{"id":6290,"date":"2018-07-31T10:27:16","date_gmt":"2018-07-31T03:27:16","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/31\/may-day\/"},"modified":"2024-03-17T04:33:54","modified_gmt":"2024-03-16T21:33:54","slug":"may-day","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/may-day\/","title":{"rendered":"M\u00e0y \u0111ay"},"content":{"rendered":"<p>M\u00e0y \u0111ay (hay c\u00f2n g\u1ecdi l\u00e0 m\u1ec1 \u0111ay) l\u00e0 t\u00ecnh tr\u1ea1ng da n\u1ed5i nh\u1eefng m\u1ea3ng h\u1ed3ng ban m\u00e0u \u0111\u1ecf, ng\u1ee9a do s\u1ef1 s\u01b0ng ph\u1ed3ng b\u1ec1 m\u1eb7t n\u00f4ng c\u1ee7a da. V\u1ecb tr\u00ed n\u1ed5i c\u00f3 th\u1ec3 khu tr\u00fa ho\u1eb7c lan t\u1ecfa. C\u00f2n ph\u00f9 m\u1ea1ch th\u00ec l\u1ea1i x\u1ea3y ra \u1edf ph\u1ea7n m\u00f4 t\u1ebf b\u00e0o s\u00e2u h\u01a1n b\u00ean d\u01b0\u1edbi: l\u1edbp b\u00ec d\u01b0\u1edbi v\u00e0 h\u1ea1 b\u00ec, l\u00e0m cho m\u00f4 t\u1ebf b\u00e0o s\u01b0ng ph\u1ed3ng l\u00ean.<\/p>\n<h2>Bi\u1ec3u hi\u1ec7n c\u1ee7a m\u00e0y \u0111ay<\/h2>\n<p>Sang th\u01b0\u01a1ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a m\u00e0y \u0111ay l\u00e0 nh\u1eefng <strong>s\u1ea9n<\/strong> ho\u1eb7c <strong>m\u1ea3ng h\u1ed3ng ban ph\u00f9 n\u1ec1<\/strong>, <strong>ng\u1ee9a<\/strong> tr\u00ean b\u1ec1 m\u1eb7t da, gi\u1edbi h\u1ea1n t\u01b0\u01a1ng \u0111\u1ed1i r\u00f5 b\u1edfi vi\u1ec1n \u0111\u1ecf. K\u00edch th\u01b0\u1edbc sang th\u01b0\u01a1ng thay \u0111\u1ed5i theo h\u00ecnh d\u1ea1ng v\u00e0 k\u00edch c\u1ee1 v\u00e0 c\u00f3 th\u1ec3 k\u00e8m theo t\u00ecnh tr\u1ea1ng s\u01b0ng n\u1ec1 \u1edf nh\u1eefng v\u1ecb tr\u00ed m\u00f4 m\u1ec1m nh\u01b0: m\u00ed m\u1eaft, m\u00f4i v\u00e0 l\u01b0\u1ee1i (ph\u00f9 m\u1ea1ch).<\/p>\n<p>Bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng tho\u00e1ng qua, c\u00f3 th\u1ec3 t\u1ef1 bi\u1ebfn m\u1ea5t sau v\u00e0i ph\u00fat \u0111\u1ebfn v\u00e0i gi\u1edd. Tuy v\u1eady c\u0169ng n\u00ean d\u1ef1 \u0111o\u00e1n s\u1ef1 bi\u1ebfn m\u1ea5t c\u1ee7a n\u00f3 trong bao l\u00e2u \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed th\u00edch h\u1ee3p. N\u1ebfu kh\u00f4ng ch\u1eafc v\u1ec1 th\u1eddi gian t\u1ed3n t\u1ea1i c\u1ee7a m\u1ed7i sang th\u01b0\u01a1ng, c\u00f3 th\u1ec3 v\u1ebd m\u1ed9t \u0111\u01b0\u1eddng ranh gi\u1edbi \u1edf m\u1ed9t sang th\u01b0\u01a1ng v\u00e0 theo d\u00f5i s\u1ef1 bi\u1ebfn \u0111\u1ed5i c\u1ee7a n\u00f3 \u0111\u1ebfn ng\u00e0y h\u00f4m sau. N\u00ean bi\u1ebft r\u1eb1ng c\u00e1c s\u1ea9n ng\u1ee9a \u0111\u01a1n l\u1ebb c\u0169ng c\u00f3 th\u1ec3 h\u1ee3p l\u1ea1i \u0111\u1ec3 t\u1ea1o th\u00e0nh m\u1ea3ng sang th\u01b0\u01a1ng l\u1edbn h\u01a1n.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-15260 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2018\/03\/Hinh-anh-may-day.jpg\" alt=\"H\u00ecnh \u1ea3nh m\u00e0y \u0111ay\" width=\"320\" height=\"240\" \/><\/p>\n<p>Theo m\u1ee9c \u0111\u1ed9 di\u1ec5n ti\u1ebfn, m\u00e0y \u0111ay c\u00f3 th\u1ec3 chia l\u00e0m 2 nh\u00f3m:<\/p>\n<ul>\n<li>M\u00e0y \u0111ay c\u1ea5p t\u00ednh: c\u00e1c bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng da xu\u1ea5t hi\u1ec7n nhanh v\u00e0 c\u0169ng bi\u1ebfn m\u1ea5t nhanh ch\u00f3ng trong v\u00f2ng 48 gi\u1edd.<\/li>\n<li>M\u00e0y \u0111ay m\u1ea1n t\u00ednh: s\u1ea9n\/ m\u1ea3ng h\u1ed3ng ban t\u1ed3n t\u1ea1i l\u00e2u h\u01a1n 6 tu\u1ea7n.<\/li>\n<\/ul>\n<h2>D\u1ecbch t\u1ec5 c\u1ee7a m\u00e0y \u0111ay<\/h2>\n<p>X\u1ea5p x\u1ec9 15% d\u00e2n s\u1ed1 t\u1eebng b\u1ecb n\u1ed5i m\u00e0y \u0111ay \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n trong \u0111\u1eddi. M\u00e0y \u0111ay c\u1ea5p t\u00ednh th\u01b0\u1eddng ph\u1ed5 bi\u1ebfn h\u01a1n l\u00e0 m\u00e0y \u0111ay m\u1ea1n t\u00ednh. \u01af\u1edbc t\u00ednh t\u1ea7n su\u1ea5t c\u1ee7a m\u00e0y \u0111ay c\u1ea5p t\u00ednh l\u00e0 1 tr\u00ean 6 ng\u01b0\u1eddi so v\u1edbi m\u1ea1n t\u00ednh l\u00e0 1 tr\u00ean 1.000 ng\u01b0\u1eddi. T\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh m\u00e0y \u0111ay m\u1ea1n t\u00ednh \u01b0\u1edbc t\u00ednh kho\u1ea3ng 1-5 ng\u01b0\u1eddi tr\u00ean d\u00e2n s\u1ed1 1.000 ng\u01b0\u1eddi. M\u00e0y \u0111ay c\u1ea5p t\u00ednh th\u01b0\u1eddng g\u1eb7p ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em v\u00e0 ph\u1ee5 n\u1eef \u0111\u1ed9 tu\u1ed5i t\u1eeb 30 \u0111\u1ebfn 60 tu\u1ed5i. B\u1ec7nh n\u00e0y th\u01b0\u1eddng \u0111i k\u00e8m theo v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 <strong>c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng<\/strong>.<\/p>\n<h2>Nguy\u00ean nh\u00e2n g\u00e2y m\u00e0y \u0111ay<\/h2>\n<p>S\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a m\u1ea3ng h\u1ed3ng ban n\u1ed5i tr\u00ean b\u1ec1 m\u1eb7t da \u0111\u01b0\u1ee3c cho l\u00e0 do s\u1ef1 t\u0103ng t\u00ednh nh\u1ea1y c\u1ea3m c\u1ee7a t\u01b0\u01a1ng b\u00e0o (t\u1ebf b\u00e0o mast) g\u00e2y ph\u00f3ng th\u00edch histamine v\u00e0 c\u00e1c ch\u1ea5t trung gian kh\u00e1c. C\u00e1c h\u00f3a ch\u1ea5t trung gian n\u00e0y g\u00e2y ra t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch v\u00e0 l\u00e0m s\u01b0ng n\u1ec1 m\u00f4 da, v\u00e0 t\u00ecnh tr\u1ea1ng d\u00e3n m\u1ea1ch l\u00e0m da tr\u1edf n\u00ean \u0111\u1ecf. Nguy\u00ean nh\u00e2n g\u00e2y n\u00ean ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u00e0y th\u01b0\u1eddng do m\u1ed9t y\u1ebfu t\u1ed1 k\u00edch g\u1ee3i n\u00e0o \u0111\u00f3 nh\u01b0 <strong>th\u1ee9c \u0103n<\/strong> ho\u1eb7c <strong>thu\u1ed1c<\/strong>, nh\u01b0ng c\u0169ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng t\u00ecm ra nguy\u00ean nh\u00e2n, nh\u1ea5t l\u00e0 \u1edf m\u00e0y \u0111ay m\u1ea1n t\u00ednh. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra do ph\u1ea3n \u1ee9ng t\u1ef1 mi\u1ec5n, nh\u01b0 trong tr\u01b0\u1eddng h\u1ee3p m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd nh\u01b0 lupus, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/viem-khop-dang-thap\/\" target=\"_blank\" rel=\"noopener\">vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cuong-giap\/\" target=\"_blank\" rel=\"noopener\">c\u01b0\u1eddng gi\u00e1p<\/a>\/ suy gi\u00e1p,\u2026<\/p>\n<h2>Ph\u00e2n lo\u1ea1i m\u00e0y \u0111ay<\/h2>\n<p>C\u00f3 nhi\u1ec1u c\u00e1ch ph\u00e2n lo\u1ea1i kh\u00e1c nhau tuy nhi\u00ean ph\u00e2n lo\u1ea1i ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 d\u1ef1a tr\u00ean th\u1eddi gian bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh v\u1edbi m\u1ed1c th\u1eddi gian l\u00e0 6 tu\u1ea7n.<\/p>\n<h3>M\u00e0y \u0111ay c\u1ea5p t\u00ednh: di\u1ec5n ti\u1ebfn b\u1ec7nh ng\u1eafn h\u01a1n 6 tu\u1ea7n.<\/h3>\n<p>M\u00e0y \u0111ay c\u1ea5p t\u00ednh th\u01b0\u1eddng l\u00e0 c\u00f3 nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh trong m\u1ed9t n\u1eeda s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. C\u00e1c t\u00e1c nh\u00e2n k\u00edch g\u1ee3i b\u1ec7nh c\u00f3 th\u1ec3 g\u1ed3m:<\/p>\n<ul>\n<li>T\u00e1c nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng: th\u1ee9c \u0103n, c\u00f4n tr\u00f9ng c\u1eafn, thu\u1ed1c.<\/li>\n<li>Nhi\u1ec5m virus (si\u00eau vi).<\/li>\n<li>Ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t, ch\u1ea5t k\u00edch th\u00edch, latex (g\u0103ng tay cao su),\u2026<\/li>\n<li>K\u00edch th\u00edch v\u1eadt l\u00fd: g\u00e3i ho\u1eb7c ch\u00e0 x\u00e1t, t\u00ec \u0111\u00e8, ti\u1ebfp x\u00fac v\u1eadt l\u1ea1nh ho\u1eb7c n\u00f3ng.<\/li>\n<\/ul>\n<h3>M\u00e0y \u0111ay m\u1ea1n t\u00ednh: di\u1ec5n ti\u1ebfn b\u1ec7nh k\u00e9o d\u00e0i h\u01a1n 6 tu\u1ea7n.<\/h3>\n<p>C\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i th\u00e0nh nh\u1eefng nh\u00f3m nh\u1ecf h\u01a1n g\u1ed3m:<\/p>\n<ul>\n<li>M\u00e0y \u0111ay m\u1ea1n t\u00ednh t\u1ef1 ph\u00e1t. Tr\u01b0\u1edbc \u0111\u00e2y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u00e0y \u0111ay v\u00f4 c\u0103n, nh\u01b0ng v\u1ec1 sau ng\u01b0\u1eddi ta th\u1ea5y n\u00f3 th\u01b0\u1eddng li\u00ean quan t\u1edbi m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 k\u00edch g\u1ee3i nh\u01b0 thu\u1ed1c, c\u0103ng th\u1eb3ng v\u00e0 nhi\u1ec5m tr\u00f9ng.<\/li>\n<li>M\u00e0y \u0111ay do b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n (theo h\u01b0\u1edbng d\u1eabn c\u1ee7a Ch\u00e2u \u00c2u th\u00ec v\u1eabn x\u1ebfp v\u00e0o nh\u00f3m m\u00e0y \u0111ay m\u1ea1n t\u00ednh t\u1ef1 ph\u00e1t). B\u1ec7nh n\u00e0y th\u01b0\u1eddng chi\u1ebfm m\u1ed9t n\u1eeda s\u1ed1 tr\u01b0\u1eddng h\u1ee3p m\u00e0y \u0111ay m\u1ea1n t\u00ednh \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh v\u00e0 tr\u1ebb l\u1edbn. Li\u00ean quan v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n kh\u00e1c.<\/li>\n<li>M\u00e0y \u0111ay m\u1ea1n t\u00ednh c\u1ea3m \u1ee9ng. Do c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y kh\u1edfi ph\u00e1t c\u1ee5 th\u1ec3:\n<ul>\n<li>Ti\u1ebfp x\u00fac v\u1edbi n\u01b0\u1edbc l\u1ea1nh ho\u1eb7c n\u00f3ng (aquagenic)<\/li>\n<li>Do v\u1eadn \u0111\u1ed9ng m\u1ea1nh ho\u1eb7c c\u1ea3m x\u00fac m\u1ea1nh (cholinergic)<\/li>\n<li>Do ti\u1ebfp x\u00fac v\u1edbi v\u1eadt l\u1ea1nh ho\u1eb7c n\u00f3ng<\/li>\n<li>Do c\u00e0o g\u00e3i, ch\u1ea5n th\u01b0\u01a1ng<\/li>\n<li>Do \u00e1p l\u1ef1c (xu\u1ea5t hi\u1ec7n mu\u1ed9n)<\/li>\n<li>Do rung l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n<\/li>\n<li>Do ti\u1ebfp x\u00fac \u00e1nh n\u1eafng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a Anh, c\u00e1c b\u00e1c s\u0129 ph\u00e2n bi\u1ec7t m\u00e0y \u0111ay m\u1ea1n t\u00ednh v\u00e0 ph\u00f9 m\u1ea1ch; v\u00e0 t\u00e1ch ri\u00eang ph\u00f9 m\u1ea1ch kh\u00f4ng c\u00f3 n\u1ed5i m\u00e0y \u0111ay l\u00e0 nh\u00f3m vi\u00eam m\u1ea1ch m\u00e0y \u0111ay ri\u00eang. Vi\u00eam m\u1ea1ch m\u00e0y \u0111ay l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1ch m\u00e1u c\u1ee7a da v\u1edbi bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf h\u01a1n l\u00e0 ph\u00f9 n\u1ec1. Th\u01b0\u1eddng x\u1ea3y ra do nhi\u1ec5m khu\u1ea9n (vi\u00eam gan si\u00eau vi B\/C, li\u00ean c\u1ea7u khu\u1ea9n), thu\u1ed1c \u0111i\u1ec1u tr\u1ecb (penicillin, fluoxetine, thiazides, allopurinol, quinolone ho\u1eb7c carbamazepine), b\u1ec7nh t\u1ef1 mi\u1ec5n, \u0111a u t\u1ee7y v\u00e0 b\u00eanh ung th\u01b0.<\/p>\n<h2>Ph\u00e2n bi\u1ec7t v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c<\/h2>\n<ul>\n<li>H\u1ed3ng ban \u0111a d\u1ea1ng (Erythema multiforme)<\/li>\n<li>Vi\u00eam da d\u1ea1ng herpes (Dermatitis herpetiformis)<\/li>\n<li>Pemphigoid<\/li>\n<li>Vi\u00eam qu\u1ea7ng (Erysipelas)<\/li>\n<li>M\u00e0y \u0111ay s\u1eafc t\u1ed1 (Urticaria pigmentosa)<\/li>\n<li>Ng\u1ee9a m\u1ea1n t\u00ednh (Chronic pruritus)<\/li>\n<li>Ph\u00e1t ban \u0111a d\u1ea1ng \u1edf ph\u1ee5 n\u1eef c\u00f3 thai (Polymorphic eruption of pregnancy)<\/li>\n<li>Vi\u00eam m\u1ea1ch m\u00e0y \u0111ay (Urticarial vasculitis, \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean)<\/li>\n<\/ul>\n<h2>Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n th\u01b0\u1eddng ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 b\u1ec7nh s\u1eed &#8211; nh\u1ea5t l\u00e0 \u1edf m\u00e0y \u0111ay c\u1ea5p t\u00ednh &#8211; v\u00e0 kh\u00f4ng c\u1ea7n l\u00e0m th\u00eam x\u00e9t nghi\u1ec7m g\u00ec. \u0110\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p bi\u1ec3u hi\u1ec7n r\u00f5 v\u00e0 sang th\u01b0\u01a1ng ch\u1ec9 t\u1ed3n t\u1ea1i v\u00e0i gi\u1edd. M\u1ed9t b\u1ec7nh s\u1eed chi ti\u1ebft c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ra m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 k\u00edch g\u1ee3i.<\/p>\n<p>\u0110\u1ed1i v\u1edbi m\u1ec1 \u0111ay m\u1ea1n t\u00ednh ho\u1eb7c t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n c\u1ea7n ph\u1ea3i l\u00e0m th\u00eam x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u0129 h\u01a1n t\u00f9y theo b\u1ec7nh s\u1eed khai th\u00e1c tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m bao g\u1ed3m:<\/p>\n<ul>\n<li>C\u00f4ng th\u1ee9c m\u00e1u.<\/li>\n<li>\u0110o t\u1ed1c \u0111\u1ed9 l\u1eafng m\u00e1u (ESR) ho\u1eb7c CRP.<\/li>\n<li>Test v\u1eadt l\u00fd: test k\u00edch th\u00edch l\u1ea1nh (\u0111\u1eb7t c\u1ee5c n\u01b0\u1edbc \u0111\u00e1), test k\u00edch th\u00edch n\u00f3ng (\u00e1p n\u01b0\u1edbc \u1ea5m), test \u00e1p l\u1ef1c, test \u00e1nh s\u00e1ng tia c\u1ef1c t\u00edm (UV), test k\u00edch th\u00edch b\u1eb1ng v\u1eadn \u0111\u1ed9ng m\u1ea1nh hay t\u1eafm b\u1ed3n n\u01b0\u1edbc \u1ea5m \u0111\u1ed1i v\u1edbi m\u00e0y \u0111ay th\u1ea7n kinh (cholinergic urticaria).<\/li>\n<li>Test d\u1ea5u v\u1ebd n\u1ed5i.<\/li>\n<li>Test \u00e1p da ho\u1eb7c test l\u1ea9y da \u0111\u1ed1i v\u1edbi m\u00e0y \u0111ay ti\u1ebfp x\u00fac.<\/li>\n<li>Test huy\u1ebft thanh t\u00ecm kh\u00e1ng th\u1ec3 IgE v\u1edbi m\u1ed9t s\u1ed1 t\u00e1c nh\u00e2n d\u1ecb \u1ee9ng c\u1ee5 th\u1ec3.<\/li>\n<li>X\u00e9t nghi\u1ec7m t\u1ef1 kh\u00e1ng th\u1ec3 kh\u00e1ng tuy\u1ebfn gi\u00e1p n\u1ebfu nghi ng\u1edd c\u01a1 ch\u1ebf t\u1ef1 mi\u1ec5n.<\/li>\n<li>Lo\u1ea1i tr\u1eeb m\u1ed9t s\u1ed1 thu\u1ed1c ho\u1eb7c th\u1ef1c ph\u1ea9m n\u1ebfu nghi ng\u1edd.<\/li>\n<li>X\u00e9t nghi\u1ec7m m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd nhi\u1ec5m khu\u1ea9n\/ k\u00fd sinh tr\u00f9ng.<\/li>\n<li>Sinh thi\u1ebft da (m\u00e0y \u0111ay vi\u00eam m\u1ea1ch).<\/li>\n<\/ul>\n<h2>\u0110i\u1ec1u tr\u1ecb<\/h2>\n<p>N\u1ebfu x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n th\u00ec c\u00e1c b\u00e1c s\u0129 s\u1ebd \u0111i\u1ec1u tr\u1ecb theo nguy\u00ean nh\u00e2n. \u0110\u1ed1i v\u1edbi c\u00e1c t\u00e1c nh\u00e2n k\u00edch th\u00edch kh\u00f4ng \u0111\u1eb7c hi\u1ec7u th\u00ec n\u00ean tr\u00e1nh, nh\u01b0 tr\u00e1nh n\u00f3ng, stress, r\u01b0\u1ee3u, caffeine v\u00e0 thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y d\u1ecb \u1ee9ng (nh\u01b0 thu\u1ed1c kh\u00e1ng vi\u00eam h\u1ecd NSAID, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n). Thu\u1ed1c thoa gi\u1ea3m ng\u1ee9a nh\u01b0 calamine lotion ho\u1eb7c menthol 1% cream c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/yhoccongdong.com\/du-an-khac\/chude\/thuoc-khang-histamin\/\" target=\"_blank\" rel=\"noopener\">kh\u00e1ng histamine<\/a> H1 kh\u00f4ng an th\u1ea7n l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec. M\u1ed9t s\u1ed1 thu\u1ed1c n\u00e0y g\u1ed3m <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cetirizin-hydroclorid-thuoc-khang-histamin\/\" target=\"_blank\" rel=\"noopener\">cetirizine<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/loratadin-thuoc-khang-histamin\/\" target=\"_blank\" rel=\"noopener\">loratadine<\/a> v\u00e0 fexofenadine. Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 so s\u00e1nh hi\u1ec7u qu\u1ea3 gi\u1eefa c\u00e1c thu\u1ed1c kh\u00e1ng histamine v\u1edbi nhau nh\u01b0ng cho \u0111\u1ebfn nay v\u1eabn ch\u01b0a c\u00f3 thu\u1ed1c n\u00e0o ch\u1ee9ng t\u1ecf hi\u1ec7u qu\u1ea3 \u01b0u vi\u1ec7t h\u01a1n so v\u1edbi c\u00e1c lo\u1ea1i kh\u00e1c trong m\u00e0y \u0111ay m\u1ea1n t\u00ednh nguy\u00ean ph\u00e1t. M\u1ed9t khi tri\u1ec7u ch\u1ee9ng \u0111\u00e3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, thu\u1ed1c kh\u00e1ng histamine n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c d\u00f9ng th\u00eam trong 3-6 th\u00e1ng n\u1eefa.<\/p>\n<p>Khi kh\u1edfi \u0111\u1ea7u li\u1ec1u chu\u1ea9n thu\u1ed1c kh\u00e1ng H1 m\u00e0 ch\u01b0a hi\u1ec7u qu\u1ea3, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb n\u00e2ng li\u1ec1u l\u00ean g\u1ea5p 4 l\u1ea7n so v\u1edbi tr\u01b0\u1edbc \u0111\u00e2y ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng histamine kh\u00e1c. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng H1 c\u00f3 t\u00ednh an th\u1ea7n nh\u01b0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/clorphenamin-clorpheniramin-thuoc-khang-histamin\/\" target=\"_blank\" rel=\"noopener\">chlorpheniramine<\/a> c\u00f3 th\u1ec3 c\u00f3 \u00edch n\u1ebfu t\u00ecnh tr\u1ea1ng ng\u1ee9a \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gi\u1ea5c ng\u1ee7. N\u00ean tr\u00e1nh d\u00f9ng hydroxyzine n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 QT d\u00e0i ho\u1eb7c nguy c\u01a1 QT d\u00e0i tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG).<\/p>\n<p>Thu\u1ed1c kh\u00e1ng histamine n\u00ean \u0111\u01b0\u1ee3c <strong>tr\u00e1nh s\u1eed d\u1ee5ng t\u1ed1i \u0111a tr\u00ean nh\u1eefng ph\u1ee5 n\u1eef mang thai<\/strong> v\u00ec ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u h\u1ec7 th\u1ed1ng n\u00e0o v\u1ec1 s\u1ef1 an to\u00e0n c\u1ee7a c\u00e1c thu\u1ed1c kh\u00e1ng histamine trong thai k\u1ef3. Chlorpheniramine th\u01b0\u1eddng s\u1eed d\u1ee5ng trong t\u00ecnh hu\u1ed1ng n\u00e0y do t\u00ednh ch\u1ea5t l\u1ecbch s\u1eed c\u1ee7a n\u00f3. H\u00e3y th\u1ea3o lu\u1eadn v\u1edbi c\u00e1c b\u00e1c s\u0129 v\u1ec1 l\u1ee3i \u00edch l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 nguy c\u01a1 c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i khi d\u00f9ng thu\u1ed1c. Loratadine ho\u1eb7c cetirizine hay \u0111\u01b0\u1ee3c d\u00f9ng \u1edf ph\u1ee5 n\u1eef cho con b\u00fa.<\/p>\n<p>Khi m\u00e0y \u0111ay c\u1ea5p, n\u1eb7ng c\u00f3 th\u1ec3 d\u00f9ng corticoid u\u1ed1ng ng\u1eafn h\u1ea1n \u2013 v\u00ed d\u1ee5 prednisolone 40mg m\u1ed7i ng\u00e0y trong 7 ng\u00e0y.<\/p>\n<p>L\u1ef1a ch\u1ecdn th\u1ee9 2 cho b\u1ec7nh m\u00e0y \u0111ay m\u1ea1n t\u00ednh tr\u01a1\/kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u bao g\u1ed3m:<\/p>\n<ul>\n<li>Thu\u1ed1c kh\u00e1ng leukotriene: Montelukast. C\u00f3 th\u1ec3 gi\u00fap \u00edch trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, tuy nhi\u00ean n\u00f3 c\u00f3 \u00edt b\u1eb1ng ch\u1ee9ng v\u1ec1 hi\u1ec7u qu\u1ea3 khi s\u1eed d\u1ee5ng \u0111\u01a1n \u0111\u1ed9c.<\/li>\n<li>Thu\u1ed1c kh\u00e1ng kh\u00e1ng th\u1ec3 IgE: Omalizumab. Hi\u1ec7u qu\u1ea3 tr\u00ean 80% nh\u01b0ng c\u1ea7n ti\u00eam h\u00e0ng th\u00e1ng v\u00e0 b\u1ec7nh th\u01b0\u1eddng tr\u1edf l\u1ea1i khi ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch: Cyclosporin. C\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng trong m\u00e0y \u0111ay m\u1ea1n t\u00ednh kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<h2>Khi n\u00e0o n\u00ean \u0111i kh\u00e1m chuy\u00ean khoa<\/h2>\n<ul>\n<li>Khi tri\u1ec7u ch\u1ee9ng kh\u00f4ng ki\u1ec3m so\u00e1t t\u1ed1t \u0111\u01b0\u1ee3c.<\/li>\n<li>N\u1ebfu ph\u1ea3i d\u00f9ng thu\u1ed1c kh\u00e1ng histamine li\u00ean t\u1ee5c \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh tr\u00ean 6 tu\u1ea7n.<\/li>\n<li>N\u1ebfu m\u00e0y \u0111ay g\u00e2y \u0111au v\u00e0 dai d\u1eb3ng, g\u1ee3i \u00fd m\u00e0y \u0111ay vi\u00eam m\u1ea1ch v\u00e0 n\u00ean chuy\u1ec3n kh\u00e1m chuy\u00ean khoa \u0111\u1ec3 sinh thi\u1ebft ch\u1ea9n \u0111o\u00e1n.<\/li>\n<li>Nh\u1eadp c\u1ea5p c\u1ee9u n\u1ebfu m\u00e0y \u0111ay c\u1ea5p kh\u1edfi ph\u00e1t nhanh ch\u00f3ng k\u00e8m ph\u00f9 m\u1ea1ch hay s\u1ed1c ph\u1ea3n v\u1ec7.<\/li>\n<\/ul>\n<h2>Ti\u00ean l\u01b0\u1ee3ng<\/h2>\n<p>H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u00e0y \u0111ay t\u1ef1 kh\u1ecfi sau 6 th\u00e1ng nh\u01b0ng m\u1ed9t s\u1ed1 \u00edt c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u n\u0103m. M\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 h\u1ebft v\u00e0 t\u00e1i ph\u00e1t tr\u1edf l\u1ea1i. H\u01a1n 50% c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u00e0y \u0111ay m\u1ea1n t\u00ednh c\u1ea3i thi\u1ec7n trong v\u00f2ng 3-5 n\u0103m. \u00cdt nh\u1ea5t 20% m\u00e0y \u0111ay m\u1ea1n t\u00ednh c\u1ea7n ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng trong 10 n\u0103m sau khi kh\u1edfi ph\u00e1t b\u1ec7nh l\u1ea7n \u0111\u1ea7u ti\u00ean. C\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn vi\u1ec7c k\u00e9o d\u00e0i t\u00ecnh tr\u1ea1ng b\u1ec7nh bao g\u1ed3m bi\u1ec3u hi\u1ec7n n\u1eb7ng, li\u00ean quan v\u1edbi ph\u00f9 m\u1ea1ch v\u00e0 c\u00f3 kh\u00e1ng th\u1ec3 kh\u00e1ng tuy\u1ebfn gi\u00e1p d\u01b0\u01a1ng t\u00ednh.<\/p>\n<p>C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a m\u00e0y \u0111ay m\u1ea1n t\u00ednh bao g\u1ed3m m\u1ea5t ng\u1ee7, tr\u1ea7m c\u1ea3m v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. Ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 c\u00f3 th\u1ec3 x\u1ea3y ra li\u00ean quan v\u1edbi m\u00e0y \u0111ay c\u1ea5p.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>Urticaria, Dr Mary Harding, 30 Dec 2016.<\/li>\n<li><a href=\"https:\/\/patient.info\/doctor\/urticaria-pro\" target=\"_blank\" rel=\"noopener\">https:\/\/patient.info\/doctor\/urticaria-pro<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>M\u00e0y \u0111ay (hay m\u1ec1 \u0111ay) l\u00e0 t\u00ecnh tr\u1ea1ng da n\u1ed5i nh\u1eefng m\u1ea3ng h\u1ed3ng ban m\u00e0u \u0111\u1ecf, ng\u1ee9a do s\u1ef1 s\u01b0ng ph\u1ed3ng b\u1ec1 m\u1eb7t n\u00f4ng c\u1ee7a da. \u0110i\u1ec1u tr\u1ecb m\u00e0y \u0111ay nh\u01b0 th\u1ebf n\u00e0o?<\/p>\n","protected":false},"author":100,"featured_media":6291,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4712,5205,5164,5148,5204],"tags":[4714,4715,4716,4629,4713],"series":[1333],"coauthors":[2368],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>M\u00e0y \u0111ay - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"M\u00e0y \u0111ay (hay m\u1ec1 \u0111ay) l\u00e0 t\u00ecnh tr\u1ea1ng da n\u1ed5i nh\u1eefng m\u1ea3ng h\u1ed3ng ban m\u00e0u \u0111\u1ecf, ng\u1ee9a do s\u1ef1 s\u01b0ng ph\u1ed3ng b\u1ec1 m\u1eb7t n\u00f4ng c\u1ee7a da. \u0110i\u1ec1u tr\u1ecb m\u00e0y \u0111ay nh\u01b0 th\u1ebf n\u00e0o?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/may-day\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u00e0y \u0111ay - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"M\u00e0y \u0111ay (hay m\u1ec1 \u0111ay) l\u00e0 t\u00ecnh tr\u1ea1ng da n\u1ed5i nh\u1eefng m\u1ea3ng h\u1ed3ng ban m\u00e0u \u0111\u1ecf, ng\u1ee9a do s\u1ef1 s\u01b0ng ph\u1ed3ng b\u1ec1 m\u1eb7t n\u00f4ng c\u1ee7a da. \u0110i\u1ec1u tr\u1ecb m\u00e0y \u0111ay nh\u01b0 th\u1ebf n\u00e0o?\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/may-day\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-31T03:27:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:33:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2018\/03\/benh-may-day.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS. 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Ph\u1ea1m Anh Khoa","image":{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/image\/9d31653662c1bfd5411667adb0ec04e8","url":"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/2022\/10\/bs-pham-anh-khoa-96x96.jpg","contentUrl":"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/2022\/10\/bs-pham-anh-khoa-96x96.jpg","caption":"BS. Ph\u1ea1m Anh Khoa"},"description":"BS. Ph\u1ea1m Anh Khoa M\u1ecdi vi\u1ec7c \u0111\u1ec1u c\u00f3 kh\u1edfi \u0111\u1ea7u v\u00e0 k\u1ebft th\u00fac. Quan tr\u1ecdng l\u00e0 b\u1ea1n bi\u1ebft l\u00e0m g\u00ec trong qu\u00e1 tr\u00ecnh \u0111\u00f3. N\u01a1i l\u00e0m vi\u1ec7c: \u0110ang c\u1eadp nh\u1eadt Ng\u00e0nh: N\u1ed9i khoa Chuy\u00ean ng\u00e0nh: Da li\u1ec5u Qu\u00e1 tr\u00ecnh \u0111\u00e0o t\u1ea1o: \u0110ang h\u1ecdc Chuy\u00ean khoa 1 Ng\u00e0nh Da li\u1ec5u B\u00e1c s\u0129 \u0111a khoa t\u1ea1i \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c Tp. H\u1ed3 Ch\u00ed Minh n\u0103m\u00a02012 (B\u00e1c s\u0129) B\u00e1c s\u0129 chuy\u00ean khoa da li\u1ec5u t\u1ea1i \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c Tp. H\u1ed3 Ch\u00ed Minh (B\u00e1c s\u0129 chuy\u00ean khoa)","url":"https:\/\/yhoccongdong.com\/du-an-khac\/author\/bskhoapham\/"}]}},"_links":{"self":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts\/6290"}],"collection":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/users\/100"}],"replies":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/comments?post=6290"}],"version-history":[{"count":0,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts\/6290\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/media\/6291"}],"wp:attachment":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/media?parent=6290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/categories?post=6290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/tags?post=6290"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/series?post=6290"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/coauthors?post=6290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}