Mun nhot cung co the gay tu vong.

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Mun nhot cung co the gay tu vong

Voi quan niem mun nhot la benh lanh tinh, nen phan lon nhung nguoi khi bi benh nay thuong tu chua tri nhung thuong chua tri khong dung cach. Khong may nguoi biet den hau qua cua chung khi bi bien chung co the bi nhiem khuan huyet, de doa den ca tinh mang..

Mun nhot cung co the gay tu vong - Ban co dau.
Mun nhot cung co the gay tu vong - Ban khong dau.
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Mun nhot cung co the gay tu vong.




Ve van de nay, PV chung toi  da co cuoc trao doi voi BS. Nguyen Thanh, Truong phong  Kham, Vien Da lieu Quoc gia.

Tu benh o da dan den cac benh ve than, mau, ap xe nao...

Bi mun cung co the gay tu vongXin bac si cho biet, mot ngay Vien Da lieu Viet Nam  tiep nhan khoang bao nhieu benh nhan den kham benh?

Trung binh mot ngay, so benh nhan den Vien kham dao dong tu 300- 350 nguoi/ngay. Hang nam, chi can nang nong keo dai tu 4 ngay tro len, so benh nhan co the len den 700 nguoi/ngay.

Hau het la nhung benh da nhiem khuan nhu choc, nhot, nhiem khuan, nhiem nam da, nhiem ki sinh trung o da nhu lang ben, hac lao, nam da, nam mong.

Mua he thuong benh nhan den dong hon va co nhung bien chung nang ne hon, do la nhung bien chung nao?

Do thuong la nhung benh da co ngua va cac benh ve da nhiem khuan. Do do, tu cho bi nhiem trung tai cho da chuyen sang lan  tran toan than.

O tre con, ban dau chi co the bi mot cai choc, nhung do khong biet  cach cham soc hoac qua chu quan da tao nen nhiem trung toan than, dan den bi cac benh nhu viem cau than, viem than, nhiem trung huyet.

Con doi voi nguoi lon, xuat phat co the chi la mot cai nhot quanh vung mieng hay con goi la dinh rau, cham soc khong dung cach co the dan den bi viem xoang tinh mach hang, gay nhiem trung huyet, gay ap xe nao. Khi da xay ra cac bien chung nay co the dan den tu vong, neu khong duoc chua tri kip thoi.

Khi nao de phat sinh mun nhot?

Bac si co the ke lai mot truong hop benh nhan qua chu quan khi bi mun, choc dan den nhung hau qua dang tiec?

Co mot truong hop chau be bi choc tren dau, gia dinh  em be do song chung cung ong ba. Ba noi rat thuong yeu chau dich ton, rat giu gin cho chau nen nhat quyet bao con dau phai kieng nuoc, kieng gio cho chau, nghia la khong tam, khong di ra ngoai.

Trong khi do nha lai rat lam ruoi, dan ruoi vu vu bay lung tung nhu danh tran, het bau day vao vao cac dia thuc an lai bau vao may not mun choc tren dau thang be... khien choc bi nhiem trung dan den em be do bi viem cau than.

Khi cau than bi viem thi te bao cau than bong ra va cau than, khong co kha nang giu lai cac chat nhu protein, mo, bach cau, tiet cau, hong cau trong nuoc tieu. Khi tre em mac phai benh nay, thuong nguy hiem hon nguoi lon gap nhieu lan.

Khi nao thi co the de bi phat sinh mun nhot, thua bac si?

Khi co the yeu, suc de khang kem, lao dong  nang nhoc, ra mo hoi nhieu, da bi xuoc do gai, thi tu cau, lien cau se co co hoi xam nhap vao co the, gay hoai tu lo chan long, tao ra mun nhot. Bieu hien ban dau la nhung not do noi tren da roi lan  rong dan.

Cho moc nhot, da nong, do va dau. Vai ngay sau, tren not do co dom vang, khi dom vo co mu chay ra, o giua co ngoi -  do la soi chan long. Doi khi co hien tuong viem mach bach huyet hoac noi hach xung quanh khu vuc  nhot.

Kich thuoc cua nhot thuong bang hat ngo, hat do, qua man, va co khi con bang qua trung ga, trong co nhieu mu. Vi tri nhot o khap noi tren co the nhu dau, mat, tay, chan, bung, nguc, mong. Voi mun nhot o mot vai vi tri dac biet thi phai chu y, nhu dinh rau, hau boi (benh than ngoai da), vi chung de gay ra bien chung nguy hiem.

Bac si co the huong dan  cach phong tranh va cach cham soc nhung mun nhot thong thuong?

De dieu tri cac mun nhot thong thuong, chi can boi thuoc sat trung nhu Betadine, con lode 3%, hoac ngam tay, ngam chan vao nuoc muoi dac.

Khi nhot da “chin” thi chich mu, nhung phai dam bao vo trung, tuyet doi khong duoc nan nhot non. Trong truong hop nhot to co sot cao hay bi dinh rau, hau boi co nhiem khuan thi phai su dung khang sinh lieu cao va duoc dieu tri tai benh vien.

De phong mun nhot, ta phai giu ve sinh than the nhu giat quan ao, thuong xuyen tam rua, dac biet la ve mua he, sau khi lao dong  noi bui ban. Can thuong xuyen ren luyen than the, an uong du chat de nang cao suc de khang. Khong gai va nan mun nhot, nhat la dinh rau, vi nan lam ton thuong hang rao bao ve, tao co hoi cho vi khuan xam nhap vao mau, gay nhiem khuan huyet.

Mot so loai mun nhot thuong gap

- Dinh rau: La nhot do tu cau khu tru o vung moi, tren, ranh mui, tren cam gay ra, nhung gap o nhung nguoi co suc de khang kem. Neu dung tay nan, gay dinh rau, tu cau se co co hoi xam nhap vao tinh mach mat, roi vao tinh mach xoang hang trong so nao, gay viem tac tinh mach hoang hang. Mat nguoi benh se sung hup, bien dang, mat hip, tran hang len nhung dep da xu xi, nhan nheo. Nguoi benh co the bi sot cao, nhiem trung huyet, me man, de tu vong.

- Hau boi (benh than ngoai than): Do tu cau gay viem hoac hoai tu mot so vung to chuc roi hoa mu. Benh thuong gap o nhung nguoi suy giam mien dich, nguoi gia, nguoi nghien, tieu duong. Dac diem cua hau boi la nhot moc thanh nhieu cum, khi vo ra de lai mieng mu nhu guong sen. Da xung quanh hau boi bam tim, co cho loet, hoai tu. Hau boi hay moc o vung lung, gay, xuong cung, co kich thuoc moi chieu chung 6 - 10cm. Nguoi moc hau boi co the bi sot cao, dau nhuc, the trang kem, tac mach, nhiem khuan huyet va tu vong. Neu khoi, hau boi cung de lai seo nhan nhum.

- Nhot vung hau mon: Cac mun nhot moc quanh hau mon tu cac vet xay sat con goi la ap-xe quanh hau mon. Neu bi ap-xe sau co the an thong vao truc trang, tao ra lo ro hau mon - truc trang rat kho chiu.

- Choc lo: Do nhieu loai vi khuan gay benh, nhung trong bai viet nay chi de cap den choc do tu cau. Choc tu cau gap o nguoi co suc de khang kem, roi loan trao doi chat, tang tiet mo hoi, kem ve sinh. Choc gom nhieu mun mu to bang hat ngo, hat dau khu tru tai vung dau, mat, chi. Tren mot lo chan long, bong mu phat trien thanh hinh ban cau, chay mu vang va dinh. Sau 1 tuan thi mun mu vo ra, de lai vay nau.

- Leo: La nhot o chan long mo mi mat, thuong gap o nguoi tieu duong. Benh thuong dai dang, tai phat, hay chuyen tu bo mi nay sang bo mi kia vi nguoi benh hay dung tay dui mat.


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Theo Mai Hanh

Updated: 21/03/2008 | Views: 734 | Comments: 0

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