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醫(yī)學(xué)英語(yǔ)教程艾滋病演講人:日期:OverviewofAIDSMedicalEnglishVocabularyandTerminologyMethodsofAIDSexaminationanddiagnosis目錄TreatmentplananddrugselectionprinciplesPreventivemeasuresandpromotionofhealtheducation目錄01OverviewofAIDSAIDS,orAcquiredImmunodeficiencySyndrome,isalifethreadingconditioncausedbythehumanimmunodeficiencyvirus(HIV)DefinitionHIVistransmittedthroughcontactwithinfectedblood,sex,vaginalsecrets,orbreastmilkCommonmodesoftransmissionincludesequentialintercourse,bloodtransfers,sharingofneedsorsymmetries,andmothertochildtransmissionduringpregnancy,childbirth,orbreakfeedingTransmissionchannelsDefinitionandtransmissionchannelsPathogenesisandclinicalpresentationsHIVattachmentsanddestructionCD4+T-cells,atypeofwhitebloodcellsthatiscriticaltothebody'simmunesystemAsthenumberofCD4+T-cellsdecreases,thebodybenefitsaremoresustainabletoinfectionsanddiseasesPathogenesisSymptomsofAIDScanvarywidelyandmayincludefever,fatigue,weightloss,nightsweats,swollenlymphnodes,andopportunisticinfectionsAsthediseaseprogresses,moreseveresymptomssuchassevereweightloss,neurologicaldisorders,andlifethreadinginfectionsmaydevelopClinicalpresentationsDiagnosticcriteriaDiagnosisofAIDSisbasedonthedetectionofHIVantibodiesintheblood,areducednumberofCD4+T-cells,andthepresenceofopportunisticinfectionsorcancerClassificationAIDSisclassifiedintothreestages:acuteHIVinfection,chronicHIVinfection,andAIDSTheprogressofthediseaseisdeterminedbythenumberofCD4+T-cellsandthepresenceofspecificsymptomsorcompositesDiagnosticcriteriaandclassificationGlobalepidemicstatusAIDSisaglobalepidemicthathasaffectedmillionsofpeopleworldwideAccordingtothelateststatisticsfromtheWorldHealthOrganization(WHO),thereareanestimated38millionpeoplelivingwithHIVglobally,withthemajorityofcasesinsubSaharaAfricaDomesticepidemiologicalstatusInChina,thenumberofreportedHIV/AIDScaseshasbeenincreasinginrecentyearsHowever,thegovernmenthasimplementedvariouspreventionandcontrolmeasures,suchaspromotingawarenessandeducation,providingfreetestingandtreatmentservices,andstrengtheningsurveillanceandmonitoringsystemstoinitiatethespreadofthediseaseGlobalandDomesticEpitopicStatus02MedicalEnglishVocabularyandTerminologyCommonMedicalEnglishVocabularySymptomsandsignsfever,cough,headache,nausea,invoicing,diarra,rash,etcDiseasesandconditionsflu,pneumonia,diamonds,hypertension,heartdisease,cancer,etcMedicalproceduresandtreatmentssurgery,chemotherapy,radiationtherapy,physicaltherapy,etcAnatomyandphysiologyskeleton,muscles,nerves,circulatorysystem,respiratorysystem,etcHIV:HumanImmunodeficiencyVirus,thevirusthatcausesAIDSAIDS:AcquiredImmunodeficiencySyndrome,aconditioninwhichtheimmunesystemissignificantlyweakenedbyHIVAntiviraltherapy(ART):treatmentthatsuppressesHIVreplicationandreducestheamountofvirusinthebodyOpportunisticinfections:infectionsthatoccurmorefrequentlyoraremoresevereinpeoplewithweakenedimmunesystems,suchasthosewithAIDSAnalysisofAIDSrelatedtermsusingrhymes,acronyms,orvisualassociationstohelprememberwordsMnemonicdevicesContextlearningRepetitionandpracticeWordrootsandaffixesLearningvocabularyinthecontextofsensesorparagraphstounderstandmeaningandusageRepeatedlyreading,writing,andspeakingnewvocabularytoreviewmemoryunderstandingthemeaningsofwordpartstohelplearnrelatedwordsVocabularyMemorySkillsandStrategiesDoctorpatientcommunicationusingmedicalvocabularytoexplainsymptoms,diagnoses,andtreatmentplanstopatientsreadingandunderstandingscientificarticlesandstudiesrelatedtoAIDSandotherdiseasesworkingwithdrugnames,dosages,andsideeffectsinthedevelopmentandmarketingofnewtreatmentseducatingthepublicaboutAIDSprevention,transmission,andtreatmentusingaccurateandaccessiblemedicalexpensesMedicalresearchPharmaceuticalindustryPublichealtheducationExamplesofpracticalapplicationscenarios03MethodsofAIDSexaminationanddiagnosisBloodtestsincludingcompletebloodcount(CBC),livefunctiontests,kidneyfunctiontests,andelectrolytelevelstoassesstheoverallhealthstatusofthepatientandtheimpactofHIVinfectionHIVantibodytestacommonmethodtodetectHIVinfection,whichcanbeperformedthroughvarioustechniquessuchasELISA,Westernblot,andrapidtestsViralloadtestmeasurestheamountofHIVintheblood,whichisimportantformonitoringtheprogressofthediseaseandtheeffectivenessoftreatmentIntroductiontoLaboratoryInspectionItems03Ultrasoundusedtoassessliver,spleen,andlymphnodestatus,whichmaybeaffectedbyHIVinfection01ChestX-raycommonlyusedtodetectlunginfectionssuchaspneumonia,whicharecommoninpatientswithAIDS02Computedtomography(CT)scancanprovidemoredetailedimagesofthelungsandothertissues,helpingtodetectmoresubregionsApplicationofimagingexaminationinthediagnosisofAIDSacombinationofclinicalpresentations,laboratorytests,andimagingfindingsareusedtodiagnoseAIDSThediagnosticcriteriamayvarydependingonthespecificguidelinesandrecommendationsDiagnosticcriteriaWheninterpretingdiagnosticresults,itisimportanttoconsiderfactorssuchasthepatient'smedicalhistory,symptoms,andotherpotentialcausesofsimilarfindingstoavoidmisdiagnosisPrecautionsInterpretationofdiagnosticcriteriaandprecautionsImprovingmedicalliteracyenhancingdoctors'understandingofAIDSandrelatedknowledgecanhelpreducetheriskofmisdiagnosisandmistreatmentStrengtheningcommunicationbetweendoctorsandpatientseffectivecommunicationcanhelpdoctorsbetterunderstandthepatient'sconditionandmakemoreaccuratediagnosesandtreatmentplansEstablishingamultidisciplinaryteamateamofexpertsfromdifferentfieldscanprovidecomprehensivecareforpatientswithAIDS,reducingtheriskofmisdiagnosisandmistreatmentRiskpreventionofmisdiagnosisandmistreatment04TreatmentplananddrugselectionprinciplesCombinationtherapywithmultipleantiviraldrugsToeffectivelysuppressvirusreplicationandreducetheriskofdrugresistance,combinationtherapywithmultipleantiviraldrugsisoftenadoptedTheselectionofdrugsshouldbebasedonthepatient'sspecificconditions,drugresistancetestresults,andtreatmenthistoryAntiviraltreatmentstrategiesanddrugselectionprinciplesIndividualizedtreatmentplanDuetodifferencesinthepatient'simmunesystem,virusload,andotherfactors,anindividualizedtreatmentplanshouldbedevelopedaccordingtothepatient'sspecificconditionsConsiderationofdrugsideeffectsWhenselectingantiviraldrugs,attentionshouldbepaidtotheirsideeffects,specificallyforpatientswithliverorkidneydysfunctionAppropriateadjustmentsshouldbemadetothedrugdosageandadministrationroutetoensuresafetyandtoleranceAntiviraltreatmentstrategiesanddrugselectionprinciplesImprovingthepatient'simmunefunctionisthekeytopreventingopportunisticinfectionsMeasuressuchasmaintaininggoodnutrition,appropriateexercise,andensuringadequaterestcanhelpimprovethepatient'simmunefunctionForpatientswithahighriskofopportunisticinfections,physiologicalantibioticscanbeusedtoreducetheincidenceofinfectionsHowever,theuseofantibioticsshouldbereasonabletoavoiddrugresistanceandotheradversereactionsOnceanopportunisticinfectionoccurs,timelydiagnosisandtreatmentareessentialThepatientshouldbeisolatedandreceiveappropriateantimicrobialtherapyaccordingtothepathogenanddrugsensitivitytestresultsStrengtheningimmunefunctionUseofphysiologicalantibioticsTimelydiagnosisandtreatmentPreventionandtreatmentmethodsforopportunisticinfectionsNutritionsupportProvidingequalnutritionsupportcanhelpimprovethepatient'snutritionalstatusandimmunefunctionAbalanceddierichinvitamins,minerals,andproteinshouldberecommendedtomeetthepatient'snutritionalneeds0102PsychologicalinterventionPsychologicalproblemssuchasanxietyanddepressionarecommoninpatientswithAIDSPsychologicalinterventionmeasuressuchascounting,psychotherapy,andsupportgroupscanhelpallocatethepatient'spsychologicalburdenandimprovetheirqualityoflifeNutritionsupportandpsychologicalinterventionmeasuresRegularfollowupvisitsRegularfollowupvisitsareessentialformonitoringthepatient'sconditionandtreatmentresponseDuringthevisits,thepatient'sphysicalcondition,virusload,CD4+Tcellcount,andotherindicatorsshouldbemonitoredtoassesstheeffectivenessofthetreatmentAdjustmentoftreatmentplanBasedonthefollowingupresults,thetreatm
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