{"id":10997,"date":"2019-01-26T02:19:52","date_gmt":"2019-01-25T19:19:52","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/da-lieu-nhi-phan-2-cau-hoi-thuong-gap\/"},"modified":"2024-03-17T02:53:54","modified_gmt":"2024-03-16T19:53:54","slug":"da-lieu-nhi-phan-2-cau-hoi-thuong-gap","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/da-lieu-nhi-phan-2-cau-hoi-thuong-gap\/","title":{"rendered":"Da li\u1ec5u nhi (ph\u1ea7n 2) &#8211; C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p"},"content":{"rendered":"<p><span style=\"font-size: 16px\"><strong>C\u00e1c b\u00e1c s\u0129 tham gia t\u01b0 v\u1ea5n <\/strong> <\/span><\/p>\n<table style=\"width: 620px\" border=\"1\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td>BS.\u00a0Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c<\/td>\n<td><a href=\"https:\/\/yhoccongdong.com\/profile\/nguyen-huu-chau-duc\/\" target=\"_blank\" rel=\"noopener\">https:\/\/yhoccongdong.com\/profile\/nguyen-huu-chau-duc\/ <\/a><\/td>\n<\/tr>\n<tr>\n<td>BS.Tr\u1ea7n Th\u1ecb Kh\u00e1nh Nga<\/td>\n<td><a href=\"https:\/\/yhoccongdong.com\/profile\/tran-thi-khanh-nga\/\" target=\"_blank\" rel=\"noopener\">https:\/\/yhoccongdong.com\/profile\/tran-thi-khanh-nga\/ <\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><strong><span style=\"font-size: 18px\"><span style=\"line-height: 1.6em\">C\u00e2u h\u1ecfi 11 <\/span> <\/span> <\/strong><\/h2>\n<p><strong><em>Ng\u01b0\u1eddi h\u1ecfi: Tibumngo Vu &#8211; <span style=\"line-height: 1.6em\"> Ng\u00e0y h\u1ecfi: 6\/7\/2015 <\/span> <\/em> <\/strong><\/p>\n<p><strong><em>Tham gia t\u01b0 v\u1ea5n: BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c <\/em> <\/strong><\/p>\n<p><span style=\"color: #ff0000\"><strong>C\u00e2u h\u1ecfi <\/strong> <\/span><\/p>\n<p>Ch\u00e0o b\u00e1c s\u0129, b\u00e1c s\u0129 cho em h\u1ecfi con em \u0111\u01b0\u1ee3c 4 th\u00e1ng, m\u1ea5y h\u00f4m nay ch\u00e1u c\u00f3 n\u1ed5i m\u1ea5y n\u1ed1t m\u1ee5n \u1edf ch\u00e2n ph\u1ea3i v\u00e0 \u0111\u00f9i, b\u00e1c s\u0129 xem h\u1ed9 em l\u00e0 n\u1ed1t g\u00ec \u0111\u01b0\u1ee3c kh\u00f4ng \u1ea1, em c\u1ea3m \u01a1n b\u00e1c s\u0129.<\/p>\n<p><img decoding=\"async\" style=\"width: 200px;height: 267px\" src=\"\/\/yhoccongdong.org\/Documents\/2781_dalieunhi1.jpg\" alt=\"da li\u1ec5u nhi\" \/><\/p>\n<p><span style=\"color: #ff0000\"><strong>Tr\u1ea3 l\u1eddi <\/strong> <\/span><\/p>\n<p>Ch\u00e0o ch\u1ecb. <span style=\"line-height: 1.6em\"> Hi\u1ec7n t\u1ea1i ch\u00e1u c\u00f3 s\u1ed1t? N\u1ed5i h\u1ea1ch \u1edf b\u1eb9n? Ch\u00e1u c\u00f3 ho hay kh\u00f3 th\u1edf? n\u00f4n?&#8230; <\/span><\/p>\n<p>N\u1ebfu kh\u00f4ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u tr\u00ean th\u00ec ch\u1ecb y\u00ean t\u00e2m l\u00e0 vi\u00eam da \u0111ang ti\u1ebfn tri\u1ec3n \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Ti\u1ebfp t\u1ee5c cho b\u00fa m\u1eb9, c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/nuoc-muoi-sinh-ly\/\" target=\"_blank\" rel=\"noopener\">N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd 0,9%<\/a>, thu\u1ed1c t\u00edm pha lo\u00e3ng n\u1ed3ng \u0111\u1ed9 1\/10.000 d\u00f9ng \u0111\u1ec3 r\u1eeda c\u00e1c v\u1ebft th\u01b0\u01a1ng, v\u1ebft tr\u1ea7y x\u01b0\u1edbc, c\u00e1c v\u1ebft lo\u00e9t. Thu\u1ed1c \u0111\u1ecf, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/xanh-methylen-methemoglobin-huyet\/\" target=\"_blank\" rel=\"noopener\">dung d\u1ecbch xanh &#8211; methylen,<\/a> milian&#8230; c\u00f3 t\u00ednh s\u00e1t khu\u1ea9n t\u1ea1i ch\u1ed7, b\u00f4i t\u1ea1i ch\u1ed7 \u0111\u1ec3 ph\u00f2ng v\u00e0 ch\u1ed1ng b\u1ed9i nhi\u1ec5m.<\/p>\n<p>Kh\u00f4ng t\u1ef1 \u00fd l\u1ea5y c\u00e1c thu\u1ed1c kh\u00e1ng sinh to\u00e0n th\u00e2n \u0111\u1ec3 d\u00f9ng t\u1ea1i ch\u1ed7. V\u00ed d\u1ee5: R\u1eafc b\u1ed9t Penicilline hay Streptomycine ho\u1eb7c Chlorocid&#8230; l\u00ean v\u1ebft th\u01b0\u01a1ng, v\u00ec d\u00f9ng kh\u00e1ng sinh nguy\u00ean ch\u1ea5t, li\u1ec1u t\u00e1c \u0111\u1ed9ng l\u00ean t\u1ea1i ch\u1ed7 r\u1ea5t cao s\u1ebd l\u00e0m k\u00edch th\u00edch da. M\u1eb7t kh\u00e1c, c\u00e1ch d\u00f9ng thu\u1ed1c nh\u01b0 th\u1ebf d\u1ec5 g\u00e2y ra d\u1ecb \u1ee9ng, th\u1eadm ch\u00ed l\u00e0m cho b\u1ec7nh n\u1eb7ng th\u00eam&#8230;<\/p>\n<h2><span style=\"font-size: 18px\"><strong>C\u00e2u h\u1ecfi 12 <\/strong> <\/span><\/h2>\n<p><em><strong>Ng\u01b0\u1eddi h\u1ecfi: Hoaxuyen Chi &#8211; <span style=\"line-height: 1.6em\"> Ng\u00e0y h\u1ecfi: 4\/7\/2015 <\/span> <\/strong> <\/em><\/p>\n<p><em><strong>Tham gia t\u01b0 v\u1ea5n: BS. Tr\u1ea7n Th\u1ecb Kh\u00e1nh Nga <\/strong> <\/em><\/p>\n<p><span style=\"color: #ff0000\"><strong>C\u00e2u h\u1ecfi <\/strong> <\/span><\/p>\n<p>B\u00e1c s\u0129 cho em h\u1ecfi con b\u1ecb g\u00ec \u1ea1? Ch\u00e1u kh\u00f4ng s\u1ed1t, kh\u00f4ng qu\u1ea5y kh\u00f3c.<\/p>\n<p><img decoding=\"async\" style=\"width: 200px;height: 267px\" src=\"\/\/yhoccongdong.org\/Documents\/2782_dalieunhi2.jpg\" alt=\"Da li\u1ec5u nhi\" \/><\/p>\n<p><span style=\"color: #ff0000\"><strong>Tr\u1ea3 l\u1eddi <\/strong> <\/span><\/p>\n<p>\u0110\u1ec3 kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n m\u1ed9t b\u1ec7nh da, ng\u01b0\u1eddi b\u00e1c s\u0129 c\u1ea7n kh\u00e1m t\u1ed5ng qu\u00e1t t\u1eeb \u0111\u1ea7u \u0111\u1ebfn ch\u00e2n, v\u00e0 h\u1ecfi th\u00eam m\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n k\u00e8m theo th\u00ec m\u1edbi c\u00f3 ch\u1ea9n \u0111\u00f3an ch\u00ednh x\u00e1c \u0111\u01b0\u1ee3c. B\u00e1c s\u0129 kh\u00f4ng th\u1ec3 cho ch\u1ea9n \u0111o\u00e1n cu\u1ed1i c\u00f9ng v\u1edbi m\u1ed9t t\u1ea5m h\u00ecnh, v\u00ec s\u1ebd c\u00f3 nhi\u1ec1u thi\u1ebfu s\u00f3t trong vi\u1ec7c ghi nh\u1eadn tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh v\u00e0 ch\u1ea9n \u0111\u00f3an. \u0110\u00e2y l\u00e0 l\u00ed do t\u1ea1i sao b\u1ec7nh nh\u00e2n n\u00ean g\u1eb7p tr\u1ef1c ti\u1ebfp b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m tr\u1ef1c ti\u1ebfp v\u00e0 to\u00e0n di\u1ec7n v\u1eabn l\u00e0 t\u1ed1t nh\u1ea5t.<\/p>\n<p>Tuy v\u1eady, m\u00ecnh c\u0169ng g\u1ee3i \u00fd cho b\u1ea1n h\u01b0\u1edbng ch\u1ea9n \u0111o\u00e1n \u1edf \u0111\u00e2y. Trong h\u00ecnh n\u00e0y, m\u00ecnh th\u1ea5y b\u00e9 ch\u1ec9 b\u1ecb m\u1eb7t ngo\u00e0i c\u1ee7a c\u00e1nh tay, n\u00ean \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 vi\u00eam da ti\u1ebfp x\u00fac nha b\u1ea1n. B\u1ea1n xem l\u1ea1i n\u00f4i, gi\u01b0\u1eddng c\u1ee7a b\u00e9 c\u00f3 th\u1eadt s\u1ea1ch ch\u01b0a, c\u00f3 b\u1ecb b\u00e1m b\u1ee5i hay d\u00ednh n\u01b0\u1edbc ti\u1ec3u g\u00ec kh\u00f4ng. B\u1ea1n n\u00ean r\u1eeda c\u00e1nh tay b\u1eb1ng n\u01b0\u1edbc s\u1ea1ch 3-4 l\u1ea7n m\u1ed7i ng\u00e0y, sau \u0111\u00f3 d\u00f9ng kh\u0103n m\u1ec1m lau kh\u00f4, gi\u1eef cho tay kh\u00f4ng ti\u1ebfp x\u00fac v\u1edbi c\u00e1c d\u1ecb nguy\u00ean n\u1eefa, sau v\u00e0i ng\u00e0y s\u1ebd h\u1ebft b\u1ea1n nh\u00e9.<\/p>\n<h2><span style=\"font-size: 18px\"><strong>C\u00e2u h\u1ecfi 13 <\/strong> <\/span><\/h2>\n<p><em><strong>Ng\u01b0\u1eddi h\u1ecfi: Gia Nguyen &#8211; <span style=\"line-height: 1.6em\"> Ng\u00e0y h\u1ecfi: 28\/6\/2015 <\/span> <\/strong> <\/em><\/p>\n<p><em><strong>Tham gia t\u01b0 v\u1ea5n: BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c <\/strong> <\/em><\/p>\n<p><span style=\"color: #ff0000\"><strong>C\u00e2u h\u1ecfi <\/strong> <\/span><\/p>\n<p>B\u00e1c s\u0129 cho em h\u1ecfi con em \u0111\u01b0\u1ee3c 10 ng\u00e0y tu\u1ed5i, b\u1ecb n\u1ed5i m\u1ee5n n\u01b0\u1edbc nh\u01b0 th\u1ebf n\u00e0y th\u00ec ph\u1ea3i l\u00e0m sao \u1ea1?<\/p>\n<p><img decoding=\"async\" style=\"width: 350px\" src=\"\/\/yhoccongdong.org\/Documents\/2783_dalieunhi3.jpg\" alt=\"Da li\u1ec5u nhi\" \/><\/p>\n<p><span style=\"color: #ff0000\"><strong>Tr\u1ea3 l\u1eddi <\/strong> <\/span><\/p>\n<p>Ch\u00e0o ch\u1ecb. <span style=\"line-height: 1.6em\"> Sang th\u01b0\u01a1ng n\u00e0y do \u1edf tr\u1ebb s\u01a1 sinh c\u00e1c tuy\u1ebfn m\u1ed3 h\u00f4i ch\u01b0a ph\u00e1t ti\u1ec3n n\u00ean khi m\u1ed3 h\u00f4i ti\u1ebft nhi\u1ec1u do n\u00f3ng s\u1ebd g\u00e2y \u1ee9 \u0111\u1ecdng. Bi\u1ec3u hi\u1ec7n l\u00e0 nh\u1eefng b\u1ecdng n\u01b0\u1edbc n\u00f4ng, nh\u1ecf, trong d\u1ec5 v\u1ee1 kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1eb9o, kh\u00f4ng ng\u1ee9a, kh\u00f4ng \u0111au, kh\u00f4ng c\u00f3 vi\u00eam\u2026v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 m\u1ea5t sau 2-3 ng\u00e0y. Ch\u1ecb c\u00f3 th\u1ec3 t\u1eafm ch\u00e1u v\u1edbi dung d\u1ecbch v\u1ec7 sinh d\u00e0nh cho tr\u1ebb s\u01a1 sinh th\u00f4ng th\u01b0\u1eddng. T\u1eafm b\u1eb1ng dung d\u1ecbch thu\u1ed1c t\u00edm pha lo\u00e3ng 1\/10000, c\u00f3 m\u1ed9t s\u1ed1 l\u00e1, qu\u1ea3 t\u1eafm t\u1ed1t nh\u01b0 m\u01b0\u1edbp \u0111\u1eafng, s\u00e0i \u0111\u1ea5t. <\/span><\/p>\n<p>Ch\u00fac ch\u00e1u lu\u00f4n kh\u1ecfe!<\/p>\n<h2><span style=\"font-size: 18px\"><strong>C\u00e2u h\u1ecfi 14 <\/strong> <\/span><\/h2>\n<p><strong><em>Ng\u01b0\u1eddi h\u1ecfi: Ph\u01b0\u01a1ng Loan &#8211; <span style=\"line-height: 1.6em\"> Ng\u00e0y h\u1ecfi: 20\/6\/2015 <\/span> <\/em> <\/strong><\/p>\n<p><strong><em>Tham gia t\u01b0 v\u1ea5n: BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c vs BS. Tr\u1ea7n Th\u1ecb Kh\u00e1nh Nga <\/em> <\/strong><\/p>\n<p><span style=\"color: #ff0000\"><strong>C\u00e2u h\u1ecfi <\/strong> <\/span><\/p>\n<p>B\u00e1c s\u0129 cho em h\u1ecfi. Con em t\u1eeb 2 th\u00e1ng r\u01b0\u1ee1i da \u0111\u1ea7u c\u1ee7a b\u00e9 t\u0103ng ti\u1ebft nh\u1eddn h\u00ecnh th\u00e0nh v\u1ea3y g\u00e0u th\u00e0nh c\u1ee9t tr\u00e2u. Em \u0111\u00e3 c\u1ed1 g\u1eafng g\u1ed9i s\u1ea1ch nh\u01b0ng ng\u00e0y h\u00f4m sau l\u1ea1i l\u00ean ti\u1ebfp. V\u00e0 m\u1ea5y h\u00f4m nay th\u00ec l\u1ea7n xu\u1ed1ng tr\u00e1n. T\u1ea1o th\u00e0nh v\u1ea3y li ti tr\u00ean da m\u1eb7t. Nh\u01b0 ki\u1ec3u tr\u00f3c da. B\u00e1c s\u0129 cho em h\u1ecfi c\u00e1ch c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c kh\u00f4ng.<\/p>\n<p><span style=\"color: #ff0000\"><strong>Tr\u1ea3 l\u1eddi <\/strong> <\/span><\/p>\n<p><strong>BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c <\/strong><\/p>\n<p>Tr\u1ebb em m\u1edbi sinh, tr\u00ean da \u0111\u1ea7u nh\u1ea5t l\u00e0 v\u00f9ng th\u00f3p c\u00f3 nh\u1eefng t\u1ea3ng v\u1ea9y da d\u1ea7y m\u00e0u n\u00e2u x\u00e1m ta th\u01b0\u1eddng g\u1ecdi l\u00e0 \u201cc\u1ee9t tr\u00e2u \u201c. \u0110\u00f3 l\u00e0 nh\u1eefng ch\u1ea5t do tuy\u1ebfn b\u00e3 nh\u1eddn ti\u1ebft ra \u0111\u1ecdng kh\u00f4 l\u1ea1i c\u00f3 nhi\u1ec7m v\u1ee5 b\u1ea3o v\u1ec7 v\u00f9ng th\u00f3p c\u00f2n ph\u1eadp ph\u1ed3ng. N\u1ebfu c\u1ee9t tr\u00e2u th\u00e0nh l\u1edbp m\u1ecfng th\u00ec ch\u1ec9 l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng sinh l\u00fd b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng \u0111\u00e1ng ng\u1ea1i. Tr\u1ebb em c\u00e0ng l\u1edbn \u201cc\u1ee9t tr\u00e2u\u201d c\u00e0ng \u00edt \u0111i, \u0111\u1ebfn 2-3 tu\u1ed5i c\u00f3 th\u1ec3 h\u1ebft h\u1eb3n. Nh\u01b0ng c\u0169ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p \u201cc\u1ee9t tr\u00e2u\u201d \u0111\u00f3ng th\u00e0nh t\u1eebng t\u1ea3ng d\u00e0y b\u1ebft v\u00e0o ch\u00e2n t\u00f3c, b\u00f3c l\u00ean th\u1ea5y da \u0111\u1ea7u \u1edf \u0111\u00f3 h\u01a1i \u0111\u1ecf \u01b0\u1edbt. \u201cC\u1ee9t tr\u00e2u\u201d d\u00e0y l\u00e0m em b\u00e9 ng\u1ee9a ng\u00e1y ph\u1ea3i g\u00e3i \u0111\u1ea7u c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng bi\u1ebfn ch\u1ee9ng nhi\u1ec5m khu\u1ea9n nung m\u1ee7 (<a href=\"https:\/\/yhoccongdong.com\/thongtin\/choc-nhiem-trung-da\/\" target=\"_blank\" rel=\"noopener\">ch\u1ed1c \u0111\u1ea7u<\/a>), n\u1ed5i \u0111inh nh\u1ecdt \u1edf da \u0111\u1ea7u, v\u00ec c\u1ee9t tr\u00e2u l\u00e0 m\u00f4i tr\u01b0\u1eddng t\u1ed1t cho vi khu\u1ea9n ngo\u00e0i da (li\u00ean c\u1ea7u, t\u1ee5 c\u1ea7u) ph\u00e1t tri\u1ec3n. \u201cC\u1ee9t tr\u00e2u\u201d nhi\u1ec1u c\u00f3 th\u1ec3 l\u00e0m r\u1ee5ng t\u00f3c, th\u01b0a th\u1edbt hay t\u1eebng \u0111\u00e1m v\u00ec ch\u1ea5t nh\u1eddn ti\u1ebft ra nhi\u1ec1u v\u00edt l\u1ed7 ch\u00e2n t\u00f3c g\u00e2y r\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng v\u00e0 l\u00e0m r\u1ee5ng t\u00f3c.<\/p>\n<p>N\u1ebfu \u201cc\u1ee9t tr\u00e2u\u201d \u00edt, m\u1ecfng, kh\u00f4ng c\u1ea7n ch\u1eefa. Ch\u1ec9 c\u1ea7n g\u1ed9i \u0111\u1ea7u b\u00ecnh th\u01b0\u1eddng d\u1ea7n d\u1ea7n em b\u00e9 l\u1edbn s\u1ebd h\u1ebft \u201cc\u1ee9t tr\u00e2u\u201d. N\u1ebfu c\u1ee9t tr\u00e2u th\u00e0nh t\u1eebng t\u1ea3ng d\u1ea7y nh\u01b0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a b\u00e9 c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng m\u1ed9t trong c\u00e1c bi\u1ec7n ph\u00e1p sau:<\/p>\n<ul>\n<li>V\u00e0i ng\u00e0y m\u1ed9t l\u1ea7n b\u00f4i \u00edt d\u1ea7u Parafin l\u00ean da \u0111\u1ea7u \u0111\u1ec3 v\u00e0i gi\u1edd cho c\u1ee9t tr\u00e2u b\u1edf ra, sau \u0111\u00f3 g\u1ed9i b\u1eb1ng n\u01b0\u1edbc chanh lo\u00e3ng. L\u00e0m nh\u01b0 v\u1eady 3-5 l\u1ea7n l\u1edbp c\u1ee9t tr\u00e2u s\u1ebd m\u1ecfng d\u1ea7n.<\/li>\n<li>C\u00f3 th\u1ec3 b\u00f4i m\u1ed9t s\u1ed1 thu\u1ed1c kem, m\u1ee1 sau khi \u0111\u01b0\u1ee3c b\u00e1c s\u1ef9 tham v\u1ea5n nh\u01b0 Acid salicylic 2%, Chlorocid 1%, Erythromycin 1%, Diprosalic, k\u1ebft h\u1ee3p g\u1ed9i \u0111\u1ea7u b\u1eb1ng n\u01b0\u1edbc chanh, b\u1ed3 k\u1ebft lo\u00e3ng, n\u01b0\u1edbc l\u00e1 ch\u00e8 t\u01b0\u01a1i. Khi g\u1ed9i h\u1ebft s\u1ee9c nh\u1eb9 nh\u00e0ng, tr\u00e1nh c\u00e0o v\u00f2 m\u1ea1nh c\u00f3 th\u1ec3 l\u00e0m da \u0111\u1ea7u b\u00e9 s\u00e2y s\u00e1t s\u1ebd bi\u1ebfn ch\u1ee9ng th\u00e0nh nung m\u1ee7, ch\u1ed1c l\u1edf, m\u1ee5n nh\u1ecdt\u2026<\/li>\n<li>N\u1ebfu \u0111\u00e3 th\u00e0nh bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/yhoccongdong.com\/thongtin\/choc-nhiem-trung-da\/\" target=\"_blank\" rel=\"noopener\">ch\u1ed1c \u0111\u1ea7u<\/a>, \u0111inh nh\u1ecdt nh\u1ea5t thi\u1ebft ph\u1ea3i \u0111i kh\u00e1m \u1edf th\u1ea7y thu\u1ed1c chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/li>\n<\/ul>\n<p><u><strong>L\u01b0u \u00fd: <\/strong> <\/u><\/p>\n<ul>\n<li>Kh\u00f4ng n\u00ean d\u00f9ng tay c\u1ed1 g\u1eafng k\u1ef3 c\u1ecd m\u1ea1nh tay \u0111\u1ec3 lo\u1ea1i b\u1ecf &#8220;c\u1ee9t tr\u00e2u&#8221; tr\u00ean \u0111\u1ea7u b\u00e9.<\/li>\n<li>Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c t\u00f9y ti\u1ec7n b\u00f4i thu\u1ed1c cho b\u00e9, v\u00ec n\u1ebfn tr\u1ebb b\u1ecb &#8220;c\u1ee9t tr\u00e2u&#8221; c\u00f3 k\u00e8m theo vi\u00eam da c\u01a1 \u0111\u1ecba ho\u1eb7c c\u00f3 b\u1ed9i nhi\u1ec5m li\u00ean c\u1ea7u, t\u1ee5 c\u1ea7u th\u00ec b\u1eaft bu\u1ed9c ph\u1ea3i \u0111\u01b0a b\u00e9 \u0111i kh\u00e1m.<\/li>\n<\/ul>\n<p>C\u00e1ch ph\u00f2ng tr\u00e1nh b\u1ec7nh &#8220;c\u1ee9t tr\u00e2u&#8221; cho b\u00e9:<\/p>\n<ul>\n<li>C\u1ea7n gi\u1eef da \u0111\u1ea7u tr\u1ebb s\u1ea1ch, kh\u00f4. G\u1ed9i \u0111\u1ea7u h\u1eb1ng ng\u00e0y b\u1eb1ng d\u1ea7u g\u1ed9i c\u1ee7a tr\u1ebb \u0111\u1ec3 lo\u1ea1i b\u1ecf ch\u1ea5t nh\u1eddn v\u00e0 t\u1ebf b\u00e0o ch\u1ebft.<\/li>\n<li>V\u00e0o nh\u1eefng ng\u00e0y \u1ea5m \u00e1p, kh\u00f4ng c\u1ea7n \u0111\u1ed9i m\u0169 cho tr\u1ebb v\u00ec c\u00f3 th\u1ec3 g\u00e2y b\u00ed h\u01a1i v\u00e0 \u1ea9m da \u0111\u1ea7u. N\u00ean \u0111\u1ed9i cho b\u00e9 nh\u1eefng chi\u1ebfc m\u0169 c\u00f3 ch\u1ea5t li\u1ec7u cotton m\u1ec1m m\u1ea1i.<\/li>\n<\/ul>\n<p>Ch\u00fac ch\u00e1u ch\u00f3ng kho\u1ebb!<\/p>\n<p><strong>BS. Tr\u1ea7n Th\u1ecb Kh\u00e1nh Nga <\/strong><\/p>\n<p>C\u1ee9t tr\u00e2u l\u00e0 b\u1ec7nh vi\u00eam da ti\u1ebft b\u00e3 nh\u1eddn \u1edf tr\u1ebb em. C\u00e1c m\u1ea3ng c\u1ee9t tr\u00e2u s\u1ebd t\u1ef1 r\u1edbt d\u1ea7n v\u00e0 b\u1ec7nh s\u1ebd t\u1ef1 kh\u1ecfi khi b\u00e9 \u0111\u1ebfn 2-3 tu\u1ed5i nh\u00e9 b\u1ea1n. B\u1ea1n kh\u00f4ng n\u00ean c\u1ed1 g\u1eafng g\u1ed9i s\u1ea1ch c\u1ee9t tr\u00e2u cho b\u00e9, v\u00ec l\u00e0m nh\u01b0 v\u1eady s\u1ebd t\u1ed5n th\u01b0\u01a1ng da \u0111\u1ea7u c\u1ee7a b\u00e9 s\u01a1 sinh. B\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi mua m\u1ed9t \u00edt d\u1ea7u m\u00e8 nguy\u00ean ch\u1ea5t xoa l\u00ean v\u00f9ng c\u00f3 nhi\u1ec1u c\u1ee9t tr\u00e2u \u0111\u1ec3 nh\u1eefng v\u1ea3y c\u1ee9t tr\u00e2u kh\u00f4 c\u1ee9ng tr\u1edf n\u00ean m\u1ec1m v\u00e0 d\u1ec5 bong ra h\u01a1n, t\u1eafm v\u00e0 lau da \u0111\u1ea7u nh\u1eb9 nh\u00e0ng m\u1ed7i ng\u00e0y 1 l\u1ea7n b\u1eb1ng kh\u0103n m\u1ec1m.<\/p>\n<h2><span style=\"font-size: 18px\"><strong>C\u00e2u h\u1ecfi 15 <\/strong> <\/span><\/h2>\n<p><em><strong>Ng\u01b0\u1eddi h\u1ecfi: Kim Anh &#8211; <span style=\"line-height: 1.6em\"> Ng\u00e0y h\u1ecfi: 20\/6\/2015 <\/span> <\/strong> <\/em><\/p>\n<p><em><strong>Tham gia t\u01b0 v\u1ea5n: BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c <\/strong> <\/em><\/p>\n<p><span style=\"color: #ff0000\"><strong>C\u00e2u h\u1ecfi <\/strong> <\/span><\/p>\n<p>B\u00e1c s\u0129 cho em h\u1ecfi. B\u00e9 b\u1ecb v\u1eady l\u00e0 g\u00ec \u1ea1? B\u00e9 c\u00f3 b\u1ecb r\u1ee5ng t\u00f3c. B\u00e9 \u0111\u01b0\u1ee3c 1 th\u00e1ng 6 ng\u00e0y. B\u1ecb v\u1eady c\u0169ng m\u1ea5y ng\u00e0y r\u1ed3i \u1ea1. C\u00f3 \u0111i kh\u00e1m cho b\u00e9 kh\u00f4ng \u1ea1? C\u00e1m \u01a1n b\u00e1c s\u0129.<\/p>\n<p><img decoding=\"async\" style=\"width: 250px;height: 188px\" src=\"\/\/yhoccongdong.org\/Documents\/2784_dalieunhi4.jpg\" alt=\"Da li\u1ec5u nhi\" \/><\/p>\n<p><span style=\"color: #ff0000\"><strong>Tr\u1ea3 l\u1eddi <\/strong> <\/span><\/p>\n<p>Ch\u00e0o ch\u1ecb. <span style=\"line-height: 1.6em\"> Th\u00f4ng th\u01b0\u1eddng \u1edf tr\u1ebb nh\u1ecf, do c\u00f3 s\u1ef1 \u1ee9 \u0111\u1ecdng c\u1ee7a c\u00e1c ch\u1ea5t b\u00e3 ho\u1eb7c do k\u00edch th\u00edch t\u1ed1 c\u1ee7a m\u1eb9 c\u00f2n l\u01b0u l\u1ea1i n\u00ean \u1edf v\u00f9ng tr\u00e1n, m\u0169i, g\u00f2 m\u00e1, c\u1eb1m c\u1ee7a tr\u1ebb c\u00f3 nh\u1eefng h\u1ea1t nh\u1ecf m\u00e0u tr\u1eafng \u0111\u1ee5c nh\u00f4 l\u00ean da nh\u01b0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/hoidap\/hien-tuong-noi-hat-ke-o-tre-sinh\/\" target=\"_blank\" rel=\"noopener\">h\u1ea1t k\u00ea<\/a>. C\u00e1c \u201c<a href=\"https:\/\/yhoccongdong.com\/thongtin\/hoidap\/hien-tuong-noi-hat-ke-o-tre-sinh\/\" target=\"_blank\" rel=\"noopener\">h\u1ea1t k\u00ea<\/a>\u201d n\u00e0y s\u1ebd t\u1ef1 m\u1ea5t sau 6 tu\u1ea7n tu\u1ed5i. <\/span><\/p>\n<p>Ch\u1ec9 c\u1ea7n r\u1eeda m\u1eb7t v\u00e0 t\u1eafm h\u00e0ng ng\u00e0y cho b\u00e9 b\u1eb1ng n\u01b0\u1edbc s\u1ea1ch, \u1ea5m. Pha n\u01b0\u1edbc v\u1eeba \u0111\u1ee7 \u1ea5m, kh\u00f4ng d\u00f9ng n\u01b0\u1edbc qu\u00e1 n\u00f3ng l\u00e0m h\u1ea1i da tr\u1ebb, g\u00e2y ph\u1ecfng r\u1ed9p do da tr\u1ebb r\u1ea5t m\u1ecfng manh. D\u00f9ng kh\u0103n m\u1ec1m lau cho tr\u1ebb. Khi t\u1eafm ch\u1ec9 n\u00ean d\u00f9ng x\u00e0 ph\u00f2ng d\u00e0nh ri\u00eang cho tr\u1ebb. Kh\u00f4ng d\u00f9ng c\u00e1c lo\u1ea1i s\u1eefa t\u1eafm ng\u01b0\u1eddi l\u1edbn, kh\u00f4ng b\u00f4i b\u1ea5t c\u1ee9 lo\u1ea1i n\u01b0\u1edbc th\u01a1m, n\u01b0\u1edbc hoa n\u00e0o l\u00e0m tr\u1ebb b\u1ecb d\u1ecb \u1ee9ng da. Kh\u00f4ng n\u00ean k\u1ef3 c\u1ecd m\u1ea1nh, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn da c\u1ee7a b\u00e9. C\u1ea7n l\u01b0u \u00fd gi\u1eef cho l\u00e0n da b\u00e9 lu\u00f4n kh\u00f4 r\u00e1o v\u00e0 tho\u00e1ng m\u00e1t.<\/p>\n<p>Qu\u1ea7n \u00e1o tr\u1ebb ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1eb7t k\u1ef9 b\u1eb1ng x\u00e0 ph\u00f2ng \u00edt ch\u1ea5t t\u1ea9y, ng\u00e2m trong n\u01b0\u1edbc x\u1ea3 v\u1ea3i cho m\u1ec1m. Ch\u1ea5t li\u1ec7u v\u1ea3i n\u00ean ch\u1ecdn lo\u1ea1i cotton, h\u00fat m\u1ed3 h\u00f4i v\u00e0 tho\u00e1ng h\u01a1i. Gi\u1eb7t v\u00e0 ph\u01a1i kh\u00f4 qu\u1ea7n \u00e1o cho b\u00e9 r\u1ed3i c\u1ea5t v\u00e0o t\u1ee7 d\u00e0nh ri\u00eang cho b\u00e9. Qu\u1ea5n cho b\u00e9 b\u1eb1ng t\u00e3 v\u1ea3i cho tho\u00e1ng, kh\u00f4ng m\u1eb7c t\u00e3 gi\u1ea5y l\u00e0m b\u00edt h\u01a1i. Ngo\u00e0i qu\u1ea7n \u00e1o, ch\u0103n m\u00e0n, kh\u0103n lau c\u1ee7a b\u00e9 c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c quan t\u00e2m gi\u1eb7t gi\u0169 c\u1ea9n th\u1eadn, kh\u00f4ng d\u00f9ng \u0111\u1ed3 b\u1ecb \u1ea9m th\u1ea5m n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p b\u00e9 c\u00f3 b\u1ea5t k\u1ef3 bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng g\u00ec n\u00ean \u0111\u01b0a b\u00e9 \u0111i kh\u00e1m \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed th\u00edch h\u1ee3p. Kh\u00f4ng b\u00f4i nh\u1eefng lo\u1ea1i thu\u1ed1c kem hay u\u1ed1ng thu\u1ed1c m\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p>L\u00fac m\u1edbi sinh, t\u00f3c c\u1ee7a b\u00e9 \u0111ang \u1edf giai \u0111o\u1ea1n t\u0103ng sinh (m\u1ecdc t\u00f3c). Sau m\u1ed9t th\u1eddi gian ng\u1eafn, m\u1ed9t ph\u1ea7n do s\u1ef1 thay \u0111\u1ed5i c\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 (hormon) m\u00e0 b\u00e9 nh\u1eadn t\u1eeb m\u1eb9 trong b\u00e0o thai, t\u00f3c c\u1ee7a b\u00e9 chuy\u1ec3n sang giai \u0111o\u1ea1n r\u1ee5ng t\u00f3c. (Nhi\u1ec1u b\u00e0 m\u1eb9 sau sinh c\u0169ng th\u01b0\u1eddng g\u1eb7p hi\u1ec7n t\u01b0\u1ee3ng r\u1ee5ng t\u00f3c h\u00e0ng lo\u1ea1t v\u1edbi l\u00fd do t\u01b0\u01a1ng t\u1ef1).<\/p>\n<p>C\u00e1c b\u1eadc cha m\u1eb9 \u0111\u00f4i khi ng\u1ea1c nhi\u00ean khi kh\u00e1m ph\u00e1 ra r\u1eb1ng, em b\u00e9 c\u1ee7a m\u00ecnh sau \u0111\u00f3 s\u1ebd c\u00f3 m\u1ed9t m\u00e1i t\u00f3c ho\u00e0n to\u00e0n m\u1edbi, kh\u00e1c l\u1ea1 so v\u1edbi m\u00e1i t\u00f3c nguy\u00ean th\u1ee7y khi m\u1edbi \u0111\u01b0\u1ee3c sinh ra. Khi m\u1edbi sinh, c\u00f3 th\u1ec3 t\u00f3c b\u00e9 r\u1ea5t \u0111en v\u00e0 d\u00e0y nh\u01b0ng qua \u0111\u1ee3t r\u1ee5ng \u201ct\u00f3c m\u00e1u\u201d, t\u00f3c b\u00e9 kh\u00f4ng c\u00f2n \u0111en n\u1eefa m\u00e0 c\u00f3 m\u00e0u h\u01a1i n\u00e2u\u2026<\/p>\n<p>T\u00ecnh tr\u1ea1ng r\u1ee5ng t\u00f3c n\u00e0y s\u1ebd th\u1ea5y r\u00f5 nh\u1ea5t l\u00fac kho\u1ea3ng 3-6 th\u00e1ng tu\u1ed5i. T\u1eeb 6 th\u00e1ng \u0111\u1ebfn 1 tu\u1ed5i, \u0111a s\u1ed1 c\u00e1c b\u00e9 s\u1ebd d\u1ea7n d\u1ea7n bi\u1ebft l\u1eadt, tr\u01b0\u1eddn, b\u00f2\u2026, v\u00ec v\u1eady giai \u0111o\u1ea1n n\u00e0y s\u1ebd th\u1ea5y b\u1edbt r\u1ee5ng t\u00f3c (c\u0169ng c\u00f3 khi tr\u1ec5 h\u01a1n).<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0a b\u00e9 \u0111i kh\u00e1m, nh\u1ea5t l\u00e0 sau 6 th\u00e1ng tu\u1ed5i m\u00e0 b\u00e9 c\u00f2n b\u1ecb r\u1ee5ng t\u00f3c nhi\u1ec1u. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 do b\u00e9 b\u1ecb thi\u1ebfu m\u00e1u, c\u00f3 v\u1ea5n \u0111\u1ec1 \u1edf tuy\u1ebfn gi\u00e1p ho\u1eb7c h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch.<\/p>\n<p>Ngo\u00e0i ra, c\u0169ng c\u1ea7n l\u01b0u \u00fd r\u1ee5ng t\u00f3c \u1edf b\u00e9 c\u00f3 li\u00ean quan t\u1edbi <a href=\"https:\/\/yhoccongdong.com\/thongtin\/coi-xuong-o-tre-em-nhan-biet-va-cach-phong-ngua\/\" target=\"_blank\" rel=\"noopener\">c\u00f2i x\u01b0\u01a1ng<\/a>. Tuy nhi\u00ean, kh\u00f4ng n\u00ean ch\u1ec9 th\u1ea5y b\u00e9 r\u1ee5ng t\u00f3c (ho\u1eb7c c\u00f3 nh\u1eefng m\u1ea3ng h\u00f3i nh\u1ecf tr\u00ean \u0111\u1ea7u) m\u00e0 v\u1ed9i k\u1ebft lu\u1eadn r\u1eb1ng b\u00e9 b\u1ecb c\u00f2i x\u01b0\u01a1ng. N\u1ebfu b\u1ecb c\u00f2i x\u01b0\u01a1ng, b\u00e9 s\u1ebd c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n kh\u00e1c \u0111i k\u00e8m, ch\u1eb3ng h\u1ea1n ng\u1ee7 kh\u00f4ng y\u00ean, hay \u0111\u1ed5 m\u1ed3 h\u00f4i g\u00e1y, ch\u1eadm li\u1ec1n th\u00f3p\u2026 B\u1ea1n n\u00ean cho b\u00e9 \u0111i kh\u00e1m \u0111\u1ec3 c\u00f3 c\u00e2u tr\u1ea3 l\u1eddi ch\u00ednh x\u00e1c nh\u1ea5t.<\/p>\n<p>N\u1ebfu b\u00e1c s\u0129 nghi ng\u1edd r\u1ee5ng t\u00f3c t\u1eebng v\u00f9ng, con b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 da li\u1ec5u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 th\u00eam.<\/p>\n<p>N\u1ebfu r\u1ee5ng t\u00f3c c\u1ee7a b\u00e9 l\u00e0 do d\u1ecb \u1ee9ng d\u1ea7u g\u1ed9i, b\u1ea1n s\u1ebd ch\u1ec9 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb t\u00f3c v\u00e0 da \u0111\u1ea7u c\u1ee7a b\u00e9 b\u1eb1ng lo\u1ea1i d\u1ea7u g\u1ed9i d\u1ecbu nh\u1eb9 nh\u1ea5t d\u1ecbu d\u00e0ng trong m\u1ed9t th\u1eddi gian cho \u0111\u1ebfn khi n\u00f3 ph\u00e1t tri\u1ec3n tr\u1edf l\u1ea1i. (H\u00e3y nh\u1edb r\u1eb1ng t\u00f3c c\u1ee7a em b\u00e9 lu\u00f4n m\u1ecfng manh v\u00ec th\u1ebf b\u1ea1n n\u00ean ch\u1ecdn lo\u1ea1i d\u1ea7u g\u1ed9i ph\u00f9 h\u1ee3p cho da \u0111\u1ea7u c\u1ee7a b\u00e9 ngay t\u1eeb khi m\u1edbi sinh v\u00e0 tr\u00e1nh ch\u1ea3i, ch\u1ec9 c\u1ea7n vu\u1ed1t nh\u1eb9 nh\u00e0ng).<\/p>\n<p>Ch\u00fac b\u00e9 lu\u00f4n kho\u1ebb!<\/p>\n<h2><span style=\"font-size: 18px\"><strong>C\u00e2u h\u1ecfi 16 <\/strong> <\/span><\/h2>\n<p><strong><em>Ng\u01b0\u1eddi h\u1ecfi: NTTT &#8211; Ng\u00e0y h\u1ecfi: 20\/7\/2015 <\/em> <\/strong><\/p>\n<p><strong><em>Tham gia t\u01b0 v\u1ea5n: BS. Tr\u1ea7n Th\u1ecb Kh\u00e1nh Nga <\/em> <\/strong><\/p>\n<p><span style=\"color: #ff0000\"><strong>C\u00e2u h\u1ecfi <\/strong> <\/span><\/p>\n<p>Ca\u0301c ba\u0301c si\u0303 \u01a1i cha\u0301u 1 tu\u00f4\u0309i bi\u0323 th\u00ea\u0301 na\u0300y \u0111a\u0303 3 h\u00f4m r\u00f4\u0300i co\u0301 pha\u0309i la\u0300 ch\u00f4\u0301c loe\u0301t kh\u00f4ng \u0105? Co\u0301 th\u00ea\u0309 b\u00f4i Xanh Methylen 1% l\u00ean \u0111\u00ea\u0309 kho\u0309i bi\u0323 ri\u0309 n\u01b0\u01a1\u0301c hay \u0111i\u00ea\u0300u tri\u0323 ra sao cho hi\u00ea\u0323u qua\u0309 \u0105? Tr\u00e2n tro\u0323ng ca\u0309m \u01a1n ca\u0301c ba\u0301c si\u0303.<\/p>\n<p><img decoding=\"async\" style=\"width: 250px;height: 188px\" src=\"\/\/yhoccongdong.org\/Documents\/2785_viemda.jpg\" alt=\"Da li\u1ec5u nhi\" \/><\/p>\n<p><span style=\"color: #ff0000\"><strong>Tr\u1ea3 l\u1eddi <\/strong> <\/span><\/p>\n<p>M\u1eb9 b\u00e9 c\u00f3 th\u1ec3 ra qu\u1ea7y thu\u1ed1c h\u1ecfi mua tube thu\u1ed1c FOBAN ho\u1eb7c FUCIDIN thoa cho b\u00e9 ng\u00e0y hai l\u1ea7n, v\u00e0 theo d\u00f5i c\u00e1c ti\u1ebfn tri\u1ec3n c\u1ee7a c\u1ee7a t\u1ed5n th\u01b0\u01a1ng da. N\u1ebfu b\u00e9 kh\u00f4ng s\u1ed1t, t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng lan r\u1ed9ng v\u00e0 gi\u1ea3m d\u1ea7n th\u00ec ti\u1ebfp t\u1ee5c b\u00f4i kho\u1ea3ng 7 ng\u00e0y \u0111\u1ec3 t\u1ed5n th\u01b0\u01a1ng l\u00e0nh h\u1eb3n. N\u1ebfu b\u00e9 s\u1ed1t, t\u1ed5n th\u01b0\u01a1ng lan r\u1ed9ng h\u01a1n th\u00ec c\u1ea7n ph\u1ea3i \u0111i kh\u00e1m tr\u1ef1c ti\u1ebfp t\u1ea1i b\u00e1c s\u0129 da li\u1ec5u ho\u1eb7c chuy\u00ean khoa nhi \u0111\u1ec3 b\u00e1c s\u0129 theo d\u00f5i k\u0129 h\u01a1n nh\u00e9. Ch\u00fac b\u00e9 mau l\u00e0nh da.<\/p>\n<h2><span style=\"font-size: 18px\"><strong>C\u00e2u h\u1ecfi 17 <\/strong> <\/span><\/h2>\n<p><em><strong>Ng\u01b0\u1eddi h\u1ecfi: Le Nga &#8211; Ng\u00e0y h\u1ecfi: 13\/7\/2015 <\/strong> <\/em><\/p>\n<p><em><strong>Tham gia t\u01b0 v\u1ea5n: BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c <\/strong> <\/em><\/p>\n<p><span style=\"color: #ff0000\"><strong>C\u00e2u h\u1ecfi <\/strong> <\/span><\/p>\n<p>C\u00e1c b\u00e1c s\u0129 cho em h\u1ecfi. Con em \u0111\u01b0\u1ee3c 3,5 th\u00e1ng. L\u00fac m\u1edbi sinh ch\u00e1u c\u00f3 m\u1ed9t c\u1ee5m \u0111\u1ecf \u1edf b\u1ee5ng. C\u00e0ng ng\u00e0y c\u00e0ng \u0111\u1ecf v\u00e0 r\u1ed9p l\u00ean, \u0111\u1ebfn gi\u1edd em m\u1edbi th\u1ea5y xu\u1ea5t hi\u1ec7n \u0111\u00e1m \u0111\u1ecf m\u1edbi quanh \u0111\u1ea5y. C\u00f3 ph\u1ea3i l\u00e0 u m\u00e1u lan to\u1ea3, c\u00f3 nguy hi\u1ec3m kh\u00f4ng v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o c\u00e1c b\u00e1c s\u0129. Mong tin c\u00e1c b\u00e1c s\u0129. Em c\u1ea3m \u01a1n \u1ea1. \u0110\u00e2y l\u00e0 h\u00ecnh m\u1edbi sinh c\u1ee7a ch\u00e1u.<\/p>\n<p><img decoding=\"async\" style=\"width: 200px;height: 267px\" src=\"\/\/yhoccongdong.org\/Documents\/2789_buou-mau.jpg\" alt=\"B\u01b0\u1edbu m\u00e1u\" \/><\/p>\n<p><span style=\"color: #ff0000\"><strong>Tr\u1ea3 l\u1eddi <\/strong> <\/span><\/p>\n<p>Ch\u00e0o ch\u1ecb. Sang th\u01b0\u01a1ng trong h\u00ecnh nh\u01b0 bi\u1ec3u hi\u1ec7n c\u1ee7a hemangioma (<a href=\"https:\/\/yhoccongdong.com\/thongtin\/hoidap\/u-mau-duoi-da-o-tre-em\/\" target=\"_blank\" rel=\"noopener\">b\u01b0\u1edbu m\u00e1u<\/a>).<\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/hoidap\/u-mau-duoi-da-o-tre-em\/\" target=\"_blank\" rel=\"noopener\">B\u01b0\u1edbu m\u00e1u<\/a> l\u00e0 c\u00e1c sang th\u01b0\u01a1ng b\u1ea9m sinh g\u1ed3m nh\u1eefng m\u00f4 l\u00e0nh t\u00ednh nh\u01b0ng v\u1ecb tr\u00ed kh\u00f4ng \u0111\u00fang ch\u1ed7 g\u1ed3m c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 mao m\u1ea1ch b\u1ecb gi\u00e3n v\u00e0 nhi\u1ec1u m\u1ea1ch m\u00e1u t\u0103ng sinh t\u1ee5 th\u00e0nh b\u01b0\u1edbu.<\/p>\n<p>Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u01b0\u1edbu m\u00e1u hi\u1ec7n nay c\u00f2n ch\u01b0a r\u00f5. B\u01b0\u1edbu m\u00e1u kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh di truy\u1ec1n v\u00e0 n\u00f3 kh\u00f4ng li\u00ean quan g\u00ec \u0111\u1ebfn b\u1ec7nh t\u1eadt, thu\u1ed1c men hay th\u1ee9c \u0103n c\u1ee7a b\u00e0 m\u1eb9 trong l\u00fac mang thai.<\/p>\n<p>B\u01b0\u1edbu m\u00e1u th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 &#8220;b\u1edbt d\u00e2u t\u00e2y&#8221; xu\u1ea5t hi\u1ec7n ngay sau sinh hay v\u00e0i tu\u1ea7n v\u00e0i th\u00e1ng sau sinh, c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1eeb m\u1ed9t v\u1ebft nh\u1ecf nh\u01b0 n\u1ed1t ru\u1ed3i son, m\u1ed9t m\u1ea3ng h\u1ed3ng, h\u1ed3ng \u0111\u1eadm m\u00e0u l\u00ean d\u1ea7n, c\u00f3 th\u1ec3 g\u1ed3 l\u00ean th\u00e0nh m\u1ea3ng.<\/p>\n<ul>\n<li>B\u01b0\u1edbu l\u1edbn d\u1ea7n theo ng\u01b0\u1eddi em b\u00e9 t\u00f9y tr\u01b0\u1eddng h\u1ee3p, c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n r\u1ea5t nhanh hay ch\u1eadm t\u00f9y theo t\u1eebng v\u1ecb tr\u00ed. Nh\u1eefng b\u01b0\u1edbu m\u00e1u \u1edf v\u00f9ng g\u1ea7n ni\u00eam m\u1ea1c nh\u01b0 m\u00f4i, m\u1eaft, v\u00f9ng c\u1ed5, tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt, tuy\u1ebfn d\u01b0\u1edbi h\u00e0m ph\u00e1t tri\u1ec3n r\u1ea5t nhanh. Nh\u1eefng b\u01b0\u1edbu \u1edf b\u1ec1 m\u1eb7t da t\u1ee9 chi, ng\u1ef1c b\u1ee5ng th\u00ec ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n nhi\u1ec1u.<\/li>\n<li>B\u01b0\u1edbu ph\u00e1t tri\u1ec3n nhanh trong n\u0103m \u0111\u1ea7u \u0111\u1eddi. Sau n\u0103m \u0111\u1ea7u s\u1ebd b\u1eaft \u0111\u1ea7u qu\u00e1 tr\u00ecnh tho\u00e1i h\u00f3a t\u1ef1 nhi\u00ean. Th\u00f4ng th\u01b0\u1eddng, b\u01b0\u1edbu c\u00f3 th\u1ec3 bi\u1ebfn m\u1ea5t m\u1ed9t n\u1eeda l\u00fac 5 tu\u1ed5i v\u00e0 bi\u1ebfn m\u1ea5t ho\u00e0n to\u00e0n l\u00fac 10 tu\u1ed5i. Tho\u00e1i h\u00f3a ph\u1ee5 thu\u1ed9c m\u1ed9t ph\u1ea7n v\u00e0o v\u1ecb tr\u00ed v\u00e0 c\u00f3 k\u00e8m d\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch hay kh\u00f4ng. Tho\u00e1i h\u00f3a di\u1ec5n ti\u1ebfn b\u1eb1ng s\u1ef1 l\u1ee3t m\u00e0u, xu\u1ea5t hi\u1ec7n nhi\u1ec1u \u0111\u01b0\u1eddng v\u1ea1ch trong sang th\u01b0\u01a1ng. B\u01b0\u1edbu c\u00f3 th\u1ec3 b\u1ecb lo\u00e9t, nhi\u1ec5m tr\u00f9ng t\u1ea1i ch\u1ed7, ch\u1ea3y m\u00e1u (ch\u1ea3y m\u00e1u th\u01b0\u1eddng x\u1ea3y ra, ch\u1ea3y nhi\u1ec1u v\u00e0 r\u1ea5t nguy hi\u1ec3m n\u1ebfu kh\u00f4ng c\u1ea7m m\u00e1u k\u1ecbp th\u1eddi). Hi\u1ec7n t\u01b0\u1ee3ng t\u1eafc m\u1ea1ch x\u1ea3y ra v\u00e0 ti\u1ebfn tri\u1ec3n trong kh\u1ed1i b\u01b0\u1edbu s\u1ebd thay th\u1ebf d\u1ea7n d\u1ea7n m\u00f4 b\u01b0\u1edbu. S\u1ef1 tho\u00e1i h\u00f3a b\u1eaft \u0111\u1ea7u t\u1eeb trung t\u00e2m b\u01b0\u1edbu, b\u1eaft \u0111\u1ea7u b\u1eb1ng m\u1ed9t m\u1ea3ng tr\u1eafng l\u1ee3t hay m\u1ed9t v\u00f9ng ho\u1ea1i t\u1eed \u0111en, lan r\u1ed9ng d\u1ea7n v\u00e0 x\u00f3a d\u1ea7n m\u00e0u \u0111\u1ecf h\u1ed3ng c\u1ee7a b\u01b0\u1edbu. M\u1eb7c d\u00f9 b\u1edd ngo\u1ea1i bi\u00ean c\u1ee7a b\u01b0\u1edbu trong su\u1ed1t th\u1eddi gian tho\u00e1i h\u00f3a v\u1eabn ti\u1ebfp t\u1ee5c lan, nh\u01b0ng v\u1eabn ch\u1eadm h\u01a1n s\u1ef1 lan r\u1ed9ng v\u00f9ng tho\u00e1i h\u00f3a n\u00ean d\u1ea7n d\u1ea7n b\u01b0\u1edbu s\u1ebd tho\u00e1i h\u00f3a.<\/li>\n<\/ul>\n<p>Th\u00f4ng th\u01b0\u1eddng b\u01b0\u1edbu m\u00e1u kh\u00f4ng c\u1ea7n can thi\u1ec7p g\u00ec tr\u1eeb khi b\u01b0\u1edbu g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ecb l\u1ef1c hay h\u00f4 h\u1ea5p \u1edf tr\u1ebb.<\/p>\n<p>Ch\u1ecb n\u00ean cho ch\u00e1u \u0111i kh\u00e1m b\u00e1c s\u0129 \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c l\u1eddi khuy\u00ean c\u1ee5 th\u1ec3 h\u01a1n cho tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ch\u00e1u. \u0110\u1ebfn g\u1eb7p b\u00e1c s\u0129 khi:<\/p>\n<ul>\n<li>Th\u0103m kh\u00e1m s\u1ee9c kho\u1ebb \u0111\u1ecbnh k\u1ef3 6 th\u00e1ng<\/li>\n<li>Xu\u1ea5t hi\u1ec7n ch\u1ea3y m\u00e1u<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng<\/li>\n<\/ul>\n<p>Ch\u00fac ch\u00e1u lu\u00f4n kho\u1ebb!<\/p>\n<h2><strong><span style=\"font-size: 18px\">C\u00e2u h\u1ecfi 18 <\/span> <\/strong><\/h2>\n<p><strong><span style=\"color: #ff0000\">Tr\u1ea3 l\u1eddi th\u1eafc m\u1eafc Ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c \u1edf tr\u1ebb s\u01a1 sinh &#8211; BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c <\/span> <\/strong><\/p>\n<p><strong><span style=\"color: #ff0000\"><img decoding=\"async\" style=\"width: 250px;height: 234px\" src=\"\/\/yhoccongdong.org\/Documents\/2790_bandonhiemdoc.jpg\" alt=\"H\u00ecnh \u1ea3nh ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c\" \/> <\/span> <\/strong><\/p>\n<p>Tuy c\u00f3 t\u00ean g\u1ecdi l\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ban-nhiem-doc-o-tre-sinh\/\" target=\"_blank\" rel=\"noopener\">ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c<\/a> nh\u01b0ng Erythema Toxicum Neonatorum (ETN) l\u00e0 m\u1ed9t b\u1ec7nh ph\u00e1t ban l\u00e0nh t\u00ednh, t\u1ef1 kh\u1ecfi, x\u1ea3y ra ch\u1ee7 y\u1ebfu giai \u0111o\u1ea1n \u0111\u1ea7u th\u1eddi k\u1ef3 s\u01a1 sinh.<\/p>\n<p>ETN \u0111i\u1ec3n h\u00ecnh b\u1edfi c\u00e1c ban \u0111\u1ecf d\u1ea1ng ch\u1ea5m, h\u1ea1t, m\u1ee5n n\u01b0\u1edbc v\u00e0 m\u1ee5n m\u1ee7. Ban t\u1ef1 kh\u1ecfi, kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng.<\/p>\n<ul>\n<li><strong>Sinh l\u00fd b\u1ec7nh <\/strong><\/li>\n<\/ul>\n<p>S\u1ef1 \u0111\u1ecf da l\u00e0 do sung huy\u1ebft mao m\u1ea1ch.<\/p>\n<p>S\u1ef1 gia t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u00e1c y\u1ebfu t\u1ed1 trung gian c\u1ee7a ph\u1ea3n \u1ee9ng vi\u00eam v\u00e0 mi\u1ec5n d\u1ecbch (vd: C\u00e1c Interleukin 1 v\u00e0 8, Eotaxin, ph\u00e2n t\u1eed d\u00ednh E-selectin, k\u00eanh protein v\u1eadn chuy\u1ec3n n\u01b0\u1edbc Aquaphorin 1 v\u00e0 Aquaphorin 3, h\u00f3a \u0111\u1ed9ng t\u1ed1 Psoriasin, Nitric oxide &amp; c\u00e1c \u0111\u1ed3ng d\u1ea1ng c\u1ee7a n\u00f3, kh\u00e1ng khu\u1ea9n: Peptide LL-37) g\u1ee3i \u00fd r\u1eb1ng: ETN l\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch to\u00e0n th\u00e2n.<\/p>\n<p>Xu\u1ea5t hi\u1ec7n ban \u0111\u1ecf \u1edf nh\u1eefng v\u00f9ng c\u00f3 l\u00f4ng, g\u1ee3i \u00fd r\u1eb1ng nang l\u00f4ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn h\u00ecnh th\u00e0nh ban \u0111\u1ecf.<\/p>\n<p>S\u1ef1 th\u00e2m nhi\u1ec5m c\u1ee7a c\u00e1c t\u1ebf b\u00e0o \u01b0a baz\u01a1 g\u1ee3i \u00fd b\u1ec7nh nguy\u00ean c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 qu\u00e1 nh\u1ea1y c\u1ea3m v\u00e0 li\u00ean quan \u0111\u1ebfn d\u1ecb \u1ee9ng nh\u01b0ng ch\u01b0a c\u00f3 y\u1ebfu t\u1ed1 g\u00e2y d\u1ecb \u1ee9ng n\u00e0o \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. T\u01b0\u01a1ng t\u1ef1, c\u00e1c y\u1ebfu t\u1ed1 ti\u1ebfp x\u00fac c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c xem x\u00e9t v\u00e0 lo\u1ea1i b\u1ecf. \u0110\u00e1p \u1ee9ng v\u1edbi b\u1ea5t c\u1ee9 th\u01b0\u01a1ng t\u1ed5n n\u00e0o \u1edf da tr\u1ebb s\u01a1 sinh c\u0169ng \u0111\u1ec1u xu\u1ea5t hi\u1ec7n s\u1ef1 th\u00e2m nhi\u1ec5m c\u1ee7a b\u1ea1ch c\u1ea7u \u01b0a baz\u01a1. \u1ede tr\u1ebb \u0111\u1ebb non th\u01b0\u1eddng thi\u1ebfu d\u1ea1ng ph\u1ea3n \u1ee9ng n\u00e0y do v\u1eady r\u1ea5t hi\u1ebfm th\u1ea5y b\u1ecb ETN.<\/p>\n<ul>\n<li><strong>Gi\u1ea3i ph\u1eabu b\u1ec7nh: X\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o h\u1ecdc cho th\u1ea5y <\/strong><\/li>\n<\/ul>\n<p>Ban d\u1ea1ng ch\u1ea5m b\u1ed9c l\u1ed9 s\u1ef1 ph\u00f9 nh\u1eb9 \u1edf l\u1edbp da v\u00e0 r\u1ea3i r\u00e1c c\u00f3 th\u00e2m nhi\u1ec5m c\u1ee7a c\u00e1c t\u1ebf b\u00e0o vi\u00eam (ch\u1ee7 y\u1ebfu l\u00e0 b\u1ea1ch c\u1ea7u \u01b0a baz\u01a1, b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh &amp; b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n) quanh m\u1ea1ch m\u00e1u.<\/p>\n<p>Ban d\u1ea1ng h\u1ea1t cho th\u1ea5y nhi\u1ec1u h\u01a1n s\u1ef1 ph\u00f9 \u1edf l\u1edbp da v\u00e0 th\u00e2m nhi\u1ec5m c\u1ee7a c\u00e1c t\u1ebf b\u00e0o vi\u00eam li\u00ean quan \u0111\u1ebfn ph\u1ea7n n\u00f4ng c\u1ee7a nang l\u00f4ng-tuy\u1ebfn b\u00e3. B\u1ea1ch c\u1ea7u \u01b0a Baz\u01a1 x\u00e2m l\u1ea5n v\u00e0o bao ngo\u00e0i c\u1ee7a nang l\u00f4ng.<\/p>\n<p>M\u1ee5n m\u1ee7 thu\u1ed9c l\u1edbp d\u01b0\u1edbi s\u1eebng c\u0169ng nh\u01b0 l\u1edbp th\u01b0\u1ee3ng b\u00ec v\u00e0 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn l\u1ed7 ch\u00e2n l\u00f4ng. C\u00f3 th\u1ec3 c\u00f3 s\u1ef1 th\u00e2m nhi\u1ec5m c\u1ee7a b\u1ea1ch c\u1ea7u \u01b0a Baz\u01a1 v\u00e0 m\u1ed9t \u00edt b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n v\u1edbi c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh quanh ph\u1ea7n tr\u00ean c\u1ee7a nang l\u00f4ng- tuy\u1ebfn b\u00e3.<\/p>\n<ul>\n<li><strong>Nguy\u00ean nh\u00e2n <\/strong><\/li>\n<\/ul>\n<p>Nguy\u00ean nh\u00e2n c\u1ee7a ETN hi\u1ec7n ch\u01b0a r\u00f5, c\u00f3 r\u1ea5t nhi\u1ec1u gi\u1ea3 thi\u1ebft \u0111\u01b0\u1ee3c \u0111\u01b0a ra \u0111\u1ec3 gi\u1ea3i th\u00edch r\u1ed1i lo\u1ea1n th\u01b0\u1eddng g\u1eb7p n\u00e0y:<\/p>\n<p>So v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, m\u1eadt \u0111\u1ed9 nang l\u00f4ng cao h\u01a1n \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 r\u00f5 r\u00e0ng l\u00e0 ETN r\u1ea5t hi\u1ebfm khi xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng v\u00f9ng da kh\u00f4ng c\u00f3 l\u00f4ng nh\u01b0 l\u00f2ng b\u00e0n tay ch\u00e2n. C\u00e1c t\u1ebf b\u00e0o vi\u00eam c\u00f3 khuynh h\u01b0\u1edbng t\u1eadp trung xung quanh nang l\u00f4ng v\u00e0 c\u00f3 c\u00e1c vi khu\u1ea9n t\u01b0\u01a1ng t\u1ef1 c\u1ea7u khu\u1ea9n \u1edf l\u1edbp th\u01b0\u1ee3ng b\u00ec c\u1ee7a nang l\u00f4ng v\u00e0 trong c\u00e1c t\u1ebf b\u00e0o vi\u00eam. \u0110i\u1ec1u n\u00e0y g\u1ee3i \u00fd r\u1eb1ng ETN c\u00f3 th\u1ec3 l\u00e0 \u0111\u00e1p \u1ee9ng \u0111\u1ed1i v\u1edbi s\u1ef1 x\u00e2m nh\u1eadp cu\u1ea3 c\u00e1c vi khu\u1ea9n tr\u00ean v\u00e0o nang l\u00f4ng.<\/p>\n<p>S\u1ef1 th\u00e2m nhi\u1ec5m c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u \u01b0a baz\u01a1 g\u1ee3i \u00fd v\u1ec1 m\u1eb7t d\u1ecb \u1ee9ng, d\u1eabn \u0111\u1ebfn k\u1ebft lu\u1eadn c\u1ee7a v\u00e0i t\u00e1c gi\u1ea3 cho r\u1eb1ng ETN c\u00f3 th\u1ec3 l\u00e0 ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn \u0111\u1ed1i v\u1edbi ch\u1ea5t n\u00e0o \u0111\u00f3 \u0111\u01b0\u1ee3c truy\u1ec1n qua nhau thai. Tuy nhi\u00ean, gi\u1ea3 thi\u1ebft n\u00e0y thi\u1ebfu c\u00e1c b\u1eb1ng ch\u1ee9ng c\u00f3 t\u00ednh thuy\u1ebft ph\u1ee5c.<\/p>\n<p>Kh\u00f4ng c\u00f3 ngo\u1ea1i \u0111\u1ed9c t\u1ed1, c\u00e1c y\u1ebfu t\u1ed1 d\u1ecb \u1ee9ng, c\u00e1c ch\u1ea5t th\u1ea3i t\u1eeb tuy\u1ebfn b\u00e3 ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y nhi\u1ec5m c\u00f3 li\u00ean quan \u0111\u1ebfn ETN m\u1ed9t <span style=\"line-height: 1.6em\"> c\u00e1ch \u0111\u00e1ng tin c\u1eady. <\/span><\/p>\n<p>Thu\u1ed1c &amp; c\u00e1ch nu\u00f4i d\u01b0\u1ee1ng kh\u00f4ng c\u00f3 t\u00e1c \u0111\u1ed9ng l\u00ean t\u1ec9 l\u1ec7 xu\u1ea5t hi\u1ec7n ban \u0111\u1ecf.<\/p>\n<p>Nh\u1eefng gi\u1ea3 thi\u1ebft kh\u00e1c bao g\u1ed3m: Ph\u1ea3n \u1ee9ng \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a da \u0111\u1ed1i v\u1edbi c\u00e1c k\u00edch th\u00edch nhi\u1ec7t v\u00e0 c\u01a1 h\u1ecdc ho\u1eb7c \u0111\u1ed1i v\u1edbi c\u00e1c t\u1ebf b\u00e0o lympho \u0111\u01b0\u1ee3c chuy\u1ec3n t\u1eeb m\u1eb9 sang tr\u1ebb qua nhau thai tr\u01b0\u1edbc v\u00e0 trong sinh (nh\u01b0 ph\u1ea3n \u1ee9ng \u0111\u1ed1i v\u1edbi c\u00e1c ca gh\u00e9p t\u1ee7y\u2026)<\/p>\n<p>Y\u1ebfu t\u1ed1 nguy c\u01a1 g\u1ed3m: Kh\u00ed h\u1eadu n\u00f3ng \u1ea9m, b\u00fa b\u00ecnh, \u0111\u1ebb \u0111\u01b0\u1eddng d\u01b0\u1edbi. Ng\u01b0\u1edbi ta nh\u1eadn th\u1ea5y r\u1eb1ng chuy\u1ec3n d\u1ea1 k\u00e9o d\u00e0i c\u00f3 li\u00ean quan <span style=\"line-height: 1.6em\"> \u0111\u1ebfn t\u1ea7n su\u1ea5t ETN v\u00e0 nhi\u1ec5m khu\u1ea9n da. <\/span><\/p>\n<ul>\n<li><strong>T\u1ea7n s\u1ed1 <\/strong><\/li>\n<\/ul>\n<p>ETN g\u1eb7p \u1edf 1\/3 -1\/2 tr\u1ebb \u0111\u1ee7 th\u00e1ng v\u00e0 0,5% \u1edf tr\u1ebb \u0111\u1ebb non.<\/p>\n<p>ETN th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb trai (55%) h\u01a1n tr\u1ebb g\u00e1i (30%).<\/p>\n<p>ENT thay \u0111\u1ed5i theo tu\u1ed5i: ENT th\u01b0\u1eddng x\u1ea3y ra trong v\u00f2ng 4 ng\u00e0y tu\u1ed5i, nhi\u1ec1u nh\u1ea5t trong 48 gi\u1edd \u0111\u1ea7u, hi\u1ebfm khi g\u1eb7p ngay sau <span style=\"line-height: 1.6em\"> sinh. <\/span><\/p>\n<p>T\u1ec9 l\u1ec7 m\u1eafc ETN t\u0103ng theo tu\u1ed5i thai &amp; c\u00e2n n\u1eb7ng.<\/p>\n<p>Kh\u1edfi ph\u00e1t tr\u1ec5 hi\u1ebfm khi x\u1ea3y ra \u1edf c\u1ea3 tr\u1ebb \u0111\u1ee7 th\u00e1ng v\u00e0 tr\u1ebb non th\u00e1ng cho \u0111\u1ebfn ng\u00e0y tu\u1ed5i th\u1ee9 15.<\/p>\n<ul>\n<li><strong>Ti\u1ec1n s\u1eed v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng <\/strong><\/li>\n<\/ul>\n<p>R\u00f5 r\u00e0ng l\u00e0 kh\u00f4ng li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh c\u1ee7a m\u1eb9 trong thai k\u1ef3 nh\u01b0: <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/herpes\/\" target=\"_blank\" rel=\"noopener\">Herpes simplex<\/a> \/\u00a0<a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/virus-varicella-zoster\/\" target=\"_blank\" rel=\"noopener\">Varicella<\/a> nhi\u1ec5m virus, nhi\u1ec5m khu\u1ea9n da, hay <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/nam-candida\/\" target=\"_blank\" rel=\"noopener\">nhi\u1ec5m n\u1ea5m Candida<\/a>.<\/p>\n<p>Tr\u1ebb th\u01b0\u1eddng kh\u1ecfe m\u1ea1nh v\u00e0 kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n nh\u01b0: s\u1ed1t, k\u00edch th\u00edch, li b\u00ec.<\/p>\n<p>Ban th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng ch\u1ea5m, h\u1ea1t, m\u1ee5n ph\u1ecfng, m\u1ee5n m\u1ee7 tr\u00ean n\u1ec1n da \u0111\u1ecf, tr\u00f4ng \u201ckh\u00e1 b\u1ea9n\u201d. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, xu\u1ea5t hi\u1ec7n c\u00e1c h\u1ea1t ho\u1eb7c m\u1ee5n ph\u1ecfng m\u00e0u v\u00e0ng nh\u1ea1t, tr\u1eafng tr\u00ean n\u1ec1n \u0111\u1ecf. Kho\u1ea3ng 10% b\u1ec7nh nhi c\u00f3 m\u1ee5n m\u1ee7 v\u1edbi \u0111\u01b0\u1eddng k\u00ednh 2-4 mm.<\/p>\n<p>Ban \u0111\u1ecf th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n r\u1ea3i r\u00e1c &amp; kh\u00f4ng \u0111\u1ec1u, c\u00f3 th\u1ec3 \u00edt ho\u1eb7c nhi\u1ec1u, d\u00e0y ho\u1eb7c m\u1ecfng t\u00f9y tr\u01b0\u1eddng h\u1ee3p v\u00e0 \u0111\u00f4i khi th\u00e0nh c\u1ee5m.<\/p>\n<p>Ban hay th\u1ea5y \u1edf m\u1eb7t, th\u00e2n, ph\u1ea7n chi g\u1ea7n th\u00e2n. L\u01b0u \u00fd r\u1eb1ng c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y hi\u1ebfm th\u1ea5y \u1edf l\u00f2ng b\u00e0n tay, l\u00f2ng b\u00e0n ch\u00e2n v\u00e0 ni\u00eam m\u1ea1c.<\/p>\n<p>Ban th\u01b0\u1eddng ch\u00f3ng phai, t\u1ef1 gi\u1edbi h\u1ea1n trong v\u00f2ng 5-12 ng\u00e0y v\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng<\/p>\n<p>ETN \u00edt khi t\u00e1i ph\u00e1t nh\u01b0ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 v\u1eabn x\u1ea3y ra cho \u0111\u1ebfn 6 tu\u1ea7n sau sinh nh\u01b0ng c\u00f3 v\u1ebb nh\u1eb9 h\u01a1n.<\/p>\n<ul>\n<li><strong>C\u1eadn l\u00e2m s\u00e0ng <\/strong><\/li>\n<\/ul>\n<p>ETN \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n c\u01a1 b\u1ea3n d\u1ef1a tr\u00ean l\u00e2m s\u00e0ng<\/p>\n<p>X\u00e9t nghi\u1ec7m d\u1ecbch trong c\u00e1c m\u1ee5n ph\u1ecfng \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 kh\u00e1c:<\/p>\n<p>&#8211; Tzanck Smear: \u0111\u1ec3 t\u00ecm c\u00e1c t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 \u0111a nh\u00e2n, th\u01b0\u1eddng g\u1eb7p trong <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/herpes\/\" target=\"_blank\" rel=\"noopener\">Herpes simplex<\/a>, <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/virus-varicella-zoster\/\" target=\"_blank\" rel=\"noopener\">Varicella<\/a> v\u00e0 Herpes zoster.<\/p>\n<p>&#8211; Pemphigus vulgaris, Cytomegalovirus.<\/p>\n<p>&#8211; Wright-stained smears: \u0111\u1ec3 t\u00ecm s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a Eosinophils.<\/p>\n<p>&#8211; Nhu\u1ed9m Gram: l\u00e0 thi\u1ebft y\u1ebfu \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1edbi k\u1ebft qu\u1ea3 cho th\u1ea5y s\u1ef1 hi\u1ec7n di\u1ec7n cu\u1ea3 c\u00e1c t\u1ebf b\u00e0o vi\u00eam, v\u00e0 trong \u0111\u00f3 h\u01a1n 90% b\u1ea1ch c\u1ea7u \u01b0a Baz\u01a1 &amp; v\u00e0i Neutrophils.<\/p>\n<p>&#8211; C\u00f4ng th\u1ee9c b\u1ea1ch c\u1ea7u: cho th\u1ea5y c\u00f3 s\u1ef1 t\u0103ng c\u1ee7a b\u1ea1ch c\u1ea7u \u01b0a Baz\u01a1 (18%) \u1edf kho\u1ea3ng 15% b\u1ec7nh nh\u00e2n.<\/p>\n<p>&#8211; C\u00e1c x\u00e9t nghi\u1ec7m sau c\u00f3 th\u1ec3 n\u00ean th\u1ef1c hi\u1ec7n: C\u1ea5y virus, vi khu\u1ea9n, n\u1ea5m \u0111\u1ec3 lo\u1ea1i tr\u1eeb <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/herpes\/\" target=\"_blank\" rel=\"noopener\">HSV<\/a>\u00a0(Herpes simplex virus), <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/virus-varicella-zoster\/\" target=\"_blank\" rel=\"noopener\">Varicella<\/a>, vi khu\u1ea9n g\u00e2y b\u1ec7nh &amp; n\u1ea5m.<\/p>\n<p>&#8211; Soi t\u00ecm s\u1ee3i n\u1ea5m v\u1edbi KOH: b\u1ec7nh ph\u1ea9m \u0111\u01b0\u1ee3c ph\u1ee7 b\u1edfi KOH tr\u00ean phi\u1ebfn k\u00ednh &amp; h\u01a1 n\u00f3ng nh\u1eb9, KOH s\u1ebd l\u00e0m h\u1ee7y c\u00e1c t\u1ebf b\u00e0o &amp; vi khu\u1ea9n kh\u00e1c, v\u00ec v\u1eady s\u1ee3i n\u1ea5m, n\u1ebfu c\u00f3, s\u1ebd d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y.<\/p>\n<p>&#8211; Sinh thi\u1ebft: l\u00e0 ch\u1ea9n \u0111o\u00e1n ch\u1eafc nh\u1ea5t nh\u01b0ng th\u1ef1c s\u1ef1 kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n<ul>\n<li><strong>Ch\u1ea9n \u0111o\u00e1n gi\u00e1n bi\u1ec7t <\/strong><\/li>\n<\/ul>\n<p>T\u1ed5n th\u01b0\u01a1ng c\u1ee7a ETN tr\u00f4ng t\u01b0\u01a1ng t\u1ef1 vi\u00eam da m\u1ee7, n\u1ea5m, <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/the\/herpes\/\" target=\"_blank\" rel=\"noopener\">Herpes simplex<\/a>, Transient neonatal pustular melanosis v\u00e0 miliaria nh\u01b0ng c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t nh\u1edd s\u1ef1 th\u00e2m nhi\u1ec5m \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ea1ch c\u1ea7u \u01b0a Baz\u01a1 v\u00e0 s\u1ef1 v\u1eafng m\u1eb7t c\u1ee7a t\u1ebf b\u00e0o \u0111a nh\u00e2n c\u0169ng nh\u01b0 vi khu\u1ea9n tr\u00ean k\u1ebft qu\u1ea3 nhu\u1ed9m.<\/p>\n<p>Incontinentia pigmenti v\u00e0 vi\u00eam m\u1ee7 nang l\u00f4ng c\u00f3 th\u00e2m nhi\u1ec5m b\u1ea1ch c\u1ea7u \u01b0a Baz\u01a1 \u0111\u1ec1u c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a Eosinophil nh\u01b0ng c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t b\u1edfi v\u1ecb tr\u00ed &amp; s\u1ef1 ph\u00e2n b\u1ed1 c\u00e1c th\u01b0\u01a1ng t\u1ed5n, h\u00ecnh th\u00e1i t\u1ebf b\u00e0o h\u1ecdc &amp; hai b\u1ec7nh n\u00e0y c\u00f2n l\u00e0 b\u1ec7nh m\u1ea1n t\u00ednh.<\/p>\n<ul>\n<li><strong>\u0110i\u1ec1u tr\u1ecb <\/strong><\/li>\n<\/ul>\n<p>Ch\u1ea9n \u0111o\u00e1n n\u00ean d\u1ef1a v\u00e0o ti\u1ec1n-b\u1ec7nh s\u1eed, tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng &amp; th\u01b0\u1eddng \u1edf tr\u1ebb s\u01a1 sinh kh\u1ecfe m\u1ea1nh. X\u00e9t nghi\u1ec7m Tzanck smear l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 lo\u1ea1i tr\u1eeb v\u1edbi c\u00e1c b\u1ec7nh nguy hi\u1ec3m kh\u00e1c.<\/p>\n<p>ETN l\u00e0 b\u1ec7nh l\u00e0nh t\u00ednh t\u1ef1 gi\u1edbi h\u1ea1n m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb g\u00ec.<\/p>\n<p>Gi\u1ea3i th\u00edch cho ba m\u1eb9 tr\u1ebb y\u00ean l\u00f2ng \u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng tho\u00e1ng qua, t\u1ef1 nhi\u00ean &amp; l\u00e0nh t\u00ednh.<\/p>\n<p><em><strong>Ngu\u1ed3n: SDVworkshop. net d\u1ecbch t\u1eeb Nelson <\/strong> <\/em><\/p>\n<p><strong><span style=\"color: #006400\">Sau khi \u0111\u1ecdc t\u1ea5t c\u1ea3 c\u00e1c c\u00e2u h\u1ecfi v\u00e0 t\u00e0i li\u1ec7u m\u00e0 ch\u00fang t\u00f4i \u0111\u00e3 cung c\u1ea5p, n\u1ebfu b\u1ea1n v\u1eabn ch\u01b0a gi\u1ea3i \u0111\u00e1p \u0111\u01b0\u1ee3c th\u1eafc m\u1eafc c\u1ee7a m\u00ecnh vui l\u00f2ng \u0111\u1eb7t c\u00e2u h\u1ecfi t\u1ea1i <\/span> <\/strong> <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"https:\/\/www.facebook.com\/groups\/nhikhoa.yhcd\/?fref=ts\" target=\"_blank\" rel=\"noopener\"> Group Nhi khoa Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng <\/a><\/span> <strong> <span style=\"color: #006400\"> \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n.<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ec3 kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n m\u1ed9t b\u1ec7nh da, b\u00e1c s\u0129 c\u1ea7n kh\u00e1m t\u1ed5ng qu\u00e1t t\u1eeb \u0111\u1ea7u \u0111\u1ebfn ch\u00e2n, kh\u00f4ng th\u1ec3 cho ch\u1ea9n v\u1edbi m\u1ed9t t\u1ea5m h\u00ecnh, v\u00ec s\u1ebd c\u00f3 nhi\u1ec1u thi\u1ebfu s\u00f3t.<\/p>\n","protected":false},"author":142,"featured_media":10998,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5748,5148,5151],"tags":[4780,5869,5870,5032,5810,5871],"series":[5751],"coauthors":[2102],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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