{"id":27611,"date":"2023-04-25T01:56:03","date_gmt":"2023-04-24T18:56:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27611"},"modified":"2023-04-25T01:56:03","modified_gmt":"2023-04-24T18:56:03","slug":"ki-thuat-phun-khi-dung-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/ki-thuat-phun-khi-dung-o-tre-em\/","title":{"rendered":"K\u0129 thu\u1eadt phun kh\u00ed dung \u1edf tr\u1ebb em"},"content":{"rendered":"<p><strong>Phun kh\u00ed dung l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u01b0a thu\u1ed1c v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. <\/strong><strong>D\u01b0\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a s\u00f3ng si\u00eau \u00e2m ho\u1eb7c l\u1ef1c n\u00e9n, thu\u1ed1c t\u1eeb d\u1ea1ng l\u1ecfng \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh nh\u1eefng h\u1ea1t h\u01a1i n\u01b0\u1edbc nh\u1ecf c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kh\u00e1c nhau (d\u1ea1ng s\u01b0\u01a1ng m\u00f9) \u0111\u1ec3 v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 cho t\u00e1c d\u1ee5ng ch\u1ee7 y\u1ebfu t\u1ea1i \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. T\u00f9y theo k\u00edch th\u01b0\u1edbc c\u1ee7a h\u1ea1t s\u01b0\u01a1ng m\u00e0 thu\u1ed1c t\u00e1c \u0111\u1ed9ng t\u1ea1i nh\u1eefng v\u1ecb tr\u00ed kh\u00e1c nhau c\u1ee7a \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c<\/strong><strong>\u00e1c k\u1ef9 thu\u1eadt phun kh\u00ed dung th\u01b0\u1eddng s\u1eed d\u1ee5ng<\/strong><\/p>\n<figure id=\"attachment_27712\" aria-describedby=\"caption-attachment-27712\" style=\"width: 729px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-27712\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/C23D07DD-D165-4043-A587-10A721AFB5E3.jpeg\" alt=\"S\u1ef1 ph\u00e2n b\u1ed1 c\u1ee7a h\u1ea1t kh\u00ed dung tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p\" width=\"729\" height=\"536\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/C23D07DD-D165-4043-A587-10A721AFB5E3.jpeg 729w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/C23D07DD-D165-4043-A587-10A721AFB5E3-300x221.jpeg 300w\" sizes=\"(max-width: 729px) 100vw, 729px\" \/><figcaption id=\"caption-attachment-27712\" class=\"wp-caption-text\">S\u1ef1 ph\u00e2n b\u1ed1 c\u1ee7a h\u1ea1t kh\u00ed dung tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<\/figcaption><\/figure>\n<h2>1. Phun kh\u00ed dung v\u1edbi h\u1ec7 th\u1ed1ng kh\u00ed n\u00e9n ho\u1eb7c m\u00e1y phun<\/h2>\n<h3>1.1. Ch\u1ec9 \u0111\u1ecbnh<\/h3>\n<p>&#8211; Vi\u00eam thanh qu\u1ea3n c\u1ea5p v\u00e0 ph\u00f9 thanh qu\u1ea3n sau \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n: phun v\u1edbi Epinephrine 1\u2030 (L-epinephrine), Racemic epinephrine.<br \/>\n&#8211; Hen, vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n: phun thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n Ventolin (Salbutamol),<br \/>\nTerbutaline (Bricanyl), Ipratropium bromide (Atrovent, Combivent (Ipratropium\u00a0bromide + salbutamol)) ho\u1eb7c corticoid (Pulmicort &#8211; Budesonide).<br \/>\n&#8211; Lo\u00e3ng \u0111\u00e0m: phun v\u1edbi NaCl 0,9%.<\/p>\n<h3>1.2. Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n<\/h3>\n<p>&#8211; B\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i (th\u01b0\u1eddng l\u00e0 ng\u1ed3i), c\u1ed5 ng\u1eeda nh\u1eb9<br \/>\n&#8211; \u0110\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf, th\u00e2n nh\u00e2n gi\u1eef tr\u1ebb ng\u1ed3i th\u1eb3ng d\u1ef1a trong l\u00f2ng, d\u00f9ng hai ch\u00e2n k\u1ec1m gi\u1eef hai ch\u00e2n c\u1ee7a tr\u1ebb, d\u00f9ng m\u1ed9t tay v\u00f2ng qua k\u1ec1m gi\u1eef hai tay v\u00e0 th\u00e2n tr\u1ebb, tay c\u00f2n l\u1ea1i gi\u1eef c\u1ed5 tr\u1ebb ng\u1eeda nh\u1eb9.<\/p>\n<h3>1.3. Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5 phun kh\u00ed dung<\/h3>\n<p>&#8211; H\u1ec7 th\u1ed1ng kh\u00ed n\u00e9n trung t\u00e2m ho\u1eb7c m\u00e1y phun kh\u00ed dung; b\u00ecnh oxy hay h\u1ec7 th\u1ed1ng oxy trung t\u00e2m (tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n phun kh\u00ed dung v\u1edbi oxy)<br \/>\n&#8211; D\u1ee5ng c\u1ee5 phun: b\u1ea7u kh\u00ed dung (nebulizer), m\u1eb7t n\u1ea1 (mask) c\u00e1c c\u1ee1, d\u00e2y n\u1ed1i<br \/>\n&#8211; D\u1ee5ng c\u1ee5 l\u1ea5y thu\u1ed1c: \u1ed1ng ti\u00eam v\u00e0 kim ti\u00eam<br \/>\n&#8211; Thu\u1ed1c: t\u00f9y theo ch\u1ec9 \u0111\u1ecbnh ta c\u00f3 c\u00e1c thu\u1ed1c nh\u01b0 \u0111\u00e3 k\u1ec3 tr\u00ean, NaCl 0,9% \u0111\u1ec3 pha thu\u1ed1c<br \/>\n&#8211; N\u01b0\u1edbc s\u00e1t khu\u1ea9n tay nhanh<br \/>\n&#8211; M\u00e2m \u0111\u1ef1ng d\u1ee5ng c\u1ee5, c\u1ed3n v\u00e0 b\u00f4ng g\u00f2n, b\u1ed3n h\u1ea1t \u0111\u1eadu.<\/p>\n<h3>1.4. K\u1ef9 thu\u1eadt phun kh\u00ed dung v\u1edbi h\u1ec7 th\u1ed1ng kh\u00ed n\u00e9n ho\u1eb7c m\u00e1y phun<\/h3>\n<p>&#8211; X\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n v\u00e0 thu\u1ed1c c\u1ea7n d\u00f9ng<br \/>\n&#8211; Gi\u1ea3i th\u00edch th\u00e2n nh\u00e2n ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c<br \/>\n&#8211; T\u00ednh li\u1ec1u thu\u1ed1c nh\u01b0 sau:<br \/>\n+ L-epinephrine 1\u2030: 0,5 mL\/kg\/l\u1ea7n (li\u1ec1u chu\u1ea9n 3-5 mL)<br \/>\n+ Ventolin: 0,15 mg\/kg\/l\u1ea7n (t\u1ed1i \u0111a 5 mg, t\u1ed1i thi\u1ec3u 2,5 mg (hen), 1,5 mg (vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n))<br \/>\n+ Atrovent:<br \/>\nTr\u1ebb &lt; 12 th\u00e1ng: 125 \u03bcg\/l\u1ea7n<br \/>\nTr\u1ebb 12 th\u00e1ng &#8211; \u2264 5 tu\u1ed5i: 250 \u03bcg\/l\u1ea7n<br \/>\nTr\u1ebb &gt; 5 tu\u1ed5i: 500 \u03bcg\/l\u1ea7n<br \/>\n&#8211; L\u1ea5y thu\u1ed1c v\u00e0o \u1ed1ng ti\u00eam theo li\u1ec1u \u0111\u00e3 t\u00ednh. L\u1ea5y th\u00eam dung d\u1ecbch NaCl 0,9% \u0111\u1ec3 t\u1ed5ng th\u1ec3 t\u00edch v\u1eeba \u0111\u1ee7 4 ml.<br \/>\n&#8211; M\u1edf n\u1eafp b\u1ea7u phun v\u00e0 b\u01a1m thu\u1ed1c v\u00e0o. \u0110\u1eady n\u1eafp b\u1ea7u phun l\u1ea1i. Ch\u1ecdn m\u1eb7t n\u1ea1 th\u00edch h\u1ee3p v\u1edbi tr\u1ebb (che k\u00edn m\u0169i v\u00e0 c\u1eb1m tr\u1ebb) v\u00e0 g\u1eafn m\u1eb7t n\u1ea1 v\u00e0o b\u1ea7u phun.<br \/>\n&#8211; N\u1ed1i b\u1ea7u phun v\u1edbi ngu\u1ed3n kh\u00ed n\u00e9n ho\u1eb7c ngu\u1ed3n oxy.<br \/>\n&#8211; Chu\u1ea9n b\u1ecb t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n<br \/>\n&#8211; \u0110i\u1ec1u ch\u1ec9nh l\u01b0u l\u01b0\u1ee3ng kh\u00ed (s\u1ed1 l\u00edt\/ph\u00fat): t\u00f9y theo v\u1ecb tr\u00ed t\u00e1c d\u1ee5ng, ta ch\u1ecdn l\u01b0u l\u01b0\u1ee3ng\u00a0kh\u00ed kh\u00e1c nhau: 4-5 l\u00edt\/ph\u00fat (cho t\u00e1c d\u1ee5ng t\u1ea1i thanh qu\u1ea3n v\u00e0 kh\u00ed qu\u1ea3n), 8 l\u00edt\/ph\u00fat (cho t\u00e1c d\u1ee5ng t\u1ea1i ph\u1ebf qu\u1ea3n v\u00e0 ti\u1ec3u ph\u1ebf qu\u1ea3n) . N\u1ebfu d\u00f9ng m\u00e1y phun, ch\u1ec9 c\u1ea7n m\u1edf m\u00e1y v\u00ec nh\u00e0 s\u1ea3n xu\u1ea5t thi\u1ebft k\u1ebf s\u1eb5n cho t\u00e1c d\u1ee5ng th\u01b0\u1eddng \u1edf ph\u1ebf qu\u1ea3n v\u00e0 ti\u1ec3u ph\u1ebf qu\u1ea3n.<br \/>\n&#8211; T\u1eeb t\u1eeb \u00e1p s\u00e1t m\u1eb7t n\u1ea1 v\u00e0o m\u0169i mi\u1ec7ng b\u1ec7nh nh\u00e2n, b\u1ea3o b\u1ec7nh nh\u00e2n h\u00edt th\u1edf ch\u1eadm s\u00e2u\u00a0b\u1eb1ng mi\u1ec7ng (n\u1ebfu c\u00f3 th\u1ec3) \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u.<br \/>\n&#8211; Th\u1eddi gian phun th\u01b0\u1eddng kho\u1ea3ng 10-15 ph\u00fat \u0111\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t nh\u1ea5t v\u00e0 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5<br \/>\n&#8211; N\u00ean g\u00f5 nh\u1eb9 v\u00e0o th\u00e0nh b\u1ea7u phun \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o thu\u1ed1c b\u00e1m tr\u00ean th\u00e0nh b\u1ea7u phun r\u01a1i xu\u1ed1ng h\u1ebft tr\u01b0\u1edbc khi ch\u1ea5m d\u1ee9t phun.<br \/>\n&#8211; Sau khi phun xong ph\u1ea3i t\u1eaft ngu\u1ed3n kh\u00ed (ho\u1eb7c t\u1eaft m\u00e1y), g\u1ee1 d\u00e2y, b\u1ea7u phun v\u00e0 m\u1eb7t n\u1ea1.<br \/>\n&#8211; V\u1ec7 sinh m\u1eb7t cho tr\u1ebb.<\/p>\n<h2>2. Phun kh\u00ed dung v\u1edbi li\u1ec1u \u0111\u1ecbnh chu\u1ea9n (MDI: Metered Dose Inhales)<\/h2>\n<h3>2.1. Ch\u1ec9 \u0111\u1ecbnh phun kh\u00ed dung v\u1edbi li\u1ec1u \u0111\u1ecbnh chu\u1ea9n<\/h3>\n<p>&#8211; C\u1eaft c\u01a1n hen: SABA (Ventolin)<br \/>\n&#8211; Ng\u1eeba c\u01a1n hen: ICS (Fluticasone), ICS + LABA (Seretide).<\/p>\n<h3>2.2. Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n<\/h3>\n<p>&#8211; B\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i (th\u01b0\u1eddng l\u00e0 ng\u1ed3i), c\u1ed5 ng\u1eeda nh\u1eb9<br \/>\n&#8211; \u0110\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf, th\u00e2n nh\u00e2n gi\u1eef tr\u1ebb ng\u1ed3i th\u1eb3ng d\u1ef1a trong l\u00f2ng, d\u00f9ng hai ch\u00e2n k\u1ec1m gi\u1eef hai ch\u00e2n c\u1ee7a tr\u1ebb, d\u00f9ng m\u1ed9t tay v\u00f2ng qua k\u1ec1m gi\u1eef hai tay v\u00e0 th\u00e2n tr\u1ebb, tay c\u00f2n l\u1ea1i gi\u1eef c\u1ed5 tr\u1ebb ng\u1eeda nh\u1eb9.<\/p>\n<h3>2.3. Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5<\/h3>\n<p>&#8211; Thau n\u01b0\u1edbc<br \/>\n&#8211; Chai thu\u1ed1c MDI<br \/>\n&#8211; Bu\u1ed3ng \u0111\u1ec7m c\u00e1c lo\u1ea1i theo l\u1ee9a tu\u1ed5i: c\u00f3 m\u1eb7t n\u1ea1 (&lt; 2 tu\u1ed5i), kh\u00f4ng m\u1eb7t n\u1ea1 (3-6 tu\u1ed5i),\u00a0bu\u1ed3ng \u0111\u1ec7m \u0111\u01a1n thu\u1ea7n (&gt; 6 tu\u1ed5i)<br \/>\n&#8211; Kh\u0103n lau s\u1ea1ch.<\/p>\n<h3>2.4. K\u1ef9 thu\u1eadt<\/h3>\n<p>&#8211; Gi\u1ea3i th\u00edch th\u00e2n nh\u00e2n ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c v\u00e0 th\u1eddi gian d\u00f9ng thu\u1ed1c<br \/>\n&#8211; Ki\u1ec3m tra \u0111\u00fang t\u00ean thu\u1ed1c (lo\u1ea1i thu\u1ed1c c\u1ea7n d\u00f9ng l\u00e0 thu\u1ed1c c\u1eaft c\u01a1n hay ng\u1eeba c\u01a1n)<br \/>\n&#8211; Ki\u1ec3m tra h\u1ea1n s\u1eed d\u1ee5ng c\u1ee7a chai thu\u1ed1c<br \/>\n&#8211; Ki\u1ec3m tra l\u01b0\u1ee3ng thu\u1ed1c trong chai thu\u1ed1c b\u1eb1ng c\u00e1ch th\u1ea3 chai thu\u1ed1c v\u00e0o thau n\u01b0\u1edbc<br \/>\n&#8211; Ki\u1ec3m tra d\u1ee5ng c\u1ee5 phun<br \/>\n&#8211; G\u1eafn chai thu\u1ed1c v\u00e0o d\u1ee5ng c\u1ee5 phun<br \/>\n&#8211; L\u1eafc k\u1ef9 chai thu\u1ed1c tr\u01b0\u1edbc khi phun (l\u1eafc 5-10 c\u00e1i)<br \/>\n&#8211; M\u1edf n\u1eafp d\u1ee5ng c\u1ee5 phun<br \/>\n&#8211; Chu\u1ea9n b\u1ecb t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n<\/p>\n<p>&#8211; Th\u1ef1c hi\u1ec7n phun thu\u1ed1c:<\/p>\n<p>+ Phun thu\u1ed1c v\u1edbi bu\u1ed3ng \u0111\u1ec7m c\u00f3 m\u1eb7t n\u1ea1:<\/p>\n<ul>\n<li>G\u1eafn b\u00ecnh thu\u1ed1c phun v\u00e0o bu\u1ed3ng \u0111\u1ec7m<\/li>\n<li>G\u1eafn m\u1eb7t n\u1ea1 v\u00e0o bu\u1ed3ng \u0111\u1ec7m<\/li>\n<li>Gi\u1ea3i th\u00edch cho tr\u1ebb bi\u1ebft tr\u01b0\u1edbc khi cho m\u1eb7t n\u1ea1 v\u00e0o m\u1eb7t tr\u1ebb (n\u1ebfu c\u00f3 th\u1ec3)<\/li>\n<li>\u00dap m\u1eb7t n\u1ea1 v\u00e0o m\u0169i mi\u1ec7ng tr\u1ebb sao cho m\u1eb7t n\u1ea1 che k\u00edn m\u0169i v\u00e0 c\u1eb1m. C\u00f3 th\u1ec3 \u1ea5n nh\u1eb9 m\u1eb7t n\u1ea1 l\u00ean m\u0169i tr\u1ebb \u0111\u1ec3 tr\u1ebb m\u1edf mi\u1ec7ng h\u00edt thu\u1ed1c<\/li>\n<li>Tay tr\u1ebb (ho\u1eb7c tay c\u1ee7a ng\u01b0\u1eddi tr\u1ee3 gi\u00fap) c\u1ea7m gi\u1eef chai thu\u1ed1c v\u1edbi ng\u00f3n tr\u1ecf (ho\u1eb7c\u00a0ng\u00f3n c\u00e1i) \u0111\u1ec3 l\u00ean \u0111\u00e1y chai thu\u1ed1c<\/li>\n<li>\u1ea4n v\u00e0o \u0111\u00e1y chai thu\u1ed1c v\u00e0 thu\u1ed1c s\u1ebd v\u00e0o trong bu\u1ed3ng \u0111\u1ec7m<\/li>\n<li>\u00a0Gi\u1eef \u0111\u1ee3i b\u1ec7nh nh\u00e2n h\u00edt th\u1edf trong 10 &#8211; 15 gi\u00e2y (kho\u1ea3ng 6 nh\u1ecbp th\u1edf).<\/li>\n<\/ul>\n<p>+ Phun thu\u1ed1c v\u1edbi bu\u1ed3ng \u0111\u1ec7m kh\u00f4ng m\u1eb7t n\u1ea1:<\/p>\n<ul>\n<li>G\u1eafn b\u00ecnh thu\u1ed1c phun v\u00e0o bu\u1ed3ng \u0111\u1ec7m<\/li>\n<li>\u00a0Cho ph\u1ea7n mi\u1ec7ng c\u1ee7a bu\u1ed3ng \u0111\u1ec7m v\u00e0o gi\u1eefa hai m\u00f4i c\u1ee7a tr\u1ebb v\u00e0 y\u00eau c\u1ea7u tr\u1ebb ng\u1eadm \u00f4m tr\u00f2n mi\u1ec7ng quanh ph\u1ea7n mi\u1ec7ng c\u1ee7a bu\u1ed3ng \u0111\u1ec7m<\/li>\n<li>Tay tr\u1ebb (ho\u1eb7c tay c\u1ee7a ng\u01b0\u1eddi tr\u1ee3 gi\u00fap) c\u1ea7m gi\u1eef chai thu\u1ed1c v\u1edbi ng\u00f3n tr\u1ecf (ho\u1eb7c\u00a0ng\u00f3n c\u00e1i) \u0111\u1ec3 l\u00ean \u0111\u00e1y chai thu\u1ed1c<\/li>\n<li>\u1ea4n v\u00e0o \u0111\u00e1y chai thu\u1ed1c v\u00e0 thu\u1ed1c s\u1ebd v\u00e0o trong bu\u1ed3ng \u0111\u1ec7m<\/li>\n<li>Tr\u1ebb h\u00edt ch\u1eadm v\u00e0 s\u00e2u b\u1eb1ng mi\u1ec7ng trong \u00edt nh\u1ea5t 6 gi\u00e2y<\/li>\n<li>Sau \u0111\u00f3, tr\u1ebb n\u00edn th\u1edf t\u00f9y theo kh\u1ea3 n\u0103ng c\u1ee7a tr\u1ebb ho\u1eb7c \u00edt nh\u1ea5t tr\u00ean 10 gi\u00e2y v\u00e0 th\u1edf\u00a0ra bu\u1ed3ng \u0111\u1ec7m<\/li>\n<li>\u00a0Sau khi phun xong, lau kh\u00f4 ph\u1ea7n mi\u1ec7ng c\u1ee7a bu\u1ed3ng \u0111\u1ec7m, l\u1ea5y chai thu\u1ed1c ra kh\u1ecfi bu\u1ed3ng \u0111\u1ec7m v\u00e0 \u0111\u1eady n\u1eafp l\u1ea1i.<\/li>\n<\/ul>\n<p>+ N\u1ebfu mu\u1ed1n phun ti\u1ebfp l\u1ea7n hai, h\u00e3y \u0111\u1ee3i 30 gi\u00e2y &#8211; 1 ph\u00fat v\u00e0 l\u1eb7p l\u1ea1i c\u00e1c tr\u00ecnh t\u1ef1 nh\u01b0 tr\u00ean: b\u1eaft \u0111\u1ea7u l\u00e0 l\u1eafc chai thu\u1ed1c v\u00e0 k\u1ebft th\u00fac b\u1eb1ng \u0111\u1ed9ng t\u00e1c th\u1edf ra<\/p>\n<p>+ N\u1ebfu phun v\u1edbi corticoid, b\u1ec7nh nh\u00e2n ph\u1ea3i s\u00fac mi\u1ec7ng v\u00e0 lau m\u1eb7t s\u1ea1ch sau khi phun\u00a0xong \u0111\u1ec3 tr\u00e1nh b\u1ecb nhi\u1ec5m n\u1ea5m Candida.<\/p>\n<p>Ngu\u1ed3n: Gi\u00e1o tr\u00ecnh nhi khoa \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Phun kh\u00ed dung l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u01b0a thu\u1ed1c v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. D\u01b0\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a s\u00f3ng si\u00eau \u00e2m ho\u1eb7c l\u1ef1c n\u00e9n, thu\u1ed1c t\u1eeb d\u1ea1ng l\u1ecfng \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh nh\u1eefng h\u1ea1t h\u01a1i n\u01b0\u1edbc nh\u1ecf c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kh\u00e1c nhau (d\u1ea1ng s\u01b0\u01a1ng m\u00f9) \u0111\u1ec3 v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 cho t\u00e1c [&hellip;]<\/p>\n","protected":false},"author":39,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1,15,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>K\u0129 thu\u1eadt phun kh\u00ed dung \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Phun kh\u00ed dung l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u01b0a thu\u1ed1c v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. D\u01b0\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a s\u00f3ng si\u00eau \u00e2m ho\u1eb7c l\u1ef1c n\u00e9n,\" \/>\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=\"K\u0129 thu\u1eadt phun kh\u00ed dung \u1edf tr\u1ebb em - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Phun kh\u00ed dung l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u01b0a thu\u1ed1c v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. 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