{"id":22894,"date":"2023-04-18T22:32:57","date_gmt":"2023-04-18T15:32:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22894"},"modified":"2023-04-19T10:00:17","modified_gmt":"2023-04-19T03:00:17","slug":"phac-do-dieu-tri-benh-san-la-phoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/phac-do-dieu-tri-benh-san-la-phoi\/","title":{"rendered":"Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i"},"content":{"rendered":"

B\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng, bao g\u1ed3m nhi\u1ec5m tr\u00f9ng ph\u1ed5i, vi\u00eam ph\u1ed5i, suy h\u00f4 h\u1ea5p, vi\u00eam m\u00e0ng ph\u1ed5i v\u00e0 m\u1ea5t th\u1ecb l\u1ef1c. Do \u0111\u00f3, vi\u1ec7c ph\u00f2ng b\u1ec7nh v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u00e1n l\u00e1 ph\u1ed5i r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a con ng\u01b0\u1eddi.\u00a0<\/strong><\/p>\n

1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/span><\/b><\/h2>\n

– D\u00f9ng thu\u1ed1c \u0111\u1eb7c hi\u1ec7u<\/span><\/p>\n

– \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng k\u00e8m theo.<\/span><\/p>\n

2. \u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u<\/span><\/b><\/h2>\n

* Praziquantel<\/a> \u0111\u01b0\u1ee3c ch\u1ecdn l\u00e0 thu\u1ed1c ch\u1eefa b\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i t\u1ed1t nh\u1ea5t.<\/span><\/p>\n

– Li\u1ec1u 75 mg\/kg\/ng\u00e0y, chia 3 l\u1ea7n c\u00e1ch nhau 4-6 gi\u1edd x 2 ng\u00e0y li\u00ean ti\u1ebfp.<\/span><\/p>\n

– T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n: Ch\u00f3ng m\u1eb7t, nh\u1ee9c \u0111\u1ea7u, ng\u1ee7 g\u00e0, bu\u1ed3n n\u00f4n, kh\u00f3 ch\u1ecbu h\u1ea1 v\u1ecb, m\u1ea9n ng\u1ee9a v\u00e0 c\u00f3 th\u1ec3 s\u1ed1t, c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9, nhanh h\u1ebft v\u00e0 th\u01b0\u1eddng kh\u00f4ng ph\u1ea3i can thi\u1ec7p g\u00ec.<\/span><\/p>\n

– Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n

+ Ph\u1ee5 n\u1eef c\u00f3 thai 3 th\u00e1ng \u0111\u1ea7u.<\/span><\/p>\n

+ \u0110ang nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh ho\u1eb7c suy gan, suy th\u1eadn ho\u1eb7c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n.<\/span><\/p>\n

+ D\u1ecb \u1ee9ng v\u1edbi praziquantel.<\/span><\/p>\n

* L\u01b0u \u00fd: ph\u1ee5 n\u1eef nu\u00f4i con nh\u1ecf kh\u00f4ng cho con b\u00fa trong v\u00f2ng 72 gi\u1edd d\u00f9ng thu\u1ed1c.<\/span><\/p>\n

* Ngo\u00e0i ra t\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) khuy\u1ebfn c\u00e1o d\u00f9ng thu\u1ed1c triclabendazole li\u1ec1u d\u00f9ng cho ng\u01b0\u1eddi l\u1edbn ho\u1eb7c tr\u1ebb em, 10 mg\/kg, u\u1ed1ng m\u1ed9t ho\u1eb7c hai l\u1ea7n.<\/span><\/p>\n

\"S\u1eed
S\u1eed d\u1ee5ng thu\u1ed1c praziquantel. cho b\u1ec7nh nh\u00e2n s\u00e1n l\u00e1 ph\u1ed5i ph\u1ea3i d\u01b0\u1edbi s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129<\/figcaption><\/figure>\n

3. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 n\u00e2ng cao th\u1ec3 tr\u1ea1ng<\/span><\/b><\/h2>\n

– Trong \u0111i\u1ec1u tr\u1ecb s\u00e1n l\u00e1 ph\u1ed5i c\u00f3 th\u1ec3 ho ra nhi\u1ec1u m\u00e1u m\u1ed9t l\u00fac, c\u1ea7n cho b\u1ec7nh nh\u00e2n ngh\u1ec9 ng\u01a1i tuy\u1ec7t \u0111\u1ed1i v\u00e0 cho thu\u1ed1c c\u1ea7m m\u00e1u, gi\u1ea3m ho…<\/span><\/p>\n

– N\u00e2ng cao th\u1ec3 tr\u1ea1ng: <\/span>\u0110\u1ec3 n\u00e2ng cao th\u1ec3 tr\u1ea1ng cho b\u1ec7nh nh\u00e2n nhi\u1ec5m s\u00e1n l\u00e1 ph\u1ed5i, c\u1ea7n:<\/p>\n

    \n
  • Cung c\u1ea5p dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 h\u1ee3p l\u00fd: B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng s\u1ee9c \u0111\u1ec1 kh\u00e1ng, gi\u00fap c\u01a1 th\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi b\u1ec7nh t\u1eadt. C\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m gi\u00e0u protein, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t nh\u01b0 th\u1ecbt, c\u00e1, tr\u1ee9ng, rau xanh, hoa qu\u1ea3, s\u1eefa v\u00e0 s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa l\u00e0 nh\u1eefng l\u1ef1a ch\u1ecdn t\u1ed1t \u0111\u1ec3 b\u1ed5 sung dinh d\u01b0\u1ee1ng cho b\u1ec7nh nh\u00e2n.<\/li>\n
  • T\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n: T\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n gi\u00fap c\u1ea3i thi\u1ec7n th\u1ec3 tr\u1ea1ng, t\u0103ng c\u01b0\u1eddng s\u1ee9c \u0111\u1ec1 kh\u00e1ng v\u00e0 gi\u1ea3m stress. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n b\u1edfi b\u00e1c s\u0129 \u0111\u1ec3 ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p th\u1ec3 d\u1ee5c ph\u00f9 h\u1ee3p v\u00e0 tr\u00e1nh g\u00e2y t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe.<\/li>\n
  • Gi\u1eef v\u1ec7 sinh c\u00e1 nh\u00e2n t\u1ed1t: Vi\u1ec7c gi\u1eef v\u1ec7 sinh c\u00e1 nh\u00e2n t\u1ed1t gi\u00fap ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m kh\u00e1c.<\/li>\n
  • Ngh\u1ec9 ng\u01a1i \u0111\u1ea7y \u0111\u1ee7: Ngh\u1ec9 ng\u01a1i \u0111\u1ea7y \u0111\u1ee7 gi\u00fap c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng v\u00e0 t\u0103ng c\u01b0\u1eddng s\u1ee9c \u0111\u1ec1 kh\u00e1ng.<\/li>\n
  • Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ch\u1ec9 \u0111\u1ea1o \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129 v\u00e0 s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 ti\u00eau di\u1ec7t s\u00e1n l\u00e1 ph\u1ed5i trong c\u01a1 th\u1ec3.<\/li>\n<\/ul>\n

    4. Theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb<\/span><\/b><\/h2>\n

    Sau \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u0111\u1eb7c hi\u1ec7u b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1:<\/span><\/p>\n

    – L\u00e2m s\u00e0ng: b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c theo d\u00f5i, \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng sau 3, 6 th\u00e1ng.<\/span><\/p>\n

    – X\u00e9t nghi\u1ec7m:<\/span><\/p>\n

    + C\u00f4ng th\u1ee9c m\u00e1u (BCAT), ch\u1ee9c n\u0103ng gan, th\u1eadn sau 3, 6 th\u00e1ng.<\/span><\/p>\n

    + X\u00e9t nghi\u1ec7m \u0111\u1eddm, ph\u00e2n t\u00ecm tr\u1ee9ng s\u00e1n l\u00e1 ph\u1ed5i sau 1 tu\u1ea7n, 1 th\u00e1ng, 3 th\u00e1ng, 6 th\u00e1ng.<\/span><\/p>\n

    + X\u00e9t nghi\u1ec7m ELISA s\u00e1n l\u00e1 ph\u1ed5i sau 3 th\u00e1ng, 6 th\u00e1ng.<\/span><\/p>\n

    + Xquang ng\u1ef1c sau 6 th\u00e1ng<\/span><\/p>\n

    5. Ti\u00eau chu\u1ea9n kh\u1ecfi b\u1ec7nh<\/h2>\n

    – H\u1ebft tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/span><\/p>\n

    – X\u00e9t nghi\u1ec7m l\u1ea1i sau \u0111i\u1ec1u tr\u1ecb: ph\u00e2n, \u0111\u1eddm v\u00e0 d\u1ecbch m\u00e0ng ph\u1ed5i \u00e2m t\u00ednh v\u1edbi s\u00e1n l\u00e1 ph\u1ed5i.<\/span><\/p>\n

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

    \u0110\u1ec3 ph\u00f2ng b\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i, c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p sau:<\/p>\n

      \n
    • Gi\u1eef v\u1ec7 sinh c\u00e1 nh\u00e2n: R\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc s\u1ea1ch \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m b\u1ec7nh. Ngo\u00e0i ra, c\u1ea7n c\u1ea9n th\u1eadn khi ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed9ng v\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt c\u00f3 kh\u1ea3 n\u0103ng mang s\u00e1n l\u00e1 ph\u1ed5i nh\u01b0 cua, t\u00f4m, c\u00e1… \u0111\u1ec3 tr\u00e1nh l\u00e2y nhi\u1ec5m.<\/li>\n
    • \u0102n u\u1ed1ng \u0111\u00fang c\u00e1ch: \u0102n u\u1ed1ng \u0111\u00fang c\u00e1ch l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ph\u00f2ng tr\u00e1nh b\u1ec7nh. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, c\u1ea7n \u0103n \u0111a d\u1ea1ng c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m, bao g\u1ed3m rau, hoa qu\u1ea3, th\u1ecbt, c\u00e1, tr\u1ee9ng, s\u1eefa, \u0111\u1eadu n\u00e0nh, h\u1ea1t… Tuy nhi\u00ean, c\u1ea7n tr\u00e1nh \u0103n cua, t\u00f4m ch\u01b0a \u0111\u01b0\u1ee3c n\u1ea5u ch\u00edn ho\u1eb7c \u0103n th\u1ef1c ph\u1ea9m kh\u00f4ng \u0111\u1ea3m b\u1ea3o v\u1ec7 sinh an to\u00e0n, v\u00ec ch\u00fang c\u00f3 th\u1ec3 l\u00e0 ngu\u1ed3n l\u00e2y nhi\u1ec5m s\u00e1n l\u00e1 ph\u1ed5i. Ngo\u00e0i ra, c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn c\u00e1ch ch\u1ebf bi\u1ebfn v\u00e0 b\u1ea3o qu\u1ea3n th\u1ef1c ph\u1ea9m \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u1ec7 sinh th\u1ef1c ph\u1ea9m.<\/li>\n
    • Qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i nh\u01b0 \u0111\u1eddm, ph\u00e2n ho\u1eb7c d\u1ecbch m\u00e0ng ph\u1ed5i, gi\u1eef v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng: \u0110i\u1ec1u n\u00e0y gi\u00fap ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u00e1 ph\u1ed5i trong m\u00f4i tr\u01b0\u1eddng s\u1ed1ng.<\/li>\n
    • Tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe trong c\u1ed9ng \u0111\u1ed3ng: \u00a0\u0102n ch\u00edn, u\u1ed1ng ch\u00edn, kh\u00f4ng \u0103n cua, t\u00f4m ch\u01b0a n\u1ea5u ch\u00edn. Th\u00f4ng qua c\u00e1c ho\u1ea1t \u0111\u1ed9ng tuy\u00ean truy\u1ec1n nh\u01b0 ph\u00e1t t\u1edd r\u01a1i, \u0111\u00e0i ph\u00e1t thanh, truy\u1ec1n h\u00ecnh, c\u00e1c bu\u1ed5i h\u1ed9i th\u1ea3o, gi\u00fap t\u0103ng c\u01b0\u1eddng nh\u1eadn th\u1ee9c v\u00e0 ki\u1ebfn th\u1ee9c v\u1ec1 s\u00e1n l\u00e1 ph\u1ed5i, c\u00e1ch ph\u00f2ng tr\u00e1nh v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/li>\n
    • Gi\u1ea3i quy\u1ebft m\u1ea7m b\u1ec7nh: Ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ed3ng th\u1eddi ti\u00eam ph\u00f2ng \u0111\u00fang l\u1ecbch \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh.<\/li>\n<\/ul>\n

      Ngo\u00e0i ra, c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c quy \u0111\u1ecbnh v\u1ec1 v\u1ec7 sinh an to\u00e0n th\u1ef1c ph\u1ea9m, h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed9ng v\u1eadt c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m s\u00e1n l\u00e1 ph\u1ed5i v\u00e0 \u0111eo kh\u1ea9u trang khi c\u1ea7n thi\u1ebft trong m\u00f4i tr\u01b0\u1eddng c\u00f3 nguy c\u01a1 l\u00e2y nhi\u1ec5m cao.<\/p>\n

      T\u00f3m l\u1ea1i, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ch\u00ednh x\u00e1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 tr\u00e1nh t\u00e1i ph\u00e1t b\u1ec7nh, gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n

      Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

      B\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng, bao g\u1ed3m nhi\u1ec5m tr\u00f9ng ph\u1ed5i, vi\u00eam ph\u1ed5i, suy h\u00f4 h\u1ea5p, vi\u00eam m\u00e0ng ph\u1ed5i v\u00e0 m\u1ea5t th\u1ecb l\u1ef1c. Do \u0111\u00f3, vi\u1ec7c ph\u00f2ng b\u1ec7nh v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u00e1n l\u00e1 ph\u1ed5i r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 […]<\/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":"\nPh\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh s\u00e1n l\u00e1 ph\u1ed5i c\u00f3 th\u1ec3 g\u00e2y n\u00ean nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho ng\u01b0\u1eddi b\u1ec7nh. 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