{"id":35671,"date":"2023-06-26T23:03:39","date_gmt":"2023-06-26T16:03:39","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35671"},"modified":"2023-06-26T23:03:39","modified_gmt":"2023-06-26T16:03:39","slug":"dau-hieu-benh-giang-mai-nhan-dien-va-ung-pho-kip-thoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/26\/dau-hieu-benh-giang-mai-nhan-dien-va-ung-pho-kip-thoi\/","title":{"rendered":"D\u1ea5u hi\u1ec7u b\u1ec7nh giang mai: Nh\u1eadn di\u1ec7n v\u00e0 \u1ee9ng ph\u00f3 k\u1ecbp th\u1eddi"},"content":{"rendered":"

B\u1ec7nh giang mai (GM) l\u00e0 m\u1ed9t b\u1ec7nh do xo\u1eafn khu\u1ea9n Treponema pallidum g\u00e2y ra, l\u00e0 b\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c. Di\u1ec5n ti\u1ebfn qua nhi\u1ec1u giai \u0111o\u1ea1n v\u1edbi nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng ri\u00eang c\u1ee7a t\u1eebng giai \u0111o\u1ea1n, ti\u1ebfn tri\u1ec3n m\u1ea1n t\u00ednh n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb. Th\u01b0\u01a1ng t\u1ed5n ch\u1ee7 y\u1ebfu \u1edf da\/ ni\u00eam m\u1ea1c, c\u01a1 quan: b\u1ea1ch huy\u1ebft, c\u01a1, x\u01b0\u01a1ng kh\u1edbp, tim m\u1ea1ch v\u00e0 th\u1ea7n kinh. 30% b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd ti\u1ebfn tri\u1ec3n th\u00e0nh giang mai tim m\u1ea1ch v\u00e0 giang mai th\u1ea7n kinh.<\/strong><\/p>\n

\"benh-giang-mai\"<\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m vi khu\u1ea9n giang mai:<\/strong><\/h2>\n

Xo\u1eafn khu\u1ea9n \u01b0a kh\u00ed, di \u0111\u1ed9ng, kh\u00f4ng quan s\u00e1t \u0111\u01b0\u1ee3c tr\u00ean k\u00ednh hi\u1ec3n vi th\u01b0\u1eddng, kh\u00f4ng nu\u00f4i c\u1ea5y \u0111\u01b0\u1ee3c.<\/span><\/p>\n

\u2713S\u1ed1ng v\u00e0i gi\u1edd \u1edf ngo\u00e0i c\u01a1 th\u1ec3, ch\u1ebft nhanh ch\u00f3ng n\u01a1i kh\u00f4; \u1ea9m \u01b0\u1edbt c\u00f3 th\u1ec3 s\u1ed1ng hai ng\u00e0y, s\u1ed1ng l\u00e2u \u1edf nhi\u1ec7t \u0111\u1ed9 l\u1ea1nh, \u1edf 56 \u0111\u1ed9 C ch\u1ebft trong v\u00f2ng 15 ph\u00fat, nhi\u1ec7t \u0111\u1ed9 th\u00edch h\u1ee3p l\u00e0 37 \u0111\u1ed9 C, ph\u00e2n b\u00e0o ch\u1eadm (30-36 gi\u1edd)<\/span><\/p>\n

\u2713X\u00e0 ph\u00f2ng v\u00e0 c\u00e1c ch\u1ea5t s\u00e1t khu\u1ea9n c\u00f3 th\u1ec3 di\u1ec7t \u0111\u01b0\u1ee3c vi khu\u1ea9n giang mai trong v\u00e0i ph\u00fat.<\/span><\/p>\n

\u0110\u01b0\u1eddng l\u00e2y truy\u1ec1n<\/span><\/p>\n

\u27a2 Qua da, ni\u00eam m\u1ea1c qua tr\u1ea7y khi ti\u1ebfp x\u00fac t\u00ecnh d\u1ee5c<\/span><\/p>\n

\u27a2 \u0110\u01b0\u1eddng m\u00e1u<\/span><\/p>\n

\u27a2 Nhau thai: t\u1eeb m\u1eb9 sang con.<\/span><\/p>\n

S\u1ef1 lan truy\u1ec1n trong c\u01a1 th\u1ec3 th\u00f4ng qua m\u1ea1ch b\u1ea1ch huy\u1ebft, m\u00e1u \u0111\u1ebfn c\u00e1c c\u01a1 quan v\u00e0 h\u1ec7 th\u1ea7n kinh ( b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o).<\/span><\/p>\n

2. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh giang mai theo giai \u0111o\u1ea1n<\/strong><\/h2>\n

Giai \u0111o\u1ea1n I:<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 \u00a0 <\/span>S\u0103ng: l\u00e0 m\u1ed9t v\u1ebft tr\u1ee3t, l\u1edf, gi\u1edbi h\u1ea1n r\u00f5, b\u1edd kh\u00f4ng \u0111\u1ec1u, n\u1ec1n c\u1ee9ng, m\u00e0u \u0111\u1ecf nh\u01b0 th\u1ecbt, \u0111\u00e1y s\u1ea1ch, kh\u00f4ng \u0111au.<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 \u00a0 <\/span>H\u1ea1ch: xu\u1ea5t hi\u1ec7n # 5-6 ng\u00e0y sau sang, c\u00f9ng b\u00ean v\u1edbi s\u0103ng, c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u h\u1ea1ch, Nhi\u1ec1u h\u1ea1ch t\u1ee5 th\u00e0nh nh\u00f3m l\u1edbn nh\u1ecf kh\u00f4ng \u0111\u1ec1u, c\u00f3 1 h\u1ea1ch l\u1edbn g\u1ecdi h\u1ea1ch tr\u01b0\u1edfng nh\u00f3m.<\/span><\/p>\n

H\u1ea1ch ch\u1eafc, kh\u00f4ng vi\u00eam, kh\u00f4ng \u0111au, kh\u00f4ng l\u00e0m m\u1ee7.. L\u00e0nh sau 1-2 tu\u1ea7n n\u1ebfu tr\u1ecb, 3-6 tu\u1ea7n n\u1ebfu kh\u00f4ng tr\u1ecb.<\/span><\/p>\n

–<\/span>\u00a0 \u00a0 \u00a0 \u00a0 <\/span>Kh\u00f4ng s\u0103ng: 15-20%, th\u01b0\u1eddng do \u0111\u00e3 x\u00e0i kh\u00e1ng sinh.<\/span><\/p>\n

Ch\u1ea9n \u0111o\u00e1n giang mai I:<\/span><\/p>\n

    \n
  1. D\u1ef1a l\u00e2m s\u00e0ng: Th\u1eddi gian \u1ee7 b\u1ec7nh + \u0111\u1eb7c t\u00ednh s\u0103ng\/ h\u1ea1ch<\/span><\/li>\n
  2. Vi tr\u00f9ng h\u1ecdc: xem k\u00ednh hi\u1ec3n vi n\u1ec1n \u0111en th\u1ea5y VK 6-14 v\u00f2ng xo\u1eafn, d\u00e0i 7- 12 \u03bcm di \u0111\u1ed9ng<\/span><\/li>\n
  3. Huy\u1ebft thanh h\u1ecdc<\/span><\/li>\n<\/ol>\n

    \u25aa N\u1ebfu s\u0103ng < 2 tu\u1ea7n \u2192 FTA hay TPHA<\/span><\/p>\n

    \u25aa S\u0103ng > 2 tu\u1ea7n \u2192 VDRL<\/span><\/p>\n

    CH\u1ea8N \u0110O\u00c1N PH\u00c2N BI\u1ec6T GIANG MAI I:<\/span><\/p>\n

      \n
    1. S\u0103ng h\u1ea1 cam m\u1ec1m<\/span><\/li>\n
    2. Herpes sinh d\u1ee5c: m\u1ee5n n\u01b0\u1edbc ch\u00f9m, ng\u1ee9a\/ r\u00e1t (\u00b1), l\u00e0nh 1-2 tu\u1ea7n, hay t\u00e1i ph\u00e1t.<\/span><\/li>\n
    3. S\u0103ng gh\u1ebb: s\u1ea9n, m\u1ee5n n\u01b0\u1edbc , ng\u1ee9a v\u1ec1 \u0111\u00eam (k\u1ebd ng\u00f3n tay, ch\u00e2n, r\u1ed1n), nhi\u1ec1u ng\u01b0\u1eddi trong<\/span><\/li>\n<\/ol>\n

      gia \u0111\u00ecnh b\u1ecb ng\u1ee9a<\/span><\/p>\n

        \n
      1. V\u1ebft tr\u1ea7y do ch\u1ea5n th\u01b0\u01a1ng: h\u1ecfi b\u1ec7nh s\u1eed<\/span><\/li>\n
      2. B\u1ec7nh h\u1ed9t xo\u00e0i<\/span><\/li>\n<\/ol>\n

        Giai \u0111o\u1ea1n II:<\/span><\/p>\n

        –<\/span>\u00a0 \u00a0 \u00a0 \u00a0 <\/span>T\u1eeb 6-8 tu\u1ea7n sau khi c\u00f3 s\u0103ng, xo\u1eafn khu\u1ea9n \u0111i v\u00e0o m\u00e1u, lan tr\u00e0n, c\u00f3 t\u00ednh ch\u1ea5t r\u1ea5t l\u00e2y.<\/span><\/p>\n

        Tri\u1ec7u ch\u1ee9ng: m\u1ec7t m\u1ecfi, bi\u1ebfng \u0103n, nh\u1ee9c \u0111\u1ea7u, \u0111au ng\u1ef1c, c\u01a1, kh\u1edbp, h\u01a1n 80% b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n \u1edf da, h\u1ea1ch to\u00e0n th\u00e2n.<\/span><\/p>\n

        Ph\u00e1t ban th\u01b0\u1eddng c\u00f3\u00a0 4 d\u1ea1ng<\/span><\/p>\n

        + \u0110\u00e0o ban (roseole): L\u00e0 nh\u1eefng d\u00e1t \u0111\u1ecf, kh\u00f4ng th\u00e2m nhi\u1ec5m, kh\u00f4ng ng\u1ee9a, kh\u00f4ng \u0111au. Khu tr\u00fa ch\u1ee7 y\u1ebfu \u1edf hai b\u00ean m\u1ea1ng s\u01b0\u1eddn, m\u1eb7t, l\u00f2ng b\u00e0n tay, b\u00e0n ch\u00e2n. \u0110\u00e0o ban xu\u1ea5t hi\u1ec7n \u1edf da \u0111\u1ea7u g\u00e2y r\u1ee5ng t\u00f3c. \u0110\u00e0o ban t\u1ed3n t\u1ea1i m\u1ed9t th\u1eddi gian, kh\u00f4ng \u0111i\u1ec1u tr\u1ecb g\u00ec c\u0169ng m\u1ea5t \u0111i \u0111\u1ec3 l\u1ea1i v\u1ebft nhi\u1ec5m s\u1eafc t\u1ed1 loang l\u1ed5.<\/span><\/p>\n

        + M\u1ea3ng ni\u00eam m\u1ea1c: l\u00e0 v\u1ebft tr\u1ee3t r\u1ea5t n\u00f4ng c\u1ee7a ni\u00eam m\u1ea1c, b\u1ec1 m\u1eb7t th\u01b0\u1eddng tr\u1ee3t \u01b0\u1edbt, \u0111\u00f4i khi h\u01a1i n\u1ed5i cao, s\u1ea7n s\u00f9i ho\u1eb7c n\u1ee9t n\u1ebb \u0111\u00f3ng v\u1ea3y ti\u1ebft, ch\u1ee9a nhi\u1ec1u xo\u1eafn khu\u1ea9n n\u00ean r\u1ea5t l\u00e2y. V\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c ni\u00eam m\u1ea1c m\u00e9p, l\u1ed7 m\u0169i, h\u1eadu m\u00f4n, \u00e2m h\u1ed9, r\u00e3nh quy \u0111\u1ea7u.<\/span><\/p>\n

        + V\u1ebft loang tr\u1eafng \u0111en: l\u00e0 nh\u1eefng di t\u00edch c\u00f2n l\u1ea1i c\u1ee7a \u0111\u00e0o ban, s\u1ea9n t\u1ea1o th\u00e0nh c\u00e1c v\u1ebft loang tr\u1eafng \u0111en loang l\u1ed5. N\u1ebfu th\u01b0\u01a1ng t\u1ed5n t\u1eadp trung \u1edf c\u1ed5 th\u00ec g\u1ecdi l\u00e0 “v\u00f2ng v\u1ec7 n\u1eef”.<\/span><\/p>\n

        + Vi\u00eam h\u1ea1ch lan t\u1ecfa: c\u00f3 th\u1ec3 th\u1ea5y h\u1ea1ch \u1edf b\u1eb9n, n\u00e1ch, c\u1ed5, d\u01b0\u1edbi h\u00e0m, \u1ee5 r\u00f2ng r\u1ecdc. H\u1ea1ch to nh\u1ecf kh\u00f4ng \u0111\u1ec1u, kh\u00f4ng \u0111au, kh\u00f4ng d\u00ednh v\u00e0o nhau. Trong h\u1ea1ch c\u00f3 nhi\u1ec1u xo\u1eafn khu\u1ea9n.<\/span><\/p>\n

        + Nh\u1ee9c \u0111\u1ea7u: th\u01b0\u1eddng hay x\u1ea3y ra v\u1ec1 ban \u0111\u00eam.<\/span><\/p>\n

        + R\u1ee5ng t\u00f3c: r\u1ee5ng \u0111\u1ec1u, l\u00e0m t\u00f3c b\u1ecb th\u01b0a d\u1ea7n, c\u00f2n g\u1ecdi l\u00e0 r\u1ee5ng t\u00f3c ki\u1ec3u “r\u1eebng th\u01b0a”.<\/span><\/p>\n

        Giang mai mu\u1ed9n (GM III):\u00a0<\/span><\/p>\n

        Giang mai th\u1eddi k\u1ef3 III: <\/b>v\u00e0o kho\u1ea3ng n\u0103m th\u1ee9 3 c\u1ee7a b\u1ec7nh. Ng\u00e0y nay \u00edt g\u1eb7p giang mai th\u1eddi k\u1ef3 III v\u00ec ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm b\u1eb1ng penicilin. \u1ede th\u1eddi k\u1ef3 n\u00e0y th\u01b0\u01a1ng t\u1ed5n c\u00f3 t\u00ednh chat khu tr\u00fa, ph\u00e1 h\u1ee7y t\u1ed5 ch\u1ee9c, g\u00e2y n\u00ean nh\u1eefng di ch\u1ee9ng kh\u00f4ng h\u1ed3i ph\u1ee5c, th\u1eadm ch\u00ed t\u1eed vong cho ng\u01b0\u1eddi b\u1ec7nh. Kh\u1ea3 n\u0103ng l\u00e2y lan trong c\u1ed9ng \u0111\u1ed3ng b\u1ecb h\u1ea1n ch\u1ebf. C\u00e1c th\u01b0\u01a1ng t\u1ed5n giang mai III g\u1ed3m:<\/span><\/p>\n

        + \u0110\u00e0o ban giang mai III: l\u00e0 nh\u1eefng v\u1ebft m\u00e0u h\u1ed3ng, s\u1eafp x\u1ebfp h\u00ecnh v\u00f2ng cung, ti\u1ebfn tri\u1ec3n r\u1ea5t ch\u1eadm, t\u1ef1 kh\u1ecfi, kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1eb9o.<\/span><\/p>\n

        + C\u1ee7 giang mai: th\u01b0\u01a1ng t\u1ed5n \u1edf trung b\u00ec, n\u1ed5i l\u00ean th\u00e0nh h\u00ecnh b\u00e1n c\u1ea7u c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 5-20mm, gi\u1ed1ng nh\u01b0 h\u1ea1t \u0111\u1ed7 xanh. C\u00e1c c\u1ee7 c\u00f3 th\u1ec3 \u0111\u1ee9ng ri\u00eang r\u1ebd ho\u1eb7c t\u1eadp trung th\u00e0nh \u0111\u00e1m, nh\u01b0ng th\u01b0\u1eddng s\u1eafp x\u1ebfp th\u00e0nh h\u00ecnh nh\u1eabn, h\u00ecnh cung ho\u1eb7c v\u1eb1n v\u00e8o. C\u0169ng c\u00f3 khi lo\u00e9t ra v\u00e0 \u0111\u00f3ng v\u1ea3y ti\u1ebft \u0111en.<\/span><\/p>\n

        + G\u00f4m giang mai (gomme): th\u01b0\u01a1ng t\u1ed5n ch\u1eafc \u1edf h\u1ea1 b\u00ec, ti\u1ebfn tri\u1ec3n qua 4 giai \u0111o\u1ea1n: b\u1eaft \u0111\u1ea7u l\u00e0 nh\u1eefng c\u1ee5c c\u1ee9ng d\u01b0\u1edbi da, s\u1edd gi\u1ed1ng nh\u01b0 h\u1ea1ch, d\u1ea7n d\u1ea7n c\u00e1c c\u1ee5c n\u00e0y to ra, m\u1ec1m d\u1ea7n v\u00e0 v\u1ee1 ch\u1ea3y ra d\u1ecbch d\u00ednh gi\u1ed1ng nh\u01b0 nh\u1ef1a cao su, t\u1ea1o th\u00e0nh v\u1ebft lo\u00e9t v\u00e0 v\u1ebft lo\u00e9t d\u1ea7n d\u1ea7n l\u00ean da non r\u1ed3i th\u00e0nh s\u1eb9o. G\u00f4m c\u00f3 th\u1ec3 nhi\u1ec1u ho\u1eb7c \u00edt v\u00e0 c\u00f3 th\u1ec3 khu tr\u00fa v\u00e0o b\u1ea5t k\u1ef3 ch\u1ed7 n\u00e0o. V\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p l\u00e0 m\u1eb7t, da \u0111\u1ea7u, m\u00f4ng, \u0111\u00f9i, m\u1eb7t ngo\u00e0i ph\u1ea7n tr\u00ean c\u1eb3ng ch\u00e2n,… \u1ede ni\u00eam m\u1ea1c, v\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p l\u00e0 mi\u1ec7ng, m\u00f4i, v\u00f2m mi\u1ec7ng, l\u01b0\u1ee1i, m\u0169i, h\u1ea7u.<\/span><\/p>\n

        Giang mai k\u00edn: <\/b>\u0111\u01b0\u1ee3c xem l\u00e0 giai \u0111o\u1ea1n gi\u1eefa th\u1eddi k\u1ef3 2 \u0111\u1ebfn th\u1eddi k\u1ef3 3, l\u00e0 th\u1eddi k\u1ef3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng. B\u1ec7nh ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua x\u00e9t nghi\u1ec7m huy\u1ebft thanh. Giang mai k\u00edn s\u1edbm l\u00e0 trong v\u00f2ng 2 n\u0103m t\u1eeb khi m\u1eafc b\u1ec7nh v\u00e0 giang mai k\u00edn mu\u1ed9n tr\u00ean 2 n\u0103m.<\/span><\/p>\n

        Giang mai b\u1ea9m sinh: <\/b>do ng\u01b0\u1eddi m\u1eb9 m\u1eafc b\u1ec7nh giang mai l\u00e2y cho thai nhi. T\u00f9y theo m\u1ee9c \u0111\u1ed9 nhi\u1ec5m xo\u1eafn khu\u1ea9n t\u1eeb ng\u01b0\u1eddi m\u1eb9 v\u00e0o b\u00e0o thai m\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ea9y thai ho\u1eb7c thai ch\u1ebft l\u01b0u, tr\u1ebb \u0111\u1ebb non v\u00e0 c\u00f3 th\u1ec3 t\u1eed vong.<\/span><\/p>\n

        3. \u0110i\u1ec1u tr\u1ecb\u00a0<\/b><\/h2>\n

        3.1 Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/span><\/p>\n

        –<\/span>\u00a0 \u00a0 <\/span>\u0110i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 \u0111\u1ee7 li\u1ec1u \u0111\u1ec3 kh\u1ecfi b\u1ec7nh, ng\u0103n ch\u1eb7n l\u00e2y lan, \u0111\u1ec1 ph\u00f2ng t\u00e1i ph\u00e1t v\u00e0 di ch\u1ee9ng.<\/span><\/p>\n

        –<\/span> \u00a0 \u00a0 <\/span>\u0110i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi cho c\u1ea3 b\u1ea1n t\u00ecnh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

        3.2\u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/span><\/p>\n

        Penicillin \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn, ch\u01b0a c\u00f3 tr\u01b0\u1eddng h\u1ee3p n\u00e0o xo\u1eafn khu\u1ea9n giang mai kh\u00e1ng penicillin.<\/span><\/p>\n

        –<\/span> \u00a0 \u00a0 <\/span>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a penicillin:<\/span><\/p>\n

        + Penicillin c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t xo\u1eafn khu\u1ea9n ch\u1ee7 y\u1ebfu x\u1ea3y ra trong giai \u0111o\u1ea1n xo\u1eafn khu\u1ea9n sinh s\u1ea3n, ph\u00e2n chia.<\/span><\/p>\n

        Giang mai s\u1edbm<\/span><\/i> (Giang mai th\u1eddi k\u00ec I v\u00e0 n\u0103m \u0111\u1ea7u c\u1ee7a giang mai th\u1eddi k\u00ec II, Giang mai k\u00edn s\u1edbm):<\/span><\/p>\n

        + Benzathin Penicillin G, 2.4 tri\u1ec7u UI: Ti\u00eam m\u00f4ng, li\u1ec1u duy nh\u1ea5t (giang mai I) ho\u1eb7c li\u1ec1u \u0111\u00f4i (giang mai II s\u01a1 ph\u00e1t, giang mai k\u00edn s\u1edbm), m\u1ed7i b\u00ean m\u00f4ng 1.2 tri\u1ec7u UI. Ho\u1eb7c<\/span><\/p>\n

        + Penicillin Procain G: Ti\u00eam b\u1eafp 1 tri\u1ec7u UI m\u1ed7i ng\u00e0y chia 2, trong 15 ng\u00e0y.<\/span><\/p>\n

        Giang mu\u1ed9n\/ Giang mai III:<\/span><\/p>\n

        + Benzathin Penicillin G, 2.4 tri\u1ec7u UI: Ti\u00eam m\u00f4ng, 3 li\u1ec1u trong 3 tu\u1ea7n li\u00ean ti\u1ebfp.<\/span><\/p>\n

        Thay th\u1ebf: Doxycyclin 100mg x2 l\u1ea7n\/ng\u00e0y.\u00a0<\/span><\/p>\n

         <\/p>\n","protected":false},"excerpt":{"rendered":"

        B\u1ec7nh giang mai (GM) l\u00e0 m\u1ed9t b\u1ec7nh do xo\u1eafn khu\u1ea9n Treponema pallidum g\u00e2y ra, l\u00e0 b\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c. Di\u1ec5n ti\u1ebfn qua nhi\u1ec1u giai \u0111o\u1ea1n v\u1edbi nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng ri\u00eang c\u1ee7a t\u1eebng giai \u0111o\u1ea1n, ti\u1ebfn tri\u1ec3n m\u1ea1n t\u00ednh n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb. Th\u01b0\u01a1ng t\u1ed5n ch\u1ee7 y\u1ebfu \u1edf da\/ […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[27,33],"tags":[],"yoast_head":"\nD\u1ea5u hi\u1ec7u b\u1ec7nh giang mai: Nh\u1eadn di\u1ec7n v\u00e0 \u1ee9ng ph\u00f3 k\u1ecbp th\u1eddi - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh giang mai (GM) l\u00e0 m\u1ed9t b\u1ec7nh do xo\u1eafn khu\u1ea9n Treponema pallidum g\u00e2y ra, l\u00e0 b\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c.\" \/>\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=\"D\u1ea5u hi\u1ec7u b\u1ec7nh giang mai: Nh\u1eadn di\u1ec7n v\u00e0 \u1ee9ng ph\u00f3 k\u1ecbp th\u1eddi - 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