{"id":4442,"date":"2019-03-14T10:05:04","date_gmt":"2019-03-14T03:05:04","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=4442"},"modified":"2019-03-14T10:24:28","modified_gmt":"2019-03-14T03:24:28","slug":"sot-ho-chay-mui-va-khang-sinh","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/sot-ho-chay-mui-va-khang-sinh\/","title":{"rendered":"S\u1ed1t, ho, ch\u1ea3y m\u0169i,&#8230; v\u00e0 KH\u00c1NG SINH"},"content":{"rendered":"<h2>\u0110\u1ec3 h\u1ea1n ch\u1ebf ph\u1ea7n n\u00e0o t\u00ecnh tr\u1ea1ng l\u1ea1m d\u1ee5ng kh\u00e1ng sinh, anti kh\u00e1ng sinh, \u0111\u01a1n kh\u00e1ng sinh kh\u00f4ng h\u1ee3p l\u00fd, em l\u1ea1i xin ph\u00e9p chia s\u1ebb m\u1ed9t ch\u00fat quan \u0111i\u1ec3m c\u1ee7a em v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/h2>\n<p>\u2728S\u1ed1t, ho, ch\u1ea3y m\u0169i l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p tr\u00ean (\u0111a ph\u1ea7n do virus) v\u00e0 vi\u00eam m\u0169i d\u1ecb \u1ee9ng. N\u1ebfu c\u00e1c b\u00e9 \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c \u0111\u00fang ngay t\u1eeb \u0111\u1ea7u th\u00ec kh\u00f4ng c\u1ea7n d\u00f9ng kh\u00e1ng sinh.<\/p>\n<p>\u2728Nh\u01b0ng khi vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do virus, vi\u00eam m\u0169i d\u1ecb \u1ee9ng ti\u1ebfn tri\u1ec3n th\u00e0nh vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do vi khu\u1ea9n, c\u00f3 nhi\u1ec5m khu\u1ea9n, b\u1ed9i nhi\u1ec5m (vi\u00eam tai gi\u1eefa, vi\u00eam xoang, vi\u00eam ph\u1ed5i, vi\u00eam h\u1ecdng do li\u00ean c\u1ea7u,&#8230;) th\u00ec s\u1eed d\u1ee5ng kh\u00e1ng sinh h\u1ee3p l\u00fd l\u00e0 c\u1ea7n thi\u1ebft. \u0110\u1ebfn l\u00fac n\u00e0y th\u00ec b\u1ed1 m\u1eb9 \u0111\u1eebng anti kh\u00e1ng sinh, t\u1ed9i c\u00e1c con l\u1eafm. Anti kh\u00e1ng sinh g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng kh\u00f4ng k\u00e9m anti vaccine b\u1ed1 m\u1eb9 \u1ea1.<\/p>\n<p>M\u1ed7i khi c\u00f3 b\u1ea1n ib h\u1ecfi b\u00e9 s\u1ed1t, ho, s\u1ed5 m\u0169i,.. m\u00ecnh \u0111\u1ec1u g\u1ecdi l\u1ea1i h\u1ecfi \u0111\u1ec3 l\u00e0m r\u00f5 nguy\u00ean nh\u00e2n tr\u01b0\u1edbc khi \u0111\u01b0a ra l\u1eddi khuy\u00ean c\u1ee5 th\u1ec3, v\u00ec m\u1ed7i b\u00e9 m\u1ed7i kh\u00e1c. \u2728H\u01a1n n\u1eefa, c\u00f3 nh\u1eefng b\u1ec7nh l\u00fd kh\u00e1c, c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u b\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p kh\u00f4ng \u0111i\u1ec3n h\u00ecnh n\u00e0y (s\u1ed1t xu\u1ea5t huy\u1ebft, tay ch\u00e2n mi\u1ec7ng, s\u1edfi, vi\u00eam \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u,..) m\u00e0 b\u1ed1 m\u1eb9 c\u1ea7n l\u01b0u \u00fd nh\u1eadn bi\u1ebft.<\/p>\n<h2>M\u00ecnh xin chia s\u1ebb t\u00f3m t\u1eaft l\u1ea1i m\u1ed9t s\u1ed1 \u0111i\u1ec3m nh\u01b0 th\u1ebf n\u00e0y:<\/h2>\n<p>1. \u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ed1t, ho, s\u1ed5 m\u0169i \u1edf tr\u1ebb em l\u00e0 do virus v\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh n\u1ebfu c\u00e1c b\u00e9 \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c (v\u1ec7 sinh) \u0111\u00fang ngay t\u1eeb \u0111\u1ea7u.<\/p>\n<p>?\ufe0fB\u00e9 s\u1ed1t t\u1eeb 38,5 th\u00ec d\u00f9ng h\u1ea1 s\u1ed1t paracetamol li\u1ec1u 10-15mg\/kg c\u00e2n n\u1eb7ng, l\u1eb7p l\u1ea1i sau \u00edt nh\u1ea5t 4-6h n\u1ebfu b\u00e9 v\u1eabn s\u1ed1t cao sau \u0111\u00f3.<br \/>\n?\ufe0fD\u01b0\u1edbi 38,5 th\u00ec ch\u01b0\u1eddm \u1ea5m: c\u1ed5, n\u00e1ch, b\u1eb9n, tr\u00e1n, c\u00f3 th\u1ec3 da ti\u1ebfp da v\u1edbi b\u1ed1\/m\u1eb9, kh\u00f4ng d\u00f9ng mi\u1ebfng d\u00e1n h\u1ea1 s\u1ed1t, m\u1eb7c tho\u00e1ng, ch\u00fa \u00fd gi\u00f3.<br \/>\n?\ufe0fV\u1ec7 sinh m\u1eaft, m\u0169i b\u1eb1ng NaCl 0,9%, x\u1ecbt m\u0169i sterimar, x\u1ecbt\/v\u1ec7 sinh h\u1ecdng b\u1eb1ng betadine.<br \/>\n?\ufe0fT\u1eafm cho b\u00e9 b\u1eb1ng n\u01b0\u1edbc \u1ea5m c\u00f3 pha \u00edt d\u1ea7u tr\u00e0m, g\u1eebng. Gi\u1eef \u1ea5m c\u1ed5, ng\u1ef1c, gan b\u00e0n ch\u00e2n.<\/p>\n<p>2. C\u1ea7n theo d\u00f5i s\u00e1t di\u1ec5n ti\u1ebfn c\u1ee7a b\u1ec7nh \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ed9i nhi\u1ec5m vi khu\u1ea9n th\u1ee9 ph\u00e1t, n\u1ebfu c\u00f3, m\u1ed9t c\u00e1ch k\u1ecbp th\u1eddi.<\/p>\n<p>3. Tr\u1ebb n\u00ean \u0111\u01b0\u1ee3c cho \u0111i kh\u00e1m b\u00e1c s\u1ef9 \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p sau:<br \/>\n?\ufe0fTr\u1ebb c\u00f3 m\u1ed9t trong c\u00e1c tri\u1ec7u ch\u1ee9ng nguy hi\u1ec3m: l\u1eeb \u0111\u1eeb, qu\u1ea5y nhi\u1ec1u, \u00f3i nhi\u1ec1u, th\u1edf m\u1ec7t, \u0103n u\u1ed1ng gi\u1ea3m, b\u00fa gi\u1ea3m nhi\u1ec1u.<br \/>\n?\ufe0fTr\u1ebb c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111au tai ho\u1eb7c ch\u1ea3y m\u1ee7 tai.<br \/>\n?\ufe0fTr\u1ebb b\u1ecb ho s\u1ed5 m\u0169i kh\u00f4ng t\u1ef1 c\u1ea3i thi\u1ec7n sau 10-14 ng\u00e0y, ho\u1eb7c \u0111\u00e3 c\u1ea3i thi\u1ec7n v\u00e0 sau \u0111\u00f3 tr\u1edf n\u1eb7ng h\u01a1n.<br \/>\n?\ufe0fTr\u1ebb than \u0111au h\u1ecdng, ho\u1eb7c b\u1ed1 m\u1eb9 th\u1ea5y h\u1ecdng tr\u1ebb c\u00f3 m\u1ee7.<br \/>\n?\ufe0fN\u1ebfu b\u1ed1 m\u1eb9 lo l\u1eafng v\u00ec b\u1ea5t k\u00ec v\u1ea5n \u0111\u1ec1 g\u00ec.<\/p>\n<p>4. Alphachymotrypsin d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, ng\u1eadm d\u01b0\u1edbi l\u01b0\u1ee1i kh\u00f4ng c\u00f2n ch\u1ec9 \u0111\u1ecbnh v\u00e0 kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng hi\u1ec7u qu\u1ea3 v\u1edbi vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean (vi\u00eam h\u1ecdng, vi\u00eam ph\u1ebf qu\u1ea3n,&#8230;), t\u1eeb 26\/12\/2017 BYT \u0111\u00e3 c\u00f3 c\u00f4ng v\u0103n y\u00eau c\u1ea7u thay \u0111\u1ed5i gi\u1edbi h\u1ea1n ch\u1ec9 \u0111\u1ecbnh &#8220;\u0111i\u1ec1u tr\u1ecb ph\u00f9 n\u1ec1 sau ch\u1ea5n th\u01b0\u01a1ng, b\u1ecfng, ph\u1eabu thu\u1eadt&#8221;.<\/p>\n<p>5. B\u00e0i v\u1ec1 kh\u00e1ng sinh trong nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p m\u00ecnh t\u00f3m t\u1eaft l\u1ea1i t\u1eeb b\u00e0i gi\u1ea3ng c\u1ee7a th\u1ea7y v\u00e0 nh\u1eefng case \u0111\u00e3 g\u1eb7p: <a href=\"https:\/\/www.vnras.com\/drug\/2019\/02\/bo-me-can-dat-cau-hoi-gi-khi-bac-si-ke-don-khang-sinh.html\">B\u1ed1 m\u1eb9 c\u1ea7n \u0111\u1eb7t c\u00e2u h\u1ecfi g\u00ec khi b\u00e1c s\u0129 k\u00ea \u0111\u01a1n kh\u00e1ng sinh?<\/a><\/p>\n<p>7. L\u01b0u \u00fd v\u1ec1 kh\u00e1ng sinh c\u1ee7a anh b\u00e1c s\u1ef9 n\u1ed9i tr\u00fa Nhi x\u1ecbn, \u0111\u1ed3ng h\u01b0\u01a1ng: <a href=\"https:\/\/www.vnras.com\/drug\/2019\/03\/5-bien-phap-dung-khang-sinh-an-toan-va-hieu-qua-cho-be.html\">5 BI\u1ec6N PH\u00c1P D\u00d9NG KH\u00c1NG SINH AN TO\u00c0N V\u00c0 HI\u1ec6U QU\u1ea2 CHO B\u00c9<\/a><\/p>\n<p>8. B\u1ea1n n\u00e0o c\u1ea7n check \u0111\u01a1n th\u00ec t s\u1eb5n s\u00e0ng. Check \u0111\u01a1n bao g\u1ed3m: ki\u1ec3m tra \u0111\u01a1n thu\u1ed1c c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi ch\u1ea9n \u0111o\u00e1n kh\u00f4ng? Li\u1ec1u d\u00f9ng, th\u1eddi gian d\u00f9ng thu\u1ed1c? T\u01b0\u01a1ng t\u00e1c thu\u1ed1c?<\/p>\n<p>9. Facebook c\u00f3 nhi\u1ec1u b\u00e1c s\u1ef9 d\u1edfm, d\u01b0\u1ee3c s\u1ef9 d\u1edfm c\u1ef1c, m\u00ecnh g\u1eb7p r\u1ed3i. C\u00e1c b\u1ea1n \u1ea5y comment trong group c\u1ee7a c\u00e1c m\u1eb9 kh\u00f4ng \u0111\u00fang, m\u00ecnh v\u00e0o xem profile th\u00ec ghi \u0111\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i, \u0111\u1ea1i h\u1ecdc D\u01b0\u1ee3c H\u00e0 N\u1ed9i, timeline to\u00e0n kem \u0111a n\u0103ng th\u1ea7n th\u00e1nh. M\u00ecnh nh\u1eb9 nh\u00e0ng comment &#8220;ch\u1ecb th\u1ea5y profile c\u1ee7a em l\u00e0 \u0110H Y\/D\u01b0\u1ee3c HN nh\u01b0ng kh\u00f4ng th\u1ea5y b\u1ea1n chung n\u00e0o, em h\u1ecdc kh\u00f3a n\u00e0o th\u1ebf?&#8221;, th\u1ebf l\u00e0 em blocked m\u00ecnh. C\u00e1c b\u1ea1n c\u1ea3nh gi\u00e1c nh\u00e9 \ud83d\ude42<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ec3 h\u1ea1n ch\u1ebf ph\u1ea7n n\u00e0o t\u00ecnh tr\u1ea1ng l\u1ea1m d\u1ee5ng kh\u00e1ng sinh, anti kh\u00e1ng sinh, \u0111\u01a1n kh\u00e1ng sinh kh\u00f4ng h\u1ee3p l\u00fd, em l\u1ea1i xin ph\u00e9p chia s\u1ebb m\u1ed9t ch\u00fat quan \u0111i\u1ec3m c\u1ee7a em v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y. \u2728S\u1ed1t, ho, ch\u1ea3y m\u0169i l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p tr\u00ean (\u0111a ph\u1ea7n [&#8230;]\n","protected":false},"author":1,"featured_media":3371,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4442","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\/4442","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=4442"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4442\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/3371"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}