![\"\"](\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/ViemGanDoVirus.jpg\")
<\/p>\nNg\u00e0y Th\u1ebf gi\u1edbi ph\u00f2ng, ch\u1ed1ng Vi\u00eam gan \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh h\u00e0ng n\u0103m v\u00e0o ng\u00e0y 28 th\u00e1ng 7 \u0111\u1ec3 n\u00e2ng cao nh\u1eadn th\u1ee9c v\u1ec1 b\u1ec7nh vi\u00eam gan si\u00eau vi, g\u00e2y vi\u00eam gan d\u1eabn \u0111\u1ebfn b\u1ec7nh n\u1eb7ng v\u00e0 ung th\u01b0 gan. Theo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) m\u1ed7i n\u0103m c\u00f3 1.100.000 tr\u01b0\u1eddng h\u1ee3p t\u1eed vong m\u1ed7i n\u0103m do vi\u00eam gan B v\u00e0 C; 9.400.000 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C m\u1ea1n t\u00ednh; 10% tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan B m\u1ea1n t\u00ednh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 trong \u0111\u00f3 22% \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb; 42% tr\u1ebb tr\u00ean to\u00e0n c\u1ea7u \u0111\u01b0\u1ee3c ti\u00eam li\u1ec1u vi\u00eam gan B sau sinh. N\u0103m 2022, WHO ch\u1ecdn ch\u1ee7 \u0111\u1ec1: \u201cKh\u00f4ng th\u1ec3 ch\u1ea7n ch\u1eeb trong \u1ee9ng ph\u00f3 v\u1edbi vi\u00eam Gan\u201d. Nh\u1eb1m nh\u1ea5n m\u1ea1nh s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c \u0111\u01b0a d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c vi\u00eam gan \u0111\u1ebfn g\u1ea7n c\u00e1c c\u01a1 s\u1edf y t\u1ebf ban \u0111\u1ea7u v\u00e0 c\u1ed9ng \u0111\u1ed3ng h\u01a1n \u0111\u1ec3 m\u1ecdi ng\u01b0\u1eddi c\u00f3 c\u01a1 h\u1ed9i ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c t\u1ed1t h\u01a1n, b\u1ea5t k\u1ec3 h\u1ecd m\u1eafc b\u1ec7nh vi\u00eam gan n\u00e0o.<\/p>\n
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Th\u1ebf gi\u1edbi hi\u1ec7n \u0111ang ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi m\u1ed9t \u0111\u1ee3t b\u00f9ng ph\u00e1t m\u1edbi c\u1ee7a b\u1ec7nh nhi\u1ec5m tr\u00f9ng vi\u00eam gan c\u1ea5p t\u00ednh kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb em. WHO c\u00f9ng v\u1edbi c\u00e1c nh\u00e0 khoa h\u1ecdc v\u00e0 ho\u1ea1ch \u0111\u1ecbnh ch\u00ednh s\u00e1ch \u1edf c\u00e1c qu\u1ed1c gia b\u1ecb \u1ea3nh h\u01b0\u1edfng, \u0111ang l\u00e0m vi\u1ec7c \u0111\u1ec3 t\u00ecm hi\u1ec3u nguy\u00ean nh\u00e2n c\u1ee7a s\u1ef1 l\u00e2y nhi\u1ec5m d\u01b0\u1eddng nh\u01b0 kh\u00f4ng thu\u1ed9c v\u1ec1 b\u1ea5t k\u1ef3 lo\u1ea1i vi-r\u00fat vi\u00eam gan n\u00e0o trong s\u1ed1 05 lo\u1ea1i vi-r\u00fat vi\u00eam gan \u0111\u00e3 bi\u1ebft nh\u01b0: A, B, C, D v\u00e0 E. \u0110\u1ee3t b\u00f9ng ph\u00e1t m\u1edbi n\u00e0y t\u1eadp trung v\u00e0o h\u00e0ng ngh\u00ecn ca nhi\u1ec5m vi r\u00fat vi\u00eam gan c\u1ea5p t\u00ednh x\u1ea3y ra \u1edf tr\u1ebb em, thanh thi\u1ebfu ni\u00ean v\u00e0 ng\u01b0\u1eddi l\u1edbn m\u1ed7i n\u0103m. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m vi\u00eam gan c\u1ea5p t\u00ednh \u0111\u1ec1u g\u00e2y ra b\u1ec7nh nh\u1eb9 v\u00e0 th\u1eadm ch\u00ed kh\u00f4ng b\u1ecb ph\u00e1t hi\u1ec7n. Nh\u01b0ng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, ch\u00fang c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 g\u00e2y t\u1eed vong. Ch\u1ec9 t\u00ednh ri\u00eang trong n\u0103m 2019, \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 78 000 ca t\u1eed vong tr\u00ean to\u00e0n th\u1ebf gi\u1edbi do bi\u1ebfn ch\u1ee9ng c\u1ee7a nhi\u1ec5m tr\u00f9ng vi\u00eam gan t\u1eed A \u0111\u1ebfn E. C\u00e1c n\u1ed7 l\u1ef1c to\u00e0n c\u1ea7u \u01b0u ti\u00ean lo\u1ea1i b\u1ecf c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng vi\u00eam gan B, C v\u00e0 D. Kh\u00f4ng gi\u1ed1ng nh\u01b0 vi\u00eam gan si\u00eau vi c\u1ea5p t\u00ednh, 03 b\u1ec7nh nhi\u1ec5m tr\u00f9ng n\u00e0y g\u00e2y ra b\u1ec7nh vi\u00eam gan m\u00e3n t\u00ednh k\u00e9o d\u00e0i trong v\u00e0i th\u1eadp k\u1ef7 v\u00e0 \u0111\u1ec9nh \u0111i\u1ec3m l\u00e0 h\u01a1n 1 tri\u1ec7u ca t\u1eed vong m\u1ed7i n\u0103m do x\u01a1 gan v\u00e0 ung th\u01b0 gan. 03 lo\u1ea1i vi\u00eam gan m\u00e3n t\u00ednh n\u00e0y l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a h\u01a1n 95% c\u00e1c ca t\u1eed vong do vi\u00eam gan. M\u1eb7c d\u00f9 ch\u00fang ta c\u00f3 h\u01b0\u1edbng d\u1eabn v\u00e0 c\u00f4ng c\u1ee5 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh vi\u00eam gan vi-r\u00fat m\u00e3n t\u00ednh, nh\u01b0ng c\u00e1c d\u1ecbch v\u1ee5 n\u00e0y th\u01b0\u1eddng kh\u00f4ng ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c v\u1edbi c\u1ed9ng \u0111\u1ed3ng v\u00e0 \u0111\u00f4i khi ch\u1ec9 \u0111\u01b0\u1ee3c cung c\u1ea5p t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n trung \u01b0\u01a1ng ho\u1eb7c chuy\u00ean khoa.<\/p>\n
WHO nh\u1ea5n m\u1ea1nh s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c \u0111\u01b0a d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c vi\u00eam gan \u0111\u1ebfn g\u1ea7n c\u00e1c c\u01a1 s\u1edf y t\u1ebf ban \u0111\u1ea7u v\u00e0 c\u1ed9ng \u0111\u1ed3ng h\u01a1n \u0111\u1ec3 m\u1ecdi ng\u01b0\u1eddi c\u00f3 c\u01a1 h\u1ed9i ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c t\u1ed1t h\u01a1n, b\u1ea5t k\u1ec3 h\u1ecd m\u1eafc b\u1ec7nh vi\u00eam gan n\u00e0o. WHO \u0111\u1eb7t m\u1ee5c ti\u00eau \u0111\u1ea1t \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb b\u1ec7nh vi\u00eam gan v\u00e0o n\u0103m 2030. \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111i\u1ec1u \u0111\u00f3, WHO k\u00eau g\u1ecdi c\u00e1c qu\u1ed1c gia \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u00e1c m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3: Gi\u1ea3m 90% c\u00e1c ca nhi\u1ec5m m\u1edbi vi\u00eam gan B v\u00e0 C; Gi\u1ea3m 65% c\u00e1c ca t\u1eed vong li\u00ean quan \u0111\u1ebfn vi\u00eam gan do x\u01a1 gan v\u00e0 ung th\u01b0; \u0110\u1ea3m b\u1ea3o r\u1eb1ng \u00edt nh\u1ea5t 90% ng\u01b0\u1eddi nhi\u1ec5m vi-r\u00fat vi\u00eam gan B v\u00e0 C \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u00edt nh\u1ea5t 80% nh\u1eefng ng\u01b0\u1eddi \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/p>\n
Ph\u00f2ng ch\u1ed1ng b\u1ec7nh vi\u00eam gan si\u00eau vi B do l\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con: B\u1ec7nh Vi\u00eam gan vi-r\u00fat B l\u00e2y truy\u1ec1n ch\u1ee7 y\u1ebfu qua \u0111\u01b0\u1eddng m\u00e1u v\u00e0 \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c. \u0110\u01b0\u1eddng l\u00e2y truy\u1ec1n vi-r\u00fat vi\u00eam gan B qua ti\u1ebfp x\u00fac v\u1edbi m\u00e1u ho\u1eb7c d\u1ecbch c\u01a1 th\u1ec3 nh\u01b0: d\u00f9ng chung b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, dao c\u1ea1o r\u00e2u…..Vi-r\u00fat vi\u00eam gan B kh\u00f4ng l\u00e2y truy\u1ec1n qua ti\u1ebfp x\u00fac th\u00f4ng th\u01b0\u1eddng nh\u01b0: h\u1eaft h\u01a1i, s\u1ed5 m\u0169i ho\u1eb7c \u0103n u\u1ed1ng chung. Nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb m\u1eafc b\u1ec7nh t\u1eeb l\u00fac m\u1edbi sinh do vi-r\u00fat vi\u00eam gan B l\u00e2y truy\u1ec1n t\u1eeb ng\u01b0\u1eddi m\u1eb9 b\u1ecb nhi\u1ec5m b\u1ec7nh sang thai nhi qua \u0111\u01b0\u1eddng m\u00e1u. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng khi m\u1edbi ch\u00e0o \u0111\u1eddi th\u00ec 90% s\u1ed1 b\u00e9 \u0111\u01b0\u1ee3c sinh ra t\u1eeb ng\u01b0\u1eddi m\u1eb9 mang m\u1ea7m b\u1ec7nh s\u1ebd tr\u1edf th\u00e0nh ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh su\u1ed1t \u0111\u1eddi. Trong \u0111\u00f3, c\u00f3 kho\u1ea3ng 25% s\u1ed1 b\u00e9 tr\u00ean s\u1ebd ch\u1ebft v\u00ec x\u01a1 gan ho\u1eb7c ung th\u01b0 gan v\u1ec1 sau.<\/p>\n
C\u00e1ch ph\u00f2ng l\u00e2y nhi\u1ec5m vi\u00eam gan si\u00eau vi B: \u0110\u01b0\u1eddng l\u00e2y truy\u1ec1n c\u1ee7a vi-r\u00fat vi\u00eam gan B ch\u1ee7 y\u1ebfu qua \u0111\u01b0\u1eddng m\u00e1u v\u00e0 \u0111\u01b0\u1eddng quan h\u1ec7 t\u00ecnh d\u1ee5c. Cho n\u00ean, c\u1ea7n ph\u1ea3i c\u00f3 s\u1ef1 v\u00f4 tr\u00f9ng tuy\u1ec7t \u0111\u1ed1i trong c\u00e1c \u0111\u1ed9ng t\u00e1c ti\u00eam truy\u1ec1n c\u00e1c lo\u1ea1i d\u1ecbch v\u00e0 thu\u1ed1c \u0111\u1ec3 ch\u1eefa b\u1ec7nh. Ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd vi\u1ec7c truy\u1ec1n m\u00e1u. Th\u1ef1c hi\u1ec7n t\u00ecnh d\u1ee5c an to\u00e0n nh\u01b0 h\u1ea1n ch\u1ebf c\u00e1c b\u1ea1n t\u00ecnh, s\u1eed d\u1ee5ng bao cao su,… K\u1ebf \u0111\u1ebfn l\u00e0 vi\u1ec7c th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 xem c\u01a1 th\u1ec3 \u0111\u00e3 c\u00f3 kh\u00e1ng th\u1ec3 kh\u00e1ng l\u1ea1i vi-r\u00fat vi\u00eam gan B ch\u01b0a? N\u1ebfu ch\u01b0a c\u00f3 n\u00ean th\u1ef1c hi\u1ec7n vi\u1ec7c ti\u00eam v\u1eafc xin theo \u0111\u00fang quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf.<\/p>\n
\u0110\u1ed1i v\u1edbi tr\u1ebb em, ti\u00eam ch\u1ee7ng v\u1eafc xin vi\u00eam gan B (HBV) ngay t\u1eeb l\u00fac m\u1edbi sinh l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh s\u1edbm nh\u1ea5t v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t. Hi\u1ec7n nay t\u1ea5t c\u1ea3 c\u00e1c tr\u1ebb s\u01a1 sinh \u0111\u1ec1u \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng v\u1eafc xin ph\u00f2ng vi\u00eam gan B trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u theo chu\u1ea9n l\u1ecbch ti\u00eam ch\u1ee7ng qu\u1ed1c gia (l\u1ecbch ti\u00eam ch\u1ee7ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean h\u00e0ng th\u00e1ng t\u1ea1i c\u00e1c Tr\u1ea1m y t\u1ebf x\u00e3). N\u1ebfu c\u00e1c tr\u1ebb em \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng v\u1eafc xin ph\u00f2ng vi\u00eam gan B \u0111\u1ea7y \u0111\u1ee7 theo \u0111\u00fang ph\u00e1c \u0111\u1ed3, 95% c\u00e1c tr\u1ebb em s\u1ebd kh\u00f4ng b\u1ecb m\u1eafc b\u1ec7nh vi\u00eam gan si\u00eau vi B. Sau \u0111\u00f3, t\u1eeb m\u1ed9t \u0111\u1ebfn hai th\u00e1ng tu\u1ed5i, b\u00e9 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng m\u0169i th\u1ee9 hai v\u00e0 \u0111\u1ebfn s\u00e1u th\u00e1ng tu\u1ed5i ti\u00eam ch\u1ee7ng m\u0169i th\u1ee9 ba. Nh\u1eefng m\u0169i ch\u1ee7ng ng\u1eeba tr\u00ean s\u1ebd gi\u00fap c\u01a1 th\u1ec3 b\u00e9 t\u1ea1o kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi-r\u00fat vi\u00eam gan B. M\u1ed9t \u0111i\u1ec1u quan tr\u1ecdng n\u1eefa l\u00e0 tr\u1ebb em ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra kh\u00e1ng th\u1ec3 ch\u1ed1ng vi-r\u00fat vi\u00eam gan B khi \u0111\u01b0\u1ee3c 12 – 15 th\u00e1ng tu\u1ed5i.<\/p>\n
Trong tr\u01b0\u1eddng h\u1ee3p tr\u1ebb s\u01a1 sinh c\u00f3 c\u00e2n n\u1eb7ng < 2.000 gram, th\u00ec t\u00f9y theo t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n ti\u00eam v\u1eafc xin vi\u00eam gan si\u00eau vi B v\u00e0 huy\u1ebft thanh kh\u00e1ng vi\u00eam gan si\u00eau vi B nh\u01b0ng kh\u00f4ng qu\u00e1 07 ng\u00e0y.\/.<\/p>\n
Bs.CKI Ph\u1ea1m H\u1ed3ng Thanh – Ph\u00f2ng KHNV, TTYT TP. Long Xuy\u00ean<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" Ng\u00e0y Th\u1ebf gi\u1edbi ph\u00f2ng, ch\u1ed1ng Vi\u00eam gan \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh h\u00e0ng n\u0103m v\u00e0o ng\u00e0y 28 th\u00e1ng 7 \u0111\u1ec3 n\u00e2ng cao nh\u1eadn th\u1ee9c v\u1ec1 b\u1ec7nh vi\u00eam gan si\u00eau vi, g\u00e2y vi\u00eam gan d\u1eabn \u0111\u1ebfn b\u1ec7nh n\u1eb7ng v\u00e0 ung th\u01b0 gan. Theo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) m\u1ed7i n\u0103m c\u00f3 1.100.000 tr\u01b0\u1eddng h\u1ee3p t\u1eed vong […]<\/p>\n","protected":false},"author":3,"featured_media":21864,"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-21863","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\/21863","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=21863"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21863\/revisions"}],"predecessor-version":[{"id":21865,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21863\/revisions\/21865"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/21864"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=21863"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=21863"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=21863"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}