BỆNH SỞI

<html> <head> <meta http-equiv='Content-Type' content='text/html; charset=utf-8'> <title> </title> </head> <div style="text-align: center;"><span style="color: rgb(0, 0, 255);"><font face="Arial" size="2"><b>B&#7878NH S&#7902I</b></font></span></div> <h1 class="TitlePage" style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif; text-align: center;"><span style="font-family: Arial;"><span style="font-size: small;">S&#7903i l&agrave; m&#7897t b&#7879nh truy&#7873n nhi&#7877m c&#7845p t&iacute;nh v&#7899i c&aacute;c tri&#7879u ch&#7913ng s&#7889t, ph&aacute;t ban, ch&#7843y n&#432&#7899c m&#361i, ho, m&#7855t &#273&#7887... b&#7879nh c&oacute; th&#7875 g&#7863p &#7903 tr&#7867 em, ng&#432&#7901i l&#7899n n&#7871u kh&ocirc;ng c&oacute; mi&#7877n d&#7883ch ph&ograve;ng b&#7879nh, c&oacute; th&#7875 g&acirc;y th&agrave;nh d&#7883ch. B&#7879nh s&#7903i tuy &iacute;t g&acirc;y t&#7917 vong nh&#432ng bi&#7871n ch&#7913ng c&oacute; th&#7875 g&#7863p l&agrave;: vi&ecirc;m tai gi&#7919a, vi&ecirc;m ph&#7893i, ti&ecirc;u ch&#7843y, kh&ocirc; lo&eacute;t gi&aacute;c m&#7841c m&#7855t v&agrave; &#273&ocirc;i khi vi&ecirc;m n&atilde;o sau s&#7903i, &#273&#7863c bi&#7879t &#7903 tr&#7867 em suy dinh d&#432&#7905ng...</span></span></h1> <h2 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;">I. C&Aacute;C TRI&#7878U CH&#7912NG C&#7910A B&#7878NH S&#7902I:</span></span></h2> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Kho&#7843ng 10 t&#7899i 12 ng&agrave;y sau khi ti&#7871p x&uacute;c v&#7899i si&ecirc;u vi s&#7903i, nh&#7919ng tri&#7879u ch&#7913ng sau &#273&acirc;y c&oacute; th&#7875 x&#7849y ra:<br /> 1. S&#7889t<br /> 2. Ho khan<br /> 3. Ch&#7843y n&#432&#7899c m&#361i<br /> 4. M&#7855t &#273&#7887<br /> 5. Kh&ocirc;ng ch&#7883u &#273&#432&#7907c &aacute;nh s&aacute;ng<br /> 6. Nh&#7919ng n&#7889t nh&#7887 x&iacute;u v&#7899i trung t&acirc;m m&#7847u xanh tr&#7855ng xu&#7845t hi&#7879n b&ecirc;n trong mi&#7879ng n&#417i g&ograve; m&aacute;. Nh&#7919ng n&#7889t n&agrave;y c&oacute; t&ecirc;n l&agrave; &#273&#7889m Koplik.<br /> 7. Ng&#432&#7901i m&#7885c ra nh&#7919ng &#273&#7889m &#273&#7887 l&#7899n, ph&#7859ng, ch&#7853p v&agrave;o nhau</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>Di</strong><strong>&#7877n Bi</strong><strong>&#7871n C</strong><strong>&#7911a B</strong><strong>&#7879nh</strong><br /> B&#7879nh s&#7903i th&#432&#7901ng b&#7855t &#273&#7847u v&#7899i m&#7897t c&#417n s&#7889t kh&aacute; nh&#7865, k&egrave;m theo nh&#7919ng tri&#7879u ch&#7913ng nh&#432 ho, ch&#7843y m&#361i, m&#7855t &#273&#7887 v&agrave; &#273au c&#7893 h&#7885ng. Kho&#7843ng 2, 3 ng&agrave;y sau, &#273&#7889m Koplik n&#7893i l&ecirc;n, &#273&#7889m n&agrave;y l&agrave; d&#7845u hi&#7879u &#273&#7863c bi&#7879t c&#7911a b&#7879nh s&#7903i. Sau &#273&oacute;, b&#7879nh nh&acirc;n c&oacute; th&#7875 b&#7883 s&#7889t cao l&ecirc;n t&#7899i 104 hay 105 &#273&#7897 F. C&ugrave;ng l&uacute;c &#273&oacute;, nh&#7919ng m&#7843ng &#273&#7887 n&#7893i l&ecirc;n, th&#432&#7901ng l&agrave; &#7903 tr&ecirc;n m&#7863t, theo &#273&#432&#7901ng t&oacute;c v&agrave; sau tai. Nh&#7919ng v&#7871t &#273&#7887 h&#417i ng&#7913a n&agrave;y c&oacute; th&#7875 d&#7845n lan xu&#7889ng ng&#7921c, l&#432ng v&agrave; cu&#7889i c&ugrave;ng xu&#7889ng t&#7899i &#273&ugrave;i v&agrave; b&agrave;n ch&acirc;n. Kho&#7843ng m&#7897t tu&#7847n sau, nh&#7919ng v&#7871t nh&#7887 n&agrave;y s&#7869 nh&#7841t d&#7847n, v&#7871t n&agrave;o xu&#7845t hi&#7879n tr&#432&#7899c s&#7869 h&#7871t tr&#432&#7899c.</span></span></p> <h2 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>II. NGUY&Ecirc;N NH&Acirc;N G&Acirc;Y B&#7878NH S&#7902I:</strong></span></span></h2> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- L&acirc;y qua &#273&#432&#7901ng h&ocirc; h&#7845p.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- L&acirc;y tr&#7921c ti&#7871p khi b&#7879nh nh&acirc;n ho, h&#7855t h&#417i, n&oacute;i chuy&#7871n&hellip;</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- L&acirc;y gi&aacute;n ti&#7871p &iacute;t g&#7863p v&igrave; virus s&#7903i d&#7877 b&#7883 di&#7879t &#7903 ngo&#7841i c&#7843nh.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">B&#7879nh s&#7903i g&acirc;y ra do si&ecirc;u vi s&#7903i. B&#7879nh n&agrave;y hay l&acirc;y &#273&#7871n n&#7895i 90% nh&#7919ng ng&#432&#7901i ti&#7871p x&uacute;c v&#7899i b&#7879nh nh&acirc;n s&#7869 b&#7883 l&acirc;y s&#7903i n&#7871u ch&#432a ch&iacute;ch ng&#7915a. Si&ecirc;u vi s&#7903i c&oacute; &#7903 m&#361i v&agrave; c&#7893 h&#7885ng c&#7911a b&#7879nh nh&acirc;n.<br /> H&#7885 th&#432&#7901ng &#273&atilde; c&oacute; th&#7875 l&acirc;y b&#7879nh cho ng&#432&#7901i kh&aacute;c 4 ng&agrave;y tr&#432&#7899c khi v&#7871t &#273&#7887 xu&#7845t hi&#7879n. Khi b&#7879nh nh&acirc;n ho, h&#7855t x&igrave;, hay n&oacute;i chuy&#7879n, nh&#7919ng gi&#7885t n&#432&#7899c nh&#7887 x&iacute;u c&oacute; ch&#7913a si&ecirc;u vi s&#7869 b&#7855n ra kh&ocirc;ng kh&iacute; v&agrave; ng&#432&#7901i kh&aacute;c c&oacute; th&#7875 h&iacute;t v&agrave;o ho&#7863c nh&#7919ng gi&#7885t n&agrave;y c&oacute; th&#7875 r&#417i xu&#7889ng m&#7897t n&#417i n&agrave;o &#273&oacute; nh&#432m&#7863t b&agrave;n, &#273i&#7879n tho&#7841i&hellip;Khi ta s&#7901 v&agrave;o nh&#7919ng n&#417i n&agrave;y v&agrave; &#273&#432a tay l&ecirc;n m&#361i hay mi&#7879ng, ta s&#7869 b&#7883 l&acirc;y b&#7879nh<br /> M&#7897t khi si&ecirc;u vi s&#7903i v&agrave;o c&#417th&#7875 b&#7879nh nh&acirc;n, ch&uacute;ng th&#432&#7901ng m&#7885c v&agrave;o trong nh&#7919ng t&#7871 b&agrave;o &#273&#7857ng sau c&#7893 h&#7885ng v&agrave; ph&#7893i. Sau &#273&oacute; b&#7879nh s&#7869 lan kh&#7855p c&#417th&#7875 k&#7875 c&#7843 h&#7879 h&ocirc; h&#7845p v&agrave; da.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>M&#7847m b&#7879nh:</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">L&agrave; virus s&#7903i thu&#7889c h&#7885 Paramyxoviridae, virus h&igrave;nh c&#7847u, &#273&#432&#7901ng k&iacute;nh 120 &ndash; 250nm, s&#7913c ch&#7883u &#273&#7921ng y&#7871u, d&#7877 b&#7883 di&#7879t v&#7899i c&aacute;c thu&#7889c kh&#7917 tr&ugrave;ng th&ocirc;ng th&#432&#7901ng, &aacute;nh s&aacute;ng m&#7863t tr&#7901i, s&#7913c n&oacute;ng&hellip; &#7902 nhi&#7879t &#273&#7897 56 &#273&#7897 C b&#7883 di&#7879t trong 30 ph&uacute;t.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>Virus s&#7903i c&oacute; hai kh&aacute;ng nguy&ecirc;n</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Kh&aacute;ng nguy&ecirc;n ng&#432ng k&#7871t h&#7891ng c&#7847u (Hemagglutinin).</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Kh&aacute;ng nguy&ecirc;n tan h&#7891ng c&#7847u (Hemolysin)</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Khi virus v&agrave;o trong c&#417 th&#7875 b&#7879nh nh&acirc;n s&#7869 k&iacute;ch th&iacute;ch sinh kh&aacute;ng th&#7875. B&#7857ng k&#297 thu&#7853t k&#7871t h&#7907p b&#7893 th&#7875 v&agrave; k&#297 thu&#7853t &#7913c ch&#7871 ng&#432ng k&#7871t h&#7891ng c&#7847u&hellip; gi&uacute;p cho ch&#7849n &#273o&aacute;n b&#7879nh.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Kh&aacute;ng th&#7875 xu&#7845t hi&#7879n t&#7915 ng&agrave;y th&#7913 2 &ndash; 3 sau khi m&#7885c ban v&agrave; t&#7889n t&#7841i l&acirc;u d&agrave;i. Mi&#7877n d&#7883ch trong s&#7903 l&agrave; mi&#7877n d&#7883ch b&#7873n v&#7919ng.</span></span></p> <h2 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;">III. S&#7912C TH&#7908 B&#7878NH V&Agrave; MI&#7876N D&#7882CH C&#7910A B&#7878NH:</span></span></h2> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- T&#7927 l&#7879 th&#7909 b&#7879nh 100% &#7903 ng&#432&#7901i ch&#432a c&oacute; mi&#7877n d&#7883ch. L&acirc;y truy&#7873n m&#7841nh trong nh&#7919ng t&#7853p th&#7875 ch&#432a c&oacute; mi&#7877n d&#7883ch (nh&agrave; tr&#7867, m&#7851u gi&aacute;o&hellip;).</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Hay g&#7863p &#7903 tr&#7867 nh&#7887 1 &ndash; 4 tu&#7893i. Tr&#7867 d&#432&#7899i 6 th&aacute;ng &iacute;t m&#7855c v&igrave; c&oacute; mi&#7877n d&#7883ch c&#7911a m&#7865.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Ng&#432&#7901i l&#7899n r&#7845t &iacute;t m&#7855c b&#7879nh v&igrave; &#273&atilde; b&#7883 m&#7855c t&#7915 b&eacute;. Ng&#432&#7901i l&#7899n n&#7871u m&#7855c b&#7879nh th&#432&#7901ng l&agrave; nh&#7919ng ng&#432&#7901i &#7903 v&ugrave;ng cao, h&#7867o l&aacute;nh, &#273ao xa&hellip; t&#7915 nh&#7887 ch&#432a ti&#7871p x&uacute;c v&#7899i virus s&#7903i.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- B&#7879nh th&#432&#7901ng ph&aacute;t v&agrave;o m&ugrave;a &#273&ocirc;ng xu&acirc;n.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Mi&#7877n d&#7883ch sau khi kh&#7887i b&#7879nh l&agrave; b&#7873n v&#7919ng v&igrave; v&#7853y r&#7845t hi&#7871m khi m&#7855c l&#7841i l&#7847n th&#7913c hai.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- L&agrave; b&#7879nh g&acirc;y suy gi&#7843m mi&#7877n d&#7883ch n&ecirc;n b&#7879nh nh&acirc;n d&#7877 m&#7855c b&#7879nh kh&aacute;c.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- T&#7927 l&#7879 t&#7917 vong cao: 0,02% &#7903 c&aacute;c n&#432&#7899c ti&ecirc;n ti&#7871n. 0,3 &ndash; 0,7% &#7903 c&aacute;c n&#432&#7899c &#273ang ph&aacute;t tri&#7875n.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Hi&#7879n nay nh&#7901 c&oacute; vacxin s&#7903i &#273&#432&#7907c ti&ecirc;m ph&ograve;ng r&#7897ng r&atilde;i n&ecirc;n t&#7927 l&#7879 m&#7855c b&#7879nh v&agrave; t&#7917 vong &#273&atilde; gi&#7843m nhi&#7873u. &#272&acirc;y l&agrave; b&#7879nh n&#7857m trong &ldquo;Ch&#432&#417ng tr&igrave;nh ti&ecirc;m ch&#7911ng m&#7903 r&#7897ng&rdquo; &#7903 n&#432&#7899c ta.</span></span></p> <h2 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>IV. C&#416 CH&#7870 B&#7878NH SINH V&Agrave; MI&#7876N D&#7882CH B&#7878NH L&Yacute;:</strong></span></span></h2> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>1. C&#417 ch&#7871 b&#7879nh sinh</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Virus s&#7903i x&acirc;m nh&#7853p v&agrave;o c&#417 th&#7875 qua &#273&#432&#7901ng h&ocirc; h&#7845p. T&#7841i &#273&acirc;y, virus nh&acirc;n l&ecirc;n &#7903 t&#7871 b&agrave;o bi&#7875u m&ocirc; c&#7911a &#273&#432&#7901ng h&ocirc; h&#7845p v&agrave; &#7903 c&aacute;c h&#7841ch b&#7841ch huy&#7871t l&acirc;n c&#7853n. Sau &#273&oacute;, virus v&agrave;o m&aacute;u (nhi&#7877m virus m&aacute;u l&#7847n th&#7913 nh&#7845t). Th&#7901i k&igrave; n&agrave;y t&#432&#417ng &#7913ng v&#7899i th&#7901i k&igrave; nung b&#7879nh.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- T&#7915 m&aacute;u, theo c&aacute;c b&#7841ch c&#7847u, virus&nbsp; &#273&#7871n c&aacute;c ph&#7911 t&#7841ng (ph&#7893i, l&aacute;ch, h&#7841ch, da&hellip;) g&acirc;y t&#7893n th&#432&#417ng c&aacute;c c&#417 quan v&agrave; cac tri&#7879u ch&#7913ng l&acirc;m s&agrave;ng th&#7901i k&igrave; to&agrave;n ph&aacute;t. Ban &#7903 da v&agrave; ni&ecirc;m m&#7841c ch&iacute;nh l&agrave; hi&#7879n t&#432&#7907ng &#273&agrave;o th&#7843i virus c&#7911a c&#417 th&#7875 &#273&atilde; ph&#7843n &#7913ng mi&#7877n d&#7883ch b&#7879nh l&iacute;.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- T&#7915 kho&#7843ng ng&agrave;y th&#7913 hai &ndash; ba t&#7915 khi m&#7885c ban, c&#417 th&#7875 sinh kh&aacute;ng th&#7875. Kh&aacute;ng th&#7875 t&#259ng l&ecirc;n th&igrave; virus b&#7883 lo&#7841i kh&#7887i m&aacute;u. B&#7879nh chuy&#7875n sang th&#7901i k&igrave; lui b&#7879nh.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>2. Gi&#7843i ph&#7851u b&#7879nh l&iacute;:</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">T&#7893n th&#432&#417ng gi&#7843i ph&#7851u &#273i&#7875n h&igrave;nh l&agrave; xu&#7845t hi&#7879n c&aacute;c t&#7871 b&agrave;o kh&#7893ng l&#7891 (t&#7871 b&agrave;o Hecht) &#273&oacute; l&agrave; h&#7907p b&agrave;o ch&#7913a nhi&#7873u nh&acirc;n v&agrave; c&aacute;c h&#7841t v&ugrave;i (ch&#7913a virus &#7903 trong) trong nh&acirc;n v&agrave; nguy&ecirc;n sinh ch&#7845t. T&#7871 b&agrave;o kh&#7893ng l&#7891 xu&#7845t hi&#7879n ng&agrave;y th&#7913 4 &ndash; 5 tr&#432&#7899c m&#7885c ban v&agrave; k&eacute;o d&agrave;i 3 &ndash; 4 ng&agrave;y sau m&#7885c ban. C&aacute;c t&#7871 b&agrave;o n&agrave;y t&igrave;m th&#7845y &#7903 t&#7893 ch&#7913c lympho, bi&#7875u m&ocirc; ni&ecirc;m m&#7841c kh&iacute; qu&#7843n, h&#7885ng, ph&#7893i, &#7889ng ti&ecirc;u h&oacute;a&hellip;</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3. Bi&#7875u hi&#7879n l&acirc;m s&agrave;ng:</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3.1. Th&#7875 th&ocirc;ng th&#432&#7901ng &#273i&#7875n h&igrave;nh</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3.1.1. Nung b&#7879nh</strong><em>: 8 &ndash; 11 ng&agrave;y</em></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>3.1.2. Kh&#7903i ph&aacute;t (giai &#273o&#7841n vi&ecirc;m xu&#7845t ti&#7871t</em></strong><strong>):</strong>3 &ndash; 4 ng&agrave;y.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7889t nh&#7865 ho&#7863c v&#7915a, sau s&#7889t cao.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m xu&#7845t ti&#7871t m&#361i, h&#7885ng, m&#7855t: ch&#7843y n&#432&#7899c m&#7855t n&#432&#7899c m&#361i, ho, v&ecirc;m m&agrave;ng ti&#7871p h&#7907p, m&#7855t c&oacute; g&#7881 k&egrave;m nh&egrave;m, s&#432ng n&#7873 mi m&#7855t.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- N&#7897i ban xu&#7845t hi&#7879n (ng&agrave;y th&#7913 hai): g&#7885i l&agrave; h&#7841t Koplick, &#273&oacute; l&agrave; c&aacute;c h&#7841t tr&#7855ng, nh&#7887 nh&#432 &#273&#7847u &#273inh ghim, t&#7915 v&agrave;i n&#7889t &#273&#7871n v&agrave;i ch&#7909c, v&agrave;i tr&#259m n&#7889t m&#7885c &#7903 ni&ecirc;m m&#7841c m&aacute; (ph&iacute;a trong mi&#7879ng, ngang r&#259ng h&agrave;m), xunh quanh h&#7841t Koplick ni&ecirc;m m&#7841c m&aacute; th&#432&#7901ng c&oacute; sung huy&#7871t. C&aacute;c h&#7841t Koplick ch&#7881 t&#7891n t&#7841i 24 &ndash; 48 gi&#7901. &#272&acirc;y l&agrave; d&#7845u hi&#7879u c&oacute; gi&aacute; tr&#7883 ch&#7849n &#273o&aacute;n s&#7899m v&agrave; ch&#7855c ch&#7855n.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- H&#7841ch b&#7841ch huy&#7871t s&#432ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- X&eacute;t nghi&#7879m &#7903 giai &#273o&#7841n n&agrave;y c&oacute; b&#7841ch c&#7847u t&#259ng v&#7915a, Neutro t&#259ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3.1.3. To&agrave;n ph&aacute;t (giai &#273o&#7841n m&#7885c ban)</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- ban m&#7885c ng&agrave;y th&#7913 4 &ndash; 6, ban d&aacute;t s&#7847n, ban nh&#7887 h&#417i n&#7893i g&#7901 tr&ecirc;n m&#7863t da, gi&#7919a c&aacute;c ban l&agrave; kho&#7843ng &#273a l&agrave;nh. Ban m&#7885c r&#7843i r&aacute;c hay d&iacute;nh li&#7873n v&#7899i nhau th&agrave;nh t&#7915ng &#273&aacute;m tr&ograve;n 3 &ndash; 6mm. Ban m&#7885c theo th&#7913 t&#7921:</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Ng&agrave;y 1: m&#7885c &#7903 sau tai, lan ra m&#7863t.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Ng&agrave;y 2: lan xu&#7889ng &#273&#7871n ng&#7921c, tay</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Ng&agrave;y 3: lan &#273&#7871n l&#432ng, ch&acirc;n</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Ban k&eacute;o d&agrave;i 6 ng&agrave;y r&#7891i l&#7863n theo th&#7913 t&#7921 tr&ecirc;n.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Ban m&#7885c &#7903 b&ecirc;n trong ni&ecirc;m m&#7841c (n&#7897i ban): &#7903 &#273&#432&#7901ng ti&ecirc;u h&oacute;a g&acirc;y r&#7889i lo&#7841n ti&ecirc;u h&oacute;a, &#273i l&#7887ng, &#7903 ph&#7889i g&acirc;y vi&ecirc;m ph&#7871 qu&#7843n, ho.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- To&agrave;n th&acirc;n: khi ban b&#7855t &#273&#7847u m&#7885c, to&agrave;n th&acirc;n n&#7863ng l&ecirc;n, s&#7889t cao h&#417n, m&#7879t h&#417n. Khi ban m&#7885c &#273&#7871n ch&acirc;n nhi&#7879t &#273&#7897 gi&#7843m d&#7847n, tri&#7879u ch&#7913ng to&agrave;n th&acirc;n gi&#7843m d&#7847n r&#7891i h&#7871t.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- X&eacute;t nghi&#7879m &#7903 giai &#273o&#7841n n&agrave;y c&oacute; b&#7841ch c&#7847u gi&#7843m, neutro gi&#7843m, lympho t&#259ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3.1.4. Lui b&#7879nh (giai &#273o&#7841n ban bay)</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Th&#432&#7901ng v&agrave;o ng&agrave;y th&#7913 6 ban b&#7855t &#273&#7847u bay. Ban bay theo th&#7913 t&#7921 t&#7915 m&#7863t &#273&#7871n th&acirc;n m&igrave;nh v&agrave; chi, &#273&#7875 l&#7841i c&aacute;c n&#7889t th&acirc;m c&oacute; tr&oacute;c da m&#7887ng, m&#7883n ki&#7875u b&#7909i ph&acirc;n hay v&#7843y c&aacute;m. Nh&#7919ng ch&#7895 da th&acirc;m c&#7911a ban bay v&agrave; ch&#7895 da b&igrave;nh th&#432&#417ng t&#7841o n&ecirc;n m&agrave;u da loang l&#7893 g&#7885i l&agrave; d&#7845u hi&#7879u &ldquo;v&#7857n da h&#7893&rdquo; &#273&oacute; l&agrave; d&#7845u hi&#7879u &#273&#7875 truy ch&#7849n &#273o&aacute;n. To&agrave;n th&acirc;n b&#7879nh nh&acirc;n h&#7891i ph&#7909c d&#7847n n&#7871u kh&ocirc;ng bi&#7871n ch&#7913ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3.2. C&aacute;c th&#7875 l&acirc;m s&agrave;ng kh&aacute;c</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3.2.1.Th&#7875 theo ti&ecirc;n l&#432&#7907ng</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong>3.2.1.1. Th&#7875 nh&#7865</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Kh&ocirc;ng s&#7889t ho&#7863c s&#7889t nh&#7865</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m xu&#7845t ti&#7871t m&#361i h&#7885ng nh&#7865</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Ban th&#432a, m&#7901, l&#7863n nhanh.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Hay g&#7863p &#7903 tr&#7867 d&#432&#7899i 6 th&aacute;ng (c&ograve;n mi&#7877n d&#7883ch m&#7865).</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Ch&uacute; &yacute;: &#273&aacute;nh gi&aacute; ti&ecirc;n l&#432&#7907ng s&#7903i ph&#7843i c&#259n c&#7913 ch&#7911 y&#7871u v&agrave;o h&#7897i ch&#7913ng nhi&#7877m khu&#7849n nhi&#7877m &#273&#7897c to&agrave;n th&acirc;n, kh&ocirc;ng n&ecirc;n ch&#7881 d&#7921a v&agrave;o ban, v&igrave; ban th&#432a c&oacute; th&#7875 g&#7863p &#7903 nh&#7865 nh&#432ng c&#361ng c&oacute; th&#7875 g&#7863p &#7903 th&#7875 n&#7863ng khi tr&#7867 suy dinh d&#432&#7905ng t&iacute;nh ph&#7843n &#7913ng y&#7871u. Ng&#432&#7907c l&#7841i ban m&#7885c d&#7847y kh&ocirc;ng nh&#7845t thi&#7871t l&agrave; n&#7863ng v&igrave; c&oacute; th&#7875 g&#7863p &#7903 tr&#7867 dinh d&#432&#7905ng t&#7889t, t&iacute;nh ph&#7843n &#7913ng m&#7841nh.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><em>3.2.1.2. Th&#7875 v&#7915a</em></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Th&#7875 th&ocirc;ng th&#432&#7901ng &#273i&#7875u h&igrave;nh (nh&#432 m&ocirc; t&#7843 tr&ecirc;n)</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><em>3.2.1.3. Th&#7875 n&#7863ng (th&#7875 s&#7903i ac t&iacute;nh)</em></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">C&aacute;c d&#7845u hi&#7879u &aacute;c t&iacute;nh th&#432&#7901ng xu&#7845t hi&#7879n nhanh ch&oacute;ng trong v&agrave;i gi&#7901 tr&ecirc;n nh&#7919ng th&#7875 &#273&#7883a qu&aacute; m&#7851n, v&agrave;o cu&#7889i giai &#273o&#7841n kh&#7903i ph&aacute;t, tr&#432&#7899c l&uacute;c m&#7885c ban. Th&#432&#7901ng c&oacute; c&aacute;c tri&#7879u ch&#7913ng sau: s&#7889t cao v&#7885t 39 &ndash; 41 &#273&#7897 C, u &aacute;m, v&#7853t v&atilde;, m&ecirc; s&#7843ng, h&ocirc;n m&ecirc;, co gi&#7853t, m&#7841ch nhanh, huy&#7871t &aacute;p t&#7909t, th&#7903 nhanh, t&iacute;m t&aacute;i, n&ocirc;n, &#7881a l&#7887ng, &#273&aacute;i &iacute;t, xu&#7845t huy&#7871t d&#432&#7899i da hay ph&#7911 t&#7841ng.. T&ugrave;y theo tri&#7879u ch&#7913ng n&agrave;o n&#7893i b&#7853t, s&#7869 c&oacute;:</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">. S&#7903i &aacute;c t&iacute;nh th&#7875 xu&#7845t huy&#7871t: xu&#7845t huy&#7871t d&#432&#7899i da ho&#7863c n&#7897i t&#7841ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">. S&#7903i &aacute;c t&iacute;nh th&#7875 ph&#7871 qu&#7843n &ndash; ph&#7893i: bi&#7875u hi&#7879n ch&#7911 y&#7871u l&agrave; suy h&ocirc; h&#7845p.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">. S&#7903i &aacute;c t&iacute;nh th&#7875 nhi&#7877m &#273&#7897c n&#7863ng: s&#7889t cao, v&#7853t v&atilde;, co gi&#7853t m&#7841nh, h&ocirc;n m&ecirc;, m&#7841ch nhanh nh&#7887, huy&#7871t &aacute;p t&#7909t.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">. S&#7903i &aacute;c t&iacute;nh th&#7875 &#7881a ch&#7843y: r&#7889i lo&#7841n ti&ecirc;u h&oacute;a n&#7893i b&#7853t.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">. S&#7903i &aacute;c t&iacute;nh th&#7875 b&#7909ng c&#7845p: gi&#7889ng vi&ecirc;m ru&#7897t th&#7915a th&#432&#7901ng g&#7863p &#7903 tr&#7867 t&#7915 6 th&aacute;ng &#273&#7871n 2 tu&#7893i, tr&#7867 suy dinh d&#432&#7905ng ho&#7863c c&ograve;i x&#432&#417ng, tr&#7867 &#273ang m&#7855c c&aacute;c b&#7879nh kh&aacute;c&hellip;</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><em>3.2.2. Th&#7875 b&#7879nh theo th&#7875 &#273&#7883a</em></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7903i &#7903 tr&#7867 d&#432&#7899i 6 th&aacute;ng th&#432&#7901ng nh&#7865</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7903i &#7903 tr&#7867 6 th&aacute;ng &ndash; 2 tu&#7893i: th&#432&#7901ng n&#7863ng</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7903i &#7903 tr&#7867 suy dinh d&#432&#7905ng &ndash; c&ograve;i x&#432&#417ng: s&#7903i th&#432&#7901ng kh&ocirc;ng &#273i&#7875n h&igrave;nh v&agrave; n&#7863ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7903i &#7903 tr&#7867 &#273&atilde; &#273&#432&#7907c g&acirc;y mi&#7877n d&#7883ch b&#7857ng Gamma globulin ho&#7863c vacxin th&#432&#7901ng nh&#7865.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7903 &#7903 ph&#7909 n&#7919 mang thai: g&acirc;y s&#7849y thai, d&#7883 d&#7841ng, &#273&#7867 non&hellip;</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7903i k&#7871t h&#7907p v&#7899i c&aacute;c b&#7879nh nhi&#7877m tr&ugrave;ng kh&aacute;c nh&#432: ho g&agrave;, lao, b&#7841ch h&#7847u,&hellip; l&agrave;m b&#7879nh n&#7863ng l&ecirc;n.</span></span></p> <h2 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>V. C&Aacute;C BI&#7870N CH&#7912NG C&#7910A B&#7878NH:</strong></span></span></h2> <h3 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>&nbsp;Bi&#7871n ch&#7913ng &#273&#432&#7901ng h&ocirc; h&#7845p</strong></span></span></h3> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>Vi&ecirc;m thanh qu&#7843n</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Giai &#273o&#7841n s&#7899m, l&agrave; do virus s&#7903i: xu&#7845t hi&#7879n &#7903 giai &#273o&#7841n kh&#7903i ph&aacute;t, giai &#273o&#7841n &#273&#7847u c&#7911a m&#7885c ban th&#432&#7901ng m&#7845t theo ban,hay c&oacute; Croup gi&#7843, g&acirc;y c&#417n kh&oacute; th&#7903 do co th&#7855t thanh qu&#7843n.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Giai &#273o&#7841n mu&#7897n: do b&#7897i nhi&#7877m (hay g&#7863p do t&#7909 c&#7847u, li&ecirc;n c&#7847u, ph&#7871 c&#7847u&hellip;), xu&#7845t hi&#7879n sau m&#7885c ban. Di&#7877n bi&#7871n th&#432&#7901ng n&#7863ng: s&#7889t cao v&#7885t l&ecirc;n, ho &ocirc;ng &#7893ng, kh&agrave;n ti&ecirc;ng, kh&oacute; th&#7903, t&iacute;m t&aacute;i.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>&nbsp;Vi&ecirc;m ph&#7871 qu&#7843n</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Th&#432&#7901ng do b&#7897i nhi&#7877m, xu&#7845t hi&#7879n v&agrave;o cu&#7889i th&#7901i k&igrave; m&#7885c ban. Bi&#7875u hi&#7879n s&#7889t l&#7841i, ho nhi&#7873u, nghe ph&#7893i c&oacute; ran ph&#7871 qu&#7843n, b&#7841ch c&#7847u t&#259ng, neutro t&#259ng, X quang c&oacute; h&igrave;nh &#7843nh vi&ecirc;m ph&#7871 qu&#7843n.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>&nbsp;Vi&ecirc;m ph&#7871 qu&#7843n &ndash; ph&#7893i</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Do b&#7897i nhi&#7877m, th&#432&#7901ng xu&#7845t hi&#7879n mu&#7897n sau m&#7885c ban. Bi&#7875u hi&#7879n n&#7863ng: s&#7889t cao kh&oacute; th&#7903, kh&aacute;m ph&#7893i c&oacute; ran ph&#7871 qu&#7843n v&agrave; ra n&#7893. X quang c&oacute; h&igrave;nh &#7843nh ph&#7871 qu&#7843n ph&#7871 v&ecirc;m (n&#7889t m&#7901 r&#7843i r&aacute;c 2 ph&#7893i). B&#7841ch c&#7847u t&#259ng, neutro t&#259ng, th&#432&#7901ng l&agrave; nguy&ecirc;n nh&acirc;n g&acirc;y t&#7917 vong trong b&#7879nh s&#7903i, nh&#7845t l&agrave; &#7903 tr&#7867 nh&#7887.</span></span></p> <h3 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>Bi&#7871n ch&#7913ng th&#7847n kinh</em></strong></span></span></h3> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>Vi&ecirc;m n&atilde;o &ndash; m&agrave;ng n&atilde;o &ndash; t&#7911y c&#7845p</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">L&agrave; bi&#7871n ch&#7913ng nguy hi&#7875m g&acirc;y t&#7917 vong v&agrave; di ch&#7913ng cao. G&#7863p &#7903 0,1 &ndash; 0,6% b&#7879nh nh&acirc;n s&#7903i. Th&#432&#7901ng g&#7863p &#7903 tr&#7867 l&#7899n (tu&#7893i &#273i h&#7885c), v&agrave;o tu&#7847n &#273&#7847u c&#7911a ban (ng&agrave;y 3 &ndash; 6 c&#7911a ban). Kh&#7903i ph&aacute;t &#273&#7897t ng&#7897t, s&#7889t cao v&#7885t co gi&#7853t, r&#7889i lo&#7841n &yacute; th&#7913c: u &aacute;m &ndash; h&ocirc;n m&ecirc;, li&#7879t &frac12; ng&#432&#7901i ho&#7863c 1 chi, li&#7879t d&acirc;y III, VII hay g&#7863p h&#7897i ch&#7913ng th&aacute;p &ndash; ngo&#7841i th&aacute;p, ti&#7875u n&atilde;o, ti&#7873n &#273&igrave;nh&hellip;</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m m&agrave;ng n&atilde;o ki&#7875u thanh d&#7883ch (do virus).</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m t&#7911y: li&#7879t 2 chi d&#432&#7899i, r&#7889i lo&#7841n c&#417 v&ograve;ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">C&#417 ch&#7871: c&oacute; 2 gi&#7843 thuy&#7871t, cho l&agrave; ph&#7843n &#7913ng d&#7883 &#7913ng ho&#7863c l&agrave; ph&#7843n &#7913ng mi&#7877n d&#7883ch b&#7879nh l&iacute;.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>Vi&ecirc;m m&agrave;ng n&atilde;o</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m m&agrave;ng n&atilde;o thanh d&#7883ch do viru s&#7903i</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m m&agrave;ng n&atilde;o m&#7911 sau vi&ecirc;m tai do b&#7897i nhi&#7877m.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>&nbsp;Vi&ecirc;m n&atilde;o ch&#7845t tr&#7855ng b&aacute;n c&#7845p x&#417 h&oacute;a</em>(Van bogaert)</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Hay g&#7863p &#7903 tu&#7893i 2 &ndash; 20 tu&#7893i, xu&#7845t hi&#7879n mu&#7897n sau v&agrave;i n&#259m, &#273i&#7873u n&agrave;y n&oacute;i l&ecirc;n virus s&#7903i c&oacute; th&#7875 s&#7889ng ti&#7873m t&agrave;ng nhi&#7873u n&#259m trong c&#417 th&#7875 b&#7879nh nh&acirc;n c&oacute; &#273&aacute;p &#7913ng mi&#7877n d&#7883ch b&#7845t th&#432&#7901ng. Di&#7871n bi&#7871n b&aacute;n c&#7845p t&#7915 v&agrave;i th&aacute;ng &#273&#7871n 1 n&#259m. B&#7879nh nh&acirc;n ch&#7871t trong t&igrave;nh tr&#7841ng t&#259ng t&#432&#417ng l&#7921c c&#417 v&agrave; co c&#7913ng m&#7845t n&atilde;o.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><em>3.3.3. Bi&#7871n ch&#7913ng &#273&#432&#7901ng ti&ecirc;u h&oacute;a</em></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><em>3.3.3.1. Vi&ecirc;m ni&ecirc;m m&#7841c mi&#7879ng</em></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- L&uacute;c &#273&#7847u do virus s&#7903i, th&#432&#7901ng h&#7871t c&ugrave;ng v&#7899i ban.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Mu&#7897n th&#432&#7901ng do b&#7897i nhi&#7877m</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>Cam m&atilde; t&#7845u (noma)</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Xu&#7845t hi&#7879n mu&#7897n, do b&#7897i nhi&#7877m xo&#7855n khu&#7849n Vincent l&agrave; m&#7897t lo&#7841i vi khu&#7849n ho&#7841i th&#432 g&acirc;y lo&eacute;t ni&ecirc;m m&#7841c mi&#7879ng, lan s&acirc;u r&#7897ng v&agrave;o x&#432&#417ng h&agrave;m g&acirc;y ho&#7841i t&#7917 ni&ecirc;m m&#7841c, vi&ecirc;m x&#432&#417ng, r&#7909ng r&#259ng, h&#417i th&#7903 h&ocirc;i th&#7889i.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>Vi&ecirc;m ru&#7897t</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Do b&#7897i nhi&#7877m c&aacute;c lo&#7841i vi khu&#7849n nh&#432 shigella, E. coli&hellip;</span></span></p> <h3 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><em>Bi&#7871n ch&#7913ng tai &ndash; m&#361i &ndash; h&#7885ng</em></span></span></h3> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m m&#361i h&#7885ng b&#7897i nhi&#7877m</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vi&ecirc;m tai &ndash; vi&ecirc;m tai x&#432&#417ng ch&#361m.</span></span></p> <h3 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><em>&nbsp;Bi&#7871n ch&#7913ng do suy gi&#7843m mi&#7877n d&#7883ch</em></span></span></h3> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">D&#7877 m&#7855c th&ecirc;m c&aacute;c b&#7879nh kh&aacute;c nh&#432 lao, b&#7841ch h&#7847u, ho g&agrave;&hellip;</span></span></p> <h2 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>VI. CHU&#7848N &#272O&Aacute;N PH&Acirc;N BI&#7878T:</strong></span></span></h2> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>B&#7879nh Rubella (hay b&#7879nh s&#7903i &#272&#7913c)</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&#7889t nh&#7865, vi&ecirc;m long &#273&#432&#7901ng h&ocirc; h&#7845p nh&#7865, d&#7845u hi&#7879u nhi&#7877m &#273&#7897c kh&ocirc;ng r&otilde;.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Ban d&aacute;t s&#7849n d&#7841ng s&#7903i nh&#432ng th&#432&#7901ng nh&#7887 h&#417n, m&#7885c th&#432a h&#417n v&agrave; m&#7885c s&#7899m ngay t&#7915 ng&agrave;y th&#7913 1 &ndash; 2, m&#7885c c&ugrave;ng l&uacute;c, khi bay &#273&#7875 l&#7841i v&#7871t th&acirc;m, kh&ocirc;ng c&oacute; h&#7841t Koplick.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- H&#7841ch sau tai, ch&#7849m s&#432ng &#273au</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- X&eacute;t nghi&#7879m m&aacute;u: t&#259ng t&#432&#417ng b&agrave;o (plasmoxit)</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Ch&#7849n &#273o&aacute;n x&aacute;c &#273&#7883nh b&#7857ng ph&#7843n &#7913ng ng&#259n ng&#432ng k&#7871t h&#7891ng c&#7847u.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>&nbsp;B&#7879nh do virus c&oacute; ph&aacute;t ban kh&aacute;c</em>(virus Adeno, ECHO, Coxsackie,&hellip;).</strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;"><strong><em>Ban d&#7883 &#7913ng</em></strong></span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Ban to&agrave;n th&acirc;n kh&ocirc;ng theo th&#7913 t&#7921, th&#432&#7901ng ng&#7913a, c&oacute; nguy&ecirc;n nh&acirc;n d&ugrave;ng thu&#7889c, th&#7901i ti&#7871t, th&#7913c &#259n&hellip;</span></span></p> <h2 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>VII. &#272I&#7872U TR&#7882 V&Agrave; D&#7920 PH&Ograve;NG:</strong></span></span></h2> <h3 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>&nbsp;&#272i&#7873u tr&#7883</strong></span></span></h3> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">Ch&#7911 y&#7871u l&agrave; &#273i&#7873u tr&#7883 tri&#7879u ch&#7913ng &ndash; s&#259n s&oacute;c v&agrave; nu&ocirc;i d&#432&#7905ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- H&#7841 s&#7889t: ph&#432&#417ng ph&aacute;p v&#7853t l&iacute;, thu&#7889c h&#7841 s&#7889t th&ocirc;ng th&#432&#7901ng (Paracetamol).</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- An th&#7847n.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Thu&#7889c ho, long &#273&#7901m</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Kh&aacute;ng histamin: Dimedron, Pipolphen.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- S&aacute;t tr&ugrave;ng m&#361i h&#7885ng: nh&#7887 m&#7855t nh&#7887 m&#361i b&#7857ng dung d&#7883ch Chloromycetin, Argyrol&hellip;</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Kh&aacute;ng sinh ch&#7881 d&ugrave;ng khi c&oacute; b&#7897i nhi&#7877m v&agrave; d&ugrave;ng cho tr&#7867 d&#432&#7899i 2 tu&#7893i, v&agrave; tr&#7867 suy dinh d&#432&#7905ng.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Khi c&oacute; bi&#7871n ch&#7913ng: vi&ecirc;m thanh qu&#7843n, vi&ecirc;m n&atilde;o, s&#7903i &aacute;c t&iacute;nh th&igrave; d&ugrave;ng kh&aacute;ng sinh v&agrave; corticoid.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- C&aacute;c bi&#7879n ph&aacute;p h&#7891i s&#7913c t&ugrave;y theo tri&#7879u ch&#7913ng c&#7911a b&#7879nh nh&acirc;n: h&#7891i s&#7913c h&ocirc; h&#7845p khi c&oacute; suy h&ocirc; h&#7845p (th&#7903 O2, h&ocirc; h&#7845p h&#7895 tr&#7907&hellip;) h&#7891i s&#7913c tim m&#7841ch&hellip;</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Ch&#7871 &#273&#7897 &#259n u&#7889ng t&#7889t.</span></span></p> <h3 style="color: rgb(78, 78, 78); font-family: Tahoma, Geneva, sans-serif;"><span style="font-family: Arial;"><span style="font-size: small;"><strong>D&#7921 ph&ograve;ng</strong></span></span></h3> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Gramma globulin 40mg/kg d&ugrave;ng ph&ograve;ng b&#7879nh kh&#7849n c&#7845p cho tr&#7867 suy dinh d&#432&#7905ng, ho&#7863c tr&#7867 &#273ang b&#7883 m&#7897t b&#7879nh kh&aacute;c&hellip; m&agrave; c&oacute; ti&#7871p x&uacute;c v&#7899i tr&#7867 b&#7883 s&#7903i.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78);"><span style="font-family: Arial;"><span style="font-size: small;">- Vacxin s&#7903i: vacxin s&#7889ng, gi&#7843m &#273&#7897c l&#7921c d&ugrave;ng cho tr&#7867 6 &ndash; 9 th&aacute;ng tu&#7893i tr&#7903 l&ecirc;n, c&oacute; t&aacute;c d&#7909ng b&#7843o v&#7879 cao. Vacxin s&#7903i l&agrave; m&#7897t vacxin b&#7855t bu&#7897c trong &ldquo;Ch&#432&#417ng tr&igrave;nh ti&ecirc;m ch&#7911ng m&#7903 r&#7897ng&rdquo; &#7903 n&#432&#7899c ta hi&#7879n nay. Nh&#7901 &#273&oacute;, hi&#7879n nay t&#7927&nbsp; l&#7879 m&#7855c b&#7879nh v&agrave; t&#7927 l&#7879 t&#7917 vong do s&#7903i &#273&atilde; gi&#7843m nhi&#7873u.</span></span></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78); text-align: right;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <strong>S&#432u t&#7847m</strong></p> <p style="font-family: Arial, Helvetica, sans-serif; line-height: 16px; color: rgb(78, 78, 78); text-align: right;">Ngu&#7891n tin:&nbsp;http://benhnhietdoi.vn</p> <div>&nbsp;</div> </html>

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