{"id":282358,"date":"2025-08-08T17:32:03","date_gmt":"2025-08-08T10:32:03","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/benh-viem-gan-b-va-cach-phong-ngua\/"},"modified":"2025-11-08T09:46:06","modified_gmt":"2025-11-08T02:46:06","slug":"benh-viem-gan-b-va-cach-phong-ngua","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/benh-viem-gan-b-va-cach-phong-ngua\/","title":{"rendered":"B\u1ec7nh vi\u00eam gan B v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>B\u1ec7nh vi\u00eam gan B l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam gan B l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m do <em>virus vi\u00eam gan si\u00eau vi B<\/em><em>&nbsp;(Hepadnavirus)<\/em> g\u00e2y ra, c\u00f3 th\u1ec3 g\u00e2y vi\u00eam gan c\u1ea5p t\u00ednh v\u00e0 m\u00e3n t\u00ednh, \u01b0\u1edbc t\u00ednh c\u00f3 \u0111\u1ebfn g\u1ea7n 1\/3 d\u00e2n s\u1ed1 th\u1ebf gi\u1edbi m\u1eafc b\u1ec7nh, t\u1ef7 l\u1ec7 m\u1eafc nhi\u1ec1u nh\u1ea5t t\u1ea1i c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u1ec7t Nam l\u00e0 n\u01b0\u1edbc c\u00f3 t\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc vi\u00eam gan B cao, \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 8,6 tri\u1ec7u ng\u01b0\u1eddi nhi\u1ec5m virus vi\u00eam gan B. Nhi\u1ec5m virus vi\u00eam gan B m\u1ea1n t\u00ednh l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y b\u1ec7nh gan \u1edf Vi\u1ec7t Nam nh\u01b0 x\u01a1 gan v\u00e0 ung th\u01b0 gan.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/viem-gan-b.jpg\" alt=\"\" class=\"wp-image-175540\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>B\u1ec7nh vi\u00eam gan B c\u00f3 l\u00e2y kh\u00f4ng?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Virus&nbsp;vi\u00eam gan B&nbsp;r\u1ea5t d\u1ec5 l\u00e2y, kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m cao h\u01a1n HIV 100 l\u1ea7n v\u00e0 l\u00e2y qua 3 \u0111\u01b0\u1eddng:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u01b0\u1eddng m\u00e1u: Ti\u1ebfp x\u00fac v\u1edbi m\u00e1u ho\u1eb7c ch\u1ebf ph\u1ea9m c\u1ee7a m\u00e1u, d\u1ecbch ti\u1ebft c\u1ee7a c\u01a1 th\u1ec3 nhi\u1ec5m virus vi\u00eam gan B<\/li>\n\n\n\n<li>Qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c<\/li>\n\n\n\n<li>M\u1eb9 truy\u1ec1n cho con trong th\u1eddi k\u1ef3 sinh \u0111\u1ebb<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Bi\u1ec3u hi\u1ec7n b\u1ec7nh vi\u00eam gan B<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam gan B th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m, l\u1eb7ng l\u1ebd v\u1edbi nh\u1eefng tri\u1ec7u ch\u1ee9ng r\u1ea5t m\u1edd nh\u1ea1t. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4i khi ch\u1ee7 quan v\u00e0 b\u1ecf qua nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh, \u0111\u1ebfn khi ph\u00e1t hi\u1ec7n th\u00ec b\u1ec7nh \u0111\u00e3 ti\u1ebfn tri\u1ec3n t\u1edbi giai \u0111o\u1ea1n x\u1ea5u h\u01a1n. M\u1ed9t v\u00e0i tri\u1ec7u ch\u1ee9ng d\u01b0\u1edbi \u0111\u00e2y s\u1ebd gi\u00fap nh\u1eadn bi\u1ebft s\u1edbm&nbsp;b\u1ec7nh vi\u00eam gan B:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ed1t nh\u1eb9<\/li>\n\n\n\n<li>Ch\u00e1n \u0103n<\/li>\n\n\n\n<li>Bu\u1ed3n n\u00f4n, n\u00f4n<\/li>\n\n\n\n<li>M\u1ec7t m\u1ecfi, l\u01a1 m\u01a1, thi\u1ebfu t\u1eadp trung<\/li>\n\n\n\n<li>V\u00e0ng da<\/li>\n\n\n\n<li>Ti\u1ec3u \u00edt, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u<\/li>\n\n\n\n<li>\u0110au t\u1ee9c v\u00f9ng gan<\/li>\n\n\n\n<li>Ng\u1ee9a ng\u00e1y<\/li>\n\n\n\n<li>Ph\u00e2n b\u1ea1c m\u00e0u<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a vi\u00eam gan B<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam gan m\u1ea1n t\u00ednh, suy gan, x\u01a1 gan, ung th\u01b0 gan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam gan B l\u00e0 b\u1ec7nh l\u00fd do virus HBV g\u00e2y ra, c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m trong nhi\u1ec1u n\u0103m n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Khi b\u1ec7nh k\u00e9o d\u00e0i, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 g\u1eb7p ph\u1ea3i c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, bao g\u1ed3m:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Vi\u00eam gan B m\u1ea1n t\u00ednh<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kho\u1ea3ng 5\u201310% ng\u01b0\u1eddi l\u1edbn v\u00e0 90% tr\u1ebb s\u01a1 sinh nhi\u1ec5m HBV c\u00f3 th\u1ec3 chuy\u1ec3n sang giai \u0111o\u1ea1n m\u1ea1n t\u00ednh.<\/li>\n\n\n\n<li>Virus t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i trong c\u01a1 th\u1ec3, g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan k\u00e9o d\u00e0i.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>X\u01a1 gan<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Do qu\u00e1 tr\u00ecnh vi\u00eam k\u00e9o d\u00e0i, m\u00f4 gan b\u1ecb thay th\u1ebf b\u1eb1ng m\u00f4 x\u01a1, l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng gan.<\/li>\n\n\n\n<li>D\u1ea5u hi\u1ec7u th\u01b0\u1eddng g\u1eb7p: b\u1ee5ng b\u00e1ng, v\u00e0ng da, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do gi\u00e3n v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Suy gan<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gan m\u1ea5t kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng gi\u1ea3i \u0111\u1ed9c, chuy\u1ec3n h\u00f3a v\u00e0 t\u1ed5ng h\u1ee3p protein.<\/li>\n\n\n\n<li>\u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng nguy k\u1ecbch, c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Ung th\u01b0 gan nguy\u00ean ph\u00e1t (HCC)<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vi\u00eam gan B l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 gan t\u1ea1i Vi\u1ec7t Nam.<\/li>\n\n\n\n<li>Nguy c\u01a1 ung th\u01b0 t\u0103ng cao \u1edf ng\u01b0\u1eddi b\u1ec7nh x\u01a1 gan ho\u1eb7c c\u00f3 t\u1ea3i l\u01b0\u1ee3ng virus cao.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00e1ch ph\u00f2ng ng\u1eeba b\u1ec7nh vi\u00eam gan B<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00f2ng ng\u1eeba vi\u00eam gan B b\u1eb1ng c\u00e1ch t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3 v\u00e0 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ti\u00eam v\u1eafc-xin vi\u00eam gan B<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">WHO khuy\u1ebfn c\u00e1o ti\u00eam m\u0169i \u0111\u1ea7u ti\u00ean c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u2014 trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u sau sinh, sau \u0111\u00f3 ho\u00e0n th\u00e0nh c\u00e1c m\u0169i ti\u1ebfp theo theo l\u1ecbch. V\u1edbi tr\u1ebb sinh ra t\u1eeb m\u1eb9 HBsAg d\u01b0\u01a1ng t\u00ednh, c\u1ea7n ti\u00eam v\u1eafc-xin vi\u00eam gan B + globulin mi\u1ec5n d\u1ecbch (HBIG) t\u1ea1i hai v\u1ecb tr\u00ed kh\u00e1c nhau trong v\u00f2ng 12 gi\u1edd sau sinh \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y truy\u1ec1n m\u1eb9-con.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110\u1ed1i t\u01b0\u1ee3ng c\u1ea7n ti\u00eam ch\u1ee7ng<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi ch\u01b0a c\u00f3 kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i virus vi\u00eam gan B (Anti &#8211; HBs), n\u00ean&nbsp;ti\u00eam ph\u00f2ng v\u1eafc xin vi\u00eam gan B&nbsp;c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng \u1edf c\u00e1c qu\u1ed1c gia c\u00f3 t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh b\u1ec7nh vi\u00eam gan B cao trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ph\u00e1c \u0111\u1ed3 ti\u00eam ng\u1eeba vi\u00eam gan B:<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u2022 Ph\u00e1c \u0111\u1ed3 1 (0-1-6):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u0169i 1: l\u1ea7n ti\u00eam \u0111\u1ea7u ti\u00ean<\/li>\n\n\n\n<li>M\u0169i 2: 1 th\u00e1ng sau m\u0169i 1<\/li>\n\n\n\n<li>M\u0169i 3: 6 th\u00e1ng sau m\u0169i 1<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u2022 <\/strong><strong>Ph\u00e1c \u0111\u1ed3 2 (0-1-2-12):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u0169i 1: l\u1ea7n ti\u00eam \u0111\u1ea7u ti\u00ean<\/li>\n\n\n\n<li>M\u0169i 2: 1 th\u00e1ng sau m\u0169i 1<\/li>\n\n\n\n<li>M\u0169i 3: 1 th\u00e1ng sau m\u0169i 2<\/li>\n\n\n\n<li>M\u0169i 4: 12 th\u00e1ng sau ti\u00eam m\u0169i 1<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u1ea1n ch\u1ebf u\u1ed1ng bia, r\u01b0\u1ee3u, c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh nhi\u1ec1u rau qu\u1ea3 \u00edt d\u1ea7u m\u1ee1; nh\u1eefng ng\u01b0\u1eddi x\u01a1 gan n\u00ean gi\u1ea3m mu\u1ed1i trong ch\u1ebf \u0111\u1ed9 \u0103n.<\/li>\n\n\n\n<li>C\u1ea9n tr\u1ecdng v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c ho\u1eb7c th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho gan (\u0111\u1eb7c bi\u1ec7t l\u00e0 thu\u1ed1c B\u1eafc thu\u1ed1c Nam kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c)<\/li>\n\n\n\n<li>S\u00e1t tr\u00f9ng c\u1ea9n th\u1eadn khi b\u1ecb th\u01b0\u01a1ng, ch\u1ea3y m\u00e1u<\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 khi quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ec3 tr\u00e1nh l\u00e2y nhi\u1ec5m<\/li>\n\n\n\n<li>Kh\u00f4ng d\u00f9ng chung kim ti\u00eam<\/li>\n\n\n\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng chung d\u1ee5ng c\u1ee5 ho\u1eb7c ph\u1ea3i \u0111\u01b0\u1ee3c s\u00e1t tr\u00f9ng tr\u01b0\u1edbc khi x\u0103m ng\u01b0\u1eddi, ch\u00e2m c\u1ee9u, x\u1ecf l\u1ed7 tai.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[1] B\u1ec7nh vi\u00eam gan B &#8211; B\u00e0i gi\u1ea3ng c\u00e1c b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m &#8211; \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh, n\u0103m 2020.<br>[2] H\u1ed9i y h\u1ecdc d\u1ef1 ph\u00f2ng Vi\u1ec7t Nam &#8211; B\u1ed9 Y t\u1ebf\/B\u1ec7nh vi\u00eam gan B, n\u0103m 2021<br>[3] C\u1ea9m nang ph\u00f2ng ch\u1ed1ng b\u1ec7nh truy\u1ec1n nhi\u1ec5m &#8211; B\u1ed9 Y t\u1ebf, n\u0103m 2019<br>[4] Th\u00f4ng t\u01b0 ban h\u00e0nh danh m\u1ee5c b\u1ec7nh truy\u1ec1n nhi\u1ec5m, ph\u1ea1m vi v\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng s\u1eed d\u1ee5ng v\u1eafc xin, sinh ph\u1ea9m y t\u1ebf b\u1eaft bu\u1ed9c. TT s\u1ed1 38\/2017\/TT-BYT ng\u00e0y 17 th\u00e1ng 10 n\u0103m 2017.<br>[5] WHO (2017), <a href=\"http:\/\/www.who.int\/immunization\/policy\/immunization_tables\/en\/\" target=\"_blank\" rel=\"noopener\">WHO recommendations for routine immunization<\/a> &#8211; Summary tables. <\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh vi\u00eam gan B l\u00e0 g\u00ec? Vi\u00eam gan B l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus vi\u00eam gan si\u00eau vi B&nbsp;(Hepadnavirus) g\u00e2y ra, c\u00f3 th\u1ec3 g\u00e2y vi\u00eam gan c\u1ea5p t\u00ednh v\u00e0 m\u00e3n t\u00ednh, \u01b0\u1edbc t\u00ednh c\u00f3 \u0111\u1ebfn g\u1ea7n 1\/3 d\u00e2n s\u1ed1 th\u1ebf gi\u1edbi m\u1eafc b\u1ec7nh, t\u1ef7 l\u1ec7 m\u1eafc nhi\u1ec1u nh\u1ea5t t\u1ea1i c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":273149,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-282358","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-cuu-long"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282358","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\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=282358"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282358\/revisions"}],"predecessor-version":[{"id":295798,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282358\/revisions\/295798"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/273149"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282358"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}