{"id":27188,"date":"2023-04-23T22:54:34","date_gmt":"2023-04-23T15:54:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27188"},"modified":"2023-04-23T22:54:34","modified_gmt":"2023-04-23T15:54:34","slug":"benh-do-nao-mo-cau-nguyen-nhan-duong-lay-va-cach-phong-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/benh-do-nao-mo-cau-nguyen-nhan-duong-lay-va-cach-phong-benh\/","title":{"rendered":"B\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u: Nguy\u00ean nh\u00e2n, \u0111\u01b0\u1eddng l\u00e2y v\u00e0 c\u00e1ch ph\u00f2ng b\u1ec7nh"},"content":{"rendered":"

B\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh, l\u00e2y truy\u1ec1n theo \u0111\u01b0\u1eddng h\u00f4 h<\/span>\u1ea5p, th\u01b0\u1eddng g\u1eb7p \u1edf l\u1ee9a tu<\/span>\u1ed5i tr\u1ebb v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y th\u00e0nh d\u1ecbch. B\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u c\u00f3 c\u00e1c th\u1ec3 l\u00e2m s\u00e0n<\/span>g: vi\u00eam m\u00e0ng n\u00e3o m\u1ee7, nhi\u1ec5m khu\u1ea9n huy\u1ebft, s\u1ed1c nhi\u1ec5m khu\u1ea9n, vi\u00eam kh<\/span>\u1edbp, vi\u00eam m\u00e0n<\/span>g\u00a0ngo\u00e0i tim, … trong \u0111\u00f3 vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 v\u00e0 nh<\/span>i\u1ec5<\/strong>m khu\u1ea9n huy\u1ebft l\u00e0 th\u01b0\u1eddng g\u1eb7p h\u01a1n. B\u1ec7nh th\u01b0\u1eddng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng n\u1eb7ng n\u1ec1 nh\u01b0 ch\u1eadm ph\u00e1t tri\u1ec3n tinh th\u1ea7n, \u0111i\u1ebfc, li\u1ec7t. <\/strong><\/span><\/p>\n

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H\u00ecnh \u1ea3nh vi khu\u1ea9n n<\/span>\u00e3o m\u00f4 c<\/span>\u1ea7u\u00a0Neisseria meningitidis<\/i><\/span><\/strong><\/figcaption><\/figure>\n

1.\u00a0<\/b>T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh\u00a0do n\u00e3o m\u00f4 c\u1ea7u<\/span><\/b><\/h2>\n

T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 vi khu\u1ea9n n<\/span>\u00e3o m\u00f4 c<\/span>\u1ea7u\u00a0Neisseria meningitidis<\/i><\/a>. D\u1ef1a v\u00e0o \u0111\u1eb7c\u00a0<\/span>t\u00ednh kh\u00e1ng nguy\u00ean\u00a0polysaccarit c\u1ee7a vi khu<\/span>\u1ea9n, vi khu\u1ea9n n\u00e3o m\u00f4 c\u1ea7u \u0111\u01b0\u1ee3c chia th\u00e0nh 13 nh\u00f3m huy\u1ebft thanh,\u00a0<\/span>trong\u00a0\u0111\u00f3 c\u00f3 6 nh\u00f3m: A, B<\/span>,\u00a0C, W-135, X v\u00e0 Y c\u00f3\u00a0<\/span>kh\u1ea3 n\u0103ng g\u00e2y d\u1ecbch.<\/span><\/p>\n

Vi khu<\/span>\u1ea9n c\u00f3 s\u1ee9c \u0111\u1ec1 kh\u00e1n<\/span>g\u00a0y\u1ebfu: b\u00ean ngo\u00e0i c\u01a1 th<\/span>\u1ec3\u00a0ch\u1ec9 s\u1ed1ng \u0111\u01b0\u1ee3c v\u00e0i gi\u1edd, b\u1ecb di\u1ec7t\u00a0<\/span>\u1edf\u00a056\u00b0<\/span>C\u00a0tron<\/span>g\u00a030 ph\u00fat ho\u1eb7c \u1edf 60\u00b0<\/span>C\u00a0trong 10 ph\u00fat. Vi khu\u1ea9n d\u1ec5 b\u1ecb ti\u00eau di\u1ec7t b\u1edfi c\u00e1c ch\u1ea5t s\u00e1t khu\u1ea9n, t<\/span>\u1ea9y r\u1eeda th\u00f4n<\/span>g\u00a0th\u01b0\u1eddng.<\/span><\/p>\n

2.\u00a0<\/b>Ngu\u1ed3n b\u1ec7nh, th<\/span><\/b>\u1edd<\/b>i gian \u1ee7 b\u1ec7nh v\u00e0 th<\/span><\/b>\u1edd<\/b>i k\u1ef3 l\u00e2y\u00a0<\/span><\/b>truy\u1ec1n<\/b><\/h2>\n

\u1ed4\u00a0ch\u1ee9a c<\/span>\u1ee7a vi khu<\/span>\u1ea9n n\u00e3o m\u00f4 c\u1ea7u tron<\/span>g\u00a0t\u1ef1 nhi\u00ean l\u00e0 n<\/span>g\u01b0\u1eddi.<\/span><\/p>\n

Th\u1eddi\u00a0<\/span>gian \u1ee7 b\u1ec7nh t\u1eeb 2-10 n<\/span>g\u00e0y, th\u00f4n<\/span>g\u00a0th\u01b0\u1eddn<\/span>g\u00a0t\u1eeb 3 – 4 ng\u00e0y.<\/span><\/p>\n

Th\u1eddi k<\/span>\u1ef3\u00a0l\u00e2y\u00a0truy\u1ec1n c<\/span>\u1ee7a b\u1ec7nh t\u00f9y thu\u1ed9c v\u00e0o th\u1eddi\u00a0<\/span>gian t<\/span>\u1ed3n t\u1ea1i c\u1ee7a vi khu\u1ea9n n\u00e3o m\u00f4 c\u1ea7u\u00a0<\/span>\u1edf\u00a0m<\/span>\u0169i, h\u1ecdng\u00a0<\/span>c\u1ee7a ng\u01b0\u1eddi\u00a0nhi<\/span>\u1ec5m khu\u1ea9n. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, kh\u1ea3 n\u0103ng l\u00e2y truy\u1ec1n c\u00f3 th\u1ec3 t\u1eeb v\u00e0i n<\/span>g\u00e0y tr\u01b0\u1edbc khi kh\u1edfi ph\u00e1t b\u1ec7nh cho \u0111\u1ebfn 24 gi\u1edd sau khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u\u00a0<\/span>tr\u1ecb b\u1eb1n<\/span>g\u00a0kh\u00e1n<\/span>g\u00a0sinh \u0111\u1eb7c hi\u1ec7u.<\/span><\/p>\n

3. \u0110\u01b0\u1eddng\u00a0<\/b>l\u00e2y truy\u1ec1n <\/span><\/b>b\u1ec7nh\u00a0do n\u00e3o m\u00f4 c\u1ea7u<\/span><\/b><\/h2>\n

B\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddn<\/span>g\u00a0h\u00f4 h\u1ea5p<\/span>,\u00a0ch<\/span>\u1ee7\u00a0y\u1ebfu qua vi\u1ec7c ti\u1ebfp x\u00fac tr\u1ef1c ti<\/span>\u1ebfp v\u1edbi n<\/span>gu\u1ed3n b\u1ec7nh do h\u00edt ph<\/span>\u1ea3i d\u1ecbch ti\u1ebft m<\/span>\u0169i<\/span>,\u00a0h<\/span>\u1ea7u, h\u1ecdng b<\/span>\u1eafn ra t\u1eeb ng\u01b0\u1eddi mang vi khu<\/span>\u1ea9n (<\/span>ng\u01b0\u1eddi\u00a0b\u1ec7nh v\u00e0\u00a0<\/span>ng\u01b0\u1eddi\u00a0l\u00e0nh man<\/span>g\u00a0tr\u00f9ng). L\u00e2y truy\u1ec1n qua \u0111<\/span>\u1ed3\u00a0v\u1eadt \u00edt khi x\u1ea3y ra.<\/span><\/p>\n

4.\u00a0<\/b>T\u00ednh c<\/span><\/b>\u1ea3<\/b>m nhi\u1ec5m<\/span><\/b><\/h2>\n

M\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 c<\/span>\u1ea3m nhi<\/span>\u1ec5m v\u1edbi vi khu\u1ea9n n\u00e3o m\u00f4 c\u1ea7u v\u00e0 t\u00ednh c\u1ea3m nhi\u1ec5m\u00a0<\/span>gi\u1ea3m\u00a0d\u1ea7n theo tu\u1ed5i. Sau khi nhi<\/span>\u1ec5m vi khu<\/span>\u1ea9n, k<\/span>\u1ec3\u00a0c\u1ea3 c\u00e1c tr\u01b0\u1eddng h<\/span>\u1ee3p kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng,\u00a0<\/span>c\u01a1\u00a0th<\/span>\u1ec3\u00a0v\u1eabn sinh mi\u1ec5n d\u1ecbch. Tuy nhi\u00ean, \u0111\u1ebfn nay v\u1eabn ch\u01b0a bi\u1ebft r\u00f5 th\u1eddi\u00a0<\/span>gian mi<\/span>\u1ec5n d\u1ecbch \u0111\u1eb7c hi\u1ec7u sau khi nhi<\/span>\u1ec5m khu<\/span>\u1ea9n.<\/span><\/p>\n

5. Vaccine<\/b><\/h2>\n

Hi\u1ec7n nay \u0111<\/span>\u00e3 c\u00f3 vaccine<\/span>\u00a0ph\u00f2n<\/span>g\u00a0b\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u nh\u00f3m huy\u1ebft thanh A, B<\/span>,\u00a0C, Y,<\/span>\u00a0W-135.<\/span><\/p>\n

6. Ph\u00f2ng b\u1ec7nh\u00a0do n\u00e3o m\u00f4 c\u1ea7u<\/span><\/b><\/h2>\n

6.1. Tuy\u00ean truy\u1ec1n cho\u00a0<\/span>c\u1ed9ng \u0111\u1ed3ng, \u0111\u1eb7c bi\u1ec7t t\u1ea1i nh\u1eefng v\u00f9ng c\u00f3 d\u1ecbch l\u01b0u h\u00e0nh, n<\/span>\u01a1i c\u00f3\u00a0<\/span>\u1ed5\u00a0d\u1ecbch c<\/span>\u0169\u00a0v\u1ec1 b\u1ec7nh do n<\/span>\u00e3o m\u00f4 c\u1ea7u v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng:<\/span><\/h3>\n

–\u00a0Th\u1ef1c hi\u1ec7n t\u1ed1t\u00a0<\/span>vi\u1ec7c\u00a0v\u1ec7 sinh c\u00e1 nh\u00e2n: r\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2n<\/span>g, s\u00fac mi<\/span>\u1ec7ng,\u00a0h\u1ecdn<\/span>g\u00a0b<\/span>\u1eb1n<\/span>g\u00a0c\u00e1c du<\/span>ng\u00a0d\u1ecbch s\u00e1t khu<\/span>\u1ea9n m\u0169i h\u1ecdn<\/span>g\u00a0th\u00f4ng th\u01b0\u1eddn<\/span>g.<\/span><\/p>\n

–\u00a0\u0102n\u00a0<\/span>u\u1ed1ng\u00a0\u0111<\/span>\u1ee7\u00a0ch\u1ea5t dinh d\u01b0\u1ee1n<\/span>g, luy\u1ec7n t\u1eadp,\u00a0<\/span>n\u00e2ng\u00a0cao th<\/span>\u1ec3\u00a0tr\u1ea1n<\/span>g.<\/span><\/p>\n

–\u00a0Th\u1ef1c hi\u1ec7n t\u1ed1t v\u1ec7 sinh, th\u00f4n<\/span>g\u00a0kh\u00ed n\u01a1i\u00a0<\/span>\u1edf, n<\/span>\u01a1i l\u00e0m vi\u1ec7c.<\/span><\/p>\n

–\u00a0Ch\u1ee7 \u0111\u1ed9<\/span>ng\u00a0ti\u00eam\u00a0v<\/span>\u1eafc xin ph\u00f2n<\/span>g\u00a0b\u1ec7nh t\u1ea1i c\u00e1c\u00a0<\/span>c\u01a1 s\u1edf\u00a0y t\u1ebf.<\/span><\/p>\n

–\u00a0Khi ph\u00e1t hi\u1ec7n d<\/span>\u1ea5u hi\u1ec7u\u00a0<\/span>nghi ng\u1edd\u00a0m<\/span>\u1eafc b\u1ec7nh c\u1ea7n \u0111i kh\u00e1m ho\u1eb7c th\u00f4n<\/span>g\u00a0b\u00e1o\u00a0<\/span>ngay\u00a0cho c\u01a1 quan y t<\/span>\u1ebf\u00a0g\u1ea7n nh\u1ea5t.<\/span><\/p>\n

6.2. C\u00f3<\/span>\u00a0<\/span>k<\/span>\u1ebf\u00a0ho\u1ea1ch ch<\/span>\u1ee7\u00a0\u0111\u1ed9n<\/span>g\u00a0ph\u00f2n<\/span>g\u00a0ch\u1ed1n<\/span>g\u00a0b\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u h\u00e0n<\/span>g\u00a0n\u0103m. <\/span><\/h3>\n

6.3. T\u0103<\/span>ng\u00a0c\u01b0\u1eddn<\/span>g\u00a0gi\u00e1m s\u00e1t t\u1ea1i c\u00e1c tuy<\/span>\u1ebfn, \u0111\u1eb7c bi\u1ec7t t\u1ea1i c\u00e1c\u00a0<\/span>\u1ed5 d\u1ecbch\u00a0c\u0169, n<\/span>\u01a1i nguy c\u01a1 cao.<\/span><\/h3>\n

6.4. Chu\u1ea9n b\u1ecb \u0111\u1ea7y \u0111<\/span>\u1ee7\u00a0v\u1ec1 v\u1eadt t\u01b0, h\u00f3a ch\u1ea5t d\u1ef1 ph\u00f2ng khi d\u1ecbch x\u1ea3y ra.<\/span><\/h3>\n

7. Bi\u1ec7n ph\u00e1p x\u1eed l\u00fd khi ph\u00e1t hi\u1ec7n ca b\u1ec7nh\/\u1ed5 d\u1ecbch<\/h2>\n

Ph\u1ea3i ti\u1ebfn h\u00e0nh\u00a0<\/span>x\u1eed l\u00fd\u00a0n<\/span>gay khi ph\u00e1t hi\u1ec7n ca b\u1ec7nh t\u1ea3n ph\u00e1t \/ \u1ed5 d\u1ecbch.<\/span><\/p>\n

7.1.<\/b>\u00a0\u0110\u1ed1i v<\/span><\/b>\u1edb<\/b>i b\u1ec7nh nh\u00e2n<\/span><\/b><\/h3>\n

–\u00a0Qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh nh\u00e2n s\u1edbm t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf nh\u1eb1m gi\u1ea3m thi<\/span>\u1ec3u t<\/span>\u1ed1i \u0111a n<\/span>guy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u00e0 t<\/span>\u1eed\u00a0vong.<\/span><\/p>\n

–\u00a0B\u1ec7nh nh\u00e2n ph<\/span>\u1ea3i\u00a0\u0111\u01b0\u1ee3c c\u00e1ch ly t\u1ea1i ph\u00f2ng ri\u00eang, h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u00e0 \u0111eo kh\u1ea9u trang (t\u1ed1i thi\u1ec3u tron<\/span>g\u00a0v\u00f2n<\/span>g\u00a024\u00a0<\/span>gi\u1edd sau khi d\u00f9ng kh\u00e1ng\u00a0<\/span>sinh \u0111\u1eb7c hi\u1ec7u).<\/span><\/p>\n

–\u00a0Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng nhi\u1ec5m khu\u1ea9n t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf theo quy \u0111\u1ecbnh.<\/span><\/p>\n

7.2. \u0110\u1ed1i v<\/span><\/b>\u1edb<\/b>i ng\u01b0<\/span><\/b>\u1edd<\/b>i ti\u1ebfp x\u00fac g\u1ea7n<\/span><\/b><\/h3>\n

– Ng\u01b0\u1eddi\u00a0ti\u1ebfp x\u00fac g\u1ea7n l\u00e0 nh<\/span>\u1eefn<\/span>g\u00a0ng\u01b0\u1eddi s<\/span>\u1ed1ng c\u00f9ng h\u1ed9 g<\/span>ia \u0111\u00ecnh, nh\u1eefng ng\u01b0\u1eddi s\u1ed1n<\/span>g,\u00a0l\u00e0m vi\u1ec7c c\u00f9ng ph\u00f2ng, ng\u01b0\u1eddi tr\u1ef1c ti\u1ebfp ch\u0103m s\u00f3c, ng\u01b0\u1eddi c\u00f3 ti\u1ebfp x\u00fac m\u1eadt thi\u1ebft, tr<\/span>\u1ebb\u00a0h\u1ecdc c\u00f9ng tr\u01b0\u1eddng m\u1ea7m non\/ nh\u00e0 tr\u1ebb, c\u00f9ng nh\u00f3m h\u1ecdc, c\u00f9ng l\u1edbp h\u1ecdc … v\u1edbi b\u1ec7nh nh\u00e2n trong th\u1eddi gian t<\/span>\u1eeb\u00a07 ng\u00e0y tr\u01b0\u1edbc ng\u00e0y kh\u1edfi ph\u00e1t cho \u0111\u1ebfn 24 gi\u1edd sau kh<\/span>i\u00a0b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c d\u00f9ng kh\u00e1ng sinh \u0111\u1eb7c hi\u1ec7u.<\/span><\/p>\n

–\u00a0L\u1eadp danh s\u00e1ch nh<\/span>\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac g\u1ea7n v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe tron<\/span>g\u00a0v\u00f2ng 10 ng\u00e0y k<\/span>\u1ec3\u00a0t\u1eeb khi ti<\/span>\u1ebfp x\u00fac l\u1ea7n cu\u1ed1i, c\u1ea7n ph<\/span>\u1ed5\u00a0bi\u1ebfn cho nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac g\u1ea7n t\u1ef1 theo d\u00f5i, ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ed1t v\u00e0 th\u00f4ng b\u00e1o ngay cho c\u00e1n b\u1ed9 y t\u1ebf.<\/span><\/p>\n

–\u00a0H\u1ea1n ch\u1ebf t\u1ed1i \u0111a vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi b\u1ec7nh nh\u00e2n v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c.<\/span><\/p>\n

–\u00a0S\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, t\u1ed1t nh\u1ea5t l\u00e0 trong v\u00f2ng 24h sau khi c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ca b\u1ec7nh c\u00f3\u00a0<\/span>li\u00ean quan cho nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac\u00a0<\/span>g\u1ea7n, s\u1eed d\u1ee5n<\/span>g\u00a0kh\u00e1ng sinh theo k\u1ebft qu\u1ea3 kh\u00e1ng sinh \u0111\u1ed3, n\u1ebfu kh\u00f4ng c\u00f3 kh\u00e1ng sinh \u0111\u1ed3, s\u1eed d\u1ee5n<\/span>g\u00a0m\u1ed9t trong c\u00e1c lo\u1ea1i kh\u00e1ng sinh: Ciprotloxacin, Rifampicin, Azithromycin.<\/span><\/p>\n

Li<\/span>\u1ec1u d\u00f9n<\/span>g\u00a0c\u1ee5 th<\/span>\u1ec3\u00a0nh\u01b0 sau:<\/span><\/p>\n

+\u00a0Cipro<\/b><\/span>f<\/b>loxacin<\/span><\/b>: U\u1ed1<\/span>ng\u00a0m\u1ed9t l\u1ea7n duy nh\u1ea5t, li\u1ec1u l\u01b0\u1ee3ng 500 mg cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 12 tu\u1ed5i (<\/span>kh\u00f4ng d\u00f9ng\u00a0cho tr\u1ebb em d\u01b0\u1edbi 12 tu<\/span>\u1ed5i<\/span>,\u00a0ph\u1ee5 n<\/span>\u1eef\u00a0c\u00f3 thai v\u00e0 ph\u1ee5 n<\/span>\u1eef\u00a0\u0111an<\/span>g\u00a0cho con b\u00fa).<\/span><\/p>\n

+\u00a0Ri<\/b><\/span>fa<\/b>mpicin<\/span><\/b>: Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau: \u0111ang c\u00f3 bi\u1ec3u hi\u1ec7n v\u00e0n<\/span>g\u00a0da, c\u00f3 ti\u1ec1n s\u1eed\u00a0<\/span>t\u0103ng\u00a0nh\u1ea1y c\u1ea3m v<\/span>\u1edbi Rifampicin.<\/span><\/p>\n

    \n
  • Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 12 tu\u1ed5i: li\u1ec1u l\u01b0\u1ee3ng 600mg\/ l\u1ea7n, d\u00f9ng 2 l\u1ea7n\/ng\u00e0y, d\u00f9ng trong 2 <\/span>ng\u00e0y (kh\u00f4n<\/span>g\u00a0d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa).<\/span><\/li>\n
  • Tr\u1ebb em t\u1eeb 1-12 tu\u1ed5i: li\u1ec1u l\u01b0\u1ee3n<\/span>g\u00a010 mg\/kg c\u00e2n n\u1eb7ng\/ l\u1ea7n, d\u00f9ng 2 l\u1ea7n\/ng\u00e0y, d\u00f9ng trong 2 n<\/span>g\u00e0y.<\/span><\/li>\n
  • Tr<\/span>\u1ebb\u00a0em d\u01b0\u1edbi 12 th\u00e1ng: li\u1ec1u l\u01b0\u1ee3ng 5mg\/kg c\u00e2n n\u1eb7ng\/ l\u1ea7n, d\u00f9ng 2 l\u1ea7n\/ng\u00e0y, d\u00f9ng trong 2 n<\/span>g\u00e0y.<\/span><\/li>\n<\/ul>\n

    +\u00a0Azithromycin:<\/b><\/span><\/p>\n

      \n
    • Ng\u01b0\u1eddi\u00a0l\u1edbn:\u00a0<\/span>u\u1ed1ng 1\u00a0l\u1ea7n duy nh\u1ea5t, li\u1ec1u l\u01b0\u1ee3n<\/span>g\u00a0500 mg. D\u00f9ng \u0111\u01b0\u1ee3c cho ph\u1ee5 n<\/span>\u1eef\u00a0c\u00f3 thai v\u00e0 ph\u1ee5 n<\/span>\u1eef\u00a0\u0111ang cho con b\u00fa.<\/span><\/li>\n
    • Tr\u1ebb em: u<\/span>\u1ed1ng 1 l\u1ea7n duy nh\u1ea5t, li\u1ec1u l\u01b0\u1ee3ng 10 mg\/kg c\u00e2n n\u1eb7ng.<\/span><\/li>\n<\/ul>\n

      T\u00f9y theo t\u00f9y t\u00ecnh h\u00ecnh c\u1ee5 th\u1ec3 c\u1ee7a t\u1eebng \u1ed5 d\u1ecbch, vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2n<\/span>g\u00a0\u1edf ph\u1ea1m vi r\u1ed9n<\/span>g\u00a0h\u01a1n s\u1ebd theo h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u00e1c Vi\u1ec7n V\u1ec7 sinh D\u1ecbch t<\/span>\u1ec5\/Pasteur.<\/span><\/p>\n

      7.3. T\u1ea1i gia \u0111\u00ecnh b\u1ec7nh nh\u00e2n v\u00e0 c\u1ed9ng \u0111\u1ed3ng khu v\u1ef1c <\/span><\/b>\u1ed5<\/b>\u00a0d\u1ecbch<\/span><\/b><\/h3>\n

      –\u00a0Tuy\u00ean truy\u1ec1n t\u1edbi t\u1eebn<\/span>g\u00a0h\u1ed9 gia \u0111\u00ecnh v\u1ec1 b\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch<\/span>\u1ed1ng.<\/span><\/p>\n

      –\u00a0Th\u1ef1c hi\u1ec7n\u00a0<\/span>gi\u00e1m s\u00e1t, b\u00e1o c\u00e1o d\u1ecbch h\u00e0ng ng\u00e0y theo \u0111<\/span>\u00fang quy \u0111\u1ecbnh. Gi\u00e1m s\u00e1t c\u1ea7n ch\u00fa tr\u1ecdng t\u1ea1i c\u00e1c khu v\u1ef1c t\u1eadp trung \u0111\u00f4ng ng\u01b0\u1eddi (nh\u00e0 tr\u1ebb, tr\u01b0\u1eddng h\u1ecdc, k\u00fd t\u00fac x\u00e1, doanh tr\u1ea1i…). Khi ph\u00e1t hi\u1ec7n tr\u01b0<\/span>\u1eddng h\u1ee3p b\u1ec7nh l\u00e2m s\u00e0ng m\u1edbi trong khu v\u1ef1c\u00a0<\/span>\u1ed5\u00a0d\u1ecbch c\u1ea7n \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh \u0111i kh\u00e1m ho\u1eb7c th\u00f4ng b\u00e1o ngay cho c\u01a1 quan y t\u1ebf g\u1ea7n nh\u1ea5t.<\/span><\/p>\n

      –\u00a0H\u1ea1n ch\u1ebf vi\u1ec7c t\u1ee5 t\u1eadp \u0111\u00f4ng ng\u01b0\u1eddi, h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi b\u1ec7nh nh\u00e2n, ng\u01b0\u1eddi nghi n<\/span>g\u1edd m\u1eafc b\u1ec7nh.<\/span><\/p>\n

      –\u00a0H\u01b0\u1edbng d\u1eabn\u00a0<\/span>gia\u00a0\u0111\u00ecnh b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi d\u00e2n trong khu v\u1ef1c \u1ed5 d\u1ecbch th\u1ef1c hi\u1ec7n t\u1ed1t v\u1ec7 sinh c\u00e1 nh\u00e2n, v\u1ec7 sinh n\u01a1<\/span>i\u00a0\u1edf: r\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng, lau s\u1ea1ch c\u00e1c b\u1ec1 m\u1eb7t, d\u1ee5ng c\u1ee5 ti\u1ebfp x\u00fac h\u00e0n<\/span>g\u00a0ng\u00e0y nh\u01b0 s\u00e0n nh\u00e0, tay n\u1eafm c\u1eeda, tay v\u1ecbn c\u1ea7u thang, m\u1eb7t b\u00e0n\/gh<\/span>\u1ebf, \u0111\u1ed3 ch\u01a1i, d\u1ee5ng c\u1ee5 h\u1ecdc t\u1eadp v.v… b\u1eb1ng x\u00e0 ph\u00f2ng ho\u1eb7c c\u00e1c ch\u1ea5t t\u1ea9y r\u1eeda th\u00f4ng th\u01b0\u1eddn<\/span>g;\u00a0<\/span>gi\u1eb7t, r\u1eeda qu\u1ea7n \u00e1o, d\u1ee5ng c\u1ee5, \u0111\u1ed3 v\u1ea3i… v\u00e0 ph\u01a1i d\u01b0\u1edbi \u00e1nh n\u1eafng m\u1eb7t<\/span>\u00a0tr\u1eddi.<\/p>\n

      –\u00a0Th\u1ef1c hi\u1ec7n v\u1ec7 sinh th\u00f4n<\/span>g\u00a0kh\u00ed: Th\u01b0\u1eddng xuy\u00ean m\u1edf c\u1eeda s<\/span>\u1ed5, c\u1eeda ch\u00ednh \u0111<\/span>\u1ec3\u00a0\u0111\u1ea3m b\u1ea3o th\u00f4n<\/span>g\u00a0tho\u00e1n<\/span>g\u00a0kh\u00ed cho nh\u00e0\/ph\u00f2ng \u1edf, n\u01a1i l\u00e0m vi\u1ec7c, h\u1ecdc t\u1eadp h\u00e0ng ng\u00e0y.<\/span><\/p>\n

      –\u00a0Vi\u1ec7c s<\/span>\u1eed d\u1ee5ng v\u1eafc xin ch\u1ed1ng d\u1ecbch s\u1ebd do B\u1ed9 Y t\u1ebf quy\u1ebft \u0111\u1ecbnh d\u1ef1a tr\u00ean t\u00ecnh h\u00ecnh d\u1ecbch c\u1ee5 th\u1ec3.<\/span><\/p>\n

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

      B\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh, l\u00e2y truy\u1ec1n theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, th\u01b0\u1eddng g\u1eb7p \u1edf l\u1ee9a tu\u1ed5i tr\u1ebb v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y th\u00e0nh d\u1ecbch. B\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u c\u00f3 c\u00e1c th\u1ec3 l\u00e2m s\u00e0ng: vi\u00eam m\u00e0ng n\u00e3o m\u1ee7, nhi\u1ec5m khu\u1ea9n huy\u1ebft, s\u1ed1c nhi\u1ec5m khu\u1ea9n, vi\u00eam kh\u1edbp, vi\u00eam m\u00e0ng\u00a0ngo\u00e0i […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nB\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u: Nguy\u00ean nh\u00e2n, \u0111\u01b0\u1eddng l\u00e2y v\u00e0 c\u00e1ch ph\u00f2ng b\u1ec7nh - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh, l\u00e2y truy\u1ec1n theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, th\u01b0\u1eddng g\u1eb7p \u1edf l\u1ee9a tu\u1ed5i tr\u1ebb v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y th\u00e0nh d\u1ecbch...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh do n\u00e3o m\u00f4 c\u1ea7u: Nguy\u00ean nh\u00e2n, \u0111\u01b0\u1eddng l\u00e2y v\u00e0 c\u00e1ch ph\u00f2ng b\u1ec7nh - 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