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Chích ngừa văcxin viêm gan siêu vi B cho trẻ sơ sinh ở Bệnh viện Hùng Vương, TP.HCM
Đường lây truyền viêm gan siêu vi B qua tiếp xúc với máu hoặc dịch cơ thể như dùng chung bàn chải đánh răng, dao cạo râu... Nhiều người mắc bệnh từ lúc mới sinh do siêu vi B lây truyền từ người mẹ nhiễm bệnh.

Viêm gan siêu vi B không lây truyền qua tiếp xúc thông thường như hắt hơi, sổ mũi hoặc ăn uống chung.

Nhiễm viêm gan siêu vi B mãn tính có thể đưa đến tổn thương ở gan tạo thành những vết sẹo trong gan, ung thư gan và gây ra tình trạng suy gan. Việc điều trị sớm và đúng phương pháp có thể giúp bệnh nhân tránh khỏi các nguy cơ trên.

Quan trọng nhất vẫn là phòng ngừa. Bởi vì đường lây truyền của virus viêm gan siêu vi B chủ yếu qua đường máu và đường tình dục nên cần có sự vô trùng tuyệt đối trong các động tác tiêm truyền các loại dịch và thuốc chữa bệnh. Kiểm soát chặt chẽ việc truyền máu. Thực hiện tình dục an toàn như hạn chế bạn tình, sử dụng bao cao su...

400 triệu người

Theo Tổ chức Y tế thế giới, hiện nay trên toàn cầu có khoảng 400 triệu người bị viêm gan siêu vi B mãn tính. Tại VN, ước lượng 10-20% dân số bị nhiễm viêm gan siêu vi B mãn tính và viêm gan siêu vi B là nguyên nhân đưa đến viêm gan mãn nhiều nhất. Trên cơ sở viêm gan mãn sẽ phát triển thành xơ gan và ung thư gan nguyên phát. Khoảng 15-25% số người bị nhiễm viêm gan siêu vi B sẽ chết vì bệnh gan nếu không được điều trị.

Kế đến là việc thực hiện xét nghiệm máu để xem cơ thể đã có kháng thể virus viêm gan siêu vi B chưa? Nếu chưa có nên thực hiện việc chích ngừa theo đúng lịch qui định của Bộ Y tế. Việc chích ngừa nên thực hiện cho tất cả đối tượng có nguy cơ cao, nhất là những phụ nữ làm trong ngành y tế, nơi có khả năng nhiễm virus viêm gan siêu vi B cao nhất vì các tai nạn nghề nghiệp: kim tiêm đâm vào tay, vết thương trong lúc phẫu thuật hay săn sóc vết thương cho những bệnh nhân bị viêm gan siêu vi B hoặc mang trong mình mầm bệnh.

Người mẹ mang mầm bệnh viêm gan siêu vi B sẽ lây cho thai nhi qua đường máu. Nếu không được chủng ngừa khi mới chào đời thì 90% số bé được sinh ra từ người mẹ mang mầm bệnh viêm gan siêu vi B sẽ trở thành người mang mầm bệnh viêm gan siêu vi B suốt đời. Trong đó khoảng 25% số bé trên sẽ chết vì xơ gan hoặc ung thư gan về sau.

Nếu được chủng ngừa viêm gan siêu vi B đầy đủ theo đúng phác đồ thì 95% các bé sẽ không bị vướng bệnh viêm gan siêu vi B. Bé nên được chủng ngừa một mũi HBIG và một mũi ngừa viêm gan siêu vi B trong 12 giờ sau khi chào đời. Sau đó người mẹ có thể cho bé bú sữa của mình. Từ 1-2 tháng tuổi, bé tiếp tục được chủng ngừa mũi viêm gan siêu vi B thứ hai và đến 6 tháng tuổi chủng ngừa mũi thứ ba. Những mũi chủng ngừa trên sẽ giúp cơ thể bé tạo kháng thể chống lại siêu vi viêm gan B. Điều quan trọng người mẹ nhớ là bé phải được kiểm tra kháng thể chống siêu vi B khi được 12-15 tháng tuổi và bạn nhớ hỏi các bác sĩ về điều này.

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