{"id":32875,"date":"2023-05-12T16:58:15","date_gmt":"2023-05-12T09:58:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32875"},"modified":"2023-05-12T19:01:07","modified_gmt":"2023-05-12T12:01:07","slug":"tieu-chay-lien-quan-khang-sinh-nguyen-nhan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/12\/tieu-chay-lien-quan-khang-sinh-nguyen-nhan\/","title":{"rendered":"Ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn kh\u00e1ng sinh: Nguy\u00ean nh\u00e2n"},"content":{"rendered":"<p><strong>Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng kh\u00e1ng sinh trong \u0111i\u1ec1u tr\u1ecb, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng. Ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng kh\u00e1ng sinh c\u00f3 h\u00ecnh th\u00e1i r\u1ea5t \u0111a d\u1ea1ng, c\u00f3 th\u1ec3 ch\u1ec9 l\u00e0 \u0111\u1ee3t ti\u00eau ch\u1ea3y \u0111\u01a1n thu\u1ea7n, kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1ed5n tr\u1ea1ng ho\u1eb7c b\u1ec7nh c\u1ea3nh vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c nguy hi\u1ec3m, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1. T\u00e1c nh\u00e2n g\u00e2y ti\u00eau ch\u1ea3y khi s\u1eed d\u1ee5ng kh\u00e1ng sinh kh\u00e1 \u0111a d\u1ea1ng, ch\u1ee7 y\u1ebfu l\u00e0 do s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng h\u1ec7 khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t g\u00e2y ra. <\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a ti\u00eau ch\u1ea3y li\u00ean quan kh\u00e1ng sinh<\/h2>\n<p>Ti\u00eau ch\u1ea3y kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh m\u00e0 l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p. Ti\u00eau ch\u1ea3y kh\u00f4ng ch\u1ec9 g\u1eb7p trong nh\u1eefng r\u1ed1i lo\u1ea1n \u1edf h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a m\u00e0 c\u00f2n c\u00f3 th\u1ec3 do c\u00e1c h\u1ec7 c\u01a1 quan kh\u00e1c c\u1ee7a c\u01a1 th\u1ebf. C\u00f3 r\u1ea5t nhi\u1ec1u \u0111\u1ecbnh ngh\u0129a \u0111\u01b0\u1ee3c \u0111\u01b0a ra \u0111\u1ec3 m\u00f4 t\u1ea3 t\u00ecnh tr\u1ea1ng ti\u00eau ch\u1ea3y. Nh\u00ecn chung, ti\u00eau ch\u1ea3y \u0111\u01b0\u1ee3c hi\u1ec3u l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng t\u1ea7n su\u1ea5t \u0111i ti\u00eau hay ph\u00e2n tr\u1edf n\u00ean l\u1ecfng h\u01a1n b\u00ecnh th\u01b0\u1eddng. \u0110\u1ecbnh ngh\u0129a \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn v\u00e0 s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u0111\u1ecbnh ngh\u0129a ti\u00eau ch\u1ea3y c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO): Ti\u00eau ch\u1ea3y (diarrhea) l\u00e0 khi \u0111i ti\u00eau t\u1eeb ba l\u1ea7n tr\u1edf l\u00ean ho\u1eb7c l\u00e0 ph\u00e2n tr\u1edf n\u00ean l\u1ecfng h\u01a1n ho\u1eb7c l\u00e0 \u0111i ph\u00e2n v\u1edbi l\u01b0\u1ee3ng nhi\u1ec1u h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng. C\u0169ng theo WHO, ti\u00eau ch\u1ea3y c\u1ea5p l\u00e0 ti\u00eau ch\u1ea3y x\u1ea3y ra trong th\u1eddi gian \u00edt h\u01a1n 14 ng\u00e0y. Ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i (persistent diarrhea) l\u00e0 ti\u00eau ch\u1ea3y di\u1ec5n ra k\u00e9o d\u00e0i tr\u00ean 14 ng\u00e0y nh\u01b0ng d\u01b0\u1edbi 30 ng\u00e0y. Ti\u00eau ch\u1ea3y m\u1ea1n t\u00ednh (chronic diarrhea) l\u00e0 ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i t\u1eeb 30 ng\u00e0y tr\u1edf l\u00ean.<\/p>\n<p>Ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng kh\u00e1ng sinh v\u00e0 c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a nhi\u1ec1u c\u01a1 ch\u1ebf kh\u00e1c nhau.\u00a0 M\u1ee9c \u0111\u1ed9 c\u1ee7a ti\u00eau ch\u1ea3y khi s\u1eed d\u1ee5ng kh\u00e1ng sinh r\u1ea5t thay \u0111\u1ed5i, d\u1ea1ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn kh\u00e1ng sinh (antibiotic-associated diarrhea &#8211; AAD). D\u1ea1ng n\u00e0y kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng g\u1ee3i \u00fd \u0111\u1ebfn t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh c\u1ee5 th\u1ec3 n\u00e0o. AAD \u0111\u01b0\u1ee3c cho l\u00e0 kh\u00f4ng ph\u1ea3i do nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng, m\u00e0 l\u00e0 do s\u1ef1 r\u1ed1i lo\u1ea1n c\u1ee7a h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t.<\/p>\n<figure style=\"width: 271px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/th.bing.com\/th\/id\/OIG.VrdJlU1KE_jJUC.v6a6P?pid=ImgGn\" alt=\"Minh-hoa-tieu-chay-do-khang-sinh\" width=\"271\" height=\"271\" \/><figcaption class=\"wp-caption-text\">TI\u00eau ch\u1ea3y c\u00f3 th\u1ec3 s\u1ea3y ra sau khi s\u1eed d\u1ee5ng kh\u00e1ng sinh<\/figcaption><\/figure>\n<h2>2. C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ti\u00eau ch\u1ea3y li\u00ean quan kh\u00e1ng sinh<\/h2>\n<p>Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, AAD l\u00e0 d\u1ea1ng ph\u1ed5 bi\u1ebfn v\u00e0 nh\u1eb9 nh\u1ea5t c\u1ee7a c\u00e1c h\u00ecnh th\u00e1i ti\u00eau ch\u1ea3y m\u00e0 tr\u01b0\u1edbc \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u00f3 s\u1eed d\u1ee5ng kh\u00e1ng sinh. Nguy\u00ean nh\u00e2n c\u1ee7a ADD \u0111\u01b0\u1ee3c cho l\u00e0 kh\u00f4ng ph\u1ea3i do m\u1ed9t nhi\u1ec5m tr\u00f9ng th\u1ef1c s\u1ef1, thay v\u00e0o \u0111\u00f3 l\u00e0 do s\u1ef1 r\u1ed1i lo\u1ea1n h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t. S\u1ef1 r\u1ed1i lo\u1ea1n n\u00e0y g\u00e2y ra nhi\u1ec1u thay \u0111\u1ed5i li\u00ean quan \u0111\u1ebfn chuy\u1ec3n h\u00f3a v\u00e0 nhu \u0111\u1ed9ng c\u1ee7a ru\u1ed9t. V\u00ed d\u1ee5 nh\u01b0 s\u1ef1 r\u1ed1i lo\u1ea1n h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t l\u00e0m \u1ea3nh h\u01b0\u1edfng qu\u00e1 tr\u00ecnh ti\u00eau h\u00f3a c\u1ee7a m\u1ed9t s\u1ed1 carbohydrate g\u00e2y ra t\u00ecnh tr\u1ea1ng ti\u00eau ch\u1ea3y do th\u1ea9m th\u1ea5u. Lo\u1ea1n khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t c\u00f3 th\u1ec3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh gi\u1ea3i li\u00ean h\u1ee3p h\u00f3a (deconjugation) c\u1ee7a mu\u1ed1i m\u1eadt &#8211; qu\u00e1 tr\u00ecnh n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e1c vi khu\u1ea9n th\u01b0\u1eddng tr\u00fa \u1edf \u0111\u1ea1i tr\u00e0ng \u0111\u1ea3m nh\u1eadn. Gi\u1ea3m qu\u00e1 tr\u00ecnh gi\u1ea3i li\u00ean h\u1ee3p h\u00f3a c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00ednh th\u1ea5m c\u1ee7a th\u00e0nh ru\u1ed9t, l\u00e0m cho bi\u1ec3u m\u00f4 \u0111\u1ea1i tr\u00e0ng t\u0103ng b\u00e0i ti\u1ebft d\u1ecbch v\u00e0o b\u00ean trong l\u00f2ng ru\u1ed9t; c\u00f3 th\u1ec3 l\u00e0m t\u0103ng cyclic adenosine monophosphate (cAMP), k\u00edch ho\u1ea1t t\u1ebf b\u00e0o mast c\u00f9ng l\u00e0m t\u0103ng b\u00e0i ti\u1ebft \u0111i\u1ec7n gi\u1ea3i, k\u00e9o theo n\u01b0\u1edbc v\u00e0o b\u00ean trong l\u00f2ng ru\u1ed9t.<\/p>\n<p>Ngo\u00e0i ra AAD c\u00f2n c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1\u00a0 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c vi khu\u1ea9n thu\u1ed9c h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t. Vi\u1ec7c ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng n\u00e0y th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi bi\u1ec3u hi\u1ec7n c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1ed9c l\u1ef1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ti\u00eau ch\u1ea3y.<\/p>\n<p>Ri\u00eang <em>Clostridium difficile<\/em> c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ti\u00eau ch\u1ea3y v\u1edbi nhi\u1ec1u \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang bi\u1ec7t trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 s\u1eed d\u1ee5ng kh\u00e1ng sinh tr\u01b0\u1edbc \u0111\u00f3. <em>C. difficile<\/em> s\u1ebd \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u v\u00e0 b\u00e0n lu\u1eadn ri\u00eang \u1edf c\u00e1c b\u00e0i vi\u1ebft li\u00ean quan \u0111\u1ebfn vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c tr\u00ean chuy\u00ean trang <a href=\"http:\/\/VinmecDr.com\">VinmecDr<\/a>.<\/p>\n<p>M\u1ed9t s\u1ed1 t\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn kh\u00e1ng sinh (ngo\u00e0i <em>C. difficile<\/em>):<\/p>\n<ul>\n<li><em>Clostridium perfringens<\/em> lo\u1ea1i A l\u00e0 m\u1ed9t vi khu\u1ea9n h\u00ecnh que, gram d\u01b0\u01a1ng, c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o nha b\u00e0o v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t, n\u01b0\u1edbc,\u00a0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ee7a ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt. Ch\u1ee7ng <em>C. perfringens<\/em> lo\u1ea1i A \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp \u1edf c\u00e1c b\u1ec7nh nh\u00e2n AAD kh\u00e1c v\u1edbi ch\u1ee7ng g\u00e2y ng\u1ed9 \u0111\u1ed9c th\u1ef1c ph\u1ea9m. Ch\u1ee7ng n\u00e0y mang gene t\u1ed5ng h\u1ee3p \u0111\u1ed9c t\u1ed1 ru\u1ed9t \u1edf tr\u00ean plasmid, trong khi \u0111\u00f3 ch\u1ee7ng <em>C. perfringens<\/em> g\u00e2y ng\u1ed9 \u0111\u1ed9c th\u1ef1c ph\u1ea9m mang gene t\u1ed5ng h\u1ee3p \u0111\u1ed9c t\u1ed1 ru\u1ed9t tr\u00ean ch\u1ea5t nhi\u1ec5m s\u1eafc. <em>C. perfringens<\/em> type A c\u00f3 th\u1ec3 t\u1ed5ng h\u1ee3p nhi\u1ec1u lo\u1ea1i \u0111\u1ed9c t\u1ed1 ru\u1ed9t g\u00e2y ti\u00eau ch\u1ea3y v\u1edbi c\u00e1c m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau.<\/li>\n<li><em>Klebsiella oxytoca<\/em> l\u00e0 m\u1ed9t vi khu\u1ea9n gram \u00e2m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t, n\u01b0\u1edbc, \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ee7a ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt. N\u00f3 l\u00e0 m\u1ed9t vi khu\u1ea9n k\u1ef5 kh\u00ed t\u00f9y nghi, c\u00f3 ngh\u0129a l\u00e0 n\u00f3 c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n \u1edf m\u00f4i tr\u01b0\u1eddng c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 oxy. <em>K. oxytoca<\/em> l\u00e0 th\u00e0nh vi\u00ean c\u1ee7a h\u1ecd Enterobacteriaceae v\u00e0 c\u00f3 th\u1ec3 trao \u0111\u1ed5i c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y \u0111\u1ed9c. <em>K. oxytoca<\/em> c\u0169ng c\u00f3 th\u1ec3 t\u1ed5ng h\u1ee3p nhi\u1ec1u lo\u1ea1i \u0111\u1ed9c t\u1ed1 kh\u00e1c nhau g\u00e2y ti\u00eau ch\u1ea3y.<\/li>\n<li>\u00a0M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p\u00a0 ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn kh\u00e1ng sinh ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c <em>Staphylococcus aureus<\/em> (t\u1ee5 c\u1ea7u v\u00e0ng)<\/li>\n<\/ul>\n<p>AAD\u00a0 x\u1ea3y ra trong kho\u1ea3ng t\u1eeb\u00a0 2% \u0111\u1ebfn 25% c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh, nh\u01b0ng t\u1ea7n su\u1ea5t n\u00e0y thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i kh\u00e1ng sinh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. V\u00ed d\u1ee5,\u00a0 ph\u1ed5 bi\u1ebfn h\u01a1n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ampicilin (5% \u0111\u1ebfn 10%), amoxicilin-clavulanate (10% \u0111\u1ebfn 25%) ho\u1eb7c cefixim (15% \u0111\u1ebfn 20%) v\u00e0 \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb fluoroquinolon (1% \u0111\u1ebfn 2%) ho\u1eb7c trimethoprim-sulfamethoxazol (&lt;1%). Ngo\u00e0i ra t\u1ea7n su\u1ea5t AAD c\u00f2n b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi th\u1eddi l\u01b0\u1ee3ng s\u1eed d\u1ee5ng kh\u00e1ng sinh.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng kh\u00e1ng sinh trong \u0111i\u1ec1u tr\u1ecb, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng. Ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng kh\u00e1ng sinh c\u00f3 h\u00ecnh th\u00e1i r\u1ea5t \u0111a d\u1ea1ng, c\u00f3 th\u1ec3 ch\u1ec9 l\u00e0 \u0111\u1ee3t ti\u00eau ch\u1ea3y \u0111\u01a1n [&hellip;]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn kh\u00e1ng sinh: Nguy\u00ean nh\u00e2n - Vinmec<\/title>\n<meta name=\"description\" content=\"Nguy\u00ean nh\u00e2n g\u00e2y ti\u00eau ch\u1ea3y khi s\u1eed d\u1ee5ng kh\u00e1ng sinh kh\u00e1 \u0111a d\u1ea1ng, ch\u1ee7 y\u1ebfu l\u00e0 do s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng h\u1ec7 khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t g\u00e2y ra\" \/>\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\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn kh\u00e1ng sinh: Nguy\u00ean nh\u00e2n - 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