S\u1ed1t virut l\u00e0 b\u1ec7nh g\u1eb7p ch\u1ee7 y\u1ebfu trong m\u00f9a h\u00e8 \u1edf tr\u1ebb, b\u1ec7nh r\u1ea5t d\u1ec5 l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u1edbi tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh l\u00e0 tr\u1ebb \u0111\u1ed9t ng\u1ed9t s\u1ed1t cao 39 – 40oC, k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 ho, ch\u1ea3y m\u0169i, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, n\u1ed5i ban…<\/p>\n
Tri\u1ec7u ch\u1ee9ng tr\u1ebb b\u1ecb s\u1ed1t virut<\/strong><\/p>\n – S\u1ed1t cao:<\/em> \u0110\u00e2y l\u00e0 bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ed1t do virut, th\u01b0\u1eddng t\u1eeb 38-39oC, th\u1eadm ch\u00ed 40-41oC. Trong c\u01a1n s\u1ed1t tr\u1ebb th\u01b0\u1eddng m\u1ec7t m\u1ecfi v\u00e0 \u00edt \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c h\u1ea1 s\u1ed1t th\u00f4ng th\u01b0\u1eddng nh\u01b0 paracetamol… Khi h\u1ea1 s\u1ed1t tr\u1ebb l\u1ea1i t\u1ec9nh t\u00e1o, ch\u01a1i b\u00ecnh th\u01b0\u1eddng; \u0111au m\u00ecnh m\u1ea9y: \u1edf tr\u1ebb l\u1edbn th\u00ec \u0111au c\u01a1 b\u1eafp, tr\u1ebb th\u01b0\u1eddng k\u00eau \u0111au kh\u1eafp m\u00ecnh, tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 qu\u1ea5y kh\u00f3c; \u0111au \u0111\u1ea7u: m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p tr\u1ebb c\u00f3 th\u1ec3 \u0111au \u0111\u1ea7u nh\u01b0ng v\u1eabn t\u1ec9nh t\u00e1o, kh\u00f4ng k\u00edch th\u00edch, v\u1eadt v\u00e3.<\/p>\n – Vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p:<\/em> C\u00e1c bi\u1ec3u hi\u1ec7n vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u01b0 ho, ch\u1ea3y n\u01b0\u1edbc m\u0169i, h\u1eaft h\u01a1i, h\u1ecdng \u0111\u1ecf…<\/p>\n R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a:<\/em> Th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n s\u1edbm n\u1ebfu nguy\u00ean nh\u00e2n g\u00e2y s\u1ed1t do virut \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n mu\u1ed9n h\u01a1n v\u00e0i ng\u00e0y sau khi s\u1ed1t v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 ph\u00e2n l\u1ecfng, kh\u00f4ng c\u00f3 m\u00e1u, ch\u1ea5t nh\u00e0y.<\/p>\n – Vi\u00eam h\u1ea1ch:<\/em> \u0110\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c h\u1ea1ch v\u00f9ng \u0111\u1ea7u, m\u1eb7t, c\u1ed5 th\u01b0\u1eddng s\u01b0ng to, \u0111au c\u00f3 th\u1ec3 nh\u00ecn ho\u1eb7c s\u1edd th\u1ea5y.<\/p>\n – Ph\u00e1t ban:<\/em> Th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n 2-3 ng\u00e0y sau khi s\u1ed1t, khi xu\u1ea5t hi\u1ec7n ban th\u00ec s\u1ebd \u0111\u1ee1 s\u1ed1t.<\/p>\n – Vi\u00eam k\u1ebft m\u1ea1c m\u1eaft:<\/em> K\u1ebft m\u1ea1c m\u1eaft c\u00f3 th\u1ec3 \u0111\u1ecf, c\u00f3 d\u1eed m\u1eaft, ch\u1ea3y n\u01b0\u1edbc m\u1eaft.<\/p>\n – N\u00f4n:<\/em> C\u00f3 th\u1ec3 tr\u1ebb n\u00f4n nhi\u1ec1u l\u1ea7n nh\u01b0ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau khi \u0103n.<\/p>\n M\u1ed9t s\u1ed1 lo\u1ea1i virut th\u01b0\u1eddng g\u00e2y s\u1ed1t nh\u01b0: Myxo virut, Coxackie, Entero virut, s\u1edfi, … Virut c\u00f3 th\u1ec3 l\u00e2y t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec5m virut qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, ti\u00eau h\u00f3a… c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch. M\u1ed9t trong c\u00e1c tri\u1ec7u ch\u1ee9ng n\u1ed5i b\u1eadt c\u1ee7a t\u00ecnh tr\u1ea1ng nhi\u1ec5m virut l\u00e0 s\u1ed1t cao. Trong thu\u1eadt ng\u1eef y h\u1ecdc th\u01b0\u1eddng g\u1ecdi l\u00e0 s\u1ed1t virut. C\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n r\u1ea5t r\u1ea7m r\u1ed9, sau 3-5 ng\u00e0y s\u1ebd gi\u1ea3m d\u1ea7n v\u00e0 m\u1ea5t \u0111i, tr\u1ebb tr\u1edf l\u1ea1i kh\u1ecfe m\u1ea1nh. C\u00e1c x\u00e9t nghi\u1ec7m cho th\u1ea5y: B\u1ea1ch c\u1ea7u th\u01b0\u1eddng gi\u1ea3m ho\u1eb7c b\u00ecnh th\u01b0\u1eddng. Huy\u1ebft s\u1eafc t\u1ed1 b\u00ecnh th\u01b0\u1eddng. CRP < 6mg\/ml. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 ph\u00e2n l\u1eadp virut t\u1eeb d\u1ecbch ngo\u00e1y h\u1ecdng ho\u1eb7c m\u00e1u. S\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt PCR c\u00f3 th\u1ec3 gi\u00fap t\u00ecm virut trong d\u1ecbch h\u1ea7u h\u1ecdng, m\u00e1u.<\/p>\n X\u1eed tr\u00ed v\u00e0 ph\u00f2ng ng\u1eeba s\u1ed1t do virut \u1edf tr\u1ebb<\/strong><\/p>\n – \u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh do virut g\u00e2y ra h\u1ea7u h\u1ebft ch\u01b0a c\u00f3 thu\u1ed1c \u0111\u1eb7c hi\u1ec7u, ch\u1ee7 y\u1ebfu l\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng, \u0111\u1ed1i v\u1edbi s\u1ed1t virut \u1edf tr\u1ebb em c\u0169ng v\u1eady. Do \u0111\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p th\u01b0\u1eddng \u00e1p d\u1ee5ng l\u00e0:<\/p>\n – Theo d\u00f5i nhi\u1ec7t \u0111\u1ed9: \u0110\u1eb7t nhi\u1ec7t k\u1ebf \u1edf n\u00e1ch ho\u1eb7c h\u1eadu m\u00f4n. Nhi\u1ec7t k\u1ebf ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1eef trong n\u00e1ch \u00edt nh\u1ea5t 3 ph\u00fat, c\u00e1nh tay c\u1ee7a tr\u1ebb \u00e1p s\u00e1t v\u00e0o ng\u1ef1c. Nhi\u1ec7t \u0111\u1ed9 c\u1ee7a tr\u1ebb s\u1ebd l\u00e0 s\u1ed1 ghi tr\u00ean nhi\u1ec7t k\u1ebf c\u1ed9ng th\u00eam 0,3 – 0,4 \u0111\u1ed9. Th\u00ed d\u1ee5 nhi\u1ec7t k\u1ebf ghi 38oC th\u00ec th\u00e2n nhi\u1ec7t th\u1ef1c s\u1ef1 c\u1ee7a tr\u1ebb l\u00e0 38,4oC.<\/p>\n – H\u1ea1 s\u1ed1t:<\/em> Th\u01b0\u1eddng d\u00f9ng paracetamol, ch\u01b0\u1eddm m\u00e1t cho tr\u1ebb b\u1eb1ng kh\u0103n m\u00e1t, lau kh\u00f4 m\u1ed3 h\u00f4i, \u0111\u1ec3 tr\u1ebb n\u1eb1m n\u01a1i tho\u00e1ng m\u00e1t, m\u1eb7c qu\u1ea7n \u00e1o m\u1ecfng. C\u1edfi qu\u1ea7n \u00e1o, b\u1ecf b\u1edbt ch\u0103n cho tr\u1ebb khi \u0111ang s\u1ed1t cao.<\/p>\n – Lau b\u1eb1ng kh\u0103n \u01b0\u1edbt n\u01b0\u1edbc \u1ea5m:<\/em> D\u00f9ng kh\u0103n m\u1ec1m, s\u1ea1ch, nh\u00fang n\u01b0\u1edbc \u1ea5m, lau l\u00ean kh\u1eafp m\u00ecnh tr\u1ebb; cho t\u1edbi khi th\u00e2n nhi\u1ec7t xu\u1ed1ng 37oC. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c ch\u01b0\u1eddm n\u01b0\u1edbc l\u1ea1nh v\u00ec s\u1ebd g\u00e2y s\u1ed1t cao th\u00eam do c\u01a1 ch\u1ebf co m\u1ea1ch ngo\u1ea1i vi.<\/p>\n – Ch\u1ed1ng co gi\u1eadt:<\/em> N\u1ebfu tr\u1ebb s\u1ed1t cao tr\u00ean 38,5oC th\u00ec d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t k\u00e8m theo thu\u1ed1c ch\u1ed1ng co gi\u1eadt theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u1ebb c\u00f3 ti\u1ec1n s\u1eed co gi\u1eadt khi s\u1ed1t cao.<\/p>\n – B\u00f9 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i:<\/em> N\u1ebfu tr\u1ebb c\u00f2n b\u00fa ti\u1ebfp t\u1ee5c cho b\u00fa nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng, v\u00e0 cho u\u1ed1ng b\u00f9 n\u01b0\u1edbc ORS (Oresol) theo ch\u1ec9 d\u1eabn. Tr\u01b0\u1eddng h\u1ee3p tr\u1ebb kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c th\u00ec d\u00f9ng b\u00f4ng s\u1ea1ch ch\u1ea5m n\u01b0\u1edbc tr\u00ean v\u00e0o m\u00f4i, mi\u1ec7ng b\u00e9 li\u00ean t\u1ee5c \u0111\u1ec3 ni\u00eam m\u1ea1c m\u00f4i, mi\u1ec7ng h\u1ea5p thu n\u01b0\u1edbc, tr\u00e1nh thi\u1ebfu n\u01b0\u1edbc v\u00e0 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i.<\/p>\n – Ch\u1ed1ng b\u1ed9i nhi\u1ec5m:<\/em> V\u1ec7 sinh s\u1ea1ch s\u1ebd cho tr\u1ebb, nh\u1ecf m\u1eaft, m\u0169i b\u1eb1ng natriclorid 0,9%, tr\u00e1nh b\u1ed9i nhi\u1ec5m vi khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n – Dinh d\u01b0\u1ee1ng: <\/em>C\u1ea7n ch\u00fa \u00fd t\u1edbi ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng, n\u00ean cho tr\u1ebb \u0103n lo\u00e3ng nh\u01b0 ch\u00e1o, s\u00fap, u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, n\u01b0\u1edbc l\u1ecdc, n\u01b0\u1edbc hoa qu\u1ea3 nh\u01b0 cam, chanh…<\/p>\n – V\u1ec7 sinh:<\/em> V\u1ec7 sinh c\u01a1 th\u1ec3 cho tr\u1ebb s\u1ea1ch s\u1ebd, t\u1eafm b\u1eb1ng n\u01b0\u1edbc \u1ea5m trong ph\u00f2ng k\u00edn.<\/p>\n Ch\u00fa \u00fd: <\/em>Ph\u1ea3i \u0111\u01b0a tr\u1ebb \u0111\u1ebfn kh\u00e1m ngay t\u1ea1i trung t\u00e2m y t\u1ebf khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u sau: khi tr\u1ebb s\u1ed1t cao tr\u00ean 38,5oC, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u00ean 39oC m\u00e0 d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t kh\u00f4ng \u0111\u00e1p \u1ee9ng. L\u01a1 m\u01a1, li b\u00ec, ng\u1ee7 nhi\u1ec1u, xu\u1ea5t hi\u1ec7n co gi\u1eadt, \u0111au \u0111\u1ea7u li\u00ean t\u1ee5c v\u00e0 t\u0103ng d\u1ea7n, bu\u1ed3n n\u00f4n, n\u00f4n khan nhi\u1ec1u l\u1ea7n, s\u1ed1t k\u00e9o d\u00e0i tr\u00ean 5 ng\u00e0y. S\u1ed1t virut r\u1ea5t d\u1ec5 g\u00e2y th\u00e0nh d\u1ecbch n\u00ean khi tr\u1ebb b\u1ecb nhi\u1ec5m b\u1ec7nh c\u1ea7n c\u00e1ch ly v\u1edbi tr\u1ebb kh\u00e1c v\u00e0 gi\u1eef \u1ea5m cho tr\u1ebb. Kh\u00f4ng n\u00ean cho tr\u1ebb \u1ed1m \u0111\u1ebfn tr\u01b0\u1eddng v\u00ec d\u1ec5 l\u00e2y cho nhi\u1ec1u tr\u1ebb kh\u00e1c. Trong s\u1ed1 nh\u1eefng lo\u1ea1i b\u1ec7nh do virut g\u00e2y n\u00ean hi\u1ec7n \u0111\u00e3 c\u00f3 vaccin ph\u00f2ng b\u1ec7nh nh\u01b0 vi\u00eam n\u00e3o Nh\u1eadt B\u1ea3n, s\u1edfi, quai b\u1ecb, Rubella, c\u00e1c b\u1eadc cha m\u1eb9 n\u00ean \u0111\u01b0a con em \u0111i ti\u00eam ch\u1ee7ng \u0111\u00fang l\u1ecbch t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf. Ti\u00eam ch\u1ee7ng l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh t\u1ed1t nh\u1ea5t hi\u1ec7n nay, kh\u00f4ng ch\u1ec9 ph\u00f2ng cho b\u1ea3n th\u00e2n tr\u1ebb ti\u00eam m\u00e0 c\u00f2n t\u1ea1o \u0111\u1ed9 mi\u1ec5n d\u1ecbch cho c\u1ea3 c\u1ed9ng \u0111\u1ed3ng.<\/p>\n BS. NGUY\u1ec4N L\u00ca (Theo SK&\u0110S)<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" S\u1ed1t virut l\u00e0 b\u1ec7nh g\u1eb7p ch\u1ee7 y\u1ebfu trong m\u00f9a h\u00e8 \u1edf tr\u1ebb, b\u1ec7nh r\u1ea5t d\u1ec5 l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u1edbi tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh l\u00e0 tr\u1ebb \u0111\u1ed9t ng\u1ed9t s\u1ed1t cao 39 – 40oC, k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 ho, ch\u1ea3y m\u0169i, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, n\u1ed5i ban… Tri\u1ec7u ch\u1ee9ng tr\u1ebb b\u1ecb s\u1ed1t […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-274002","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=274002"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274002\/revisions"}],"predecessor-version":[{"id":310999,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274002\/revisions\/310999"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=274002"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=274002"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=274002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}