深圳艾滋感染孕产妇及其婴儿将获免费抗艾药物
2011-06-27 09:22:00 来源: 南方网
24日,记者从深圳市卫人委获悉,根据《广东省预防艾滋病梅毒和乙肝母婴传播工作实施方案》的精神,深圳市各级医疗保健机构将为艾滋病感染孕产妇及所生婴儿提供免费的抗艾滋病病毒药物。
据了解,在向提供抗艾滋病病毒药物前,医疗保健机构将对孕产妇进行艾滋病症状观察、CD4+T淋巴细胞计数及病毒载量检测,并对孕产妇的感染状况进行评估,确定临床分期,结合CD4+T淋巴细胞计数及病毒载量检测结果,选择适宜的抗病毒用药方案。
同时,在应用抗病毒药物前及用药过程中,医务人员将为感染孕产妇及所生儿童提供持续的咨询指导及相关监测,提高用药依从性;定期进行血常规、尿常规、肝功能、肾功能等检测,密切关注可能出现的药物副作用;在发现孕产妇感染艾滋病时,孕期每三个月和产后4-6周对孕产妇各进行一次CD4+T淋巴细胞计数的检测,同时在发现孕产妇感染艾滋病时和孕晚期各进行一次病毒载量的检测,观察并评价孕产妇的病情,并提供必要的处理或转介服务。
《工作实施方案》要求,各级医疗保健机构应为艾滋病感染孕妇及其家人提供充分的咨询,告知住院分娩对保护母婴安全和实施预防艾滋病母婴传播措施的重要作用,帮助其及早确定分娩医院,尽早到医院待产。医疗保健机构应为艾滋病感染孕产妇提供安全的助产服务,尽量避免可能增加艾滋病母婴传播危险的会阴侧切、人工破膜、使用胎头吸引器或产钳助产、宫内胎儿头皮监测等损伤性操作,减少在分娩过程中母婴传播艾滋病病毒的几率。







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图示∶2011年5月正式出版的《中国特色医疗金鉴》登载的刘君主任及其机构事迹 |
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HIV-infected pregnant women in Shenzhen and their babies will be free Kangai Yao things
2011-06-27 09:22:00 Source: Nanfang Wang
24, the reporter from the Shenzhen Municipal Committee was informed health of people, according to "Guangdong Province, syphilis and hepatitis B prevention of HIV mother to child transmission plan" the spirit of Shenzhen for all levels of medical care and HIV-infected infants born to pregnant women free the anti-HIV drugs.
It is understood, to provide anti-HIV drugs before, maternal health care organizations will be observed for symptoms of AIDS, CD4 T lymphocyte count and viral load testing, and maternal infection to assess the situation to determine the clinical stage, with CD4 T lymphocyte count and viral load test results, select the appropriate anti-viral medications.
Meanwhile, in the application of antiviral drugs before and during treatment, the medical staff will be children born to infected pregnant women and provide ongoing counseling and related monitoring, improving medication compliance; regular blood, urine, liver function, kidney function testing, close attention to the possible side effects; found when the maternal HIV infection during pregnancy and postpartum for 4-6 weeks every three months for the once maternal CD4 T lymphocyte count testing, while the discovery of maternal and third trimester of pregnancy when HIV viral load once each test, observation and evaluation of maternal illness, and provide the necessary treatment or referral services.
"Work plan" requirements at all levels of health care institutions should be HIV-infected pregnant women and their families to provide adequate advice to inform the hospital delivery and implementation of the protection of maternal and child safety measures to prevent mother to child transmission of AIDS an important role in helping the early identification of childbirth hospital as soon as possible to the hospital to be produced. Medical care for the HIV-infected pregnant women should provide safe midwifery services, to avoid mother to child transmission of AIDS may increase the risk of episiotomy, artificial rupture of membranes, fetal head using suction or forceps delivery, fetal scalp monitoring invasive operation to reduce mother to child during childbirth the chances of HIV transmission.
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