中国人口宣传教育中心

伦文辉, 北京地坛医院性病艾滋病中心主任。\n目前,我们已开通了咨询热线,由中国人口宣传教育中心设立,相关专家针对青少年成长过程中出现的心理、生理、亲子关系和生殖健康方面的问题进行解答。欢迎青少年、家长来电咨询。\n电话号码:010-64412025\n咨询时间:每周一、三、五下午2:00-5:00(节假日除外)

伦文辉

北京地坛医院性病艾滋病中心主任

伦文辉, 北京地坛医院性病艾滋病中心主任。\n目前,我们已开通了咨询热线,由中国人口宣传教育中心设立,相关专家针对青少年成长过程中出现的心理、生理、亲子关系和生殖健康方面的问题进行解答。欢迎青少年、家长来电咨询。\n电话号码:010-64412025\n咨询时间:每周一、三、五下午2:00-5:00(节假日除外)

文字实录

  • 嘉宾:

    网民朋友们,大家晚上好!今天的嘉宾是北京地坛医院性病艾滋病中心主任伦文辉,话题是该怎么正确对待艾滋病?

  • 嘉宾:

    艾滋病在过去被当成不治之症,为什么呢?因为艾滋病病毒破坏的是人类特殊的免疫器官,免疫系统所造成的损害,带来的后果就是人的抵抗力会下降,人的抵抗力下降之后,就会造成各种各样比较奇怪的疾病产生,比如说肺孢子菌肺炎,还有卡波氏肉瘤,很多常见的疾病,很多的小孩子,老年人都不会感染的病,艾滋病的病人身上会出现,就说明他们的免疫力已经低到很低的程度,比如说会出现肺部的感染,腹泻,各种各样的症状,所以艾滋病是一个蛮复杂的疾病,它涉及到人体的各个器官和系统,找不到一个地方不被艾滋病所累及的,比如说大脑、皮肤、眼睛、嘴巴、食道、消化道、肠子,肺,呼吸系统,各种各样的器官和系统,由于免疫力的低下都会产生一些感染,这种感染正常的人是不经常见到的,叫机会性感染,也可以产生一些肿瘤。这些病人由于免疫力的低下会很脆弱,所以给它起个名字叫人类免疫缺陷综合征。

  • 嘉宾:

    有的人可能刚感染就查出来的,有的人是感染多少年了,感染十几年了才查出来,这就可以带来什么样的现象呢?你查出来的时候,你的免疫状态是不一样的,因为感染的时间不一样,病情不一样,这样的话有些人需要马上吃药,因为你的免疫力已经很低了,如果再不吃药,就可能会出现各种各样的机会性感染了。有的人工作很忙,保证不了每天吃药,但是我CD4,免疫力很高,CD4,500以上,工作不允许,那么也可以缓一些吃药,现在认为早吃药还是有早吃药的好处,尤其是CD4在350以下的,一定要尽早吃药。

  • 嘉宾:

    尖锐湿疣会引起艾滋病吗

  • 嘉宾:

    尖锐湿疣和艾滋病是两个疾病,但是它俩同属于性传播疾病,也可以这么理解,如果得性病的病人,他感染艾滋病的机率就会增大,如果感染了尖锐湿疣,有可能有机率感染艾滋病,比不感染艾滋病的继续更大,是因为它们同属于性传播疾病,所以我们希望如果患有其他性病的朋友,最好也查一下HIV的抗体,如果真的感染了能够早期发现。

  • 嘉宾:

    睾丸和阴茎每天晚上瘙痒,艾滋病的症状是什么样子的 发病的时候是怎样的。我这个是艾滋症状么

  • 嘉宾:

    瘙痒和艾滋病没关系,可能是皮肤的痒,艾滋病一般来讲可以造成瘙痒,但是一般不会局部瘙痒,如果局部瘙痒,看看是不是有皮炎、疥疮,但是艾滋病一般是没什么太大关系。

  • 嘉宾:

    你好,感染艾滋病会不会发胖

  • 嘉宾:

    感染艾滋病会造成消瘦,过去把持续的消瘦作为艾滋病的指征,如果一天比一天瘦,持续很长时间,有可能就是艾滋病的症状了,所以艾滋病有可能会消瘦,相反一些消瘦的病人,接受抗病毒治疗了,免疫力恢复以后,这些病人的体重会增加的。

  • 嘉宾:

    艾滋病人带小孩,小孩会被感染吗

  • 嘉宾:

    艾滋病前兆,有什么症状

  • 嘉宾:

    这个病的确是很厉害,刚开始流行的时候,人类对它确实束手无策,人类只能看着这些病人按照疾病的发展规律一天天的免疫力下降,最后发病死亡,所以过去对艾滋病都非常恐惧的,把艾滋病叫做不治之症、绝症、世纪癌症,认为人一旦得了这个病,最终的结果就是一条,就是死亡,过去整个社会对这个病都是非常恐惧的。那么自从人们发现了这种疾病是由于病毒引起的,人们就想办法,如果把这个病毒给抑制住,病毒不复制了,不侵犯新的免疫细胞了,那么这个病人是不是就能够恢复呢?那答案是肯定的,刚开始的时候,人们吃完一种药,觉得免疫力提高了,各种各样的机会性感染也不再出现了,大家都很高兴,但是没高兴一两年,这个病人又不行了,就发现这个药不管用了,就发现这个病毒很聪明,它通过变异,人类要拿药物支付它,它就会变,这样药就管不住它了,曾经刚刚出现第一种药的时候,大家都欢欣鼓舞,治疗两年以后就觉得还是没有希望,因为这个药吃一两年以后就耐药了。后来一个中国人,就想起了一个办法,这个办法别人也会想到,只不过是他先想起来了,因为这个也是客观条件已经具备了,这个客观条件是什么呢?就是世界上发明了不只一种药,发明了好几种药,他就想了一种办法,一种药不管用,把所有的药都加在一起治这个病人,看看管用不管用,结果这些药加在一起一用,果真很好,刚开始还不敢盲目乐趣,那么观察一年、两年,时间慢慢过去了,发现病毒被一直被抑制住,病毒并没有出现耐药,这样终于找着了一种办法抑制病毒,把好几种药一起用的话就叫鸡尾酒疗法,就是不同种类的药掺在一起,一起来抑制病毒,这种鸡尾酒疗法在临床的应用也是有先例的,比如说我们治疗结核,也是一种鸡尾酒疗法,就是不同种类的抗生素一起治疗结核。自从鸡尾酒疗法发现以后,病毒就被抑制住了,那么就说为什么能够抑制病毒呢?如果是一个药抑制病毒,只是在一个作用位点抑制它,一旦这个位点变异了就耐药了,好几种药一起的话,可以有更多的作用位点,就不太容易变异。自从鸡尾酒疗法出现以后,艾滋病的治疗大为改观,抗艾滋病治疗出现了一个巨大的变化,这种变化尤其体现在这些病人经过治疗以后,它的免疫力提高了,他的生存期延长了,所以现在这些病人生存期大大的延长,艾滋病已经从过去的不治之症,现在可以变成一种可以控制的慢性的传染病,那么这个可以控制的慢性传染病是怎么理解呢?就是说现在的药物没有办法彻底把艾滋病给治愈了,因为我们没办法把所有病毒从身体里给清除掉,但是我们能够通过药物的治疗,能够让病毒不复制,或者是很少复制,那么这样的话病毒不能复制,人体的免疫力就不被破坏,人的防御机能就不会下降,就不容易感染各种各样奇怪的疾病,这样的话,这些感染者的生命就可以大大的延长,现在只要早期发现,即使治疗,生命延长几十年是可以做到的,所以现在的感染者预期寿命和正常人基本差不多,随着药物的更新,更有效的,毒副作用更小的药物出现,可以预想到治疗效果还是会进一步巩固。

  • 嘉宾:

    现在我们的观念改变了,得了艾滋病不是不治之症,是可以控制的,也是可以健康的生活、工作。第二条改变的是什么呢?就是我们周围的环境,由于病人的生命力延长,如果及时治疗,早期治疗,真正死于艾滋病的病人已经越来越少了,那么就意味着感染者的增加,死于艾滋病的病人越来越少,那么生活在社会上的,我们所遇到的艾滋病病人的机会就大大增加了,在这种情况下,我们就应该承认我们生活在一个有艾滋病的世界了,有可能你坐车,或者是社会交往的时候,你也不知道他的感染状态,他就有可能是HIV感染者,所以这是都可以遇到的,现在就有一个新的课题摆在我们的面前,就是我们怎么样面对这些病人,病的话,作为我们医生来讲有办法控制它,对待这些病人,尤其是在社会上出现这些感染者的话,作为大部分的人应该怎么样对待,其实这个是每个人都要思考的,因为现在的社会交往都是很频繁的,社会交往的圈子不断扩大,会遇到各种各样的人,我们怎么样面对这些病人,不知道的情况下,是朋友还是朋友,假如说一旦知道你身边的这个人是HIV感染者了,那你怎么办呢?其实还是一样的,不知道的时候你都这么做了,对你的差别只是知道不知道而言,别的都没有改变,只不过你知道他是感染状态,应该来讲差别只是认识上的差别,而不是实际上有什么差别。所以现在提倡,对这些HIV感染者不要歧视,要平等友好地对待他们,让他们重新回归社会,他们也可以健康地生活很多年,也可以有工作,有正常的社交圈子,其实告诉你和不告诉你都是一样的,万一你知道了,还是当作不知道那样对待他们,假如说你不知道的时候该怎么做还是怎么做。

  • 嘉宾:

    其实不歧视有几个好处,不歧视的话,这些人对于他来讲,心里的压力就没有那么大,他就会很坦然地面对周围的一切,包括谈论自己的病情,这样的话给他提供一个相对宽松的社会环境。对于你来讲,万一不小心共用剃须刀,万一他是感染者,他就会提醒你,不要用我的剃须刀了,虽然现在也不提倡这样有,但是过去的话,好朋友之间也难以避免,如果你要对他不歧视,这样的话就更好一点,比如说出血了,一般来讲,你会帮他摁一下,假如说他是感染者的话,他告诉你的话,你就会有防备,如果你歧视他,他不告诉你,你就有暴露的风险,所以这个社会上的尊重是互相的,只有我们给他们宽松的条件,他们才会勇于把自己的秘密告诉你,告诉你的话,这样的话可以避免一些意外的发生,尤其是现在提倡性生活方面需要保护,保护的性生活,因为有的时候大家觉得,认识很多年了,都不是特别在意,但其实你认识他没错,但是不知道他的健康状态,任何一次无保护的性行为,其实都会是比较高危的行为,除非是你固定的性伙伴,他的感染状态你都很清楚,并且一直是你们两个人,这样还好一点,如果不是这样的话,不固定的性伙伴,一定要采取一些保护措施。总之我们现在的社会,对HIV感染者也好,对艾滋病也好,人们观念的改变,对HIV感染者这个社会还是越来越宽容,包括现在歌星、影星当红丝带的代言人,给大家做了表率,另一方面,艾滋病的确从我们过去所恐惧的疾病,变成了我们日常生活中可以理解的一个慢性感染性疾病,但是总之来讲,虽然艾滋病现在是可以控制,可以称它是慢性的疾病,但是预防艾滋病的传播还是很重要的内容,因为艾滋病的传播,如果真正感染的话,一方面整个社会给你带来的压力,虽然现在是可以控制,但是使用药物的话需要终生服用,现在我们强调三个零,零艾滋病感染,零死亡,零歧视,我觉得最容易做到的是零艾滋病的死亡,随着社会福利的提高,医疗进步,作为义务工作者可以保证零艾滋的死亡,但是零感染,这个需要全社会的努力,零歧视更需要全社会的努力,只有我们大家正确对待这件事,整个社会才会变得越来越安全。

  • 嘉宾:

    伦教授我是在浴室搓背搓破了痘痘流血,无高危。我23天在医院检hiv抗体阴,p24抗原阴(进口生物酶联抗原抗体联合检测试剂),同时检测了梅毒特异性抗体阴,trust阴(化学发光法),像这种行为会感染hiv和梅毒吗?23天检测hiv抗原抗体和梅毒有意义吗?

  • 嘉宾:

    这种是不会感染的,这种搓澡的话,把身上的毛囊炎、痘痘搓破了,这个是没有感染梅毒、艾滋病的风险的。

  • 嘉宾:

    请问hiv化学发光法和酶免四代哪个更先进?检测用哪种方法好?

  • 嘉宾:

    原理是一样的,化学发光是通过化学发光的方法,酶联是通过显色的方法,这两种方法从机理上是一样的,基本上他俩的灵敏度和特异性都差不多。

  • 嘉宾:

    艾滋病病毒离开人体之后,在外界生存的能力很弱,在阳光下、空气中会很快死亡 具体时间是多少呢

  • 嘉宾:

    大家知道空气中有艾滋病病毒的可能性不大,艾滋病病毒是寄存在人体的细胞里,只有在人体的细胞内才能够生存繁殖,在外界干燥的环境中很快就死亡,所以没有人专门研究它多长时候能够死亡,再说也不好研究。

  • 嘉宾:

    我是一名临床医学专业的在读本科生,对艾滋病的研究与防治工作也十分向往,我很希望在未来能用我所学到的知识帮助艾滋感染者这一特殊群体。但现在我不知道该向哪一个方向努力(主要是指考研方面),不知道该选择流行病学、传染病学、免疫学、遗传学等相关学科的哪一门,热切地期待您给予指导,我感激不尽!

  • 嘉宾:

    您好!询问一下有关艾滋病治疗的问题,治疗艾滋病药是国家免费的吗?不同地区是否有差异,需不需要暂住证

  • 嘉宾:

    我家有一个艾滋病人,经常跟我们生活在一起,病人喉咙痛,牙齿痛,舍口痛,胃痛,日常生活跟我们家里人生活在一起,毛巾一共用会传染给我们家里人吗???

  • 嘉宾:

    最近发现同性恋流行的病毒跟欧美国家流行的B亚型发病率更快,不同的病毒株,变异的程度也很大,有一批专家在研究,专门研究病毒的。还有一些专家专门研究免疫,病毒学也好,免疫学也好,和疫苗都有关系,还有一些专家研究疫苗,遗传学也有人研究,但是相对少一些,就发现有些辅助受体有变异的人,比如说一些白人对艾滋病有抵抗力,由于遗传的缺陷,造成这个病毒不太容易进入细胞,比如说以前说过一个,骨髓移植治愈了艾滋病病毒,艾滋病病毒特别不容易进去,这样的话,艾滋病病毒在体内长时间查不出来,所以遗传学也是一个方面。另外还是体现在疫苗方面,尤其是和HIV的分型,这些都有很大的关系,主要抗原作用的靶部位是什么地方,细胞免疫反映的情况怎么样,和人的遗传是有关系的,但是遗传研究的相对少一些。那么流行病学也有很多人研究,现在着重于,因为全世界范围,艾滋病监测的网络是相对比较健全的,现在主要是特殊人群的行为干预,比如说同性恋人群,这个人群的确是艾滋病的易感人群,一个是这种人群有一些特殊的行为,容易造成艾滋病的传播,另外这个人群里有HIV感染人数的比例相对于其他的人群是大的,有这两种情况出现的话,这种人群就是易感人群,这种易感人群发现,从流行病学来讲的话,有一些干预措施很难的地方,比如说我们现在都在宣传艾滋病的知识,但是你要问问这些职业人群的话,很多人都知道艾滋病是怎么传播的,感染HIV以后有什么后果,有什么手段可以预防艾滋病,但是涉及到具体行为的时候,人们就不按这个知识做,就是知行分离的问题,所以现在的话,也有很多人在研究,怎么通过流行病学的手段来研究这些人的传播特点,研究出一些干预措施,但是传染病学的话,往往是临床的大夫,主要是集中在这几个方面,一个方面是艾滋病的抗病毒治疗,现在的抗病毒治疗有很多新的药物,抗病毒治疗的效果评价,或者是药物组合的毒副作用,甚至经济性的评价,这是一个方面。另外一个就是耐药,这个就和病毒学的联系比较紧密了,病毒为什么出现耐药,什么情况下出现耐药,出现耐药以后该怎么办,这是研究的一个领域,另外就是专门研究艾滋病相关性疾病,艾滋病有各种各样的机会性感染,在临床上可以治疗,虽然现在比较少见了,但是也是存在的,比如说艾滋病性的淋巴瘤,这也是很难的课题。还有一些人在研究,临床治疗性疫苗,过去的概念,艾滋病的疫苗用于预防,现在看看疫苗能不能有于治疗,总之艾滋病研究的领域是非常广泛的,关键在于自己的兴趣,研究生还是要进一步钻研,尤其研究生要培养一种自主独立的研究习惯,一定要选择自己感兴趣的领域钻研,这样的话更持久一些,也可能会做出很大的贡献出来。

  • 嘉宾:

    艾滋病现在治疗的药物的确是国家免费的,原则是在户籍所在地接受治疗,但是现在因为人口流动,年轻人都到大城市找工作,户口又是很难解决的问题,所以现在一些大城市也放开了,比如说能够证明在这个城市工作,长期的工作,长期的居住,符合这些条件的话,也是可以在当地治疗的,所以应该是需要暂住证的,起码证明你是长期在这个地方工作和生活的,拿这个暂住证到当地的疾病控制系统去申请免费治疗的药物,那就可以了。

  • 嘉宾:

    共用毛巾的话,应该是没有任何问题的,但是不提倡共用毛巾,其实艾滋病病人本身是抵抗力比较差的,如果共用毛巾的话,一些外来的细菌,对病人本身没有什么好处,所以还不提倡共用毛巾。

  • 嘉宾:

    35天去血站检验阴性能不能排除艾滋病的可能

  • 嘉宾:

    因为HIV感染有一定的窗口期的,高危行为以后不建议去血站献血,通过献血这种方式检验是不是HIV感染,可以到疾病控制中心,就是所谓的疾控系统,他们那里有免费的检测,还有免费的咨询,所以这样的话完全可以通过别的途径来检测自己是不是HIV感染。总之来讲,如果你高危行为的话,35天还是有点时间短,最好6到8周以后去检测一下,如果没事的话应该问题不大,其实对特别高危的朋友,建议3个月的时候还是要检测一下抗体的。

  • 嘉宾:

    得艾滋病通常开始有啥症状?

  • 嘉宾:

    很多人刚刚感染艾滋病的时候,并不叫艾滋病,叫艾滋病病毒携带者,为什么不叫艾滋病呢,因为没有病,没有任何症状,和正常人是一样的,所以艾滋病的话不一定刚开始有什么症状,有的人可能是感冒症状,这种感冒症状有可能也没有,有的人有这个症状,就真的是感冒了,不是艾滋病引起的,大多数人是没什么症状的,所以通过症状来判断是不是HIV感染是很难判断的。

  • 嘉宾:

    检测艾滋病要多少钱,准确一点又实惠的有吗?结果要多久?

  • 嘉宾:

    艾滋病检测不贵,一般来讲40块钱,基本上都是很准确的,各地方应该都是一样的,结果多久能出来,各个医院不一样,北京地坛医院,我们门诊是这样,如果星期天到星期四,那么就是第二天出来,如果是周五来了就是周一出来,基本是第二天都能出来的。

  • 嘉宾:

    因为咽部发咽,颈部淋巴肿大到医院治疗,抽血检查患了艾滋病,医院就把我推给了疾控中心,我没去,在一家诊所打了几天消炎针,基本好了,现在就是腿上没力,体重没有明显减轻。我是一名43岁女性,我现在该怎么办,到底还要不要治疗,如果治疗,又该怎样治疗

  • 嘉宾:

    你的咽炎、淋巴就肿大,可能是和艾滋病没什么关系,只不过这段时间查出来是艾滋病,HIV阳性,其实不是推给疾控中心,介绍到疾控中心是对的,因为在我们国家所有的免费治疗的药物都来自于疾控中心,包括北京地坛医院,我们治疗很多病人,我们的药物是从疾控中心拨配过来的,如果你不到疾控中心去,疾控中心不知道新发现了一个感染者,那么就不会给你准备这一份药物,所以到疾控中心去的话,跟疾控中心建立一个联系,那么他就知道应该给你准备药物,这样对你是有好处的,你一定要查一下现在的免疫状态是什么样,有的时候免疫状态很差了,也有可能一点小病,治了就好了,现在认为治疗艾滋病,350到500就可以治疗,如果你发现了HIV感染的话,首先到疾控中心跟他们建立起一个联系,让他们知道你是感染者,让他们有一个准备,另外提供检测和咨询,首先评价一下你的免疫状态是不是很好,如果免疫状态不是特别好,还要及早服用抗病毒药物,因为如果不服用抗病毒药物的话,你的免疫力势必会一天一天下降,有可能会因此而生病,那生病的话,如果很重的话,就很麻烦,需要住院,甚至危及生命,如果提前把药吃上了,接受抗病毒治疗了,你的免疫力提高了以后,机会性感染就不会出现,那么你就可以更健康地去生活。现在发现,在一定程度下,早治疗还是有早治疗的好处的,就是你受到破坏的免疫力,如果早治疗的话恢复起来也快,如果免疫力很低了,你还不治疗,免疫力受到破坏以后,你再治疗的时候,恢复的速度就会很慢,所以现在提倡,如果条件允许,还是尽可能早点治疗。

  • 嘉宾:

    艾滋病人牙齿会不会很痛啊?会不会有牙齿松动脱落的迹象

  • 嘉宾:

    艾滋病人的牙齿不一定,的确有免疫力缺陷的话,艾滋病人的牙龈炎发病率是增高的,但是并不意味着牙齿会一定很疼,也不会造成牙齿的松动,牙齿和HIV感染是挂不上钩的,有些特别晚期的病人,可能会出现一些特征性的口腔性的改变,一般的HIV感染者,他的牙齿是没有什么太大的改变的。

  • 嘉宾:

    医生你好,我现在怀疑自己得了艾滋病,我1月3号的时候和一个陌生女子那个了,我带套了,还深吻,但是我当时有点口腔溃疡,不过快好了,假如对方是艾滋病患者,我会得病吗?

  • 嘉宾:

    有保护的性行为,其实不会感染,接吻的话应该来讲的话,现在来看没有因为接吻的报道,因为艾滋病病毒的话,在一个感染者体内,最多是血液,然后是精液,然后是阴道分泌物,女性怀孕的话子宫羊水,其他体液里面病毒的含量都是很低的,几乎很难造成传染,所以一般来讲这个问题应该不是特别大。

  • 嘉宾:

    检查出来得艾滋病一开始就吃药了么 吃什么药

  • 嘉宾:

    我和一个没有艾滋病的女的性交了,又和另一个女的。这样会不会得艾滋病?

  • 嘉宾:

    如果这两个女的都没有艾滋病的话就不会得艾滋病,艾滋病是通过性行为传染的,如果性行为的各方都没有艾滋病,那肯定不会得艾滋病的。

  • 嘉宾:

    我给大家提供几个例子,在北京地坛医院,有50几位HIV阳性的女性,都健康地生了她们的宝宝,由于在怀孕期间,生产过程中,哺乳过程中得到的母婴阻断,这些宝宝都没有被感染,这么多年的话,这些宝宝都被他们的母亲带大了,这些孩子和他们的母亲是朝夕相处的,除了没有母乳喂养之外,她们对孩子的照顾和其他母亲是一样的,没有发现一例照顾孩子被感染的。

  • 嘉宾:

    怎么才能知道自己有没艾滋病

  • 嘉宾:

    检测就可以了,可以用血液,可以用尿液,也可以用口腔黏膜渗出液,并且经过食品药品监督管理局批准上市的检测试剂都是合格的,大家可以根据自己的方便来选择试剂检测。

  • 嘉宾:

    我的男朋友父亲有艾滋病。他今年27岁。不知道他是否也有。艾滋病携带着能否检查出来。

  • 嘉宾:

    父亲有艾滋病,孩子不一定有,当然你们在一起的话,你特别担心这件事,也是可以理解,如果特别担心的话也可以查一下抗HIV病毒的抗体,如果没有的话就放心的,其实不用查问题也不大,父亲有的话,孩子不一定有。

  • 嘉宾:

    请问hiv酶联四代的窗口期?

  • 嘉宾:

    三代试剂6周就可以了,四代试剂上市以后,窗口期就没有人再仔细的研究过,可以肯定的是,第四代试剂比第三代试剂的窗口期肯定要缩短,具体缩短到什么程度,因为没有人具体研究,没有具体科学的数据出来。为什么能够缩短呢?最主要的原因,是因为第四代多了一个东西,可以检测艾滋病病毒的抗原,这个抗原检测的话,就是在抗体没有产生的时候,如果病毒出现了,病毒抗原的成分出现了就能够检测出来,所以第四代试剂肯定是比第三代试剂窗口期更短,但是具体是多长时间没有,但是一般一个半月检测出来是阴性的话,应该是比较可信的。

  • 嘉宾:

    伦文辉:这种是不会感染的,这种搓澡的话,把身上的毛囊炎、痘痘搓破了,这个是没有感染梅毒、艾滋病的风险的。 2014-01-07 20:28 如果是共用搓澡巾把痘痘搓破流血,也不会传染hiv和梅毒吗?

  • 嘉宾:

    如果这种流血的话,因为艾滋病的病毒比较脆弱,一般搓澡的话,每个人都是新换一个搓澡巾,这段时间内,如果一段时间内没人用,即使有血液也干了,以后这个病毒也会被消灭了,尤其是很多搓澡的地方,搓澡巾都是经过消毒的,所以这种担心是没有必要的。

  • 嘉宾:

    艾滋病潜伏期腹泻持续时间为多久?伴有什么症状!排泄物大体成什么状态?

  • 嘉宾:

    腹泻基本是一天三次以上,一般来讲,这种腹泻是艾滋病病人常见的,我可以理解为有些病人的腹泻是肚子不舒服,大便不成型,和定义艾滋病的腹泻是不一样的。

  • 嘉宾:

    你好医生,我想去医院检测有没有艾滋病毒,可是去了医院不知道去哪个科室,也不知道怎么跟医生说,检测费再多少钱?去三甲级医院可以吗?

  • 嘉宾:

    任何三级甲等医院都可以,一般40块钱。

  • 嘉宾:

    医生,艾滋病有潜伏期,但是3个多月一点点症状都没有,艾滋病不会这样潜伏下去吧?

  • 嘉宾:

    至少三四年以上,一般六年以上,这个潜伏期不代表查不出来,通过什么检查,就是靠查抗体,只要抗体是阴性的,三个月以后没有任何症状,说明你没有被感染,你没有被感染说明不会出现症状,即使被感染,也是无症状期,所以不用考虑症状不症状,你只要有高危行为,觉得自己有感染HIV的可能,就要去查一下,如果抗体是阴性,又过了窗口期,就可以排除是HIV感染。

  • 嘉宾:

    高危五个月了,我脸上有些小红点,请问我是不是得了艾滋病,还能检查艾滋病吗?

  • 嘉宾:

    可以查一下,脸上小红点的机会太多了,比如说痤疮,毛囊炎,都可以造成小红点,还是查一下抗体,这和艾滋病没什么关系。

  • 嘉宾:

    头重 全身疼 没劲 嗓子肿 还拉稀 是艾滋病嘛 怀疑老公一起上班的人有艾滋病 他们一起用一个洗脸盆子一个杯子,最近老公嘴上裂了口 不知道那个人嘴坏了没 会不会传染啊 他们宿舍有个人发烧了 前几天我老公发烧了 最近我也开始发烧 是被发烧的传染了还是传染了艾滋病

  • 嘉宾:

    这种是不会传播艾滋病的,但是要预防病毒性感冒。

  • 嘉宾:

    艾滋病 是什么样的症状,会出现那些不良反应,要多久能知道,有那些明处可以看出,龟头上面有什么可以看出的吗?

  • 嘉宾:

    大多数是看不出来的,一般来讲,如果个人来讲的话还是要去检查,如果性伙伴怀疑是不是有感染,你又不了解的情况下,最好还是要戴安全套。

  • 嘉宾:

    医生请问:得了艾滋病和肠结核要先治疗哪个病

  • 嘉宾:

    如果免疫特别高的人,免疫接近正常,可以先治结核两个月,然后再开始抗病毒治疗,如果一般情况下,结核和艾滋病同时治疗。

  • 嘉宾:

    最近左胸不断的发麻还有些痛。今天肚子也不是很舒服,包括两个肾也伴随着阵阵的隐痛感,想问一下这是不是艾滋病啊?

  • 嘉宾:

    这个应该不是,艾滋病人的话,可以有各种各样的机会感染,刚才说的肺炎、肠炎、脑膜炎,一般来讲不会这样,这种游走疼痛的话,往往是跟精神过度紧张有关系,因为精神过度紧张的话会有躯体化表现,会造成一些地方的疼痛不适,这种疼痛不适往往是游走性的。

  • 嘉宾:

    女性得艾滋病多久身上会出现痒的症状

  • 嘉宾:

    艾滋病可以有皮肤干燥,可以造成瘙痒,但是这个并不是艾滋病所独有的,一般来讲,瘙痒本身和艾滋病关系不大的,个别地区会有一些皮肤病,艾滋病相关性痒疹,这个会出现在CD4比较低的病人,一般情况下也不会出现的。其实身上瘙痒和艾滋病是没什么关系的,也不要因为痒怀疑自己得艾滋病,其实和环境更有关系,在一个干燥的环境下,皮肤如果干燥的话,就会产生瘙痒,尤其是现在北方的冬天比较干燥,有暖气,如果经常洗澡,没有及时抹一些润肤露,皮肤的油脂被洗掉了,皮肤就会干燥,有非常细小的小裂纹,这种裂纹的话,外界的粉尘、灰尘、尘螨就会落到缝隙里面,就会刺激皮肤造成瘙痒,所以北方的冬天是容易瘙痒的,可以抹一些润肤露,但是刚开始抹的时候不容易见效,但是抹半个月以后,瘙痒的症状就减轻很多了。

  • 嘉宾:

    如果卫生纸上有艾滋病人的血液或体液,在通风处放了一两天在擦屁股和阴道口会感染吗?

  • 嘉宾:

    一般来讲这种情况的话很难发生,这位朋友可能是想象的,一般来讲的话,在干燥的环境下,病毒一两天以后会死亡的。

  • 嘉宾:

    艾滋病女人怀孕了怎么办呢?

  • 嘉宾:

    怀孕的话,一定到医院找医生进行母婴阻断的治疗,避免用母乳喂养,如果生活困难的话,政府还会给你提供奶粉,所以如果一个艾滋病人怀孕了,首先要到医院看,到这些定点医院寻求帮助,具体怎么办,医生会跟你详细讲的。

  • 嘉宾:

    我是处男没插进去不过女性阴道分泌物和我有接触,我想问一下女性阴道分泌物能传染艾滋病吗?我好害怕我还是学生我还没报答父母,现在很害怕,我前天做的没成功现在有艾滋病前期症状,我好害怕,女性阴道分泌物能传染艾滋病吗望专家解答谢谢

  • 嘉宾:

    一般来讲,刚才讲的完整的皮肤黏膜对艾滋病毒是有防御作用,像你这种情况如果沾染了一些分泌物,应该也没有什么事,比如说完整的皮肤,滴了一滴艾滋病病人的血,你及时洗掉也没有关系,因为皮肤黏膜是完整的。阴道分泌物的话含有病毒,你接触的女孩子也不一定是HIV感染者,我觉得应该不用害怕。

  • 嘉宾:

    就是急性症状,有点像感冒一样,如果没有这些感冒样的症状,也不能说明你没有感染,有些高危行为者感染HIV感觉不出来有什么症状的。艾滋病有什么症状呢?大家可以想象一下免疫力下降以后有什么变化,就是容易生病,身体比较弱了,三天两头的感冒、咽痛,或者是拉肚子,或者是容易发烧,吃点药就好了,过一段时间又发病了,所以在过去的话,曾经把这个叫艾滋病前期,就是虽然这个人还没有发生艾滋病,但是免疫力差了,更容易出现感冒。但是通过治疗又能够纠正,纠正以后又容易复发,身体比较差,如果这种算艾滋病前兆的话,这种可以算得上。

  • 嘉宾:

    医生你好!请问你做艾滋病检查一定要3个月不过性生活才检查的出来呀?要是经常有性生活的是不是就检查不出呀!

  • 嘉宾:

    这个应该没什么关系,因为查的是你的血,和过不过性生活应该没什么关系,只要去检查,应该都能够查出来,和具体行为没什么关系。

  • 嘉宾:

    艾滋病多长时间发病呢,病情是什么样的?

  • 嘉宾:

    一般来讲6到12年,现在在我们国家有些感染者的话,无症状期短了,一般来讲3年到4年就可以发病,这个和个体差异,和病毒都有关系,有的人可以很长,比如说感染15年,甚至20年以上都没有发病,有的人感染很快,两三年就发病,很长时间不发病的话,长期感染不进展者,但是大多数都是中间状态,一般是6到12年,在中国的同性恋人群,由于感染了特殊的病毒株,大概是4年左右会发病。

  • 嘉宾:

    最近身上起了玫瑰糠疹,这个跟艾滋病出的皮疹一样吗?

  • 嘉宾:

    不一样的,艾滋病的皮疹是病毒疹,和玫瑰康疹是截然不一样的。

  • 嘉宾:

    如果得了艾滋病身上会有红色痣么?

  • 嘉宾:

    一般没有,如果真的突然出现了红斑,红色的丘疹,还是到医院看一下,因为卡波氏肉瘤的话开始可能会是红色的。

  • 嘉宾:

    生殖器周围痒!!!有痘痘 !!这是艾滋病吗?

  • 嘉宾:

    可能是毛囊炎,有的很硬的痘痘,痒的厉害,有可能是疥疮。

  • 嘉宾:

    请问我给艾滋病病人拔针,会传染吗

  • 嘉宾:

    针刺伤很危险,如果没有扎到自己身上,不会传染的。

  • 嘉宾:

    喉咙腐烂属于艾滋病症状吗?高危口交过

  • 嘉宾:

    喉咙腐烂,艾滋病的确可以得鹅口疮,可以造成咽部的溃疡,或者是喉咙的疱疹,的确是这样,但是不能反过来说喉咙溃烂就是艾滋病的症状,可以去检查一下,口交的话虽然感染的机率比较低,但是口交也有感染HIV的报道。

  • 嘉宾:

    hiv在水中能存活吗?大概多久?

  • 嘉宾:

    如果作为游离的病毒,是不太会传染的,大家知道游泳池,里面都有氯,有次氯酸钠,这种是可以杀灭艾滋病病毒的。

  • 嘉宾:

    你好医生,和艾滋病患者发生一次关系会感染么?而且这个月经期提前了,血颜色很接近粉红,来的很少,是不是感染了?

  • 嘉宾:

    如果无保护的性行为很难说,因为根据我们的经验来讲,有人很多次,也没有被感染,昨天我接触的一个病人也是,但是很多人只有一次性生活,就被感染了,所以这两种情况都会发生,究竟哪种情况很难说,所以千万不要冒这个风险,哪怕一次性关系,一定要有保护的性行为,如果一次没有保护的性行为,一定要去检查,假如说你不得已,不知道的话发生了无保护的性行为,一定要暴露后预防,可以到医院给你开上抗病毒的药物进行暴露后预防,这种暴露后预防的效果是很明显的,最好是24小时之内。

  • 嘉宾:

    艾滋病引起心肌炎和鼻炎一般在感染后多久阿。我同时遭了。怕是艾滋病

  • 嘉宾:

    和艾滋病没有什么直接的关系,心肌炎和鼻炎,正常人得的人也很多,没有办法和艾滋病直接划等号,或者是建立直接的联系,如果担心自己艾滋病感染了,尤其是自己之前有高危行为的话,那就查一下抗体。

  • 嘉宾:

    艾滋病会不会有腰痛啊,会不会想痛哪就痛哪啊?

  • 嘉宾:

    疼痛是很常见的一种表现,但是这个跟艾滋病应该没什么关系。

  • 嘉宾:

    各位网友,感谢您的收看,由于时间的关系,我们今天的直播就到此结束了,非常感谢伦文辉教授,各位网友晚安。

网友互动

  • 游客:伦教授我是在浴室搓背搓破了痘痘流血,无高危。我23天在医院检hiv抗体阴,p24抗原阴(进口生物酶联抗原抗体联合检测试剂),同时检测了梅毒特异性抗体阴,trust阴(化学发光法),像这种行为会感染hiv和梅毒吗?23天检测hiv抗原抗体和梅毒有意义吗?

  • 游客:请问hiv化学发光法和酶免四代哪个更先进?检测用哪种方法好?

  • 游客:艾滋病病毒离开人体之后,在外界生存的能力很弱,在阳光下、空气中会很快死亡 具体时间是多少呢

  • 游客:我是一名临床医学专业的在读本科生,对艾滋病的研究与防治工作也十分向往,我很希望在未来能用我所学到的知识帮助艾滋感染者这一特殊群体。但现在我不知道该向哪一个方向努力(主要是指考研方面),不知道该选择流行病学、传染病学、免疫学、遗传学等相关学科的哪一门,热切地期待您给予指导,我感激不尽!!!

  • 游客:您好!询问一下有关艾滋病治疗的问题,治疗艾滋病药是国家免费的吗?不同地区是否有差异,需不需要暂住证

  • 游客:我家有一个艾滋病人,经常跟我们生活在一起,病人喉咙痛,牙齿痛,舍口痛,胃痛,日常生活跟我们家里人生活在一起,毛巾一共用会传染给我们家里人吗???

  • 游客:35天去血站检验阴性能不能排除艾滋病的可能

  • 游客:得艾滋病通常开始有啥症状?

  • 游客:检测艾滋病要多少钱,准确一点又实惠的有吗?结果要多久?

  • 游客:因为咽部发咽,颈部淋巴肿大到医院治疗,抽血检查患了艾滋病,医院就把我推给了疾控中心,我没去,在一家诊所打了几天消炎针,基本好了,现在就是腿上没力,体重没有明显减轻。我是一名43岁女性,我现在该怎么办,到底还要不要治疗,如果治疗,又该怎样治疗

  • 游客:艾滋病人牙齿会不会很痛啊?会不会有牙齿松动脱落的迹象

  • 游客:医生你好,我现在怀疑自己得了艾滋病,我1月3号的时候和一个陌生女子那个了,我带套了,还深吻,但是我当时有点口腔溃疡,不过快好了,假如对方是艾滋病患者,我会得病吗?

  • 游客:检查出来得艾滋病一开始就吃药了么 吃什么药

  • 游客:我和一个没有艾滋病的女的性交了,又和另一个女的。这样会不会得艾滋病?

  • 游客:尖锐湿疣会引起艾滋病吗

  • 游客:睾丸和阴茎每天晚上瘙痒,艾滋病的症状是什么样子的 发病的时候是怎样的。我这个是艾滋症状么

  • 游客:你好,感染艾滋病会不会发胖

  • 游客:艾滋病人带小孩,小孩会被感染吗

  • 游客:伦教授我是在浴室搓背搓破了痘痘流血,无高危。我23天在医院检hiv抗体阴,p24抗原阴(进口生物酶联抗原抗体联合检测试剂),同时检测了梅毒特异性抗体阴,trust阴(化学发光法),像这种行为会感染hiv和梅毒吗?23天检测hiv抗原抗体和梅毒有意义吗?

  • 游客:怎么才能知道自己有没艾滋病

  • 游客:我的男朋友父亲有艾滋病。他今年27岁。不知道他是否也有。艾滋病携带着能否检查出来。

  • 游客:伦文辉:这种是不会感染的,这种搓澡的话,把身上的毛囊炎、痘痘搓破了,这个是没有感染梅毒、艾滋病的风险的。 2014-01-07 20:28\n如果是共用搓澡巾把痘痘搓破流血,也不会传染hiv和梅毒吗?

  • 游客:我23天在医院检hiv抗体阴,p24抗原阴(进口生物酶联抗原抗体联合检测试剂),同时检测了梅毒特异性抗体阴,trust阴(化学发光法),23天检测hiv抗原抗体和梅毒有意义吗?

  • 游客:请问hiv酶联四代的窗口期?

  • 游客:艾滋病潜伏期腹泻持续时间为多久?伴有什么症状!排泄物大体成什么状态?

  • 游客:我爸查出新型隐球菌脑膜炎,并患有艾滋病。这该怎么治疗

  • 游客:您好请问艾滋病跟血小板减少有关联吗?

  • 游客:你好医生,我想去医院检测有没有艾滋病毒,可是去了医院不知道去哪个科室,也不知道怎么跟医生说,检测费再多少钱?去三甲级医院可以吗?

  • 游客:医生,艾滋病有潜伏期,但是3个多月一点点症状都没有,艾滋病不会这样潜伏下去吧?

  • 游客:高危五个月了,我脸上有些小红点,请问我是不是得了艾滋病,还能检查艾滋病吗?

  • 游客:头重 全身疼 没劲 嗓子肿 还拉稀 是艾滋病嘛 怀疑老公一起上班的人有艾滋病 他们一起用一个洗脸盆子一个杯子,最近老公嘴上裂了口 不知道那个人嘴坏了没 会不会传染啊 他们宿舍有个人发烧了 前几天我老公发烧了 最近我也开始发烧 是被发烧的传染了还是传染了艾滋病

  • 游客:艾滋病 是什么样的症状,会出现那些不良反应,要多久能知道,有那些明处可以看出,龟头上面有什么可以看出的吗???

  • 游客:医生请问:得了艾滋病和肠结核要先治疗哪个病

  • 游客:最近左胸不断的发麻还有些痛。今天肚子也不是很舒服,包括两个肾也伴随着阵阵的隐痛感,想问一下这是不是艾滋病啊?

  • 游客:女性得艾滋病多久身上会出现痒的症状

  • 游客:如果卫生纸上有艾滋病人的血液或体液,在通风处放了一两天在擦屁股和阴道口会感染吗?

  • 游客:我想问下艾滋病会不会隐藏??? 就是说如果2年前化验是阳性,2年后会不会化验的结果是阴性???

  • 游客:艾滋病女人怀孕了怎么办呢?

  • 游客:我是处男没插进去不过女性阴道分泌物和我有接触,我想问一下女性阴道分泌物能传染艾滋病吗?我好害怕我还是学生我还没报答父母,现在很害怕,我前天做的没成功现在有艾滋病前期症状,我好害怕,女性阴道分泌物能传染艾滋病吗望专家解答谢谢

  • 游客:艾滋病前兆,有什么症状

  • 游客:医生你好!请问你做艾滋病检查一定要3个月不过性生活才检查的出来呀?要是经常有性生活的是不是就检查不出呀!

  • 游客:艾滋病多长时间发病呢,病情是什么样的???

  • 游客:口腔起泡和艾滋病人舌吻会的艾滋病么,只是起泡,没有破

  • 游客:最近身上起了玫瑰糠疹,这个跟艾滋病出的皮疹一样吗?

  • 游客:如果得了艾滋病身上会有红色痣么?

  • 游客:生殖器周围痒!!!有痘痘 !!这是艾滋病吗?

  • 游客:请问我给艾滋病病人拔针,会传染吗

  • 游客:喉咙腐烂属于艾滋病症状吗?高危口交过

  • 游客:hiv在水中能存活吗?大概多久?

  • 游客:你好医生,和艾滋病患者发生一次关系会感染么?而且这个月经期提前了,血颜色很接近粉红,来的很少,是不是感染了?

  • 游客:你好医生,和艾滋病患者发生一次关系会感染么?而且这个月经期提前了,血颜色很接近粉红,来的很少,是不是感染了?

  • 游客:艾滋病引起心肌炎和鼻炎一般在感染后多久阿。我同时遭了。怕是艾滋病

  • 游客:艾滋病会不会有腰痛啊,会不会想痛哪就痛哪啊?

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