{"id":5458,"date":"2015-07-14T17:00:00","date_gmt":"2015-07-14T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/viem-tai-giua\/"},"modified":"2024-04-24T12:09:27","modified_gmt":"2024-04-24T05:09:27","slug":"viem-tai-giua","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/viem-tai-giua\/","title":{"rendered":"Vi\u00eam tai gi\u1eefa"},"content":{"rendered":"<p style=\"text-align: justify\">Sau c\u1ea3m l\u1ea1nh, vi\u00eam tai l\u00e0 b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u1ea5t cho tr\u1ebb em \u1edf M\u0129. H\u1ea7u h\u1ebft tr\u1ebb s\u1ebd b\u1ecb vi\u00eam tai \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n trong 3 n\u0103m \u0111\u1ea7u \u0111\u1eddi.<\/p>\n<h2 id=\"tong-quan-ve-tai\" style=\"text-align: justify\">T\u1ed5ng quan v\u1ec1 tai<\/h2>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter\" style=\"width: 500px;height: 315px\" src=\"\/\/yhoccongdong.org\/Documents\/2737_viem-tai-giua.jpg\" alt=\"C\u1ea5u tr\u00fac c\u1ee7a tai\" width=\"942\" height=\"506\" \/><\/p>\n<p style=\"text-align: center\"><em>Tr\u00edch d\u1eabn t\u1eeb b\u00e0i gi\u1ea3ng B\u1ec7nh l\u00fd Tai Ngo\u00e0i c\u1ee7a th\u1ea7y Thi\u1ec1u V\u0129 Tu\u1ea5n <\/em><\/p>\n<p style=\"text-align: justify\">\u0110\u1ec3 hi\u1ec3u r\u00f5 s\u1ef1 nhi\u1ec5m tr\u00f9ng \u1edf tai ti\u1ebfn tri\u1ec3n nh\u01b0 th\u1ebf n\u00e0o, ch\u00fang ta h\u00e3y c\u00f9ng xem l\u1ea1i c\u00e1ch ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tai.<\/p>\n<p style=\"text-align: justify\">C\u00f3 bao gi\u1edd b\u1ea1n suy ngh\u0129 v\u1ec1 c\u00e1ch b\u1ea1n\u00a0c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 \u0111\u1ed9ng c\u1ee7a loa m\u00f4i khi b\u1ea1n nghe nh\u1ea1c ho\u1eb7c c\u1ea3m th\u1ea5y c\u1ed5 h\u1ecdng c\u1ee7a b\u1ea1n rung l\u00ean khi b\u1ea1n n\u00f3i. \u00c2m thanh l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y n\u00ean nh\u1eefng rung \u0111\u1ed9ng \u0111\u00f3, ch\u00fang \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb nh\u1eefng l\u00e0n s\u00f3ng n\u0103ng l\u01b0\u1ee3ng v\u00f4 h\u00ecnh. M\u1ed7i l\u1ea7n b\u1ea1n nghe th\u1ea5y m\u1ed9t ti\u1ebfng \u0111\u1ed9ng, c\u00e1c c\u01a1 quan c\u1ee7a tai ph\u1ea3i v\u1eadn h\u00e0nh c\u00f9ng nhau \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00edn hi\u1ec7u th\u00f4ng tin \u0111\u01b0\u1ee3c truy\u1ec1n t\u1edbi n\u00e3o.<\/p>\n<p style=\"text-align: justify\">Tai ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho vi\u1ec7c nghe, gi\u1eef th\u0103ng b\u1eb1ng v\u00e0 c\u1ea5u t\u1ea1o g\u1ed3m 3 ph\u1ea7n: tai ngo\u00e0i, tai gi\u1eefa v\u00e0 tai trong. Qu\u00e1 tr\u00ecnh nghe \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u khi s\u00f3ng \u00e2m \u0111\u01b0\u1ee3c truy\u1ec1n qua kh\u00f4ng kh\u00ed \u0111\u1ebfn tai ngo\u00e0i, hay c\u00f2n g\u1ecdi l\u00e0 loa tai &#8211; l\u00e0 ph\u1ea7n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y \u1edf tai. Sau \u0111\u00f3, \u00e2m \u0111\u01b0\u1ee3c truy\u1ec1n qua \u1ed1ng tai \u0111\u1ebfn tai gi\u1eefa, b\u1ed9 ph\u1eadn c\u00f3 2 c\u1ea5u tr\u00fac nh\u1ecf l\u00e0: m\u00e0ng nh\u0129 (m\u1ed9t l\u1edbp m\u00f4 m\u1ecfng) v\u00e0 3 x\u01b0\u01a1ng nh\u1ecf g\u1ecdi l\u00e0 chu\u1ed7i x\u01b0\u01a1ng con. Khi m\u00e0ng nh\u0129 rung, chu\u1ed7i x\u01b0\u01a1ng con khu\u1ebfch \u0111\u1ea1i nh\u1eefng rung \u0111\u1ed9ng n\u00e0y v\u00e0 truy\u1ec1n \u0111\u1ebfn tai trong.<\/p>\n<p style=\"text-align: justify\">Sau \u0111\u00f3, tai trong bi\u1ebfn \u0111\u1ed5i c\u00e1c rung \u0111\u1ed9ng n\u00e0y th\u00e0nh t\u00edn hi\u1ec7u \u0111i\u1ec7n v\u00e0 g\u1eedi qua d\u00e2y th\u1ea7n kinh th\u00ednh gi\u00e1c t\u1edbi n\u00e3o. Khi c\u00e1c xung th\u1ea7n kinh n\u00e0y \u0111\u1ebfn n\u00e3o, ch\u00fang m\u1edbi \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh \u00e2m thanh.<\/p>\n<p style=\"text-align: justify\"><strong>V\u00f2i nh\u0129 <\/strong><\/p>\n<p style=\"text-align: justify\">\u0110\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, tai gi\u1eefa ph\u1ea3i c\u00f3 c\u00f9ng \u00e1p su\u1ea5t v\u1edbi th\u1ebf gi\u1edbi b\u00ean ngo\u00e0i. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o b\u1edfi <strong> <em> v\u00f2i nh\u0129 <\/em> <\/strong> , m\u1ed9t \u1ed1ng nh\u1ecf n\u1ed1i t\u1eeb tai gi\u1eefa \u0111\u1ebfn ph\u1ea7n c\u1ed5 h\u1ecdng n\u1eb1m sau m\u0169i.<\/p>\n<p style=\"text-align: justify\">B\u1eb1ng c\u00e1ch \u0111\u1ec3 cho kh\u00f4ng kh\u00ed th\u00f4ng \u0111\u1ebfn tai gi\u1eefa, <strong> <em> v\u00f2i nh\u0129 <\/em> <\/strong> c\u00e2n b\u1eb1ng \u00e1p su\u1ea5t kh\u00f4ng kh\u00ed gi\u1eefa tai gi\u1eefa v\u00e0 \u00e1p su\u1ea5t b\u00ean ngo\u00e0i. (Khi b\u1ea1n nghe tai m\u00ecnh k\u00eau &#8220;b\u1ee5p&#8221; khi ng\u00e1p ho\u1eb7c nu\u1ed1t, \u0111\u00f3 l\u00e0 l\u00fac <strong> <em> v\u00f2i nh\u0129 <\/em> <\/strong> \u0111i\u1ec1u ch\u1ec9nh \u00e1p su\u1ea5t c\u1ee7a tai gi\u1eefa).\u00a0<strong><em>V\u00f2i nh\u0129 <\/em> <\/strong> c\u00f2n c\u00f3 ch\u1ee9c n\u0103ng d\u1eabn l\u01b0u d\u1ecbch \u00a0t\u1eeb tai gi\u1eefa xu\u1ed1ng c\u1ed5 h\u1ecdng.<\/p>\n<p style=\"text-align: justify\">\u0110\u00f4i khi, <strong> <em> v\u00f2i nh\u0129 <\/em> <\/strong> c\u00f3 th\u1ec3 g\u1eb7p s\u1ef1 c\u1ed1. V\u00ed d\u1ee5 nh\u01b0 khi m\u1ed9t ng\u01b0\u1eddi b\u1ecb c\u1ea3m ho\u1eb7c b\u1ecb d\u1ecb \u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ed1c m\u0169i, <strong> <em> v\u00f2i nh\u0129 <\/em> <\/strong> c\u00f3 th\u1ec3 b\u1ecb t\u1eafc d\u00f2 ph\u00f9 n\u1ec1 ni\u00eam m\u1ea1c <strong> <em> v\u00f2i nh\u0129 \u00a0<\/em><\/strong>ho\u1eb7c dich nh\u1ea7y trong tai b\u1ecb \u0111\u00f4ng l\u1ea1i. S\u01b0 t\u1eafc ngh\u1ebdn n\u00e0y s\u1ebd t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho c\u00e1c lo\u1ea1i d\u1ecbch \u0111\u1ecdng l\u1ea1i trong tai gi\u1eefa, v\u1ed1n b\u00ecnh th\u01b0\u1eddng ch\u1ee9a \u0111\u1ea7y kh\u00f4ng kh\u00ed.<\/p>\n<p style=\"text-align: justify\">Vi khu\u1ea9n ho\u1eb7c virus \u0111\u00e3 th\u00e2m nh\u1eadp v\u00e0o tai gi\u1eefa th\u00f4ng qua <strong> <em> v\u00f2i nh\u0129 <\/em> <\/strong> c\u00f3 th\u1ec3 b\u1ecb k\u1eb9t l\u1ea1i theo c\u00e1ch n\u00e0y. Ch\u00fang s\u1ebd sinh s\u1ea3n trong c\u00e1c ch\u1ea5t d\u1ecbch nh\u1ea7y b\u1ecb ngh\u1eb9t, l\u00e2u d\u1ea7n g\u00e2y ra vi\u00eam tai.<\/p>\n<h2 id=\"viem-tai-giua\" style=\"text-align: justify\">Vi\u00eam tai gi\u1eefa<\/h2>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 200px;height: 211px\" src=\"\/\/yhoccongdong.org\/Documents\/2738_viemtaigiuathanhdich.jpg\" alt=\"vi\u00eam tai gi\u1eefa d\u1ecbch thanh\" \/><\/p>\n<p style=\"text-align: center\"><em>Vi\u00eam tai gi\u1eefa thanh d\u1ecbch <\/em><\/p>\n<p style=\"text-align: justify\">S\u1ef1 vi\u00eam nhi\u1ec5m x\u1ea3y ra \u1edf tai gi\u1eefa c\u00f2n g\u1ecdi l\u00e0 Vi\u00eam tai gi\u1eefa (Otitis media). B\u00e1c s\u0129 th\u01b0\u1eddng ph\u00e2n bi\u1ec7t gi\u1eefa Vi\u00eam tai gi\u1eefa c\u1ea5p v\u00e0 m\u1ed9t lo\u1ea1i vi\u00eam tai th\u01b0\u1eddng g\u1eb7p kh\u00e1c (g\u1ecdi l\u00e0 vi\u00eam tai ngo\u00e0i).<\/p>\n<p style=\"text-align: justify\">Vi\u00eam tai gi\u1eefa c\u1ea5p \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi c\u00f3 d\u1ecbch (th\u01b0\u1eddng l\u00e0 m\u1ee7) trong tai, g\u00e2y \u0111au \u0111\u1edbn v\u00e0 m\u00e0ng nh\u0129 s\u01b0ng \u0111\u1ecf, \u0111\u00f4i khi s\u1ed1t.<\/p>\n<p style=\"text-align: justify\">Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, vi\u00eam tai gi\u1eefa c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh\u00a0vi\u00eam tai gi\u1eefa m\u1ea1n t\u00ednh (khi m\u00e0 ch\u1ea5t l\u1ecfng \u1edf trong tai 6 tu\u1ea7n ho\u1eb7c l\u00e2u h\u01a1n) ho\u1eb7c trong tr\u01b0\u1eddng h\u1ee3p c\u1ee7a vi\u00eam tai thanh d\u1ecbch (c\u00f3 ch\u1ea5t l\u1ecfng trong tai trong th\u1eddi gian ng\u1eafn ch\u1ea5t l\u1ecfng ch\u1ec9 \u1edf trong tai th\u1eddi gian ng\u1eafn v\u00e0 kh\u00f4ng nh\u1ea5t thi\u1ebft ch\u1ea5t d\u1ecbch \u0111\u00f3 l\u00e0 s\u1ef1 vi\u00eam nhi\u1ec5m g\u00e2y ra).<\/p>\n<p style=\"text-align: justify\">B\u00e1c s\u0129 th\u01b0\u1eddng c\u1ed1 g\u1eafng ph\u00e2n bi\u1ec7t c\u00e1c lo\u1ea1i vi\u00eam tai \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd, kh\u00f4ng ph\u1ea3i tr\u01b0\u1eddng h\u1ee3p vi\u00eam tai n\u00e0o c\u0169ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh.<\/p>\n<h2 id=\"nguyen-nhan\" style=\"text-align: justify\">Nguy\u00ean nh\u00e2n<\/h2>\n<p style=\"text-align: justify\">Tr\u1ebb em d\u1ec5 m\u1eafc ph\u1ea3i c\u00e1c ch\u1ee9ng vi\u00eam nhi\u1ec5m \u1edf tai trong kho\u1ea3ng t\u1eeb 2 \u0111\u1ebfn 4 tu\u1ed5i do m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong><em>V\u00f2i nh\u0129 <\/em> <\/strong> c\u1ee7a tr\u1ebb ng\u1eafn v\u00e0 \u00edt nghi\u00eang h\u01a1n so v\u1edbi ng\u01b0\u1eddi l\u1edbn, \u0111i\u1ec1u n\u00e0y cho ph\u00e9p vi khu\u1ea9n v\u00e0 virus th\u00e2m nh\u1eadp v\u00e0o tai gi\u1eefa d\u1ec5 d\u00e0ng h\u01a1n. V\u00f2i c\u0169ng h\u1eb9p h\u01a1n n\u00ean d\u1ec5 b\u1ecb ngh\u1eb9t.<\/li>\n<li>Amidan v\u00f2m hay c\u00f2n g\u00f2i l\u00e0 V.A \u00a0&#8211; t\u1ed5 ch\u1ee9c m\u00f4 lympho (c\u1ee7a h\u1ec7 mi\u1ec7n d\u1ecbch) n\u1eb1m \u1edf v\u00f2m h\u1ecdng g\u1ea7n <em> <strong> v\u00f2i nh\u0129 <\/strong> <\/em> &#8211; \u1edf tr\u1ebb em th\u00ec V.A \u00a0l\u1edbn h\u01a1n so v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh n\u00ean c\u1ea3n tr\u1edf vi\u1ec7c m\u1edf r\u1ed9ng c\u1ee7a l\u1ed7 <strong> <em> v\u00f2i nh\u0129 <\/em> <\/strong> \u0111\u1ec3 d\u1eabn l\u01b0u d\u1ecbch.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 l\u00e0m cho tr\u1ebb b\u1ecb vi\u00eam tai nh\u01b0 vi\u1ec7c h\u00edt ph\u1ea3i kh\u00f3i thu\u1ed1c l\u00e1, b\u00fa b\u00ecnh ho\u1eb7c do ng\u01b0\u1eddi ch\u0103m s\u00f3c.<\/p>\n<p style=\"text-align: justify\">C\u00e1c b\u00e9 trai th\u01b0\u1eddng b\u1ecb nhi\u1ec1u h\u01a1n b\u00e9 g\u00e1i. Tr\u1ebb c\u00f3 b\u1ec7nh s\u1eed gia \u0111\u00ecnh b\u1ecb vi\u00eam tai c\u0169ng d\u1ec5 b\u1ecb h\u01a1n so v\u1edbi nh\u1eefng tr\u1ebb kh\u00e1c. B\u1ec7nh c\u0169ng ph\u1ed5 bi\u1ebfn h\u01a1n v\u00e0o m\u00f9a \u0111\u00f4ng, khi c\u00f3 nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb c\u1ea3m v\u00e0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/p>\n<h2 id=\"dau-hieu-va-trieu-chung\" style=\"text-align: justify\">D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng<\/h2>\n<p style=\"text-align: justify\">C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam tai gi\u1eefa c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng:<\/p>\n<ul style=\"text-align: justify\">\n<li>D\u1ecbch trong tai gi\u1eefa c\u00f3 th\u1ec3 \u0111\u1ea9y c\u0103ng m\u00e0ng nh\u0129 g\u00e2y ra \u0111au. Tr\u1ebb l\u1edbn c\u00f3 th\u1ec3 than phi\u1ec1n l\u00e0 b\u1ecb \u0111au tai, nh\u01b0ng\u00a0 tr\u1ebb nh\u1ecf h\u01a1n s\u1ebd hay k\u00e9o m\u1ea1nh tai ho\u1eb7c d\u1eabn c\u00e1u k\u1ec9nh v\u00e0 kh\u00f3c nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>Khi n\u1eb1m, nhai ho\u1eb7c m\u00fat l\u00e0m thay \u0111\u1ed5i \u00e1p l\u1ef1c b\u00ean trong tai gi\u1eefa\u00a0l\u00e0m cho \u0111\u1ee9a tr\u1ebb b\u1ecb \u0111au nhi\u1ec1u h\u01a1n, d\u1eabn \u0111\u1ebfn \u0103n k\u00e9m h\u01a1n so v\u1edbi th\u01b0\u1eddng ng\u00e0y v\u00e0 kh\u00f3 ng\u1ee7 h\u01a1n.<\/li>\n<li>Khi d\u1ecbch trong tai qu\u00e1 nhi\u1ec1u d\u1eabn \u0111\u1ebfn \u00e1p l\u1ef1c b\u00ean trong tai qu\u00e1 l\u1edbn c\u00f3 th\u1ec3 g\u00e2y th\u1ee7ng m\u00e0ng nh\u0129 \u0111\u1ec3 gi\u1ea3m \u00e1p l\u1ef1c sau m\u00e0ng nh\u0129, \u0111i\u1ec1u n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u1ee7 tai v\u00e0 khi \u0111\u00f3 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u1ea3m gi\u00e1c c\u01a1n \u0111au \u0111\u00e3 gi\u1ea3m \u0111i r\u1ea5t nhi\u1ec1u.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Vi\u1ec7c t\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng \u1edf tai gi\u1eefa s\u1ebd l\u00e0m c\u1ea3n tr\u1edf \u00e2m thanh, d\u1eabn \u0111\u1ebfn nh\u1eefng v\u1ea5n \u0111\u1ec1 t\u1ea1m th\u1eddi v\u1ec1 kh\u1ea3 n\u0103ng nghe. Tr\u1ebb m\u1eafc b\u1ec7nh c\u00f3 th\u1ec3:<\/p>\n<ul style=\"text-align: justify\">\n<li>Kh\u00f4ng ph\u1ea3n \u1ee9ng v\u1edbi \u00e2m thanh nh\u1ecf<\/li>\n<li>T\u0103ng \u00e2m l\u01b0\u1ee3ng TV ho\u1eb7c radio<\/li>\n<li>L\u1edbn ti\u1ebfng<\/li>\n<li>Thi\u1ebfu t\u1eadp trung khi \u0111i h\u1ecdc<\/li>\n<\/ul>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a Vi\u00eam tai gi\u1eefa c\u1ea5p c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>S\u1ed1t<\/li>\n<li>Bu\u1ed3n n\u00f4n<\/li>\n<li>\u00d3i m\u1eeda<\/li>\n<li>Ch\u00f3ng m\u1eb7t<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Tuy nhi\u00ean, v\u1edbi vi\u00eam tai gi\u1eefa thanh d\u1ecbch th\u00ec b\u1ec7nh l\u1ea1i th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. \u1ede m\u1ed9t s\u1ed1 tr\u1ebb, ch\u1ea5t l\u1ecfng \u1edf tai gi\u1eefa c\u00f3 th\u1ec3 t\u1ea1o c\u1ea3m gi\u00e1c \u0111\u1ea7y tai\/\u00f9 tai, nghe ti\u1ebfng vang trong tai. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ee7a vi\u00eam tai gi\u1eefa c\u1ea5p th\u00ec ch\u1ea5t l\u1ecfng n\u1eb1m sau m\u00e0ng nh\u0129 s\u1ebd c\u1ea3n tr\u1edf \u00e2m thanh, v\u00ec v\u1eady c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng suy gi\u1ea3m th\u00ednh l\u1ef1c nh\u1eb9 t\u1ea1m th\u1eddi, nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 kh\u00f4ng r\u00f5 r\u00e0ng.<\/p>\n<p style=\"text-align: justify\">Vi\u00eam tai th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p tr\u00ean, n\u00ean vi\u00eam tai c\u00f3 th\u1ec3 th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u1ea3m c\u00fam nh\u01b0 h\u1eaft h\u01a1i, ch\u1ea3y n\u01b0\u1edbc m\u0169i, ho\u2026<\/p>\n<p style=\"text-align: justify\"><strong>Kh\u1ea3 n\u0103ng l\u00e2y lan <\/strong><\/p>\n<p style=\"text-align: justify\">Vi\u00eam tai kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh l\u00e2y nhi\u1ec5m, nh\u01b0ng c\u1ea3m l\u1ea1nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam tai.<\/p>\n<p style=\"text-align: justify\"><strong>Th\u1eddi gian b\u1ec7nh <\/strong><\/p>\n<p style=\"text-align: justify\">Vi\u00eam tai gi\u1eefa th\u01b0\u1eddng t\u1ef1 h\u1ebft trong v\u00f2ng 2 \u0111\u1ebfn 3 ng\u00e0y d\u00f9 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. N\u1ebfu b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh th\u00ec th\u1eddi gian \u0111i\u1ec1u tr\u1ecb l\u00e0 kho\u1ea3ng 10 ng\u00e0y.<\/p>\n<p style=\"text-align: justify\">Tr\u1ebb t\u1eeb 6 tu\u1ed5i tr\u1edf l\u00ean v\u1edbi vi\u00eam nhi\u1ec5m t\u1eeb nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh th\u00ec m\u1ed9t \u0111\u1ee3t th\u00ec \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh t\u1eeb 5 &#8211; 7 ng\u00e0y l\u00e0 ph\u00f9 h\u1ee3p.<\/p>\n<p style=\"text-align: justify\">D\u00f9 cho \u0111i\u1ec1u tr\u1ecb vi\u00eam tai gi\u1eefa c\u1ea5p b\u1eb1ng kh\u00e1ng sinh xong th\u00ec ch\u1ea5t l\u1ecfng v\u1eabn c\u00f2n trong tai gi\u1eefa v\u00e0i th\u00e1ng sau \u0111\u00f3.<\/p>\n<h2 id=\"chan-doan-va-dieu-tri\" style=\"text-align: justify\">Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/h2>\n<p style=\"text-align: justify\">N\u1ebfu con b\u1ea1n b\u1ecb vi\u00eam tai, h\u00e3y \u0111\u01b0a b\u00e9 \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129. B\u00e1c s\u0129 h\u1ecfi b\u1ec7nh v\u00e0 kh\u00e1m cho b\u00e9 \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ph\u00f9 h\u1ee3p.<\/p>\n<p style=\"text-align: justify\">\u0110\u1ec3 kh\u00e1m tai, b\u00e1c s\u0129 s\u1ebd d\u00f9ng \u1ed1ng soi tai, m\u1ed9t lo\u1ea1i d\u1ee5ng c\u1ee5 nh\u1ecf gi\u1ed1ng \u0111\u00e8n pin \u0111\u1ec3 quan s\u00e1t m\u00e0ng nh\u0129.<\/p>\n<p style=\"text-align: justify\">Kh\u00f4ng c\u00f3 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb chung hay duy nh\u1ea5t cho t\u1ea5t c\u1ea3 d\u1ea1ng vi\u00eam tai. \u0110\u1ec3 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o,\u00a0b\u00e1c s\u0129 s\u1ebd c\u00e2n nh\u1eafc vi\u1ec7c \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>D\u1ea1ng vi\u00eam tai, v\u00e0 m\u1ee9c \u0111\u1ed9 vi\u00eam<\/li>\n<li>Bao l\u00e2u th\u00ec tr\u1ebb b\u1ecb m\u1ed9t l\u1ea7n?<\/li>\n<li>B\u1ec7nh k\u00e9o d\u00e0i trong bao l\u00e2u?<\/li>\n<li>Tu\u1ed5i c\u1ee7a tr\u1ebb<\/li>\n<li>Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 tr\u1ebb c\u00f3 th\u1ec3 c\u00f3.<\/li>\n<li>B\u1ec7nh c\u00f3 l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng nghe c\u1ee7a tr\u1ebb hay kh\u00f4ng.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p vi\u00eam tai c\u00f3 th\u1ec3 t\u1ef1 l\u00e0nh, n\u00ean c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng ch\u1ecdn c\u00e1ch &#8220;theo d\u00f5i v\u00e0 ch\u1edd &#8221; khi \u0111i\u1ec1u tr\u1ecb; b\u00e1c s\u0129 s\u1ebd k\u00ea toa thu\u1ed1c gi\u1ea3m \u0111au v\u00e0i ng\u00e0y cho tr\u1ebb tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng kh\u00e1ng sinh. V\u00e0 c\u00f3 m\u1ed9t l\u00fd do kh\u00e1c \u0111\u1ec3 b\u00e1c s\u0129 c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb n\u00e0y, l\u00e0 v\u00ec kh\u00e1ng sinh kh\u00f4ng hi\u1ec7u qu\u1ea3 trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ul style=\"text-align: justify\">\n<li>Vi\u00eam tai do virus.<\/li>\n<li>Nhi\u1ec1u d\u1ecbch m\u1ee7 kh\u00f4ng \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u ra kh\u1ecfi tai.<\/li>\n<li>C\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5.<\/li>\n<li>Th\u01b0\u1eddng th\u00ec kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au trong 24 gi\u1edd \u0111\u1ea7u v\u00e0 ch\u1ec9 c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1i thi\u1ec3u sau \u0111\u00f3.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">M\u1eb7t kh\u00e1c, vi\u1ec7c l\u1ea1m d\u1ee5ng kh\u00e1ng sinh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c d\u00f2ng vi khu\u1ea9n kh\u00e1ng thu\u1ed1c. \u0110i\u1ec1u n\u00e0y khi\u1ebfn cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n h\u01a1n.<\/p>\n<p style=\"text-align: justify\"><strong>Khi n\u00e0o th\u00ec c\u1ea7n s\u1eed d\u1ee5ng kh\u00e1ng sinh <\/strong><\/p>\n<p style=\"text-align: justify\">Kh\u00e1ng sinh c\u00f3 th\u1ec3 l\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb \u0111\u00fang cho tr\u1ebb b\u1ecb vi\u00eam tai n\u1eb7ng. B\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n kh\u00e1ng sinh u\u1ed1ng h\u1eb1ng ng\u00e0y \u0111\u1ec3 ng\u0103n vi\u00eam nhi\u1ec5m trong t\u01b0\u01a1ng lai. Tr\u1ebb nh\u1ecf ho\u1eb7c nh\u1eefng tr\u1ebb b\u1ecb n\u1eb7ng c\u00f3 th\u1ec3 ph\u1ea3i c\u1ea7n kh\u00e1ng sinh ngay t\u1eeb \u0111\u1ea7u.<\/p>\n<p style=\"text-align: justify\">Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb &#8220;Theo d\u00f5i v\u00e0 ch\u1edd \u0111\u1ee3i&#8221; c\u00f3 th\u1ec3\u00a0 kh\u00f4ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho tr\u1ebb c\u00f3 m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 kh\u00e1c; v\u00ed d\u1ee5\u00a0nh\u01b0 l\u00e0 h\u1edf h\u00e0m \u1ebfch, m\u1ed9t\u00a0 s\u1ed1 b\u1ec7nh di truy\u1ec1n nh\u01b0 h\u1ed9i ch\u1ee9ng Down, c\u00e1c b\u1ec7nh ti\u1ec1m \u1ea9n nh\u01b0 l\u00e0 r\u1ed1i lo\u1ea1n h\u1ec7 mi\u1ec5n d\u1ecbch ho\u1eb7c l\u00e0 v\u1edbi nh\u1eefng tr\u1ebb c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh g\u1ea7n \u0111\u00e2y b\u1ecb vi\u00eam tai gi\u1eefa c\u1ea5p.<\/p>\n<p style=\"text-align: justify\">Tr\u1ebb b\u1ecb vi\u00eam tai thanh d\u1ecbch dai d\u1eb3ng (k\u00e9o d\u00e0i h\u01a1n 3 th\u00e1ng) ph\u1ea3i t\u00e1i kh\u00e1m sau t\u1eeb 3 \u0111\u1ebfn 6 th\u00e1ng. Tuy nhi\u00ean, th\u01b0\u1eddng th\u00ec nh\u1eefng tr\u1ebb \u0111\u00f3 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p style=\"text-align: justify\">Cho d\u00f9 c\u00f3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh hay kh\u00f4ng th\u00ec b\u1ea1n v\u1eabn c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au ho\u1eb7c s\u1ed1t b\u1eb1ng c\u00e1ch cho tr\u1ebb u\u1ed1ng acetaminophen ho\u1eb7c ibuprofen. B\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u00ean b\u1ea1n d\u00f9ng thu\u1ed1c nh\u1ecf tai gi\u1ea3m \u0111au cho tr\u1ebb mi\u1ec5n l\u00e0 m\u00e0ng nh\u0129 kh\u00f4ng b\u1ecb th\u1ee7ng.<\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 300px;height: 224px\" src=\"\/\/yhoccongdong.org\/Documents\/2739_ongthongmangnhi.jpg\" alt=\"\u1ed1ng th\u00f4ng m\u00e0ng nh\u0129\" \/><\/p>\n<p style=\"text-align: center\"><em>\u1ed0ng th\u00f4ng m\u00e0ng nh\u0129 <\/em><\/p>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 tr\u1ebb,\u00a0 v\u00ed d\u1ee5 nh\u01b0 l\u00e0 tr\u1ebb g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 th\u00ednh l\u1ef1c l\u00e2u d\u00e0i ho\u1eb7c ch\u1eadm n\u00f3i, s\u1ebd c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m ph\u1eabu thu\u1eadt \u1ed1ng tai (ear tube surgery). M\u1ed9t b\u00e1c s\u0129 tai m\u0169i h\u1ecdng s\u1ebd l\u00e0m ph\u1eabu thu\u1eadt \u0111\u1eb7t m\u1ed9t \u1ed1ng nh\u1ef1a) v\u00e0o m\u00e0ng nh\u0129 (g\u1ecdi l\u00e0 \u1ed1ng th\u00f4ng m\u00e0ng nh\u0129). \u0110i\u1ec1u n\u00e0y s\u1ebd gi\u00fap ch\u1ea5t l\u1ecfng tho\u00e1t ra t\u1eeb tai gi\u1eefa v\u00e0 cho ph\u00e9p c\u00e2n b\u1eb1ng \u00e1p su\u1ea5t trong tai v\u00ec l\u00fac n\u00e0y <strong> <em> v\u00f2i nh\u0129 \u00a0<\/em><\/strong>kh\u00f4ng l\u00e0m \u0111\u01b0\u1ee3c \u0111i\u1ec1u \u0111\u00f3.<\/p>\n<p style=\"text-align: justify\"><strong>Ph\u00f2ng tr\u00e1nh <\/strong><\/p>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 r\u1ee7i ro g\u00e2y ra vi\u00eam tai l\u00e0 kh\u00f4ng th\u1ec3 tr\u00e1nh kh\u1ecfi (v\u00ed d\u1ee5 nh\u01b0 ti\u1ec1n s\u1eed b\u1ec7nh gia \u0111\u00ecnh th\u01b0\u1eddng xuy\u00ean b\u1ecb vi\u00eam tai), nh\u01b0ng m\u1ed9t l\u1ed1i s\u1ed1ng ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7\u00a0tr\u1ebb:<\/p>\n<ul style=\"text-align: justify\">\n<li>Cho tr\u1ebb s\u01a1 sinh b\u00fa m\u1eb9 \u00edt nh\u1ea5t 6 th\u00e1ng gi\u00fap gi\u1ea3m nguy c\u01a1 b\u1ecb vi\u00eam tai. N\u1ebfu cho tr\u1ebb b\u00fa b\u00ecnh, gi\u1eef tr\u1ebb \u1edf m\u1ed9t g\u00f3c h\u1ee3p l\u00fd thay v\u00ec b\u1ecf tr\u1ebb n\u1eb1m t\u1ef1 b\u00fa.<\/li>\n<li>Tr\u00e1nh \u0111\u1ec3 tr\u1ebb h\u00edt ph\u1ea3i kh\u00f3i thu\u1ed1c l\u00e1, \u0111i\u1ec1u n\u00e0y l\u00e0m t\u0103ng t\u1ea7n su\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ee7a c\u00e1c ch\u1ee9ng vi\u00eam tai.<\/li>\n<li>M\u1eb7c d\u00f9 kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng \u0111\u01b0\u1ee3c, nh\u01b0ng t\u1ed1t nh\u1ea5t l\u00e0 n\u00ean h\u1ea1n ch\u1ebf t\u1ed1i \u0111a vi\u1ec7c \u0111\u1ec3 tr\u1ebb v\u1edbi m\u1ed9t nh\u00f3m l\u1edbn (v\u00ed d\u1ee5 nh\u01b0 nh\u00e0 tr\u1ebb). \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap b\u1ea3o v\u1ec7 tr\u1ebb kh\u1ecfi b\u1ecb vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, v\u1ed1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam tai<\/li>\n<li>Cha m\u1eb9 v\u00e0 tr\u1ebb nh\u1ecf n\u00ean r\u1eeda tay th\u01b0\u1eddng xuy\u00ean. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng c\u00e1ch quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 ph\u00f2ng ng\u1eeba s\u1ef1 l\u00e2y truy\u1ec1n c\u1ee7a vi m\u1ea7m b\u1ec7nh g\u00e2y c\u00e1c ch\u1ee9ng c\u1ea3m l\u1ea1nh, qua \u0111\u00f3, ng\u0103n ch\u1eb7n vi\u00eam tai.<\/li>\n<li>\u0110\u1ea3m b\u1ea3o tr\u1ebb ch\u00edch ng\u1eeba \u0111\u1ea7y \u0111\u1ee7 v\u00ec m\u1ed9t s\u1ed1 lo\u1ea1i v\u1eafc xin c\u00f3 kh\u1ea3 n\u0103ng ng\u0103n b\u1ec7nh vi\u00eam tai.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">L\u01b0u \u00fd r\u1eb1ng c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh c\u00e1c lo\u1ea1i thu\u1ed1c tr\u1ecb c\u1ea3m ho\u1eb7c d\u1ecb \u1ee9ng (v\u00ed d\u1ee5 nh\u01b0 c\u00e1c lo\u1ea1i kh\u00e1ng histamin ho\u1eb7c c\u00e1c lo\u1ea1i th\u00f4ng m\u0169i) kh\u00f4ng gi\u00fap ng\u0103n ng\u1eeba vi\u00eam tai.<\/p>\n<h2 id=\"khi-nao-nen-lien-he-voi-bac-si\" style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Khi n\u00e0o n\u00ean li\u00ean h\u1ec7 v\u1edbi B\u00e1c s\u0129? <\/span><\/h2>\n<p style=\"text-align: justify\">M\u1eb7c d\u00f9 kh\u00e1 hi\u1ebfm, nh\u01b0ng n\u1ebfu vi\u00eam tai kh\u00f4ng t\u1ef1 h\u1ebft ho\u1eb7c li\u00ean t\u1ee5c b\u1ecb vi\u00eam nhi\u1ec5m n\u1eb7ng c\u00f3 th\u1ec3 d\u1eabn t\u1edbi bi\u1ebfn ch\u1ee9ng, bao g\u1ed3m c\u1ea3 vi\u1ec7c nhi\u1ec5m tr\u00f9ng lan sang c\u00e1c x\u01b0\u01a1ng kh\u00e1c. V\u00ec v\u1eady nh\u1eefng tr\u1ebb b\u1ecb \u0111au tai ho\u1eb7c c\u00f3 c\u1ea3m gi\u00e1c \u0111\u1ea7y l\u1ed7 tai &#8211; \u0111\u1eb7c bi\u1ec7t l\u00e0 khi \u0111i k\u00e8m v\u1edbi s\u1ed1t &#8211; n\u00ean \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 n\u1ebfu ch\u00fang kh\u00f4ng kh\u00e1 h\u01a1n.<\/p>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y \u0111au tai, v\u00ed d\u1ee5 nh\u01b0 m\u1ecdc r\u0103ng, d\u1ecb v\u1eadt l\u1ecdt v\u00e0o tai, r\u00e1y tai c\u1ee9ng&#8230; Li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm ra nguy\u00ean nh\u00e2n l\u00e0m tr\u1ebb kh\u00f3 ch\u1ecbu v\u00e0 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/m.kidshealth.org\/parent\/infections\/ear\/otitis_media.html\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/m.kidshealth.org\/parent\/infections\/ear\/otitis_media.html <\/a><\/p>\n<p style=\"text-align: justify\">B\u00e0i gi\u1ea3ng B\u1ec7nh l\u00fd Tai ngo\u00e0i \u2013 Th\u1ea7y Thi\u1ec1u V\u0129 Tu\u1ea5n \u2013 B\u1ed9 m\u00f4n TMH \u2013 Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ef1 vi\u00eam nhi\u1ec5m x\u1ea3y ra \u1edf tai gi\u1eefa c\u00f2n g\u1ecdi l\u00e0 Vi\u00eam tai gi\u1eefa. B\u00e1c s\u0129 th\u01b0\u1eddng ph\u00e2n bi\u1ec7t gi\u1eefa vi\u00eam tai gi\u1eefa c\u1ea5p v\u00e0 m\u1ed9t lo\u1ea1i vi\u00eam tai th\u01b0\u1eddng g\u1eb7p kh\u00e1c (g\u1ecdi l\u00e0 vi\u00eam tai ngo\u00e0i).<\/p>\n","protected":false},"author":173,"featured_media":4101,"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 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam tai gi\u1eefa - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"S\u1ef1 vi\u00eam nhi\u1ec5m x\u1ea3y ra \u1edf tai gi\u1eefa c\u00f2n g\u1ecdi l\u00e0 Vi\u00eam tai gi\u1eefa. 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