{"id":3258,"date":"2023-04-24T00:11:43","date_gmt":"2023-04-23T17:11:43","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3258"},"modified":"2023-04-24T00:11:43","modified_gmt":"2023-04-23T17:11:43","slug":"dong-thuan-su-dung-khang-virus-dieu-tri-rsv-o-tre","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/dong-thuan-su-dung-khang-virus-dieu-tri-rsv-o-tre\/","title":{"rendered":"\u0110\u1ed3ng thu\u1eadn s\u1eed d\u1ee5ng kh\u00e1ng Virus \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb"},"content":{"rendered":"<p><em><strong>Respiratory Syncytial Virus (RSV)<\/strong> l\u00e0 m\u1ed9t lo\u1ea1i vi r\u00fat g\u00e2y ra c\u00e1c b\u1ec7nh h\u00f4 h\u1ea5p, ch\u1ee7 y\u1ebfu \u1edf tr\u1ebb em d\u01b0\u1edbi 2 tu\u1ed5i. RSV b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n v\u00e0o m\u00f9a thu v\u00e0 k\u00e9o d\u00e0i \u0111\u1ebfn m\u00f9a xu\u00e2n. N\u00f3 l\u00e2y lan d\u1ec5 d\u00e0ng qua ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c gi\u1ecdt n\u01b0\u1edbc b\u1eafn ra t\u1eeb m\u0169i ho\u1eb7c mi\u1ec7ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, ho\u1eb7c th\u00f4ng qua c\u00e1c b\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c nhi\u1ec5m khu\u1ea9n. Hi\u1ec7n nay, c\u00f3 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1ng virus \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf tr\u1ebb em, bao g\u1ed3m ribavirin, palivizumab v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i kh\u00e1ng th\u1ec3 kh\u00e1c. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf tr\u1ebb em v\u1eabn \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc k\u1ef9. C\u00e1c \u0111\u1ed3ng thu\u1eadn v\u1ec1 s\u1eed d\u1ee5ng kh\u00e1ng virus \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt.<\/em><\/p>\n<h2>1. C\u00e1c \u0111\u1ed3ng thu\u1eadn v\u1ec1 s\u1eed d\u1ee5ng kh\u00e1ng virus \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb<\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong>\u0110\u1ed3ng thu\u1eadn c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO)<\/strong>: WHO khuy\u1ebfn kh\u00edch vi\u1ec7c s\u1eed d\u1ee5ng palivizumab, m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng virus \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t \u0111\u1ec3 ng\u0103n ng\u1eeba RSV \u1edf tr\u1ebb em c\u00f3 nguy c\u01a1 cao, nh\u01b0 tr\u1ebb s\u01a1 sinh sinh non hay tr\u1ebb nh\u1ecf c\u00f3 b\u1ec7nh tim.<\/li>\n<li><strong>\u0110\u1ed3ng thu\u1eadn c\u1ee7a H\u1ed9i \u0111\u1ed3ng Chuy\u00ean gia v\u1ec1 RSV (RSV Expert Council)<\/strong>: RSV Expert Council khuy\u1ebfn kh\u00edch vi\u1ec7c s\u1eed d\u1ee5ng palivizumab \u0111\u1ec3 ng\u0103n ng\u1eeba RSV \u1edf tr\u1ebb em c\u00f3 nguy c\u01a1 cao, nh\u01b0ng kh\u00f4ng khuy\u1ebfn kh\u00edch s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng virus kh\u00e1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf tr\u1ebb em.<\/li>\n<li><strong>\u0110\u1ed3ng thu\u1eadn c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Tr\u1ebb em M\u1ef9 (American\u00a0<a class=\"Markdown_link__9ACHA MarkdownLink_linkifiedLink__KxC9G\">Academy of Pediatrics<\/a>):\u00a0<\/strong><a class=\"Markdown_link__9ACHA MarkdownLink_linkifiedLink__KxC9G\">American Academy of Pediatrics<\/a>\u00a0kh\u00f4ng khuy\u1ebfn kh\u00edch s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng virus \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf tr\u1ebb em, tr\u1eeb khi tr\u01b0\u1eddng h\u1ee3p r\u1ea5t nghi\u00eam tr\u1ecdng v\u00e0 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 chuy\u00ean khoa y t\u1ebf \u0111\u00e1nh gi\u00e1 l\u00e0 c\u1ea7n thi\u1ebft.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<figure id=\"attachment_19480\" aria-describedby=\"caption-attachment-19480\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-19480 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/rsv-1-300x169.jpg\" alt=\"\u0111\u1ed3ng thu\u1eadn v\u1ec1 s\u1eed d\u1ee5ng kh\u00e1ng virus \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb\" width=\"300\" height=\"169\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/rsv-1-300x169.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/rsv-1-1024x576.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/rsv-1-768x432.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/rsv-1.jpg 1200w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19480\" class=\"wp-caption-text\">\u0111\u1ed3ng thu\u1eadn v\u1ec1 s\u1eed d\u1ee5ng kh\u00e1ng virus \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb<\/figcaption><\/figure>\n<h2>2. L\u1ee3i \u00edch khi s\u1eed d\u1ee5ng kh\u00e1ng virus<\/h2>\n<p>C\u00f3 nhi\u1ec1u l\u1ee3i \u00edch c\u1ee7a \u0111\u1ed3ng thu\u1eadn s\u1eed d\u1ee5ng kh\u00e1ng virus \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb, bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Gi\u1ea3m nguy c\u01a1 m\u1eafc RSV v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn RSV \u1edf tr\u1ebb em:<\/strong> Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus nh\u01b0 palivizumab \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 ng\u0103n ng\u1eeba RSV \u1edf tr\u1ebb em c\u00f3 nguy c\u01a1 cao. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn RSV \u1edf tr\u1ebb em.<\/li>\n<li><strong>T\u0103ng c\u01a1 h\u1ed9i ph\u1ee5c h\u1ed3i v\u00e0 gi\u1ea3m t\u00ecnh tr\u1ea1ng n\u1eb7ng h\u01a1n c\u1ee7a RSV \u1edf tr\u1ebb em<\/strong>: N\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch, thu\u1ed1c kh\u00e1ng virus c\u00f3 th\u1ec3 gi\u00fap t\u0103ng c\u01a1 h\u1ed9i ph\u1ee5c h\u1ed3i v\u00e0 gi\u1ea3m t\u00ecnh tr\u1ea1ng n\u1eb7ng h\u01a1n c\u1ee7a RSV \u1edf tr\u1ebb em.<\/li>\n<li><strong>Gi\u1ea3m t\u1ea3i cho h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe:<\/strong> Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus c\u00f3 th\u1ec3 gi\u1ea3m t\u1ea3i cho h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng tr\u1ebb em c\u1ea7n nh\u1eadp vi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb li\u00ean quan \u0111\u1ebfn RSV.<\/li>\n<li><strong>C\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb em v\u00e0 gia \u0111\u00ecnh:<\/strong> Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb em v\u00e0 gia \u0111\u00ecnh, gi\u1ea3m s\u1ef1 lo l\u1eafng v\u00e0 c\u0103ng th\u1eb3ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh RSV.<\/li>\n<\/ul>\n<h2><strong>3. Nh\u1eefng th\u00e1ch th\u1ee9c trong s\u1eed d\u1ee5ng kh\u00e1ng virus<\/strong><\/h2>\n<p>M\u1eb7c d\u00f9 vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng virus \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf tr\u1ebb em c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch, nh\u01b0ng c\u0169ng \u0111\u1ed1i m\u1eb7t v\u1edbi m\u1ed9t s\u1ed1 th\u00e1ch th\u1ee9c, bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Chi ph\u00ed cao<\/strong>: Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf tr\u1ebb em c\u00f3 chi ph\u00ed cao, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi thu\u1ed1c palivizumab. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 t\u1ea1o ra g\u00e1nh n\u1eb7ng t\u00e0i ch\u00ednh cho c\u00e1c gia \u0111\u00ecnh v\u00e0 c\u00e1c h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/li>\n<li><strong>Hi\u1ec7u qu\u1ea3 kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u:<\/strong> Thu\u1ed1c kh\u00e1ng virus c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c tr\u1ebb em m\u1eafc b\u1ec7nh RSV v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 nh\u01b0 mong \u0111\u1ee3i v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p.<\/li>\n<li><strong>S\u1ef1 ti\u1ebfp c\u1eadn v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus b\u1ecb gi\u1edbi h\u1ea1n<\/strong>: C\u00f3 th\u1ec3 c\u00f3 s\u1ef1 gi\u1edbi h\u1ea1n trong vi\u1ec7c ti\u1ebfp c\u1eadn v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf m\u1ed9t s\u1ed1 khu v\u1ef1c ho\u1eb7c n\u01b0\u1edbc, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng n\u01a1i c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf k\u00e9m.<\/li>\n<li><strong>T\u00e1c d\u1ee5ng ph\u1ee5:<\/strong> Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m vi\u00eam ph\u1ed5i, ho, \u0111au \u0111\u1ea7u v\u00e0 kh\u00f3 ch\u1ecbu.<\/li>\n<li><strong>C\u1ea7n s\u1ef1 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c:<\/strong> Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c RSV \u1edf tr\u1ebb em l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n sai c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng c\u1ea7n thi\u1ebft v\u00e0 kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3.<\/li>\n<\/ul>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV \u1edf tr\u1ebb em c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n<p>C\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ed3ng \u00fd r\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng virus palivizumab \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb em l\u00e0 hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng palivizumab c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc k\u1ef9 v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n c\u1ee7a t\u1eebng tr\u1ebb \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n cao nh\u1ea5t.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Respiratory Syncytial Virus (RSV) l\u00e0 m\u1ed9t lo\u1ea1i vi r\u00fat g\u00e2y ra c\u00e1c b\u1ec7nh h\u00f4 h\u1ea5p, ch\u1ee7 y\u1ebfu \u1edf tr\u1ebb em d\u01b0\u1edbi 2 tu\u1ed5i. RSV b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n v\u00e0o m\u00f9a thu v\u00e0 k\u00e9o d\u00e0i \u0111\u1ebfn m\u00f9a xu\u00e2n. N\u00f3 l\u00e2y lan d\u1ec5 d\u00e0ng qua ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c gi\u1ecdt n\u01b0\u1edbc b\u1eafn ra t\u1eeb m\u0169i [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u1ed3ng thu\u1eadn s\u1eed d\u1ee5ng kh\u00e1ng Virus \u0111i\u1ec1u tr\u1ecb RSV cho tr\u1ebb - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng virus \u1edf tr\u1ebb em v\u1eabn \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u. 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