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“我们不再孤独”——记肯尼亚一位母亲抗击艾滋病病毒母婴传播的经历
2010年10月31日 13:14:00 来源： 新华网
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| 图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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新华网肯尼亚基苏木１０月３０日电(记者王雅楠)１０月末的肯尼亚城市基苏木紫薇花盛开。在距离基苏木市中心不远的基苏木东区医院的后院里，雅克利纳·奥东戈正和女儿在草坪上嬉笑打闹。看到记者一行走来，她伸出双臂，用热情的拥抱和略带羞涩的笑容把我们迎了进去。
奥东戈现在是肯尼亚抗击艾滋病病毒母婴传播项目基苏木市的协调人，她同时是母亲互助组织“ｍ２ｍ”（ｍｏｔｈｅｒｓ２ｍｏｔｈｅｒｓ）的成员，意即“指导母亲”。不过，更为特殊的是，她是艾滋病病毒携带者。
前年，奥东戈在孕期第四个月被诊断为艾滋病病毒携带者。奥东戈回忆说，在接到诊断通知的那一瞬间，她想过堕胎，甚至想过自杀。她把消息告诉了丈夫，希望他能够面对现实去进行艾滋病病毒检测，但得到的却是对方冷言冷语的质疑、唾骂，丈夫甚至把她从家中赶了出来。无家可归的奥东戈只能回到医院寻求社区医生的帮助。
在基苏木东区医院，奥东戈认识了“ｍ２ｍ”基苏木工作小组的“指导母亲”。她说：“她们告诉我，成为一个艾滋病病毒携带者母亲并不可怕，我还有机会让我的孩子摆脱病毒的侵扰。”
每天，奥东戈按时服用药物，保证膳食健康均衡。“这个时候，药物或许只是辅助，保持一颗时常微笑的心才是保护我身体里那个新生命的良方，”奥东戈望着远处的女儿说道。
去年，４．３公斤重的女儿出生，给奥东戈带来惊喜。“她胖乎乎的就来到了世上，我的生命有了真正的希望。”在女儿出生６周后，奥东戈来到医院为她进行了首次艾滋病病毒检测，结果显示为阴性。在随后的半年中，奥东戈始终坚持母乳喂养，并同时按时按量进行药物治疗，在孩子６个月时进行的检测同样证明了女儿的健康。“就在上个月，我刚刚带她接受了第三次检测，结果依然让我放心。”说到这里，奥东戈的兴奋溢于言表。如今，１９个月大的女儿正在健康、茁壮地成长。
“这一切都要感谢联合国儿童基金会与‘ｍ２ｍ’共同发起的‘指导母亲’项目，是它让我找到了活下去的最好理由，也给予了我的孩子生命的美好。”开朗的奥东戈显得有些激动。
经过漫长而成功的抗击艾滋病病毒母婴传播的治疗后，奥东戈现在正在用自己的亲身经历作为例子，鼓励更多肯尼亚携带艾滋病病毒的妇女正视现实并维护自己孕育生命的权利。
据统计，截至目前，“ｍ２ｍ”在撒哈拉以南非洲９个国家设有项目点，“指导母亲”总数已达１７００人。
目前，肯尼亚共有艾滋病病毒携带者１４０万人，其中８．１万为孕产妇。由于缺乏孕产期抗艾治疗，因母婴传播感染艾滋病病毒的肯尼亚婴幼儿中超过一半在２岁之前夭折，年均新增通过母婴传播感染艾滋病病毒的婴幼儿多达２．２万名。
令人欣慰的是，自去年起，世界卫生组织、联合国儿童基金会和联合国艾滋病规划署联手发起了“联合国艾滋病联合项目”，在非洲艾滋病重灾区提倡特别关爱携带艾滋病病毒的孕妇，以阻断母婴传播。迄今，这一项目在包括南非和博茨瓦纳在内的１５个非洲国家取得成效。世界卫生组织日前发表报告说，２００９年，上述国家有半数孕妇参加了艾滋病病毒测试和咨询，各国为８０％以上感染艾滋病病毒的孕妇提供了相应治疗。
"We are not alone" - recorded in Kenya, a mother against the experience of mother to child transmission of HIV
October 31, 2010 13:14:00 Source: Xinhua
Xinhua Kisumu, Kenya, Oct. 30 (Xinhua among China) 10 at the end of the Kenyan city of Kisumu crape myrtle in full bloom. In the city center not far from Kisumu Kisumu backyard Eastern Hospital, 雅克利纳奥 Dongo and daughter are frolicking on the lawn. See the reporter and his party came, she stretched out his arms, with a warm hug and a slightly shy smile greeted us inside.
Austrian Dongo is now mother to child transmission of HIV in Kenya to fight the project coordinator for the city of Kisumu, she is also the mother of self-help groups "m2m" (mothers2mothers) members, which means "guide the mother." However, the more special is that she is living with HIV.
Two years ago, Austrian Dongo the fourth month of pregnancy was diagnosed as HIV positive. Austrian Dongo recalled receiving the diagnosis of notice of that moment, she thought about abortion, or even thought about suicide. She told the news to her husband, hope he can face the reality to carry out HIV testing, but it is the other sarcastic comments get questioned, reprimanded, or even her husband kicked out of their homes. Austrian Dongo homeless only returned to the hospital to seek medical help the community.
Eastern Hospital in Kisumu, Austria Dongo know "m2m" Kisumu working group of the "guiding mother." She said: "They told me to be a mother living with HIV is not terrible, I have a chance to let my children out of the virus intrusion."
Every day, Austrian Dongo medication on time, ensuring healthy and balanced diet. "This time, drugs may be only an auxiliary, to keep a smile from time to time to protect my heart is the body of the recipe that new life," looking away Dongo Austrian daughter said.
Last year, 4.3 kg daughter was born, to the Austrian Dongo surprises. "She came to the world, chubby, and my life in a real hope." 6 weeks after daughter was born in the Austrian Dongo came to the hospital for the first time for her HIV test result was negative. In the ensuing six months, breastfeeding always Dongo Austria, and also by the amount of time and drug treatment, in children 6 months to test the statement of the daughter's health. "Just last month, I just took her to accept a third test, the results still make me worry." Here, the excitement was palpable Austrian Dongo. Today, the 19-month-old daughter is healthy and robust growth.
"This is all thanks to UNICEF and 'm2m' co-sponsored the 'guiding mothers' project, I found it the best reason to live, but also to give my children a better life." Cheerful Austrian Dongo a bit excited.
After a long and successful fight against the treatment of mother to child transmission of HIV, the Austrian Dongo now use their own experience as an example to encourage more women with HIV in Kenya to face reality and to protect their right to sustain life.
According to statistics, as of now, "m2m" in sub-Saharan Africa has project sites in 9 countries, "guiding his mother," total number of 1,700.
Currently, Kenya, a total of 140 million people living with HIV, including 81,000 for pregnant women. Due to lack of maternal anti-AIDS treatment, due to mother to child transmission of HIV infection in infants and young children in Kenya more than half die before the age of 2, the average annual new infections through mother to child transmission of HIV in infants up to 22,000 .
The good news is that since last year, the World Health Organization, UNICEF and UNAIDS jointly launched the "Joint United Nations AIDS program," hardest hit by AIDS in Africa to promote special care of pregnant women with HIV to block mother to child transmission. So far, the project, including South Africa and Botswana, including 15 African countries to achieve results. World Health Organization said in a report recently, in 2009, half of pregnant women to participate in the national HIV testing and counseling, 80% of the national HIV-infected pregnant women the corresponding treatment.
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