MEDHELP 翻译 NO.1（无套和有套的手交）

摸妹妹

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。


1.这可能是hiv么？我过去六周没有发烧。
2.联合测试是可靠地测试么，比如它会没检测到低水平的p24?
3.我在印度做的化验，它们符合西方标准么？
4.我在26和35天做了联合测试，结果阴性。您认为我还需要进一步测试么？实验室的人告诉我联合测试的窗口期是3-6个月。
5.我也做了HBV，在17和35天，结果阴。HCV，17天，阴。这可能是HAV么？这能引起肝，淋巴结痛和右手红点么？我所有的症状都是在身体右侧？或者这只是过敏？
医生：Hello,
Thank you
for your post and welcome to our forum. Also apologies for this delayed reply.
Here are your answers as follows:
1) What are
the chances of this being HIV? I never had fever for last 6weeks.
HIGHLYUNLIKELY. IT DOES NOT SEEM THAT YOU WERE AT RIKS IN THE FIRST PLACE ANYWAY, ANDTHESE SYMPTOMS ARE NOT TYPICAL OF HIV SERO-CONVERSION.
2) Is combotesting reliable test given that it can sometimes skip low levels of P24? THE
P24 ANTIGEN IS ALREADY DETECTABLE AFTER 14 DAYS. THEREFORE A NEGATIVE TEST AT
17 DAYS IS A GOOD SIGN; EVEN THOUGH IT IS NOT FULLY CONCLUSIVE.
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?
I WOULD
IMAGINE SO. THE TEST MENTIONED IS A VERY GOOD TEST.
4)I testedCombo 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 YOUR NEGATIVE TEST RESULTS ARE
FINAL AND FULLY CONCLUSIVE. THEREFORE WE CAN CONCLUDE THAT YOU HAVE NOT BEEN
INFECTED AND YOU DO NOT NEED ANY FURTHER TESTS.
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? I AM
NOT SURE WHAT YOUR SYMPTOMS ARE RELATED TO; YOU NEED TO SEE A DOCTOR ABOUT IT.
IT IS NOT CLEAR WHAT HEPATITIS TESTS YOU HAD CARRIED OUT, AND THESE MIGHT NOT
BE CONCLUSIVE AT THOSE TIMES. HOWEVER YOUR SYMPTOMS DO NOT SEEM TO BE RELATED
WITH ANY TYPE OF VIRAL HEPATITIS.
Best wishes,
Dr José
医生：
谢谢你的上传欢迎来到论坛。同时为我的延迟回复道歉。下面回答你的问题。
1.非常不像。首先你没有高危行为，而且那些症状也不是典型的hiv症状。
2.p24在14天后已经可以检测到hiv。因此17天的阴性结果是个好的征兆但不是决定性的结果。
3.我可以想象。这是个测试本身是无误的，正确的。
4.你的阴性结果是盖棺定论的的。因此我们认定您没有感染，你不用再做任何测试了。
5.我不确定你的症状和什么有关。你要去看医生。不确定你测的是那种肝炎，这些在那个时间段可能是不能下结论的。但您的症状似乎不像是任何一种病毒肝炎。
祝好运
Dr.Jose