C\u00f9ng v\u1edbi vi\u1ec7c l\u1ea5y b\u1ec7nh ph\u1ea9m ch\u1ea9n \u0111o\u00e1n, thu\u1ed1c n\u00e0o sau \u0111\u00e2y l\u00e0 ph\u00f9 h\u1ee3p nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n nam ho n\u1eb7ng k\u1ecbch ph\u00e1t k\u00e9o d\u00e0i 2 tu\u1ea7n \u0111\u00e3 n\u00eau?<\/p>\n
A. Azithromycin
\nB. Esomeprazole
\nC. Amoxicillin
\nD. Albuterol d\u1ea1ng h\u00edt
\nE. Oseltamivir
\n——————————————-
\n\u0110\u00e1p \u00e1n: A.<\/p>\n
\u0110i\u1ec3m m\u1ea5u ch\u1ed1t: \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n ho n\u1eb7ng k\u1ecbch ph\u00e1t k\u00e9o d\u00e0i 2 tu\u1ea7n, ngh\u0129 nhi\u1ec1u \u0111\u1ebfn ho g\u00e0, l\u00e0 azithromycin.<\/p>\n
Gi\u1ea3i th\u00edch chi ti\u1ebft:<\/p>\n
Ho b\u00e1n c\u1ea5p c\u00f3 r\u1ea5t nhi\u1ec1u ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, nh\u01b0ng ho c\u01a1n n\u1eb7ng k\u1ecbch ph\u00e1t v\u00e0 dai d\u1eb3ng sau giai \u0111o\u1ea1n xu\u1ea5t ti\u1ebft k\u00e8m s\u1ed1t nh\u1eb9 v\u00e0 sung huy\u1ebft m\u0169i c\u1ea7n ngh\u0129 \u0111\u1ebfn ho g\u00e0. M\u1eb7c d\u00f9 t\u1ec9 l\u1ec7 tr\u1ebb em \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng l\u00e0 r\u1ea5t cao, nh\u01b0ng s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ecb ho g\u00e0 v\u1eabn \u0111\u00e3 v\u00e0 \u0111ang t\u0103ng l\u00ean h\u00e0ng n\u0103m \u1edf Hoa K\u00ec; h\u01a1n m\u1ed9t n\u1eeda s\u1ed1 tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n \u1edf tu\u1ed5i thi\u1ebfu ni\u00ean v\u00e0 th\u00e0nh ni\u00ean. \u1ede b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ea1o mi\u1ec5n d\u1ecbch, ho k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n duy nh\u1ea5t c\u1ee7a nhi\u1ec5m khu\u1ea9n ho g\u00e0; do \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u1ea7n ngh\u0129 nhi\u1ec1u \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n n\u00e0y. Khi nghi ng\u1edd nhi\u1ec5m ho g\u00e0, c\u1ea7n th\u1eadn tr\u1ecdng khi l\u1ea5y b\u1ec7nh ph\u1ea9m v\u00e0 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh theo kinh nghi\u1ec7m m\u1ed9t c\u00e1ch h\u1ee3p l\u00ed.<\/p>\n
Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 D\u1ef1 ph\u00f2ng B\u1ec7nh t\u1eadt Hoa K\u00ec khuy\u1ebfn c\u00e1o \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng 3 tu\u1ea7n t\u1eeb khi kh\u1edfi ph\u00e1t \u1edf b\u1ec7nh nh\u00e2n t\u1eeb 1 tu\u1ed5i tr\u1edf l\u00ean. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nh\u01b0 v\u1eady c\u00f3 th\u1ec3 r\u00fat ng\u1eafn th\u1eddi gian di\u1ec5n bi\u1ebfn to\u00e0n b\u1ed9 c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean b\u1ec7nh nh\u00e2n, v\u00e0 quan tr\u1ecdng h\u01a1n l\u00e0 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 l\u00e2y truy\u1ec1n ho g\u00e0. Li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u01b0u ti\u00ean l\u00e0 kh\u00e1ng sinh nh\u00f3m macrolide, nh\u01b0 azithromycin hay clarithromycin trong 5 \u0111\u1ebfn 7 ng\u00e0y. C\u0169ng c\u00f3 th\u1ec3 d\u00f9ng erythromycin nh\u01b0ng li\u1ec7u tr\u00ecnh c\u1ea7n k\u00e9o d\u00e0i h\u01a1n (14 ng\u00e0y).<\/p>\n
Amoxicillin kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng tr\u1ef1c khu\u1ea9n ho g\u00e0 (Bordetella pertussis).<\/p>\n
Albuterol d\u1ea1ng h\u00edt d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n.<\/p>\n
Esomeprazol d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1ebfu ho do nguy\u00ean nh\u00e2n tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n.<\/p>\n
Oseltamivir d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00fam typ A ho\u1eb7c B trong v\u00f2ng 2 ng\u00e0y sau kh\u1edfi ph\u00e1t v\u00e0 d\u1ef1 ph\u00f2ng trong v\u00f2ng 2 ng\u00e0y sau ph\u01a1i nhi\u1ec5m c\u00fam.
\n———————————————-
\nT\u00e0i li\u1ec7u tham kh\u1ea3o<\/p>\n
1. Hewlett EL and Edwards KM. Clinical practice. Pertussis–not just for kids. N Engl J Med 2005 Mar 25; 352:1215.<\/p>\n
2. Tiwari T et al. Recommended antimicrobial agents for the treatment and postexposure prophylaxis of pertussis: 2005 CDC Guidelines. MMWR Recomm Rep 2005 Dec 13; 54:1.<\/p>\n
Ngu\u1ed3n: NEJM.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
C\u00f9ng v\u1edbi vi\u1ec7c l\u1ea5y b\u1ec7nh ph\u1ea9m ch\u1ea9n \u0111o\u00e1n, thu\u1ed1c n\u00e0o sau \u0111\u00e2y l\u00e0 ph\u00f9 h\u1ee3p nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n nam ho n\u1eb7ng k\u1ecbch ph\u00e1t k\u00e9o d\u00e0i 2 tu\u1ea7n \u0111\u00e3 n\u00eau? A. Azithromycin B. Esomeprazole C. Amoxicillin D. Albuterol d\u1ea1ng h\u00edt E. Oseltamivir ——————————————- \u0110\u00e1p \u00e1n: A. \u0110i\u1ec3m m\u1ea5u ch\u1ed1t: \u0111i\u1ec1u tr\u1ecb ph\u00f9 […]\n","protected":false},"author":1,"featured_media":4102,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4101","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\/4101","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=4101"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4101\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4102"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4101"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4101"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}