PHC IU TR LAO

Phc IA: 2RHEZ/4RHE

Ch nh: Cho cc trng hp bnh lao mi ngi
ln (cha iu tr lao bao gi hoc tng iu tr lao
nhng di 1 thng).
Hng dn:
Giai on tn cng ko di 2 thng, gm 4 loi
thuc dng hng ngy.
Giai on duy tr ko di 4 thng gm 3 loi thuc
l R, H v E dng hng ngy.

Phc IB: 2RHEZ/4RH

Ch nh: Cho cc trng hp bnh lao mi tr em
(cha iu tr lao bao gi hoc tng iu tr lao
nhng di 1 thng).
Hng dn:
Giai on tn cng ko di 2 thng, gm 4 loi
thuc dng hng ngy.
Giai on duy tr ko di 4 thng gm 2 loi thuc
l R v H dng hng ngy.

Phc II: 2SRHZE/1RHZE/5RHE

Ch nh: Cho cc trng hp bnh lao ti pht, lao
iu tr li v cc trng bnh lao c phn loi l
khc m khng c iu kin lm xt nghim chn
on lao a khng nhanh.
Hng dn:
Giai on tn cng ko di 3 thng, 2 thng u tin
vi c 5 loi thuc chng lao thit yu (SHRZE) dng
hng ngy, 1 thng tip theo vi 4 loi thuc (HRZE)
dng hng ngy.
Giai on duy tr ko di 5 thng vi 3 loi thuc H,
R v E dng hng ngy.

Phc III A: 2RHZE/10RHE

Ch nh: Cho lao mng no v lao xng khp
ngi ln.
Hng dn:
Giai on tn cng ko di 2 thng, gm 4 loi
thuc (HRZE) dng hng ngy.
Giai on duy tr ko di 10 thng gm 3 loi thuc
l RHE dng hng ngy.

Phc III B: 2RHZE/10RH

Ch nh: Cho lao mng no v lao xng khp tr
em.
Hng dn:
Giai on tn cng ko di 2 thng, gm 4 loi thuc
(HRZE) dng hng ngy.
Giai on duy tr ko di 10 thng gm 2 loi thuc
l RH dng hng ngy.

Phc IV: (Theo hng dn qun l lao khng thuc)

Phc IV A : Z E Km Lfx Pto Cs (PAS) / ZE Lfx Pto
Cs (PAS)
Ch nh: Lao a khng thuc tht bi phc I, II hoc
III
Hng dn:
Giai on tn cng ko di t nht 6 thng (4 thng sau nui
cy m tnh), gm 6 loi thuc ZE Km Lfx Pto Cs (PAS), PAS
c s dng thay th cho trng hp khng dung np Cs,
dng hng ngy.
Giai on duy tr dng 5 loi thuc hng ngy. Tng thi
gian iu tr t nht l 20 thng.

Phc IV B : Z E Cm Lfx Pto Cs (PAS) / Z E Lfx Pto

Cs (PAS)
Ch nh: Lao a khng thuc c nguy c khng vi Km
( dng hn 2 phc iu tr lao hoc tng dng
Km).
Hng dn:
Giai on tn cng ko di t nht 6 thng (4 thng sau nui
cy m tnh), gm 6 loi thuc ZE Cm Lfx Pto Cs (PAS), PAS
c s dng thay th cho trng hp khng dung np Cs,
dng hng ngy.
Giai on duy tr dng 5 loi thuc hng ngy.
Tng thi gian iu tr t nht l 20 thng.

Theo di iu tr
Trong qu trnh iu tr, ngi bnh cn c kim
sot dng thuc, nh gi p ng lm sng, Xquang
v tc dng ph ca thuc, v cn phi c xt
nghim m theo di:
i vi th lao phi AFB(+): Cn phi xt nghim
m 3 ln
+Phc 6 thng: Xt nghim m vo cui thng th
2, 5 v 6.
i vi th lao phi AFB(-):Xt nghim m hai ln
cui thng th 2 v 5.

X tr kt qu xt nghim m theo di:

Vi P I, m cn AFB(+) thng th 2, chuyn
iu tr duy tr, lm xt nghim soi trc tip thng
th 3. Nu cui thng th 3 cn AFB(+), cn
chuyn m lm Hain test, Xpert (hoc nui cy
v KS).
Vi P II, nu AFB (+) cui thng th 3 th
chuyn m lm Hain test, Xpert (hoc nui cy
v KS).

 C P I v II, nu AFB(+) cui giai on tn

cng th vn chuyn iu tr duy tr m khng
ko di tn cng thm 1 thng nh trc y.
Lu : bt k thi im iu tr no vi thuc
chng lao hng 1, khi xc nh c chng vi
khun lao khng a thuc th ngi bnh cn
c ch nh P IV.

Cc vn mi cn lu
Chng lao cn 4 ci mi: T duy, cng
ngh, tip cn v u t mi
Cng ngh: K thut chn on mi /
thuc phc mi / vc xin mi
Tip cn: PAL, PPM, Lao tr em, DOTS
cng ng, DOTS min ni, .
Lao khng thuc: PMDT
Lao HIV: ART CPT - DOTS
Gim st: VITIMES, eTBM

Mi chng ta hy l ngi cn
b chuyn mn tt v l ngi
ch o chng trnh tt

TRN TRNG CM N!