C\u00e1c thu\u1ed1c ph\u00f2ng ng\u1eeba c\u01a1n co gi\u1eadt c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u01b0\u1ee3c nguy c\u01a1 t\u00e1i ph\u00e1t co gi\u1eadt l\u00e0nh t\u00ednh do s\u1ed1t. Nh\u01b0ng h\u1ea7u h\u1ebft c\u00e1c c\u01a1n co gi\u1eadt n\u00e0y l\u00e0 l\u00e0nh t\u00ednh, y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a c\u00e1c thu\u1ed1c n\u00e0y th\u00ec v\u01b0\u1ee3t tr\u1ed9i h\u01a1n so v\u1edbi l\u1ee3i \u00edch c\u1ee7a ch\u00fang.<\/p>\n
Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c h\u1ea1 s\u1ed1t ngay khi tr\u1ebb b\u1eaft \u0111\u1ea7u s\u1ed1t c\u0169ng kh\u00f4ng ng\u0103n \u0111\u01b0\u1ee3c vi\u1ec7c t\u00e1i ph\u00e1t c\u01a1n gi\u1eadt.<\/p>\n
Tr\u1ebb em b\u1ecb co gi\u1eadt do s\u1ed1t th\u00ec gia t\u0103ng nguy c\u01a1 t\u00e1i ph\u00e1t ch\u1ee9ng s\u1ed1t gi\u1eadt v\u1ec1 sau c\u0169ng nh\u01b0 l\u00e0 co gi\u1eadt m\u00e0 kh\u00f4ng k\u00e8m s\u1ed1t, \u0111i\u1ec1u n\u00e0y g\u1ee3i \u00fd vai tr\u00f2 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ph\u00f2ng ng\u1eeba b\u1eb1ng c\u00e1c thu\u1ed1c ch\u1ed1ng co gi\u1eadt m\u1ea1n t\u00ednh. Tuy nhi\u00ean, v\u1edbi t\u00ednh ch\u1ea5t t\u1ef1 nhi\u00ean v\u00e0 l\u00e0nh t\u00ednh c\u1ee7a c\u1ee7a co gi\u1eadt do s\u1ed1t, c\u00f3 nh\u1eefng \u0111\u1ed3ng thu\u1eadn chung r\u1eb1ng c\u00e1c nguy c\u01a1 c\u1ee7a thu\u1ed1c th\u00ec v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi ti\u1ec1m n\u0103ng l\u1ee3i \u00edch c\u1ee7a ch\u00fang \u1edf h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n<\/p>\n
Hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c ch\u1ed1ng co gi\u1eadt \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong m\u1ed9t ph\u00e2n t\u00edch meta t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u ph\u00f2ng ng\u1eeba co gi\u1eadt t\u00e1i ph\u00e1t do s\u1ed1t. Trong khi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u1edbi phenolbarbital, valproate ho\u1eb7c s\u1eed d\u1ee5ng diazepam c\u00e1ch qu\u00e3ng \u0111\u01b0\u1eddng tr\u1ef1c tr\u00e0ng th\u00ec c\u00f3 li\u00ean quan t\u1edbi vi\u1ec7c gi\u1ea3m \u0111\u01b0\u1ee3c nguy c\u01a1 co gi\u1eadt t\u00e1i ph\u00e1t trong m\u1ed9t kho\u1ea3ng th\u1eddi gian ng\u1eafn (6 th\u00e1ng- 2 n\u0103m). Nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 li\u00ean quan t\u1edbi nguy c\u01a1 c\u1ee7a c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 trong kho\u1ea3ng 30 -40 % s\u1ed1 tr\u1ebb. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ng\u1eeba co gi\u1eadt t\u00e1i ph\u00e1t do s\u1ed1t c\u0169ng kh\u00f4ng l\u00e0m gi\u1ea3m \u0111\u01b0\u1ee3c nguy c\u01a1 c\u1ee7a b\u1ec7nh \u0111\u1ed9ng kinh.<\/p>\n
M\u1ed9t guideline c\u1ee7a\u00a0\u1ee6y ban c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng, Ti\u1ec3u bang v\u1ec1 co gi\u1eadt do s\u1ed1t c\u1ee7a Vi\u1ec7n h\u00e0n l\u00e2m Nhi khoa Hoa K\u1ef3<\/strong> k\u1ebft lu\u1eadn r\u1eb1ng\u00a0kh\u00f4ng khuy\u1ebfn c\u00e1o<\/strong>\u00a0c\u1ea3 li\u1ec7u ph\u00e1p li\u00ean t\u1ee5c hay c\u00e1ch qu\u00e3ng c\u00e1c thu\u1ed1c ch\u1ed1ng co gi\u1eadt cho nh\u1eefng tr\u1ebb b\u1ecb co gi\u1eadt do s\u1ed1t \u0111\u01a1n thu\u1ea7n v\u00ec c\u00e1c nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c.<\/p>\n Guideline n\u00e0y x\u00e1c nh\u1eadn r\u1eb1ng nh\u1eefng c\u01a1n co gi\u1eadt t\u00e1i ph\u00e1t do s\u1ed1t c\u00f3 th\u1ec3 l\u00e0m cho cha m\u1eb9 lo s\u1ee3 do \u0111\u00f3 c\u1ea7n thi\u1ebft ph\u1ea3i gi\u00e1o d\u1ee5c gia \u0111\u00ecnh.<\/p>\n Guideline n\u00e0y kh\u00f4ng \u0111\u1ec1 c\u1eadp t\u1edbi nh\u1eefng \u0111\u1ee9a b\u1ecb co gi\u1eadt do s\u1ed1t ph\u1ee9c t\u1ea1p (complex febrile seizures) \u2013 nh\u1eefng tr\u1ebb n\u00e0y c\u00f3 nguy c\u01a1 cao h\u01a1n trong t\u01b0\u01a1ng lai, ph\u00e1t tri\u1ec3n th\u00e0nh ch\u1ee9ng co gi\u1eadt m\u00e0 kh\u00f4ng c\u1ea7n s\u1ed1t.<\/p>\nCo gi\u1eadt do s\u1ed1t ph\u1ee9c t\u1ea1p<\/h2>\n