{"id":4413,"date":"2018-10-02T11:08:31","date_gmt":"2018-10-02T04:08:31","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/10\/02\/sot-loi-ich-va-tac-hai\/"},"modified":"2024-03-04T13:51:15","modified_gmt":"2024-03-04T06:51:15","slug":"sot-loi-ich-va-tac-hai","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/sot-loi-ich-va-tac-hai\/","title":{"rendered":"S\u1ed1t: L\u1ee3i \u00edch v\u00e0 t\u00e1c h\u1ea1i"},"content":{"rendered":"<h2>Khi n\u00e0o g\u1ecdi l\u00e0 s\u1ed1t<\/h2>\n<ul>\n<li>Khi \u0111o nhi\u1ec7t \u0111\u1ed9 \u1edf h\u1eadu m\u00f4n, tr\u00e1n v\u00e0 tai t\u1eeb 38 \u0111\u1ed9 C tr\u1edf l\u00ean<\/li>\n<li>Khi \u0111o nhi\u1ec7t \u0111\u1ed9 \u1edf mi\u1ec7ng t\u1eeb 37.8 \u0111\u1ed9 C<\/li>\n<li>Khi \u0111o nhi\u1ec7t \u0111\u1ed9 \u1edf n\u00e1ch t\u1eeb 37.3 \u0111\u1ed9 C<\/li>\n<\/ul>\n<p><strong>L\u01b0u \u00fd<\/strong>: s\u00e1ng s\u1edbm m\u1edbi ng\u1ee7 d\u1eady v\u00e0 chi\u1ec1u t\u1ed1i th\u00e2n nhi\u1ec7t c\u00f3 th\u1ec3 nh\u1ec9nh h\u01a1n t\u1eeb 0.3- 0.5 \u0111\u1ed9 l\u00e0 sinh l\u00ed b\u00ecnh th\u01b0\u1eddng.<\/p>\n<h2>L\u1ee3i \u00edch c\u1ee7a s\u1ed1t<\/h2>\n<p>L\u1ee3i \u00edch c\u1ee7a s\u1ed1t bao g\u1ed3m<\/p>\n<ul>\n<li>\u1ee8c ch\u1ebf s\u1ef1 tr\u01b0\u1edfng th\u00e0nh v\u00e0 sinh s\u1ea3n c\u1ee7a 1 s\u1ed1 vi khu\u1ea9n, virus (b\u1edfi v\u00ec n\u00f3 li\u00ean quan t\u1edbi s\u1ef1 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 s\u1eaft trong huy\u1ebft thanh)<\/li>\n<li>C\u1ee7ng c\u1ed1 ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch \u1edf 1 m\u1ee9c \u0111\u1ed9 gia t\u0103ng nhi\u1ec7t trung b\u00ecnh (m\u1eb7c d\u00f9 1 s\u1ed1 l\u1ee3i \u00edch n\u00e0y b\u1ecb m\u1ea5t \u0111i khi nhi\u1ec7t \u0111\u1ed9 l\u00ean \u0111\u1ebfn 40 \u0111\u1ed9 C.<\/li>\n<\/ul>\n<p>1 s\u1ed1 nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng c\u00f3 s\u1ef1 gia t\u0103ng kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t n\u1ebfu c\u00f3 s\u1ed1t. Tuy nhi\u00ean c\u00e1c l\u1ee3i \u00edch c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m b\u1edbt ho\u1eb7c \u0111\u1ea3o ng\u01b0\u1ee3c n\u1ebfu nhi\u1ec7t \u0111\u1ed9 l\u00ean cao qu\u00e1. Nh\u1eefng \u0111i\u1ec1u n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft t\u1edbi \u1edf con ng\u01b0\u1eddi .<\/p>\n<h2>T\u00e1c h\u1ea1i c\u1ee7a s\u1ed1t<\/h2>\n<p>S\u1ed1t c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu. N\u00f3 li\u00ean quan t\u1edbi vi\u1ec7c gia t\u0103ng t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a, ti\u00eau th\u1ee5 oxy, s\u1ea3n xu\u1ea5t CO2 v\u00e0 nhu c\u1ea7u c\u1ee7a h\u1ec7 tim m\u1ea1ch \u2013 h\u00f4 h\u1ea5p. \u1ede 1 \u0111\u1ee9a tr\u1ebb b\u00ecnh th\u01b0\u1eddng th\u00ec nh\u1eefng \u0111i\u1ec1u n\u00e0y l\u00e0 r\u1ea5t \u00edt ho\u1eb7c kh\u00f4ng g\u00e2y h\u1eadu qu\u1ea3 g\u00ec. Tuy nhi\u00ean \u0111\u1ed1i v\u1edbi 1 \u0111\u1ee9a tr\u1ebb \u0111ang b\u1ecb s\u1ed1c ho\u1eb7c c\u00f3 tim \u2013 ph\u1ed5i b\u1ea5t th\u01b0\u1eddng th\u00ec s\u1ef1 gia t\u0103ng nhu c\u1ea7u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y b\u1ea5t l\u1ee3i v\u00e0 n\u1ed5i tr\u1ed9i h\u01a1n so v\u1edbi l\u1ee3i \u00edch mi\u1ec5n d\u1ecbch thu \u0111\u01b0\u1ee3c t\u1eeb s\u1ed1t.<\/p>\n<p>Trong c\u00e1c nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m tr\u00ean s\u00fac v\u1eadt, s\u1ed1t c\u00f3 li\u00ean quan t\u1edbi s\u1ef1 suy gi\u1ea3m \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch (v\u00ed d\u1ee5 nh\u01b0 s\u1ef1 th\u1ef1c b\u00e0o c\u00e1c ch\u1ee7ng t\u1ee5 c\u1ea7u, s\u1ef1 chuy\u1ec3n d\u1ea1ng c\u1ee7a c\u00e1c lympho b\u00e0o trong \u0111\u00e1p \u1ee9ng v\u1edbi mitogen) v\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o (bao g\u1ed3m c\u1ea3 ph\u00f9 v\u00e0 xu\u1ea5t huy\u1ebft n\u00e3o) m\u1eb7c d\u1ea7u nh\u1eefng ph\u00e1t hi\u1ec7n n\u00e0y \u1edf ng\u01b0\u1eddi l\u00e0 ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn.<\/p>\n<p>Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y s\u1ed1t tr\u00ean 40 \u0111\u1ed9 C c\u00f3 li\u00ean quan v\u1edbi s\u1ef1 gia t\u0103ng nguy c\u01a1 k\u1ebft c\u1ee5c x\u1ea5u (nh\u01b0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o), m\u1eb7c d\u00f9 nhi\u1ec1u b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c tr\u1ebb tin t\u01b0\u1edfng nh\u01b0 v\u1eady.<\/p>\n<h2>V\u1eady khi n\u00e0o th\u00ec c\u1ea7n d\u00f9ng h\u1ea1 s\u1ed1t ?<\/h2>\n<ul>\n<li>S\u1ed1t t\u1eeb 40 \u0111\u1ed9 C tr\u1edf l\u00ean<\/li>\n<li>S\u1ed1t l\u00e0m em b\u00e9 tr\u1edf n\u00ean kh\u00f3 ch\u1ecbu (uncomfortable)<\/li>\n<li>C\u00f3 b\u1ec7nh l\u00ed n\u1ec1n v\u1ec1 tim, ph\u1ed5i, th\u1ea7n kinh (v\u00ed d\u1ee5 b\u1ec7nh tim b\u1ea9m sinh, suy tim, b\u1ec7nh ph\u1ed5i m\u1ea1n, ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o\u2026 H\u1eadu ph\u1eabu , ph\u1ecfng.\u00a0Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y ph\u1ea3i h\u1ea1 s\u1ed1t s\u1edbm. V\u00ed d\u1ee5 tr\u1ebb c\u00f3 s\u1eb5n b\u1ec7nh \u0111\u1ed9ng kinh, s\u1ed1t c\u00f3 th\u1ec3 k\u00edch th\u00edch t\u1ea1o n\u00ean m\u1ed9t <a href=\"https:\/\/yhoccongdong.com\/thongtin\/co-giat-do-sot-cao-hanh-xu-the-nao-cho-dung\/\" target=\"_blank\" rel=\"noopener\">c\u01a1n co gi\u1eadt<\/a>. Tr\u1ebb c\u00f3 b\u1ec7nh tim b\u1ea9m sinh s\u1ed1t l\u00e0m gia t\u0103ng nh\u1ecbp tim c\u00f3 th\u1ec3 d\u1eabn t\u1edbi suy tim.<\/li>\n<li>\u0110ang s\u1ed1c<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u n\u1eb7ng<\/li>\n<li>R\u1ed1i lo\u1ea1n n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i<\/li>\n<li>Sau ch\u1ee9ng \u0111au tim<\/li>\n<\/ul>\n<h2>H\u1ea1 s\u1ed1t nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>Khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh h\u1ea1 s\u1ed1t \u00e1p d\u1ee5ng m\u1ed9t trong c\u00e1c ph\u01b0\u01a1ng \u00e1n sau<\/p>\n<ul>\n<li>Acetaminophen (hapacol, efferagan, tylenol..) li\u1ec1u 10-15 mg\/kg\/l\u1ea7n, 4-6 gi\u1edd m\u1ed9t l\u1ea7n n\u1ebfu c\u1ea7n. V\u00ed d\u1ee5 tr\u1ebb 10 k\u00ed 1 l\u1ea7n x\u00e0i 1 g\u00f3i \/ vi\u00ean 150 mg.<\/li>\n<li>Ibuprofen li\u1ec1u 5-10 mg\/kg \/l\u1ea7n, 6 gi\u1edd m\u1ed9t l\u1ea7n n\u1ebfu c\u1ea7n. Thu\u1ed1c n\u00e0y n\u00ean c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 m\u1edbi d\u00f9ng v\u00ec nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n. V\u00ed d\u1ee5 chai ibuprofen 100mg\/ 5ml tr\u1ebb n\u1eb7ng 10 k\u00ed 1 l\u1ea7n x\u00e0i 5 ml<\/li>\n<li>Lau m\u00e1t h\u1ea1 s\u1ed1t : kh\u00f4ng khuy\u1ebfn c\u00e1o th\u01b0\u1eddng qui v\u00ec t\u00e1c d\u1ee5ng kh\u00f4ng b\u1ec1n v\u1eefng v\u00e0 gia t\u0103ng s\u1ef1 kh\u00f3 ch\u1ecbu cho tr\u1ebb. Ch\u1ec9 \u00e1p d\u1ee5ng khi tr\u1ebb b\u1ecb gia t\u0103ng th\u00e2n nhi\u1ec7t nh\u01b0 s\u1ed1c n\u00f3ng.<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p m\u1eb9 \u00f4m con \u0111\u1ec3 truy\u1ec1n nhi\u1ec7t (\u00e1p da) t\u00f4i ch\u01b0a th\u1ea5y c\u00f3 khuy\u1ebfn c\u00e1o m\u1eb7c d\u00f9 kh\u00f4ng bi\u1ebft c\u00e1c m\u1eb9 nghe \u1edf \u0111\u00e2u m\u00e0 \u0111ang d\u00f9ng kh\u00e1 nhi\u1ec1u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y v\u00e0 ph\u01b0\u01a1ng ph\u00e1p lau m\u00e1t h\u1ea1 s\u1ed1t c\u00f3 c\u00f9ng 1 nguy\u00ean l\u00ed: nhi\u1ec7t truy\u1ec1n t\u1eeb n\u01a1i cao sang n\u01a1i th\u1ea5p, gi\u00e1 tr\u1ecb c\u1ee7a n\u00f3 c\u00f3 h\u1ea1n v\u00e0 nh\u1ea5t th\u1eddi kh\u00f4ng c\u00e0i \u0111\u1eb7t l\u1ea1i \u0111i\u1ec3m \u0111i\u1ec1u nhi\u1ec7t trong n\u00e3o \u0111\u01b0\u1ee3c.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/su-dung-mieng-dan-ha-sot-cho-tre\/\" target=\"_blank\" rel=\"noopener\">Mi\u1ebfng d\u00e1n h\u1ea1 s\u1ed1t<\/a>: kh\u00f4ng khuy\u1ebfn c\u00e1o<\/li>\n<li>C\u00e1c lo\u1ea1i l\u00e1 c\u00e2y : kh\u00f4ng khuy\u1ebfn c\u00e1o<\/li>\n<li>C\u1edfi tho\u00e1ng \u00e1o qu\u1ea7n, u\u1ed1ng n\u01b0\u1edbc nhi\u1ec1u<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/641621039368753\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/641621039368753<\/a><\/li>\n<li><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/587134378150753\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/587134378150753<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ed1t c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu. N\u00f3 li\u00ean quan t\u1edbi vi\u1ec7c gia t\u0103ng t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a, ti\u00eau th\u1ee5 oxy, s\u1ea3n xu\u1ea5t CO2 v\u00e0 nhu c\u1ea7u c\u1ee7a h\u1ec7 tim m\u1ea1ch \u2013 h\u00f4 h\u1ea5p<\/p>\n","protected":false},"author":14,"featured_media":4414,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5600,4548,4286,5832,5833,4915],"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>S\u1ed1t: L\u1ee3i \u00edch v\u00e0 t\u00e1c h\u1ea1i - D\u1ef1 \u00e1n Nhi Khoa<\/title>\n<meta name=\"description\" content=\"S\u1ed1t: L\u1ee3i \u00edch v\u00e0 t\u00e1c h\u1ea1i - D\u1ef1 \u00e1n Nhi Khoa\" \/>\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\/sot-loi-ich-va-tac-hai\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"S\u1ed1t: L\u1ee3i \u00edch v\u00e0 t\u00e1c h\u1ea1i - 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