{"id":12443,"date":"2021-11-24T20:55:19","date_gmt":"2021-11-24T13:55:19","guid":{"rendered":"https:\/\/www.vietlearn.org\/post\/?p=12443"},"modified":"2021-11-24T20:55:20","modified_gmt":"2021-11-24T13:55:20","slug":"khi-nhieu-nguoi-nha-mang-khang-nguyen-viem-gan-b","status":"publish","type":"post","link":"https:\/\/www.vietlearn.org\/kien-thuc\/khi-nhieu-nguoi-nha-mang-khang-nguyen-viem-gan-b\/","title":{"rendered":"Khi nhi\u1ec1u ng\u01b0\u1eddi nh\u00e0 mang kh\u00e1ng nguy\u00ean vi\u00eam gan B"},"content":{"rendered":"\n<p>&#8220;C\u00e1ch \u0111\u00e2y kho\u1ea3ng 4 n\u0103m, ch\u1ecb c\u1ee7a ch\u00e1u \u0111i x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 k\u1ebft qu\u1ea3 HBsAg d\u01b0\u01a1ng t\u00ednh; sau \u0111\u00f3 trong gia \u0111\u00ecnh ch\u1ec9 c\u00f3 ch\u00e1u \u0111i x\u00e9t nghi\u1ec7m ( t\u00ednh v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng). Nay ch\u1ecb d\u00e2u c\u1ee7a ch\u00e1u, \u0111ang c\u00f3 thai kho\u1ea3ng 3 th\u00e1ng, th\u1ea5y m\u1eaft v\u00e0ng, \u0111i x\u00e9t nghi\u1ec7m vi\u00eam gan B th\u00ec \u00e2m t\u00ednh, nh\u01b0ng k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u1ee7a ch\u1ed3ng ch\u1ecb sau \u0111\u00f3 l\u1ea1i d\u01b0\u01a1ng t\u00ednh (anh ch\u1ecb m\u1edbi x\u00e2y d\u1ef1ng kho\u1ea3ng 4-5 th\u00e1ng nay). R\u1ed3i ch\u1ed3ng ch\u00e1u \u0111i x\u00e9t nghi\u1ec7m c\u0169ng th\u1ea5y nhi\u1ec5m virus B. Xin cho bi\u1ebft ch\u1ecb d\u00e2u ch\u00e1u c\u00f3 c\u1ea7n x\u00e9t nghi\u1ec7m l\u1ea1i hay ti\u00eam ph\u00f2ng kh\u00f4ng, v\u00e0 ph\u1ea3i d\u00f9ng thu\u1ed1c g\u00ec? \u0110\u1ee9a con c\u1ee7a ch\u1ecb \u1ea5y c\u00f3 b\u1ecb nhi\u1ec5m kh\u00f4ng? Anh ch\u00e1u v\u00e0 ch\u1ed3ng ch\u00e1u c\u1ea7n c\u00f9ng nh\u1eefng thu\u1ed1c g\u00ec? Sau n\u00e0y, con c\u1ee7a ch\u00e1u sinh ra c\u00f3 b\u1ecb nhi\u1ec5m kh\u00f4ng?&#8221;.<\/p>\n\n\n\n<p>Ch\u00e1u \u0111\u1eebng qu\u00e1 bi quan, b\u1edfi v\u00ec mang kh\u00e1ng nguy\u00ean virus vi\u00eam gan B (VGB) trong m\u00e1u kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 \u0111\u00e3 m\u1eafc b\u1ec7nh VGB \u1edf m\u1ee9c nguy hi\u1ec3m. V\u1ea3 ch\u0103ng, ngay c\u1ea3 khi \u0111\u00e3 b\u1ed9c ph\u00e1t, VGB c\u0169ng c\u00f3 th\u1ec3 n\u1eb7ng hay nh\u1eb9 t\u00f9y t\u1eebng t\u00ecnh hu\u1ed1ng (s\u1ed1 t\u1ebf b\u00e0o gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng, s\u1ee9c \u0111\u1ec1 kh\u00e1ng c\u1ee7a c\u01a1 th\u1ec3, vi\u1ec7c gi\u1eef g\u00ecn v\u00e0 b\u1ed3i d\u01b0\u1ee1ng s\u1ee9c kh\u1ecfe ra sao\u2026).<\/p>\n\n\n\n<p>H\u1ee3p l\u00fd nh\u1ea5t l\u00e0 cho c\u00e1c th\u00e0nh vi\u00ean c\u00f2n l\u1ea1i trong gia \u0111\u00ecnh \u0111i x\u00e9t nghi\u1ec7m m\u00e1u, nh\u1eefng ai (-) th\u00ec cho ti\u00eam ph\u00f2ng, nh\u1eefng ai (+) th\u00ec ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i c\u1ea9n th\u1eadn h\u01a1n v\u1ec1 s\u1ee9c kh\u1ecfe. Ch\u1ecb d\u00e2u ch\u00e1u ph\u1ea3i \u0111i x\u00e9t nghi\u1ec7m l\u1ea1i, \u0111\u1ec3 n\u1ebfu v\u1eabn (-) th\u00ec sau khi sinh ph\u1ea3i ti\u00eam ph\u00f2ng. Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ch\u00e1u, v\u00ec ch\u00e1u kh\u00f4ng n\u00f3i r\u00f5 quy tr\u00ecnh ti\u00eam tr\u01b0\u1edbc \u0111\u00e2y n\u00ean kh\u00f4ng bi\u1ebft th\u1ebf n\u00e0o. Ch\u00e1u n\u00ean \u0111\u1ebfn m\u1ed9t <a href=\"https:\/\/www.vietlearn.org\" data-internallinksmanager029f6b8e52c=\"2\" title=\"Vietlearn\" rel=\"nofollow\">chuy\u00ean gia<\/a> v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y, n\u00f3i r\u00f5 v\u1ec1 vi\u1ec7c ti\u00eam ph\u00f2ng tr\u01b0\u1edbc \u0111\u00e2y \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3.<\/p>\n\n\n\n<p>Con c\u1ee7a ch\u00e1u v\u00e0 c\u1ee7a ch\u1ecb d\u00e2u ch\u00e1u kh\u00f4ng b\u1ecb l\u00e2y nhi\u1ec5m VGB, v\u1edbi \u0111i\u1ec1u ki\u1ec7n b\u1ea3o \u0111\u1ea3m v\u00f4 khu\u1ea9n c\u00e1c d\u1ee5ng c\u1ee5 v\u00e0 thao t\u00e1c h\u1ed9 sinh, b\u1edfi v\u00ec b\u1ec7nh n\u00e0y l\u00e2y lan qua \u0111\u01b0\u1eddng m\u00e1u.<\/p>\n\n\n\n<p>V\u1edbi c\u00e1c th\u00e0nh vi\u00ean c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m (+), c\u1ea7n l\u01b0u \u00fd: &#8211; Gi\u1eef v\u1eefng tinh th\u1ea7n l\u1ea1c quan \u0111\u1ec3 kh\u00f4ng r\u01a1i v\u00e0o tr\u1ea1ng th\u00e1i stress, c\u00f3 th\u1ec3 s\u1ebd l\u00e0m cho t\u00ecnh h\u00ecnh x\u1ea5u \u0111i. Khi b\u1ecb VGB, kh\u00f4ng ph\u1ea3i l\u00e0 to\u00e0n b\u1ed9 c\u00e1c t\u1ed5 ch\u1ee9c gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng. Ph\u1ea7n gan l\u00e0nh m\u1ea1nh v\u1eabn \u0111\u1ea3m nhi\u1ec7m \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng (nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb th\u01b0\u01a1ng ph\u1ea3i c\u1eaft b\u1ecf m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a gan, sau \u0111\u00f3 v\u1eabn kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng). &#8211; T\u0103ng c\u01b0\u1eddng b\u1ed3i d\u01b0\u1ee1ng c\u01a1 th\u1ec3 b\u1eb1ng \u0103n u\u1ed1ng, ch\u1ee7 y\u1ebfu l\u00e0 ch\u1ea5t protid (\u0111\u1ea1m) v\u00e0 c\u00e1c vitamin (c\u00f3 nhi\u1ec1u trong hoa qu\u1ea3, rau xanh\u2026). C\u00f3 m\u1ed9t ngu\u1ed3n protid r\u1ea5t qu\u00fd, d\u1ec5 ki\u1ebfm, r\u1ebb ti\u1ec1n, d\u1ec5 ch\u1ebf bi\u1ebfn l\u00e0 nhau s\u1ea3n ph\u1ee5. &#8211; Tr\u00e1nh nh\u1eefng th\u1ee9c \u0103n m\u00e0 c\u01a1 th\u1ec3 &#8220;kh\u00f4ng th\u00edch&#8221;. Tuy\u1ec7t \u0111\u1ed1i ki\u00eang bia r\u01b0\u1ee3u, thu\u1ed1c l\u00e1. Th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng \u0111\u1ec1u \u0111\u1eb7n. &#8211; V\u1ec1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb VGB, xin xem M\u1ee5c 341. &#8211; C\u00f3 th\u1ec3 k\u1ebft h\u1ee3p d\u00f9ng th\u00eam c\u00e1c lo\u1ea1i thu\u1ed1c trong \u0111\u00f3 c\u00f3 m\u1eadt g\u1ea5u (g\u1ea5u r\u1eebng hay g\u1ea5u nu\u00f4i \u0111\u1ec1u \u0111\u01b0\u1ee3c) nh\u1eb1m gi\u1ea3m thi\u1ec3u, th\u1eadm ch\u00ed ng\u0103n ch\u1eb7n c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra (x\u01a1 gan, ung th\u01b0 gan).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;C\u00e1ch \u0111\u00e2y kho\u1ea3ng 4 n\u0103m, ch\u1ecb c\u1ee7a ch\u00e1u \u0111i x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 k\u1ebft qu\u1ea3 HBsAg d\u01b0\u01a1ng t\u00ednh; sau \u0111\u00f3 trong gia \u0111\u00ecnh ch\u1ec9 c\u00f3 ch\u00e1u \u0111i x\u00e9t nghi\u1ec7m ( t\u00ednh v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng). Nay ch\u1ecb d\u00e2u c\u1ee7a ch\u00e1u, \u0111ang c\u00f3 thai kho\u1ea3ng 3 th\u00e1ng, th\u1ea5y m\u1eaft v\u00e0ng, \u0111i x\u00e9t nghi\u1ec7m vi\u00eam gan [&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-12443","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\/12443","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=12443"}],"version-history":[{"count":0,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/12443\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/media?parent=12443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/categories?post=12443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/tags?post=12443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}