{"id":102516,"date":"2021-02-04T00:00:00","date_gmt":"2021-02-04T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/viem-phe-quan-cap\/"},"modified":"2023-06-16T00:00:00","modified_gmt":"2023-06-16T00:00:00","slug":"viem-phe-quan-cap","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/ho-hap\/viem-phe-quan-cap\/","title":{"rendered":"Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 ch\u1ee9ng b\u1ec7nh v\u1ec1 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p x\u1ea3y ra khi c\u00e1c ph\u1ebf qu\u1ea3n b\u1ecb vi\u00eam s\u1ebd d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng l\u1edbp t\u1ebf b\u00e0o ph\u1ee7 m\u1eb7t trong l\u00f2ng \u1ed1ng ph\u1ebf qu\u1ea3n, ph\u00f9 n\u1ec1 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi ni\u00eam m\u1ea1c, co th\u1eaft c\u00e1c c\u01a1 tr\u01a1n d\u01b0\u1edbi l\u1edbp m\u00f4 n\u00e0y v\u00e0 ti\u1ebft d\u1ecbch v\u00e0o l\u00f2ng \u1ed1ng ph\u1ebf qu\u1ea3n d\u1eabn t\u1edbi c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng nh\u01b0 ho, kh\u00f2 kh\u00e8, c\u00f3 \u0111\u1eddm\u2026 B\u1ec7nh xu\u1ea5t hi\u1ec7n do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng tr\u1edf th\u00e0nh th\u1ec3 m\u00e3n t\u00ednh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ee9t \u0111i\u1ec3m. H\u00e3y c\u00f9ng Doctor c\u00f3 s\u1eb5n<\/strong><\/a> t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n trong n\u1ed9i dung d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n

Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 g\u00ec?<\/h2>\n\n\n\n

Vi\u1ec7t Nam n\u1eb1m \u1edf v\u00f9ng x\u00edch \u0111\u1ea1o, th\u1eddi ti\u1ebft \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 n\u00f3ng \u1ea9m \u1edf v\u00e0 thay \u0111\u1ed5i r\u00f5 r\u1ec7t v\u1ec1 nhi\u1ec7t \u0111\u1ed9 gi\u1eefa m\u00f9a \u0111\u00f4ng v\u00e0 m\u00f9a h\u00e8, m\u00f9a kh\u00f4 v\u00e0 m\u00f9a m\u01b0a. Ngo\u00e0i ra hi\u1ec7n t\u01b0\u1ee3ng \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed \u1edf c\u1ea3 3 mi\u1ec1n B\u1eafc Trung Nam ng\u00e0y c\u00e0ng gia t\u0103ng \u0111\u00e1ng k\u1ec3. V\u00ec v\u1eady, kh\u1ea3 n\u0103ng nhi\u1ec5m c\u00e1c b\u1ec7nh v\u1ec1 h\u00f4 h\u1ea5p c\u0169ng r\u1ea5t cao \u1edf t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi. Ph\u1ed5 bi\u1ebfn l\u00e0 c\u1ea3m l\u1ea1nh th\u00f4ng th\u01b0\u1eddng, vi\u00eam ph\u1ebf qu\u1ea3n, hen ph\u1ebf qu\u1ea3n, vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ed5i… Trong \u0111\u00f3, vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 hay g\u1eb7p nh\u1ea5t<\/p>\n\n\n\n

Ph\u1ebf l\u00e0 ph\u1ed5i, qu\u1ea3n l\u00e0 c\u00e1i \u1ed1ng, ph\u1ebf qu\u1ea3n l\u00e0 \u1ed1ng d\u1eabn kh\u00f4ng kh\u00ed v\u00e0o trong ph\u1ed5i. H\u1ec7 th\u1ed1ng ph\u1ebf qu\u1ea3n tr\u00f4ng gi\u1ed1ng nh\u01b0 h\u1ec7 th\u1ed1ng c\u00e0nh c\u00e2y, chia ra nhi\u1ec1u c\u00e0nh, nhi\u1ec1u nh\u00e1nh t\u1eeb l\u1edbn t\u1edbi nh\u1ecf \u0111\u1ec3 d\u1eabn kh\u00ed v\u00e0o ph\u1ed5i. Trong \u0111\u00f3 c\u00f3 hai nh\u00e1nh l\u1edbn nh\u1ea5t g\u1ecdi l\u00e0 ph\u1ebf qu\u1ea3n g\u1ed1c ph\u1ea3i v\u00e0 tr\u00e1i. Khi c\u00e1c ph\u1ebf qu\u1ea3n n\u00e0y b\u1ecb vi\u00eam s\u1ebd d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng l\u1edbp t\u1ebf b\u00e0o ph\u1ee7 m\u1eb7t trong l\u00f2ng \u1ed1ng ph\u1ebf qu\u1ea3n, ph\u00f9 n\u1ec1 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi ni\u00eam m\u1ea1c, co th\u1eaft c\u00e1c c\u01a1 tr\u01a1n d\u01b0\u1edbi l\u1edbp m\u00f4 n\u00e0y v\u00e0 ti\u1ebft d\u1ecbch v\u00e0o l\u00f2ng \u1ed1ng ph\u1ebf qu\u1ea3n d\u1eabn t\u1edbi c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng nh\u01b0 ho, kh\u00f2 kh\u00e8, c\u00f3 \u0111\u1eddm\u2026<\/p>\n\n\n\n

Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ea5p t\u00ednh c\u1ee7a ni\u00eam m\u1ea1c ph\u1ebf qu\u1ea3n \u1edf ng\u01b0\u1eddi tr\u01b0\u1edbc \u0111\u00f3 kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng. Vi\u00eam ph\u1ebf qu\u1ea3n l\u00e0 b\u1ec7nh l\u00e0nh t\u00ednh, kh\u1ecfi ho\u00e0n to\u00e0n kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. <\/p>\n\n\n\n

D\u1ea5u hi\u1ec7u vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/h2>\n\n\n\n

Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p do virus \u0111i\u1ec3n h\u00ecnh b\u1eb1ng tri\u1ec7u ch\u1ee9ng vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 h\u1eaft h\u01a1i, s\u1ed5 m\u0169i, vi\u00eam m\u0169i h\u1ecdng. T\u1ed5n th\u01b0\u01a1ng vi\u00eam lan xu\u1ed1ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi bi\u1ec3u hi\u1ec7n b\u1eb1ng ho khan, ho t\u1eebng c\u01a1n, ho \u00f4ng \u1ed5ng. To\u00e0n ph\u00e1t b\u1ec7nh bi\u1ec3u hi\u1ec7n b\u1eb1ng 2 giai \u0111o\u1ea1n:<\/p>\n\n\n\n

    \n
  • Giai \u0111o\u1ea1n kh\u00f4<\/strong>: C\u1ea3m gi\u00e1c b\u1ecfng r\u00e1t sau x\u01b0\u01a1ng \u1ee9c, c\u1ea3m gi\u00e1c n\u00e0y t\u0103ng l\u00ean khi ho, \u0111au ng\u1ef1c ngu\u1ed3n g\u1ed1c do c\u01a1 v\u00ec li\u00ean t\u1ee5c. Ho khan, ho \u00f4ng \u1ed5ng, ho th\u00e0nh t\u1eebng c\u01a1n, kh\u00e0n ti\u1ebfng. S\u1ed1t kho\u1ea3ng 38 \u00b0 C, m\u1ec7t m\u1ecfi \u0111au m\u00ecnh m\u1ea9y, bi\u1ebfng \u0103n. Kh\u00e1m ph\u1ed5i l\u00fac \u0111\u1ea7u b\u00ecnh th\u01b0\u1eddng, sau c\u00f3 th\u1ec3 th\u1ea5y c\u00f3 t\u1ea3i r\u00e1c ran r\u00edt, ran ng\u00e1y. Giai \u0111o\u1ea1n n\u00e0y k\u00e9o d\u00e0i kho\u1ea3ng 3-4 ng\u00e0y sau \u0111\u00f3 s\u1ebd chuy\u1ec3n sang giai \u0111o\u1ea1n \u01b0\u1edbt.<\/li>\n\n\n\n
  • Giai \u0111o\u1ea1n \u01b0\u1edbt<\/strong>: C\u1ea3m gi\u00e1c \u0111au sau x\u01b0\u01a1ng \u1ee9c gi\u1ea3m d\u1ea7n r\u1ed3i m\u1ea5t h\u1eb3n, kh\u00f3 th\u1edf nh\u1eb9, ho kh\u1ea1c \u0111\u1eddm nh\u1ea7y ho\u1eb7c \u0111\u1eddm v\u00e0ng m\u1ee7. Nghe ph\u1ed5i c\u00f3 ran r\u00edt, ran ng\u00e1y, g\u00f5 ph\u1ed5i kh\u00f4ng th\u1ea5y v\u00f9ng \u0111\u1ee5c. Giai \u0111o\u1ea1n n\u00e0y k\u00e9o d\u00e0i kho\u1ea3ng 4-5 ng\u00e0y, kho\u1ea3ng 10 ng\u00e0y th\u00ec kh\u1ecfi h\u1eb3n. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi v\u1eabn ho khanh nhi\u1ec1u tu\u1ea7n do t\u0103ng ph\u1ea3n \u1ee9ng th\u1ebf qu\u1ea3n sau nhi\u1ec5m tr\u00f9ng. \u0110\u00f4i khi b\u1ec7nh xu\u1ea5t hi\u1ec7n r\u1ea5t r\u1ea7m r\u1ed9 c\u00f3 th\u1ec3 s\u1ed1t cao, ho nhi\u1ec1u, ho m\u00e1u, nh\u1ea5t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1 l\u1edbn tu\u1ed5i, nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u1ea7n ch\u00fa \u00fd t\u00ecm ung th\u01b0 ph\u1ed5i ph\u1ebf qu\u1ea3n, k\u1ec3 c\u1ea3 khi tr\u00ean phim Xquang kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u g\u00ec.<\/li>\n<\/ul>\n\n\n\n

    N\u1ebfu ch\u1ee5p X-quang ph\u1ed5i trong vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p th\u01b0\u1eddng kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u g\u00ec \u0111\u1eb7c bi\u1ec7t. Khi x\u00e9t nghi\u1ec7m m\u00e1u, b\u1ea1ch c\u1ea7u v\u00e0 m\u00e1u l\u1eafng t\u0103ng v\u1eeba ph\u1ea3i. C\u1ea5y \u0111\u1eddm th\u1ea5y nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n nh\u01b0ng kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n b\u1ec7nh v\u00e0 \u00edt \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/p>\n\n\n\n

    Nguy\u00ean nh\u00e2n vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/h2>\n\n\n\n

    Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n th\u01b0\u1eddng do nhi\u1ec5m virus, vi khu\u1ea9n, ho\u1eb7c c\u1ea3 hai.<\/p>\n\n\n\n

      \n
    • Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p do virus: <\/strong>Chi\u1ebfm 50-90% tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p. C\u00f3 tr\u00ean 180 lo\u1ea1i virus g\u00e2y b\u1ec7nh nh\u01b0ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 Myxovirus (virus c\u00fan v\u00e0 \u00e1 c\u00fam), c\u00e1c Rhinovirus, Coronavirus, virus \u0111\u1ea1i th\u1ef1c b\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, Adenovirus, Enterovirus v\u00e0 m\u1ed9t s\u1ed1 ch\u1ee7ng Herpes virus (CMV, Varicellae).<\/li>\n\n\n\n
    • Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p do vi khu\u1ea9n: <\/strong>\u00cdt g\u1eb7p h\u01a1n virus, th\u01b0\u1eddng g\u1eb7p m\u1ed9t s\u1ed1 vi khu\u1ea9n n\u1ed9i b\u00e0o nh\u01b0 Mycoplasma Pneumoniae, Chlamydia Pneumoniae (nguy\u00ean nh\u00e2n c\u1ee7a 25% c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p), vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p ph\u1ebf c\u1ea7u v\u00e0 Hemophillus Influenzae th\u01b0\u1eddng \u00edt g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, hay \u0111i k\u00e8m v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u ngo\u00e0i \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. X\u00e9t nghi\u1ec7m 80-90% tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng t\u00ecm th\u1ea5y vi khu\u1ea9n \u1edf b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p.<\/li>\n\n\n\n
    • H\u00edt ph\u1ea3i h\u01a1i \u0111\u1ed9c:<\/strong> Kh\u00f3i thu\u1ed1c l\u00e1, amoniac, axit, dung m\u00f4i c\u00f4ng nghi\u1ec7p, h\u01a1i \u0111\u1ed9c chi\u1ebfn tranh,…<\/li>\n\n\n\n
    • Y\u1ebfu t\u1ed1 d\u1ecb \u1ee9ng: <\/strong>Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u1edf tr\u1ebb em gi\u1ed1ng nh\u01b0 c\u01a1n hen ph\u1ebf qu\u1ea3n, ngo\u00e0i ra c\u0169ng hay x\u1ea3y ra \u1edf ng\u01b0\u1eddi hen, m\u00e0y \u0111ay, ph\u00f9 Quinck.<\/li>\n\n\n\n
    • Nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i:<\/strong>\n
        \n
      • Thay \u0111\u1ed5i th\u1eddi ti\u1ebft, nhi\u1ec5m l\u1ea1nh \u0111\u1ed9t ng\u1ed9t.<\/li>\n\n\n\n
      • C\u01a1 th\u1ec3 suy m\u00f2n, c\u00f2i x\u01b0\u01a1ng, suy dinh d\u01b0\u1ee1ng \u1edf tr\u1ebb em, suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/li>\n\n\n\n
      • \u1eea \u0111\u1ecdng ph\u1ed5i do suy tim.<\/li>\n\n\n\n
      • C\u00e1c b\u1ec7nh c\u1ee7a ph\u1ed5i lao ph\u1ed5i, ung th\u01b0 ph\u1ed5i.<\/li>\n\n\n\n
      • M\u00f4i tr\u01b0\u1eddng \u1ea9m th\u1ea5p nhi\u1ec1u kh\u00f3i b\u1ee5i.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n
        \"\"
        T\u00ecnh tr\u1ea1ng kh\u00f4ng kh\u00ed \u00f4 nhi\u1ec5m n\u1eb7ng n\u1ec1<\/figcaption><\/figure>\n\n\n\n

        Ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/h2>\n\n\n\n
          \n
        • Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean: <\/strong>vi\u00eam h\u1ecdng \u0111\u1ecf, ch\u1ea3y n\u01b0\u1edbc m\u1eaft, n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 th\u1ea5y vi\u00eam m\u0169i m\u1ee7, vi\u00eam xoang, vi\u00eam amidan, vi\u00eam tai gi\u1eefa.<\/li>\n\n\n\n
        • Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi: <\/strong>ho, kh\u00e0n ti\u1ebfng, th\u1edf kh\u00f2 kh\u00e8, v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, nghe ph\u1ed5i th\u1ea5y ran r\u00edt, ran ng\u00e1y. N\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 th\u1ea5y kh\u00f3 th\u1edf r\u00f5 r\u1ec7t, co k\u00e9o l\u1ed3ng ng\u1ef1c, nh\u1ecbp th\u1edf nhanh 30 l\u1ea7n\/ph\u00fat \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb t\u1eeb 1-5 tu\u1ed5i, nh\u1ecbp th\u1edf nhanh tr\u00ean 60 l\u1ea7n\/ph\u00fat \u1edf tr\u1ebb s\u01a1 sinh. Nghe ph\u1ed5i c\u00f3 ran r\u00edt, ran ng\u00e1y, ran \u1ea9m \u1edf v\u00f9ng \u0111\u00e1y ph\u1ed5i.<\/li>\n<\/ul>\n\n\n\n

          C\u1ea7n ph\u00e2n bi\u1ec7t vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p v\u1edbi vi\u00eam ph\u1ed5i, hen ph\u1ebf qu\u1ea3n, gi\u00e3n ph\u1ebf qu\u1ea3n b\u1ed9i nhi\u1ec5m, d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf, lao ph\u1ed5i, ung th\u01b0 ph\u1ed5i, \u0111\u1ee3t c\u1ea5p suy tim sung huy\u1ebft th\u00f4ng qua m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean v\u00e0 qua x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng Xquang, si\u00eau \u00e2m,…<\/em><\/p>\n\n\n\n

          Bi\u1ebfn ch\u1ee9ng c\u1ee7a vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/h2>\n\n\n\n

          Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p n\u00f3i chung ti\u00ean l\u01b0\u1ee3ng t\u1ed1t, ph\u1ea7n l\u1edbn kh\u1ecfi b\u1ec7nh ho\u00e0n to\u00e0n kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. C\u00f3 th\u1ec3 lo ng\u1ea1i h\u01a1n \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u01a1 \u0111\u1ecba suy h\u00f4 h\u1ea5p m\u1ea1n, suy tim, hen ph\u1ebf qu\u1ea3n v\u00e0 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb nh\u1ecf.<\/p>\n\n\n\n

          \u1ede ng\u01b0\u1eddi l\u1edbn tu\u1ed5i h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch suy gi\u1ea3m, t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 lan \u0111\u1ebfn ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eadn v\u00e0 c\u00e1c ph\u1ebf nang g\u00e2y vi\u00eam ph\u1ed5i c\u1ea5p, ti\u00ean l\u01b0\u1ee3ng c\u00f3 th\u1ec3 n\u1eb7ng h\u01a1n.<\/p>\n\n\n\n

          Tuy nhi\u00ean \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh t\u00e1i \u0111i t\u00e1i l\u1ea1i nhi\u1ec1u l\u1ea7n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u00e3n ph\u1ebf qu\u1ea3n ho\u1eb7c vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eafc ngh\u1ebdn, nh\u1ea5t l\u00e0 \u1edf vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u1edf tr\u1ebb em.<\/em><\/p>\n\n\n\n

          \"\"
          H\u00ecnh \u1ea3nh vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/figcaption><\/figure>\n\n\n\n

          \u0110i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/h2>\n\n\n\n

          H\u01a1n 90% vi\u00eam ph\u1ebf qu\u1ea3n l\u00e0 do virut do \u0111\u00f3 trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, vi\u00eam ph\u1ebf qu\u1ea3n kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh.<\/em><\/p>\n\n\n\n

          Li\u1ec7u ph\u00e1p kh\u00e1ng sinh<\/strong><\/h3>\n\n\n\n

          Ch\u1ec9 d\u00f9ng kh\u00e1ng sinh khi c\u00f3 ch\u1ec9 \u0111i\u1ec3m nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n nh\u01b0 t\u00ecnh tr\u1ea1ng x\u1ea5u, s\u1ed1t k\u00e9o d\u00e0i, kh\u1ea1c \u0111\u1eddm xanh, \u0111\u1eddm v\u00e0ng, ho\u1eb7c \u0111\u1eddm m\u1ee7, ho\u1eb7c nh\u1eefng tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u1edf ng\u01b0\u1eddi c\u00f3 k\u00e8m b\u1ec7nh tim, ph\u1ed5i, th\u1eadn, gan, th\u1ea7n kinh c\u01a1, suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/p>\n\n\n\n

          Ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i c\u00f3 ho c\u1ea5p t\u00ednh k\u00e8m th\u00eam hai ho\u1eb7c nhi\u1ec1u h\u01a1n c\u00e1c d\u1ea5u hi\u1ec7u sau b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n trong 1 n\u0103m tr\u01b0\u1edbc, c\u00f3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ 1 ho\u1eb7c typ 2, ti\u1ec1n s\u1eed suy tim xung huy\u1ebft, hi\u1ec7n \u0111ang d\u00f9ng corticoid u\u1ed1ng.<\/p>\n\n\n\n

          \u0110i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p theo tri\u1ec7u ch\u1ee9ng<\/strong><\/h3>\n\n\n\n
            \n
          • Tri\u1ec7u ch\u1ee9ng s\u1ed1t: <\/strong>C\u00f3 hai lo\u1ea1i thu\u1ed1c h\u1ea1 s\u1ed1t: acetaminophen (paracetamol) v\u00e0 ibuprofen. V\u1edbi ibuprofen ch\u1ec9 d\u00f9ng khi c\u00f3 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. D\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t khi s\u1ed1t cao (t\u1eeb 38,5 \u0111\u1ed9 tr\u1edf l\u00ean). V\u1edbi nh\u1eefng tr\u1ebb c\u00f3 b\u1ec7nh l\u00fd tim, ph\u1ed5i, th\u1ea7n kinh,… c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng d\u00f9ng aspirin \u0111\u1ec3 h\u1ea1 s\u1ed1t cho tr\u1ebb em, ng\u01b0\u1eddi b\u1ecb hen, ng\u01b0\u1eddi b\u1ecb lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng… Ch\u01b0\u1eddm \u1ea5m c\u00e1c v\u00f9ng tr\u00e1n, n\u00e1ch, b\u1eb9n.<\/li>\n\n\n\n
          • Tri\u1ec7u ch\u1ee9ng ho:<\/strong> Ho l\u00e0 m\u1ed9t ph\u1ea3n x\u1ea1 c\u00f3 l\u1ee3i \u0111\u1ec3 t\u1ed1ng \u0111\u1eddm, vi khu\u1ea9n ra ngo\u00e0i. Tuy nhi\u00ean, khi ho nhi\u1ec1u d\u1eabn \u0111\u1ebfn n\u00f4n \u00f3i, m\u1ea5t ng\u1ee7… Ng\u01b0\u1eddi b\u1ec7nh n\u00ean u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc gi\u00fap c\u1ea3i thi\u1ec7n vi\u1ec7c ho, kh\u1ea1c \u0111\u1eddm. C\u00f3 th\u1ec3 d\u00f9ng th\u00eam c\u00e1c thu\u1ed1c long \u0111\u1eddm trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 \u0111\u1eddm \u0111\u1eb7c, ho\u1eb7c kh\u00f3 kh\u1ea1c \u0111\u1eddm. Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c gi\u1ea3m ho, do c\u00e1c thu\u1ed1c gi\u1ea3m ho th\u01b0\u1eddng l\u00e0m gi\u1ea3m vi\u1ec7c b\u00e0i ti\u1ebft \u0111\u1eddm, do v\u1eady l\u00e0m ch\u1eadm s\u1ef1 ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n. Khi \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u m\u00e0 b\u1ec7nh nh\u00e2n c\u00f2n ho nhi\u1ec1u, c\u1ea7n l\u01b0u \u00fd t\u00ecnh tr\u1ea1ng co th\u1eaft ph\u1ebf qu\u1ea3n, ho\u1eb7c c\u1ea7n l\u01b0u \u00fd th\u00eam c\u00e1c b\u1ec7nh l\u00fd k\u00e8m theo nh\u01b0 tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n ho\u1eb7c b\u1ec7nh ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/li>\n\n\n\n
          • S\u1ed5 m\u0169i, ngh\u1eb9t m\u0169i<\/strong>: Kh\u00f4ng d\u00f9ng c\u00e1c thu\u1ed1c kh\u00e1ng histamine v\u00e0 c\u00e1c thu\u1ed1c ch\u1ed1ng sung huy\u1ebft m\u0169i \u0111\u1ec3 l\u00e0m th\u00f4ng kh\u00f4 m\u0169i v\u00ec nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5 cao. Vi\u1ec7c v\u1ec7 sinh m\u0169i b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch. Phun h\u01a1i \u1ea9m trong ph\u00f2ng \u1edf c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m kh\u00f4 m\u0169i. \u0110\u1ed1i v\u1edbi tr\u1ebb em, kh\u00f4ng c\u1ea7n kh\u00ed dung n\u01b0\u1edbc mu\u1ed1i ho\u1eb7c thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n n\u1ebfu tr\u1ebb kh\u00f4ng c\u00f3 kh\u00f2 kh\u00e8, ho\u1eb7c kh\u00f2 kh\u00e8 nh\u01b0ng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n.<\/li>\n\n\n\n
          • Thu\u1ed1c long \u0111\u1eddm<\/strong>: acetylcystein, bromhexin, carbocystein… Tuy nhi\u00ean hi\u1ec7u qu\u1ea3 c\u1ee7a nh\u1eefng thu\u1ed1c n\u00e0y \u1edf tr\u1ebb em kh\u00e1 h\u1ea1n ch\u1ebf, ch\u1ec9 ph\u00e1t huy t\u00e1c d\u1ee5ng khi tr\u1ebb \u0111\u01b0\u1ee3c u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc. V\u00ec v\u1eady khuy\u1ebfn kh\u00edch tr\u1ebb u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc l\u00e0 bi\u1ec7n m\u1ed9t ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 quan tr\u1ecdng.<\/li>\n\n\n\n
          • Kh\u00ed dung thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n: <\/strong>C\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n kh\u00ed dung, tuy nhi\u00ean ch\u1ec9 kh\u00ed dung n\u1ebfu t\u00ecnh tr\u1ea1ng kh\u00f2 kh\u00e8 c\u00f3 c\u1ea3i thi\u1ec7n ph\u1ea7n n\u00e0o sau kh\u00ed dung, do v\u1eady c\u1ea7n thi\u1ebft kh\u00ed dung t\u1ea1i c\u01a1 s\u1edf y t\u1ebf v\u00e0 b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c. Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n \u0111\u01b0\u1eddng u\u1ed1ng v\u00ec hi\u1ec7u qu\u1ea3 th\u1ea5p m\u00e0 l\u1ea1i c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0: run tay, h\u1ed3i h\u1ed9p, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, \u0111\u1ecf m\u1eb7t…<\/li>\n\n\n\n
          • Thu\u1ed1c kh\u00e1ng virus: <\/strong>Kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng th\u01b0\u1eddng quy, tuy nhi\u00ean b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc n\u1ebfu nghi ng\u1edd t\u00e1c nh\u00e2n l\u00e0 virut c\u00fam, thu\u1ed1c kh\u00e1ng virut c\u00fam n\u1ebfu cho c\u1ea7n cho s\u1edbm trong 36 gi\u1edd \u0111\u1ea7u k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng.<\/li>\n<\/ul>\n\n\n\n

            H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p t\u1ef1 gi\u1edbi h\u1ea1n v\u00e0 kh\u1ecfi sau 2-3 tu\u1ea7n. M\u1ed9t s\u1ed1 c\u00f3 bi\u1ebfn ch\u1ee9ng nh\u01b0 b\u1ed9i nhi\u1ec5m vi khu\u1ea9n, vi\u00eam ph\u1ed5i. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n d\u00f9ng kh\u00e1ng sinh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

            Ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/h2>\n\n\n\n

            Qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p c\u1ea7n song song v\u1edbi vi\u1ec7c ph\u00f2ng b\u1ec7nh. M\u1ed9t s\u1ed1 l\u01b0u \u00fd ph\u00f2ng tr\u00e1nh m\u1eafc b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p:<\/p>\n\n\n\n

              \n
            • Ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p c\u1ea7n c\u00e1ch ly ng\u01b0\u1eddi b\u1ec7nh<\/strong>: Kh\u00f4ng ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi ng\u01b0\u1eddi \u0111ang c\u00f3 bi\u1ec3u hi\u1ec7n vi\u00eam h\u00f4 h\u1ea5p, r\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng, hu\u1ea5n luy\u1ec7n ho (khi ho ph\u1ea3i ho v\u00e0o kh\u0103n ho\u1eb7c che mi\u1ec7ng b\u1eb1ng v\u1ea1t \u00e1o)…<\/li>\n\n\n\n
            • V\u1ec7 sinh c\u00e1c b\u1ec1 m\u1eb7t:<\/strong> Vi khu\u1ea9n virus c\u00f3 th\u1ec3 d\u00ednh tr\u00ean b\u1ec1 m\u1eb7t b\u00e0n gh\u1ebf, s\u00e0n nh\u00e0, \u0111\u1ed3 ch\u01a1i, \u00e1o qu\u1ea7n… do \u0111\u00f3 c\u1ea7n thi\u1ebft v\u1ec7 sinh th\u01b0\u1eddng xuy\u00ean nh\u1eefng v\u1eadt d\u1ee5ng n\u00e0y.<\/li>\n\n\n\n
            • U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, gi\u1eef \u1ea5m v\u00e0o m\u00f9a \u0111\u00f4ng<\/strong><\/li>\n\n\n\n
            • B\u1ed5 sung vi ch\u1ea5t<\/strong>: N\u1ebfu mu\u1ed1n b\u1ed5 sung k\u1ebdm, vitamin C th\u00ec c\u1ea7n c\u00f3 s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/li>\n\n\n\n
            • T\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng<\/strong>: \u0102n \u0111a d\u1ea1ng th\u1ef1c ph\u1ea9m v\u00e0 ti\u00eam ph\u00f2ng vaccin ph\u00f2ng b\u1ec7nh.<\/li>\n<\/ul>\n\n\n\n

              C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p v\u1ec1 b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n<\/h2>\n\n\n
              \n
              \n
              \n
              Tr\u1ebb em hay ng\u01b0\u1eddi l\u1edbn b\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n n\u00ean \u0103n g\u00ec?<\/h5>\n
              \n\n

              Khi b\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n, b\u1ec7nh nh\u00e2n n\u00ean \u0103n nh\u1eefng lo\u1ea1i tr\u00e1i c\u00e2y \u0111a m\u00e0u s\u1eafc, c\u00e1c lo\u1ea1i qu\u1ea3 h\u1ecd qu\u00fdt nh\u01b0: cam, qu\u00fdt, b\u01b0\u1edfi,\u2026 s\u1ebd cung c\u1ea5p ngu\u1ed3n vitamin C d\u1ed3i d\u00e0o, t\u1ed1t cho s\u1ee9c kh\u1ecfe.C\u00e1c m\u00f3n t\u1eeb s\u00fap l\u01a1 xanh, nho, t\u00e1o, c\u00e0 chua, \u1edbt chu\u00f4ng, b\u00ed \u0111\u1ecf,\u2026 c\u0169ng c\u00f3 th\u1ec3 cung c\u1ea5p \u0111a d\u1ea1ng ngu\u1ed3n vitamin cho c\u01a1 th\u1ec3. \u0110\u1eb7c bi\u1ec7t, th\u01b0\u1eddng xuy\u00ean u\u1ed1ng n\u01b0\u1edbc \u1ea5m v\u00e0 gi\u1eef \u1ea5m v\u00e0o m\u00f9a \u0111\u00f4ng.<\/p>\n\n<\/div>\n<\/div>\n

              \n
              Vi\u00eam ph\u1ebf qu\u1ea3n u\u1ed1ng thu\u1ed1c g\u00ec?<\/h5>\n
              \n\n

              H\u01a1n 90% vi\u00eam ph\u1ebf qu\u1ea3n l\u00e0 do virut do \u0111\u00f3 trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, vi\u00eam ph\u1ebf qu\u1ea3n kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh. Tuy nhi\u00ean, c\u00e1c lo\u1ea1i thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 th\u0103m kh\u00e1m v\u00e0 k\u00ea \u0111\u01a1n theo th\u1ec3 tr\u1ea1ng v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n

              B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/h2>\n\n\n\n
                \n
              • TS-BS L\u00ea Kh\u1eafc B\u1ea3o l\u00e0 v\u1ecb b\u00e1c s\u0129 h\u00f4 h\u1ea5p c\u00f3 h\u1ecdc v\u1ecb ti\u1ebfn s\u0129 cao nh\u1ea5t t\u1ea1i Vi\u1ec7t Nam hi\u1ec7n nay v\u00e0 hi\u1ec7n \u0111ang c\u00f4ng t\u00e1c t\u1ea1i Ph\u00f2ng kh\u00e1m chuy\u00ean khoa h\u00f4 h\u1ea5p Ph\u1ed5i Vi\u1ec7t.<\/li>\n<\/ul>\n\n\n\n