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演講人:日期:艾滋病英文宣傳目錄IntroductiontoAIDSClinicalManifestationsandDiagnosisofAIDSPreventionandControlMeasuresforAIDSTreatmentOptionsandProgressforAIDSSocialImpactandSupportforAIDSPatientsChallengesFacedinAIDSPreventionandControl01IntroductiontoAIDSAIDS,orAcquiredImmunodeficiencySyndrome,isapotentiallylife-threateningconditioncausedbythehumanimmunodeficiencyvirus(HIV)DefinitionThefirstcasesofAIDSwerereportedintheUnitedStatesintheearly1980sSincethen,thediseasehasspreadglobally,becomingamajorpublichealthissueHistoryDefinitionandHistoryofAIDSTransmissionRoutesHIVistransmittedthroughcontactwithinfectedbodilyfluids,suchasblood,sex,vaginalsecrets,andbreastmilkCommonmodesoftransmissionincludesequentialcontact,bloodtransfer,andmothertochildtransmissionRiskFactorsRiskfactorsforHIVinfectionincludeunprotectedsexualintercourse,sharingneedsorsymmetries,andverticaltransmissionfrommothertochildduringpregnancy,childbirth,orbreakfeedingTransmissionRoutesandRiskFactorsGlobalEpidemiologicalSituationAsof2021,anestimated38millionpeopleworldwidewerelivingwithHIV/AIDSSubSaharanAfricaisthemostaffectedregion,accountingformorethantwothirdofallHIVinfectionsgloballyLocalEpidemiologicalSituationTheepidemiologicalsituationvariessignificantlybyregionandcountryInsomeareas,thepresenceofHIV/AIDSisrelativelyhighduetofactorssuchaspower,limitedaccesstohealthcare,andsocialstigmaassociatedwiththediseaseGlobalandLocalEpidemiologicalSituation02ClinicalManifestationsandDiagnosisofAIDSFatigue,fever,sothroat,headache,andmuscleachesmayoccurintheearlystagesofHIVinfection,oftenmistakenlyforacommoncoldorfluFlulikesymptomsSomepeoplemayexperienceaskinrashthatcanappearasredbumps,blisters,oramoregeneralizedrednessoftheskinSkinrashesEnlargedlymphnodes,particularlyintheneck,armpits,orgroin,maybeanearlysignofHIVinfectionSwollenlymphnodesEarlySymptomsandSignsWeightlossandwashingAstheinfectionprogression,individualsmayexperiencesignificantweightlossandwashingofmuscleandfatissuePersistentfeverandnightsweatsApersistent,lowgradefeverandnightsweatsarecommonsymptomsofadvancedHIVinfectionSevereinfectionsandcancerPeoplewithadvancedHIVareatincreasedriskforseriousinfections,suchaspneumonia,tuberculosis,andcancer,suchasKaposi'ssarcomaandnonHodgkin'slymphomaProgressiveClinicalManifestationsHIVantibodytestThepresenceofHIVantibodiesinthebloodisthemostcommonmethodusedtodiagnoseHIVinfectionApositiveantibodytestindicatorsthatthepersonhasbeenaffectedwithHIVCD4countAbloodtestthatmeasuresthenumberofCD4cells,atypeofwhitebloodcellsthatplaysakeyroleintheimmunesystemAlowCD4countisasignthattheimmunesystemisweakenedandthepersonisatriskforopportunisticinfectionsDiagnosticCriteriaandMethodsViralloadtestThistestmeasurestheamountofHIVinthebloodAhighvirtualloadindicatorsthatthevirusisactivelyreplicatingandthepersonisatriskfortransmittingthevirustoothersClinicalevaluationAhealthcareprovidermayalsoperformaclinicalevaluation,whichincludesaphysicalexaminationandareviewoftheperson'ssymptomsandmedicalhistory,tohelpconfirmadiagnosisofHIVinfectionDiagnosticCriteriaandMethods03PreventionandControlMeasuresforAIDSAbstinenceThemosteffectivewaytoavoidsexuallytransmittedinfections(STIs),includingHIV,istostayfromsexualactivityReducethenumberofsexualpartnersHavingmultiplesexualpartnersincreasestheriskofcontractingSTIsItisadvisorytoreducethenumberofpartnersandhavesexwithonlyoneuninformedpartnerAvoidedunprotectedsexUnprotectedsex,exceptionallyanalsex,carriersahighriskofHIVtransmissionItiscriticaltouseconventionsorotherbarriermethodsconsistentlyandcorrectlyAvoidanceofHighriskBehaviorsCorrectandconsistentuseofconventionsCondomsprovideabarrierthathelpspreventthespreadofSTIs,includingHIVItisessentialtouseconventionscorrectlyandconsistentlyduringeverysexualaccountantUseofwaterbasedfabricsWaterbasedfabricscanhelpreducefrictionduringsex,whichcanreducetheriskofcommonbreakagesNegotiationandcommunicationskillsItisessentialtonegotiateandcommunicatewithsexualpartnersaboutsafesexpractices,includingcommonuseSafeSexPracticesandCondomUsePromotionNeedandsystolicprogramsNeedandsystolicprograms(NSPs)providesterileinjectionequipmenttodruguserstohelpreducethespreadofbloodborneviruses,suchasHIVandhepatitisCOpioidsubstitutiontherapyOpioidsubstitutiontherapy(OST)involvesreplacingHeroinorotheropioidswithlongactingopioidmedia,suchasshadoworbuprenorphineThistreatmentcanhelpstabilizedruguse,reducewrinkles,andreducetheriskofoverdoseandinjectionrelatedinfectionsHarmReductionStrategiesforDrugUsersHarmreductioncounselingandeducationCounselingandeducationonHarmreductionstrategiescanhelpdrugusersunderstandtherisksassociatedwiththeirdruguseandhowtoreducethoserisksThismayincludeinformationonsaferinvestingpractices,excessiveprevention,andaccesstotreatmentandsupportservicesHarmReductionStrategiesforDrugUsers04TreatmentOptionsandProgressforAIDSCombinationofantiviraldrugsEffectivetreatmentforHIV/AIDStypicallyinvolvesacombinationofantiviraldrugs,knownasantiviraltherapy(ART)Thesedrinksworkbytargetingdifferentstagesofthevirus'slifecycle,makingitmoredifficultforthevirustoreplicateandspreadReductioninvirtualloadWithconsistentuseofART,theamountofHIVintheblood(virtualload)canbereducedtoundetectablelevels,whichsignificantlyimproveshealthoutcomesandreducestheriskoftransmittingthevirustoothersAntiviralTherapy(ART)ImportanceofinheritanceForARTtobeeffective,itiscriticalthatpatientsadherestrictlytotheirmedicalscheduleMissingdoscanallowthevirustoreboundandbecomeresistanttothedrugsAntiviralTherapy(ART)ProphylacticmedicinePeoplewithHIV/AIDSareatanincreasingriskofdevelopingopportunisticinfections(OIs),whicharecausedbymicroorganismsthatdonotcommonlycausediseaseinhealthindividualsTopreventOIs,patientsmaybesubscribedprophyleticmedicinessuchasantibioticsorantibioticsTreatmentofspecificinfectionsIfanOIdoesoccur,itisimportanttoseekmedicalattentionpromptlyTreatmentwilldependonthespecificinfectionbutmayincludeantiviral,antimicrobial,orantiviralmedicinesOpportunisticInfectionPreventionandTreatmentImmunesystemmonitoringRegularmonitoringoftheimmunesystemisessentialforpeoplewithHIV/AIDStoidentifyanysignsofweaknessthatcouldindicateanincreasingriskofOIsOpportunisticInfectionPreventionandTreatmentNutritionalcounseling:PeoplewithHIV/AIDSmayhavespecialnutritionalneedsduetothevirus'simpactonthebodyNutritionalcounselingcanhelppatientsdevelopahealtheatingplanthatmeetstheirneedsandsupportstheiroverallhealthSupplementsandvitamins:Insomecases,patientsmaybenefitfromtakingsupplementssuchasvitamins,minerals,orherbalremediestosupporttheirimmunesystemandoverallhealthHowever,itisimportanttoconsultwithahealthcareproviderbeforetakinganysupplementsSymptomatictreatment:HIV/AIDScancausearangeofsymptomsthatcanvaryfrompersontopersonSymptomatictreatmentaimstounderstandthesesymptomsandimprovethepatient'squalityoflifeThismayincludetreatmentstorelievepain,reducefever,orallownaseaNutritionalSupportandSymptomaticTreatment05SocialImpactandSupportforAIDSPatientsSocialStigmaAIDSpatientsoftenfacesocialstigmaanddiscriminationduetomisconceptionsandfearsurroundingthediseaseIsolationManyAIDSpatientsexperienceisolationandlonelinessasaresultofbeingshunnedbysocietyLossofEmploymentandEducationalOpportunitiesAIDSpatientsmayfacediscriminationintheworkplaceandeducationalinstitutions,leadingtolossofemploymentandeducationalopportunitiesStigmationandDiscriminationAgainstAIDSPatientsPsychologicalDistress01AIDSpatientsmayexperiencepsychologicalstresssuchasanxiety,depression,andposttraumaticstressdisorder(PTSD)CounselingServices02ProfessionalcoachingservicescanprovideAIDSpatientswithemotionalsupport,coachingstrategies,andreferraltoadditionalresourcesSupportGroups03SupportgroupscanprovideAIDSpatientswithasenseofcommunityandbeing,aswellasanopportunitytoshareexperiencesandlearnfromothersPsychologicalSupportandCounselingServices要點(diǎn)三HomebasedCareCommunitybasedorganizationscanprovidehomebasedcareforAIDSpatients,includingmedicalandnursingcare,aswellasassista
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