{"id":21866,"date":"2023-07-19T08:59:06","date_gmt":"2023-07-19T01:59:06","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=21866"},"modified":"2023-07-19T09:00:20","modified_gmt":"2023-07-19T02:00:20","slug":"benh-viem-gan-vi-rut-b-va-cach-phong-benh","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/07\/19\/benh-viem-gan-vi-rut-b-va-cach-phong-benh\/","title":{"rendered":"B\u1ec6NH VI\u00caM GAN VI R\u00daT B V\u00c0 C\u00c1CH PH\u00d2NG B\u1ec6NH"},"content":{"rendered":"

Vi\u00eam gan vi r\u00fat B (HBV) l\u00e0 c\u0103n b\u1ec7nh l\u00e2y lan l\u1eb7ng l\u1ebd, ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m n\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n kh\u00e1m, x\u00e9t nghi\u1ec7m h\u1ea7u nh\u01b0 kh\u00f4ng bi\u1ebft m\u00ecnh m\u1eafc b\u1ec7nh do \u0111\u00e2u.<\/p>\n

\"\"<\/p>\n

1. \u0110\u01b0\u1eddng l\u00e2y truy\u1ec1n c\u1ee7a b\u1ec7nh HBV:<\/strong><\/p>\n

L\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con: Ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m HBV c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng l\u00e2y truy\u1ec1n sang con (qua nhau thai, qu\u00e1 tr\u00ecnh sinh n\u1edf). HBV t\u1ea5n c\u00f4ng thai nhi m\u1ea1nh nh\u1ea5t l\u00e0 \u1edf ba th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u00ec.<\/p>\n

L\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c: T\u00ecnh d\u1ee5c l\u00e0 con \u0111\u01b0\u1eddng l\u00e2y nhi\u1ec5m b\u1ec7nh nhi\u1ec1u nh\u1ea5t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh HBV hi\u1ec7n nay. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng c\u1eb7p v\u1ee3 ch\u1ed3ng, c\u00f3 ch\u1ed3ng ho\u1eb7c v\u1ee3 nhi\u1ec5m b\u1ec7nh… N\u1ebfu quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 nh\u01b0: quan h\u1ec7 t\u00ecnh d\u1ee5c b\u1eb1ng mi\u1ec7ng, qua h\u1eadu m\u00f4n, c\u00e1c d\u1ee5ng c\u1ee5 \u0111\u1ed3 ch\u01a1i t\u00ecnh d\u1ee5c \u0111\u1ec1u c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh l\u00e2y nhi\u1ec5m sang cho ng\u01b0\u1eddi b\u1ec7nh l\u00e0nh t\u00ednh kh\u00e1c.<\/p>\n

Qua da v\u00e0 ni\u00eam m\u1ea1c: C\u00e1c d\u1ee5ng c\u1ee5 x\u0103m m\u00ecnh, kim ch\u00edch, ch\u00e2m c\u1ee9u n\u1ebfu nh\u01b0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c thanh tr\u00f9ng k\u0129 l\u01b0\u1ee1ng ho\u1eb7c thanh tr\u00f9ng kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o th\u00ec v\u1eabn c\u00f3 th\u1ec3 ch\u1ee9a m\u1ed9t l\u01b0\u1ee3ng l\u1edbn HBV v\u00e0 l\u00e2y nhi\u1ec5m sang cho ng\u01b0\u1eddi b\u1ec7nh l\u00e0nh t\u00ednh kh\u00e1c.<\/p>\n

M\u00e1u: Ng\u01b0\u1eddi b\u1ecb l\u00e2y nhi\u1ec5m HBV qua \u0111\u01b0\u1eddng m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p: truy\u1ec1n m\u00e1u, ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, ph\u1eabu thu\u1eadt, ti\u00eam ch\u00edch x\u00ec ke\u2026<\/p>\n

2. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh:<\/strong><\/p>\n

\u0110\u1ed1i v\u1edbi vi\u00eam gan si\u00eau vi B c\u1ea5p: \u1ede th\u1eddi k\u1ef3 ti\u1ec1n v\u00e0ng da th\u01b0\u1eddng k\u00e9o d\u00e0i 3-4 ng\u00e0y, ng\u01b0\u1eddi b\u1ec7nh m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i. \u0110\u00f4i l\u00fac c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u1ea3m c\u00fam nh\u01b0: vi\u00eam h\u1ecdng, ho, s\u1ed5 m\u0169i, nh\u1ee9c \u0111\u1ea7u, \u0111au c\u01a1. Khi chuy\u1ec3n sang th\u1eddi k\u1ef3 v\u00e0ng da k\u00e9o d\u00e0i 1-4 tu\u1ea7n v\u00e0 k\u00e8m theo nh\u1eefng d\u1ea5u hi\u1ec7u: gan to, l\u00e1ch to, h\u1ea1ch to trong 15-20% tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

\u0110\u1ed1i v\u1edbi vi\u00eam gan si\u00eau vi B m\u00e3n: Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec \u0111i\u1ec3n h\u00ecnh, nh\u01b0ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh \u0111i kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 v\u00f4 t\u00ecnh ph\u00e1t hi\u1ec7n m\u00ecnh b\u1ecb b\u1ec7nh HBV.<\/p>\n

B\u1ec7nh HBV n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm \u0111i\u1ec1u tr\u1ecb s\u1ebd nhanh v\u00e0 hi\u1ec7u qu\u1ea3 cao. N\u1ebfu b\u1ec7nh \u0111\u1ec3 l\u00e2u th\u00ec vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1ebd kh\u00f3 kh\u0103n h\u01a1n v\u00e0 c\u0169ng c\u00f3 th\u1ec3 ph\u00e1t sinh bi\u1ebfn ch\u1ee9ng x\u01a1 gan r\u1ed3i d\u1eabn \u0111\u1ebfn ung th\u01b0 gan. B\u00ean c\u1ea1nh \u0111\u00f3 b\u1ec7nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng r\u01a1i v\u00e0o th\u1ec3 suy gan t\u1ed1i c\u1ea5p nh\u01b0: h\u1ed9i ch\u1ee9ng th\u1ea7n kinh c\u00f3 th\u1ec3 r\u1ed1i lo\u1ea1n tri gi\u00e1c, l\u01a1 m\u01a1, h\u00f4n m\u00ea; ph\u00f9 n\u00e3o; r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u; t\u1ed5n th\u01b0\u01a1ng \u0111a c\u01a1 quan; suy h\u00f4 h\u1ea5p; lo\u1ea1n nh\u1ecbp tim; h\u1ed9i ch\u1ee9ng gan th\u1eadn; xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, nhi\u1ec5m tr\u00f9ng; gan teo\u2026<\/p>\n

Do \u0111\u00f3, khi nh\u1eadn th\u1ea5y m\u00ecnh b\u1ecb nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00f3i tr\u00ean, ng\u01b0\u1eddi b\u1ec7nh n\u00ean nhanh ch\u00f3ng \u0111\u1ebfn b\u1ec7nh vi\u1ec7n kh\u00e1m v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m ki\u1ec3m tra \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u00fang t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t.<\/p>\n

3. C\u00e1ch ph\u00f2ng b\u1ec7nh:<\/strong><\/p>\n

B\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i n\u00e0o, ng\u01b0\u1eddi n\u00e0o c\u0169ng c\u00f3 th\u1ec3 nhi\u1ec5m HBV. Tuy nhi\u00ean, b\u1ec7nh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c. C\u00e1ch ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 nh\u1ea5t l\u00e0 ti\u00eam ng\u1eeba v\u1eafc xin vi\u00eam gan B \u0111\u1ed1i v\u1edbi tr\u1ebb em v\u00e0 c\u1ea3 ng\u01b0\u1eddi l\u1edbn.<\/p>\n

Ngo\u00e0i ti\u00eam ph\u00f2ng v\u1eafc xin c\u00f3 th\u1ec3 ng\u1eeba b\u1eb1ng c\u00e1ch nh\u01b0: sinh ho\u1ea1t t\u00ecnh d\u1ee5c an to\u00e0n, kh\u00f4ng d\u00f9ng chung b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, dao c\u1ea1o r\u00e2u, b\u00f4ng tai ho\u1eb7c c\u00e1c d\u1ee5ng c\u1ee5 kh\u00e1c c\u00f3 th\u1ec3 \u0111\u00e3 ti\u1ebfp x\u00fac v\u1edbi m\u00e1u ho\u1eb7c ch\u1ea5t d\u1ecbch c\u01a1 th\u1ec3; kh\u00f4ng ch\u1ea1m v\u00e0o m\u00e1u ho\u1eb7c ch\u1ea5t d\u1ecbch c\u1ee7a b\u1ea5t k\u1ef3 ng\u01b0\u1eddi n\u00e0o m\u00e0 kh\u00f4ng d\u00f9ng d\u1ee5ng c\u1ee5 b\u1ea3o v\u1ec7\u2026<\/p>\n

Khi tr\u1ebb sinh ra \u0111\u00e3 c\u00f3 m\u1eb9 m\u1eafc b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c ph\u00f2ng ng\u1eeba ngay v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng globulin mi\u1ec5n d\u1ecbch vi\u00eam gan B (HBIG). \u0110\u00e2y l\u00e0 c\u00e1c ch\u1ea5t c\u00f3 c\u00e1c kh\u00e1ng th\u1ec3 c\u1ee7a vi\u00eam gan B \u0111\u1ec3 gi\u00fap ng\u1eeba b\u1ec7nh.\/.<\/p>\n

Bs. Nguy\u1ec5n C\u00f4ng Nghi – Ph\u00f2ng KH-NV, TTYT Ch\u00e2u Ph\u00fa<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam gan vi r\u00fat B (HBV) l\u00e0 c\u0103n b\u1ec7nh l\u00e2y lan l\u1eb7ng l\u1ebd, ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m n\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n kh\u00e1m, x\u00e9t nghi\u1ec7m h\u1ea7u nh\u01b0 kh\u00f4ng bi\u1ebft m\u00ecnh m\u1eafc b\u1ec7nh do \u0111\u00e2u. 1. \u0110\u01b0\u1eddng l\u00e2y truy\u1ec1n c\u1ee7a b\u1ec7nh HBV: L\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con: Ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m HBV […]<\/p>\n","protected":false},"author":3,"featured_media":21867,"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-21866","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\/21866","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=21866"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21866\/revisions"}],"predecessor-version":[{"id":21869,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21866\/revisions\/21869"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/21867"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=21866"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=21866"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=21866"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}