{"id":18396,"date":"2023-04-16T14:09:27","date_gmt":"2023-04-16T07:09:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18396"},"modified":"2023-04-17T14:14:51","modified_gmt":"2023-04-17T07:14:51","slug":"benh-viem-gan-a-duong-lay-bien-chung-va-cach-phong-ngua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/benh-viem-gan-a-duong-lay-bien-chung-va-cach-phong-ngua\/","title":{"rendered":"B\u1ec7nh vi\u00eam gan A: \u0110\u01b0\u1eddng l\u00e2y, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba"},"content":{"rendered":"
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B\u1ec7nh vi\u00eam gan A l\u00e0 m\u1ed9t b\u1ec7nh vi\u00eam gan c\u1ea5p t\u00ednh do virus<\/a> vi\u00eam gan A g\u00e2y ra (HAV). B\u1ec7nh th\u01b0\u1eddng kh\u1ecfi ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng l\u00e2u d\u00e0i. Sau khi nhi\u1ec5m vi r\u00fat vi\u00eam gan A th\u00ec th\u01b0\u1eddng ng\u01b0\u1eddi \u0111\u00e3 b\u1ecb nhi\u1ec5m c\u00f3 mi\u1ec5n d\u1ecbch su\u1ed1t \u0111\u1eddi. Vi\u1ec7c t\u00ecm hi\u1ec3u v\u1ec1\u0111\u01b0\u1eddng l\u00e2y, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba vi\u00eam gan A \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh.<\/strong><\/p>\n

\"Vi\u00eam
Vi\u00eam gan vi rus A c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba b\u1eb1ng c\u00e1ch ti\u00eam ph\u00f2ng<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

1. Nguy\u00ean nh\u00e2n<\/b><\/h2>\n

Vi rus vi\u00eam gan A thu\u1ed9c h\u1ecd Picornaviridae, c\u00f3 k\u00edch th\u01b0\u1edbc r\u1ea5t nh\u1ecf, h\u00ecnh kh\u1ed1i \u0111a di\u1ec7n (ho\u1eb7c h\u00ecnh c\u1ea7u), \u0111\u01b0\u1eddng k\u00ednh 28 nm. H\u1ec7 gen g\u1ed3m c\u00f3 1 ARN, xo\u1eafn, d\u00e0i kho\u1ea3ng 7500 base. D\u00e2y n\u00e0y \u0111\u01b0\u1ee3c bao quanh b\u1edfi 1 capsid g\u1ed3m c\u00f3 3 protein c\u1ea5u tr\u00fac (VP1, VP2, VP3). Capsid c\u1ee7a HAV \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh b\u1edfi ba protein c\u1ea5u tr\u00fac ch\u00ednh, g\u1ecdi l\u00e0 VP1, VP2 v\u00e0 VP3, v\u1edbi t\u1ef7 l\u1ec7 1:1:1. C\u00e1c protein n\u00e0y t\u1ef1 t\u1ed5 ch\u1ee9c th\u00e0nh m\u1ed9t c\u1ea5u tr\u00fac l\u01b0\u1edbi bao quanh RNA c\u1ee7a virus \u0111\u1ec3 t\u1ea1o th\u00e0nh capsid. HAV kh\u00f4ng c\u00f3 v\u1ecf b\u1ea3o v\u1ec7 b\u00ean ngo\u00e0i capsid, do \u0111\u00f3 n\u00f3 kh\u00f4ng th\u1ec3 s\u1ed1ng s\u00f3t trong m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i c\u01a1 th\u1ec3 con ng\u01b0\u1eddi trong th\u1eddi gian d\u00e0i v\u00e0 ch\u1ec9 l\u00e2y lan qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/span><\/p>\n

2. \u0110\u01b0\u1eddng l\u00e2y<\/h2>\n

Vi\u00eam gan A l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan A (HAV) g\u00e2y ra. Vi\u00eam gan A \u0111\u01b0\u1ee3c truy\u1ec1n t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c th\u00f4ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, ch\u1ee7 y\u1ebfu l\u00e0 qua th\u1ee9c \u0103n n\u01b0\u1edbc u\u1ed1ng nhi\u1ec5m HAV<\/span><\/p>\n

C\u00f3 th\u1ec3 m\u1eafc vi\u00eam gan A khi ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n c\u1ee7a nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m virus ho\u1eb7c qua ti\u1ebfp x\u00fac v\u1edbi c\u00e1c v\u1eadt d\u1ee5ng b\u1ecb nhi\u1ec5m virus. Ngo\u00e0i ra, vi\u1ec7c s\u1eed d\u1ee5ng n\u01b0\u1edbc u\u1ed1ng hay th\u1ef1c ph\u1ea9m b\u1ecb nhi\u1ec5m virus c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn l\u00e2y nhi\u1ec5m vi\u00eam gan A<\/p>\n

3. Bi\u1ebfn ch\u1ee9ng<\/b><\/h2>\n

B\u1ec7nh th\u01b0\u1eddng di\u1ec5n bi\u1ebfn l\u00e0nh t\u00ednh, kh\u1ecfi ho\u00e0n to\u00e0n kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. Tuy nhi\u00ean c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p suy gan c\u1ea5p n\u1eb7ng v\u00e0 t\u1eed vong v\u1edbi t\u1ef7 l\u1ec7 r\u1ea5t th\u1ea5p.\u00a0<\/span><\/p>\n

Vi\u00eam gan A th\u01b0\u1eddng c\u00f3 ti\u1ebfn tri\u1ec3n \u0111\u1ed9c l\u1eadp v\u00e0 t\u1ef1 ph\u00e1t v\u00e0 c\u00f3 xu h\u01b0\u1edbng t\u1ef1 kh\u1ecfi m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, bao g\u1ed3m suy gan c\u1ea5p t\u00ednh v\u00e0 vi\u00eam gan m\u1ea1n t\u00ednh. Nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch y\u1ebfu ho\u1eb7c b\u1ec7nh gan m\u1ea1n t\u00ednh.<\/p>\n

Suy gan c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 s\u1ed1t cao, \u0111au b\u1ee5ng, m\u1ec7t m\u1ecfi, v\u00e0ng da v\u00e0 k\u1ebft th\u00fac v\u1edbi t\u1eed vong trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. Tuy nhi\u00ean, t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a vi\u00eam gan A l\u00e0 r\u1ea5t th\u1ea5p, kho\u1ea3ng 0,1-0,3%.<\/p>\n

Sau khi b\u1ecb nhi\u1ec5m vi\u00eam gan A, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd ph\u00e1t tri\u1ec3n mi\u1ec5n d\u1ecbch b\u1ec1n v\u1eefng v\u1edbi virus n\u00e0y. Tuy nhi\u00ean, s\u1ef1 mi\u1ec5n d\u1ecbch n\u00e0y kh\u00f4ng \u0111\u1ea3m b\u1ea3o r\u1eb1ng ng\u01b0\u1eddi b\u1ec7nh s\u1ebd kh\u00f4ng b\u1ecb l\u00e2y nhi\u1ec5m l\u1ea1i trong t\u01b0\u01a1ng lai. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 gi\u1eef v\u1ec7 sinh c\u00e1 nh\u00e2n v\u00e0 m\u00f4i tr\u01b0\u1eddng s\u1ea1ch s\u1ebd \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m v\u00e0 ph\u00f2ng ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a virus.<\/p>\n

4. Ph\u00f2ng b\u1ec7nh<\/b><\/h2>\n

Vi\u00eam gan virus A c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba b\u1eb1ng c\u00e1ch ti\u00eam ph\u00f2ng, v\u1ec7 sinh c\u00e1 nh\u00e2n t\u1ed1t v\u00e0 v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng.<\/span><\/p>\n

4.1. Ti\u00eam ph\u00f2ng vaccine<\/b>:<\/span><\/h3>\n

Theo c\u00e1c khuy\u1ebfn ngh\u1ecb c\u1ee7a B\u1ed9 Y t\u1ebf, nh\u1eefng ng\u01b0\u1eddi sau \u0111\u00e2y n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng vi\u00eam gan A:<\/p>\n

– Tr\u1ebb em l\u1edbn h\u01a1n 1 tu\u1ed5i: Tr\u1ebb em t\u1eeb 1 \u0111\u1ebfn 16 tu\u1ed5i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng n\u1ebfu c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh ho\u1eb7c n\u1ebfu s\u1ed1ng trong khu v\u1ef1c c\u00f3 nguy c\u01a1 cao v\u1ec1 vi\u00eam gan A.<\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb ti\u1ebfp x\u00fac v\u1edbi HAV trong c\u00f4ng vi\u1ec7c: C\u00e1c nh\u00e2n vi\u00ean y t\u1ebf, gi\u00e1o vi\u00ean, nh\u00e2n vi\u00ean ch\u0103m s\u00f3c tr\u1ebb em, c\u00e1n b\u1ed9 qu\u00e2n \u0111\u1ed9i, nh\u00e2n vi\u00ean ch\u0103m s\u00f3c \u0111\u1ed9ng v\u1eadt hoang d\u00e3 v\u00e0 nh\u1eefng ng\u01b0\u1eddi l\u00e0m vi\u1ec7c trong ng\u00e0nh th\u1ef1c ph\u1ea9m n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng vi\u00eam gan A.<\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng c\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ed3ng gi\u1edbi: Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng c\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ed3ng gi\u1edbi n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng vi\u00eam gan A do c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh.<\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi c\u00f3 kh\u1ea3 n\u0103ng tr\u1edf th\u00e0nh b\u1ec7nh n\u1eb7ng n\u1ebfu h\u1ecd b\u1ecb nhi\u1ec5m HAV: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch b\u1ecb suy y\u1ebfu ho\u1eb7c b\u1ec7nh gan m\u00e3n t\u00ednh nh\u01b0 vi\u00eam gan B ho\u1eb7c C n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng vi\u00eam gan A \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 b\u1ec7nh n\u1eb7ng n\u1ebfu b\u1ecb nhi\u1ec5m HAV.<\/p>\n

– Ngo\u00e0i ra, nh\u1eefng ng\u01b0\u1eddi \u0111i du l\u1ecbch \u0111\u1ebfn c\u00e1c khu v\u1ef1c c\u00f3 nguy c\u01a1 cao v\u1ec1 vi\u00eam gan A c\u0169ng n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 m\u1eafc b\u1ec7nh v\u00e0 l\u00e2y lan virus khi tr\u1edf v\u1ec1 n\u01b0\u1edbc.<\/p>\n

4.2. Ph\u00f2ng b\u1ec7nh kh\u00f4ng \u0111\u1eb7c hi\u1ec7u:<\/b><\/h3>\n
    \n
  • V\u1edbi ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m vi\u00eam gan A, vi\u1ec7c r\u1eeda tay k\u1ef9 tr\u01b0\u1edbc v\u00e0 sau khi \u0103n, sau khi \u0111i v\u1ec7 sinh v\u00e0 ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi kh\u00e1c l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a virus. Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ec7nh n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng chung ch\u0103n ga, \u0111\u1ed3 d\u00f9ng c\u00e1 nh\u00e2n v\u1edbi ng\u01b0\u1eddi kh\u00e1c \u0111\u1ec3 tr\u00e1nh l\u00e2y nhi\u1ec5m virus.<\/li>\n
  • \u0110\u1ed1i v\u1edbi c\u1ed9ng \u0111\u1ed3ng, vi\u1ec7c r\u1eeda tay th\u01b0\u1eddng xuy\u00ean v\u00e0 s\u1eed d\u1ee5ng x\u00e0 ph\u00f2ng tr\u01b0\u1edbc khi \u0103n, sau khi \u0111i v\u1ec7 sinh v\u00e0 khi ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi kh\u00e1c l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a virus. Ngo\u00e0i ra, tr\u00e1nh \u0103n h\u1ea3i s\u1ea3n s\u1ed1ng ho\u1eb7c ch\u01b0a ch\u00edn t\u1eeb c\u00e1c khu v\u1ef1c s\u00f4ng bi\u1ec3n b\u1ecb \u00f4 nhi\u1ec5m c\u0169ng l\u00e0 m\u1ed9t c\u00e1ch \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m. N\u1ebfu \u0111ang \u1edf trong khu v\u1ef1c c\u00f3 nguy c\u01a1 cao v\u1ec1 vi\u00eam gan A, n\u00ean s\u1eed d\u1ee5ng n\u01b0\u1edbc u\u1ed1ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111un s\u00f4i ho\u1eb7c s\u1eed d\u1ee5ng n\u01b0\u1edbc \u0111\u00f3ng chai \u0111\u1ec3 tr\u00e1nh s\u1eed d\u1ee5ng n\u01b0\u1edbc u\u1ed1ng b\u1ecb nhi\u1ec5m virus.<\/li>\n<\/ul>\n

    Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n

    https:\/\/youtu.be\/chqZtI9tJSQ<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh vi\u00eam gan A l\u00e0 m\u1ed9t b\u1ec7nh vi\u00eam gan c\u1ea5p t\u00ednh do virus vi\u00eam gan A g\u00e2y ra (HAV). B\u1ec7nh th\u01b0\u1eddng kh\u1ecfi ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng l\u00e2u d\u00e0i. Sau khi nhi\u1ec5m vi r\u00fat vi\u00eam gan A th\u00ec th\u01b0\u1eddng ng\u01b0\u1eddi \u0111\u00e3 b\u1ecb nhi\u1ec5m c\u00f3 mi\u1ec5n d\u1ecbch su\u1ed1t \u0111\u1eddi. Vi\u1ec7c t\u00ecm hi\u1ec3u v\u1ec1\u0111\u01b0\u1eddng l\u00e2y, […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nB\u1ec7nh vi\u00eam gan A: \u0110\u01b0\u1eddng l\u00e2y, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba - Vinmec<\/title>\n<meta name=\"description\" content=\"Sau khi m\u1eafc b\u1ec7nh vi\u00eam gan A th\u00ec th\u01b0\u1eddng ng\u01b0\u1eddi \u0111\u00e3 b\u1ecb nhi\u1ec5m c\u00f3 mi\u1ec5n d\u1ecbch su\u1ed1t \u0111\u1eddi. 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