{"id":3138,"date":"2024-01-01T04:02:27","date_gmt":"2023-12-31T21:02:27","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/dieu-tri-phoi-nhiem-vi-rut-hiv-cang-som-cang-tot\/"},"modified":"2024-01-01T04:02:27","modified_gmt":"2023-12-31T21:02:27","slug":"dieu-tri-phoi-nhiem-vi-rut-hiv-cang-som-cang-tot","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/dieu-tri-phoi-nhiem-vi-rut-hiv-cang-som-cang-tot\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ph\u01a1i nhi\u1ec5m vi r\u00fat HIV c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t"},"content":{"rendered":"<div>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ph\u01a1i nhi\u1ec5m vi r\u00fat HIV c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m b\u1ec7nh. N\u00ean r\u1eeda s\u1ea1ch v\u1ebft th\u01b0\u01a1ng, \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng. \u0110i\u1ec1u tr\u1ecb bao g\u1ed3m u\u1ed1ng thu\u1ed1c ARV trong 28 ng\u00e0y v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV. Hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn 90 \u2013 95% trong v\u00e0i gi\u1edd \u0111\u1ea7u v\u00e0 gi\u1ea3m d\u1ea7n sau 72 gi\u1edd.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/baodaklak.vn\/file\/\/fb9e3a03798789de0179a1704dea238e\/012024\/image0013_20240101205504.jpg\" width=\"100%\/\" alt=\"\" title=\"\"><br \/>\n<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ph\u01a1i nhi\u1ec5m vi r\u00fat HIV c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t<\/p>\n<p>Ph\u01a1i nhi\u1ec5m (exposure) l\u00e0 thu\u1eadt ng\u1eef ch\u1ec9 s\u1ef1 ti\u1ebfp x\u00fac ni\u00eam m\u1ea1c ho\u1eb7c v\u1ebft th\u01b0\u01a1ng h\u1edf v\u1edbi m\u00e1u, c\u00e1c m\u00f4, d\u1ecbch c\u01a1 th\u1ec3 kh\u00e1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh. Nguy c\u01a1 khi t\u1ef1 \u00fd mua thu\u1ed1c ARV \u0111i\u1ec1u tr\u1ecb, ch\u1ed1ng ph\u01a1i nhi\u1ec5m HIV\/AIDS X\u1eed tr\u00ed ph\u01a1i nhi\u1ec5m HIV do tai n\u1ea1n ngh\u1ec1 nghi\u1ec7p L\u00e0m g\u00ec khi ph\u01a1i nhi\u1ec5m HIV? Tuy\u00ean truy\u1ec1n ph\u00f2ng, ch\u1ed1ng ma t\u00fay v\u00e0 b\u1ed5 tr\u1ee3 ki\u1ebfn th\u1ee9c ph\u00f2ng tr\u00e1nh ph\u01a1i nhi\u1ec5m HIV<\/p>\n<p>Theo \u0111\u1ecbnh ngh\u0129a c\u1ee7a B\u1ed9 Y t\u1ebf, ph\u01a1i nhi\u1ec5m HIV l\u00e0 thu\u1eadt ng\u1eef d\u00f9ng \u0111\u1ec3 ch\u1ec9 s\u1ef1 ti\u1ebfp x\u00fac ni\u00eam m\u1ea1c ho\u1eb7c da c\u1ee7a ng\u01b0\u1eddi kh\u00f4ng b\u1ecb b\u1ec7nh v\u1edbi m\u00e1u, m\u00f4 hay d\u1ecbch c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi kh\u00e1c g\u00e2y nguy c\u01a1 l\u00e2y nhi\u1ec5m HIV. C\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u01a1i nhi\u1ec5m HIV, bao g\u1ed3m:<\/p>\n<p>1. Khi l\u00e0m c\u00e1c th\u1ee7 thu\u1eadt y t\u1ebf nh\u01b0 ti\u00eam truy\u1ec1n ho\u1eb7c l\u1ea5y m\u00e1u l\u00e0m x\u00e9t nghi\u1ec7m b\u1ecb kim \u0111\u00e2m v\u00e0o.<br \/>\n<br \/>2. V\u1ebft th\u01b0\u01a1ng do dao m\u1ed5 hay c\u00e1c d\u1ee5ng c\u1ee5 s\u1eafc nh\u1ecdn ch\u1ecdc hay \u0111\u00e2m v\u00e0o g\u00e2y ra ch\u1ea3y m\u00e1u.<br \/>\n<br \/>3. B\u1ecb t\u1ed5n th\u01b0\u01a1ng qua da do c\u00e1c \u1ed1ng \u0111\u1ef1ng m\u00e1u hay ch\u1ea5t d\u1ecbch c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb v\u1ee1 \u0111\u00e2m v\u00e0o.<br \/>\n<br \/>4. M\u00e1u ho\u1eb7c d\u1ecbch c\u1ee7a ng\u01b0\u1eddi c\u00f3 HIV b\u1eafn v\u00e0o c\u00e1c v\u00f9ng da b\u1ecb t\u1ed5n th\u01b0\u01a1ng, v\u00e0o ni\u00eam m\u1ea1c nh\u01b0 m\u1eaft, m\u0169i, h\u1ecdng.<br \/>\n<br \/>5. B\u1ecb ng\u01b0\u1eddi kh\u00e1c d\u00f9ng b\u01a1m kim ti\u00eam \u0111\u00e3 qua s\u1eed d\u1ee5ng c\u00f3 m\u00e1u v\u00e0 c\u00f3 ch\u1ee9a vi r\u00fat HIV \u0111\u00e2m v\u00e0o.<br \/>\n<br \/>6. Nh\u1eefng ng\u01b0\u1eddi trong khi l\u00e0m nhi\u1ec7m v\u1ee5 nh\u01b0 c\u00f4ng an, b\u00e1c s\u0129\u2026 c\u1ea5p c\u1ee9u tai n\u1ea1n giao th\u00f4ng, b\u1eaft t\u1ed9i ph\u1ea1m.<br \/>\n<br \/>7. Quan h\u1ec7 t\u00ecnh d\u1ee5c v\u1edbi ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m HIV m\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng bao cao su ph\u00f2ng ng\u1eeba.<\/p>\n<p>Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i tr\u01b0\u1eddng h\u1ee3p n\u00e0o b\u1ecb ph\u01a1i nhi\u1ec5m HIV c\u0169ng s\u1ebd b\u1ecb nhi\u1ec5m HIV. \u0110i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng h\u00e0nh vi c\u1ee5 th\u1ec3 v\u00e0 m\u1ee9c \u0111\u1ed9 nguy c\u01a1 c\u1ee7a h\u00e0nh vi \u0111\u00f3. Khi g\u1eb7p tr\u01b0\u1eddng h\u1ee3p r\u1ee7i ro, vi\u1ec7c x\u1eed tr\u00ed sau ph\u01a1i nhi\u1ec5m l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00e0 c\u00f3 \u00fd ngh\u0129a \u0111\u1eb7c bi\u1ec7t, gi\u00fap h\u1ea1n ch\u1ebf nguy c\u01a1 l\u00e2y nhi\u1ec5m HIV \u0111\u1ed1i v\u1edbi n\u1ea1n nh\u00e2n v\u00e0 ng\u01b0\u1eddi th\u00e2n.<\/p>\n<p>Quy tr\u00ecnh x\u1eed l\u00fd t\u1ea1i ch\u1ed7 ph\u1ea3i \u0111\u1ea3m b\u1ea3o nguy\u00ean t\u1eafc sau:<br \/>\n<br \/>1. R\u1eeda s\u1ea1ch v\u1ebft th\u01b0\u01a1ng d\u01b0\u1edbi v\u00f2i n\u01b0\u1edbc b\u1eb1ng n\u01b0\u1edbc s\u1ea1ch, x\u00e0 ph\u00f2ng ho\u1eb7c c\u00e1c n\u01b0\u1edbc s\u00e1t tr\u00f9ng.<br \/>\n<br \/>2. Khi v\u1ebft th\u01b0\u01a1ng ch\u1ea3y m\u00e1u, c\u1ea7n \u0111\u1ec3 m\u00e1u ch\u1ea3y t\u1ef1 nhi\u00ean trong th\u1eddi gian ng\u1eafn, kh\u00f4ng c\u1ed1 g\u1eafng n\u1eb7n m\u00e1u hay ch\u00e0 x\u00e1t v\u1ebft th\u01b0\u01a1ng.<br \/>\n<br \/>3. Nhanh ch\u00f3ng \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng ph\u01a1i nhi\u1ec5m.<\/p>\n<p>\u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p b\u1ecb b\u1eafn v\u00e0o m\u1eaft, m\u0169i, mi\u1ec7ng ho\u1eb7c b\u1ec1 m\u1eb7t da, c\u1ea7n nhanh ch\u00f3ng d\u00f9ng n\u01b0\u1edbc s\u1ea1ch ho\u1eb7c n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd \u0111\u1ec3 ng\u00e2m m\u1eaft, x\u1ecbt m\u0169i, s\u00fac mi\u1ec7ng trong v\u00f2ng 5 ph\u00fat. N\u1ebfu b\u1ec1 m\u1eb7t da kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng, ch\u1ec9 c\u1ea7n r\u1eeda s\u1ea1ch.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ph\u01a1i nhi\u1ec5m HIV th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng vi\u1ec7c u\u1ed1ng thu\u1ed1c ARV trong 28 ng\u00e0y theo ph\u00e1c \u0111\u1ed3 c\u1ee7a B\u1ed9 Y t\u1ebf. Th\u01b0\u1eddng nh\u1eefng b\u1ec7nh nh\u00e2n nghi ph\u01a1i nhi\u1ec5m khi \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf s\u1ebd \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c trong 3 ng\u00e0y \u0111\u1ea7u \u0111\u1ec3 theo d\u00f5i t\u00e1c d\u1ee5ng ph\u1ee5, cho l\u00e0m x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 xem b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc \u0111\u00f3 c\u00f3 b\u1ecb nhi\u1ec5m HIV hay kh\u00f4ng. Sau \u0111\u00f3, s\u1ebd \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n cho 25 ng\u00e0y ti\u1ebfp theo \u0111\u1ec3 ho\u00e0n th\u00e0nh li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u01a1i nhi\u1ec5m trong 4 tu\u1ea7n. Sau \u0111\u00f3, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m l\u1ea1i v\u00e0 h\u1eb9n x\u00e9t nghi\u1ec7m l\u1ea1i sau 3 th\u00e1ng \u0111\u1ec3 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV.<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a d\u1ef1 ph\u00f2ng v\u00e0 th\u00f4ng tin v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. N\u1ebfu ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 ho\u1eb7c kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1ee3c thu\u1ed1c, c\u1ea7n quay l\u1ea1i c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh ho\u1eb7c thay \u0111\u1ed5i ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ph\u01a1i nhi\u1ec5m HIV c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t v\u00e0 kh\u00f4ng qu\u00e1 72 gi\u1edd sau khi b\u1ecb ph\u01a1i nhi\u1ec5m, v\u00ec sau 3 ng\u00e0y, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng c\u00f2n t\u00e1c d\u1ee5ng. \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng sau ph\u01a1i nhi\u1ec5m HIV c\u00f3 hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 r\u1ea5t cao, l\u00ean \u0111\u1ebfn 90 \u2013 95% trong v\u00e0i gi\u1edd \u0111\u1ea7u v\u00e0 duy tr\u00ec trong kho\u1ea3ng 72 gi\u1edd t\u00ednh t\u1eeb th\u1eddi \u0111i\u1ec3m ph\u01a1i nhi\u1ec5m. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 n\u00e0y s\u1ebd gi\u1ea3m d\u1ea7n theo th\u1eddi gian t\u1eeb th\u1eddi \u0111i\u1ec3m ti\u1ebfp x\u00fac v\u1edbi y\u1ebfu t\u1ed1 ph\u01a1i nhi\u1ec5m.<\/p>\n<p>Ngu\u1ed3n: Nguy\u1ec5n C\u00f4ng Th\u00e0nh.<\/p>\n<p>Ngu\u1ed3n th\u00f4ng tin \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb: <a target=\"_blank\" href=\"https:\/\/baodaklak.vn\/y-te-suc-khoe\/202401\/dieu-tri-phoi-nhiem-vi-rut-hiv-cang-som-cang-tot-ca2118a\/\" rel=\"noopener\">baodaklak<\/a><br \/>\n<br \/>N\u1ed9i dung \u0111\u01b0\u1ee3c bi\u00ean t\u1eadp b\u1edfi: <a target=\"_blank\" href=\"https:\/\/ykhoataynguyen.com\/\" rel=\"noopener\">ykhoataynguyen .com<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ph\u01a1i nhi\u1ec5m vi r\u00fat HIV c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m b\u1ec7nh. N\u00ean r\u1eeda s\u1ea1ch v\u1ebft th\u01b0\u01a1ng, \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng. \u0110i\u1ec1u tr\u1ecb bao g\u1ed3m u\u1ed1ng thu\u1ed1c ARV trong 28 ng\u00e0y v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV. Hi\u1ec7u qu\u1ea3 &hellip;<\/p>\n","protected":false},"author":36,"featured_media":3139,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[148,149],"tags":[],"class_list":["post-3138","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-tin-y-te","category-tin-y-te-dak-lak"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/36"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=3138"}],"version-history":[{"count":0,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3138\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/3139"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=3138"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=3138"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=3138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}