{"id":35581,"date":"2023-06-25T13:57:38","date_gmt":"2023-06-25T06:57:38","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35581"},"modified":"2023-06-25T13:57:38","modified_gmt":"2023-06-25T06:57:38","slug":"viem-da-tiet-ba-nguyen-nhan-trieu-chung-va-cach-dieu-tri-hieu-qua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/25\/viem-da-tiet-ba-nguyen-nhan-trieu-chung-va-cach-dieu-tri-hieu-qua\/","title":{"rendered":"Vi\u00eam da ti\u1ebft b\u00e3: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3"},"content":{"rendered":"

\u00a0Vi\u00eam da ti\u1ebft b\u00e3 nh\u1eddn (Seborrheic Dermatitis)\u00a0 g\u1eb7p \u1edf hai nh\u00f3m b\u1ec7nh nh\u00e2n v\u1edbi nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng ri\u00eang bi\u1ec7t \u1edf c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em. \u1ede tr\u1ebb nh\u1ecf tr\u00ean l\u00e2m s\u00e0ng \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng v\u1ea9y n\u00f3n m\u00e0u v\u00e0ng ph\u00e2n b\u1ed1 \u1edf da \u0111\u1ea7u, m\u1eb7t, v\u00f9ng qu\u1ea5n t\u00e3 v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi.\u1ede \u00a0ng\u01b0\u1eddi l\u1edbn vi\u00eam da ch\u1ee7 y\u1ebfu \u00a0v\u1ecb tr\u00ed t\u1ea1i \u00a0da \u0111\u1ea7u, m\u1eb7t v\u00e0 \u00a0tr\u01b0\u1edbc ng\u1ef1c c\u00f3 th\u1ec3 k\u00e8m theo ng\u1ee9a kh\u00f4ng t\u01b0\u01a1ng x\u1ee9ng v\u1edbi m\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng \u0111\u1ed1i nh\u1eb9 c\u1ee7a v\u1ea9y v\u00e0 h\u1ed3ng ban. \u0110i\u1ec1u tr\u1ecb bao g\u1ed3m c\u00e1c thu\u1ed1c s\u1eed d\u1ee5ng t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n.\u00a0<\/strong><\/p>\n

\"viem-da-tiet-ba\"<\/p>\n

1. T\u1ed5ng qu\u00e1t<\/strong>:<\/h2>\n

Vi\u00eam da ti\u1ebft b\u00e3 l\u00e0 b\u1ec7nh l\u00fd vi\u00eam da m\u1ea1n t\u00ednh v\u00e0 hay t\u00e1i ph\u00e1t, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c v\u1ecb tr\u00ed c\u00f3 nhi\u1ec1u tuy\u1ebfn b\u00e3 nh\u1eddn<\/strong> tr\u00ean c\u01a1 th\u1ec3 <\/strong>(ph\u00e2n b\u1ed1 b\u00e3 nh\u1eddn) v\u00e0 c\u00e1c n\u1ebfp g\u1ea5p nh\u01b0 n\u00e1ch, b\u1eb9n.<\/strong>. Th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn n\u1ea5m Malasezia furfu. <\/strong>T\u1ed5n th\u01b0\u01a1ng n\u1eb7ng n\u1ec1 h\u01a1n do \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch ho\u1eb7c suy gi\u1ea3m mi\u1ec5n d\u1ecbch n\u00ean b\u1ec7nh nh\u00e2n HIV hay Parkison th\u01b0\u1eddng b\u1ecb n\u1eb7ng h\u01a1n<\/strong><\/p>\n

Vi\u00eam da ti\u1ebft b\u00e3 nh\u1eddn \u1edf tr\u1ebb em l\u00e0 t\u00ecnh t\u1ea1ng t\u01b0\u01a1ng \u0111\u00f4\u00ec ph\u1ed5 bi\u1ebfn \u1ecf tr\u1ebb nh\u1ecf v\u00e0 c\u00f3 th\u1ec3 g\u00e2y nh\u1ea7m l\u1ea9n v\u00f3i vi\u00eam da t\u1ea1ng d\u1ecb \u1ee9ng \u1edf tr\u1ebb nh\u1ecf. B\u1ec7nh nguy\u00ean c\u1ee7a vi\u00eam da ti\u1ebft b\u00e3 c\u00f2n ch\u01b0a r\u00f5. Tr\u1ebb nh\u1ecf b\u1ecb vi\u00eam da ti\u1ebft b\u00e3 kh\u00f4ng li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u00e1i ph\u00e1t vi\u00eam da sau khi tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

Vi\u00eam da ti\u1ebft b\u00e3 nh\u1eddn th\u1ec3 \u1edf ng\u01b0\u1eddi l\u1edbn th\u01b0\u1eddng \u00a0\u00edt g\u1eb7p h\u01a1n , nh\u1eb9 h\u01a1n nh\u01b0ng l\u1ea1i dai d\u1eb3ng h\u01a1n. Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf \u0111\u00e0n \u00f4ng tr\u01b0\u1edfng th\u00e0nh v\u00e0 v\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p l\u00e0 \u1edf tr\u00ean th\u00e2n ng\u01b0\u1eddi t\u1ea1i nh\u1eefng nang l\u00f4ng v\u00e0 hay g\u1ecdi vi\u00eam nang l\u00f4ng do ti\u1ebft b\u00e3 nh\u1eddn. M\u1eb7c d\u00f9 t\u00ean g\u1ecdi l\u00e0 nh\u01b0 v\u1eady nh\u01b0ng v\u1eabn ch\u01b0a ph\u00e1t hi\u1ec7n ra s\u1ef1 thay \u0111\u1ed5i c\u1ea3 v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t trong qu\u00e1 tr\u00ecnh ti\u1ebft ch\u00e1t b\u00e3 nh\u1eddn \u1edf c\u1ea3 tr\u1ebb nh\u1ecf v\u00e0 ng\u01b0\u1eddi l\u1edbn. Pityrosporum ovale<\/em> \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y v\u1edbi s\u00f4’ l\u01b0\u1ee3ng l\u1edfn h\u01a1n tr\u00ean da b\u00ecnh th\u01b0\u1eddng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n vi\u00eam da ti\u1ebft b\u00e0 nh\u1eddn v\u00e0 c\u00f3 m\u1ed9t t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n \u0111\u00e1p \u1ee9ng v\u00f3i li\u1ec7u ph\u00e1p kh\u00e1ng n\u1ea5m t\u1ea1i ch\u1ed7. Nh\u1eefng d\u1eabn ch\u1ee9ng n\u00e0y r\u1ecf r\u00e0ng coi Pityrosporum ovale<\/em> nh\u01b0 l\u00e0 y\u1ebfu t\u00f4’ b\u1ec7nh nguy\u00ean m\u1eb7c d\u00f9 ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c y\u00eau t\u00f4 n\u00e0y c\u00f3 vai tr\u00f2 ti\u00ean ph\u00e1t hay th\u1ee9 ph\u00e1t.<\/p>\n

    \n
  1. Tri\u1ec7u ch\u1ee9ng <\/strong>l\u00e2m s\u00e0ng vi\u00eam da ti\u1ebft b\u00e3<\/li>\n<\/ol>\n

    o Ng\u01b0\u1eddi l\u1edbn: <\/strong>tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u1ec3 hi\u1ec7n b\u1edfi t\u00ecnh tr\u1ea1ng vi\u00eam da m\u1ea1n t\u00ednh v\u00e0 ng\u1ee9a r\u00e1t v\u1edbi c\u00e1c v\u1ea3y m\u00e0u v\u00e0ng, bong tr\u00f3c, nh\u1eddn<\/strong>. V\u1ecb tr\u00ed hay g\u1eb7p nh\u1ea5y l\u00e0 da \u0111\u1ea7u, <\/strong>c\u00e1c n\u1ebfp g\u1ea5p nh\u01b0<\/strong> ng\u1ef1c v\u00e0 n\u00e1ch<\/strong>.<\/p>\n

     <\/p>\n

    o Tr\u1ebb nh\u1ecf (Infants): C\u00f3 <\/strong>th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u00f9ng qu\u1ea5n t\u00e3 <\/strong>v\u00e0 xu\u1ea5t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng ch\u00e0m c\u1ea5p t\u00ednh \u1ea3nh h\u01b0\u1edfng<\/em> \u0111\u1ebfn c\u00e1c n\u1ebfp g\u1ea5p b\u1eb9n. <\/strong>C\u00f3 th\u1ec3 c\u00f9ng t\u1ed3n t\u1ea1i v\u1edbi vi\u00eam da ti\u1ebft b\u00e3 \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 (v\u00ed d\u1ee5: m\u1eb7t, v\u00f9ng sau tai v\u00e0 n\u00e1ch). Th\u01b0\u1eddng b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi h\u0103m t\u00e3 do n\u1ea5m Candida.<\/em><\/p>\n

    o<\/em> Ch\u1ea9n \u0111o\u00e1n<\/p>\n

    o Ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u t\u1ed1t nh\u1ea5t v\u00e0 ch\u00ednh x\u00e1c nh\u1ea5t: <\/strong>l\u00e2m s\u00e0ng. Sinh thi\u1ebft da cho th\u1ea5y vi\u00eam da ph\u00f9 n\u1ec1 c\u1ea5p t\u00ednh, b\u00e1n c\u1ea5p ho\u1eb7c m\u00e3n t\u00ednh h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n. C\u00e2n nh\u1eafc x\u00e9t nghi\u1ec7m HIV trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam da ti\u1ebft b\u00e3 nghi\u00eam tr\u1ecdng v\u00e0 kh\u00e1ng tr\u1ecb.<\/p>\n

    C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i c\u1ee7a b\u1ec7nh: \u00a0Da b\u1ecb nh\u1eddn v\u00e0 c\u00e1c tuy\u1ebfn ti\u1ebft d\u1ea7u ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh nh\u01b0 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c th\u1ec3 thao, C\u00f3 s\u1ef1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a hormon l\u00ean \u0111\u01a1n v\u1ecb nang l\u00f4ng ti\u1ebft b\u00e3. Do di truy\u1ec1n. \u00a0T\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng stress tinh th\u1ea7n, Parkinson, b\u1ec7nh t\u00e2m th\u1ea7n. B\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch nh\u01b0 m\u1eafc HIV.<\/p>\n

     <\/p>\n

    3. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

    3.1 L\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n

    o L\u1ef1a ch\u1ecdn <\/strong>\u0111\u1ea7u tay: <\/strong>Kem b\u00f4i t\u1ea1i ch\u1ed7 ho\u1eb7c d\u1ea7u g\u1ed9i ch\u1ed1ng n\u1ea5m t\u1ea1i ch\u1ed7 nh\u01b0 k\u1ebdm pyrithione, ketoconazole, ciclopirox ho\u1eb7c selen sulfide.<\/em> C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng steroid t\u1ea1i ch\u1ed7 trong th\u1eddi gian ng\u1eafn cho c\u00e1c t\u1ed5n th\u01b0\u01a1ng vi\u00eam c\u1ea5p t\u00ednh.<\/p>\n

    C\u00e1c t<\/strong>hu\u1ed1c tr\u1ecb vi\u00eam da ti\u1ebft b\u00e3<\/strong>\u00a0ch\u1ee9a ho\u1ea1t ch\u1ea5t c\u00f3 th\u1ec3 l\u00e0m bong v\u1ea3y t\u1ea1i ch\u1ed7 gi\u00fap nh\u01b0:\u00a0 salicylic<\/a> Acid,\u00a0Acid Lactic<\/a>,\u00a0Urea<\/a>,\u00a0Propylene glycol<\/a>.<\/p>\n

    o L\u1ef1a ch\u1ecdn th\u1ee9 hai: <\/strong>Thu\u1ed1c kh\u00e1ng n\u1ea5m \u0111\u01b0\u1eddng u\u1ed1ng (v\u00ed d\u1ee5, itraconazole ho\u1eb7c terbinafine) cho b\u1ec7nh nghi\u00eam tr\u1ecdng v\u00e0 kh\u00e1ng tr\u1ecb.<\/p>\n

    C\u00e1c steroid y\u1ebfu d\u00f9ng t\u1ea1i ch\u1ed7 c\u00f9ng c\u00f3 t\u00e1c d\u1ee5ng (nh\u01b0 kem hydrocortison 1% b\u00f4i \u1edf m\u1eb7t v\u00e0 c\u00e1c n\u1ebfp g\u1ea5p), nh\u01b0ng c\u0169ng nh\u01b0 \u0111i\u1ec1u tr\u1ecb b\u00e0ng nh\u00f3m imidazol, b\u1ec7nh c\u00f3 khuynh h\u01b0\u1edbng t\u00e1i ph\u00e1t.<\/p>\n

    C\u00e1c imidazol \u0111\u01b0\u00f2ng u\u1ed1ng c\u00f3 hi\u1ec7u qu\u1ea3 nh\u01b0ng ch\u1ec9 n\u00ean c\u00e2n nh\u1eafc khi d\u00f9ng t\u1ea1i ch\u1ed7 th\u1ea5t b\u1ea1i, v\u00e0 kh\u00f4ng n\u00ean d\u00f9ng li\u00ean t\u1ee5c trong th\u00f2i gian d\u00e0i. Vi\u00eam nang t\u0103ng ti\u1ebft b\u00e3 nh\u00f2n \u0111\u1eb7c bi\u1ec7t kh\u1ed1 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u00e1p \u1ee9ng v\u1edbi imidazol to\u00e0n th\u00e2n.<\/p>\n

    3.2 \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
    Thu\u1ed1c<\/strong><\/td>\nLi\u1ec1u l\u01b0\u1ee3ng \/C\u00f4ng th\u1ee9c<\/strong><\/td>\nS\u1eed d\u1ee5ng<\/strong><\/td>\nT\u00e1c d\u1ee5ng ph\u1ee5<\/strong><\/td>\n<\/tr>\n<\/thead>\n
    Lo\u1ea1i thu\u1ed1c<\/strong><\/td>\nthu\u1ed1c ch\u1ed1ng n\u1ea5m<\/td>\nKetoconazole<\/td>\n2% D\u1ea7u g\u1ed9i, kem, gel ho\u1eb7c b\u1ecdt<\/td>\nDa \u0111\u1ea7u ho\u1eb7c da: Hai l\u1ea7n\/tu\u1ea7n \u00d7 4 tu\u1ea7n, sau \u0111\u00f3 m\u1ed9t l\u1ea7n\/tu\u1ea7n \u0111\u1ec3 duy tr\u00ec.<\/td>\nICD\u00a0\u2020<\/a><\/sup>\u00a0\u1edf <1% b\u1ec7nh nh\u00e2n.\u00a0Ng\u1ee9a, c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t v\u00e0 kh\u00f4 \u1edf 3% b\u1ec7nh nh\u00e2n.<\/td>\n<\/tr>\n
    bifonazol<\/td>\n1% d\u1ea7u g\u1ed9i, kem ho\u1eb7c thu\u1ed1c m\u1ee1<\/td>\nDa \u0111\u1ea7u: c\u00e1ch ng\u00e0y ho\u1eb7c m\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n.
    \nDa: ng\u00e0y 1 l\u1ea7n.<\/td>\n    		ICD \u1edf 10% b\u1ec7nh nh\u00e2n.<\/td>\n<\/tr>\n
    Miconazole<\/td>\nKem<\/td>\nDa: 1\u20132 l\u1ea7n m\u1ed7i ng\u00e0y.<\/td>\nICD, ng\u1ee9a, c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t.<\/td>\n<\/tr>\n
    Ciclopirox Olamine<\/td>\n1,5% d\u1ea7u g\u1ed9i, kem, gel ho\u1eb7c kem d\u01b0\u1ee1ng da<\/td>\nDa \u0111\u1ea7u: 2\u20133 l\u1ea7n\/tu\u1ea7n \u00d7 4 tu\u1ea7n, sau \u0111\u00f3 m\u1ed9t l\u1ea7n\/tu\u1ea7n \u0111\u1ec3 duy tr\u00ec.
    \nDa: hai l\u1ea7n m\u1ed7i ng\u00e0y.<\/td>\n    		ICD \u1edf <1% b\u1ec7nh nh\u00e2n.\u00a0C\u1ea3m gi\u00e1c ng\u1ee9a, r\u00e1t \u1edf 2% b\u1ec7nh nh\u00e2n.<\/td>\n<\/tr>\n
    Selen sunfua<\/td>\nd\u1ea7u g\u1ed9i \u0111\u1ea7u 2,5%<\/td>\nDa \u0111\u1ea7u: Hai l\u1ea7n\/tu\u1ea7n \u00d7 2 tu\u1ea7n, sau \u0111\u00f3 m\u1ed9t l\u1ea7n\/tu\u1ea7n \u00d7 2 tu\u1ea7n.\u00a0L\u1eb7p l\u1ea1i sau 4\u20136 tu\u1ea7n.<\/td>\nICD \u1edf ~3% b\u1ec7nh nh\u00e2n.\u00a0Da \u0111\u1ea7u \u0111\u1ed5i m\u00e0u n\u00e2u cam.<\/td>\n<\/tr>\n
    K\u1ebdm Pyrithione<\/td>\nd\u1ea7u g\u1ed9i \u0111\u1ea7u 1%<\/td>\nDa \u0111\u1ea7u: 2\u20133 l\u1ea7n\/tu\u1ea7n.<\/td>\nICD \u1edf ~3% b\u1ec7nh nh\u00e2n.<\/td>\n<\/tr>\n
    Cortico-steroid<\/td>\nHydrocortison<\/td>\n1% kem<\/td>\nDa: 1\u20132 l\u1ea7n m\u1ed7i ng\u00e0y.<\/td>\nNguy c\u01a1 teo da, gi\u00e3n mao m\u1ea1ch, vi\u00eam nang l\u00f4ng, r\u1eadm l\u00f4ng v\u00e0 gi\u1ea3m s\u1eafc t\u1ed1 da khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i.<\/td>\n<\/tr>\n
    Betamethasone dipropionate<\/td>\nkem d\u01b0\u1ee1ng da 0,05%<\/td>\nDa \u0111\u1ea7u v\u00e0 da: 1-2 l\u1ea7n m\u1ed7i ng\u00e0y.<\/td>\n<\/tr>\n
    Desonit<\/td>\n0,05% kem d\u01b0\u1ee1ng da, gel<\/td>\nDa \u0111\u1ea7u v\u00e0 da: 2 l\u1ea7n m\u1ed7i ng\u00e0y.<\/td>\n<\/tr>\n
    Fluocinolon<\/td>\n0,01% d\u1ea7u g\u1ed9i, kem d\u01b0\u1ee1ng da ho\u1eb7c kem<\/td>\nDa \u0111\u1ea7u ho\u1eb7c da: M\u1ed9t ho\u1eb7c hai l\u1ea7n m\u1ed7i ng\u00e0y.<\/td>\n<\/tr>\n
    \u0111i\u1ec1u h\u00f2a mi\u1ec5n d\u1ecbch<\/td>\nPimecrolimus<\/td>\n1% kem<\/td>\nDa: 1\u20132 l\u1ea7n m\u1ed7i ng\u00e0y.<\/td>\nNguy c\u01a1 ung th\u01b0 da v\u00e0 ung th\u01b0 h\u1ea1ch khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i.<\/td>\n<\/tr>\n
    tacrolimus<\/td>\nthu\u1ed1c m\u1ee1 0,1%<\/td>\nDa: 1\u20132 l\u1ea7n m\u1ed7i ng\u00e0y \u00d7 4 tu\u1ea7n, sau \u0111\u00f3 2 l\u1ea7n\/tu\u1ea7n \u0111\u1ec3 duy tr\u00ec.<\/td>\n<\/tr>\n
    \u0110i\u1ec1u kho\u1ea3n kh\u00e1c<\/td>\nNh\u1ef1a than<\/td>\nd\u1ea7u g\u1ed9i \u0111\u1ea7u 4%<\/td>\nDa \u0111\u1ea7u: 1\u20132 l\u1ea7n\/tu\u1ea7n.<\/td>\nVi\u00eam nang l\u00f4ng c\u1ee5c b\u1ed9, ICD tr\u00ean ng\u00f3n tay, l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh v\u1ea9y n\u1ebfn, teo da, gi\u00e3n mao m\u1ea1ch, t\u0103ng s\u1eafc t\u1ed1.\u00a0Nguy c\u01a1 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o v\u1ea3y khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i.<\/td>\n<\/tr>\n
    Liti gluconat\/succinat<\/td>\n8% thu\u1ed1c m\u1ee1 ho\u1eb7c gel<\/td>\nDa: hai l\u1ea7n m\u1ed7i ng\u00e0y \u00d7 8 tu\u1ea7n.<\/td>\nICD \u1edf <10% b\u1ec7nh nh\u00e2n.<\/td>\n<\/tr>\n
    Metronidazol<\/td>\ngel 0,75%<\/td>\nDa: hai l\u1ea7n m\u1ed7i ng\u00e0y \u00d7 4 tu\u1ea7n.<\/td>\nHi\u1ebfm khi ti\u1ebfp x\u00fac nh\u1ea1y c\u1ea3m v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng k\u00e9o d\u00e0i.<\/td>\n<\/tr>\n
    quang tr\u1ecb li\u1ec7u<\/td>\nUVB: Li\u1ec1u t\u00edch l\u0169y 9,8 J\/cm2<\/td>\nBa l\u1ea7n\/tu\u1ea7n \u00d7 8 tu\u1ea7n ho\u1eb7c cho \u0111\u1ebfn khi thanh to\u00e1n b\u00f9 tr\u1eeb.<\/td>\nC\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t, ng\u1ee9a ng\u00e1y trong\/sau khi \u0111i\u1ec1u tr\u1ecb.\u00a0Nguy c\u01a1 kh\u1ed1i u sinh d\u1ee5c khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i.<\/td>\n<\/tr>\n
    To\u00e0n th\u00e2n<\/strong><\/td>\nItraconazole<\/td>\nU\u1ed1ng: 200 mg<\/td>\nM\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n \u00d7 7 ng\u00e0y, sau \u0111\u00f3 m\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n \u00d7 2 ng\u00e0y\/th\u00e1ng \u0111\u1ec3 duy tr\u00ec.<\/td>\nHi\u1ebfm g\u1eb7p: nhi\u1ec5m \u0111\u1ed9c gan.<\/td>\n<\/tr>\n
    Terbinafine<\/td>\nU\u1ed1ng: 250 mg<\/td>\nM\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y \u00d7 4\u20136 tu\u1ea7n ho\u1eb7c 12 ng\u00e0y h\u00e0ng th\u00e1ng \u00d7 3 th\u00e1ng.<\/td>\nHi\u1ebfm g\u1eb7p: nh\u1ecbp tim nhanh v\u00e0 m\u1ea5t ng\u1ee7.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n

      \n
    1. ^<\/a><\/b>\u00a0T\u00e1c gi\u1ea3: Luis J. Borda and Tongyu C. Wikramanayake,\u00a0Seborrheic Dermatitis and Dandruff: A Comprehensive Review<\/a>, NCBI.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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