{"id":3919,"date":"2018-08-22T12:31:36","date_gmt":"2018-08-22T05:31:36","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/08\/22\/cac-phuong-phap-dieu-tri-buou-mau\/"},"modified":"2024-04-23T15:35:00","modified_gmt":"2024-04-23T08:35:00","slug":"cac-phuong-phap-dieu-tri-buou-mau","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/cac-phuong-phap-dieu-tri-buou-mau\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u01b0\u1edbu m\u00e1u"},"content":{"rendered":"<p>B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd gi\u00fap cho ph\u1ee5 huynh bi\u1ebft c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u01b0\u1edbu m\u00e1u ph\u1ed5 bi\u1ebfn hi\u1ec7n nay, qua \u0111\u00f3 c\u00f3 th\u1ec3 an t\u00e2m ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p v\u1edbi con m\u00ecnh.<\/p>\n<h2>Theo d\u00f5i di\u1ec5n bi\u1ebfn t\u1ef1 nhi\u00ean c\u1ee7a b\u01b0\u1edbu, kh\u00f4ng can thi\u1ec7p<\/h2>\n<p>V\u00ec u m\u00e1u l\u00e0 l\u00e0nh t\u00ednh, sau 1 tu\u1ed5i b\u1eaft \u0111\u1ea7u tho\u00e1i tri\u1ec3n, h\u1ebft ho\u00e0n to\u00e0n ho\u1eb7c 1 ph\u1ea7n l\u00fac 5-8 tu\u1ed5i, 1 s\u1ed1 \u00edt tr\u1ec5 h\u01a1n. \u00c1p d\u1ee5ng v\u1edbi nh\u1eefng b\u01b0\u1edbu m\u00e1u kh\u00f4ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng, kh\u00f4ng \u1ea3nh h\u01b0\u1edfng ch\u1ee9c n\u0103ng v\u00e0 kh\u00f4ng \u1edf v\u1ecb tr\u00ed nh\u1ea1y c\u1ea3m.<\/p>\n<h2>B\u0103ng \u00e9p<\/h2>\n<ul>\n<li>D\u00f9ng b\u0103ng thun b\u0103ng \u00e9p b\u01b0\u1edbu m\u00e1u li\u00ean t\u1ee5c trong th\u1eddi gian d\u00e0i t\u1ecf ra kh\u00e1 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi c\u00e1c b\u01b0\u1edbu m\u00e1u \u1edf v\u00f9ng t\u1ee9 chi, c\u00e1c ng\u00f3n.<\/li>\n<li>K\u1ebft h\u1ee3p b\u0103ng \u00e9p v\u00e0 theo d\u00f5i l\u00e0 bi\u1ec7n ph\u00e1p an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t<\/li>\n<\/ul>\n<h2>Thu\u1ed1c thoa t\u1ea1i ch\u1ed7<\/h2>\n<p>Nhi\u1ec1u ph\u1ee5 huynh \u0111\u1ec1 ngh\u1ecb d\u00f9ng thu\u1ed1c thoa t\u1ea1i ch\u1ed7 cho con h\u1ecd, hi\u1ec7n t\u1ea1i qu\u00fd ph\u1ee5 huynh c\u00f3 th\u1ec3 d\u00f9ng m\u1ee1 b\u00f4i c\u00f3 ch\u1ee9a corticoid (eumovate ch\u1eb3ng h\u1ea1n) ho\u1eb7c thu\u1ed1c timolol (v\u1ed1n d\u0129 l\u00e0 thu\u1ed1c ch\u1eb9n beta giao c\u1ea3m d\u00f9ng trong nh\u00e3n khoa, nh\u01b0ng t\u1ecf ra c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 khi \u0111i\u1ec1u tr\u1ecb u m\u00e1u.<\/p>\n<h2>Ch\u00edch corticoid t\u1ea1i ch\u1ed7<\/h2>\n<p>Ch\u00edch corticoid t\u1ea1i ch\u1ed7 v\u00e0o b\u01b0\u1edbu m\u00e1u \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111\u00e1ng k\u1ec3 v\u00e0 \u00edt nguy hi\u1ec3m h\u01a1n nhi\u1ec1u so v\u1edbi u\u1ed1ng corticoid, ch\u00edch thu\u1ed1c t\u1ea1i ch\u1ed7 k\u00e8m theo d\u00f5i \u0111\u1ecbnh k\u00ec l\u00e0 bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 cao, \u0111\u1eb7c bi\u1ec7t v\u1edbi u m\u00e1u c\u1ee7a tuy\u1ebfn mang tai.<\/p>\n<h2>Argon v\u00e0 carbondioxide laser<\/h2>\n<p>\u0110\u01b0\u1ee3c d\u00f9ng hi\u1ec7u qu\u1ea3 cho c\u00e1c ph\u1eabu thu\u1ea1t b\u01b0\u1edbu m\u00e1u d\u1ea1ng hang, gi\u1ea3m m\u1ea5t m\u00e1u, gi\u1ea3m t\u1ea1o s\u1eb9o.<\/p>\n<h2>Thu\u1ed1c u\u1ed1ng<\/h2>\n<p>Hi\u1ec7n t\u1ea1i c\u00f3 2 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 d\u00f9ng \u0111\u00f3 l\u00e0 Corticoid u\u1ed1ng, c\u1ea7n c\u00e2n nh\u1eafc k\u0129 v\u00ec thu\u1ed1c c\u00f3 nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5, kho\u1ea3ng 1\/3 tr\u1ebb c\u00f3 \u0111\u00e1p \u1ee9ng. Thu\u1ed1c th\u1ee9 2 l\u00e0 propranolol d\u00f9ng v\u1edbi li\u1ec1u r\u1ea5t nh\u1ecf 0.5-1 mg\/kg\/24 h. V\u00ec l\u00e0 thu\u1ed1c tim m\u1ea1ch s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1ecbp tim cho n\u00ean thu\u1ed1c n\u00e0y c\u1ea7n ph\u1ea3i c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Ph\u1ee5 huynh kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 cho con u\u1ed1ng b\u1ea5t k\u00ec thu\u1ed1c n\u00e0o trong c\u00e1c thu\u1ed1c tr\u00ean.<\/p>\n<h2>Interferon alpha 2a<\/h2>\n<p>Nhi\u1ec1u t\u00e1c gi\u1ea3 b\u00e1o c\u00e1o hi\u1ec7u qu\u1ea3 t\u1ed1t khi d\u00f9ng thu\u1ed1c n\u00e0y \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u01b0\u1edbu m\u00e1u l\u1edbn nguy c\u01a1 \u0111e d\u1ecda \u0111\u1eddi s\u1ed1ng.<\/p>\n<h2>Ph\u1eabu thu\u1eadt<\/h2>\n<p>R\u1ea5t hi\u1ebfm khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt, tr\u1eeb khi b\u01b0\u1edbu l\u00e0m \u1ea3nh h\u01b0\u1edfng t\u1edbi ch\u1ee9c n\u0103ng ho\u1eb7c bi\u1ebfn d\u1ea1ng n\u01a1i mang b\u01b0\u1edbu, nh\u1ea5t l\u00e0 c\u00e1c b\u01b0\u1edbu \u1edf v\u00f9ng m\u1eaft, \u1ed1ng tai, \u0111\u01b0\u1eddng th\u1edf&#8230;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd gi\u00fap cho ph\u1ee5 huynh bi\u1ebft c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u01b0\u1edbu m\u00e1u ph\u1ed5 bi\u1ebfn hi\u1ec7n nay, qua \u0111\u00f3 c\u00f3 th\u1ec3 an t\u00e2m ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p v\u1edbi con m\u00ecnh.<br \/>\nC\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u01b0\u1edbu m\u00e1u bao g\u1ed3m theo d\u00f5i kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, b\u0103ng \u00e9p, thu\u1ed1c b\u00f4i t\u1ea1i ch\u1ed7, thu\u1ed1c ch\u00edch, Argon v\u00e0 carbondioxide laser&#8230;<\/p>\n","protected":false},"author":14,"featured_media":3921,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5594,4920,5595],"series":[3454],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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