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Phác đồ điều trị dự phòng phơi nhiễm HIV  

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07:03 30/03/2017

Khi bạn có nguy cơ lây nhiễm HIV điều đầu tiên cần làm là xử trí vết thương nếu bạn có tiếp xúc trực tiếp với máu của người nhiễm HIV với vùng vết thương hở của mình. Điề.. [..]

Khi bạn có nguy cơ lây nhiễm HIV điều đầu tiên cần làm là xử trí vết thương nếu bạn có tiếp xúc trực tiếp với máu của người nhiễm HIV với vùng vết thương hở của mình. Điều thứ 2: Hãy nghĩ đến chuyện dùng thuốc dự phòng phơi nhiễm HIV ( PEP)


Vậy những yếu tố nguy cơ nào nên dùng thuốc?

-         Bất kỳ ai có thể mới vừa tiếp xúc với HIV một lần duy nhất đều nên sử dụng PEP.

-         Những trường hợp tai nạn nghê nghiệp : bị đâm kim, tiếp xúc vết thương hở với mau, dịch tiết vết thương của người nhiễm HIV,…

-         Quan hệ tình dục không an toàn 1 lần với đối tượng có nguy cơ lây nhiễm cao như : Gái mại dâm, người có đời sống tình dục không lành mạnh,…

-         Những  người thường xuyên có tiếp xúc yếu tố nguy cơ như sử dụng chung bơm kim tiêm, quan hệ với nhiều đối tượng, … Nên cân nhắc việc sử dụng PEP vì đây không phải sự lựa chọn đúng đắn.

Nên dùng PEP khi nào?

-         Dùng PEP càng sớm càng tốt trong vòng 72h sau khi có nguy cơ lây nhiễm.

-         Thuốc sẽ có tác dụng tốt nhất khi dùng sớm sau nguy cơ 2-6h đầu.

-         Liệu trình điều trị kéo dài 28- 30 ngày

Phác đồ điều trị dự phòng phơi nhiễm HIV

-        TDF 300mg + 3TC 300mg + EFV 600mg

-        TDF 300mg + FTC 200mg + EFV 600mg

-        AZT 600mg + 3TC 300mg + EFV 600mg

 

Lưu ý: Việc dùng PEP cần phải có chỉ định của bác sĩ và bạn cần được đánh giá yếu tố nguy cơ xem có thực sự cần thiết sự dụng PEP hay không. Vì PEP sẽ gây ra khá nhiều tác dụng phụ và một vài ảnh hưởng sức khỏe của bạn!

Vì vậy không nên sử dụng bừa bãi đây chỉ là biện pháp dự phòng và có tác dụng tốt nhất trong lần đầu tiên sử dụng. Đây không phải 1 biện pháp bảo vệ vì vậy hãy dùng Bao cao su khi quan hệ bên ngoài.


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