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transcript
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
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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vdifrSwqifhul;pufaoma&m*grsm;udkjzpfap aom-
� bufwD;&D;,m;� rdI
� Adkif;&yf(p)
HIV & STIDr. Aung Myint Than
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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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/
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HIV & STIDr. Aung Myint Than
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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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
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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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)
HIV & STIDr. Aung Myint Than
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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� trsKd;om;rsm;wGifvnf; endogenous or
iatrogenic infections
&Eldifaom tajctaevnf;&dSonf/
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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tawGU&rsm;aom STI
vu©Pmrsm;� trsdK;orD;vdift*Fgem;w0dkuf,m;,Hjcif;
ESifh(odk h) vdift*FgrSt&nfrsm;usvmjcif;/
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HIV & STIDr. Aung Myint Than
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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tawG h&rsm;aom STI
vu©Pmrsm; (tquf)
� yg;pyfjzifh vdifqufqHcJholrsm;wGif vnfyif;emjcif;? temaygufjcif;/
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HIV & STIDr. Aung Myint Than
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� vdift*Fgwpf0dkufwGif temzkMuD;jzpfvmjyD; temaz;wufvmjcif;/
� tMudwfa,mifjcif;? tzsm;&Sdjcif;?udkufcHjcif;/
� xl;jcm;aoma&m*grsm;?&Sif;rjyedkifaomarmyef;rSkrsm;ntcsdefacR;xGufjcif;rsm; ESifhtav;cdsefusjcif;/
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HIV & STIDr. Aung Myint Than
tawG h&rsm;aomvu©Pmrsm; (tquf)
8/6/2019 Hiv & Stis - c&s II Myanmar 5 Dec
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STI twGufaq;ppfoifhygovm;/
Yes
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tjyKtrlrsm;vkyfcJYvsif
STI vu©Pmrsm;&SdcJhvsif
STI
udkrukobJwm;ygujyoemrsm;jzpfvmedkifonf/
Oyrm- chlamydia
HIV & STIDr. Aung Myint Than
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STI udkrnfodk
hprf;oyf&SmazGedkifygoenf;/
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fvnf;aumif;?
aoG;ppfjcif;tm;jzifhaomfvnf;aumif;?
od&dSedkifonf/
HIV & STIDr. Aung Myint Than
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STI udkumuG,fedkifygovm;
� umuG,fedkifonf/
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� vdifqufqHrnfqdkygu STI r&Sdaomol?tjcm;vdifqufqHaz:r&Sdolrsm;ESifh vdifqufqHrSom
STI ul;pufrItEÅm&,fudk avsmhcsedkifonf/
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HIV & STIDr. Aung Myint Than
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uGef'Hk;jzifh STI
udkumuG,fedkifygovm;/� trsdK;om;uGef'Hk;rsm;onf STI
ul;pufcH&zG,ftEÅm&m,fudkavQmhenf;apedkifonf/
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HIV & STIDr. Aung Myint Than
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STI umuG,fwm;qD;a&;twGuftjcm;
bmawGvkyfoifh/� vdifqufqHazmfuef howfyg/
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STI &Sdr&Sd aq;ppfcJhjcif;&Sdr&Sd?
aq;ppfcHoifh? roifhaqG;aEG;yg/
� oifhqufqHazmfwGif STI
vu©Pm&Sdr&SdMunfhyg/HIV & STIDr. Aung Myint Than
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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
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okwfydk;owfaq;rsm;udkoHk;í STI
udkumuG,fedkifygovm;/
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HIV & STIDr. Aung Myint Than
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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?
HIV & STIDr. Aung Myint Than
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(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
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HIV & STIDr. Aung Myint Than
ul;pufrSktMum;qufpyfr I
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STI udkukojcif;onf HIV
jyefYyGm;rSkudktb,fodkYaES;auG;a
poenf;/� Fleming, Wasserheit, 1999 taxmuftxm;rsm;t&
STI udkukoaomtcg vlwpfOD;\HIVudkjyefYESHYapaompGrf;tm;onfusqif;oGm;onf/
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HIV & STIDr. Aung Myint Than
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HIV
umuG,fwm;qD;a&;twGufrnfodkYcsrSwfedkifygoenf;/
� xda&mufaom STI wm;qD;jcif;? aoG;ppfjcif;?
ukojcif;onf t"duusonf/
STI jzpfpOfrsm;onf HIV
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ae&ma'orsm;udk azmfnGef;ekdifrnf[k ,lq&onf/
HIV ESifh STI umuG,fwm;qD;a&;vkyfief;rsm;udk,ckxufydkrdkaumif;rGefatmifcsdwfquf
vkyfaqmifoifhonf/
HIV & STIDr. Aung Myint Than
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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
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&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
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&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
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&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/
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&yf&GmtqifhwGif STI / R TIxdef;csKyf&mwGifawGh&Sd&aomtwm;tqD;rsm;
jyóem (4)usef;rma&;0efaqmifrIrsm;udkvufvSrf;rSd&&Sdedkif&efrvG,fulyg/
vkyfaqmifedkifaomt&mrsm; (4)
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&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;
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than
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HIV & STIDr. Aung Myint Than