{"id":251,"date":"2020-07-02T10:33:20","date_gmt":"2020-07-02T03:33:20","guid":{"rendered":"http:\/\/pktanquy.benhvienhuyencuchi.com\/?p=251"},"modified":"2020-07-02T10:33:20","modified_gmt":"2020-07-02T03:33:20","slug":"dieu-tri-thuoc-arv-som-cho-ba-me-suc-khoe-cho-con","status":"publish","type":"post","link":"https:\/\/pktanquy.benhvienhuyencuchi.com\/?p=251","title":{"rendered":"\u201c\u0110I\u1ec0U TR\u1eca THU\u1ed0C ARV S\u1edaM CHO B\u00c0 M\u1eb8 – S\u1ee8C KH\u1eceE CHO CON\u201d"},"content":{"rendered":"\n

– T\u1ea7m quan tr\u1ecdng c\u1ee7a d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 qua con:<\/strong> M\u1ed9t b\u00e0 m\u1eb9 b\u1ecb nhi\u1ec5m HIV mang thai c\u00f3 th\u1ec3 l\u00e0m l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con. N\u1ebfu 100 tr\u1ebb sinh ra t\u1eeb b\u00e0 m\u1eb9 nhi\u1ec5m HIV kh\u00f4ng \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c kh\u00e1ng HIV \u0111\u1ec3 ph\u00f2ng l\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con th\u00ec trung b\u00ecnh c\u00f3 30-35 tr\u1ebb sinh ra b\u1ecb l\u00e2y nhi\u1ec5m HIV t\u1eeb m\u1eb9. Trong khi \u0111\u00f3 n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, t\u1ef7 l\u1ec7 n\u00e0y gi\u1ea3m xu\u1ed1ng c\u00f2n d\u01b0\u1edbi 5% (100 tr\u1ebb sinh ra c\u00f3 th\u1ec3 ch\u1ec9 c\u00f3 3-5 tr\u1ebb nhi\u1ec5m HIV t\u1eeb m\u1eb9 ho\u1eb7c th\u1eadm ch\u00ed c\u00f2n \u00edt h\u01a1n n\u1eefa).<\/p>\n\n\n\n

– T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m HIV s\u1edbm:<\/strong><\/p>\n\n\n\n

+ \u1ede n\u01b0\u1edbc ta \u01b0\u1edbc t\u00ednh trung b\u00ecnh m\u1ed7i n\u0103m c\u00f3 t\u1eeb 1,5-2 tri\u1ec7u ph\u1ee5 n\u1eef mang thai. V\u1edbi t\u1ef7 l\u1ec7 nhi\u1ec5m HIV kho\u1ea3ng 0,25-0,3% trong nh\u00f3m n\u00e0y th\u00ec m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng t\u1eeb 4.000-6.000 b\u00e0 m\u1eb9 mang thai nhi\u1ec5m HIV.<\/p>\n\n\n\n

+ N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p m\u1ed7i n\u0103m s\u1ebd c\u00f3 1.500-3.000 tr\u1ebb b\u1ecb nhi\u1ec5m HIV ra \u0111\u1eddi. N\u1ebfu \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng th\u00edch h\u1ee3p, m\u1ed7i n\u0103m ch\u1ec9 c\u00f2n kho\u1ea3ng 150-200 tr\u1ebb b\u1ecb nhi\u1ec5m HIV t\u1eeb m\u1eb9. H\u00e0ng ng\u00e0n tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c c\u1ee9u tho\u00e1t kh\u1ecfi HIV.<\/p>\n\n\n\n

+ Do \u0111\u00f3, x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n s\u1edbm t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV \u1edf ph\u1ee5 n\u1eef mang thai \u0111\u1ec3 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p d\u1ef1 ph\u00f2ng l\u00e0 r\u1ea5t quan tr\u1ecdng, nh\u1eb1m:<\/p>\n\n\n\n

\u2022 Gi\u00fap ph\u1ee5 n\u1eef mang thai nhi\u1ec5m HIV t\u1ef1 quy\u1ebft \u0111\u1ecbnh c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 sinh con, v\u1ec1 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con;<\/p>\n\n\n\n

\u2022 Gi\u00fap ph\u1ee5 mang thai ch\u01b0a nhi\u1ec5m HIV bi\u1ebft v\u1ec1 HIV, v\u1ec1 x\u00e9t nghi\u1ec7m HIV, v\u1ec1 d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con, …<\/p>\n\n\n\n

\u2022 Gi\u00fap ph\u1ee5 n\u1eef mang thai th\u1ef1c hi\u1ec7n c\u00e1c h\u00e0nh vi an to\u00e0n \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 l\u00e2y truy\u1ec1n HIV cho m\u00ecnh v\u00e0 cho con, …<\/p>\n\n\n\n

\u2022 H\u1ed7 tr\u1ee3 v\u1ec1 m\u1eb7t t\u00ecnh c\u1ea3m, t\u00e2m l\u00fd v\u00e0 gi\u00fap cho ph\u1ee5 n\u1eef mang thai nhi\u1ec5m HIV:<\/p>\n\n\n\n

– Nh\u1eefng bi\u1ec7n ph\u00e1p can thi\u1ec7p gi\u00fap d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con:<\/strong> V\u1edbi nh\u1eefng ph\u1ee5 n\u1eef m\u1edbi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n nhi\u1ec5m HIV khi mang thai, vi\u1ec7c nh\u1eadn k\u1ebft qu\u1ea3 HIV d\u01b0\u01a1ng t\u00ednh \u00edt nhi\u1ec1u c\u0169ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00e2m l\u00fd. Do \u0111\u00f3 h\u1ecd r\u1ea5t c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u1ec1 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n c\u0169ng nh\u01b0 ti\u1ebfp c\u1eadn nh\u1eefng bi\u1ec7n ph\u00e1p can thi\u1ec7p gi\u00fap d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con.<\/p>\n\n\n\n

+Trong khi mang thai:<\/strong> Th\u1ef1c hi\u1ec7n t\u01b0 v\u1ea5n \u0111\u1ea7y \u0111\u1ee7 tr\u01b0\u1edbc v\u00e0 sau x\u00e9t nghi\u1ec7m HIV. T\u01b0 v\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng khi mang thai v\u00e0 nu\u00f4i d\u01b0\u1ee1ng tr\u1ebb sau sinh; v\u1ec1 nguy c\u01a1 v\u00e0 b\u1ea5t l\u1ee3i c\u00f3 th\u1ec3 x\u1ea3y ra khi mang thai, sinh \u0111\u1ebb, k\u1ec3 c\u1ea3 vi\u1ec7c nu\u00f4i d\u01b0\u1ee1ng v\u00e0 ch\u0103m s\u00f3c tr\u1ebb sau n\u00e0y. T\u01b0 v\u1ea5n h\u1ed7 tr\u1ee3 tinh th\u1ea7n, th\u1ef1c hi\u1ec7n c\u00e1c h\u00e0nh vi an to\u00e0n tr\u00e1nh \u0111\u1ec3 l\u00e2y nhi\u1ec5m HIV cho b\u1ea3n th\u00e2n v\u00e0 ng\u01b0\u1eddi xung quanh. \u0110\u1ed3ng th\u1eddi t\u1eadp hu\u1ea5n s\u1eb5n s\u00e0ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ARV v\u00e0 th\u1ef1c h\u00e0nh tu\u00e2n th\u1ee7 thu\u1ed1c ARV.<\/p>\n\n\n\n

+Trong khi sinh:<\/strong> \u0110\u1ea3m b\u1ea3o c\u00e1c nguy\u00ean t\u1eafc v\u00f4 khu\u1ea9n trong s\u1ea3n khoa. H\u1ea1n ch\u1ebf c\u00e1c th\u1ee7 thu\u1eadt: b\u1ea5m \u1ed1i, m\u1ed5 l\u1ea5y thai, \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c, r\u1ea1ch m\u00e0ng \u1ed1i s\u1edbm. T\u1eafm cho tr\u1ebb ngay sau sinh.<\/p>\n\n\n\n

+Sau khi sinh:<\/strong> Th\u1ef1c hi\u1ec7n c\u1ea5p ph\u00e1t \u0111\u1ee7 li\u1ec1u thu\u1ed1c ARV cho m\u1eb9 n\u1ebfu m\u1eb9 v\u00e0 tr\u1ebb \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n s\u1edbm. Chuy\u1ec3n ti\u1ebfp h\u1ed3 s\u01a1 \u0111\u1ebfn c\u01a1 s\u1edf ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb HIV d\u00e0nh cho ng\u01b0\u1eddi l\u1edbn \u0111\u1ec3 ng\u01b0\u1eddi m\u1eb9 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i.<\/p>\n\n\n\n

+Ch\u0103m s\u00f3c v\u00e0 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng cho tr\u1ebb<\/strong> C\u1ea5p ph\u00e1t \u0111\u1ee7 li\u1ec1u thu\u1ed1c ARV cho tr\u1ebb v\u00e0 h\u01b0\u1edbng d\u1eabn m\u1eb9 ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c th\u1ef1c h\u00e0nh tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb ARV cho tr\u1ebb. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft, h\u1eb9n t\u00e1i kh\u00e1m \u0111\u1ec3 c\u1ea5p thu\u1ed1c v\u00e0 t\u01b0 v\u1ea5n th\u00eam.Gi\u1edbi thi\u1ec7u tr\u1ebb \u0111\u1ebfn v\u1edbi c\u00e1c c\u01a1 s\u1edf ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb HIV d\u00e0nh cho tr\u1ebb em \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 theo d\u00f5i l\u00e2u d\u00e0i, khi tr\u1ebb \u0111\u01b0\u1ee3c 4-6 tu\u1ea7n tu\u1ed5i. N\u1ebfu tr\u1ebb m\u1ed3 c\u00f4i th\u00ec \u0111\u1ed9ng vi\u00ean gia \u0111\u00ecnh ti\u1ebfp t\u1ee5c ch\u0103m s\u00f3c tr\u1ebb ho\u1eb7c gi\u1edbi thi\u1ec7u tr\u1ebb \u0111\u1ebfn c\u00e1c trung t\u00e2m ch\u0103m s\u00f3c tr\u1ebb m\u1ed3 c\u00f4i.V\u1ec1 ti\u00eam ch\u1ee7ng, sau khi sinh tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc-xin theo \u0111\u00fang l\u1ecbch ti\u00eam ch\u1ee7ng nh\u01b0 tr\u1ebb b\u00ecnh th\u01b0\u1eddng (v\u00ed d\u1ee5 v\u1eafc-xin ph\u00f2ng b\u1ec7nh vi\u00eam gan B, v\u1eafc-xin ph\u00f2ng b\u1ec7nh lao).<\/p>\n\n\n\n

+Nu\u00f4i d\u01b0\u1ee1ng tr\u1ebb sau khi sinh<\/strong> Nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con. T\u1ef7 l\u1ec7 n\u00e0y cao nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi v\u1eeba cho con b\u00fa s\u1eefa m\u1eb9 v\u1eeba cho con \u0103n th\u1ee9c \u0103n thay th\u1ebf, sau \u0111\u00f3 m\u1edbi \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 ho\u00e0n to\u00e0n.Ph\u1ee5 n\u1eef nhi\u1ec5m HIV ch\u1ec9 n\u00ean ch\u1ecdn m\u1ed9t c\u00e1ch nu\u00f4i con, ho\u1eb7c l\u00e0 b\u00fa s\u1eefa m\u1eb9 ho\u1eb7c l\u00e0 b\u00fa s\u1eefa ngo\u00e0i ho\u00e0n to\u00e0n. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng n\u00ean cho tr\u1ebb v\u1eeba b\u00fa m\u1eb9 v\u1eeba b\u00fa s\u1eefa ngo\u00e0i thay th\u1ebf, v\u00ec s\u1ebd l\u00e0m t\u0103ng cao nguy c\u01a1 nhi\u1ec5m HIV cho tr\u1ebb, th\u1eadm ch\u00ed cao h\u01a1n l\u00e0 n\u1ebfu tr\u1ebb ch\u1ec9 b\u00fa m\u1eb9.<\/p>\n\n\n\n

N\u1ebfu mu\u1ed1n nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 th\u00ec ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m HIV ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi-r\u00fat ARV v\u00e0 \u0111\u1ea3m b\u1ea3o tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb t\u1ed1t \u0111\u1ec3 \u0111\u1ea1t t\u1ea3i l\u01b0\u1ee3ng vi r\u00fat HIV d\u01b0\u1edbi ng\u01b0\u1ee1ng \u1ee9c ch\u1ebf. Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111i\u1ec1u tr\u1ecb th\u00ec ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m HIV n\u00ean nu\u00f4i con b\u1eb1ng s\u1eefa thay th\u1ebf.<\/p>\n\n\n\n

N\u1ebfu c\u00e1c b\u00e0 m\u1eb9 kh\u00f4ng c\u00f3 s\u1ef1 l\u1ef1a ch\u1ecdn n\u00e0o kh\u00e1c m\u00e0 quy\u1ebft \u0111\u1ecbnh cho con b\u00fa s\u1eefa m\u1eb9 th\u00ec c\u1ea7n ph\u1ea3i v\u1ec7 sinh \u0111\u1ea7u v\u00fa s\u1ea1ch s\u1ebd, th\u01b0\u1eddng xuy\u00ean v\u00e0 cho con b\u00fa ho\u00e0n to\u00e0n b\u1eb1ng s\u1eefa m\u1eb9 m\u00e0 kh\u00f4ng d\u00f9ng s\u1eefa thay th\u1ebf hay b\u1ea5t c\u1ee9 th\u1ee9c \u0103n, n\u01b0\u1edbc u\u1ed1ng n\u00e0o kh\u00e1c. \u0110\u1eb7c bi\u1ec7t, c\u1ea7n ng\u1eebng cho tr\u1ebb b\u00fa c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, mu\u1ed9n nh\u1ea5t l\u00e0 khi tr\u1ebb 6 th\u00e1ng tu\u1ed5i. Khi ng\u1eebng cho tr\u1ebb b\u00fa s\u1eefa m\u1eb9 c\u1ea7n chuy\u1ec3n ngay sang s\u1eed d\u1ee5ng th\u1ee9c \u0103n thay th\u1ebf nh\u01b0 s\u1eefa b\u1ed9t, b\u1ed9t, ch\u00e1o. B\u00ean c\u1ea1nh \u0111\u00f3, tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 x\u00e9t nghi\u1ec7m nh\u1eb1m x\u00e1c \u0111\u1ecbnh s\u1edbm t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV, \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng c\u00e1c nhi\u1ec5m tr\u00f9ng c\u01a1 h\u1ed9i.<\/p>\n\n\n\n

Ngu\u1ed3n: Trung t\u00e2m Truy\u1ec1n th\u00f4ng – Gi\u00e1o d\u1ee5c S\u1ee9c kh\u1ecfe TP.HCM <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

– T\u1ea7m quan tr\u1ecdng c\u1ee7a d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 qua con: M\u1ed9t b\u00e0 m\u1eb9 b\u1ecb nhi\u1ec5m HIV mang thai c\u00f3 th\u1ec3 l\u00e0m l\u00e2y truy\u1ec1n HIV t\u1eeb m\u1eb9 sang con. N\u1ebfu 100 tr\u1ebb sinh ra t\u1eeb b\u00e0 m\u1eb9 nhi\u1ec5m HIV kh\u00f4ng \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c kh\u00e1ng […]<\/p>\n","protected":false},"author":3,"featured_media":253,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/251"}],"collection":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=251"}],"version-history":[{"count":1,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/251\/revisions"}],"predecessor-version":[{"id":254,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/251\/revisions\/254"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/media\/253"}],"wp:attachment":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}