{"id":27767,"date":"2024-08-13T10:19:24","date_gmt":"2024-08-13T03:19:24","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=27767"},"modified":"2024-08-13T10:19:24","modified_gmt":"2024-08-13T03:19:24","slug":"bai-11-08-24","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2024\/08\/13\/bai-11-08-24\/","title":{"rendered":"B\u1ec7nh N\u00e3o m\u00f4 c\u1ea7u v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh"},"content":{"rendered":"

Vi\u00eam m\u00e0ng n\u00e3o do N\u00e3o m\u00f4 c\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, do vi khu\u1ea9n n\u00e3o m\u00f4 c\u1ea7u Neisseria meningitidis g\u00e2y ra. Do v\u1eady b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch v\u00e0 c\u00f3 c\u00e1c c\u00e1ch ph\u00f2ng b\u1ec7nh nh\u01b0 sau:<\/span><\/p>\n

H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi d\u00e2n \u0111\u01b0a tr\u1ebb \u0111i ti\u00eam ch\u1ee7ng ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh b\u1ea1ch h\u1ea7u theo l\u1ecbch ti\u00eam ch\u1ee7ng \u0111\u1ea7y \u0111\u1ee7, \u0111\u00fang l\u1ecbch c\u1ee7a Ch\u01b0\u01a1ng tr\u00ecnh Ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng qu\u1ed1c gia:<\/span><\/p>\n

+ M\u0169i 1: Ti\u00eam vaccine DPT – VGB – Hib (ph\u00f2ng b\u1ec7nh b\u1ea1ch h\u1ea7u – ho g\u00e0 – u\u1ed1n v\u00e1n – vi\u00eam gan B – vi\u00eam ph\u1ed5i\/vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 do Hib) khi tr\u1ebb 02 th\u00e1ng tu\u1ed5i.\u00a0<\/span><\/p>\n

+ M\u0169i 2: Ti\u00eam vaccine DPT – VGB – Hib khi tr\u1ebb 03 th\u00e1ng tu\u1ed5i.\u00a0<\/span><\/p>\n

+ M\u0169i 3: Ti\u00eam vaccine DPT – VGB – Hib khi tr\u1ebb 04 th\u00e1ng tu\u1ed5i.\u00a0<\/span><\/p>\n

+ M\u0169i 4: Ti\u00eam vaccine DPT (ph\u00f2ng b\u1ec7nh b\u1ea1ch h\u1ea7u – ho g\u00e0 – u\u1ed1n v\u00e1n) khi tr\u1ebb 18 th\u00e1ng tu\u1ed5i.<\/span><\/p>\n

\"\"<\/p>\n

Bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng<\/span><\/strong><\/p>\n

– Tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c s\u1ee9c kho\u1ebb: Cung c\u1ea5p nh\u1eefng th\u00f4ng tin c\u1ea7n thi\u1ebft v\u1ec1 b\u1ec7nh vi\u00eam\u00a0 m\u00e0ng n\u00e3o do n\u00e3o m\u00f4 c\u1ea7u cho nh\u00e2n d\u00e2n, nh\u1ea5t l\u00e0 n\u01a1i c\u00f3 b\u1ec7nh l\u01b0u h\u00e0nh, \u0111\u1ec3 nh\u00e2n d\u00e2n bi\u1ebft ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm, c\u00e1ch ly v\u00e0 c\u1ed9ng t\u00e1c v\u1edbi ng\u00e0nh y t\u1ebf \u0111\u1ecba ph\u01b0\u01a1ng th\u1ef1c hi\u1ec7n ph\u00f2ng ch\u1ed1ng d\u1ecbch trong c\u1ed9ng \u0111\u1ed3ng.<\/span><\/p>\n

– V\u1ec7 sinh ph\u00f2ng b\u1ec7nh.<\/span><\/strong><\/p>\n

+ Nh\u00e0 \u1edf, nh\u00e0 tr\u1ebb, l\u1edbp h\u1ecdc ph\u1ea3i th\u00f4ng tho\u00e1ng, s\u1ea1ch s\u1ebd v\u00e0 c\u00f3 \u0111\u1ee7 \u00e1nh s\u00e1ng.<\/span><\/p>\n

+ T\u1ea1i n\u01a1i c\u00f3 \u1ed5 d\u1ecbch c\u0169, c\u1ea7n t\u0103ng c\u01b0\u1eddng gi\u00e1m s\u00e1t, ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ed1t, vi\u00eam h\u1ea7u h\u1ecdng \u0111\u1ec3 theo d\u00f5i. N\u1ebfu c\u00f3 \u0111i\u1ec1u ki\u1ec7n th\u00ec ngo\u00e1y h\u1ecdng b\u1ec7nh nh\u00e2n c\u0169 v\u00e0 nh\u1eefng ng\u01b0\u1eddi l\u00e2n c\u1eadn \u0111\u1ec3 x\u00e9t nghi\u1ec7m t\u00ecm ng\u01b0\u1eddi l\u00e0nh mang vi khu\u1ea9n n\u00e3o m\u00f4 c\u1ea7u.<\/span><\/p>\n

+ Hi\u1ec7n nay \u0111\u00e3 c\u00f3 v\u1eafc xin ph\u00f2ng b\u1ec7nh vi\u00eam m\u00e0ng n\u00e3o do n\u00e3o m\u00f4 c\u1ea7u. \u0110\u00e2y l\u00e0 v\u1eafc xin an to\u00e0n v\u00e0 mi\u1ec5n d\u1ecbch cao nh\u01b0ng r\u1ea5t \u0111\u1eaft. C\u1ea7u khu\u1ea9n nh\u00f3m A l\u00e0 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p nh\u01b0ng ch\u01b0a c\u00f3 v\u1eafc xin. B\u1edfi v\u1eady, trong t\u00ecnh h\u00ecnh hi\u1ec7n nay c\u1ea7n \u00e1p d\u1ee5ng bi\u1ec7n ph\u00e1p gi\u00e1m s\u00e1t d\u1ecbch t\u1ec5 h\u1ecdc m\u1ed9t c\u00e1ch nghi\u00eam ng\u1eb7t b\u1ec7nh vi\u00eam m\u00e0ng n\u00e3o do n\u00e3o m\u00f4 c\u1ea7u \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng ho\u00e1 d\u01b0\u1ee3c d\u1ef1 ph\u00f2ng khi c\u1ea7n thi\u1ebft.<\/span><\/p>\n

+ Khi c\u00f3 bi\u1ec3u hi\u1ec7n s\u1ed1t cao, \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, c\u1ed5 c\u1ee9ng, c\u1ea7n \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/span><\/p>\n

Bi\u1ec7n ph\u00e1p ch\u1ed1ng d\u1ecbch:<\/span><\/p>\n

– T\u1ed5 ch\u1ee9c:<\/span><\/strong><\/p>\n

+ \u0110\u1ed1i v\u1edbi v\u1ee5 d\u1ecbch nh\u1ecf, c\u1ea7n gi\u00e0nh m\u1ed9t s\u1ed1 gi\u01b0\u1eddng b\u1ec7nh trong m\u1ed9t khu ri\u00eang \u1edf khoa l\u00e2y b\u1ec7nh vi\u1ec7n \u0111\u1ec3 c\u00e1ch ly v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. N\u1ebfu c\u00f3 d\u1ecbch l\u1edbn th\u00ec c\u00f3 th\u1ec3 th\u00e0nh l\u1eadp b\u1ec7nh x\u00e1 d\u00e3 chi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng<\/span><\/p>\n

– Chuy\u00ean m\u00f4n:<\/span><\/strong><\/p>\n

+ B\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1ch ly \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong 24 gi\u1edd sau khi \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh. Nh\u1eefng th\u1ec3 l\u00e2m s\u00e0ng vi\u00eam m\u00e0ng n\u00e3o, nhi\u1ec5m khu\u1ea9n huy\u1ebft ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong b\u1ec7nh vi\u1ec7n c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n chuy\u00ean m\u00f4n, k\u1ef9 thu\u1eadt \u0111\u1ec3 ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong. Nh\u1eefng th\u1ec3 b\u00e1n l\u00e2m s\u00e0ng, vi\u00eam m\u0169i h\u1ecdng v.v\u2026 c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 t\u1ea1i y t\u1ebf c\u01a1 s\u1edf v\u00e0 theo d\u00f5i s\u1ef1 di\u1ec5n bi\u1ebfn c\u1ee7a b\u1ec7nh.<\/span><\/p>\n

+ Ng\u0103n ch\u1eb7n s\u1ef1 th\u0103m h\u1ecfi b\u1ec7nh nh\u00e2n, h\u1ea1n ch\u1ebf h\u1ed9i h\u1ecdp, t\u1ee5 t\u1eadp \u0111\u00f4ng ng\u01b0\u1eddi, h\u1ea1n ch\u1ebf s\u1ef1 \u0111i l\u1ea1i gi\u1eefa n\u01a1i c\u00f3 d\u1ecbch v\u1edbi n\u01a1i kh\u00e1c. \u0110\u1eb7t c\u00e1c tr\u1ea1m ki\u1ec3m so\u00e1t ra v\u00e0o v\u00f9ng d\u1ecbch v\u00e0 cho u\u1ed1ng ho\u00e1 d\u01b0\u1ee3c d\u1ef1 ph\u00f2ng.<\/span><\/p>\n

+ Qu\u1ea3n l\u00fd ng\u01b0\u1eddi l\u00e0nh mang khu\u1ea9n, ng\u01b0\u1eddi ti\u1ebfp x\u00fac: C\u1ea7n theo d\u00f5i nghi\u00eam ng\u1eb7t. D\u00f9ng kh\u00e1ng sinh nh\u00f3m beta lactam, phenicol, sulfamid \u0111\u1ec3 d\u1ef1 ph\u00f2ng cho ng\u01b0\u1eddi ti\u1ebfp x\u00fac, ng\u01b0\u1eddi ph\u1ee5c v\u1ee5 b\u1ec7nh nh\u00e2n, ng\u01b0\u1eddi ra v\u00e0o v\u00f9ng d\u1ecbch, ng\u01b0\u1eddi s\u1ed1ng trong c\u00e1c t\u1eadp th\u1ec3, tr\u01b0\u1eddng h\u1ecdc… c\u00f3 nguy c\u01a1 b\u1ecb l\u00e2y truy\u1ec1n v\u00e0 c\u1ea3 nh\u1eefng ng\u01b0\u1eddi l\u00e0nh mang vi khu\u1ea9n \u0111\u1ec3 ph\u00f2ng b\u1ec7nh r\u1ed9ng r\u00e3i trong v\u00f9ng d\u1ecbch.\u00a0<\/span><\/p>\n

+ X\u1eed l\u00fd m\u00f4i tr\u01b0\u1eddng: S\u00e1t khu\u1ea9n t\u1ea9y u\u1ebf c\u00e1c ch\u1ea5t b\u00e0i ti\u1ebft \u0111\u01b0\u1eddng m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n. N\u00ean nh\u1ecf m\u0169i h\u1ecdng dung d\u1ecbch sunfamit ho\u1eb7c penicillin cho b\u1ec7nh nh\u00e2n v\u00e0 nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac trong v\u00f9ng d\u1ecbch .\/.<\/span><\/p>\n

Cn. L\u00ea Hu\u1ef3nh H\u1ea3i – Trung t\u00e2m Y t\u1ebf Ch\u00e2u Ph\u00fa<\/em><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam m\u00e0ng n\u00e3o do N\u00e3o m\u00f4 c\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, do vi khu\u1ea9n n\u00e3o m\u00f4 c\u1ea7u Neisseria meningitidis g\u00e2y ra. Do v\u1eady b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch v\u00e0 c\u00f3 c\u00e1c c\u00e1ch ph\u00f2ng b\u1ec7nh nh\u01b0 sau: H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi d\u00e2n \u0111\u01b0a tr\u1ebb \u0111i ti\u00eam ch\u1ee7ng ti\u00eam […]<\/p>\n","protected":false},"author":113,"featured_media":27768,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[349,322],"tags":[],"class_list":["post-27767","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai-viet-dat-hang","category-cham-nhuan-but"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27767","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\/113"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=27767"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27767\/revisions"}],"predecessor-version":[{"id":27769,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27767\/revisions\/27769"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/27768"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=27767"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=27767"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=27767"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}