{"id":280975,"date":"2024-07-09T11:12:41","date_gmt":"2024-07-09T04:12:41","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/canh-bao-benh-sot-xuat-huyet-dengue\/"},"modified":"2025-11-10T11:46:50","modified_gmt":"2025-11-10T04:46:50","slug":"canh-bao-benh-sot-xuat-huyet-dengue","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/canh-bao-benh-sot-xuat-huyet-dengue\/","title":{"rendered":"C\u1ea3nh b\u00e1o b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>S\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/strong> l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m d\u1ec5 m\u1eafc \u1edf c\u00e1c n\u01b0\u1edbc c\u1eadn nhi\u1ec7t \u0111\u1edbi v\u00e0 nhi\u1ec7t \u0111\u1edbi nh\u01b0 Vi\u1ec7t Nam. B\u1ec7nh c\u00f3 th\u1ec3 b\u00f9ng th\u00e0nh d\u1ecbch, v\u1edbi nh\u1eefng tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m cho s\u1ee9c kho\u1ebb v\u00e0 t\u00ednh m\u1ea1ng n\u1ebfu nh\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. H\u00e3y ch\u1ee7 \u0111\u1ed9ng t\u00ecm hi\u1ec3u th\u00f4ng tin v\u1ec1 b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft \u0111\u1ec3 bi\u1ebft c\u00e1ch \u1ee9ng ph\u00f3 v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-s\u1ed1t-xu\u1ea5t-huy\u1ebft-dengue-la-gi\"><strong>S\u1ed1t xu\u1ea5t huy\u1ebft Dengue l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>S\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/strong> (<em>Dengue Hemorrhagic Fever<\/em>) l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh do virus Dengue g\u00e2y ra. Virus Dengue truy\u1ec1n t\u1eeb ng\u01b0\u1eddi b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft sang ng\u01b0\u1eddi kho\u1ebb m\u1ea1nh do mu\u1ed7i v\u1eb1n (Aedes) \u0111\u1ed1t. B\u1ec7nh c\u00f3 th\u1ec3 x\u1ea3y \u0111\u1ebfn v\u1edbi tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn, di\u1ec5n ra quanh n\u0103m, gia t\u0103ng th\u00e0nh d\u1ecbch v\u00e0o m\u00f9a m\u01b0a (kho\u1ea3ng th\u00e1ng 7 \u2013 11).<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/image-10-2.png\" alt=\"\" class=\"wp-image-168423\"\/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\"><em>S\u1ed1t xu\u1ea5t huy\u1ebft Dengue g\u00e2y ra do mu\u1ed7i v\u1eb1n Aedes \u0111\u1ed1t<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Virus g\u00e2y b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue c\u00f3 4 ch\u1ee7ng kh\u00e1c nhau l\u00e0 DEN-1, DEN-2, DEN-3, DEN-4. N\u1ebfu m\u1ed9t ng\u01b0\u1eddi \u0111\u00e3 nhi\u1ec5m virus thu\u1ed9c ch\u1ee7ng n\u00e0o th\u00ec s\u1ebd mi\u1ec5n d\u1ecbch su\u1ed1t \u0111\u1eddi v\u1edbi ch\u1ee7ng \u0111\u00f3, nh\u01b0ng v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft v\u00ec ch\u01b0a mi\u1ec5n d\u1ecbch v\u1edbi 3 ch\u1ee7ng c\u00f2n l\u1ea1i. B\u1ec7nh s\u1ebd g\u00e2y n\u00ean nh\u1eefng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng gi\u1ed1ng nhau \u1edf t\u1eebng ng\u01b0\u1eddi, bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng th\u1ea5y nh\u1ea5t l\u00e0 s\u1ed1t cao v\u00e0 xu\u1ea5t huy\u1ebft.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft li\u00ean t\u1ee5c t\u0103ng trong su\u1ed1t 50 n\u0103m qua. Theo s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea, \u01b0\u1edbc t\u00ednh c\u00f3 50-100 tri\u1ec7u ca s\u1ed1t xu\u1ea5t huy\u1ebft \u1edf h\u01a1n 100 n\u01b0\u1edbc trong v\u00f9ng d\u1ecbch s\u1ed1t xu\u1ea5t huy\u1ebft. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm th\u00ec b\u1ec7nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n, g\u00e2y r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, suy t\u1ea1ng ho\u1eb7c th\u1eadm ch\u00ed t\u1eed vong.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tri\u1ec7u ch\u1ee9ng s\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u0111a d\u1ea1ng, di\u1ec5n bi\u1ebfn nhanh ch\u00f3ng t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng. B\u1ec7nh th\u01b0\u1eddng kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t v\u00e0 di\u1ec5n bi\u1ebfn qua ba giai \u0111o\u1ea1n: giai \u0111o\u1ea1n s\u1ed1t, giai \u0111o\u1ea1n nguy hi\u1ec3m v\u00e0 giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1. Giai \u0111o\u1ea1n s\u1ed1t<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ed1t cao \u0111\u1ed9t ng\u1ed9t, li\u00ean t\u1ee5c<\/li>\n\n\n\n<li>Nh\u1ee9c \u0111\u1ea7u, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n.<\/li>\n\n\n\n<li>Da xung huy\u1ebft, ph\u00e1t ban<\/li>\n\n\n\n<li>\u0110au c\u01a1, \u0111au kh\u1edbp, nh\u1ee9c hai h\u1ed1 m\u1eaft.<\/li>\n\n\n\n<li>Nghi\u1ec7m ph\u00e1p d\u00e2y th\u1eaft d\u01b0\u01a1ng t\u00ednh (ki\u1ec3m tra v\u00e0 \u0111\u00e1nh gi\u00e1 s\u1ee9c b\u1ec1n th\u00e0nh m\u1ea1ch, ch\u1ee7 y\u1ebfu l\u00e0 mao m\u1ea1ch).<\/li>\n\n\n\n<li>C\u00f3 ch\u1ea5m xu\u1ea5t huy\u1ebft \u1edf d\u01b0\u1edbi da, ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng ho\u1eb7c ch\u1ea3y m\u00e1u m\u0169i.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2. Giai \u0111o\u1ea1n nguy hi\u1ec3m<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u01b0\u1eddng v\u00e0o ng\u00e0y th\u1ee9 3 &#8211; 7 c\u1ee7a b\u1ec7nh, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u00f2n s\u1ed1t ho\u1eb7c \u0111\u00e3 gi\u1ea3m s\u1ed1t, v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110au b\u1ee5ng nhi\u1ec1u v\u00e0 li\u00ean t\u1ee5c ho\u1eb7c t\u0103ng c\u1ea3m gi\u00e1c \u0111au \u1edf v\u00f9ng gan.<\/li>\n\n\n\n<li>V\u1eadt v\u00e3, l\u1eeb \u0111\u1eeb, li b\u00ec, l\u1ea1nh \u0111\u1ea7u chi.<\/li>\n\n\n\n<li>Gan to &gt; 2 cm d\u01b0\u1edbi b\u1edd s\u01b0\u1eddn, c\u00f3 th\u1ec3 \u0111au.<\/li>\n\n\n\n<li>N\u00f4n \u00f3i nhi\u1ec1u.<\/li>\n\n\n\n<li>Tho\u00e1t huy\u1ebft t\u01b0\u01a1ng qua th\u00e0nh m\u1ea1ch g\u00e2y ph\u00f9 n\u1ec1 mi m\u1eaft, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, c\u00f3 th\u1ec3 g\u00e2y suy h\u00f4 h\u1ea5p, s\u1ed1c.<\/li>\n\n\n\n<li>Kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p, m\u1ea1ch nh\u1ecf kh\u00f3 b\u1eaft.<\/li>\n\n\n\n<li>Xu\u1ea5t huy\u1ebft.\n<ul class=\"wp-block-list\">\n<li>Xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da<\/li>\n\n\n\n<li>Xu\u1ea5t huy\u1ebft ni\u00eam m\u1ea1c: ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng, ch\u1ea3y m\u00e1u m\u0169i, n\u00f4n ra m\u00e1u, \u0111i ngo\u00e0i ph\u00e2n \u0111en ho\u1eb7c m\u00e1u, ti\u1ec3u m\u00e1u ho\u1eb7c ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o.<\/li>\n\n\n\n<li>Xu\u1ea5t huy\u1ebft n\u1eb7ng: xu\u1ea5t huy\u1ebft ni\u00eam m\u1ea1c n\u1eb7ng ho\u1eb7c xu\u1ea5t huy\u1ebft trong c\u01a1 v\u00e0 ph\u1ea7n m\u1ec1m, xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 n\u1ed9i t\u1ea1ng (ph\u1ed5i, n\u00e3o, gan, l\u00e1ch, th\u1eadn), c\u00f3 th\u1ec3 g\u00e2y s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch, gi\u1ea3m ti\u1ec3u c\u1ea7u, thi\u1ebfu oxy m\u00f4 v\u00e0 toan chuy\u1ec3n h\u00f3a d\u1eabn \u0111\u1ebfn suy \u0111a ph\u1ee7 t\u1ea1ng v\u00e0 \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch n\u1eb7ng. Xu\u1ea5t huy\u1ebft n\u1eb7ng c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng x\u1ea3y ra \u1edf ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng, vi\u00eam gan m\u1ea1n ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 Acetylsalicylic Acid (Aspirin), Ibuprofen ho\u1eb7c d\u00f9ng Corticoid.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>C\u00f3 th\u1ec3 suy t\u1ea1ng (t\u1ed5n th\u01b0\u01a1ng gan n\u1eb7ng ho\u1eb7c suy gan, th\u1eadn, tim, ph\u1ed5i, n\u00e3o), suy tu\u1ea7n ho\u00e0n c\u1ea5p, vi\u00eam c\u01a1 tim, suy tim.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3. Giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u01b0\u1eddng v\u00e0o ng\u00e0y th\u1ee9 7 &#8211; 10 c\u1ee7a b\u1ec7nh v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n:<\/li>\n\n\n\n<li>Ng\u01b0\u1eddi b\u1ec7nh h\u1ebft s\u1ed1t, d\u1ea5u hi\u1ec7u th\u00e8m \u0103n, huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh, \u0111i ti\u1ec3u nhi\u1ec1u.<\/li>\n\n\n\n<li>C\u00f3 th\u1ec3 ph\u00e1t ban h\u1ed3i ph\u1ee5c ho\u1eb7c ng\u1ee9a ng\u00e1y ngo\u00e0i da.<\/li>\n\n\n\n<li>Xu\u1ea5t hi\u1ec7n nh\u1ecbp tim ch\u1eadm ho\u1eb7c kh\u00f4ng \u0111\u1ec1u, c\u00f3 th\u1ec3 suy h\u00f4 h\u1ea5p b\u1edfi qu\u00e1 t\u1ea3i d\u1ecbch truy\u1ec1n.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ch\u1ea9n \u0111o\u00e1n s\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1. Ch\u1ea9n \u0111o\u00e1n c\u0103n nguy\u00ean virus Dengue<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>X\u00e9t nghi\u1ec7m huy\u1ebft thanh<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m huy\u1ebft thanh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u00e1p \u1ee9ng ti\u00ean ph\u00e1t v\u00e0 th\u1ee9 ph\u00e1t c\u1ee7a b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m nhanh: T\u00ecm kh\u00e1ng nguy\u00ean NS1 trong 5 ng\u00e0y \u0111\u1ea7u c\u1ee7a b\u1ec7nh.<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m ELISA: T\u00ecm kh\u00e1ng th\u1ec3 IgM, IgG t\u1eeb ng\u00e0y th\u1ee9 5 tr\u1edf \u0111i n\u1ebfu NS1 \u00e2m t\u00ednh.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">X\u00e1c \u0111\u1ecbnh IgM, IgG kh\u00e1ng virus Dengue nh\u1eb1m ph\u00e1t hi\u1ec7n b\u1ec7nh \u1edf tr\u01b0\u1eddng h\u1ee3p t\u1ea3n ph\u00e1t ho\u1eb7c s\u1ed1t xu\u1ea5t huy\u1ebft n\u1eb7ng c\u00f3 nguy c\u01a1 t\u1eed vong cao.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>X\u00e9t nghi\u1ec7m PCR, ph\u00e2n l\u1eadp virus<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 th\u1ec3 ph\u00e2n l\u1eadp virus Dengue t\u1eeb c\u00e1c b\u1ec7nh ph\u1ea9m nh\u01b0 huy\u1ebft thanh hay m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. T\u1eeb ng\u00e0y 1 \u2013 6 c\u1ee7a b\u1ec7nh, ng\u01b0\u1eddi b\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft c\u00f3 n\u1ed3ng \u0111\u1ed9 virus Dengue trong m\u00e1u r\u1ea5t cao.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">S\u1ed1t xu\u1ea5t huy\u1ebft Dengue c\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c lo\u1ea1i nguy\u00ean nh\u00e2n g\u00e2y s\u1ed1t kh\u00e1c nh\u01b0 s\u1ed1t ph\u00e1t ban do virus, s\u1ed1t m\u00f2, s\u1ed1t r\u00e9t, s\u1ed1t do b\u1ec7nh tay ch\u00e2n mi\u1ec7ng, s\u1ed1t xu\u1ea5t huy\u1ebft do si\u00eau vi kh\u00e1c. Ngo\u00e0i ra, n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 s\u1ed1c th\u00ec c\u1ea7n x\u00e9t nghi\u1ec7m ph\u00e2n bi\u1ec7t v\u1edbi nhi\u1ec5m tr\u00f9ng huy\u1ebft do n\u00e3o m\u00f4 c\u1ea7u, nhi\u1ec5m tr\u00f9ng huy\u1ebft vi khu\u1ea9n gram \u00e2m, do Streptococcus suis, b\u1ec7nh vi\u00eam ru\u1ed9t ho\u1ea1i t\u1eed, \u2026<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u tr\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ed1t xu\u1ea5t huy\u1ebft nh\u1eb9 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa t\u1ea1i nh\u00e0 v\u00e0 theo d\u00f5i t\u1ea1i c\u01a1 s\u1edf y t\u1ebf. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n chuy\u00ean khoa \u0111\u1ec3 x\u1eed l\u00fd k\u1ecbp th\u1eddi n\u1ebfu x\u1ea3y ra s\u1ed1c hay bi\u1ebfn ch\u1ee9ng. V\u00ed d\u1ee5 nh\u01b0: ph\u1ee5 n\u1eef mang thai, tr\u1ebb nh\u0169 nhi, ng\u01b0\u1eddi b\u1ecb b\u00e9o ph\u00ec, ng\u01b0\u1eddi l\u1edbn h\u01a1n 60 tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh (th\u1eadn, tim, gan, hen, COPD k\u00e9m ki\u1ec3m so\u00e1t, ti\u1ec3u \u0111\u01b0\u1eddng, thi\u1ebfu m\u00e1u tan m\u00e1u&#8230;).<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/image-11-1024x682-1.png\" alt=\"\u0110i\u1ec1u tr\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft Dengue\" class=\"wp-image-168424\"\/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>1. \u0110i\u1ec1u tr\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh s\u1ed1t cao \u2265 38,5\u00b0C:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cho thu\u1ed1c h\u1ea1 nhi\u1ec7t Paracetamol \u0111\u01a1n ch\u1ea5t: m\u1ed7i l\u1ea7n 10 &#8211; 15mg\/kg c\u00e2n n\u1eb7ng, c\u00e1ch nhau 4 \u2013 6 gi\u1edd. T\u1ed5ng li\u1ec1u kh\u00f4ng qu\u00e1 60mg\/kg c\u00e2n n\u1eb7ng trong 24gi\u1edd. L\u01b0u \u00fd kh\u00f4ng d\u00f9ng Acetylsalicylic acid nh\u01b0 Aspirin, ho\u1eb7c Analgin, Ibuprofen v\u00ec c\u00f3 th\u1ec3 g\u00e2y xu\u1ea5t huy\u1ebft, toan m\u00e1u)<\/li>\n\n\n\n<li>N\u1edbi l\u1ecfng qu\u1ea7n \u00e1o v\u00e0 lau m\u00e1t b\u1eb1ng n\u01b0\u1edbc \u1ea5m.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>B\u00f9 d\u1ecbch s\u1edbm b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Khuy\u1ebfn kh\u00edch ng\u01b0\u1eddi b\u1ec7nh u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc Oresol ho\u1eb7c n\u01b0\u1edbc tr\u00e1i c\u00e2y (n\u01b0\u1edbc d\u1eeba, cam, chanh,&#8230;) ho\u1eb7c n\u01b0\u1edbc ch\u00e1o lo\u00e3ng v\u1edbi mu\u1ed1i.<\/li>\n\n\n\n<li>Kh\u00f4ng \u0103n u\u1ed1ng nh\u1eefng th\u1ef1c ph\u1ea9m c\u00f3 m\u00e0u n\u00e2u ho\u1eb7c \u0111\u1ecf nh\u01b0 x\u00e1 x\u1ecb, s\u00f4 c\u00f4 la,&#8230;<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Theo d\u00f5i<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m h\u00e0ng ng\u00e0y.<\/li>\n\n\n\n<li>Theo d\u00f5i \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi n\u1ebfu kh\u00f4ng \u0103n u\u1ed1ng \u0111\u01b0\u1ee3c, n\u00f4n \u00f3i, tay ch\u00e2n l\u1ea1nh, m\u1ec7t l\u1ea3, \u0111au b\u1ee5ng, xu\u1ea5t huy\u1ebft ni\u00eam m\u1ea1c, kh\u00f4ng ti\u1ec3u h\u01a1n 6 gi\u1edd, v\u1eadt v\u00e3, li b\u00ec, l\u00fa l\u1eabn,\u2026<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2. \u0110i\u1ec1u tr\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft Dengue c\u1ea3nh b\u00e1o v\u00e0 s\u1ed1t xu\u1ea5t huy\u1ebft Dengue n\u1eb7ng<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Truy\u1ec1n d\u1ecbch<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u01b0\u1eddng h\u1ee3p s\u1ed1t xu\u1ea5t huy\u1ebft Dengue n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c, m\u1ea5t n\u01b0\u1edbc nghi\u00eam tr\u1ecdng, n\u00f4n nhi\u1ec1u, l\u1eeb \u0111\u1eeb, hematocrit t\u0103ng cao m\u1eb7c d\u00f9 huy\u1ebft \u00e1p v\u1eabn \u1ed5n \u0111\u1ecbnh, s\u1ed1c s\u1ed1t xu\u1ea5t huy\u1ebft.<\/li>\n\n\n\n<li>Truy\u1ec1n d\u1ecbch Ringer Lactate, NaCl 0,9%, dung d\u1ecbch cao ph\u00e2n t\u1eed nh\u01b0 Dextran 40 ho\u1eb7c 70, HES (hydroxyethyl starch).<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Truy\u1ec1n m\u00e1u v\u00e0 c\u00e1c ch\u1ebf ph\u1ea9m m\u00e1u<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u01b0\u1eddng h\u1ee3p s\u1ed1c s\u1ed1t xu\u1ea5t huy\u1ebft Dengue, hematocrit gi\u1ea3m nhanh, xu\u1ea5t huy\u1ebft n\u1eb7ng, c\u1ea7n truy\u1ec1n kh\u1ed1i h\u1ed3ng c\u1ea7u ho\u1eb7c m\u00e1u to\u00e0n ph\u1ea7n.\n<ul class=\"wp-block-list\">\n<li>Truy\u1ec1n ti\u1ec3u c\u1ea7u khi s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u xu\u1ed1ng nhanh &lt; 50.000\/mm3 k\u00e8m theo xu\u1ea5t huy\u1ebft n\u1eb7ng.<\/li>\n\n\n\n<li>Truy\u1ec1n plasma t\u01b0\u01a1i, t\u1ee7a l\u1ea1nh n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u d\u1eabn \u0111\u1ebfn xu\u1ea5t huy\u1ebft n\u1eb7ng.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p suy \u0111a t\u1ea1ng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n.<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft, \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec7n gi\u1ea3i, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, r\u1ed1i lo\u1ea1n th\u0103ng b\u1eb1ng ki\u1ec1m toan, r\u1ed1i lo\u1ea1n tri gi\u00e1c,\u2026<\/li>\n\n\n\n<li>L\u1ecdc m\u00e1u, ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o trong tr\u01b0\u1eddng h\u1ee3p s\u1ed1t xu\u1ea5t huy\u1ebft suy th\u1eadn c\u1ea5p.<\/li>\n\n\n\n<li>H\u1ed7 tr\u1ee3 gan n\u1ebfu b\u1ecb t\u1ed5n th\u01b0\u01a1ng gan.<\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng thu\u1ed1c v\u1eadn m\u1ea1ch Dopamine, Dobutamine, \u0111o CVP n\u1ebfu vi\u00eam c\u01a1 tim, suy tim.<\/li>\n\n\n\n<li>H\u1ed7 tr\u1ee3 th\u1edf oxy g\u1ecdng k\u00ednh \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh b\u1ecb s\u1ed1c s\u1ed1t xu\u1ea5t huy\u1ebft Dengue.<\/li>\n\n\n\n<li>Cho ng\u01b0\u1eddi b\u1ec7nh th\u1edf NCPAP n\u1ebfu b\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng b\u1ee5ng, m\u00e0ng ph\u1ed5i g\u00e2y kh\u00f3 th\u1edf, SpO2 gi\u1ea3m d\u01b0\u1edbi 92%. N\u1ebfu kh\u00f4ng c\u1ea3i thi\u1ec7n, xem x\u00e9t ch\u1ec9 \u0111\u1ecbnh ch\u1ecdc h\u00fat \u0111\u1ec3 gi\u1ea3m b\u1edbt d\u1ecbch m\u00e0ng b\u1ee5ng, m\u00e0ng ph\u1ed5i.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Ch\u0103m s\u00f3c v\u00e0 theo d\u00f5i<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1eef \u1ea5m cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\n<li>Theo d\u00f5i m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf kho\u1ea3ng 15 &#8211; 30 ph\u00fat\/l\u1ea7n.<\/li>\n\n\n\n<li>\u0110o Hematocrit c\u1ee9 1 &#8211; 2 gi\u1edd\/l\u1ea7n, trong 6 gi\u1edd \u0111\u1ea7u c\u1ee7a s\u1ed1c. Sau \u0111\u00f3 kho\u1ea3ng 4 gi\u1edd\/l\u1ea7n cho \u0111\u1ebfn khi \u1ed5n \u0111\u1ecbnh s\u1ed1c.<\/li>\n\n\n\n<li>Ghi ch\u00fa l\u01b0\u1ee3ng n\u01b0\u1edbc xu\u1ea5t v\u00e0 nh\u1eadp trong 24 gi\u1edd v\u00e0 \u0111o l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u.<\/li>\n\n\n\n<li>Theo d\u00f5i t\u00ecnh tr\u1ea1ng tho\u00e1t d\u1ecbch v\u00e0o m\u00e0ng b\u1ee5ng, m\u00e0ng ph\u1ed5i, m\u00e0ng tim.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ph\u00f2ng ng\u1eeba s\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay, t\u1ea1i Vi\u1ec7t Nam ch\u01b0a c\u00f3 vaccine d\u1ef1 ph\u00f2ng b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue. Do \u0111\u00f3, bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba s\u1ed1t xu\u1ea5t huy\u1ebft ch\u1ee7 y\u1ebfu l\u00e0 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n\/nhi\u1ec5m b\u1ec7nh do mu\u1ed7i v\u1eb1n \u0111\u1ed1t. Th\u1ef1c hi\u1ec7n c\u00e1c c\u00e1ch sau \u0111\u00e2y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ng\u1ee7 m\u00e0n (k\u1ec3 c\u1ea3 ban ng\u00e0y), l\u1eafp r\u00e8m c\u1eeda l\u01b0\u1edbi ch\u1ed1ng mu\u1ed7i.<\/li>\n\n\n\n<li>M\u1eb7c qu\u1ea7n \u00e1o d\u00e0i tay, thoa kem ho\u1eb7c x\u1ecbt ch\u1ed1ng mu\u1ed7i.<\/li>\n\n\n\n<li>Di\u1ec7t mu\u1ed7i b\u1eb1ng c\u00e1ch phun thu\u1ed1c, \u0111\u1ed1t nhang mu\u1ed7i, d\u00f9ng v\u1ee3t mu\u1ed7i, lo\u1ea1i b\u1ecf ch\u1ed7 n\u01b0\u1edbc \u0111\u1ecdng, \u0111\u1eady n\u1eafp c\u00e1c th\u00f9ng ch\u1ee9a n\u01b0\u1edbc, th\u1ea3 c\u00e1 \u0103n l\u0103ng qu\u0103ng\u2026<\/li>\n\n\n\n<li>V\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng s\u1ed1ng, ph\u00e1t quang b\u1ee5i r\u1eadm, d\u1ecdn d\u1eb9p nh\u00e0 c\u1eeda g\u1ecdn g\u00e0ng.<\/li>\n\n\n\n<li>Tr\u00e1nh \u0111\u1ec3 tr\u1ebb ch\u01a1i \u1edf nh\u1eefng ch\u1ed7 t\u1ed1i, nhi\u1ec1u mu\u1ed7i.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft Dengue t\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n quy t\u1ee5 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean khoa N\u1ed9i Nhi\u1ec5m v\u1edbi nhi\u1ec1u n\u0103m kinh nghi\u1ec7m trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue. C\u00f9ng v\u1edbi \u0111\u00f3 l\u00e0 h\u1ec7 th\u1ed1ng ph\u00f2ng x\u00e9t nghi\u1ec7m hi\u1ec7n \u0111\u1ea1i, c\u00e1c trang thi\u1ebft b\u1ecb m\u00e1y m\u00f3c t\u1ed1i t\u00e2n, gi\u00fap ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 ch\u00ednh x\u00e1c b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue. Ng\u01b0\u1eddi b\u1ec7nh th\u0103m kh\u00e1m \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ph\u00e2n \u0111\u1ed9 v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft b\u1eb1ng nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ti\u00ean ti\u1ebfn, c\u00e1 th\u1ec3 ho\u00e1 v\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed3ng th\u1eddi, c\u00e1c b\u00e1c s\u0129 v\u00e0 \u0111\u1ed9i ng\u0169 nh\u00e2n vi\u00ean y t\u1ebf s\u1ebd t\u1eadn t\u00ecnh theo d\u00f5i, ch\u0103m s\u00f3c c\u1ea9n th\u1eadn t\u1eebng tr\u01b0\u1eddng h\u1ee3p, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tho\u1ea3i m\u00e1i khi \u0111i\u1ec1u tr\u1ecb, h\u1ed7 tr\u1ee3 k\u1ecbp th\u1eddi n\u1ebfu x\u1ea3y ra s\u1ed1c, gi\u00fap ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng do s\u1ed1t xu\u1ea5t huy\u1ebft. Nh\u1edd quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb khoa h\u1ecdc, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe nhanh ch\u00f3ng, xu\u1ea5t vi\u1ec7n trong t\u00ecnh tr\u1ea1ng t\u1ed1t nh\u1ea5t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue cho \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m hi\u1ec7n nay v\u1eabn ch\u01b0a c\u00f3 v\u1eafc xin ph\u00f2ng b\u1ec7nh. B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n c\u0169ng ph\u1ed1i h\u1ee3p v\u1edbi ng\u00e0nh v\u00e0 c\u01a1 s\u1edf \u00fd t\u1ebf t\u1ea1i th\u00e0nh ph\u1ed1 tuy\u00ean truy\u1ec1n ph\u00f2ng ng\u1eeba b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft trong c\u1ed9ng \u0111\u1ed3ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tham kh\u1ea3o:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/youtube.com\/live\/xx2T2fs7SUc\" target=\"_blank\" rel=\"noopener\">D\u1ea5u hi\u1ec7u n\u1eb7ng c\u1ee7a s\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/a> | Khoa Nhi<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/youtube.com\/live\/yIdhgznqGDw\" target=\"_blank\" rel=\"noopener\">C\u1ea3nh b\u00e1o b\u1ec7nh S\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/a> | Khoa N\u1ed9i t\u1ed5ng h\u1ee3p<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ed1t xu\u1ea5t huy\u1ebft Dengue l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m d\u1ec5 m\u1eafc \u1edf c\u00e1c n\u01b0\u1edbc c\u1eadn nhi\u1ec7t \u0111\u1edbi v\u00e0 nhi\u1ec7t \u0111\u1edbi nh\u01b0 Vi\u1ec7t Nam. B\u1ec7nh c\u00f3 th\u1ec3 b\u00f9ng th\u00e0nh d\u1ecbch, v\u1edbi nh\u1eefng tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m cho s\u1ee9c kho\u1ebb v\u00e0 t\u00ednh m\u1ea1ng n\u1ebfu nh\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. H\u00e3y ch\u1ee7 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":280976,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-280975","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280975","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=280975"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280975\/revisions"}],"predecessor-version":[{"id":297746,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280975\/revisions\/297746"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280976"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280975"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280975"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280975"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}