{"id":6288,"date":"2021-07-06T14:36:52","date_gmt":"2021-07-06T07:36:52","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=6288"},"modified":"2021-07-06T14:42:24","modified_gmt":"2021-07-06T07:42:24","slug":"phong-lay-truyen-hiv-tu-me-sang-con","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/07\/06\/phong-lay-truyen-hiv-tu-me-sang-con\/","title":{"rendered":"PH\u00d2NG L\u00c2Y TRUY\u1ec0N HIV T\u1eea M\u1eb8 SANG CON"},"content":{"rendered":"

Ng\u00e0y 7 th\u00e1ng 5 n\u0103m 2021, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh k\u1ebf ho\u1ea1ch tri\u1ec3n khai Th\u00e1ng cao \u0111i\u1ec3m d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con n\u0103m 2021 t\u1eeb ng\u00e0y 01\/6 \u0111\u1ebfn ng\u00e0y 30\/6\/2021 v\u1edbi ch\u1ee7 \u0111\u1ec1 \u201c H\u01b0\u1edbng t\u1edbi lo\u1ea1i tr\u1eeb l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con v\u00e0o n\u0103m 2030\u201d<\/strong><\/p>\n

Kh\u1ea9u hi\u1ec7u c\u1ee7a chi\u1ebfn d\u1ecbch:<\/strong><\/p>\n

    \n
  1. Nhi\u1ec7t li\u1ec7t h\u01b0\u1edfng \u1ee9ng Th\u00e1ng cao \u0111i\u1ec3m d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con!<\/li>\n
  2. Kh\u00f4ng c\u00f3 HIV \u1edf m\u1eb9 – Kh\u00f4ng l\u00e2y truy\u1ec1n HIV cho con!<\/li>\n
  3. X\u00e9t nghi\u1ec7m HIV s\u1edbm cho m\u1eb9 – H\u01b0\u1edbng t\u1edbi lo\u1ea1i tr\u1eeb l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con!<\/li>\n
  4. Ph\u1ee5 n\u1eef mang thai c\u1ea7n x\u00e9t nghi\u1ec7m HIV \u0111\u1ec3 s\u1edbm bi\u1ebft t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi!<\/li>\n
  5. X\u00e9t nghi\u1ec7m HIV cho m\u1eb9, s\u1ee9c kh\u1ecfe cho con!<\/li>\n
  6. \u0110i\u1ec1u tr\u1ecb thu\u1ed1c ARV s\u1edbm cho m\u1eb9 – gi\u1ea3m l\u00e2y truy\u1ec1n HIV sang con!<\/li>\n
  7. B\u1ea3o hi\u1ec3n y t\u1ebf l\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 ng\u01b0\u1eddi nhi\u1ec5m HIV \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb li\u00ean t\u1ee5c su\u1ed1t \u0111\u1eddi!<\/li>\n
  8. \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ARV s\u1edbm gi\u00fap ng\u01b0\u1eddi nhi\u1ec5m HIV s\u1ed1ng kh\u1ecfe m\u1ea1nh v\u00e0 gi\u1ea3m l\u00e2y nhhi\u1ec5m HIV cho ng\u01b0\u1eddi kh\u00e1c!<\/li>\n
  9. Chu\u1ea9n \u0111o\u00e1n s\u1edbm nhi\u1ec5m HIV cho tr\u1ebb sinh ra t\u1eeb m\u1eb9 nhi\u1ec5m HIV \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi \u0111em l\u1ea1i s\u1ee9c kh\u1ecfe cho tr\u1ebb!<\/li>\n
  10. \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng ARV cho con sinh ra t\u1eeb m\u1eb9 nhi\u1ec5m HIV \u2013 Gi\u1ea3m l\u00e2y truy\u1ec1n HIV sang con!<\/li>\n<\/ol>\n

    T\u00ecnh h\u00ecnh d\u1ecbch HIV\/AIDS t\u1ea1i Vi\u1ec7t Nam t\u1eeb khi ph\u00e1t hi\u1ec7n \u0111\u1ebfn th\u00e1ng 12 n\u0103m 2020 s\u1ed1 nhi\u1ec5m HIV l\u0169y t\u00edch c\u1ea3 n\u01b0\u1edbc l\u00e0: 322.897 tr\u01b0\u1eddng h\u1ee3p, s\u1ed1 ng\u01b0\u1eddi hi\u1ec7n c\u00f2n s\u1ed1ng: 213.724 ng\u01b0\u1eddi, T\u1eed vong: 109.446 ng\u01b0\u1eddi, S\u1ed1 b\u1ec7nh nh\u00e2n hi\u1ec7n \u0111ang \u0111i\u1ec1u tr\u1ecb 15.973 ng\u01b0\u1eddi.<\/p>\n

    HIV l\u00e2y qua 3 \u0111\u01b0\u1eddng; \u0110\u01b0\u1eddng m\u00e1u, \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c v\u00e0 m\u1eb9 truy\u1ec1n sang con.<\/p>\n

    T\u1eeb n\u0103m 2004 t\u1ec9nh An Giang \u0111\u00e3 ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ARV. \u0110\u1ebfn n\u0103m 2010 \u00a0B\u1ed9 Y t\u1ebf \u0111\u00e3 tri\u1ec3n khai \u0111i\u1ec1u tr\u1ecb \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con. m\u1ee5c ti\u00eau c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh l\u00e0 gi\u1ea3m s\u1ef1 l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 nhi\u1ec5m HIV sang con. Nh\u1eefng b\u00e0 m\u1eb9 mang thai nhi\u1ec5m HIV c\u00f3 th\u1ec3 sinh ra nh\u1eefng \u0111\u1ee9a con kh\u1ecfe m\u1ea1nh kh\u00f4ng nhi\u1ec5m HIV khi ti\u1ebfp c\u1eadn s\u1edbm c\u00e1c d\u1ecbch v\u1ee5 v\u1ec1 ch\u0103m s\u00f3c \u0111i\u1ec1u tr\u1ecb c\u00e1c d\u1ecbch v\u1ee5 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con.<\/p>\n

    D\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV T\u1eeb m\u1eb9 sang con l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t, c\u00f3 t\u00ednh nh\u00e2n v\u0103n nh\u1ea5t l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 tr\u1ebb b\u1ecb nhi\u1ec5m HIV, ti\u1ebfn t\u1edbi kh\u00f4ng c\u00f2n tr\u1ebb nhi\u1ec5m m\u1edbi.<\/p>\n

    N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p d\u1ef1 ph\u00f2ng c\u1ee9 100 ph\u1ee5 n\u1eef nhi\u1ec5m HIV khi sanh c\u00f3 kho\u1ea3ng 25-40 Tr\u1ebb b\u1ecb nhi\u1ec5m. Trong \u0111\u00f3 t\u1ef7 l\u1ec7 nhi\u1ec5m trong l\u00fac mang thai kho\u1ea3ng 25%, t\u1ef7 l\u1ec7 nhi\u1ec5m trong l\u00fac chuy\u1ec3n d\u1ea1 kho\u1ea3ng 50%\u00a0 v\u00e0 l\u00fac cho con b\u00fa kho\u1ea3ng 25%.<\/p>\n

    \"\"<\/p>\n

    Tuy nhi\u00ean, n\u1ebfu b\u00e0 m\u1eb9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb ARV cho m\u1eb9 v\u00e0 d\u1ef1 ph\u00f2ng ARV cho con, con d\u00f9ng s\u1eefa thay th\u1ebf th\u00ec t\u1ec9 l\u1ec7 l\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con ch\u1ec9 c\u00f2n d\u01b0\u1edbi 2%, th\u1eadm ch\u00ed l\u00e0 0%.<\/p>\n

    Nh\u1eefng n\u0103m 2005-2008 khi ch\u01b0a c\u00f3 can thi\u1ec7p ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con h\u00e0ng n\u0103m c\u00f3 kho\u1ea3ng 50 tr\u1ebb nhi\u1ec5m m\u1edbi, nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y gi\u1ea3m r\u1ea5t nhi\u1ec1u. N\u0103m 2015: 6 cas d\u01b0\u01a1ng t\u00ednh, n\u0103m 2016: 0 cas, n\u0103m 2017: 0 cas, N\u0103m 2018: 1 cas, N\u0103m\u00a02019: 1 cas, n\u0103m 2020: 0, nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m do m\u1eb9 \u0111i l\u00e0m \u0103n xa kh\u00f4ng \u0111i kh\u00e1m thai, l\u00fac sanh m\u1edbi v\u1ec1 \u0111\u1ecba ph\u01b0\u01a1ng n\u00ean ph\u00e1t hi\u1ec7n mu\u1ed9n kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p.<\/p>\n

    Ph\u1ee5 n\u1eef \u0111\u00e3 nhi\u1ec5m HIV hi\u1ec7n nay c\u0169ng c\u00f3 nhu c\u1ea7u c\u00f3 con. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ARV tr\u00ean m\u1ed9t n\u0103m, X\u00e9t nghi\u1ec7n t\u1ea3i l\u01b0\u1ee3ng Virus (TLVR) d\u01b0\u1edbi ng\u01b0\u1ee1ng s\u1ebd gi\u1ea3m nguy c\u01a1 l\u00e2y cho tr\u1ebb. TLVR < 50 b\u1ea3n sao\/ml t\u1ef7 l\u1ec7 l\u00e2y nhi\u1ec5m cho tr\u1ebb 0,25%, TLVR 50-1000 b\u1ea3n sao\/ml t\u1ef7 l\u1ec7 l\u00e2y nhi\u1ec5m cho tr\u1ebb 2%, TLVR > 1000 b\u1ea3n sao \/ml t\u1ef7 l\u1ec7 l\u00e2y nhi\u1ec5m cho tr\u1ebb 8,5%.<\/p>\n

    \u0110\u1ed1i v\u1edbi c\u1eb7p v\u1ee3 ch\u1ed3ng d\u1ecb nhi\u1ec5m ch\u1ed3ng nhi\u1ec5m HIV v\u1ee3 kh\u00f4ng nhi\u1ec5m HIV mu\u1ed1n c\u00f3 con n\u00ean \u0111i\u1ec1u tr\u1ecb ARV cho ch\u1ed3ng tr\u00ean 12 th\u00e1ng, khi TLVR < 200 b\u1ea3n sao\/ml s\u1ebd kh\u00f4ng l\u00e2y cho v\u1ee3. ho\u1eb7c d\u1ef1 ph\u00f2ng (PrEP) D\u1ef1 ph\u00f2ng tr\u01b0\u1edbc ph\u01a1i nhi\u1ec5m, cho v\u1ee3 u\u1ed1ng thu\u1ed1c ARV \u0111\u1ec3 c\u00f3 con nh\u01b0ng kh\u00f4ng l\u00e2y truy\u1ec1n HIV cho v\u1ee3 v\u00e0 con c\u1ee7a h\u1ecd.<\/p>\n

    H\u01b0\u1edbng t\u1edbi kh\u00f4ng c\u00f2n tr\u1ebb nhi\u1ec5m m\u1edbi:<\/p>\n

    Ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng ch\u1ed1ng HIV\/AIDS t\u1ec9nh An giang \u0111\u00e3 tri\u1ec3n khai ph\u00f2ng l\u00e2y truy\u1ec1n HIV T\u1eeb m\u1eb9 sang con t\u1eeb n\u0103m 2010. T\u1ea5t c\u1ea3 c\u00e1c ph\u1ee5 n\u1eef mang thai \u0111\u1ebfn kh\u00e1m thai t\u1ea1i x\u00e3\/ ph\u01b0\u1eddng \u0111\u1ec1u \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 l\u00e0m x\u00e9t nghi\u1ec7m mi\u1ec5n ph\u00ed ngay t\u1ea1i tr\u1ea1m Y t\u1ebf x\u00e3\/ph\u01b0\u1eddng t\u1eeb l\u1ea7n kh\u00e1m thai \u0111\u1ea7u ti\u00ean. X\u00e9t nghi\u1ec7m c\u00e0ng s\u1edbm th\u00ec vi\u1ec7c d\u1ef1 ph\u00f2ng c\u00e0ng hi\u1ec7u qu\u1ea3. Nh\u1eefng ph\u1ee5 n\u1eef \u0111\u1ebfn kh\u00e1m thai t\u1ea1i c\u00e1c c\u01a1 s\u1edf s\u1ea3n khoa kh\u00e1c c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m HIV.<\/p>\n

    \u0110i\u1ec1u tr\u1ecb s\u1edbm cho b\u00e0 m\u1eb9 mang thai: khi ph\u00e1t hi\u1ec7n d\u01b0\u01a1ng t\u00ednh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ngay, \u0111i\u1ec1u tr\u1ecb trong ng\u00e0y kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o T\u1ebf b\u00e0o CD4.<\/p>\n

    D\u1ef1 ph\u00f2ng s\u1edbm cho ngay sau khi sanh, tr\u1ebb \u0111\u01b0\u1ee3c u\u1ed1ng d\u1ef1 ph\u00f2ng ARV v\u00e0 s\u1eed d\u1ee5ng s\u1eefa thay th\u1ebf cho tr\u1ebb, X\u00e9t nghi\u1ec7m PCR cho tr\u1ebb t\u1eeb 1-2 ng\u00e0y tu\u1ed5i v\u00e0 l\u1ea7n 2 sau 4-6 tu\u1ea7n tu\u1ed5i.<\/p>\n

    C\u00e1c c\u01a1 s\u1edf s\u1ea3n khoa c\u00f3 sanh ph\u1ea3i c\u00f3 thu\u1ed1c ARV \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho m\u1eb9 v\u00e0 d\u1ef1 ph\u00f2ng cho tr\u1ebb k\u1ecbp th\u1eddi. Thu\u1ed1c ARV hi\u1ec7n nay kh\u00f4ng ch\u1eefa kh\u1ecfi b\u1ec7nh HIV nh\u01b0ng gi\u00fap ng\u01b0\u1eddi b\u1ec7nh s\u1ed1ng kh\u1ecfe m\u1ea1nh nh\u01b0 ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, n\u1ebfu tu\u00e2n th\u1ee7 t\u1ed1t tu\u1ed5i th\u1ecd c\u1ee7a h\u1ecd c\u0169ng gi\u1ed1ng nh\u01b0 b\u00ecnh th\u01b0\u1eddng kh\u00e1c.<\/p>\n

    Truy\u1ec1n th\u00f4ng gi\u1ea3m k\u1ef3 th\u1ecb v\u00e0 ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed v\u1edbi ph\u1ee5 n\u1eef mang thai nhi\u1ec5m HIV v\u00e0 tr\u1ebb sinh ra t\u1eeb m\u1eb9 nhi\u1ec5m HIV, t\u0103ng c\u01b0\u1eddng s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a gia \u0111\u00ecnh, x\u00e3 h\u1ed9i trong d\u1ef1 ph\u00f2ng l\u00e2y nhi\u1ec5m HIV t\u1eeb m\u1eb9 sang con.<\/p>\n

    Tuy\u00ean truy\u1ec1n d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con trong nh\u00f3m ph\u1ee5 n\u1eef \u1edf \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con, \u0111\u1ea3m b\u1ea3o d\u1ecbch v\u1ee5 s\u1eb5n c\u00f3, d\u1ec5 ti\u1ebfp c\u1eadn g\u00f3p ph\u1ea7n ti\u1ebfn t\u1edbi kh\u00f4ng c\u00f2n tr\u1ebb nhi\u1ec5m m\u1edbi.\/.<\/p>\n

    BS.CKI \u0110\u1ed7 Xu\u00e2n Nguy\u00ean \u2013 Tr\u01b0\u1edfng Khoa Lao\/HIV\/AIDS – CDC AG<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

    Ng\u00e0y 7 th\u00e1ng 5 n\u0103m 2021, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh k\u1ebf ho\u1ea1ch tri\u1ec3n khai Th\u00e1ng cao \u0111i\u1ec3m d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con n\u0103m 2021 t\u1eeb ng\u00e0y 01\/6 \u0111\u1ebfn ng\u00e0y 30\/6\/2021 v\u1edbi ch\u1ee7 \u0111\u1ec1 \u201c H\u01b0\u1edbng t\u1edbi lo\u1ea1i tr\u1eeb l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con v\u00e0o n\u0103m 2030\u201d Kh\u1ea9u […]<\/p>\n","protected":false},"author":3,"featured_media":6290,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[6],"tags":[],"class_list":["post-6288","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ban-tin-don-vi"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/6288","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=6288"}],"version-history":[{"count":3,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/6288\/revisions"}],"predecessor-version":[{"id":6292,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/6288\/revisions\/6292"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/6290"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=6288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=6288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=6288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}