{"id":11853,"date":"2025-09-30T09:51:32","date_gmt":"2025-09-30T02:51:32","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=11853"},"modified":"2025-09-30T09:51:34","modified_gmt":"2025-09-30T02:51:34","slug":"virus-hop-bao-ho-hap-rsv","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=11853","title":{"rendered":"VIRUS H\u1ee2P B\u00c0O H\u00d4 H\u1ea4P (RSV)"},"content":{"rendered":"\n

\u201cV\u1ecb kh\u00e1ch kh\u00f4ng m\u1edbi\u201d m\u00f9a m\u01b0a l\u1ea1nh: Ba m\u1eb9 c\u1ea7n bi\u1ebft g\u00ec \u0111\u1ec3 b\u1ea3o v\u1ec7 con y\u00eau?<\/em><\/strong><\/p>\n\n\n\n

BS.CK1 Tr\u1ea7n Th\u1ecb Minh Th\u01b0, Khoa B\u1ec7nh l\u00fd s\u01a1 sinh<\/em><\/strong><\/p>\n\n\n\n

1. Virus h\u1ee3p b\u00e0o h\u00f4 h\u1ea5p l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

Virus h\u1ee3p b\u00e0o h\u00f4 h\u1ea5p (Respiratory Syncytial Virus – RSV) l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c tr\u1ebb < 1 tu\u1ed5i.<\/p>\n\n\n\n

H\u1ea7u h\u1ebft tr\u1ebb em s\u1ebd b\u1ecb nhi\u1ec5m RSV \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n tr\u01b0\u1edbc 2 tu\u1ed5i v\u00e0 kho\u1ea3ng 20-30% tr\u1ebb em b\u1ecb nhi\u1ec5m s\u1ebd b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n ho\u1eb7c vi\u00eam ph\u1ed5i.<\/p>\n\n\n\n

RSV l\u01b0u h\u00e0nh theo m\u00f9a, th\u01b0\u1eddng b\u00f9ng ph\u00e1t v\u00e0o m\u00f9a m\u01b0a – l\u1ea1nh.<\/p>\n\n\n\n

2. RSV l\u00e2y lan nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n

RSV l\u00e2y lan d\u1ec5 d\u00e0ng t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c.<\/p>\n\n\n\n

Virus x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 b\u1ea1n qua m\u0169i, mi\u1ec7ng ho\u1eb7c m\u1eaft.<\/p>\n\n\n\n

RSV c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i tr\u00ean c\u00e1c b\u1ec1 m\u1eb7t c\u1ee9ng nh\u01b0 b\u00e0n, tay n\u1eafm c\u1eeda, \u0111\u1ed3 ch\u01a1i v\u00e0 th\u00e0nh gi\u01b0\u1eddng trong nhi\u1ec1u gi\u1edd.<\/p>\n\n\n\n

C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y nhi\u1ec5m virus RSV l\u00e0:<\/p>\n\n\n\n

Ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi ng\u01b0\u1eddi b\u1ecb b\u1ec7nh nh\u01b0 b\u1eaft tay, ho ho\u1eb7c h\u1eaft h\u01a1i.<\/p>\n\n\n\n

Ti\u1ebfp x\u00fac gi\u00e1n ti\u1ebfp v\u1edbi \u0111\u1ed3 v\u1eadt c\u00f3 ch\u1ee9a virus nh\u01b0: qu\u1ea7n \u00e1o, \u0111\u1ed3 ch\u01a1i, v\u1eadt d\u1ee5ng c\u1ee7a tr\u1ebb ho\u1eb7c ng\u01b0\u1eddi b\u1ecb b\u1ec7nh b\u1eb1ng c\u00e1ch ch\u1ea1m v\u00e0 cho \u0111\u1ed3 v\u1eadt v\u00e0o mi\u1ec7ng.<\/p>\n\n\n\n

3. Tr\u1ebb b\u1ecb nhi\u1ec5m virus RSV tri\u1ec7u ch\u1ee9ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng gi\u1ed1ng c\u1ea3m l\u1ea1nh<\/em><\/strong>: Th\u01b0\u1eddng kh\u1edfi \u0111\u1ea7u v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n h\u00f4 h\u1ea5p tr\u00ean nh\u01b0 ch\u1ea3y n\u01b0\u1edbc m\u0169i, t\u1eafc m\u0169i, ho nh\u1eb9, s\u1ed1t (th\u01b0\u1eddng \u2264 38,3\u00b0C) trong 1-3 ng\u00e0y.<\/p>\n\n\n\n

D\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o<\/em><\/strong>: C\u1ea6N \u0110\u01afA TR\u1eba \u0110I KH\u00c1M NGAY:<\/strong><\/p>\n\n\n\n

Th\u1edf b\u1ea5t th\u01b0\u1eddng<\/strong>: Th\u1edf nhanh theo l\u1ee9a tu\u1ed5i, th\u1edf co k\u00e9o, c\u00e1nh m\u0169i ph\u1eadp ph\u1ed3ng.<\/p>\n\n\n\n

B\u1ecf b\u00fa ho\u1eb7c b\u00fa k\u00e9m.<\/strong><\/p>\n\n\n\n

T\u00edm t\u00e1i<\/strong> \u1edf m\u00f4i ho\u1eb7c \u0111\u1ea7u ng\u00f3n tay.<\/p>\n\n\n\n

B\u00e9 li b\u00ec, k\u00e9m linh ho\u1ea1t<\/strong>.<\/p>\n\n\n\n

C\u01a1n ng\u01b0ng th\u1edf<\/strong>: \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd \u1edf tr\u1ebb s\u01a1 sinh.<\/p>\n\n\n\n

4. C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m virus RSV n\u1eb7ng ho\u1eb7c c\u00f3 bi\u1ebfn ch\u1ee9ng?<\/strong><\/p>\n\n\n\n

H\u1ea7u h\u1ebft tr\u1ebb em s\u1ebd b\u1ecb nhi\u1ec5m RSV \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n tr\u01b0\u1edbc 2 tu\u1ed5i, nh\u01b0ng ch\u00fang ta c\u1ea7n quan t\u00e2m \u0111\u1eb7c bi\u1ec7t \u0111\u1ebfn nh\u00f3m tr\u1ebb c\u00f3 nguy c\u01a1 di\u1ec5n ti\u1ebfn n\u1eb7ng: c\u00e1c b\u00e9 sinh non, c\u00e1c b\u00e9 c\u00f3 b\u1ec7nh tim b\u1ea9m sinh ho\u1eb7c b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh, b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng th\u1edf, b\u1ec7nh l\u00fd th\u1ea7n kinh – c\u01a1\u2026 v\u00ec h\u1ec7 mi\u1ec5n d\u1ecbch v\u00e0 c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng th\u1edf c\u1ee7a c\u00e1c b\u00e9 c\u00f2n non y\u1ebfu.<\/p>\n\n\n\n

5. \u0110i\u1ec1u tr\u1ecb nhi\u1ec5m RSV \u1edf tr\u1ebb?<\/strong><\/p>\n\n\n\n

C\u00e1c b\u1ec7nh l\u00fd \u1edf tr\u1ebb em g\u00e2y ra b\u1edfi virus h\u1ee3p b\u00e0o h\u00f4 h\u1ea5p hi\u1ec7n t\u1ea1i v\u1eabn ch\u01b0a c\u00f3 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u, \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu l\u00e0 h\u1ed7 tr\u1ee3 ch\u1ed1ng suy h\u00f4 h\u1ea5p:<\/p>\n\n\n\n

Oxy li\u1ec7u ph\u00e1p l\u00e0 nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng nh\u1ea5t v\u1edbi tr\u1ebb vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n do RSV khi tr\u1ebb c\u00f3 d\u1ea5u hi\u1ec7u thi\u1ebfu oxy.<\/p>\n\n\n\n

B\u00f9 d\u1ecbch: Cho tr\u1ebb u\u1ed1ng n\u01b0\u1edbc\/s\u1eefa nhi\u1ec1u h\u01a1n \u0111\u1ec3 b\u1ed5 sung n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i \u0111\u00e3 m\u1ea5t, l\u00e0m lo\u00e3ng d\u1ecbch \u0111\u1eddm g\u00e2y b\u00edt t\u1eafc \u0111\u01b0\u1eddng th\u1edf. Trong tr\u01b0\u1eddng h\u1ee3p tr\u1ebb kh\u00f4ng th\u1ec3 t\u1ef1 u\u1ed1ng n\u01b0\u1edbc, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n d\u1ecbch cho tr\u1ebb.<\/p>\n\n\n\n

Cho tr\u1ebb d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t khi tr\u1ebb s\u1ed1t cao.<\/p>\n\n\n\n

R\u1eeda m\u0169i, h\u00fat m\u0169i, nh\u1ecf m\u0169i b\u1eb1ng thu\u1ed1c gi\u1ea3m xung huy\u1ebft ni\u00eam m\u1ea1c, gi\u1ea3m ti\u1ebft d\u1ecbch m\u0169i \u0111\u1ec3 gi\u00fap tr\u1ebb c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i, d\u1ec5 th\u1edf h\u01a1n.<\/p>\n\n\n\n

\u0110\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 dinh d\u01b0\u1ee1ng theo l\u1ee9a tu\u1ed5i qua c\u00e1c b\u1eefa \u0103n h\u00e0ng ng\u00e0y.<\/p>\n\n\n\n

Kh\u00e1ng sinh kh\u00f4ng d\u00f9ng th\u01b0\u1eddng quy, tr\u1eeb khi c\u00f3 b\u1ed9i nhi\u1ec5m vi khu\u1ea9n.<\/p>\n\n\n\n

Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n, corticoid: ch\u1ec9 \u0111\u1ecbnh ch\u1ecdn l\u1ecdc, hi\u1ec7u qu\u1ea3 ch\u01b0a r\u00f5 r\u00e0ng.<\/p>\n\n\n\n

6. Ph\u00f2ng ng\u1eeba nhi\u1ec5m RSV cho tr\u1ebb?<\/strong><\/p>\n\n\n\n

Bi\u1ec7n ph\u00e1p chung:<\/em><\/strong><\/p>\n\n\n\n

V\u1ec7 sinh tay s\u1ea1ch s\u1ebd cho ng\u01b0\u1eddi ch\u0103m s\u00f3c tr\u1ebb v\u00e0 t\u1eadp cho tr\u1ebb r\u1eeda tay th\u01b0\u1eddng xuy\u00ean v\u1edbi x\u00e0 ph\u00f2ng ho\u1eb7c dung d\u1ecbch kh\u1eed khu\u1ea9n, nh\u1ea5t l\u00e0 tr\u01b0\u1edbc khi \u0103n v\u00e0 sau khi \u0111i v\u1ec7 sinh, h\u1eaft h\u01a1i.<\/p>\n\n\n\n

Th\u01b0\u1eddng xuy\u00ean v\u1ec7 sinh, kh\u1eed khu\u1ea9n nh\u00e0 \u1edf, khu vui ch\u01a1i v\u00e0 \u0111\u1ed3 ch\u01a1i c\u1ee7a tr\u1ebb.<\/p>\n\n\n\n

Che mi\u1ec7ng khi ho, h\u1eaft h\u01a1i, tr\u00e1nh ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

Nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9, t\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng.<\/p>\n\n\n\n

Tr\u00e1nh cho tr\u1ebb kh\u00f3i b\u1ee5i, nh\u1ea5t l\u00e0 kh\u00f3i thu\u1ed1c l\u00e1.<\/p>\n\n\n\n

Cho tr\u1ebb ti\u00eam v\u1eafc – xin \u0111\u1ea7y \u0111\u1ee7 v\u00e0 \u0111\u00fang l\u1ecbch theo khuy\u1ebfn c\u00e1o c\u1ee7a B\u1ed9 Y t\u1ebf.<\/p>\n\n\n\n

Bi\u1ec7n ph\u00e1p \u0111\u1eb7c hi\u1ec7u:<\/em><\/strong><\/p>\n\n\n\n

Tin vui l\u00e0 hi\u1ec7n \u0111\u00e3 c\u00f3 v\u1eafc – xin ph\u00f2ng ng\u1eeba RSV ti\u00eam cho m\u1eb9 b\u1ea7u, s\u1ebd gi\u00fap truy\u1ec1n kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7 cho con trong nh\u1eefng th\u00e1ng \u0111\u1ea7u \u0111\u1eddi quan tr\u1ecdng nh\u1ea5t.<\/p>\n\n\n\n

Vaccin ABRYSVO: ch\u1ee7ng ng\u1eeba cho m\u1eb9 trong thai k\u1ef3: kho\u1ea3ng th\u1eddi gian thai \u0111\u01b0\u1ee3c 24 -36 tu\u1ea7n v\u00e0 nh\u1eefng ng\u01b0\u1eddi t\u1eeb 60 tu\u1ed5i tr\u1edf l\u00ean.<\/p>\n\n\n\n

D\u1ef1 ph\u00f2ng mi\u1ec5n d\u1ecbch b\u1eb1ng kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng trong m\u00f9a b\u1ec7nh.<\/p>\n\n\n\n

Nh\u1eefng \u0111i\u1ec3m ch\u00ednh c\u1ea7n nh\u1edb:<\/em><\/strong><\/p>\n\n\n\n

H\u1ea7u h\u1ebft tr\u1ebb em s\u1ebd b\u1ecb nhi\u1ec5m RSV \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n tr\u01b0\u1edbc 2 tu\u1ed5i, tuy nhi\u00ean c\u00f3 th\u1ec3 nguy hi\u1ec3m cho tr\u1ebb s\u01a1 sinh v\u00e0 nh\u1eefng nh\u00f3m tr\u1ebb c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 cao.<\/p>\n\n\n\n

D\u1ea5u hi\u1ec7u th\u1edf b\u1ea5t th\u01b0\u1eddng l\u00e0 t\u00edn hi\u1ec7u c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m ngay.<\/p>\n\n\n\n

Hi\u1ec7n v\u1eabn ch\u01b0a c\u00f3 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u, \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 (\u0111\u1ea3m b\u1ea3o dinh d\u01b0\u1ee1ng, h\u00fat m\u0169i, v\u1ec7 sinh m\u0169i, h\u1ea1 s\u1ed1t\u2026) l\u00e0 ch\u00eca kh\u00f3a gi\u00fap c\u00e1c b\u00e9 v\u01b0\u1ee3t qua m\u00f9a b\u1ec7nh.<\/em><\/strong><\/p>\n\n\n\n

R\u1eeda tay l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh \u0111\u01a1n gi\u1ea3n v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/em><\/strong><\/p>\n\n\n\n

S\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf l\u00e0 v\u00f4 gi\u00e1. N\u1ebfu qu\u00fd v\u1ecb c\u00f3 b\u1ea5t k\u1ef3 lo l\u1eafng n\u00e0o v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a con ho\u1eb7c mu\u1ed1n t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba RSV, \u0111\u1eebng ng\u1ea7n ng\u1ea1i trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 Nhi khoa ho\u1eb7c b\u00e1c s\u0129 S\u01a1 sinh.<\/em><\/strong><\/p>\n\n\n\n

Hi\u1ec7n t\u1ea1i, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u00f3 t\u1ea5t c\u1ea3 c\u00e1c v\u1eafc – xin ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 c\u00e1c b\u1ec7nh l\u00fd cho tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf t\u1ea1i Ph\u00f2ng ti\u00eam ch\u1ee7ng 122 l\u1ea7u 1 khu kh\u00e1m<\/em><\/strong> v\u1edbi \u0111\u1ed9i ng\u0169 B\u00e1c s\u0129 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng chuy\u00ean khoa Nhi gi\u00e0u kinh nghi\u1ec7m, chuy\u00ean nghi\u1ec7p, hi\u1ec3u t\u00e2m l\u00fd c\u1ee7a tr\u1ebb v\u00e0 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 cho tr\u1ebb trong qu\u00e1 tr\u00ecnh ti\u00eam ch\u1ee7ng.<\/p>\n\n\n\n

\u0110\u1eb7c bi\u1ec7t, t\u1eeb ng\u00e0y 1\/10\/2025, Ph\u00f2ng ti\u00eam ch\u1ee7ng b\u1eaft \u0111\u1ea7u ti\u00eam v\u1eafc – xin RSV Abrysvo.<\/p>\n\n\n\n

Sau khi ti\u00eam ch\u1ee7ng, t\u1ea5t c\u1ea3 tr\u1ebb \u0111\u1ec1u \u0111\u01b0\u1ee3c theo d\u00f5i, \u0111\u00e1nh gi\u00e1 l\u1ea1i v\u00e0 d\u1eb7n d\u00f2 k\u1ef9 c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng tr\u01b0\u1edbc khi ra v\u1ec1.<\/p>\n\n\n\n

Ph\u00f2ng theo d\u00f5i sau ti\u00eam \u0111\u01b0\u1ee3c trang b\u1ecb \u0111\u1ea7y \u0111\u1ee7 c\u00e1c trang thi\u1ebft b\u1ecb c\u1ea5p c\u1ee9u hi\u1ec7n \u0111\u1ea1i; \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 – \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 x\u1eed tr\u00ed c\u1ea5p c\u1ee9 c\u00e1c t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m nh\u1eb1m \u0111\u1ea3m b\u1ea3o x\u1eed tr\u00ed k\u1ecbp th\u1eddi, \u0111\u00fang ph\u00e1c \u0111\u1ed3 khi c\u00f3 s\u1ef1 c\u1ed1 x\u1ea3y ra.<\/p>\n\n\n

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