{"id":1737,"date":"2023-04-09T21:22:09","date_gmt":"2023-04-09T14:22:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1737"},"modified":"2023-04-13T15:41:41","modified_gmt":"2023-04-13T08:41:41","slug":"kham-sang-loc-benh-lao-nhu-the-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/kham-sang-loc-benh-lao-nhu-the-nao\/","title":{"rendered":"Kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao nh\u01b0 th\u1ebf n\u00e0o?"},"content":{"rendered":"

B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n Mycobacterium tuberculosis g\u00e2y ra, \u1ea3nh h\u01b0\u1edfng ch\u1ee7 y\u1ebfu \u0111\u1ebfn ph\u1ed5i. B\u1ec7nh lao l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. B\u1ec7nh lao l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh truy\u1ec1n nhi\u1ec5m nguy hi\u1ec3m, g\u00e2y ra nhi\u1ec1u t\u1eed vong tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Vi\u1ec7c kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh.<\/strong><\/p>\n

1. Kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao<\/h2>\n

1.1. \u0110\u1ed1i t\u01b0\u1ee3ng kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao<\/h3>\n

Theo khuy\u1ebfn ngh\u1ecb c\u1ee7a WHO, \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao bao g\u1ed3m:
\n– Nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng trong khu v\u1ef1c c\u00f3 t\u1ef7 l\u1ec7 cao m\u1eafc b\u1ec7nh lao.
\n– Nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc b\u1ec7nh lao.
\n– Nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu.
\n– Nh\u1eefng ng\u01b0\u1eddi nghi\u1ec7n ma t\u00fay.
\n– Nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ho, \u0111\u1eddm, s\u1ed1t, s\u01b0ng h\u1ea1ch…
\n– Nh\u1eefng ng\u01b0\u1eddi \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao v\u00e0 c\u1ea7n theo d\u00f5i.<\/p>\n

1.2. Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao<\/h3>\n

1.2.1. Kh\u00e1m l\u00e2m s\u00e0ng<\/h4>\n

1. Ho nhi\u1ec1u, dai d\u1eb3ng \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i h\u01a1n 2 tu\u1ea7n.<\/p>\n

\"Ho
Kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao khi ho k\u00e9o d\u00e0i h\u01a1n 2 tu\u1ea7n<\/figcaption><\/figure>\n

2. \u0110au ng\u1ef1c ho\u1eb7c kh\u00f3 th\u1edf.
\n3. S\u1ed1t nh\u1eb9, s\u1ed1t v\u1ec1 chi\u1ec1u ho\u1eb7c \u0111\u1ed5 m\u1ed3 h\u00f4i ban \u0111\u00eam.
\n4. M\u1ec7t m\u1ecfi, gi\u1ea3m c\u00e2n nhanh
\n5. \u0110\u1eddm \u0111\u1ee5c ho\u1eb7c c\u00f3 m\u00e1u.
\n6. S\u01b0ng h\u1ea1ch \u1edf c\u1ed5, n\u00e1ch ho\u1eb7c \u1edf khu v\u1ef1c kh\u00e1c tr\u00ean c\u01a1 th\u1ec3.
\n7. Nhi\u1ec5m tr\u00f9ng ph\u1ed5i t\u00e1i ph\u00e1t.<\/p>\n

N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o tr\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu k\u00e9o d\u00e0i h\u01a1n 2 tu\u1ea7n, b\u1ea1n n\u00ean t\u00ecm ki\u1ebfm s\u1ef1 kh\u00e1m b\u1ec7nh v\u00e0 ch\u1ea9n \u0111o\u00e1n t\u1eeb c\u00e1c chuy\u00ean gia y t\u1ebf. Tuy nhi\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y kh\u00f4ng ph\u1ea3i ch\u1ec9 g\u1eb7p trong b\u1ec7nh lao, v\u00ec ch\u00fang c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong nhi\u1ec1u b\u1ec7nh l\u00fd kh\u00e1c. N\u1ebfu b\u1ea1n c\u00f3 nguy c\u01a1 cao v\u1ec1 b\u1ec7nh lao, b\u1ea1n n\u00ean th\u1ef1c hi\u1ec7n kh\u00e1m s\u00e0ng l\u1ecdc c\u1eadn l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ea1n c\u00f3 b\u1ecb nhi\u1ec5m b\u1ec7nh lao ti\u1ec1m \u1ea9n hay kh\u00f4ng.<\/p>\n

1.2.2. Kh\u00e1m c\u1eadn l\u00e2m s\u00e0ng<\/h4>\n

– Ch\u1ee5p X-Quang ph\u1ed5i.
\n– Ti\u00eam kh\u00e1ng nguy\u00ean Tuberculin tinh ch\u1ebf ho\u1eb7c PPD d\u01b0\u1edbi da<\/a>, sau \u0111\u00f3 \u0111\u1ecdc k\u1ebft qu\u1ea3 sau 48-72 gi\u1edd.
\n– X\u00e9t nghi\u1ec7m m\u00e1u.
\n– X\u00e9t nghi\u1ec7m AFB (Acid Fast Bacilli) \u0111\u1ec3 ph\u00e1t hi\u1ec7n vi khu\u1ea9n lao trong m\u1eabu \u0111\u1eddm.
\n– X\u00e9t nghi\u1ec7m PCR lao \u0111\u1ec3 ph\u00e1t hi\u1ec7n DNA c\u1ee7a vi khu\u1ea9n lao trong m\u1eabu \u0111\u1eddm.
\n– X\u00e9t nghi\u1ec7m sinh h\u00f3a mi\u1ec5n d\u1ecbch ELISA lao \u0111\u1ec3 ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 IgM kh\u00e1ng lao.<\/p>\n

Tuy nhi\u00ean, vi\u1ec7c ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao ph\u00f9 h\u1ee3p ph\u1ea3i d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng, t\u00e0i nguy\u00ean v\u00e0 kinh ph\u00ed c\u1ee7a c\u01a1 quan y t\u1ebf \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n

1.3. Ti\u00eau chu\u1ea9n kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao<\/h3>\n

Theo khuy\u1ebfn ngh\u1ecb c\u1ee7a WHO, \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 vi\u1ec7c ti\u1ebfp t\u1ee5c x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao, c\u1ea7n xem x\u00e9t c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0:<\/p>\n

– K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao<\/a>.<\/p>\n

– Ti\u1ec1n s\u1eed b\u1ec7nh v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

– C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 m\u1eafc b\u1ec7nh lao.<\/p>\n

– N\u01a1i s\u1ed1ng v\u00e0 m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

– C\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m kh\u00e1c nh\u01b0 ch\u1ee5p CT scanner…<\/p>\n

2. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ec7nh lao<\/h3>\n

2.1. Ti\u00eam v\u1eafc-xin ph\u00f2ng b\u1ec7nh lao<\/h3>\n

Vi\u1ec7c ti\u00eam v\u1eafc-xin ph\u00f2ng b\u1ec7nh lao l\u00e0 bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ph\u00f2ng ng\u1eeba b\u1ec7nh lao. V\u1eafc-xin ph\u00f2ng b\u1ec7nh lao \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi v\u00e0 \u0111\u00e3 gi\u00fap gi\u1ea3m t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh lao v\u00e0 t\u1eed vong do b\u1ec7nh lao.<\/p>\n

2.2. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh lao<\/h3>\n

\u0110i\u1ec1u tr\u1ecb b\u1ec7nh lao l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong do b\u1ec7nh lao. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao bao g\u1ed3m s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng lao trong m\u1ed9t th\u1eddi gian d\u00e0i, th\u01b0\u1eddng l\u00e0 t\u1eeb 6 \u0111\u1ebfn 9 th\u00e1ng. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao \u0111\u00fang c\u00e1ch v\u00e0 \u0111\u1ea7y \u0111\u1ee7 s\u1ebd gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n v\u00e0 gi\u1ea3m nguy c\u01a1 l\u00e2y lan c\u1ee7a b\u1ec7nh.<\/p>\n

2.3. T\u0103ng c\u01b0\u1eddng gi\u00e1m s\u00e1t v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh lao<\/h3>\n

T\u0103ng c\u01b0\u1eddng gi\u00e1m s\u00e1t v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh lao l\u00e0 bi\u1ec7n ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y bao g\u1ed3m:<\/p>\n

– Theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao \u0111\u1ea7y \u0111\u1ee7 v\u00e0 \u0111\u00fang c\u00e1ch.<\/p>\n

– T\u00ecm ki\u1ebfm v\u00e0 x\u00e9t nghi\u1ec7m c\u00e1c tr\u01b0\u1eddng h\u1ee3p ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc b\u1ec7nh lao.<\/p>\n

– Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc b\u1ec7nh lao trong c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

– T\u0103ng c\u01b0\u1eddng gi\u00e1o d\u1ee5c v\u00e0 n\u00e2ng cao nh\u1eadn th\u1ee9c c\u1ed9ng \u0111\u1ed3ng v\u1ec1 b\u1ec7nh lao.<\/p>\n

Vi\u1ec7c kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh. B\u1ec7nh lao l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh truy\u1ec1n nhi\u1ec5m nguy hi\u1ec3m, g\u00e2y ra nhi\u1ec1u t\u1eed vong tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Vi\u1ec7c kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao gi\u00fap ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 gi\u1ea3m nguy c\u01a1 l\u00e2y lan c\u1ee7a b\u1ec7nh. \u0110\u1ed3ng th\u1eddi, vi\u1ec7c ti\u00eam v\u1eafc-xin ph\u00f2ng b\u1ec7nh lao v\u00e0 t\u0103ng c\u01b0\u1eddng gi\u00e1m s\u00e1t v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh lao c\u0169ng r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c ph\u00f2ng ng\u1eeba v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh lao.<\/p>\n

\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\u1ee9ng d\u1ee5ng MyVinmec<\/a> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng. https:\/\/youtu.be\/RAKMdO4UC5s<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n Mycobacterium tuberculosis g\u00e2y ra, \u1ea3nh h\u01b0\u1edfng ch\u1ee7 y\u1ebfu \u0111\u1ebfn ph\u1ed5i. B\u1ec7nh lao l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. B\u1ec7nh lao l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh truy\u1ec1n nhi\u1ec5m nguy hi\u1ec3m, g\u00e2y […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nKh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh lao nh\u01b0 th\u1ebf n\u00e0o? - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh lao l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m nguy hi\u1ec3m, g\u00e2y ra nhi\u1ec1u ca t\u1eed vong tr\u00ean th\u1ebf gi\u1edbi. 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