{"id":26423,"date":"2024-05-24T10:54:26","date_gmt":"2024-05-24T03:54:26","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=26423"},"modified":"2024-05-24T10:59:01","modified_gmt":"2024-05-24T03:59:01","slug":"cap-phep-vaccine-sot-xuat-huyet-zona-than-kinh-va-phe-cau-23","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2024\/05\/24\/cap-phep-vaccine-sot-xuat-huyet-zona-than-kinh-va-phe-cau-23\/","title":{"rendered":"C\u1ea5p ph\u00e9p vaccine s\u1ed1t xu\u1ea5t huy\u1ebft, zona th\u1ea7n kinh v\u00e0 ph\u1ebf c\u1ea7u 23"},"content":{"rendered":"
\"C\u1ea5p
B\u1ed9 Y t\u1ebf v\u1eeba c\u1ea5p ph\u00e9p vaccine s\u1ed1t xu\u1ea5t huy\u1ebft, zona th\u1ea7n kinh v\u00e0 ph\u1ebf c\u1ea7u 23<\/figcaption><\/figure>\n

BS B\u1ea1ch Th\u1ecb Ch\u00ednh, Gi\u00e1m \u0111\u1ed1c Y khoa, H\u1ec7 th\u1ed1ng ti\u00eam ch\u1ee7ng VNVC cho bi\u1ebft, c\u1ea3 3 vaccine m\u1edbi n\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00e1c h\u00e3ng d\u01b0\u1ee3c ph\u1ea9m l\u1edbn tr\u00ean th\u1ebf gi\u1edbi l\u00e0 Takeda (Nh\u1eadt B\u1ea3n), GSK (B\u1ec9) v\u00e0 MSD (M\u1ef9). H\u1ec7 th\u1ed1ng ti\u00eam ch\u1ee7ng VNVC \u0111ang n\u1ed7 l\u1ef1c \u0111\u1ec3 s\u1edbm \u0111\u01b0a c\u00e1c vaccine th\u1ebf h\u1ec7 m\u1edbi n\u00e0y ph\u1ee5c v\u1ee5 ng\u01b0\u1eddi d\u00e2n Vi\u1ec7t Nam t\u1ea1i h\u1ec7 th\u1ed1ng g\u1ea7n 200 Trung t\u00e2m VNVC tr\u00ean to\u00e0n qu\u1ed1c.<\/span><\/p>\n

Theo PGS.TS Tr\u1ea7n \u0110\u1eafc Phu, nguy\u00ean C\u1ee5c tr\u01b0\u1edfng C\u1ee5c Y t\u1ebf d\u1ef1 ph\u00f2ng, B\u1ed9 Y t\u1ebf, vi\u1ec7c c\u1ea5p ph\u00e9p s\u1eed d\u1ee5ng 3 lo\u1ea1i vaccine n\u00e0y thu\u1ed9c ch\u1ee7 tr\u01b0\u01a1ng c\u1ee7a B\u1ed9 Y t\u1ebf, H\u1ed9i \u0111\u1ed3ng c\u1ea5p ph\u00e9p c\u0169ng \u0111\u00e3 xem x\u00e9t \u0111\u00e1nh gi\u00e1 v\u1ec1 \u0111\u1ed9 an to\u00e0n v\u00e0 t\u00ednh hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c lo\u1ea1i vaccine n\u00e0y tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c v\u00e0o s\u1eed d\u1ee5ng t\u1ea1i Vi\u1ec7t Nam.<\/span><\/p>\n

PGS Tr\u1ea7n \u0110\u1eafc Phu \u0111\u00e1nh gi\u00e1, vaccine s\u1ed1t xu\u1ea5t huy\u1ebft, zona th\u1ea7n kinh v\u00e0 ph\u1ebf c\u1ea7u 23 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i nhi\u1ec1u qu\u1ed1c gia tr\u00ean th\u1ebf gi\u1edbi, vi\u1ec7c c\u1ea5p ph\u00e9p t\u1ea1i Vi\u1ec7t Nam l\u00e0 m\u1ed9t tin r\u1ea5t \u0111\u00e1ng m\u1eebng v\u1edbi ng\u01b0\u1eddi d\u00e2n.<\/span><\/p>\n

C\u00e1c lo\u1ea1i vaccine m\u1edbi \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p l\u00e0 vaccine Qdenga ph\u00f2ng b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft, vaccine Shingrix ph\u00f2ng b\u1ec7nh zona th\u1ea7n kinh v\u00e0 vaccine th\u1ebf h\u1ec7 m\u1edbi Pneumovax 23 ph\u00f2ng 23 ch\u1ee7ng ph\u1ebf c\u1ea7u khu\u1ea9n.<\/span><\/p>\n

Li\u1ec1u ti\u00eam c\u00e1c vaccine m\u1edbi<\/strong><\/span><\/p>\n

Vaccine Qdenga ph\u00f2ng s\u1ed1t xu\u1ea5t huy\u1ebft do h\u00e3ng d\u01b0\u1ee3c ph\u1ea9m Takeda s\u1ea3n xu\u1ea5t, c\u00f3 hi\u1ec7u l\u1ef1c b\u1ea3o v\u1ec7 h\u01a1n 80% v\u00e0 ch\u1ed1ng l\u1ea1i c\u1ea3 4 nh\u00f3m huy\u1ebft thanh virus s\u1ed1t xu\u1ea5t huy\u1ebft. Vaccine d\u00e0nh cho tr\u1ebb t\u1eeb 4 tu\u1ed5i tr\u1edf l\u00ean, v\u1edbi l\u1ecbch ti\u00eam 2 m\u0169i c\u00e1ch nhau 3 th\u00e1ng.<\/span><\/p>\n

\"C\u1ea5p
Ba vaccine m\u1edbi \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00e1c h\u00e3ng d\u01b0\u1ee3c ph\u1ea9m l\u1edbn tr\u00ean th\u1ebf gi\u1edbi l\u00e0 Takeda (Nh\u1eadt B\u1ea3n), GSK (B\u1ec9) v\u00e0 MSD (M\u1ef9)<\/figcaption><\/figure>\n

Vaccine Shingrix ph\u00f2ng b\u1ec7nh zona th\u1ea7n kinh do h\u00e3ng d\u01b0\u1ee3c ph\u1ea9m GSK s\u1ea3n xu\u1ea5t, c\u00f3 hi\u1ec7u l\u1ef1c tr\u00ean 97%, d\u00e0nh cho ng\u01b0\u1eddi t\u1eeb 50 tu\u1ed5i tr\u1edf l\u00ean v\u1edbi s\u1ee9c kh\u1ecfe b\u00ecnh th\u01b0\u1eddng ho\u1eb7c cho ng\u01b0\u1eddi t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean c\u00f3 nguy c\u01a1 cao m\u1eafc zona, do c\u00f3 t\u00ecnh tr\u1ea1ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch. L\u1ecbch ti\u00eam vaccine n\u00e0y l\u00e0 2 m\u0169i, c\u00e1ch nhau 2-6 th\u00e1ng.<\/span><\/p>\n

Vaccine Pneumovax 23 do h\u00e3ng d\u01b0\u1ee3c ph\u1ea9m MSD s\u1ea3n xu\u1ea5t, c\u00f3 hi\u1ec7u l\u1ef1c b\u1ea3o v\u1ec7 h\u01a1n 90%, d\u00e0nh cho tr\u1ebb t\u1eeb 2 tu\u1ed5i v\u00e0 ng\u01b0\u1eddi l\u1edbn v\u1edbi l\u1ecbch ti\u00eam 1 m\u0169i.<\/span><\/p>\n

Tr\u01b0\u1edbc \u0111\u00f3, H\u1ec7 th\u1ed1ng ti\u00eam ch\u1ee7ng VNVC l\u00e0 \u0111\u01a1n v\u1ecb \u0111\u1ea7u ti\u00ean t\u1ea1i Vi\u1ec7t Nam tri\u1ec3n khai ti\u00eam ch\u1ee7ng nhi\u1ec1u lo\u1ea1i vaccine m\u1edbi, vaccine th\u1ebf h\u1ec7 m\u1edbi t\u1ea1i Vi\u1ec7t Nam nh\u01b0 vaccine ph\u00f2ng vi\u00eam m\u00e0ng n\u00e3o do n\u00e3o m\u00f4 c\u1ea7u nh\u00f3m B (Bexsero – \u00dd), vaccine th\u1ebf h\u1ec7 m\u1edbi ph\u00f2ng 9 ch\u1ee7ng HPV (Gardasil 9 – M\u1ef9), vaccine th\u1ebf h\u1ec7 m\u1edbi ph\u00f2ng vi\u00eam n\u00e3o Nh\u1eadt B\u1ea3n (Imojev – Th\u00e1i Lan), vaccine ph\u00f2ng 13 ch\u1ee7ng ph\u1ebf c\u1ea7u (Prevenar 13 – B\u1ec9)…<\/span><\/p>\n

“Vi\u1ec7c s\u1eed d\u1ee5ng vaccine s\u1ed1t xu\u1ea5t huy\u1ebft, zona th\u1ea7n kinh, ph\u1ebf c\u1ea7u 23 s\u1ebd gi\u00fap gi\u1ea3m s\u1ed1 ca m\u1eafc b\u1ec7nh v\u00e0 t\u1eed vong \u1edf c\u1ea3 tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn, gi\u1ea3m t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i do nh\u1eadp vi\u1ec7n v\u00e0 chi ph\u00ed ch\u0103m s\u00f3c sau \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1eddi d\u00e2n kh\u00f4ng c\u1ea7n ph\u1ea3i ra n\u01b0\u1edbc ngo\u00e0i \u0111\u1ec3 ti\u00eam c\u00e1c lo\u1ea1i vaccine ti\u00ean ti\u1ebfn m\u00e0 \u0111\u01b0\u1ee3c th\u1ee5 h\u01b0\u1edfng ngay \u1edf trong n\u01b0\u1edbc”, BS B\u1ea1ch Th\u1ecb Ch\u00ednh\u0111\u00e1nh gi\u00e1.<\/span><\/p>\n

Nguy c\u01a1 b\u1ec7nh n\u1eb7ng n\u1ebfu kh\u00f4ng ti\u00eam vaccine\u00a0<\/strong><\/span><\/p>\n

Theo th\u1ed1ng k\u00ea t\u1eeb B\u1ed9 Y t\u1ebf, n\u0103m 2023 c\u1ea3 n\u01b0\u1edbc ghi nh\u1eadn h\u01a1n 172.000 ca m\u1eafc s\u1ed1t xu\u1ea5t huy\u1ebft, trong \u0111\u00f3 43 ng\u01b0\u1eddi t\u1eed vong.<\/span><\/p>\n

S\u1ed1t xu\u1ea5t huy\u1ebft c\u00f3 4 nh\u00f3m huy\u1ebft thanh g\u00e2y b\u1ec7nh, kh\u00f4ng t\u1ea1o mi\u1ec5n d\u1ecbch ch\u00e9o n\u00ean m\u1ed7i ng\u01b0\u1eddi c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh 4 l\u1ea7n trong \u0111\u1eddi v\u00e0 nh\u1eefng l\u1ea7n m\u1eafc sau s\u1ebd n\u1eb7ng h\u01a1n do s\u1ef1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00e1c ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch ch\u00e9o. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao nh\u01b0 tr\u1ebb em, ph\u1ee5 n\u1eef c\u00f3 thai, ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh m\u00e3n t\u00ednh, b\u00e9o ph\u00ec c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 t\u1ee5t huy\u1ebft \u00e1p, suy tim, suy th\u1eadn, s\u1ed1c m\u1ea5t m\u00e1u, suy \u0111a t\u1ea1ng, xu\u1ea5t huy\u1ebft n\u00e3o, h\u00f4n m\u00ea\u2026 V\u1edbi ph\u1ee5 n\u1eef mang thai, s\u1ed1t xu\u1ea5t huy\u1ebft c\u00f3 th\u1ec3 g\u00e2y suy thai, sinh non, thai ch\u1ebft l\u01b0u,..<\/span><\/p>\n

Zona th\u1ea7n kinh l\u00e0 b\u1ec7nh do virus Varicella Zoster g\u00e2y ra, virus n\u00e0y c\u0169ng l\u00e0 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh th\u1ee7y \u0111\u1eadu. B\u1ec7nh \u0111\u1ec3 l\u1ea1i nhi\u1ec1u bi\u1ebfn ch\u1ee9ng v\u1edbi ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh l\u00fd tim m\u1ea1ch, b\u1ec7nh l\u00fd c\u1ea7n s\u1eed d\u1ee5ng corticoid k\u00e9o d\u00e0i, ung th\u01b0 d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, HIV, \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao nh\u01b0 ph\u1ee5 n\u1eef mang thai…<\/span><\/p>\n

\u0110\u1eb7c bi\u1ec7t, sau khi c\u00e1c sang th\u01b0\u01a1ng b\u00f3ng n\u01b0\u1edbc do zona th\u1ea7n kinh \u0111\u00e3 l\u00e0nh, ng\u01b0\u1eddi b\u1ec7nh c\u00f2n ch\u1ecbu t\u00ecnh tr\u1ea1ng \u0111au \u0111\u1edbn k\u00e9o d\u00e0i, g\u1ecdi l\u00e0 c\u01a1n \u0111au th\u1ea7n kinh h\u1eadu zona (PHN), gi\u1ea3m kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng, \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn t\u00e2m l\u00fd, gi\u1ea5c ng\u1ee7, \u0111i\u1ec1u tr\u1ecb ph\u1ee9c t\u1ea1p, t\u1ed1n k\u00e9m v\u00e0 \u0111\u1ed3ng th\u1eddi \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. Th\u1ed1ng k\u00ea \u1edf M\u1ef9 cho th\u1ea5y c\u1ee9 5 ng\u01b0\u1eddi m\u1eafc th\u00ec c\u00f3 1 ng\u01b0\u1eddi b\u1ecb \u0111au sau zona.<\/span><\/p>\n

Ph\u1ebf c\u1ea7u khu\u1ea9n l\u00e0 t\u00e1c nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y b\u1ec7nh ph\u1ebf c\u1ea7u x\u00e2m l\u1ea5n nguy hi\u1ec3m nh\u1ea5t nh\u01b0 vi\u00eam ph\u1ed5i, vi\u00eam m\u00e0ng n\u00e3o, nhi\u1ec5m tr\u00f9ng huy\u1ebft, c\u0169ng nh\u01b0 b\u1ec7nh ph\u1ebf c\u1ea7u kh\u00f4ng x\u00e2m l\u1ea5n nh\u01b0 vi\u00eam tai gi\u1eefa, vi\u00eam m\u0169i h\u1ecdng, vi\u00eam xoang\u2026 v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong t\u1eeb 10-20%.<\/span><\/p>\n

B\u1ec7nh \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m v\u1edbi nh\u00f3m nguy c\u01a1 cao nh\u01b0 tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i, ng\u01b0\u1eddi l\u1edbn tr\u00ean 65 tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu do \u0111ang m\u1eafc c\u00e1c b\u1ec7nh m\u00e3n t\u00ednh nh\u01b0 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD), \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, lao ph\u1ed5i, c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch, ung th\u01b0,… v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong l\u00ean \u0111\u1ebfn 50%.<\/span><\/p>\n

Theo con s\u1ed1 \u01b0\u1edbc t\u00ednh n\u0103m 2017 c\u1ee7a t\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO), to\u00e0n c\u1ea7u c\u00f3 600.000 tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i t\u1eed vong v\u00ec c\u00e1c b\u1ec7nh do ph\u1ebf c\u1ea7u khu\u1ea9n, chi\u1ebfm 10% s\u1ed1 ca t\u1eed vong \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0y. Ph\u1ebf c\u1ea7u khu\u1ea9n c\u00f2n c\u00f3 t\u1ef7 l\u1ec7 kh\u00e1ng kh\u00e1ng sinh r\u1ea5t cao, khi\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n.\/.<\/span><\/p>\n

Ngu\u1ed3n b\u00e1o \u0111i\u1ec7n t\u1eed Ch\u1ec9nh ph\u1ee7<\/span><\/em><\/strong><\/p>\n

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

BS B\u1ea1ch Th\u1ecb Ch\u00ednh, Gi\u00e1m \u0111\u1ed1c Y khoa, H\u1ec7 th\u1ed1ng ti\u00eam ch\u1ee7ng VNVC cho bi\u1ebft, c\u1ea3 3 vaccine m\u1edbi n\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00e1c h\u00e3ng d\u01b0\u1ee3c ph\u1ea9m l\u1edbn tr\u00ean th\u1ebf gi\u1edbi l\u00e0 Takeda (Nh\u1eadt B\u1ea3n), GSK (B\u1ec9) v\u00e0 MSD (M\u1ef9). H\u1ec7 th\u1ed1ng ti\u00eam ch\u1ee7ng VNVC \u0111ang n\u1ed7 l\u1ef1c \u0111\u1ec3 s\u1edbm \u0111\u01b0a c\u00e1c vaccine […]<\/p>\n","protected":false},"author":3,"featured_media":26428,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-26423","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-duoc-my-pham"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/26423","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=26423"}],"version-history":[{"count":4,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/26423\/revisions"}],"predecessor-version":[{"id":26427,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/26423\/revisions\/26427"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/26428"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=26423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=26423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=26423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}