{"id":11492,"date":"2019-06-22T17:47:46","date_gmt":"2019-06-22T10:47:46","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=11492"},"modified":"2019-06-22T17:47:46","modified_gmt":"2019-06-22T10:47:46","slug":"cham-moi","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/cham-moi\/","title":{"rendered":"Ch\u00e0m m\u00f4i"},"content":{"rendered":"

Ch\u00e0m (eczema)<\/strong> l\u00e0 m\u1ed9t b\u1ec7nh ngo\u00e0i da kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf th\u1eddi k\u00ec hi\u1ec7n \u0111\u1ea1i. \u0110\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u1ec7nh nguy hi\u1ec3m m\u00e0 ch\u1ec9 g\u00e2y ra nh\u1eefng kh\u00f3 ch\u1ecbu nh\u1ea5t \u0111\u1ecbnh cho ng\u01b0\u1eddi b\u1ec7nh. Tuy nhi\u00ean khi xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng v\u00f9ng nh\u1ea1y c\u1ea3m nh\u01b0 m\u1eb7t, m\u00f4i… s\u1ebd d\u1ec5 l\u00e0m cho b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y m\u1eb7c c\u1ea3m, t\u1ef1 ti v\u1ec1 v\u1ebb b\u1ec1 ngo\u00e0i c\u1ee7a m\u00ecnh. V\u00e0 ch\u00e0m m\u00f4i c\u00f3 ch\u1eefa \u0111\u01b0\u1ee3c hay kh\u00f4ng l\u00e0 c\u00e2u h\u1ecfi b\u0103n kho\u0103n, th\u1eafc m\u1eafc c\u1ee7a r\u1ea5t nhi\u1ec1u b\u1ec7nh nh\u00e2n v\u1ec1 v\u1ea5n \u0111\u1ec1 c\u1ee7a m\u00ecnh. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u00fap c\u00e1c b\u1ea1n hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 b\u1ec7nh ch\u00e0m m\u00f4i c\u0169ng nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng.<\/p>\n

B\u1ec7nh ch\u00e0m m\u00f4i l\u00e0 g\u00ec?<\/h2>\n
Ch\u00e0m (eczema) ch\u1ec9 t\u00ecnh tr\u1ea1ng vi\u00eam l\u1edbp da n\u00f4ng, c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh, ti\u1ebfn tri\u1ec3n theo \u0111\u1ee3t ho\u1eb7c t\u00e1i ph\u00e1t, c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n ph\u1ed1i h\u1ee3p v\u1edbi nhau nh\u01b0ng lu\u00f4n c\u00f3 vai tr\u00f2 quan tr\u1ecdng c\u1ee7a \u201cc\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng\u201d. Khi ch\u00e0m xu\u1ea5t hi\u1ec7n \u1edf v\u00f9ng m\u00f4i th\u00ec g\u1ecdi l\u00e0 b\u1ec7nh ch\u00e0m m\u00f4i.<\/p>\n
Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh ch\u00e0m m\u00f4i<\/h2>\n
Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh c\u1ef1c k\u00ec \u0111a d\u1ea1ng:<\/p>\n
\n
Nguy\u00ean nh\u00e2n b\u00ean ngo\u00e0i:<\/li>\n
Kh\u00ed h\u1eadu kh\u00f4 hanh, l\u1ea1nh (\u0111\u1eb7c bi\u1ec7t trong \u0111i\u1ec1u ki\u1ec7n kh\u00ed h\u1eadu mi\u1ec1n B\u1eafc n\u01b0\u1edbc ta).<\/li>\n
Li\u1ebfm m\u00f4i nhi\u1ec1u.<\/li>\n
D\u1ecb \u1ee9ng h\u00f3a ch\u1ea5t, m\u1ef9 ph\u1ea9m (son d\u01b0\u1ee1ng, son m\u00f4i, c\u00e1c s\u1ea3n ph\u1ea9m ch\u0103m s\u00f3c da (skincare), n\u01b0\u1edbc hoa, x\u00e0 ph\u00f2ng).<\/li>\n
D\u1ecb \u1ee9ng m\u1ed9t s\u1ed1 thu\u1ed1c.<\/li>\n
D\u1ecb \u1ee9ng m\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m.<\/li>\n
D\u1ecb \u1ee9ng qu\u1ea7n \u00e1o, c\u00e1c d\u1ee5ng c\u1ee5…<\/li>\n
\u0110i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh ngo\u00e0i da kh\u00f4ng \u0111\u00fang c\u00e1ch.<\/li>\n
M\u1ed9t s\u1ed1 t\u00e1c nh\u00e2n v\u1eadt l\u00ed, h\u00f3a h\u1ecdc, sinh h\u1ecdc kh\u00e1c.<\/li>\n
Nguy\u00ean nh\u00e2n b\u00ean trong:<\/li>\n
Y\u1ebfu t\u1ed1 di truy\u1ec1n (gen).<\/li>\n
Ti\u1ec1n s\u1eed vi\u00eam da d\u1ecb \u1ee9ng.<\/li>\n
R\u1ed1i lo\u1ea1n th\u1ea7n kinh: Lo \u00e2u, c\u0103ng th\u1eb3ng, stress…<\/li>\n
R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft.<\/li>\n<\/ul>\n
Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a ch\u00e0m m\u00f4i<\/h2>\n
D\u00f9 l\u00e0 ch\u00e0m \u1edf m\u00f4i hay b\u1ea5t k\u00ec v\u1ecb tr\u00ed n\u00e0o, b\u1ec7nh \u0111\u1ec1u chia th\u00e0nh c\u00e1c giai \u0111o\u1ea1n:<\/p>\n
\n
Giai \u0111o\u1ea1n \u0111\u1ecf da: Xu\u1ea5t hi\u1ec7n nh\u1eefng v\u1ebft \u0111\u1ecf (\u1edf vi\u1ec1n m\u00f4i), s\u1edd th\u1ea5y c\u1ed9m (c\u00e1c m\u1ee5n n\u01b0\u1edbc \u0111ang \u0111\u00f9n t\u1eeb d\u01b0\u1edbi l\u00ean), ng\u1ee9a r\u00e1t vi\u1ec1n m\u00f4i, s\u01b0ng vi\u1ec1n m\u00f4i…<\/li>\n
Giai \u0111o\u1ea1n m\u1ee5n n\u01b0\u1edbc: C\u00e1c m\u1ee5n n\u01b0\u1edbc nh\u1ecf n\u1ed5i l\u00ean r\u1ea5t nhi\u1ec1u, s\u00edt nhau, c\u00f3 th\u1ec3 t\u1ef1 v\u1ee1 v\u00e0 ch\u1ea3y d\u1ecbch, d\u1ec5 lo\u00e9t, nhi\u1ec5m khu\u1ea9n n\u1ebfu kh\u00f4ng v\u1ec7 sinh s\u1ea1ch s\u1ebd…<\/li>\n
Giai \u0111o\u1ea1n l\u00ean da non: T\u00ecnh tr\u1ea1ng vi\u00eam gi\u1ea3m, t\u1ed5n th\u01b0\u01a1ng l\u00e0nh d\u1ea7n, l\u00ean da non.<\/li>\n
Giai \u0111o\u1ea1n lichen h\u00f3a, h\u1eb1n c\u1ed5 tr\u00e2u: V\u00f9ng da b\u1ecb ch\u00e0m l\u00e2u ng\u00e0y b\u1ecb s\u1eabm m\u00e0u, th\u00f4 r\u00e1p, c\u1ed9m, n\u1ed5i r\u00f5 h\u1eb1n da… Ng\u1ee9a k\u00e9o d\u00e0i kh\u00f4ng kh\u1ecfi.<\/li>\n<\/ul>\n
Th\u00f4ng th\u01b0\u1eddng c\u00e1c giai \u0111o\u1ea1n di\u1ec5n ra l\u1ed3ng v\u00e0o nhau. Tr\u00ean m\u1ed9t v\u00f9ng da b\u1ecb ch\u00e0m c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u giai \u0111o\u1ea1n m\u1ed9t l\u00fac. C\u00f3 v\u00f9ng \u1edf giai \u0111o\u1ea1n l\u00ean da non trong khi v\u00f9ng b\u00ean c\u1ea1nh l\u1ea1i \u0111ang \u1edf giai \u0111o\u1ea1n \u0111\u1ecf da… B\u1ec7nh th\u1eadm ch\u00ed c\u00f3 th\u1ec3 chuy\u1ec3n t\u1eeb giai \u0111o\u1ea1n sau tr\u1edf v\u1ec1 giai \u0111o\u1ea1n tr\u01b0\u1edbc (v\u00ed d\u1ee5 t\u1eeb giai \u0111o\u1ea1n l\u00ean da non tr\u1edf v\u1ec1 giai \u0111o\u1ea1n m\u1ee5n n\u01b0\u1edbc) do m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c nhau nh\u01b0 d\u00f9ng thu\u1ed1c kh\u00f4ng \u0111\u00fang c\u00e1ch hay do b\u1ec7nh nh\u00e2n g\u00e3i v\u00e0 ch\u00e0 x\u00e1t nhi\u1ec1u.<\/p>\n
$\"M\u00f4i$
H\u00ecnh \u1ea3nh: M\u00f4i c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh<\/figcaption><\/figure>\n
Hai giai \u0111o\u1ea1n \u0111\u1ea7u (\u0111\u1ecf da v\u00e0 m\u1ee5n n\u01b0\u1edbc) t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi th\u1ec3 c\u1ea5p t\u00ednh. Giai \u0111o\u1ea1n th\u1ee9 ba (l\u00ean da non) t\u01b0\u01a1ng \u0111\u01b0\u01a1ng th\u1ec3 b\u00e1n c\u1ea5p v\u00e0 giai \u0111o\u1ea1n cu\u1ed1i c\u00f9ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng th\u1ec3 m\u1ea1n t\u00ednh.<\/p>\n
B\u1ec7nh g\u00e2y m\u1ea5t th\u1ea9m m\u0129, l\u00e0m b\u1ec7nh nh\u00e2n m\u1ea5t t\u1ef1 tin, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ch\u1ecb em ph\u1ee5 n\u1eef.<\/p>\n
\u0110i\u1ec1u tr\u1ecb ch\u00e0m m\u00f4i<\/h2>\n
\u0110i\u1ec1u \u0111\u1ea7u ti\u00ean b\u1ec7nh nh\u00e2n c\u1ea7n n\u1eafm r\u00f5 \u0111\u00f3 l\u00e0 KH\u00d4NG c\u00f3 c\u00e1ch ch\u1eefa tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh, kh\u00f4ng ch\u1ec9 v\u1edbi ch\u00e0m m\u00f4i m\u00e0 v\u1edbi m\u1ecdi lo\u1ea1i ch\u00e0m. \u0110i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 b\u1ec7nh kh\u00f4ng bao gi\u1edd kh\u1ecfi ho\u00e0n to\u00e0n. Ch\u1ec9 c\u00f3 c\u00e1c c\u00e1ch \u0111i\u1ec1u tr\u1ecb l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng b\u1ec7nh v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh \u1edf tr\u1ea1ng th\u00e1i t\u1ed1t nh\u1ea5t. M\u1ecdi thu\u1ed1c \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o l\u00e0 ch\u1eefa kh\u1ecfi ho\u00e0n to\u00e0n ch\u00e0m m\u00f4i hay b\u1ea5t c\u1ee9 lo\u1ea1i ch\u00e0m n\u00e0o kh\u00e1c \u0111\u1ec1u l\u00e0 kh\u00f4ng \u0111\u00fang s\u1ef1 th\u1eadt.<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/em><\/h3>\n
Giai \u0111o\u1ea1n m\u1ee5n n\u01b0\u1edbc c\u00f3 lo\u00e9t, ch\u1ea3y d\u1ecbch do v\u1ee1 c\u00e1c m\u1ee5n n\u01b0\u1edbc: D\u00f9ng c\u00e1c thu\u1ed1c s\u00e1t khu\u1ea9n, l\u00e0m d\u1ecbu da, ch\u1ed1ng ng\u1ee9a \u0111\u1eafp ngo\u00e0i da nh\u01b0 thu\u1ed1c t\u00edm KMnO_{4<\/sub> (1\/4000), b\u1ea1c nitrat AgNO_{3<\/sub>, n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd NaCl 0.9%… 1 tu\u1ea7n \u0111\u1ea7u sau \u0111\u00f3 b\u00f4i dung d\u1ecbch Milian, t\u00edm metin 1%, b\u00f4i h\u1ed3 n\u01b0\u1edbc.<\/p>\n}}
Khi t\u1ed5n th\u01b0\u01a1ng \u0111\u00e3 kh\u00f4, b\u00f4i corticoid + kh\u00e1ng sinh (Neo-Synalar<\/em>, Celestoderm-V<\/em>…), t\u00e1c d\u1ee5ng gi\u1ea3m c\u00e1c ph\u1ea3n \u1ee9ng vi\u00eam, ch\u1ed1ng b\u1ed9i nhi\u1ec5m do vi khu\u1ea9n.<\/p>\n
$\"Neo-Synalar\"$
\u1ea2nh: Bi\u1ec7t d\u01b0\u1ee3c Neo-Synalar l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a fluocinolone acetonide v\u00e0 neomycin sulfat.<\/figcaption><\/figure>\n
N\u1ebfu \u0111\u00e3 nhi\u1ec5m khu\u1ea9n n\u1eb7ng, xem x\u00e9t d\u00f9ng kh\u00e1ng sinh to\u00e0n th\u00e2n (tetracycline, erythromycin…).<\/p>\n
$\"Tetracyclin$
\u1ea2nh: Bi\u1ec7t d\u01b0\u1ee3c Tetracyclin 1% (Bi\u1ec7t d\u01b0\u1ee3c d\u00f9ng tra m\u1eaft v\u1eabn c\u00f3 th\u1ec3 b\u00f4i ngo\u00e0i da \u0111\u01b0\u1ee3c).<\/figcaption><\/figure>\n
C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng th\u00eam c\u00e1c thu\u1ed1c ph\u1ed1i h\u1ee3p c\u00f3 thu\u1ed1c kh\u00e1ng n\u1ea5m ngo\u00e0i da (Clotrimazol) ph\u00f2ng b\u1ed9i nhi\u1ec5m n\u1ea5m.<\/p>\n
V\u1edbi ch\u00e0m m\u1ea1n t\u00ednh xem x\u00e9t corticoid, c\u00f3 th\u1ec3 xem x\u00e9t s\u1ea3n ph\u1ea9m c\u00f3 th\u00eam acid salicylic (Diprosalic<\/em>).<\/p>\n
$\"Diprosalic\"$
\u1ea2nh: Bi\u1ec7t d\u01b0\u1ee3c Diprosalic (Betamethasone dipropionate v\u00e0 acid salicylic).<\/figcaption><\/figure>\n
C\u00e1c thu\u1ed1c corticoid \u0111\u01b0\u1eddng to\u00e0n th\u00e2n (u\u1ed1ng) ph\u1ea3i r\u1ea5t h\u1ea1n ch\u1ebf v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c d\u00f9ng ng\u1eafn ng\u00e0y.<\/p>\n
Thu\u1ed1c kh\u00e1ng histamin H1: L\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u1ee9a v\u00e0 d\u1ecb \u1ee9ng. Xem x\u00e9t \u01b0u ti\u00ean c\u00e1c th\u1ebf h\u1ec7 m\u1edbi \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n c\u00e1c th\u1ebf h\u1ec7 \u0111\u1ea7u (nh\u01b0 loratadine, fexofenadine).<\/p>\n
Xem x\u00e9t thu\u1ed1c gi\u1ea3i c\u1ea3m, gi\u1ea3i lo \u00e2u n\u1ebfu th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft (Buspiron).<\/p>\n
Ph\u00f2ng b\u1ec7nh ch\u00e0m m\u00f4i<\/h2>\n
H\u1ea1n ch\u1ebf ch\u1ea5t k\u00edch th\u00edch (c\u00e0 ph\u00ea, r\u01b0\u1ee3u bia, thu\u1ed1c l\u00e1…).<\/p>\n
Tr\u00e1nh ti\u1ebfp x\u00fac d\u1ecb nguy\u00ean n\u1ebfu nh\u01b0 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c d\u1ecb nguy\u00ean l\u00e0 g\u00ec.<\/p>\n
\u0110\u1ed5i m\u1ef9 ph\u1ea9m, c\u00e1c s\u1ea3n ph\u1ea9m ch\u0103m s\u00f3c da c\u00f3 th\u1ec3 g\u00e2y d\u1ecb \u1ee9ng. Xem x\u00e9t chuy\u1ec3n sang c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ngu\u1ed3n g\u1ed1c thi\u00ean nhi\u00ean.<\/p>\n
Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t, x\u00e0 ph\u00f2ng, tr\u00e1nh g\u00e3i qu\u00e1 nhi\u1ec1u c\u00e0ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng l\u00e2u l\u00e0nh h\u01a1n.<\/p>\n
Tr\u00e1nh stress, c\u0103ng th\u1eb3ng, lo \u00e2u…<\/p>\n
B\u1ecf th\u00f3i quen li\u1ebfm m\u00f4i. N\u1ebfu m\u00f4i b\u1ecb kh\u00f4 th\u01b0\u1eddng xuy\u00ean th\u00ec s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m d\u01b0\u1ee1ng \u1ea9m (kh\u00f4ng g\u00e2y d\u1ecb \u1ee9ng).<\/p>\n","protected":false},"excerpt":{"rendered":"
Ch\u00e0m (eczema) l\u00e0 m\u1ed9t b\u1ec7nh ngo\u00e0i da kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf th\u1eddi k\u00ec hi\u1ec7n \u0111\u1ea1i. \u0110\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u1ec7nh nguy hi\u1ec3m m\u00e0 ch\u1ec9 g\u00e2y ra nh\u1eefng kh\u00f3 ch\u1ecbu nh\u1ea5t \u0111\u1ecbnh cho ng\u01b0\u1eddi b\u1ec7nh. Tuy nhi\u00ean khi xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng v\u00f9ng nh\u1ea1y c\u1ea3m nh\u01b0 m\u1eb7t, m\u00f4i… s\u1ebd d\u1ec5 l\u00e0m cho b\u1ec7nh nh\u00e2n c\u1ea3m […]\n","protected":false},"author":1,"featured_media":11493,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-11492","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/11492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=11492"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/11492\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/11493"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=11492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=11492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=11492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}