hiv & stis - c&s ii myanmar 5 dec

8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec

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HIV ESifh umvom;a&m*g

DR. AUNG MYINT THAN

PROJECT OFFICER

HIV/AIDS- CARE & SUPPORT



vdifrSwqifhul;pufaoma&m*grsm;udkjzpfap aom-

� bufwD;&D;,m;� rdI

� Adkif;&yf(p)

HIV & STIDr. Aung Myint Than



vdifrSwqifhul;pufaoma&m*grsm;qdkwmbmvJ/

� vdifrSwqifhul;pufaoma&m*grsm;onf xdka&m*g&SdolESifhvdifqufqHjcif;rS&&Sdvmaoma&m*grsm;jzpfonf/

� trsdK;orD;t*Fgtm;jzifhvdifqufqH&mrS&&SdEldifonf/

� ptdktm;jzifhvdifqufqHrSvnf;ul;pufonf/

� umvom;a&m*grsm;onf tonf;a&mif B ydk;? a&,kef?HIV ESifYHPVuJhodkYaomAdkif;&yfydk;rsm;aMumifh

jzpfwwfonf/

� qpfzvpfuJhodYkaom




RTI qdkwmbmvJ

� om;arG;vrf;aMumif;a&m*grsm;qdkonfrSmom;tdrfjyTefvrf;wpfavQmufwGif

jzpfay:aoma&m*grsm;udk qdkvdkonf/

� trdsK;om;?orD;2OD;pvHk;udkul;pufedkifonf/

� tcsKdU RTI (qpfzvpf?*edk) rsm;onf

vdifrSwqifhul;pufonf/ wcsKdUonf r[kwfyg/� trsdK;orD;rsm;wGif trsdK;orD;t*FgwGifawGh&wwfaom endogenous microorganismsrsm;onf RTI udkjzpfapedkifonf/ HIV & STIDr. Aung Myint Than



RTI

� prf;oyfukorSkrsm;onf Iatrogenicul;pufcH&rIrsm;udkenf;vrf;rsm;pGmtm;jzifhjzpfapedkifonf/

à om;tdrfvrf;aMumif;&Sd endogenousmicroorganisms (odk h)vdifrSwqifhul;pufNyD;aemuf &Sdvmaomorganisms rsm;onf

om;tdrfvrf;aMumif;twGif;ydkif;odkYxdk;wGif;prf;oyfrIY

(transcervical procedure) jyKvkyfpOf wGef;ydkhjcif;udkcH&jcif;rsdK; jzpfedkifonf/ xdk hrSwqifhom;tdrf? om;O`yTefvrf;aMumif; (fallopian tubes)




� trsKd;om;rsm;wGifvnf; endogenous or

iatrogenic infections

&Eldifaom tajctaevnf;&dSonf/



tawGU&rsm;aom STI

vu©Pmrsm;� trsdK;orD;vdift*Fgem;w0dkuf,m;,Hjcif;

ESifh(odk h) vdift*FgrSt&nfrsm;usvmjcif;/

� trsdK;om;vdift*FgwHrS t&nfusvmjcif;/

� vdifqufqHpOf ESifh qD;oGm;pOf emusifjcif;/

� qD;cHk? wifyqHkw0dkufwGif emusifjcif;/




tawG h&rsm;aom STI

vu©Pmrsm; (tquf)

� yg;pyfjzifh vdifqufqHcJholrsm;wGif vnfyif;emjcif;? temaygufjcif;/

� ptdkjzifY vdifqufqHjcif;aMumifYptdktxJESifhwpf0dkufemusifjcif;/

� vdift*Fgwpf0dkufwGif teDa&miftemrsm;jzpfay:vmjcif;/

� ajcz0g;vufz0g;wGifta&cHGuGmtemjzpfjcif;/




� vdift*Fgwpf0dkufwGif temzkMuD;jzpfvmjyD; temaz;wufvmjcif;/

� tMudwfa,mifjcif;? tzsm;&Sdjcif;?udkufcHjcif;/

� xl;jcm;aoma&m*grsm;?&Sif;rjyedkifaomarmyef;rSkrsm;ntcsdefacR;xGufjcif;rsm; ESifhtav;cdsefusjcif;/

� D ta&mifn f cif ?


tawG h&rsm;aomvu©Pmrsm; (tquf)



STI twGufaq;ppfoifhygovm;/

Yes

� ul;pufzG,ftEÅm&,f&Sd

tjyKtrlrsm;vkyfcJYvsif

STI vu©Pmrsm;&SdcJhvsif

STI

udkrukobJwm;ygujyoemrsm;jzpfvmedkifonf/

Oyrm- chlamydia




STI udkrnfodk

hprf;oyf&SmazGedkifygoenf;/

� vdift*FgrSxGufaomt&nfrsm;udkprf;oyfíaom

fvnf;aumif;?

aoG;ppfjcif;tm;jzifhaomfvnf;aumif;?

od&dSedkifonf/




STI udkumuG,fedkifygovm;

� umuG,fedkifonf/

� vdifqufqHrI rjyKjcif;om umuG,fedkifonf/

� vdifqufqHrnfqdkygu STI r&Sdaomol?tjcm;vdifqufqHaz:r&Sdolrsm;ESifh vdifqufqHrSom

STI ul;pufrItEÅm&,fudk avsmhcsedkifonf/

� yg;pyf?ptdkjzifh vdifqufqHrItygt0if vdifqufqHrSktm;vHk;wGif uGef'Hk;toHk;jyKoifhonf




uGef'Hk;jzifh STI

udkumuG,fedkifygovm;/� trsdK;om;uGef'Hk;rsm;onf STI

ul;pufcH&zG,ftEÅm&m,fudkavQmhenf;apedkifonf/

� vdifqufqHrIwdkif;wGiftoHk;jyK&rnf/

� trsdK;orD;uGef'Hk;rsm;onf

trsdK;om;uGef'Hk;uJodk hxda&mufrIr&Sdyg/

� odkYaomf trsdK;om;uGef'Hk;udktoHk;rjyKvdkaomolrsm;&Sdygu

trsdK;orD;uGef'Hk;udk toHk;jyKoifhonf/




STI umuG,fwm;qD;a&;twGuftjcm;

bmawGvkyfoifh/� vdifqufqHazmfuef howfyg/

� oifY qufqHazmfwGif STI &Sdae?

&SdcJhovm;vdk har;yg/oifhrSm&Sdae? &SdcJhvQifajymyg/

STI &Sdr&Sd aq;ppfcJhjcif;&Sdr&Sd?

aq;ppfcHoifh? roifhaqG;aEG;yg/

� oifhqufqHazmfwGif STI

vu©Pm&Sdr&SdMunfhyg/HIV & STIDr. Aung Myint Than



STI

umuG,fwm;qD;a&;twGuftjcm;bmawGvkyfoifh/

STI onfvu©PmtjrJray:ekdifaMumif;owdjyKyg/

oif (odk h) oihftazmfonf STI aq;ukorSkcH,laeyguvdifqufqHjcif;rjyKygESifh/

vdifqufqHjyD;aomtcgwdkif; oifhvdift*FgESifhteD;w0dkufudk a&?(qyfjym)jzifhaocsmpGmaq;aMumyg/

qD;oGm;yg/

þenf;tm;jzifhtcsdK haoma&m*gydk;rsm;onf rul;pufrSDz,f&Sm;ekdifhygvdrfhrnf/ HIV & STIDr. Aung Myint Than



okwfydk;owfaq;rsm;udkoHk;í STI

udkumuG,fedkifygovm;/

� rumuG,f edkifyg/




xdkYaMumifh a&,kef&Sd^jzpfzl; olrsm;onf rdrdwdk hwGif HIV

&Sdr&Sdppfaq;Munfh&efvdkonf/

HIV r&Sdygu HIVul;pufcH&jcif;rSumuG,fwm;qD;xm;&efvdkonf?




(2) wdk;jrSihfvmaomul;pufvG,fwwfjcif;wGif

� STI &SdolwpfOD;taejzifhrdrd\tazmftm;

rdrdxHrS HIV udk ul;pufcH&&ef tEÅm&m,fudk`rSifhwifay;onf[k,lq&onf/

� okawoejyKcsufrsm;t& HIV

&Sdolrsm;onf tjcm; STI wpfck&SdaeyguolwdkY\vdift*FgrS xGufaomt&nfrsm;wGif HIVyrmPmrsm;pGmyg&Sdaernfjzpfonf/


ul;pufrSktMum;qufpyfr I



STI udkukojcif;onf HIV

jyefYyGm;rSkudktb,fodkYaES;auG;a

poenf;/� Fleming, Wasserheit, 1999 taxmuftxm;rsm;t&

STI udkukoaomtcg vlwpfOD;\HIVudkjyefYESHYapaompGrf;tm;onfusqif;oGm;onf/

� vdift*FgrS xGufaomt&nfrsm;wGif HIVyg0ifrSkusqif;oGm;onf/




HIV

umuG,fwm;qD;a&;twGufrnfodkYcsrSwfedkifygoenf;/

� xda&mufaom STI wm;qD;jcif;? aoG;ppfjcif;?

ukojcif;onf t"duusonf/

STI jzpfpOfrsm;onf HIV

ul;pufrSkeSkef;ydkjrifhrm;zG,f&m&SdonfY

ae&ma'orsm;udk azmfnGef;ekdifrnf[k ,lq&onf/

HIV ESifh STI umuG,fwm;qD;a&;vkyfief;rsm;udk,ckxufydkrdkaumif;rGefatmifcsdwfquf

vkyfaqmifoifhonf/




ukoedkifaom STI rsm;udkapmpD;pGmMudKwifawGh&Sdukojcif;/

STI tjzpfrsm;aomae&ma'orsm; wGifaoG;ppfjcif; ESifh ukojcif;/

HIV ppfaq;jcif;udk STI &dSonf[k owfrSwffcH&oloHo,&Sdolrsm;twGuf vkyfaqmifoifhaomt&mjzpfonf[ktMuHKjyKoifhonf/

HIV ESifh STI umuG,fwm;qD;a&;tpDtpOfrsm;udktrsm;ydkifESifh yk*¾vduydkifu@rsm;wGif&SdaomrdwfzuftzJGYtpnf;rsm;u

enf;AsL[mrsm;udk taumiftxnfaz:&mwGif twltuGyl;aygif;wm0ef,loifhonf/ HIV & STIDr. Aung Myint Than



&yf&Gmtqifhf STI / RTI

xdef;csKyf&mwGifawGY&Sd&aomtwm;tqD;rsm;

jyóem (1)� qif;&Jjcif;?

a&TYvsm;oGm;vmvkyfudkifjcif;wdkYonf tEÅm&m,f &SdaomvdifqufrSkrsm;udkjzpfay:apjcif;/

vkyfaqmifedkifaomt&mrsm; (1)� pD;yGm;a&;? edkifiHa&;?

rI0g'ajymif;vJrSktm;jzifh

rdom;pkuJGuGmrSkudkavsmhenf;apum



&yf&Gmtqifh STI / R TIxdef;csKyf&mwGif awGh&Sd&aomtwm;tqD;rsm;

jyóem (2)� trsdK;orD;tm;edSrfhcsxm;jcif;?

pD;yGm;a&;tcGifhtvrf;rsm;uef howfrSk&Sdjciff;?

vdifESifhaiGaMu;vJvS,fjcif;?qufqHaz:rsm;ESifhndSEdIif;cGifhenf;yg;jcif;/

vkyfaqmifedkifaomt&mrsm; (2)� ynma&;ESifh tvkyftudkiftcGifhtvrf;rsm;udk

trsdK;orD;rsm;twGuf zefwD;ay;vQif pD;yGm;a&;aMumifhvdifvkyfief;qJGaqmifrSkaemuf ygroGm;awmhyg/trsdK;orD;rsm;udkvkyfudkifcGifhESifhpGrf;&nfjrifhwifay;ygu STI



&yf&GmtqifhwGif STI / R TIxdef;csKyf&mwGifawGh&Sd&aomtwm;tqD;rsm;

jyóem (3)STI/RTI

umuG,fwm;qD;a&;ESifhjyKpkapmifha&Smufjcif;twGufusef;rma&;0efrSktm;enf;aeonf/

vkyfaqmifedkifaomt&mrsm; (3)

usef;rma&;0efaqmifrIrsm;wdk;wufaumif;rGefapyguumuG,fwm;qD;a&;ESifh jyKpkapmifha&Smufjcif;

udkydkrdkxda&mufatmifvkyfaqmifedkifrnf/



&yf&GmtqifhwGif STI / R TIxdef;csKyf&mwGifawGh&Sd&aomtwm;tqD;rsm;

jyóem (4)usef;rma&;0efaqmifrIrsm;udkvufvSrf;rSd&&Sdedkif&efrvG,fulyg/

vkyfaqmifedkifaomt&mrsm; (4)

aq;ukorI&efMumjrifhpGmapmifhqdkif;&jcif;ukefusp&dwf? tuGma0;? aq;ukocsdefenf;yg;jcif;paomtwm;tqD;rsm;udk avsmhenf;apyguusef;rma&;0efaqmifrIrsm;udktrsm;jynfolydkrdkvufvSrf; rDedkifonf/



&yf&GmtqifhwGif STI / RTI

xdef;csKyf&mwGifawGh&Sd&aomtwm;tqD;rsm;

jyóem (5)usef;rma&;|me0efaqmifrSkrsm;udkvma&muf&,ljcif;r&Sdyg/usef;rma&;0efaqmifrIt&nfaoG;nHzsif;Ncif;

vkyfaqmifekdifaomt&mrsm;(5)

STI/RTI vu©Pmrsm;udkydkrdkod&Sdrsm;em;vnfatmifvkyfaqmifay;&ef?usef;rma&;0efaqmifrIrsm;

ydkrdkaumif;rGefvmatmifvkyfaqmifedkifygu

hiv & stis - c&s ii myanmar 5 dec

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