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Điều trị phơi nhiễm HIV.  

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11:12 08/12/2015

Hiện nay, khoa học vẫn chưa có thuốc điều trị virus HIV,do vậy phơi nhiễm với máu, dịch cơ thể có chứa virus HIV được xem như một cấp cứu nội khoa việc quyết định điều tr.. [..]

Hiện nay, khoa học vẫn chưa có thuốc điều trị virus HIV,do vậy phơi nhiễm với máu, dịch cơ thể có chứa virus HIV được xem như một cấp cứu nội khoa việc quyết định điều trị dự phòng HIV rất quan trọng.Nên bắt đầu phòng ngừa sau phơi nhiễm càng sớm càng tốt, tốt nhất trong vòng hai giờ đầu.

Nguy cơ HIV phụ thuộc vào các yếu tố nào?

Tác nhân gây bệnh
Loại phơi nhiễm
Số lượng máu gây phơi nhiễm
Số lượng virus trong máu người bệnh vào thời điểm phơi nhiễm
Phương pháp điều trị dự phòng sau phơi nhiễm

Điều trị dự phòng HIV phụ thuộc vào mức độ nguy cơ của mỗi trường hợp

Thời gian điều trị dự phòng: 4 tuần liên tiếp

Phác đồ điều trị dự phòng: có 2 phác đồ

Phác đồ điều trị cơ bản: đối với phơi nhiễm nguy cơ thấp, trung bình

Phác đồ điều trị mở rộng: bổ sung một ức chế protease, indinavir hoặc nelfinavir đối với phơi nhiễm HIV có nguy cơ cao hoặc khi nghi ngờ có đề kháng đối với thuốc chống retrovirus

 

Phác đồ dự phòng phơi nhiễm cơ bản 2 thuốc

Zidovudine 600mg/ngày (300mg, 2 lần/ngày, hoặc 200mg, 3 lần/ngày, hoặc 100mg mỗi 4 giờ) và lamivudine 150mg, 2 lần/ngày. COMBIVIR hoặc LAMZIDIVIR là dạng phối hợp hai thuốc nói trên, liều dùng 2 viên/ngày
Phác đồ dự phòng phơi nhiễm mở rộng 3 thuốc:
Phác đồ cơ bản cộng indinavir 800mg mỗi 8 giờ hoặc nelfinavir 750mg, 3 lần/ngày.

Xem thêm: dấu hiệu hiv

Tuy nhiên cần hỏi ý kiến bác sỹ chuyên khoa trước khi sử dụng thuốc. Trong quá trình sử dụng cần tránh tiếp xúc với các yếu tố nguy cơ về HIV,và tuân thủ theo đúng phác đồ dự phòng. Nếu quên sử dụng thuốc thì cần đến bác sĩ chuyên khoa để thăm khám lại an toàn.

Nguồn tổng hợp.

Chú ý: Trên đây là những thông tin tham khảo,nếu bạn có bất kì thắc mắc nào hãy gọi đến tổng đài 19006180 để được tư vấn trực tiếp và hiệu quả.


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