Hỏi về phương pháp xét nghiệm NAT và Combi PT
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Em là thành viên mới ạ, có nội dung này em xin phép hỏi như sau:
- Cách đây 1 tháng, em tự thấy có nguy cơ nhiễm HIV nên có sử dụng thuốc dự phòng sau phơi nhiễm.
- Sau khi uống đủ 30 ngày (18/8), đến hôm qua (21/8) em có đi xét nghiệm sau 1 tháng và nhận kết quả âm tính (sử dụng phương pháp HIV Combi PT).
- Tuy nhiên, qua tìm hiểu, em thấy có nội dung bài viết sau, đề cập tới phương pháp xét nghiệm axit nucleic (NAT) https://medlatec.vn/tin-tuc/giai-dap-xet-nghiem-hiv-sau-6-thang-co-chinh-xac-khong-s58-n16509: "... Ngoài ra phương pháp này cũng được sử dụng để chẩn đoán cho các đối tượng đang sử dụng thuốc ARV".
- Qua tìm hiểu, em thấy thuốc dự phòng sau phơi nhiễm mà em đang sử dụng cũng là thuốc ARV, nên dự tính sẽ kiểm tra thêm bằng phương pháp NAT, tuy nhiên ở bài viết https://hellobacsi.com/suc-khoe/xet-nghiem-y-khoa/xet-nghiem-hiv/#gref, phương pháp NAT lại đề cập như sau: "...Lưu ý, khi bạn dùng thuốc để dự phòng trước phơi nhiễm (PrEP) hoặc điều trị dự phòng sau phơi nhiễm (PEP) có thể làm giảm độ chính xác của xét nghiệm axit nucleic".
- Em thấy nội dung của hai bài viết trên đang mâu thuẫn và không biết có nên đi kiểm tra bổ sung bằng phương pháp NAT nữa không để thêm an tâm, hay là cứ để đợi đến 3 tháng rồi xét nghiệm combo bình thường.
Mong mọi người tư vấn, giải đáp giúp em ạ.
Em cảm ơn ạ!
