{"id":27773,"date":"2024-08-13T10:46:41","date_gmt":"2024-08-13T03:46:41","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=27773"},"modified":"2024-08-13T10:46:41","modified_gmt":"2024-08-13T03:46:41","slug":"bai-13-08-24","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2024\/08\/13\/bai-13-08-24\/","title":{"rendered":"Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 ph\u00f2ng, ch\u1ed1ng b\u1ec7nh B\u1ea1ch H\u1ea7u"},"content":{"rendered":"

T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi cho bi\u1ebft, b\u1ec7nh b\u1ea1ch h\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng do c\u00e1c ch\u1ee7ng vi khu\u1ea9n c\u00f3 t\u00ean Corynebacteria diphtheriae g\u00e2y ra, t\u1ea1o ra \u0111\u1ed9c t\u1ed1. Ch\u1ea5t \u0111\u1ed9c th\u01b0\u1eddng b\u00e1m v\u00e0o c\u00e1c m\u00f4 trong h\u1ec7 h\u00f4 h\u1ea5p v\u00e0 g\u00e2y b\u1ec7nh b\u1eb1ng c\u00e1ch gi\u1ebft ch\u1ebft c\u00e1c m\u00f4 kh\u1ecfe m\u1ea1nh. B\u1ec7nh b\u1ea1ch h\u1ea7u g\u00e2y ra gi\u1ea3 m\u1ea1c \u1edf tuy\u1ebfn h\u1ea1nh nh\u00e2n, h\u1ea7u h\u1ecdng, thanh qu\u1ea3n, m\u0169i. B\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf da, c\u00e1c m\u00e0ng ni\u00eam m\u1ea1c kh\u00e1c nh\u01b0 k\u1ebft m\u1ea1c m\u1eaft ho\u1eb7c b\u1ed9 ph\u1eadn sinh d\u1ee5c.\u00a0B\u1ec7nh b\u1ea1ch h\u1ea7u th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong nh\u1eefng th\u00e1ng l\u1ea1nh \u1edf v\u00f9ng \u00f4n \u0111\u1edbi. B\u1ec7nh c\u00f3 t\u00ednh m\u00f9a, th\u01b0\u1eddng t\u1ea3n ph\u00e1t, c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh d\u1ecbch nh\u1ea5t l\u00e0 \u1edf tr\u1ebb d\u01b0\u1edbi 15 tu\u1ed5i ch\u01b0a \u0111\u01b0\u1ee3c g\u00e2y mi\u1ec5n d\u1ecbch \u0111\u1ea7y \u0111\u1ee7.<\/span><\/p>\n

* T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh b\u1ea1ch h\u1ea7u<\/strong>: Vi khu\u1ea9n b\u1ea1ch h\u1ea7u c\u00f3 03 t\u00fdp l\u00e0 Gravis, Mitis v\u00e0 Intermedius. H\u00ecnh th\u1ec3 vi khu\u1ea9n \u0111a d\u1ea1ng, gram (+). \u0110i\u1ec3n h\u00ecnh l\u00e0 tr\u1ef1c khu\u1ea9n c\u00f3 01 ho\u1eb7c 02 \u0111\u1ea7u ph\u00ecnh to n\u00ean c\u00f2n g\u1ecdi l\u00e0 tr\u1ef1c khu\u1ea9n h\u00ecnh chu\u1ef3, d\u00e0i 2-6 \u00b5m, r\u1ed9ng 0,5-1\u00b5m. Kh\u00f4ng sinh nha b\u00e0o, kh\u00f4ng di \u0111\u1ed9ng.<\/span><\/p>\n

Vi khu\u1ea9n b\u1ea1ch h\u1ea7u nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 l\u00fd, ho\u00e1. D\u01b0\u1edbi \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi tr\u1ef1c ti\u1ebfp, vi khu\u1ea9n s\u1ebd b\u1ecb ch\u1ebft sau v\u00e0i gi\u1edd, \u00e1nh s\u00e1ng khuy\u1ebfch t\u00e1n s\u1ebd b\u1ecb di\u1ec7t sau v\u00e0i ng\u00e0y. \u1ede nhi\u1ec7t \u0111\u1ed9 580C vi khu\u1ea9n s\u1ed1ng \u0111\u01b0\u1ee3c 10 ph\u00fat, \u1edf phenol 1% v\u00e0 c\u1ed3n 60 \u0111\u1ed9 c\u00f3 th\u1ec3 s\u1ed1ng \u0111\u01b0\u1ee3c 1 ph\u00fat. Chu\u1ed9t lang c\u00f3 c\u1ea3m nhi\u1ec5m cao \u0111\u1ed1i v\u1edbi vi khu\u1ea9n b\u1ea1ch h\u1ea7u.<\/span><\/p>\n

* Th\u1eddi gian \u1ee7 b\u1ec7nh<\/strong>: T\u1eeb 02 \u0111\u1ebfn 05 ng\u00e0y, c\u00f3 th\u1ec3 l\u00e2u h\u01a1n. Th\u01b0\u1eddng kh\u00f4ng c\u1ed1 \u0111\u1ecbnh. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e0o th\u1ea3i vi khu\u1ea9n t\u1eeb th\u1eddi k\u1ef3 kh\u1edfi ph\u00e1t, c\u00f3 th\u1ec3 ngay t\u1eeb cu\u1ed1i th\u1eddi k\u1ef3 \u1ee7 b\u1ec7nh. Th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n k\u00e9o d\u00e0i kho\u1ea3ng 02 tu\u1ea7n ho\u1eb7c ng\u1eafn h\u01a1n, \u00edt khi tr\u00ean 04 tu\u1ea7n.\u00a0<\/span><\/p>\n

* \u0110\u01b0\u1eddng l\u00e2y truy\u1ec1n<\/em><\/strong>: B\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p khi ti\u1ebfp x\u00fac v\u1edbi gi\u1ecdt b\u1eafn c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh l\u00fac ho, h\u1eaft h\u01a1i. Ngo\u00e0i ra, b\u1ec7nh c\u00f3 th\u1ec3 l\u00e2y qua con \u0111\u01b0\u1eddng gi\u00e1n ti\u1ebfp khi ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed3 v\u1eadt b\u1ecb nhi\u1ec5m d\u1ecbch m\u0169i h\u1ea7u t\u1eeb ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c l\u00e2y nhi\u1ec5m khi ti\u1ebfp x\u00fac v\u1edbi v\u00f9ng da t\u1ed5n th\u01b0\u01a1ng do b\u1ea1ch h\u1ea7u v\u00e0 c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c.<\/span><\/p>\n

\"\"<\/p>\n

* Tri\u1ec7u ch\u1ee9ng (d\u1ea5u hi\u1ec7u) c\u1ee7a b\u1ec7nh b\u1ea1ch h\u1ea7u<\/strong>:<\/span><\/p>\n

+ Ca b\u1ec7nh l\u00e2m s\u00e0ng<\/em>: Vi\u00eam h\u1ecdng, m\u0169i, thanh qu\u1ea3n. H\u1ecdng \u0111\u1ecf, nu\u1ed1t \u0111au. Da xanh, m\u1ec7t, n\u1ed5i h\u1ea1ch \u1edf d\u01b0\u1edbi h\u00e0m l\u00e0m s\u01b0ng t\u1ea5y v\u00f9ng c\u1ed5. Kh\u00e1m th\u1ea5y c\u00f3 gi\u1ea3 m\u1ea1c. C\u1ea7n ph\u00e2n bi\u1ec7t t\u00ednh ch\u1ea5t c\u1ee7a gi\u1ea3 m\u1ea1c b\u1ea1ch h\u1ea7u v\u1edbi gi\u1ea3 m\u1ea1c m\u1ee7. Gi\u1ea3 m\u1ea1c b\u1ea1ch h\u1ea7u th\u01b0\u1eddng tr\u1eafng ng\u00e0 ho\u1eb7c m\u1ea7u x\u00e1m d\u00ednh ch\u1eb7t v\u00e0o xung quanh t\u1ed5 ch\u1ee9c vi\u00eam, n\u1ebfu b\u00f3c ra s\u1ebd b\u1ecb ch\u1ea3y m\u00e1u.<\/span><\/p>\n

B\u1ea1ch h\u1ea7u thanh qu\u1ea3n l\u00e0 th\u1ec3 b\u1ec7nh n\u1eb7ng \u1edf tr\u1ebb em. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng b\u1ecb nhi\u1ec5m ngo\u1ea1i \u0111\u1ed9c t\u1ed1 b\u1ea1ch h\u1ea7u t\u1ea1i ch\u1ed7 l\u00e0 gi\u1ea3 m\u1ea1c v\u00e0 bi\u1ec3u hi\u1ec7n to\u00e0n th\u00e2n l\u00e0 nhi\u1ec5m \u0111\u1ed9c th\u1ea7n kinh, l\u00e0m t\u00ea li\u1ec7t th\u1ea7n kinh s\u1ecd n\u00e3o, th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng ngo\u1ea1i bi\u00ean v\u00e0 th\u1ea7n kinh c\u1ea3m gi\u00e1c v\u00e0\/ho\u1eb7c vi\u00eam c\u01a1 tim. T\u1ef7 l\u1ec7 t\u1eed vong kho\u1ea3ng 5% – 10%.<\/span><\/p>\n

* \u0110\u1ec3 ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng, ch\u1ed1ng b\u1ec7nh b\u1ea1ch h\u1ea7u, C\u1ee5c Y t\u1ebf d\u1ef1 ph\u00f2ng khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi d\u00e2n c\u1ea7n th\u1ef1c hi\u1ec7n t\u1ed1t c\u00e1c bi\u1ec7n ph\u00e1p sau:<\/strong><\/span><\/p>\n

– \u0110\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

– Th\u01b0\u1eddng xuy\u00ean r\u1eeda tay b\u1eb1ng x\u00e0 ph\u00f2ng; che mi\u1ec7ng khi ho ho\u1eb7c h\u1eaft h\u01a1i; gi\u1eef v\u1ec7 sinh th\u00e2n th\u1ec3, m\u0169i, h\u1ecdng h\u00e0ng ng\u00e0y; h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ho\u1eb7c nghi ng\u1edd m\u1eafc b\u1ec7nh.<\/span><\/p>\n

– \u0110\u1ea3m b\u1ea3o nh\u00e0 \u1edf, nh\u00e0 tr\u1ebb, l\u1edbp h\u1ecdc th\u00f4ng tho\u00e1ng, s\u1ea1ch s\u1ebd v\u00e0 c\u00f3 \u0111\u1ee7 \u00e1nh s\u00e1ng.<\/span><\/p>\n

– Khi c\u00f3 d\u1ea5u hi\u1ec7u m\u1eafc b\u1ec7nh ho\u1eb7c nghi ng\u1edd m\u1eafc b\u1ec7nh b\u1ea1ch h\u1ea7u ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1ch ly v\u00e0 \u0111\u01b0a \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/span><\/p>\n

– Ng\u01b0\u1eddi d\u00e2n trong \u1ed5 d\u1ecbch c\u1ea7n ch\u1ea5p h\u00e0nh nghi\u00eam t\u00fac vi\u1ec7c u\u1ed1ng thu\u1ed1c ph\u00f2ng, ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh theo ch\u1ec9 \u0111\u1ecbnh v\u00e0 y\u00eau c\u1ea7u c\u1ee7a c\u01a1 quan y t\u1ebf .\/.<\/span><\/p>\n

BS. Ph\u1ea1m H\u1ed3ng Thanh – Trung t\u00e2m Y t\u1ebf TP Long Xuy\u00ean<\/em><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi cho bi\u1ebft, b\u1ec7nh b\u1ea1ch h\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng do c\u00e1c ch\u1ee7ng vi khu\u1ea9n c\u00f3 t\u00ean Corynebacteria diphtheriae g\u00e2y ra, t\u1ea1o ra \u0111\u1ed9c t\u1ed1. Ch\u1ea5t \u0111\u1ed9c th\u01b0\u1eddng b\u00e1m v\u00e0o c\u00e1c m\u00f4 trong h\u1ec7 h\u00f4 h\u1ea5p v\u00e0 g\u00e2y b\u1ec7nh b\u1eb1ng c\u00e1ch gi\u1ebft ch\u1ebft c\u00e1c m\u00f4 kh\u1ecfe m\u1ea1nh. […]<\/p>\n","protected":false},"author":33,"featured_media":27774,"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-27773","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\/27773","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\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=27773"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27773\/revisions"}],"predecessor-version":[{"id":27775,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27773\/revisions\/27775"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/27774"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=27773"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=27773"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=27773"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}