Sexually Transmitted Diseases: How to protect yourself and your family
Please see end of this script for credits and feedback information.
Kab Mob Kas Cees: Yuav ua cas Thiaj Tivthaiv tau koj tus kheej thiab koj tsev neeg
Script
All of the individuals in this video are actors and volunteers. None of the individuals pictured have the diseases portrayed in this video. Additional photographs from various organizations have been used to visually explain symptoms of the different sexually transmitted diseases. NONE of these pictures is of the actors or volunteers. Daim yeeb yaj duab no yuav qhia txog kab mob kascees losyog STDS. Muaj qees daim duab yuav pom txog pojniam thiab txivneej qhov chaw mos losyog muaj qeev lo lus yuav hais mus tsis zoo mloog thiab qaub pob ntseg los xav thov kom sawvdaws ua siab ntev thiab nkag siab tias nws tsuas yog qhia txog kab mob kascees xwb. Thiab xav kom sawvdaws paub tias cov neeg ua yeeb yam hauv no tsis yog neeg mob kascees, lawv muaj lub siab dawb paug los ua yeeb yam qhia rau peb sawvdaws xwb.
Dr. Cheng Her, La Crosse, WI, invites people to watch the video/CD. He tells them from his point of view why this video/CD was made and what Hmong people can learn from it. For the next few minutes we will be discussing sexually transmitted diseases. It is a subject that is embarrassing and difficult for many people to discuss. Many people are fearful of the stigma of having a sexually transmitted disease. They often ignore symptoms, try home remedies of go to friends for information rather than seek out a health clinic and health care provider who could give them accurate information. We want to teach you which sexually transmitted diseases can be prevented and how to reduce your risk of getting a sexually transmitted disease. We also want to teach you which sexually transmitted diseases can be cured and which ones cannot be cured. We also want to teach you which sexually transmitted diseases are likely to have symptoms and what those symptoms are as well as teach you which sexually transmitted diseases do not have symptoms Most of all we want the information presented here to help you learn how to protect yourself and your family by knowing where to go for confidential help to diagnose and treat sexual disease. By the end of this film you should be able to answer these questions: Li ob peb feeb ntxiv no mus peb yuav tham txog kab mob kascees losyog STDS. Nws yog ib yam uas tsiv hais losyog ntsawv hais, qaub pobntseg thiab nyuaj heev rau suavdlaws tham txog tej no. Neeg coob leej ntau tus ntshai tsam rhuav ntsej rhuav muag yog kis tau kab mob kascees lawm. Ib txhia neeg uas muaj mob kascees ciali lasmees tus mob no, nrhiav tshuaj hauv tsev losyog tshuaj ntsuab los kho losyog mus ntsib cov phoojywg seb leejtwg paub tshuaj dabtsi ces cia li tsi mus ntsib kws khomob kom paub meej tias nws yog yam mob kascees dabtsi. Peb yuav qhia kom (sawvdaws) paub tias yam kab mob kascees twg yus muaj peevxwm tivthaiv tau, thiab qhia tias yuav ua licas thiaj txo tau kom tsi txhob ki kab mob kascees. Peb tseem yuav qhia txog tias hom kascees twg thiaj kho tau thiab yam twg yuav kho tsi tau. Peb yuav qhia ntxiv tias yam mob kascees twg uas rau koj paub tias koj kis tau lawm thiab yam twg uas koj twb kis tau lawm tabsis tsi muaj peevxwm paub tias koj kis tau lawm.
Qhov loj tshaj yog peb xav kom cov lus uas peb qhia no pab tau koj tiv thaiv koj tuskheej thiab koj tsev neeg los ntawm qhov uas paub mus ntsib tus neeg uas paub kho thiab pab tu tau kab mob kascees. Tomqab uas xaus daim yeeb yaj duab no lawn sawvdaws yuav nkag siab cov lus noog nramqab no:
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1. What is a sexually transmitted disease? 2. Is there more than one sexually transmitted disease? 3. Can I get more than one STD at a time? 4. Can I get a STD more than once? 5. How can I tell if I have a STD? 6. Can all STDs be cured? 7. How can I reduce my risk for getting a STD? 8. Where can I get help if I think I might have a STD?
1. 1. Kascees yog dabtsi? 2. Puas muaj ntau hom kab mob kascees?
3. Kuv puas yuav kis tau ntau tshaj ib hom kab mob kascees? 4. Kuv puas yuav kis tau ib yam kab mob kascees ob zaug? 5. Yuav ua cas kuv thiaj paub tias kuv mob kascees lawm? 6. Puas kho tau txhua yam mob kascees? 7. Yuav ua cas kuv thiaj txo tau qhov uas kis kab mob kascees? 8. Kuv yuav nrhiav tau kev pab qhov twg. Yog kuv xav tias ntshe kuv kis tau kab mob kascees lawm?
The number of STDs is rising in the United States and throughout the world. In the United States minority populations are at higher risk for STDs than whites. Hmong people like other minority groups find it easier to ask for information from friends who speak the same language who are likely to pass along cultural myths rather than reliable facts. They are also more likely to recommend traditional therapies rather than newer, proven therapies. Many people do not even know that they have a STD because they have no symptoms and do not feel sick. Sexually transmitted diseases are caused by different tiny infectious microorganisms including bacteria, viruses and parasites. They microorganisms are transferred from one person to another through semen, vaginal fluid, mucous, blood during sexual activity. Some are passed by hand to genital touch. Sexually transmitted diseases occur world wide and range from being a nuisance to lifethreatening. Some STDs are easily cured but others if not treated or if not curable can have serious effects on your health. Possible consequences of STDs include infertility, tubal pregnancy which can be life threatening,
Cov neeg uas muaj mob kascees losyog STDS nce coob zujzus nyob thoob plaws tebchaws Asmesliskas thiab hauv ntiajteb no. Nyob hauv tebchaws Asmesliskas no cov neeg txawv haiv uas tsi yog cov neeg tawv dawb muaj feem kis kab mob kascees siab tshaj. Hmoob zoo li lwm haiv neeg uas yog cov neeg txawv haiv. Lawv keev nug tej phoojywg uas nrog lawv koom hais tib yam lus uas feem ntau li, lam taus lam hais txog kab mob kascees losyog STDS yam tsi muaj tseeb. Lawv tseem keev qhia kom tus muaj mob kascees ntawd mus nrhiav tshuaj ntsuab rau es tsi tag mus cuag tej kws kho mob uas txeev kho tau mob kascees. Neeg coob leej ntau tus tsi paub tias lawv muaj kab mob kascees losyog STDS vim tias lawv tsi hnov lawv lub cev txawv txav thiab mob qhov twg. Kab mob kascees losyog STDS yog tshwm los ntawm ib co kab me me hu uas bacteria, viruses thiab parasites uas txawj kis, voos thiab huam loj. Cov kab mob no nws kis tau ntawm ib tus neeg mus rau lwm tus neeg los ntawm txiv neej cov kua noob sia thiab pojniam cov kuas nplua qhov chaw mos, thiab kis tau los ntawm ntshav thaum koom cev uake. Muaj tej yam kascees yog kis tau los ntawm kev uas xuas tes kov tau. Kab mob kascees losyog STDS muaj nyob thoob ntiajteb. Mob uas meem txom txo tau neeg txoj sia. Muaj qee hom kascees kuj kho tau, tabsis muaj qee hom yog tsi tu thiab yog kho tsi tau nws yuav ua rau muaj teebmeem rau kev nojqab nyob zoo ntawm tus neeg. Tej yam teebmeem uas keev raug rau cov neeg mob kascees yog ua rau tus neeg muaj tsi taus
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cirrhosis of the liver and cancer. Some STDs can cause disease in infants of infected mothers. Other STDs such as HIV/AIDS can be fatal.
menyuam, muaj menyuam sab nraum lub tsev menyuam uas muaj peevxwm txo tau nws txoj sia, ua rau muaj kab mob (cirrhosis) thiab cancer nyob hauv lub siab. Muaj qee hom kascees ua rau menyuam mos muaj mob yog tias leej niam mob kascees. Lwmyam kascees xws li kascees ntshav (HIV/AIDS) txo tau neeg txoj sia. Hais txog cov kab mob kascees losyog STDS Chlamydia, gonorrhea thiab Syphillis. Peb hom kascees no yog cov kascees uas kho tau yog tias siv hom tshuaj uas ntxim los kho thiab siv cov tshuaj tua kab mob (antibiotic). Chlamydia Hom kascees Chlamydia muaj peevxwm ki tau ntawm ib tus neeg mus rau lwm tus neeg los ntawm txivneej cov kua noob sia, pojniam cov kua nplua qhov chaw mos thaum koom cev uake. Cov txiv neej losyog cov pojniam uas muaj hom kascees no tsi muaj peevxwm paub tau tias lawv muaj mob kascees lawm vim tias lawv tsi hnov lawv lub cev txawv txav. Yog tus txivneej muaj hom kascees thaum nws mus tso zis yuav mob kub lug. Twb qhia tias nws muaj hom kascees no lawm. Nws kuj muaj tawm kua si hauv nws lub qhov zis los losyog hnov mob ntawm ob lub noob qaus. Hais txog cov pojniam, tejzaum hnov mob thaum tsozis losyog hnov mob thaum tabtom koomcev nrog txivneej. Nws kuj yuav hnov nruj ntawm lub pawj. Tomqab coj khaub ncaws tas los tseem pom tshwm teev ntshav me ntsis. Losyog txia kua yig hauv lub qhov chaw mos los. Kuaj zis losyog muab rwb nrws tus txivneej lub qhov zis thiab tus pojniamlub qhov chaw mos yog tib txoj kev uas luag yuav kuaj tau hom kascees no xwb. Kev cov nyom ntawm tus pojniam uas mauj hom kascees Chlamydia yog ua rau txoj hlab zuas qe menyuam ua cos pliav thiab xeeb menyuam rau sabnraum lub tsev menyuam. Thaum muaj menyuam li no lawm yog tsi phais txoj hnyuv zaus qe yuav tawg thiab yuav los ntshav txog qhov txo tau nws txoj sia. Yog txoj hlab zuas qe ua caws plaiv lawm yuav ua rau nws xeeb tsis tau menyuam. Hom kascees Chlamydia no yog ib hom uas kho tau yog tias noj cov tshuaj (antibiotic) raws nraim li kws kho mob hais. Khub niam txiv ntawd yuav tsum noj tshuaj tib txhij yog tsis ua li ntawd nkawd yuav rov sib kis kascees dua. Yog ob leeg koom noj ib tug qhov tshuaj xwb yuav tua tsis tau cov kascees no. Nyias yuav tsum noj nyias cov tshuaj.
Chlamydia, Gonorrhea and Syphilis are bacterial diseases that can be cured if accurately diagnosed and treated with antibiotics. Chlamydia Chlamydia can be transferred from person to person in semen and vaginal mucous by vaginal, anal and oral sex. Most men and women with chlamydia do not have any symptoms.
One episode of burning with urination may be the only symptom a man may have indicating that he has Chlamydia. He can also have a discharge from the penis or pain in his testicles. Women sometimes have pain with urination or pain with intercourse. They also can have a “heavy” feeling in the pelvis with spotting between periods and an unusual vaginal discharge. A urine test or a culture done by swabbing the urethra in men and vagina in women diagnose Chlamydia. The complications of undiagnosed and untreated Chlamydia affect women by scarring fallopian tubes making tubal pregnancy more likely. A tubal pregnancy if not surgically removed can rupture allowing a woman to bleed to death. Scarred fallopian tubes can also make it impossible for her to get pregnant. Chlamydia can be successfully cured by taking antibiotics exactly as prescribed by a health care professional. Both partners need to be treated at the same time or they can become reinfected with Chlamydia. If one prescription for pills is shared, both partners will still have the disease. Each person needs their own prescription for medicine.
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Chlamydia risk can be reduced by using polyurethane or latex condoms with spermicidal gel for each act of intercourse. Gonorrhea Gonorrhea is transferred from person to person in blood, semen and vaginal mucous when having vaginal, anal and oral sex. Many men and women do not have any symptoms.
Yuav txo tau tus kascees Chlamydia no los ntawm qhov uas siv hnab looj (polyurethane or latex condoms) nrog cov tshuaj(spermicidal gel) tua kab menyuam txhua zaus koom cev uake. Gonorrhea Hom kascees Gonorrhea no kis tau ntawm ib tus neeg mus rau lwm tus neeg los ntawm ntshav, kua noob sia, losyog kua nplua qhov chaw mos thiab sib koom cev uake. Feem coob tsis hais pojniam los txivneeg lawv tsis hnov tias lawv lub cev txawv txas tias muaj hom kascees no lawn. Yog tus txiv neej muaj mob gonorrhea tej zaum thaum mus tso zis nws tsuas hnov mob qhov zis ib zaug xwb. Tej zaum kuj pom txia kua yig hauv lub qhov zis los thiab hnov mob ob lub noobqaus. Cov pojniam uas muaj gonorrhea tej zaum hnov mob thaum tso zis, pom txia kua yig hauv lub qhov chaw mos los, nws kuj yuav hnov nruj ntawm lub pawj thiab tomqab coj khaub ncaws tas los tseem pom tshwm teev ntshav me ntsis. Yog mus kuaj hom mob no yuav tau kuaj zis losyog yuav tsum tau ib qhov nyuag kua yig uas txia ntawm lub qhov chaw mos los coj mus kuaj thiaj paub tias yog hom kascees gonorrhea. Kev cov nyom ntawm tus pojniam uas muaj hom kascees Gonorrhea yog ua rau txoj hlab zuag qe menyuam ua cos pliav thiab xeeb menyuam rau sabnraum lub tsev menyuam. Thaum muaj menyuam li no lawm yog tsi phais txoj hnyuv zuas qe yuav tawg thiab yuav los ntshav txog qhov txo tau nws txoj sia. Yog txoj hlab zuas qe ua caws plaiv lawm yuav ua rau nws xeeb tsis tau menyuam. Hom kascees Gonorrhea no yog ib hom uas kho tau you tias noj cov tshuaj (antibiotic) raws nraim li kws kho mob hais. Khub niam txiv ntawd yuav tsum noj tshuaj tib txhij yog tsis ua li ntawd nkawd yuav rov sib kis kascees dua. Yog ob leeg koom noj ib qhov tshuaj xwb yuav tua tsis tau cov kascees no. Nyias yuav tsum noj nyias cov tshuaj. Yog koomcev uake yuav tsum siv cov hnab looj uas muaj tshuaj tua kab menyuam thiaj yuav tiv thaiv tau hom kascees gonorrhea no. Txawm li ntawd los, nco ntsoov tias siv hnab looj yeej tiv thaiv tsi tau 100%.
One occurrence of pain with urination may be the only clue that a man has Gonorrhea. He also may have discharge from his penis or pain in his testicles. Women with gonorrhea may experience pain with urination, a vaginal discharge, a “heavy” feeling in the pelvis and spotting between periods. A urine specimen or sample of urethral discharge from the male or vaginal discharge from the female is necessary to accurately diagnose gonorrhea. The complications of undiagnosed and untreated gonorrhea can cause scarring of the fallopian tubes making tubal pregnancy and infertility more likely. A tubal pregnancy can rupture if not identified early and can cause internal bleeding and death. It can also make pregnancy impossible. Both partners should be treated at the same time or reinfection of the untreated partner may reoccur.
Using a condom and spermicidal gel can reduce the risk of gonorrhea. Although condoms are not 100% effective at protecting against any sexually transmitted disease they do help lower your risk of getting or spreading sexual diseases. Syphilis Syphilis is uncommon in the United States. It is transferred from person to person in semen, vaginal mucous and blood during vaginal, anal and oral sex. It can also be
Syphilis Hom kascees Syphillis yog ib hom kascees uas keev muaj nyob tebchaws asmesliskas no. Nws kis tau ntawm ib tus neeg mus rau lwm tus neeg los ntawm txivneej cov kua noob sia, pojniam cov kua nplua thiab ntshav thaum koom cev uake. Nws kuj yuav kis tau los
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transferred by hand to genital contact. People who are infected with syphilis may first feel like the have the flu. They will have a fever and ache. They also may notice a painless skin sore on the penis, scrotum or labia. Months later they may notice a rash on the body and swollen glands. There are no complications if syphilis is diagnosed and treated early. If it is not diagnosed and treated early people can experience memory and nerve problems that cannot be treated. Penicillin antibiotics can cure the disease if found early. Trichimoniasis Trichimoniasis is a parasite called protozoa that is spread by vaginal, anal and oral sex. Some people have no symptoms but those who do experience painful urination and large amounts of vaginal discharge. The only way to know for sure if you have trichimoniasis is to have a urine test or a test of the discharge.
ntawm qhov uas xuas teg kov plhw tib yam nkaus. Cov neeg uas kis tau hom kascees no mloog lawv lub cev zoo li yuav mob khaub thuas. Lawv yuav ua npaws thiab mob ib ce. Yog tus txiv neej muaj tus mob no, nws yuav nov khaus ntawm daim tawv qau plhaub noob qaus, hos yog tus pojniam mob ces nws yuav hnov khaus ntawm daim dis chaw mos. Ntau lub hlis tom qab ces lawv yuav xoo pob ibce thiab tej qog nqaij o loj tuaj. Nws yuav tsi muaj teebmeem dab tsi yog tias tus uas muaj mob kascees syphilis ntawd coj mus kho thiab tu ntxov. Yog tsi kho thiab tu ntxov tus uas muaj mob yuav muaj teebmeem rau kev cim xeeb zoo thiab teebmeem rau tej leeg uas muaj feem yuav kho tsi tau. Penicillin yog hom tshuaj kho tau yam kab kascees no yog tias tshawb pom ntxov. Trichimoniasis Hom kab mob (Trichimoniasis) uas yog cov kab mob cab hu ua protozoa uas muaj feem yuav kis tau los ntawm kev sib koom cev ua ke. Muaj ib txhia neeg yuav tsi paub tias lawv muaj tus mob no lawm tsuas yog cov uas hnov mob thaum tso zis thiab pom txia kua yig hauv pojniam lub qhov chaw mos los xwb. Tib txoj kev uas yuav paub tau tias muaj hom mob kascees no lawm, tsuas yog mus kuaj zis thiab so cov kuas yig uas txia tawm ntawd mus kuaj xwb.
Trichimoniasis can be treated with antibiotics. You can also reduce your risk for getting the disease by using condoms with spermaticidal gel. Herpes I and II, Human Papilloma Virus (HPV), Hepatitis B and Human Immunodeficiency Virus HIV which leads to Acquired Immunodeficiency Disease or AIDS are viral STDs. These STDs cannot be cured once you have contracted the disease.
Hom kascees Trichimoniasis no yuav siv tau cov tshuaj tua kab mob (antibiotics) los tua. Koj yuav tiv thaiv tau koj kheej los ntawm kev uas siv cov hnab looj uas muaj hom tshuaj tua kab menyuam. Hom kascees Herpes I thiab Herpes II, kab mob Human Papilloma Virus (HPV), kab mob siab (Hepatitis B) thiab kab mob kascees ntshav Human Immunodeficiency virus (HIV), dhau mus yuav huam ua Acquired Immunodeficiency disease losyog AIDS uas yog kab mob kascees tib yam nkaus. Cov kascees no yog leej twg kis tau lawm yeej kho tsi tau li. Herpes Herpes yog ib yam kab mob uas kis tau los ntawm kev tuav kov losyog plhw. Lub kiav txhab (Herpes) ntawd muaj cov tsig (cells) thaum kov losyog plhws tau nws yuav kis tau rau lwm thaj chaw. Hom kab mob herpes no tsi kis los ntawm tus txivneej cov kua noob sia thiab tus pojniam cov kua nplua zoo li lwm cov kab mob kascees. Nws txeev kis tau thaum xuas teg kov tej nyuag pob cos xoo nyob ntawm tej tawv
Herpes Herpes is spread by touch. The sore itself has cells that are shed when touched. These cells can stay on the skin and create a new sore at the site of contact. Herpes is not spread by semen or vaginal mucous like many other STDs. It can be spread by touching a common “cold sore”or herpes lesion on the mouth with your hand. The virus can be
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transferred to your fingers. Then when touching the genital area it can stay on the skin in the genital area and create a new sore. If the sore on one persons genital area touches another persons genital area the virus can be transferred creating a new sore on the other persons genital area. The herpes lesions at first look like small blisters. They open and become very painful. Sometimes the lesions are located in areas that make urination extremely painful. Even sitting and walking can be painful when an outbreak occurs. The lesions can last two weeks or more. The lesions always reappear in the same place but the interval of time between outbreaks is unpredictable. Sometimes people have monthly outbreaks and sometimes it is years before another outbreak. The diagnosis of herpes is made by taking a swab, rubbing it on a blister when it first occurs and growing the germ on a culture media. Remember, once you have this disease you will ALWAYS have it. Women who have genital herpes babies are usually delivered by Cesarean Section surgery rather than vaginally because passing over a lesion at the time of birth can cause serious herpes infections of infants leading to brain infection and death of the baby. The medications used for herpes can make the outbreaks last shorter periods of time and can sometimes even prevent outbreaks but the disease is always in your body, ready to produce another sore. Condoms can help prevent the spread of herpes from a male who has a sore on his penis from infecting a woman’s vagina and cervix but if the sore is on skin not covered by the condom, the herpes germ can still be spread to the woman. Men can protect themselves from getting warts from women who may not be aware that they have warts on the vaginal wall by using a condom. HPV (Human Pailloma Virus) Human Papilloma Virus commonly known as warts is transmitted from one partner to another by vaginal, anal and oral sex. It too is spread mainly be touching skin infected with the HPV to skin not infected with the HPV.
ncauj (cold sores) losyog txhab ncaug. Thaum ntawd cov kab mob ntawd yuav lo rau koj cov ntiv tes. Ces thaum koj muab mus kov lub chaw mos, thaus ntawd lub nyuag tsig xeeb kab mob ntawd yuav kis thiab xoo pob tuaj. Tomqab nws chaw mos xoo pob khaus ntawd ho mus chwv lwm tus neeg lub chaw mos ces lub pob cos khaus ntawd yuav kis tau rau tus neeg ntawd. Hom kascees Herpes thaum xub pib zoo li ib lub hlwv. Thaum nws paim lawm mas mob heev li. Qee zaus lub pob hlwv no kuj tawm ze rau ntawm lub qhov zis ces thaum tsozis kuj mob heev. Thaum lub pob hlwv no voog lawd zaum losyog mus kev los yuav mob li. Cov pob hlwv no yuav nyob ntev li 2 lub lim tiam los yog tshaj ntawd. Lub pob hlwv khaus ntawd sij pheej rov tawm rau tib qho chaw qub ntawd tag mus li xwb tabsis nws yuav tawm thaum twg los yeej tsis paub li. Muaj ib txhia tibneeg nws sij pheej muaj tawm txhua txhua lub hlis, hos muaj ib txhia ces tsheej niag tsheej xyoo kuj mam tawm ib zaug. Kev kuaj herpes yog xuas rwb so lub pob hlwv thaum nyuam qhuav pib khaus ces coj mus yug rau hauv lub chaw yug kab mob. Nco ntsoov tias, thaum koj muaj yam mob no lawm koj yuav muaj tag mus li. Cov pojniam muaj herpes lawm, thaum mus yug menyuam luag yuav tsum tau phais tsis pub yug tawm ntawm qhov chaw mos los, vim tus menyuam yuav chwv cov pob hlwv mob herpes ntawd ces yuav ua rau tus menyuam kis tau, ua rau nws puas hlwb thiab tag sim neej. Cov tshuaj uas siv los tu kab mob herpes no rau thaum uas huam lawm, ua rau qhov mob zoo sai me ntsis xwb thiab tej zaum kuj ua rau kom txhob huam loj heev tabsis tus kab mob yeej yuav nyob hauv koj lub cev mus li, thiab yuav huam thaum twg los tau. Hnab looj (condoms) yuav tivthaiv tau lub pob hlwv ntawm nws qhov chaw mos kom tsi txhob kis tau rau tus pojniam lub qhov chaw mos losyog lub ncauj tsev menyuam, tabsis yog lub hnab looj ntawd looj tsi duav qhov twg ces thaj nqaij uas lub pob hlwv chwv raug yuav kis tau herpes. Txivneej yuav tiv thaiv tau lawv tus kheej kom tsi txhob kis tau cov pob cos xoo ntawm tus pojniam uas tsi paub tias nws muaj pob cos xoo nyob rau hauv nws lub qhov chaw mos. HPV (Human Pailloma Virus) Hom kascees Human Papilloma Virus muaj peevxwm kis tau ntawm ib tus neeg mus rau lwmtus los ntawm kev koom cev uake. Yam mob no yog kis tau los ntawm kev uas tuav kov losyog plhw ntawm tus neeg ua muaj mob mus rau tus ua tsis muaj mob. Yog tau
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The HPV lesions are not painful. Many people have no symptoms for days or months before noticing flat or raised wrinkled looking lesions on the genital area. Women may have the virus inside the vagina. Since the lesions are painless, many women may not know that they have the virus and can unknowingly pass it on to their partners. It is important for women to have yearly genital exam and pap test performed by a health care professional. 10% of HPVs are linked to cervical cancer in women. If this type of cancer is found early before it travel to the uterus, it can be surgically removed and preserve a woman’s ability to have more children. The only way this type of cancer can be found early is by this exam and test.
yam kascees no los yuav tsis hnov mob. Muaj ntau tus neeg twb kis tau tus mob no ntau hnub thiab ntau lub hlis lawm tabsis lawv tsi paub txog thaum uas lawv pom tias lawv lub chaw mos twb ua kiav losyog txoom ua kaubpuab lawm. Cov pojniam muaj hom kab mob kascees no nyob rau hauv lub qhov chaw mos. Vim cov kab mob no tsi ua rau kom hnov mob, muaj ntau tus pojniam tsi paub tias lawv muaj yam mob no lawm ces lawv twb muab kis rau lawv tus txwj nkawm lawm. Nws tseemceeb heev uas cov pojniam yuav tsum tau mus ntsib kws kho mob ua ntu zus kom luag kuaj qhov chaw mos. 10% ntawm cov mob HPV no muaj feem huam taus mus ua cancer rau cov pojniam lub ncauj tsev menyuam. Yog ntxov pom cov cancer no uantej nws kis mus rau hauv lub tsev menyuam, ces yuav hlais thiaj rho tau lub mob tawm thiaj yuav pab tau tus pojniam kom tseem rov muaj taus menyuam. Tib qho uas yuav nrhiav tau tus mob cancer no yog mus cuag kws kho mob kom nws xauj ntsia hauv lub qhov chaw mos tib zoo (pelvic exam) losyog muab rwb nrws lub ncauj tsev menyuam (pap test) los kuaj xwb. Muaj ntau txoj kev uas yuav tu tau cov pob cos xoo ntawm qhov chaw mos. Cov kuas tshuaj (Liquid nitrogen, podophyllin) thiab mem hluav taws xob (Laser) yuav tua tau cov pob cos xoo no. Tej zaum cov kab mob no tseem muaj nyob rau ntawm daim tawv nqaij yam uas tsi muaj peevxwm pom tau, nws muaj feem uas yuav tshwm rov tuaj dua. Ces rov coj mus tu li qub thiab xwb tabsis tus kab mob no yuav nyob mus li. Siv hnab looj tus txiv neej chaw mos yuav txo tau qhov uas kis tus mob HPV losyog mob pob cos xoo ntawm chaw mos no tabsis yuav tsum yog lub hnab looj no duav qhov chaw uas ua pob cos xoo ntawd thiaj li. Cov txiv neej yuav tiv thaiv tau lawv tus kheej kom tsi txhob kis pojniam cov mob pob cos xoo yuav tsum siv hnab looj. Hepatitius Germ Nws muaj ntau hom kab mob siab (Hepatitis germ). Muaj qee yam mob hnyav dua lwm yam. Cov mob no nws tsi sib kis zoo tib yam. Nws muaj tshuaj txhaj tiv thaiv cov neeg uas tsi tau muaj kab mob siab (hepatitis) kom tsi txhob kis tau hom mob no. Zaum no peb yuav tham txog hom kab mob siab (Hepatitis B) uas kis tau los ntawm kev sib koom cev. Ib qho uas yuav kis tau kab mob siab (Hepatitis) yog los ntawm sib koom cev uake. Txivneej lossis pojniam uas muaj tus kab mob siab Hepatitis B no
Several choices are available for treating visible warts in the genital area. Liquid nitrogen, podophyllin and laser treatments are commonly used for removing warts. Because some virus may remain in the skin that cannot be seen, warts can always return at another later date. They can again be treated.
Condoms can reduce the spread of HPV or genital warts but again only if the condoms cover the area of the wart. Men can protect themselves from vaginal warts that women may not know they have by using condoms.
Hepatitius Germ There are many types of Hepatitis germ. Some are more dangerous than others. They are not all spread in the same manner. There are immunizations to prevent people who do not already have these types of hepatitis from contracting them. Today we are only going to talk about Hepatitis B that is spread by genital contact. One way to spread Hepatitis is through vaginal, anal and oral sex. A man or woman who is a Hepatitis B carrier will always have
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the disease in their body even though they may not look or feel sick. Therefore, they can always give the disease to someone else unless that person is immune. Many people do not know if they have this disease since many people do not feel or look sick. Adults born in Southeast Asia where Hepatits B is common may not know that they have the disease. Find out if you have had the disease by getting a blood test. If you are not a carrier and are not immune to Hepatitis B you can get 3 shots over a 6 month period of time to protect yourself from getting Hepatitis B. Many people who are Hepatitis B carriers will go on to develop a liver disease called cirrhosis. They can also get cancer of the liver. Women who are Hepatitis B carriers can give the disease to their children. In the United States women who get prenatal care are tested for this disease. If they are found to have it, their babies are immunized to keep them from getting the disease. AIDS/HIV The AIDS virus can be transmitted from one person to another by vaginal, anal and oral sex. It also can be transmitted by any activity where skin is in contact with body fluids like blood, semen and vaginal mucous. Many people with HIV/AIDS do not know that they have it for many years. There are no sores to see. There are no urinary tract symptoms, penile discharge or vaginal discharge. People who have HIV can remain healthy for many years if they know they have the disease. The only way to find out if you have this disease is to have a blood test. Often several tests are necessary over a period of months or years. Your doctor can help to decide when tests are necessary.
nws yeej tsi muaj peevxwm pom thiab xav tau tias nws muaj tus mob no li vim tias nws lub cev tsis txawv txav Yog li ntawd, nws yuav muab tus mob kis rau lwm tus tau, tshwj tias lwm tus neeg ntawd twb muaj kev tivthaiv lawm xwb. Neeg coob leej ntau tus tsi paub thiab tsi pom tias lawv muaj tus mob no lawm vim tias nws lub cev tsis txawv txav. Cov neeg laus Tus neeg uas yug nyob Southeast Asia uas yog ib qho chaw ntxiav mob Hepatits B tshaj plaws tsi muaj peevxwm paub tau tias nws muaj tus mob no. Yog xav paub cia li kuaj ntshav saib koj puas muaj yam kab mob no. Yog hais tias koj yog ib tus neeg uas tsi muaj mob Hepatitis B thiab tsi tau tiv thaiv tau koj tus kheej, koj cia li mus txhaj 3 koob tshuaj li 6 lub hlis uake; nws yuav pab tau koj kom txhob kis kab mob Hepatitis B. Coob tus tibneeg uas muaj kab mob siab (Hepatitis B) tau dhau mus muaj tus mob nqaij hlav rau hauv lub siab uas hu uas (cirrhosis) mus npog tej leeg ntshav hauv cov nplai siab. Thiab lawv yuav muaj feem uas mob cancer rau hauv siab. Cov pojniam uas muaj tus kab mob siab (Hepatitis B) yuav muab tau tus mob kis mus rau lawv cov menyuam. Nyob rau hauv Asmesliskas teb no cov pojniam uas tau mus kuaj muaj menyuam kuj raug kuaj saib lawv puas muaj tus kab mob siab no. Yog kuaj tau tias lawv muaj, ces luag yuav txhaj tshuaj tiv thaiv rau tus menyuam kom txhob kis tus mob. AIDS/HIV Kab mob kascees ntshav (HIV/AIDS) yuav kis tau ntawm ib tus neeg mus rau lwm tus neeg los ntawm kev sib koom ces. Nws tseem kis tau los ntawm qhov uas nqaij tawv raug to sib chwv rau thaum uas muaj ntshav los, kis los ntawm txiv neej cov kua noob sia, thiab pojniam cov kuas nplua. Coob leej ntau tus uas muaj kab mob kascees ntshav (HIV/AIDS) yeej tsi paub tias lawv muaj hom kab mob kascees no lawm mus ntau lub xyoos. Nws tsi muaj ib qho pob khaus losyog mob uas yus pom tau. Tso zis los tsi hnov mob li, tsi pom txia kuas yig hauv qhov chaw mos los ntawm tus pojniam los tus txivneeg. Kab mob kascees ntshav (HIV). Cov neeg ua muaj yam kab mob no lawm los nws tseem yuav nyob tau li tug khov kho yam tsis muaj mob dab tsi mus lawm ntau lub xyoo. yog lawv paub tias lawv muaj tus kab mob no lawm. Tib qho uas yuav paub tias muaj tus kab mob yuav tsum mus kuaj ntshav nkaus xwb. Yuav tsum tau mus kuaj ntau zaug thiab siv ntau lub hlis los ntau xyoo los kuaj. Koj tus kws kho mob mam li txiav txim tias yam twg thiaj yuav kuaj. Muaj ntau yam tshuaj noj los pab lub cev kom cov
There are prescription medicines available to
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help the body fight this illness. Blood tests are needed on a regular basis to help the doctor decide which drug or combination of drugs is working best for each person. These drugs usually need to be taken for the rest of the persons’ life. There is no cure for HIV/AIDS. The medicines help the person to feel better.
kab mob txhob huam sai. Yuav tsum tau kuaj ntshav tsi tseg. Ua ntej tus kws kho mob yuav pab tau tias yam tshuaj twg sib tim uake thiaj tu tau tus mob no. Yuav tau noj cov tshuaj mus tas nws lub neej.
Nws tsi muaj ib yam tshuaj twg los kho tau kab mob kascees ntshav (HIV/AIDS). Tej tshuaj uas noj ntawd tsuas yog ua rau kom tus neeg mob kascees ntshav nyob taus xwb. Lawv yuav muaj tus kascees ntshav no nyob rau hauv lawv lub cev mus tag ib sim. Yog siv cov hnab looj (condoms) uas muaj tshuaj (spermicidal gel) tua kab menyuam nws yuav txo tau feem uas kis tau yam kab mob kascees no, tabsis qhov no yuav tiv thaiv tsi tau 100%. Cov neeg uas nyiam mus ywjnroog rau phab tebchaws Esxias, muaj feem siab tshaj uas yuav kis tau kascees. Lawv muaj feem ntau tshaj yuav kis tau hom kab mob siab (Hepatitis B) yog tias tsi txhaj tshuaj tiv thaiv thiab muaj feem kis tau kab mob kascees ntshav (HIV/AIDS). Lub Koomhaum Ntiajteb Tswjxwm Kev Noj Qab Haus Huv (The World Health Organization) yog ib lub koomhaum uas khaws tau ntaub ntawv tseg qhia tias lub tebchaws twg yog lub uas ntxiav muaj hom kab mob twg tshaj rau sawv daws paub. Tej ntaub ntawv no pab tau rau cov tebchaws ob cag kom qhia tau rau lawv cov pejxeem paub tiv thaiv lawv tus kheej. Tebchaws SouthEast Asia muaj mob kascees ntshav (HIV/AIDS) siab thib ob ntawm phab tebchaws Africa nyob hauv ntiaj teb no. Neeg coob leej ntau tus nyob SouthEast Asia tsi paub tias lawv muaj yam mob no. Tabsi qee pab pawg tibneeg keev kis cov kab mob no tshaj lwm pawg. Cov pab pawg neeg no yog cov txiv neej thiab cov pojniam uas ua luam muag cev. Cov neeg ywj nroog yeej tsi muaj twg paub lawv. Lawv nyiam mus pla ywj siab thiab uasi heev dua. Cov teb chaws nyob phab SouthEast Asia ib txwm muaj liv xwm tso cai lug qhib lag luam muag cev thiab tus lag luam muag cev no yog ib feem ntawm kev mus los ywj nroog. Neeg coob leej ntau tus yeej nov txog tej no. Peb tibneeg nyiam pla uasi heev thaum uas lawv mus ywj nroog thiab lawv tsi txhawj dab tsi li vim tsi muaj neeg paub lawv. Cov neeg ua luam muag cev, lawv nrog coob tus neeg koom cev ua ke. Qhov ntawd yog lawv txoj haujlwm. Txhua tus neeg uas lawv nrog koom cev muaj feem uas muaj kab mob kascees. Cov neeg ua luam muag cev keev tsi muaj kev mus kuaj mob thiab tu mob zoo. Yuav tsum nco ntsoov hais tias, neeg lub cev ntaj ntsug tsi qhia
Condoms used with spermaticidal gel can reduce possible exposure but they are not 100% effective protection against the disease. People who travel back to Southeast Asia may be at higher risk than others of contracting a sexually transmitted disease. They are at higher risk for getting Hepatitis B if they are not immunized. They are also at higher risk for getting HIV/AIDS. The World Health Organization keeps data on various diseases to help countries know what disease are prevalent in their area. This data helps countries to develop ways of informing their citizens to protect them from disease. Southeast Asia is second only to Africa in number of people with HIV/AIDS.
Many people in Southeast Asia do not know that they have the disease although there are certain groups who are at much higher risk for having the disease. The group with the highest risk for HIV/AIDS are female and male sex workers. People tend to feel anonymous and more adventurous when they travel. Southeast Asia has a long history of legitimate sex trade related to business and travel. Many people have heard of this experience. Many people feel adventuresome when they travel and are willing to take risks where no one knows them. Sex workers have many partners. That is their job. Every partner is a potential carrier of a sexually transmitted disease. Sex workers do not always have access to good health care. Remember, people do not have to look sick to have a disease. They do not need to have any symptoms to have a disease. Many sexually
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transmitted diseases including Hepatitis and HIV/AIDS do not have a cure. HIV/AIDS is a deadly disease. You can die from sex with the wrong person
tias lawv muaj mob kascees. Tsi tag lawv yuav paub tias lawv muaj mob kascees lawm. Muaj ntau yam mob kascees nrog rau kab mob siab Hepatitis thiab kascees ntshav HIV/AIDS tsi muaj tshuaj yuav kho tau. Kascees ntshav yog hom kascees uas ua rau neeg tuag coob tshaj plaws. Koj yuav tag sim neej taus rau qhov koj koomcev yuav kev nrog tus neeg muaj mob. Nov yog ib cov lus ntuas rau cov neeg uas npaj mus ywj nroog nyob SouthEast Asia: Koj yuav tsum paub ntawm koj tus kheej seb yog hais txog kab mob siab (Hepatitis B) koj li muaj li cas yuav tsum mus txhaj tshuaj ua ntej mus ywj nroog. Yuav kom tiv thaiv tau kab mob siab (Hepatitis B) yuav tsum txhaj tshuaj tiv thaiv txog ntawm 3 koob hauv 6 lub hlis thiaj yuav tiv thaiv tau. Siv hom hnab looj (condoms) uas muaj tshuaj (spermicidal gel) tua kab menyuam txhua zaum uas yuav koomcev ua ke. Nco ntsoov hais tias SouthEast Asia yog phab tebchaws uas muaj kascees ntshav (HIV/AIDS) thib ob ntawm phab tebchaws Africa xwb nyob hauv ntiaj teb no. Thaum koj rov los tsev thiab poob siab tias ntshe tsam koj ho kis tau kascees lawm, cia li mus kuaj thiab tu koj tus kheej ua ntej uas koj coj mus kis rau lwm tus hauv koj tsev neeg. Yuav kom paub tseeb tias koj tsi muaj mob kascees ntshav (HIV/AIDS) koj yuav tsum tau mus kuaj ntshav li 3 hlis thiab 6 hli tomqab uas koj xav tias tsam koj ho muaj kascees ntshav lawm.
Here is some advice for people planning a trip: Know your Hepatitis B status and get immunized at least 6 months before leaving to be fully protected against Hepatitis B.
Use a new polyurethane or latex condom along with spermicidal gel for each act of intercourse. Remember Southeast Asia is second only to Africa for the number of people with HIV/AIDS. When you return home if you may have been exposed to a STD, get tested and treated before you risk spreading it to others in your family. To be sure you don’t have HIV/AIDs blood has to be drawn at 3 months and 6 months after possible exposure to know for sure.
You may not know where to go to get tested in your community. Here are several recommendations for confidential, quality care: Call your regular clinic to make an appointment. The conversations, tests, information and treatments you receive at your doctor’s office are confidential.
Tej zaum koj yuav tsi paub tias nyob hauv koj lub zos yuav mus kuaj rau qhov twg. No yog ib cov chaw uas koj mus ntsib tau yam uas yuav tsi qhia rau leej twg paub, thiab luag pab tau zoo: Hu mus teem sijhawm rau koj lub tsev kuaj mob. Tej lus uas koj hais, kev kuaj xyuas, tej xwm uas tshawb tau thiab kev tu mob hauv koj tus kws kho mob lub chaw ua hauj lwm yuav tsi qhia rau leej twg paub. Nyob rau hauv Tsev (Family Planning and Planned Parenthood Clinics) los kuj muaj kev kuaj xyuas txog kab mob kascees, txheej xwm txog kab mob kascees thiab kev tu mob tib yam. Muaj qee zaum lawv kuj xa tus neeg mus ntsib kws kho mob es thiaj kho tau. Rooj tswj xwm kev noj qab haus huv hauv koj lub zos thiab hauv koj cheeb tsam (local City or County Health Department) los kuj muaj ntaub ntawv qhia
Family Planning and Planned Parenthood Clinics also provide confidential visits including testing for STDs, information about STDs and treatment. Sometimes referrals to physician providers are necessary for complete treatment of a disease. Your local City or County Health Department will have information on STDs. They too provide confidential information.
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Sometimes the health department will have testing available at their office. If not, they will give you information about where you can go for confidential testing and treatment. Many times they can refer you to a place where there are Hmong translators available who are also legally sworn to protect your confidentiality.
txog kascees thiab. Lawv yuav pab koj yam tsi pub qhia rau leejtwg paub. Qee zaud lub rooj tswj xwm kev noj qab haus huv ( Health Department) kuj kuaj mob kascees rau koj thiab. Yog tsi li ntawd, lawv yuav qhia rau koj seb yuav mus ntsib qhov twg ntxiv. Muaj ntau zaum lawv kuj yuav xa koj mus rau qhov chaw uas muaj Hmoob txhais lus uas txhais lus yam tsi pub ncauj qhia rau lwm tus paub. Tsi muaj ib tus neeg uas nyob hauv chav tos ntsib kws kho mob yuav paub tias koj mus ntsib kws kho mob tham txog dab tsi. Nws kuj muaj ntau lub web pages uas koj mus tshawb kawm txog kascees tabsis yog yuav kom tu tau koj tus mob yuav tsum yog koj mus cuag kws kho mob. Txhua yam uas tshwm muaj rau hauv qhov chaw xyuas neeg mob yeej pub ncauj qhia tsi tau rau lwm tus paub. Tus kws kho mob los yog tus neeg kuaj xyuas mob yuav kuaj koj. Lawv yuav kuaj li ntawm ib yam mus rau ob peb yam seb koj puas muaj mob kascees. Koj yuav paub qhov uas luag kuaj tau li cas li ob peb hnub tom qab ntawd. Yog yam kascees kho tau luag yuav muab tshuaj rau koj noj tua kab mob. Yog yam kascees kho tsis tau luag yuav qhia kom koj tu koj tus kheej kom noj qab nyob zoo. Yog li ntawd, koj tsi muaj peevxwm paub tau tias tus neeg twg muaj mob kascees. Neeg coob leej ntau tus tsi muaj tus tseem mob qhia tawm. Txhua hom mob kascees tsis zoo tib yam. Vim kascees tsi zoo tib yam koj yuav tsum tau mus kuaj ntau yam thiab yuav paub hais tias koj muaj yam twg. Nyias muaj nyias hom kuab tshuaj los kho nyias hom kab mob kascees. Yog ib tus neeg twg mob kascees, nws thiab nws tus khub, yuav tsum tib txhij mus kho, tsi li ntawd ces tus kho lawm yuav rov kis dua. Dhau li ntawd, neeg coob tso siab siv tshuaj ntsuab, los yeej tsi muaj dab tsi paub tseeb tias tshuaj ntsuab puas yuav tua tau yam kab mob kascees uas nyaum tshaj uas txo tau txoj sia uas yog kab mob siab (Hepatitis B) thiab kascees ntshav (HIV/AIDS). Cia li xav txog tej kev puamtsuaj ntawm qhov uas tau kev lomzem los ntawm tus neeg ua luam muag cev. Nco qab ntsoov muaj ib co kab mob kascees txo tau koj txoj sia. Xav zoo zoo ua ntej mam sim.
There are many web pages where you can go for information about sexually transmitted diseases but to find out if you have a sexually transmitted disease you need to see a health care provider. What happens in the health care provider’s office is by law confidential. The doctor or health care provider will ask questions and will examine you. They will do one or more tests to find out if you have a sexually transmitted disease. You will get test results several days later. Treatment can then be given to you or in the case of the viral sexually transmitted diseases plans can be made to take care of your health. You cannot tell by looking at someone if they have a STD or not. Many people have no symptoms. There are many STDs. They are not all the same. Because all STDs are not the same you may need different tests to find which STD you have. Different medicines are used to treat different STDs. If someone has a STD, both partners should be treated at the same time or they risk becoming re-infected with the disease. Although many people feel comfortable with traditional medicines, none have been proven to be effective against the most deadly STDs Hepatitis B and HIV/AIDS. Think before you act!
There are many different sexually transmitted diseases. Consider the consequences of being entertained by a sex worker. Your action can have consequences for you and
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your family. Remember some STDs can kill you. Think before you act.
To order the VHS or DVD, contact the Wausau Area Hmong Mutual Association, (715) 842-8390 or download the order form at www.hmonghealth.org/documents/STDorder. doc Comments A bilingual discussion guide/evaluation form is available via the website at www.hmonghealth.org/documents/STDEvalutionEngHmong . You may also email Lynn Buhmann, Lynn.Buhmann at fammed.wisc.edu. Credits Produced in 2003 by Lynn Buhmann, RN, NP and Me Lee Thao, RN, PA, by UW Health Wausau Family Medicine, with funding from the Aspirus Wausau Health Foundation and Northern Wisconsin Area Health Education Center, and assistance from the Marathon County Health Department. The Wausau Area Hmong Mutual Association (WAHMA) translated the script, provided narration, and distributes the VHS and DVD videos. In 2006, the National Library of Medicine/Refugee Health Information Network provided funding for the new DVD format. Script available for use as a public service at www.hmonghealth.org/documents/HFHGSTDscript. May be copied for non-profit educational use, along with the videos.
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