gender-affirming surgery counseling by experienced specialist and transgender pesonnel to ensure smooth transition
The infection is through contacting with stools (feces) that contain the virus, which can also be contaminated in food, water or surfaces. In general, it tends to be more severe in adolescents and adults but can be resolved without any treatment.
Hepatitis C virus is a virus that can cause damage to liver and often lead to chronic hepatitis C which can develop into a serious disease such as cirrhosis and cancer.
Anal cancer can start in any part of the anus. How serious anal cancer is depends on where it starts, how big it is, if it spreads and your general health.
ยาต้านไวรัสสำหรับผู้ที่มีเชื้อ HIV โดยจะทำหน้าที่ช่วยลดระดับจำนวนไวรัสลง
หากรับประทานยาตามคำแนะนำของแพทย์อย่างต่อเนื่องจะเข้าสู่สถานะ U=U หรือ ตรวจไม่พบเชื้อ = ไม่แพร่เชื้อ
เนื้อหาที่เกี่ยวข้อง
รับ PEP (Post-Exposure Prophylaxis) ยาป้องกันการรับเชื้อ HIV ในกรณีฉุกเฉิน หลังการสัมผัสเชื้อ สำหรับผู้ที่รับความเสี่ยงมา ภายใน 72 ชั่วโมง และต้องทานต่อเนื่อง 28 วัน
เนื้อหาที่เกี่ยวข้อง
รับ PrEP (Pre-Exposure Prophylaxis) ยาป้องกันการรับเชื้อ HIV ก่อนการสัมผัสเชื้อ สำหรับผู้ที่ยังไม่เคยมีเชื้อเท่านั้น โดยเป็นการรับประทานต่อเนื่องอย่างถูกต้องตามแพทย์แนะนำ
เนื้อหาที่เกี่ยวข้อง
หรือ Viral Load ในผู้อยู่ร่วมกับ HIV เป็นการตรวจหาปริมาณไวรัส HIV ในเลือด เพื่อประเมินว่าร่างกายสามารถควบคุมปริมาณไวรัสได้มากน้อยเพียงใด
หากได้รับยาต้านไวรัสต่อเนื่องจะทำให้จำนวน Viral Load ต่ำมากๆจนไม่สามารถตรวจวัดได้
เนื้อหาที่เกี่ยวข้อง
ตรวจหาปริมาณเม็ดเลือดขาว CD4 โดยการเจาะเลือด สำหรับผู้ที่อยู่ร่วมกับ HIV หากมีระดับ CD 4 ต่ำกว่า 200 จะทำให้มีโอกาสติดเชื้อฉวยโอกาสได้ง่าย เนื่องจากอยู่ในภาวะภูมิคุ้มกันบกพร่อง และหากผู้ที่อยู่ร่วมกับ HIV ได้รับยาต้านไวรัสต่อเนื่องจะมีค่า CD4 คงที่อยู่ที่ระดับ 500-600
เนื้อหาที่เกี่ยวข้อง
ตรวจโดยการเจาะเลือด มี 2 วิธี ได้แก่
1.วิธี Anti-HIV : ตรวจหาภูมิคุ้มกันที่ตอบสนองกับเชื้อ HIV สามารถตรวจได้ตั้งแต่ 1 เดือนหลังมีความเสี่ยง
2.วิธี NAT : ตรวจหาสารพันธุกรรมของเชื้อ HIV สามารถตรวจได้ตั้งแต่ 1-2 สัปดาห์หลังมีความเสี่ยง
เนื้อหาที่เกี่ยวข้อง
Initial mental health and depression screening /counseling and psychological assessment services by psychiatrists and counselors who specialize in gender diversity including referral services for treatment in the hospital system or treatment.
Liver function test to check the readiness of those who take any medication continued for a period of time.
If abnormal liver values are detected, the physician will advise and adjust the guidelines for taking that medication further.
Should be checked every 3 months in the first year or every 6 months in the following year or as recommended by the physician.
Kidney function test to check the readiness of those who take any medication continued for a period of time.
If there is an abnormal kidney value, the doctor will give advice and adjust the guidelines for receiving that drug further.
Should be checked every 3 months in the first year or every 6 months in the following year or as recommended by the physician.
Check to know if the lipid levels in the bloodstream is at a healthy level or not.
If an abnormality is known, the physician will recommend a way to reduce fat levels to normal in a timely manner.
Should be checked every 3 months in the first year or every 6 months in the following year or as recommended by the physician.
Measure the blood sugar level is higher than normal or not.
If abnormalities are found, the doctor will recommend further behavioral adjustments and treatments.
Patients should abstain from water and food 6 hours before the blood sugar level test.
Complete Blood Count test is conducted for general health checks and to screen for other diseases that may occur.
Should be checked every 3 months in the first year or every 6 months in the following year or as recommended by the physician.
An internal examination is performed by a physician using specialized equipment inserted into the vagina or neovagina to check for abnormalities and conduct further laboratory tests as needed.
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To detect cytologic changes (early signs of anal cancer) associated with some strains of HPV infection.
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Get vaccinated to boost hepatitis A immunity. Immunity testing is recommended before vaccination. (Choose from many types of tests according to the physician’s recommendation)
1. Vaccinate 2 doses 6 months apart without having to repeat the blood test after vaccination.
2. If the patient does not come for the next vaccination as scheduled, the treatment plan can continu without having to start over
3. People living with HIV can be vaccinated.
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” Get vaccinated against hepatitis B, boosting the immunity up to 97% (after 3 doses of vaccine)”
Both HBsAg and anti-HBs should be tested prior to vaccination.
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Can prevent 90% of warts (6,11 strains)
and can prevent cancer by 70% (protects against 16,18 strains)
1. Patients under 15 years old are vaccinated with 2 doses, vaccinating at 0 and 6-12 months.
2. Patients over 15 years old, will be treated with 3 doses of vaccination, by vaccination at 0, 1-2 and 6 months.
3. People with immunodeficiency, regardless of age, get 3 doses of vaccination at 0, 1-2 and 6 months.
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Can prevent 90% of warts (6,11 strains)
and prevent cancer by 80% (protects against strains 16,18,31,33,45,52 and 58)
1. Patients under 15 years old are vaccinated with 2 doses, vaccinating at 0 and 6-12 months.
2. Patients over 15 years old, will be treated with 3 doses of vaccination, by vaccination at 0, 1-2 and 6 months.
3. People with immunodeficiency, regardless of age, get 3 doses of vaccination at 0, 1-2 and 6 months.
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Get vaccinated to boost your immunity against influenza. After injection, immunity will last for 1 year.
It is recommended to inject annually.
High-risk HPV increases the risk of cervical and anal cancer. Testing for high-risk HPV DNA is one of the screening options for these cancers. This test can be performed using a self-sampling method. If the test result is negative, it is recommended to repeat the test every 5 years.
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The Pap test (cervical cytology) is one of the screening options for cervical cancer. It is performed by a physician using specialized equipment to collect cells from the cervix and test them for abnormalities. If the test result is negative, it is recommended to repeat the test every 1-2 years.
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The anal Pap test (anal cytology) is a screening tool for anal cancer. It is performed by a physician inserting a cotton swab into the anus to collect cells, which are then tested for abnormalities. If the test result is negative, it is recommended to repeat the test every year.
Check for immunity before Hepatitis vaccination. You can choose to check through a number of methods, including:
1. Long-term Immunization Test (Anti-HAV IgG). The test will be positive if you have been vaccinated or treated for Hepatitis A .
2. Anti-HAV IgM test is administered by the physician to check in patients with suspected disease, which will be positive in case of acute infection.
3. Combine both types of immunity. If the results show that they are immune, there is no need for vaccination.
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If you have never been vaccinated against HBsAg, screening is recommended every 12 months.
To be vaccinated, have both HBsAg and anti-HBs tested before vaccination.
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Hepatitis B Immunity Test can check both methods:
1. Test for antibodies (HBsAg) if hepatitis B virus is detected in the body, further treatment is needed.
2. Test for antibodies (Anti-HBs) for previous infections or patients who have been vaccinated before.
3. A type of antibody test that indicates signs of infection (Anti-HBc).
Both HBsAg and anti-HBs should be tested prior to vaccination.
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Immune test (anti-HCV) If test reports positive, it means there is an infection in the body or used to be an infection.
If anti-HCV is negative, it means that their is not cirrent or prior infections
No HCV vaccines available
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The Syphilis level screen testing will report the stage/level of syphilis the patient has so proper treatment could be admininstered. Stage 1: There will be lesions on the genitals, hard edges with no pain.
Stage 2: Presence of rash on the body, palms, soles, may occur patients may also have white patches in the oral cavity, whih will occur between 6 weeks – 6 months after infection.
Stage 3: The infection spreads throughout the body, affecting the functioning of the brain, eyes, heart, spinal cord and bones. This period is over 10 years.
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Treatment of Syphilis by injection of 2.4 million units of Benzathine Penicillin G.
through the hip muscles.
Sexual partner(s) should be brought in for an examination even if there are no symptoms. After the treatment patients should refrain from having sex for about 1-2 weeks
or use a condom every time because during this period, the infection can still spread
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“Screening test for Gonorrhea / Chlamydia by collecting samples from the throat, vulva or new vagina, rectum, and/or urine.
Results are reported within 2 hours.
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Screening test for Gonorrhea / Chlamydia by collecting samples from by collecting pus samples to be tested for gonorrhea-causing bacteria.
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Gonorrhea and Chlamydia can be treated with antibiotics.
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Genital warts are caused by HPV infection. If symptoms occur, they can be treated with topical medications or treated with surgery such as electric shock
Infrared rays (Infrared) or laser (Laser) Patients should bring a sexual partner(s) for a check-up as well
Warts can be prevented with HPV vaccination and screening for cervical and anal cancer according to individual indications annually
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Detecting the amount of CD4 white blood cells taken from blood sample. For people living with HIV, CD4 levels less than 200 will mean that you are prone to opportunistic infections. Individuals who are on antiretroviral therapy will have an estimate CD4 count at the level of 500-600.
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An antiviral drug for people living with HIV, which works by lowering the viral load.
After continuous medication, the amount of viral load will be very low that it could not be detected. Patients will not be able to transmit the virus to anyone. This is known as U=U (Undetectable = Untransmittable)
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