{"id":1581,"date":"2024-08-29T13:02:06","date_gmt":"2024-08-29T13:02:06","guid":{"rendered":"https:\/\/tramedhealth.com\/?p=1581"},"modified":"2024-09-01T08:02:08","modified_gmt":"2024-09-01T08:02:08","slug":"chickenpox-and-how-to-control-the-complications","status":"publish","type":"post","link":"https:\/\/tramedhealth.com\/vi\/infectious-disease\/chickenpox-and-how-to-control-the-complications\/","title":{"rendered":"B\u1ec7nh th\u1ee7y \u0111\u1eadu v\u00e0 L\u00e0m sao \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c bi\u1ebfn ch\u1ee9ng?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">\u0110\u1ecbnh ngh\u0129a b\u1ec7nh th\u1ee7y \u0111\u1eadu<\/h2>\n\n\n\n<p><strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28846365\/\" target=\"_blank\" rel=\"noopener\" title=\"\">B\u1ec7nh th\u1ee7y \u0111\u1eadu<\/a><\/strong> l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng truy\u1ec1n nhi\u1ec5m r\u1ea5t hay l\u00e2y, c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y th\u00e0nh \u0111\u1ea1i d\u1ecbch. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ch\u00ednh l\u00e0 ph\u00e1t ban d\u1ea1ng b\u00f3ng n\u01b0\u1edbc \u1edf da v\u00e0 ni\u00eam m\u1ea1c. \u0110a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh di\u1ec5n ti\u1ebfn l\u00e0nh t\u00ednh; \u0111\u00f4i khi c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong, nh\u1ea5t l\u00e0 \u1edf ng\u01b0\u1eddi suy gi\u1ea3m mi\u1ec5n d\u1ecbch do c\u00e1c bi\u1ebfn ch\u1ee9ng tr\u1ea7m tr\u1ecdng nh\u01b0 vi\u00eam ph\u1ed5i, vi\u00eam n\u00e3o thu\u1ef7 \u0111\u1eadu.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n<\/h2>\n\n\n\n<p>Varicella-zoster virus (VZV) l\u00e0 t\u00e1c nh\u00e2n g\u00e2y ra 2 b\u1ec7nh: b\u1ec7nh thu\u1ef7 \u0111\u1eadu v\u00e0 b\u1ec7nh Zona. B\u1ec7nh thu\u1ef7 \u0111\u1eadu \u0111\u01b0\u1ee3c cho l\u00e0 xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch v\u1edbi VZV, trong khi \u0111\u00f3 Zona l\u00e0 t\u00ecnh tr\u1ea1ng t\u00e1i ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u1ed9t nhi\u1ec5m tr\u00f9ng ti\u1ec1m t\u00e0ng.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img data-dominant-color=\"af757a\" data-has-transparency=\"false\" style=\"--dominant-color: #af757a;\" loading=\"lazy\" decoding=\"async\" width=\"850\" height=\"333\"   src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-03-jpg.avif\" alt=\"Chickenpox (Varicella) is a highly contagious infectious disease with the potential to cause large-scale epidemics. The primary clinical manifestation is a vesicular rash on the skin and mucous membranes.\" class=\"not-transparent wp-image-1583\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-03-jpg.avif 850w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-03-300x118.avif 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-03-768x301.avif 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-03-18x7.avif 18w\" sizes=\"auto, (max-width: 850px) 100vw, 850px\" \/><figcaption class=\"wp-element-caption\"><em>Virus th\u1ee7y \u0111\u1eadu<\/em><\/figcaption><\/figure><\/div>\n\n\n<p><br>B\u1ec7nh thu\u1ef7 \u0111\u1eadu l\u00e2y truy\u1ec1n tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi ch\u1ee7 y\u1ebfu qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p l\u00e2y do ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi b\u00f3ng n\u01b0\u1edbc. H\u01a1n th\u1ebf n\u1eefa, l\u1ea5y qua kh\u00f4ng kh\u00ed c\u0169ng \u0111\u01b0\u1ee3c ghi nh\u1eadn, \u0111\u1eb7c bi\u1ec7t trong nh\u1eefng v\u1ee5 d\u1ecbch.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a th\u1ee7y \u0111\u1eadu<\/h2>\n\n\n\n<p>B\u1ec7nh tr\u1ea3i qua b\u1ed1n th\u1eddi k\u1ef3:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Th\u1eddi k\u1ef3 \u1ee7 b\u1ec7nh<\/strong><\/h3>\n\n\n\n<p>Th\u1eddi k\u1ef3 n\u00e0y \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u1eeb l\u00fac ph\u01a1i nhi\u1ec5m  v\u1edbi VZV \u0111\u1ebfn l\u00fac c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean, thay \u0111\u1ed5i t\u1eeb 10-20 ng\u00e0y, trung b\u00ecnh kho\u1ea3n 14-15 ng\u00e0y.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Th\u1eddi k\u1ef3 kh\u1edfi ph\u00e1t<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u1ed1t:<\/strong> s\u1ed1t nh\u1eb9, k\u00e8m \u1edbn l\u1ea1nh, \u0111\u00f4i khi s\u1ed1t cao. S\u1ed1t cao ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng, th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch. Tri\u1ec7u ch\u1ee9ng k\u00e8m theo th\u01b0\u1eddng l\u00e0 m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, nh\u1ee9c \u0111\u1ea7u, \u0111\u00f4i khi \u0111au b\u1ee5ng nh\u1eb9.<\/li>\n\n\n\n<li><strong>Ph\u00e1t ban:<\/strong> m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 ph\u00e1t ban, \u0111\u00e2y l\u00e0 ti\u1ec1n th\u00e2n c\u1ee7a nh\u1eefng b\u00f3ng n\u01b0\u1edbc. L\u00e0 nh\u1eefng h\u1ed3ng ban kh\u00f4ng t\u1ea9m nhu\u1eadn, k\u00edch th\u01b0\u1edbc v\u00e0i mm, n\u1ed5i tr\u00ean da b\u00ecnh th\u01b0\u1eddng. Th\u01b0\u1eddng t\u1ed3n t\u1ea1i trong 24 gi\u1edd tr\u01b0\u1edbc khi tr\u1edf th\u00e0nh b\u00f3ng n\u01b0\u1edbc. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ng\u1ee9a.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img data-dominant-color=\"cba28f\" data-has-transparency=\"false\" style=\"--dominant-color: #cba28f;\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\"   src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-01-1024x682.webp\" alt=\"Chickenpox (Varicella) is a highly contagious infectious disease with the potential to cause large-scale epidemics. The primary clinical manifestation is a vesicular rash on the skin and mucous membranes.\" class=\"not-transparent wp-image-1584\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-01-1024x682.webp 1024w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-01-300x200.webp 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-01-768x512.webp 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-01-1536x1024.webp 1536w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-01-18x12.webp 18w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-01.webp 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><em>Tri\u1ec7u ch\u1ee9ng c\u1ee7a th\u1ee7y \u0111\u1eadu<\/em><\/figcaption><\/figure><\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>Th\u1eddi k\u1ef3 to\u00e0n ph\u00e1t<\/strong><\/h3>\n\n\n\n<p>C\u00f2n g\u1ecdi l\u00e0 th\u1eddi k\u1ef3 \u0111\u1eadu m\u1ecdc. Tri\u1ec7u ch\u1ee9ng quan tr\u1ecdng v\u00e0 \u0111\u1eb7c hi\u1ec7u \u1edf th\u1eddi k\u1ef3 n\u00e0y l\u00e0 ph\u00e1t ban d\u1ea1ng b\u00f3ng n\u01b0\u1edbc \u1edf da v\u00e0 ni\u00eam m\u1ea1c.<\/p>\n\n\n\n<p>Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng gi\u1ea3m s\u1ed1t ho\u1eb7c kh\u00f4ng s\u1ed1t, tuy nhi\u00ean b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 v\u1eabn s\u1ed1t cao do t\u00ecnh tr\u1ea1ng nhi\u1ec5m \u0111\u1ed9c.<\/p>\n\n\n\n<p>\u1ede giai \u0111o\u1ea1n n\u00e0y, tr\u00ean da n\u1ed5i nh\u1eefng b\u00f3ng n\u01b0\u1edbc h\u00ecnh tr\u00f2n ho\u1eb7c h\u00ecnh gi\u1ecdt n\u01b0\u1edbc tr\u00ean vi\u1ec1n da m\u00e0u h\u1ed3ng, \u0111a s\u1ed1 k\u00edch th\u01b0\u1edbc &lt; 5mm. B\u00f3ng n\u01b0\u1edbc ban \u0111\u1ea7u c\u00f3 d\u1ecbch trong, sau 24 gi\u1edd th\u00ec ho\u00e1 \u0111\u1ee5c. B\u1eaft \u0111\u1ea7u \u1edf th\u00e2n m\u00ecnh sau \u0111\u00f3 lan ra m\u1eb7t v\u00e0 t\u1ee9 chi. C\u00f3 th\u1ec3 th\u1ea5y nhi\u1ec1u giai \u0111o\u1ea1n c\u1ee7a b\u00f3ng n\u01b0\u1edbc kh\u00e1c nhau tr\u00ean c\u00f9ng 1 v\u00f9ng da: d\u1ea1ng ph\u00e1t ban, d\u1ea1ng b\u00f3ng n\u01b0\u1edbc trong, d\u1ea1ng b\u00f3ng n\u01b0\u1edbc \u0111\u1ee5c, d\u1ea1ng \u0111\u00f3ng m\u00e0y do b\u00f3ng n\u01b0\u1edbc v\u1ee1, \u0111\u00f4i khi c\u00f3 th\u1ec3 g\u1eb7p b\u00f3ng n\u01b0\u1edbc d\u1ea1ng xu\u1ea5t huy\u1ebft.<\/p>\n\n\n\n<p>B\u00f3ng n\u01b0\u1edbc c\u00f3 th\u1ec3 m\u1ecdc \u1edf ni\u00eam m\u1ea1c nh\u01b0 ni\u00eam m\u1ea1c mi\u1ec7ng, ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng ti\u00eau ho\u00e1, ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf c\u00e1c c\u01a1 quan n\u00e0y nh\u01b0 nu\u1ed1t \u0111au, n\u00f4n \u00f3i, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y; ho, kh\u00f3 th\u1edf; ti\u1ec3u r\u00e1t, ti\u1ec3u m\u00e1u. H\u01a1n th\u1ebf n\u1eefa b\u00f3ng n\u01b0\u1edbc c\u00f2n xu\u1ea5t hi\u1ec7n \u1edf ni\u00eam m\u1ea1c \u00e2m \u0111\u1ea1o, k\u1ebft m\u1ea1c m\u1eaft.<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ng\u1ee9a, n\u1ed5i h\u1ea1ch. N\u1ebfu b\u1ed9i nhi\u1ec5m c\u00f3 th\u1ec3 th\u1ea5y h\u1ea1ch s\u01b0ng to, \u0111au.<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ed1 l\u01b0\u1ee3ng b\u00f3ng n\u01b0\u1edbc. B\u00f3ng n\u01b0\u1edbc c\u00e0ng nhi\u1ec1u b\u1ec7nh c\u00e0ng n\u1eb7ng. Tr\u1ebb nh\u1ecf th\u01b0\u1eddng nh\u1eb9 h\u01a1n tr\u1ebb l\u1edbn. tuy nhi\u00ean \u1edf ng\u01b0\u1eddi l\u1edbn, t\u1ec9 l\u1ec7 t\u1eed vong do thu\u1ef7 \u0111\u1eadu cao h\u01a1n 15 l\u1ea7n so v\u1edbi tr\u1ebb em.<\/p>\n\n\n\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u1eb7c bi\u1ec7t nh\u01b0 b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch, ph\u1ee5 n\u1eef c\u00f3 thai m\u1eafc thu\u1ef7 \u0111\u1eadu th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1eb7ng n\u1ec1 h\u01a1n, d\u1ec5 d\u1ea7n \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam ph\u1ed5i, vi\u00eam n\u00e3o m\u00e0ng n\u00e3o v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Th\u1eddi k\u1ef3 h\u1ed3i ph\u1ee5c<\/strong><\/h3>\n\n\n\n<p>Sau kho\u1ea3ng m\u1ed9t tu\u1ea7n, h\u1ea7u h\u1ebft b\u00f3ng n\u01b0\u1edbc s\u1ebd \u0111\u00f3ng m\u00e0y, b\u1ec7nh nh\u00e2n chuy\u1ec3n sang giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c. Tr\u00ean c\u01a1 \u0111\u1ecba b\u00ecnh th\u01b0\u1eddng, b\u00f3ng n\u01b0\u1edbc kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1eb9o. Nh\u1eefng b\u00f3ng n\u01b0\u1edbc b\u1ed9i nhi\u1ec5m c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i s\u1eb9o nh\u1ecf.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Bi\u1ebfn ch\u1ee9ng c\u1ee7a thu\u1ef7 \u0111\u1eadu<\/strong><\/h3>\n\n\n\n<p>Thu\u1ef7 \u0111\u1eadu l\u00e0 b\u1ec7nh l\u00e0nh t\u00ednh, tr\u1eeb nh\u1eefng b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch. Tr\u00ean c\u01a1 \u0111\u1ecba b\u00ecnh th\u01b0\u1eddng, bi\u1ebfn ch\u1ee9ng \u00edt x\u1ea3y ra, tr\u1eeb b\u1ed9i nhi\u1ec5m. M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng c\u1ee7a thu\u1ef7 \u0111\u1eadu nh\u01b0 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B\u1ed9i nhi\u1ec5m:<\/strong> l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a thu\u1ef7 \u0111\u1eadu, nguy\u00ean nh\u00e2n th\u01b0\u1eddng do b\u1ec7nh nh\u00e2n ng\u1ee9a v\u00e0 g\u00e3i l\u00e0m v\u1ee1 b\u00f3ng n\u01b0\u1edbc. Vi khu\u1ea9n g\u00e2y b\u1ed9i nhi\u1ec5m th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 <em>Streptococcus pyogenes<\/em> v\u00e0 <em>Staphylococcus aureus<\/em>. Tri\u1ec7u ch\u1ee9ng b\u1ed9i nhi\u1ec5m th\u01b0\u1eddng l\u00e0 s\u1ed1t cao, r\u00e9t run, b\u00f3ng n\u01b0\u1edbc ho\u00e1 m\u1ee7 \u0111\u1ee5c v\u00e0 \u0111au nh\u1ee9c. H\u01a1n th\u1ebf n\u1eefa, nhi\u1ec1u b\u00f3ng n\u01b0\u1edbc b\u1ecb b\u1ed9i nhi\u1ec5m c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng huy\u1ebft.<\/li>\n\n\n\n<li><strong>Vi\u00eam ph\u1ed5i thu\u1ef7 \u0111\u1eadu:<\/strong> l\u00e0 bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 nh\u1ea5t c\u1ee7a b\u1ec7nh thu\u1ef7 \u0111\u1eadu, hay g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 ng\u01b0\u1eddi suy gi\u1ea3m mi\u1ec5n d\u1ecbch h\u01a1n l\u00e0 tr\u1ebb em, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1ee5 n\u1eef c\u00f3 thai. Bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng x\u1ea3y ra v\u00e0o ng\u00e0y 3-5 c\u1ee7a b\u1ec7nh v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u01b0 s\u1ed1t cao, ho, kh\u00f3 th\u1edf, th\u1edf nhanh, v\u00e0 \u0111au ng\u1ef1c. Ngo\u00e0i ra, c\u00f3 th\u1ec3 ho ra m\u00e1u, t\u00edm t\u00e1i. Di\u1ec5n ti\u1ebfn b\u1ec7nh r\u1ea5t kh\u00e1c nhau. \u0110i\u1ec1u tr\u1ecb s\u1edbm b\u1eb1ng Acyclovir v\u00e0 h\u1ed3i s\u1ee9c h\u00f4 h\u1ea5p s\u1ebd c\u1ea3i thi\u1ec7n nhanh t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf v\u00e0 s\u1ed1t.<\/li>\n\n\n\n<li><strong>Vi\u00eam n\u00e3o:<\/strong> l\u00e0 bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong \u1edf ng\u01b0\u1eddi l\u1edbn. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 s\u1ed1t cao, r\u1ed1i lo\u1ea1n tri gi\u00e1c, th\u1ea5t \u0111i\u1ec1u, rung gi\u1eadt nh\u00e3n c\u1ea7u, m\u00faa v\u1eddn. H\u01a1n th\u1ebf n\u1eefa l\u00e0 co gi\u1eadt v\u00e0 h\u00f4n m\u00ea. Ngo\u00e0i ra, c\u00f2n c\u00f3 vi\u00eam m\u00e0ng n\u00e3o, vi\u00eam tu\u1ef7 c\u1eaft ngang, vi\u00eam th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/li>\n\n\n\n<li><strong>H\u1ed9i ch\u1ee9ng Reyes:<\/strong> l\u00e0 b\u1ec7nh l\u00fd n\u00e3o gan g\u1eb7p \u1edf giai \u0111o\u1ea1n \u0111\u1eadu m\u1ecdc n\u1ebfu tr\u1ebb u\u1ed1ng Aspirin \u0111\u1ec3 gi\u1ea3m \u0111au h\u1ea1 s\u1ed1t. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 lo \u00e2u, b\u1ed3n ch\u1ed3n, k\u00edch th\u00edch; h\u01a1n th\u1ebf n\u1eefa l\u00e0 h\u00f4n m\u00ea, co gi\u1eadt do ph\u00f9 n\u00e3o. Ngo\u00e0i ra c\u00f3 th\u1ec3 v\u00e0ng da, gan to, xu\u1ea5t huy\u1ebft n\u1ed9i t\u1ea1ng.<\/li>\n\n\n\n<li><strong>Thu\u1ef7 \u0111\u1eadu \u1edf b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch:<\/strong> tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch nh\u01b0 ung th\u01b0 lympho, gh\u00e9p tu\u1ef7, ng\u01b0\u1eddi nhi\u1ec5m HIV\/AIDS, thu\u1ef7 \u0111\u1eadu th\u01b0\u1eddng n\u1eb7ng n\u1ec1 h\u01a1n v\u00e0 nhi\u1ec1u bi\u1ebfn ch\u1eedng x\u1ea3y ra, do \u0111\u00f3 th\u1eddi gian h\u1ed3i ph\u1ee5c tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y th\u01b0\u1eddng k\u00e9o d\u00e0i.<\/li>\n\n\n\n<li><strong>Vi\u00eam gan tr\u00ean b\u1ec7nh nh\u00e2n thu\u1ef7 \u0111\u1eadu:<\/strong> th\u01b0\u1eddng c\u00f3 \u00edt tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, ch\u1ea9n \u0111o\u00e1n ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o x\u00e9t nghi\u1ec7m th\u1ea5y men gan t\u0103ng. Tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd c\u00f3 vi\u00eam gan l\u00e0 n\u00f4n \u00f3i nhi\u1ec1u, th\u01b0\u1eddng g\u1eb7p tr\u00ean b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n\n<p>Ch\u1ea9n \u0111o\u00e1n th\u1ee7y \u0111\u1eadu ch\u1ee7 y\u1ebfu d\u1ef1a tr\u00ean l\u00e2m s\u00e0ng v\u00e0 kh\u00f4ng c\u1ea7n x\u00e9t nghi\u1ec7m kh\u1eb3ng \u0111\u1ecbnh. Ban th\u1ee7y \u0111\u1eadu \u0111\u1eb7c tr\u01b0ng d\u1ea1ng ph\u1ecfng nhi\u1ec1u l\u1ee9a tu\u1ed5i r\u1ea3i r\u00e1c to\u00e0n th\u00e2n \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ecb th\u1ee7y \u0111\u1eadu l\u00e0 nh\u1eefng g\u1ee3i \u00fd cho ch\u1ea9n \u0111o\u00e1n.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img data-dominant-color=\"ad8372\" data-has-transparency=\"false\" loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"409\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-02.webp\" alt=\"Chickenpox (Varicella) is a highly contagious infectious disease with the potential to cause large-scale epidemics. The primary clinical manifestation is a vesicular rash on the skin and mucous membranes.\" class=\"not-transparent wp-image-1585\" style=\"--dominant-color: #ad8372; width:787px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-02.webp 615w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-02-300x200.webp 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/Chickenpox-02-18x12.webp 18w\" sizes=\"auto, (max-width: 787px) 100vw, 787px\" \/><figcaption class=\"wp-element-caption\"><em>Ch\u1ea9n \u0111o\u00e1n th\u1ee7y \u0111\u1eadu<\/em><\/figcaption><\/figure><\/div>\n\n\n<p>C\u00e1c x\u00e9t nghi\u1ec7m kh\u1eb3ng \u0111\u1ecbnh th\u1ee7y \u0111\u1eadu kh\u00f4ng s\u1eb5n c\u00f3 trong l\u00e2m s\u00e0ng v\u00e0 r\u1ea5t \u00edt khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng; bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>X\u00e9t nghi\u1ec7m d\u1ecbch n\u1ed1t b\u00f3ng n\u01b0\u1edbc:<\/strong> Lam Tzanck t\u00ecm t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 \u0111a nh\u00e2n, PCR x\u00e1c \u0111\u1ecbnh <em>Zona th\u1ea7n kinh<\/em> DNA.<\/li>\n\n\n\n<li><strong>X\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc:<\/strong> x\u00e1c \u0111\u1ecbnh chuy\u1ec3n \u0111\u1ea3o huy\u1ebft thanh ho\u1eb7c t\u0103ng hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 v\u1edbi <em>Herpes zoster.<\/em><\/li>\n<\/ul>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<p>C\u1ea7n ph\u00e2n bi\u1ec7t th\u1ee7y \u0111\u1eadu v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh c\u00f3 ph\u00e1t ban d\u1ea1ng ph\u1ecfng n\u01b0\u1edbc nh\u01b0 b\u1ec7nh tay ch\u00e2n mi\u1ec7ng li\u00ean quan t\u1edbi\u00a0 <em>Enterovirus,<\/em> <em>Herpes simplex<\/em> , vi\u00eam da m\u1ee7 v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c.<\/p>\n\n\n\n<p>B\u1ec7nh tay ch\u00e2n mi\u1ec7ng nguy\u00ean nh\u00e2n do <em>Enterovirus<\/em> c\u0169ng c\u00f3 ban d\u1ea1ng ph\u1ecfng n\u01b0\u1edbc, c\u00f3 c\u1ea3 \u1edf ni\u00eam m\u1ea1c (mi\u1ec7ng, h\u1ecdng) nh\u01b0 th\u1ee7y \u0111\u1eadu. Tuy nhi\u00ean ban trong tay ch\u00e2n mi\u1ec7ng c\u00f3 d\u1ea1ng nh\u1ecf h\u01a1n, ph\u00e2n b\u1ed1 t\u1eadp trung \u1edf tay ch\u00e2n v\u00e0 m\u00f4ng, c\u00f3 c\u1ea3 \u1edf l\u00f2ng b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n.<\/p>\n\n\n\n<p>Ph\u00e1t ban do <em>Herpes simplex<\/em> \u00a0th\u01b0\u1eddng t\u1eadp trung \u1edf c\u00e1c v\u00f9ng da chuy\u1ec3n ti\u1ebfp ni\u00eam m\u1ea1c quanh c\u00e1c h\u1ed1c t\u1ef1 nhi\u00ean, kh\u00f4ng ph\u00e2n b\u1ed1 \u1edf to\u00e0n b\u1ed9 c\u01a1 th\u1ec3 nh\u01b0 th\u1ee7y \u0111\u1eadu.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb<\/h2>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t b\u1eb1ng Paracetamol<\/li>\n\n\n\n<li>Gi\u1ea3m ng\u1ee9a b\u1eb1ng c\u00e1c thu\u1ed1c kh\u00e1ng histamin<\/li>\n<\/ul>\n\n\n\n<p><strong>Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ed9i nhi\u1ec5m<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u00e0m s\u1ea1ch da b\u1eb1ng v\u1ec7 sinh th\u00e2n th\u1ec3 l\u00e0 quan tr\u1ecdng nh\u1ea5t, t\u1eafm r\u1eeda b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 b\u00f4i xanh methylene<\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng kh\u00e1ng sinh khi c\u00f3 b\u1ed9i nhi\u1ec5m<\/li>\n<\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng n\u1ebfu c\u00f3<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u1ed9i ch\u1ee9ng Reyes<\/li>\n\n\n\n<li>Vi\u00eam ph\u1ed5i thu\u1ef7 \u0111\u1eadu<\/li>\n\n\n\n<li>Vi\u00eam n\u00e3o thu\u1ef7  \u0111\u1eadu<\/li>\n<\/ul>\n\n\n\n<p>Ngo\u00e0i thu\u1ed1c kh\u00e1ng VZV, \u0111i\u1ec1u tr\u1ecb n\u00e2ng \u0111\u1ee1 l\u00e0 ch\u1ee7 y\u1ebfu.<\/p>\n\n\n\n<p><strong>Thu\u1ed1c kh\u00e1ng si\u00eau vi<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng si\u00eau v\u1ecb gi\u00fap r\u00fat ng\u1eafn th\u1eddi gian b\u1ec7nh, h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng, gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng da. Thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 r\u00f5 r\u1ec7t n\u1ebfu s\u1eed d\u1ee5ng trong v\u00f2ng 24 gi\u1edd k\u1ec3 t\u1eeb khi ph\u00e1t ban.<\/li>\n\n\n\n<li>C\u00e1c thu\u1ed1c th\u01b0\u1eddng d\u00f9ng: Acyclovir, Valacyclovir, Famciclovir<\/li>\n<\/ul>\n\n\n\n<p><strong>Qu\u1ea3n l\u00fd c\u00e1ch ly ng\u01b0\u1eddi b\u1ec7nh<\/strong><\/p>\n\n\n\n<p>Thu\u1ef7 \u0111\u1eadu l\u00e0 m\u1ed9t trong ch\u00edn b\u1ec7nh truy\u1ec1n nhi\u1ec5m nh\u00f3m B ph\u1ea3i c\u00e1ch ly y t\u1ebf. Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa, c\u00e1ch ly t\u1ea1i nh\u00e0. C\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u1ea7n nh\u1eadp vi\u1ec7n \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1ch ly.<\/p>\n\n\n\n<p>Ng\u01b0ng c\u00e1ch ly khi n\u1ed1t \u0111\u1eadu \u0111\u00e3 kh\u00f4, sau 1 tu\u1ea7n t\u1eeb khi ph\u00e1t hi\u1ec7n \u0111\u1ec3 tr\u00e1nh l\u00e2y lan th\u00e0nh d\u1ecbch.<\/p>\n\n\n\n<p>C\u00f3 nghi\u00ean c\u1ee9u \u0111\u1ec1 xu\u1ea5t c\u00e1ch ly ng\u01b0\u1eddi b\u1ec7nh Zona nh\u01b0 ng\u01b0\u1eddi b\u1ec7nh thu\u1ef7 \u0111\u1eadu.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a href=\"https:\/\/tramedhealth.com\/wp-admin\/post.php?post=1581&amp;action=edit\" target=\"_blank\" rel=\"noopener\" title=\"\">Ph\u00f2ng ng\u1eeba<\/a><\/h2>\n\n\n\n<p><strong>Ph\u00f2ng ng\u1eeba chung<\/strong><\/p>\n\n\n\n<p>R\u1ea5t kh\u00f3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao v\u00ec b\u1ec7nh c\u00f3 th\u1ec3 l\u00e2y trong v\u00f2ng 24-48 gi\u1edd tr\u01b0\u1edbc khi c\u00f3 b\u00f3ng n\u01b0\u1edbc.<\/p>\n\n\n\n<p>Tr\u00e1nh ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi ng\u01b0\u1eddi b\u1ec7nh thu\u1ef7 \u0111\u1eadu, \u0111\u1eb7c bi\u1ec7t l\u00e0 ti\u1ebfp x\u00fac v\u1edbi d\u1ecbch t\u1eeb c\u00e1c n\u1ed1t ph\u00e1t ban.<\/p>\n\n\n\n<p>Mang kh\u1ea9u trang khi \u0111\u1ebfn nh\u1eefng n\u01a1i c\u00f4ng c\u1ed9ng, \u0111\u00f4ng ng\u01b0\u1eddi.<\/p>\n\n\n\n<p><strong>Ch\u1ee7ng ng\u1eeba<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>T\u1ea1o mi\u1ec5n d\u1ecbch th\u1ee5 \u0111\u1ed9ng:<\/strong> globulin mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 ho\u1eb7c c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng n\u1eb7ng c\u1ee7a b\u1ec7nh \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao, \u0111\u1eb7c bi\u1ec7t tr\u00ean b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch, ph\u1ee5 n\u1eef c\u00f3 thai.<\/li>\n\n\n\n<li><strong>T\u1ea1o mi\u1ec5n d\u1ecbch ch\u1ee7 \u0111\u1ed9ng:<\/strong> ch\u1ee7ng ng\u1eeba thu\u1ef7 \u0111\u1eadu b\u1eb1ng vaccin s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c. Mi\u1ec5n d\u1ecbch sau ch\u1ee7ng ng\u1eeba \u0111\u1ea1t 94-100% v\u00e0 k\u00e9o d\u00e0i.<\/li>\n\n\n\n<li><strong>Thu\u1ed1c kh\u00e1ng si\u00eau vi:<\/strong> ph\u00f2ng ng\u1eeba b\u1eb1ng thu\u1ed1c kh\u00e1ng si\u00eau vi c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh cho ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nh\u01b0ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ch\u1ee7ng. C\u00e1c thu\u1ed1c th\u01b0\u1eddng s\u1eed d\u1ee5ng l\u00e0 Acyclovir, Valacyclovir, Famciclovir trong th\u1eddi gian 7 ng\u00e0y.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh thu\u1ef7 \u0111\u1eadu (Chickenpox) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng truy\u1ec1n nhi\u1ec5m r\u1ea5t hay l\u00e2y, c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y th\u00e0nh \u0111\u1ea1i d\u1ecbch. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ch\u00ednh l\u00e0 ph\u00e1t ban d\u1ea1ng b\u00f3ng n\u01b0\u1edbc \u1edf da v\u00e0 ni\u00eam m\u1ea1c.<\/p>","protected":false},"author":2,"featured_media":1582,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[174],"tags":[184,180,183,185,181,182],"class_list":["post-1581","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infectious-disease","tag-benh-thuy-dau","tag-chickenpox","tag-thuy-dau","tag-varicella","tag-varicella-zoster-virus","tag-vzv"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1581"}],"collection":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/comments?post=1581"}],"version-history":[{"count":4,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1581\/revisions"}],"predecessor-version":[{"id":1589,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1581\/revisions\/1589"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media\/1582"}],"wp:attachment":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media?parent=1581"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/categories?post=1581"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/tags?post=1581"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}