Nguyen nhan khien tre de bi viem phoi khi troi lanh.

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Nguyen nhan khien tre de bi viem phoi khi troi lanh

Su khac nghiet cua thoi tiet lanh gia nam nay da tro thanh moi de doa nguy hiem cho suc khoe tre em. Nhung hieu biet can thiet se giup viec de phong benh cho tre de hon..

Nguyen nhan khien tre de bi viem phoi khi troi lanh - Ban co dau.
Nguyen nhan khien tre de bi viem phoi khi troi lanh - Ban khong dau.
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Nguyen nhan khien tre de bi viem phoi khi troi lanh.

Nguyen nhan khien tre de bi viem phoi khi troi lanh.

Co nhieu tac nhan gay ra viem phoi vi rut o tre em

Thoi tiet lanh la dieu kien thuan loi cho cac loai vi rut thuong gay viem phoi o tre em  nhu cac loai vi rut gay benh cum, thuy dau, vi rut hop bao ho hap..., gan day la cac vi rut nguy hiem nhu vi rut Corona, vi rut H5N1. Benh co the lay truyen tu nguoi nay sang nguoi khac qua duong ho hap khi tiep xuc, tre em  co the bi benh sau khi tiep xuc voi ban be,  nguoi lon bi benh, co the gay thanh dich nguy hiem. O tre cang nho thi dien bien benh cang nhanh, cang nang. 

Viem phoi vi rut la mot thuat ngu dung de chi tinh trang ton thuong cap tinh, lan  toa 2 ben phoi lam roi loan trao doi khi tai phoi gay nen tinh trang suy ho hap, tien trien nang. Neu khong duoc chan doan dung va dieu tri kip thoi se gay nen tinh trang thieu oxy nao nang va keo dai gay tu vong hoac hau qua nang ne.

Khi tre co mot so tinh trang benh ly khac kem theo nhu suy dinh duong, suy giam mien dich (tre nhiem HIV/AIDS), mot so di tat bam sinh ve tim mach, phoi, long nguc, de thieu can.... thi cang de mac benh, benh cang nang va kho khan cho dieu tri. Mat khac, do chung ta khong co thuoc dac hieu khang vi rut nen rat kho khan va ton kem cho dieu tri.

Than trong voi cac dau hieu cua benh

Khi vi rut moi xam nhap vao co the, cac bieu hien ban dau ma cha me va nguoi trong tre can biet la tre co sot nhe hoac sot cao lien tuc, dau hong, ho hung hang, chay nuoc mat, mui, kho khe, an kem, bo bu, quay khoc.....

Neu khong duoc phat hien som va ho tro dieu tri kip thoi thi benh se dien bien nang hon, tre sot cao, li bi, ho tang len, co dom, xuat hien kho tho, tho nhanh, rut lom long nguc, bo bu hoac bu kem, tim moi, tim dau chi. Ngoai ra co the bi tieu chay, non, dau bung. Nghe phoi co nhieu ran am nho hat. Co the co roi loan tuan hoan nhu soc, truy tim mach... Neu tinh trang nay keo dai se gay thieu oxy nao, tre se li bi hoac kich thich, co giat. Truoc khi bi benh vai ngay, tre co the tiep xuc voi tre khac, nguoi lon cung bi ho, sot, chay nuoc mui.

Hien nay, cac phuong tien giup cho chan doan nhanh chong va chinh xac  hon nhu xet nghiem mau, chup X-quang tim phoi, soi mui hong, cay dich mui hong tim nguyen nhan.... Neu nghi ngo viem phoi do vi rut  thi nen chup phoi kiem tra hang ngay, tham chi 2 lan/ ngay.

Khong nen cham tre nhung chi dinh dieu tri

Ngay khi phat hien benh thi tre phai duoc nhap vien va cach ly. Chong suy ho hap, cham soc tot, ha sot, can bang roi loan noi moi do sot, doc to cua vi rut gay ra. Cac truong hop viem duong ho hap cap do vi rut noi chung can duoc chan doan va theo doi, dieu tri tai cac co so y te. Khong nen tu cho tre uong thuoc dac biet la cac loai thuoc giam ho, ha sot, khang sinh vi se gay lu mo trieu chung cua benh va rat kho khan cho chan doan va dieu tri.     

- O tuyen co so: Nho mui bang dung dich sat khuan nhe (natriclorit 0,9%), suc mieng bang dung dich suc hong hoac nuoc muoi loang am hang ngay. Co the dung mot so loai khang sinh khi co tinh trang nhiem khuan nhu penixilin, amoxilin, erythromycin...., tot nhat nen dung duong uong, dang siro. Khi tinh trang benh khong cai thien thi nen chuyen len tuyen tren.

- Khi tre viem phoi nang: Nen nam dieu tri noi tru tai benh vien, theo doi sat dien bien cua benh va co bien phap xu tri kip thoi. Cac thuoc khang vi rut: oseltamivir (tamiflu), amantadin, ribavirin. Chu y theo doi chuc nang gan, than de dieu chinh lieu luong cho phu hop. Su dung khang sinh khi co boi nhiem vi khuan.

Cac bien phap dieu tri ho tro la can ha nhiet (dung paracetamol, chuom mat)...; lam thong thoang duong tho: hut sach dom dai, nam dau cao, noi rong quan ao. Khi tre co bieu hien suy tho thi co the dat ong noi khi quan, ho hap ho tro. Truyen dich khi tre sot cao keo dai, bieu hien mat nuoc... Cho tre an long, de tieu, du chat, so luong vua phai, tranh trao nguoc, ve sinh sach se, theo doi sat tinh trang kho tho, tim tai.

Giu gin suc khoe  cho tre va nen phong benh bang vac xin

Bao dam cho tre co mot suc khoe  tot la bien phap phong benh tot nhat. Noi o phai day du anh sang, thoang mat, luu thong khong khi tot, am ap ve mua dong, ve sinh sach se cho tre, suc mieng hang ngay voi tre lon. Khong hut thuoc, dun nau trong phong co tre nho. Nho mui hang ngay bang natriclorit 0,9%. Cach ly tre benh voi tre khac de tranh lay lan  thanh dich.

Phat hien cac bieu hien som cua benh viem duong ho hap noi chung nhu: ho, sot, chay nuoc mui, kho tho... va cac roi loan khac nhu tieu chay, an kem, cham tang can.... Nen dua tre den co so y te gan nha de duoc tu van va co huong dieu tri thich hop, khong nen tu dung thuoc cho tre. Khi mang thai, ba me phai kham thai day du, bao dam thai nhi phat trien tot, nen cho tre bu me tu ngay sau khi sinh den 2 tuoi,

Tiem chung day du cho tre theo huong dan  cua can bo y te co so theo chuong trinh  tiem chung mo rong. Ngoai ra con co mot so loai vaccin phong viem duong ho hap khac, nhung khi tiem can co su huong dan va tu van cua can bo y te nham dam bao hieu qua va tranh nhung tai bien dang tiec co the xay ra.

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Updated: 13/07/2008 | Views: 438 | Comments: 0

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