AIDS and HIV infection - process

AIDS and HIV infection - process
The prognosis of the HIV infection and AIDS was substantially improved in the last years by the introduction of always new medicines with different effect mechanisms. The number of deaths decreased compared with in former times clearly. HIV infection and AIDS are in the process becoming a chronic illness. They are it however not yet; of exaggerated hopes or before 'all-clear' signal must be warned therefore seriously: also nowadays an HIV infection leads to AIDS and AIDS to death! Most behaviors in handling infected humans already result handling adult HIV infecting from the fact that an infection is made only by blood, sperm and Vaginalsekret and not e.g. by means of a droplet infection: Each everyday social contact in the occupation and private life with hand realms, embracing etc. is completely harmless. Also common using by cutlery, table-ware, glass one, toilets, towels etc. is harmless. There are no referring to a increased infection risk for humans, who live with an infected person in the same household. Naturally certain precautionary measures should be kept and be used e.g. no common toothbrush, since over smaller injuries with the tooth flash a residual risk can be present here. Against it intimate relations is risky - indifferent whether hetero or homosexuals. The German AIDS assistance carried, among other things by the fact valuable clearing-up work out in the past years that them a clear, unverklemmte language to have used, which can understand everyone. Basis of an effective protection from an HIV infection is the consistent use of more safer sex. Requests as " live enthaltsam" or " is always treu" pass the life reality. Safer Sex - condoms protect-protecting those basic rule of more safer sex is completely simple: none of the infectious liquids blood, sperm or Vaginalsekret may do gotten sick skin on mucous membranes or injured/to arrive. With the Anal or Vaginalverkehr thus condoms must be used. Both for the active and for the passive partner here a large infection risk exists without condom, since always small injuries develop. With oral traffic it is important that no sperm or Vaginalsekret arrives at the mouth mucous membrane, tongue or lips. Kisses is harmless, since it does not concern with HIV a droplet infection (differently than with hepatitis B); however here no bleeding wounds may be present or develop. It is a prejudice that more safer sex makes no fun! With more safer sex one can live desireful its sexuality and be enough has at the same time large chances, after and die fulfilled lives of a natural death. Surely one needs a certain Einübungszeit, but those has each and none must be ashamed, if it folds not directly at first attempt. Considering these precautionary measures living together is harmless. There are many examples of pairs, which live together since years, at which a partner is HIV positive and which was not infected other partners. Each exclusion of HIV infecting is stupid and inhuman from there not only, but lacked beyond that each scientific-rational basis. Handling with HIV infected child-small children tend to raufen normally with one another to scratch itself to strike or bite. That is hardly to be prevented a part of their development and with arguments. Nevertheless an infected child is not in this age for other children a danger. World-wide it " through; raufende" Children no documented case of a transmission given. A message of the infection to the educators for the protection of the other children is not prescribed and also not necessarily. For the protection of the infected child information of the educators about the HIV infection is possibly meaningful, in order to leave e.g. with a case of maser in the kindergarten the child at home. An open wound should be always treated anyway, also because of other virus illnesses, by educators with the required caution. Pregnancy and AIDS overview: With HIV infected pregnant women from medical view to the interruption the pregnancy one guessed/advised still some years ago. The risk of an infection for the child was uncalculably high (to 30%). In the meantime the HIV transmission of the mother can be lowered on the child on under 2% with effective measures (transmission prophylaxis with KIND during the pregnancy, primary Caesarian at the sore-free Uterus as well as temporary antiretrovirale medication of the children after the Caesarian). In addition believed life perspectives, as for example the generation of a child, have themselves an HIV infecting again opened by the increasing life expectancy that formerly lost. With the virus-free processing of the male seed and the methods of artificial fertilization in the meantime also no infection of the HIV negative partner threatens during the generation. Medical: The introduction of a pregnancy with pairs with different HIV status - which is called it is only one partner infected - is connected with special medical measures, which serve the infection protection of the not infected partner and the avoidance of a HIV transmission on the child. In the meantime there are several centers in Germany, which specialized in this special area of the reproduction medicine. Depending upon infection constellation the following measures are usual: Man HIV positively, Mrs. HIV HIV is negatively particularly highly concentrated in the seed liquid present and adheres at died sperm cells; fertilizable sperm cells are not possible as virus carriers however. Therefore is the goal of separating these from the remaining sperm components to; for this the seed liquid is ultrazentrifugiert. Follow two wash steps, which sample prepared special, so that the fertilizable sperm cells settle at the upper boundary layer and can be isolated. With ultrasensitiven methods it is then examined whether no virus sticks to the sperm cells. Until the test result is present, the sperm cells become frozen. With in such a way prepared sperm cells the female egg cell in the test tube (in-vitro-Fertilisation) becomes or endoscopically in the Gebärmutter (intrauterine Insemination) fertilizes. This method was used for the first time by the Italian Augusto Semprini 1989 and continued to improve since then. Mrs. HIV positively, man HIV negatively at this constellation two goals must be pursued: The man and that child who can be born are to be protected against an HIV infection. The HIV Übertragungswahrscheinlichkeit of the mother on the child depends on several individual factors: Virus load of the mother, existing resistances against AZT or Nevirapin, Begleiterkrankungen of the mother, existing gynäkologische illnesses. On these factors it depends whether for the realization of the desire to have children will turn out for the pair. For the protection of the man the fertilization procedure without direct mucous membrane contact is accomplished: Seed liquid is emptied at the time of the Eisprungs from the turned condom into the sheath or filled in a Portiokappe or a syringe and appliziert into the sheath. Result: The procedures of the assisted reproduction are at present controversially discussed legally: With HIV infected women is in particular small on adherence to all measures mentioned the infection risk un or newborn child. Nevertheless remains a residual risk, which must be considered carefully. It is unclear whether from the remaining infection risk rights of recourse of an infected child could result. It is with these procedures so far no HIV negative partner, and with it concomitantly no child witnessed in this way infected. The data given here serve only the general information of medical laymen; under any circumstances they do not replace an individually tailored advice with the gynecologist or internalists. They are also not to be understood as guidance for causing a pregnancy between pairs concerned. The personal medical discussion has to be replaced by nothing. Desire to have children are certain of many emotions. In particular therefore it is to be noted that rough disappointments or frustrations do not lead across possible failures to the fact that pairs change over to unprotected sexual intercourse, but promptly into psychosocial support goes.