{"id":8389,"date":"2025-02-10T15:01:53","date_gmt":"2025-02-10T08:01:53","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=8389"},"modified":"2025-02-10T15:02:29","modified_gmt":"2025-02-10T08:02:29","slug":"vai-tro-cua-tiem-ngua-vac-xin-cum-tren-nguoi-mac-benh-phoi-man-tinh","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=8389","title":{"rendered":"VAI TR\u00d2 C\u1ee6A TI\u00caM NG\u1eeaA V\u1eaeC-XIN C\u00daM TR\u00caN NG\u01af\u1edcI M\u1eaeC B\u1ec6NH PH\u1ed4I M\u1ea0N T\u00cdNH"},"content":{"rendered":"\n
\"\"<\/figure><\/div>\n\n\n\n

B\u1ec7nh c\u00fam m\u00f9a l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

C\u00fam m\u00f9a l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh do vi-r\u00fat c\u00fam g\u00e2y ra. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00fam m\u00f9a bao g\u1ed3m s\u1ed1t cao \u0111\u1ed9t ng\u1ed9t, ho (th\u01b0\u1eddng l\u00e0 ho khan), \u0111au \u0111\u1ea7u, \u0111au c\u01a1 v\u00e0 kh\u1edbp, m\u1ec7t m\u1ecfi, \u0111au h\u1ecdng v\u00e0 ch\u1ea3y n\u01b0\u1edbc m\u0169i. Ho c\u00f3 th\u1ec3 n\u1eb7ng v\u00e0 k\u00e9o d\u00e0i t\u1eeb hai tu\u1ea7n tr\u1edf l\u00ean.1<\/sup><\/p>\n\n\n\n

B\u1ec7nh c\u00fam l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y nhi\u1ec5m r\u1ea5t cao, lan truy\u1ec1n nhanh c\u00f3 th\u1ec3 g\u00e2y d\u1ecbch v\u00e0 \u0111\u1ea1i d\u1ecbch. B\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p qua gi\u1ecdt b\u1eafn khi ng\u01b0\u1eddi b\u1ec7nh ho h\u1eaft h\u01a1i. S\u1ef1 l\u00e2y truy\u1ec1n m\u1ea1nh m\u1ebd h\u01a1n khi ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u00e0 m\u1eadt thi\u1ebft, \u0111\u1eb7c bi\u1ec7t \u1edf n\u01a1i t\u00e2p trung \u0111\u00f4ng ng\u01b0\u1eddi nh\u01b0 tr\u01b0\u1eddng h\u1ecdc, nh\u00e0 tr\u1ebb.2<\/sup><\/p>\n\n\n\n

H\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi s\u1ebd h\u1ebft s\u1ed1t v\u00e0 ph\u1ee5c h\u1ed3i c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c trong v\u00f2ng m\u1ed9t tu\u1ea7n m\u00e0 kh\u00f4ng c\u1ea7n ch\u0103m s\u00f3c y t\u1ebf. Tuy nhi\u00ean, c\u00fam m\u00f9a c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh vi\u00eam ph\u1ed5i n\u1eb7ng ho\u1eb7c t\u1eed vong tr\u00ean c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao bao g\u1ed3m tr\u1ebb nh\u1ecf, ng\u01b0\u1eddi gi\u00e0, ph\u1ee5 n\u1eef mang thai v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh l\u00fd ph\u1ed5i m\u1ea1n t\u00ednh nh\u01b0 hen ph\u1ebf qu\u1ea3n, b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.2<\/sup><\/p>\n\n\n\n

C\u00fam m\u00f9a \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn s\u1ee9c kho\u1ebb ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh?<\/strong><\/p>\n\n\n\n

Nhi\u1ec5m vi- r\u00fat c\u00fam l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y \u0111\u1ee3t c\u1ea5p b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh. Trong c\u00e1c th\u00e1ng cu\u1ed1i n\u0103m t\u1ef7 l\u1ec7 nhi\u1ec5m vi- r\u00fat c\u00fam \u1edf ng\u01b0\u1eddi m\u1eafc \u0111\u1ee3t c\u1ea5p b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh n\u1eb7ng ph\u1ea3i nh\u1eadp vi\u1ec7n l\u00ean \u0111\u1ebfn 40% v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ed1t, ho kh\u1ea1c \u0111\u00e0m, kh\u00f3 th\u1edf t\u0103ng d\u1ea7n.<\/p>\n\n\n\n

\u0110\u1ee3t c\u1ea5p b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 bi\u1ebfn c\u1ed1 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. \u0110\u1ee3t c\u1ea5p th\u01b0\u1eddng xuy\u00ean l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ec3 l\u1ef1c, \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gia t\u0103ng \u00e1p l\u1ef1c kinh t\u1ebf t\u00e0i ch\u00ednh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.3<\/sup><\/p>\n\n\n\n

Ngo\u00e0i ra nhi\u1ec5m vi- r\u00fat c\u00f2n g\u00e2y bi\u1ebfn ch\u1ee9ng vi\u00eam ph\u1ed5i n\u1eb7ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong tr\u00ean ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, m\u1eafc b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh.<\/p>\n\n\n\n

\u0110\u1eb7c bi\u1ec7t t\u1ef7 l\u1ec7 t\u1eed vong do nhi\u1ec5m vi- r\u00fat c\u00fam t\u0103ng cao \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh th\u1edf oxy t\u1ea1i nh\u00e0, tr\u00ean 75 tu\u1ed5i, s\u1ed1ng \u1edf vi\u1ec7n d\u01b0\u1ee1ng l\u00e3o.<\/p>\n\n\n\n

C\u00e1c bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 ph\u00f2ng ng\u1eeba b\u1ec7nh c\u00fam m\u00f9a.<\/strong><\/p>\n\n\n\n

Vi-r\u00fat g\u00e2y b\u1ec7nh c\u00fam th\u01b0\u1eddng sinh s\u00f4i v\u00e0 ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd v\u00e0o m\u00f9a \u0111\u00f4ng xu\u00e2n v\u00e0 c\u00f3 t\u00ednh l\u00e2y lan cao. V\u1eafc-xin c\u00fam l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng b\u1ec7nh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong h\u01a1n 60 n\u0103m qua. Hi\u1ec7n nay, \u0111\u00e3 c\u00f3 nhi\u1ec1u lo\u1ea1i v\u1eafc-xin c\u00fam m\u00f9a \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o s\u1eed d\u1ee5ng nh\u01b0 l\u00e0 m\u1ed9t gi\u1ea3i ph\u00e1p h\u1eefu hi\u1ec7u \u0111\u1ec3 ng\u0103n ch\u1eb7n b\u1ec7nh c\u00fam.<\/p>\n\n\n\n

Ti\u00eam ng\u1eeba v\u1eafc xin gi\u00fap gi\u1ea3m \u0111\u1ee3t c\u1ea5p b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh nh\u1eadp vi\u1ec7n do c\u00fam, hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 c\u1ee7a v\u1eafc xin \u0111\u01b0\u1ee3c gia t\u0103ng tr\u00ean nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u00eam ng\u1eeba c\u00fam m\u1ed7i n\u0103m. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m c\u00fam \u1edf b\u1ec7nh nh\u00e2n b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ch\u1eb7n b\u1eb1ng c\u00e1ch m\u1edf r\u1ed9ng ti\u00eam ch\u1ee7ng.4<\/sup><\/p>\n\n\n\n

Ngo\u00e0i ti\u00eam ng\u1eeba v\u1eafc xin ph\u00f2ng b\u1ec7nh, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u00fa \u00fd lu\u00f4n gi\u1eef \u1ea5m c\u01a1 th\u1ec3, \u0111eo kh\u1ea9u trang khi \u0111i \u0111\u1ebfn n\u00ean c\u00f4ng c\u1ed9ng, l\u01b0u \u00fd gi\u1eef kho\u1ea3ng c\u00e1ch an to\u00e0n khi ti\u1ebfp x\u00fac b\u1ec7nh ng\u01b0\u1eddi c\u00f3 tri\u1ec7u ch\u1ee9ng s\u1ed1t, ho, s\u1ed5 m\u0169i, r\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng ho\u1eb7c n\u01b0\u1edbc s\u00e1t khu\u1ea9n tay nhanh.<\/p>\n\n\n\n

Nh\u1eefng ai c\u1ea7n ti\u00eam ng\u1eeba c\u00fam h\u00e0ng n\u0103m?<\/strong><\/p>\n\n\n\n

 Ti\u00eam v\u1eafc xin ph\u00f2ng c\u00fam m\u00f9a \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 b\u1ecb bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh c\u00fam v\u00e0 nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng chung ho\u1eb7c ch\u0103m s\u00f3c nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao. T\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi khuy\u1ebfn c\u00e1o ti\u00eam ph\u00f2ng c\u00fam m\u00f9a h\u00e0ng n\u0103m cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng sau:1<\/sup><\/p>\n\n\n\n

Ph\u1ee5 n\u1eef mang thai \u1edf b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o c\u1ee7a thai k\u1ef3.<\/p>\n\n\n\n

Tr\u1ebb em t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 5 tu\u1ed5i.<\/p>\n\n\n\n

Ng\u01b0\u1eddi cao tu\u1ed5i (tr\u00ean 65 tu\u1ed5i).<\/p>\n\n\n\n

Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh m\u00e3n t\u00ednh.<\/p>\n\n\n\n

Nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n\n\n\n

Sau khi ti\u00eam ng\u1eeba c\u00fam ng\u01b0\u1eddi ti\u00eam c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 \u0111au \u0111\u1ea7u, m\u1ec7t m\u1ecfi, kh\u00f3 ch\u1ecbu, \u0111au c\u01a1, \u0111au kh\u1edbp, c\u00e1u k\u1ec9nh, bu\u1ed3n ng\u1ee7, ti\u00eau ch\u1ea3y, s\u1ed1t, run r\u1ea9y, ch\u00e1n \u0103n, ch\u00f3ng m\u1eb7t, t\u0103ng \u0111\u1ed5 m\u1ed3 h\u00f4i, \u0111au, s\u01b0ng, \u0111\u1ecf, c\u1ee9ng, ng\u1ee9a ch\u1ed7 ti\u00eam nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng nh\u1eb9 v\u00e0 t\u1ef1 h\u1ebft sau 01- 02 ng\u00e0y.<\/p>\n\n\n\n

L\u01b0u \u00fd nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng n\u00ean ti\u00eam ng\u1eeba c\u00fam:<\/strong><\/p>\n\n\n\n

\u0110\u00e3 t\u1eebng c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng n\u1eb7ng (ph\u1ea3n v\u1ec7) v\u1edbi ti\u00eam ng\u1eeba c\u00fam tr\u01b0\u1edbc \u0111\u00f3;<\/p>\n\n\n\n

D\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng v\u1edbi tr\u1ee9ng;<\/p>\n\n\n\n

Ho\u00e3n ti\u00eam khi \u0111ang b\u1ecb s\u1ed1t ho\u1eb7c m\u1eafc c\u00e1c b\u1ec7nh c\u1ea5p t\u00ednh (n\u00ean ch\u1edd cho \u0111\u1ebfn khi t\u00ecnh tr\u1ea1ng t\u1ed1t h\u01a1n m\u1edbi n\u00ean \u0111i ti\u00eam ph\u00f2ng c\u00fam);<\/p>\n\n\n\n

T\u1eebng b\u1ecb bi\u1ebfn ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean trong 06 tu\u1ea7n sau khi ti\u00eam c\u00fam.<\/p>\n\n\n\n

N\u00ean ti\u00eam ng\u1eeba c\u00fam v\u00e0o th\u1eddi \u0111i\u1ec3m n\u00e0o trong n\u0103m?<\/strong><\/p>\n\n\n\n

Ch\u1ee7ng vi-r\u00fat c\u00fam thay \u0111\u1ed5i h\u00e0ng n\u0103m n\u00ean b\u1ea1n c\u1ea7n ti\u00eam ng\u1eeba v\u1eafc xin c\u00fam m\u1ed7i n\u0103m tr\u01b0\u1edbc khi v\u00e0o m\u00f9a c\u00fam. \u1ede Vi\u1ec7t Nam, v\u1eafc xin c\u00fam v\u1eabn c\u00f3 th\u1ec3 ti\u00eam v\u00e0o b\u1ea5t c\u1ee9 l\u00fac n\u00e0o trong n\u0103m.<\/p>\n\n\n\n

Ti\u00eam ng\u1eeba v\u1eafc- xin c\u00fam t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 tri\u1ec3n khai ti\u00eam ng\u1eeba v\u1eafc xin c\u00fam m\u00f9a, ph\u1ebf c\u1ea7u v\u00e0 nhi\u1ec1u lo\u1ea1i v\u1eafc xin ph\u00f2ng b\u1ec7nh kh\u00e1c t\u1ea1i ph\u00f2ng kh\u00e1m s\u00e0ng l\u1ecdc ti\u00eam ch\u1ee7ng. Khi \u0111\u1ebfn ti\u00eam ng\u1eeba t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh c\u00e1c b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean y t\u1ebf t\u01b0 v\u1ea5n t\u1eadn t\u00ecnh, v\u00e0 c\u00f3 ph\u00f2ng theo d\u00f5i t\u00e1c d\u1ee5ng ph\u1ee5 sau ti\u00eam 30 ph\u00fat \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n tuy\u1ec7t \u0111\u1ed1i. H\u00e3y b\u1ea3o v\u1ec7 s\u1ee9c kho\u1ebb c\u1ee7a b\u1ea3n th\u00e2n v\u00e0 ng\u01b0\u1eddi th\u00e2n c\u1ee7a m\u00ecnh b\u1eb1ng nh\u1eefng bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh h\u1eefu hi\u1ec7u nh\u1ea5t.<\/p>\n\n\n\n

T\u00e0i li\u1ec7u tham kh\u1ea3o.<\/strong><\/p>\n\n\n\n

    \n
  1. World Health Organization. Influenza (seasonal). Date last updated: 12 January 2023.<\/li>\n\n\n\n
  2. Khuy\u1ebfn c\u00e1o l\u1ecbch ti\u00eam ch\u1ee7ng v\u1eafc xin cho m\u1ecdi l\u1ee9a tu\u1ed5i \u1edf Vi\u1ec7t Nam \u2013 H\u1ed9i y h\u1ecdc d\u1ef1 ph\u00f2ng Vi\u1ec7t Nam, 2023.<\/li>\n\n\n\n
  3. Thompson WW, Weintraub E, Dhankhar P, et al. Estimates of US influenza-associated deaths made using four differen methods. Influenza Other Respi Viruses. 2009;3:37-49<\/li>\n\n\n\n
  4. Susanne S, Oana J, Tobias W, et al. The role of vaccination in COPD: influenza, SARS-CoV-2, pneumococcus, pertussis, RSV and varicella zoster virus. European Respiratory Review 2023 32: 230034; DOI: 10.1183\/16000617.0034-2023.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh c\u00fam m\u00f9a l\u00e0 g\u00ec? C\u00fam m\u00f9a l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh do vi-r\u00fat c\u00fam g\u00e2y ra. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00fam m\u00f9a bao g\u1ed3m s\u1ed1t cao \u0111\u1ed9t ng\u1ed9t, ho (th\u01b0\u1eddng l\u00e0 ho khan), \u0111au \u0111\u1ea7u, \u0111au c\u01a1 v\u00e0 kh\u1edbp, m\u1ec7t m\u1ecfi, \u0111au h\u1ecdng v\u00e0 ch\u1ea3y n\u01b0\u1edbc m\u0169i. Ho c\u00f3 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