{"id":12036,"date":"2019-06-26T22:41:33","date_gmt":"2019-06-26T15:41:33","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=12036"},"modified":"2019-06-26T22:41:33","modified_gmt":"2019-06-26T15:41:33","slug":"viem-gan-a","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/viem-gan-a\/","title":{"rendered":"Vi\u00eam gan A"},"content":{"rendered":"<p><strong>Vi\u00eam gan A l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh do virus vi\u00eam gan A l\u00e0 HAV (Hepatitis A Virus) g\u00e2y ra. Vi\u00eam gan A l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 l\u00e0nh t\u00ednh, th\u01b0\u1eddng t\u1ef1 kh\u1ecfi ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng g\u00ec c\u0169ng nh\u01b0 kh\u00f4ng chuy\u1ec3n sang th\u1ec3 m\u1ea1n t\u00ednh.<\/strong><\/p>\n<h2>Nguy\u00ean nh\u00e2n<\/h2>\n<p>Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 virus HAV, thu\u1ed9c h\u1ecd <em>Picornaviridae<\/em>. Virus \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n n\u0103m 1973 b\u1edfi Feinstone, c\u00f3 l\u00f5i axit nucleic l\u00e0 ARN. V\u1eadt ch\u1ee7 t\u1ef1 nhi\u00ean l\u00e0 con ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt c\u00f3 x\u01b0\u01a1ng s\u1ed1ng.<\/p>\n<p>Ngu\u1ed3n b\u1ec7nh: B\u1ec7nh nh\u00e2n v\u00e0 nh\u1eefng ng\u01b0\u1eddi mang virus nh\u01b0ng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng (carrier).<\/p>\n<p>B\u1ec7nh l\u00e2y t\u1eeb ng\u01b0\u1eddi b\u1ec7nh sang ng\u01b0\u1eddi l\u00e0nh qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a l\u00e0 ch\u1ee7 y\u1ebfu. C\u00f3 th\u1ec3 nhi\u1ec5m virus qua th\u1ef1c ph\u1ea9m, n\u01b0\u1edbc nhi\u1ec5m virus, \u0103n th\u1ee7y h\u1ea3i s\u1ea3n s\u1ed1ng (nh\u01b0 g\u1ecfi c\u00e1) \u1edf v\u00f9ng n\u01b0\u1edbc \u00f4 nhi\u1ec5m, ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh (c\u00f3 th\u1ec3 kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng), d\u00f9ng tay ch\u01b0a r\u1eeda sau khi \u0111i v\u1ec7 sinh \u0111\u1ec3 b\u1ed1c th\u1ee9c \u0103n&#8230;<\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n vi\u00eam gan A<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh d\u1ef1a v\u00e0o kh\u00e1ng th\u1ec3 typ IgM \u0111\u1eb7c hi\u1ec7u HAV trong m\u00e1u. N\u00f3 b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n t\u1eeb 1-2 tu\u1ea7n \u0111\u1ea7u sau nhi\u1ec5m HAV v\u00e0 t\u1ed3n t\u1ea1i trong kho\u1ea3ng 14 tu\u1ea7n.<\/p>\n<figure id=\"attachment_12043\" aria-describedby=\"caption-attachment-12043\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12043\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/chi_so_igm_igg_alt_trong_xet_nghiem_viem_gan_a-600x400.jpg\" alt=\"IgG, IgM v\u00e0 ALT trong m\u00e1u sau khi nhi\u1ec5m HAV.\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/chi_so_igm_igg_alt_trong_xet_nghiem_viem_gan_a.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/chi_so_igm_igg_alt_trong_xet_nghiem_viem_gan_a-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-12043\" class=\"wp-caption-text\">\u1ea2nh: IgG, IgM v\u00e0 ALT trong m\u00e1u sau khi nhi\u1ec5m HAV.<\/figcaption><\/figure>\n<h2>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h2>\n<p>\u0110\u1eb7c tr\u01b0ng: T\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa v\u00e0 ho\u1ea1i t\u1eed t\u1ebf b\u00e0o gan (\u0111\u1eb7c tr\u01b0ng cho vi\u00eam gan si\u00eau vi).<\/p>\n<p>\u0110\u1ed1i t\u01b0\u1ee3ng m\u1eafc nhi\u1ec1u nh\u1ea5t: Tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean; ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh th\u01b0\u1eddng c\u00f3 mi\u1ec5n d\u1ecbch b\u1ec1n v\u1eefng.<\/p>\n<p>Nhi\u1ec1u b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb em. Th\u1eddi gian \u1ee7 b\u1ec7nh kho\u1ea3ng 2-6 tu\u1ea7n.<\/p>\n<p><em>Th\u1eddi k\u00ec kh\u1edfi ph\u00e1t:<\/em><\/p>\n<p>S\u1ed1t nh\u1eb9 ho\u1eb7c kh\u00f4ng.<\/p>\n<p>\u0110au t\u1ee9c v\u00f9ng b\u1ee5ng b\u00ean ph\u1ea3i, ngay d\u01b0\u1edbi x\u01b0\u01a1ng s\u01b0\u1eddn (c\u00f2n g\u1ecdi h\u1ea1 s\u01b0\u1eddn ph\u1ea3i, v\u1ecb tr\u00ed th\u00f4ng th\u01b0\u1eddng c\u1ee7a gan, tr\u1eeb m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ea3o ng\u01b0\u1ee3c ph\u1ee7 t\u1ea1ng th\u00ec gan \u1edf h\u1ea1 s\u01b0\u1eddn tr\u00e1i).<\/p>\n<p>B\u1ec7nh nh\u00e2n m\u1ec7t m\u1ecfi nhi\u1ec1u, kh\u00f4ng mu\u1ed1n l\u00e0m g\u00ec.<\/p>\n<p><em>Th\u1eddi k\u00ec to\u00e0n ph\u00e1t:<\/em><\/p>\n<figure id=\"attachment_12044\" aria-describedby=\"caption-attachment-12044\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12044\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/mau_mat_cua_benh_nhan_bi_viem_gan_a-600x400.jpg\" alt=\"M\u00e0u m\u1eaft c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb Vi\u00eam gan A\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/mau_mat_cua_benh_nhan_bi_viem_gan_a.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/mau_mat_cua_benh_nhan_bi_viem_gan_a-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-12044\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: M\u00e0u m\u1eaft c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb Vi\u00eam gan A<\/figcaption><\/figure>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00e1t tri\u1ec3n v\u00e0 n\u1eb7ng l\u00ean:<\/p>\n<ul>\n<li>Gan to v\u00e0 \u0111au, l\u00e1ch c\u00f3 th\u1ec3 to.<\/li>\n<li>Ch\u00e1n \u0103n, m\u1ec7t m\u1ecfi, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a&#8230;<\/li>\n<li>V\u00e0ng da (do t\u0103ng bilirubin \u2013 s\u1eafc t\u1ed1 m\u1eadt trong m\u00e1u), v\u00e0ng m\u1eaft ph\u00e1t tri\u1ec3n nhanh, k\u00e9o d\u00e0i 2-4 tu\u1ea7n.<\/li>\n<li>Ph\u00e2n b\u1ea1c m\u00e0u (c\u00f3 th\u1ec3 tr\u1eafng nh\u01b0 ph\u00e2n c\u00f2).<\/li>\n<li>N\u01b0\u1edbc ti\u1ec3u \u00edt v\u00e0 s\u1eabm m\u00e0u (gi\u1ed1ng m\u00e0u n\u01b0\u1edbc v\u1ed1i).<\/li>\n<li>R\u1ea5t ng\u1ee9a (do t\u00edch t\u1ee5 bilirubin d\u01b0\u1edbi da k\u00edch th\u00edch c\u00e1c th\u1ee5 c\u1ea3m th\u1ec3 g\u00e2y ng\u1ee9a, ng\u1ee9a trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng histamin H1).<\/li>\n<\/ul>\n<p><em>Th\u1eddi k\u00ec h\u1ed3i ph\u1ee5c:<\/em><\/p>\n<ul>\n<li>Th\u01b0\u1eddng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng \u0111a ni\u1ec7u.<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng gi\u1ea3m d\u1ea7n r\u1ed3i m\u1ea5t.<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u1ecfe l\u00ean, d\u1ec5 ch\u1ecbu d\u1ea7n, \u0103n ng\u1ee7 t\u1ed1t.<\/li>\n<li>N\u01b0\u1edbc ti\u1ec3u trong tr\u1edf l\u1ea1i, ph\u00e2n c\u0169ng tr\u1edf v\u1ec1 m\u00e0u nh\u01b0 c\u0169.<\/li>\n<li>Gan d\u1ea7n tr\u1edf v\u1ec1 k\u00edch th\u01b0\u1edbc b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>S\u1ef1 m\u1ec7t m\u1ecfi v\u00e0 \u0111au t\u1ee9c h\u1ea1 s\u01b0\u1eddn ph\u1ea3i c\u00f3 th\u1ec3 c\u00f2n k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng sau \u0111\u00f3.<\/li>\n<\/ul>\n<h2>C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n<figure id=\"attachment_12045\" aria-describedby=\"caption-attachment-12045\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12045\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/xet_nghiem_hav-600x400.jpg\" alt=\"X\u00e9t nghi\u1ec7m vi\u00eam gan A\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/xet_nghiem_hav.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/xet_nghiem_hav-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-12045\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda: X\u00e9t nghi\u1ec7m vi\u00eam gan A<\/figcaption><\/figure>\n<p><em>Th\u1eddi k\u00ec kh\u1edfi ph\u00e1t:<\/em><\/p>\n<ul>\n<li>Kh\u00e1m th\u1ef1c th\u1ec3: gan to (h\u1ea7u nh\u01b0 m\u1ecdi tr\u01b0\u1eddng h\u1ee3p).<\/li>\n<li>N\u01b0\u1edbc ti\u1ec3u s\u1eabm (\u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p).<\/li>\n<li>Urobilinogen ni\u1ec7u (+).<\/li>\n<\/ul>\n<p><em>Th\u1eddi k\u00ec to\u00e0n ph\u00e1t:<\/em><\/p>\n<ul>\n<li>Transaminase m\u00e1u t\u0103ng cao, \u0111\u1eb7c bi\u1ec7t l\u00e0 ALT.<\/li>\n<li>Bilirubin to\u00e0n ph\u1ea7n t\u0103ng.<\/li>\n<li>Phosphatase ki\u1ec1m t\u0103ng trong tr\u01b0\u1eddng h\u1ee3p t\u1eafc m\u1eadt.<\/li>\n<li>Urobilinogen ni\u1ec7u (-).<\/li>\n<\/ul>\n<p><em>Th\u1eddi k\u00ec h\u1ed3i ph\u1ee5c:<\/em><\/p>\n<ul>\n<li>C\u00e1c ch\u1ec9 s\u1ed1 bilirubin to\u00e0n ph\u1ea7n, transaminase m\u00e1u, c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u00f3a kh\u00e1c d\u1ea7n tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<h2>\u0110i\u1ec1u tr\u1ecb<\/h2>\n<p><em>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/em><\/p>\n<p>Hi\u1ec7n nay vi\u00eam gan A ch\u01b0a c\u00f3 thu\u1ed1c \u0111\u1eb7c tr\u1ecb. M\u1ee5c ti\u00eau l\u00e0 \u0111\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u0103n ng\u1eeba x\u1ea3y ra t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng gan v\u0129nh vi\u1ec5n.<\/p>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea7n tu\u00e2n theo nh\u1eefng nguy\u00ean t\u1eafc sau:<\/p>\n<ul>\n<li>Ngh\u1ec9 ng\u01a1i ho\u00e0n to\u00e0n t\u1ea1i gi\u01b0\u1eddng trong giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n (khi n\u1eb1m l\u01b0u l\u01b0\u1ee3ng m\u00e1u qua gan t\u0103ng 25%).<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n \u0111a d\u1ea1ng, \u0111\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng l\u00e0 protid, glucid v\u00e0 lipid, ki\u00eang m\u1ee1 \u0111\u1ed9ng v\u1eadt, c\u00e1c lo\u1ea1i th\u1ee9c \u0103n nhanh, t\u0103ng c\u01b0\u1eddng \u0103n rau xanh, hoa qu\u1ea3 t\u01b0\u01a1i, s\u1eefa chua. Ch\u00fa \u00fd \u0103n th\u1ee9c \u0103n m\u1ec1m, d\u1ec5 ti\u00eau.<\/li>\n<li>Ki\u00eang r\u01b0\u1ee3u, bia, c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n n\u00f3i chung.<\/li>\n<li>Tr\u00e1nh s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c, ti\u1ebfp x\u00fac h\u00f3a ch\u1ea5t g\u00e2y \u0111\u1ed9c cho gan (v\u00ed d\u1ee5: thu\u1ed1c paracetamol, aspirin, h\u00f3a ch\u1ea5t \u0111\u1ed9c v\u1edbi gan nh\u01b0 carbon tetrachloride CCl<sub>4<\/sub>, chloroform CHCl<sub>3<\/sub>).<\/li>\n<li>S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng khi c\u1ea7n thi\u1ebft: c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u, l\u1ee3i m\u1eadt, thu\u1ed1c b\u1ea3o v\u1ec7 t\u1ebf b\u00e0o gan, thu\u1ed1c n\u00e2ng cao mi\u1ec5n d\u1ecbch kh\u00f4ng \u0111\u1eb7c hi\u1ec7u c\u1ee7a c\u01a1 th\u1ec3 ng\u01b0\u1eddi b\u1ec7nh&#8230;<\/li>\n<\/ul>\n<p><em>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/em><\/p>\n<ul>\n<li>Thu\u1ed1c l\u1ee3i ti\u1ec3u: Spironolactone (<em>Aldactone<\/em>)&#8230;, thu\u1ed1c c\u00f3 ngu\u1ed3n g\u1ed1c d\u01b0\u1ee3c li\u1ec7u nh\u01b0 r\u00e2u ng\u00f4, h\u1ea1t m\u00e3 \u0111\u1ec1 (xa ti\u1ec1n t\u1eed)&#8230;<\/li>\n<li>Thu\u1ed1c l\u1ee3i m\u1eadt (kh\u00f4ng d\u00f9ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eafc m\u1eadt): Sorbitol&#8230; ho\u1eb7c c\u00e1c thu\u1ed1c c\u00f3 ngu\u1ed3n g\u1ed1c d\u01b0\u1ee3c li\u1ec7u nh\u01b0 nh\u00e2n tr\u1ea7n, actiso&#8230;<\/li>\n<li>Thu\u1ed1c b\u1ea3o v\u1ec7 t\u1ebf b\u00e0o gan: Thu\u1ed1c ch\u1ee9a Biphenyl-dimethyl-dicarboxylate nh\u01b0 <em>Fortec<\/em>, <em>Nissel<\/em>, <em>Grocel<\/em>&#8230; ho\u1eb7c c\u00e1c thu\u1ed1c c\u00f3 ngu\u1ed3n g\u1ed1c d\u01b0\u1ee3c li\u1ec7u nh\u01b0 ch\u00f3 \u0111\u1ebb r\u0103ng c\u01b0a&#8230;<\/li>\n<li>Thu\u1ed1c n\u00e2ng cao mi\u1ec5n d\u1ecbch kh\u00f4ng \u0111\u1eb7c hi\u1ec7u: Thymomodulin (<em>Thymorosin, Thioserin<\/em>&#8230;)<\/li>\n<\/ul>\n<h2>D\u1ef1 ph\u00f2ng<\/h2>\n<figure id=\"attachment_12046\" aria-describedby=\"caption-attachment-12046\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12046\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/tiem_vacxin_phong_viem_gan_a-600x400.jpg\" alt=\"Ti\u00eam ph\u00f2ng vi\u00eam gan A\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/tiem_vacxin_phong_viem_gan_a.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/tiem_vacxin_phong_viem_gan_a-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-12046\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda: Ti\u00eam ph\u00f2ng vi\u00eam gan A<\/figcaption><\/figure>\n<p><em>Ph\u00f2ng b\u1ec7nh cho b\u1ea3n th\u00e2n<\/em><\/p>\n<ul>\n<li>Ti\u00eam globulin mi\u1ec5n d\u1ecbch: c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 trong m\u1ed9t th\u1eddi gian ng\u1eafn.<\/li>\n<li>Ti\u00eam vaccin: c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 trong m\u1ed9t th\u1eddi gian d\u00e0i (c\u00f3 th\u1ec3 l\u00ean t\u1edbi 20 n\u0103m).<\/li>\n<\/ul>\n<p>C\u00e1c lo\u1ea1i vaccin ph\u00f2ng vi\u00ean gan A:<\/p>\n<ul>\n<li><em>Havrix, Vaqta<\/em>: An to\u00e0n cho tr\u1ebb em t\u1eeb 2 tu\u1ed5i tr\u1edf l\u00ean, ng\u01b0\u1eddi l\u1edbn k\u1ec3 c\u1ea3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng h\u1ec7 mi\u1ec5n d\u1ecbch. T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng nh\u1eb9, \u0111\u00f4i khi s\u1ed1c ph\u1ea3n v\u1ec7 v\u1eabn c\u00f3 th\u1ec3 x\u1ea3y ra. C\u1ea7n 4 tu\u1ea7n \u0111\u1ec3 vaccin ph\u00e1t huy t\u00e1c d\u1ee5ng c\u1ee7a n\u00f3.<\/li>\n<li><em>Twinrix<\/em>: Ph\u00f2ng ng\u1eeba c\u1ea3 vi\u00eam gan A v\u00e0 B, ch\u1ec9 d\u00f9ng cho ng\u01b0\u1eddi b\u1ec7nh 18 tu\u1ed5i tr\u1edf l\u00ean. T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng nh\u1eb9: \u0111au nh\u1eb9 ch\u1ed7 ti\u00eam,m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y th\u01b0\u1eddng h\u1ebft sau 48 gi\u1edd.<\/li>\n<\/ul>\n<p>R\u1eeda s\u1ea1ch rau xanh, hoa qu\u1ea3, g\u1ecdt v\u1ecf tr\u01b0\u1edbc khi \u0103n, tr\u00e1nh \u0103n \u0111\u1ed3 s\u1ed1ng ho\u1eb7c t\u00e1i. Th\u1ef1c hi\u1ec7n \u0103n ch\u00edn, u\u1ed1ng s\u00f4i.<\/p>\n<p>V\u1ec7 sinh c\u00e1 nh\u00e2n th\u01b0\u1eddng xuy\u00ean. R\u1eeda tay tr\u01b0\u1edbc khi \u0103n v\u00e0 sau khi \u0111i v\u1ec7 sinh ho\u1eb7c sau khi thay t\u00e3 cho tr\u1ebb b\u1eb1ng x\u00e0 ph\u00f2ng. Kh\u00f4ng d\u00f9ng chung kh\u0103n m\u1eb7t, b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, dao c\u1ea1o r\u00e2u, d\u1ee5ng c\u1ee5 \u0103n&#8230;<\/p>\n<p><em>Ph\u00f2ng b\u1ec7nh cho m\u1ecdi ng\u01b0\u1eddi xung quanh<\/em><\/p>\n<ul>\n<li>Sinh ho\u1ea1t t\u00ecnh d\u1ee5c an to\u00e0n, n\u1ebfu l\u00e0 nam gi\u1edbi \u0111\u1ed3ng t\u00ednh th\u00ec n\u00ean tr\u00e1nh sinh ho\u1ea1t t\u00ecnh d\u1ee5c do HAV c\u00f3 th\u1ec3 l\u00e2y qua \u0111\u01b0\u1eddng tay \u2013 h\u1eadu m\u00f4n, mi\u1ec7ng \u2013 h\u1eadu m\u00f4n.<\/li>\n<li>R\u1eeda tay c\u1ea9n th\u1eadn b\u1eb1ng x\u00e0 ph\u00f2ng sau khi \u0111i v\u1ec7 sinh. N\u1ebfu \u0111\u01b0\u1ee3c, n\u00ean d\u00f9ng kh\u0103n lau m\u1ed9t l\u1ea7n \u0111\u1ec3 lau kh\u00f4 tay.<\/li>\n<li>\u0110\u1ec3 ri\u00eang d\u1ee5ng c\u1ee5 \u0103n, kh\u00f4ng \u0111\u1ec3 ng\u01b0\u1eddi kh\u00e1c d\u00f9ng.<\/li>\n<li>Kh\u00f4ng chu\u1ea9n b\u1ecb \u0111\u1ed3 \u0103n cho ng\u01b0\u1eddi kh\u00e1c n\u1ebfu \u0111ang b\u1ecb vi\u00eam gan ho\u1ea1t \u0111\u1ed9ng.<\/li>\n<\/ul>\n<p>Tham kh\u1ea3o th\u00eam c\u00e1c b\u1ec7nh v\u1ec1 vi\u00eam gan:<\/p>\n<p><a href=\"https:\/\/www.vnras.com\/drug\/2019\/06\/viem-gan-e.html\">Vi\u00eam gan E<\/a>: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/p>\n<p><a href=\"https:\/\/www.vnras.com\/drug\/2019\/05\/viem-gan-b.html\">Vi\u00eam gan B<\/a>:\u00a0Kh\u00e1i ni\u1ec7m, tri\u1ec7u ch\u1ee9ng, \u0111\u01b0\u1eddng l\u00e2y, \u0111i\u1ec1u tr\u1ecb, ti\u00eam ph\u00f2ng<\/p>\n<p><a href=\"https:\/\/www.vnras.com\/drug\/2019\/05\/viem-gan-c.html\">Vi\u00eam gan C<\/a>: Tri\u1ec7u ch\u1ee9ng, \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n, ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t<\/p>\n<p><a href=\"https:\/\/www.vnras.com\/drug\/2019\/06\/viem-gan-d.html\">Vi\u00eam gan D<\/a>: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, c\u00e1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam gan A l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh do virus vi\u00eam gan A l\u00e0 HAV (Hepatitis A Virus) g\u00e2y ra. Vi\u00eam gan A l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 l\u00e0nh t\u00ednh, th\u01b0\u1eddng t\u1ef1 kh\u1ecfi ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng g\u00ec c\u0169ng nh\u01b0 kh\u00f4ng chuy\u1ec3n sang th\u1ec3 m\u1ea1n t\u00ednh. Nguy\u00ean nh\u00e2n Nguy\u00ean nh\u00e2n g\u00e2y [&#8230;]\n","protected":false},"author":1,"featured_media":12042,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-12036","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\/12036","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=12036"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/12036\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/12042"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=12036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=12036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=12036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}