{"action":"opened","issue":{"url":"https://api.github.com/repos/motnoiorg/motnoi/issues/172","labels_url":"https://api.github.com/repos/motnoiorg/motnoi/issues/172/labels{/name}","comments_url":"https://api.github.com/repos/motnoiorg/motnoi/issues/172/comments","events_url":"https://api.github.com/repos/motnoiorg/motnoi/issues/172/events","html_url":"https://github.com/motnoiorg/motnoi/issues/172","id":115451859,"number":172,"title":"Các triệu chứng của bệnh lao","user":{"login":"motnoiorg","id":15266882,"avatar_url":"https://avatars.githubusercontent.com/u/15266882?v=3","gravatar_id":"","url":"https://api.github.com/users/motnoiorg","html_url":"https://github.com/motnoiorg","followers_url":"https://api.github.com/users/motnoiorg/followers","following_url":"https://api.github.com/users/motnoiorg/following{/other_user}","gists_url":"https://api.github.com/users/motnoiorg/gists{/gist_id}","starred_url":"https://api.github.com/users/motnoiorg/starred{/owner}{/repo}","subscriptions_url":"https://api.github.com/users/motnoiorg/subscriptions","organizations_url":"https://api.github.com/users/motnoiorg/orgs","repos_url":"https://api.github.com/users/motnoiorg/repos","events_url":"https://api.github.com/users/motnoiorg/events{/privacy}","received_events_url":"https://api.github.com/users/motnoiorg/received_events","type":"User","site_admin":false},"labels":[],"state":"open","locked":false,"assignee":null,"milestone":null,"comments":0,"created_at":"2015-11-06T07:19:52Z","updated_at":"2015-11-06T07:19:52Z","closed_at":null,"body":"<p>Trong khi lao ti&#7873;m &#7849;n l&agrave; kh&ocirc;ng c&oacute; tri&#7879;u ch&#7913;ng, c&aacute;c tri&#7879;u ch&#7913;ng c&#7911;a b&#7879;nh lao ho&#7841;t &#273;&#7897;ng bao g&#7891;m nh&#7919;ng &#273;i&#7873;u sau &#273;&acirc;y:</p>\n<ul>\n<li>Ho, &#273;&ocirc;i khi c&oacute; ch&#7845;t nh&#7847;y ho&#7863;c m&aacute;u</li>\n<li>&#7898;n l&#7841;nh</li>\n<li>M&#7879;t m&#7887;i</li>\n<li>C&#417;n s&#7889;t</li>\n<li>M&#7845;t c&acirc;n</li>\n<li>&#258;n m&#7845;t ngon</li>\n<li>&#272;&#7893; m&#7891; h&ocirc;i &#273;&ecirc;m.</li>\n</ul><p><a href=\"http://motnoi.org/nguyen-nhan-gay-ra-benh-lao.html\">B&#7879;nh lao</a> th&#432;&#7901;ng t&#7845;n c&ocirc;ng ph&#7893;i, nh&#432;ng c&#361;ng c&oacute; th&#7875; &#7843;nh h&#432;&#7903;ng &#273;&#7871;n c&aacute;c b&#7897; ph&#7853;n kh&aacute;c c&#7911;a c&#417; th&#7875;. Khi TB x&#7843;y ra b&ecirc;n ngo&agrave;i c&#7911;a ph&#7893;i, c&aacute;c tri&#7879;u ch&#7913;ng c&oacute; th&#7875; kh&aacute;c nhau cho ph&ugrave; h&#7907;p. N&#7871;u kh&ocirc;ng &#273;i&#7873;u tr&#7883;, b&#7879;nh lao c&oacute; th&#7875; l&acirc;y lan &#273;&#7871;n c&aacute;c b&#7897; ph&#7853;n kh&aacute;c c&#7911;a c&#417; th&#7875; qua &#273;&#432;&#7901;ng m&aacute;u:</p>\n<ul>\n<li>TB l&acirc;y nhi&#7877;m c&aacute;c x&#432;&#417;ng c&oacute; th&#7875; d&#7851;n &#273;&#7871;n &#273;au c&#7897;t s&#7889;ng v&agrave; ph&aacute; h&#7911;y kh&#7899;p</li>\n<li>TB l&acirc;y nhi&#7877;m n&atilde;o c&oacute; th&#7875; g&acirc;y vi&ecirc;m m&agrave;ng n&atilde;o</li>\n<li>TB l&acirc;y nhi&#7877;m cho gan v&agrave; th&#7853;n c&oacute; th&#7875; l&agrave;m gi&#7843;m ch&#7913;c n&#259;ng l&#7885;c ch&#7845;t th&#7843;i c&#7911;a h&#7885; v&agrave; d&#7851;n &#273;&#7871;n m&aacute;u trong n&#432;&#7899;c ti&#7875;u</li>\n<li>TB l&acirc;y nhi&#7877;m cho tim c&oacute; th&#7875; l&agrave;m gi&#7843;m kh&#7843; n&#259;ng c&#7911;a tim &#273;&#7875; b&#417;m m&aacute;u, d&#7851;n &#273;&#7871;n m&#7897;t t&igrave;nh tr&#7841;ng g&#7885;i l&agrave; ch&egrave;n &eacute;p tim c&oacute; th&#7875; g&acirc;y t&#7917; vong.</li>\n</ul><p><strong>Tri&#7879;u ch&#7913;ng l&acirc;m s&agrave;ng</strong></p>\n<p>B&#7879;nh nh&acirc;n m&#7879;t m&#7887;i, gi&#7843;m kh&#7843; n&#259;ng l&agrave;m vi&#7879;c, &#259;n k&eacute;m, g&#7847;y s&uacute;t, s&#7889;t nh&#7865; v&#7873; chi&#7873;u t&#7889;i (3705 &ndash; 380C) k&egrave;m theo ra m&#7891; h&ocirc;i v&#7873; ban &#273;&ecirc;m, da xanh&hellip; C&aacute;c tri&#7879;u ch&#7913;ng tr&ecirc;n &#273;&acirc;y &#273;&#432;&#7907;c nhi&#7873;u t&agrave;i li&#7879;u g&#7885;i l&agrave; h&#7897;i ch&#7913;ng nhi&#7877;m tr&ugrave;ng, nhi&#7877;m &#273;&#7897;c lao. Tri&#7879;u ch&#7913;ng s&#7889;t v&#7873; chi&#7873;u trong b&#7879;nh lao ng&agrave;y nay &#273;&#432;&#7907;c cho l&agrave; do t&aacute;c &#273;&#7897;ng c&#7911;a m&#7897;t s&#7889; Interleukin (Interleukin 1, Interleukin 4).</p>\n<p style=\"text-align: center;\"><a href=\"http://motnoi.org/wp-content/uploads/2015/11/C%C3%A1c-tri%E1%BB%87u-ch%E1%BB%A9ng-c%E1%BB%A7a-b%E1%BB%87nh-lao.jpg\"><img class=\"alignnone size-full wp-image-683\" src=\"http://motnoi.org/wp-content/uploads/2015/11/C%C3%A1c-tri%E1%BB%87u-ch%E1%BB%A9ng-c%E1%BB%A7a-b%E1%BB%87nh-lao.jpg\" alt=\"C&aacute;c tri&#7879;u ch&#7913;ng c&#7911;a b&#7879;nh lao\" width=\"454\" height=\"340\"></a></p>\n<p><strong>Tri&#7879;u ch&#7913;ng c&#417; n&#259;ng</strong></p>\n<ul>\n<li>Tri&#7879;u ch&#7913;ng hay g&#7863;p nh&#7845;t l&agrave; ho kh&#7841;c &#273;&#7901;m: &#272;&#7901;m nh&#7847;y, m&agrave;u v&agrave;ng nh&#7841;t, c&oacute; th&#7875; m&agrave;u xanh ho&#7863;c m&#7911; &#273;&#7863;c. &#272;&acirc;y l&agrave; tri&#7879;u ch&#7913;ng quan tr&#7885;ng, ng&#432;&#7901;i th&#7847;y thu&#7889;c c&#7847;n cho l&agrave;m x&eacute;t nghi&#7879;m s&#7899;m &#273;&#7875; ch&#7849;n &#273;o&aacute;n.</li>\n<li>Ho ra m&aacute;u: Kho&#7843;ng 10% b&#7879;nh nh&acirc;n b&#7883; b&#7879;nh, b&#7855;t &#273;&#7847;u bi&#7875;u hi&#7879;n b&#7857;ng tri&#7879;u ch&#7913;ng ho ra m&aacute;u, th&#432;&#7901;ng ho ra m&aacute;u &iacute;t, c&oacute; &#273;u&ocirc;i kh&aacute;i huy&#7871;t.</li>\n<li>&#272;au ng&#7921;c: &#272;&acirc;y l&agrave; tri&#7879;u ch&#7913;ng kh&ocirc;ng g&#7863;p th&#432;&#7901;ng xuy&ecirc;n, th&#432;&#7901;ng &#273;au khu tr&uacute; &#7903; m&#7897;t v&#7883; tr&iacute; c&#7889; &#273;&#7883;nh.</li>\n<li>Kh&oacute; th&#7903;: Ch&#7881; g&#7863;p khi t&#7893;n th&#432;&#417;ng r&#7897;ng &#7903; ph&#7893;i, ho&#7863;c b&#7879;nh ph&aacute;t hi&#7879;n mu&#7897;n.</li>\n</ul><p><strong>Tri&#7879;u ch&#7913;ng th&#7921;c th&#7875;</strong></p>\n<p>&#7902; giai &#273;o&#7841;n &#273;&#7847;u, c&aacute;c d&#7845;u hi&#7879;u th&#7921;c th&#7875; ngh&egrave;o n&agrave;n, khi kh&aacute;m (nh&igrave;n, s&#7901;, g&otilde;, nghe) th&#432;&#7901;ng kh&ocirc;ng ph&aacute;t hi&#7879;n &#273;&#432;&#7907;c tri&#7879;u ch&#7913;ng g&igrave; r&otilde; r&#7879;t, nh&#7845;t l&agrave; &#273;&#7889;i v&#7899;i nh&#7919;ng t&#7893;n th&#432;&#417;ng nh&#7887;. M&#7897;t s&#7889; tr&#432;&#7901;ng h&#7907;p c&oacute; th&#7875; nghe th&#7845;y r&igrave; r&agrave;o ph&#7871; nang gi&#7843;m &#7903; v&ugrave;ng &#273;&#7881;nh ph&#7893;i ho&#7863;c v&ugrave;ng li&ecirc;n b&#7843; &ndash; c&#7897;t s&#7889;ng. Nghe th&#7845;y ran n&#7893; c&#7889; &#273;&#7883;nh &#7903; m&#7897;t v&#7883; tr&iacute; (th&#432;&#7901;ng v&ugrave;ng cao c&#7911;a ph&#7893;i) l&agrave; m&#7897;t d&#7845;u hi&#7879;u c&oacute; gi&aacute; tr&#7883;.</p>\n<p>Kh&#7903;i b&#7879;nh c&#7845;p t&iacute;nh (10 &ndash; 20%): B&#7879;nh b&#7855;t &#273;&#7847;u v&#7899;i s&#7889;t cao, ho, &#273;au ng&#7921;c nhi&#7873;u, k&egrave;m theo kh&oacute; th&#7903;, c&aacute;ch b&#7855;t &#273;&#7847;u n&agrave;y th&#432;&#7901;ng g&#7863;p trong th&#7875; vi&ecirc;m ph&#7893;i b&atilde; &#273;&#7853;u ho&#7863;c ph&#7871; qu&#7843;n &ndash; ph&#7871; vi&ecirc;m do lao.</p>\n<p><strong>Th&#7901;i k&#7923; to&agrave;n ph&aacute;t</strong></p>\n<p>C&aacute;c tri&#7879;u ch&#7913;ng l&acirc;m s&agrave;ng &#7903; th&#7901;i k&#7923; b&#7855;t &#273;&#7847;u n&#7863;ng d&#7847;n l&ecirc;n v&agrave; di&#7877;n bi&#7871;n t&#7915;ng &#273;&#7907;t, c&oacute; th&#7901;i gian gi&#7843;m sau &#273;&oacute; l&#7841;i tr&#7903; l&#7841;i v&#7899;i m&#7913;c &#273;&#7897; n&#7863;ng h&#417;n. N&#7871;u kh&ocirc;ng &#273;&#432;&#7907;c ph&aacute;t hi&#7879;n v&agrave; &#273;i&#7873;u tr&#7883; th&igrave; b&#7879;nh ng&agrave;y c&agrave;ng n&#7863;ng.</p>\n<p><strong>Tri&#7879;u ch&#7913;ng to&agrave;n th&acirc;n</strong></p>\n<ul>\n<li>Ng&#432;&#7901;i b&#7879;nh suy ki&#7879;t, da xanh, ni&ecirc;m m&#7841;c nh&#7907;t, s&#7889;t dai d&#7859;ng v&#7873; chi&#7873;u v&agrave; t&#7889;i.</li>\n<li>Tri&#7879;u ch&#7913;ng c&#417; n&#259;ng</li>\n<li>Ho ng&agrave;y c&agrave;ng t&#259;ng, c&oacute; th&#7875; ho ra m&aacute;u.</li>\n<li>&#272;au ng&#7921;c li&ecirc;n t&#7909;c.</li>\n<li>Kh&oacute; th&#7903; t&#259;ng c&#7843; khi ngh&#7881; ng&#417;i.</li>\n<li>Tri&#7879;u ch&#7913;ng th&#7921;c th&#7875;</li>\n<li>Khi b&#7879;nh nh&acirc;n &#273;&#7871;n mu&#7897;n, c&oacute; th&#7875; nh&igrave;n th&#7845;y l&#7891;ng ng&#7921;c b&#7883; l&eacute;p (b&ecirc;n t&#7893;n th&#432;&#417;ng) do c&aacute;c khoang li&ecirc;n s&#432;&#7901;n h&#7865;p l&#7841;i.</li>\n<li>V&ugrave;ng &#273;&#7909;c c&#7911;a tim b&#7883; l&#7879;ch sang b&ecirc;n t&#7893;n th&#432;&#417;ng, nghe c&oacute; nhi&#7873;u ran n&#7893;, ran &#7849;m&hellip; c&oacute; th&#7875; c&oacute; ti&#7871;ng th&#7893;i hang.</li>\n</ul><p><strong>C&#7853;n l&acirc;m s&agrave;ng</strong></p>\n<p>&#272;&acirc;y l&agrave; x&eacute;t nghi&#7879;m quan tr&#7885;ng nh&#7845;t &#273;&#7875; ch&#7849;n &#273;o&aacute;n b&#7879;nh lao ph&#7893;i. K&#7929; thu&#7853;t &#273;&#417;n gi&#7843;n v&agrave; cho k&#7871;t qu&#7843; nhanh l&agrave; nhu&#7897;m &#273;&#7901;m soi k&iacute;nh tr&#7921;c ti&#7871;p. &#7903; n&#432;&#7899;c ta Ch&#432;&#417;ng tr&igrave;nh ch&#7889;ng lao qu&#7889;c gia quy &#273;&#7883;nh l&#7845;y 3 m&#7851;u &#273;&#7901;m &#273;&#7875; x&eacute;t nghi&#7879;m nh&#432; sau: M&#7851;u th&#7913; nh&#7845;t l&#7845;y &#273;&#7901;m khi ng&#432;&#7901;i b&#7879;nh &#273;&#7871;n kh&aacute;m; m&#7851;u th&#7913; hai l&#7845;y &#273;&#7901;m v&agrave;o bu&#7893;i s&aacute;ng s&#7899;m h&ocirc;m sau khi b&#7879;nh nh&acirc;n m&#7899;i ng&#7911; d&#7853;y; m&#7851;u th&#7913; ba l&#7845;y &#273;&#7901;m t&#7841;i ch&#7895; khi ng&#432;&#7901;i b&#7879;nh mang m&#7851;u &#273;&#7901;m th&#7913; hai &#273;&#7871;n kh&aacute;m. &#272;i&#7873;u quan tr&#7885;ng l&agrave; ph&#7843;i h&minus;&#7899;ng d&#7851;n ng&#432;&#7901;i b&#7879;nh bi&#7871;t c&aacute;ch kh&#7841;c &#273;&#7901;m &#273;&#7875; l&#7845;y &#273;&uacute;ng &#273;&#7901;m l&agrave;m x&eacute;t nghi&#7879;m. Ngo&agrave;i soi k&iacute;nh, c&aacute;c k&#7929; thu&#7853;t nu&ocirc;i c&#7845;y t&igrave;m vi khu&#7849;n ng&agrave;y c&agrave;ng &#273;&#432;&#7907;c ho&agrave;n thi&#7879;n (&#273;&#7897; ch&iacute;nh x&aacute;c cao, cho k&#7871;t qu&#7843; nhanh) nh&#432; k&#7929; thu&#7853;t BACTEC, MGIT.</p>\n<h2>Ph&ograve;ng ch&#7889;ng b&#7879;nh lao</h2>\n<p><strong>M&#7897;t s&#7889; bi&#7879;n ph&aacute;p chung c&oacute; th&#7875; &#273;&#432;&#7907;c th&#7921;c hi&#7879;n &#273;&#7875; ng&#259;n ch&#7863;n s&#7921; l&acirc;y lan c&#7911;a b&#7879;nh lao ho&#7841;t</strong> <strong>&#273;&#7897;ng</strong>. Tr&aacute;nh nh&#7919;ng ng&#432;&#7901;i kh&aacute;c b&#7857;ng c&aacute;ch kh&ocirc;ng &#273;i h&#7885;c ho&#7863;c &#273;i l&agrave;m, ho&#7863;c ng&#7911; trong c&ugrave;ng m&#7897;t ph&ograve;ng nh&#432; m&#7897;t ai &#273;&oacute;, s&#7869; gi&uacute;p gi&#7843;m thi&#7875;u nguy c&#417; m&#7847;m b&#7879;nh t&#7915; &#273;&#7841;t b&#7845;t c&#7913; ai kh&aacute;c. &#272;eo kh&#7849;u trang, che mi&#7879;ng v&agrave; ph&ograve;ng th&ocirc;ng gi&oacute; c&#361;ng c&oacute; th&#7875; h&#7841;n ch&#7871; s&#7921; l&acirc;y lan c&#7911;a vi khu&#7849;n.</p>\n<p>&#7902; m&#7897;t s&#7889; n&#432;&#7899;c, ti&ecirc;m BCG &#273;&#432;&#7907;c trao cho tr&#7867; em &#273;&#7875; ti&ecirc;m ch&#7911;ng cho h&#7885; ch&#7889;ng l&#7841;i b&#7879;nh lao. N&oacute; kh&ocirc;ng &#273;&#432;&#7907;c khuy&#7871;n c&aacute;o s&#7917; d&#7909;ng b&#7903;i v&igrave; n&oacute; kh&ocirc;ng hi&#7879;u qu&#7843; &#7903; ng&#432;&#7901;i l&#7899;n, v&agrave; n&oacute; c&oacute; th&#7875; &#7843;nh h&#432;&#7903;ng x&#7845;u &#273;&#7871;n k&#7871;t qu&#7843; ch&#7849;n &#273;o&aacute;n x&eacute;t nghi&#7879;m da.</p>\n<p>&#272;i&#7873;u quan tr&#7885;ng nh&#7845;t &#273;&#7875; l&agrave;m l&agrave; &#273;&#7875; k&#7871;t th&uacute;c to&agrave;n b&#7897; kh&oacute;a h&#7885;c c&#7911;a thu&#7889;c khi h&#7885; &#273;&#432;&#7907;c quy &#273;&#7883;nh. Vi khu&#7849;n lao kh&aacute;ng &#273;a thu&#7889;c l&agrave; xa vong h&#417;n so v&#7899;i vi khu&#7849;n lao th&#432;&#7901;ng xuy&ecirc;n. M&#7897;t s&#7889; tr&#432;&#7901;ng h&#7907;p MDR-TB y&ecirc;u c&#7847;u c&aacute;c kh&oacute;a h&#7885;c phong ph&uacute; c&#7911;a h&oacute;a tr&#7883; li&#7879;u, trong &#273;&oacute; c&oacute; th&#7875; t&#7889;n k&eacute;m v&agrave; g&acirc;y ra c&aacute;c ph&#7843;n &#7913;ng c&oacute; h&#7841;i c&#7911;a thu&#7889;c n&#7863;ng &#7903; b&#7879;nh nh&acirc;n.</p>\n<br><br>\nvia WordPress http://motnoi.org/cac-trieu-chung-cua-benh-lao.html"}}