{"id":2368,"date":"2017-10-03T05:28:43","date_gmt":"2017-10-02T22:28:43","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2017\/10\/03\/ban-nhiem-doc-o-tre-sinh\/"},"modified":"2024-04-24T15:24:15","modified_gmt":"2024-04-24T08:24:15","slug":"ban-nhiem-doc-o-tre-sinh","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/ban-nhiem-doc-o-tre-sinh\/","title":{"rendered":"Ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c \u1edf tr\u1ebb s\u01a1 sinh"},"content":{"rendered":"<p>Tuy c\u00f3 t\u00ean g\u1ecdi l\u00e0 ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c 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<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-14171 aligncenter\" src=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2017\/10\/ban-do-nhiem-doc-o-tre-so-sinh.jpg\" alt=\"Ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c\" width=\"326\" height=\"305\" \/><\/p>\n<h2>Sinh l\u00fd b\u1ec7nh<\/h2>\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 (V\u00ed d\u1ee5 : 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<h2>Gi\u1ea3i ph\u1eabu b\u1ec7nh : X\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o h\u1ecdc cho th\u1ea5y<\/h2>\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<h2>Nguy\u00ean nh\u00e2n<\/h2>\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\u00a0c\u00e1ch \u0111\u00e1ng tin c\u1eady.<\/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\u00a0\u0111\u1ebfn t\u1ea7n su\u1ea5t ETN v\u00e0 nhi\u1ec5m khu\u1ea9n da.<\/p>\n<h2>T\u1ea7n s\u1ed1<\/h2>\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 sinh.<\/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<h2>Ti\u1ec1n s\u1eed v\u00e0 Tri\u1ec7u Ch\u1ee9ng L\u00e2m s\u00e0ng<\/h2>\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 : herpes simplex \/ varicella nhi\u1ec5m vi r\u00fat, nhi\u1ec5m khu\u1ea9n da, hay nhi\u1ec5m n\u1ea5m candida.<\/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. <strong>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.<\/strong><\/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<h2>C\u1eadn L\u00e2m S\u00e0ng<\/h2>\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<ul>\n<li>Tzanck Smear: \u0110\u1ec3 t\u00ecm c\u00e1c t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 \u0111a nh\u00e2n, th\u01b0\u1eddng g\u1eb7p trong Herpes simplex, V\u1ea3icella v\u00e0 herpes zoster.<br \/>\nPemphigus vulgaris, Cytomegalovirus<\/li>\n<li>Wright-stained smears : \u0111\u1ec3 t\u00ecm s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a eosinophils<\/li>\n<li>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.<\/li>\n<li>CT 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<\/li>\n<li>C\u00e1c x\u00e9t nghi\u1ec7m sau c\u00f3 th\u1ec3 n\u00ean th\u1ef1c hi\u1ec7n : C\u1ea5y vi r\u00fat, vi khu\u1ea9n, n\u1ea5m \u0111\u1ec3 lo\u1ea1i tr\u1eeb HSV, Varicella, vi khu\u1ea9n g\u00e2y b\u1ec7nh &amp; n\u1ea5m.<\/li>\n<li>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<br \/>\nSinh thi\u1ebft : l\u00e0 ch\u1ea9n \u0111o\u00e1n ch\u1eafc nh\u1ea5t nh\u01b0ng th\u1ef1c s\u1ef1 kh\u00f4ng c\u1ea7n thi\u1ebft.<\/li>\n<\/ul>\n<h2>Ch\u1ea9n \u0111o\u00e1n gi\u00e1n bi\u1ec7t<\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng c\u1ee7a ETN tr\u00f4ng t\u01b0\u01a1ng t\u1ef1 vi\u00eam da m\u1ee7, n\u1ea5m, herpes simplex, 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 co 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<h2>\u0110i\u1ec1u tr\u1ecb<\/h2>\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. Tzanck smear l\u00e0 c\u1ea7n\u00a0thi\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>Ngu\u1ed3n: SDVworkshop. net d\u1ecbch t\u1eeb Nelson<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tuy c\u00f3 t\u00ean g\u1ecdi l\u00e0 ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c 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","protected":false},"author":66,"featured_media":2369,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6102],"tags":[4640],"series":[2470],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c \u1edf tr\u1ebb s\u01a1 sinh - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c - 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.\" \/>\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\/nhi-khoa\/ban-nhiem-doc-o-tre-sinh\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c \u1edf tr\u1ebb s\u01a1 sinh - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Ban \u0111\u1ecf nhi\u1ec5m \u0111\u1ed9c - 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.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/ban-nhiem-doc-o-tre-sinh\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/nguyenhuuchauduc\" \/>\n<meta property=\"article:published_time\" content=\"2017-10-02T22:28:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-24T08:24:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2017\/10\/ban-do-nhiem-doc.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=\"TS.BS. 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