{"id":12437,"date":"2021-11-24T20:55:01","date_gmt":"2021-11-24T13:55:01","guid":{"rendered":"https:\/\/www.vietlearn.org\/post\/?p=12437"},"modified":"2021-11-24T20:55:02","modified_gmt":"2021-11-24T13:55:02","slug":"viem-gan-virus-b-lay-nhu-the-nao","status":"publish","type":"post","link":"https:\/\/www.vietlearn.org\/kien-thuc\/viem-gan-virus-b-lay-nhu-the-nao\/","title":{"rendered":"Vi\u00eam gan virus B l\u00e2y nh\u01b0 th\u1ebf n\u00e0o?"},"content":{"rendered":"\n<p>&#8220;Ch\u00fang em \u0111\u00e3 \u0111\u01b0\u1ee3c m\u1ed9t ch\u00e1u g\u00e1i s\u00e1u tu\u1ed5i. V\u1eeba r\u1ed3i, b\u1ec7nh vi\u1ec7n ph\u00e1t hi\u1ec7n trong m\u00e1u ch\u1ed3ng em c\u00f3 kh\u00e1ng nguy\u00ean virus vi\u00eam gan B d\u01b0\u01a1ng t\u00ednh. Ch\u00fang em ph\u1ea3i l\u00e0m g\u00ec \u0111\u1ec3 kh\u1ecfi l\u00e2y b\u1ec7nh, nh\u1ea5t l\u00e0 v\u1edbi ch\u00e1u nh\u1ecf; c\u00f3 ph\u1ea3i c\u00e1ch ly kh\u00f4ng? V\u00e0 li\u1ec7u sau n\u00e0y ch\u00fang em c\u00f2n c\u00f3 th\u1ec3 c\u00f3 th\u00eam m\u1ed9t \u0111\u1ee9a con kh\u1ecfe m\u1ea1nh?&#8221;<\/p>\n\n\n\n<p>Vi\u00eam gan virus B ch\u1ec9 l\u00e2y qua \u0111\u01b0\u1eddng m\u00e1u: qua v\u1ebft x\u01b0\u1edbc \u1edf da, nh\u1ed5 r\u0103ng\u2026 khi\u1ebfn virus t\u1eeb ngu\u1ed3n l\u00e2y l\u1ecdt v\u00e0o; qua ti\u00eam truy\u1ec1n b\u1eb1ng nh\u1eefng d\u1ee5ng c\u1ee5 kh\u00f4ng tri\u1ec7t \u0111\u1ec3 v\u00f4 khu\u1ea9n (th\u01b0\u1eddng l\u00e0 do truy\u1ec1n m\u00e1u c\u1ee7a nh\u1eefng ng\u01b0\u1eddi hi\u1ebfn b\u1ecb vi\u00eam gan).<\/p>\n\n\n\n<p>Vi\u00eam gan virus B kh\u00f4ng l\u00e2y qua n\u01b0\u1edbc b\u1ecdt ho\u1eb7c qua \u0111\u01b0\u1eddng sinh d\u1ee5c (m\u1ed9t v\u00e0i nh\u00e0 nghi\u00ean c\u1ee9u ph\u00e1t hi\u1ec7n th\u1ea5y virus vi\u00eam gan B c\u00f3 m\u1eb7t trong ch\u1ea5t xu\u1ea5t ti\u1ebft c\u1ee7a b\u1ed9 m\u00e1y sinh d\u1ee5c, nh\u01b0ng hi\u1ec7n v\u1eabn ch\u01b0a c\u00f3 b\u1eb1ng c\u1edb v\u1ec1 \u0111y nhi\u1ec5m n\u00e0y), cho n\u00ean kh\u00f4ng c\u1ea7n c\u00e1ch ly v\u1ec1 \u0103n u\u1ed1ng hay ng\u01b0ng quan h\u1ec7 v\u1ee3 ch\u1ed3ng. V\u00e0 d\u0129 nhi\u00ean hai em v\u1eabn c\u00f3 th\u1ec3 c\u00f3 th\u00eam ch\u00e1u b\u00e9 kh\u1ecfe m\u1ea1nh n\u1ebfu nu\u00f4i d\u01b0\u1ee1ng \u0111\u00fang ph\u01b0\u01a1ng ph\u00e1p.<\/p>\n\n\n\n<p>Tr\u01b0\u1edbc m\u1eaft, em v\u00e0 ch\u00e1u ph\u1ea3i \u0111i x\u00e9t nghi\u1ec7m m\u00e1u t\u00ecm kh\u00e1ng nguy\u00ean virus vi\u00eam gan B. N\u1ebfu \u00e2m t\u00ednh th\u00ec xin ti\u00eam ch\u1ee7ng ph\u00f2ng b\u1ec7nh n\u00e0y (t\u1ea1i Vi\u1ec7n v\u1ec7 sinh d\u1ecbch t\u1ec5 \u1edf H\u00e0 N\u1ed9i ho\u1eb7c Vi\u1ec7n Pasteur \u1edf TP H\u1ed3 Ch\u00ed Minh), n\u1ebfu \u0111\u00e3 d\u01b0\u01a1ng t\u00ednh th\u00ec th\u00f4i.<\/p>\n\n\n\n<p>Ch\u00fa \u00fd b\u1ed3i d\u01b0\u1ee1ng \u0111\u1eb7c bi\u1ec7t cho b\u1ed1 ch\u00e1u v\u1ec1 ch\u1ea5t \u0111\u1ea1m (th\u1ecbt, c\u00e1, \u0111\u1eadu ph\u1ee5\u2026), vitamin; kh\u00f4ng cho u\u1ed1ng r\u01b0\u1ee3u ho\u1eb7c nhi\u1ec1u bia, kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1; l\u00e0m vi\u1ec7c v\u00e0 ngh\u1ec9 ng\u01a1i \u0111i\u1ec1u \u0111\u1ed9. Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh c\u00f3 th\u00eam ch\u00e1u, n\u00ean cho ki\u1ec3m tra l\u1ea1i s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ed1 ch\u00e1u.<\/p>\n\n\n\n<p>N\u1ebfu c\u1ea7n t\u1edbi thu\u1ed1c th\u00ec ph\u1ea3i \u0111i kh\u00e1m \u0111\u1ec3 b\u00e1c s\u0129 k\u00ea \u0111\u01a1n 2 th\u1ee9 thu\u1ed1c sau: 1. Lamivudine, t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp l\u00ean virus, kh\u00f4ng cho n\u00f3 sinh s\u1ea3n. Hi\u1ec7n c\u00f3 2 lo\u1ea1i, t\u00ednh n\u0103ng nh\u01b0 nhau nh\u01b0ng mang t\u00ean bi\u1ec7t d\u01b0\u1ee3c, c\u00e1ch \u0111\u00f3ng g\u00f3i v\u00e0 gi\u00e1 c\u1ea3 kh\u00e1c nhau; t\u00f9y t\u00ecnh h\u00ecnh m\u00e0 ch\u1ecdn lo\u1ea1i th\u00edch h\u1ee3p, u\u1ed1ng m\u1ed7i ng\u00e0y 1 vi\u00ean, trong \u00edt nh\u1ea5t 1 n\u0103m. &#8211; Zeffix 100 mg, l\u1ecd 28 vi\u00ean, gi\u00e1 kho\u1ea3ng 34 ng\u00e0n \u0111\u1ed3ng\/vi\u00ean. &#8211; Lavudine 100 mg, l\u1ecd 30 vi\u00ean, gi\u00e1 kho\u1ea3ng 26 ng\u00e0n \u0111\u1ed3ng\/vi\u00ean. 2. Alpha-interferon (Intron A), k\u00edch ho\u1ea1t h\u1ec7 mi\u1ec5n d\u1ecbch, ti\u00eam m\u1ed7i tu\u1ea7n 3 l\u1ea7n trong 4-6 th\u00e1ng. Gi\u00e1 kho\u1ea3ng 450 ng\u00e0n\/l\u1ecd.<\/p>\n\n\n\n<p>Nh\u00e2n \u0111\u00e2y xin gi\u1edbi thi\u1ec7u 1 b\u00e0i thu\u1ed1c \u0110\u00f4ng y \u0111\u1ec3 c\u00e1c em c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p: &#8211; B\u1ed3 c\u00f4ng anh, nh\u00e2n tr\u1ea7n, ph\u1ee5c linh, s\u00e0i h\u1ed3, s\u01a1n chi m\u1ed7i v\u1ecb 10-12 g, u\u1ea5t kim 6 g, s\u1eafc u\u1ed1ng h\u1eb1ng ng\u00e0y.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Ch\u00fang em \u0111\u00e3 \u0111\u01b0\u1ee3c m\u1ed9t ch\u00e1u g\u00e1i s\u00e1u tu\u1ed5i. V\u1eeba r\u1ed3i, b\u1ec7nh vi\u1ec7n ph\u00e1t hi\u1ec7n trong m\u00e1u ch\u1ed3ng em c\u00f3 kh\u00e1ng nguy\u00ean virus vi\u00eam gan B d\u01b0\u01a1ng t\u00ednh. Ch\u00fang em ph\u1ea3i l\u00e0m g\u00ec \u0111\u1ec3 kh\u1ecfi l\u00e2y b\u1ec7nh, nh\u1ea5t l\u00e0 v\u1edbi ch\u00e1u nh\u1ecf; c\u00f3 ph\u1ea3i c\u00e1ch ly kh\u00f4ng? V\u00e0 li\u1ec7u sau n\u00e0y ch\u00fang em c\u00f2n c\u00f3 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_disable_autopaging":false},"categories":[21],"tags":[],"class_list":["post-12437","post","type-post","status-publish","format-standard","hentry","category-y-hoc"],"_links":{"self":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/12437","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/comments?post=12437"}],"version-history":[{"count":0,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/12437\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/media?parent=12437"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/categories?post=12437"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/tags?post=12437"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}