{"id":35937,"date":"2023-07-01T16:25:08","date_gmt":"2023-07-01T09:25:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35937"},"modified":"2023-07-01T16:25:08","modified_gmt":"2023-07-01T09:25:08","slug":"benh-di-ung-cac-trieu-chung-va-cach-dieu-tri-hieu-qua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/07\/01\/benh-di-ung-cac-trieu-chung-va-cach-dieu-tri-hieu-qua\/","title":{"rendered":"B\u1ec7nh d\u1ecb \u1ee9ng: C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3"},"content":{"rendered":"<p><strong>B\u1ec7nh d\u1ecb \u1ee9ng l\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 khi ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean (kh\u00e1ng nguy\u00ean). D\u1ecb nguy\u00ean c\u0169ng r\u1ea5t \u0111a d\u1ea1ng nh\u01b0 thu\u1ed1c, th\u1ee9c \u0103n, th\u1eddi ti\u1ebft, b\u1ee5i nh\u00e0, ph\u1ea5n hoa\u2026 C\u00e1c d\u1ecb nguy\u00ean n\u00e0y x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p , ti\u00eau h\u00f3a, m\u00e1u, ti\u1ebfp x\u00fac b\u1ec1 m\u1eb7t da\u2026Bi\u1ec3u hi\u1ec7n c\u1ee7a d\u1ecb \u1ee9ng tr\u00ean l\u00e2m s\u00e0ng r\u1ea5t \u0111a d\u1ea1ng, t\u1eeb n\u1eb7ng \u0111\u1ebfn nh\u1eb9 t\u00f9y theo th\u1ec3 b\u1ec7nh. T\u1eeb n\u1ed5i m\u1ec1 \u0111ay, ng\u1ee9a, ph\u00f9 n\u1ec1 \u0111\u1ebfn s\u1ed1c ph\u1ea3n v\u1ec7 v\u00e0 c\u00f3 th\u1ec3 t\u1eed vong. \u0110i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng \u0111a s\u1ed1 l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean.<\/strong><\/p>\n<h2>1. C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng<\/h2>\n<p><strong>Nguy<\/strong><strong>\u00ea<\/strong><strong>n nh\u00e2n mi<\/strong><strong>\u1ec5<\/strong><strong>n d<\/strong><strong>\u1ecb<\/strong><strong>ch<\/strong><\/p>\n<p>\u00b0 Th\u1ef1c ph\u1ea9m (h\u1ea3i s\u1ea3n, tr\u1ee9ng, c\u00e1\u2026)<\/p>\n<p>\u00b0 C\u00f4n tr\u00f9ng (ong, ki\u1ebfn..)<\/p>\n<p>\u00b0 Thu\u1ed1c (th\u01b0\u1eddng l\u00e0 thu\u1ed1c kh\u00e1ng sinh,.. )<\/p>\n<p>\u00b0 C\u00e1c ch\u1ebf ph\u1ea9m m\u00e0u<\/p>\n<p><strong>Nguy\u00ean nh\u00e2n kh\u00f4ng mi\u1ec5n d\u1ecbch<\/strong><\/p>\n<p><sup>0<\/sup> S\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t c\u1ea3n quang<\/p>\n<p><sup>0<\/sup> Thu\u1ed1c (VD: kh\u00e1ng sinh Peniciin, Vancomycin, thu\u1ed1c g\u1ea5y nghi\u1ec7n, thu\u1ed1c gi\u00e3n c\u01a1, NSAID,&#8230; )<\/p>\n<p>0 Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/p>\n<p>0 Y\u1ebfu t\u1ed1 v\u1eadt l\u00fd (nhi\u1ec7t \u0111\u1ed1 lanh ho\u1eb7c t\u1ea5p th\u1ebf d\u1ee5c)<\/p>\n<p>0 T\u1ef1 ph\u00e1t<\/p>\n<h2><strong>2. Ph\u00e2n lo\u1ea1i c\u00e1c lo\u1ea1i b\u1ec7nh d\u1ecb \u1ee9ng theo c\u01a1 ch\u1ebf<\/strong><\/h2>\n<table>\n<tbody>\n<tr>\n<td width=\"214\"><strong>Lo\u1ea1i d\u1ecb \u1ee9ng<\/strong><\/td>\n<td width=\"313\"><strong>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/strong><\/td>\n<td width=\"429\"><strong>C\u01a1 ch\u1ebf<\/strong><strong> ph\u1ea3n \u1ee9ng<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"214\">Ph\u1ea3n v\u1ec7 (Lo\u1ea1i 1)<\/td>\n<td width=\"313\">\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S\u1ed1c ph\u1ea3n v\u1ec7<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e0y \u0111ay<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ph\u00f9 m\u1ea1ch<\/td>\n<td width=\"429\">Ph\u1ea3n \u1ee9ng IgE qua trung gian t\u1ebf b\u00e0o mast v\u00e0 gi\u1ea3i ph\u00f3ng ho\u1ea1t ch\u1ea5t trung gian<\/td>\n<\/tr>\n<tr>\n<td width=\"214\">G\u00e2y \u0111\u1ed9c t\u1ebf b\u00e0o<\/p>\n<p>(Lo\u1ea1i 2)<\/td>\n<td width=\"313\">Thi\u1ebfu m\u00e1u tan m\u00e1u t\u1ef1 mi\u1ec5n<\/p>\n<p>Vi\u00eam k\u1ebd th\u1eadn<\/td>\n<td width=\"429\">Kh\u00e1ng th\u1ec3 IgG ho\u1eb7c IgM ch\u1ed1ng l\u1ea1i kh\u00e1ng nguy\u00ean t\u1ebf b\u00e0o v\u00e0 k\u00edch ho\u1ea1t b\u1ed5 th\u1ec3<\/td>\n<\/tr>\n<tr>\n<td width=\"214\">Ph\u1ee9c b\u1ed9 mi\u1ec5n d\u1ecbch<\/p>\n<p>(Lo\u1ea1i 3)<\/td>\n<td width=\"313\">B\u1ec7nh huy\u1ebft thanh<\/p>\n<p>Vi\u00eam m\u1ea1ch<\/td>\n<td width=\"429\">L\u1eafng \u0111\u1ecdng ph\u1ee9c b\u1ed9 mi\u1ec5n d\u1ecbch v\u00e0 k\u00edch ho\u1ea1t b\u1ed5 th\u1ec3 ti\u1ebfp theo<\/td>\n<\/tr>\n<tr>\n<td width=\"214\">Ph\u1ea3n \u1ee9ng qua trung gian t\u1ebf b\u00e0o (Lo\u1ea1i 4)<\/td>\n<td width=\"313\">Vi\u00eam da ti\u1ebfp x\u00fac<\/p>\n<p>Vi\u00eam da nh\u1ea1y \u00e1nh s\u00e1ng<\/td>\n<td width=\"429\">K\u00edch ho\u1ea1t t\u1ebf b\u00e0o T ch\u1ed1ng l\u1ea1i kh\u00e1ng nguy\u00ean b\u1ec1 m\u1eb7t t\u1ebf b\u00e0o<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>3. \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng<\/h2>\n<p><strong>3.1 C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y d\u1ecb \u1ee9ng<\/strong><\/p>\n<ul>\n<li>C\u00f3 c\u01a1 \u0111\u1ecba, ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng:<\/li>\n<li>Gia \u0111\u00ecnh (b\u1ed1, m\u1eb9, anh ch\u1ecb em ru\u1ed9t, con c\u00e1i) \u0111\u00e3 t\u1eebng b\u1ecb d\u1ecb \u1ee9ng thu\u1ed1c<\/li>\n<li>B\u1ea3n th\u00e2n c\u00f3 b\u1ec7nh d\u1ecb \u1ee9ng (vi\u00eam m\u0169i d\u1ecb \u1ee9ng, hen, d\u1ecb \u1ee9ng th\u1ee9c \u0103n, ho\u00e1 ch\u1ea5t, d\u1ecb \u1ee9ng ti\u00eam ch\u1ee7..).<\/li>\n<li>Tu\u1ed5i v\u00e0 gi\u1edbi: n\u1eef b\u1ecb nhi\u1ec1u h\u01a1n nam, tu\u1ed5i 20 &#8211; 40.<\/li>\n<li>D\u00f9ng thu\u1ed1c c\u00f3 nh\u00f3m \u0111\u1eb7c hi\u1ec7u (NH2, CONH2, NHOH, COOH&#8230;) d\u1ec5 g\u1eafn v\u00e0o g\u1ed1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ph\u00e2n t\u1eed protein c\u01a1 th\u1ec3 (COOH, SH, NH2, NHCNH2).<\/li>\n<li>S\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng \u0111\u00fang:<\/li>\n<li>D\u00f9ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c c\u00f9ng l\u00fac, d\u00f9ng thu\u1ed1c k\u00e9o d\u00e0i;<\/li>\n<\/ul>\n<p><em><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35938 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/b2bc1d68-daa5-44b6-b3b0-b315fd7b7509-300x300.jpg\" alt=\"benh-di-ung\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/b2bc1d68-daa5-44b6-b3b0-b315fd7b7509-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/b2bc1d68-daa5-44b6-b3b0-b315fd7b7509-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/b2bc1d68-daa5-44b6-b3b0-b315fd7b7509-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/b2bc1d68-daa5-44b6-b3b0-b315fd7b7509.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/em><\/p>\n<p><strong>3.2 Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng theo c\u01a1 quan<\/strong><\/p>\n<table width=\"972\">\n<tbody>\n<tr>\n<td width=\"265\"><strong>V\u1ecb tr\u00ed xu\u1ea5t hi\u1ec7n<\/strong><\/td>\n<td width=\"707\"><strong>\u0110i\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"265\">To\u00e0n th\u00e2n<\/td>\n<td width=\"707\">S\u1ed1c ph\u1ea3n v\u1ec7, h\u1ea1 huy\u1ebft \u00e1p, s\u1ed1t, vi\u00eam m\u1ea1ch, s\u01b0ng h\u1ea1ch, b\u1ec7nh huy\u1ebft thanh<\/td>\n<\/tr>\n<tr>\n<td width=\"265\">Da<\/td>\n<td width=\"707\">M\u00e0y \u0111ay, ph\u00f9 Quincke, s\u1ea9n ng\u1ee9a, vi\u00eam da ti\u1ebfp x\u00fac, m\u1eabn c\u1ea3m \u00e1nh s\u00e1ng, \u0111\u1ecf da to\u00e0n th\u00e2n, h\u1ed3ng ban nhi\u1ec5m s\u1eafc c\u1ed5 \u0111\u1ecbnh, h\u1ed9i ch\u1ee9ng Stevens-Johnson, h\u1ed9i ch\u1ee9ng Lyell<\/td>\n<\/tr>\n<tr>\n<td width=\"265\">Ph\u1ed5i<\/td>\n<td width=\"707\">Kh\u00f3 th\u1edf, vi\u00eam ph\u1ebf nang<\/td>\n<\/tr>\n<tr>\n<td width=\"265\">Gan<\/td>\n<td width=\"707\">Vi\u00eam gan, t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan<\/td>\n<\/tr>\n<tr>\n<td width=\"265\">Tim<\/td>\n<td width=\"707\">Vi\u00eam c\u01a1 tim<\/td>\n<\/tr>\n<tr>\n<td width=\"265\">Th\u1eadn<\/td>\n<td width=\"707\">Vi\u00eam c\u1ea9u th\u1eadn, h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0<\/td>\n<\/tr>\n<tr>\n<td width=\"265\">M\u00e1u<\/td>\n<td width=\"707\">Ban xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1eabu, thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft, gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>3.3 Ph\u00e2n \u0111\u1ed9 s\u1ed1c ph\u1ea3n v\u1ec7<\/strong><\/p>\n<p>S\u1ed1c ph\u1ea3n v\u1ec7 l\u00e0 tai bi\u1ebfn d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng, x\u1ea3y ra ngay ho\u1eb7c trong 30 ph\u00fat sau khi ti\u1ebfp x\u00fac kh\u00e1ng nguy\u00ean n\u00e0o \u0111\u00f3, v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n h\u00f4 h\u1ea5p (kh\u00f3 th\u1edf), suy tu\u1ea7n ho\u00e0n (s\u1ed1c), c\u00f9ng c\u00e1c bi\u1ec3u hi\u1ec7n \u1edf da (s\u1ea9n ng\u1ee9a), ti\u00eau h\u00f3a (bu\u1ed3n n\u00f4n), th\u1ea7n kinh (ch\u00f3ng m\u1eb7t)&#8230;d\u1ec5 g\u00e2y t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi<\/p>\n<table width=\"880\">\n<tbody>\n<tr>\n<td width=\"288\"><strong>Nh\u1eb9<\/strong><\/td>\n<td width=\"342\"><strong>V\u1eeba<\/strong><\/td>\n<td width=\"251\"><strong>N\u1eb7ng<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"288\">\u0110au \u0111\u1ea7u, <em>s<\/em><em>\u1ee3<\/em> h\u00e3i, ch\u00f3ng m\u1eb7t<\/p>\n<p>Ng\u1ee9a m\u00f4i, mi\u1ec7ng, h\u1ecdng<\/p>\n<p>Ban s\u1ea9n, m\u1ec1 \u0111ay <em>Ph\u00f9 m<\/em><em>\u1ea1<\/em><em>ch<\/em><\/p>\n<p>Sung huy\u1ebft k\u1ebft m\u1ea1c<\/td>\n<td width=\"342\">Th\u1edf kh\u00f2 kh\u00e8, th\u1edf r\u00edt, kh\u00f3 th\u1edf<\/p>\n<p>N\u1eb7ng ng\u1ef1c Bu\u1ed3n n\u00f4n, n\u00f4n<\/p>\n<p>\u0110au b\u1ee5ng Ch\u00f3ng m\u1eb7t, to\u00e1t m\u1ed3 h\u00f4i<\/p>\n<p>Xanh t\u00e1i<\/td>\n<td width=\"251\">Kh\u00f3 th\u1edf<\/p>\n<p>T\u00edm t\u00e1i. SaO2&lt;92%<\/p>\n<p>Ti\u00eau ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7<\/p>\n<p>Tr\u1ee5y m\u1ea1ch, s\u1ed1c (HAtt&lt;90mmHg)<\/p>\n<p>H\u00f4n m\u00ea<\/p>\n<p>Ng\u1eebng tim, ng\u1eebng th\u1edf<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u s\u1ed1c ph\u1ea3n v\u1ec7: Xem th\u00eam ph\u00e1c \u0111\u1ed3 c\u1ee7a b\u1ed9 y t\u1ebf<\/p>\n<p><strong>3.4 C\u00e1c test x\u00e1c \u0111\u1ecbnh d\u1ecb \u1ee9ng nguy\u00ean<\/strong><\/p>\n<ul>\n<li>Test l\u1ea9y da: Nh\u1ecf gi\u1ecdt kh\u00e1ng sinh (penicillin, streptomycin) n\u1ed3ng \u0111\u1ed9 1\/10 v\u1ea1n, 1\/v\u1ea1n. L\u1ea5y kim \u0111\u1eb7t g\u00f3c 45 0 v\u00e0 l\u1ea9y ng\u01b0\u1ee3c l\u00ean. Sau 10 \u2013 20 ph\u00fat, \u0111\u1ecdc k\u1ebft qu\u1ea3.<\/li>\n<li>Test k\u00edch th\u00edch<\/li>\n<li>Test nh\u1ecf m\u0169i: Nh\u1ecf m\u1ed9t gi\u1ecdt d\u1ecb nguy\u00ean v\u00e0o m\u1ed9t b\u00ean m\u0169i. Ph\u1ea3n \u1ee9ng d\u01b0\u01a1ng t\u00ednh xu\u1ea5t hi\u1ec7n khi c\u00f3 h\u1eaft h\u01a1i, ng\u1ee9a m\u0169i, kh\u00f3 th\u1edf m\u1ed9t b\u00ean m\u0169i.<\/li>\n<\/ul>\n<p>Test k\u00edch th\u00edch d\u01a3\u1edbi l\u01a3\u1ee1i:<\/p>\n<ul>\n<li>Ng\u1eadm 1\/4 vi\u00ean thu\u1ed1c, ho\u1eb7c g\u1ea1c c\u00f3 t\u1ea9m thu\u1ed1c. Sau 10 &#8211; 15 ph\u00fat, n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3: ph\u00f9 l\u01b0\u1ee1i, ph\u00f9<\/li>\n<\/ul>\n<p>m\u00f4i, ban, m\u00e0y \u0111ay l\u00e0 th\u1eed nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh. Khi \u0111\u00f3 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n s\u00fac mi\u1ec7ng \u0111\u1ec3 lo\u1ea1i b\u1ecf thu\u1ed1c.<\/p>\n<p>&nbsp;<\/p>\n<p>C\u00e1c ph\u1ea3n \u1ee9ng in vitro \u1edf ph\u00f2ng th\u00ed nghi\u1ec7m, ch\u1ee7 y\u1ebfu l\u00e0:<\/p>\n<ul>\n<li>Ph\u1ea3n \u1ee9ng ph\u00e2n hu\u1ef7 t\u1ebf b\u00e0o mast.<\/li>\n<li>Ph\u1ea3n \u1ee9ng ti\u00eau b\u1ea1ch c\u1ea7u \u0111\u1eb7c hi\u1ec7u.<\/li>\n<li>Ph\u1ea3n \u1ee9ng x\u00e1c \u0111\u1ecbnh IgE \u0111\u1eb7c hi\u1ec7u v\u00e0 to\u00e0n ph\u1ea7n.<\/li>\n<\/ul>\n<p>X\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u: c\u00f3 tr\u01b0\u1eddng h\u1ee3p gi\u1ea3m ti\u1ec3u c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u.<\/p>\n<h2>4. X\u1eed tr\u00ed khi g\u1eb7p d\u1ecb \u1ee9ng<\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Nguy\u00ean t\u1eafc chung khi g\u1eb7p s\u1ed1c ph\u1ea3n v\u1ec7<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Nguy\u00ean t\u1eafc chung<\/p>\n<p><strong>&#8211; <\/strong><strong>D<\/strong><strong>\u1eeb<\/strong><strong>ng ngay t\u00e1c nh\u00e2n g\u00e2y d<\/strong><strong>\u1ecb \u1ee9<\/strong><strong>ng.<\/strong><\/p>\n<p><strong>&#8211; <\/strong><strong>Cho b<\/strong><strong>\u1ec7<\/strong><strong>nh nh\u00e2n n<\/strong><strong>\u1eb1<\/strong><strong>m t<\/strong><strong>\u1ea1<\/strong><strong>i ch<\/strong><strong>\u1ed7<\/strong><strong>:<\/strong><\/p>\n<p><strong><em>N<\/em><\/strong><strong><em>\u1eb1<\/em><\/strong><strong><em>m \u0111<\/em><\/strong><strong><em>\u1ea7<\/em><\/strong><strong><em>u th<\/em><\/strong><strong><em>\u1ea5<\/em><\/strong><strong><em>p ch\u00e2n cao.<\/em><\/strong><\/p>\n<p><strong><em>N<\/em><\/strong><strong><em>\u1eb1<\/em><\/strong><strong><em>m nghi\u00eang n<\/em><\/strong><strong><em>\u1ebf<\/em><\/strong><strong><em>u c\u00f3 \u00f3i.<\/em><\/strong><\/p>\n<p><strong>&#8211; <\/strong><strong>G<\/strong><strong>\u1ecd<\/strong><strong>i th\u00eam CBYT b\u00e0n ti\u00eam t<\/strong><strong>\u1edb<\/strong><strong>i gi\u00fap \u0111<\/strong><strong>\u1ee1<\/strong><\/p>\n<p>&#8211; S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng: Kh\u00e1ng histamin anti H1 th\u1ebf h\u1ec7 2 (cetirizin, fexofenadin, astemizol, loratadin&#8230;).<\/p>\n<p>&#8211; N\u1eb7ng h\u01a1n: k\u1ebft h\u1ee3p d\u00f9ng corticoid ti\u00eam truy\u1ec1n<\/p>\n<p>&#8211; B\u00f9 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i, thu\u1ed1c l\u1ee3i ti\u1ec3u.<\/p>\n<p>&#8211; Ch\u1ed1ng b\u1ed9i nhi\u1ec5m, l\u1ef1a ch\u1ecdn kh\u00e1ng sinh th\u00edch h\u1ee3p \u0111\u1ea3m b\u1ea3o s\u1eed d\u1ee5ng h\u1ee3p l\u00fd, an to\u00e0n.<\/p>\n<p>&#8211; D\u1ef1 ph\u00f2ng s\u1ed1c ph\u1ea3n v\u1ec7<\/p>\n<p>&#8211; X\u1eed l\u00fd c\u00e1c tr\u01b0\u1eddng h\u1ee3p: \u0111\u1ecf da, h\u1ed9i ch\u1ee9ng Stevens &#8211; Johnson, h\u1ed9i ch\u1ee9ng Lyell.<\/p>\n<p>4.2 C\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng<\/p>\n<p>Thu\u1ed1c c\u1ed5 \u0111i\u1ec3n (th\u1ebf h\u1ec7 I)<\/p>\n<table width=\"983\">\n<tbody>\n<tr>\n<td width=\"200\">&nbsp;<\/td>\n<td width=\"156\">Bi\u1ec7t d\u01b0\u1ee3c<\/td>\n<td width=\"174\">T\u00e1c d\u1ee5ng<\/td>\n<td width=\"150\">TD ph\u1ee5<\/td>\n<td width=\"150\">Ch\u1ec9 \u0111\u1ecbnh<\/td>\n<td width=\"153\">Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/td>\n<\/tr>\n<tr>\n<td width=\"200\">Promethazin<\/td>\n<td width=\"156\">Phenergan Prometan<\/td>\n<td width=\"174\">Ch\u1ed1ng d\u1ecb \u1ee9ng<\/p>\n<p>Ch\u1ed1ng n\u00f4n<\/p>\n<p>An th\u1ea7n<\/td>\n<td rowspan=\"3\" width=\"150\">Bu\u1ed3n ng\u1ee7 -N\u1eb7ng \u0111\u1ea7u -H\u1ea1 HA th\u1ebf \u0111\u1ee9ng<\/p>\n<p>-T\u00e1o b\u00f3n, -Kh\u00f4 mi\u1ec7ng<\/td>\n<td width=\"150\"><strong>D\u1ecb \u1ee9ng<\/strong><\/p>\n<p>Ti\u1ec1n m\u00ea<\/p>\n<p>Ch\u1ed1ng n\u00f4n<\/td>\n<td rowspan=\"3\" width=\"153\">-M\u1eabn c\u1ea3m. -Ng\u1ed9 \u0111\u1ed9c thu\u1ed1c m\u00ea, thu\u1ed1c ng\u1ee7. -\u0110ang d\u00f9ng IMAO. -Ti\u00eam SC. -\u0110ang v\u1eadn h\u00e0nh m\u00e1y<\/p>\n<p>m\u00f3c, l\u00e1i t\u00e0u<\/p>\n<p>xe.<\/td>\n<\/tr>\n<tr>\n<td width=\"200\">Clorpheniramin<\/td>\n<td width=\"156\">Allergy Allerchlor<\/td>\n<td width=\"174\">Ch\u1ed1ng d\u1ecb \u1ee9ng<\/p>\n<p>Ch\u1ed1ng n\u00f4n<\/p>\n<p>An th\u1ea7n<\/td>\n<td width=\"150\"><strong>D\u1ecb \u1ee9ng<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"200\">Diphenhydramin<\/td>\n<td width=\"156\">Benadryl Nautamin<\/td>\n<td width=\"174\">Ch\u1ed1ng n\u00f4n<\/p>\n<p>Ch\u1ed1ng d\u1ecb \u1ee9ng An th\u1ea7n<\/td>\n<td width=\"150\"><strong>Ch\u1ed1ng n\u00f4n<\/strong><\/p>\n<p>D\u1ecb \u1ee9ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Thu\u1ed1c m\u1edbi (Th\u1ebf h\u1ec7 II)<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"160\">&nbsp;<\/td>\n<td width=\"160\">Bi\u1ec7t d\u01b0\u1ee3c<\/td>\n<td width=\"160\">T\u00e1c d\u1ee5ng<\/td>\n<td width=\"160\">TD ph\u1ee5<\/td>\n<td width=\"160\">Ch\u1ec9 \u0111\u1ecbnh<\/td>\n<td width=\"160\">Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/td>\n<\/tr>\n<tr>\n<td width=\"160\">Terfenadin<\/td>\n<td width=\"160\">Teldane<\/td>\n<td rowspan=\"4\" width=\"160\">Ch\u1ed1ng d\u1ecb \u1ee9ng<\/p>\n<p>m\u1ea1nh, k\u00e9o d\u00e0i, kh\u00f4ng<\/p>\n<p>bu\u1ed3n ng\u1ee7<\/td>\n<td width=\"160\">Kh\u00f4 mi\u1ec7ng,<\/p>\n<p>bu\u1ed3n n\u00f4n,<\/p>\n<p>\u0111au \u0111\u1ea7u<\/td>\n<td rowspan=\"4\" width=\"160\">Ch\u1ed1ng<\/p>\n<p>d\u1ecb \u1ee9ng<\/td>\n<td width=\"160\">M\u1eabn c\u1ea3m.<\/td>\n<\/tr>\n<tr>\n<td width=\"160\">Fexofenadin<\/td>\n<td width=\"160\">Telfast BD<\/td>\n<td width=\"160\">Nh\u1ee9c \u0111\u1ea7u,<\/p>\n<p>ng\u1ee9a h\u1ecdng<\/td>\n<td width=\"160\">M\u1eabn c\u1ea3m.<\/td>\n<\/tr>\n<tr>\n<td width=\"160\">Loratadin<\/td>\n<td width=\"160\">Clarityne<\/td>\n<td width=\"160\">M\u1ec7t m\u1ecfi,<\/p>\n<p>nh\u1ee9c \u0111\u1ea7u,<\/p>\n<p>nh\u1ecbp tim<\/p>\n<p>nhanh<\/td>\n<td width=\"160\">Tr\u1ebb d\u01b0\u1edbi 12 tu\u1ed5i.<\/td>\n<\/tr>\n<tr>\n<td width=\"160\">Acrivastin<\/td>\n<td width=\"160\">Semprex<\/td>\n<td width=\"160\">\u0110\u00f4i khi<\/p>\n<p>bu\u1ed3n ng\u1ee7<\/td>\n<td width=\"160\">Tr\u1ebb d\u01b0\u1edbi 12 tu\u1ed5i, m\u1eabn c\u1ea3m<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Li\u1ec1u d\u00f9ng:<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"369\">Promethazin<\/td>\n<td width=\"480\">U\u1ed1ng 25mg\/l\u1ea7n x 2-3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>IM 0,5-1mg\/kg x 3-4 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"369\">Diphenhydramin<\/td>\n<td width=\"480\">U\u1ed1ng 25-50mg\/l\u1ea7n x 3 l\u1ea7n\/ng\u00e0y<\/p>\n<p>Ti\u00eam 1 \u1ed1ng\/l\u1ea7n x 2 \u1ed1ng\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"369\">Clorpheniramin<\/td>\n<td width=\"480\">U\u1ed1ng 4mg\/l\u1ea7n x 3-4 l\u1ea7n\/ng\u00e0y<\/p>\n<p>Ti\u00eam 1-5 \u1ed1ng\/ng\u00e0y,<\/td>\n<\/tr>\n<tr>\n<td width=\"369\">Terfenadin<\/td>\n<td width=\"480\">U\u1ed1ng 120mg\/l\u1ea7n ho\u1eb7c 60mg\/l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y<\/p>\n<p>Tr\u1ebb d\u01b0\u1edbi 6 tu\u1ed5i: 2mg\/kg\/ng\u00e0y x 2 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"369\">Fexofenadin<\/td>\n<td width=\"480\">U\u1ed1ng 60mg\/l\u1ea7n x 2 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"369\">Loratadin<\/td>\n<td width=\"480\">U\u1ed1ng 10mg\/ng\u00e0y<\/p>\n<p>Tr\u1ebb 2-12 tu\u1ed5i: d\u00f9ng sirup 2 mu\u1ed7ng caf\u00e9\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"369\">Acrivastin<\/td>\n<td width=\"480\">U\u1ed1ng 8mg\/l\u1ea7n x 3 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/soc-phan-ve-la-gi-va-thuong-xay-ra-trong-truong-hop-nao\/\">s\u1ed1c ph\u1ea3n v\u1ec7<\/a><\/p>\n<p><strong>Tags: #D\u1ecb \u1ee9ng mi\u1ec5n d\u1ecbch,#S\u1ed1c ph\u1ea3n v\u1ec7,#Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh d\u1ecb \u1ee9ng l\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 khi ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean (kh\u00e1ng nguy\u00ean). D\u1ecb nguy\u00ean c\u0169ng r\u1ea5t \u0111a d\u1ea1ng nh\u01b0 thu\u1ed1c, th\u1ee9c \u0103n, th\u1eddi ti\u1ebft, b\u1ee5i nh\u00e0, ph\u1ea5n hoa\u2026 C\u00e1c d\u1ecb nguy\u00ean n\u00e0y x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p , ti\u00eau h\u00f3a, m\u00e1u, ti\u1ebfp x\u00fac b\u1ec1 m\u1eb7t [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[73,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh d\u1ecb \u1ee9ng: C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh d\u1ecb \u1ee9ng l\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 khi ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean (kh\u00e1ng nguy\u00ean). D\u1ecb nguy\u00ean c\u0169ng r\u1ea5t \u0111a d\u1ea1ng nh\u01b0 thu\u1ed1c, th\u1ee9c \u0103n, th\u1eddi ti\u1ebft,...\" \/>\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=\"B\u1ec7nh d\u1ecb \u1ee9ng: C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh d\u1ecb \u1ee9ng l\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 khi ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean (kh\u00e1ng nguy\u00ean). D\u1ecb nguy\u00ean c\u0169ng r\u1ea5t \u0111a d\u1ea1ng nh\u01b0 thu\u1ed1c, th\u1ee9c \u0103n, th\u1eddi ti\u1ebft,...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/07\/01\/benh-di-ung-cac-trieu-chung-va-cach-dieu-tri-hieu-qua\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-07-01T09:25:08+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/b2bc1d68-daa5-44b6-b3b0-b315fd7b7509-300x300.jpg\" \/>\n<meta name=\"author\" content=\"Dai Tran Van\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dai Tran Van\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/07\/01\/benh-di-ung-cac-trieu-chung-va-cach-dieu-tri-hieu-qua\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/07\/01\/benh-di-ung-cac-trieu-chung-va-cach-dieu-tri-hieu-qua\/\",\"name\":\"B\u1ec7nh d\u1ecb \u1ee9ng: C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-07-01T09:25:08+00:00\",\"dateModified\":\"2023-07-01T09:25:08+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\"},\"description\":\"B\u1ec7nh d\u1ecb \u1ee9ng l\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 khi ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean (kh\u00e1ng nguy\u00ean). 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