{"id":12114,"date":"2021-12-31T12:10:08","date_gmt":"2021-12-31T05:10:08","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12114"},"modified":"2021-12-31T12:10:08","modified_gmt":"2021-12-31T05:10:08","slug":"cac-bien-phap-du-phong-lay-truyen-hiv","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/12\/31\/cac-bien-phap-du-phong-lay-truyen-hiv\/","title":{"rendered":"C\u00c1C BI\u1ec6N PH\u00c1P D\u1ef0 PH\u00d2NG L\u00c2Y TRUY\u1ec0N HIV"},"content":{"rendered":"<p style=\"text-align: center;\"><strong><em> CKI \u0110\u1ed7 Xu\u00e2n Nguy\u00ean &#8211; Tr\u01b0\u1edfng Khoa Lao &#8211; HIV\/AIDS &#8211; Da li\u1ec5u, TT.KSBT AG<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>HIV\/AIDS l\u00e0 g\u00ec?<\/strong><\/p>\n<p>+ HIV l\u00e0 t\u00ean vi\u1ebft t\u1eaft ti\u1ebfng Anh c\u1ee7a t\u1eeb Human Immuno-deficiency Virus, m\u1ed9t lo\u1ea1i vi r\u00fat g\u00e2y suy gi\u1ea3m mi\u1ec5n d\u1ecbch \u1edf c\u01a1 th\u1ec3 ng\u01b0\u1eddi. G\u00e2y t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng t\u1edbi h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>+ AIDS l\u00e0 t\u00ean vi\u1ebft t\u1eaft c\u1ee7a c\u1ee5m t\u1eeb Acquired Immuno Deficiency Syndrom, l\u00e0 giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a HIVAIDS, h\u1ed9i ch\u1ee9ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch. Trong giai \u0111o\u1ea1n n\u00e0y, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb suy y\u1ebfu n\u00ean ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 m\u1eafc c\u00e1c b\u1ec7nh nh\u01b0: nhi\u1ec5m khu\u1ea9n, ung th\u01b0&#8230;<\/p>\n<figure class=\"post-image full has-zoomable loaded-img\"><img decoding=\"async\" class=\"full uploaded img-in-body aligncenter\" src=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20190805_031439_954002_AIDS.max-1800x1800.png\" alt=\"AIDS\" data-src=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20190805_031439_954002_AIDS.max-1800x1800.png\" \/><figcaption class=\"caption\">\n<div class=\"rich-text\"><\/div>\n<\/figcaption><\/figure>\n<div class=\"rich-text\">\n<p><strong>C\u00e1c \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n HIV<\/strong><\/p>\n<p>&#8211; Vi r\u00fat HIV l\u00e2y truy\u1ec1n t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c qua 3 \u0111\u01b0\u1eddng sau:<\/p>\n<p>+ L\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng m\u00e1u: Th\u01b0\u1eddng l\u00e0 truy\u1ec1n m\u00e1u, ti\u00eam ch\u00edch, s\u0103m da, qua c\u00e1c v\u1ebft x\u01b0\u1edbc tr\u00ean da, ni\u00eam m\u1ea1c\u2026<\/p>\n<p>+ L\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng quan h\u1ec7 t\u00ecnh d\u1ee5c: Quan h\u1ec7 t\u00ecnh d\u1ee5c v\u1edbi m\u1ed9t hay nhi\u1ec1u b\u1ea1n t\u00ecnh m\u00e0 kh\u00f4ng bi\u1ebft h\u1ecd c\u00f3 nhi\u1ec5m HIV hay kh\u00f4ng; S\u1eed d\u1ee5ng bao cao su kh\u00f4ng th\u01b0\u1eddng xuy\u00ean v\u00e0 kh\u00f4ng \u0111\u00fang c\u00e1ch; Quan h\u1ec7 t\u00ecnh d\u1ee5c trong khi b\u1ea3n th\u00e2n ho\u1eb7c b\u1ea1n t\u00ecnh c\u00f2n \u0111ang m\u1eafc c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c.<\/p>\n<p>+ L\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con: M\u1eb9 nhi\u1ec5m HIV truy\u1ec1n sang con trong th\u1eddi k\u1ef3 mang thai, l\u00fac sinh con v\u00e0 khi cho con b\u00fa.<\/p>\n<p>&#8211; L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 bi\u1ebft m\u00ecnh c\u00f3 b\u1ecb nhi\u1ec5m HIV hay kh\u00f4ng? Ch\u1ec9 c\u00f3 l\u00e0m x\u00e9t nghi\u1ec7m HIV m\u1edbi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u00f3 b\u1ecb nhi\u1ec5m hay kh\u00f4ng b\u1ecb nhi\u1ec5m HIV.<\/p>\n<p>Ph\u00f2ng l\u00e2y nhi\u1ec5m HIV qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c:<\/p>\n<p>&#8211; S\u1eed d\u1ee5ng Bao cao su (BCS) trong c\u00e1c l\u1ea7n quan h\u1ec7 t\u00ecnh d\u1ee5c l\u00e0m gi\u1ea3m l\u00e2y truy\u1ec1n HIV v\u00e0 c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c kh\u00e1c.<\/p>\n<p>&#8211; \u0110\u1ed1i v\u1edbi nh\u00f3m nam quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ed3ng gi\u1edbi (MSM) s\u1eed d\u1ee5ng Bao cao su, ch\u1ea5t b\u00f4i tr\u01a1n (CBT) trong nh\u1eefng l\u1ea7n quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/p>\n<p>Ph\u00f2ng l\u00e2y nhi\u1ec5m HIV qua \u0111\u01b0\u1eddng m\u00e1u:<\/p>\n<p>&#8211; \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi ti\u00eam ch\u00edch ma t\u00fay s\u1eed d\u1ee5ng b\u01a1m kim ti\u00eam (BKT) s\u1ea1ch, kh\u00f4ng d\u00f9ng chung BKT. \u0110i\u1ec1u tr\u1ecb Methadone \u0111\u1ec3 kh\u00f4ng ph\u1ea3i s\u1eed d\u1ee5ng ma t\u00fay.<\/p>\n<p>&#8211; S\u00e0ng l\u1ecdc HIV t\u1ea5t c\u1ea3 c\u00e1c b\u1ecbch m\u00e1u.<\/p>\n<p>Ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con:<\/p>\n<p>&#8211; Ph\u1ee5 n\u1eef mang thai (PNMT) \u0111\u1ebfn kh\u00e1m thai t\u1ea1i tr\u1ea1m Y t\u1ebf \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n x\u00e9t nghi\u1ec7m HIV mi\u1ec5n ph\u00ed. PNMT nhi\u1ec5m HIV \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ARV v\u00e0 con c\u1ee7a h\u1ecd \u0111\u01b0\u1ee3c d\u1ef1 ph\u00f2ng l\u00e0m gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m HIV t\u1eeb 40% xu\u1ed1ng c\u00f2n 0% &#8211; 2%.<\/p>\n<p>C\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng kh\u00e1c:<\/p>\n<p>&#8211; D\u1ef1 ph\u00f2ng tr\u01b0\u1edbc ph\u01a1i nhi\u1ec5m (PrEP): Nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao nh\u01b0 ph\u1ee5 n\u1eef b\u00e1n d\u00e2m, nghi\u1ec7n ch\u00edch ma t\u00fay, MSM, v\u1ee3, ch\u1ed3ng\/b\u1ea1n t\u00ecnh\/b\u1ea1n ch\u00edch s\u1eed d\u1ee5ng thu\u1ed1c ARV u\u1ed1ng \u0111\u1ec3 kh\u00f4ng b\u1ecb nhi\u1ec5m HIV.<\/p>\n<p>&#8211; Nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV \u0111i\u1ec1u tr\u1ecb ARV \u0111\u1ec3 kh\u00f4ng l\u00e2y truy\u1ec1n HIV cho v\u1ee3\/ch\u1ed3ng\/b\u1ea1n t\u00ecnh. Khi \u0111i\u1ec1u tr\u1ecb ARV, t\u1ea3i l\u01b0\u1ee3ng vi r\u00fat xu\u1ed1ng d\u01b0\u1edbi 200 Copy\/ml th\u00ec kh\u00f4ng l\u00e2y nhi\u1ec5m HIV qua quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/p>\n<p>&#8211; D\u1ef1 ph\u00f2ng sau ph\u01a1i nhi\u1ec5m: ng\u01b0\u1eddi ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi m\u00e1u c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m m\u00e0 c\u01a1 th\u1ec3 b\u1ecb tr\u1ea7y x\u01b0\u1edbc (Nh\u00e2n vi\u00ean y t\u1ebf b\u1ecb kim \u0111\u00e2m, c\u00e1n b\u1ed9 chi\u1ebfn s\u1ef9 truy b\u1eaft t\u1ed9i ph\u1ea1m, b\u1ecb t\u1ed9i ph\u1ea1m \u0111\u00e2m BKT) \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng \u0111\u1ec3 kh\u00f4ng b\u1ecb nhi\u1ec5m HIV.<\/p>\n<p>S\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng \u0111\u1ec3 kh\u00f4ng c\u00f2n ng\u01b0\u1eddi nhi\u1ec5m HIV.\/.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CKI \u0110\u1ed7 Xu\u00e2n Nguy\u00ean &#8211; Tr\u01b0\u1edfng Khoa Lao &#8211; HIV\/AIDS &#8211; Da li\u1ec5u, TT.KSBT AG &nbsp; HIV\/AIDS l\u00e0 g\u00ec? + HIV l\u00e0 t\u00ean vi\u1ebft t\u1eaft ti\u1ebfng Anh c\u1ee7a t\u1eeb Human Immuno-deficiency Virus, m\u1ed9t lo\u1ea1i vi r\u00fat g\u00e2y suy gi\u1ea3m mi\u1ec5n d\u1ecbch \u1edf c\u01a1 th\u1ec3 ng\u01b0\u1eddi. G\u00e2y t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng t\u1edbi h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[2,239],"tags":[],"class_list":["post-12114","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-su-kien","category-truyen-thong-theo-chu-de"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12114","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=12114"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12114\/revisions"}],"predecessor-version":[{"id":12115,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12114\/revisions\/12115"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}