{"id":104806,"date":"2022-03-24T00:00:00","date_gmt":"2022-03-24T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/dieu-tri-arv\/"},"modified":"2022-08-31T00:00:00","modified_gmt":"2022-08-31T00:00:00","slug":"dieu-tri-arv","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/truyen-nhiem\/dieu-tri-arv\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ARV: T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c v\u00e0 c\u00e1ch c\u1ea3i thi\u1ec7n"},"content":{"rendered":"\n

\u0110i\u1ec1u tr\u1ecb ARV l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho HIV. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y kh\u00f4ng ch\u1eefa kh\u1ecfi HIV, nh\u01b0ng ch\u00fang c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng vi r\u00fat trong c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m HIV. \u0110i\u1ec1u n\u00e0y gi\u1eef cho h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch \u0111\u1ee7 m\u1ea1nh \u0111\u1ec3 ch\u1ed1ng l\u1ea1i b\u1ec7nh t\u1eadt. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c ARV m\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng Docosan<\/strong><\/a> t\u00ecm hi\u1ec3u n\u1ed9i dung d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb ARV l\u00e0 g\u00ec?<\/h2>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb ARV (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p kh\u00e1ng vi-r\u00fat ho\u1eb7c ART) l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb HIV. \u0110i\u1ec1u tr\u1ecb ARV c\u00f3 ngh\u0129a l\u00e0 nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV c\u00f3 th\u1ec3 s\u1ed1ng l\u00e2u d\u00e0i v\u00e0 kh\u1ecfe m\u1ea1nh. ART kh\u00f4ng ph\u1ea3i l\u00e0 c\u00e1ch ch\u1eefa kh\u1ecfi HIV<\/strong><\/a> , nh\u01b0ng n\u00f3 gi\u1eef cho HIV trong t\u1ea7m ki\u1ec3m so\u00e1t, v\u00ec v\u1eady n\u00f3 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c cu\u1ed9c s\u1ed1ng nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb ARV ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\n\n\n

N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb , HIV s\u1ebd t\u1ea5n c\u00f4ng h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch b\u1ea3o v\u1ec7 b\u1ea1n kh\u1ecfi c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng kh\u00e1c. N\u1ebfu nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, h\u1ecd s\u1ebd d\u1ec5 m\u1eafc c\u00e1c b\u1ec7nh kh\u00e1c h\u01a1n.<\/p>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb ARV ng\u0103n kh\u00f4ng cho HIV t\u1ea1o ra c\u00e1c b\u1ea3n sao c\u1ee7a ch\u00ednh n\u00f3. \u0110i\u1ec1u n\u00e0y gi\u1eef cho l\u01b0\u1ee3ng vi r\u00fat trong c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n \u1edf m\u1ee9c th\u1ea5p, b\u1ea3o v\u1ec7 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n \u0111\u1ec3 b\u1ea1n \u00edt b\u1ecb \u1ed1m h\u01a1n.<\/p>\n\n\n\n

V\u1edbi vi\u1ec7c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ed1t, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi nhi\u1ec5m HIV c\u00f3 th\u1ec3 s\u1ed1ng l\u00e2u nh\u01b0 nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng nhi\u1ec5m HIV. B\u1ea1n c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c c\u00f3 c\u00e1c m\u1ed1i quan h\u1ec7, l\u00e0m vi\u1ec7c ho\u1eb7c h\u1ecdc t\u1eadp, l\u1eadp k\u1ebf ho\u1ea1ch, c\u00f3 m\u1ed9t gia \u0111\u00ecnh – b\u1ea5t c\u1ee9 \u0111i\u1ec1u g\u00ec b\u1ea1n \u0111\u00e3 l\u00e0m tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HIV.<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c ARV v\u00e0 c\u00e1ch c\u1ea3i thi\u1ec7n<\/h2>\n\n\n\n

Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb HIV \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n trong nh\u1eefng n\u0103m qua v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng \u00edt x\u1ea3y ra h\u01a1n tr\u01b0\u1edbc \u0111\u00e2y. Tuy nhi\u00ean, thu\u1ed1c \u0111i\u1ec1u tr\u1ecb HIV v\u1eabn c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5. M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 x\u1ea3y ra kh\u00e1 nh\u1eb9, m\u1ed9t s\u1ed1 \u00edt n\u1eb7ng h\u01a1n ho\u1eb7c th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng. M\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 c\u0169ng c\u00f3 th\u1ec3 tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n khi d\u00f9ng thu\u1ed1c l\u00e2u h\u01a1n.<\/p>\n\n\n\n

N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 m\u1edbi ho\u1eb7c b\u1ea5t th\u01b0\u1eddng n\u00e0o x\u1ea3y ra, ng\u01b0\u1eddi nhi\u1ec5m HIV n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn t\u1eeb c\u00e1c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. N\u1ebfu nguy\u00ean nh\u00e2n l\u00e0 do thu\u1ed1c, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111i\u1ec1u tr\u1ecb sang m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng retrovirus kh\u00e1c. Tuy nhi\u00ean, vi\u1ec7c chuy\u1ec3n \u0111\u1ed5i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u1ec5 d\u00e0ng.<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn khi \u0111i\u1ec1u tr\u1ecb ARV v\u00e0 c\u00e1c m\u1eb9o \u0111\u1ec3 ki\u1ec3m so\u00e1t ch\u00fang:<\/p>\n\n\n\n

M\u1ea5t c\u1ea3m gi\u00e1c ngon mi\u1ec7ng<\/h3>\n\n\n\n

C\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng n\u00e0y:<\/p>\n\n\n\n

  • Abacavir (Ziagen)<\/li>
  • Zidovudine<\/li><\/ul>\n\n\n\n

    C\u00e1ch c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng:<\/p>\n\n\n\n

    • \u0102n nhi\u1ec1u b\u1eefa nh\u1ecf m\u1ed7i ng\u00e0y thay v\u00ec ba b\u1eefa ch\u00ednh<\/li>
    • U\u1ed1ng sinh t\u1ed1 ho\u1eb7c b\u1ed5 sung dinh d\u01b0\u1ee1ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u01a1 th\u1ec3 \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ee7 vitamin v\u00e0 kho\u00e1ng ch\u1ea5t<\/li>
    • Tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a c\u00e1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u1ec1 vi\u1ec7c d\u00f9ng thu\u1ed1c k\u00edch th\u00edch s\u1ef1 th\u00e8m \u0103n<\/li><\/ul>\n\n\n\n

      H\u1ed9i ch\u1ee9ng Lipodystrophy (Lo\u1ea1n d\u01b0\u1ee1ng m\u1ee1)<\/h3>\n\n\n\n

      R\u1ed1i lo\u1ea1n ph\u00e2n b\u1ed1 m\u1ee1 l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng l\u00e0m cho m\u1ecdi ng\u01b0\u1eddi b\u1ecb m\u1ea5t ho\u1eb7c t\u0103ng m\u1ee1 \u1edf m\u1ed9t s\u1ed1 v\u00f9ng c\u01a1 th\u1ec3. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u1ea3m th\u1ea5y m\u1ea5t t\u1ef1 tin ho\u1eb7c lo l\u1eafng.<\/p>\n\n\n\n

      V\u00ed d\u1ee5 v\u1ec1 c\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh n\u00e0y: K\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c t\u1eeb ch\u1ea5t \u1ee9c ch\u1ebf men sao ch\u00e9p ng\u01b0\u1ee3c nucleoside \/ nucleotide (NRTI) v\u00e0 nh\u00f3m ch\u1ea5t \u1ee9c ch\u1ebf protease. NRTI bao g\u1ed3m: Abacavir, Stavudine, Didanosine, Zidovudine, Lamivudine, Emtricitabine, Tenofovir. C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf protease bao g\u1ed3m: Atazanavir, Darunavir, Fosamprenavir, Indinavir, Lopinavir, Nelfinavir,…<\/p>\n\n\n\n

      C\u00e1ch c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng:<\/p>\n\n\n\n

      • T\u1eadp th\u1ec3 d\u1ee5c c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m l\u01b0\u1ee3ng m\u1ee1 to\u00e0n th\u00e2n, bao g\u1ed3m c\u1ea3 nh\u1eefng v\u00f9ng m\u1ee1 \u0111\u00e3 t\u00edch t\u1ee5<\/li>
      • M\u1ed9t lo\u1ea1i thu\u1ed1c ti\u00eam \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 tesamorelin (Egrifta) c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m m\u1ee1 b\u1ee5ng d\u01b0 th\u1eeba \u1edf nh\u1eefng ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb HIV. Tuy nhi\u00ean, khi m\u1ecdi ng\u01b0\u1eddi ng\u1eebng d\u00f9ng tesamorelin, m\u1ee1 b\u1ee5ng c\u00f3 kh\u1ea3 n\u0103ng quay tr\u1edf l\u1ea1i<\/li>
      • H\u00fat m\u1ee1 c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf ch\u1ea5t b\u00e9o \u1edf nh\u1eefng n\u01a1i m\u00e0 n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c thu th\u1eadp<\/li>
      • Nh\u1eefng ng\u01b0\u1eddi b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 HIV c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc h\u1ecfi nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a h\u1ecd v\u1ec1 vi\u1ec7c d\u00f9ng metformin. Thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng n\u00e0y c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m m\u1ee1 b\u1ee5ng do r\u1ed1i lo\u1ea1n ph\u00e2n b\u1ed1 m\u1ee1<\/li><\/ul>\n\n\n\n

        B\u1ec7nh ti\u00eau ch\u1ea3y<\/h3>\n\n\n\n

        C\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng n\u00e0y:<\/p>\n\n\n\n

        • Ch\u1ea5t \u1ee9c ch\u1ebf protease<\/li>
        • Ch\u1ea5t \u1ee9c ch\u1ebf men sao ch\u00e9p ng\u01b0\u1ee3c nucleoside \/ nucleotide (NRTIs)<\/li>
        • Thu\u1ed1c kh\u00e1ng sinh<\/li>
        • Delavirdine<\/li>
        • Maraviroc<\/li>
        • Raltegravir<\/li><\/ul>\n\n\n\n

          C\u00e1ch c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng:<\/p>\n\n\n\n

          • \u0102n \u00edt d\u1ea7u m\u1ee1, ch\u1ea5t b\u00e9o, gia v\u1ecb v\u00e0 th\u1ef1c ph\u1ea9m t\u1eeb s\u1eefa, bao g\u1ed3m c\u1ea3 th\u1ef1c ph\u1ea9m chi\u00ean v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a s\u1eefa<\/li>
          • \u0102n \u00edt th\u1ef1c ph\u1ea9m c\u00f3 nhi\u1ec1u ch\u1ea5t x\u01a1 kh\u00f4ng h\u00f2a tan, ch\u1eb3ng h\u1ea1n nh\u01b0 rau s\u1ed1ng, ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t v\u00e0 c\u00e1c lo\u1ea1i h\u1ea1t<\/li>
          • H\u1ecfi nh\u00e0 chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u1ec1 l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c d\u00f9ng thu\u1ed1c ch\u1ed1ng ti\u00eau ch\u1ea3y kh\u00f4ng k\u00ea \u0111\u01a1n, ch\u1eb3ng h\u1ea1n nh\u01b0 loperamide (Imodium)<\/li><\/ul>\n\n\n\n
            \"\"\/<\/figure>\n\n\n\n

            Thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng, tr\u1ea7m c\u1ea3m v\u00e0 lo l\u1eafng<\/h3>\n\n\n\n

            Thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng, bao g\u1ed3m c\u1ea3 tr\u1ea7m c\u1ea3m v\u00e0 lo l\u1eafng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ARV. Nh\u1eefng thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u1ee7a HIV.<\/p>\n\n\n\n

            C\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng n\u00e0y:<\/p>\n\n\n\n

            • Efavirenz (Sustiva)<\/li>
            • Rilpivirine (Edurant, Odefsey, Complera)<\/li>
            • Dolutegravir<\/li><\/ul>\n\n\n\n

              C\u00e1ch c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng:<\/p>\n\n\n\n

              • Kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u v\u00e0 ma t\u00fay b\u1ea5t h\u1ee3p ph\u00e1p<\/li>
              • H\u1ecfi \u00fd ki\u1ebfn c\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u1ec1 t\u01b0 v\u1ea5n t\u00e2m l\u00fd ho\u1eb7c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m<\/li><\/ul>\n\n\n\n

                Ph\u00e1t ban<\/h3>\n\n\n\n

                Ph\u00e1t ban l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a h\u1ea7u h\u1ebft m\u1ecdi lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb HIV. Nh\u01b0ng ph\u00e1t ban nghi\u00eam tr\u1ecdng c\u0169ng c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ho\u1eb7c m\u1ed9t t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng kh\u00e1c. G\u1ecdi c\u1ea5p c\u1ee9u ngay l\u1eadp t\u1ee9c n\u1ebfu b\u1ea1n b\u1ecb ph\u00e1t ban k\u00e8m theo b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u n\u00e0o sau \u0111\u00e2y:<\/p>\n\n\n\n

                • Kh\u00f3 th\u1edf<\/li>
                • S\u1ed1t<\/li>
                • N\u1ed5i m\u1ee5n n\u01b0\u1edbc, \u0111\u1eb7c bi\u1ec7t l\u00e0 xung quanh mi\u1ec7ng, m\u0169i v\u00e0 m\u1eaft<\/li>
                • Ph\u00e1t ban b\u1eaft \u0111\u1ea7u nhanh ch\u00f3ng v\u00e0 lan r\u1ed9ng<\/li><\/ul>\n\n\n\n

                  C\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng n\u00e0y:<\/p>\n\n\n\n

                  • Ch\u1ea5t \u1ee9c ch\u1ebf Protease<\/li>
                  • Emtricitabine<\/li>
                  • Raltegravir<\/li>
                  • Elvitegravir \/ tenofovir disoproxil \/ emtricitabine<\/li>
                  • Thu\u1ed1c \u1ee9c ch\u1ebf men sao ch\u00e9p ng\u01b0\u1ee3c kh\u00f4ng nucleosid (NNRTI), bao g\u1ed3m:
                    • Etravirine<\/li>
                    • Rilpivirine<\/li>
                    • Delavirdine<\/li>
                    • Efavirenz<\/li>
                    • Nevirapine<\/li><\/ul><\/li><\/ul>\n\n\n\n

                      C\u00e1ch c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng:<\/p>\n\n\n\n

                      • D\u01b0\u1ee1ng \u1ea9m da b\u1eb1ng kem d\u01b0\u1ee1ng da m\u1ed7i ng\u00e0y<\/li>
                      • S\u1eed d\u1ee5ng n\u01b0\u1edbc m\u00e1t ho\u1eb7c \u1ea5m h\u01a1n l\u00e0 n\u01b0\u1edbc n\u00f3ng trong v\u00f2i hoa sen v\u00e0 b\u1ed3n t\u1eafm<\/li>
                      • S\u1eed d\u1ee5ng x\u00e0 ph\u00f2ng v\u00e0 x\u00e0 ph\u00f2ng gi\u1eb7t nh\u1eb9, kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng<\/li>
                      • M\u1eb7c c\u00e1c lo\u1ea1i v\u1ea3i tho\u00e1ng kh\u00ed, ch\u1eb3ng h\u1ea1n nh\u01b0 v\u1ea3i cotton<\/li><\/ul>\n\n\n\n

                        Kh\u00f3 ng\u1ee7<\/h3>\n\n\n\n

                        C\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng n\u00e0y:<\/p>\n\n\n\n

                        • Efavirenz<\/li>
                        • Emtricitabine<\/li>
                        • Rilpivirine<\/li>
                        • Indinavir<\/li>
                        • Elvitegravir \/ cobicistat<\/li>
                        • Dolutegravir<\/li><\/ul>\n\n\n\n

                          C\u00e1ch c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng:<\/p>\n\n\n\n

                          • Luy\u1ec7n t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n<\/li>
                          • H\u00e3y tu\u00e2n theo m\u1ed9t l\u1ecbch tr\u00ecnh ng\u1ee7 \u0111\u00e3 \u0111\u1ecbnh<\/li>
                          • \u0110\u1ea3m b\u1ea3o ph\u00f2ng ng\u1ee7 tho\u1ea3i m\u00e1i cho gi\u1ea5c ng\u1ee7<\/li>
                          • Th\u01b0 gi\u00e3n tr\u01b0\u1edbc khi \u0111i ng\u1ee7 b\u1eb1ng c\u00e1ch t\u1eafm n\u01b0\u1edbc \u1ea5m ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng gi\u00fap th\u01b0 gi\u00e3n kh\u00e1c<\/li>
                          • Tr\u00e1nh caffeine v\u00e0 c\u00e1c ch\u1ea5t k\u00edch th\u00edch kh\u00e1c trong v\u00f2ng v\u00e0i gi\u1edd tr\u01b0\u1edbc khi \u0111i ng\u1ee7<\/li>
                          • N\u00f3i chuy\u1ec7n v\u1edbi chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u1ec1 thu\u1ed1c ng\u1ee7 n\u1ebfu v\u1ea5n \u0111\u1ec1 v\u1eabn ti\u1ebfp di\u1ec5n<\/li><\/ul>\n\n\n\n

                            C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c<\/h3>\n\n\n\n

                            C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c c\u1ee7a thu\u1ed1c ARV c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n\n\n\n

                            • Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn ho\u1eb7c d\u1ecb \u1ee9ng<\/li>
                            • Ti\u00eau x\u01b0\u01a1ng<\/li>
                            • B\u1ec7nh tim<\/li>
                            • B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/li>
                            • Nhi\u1ec5m axit lactic (n\u1ed3ng \u0111\u1ed9 axit lactic cao trong m\u00e1u)<\/li>
                            • T\u1ed5n th\u01b0\u01a1ng th\u1eadn, gan ho\u1eb7c tuy\u1ebfn t\u1ee5y<\/li>
                            • T\u00ea, r\u00e1t ho\u1eb7c \u0111au \u1edf b\u00e0n tay ho\u1eb7c b\u00e0n ch\u00e2n do c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1ea7n kinh<\/li><\/ul>\n\n\n\n

                              Ng\u01b0\u1eddi nhi\u1ec5m HIV c\u00f3 th\u1ec3 m\u1ea5t m\u1ed9t th\u1eddi gian \u0111\u1ec3 t\u00ecm ra ch\u1ebf \u0111\u1ed9 thu\u1ed1c ph\u00f9 h\u1ee3p. V\u1edbi s\u1ef1 theo d\u00f5i v\u00e0 theo d\u00f5i c\u1ea9n th\u1eadn, c\u00e1c chuy\u00ean gia y t\u1ebf s\u1ebd t\u00ecm ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ARV c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t v\u1edbi \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1ea5t.<\/p>\n\n\n\n

                              Khi n\u00e0o n\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi-r\u00fat?<\/h2>\n\n\n\n

                              Nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HIV n\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi-r\u00fat ngay l\u1eadp t\u1ee9c. B\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm, b\u1ea1n c\u00e0ng s\u1edbm c\u00f3 \u0111\u01b0\u1ee3c l\u1ee3i \u00edch t\u1eeb n\u00f3. \u0110i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t b\u1ea3o v\u1ec7 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n kh\u1ecfi b\u1ecb h\u01b0 h\u1ea1i v\u00e0 mang l\u1ea1i cho b\u1ea1n c\u01a1 h\u1ed9i t\u1ed1t nh\u1ea5t \u0111\u1ec3 s\u1ed1ng kh\u1ecfe m\u1ea1nh trong t\u01b0\u01a1ng lai.<\/p>\n\n\n\n

                              B\u1eb1ng c\u00e1ch gi\u1eef cho l\u01b0\u1ee3ng HIV trong c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n \u1edf m\u1ee9c th\u1ea5p, ART c\u0169ng l\u00e0m gi\u1ea3m nguy c\u01a1 l\u00e2y truy\u1ec1n HIV. Nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch (\u0111\u00fang th\u1eddi \u0111i\u1ec3m v\u00e0 theo l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129) c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t th\u1ee9 g\u1ecdi l\u00e0 ‘t\u1ea3i l\u01b0\u1ee3ng vi r\u00fat kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c. \u0110\u00f3 l\u00e0 khi l\u01b0\u1ee3ng HIV trong c\u01a1 th\u1ec3 h\u1ecd gi\u1ea3m xu\u1ed1ng m\u1ee9c th\u1ea5p \u0111\u1ebfn m\u1ee9c kh\u00f4ng th\u1ec3 l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c.<\/p>\n\n\n\n

                              \u0110\u1ec3 bi\u1ebft b\u1ea1n c\u00f3 t\u1ea3i l\u01b0\u1ee3ng vi r\u00fat kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c hay kh\u00f4ng, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ea1n ph\u1ea3i tham gia c\u00e1c cu\u1ed9c h\u1eb9n th\u01b0\u1eddng xuy\u00ean v\u1edbi nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111o t\u1ea3i l\u01b0\u1ee3ng vi r\u00fat – \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 cho b\u1ea1n bi\u1ebft m\u1ee9c \u0111\u1ed9 hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 l\u01b0\u1ee3ng HIV trong c\u01a1 th\u1ec3 b\u1ea1n.<\/p>\n\n\n\n

                              \"\"\/<\/figure>\n\n\n\n

                              \u0110i\u1ec1u tr\u1ecb ARV  \u0111\u00fang theo ch\u1ec9 \u0111\u1ecbnh l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 thu\u1ed1c ph\u00e1t huy t\u00e1c d\u1ee5ng. N\u1ebfu c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 x\u1ea3y ra, \u0111\u1eebng ng\u1eebng d\u00f9ng thu\u1ed1c. Thay v\u00e0o \u0111\u00f3, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi c\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. H\u1ecd c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t c\u00e1c c\u00e1ch \u0111\u1ec3 gi\u1ea3m b\u1edbt c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ho\u1eb7c h\u1ecd c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

                              B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n

                              Ngu\u1ed3n tham kh\u1ea3o: healthline.com<\/em><\/strong><\/p>\n\n\n\n

                              C\u00f3 th\u1ec3 b\u1ea1n quan t\u00e2m<\/strong><\/p>\n\n\n","protected":false},"excerpt":{"rendered":"

                              \u0110i\u1ec1u tr\u1ecb ARV l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho HIV. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y kh\u00f4ng ch\u1eefa kh\u1ecfi HIV, nh\u01b0ng ch\u00fang c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng vi r\u00fat trong c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m HIV. \u0110i\u1ec1u n\u00e0y gi\u1eef cho h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch \u0111\u1ee7 m\u1ea1nh \u0111\u1ec3 ch\u1ed1ng l\u1ea1i b\u1ec7nh t\u1eadt. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n […]<\/p>\n","protected":false},"author":7,"featured_media":94722,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[17],"tags":[],"class_list":["post-104806","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-truyen-nhiem"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/dieu-tri-arv-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/dieu-tri-arv-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=104806"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104806\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/94722"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=104806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=104806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=104806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}