{"id":5210,"date":"2019-02-23T12:16:13","date_gmt":"2019-02-23T05:16:13","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/khang-sinh-tranh-su-dung-khi-khong-can-thiet\/"},"modified":"2024-04-23T16:43:29","modified_gmt":"2024-04-23T09:43:29","slug":"khang-sinh-tranh-su-dung-khi-khong-can-thiet","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/khang-sinh-tranh-su-dung-khi-khong-can-thiet\/","title":{"rendered":"Kh\u00e1ng sinh: Tr\u00e1nh s\u1eed d\u1ee5ng khi kh\u00f4ng c\u1ea7n thi\u1ebft"},"content":{"rendered":"<h2 id=\"nhiem-vi-rut\" style=\"text-align: justify\">Nhi\u1ec5m vi r\u00fat<\/h2>\n<p style=\"text-align: justify\">Vi r\u00fat l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra h\u1ea7u h\u1ebft c\u00e1c ch\u1ee9ng nhi\u1ec5m tr\u00f9ng \u1edf tr\u1ebb nh\u1ecf, bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>t\u1ea5t c\u1ea3 c\u00e1c ch\u1ee9ng c\u1ea3m<\/li>\n<li>t\u1ea5t c\u1ea3 c\u00e1c ch\u1ee9ng vi\u00eam thanh qu\u1ea3n<\/li>\n<li>99% ho<\/li>\n<li>99% s\u1ed1t<\/li>\n<li>90% vi\u00eam h\u1ecdng<\/li>\n<li>99% ti\u00eau ch\u1ea3y v\u00e0 \u00f3i m\u1eeda<\/li>\n<\/ul>\n<h2 id=\"nhiem-vi-khuan\" style=\"text-align: justify\">Nhi\u1ec5m vi khu\u1ea9n<\/h2>\n<p style=\"text-align: justify\">Nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n th\u01b0\u1eddng \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n do vi r\u00fat. Vi khu\u1ea9n th\u01b0\u1eddng g\u00e2y ra:<\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"line-height: 1.6em\"> H\u1ea7u h\u1ebft ch\u1ee9ng nhi\u1ec5m tr\u00f9ng tai <\/span><\/li>\n<li>H\u1ea7u h\u1ebft ch\u1ee9ng vi\u00eam xoang<\/li>\n<li>10% ch\u1ee9ng vi\u00eam h\u1ecdng (nhi\u1ec5m tr\u00f9ng c\u1ed5 h\u1ecdng)<\/li>\n<li>Ho g\u00e0<\/li>\n<li>M\u1ed9t s\u1ed1 b\u1ec7nh vi\u00eam ph\u1ed5i (nhi\u1ec5m tr\u00f9ng ph\u1ed5i)<\/li>\n<\/ul>\n<h2 id=\"mot-so-quan-niem-sai-lam-truoc-cac-trieu-chung-thong-thuong\" style=\"text-align: justify\">M\u1ed9t s\u1ed1 quan ni\u1ec7m sai l\u1ea7m tr\u01b0\u1edbc c\u00e1c tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng<\/h2>\n<p style=\"text-align: justify\">Nh\u1eefng tri\u1ec7u ch\u1ee9ng sau \u0111\u00e2y \u0111\u00f4i khi b\u1ecb l\u1ea1m d\u1ee5ng nh\u01b0 l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a nhi\u1ec5m vi khu\u1ea9n:<\/p>\n<ul style=\"text-align: justify\">\n<li>Ch\u1ea3y n\u01b0\u1edbc m\u0169i v\u00e0ng. N\u01b0\u1edbc m\u0169i v\u00e0ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c xem nh\u01b0 m\u1ed9t d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn cho th\u1ea5y b\u1ec7nh nh\u00e2n s\u1eafp h\u1ed3i ph\u1ee5c t\u1eeb b\u1ec7nh c\u1ea3m h\u01a1n l\u00e0 m\u1ed9t \u0111\u1ea7u m\u1ed1i c\u1ee7a ch\u1ee9ng nhi\u1ec5m tr\u00f9ng xoang.<\/li>\n<li>\u0110\u1eddm v\u00e0ng. \u0110\u00e2y l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng c\u1ee7a ch\u1ee9ng vi\u00eam kh\u00ed qu\u1ea3n ho\u1eb7c ph\u1ebf qu\u1ea3n do vi r\u00fat ch\u1ee9 kh\u00f4ng nh\u1ea5t thi\u1ebft l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh vi\u00eam ph\u1ed5i .<\/li>\n<li>S\u1ed1t cao. M\u1ed9t c\u01a1n s\u1ed1t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi vi r\u00fat ho\u1eb7c vi khu\u1ea9n ch\u1ee9 kh\u00f4ng h\u1eb3n ch\u1ec9 l\u00e0 do vi khu\u1ea9n.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter\" src=\"\/\/yhoccongdong.org\/Documents\/2359_antibiotics...jpg\" alt=\"\" width=\"232\" height=\"350\" \/><\/p>\n<h2 id=\"nhung-nguyen-nhan-khong-duoc-lam-dung-khang-sinh\" style=\"text-align: justify\">Nh\u1eefng nguy\u00ean nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c l\u1ea1m d\u1ee5ng kh\u00e1ng sinh<\/h2>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 ng\u01b0\u1eddi cho r\u1eb1ng tr\u1ebb con b\u1ecb c\u1ea3m c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u1ec3 ph\u00f2ng ng\u1eeba ch\u1ee9ng vi\u00eam tai ho\u1eb7c vi\u00eam xoang. \u1ede kho\u1ea3ng 10% tr\u1ebb em, c\u1ea3m s\u1ebd ti\u1ebfn tri\u1ec3n th\u00e0nh vi\u00eam tai v\u00e0 1% l\u00e0 t\u1ec9 l\u1ec7 tr\u1ebb em s\u1ebd m\u1eafc ch\u1ee9ng vi\u00eam xoang sau khi b\u1ecb c\u1ea3m. \u00c1p d\u1ee5ng kh\u00e1ng sinh cho 89% s\u1ed1 tr\u1ebb c\u00f2n l\u1ea1i m\u1eb7c d\u00f9 ch\u00fang kh\u00f4ng c\u1ea7n \u0111\u1ebfn kh\u00e1ng sinh c\u00f3 th\u1ec3 l\u00e0m cho vi khu\u1ea9n tr\u1edf n\u00ean kh\u00e1ng thu\u1ed1c v\u00e0 con b\u1ea1n s\u1ebd ph\u1ea3i ch\u1ecbu nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng c\u1ea7n thi\u1ebft. T\u1ed1t h\u01a1n l\u00e0 h\u00e3y \u0111\u1ee3i v\u00e0 ch\u1ec9 cho tr\u1ebb u\u1ed1ng kh\u00e1ng sinh khi b\u00e9 th\u1ef1c s\u1ef1 b\u1ecb nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n.<\/p>\n<p style=\"text-align: justify\"><strong> Kh\u00e1ng khu\u1ea9n <\/strong><\/p>\n<p style=\"text-align: justify\">Khi vi khu\u1ea9n tr\u1edf n\u00ean kh\u00e1ng thu\u1ed1c \u0111\u1ed1i v\u1edbi m\u1ed9t lo\u1ea1i kh\u00e1ng sinh th\u00ec v\u1ec1 sau, kh\u00e1ng sinh \u0111\u00f3 s\u1ebd kh\u00f4ng th\u1ec3 ti\u00eau di\u1ec7t \u0111\u01b0\u1ee3c lo\u1ea1i vi khu\u1ea9n \u0111\u00f3 n\u1eefa. Khi b\u1ea1n s\u1eed d\u1ee5ng c\u00e0ng nhi\u1ec1u kh\u00e1ng sinh, s\u1ebd c\u00e0ng nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n tr\u1edf n\u00ean kh\u00e1ng thu\u1ed1c. Nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng, m\u1ed9t n\u1eeda trong s\u1ed1 c\u00e1c toa thu\u1ed1c kh\u00e1ng sinh l\u00e0 kh\u00f4ng th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft. \u0110i\u1ec1u n\u00e0y l\u00e0m cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n v\u1ec1 sau tr\u1edf n\u00ean kh\u00f3 kh\u0103n h\u01a1n. Khi ch\u00fang ta ph\u1ea3i chuy\u1ec3n sang d\u00f9ng nh\u1eefng lo\u1ea1i kh\u00e1ng sinh m\u1edbi v\u00e0 \u0111\u1eaft ti\u1ec1n h\u01a1n, vi khu\u1ea9n c\u0169ng s\u1ebd ph\u00e1t tri\u1ec3n v\u00e0 \u0111\u1ec1 kh\u00e1ng c\u1ea3 v\u1edbi nh\u1eefng lo\u1ea1i thu\u1ed1c m\u1edbi \u0111\u00f3. Trong tr\u1eadn chi\u1ebfn gi\u1eefa kh\u00e1ng sinh v\u00e0 vi khu\u1ea9n, d\u01b0\u1eddng nh\u01b0 ph\u1ea7n th\u1eafng s\u1ebd nghi\u00eang v\u1ec1 ph\u00eda vi khu\u1ea9n.<\/p>\n<p style=\"text-align: justify\"><strong> T\u00e1c d\u1ee5ng ph\u1ee5 <\/strong><\/p>\n<p style=\"text-align: justify\">T\u1ea5t c\u1ea3 kh\u00e1ng sinh \u0111\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5. Tr\u1eeb khi con b\u1ea1n th\u1eadt s\u1ef1 c\u1ea7n \u0111\u1ebfn kh\u00e1ng sinh, kh\u00f4ng c\u00f3 l\u00ed do n\u00e0o \u0111\u1ec3 b\u00e9 ph\u1ea3i ch\u1ecbu nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. M\u1ed9t s\u1ed1 tr\u1ebb em d\u00f9ng kh\u00e1ng sinh s\u1ebd b\u1ecb ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, \u00f3i m\u1eeda ho\u1eb7c ph\u00e1t ban. Ch\u1ee9ng ti\u00eau ch\u1ea3y s\u1ebd th\u01b0\u1eddng xuy\u00ean x\u1ea3y ra b\u1edfi v\u00ec kh\u00e1ng sinh s\u1ebd l\u00e0m cho c\u01a1 th\u1ec3 con b\u1ea1n b\u1ecb m\u1ea5t m\u1ed9t s\u1ed1 vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t c\u00f3 l\u1ee3i cho s\u1ee9c kh\u1ecfe. N\u1ebfu b\u00e9 b\u1ecb ph\u00e1t ban, nh\u00e2n vi\u00ean ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n s\u1ebd ph\u1ea3i ki\u1ec3m tra xem ch\u1ee9ng ph\u00e1t ban \u0111\u00f3 l\u00e0 do ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c hay do m\u1ed9t lo\u1ea1i vi r\u00fat kh\u00f4ng li\u00ean quan, v\u00ed d\u1ee5 nh\u01b0 ban \u0111\u00e0o. B\u1edfi v\u00ec th\u1eadt kh\u00f3 \u0111\u1ec3 bi\u1ebft ch\u1eafc \u0111i\u1ec1u \u0111\u00f3 n\u00ean con b\u1ea1n c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh b\u1ecb d\u1ecb \u1ee9ng v\u1edbi kh\u00e1ng sinh m\u1eb7c d\u00f9 b\u00e9 th\u1ef1c s\u1ef1 kh\u00f4ng ph\u1ea3i th\u1ebf. T\u1eeb \u0111\u00f3 tr\u1edf v\u1ec1 sau, con b\u1ea1n s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng lo\u1ea1i kh\u00e1ng sinh \u0111\u00f3 n\u1eefa.<\/p>\n<h2 id=\"tong-ket\" style=\"text-align: justify\">T\u1ed5ng k\u1ebft<\/h2>\n<p style=\"text-align: justify\">N\u1ebfu con b\u1ea1n m\u1eafc nh\u1eefng ch\u1ee9ng b\u1ec7nh do vi r\u00fat th\u00f4ng th\u01b0\u1eddng, kh\u00e1ng sinh s\u1ebd kh\u00f4ng l\u00e0m r\u00fat ng\u1eafn th\u1eddi gian b\u00e9 b\u1ecb s\u1ed1t ho\u1eb7c gi\u00fap gi\u1ea3m nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c. Kh\u00e1ng sinh s\u1ebd kh\u00f4ng th\u1ec3 gi\u00fap b\u00e9 tr\u1edf l\u1ea1i tr\u01b0\u1eddng h\u1ecdc ho\u1eb7c b\u1ea1n tr\u1edf l\u1ea1i n\u01a1i l\u00e0m vi\u1ec7c s\u1edbm h\u01a1n. N\u1ebfu con b\u1ea1n c\u00f3 nh\u1eefng ph\u1ea3n \u1ee9ng ph\u1ee5 khi s\u1eed d\u1ee5ng kh\u00e1ng sinh, b\u00e9 c\u00f3 th\u1ec3 s\u1ebd c\u00f2n c\u1ea3m th\u1ea5y t\u1ed3i t\u1ec7 h\u01a1n thay v\u00ec c\u1ea3m th\u1ea5y kh\u1ecfe h\u01a1n.<\/p>\n<p style=\"text-align: justify\">Kh\u00e1ng sinh n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng khi b\u00e9 b\u1ecb nhi\u1ec5m tr\u00f9ng tai, nhi\u1ec5m tr\u00f9ng xoang, nhi\u1ec5m tr\u00f9ng c\u1ed5 h\u1ecdng v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n kh\u00e1c. Khi b\u00e9 s\u1ed5 m\u0169i v\u00e0ng, c\u00f3 \u0111\u1eddm v\u00e0ng, s\u1ed1t cao v\u00e0 k\u00e8m theo m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng nh\u01b0 ho, c\u1ea3m, h\u00e3y \u0111i\u1ec1u tr\u1ecb cho b\u00e9 b\u1eb1ng nh\u1eefng lo\u1ea1i thu\u1ed1c ph\u1ed5 bi\u1ebfn kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n hay nh\u1eefng b\u00e0i thu\u1ed1c d\u00e2n gian c\u00f3 th\u1ec3 t\u1ef1 ch\u1ebf bi\u1ebfn t\u1ea1i nh\u00e0 t\u1eeb c\u00e1c lo\u1ea1i rau c\u1ee7, c\u00e2y gia v\u1ecb &#8230; Th\u1eadt may m\u1eafn l\u00e0 c\u01a1 th\u1ec3 ch\u00fang ta c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 s\u1ea3n xu\u1ea5t ra nh\u1eefng kh\u00e1ng th\u1ec3, v\u00e0 nh\u1eefng kh\u00e1ng th\u1ec3 n\u00e0y c\u00f3 th\u1ec3 ti\u00eau di\u1ec7t \u0111\u01b0\u1ee3c c\u00e1c lo\u1ea1i vi r\u00fat trong t\u01b0\u01a1ng lai.<\/p>\n<p>H\u00e3y g\u1ecdi cho nh\u00e2n vi\u00ean ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n n\u1ebfu con b\u1ea1n ph\u00e1t sinh nh\u1eefng d\u1ea5u hi\u1ec7u m\u1edbi m\u00e0 b\u1ea1n nghi ng\u1edd l\u00e0 ch\u00fang c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh do vi khu\u1ea9n g\u00e2y ra.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/www.childrenshealthnetwork.org\/CRS\/CRS\/pa_antiprev_hhg.htm\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.childrenshealthnetwork.org\/CRS\/CRS\/pa_antiprev_hhg.htm <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u1ebfu con b\u1ea1n m\u1eafc nh\u1eefng b\u1ec7nh do vi r\u00fat th\u00f4ng th\u01b0\u1eddng, kh\u00e1ng sinh s\u1ebd kh\u00f4ng l\u00e0m r\u00fat ng\u1eafn th\u1eddi gian b\u00e9 b\u1ecb s\u1ed1t ho\u1eb7c gi\u00fap gi\u1ea3m nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c<\/p>\n","protected":false},"author":211,"featured_media":5213,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6076],"tags":[],"series":[3912],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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