{"id":7421,"date":"2018-06-23T08:42:51","date_gmt":"2018-06-23T01:42:51","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/benh-vay-phan-trang-o-tre-em\/"},"modified":"2018-06-23T08:42:51","modified_gmt":"2018-06-23T01:42:51","slug":"benh-vay-phan-trang-o-tre-em","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/benh-vay-phan-trang-o-tre-em\/","title":{"rendered":"B\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng \u1edf tr\u1ebb em"},"content":{"rendered":"<h2><strong>Gi\u1edbi thi\u1ec7u chung<\/strong><\/h2>\n<p>V\u1ea3y ph\u1ea5n tr\u1eafng l\u00e0 m\u1ed9t b\u1ec7nh ngo\u00e0i da l\u00e0nh t\u00ednh v\u00e0 kh\u00e1 ph\u1ed5 bi\u1ebfn, hay g\u1eb7p \u1edf tr\u1ebb nh\u1ecf v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean. T\u00ean qu\u1ed1c t\u1ebf c\u1ee7a b\u1ec7nh li\u00ean quan \u0111\u1ebfn \u0111\u1eb7c \u0111i\u1ec3m h\u00ecnh th\u00e1i c\u1ee7a n\u00f3 \u2013 <em>pityriasis alba<\/em>, trong \u0111\u00f3\u00a0<em>pityriasis<\/em> c\u00f3 ngh\u0129a l\u00e0 <em>v\u1ea3y m\u1ecbn<\/em> c\u00f2n\u00a0<em>alba<\/em>\u00a0c\u00f3 ngh\u0129a l\u00e0 <em>s\u1ef1 nh\u1ea1t m\u00e0u<\/em> (gi\u1ea3m s\u1eafc t\u1ed1)<\/p>\n<p>H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u00e0 b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng c\u0169ng l\u00e0 m\u1ed9t trong s\u1ed1 c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a vi\u00eam da d\u1ecb \u1ee9ng.<\/p>\n<p>B\u1ec7nh bi\u1ec3u hi\u1ec7n b\u1edfi c\u00e1c m\u1ea3ng da b\u1ea5t th\u01b0\u1eddng (ho\u1eb7c d\u00e1t m\u1ecfng), h\u00ecnh tr\u00f2n ho\u1eb7c b\u1ea7u d\u1ee5c, th\u01b0\u1eddng c\u00f3 \u0111\u00f3ng v\u1ea3y m\u1ecfng ho\u1eb7c th\u1ec9nh tho\u1ea3ng ng\u1ee9a nh\u1eb9. C\u00e1c th\u01b0\u01a1ng t\u1ed5n ban \u0111\u1ea7u l\u00e0 m\u1ea3ng da \u0111\u1ecf nh\u1eb9, nh\u1ea1t m\u00e0u d\u1ea7n theo th\u1eddi gian.<\/p>\n<p>V\u1ea3y ph\u1ea5n tr\u1eafng th\u01b0\u1eddng g\u1eb7p \u1edf m\u1eb7t (\u0111\u1eb7c bi\u1ec7t \u1edf hai b\u00ean g\u00f2 m\u00e1), hai tay, ph\u1ea7n th\u00e2n tr\u00ean; d\u1ec5 nh\u1eadn bi\u1ebft h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi da s\u1eadm m\u00e0u. Khi ti\u1ebfp x\u00fac v\u1edbi \u00e1nh n\u1eafng m\u1eb7t tr\u1eddi, c\u00e1c t\u1ed5n th\u01b0\u01a1ng tr\u1edf n\u00ean n\u1ed5i b\u1eadt h\u01a1n. B\u1ec7nh nhi v\u00e0 ph\u1ee5 huynh th\u01b0\u1eddng quan t\u00e2m nhi\u1ec1u v\u1ec1 v\u1ea5n \u0111\u1ec1 th\u1ea9m m\u1ef9 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<p>B\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng th\u01b0\u1eddng t\u1ef1 kh\u1ecfi nh\u1edd s\u1ef1 t\u00e1i t\u1ea1o d\u1ea7n d\u1ea7n c\u1ee7a s\u1eafc t\u1ed1 da b\u00ecnh th\u01b0\u1eddng. Th\u1eddi gian l\u00e0nh b\u1ec7nh thay \u0111\u1ed5i t\u00f9y ng\u01b0\u1eddi, c\u00f3 th\u1ec3 v\u00e0i th\u00e1ng ho\u1eb7c v\u00e0i n\u0103m, h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p kh\u1ecfi b\u1ec7nh ho\u00e0n to\u00e0n sau m\u1ed9t n\u0103m. \u0110i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu v\u1edbi corticosteroids hi\u1ec7u l\u1ef1c th\u1ea5p b\u00f4i ngo\u00e0i da v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e0m m\u1ec1m da.<\/p>\n<h2><strong>B\u1ec7nh nguy\u00ean<\/strong><\/h2>\n<p>Ch\u01b0a ph\u00e1t hi\u1ec7n nguy\u00ean nh\u00e2n \u0111\u1eb7c hi\u1ec7u n\u00e0o g\u00e2y ra b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng. B\u1ec7nh kh\u00f4ng l\u00e2y v\u00e0 hi\u1ec7n t\u1ea1i c\u0169ng kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng n\u00e0o \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n<p>B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, m\u1eb7c d\u00f9 b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf ng\u01b0\u1eddi kh\u00f4ng c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng bi\u1ec3u hi\u1ec7n gi\u1ed1ng v\u1edbi b\u1ec7nh vi\u00eam da c\u01a1 \u0111\u1ecba. B\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t d\u1ea1ng bi\u1ec3u hi\u1ec7n kh\u00e1c c\u1ee7a b\u1ec7nh vi\u00eam da d\u1ecb \u1ee9ng.<\/p>\n<p>V\u1ea3y ph\u1ea5n tr\u1eafng c\u0169ng l\u00e0 m\u1ed9t bi\u1ec3u hi\u1ec7n c\u1ee7a vi\u00eam da kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, l\u00e0 qu\u00e1 tr\u00ecnh gi\u1ea3m s\u1eafc t\u1ed1 t\u1ed3n t\u1ea1i sau vi\u00eam da. K\u1ebft qu\u1ea3 m\u00f4 b\u1ec7nh h\u1ecdc cho th\u1ea5y s\u1ef1 gi\u1ea3m s\u1ea3n xu\u1ea5t melanin \u1edf c\u00e1c v\u00f9ng da b\u1ec7nh l\u00fd.<\/p>\n<p>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u th\u1ea5y r\u1eb1ng trong v\u1ea3y ph\u1ea5n tr\u1eafng c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng teo tuy\u1ebfn b\u00e3 nh\u1eddn, thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft v\u00e0 gi\u1ea3m l\u01b0\u1ee3ng \u0111\u1ed3ng (Cu<sup>2+<\/sup>) trong huy\u1ebft thanh. Tuy nhi\u00ean nh\u1eefng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u n\u00e0y c\u00f3 m\u1ed1i quan h\u1ec7 v\u1edbi b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng hay kh\u00f4ng ch\u01b0a \u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh.<\/p>\n<h2><strong>D\u1ecbch t\u1ec5<\/strong><\/h2>\n<ul>\n<li>V\u1ea3y ph\u1ea5n tr\u1eafng th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb t\u1eeb 3 \u0111\u1ebfn 16 tu\u1ed5i, 90% tr\u01b0\u1eddng h\u1ee3p g\u1eb7p \u1edf tr\u1ebb d\u01b0\u1edbi 12 tu\u1ed5i. \u01af\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 5% tr\u1ebb em \u1edf M\u1ef9 c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh l\u00fd n\u00e0y.<\/li>\n<li>M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c cho th\u1ea5y t\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc cao h\u01a1n \u1edf Ai C\u1eadp (18%) v\u00e0 Mali (20%), v\u00e0 th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nam h\u01a1n.<\/li>\n<li>Y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u1ee7ng t\u1ed9c kh\u00f4ng \u0111\u01b0\u1ee3c ghi nh\u1eadn nh\u01b0ng c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng n\u1ed5i b\u1eadt h\u01a1n \u1edf ng\u01b0\u1eddi da s\u1eadm m\u00e0u.<\/li>\n<li>B\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng kh\u00f4ng xu\u1ea5t hi\u1ec7n theo m\u00f9a, m\u1eb7c d\u00f9 v\u00e0o m\u00f9a \u0111\u00f4ng, c\u00e1c v\u1ea3y da c\u00f3 th\u1ec3 nhi\u1ec1u h\u01a1n (do kh\u00f4ng kh\u00ed trong nh\u00e0 kh\u00f4). \u0110\u1ed3ng th\u1eddi c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 r\u00f5 r\u00e0ng h\u01a1n v\u00e0o m\u00f9a xu\u00e2n, m\u00f9a h\u1ea1 (do da ti\u1ebfp x\u00fac v\u1edbi n\u1eafng nhi\u1ec1u, v\u00f9ng da xung quanh v\u00f9ng t\u1ed5n th\u01b0\u01a1ng s\u1eadm m\u00e0u h\u01a1n).<\/li>\n<li>C\u00e1c s\u1eafc t\u1ed1 da b\u00ecnh th\u01b0\u1eddng s\u1ebd h\u1ed3i ph\u1ee5c t\u1ef1 nhi\u00ean, th\u01b0\u1eddng sau m\u1ed9t n\u0103m.<\/li>\n<\/ul>\n<h2><strong>Sinh l\u00fd b\u1ec7nh<\/strong><\/h2>\n<p>\u0110\u1eb7c \u0111i\u1ec3m vi th\u1ec3 c\u1ee7a b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam da nh\u1eb9, kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, m\u1ea1n t\u00ednh \u0111i k\u00e8m v\u1edbi s\u1ef1 gi\u1ea3m s\u1ea3n xu\u1ea5t melanin. M\u1ed9t v\u00e0i t\u1ed5n th\u01b0\u01a1ng m\u00f4 b\u1ec7nh h\u1ecdc kh\u00f4ng \u0111\u1eb7c hi\u1ec7u c\u0169ng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3. Bao g\u1ed3m:<\/p>\n<ul>\n<li>S\u1ef1 gia t\u0103ng s\u1eebng h\u00f3a<\/li>\n<li>Gi\u1ea3 s\u1eebng h\u00f3a<\/li>\n<li>\u00c1 s\u1eebng<\/li>\n<li>Hi\u1ec7n t\u01b0\u1ee3ng x\u1ed1p b\u00e0o<\/li>\n<li>Th\u00e2m nhi\u1ec5m quanh m\u1ea1ch m\u00e1u<\/li>\n<\/ul>\n<p>Kh\u00f4ng c\u00f3 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u1eb7c hi\u1ec7u nh\u01b0ng m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng \u0111\u1eb7c tr\u01b0ng trong m\u1eabu sinh thi\u1ebft l\u1ea5y t\u1eeb t\u1ed5n th\u01b0\u01a1ng da s\u1ebd gi\u00fap g\u1ee3i \u00fd ch\u1ea9n \u0111o\u00e1n. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li>S\u1eafc t\u1ed1 melanin kh\u00f4ng \u0111\u1ec1u ho\u1eb7c gi\u1ea3m r\u00f5 r\u1ec7t \u1edf l\u1edbp \u0111\u00e1y, nh\u01b0ng s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o bi\u1ec3u b\u00ec sinh h\u1eafc t\u1ed1 gi\u1ea3m kh\u00f4ng nhi\u1ec1u<\/li>\n<li>Gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o bi\u1ec3u b\u00ec sinh h\u1eafc t\u1ed1 \u0111ang ho\u1ea1t \u0111\u1ed9ng v\u1edbi bi\u1ec3u hi\u1ec7n gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng v\u00e0 k\u00edch th\u01b0\u1edbc c\u1ee7a c\u00e1c h\u1ea1t melanin.<\/li>\n<\/ul>\n<h2><strong>B\u1ec7nh s\u1eed v\u00e0 tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/h2>\n<p>M\u1eb7c d\u00f9 c\u00e1c th\u01b0\u01a1ng t\u1ed5n ban \u0111\u1ea7u c\u1ee7a v\u1ea3y ph\u1ea5n tr\u1eafng ch\u1ec9 l\u00e0 nh\u1eefng v\u1ebft ban \u0111\u1ecf nh\u1eb9 tr\u00ean da, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 kh\u00f4ng ch\u00fa \u00fd giai \u0111o\u1ea1n h\u1ed3ng ban n\u00e0y. H\u1ea7u h\u1ebft \u0111\u1ec1u kh\u00f4ng tri\u1ec7u ch\u1ee9ng (\u0111\u00f4i khi ng\u1ee9a nh\u1eb9), ho\u1eb7c l\u00e0 c\u00e1c m\u1ea3ng da nh\u1ea1t m\u00e0u, th\u01b0\u1eddng \u1edf v\u00f9ng m\u1eb7t.<\/p>\n<p>C\u00f3 th\u1ec3 khai th\u00e1c \u0111\u01b0\u1ee3c ti\u1ec1n s\u1eed b\u1ec7nh nhi ho\u1eb7c gia \u0111\u00ecnh t\u1eebng m\u1eafc vi\u00eam da d\u1ecb \u1ee9ng, vi\u00eam m\u0169i d\u1ecb \u1ee9ng, ho\u1eb7c hen.<\/p>\n<p>Th\u01b0\u01a1ng t\u1ed5n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd khi th\u0103m kh\u00e1m, m\u1eb7c d\u00f9 ph\u1ea7n l\u1edbn l\u00fd do khi\u1ebfn b\u1ec7nh nhi ho\u1eb7c b\u1ed1 m\u1eb9 \u0111i kh\u00e1m l\u00e0 v\u1ea5n \u0111\u1ec1 th\u1ea9m m\u1ef9 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng. C\u00e1c m\u1ea3ng da gi\u1ea3m s\u1eafc t\u1ed1 bi\u1ec3u hi\u1ec7n r\u00f5 h\u01a1n khi ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp x\u00fac v\u1edbi \u00e1nh n\u1eafng (v\u00f9ng da xung quanh t\u1ed5n th\u01b0\u01a1ng s\u1eadm m\u00e0u \u0111i) v\u00e0o m\u00f9a xu\u00e2n, m\u00f9a h\u1ea1.<\/p>\n<p>Th\u0103m kh\u00e1m th\u1ef1c th\u1ec3 th\u1ea5y c\u00e1c m\u1ea3ng, c\u00e1c v\u1ebft da nh\u1ea1t m\u00e0u h\u00ecnh tr\u00f2n, h\u00ecnh b\u1ea7u d\u1ee5c (ho\u1eb7c n\u1ed5i s\u1ea9n nh\u1eb9) ranh gi\u1edbi kh\u00f4ng r\u00f5. \u0110\u00f4i khi c\u00f3 ban \u0111\u1ecf nh\u1eb9 v\u00e0\/ho\u1eb7c \u0111\u00f3ng v\u1ea3y. s\u00f3 l\u01b0\u1ee3ng ban th\u01b0\u1eddng t\u1eeb 4 \u0111\u1ebfn 20, k\u00edch th\u01b0\u1edbc t\u1eeb 0.5 cm &#8211; 5 cm v\u00e0 ph\u00e2n b\u1ed1 ch\u1ee7 y\u1ebfu \u1edf m\u1eb7t, c\u1ed5, v\u00f9ng tr\u00ean c\u00e1nh tay, v\u00e0 th\u00e2n tr\u00ean. C\u00f3 th\u1ec3 k\u00e8m tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam da d\u1ecb \u1ee9ng, bao g\u1ed3m eczema \u1edf v\u00f9ng khoeo hay h\u1ed1 khu\u1ef7u, n\u00fam v\u00fa, vi\u00eam m\u00f4i, v\u00e0 r\u00e3nh sau tai.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/h2>\n<p>D\u1ef1a tr\u00ean bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 ph\u00e2n b\u1ed1 th\u01b0\u01a1ng t\u1ed5n da \u1edf tr\u1ebb nh\u1ecf ho\u1eb7c tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean, h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng l\u00e0 kh\u00e1 r\u00f5 r\u00e0ng.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng v\u1edbi c\u00e1c b\u1ec7nh gi\u1ea3m s\u1eafc t\u1ed1 da t\u1ed3n t\u1ea1i sau vi\u00eam do b\u1ea5t c\u1ee9 nguy\u00ean nh\u00e2n n\u00e0o:<\/p>\n<ul>\n<li>Nhi\u1ec5m n\u1ea5m (lang ben, n\u1ea5m da v\u00e0ng)<\/li>\n<li>B\u1ea1ch bi\u1ebfn<\/li>\n<li>M\u1ea5t s\u1eafc t\u1ed1 c\u1ed1 \u0111\u1ecbnh b\u1ea9m sinh<\/li>\n<li>V\u1ea3y n\u1ebfn<\/li>\n<li>T\u0103ng ti\u1ebft nh\u1eddn<\/li>\n<li>U s\u00f9i d\u1ea1ng n\u1ea5m (u lympho t\u1ebf b\u00e0o T \u1edf da)<\/li>\n<li>Gi\u1ea3m s\u1eafc t\u1ed1 th\u1ee9 c\u1ea5p sau thu\u1ed1c b\u00f4i t\u1ea1i ch\u1ed7 ch\u1eb3ng h\u1ea1n retinoic acid, benzoyl peroxide, v\u00e0 corticosteroids<\/li>\n<li>D\u1ef1a v\u00e0o v\u00f9ng d\u1ecbch t\u1ec5 v\u00e0 l\u00e2m s\u00e0ng \u0111\u00f4i khi c\u1ea7n c\u00e2n nh\u1eafc ph\u00e2n bi\u1ec7t v\u1edbi b\u1ec7nh phong<\/li>\n<\/ul>\n<p>Khi ch\u1ea9n \u0111o\u00e1n kh\u00f4ng r\u00f5 r\u00e0ng c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u1ed9t v\u00e0i th\u1ee7 thu\u1eadt h\u1ed7 tr\u1ee3. Khi soi t\u1ed5n th\u01b0\u01a1ng b\u1eb1ng \u0111\u00e8n Wood, s\u1ebd th\u1ea5y c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ee7a b\u1ec7nh ph\u1ea5n tr\u1eafng n\u1ed5i b\u1eadt h\u01a1n nh\u01b0ng kh\u00f4ng ph\u00e1t quang. C\u00f2n v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ee7a b\u1ec7nh b\u1ea1ch bi\u1ebfn s\u1ebd ph\u00e1t quang s\u00e1ng h\u01a1n v\u00e0 c\u00f3 b\u1edd c\u00e1c c\u1ea1nh s\u1eafc n\u00e9t h\u01a1n.<\/p>\n<p>C\u00f3 th\u1ec3 c\u1ea1o da \u0111em soi t\u01b0\u01a1i v\u1edbi KOH cho k\u1ebft qu\u1ea3 \u00e2m t\u00ednh v\u1edbi n\u1ea5m, trong khi \u0111\u00f3 b\u1ec7nh lang ben ho\u1eb7c n\u1ea5m da v\u00e0ng cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh v\u1edbi n\u1ea5m. Sinh thi\u1ebft da th\u01b0\u1eddng kh\u00f4ng c\u1ea7n thi\u1ebft, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n bi\u1ec7t v\u1ea3y ph\u1ea5n tr\u1eafng v\u1edbi u s\u00f9i d\u1ea1ng n\u1ea5m.<\/p>\n<h2><strong>Th\u00e1i \u0111\u1ed9 x\u1eed tr\u00ed \/ \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p>B\u1ec7nh nhi v\u00e0 b\u1ed1 m\u1eb9 c\u00f3 th\u1ec3 y\u00ean t\u00e2m v\u00ec b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng kh\u00e1 l\u00e0nh t\u00ednh v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi. Tuy nhi\u00ean, b\u1ec7nh th\u01b0\u1eddng kh\u1ecfi ch\u1eadm, k\u00e9o d\u00e0i v\u00e0i th\u00e1ng \u0111\u1ebfn v\u00e0i n\u0103m; h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh t\u1ef1 kh\u1ecfi trong v\u00f2ng m\u1ed9t n\u0103m.<\/p>\n<p>L\u01b0u \u00fd:<\/p>\n<ul>\n<li>N\u00ean tr\u00e1nh ti\u1ebfp x\u00fac \u00e1nh n\u1eafng m\u1eb7t tr\u1eddi v\u00ec khi da xung quanh s\u1eadm m\u00e0u s\u1ebd c\u00e0ng l\u00e0m r\u00f5 h\u01a1n v\u00f9ng da th\u01b0\u01a1ng t\u1ed5n g\u00e2y m\u1ea5t th\u1ea9m m\u1ef9.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb steroid hi\u1ec7u l\u1ef1c th\u1ea5p b\u00f4i t\u1ea1i ch\u1ed7, ch\u1eb3ng h\u1ea1n nh\u01b0 kem ho\u1eb7c thu\u1ed1c m\u1ee1 hydrocortisone 1%, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ed3ng ban, gi\u1ea3m ng\u1ee9a v\u00e0 t\u0103ng t\u1ed1c \u0111\u1ed9 t\u00e1i t\u1ea1o s\u1eafc t\u1ed1 da.<\/li>\n<li>\u00a0C\u00e1c ch\u1ea5t d\u01b0\u1ee1ng \u1ea9m nh\u1eb9, nh\u01b0 m\u1ee1 vaseline v\u00e0 kem Eucerin, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 \u0111\u00f3ng v\u1ea3y. Kem ch\u1ed1ng n\u1eafng c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba c\u00e1c t\u1ed5n th\u01b0\u01a1ng do b\u1ecb ch\u00e1y n\u1eafng v\u00e0 l\u00e0m gi\u1ea3m s\u1ef1 s\u1eadm m\u00e0u c\u1ee7a v\u00f9ng da xung quanh.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf calcineurin t\u1ea1i ch\u1ed7, ch\u1eb3ng h\u1ea1n nh\u01b0 thu\u1ed1c m\u1ee1 tacrolimus 0,1% v\u00e0 kem pimecrolimus 1%, c\u0169ng \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3; tuy nhi\u00ean, v\u00ec chi ph\u00ed cao n\u00ean hi\u1ebfm khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/li>\n<li>\u00a0Calcitriol, m\u1ed9t ch\u1ea5t t\u01b0\u01a1ng t\u1ef1 vitamin D t\u1ea1i ch\u1ed7, cho th\u1ea5y hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi tacrolimus.<\/li>\n<li>C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb kh\u00e1c, th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00e0nh ri\u00eang cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ed9ng, bao g\u1ed3m psoralen k\u1ebft h\u1ee3p v\u1edbi quang h\u00f3a tia c\u1ef1c t\u00edm-A (PUVA) v\u00e0 x\u1ea1 tr\u1ecb \u0111\u1ecbnh v\u1ecb m\u1ee5c ti\u00eau b\u1eb1ng laser excimer 308- nm.<\/li>\n<\/ul>\n<h2>T\u00f3m l\u1ea1i v\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 kh\u00e1c<\/h2>\n<p>Hai bi\u1ebfn th\u1ec3 kh\u00f4ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u00e0:<\/p>\n<ul>\n<li>C\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u1ea3y s\u1eafc t\u1ed1 \u1edf gi\u1eefa l\u00e0 v\u00f9ng t\u0103ng s\u1eafc t\u1ed1 xanh bao quanh b\u1edfi m\u1ed9t qu\u1ea7ng gi\u1ea3m s\u1eafc t\u1ed1. Ch\u00fang th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng n\u1ea5m ngo\u00e0i da v\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ch\u1ee7 y\u1ebfu \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 da s\u1eadm m\u00e0u s\u1ed1ng \u1edf Nam Phi v\u00e0 Trung \u0110\u00f4ng<\/li>\n<li>B\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng r\u1ed9ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c t\u1ed5n th\u01b0\u01a1ng lan r\u1ed9ng, \u0111\u1ed1i x\u1ee9ng v\u00e0 dai d\u1eb3ng, t\u1ed5n th\u01b0\u01a1ng ph\u00e2n b\u1ed1 ch\u1ee7 y\u1ebfu tr\u00ean than h\u01a1n l\u00e0 tr\u00ean m\u1eb7t, t\u1ef7 l\u1ec7 n\u1eef-nam cao h\u01a1n v\u00e0 m\u00f4 b\u1ec7nh h\u1ecdc kh\u00f4ng c\u00f3 s\u1ef1 gia t\u0103ng l\u1edbp malpighi<\/li>\n<\/ul>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK431061\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK431061\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>V\u1ea3y ph\u1ea5n tr\u1eafng l\u00e0 m\u1ed9t b\u1ec7nh ngo\u00e0i da l\u00e0nh t\u00ednh v\u00e0 kh\u00e1 ph\u1ed5 bi\u1ebfn, hay g\u1eb7p \u1edf tr\u1ebb nh\u1ecf v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean. T\u00ean qu\u1ed1c t\u1ebf c\u1ee7a b\u1ec7nh li\u00ean quan \u0111\u1ebfn \u0111\u1eb7c \u0111i\u1ec3m h\u00ecnh th\u00e1i c\u1ee7a n\u00f3 \u2013 pityriasis alba, trong \u0111\u00f3\u00a0pityriasis c\u00f3 ngh\u0129a l\u00e0 v\u1ea3y m\u1ecbn c\u00f2n\u00a0alba\u00a0c\u00f3 ngh\u0129a l\u00e0 s\u1ef1 nh\u1ea1t m\u00e0u (gi\u1ea3m s\u1eafc t\u1ed1)<\/p>\n","protected":false},"author":16,"featured_media":7422,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6078],"tags":[6479,6418],"series":[3945],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng \u1edf tr\u1ebb em - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"V\u1ea3y ph\u1ea5n tr\u1eafng l\u00e0 m\u1ed9t b\u1ec7nh ngo\u00e0i da l\u00e0nh t\u00ednh v\u00e0 kh\u00e1 ph\u1ed5 bi\u1ebfn, hay g\u1eb7p \u1edf tr\u1ebb nh\u1ecf v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean.\" \/>\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\/benh-vay-phan-trang-o-tre-em\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh v\u1ea3y ph\u1ea5n tr\u1eafng \u1edf tr\u1ebb em - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"V\u1ea3y ph\u1ea5n tr\u1eafng l\u00e0 m\u1ed9t b\u1ec7nh ngo\u00e0i da l\u00e0nh t\u00ednh v\u00e0 kh\u00e1 ph\u1ed5 bi\u1ebfn, hay g\u1eb7p \u1edf tr\u1ebb nh\u1ecf v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/benh-vay-phan-trang-o-tre-em\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/hang.bui.9889261\" \/>\n<meta property=\"article:published_time\" content=\"2018-06-23T01:42:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2018\/06\/benh-vay-phan-trang-o-tre-em.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ths.BS. 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