{"id":31995,"date":"2023-05-05T22:15:37","date_gmt":"2023-05-05T15:15:37","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31995"},"modified":"2023-05-05T22:15:37","modified_gmt":"2023-05-05T15:15:37","slug":"tiep-can-tre-bi-viem-phoi-cong-dong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/05\/tiep-can-tre-bi-viem-phoi-cong-dong\/","title":{"rendered":"Ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng"},"content":{"rendered":"<p><strong>Ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m r\u1ea5t nhi\u1ec1u trong l\u0129nh v\u1ef1c y t\u1ebf. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n to\u00e0n di\u1ec7n cho tr\u1ebb em, vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb VPC\u0110 \u0111\u00fang c\u00e1ch l\u00e0 r\u1ea5t quan tr\u1ecdng. Trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch Covid-19 \u0111ang di\u1ec5n ra tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, VPC\u0110 c\u00e0ng tr\u1edf n\u00ean \u0111\u00e1ng lo ng\u1ea1i h\u01a1n bao gi\u1edd h\u1ebft. V\u00ec v\u1eady, vi\u1ec7c t\u00ecm hi\u1ec3u v\u1ec1 ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb VPC\u0110 \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 l\u00e0 v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb VPC\u0110, bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh. Ch\u00fang ta c\u0169ng s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh v\u00e0 c\u00e1ch gi\u1ea3m thi\u1ec3u nguy c\u01a1 cho tr\u1ebb em.<\/strong><\/p>\n<figure style=\"width: 784px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20190827_073803_456149_viem-phoi-tre-em.max-800x800.jpg\" alt=\"C\u1ea7n \u0111i\u1ec1u tr\u1ecb s\u1edbm vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng \u1edf tr\u1ebb | Vinmec\" width=\"784\" height=\"400\" \/><figcaption class=\"wp-caption-text\">C\u1ea7n \u0111i\u1ec1u tr\u1ecb s\u1edbm vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng \u1edf tr\u1ebb | Vinmec<\/figcaption><\/figure>\n<h2><strong>1. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u1edf tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng<\/strong><\/h2>\n<h3><strong>1.1 Kh\u1edfi ph\u00e1t: <\/strong><\/h3>\n<p>Th\u01b0\u1eddng kh\u1edfi ph\u00e1t v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n NKHH tr\u00ean nh\u01b0 ch\u1ea3y n\u01b0\u1edbc m\u0169i v\u00e0 ho.<\/p>\n<h3><strong>1.2 To\u00e0n tr\u1ea1ng:<\/strong><\/h3>\n<p>\u2022 Tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i do VK th\u01b0\u1eddng s\u1ed1t cao, r\u00e9t run, lo \u00e2u, m\u1ec7t l\u1ea3, \u0103n k\u00e9m.<br \/>\n\u2022 N\u1ebfu b\u1ec7nh kh\u1edfi \u0111\u1ea7u t\u1eeb t\u1eeb v\u1edbi \u0111au \u0111\u1ea7u, kh\u00f3 ch\u1ecbu v\u00e0 s\u1ed1t nh\u1eb9 th\u00ec th\u01b0\u1eddng l\u00e0 do c\u00e1c t\u00e1c nh\u00e2n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/p>\n<h3><strong>1.3 C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p:<\/strong><\/h3>\n<p><strong>1.3.1 Ho: <\/strong><\/p>\n<p>+ Ho c\u00f3 \u0111\u00e0m ho\u1eb7c ho khan<\/p>\n<p>RSV: c\u00f3 th\u1ec3 ho c\u01a1n d\u1eef d\u1ed9i<br \/>\nAdenovirus: c\u01a1n ho nh\u01b0 ho g\u00e0<\/p>\n<p><strong>1.3.2 Th\u1edf nhanh:<\/strong><\/p>\n<ul>\n<li>D\u01b0\u1edbi 2 th\u00e1ng: \u2265 60 l\u1ea7n\/ph\u00fat<\/li>\n<li>2 th\u00e1ng &#8211; 12 th\u00e1ng: \u2265 50 l\u1ea7n\/ph\u00fat<\/li>\n<li>12 th\u00e1ng &#8211; 5 tu\u1ed5i: \u2265 40 l\u1ea7n\/ph\u00fat<\/li>\n<li>&gt;5 tu\u1ed5i: \u2265 30 l\u1ea7n\/ph\u00fat<\/li>\n<\/ul>\n<p>L\u01b0u \u00fd: \u0111\u1ebfm nh\u1ecbp th\u1edf khi tr\u1ebb n\u1eb1m y\u00ean, kh\u00f4ng \u0111\u1ebfm khi tr\u1ebb \u0111ang kh\u00f3c ho\u1eb7c \u0111ang ng\u1ee7. \u0110\u1ebfm trong th\u1eddi gian 1 ph\u00fat.<\/p>\n<h3><strong>1.3.3. C\u00e1c d\u1ea5u hi\u1ec7u g\u1eafng s\u1ee9c:<\/strong><\/h3>\n<p><strong>1.3.3.1. R\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, co k\u00e9o gian s\u01b0\u1eddn, co k\u00e9o h\u00f5m tr\u00ean \u1ee9c:<\/strong><\/p>\n<p>L\u00e0 t\u00ecnh tr\u1ea1ng m\u00f4 m\u1ec1m c\u1ee7a th\u00e0nh ng\u1ef1c hay x\u01b0\u01a1ng \u1ee9c di chuy\u1ec3n v\u00e0o trong khi tr\u1ebb h\u00edt v\u00e0o. <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nhi\/lom-nguc-bam-sinh-o-tre-trieu-chung-va-bien-chung\/#:~:text=L%C3%B5m%20ng%E1%BB%B1c%20l%C3%A0%20m%E1%BB%99t%20bi%E1%BA%BFn,tr%E1%BA%BB%20%E1%BB%9F%20tu%E1%BB%95i%20d%E1%BA%ADy%20th%C3%AC.\">Tr\u1ebb c\u00f3 co l\u00f5m ng\u1ef1c<\/a> ch\u1ee9ng t\u1ecf \u0111ang c\u1ed1 g\u1eafng l\u1ea5y kh\u00f4ng kh\u00ed v\u00e0o ph\u1ed5i b\u1eb1ng c\u00e1ch t\u0103ng s\u1eed d\u1ee5ng c\u00e1c c\u01a1 ng\u1ef1c, trong khi l\u01b0u th\u00f4ng d\u00f2ng kh\u00ed b\u1ecb c\u1ea3n tr\u1edf do s\u1ee9c c\u1ea3n \u0111\u01b0\u1eddng th\u1edf t\u0103ng ho\u1eb7c do ph\u1ed5i kh\u00f4ng \u0111\u00e0n h\u1ed3i. T\u00ecnh tr\u1ea1ng r\u00fat l\u00f5m c\u00f3 th\u1ec3 c\u00f3 \u1edf nhi\u1ec1u v\u00f9ng kh\u00e1c nhau \u1edf ng\u1ef1c. M\u1ee9c \u0111\u1ed9 co l\u00f5m ng\u1ef1c th\u01b0\u1eddng t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf c\u1ee7a tr\u1ebb.<\/p>\n<p><strong>C\u00e1c v\u1ecb tr\u00ed co k\u00e9o c\u1ee7a c\u01a1 h\u00f4 h\u1ea5p \u1edf ng\u1ef1c li\u00ean quan \u0111\u1ebfn t\u1eebng m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf:\u00a0<\/strong><\/p>\n<table style=\"height: 455px;\" width=\"960\">\n<tbody>\n<tr>\n<td><strong>M\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf<\/strong><\/td>\n<td><strong>V\u1ecb tr\u00ed co k\u00e9o<\/strong><\/td>\n<td><strong>\u0110\u1eb7c \u0111i\u1ec3m<\/strong><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\">Nh\u1eb9 &#8211; trung b\u00ecnh<\/td>\n<td>D\u01b0\u1edbi s\u01b0\u1eddn<\/td>\n<td>Co k\u00e9o ph\u1ea7n b\u1ee5ng, ngay d\u01b0\u1edbi khung s\u01b0\u1eddn<\/td>\n<\/tr>\n<tr>\n<td>D\u01b0\u1edbi x\u01b0\u01a1ng \u1ee9c<\/td>\n<td>Co k\u00e9o ph\u1ea7n b\u1ee5ng, ngay m\u0169i x\u01b0\u01a1ng \u1ee9c<\/td>\n<\/tr>\n<tr>\n<td>Li\u00ean s\u01b0\u1eddn<\/td>\n<td>Co k\u00e9o \u1edf c\u00e1c kho\u1ea3ng gian s\u01b0\u1eddn<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\">N\u1eb7ng (c\u00f3 th\u1ec3 bao g\u1ed3m c\u1ea3 c\u00e1c ki\u1ec3u co l\u00f5m th\u1ea5y trong kh\u00f3 th\u1edf nh\u1eb9 &#8211; trung b\u00ecnh)<\/td>\n<td>Th\u01b0\u1ee3ng \u0111\u00f2n<\/td>\n<td>Co k\u00e9o \u1edf v\u00f9ng c\u1ed5, ngay ph\u00eda tr\u00ean x\u01b0\u01a1ng \u0111\u00f2n<\/td>\n<\/tr>\n<tr>\n<td>Tr\u00ean x\u01b0\u01a1ng \u1ee9c<\/td>\n<td>Co k\u00e9o \u1edf ph\u1ea7n ng\u1ef1c, ngay ph\u00eda tr\u00ean x\u01b0\u01a1ng \u1ee9c<\/td>\n<\/tr>\n<tr>\n<td>X\u01b0\u01a1ng \u1ee9c<\/td>\n<td>Co k\u00e9o x\u01b0\u01a1ng \u1ee9c v\u1ec1 ph\u00eda c\u1ed9t s\u1ed1ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><strong>1.3.3.2 \u0110\u1ea7u g\u1eadt g\u00f9 theo nh\u1ecbp th\u1edf\/ th\u1edf c\u00f2 c\u1eed (th\u1edf ngh\u1ecbch b\u1ee5ng):<\/strong><\/h3>\n<p>Th\u01b0\u1eddng cho bi\u1ebft r\u1eb1ng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao di\u1ec5n ti\u1ebfn x\u1ea5u \u0111i.<\/p>\n<p><strong>C\u01a1 ch\u1ebf:<\/strong><\/p>\n<p>\u2022 \u0110\u1ea7u g\u1eadt g\u00f9 theo nh\u1ecbp th\u1edf v\u00ec b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng c\u00e1c c\u01a1 v\u00f9ng c\u1ed5 \u0111\u1ec3 th\u1edf h\u1ed7 tr\u1ee3. Tr\u1ebb n\u00e2ng c\u1eb1m, du\u1ed7i c\u1ed5 khi h\u00edt v\u00e0o v\u00e0 bu\u00f4ng c\u1eb1m ra ph\u00eda tr\u01b0\u1edbc khi th\u1edf ra. \u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u r\u1ea5t th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u0169 nhi v\u00e0 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy h\u00f4 h\u1ea5p.<\/p>\n<p>\u2022 Th\u1edf c\u00f2 c\u1eed (th\u1edf ngh\u1ecbch b\u1ee5ng) l\u00e0 t\u00ecnh tr\u1ea1ng ng\u1ef1c l\u00f5m, b\u1ee5ng ph\u00ecnh ra khi h\u00edt v\u00e0o v\u00e0 ng\u01b0\u1ee3c l\u1ea1i \u1edf th\u00ec th\u1edf ra. Th\u1edf c\u00f2 c\u1eed bi\u1ec3u hi\u1ec7n t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean hay t\u1eafc ngh\u1ebdn n\u1eb7ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi, b\u1ec7nh nhu m\u00f4 ph\u1ed5i, k\u1ec3 c\u1ea3 r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a nh\u1ecbp th\u1edf. Th\u1edf c\u00f2 c\u1eed c\u0169ng \u0111\u1eb7c tr\u01b0ng \u1edf nh\u1eefng tr\u1ebb c\u00f3 b\u1ec7nh l\u00fd th\u1ea7n kinh c\u01a1. Ki\u1ec3u th\u1edf c\u00f3 th\u00f4ng kh\u00ed kh\u00f4ng hi\u1ec7u qu\u1ea3 n\u00e0y s\u1ebd nhanh ch\u00f3ng d\u1eabn \u0111\u1ebfn suy ki\u1ec7t.<\/p>\n<p><strong>1.3.3.3: Ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i<\/strong><\/p>\n<p>C\u01a1 ch\u1ebf: l\u1ed7 m\u0169i ngo\u00e0i n\u1edf r\u1ed9ng khi h\u00edt v\u00e0o \u0111\u1ec3 t\u0103ng l\u01b0\u1ee3ng kh\u00ed t\u1ed1i \u0111a.<br \/>\nD\u1ea5u hi\u1ec7u n\u00e0y th\u01b0\u1eddng th\u1ea5y \u1edf nh\u0169 nhi, tr\u1ebb nh\u1ecf v\u00e0 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a t\u00ecnh tr\u1ea1ng nguy k\u1ecbch h\u00f4 h\u1ea5p.<\/p>\n<h3><strong>1.3.3.4. Kh\u00f2 kh\u00e8:<\/strong><\/h3>\n<p>Ti\u1ebfng th\u1edf \u00e2m s\u1eafc tr\u1ea7m ch\u1ee7 y\u1ebfu nghe \u1edf th\u00ec th\u1edf ra, \u0111\u00f4i khi nghe \u1edf th\u00ec h\u00edt v\u00e0o b\u1eb1ng \u00e1p tai v\u00e0o mi\u1ec7ng tr\u1ebb, m\u1eaft nh\u00ecn xu\u1ed1ng b\u1ee5ng tr\u1ebb \u1edf th\u00ec th\u1edf ra.<\/p>\n<p>C\u01a1 ch\u1ebf: do ph\u00f9 n\u1ec1, t\u0103ng ti\u1ebft d\u1ecbch l\u00e0m t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf nh\u1ecf.<br \/>\nPh\u00e2n bi\u1ec7t v\u1edbi ti\u1ebfng th\u1edf do t\u1eafc m\u0169i b\u1eb1ng c\u00e1ch l\u00e0m th\u00f4ng tho\u00e1ng m\u0169i tr\u1ebb v\u1edbi 2-3 gi\u1ecdt n\u01b0\u1edbc mu\u1ed1i nh\u1ecf m\u0169i, sau \u0111\u00f3 nghe l\u1ea1i. Tr\u1ebb b\u1ecb ngh\u1eb9t m\u0169i s\u1ebd th\u1edf \u00eam h\u01a1n sau khi \u0111\u01b0\u1ee3c l\u00e0m th\u00f4ng tho\u00e1ng m\u0169i.<\/p>\n<h3><strong>1.3.3.5. Th\u1edf r\u00ean:<\/strong><\/h3>\n<p>\u2022 Th\u1edf r\u00ean l\u00e0 \u00e2m th\u1edf ng\u1eafn \u00e2m s\u1eafc th\u1ea5p nghe \u0111\u01b0\u1ee3c \u1edf th\u00ec th\u1edf ra. \u0110\u00f4i khi ti\u1ebfng th\u1edf r\u00ean \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 sai l\u1ea7m nh\u01b0 ti\u1ebfng kh\u00f3c nh\u1ecf.<br \/>\n\u2022 C\u01a1 ch\u1ebf: th\u1edf r\u00ean xu\u1ea5t hi\u1ec7n khi n\u1eafp thanh m\u00f4n \u0111\u00f3ng s\u1edbm h\u01a1n b\u00ecnh th\u01b0\u1eddng gi\u00fap gi\u1eef cho \u0111\u01b0\u1eddng th\u1edf nh\u1ecf v\u00e0 c\u00e1c t\u00fai ph\u1ebf nang kh\u00f4ng b\u1ecb x\u1eb9p nh\u1eb1m t\u1ed1i \u01b0u h\u00f3a cho qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i kh\u00ed.<br \/>\n\u2022 Th\u1edf r\u00ean l\u00e0 d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh c\u1ee7a suy h\u00f4 h\u1ea5p n\u1eb7ng.<\/p>\n<h3><strong>1.3.3.6. Kh\u00e1m th\u1ef1c th\u1ec3:<\/strong><\/h3>\n<p>\u2022 \u00c2m vang ph\u1ebf qu\u1ea3n ho\u1eb7c rung thanh t\u0103ng<br \/>\n\u2022 G\u00f5 \u0111\u1ee5c<br \/>\n\u2022 Gi\u1ea3m \u00e2m th\u1edf<br \/>\n\u2022 Ran n\u1ed5: kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf tr\u1ebb nh\u1ecf<br \/>\n\u2022 Ti\u1ebfng c\u1ecd m\u00e0ng ph\u1ed5i: g\u1ee3i \u00fd vi\u00eam m\u00e0ng ph\u1ed5i k\u00e8m theo<br \/>\n\u2022 B\u1ee5ng tr\u01b0\u1edbng, gan l\u1edbn.<\/p>\n<h3><strong>1.3.3.7. Kh\u00e1c:<\/strong><\/h3>\n<p>\u2022 \u0110au ng\u1ef1c khi th\u1edf: th\u01b0\u1eddng g\u1ecdi \u0111au m\u00e0ng ph\u1ed5i, g\u1ee3i \u00fd VP do vi khu\u1ea9n \u0111i\u1ec3m h\u00ecnh.<br \/>\n\u2022 \u0110au b\u1ee5ng v\u00e0 n\u00f4n: th\u01b0\u1eddng g\u1eb7p trong vi\u00eam th\u00f9y d\u01b0\u1edbi ph\u1ed5i do VK, \u0111\u00f4i khi ch\u1ea9n \u0111o\u00e1n nh\u1ea7m v\u1edbi b\u1ec7nh l\u00fd c\u00f3 \u0111au b\u1ee5ng c\u1ea5p.<br \/>\n\u2022 T\u00edm trung t\u00e2m v\u00e0 bi\u1ec3u hi\u1ec7n thi\u1ebfu kh\u00ed: g\u1eb7p trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/p>\n<h2><strong>2. C\u00e1c bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p:<\/strong><\/h2>\n<h3><strong>2.1 Vi\u00eam ph\u1ed5i do vi khu\u1ea9n:<\/strong><\/h3>\n<p>Do \u0111\u1ed9c l\u1ef1c c\u1ee7a t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh m\u1ea1nh, s\u1ee9c \u0111\u1ec1 kh\u00e1ng k\u00e9m, c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh, \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang,\u2026 b\u1ec7nh s\u1ebd d\u1eabn \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng:<br \/>\n\u2022 Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i v\u00e0 tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i.<br \/>\n\u2022 Vi\u00eam ph\u1ed5i ho\u1ea1i t\u1eed.<br \/>\n\u2022 Nhi\u1ec5m tr\u00f9ng huy\u1ebft v\u00e0 nhi\u1ec5m tr\u00f9ng lan t\u1ecfa.<br \/>\n\u2022 H\u1ed9i ch\u1ee9ng huy\u1ebft t\u00e1n t\u0103ng ur\u00ea m\u00e1u.<\/p>\n<p>o Di ch\u1ee9ng mu\u1ed9n:<br \/>\n\u2666 X\u01a1 h\u00f3a ph\u1ed5i.<br \/>\n\u2666 Gi\u00e3n ph\u1ebf qu\u1ea3n.<br \/>\n\u2666 Ho k\u00e9o d\u00e0i.<br \/>\n\u2666 Bi\u1ebfn d\u1ea1ng l\u1ed3ng ng\u1ef1c.<\/p>\n<table style=\"height: 443px;\" width=\"987\">\n<tbody>\n<tr>\n<td><strong>S. aureus<\/strong><\/td>\n<td><strong>Mycoplasma<\/strong><\/td>\n<td><strong>S. pneumoniae<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00b7 B\u00f3ng h\u01a1i.<\/p>\n<p>\u00b7 Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i.<\/p>\n<p>\u00b7 Ho\u1ea1i t\u1eed ph\u1ed5i n\u1eb7ng.<\/td>\n<td>\u00b7\u00a0 Ph\u00e1t ban.<\/p>\n<p>\u00b7\u00a0 HC Stevens-Johnson.<\/p>\n<p>\u00b7\u00a0 Thi\u1ebfu m\u00e1u huy\u1ebft t\u00e1n.<\/p>\n<p>\u00b7\u00a0 Vi\u00eam m\u00e0ng ngo\u00e0i tim, vi\u00eam c\u01a1 tim.<\/p>\n<p>\u00b7\u00a0 Vi\u00eam t\u1ee5y.<\/p>\n<p>\u00b7\u00a0 Vi\u00eam gan.<\/p>\n<p>\u00b7\u00a0 Vi\u00eam \u0111a kh\u1edbp.<\/p>\n<p>\u00b7\u00a0 Bi\u1ebfn ch\u1ee9ng TK: vi\u00eam n\u00e3o, VMN v\u00f4 khu\u1ea9n, vi\u00eam t\u1ee7y c\u1eaft ngang, lo\u1ea1n th\u1ea7n c\u1ea5p.<\/td>\n<td>\u00b7 Tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i.<\/p>\n<p>\u00b7 Vi\u00eam ph\u1ed5i ho\u1ea1i t\u1eed<\/p>\n<p>\u00b7 \u00c1p-xe ph\u1ed5i.<\/p>\n<p>\u00b7 H\u1ed9i ch\u1ee9ng huy\u1ebft t\u00e1n<br \/>\n. T\u0103ng ur\u00ea m\u00e1u.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><strong>2.1.1 Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i<\/strong><\/h3>\n<p>C\u01a1 ch\u1ebf: t\u1ed5n th\u01b0\u01a1ng nhi\u1ec5m tr\u00f9ng m\u00e0ng ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u v\u00e0 t\u00edch t\u1ee5 d\u1ecbch trong khoang m\u00e0ng ph\u1ed5i. C\u00f3 3 giai \u0111o\u1ea1n:<br \/>\n\u2022 Trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a nhi\u1ec5m tr\u00f9ng, d\u1ecbch trong khoang MP l\u00e0 v\u00f4 tr\u00f9ng.<br \/>\n\u2022 1-2 tu\u1ea7n, xu\u1ea5t hi\u1ec7n t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u v\u00e0 VK d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh m\u1ee7 trong khoang MP.<br \/>\n\u2022 2-4 tu\u1ea7n ti\u1ebfp theo, sau khi nhi\u1ec5m tr\u00f9ng ti\u00ean ph\u00e1t, fibrin \u0111\u01b0\u1ee3c l\u1eafng \u0111\u1ecdng tr\u00ean b\u1ec1 m\u1eb7t m\u00e0ng ph\u1ed5i v\u00e0 d\u1ecbch s\u1ebd khu tr\u00fa, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111au ng\u1ef1c c\u1ee5c b\u1ed9.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n:<br \/>\n\u2022 Tr\u1ebb v\u1eabn s\u1ed1t dai d\u1eb3ng m\u1eb7c d\u00f9 \u0111\u00e3 d\u00f9ng kh\u00e1ng sinh ph\u00f9 h\u1ee3p; kh\u00e1m ph\u00e1t hi\u1ec7n h\u1ed9i ch\u1ee9ng 3 gi\u1ea3m b\u00ean tr\u00e0n d\u1ecbch (gi\u1ea3m th\u00f4ng kh\u00ed, g\u00f5 \u0111\u1ee5c, rung thanh gi\u1ea3m) ho\u1eb7c ti\u1ebfng c\u1ecd m\u00e0ng ph\u1ed5i; X-quang ph\u1ed5i c\u00f3 h\u00ecnh \u1ea3nh tr\u00e0n d\u1ecbch; ch\u1ecdc h\u00fat m\u00e0ng ph\u1ed5i c\u00f3 d\u1ecbch.<br \/>\nCh\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh: khi c\u00f3 ch\u1ecdc d\u00f2 \u0111\u01b0\u1ee3c d\u1ecbch m\u00e0ng ph\u1ed5i v\u00e0 d\u1ecbch \u0111\u00f3 ph\u1ea3i l\u00e0 d\u1ecbch ti\u1ebft \u0111\u1ed3ng th\u1eddi c\u1ea7n ph\u1ea3i lo\u1ea1i tr\u1eeb Lao, ung th\u01b0 v\u00e0 c\u00e1c b\u1ec7nh h\u1ec7 th\u1ed1ng kh\u00e1c.<\/p>\n<h3><strong>2.1.2 Ho\u1ea1i t\u1eed ph\u1ed5i v\u00e0 \u00e1p xe ph\u1ed5i:<\/strong><\/h3>\n<p>Hi\u1ec7n nay ng\u01b0\u1eddi ta c\u00f4ng nh\u1eadn c\u01a1 ch\u1ebf g\u00e2y ra ho\u1ea1i t\u1eed ph\u1ed5i v\u00e0 apxe ph\u1ed5i l\u00e0 do qu\u00e1 tr\u00ecnh vi\u00eam nhi\u1ec5m m\u1ea1ch m\u00e1u do vi khu\u1ea9n, g\u00e2y k\u00edch ho\u1ea1t h\u1ec7 th\u1ed1ng \u0111\u00f4ng m\u00e1u v\u00e0 g\u00e2y t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u. T\u1eeb \u0111\u00f3 g\u00e2y nh\u1ed3i m\u00e1u v\u00f9ng ph\u1ed5i thi\u1ebfu m\u00e1u cung c\u1ea5p d\u1eabn t\u1edbi ho\u1ea1i t\u1eed r\u1ed3i d\u1ea7n t\u1ea1o th\u00e0nh khoang (apxe ph\u1ed5i).<\/p>\n<p>\u00c1p xe ph\u1ed5i l\u00e0 m\u1ed9t khoang c\u00f3 v\u00e1ch d\u00e0y n\u1eb1m \u1edf nhu m\u00f4 ph\u1ed5i b\u00ean trong c\u00f3 ch\u1ee9a m\u1ee7 do nhu m\u00f4 ph\u1ed5i b\u1ecb ho\u1ea1i t\u1eed v\u00e0 m\u1ee7 h\u00f3a.<br \/>\nCh\u1ea9n \u0111o\u00e1n: Tr\u1ebb s\u1ed1t, \u0111au ng\u1ef1c, ho \u0111\u1eddm \u0111\u1ee5c ho\u1eb7c l\u1eabn m\u00e1u, s\u1ee5t c\u00e2n. Kh\u00e1m th\u1ea5y di \u0111\u1ed9ng l\u1ed3ng ng\u1ef1c gi\u1ea3m, gi\u1ea3m th\u00f4ng kh\u00ed, g\u00f5 \u0111\u1ee5c, c\u00f3 ran \u1ea9m ho\u1eb7c ran ph\u1ebf qu\u1ea3n. X-quang ng\u1ef1c c\u00f3 \u1ed5 n\u1eb1m trong nhu m\u00f4 ph\u1ed5i, th\u00e0nh d\u00e0y, th\u01b0\u1eddng c\u00f3 m\u1ee9c n\u01b0\u1edbc &#8211; h\u01a1i. Si\u00eau \u00e2m, CT ng\u1ef1c x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc t\u1ed5n th\u01b0\u01a1ng v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng ch\u1ecdc d\u00f2 d\u1eabn l\u01b0u m\u1ee7.<\/p>\n<p>Ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1eabn l\u00e0 sinh thi\u1ebft ph\u1ed5i, tuy nhi\u00ean tr\u00ean l\u00e2m s\u00e0ng tr\u00ean 80% tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ed5i c\u00f3 bi\u1ebfn ch\u1ee9ng abces c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean X &#8211; quang. CT c\u00f3 gi\u00e1 tr\u1ecb cao h\u01a1n X &#8211; quang trong ch\u1ea9n \u0111o\u00e1n c\u0169ng nh\u01b0 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed, x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9, m\u00f4 xung quanh v\u00e0 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3><strong>2.2. Vi\u00eam ph\u1ed5i do virus:<\/strong><\/h3>\n<p><strong>2.2.1. C\u01a1n ng\u01b0ng th\u1edf (\u2265 15 gi\u00e2y):<\/strong> th\u01b0\u1eddng th\u1ea5y \u1edf tr\u1ebb d\u01b0\u1edbi 12 th\u00e1ng tu\u1ed5i b\u1ecb vi\u00eam ph\u1ed5i do virus, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb d\u01b0\u1edbi 3 th\u00e1ng tu\u1ed5i, c\u00f3 ti\u1ec1n s\u1eed c\u00f3 c\u01a1n ng\u1eebng th\u1edf t\u1eeb tr\u01b0\u1edbc v\u00e0 c\u00f3 b\u1ec7nh l\u00fd t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p t\u1eeb tr\u01b0\u1edbc, tr\u1ebb \u0111\u1ebb non.<\/p>\n<p><strong>2.2.2. X\u1eb9p ph\u1ed5i:<\/strong> tho\u00e1ng qua hay l\u00e2u d\u00e0i.<\/p>\n<p><strong>2.2.3. B\u1ed9i nhi\u1ec5m vi khu\u1ea9n.<\/strong><\/p>\n<p><strong>2.2.4. Hen ph\u1ebf qu\u1ea3n:<\/strong> \u1edf nh\u1eefng c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, vi\u00eam ph\u1ed5i do RSV c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng IgE \u0111\u1eb7c hi\u1ec7u v\u1edbi RSV v\u00e0 xu\u1ea5t hi\u1ec7n hen \u1edf nh\u1eefng l\u1ea7n nhi\u1ec5m RSV v\u1ec1 sau (50%).<\/p>\n<p><strong>2.2.5. C\u00e1c di ch\u1ee9ng ph\u1ebf qu\u1ea3n ph\u1ed5i:<\/strong> hay g\u1eb7p nh\u1ea5t trong vi\u00eam ph\u1ed5i do Adenovirus:<br \/>\n\u2022 X\u1eb9p ph\u1ed5i ngo\u1ea1i vi<br \/>\n\u2022 Gi\u00e3n ph\u1ebf qu\u1ea3n<br \/>\n\u2022 H\u1ed9i ch\u1ee9ng t\u0103ng s\u00e1ng m\u1ed9t b\u00ean<br \/>\n\u2022 X\u01a1 h\u00f3a ph\u1ed5i.<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n<ul>\n<li>B\u00e0i gi\u1ea3ng \u0110H Y D\u01b0\u1ee3c Hu\u1ebf 2019<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m r\u1ea5t nhi\u1ec1u trong l\u0129nh v\u1ef1c y t\u1ebf. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n to\u00e0n di\u1ec7n cho tr\u1ebb em, vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb VPC\u0110 \u0111\u00fang c\u00e1ch l\u00e0 r\u1ea5t quan tr\u1ecdng. Trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch Covid-19 [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m r\u1ea5t nhi\u1ec1u trong l\u0129nh v\u1ef1c y t\u1ebf. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n to\u00e0n di\u1ec7n\" \/>\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=\"Ti\u1ebfp c\u1eadn tr\u1ebb b\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng - 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