\u0110\u00e2y l\u00e0 1 suy ngh\u0129 SAI L\u1ea6M !<\/p>\n
Kh\u00e1ng sinh th\u1ebf h\u1ec7 sau<\/strong> (hay m\u1ecdi ng\u01b0\u1eddi v\u1eabn g\u1ecdi l\u00e0 th\u1ebf h\u1ec7 cao) kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 m\u1ea1nh h\u01a1n th\u1ebf h\u1ec7 tr\u01b0\u1edbc ( th\u1ebf h\u1ec7 th\u1ea5p ). C\u00e1ch g\u1ecdi n\u00e0y l\u00e0 do tr\u00ecnh t\u1ef1 th\u1eddi gian xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc hay xu\u1ea5t hi\u1ec7n sau m\u00e0 th\u00f4i, v\u00e0 c\u00f3 s\u1ef1 kh\u00e1c nhau v\u1ec1 ph\u1ed5 kh\u00e1ng khu\u1ea9n (s\u1ed1 l\u01b0\u1ee3ng ch\u1ee7ng vi khu\u1ea9n c\u00f3 th\u1ec3 ti\u00eau di\u1ec7t \u0111\u01b0\u1ee3c). Khi b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh ch\u1ecdn 1 lo\u1ea1i kh\u00e1ng sinh n\u00e0o \u0111\u00f3 \u0111\u1ec3 ch\u1eefa ch\u1ee9ng nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n , b\u00e1c s\u0129 s\u1ebd d\u1ef1a v\u00e0o c\u00e1c ph\u00e1c \u0111\u1ed3 , Guidelines v\u1ec1 b\u1ec7nh \u0111\u00f3 c\u1ee7a c\u00e1c t\u1ed5 ch\u1ee9c y khoa l\u1edbn . Ch\u1ecdn kh\u00e1ng sinh n\u00e0o ph\u1ee5 thu\u1ed9c v\u00e0o :<\/p>\n 1. Vi khu\u1ea9n g\u00e2y b\u1ec7nh \u0111\u00f3 l\u00e0 vi khu\u1ea9n g\u00ec , khi bi\u1ebft ho\u1eb7c \u0111o\u00e1n \u0111\u01b0\u1ee3c lo\u00e0i vi khu\u1ea9n b\u00e1c s\u0129 s\u1ebd ch\u1ecdn kh\u00e1ng sinh n\u00e0o m\u00e0 di\u1ec7t \u0111\u01b0\u1ee3c vi khu\u1ea9n \u0111\u00f3 t\u1ed1t nh\u1ea5t ( kh\u00e1ng sinh m\u00e0 vi khu\u1ea9n nh\u1ea1y c\u1ea3m nh\u1ea5t ). T\u1ea5t nhi\u00ean \u0111\u1ec3 bi\u1ebft vi khu\u1ea9n \u0111\u00f3 nh\u1ea1y ks n\u00e0o nh\u1ea5t th\u00ec ph\u1ea3i d\u1ef1a v\u00e0o c\u00e1c Th\u00f4ng tin c\u1ee7a b\u00ean vi sinh ( n\u01a1i nghi\u00ean c\u1ee9u nu\u00f4i c\u1ea5y, v\u00e0 l\u00e0m kh\u00e1ng sinh \u0111\u1ed3 c\u00f4ng b\u1ed1 )<\/p>\n 2. N\u1ebfu Bs Ko bi\u1ebft ch\u1eafc ch\u1eafn lo\u1ea1i vi khu\u1ea9n n\u00e0o , th\u00ec Bs s\u1ebd ch\u1ecdn kh\u00e1ng sinh n\u00e0o di\u1ec7t \u0111\u01b0\u1ee3c nhi\u1ec1u vi khu\u1ea9n ph\u1ed5 bi\u1ebfn g\u00e2y ra b\u1ec7nh \u0111\u00f3 . V\u00ed d\u1ee5 n\u1ebfu Bs bi\u1ebft l\u00e0 vi\u00eam ph\u1ed5i do ph\u1ebf c\u1ea7u th\u00ec Bs s\u1ebd d\u00f9ng amoxicillin, c\u00f2n n\u1ebfu kh\u00f4ng r\u00f5 l\u00e0 ph\u1ebf c\u1ea7u hay mycoplasma th\u00ec Bs s\u1ebd ph\u1ed1i h\u1ee3p amox v\u1edbi 1 ks kh\u00e1c di\u1ec7t \u0111\u01b0\u1ee3c mycoplasma ho\u1eb7c Bs s\u1ebd ch\u1ecdn 1 kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng h\u01a1n di\u1ec7t \u0111\u01b0\u1ee3c c\u1ea3 2 con ph\u1ebf c\u1ea7u v\u00e0 mycoplasma nh\u01b0 Levofloxacin ch\u1eb3ng h\u1ea1n. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 Levofloxacin m\u1ea1nh h\u01a1n amox .<\/p>\n 3. Nh\u00f3m kh\u00e1ng sinh Cepha chia nhi\u1ec1u th\u1ebf h\u1ec7 . C\u00e1c th\u1ebf h\u1ec7 sau th\u00ec di\u1ec7t c\u00e1c vi khu\u1ea9n gram \u00e2m t\u1ed1t h\u01a1n th\u1ebf h\u1ec7 tr\u01b0\u1edbc trong khi c\u00e1c cepha th\u1ebf h\u1ec7 1,2 di\u1ec7t vi khu\u1ea9n gram d\u01b0\u01a1ng t\u1ed1t h\u01a1n th\u1ebf h\u1ec7 3,4 .<\/p>\n V\u00ed d\u1ee5 vi\u00eam \/ nh\u1ecdt da do t\u1ee5 c\u1ea7u gram d\u01b0\u01a1ng th\u00ec d\u00f9ng amox hay cephalexin ( th\u1ebf h\u1ec7 1 ) l\u00e0 kh\u1ecfi ngon l\u00e0nh trong khi d\u00f9ng cefixime( th\u1ebf h\u1ec7 3) c\u00f2n l\u00e2u m\u1edbi kh\u1ecfi . Nh\u01b0ng n\u1ebfu nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u hay \u0111\u01b0\u1eddng ru\u1ed9t do vi khu\u1ea9n gram \u00e2m th\u00ec d\u00f9ng cefixime l\u1ea1i kh\u1ecfi trong khi d\u00f9ng amox hay cepha th\u1ebf h\u1ec7 1,2 l\u1ea1i kh\u00f4ng kh\u1ecfi \u0111\u01b0\u1ee3c .<\/p>\n \u0110\u00fang l\u00e0 c\u00e1c kh\u00e1ng sinh cepha th\u1ebf h\u1ec7 sau c\u00f3 ph\u1ed5 kh\u00e1ng khu\u1ea9n r\u1ed9ng h\u01a1n nh\u01b0ng ch\u00ednh v\u00ec v\u1eady m\u00e0 n\u00f3 d\u1ec5 b\u1ecb \u0111\u1ec1 kh\u00e1ng h\u01a1n . 1 ks th\u1ebf h\u1ec7 sau ph\u1ed5 r\u1ed9ng ch\u1ec9 c\u1ea7n ra th\u1ecb tr\u01b0\u1eddng v\u00e0i n\u0103m , nh\u1edd v\u00e0o suy ngh\u0129 m\u1edbi , r\u1ed9ng c\u00f3 ngh\u0129a l\u00e0 t\u1ed1t v\u00e0 m\u1ea1nh h\u01a1n n\u00ean c\u00e1c Bs c\u1ee9 k\u00ea , c\u00e1c ch\u00fa ds c\u1ee9 b\u00e1n , ph\u1ee5 huynh c\u1ee9 mua … cho n\u00ean vi khu\u1ea9n kh\u00e1ng l\u1ea1i nhanh ch\u00f3ng v\u00e0 khi \u0111\u00e3 b\u1ecb kh\u00e1ng r\u1ed3i th\u00ec m\u1ea1nh y\u1ebfu g\u00ec n\u1eefa .<\/p>\n Th\u00eam 1 v\u00e0i v\u00ed d\u1ee5 : sau v\u00e0i n\u0103m ng\u01b0\u1eddi ta ch\u1eefa nhi\u1ec5m tr\u00f9ng ti\u1ec3u b\u1eb1ng c\u00e1c kh\u00e1ng sinh th\u1ebf h\u1ec7 cao, ph\u1ed5 r\u1ed9ng th\u1ea5y kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3 n\u1eefa . Ng\u01b0\u1eddi ta quay l\u1ea1i ch\u1eefa b\u1eb1ng Nitrofurantoin l\u00e0 ks t\u1eeb \u0111\u1eddi xa x\u01b0a l\u1ea1i th\u1ea5y c\u00f3 t\u00e1c d\u1ee5ng . C\u00f3 nh\u1eefng b\u1ec7nh nh\u01b0 vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 qu\u1ea5t \u0111\u1ee7 kh\u00e1ng sinh cao, r\u1ed9ng kh\u00f4ng kh\u1ecfi l\u00e0m kh\u00e1ng sinh \u0111\u1ed3 vi khu\u1ea9n l\u1ea1i nh\u1ea1y v\u1edbi Chloramphenicol v\u00e0 d\u00f9ng n\u00f3 th\u00ec kh\u1ecfi . Ho\u1eb7c ch\u1eefa nhi\u1ec5m tr\u00f9ng ti\u1ec3u , ru\u1ed9t do EColi hay l\u1ef5 tk b\u1eb1ng cefixime xong l\u1ea7n sau b\u1ecb vi\u00eam ph\u1ed5i , vi\u00eam tai gi\u1eefa do vi khu\u1ea9n ta v\u1eabn x\u00e0i Amoxicillin ( 1 lo\u1ea1i ks c\u0169 k\u0129 kinh \u0111i\u1ec3n ) b\u1ec7nh v\u1eabn kh\u1ecfi ngon l\u00e0nh , ch\u1ee9 Ko ph\u1ea3i l\u00e0 \u0111\u00e3 x\u00e0i th\u1ebf h\u1ec7 3 th\u00ec l\u1ea7n sau ph\u1ea3i d\u00f9ng th\u1ebf h\u1ec7 4,5 quay v\u1ec1 1,2 kh\u00f4ng \u0111\u01b0\u1ee3c n\u1eefa, ai c\u00f3 suy ngh\u0129 \u0111\u00f3 nh\u1ea5t l\u00e0 c\u00e1c ds th\u00ec n\u00ean \u0111i h\u1ecdc l\u1ea1i .<\/p>\n Ch\u1ed1t l\u1ea1i, thay v\u00ec \u0111i h\u1ecfi ng\u01b0\u1eddi n\u00e0y ng\u01b0\u1eddi kia , \u0111i h\u1ecfi GG c\u00e2u h\u1ecfi ks th\u1ebf h\u1ec7 g\u00ec, h\u1eadu qu\u1ea3 g\u00ec, t\u00e1c d\u1ee5ng ph\u1ee5 ntn …. th\u00ec n\u00ean \u0111\u1eb7t tr\u1ef1c ti\u1ebfp c\u00e2u h\u1ecfi v\u1edbi<\/p>\n Bs k\u00ea toa : B\u1ec6NH C\u1ee6A CON T\u00d4I C\u00d3 TH\u1ef0C S\u1ef0 C\u1ea6N \u0110\u1ebeN KH\u00c1NG SINH CH\u01afA? V\u00c0 V\u00cc SAO ?<\/p>\n Ngu\u1ed3n: Nhi Khoa MD Tr\u1ea7n<\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" \u0110\u00e2y l\u00e0 1 suy ngh\u0129 SAI L\u1ea6M ! Kh\u00e1ng sinh th\u1ebf h\u1ec7 sau (hay m\u1ecdi ng\u01b0\u1eddi v\u1eabn g\u1ecdi l\u00e0 th\u1ebf h\u1ec7 cao) kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 m\u1ea1nh h\u01a1n th\u1ebf h\u1ec7 tr\u01b0\u1edbc ( th\u1ebf h\u1ec7 th\u1ea5p ). C\u00e1ch g\u1ecdi n\u00e0y l\u00e0 do tr\u00ecnh t\u1ef1 th\u1eddi gian xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc hay xu\u1ea5t hi\u1ec7n sau m\u00e0 th\u00f4i, v\u00e0 […]\n","protected":false},"author":1,"featured_media":8693,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8692","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\/8692","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=8692"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/8692\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/8693"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=8692"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=8692"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=8692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}