{"id":19721,"date":"2023-03-30T10:15:42","date_gmt":"2023-03-30T03:15:42","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=19721"},"modified":"2023-03-30T10:17:05","modified_gmt":"2023-03-30T03:17:05","slug":"nong-huong-dan-moi-nhat-cua-bo-y-te-ve-kham-sang-loc-truoc-tiem-chung-cho-tre-em","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/03\/30\/nong-huong-dan-moi-nhat-cua-bo-y-te-ve-kham-sang-loc-truoc-tiem-chung-cho-tre-em\/","title":{"rendered":"N\u00f3ng: H\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng cho tr\u1ebb em"},"content":{"rendered":"

B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh\u00a0H\u01b0\u1edbng d\u1eabn\u00a0<\/i>kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng \u0111\u1ed1i v\u1edbi tr\u1ebb em<\/i>.\u00a0<\/i>Theo B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn n\u00e0y \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1ea1i c\u00e1c c\u01a1 s\u1edf ti\u00eam ch\u1ee7ng, c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh trong c\u1ea3 n\u01b0\u1edbc.<\/p>\n

T\u1ea1i quy\u1ebft \u0111\u1ecbnh do Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf Tr\u1ea7n V\u0103n Thu\u1ea5n ban h\u00e0nh, B\u1ed9 Y t\u1ebf n\u00eau r\u00f5: H\u01b0\u1edbng d\u1eabn n\u00e0y bao g\u1ed3m c\u00e1c ph\u1ea7n th\u0103m kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng cho tr\u1ebb tr\u00ean 1 th\u00e1ng v\u00e0 tr\u1ebb s\u01a1 sinh nh\u1eb1m m\u1ee5c \u0111\u00edch quy\u1ebft \u0111\u1ecbnh cho tr\u1ebb c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ch\u1ee7ng, \u0111\u1ee7 ti\u00eau chu\u1ea9n ti\u00eam ch\u1ee7ng, tr\u1ebb t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng t\u1ea1i c\u01a1 s\u1edf ti\u00eam ch\u1ee7ng v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ph\u1ea3i chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/p>\n

\"\"
\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh H\u01b0\u1edbng d\u1eabn kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng \u0111\u1ed1i v\u1edbi tr\u1ebb em. Theo B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn n\u00e0y \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1ea1i c\u00e1c c\u01a1 s\u1edf ti\u00eam ch\u1ee7ng, c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh trong c\u1ea3 n\u01b0\u1edbc.<\/figcaption><\/figure>\n

Theo \u0111\u00f3, vi\u1ec7c kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng cho tr\u1ebb em \u0111\u1ed1i v\u1edbi c\u01a1 s\u1edf ngo\u00e0i b\u1ec7nh vi\u1ec7n nh\u01b0 sau:<\/h4>\n

\u0110\u1ed1i v\u1edbi tr\u1ebb t\u1eeb 1 th\u00e1ng tu\u1ed5i tr\u1edf l\u00ean.<\/b>\u00a0C\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/p>\n

    \n
  • C\u00f3 ti\u1ec1n s\u1eed ph\u1ea3n v\u1ec7 \u0111\u1ed9 III tr\u1edf l\u00ean sau ti\u00eam ch\u1ee7ng vaccine l\u1ea7n tr\u01b0\u1edbc (c\u00f3 c\u00f9ng th\u00e0nh ph\u1ea7n).<\/li>\n
  • Tr\u01b0\u1eddng h\u1ee3p c\u00f3 ti\u1ec1n s\u1eed l\u1ed3ng ru\u1ed9t: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi vaccine Rota.<\/li>\n
  • Tr\u01b0\u1eddng h\u1ee3p m\u1eafc suy gi\u1ea3m mi\u1ec5n d\u1ecbch b\u1ea9m sinh: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi vaccine OPV.<\/li>\n
  • C\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh kh\u00e1c theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t \u0111\u1ed1i v\u1edbi t\u1eebng lo\u1ea1i vaccine.<\/li>\n<\/ul>\n

    C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ea1m ho\u00e3n<\/b><\/p>\n

    C\u00f3 ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 \u0111\u1ed9 II sau ti\u00eam ch\u1ee7ng vaccine l\u1ea7n tr\u01b0\u1edbc (c\u00f3 c\u00f9ng th\u00e0nh ph\u1ea7n): chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc v\u00e0 ti\u00eam ch\u1ee7ng t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/p>\n

    C\u00f3 t\u00ecnh tr\u1ea1ng suy ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan (nh\u01b0 suy h\u00f4 h\u1ea5p, suy tu\u1ea7n ho\u00e0n, suy tim, suy th\u1eadn, suy gan, suy gi\u1ea3m \u00fd th\u1ee9c…). Ti\u00eam ch\u1ee7ng khi s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb \u1ed5n \u0111\u1ecbnh.<\/p>\n

    M\u1eafc c\u00e1c b\u1ec7nh c\u1ea5p t\u00ednh, c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng. Ti\u00eam ch\u1ee7ng khi s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb \u1ed5n \u0111\u1ecbnh.<\/p>\n

    S\u1ed1t \u2265 38\u00b0C ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t \u2264 35,5\u00b0C (\u0111o nhi\u1ec7t \u0111\u1ed9 t\u1ea1i n\u00e1ch). Ti\u00eam ch\u1ee7ng khi th\u00e2n nhi\u1ec7t c\u1ee7a tr\u1ebb \u1ed5n \u0111\u1ecbnh.<\/p>\n

    Suy gi\u1ea3m mi\u1ec5n d\u1ecbch: Tr\u1ebb nghi ng\u1edd m\u1eafc ho\u1eb7c m\u1eafc suy gi\u1ea3m mi\u1ec5n d\u1ecbch b\u1ea9m sinh ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 ho\u1eb7c m\u1eafc suy gi\u1ea3m mi\u1ec5n d\u1ecbch th\u1ec3 n\u1eb7ng: t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng c\u00e1c vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c v\u00e0 chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i b\u1ec7nh vi\u1ec7n. Ti\u00eam ch\u1ee7ng khi tr\u1ebb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n suy gi\u1ea3m mi\u1ec5n d\u1ecbch kh\u00f4ng thu\u1ed9c th\u1ec3 n\u1eb7ng, ngo\u1ea1i tr\u1eeb vaccine b\u1ea1i li\u1ec7t u\u1ed1ng (OPV).<\/p>\n

    Tr\u1ebb m\u1edbi d\u00f9ng c\u00e1c s\u1ea3n ph\u1ea9m globulin mi\u1ec5n d\u1ecbch trong v\u00f2ng 3 th\u00e1ng (tr\u1eeb kh\u00e1ng huy\u1ebft thanh vi\u00eam gan B): t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c. Ti\u00eam ch\u1ee7ng cho tr\u1ebb khi \u0111\u1ee7 3 th\u00e1ng t\u00ednh t\u1eeb ng\u00e0y cu\u1ed1i c\u00f9ng s\u1eed d\u1ee5ng s\u1ea3n ph\u1ea9m.<\/p>\n

    Tr\u1ebb \u0111ang \u0111i\u1ec1u tr\u1ecb ho\u1eb7c m\u1edbi k\u1ebft th\u00fac \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb corticoid to\u00e0n th\u00e2n (u\u1ed1ng\/ ti\u00eam) v\u1edbi li\u1ec1u cao (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng prednison \u2265 2 mg\/kg\/ng\u00e0y), h\u00f3a tr\u1ecb (ch\u1ea5t ch\u1ed1ng chuy\u1ec3n h\u00f3a, ho\u1eb7c c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng kh\u00e1c nh\u1eb1m v\u00e0o t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch…), x\u1ea1 tr\u1ecb trong v\u00f2ng 14 ng\u00e0y: t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c. Ti\u00eam ch\u1ee7ng cho tr\u1ebb sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb corticoid, h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb 14 ng\u00e0y.<\/p>\n

    B\u1ed9 Y t\u1ebf l\u01b0u \u00fd:<\/i><\/p>\n

      \n
    • Tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng d\u01b0\u1edbi 2000g: chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc v\u00e0 ti\u00eam ch\u1ee7ng t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/b>\u00a0<\/i>Khi c\u00e2n n\u1eb7ng tr\u1ebb t\u1eeb 2000g tr\u1edf l\u00ean th\u1ef1c hi\u1ec7n kh\u00e1m s\u00e0ng l\u1ecdc v\u00e0 ti\u00eam ch\u1ee7ng t\u1ea1i c\u00e1c c\u01a1 s\u1edf ti\u00eam ch\u1ee7ng ngo\u00e0i b\u1ec7nh vi\u1ec7n.<\/li>\n
    • Tr\u1ebb c\u00f3 ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng t\u0103ng d\u1ea7n sau c\u00e1c l\u1ea7n ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc c\u1ee7a c\u00f9ng lo\u1ea1i vaccine\u00a0<\/i><\/b>(v\u00ed d\u1ee5: l\u1ea7n \u0111\u1ea7u kh\u00f4ng s\u01b0ng t\u1ea5y, l\u1ea7n sau vi\u00eam s\u01b0ng t\u1ea5y lan t\u1ecfa t\u1ea1i v\u1ecb tr\u00ed ti\u00eam…): chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc v\u00e0 ti\u00eam ch\u1ee7ng t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/li>\n
    • Tr\u1ebb m\u1eafc c\u00e1c b\u1ec7nh b\u1ea9m sinh ho\u1eb7c b\u1ec7nh m\u1ea1n t\u00ednh\u00a0<\/b><\/i>\u1edf tim, ph\u1ed5i, h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a, ti\u1ebft ni\u1ec7u, m\u00e1u, ung th\u01b0 ch\u01b0a \u1ed5n \u0111\u1ecbnh: chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i b\u1ec7nh vi\u1ec7n. Ti\u00eam ch\u1ee7ng khi t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a tr\u1ebb \u1ed5n \u0111\u1ecbnh.<\/li>\n
    • C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng kh\u00e1c theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t<\/b><\/i>\u00a0\u0111\u1ed1i v\u1edbi t\u1eebng lo\u1ea1i vaccine.<\/li>\n<\/ul>\n

      \u0110\u1ed1i v\u1edbi tr\u1ebb d\u01b0\u1edbi 1 th\u00e1ng tu\u1ed5i<\/b><\/p>\n

      T\u1ea1i h\u01b0\u1edbng d\u1eabn B\u1ed9 Y t\u1ebf n\u00eau r\u00f5: Giai \u0111o\u1ea1n tr\u1ebb d\u01b0\u1edbi 1 th\u00e1ng tu\u1ed5i khi th\u0103m kh\u00e1m s\u00e0ng l\u1ecdc, c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn tu\u1ea7n tu\u1ed5i thai khi \u0111\u1ebb, tu\u1ed5i thai hi\u1ec7u ch\u1ec9nh, c\u00e2n n\u1eb7ng, c\u00e1c ch\u1ee9c n\u0103ng c\u01a1 quan, b\u1ec7nh l\u00fd c\u1ea5p t\u00ednh, c\u00e1c nghi ng\u1edd b\u1ec7nh suy gi\u1ea3m mi\u1ec5n d\u1ecbch, ph\u01a1i nhi\u1ec5m HIV…<\/em><\/strong><\/p><\/blockquote>\n

      M\u1ed9t s\u1ed1 c\u00e1c t\u00ecnh hu\u1ed1ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, t\u1ea1m ho\u00e3n c\u1ee5 th\u1ec3 nh\u01b0 sau:<\/p>\n

      C\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/em>\u00a0theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t \u0111\u1ed1i v\u1edbi t\u1eebng lo\u1ea1i vaccine.<\/p>\n

      C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ea1m ho\u00e3n, c\u1ee5 th\u1ec3:<\/em><\/p>\n

        \n
      • C\u00f3 t\u00ecnh tr\u1ea1ng suy ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan (nh\u01b0 suy h\u00f4 h\u1ea5p, suy tu\u1ea7n ho\u00e0n, suy tim, suy th\u1eadn, suy gan, suy gi\u1ea3m \u00fd th\u1ee9c…). Ti\u00eam ch\u1ee7ng khi s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb \u1ed5n \u0111\u1ecbnh.<\/li>\n
      • M\u1eafc c\u00e1c b\u1ec7nh c\u1ea5p t\u00ednh, c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng. Ti\u00eam ch\u1ee7ng khi s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb \u1ed5n \u0111\u1ecbnh.<\/li>\n
      • S\u1ed1t \u2265 38\u00b0C ho\u1eb7c h\u1ea1 th\u00e2n nhi\u1ec7t \u2264 35,5\u00b0C (\u0111o nhi\u1ec7t \u0111\u1ed9 t\u1ea1i n\u00e1ch). Ti\u00eam ch\u1ee7ng khi th\u00e2n nhi\u1ec7t c\u1ee7a tr\u1ebb \u1ed5n \u0111\u1ecbnh.<\/li>\n
      • Tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng < 2000g: Chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc, ti\u00eam ch\u1ee7ng t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/li>\n
      • Nghi ng\u1edd m\u1eafc ho\u1eb7c m\u1eafc suy gi\u1ea3m mi\u1ec5n d\u1ecbch b\u1ea9m sinh ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 ho\u1eb7c m\u1eafc suy gi\u1ea3m mi\u1ec5n d\u1ecbch th\u1ec3 n\u1eb7ng: t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng vaccine ph\u00f2ng lao (BCG) v\u00e0 chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i b\u1ec7nh vi\u1ec7n. Ti\u00eam ch\u1ee7ng khi tr\u1ebb suy gi\u1ea3m mi\u1ec5n d\u1ecbch kh\u00f4ng thu\u1ed9c th\u1ec3 n\u1eb7ng.<\/li>\n
      • Ch\u1ec9 \u0111\u1ecbnh vaccine b\u1ea1i li\u1ec7t b\u1ea5t ho\u1ea1t d\u1ea1ng ti\u00eam (IPV) thay th\u1ebf vaccine b\u1ea1i li\u1ec7t s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c d\u1ea1ng u\u1ed1ng (OPV). C\u00f9ng \u0111\u00f3 c\u1ea7n xem th\u00eam ph\u1ee5 l\u1ee5c v\u1ec1 ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng v\u1edbi tr\u1ebb suy gi\u1ea3m mi\u1ec5n d\u1ecbch b\u1ea9m sinh.<\/li>\n
      • Tr\u1ebb sinh non c\u00f3 tu\u1ed5i thai < 34 tu\u1ea7n t\u1ea1m ho\u00e3n ti\u00eam vaccine ph\u00f2ng lao (BCG). Ti\u00eam ch\u1ee7ng khi tr\u1ebb \u0111\u1ee7 34 tu\u1ea7n tu\u1ed5i (tu\u1ed5i thai hi\u1ec7u ch\u1ec9nh).<\/li>\n
      • Tr\u1ebb sinh non c\u00f3 tu\u1ed5i thai < 34 tu\u1ea7n: N\u1ebfu m\u1eb9 c\u00f3 HBsAg (-) t\u1ea1m ho\u00e3n ti\u00eam vaccine vi\u00eam gan B s\u01a1 sinh, ti\u00eam ch\u1ee7ng khi tr\u1ebb \u0111\u1ee7 34 tu\u1ea7n tu\u1ed5i (tu\u1ed5i thai hi\u1ec7u ch\u1ec9nh). N\u1ebfu m\u1eb9 c\u00f3 HBsAg (+) ho\u1eb7c m\u1eb9 kh\u00f4ng x\u00e9t nghi\u1ec7m chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc v\u00e0 ti\u00eam ch\u1ee7ng t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/li>\n
      • Tr\u1ebb m\u1edbi d\u00f9ng c\u00e1c s\u1ea3n ph\u1ea9m globulin mi\u1ec5n d\u1ecbch trong tu\u1ed5i s\u01a1 sinh (tr\u1eeb kh\u00e1ng huy\u1ebft thanh vi\u00eam gan B): t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng vacine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c. Ti\u00eam ch\u1ee7ng cho tr\u1ebb khi \u0111\u1ee7 3 th\u00e1ng t\u00ednh t\u1eeb ng\u00e0y cu\u1ed1i c\u00f9ng s\u1eed d\u1ee5ng s\u1ea3n ph\u1ea9m.<\/li>\n
      • M\u1eafc c\u00e1c b\u1ec7nh b\u1ea9m sinh ho\u1eb7c b\u1ec7nh m\u1ea1n t\u00ednh \u1edf tim, ph\u1ed5i, h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a, ti\u1ebft ni\u1ec7u, m\u00e1u, th\u1ea7n kinh, ung th\u01b0 ch\u01b0a \u1ed5n \u0111\u1ecbnh: chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc, ti\u00eam ch\u1ee7ng t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/li>\n
      • C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng kh\u00e1c theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t \u0111\u1ed1i v\u1edbi t\u1eebng lo\u1ea1i vaccine.<\/li>\n<\/ul>\n

        T\u1ea1i h\u01b0\u1edbng d\u1eabn n\u00e0y, B\u1ed9 Y t\u1ebf \u0111\u01b0a ra m\u1ed9t s\u1ed1 l\u01b0u \u00fd khi kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng cho tr\u1ebb em \u0111\u1ed1i v\u1edbi c\u01a1 s\u1edf ngo\u00e0i b\u1ec7nh vi\u1ec7n<\/h4>\n

        Tr\u1ebb ph\u01a1i nhi\u1ec5m v\u1edbi HIV, tr\u1ebb nhi\u1ec5m HIV<\/b><\/p>\n

        C\u01a1 s\u1edf qu\u1ea3n l\u00fd, \u0111i\u1ec1u tr\u1ecb HIV\/AIDS c\u1ea7n ph\u1ed1i h\u1ee3p \u0111\u01b0a ra c\u00e1c th\u00f4ng s\u1ed1 c\u01a1 b\u1ea3n (tr\u1ebb ph\u01a1i nhi\u1ec5m v\u1edbi HIV, tr\u1ebb nhi\u1ec5m HIV, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng, t\u00ecnh tr\u1ea1ng mi\u1ec5n d\u1ecbch…) \u0111\u1ec3 c\u01a1 s\u1edf ti\u00eam ch\u1ee7ng s\u00e0ng l\u1ecdc v\u00e0 ra quy\u1ebft \u0111\u1ecbnh ti\u00eam ch\u1ee7ng cho tr\u1ebb. \u0110\u1ed1i v\u1edbi c\u00e1c vaccine kh\u00f4ng ph\u1ea3i l\u00e0 vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c, ch\u1ec9 \u0111\u1ecbnh ti\u00eam nh\u01b0 tr\u1ebb b\u00ecnh th\u01b0\u1eddng.<\/p>\n

        Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c v\u1edbi tr\u1ebb ph\u01a1i nhi\u1ec5m v\u1edbi HIV, tr\u1ebb nhi\u1ec5m HIV t\u01b0\u01a1ng t\u1ef1 tr\u1ebb kh\u00f4ng nhi\u1ec5m HIV.<\/p>\n

        C\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, t\u1ea1m ho\u00e3n, th\u1eadn tr\u1ecdng v\u1edbi vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c cho tr\u1ebb ph\u01a1i nhi\u1ec5m v\u1edbi HIV, tr\u1ebb nhi\u1ec5m HIV nh\u01b0 sau:<\/p>\n

          \n
        • Ph\u01a1i nhi\u1ec5m v\u1edbi HIV nh\u01b0ng ch\u01b0a c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng: Ch\u1ec9 \u0111\u1ecbnh ti\u00eam ch\u1ee7ng.<\/li>\n
        • C\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng nghi ng\u1edd nhi\u1ec5m HIV: T\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng cho \u0111\u1ebfn khi kh\u1eb3ng \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng nhi\u1ec5m HIV.<\/li>\n
        • \u0110\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh nhi\u1ec5m HIV: c\u1ea7n ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 mi\u1ec5n d\u1ecbch \u1edf tr\u1ebb nhi\u1ec5m HIV, sau \u0111\u00f3 x\u00e1c \u0111\u1ecbnh c\u00e1c t\u00ecnh hu\u1ed1ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, t\u1ea1m ho\u00e3n\/th\u1eadn tr\u1ecdng ti\u00eam ch\u1ee7ng m\u1ed9t s\u1ed1 lo\u1ea1i vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c.<\/li>\n
        • L\u01b0u \u00fd theo d\u00f5i tr\u1ebb sau ti\u00eam vaccine BCG \u0111\u1ec3 ph\u00e1t hi\u1ec7n ph\u1ea3n \u1ee9ng sau ti\u00eam vaccine BCG nh\u01b0 lo\u00e9t v\u1ecb tr\u00ed ti\u00eam, vi\u00eam h\u1ea1ch, b\u1ec7nh BCG lan t\u1ecfa (suy m\u00f2n, gan l\u00e1ch h\u1ea1ch to).<\/li>\n<\/ul>\n
          \"\"
          B\u1ed9 Y t\u1ebf n\u00eau r\u00f5, khi kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng n\u1ebfu tr\u1ebb m\u1eafc c\u00e1c b\u1ec7nh c\u1ea5p t\u00ednh, c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng, tr\u1ebb suy h\u00f4 h\u1ea5p, suy gi\u1ea3m mi\u1ec5n d\u1ecbch, suy tu\u1ea7n ho\u00e0n, suy tim, suy th\u1eadn, suy gan, suy gi\u1ea3m \u00fd th\u1ee9c… thu\u1ed9c nh\u00f3m tr\u00ec ho\u00e3n ti\u00eam ch\u1ee7ng.<\/figcaption><\/figure>\n

          C\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ea1m ho\u00e3n ti\u00eam ch\u1ee7ng \u1edf c\u01a1 s\u1edf ngo\u00e0i b\u1ec7nh vi\u1ec7n c\u1ea7n chuy\u1ec3n kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i b\u1ec7nh vi\u1ec7n<\/b><\/p>\n

          Tr\u1ebb m\u1eafc suy gi\u1ea3m mi\u1ec5n d\u1ecbch n\u1ebfu ti\u00eam ch\u1ee7ng vaccine s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c:<\/i><\/p>\n

            \n
          • Tr\u1ebb nghi ng\u1edd m\u1eafc ho\u1eb7c m\u1eafc suy gi\u1ea3m mi\u1ec5n d\u1ecbch b\u1ea9m sinh ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 ho\u1eb7c \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n suy gi\u1ea3m mi\u1ec5n d\u1ecbch th\u1ec3 n\u1eb7ng c\u1ea7n kh\u00e1m t\u1ea1i b\u1ec7nh vi\u1ec7n c\u00f3 chuy\u00ean khoa mi\u1ec5n d\u1ecbch \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh ho\u1eb7c thay \u0111\u1ed5i m\u1ee9c \u0111\u1ed9 b\u1ec7nh.<\/li>\n
          • Tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nghi nhi\u1ec5m ho\u1eb7c x\u00e1c \u0111\u1ecbnh nhi\u1ec5m HIV: \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh v\u00e0 m\u1ee9c \u0111\u1ed9 suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/li>\n<\/ul>\n

            Tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng d\u01b0\u1edbi 2000g.<\/p>\n

            Tr\u1ebb c\u00f3 ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng t\u0103ng d\u1ea7n sau c\u00e1c l\u1ea7n ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc c\u1ee7a c\u00f9ng lo\u1ea1i vaccine.<\/p>\n

            Tr\u1ebb c\u00f3 ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 \u0111\u1ed9 II sau ti\u00eam ch\u1ee7ng vaccine\u00a0l\u1ea7n tr\u01b0\u1edbc (c\u00f3 c\u00f9ng th\u00e0nh ph\u1ea7n)<\/p>\n

            Tr\u1ebb m\u1eafc c\u00e1c b\u1ec7nh b\u1ea9m sinh ho\u1eb7c b\u1ec7nh m\u1ea1n t\u00ednh \u1edf tim, ph\u1ed5i, h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a, ti\u1ebft ni\u1ec7u, m\u00e1u, th\u1ea7n kinh, ung th\u01b0 ch\u01b0a \u1ed5n \u0111\u1ecbnh.<\/p>\n

            Tr\u1ebb c\u00f3 ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng v\u1edbi thu\u1ed1c, s\u1eefa, th\u1ee9c \u0103n ho\u1eb7c c\u00e1c lo\u1ea1i d\u1ecb nguy\u00ean kh\u00e1c.<\/p>\n

            C\u0169ng t\u1ea1i v\u0103n b\u1ea3n n\u00e0y, B\u1ed9 Y t\u1ebf \u0111\u00e3 h\u01b0\u1edbng d\u1eabn v\u1ec1 kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p chuy\u1ec3n \u0111\u1ebfn t\u1eeb c\u01a1 s\u1edf ti\u00eam ch\u1ee7ng ngo\u00e0i b\u1ec7nh vi\u1ec7n v\u00e0 c\u00e1c tr\u1ebb \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n nh\u01b0 nh\u00f3m tr\u1ebb s\u01a1 sinh, tr\u1ebb suy gi\u1ea3m mi\u1ec5n d\u1ecbch, tr\u1ebb b\u1ec7nh m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh, b\u1ec7nh l\u00fd c\u1ea5p t\u00ednh tr\u01b0\u1edbc khi ra vi\u1ec7n…<\/em><\/strong><\/p><\/blockquote>\n

            Ngu\u1ed3n b\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n

             <\/p>\n","protected":false},"excerpt":{"rendered":"

            B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh\u00a0H\u01b0\u1edbng d\u1eabn\u00a0kh\u00e1m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng \u0111\u1ed1i v\u1edbi tr\u1ebb em.\u00a0Theo B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn n\u00e0y \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1ea1i c\u00e1c c\u01a1 s\u1edf ti\u00eam ch\u1ee7ng, c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh trong c\u1ea3 n\u01b0\u1edbc. T\u1ea1i quy\u1ebft \u0111\u1ecbnh do Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf Tr\u1ea7n V\u0103n Thu\u1ea5n ban h\u00e0nh, B\u1ed9 […]<\/p>\n","protected":false},"author":3,"featured_media":19722,"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-19721","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\/19721","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=19721"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/19721\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/19722"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=19721"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=19721"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=19721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}