{"id":2735,"date":"2022-05-13T09:55:10","date_gmt":"2022-05-13T02:55:10","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=2735"},"modified":"2022-05-13T09:55:10","modified_gmt":"2022-05-13T02:55:10","slug":"benh-viem-gan-la","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2022\/05\/13\/benh-viem-gan-la\/","title":{"rendered":"B\u1ec6NH VI\u00caM GAN L\u1ea0"},"content":{"rendered":"

Vi\u00eam gan b\u00ed \u1ea9n l\u00e0 t\u00ecnh tr\u1ea1ng gan b\u1ecb vi\u00eam nhi\u1ec5m ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5 nguy\u00ean nh\u00e2n \u1edf tr\u1ebb nh\u1ecf v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean. Vi\u00eam gan g\u00e2y ra do nhi\u1ec1u nguy\u00ean nh\u00e2n, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn nhi\u1ec5m virus. Ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 5 lo\u1ea1i virus vi\u00eam gan g\u1ed3m virus A, B, C, D v\u00e0 E. C\u00e1c virus kh\u00e1c nh\u01b0 adenovirus, CMV, EBV\u2026 c\u00f3 th\u1ec3 g\u00e2y vi\u00eam gan, nh\u01b0ng tr\u01b0\u1eddng h\u1ee3p n\u00e0y r\u1ea5t hi\u1ebfm.
\n\u0110i\u1ec1u b\u1ea5t th\u01b0\u1eddng l\u00e0 trong s\u1ed1 h\u00e0ng tr\u0103m ca vi\u00eam gan b\u00ed \u1ea9n \u0111ang \u0111\u01b0\u1ee3c ghi nh\u1eadn, kh\u00f4ng c\u00f3 b\u1ec7nh nh\u00e2n n\u00e0o \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y m\u1eafc m\u1ed9t trong 5 lo\u1ea1i virus vi\u00eam gan ph\u1ed5 bi\u1ebfn. Hi\u1ec7n c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111ang nghi v\u1ea5n Adenovirus ch\u00ednh l\u00e0 th\u1ee7 ph\u1ea1m g\u00e2y ra h\u00e0ng lo\u1ea1t ca m\u1eafc vi\u00eam gan b\u00ed \u1ea9n tr\u00ean to\u00e0n c\u1ea7u.
\n\u2022 \u0110\u1ed1i t\u01b0\u1ee3ng ph\u1ed5 bi\u1ebfn m\u1eafc b\u1ec7nh vi\u00eam gan b\u00ed \u1ea9n<\/strong>
\n\u0110\u1ed1i t\u01b0\u1ee3ng ph\u1ed5 bi\u1ebfn m\u1eafc b\u1ec7nh vi\u00eam gan b\u00ed l\u1ea1 hi\u1ec7n nay l\u00e0 tr\u1ebb em trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 1 th\u00e1ng \u0111\u1ebfn 16 tu\u1ed5i kh\u00f4ng c\u00f3 b\u1ec7nh k\u00e8m theo, h\u1ea7u h\u1ebft l\u00e0 d\u01b0\u1edbi 10 tu\u1ed5i v\u00e0 nhi\u1ec1u nh\u1ea5t l\u00e0 nh\u00f3m tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i. \u0110a s\u1ed1 tr\u1ebb em m\u1eafc b\u1ec7nh n\u00e0y tr\u01b0\u1edbc \u0111\u00f3 \u0111\u1ec1u kh\u1ecfe m\u1ea1nh. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 t\u1eebng m\u1eafc Covid-19 ho\u1eb7c nhi\u1ec5m adenovirus tr\u01b0\u1edbc \u0111\u00f3.
\nAdenovirus l\u00e0 lo\u1ea1i virus r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb em. Trong \u0111\u00f3, adenovirus type 41 ch\u1ee7 y\u1ebfu l\u00e2y lan qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn c\u1ee7a b\u1ec7nh vi\u00eam d\u1ea1 d\u00e0y \u2013 ru\u1ed9t c\u1ea5p t\u00ednh \u1edf tr\u1ebb em, \u0111i\u1ec3n h\u00ecnh l\u00e0 ti\u00eau ch\u1ea3y, n\u00f4n \u00f3i v\u00e0 s\u1ed1t, th\u01b0\u1eddng k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p. Virus adeno \u0111\u01b0\u1ee3c coi l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn th\u1ee9 hai g\u00e2y ti\u00eau ch\u1ea3y trong c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 tr\u1ebb em nh\u1eadp vi\u1ec7n t\u1ea1i c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n, sau Rotavirus. Do v\u1eady, khi c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng, ph\u1ee5 huynh c\u1ea7n \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd v\u00e0 \u0111\u01b0a tr\u1ebb \u0111i th\u0103m kh\u00e1m s\u1edbm.
\n\u2022 Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh vi\u00eam gan l\u1ea1:<\/strong>
\nTri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh vi\u00eam gan l\u1ea1 r\u1ea5t d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh truy\u1ec1n nhi\u1ec5m v\u1ec1 \u0111\u01b0\u1eddng H\u00f4 h\u1ea5p (c\u00fam, vi\u00eam ph\u1ed5i,\u2026) hay \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (ti\u00eau ch\u1ea3y c\u1ea5p, t\u1ea3, th\u01b0\u01a1ng h\u00e0n,\u2026), th\u1eadm ch\u00ed Covid-19. Nhi\u1ec1u ph\u1ee5 huynh c\u1ee9 ngh\u0129 tr\u1ebb nhi\u1ec5m Covid-19 m\u00e0 kh\u00f4ng c\u1ea7n x\u00e9t nghi\u1ec7m, d\u1eabn \u0111\u1ebfn ph\u00e1t hi\u1ec7n v\u00e0 can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb mu\u1ed9n, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng v\u00e0 h\u1ec7 l\u1ee5y \u0111\u00e1ng ti\u1ebfc.
\n\u2022 Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh vi\u00eam gan l\u1ea1<\/strong>
\nHi\u1ec7n nay, c\u00e1c chuy\u00ean gia v\u1eabn ch\u01b0a th\u1ec3 tr\u1ea3 l\u1eddi ngu\u1ed3n c\u01a1n c\u1ee7a b\u1ec7nh vi\u00eam gan. Tuy nhi\u00ean, gi\u1ea3 thuy\u1ebft h\u00e0ng \u0111\u1ea7u l\u00e0 adenovirus (lo\u1ea1i virus ch\u1ee9a DNA chu\u1ed7i k\u00e9p, \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a virus t\u1eeb 70-80nm, kh\u00f4ng c\u00f3 v\u1ecf b\u1ecdc b\u00ean ngo\u00e0i). \u0110\u1eb7c bi\u1ec7t, \u0111\u00e2y l\u00e0 h\u1ecd virus ph\u1ed5 bi\u1ebfn th\u01b0\u1eddng g\u00e2y c\u1ea3m l\u1ea1nh th\u00f4ng th\u01b0\u1eddng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nh\u01b0 c\u00fam, ho\u1eb7c g\u00e2y b\u1ec7nh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t c\u1ea5p t\u00ednh.
\n– Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, tr\u1ebb nhi\u1ec5m adenovirus s\u1ebd c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a, bao g\u1ed3m n\u00f4n m\u1eeda, ti\u00eau ch\u1ea3y, \u0111au b\u1ee5ng, s\u1ed1t, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u hay ph\u00e2n nh\u1ea1t m\u00e0u. Tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng nh\u1ea5t c\u1ea7n c\u1ea3nh gi\u00e1c l\u00e0 v\u00e0ng da hay v\u00e0ng m\u1eaft. C\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng cho th\u1ea5y tr\u1ebb c\u0169ng c\u00f3 n\u1ed3ng \u0111\u1ed9 men gan cao b\u1ea5t th\u01b0\u1eddng, d\u1ea5u hi\u1ec7u c\u1ee7a t\u00ecnh tr\u1ea1ng vi\u00eam ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng gan.<\/p>\n

\u2022 Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ec7nh vi\u00eam gan b\u00ed \u1ea9n<\/strong>
\nHi\u1ec7n nay, v\u1eabn ch\u01b0a c\u00f3 ph\u00e1c \u0111\u1ed3 v\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u b\u1ec7nh vi\u00eam gan l\u1ea1 \u1edf tr\u1ebb. \u0110i\u1ec1u tr\u1ecb vi\u00eam gan do adenovirus g\u00e2y ra ch\u1ee7 y\u1ebfu v\u1eabn l\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 gi\u1ea3m nh\u1eb9 tri\u1ec7u ch\u1ee9ng, truy\u1ec1n d\u1ecbch n\u1ebfu tr\u1ebb m\u1ea5t n\u01b0\u1edbc), s\u1ee9c kh\u1ecfe tr\u1ebb th\u01b0\u1eddng t\u1ef1 h\u1ed3i ph\u1ee5c.
\nBi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba t\u1ed1t nh\u1ea5t hi\u1ec7n nay \u0111\u1ed1i v\u1edbi tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn l\u00e0:
\n\u2022 \u0110eo kh\u1ea9u trang
\n\u2022 R\u1eeda tay th\u01b0\u1eddng xuy\u00ean v\u00ec vi \u2013 r\u00fat c\u00f3 kh\u1ea3 n\u0103ng b\u00e1m l\u00e2u d\u00e0i tr\u00ean b\u1ec1 m\u1eb7t \u0111\u1ed3 v\u1eadt k\u1ec3 c\u1ea3 khi \u0111\u00e3 d\u00f9ng ch\u1ea5t kh\u1eed tr\u00f9ng
\n\u2022 Tr\u00e1nh ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi ng\u01b0\u1eddi b\u1ecb b\u1ec7nh
\n\u2022 Che mi\u1ec7ng \/ r\u1eeda tay \/ v\u1ee9t gi\u1ea5y sau khi ho, h\u1eaft h\u01a1i
\n\u2022 Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n, v\u1ec7 sinh c\u1ea9n th\u1eadn sau khi thay t\u00e3 cho tr\u1ebb
\n\u2022 Tr\u00e1nh ch\u1ea1m v\u00e0o m\u1eaft, m\u0169i ho\u1eb7c mi\u1ec7ng b\u1eb1ng tay ch\u01b0a r\u1eeda
\n\u2022 Th\u1ef1c hi\u1ec7n \u0103n ch\u00edn, u\u1ed1ng s\u00f4i.
\n\u2022 Ngh\u1ec9 ng\u01a1i \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng l\u1ecdc m\u00e1u, t\u0103ng s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ee9c n\u0103ng th\u1ea3i \u0111\u1ed9c gan
\n\u2022 Gi\u1eef tinh th\u1ea7n tho\u1ea3i m\u00e1i, h\u1ea1n ch\u1ebf stress
\n\u2022 T\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao, duy tr\u00ec c\u00e2n n\u1eb7ng l\u00e0nh m\u1ea1nh
\n\u2022 Th\u1ef1c hi\u1ec7n t\u00ecnh d\u1ee5c an to\u00e0n, ng\u0103n ng\u1eeba l\u00e2y nhi\u1ec5m c\u00e1c b\u1ec7nh v\u1ec1 gan
\n\u2022 Kh\u00f4ng d\u00f9ng chung v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n (kh\u0103n m\u1eb7t, b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng\u2026) v\u1edbi ng\u01b0\u1eddi kh\u00e1c
\n\u2022 U\u1ed1ng thu\u1ed1c (n\u1ebfu c\u00f3) theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129
\n\u2022 Ti\u00eam ph\u00f2ng vacxin \u0111\u1ea7y \u0111\u1ee7 gi\u00fap tr\u00e1nh l\u00e2y nhi\u1ec5m vi\u00eam gan B v\u00e0 A, hi\u1ec7n nay v\u1eabn ch\u01b0a c\u00f3 thu\u1ed1c ch\u1ee7ng ng\u1eeba vi\u00eam gan C
\n\u2022 T\u1ea7m so\u00e1t gan m\u1eadt \u0111\u1ecbnh k\u1ef3 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 \u1edf gan, ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam gan b\u00ed \u1ea9n l\u00e0 t\u00ecnh tr\u1ea1ng gan b\u1ecb vi\u00eam nhi\u1ec5m ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5 nguy\u00ean nh\u00e2n \u1edf tr\u1ebb nh\u1ecf v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean. Vi\u00eam gan g\u00e2y ra do nhi\u1ec1u nguy\u00ean nh\u00e2n, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn nhi\u1ec5m virus. Ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 5 lo\u1ea1i virus vi\u00eam gan g\u1ed3m virus A, B, C, D v\u00e0 […]<\/p>\n","protected":false},"author":21,"featured_media":2736,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[104],"tags":[],"class_list":{"0":"post-2735","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-suc-khoe-cho-moi-nha"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/2735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2735"}],"version-history":[{"count":0,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/2735\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media\/2736"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2735"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}