Many people infected HIV in unconscious, further accidentally was infecting has given others, also after some people were pregnant the unknown character, child AIDS had only then known that the parents were HIV carriers, but also had a person to smatter to AIDS, once infected on the fearful day of death, felt helpless, felt that shamed in sees the human not to dare to look for doctor.??Therefore, the author on for several year AIDS findings, cites some examples, with explains the profound in simple language and passes the ripe easy to understand language to explain how can discover infection HIV promptly, the infection later should choose which to inspect the project definite sickness time, then must take any remedial measure to strive for the early treatment and the extension life.
??Infection HIV has the acute stage?
??Has. Some people through the sexual intercourse or after the belt HIV’s needle injection narcotics and so on, once presented the infection HIV’s acute performance (to be called primary HIV-infection). This kind of acute infection usually occurs about contact virus latter one thorough ten days, the clinical symptoms are very generally slight and short, catches cold likely or mononucleosis’s infection symptom, including gives off heat, the sore throat, the asthenia, at night the night sweating and the lymph node are tumescent, the skin rash is the very common symptom, undergoes just right for the illness processing even not to pass through the treatment, 23 weeks later may restore normally. In this times, the virus in vivo increase and decrease and organism to virus’s response is very remarkable, is can definitely be clear about the diagnosis through the suitable inspection.
??Gives an example two:
??(1) 25 year old of homosexuality male, because of gives off heat, the headache, sore throat one week, skin rash two days goes see a doctor, he does not have other chronic illness wicked not amnesty history, has the multi-individuality companions, before the morbidity, the sex life is quite frequent, but really has HIV infected person’s contact history unclearly, the face and the upper body discovered that 0.5-1.0 centimeter diameter size the red porphyritic papula, the pate has the mild lymph node to be tumescent, amygdaline depression inflammation. The blood test demonstration blood corpuscle is normal, the blood biochemistry and the liver function inspection are normal, the natural virus examination negative, in the blood serum the anti-HIV immune body has not been measured and. In lymphocyte’s T auxilliary cell (CD4) normal, the only discovery is in the blood serum HIV antigen masculine gender. Has gets sick for two weeks later the skin rash to fade, patient determination compared to before comfortable, the anti-HIV immune body transfers the masculine gender, but one month later HIV antigen level reduces gradually to cannot measure and.
??(2) 35 year old of male, known has the sexual relationship latter three weeks with one for AIDS masculine symptomless female. He feels ill, the headache and the bowel movement have the mild color to reach five day of long time. The denial has the skin rash, does not have the sore throat, also does not have the diarrhea, the medical examination discovery mild lymph node to be tumescent, gives off heat, in blood serum HIV antigen and immune body even negative, two weeks later the immune body presents the masculine gender, the antigen has not looked up, the liver function inspection is unusual. Gets up gets sick one month for 5 day later besides the slight muscle is sore, his general feeling obvious change for the better, the anti-HIV immune body continues the masculine gender, the HIV anti-negative, the T auxilliary cell 360/cubic millimeter. Two months later his feeling is completely normal.
??Which should the acute stage make to inspect?
??Generally speaking, HIV infects the acute stage symptom continues about two - four weeks. The acute infection time means that the ration the virus enters in vivo, sees according to the present research institute, the virus may enter in the body circulation the lymphocyte, the uninuclear cell as well as periphery the lymph node swells, viral rapid duplication and reproduction, therefore may discover the suitable high level in the blood serum HIV antigen, but organism aspect when starts also without enough time produces the corresponding immune body resistance rapid growth virus, therefore on clinical ill performance, the immune body cannot measure and, along with virus’s duplication, organism immune system enters the battle condition rapidly, produces the corresponding immune body, thus, generally after the symptom presents one to two weeks namely observable and the immune body. Has HIV based on this rule everything to contact the messenger suspiciously to have the above symptom appears when namely should go to the related hospital to look infects doctor to carry on the following inspection:
(1) HIV antigen determination;
(2) immune body determination;
(3) T cell inspection including the CD4-T auxilliary cell and CD8- suppressor cell.
??The acute stage antigen exists in the blood serum is very short, generally is two weeks to one month, therefore, after having the symptom, should every other three - five days inspect, some patient two weeks have inspected possibly have the omission phenomenon, similarly must inspect the immune body, take advantage of this see organism the response. In general, after the immune body appears, has existed, but will not vanish. Because HIV mainly encroaches upon the CD4 cell, will therefore have part of people in the condition from the very beginning obviously CD4 cell obvious reduction, but simultaneously CD8 the cell will increase (normal 110-900/cubic millimeters), doctor not only wants to take the CD4 cell’s number, should pay attention to the CD4/CD8 cell number the proportion, sometimes the CD4 cell number may in the normal range, but the CD8 cell will increase obviously causes the CD4/CD8 cell number the proportion inversion, also will prompt HIV’s infection. Along with the immune body appearance, the condition is stable, the viral duplication obvious reduction, the CD4 cell number may in restore without in the treatment situation to the normal range, the CD4/CD8 cell number proportion may also restore to the normal level, the majority acute infected person’s CD4 cell number demonstrations are normal.
??How to determine that oneself infected HIV?
??Must first affirm whether oneself possibly do infect HIV.
??Every homosexuality, has come in handy the needle injection narcotics with the human, visits a brothel (, even if occasionally, specially the Thai prostitutes), as well as discovered that the spouse doubts has the above behavior, if presents the similar HIV acute infection time performance, should go see a doctor immediately, informs the time which possibly truthfully infects, coordinates doctor’s inspection, an inspection negative cannot remove the infection existence completely the possibility, may refer to the above acute stage HIV immune body and the antigen increase and decrease successional variation process, carries on the revisit under doctor’s instruction, strives for to obtain the early diagnosis and can the early treatment. If is the long-term homosexuality, comes in handy the needle injection narcotics with the human, visiting a brothel, especially knew that the match infected HIV or dies of the AIDS patient, no matter whether there is the symptom, should ask professional doctor to carry on the overall check, is clear about itself as a means of whether to infect HIV.
??Gives an example three:
??(1) 35 year-old female, the body is always healthy, three daughters respectively are 13,9,7 years old, the fourth embryo is pregnant eight month birth next body weight to be lower than the normal baby boy, three months are big when dies merges the great follicle virus infection in pneumonia, after the medical examination, discovered that the baby is AIDS, traces the parents to present HIV immune body masculine gender, is unable to inquire about credible HIV to contact the history, the inspection discovered that the parents besides the immune body masculine gender, in the father blood serum HIV antigen negative, the lymphocyte raise attain the viral level not to be high, but mother’s antigen masculine gender, the viral level is quite high, two person of T cell inspection demonstrates CD4 the cellThe obvious reduction, the confirmation was the symptomless infected many year HIV carriers, mother’s virus has passed to the baby.
??(2) 63 year old of male, manages the restaurant industry, every year is on leave Thailand, South Korea or Taiwan travels, visits a brothel common. Because unknown cause’s body weight drops following it lungs infects goes see a doctor, after pneumonia processing control infection still felt the asthenia, the body weight continues to drop. He suspected that infected HIV to request the inspection, discovered that the CD4 cell number was only left over/the cubic millimeter, HIV antigen immune body masculine gender, in vivo virus level Gao Zhizhi must take 2 rises slightly the blood (a needle type drop) then to reproduce in vitro to massive HIV. Without a doubt, the patient already infects HIV’s later period, his/her wife with his minute bed ten remaining years of life, the inspection revisit year -odd, confirmed fortunately has not infected HIV. The patient is dyed in carries HIV’s prostitute, causes it to become HIV carrier, but infects again to other brothel customer.
??(3) 67 year old of male, the wifeless man, lives together already for ten years with a woman, three years ago knew that this woman the divorce husband dies in AIDS goes together the hospital inspection, in two person of blood serums is discovered HIV immune body masculine gender, but the antigen negative, the lymphocyte raise also cannot separate the virus, CD4 cell number in normal range.
??Subtotal:
??In the last few years in treats HIV’s research aspect quite to have the progress, including new medicine development, union medication development, specially early treatment exploration, as soon as changes waited for negatively after CD4 cell number obvious drop applies drugs again old idea. In addition the appraisal medicine curative effect’s each new examination method renews rapidly, including the lymphocyte in the AIDS former virus’s determination, in the blood HIV ribonucleic acid level’s computation, is helpful in HIV infected person may strive for the early time and the immediate cure. But, the Chinese rarely has the acute infected person to discover, besides everybody to AIDS’s understanding insufficient, after Chinese everybody infect HIV, first thinks of the security, second is feels pessimistic, until only then goes see a doctor as a last resort, may see from the above example wants with to do like this is both causes self infliction and harms others. The hope through this article can China’s HIV infected person, HIV infect the suspiciousness to have a benefit to AIDS’s understanding.
