{"id":23475,"date":"2024-06-04T01:25:04","date_gmt":"2024-06-04T01:25:04","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=23475"},"modified":"2024-06-05T08:06:20","modified_gmt":"2024-06-05T08:06:20","slug":"xet-nghiem-hiv-cho-me-suc-khoe-cho-con","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2024\/06\/04\/xet-nghiem-hiv-cho-me-suc-khoe-cho-con\/","title":{"rendered":"X\u00e9t nghi\u1ec7m HIV cho m\u1eb9, s\u1ee9c kho\u1ebb cho con!"},"content":{"rendered":"

L\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con l\u00e0 m\u1ed9t trong 3 con \u0111\u01b0\u1eddng l\u00e0m l\u00e2y nhi\u1ec5m HIV\/AIDS. N\u1ebfu ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m HIV th\u00ec nguy c\u01a1 l\u00e2y truy\u1ec1n cho con l\u00e0 r\u1ea5t cao. Tuy nhi\u00ean n\u1ebfu \u0111\u01b0\u1ee3c <\/em>ch\u1ea9n <\/em>\u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi th\u00ec <\/em>ph\u1ea7n l\u1edbn tr\u1ebb sinh ra s\u1ebd kh\u00f4ng b\u1ecb nhi\u1ec5m HIV t\u1eeb m\u1eb9<\/em>.<\/em><\/p>\n

L\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con l\u00e0 g\u00ec?<\/strong><\/p>\n

L\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con l\u00e0 thu\u1eadt ng\u1eef ch\u1ec9 s\u1ef1 l\u00e2y truy\u1ec1n HIV t\u1eeb ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u00e3 nhi\u1ec5m HIV sang con trong qu\u00e1 tr\u00ecnh mang thai, sinh con ho\u1eb7c cho con b\u00fa qua \u0111\u01b0\u1eddng s\u1eefa m\u1eb9, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 l\u00e2y truy\u1ec1n HIV chu sinh.<\/p>\n

C\u00e1c b\u00e0 m\u1eb9 chu\u1ea9n b\u1ecb mang thai, \u0111ang c\u00f3 thai n\u00ean \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t. C\u00e1n b\u1ed9 y t\u1ebf s\u1ebd h\u01b0\u1edbng d\u1eabn c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con.<\/p>\n

HIV l\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n

Ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m HIV c\u00f3 th\u1ec3 truy\u1ec1n HIV cho con \u1edf 3 giai \u0111o\u1ea1n: khi mang thai, khi chuy\u1ec3n d\u1ea1 v\u00e0 khi cho con b\u00fa.<\/p>\n

Khi mang thai: HIV t\u1eeb m\u00e1u c\u1ee7a m\u1eb9 nhi\u1ec5m HIV qua rau\/nhau thai \u0111\u1ec3 v\u00e0o c\u01a1 th\u1ec3 thai nhi.<\/p>\n

Khi sinh: HIV t\u1eeb n\u01b0\u1edbc \u1ed1i, d\u1ecbch t\u1eed cung, d\u1ecbch \u00e2m \u0111\u1ea1o c\u1ee7a m\u1eb9 x\u00e2m nh\u1eadp v\u00e0o tr\u1ebb khi sinh (qua ni\u00eam m\u1ea1c m\u1eaft, m\u0169i, h\u1eadu m\u00f4n ho\u1eb7c da s\u00e2y s\u00e1t c\u1ee7a tr\u1ebb trong qu\u00e1 tr\u00ecnh \u0111\u1ebb). Khi sinh HIV c\u0169ng c\u00f3 th\u1ec3 t\u1eeb trong m\u00e1u m\u1eb9 th\u00f4ng qua c\u00e1c v\u1ebft lo\u00e9t \u1edf c\u01a1 quan sinh d\u1ee5c m\u1eb9 m\u00e0 d\u00ednh v\u00e0o c\u01a1 th\u1ec3 (ni\u00eam m\u1ea1c) c\u1ee7a tr\u1ebb s\u01a1 sinh.<\/p>\n

Khi cho con b\u00fa: HIV c\u00f3 th\u1ec3 l\u00e2y qua s\u1eefa ho\u1eb7c c\u00e1c v\u1ebft n\u1ee9t \u1edf n\u00fam v\u00fa ng\u01b0\u1eddi m\u1eb9, nh\u1ea5t l\u00e0 khi tr\u1ebb \u0111ang c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u1edf ni\u00eam m\u1ea1c mi\u1ec7ng ho\u1eb7c khi tr\u1ebb m\u1ecdc r\u0103ng c\u1eafn n\u00fam v\u00fa ch\u1ea3y m\u00e1u.<\/p>\n

L\u00e0m g\u00ec \u0111\u1ec3 ph\u00f2ng ng\u1eeba l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con?<\/strong><\/p>\n

Vi\u1ec7t Nam \u0111\u1eb7t m\u1ee5c ti\u00eau ti\u1ebfn t\u1edbi lo\u1ea1i tr\u1eeb l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con v\u00e0o n\u0103m 2030. \u0110\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c \u0111i\u1ec1u \u0111\u00f3 vi\u1ec7c d\u1ef1 ph\u00f2ng l\u00e0 h\u1ebft s\u1ee9c quan tr\u1ecdng. Theo khuy\u1ebfn c\u00e1o c\u1ee7a Trung t\u00e2m Ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt th\u00e0nh ph\u1ed1 H\u1ea3i Ph\u00f2ng, vi\u1ec7c d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p sau:<\/p>\n

\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef ch\u01b0a nhi\u1ec5m HIV:<\/em><\/p>\n

Ph\u00f2ng l\u00e2y nhi\u1ec5m HIV qua \u0111\u01b0\u1eddng m\u00e1u: Kh\u00f4ng s\u1eed d\u1ee5ng chung b\u01a1m kim ti\u00eam v\u1edbi b\u1ea5t k\u1ef3 ai; M\u1ecdi d\u1ee5ng c\u1ee5 xuy\u00ean ch\u00edch qua da v\u00e0 ni\u00eam m\u1ea1c d\u00f9ng trong ti\u00eam, ch\u00edch, trong th\u1ee7 thu\u1eadt, ph\u1eabu thu\u1eadt ch\u1eefa b\u1ec7nh v\u00e0 ph\u1eabu thu\u1eadt th\u1ea9m m\u1ef9 v.v\u2026 \u0111\u1ec1u ph\u1ea3i d\u00f9ng ri\u00eang ho\u1eb7c sau khi \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ec7t tr\u00f9ng \u0111\u00fang c\u00e1ch; D\u00f9ng ri\u00eang m\u1ecdi d\u1ee5ng c\u1ee5 c\u00f3 kh\u1ea3 n\u0103ng d\u00ednh m\u00e1u.<\/p>\n

Ph\u00f2ng l\u00e2y nhi\u1ec5m HIV qua ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi d\u1ecbch sinh d\u1ee5c (quan h\u1ec7 t\u00ecnh d\u1ee5c): S\u1ed1ng chung th\u1ee7y v\u1edbi nhau t\u1eeb c\u1ea3 hai ph\u00eda v\u00e0 c\u1ea3 hai kh\u00f4ng nhi\u1ec5m HIV, n\u1ebfu c\u00f3 nhi\u1ec5m HIV c\u1ea7n tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng HIV (ARV) \u0111\u1ea1t K=K (Kh\u00f4ng ph\u00e1t hi\u1ec7n = Kh\u00f4ng l\u00e2y truy\u1ec1n; B\u1eb1ng ch\u1ee9ng khoa h\u1ecdc ch\u1ec9 ra r\u1eb1ng m\u1ed9t ng\u01b0\u1eddi nhi\u1ec5m HIV tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb ARV \u0111\u1ea1t t\u1ea3i l\u01b0\u1ee3ng vi r\u00fat HIV d\u01b0\u1edbi ng\u01b0\u1ee1ng ph\u00e1t hi\u1ec7n s\u1ebd kh\u00f4ng l\u00e0m l\u00e2y truy\u1ec1n HIV qua quan h\u1ec7 t\u00ecnh d\u1ee5c); S\u1eed d\u1ee5ng bao cao su \u0111\u00fang c\u00e1ch m\u1ed7i l\u1ea7n quan h\u1ec7 t\u00ecnh d\u1ee5c;<\/p>\n

Ph\u1ee5 n\u1eef c\u1ea7n x\u00e9t nghi\u1ec7m HIV tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh mang thai ho\u1eb7c x\u00e9t nghi\u1ec7m HIV khi bi\u1ebft m\u00ecnh mang thai.<\/p>\n

Ph\u1ee5 n\u1eef mang thai: Th\u1eddi \u0111i\u1ec3m x\u00e9t nghi\u1ec7m HIV t\u1ed1t nh\u1ea5t l\u00e0 trong ba th\u00e1ng \u0111\u1ea7u c\u1ee7a thai k\u1ef3. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi nh\u1eefng ph\u1ee5 n\u1eef t\u1eebng c\u00f3 h\u00e0nh vi nguy c\u01a1 nh\u01b0 \u0111\u00e3 t\u1eebng quan h\u1ec7 t\u00ecnh d\u1ee5c v\u1edbi ng\u01b0\u1eddi kh\u00f4ng bi\u1ebft t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV, s\u1eed d\u1ee5ng chung b\u01a1m kim ti\u00eam v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 ti\u00eam ch\u00edch, ho\u1eb7c b\u1ea3n th\u00e2n h\u1ecd thu\u1ed9c nh\u00f3m c\u00f3 nguy c\u01a1 cao nh\u01b0 ph\u1ee5 n\u1eef b\u00e1n d\u00e2m, c\u00f3 nhi\u1ec1u b\u1ea1n t\u00ecnh ho\u1eb7c ph\u1ee5 n\u1eef c\u00f3 ch\u1ed3ng, b\u1ea1n t\u00ecnh nghi\u1ec7n ch\u00edch ma t\u00fay.<\/p>\n

\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef nhi\u1ec5m HIV:<\/em><\/p>\n

C\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u1ef9 chuy\u00ean khoa tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh mang thai. S\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p k\u1ebf ho\u1ea1ch h\u00f3a gia \u0111\u00ecnh \u0111\u1ec3 tr\u00e1nh mang thai ngo\u00e0i \u00fd mu\u1ed1n.<\/p>\n

Ph\u1ee5 n\u1eef nhi\u1ec5m HIV mu\u1ed1n sinh con ho\u1eb7c ph\u00e1t hi\u1ec7n nhi\u1ec5m HIV khi mang thai: C\u1ea7n t\u1edbi ngay c\u00e1c c\u01a1 s\u1edf c\u00f3 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng HIV (ARV); C\u1ea7n u\u1ed1ng thu\u1ed1c ARV ngay sau ph\u00e1t hi\u1ec7n nhi\u1ec5m HIV v\u00e0 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u1ef9.<\/p>\n\n\n\n
\u00d8 Ph\u1ee5\u00a0 n\u1eef mang thai c\u1ea7n x\u00e9t nghi\u1ec7m HIV ngay trong ba th\u00e1ng \u0111\u1ea7u \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con k\u1ecbp th\u1eddi.<\/p>\n

\u00d8 N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p, t\u1ef7 l\u1ec7 l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con c\u00f3 th\u1ec3 l\u00ean t\u1edbi 30-40%.<\/p>\n

\u00d8 N\u1ebfu ph\u1ee5 n\u1eef nhi\u1ec5m HIV \u0111\u01b0\u1ee3c can thi\u1ec7p v\u00e0 \u0111i\u1ec1u tr\u1ecb ARV s\u1edbm v\u00e0 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb t\u1ed1t, ph\u1ea7n l\u1edbn tr\u1ebb sinh ra kh\u00f4ng b\u1ecb nhi\u1ec5m HIV t\u1eeb m\u1eb9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Khoa ph\u00f2ng ch\u1ed1ng HIV\/AIDS <\/strong><\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Trung t\u00e2m Ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt H\u1ea3i Ph\u00f2ng<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

L\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con l\u00e0 m\u1ed9t trong 3 con \u0111\u01b0\u1eddng l\u00e0m l\u00e2y nhi\u1ec5m HIV\/AIDS. N\u1ebfu ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m HIV th\u00ec nguy c\u01a1 l\u00e2y truy\u1ec1n cho con l\u00e0 r\u1ea5t cao. Tuy nhi\u00ean n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi th\u00ec ph\u1ea7n l\u1edbn tr\u1ebb sinh ra s\u1ebd kh\u00f4ng b\u1ecb nhi\u1ec5m HIV […]<\/p>\n","protected":false},"author":21,"featured_media":23541,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[114,104],"tags":[],"class_list":{"0":"post-23475","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-phong-chong-hiv-aids","8":"category-suc-khoe-cho-moi-nha"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/23475","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=23475"}],"version-history":[{"count":1,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/23475\/revisions"}],"predecessor-version":[{"id":23542,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/23475\/revisions\/23542"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media\/23541"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=23475"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=23475"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=23475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}