{"id":11286,"date":"2021-11-21T21:33:30","date_gmt":"2021-11-21T14:33:30","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=11286"},"modified":"2021-11-21T21:33:30","modified_gmt":"2021-11-21T14:33:30","slug":"luu-y-khi-tiem-vaccine-covid-19-voi-nguoi-bi-benh-mau","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/11\/21\/luu-y-khi-tiem-vaccine-covid-19-voi-nguoi-bi-benh-mau\/","title":{"rendered":"L\u01b0u \u00fd khi ti\u00eam vaccine COVID-19 v\u1edbi ng\u01b0\u1eddi b\u1ecb b\u1ec7nh m\u00e1u"},"content":{"rendered":"

Khi \u0111\u1ea1i d\u1ecbch COVID-19 di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam vaccine \u0111ang \u0111\u01b0\u1ee3c tri\u1ec3n khai r\u1ed9ng r\u00e3i, ng\u01b0\u1eddi b\u1ec7nh m\u00e1u n\u00f3i chung v\u00e0 ung th\u01b0 m\u00e1u n\u00f3i ri\u00eang c\u00f3 r\u1ea5t nhi\u1ec1u b\u0103n kho\u0103n, lo l\u1eafng nh\u01b0:<\/h2>\n
\n

BSCKII. V\u00f5 Th\u1ecb Thanh B\u00ecnh – Tr\u01b0\u1edfng khoa Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c, Vi\u1ec7n Huy\u1ebft h\u1ecdc – Truy\u1ec1n m\u00e1u TW v\u00e0 TS. Nguy\u1ec5n Th\u1ecb Mai – Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Hemophilia, Vi\u1ec7n Huy\u1ebft h\u1ecdc \u2013 Truy\u1ec1n m\u00e1u TW s\u1ebd gi\u1ea3i \u0111\u00e1p nh\u1eefng th\u1eafc m\u1eafc n\u00e0y.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh hemophilia v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u th\u01b0\u1eddng g\u1eb7p ph\u1ea3n \u1ee9ng n\u00e0o sau ti\u00eam vaccine COVID-19? C\u00e1ch x\u1eed tr\u00ed th\u1ebf n\u00e0o, xin b\u00e1c s\u0129 t\u01b0 v\u1ea5n?<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n b\u00e1o cho trung t\u00e2m \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u00e1u kh\u00f3 \u0111\u00f4ng b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o (v\u00ed d\u1ee5 nh\u01b0: t\u1ee5 m\u00e1u, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng). H\u00e3y li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 ho\u1eb7c \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u b\u1ec7nh vi\u1ec7n g\u1ea7n nh\u1ea5t ngay l\u1eadp t\u1ee9c n\u1ebfu b\u1ecb ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng (s\u1ed1t, n\u00f3ng, m\u1ea9n \u0111\u1ecf, ph\u00e1t ban ng\u1ee9a tr\u00ean da, kh\u00f3 th\u1edf ho\u1eb7c s\u01b0ng m\u1eb7t ho\u1eb7c l\u01b0\u1ee1i) v\u00ec nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111\u00f3 c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n

L\u01b0u \u00fd v\u1edbi t\u1eebng th\u1ec3 b\u1ec7nh<\/p>\n

\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh m\u00e1u kh\u00f3 \u0111\u00f4ng n\u1eb7ng\/trung b\u00ecnh ho\u1eb7c b\u1ec7nh von Willebrand lo\u1ea1i 3 (VWD), b\u1ea5t k\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng th\u01b0\u1eddng xuy\u00ean hay \u0111i\u1ec1u tr\u1ecb theo y\u00eau c\u1ea7u, n\u00ean ti\u00eam vaccine sau khi ti\u00eam y\u1ebfu t\u1ed1 VIII\/IX, ho\u1eb7c sau khi ti\u00eam ch\u1ebf ph\u1ea9m ch\u1ee9a y\u1ebfu t\u1ed1 von Willebrand.<\/p>\n

C\u00e1c lo\u1ea1i vaccine kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 kh\u1ea3 n\u0103ng h\u00ecnh th\u00e0nh ch\u1ea5t \u1ee9c ch\u1ebf y\u1ebfu t\u1ed1 VIII ho\u1eb7c IX \u1edf ng\u01b0\u1eddi b\u1ec7nh m\u00e1u kh\u00f3 \u0111\u00f4ng. \u0110\u1eb7c bi\u1ec7t, vaccine ch\u1ed1ng l\u1ea1i virus c\u00f3 b\u1ed9 gen RNA (c\u00fam, quai b\u1ecb, s\u1edfi, rubella), nh\u01b0 SARS\u2010CoV-2, kh\u00f4ng t\u0103ng c\u01b0\u1eddng h\u00ecnh th\u00e0nh ch\u1ea5t \u1ee9c ch\u1ebf \u1edf m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh m\u00e1u kh\u00f3 \u0111\u00f4ng m\u1ee9c \u0111\u1ed9 nh\u1eb9 c\u00f3 n\u1ed3ng \u0111\u1ed9 y\u1ebfu t\u1ed1 VIII ho\u1eb7c IX ban \u0111\u1ea7u d\u01b0\u1edbi 10% c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng ch\u1ea3y m\u00e1u tr\u01b0\u1edbc khi ti\u00eam ph\u00f2ng v\u00e0 n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a trung t\u00e2m hemophilia. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 m\u1ee9c y\u1ebfu t\u1ed1 VIII ho\u1eb7c IX c\u01a1 b\u1ea3n tr\u00ean 10%, kh\u00f4ng c\u1ea7n c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba ch\u1ea3y m\u00e1u.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh \u0111ang s\u1eed d\u1ee5ng emicizumab (c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ch\u1ea5t \u1ee9c ch\u1ebf) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ee7ng ng\u1eeba b\u1eb1ng c\u00e1ch ti\u00eam b\u1eafp b\u1ea5t c\u1ee9 l\u00fac n\u00e0o m\u00e0 kh\u00f4ng c\u1ea7n th\u00eam bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng ch\u1ea3y m\u00e1u. T\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng vWF ban \u0111\u1ea7u, ng\u01b0\u1eddi b\u1ec7nh vWD lo\u1ea1i 1 ho\u1eb7c 2 n\u00ean s\u1eed d\u1ee5ng c\u00e1c li\u1ec7u ph\u00e1p (DDAVP, axit tranexamic) v\u1edbi s\u1ef1 t\u01b0 v\u1ea5n c\u1ee7a trung t\u00e2m hemophilia.<\/p>\n

V\u1ea5n \u0111\u1ec1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/p>\n

Kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee5 th\u1ec3 \u0111\u1ed1i v\u1edbi vi\u1ec7c ti\u00eam ch\u1ee7ng li\u00ean quan \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh hemophilia v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u kh\u00e1c ho\u1eb7c c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh. Dung n\u1ea1p mi\u1ec5n d\u1ecbch, \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C, HIV v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c kh\u00f4ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ch\u1ee7ng.<\/p>\n

Kh\u00f4ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam vaccine cho b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch (cortisone, c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c), nh\u01b0ng ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u00e0 kh\u1ea3 n\u0103ng b\u1ea3o v\u1ec7 kh\u1ecfi nhi\u1ec5m tr\u00f9ng c\u1ee7a h\u1ecd c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m.<\/p>\n

C\u00e1c trung t\u00e2m \u0111i\u1ec1u tr\u1ecb c\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi h\u1ed9i b\u1ec7nh nh\u00e2n \u0111\u01b0a ra c\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 vaccine v\u00e0 h\u1ed7 tr\u1ee3 trong vi\u1ec7c ti\u00eam ch\u1ee7ng.<\/p>\n

V\u1edbi ng\u01b0\u1eddi b\u1ec7nh hemophilia v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u c\u1ea7n l\u01b0u \u00fd g\u00ec khi ti\u00eam vaccine COVID-19, th\u01b0a b\u00e1c s\u0129?<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh hemophilia kh\u00f4ng c\u00f3 nguy c\u01a1 m\u1eafc COVID-19 cao h\u01a1n v\u00e0 l\u00e0m cho b\u1ec7nh n\u1eb7ng h\u01a1n v\u00ec v\u1eady kh\u00f4ng ph\u1ea3i l\u00e0 nh\u00f3m \u0111\u01b0\u1ee3c \u01b0u ti\u00ean ti\u00eam vaccine. Nh\u01b0 v\u1eady, ng\u01b0\u1eddi b\u1ec7nh hemophilia s\u1ebd h\u01b0\u1edfng ch\u1ebf \u0111\u1ed9 \u01b0u ti\u00ean nh\u01b0 nh\u01b0ng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng d\u1ef1a tr\u00ean tu\u1ed5i, t\u00ecnh tr\u1ea1ng s\u1ee9c kho\u1ebb, m\u1eafc c\u00e1c b\u1ec7nh kh\u00e1c\u2026<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh hemophilia v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u (bao g\u1ed3m c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m ti\u1ec3u c\u1ea7u, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng ti\u1ec3u c\u1ea7u, von Willebrand\u2026) n\u00ean l\u01b0u \u00fd nh\u1eefng v\u1ea5n \u0111\u1ec1 sau khi ti\u00eam vaccine COVID-19.<\/p>\n

\n
\"Zalo\"
Vaccine n\u00ean \u0111\u01b0\u1ee3c ti\u00eam b\u1eafp v\u00e0 n\u00ean s\u1eed d\u1ee5ng kim c\u1ee1 nh\u1ecf nh\u1ea5t hi\u1ec7n c\u00f3 (c\u1ee1 25\u201027), n\u1ebfu c\u00f3 th\u1ec3. M\u1ed9t s\u1ed1 vaccine ph\u1ea3i \u0111\u01b0\u1ee3c ti\u00eam b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p \u1ed1ng ti\u00eam, kim ti\u00eam \u0111i k\u00e8m. Do \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng m\u1ed9t kim ti\u00eam thay th\u1ebf c\u00f3 th\u1ec3 kh\u00f4ng kh\u1ea3 thi.<\/figcaption><\/figure>\n<\/div>\n

Ng\u01b0\u1eddi b\u1ec7nh n\u00ean t\u1ea1o \u00e1p l\u1ef1c l\u00ean v\u1ebft ti\u00eam \u00edt nh\u1ea5t 10 ph\u00fat sau khi ti\u00eam \u0111\u1ec3 gi\u1ea3m ch\u1ea3y m\u00e1u v\u00e0 s\u01b0ng t\u1ea5y. Ngo\u00e0i ra, n\u00ean t\u1ef1 ki\u1ec3m tra\/s\u1edd n\u1eafn v\u00f9ng ti\u00eam trong v\u00e0i ph\u00fat v\u00e0 2\u20104 gi\u1edd sau \u0111\u00f3 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng kh\u00f4ng c\u00f3 t\u1ee5 m\u00e1u ch\u1eadm. C\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu \u1edf c\u00e1nh tay trong 1\u20102 ng\u00e0y sau khi ti\u00eam l\u00e0 kh\u00f4ng \u0111\u00e1ng ng\u1ea1i tr\u1eeb khi n\u00f3 x\u1ea5u \u0111i v\u00e0 k\u00e8m theo s\u01b0ng t\u1ea5y.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u c\u00f4 \u0111\u1eb7c c\u00f3 th\u1eddi gian b\u00e1n h\u1ee7y k\u00e9o d\u00e0i c\u00f3 ch\u1ee9a polyethylene glycol (PEG) n\u00ean th\u1ea3o lu\u1eadn v\u1ec1 vi\u1ec7c l\u1ef1a ch\u1ecdn vaccine v\u1edbi b\u00e1c s\u0129 v\u00ec m\u1ed9t s\u1ed1 vaccine c\u00f3 ch\u1ee9a PEG l\u00e0m t\u00e1 d\u01b0\u1ee3c.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ho\u1eb7c ph\u1ea3n v\u1ec7 v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m m\u00e1u bao g\u1ed3m y\u1ebfu t\u1ed1 c\u00f4 \u0111\u1eb7c, huy\u1ebft t\u01b0\u01a1ng v\u00e0 t\u1ee7a l\u1ea1nh, nh\u01b0ng ch\u01b0a c\u00f3 ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c lo\u1ea1i vaccine tr\u01b0\u1edbc \u0111\u00f3, kh\u00f4ng c\u00f3 nguy c\u01a1 cao h\u01a1n to\u00e0n b\u1ed9 d\u00e2n s\u1ed1 \u0111\u1ed1i v\u1edbi ph\u1ea3n \u1ee9ng v\u1edbi vaccine COVID-19.<\/p>\n

T\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh r\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u hi\u1ebfm g\u1eb7p (bao g\u1ed3m c\u1ea3 nh\u1eefng ng\u01b0\u1eddi b\u1ecb gi\u1ea3m ti\u1ec3u c\u1ea7u, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng ti\u1ec3u c\u1ea7u) n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng. Tu\u1ef3 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a r\u1ed1i lo\u1ea1n, trung t\u00e2m \u0111i\u1ec1u tr\u1ecb s\u1ebd quy\u1ebft \u0111\u1ecbnh c\u00f3 c\u1ea7n h\u1ed7 tr\u1ee3 c\u1ea7m m\u00e1u hay kh\u00f4ng.<\/p>\n

Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh m\u00e1u n\u00ean ti\u00eam vaccine COVID-19 khi n\u00e0o?<\/p>\n

V\u1ea5n \u0111\u1ec1 c\u1ea7n l\u01b0u \u00fd khi ti\u00eam vaccine cho ng\u01b0\u1eddi b\u1ecb b\u1ec7nh m\u00e1u l\u00e0 th\u1eddi \u0111i\u1ec3m ti\u00eam vaccine. Vi\u1ec7c tr\u00ec ho\u00e3n ti\u00eam vaccine \u0111\u00e3 c\u00f3 s\u1ef1 thay \u0111\u1ed5i: Tr\u01b0\u1edbc kia, theo c\u00e1c khuy\u1ebfn c\u00e1o kh\u00f4ng ch\u1ec9 vaccine COVID-19 m\u00e0 c\u1ea3 c\u00e1c vaccine th\u00f4ng th\u01b0\u1eddng c\u1ea7n tr\u00ec ho\u00e3n \u00edt nh\u1ea5t 6 th\u00e1ng v\u1edbi b\u1ec7nh nh\u00e2n gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c ho\u1eb7c d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n

Tuy nhi\u00ean hi\u1ec7n nay, M\u1ea1ng l\u01b0\u1edbi ung th\u01b0 qu\u1ed1c gia Hoa K\u1ef3 khuy\u1ebfn c\u00e1o, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ti\u00eam vaccine COVID-19 3 th\u00e1ng sau khi gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ef1 th\u00e2n\/\u0111\u1ed3ng lo\u00e0i, \u0111i\u1ec1u tr\u1ecb li\u1ec7u ph\u00e1p t\u1ebf b\u00e0o ho\u1eb7c d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n

V\u1edbi m\u1ed7i ng\u01b0\u1eddi b\u1ec7nh, kh\u1ea3 n\u0103ng sinh kh\u00e1ng th\u1ec3 sau ti\u00eam vaccine s\u1ebd kh\u00e1c nhau. V\u00ec v\u1eady, t\u1ed1t nh\u1ea5t ng\u01b0\u1eddi b\u1ec7nh gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c \u0111\u1ed3ng lo\u00e0i v\u1eabn n\u00ean ti\u00eam vaccine 6 th\u00e1ng sau khi gh\u00e9p. Vi\u1ec7c l\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m ti\u00eam vaccine c\u00f2n c\u1ea7n c\u00e2n nh\u1eafc d\u1ef1a tr\u00ean y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5, kh\u1ea3 n\u0103ng gi\u1eef g\u00ecn, h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh\u2026<\/p>\n

B\u1ec7nh nh\u00e2n b\u1ec7nh m\u00e1u \u00e1c t\u00ednh kh\u00f4ng \u0111i\u1ec1u tr\u1ecb c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean:<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ti\u00eam vaccine sau khi \u0111i\u1ec1u tr\u1ecb h\u00f3a ch\u1ea5t n\u1ebfu c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m \u1ed5n \u0111\u1ecbnh. V\u1edbi b\u1ec7nh nh\u00e2n L\u01a1x\u00eami c\u1ea5p d\u00f2ng t\u1ee7y n\u00ean ti\u00eam sau khi b\u1ea1ch c\u1ea7u trung t\u00ednh h\u1ed3i ph\u1ee5c.<\/p>\n

V\u1edbi b\u1ec7nh nh\u00e2n L\u01a1x\u00eami kinh d\u00f2ng b\u1ea1ch c\u1ea7u h\u1ea1t, b\u1ec7nh nh\u00e2n t\u0103ng sinh t\u1ee7y, \u0111a u tu\u1ef7 x\u01b0\u01a1ng, U lympho \u00e1c t\u00ednh kh\u00f4ng \u0111i\u1ec1u tr\u1ecb Rituximab: khuy\u1ebfn c\u00e1o ti\u00eam s\u1edbm h\u01a1n, b\u1ea5t k\u1ec3 khi n\u00e0o c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn v\u1edbi vaccine n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh kh\u00e1c v\u1ec1 m\u1eb7t d\u1ecb \u1ee9ng v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m \u1ed5n \u0111\u1ecbnh. \u0110i\u1ec1u n\u00e0y cho th\u1ea5y t\u00ednh c\u1ea5p thi\u1ebft trong vi\u1ec7c ti\u00eam vaccine v\u1edbi b\u1ec7nh nh\u00e2n ung th\u01b0 n\u00f3i chung c\u0169ng nh\u01b0 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh m\u00e1u \u00e1c t\u00ednh n\u00f3i ri\u00eang.<\/p>\n

Tuy nhi\u00ean, v\u1edbi m\u1ed9t s\u1ed1 nh\u00f3m b\u1ec7nh r\u1ed1i lo\u1ea1n d\u00f2ng lympho nh\u01b0 CLL, U lympho kh\u00f4ng hodgkin t\u1ebf b\u00e0o B\u2026 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb Rituximab, \u0111\u1ec3 ti\u00eam vaccine c\u00f3 hi\u1ec7u qu\u1ea3 s\u1ebd ph\u1ea3i c\u00f3 k\u1ebf ho\u1ea1ch ti\u00eam sau khi d\u1eebng \u0111i\u1ec1u tr\u1ecb Rituximab \u00edt nh\u1ea5t 4-5 th\u00e1ng v\u00e0 sau ti\u00eam m\u0169i 2 \u00edt nh\u1ea5t 2 tu\u1ea7n m\u1edbi \u0111i\u1ec1u tr\u1ecb Rituximab.<\/p>\n

V\u1edbi b\u1ec7nh nh\u00e2n m\u1edbi ch\u1ea9n \u0111o\u00e1n v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 k\u1ebf ho\u1ea1ch gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c n\u00ean ho\u00e0n th\u00e0nh ti\u00eam 2 m\u0169i vaccine tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb\/gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c 2 tu\u1ea7n (n\u1ebfu c\u00f3 th\u1ec3).<\/p>\n

M\u1ed9t s\u1ed1 l\u01b0u \u00fd kh\u00e1c:<\/p>\n

C\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p sau khi ti\u00eam vaccine c\u00f3 bi\u1ec3u hi\u1ec7n t\u0103ng sinh lympho. V\u00ec v\u1eady, c\u00e1c b\u00e1c s\u0129 c\u1ea7n xem x\u00e9t k\u1ef9 \u0111\u1ec3 tr\u00e1nh nh\u1ea7m l\u1eabn gi\u1eefa ph\u1ea3n \u1ee9ng ph\u1ee5 sau khi ti\u00eam v\u1edbi bi\u1ec3u hi\u1ec7n b\u1ec7nh t\u00e1i ph\u00e1t (\u1edf nh\u00f3m b\u1ec7nh nh\u00e2n t\u0103ng sinh lympho).<\/p>\n

Th\u00f4ng th\u01b0\u1eddng khi ti\u00eam vaccine \u1edf tay n\u00e0o th\u00ec h\u1ec7 th\u1ed1ng ph\u1ea3n \u1ee9ng h\u1ea1ch c\u1ee7a ph\u1ea7n c\u01a1 th\u1ec3 ph\u00eda b\u00ean tay \u0111\u00f3 s\u1ebd c\u00f3 ph\u1ea3n \u1ee9ng m\u1ea1nh h\u01a1n. C\u00e1c chuy\u00ean gia c\u0169ng khuy\u1ebfn c\u00e1o v\u1edbi ung th\u01b0 t\u1ea1ng \u0111\u1eb7c nh\u01b0 ung th\u01b0 v\u00fa n\u00ean ti\u00eam vaccine \u1edf tay \u0111\u1ed1i di\u1ec7n; C\u1ea7n xem x\u00e9t c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 h\u1ea1ch \u0111\u00f3 l\u00e0 h\u1ea1ch t\u00e1i ph\u00e1t hay h\u1ea1ch ph\u1ea3n \u1ee9ng sau ti\u00eam vaccine.<\/p>\n

Vaccine COVID-19 c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi ng\u01b0\u1eddi b\u1ecb b\u1ec7nh m\u00e1u kh\u00f4ng?<\/p>\n

Vi\u1ec7c ti\u00eam vaccine cho b\u1ec7nh nh\u00e2n \u0111\u00e3 gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c ho\u1eb7c \u0111i\u1ec1u tr\u1ecb thu\u1ed1c g\u00e2y gi\u1ea3m t\u1ebf b\u00e0o, gi\u1ea3m mi\u1ec5n d\u1ecbch th\u00f4ng th\u01b0\u1eddng s\u1ebd kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 nh\u01b0 ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n

C\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng so ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, vi\u1ec7c ti\u00eam vaccine \u1edf ng\u01b0\u1eddi b\u1ec7nh m\u00e1u \u00e1c t\u00ednh s\u1ebd t\u1ea1o ra l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3 th\u1ea5p h\u01a1n.<\/p>\n

T\u1ea1i M\u1ef9, c\u00e1c chuy\u00ean gia \u0111\u00e3 nghi\u00ean c\u1ee9u vi\u1ec7c s\u1eed d\u1ee5ng 3 lo\u1ea1i vaccine l\u00e0 Pfizer, Moderna v\u00e0 Jonhson and Jonhson \u1edf h\u1ea7u h\u1ebft c\u00e1c nh\u00f3m b\u1ec7nh nh\u00e2n b\u1ec7nh m\u00e1u \u00e1c t\u00ednh \u1edf c\u00e1c l\u1ee9a tu\u1ed5i, s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau (t\u1eeb gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c, \u0111i\u1ec1u tr\u1ecb Car-T\u2026), nh\u00f3m \u0111\u00e3 d\u1eebng \u0111i\u1ec1u tr\u1ecb v\u00e0 nh\u00f3m b\u1ec7nh nh\u00e2n m\u1edbi. Nghi\u00ean c\u1ee9u tr\u00ean cho th\u1ea5y vi\u1ec7c ti\u00eam vaccine v\u1eabn gi\u00fap cho b\u1ec7nh nh\u00e2n c\u00f3 l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3 nh\u1ea5t \u0111\u1ecbnh ch\u1ed1ng l\u1ea1i virus SARS-CoV-2 m\u1eb7c d\u00f9 hi\u1ec7u qu\u1ea3 c\u00f3 gi\u1ea3m.<\/p>\n

Theo nghi\u00ean c\u1ee9u m\u1edbi \u0111\u01b0\u1ee3c \u0111\u01b0a ra b\u1edfi t\u1ea1p ch\u00ed ASCO, vi\u1ec7c ti\u00eam vaccine COVID-19 cho b\u1ec7nh nh\u00e2n b\u1ec7nh m\u00e1u \u00e1c t\u00ednh c\u00f3 t\u00ednh an to\u00e0n, ch\u1ec9 c\u00f3 25% b\u1ec7nh nh\u00e2n kh\u00f4ng sinh kh\u00e1ng th\u1ec3. Nh\u01b0 v\u1eady l\u00e0 v\u1eabn c\u00f3 75% b\u1ec7nh nh\u00e2n c\u00f3 t\u1ea1o ra kh\u00e1ng th\u1ec3 \u0111\u1ec3 ch\u1ed1ng l\u1ea1i COVID.<\/p>\n

Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh m\u00e1u c\u00f3 n\u00ean ti\u00eam vaccine COVID-19 hay kh\u00f4ng?<\/p>\n

C\u00e2u tr\u1ea3 l\u1eddi ch\u1eafc ch\u1eafn l\u00e0 C\u00d3. B\u1edfi v\u00ec ng\u01b0\u1eddi b\u1ecb b\u1ec7nh m\u00e1u c\u00f3 nguy c\u01a1 g\u1eb7p ph\u1ea3i nh\u1eefng di\u1ebfn bi\u1ebfn n\u1eb7ng khi m\u1eafc COVID-19 do \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh l\u00e0 \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn nh\u1eefng t\u1ebf b\u00e0o sinh m\u00e1u. H\u01a1n n\u1eefa, trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0 m\u00e1u ph\u1ea3i s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c, h\u00f3a ch\u1ea5t v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c c\u00f3 \u1ea3nh h\u01b0\u1edfng r\u1ea5t l\u1edbn, l\u00e0m suy gi\u1ea3m h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

Ch\u00ednh v\u00ec th\u1ebf, ng\u01b0\u1eddi b\u1ecb b\u1ec7nh m\u00e1u, \u0111\u1eb7c bi\u1ec7t b\u1ec7nh nh\u00e2n ung th\u01b0 m\u00e1u l\u00e0 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ea7n \u0111\u01b0\u1ee3c \u01b0u ti\u00ean ti\u00eam vaccine, tuy nhi\u00ean s\u1ebd ph\u1ea3i c\u00f3 nh\u1eefng l\u01b0u \u00fd. Theo nhi\u1ec1u nghi\u00ean c\u1ee9u tr\u00ean th\u1ebf gi\u1edbi, vaccine COVID-19 an to\u00e0n v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 m\u00e1u.<\/p>\n

B\u1ed9 Y t\u1ebf<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Khi \u0111\u1ea1i d\u1ecbch COVID-19 di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam vaccine \u0111ang \u0111\u01b0\u1ee3c tri\u1ec3n khai r\u1ed9ng r\u00e3i, ng\u01b0\u1eddi b\u1ec7nh m\u00e1u n\u00f3i chung v\u00e0 ung th\u01b0 m\u00e1u n\u00f3i ri\u00eang c\u00f3 r\u1ea5t nhi\u1ec1u b\u0103n kho\u0103n, lo l\u1eafng nh\u01b0: BSCKII. V\u00f5 Th\u1ecb Thanh B\u00ecnh – Tr\u01b0\u1edfng khoa Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c, Vi\u1ec7n Huy\u1ebft h\u1ecdc – Truy\u1ec1n […]<\/p>\n","protected":false},"author":4,"featured_media":11287,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241,235],"tags":[],"class_list":["post-11286","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11286","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=11286"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11286\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11287"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=11286"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=11286"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=11286"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}