedom, and is absolutely protect your privacy. If test results are positive, we will report to the national CDC, but will not disclose your personal information privacy.
AIDS testing and treatment process, the privacy of individuals is, how to ensure?
AIDS that we have a strict system, individual test results should be strictly confidential, it is directly related with ethics, so far, has not yet occurred in the course of their work to other people's privacy-related events are reported out; We have our basic rules, that is our duty, first of all, we need to do is to prevent further, but at the same time to protect those who we have been testing, I was treated all the privacy we will not be leaked, because we followed principle: that AIDS patients and infected persons in addition to the "disease" in this respect with other people do not like the other little different with the normal, I think this is also the health of these workers the most basic professional ethics.
AIDS is not the lack of the rule of law under the norms of humane care
AIDS is a people who "talk about Ai mere mention of" the disease. AIDS medicine is called "acquired immunodeficiency syndrome", by the human immunodeficiency virus. Infected with the virus for life and can damage the body's immune system, people lose the ability to resist various diseases.
Prevention and control of AIDS, to strengthen its effectiveness. Due to social discrimination against AIDS patients, many people could only silently suffering隐忍do not dare to tell. Although the AIDS vaccine still does not appear, to overcome AIDS, there is still a long way to go, but AIDS has become the first place is not so terrible. More people know, people with AIDS will not be infected with normal contacts, making more people can be naturally infected with AIDS to work with life, and has made AIDS can live like normal people life. AIDS can be good not only care and treatment, and their rights are protected, a series of initiatives to protect people with AIDS, so that patients with AIDS-infected people and feel the warmth from the community so that they have the courage to face the future re - life.
Love, is a responsibility. AIDS patients treated with love its commitment not only to care for HIV-infected patients and is also in order to better control the AIDS epidemic. Over the years, a growing number of public figures actively involved in AIDS prevention and control of our propaganda work, and AIDS-infected people to participate in activities together, expressing the people with AIDS between emotional communication, but also new today the concept of prevention of AIDS: Care for AIDS patients and infected persons to enable them to ordinary people like us, who live together in the community atmosphere of the big family of love, which is a an effective AIDS prevention and control measures.
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