{"id":2745,"date":"2018-04-01T17:03:27","date_gmt":"2018-04-01T10:03:27","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/12\/24\/viem-tai-giua-cap\/"},"modified":"2024-03-04T13:48:34","modified_gmt":"2024-03-04T06:48:34","slug":"viem-tai-giua-cap","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/viem-tai-giua-cap\/","title":{"rendered":"Vi\u00eam tai gi\u1eefa c\u1ea5p"},"content":{"rendered":"<p>B\u1ea1n c\u00f3 bi\u1ebft?<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-15691 aligncenter\" src=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2018\/04\/viem-tai-giua-cap.jpg\" alt=\"\" width=\"660\" height=\"330\" \/><\/p>\n<p style=\"text-align: center;\">H\u00ecnh gi\u1ea3i ph\u1eabu c\u1eaft ngang c\u1ee7a m\u1ed9t b\u00ean tai c\u1ee7a ng\u01b0\u1eddi.<\/p>\n<h2>C\u1ea5u t\u1ea1o tai<\/h2>\n<p><strong>Tai ng\u01b0\u1eddi \u0111\u01b0\u1ee3c chia l\u00e0m ba ph\u1ea7n:<\/strong><\/p>\n<ul>\n<li><strong>Tai ngo\u00e0i<\/strong> (outer ear): t\u1eeb v\u00e0nh tai, \u1ed1ng tai v\u00e0o \u0111\u1ebfn m\u00e0ng nh\u0129 (ear drum)<\/li>\n<li><strong>Tai gi\u1eefa<\/strong> (middle ear): l\u00e0 ng\u0103n n\u1eb1m sau m\u00e0ng nh\u0129, c\u00f3 c\u00e1c x\u01b0\u01a1ng tai nh\u1ecf n\u1ed1i t\u1eeb m\u00e0ng nh\u0129 (ear drum) \u0111\u1ebfn tai trong, c\u00f3 nhi\u1ec7m v\u1ee5 thu nh\u1eadn \u00e2m thanh v\u00e0 khu\u1ebfch \u0111\u1ea1i s\u00f3ng \u00e2m thanh (t\u1eeb s\u1ef1 rung c\u1ee7a m\u00e0ng nh\u0129), v\u00e0 c\u00f3 m\u1ed9t \u1ed1ng th\u00f4ng, g\u1ecdi l\u00e0 \u1ed1ng Eutaschian (Eutaschian tube), n\u1ed1i khoang tai gi\u1eefa v\u1edbi ph\u1ea7n h\u1ea7u h\u1ecdng, nh\u1eb1m c\u00e2n b\u1eb1ng \u00e1p l\u1ef1c gi\u1eefa khoang tai gi\u1eefa v\u1edbi b\u00ean ngo\u00e0i.<\/li>\n<li><strong>Tai trong<\/strong> (inner ear): bao g\u1ed3m c\u00e1c c\u1ea5u tr\u00fac \u0111\u1eb7c bi\u1ec7t v\u00e0 th\u1ea7n kinh, l\u00e0m nhi\u1ec7m v\u1ee5 c\u1ea3m nh\u1eadn \u00e2m thanh v\u00e0 gi\u1eef th\u0103ng b\u1eb1ng cho c\u01a1 th\u1ec3.<\/li>\n<\/ul>\n<h2>Vi\u00eam tai gi\u1eefa c\u1ea5p<\/h2>\n<p style=\"text-align: justify;\">Vi\u00eam tai gi\u1eefa c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em nh\u1ecf. Vi\u1ec7c m\u1ed9t tr\u1ebb nh\u1ecf c\u00f3 v\u00e0i l\u1ea7n vi\u00eam tai gi\u1eefa trong m\u1ed9t n\u0103m l\u00e0 kh\u00e1 b\u00ecnh th\u01b0\u1eddng. Th\u1ed1ng k\u00ea cho th\u1ea5y<\/p>\n<ul>\n<li>Kho\u1ea3ng 2\/3 tr\u1ebb nh\u1ecf<strong> d\u01b0\u1edbi 3 tu\u1ed5i<\/strong> c\u00f3 \u00edt nh\u1ea5t m\u1ed9t \u0111\u1ee3t vi\u00eam tai gi\u1eefa.<\/li>\n<li>\u0110\u1ebfn khi tr\u1ebb \u0111\u1ebfn tu\u1ed5i <strong>b\u1eaft \u0111\u1ea7u v\u00e0o l\u1edbp 1<\/strong>, 90% c\u00e1c tr\u1ebb \u0111\u00e3 c\u00f3 t\u1ed1i thi\u1ec3u m\u1ed9t \u0111\u1ee3t vi\u00eam tai gi\u1eefa.<\/li>\n<li>Nh\u00f3m tr\u1ebb t\u1eeb <strong>6 th\u00e1ng \u0111\u1ebfn 18 th\u00e1ng tu\u1ed5i<\/strong> l\u00e0 nh\u00f3m tu\u1ed5i c\u00f3 t\u1ea7n su\u1ea5t vi\u00eam tai gi\u1eefa x\u1ea3y ra cao nh\u1ea5t.<\/li>\n<li>Tr\u1ebb nh\u1ecf <strong>d\u01b0\u1edbi 2 tu\u1ed5i<\/strong> th\u01b0\u1eddng d\u1ec5 b\u1ecb vi\u00eam tai gi\u1eefa h\u01a1n tr\u1ebb l\u1edbn h\u01a1n v\u00ec \u1ed1ng th\u00f4ng Eustachian n\u1ed1i khoang tai gi\u1eefa v\u1edbi h\u1ea7u h\u1ecdng \u1edf nh\u1eefng tr\u1ebb n\u00e0y nh\u1ecf h\u01a1n.<\/li>\n<\/ul>\n<p>V\u00ec v\u1eady, khi tr\u1ebb b\u1ecb nh\u1eefng \u0111\u1ee3t vi\u00eam m\u0169i h\u1ecdng, vi\u00eam h\u00f4 h\u1ea5p tr\u00ean, c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh (virus, vi tr\u00f9ng) d\u1ec5 \u201cleo\u201d v\u00e0o \u1ed1ng th\u00f4ng v\u00e0 \u201cl\u1ecdt v\u00e0o\u201d khoang tai gi\u1eefa, g\u00e2y nhi\u1ec5m tr\u00f9ng.<\/p>\n<h2>D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng b\u1ec7nh<\/h2>\n<p>Khi t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m x\u1ea3y ra trong khoang tai gi\u1eefa, m\u00e0ng nh\u0129 b\u1ecb \u1ea3nh h\u01b0\u1edfng, vi\u00eam \u0111\u1ecf, s\u01b0ng, \u0111au, v\u00e0 ph\u1ed3ng l\u00ean do t\u0103ng \u00e1p l\u1ef1c trong khoang, \u1ed1ng Eustachian c\u0169ng c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng t\u01b0\u01a1ng t\u1ef1. V\u00ec v\u1eady, trong b\u1ec7nh n\u00e0y, b\u00e9 s\u1ebd <strong>kh\u00f3 ch\u1ecbu<\/strong> ho\u1eb7c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/dau-tai-va-viem-tai-giua\/\" target=\"_blank\" rel=\"noopener\"><strong>\u0111au tai<\/strong><\/a>, c\u00f3 th\u1ec3 l\u00e0m <strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/viem-tai-giua-va-su-giam-thinh-luc\/\" target=\"_blank\" rel=\"noopener\">gi\u1ea3m th\u00ednh l\u1ef1c tr\u1ebb c\u1ea5p t\u00ednh<\/a>,<\/strong> v\u00e0 c\u00f3 th\u1ec3 b\u1ecb <strong>\u00f9 tai.<\/strong><\/p>\n<p>Khi tr\u1ebb b\u1ecb vi\u00eam tai gi\u1eefa, tr\u1ebb th\u01b0\u1eddng s\u1ebd c\u00f3 tri\u1ec7u ch\u1ee9ng vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, <strong>s\u1ed1t,<\/strong> kh\u00f3 ch\u1ecbu v\u00ec <strong>\u0111au.<\/strong> M\u1ed9t s\u1ed1 tr\u1ebb kh\u00f4ng n\u00f3i \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 c\u1ee9 k\u00e9o tai c\u1ee7a m\u00ecnh, ho\u1eb7c \u0111\u01b0a ng\u00f3n tay v\u00e0o trong \u1ed1ng tai b\u1ecb b\u1ec7nh, v\u00ec tr\u1ebb c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu t\u1ea1i ch\u1ed7. Tr\u1ebb c\u00f3 th\u1ec3 <strong>\u00f3i, bi\u1ebfng \u0103n, \u0111\u1eeb,<\/strong> v\u00e0 c\u00f3 th\u1ec3 <strong>nghe k\u00e9m<\/strong> h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, khi m\u00e0ng nh\u0129 c\u0103ng ph\u1ed3ng qu\u00e1 m\u1ee9c, c\u00f3 th\u1ec3 v\u1ee1, v\u00e0 d\u1ecbch m\u1ee7 vi\u00eam s\u1ebd tho\u00e1t ra ngo\u00e0i, l\u00fac n\u00e0y b\u00e9 s\u1ebd c\u1ea3m th\u1ea5y b\u1edbt \u0111au v\u00ec \u0111\u01b0\u1ee3c c\u00e2n b\u1eb1ng \u00e1p l\u1ef1c gi\u1eefa khoang v\u00e0 \u1ed1ng tai ngo\u00e0i, nh\u01b0ng ba m\u1eb9 c\u00f3 th\u1ec3 r\u1ea5t lo l\u1eafng khi th\u1ea5y d\u1ecbch m\u1ee7 ch\u1ea3y ra kh\u1ecfi tai con.<\/p>\n<p>M\u1ed9t s\u1ed1 vi\u00eam tai gi\u1eefa c\u00f3 th\u1ec3 c\u00f3 bi\u1ebfn ch\u1ee9ng n\u1eb7ng h\u01a1n, g\u00e2y nhi\u1ec5m tr\u00f9ng lan r\u1ed9ng qua v\u00f9ng sau tai, ho\u1eb7c d\u1eabn \u0111\u1ebfn vi\u00eam ph\u1ed5i, nhi\u1ec5m tr\u00f9ng huy\u1ebft, v\u00e2n v\u00e2n, nh\u01b0ng t\u1ec9 l\u1ec7 c\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y r\u1ea5t th\u1ea5p.<\/p>\n<h2>Ch\u0103m s\u00f3c v\u00e0 th\u0103m kh\u00e1m tr\u1ebb<\/h2>\n<p>Khi nghi ng\u1edd con c\u00f3 tri\u1ec7u ch\u1ee9ng, n\u00ean cho tr\u1ebb \u0111i kh\u00e1m b\u00e1c s\u0129. Khi th\u0103m kh\u00e1m tr\u1ebb, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u1ed5ng qu\u00e1t c\u1ee7a b\u00e9, v\u00e0 s\u1ebd t\u01b0 v\u1ea5n v\u1ec1 quy\u1ebft \u0111\u1ecbnh d\u00f9ng kh\u00e1ng sinh hay kh\u00f4ng, ho\u1eb7c n\u00ean theo d\u00f5i, t\u00e1i kh\u00e1m nh\u01b0 th\u1ebf n\u00e0o cho h\u1ee3p l\u00fd. M\u00e0ng nh\u0129 c\u1ee7a tr\u1ebb khi v\u1ee1 l\u1ea1i c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i v\u00e0 t\u1ef1 v\u00e1 l\u00e0nh l\u1ea1i kh\u00e1 nhanh, v\u00ec v\u1eady, kh\u00f4ng c\u1ea7n lo l\u1eafng v\u1ec1 \u0111i\u1ec1u n\u00e0y.<\/p>\n<p>\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p (75%) vi\u00eam tai gi\u1eefa g\u00e2y ra do vi tr\u00f9ng, ch\u1ec9 25% tr\u01b0\u1eddng h\u1ee3p c\u00f2n l\u1ea1i l\u00e0 do virus. Tuy nhi\u00ean, kh\u00f4ng nh\u01b0 nh\u1eefng nhi\u1ec5m tr\u00f9ng kh\u00e1c, nhi\u1ec5m tr\u00f9ng vi\u00eam tai gi\u1eefa<strong> \u0111a s\u1ed1 l\u1ea1i t\u1ef1 h\u1ebft v\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh<\/strong>.<br \/>\nTr\u01b0\u1eddng h\u1ee3p b\u00e9 d\u01b0\u1edbi 1 tu\u1ed5i b\u1ecb vi\u00eam tai gi\u1eefa, \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh l\u00e0 c\u1ea7n thi\u1ebft.<\/p>\n<p>Vi\u1ec7c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/dieu-tri-viem-tai-giua-cap-o-tre-em\/\" target=\"_blank\" rel=\"noopener\">ch\u0103m s\u00f3c m\u1ed9t tr\u1ebb vi\u00eam tai gi\u1eefa<\/a> c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u1ed9t tr\u1ebb b\u1ecb <a href=\"https:\/\/yhoccongdong.com\/thongtin\/hoidap\/cac-huong-dan-giup-tre-phong-tranh-viem-nhiem-duong-ho-hap-tren\/\" target=\"_blank\" rel=\"noopener\">vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean<\/a> kh\u00e1c, bao g\u1ed3m <strong>gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t<\/strong> khi c\u1ea7n, gi\u00fap tr\u1ebb tho\u1ea3i m\u00e1i, v\u00e0 khuy\u1ebfn kh\u00edch tr\u1ebb \u0103n u\u1ed1ng t\u1eeb t\u1eeb \u0111\u1ec3 tr\u00e1nh m\u1ea5t n\u01b0\u1edbc. Tuy nhi\u00ean, v\u00ec t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p l\u1ef1c khoang m\u00e0ng nh\u0129, v\u00e0 kh\u1ea3 n\u0103ng m\u00e0ng nh\u0129 c\u00f3 th\u1ec3 b\u1ecb v\u1ee1, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00f3 khuy\u1ebfn c\u00e1o <strong>kh\u00f4ng \u0111\u01b0\u1ee3c b\u01a1i l\u1ed9i, v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i m\u00e1y bay bay, cho \u0111\u1ebfn khi b\u1ec7nh l\u00e0nh h\u1eb3n.<\/strong><\/p>\n<p>C\u00e1c b\u00e9 b\u1ecb vi\u00eam tai gi\u1eefa n\u00ean \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m sau \u0111\u1ee3t b\u1ec7nh, \u0111\u1ec3 xem b\u1ec7nh c\u00f3 h\u1ebft h\u1eb3n hay kh\u00f4ng. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p khi vi\u00eam tai gi\u1eefa \u0111\u00e3 h\u1ebft, \u0111\u1ec3 l\u1ea1i d\u1ecbch \u1ee9 \u0111\u1ecdng trong khoang tai. D\u1ecbch n\u00e0y th\u01b0\u1eddng t\u1ef1 r\u00fat sau v\u00e0i tu\u1ea7n, v\u00e0i th\u00e1ng, tuy nhi\u00ean, c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p (hi\u1ebfm) d\u1ecbch \u1edf l\u00ec trong khoang kh\u00f4ng ch\u1ecbu \u0111i, s\u1ebd l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9 rung c\u1ee7a m\u00e0ng nh\u0129, g\u00e2y gi\u1ea3m th\u00ednh l\u1ef1c cho tr\u1ebb. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 s\u1ebd c\u1ea7n can thi\u1ec7p c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa \u0111\u1ec3 gi\u00fap d\u1ecbch \u0111\u01b0\u1ee3c tho\u00e1t ra ngo\u00e0i, gi\u00fap tr\u1ebb nghe \u0111\u01b0\u1ee3c t\u1ed1t h\u01a1n, v\u00ec vi\u1ec7c gi\u1ea3m th\u00ednh l\u1ef1c s\u1ebd \u1ea3nh h\u01b0\u1edfng r\u1ea5t l\u1edbn \u0111\u1ebfn ph\u00e1t tri\u1ec3n ng\u00f4n ng\u1eef v\u00e0 giao ti\u1ebfp c\u1ee7a tr\u1ebb trong \u0111\u1ed9 tu\u1ed5i n\u00e0y.<\/p>\n<h2>Nh\u1eefng th\u00f4ng tin c\u1ea7n nghi nh\u1edb<\/h2>\n<ul>\n<li>Vi\u1ec7c m\u1ed9t tr\u1ebb nh\u1ecf c\u00f3 v\u00e0i \u0111\u1ee3t vi\u00eam tai gi\u1eefa trong n\u0103m kh\u00e1 ph\u1ed5 bi\u1ebfn<\/li>\n<li>Kh\u00e1ng sinh kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam tai gi\u1eefa, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i. B\u1ea1n n\u00ean t\u01b0 v\u1ea5n b\u00e1c s\u0129 v\u1ec1 v\u1ea5n \u0111\u1ec1 s\u1eed d\u1ee5ng kh\u00e1ng sinh cho b\u00e9.<\/li>\n<li>C\u00f3 th\u1ec3 c\u00f3 d\u1ecbch trong tai gi\u1eefa sau \u0111\u1ee3t vi\u00eam, d\u1ecbch c\u00f3 th\u1ec3 \u1edf l\u1ea1i v\u00e0i tu\u1ea7n ho\u1eb7c v\u00e0i th\u00e1ng sau \u0111\u1ee3t vi\u00eam, v\u00e0 l\u00e0 \u0111i\u1ec1u b\u00ecnh th\u01b0\u1eddng. Ch\u1ec9 khi c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u00ednh l\u1ef1c, ho\u1eb7c khi \u1edf l\u1ea1i qu\u00e1 l\u00e2u, m\u1edbi c\u00f3 ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p.<\/li>\n<li>\u0110a s\u1ed1 tr\u1ebb sau c\u00e1c \u0111\u1ee3t vi\u00eam tai gi\u1eefa, th\u1ee7ng m\u00e0ng nh\u1ec9, v\u1eabn ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng, v\u1edbi th\u00ednh l\u1ef1c b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>Ch\u00fac c\u00e1c b\u1ea1n ng\u00e0y vui!<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.facebook.com\/huyenthao.bacsi\/posts\/185777081809355\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/huyenthao.bacsi\/posts\/185777081809355<\/a><\/li>\n<li>Acute otitis media; Clinical Practice guidelines &#8211; Royal Children\u2019s Hospital, Melbourne, Australia.<\/li>\n<li>Acute otitis medial; Kids Health Info &#8211; Royal Children\u2019s hospital, Melbourne, Australia.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam tai gi\u1eefa c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em nh\u1ecf. Vi\u1ec7c m\u1ed9t tr\u1ebb nh\u1ecf c\u00f3 v\u00e0i l\u1ea7n vi\u00eam tai gi\u1eefa trong m\u1ed9t n\u0103m l\u00e0 kh\u00e1 b\u00ecnh th\u01b0\u1eddng.<\/p>\n","protected":false},"author":14,"featured_media":2744,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6105],"tags":[4985,4766,4688,4986,4388,4169,4852,4987,4826,4821,4984],"series":[2543],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam tai gi\u1eefa c\u1ea5p - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Vi\u00eam tai gi\u1eefa c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em nh\u1ecf. 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