【健康Post】Chem Fun與愛滋病

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什麼是Chem fun
指吸毒後性行為。吸毒後進行性行為非常危險，可能會引致精神病及幻覺，腦部傷害是難以回復。部份毒品會影響心臟功能，吸食後可能會導致心臟病及呼吸困難等；如一次過吸食多種毒品，後果難測，隨時致命。

此外，吸毒後神志不清，增加發生無套性行為的風險，好多人因而感染愛滋病和性病。

常見用於Chem fun的IGE簡介
I代表ICE (冰)，目前最常見的Chem，有Member用於提振精神及自信心、強化觸覺、長時間激烈性行為(Long Session)，但是冰會損壞腦細胞，摧殘認知能力、蠶食思維及記憶力，更令人不斷產生幻覺和妄想，使患者變得狂躁、暴力，可見殺傷力比任何一種毒品大。部份人停止濫用冰幾個月後症狀也未消失，常進入精神病院接受治療。



濫用冰的人口腔衛生很差，蛀牙和脫牙常有發生。臉上和身體其他部份的皮膚會長出「冰瘡」，嚴重影響社交。更有人在噗冰後因幻覺和妄想而把自己的陰莖割掉，可能以後無法再做TOP。



蘋果日報：吸冰揮剪自宮 壯男豎拇指笑着送院，06/22/2011
http://hk.apple.nextmedia.com/news/first...2/15363898

G代表GHB (迷奸水)，可令人感到欣快，輕量已可人昏昏欲睡，過量可令人失去知覺，甚至導致死亡。G水可引致暫時記憶性喪失、視幻覺、幻覺性幻想、胡言亂語、知覺喪失、肝衰竭、昏迷、嚴重呼吸抑制、暴力或自殘行為。

G水容易令人在不知不覺下與多人發生無套性行為，之後完全喪失記憶。

G水無色無味或帶苦澀味，所以多會混入果汁、綠茶飲品、酒精類等飲用。不論在酒吧、Party或他人家中，避免飲用不知名的飲品或酒類，因有可能被加入G水。

E代表Fing頭丸/ MDMA(Ecstasy)，可產生欣快感覺、容易親近人、愛情感覺、手腳投入音樂中 (肌肉失控抽搐，因而搖頭、搖手或搖腳等)。效力最長可達8小時，之後可能會感到倦怠和惱怒。E可引發輕微幻覺、憂鬱症狀、記憶力衰退、集中力減弱、感覺迷惘、神經系統永久損傷。

E仔可以令人更傾向發生不安全性行為，因而令感染愛滋病的風險大大增加。


The Connection Between MDMA (ecstasy/molly) Use and Sexual Risk Taking: Implications for HIV Prevention, CDC STD Prevention Conference 2014
https://cdc.confex.com/cdc/std2014/webpr...34121.html

《我即我腦》搖頭丸：娛樂後的大腦損傷
http://pansci.asia/archives/27794

噗冰與Bareback
Chem fun之中以冰(ICE)最易令人進行不安全的性行為(Bareback)，這與冰的特性有關。整理部分人對這些感受的經驗如下：
敏感：噗冰後觸覺更敏感，有BTM覺得「安全套不舒服」(可以因為潤滑不夠或身體發熱而比較容易流失水分引起)，也有人說覺得「有東西 (安全套的儲精囊) 卡在肛門不舒服」。冰令勃起比較困難，有Top說戴上安全套就沒感覺。

專注、執著、強化好惡：冰的其中一個效果是會讓人變得專注、執著，喜歡的事情更喜歡，討厭的事情更難討厭。因此噗冰後可能會放大原有不喜歡戴套/戴套不舒服的想法。

自信感：用冰也會讓人增加自信感，比較可能接受或從事風險較高的性行為。

《有關男同志娛樂性藥物性愛的 一些工作經驗與思考》
http://www.aids-care.org.tw/db/Jour/1/20141201/4.pdf



有人陪伴戒毒，過程會更順利：
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愛滋病在香港男同志 (同性性接觸者 +雙性性接觸) 的最新情況
2015年全年共434個男同志感染HIV個案；同年20-29歲男性為最多人受感染的年齡層。
另一方面，根據HARiS 2014指出香港男同志整體愛滋病病毒感染率為5.85% (95% CI: 4.2-8.1)。20-29歲群組的感染率7.76%，是最高感染年齡群組。
]這說明有整體男同志每17個就有1個人已受感染，而青年男同志(20-29歲)已受感染。

衞生防護中心回顧二零一五年本地愛滋病情況
http://www.info.gov.hk/aids/chinese/new2016/nm05.htm

HARiS -2014年愛滋病預防項目指標調查-男男性接觸者
http://www.info.gov.hk/aids/english/surv..._msm_c.pdf

本會提供免費和不記名的HIV和梅毒抗體快速測試，支援和轉介工作，查詢和預約測試方法：
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有關HIV治療：
如果沒有接受治療，半數愛滋病病毒感染者會在10年發病，成為愛滋病患者。由於抗病毒藥物不斷改良，接受治療的人士，情況得到改善，包括：健康狀況，體重增加，減輕與愛滋病病毒有關的病徵，減少「機會性感染」延長壽命，提高CD4T淋巴細胞數量和降低病毒數量等。現今有效的治療可以減低愛滋病的發病率、改善生活質素、延長患者的壽命。

縱使身患愛滋病，如能及早診斷和給予治理，亦如其他疾病，生存機會也可相應提高。
http://www.info.gov.hk/aids/chinese/hotl...s06.htm#d4

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