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Showing posts with label HIV. Show all posts
Showing posts with label HIV. Show all posts

A short guide medical tests

Small medical tests to detect the earliest possible different symptoms and keep away diseases. Very healthy habits to take!

How often should I be tested?
Sometimes the disease can strike without warning and change your life instantly. On the other hand, the disease may progress for years and have few symptoms, if any, and early detection could save your life. Screening tests exist, but your doctor might not you submit regularly. It is therefore important to ask your health care professional appropriate tests which you should submit.

Breast exam
What is it? Self-breast exam, a physical examination by a physician or a nurse practitioner and a mammogram can detect breast cancer at an early stage. Breast cancer is the cancer most common cancer among Canadian and can be fatal if not detected early.

Should submit to them? We encourage all women, especially older women to conduct a breast self-examination for a period of five to ten minutes once a month. For women who are still menstruating, the ideal time to do this is about a week after the beginning of the cycle. Physical examination by a physician or nurse are recommended for all women annually or every two years, and are more important with age. Women aged between 40 and 69 years have a higher risk and should ask their doctor for a mammogram. Women who have a higher risk or who are older than 70 years should consult their physician about the recommended frequency of testing.

Pelvic exam (pap smear)
What is it? Pelvic examination with a Pap test is to detect cancer of the cervix and whether the woman's reproductive organs are healthy. Contrary to popular belief, pelvic exams do not detect sexually transmitted infections.

Should submit to them and how often? Usually recommended for women who are sexually active or over the age of 18 to have a pelvic exam in a range between one and three years, depending on age, medical history and resources available in the community.

These tests are also recommended for:


  • Women of all sexual orientations
  • Women aged over 18 sexually inactive
  • Women menopause
  • Many women who have undergone hysterectomy
  • Women at higher risk, who have already contracted a sexually transmitted infection in the past or are currently affected, or those who have received test results previously abnormal Pap may have to undergo more tests regularly. Consult your doctor about how often you should be tested

Testing for sexually transmitted infections
What is it? Screening tests for the most common STI can be performed quickly in a single visit to the doctor. Blood samples are needed to detect HIV, hepatitis and syphilis, and a urine sample or a swab test is necessary to detect herpes, chlamydia and gonorrhea.

Should submit to them and when? STI screening is increasingly important since many STIs are on the rise in Canada. From 1997 to 2002, the rate of chlamydia in Canada has increased by about 65% and about 70% of these cases were in women. In addition, the rate of syphilis increased by 285%, or about one in 66,000 people.

The doctors do not test for STIs regularly. If you or your partner sexual behavior risk, have multiple sexual partners or share needles or sex toys, you should undergo a screening test. Before starting a new relationship, it would be desirable to conduct a test. Some STIs have no symptoms, if any, and take months to show up in testing. Thus, even after being tested, you should use condoms to reduce the risk of transmission.

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Cellulitis Prevention Tips and Consultation

Cellulitis Prevention

What are the symptoms of cellulitis skin from a wound?

Skin swelling (edema), turns red (or pink), hot and painful around the wound, where it did not hurt at first. This is the characteristic equation in four points: redness, heat, pain, swelling (skin tension).

Where cellulite lies, the skin loses its flexibility and becomes colored yellow, green, pale or purplish.
Erysipelas is characterized by large patches of hard, bright red, while necrotizing cellulitis begins with a red painful swelling, which becomes purple and black As the tissue dies.

Danger today: cellulite face and neck
Professor Patrice Tran Ba ​​Huy (ENT surgeon) sounded the alarm in October 2008 due to necrotizing cellulitis (which destroy the tissues and the body) caused by dental poorly supervised.

Steadily increasing (one or two cases per week in specialized services), these cellulites are fatal in about 10% of cases. They cause half the time and scarring sequelae monstrous and final.

Dental spread of germs from the mouth into the neck and face, and they are multiplying so if we take fulminant inflammatory against pain (prescription or medication) without appropriate antibiotic coverage.
It is therefore necessary to check with her ​​doctor to get the prescription suitable for dental surgery: Pain and cons against infection. Rule is never to take only inflammatory and corticosteroids, and quickly check within 24 hours when the situation worsens.

Not to be confused with anything infectious cellulitis?

It is rarely confused if we take the four usual signs (redness, heat, pain, swelling), but scabies and eczema can be intimidating at first, as well as a leg ulcer (which tends become infected very quickly anyway).
Strictly localized infections (pustule or furuncle) is not a cellulite but can become. Tampering with a boil can cause cellulite.

Y is there a possible prevention of cellulitis?

Yes, the health of the skin in general, careful cleaning of the wound, good self-medication which is not conducive to infection in general.

Wound must be clean, wipe with clean water and soap, rubbing enough. With soaping rubbing off bacteria, eliminates rinsing. Sure everything that touches the wound as clean as possible. Dabbing dry with a clean tissue that you throw in the trash, then apply an antiseptic that does not cause allergy (iodine antiseptics station).

Keep up to date tetanus vaccination every 10 years making the booster vaccination.

Cellulitis Preparing consultation

Cellulitis: when consulted?

Consult a doctor immediately if bitten animal (snake, dog, cat) or human.
Look the same when a wound is deep, if left open or if the injury is in a place where healing is difficult articulation, all openings (mouth, anus, eye, for example).

See also when you are not able to clean a wound (gravel, glass).
See immediately, within 24 hours, if the wound becomes painful, if it takes a color not usual.

What is the doctor?

It is the point of the danger of infection. It cleans and proposes a treatment: topical antiseptic with or without oral antibiotics, depending on the spread of infection and germs likely.

Surgical cleaning is sometimes necessary in addition to antibiotics. Hospitalization of frail is often necessary because the brilliance of infectious germs home.

How to prepare for the consultation with the doctor?

Note the circumstances of the wound: Is a cut? With what (animal, rose, instrument)? Is it a bug bite?
Report your chronic diseases and their treatments, which can promote cellulite, such as corticosteroids and anti-inflammatory agents, as well as your possible self-medication.

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Cellulite infection: what is it?

The cellulitis is an infection by bacteria that spread in and under the skin, it attacks the tissues "soft" as the skin itself, the subcutaneous tissue and underlying fat. It also relates to cellular spaces between the organs in the body: for example the mediastinum (between the skin, lungs and heart). It often occurs from a wound or a button badly treated, and especially medical and surgical interventions dental poorly managed. The names we give vary depending on the locations of the infection.

What are the risks and health issues of skin infection?

Risks are uncontrollable extension of infection: locally in the skin tissue (gangrene) and organs (meningitis), or throughout the body via the bloodstream (septicemia). The death is not uncommon despite advances in intensive care: a patient in seven septicemia (investment figures published in 2005).

The reasons for this high mortality are manifold. Bacteria have a specific toxicity (such as meningitis) and more resistant to antibiotics (such as staph). Then, the frail or temporarily weakened many are elderly, children, chronically ill patients already infected (AIDS, malaria) ...

The cellulitis is not contagious distance since it is an infection trapped in the body under the skin, but when the skin deteriorates bacteria show in the open air, ready to infect the unwary. L hygiene and antibacterial protection therefore apply with rigor: handwashing and everything that comes into contact, wear gloves and a mask, clothing and personal items reserved and treated separately.

What are the mechanisms of cutaneous cellulitis?

Bacteria proliferate everywhere in our environment, as well as on and in our bodies. This parasitism more or less advantageous to the host that we are fits to the nose, ears, throat, umbilicus, beard and hair all in general. This is the reason for the wide and careful shaving of the skin during surgery.

There is a risk of cellulitis infection when the barrier between the outside world and ourselves is broken (skin and mucous membranes, but also trachea and intestine). This occurs during a cut, wound, works dentistry, surgery or an animal bite. The inoculated differ depending on the circumstances leading to various forms of cellulite.

Streptococci and staphylococci are the most frequently involved. The introduction of a streptococcus pyogenes causes erysipelas said: the most common cutaneous cellulitis. Staphylococci cause malignant staphylococcal face very serious. A very aggressive strain of group A streptococcus necrotizing cellulitis causes (or necrotizing fasciitis) with tissue destruction.

The agent of tetanus (Clostridium tetani) enjoys a simple skin lesion to cause a fatal disease in the absence of rapid resuscitation. Other clostridia cause gangrene.

In many parts of the world (among the neighboring countries, especially those of the Maghreb, and more rarely), the germ of anthrax (Bacillus anthracis) is always present as spores in the soil. Used as a biological weapon, this organism causes a characteristic skin lesion (an anthrax anthrax) and / or highly fatal systemic infection.

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Blisters of the skin Prevention and consultation

Skin blisters: what are the risks?

A bulb is an open wound when the blister is broken.
Like all wounds, it is a gateway to all kinds of germs. Including tetanus. It should therefore be always vaccinated with boosters every ten years.

An infected blister becomes red, painful. The liquid that oozes from the broken bulb (or inside of the bulb intact) becomes dirty and purulent.

This local infection can spread and form an abscess or spread through the bloodstream causing septicemia.
According to the danger of microbes inoculated on very unsightly scar risk his life to gangrene and amputation.

Diabetics are particularly vulnerable to infection, the risk is very high, especially if their diabetes is poorly controlled. As for those whose defenses are weakened by treatment against transplant rejection against HIV (AIDS) or cancer chemotherapy.

When to see a doctor?
First, ask the pharmacist for advice on the evolution of the wound or the choice of suitable dressings. If the bulb is cleaned and the wound is covered by a bandage, infection is rare.

Medical consultation is necessary in some cases:
The bulb is deep (bleeding), rest pain (fear infection) or changes in appearance, reddened, swollen ...
the wound was dirty (earth, gravel, waste, dirty water) and poorly cleaned because of waste embedded in it.
The patient is diabetic, under anti-graft rejection in anti-cancer chemotherapy or as treatment against HIV.

How to prevent blisters?
Avoid repetitive trauma.
Wear gloves, shoes or protective equipment (crafts, sporting activities).
Keep the skin as dry as possible. Maceration in shoes can be combated by the application of a cream-dryer on the feet.

It may be necessary to spend a fatty cream on problem areas to encourage a shift without friction for example in the crotch of overweight people whose thighs rub when walking in short shorts.
Ask a protective dressing in advance on places known to suffer from friction. Those used to prevent bedsores are more effective but they are also more expensive.

From the first heating, protect the affected part with gloves, dry socks or dressing specific anti-blister ("double-skin").

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Hormonal contraception Tips

With what should we be confused?

It should not be confused hormonal contraception and protection against sexually transmitted infections (STIs). Condoms, male or female, are only effective in preventing the transmission of STIs. The use of spermicides alone is not effective in preventing STIs.

The "morning after pill" as it is a method to catch-up after intercourse without contraception or misuse of contraception (eg condom breakage). The morning after pill is the form of a tablet available in pharmacies with or without prescription, take it as soon as possible after unprotected intercourse and no later than 5 days after. The morning after pill does not protect STIs.

When to consult?

In case of unprotected sex, it is best to consult an emergency department to consider emergency contraception and preventive treatment of STIs (including AIDS). Only emergency services are authorized to issue emergency prophylactic treatments for AIDS.


What is the doctor?

The first consultation for contraception is essential, especially for a teenager. The interview is confidential and it is preferable that the girl is alone without her parents. After careful questioning (personal or family history of hypertension, diabetes, high cholesterol, migraine or phlebitis) and a clinical examination, pap tests, and blood can be proposed. Contraceptive methods, including condoms and hormonal contraception, will be explained and offered.

Is there a prevention possible?

Some boards can increase the contraceptive efficacy of the pill. If you forget to take the pill less than 12 hours, take the missed pill immediately (or equivalent tablet on a plate parts), and continue normally taken: contraception remains effective.

If forgetfulness is more than 12 hours must be taken immediately after the last missed pill and continue to take the tablets at the usual time: however, contraception is not guaranteed and should involve a different method (condom if sex in the 7 days after oblivion).

In addition, if reports have occurred in the days leading up to oblivion, emergency contraception is needed.

Warning, if you forget a pill microprogestative, the delay is more than 12 hours but 2 to 4 hours.

How to prepare my next visit?

The pill is usually prescribed for 3, 6 or 12 months. Do not wait until the last moment to make an appointment for refills!

The pill should never be stopped without consulting the physician, and the absence of rules should be to talk to the doctor if a pregnancy test or other tests may be performed.

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AIDS testing


When to test for AIDS?

If 48 hours have passed, it will take 10-15 days to make a test and whether or not you are infected (e).

After a high-risk sex

Before 48h: Emergency Treatment.

10-15 days: Test possible, but not negative 100% reliable.

3 months: Negative 100% reliable.

Where do the testing?

Consultation in a free and anonymous screening (CDAG) or in a medical laboratory (with an order in this case).


1. You did a blood test.

. You come back and you are given the results of your test.

3. Whether you seronegative or seropositive, we must continue to protect you (condoms, injections disposable).

Result of the test: positive or negative, what does that mean?

If the result is positive, it means you are HIV positive, HIV. It is very important to consult a specialist HIV to receive good medical care. This allows to preserve his health and, if necessary, receive treatment. Today, you can live long with HIV, but it is necessary to get good medical follow.

Sometimes the test is indeterminate or partially successful. This may be due to another disease or the fact that we have been recently infected with HIV. It is necessary to speak with the doctor, and generally to do another test.

When the result is negative and it has been three months since the risk, it is certain that was not infected with HIV.

AIDS

Figures on AIDS

AIDS in the world in 2007 *

- 2.7 million new infections

- 33 million infected

- 2 million died of AIDS

including:

Sub-Saharan Africa

- 1.9 million new infections

- 22 million people living with HIV (67% of world total)

- 1.5 million died of AIDS

Central Asia and Eastern Europe:

- 58,000 died of AIDS
- 1.5 million HIV
- 110,000 new infections

South East and South Asia:
- 4.2 million HIV
- 330,000 new infections
- 340,000 died of AIDS

* WHO / UNAIDS report in August 2008
The AIDS epidemic (2006 data)

- 6300 new diagnoses in 2006

- 25% of new HIV infections correspond to older than six months

- Heterosexual intercourse accounts for half of new HIV diagnoses in 2006 and relate to half of sub-Saharan Africa

- Homosexual men account for 29% of new HIV diagnoses.

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HIV treatment

The anti-HIV drugs are active: thanks to them, the life bated breath and eminence of life of people alive with HIV have enhanced significantly in topical years.

Being HIV positive means you are infected with HIV and can transmit it.

Operation of the AIDS virus

When it enters the body, HIV infects T4 lymphocytes (or CD4). T4 are white blood cells, they belong to the immunity (or immune system), the natural defenses of the body against disease.

Once infected, the T4 is converted into "factory" to produce new viruses, which will deplete and destroy it. The new virus will in turn attack other T4.

Evolution of infection of AIDS

In the days after infection, HIV actively multiplies and spreads throughout the body. T4 are destroyed in large numbers. Immunity reacts by producing more T4 to replace them. An equilibrium is established. However, over months or years, immunity weakens and CD4 counts decline.


The immune system loses its ability to fight against microbes naturally present in the body and the environment. This weakening results in the occurrence of diseases called "opportunistic". We say that the person is suffering from AIDS (Acquired Immune Deficiency Syndrome).

The disease AIDS is the advanced stages of HIV infection.

Medical monitoring during the treatment of AIDS

Regularly consult a specialist HIV perform blood tests and prescribed it allows changing how and where infection is immunity. Thus, the doctor may suggest a treatment for HIV when necessary.

On blood tests, the doctor will include:

The number of T4

More weakened immunity, the more T4 is low. Before the contamination was generally more than 500 T4/mm3 blood (and often more than 1000). T4/mm3 below 350, it is recommended to start treatment (Recommendations 2006). T4 below 200 / mm3, immunity is very weak and has a high risk of infection (s) opportunistic (s) (AIDS). It is therefore urgent to start treatment against HIV and take more medications to prevent or treat opportunistic infections.

Viral load

It measures the amount of virus in the blood. More HIV multiplies in the body, plus a high viral load. In contrast, most virus activity, the lower the viral load is low. It is called "undetectable" when the tests can no longer be measured. Attention, having an undetectable viral load does not mean that there is more HIV in the body. It is necessary to continue to take the treatment, as well as to protect its sex (there is still HIV in semen and genital secretions).

Why take HIV treatment?

The best way to combat the virus is to prevent it from multiplying. This is what the anti-HIV drugs. Treatment has advantages and disadvantages: this is why the doctor did not give in all cases, but expects it to be really necessary.

To protect the health, it is recommended to start treatment before being sick before the immune system is too weak. That is why, today, many people with HIV are treated when they feel "healthy."

Early treatment is rarely an emergency: also, you can usually take the time to learn from her doctor, associations, other people in treatment and thus to prepare before starting anti-HIV .

The anti-HIV treatment is to make undetectable viral load to block HIV replication and maintain health.

Take her treatments regularly

It is important to take medication every day, a very regular basis, in accordance with the order and the advice of the doctor and the pharmacist: it allows to always have enough drugs in the blood to fight against HIV.

Some medications should be taken on an empty stomach, others, on the contrary, during or just after a meal. Ask for an explanation to your doctor and your pharmacist, discuss with them how to organize your medicines taken during the day. There are often several ways and it is important that you find one that suits you best.

For the drugs to be effective, it must meet the prescribed dose, number of doses per day, how to take (food or otherwise) and the number of hours between each dose.

Face the challenges of AIDS treatment, get help!

The anti-HIV drugs are active: thanks to them, the life expectancy and quality of life of people living with HIV have improved considerably in recent years. However, these drugs also have side effects: they can cause health problems. Taking medication, it is not always easy!

Some suggestions:

Before starting any treatment or change in treatment, take the time to talk with your doctor and ask all your questions. You can also talk with the nurse (s), the pharmacist.

Talk to others in treatment.

Discussion groups exist in the treatment of AIDS several delegations. However, do not change your treatment without medical advice.

Where possible, involve your family, friends to better understand your situation and they can help you to remember your decision and support you when your motivation decline.

Call your healthcare team if you have any questions, if you can not take your medicine regularly or if you experience any adverse effects: it will seek with you how to better manage these difficulties.

Contact associations fighting against AIDS, as AIDS, to talk about your problems and get information.


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