{"id":1824,"date":"2024-04-16T10:40:36","date_gmt":"2024-04-16T03:40:36","guid":{"rendered":"http:\/\/khoinguyenphat.vn\/?p=1824"},"modified":"2024-04-16T10:40:38","modified_gmt":"2024-04-16T03:40:38","slug":"nguyen-nhan-dau-hieu-tay-chan-mieng-o-tre","status":"publish","type":"post","link":"http:\/\/khoinguyenphat.vn\/index.php\/2024\/04\/16\/nguyen-nhan-dau-hieu-tay-chan-mieng-o-tre\/","title":{"rendered":"Nguy\u00ean nh\u00e2n, D\u1ea5u hi\u1ec7u Tay Ch\u00e2n Mi\u1ec7ng \u1edf tr\u1ebb"},"content":{"rendered":"\n

\u0110\u1ebfn nay,\u00a0b\u1ec7nh tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb<\/strong>\u00a0v\u1eabn ch\u01b0a c\u00f3\u00a0thu\u1ed1c\u00a0\u0111\u1eb7c tr\u1ecb v\u00e0 vacxin ph\u00f2ng ng\u1eeba. B\u1ec7nh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch, k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0\u00a0vi\u00eam\u00a0m\u00e0ng n\u00e3o,\u00a0vi\u00eam\u00a0c\u01a1 tim, ph\u00f9 ph\u1ed5i d\u1eabn \u0111\u1ebfn t\u1eed vong,\u2026\u00a0<\/p>\n\n\n\n

Tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb em?<\/h2>\n\n\n\n

Tay ch\u00e2n mi\u1ec7ng l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m virus c\u1ea5p g\u00e2y ra c\u00e1c v\u1ebft ph\u1ed3ng r\u1ed9p \u1edf mi\u1ec7ng, c\u1ed5 h\u1ecdng, b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em d\u01b0\u1edbi 10 tu\u1ed5i v\u00e0 d\u1ec5 b\u00f9ng ph\u00e1t th\u00e0nh d\u1ecbch t\u1ea1i c\u00e1c khu v\u1ef1c nhi\u1ec1u tr\u1ebb em nh\u01b0 nh\u00e0 tr\u1ebb, tr\u01b0\u1eddng h\u1ecdc,\u2026 Tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb c\u00f3 th\u1ec3 x\u1ea3y ra quanh n\u0103m v\u00e0 c\u00f3 xu h\u01b0\u1edbng m\u1ea1nh v\u00e0o kho\u1ea3ng t\u1eeb th\u00e1ng 3 \u2013 5 v\u00e0 t\u1eeb th\u00e1ng 9 \u2013 12.<\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n tr\u1ebb b\u1ecb tay ch\u00e2n mi\u1ec7ng<\/h2>\n\n\n\n

Theo nghi\u00ean c\u1ee9u, b\u1ec7nh tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi c\u00e1c lo\u1ea1i virus thu\u1ed9c lo\u00e0i A-human enteroviruses (HEVA), chi Enterovirus, h\u1ecd Picornaviridae. Trong \u0111\u00f3, nh\u1eefng t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh\u00a0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 Coxsackievirus (CV) A10, A14, -A16 v\u00e0 Enterovirus (HEV) 71.<\/p>\n\n\n\n

M\u1eb7c d\u00f9 tr\u1ebb m\u1eafc b\u1ec7nh do HEV<\/em> \u00edt g\u1eb7p h\u01a1n CV<\/em> nh\u01b0ng b\u1ec7nh th\u01b0\u1eddng nguy hi\u1ec3m h\u01a1n v\u00e0 li\u00ean quan \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Theo th\u1ed1ng k\u00ea c\u1ee7a C\u1ee5c Y t\u1ebf, \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n t\u1eed vong do b\u1ec7nh tay ch\u00e2n mi\u1ec7ng l\u00e0 do enterovirus 71. Nh\u00f3m tu\u1ed5i t\u1eed vong ph\u1ed5 bi\u1ebfn l\u00e0 tr\u1ebb d\u01b0\u1edbi 3 tu\u1ed5i (chi\u1ebfm 75% \u2013 86% t\u1ed5ng s\u1ed1 ca t\u1eed vong do b\u1ec7nh tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb)<\/p>\n\n\n\n

M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb:<\/p>\n\n\n\n

  • Ng\u01b0\u1eddi ch\u00e2u \u00c1 v\u00ec b\u00eanh tay ch\u00e2n mi\u1ec7ng ph\u1ed5 bi\u1ebfn t\u1ea1i c\u00e1c qu\u1ed1c gia ch\u00e2u \u00c1<\/li>
  • Thi\u1ebfu h\u1ee5t glucose \u2013 6 \u2013 phosphate dehydrogenase<\/li>
  • Trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 6 th\u00e1ng \u2013 3 tu\u1ed5i<\/li>
  • C\u00f3 ti\u1ec1n s\u1eed h\u00f4n m\u00ea, s\u1ed1t tr\u00ean 3 ng\u00e0y, s\u1ed1t tr\u00ean 38.5 \u0111\u1ed9 C.<\/li><\/ul>\n\n\n\n

    D\u1ea5u hi\u1ec7u tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb em<\/h2>\n\n\n\n

    Khi tr\u1ebb m\u1eafc b\u1ec7nh tay ch\u00e2n mi\u1ec7ng, tr\u1ebb s\u1ebd c\u00f3 bi\u1ec3u hi\u1ec7n m\u1ec7t m\u1ecfi, s\u1ed1t v\u00e0 ph\u00e1t ban. Tuy nhi\u00ean, nh\u1eefng n\u1ed1t ban \u1edf tr\u1ebb s\u1ebd t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i virus g\u00e2y b\u1ec7nh, c\u00f3 th\u1ec3 c\u00f3 c\u00e1c h\u00ecnh th\u00e1i kh\u00e1c nhau:<\/p>\n\n\n\n

    • M\u1ee5n\u00a0n\u01b0\u1edbc h\u00ecnh b\u1ea7u d\u1ee5c<\/em>, nh\u1ecf, m\u00e0u tr\u1eafng, m\u1ecdc nhi\u1ec1u \u1edf l\u00f2ng b\u00e0n tay, l\u00f2ng b\u00e0n ch\u00e2n v\u00e0 trong mi\u1ec7ng. Tr\u1ebb s\u1ebd th\u1ea5y \u0111au mi\u1ec7ng v\u00e0 c\u1ed5 h\u1ecdng khi\u1ebfn tr\u1ebb \u0103n u\u1ed1ng k\u00e9m h\u01a1n.<\/li>
    • N\u1ed1t ban c\u00f3 m\u00e0u \u0111\u1ecf, v\u1ea3y n\u00e2u<\/em>, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf m\u1eb7t ngo\u00e0i c\u1ee7a c\u00e1nh tay, b\u00e0n tay, ch\u00e2n, b\u00e0n ch\u00e2n, quanh mi\u1ec7ng, m\u00f4ng tr\u00ean v\u00e0 hi\u1ebfm khi xu\u1ea5t hi\u1ec7n b\u00ean trong mi\u1ec7ng. \u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y, tr\u1ebb v\u1eabn c\u00f3 th\u1ec3 \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng.<\/li><\/ul>\n\n\n\n
      \"\"<\/figure>\n\n\n\n

      C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng s\u1ebd xu\u1ea5t hi\u1ec7n trong kho\u1ea3ng t\u1eeb 3 \u2013 7 ng\u00e0y\u00a0sau\u00a0<\/em>khi tr\u1ebb b\u1ecb nhi\u1ec5m b\u1ec7nh v\u00e0 s\u1ebd k\u00e9o d\u00e0i t\u1eeb 7 \u2013 10 ng\u00e0y. C\u00e1c v\u1ebft ban,\u00a0m\u1ee5n\u00a0<\/em>n\u01b0\u1edbc do b\u1ec7nh tay ch\u00e2n mi\u1ec7ng th\u01b0\u1eddng kh\u00f4ng \u0111au, kh\u00f4ng c\u00f3 c\u1ea3m gi\u00e1c ng\u1ee9a.<\/p>\n\n\n\n

      \u0110\u1eb7c bi\u1ec7t, n\u1ebfu tr\u1ebb \u0111ang b\u1ecb b\u1ec7nh ch\u00e0m, nhi\u1ec5m virus g\u00e2y b\u1ec7nh tay ch\u00e2n mi\u1ec7ng b\u1ec7nh s\u1ebd tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m khu\u1ea9n \u1edf tr\u1ebb.<\/p>\n\n\n\n

      Tay ch\u00e2n mi\u1ec7ng c\u00f3 l\u00e2y lan nh\u01b0 n\u00e0o<\/h2>\n\n\n\n

      B\u1ec7nh tay ch\u00e2n mi\u1ec7ng r\u1ea5t d\u1ec5 l\u00e2y lan t\u1eeb ng\u01b0\u1eddi n\u00e0y sang t\u1eeb kh\u00e1c. <\/p>\n\n\n\n

      1. L\u00e2y nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n\n\n\n

      H\u00ecnh th\u1ee9c l\u00e2y lan ch\u00ednh c\u1ee7a b\u1ec7nh tay ch\u00e2n mi\u1ec7ng l\u00e0 th\u00f4ng qua ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t l\u1ecfng trong\u00a0m\u1ee5n\u00a0<\/em>n\u01b0\u1edbc ho\u1eb7c c\u00e1c gi\u1ecdt b\u1eafn c\u00f3 ch\u1ee9a virus g\u00e2y b\u1ec7nh \u0111\u01b0\u1ee3c ph\u00e1t t\u00e1n ra ngo\u00e0i khi b\u1ec7nh nh\u00e2n ho, h\u1eaft h\u01a1i hay n\u00f3i chuy\u1ec7n. M\u1eb7t kh\u00e1c, tr\u1ebb c\u00f3 th\u1ec3 nhi\u1ec5m virus tay ch\u00e2n mi\u1ec7ng khi ti\u1ebfp x\u00fac v\u1edbi b\u1ec1 m\u1eb7t c\u00f2n ch\u1ee9a virus, th\u1ef1c ph\u1ea9m \u0111\u00e3 nhi\u1ec5m virus hay ph\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

      V\u00ec v\u1eady, khi tr\u1ebb m\u1eafc b\u1ec7nh tay ch\u00e2n mi\u1ec7ng, b\u1ed1 m\u1eb9 c\u1ea7n b\u00e1o cho gi\u00e1o vi\u00ean c\u1ee7a tr\u1ebb v\u00e0 cho tr\u1ebb ngh\u1ec9 h\u1ecdc \u0111\u1ebfn khi tr\u1ebb kh\u1ecfi b\u1ec7nh ho\u00e0n to\u00e0n v\u00e0\u00a0m\u1ee5n\u00a0<\/em>n\u01b0\u1edbc \u0111\u00e3 kh\u00f4 l\u1ea1i.<\/p>\n\n\n\n

      2. B\u1ec7nh tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb em c\u00f3 th\u1ec3 b\u1ecb l\u1ea1i nhi\u1ec1u l\u1ea7n kh\u00f4ng?<\/h3>\n\n\n\n

      Tr\u1ebb \u0111\u00e3 t\u1eebng m\u1eafc\u00a0tay ch\u00e2n mi\u1ec7ng\u00a0v\u1eabn c\u00f3 nguy c\u01a1 b\u1ecb t\u00e1i nhi\u1ec5m nhi\u1ec1u l\u1ea7n, v\u00ec b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y ra b\u1edfi nhi\u1ec1u lo\u1ea1i virus kh\u00e1c nhau. Khi tr\u1ebb m\u1eafc b\u1ec7nh, c\u01a1 th\u1ec3 s\u1ebd ch\u1ec9 s\u1ea3n sinh ra m\u1ed9t lo\u1ea1i kh\u00e1ng th\u1ec3 \u0111\u1ec3 mi\u1ec5n d\u1ecbch v\u1edbi lo\u1ea1i virus \u0111\u00e3 m\u1eafc tr\u01b0\u1edbc \u0111\u00f3 n\u00ean khi tr\u1ebb nhi\u1ec5m m\u1ed9t lo\u1ea1i virus g\u00e2y b\u1ec7nh kh\u00e1c, tr\u1ebb v\u1eabn c\u00f3 th\u1ec3 b\u1ecb t\u00e1i nhi\u1ec5m.<\/p>\n\n\n\n

      Khi tr\u1ebb nhi\u1ec5m virus tay ch\u00e2n mi\u1ec7ng d\u00f9 c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng hay kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u00ec ng\u01b0\u1eddi b\u1ec7nh \u00edt nhi\u1ec1u v\u1eabn c\u00f3 kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i virus. Tuy nhi\u00ean l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3 kh\u00f4ng nhi\u1ec1u v\u00e0 kh\u00f4ng b\u1ec1n v\u1eefng theo th\u1eddi gian n\u00ean kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 b\u1ea3o v\u1ec7 tr\u1ebb khi c\u00f3 ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n l\u00e2y.<\/p>\n\n\n\n

      \u0110i\u1ec1u tr\u1ecb tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb em<\/h2>\n\n\n\n

      Tay ch\u00e2n mi\u1ec7ng \u1edf tr\u1ebb l\u00e0 do virus n\u00ean\u00a0thu\u1ed1c\u00a0kh\u00e1ng sinh s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb c\u01a1 b\u1ea3n c\u1ee7a b\u1ec7nh n\u00e0y l\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng do b\u1ec7nh g\u00e2y ra, g\u1ed3m:<\/p>\n\n\n\n