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MEDHELP 翻译 每日一篇 希望帮助大家

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大家好,我只是个犯了大错后悔不已的学生。自知罪孽深重,不孝不忠不义。现在只求能在有限的生命里尽一些绵薄之力,来弥补过错。我不是医生也不是专业人士,所以没向贴吧里的志愿者那样回答大家的忧虑和疑惑。我只是在国外念书,会些英文,我将每天为大家翻译一篇Medhelp上的问答,这些都是有相同经历和恐惧的外国朋友的帖子。里面回答的医生都是STDS(艾滋病及性病)的临床专家。所以他们的资历大家可以放心。我希望能帮助大家了解hiv,脱离恐惧。希望大家看过以后,能解除哪怕是一秒钟的忧虑和恐惧。同时,也希望大家从此远离高危行为,远离HIV。让父母家人担心是不孝,对不起女友妻儿是不忠,让朋友们担心是不义。希望大家回头是岸。万恶淫为首,百善孝为先。愿菩萨佛珠保佑大家。从今天开始。我整理了之前的翻译,按照悟空大哥的建议放到了一个帖子中。我还附上了原文,如果供大家参考。我尽力翻译准确,但如有翻译错谬之处,祈请诸佛菩萨护法龙天慈悲见谅。也请大家见谅。谢谢。
MEDHELP 翻译 NO.1
Hello Drs
In January I
had sex with a bar girl in Vietnam. My condom slipped to about half my length
which the girl noticed and pulled the condom (Durex Latex Kingtex) back in
place. She then masturbated me with condom on and then comdom off. I did not
have a proper look at the condom and now I can't say whether it worked fine or
not. It has been my first and only time so I don't know how to check condoms. I
indeed saw some milky white liquid while she was masturbating me which scared
the hell out of me because I was far from ejaculation(nervousness) & I
actually never ejaculated with her. Could the liquid be lubricant on condom?
I came backto India where I had some severe liver inflammation on day 17 so
I got tested by HIV 1/2 Combo P24 Antigen which came non-reactive. I feel like
tingling pain intermittently since then mostly in lymph nodes in neck, armpit
& groin all on the right side of body. I have got painless red spots under
skin of my right hand which come and go. Liver inflammation has now reduced a
lot. Only tingling pain in lymph nodes remain with some discomfort in liver and
the red spots keep coming and going all on right hand.
1) What are
the chances of this being HIV? I never had fever for last 6weeks.
2) Is combo
testing reliable test given that it can sometimes skip low levels of P24?
3)I tested
at Indian lab which may have their own indegenously developed test. Do you
think it would be at par with western standards?
4)I tested
Combo again at 26 & 35 days as non-reactive. Do you think I need more test?
CC agent at that lab said that the window period for Combo is 3-6 months which
makes no sense to me as it defeats the very purpose of Combo test i.e. shorter
window period to be conclusive i.e. 28 days
5) I also
tested HBV non reactive 17&35 days and HCV non reactive 17 days. Could this
be HAV? Can it cause liver, lymph nodes pain and red spots (on my right hand)?
My most/all symptoms are on right side. or could it symply be an allergy?
译文如下:
你好医生,一月,我和一个酒吧女孩发生了关系。我的安全套滑落到了我升值器的一般,那个女孩注意到了,她把安全套弄回了原有的位置。之后她为我进行了无套和有套的手x。我没有看安全套,所以我不确定安全套是否完好并且起到了保护作用。这是我第一且唯一的一次,所以我不知道怎么检查安全套。我却是看到了奶白色液体当她为我手x时,这吓坏我了,因为我太紧张了,没有射j,确实没有。那些液体可能是润滑剂么?我回到印度,我得了严重的肝部炎症,(认为他的意思可能不指肝炎,只是很疼。)在第17天。所以我做了HIV联合测试,结果阴性。我感觉好像是那种间歇性的麻木疼痛,主要是在淋巴结,(arm pit)可能指小臂关节处。和腹股沟处。所有这些都集中在我的身体右侧。我有红色不痛的红点在右手皮下,之后好了。肝炎好了很多。只有淋巴麻木疼痛还在,和一些肝部不适以及右手的红点反反复复。
I


1楼2013-04-07 06:30回复
    翻译 NO.3
    Hello Dr,
    Just yesterday i had sex with a prostitute at a brothel in the dominican republic.
    It was oral fellatio and vaginal penetration with condom. I read that this is
    still 'safe' sex however i have some questions :
    1) condom was placed by the csw. I dont know what type of condom / quality it was : latex vs other. Does it matter?
    2) searching on the web, i see disclaimers on condoms. Are they 100 % bullit proof against hiv?
    3) why can you still get a women pregnat when using a condom but this forum feels so strongly about preventing hiv?
    4) assuming my partner was hiv positive and i had the worst condom material, im i at risk at all?
    5) should I get tested, again asuming worst case scenario that my partner is hiv +?
    thanks for the answers!
    你好 医生
    就在昨天,我在一家多米尼加的妓院和一个性工作者发生了关系。发生了KJ和有套XJ。我得之这是安全的,但我还有一些问题想要请教您。
    1.安全套是那个性工作者拿来的。我不知道牌子和质量如何。这个有关系么?
    2.我在网上看到了安全套起到完全保护作用的否定看法。我的问题是,安全套是100%提供预防艾滋病的保护么?
    3.为什么即使使用安全套还是可以是女性怀孕,但在这个论坛上的意见是安全套可以预防艾滋病?
    4.假设我的性伙伴是哥艾滋病阳性的人,我还有个质量很差的安全套,我又什么风险么?
    5.我应该测试么,如果最坏的情况发生,就是我的性伙伴有HIV?
    谢谢您的回答!
    医生:
    Hello,
    Thank you for your post. Here are your answers:
    1) condom was placed by the csw. I dont know what type of condom / quality it was : latex vs other. Does it matter? THAT WOULD NOT MATTER, PROVIDED THE CONDOM DID NOT
    BREAK.
    2) searching on the web, i see disclaimers on condoms. Are they 100 % bullit proof against hiv? YES, IF THEY DO NOT BREAK OR COME OFF.
    3) why can you still get a women pregnat when using a condom but this forum feels so strongly about preventing hiv? PREGNANCY CAN ONLY HAPPEN IF THE CONDOM BREAKS
    OR COMES OFF. THAT IS WHY CONDOMS ARE NOT 100%.
    4) assuming my partner was hiv positive and i had the worst condom material, im i at risk at all? ONLY IF THE CONDOM HAD BROKEN. AND EVEN SO, THE RISK TO YOU WOULD STILL BE LOW, ESTIMATED AT LESS THAN 0.1% IN THE CASE THAT SHE WAS POSITIVE.
    5) should I get tested, again asuming worst case scenario that my partner is hiv +? ONLY IF YOU ARE CONCERNED. THE ONLY JUSTIFICATION FOR YOU TO GET TESTED IN THIS
    SCENARIO IS FOR YOUR PEACE OF MIND.
    Kind
    regards,
    Dr José
    医生:
    谢谢您的上传。下面我来回答你的问题。
    1.只要提供的安全套没有破就没关系。
    2.是的,如果安全套没破或者没脱落。
    3.怀孕发生在安全套破裂或者脱落的情况下。这就是安全套不是100%安全的原因。
    4.只有在安全套破裂时。但是,即便如此,你的风险也很低!预计是低于0.1%,加入她是HIV阳性的话。
    5.如果你担心就请测试。测试的理由只是让你安心而已。
    祝好
    Dr José


    3楼2013-04-07 06:34
    回复
      MEDHELP 翻译 NO.6
      First I am in great panic and deep deep regret of what I did. can't sleep well and lost interest on almost everything.
      The thing is:
      On middle Jan (can't remember exact day) this year, I had unprotected oral and protected sex with a legal sex worker in Singapore. On Feb 27, I did unprotected oral and protected sex again with another legal sex worker. Then I suddenly feel not right (mentally) and start to do research online about HIV. Now I regret to death, wishing not doing such things in my life.
      I did HIV duo test on Mar 14, 24 and 27 and all are negative. I will do test at the end of May to get peace of mind. However the time is really torturing me.
      I read from lots of places that oral sex has very low risk to zero risk. Recently I am thinking some possibilities and hope you experts can help me. I basically have 2 questions.
      1. the sex work in Singapore legal place is busy. Suppose a prostitute is healthy (they get medical check up every month), and she got a HIV+ customer and performed unprotected oral (which is common), I believe there would be some HIV residual in her mouth. Suppose the prostitute would rinse her mouth. My question is: does HIV virus die out all after 1 hour? does this pose even a slight chance to transmit?
      2. I am really want to a quick way to get a peace of mind. Is PCR and antibody together 100% conclusively? Is there such measure to 100% conclusive instead of 3 months later? I am now at 36 days from the last activity.
      I really appreciate your expert opinion. Since this is a very different question for oral sex, I would like all expert opinion. Thanks a lot!
      首先,我陷入了极大地恐慌中,而且我深深地后悔我所做的。我无法睡好觉并且对一切事都失去了兴趣。
      事情是这样的:
      今年一月中旬,我在新加坡和一个合法性工作者发生了无套KJ和有套XJ。在2月27号,我和另一个合法性工作者又一次发生了无套KJ和有套XJ。之后,我心里突然感觉不对并开始在网上搜寻关于HIV的信息。现在,我后悔的要死,真希望这一切从没在我生命里发生过。
      我在3月14,24和27号做了联合测试,它们都是阴。我将在五月底再做一次测试来使我安心。但是时间真是煎熬。我从很多地方读了很多资料表明KJ只有很低的风险甚至是0风险。最近,我开始想那些风险并希望您能帮助我。我基本上有两个问题。
      1.合法性工作场所在新加坡和红火。假设一个性工作者是健康的(她们每月都接受检测),,然后她接待了一个HIV阳性的客人,并且为那个客人进行了无套KJ,我相信这会有一些HIV残留在她嘴里。假设这个性工作者漱口。我的问题是:HIV残留会在1小时候死亡么?这个行为有一点点的风险传染么?
      2.我真的想要一种快速的方法来使我安心。PCR和抗体测试一起是100%可靠的么?有没有什么方法和3个月或是更久的测试一样可靠的?上次行为已经过了36天。
      我真地很感激您。对于这个特殊的KJ的问题,我希望得到所有的专业意见。谢谢!
      医生:
      Hello
      Thank you for your post - I've repeated your questions beneath for ease of answering.
      1. the sex work in Singapore legal place is busy. Suppose a prostitute is healthy (they get medical check up every month), and she got a HIV+ customer and performed unprotected oral (which is common), I believe there would be some HIV residual in her mouth. Suppose the prostitute would rinse her mouth. My question is: does HIV virus die out all after 1 hour? does this pose even a slight chance to transmit?
      Having oral sex performed on you - being sucked - does not present a risk of HIV. There are to my knowledge no recorded cases of HIV transmission this way. I understand the point you are making and certainly other sexually transmitted diseases like chlamydia, gonorrhoea, syphilis, herpes etc are spread this way. This does not appear to be a route for HIV transmission. In any event you had a negative HIV test so you have sort of proved the point to yourself.
      2. I am really want to a quick way to get a peace of mind. Is PCR and antibody together 100% conclusively? Is there such measure to 100% conclusive instead of 3 months later? I am now at 36 days from the last activity.
      If you have a negative HIV RNA PCR after 10 days then I wpuld say that you are indeed HIV negative. Similarly if you have a third generation HIV antibody test at 6 weeks post event then you are proven to be HIV negative. If you have a 4th generation HIV antibody and antigen test at 4 weeks after the event you are proven HIV negative.
      I do not believe you are HIV positive and I do not believe from the data supplied that you were exposed.
      kind regards, Sean
      您好,
      感谢您的上传,我将在下面回答您的每一个问题。
      1.被动KJ没有风险。根据我的知识,没有记录的案例通过这种方式感染的。我明白您的意思,当然其他性病会这么传染,但是HIV不会。在测试中,您得到了阴的结果,你向您自己证实了这个观点。
      2.如果您有10天以后的RNA/PCR测试的阴性结果,我认为您确实是HIV阴性。同样的,如果6周后的您有3代抗体测试阴性结果。或者是4周后4代测试的阴性结果。都可以证明您是HIV阴性。
      我不认为您感染了并且从数据上看,我不认为您有风险。
      祝好


      6楼2013-04-10 12:54
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        支持


        IP属地:河北来自WindowsPhone客户端7楼2013-04-10 12:57
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          MEDHELP 翻译 NO.7 (PS:这篇翻译给得到测试准确结果阴性可还有症状迟迟不能释怀的朋友们)
          hi doc,
          i had unprotected vaginal exposure with girl having unknown hiv status at night club in october 2010 in perth. never thought of hiv and after reading a general became concerned about it. got my first elisha test done in october 2011 ( after 1 year ) from exposure which came as negative. then did my nucleic acid test done in may2012 as i donated blood to one of my mate and my blood tests were negative as well. in june i had sore throat and a bit indigestion which started making me feel like i have got hiv but it was under seroconversion for long time and didnot show up in the tests. i still have sore throat even after 2 months and it is making me worried. did another elisha test on 26july2012 which is again negative. please help what should i do?
          1. is there any chance that i can have hiv but its not coming up in the tests?
          2. is it possible for a person not to produce antibodies for such a ling time like 18 months?
          3. i have sore in my mouth which do not hurt and have thrush which is said to be symptoms of hiv?
          4. i have acne like spots on my back since last 2 months?
          please help i would like to have a true opinion. i never had any sexual exposure after that night club incident since october 2010.
          您好,医生
          我在2010年10月和一个不知道有没有HIV的夜店女孩有了无套KJ。之前从来没考虑过HIV知道读了一些内容后才开始恐慌。1年以后,我做了第一个测试,结果阴性。之后,我又再2012年5月给我的朋友鲜血时做了核算测试,结果阴性。6月,我开始有喉咙痛,并且有些消化不良。这些症状让我觉得HIV但因为血清转化了很久所以当时没查出来。我现在仍然有喉咙痛,几经两个月了,这让我很担心。我在2012年7月26日有做了测试,结果还是阴性。情告诉我我改怎么做?
          1.可能我有HIV但是检查不出来么?
          2.可能一个人18个月都不产生抗体么?
          3.我(我真的不知道这里他想说自己是喉咙不怎么疼还是嘴里有什么疼的地方但是不怎么疼)我还有溃疡。这些事HIV的症状么?
          4.我的背上有粉刺一样的点两个月之前到现在了。
          请帮助我,我希望知道真想。我自从那次2010年10月的事之后,没在有过任何性的行为。
          医生:
          Hello,
          Thank you for your post and welcome to our forum. I will answer all your questions here below:
          1. is there any chance that i can have hiv but its not coming up in the tests? NO, NOT AT ALL. YOU ARE DEFINITELY HIV NEGATIVE WITHOUT ANY DOUBT.
          2. is it possible for a person not to produce antibodies for such a ling time like 18 months? NO, IT IS IMPOSSIBLE.
          3. i have sore in my mouth which do not hurt and have thrush which is said to be symptoms of hiv? NOT IN YOUR CASE. IT IS FAR TOO LATE TO HAVE SYMPTOMS OF SERO-CONVERSION, AND YOUR TESTS WERE NEGATIVE.
          4. i have acne like spots on my back since last 2 months?
          THIS HAS NOTHING TO DO WITH HIV.
          YOU ARE NEGATIVE. FORGET IT!
          Best wishes,
          Dr José
          谢谢您的上传,欢迎来到贴吧。我将在下面回答您的每一个问题:
          1.不,一点可能性都没有。你100%毫无疑问的是HIV阴性。
          2.不,这不可能。
          3.不是在您的案例里。您的血清转化症状发生的实在是太晚了,这与HIV无关,并且您的结果还是阴性。
          4.这些和HIV一点儿关系都没有。您是阴性!快忘了HIV这件事儿吧!
          祝好
          Dr José


          8楼2013-04-11 12:11
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            楼主辛苦,看了国外的一些案例,让我们更加了解了HIV的传播,同时我也希望所有恐艾吧的人都阴!


            来自手机贴吧9楼2013-04-12 14:17
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              已经淡定了...坐等明天的结果,我会来报阴的..祝大家都阴


              10楼2013-04-12 14:32
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                支持楼主的翻译工作


                11楼2013-04-12 16:22
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                  medhelp很猛的,几乎任何国家都有人在上面咨询


                  IP属地:山西来自手机贴吧12楼2013-04-12 16:44
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                    顶。。


                    来自Android客户端14楼2013-04-12 18:28
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                      手指出血碰到分泌物,会感染吗,medhelp有专门说这种情况的吗?


                      16楼2013-04-13 13:38
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                        似乎读到过。我在确认下。这种状况是部感染的应该。MEDHELP对于开方伤口的感染成否定态度。我找找。不过您的情况的几率是无限趋近于0的。可以忽略。


                        来自手机贴吧17楼2013-04-13 15:20
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                          兄弟能找找窗口期的帖子吗?多久可以排除?最好是完全排除。不吸毒没动过手术。不知道免疫力如何,但是今年22了。平常就经常感冒咳嗽,一年3-5次,一般两星期左右好。帮忙看看


                          来自iPhone客户端18楼2013-04-14 01:42
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                            小子午安我睡觉了


                            来自Android客户端19楼2013-04-14 03:20
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                              请问有没有摘掉TT后,jj不小心沾上少量对方分泌液的文章,这样会不会感染,谢谢!


                              21楼2013-04-14 11:45
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