{"id":32369,"date":"2023-05-13T21:25:26","date_gmt":"2023-05-13T14:25:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32369"},"modified":"2023-05-13T21:25:26","modified_gmt":"2023-05-13T14:25:26","slug":"nhiem-hiv","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/","title":{"rendered":"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"

B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n lao ph\u1ed5i \u1edf b\u1ec7nh nh\u00e2n nhi\u1ec5m HIV l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/strong><\/p>\n

1. Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HIV \u1edf ng\u01b0\u1eddi b\u1ec7nh lao<\/strong><\/h1>\n

T\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh lao c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p t\u01b0 v\u1ea5n v\u00e0 x\u00e9t nghi\u1ec7m HIV theo quy tr\u00ecnh PITC t\u1ee9c l\u00e0 c\u00e1n b\u1ed9 y t\u1ebf ch\u1ee7 \u0111\u1ed9ng t\u01b0 v\u1ea5n, \u0111\u1ec1 xu\u1ea5t v\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 x\u00e9t nghi\u1ec7m HIV cho ng\u01b0\u1eddi b\u1ec7nh lao c\u1ee7a B\u1ed9 Y t\u1ebf. (PITC: Provider Initiated HIV Testing and Counseling).<\/p>\n

1.1. T\u01b0 v\u1ea5n tr\u01b0\u1edbc x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HIV<\/strong><\/h3>\n

H\u00ecnh th\u1ee9c t\u01b0 v\u1ea5n t\u00f9y t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng v\u00e0 \u0111i\u1ec1u ki\u1ec7n c\u1ee5 th\u1ec3 c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng h\u00ecnh th\u1ee9c t\u01b0 v\u1ea5n sau \u0111\u00e2y:<\/strong><\/p>\n

– T\u01b0 v\u1ea5n theo nh\u00f3m, v\u00ed d\u1ee5: cho c\u00e1c nh\u00f3m ph\u1ea1m, can ph\u1ea1m; nh\u00f3m h\u1ecdc vi\u00ean c\u00e1c trung t\u00e2m ch\u1eefa b\u1ec7nh \u2013 d\u1ea1y ngh\u1ec1,\u2026<\/p>\n

– T\u01b0 v\u1ea5n cho t\u1eebng c\u00e1 nh\u00e2n.<\/p>\n

– Ngo\u00e0i ra t\u1edd r\u01a1i, t\u1edd b\u01b0\u1edbm tuy\u00ean truy\u1ec1n… c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong qu\u00e1 tr\u00ecnh t\u01b0 v\u1ea5n.<\/p>\n

N\u1ed9i dung t\u01b0 v\u1ea5n bao g\u1ed3m:<\/strong><\/p>\n

– T\u00ecm hi\u1ec3u v\u1ec1 ti\u1ec1n s\u1eed l\u00e0m x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HIV c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00e1c h\u00e0nh vi nguy c\u01a1 l\u00e2y truy\u1ec1n HIV<\/p>\n

– Gi\u1ea3i th\u00edch l\u00fd do v\u00e0 l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c x\u00e9t nghi\u1ec7m HIV \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c th\u00f4ng tin sau c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p cho ng\u01b0\u1eddi b\u1ec7nh:<\/p>\n

    \n
  • Ng\u01b0\u1eddi m\u1eafc lao c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb nhi\u1ec5m HIV<\/li>\n
  • Ch\u1ea9n \u0111o\u00e1n HIV s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p lao v\u00e0 HIV s\u1ebd cho k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n \u0111i\u1ec1u tr\u1ecb lao \u0111\u01a1n thu\u1ea7n.<\/li>\n<\/ul>\n

    – X\u00e1c nh\u1eadn t\u00ednh t\u1ef1 nguy\u1ec7n v\u00e0 b\u1ea3o m\u1eadt c\u1ee7a x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HIV<\/p>\n

    – Kh\u1eb3ng \u0111\u1ecbnh vi\u1ec7c t\u1eeb ch\u1ed1i x\u00e9t nghi\u1ec7m HIV s\u1ebd kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed1i v\u1edbi nh\u1eefng d\u1ecbch v\u1ee5 kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00e1c<\/p>\n

    – Gi\u1edbi thi\u1ec7u v\u1ec1 d\u1ecbch v\u1ee5 chuy\u1ec3n ti\u1ebfp n\u1ebfu nh\u01b0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m l\u00e0 d\u01b0\u01a1ng t\u00ednh<\/p>\n

    – Gi\u1ea3i \u0111\u00e1p nh\u1eefng th\u1eafc m\u1eafc \u2013 b\u0103n kho\u0103n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    1.2. X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HIV<\/strong><\/h3>\n

    – Khi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed3ng \u00fd, b\u1ec7nh nh\u00e2n s\u1ebd k\u00fd m\u1ed9t b\u1ea3n cam k\u1ebft v\u00e0 b\u1ea3n cam k\u1ebft n\u00e0y \u0111\u01b0\u1ee3c l\u01b0u l\u1ea1i trong h\u1ed3 s\u01a1 ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    – M\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c thu th\u1eadp v\u00e0 g\u1eedi \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf c\u00f3 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n test s\u00e0ng l\u1ecdc t\u1ea1i c\u00e1c \u0111\u01a1n v\u1ecb PITC thu\u1ed9c Ch\u01b0\u01a1ng tr\u00ecnh ch\u1ed1ng lao. N\u1ebfu test s\u00e0ng l\u1ecdc c\u00f3 k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh, m\u1eabu m\u00e1u s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c g\u1eedi \u0111\u1ebfn ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c ph\u00e9p kh\u1eb3ng \u0111\u1ecbnh HIV g\u1ea7n nh\u1ea5t th\u1ef1c hi\u1ec7n. Th\u00f4ng th\u01b0\u1eddng k\u1ebft qu\u1ea3 s\u1ebd c\u00f3 sau 7 \u2013 10 ng\u00e0y sau khi m\u1eabu m\u00e1u \u0111\u01b0\u1ee3c g\u1eedi x\u00e9t nghi\u1ec7m.<\/p>\n

    1.3. Tr\u1ea3 k\u1ebft qu\u1ea3 – T\u01b0 v\u1ea5n sau khi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m<\/strong><\/h3>\n

    T\u00f9y theo k\u1ebft qu\u1ea3 cu\u1ed1i c\u00f9ng, nh\u00e2n vi\u00ean y t\u1ebf n\u01a1i t\u01b0 v\u1ea5n s\u1ebd ch\u1ecdn m\u1ed9t trong c\u00e1c t\u00ecnh hu\u1ed1ng sau \u0111\u1ec3 ti\u1ebfp t\u1ee5c t\u01b0 v\u1ea5n cho ng\u01b0\u1eddi m\u1eafc lao:<\/p>\n

    1.3.1. N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HIV \u00e2m t\u00ednh<\/strong>:<\/p>\n

    – Th\u00f4ng b\u00e1o cho ng\u01b0\u1eddi b\u1ec7nh k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh.<\/p>\n

    – T\u01b0 v\u1ea5n gi\u00fap ng\u01b0\u1eddi b\u1ec7nh hi\u1ec3u \u0111\u00fang v\u1ec1 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m v\u00e0 \u00fd ngh\u0129a c\u1ee7a giai \u0111o\u1ea1n c\u1eeda s\u1ed5 \u0111\u1ed3ng th\u1eddi khuy\u00ean ng\u01b0\u1eddi b\u1ec7nh n\u00ean x\u00e9t nghi\u1ec7m l\u1ea1i sau 6 \u0111\u1ebfn 12 tu\u1ea7n \u1edf m\u1ed9t trung t\u00e2m t\u01b0 v\u1ea5n x\u00e9t nghi\u1ec7m HIV t\u1ef1 nguy\u1ec7n (n\u1ebfu c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1).<\/p>\n

    – T\u01b0 v\u1ea5n cho ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 nguy c\u01a1 l\u00e2y nhi\u1ec5m HIV v\u00e0 bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng, k\u1ec3 c\u1ea3 khuy\u00ean b\u1ea1n t\u00ecnh c\u1ee7a h\u1ecd c\u1ea7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HIV.<\/p>\n

    – Gi\u1edbi thi\u1ec7u chuy\u1ec3n ti\u1ebfp ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn c\u00e1c d\u1ecbch v\u1ee5 can thi\u1ec7p d\u1ef1 ph\u00f2ng l\u00e2y nhi\u1ec5m HIV n\u1ebfu h\u1ecd c\u00f3 y\u00eau c\u1ea7u.<\/p>\n

    1.3.2. N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HIV d\u01b0\u01a1ng t\u00ednh:<\/strong><\/p>\n

    – Th\u00f4ng b\u00e1o k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m HIV cho ng\u01b0\u1eddi b\u1ec7nh bi\u1ebft, gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m.<\/p>\n

    – H\u1ed7 tr\u1ee3 tinh th\u1ea7n, t\u00e2m l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    – T\u01b0 v\u1ea5n cho ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a ch\u0103m s\u00f3c – \u0111i\u1ec1u tr\u1ecb HIV, th\u00f4ng tin c\u00e1c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 s\u1eb5n c\u00f3 ti\u1ebfp theo cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    – T\u01b0 v\u1ea5n c\u00e1c c\u00f4ng vi\u1ec7c c\u1ea7n thi\u1ebft ngay: ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao, d\u1ef1 ph\u00f2ng c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n cho b\u1ea3n th\u00e2n v\u00e0 ng\u01b0\u1eddi th\u00e2n.<\/p>\n

    – Trao \u0111\u1ed5i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u00e1ch ti\u1ebft l\u1ed9 k\u1ebft qu\u1ea3 HIV d\u01b0\u01a1ng t\u00ednh cho v\u1ee3, ch\u1ed3ng, ng\u01b0\u1eddi th\u00e2n… \u0111\u1ed9ng vi\u00ean t\u01b0 v\u1ea5n nh\u1eefng ng\u01b0\u1eddi n\u00e0y x\u00e9t nghi\u1ec7m HIV t\u1ef1 nguy\u1ec7n.<\/p>\n

    – Gi\u1edbi thi\u1ec7u, h\u1ed9i ch\u1ea9n v\u1edbi c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n chuy\u1ec3n ti\u1ebfp ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn c\u00e1c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c HIV \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd \u0111i\u1ec1u tr\u1ecb ARV s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3 v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng b\u1eb1ng Cotrimoxazol.<\/p>\n

    – Sau gi\u1edbi thi\u1ec7u c\u1ea7n theo d\u00f5i h\u1ed7 tr\u1ee3 ti\u1ebfp t\u1ee5c \u0111\u1ec3 ch\u1eafn ch\u1eafn ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c d\u1ecbch v\u1ee5.<\/p>\n

    1.3.3. N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HIV l\u00e0 kh\u00f4ng x\u00e1c \u0111\u1ecbnh:<\/strong><\/p>\n

    – Gi\u1ea3i th\u00edch \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh hi\u1ec3u \u0111\u00fang v\u1ec1 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m.<\/p>\n

    – H\u1ed7 tr\u1ee3 tinh th\u1ea7n, t\u00e2m l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    – T\u01b0 v\u1ea5n v\u1ec1 c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng l\u00e2y nhi\u1ec5m HIV.<\/p>\n

    – H\u1eb9n x\u00e9t nghi\u1ec7m l\u1ea1i sau 14 ng\u00e0y.<\/p>\n

    \"\"
    T\u1ef7 l\u1ec7 nhi\u1ec5m HIV cao h\u01a1n c\u00f3 li\u00ean quan \u0111\u1ebfn t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh lao cao h\u01a1n. Ngu\u1ed3n: HIV and Tuberculosis: a Deadly Human Syndemic – ASM Journals<\/strong><\/figcaption><\/figure>\n

    2. Ch\u1ea9n \u0111o\u00e1n lao \u1edf ng\u01b0\u1eddi nhi\u1ec5m HIV<\/strong><\/h2>\n

    Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh lao \u1edf ng\u01b0\u1eddi c\u00f3 HIV th\u01b0\u1eddng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh v\u00e0 ti\u1ebfn tri\u1ec3n nhanh d\u1eabn t\u1edbi t\u1eed vong.<\/p>\n

    T\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf, \u0111\u1eb7c bi\u1ec7t c\u00e1c ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa cho ng\u01b0\u1eddi nhi\u1ec5m HIV c\u1ea7n lu\u00f4n s\u00e0ng l\u1ecdc lao cho ng\u01b0\u1eddi nhi\u1ec5m HIV m\u1ed7i l\u1ea7n \u0111\u1ebfn kh\u00e1m do b\u1ea5t k\u1ef3 l\u00fd do n\u00e0o.<\/p>\n

    Ch\u1ea9n \u0111o\u00e1n m\u1eafc lao \u1edf ng\u01b0\u1eddi nhi\u1ec5m HIV do B\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh, d\u1ef1a tr\u00ean y\u1ebfu t\u1ed1 nguy c\u01a1 m\u1eafc lao, c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng nh\u01b0 sau:<\/p>\n

    2.1. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 m\u1eafc lao \u1edf ng\u01b0\u1eddi nhi\u1ec5m HIV<\/strong><\/h3>\n

    – Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed \u0111i\u1ec1u tr\u1ecb lao.<\/p>\n

    – Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n l\u00e2y lao.<\/p>\n

    – Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed ch\u1eefa b\u1ec7nh trong c\u00e1c c\u01a1 s\u1edf cai nghi\u1ec7n ho\u1eb7c \u1edf tr\u1ea1i giam.<\/p>\n

    – T\u00ecnh tr\u1ea1ng suy dinh d\u01b0\u1ee1ng.<\/p>\n

    – Ti\u1ec1n s\u1eed nghi\u1ec7n r\u01b0\u1ee3u, ma t\u00fay.<\/p>\n

    2.2. C\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng<\/strong><\/h3>\n

    S\u00e0ng l\u1ecdc b\u1ec7nh lao \u1edf ng\u01b0\u1eddi HIV nh\u1eb1m lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng m\u1eafc lao \u0111\u1ec3 cung c\u1ea5p \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng b\u1eb1ng INH theo quy \u0111\u1ecbnh \u0111\u1ed3ng th\u1eddi ph\u00e1t hi\u1ec7n nh\u1eefng b\u1ea5t th\u01b0\u1eddng nghi lao ho\u1eb7c kh\u00f4ng lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c b\u1ec7nh lao \u0111\u1ec3 chuy\u1ec3n kh\u00e1m chuy\u00ean khoa ph\u00e1t hi\u1ec7n b\u1ec7nh lao.<\/p>\n

    Ng\u01b0\u1eddi nhi\u1ec5m HIV n\u1ebfu kh\u00f4ng c\u00f3 c\u1ea3 4 tri\u1ec7u ch\u1ee9ng sau \u0111\u00e2y c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c kh\u00f4ng m\u1eafc lao ti\u1ebfn tri\u1ec3n v\u00e0 c\u00f3 th\u1ec3 xem x\u00e9t \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng lao b\u1eb1ng INH:<\/p>\n

    – Ho.<\/p>\n

    – S\u1ed1t nh\u1eb9 v\u1ec1 chi\u1ec1u.<\/p>\n

    – S\u00fat c\u00e2n.<\/p>\n

    – Ra m\u1ed3 h\u00f4i tr\u1ed9m.<\/p>\n

    N\u1ebfu c\u00f3 \u00edt nh\u1ea5t 1 ho\u1eb7c nhi\u1ec1u tri\u1ec7u ch\u1ee9ng tr\u00ean th\u00ec c\u1ea7n g\u1eedi kh\u00e1m chuy\u00ean khoa ph\u00e1t hi\u1ec7n b\u1ec7nh lao. C\u00e1c d\u1ea5u hi\u1ec7u n\u00e0y th\u01b0\u1eddng di\u1ec5n ti\u1ebfn nhanh v\u00e0 \u00edt \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng. Ng\u01b0\u1eddi nhi\u1ec5m HIV n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u h\u00f4 h\u1ea5p n\u00e0o c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c kh\u00e1m s\u00e0ng l\u1ecdc ph\u00e1t hi\u1ec7n lao ph\u1ed5i.<\/p>\n

    V\u1ec1 th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, th\u1ea7y thu\u1ed1c c\u1ea7n \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh xem c\u00f3 d\u1ea5u hi\u1ec7u nguy hi\u1ec3m, bao g\u1ed3m: kh\u00f4ng t\u1ef1 \u0111i l\u1ea1i \u0111\u01b0\u1ee3c, nh\u1ecbp th\u1edf > 30 l\u1ea7n\/ph\u00fat, s\u1ed1t cao > 39 \u0111\u1ed9 C, m\u1ea1ch nhanh > 120 l\u1ea7n\/ph\u00fat \u1edf ng\u01b0\u1eddi c\u00f3 HIV \u0111\u1ec3 c\u00f3 nh\u1eefng c\u00f3 nh\u1eefng quy\u1ebft \u0111\u1ecbnh x\u1eed tr\u00ed ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

    2.3. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h3>\n

    Vi khu\u1ea9n h\u1ecdc<\/strong>:<\/p>\n

    – X\u00e9t nghi\u1ec7m \u0111\u1eddm<\/strong>: t\u00f9y theo \u0111i\u1ec1u ki\u1ec7n c\u01a1 s\u1edf v\u1eadt ch\u1ea5t v\u00e0 t\u1ed5 ch\u1ee9c, c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n nh\u01b0 sau:<\/p>\n

      \n
    • Nhu\u1ed9m soi \u0111\u1eddm tr\u1ef1c ti\u1ebfp<\/strong>: \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u1edf tuy\u1ebfn huy\u1ec7n ho\u1eb7c c\u00e1c \u0111i\u1ec3m k\u00ednh. C\u1ea7n ch\u00fa \u00fd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh l\u1ea5y \u0111\u1eddm \u0111\u00fang c\u00e1ch, c\u00f3 th\u1ec3 2 m\u1eabu t\u1ea1i ch\u1ed7 c\u00e1ch nhau \u00edt nh\u1ea5t 2 gi\u1edd. Th\u1eddi gian cho k\u1ebft qu\u1ea3 trong ng\u00e0y \u0111\u1ebfn kh\u00e1m.<\/li>\n
    • Xpert MTB\/RIF<\/strong>: l\u00e0 x\u00e9t nghi\u1ec7m \u01b0u ti\u00ean d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n lao cho ng\u01b0\u1eddi c\u00f3 HIV.Th\u1eddi gian cho k\u1ebft qu\u1ea3 kho\u1ea3ng 2 gi\u1edd.<\/li>\n
    • C\u1ea5y \u0111\u1eddm<\/strong>: \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi nhu\u1ed9m soi \u0111\u1eddm tr\u1ef1c ti\u1ebfp c\u00f3 k\u1ebft qu\u1ea3 AFB \u00e2m t\u00ednh.\u00c1p d\u1ee5ng \u1edf nh\u1eefng n\u01a1i c\u00f3 \u0111i\u1ec1u ki\u1ec7n c\u01a1 s\u1edf v\u1eadt ch\u1ea5t ph\u00f9 h\u1ee3p nh\u01b0 b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh tr\u1edf l\u00ean. C\u01a1 s\u1edf kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng nu\u00f4i c\u1ea5y, c\u00f3 th\u1ec3 l\u1ea5y m\u1eabu \u0111\u1eddm chuy\u1ec3n \u0111\u1ebfn c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m th\u1ef1c hi\u1ec7n nu\u00f4i c\u1ea5y. Th\u1eddi gian c\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh sau 2 tu\u1ea7n khi nu\u00f4i c\u1ea5y \u1edf m\u00f4i tr\u01b0\u1eddng l\u1ecfng (MGIT).<\/li>\n<\/ul>\n

      -B\u1ec7nh ph\u1ea9m kh\u00e1c c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng t\u00ecm th\u1ea5y vi khu\u1ea9n lao: trong d\u1ecbch m\u00e0ng ph\u1ed5i, d\u1ecbch m\u00e0ng tim, d\u1ecbch m\u00e0ng b\u1ee5ng, d\u1ecbch m\u00e0ng n\u00e3o, h\u1ea1ch,\u2026<\/p>\n

      Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/strong>:<\/p>\n

      – X-quang<\/strong>:<\/p>\n

        \n
      • Lao ph\u1ed5i<\/strong>: \u1edf giai \u0111o\u1ea1n l\u00e2m s\u00e0ng nhi\u1ec5m HIV s\u1edbm, khi s\u1ee9c \u0111\u1ec1 kh\u00e1ng ch\u01b0a \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u, h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng tr\u00ean X-quang ng\u1ef1c kh\u00f4ng kh\u00e1c bi\u1ec7t so v\u1edbi \u1edf ng\u01b0\u1eddi HIV \u00e2m t\u00ednh. \u1ede giai \u0111o\u1ea1n mu\u1ed9n, t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng lan t\u1ecfa 2 ph\u1ebf tr\u01b0\u1eddng v\u1edbi nh\u1eefng h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng n\u1ed1t, \u01b0u th\u1ebf t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft lan t\u1ecfa, \u00edt th\u1ea5y h\u00ecnh \u1ea3nh hang, c\u00f3 th\u1ec3 g\u1eb7p h\u00ecnh \u1ea3nh h\u1ea1ch r\u1ed1n ph\u1ed5i, h\u1ea1ch c\u1ea1nh ph\u1ebf qu\u1ea3n \u2026 c\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi vi\u00eam ph\u1ed5i do Pneumocystis Carinii (PCP).<\/li>\n
      • Lao ngo\u00e0i ph\u1ed5i<\/strong>: h\u00ecnh \u1ea3nh t\u00f9y theo c\u01a1 quan \u2013 b\u1ed9 ph\u1eadn t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<\/ul>\n

         <\/p>\n

        \"\"
        C\u00f3 h\u00ecnh \u1ea3nh m\u1edd \u0111\u1ee5c ch\u1ee7 y\u1ebfu \u1edf v\u00f9ng gi\u1eefa v\u00e0 v\u00f9ng tr\u00ean r\u1ed1n ph\u1ed5i v\u1edbi m\u1ed9t s\u1ed1 \u0111i\u1ec3m n\u1ed5i b\u1eadt \u1edf kho\u1ea3ng k\u1ebd. C\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y m\u1ed9t v\u00e0i u nang r\u1eddi r\u1ea1c (t\u00fai kh\u00ed) c\u00f3 k\u00edch th\u01b0\u1edbc l\u00ean \u0111\u1ebfn 1 cm. Ngu\u1ed3n: Pneumocystis pneumonia <\/strong><\/figcaption><\/figure>\n

        – Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT scan)<\/strong>: th\u1ea5y h\u00ecnh \u1ea3nh c\u00e1c t\u1ed5n th\u01b0\u01a1ng nh\u01b0 hang lao ho\u1eb7c c\u00e1c t\u1ed5n th\u01b0\u01a1ng g\u1ee3i \u00fd lao.<\/p>\n

        M\u00f4 b\u1ec7nh h\u1ecdc \u2013 gi\u1ea3i ph\u1eabu b\u1ec7nh<\/strong>: sinh thi\u1ebft h\u1ea1ch, ch\u1ecdc h\u1ea1ch \u0111\u1ec3 th\u1ef1c hi\u1ec7n ch\u1ea9n \u0111o\u00e1n m\u00f4 b\u1ec7nh t\u1ebf b\u00e0o h\u1ecdc c\u00f3 c\u00e1c th\u00e0nh ph\u1ea7n \u0111\u1eb7c tr\u01b0ng nh\u01b0 ho\u1ea1i t\u1eed b\u00e3 \u0111\u1eadu, t\u1ebf b\u00e0o b\u00e1n li\u00ean, nang lao, c\u00f3 th\u1ec3 th\u1ea5y AFB n\u1ebfu nhu\u1ed9m ZN.<\/p>\n

        Ch\u1ea9n \u0111o\u00e1n lao \u1edf ng\u01b0\u1eddi nhi\u1ec5m HIV<\/strong><\/p>\n

        – D\u1ef1a v\u00e0o l\u00e2m s\u00e0ng<\/strong>: s\u00e0ng l\u1ecdc 4 tri\u1ec7u ch\u1ee9ng ho, s\u1ed1t, s\u00fat c\u00e2n, ra m\u1ed3 h\u00f4i \u0111\u00eam v\u1edbi b\u1ea5t k\u1ef3 th\u1eddi gian n\u00e0o.<\/p>\n

        – C\u1eadn l\u00e2m s\u00e0ng<\/strong>: khi c\u00f3 b\u1ea5t th\u01b0\u1eddng nghi lao tr\u00ean phim X-quang \u1edf b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng nghi lao k\u1ec3 tr\u00ean, c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh lao. C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c: x\u00e9t nghi\u1ec7m \u0111\u1eddm nhu\u1ed9m soi tr\u1ef1c ti\u1ebfp, nu\u00f4i c\u1ea5y m\u00f4i tr\u01b0\u1eddng l\u1ecfng MGIT, c\u1ea7n \u01b0u ti\u00ean ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m Xpert MTB\/RIF cho ng\u01b0\u1eddi c\u00f3 HIV.<\/p>\n

        Ch\u1ea9n \u0111o\u00e1n lo\u1ea1i tr\u1eeb lao ti\u1ebfn tri\u1ec3n \u1edf ng\u01b0\u1eddi nhi\u1ec5m HIV<\/strong><\/p>\n

        Khi s\u00e0ng l\u1ecdc l\u00e2m s\u00e0ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o trong 4 tri\u1ec7u ch\u1ee9ng (ho, s\u1ed1t, s\u1ee5t c\u00e2n, ra m\u1ed3 h\u00f4i tr\u1ed9m) th\u00ec c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb lao ho\u1ea1t \u0111\u1ed9ng v\u00e0 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb lao ti\u1ec1m \u1ea9n b\u1eb1ng INH s\u1edbm<\/p>\n

        Ngu\u1ed3n tham kh\u1ea3o<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng b\u1ec7nh lao c\u1ee7a B\u1ed9 Y t\u1ebf 2020<\/p>\n

        usechatgpt init success<\/div>\n","protected":false},"excerpt":{"rendered":"

        B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n lao ph\u1ed5i \u1edf b\u1ec7nh nh\u00e2n nhi\u1ec5m HIV l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 gi\u1ea3m thi\u1ec3u […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"\nNhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-13T14:25:26+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/8.jpeg\" \/>\n<meta name=\"author\" content=\"tdan tdan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"tdan tdan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/\",\"name\":\"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-13T14:25:26+00:00\",\"dateModified\":\"2023-05-13T14:25:26+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d\"},\"description\":\"B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d\",\"name\":\"tdan tdan\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g\",\"caption\":\"tdan tdan\"},\"sameAs\":[\"http:\/\/tdan\"],\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tdan99102gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n - Vinmec","description":"B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n - Vinmec","og_description":"B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/","og_site_name":"Vinmec","article_published_time":"2023-05-13T14:25:26+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/8.jpeg"}],"author":"tdan tdan","twitter_card":"summary_large_image","twitter_misc":{"Written by":"tdan tdan","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/","name":"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-13T14:25:26+00:00","dateModified":"2023-05-13T14:25:26+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d"},"description":"B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV th\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc ph\u1ea3i lao ph\u1ed5i, do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd b\u1ecb suy gi\u1ea3m v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. V\u00ec v\u1eady, vi\u1ec7c","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/nhiem-hiv\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Nhi\u1ec5m HIV v\u00e0 b\u1ec7nh lao: Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d","name":"tdan tdan","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g","caption":"tdan tdan"},"sameAs":["http:\/\/tdan"],"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tdan99102gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/32369"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=32369"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/32369\/revisions"}],"predecessor-version":[{"id":33784,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/32369\/revisions\/33784"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=32369"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=32369"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=32369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}