{"id":5075,"date":"2019-03-19T15:53:02","date_gmt":"2019-03-19T08:53:02","guid":{"rendered":"https:\/\/www.hmm88i.com\/drug\/?p=5075"},"modified":"2019-07-09T14:57:51","modified_gmt":"2019-07-09T07:57:51","slug":"su-dung-thuoc-trong-dieu-tri-viem-hong","status":"publish","type":"post","link":"https:\/\/hmm88i.com\/drug\/su-dung-thuoc-trong-dieu-tri-viem-hong\/","title":{"rendered":"S\u1eec D\u1ee4NG THU\u1ed0C TRONG \u0110I\u1ec0U TR\u1eca VI\u00caM H\u1eccNG"},"content":{"rendered":"
– Vi\u00eam h\u1ecdng<\/strong> l\u00e0 c\u1ea3m gi\u00e1c ng\u1ee9a, v\u00e0\/ho\u1eb7c \u0111au r\u00e1t v\u00f9ng Cu\u1ed1ng H\u1ecdng, B\u1ea1ch H\u1ea7u. X\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, gi\u1edbi t\u00ednh\u2026 Trung b\u00ecnh ng\u01b0\u1eddi l\u1edbn b\u1ecb 2-3 l\u1ea7n\/ n\u0103m. – Ph\u1ea7n l\u1edbn do Virus g\u00e2y ra ( influenza virus, Adenovirus, EBV\u2026) chi\u1ebfm ( 60-80%) . – C\u00e1c vi khu\u1ea9n \/ virus g\u00e2y ra \u0111\u00e1p \u1ee9ng MD t\u1ea1i ch\u1ed7 do tr\u1ef1c ti\u1ebfp x\u00e2m l\u1ea5n ni\u00eam m\u1ea1c h\u1ea7u h\u1ecdng, ho\u1eb7c k\u00edch \u1ee9ng ni\u00eam m\u1ea1c h\u1ea7u h\u1ecdng do d\u1ecbch ti\u1ebft \u0111\u01b0\u1eddng m\u0169i. – Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p: \u0110au h\u1ecdng, kh\u00f3 nu\u1ed1t, ch\u1ea3y n\u01b0\u1edbc m\u0169i, vi\u00eam thanh qu\u1ea3n, k\u1ebft m\u1ea1c, ho, s\u1ed1t > 38 \u0111\u1ed9 C, vi\u00eam tai gi\u1eefa, s\u1ee5t c\u00e2n \u2026 – Vi\u00eam h\u1ecdng > 1 tu\u1ea7n , Kh\u00e0n gi\u1ecdng > 2 tu\u1ea7n, Kh\u00f3 nu\u1ed1t ho\u1eb7c kh\u00f3 th\u1edf, th\u00e2n nhi\u1ec7t > 38.3 \u0111\u1ed9 C, ch\u1ea3y n\u01b0\u1edbc b\u1ecdt qu\u00e1 m\u1ee9c ( tr\u1ebb s\u01a1 sinh\/ tr\u1ebb nh\u1ecf), s\u01b0ng c\u1ed5\/c\u1ee9ng c\u1ed5, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng\/ kh\u00f4ng mu\u1ed1n an u\u1ed1ng, s\u01b0ng l\u01b0\u1ee1i, kh\u00f3 m\u1edf mi\u1ec7ng, xu\u1ea5t hi\u1ec7n m\u1ea3ng b\u00e1m tr\u1eafng \u1edf BH, ph\u00e1t ban da, c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh\/ d\u00f9ng thu\u1ed1c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn MD. ( Xu\u1ea5t hi\u1ec7n 1 trong c\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean c\u1ea7n \u0111\u1ebfn chuy\u00ean khoa th\u0103m kh\u00e1m \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t)<\/p>\n
\n– Trong \u0111\u00f3 vi\u00eam h\u1ecdng c\u1ea5p chi\u1ebfm 90%.<\/p>\nNGUY\u00caN NH\u00c2N<\/h2>\n
\n– Ph\u1ea7n c\u00f2n l\u1ea1i do Vi Khu\u1ea9n ( li\u00ean c\u1ea7u tan huy\u1ebft nh\u00f3m A,B,C,G, Haemophilus influenza, T\u1ee5 c\u1ea7u v\u00e0ng, Moraxella catarrhalis, vi khu\u1ea9n k\u1ecb kh\u00ed\u2026.) chi\u1ebfm 20-40%
\n– Nguy\u00ean nh\u00e2n kh\u00e1c: ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c DD-TT ( GERD), vi\u00eam tuy\u1ebfn gi\u00e1p do virus, nhi\u1ec5m n\u1ea5m khoang mi\u1ec7ng do candiada ablicans, K thanh qu\u1ea3n, h\u1ea7u h\u1ecdng, thu\u1ed1c l\u00e1, s\u1eed d\u1ee5ng thu\u1ed1c g\u00e2y m\u1ea5t BC h\u1ea1t \u2026<\/p>\nSINH L\u00dd B\u1ec6NH<\/h2>\n
\n– C\u00e1c vi khu\u1ea9n streptococcus gi\u1ea3i ph\u00f3ng ngo\u1ea1i \u0111\u1ed9c t\u1ed1 v\u00e0 protease.<\/p>\nD\u1ea4U HI\u1ec6U \u2013 TRI\u1ec6U CH\u1ee8NG<\/h2>\n
\n– Tri\u1ec7u ch\u1ee9ng \u00edt g\u1eb7p : \u0111au \u0111\u1ea7u, vi\u00eam m\u00e0ng n\u00e3o, \u0111au b\u1ee5ng, n\u00f4n m\u1eefa\u2026
\n– Bi\u1ec3u hi\u1ec7n \u0111\u1eb7c tr\u01b0ng c\u1ee7a t\u00e1c nh\u00e2n kh\u00e1c nhau:
\n+ Vi\u00eam h\u1ecdng do vi khu\u1ea9n ( Streptococcus nh\u00f3m A) : vi\u00eam b\u1ea1ch huy\u1ebft v\u00f9ng c\u1ed5, s\u1ed1t cao, \u0111au \u0111\u1ea7u, \u0111au b\u1ee5ng, n\u00f4n m\u1eefa\u2026
\n+ Vi\u00eam h\u1ecdng do virus trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng HH, tr\u00ean : ho, vi\u00eam thanh qu\u1ea3n, vi\u00eam k\u1ebft m\u1ea1c\u2026<\/p>\nNH\u1eeeNG TR\u01af\u1edcNG H\u1ee2P C\u1ea6N H\u01af\u1edaNG D\u1eaaN C\u1ee6A B\u00c1C S\u0128<\/h2>\n
PH\u01af\u01a0NG PH\u00c1P \u0110I\u1ec0U TR\u1eca<\/h2>\n
KH\u00d4NG D\u00d9NG THU\u1ed0C<\/h3>\n