{"id":13539,"date":"2022-03-30T21:14:34","date_gmt":"2022-03-30T14:14:34","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=13539"},"modified":"2022-04-21T07:36:38","modified_gmt":"2022-04-21T00:36:38","slug":"kho-khan-trong-qua-trinh-dieu-tri-benh-lao","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/03\/30\/kho-khan-trong-qua-trinh-dieu-tri-benh-lao\/","title":{"rendered":"Kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Lao"},"content":{"rendered":"

Lao l\u00e0 m\u1ed9t trong nh\u1eefng c\u0103n b\u1ec7nh nguy hi\u1ec3m, c\u00f3 nguy c\u01a1 cao v\u1ec1 s\u1ef1 l\u00e2y lan trong c\u1ed9ng \u0111\u1ed3ng v\u00e0 nhi\u1ec1u kh\u1ea3 n\u0103ng d\u1eabn \u0111\u1ebfn t\u1eed vong. N\u1ebfu kh\u00f4ng tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb s\u1ebd t\u1ea1o c\u01a1 h\u1ed9i cho c\u00e1c th\u1ec3 lao kh\u00e1ng thu\u1ed1c, lao \u0111a kh\u00e1ng thu\u1ed1c ph\u00e1t tri\u1ec3n v\u00e0 l\u00e2y lan trong c\u1ed9ng \u0111\u1ed3ng. Tuy nhi\u00ean qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i t\u1eeb 6-8 th\u00e1ng, b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 kh\u00f3 kh\u0103n n\u00ean kh\u00f4ng tu\u00e2n th\u1ee7 theo \u0111\u00fang ph\u00e1c \u0111\u1ed3.<\/p>\n

\"\"<\/p>\n

    \n
  1. Ki\u1ebfn th\u1ee9c c\u1ee7a ng\u01b0\u1eddi m\u1eafc b\u1ec7nh lao<\/strong><\/li>\n<\/ol>\n

    M\u1ed9t s\u1ed1 th\u1ec3 lao ch\u01b0a bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nhi\u1ec1u n\u00ean ng\u01b0\u1eddi b\u1ec7nh c\u00f2n ch\u1ee7 quan c\u00f3 suy ngh\u0129 b\u1ec7nh nh\u1eb9 ch\u01b0a c\u1ea7n thi\u1ebft ph\u1ea3i \u0111i\u1ec1u tr\u1ecb. Ho\u1eb7c \u0111i\u1ec1u tr\u1ecb sau \u0111\u1ee3t thu\u1ed1c t\u1ea5n c\u00f4ng \u0111\u1ebfn li\u1ec1u duy tr\u00ec b\u1ec7nh nh\u00e2n ngh\u0129 \u0111\u00e3 h\u1ebft b\u1ec7nh n\u00ean kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ti\u1ebfp t\u1ee5c.<\/p>\n

      \n
    1. T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n do thu\u1ed1c lao g\u00e2y ra<\/strong><\/li>\n<\/ol>\n

      – D\u1ecb \u1ee9ng da n\u1ed5i ban, ng\u1ee9a: t\u1eeb ph\u00e1t ban r\u00e1t s\u1ea7n nh\u1eb9 \u0111\u1ebfn ph\u00e1t ban g\u00e2y ph\u1ea3n \u1ee9ng to\u00e0n th\u00e2n nghi\u00eam tr\u1ecdng nh\u01b0 h\u1ed9i ch\u1ee9ng ti\u00eau th\u01b0\u1ee3ng b\u00ec nhi\u1ec5m \u0111\u1ed9c v\u00e0 h\u1ed9i ch\u1ee9ng Stevens-Johnson, ph\u00f9 m\u1ea1ch v\u00e0 ho\u1ea1i t\u1eed da do d\u1ecb \u1ee9ng v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a thu\u1ed1c \u0111i\u1ec1u tr\u1ecb.<\/p>\n

      – \u0110au kh\u1edbp: \u0111au kh\u1edbp, vi\u00eam kh\u1edbp, \u0111au c\u01a1 v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng tho\u00e1ng qua th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong nh\u1eefng th\u00e1ng \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n

      – Vi\u00eam gan: bu\u1ed3n n\u00f4n, n\u00f4n, v\u00e0ng da, v\u00e0ng c\u1ee7ng m\u1ea1c m\u1eaft, n\u01b0\u1edbc ti\u1ec3u m\u00e0u tr\u00e0, ph\u00e2n nh\u1ea1t v\u00e0 ch\u00e1n \u0103n, t\u0103ng men gan.<\/p>\n

      – R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i: \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n h\u1ea1 kali m\u00e1u v\u00e0 magi\u00ea m\u00e1u th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng r\u00f5 r\u00e0ng. \u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n \u1edf m\u1ee9c trung b\u00ecnh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng: m\u1ec7t m\u1ecfi, \u0111au c\u01a1, chu\u1ed9t r\u00fat, d\u1ecb c\u1ea3m, y\u1ebfu chi d\u01b0\u1edbi, h\u00e0nh vi hay t\u00e2m tr\u1ea1ng thay \u0111\u1ed5i, bu\u1ed3n ng\u1ee7 hay nh\u1ea7m l\u1eabn. R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i n\u1eb7ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn co c\u1ee9ng c\u01a1, t\u00ea li\u1ec7t v\u00e0 lo\u1ea1n nh\u1ecbp tim.<\/p>\n

      – Suy th\u1eadn: th\u01b0\u1eddng th\u1ec3 hi\u1ec7n \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a suy th\u1eadn bao g\u1ed3m thi\u1ec3u ni\u1ec7u\/v\u00f4 ni\u1ec7u ho\u1eb7c qu\u00e1 t\u1ea3i d\u1ecbch g\u00e2y ph\u00f9 ngo\u1ea1i bi\u00ean, th\u1edf n\u00f4ng ho\u1eb7c thay \u0111\u1ed5i tr\u1ea1ng th\u00e1i tinh th\u1ea7n.<\/p>\n

      – N\u00f4n, bu\u1ed3n n\u00f4n: giai \u0111o\u1ea1n \u0111\u1ea7u bu\u1ed3n n\u00f4n, n\u00f4n c\u00f3 th\u1ec3 do vi\u00eam gan ho\u1eb7c \u1edf ph\u1ee5 n\u1eef mang thai, l\u00e2u ng\u00e0y d\u1ec5 d\u1eabn \u0111\u1ebfn n\u00f4n ra m\u00e1u ho\u1eb7c nh\u00ecn nh\u01b0 b\u00e3 c\u00e0 ph\u00ea l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean v\u00e0 th\u01b0\u1eddng lo\u00e9t d\u1ea1 d\u00e0y, m\u1ed9t s\u1ed1 l\u00e0 do d\u1ecb \u1ee9ng v\u1edbi kh\u00e1ng sinh trong \u0111i\u1ec1u tr\u1ecb lao. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi \u0111\u1ed3ng nhi\u1ec5m HIV tri\u1ec7u ch\u1ee9ng n\u00e0y k\u00e9o d\u00e0i h\u01a1n do t\u00ecnh tr\u1ea1ng nhi\u1ec5m toan lactic ho\u1eb7c vi\u00eam gan th\u1ee9 ph\u00e1t do thu\u1ed1c.<\/p>\n

      – Ti\u00eau ch\u1ea3y, \u0111\u1ea7y h\u01a1i: \u0111i ngo\u00e0i \u2265 3 l\u1ea7n\/ng\u00e0y x\u1ea3y ra trong v\u00e0i ng\u00e0y, c\u00f3 th\u1ec3 theo s\u1ed1t ho\u1eb7c c\u00f3 m\u00e1u trong ph\u00e2n.<\/p>\n

      – Gi\u1ea3m th\u00ednh l\u1ef1c: \u00f9 tai, tri\u1ec7u ch\u1ee9ng ti\u1ec1n \u0111\u00ecnh nh\u01b0 m\u1ea5t th\u0103ng b\u1eb1ng<\/p>\n

      – Th\u1ea7n kinh ngo\u1ea1i bi\u00ean: c\u1ea3m gi\u00e1c t\u00ea b\u00ec nh\u01b0 ki\u1ebfn b\u00f2, ng\u1ee9a r\u00e2m ran ho\u1eb7c n\u00f3ng b\u1eebng \u1edf \u0111\u1ea7u c\u00e1c ng\u00f3n tay, ng\u00f3n ch\u00e2n ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c v\u1ec1 nhi\u1ec7t \u0111\u1ed9, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n \u0111\u1ea7u ti\u00ean \u1edf chi d\u01b0\u1edbi. N\u1eb7ng h\u01a1n bao g\u1ed3m gi\u1ea3m ph\u1ea3n x\u1ea1 g\u00e2n s\u00e2u, y\u1ebfu v\u00e0 r\u1ed1i lo\u1ea1n d\u00e1ng \u0111i.<\/p>\n

      – Tr\u1ea7m c\u1ea3m: bu\u1ed3n ch\u00e1n k\u00e9o d\u00e0i, m\u1ea5t h\u1ee9ng th\u00fa tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng y\u00eau th\u00edch tr\u01b0\u1edbc \u0111\u00e2y, thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng ho\u1ea1t \u0111\u1ed9ng, th\u1ea7n kinh c\u01a1 ch\u1eadm ch\u1ea1p, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, ch\u00e1n \u0103n, \u00e1m \u1ea3nh t\u1ed9i l\u1ed7i, v\u00f4 v\u1ecdng, kh\u00f4ng t\u1eadp trung \u0111\u01b0\u1ee3c v\u00e0c\u00f3 \u00fd \u0111\u1ecbnh t\u1ef1 t\u1eed.<\/p>\n

        \n
      1. C\u00e1ch kh\u1eafc ph\u1ee5c<\/strong><\/li>\n<\/ol>\n

        \u0110\u1ed1i v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf c\u1ea7n t\u01b0 v\u1ea5n cho b\u1ec7nh nh\u00e2n v\u00e0 th\u00e2n nh\u00e2n b\u1ec7nh nh\u00e2n c\u00e1ch ph\u00f2ng b\u1ec7nh hi\u1ec7u qu\u1ea3 c\u1ee7a b\u1ec7nh lao l\u00e0 mang kh\u1ea9u trang, v\u1ec7 sinh b\u1ec1 m\u1eb7t nh\u00e0, t\u1ea1o m\u00f4i tr\u01b0\u1eddng s\u1ed1ng th\u00f4ng tho\u00e1ng\u2026tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb theo ph\u00e1c \u0111\u1ed3 c\u1ee7a y t\u1ebf, \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf t\u00e1i kh\u00e1m nh\u1eadn thu\u1ed1c theo \u0111\u00fang l\u1ecbch h\u1eb9n, t\u1ea7m so\u00e1t lao cho ng\u01b0\u1eddi th\u00e2n trong gia \u0111\u00ecnh.<\/p>\n

        \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u1ea7n t\u00ecm hi\u1ec3u c\u00e1c ngu\u1ed3n th\u00f4ng tin \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1eeb nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng b\u1ec7nh lao. C\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf kh\u00e1m v\u00e0 nh\u1eadn thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1ea5t l\u00e0 trong th\u00e1ng \u0111i\u1ec1u tr\u1ecb t\u1ea5n c\u00f4ng \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n c\u00e1c ph\u1ea3n \u1ee9ng kh\u00f4ng mong mu\u1ed1n do thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao g\u00e2y ra, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh ph\u00e1c \u0111\u1ed3, li\u1ec1u \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng c\u00e1 nh\u00e2n. Th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan, th\u1eadn theo y\u00eau c\u1ea7u c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf ho\u1eb7c \u0111\u1ecbnh k\u1ef3. H\u1ea1n ch\u1ebf c\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng l\u00e0m nghi\u00eam tr\u1ecdng h\u01a1n t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c nh\u01b0 thu\u1ed1c l\u00e1, r\u01b0\u1ee3u bia.<\/p>\n

        Tr\u01b0\u01a1ng Th\u1ecb Ki\u1ec1u Hoa – TTYT Ph\u00fa T\u00e2n<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

        Lao l\u00e0 m\u1ed9t trong nh\u1eefng c\u0103n b\u1ec7nh nguy hi\u1ec3m, c\u00f3 nguy c\u01a1 cao v\u1ec1 s\u1ef1 l\u00e2y lan trong c\u1ed9ng \u0111\u1ed3ng v\u00e0 nhi\u1ec1u kh\u1ea3 n\u0103ng d\u1eabn \u0111\u1ebfn t\u1eed vong. N\u1ebfu kh\u00f4ng tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb s\u1ebd t\u1ea1o c\u01a1 h\u1ed9i cho c\u00e1c th\u1ec3 lao kh\u00e1ng thu\u1ed1c, lao \u0111a kh\u00e1ng thu\u1ed1c ph\u00e1t tri\u1ec3n v\u00e0 l\u00e2y lan […]<\/p>\n","protected":false},"author":4,"featured_media":13540,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[2,239],"tags":[],"class_list":["post-13539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-su-kien","category-truyen-thong-theo-chu-de"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13539","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=13539"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13539\/revisions"}],"predecessor-version":[{"id":13917,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13539\/revisions\/13917"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/13540"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}