{"id":14440,"date":"2026-04-04T08:00:00","date_gmt":"2026-04-04T01:00:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=14440"},"modified":"2026-04-03T15:12:31","modified_gmt":"2026-04-03T08:12:31","slug":"chu-dong-phong-benh-tay-chan-mieng-o-tre-2","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=14440","title":{"rendered":"CH\u1ee6 \u0110\u1ed8NG PH\u00d2NG B\u1ec6NH TAY – CH\u00c2N – MI\u1ec6NG \u1ede TR\u1eba"},"content":{"rendered":"\n

Tay – ch\u00e2n – mi\u1ec7ng l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i, b\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng s\u1ed1t, \u0111au h\u1ecdng, n\u1ed5i b\u1ecdng n\u01b0\u1edbc t\u1eadp trung \u1edf tay, ch\u00e2n, mi\u1ec7ng. B\u1ec7nh g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 t\u1eed vong n\u1ebfu kh\u00f4ng can thi\u1ec7p k\u1ecbp th\u1eddi.<\/em><\/strong><\/p>\n\n\n

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1. B\u1ec7nh Tay – ch\u00e2n – mi\u1ec7ng l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

Tay – ch\u00e2n – mi\u1ec7ng<\/strong> l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh \u1edf tr\u1ebb em, do vi r\u00fat \u0111\u01b0\u1eddng ru\u1ed9t thu\u1ed9c nh\u00f3m Coxsackieviruses v\u00e0 Enterovirus 71 g\u00e2y ra. B\u1ec7nh l\u00e2y truy\u1ec1n ch\u1ee7 y\u1ebfu theo \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 v\u00e0 d\u1ec5 ph\u00e1t tri\u1ec3n th\u00e0nh d\u1ecbch, \u0111\u1eb7c bi\u1ec7t \u1edf m\u00f4i tr\u01b0\u1eddng m\u1eabu gi\u00e1o, tr\u01b0\u1eddng h\u1ecdc.<\/p>\n\n\n\n

B\u1ec7nh Tay – ch\u00e2n – mi\u1ec7ng<\/strong> th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, nh\u1ea5t l\u00e0 tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i.<\/p>\n\n\n\n

Bi\u1ec3u hi\u1ec7n ch\u00ednh l\u00e0 t\u1ed5n th\u01b0\u01a1ng da, ni\u00eam m\u1ea1c d\u01b0\u1edbi d\u1ea1ng ph\u1ecfng n\u01b0\u1edbc \u1edf c\u00e1c v\u1ecb tr\u00ed \u0111\u1eb7c bi\u1ec7t nh\u01b0 ni\u00eam m\u1ea1c mi\u1ec7ng, l\u00f2ng b\u00e0n tay, l\u00f2ng b\u00e0n ch\u00e2n, m\u00f4ng, g\u1ed1i.<\/p>\n\n\n\n

B\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 vi\u00eam n\u00e3o – m\u00e0ng n\u00e3o, vi\u00eam c\u01a1 tim, ph\u00f9 ph\u1ed5i c\u1ea5p d\u1eabn \u0111\u1ebfn t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n\n\n\n

B\u1ec7nh x\u1ea3y ra quanh n\u0103m, t\u0103ng cao v\u00e0o th\u00e1ng 2 \u0111\u1ebfn th\u00e1ng 4 v\u00e0 t\u1eeb th\u00e1ng 9 \u0111\u1ebfn th\u00e1ng 12 h\u00e0ng n\u0103m.<\/p>\n\n\n\n

2. B\u1ec7nh Tay – ch\u00e2n – mi\u1ec7ng l\u00e2y truy\u1ec1n nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n

B\u1ec7nh l\u00e2y tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi:<\/p>\n\n\n\n

– Qua tr\u1ef1c ti\u1ebfp v\u1edbi ph\u00e2n, d\u1ecbch ti\u1ebft m\u0169i h\u1ecdng, ph\u1ecfng (b\u00f3ng n\u01b0\u1edbc b\u1ecb v\u1ee1).<\/p>\n\n\n\n

– Qua ti\u1ebfp x\u00fac gi\u1eefa tr\u1ebb em v\u1edbi nhau ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed3 ch\u01a1i, b\u00e0n gh\u1ebf, s\u00e0n nh\u00e0… b\u1ecb nhi\u1ec5m vi r\u00fat.<\/p>\n\n\n\n

– Qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a do \u0103n u\u1ed1ng ph\u1ea3i th\u1ef1c ph\u1ea9m ch\u1ee9a vi r\u00fat.<\/p>\n\n\n\n

3. Nh\u1eefng bi\u1ec3u hi\u1ec7n ch\u00ednh c\u1ee7a b\u1ec7nh Tay – ch\u00e2n – mi\u1ec7ng?<\/strong><\/p>\n\n\n\n

– Giai \u0111o\u1ea1n \u1ee7 b\u1ec7nh<\/strong>: 3 – 7 ng\u00e0y<\/p>\n\n\n\n

– Giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t: <\/strong>T\u1eeb 1 – 2 ng\u00e0y v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 s\u1ed1t nh\u1eb9, m\u1ec7t m\u1ecfi, \u0111au h\u1ecdng, bi\u1ebfng \u0103n, ti\u00eau ch\u1ea3y v\u00e0i l\u1ea7n trong ng\u00e0y.<\/p>\n\n\n\n

– Giai \u0111o\u1ea1n to\u00e0n ph\u00e1t:<\/strong> C\u00f3 th\u1ec3 k\u00e9o d\u00e0i 3 – 10 ng\u00e0y v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a b\u1ec7nh:<\/p>\n\n\n\n

+ Lo\u00e9t mi\u1ec7ng: V\u1ebft lo\u00e9t \u0111\u1ecf hay ph\u1ecfng n\u01b0\u1edbc \u0111\u01b0\u1eddng k\u00ednh 2 – 3mm \u1edf ni\u00eam m\u1ea1c mi\u1ec7ng, l\u1ee3i, l\u01b0\u1ee1i, g\u00e2y \u0111au mi\u1ec7ng, b\u1ecf \u0103n, b\u1ecf b\u00fa, t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt.<\/p>\n\n\n\n

+ Sang th\u01b0\u01a1ng \u0111a d\u1ea1ng h\u1ed3ng ban ho\u1eb7c b\u00f3ng n\u01b0\u1edbc \u1edf l\u00f2ng b\u00e0n tay, khu\u1ef7u tay, l\u00f2ng b\u00e0n ch\u00e2n, g\u1ed1i, m\u00f4ng, c\u00f9i tr\u1ecf; t\u1ed3n t\u1ea1i trong th\u1eddi gian ng\u1eafn (d\u01b0\u1edbi 7 ng\u00e0y) sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i v\u1ebft th\u00e2m, r\u1ea5t hi\u1ebfm khi lo\u00e9t hay b\u1ed9i nhi\u1ec5m.<\/p>\n\n\n\n

+ S\u1ed1t nh\u1eb9.<\/p>\n\n\n\n

+ \u0102n, b\u00fa k\u00e9m.<\/p>\n\n\n\n

+ Bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh, tim m\u1ea1ch, h\u00f4 h\u1ea5p th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n s\u1edbm t\u1eeb ng\u00e0y 2 \u0111\u1ebfn ng\u00e0y 5, c\u00f3 th\u1ec3 \u0111\u1ebfn ng\u00e0y 7 c\u1ee7a b\u1ec7nh.<\/p>\n\n\n\n

+ Gi\u1eadt m\u00ecnh ch\u1edbi v\u1edbi l\u00e0 d\u1ea5u hi\u1ec7u quan tr\u1ecdng b\u00e1o hi\u1ec7u bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh. Tr\u1ebb s\u1ed1t cao ho\u1eb7c n\u00f4n nhi\u1ec1u d\u1ec5 c\u00f3 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n

– Giai \u0111o\u1ea1n lui b\u1ec7nh:<\/strong> Th\u01b0\u1eddng t\u1eeb 3 – 5 ng\u00e0y sau giai \u0111o\u1ea1n to\u00e0n ph\u00e1t, tr\u1ebb h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n n\u1ebfu kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n

4. C\u00e1ch ch\u0103m s\u00f3c tr\u1ebb b\u1ecb Tay – ch\u00e2n – mi\u1ec7ng t\u1ea1i nh\u00e0<\/strong><\/p>\n\n\n\n

– Dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 theo tu\u1ed5i, th\u1ee9c \u0103n l\u1ecfng, d\u1ec5 ti\u00eau, \u0111\u1ec3 ngu\u1ed9i m\u00e1t, chia nhi\u1ec1u b\u1eefa nh\u1ecf. Tr\u1ebb c\u00f2n b\u00fa c\u1ea7n ti\u1ebfp t\u1ee5c cho \u0103n s\u1eefa m\u1eb9.<\/p>\n\n\n\n

– H\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au b\u1eb1ng Paracetamol li\u1ec1u 10 – 15 mg\/kg\/l\u1ea7n m\u1ed7i 4 – 6 gi\u1edd ho\u1eb7c Ibuprofen 5 – 10 mg\/kg\/l\u1ea7n m\u1ed7i 6 – 8 gi\u1edd.<\/p>\n\n\n\n

– L\u00e0m d\u1ecbu v\u1ebft lo\u00e9t mi\u1ec7ng b\u1eb1ng thu\u1ed1c b\u0103ng ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng ti\u00eau h\u00f3a antacid.<\/p>\n\n\n\n

– V\u1ec7 sinh r\u0103ng mi\u1ec7ng.<\/p>\n\n\n\n

– Ngh\u1ec9 ng\u01a1i, tr\u00e1nh k\u00edch th\u00edch.<\/p>\n\n\n\n

– Ch\u0103m s\u00f3c t\u1ed5n th\u01b0\u01a1ng da: Kh\u00f4ng l\u00e0m v\u1ee1 c\u00e1c m\u1ee5n n\u01b0\u1edbc, c\u00f3 th\u1ec3 b\u00f4i dung d\u1ecbch s\u00e1t khu\u1ea9n v\u00e0o c\u00e1c m\u1ee5n n\u01b0\u1edbc v\u1ee1 nh\u01b0 dung d\u1ecbch Povidone-iodine, xanh methylene.<\/p>\n\n\n\n

– Cho tr\u1ebb ngh\u1ec9 h\u1ecdc, sau 7 – 10 ng\u00e0y k\u1ec3 t\u1eeb khi ph\u00e1t b\u1ec7nh m\u1edbi cho tr\u1ebb \u0111i h\u1ecdc l\u1ea1i.<\/p>\n\n\n\n

– Tr\u00e1nh l\u00e2y lan b\u1ec7nh cho c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c trong gia \u0111\u00ecnh, kh\u00f4ng d\u00f9ng chung \u0111\u1ed3 d\u00f9ng c\u00e1 nh\u00e2n, r\u1eeda tay tr\u01b0\u1edbc v\u00e0 sau ch\u0103m s\u00f3c tr\u1ebb, v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng.<\/p>\n\n\n\n

– T\u00e1i kh\u00e1m m\u1ed7i 1 – 2 ng\u00e0y trong 7 – 10 ng\u00e0y \u0111\u1ea7u c\u1ee7a b\u1ec7nh. Tr\u1ebb c\u00f3 s\u1ed1t ph\u1ea3i t\u00e1i kh\u00e1m m\u1ed7i ng\u00e0y cho \u0111\u1ebfn khi h\u1ebft s\u1ed1t \u00edt nh\u1ea5t 48 gi\u1edd.<\/p>\n\n\n\n

5. Khi n\u00e0o c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111\u1ebfn kh\u00e1m ngay?<\/strong><\/p>\n\n\n\n

Tr\u1ebb c\u1ea7n t\u00e1i kh\u00e1m ngay khi c\u00f3 \u2265 1 d\u1ea5u hi\u1ec7u:<\/p>\n\n\n\n

+ S\u1ed1t tr\u00ean 39\u00b0C ho\u1eb7c k\u00e9o d\u00e0i tr\u00ean 48 gi\u1edd.<\/p>\n\n\n\n

+ N\u00f4n \u00f3i nhi\u1ec1u.<\/p>\n\n\n\n

+ L\u1eeb \u0111\u1eeb ho\u1eb7c k\u00edch th\u00edch.<\/p>\n\n\n\n

+ Kh\u00f4ng b\u00fa ho\u1eb7c \u0103n b\u00fa qu\u00e1 \u00edt.<\/p>\n\n\n\n

+ Gi\u1eadt m\u00ecnh.<\/p>\n\n\n\n

+ Th\u1edf nhanh, kh\u00f3 th\u1edf.<\/p>\n\n\n\n

+ Da n\u1ed5i v\u00e2n t\u00edm (n\u1ed5i b\u00f4ng).<\/p>\n\n\n\n

+ H\u00f4n m\u00ea, co gi\u1eadt.<\/p>\n\n\n\n

+ Tr\u1ebb c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng ho\u1eb7c cha m\u1eb9 lo l\u1eafng.<\/p>\n\n\n\n

6. C\u00e1ch ph\u00f2ng b\u1ec7nh<\/strong><\/p>\n\n\n\n

 – V\u1ec7 sinh c\u00e1 nh\u00e2n, r\u1eeda tay b\u1eb1ng x\u00e0 ph\u00f2ng nhi\u1ec1u l\u1ea7n trong ng\u00e0y (c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em), \u0111\u1eb7c bi\u1ec7t sau khi thay qu\u1ea7n \u00e1o, t\u00e3, sau khi ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n, n\u01b0\u1edbc b\u1ecdt.<\/p>\n\n\n\n

– Th\u1ef1c hi\u1ec7n t\u1ed1t v\u1ec7 sinh \u0103n u\u1ed1ng: \u0102n ch\u00edn, u\u1ed1ng ch\u00edn; v\u1eadt d\u1ee5ng \u0103n u\u1ed1ng ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1ee3c r\u1eeda s\u1ea1ch s\u1ebd tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng.<\/p>\n\n\n\n

– Kh\u00f4ng cho tr\u1ebb m\u00fat tay ho\u1eb7c \u0111\u01b0a \u0111\u1ed3 ch\u01a1i l\u00ean mi\u1ec7ng.<\/p>\n\n\n\n

– R\u1eeda s\u1ea1ch \u0111\u1ed3 ch\u01a1i, v\u1eadt d\u1ee5ng, s\u00e0n nh\u00e0.<\/p>\n\n\n\n

– Lau s\u00e0n nh\u00e0 b\u1eb1ng dung d\u1ecbch kh\u1eed khu\u1ea9n Cloramin B 2% ho\u1eb7c c\u00e1c dung d\u1ecbch kh\u1eed khu\u1ea9n kh\u00e1c.<\/p>\n\n\n\n

– Thu gom, x\u1eed l\u00fd ph\u00e2n v\u00e0 ch\u1ea5t th\u1ea3i c\u1ee7a tr\u1ebb.<\/p>\n\n\n\n

– Kh\u00f4ng \u0111\u01b0a tr\u1ebb b\u1ecb b\u1ec7nh \u0111\u1ebfn nh\u00e0 tr\u1ebb, tr\u01b0\u1eddng h\u1ecdc, n\u01a1i c\u00e1c tr\u1ebb ch\u01a1i t\u1eadp trung trong 7 – 10 ng\u00e0y \u0111\u1ea7u c\u1ee7a b\u1ec7nh.<\/p>\n\n\n\n

Tr\u01b0\u1edbc t\u00ecnh h\u00ecnh d\u1ecbch b\u1ec7nh Tay – ch\u00e2n – mi\u1ec7ng \u0111ang c\u00f3 xu h\u01b0\u1edbng t\u0103ng, vi\u1ec7c ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng b\u1ec7nh l\u00e0 y\u1ebfu t\u1ed1 then ch\u1ed1t \u0111\u1ec3 ki\u1ec3m so\u00e1t v\u00e0 \u0111\u1ea9y l\u00f9i b\u1ec7nh. H\u00e3y c\u00f9ng nhau n\u00e2ng cao \u00fd th\u1ee9c v\u00e0 h\u00e0nh \u0111\u1ed9ng v\u00ec s\u1ee9c kh\u1ecfe tr\u1ebb em.<\/p>\n\n\n\n

Th\u00f4ng tin li\u00ean h\u1ec7:<\/strong><\/strong><\/p>\n\n\n\n

\ud83d\udd39 Khoa Nhi t\u1ed5ng h\u1ee3p <\/strong><\/strong><\/p>\n\n\n\n

\u260e\ufe0f \u0110i\u1ec7n tho\u1ea1i: 028 3841 2692, b\u1ea5m 248<\/p>\n\n\n\n

BS Nguy\u1ec5n Ch\u00ed Nh\u1eadt T\u00e2n, khoa Nhi T\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Tay – ch\u00e2n – mi\u1ec7ng l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i, b\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng s\u1ed1t, \u0111au h\u1ecdng, n\u1ed5i b\u1ecdng n\u01b0\u1edbc t\u1eadp trung \u1edf tay, ch\u00e2n, mi\u1ec7ng. B\u1ec7nh g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 t\u1eed vong n\u1ebfu kh\u00f4ng can thi\u1ec7p k\u1ecbp th\u1eddi. 1. B\u1ec7nh Tay – ch\u00e2n – 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