![\"Ch\u1ea3y](\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/tiep-can-tre-bi-chay-mui-1.jpg\" "\\"\\"")
Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\nNhi\u1ec5m tr\u00f9ng<\/h3>\n\n- Rhinovirus (“c\u00e1m th\u01b0\u1eddng”)\n
\n- X\u1ea3y ra khi nhi\u1ec5m virus v\u00e0o c\u00e1c t\u1ebf b\u00e0o ni\u00eam m\u1ea1c ti\u1ebft nh\u1ea7y \u1edf m\u0169i v\u00e0 g\u00e2y ph\u1ea3n \u1ee9ng vi\u00eam c\u0169ng nh\u01b0 t\u0103ng ti\u1ebft ch\u1ea5t nh\u1ea7y. C\u00e1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do virus kh\u00f4ng bi\u1ebfn ch\u1ee9ng, t\u1ef1 gi\u1edbi h\u1ea1n, th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ea3y m\u0169i kh\u1ecfi \u0111\u1ea7u v\u1edbi d\u1ecbch trong, sau \u0111\u00f3 th\u00e0nh d\u1ecbch \u0111\u1ee5c, v\u00e0 cu\u1ed1i c\u00f9ng l\u1ea1i tr\u1edf l\u1ea1i d\u1ecbch trong ho\u1eb7c t\u1ef1 kh\u1ecfi trong kho\u1ea3ng th\u1eddi gian t\u1eeb 7 \u0111\u1ebfn 10 ng\u00e0y.<\/li>\n<\/ul>\n<\/li>\n
- Vi\u00eam xoang\n
\n- Th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb t\u1eeb 1 \u0111\u1ebfn 18 tu\u1ed5i<\/li>\n
- S\u1ef1 h\u00ecnh th\u00e0nh xoang h\u1ea1n ch\u1ebf \u1edf tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i, n\u00ean ch\u1ea9n \u0111o\u00e1n vi\u00eam xoang \u00edt c\u00f3 kh\u1ea3 n\u0103ng x\u1ea3y ra.<\/li>\n
- Ch\u1ea3y m\u0169i k\u00e9o d\u00e0i v\u1edbi b\u1ea5t k\u1ef3 t\u1ec9nh ch\u1ea5t n\u00e0o: \u0111\u1eb7c ho\u1eb7c lo\u00e3ng, d\u1ecbch trong, d\u1ecbch nh\u1ea7y ho\u1eb7c d\u1ecbch m\u1ee7<\/li>\n
- Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng ch\u1ed3ng l\u1eafp v\u1edbi tri\u1ec7u ch\u1ee9ng “c\u1ea3m th\u01b0\u1eddng”, nh\u01b0ng n\u00ean nghi ng\u1edd khi b\u1ec7nh k\u00e9o d\u00e0i tr\u00ean 10 ng\u00e0y m\u00e0 kh\u00f4ng c\u1ea3i thi\u1ec7n v\u00e0 c\u00f3 xu h\u01b0\u1edbng n\u1eb7ng l\u00ean ho\u1eb7c c\u00f3 ho v\u00e0 s\u1ed1t m\u1edbi xu\u1ea5t hi\u1ec7n tr\u00ean 39\u00b0C sau giai \u0111o\u1ea1n c\u1ea3i thi\u1ec7n ban \u0111\u1ea7u.<\/li>\n<\/ul>\n<\/li>\n
- Streptococcus pyogenes\n
\n- Nhi\u1ec5m tr\u00f9ng khu tr\u00fa \u1edf tr\u1ebb d\u01b0\u1edbi 3 tu\u1ed5i, \u0111\u1eb7c tr\u01b0ng v\u1edbi s\u1ed1t nh\u1eb9, h\u1ea1ch c\u1ed5 to, ch\u00e1n \u0103n v\u00e0 ch\u1ea3y m\u0169i m\u1ee7.<\/li>\n<\/ul>\n<\/li>\n
- Ho g\u00e0\n
\n- Giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 pha vi\u00eam long (catarrhal phase), c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n ch\u1ea3y m\u0169i nh\u1ea3y m\u1ee7. Sau khi kh\u1edfi ph\u00e1t \u201cwhooping” cough, ch\u1ea9n \u0111o\u00e1n tr\u1edf n\u00ean
\nro r\u00e0ng h\u01a1n.<\/li>\n<\/ul>\n<\/li>\n - Giang mai b\u1ea9m sinh\n
\n- Tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n sau tu\u1ea7n \u0111\u1ea7u \u0111\u1eddi v\u1edbi ch\u1ea3y d\u1ecbch m\u0169i m\u00f9 ho\u1eb7c c\u00f3 m\u00e1u ch\u1ee9a vi khu\u1ea9n Treponema pallidum, c\u00f3 t\u00ednh l\u00e2y nhi\u1ec5m cao. Th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c c\u1ee7a giang mai b\u1ea9m sinh nh\u01b0 bong da.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Ti\u1ebfp x\u00fac<\/h3>\n\n- D\u1ecb \u1ee9ng\n
\n- Vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t k\u00edch th\u00edch ho\u1ea1t h\u00f3a c\u00e1c ch\u1ea5t trung gian vi\u00eam nh\u01b0 histamine v\u00e0 g\u00e2y ph\u00f9 n\u1ec1 m\u00f4 m\u0169i c\u00f9ng v\u1edbi s\u1ef1 t\u0103ng ti\u1ebft ch\u1ea5t nh\u1ea7y. C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m c\u00f3 th\u1ec3 bao g\u1ed3m ng\u1eeda m\u0169i v\u00e0 ch\u00e1y \u0111\u1ecbch m\u0169i trong.<\/li>\n
- Tri\u1ec7u ch\u1ee9ng thay \u0111\u1ed5i theo m\u00f9a l\u00e0 manh m\u1ed1i g\u1ee3i \u00fd c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/li>\n<\/ul>\n<\/li>\n
- Vi\u00eam m\u0169i do thu\u1ed1c\n
\n- Vi\u1ec7c ti\u1ebfp x\u00fac l\u00e2u d\u00e0i v\u1edbi thu\u1ed1c x\u1ecbt th\u00f4ng m\u0169i (decongestant) c\u00f3 th\u1ec3 g\u00e2y ng\u1ea1t m\u0169i t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n<\/li>\n
- Thay \u0111\u1ed5i th\u1eddi ti\u1ebft\n
\n- Th\u1eddi ti\u1ebft l\u1ea1nh c\u00f3 th\u1ec3 l\u00e0m kh\u00f4 ni\u00eam m\u1ea1c m\u0169i v\u00e0 ph\u1ea3n \u1ee9ng sinh l\u00fd c\u1ee7a c\u01a1 th\u1ec3 l\u00e0 s\u1ea3n xu\u1ea5t ch\u1ea5t nh\u1ea7y nhi\u1ec1u h\u01a1n \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi s\u1ef1 thay \u0111\u1ed5i n\u00e0y, nh\u1eb1m gi\u1eef cho c\u00e1c khoang m\u0169i lu\u00f4n \u1ea9m.<\/li>\n<\/ul>\n<\/li>\n
- S\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc m\u1eaft\n
\n- C\u00e1c d\u1ecb nguy\u00ean ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn c\u1ea3m x\u00fac g\u00e2y ch\u00e1y nhi\u1ec1u n\u01b0\u1edbc m\u1eaft qua \u1ed1ng l\u1ec7 m\u0169i v\u00e0o m\u0169i, g\u00e2y ch\u00e1y d\u1ecbch m\u0169i trong.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Ch\u1ea5n th\u01b0\u01a1ng<\/h3>\n\n- Ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7\n
\n- Ch\u1ea3y m\u00e1u t\u1ef1 c\u1ea9m c\u00f3 th\u1ec3 do ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7, l\u00e0m cho ni\u00eam m\u1ea1c m\u0169i b\u1ecb t\u1ed5n th\u01b0\u01a1ng, l\u00e0m l\u1ed9 v\u00e0 v\u1ee1 c\u00e1c m\u1ea1ch m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n
- R\u00f2 d\u1ecbch n\u00e3o t\u1ee7y qua m\u0169i\n
\n- Ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u v\u00e0 ch\u1ea3y m\u0169i trong c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a m\u1ed9t t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng, xu\u1ea5t hi\u1ec7n \u0111\u01b0\u1eddng r\u00f2 ch\u00e1y \u0111\u1ecbch n\u00e3o t\u1ee7y ra m\u0169i.<\/li>\n<\/ul>\n<\/li>\n
- D\u1ecb v\u1eadt: M\u00f9i h\u00f4i v\u00e0 ch\u1ea3y d\u1ecbch m\u0169i m\u1ed9t b\u00ean l\u00e0 manh m\u1ed1i g\u1ee3i \u00fd kh\u1ea3 n\u0103ng c\u00f3 d\u1ecb v\u1eadt trong m\u00f9i.<\/li>\n<\/ul>\n
C\u1ea5u tr\u00fac<\/h3>\n\n- H\u1eb9p c\u1ee7a m\u0169i sau m\u1ed9t b\u00ean\n
\n- H\u1eb9p c\u1ee7a m\u0169i sau x\u1ea3y ra khi s\u1ef1 ph\u00e1t tri\u1ec3n m\u00f4 ho\u1eb7c x\u01b0\u01a1ng l\u00e0m t\u1eafc ngh\u1ebdn ph\u1ea7n sau c\u1ee7a khoang m\u0169i.<\/li>\n
- T\u1ecbt c\u1eeda m\u0169i sau hai b\u00ean ph\u00e1t hi\u1ec7n trong giai \u0111o\u1ea1n s\u01a1 sinh do duy h\u00f4 h\u1ea5p ngay t\u1ea1i ph\u00f2ng sinh.<\/li>\n
- Ch\u1ea3y m\u0169i m\u1ed9t b\u00ean li\u00ean t\u1ee5c c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a h\u1eb9p c\u1eeda m\u0169i sau m\u1ed9t b\u00ean. Nh\u1eefng tr\u1ebb s\u01a1 sinh n\u00e0y c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n mu\u1ed9n do kh\u1ea3 n\u0103ng th\u1edd qua b\u00ean m\u0169i c\u00f2n l\u1ea1i.<\/li>\n<\/ul>\n<\/li>\n
- Polyp m\u0169i v\u00e0 kh\u1ed1i \u1edf m\u0169i\n
\n- M\u1eb7c d\u00f9 polyp m\u0169i l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n nhi, nh\u01b0ng ch\u00fang th\u01b0\u1eddng x\u1ea3y ra \u1edf b\u1ec7nh nh\u00e2n b\u1ecb x\u01a1 nang.<\/li>\n
- Kh\u1ed1i u v\u00f2m m\u0169i h\u1ecdng\n
\n- T\u1eafc ngh\u1ebdn g\u00e2y ra d\u1ecbch m\u1ee7 v\u00e0 vi\u00eam xoang th\u1ee9 ph\u00e1t<\/li>\n
- Kh\u1ed1i u c\u00f3 th\u1ec3 l\u00e0 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Deficiencies (S\u1ef1 thi\u1ebfu h\u1ee5t)<\/h3>\n\n- Ch\u1ea3y m\u0169i v\u00e0 vi\u00eam xoang t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a t\u1ec9nh tr\u1ea1ng r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch nh\u01b0 thi\u1ebfu h\u1ee5t IgA, thi\u1ec3u h\u1ee5t ho\u1eb7c r\u1ed1i lo\u1ea1n IgG, ho\u1eb7c thi\u1ebfu h\u1ee5t ph\u00e2n nh\u00f3m c\u1ee7a IgG.<\/li>\n
- H\u1ed9i ch\u1ee9ng lo\u1ea1n \u0111\u1ed9ng c\u00e1c v\u00ec nhung mao (primary cilliary dyskinesia) bi\u1ec3u hi\u1ec7n v\u1edbi b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh v\u00e0 t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n
\u0110\u00e1nh gi\u00e1<\/h2>\nKh\u00e1m l\u00e2m s\u00e0ng<\/h3>\n\n- \u0110o sinh hi\u1ec7u bao g\u1ed3m nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf v\u00e0 \u0111\u1ed9 b\u00e3o h\u00f2a oxy\n
\n- S\u1ed1t cao dai d\u1eb3ng (\u2265 39\u00baC) l\u00e0 d\u1ea5u hi\u1ec7u nghi ng\u1edd b\u1ec7nh l\u00fd n\u1eb7ng.<\/li>\n<\/ul>\n<\/li>\n
- M\u1eaft\n
\n- \u0110\u00e1nh gi\u00e1 vi\u00eam ho\u1eb7c \u0111\u1ecf k\u1ebft m\u1ea1c m\u1eaft, c\u00f3 th\u1ec3 l\u00e0 ch\u1ec9 \u0111i\u1ec3m c\u1ee7a s\u1ef1 k\u00edch \u1ee9ng v\u00e0 ph\u1ea3n \u1ee9ng vi\u00eam.<\/li>\n
- Dennie-Morgan fold lines l\u00e0 ch\u1ec9 \u0111i\u1ec3m c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/li>\n<\/ul>\n<\/li>\n
- M\u0169i\n
\n- \u0110\u00e1nh gi\u00e1 c\u00e1c d\u1ea5u hi\u1ec7u bi\u1ebfn d\u1ea1ng (do ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3 ho\u1eb7c hi\u1ec7n t\u1ea1i) ho\u1eb7c n\u1ebfp g\u1eafp ngang \u1edf m\u0169i v\u00e0 m\u1ee9c \u0111\u1ed9 th\u00f4ng tho\u00e1ng c\u1ee7a m\u0169i.<\/li>\n
- Kh\u00e1m h\u1ed1c m\u0169i \u0111\u1ec3 ki\u1ec3m tra c\u00e1c b\u1ea5t th\u01b0\u1eddng c\u1ee7a ni\u00eam m\u1ea1c nh\u01b0 cu\u1ed1n m\u0169i nh\u1ee3t m\u00e2u, ph\u00f9 n\u1ec1, v\u00e1ch ng\u0103n m\u0169i; \u0111\u1ed9 th\u1eafng c\u1ee7a tr\u1ee5c m\u0169i, polyp ho\u1eb7c d\u1ecb v\u1eadt.<\/li>\n<\/ul>\n<\/li>\n
- H\u1ea7u h\u1ecdng\n
\n- Quan s\u00e1t th\u00f3i quen th\u1edd b\u1eb1ng mi\u1ec7ng, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u1ee3i \u00fd t\u1eafc ngh\u1ebdn m\u0169i.<\/li>\n
- Ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam, c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m virus \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/li>\n
- \u0110\u00e1nh gi\u00e1 s\u1ef1 hi\u1ec7n di\u1ec7n ho\u1eb7c kh\u00f4ng c\u00f3 amidan, k\u00edch th\u01b0\u1edbc amidan (c\u00f3 th\u1ec3 to l\u00ean khi c\u00f3 nhi\u1ec5m tr\u00f9ng ho\u1eb7c k\u00edch \u1ee9ng, v\u00e0 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng sau khi h\u1ebft vi\u00eam). Amidan to dai d\u1eb3ng c\u00f3 th\u1ec3 l\u00e0 b\u00ecnh th\u01b0\u1eddng \u1edf m\u1ed9t s\u1ed1 tr\u1ebb, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u00eam xoang t\u00e1i ph\u00e1t \u1edf nh\u1eefng tr\u1ebb kh\u00e1c.<\/li>\n<\/ul>\n<\/li>\n
- C\u1ed5\n
\n- H\u1ea1ch c\u1ed5 tr\u01b0\u1edbc v\u00e0 sau c\u00f3 th\u1ec3 s\u1edd th\u1ea5y l\u00e0 m\u1ed9t ph\u00e1t hi\u1ec7n kh\u00f4ng b\u1ea5t th\u01b0\u1eddng n\u1ebfu nghi ng\u1edd nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng g\u00e2y ch\u1ea3y m\u0169i. Ngo\u00e0i amidan, h\u1ea1ch c\u1ed5 c\u0169ng l\u00e0 v\u00f9ng d\u1eabn l\u01b0u c\u1ee7a v\u00f2m h\u1ecdng (v\u00f9ng m\u0169i h\u1ecdng).<\/li>\n<\/ul>\n<\/li>\n
- Ph\u1ed5i\n
\n- Th\u1edd nhanh ho\u1eb7c kh\u00f3 th\u1edf c\u00f3 th\u1ec3 g\u1ee3i \u00fd b\u1ec7nh l\u00fd \u1edf ph\u1ed5i<\/li>\n
- \u00c2m thanh b\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u00f3 th\u1ec3 l\u00e0 \u00e2m t\u1eeb ph\u1ed1i l\u00ean<\/li>\n
- H\u1ecd nh\u1eb9 c\u00f3 th\u1ec3 l\u00e0 do d\u1ecbch m\u0169i ch\u00e1y xu\u1ed1ng h\u1ea7u h\u1ecdng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Qu\u1ea3n l\u00fd<\/h2>\n
H\u1ea7u h\u1ebft c\u00e1c nguy\u00ean h\u00e2n g\u00e2y ch\u1ea3y m\u0169i \u0111\u1ec1u t\u1ef1 gi\u1edbi h\u1ea1n v\u00e0 s\u1ebd t\u1ef1 kh\u1ecfi. Kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c x\u1ecbt th\u00f4ng m\u0169i v\u00ec vi\u1ec7c s\u1eed d\u1ee5ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y vi\u00eam m\u0169i do thu\u1ed1c.<\/p>\n
\n- Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean\n
\n- T\u1ed1t nh\u1ea5t l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng\n
\n- R\u1eeda m\u0169i b\u1eb1ng dung d\u1ecbch n\u01b0\u1edbc mu\u1ed1i c\u00f3 th\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng t\u1ea1m th\u1eddi. N\u01b0\u1edbc mu\u1ed1i gi\u00fap co m\u1ea1ch m\u00e1u trong m\u0169i, l\u00e0m lo\u00e3ng d\u1ecbch nh\u1ea7y, v\u00e0 gi\u1ea3m s\u01b0ng v\u00f9ng xoang.<\/li>\n<\/ul>\n<\/li>\n
- Kh\u00f4ng n\u00ean k\u00ea \u0111\u01a1n ho\u1eb7c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng thu\u1ed1c ho v\u00e0 thu\u1ed1c c\u1ea3m kh\u00f4ng k\u00ea \u0111\u01a1n cho tr\u1ebb d\u01b0\u1edbi 4 tu\u1ed5i\n
\n- Nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00e1c s\u1ea3n ph\u1ea9m n\u00e0y hi\u1ec7u qu\u1ea3 r\u1ea5t h\u1ea1n ch\u1ebf v\u00e0 c\u00f3 th\u1ec3 g\u00e2y
\nt\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n - Ch\u1ea3y m\u0169i do d\u1ecb \u1ee9ng n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi t\u00e1c nh\u00e2n d\u1ecb \u1ee9ng v\u00e0 thu\u1ed1c xit corticosteroid t\u1ea1i m\u0169i chuy\u00ean bi\u1ec7t cho tr\u1ebb tr\u00ean kho\u1ea3ng 2 tu\u1ed5i v\u00e0 ho\u1eb7c thu\u1ed1c kh\u00e1ng histamin d\u1ea1ng x\u1ecbt m\u0169i.<\/li>\n
- Vi\u00eam xoang\n
\n- Ch\u1ec9 c\u00f3 kho\u1ea3ng 6-7% tr\u1ebb \u0111\u1ebfn kh\u00e1m v\u00ec tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p l\u00e0 do vi\u00eam xoang c\u1ea5p, do \u0111\u00f3 theo d\u00f5i th\u00eam trong 3 ng\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd.<\/li>\n
- Kh\u00e1ng sinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi nghi ng\u1edd vi\u00eam xoang c\u1ea5p do vi khu\u1ea9n, n\u1ebfu: .\n
\n- K\u00e9o d\u00e0i > 10 ng\u00e0y<\/li>\n
- Tri\u1ec7u ch\u1ee9ng n\u1eb7ng h\u01a1n theo th\u1eddi gian.<\/li>\n
- K\u00e8m s\u1ed1t cao > 39\u00baC.<\/li>\n<\/ul>\n<\/li>\n
- Amoxicillin li\u1ec1u cao l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, k\u1ebft h\u1ee3p v\u1edbi clavulanate \u1edf nh\u1eefng khu v\u1ef1c c\u00f3 t\u1ef7 l\u1ec7 kh\u00e1ng thu\u1ed1c cao. V\u1edbi \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u1ea3i thi\u1ec7n trong v\u00f2ng 48-72 gi\u1edd. Kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u h\u1ec7 th\u1ed1ng n\u00e0o x\u00e1c \u0111\u1ecbnh th\u1eddi gian \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u, v\u00ec v\u1eady li\u1ec7u tr\u00ecnh c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 10 \u0111\u1ebfn 28 ng\u00e0y, tuy nhi\u00ean, m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n h\u1ebft tri\u1ec7u ch\u1ee9ng, c\u1ed9ng th\u00eam 7 ng\u00e0y n\u1eefa.<\/li>\n<\/ul>\n<\/li>\n
- Nhi\u1ec5m li\u00ean c\u1ea7u khu\u1ea9n\n
\n- Penicillin V l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u1ea5y d\u1ecbch v\u00f2m h\u1ecdng ho\u1eb7c d\u1ecbch h\u1ecdng, v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<\/li>\n
- Giang mai b\u1ea9m sinh\n
\n- Tham kh\u1ea3o th\u00eam CDC 2015.<\/li>\n<\/ul>\n<\/li>\n
- Ho g\u00e0\n
\n- Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t n\u1ebfu b\u1eaft \u0111\u1ea7u trong 1 \u0111\u1ebfn 2 tu\u1ea7n \u0111\u1ea7u, tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n c\u00e1c c\u01a1n ho k\u1ecbch ph\u00e1t\n
\n- Macrolid (azithromycin, clarithromycin ho\u1eb7c erythromycin) l\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u01b0u ti\u00ean cho tr\u1ebb t\u1eeb 1 th\u00e1ng tu\u1ed5i tr\u1edf l\u00ean.<\/li>\n
- Trimethoprim-sulfamethoxazole l\u00e0 l\u1ef1a ch\u1ecdn thay th\u1ebf cho macrolid \u1edf tr\u1ebb tr\u00ean 2 th\u00e1ng tu\u1ed5i. C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n ph\u00f9 h\u1ee3p nh\u1ea5t d\u1ef1a v\u00e0o ch\u1ec9 ph\u00ed, kh\u1ea3 n\u0103ng tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, kh\u1ea3 n\u0103ng dung n\u1ea1p thu\u1ed1c v\u00e0 nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c.<\/li>\n<\/ul>\n<\/li>\n
- Tr\u1ebb s\u01a1 sinh nghi ng\u1edd nhi\u1ec5m ho g\u00e0 n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng azithromycin ngay c\u1ea3 tr\u01b0\u1edbc khi c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh, v\u00ec nguy c\u01a1 m\u1eafc b\u1ec7nh n\u1eb7ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"
T\u1ed5ng quan Ch\u1ea3y m\u0169i l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em x\u1ea3y ra khi d\u1ecbch nh\u1ea7y d\u01b0 th\u1eeba t\u00edch t\u1ee5 trong khoang m\u0169i. Ch\u1ea3y m\u0169i c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ea5t k\u1ef3 nh\u00f3m tu\u1ed5i n\u00e0o v\u00e0 th\u01b0\u1eddng t\u1ef1 kh\u1ecfi, nh\u01b0ng \u0111\u00f4i khi c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a m\u1ed9t c\u0103n b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n. […]\n","protected":false},"author":1,"featured_media":134219,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-134218","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\/134218","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=134218"}],"version-history":[{"count":1,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/134218\/revisions"}],"predecessor-version":[{"id":134232,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/134218\/revisions\/134232"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/134219"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=134218"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=134218"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=134218"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- \n
- Rhinovirus (“c\u00e1m th\u01b0\u1eddng”)\n
- \n
- X\u1ea3y ra khi nhi\u1ec5m virus v\u00e0o c\u00e1c t\u1ebf b\u00e0o ni\u00eam m\u1ea1c ti\u1ebft nh\u1ea7y \u1edf m\u0169i v\u00e0 g\u00e2y ph\u1ea3n \u1ee9ng vi\u00eam c\u0169ng nh\u01b0 t\u0103ng ti\u1ebft ch\u1ea5t nh\u1ea7y. C\u00e1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do virus kh\u00f4ng bi\u1ebfn ch\u1ee9ng, t\u1ef1 gi\u1edbi h\u1ea1n, th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ea3y m\u0169i kh\u1ecfi \u0111\u1ea7u v\u1edbi d\u1ecbch trong, sau \u0111\u00f3 th\u00e0nh d\u1ecbch \u0111\u1ee5c, v\u00e0 cu\u1ed1i c\u00f9ng l\u1ea1i tr\u1edf l\u1ea1i d\u1ecbch trong ho\u1eb7c t\u1ef1 kh\u1ecfi trong kho\u1ea3ng th\u1eddi gian t\u1eeb 7 \u0111\u1ebfn 10 ng\u00e0y.<\/li>\n<\/ul>\n<\/li>\n
- Vi\u00eam xoang\n
- \n
- Th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb t\u1eeb 1 \u0111\u1ebfn 18 tu\u1ed5i<\/li>\n
- S\u1ef1 h\u00ecnh th\u00e0nh xoang h\u1ea1n ch\u1ebf \u1edf tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i, n\u00ean ch\u1ea9n \u0111o\u00e1n vi\u00eam xoang \u00edt c\u00f3 kh\u1ea3 n\u0103ng x\u1ea3y ra.<\/li>\n
- Ch\u1ea3y m\u0169i k\u00e9o d\u00e0i v\u1edbi b\u1ea5t k\u1ef3 t\u1ec9nh ch\u1ea5t n\u00e0o: \u0111\u1eb7c ho\u1eb7c lo\u00e3ng, d\u1ecbch trong, d\u1ecbch nh\u1ea7y ho\u1eb7c d\u1ecbch m\u1ee7<\/li>\n
- Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng ch\u1ed3ng l\u1eafp v\u1edbi tri\u1ec7u ch\u1ee9ng “c\u1ea3m th\u01b0\u1eddng”, nh\u01b0ng n\u00ean nghi ng\u1edd khi b\u1ec7nh k\u00e9o d\u00e0i tr\u00ean 10 ng\u00e0y m\u00e0 kh\u00f4ng c\u1ea3i thi\u1ec7n v\u00e0 c\u00f3 xu h\u01b0\u1edbng n\u1eb7ng l\u00ean ho\u1eb7c c\u00f3 ho v\u00e0 s\u1ed1t m\u1edbi xu\u1ea5t hi\u1ec7n tr\u00ean 39\u00b0C sau giai \u0111o\u1ea1n c\u1ea3i thi\u1ec7n ban \u0111\u1ea7u.<\/li>\n<\/ul>\n<\/li>\n
- Streptococcus pyogenes\n
- \n
- Nhi\u1ec5m tr\u00f9ng khu tr\u00fa \u1edf tr\u1ebb d\u01b0\u1edbi 3 tu\u1ed5i, \u0111\u1eb7c tr\u01b0ng v\u1edbi s\u1ed1t nh\u1eb9, h\u1ea1ch c\u1ed5 to, ch\u00e1n \u0103n v\u00e0 ch\u1ea3y m\u0169i m\u1ee7.<\/li>\n<\/ul>\n<\/li>\n
- Ho g\u00e0\n
- \n
- Giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 pha vi\u00eam long (catarrhal phase), c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n ch\u1ea3y m\u0169i nh\u1ea3y m\u1ee7. Sau khi kh\u1edfi ph\u00e1t \u201cwhooping” cough, ch\u1ea9n \u0111o\u00e1n tr\u1edf n\u00ean
\nro r\u00e0ng h\u01a1n.<\/li>\n<\/ul>\n<\/li>\n - Giang mai b\u1ea9m sinh\n
- \n
- Tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n sau tu\u1ea7n \u0111\u1ea7u \u0111\u1eddi v\u1edbi ch\u1ea3y d\u1ecbch m\u0169i m\u00f9 ho\u1eb7c c\u00f3 m\u00e1u ch\u1ee9a vi khu\u1ea9n Treponema pallidum, c\u00f3 t\u00ednh l\u00e2y nhi\u1ec5m cao. Th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c c\u1ee7a giang mai b\u1ea9m sinh nh\u01b0 bong da.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Ti\u1ebfp x\u00fac<\/h3>\n
- \n
- D\u1ecb \u1ee9ng\n
- \n
- Vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t k\u00edch th\u00edch ho\u1ea1t h\u00f3a c\u00e1c ch\u1ea5t trung gian vi\u00eam nh\u01b0 histamine v\u00e0 g\u00e2y ph\u00f9 n\u1ec1 m\u00f4 m\u0169i c\u00f9ng v\u1edbi s\u1ef1 t\u0103ng ti\u1ebft ch\u1ea5t nh\u1ea7y. C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m c\u00f3 th\u1ec3 bao g\u1ed3m ng\u1eeda m\u0169i v\u00e0 ch\u00e1y \u0111\u1ecbch m\u0169i trong.<\/li>\n
- Tri\u1ec7u ch\u1ee9ng thay \u0111\u1ed5i theo m\u00f9a l\u00e0 manh m\u1ed1i g\u1ee3i \u00fd c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/li>\n<\/ul>\n<\/li>\n
- Vi\u00eam m\u0169i do thu\u1ed1c\n
- \n
- Vi\u1ec7c ti\u1ebfp x\u00fac l\u00e2u d\u00e0i v\u1edbi thu\u1ed1c x\u1ecbt th\u00f4ng m\u0169i (decongestant) c\u00f3 th\u1ec3 g\u00e2y ng\u1ea1t m\u0169i t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n<\/li>\n
- Thay \u0111\u1ed5i th\u1eddi ti\u1ebft\n
- \n
- Th\u1eddi ti\u1ebft l\u1ea1nh c\u00f3 th\u1ec3 l\u00e0m kh\u00f4 ni\u00eam m\u1ea1c m\u0169i v\u00e0 ph\u1ea3n \u1ee9ng sinh l\u00fd c\u1ee7a c\u01a1 th\u1ec3 l\u00e0 s\u1ea3n xu\u1ea5t ch\u1ea5t nh\u1ea7y nhi\u1ec1u h\u01a1n \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi s\u1ef1 thay \u0111\u1ed5i n\u00e0y, nh\u1eb1m gi\u1eef cho c\u00e1c khoang m\u0169i lu\u00f4n \u1ea9m.<\/li>\n<\/ul>\n<\/li>\n
- S\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc m\u1eaft\n
- \n
- C\u00e1c d\u1ecb nguy\u00ean ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn c\u1ea3m x\u00fac g\u00e2y ch\u00e1y nhi\u1ec1u n\u01b0\u1edbc m\u1eaft qua \u1ed1ng l\u1ec7 m\u0169i v\u00e0o m\u0169i, g\u00e2y ch\u00e1y d\u1ecbch m\u0169i trong.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Ch\u1ea5n th\u01b0\u01a1ng<\/h3>\n
- \n
- Ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7\n
- \n
- Ch\u1ea3y m\u00e1u t\u1ef1 c\u1ea9m c\u00f3 th\u1ec3 do ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7, l\u00e0m cho ni\u00eam m\u1ea1c m\u0169i b\u1ecb t\u1ed5n th\u01b0\u01a1ng, l\u00e0m l\u1ed9 v\u00e0 v\u1ee1 c\u00e1c m\u1ea1ch m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n
- R\u00f2 d\u1ecbch n\u00e3o t\u1ee7y qua m\u0169i\n
- \n
- Ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u v\u00e0 ch\u1ea3y m\u0169i trong c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a m\u1ed9t t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng, xu\u1ea5t hi\u1ec7n \u0111\u01b0\u1eddng r\u00f2 ch\u00e1y \u0111\u1ecbch n\u00e3o t\u1ee7y ra m\u0169i.<\/li>\n<\/ul>\n<\/li>\n
- D\u1ecb v\u1eadt: M\u00f9i h\u00f4i v\u00e0 ch\u1ea3y d\u1ecbch m\u0169i m\u1ed9t b\u00ean l\u00e0 manh m\u1ed1i g\u1ee3i \u00fd kh\u1ea3 n\u0103ng c\u00f3 d\u1ecb v\u1eadt trong m\u00f9i.<\/li>\n<\/ul>\n
C\u1ea5u tr\u00fac<\/h3>\n
- \n
- H\u1eb9p c\u1ee7a m\u0169i sau m\u1ed9t b\u00ean\n
- \n
- H\u1eb9p c\u1ee7a m\u0169i sau x\u1ea3y ra khi s\u1ef1 ph\u00e1t tri\u1ec3n m\u00f4 ho\u1eb7c x\u01b0\u01a1ng l\u00e0m t\u1eafc ngh\u1ebdn ph\u1ea7n sau c\u1ee7a khoang m\u0169i.<\/li>\n
- T\u1ecbt c\u1eeda m\u0169i sau hai b\u00ean ph\u00e1t hi\u1ec7n trong giai \u0111o\u1ea1n s\u01a1 sinh do duy h\u00f4 h\u1ea5p ngay t\u1ea1i ph\u00f2ng sinh.<\/li>\n
- Ch\u1ea3y m\u0169i m\u1ed9t b\u00ean li\u00ean t\u1ee5c c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a h\u1eb9p c\u1eeda m\u0169i sau m\u1ed9t b\u00ean. Nh\u1eefng tr\u1ebb s\u01a1 sinh n\u00e0y c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n mu\u1ed9n do kh\u1ea3 n\u0103ng th\u1edd qua b\u00ean m\u0169i c\u00f2n l\u1ea1i.<\/li>\n<\/ul>\n<\/li>\n
- Polyp m\u0169i v\u00e0 kh\u1ed1i \u1edf m\u0169i\n
- \n
- M\u1eb7c d\u00f9 polyp m\u0169i l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n nhi, nh\u01b0ng ch\u00fang th\u01b0\u1eddng x\u1ea3y ra \u1edf b\u1ec7nh nh\u00e2n b\u1ecb x\u01a1 nang.<\/li>\n
- Kh\u1ed1i u v\u00f2m m\u0169i h\u1ecdng\n
- \n
- T\u1eafc ngh\u1ebdn g\u00e2y ra d\u1ecbch m\u1ee7 v\u00e0 vi\u00eam xoang th\u1ee9 ph\u00e1t<\/li>\n
- Kh\u1ed1i u c\u00f3 th\u1ec3 l\u00e0 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Deficiencies (S\u1ef1 thi\u1ebfu h\u1ee5t)<\/h3>\n
- \n
- Ch\u1ea3y m\u0169i v\u00e0 vi\u00eam xoang t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a t\u1ec9nh tr\u1ea1ng r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch nh\u01b0 thi\u1ebfu h\u1ee5t IgA, thi\u1ec3u h\u1ee5t ho\u1eb7c r\u1ed1i lo\u1ea1n IgG, ho\u1eb7c thi\u1ebfu h\u1ee5t ph\u00e2n nh\u00f3m c\u1ee7a IgG.<\/li>\n
- H\u1ed9i ch\u1ee9ng lo\u1ea1n \u0111\u1ed9ng c\u00e1c v\u00ec nhung mao (primary cilliary dyskinesia) bi\u1ec3u hi\u1ec7n v\u1edbi b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh v\u00e0 t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n
\u0110\u00e1nh gi\u00e1<\/h2>\n
Kh\u00e1m l\u00e2m s\u00e0ng<\/h3>\n
- \n
- \u0110o sinh hi\u1ec7u bao g\u1ed3m nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf v\u00e0 \u0111\u1ed9 b\u00e3o h\u00f2a oxy\n
- \n
- S\u1ed1t cao dai d\u1eb3ng (\u2265 39\u00baC) l\u00e0 d\u1ea5u hi\u1ec7u nghi ng\u1edd b\u1ec7nh l\u00fd n\u1eb7ng.<\/li>\n<\/ul>\n<\/li>\n
- M\u1eaft\n
- \n
- \u0110\u00e1nh gi\u00e1 vi\u00eam ho\u1eb7c \u0111\u1ecf k\u1ebft m\u1ea1c m\u1eaft, c\u00f3 th\u1ec3 l\u00e0 ch\u1ec9 \u0111i\u1ec3m c\u1ee7a s\u1ef1 k\u00edch \u1ee9ng v\u00e0 ph\u1ea3n \u1ee9ng vi\u00eam.<\/li>\n
- Dennie-Morgan fold lines l\u00e0 ch\u1ec9 \u0111i\u1ec3m c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/li>\n<\/ul>\n<\/li>\n
- M\u0169i\n
- \n
- \u0110\u00e1nh gi\u00e1 c\u00e1c d\u1ea5u hi\u1ec7u bi\u1ebfn d\u1ea1ng (do ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3 ho\u1eb7c hi\u1ec7n t\u1ea1i) ho\u1eb7c n\u1ebfp g\u1eafp ngang \u1edf m\u0169i v\u00e0 m\u1ee9c \u0111\u1ed9 th\u00f4ng tho\u00e1ng c\u1ee7a m\u0169i.<\/li>\n
- Kh\u00e1m h\u1ed1c m\u0169i \u0111\u1ec3 ki\u1ec3m tra c\u00e1c b\u1ea5t th\u01b0\u1eddng c\u1ee7a ni\u00eam m\u1ea1c nh\u01b0 cu\u1ed1n m\u0169i nh\u1ee3t m\u00e2u, ph\u00f9 n\u1ec1, v\u00e1ch ng\u0103n m\u0169i; \u0111\u1ed9 th\u1eafng c\u1ee7a tr\u1ee5c m\u0169i, polyp ho\u1eb7c d\u1ecb v\u1eadt.<\/li>\n<\/ul>\n<\/li>\n
- H\u1ea7u h\u1ecdng\n
- \n
- Quan s\u00e1t th\u00f3i quen th\u1edd b\u1eb1ng mi\u1ec7ng, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u1ee3i \u00fd t\u1eafc ngh\u1ebdn m\u0169i.<\/li>\n
- Ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam, c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m virus \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/li>\n
- \u0110\u00e1nh gi\u00e1 s\u1ef1 hi\u1ec7n di\u1ec7n ho\u1eb7c kh\u00f4ng c\u00f3 amidan, k\u00edch th\u01b0\u1edbc amidan (c\u00f3 th\u1ec3 to l\u00ean khi c\u00f3 nhi\u1ec5m tr\u00f9ng ho\u1eb7c k\u00edch \u1ee9ng, v\u00e0 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng sau khi h\u1ebft vi\u00eam). Amidan to dai d\u1eb3ng c\u00f3 th\u1ec3 l\u00e0 b\u00ecnh th\u01b0\u1eddng \u1edf m\u1ed9t s\u1ed1 tr\u1ebb, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u00eam xoang t\u00e1i ph\u00e1t \u1edf nh\u1eefng tr\u1ebb kh\u00e1c.<\/li>\n<\/ul>\n<\/li>\n
- C\u1ed5\n
- \n
- H\u1ea1ch c\u1ed5 tr\u01b0\u1edbc v\u00e0 sau c\u00f3 th\u1ec3 s\u1edd th\u1ea5y l\u00e0 m\u1ed9t ph\u00e1t hi\u1ec7n kh\u00f4ng b\u1ea5t th\u01b0\u1eddng n\u1ebfu nghi ng\u1edd nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng g\u00e2y ch\u1ea3y m\u0169i. Ngo\u00e0i amidan, h\u1ea1ch c\u1ed5 c\u0169ng l\u00e0 v\u00f9ng d\u1eabn l\u01b0u c\u1ee7a v\u00f2m h\u1ecdng (v\u00f9ng m\u0169i h\u1ecdng).<\/li>\n<\/ul>\n<\/li>\n
- Ph\u1ed5i\n
- \n
- Th\u1edd nhanh ho\u1eb7c kh\u00f3 th\u1edf c\u00f3 th\u1ec3 g\u1ee3i \u00fd b\u1ec7nh l\u00fd \u1edf ph\u1ed5i<\/li>\n
- \u00c2m thanh b\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u00f3 th\u1ec3 l\u00e0 \u00e2m t\u1eeb ph\u1ed1i l\u00ean<\/li>\n
- H\u1ecd nh\u1eb9 c\u00f3 th\u1ec3 l\u00e0 do d\u1ecbch m\u0169i ch\u00e1y xu\u1ed1ng h\u1ea7u h\u1ecdng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Qu\u1ea3n l\u00fd<\/h2>\n
H\u1ea7u h\u1ebft c\u00e1c nguy\u00ean h\u00e2n g\u00e2y ch\u1ea3y m\u0169i \u0111\u1ec1u t\u1ef1 gi\u1edbi h\u1ea1n v\u00e0 s\u1ebd t\u1ef1 kh\u1ecfi. Kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c x\u1ecbt th\u00f4ng m\u0169i v\u00ec vi\u1ec7c s\u1eed d\u1ee5ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y vi\u00eam m\u0169i do thu\u1ed1c.<\/p>\n
- \n
- Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean\n
- \n
- T\u1ed1t nh\u1ea5t l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng\n
- \n
- R\u1eeda m\u0169i b\u1eb1ng dung d\u1ecbch n\u01b0\u1edbc mu\u1ed1i c\u00f3 th\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng t\u1ea1m th\u1eddi. N\u01b0\u1edbc mu\u1ed1i gi\u00fap co m\u1ea1ch m\u00e1u trong m\u0169i, l\u00e0m lo\u00e3ng d\u1ecbch nh\u1ea7y, v\u00e0 gi\u1ea3m s\u01b0ng v\u00f9ng xoang.<\/li>\n<\/ul>\n<\/li>\n
- Kh\u00f4ng n\u00ean k\u00ea \u0111\u01a1n ho\u1eb7c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng thu\u1ed1c ho v\u00e0 thu\u1ed1c c\u1ea3m kh\u00f4ng k\u00ea \u0111\u01a1n cho tr\u1ebb d\u01b0\u1edbi 4 tu\u1ed5i\n
- \n
- Nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00e1c s\u1ea3n ph\u1ea9m n\u00e0y hi\u1ec7u qu\u1ea3 r\u1ea5t h\u1ea1n ch\u1ebf v\u00e0 c\u00f3 th\u1ec3 g\u00e2y
\nt\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n - Ch\u1ea3y m\u0169i do d\u1ecb \u1ee9ng n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi t\u00e1c nh\u00e2n d\u1ecb \u1ee9ng v\u00e0 thu\u1ed1c xit corticosteroid t\u1ea1i m\u0169i chuy\u00ean bi\u1ec7t cho tr\u1ebb tr\u00ean kho\u1ea3ng 2 tu\u1ed5i v\u00e0 ho\u1eb7c thu\u1ed1c kh\u00e1ng histamin d\u1ea1ng x\u1ecbt m\u0169i.<\/li>\n
- Vi\u00eam xoang\n
- \n
- Ch\u1ec9 c\u00f3 kho\u1ea3ng 6-7% tr\u1ebb \u0111\u1ebfn kh\u00e1m v\u00ec tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p l\u00e0 do vi\u00eam xoang c\u1ea5p, do \u0111\u00f3 theo d\u00f5i th\u00eam trong 3 ng\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd.<\/li>\n
- Kh\u00e1ng sinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi nghi ng\u1edd vi\u00eam xoang c\u1ea5p do vi khu\u1ea9n, n\u1ebfu: .\n
- \n
- K\u00e9o d\u00e0i > 10 ng\u00e0y<\/li>\n
- Tri\u1ec7u ch\u1ee9ng n\u1eb7ng h\u01a1n theo th\u1eddi gian.<\/li>\n
- K\u00e8m s\u1ed1t cao > 39\u00baC.<\/li>\n<\/ul>\n<\/li>\n
- Amoxicillin li\u1ec1u cao l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, k\u1ebft h\u1ee3p v\u1edbi clavulanate \u1edf nh\u1eefng khu v\u1ef1c c\u00f3 t\u1ef7 l\u1ec7 kh\u00e1ng thu\u1ed1c cao. V\u1edbi \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u1ea3i thi\u1ec7n trong v\u00f2ng 48-72 gi\u1edd. Kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u h\u1ec7 th\u1ed1ng n\u00e0o x\u00e1c \u0111\u1ecbnh th\u1eddi gian \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u, v\u00ec v\u1eady li\u1ec7u tr\u00ecnh c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 10 \u0111\u1ebfn 28 ng\u00e0y, tuy nhi\u00ean, m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n h\u1ebft tri\u1ec7u ch\u1ee9ng, c\u1ed9ng th\u00eam 7 ng\u00e0y n\u1eefa.<\/li>\n<\/ul>\n<\/li>\n
- Nhi\u1ec5m li\u00ean c\u1ea7u khu\u1ea9n\n
- \n
- Penicillin V l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u1ea5y d\u1ecbch v\u00f2m h\u1ecdng ho\u1eb7c d\u1ecbch h\u1ecdng, v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<\/li>\n
- Giang mai b\u1ea9m sinh\n
- \n
- Tham kh\u1ea3o th\u00eam CDC 2015.<\/li>\n<\/ul>\n<\/li>\n
- Ho g\u00e0\n
- \n
- Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t n\u1ebfu b\u1eaft \u0111\u1ea7u trong 1 \u0111\u1ebfn 2 tu\u1ea7n \u0111\u1ea7u, tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n c\u00e1c c\u01a1n ho k\u1ecbch ph\u00e1t\n
- \n
- Macrolid (azithromycin, clarithromycin ho\u1eb7c erythromycin) l\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u01b0u ti\u00ean cho tr\u1ebb t\u1eeb 1 th\u00e1ng tu\u1ed5i tr\u1edf l\u00ean.<\/li>\n
- Trimethoprim-sulfamethoxazole l\u00e0 l\u1ef1a ch\u1ecdn thay th\u1ebf cho macrolid \u1edf tr\u1ebb tr\u00ean 2 th\u00e1ng tu\u1ed5i. C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n ph\u00f9 h\u1ee3p nh\u1ea5t d\u1ef1a v\u00e0o ch\u1ec9 ph\u00ed, kh\u1ea3 n\u0103ng tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, kh\u1ea3 n\u0103ng dung n\u1ea1p thu\u1ed1c v\u00e0 nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c.<\/li>\n<\/ul>\n<\/li>\n
- Tr\u1ebb s\u01a1 sinh nghi ng\u1edd nhi\u1ec5m ho g\u00e0 n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng azithromycin ngay c\u1ea3 tr\u01b0\u1edbc khi c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh, v\u00ec nguy c\u01a1 m\u1eafc b\u1ec7nh n\u1eb7ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"
T\u1ed5ng quan Ch\u1ea3y m\u0169i l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em x\u1ea3y ra khi d\u1ecbch nh\u1ea7y d\u01b0 th\u1eeba t\u00edch t\u1ee5 trong khoang m\u0169i. Ch\u1ea3y m\u0169i c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ea5t k\u1ef3 nh\u00f3m tu\u1ed5i n\u00e0o v\u00e0 th\u01b0\u1eddng t\u1ef1 kh\u1ecfi, nh\u01b0ng \u0111\u00f4i khi c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a m\u1ed9t c\u0103n b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n. […]\n","protected":false},"author":1,"featured_media":134219,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-134218","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\/134218","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=134218"}],"version-history":[{"count":1,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/134218\/revisions"}],"predecessor-version":[{"id":134232,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/134218\/revisions\/134232"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/134219"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=134218"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=134218"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=134218"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t n\u1ebfu b\u1eaft \u0111\u1ea7u trong 1 \u0111\u1ebfn 2 tu\u1ea7n \u0111\u1ea7u, tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n c\u00e1c c\u01a1n ho k\u1ecbch ph\u00e1t\n
- Nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00e1c s\u1ea3n ph\u1ea9m n\u00e0y hi\u1ec7u qu\u1ea3 r\u1ea5t h\u1ea1n ch\u1ebf v\u00e0 c\u00f3 th\u1ec3 g\u00e2y
- T\u1ed1t nh\u1ea5t l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng\n
- Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean\n
- \u0110o sinh hi\u1ec7u bao g\u1ed3m nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf v\u00e0 \u0111\u1ed9 b\u00e3o h\u00f2a oxy\n
- H\u1eb9p c\u1ee7a m\u0169i sau m\u1ed9t b\u00ean\n
- Ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7\n
- C\u00e1c d\u1ecb nguy\u00ean ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn c\u1ea3m x\u00fac g\u00e2y ch\u00e1y nhi\u1ec1u n\u01b0\u1edbc m\u1eaft qua \u1ed1ng l\u1ec7 m\u0169i v\u00e0o m\u0169i, g\u00e2y ch\u00e1y d\u1ecbch m\u0169i trong.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
- D\u1ecb \u1ee9ng\n
- Tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n sau tu\u1ea7n \u0111\u1ea7u \u0111\u1eddi v\u1edbi ch\u1ea3y d\u1ecbch m\u0169i m\u00f9 ho\u1eb7c c\u00f3 m\u00e1u ch\u1ee9a vi khu\u1ea9n Treponema pallidum, c\u00f3 t\u00ednh l\u00e2y nhi\u1ec5m cao. Th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c c\u1ee7a giang mai b\u1ea9m sinh nh\u01b0 bong da.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
- Giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 pha vi\u00eam long (catarrhal phase), c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n ch\u1ea3y m\u0169i nh\u1ea3y m\u1ee7. Sau khi kh\u1edfi ph\u00e1t \u201cwhooping” cough, ch\u1ea9n \u0111o\u00e1n tr\u1edf n\u00ean