{"id":17811,"date":"2023-01-13T09:26:55","date_gmt":"2023-01-13T02:26:55","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=17811"},"modified":"2023-01-13T09:28:25","modified_gmt":"2023-01-13T02:28:25","slug":"who-cap-nhat-huong-dan-moi-ve-dieu-tri-benh-lao-khang-thuoc","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/01\/13\/who-cap-nhat-huong-dan-moi-ve-dieu-tri-benh-lao-khang-thuoc\/","title":{"rendered":"WHO c\u1eadp nh\u1eadt h\u01b0\u1edbng d\u1eabn m\u1edbi v\u1ec1 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao kh\u00e1ng thu\u1ed1c"},"content":{"rendered":"

H\u01b0\u1edbng d\u1eabn m\u1edbi c\u1ee7a\u00a0WHO\u00a0n\u00eau b\u1eadt nh\u1eefng c\u1ea3i ti\u1ebfn trong c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc\u00a0b\u1ec7nh lao kh\u00e1ng \u0111a thu\u1ed1c\u00a0ho\u1eb7c kh\u00e1ng rifampicin.<\/p>\n

Khuy\u1ebfn ngh\u1ecb \u00e1p d\u1ee5ng m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng 6 th\u00e1ng b\u1eb1ng c\u00e1c thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng bao g\u1ed3m: Bedaquiline, pretomanid, linezolid v\u00e0 moxifloxacin (BPaLM).<\/p>\n

\"\"
Lao l\u00e0 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng, tuy nhi\u00ean c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi b\u1eb1ng c\u00e1ch \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/figcaption><\/figure>\n

Ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb BPaLM \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh lao \u0111a kh\u00e1ng thu\u1ed1c c\u00f3 th\u00eam kh\u00e1ng\u00a0fluoroquinolones. BPaLM mang l\u1ea1i k\u1ebft qu\u1ea3 c\u1ea3i thi\u1ec7n, r\u00fat ng\u1eafn \u0111\u00e1ng k\u1ec3 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho b\u1ec7nh nh\u00e2n.<\/p>\n

Lao l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n, c\u00f3 th\u1ec3 l\u00e2y lan qua vi\u1ec7c h\u00edt ph\u1ea3i nh\u1eefng gi\u1ecdt b\u1eafn t\u1eeb ho ho\u1eb7c h\u1eaft h\u01a1i c\u1ee7a ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh.\u00a0B\u1ec7nh lao\u00a0l\u00e0 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng, tuy nhi\u00ean c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi b\u1eb1ng c\u00e1ch \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p. C\u0103n b\u1ec7nh n\u00e0y ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ed5i, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 b\u1ed9 ph\u1eadn n\u00e0o c\u1ee7a c\u01a1 th\u1ec3, bao g\u1ed3m c\u00e1c tuy\u1ebfn, x\u01b0\u01a1ng v\u00e0 h\u1ec7 th\u1ea7n kinh.<\/p>\n

M\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb l\u00e0 ti\u00eau di\u1ec7t h\u1ebft vi khu\u1ea9n lao, tr\u00e1nh t\u00e1i ph\u00e1t, h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng t\u1eed vong, \u0111\u1ed3ng th\u1eddi, gi\u1ea3m t\u1ef7 l\u1ec7 nhi\u1ec5m lao v\u00e0 t\u1ef7 l\u1ec7 m\u1eafc lao m\u1edbi h\u00e0ng n\u0103m.<\/p>\n

Ti\u1ebfn s\u0129 Tereza Kasaeva, Gi\u00e1m \u0111\u1ed1c Ch\u01b0\u01a1ng tr\u00ecnh Lao to\u00e0n c\u1ea7u c\u1ee7a WHO cho bi\u1ebft: “Theo h\u01b0\u1edbng d\u1eabn m\u1edbi, ch\u00fang ta c\u00f3 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb to\u00e0n b\u1ed9 b\u1eb1ng c\u00e1c thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng hi\u1ec7u qu\u1ea3 v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian h\u01a1n cho b\u1ec7nh lao kh\u00e1ng thu\u1ed1c. \u0110\u00e2y l\u00e0 m\u1ed9t thay \u0111\u1ed5i l\u1ecbch s\u1eed mang l\u1ea1i l\u1ee3i \u00edch to l\u1edbn cho ng\u01b0\u1eddi m\u1eafc b\u1ec7nh lao kh\u00e1ng thu\u1ed1c v\u00e0 gi\u1ea3m b\u1edbt g\u00e1nh n\u1eb7ng cho c\u00e1c h\u1ec7 th\u1ed1ng y t\u1ebf”.<\/p>\n

H\u01b0\u1edbng\u202f d\u1eabn t\u1ed5ng h\u1ee3p c\u1ee7a WHO, b\u1ea3n c\u1eadp nh\u1eadt n\u0103m 2022, \u0111\u01b0\u1ee3c ghi l\u1ea1i c\u00f9ng v\u1edbi s\u1ed5 tay ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 h\u1ed7 tr\u1ee3 vi\u1ec7c qu\u1ea3n l\u00fd \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c \u1edf quy m\u00f4 c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u00e1c \u0111\u1ed9ng to\u00e0n c\u1ea7u.<\/p>\n

C\u00e1c h\u01b0\u1edbng d\u1eabn c\u0169ng cung c\u1ea5p h\u1ed7 tr\u1ee3 cho c\u00e1c nh\u00e0 ho\u1ea1ch \u0111\u1ecbnh ch\u00ednh s\u00e1ch v\u00e0 c\u00e1c t\u1ed5 ch\u1ee9c y t\u1ebf v\u1ec1 b\u1ec7nh lao v\u00e0 c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m trong khu v\u1ef1c c\u00f4ng v\u00e0 t\u01b0 nh\u00e2n, c\u0169ng nh\u01b0 trong c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

WHO c\u0169ng hoan ngh\u00eanh b\u1ea5t k\u1ef3 s\u00e1ng ki\u1ebfn m\u1edbi n\u00e0o nh\u1eb1m gi\u1ea3m gi\u00e1 thu\u1ed1c pretomanid v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m chi ph\u00ed c\u1ee7a ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb BPaLM\/BPaL m\u1edbi v\u00e0 gi\u00fap c\u00f4ng ch\u00fang d\u1ec5 ti\u1ebfp c\u1eadn h\u01a1n.<\/p>\n

\u0110\u1ec3 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i v\u00e0 th\u00fac \u0111\u1ea9y vi\u1ec7c th\u1ef1c hi\u1ec7n ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c m\u1edbi, WHO s\u1ebd thi\u1ebft l\u1eadp c\u00e1c n\u1ec1n t\u1ea3ng \u0111\u1ec3 th\u01b0\u1eddng xuy\u00ean t\u1ed5 ch\u1ee9c c\u00e1c cu\u1ed9c th\u1ea3o lu\u1eadn v\u1edbi c\u00e1c qu\u1ed1c gia c\u00f3 g\u00e1nh n\u1eb7ng b\u1ec7nh lao cao.\/.<\/p>\n

Ngu\u1ed3n B\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

H\u01b0\u1edbng d\u1eabn m\u1edbi c\u1ee7a\u00a0WHO\u00a0n\u00eau b\u1eadt nh\u1eefng c\u1ea3i ti\u1ebfn trong c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc\u00a0b\u1ec7nh lao kh\u00e1ng \u0111a thu\u1ed1c\u00a0ho\u1eb7c kh\u00e1ng rifampicin. Khuy\u1ebfn ngh\u1ecb \u00e1p d\u1ee5ng m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng 6 th\u00e1ng b\u1eb1ng c\u00e1c thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng bao g\u1ed3m: Bedaquiline, pretomanid, linezolid v\u00e0 moxifloxacin (BPaLM). Ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb BPaLM […]<\/p>\n","protected":false},"author":3,"featured_media":17812,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-17811","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17811","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=17811"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17811\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/17812"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=17811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=17811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=17811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}