{"id":6216,"date":"2024-07-01T14:51:22","date_gmt":"2024-07-01T07:51:22","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=6216"},"modified":"2024-07-05T15:01:08","modified_gmt":"2024-07-05T08:01:08","slug":"dieu-tri-thanh-cong-cho-nguoi-benh-tre-tuoi-bi-bien-chung-da-co-quan-do-lupus-ban-do","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=6216","title":{"rendered":"\u0110I\u1ec0U TR\u1eca TH\u00c0NH C\u00d4NG CHO NG\u01af\u1edcI B\u1ec6NH TR\u1eba TU\u1ed4I B\u1eca BI\u1ebeN CH\u1ee8NG \u0110A C\u01a0 QUAN DO LUPUS BAN \u0110\u1ece"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Ng\u01b0\u1eddi b\u1ec7nh 25 tu\u1ed5i m\u1eafc Lupus ban \u0111\u1ecf h\u1ed3i ph\u1ee5c sau 10 ng\u00e0y \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng \u0111a c\u01a1 quan: th\u1eadn, kh\u1edbp, huy\u1ebft h\u1ecdc v\u00e0 tr\u00e0n d\u1ecbch \u0111a m\u00e0ng.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ng\u00e0y 16\/06\/2024, ch\u1ecb L.T.Y.P, nh\u1eadp vi\u1ec7n v\u00e0o khoa N\u1ed9i Ti\u00eau h\u00f3a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng, n\u00f4i \u00f3i k\u00e8m ti\u00eau ch\u1ea3y sau khi \u0103n ti\u1ec7c. T\u1ea1i \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t, theo d\u00f5i nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, vi\u00eam \u0111a kh\u1edbp v\u1edbi tri\u1ec7u ch\u1ee9ng s\u01b0ng, n\u00f3ng \u0111\u1ecf \u0111au kh\u1edbp b\u00e0n ng\u00f3n tay, c\u1ed5 tay, c\u1ed5 ch\u00e2n tr\u00e1i. Qua t\u00ecm hi\u1ec3u, ch\u1ecb P. cho bi\u1ebft t\u00ecnh tr\u1ea1ng \u0111au kh\u1edbp n\u00e0y \u0111\u00e3 xu\u1ea5t hi\u1ec7n nhi\u1ec1u l\u1ea7n tr\u01b0\u1edbc \u0111\u00f3, c\u00f3 \u0111i kh\u00e1m, u\u1ed1ng thu\u1ed1c nh\u01b0ng kh\u00f4ng c\u1ea3i thi\u1ec7n. \u201cNg\u01b0\u1eddi b\u1ec7nh nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng, s\u1ed1t, th\u01b0\u1eddng ngh\u0129 nhi\u1ec1u \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1ea1i th\u1eddi \u0111i\u1ec3m nh\u1eadp vi\u1ec7n, kh\u00f4ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a lupus ban \u0111\u1ecf. Tuy nhi\u00ean, khi h\u1ecfi k\u1ef9 b\u1ec7nh s\u1eed v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng ng\u01b0\u1eddi b\u1ec7nh hay c\u00f3 t\u00ecnh tr\u1ea1ng s\u01b0ng, \u0111au c\u00e1c kh\u1edbp m\u1ed9t th\u1eddi gian d\u00e0i, x\u1ea3y ra \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 ngh\u0129 nhi\u1ec1u \u0111\u1ebfn b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n \u1edf ng\u01b0\u1eddi tr\u1ebb\u201d. BS.CKI. Hu\u1ef3nh Th\u1ecb Th\u00f9y Trang \u2013 Khoa N\u1ed9i c\u01a1 x\u01b0\u01a1ng kh\u1edbp cho bi\u1ebft.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-0a9949c2 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/fdgbcxvb.jpg ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/fdgbcxvb.jpg 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/fdgbcxvb.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/fdgbcxvb.jpg\" alt=\"\" class=\"uag-image-6218\" width=\"1000\" height=\"660\" title=\"fdgbcxvb\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e1c s\u0129 th\u0103m kh\u00e1m t\u00ecnh tr\u1ea1ng \u0111au kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/em> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn khoa n\u1ed9i C\u01a1 X\u01b0\u01a1ng Kh\u1edbp, v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u1ec3u \u0111\u1ea1m, t\u1ed5n th\u01b0\u01a1ng th\u1eadn v\u00e0 tr\u00e0n d\u1ecbch \u0111a m\u00e0ng: m\u00e0ng tim, m\u00e0ng b\u1ee5ng, m\u00e0ng ph\u1ed5i. C\u00e1c b\u00e1c s\u0129 ngh\u0129 nhi\u1ec1u \u0111\u1ebfn b\u1ec7nh lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 bi\u1ebfn ch\u1ee9ng \u0111a c\u01a1 quan v\u00e0 cho ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u c\u1ee7a c\u01a1 x\u01b0\u01a1ng kh\u1edbp, b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n. K\u1ebft qu\u1ea3 ph\u00f9 h\u1ee3p ch\u1ecb P. b\u1ecb Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng v\u1edbi bi\u1ebfn ch\u1ee9ng \u0111a c\u01a1 quan. Ngay l\u1eadp t\u1ee9c kh\u1edfi \u0111\u1ed9ng ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, sau h\u01a1n 10 ng\u00e0y \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p v\u1edbi s\u1ef1 ch\u0103m s\u00f3c t\u1eadn t\u00ecnh c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 v\u00e0 ng\u01b0\u1eddi nh\u00e0, s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c ngo\u1ea1n m\u1ee5c, c\u00e1c kh\u1edbp h\u1ebft s\u01b0ng \u0111au, h\u1ebft d\u1ecbch \u1edf m\u00e0ng ph\u1ed5i, m\u00e0ng b\u1ee5ng, m\u00e0ng tim, c\u00e1c ch\u1ec9 s\u1ed1 l\u00e2m s\u00e0ng c\u1ea3i thi\u1ec7n t\u1ed1t, t\u1ea5t c\u1ea3 ch\u1ee9c n\u0103ng t\u1ea1ng v\u00e0 m\u00e1u \u0111\u1ec1u tr\u1edf v\u1ec1 tr\u1ea1ng th\u00e1i b\u00ecnh th\u01b0\u1eddng. Ch\u1ecb P. \u0111\u00e3 c\u00f3 th\u1ec3 \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng v\u00e0 d\u1ef1 ki\u1ebfn \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong v\u00e0i ng\u00e0y t\u1edbi.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-ed122bbb wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/asdasdas.jpg ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/asdasdas.jpg 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/asdasdas.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/asdasdas.jpg\" alt=\"\" class=\"uag-image-6219\" width=\"997\" height=\"665\" title=\"asdasdas\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e1c s\u0129 ki\u1ec3m tra cho ng\u01b0\u1eddi b\u1ec7nh sau khi \u0111i\u1ec1u tr\u1ecb lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo BS. CKII. D\u01b0\u01a1ng Minh Tr\u00ed &#8211; Tr\u01b0\u1edfng khoa n\u1ed9i C\u01a1 X\u01b0\u01a1ng Kh\u1edbp cho bi\u1ebft: \u201cLupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng l\u00e0 b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n, m\u1ea1n t\u00ednh, g\u00e2y t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u t\u1ebf b\u00e0o v\u00e0 t\u1ed5 ch\u1ee9c do c\u00e1c kh\u00e1ng th\u1ec3 v\u00e0 ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch m\u00e0 nguy\u00ean nh\u00e2n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. Ng\u01b0\u1eddi b\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 nguy c\u01a1 t\u1eed vong cao h\u01a1n 2-4 l\u1ea7n so v\u1edbi d\u00e2n s\u1ed1 chung. Nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong th\u01b0\u1eddng do b\u1ec7nh ho\u1ea1t \u0111\u1ed9ng (v\u00ed d\u1ee5: t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trung \u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng th\u1eadn); nhi\u1ec5m tr\u00f9ng do suy gi\u1ea3m mi\u1ec5n d\u1ecbch ho\u1eb7c do c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do \u0111\u00f3, ch\u1ea9n \u0111o\u00e1n s\u1edbm, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, c\u0169ng nh\u01b0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi b\u1ecb m\u1eafc b\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u1ea7n c\u00f3 m\u1ed9t cu\u1ed9c s\u1ed1ng l\u00e0nh m\u1ea1nh, ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng, t\u1eadp luy\u1ec7n h\u1ee3p l\u00fd, ng\u1eebng thu\u1ed1c l\u00e1 v\u00e0 ti\u00eam ch\u1ee7ng th\u00edch h\u1ee3p. Ngo\u00e0i ra, tia t\u1eed ngo\u1ea1i trong \u00e1nh n\u1eafng m\u1eb7t tr\u1eddi th\u01b0\u1eddng kh\u1edfi ph\u00e1t ho\u1eb7c l\u00e0m n\u1eb7ng c\u00e1c \u0111\u1ee3t c\u1ea5p c\u1ee7a b\u1ec7nh n\u00ean c\u1ea7n \u0111\u01b0\u1ee3c tr\u00e1nh ti\u1ebfp x\u00fac t\u1ed1i \u0111a. Vi\u1ec7c ng\u1eebng \u0111\u1ed9t ng\u1ed9t c\u00e1c thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t corticosteroid c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n quan tr\u1ecdng d\u1eabn \u0111\u1ebfn c\u00e1c \u0111\u1ee3t c\u1ea5p c\u1ee7a b\u1ec7nh. Do \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3, khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng t\u00e1i kh\u00e1m ngay.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u01b0\u1eddi b\u1ec7nh 25 tu\u1ed5i m\u1eafc Lupus ban \u0111\u1ecf h\u1ed3i ph\u1ee5c sau 10 ng\u00e0y \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng \u0111a c\u01a1 quan: th\u1eadn, kh\u1edbp, huy\u1ebft h\u1ecdc v\u00e0 tr\u00e0n d\u1ecbch \u0111a m\u00e0ng. Ng\u00e0y 16\/06\/2024, ch\u1ecb L.T.Y.P, nh\u1eadp vi\u1ec7n v\u00e0o khoa N\u1ed9i Ti\u00eau h\u00f3a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng, n\u00f4i \u00f3i k\u00e8m ti\u00eau 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