{"id":103685,"date":"2021-08-30T00:00:00","date_gmt":"2021-08-30T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/viem-thanh-quan-o-tre-so-sinh\/"},"modified":"2022-09-09T00:00:00","modified_gmt":"2022-09-09T00:00:00","slug":"viem-thanh-quan-o-tre-so-sinh","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tai-mui-hong\/viem-thanh-quan-o-tre-so-sinh\/","title":{"rendered":"Vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh: Nguy\u00ean nh\u00e2n v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p class=\"has-gray-200-background-color has-background wp-block-paragraph\"><strong>Vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng \u1edf v\u00f9ng h\u1ea7u h\u1ecdng ho\u1eb7c amidan. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n nh\u1eadp vi\u1ec7n ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb, th\u01b0\u1eddng x\u1ea3y ra khi th\u1eddi ti\u1ebft l\u1ea1nh c\u0169ng nh\u01b0 v\u00e0o m\u00f9a \u0111\u00f4ng. V\u1eady \u0111i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb nh\u01b0 th\u1ebf n\u00e0o? H\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a> t\u00ecm hi\u1ec3u trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y!<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"t\u1ed5ng-quan-viem-thanh-qu\u1ea3n-\u1edf-tr\u1ebb-s\u01a1-sinh\">T\u1ed5ng quan vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam thanh qu\u1ea3n c\u1ea5p \u1edf tr\u1ebb em l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u khi\u1ebfn b\u1ec7nh nhi ph\u1ea3i \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u1ea5p c\u1ee9u. Kh\u00e1m b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au h\u1ecdng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n vi\u00eam amidan, vi\u00eam h\u1ecdng h\u1ea1t ho\u1eb7c vi\u00eam m\u0169i h\u1ecdng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed1i quan t\u00e2m h\u00e0ng \u0111\u1ea7u \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb t\u1eeb 2 tu\u1ed5i tr\u1edf l\u00ean l\u00e0 vi\u00eam thanh qu\u1ea3n do<strong> li\u00ean c\u1ea7u khu\u1ea9n tan huy\u1ebft beta nh\u00f3m A (GABHS)<\/strong> kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb sau \u0111\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra s\u1ed1t th\u1ea5p kh\u1edbp. \u0110\u1ec3 ng\u0103n ng\u1eeba di ch\u1ee9ng n\u00e0y, h\u00e3y \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh \u0111\u1ea7y \u0111\u1ee7 trong v\u00f2ng 9 ng\u00e0y k\u1ec3 t\u1eeb ng\u00e0y nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/viem-thanh-quan-o-tre-so-sinh-2.jpg\" alt=\"Vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh: Nguy\u00ean nh\u00e2n v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb\" class=\"wp-image-51015\" width=\"697\" height=\"467\"\/><figcaption>Vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n GABHS v\u1eabn l\u00e0 penicillin. C\u00e1c vi khu\u1ea9n kh\u00e1c th\u1ec9nh tho\u1ea3ng g\u00e2y vi\u00eam thanh qu\u1ea3n v\u00e0 c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh bao g\u1ed3m l\u1eadu c\u1ea7u; Francisella tularensis; li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B, C, v\u00e0 G; Arcanobacterium hemolyticum; v\u00e0 Treponema pallidum. Kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o \u0111\u1ed1i v\u1edbi c\u00e1c nguy\u00ean nh\u00e2n vi\u00eam thanh qu\u1ea3n do virus th\u00f4ng th\u01b0\u1eddng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"t\u1ed5ng-quan-di\u1ec1u-tr\u1ecb-ban-d\u1ea7u-viem-thanh-qu\u1ea3n-\u1edf-tr\u1ebb-s\u01a1-sinh\">T\u1ed5ng quan \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u00f4ng th\u01b0\u1eddng c\u01a1n \u0111au h\u1ecdng do vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf vi\u1ec7c u\u1ed1ng \u1edf b\u1ec7nh nh\u00e2n, d\u1ea7n d\u1ea7n khi\u1ebfn bn tr\u1edf n\u00ean thi\u1ebfu n\u01b0\u1edbc. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u m\u1ea5t n\u01b0\u1edbc, b\u00e1c s\u0129 s\u1ebd c\u00e2n nh\u1eafc b\u00f9 d\u1ecbch \u0111\u1ea7y \u0111\u1ee7 b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch (IV).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam thanh qu\u1ea3n do li\u00ean c\u1ea7u tan huy\u1ebft beta nh\u00f3m A (GABHS), \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn l\u00e0 penicillin.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"l\u1ee3i-ich-c\u1ee7a-vi\u1ec7c-di\u1ec1u-tr\u1ecb-s\u1edbm\">L\u1ee3i \u00edch c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1edbm<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>\u0110i\u1ec1u tr\u1ecb trong v\u00f2ng 48 gi\u1edd sau khi xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng nh\u1eb1m r\u00fat ng\u1eafn th\u1eddi gian c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng<\/li><li>Tr\u1ecb li\u1ec7u s\u1edbm gi\u00fap gi\u1edbi h\u1ea1n l\u00e2y vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh sang nh\u1eefng tr\u1ebb kh\u00e1c<\/li><li>Li\u1ec7u ph\u00e1p s\u1edbm cho ph\u00e9p tr\u1ebb v\u00e0 gia \u0111\u00ecnh tr\u1edf l\u1ea1i th\u00f3i quen sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng s\u1edbm h\u01a1n; b\u1edfi v\u00ec h\u01a1n 80% b\u1ec7nh nhi c\u00f3 k\u1ebft qu\u1ea3 \u00e2m t\u00ednh v\u1edbi nu\u00f4i c\u1ea5y sau 24 gi\u1edd \u0111i\u1ec1u tr\u1ecb, tr\u1ebb n\u00ean ngh\u1ec9 h\u1ecdc ho\u1eb7c nh\u00e0 tr\u1ebb trong 24 gi\u1edd sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb; \u0111\u1ed3ng th\u1eddi c\u0169ng ph\u1ea3i h\u1ebft s\u1ed1t tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i h\u1ecdc tr\u1edf l\u1ea1i.<\/li><li>\u0110i\u1ec1u tr\u1ecb s\u1edbm gi\u00fap h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng b\u1ec7nh di\u1ec5n ti\u1ebfn n\u1eb7ng.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"nh\u01b0\u1ee3c-di\u1ec3m-c\u1ee7a-di\u1ec1u-tr\u1ecb-s\u1edbm\">Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a \u0111i\u1ec1u tr\u1ecb s\u1edbm<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>\u0110i\u1ec1u tr\u1ecb s\u1edbm c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n \u1edf l\u1ea7n t\u00e1i nhi\u1ec5m do kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o ra ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch \u0111\u1ed1i v\u1edbi nhi\u1ec5m tr\u00f9ng<\/li><li>S\u1ed1t th\u1ea5p kh\u1edbp v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba n\u1ebfu \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u trong v\u00f2ng 9 ng\u00e0y k\u1ec3 t\u1eeb ng\u00e0y kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng (\u0111i\u1ec1u tr\u1ecb s\u1edbm l\u00e0 trong v\u00f2ng 48h).<\/li><li>C\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu h\u1ea1n ch\u1ebf \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e2y ra b\u1edfi c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh kh\u00f4ng ph\u1ea3i GABHS (\u0111\u1eb7c bi\u1ec7t l\u00e0 do virus)<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n vi\u00eam thanh qu\u1ea3n do virus, c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3, d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t \u0111\u1ec3 gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho r\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng steroid, \u0111\u1eb7c bi\u1ec7t l\u00e0 dexamethasone, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m th\u1eddi gian tri\u1ec7u ch\u1ee9ng \u0111\u1ed1i v\u1edbi c\u1ea3 vi\u00eam thanh qu\u1ea3n do virus v\u00e0 vi\u00eam thanh qu\u1ea3n do li\u00ean c\u1ea7u. \u1ede tr\u1ebb em, th\u1eddi gian k\u00e9o d\u00e0i c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n t\u1ed1i thi\u1ec3u khi s\u1eed d\u1ee5ng steroid h\u1ed7 tr\u1ee3; tuy nhi\u00ean, steroid c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t \u1edf tr\u1ebb em c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng ho\u1eb7c kh\u00f3 ch\u1ecbu \u0111\u00e1ng k\u1ec3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n, kh\u00f4ng c\u1ea7n ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee5 th\u1ec3 n\u00e0o, nh\u01b0ng vi\u1ec7c cung c\u1ea5p \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 cung c\u1ea5p \u0111\u1ee7 n\u01b0\u1edbc cho c\u01a1 th\u1ec3 l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 h\u1ea1n ch\u1ebf s\u1ef1 l\u00e2y lan cho nh\u1eefng ng\u01b0\u1eddi kh\u00e1c ch\u01b0a ti\u1ebfp x\u00fac, b\u1ec7nh nh\u00e2n n\u00ean t\u1ea1m ngh\u1ec9 h\u1ecdc \u1edf tr\u01b0\u1eddng v\u00e0 h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac ng\u01b0\u1eddi kh\u00e1c trong 24 gi\u1edd \u0111\u1ea7u sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh cho GABHS v\u00e0 cho \u0111\u1ebfn khi h\u1ebft s\u1ed1t.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cac-ph\u01b0\u01a1ng-phap-di\u1ec1u-tr\u1ecb-viem-thanh-qu\u1ea3n-\u1edf-tr\u1ebb-s\u01a1-sinh\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"li\u1ec7u-phap-dung-thu\u1ed1c\">Li\u1ec7u ph\u00e1p d\u00f9ng thu\u1ed1c<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Penicillin l\u00e0 li\u1ec7u ph\u00e1p \u0111i\u1ec3n h\u00ecnh cho b\u1ec7nh vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh do GABHS, k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c ng\u0103n ng\u1eeba m\u1ea5t n\u01b0\u1edbc v\u00e0 ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3 gi\u1ea3m \u0111au.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c, bao g\u1ed3m m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 v\u1ecb d\u1ec5 u\u1ed1ng h\u01a1n v\u00e0 \u0111\u00e1p \u1ee9ng kh\u1ea3 n\u0103ng tu\u00e2n th\u1ee7 t\u1ed1t h\u01a1n, \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n GABHS. V\u00ed d\u1ee5, amoxicillin th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng thay cho penicillin. M\u1ed9t b\u00e1o c\u00e1o s\u01a1 b\u1ed9 \u0111\u00e3 cho th\u1ea5y amoxicillin \u0111\u01b0\u1ee3c d\u00f9ng m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y \u0111\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/viem-thanh-quan-o-tre-so-sinh-3.jpg\" alt=\"Vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh: Nguy\u00ean nh\u00e2n v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb\" class=\"wp-image-51016\"\/><figcaption>\u0110i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh b\u1eb1ng thu\u1ed1c<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Cephalosporin c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh, bao g\u1ed3m cephalexin, cefadroxil, cefuroxime, cefixime, cefdinir v\u00e0 cefpodoxime. Thu\u1ed1c kh\u00e1ng sinh macrolide c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng v\u1edbi penicillin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo ph\u00e1c \u0111\u1ed3, n\u1ebfu vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh t\u00e1i ph\u00e1t ho\u1eb7c kh\u00f4ng c\u1ea3i thi\u1ec7n n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh c\u00f3 ho\u1ea1t t\u00ednh ch\u1ed1ng l\u1ea1i c\u00e1c sinh v\u1eadt s\u1ea3n xu\u1ea5t beta-lactamase (v\u00ed d\u1ee5: macrolide, cephalosporin ho\u1eb7c amoxicillin-clavulanate).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Corticosteroid (v\u00ed d\u1ee5, dexamethasone) \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t nh\u01b0 m\u1ed9t li\u1ec7u ph\u00e1p b\u1ed5 tr\u1ee3 \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian tri\u1ec7u ch\u1ee9ng \u1edf b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam thanh qu\u1ea3n. Vi\u1ec7c s\u1eed d\u1ee5ng steroid kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch th\u01b0\u1eddng xuy\u00ean nh\u01b0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc t\u00f9y theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i li\u1ec7u ph\u00e1p kh\u00e1ng sinh \u0111\u1ea7y \u0111\u1ee7 cho b\u1ec7nh nh\u00e2n GABHS, b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 s\u1ed1t cho t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n, b\u1ea5t k\u1ec3 nguy\u00ean nh\u00e2n l\u00e0 do vi khu\u1ea9n hay vi r\u00fat. Ibuprofen ho\u1eb7c acetaminophen l\u00e0 c\u00e1c v\u00ed d\u1ee5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam thanh qu\u1ea3n m\u1ee5n n\u01b0\u1edbc, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c cho thu\u1ed1c kh\u00e1ng acid d\u1ea1ng k\u1ebft h\u1ee3p Aluminum + Magnesium Hydroxide b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng tr\u01b0\u1edbc b\u1eefa \u0103n \u0111\u1ec3 gi\u1ea3m kh\u00f3 ch\u1ecbu k\u00e8m theo v\u00e0 gi\u00fap tr\u00e1nh m\u1ea5t n\u01b0\u1edbc cho b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"d\u1eabn-l\u01b0u-va-c\u1eaft-amidan\">D\u1eabn l\u01b0u v\u00e0 c\u1eaft amidan<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb abcess quanh amidan, ch\u1ecdc h\u00fat b\u1eb1ng kim v\u00e0 d\u1eabn l\u01b0u \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh. abcess h\u1ea7u h\u1ecdng th\u01b0\u1eddng ph\u1ea3i ph\u1eabu thu\u1eadt d\u1eabn l\u01b0u. B\u00e1c s\u0129 nhi khoa c\u00f3 kinh nghi\u1ec7m th\u01b0\u1eddng c\u00f3 th\u1ec3 d\u1eabn l\u01b0u abcess quanh amidan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh t\u00e1i ph\u00e1t ho\u1eb7c n\u1eb7ng, c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc chuy\u1ec3n \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean khoa <a href=\"https:\/\/www.docosan.com\/blog\/tai-mui-hong\/\" target=\"_blank\" rel=\"noreferrer noopener\">tai m\u0169i h\u1ecdng<\/a> \u0111\u1ec3 c\u1eaft amidan. Ph\u1ee5 huynh th\u01b0\u1eddng y\u00eau c\u1ea7u nh\u01b0 v\u1eady n\u1ebfu con h\u1ecd \u0111\u00e3 b\u1ecb vi\u00eam thanh qu\u1ea3n t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n. Tuy nhi\u00ean, c\u1ea7n ph\u1ea3i hi\u1ec3u r\u1eb1ng c\u1eaft amidan th\u01b0\u1eddng ch\u1ec9 gi\u00fap gi\u1ea3m \u0111au t\u1ea1m th\u1eddi.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"theo-doi-lau-dai\">Theo d\u00f5i l\u00e2u d\u00e0i<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1edfi v\u00ec h\u01a1n 90% tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh do GABHS trong v\u00f2ng 24 gi\u1edd sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh, n\u00ean c\u00e1c b\u00e9 n\u00ean ngh\u1ec9 h\u1ecdc ho\u1eb7c nh\u00e0 tr\u1ebb trong 1 ng\u00e0y v\u00e0 cho \u0111\u1ebfn khi h\u1ebft s\u1ed1t. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i h\u01a1n 24-48 gi\u1edd, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u1ea1i kh\u1ea3 n\u0103ng c\u00f3 th\u1ec3 c\u00f3 c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c k\u00e8m theo, c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/viem-thanh-quan-o-tre-so-sinh-4.jpg\" alt=\"vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh\" class=\"wp-image-51017\"\/><figcaption>Theo d\u00f5i s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb s\u01a1 sinh b\u1ecb vi\u00eam thanh qu\u1ea3n<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o r\u1eb1ng t\u1ea5t c\u1ea3 tr\u1ebb em \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng amoxicillin cho ch\u1ee9ng vi\u00eam thanh qu\u1ea3n v\u00e0o 5 gi\u1edd chi\u1ec1u c\u1ee7a ng\u00e0y th\u1ee9 nh\u1ea5t, n\u1ebfu kh\u1ecfe m\u1ea1nh v\u00e0 c\u1ea3i thi\u1ec7n, c\u00f3 th\u1ec3 \u0111i h\u1ecdc v\u00e0o ng\u00e0y th\u1ee9 2.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u1ec7c nu\u00f4i c\u1ea5y b\u1ec7nh ph\u1ea9m h\u1ea7u h\u1ecdng \u0111\u1ec3 theo d\u00f5i th\u01b0\u1eddng kh\u00f4ng c\u1ea7n thi\u1ebft tr\u1eeb khi c\u00f3 nh\u1eefng lo ng\u1ea1i li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u00e1i ph\u00e1t vi\u00eam thanh qu\u1ea3n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 (suy gi\u1ea3m mi\u1ec5n d\u1ecbch\u2026)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"phong-kham-viem-thanh-qu\u1ea3n-\u1edf-tr\u1ebb-s\u01a1-sinh\">Ph\u00f2ng kh\u00e1m vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Ph\u00f2ng kh\u00e1m chuy\u00ean khoa tai m\u0169i h\u1ecdng Th\u00ednh H\u1ecdc Thanh V\u0169 &#8211; Q.8<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/443?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\"><li>Vigor Health &#8211; Q.3<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/395?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\"><li>Ph\u00f2ng kh\u00e1m \u0111a khoa Saigon Health &#8211; Q.10<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/423?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-lu\u1eadn\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u01b0 \u0111\u00e3 n\u00eau, vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Tuy nhi\u00ean, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean ch\u1ec9 mang t\u00ednh tham kh\u1ea3o, v\u00e0 b\u1ea1n <strong>kh\u00f4ng n\u00ean<\/strong>&nbsp;t\u1ef1 \u00fd mua thu\u1ed1c u\u1ed1ng cho b\u00e9. V\u00ec th\u1ebf ngay khi ph\u00e1t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u, h\u00e3y nhanh ch\u00f3ng \u0111\u01b0a con b\u1ea1n \u0111i kh\u00e1m b\u00e1c s\u0129 \u0111\u1ec3 ch\u1eefa b\u1ec7nh c\u0169ng nh\u01b0 h\u1ea1n ch\u1ebf nguy c\u01a1 l\u00e2y b\u1ec7nh cho b\u1ea1n h\u1ecdc c\u00f9ng l\u1edbp v\u1edbi b\u00e9!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u1ea3m \u01a1n b\u1ea1n \u0111\u00e3 d\u00e0nh th\u1eddi gian \u0111\u1ec3 \u0111\u1ecdc v\u00e0 t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1ch \u0111i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh t\u1ea1i Docosan. Ch\u00fang t\u00f4i r\u1ea5t vinh h\u1ea1nh ch\u00e0o \u0111\u00f3n v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 t\u00edn nhi\u1ec7m t\u1eeb c\u00e1c b\u1ea1n.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/emedicine.medscape.com\/article\/967384-overview#a7\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Pediatric Pharyngitis: Background, Pathophysiology and Etiology, Epidemiology &#8211; Med Scape<\/a><\/li><\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng \u1edf v\u00f9ng h\u1ea7u h\u1ecdng ho\u1eb7c amidan. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n nh\u1eadp vi\u1ec7n ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb, th\u01b0\u1eddng x\u1ea3y ra khi th\u1eddi ti\u1ebft l\u1ea1nh c\u0169ng nh\u01b0 v\u00e0o m\u00f9a \u0111\u00f4ng. V\u1eady \u0111i\u1ec1u tr\u1ecb vi\u00eam thanh qu\u1ea3n \u1edf tr\u1ebb nh\u01b0 th\u1ebf n\u00e0o? [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":88961,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[95],"tags":[],"class_list":["post-103685","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tai-mui-hong"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/viem-thanh-quan-o-tre-so-sinh-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/viem-thanh-quan-o-tre-so-sinh-1-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103685","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103685"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103685\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/88961"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103685"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103685"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103685"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}