T\u00cdCH C\u1ef0C PH\u00d2NG CH\u1ed0NG B\u1ec6NH S\u1edeI – RUBELLA
\nI. \u0110\u1ecaNH NGH\u0128A
\n1. B\u1ec7nh s\u1edfi
\nS\u1edfi l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh do vi r\u00fat s\u1edfi g\u00e2y ra. Bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh bao g\u1ed3m: s\u1ed1t, ph\u00e1t ban v\u00e0 vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, xu\u1ea5t hi\u1ec7n c\u00e1c h\u1ea1t nh\u1ecf m\u00e0u tr\u1eafng (Koplik) \u1edf ni\u00eam m\u1ea1c mi\u1ec7ng. B\u1ec7nh s\u1edfi c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 vi\u00eam tai gi\u1eefa, vi\u00eam ph\u1ed5i, ti\u00eau ch\u1ea3y, kh\u00f4 lo\u00e9t gi\u00e1c m\u1ea1c m\u1eaft, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 vi\u00eam n\u00e3o d\u1ec5 d\u1eabn \u0111\u1ebfn t\u1eed vong, b\u1ec7nh \u0111\u1eb7c bi\u1ec7t nghi\u00eam tr\u1ecdng \u1edf tr\u1ebb nh\u1ecf, tr\u1ebb suy dinh d\u01b0\u1ee1ng. B\u1ec7nh s\u1edfi r\u1ea5t d\u1ec5 l\u00e2y lan v\u00e0 th\u01b0\u1eddng g\u00e2y th\u00e0nh d\u1ecbch. Tr\u01b0\u1edbc \u0111\u00e2y h\u1ea7u h\u1ebft tr\u1ebb em \u0111\u1ec1u m\u1eafc s\u1edfi. Vi\u1ec7c tri\u1ec3n khai r\u1ed9ng r\u00e3i ti\u00eam v\u1eafc xin s\u1edfi trong nhi\u1ec1u n\u0103m \u0111\u00e3 kh\u1ed1ng ch\u1ebf th\u00e0nh c\u00f4ng b\u1ec7nh s\u1edfi.
\nT\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 vi r\u00fat s\u1edfi. Ng\u01b0\u1eddi l\u00e0 \u1ed5 ch\u1ee9a duy nh\u1ea5t. Th\u1eddi k\u1ef3 \u1ee7 b\u1ec7nh k\u00e9o d\u00e0i t\u1eeb 7 \u2013 18 ng\u00e0y, trung b\u00ecnh 10 ng\u00e0y. Th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n t\u1eeb 5 ng\u00e0y tr\u01b0\u1edbc cho t\u1edbi 5 ng\u00e0y sau ph\u00e1t ban. B\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do h\u00edt ph\u1ea3i c\u00e1c d\u1ecbch ti\u1ebft m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eafn ra \u0111\u01b0\u1ee3c khu\u1ebfch t\u00e1n trong kh\u00f4ng kh\u00ed ho\u1eb7c ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi ch\u1ea5t ti\u1ebft \u0111\u01b0\u1eddng m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh s\u1edfi c\u00f3 t\u1ed1c \u0111\u1ed9 l\u00e2y nhi\u1ec5m r\u1ea5t cao, \u0111\u1eb7c bi\u1ec7t trong \u0111i\u1ec1u ki\u1ec7n s\u1ed1ng kh\u00e9p k\u00edn th\u00ec h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb m\u1eafc b\u1ec7nh; mi\u1ec5n d\u1ecbch c\u00f3 \u0111\u01b0\u1ee3c sau m\u1eafc b\u1ec7nh ho\u1eb7c sau ti\u00eam v\u1eafc xin b\u1ec1n v\u1eefng; mi\u1ec5n d\u1ecbch c\u1ee7a m\u1eb9 truy\u1ec1n cho con c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 tr\u1ebb trong v\u00f2ng 6 \u0111\u1ebfn 9 th\u00e1ng sau khi ra \u0111\u1eddi.
\n2. B\u1ec7nh rubella
\nB\u1ec7nh rubella c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh s\u1edfi \u0110\u1ee9c ho\u1eb7c rubeon do vi r\u00fat rubella g\u00e2y ra. Bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh bao g\u1ed3m: s\u1ed1t nh\u1eb9, ph\u00e1t ban v\u00e0 vi\u00eam long nh\u1eb9 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, n\u1ed5i h\u1ea1ch v\u00f9ng c\u1ed5, ch\u1ea5m, sau tai. B\u1ec7nh rubella r\u1ea5t nguy hi\u1ec3m \u1edf ph\u1ee5 n\u1eef c\u00f3 thai, nh\u1ea5t l\u00e0 trong 3 th\u00e1ng \u0111\u1ea7u c\u1ee7a thai k\u1ef3 do c\u00f3 th\u1ec3 g\u00e2y s\u1ea3y thai, thai ch\u1ebft l\u01b0u. \u0110\u1eb7c bi\u1ec7t g\u00e2y d\u1ecb t\u1eadt b\u1ea9m sinh \u1edf thai nhi th\u01b0\u1eddng g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng rubella b\u1ea9m sinh \u2013 CRS (b\u1ec7nh tim, m\u00f9, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, \u0111i\u1ebfc v\u00e0 ch\u1eadm ph\u00e1t tri\u1ec3n tinh th\u1ea7n) c\u00f3 th\u1ec3 g\u1eb7p \u1edf 90% tr\u1ebb sinh ra t\u1eeb b\u00e0 m\u1eb9 nhi\u1ec5m rubella trong 3 th\u00e1ng \u0111\u1ea7u c\u00f3 thai. B\u1ec7nh c\u00f3 t\u00ednh l\u00e2y truy\u1ec1n cao v\u00e0 c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch l\u1edbn. Tr\u00ean l\u00e2m s\u00e0ng, b\u1ec7nh kh\u00f3 ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh s\u1ed1t ph\u00e1t ban kh\u00e1c nh\u1ea5t l\u00e0 v\u1edbi s\u1edfi v\u00e0 c\u00f3 t\u1edbi 50% tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh. B\u1ec7nh l\u01b0u h\u00e0nh r\u1ed9ng r\u00e3i tr\u00ean th\u1ebf gi\u1edbi trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam.
\nT\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 vi r\u00fat rubella. Ng\u01b0\u1eddi l\u00e0 \u1ed5 ch\u1ee9a duy nh\u1ea5t. Th\u1eddi k\u1ef3 \u1ee7 b\u1ec7nh k\u00e9o d\u00e0i 14 \u2013 21 ng\u00e0y, trung b\u00ecnh 18 ng\u00e0y. Th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n k\u00e9o d\u00e0i t\u1eeb 7 ng\u00e0y tr\u01b0\u1edbc cho t\u1edbi 7 ng\u00e0y sau ph\u00e1t ban. Tr\u1ebb em m\u1eafc h\u1ed9i ch\u1ee9ng rubella b\u1ea9m sinh c\u00f3 th\u1ec3 \u0111\u00e0o th\u1ea3i vi r\u00fat \u0111\u1ebfn 1 n\u0103m sau khi sinh. B\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do h\u00edt ph\u1ea3i c\u00e1c d\u1ecbch ti\u1ebft m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eafn ra \u0111\u01b0\u1ee3c khu\u1ebfch t\u00e1n trong kh\u00f4ng kh\u00ed ho\u1eb7c ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi ch\u1ea5t ti\u1ebft \u0111\u01b0\u1eddng m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n. Trong \u0111i\u1ec1u ki\u1ec7n s\u1ed1ng kh\u00e9p k\u00edn th\u00ec h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi c\u1ea3m nhi\u1ec5m c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m vi r\u00fat. Tr\u1ebb em m\u1eafc h\u1ed9i ch\u1ee9ng rubella b\u1ea9m sinh \u0111\u00e0o th\u1ea3i vi r\u00fat trong d\u1ecbch ti\u1ebft h\u1ea7u h\u1ecdng, trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 l\u00e0 ngu\u1ed3n truy\u1ec1n nhi\u1ec5m cho nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac. Nh\u1eefng ng\u01b0\u1eddi ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb m\u1eafc b\u1ec7nh; ng\u01b0\u1eddi sau khi m\u1eafc b\u1ec7nh c\u00f3 mi\u1ec5n d\u1ecbch b\u1ec1n v\u1eefng; mi\u1ec5n d\u1ecbch c\u1ee7a m\u1eb9 truy\u1ec1n cho con c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 tr\u1ebb trong v\u00f2ng 6 \u0111\u1ebfn 9 th\u00e1ng sau khi ra \u0111\u1eddi, t\u00f9y v\u00e0o l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3 c\u1ee7a m\u1eb9.
\nII. H\u01af\u1edaNG D\u1eaaN PH\u00d2NG CH\u1ed0NG D\u1ecaCH
\n1. Bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng s\u1edfi\/rubella
\n1.1. Tuy\u00ean truy\u1ec1n s\u00e2u r\u1ed9ng trong c\u1ed9ng \u0111\u1ed3ng v\u1ec1 b\u1ec7nh s\u1edfi\/rubella, c\u00e1ch nh\u1eadn bi\u1ebft v\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng.
\n1.2. N\u00e2ng cao s\u1ee9c \u0111\u1ec1 kh\u00e1ng c\u01a1 th\u1ec3 b\u1eb1ng: \u0103n u\u1ed1ng \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, b\u1ed5 sung h\u1ee3p l\u00fd c\u00e1c vitamin v\u00e0 kho\u00e1ng ch\u1ea5t.
\n1.3. Ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh s\u1edfi\/rubella l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh quan tr\u1ecdng nh\u1ea5t. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng v\u1eafc xin d\u1ea1ng \u0111\u01a1n ho\u1eb7c d\u1ea1ng ph\u1ed1i h\u1ee3p (s\u1edfi \u2013 rubella ho\u1eb7c s\u1edfi-quai b\u1ecb-rubella).
\n– \u0110\u1ed1i t\u01b0\u1ee3ng v\u00e0 l\u1ecbch ti\u00eam v\u1eafc xin s\u1edfi:
\n+ Tr\u1ebb nh\u1ecf: ti\u00eam 2 m\u0169i. M\u0169i th\u1ee9 nh\u1ea5t khi tr\u1ebb 9 th\u00e1ng tu\u1ed5i, m\u0169i th\u1ee9 hai khi tr\u1ebb 18 th\u00e1ng tu\u1ed5i.
\n+ \u0110\u1ed1i t\u01b0\u1ee3ng kh\u00e1c n\u1ebfu ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin s\u1edfi tr\u01b0\u1edbc \u0111\u00f3 c\u1ea7n ti\u00eam 1 m\u0169i.
\n+ Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: theo quy \u0111\u1ecbnh c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t.
\n– \u0110\u1ed1i t\u01b0\u1ee3ng v\u00e0 l\u1ecbch ti\u00eam v\u1eafc xin rubella:
\n+ \u0110\u1ed1i t\u01b0\u1ee3ng: t\u1eeb 9 th\u00e1ng tu\u1ed5i tr\u1edf l\u00ean. C\u1ea7n ch\u00fa tr\u1ecdng ti\u00eam v\u1eafc xin rubella cho tr\u1ebb em, n\u1eef tu\u1ed5i sinh \u0111\u1ebb v\u00e0 m\u1ed9t s\u1ed1 nh\u00f3m c\u00f3 nguy c\u01a1 m\u1eafc cao: c\u00e1n b\u1ed9 y t\u1ebf, gi\u00e1o vi\u00ean\u2026
\n+ S\u1ed1 li\u1ec1u: ti\u00eam 1 li\u1ec1u v\u1eafc xin rubella.
\n+ Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: theo quy \u0111\u1ecbnh c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t.
\nTi\u00eam b\u1ed5 sung v\u1eafc xin s\u1edfi\/rubella trong c\u00e1c chi\u1ebfn d\u1ecbch th\u1ef1c hi\u1ec7n theo h\u01b0\u1edbng d\u1eabn c\u1ee7a D\u1ef1 \u00e1n Ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng Qu\u1ed1c gia.
\n2. Bi\u1ec7n ph\u00e1p ch\u1ed1ng d\u1ecbch
\nKhi ph\u00e1t hi\u1ec7n c\u00f3 tr\u01b0\u1eddng h\u1ee3p nghi m\u1eafc b\u1ec7nh\/\u1ed5 d\u1ecbch\/d\u1ecbch s\u1edfi ho\u1eb7c rubella c\u1ea7n th\u1ef1c hi\u1ec7n ngay c\u00e1c bi\u1ec7n ph\u00e1p sau:
\n2.1. C\u00e1c bi\u1ec7n ph\u00e1p chung
\na. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n:
\nC\u00e1ch ly v\u00e0 ch\u0103m s\u00f3c y t\u1ebf b\u1ec7nh nh\u00e2n trong 7 ng\u00e0y k\u1ec3 t\u1eeb khi ph\u00e1t ban. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u1eb9 cho c\u00e1ch ly t\u1ea1i nh\u00e0 (ngh\u1ec9 h\u1ecdc, ngh\u1ec9 l\u00e0m vi\u1ec7c, kh\u00f4ng tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng t\u1eadp th\u1ec3, t\u1eadp trung \u0111\u00f4ng ng\u01b0\u1eddi). Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh n\u1eb7ng l\u00ean ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u bi\u1ebfn ch\u1ee9ng ph\u1ea3i \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1ch ly t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf. Trong th\u1eddi gian c\u00e1ch ly b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111eo kh\u1ea9u trang y t\u1ebf.
\nTr\u1ebb em m\u1eafc h\u1ed9i ch\u1ee9ng rubella b\u1ea9m sinh d\u01b0\u1edbi 1 tu\u1ed5i c\u1ea7n h\u1ea1n ch\u1ebf t\u1ed1i \u0111a cho ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi kh\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 cho ti\u1ebfp x\u00fac v\u1edbi ph\u1ee5 n\u1eef c\u00f3 thai cho \u0111\u1ebfn khi x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u, d\u1ecbch ngo\u00e1y h\u1ecdng \u00e2m t\u00ednh v\u1edbi vi r\u00fat rubella.
\nb. \u0110\u1ed1i v\u1edbi c\u1ed9ng \u0111\u1ed3ng:
\n– Tuy\u00ean truy\u1ec1n t\u1edbi t\u1eebng h\u1ed9 gia \u0111\u00ecnh v\u1ec1 b\u1ec7nh s\u1edfi\/rubella: c\u00e1ch nh\u1eadn bi\u1ebft v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng.
\n– T\u0103ng c\u01b0\u1eddng v\u1ec7 sinh c\u00e1 nh\u00e2n
\n+ \u0110\u1ea3m b\u1ea3o v\u1ec7 sinh c\u00e1 nh\u00e2n h\u00e0ng ng\u00e0y.
\n+ R\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng.
\n+ Tr\u00e1nh t\u1ed1i \u0111a vi\u1ec7c ch\u00f9i tay l\u00ean m\u1eaft, m\u0169i, mi\u1ec7ng.
\n+ Th\u01b0\u1eddng xuy\u00ean v\u1ec7 sinh \u0111\u01b0\u1eddng m\u0169i, h\u1ecdng, m\u1eaft h\u00e0ng ng\u00e0y b\u1eb1ng c\u00e1c dung d\u1ecbch s\u00e1t khu\u1ea9n th\u00f4ng th\u01b0\u1eddng \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi b\u1ec7nh nh\u00e2n (ng\u01b0\u1eddi s\u1ed1ng c\u00f9ng nh\u00e0, th\u1ea5y thu\u1ed1c tr\u1ef1c ti\u1ebfp ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb).
\n– H\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh
\n+ H\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc\/nghi m\u1eafc b\u1ec7nh, khi ph\u1ea3i ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111eo kh\u1ea9u trang y t\u1ebf v\u00e0 c\u00e1c trang b\u1ecb ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n. Ph\u1ee5 n\u1eef c\u00f3 thai tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc b\u1ec7nh rubella.
\n+ H\u1ea1n ch\u1ebf t\u1eadp trung \u0111\u00f4ng ng\u01b0\u1eddi, h\u1ed9i h\u1ecdp, \u0111\u1eb7c bi\u1ec7t t\u1ea1i nh\u1eefng ph\u00f2ng ch\u1eadt h\u1eb9p, \u00edt th\u00f4ng kh\u00ed \u1edf khu v\u1ef1c \u1ed5 d\u1ecbch.
\n+ Kh\u00f4ng cho tr\u1ebb em d\u00f9ng chung v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n (kh\u0103n m\u1eb7t, b\u00e0n ch\u1ea3i, k\u00ednh, c\u1ed1c, ch\u00e9n, b\u00e1t, \u0111\u0169a..), \u0111\u1ed3 ch\u01a1i ho\u1eb7c \u0111\u1ed3 v\u1eadt d\u1ec5 b\u1ecb \u00f4 nhi\u1ec5m ch\u1ea5t ti\u1ebft m\u0169i h\u1ecdng.
\n– Kh\u1eed tr\u00f9ng v\u00e0 v\u1ec7 sinh th\u00f4ng kh\u00ed
\n+ Th\u01b0\u1eddng xuy\u00ean m\u1edf c\u1eeda s\u1ed5, c\u1eeda ch\u00ednh \u0111\u1ec3 \u00e1nh n\u1eafng chi\u1ebfu v\u00e0o v\u00e0 \u0111\u1ea3m b\u1ea3o th\u00f4ng kh\u00ed tho\u00e1ng cho nh\u00e0 \u1edf, ph\u00f2ng h\u1ecdc, n\u01a1i l\u00e0m vi\u1ec7c, ph\u00f2ng \u0111i\u1ec1u tr\u1ecb h\u00e0ng ng\u00e0y.
\n+ Th\u01b0\u1eddng xuy\u00ean l\u00e0m s\u1ea1ch \u0111\u1ed3 ch\u01a1i, \u0111\u1ed3 v\u1eadt b\u1ecb nghi ng\u1edd \u00f4 nhi\u1ec5m d\u1ecbch ti\u1ebft m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng x\u00e0 ph\u00f2ng ho\u1eb7c c\u00e1c ch\u1ea5t t\u1ea9y r\u1eeda th\u00f4ng th\u01b0\u1eddng v\u1edbi n\u01b0\u1edbc s\u1ea1ch.
\n+ Lau s\u00e0n nh\u00e0, n\u1eafm \u0111\u1ea5m c\u1eeda, m\u1eb7t b\u00e0n, gh\u1ebf, khu v\u1ec7 sinh chung ho\u1eb7c b\u1ec1 m\u1eb7t c\u1ee7a \u0111\u1ed3 v\u1eadt nghi ng\u1edd b\u1ecb \u00f4 nhi\u1ec5m d\u1ecbch ti\u1ebft m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng x\u00e0 ph\u00f2ng ho\u1eb7c c\u00e1c ch\u1ea5t t\u1ea9y r\u1eeda th\u00f4ng th\u01b0\u1eddng t\u1eeb 1 \u2013 2 l\u1ea7n\/ng\u00e0y.
\n– Th\u00f4ng b\u00e1o cho c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec3u hi\u1ec7n m\u1eafc b\u1ec7nh
\n+ Ng\u01b0\u1eddi d\u00e2n trong c\u1ed9ng \u0111\u1ed3ng khi c\u00f3 bi\u1ec3u hi\u1ec7n m\u1eafc b\u1ec7nh c\u1ea7n \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m, \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u01b0\u1edbng d\u1eabn c\u00e1ch ly y t\u1ebf k\u1ecbp th\u1eddi.
\n3. Tri\u1ec3n khai ti\u00eam v\u1eafc xin ch\u1ed1ng d\u1ecbch s\u1edfi\/rubella
\nVi\u1ec7c quy\u1ebft \u0111\u1ecbnh ti\u00eam v\u1eafc xin ch\u1ed1ng d\u1ecbch c\u1ea7n d\u1ef1a tr\u00ean t\u00ecnh h\u00ecnh th\u1ef1c t\u1ebf \u1ed5 d\u1ecbch\/d\u1ecbch \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ph\u1ea1m vi v\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng ti\u00eam v\u1eafc xin theo s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a Vi\u1ec7n V\u1ec7 sinh d\u1ecbch t\u1ec5, Pasteur v\u00e0 D\u1ef1 \u00e1n Ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng Qu\u1ed1c gia.
\nH\u00e3y t\u1ef1 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n v\u00e0 gia \u0111\u00ecnh b\u1eb1ng vi\u1ec7c ti\u00eam V\u1eafc xin ph\u00f2ng b\u1ec7nh S\u1edfi v\u00e0 Rubella.
\nNgu\u1ed3n: C\u1ee5c Y t\u1ebf d\u1ef1 ph\u00f2ng – B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u00cdCH C\u1ef0C PH\u00d2NG CH\u1ed0NG B\u1ec6NH S\u1edeI – RUBELLA I. \u0110\u1ecaNH NGH\u0128A 1. B\u1ec7nh s\u1edfi S\u1edfi l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh do vi r\u00fat s\u1edfi g\u00e2y ra. Bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh bao g\u1ed3m: s\u1ed1t, ph\u00e1t ban v\u00e0 vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, xu\u1ea5t hi\u1ec7n c\u00e1c h\u1ea1t nh\u1ecf m\u00e0u tr\u1eafng (Koplik) \u1edf ni\u00eam m\u1ea1c mi\u1ec7ng. […]<\/p>\n","protected":false},"author":4,"featured_media":1665,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/1349"}],"collection":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1349"}],"version-history":[{"count":0,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/1349\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/media\/1665"}],"wp:attachment":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}