{"id":4309,"date":"2018-09-21T14:52:37","date_gmt":"2018-09-21T07:52:37","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/09\/21\/khi-nao-nen-va-nhung-than-trong-khi-tiem-phong-cho-tre\/"},"modified":"2024-03-04T13:51:05","modified_gmt":"2024-03-04T06:51:05","slug":"khi-nao-nen-va-nhung-than-trong-khi-tiem-phong-cho-tre","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/khi-nao-nen-va-nhung-than-trong-khi-tiem-phong-cho-tre\/","title":{"rendered":"Khi n\u00e0o n\u00ean v\u00e0 nh\u1eefng th\u1eadn tr\u1ecdng khi ti\u00eam ph\u00f2ng cho tr\u1ebb"},"content":{"rendered":"<h2>Ti\u00eau ch\u1ea3y, ho, s\u1ed5 m\u0169i kh\u00f4ng ph\u1ea3i ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ph\u00f2ng cho tr\u1ebb<\/h2>\n<p>Tr\u01b0\u1edbc h\u1ebft, ti\u00eau ch\u1ea3y, ho, s\u1ed5 m\u0169i\u00a0<strong>KH\u00d4NG<\/strong>\u00a0ph\u1ea3i ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ph\u00f2ng cho tr\u1ebb. Nh\u1ea7m l\u1eabn n\u00e0y c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb ph\u00eda ph\u1ee5 huynh ho\u1eb7c ng\u01b0\u1eddi l\u00e0m d\u1ecbch v\u1ee5 ti\u00eam ch\u1ee7ng. H\u1ecd cho r\u1eb1ng \u0111\u1ee9a b\u00e9 ph\u1ea3i kh\u1ecfe m\u1ea1nh ho\u00e0n to\u00e0n (perfect) th\u00ec m\u1edbi ti\u00eam ch\u1ee7ng \u0111\u01b0\u1ee3c. T\u00ecnh tr\u1ea1ng n\u00e0y d\u1eabn t\u1edbi c\u00f3 nh\u1eefng tr\u1ebb \u0111\u00e3 1 tu\u1ed5i m\u00e0 ch\u01b0a nh\u1eadn \u0111\u01b0\u1ee3c m\u0169i ti\u00eam n\u00e0o ch\u1ec9 v\u00ec ch\u1edd \u0111\u1ee3i \u0111\u1ebfn khi th\u1eadt kh\u1ecfe, kh\u00f4ng h\u1ec1 s\u1ed5 m\u0169i hay ho t\u00ed n\u00e0o. Tr\u1edb tr\u00eau thay s\u1ed1 ng\u00e0y tr\u1ebb ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 g\u00ec \u0111\u00f3 th\u00ec \u00edt, m\u00e0 \u0111\u1ee3i \u0111\u01b0\u1ee3c t\u1edbi ng\u00e0y \u0111\u00f3 th\u00ec kh\u00f4ng tr\u00f9ng v\u1edbi l\u1ecbch ti\u00eam \u1edf ph\u01b0\u1eddng, r\u1ed3i x\u00e1ch \u0111i ti\u00eam d\u1ecbch v\u1ee5 th\u00ec h\u1ebft vaccine. H\u00e0ng tr\u0103m th\u1ee9 l\u00ed do kh\u00e1c nhau khi\u1ebfn \u0111\u1ee9a tr\u1ebb l\u1ebd ra \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 t\u1eeb l\u00e2u nh\u01b0ng v\u1eabn l\u1ea1i ch\u01b0a c\u00f3 v\u0169 kh\u00ed ch\u1ed1ng l\u1ea1i vi tr\u00f9ng v\u00ec nh\u1eefng hi\u1ec3u l\u1ea7m c\u1ee7a ng\u01b0\u1eddi l\u1edbn. \u0110\u00e1ng ti\u1ebfc c\u00f3 nh\u1eefng tr\u1ebb \u0111\u00e3 d\u00ednh b\u1ec7nh m\u00e0 l\u1ebd ra ph\u00f2ng \u0111\u01b0\u1ee3c nh\u1edd ti\u00eam ch\u1ee7ng \u0111\u00fang l\u1ecbch (ch\u1eb3ng h\u1ea1n vi\u00eam ph\u1ed5i do ph\u1ebf c\u1ea7u hay HIB, hay ho g\u00e0\u2026)<\/p>\n<p>Trong s\u1ed1 n\u00e0y <strong>ti\u00eau ch\u1ea3y v\u00e0 vi\u00eam h\u00f4 h\u1ea5p nh\u1eb9<\/strong> (ho, s\u1ed5 m\u0169i) l\u00e0 l\u00ed do th\u01b0\u1eddng g\u1eb7p nh\u1ea5t khi\u1ebfn nh\u00e2n vi\u00ean y t\u1ebf c\u0169ng nh\u01b0 ph\u1ee5 huynh t\u1eeb ch\u1ed1i ti\u00eam ch\u1ee7ng. Ngo\u00e0i ra, <strong>vi\u00eam tai gi\u1eefa<\/strong> (c\u00f3 s\u1ed1t ho\u1eb7c kh\u00f4ng c\u00f3 s\u1ed1t), <strong>ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 ti\u00eam<\/strong> m\u1ee9c \u0111\u1ed9 nh\u1eb9 ho\u1eb7c trung b\u00ecnh \u1edf l\u1ea7n ti\u00eam tr\u01b0\u1edbc, tr\u1ebb <strong>\u0111ang d\u00f9ng kh\u00e1ng sinh, giai \u0111o\u1ea1n lui b\u1ec7nh c\u1ee7a 1 b\u1ec7nh c\u1ea5p t\u00ednh<\/strong> c\u0169ng l\u00e0 c\u00e1i c\u1edb \u0111\u1ec3 ph\u1ee5 huynh v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf t\u1eeb ch\u1ed1i ti\u00eam ch\u1ee7ng cho tr\u1ebb.<\/p>\n<p>Vaccine kh\u00f4ng n\u00ean b\u1ecb t\u1eeb ch\u1ed1i khi tr\u1ebb b\u1ecb b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u1eb9 ho\u1eb7c c\u00e1c b\u1ec7nh c\u1ea5p kh\u00e1c nh\u01b0ng nh\u1eb9 (d\u00f9 c\u00f3 s\u1ed1t hay kh\u00f4ng). Ch\u1ec9 kh\u00f4ng ti\u00eam vaccine khi tr\u1ebb b\u1ecb b\u1ec7nh c\u1ea5p m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng v\u00ec s\u1ebd d\u1eabn t\u1edbi s\u1ef1 nh\u1eadn \u0111\u1ecbnh l\u1eabn l\u1ed9n gi\u1eef bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh \u0111ang c\u00f3 v\u1edbi c\u00e1c ph\u1ea3n \u1ee9ng ph\u1ee5 c\u1ee7a thu\u1ed1c. Tuy nhi\u00ean n\u00ean ti\u00eam ph\u00f2ng ngay sau khi b\u1ec7nh c\u1ea5p t\u00ednh n\u00e0y c\u1ea3i thi\u1ec7n .<\/p>\n<h2>Khi n\u00e0o kh\u00f4ng n\u00ean ti\u00eam ph\u00f2ng vaccine cho tr\u1ebb?<\/h2>\n<ol>\n<li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh chung cho t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i vaccine l\u00e0 ti\u1ec1n s\u1eed tr\u1ebb \u0111\u00e3 t\u1eebng b\u1ecb <strong>ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1eb7ng<\/strong> (v\u00ed d\u1ee5 s\u1ed1c ph\u1ea3n v\u1ec7\u2026) sau 1 li\u1ec1u vaccine tr\u01b0\u1edbc \u0111\u00f3 ho\u1eb7c v\u1edbi 1 th\u00e0nh ph\u1ea7n n\u00e0o \u0111\u00f3 trong vaccine. Tr\u1eeb phi tr\u1ebb \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1ea3i m\u1eabn c\u1ea3m.<\/li>\n<li>Tr\u1ebb b\u1ecb <strong>suy gi\u1ea3m mi\u1ec5n d\u1ecbch n\u1eb7ng<\/strong> kh\u00f4ng n\u00ean ti\u00eam vaccine s\u1ed1ng, v\u00ed d\u1ee5 : MMR, th\u1ee7y \u0111\u1eadu\u2026<\/li>\n<li>Tr\u1ebb c\u00f3 <strong>ti\u1ec1n s\u1eed b\u1ec7nh n\u00e3o trong v\u00f2ng 7 ng\u00e0y sau ti\u00eam ng\u1eeba vaccine ho g\u00e0<\/strong> (trong c\u00e1c m\u0169i ph\u1ed1i h\u1ee3p b\u1ea1ch h\u1ea7u &#8211; u\u1ed1n v\u00e1n &#8211; ho g\u00e0\u2026) d\u00f9 l\u00e0 ho g\u00e0 to\u00e0n t\u1ebf b\u00e0o hay v\u00f4 b\u00e0o n\u1ebfu kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n n\u00e0o kh\u00e1c.<\/li>\n<li>V\u1ec1 m\u1eb7t l\u00ed thuy\u1ebft thai nhi c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng n\u1ebfu ti\u00eam vaccine s\u1ed1ng, vaccine virus s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c cho ph\u1ee5 n\u1eef c\u00f3 thai . Do \u0111\u00f3 \u0111\u1ec3 an to\u00e0n n\u00ean tr\u00e1nh <strong>kh\u00f4ng ti\u00eam HIB cho tr\u1ebb d\u01b0\u1edbi 6 tu\u1ea7n tu\u1ed5i<\/strong><\/li>\n<\/ol>\n<h2>C\u00e1c t\u00ecnh hu\u1ed1ng n\u00e0o ph\u1ea3i th\u1eadn tr\u1ecdng<\/h2>\n<p>Th\u1eadn tr\u1ecdng ngh\u0129a l\u00e0 c\u1ea7n c\u00e2n nh\u1eafc k\u0129 ch\u1ec9 ti\u00eam khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi nguy c\u01a1, g\u1ed3m:<\/p>\n<ul>\n<li>\u0110ang b\u1ecb<strong> b\u1ec7nh c\u1ea5p t\u00ednh<\/strong> m\u1ee9c \u0111\u1ed9 trung b\u00ecnh ho\u1eb7c n\u1eb7ng, c\u00f3 s\u1ed1t ho\u1eb7c kh\u00f4ng c\u00f3 s\u1ed1t.<\/li>\n<li>Tr\u1ebb ho\u1eb7c gia \u0111\u00ecnh tr\u1ebb c\u00f3 <strong>ti\u1ec1n c\u0103n co gi\u1eadt<\/strong> kh\u00f4ng n\u00ean ti\u00eam vaccine ph\u1ed1i h\u1ee3p MMRV (s\u1edfi &#8211; quai b\u1ecb &#8211; rubella &#8211; th\u1ee7y \u0111\u1eadu)<\/li>\n<li>1 s\u1ed1 th\u1eadn tr\u1ecdng cho ri\u00eang t\u1eebng lo\u1ea1i vaccine :\n<ul>\n<li><strong>MMR<\/strong>: tr\u1ebb \u2264 11 th\u00e1ng , ti\u1ec1n s\u1eed gi\u1ea3m ti\u1ec3u c\u1ea7u ho\u1eb7c xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/li>\n<li><strong>Vi\u00eam gan B<\/strong>: tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng &lt; 2 kg<\/li>\n<li><strong>Vi\u00eam gan A:<\/strong> ph\u1ee5 n\u1eef c\u00f3 thai<\/li>\n<li><strong>Th\u1ee7y \u0111\u1eadu:<\/strong> gi\u1ed1ng MMR<\/li>\n<li><strong>IPV<\/strong> (b\u1ea1i li\u1ec7t d\u1ea1ng ti\u00eam): ph\u1ee5 n\u1eef c\u00f3 thai<\/li>\n<li><strong>HPV:<\/strong> ph\u1ee5 n\u1eef c\u00f3 thai<\/li>\n<li><strong>Rotavirus:<\/strong> suy gi\u1ea3m mi\u1ec5n d\u1ecbch n\u1eb7ng , ti\u1ec1n c\u0103n l\u1ed3ng ru\u1ed9t , b\u1ec7nh l\u00ed d\u1ea1 d\u00e0y ru\u1ed9t m\u1ea1n t\u00ednh, tho\u00e1t v\u1ecb t\u1ee7y ho\u1eb7c bang quang<\/li>\n<li><strong>DTaP<\/strong> ( b\u1ea1ch h\u1ea7u &#8211; u\u1ed1n v\u00e1n \u2013 ho g\u00e0 v\u00f4 b\u00e0o ):\n<ul>\n<li>C\u00e1c r\u1ed1i lo\u1ea1n v\u1ec1 th\u1ea7n kinh ti\u1ebfn tri\u1ec3n ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c,<\/li>\n<li>S\u1ed1t tr\u00ean 40.5 trong v\u00f2ng 48 gi\u1edd \u1edf l\u1ea7n ti\u00eam vaccine tr\u01b0\u1edbc (DTP ho\u1eb7c DTaP) ,<\/li>\n<li>C\u00f3 t\u00ecnh tr\u1ea1ng suy tu\u1ea7n ho\u00e0n ho\u1eb7c gi\u1ed1ng s\u1ed1c trong v\u00f2ng 48 gi\u1edd k\u1ec3 t\u1eeb t\u1eeb l\u00fac ti\u00eam vaccine \u1edf l\u1ea7n tr\u01b0\u1edbc \u0111\u00f3,<\/li>\n<li>Co gi\u1eadt trong v\u00f2ng 3 ng\u00e0y sau khi ti\u00eam DTP\/DTaP \u1edf l\u1ea7n tr\u01b0\u1edbc, qu\u1ea5y kh\u00f3c dai d\u1eb3ng kh\u00f4ng th\u1ec3 d\u1ed7 \u0111\u01b0\u1ee3c \u2265 3 gi\u1edd trong v\u00f2ng 48 ti\u1ebfng k\u1ec3 t\u1eeb l\u00fac ti\u00eam DTP\/DTap \u1edf l\u1ea7n tr\u01b0\u1edbc.<\/li>\n<li>GBS &lt; 6 tu\u1ea7n sau khi \u0111\u01b0\u1ee3c ti\u00eam u\u1ed1n v\u00e1n (th\u00e0nh ph\u1ea7n trong vaccine), th\u1eadn tr\u1ecdng n\u00e0y \u00e1p d\u1ee5ng cho t\u1ea5t c\u1ea3 c\u00e1c vaccine \u0111\u01a1n hay ph\u1ed1i h\u1ee3p m\u00e0 c\u00f3 u\u1ed1n v\u00e1n .<\/li>\n<li>Ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn type ARTHUS \u1edf l\u1ea7n ti\u00eam u\u1ed1n v\u00e1n tr\u01b0\u1edbc \u0111\u00f3, n\u00ean tr\u00e1nh ti\u00eam l\u1ea1i u\u1ed1n v\u00e1n trong v\u00f2ng \u00edt nh\u1ea5t 10 n\u0103m n\u1ebfu c\u00f3 ph\u1ea3n \u1ee9ng n\u00e0y.), th\u1eadn tr\u1ecdng n\u00e0y \u00e1p d\u1ee5ng cho t\u1ea5t c\u1ea3 c\u00e1c vaccine \u0111\u01a1n hay ph\u1ed1i h\u1ee3p m\u00e0 c\u00f3 u\u1ed1n v\u00e1n .<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/590479561149568\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/590479561149568<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u00eau ch\u1ea3y, ho, s\u1ed5 m\u0169i kh\u00f4ng ph\u1ea3i ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ph\u00f2ng. Khi ti\u00eam c\u1ea7n th\u1eadn tr\u1ecdng c\u1ea7n c\u00e2n nh\u1eafc k\u0129 ch\u1ec9 ti\u00eam khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi nguy c\u01a1,<\/p>\n","protected":false},"author":14,"featured_media":4310,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5782,5783],"series":[3454],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Khi n\u00e0o n\u00ean v\u00e0 nh\u1eefng th\u1eadn tr\u1ecdng khi ti\u00eam ph\u00f2ng cho tr\u1ebb - D\u1ef1 \u00e1n Nhi Khoa<\/title>\n<meta name=\"description\" content=\"Ti\u00eau ch\u1ea3y, ho, s\u1ed5 m\u0169i kh\u00f4ng ph\u1ea3i ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ph\u00f2ng. Khi ti\u00eam c\u1ea7n th\u1eadn tr\u1ecdng c\u1ea7n c\u00e2n nh\u1eafc k\u0129 ch\u1ec9 ti\u00eam khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi nguy c\u01a1\" \/>\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\/khi-nao-nen-va-nhung-than-trong-khi-tiem-phong-cho-tre\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Khi n\u00e0o n\u00ean v\u00e0 nh\u1eefng th\u1eadn tr\u1ecdng khi ti\u00eam ph\u00f2ng cho tr\u1ebb - D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"og:description\" content=\"Ti\u00eau ch\u1ea3y, ho, s\u1ed5 m\u0169i kh\u00f4ng ph\u1ea3i ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ph\u00f2ng. 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