{"id":151,"date":"2020-07-07T14:07:54","date_gmt":"2020-07-07T07:07:54","guid":{"rendered":"http:\/\/localhost\/bvla\/?p=151"},"modified":"2020-12-21T10:41:51","modified_gmt":"2020-12-21T03:41:51","slug":"benh-bach-hau-nguyen-nhan-trieu-chung-va-cach-chua-tri","status":"publish","type":"post","link":"https:\/\/12point.net\/benh-bach-hau-nguyen-nhan-trieu-chung-va-cach-chua-tri\/","title":{"rendered":"B\u1ec6NH B\u1ea0CH H\u1ea6U: NGUY\u00caN NH\u00c2N, TRI\u1ec6U CH\u1ee8NG V\u00c0 C\u00c1CH CH\u1eeeA TR\u1eca"},"content":{"rendered":"<h2 id=\"ftoc-heading-1\" class=\"ftwp-heading\"><strong>B\u1ec7nh b\u1ea1ch h\u1ea7u (Diptheria) l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>B\u1ec7nh b\u1ea1ch h\u1ea7u (diphtheria) l\u00e0 b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh c\u00f3 gi\u1ea3 m\u1ea1c \u1edf tuy\u1ebfn h\u1ea1nh nh\u00e2n, h\u1ea7u h\u1ecdng, thanh qu\u1ea3n, m\u0169i. B\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf da, c\u00e1c m\u00e0ng ni\u00eam m\u1ea1c kh\u00e1c nh\u01b0 k\u1ebft m\u1ea1c m\u1eaft ho\u1eb7c b\u1ed9 ph\u1eadn sinh d\u1ee5c.<\/p>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh v\u1eeba nhi\u1ec5m tr\u00f9ng v\u1eeba nhi\u1ec5m \u0111\u1ed9c v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e0 do ngo\u1ea1i \u0111\u1ed9c t\u1ed1 c\u1ee7a vi khu\u1ea9n b\u1ea1ch h\u1ea7u \u2013 t\u00ean khoa h\u1ecdc l\u00e0 Corynebacterium diphtheria g\u00e2y ra.<\/p>\n<figure id=\"attachment_152\" aria-describedby=\"caption-attachment-152\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-152\" src=\"http:\/\/localhost\/bvla\/wp-content\/uploads\/2020\/07\/benh-bach-hau-800450-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/12point.net\/wp-content\/uploads\/2020\/07\/benh-bach-hau-800450-300x169.jpg 300w, https:\/\/12point.net\/wp-content\/uploads\/2020\/07\/benh-bach-hau-800450-768x432.jpg 768w, https:\/\/12point.net\/wp-content\/uploads\/2020\/07\/benh-bach-hau-800450.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-152\" class=\"wp-caption-text\">B\u1ec7nh b\u1ea1ch h\u1ea7u<\/figcaption><\/figure>\n<p>Vi khu\u1ea9n t\u1eeb c\u00e1c m\u1ea3ng tr\u1eafng c\u00f3 th\u1ec3 ti\u1ebft ra n\u1ed9i \u0111\u1ed9c t\u1ed1, d\u1ec5 g\u00e2y suy h\u00f4 h\u1ea5p v\u00e0 tu\u1ea7n ho\u00e0n, li\u1ec7t kh\u1ea9u l\u00e0m thay \u0111\u1ed5i gi\u1ecdng n\u00f3i, s\u1eb7c v\u00e0 kh\u00f3 nu\u1ed1t khi \u0103n u\u1ed1ng, l\u00fa l\u1eabn; n\u1eb7ng th\u00ec h\u00f4n m\u00ea, sau \u0111\u00f3 t\u1eed vong. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p bi\u1ebfn ch\u1ee9ng vi\u00eam c\u01a1 tim hay vi\u00eam d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean. \u1ede nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng, ho\u1eb7c kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, 10% tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh s\u1ebd t\u1eed vong m\u1eb7c d\u00f9 \u0111\u00e3 d\u00f9ng kh\u00e1ng sinh v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng huy\u1ebft thanh.<\/p>\n<p>B\u1ec7nh b\u1ea1ch h\u1ea7u \u0111\u01b0\u1ee3c Hippocrates \u2013 \u00f4ng t\u1ed5 c\u1ee7a ng\u00e0nh y h\u1ecdc ph\u01b0\u01a1ng T\u00e2y \u2013 mi\u00eau t\u1ea3 l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o th\u1ebf k\u1ef7 th\u1ee9 5 tr\u01b0\u1edbc C\u00f4ng nguy\u00ean. M\u1ed9t s\u1ed1 t\u00e0i li\u1ec7u c\u0169ng nh\u1eafc \u0111\u1ebfn s\u1ef1 ho\u00e0nh h\u00e0nh c\u1ee7a b\u1ec7nh b\u1ea1ch h\u1ea7u \u1edf Syria v\u00e0 Ai C\u1eadp c\u1ed5 \u0111\u1ea1i. C\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 t\u00ecm ra vi khu\u1ea9n g\u00e2y b\u1ec7nh v\u00e0o kho\u1ea3ng n\u0103m 1883-1884, v\u00e0 kh\u00e1ng \u0111\u1ed9c t\u1ed1 \u0111\u01b0\u1ee3c ph\u00e1t minh v\u00e0o cu\u1ed1i th\u1ebf k\u1ef7 XIX.<\/p>\n<p>\u1ede Vi\u1ec7t Nam, kho\u1ea3ng 5 n\u0103m nay, b\u1ec7nh b\u1ea1ch h\u1ea7u li\u00ean ti\u1ebfp xu\u1ea5t hi\u1ec7n nhi\u1ec1u t\u1ea1i nh\u1eefng t\u1ec9nh \u1edf mi\u1ec1n Trung, T\u00e2y Nguy\u00ean nh\u01b0 Qu\u1ea3ng Nam, Qu\u1ea3ng Ng\u00e3i, \u0110\u00e0 N\u1eb5ng, \u0110\u1eafk L\u1eafk\u2026 T\u1eeb r\u1ea3i r\u00e1c xu\u1ea5t hi\u1ec7n m\u1ed9t, hai tr\u01b0\u1eddng h\u1ee3p \u1edf m\u1ed9t s\u1ed1 v\u00f9ng, g\u1ea7n \u0111\u00e2y li\u00ean ti\u1ebfp h\u00e0ng ch\u1ee5c b\u1ec7nh nh\u00e2n nhi\u1ec5m b\u1ec7nh \u0111\u01b0\u1ee3c ghi nh\u1eadn. M\u1edbi \u0111\u00e2y nh\u1ea5t, s\u1edf Y t\u1ebf t\u1ea1i \u0110\u1eafk L\u1eafk ghi nh\u1eadn tr\u01b0\u1eddng h\u1ee3p 11 ng\u01b0\u1eddi c\u00f9ng nh\u1eadp vi\u1ec7n v\u00ec nghi m\u1eafc b\u1ec7nh b\u1ea1ch h\u1ea7u sau khi \u0111i \u0111\u00e1m tang v\u1ec1, trong \u0111\u00f3 c\u00f3 7 tr\u1ebb em v\u00e0 4 ng\u01b0\u1eddi l\u1edbn.<\/p>\n<h2 id=\"ftoc-heading-2\" class=\"ftwp-heading\"><strong>Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh b\u1ea1ch h\u1ea7u l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh b\u1ea1ch h\u1ea7u l\u00e0 vi khu\u1ea9n Corynebacterium diphtheriae thu\u1ed9c h\u1ecd Corynebacteriaceae. Vi khu\u1ea9n b\u1ea1ch h\u1ea7u c\u00f3 3 t\u00fdp l\u00e0 Gravis, Mitis v\u00e0 Intermedius. Vi khu\u1ea9n b\u1ea1ch h\u1ea7u ti\u1ebft ra c\u00e1c \u0111\u1ed9c t\u1ed1 g\u00e2y t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u t\u1ed5 ch\u1ee9c v\u00e0 c\u01a1 quan c\u1ee7a c\u01a1 th\u1ec3. \u1ed4 ch\u1ee9a vi khu\u1ea9n b\u1ea1ch h\u1ea7u n\u1eb1m \u1edf ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u1ea3 ng\u01b0\u1eddi l\u00e0nh mang vi khu\u1ea9n. \u0110\u00e2y v\u1eeba l\u00e0 \u1ed5 ch\u1ee9a, v\u1eeba l\u00e0 ngu\u1ed3n truy\u1ec1n b\u1ec7nh.<\/p>\n<p>B\u1ec7nh kh\u1edfi ph\u00e1t c\u1ea5p t\u00ednh v\u00e0 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m ch\u00ednh l\u00e0 \u0111au h\u1ecdng, s\u1ed1t v\u00e0 s\u01b0ng h\u1ea1ch \u1edf c\u1ed5. \u0110\u1ed9c t\u1ed1 b\u1ea1ch h\u1ea7u l\u00e0m cho m\u00e0ng m\u00f4 ch\u1ebft \u0111i v\u00e0 t\u00edch t\u1ee5 tr\u00ean c\u1ed5 h\u1ecdng v\u00e0 amidan, khi\u1ebfn vi\u1ec7c th\u1edf v\u00e0 nu\u1ed1t tr\u1edf n\u00ean kh\u00f3 kh\u0103n.<\/p>\n<p>B\u1ec7nh l\u00e2y lan qua ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi b\u1ec7nh sang ng\u01b0\u1eddi l\u00e0nh qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ho\u1eb7c gi\u00e1n ti\u1ebfp khi ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed3 ch\u01a1i, v\u1eadt d\u1ee5ng c\u00f3 d\u00ednh ch\u1ea5t b\u00e0i ti\u1ebft c\u1ee7a ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m vi khu\u1ea9n b\u1ea1ch h\u1ea7u.<\/p>\n<p>V\u00ec vi khu\u1ea9n b\u1ea1ch h\u1ea7u l\u00e2y truy\u1ec1n ch\u1ee7 y\u1ebfu qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p n\u00ean t\u1ed1c \u0111\u1ed9 l\u00e2y lan r\u1ea5t nhanh, c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp qua da t\u1ed5n th\u01b0\u01a1ng g\u00e2y b\u1ea1ch h\u1ea7u da. Sau kho\u1ea3ng 2 tu\u1ea7n nhi\u1ec5m vi khu\u1ea9n, b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 th\u1ec3 l\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<h2 id=\"ftoc-heading-3\" class=\"ftwp-heading\"><strong>Tri\u1ec7u ch\u1ee9ng khi b\u1ecb b\u1ec7nh b\u1ea1ch h\u1ea7u l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>C\u00f3 kh\u00e1 nhi\u1ec1u tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n trong 2 \u0111\u1ebfn 5 ng\u00e0y sau khi ph\u01a1i nhi\u1ec5m. Ban \u0111\u1ea7u ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh s\u1ebd b\u1ecb \u0111au h\u1ecdng, ho v\u00e0 s\u1ed1t k\u00e8m \u1edbn l\u1ea1nh. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y t\u0103ng d\u1ea7n t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng h\u01a1n. Ch\u00ednh v\u00ec tri\u1ec7u ch\u1ee9ng kh\u00e1 ph\u1ed5 bi\u1ebfn n\u00ean cha m\u1eb9 d\u1ec5 nh\u1ea7m t\u01b0\u1edfng tr\u1ebb ch\u1ec9 \u0111\u01a1n gi\u1ea3n \u0111ang b\u1ecb c\u1ea3m l\u1ea1nh, ch\u1ee9 kh\u00f4ng ph\u1ea3i \u0111ang ph\u01a1i nhi\u1ec5m v\u1edbi vi khu\u1ea9n b\u1ea1ch h\u1ea7u.<\/p>\n<p>T\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed vi khu\u1ea9n g\u00e2y b\u1ec7nh, b\u1ec7nh b\u1ea1ch h\u1ea7u s\u1ebd c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c nhau:<\/p>\n<ul>\n<li><strong>B\u1ec7nh b\u1ea1ch h\u1ea7u m\u0169i tr\u01b0\u1edbc<\/strong>: B\u1ec7nh nh\u00e2n s\u1ed5 m\u0169i, ch\u1ea3y m\u0169i ra ch\u1ea5t m\u1ee7 nh\u1ea7y \u0111\u00f4i khi c\u00f3 l\u1eabn m\u00e1u. Khi kh\u00e1m, c\u00f3 th\u1ec3 th\u1ea5y m\u00e0ng tr\u1eafng \u1edf v\u00e1ch ng\u0103n m\u0169i. Th\u1ec3 b\u1ec7nh n\u00e0y th\u01b0\u1eddng nh\u1eb9 do \u0111\u1ed9c t\u1ed1 vi khu\u1ea9n \u00edt th\u00e2m nh\u1eadp v\u00e0o m\u00e1u.<\/li>\n<li><strong>B\u1ec7nh b\u1ea1ch h\u1ea7u h\u1ecdng v\u00e0 amidan<\/strong>: B\u1ec7nh nh\u00e2n m\u1ec7t m\u1ecfi, \u0111au c\u1ed5 h\u1ecdng, ch\u00e1n \u0103n, s\u1ed1t nh\u1eb9. Sau 2-3 ng\u00e0y s\u1ebd xu\u1ea5t hi\u1ec7n m\u1ed9t \u0111\u00e1m ho\u1ea1i t\u1eed t\u1ea1o th\u00e0nh l\u1edbp gi\u1ea3 m\u1ea1c m\u00e0u tr\u1eafng xanh, dai v\u00e0 d\u00ednh ch\u1eafc v\u00e0o ami\u0111an, ho\u1eb7c c\u00f3 th\u1ec3 lan r\u1ed9ng bao ph\u1ee7 c\u1ea3 v\u00f9ng h\u1ea7u h\u1ecdng. Th\u01b0\u1eddng th\u1ec3 b\u1ec7nh n\u00e0y c\u00e1c \u0111\u1ed9c t\u1ed1 ng\u1ea5m v\u00e0o m\u00e1u nhi\u1ec1u v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u00ecnh tr\u1ea1ng nhi\u1ec5m \u0111\u1ed9c to\u00e0n th\u00e2n. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u01b0ng n\u1ec1 v\u00f9ng d\u01b0\u1edbi h\u00e0m v\u00e0 s\u01b0ng c\u00e1c h\u1ea1ch v\u00f9ng c\u1ed5 l\u00e0m c\u1ed5 b\u1ea1nh ra nh\u01b0 c\u1ed5 b\u00f2. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng, b\u1ec7nh nh\u00e2n s\u1ebd ph\u1edd ph\u1ea1c, xanh t\u00e1i, m\u1ea1ch nhanh, \u0111\u1edd \u0111\u1eabn, h\u00f4n m\u00ea. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1eed vong trong v\u00f2ng 6-10 ng\u00e0y.<\/li>\n<li><strong>B\u1ea1ch h\u1ea7u thanh qu\u1ea3n<\/strong>: \u0110\u00e2y l\u00e0 th\u1ec3 b\u1ec7nh ti\u1ebfn tri\u1ec3n nhanh v\u00e0 r\u1ea5t nguy hi\u1ec3m. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n b\u1eb1ng d\u1ea5u hi\u1ec7u s\u1ed1t, kh\u00e0n gi\u1ecdng, ho \u00f4ng \u1ed5ng. Khi kh\u00e1m, b\u00e1c s\u0129 c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c gi\u1ea3 m\u1ea1c t\u1ea1i ngay thanh qu\u1ea3n ho\u1eb7c t\u1eeb h\u1ea7u h\u1ecdng lan xu\u1ed1ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi, c\u00e1c gi\u1ea3 m\u1ea1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u1eafc \u0111\u01b0\u1eddng th\u1edf l\u00e0m b\u1ec7nh nh\u00e2n suy h\u00f4 h\u1ea5p v\u00e0 c\u00f3 nguy c\u01a1 t\u1eed vong nhanh ch\u00f3ng.<\/li>\n<li><strong>B\u1ea1ch h\u1ea7u c\u00e1c v\u1ecb tr\u00ed kh\u00e1c<\/strong>: Th\u01b0\u1eddng r\u1ea5t hi\u1ebfm g\u1eb7p v\u00e0 nh\u1eb9, vi khu\u1ea9n b\u1ea1ch h\u1ea7u c\u00f3 th\u1ec3 g\u00e2y lo\u00e9t \u1edf da, ni\u00eam m\u1ea1c nh\u01b0 ni\u00eam m\u1ea1c m\u1eaft, \u00e2m \u0111\u1ea1o hay \u1ed1ng tai.<\/li>\n<\/ul>\n<h2 id=\"ftoc-heading-4\" class=\"ftwp-heading\"><strong>Di\u1ec5n ti\u1ebfn b\u1ec7nh v\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a b\u1ec7nh<\/strong><\/h2>\n<p>Khi b\u1ec7nh tr\u1edf n\u1eb7ng, b\u00ean trong c\u1ed5 h\u1ecdng v\u00e0 amidan ng\u01b0\u1eddi b\u1ec7nh xu\u1ea5t hi\u1ec7n c\u00e1c l\u1edbp m\u00e0ng d\u00e0y m\u00e0u tr\u1eafng x\u00e1m, m\u1ecdc th\u00e0nh t\u1eebng m\u1ea3ng l\u1edbn, khi\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 ho khan.<\/p>\n<p>Khi m\u1eafc b\u1ec7nh, n\u1ebfu b\u1ec7nh nhi kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn vi\u00eam c\u01a1 tim, t\u1ed5n th\u01b0\u01a1ng h\u1ec7 th\u1ea7n kinh, t\u1eed vong do \u0111\u1ed9t ng\u1ed9t tr\u1ee5y tim m\u1ea1ch. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam c\u01a1 tim v\u00e0 van tim, g\u00e2y ra b\u1ec7nh tim m\u00e3n t\u00ednh v\u00e0 suy tim. Ngo\u00e0i ra, b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn tho\u00e1i h\u00f3a th\u1eadn, ho\u1ea1i t\u1eed \u1ed1ng th\u1eadn, ch\u1ea3y m\u00e1u l\u1edbp t\u1ee7y v\u00e0 v\u1ecf th\u01b0\u1ee3ng th\u1eadn.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh n\u1eb7ng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n s\u1ed1t cao nh\u01b0ng c\u00f3 d\u1ea5u hi\u1ec7u s\u01b0ng to c\u1ed5, kh\u00e0n ti\u1ebfng, kh\u00f3 th\u1edf, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, d\u1eabn \u0111\u1ebfn t\u00ea li\u1ec7t ho\u00e0n to\u00e0n. B\u1ec7nh ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn tr\u1ea7m tr\u1ecdng khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong trong v\u00f2ng 6-10 ng\u00e0y.<\/p>\n<h2 id=\"ftoc-heading-5\" class=\"ftwp-heading\"><strong>B\u1ec7nh b\u1ea1ch h\u1ea7u ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Theo ThS.BS B\u00f9i Ng\u1ecdc An Pha \u2013 Gi\u00e1m \u0111\u1ed1c y khoa h\u1ec7 th\u1ed1ng Trung t\u00e2m ti\u00eam ch\u1ee7ng Tr\u1ebb em v\u00e0 Ng\u01b0\u1eddi l\u1edbn VNVC cho bi\u1ebft: \u201cB\u1ea1ch h\u1ea7u l\u00e0 b\u1ec7nh c\u00f3 thu\u1ed1c \u0111\u1eb7c hi\u1ec7u n\u00ean c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh ng\u01b0ng \u0111i\u1ec1u tr\u1ecb gi\u1eefa ch\u1eebng, nguy c\u01a1 t\u1eed vong r\u1ea5t cao. B\u1ec7nh nh\u00e2n xu\u1ea5t vi\u1ec7n khi ch\u01b0a kh\u1ecfi b\u1ec7nh s\u1ebd tr\u1edf th\u00e0nh ngu\u1ed3n l\u00e2y nguy hi\u1ec3m cho c\u1ed9ng \u0111\u1ed3ng.\u201d<\/p>\n<p>\u201cHi\u1ec7n nay, \u0111\u00e3 c\u00f3 thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh b\u1ea1ch h\u1ea7u, tuy nhi\u00ean, trong giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n, b\u1ec7nh b\u1ea1ch h\u1ea7u c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho tim, th\u1eadn v\u00e0 h\u1ec7 th\u1ea7n kinh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ngay c\u1ea3 khi \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh b\u1ea1ch h\u1ea7u c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong v\u1edbi t\u1ef7 l\u1ec7 3% nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh b\u1ea1ch h\u1ea7u, t\u1ef7 l\u1ec7 n\u00e0y c\u00f2n cao h\u01a1n \u1edf tr\u1ebb em d\u01b0\u1edbi 15 tu\u1ed5i\u201d, b\u00e1c s\u0129 An Pha cho bi\u1ebft th\u00eam.<\/p>\n<p>Hi\u1ec7n t\u1ea1i, thu\u1ed1c kh\u00e1ng b\u1ea1ch h\u1ea7u s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o hi\u1ec3m thanh to\u00e1n, n\u00ean s\u1ebd t\u1ed1n r\u1ea5t nhi\u1ec1u chi ph\u00ed. Nh\u1eefng ca b\u1ec7nh n\u1eb7ng, c\u00f3 bi\u1ebfn ch\u1ee9ng ph\u1ea3i k\u1ebft h\u1ee3p c\u00e1c gi\u1ea3i ph\u00e1p kh\u00e1c, chi ph\u00ed kho\u1ea3ng 40 \u0111\u1ebfn 70 tri\u1ec7u \u0111\u1ed3ng. V\u00ec th\u1ebf vi\u1ec7c ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng b\u1ec7nh lu\u00f4n \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u.<\/p>\n<h3 id=\"ftoc-heading-6\" class=\"ftwp-heading\"><strong>C\u00e1ch ph\u00f2ng ng\u1eeba:<\/strong><\/h3>\n<ul>\n<li>Th\u01b0\u1eddng xuy\u00ean r\u1eeda tay b\u1eb1ng x\u00e0 ph\u00f2ng; che mi\u1ec7ng khi ho ho\u1eb7c h\u1eaft h\u01a1i; gi\u1eef v\u1ec7 sinh th\u00e2n th\u1ec3, m\u0169i, h\u1ecdng h\u00e0ng ng\u00e0y; h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ho\u1eb7c nghi ng\u1edd m\u1eafc b\u1ec7nh.<\/li>\n<li>\u0110\u1ea3m b\u1ea3o nh\u00e0 \u1edf, nh\u00e0 tr\u1ebb, l\u1edbp h\u1ecdc th\u00f4ng tho\u00e1ng, s\u1ea1ch s\u1ebd v\u00e0 c\u00f3 \u0111\u1ee7 \u00e1nh s\u00e1ng.<\/li>\n<li>Ng\u01b0\u1eddi c\u00f3 d\u1ea5u hi\u1ec7u m\u1eafc b\u1ec7nh ho\u1eb7c nghi ng\u1edd m\u1eafc b\u1ec7nh b\u1ea1ch h\u1ea7u ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1ch ly v\u00e0 \u0111\u01b0a \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n<li>Ng\u01b0\u1eddi d\u00e2n trong \u1ed5 d\u1ecbch c\u1ea7n ch\u1ea5p h\u00e0nh nghi\u00eam t\u00fac vi\u1ec7c u\u1ed1ng thu\u1ed1c ph\u00f2ng v\u00e0 ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh theo ch\u1ec9 \u0111\u1ecbnh v\u00e0 y\u00eau c\u1ea7u c\u1ee7a c\u01a1 quan y t\u1ebf.<\/li>\n<\/ul>\n<p>B\u1ea1ch h\u1ea7u l\u00e0 b\u1ec7nh nguy hi\u1ec3m nh\u01b0ng c\u00f3 th\u1ec3 \u0111\u1ec1 ph\u00f2ng d\u1ec5 d\u00e0ng b\u1eb1ng c\u00e1ch ti\u00eam ch\u1ee7ng ph\u00f2ng b\u1ec7nh. Tr\u00ec ho\u00e3n vi\u1ec7c ti\u00eam ph\u00f2ng v\u00ec b\u1ea5t c\u1ee9 l\u00fd do g\u00ec s\u1ebd khi\u1ebfn cho tr\u1ebb t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh.<\/p>\n<p>B\u1ec7nh b\u1ea1ch h\u1ea7u kh\u00f4ng c\u00f3 t\u00ednh mi\u1ec5n d\u1ecbch tr\u1ecdn \u0111\u1eddi, v\u00ec th\u1ebf n\u1ebfu \u0111\u00e3 m\u1eafc b\u1ec7nh nguy c\u01a1 b\u1ecb t\u00e1i nhi\u1ec5m c\u00e1c l\u1ea7n sau v\u1eabn r\u1ea5t cao. V\u00ec th\u1ebf, \u0111\u1ec3 ch\u1ee7 \u0111\u1ed9ng t\u1ea1o mi\u1ec5n d\u1ecbch v\u1edbi v\u1eafc xin l\u00e0 bi\u1ec7n ph\u00e1p an to\u00e0n, hi\u1ec7u qu\u1ea3 v\u00e0 kinh t\u1ebf nh\u1ea5t.<\/p>\n<p>V\u1eafc xin b\u1ea1ch h\u1ea7u c\u00f3 trong t\u1ea5t c\u1ea3 c\u00e1c v\u1eafc xin k\u1ebft h\u1ee3p 3 trong 1; 4 trong 1; 5 trong 1, hay 6 trong 1, d\u00e0nh cho tr\u1ebb t\u1eeb 6 tu\u1ea7n \u0111\u1ebfn 6 tu\u1ed5i:<\/p>\n<ul>\n<li>V\u1eafc xin k\u1ebft h\u1ee3p 6 trong 1 Hexaxim ho\u1eb7c Infanrix Hexa (ph\u00f2ng 6 b\u1ec7nh: Ho g\u00e0, b\u1ea1ch h\u1ea7u, u\u1ed1n v\u00e1n, vi\u00eam gan B, b\u1ea1i li\u1ec7t v\u00e0 vi\u00eam m\u00e0ng n\u00e3o m\u1ee7\/vi\u00eam ph\u1ed5i do vi khu\u1ea9n HiB).<\/li>\n<li>V\u1eafc xin k\u1ebft h\u1ee3p 5 trong 1 Pentaxim (ph\u00f2ng 5 b\u1ec7nh: Ho g\u00e0, b\u1ea1ch h\u1ea7u, u\u1ed1n v\u00e1n, b\u1ea1i li\u1ec7t v\u00e0 c\u00e1c b\u1ec7nh do Hib) ho\u1eb7c v\u1eafc xin trong ch\u01b0\u01a1ng tr\u00ecnh TCMR\u00a0<a href=\"https:\/\/vnvc.vn\/combe-five-vac-xin-5-trong-1-moi-giai-nhiet-con-khat-vac-xin\/\" target=\"_blank\" rel=\"noopener noreferrer\">ComBE Five<\/a>\u00a0(Ph\u00f2ng 5 b\u1ec7nh: b\u1ea1ch h\u1ea7u, ho g\u00e0, u\u1ed1n v\u00e1n, vi\u00eam m\u00e0ng n\u00e3o m\u1ee7\/vi\u00eam ph\u1ed5i do vi khu\u1ea9n HiB v\u00e0 vi\u00eam gan B).<\/li>\n<li>V\u1eafc xin k\u1ebft h\u1ee3p 3 trong 1 Adacel (ph\u00f2ng c\u00e1c b\u1ec7nh B\u1ea1ch h\u1ea7u \u2013 Ho g\u00e0 \u2013 U\u1ed1n v\u00e1n).<\/li>\n<li>V\u1eafc xin k\u1ebft h\u1ee3p 4 trong 1 Tetraxim (ph\u00f2ng c\u00e1c b\u1ec7nh B\u1ea1ch h\u1ea7u \u2013 Ho g\u00e0 \u2013 U\u1ed1n v\u00e1n \u2013 B\u1ea1i li\u1ec7t).<\/li>\n<\/ul>\n<p>B\u1ed9 Y t\u1ebf khuy\u1ebfn c\u00e1o cha m\u1eb9 c\u00f3 con d\u01b0\u1edbi 5 tu\u1ed5i c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111i ti\u00eam ch\u1ee7ng \u0111\u1ea7y \u0111\u1ee7 c\u00e1c v\u1eafc xin ph\u00f2ng b\u1ec7nh theo Th\u00f4ng t\u01b0 38\/2017\/TT-BYT \u201cQuy \u0111\u1ecbnh danh m\u1ee5c b\u1ec7nh truy\u1ec1n nhi\u1ec5m, ph\u1ea1m vi v\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng ph\u1ea3i s\u1eed d\u1ee5ng v\u1eafc xin, sinh ph\u1ea9m y t\u1ebf b\u1eaft bu\u1ed9c\u201d, c\u00f3 hi\u1ec7u l\u1ef1c t\u1eeb 1\/1\/2018 do B\u1ed9 Y t\u1ebf ban h\u00e0nh ng\u00e0y 17\/10\/2017.<\/p>\n<p>Hi\u1ec7n VNVC \u0111ang s\u1eb5n c\u00f3 c\u00e1c lo\u1ea1i v\u1eafc xin k\u1ebft h\u1ee3p c\u00f3 th\u00e0nh t\u1ed1 ch\u1ed1ng b\u1ea1ch h\u1ea7u ph\u1ee5c v\u1ee5 ba m\u1eb9 \u0111\u01b0a tr\u1ebb t\u1edbi ti\u00eam. Tuy nhi\u00ean \u0111\u00e2y l\u00e0 lo\u1ea1i v\u1eafc xin th\u01b0\u1eddng xuy\u00ean r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng khan hi\u1ebfm n\u00ean \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o lu\u00f4n c\u00f3 v\u1eafc xin, ba m\u1eb9 c\u00f3 th\u1ec3 mua g\u00f3i v\u1eafc xin ho\u1eb7c \u0111\u1eb7t tr\u01b0\u1edbc khi ti\u00eam m\u0169i l\u1ebb v\u1eafc xin cho b\u00e9.<\/p>\n<p>Kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111\u1eb7t l\u1ecbch gi\u1eef v\u1eafc xin\u00a0 t\u1ea1i trung t\u00e2m ti\u00eam ch\u1ee7ng d\u00e0nh cho tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn VNVC \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o con y\u00eau s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam \u0111\u1ee7 m\u0169i v\u1eafc xin \u201csi\u00eau khan hi\u1ebfm\u201d. Ch\u1ec9 c\u1ea7n g\u1ecdi \u0111i\u1ec7n l\u00ean hotline\u00a0<strong>028 7300 6595<\/strong>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch ti\u00eam v\u1eafc xin cho tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn t\u1ea1i:\u00a0<a href=\"https:\/\/vnvc.vn\/dang-ky-thong-tin-tiem-chung\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/vnvc.vn\/dang-ky-thong-tin-tiem-chung\/<\/a>.<\/p>\n<p style=\"text-align: right;\">Ngu\u1ed3n VNVC<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh b\u1ea1ch h\u1ea7u (Diptheria) l\u00e0 g\u00ec? B\u1ec7nh b\u1ea1ch h\u1ea7u (diphtheria) l\u00e0 b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ea5p t\u00ednh c\u00f3 gi\u1ea3 m\u1ea1c \u1edf<\/p>\n","protected":false},"author":1,"featured_media":152,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"jetpack_featured_media_url":"https:\/\/12point.net\/wp-content\/uploads\/2020\/07\/benh-bach-hau-800450.jpg","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/posts\/151"}],"collection":[{"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/comments?post=151"}],"version-history":[{"count":0,"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/posts\/151\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/media\/152"}],"wp:attachment":[{"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/media?parent=151"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/categories?post=151"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/12point.net\/wp-json\/wp\/v2\/tags?post=151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}