{"id":9040,"date":"2019-10-04T02:40:19","date_gmt":"2019-10-04T02:40:19","guid":{"rendered":"https:\/\/kynaforkids.vn\/blog\/?p=9040"},"modified":"2020-06-19T08:45:06","modified_gmt":"2020-06-19T08:45:06","slug":"trieu-chung-cach-phong-va-chua-benh-soi-o-tre-em","status":"publish","type":"post","link":"https:\/\/kynaforkids.vn\/blog\/trieu-chung-cach-phong-va-chua-benh-soi-o-tre-em.html","title":{"rendered":"Tri\u1ec7u ch\u1ee9ng, c\u00e1ch ph\u00f2ng v\u00e0 ch\u1eefa b\u1ec7nh s\u1edfi \u1edf tr\u1ebb em"},"content":{"rendered":"

B\u1ec7nh s\u1edfi \u1edf tr\u1ebb em<\/strong> theo m\u00f9a, l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb<\/strong> nh\u1ecf v\u00e0 l\u00e0 b\u1ec7nh l\u00e0nh t\u00ednh. B\u1ec7nh s\u1edfi tuy \u00edt g\u00e2y t\u1eed vong nh\u01b0ng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p l\u00e0: vi\u00eam tai gi\u1eefa, vi\u00eam ph\u1ed5i, ti\u00eau ch\u1ea3y, kh\u00f4 lo\u00e9t gi\u00e1c m\u1ea1c m\u1eaft v\u00e0 \u0111\u00f4i khi vi\u00eam n\u00e3o sau s\u1edfi, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em suy dinh d\u01b0\u1ee1ng…<\/p>\n

Nh\u1eefng tr\u1ebb c\u00f3 nguy c\u01a1 m\u1eafc s\u1edfi cao l\u00e0 do th\u1ec3 tr\u1ea1ng y\u1ebfu, sinh non, kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng v\u1eafc xin ph\u00f2ng ng\u1eeba \u0111\u1ea7y \u0111\u1ee7. Ng\u01b0\u1eddi l\u1edbn c\u0169ng c\u00f3 th\u1ec3 b\u1ecb s\u1edfi n\u1ebfu c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u1ee7 mi\u1ec5n d\u1ecbch v\u1edbi b\u1ec7nh.<\/p>\n

\"C\u00e1c
Nh\u1eefng tr\u1ebb c\u00f3 nguy c\u01a1 m\u1eafc s\u1edfi cao l\u00e0 do th\u1ec3 tr\u1ea1ng y\u1ebfu, sinh non, kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng v\u1eafc xin ph\u00f2ng ng\u1eeba \u0111\u1ea7y \u0111\u1ee7<\/figcaption><\/figure>\n

1. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh s\u1edfi \u1edf tr\u1ebb em<\/h2>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh s\u1edfi \u1edf tr\u1ebb em<\/strong> l\u00e0 s\u1ed1t nh\u1eb9 ho\u1eb7c s\u1ed1t cao t\u1eeb 39 – 400<\/sup>C, s\u1ed1t li\u00ean t\u1ee5c. Tr\u1ebb b\u1ecb h\u1eaft h\u01a1i, ch\u1ea3y n\u01b0\u1edbc m\u0169i, n\u01b0\u1edbc m\u1eaft, vi\u00eam k\u1ebft m\u1ea1c, d\u1eed m\u1eaft, ph\u00f9 nh\u1eb9 mi, ho (c\u00f3 th\u1ec3 ho khan, kh\u00e0n ti\u1ebfng ho\u1eb7c c\u00f3 \u0111\u1eddm), ti\u00eau ch\u1ea3y. C\u00f3 nh\u1eefng ch\u1ea5m nh\u1ecf kho\u1ea3ng 1 mm n\u1ed5i l\u00ean tr\u00ean ni\u00eam m\u1ea1c m\u00e1, d\u1ec5 quan s\u00e1t khi tr\u1ebb h\u00e1 mi\u1ec7ng to; ch\u1ea5m c\u00f3 m\u00e0u \u0111\u1ecf, sung huy\u1ebft, \u1edf v\u1ecb tr\u00ed ngang v\u1edbi r\u0103ng h\u00e0m th\u1ee9 nh\u1ea5t. D\u1ea5u hi\u1ec7u n\u00e0y m\u1ea5t nhanh trong v\u00f2ng 12 – 18 gi\u1edd.<\/p>\n

Sau khi s\u1ed1t 3 – 4 ng\u00e0y, tr\u1ebb b\u1ecb ph\u00e1t ban. \u0110\u1ea7u ti\u00ean ban m\u1ecdc t\u1eeb sau tai, lan d\u1ea7n hai b\u00ean m\u00e1, c\u1ed5, ng\u1ef1c, chi tr\u00ean, sau l\u01b0ng, chi d\u01b0\u1edbi, \u0111\u1ebfn to\u00e0n th\u00e2n. Ban m\u00e0u h\u1ed3ng nh\u1ea1t, nh\u1eb5n, khi \u1ea5n v\u00e0o th\u00ec bi\u1ebfn m\u1ea5t, c\u00f3 xu h\u01b0\u1edbng k\u1ebft d\u00ednh l\u1ea1i v\u1edbi nhau, ph\u00e1t ban xen gi\u1eefa nh\u1eefng kho\u1ea3ng da l\u00e0nh. Th\u1ec3 nh\u1eb9 th\u00ec ban r\u1ea3i r\u00e1c, th\u1ec3 n\u1eb7ng th\u00ec ban d\u00e0y g\u1ea7n nh\u01b0 che k\u00edn da, c\u1ea3 gan b\u00e0n tay, ch\u00e2n, sau khi bay \u0111\u1ec3 l\u1ea1i v\u1ebft th\u00e2m tr\u00ean da. Tr\u1ebb \u0103n k\u00e9m, m\u1ec7t, m\u1ecfi. Th\u01b0\u1eddng th\u00ec 3 – 4 ng\u00e0y sau khi ban m\u1ecdc, ban s\u1ebd b\u1eaft \u0111\u1ea7u bay, nh\u1ea1t m\u00e0u d\u1ea7n, n\u01a1i n\u00e0o m\u1ecdc tr\u01b0\u1edbc th\u00ec s\u1ebd bay tr\u01b0\u1edbc v\u00e0 \u0111\u1ec3 l\u1ea1i v\u1ebft th\u00e2m tr\u00ean da, kho\u1ea3ng m\u1ed9t tu\u1ea7n sau th\u00ec kh\u00f4ng c\u00f2n d\u1ea5u v\u1ebft g\u00ec. Tr\u1ebb l\u1ea1i s\u1ee9c d\u1ea7n v\u00e0 h\u1ebft s\u1ed1t.<\/p>\n

2. L\u01b0u \u00fd ph\u00e2n bi\u1ec7t b\u1ec7nh s\u1edfi v\u00e0 ph\u00e1t ban<\/h2>\n

C\u1ea7n ph\u00e2n bi\u1ec7t b\u1ec7nh s\u1edfi \u1edf tr\u1ebb em v\u1edbi ban d\u1ecb \u1ee9ng (tr\u1ebb th\u01b0\u1eddng ph\u00e1t ban t\u1eebng m\u1ea3ng, d\u1ea1ng m\u1ec1 \u0111ay, ng\u1ee9a) v\u00e0 ph\u00e1t ban trong c\u00e1c b\u1ec7nh kh\u00e1c (nh\u01b0 tinh h\u1ed3ng nhi\u1ec7t, nhi\u1ec5m tr\u00f9ng…). C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a s\u1edfi th\u01b0\u1eddng r\u1ea5t n\u1eb7ng v\u00e0 d\u1ec5 g\u00e2y t\u1eed vong: vi\u00eam ph\u1ed5i, vi\u00eam tai gi\u1eefa, vi\u00eam thanh qu\u1ea3n, vi\u00eam n\u00e3o t\u1ee7y, cam t\u1ea9u m\u00e3, ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i, suy dinh d\u01b0\u1ee1ng, lo\u00e9t gi\u00e1c m\u1ea1c do tr\u1ebb b\u1ecb thi\u1ebfu vitamin A. C\u1ea7n ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng sau khi m\u1eafc s\u1edfi, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau khi ban bay h\u1ebft m\u00e0 tr\u1ebb v\u1eabn c\u00f2n s\u1ed1t.<\/p>\n

3. Ph\u00f2ng v\u00e0 ch\u1eefa b\u1ec7nh s\u1edfi<\/h2>\n
\"\u0110\u1ec3
Nh\u1eefng tr\u1ebb c\u00f3 nguy c\u01a1 m\u1eafc s\u1edfi cao l\u00e0 do kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng v\u1eafc xin ph\u00f2ng ng\u1eeba \u0111\u1ea7y \u0111\u1ee7<\/figcaption><\/figure>\n

\u0110\u1ec3 ph\u00f2ng b\u1ec7nh s\u1edfi \u1edf tr\u1ebb em<\/strong>, c\u1ea7n ti\u00eam ph\u00f2ng v\u1eafc xin s\u1edfi cho tr\u1ebb. Ti\u00eam m\u0169i 1 khi tr\u1ebb tr\u00f2n 9 th\u00e1ng tu\u1ed5i v\u00e0 m\u0169i 2 trong chi\u1ebfn d\u1ecbch ti\u00eam nh\u1eafc l\u1ea1i. N\u00ean c\u00e1ch ly tr\u1ebb m\u1eafc s\u1edf \u00edt nh\u1ea5t 4 ng\u00e0y sau khi ph\u00e1t ban. B\u1ec7nh nhi ph\u1ea3i \u0111\u01b0\u1ee3c \u1edf n\u01a1i tho\u00e1ng m\u00e1t, \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7, v\u1ec7 sinh s\u1ea1ch s\u1ebd, kh\u00f4ng n\u00ean ki\u00eang khem qu\u00e1 m\u1ee9c g\u00e2y t\u00ecnh tr\u1ea1ng thi\u1ebfu c\u00e1c vi ch\u1ea5t.<\/p>\n

Khi ch\u01b0a c\u00f3 bi\u1ebfn ch\u1ee9ng, kh\u00f4ng n\u00ean cho tr\u1ebb d\u00f9ng kh\u00e1ng sinh. C\u1ea7n \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu l\u00e0 kh\u1eafc ph\u1ee5c tri\u1ec7u ch\u1ee9ng nh\u01b0 u\u1ed1ng thu\u1ed1c h\u1ea1 s\u1ed1t, v\u1ec7 sinh to\u00e0n th\u00e2n, r\u0103ng mi\u1ec7ng, m\u1eaft (nh\u1ecf m\u1eaft th\u01b0\u1eddng xuy\u00ean b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd, l\u1ee5c vi t\u1ed1 (chloramphenicol) 0,1%). Tr\u1ebb ph\u1ea3i \u0111\u01b0\u1ee3c \u0103n \u0111\u1ea7y \u0111\u1ee7 th\u1ef1c ph\u1ea9m d\u1ec5 ti\u00eau, gi\u00e0u dinh d\u01b0\u1ee1ng cho b\u00e9<\/strong>, u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc. Khi c\u00f3 bi\u1ebfn ch\u1ee9ng, c\u00f3 th\u1ec3 d\u00f9ng kh\u00e1ng sinh theo ch\u1ec9 d\u1eabn c\u1ee7a th\u1ea7y thu\u1ed1c, b\u1ed5 sung vitamin A \u0111\u1ec3 tr\u00e1nh kh\u00f4 gi\u00e1c m\u1ea1c. Kh\u00f4ng d\u00f9ng k\u00edch t\u1ed1 th\u1eadn th\u01b0\u1ee3ng tuy\u1ebfn b\u00ec ch\u1ea5t (corticoid).<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh s\u1edfi \u1edf tr\u1ebb em theo m\u00f9a, l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u1ecf v\u00e0 l\u00e0 b\u1ec7nh l\u00e0nh t\u00ednh. B\u1ec7nh s\u1edfi tuy \u00edt g\u00e2y t\u1eed vong nh\u01b0ng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p l\u00e0: vi\u00eam tai gi\u1eefa, vi\u00eam ph\u1ed5i, ti\u00eau ch\u1ea3y, kh\u00f4 lo\u00e9t gi\u00e1c m\u1ea1c m\u1eaft v\u00e0 \u0111\u00f4i khi vi\u00eam n\u00e3o sau s\u1edfi, \u0111\u1eb7c bi\u1ec7t \u1edf<\/p>\n","protected":false},"author":1,"featured_media":9045,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[670],"tags":[],"class_list":{"0":"post-9040","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-benh-o-tre"},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/posts\/9040","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/comments?post=9040"}],"version-history":[{"count":0,"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/posts\/9040\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/media\/9045"}],"wp:attachment":[{"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/media?parent=9040"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/categories?post=9040"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kynaforkids.vn\/blog\/wp-json\/wp\/v2\/tags?post=9040"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}