{"id":4182,"date":"2018-09-08T14:25:09","date_gmt":"2018-09-08T07:25:09","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/09\/08\/cac-yeu-to-nguy-co-cua-benh-tay-chan-mieng-nang\/"},"modified":"2024-03-04T13:50:52","modified_gmt":"2024-03-04T06:50:52","slug":"cac-yeu-to-nguy-co-cua-benh-tay-chan-mieng-nang","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/cac-yeu-to-nguy-co-cua-benh-tay-chan-mieng-nang\/","title":{"rendered":"C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh tay ch\u00e2n mi\u1ec7ng n\u1eb7ng"},"content":{"rendered":"<p>Ch\u00fang t\u00f4i nghi\u00ean c\u1ee9u c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan v\u1edbi <strong>b\u1ec7nh tay ch\u00e2n mi\u1ec7ng( HFMD<\/strong>) n\u1eb7ng g\u00e2y ra b\u1edfi <strong>virus \u0111\u01b0\u1eddng ru\u1ed9t ( enterovirus)<\/strong> \u1edf c\u00e1c b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 15 tu\u1ed5i nh\u1eadp vi\u00ean t\u1ea1i b\u1ec7nh vi\u1ec7n King Narai Th\u00e1i Lan trong nh\u1eefng n\u0103m t\u1eeb 2011- 2013 . C\u00e1c ca b\u1ec7nh \u0111\u01b0\u1ee3c chia ra th\u00e0nh 2 m\u1ee9c \u0111\u1ed9 trung b\u00ecnh v\u00e0 n\u1eb7ng . C\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 Vi\u00eam n\u00e3o, vi\u00eam m\u00e0ng n\u00e3o, vi\u00eam c\u01a1 tim, vi\u00eam ph\u1ed5i , ph\u00f9 ph\u1ed5i ho\u1eb7c suy h\u00f4 h\u1ea5p . C\u00e1c y\u1ebf<span class=\"text_exposed_show\">u t\u1ed1 nguy c\u01a1 c\u1ee7a nhi\u1ec5m tr\u00f9ng n\u1eb7ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng c\u00e1ch ph\u00e2n t\u00edch h\u1ed3i quy \u0111\u01a1n bi\u1ebfn v\u00e0 \u0111a bi\u1ebfn . 118 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 tay ch\u00e2n mi\u1ec7ng, trong s\u1ed1 n\u00e0y c\u00f3 95 b\u1ec7nh nh\u00e2n ( 80.5 % ) \u0111\u01b0\u1ee3c ph\u00e2n \u1edf m\u1ee9c \u0111\u1ed9 trung b\u00ecnh, c\u00f2n 23 tr\u01b0\u1eddng h\u1ee3p ( 19.5 % ) l\u00e0 n\u1eb7ng. C\u00f3 5 tr\u01b0\u1eddng h\u1ee3p t\u1eed vong.( 4.2 % ). Trong 23 ca n\u1eb7ng, c\u00f3 9 ca b\u1ecb nhi\u1ec5m Virus coxakies A16. 8 ca nhi\u1ec5m EV 71, v\u00e0 4 c\u1ea3 nhi\u1ec5m c\u1ea3 2 con. C\u00e1c d\u1ea5u hi\u1ec7u th\u01b0\u1eddng xuy\u00ean c\u00f3 nh\u1ea5t \u1edf c\u00e1c ca b\u1ec7nh n\u1eb7ng \u0111\u00f3 l\u00e0 :\u00a0<\/span><\/p>\n<ul>\n<li><span class=\"text_exposed_show\">Co gi\u1eadt : 74 %<br \/>\n<\/span><\/li>\n<li><span class=\"text_exposed_show\">Vi\u00eam ph\u1ed5i : 39 %<br \/>\n<\/span><\/li>\n<li><span class=\"text_exposed_show\">Vi\u00eam n\u00e3o : 39 %<br \/>\n<\/span><\/li>\n<li><span class=\"text_exposed_show\">Vi\u00eam m\u00e0ng n\u00e3o : 13 %<\/span><\/li>\n<\/ul>\n<p><span class=\"text_exposed_show\"><br \/>\nNh\u1eefng d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng ch\u1ec9 \u0111i\u1ec3m ca b\u1ec7nh n\u1eb7ng tr\u00ean ph\u00e2n t\u00edch \u0111\u01a1n bi\u1ebfn l\u00e0 : S\u1ed1t cao t\u1eeb 39 \u0111\u1ed9, s\u1ef1 v\u1eafng m\u1eb7t c\u00e1c t\u1ed5n th\u01b0\u01a1ng da, ti\u00eau ch\u1ea3y, kh\u00f3 th\u1edf, co gi\u1eadt v\u00e0 \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng. C\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng ch\u1ec9 \u0111i\u1ec3m tay ch\u00e2n mi\u1ec7ng n\u1eb7ng trong c\u1ea3 ph\u00e2n t\u00edch \u0111a bi\u1ebfn v\u00e0 \u0111\u01a1n bi\u1ebfn l\u00e0 : TR\u1eba D\u01af\u1edaI 1 TU\u1ed4I, KH\u00d4NG LO\u00c9T MI\u1ec6NG , NG\u1ee6 G\u00c0\/TH\u1edc \u01a0. C\u00e1c nh\u00e0 l\u00e2m s\u00e0ng c\u1ea7n c\u1ea3nh gi\u00e1c v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y. Nh\u1eadn d\u1ea1ng s\u1edbm c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng r\u1ea5t quan tr\u1ecdng, li\u00ean quan t\u1edbi t\u1ec9 l<\/span><span class=\"text_exposed_show\">\u1ec7 th\u00e0nh c\u00f4ng hay th\u1ea5t b\u1ea1i c\u1ee7a \u0111i\u1ec1u tr\u1ecb .\u00a0<\/span><\/p>\n<p><strong><span class=\"text_exposed_show\">T\u00e0i li\u1ec7u tham kh\u1ea3o\u00a0<\/span><\/strong><\/p>\n<p><span class=\"text_exposed_show\"><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/421045441426315\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/421045441426315<\/a><\/span><\/p>\n<p><span class=\"text_exposed_show\"><br \/>\n<strong>Ngu\u1ed3n<\/strong> : Southeast Asian J Trop Med Public Health. 2015 May;46(3):449-59.<\/span><\/p>\n<p><span class=\"text_exposed_show\"><strong>T\u00e1c gi\u1ea3<\/strong> : Owatanapanich S, Wutthanarungsan R, Jaksupa W, Thisyakorn U.<br \/>\n<strong>D\u1ecbch :<\/strong> MD Tr\u1ea7n C\u00f4ng<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan v\u1edbi b\u1ec7nh tay ch\u00e2n mi\u1ec7ng( HFMD) n\u1eb7ng g\u00e2y ra b\u1edfi virus \u0111\u01b0\u1eddng ru\u1ed9t ( enterovirus) \u1edf c\u00e1c b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 15 tu\u1ed5i.<\/p>\n","protected":false},"author":14,"featured_media":4183,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[4683,5710,5711],"series":[3454],"coauthors":[2652],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh tay ch\u00e2n mi\u1ec7ng n\u1eb7ng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan v\u1edbi 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