Possible Reactive Status Of HIV To Non-active?

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Hello doctor, r nI’m a 26-year-old mother who is pregnant. R nMy hiv status is reactive with the number 930.71 (test using the CMIA method) r nNow I am on ARV treatment, is there any possibility of my reactive status when later turns non-reactive? Although I know that I have to take ARVs for the rest of my life. R nDo I and my husband be able to re-participate in the second pregnancy program by connecting without safety after my status is non-reactive? My husband’s HIV status is now non-reactive and hopefully it will stay that way. R nI have consulted with a gynecologist, he said it would be better with my reactive status whose numbers are so high I don’t need to give breast milk to my baby I’m afraid the baby will be infected and only need to give formula milk only. What according to the doctor himself? Is there any advice on what formula milk is best for my baby? R n r nPlease explain the doctor.

1 Answer:

Hello Layla, Thank you for the question.

Human immunodeficiency virus (HIV) is a virus that attacks the human immune system that causes the sufferer's body unable to fight infection or other diseases.

To detect HIV, blood tests carried out aim to detect antibiotics (immune substances that are formed if there is an infection entering the body), antibodies and antigens (virus particles), and examination of HIV genetic material (nucleic acid test / NAT). Chemiluminescent microparticle immunoassay (CMIA) is a blood test to detect antibodies and antigens. A reactive check cannot be non-reactive. Other blood tests you need to do as a reference to the success of therapy and whether you can start a pregnancy program. The blood test in question is a test that detects a large amount of virus in the body (viral load). The goal of antiretroviral therapy is to suppress the amount of virus until it is not detected in the body (through blood tests). When the amount of virus has not been detected in your body, you can start your pregnancy program.

HIV is transmitted through the following conditions:

sexual relations with sufferers without safety (condoms)
sharing syringes with HIV positive sufferers, for example, injecting drug users
receive blood transfusions or other blood products from HIV positive patients
from HIV positive mothers to babies during pregnancy, during childbirth, and while breastfeeding

According to the mode of transmission mentioned above, you are not recommended to breastfeed your baby to prevent transmission to your baby. Thus, you can use formula milk for your baby. Basically there are no certain formula milk products that are better than others. You can choose formula milk products on the market by paying attention to your baby's age. Basically, the content of each formula milk is the same, namely carbohydrates, proteins, fats, vitamins, and minerals; what is different is the type of protein content, namely whey protein, casein, or a combination of both. You might need to experiment with formula milk to be given because your baby might not like the taste of certain formula milk. Formula milk also needs to be replaced if your baby has symptoms of allergic to cow's milk with symptoms such as diarrhea, vomiting, skin rashes, swollen eyes or lips, weight gain that does not increase.

Please consult your condition with your obstetrician and gynecologist. Your doctor will carry out further blood tests (viral load tests) periodically before determining when you can start a pregnancy program. Don't hesitate to ask your doctor if you still have other questions.

I hope this helps.

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