{"id":41,"date":"2022-05-01T02:54:17","date_gmt":"2022-04-30T19:54:17","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=41"},"modified":"2023-04-11T15:01:59","modified_gmt":"2023-04-11T08:01:59","slug":"phan-ung-co-hai-nghi-ngo-lien-quan-den-vaccine-phong-ngua-covid-19","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=41","title":{"rendered":"Ph\u1ea3n \u1ee8ng C\u00f3 H\u1ea1i Nghi Ng\u1edd Li\u00ean Quan \u0110\u1ebfn Vaccine Ph\u00f2ng Ng\u1eeba COVID-19"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch COVID-19 c\u00f3 nh\u1eefng di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p v\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee7ng m\u1edbi nh\u01b0 hi\u1ec7n nay, vi\u1ec7c ch\u1ee7ng ng\u1eeba v\u1edbi vaccine ph\u00f2ng ng\u1eeba COVID-19 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ch\u1ed1ng d\u1ecbch c\u1ee7a nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. Tuy nhi\u00ean, c\u00e2u h\u1ecfi v\u1ec1 t\u00ednh an to\u00e0n c\u1ee7a c\u00e1c vaccine hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn v\u00e0 l\u01b0u h\u00e0nh v\u1eabn \u0111ang l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u1ed1i v\u1edbi ng\u00e0nh y t\u1ebf n\u01b0\u1edbc ta. Tr\u01b0\u1edbc t\u00ecnh h\u00ecnh \u0111\u00f3, T\u1ed5 Th\u00f4ng tin Thu\u1ed1c\u2013D\u01b0\u1ee3c l\u00e2m s\u00e0ng (B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh) \u0111\u00e3 l\u00ean k\u1ebf ho\u1ea1ch th\u00f4ng tin v\u1ec1 c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i (ADR) do li\u00ean quan \u0111\u1ebfn vaccine ph\u00f2ng ng\u1eeba COVID-19 t\u1edbi c\u00e1c khoa \u0111i\u1ec1u tr\u1ecb, khoa l\u00e2m s\u00e0ng trong b\u1ec7nh vi\u1ec7n.<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. Vaxzevria (AstraZeneca)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u1ea3n \u1ee9ng sau ti\u00eam c\u00f3 th\u1ec3 g\u1eb7p:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 R\u1ea5t ph\u1ed5 bi\u1ebfn (\u2265 10%): \u0110au \u0111\u1ea7u, bu\u1ed3n n\u00f4n, \u0111au c\u01a1, \u0111au kh\u1edbp, nh\u1ea1y c\u1ea3m \u0111au, \u0111au, n\u00f3ng t\u1ea1i v\u1ecb tr\u00ed ti\u00eam, ng\u1ee9a, m\u1ec7t m\u1ecfi, b\u1ed3n ch\u1ed3n, \u1edbn l\u1ea1nh, s\u1ed1t nh\u1eb9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Ph\u1ed5 bi\u1ebfn (1 \u0111\u1ebfn d\u01b0\u1edbi 10%): S\u01b0ng v\u00e0 \u0111\u1ecf t\u1ea1i v\u1ecb tr\u00ed ti\u00eam, s\u1ed1t \u2265 38\u00b0C.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 C\u00f3 th\u1ec3 c\u00f3 tai bi\u1ebfn n\u1eb7ng, ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7, thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i, gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. Comirnaty (Pfizer\/BioNTech)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u1ea3n \u1ee9ng sau ti\u00eam c\u00f3 th\u1ec3 g\u1eb7p:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 R\u1ea5t ph\u1ed5 bi\u1ebfn (\u2265 10%): \u0110au \u0111\u1ea7u, \u0111au kh\u1edbp, \u0111au c\u01a1, \u0111au ho\u1eb7c s\u01b0ng t\u1ea1i v\u1ecb tr\u00ed ti\u00eam, m\u1ec7t m\u1ecfi, \u1edbn l\u1ea1nh, s\u1ed1t (t\u1ea7n su\u1ea5t cao h\u01a1n v\u1edbi m\u0169i th\u1ee9 2).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Ph\u1ed5 bi\u1ebfn (1 \u0111\u1ebfn d\u01b0\u1edbi 10%): Bu\u1ed3n n\u00f4n, m\u1ea9n \u0111\u1ecf v\u1ecb tr\u00ed ti\u00eam.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Kh\u00f4ng ph\u1ed5 bi\u1ebfn (0,1 \u0111\u1ebfn d\u01b0\u1edbi 1%): N\u1ed5i h\u1ea1ch, m\u1ea5t ng\u1ee7, \u0111au t\u1ee9 chi, kh\u00f3 ch\u1ecbu, ng\u1ee9a ch\u1ed7 ti\u00eam.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Hi\u1ebfm g\u1eb7p (0,01% \u0111\u1ebfn d\u01b0\u1edbi 0,1%): Li\u1ec7t m\u1eb7t ngo\u1ea1i bi\u00ean c\u1ea5p t\u00ednh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. Spikevax (Moderna)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u1ea3n \u1ee9ng sau ti\u00eam c\u00f3 th\u1ec3 g\u1eb7p:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 R\u1ea5t ph\u1ed5 bi\u1ebfn (\u226510%): \u0110au \u0111\u1ea7u, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au c\u01a1, \u0111au kh\u1edbp, c\u1ee9ng kh\u1edbp, \u0111au t\u1ea1i ch\u1ed7 ti\u00eam, m\u1ec7t m\u1ecfi, \u1edbn l\u1ea1nh, s\u1ed1t, n\u1ed5i h\u1ea1ch, s\u01b0ng \u0111\u1ecf v\u1ecb tr\u00ed ti\u00eam.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Ph\u1ed5 bi\u1ebfn (1 \u0111\u1ebfn d\u01b0\u1edbi 10%): Ph\u00e1t ban, m\u1ea9n \u0111\u1ecf, s\u01b0ng ch\u1ed7 ti\u00eam, ti\u00eau ch\u1ea3y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Kh\u00f4ng ph\u1ed5 bi\u1ebfn (0,1 \u0111\u1ebfn d\u01b0\u1edbi 1%): Ng\u1ee9a ch\u1ed7 ti\u00eam.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Hi\u1ebfm g\u1eb7p (0,01 \u0111\u1ebfn d\u01b0\u1edbi 0,1%): S\u01b0ng m\u1eb7t, li\u1ec7t m\u1eb7t ngo\u1ea1i bi\u00ean c\u1ea5p t\u00ednh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Kh\u00f4ng r\u00f5 t\u1ea7n su\u1ea5t: Ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7, qu\u00e1 m\u1eabn, vi\u00eam c\u01a1 tim, vi\u00eam ngo\u1ea1i t\u00e2m m\u1ea1c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. Vero Cell (Sinopharm)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u1ea3n \u1ee9ng sau ti\u00eam c\u00f3 th\u1ec3 g\u1eb7p:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 R\u1ea5t ph\u1ed5 bi\u1ebfn (\u2265 10%): \u0110au t\u1ea1i ch\u1ed7 ti\u00eam, \u0111au \u0111\u1ea7u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Ph\u1ed5 bi\u1ebfn (1 \u0111\u1ebfn d\u01b0\u1edbi 10%): S\u1ed1t, m\u1ec7t m\u1ecfi, \u0111au c\u01a1, \u0111au kh\u1edbp, ho, kh\u00f3 th\u1edf, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, ng\u1ee9a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Kh\u00f4ng ph\u1ed5 bi\u1ebfn (0,1 \u0111\u1ebfn d\u01b0\u1edbi 1%): Ch\u00f3ng m\u1eb7t, ch\u00e1n \u0103n, \u0111au h\u1ea7u h\u1ecdng, kh\u00f3 nu\u1ed1t, ch\u1ea3y n\u01b0\u1edbc m\u0169i, t\u00e1o b\u00f3n, m\u1eabn c\u1ea3m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Hi\u1ebfm g\u1eb7p (0,01 \u0111\u1ebfn d\u01b0\u1edbi 0,1%): H\u00f4n m\u00ea, bu\u1ed3n ng\u1ee7, kh\u00f3 ng\u1ee7, h\u1eaft h\u01a1i, vi\u00eam m\u0169i h\u1ecdng, ngh\u1eb9t m\u0169i, kh\u00f4 h\u1ecdng, c\u00fam, \u0111au ch\u00e2n tay, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, \u0111au b\u1ee5ng, ph\u00e1t ban, ni\u00eam m\u1ea1c da b\u1ea5t th\u01b0\u1eddng, b\u1ec7nh nh\u00e3n khoa, n\u1ed5i h\u1ea1ch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 R\u1ea5t hi\u1ebfm g\u1eb7p (&lt; 0,01%): \u1edan l\u1ea1nh, r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c, d\u1ecb c\u1ea3m, run, r\u1ed1i lo\u1ea1n ch\u00fa \u00fd, ch\u1ea3y m\u00e1u cam, k\u00edch \u1ee9ng c\u1ed5 h\u1ecdng, vi\u00eam amidan, \u0111au h\u00e0m, u c\u1ed5, lo\u00e9t mi\u1ec7ng, \u0111au r\u0103ng, r\u1ed1i lo\u1ea1n th\u1ef1c qu\u1ea3n, vi\u00eam d\u1ea1 d\u00e0y, \u0111\u1ed5i m\u00e0u ph\u00e2n, m\u1edd m\u1eaft, k\u00edch \u1ee9ng m\u1eaft, \u0111au tai, c\u0103ng th\u1eb3ng, t\u0103ng\/h\u1ea1 huy\u1ebft \u00e1p, ti\u1ec3u ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7, ch\u1eadm kinh nguy\u1ec7t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2022 Kh\u00f4ng r\u00f5 t\u1ea7n su\u1ea5t: Ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5. C\u00e1ch x\u1eed tr\u00ed c\u00e1c ADR th\u01b0\u1eddng g\u1eb7p<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;Ph\u1ea7n l\u1edbn c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ADR th\u01b0\u1eddng g\u1eb7p \u1edf m\u1ee9c nh\u1eb9\u2013trung b\u00ecnh v\u00e0 th\u01b0\u1eddng h\u1ebft sau v\u00e0i ng\u00e0y ti\u00eam ch\u1ee7ng. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 s\u1ed1t trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n s\u1ed1t cao tr\u00ean 38\u00b0C. N\u1ebfu c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u ph\u1ea3n v\u1ec7 hay s\u1ed1c ph\u1ea3n v\u1ec7, c\u1ea7n cho b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n ngay l\u1eadp t\u1ee9c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>6. M\u1ed9t s\u1ed1 ADR c\u1ea7n ch\u00fa \u00fd<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Huy\u1ebft kh\u1ed1i gi\u1ea3m ti\u1ec3u c\u1ea7u do vaccine COVID-19<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;Vaccine c\u1ee7a AstraZeneca c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 (r\u1ea5t nh\u1ecf) xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i b\u1ea5t th\u01b0\u1eddng c\u00f3 li\u00ean quan t\u1edbi gi\u1ea3m ti\u1ec3u c\u1ea7u. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn do kh\u00e1ng th\u1ec3 kh\u00e1ng y\u1ebfu t\u1ed1 4 c\u1ee7a ti\u1ec3u c\u1ea7u. Trong s\u1ed1 c\u00e1c ca \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o, t\u00ecnh tr\u1ea1ng huy\u1ebft kh\u1ed1i th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n t\u1ea1i nh\u1eefng v\u1ecb tr\u00ed b\u1ea5t th\u01b0\u1eddng nh\u01b0 xoang t\u0129nh m\u1ea1ch n\u00e3o, c\u00e1c m\u1ea1ch m\u00e1u m\u1ea1c treo tr\u00e0ng, v\u00e0 t\u1ea1i nhi\u1ec1u h\u01a1n 1 c\u01a1 quan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ea1i Hoa K\u1ef3, nguy c\u01a1 chung xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 n\u00e0y sau khi ti\u00eam vaccine c\u1ee7a Janssen (vaccine c\u00f3 c\u00f4ng ngh\u1ec7 t\u01b0\u01a1ng t\u1ef1 vaccine c\u1ee7a AstraZeneca) l\u00e0 3,8 tr\u01b0\u1eddng h\u1ee3p v\u00e0 0,57 ca t\u1eed vong\/1 tri\u1ec7u li\u1ec1u. \u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef 30\u201349 tu\u1ed5i, t\u1ef7 l\u1ec7 xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 c\u00f3 th\u1ec3 l\u00ean t\u1edbi 9\u201310,6 tr\u01b0\u1eddng h\u1ee3p v\u00e0 1,8\u20131,93 ca t\u1eed vong\/1 tri\u1ec7u li\u1ec1u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;C\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd t\u1ea1i Hoa K\u1ef3 v\u00e0 ch\u00e2u \u00c2u \u0111\u00e3 k\u1ebft lu\u1eadn l\u1ee3i \u00edch c\u1ee7a nh\u1eefng vaccine n\u00e0y \u0111\u1ed1i v\u1edbi c\u00e1 nh\u00e2n v\u00e0 to\u00e0n b\u1ed9 ng\u01b0\u1eddi d\u00e2n v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi nh\u1eefng nguy c\u01a1 do c\u00e1c bi\u1ebfn c\u1ed1 hi\u1ebfm g\u1eb7p g\u00e2y ra. Tuy nhi\u00ean, ng\u01b0\u1eddi d\u00e2n n\u00ean n\u1eafm \u0111\u01b0\u1ee3c c\u00e1c th\u00f4ng tin li\u00ean quan v\u00e0 \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf n\u1ebfu c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u, tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u00ecnh tr\u1ea1ng gi\u1ea3m ti\u1ec3u c\u1ea7u (\u0111\u1ed1m xu\u1ea5t huy\u1ebft, b\u1ea7m t\u00edm) ho\u1eb7c bi\u1ebfn ch\u1ee9ng do huy\u1ebft kh\u1ed1i (kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, ph\u00f9 chi d\u01b0\u1edbi, t\u00ecnh tr\u1ea1ng \u0111au n\u1eb7ng v\u00e0 k\u00e9o d\u00e0i t\u1ea1i c\u00e1c v\u1ecb tr\u00ed nh\u01b0 b\u1ee5ng, \u0111\u1ea7u, l\u01b0ng&#8230;).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vi\u00eam c\u01a1 tim, vi\u00eam ngo\u1ea1i t\u00e2m m\u1ea1c<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;Ch\u1ee7 y\u1ebfu x\u1ea3y ra \u1edf ng\u01b0\u1eddi tr\u1ebb v\u00e0 nam thanh thi\u1ebfu ni\u00ean sau khi \u0111\u01b0\u1ee3c ti\u00eam c\u00e1c vaccine mRNA (c\u1ee7a Pfizer\/BioNTech v\u00e0 Moderna). C\u00e1c b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng vi\u00eam c\u01a1 tim ho\u1eb7c vi\u00eam ngo\u1ea1i t\u00e2m m\u1ea1c sau khi ti\u00eam m\u0169i 1 c\u00e1c lo\u1ea1i vaccine n\u00f3i tr\u00ean kh\u00f4ng n\u00ean ti\u1ebfp t\u1ee5c ti\u00eam m\u0169i 2 v\u1edbi vaccine c\u00f9ng lo\u1ea1i. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 ti\u1ebfn tri\u1ec3n n\u1eb7ng do COVID-19, c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c v\u1edbi m\u0169i 2 vaccine \u0111\u00f3 n\u1ebfu \u0111\u00e3 h\u1ebft ho\u00e0n to\u00e0n c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u01b0\u1edbc \u0111\u00f3. C\u00e1c b\u1ec7nh nh\u00e2n t\u1eebng m\u1eafc v\u00e0 kh\u1ecfi b\u1ec7nh vi\u00eam c\u01a1 tim ho\u1eb7c vi\u00eam ngo\u1ea1i t\u00e2m m\u1ea1c kh\u00f4ng li\u00ean quan \u0111\u1ebfn vaccine COVID-19 v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam vaccine mRNA.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p x\u1ea3y ra trong v\u00f2ng tu\u1ea7n \u0111\u1ea7u ti\u00ean sau khi ti\u00eam v\u00e0 th\u01b0\u1eddng x\u1ea3y ra sau li\u1ec1u th\u1ee9 2 (\u0111\u1ed9 tu\u1ed5i trung v\u1ecb khi xu\u1ea5t hi\u1ec7n ADR sau m\u0169i 1 v\u00e0 m\u0169i 2 l\u1ea7n l\u01b0\u1ee3t l\u00e0 30 v\u00e0 24). V\u1edbi nam gi\u1edbi 12\u201329 tu\u1ed5i, t\u1ef7 l\u1ec7 \u01b0\u1edbc t\u00ednh l\u00e0 41 ca\/1 tri\u1ec7u ng\u01b0\u1eddi (sau li\u1ec1u th\u1ee9 2), t\u1ef7 l\u1ec7 n\u00e0y \u1edf n\u1eef gi\u1edbi c\u00f9ng \u0111\u1ed9 tu\u1ed5i l\u00e0 4,2 ca\/1 tri\u1ec7u ng\u01b0\u1eddi v\u00e0 \u1edf nam gi\u1edbi \u2265 30 tu\u1ed5i l\u00e0 2,4 ca\/1 tri\u1ec7u ng\u01b0\u1eddi. \u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 nhanh c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng. N\u00ean c\u00e2n nh\u1eafc nguy c\u01a1 vi\u00eam c\u01a1 tim \u1edf ng\u01b0\u1eddi tr\u1ebb, thanh thi\u1ebfu ni\u00ean c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ng\u1ef1c, kh\u00f3 th\u1edf, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c sau khi ti\u00eam vaccine mRNA<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>H\u1ed9i ch\u1ee9ng Guillain-Barre<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;D\u1eef li\u1ec7u v\u1ec1 t\u00ednh an to\u00e0n cho th\u1ea5y c\u00f3 kh\u1ea3 n\u0103ng c\u00f3 s\u1ef1 li\u00ean quan gi\u1eefa c\u00e1c vaccine s\u1eed d\u1ee5ng vector adenovirus (c\u1ee7a AstraZeneca v\u00e0 Janssen) v\u00e0 h\u1ed9i ch\u1ee9ng Guillain-Barre (GB). T\u1ea1i Hoa K\u1ef3, t\u00ednh t\u1edbi th\u00e1ng 7\/2021, c\u00f3 kho\u1ea3ng 9,8 ca b\u00e1o c\u00e1o h\u1ed9i ch\u1ee9ng GB\/1 tri\u1ec7u li\u1ec1u vaccine, g\u1ea5p kho\u1ea3ng 4 l\u1ea7n so v\u1edbi nguy c\u01a1 n\u1ec1n c\u1ee7a d\u00e2n s\u1ed1. Tuy v\u1eady, trong s\u1ed1 35% ca b\u1ec7nh n\u1eb7ng, ch\u1ec9 c\u00f3 1 b\u1ec7nh nh\u00e2n t\u1eed vong. T\u1ea1i ch\u00e2u \u00c2u, kho\u1ea3ng 4,5 tr\u01b0\u1eddng h\u1ee3p m\u1eafc h\u1ed9i ch\u1ee9ng GB sau khi ti\u00eam vaccine AstraZeneca \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u00ednh t\u1edbi th\u00e1ng 6\/2021.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;Tuy nhi\u00ean, c\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd t\u1ea1i Hoa K\u1ef3 v\u00e0 ch\u00e2u \u00c2u \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i c\u1ee7a c\u00e1c vaccine so v\u1edbi nguy c\u01a1 ADR. B\u00ean c\u1ea1nh c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd do vaccine, c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc h\u1ed9i ch\u1ee9ng GB c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc COVID-19. Trong khi ch\u1edd th\u00eam c\u00e1c d\u1eef li\u1ec7u b\u1ed5 sung, nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed m\u1eafc h\u1ed9i ch\u1ee9ng GB n\u00ean \u0111\u01b0\u1ee3c ch\u1ee7ng ng\u1eeba v\u1edbi c\u00e1c vaccine kh\u00f4ng s\u1eed d\u1ee5ng adenovirus. Trong tr\u01b0\u1eddng h\u1ee3p ch\u1ec9 c\u00f3 vaccine adenovirus, c\u00e1c b\u00e1c s\u0129 c\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa nguy c\u01a1 ti\u1ebfn tri\u1ec3n n\u1eb7ng do COVID-19 v\u00e0 ti\u1ec1n s\u1eed h\u1ed9i ch\u1ee9ng GB c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>TH\u00d4NG TIN THU\u1ed0C \u2013 D\u01af\u1ee2C L\u00c2M S\u00c0NG<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>1. Vi\u1ec7n V\u1ec7 sinh D\u1ecbch t\u1ec5 Trung \u01b0\u01a1ng. H\u01b0\u1edbng d\u1eabn tri\u1ec3n khai ti\u00eam ch\u1ee7ng vaccine COVID-19.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>2. Edwards KM, Orenstein WA. COVID-19: Vaccines to prevent SARS-CoV-2 infection. UpToDate. 17 Dec 2021. Accessed https:\/\/www.uptodate.com\/contents\/covid-19-vaccines-to-prevent-sars-cov-2-infection<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch COVID-19 c\u00f3 nh\u1eefng di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p v\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee7ng m\u1edbi nh\u01b0 hi\u1ec7n nay, vi\u1ec7c ch\u1ee7ng ng\u1eeba v\u1edbi vaccine ph\u00f2ng ng\u1eeba COVID-19 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ch\u1ed1ng d\u1ecbch c\u1ee7a nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":true,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[5,140,7,9,8,56],"tags":[],"class_list":["post-41","post","type-post","status-publish","format-standard","hentry","category-chuyen-mon","category-hoat-dong-noi-bat","category-nghien-cuu-khoa-hoc","category-quan-ly-chat-luong-an-toan-nguoi-benh","category-thong-tin-thuoc-duoc-lam-sang","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":"","post_slider_layout_landscape_large":"","post_slider_layout_portrait_large":"","post_slider_layout_square_large":"","post_slider_layout_landscape":"","post_slider_layout_portrait":"","post_slider_layout_square":"","full":""},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"PVGM_gallery_admin_thumb":false,"PVGM_gallery_admin_circle":false,"PVGM_gallery_admin_medium":false,"1536x1536":false,"2048x2048":false,"post_slider_layout_landscape_large":false,"post_slider_layout_portrait_large":false,"post_slider_layout_square_large":false,"post_slider_layout_landscape":false,"post_slider_layout_portrait":false,"post_slider_layout_square":false,"ultp_layout_landscape_large":false,"ultp_layout_landscape":false,"ultp_layout_portrait":false,"ultp_layout_square":false,"elixar_section_extra_thumb":false,"elixar_gallery_thumb":false,"elixar_blog_home_thumb":false,"elixar_blog_full_thumb":false,"elixar_blog_sidebar_thumb":false,"woocommerce_thumbnail":false,"woocommerce_single":false,"woocommerce_gallery_thumbnail":false},"uagb_author_info":{"display_name":"quantri","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":"Trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch COVID-19 c\u00f3 nh\u1eefng di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p v\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee7ng m\u1edbi nh\u01b0 hi\u1ec7n nay, vi\u1ec7c ch\u1ee7ng ng\u1eeba v\u1edbi vaccine ph\u00f2ng ng\u1eeba COVID-19 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ch\u1ed1ng d\u1ecbch c\u1ee7a nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam.&hellip;","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/41","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=41"}],"version-history":[{"count":1,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/41\/revisions"}],"predecessor-version":[{"id":2539,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/41\/revisions\/2539"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}