

Xiong Hong Hai

About me
With 9 years of clinical experience, currently working as an attending physician in the Department of Infectious Diseases at Ji'an Central People's Hospital. Also a member of the Ji'an Liver Disease Society.
Proficient in diseases
Specializes in the diagnosis and treatment of various infectious diseases such as HIV, HBV with HBsAg positive, HBV with HBeAg positive, rabies, pulmonary tuberculosis, lymph node tuberculosis, fatty liver, alcoholic liver disease, cirrhosis, liver cancer, and HCV.

Voices

Do you check for AIDS in a natural childbirth?
During natural childbirth, many institutions will conduct HIV antibody screening. Generally, during prenatal visits, routine screenings for infectious diseases such as HIV antibodies, hepatitis B surface antigen and antibody, hepatitis C antibodies, and syphilis are conducted. If any infectious diseases are detected, appropriate measures must be taken to prevent transmission and manage the conditions accordingly. During natural childbirth, many institutions also carry out HIV antibody screening. If the screening results are positive, it is crucial to promptly prevent transmission to the newborn, which requires the joint management by experienced infectious disease specialists and obstetricians.

Is tuberculosis contagious?
Tuberculosis (TB) is only infectious in some patients who have a large amount of tubercle bacilli in their sputum. In fact, many patients with active pulmonary tuberculosis are not infectious. For more patients with active pulmonary tuberculosis, tubercle bacilli cannot be found in their sputum, so the actual situation must be considered. In fact, to determine if pulmonary tuberculosis is infectious, it is simple: look for acid-fast bacilli in the sputum. If the sputum acid-fast staining is positive, it indicates infectiousness. Infectious pulmonary tuberculosis requires systematic and standardized anti-tuberculosis treatment.

Does AIDS transmit through kissing?
AIDS is mainly transmitted through sexual contact, the most common forms being vaginal and anal intercourse. Infection is more likely when there are no protective measures in place, such as not using condoms, through direct contact of the sexual organs. Kissing carries a relatively low risk of infection. However, if the kissing is deep and there are significant mouth ulcers or bleeding gums present, the risk can increase somewhat. Overall, the risk still exists but is very low.

Is AIDS yin or yang?
If HIV is contracted, after the window period, screening through HIV antibody tests or HIV nucleic acid tests will mostly yield positive results. If the HIV antibody test is positive, an HIV infection can be diagnosed. Once an HIV infection is confirmed, systematic and standardized antiretroviral therapy should be initiated. Systematic and standardized antiretroviral therapy can effectively suppress the virus to undetectable levels, eliminate infectiousness, gradually enhance immunity, and allow one to live a normal lifespan.

How does viral hepatitis spread?
Different types of viral hepatitis have distinct characteristics and are transmitted in different ways. Common types include hepatitis A, B, C, D, and E. Hepatitis A and E are primarily transmitted through the fecal-oral route via the digestive tract. Hepatitis B and C are mainly transmitted through blood, sexual contact, and from mother to child; general social contact does not typically result in infection. In terms of prevention, vaccines are available for hepatitis A and B.

How long does the fever last in AIDS?
People with AIDS are more prone to developing fever. During the onset of AIDS, it is common for the fever to last for over a month, with weight loss exceeding 10 kilograms, along with symptoms such as swollen lymph nodes throughout the body, rash, cough, sore throat, and fever. The fever in AIDS patients is mostly caused by opportunistic infections, typically involving viruses, bacteria, and fungi. The treatment of fever in AIDS should be tailored to the specific circumstances, requiring antiretroviral therapy for HIV and treatment targeting the opportunistic infections.

Treatment of AIDS
In fact, the treatment of AIDS requires systematic and standardized antiretroviral therapy. Once an HIV infection is confirmed, whether in the early stage, acute phase, or late stage, it is necessary to start antiretroviral therapy as soon as possible. Generally, this involves combining two nucleoside reverse transcriptase inhibitors with either a protease inhibitor or an integrase inhibitor, or a non-nucleoside reverse transcriptase inhibitor. It is crucial to take the medication long-term and consistently without discontinuation, as stopping the medication can easily lead to a relapse of the condition.

What are the types of viral hepatitis?
Common types of viral hepatitis include Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E, as well as Hepatitis G. Infections by the Epstein-Barr virus and cytomegalovirus can also potentially cause liver damage. Of course, there are other related viral infections that can lead to liver damage and can be classified as viral hepatitis. Different types of viral hepatitis have different transmission routes and methods, and their prognosis and outcomes vary. Appropriate measures should be taken based on the specific circumstances.

Can masturbation lead to AIDS?
Masturbating alone cannot lead to HIV infection; HIV requires a source of transmission. Without a source, HIV cannot arise out of nowhere. The HIV virus mainly exists in the bodily fluids of those infected, including blood, vaginal secretions, cervical mucus, breast milk, etc. In fact, if the skin is intact, there usually aren't significant amounts of the virus on the hands. Therefore, masturbating someone else cannot result in HIV transmission. Similarly, an uninfected individual masturbating will not contract HIV, as there is no source of the virus.

Can people with AIDS get married?
Patients with AIDS, after receiving standardized anti-tuberculosis treatment, suppressing the virus, and largely restoring normal immune function and physical state, can actually marry and have children normally. Legally, there is no prohibition against people with HIV/AIDS from getting married. AIDS is not a disease that prevents marriage. Therefore, people with HIV/AIDS can marry normally once the condition and virus are under control, but they should engage in sexual activity and pregnancy under the guidance of an experienced infectious disease doctor.