{"id":664,"date":"2019-01-23T15:31:25","date_gmt":"2019-01-23T08:31:25","guid":{"rendered":"http:\/\/thuocnhatrang.com\/?p=664"},"modified":"2019-01-23T15:31:25","modified_gmt":"2019-01-23T08:31:25","slug":"sau-tiem-vac-xin-neu-thay-tre-co-1-trong-9-dau-hieu-duoi-day-can-dua-ngay-den-co-so-y-te","status":"publish","type":"post","link":"https:\/\/demo.netsa.vn\/city-pharmacy\/sau-tiem-vac-xin-neu-thay-tre-co-1-trong-9-dau-hieu-duoi-day-can-dua-ngay-den-co-so-y-te.html","title":{"rendered":"Sau ti\u00eam v\u1eafc xin, n\u1ebfu th\u1ea5y tr\u1ebb c\u00f3 1 trong 9 d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y c\u1ea7n \u0111\u01b0a ngay \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf"},"content":{"rendered":"
\n
Theo PGS.TS D\u01b0\u01a1ng Th\u1ecb H\u1ed3ng – Ph\u00f3 Vi\u1ec7n tr\u01b0\u1edfng Vi\u1ec7n V\u1ec7 sinh D\u1ecbch t\u1ec5 Trung \u01b0\u01a1ng, nh\u1eefng ph\u1ea3n \u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p sau ti\u00eam ch\u1ee7ng v\u1eafc xin ComBE Five (DPT-VGB-Hib) th\u00f4ng th\u01b0\u1eddng l\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 …<\/div>\n
\n
\n

C\u00e1c ph\u1ea3n \u1ee9ng s\u01b0ng, \u0111\u1ecf, \u0111au: c\u00f3 th\u1ec3 t\u1edbi 50%. S\u1ed1t (>38\u00baC): c\u00f3 th\u1ec3 t\u1edbi 50%. C\u00e1c tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n, k\u00edch th\u00edch, kh\u00f3 ch\u1ecbu, qu\u1ea5y kh\u00f3c: c\u00f3 th\u1ec3 t\u1edbi 55%….<\/p>\n

\u0110\u1ec3 theo d\u00f5i, ch\u0103m s\u00f3c tr\u1ebb ti\u00eam ch\u1ee7ng, PGS.TS Nguy\u1ec5n Th\u1ecb H\u1ed3ng t\u01b0 v\u1ea5n:<\/p>\n

Tr\u01b0\u1edbc ti\u00eam ch\u1ee7ng<\/strong><\/em>, \u0111\u1ed1i v\u1edbi c\u00e1n b\u1ed9 y t\u1ebf c\u1ea7n kh\u00e1m s\u00e0ng l\u1ecdc theo quy\u1ebft \u0111\u1ecbnh 2301\/Q\u0110-BYT ng\u00e0y 12\/6\/2015. Khai th\u00e1c ti\u1ec1n s\u1eed sinh \u0111\u1ebb, ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng, b\u1ec7nh t\u1eadt\/s\u1eed d\u1ee5ng thu\u1ed1c c\u1ee7a tr\u1ebb.\u00a0Ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng, b\u1ec7nh t\u1eadt c\u1ee7a gia \u0111\u00ecnh. Ti\u1ec1n s\u1eed ti\u00eam ch\u1ee7ng c\u1ee7a tr\u1ebb. Ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng sau ti\u00eam ch\u1ee7ng \u0111\u1eb7c bi\u1ec7t ph\u1ea3n \u1ee9ng sau ti\u00eam ch\u1ee7ng c\u1ee7a l\u1ea7n ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc.<\/p>\n

\u0110\u1ed1i v\u1edbi b\u00e0 m\u1eb9,\u00a0<\/em>gia \u0111\u00ecnh tr\u1ebb c\u1ea7n chu\u1ea9n b\u1ecb s\u1ed5\/phi\u1ebfu ti\u00eam ch\u1ee7ng c\u1ee7a tr\u1ebb. Th\u00f4ng b\u00e1o v\u1edbi c\u00e1n b\u1ed9 y t\u1ebf v\u1ec1 ti\u1ec1n s\u1eed sinh \u0111\u1ebb, ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng, b\u1ec7nh t\u1eadt\/s\u1eed d\u1ee5ng thu\u1ed1c c\u1ee7a tr\u1ebb\/ph\u1ea3n \u1ee9ng sau ti\u00eam ch\u1ee7ng \u0111\u1eb7c bi\u1ec7t c\u1ee7a l\u1ea7n ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc.\u00a0Th\u00f4ng b\u00e1o v\u1edbi c\u00e1n b\u1ed9 y t\u1ebf v\u1ec1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe hi\u1ec7n t\u1ea1i tr\u1ebb.<\/p>\n

T\u1ea1i \u0111i\u1ec3m ti\u00eam ch\u1ee7ng<\/strong>,\u00a0<\/em>c\u00e1n b\u1ed9 y t\u1ebf h\u01b0\u1edbng d\u1eabn b\u00e0 m\u1eb9 c\u00e1ch theo d\u00f5i tr\u1ebb sau ti\u00eam ch\u1ee7ng. Theo d\u00f5i tr\u1ebb 30 ph\u00fat t\u1ea1i \u0111i\u1ec3m ti\u00eam ch\u1ee7ng.<\/p>\n

Cha m\u1eb9, gia \u0111\u00ecnh tr\u1ebb c\u00f9ng c\u00e1n b\u1ed9 y t\u1ebf theo d\u00f5i tr\u1ebb trong 30 ph\u00fat t\u1ea1i \u0111i\u1ec3m ti\u00eam ch\u1ee7ng. Th\u00f4ng b\u00e1o cho c\u00e1n b\u1ed9 y t\u1ebf n\u1ebfu tr\u1ebb c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng v\u1ec1 s\u1ee9c kh\u1ecfe: Kh\u00f3c, b\u1ee9t r\u1ee9t, kh\u00f3 ch\u1ecbu, n\u00f4n, tr\u1edb, t\u1ea1i v\u1ebft ti\u00eam qu\u1ea7ng \u0111\u1ecf lan r\u1ed9ng, n\u1ed5i ban\u2026<\/p>\n

\"sau-tiem-vac-xin-neu-thay-tre-co-1-trong-9-dau-hieu-duoi-day-can-dua-ngay-den-co-so-y-te-1\"\u1ea2nh minh h\u1ecda.<\/em><\/p>\n

Sau ti\u00eam ch\u1ee7ng:\u00a0<\/strong><\/em>C\u00e1n b\u1ed9 y t\u1ebf th\u00f4ng\u00a0b\u00e1o s\u1ed1 \u0111i\u1ec7n tho\u1ea1i c\u1ee7a c\u00e1n b\u1ed9 y t\u1ebf \u0111\u1ec3 t\u01b0 v\u1ea5n, gi\u1ea3i \u0111\u00e1p c\u00e1c th\u1eafc m\u1eafc c\u1ee7a c\u00e1c b\u1eadc cha m\u1eb9 sau ti\u00eam ch\u1ee7ng. T\u01b0 v\u1ea5n, ti\u1ebfp nh\u1eadn v\u00e0 x\u1eed tr\u00ed c\u00e1c ph\u1ea3n \u1ee9ng sau ti\u00eam ch\u1ee7ng.<\/p>\n

Cha m\u1eb9 ti\u1ebfp t\u1ee5c theo d\u00f5i tr\u1ebb t\u1ea1i nh\u00e0 trong 1 \u0111\u1ebfn 2 ng\u00e0y sau ti\u00eam ch\u1ee7ng. Ng\u01b0\u1eddi theo d\u00f5i tr\u1ebb ph\u1ea3i l\u00e0 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh v\u00e0 bi\u1ebft ch\u0103m s\u00f3c tr\u1ebb.\u00a0C\u00e1c d\u1ea5u hi\u1ec7u c\u1ea7n theo d\u00f5i: Tinh th\u1ea7n; t\u00ecnh tr\u1ea1ng \u0103n, ng\u1ee7, nhi\u1ec7t \u0111\u1ed9 (n\u1ebfu c\u00f3 s\u1ed1t ph\u1ea3i c\u1eb7p nhi\u1ec7t \u0111\u1ed9), ph\u00e1t ban, bi\u1ec3u hi\u1ec7n t\u1ea1i ch\u1ed7 ti\u00eam (s\u01b0ng, \u0111\u1ecf\u2026). Khi tr\u1ebb c\u00f3 nh\u1eefng ph\u1ea3n \u1ee9ng th\u00f4ng th\u01b0\u1eddng nh\u01b0 s\u1ed1t nh\u1eb9, s\u01b0ng \u0111au t\u1ea1i ch\u1ed7 ti\u00eam, qu\u1ea5y kh\u00f3c… th\u00ec ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean, li\u00ean t\u1ee5c, ch\u00fa \u00fd v\u00e0o ban \u0111\u00eam \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng. Kh\u00f4ng \u0111\u1eafp b\u1ea5t c\u1ee9 th\u1ee9 g\u00ec v\u00e0o v\u1ecb tr\u00ed ti\u00eam.<\/p>\n

Ch\u0103m s\u00f3c tr\u1ebb t\u1ea1i nh\u00e0 sau ti\u00eam ch\u1ee7ng:\u00a0<\/strong><\/em>Cho tr\u1ebb b\u00fa\/\u0103n \u0111\u1ee7 b\u1eefa, \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng, \u0111\u00fang t\u01b0 th\u1ebf, kh\u00f4ng b\u00fa\/\u0103n khi n\u1eb1m\u2026 th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra tr\u1ebb, \u0111\u1eb7c bi\u1ec7t ban \u0111\u00eam.<\/p>\n

L\u01b0u \u00fd c\u00e1c b\u00e0 m\u1eb9 s\u1eed d\u1ee5ng thu\u1ed1c t\u1ea1i nh\u00e0: Kh\u00f4ng t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c. D\u00f9ng thu\u1ed1c theo ch\u1ec9 d\u1eabn c\u1ee7a c\u00e1n b\u1ed9 y t\u1ebf.<\/p>\n

N\u1ebfu tr\u1ebb s\u1ed1t c\u1ea7n c\u1eb7p nhi\u1ec7t \u0111\u1ed9, theo d\u00f5i s\u00e1t, ch\u01b0\u1eddm \u1ea5m, n\u1edbi r\u1ed9ng qu\u1ea7n \u00e1o. D\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t theo \u0111\u00fang h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u00e1n b\u1ed9 y t\u1ebf. Sau khi s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ee7 \u0111\u1ed9ng th\u00f4ng b\u00e1o l\u1ea1i cho c\u00e1n b\u1ed9 y t\u1ebf t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb.<\/p>\n

Kh\u00f4ng d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e1, c\u00e2y\u2026. \u0111\u1eafp v\u00e0o v\u1ecb tr\u00ed ti\u00eam.<\/p>\n

N\u1ebfu cha m\u1eb9 kh\u00f4ng y\u00ean t\u00e2m v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb sau ti\u00eam ch\u1ee7ng h\u00e3y \u0111\u1ebfn g\u1eb7p c\u00e1n b\u1ed9 y t\u1ebf\u00a0\u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n.<\/p>\n

C\u1ea7n \u0111\u01b0a NGAY tr\u1ebb \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t khi c\u00f3 1 trong nh\u1eefng d\u1ea5u hi\u1ec7u sau:<\/strong>
\n– S\u1ed1t cao > 39 \u0111\u1ed9 C, kh\u00f3 \u0111\u00e1p \u1ee9ng thu\u1ed1c h\u1ea1 s\u1ed1t, s\u1ed1t k\u00e9o d\u00e0i tr\u00ean 24 gi\u1edd, s\u1ed1t xu\u1ea5t hi\u1ec7n sau 12 gi\u1edd ti\u00eam ch\u1ee7ng.
\n– Qu\u1ea5y kh\u00f3c k\u00e9o d\u00e0i, b\u1ee9t r\u1ee9t, k\u00edch th\u00edch.
\n– K\u00e9m t\u01b0\u01a1ng t\u00e1c v\u1edbi ng\u01b0\u1eddi xung quanh, tr\u1ebb m\u1ec7t x\u1ec9u, li b\u00ec v\u00e0 h\u00f4n m\u00ea.
\n– Co gi\u1eadt.
\n– N\u00f4n ch\u1edb, b\u00fa k\u00e9m, b\u1ecf b\u00fa.
\n– Ph\u00e1t ban.
\n– Th\u1edf nhanh, kh\u00f3 th\u1edf co k\u00e9o h\u00f5m \u1ee9c, th\u1edf r\u00ean, th\u1edf \u1eadm \u1ea1ch, t\u00edm m\u00f4i v\u00e0 chi.
\n– Ch\u00e2n tay l\u1ea1nh, da n\u1ed5i v\u00e2n t\u00edm.
\n– Ho\u1eb7c c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng kh\u00e1c khi\u1ebfn cha m\u1eb9 tr\u1ebb lo l\u1eafng.<\/div>\n

Nghi ng\u1edd ph\u1ea3n \u1ee9ng s\u1ed1c sau ti\u00eam ch\u1ee7ng\u00a0c\u1ea7n ti\u00eam ngay adrenaline<\/h2>\n

\u00d4ng Nguy\u1ec5n Tr\u1ecdng Khoa – Ph\u00f3 C\u1ee5c tr\u01b0\u1edfng C\u1ee5c Qu\u1ea3n l\u00fd Kh\u00e1m, ch\u1eefa b\u1ec7nh (B\u1ed9 Y t\u1ebf) cho bi\u1ebft, tr\u01b0\u1edbc m\u1ed9t tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd ph\u1ea3n \u1ee9ng s\u1ed1c sau ti\u00eam ch\u1ee7ng, m\u1ecdi nh\u00e2n vi\u00ean y t\u1ebf khi ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n c\u1ea7n ti\u00eam ngay adrenaline kh\u00f4ng c\u1ea7n \u0111\u1ee3i ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Ti\u00eam c\u00e0ng s\u1edbm, c\u01a1 h\u1ed9i c\u1ee9u b\u1ec7nh nh\u00e2n c\u00e0ng cao<\/p>\n

PGS.TS Tr\u1ea7n Minh \u0110i\u1ec3n – Ph\u00f3 Gi\u00e1m \u0111\u1ed1c BV Nhi Trung \u01b0\u01a1ng cho bi\u1ebft, tr\u01b0\u1edbc \u0111\u00e2y, khi ti\u1ebfp nh\u1eadn m\u1ed9t b\u1ec7nh nh\u00e2n s\u1ed1c ph\u1ea3n v\u1ec7 v\u00ec b\u1ea5t c\u1ee9 nguy\u00ean nh\u00e2n g\u00ec (th\u1ee9c \u0103n, v\u1eafc xin, thu\u1ed1c)… th\u00ec vi\u1ec7c ti\u00eam adrenaline g\u1ea7n nh\u01b0 b\u01b0\u1edbc cu\u1ed1i c\u00f9ng trong quy tr\u00ecnh c\u1ea5p c\u1ee9u.<\/p>\n

Tuy nhi\u00ean, \u00f4ng \u0110i\u1ec3n c\u0169ng cho r\u1eb1ng, ng\u00e0y nay quan \u0111i\u1ec3m c\u1ea5p c\u1ee9u \u0111\u00e3 thay \u0111\u1ed5i. “Tr\u01b0\u1edbc m\u1ed9t b\u1ec7nh nh\u00e2n nghi ng\u1edd s\u1ed1c ph\u1ea3n v\u1ec7, kh\u00f4ng ng\u1ea7n ng\u1ea1i khi s\u1eed d\u1ee5ng adrenaline. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e0ng s\u1edbm khi c\u00f3 ph\u1ea3n v\u1ec7 c\u00e0ng c\u00f3 c\u01a1 h\u1ed9i c\u1ee9u b\u1ec7nh nh\u00e2n, gi\u1ea3m nguy c\u01a1 t\u00e0n t\u1eadt, t\u1eed vong- PGS.TS Tr\u1ea7n Minh \u0110i\u1ec3n n\u00f3i.<\/p>\n

V\u1edbi b\u1ec7nh nhi c\u00f3 bi\u1ec3u hi\u1ec7n m\u1ea1ch nhanh, s\u1ed1t cao, gi\u1ea3m tri gi\u00e1c \u0111\u00f3 l\u00e0 nh\u1eefng ti\u00eau chu\u1ea9n li\u00ean quan \u0111\u1ebfn ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7. B\u1ec7nh nhi m\u1ea1ch nhanh c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p c\u00f9ng v\u00e2n t\u00edm, chi l\u1ea1nh… v\u00e0 ti\u1ebfp c\u1eadn thu\u1ed1c ch\u1ed1ng s\u1ed1c s\u1edbm, ti\u1ebfp theo \u0111\u00f3 l\u00e0 c\u00e1c thu\u1ed1c d\u1ecb \u1ee9ng, ch\u1ed1ng vi\u00eam… s\u1ebd mang l\u1ea1i c\u01a1 h\u1ed9i c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh nhi\u1ec1u h\u01a1n.<\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 D\u01b0\u01a1ng H\u1ea3i<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Theo PGS.TS D\u01b0\u01a1ng Th\u1ecb H\u1ed3ng – Ph\u00f3 Vi\u1ec7n tr\u01b0\u1edfng Vi\u1ec7n V\u1ec7 sinh D\u1ecbch t\u1ec5 Trung \u01b0\u01a1ng, nh\u1eefng ph\u1ea3n \u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p sau ti\u00eam ch\u1ee7ng v\u1eafc xin ComBE Five (DPT-VGB-Hib) th\u00f4ng th\u01b0\u1eddng l\u00e0 c\u00e1c ph\u1ea3n… Xem th\u00eam<\/a><\/p>\n","protected":false},"author":1,"featured_media":665,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[27],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts\/664"}],"collection":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/comments?post=664"}],"version-history":[{"count":1,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts\/664\/revisions"}],"predecessor-version":[{"id":666,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts\/664\/revisions\/666"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/media\/665"}],"wp:attachment":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/media?parent=664"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/categories?post=664"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/tags?post=664"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}