Archive for the ‘Sexually Transmitted Diseases’ Category

HIV in pregnancy

Tuesday, April 27th, 2010

You can give birth if you have HIV. There is no danger that the HIV epidemic is transferred to the fetus during pregnancy or the child during delivery if you have a successful treatment. During and after pregnancy, you have regular contact with various specialists. They help you to give birth safely. Talk to your treating hivläkare if you have HIV and are thinking of becoming pregnant.

Today you can have children even if you or your partner has HIV. Thanks to increased knowledge and good medicine is the risk that the HIV epidemic is transferred to the fetus removed at the treatment worked. This is partly because anti-retroviral drugs, and other preventive measures.

No children born to women with known HIV infection have been infected at birth in Sweden since 1998.

To give birth safely requires hivbehandlingen working well and that HIV can not be detected in the blood before birth. It is therefore very important that all women with HIV who are pregnant receive a diagnosis early in pregnancy. For this reason, even pregnant women who have HIV do not offer to test themselves.

Pregnant women with known HIV infection has been regular contact with the midwife, infectious diseases physicians, gynecologists, pediatricians, social workers and nurses. Of course, the partner may be having. The meetings will discuss how specialists woman can get the best possible care and how to remove the risk of infection being passed to the child.
Symptoms of HIV

It is common that at the beginning did not notice that you have been infected by HIV. Often it takes many years before any signs appear. You can have different and varying symptoms, such as:

* febrile periods
* weight loss
* various skin rashes
* fungi in the mouth.

A few people have the infection, transient symptoms that vary.

The damage to the immune system usually develops slowly. After five to ten years of infection, the immune system can no longer protect the body against various bacteria, viruses, fungi and parasites.

If a person has a known HIV infection is already in treatment when the immune system is weakened a bit. The treatment makes the immune deficiency never develop, therefore, appear no symptoms or diseases.

Many patients do not know about his HIV infection and seek care only when they are sick because of weakened immune system. But even when the treatment works well for most people.

The infection can easily be determined by a blood test, whether you feel sick or not.
Prevent HIV infection to child
Contagion

If you get the right elected hivbehandling in time is the risk that your child will become infected non-existent in Sweden.

However, there is a clear risk that the child can be infected through breastfeeding if the mother is untreated or have a poorly functioning treatment. For this reason, it is in Sweden under the Communicable Diseases Act is not permissible for an HIV positive mother to breast-feed.

A successful treatment is when there is detectable virus in their blood. The risk of HIV spreading further significant reduction in successful treatment. These people, however, according to the Communicable Diseases Act is still seen as potentially infectious. Couples where one partner is HIV-positive may be, from a legal perspective, not to have unprotected sexual intercourse for the woman to become pregnant.

At the HIV Center Karolinska University Hospital, pairs, where the man is HIV-positive and the woman is not, get help with so-called sperm washing. When one sperm washing hiv washed away from the seminal fluid and then there is no risk of infection. The woman can then undergo fertilization experiments.
Vaccination

There is no vaccine against the disease. Some vaccines are also not in sight.
Find Care

If you suspect that you have HIV infection, it is very important that you test yourself, both for your sake and for the future child’s sake. If you are pregnant, it is easiest to test you in connection with a visit to antenatal care. You can also contact the nearest health center or six-and coexistence reception.

You are currently testing the right to remain anonymous, that is to say that you do not have to reveal your identity. No signal can refuse to test you and you do not need to justify why you want to test you.

If you are HIV positive and planning to become pregnant, contact your treating hivläkare. If you are receiving HIV treatment may need to be changed because some of the medicines are not good for the fetus during pregnancy. You should also contact hivkunnig gynecologist and midwife for more information.

The address and phone number of a kind reception you can find by clicking on Find Health Care on top of the page. You can also contact some receptions and order a time via the Internet. Click on My care contacts on the right.
Study of HIV

HIV is detected by an HIV test, which is a blood test. All pregnant women are offered an HIV test in antenatal care. Already have a doctor look him or her that you get the care you need.
Treatment of HIV during pregnancy

If you are HIV-infected and do not get good treatment there is some risk that the virus is transferred from you to the baby during pregnancy. Risk of infection is greatest at birth. If your treatment is effective both risks taken away. He previously also recommended elective caesarean section.
Pharmaceuticals

Your immune system will be tested to see how it is affected by HIV infection.

Is your immune system weakened, you are treated with drugs for HIV throughout pregnancy. If your immune system is not very weakened, you will be treated with medicine for over half of pregnancy. The treatment is then to remove the risk of HIV transmission to their babies.
Support and advice

It is important that you feel you have ambient assistance throughout pregnancy. Your midwife, nurse and your doctor is there for you. Tell us what you need so they can provide the right support. For example you can talk to a counselor.
After delivery

If your immune system is weakened, your hivbehandling continue after pregnancy and childbirth.

The child treated with hivläkemedel about six weeks after birth. After birth, samples are taken to see if the child became HIV-infected, or not. The same samples are taken several times, especially during the first half, until we know that there are no viruses in the child’s blood.

Even when tests do not show any virus, the antibodies transferred from mother to child have disappeared from the child’s blood before they can explain it completely fresh. It takes about eighteen months before the mother hivantikroppar disappeared from the child’s blood.
Advice for relatives

If you are a family may need assistance. You have the opportunity to get this through contacts with health care and the staff responsible for your dependents. You can also get assistance from an aid organization. They can give you information and help you make contact with others in a similar situation.

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Hiv/aids and it’s Symptoms,prevention,Treatment

Tuesday, April 27th, 2010

HIV damages the immune system. Early signs can include fever, sore throat, swollen lymph nodes, ulceration of the mucous membranes and skin rash. For most it will take several years before the disease shows. The virus does not infect the hugs, kisses and the usual social contacts. Condoms are very safe for protection during sex. Search care if you think HIV / AIDS.

HIV stands for human immunodeficiency virus. It is a virus that harms the body’s immune system.

HIV is spread in an ongoing worldwide epidemic. Situation is most serious in many developing countries, but also developed countries are affected. In the current situation greatly increases the spread in Eastern Europe, Russia and central Asia.

The disease is fatal if not treated.

HIV infection does not heal spontaneously without the infected person carries the virus for life. An HIV-infected individual’s infectivity decreases if the treatment is very successful.
Symptoms of HIV

It is common that at the beginning did not notice that you have been infected by HIV. Usually it takes many years before any signs appear. You can have different and varying symptoms, such as:

* periods of fever
* weight loss
* various skin rashes
* fungi in the mouth.

A few people have the infection, transient symptoms that vary.

The damage to the immune system usually develops slowly. After five to ten years of infection, the immune system can no longer protect the body against various bacteria, viruses, fungi and parasites. If a person has an HIV infection is already in treatment when the immune system is weakened a bit. The treatment makes the immune deficiency never develop, therefore, incurred no symptoms or diseases.

Today, more than half of patients diagnosed with HIV in Sweden is already greatly weakened immune system. This means that they have an increased risk for severe symptoms and a higher risk of dying. Most of these patients has led to the infection for many years.

The infection can easily be determined by a blood test, whether you feel sick or not.
HIV prevention

You protect yourself from HIV by avoiding contact with the virus through blood, semen and vaginal secretions. Condom during intercourse is a very good protection against HIV and other sexually transmitted diseases. To have “safe sex” is also a good way to protect themselves.

There is no vaccine against the disease. Some vaccines are also not in sight.

Blood donors are tested for HIV. It does not spread the infection through blood transfusion.

Pregnant women offered HIV test. If a pregnant woman found to have HIV to prevent infection by the child that the woman may hivbehandling, the birth is by caesarean section and that the child may hivläkemedel after birth. See also the link HIV in pregnant women.

People who put on the wound, or otherwise may come into contact with blood, to use plastic gloves or equivalent. If blood, semen, vaginal secretions or other body fluids from an HIV-positive person comes to skin wounds, mucous membranes or eyes that will be washed or rinsed off as soon as possible. Hivkunnig doctor should be contacted immediately. The doctor will then decide whether hivläkemedel will be provided, so-called postexpositions prophylaxis.
Contagion

Virus is transmitted mostly through sexual intercourse and through blood. It may, for example by blood transfusion, needle stick injuries when or if several people use the same syringe.

An HIV-positive woman can infect her baby during childbirth and breastfeeding if she is not successfully treated.

A successful treatment is when there is detectable virus in their blood. The risk of HIV spreading further significant reduction in successful treatment. These people, however, according to the Communicable Diseases Act is still seen as potentially infectious.

The virus does not infect the social interactions and HIV-infected persons need not be afraid to infect friends, relatives or children in their surroundings.
Find Care

If you suspect that you have HIV infection, it is very important to make a blood test. You can do this free of charge at various clinics:

* health center
* infectious disease clinic at Karolinska University Hospital
* clinic
* hospital sex and cohabitation Entertainment (SESAME)
* skin and venmottagning
* RFSU reception
* Venhälsan at Söder Hospital.

The address and telephone number of a kind reception you will find the links or Find Health Care. You can also contact some receptions and order a time via e-Care Guide Service My health care contacts.

You are currently testing the right to remain anonymous, that is, you do not have to reveal your identity. The answer comes in about a week after sampling. No signal can refuse to test you and you do not need to explain why you want to test you.

To get a definite answer on the blood test should have been three months of the suspected infection. It is for that HIV infection sometimes can not be seen in the blood until three months after infection, although infection can be seen in the vast majority of two to three weeks.

At some clinics, such as Sesame, Venhälsan and infection clinic at Karolinska University Hospital, can test themselves with the quick reply. It means that the test result is usually ready after an hour. But it must still be passed three months after infection before HIV can be excluded with certainty.
Treatment of HIV
Pharmaceuticals

There is currently no treatment that cures the infection and remove the virus from the body. However, there are effective drugs that reduce the amount of virus and slow down the disease. They are called anti-retroviral drugs. Most of time reading to the immune system recovers completely. Most people who get treatment may continue with their work and lead a normal life.

It now feels that the medication against HIV must be life long.

Earlier gave retroviral drugs side effects. Today, side effects are largely reduced. The treatment has also become easier, many need only take one or a few tablets. The medication must be managed carefully to avoid the virus to become resistant to medicines.

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