{"id":184,"date":"2018-08-22T03:46:25","date_gmt":"2018-08-22T03:46:25","guid":{"rendered":"http:\/\/webtest.benhvienmatquangduc.vn\/?p=184"},"modified":"2018-08-22T03:49:38","modified_gmt":"2018-08-22T03:49:38","slug":"viem-loet-giac-mac-nhiem-khuan","status":"publish","type":"post","link":"https:\/\/benhvienmatquangduc.vn\/?p=184","title":{"rendered":"Vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c nhi\u1ec5m khu\u1ea9n"},"content":{"rendered":"

N\u01b0\u1edbc ta c\u00f3 kh\u00ed h\u1eadu n\u00f3ng \u1ea9m, nhi\u1ec7t \u0111\u1edbi gi\u00f3 m\u00f9a, \u0111\u1eb7c bi\u1ec7t l\u1ea1i l\u00e0 n\u01b0\u1edbc s\u1ea3n xu\u1ea5t n\u00f4ng nghi\u1ec7p l\u00e0 ch\u1ee7 y\u1ebfu. \u0110\u00e2y l\u00e0 nh\u1eefng \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i \u0111\u1ec3 xu\u1ea5t hi\u1ec7n b\u1ec7nh vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c nhi\u1ec5m khu\u1ea9n. Vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c th\u01b0\u1eddng \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1, c\u00f3 th\u1ec3 g\u00e2y m\u00f9 l\u00f2a, th\u1eadm ch\u00ed ph\u1ea3i b\u1ecf nh\u00e3n c\u1ea7u<\/p>\n

Nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c nhi\u1ec5m khu\u1ea9n<\/h3>\n

Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh \u0111\u01b0\u1ee3c x\u1ebfp th\u00e0nh 4 nh\u00f3m ch\u00ednh. \u0110\u00f3 l\u00e0:<\/p>\n

\u2013 Vi khu\u1ea9n: c\u00e1c lo\u1ea1i vi khu\u1ea9n Gram (+) hay g\u1eb7p nh\u01b0 t\u1ee5 c\u1ea7u, li\u00ean c\u1ea7u, ph\u1ebf c\u1ea7u, c\u00e1c lo\u1ea1i vi khu\u1ea9n gram (-) nh\u01b0 tr\u1ef1c khu\u1ea9n m\u1ee7 xanh\u2026<\/p>\n

\u2013 N\u1ea5m: C\u00e1c lo\u1ea1i n\u1ea5m s\u1ee3i l\u00e0 ch\u1ee7 y\u1ebfu Aspergillus, Furasium, Cephalosporum<\/p>\n

\u2013 Virus (ch\u1ee7 y\u1ebfu thu\u1ed9c h\u1ecd Herpes): H.simplex tysp 1, H. varicell-zoster<\/p>\n

\u2013 K\u00fd sinh tr\u00f9ng: Acanthamoeba, Nocardia.<\/p>\n

\"vi\u00eam<\/p>\n

\u0110i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i khi\u1ebfn m\u1eafc vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c nhi\u1ec5m khu\u1ea9n<\/h3>\n

\u2013 Ch\u1ea5n th\u01b0\u01a1ng m\u1eaft: th\u01b0\u1eddng sau c\u00e1c vi ch\u1ea5n th\u01b0\u01a1ng, b\u1ea3n th\u00e2n ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u1ec3 \u00fd ho\u1eb7c kh\u00f4ng bi\u1ebft, sau khi b\u1ee5i v\u00e0o m\u1eaft, n\u01b0\u1edbc b\u1ea9n v\u00e0o m\u1eaft k\u1ec3 c\u1ea3 n\u01b0\u1edbc m\u01b0a. \u0110\u1eb7c bi\u1ec7t, c\u00e1c ch\u1ea5n th\u01b0\u01a1ng t\u1eeb n\u00f4ng nghi\u1ec7p nh\u01b0 h\u1ea1t th\u00f3c, r\u01a1m r\u1ea1, l\u00e1 c\u00e2y\u2026 r\u1ea5t hay g\u00e2y vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c.<\/p>\n

\u2013 C\u00e1c b\u1ec7nh l\u00fd s\u1eb5n c\u00f3 t\u1ea1i m\u1eaft: C\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00fd mi m\u1eaft nh\u01b0 l\u00f4ng si\u00eau, l\u00f4ng qu\u1eb7m, h\u1edf mi do li\u1ec7t d\u00e2y h\u1ea7n kinh s\u1ed1 VII, khuy\u1ebft mi sau m\u1ed5 u mi\u2026 B\u1ec7nh l\u00fd k\u1ebft gi\u00e1c m\u1ea1c nh\u01b0 s\u1eb9o gi\u00e1c m\u1ea1c, s\u1ea1n v\u00f4i, kh\u00f4 m\u1eaft, m\u1ea5t c\u1ea3m gi\u00e1c gi\u00e1c m\u1ea1c.<\/p>\n

\u2013 Tr\u00ean m\u1ed9t s\u1ed1 c\u01a1 \u0111\u1ecba b\u1ec7nh l\u00fd to\u00e0n th\u00e2n \u0111\u1eb7c bi\u1ec7t nh\u01b0: suy dinh d\u01b0\u1ee1ng thi\u1ebfu vitamin A \u1edf tr\u1ebb em, h\u1ed9i ch\u1ee9ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch, b\u1ec7nh l\u00fd chuy\u1ec3n h\u00f3a nh\u01b0 b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u2026<\/p>\n

\u2013 C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang, l\u1ea1m d\u1ee5ng thu\u1ed1c: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u00e2n gian kh\u00f4ng khoa h\u1ecdc nh\u01b0 \u0111\u1eafp l\u00e1, \u0111\u1eafp \u1ebfch nh\u00e1i v\u00e0o m\u1eaft c\u00f3 th\u1ec3 g\u00e2y vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c. Ngo\u00e0i ra, vi\u1ec7c l\u1ea1m d\u1ee5ng kh\u00e1ng sinh v\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam nh\u00f3m corticoid l\u00e0 m\u1ed9t nguy c\u01a1 cao g\u00e2y vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c (hi\u1ec7n nay c\u00e1c ch\u1ebf ph\u1ea9m tra m\u1eaft c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n corticoid ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd).<\/p>\n

C\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c nhi\u1ec5m khu\u1ea9n<\/h3>\n

-Sau khi b\u1ecb ch\u1ea5n th\u01b0\u01a1ng m\u1eaft 1-2 ng\u00e0y, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1ea5y m\u1eaft c\u1ed9m, k\u00edch th\u00edch ch\u1ea3y n\u01b0\u1edbc m\u1eaft, ch\u00f3i m\u1eaft khi ra n\u1eafng, nh\u00ecn m\u1edd.<\/p>\n

-Ng\u01b0\u1eddi b\u1ec7nh nh\u00ecn m\u1edd t\u0103ng d\u1ea7n, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u00ecn m\u1edd nhanh ch\u00f3ng k\u00e8m theo m\u1eaft \u0111au nh\u1ee9c nhi\u1ec1u, th\u1eadm ch\u00ed th\u1ecb l\u1ef1c ch\u1ec9 c\u00f2n ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c s\u00e1ng -t\u1ed1i.<\/p>\n

-Kh\u00e1m b\u1ec7nh c\u00f3 th\u1ec3 th\u1ea5y mi m\u1eaft s\u01b0ng n\u1ec1, m\u1eaft \u0111\u1ecf do k\u1ebft m\u1ea1c c\u01b0\u01a1ng t\u1ee5 m\u1ea1nh, gi\u00e1c m\u1ea1c m\u1ea5t t\u00ednh trong su\u1ed1t, c\u00f3 \u1ed5 lo\u00e9t ho\u1eb7c \u1ed5 vi\u00eam m\u1edd \u0111\u1ee5c, c\u00f3 th\u1ec3 \u00edt ho\u1eb7c nhi\u1ec1u xu\u1ea5t ti\u1ebft m\u1ee7, b\u1edd \u1ed5 lo\u00e9t c\u00f3 th\u1ec3 trong \u0111\u1ec1u ho\u1eb7c nham nh\u1edf t\u00f9y nguy\u00ean nh\u00e2n, c\u00f3 th\u1ec3 th\u1ea5y th\u00e2m nhi\u1ec5m s\u00e2u trong nhu m\u00f4 gi\u00e1c m\u1ea1c hay m\u1ee7 ti\u1ec1n ph\u00f2ng. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 th\u1ec3 c\u00f3 bi\u1ebfn ch\u1ee9ng th\u1ee7ng gi\u00e1c m\u1ea1c, ph\u00f2i t\u1ed5 ch\u1ee9c n\u1ed9i nh\u00e3n.<\/p>\n

\"vi\u00eam<\/p>\n

Ti\u1ebfn tri\u1ec3n v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh<\/h3>\n

Khi \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb, vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c \u0111\u1ec3 l\u1ea1i s\u1eb9o gi\u00e1c m\u1ea1c, t\u00f9y theo m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 m\u00e0 g\u00e2y m\u1edd m\u1eaft \u1edf c\u00e1 m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau: nh\u1eb9 c\u00f3 th\u1ec3 l\u00e0 s\u1eb9o nh\u01b0 m\u00e0ng kh\u00f3i, n\u1eb7ng th\u01b0\u1eddng l\u00e0 s\u1eb9o d\u00e0y tr\u1eafng \u0111\u1ee5c, k\u00e8m theo t\u0103ng nh\u00e3n \u00e1p. Trong tr\u01b0\u1eddng h\u1ee3p di\u1ec5n bi\u1ebfn n\u1eb7ng, vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c g\u00e2y th\u1ee7ng gi\u00e1c m\u1ea1c, vi\u00eam lo\u00e9t to\u00e0n b\u1ed9 gi\u00e1c m\u1ea1c, vi\u00eam n\u1ed9i nh\u00e3n ho\u1eb7c vi\u00eam to\u00e0n nh\u00e3n.<\/p>\n

Ph\u00e2n bi\u1ec7t<\/h3>\n

B\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 chuy\u00ean khoa kh\u00e1m x\u00e1c \u0111\u1ecbnh v\u00ec vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c c\u00f3 nhi\u1ec1u bi\u1ec3u hi\u1ec7n gi\u1ed1ng v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c \u1edf m\u1eaft nh\u01b0 vi\u00eam k\u1ebft m\u1ea1c c\u1ea5p (\u0111au m\u1eaft \u0111\u1ecf), c\u01a1n glocom c\u1ea5p (c\u01a1n thi\u00ean \u0111\u1ea7u th\u1ed1ng), vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o c\u1ea5p. C\u00e1ch \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh n\u00e0y r\u1ea5t kh\u00e1c nhau.<\/p>\n

\u0110i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng b\u1ec7nh<\/h3>\n

C\u1ea7n x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb. Nguy\u00ean t\u1eafc l\u00e0 d\u1ef1a v\u00e0o nu\u00f4i c\u1ea5y kh\u00e1ng sinh \u0111\u1ed3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang t\u00e1c nh\u00e2n. Trong th\u1ef1c h\u00e0nh \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 s\u1ebd d\u1ef1a v\u00e0o h\u00ecnh th\u00e1i t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1edbm cho b\u1ec7nh nh\u00e2n.<\/p>\n

Ph\u00f2ng b\u1ec7nh vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c nhi\u1ec5m khu\u1ea9n<\/strong><\/p>\n

-Ng\u01b0\u1eddi d\u00e2n c\u1ea7n n\u00e2ng cao \u00fd th\u1ee9c ph\u00f2ng b\u1ec7nh vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c v\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh n\u1eb7ng g\u00e2y m\u00f9, ngay c\u1ea3 khi \u0111i\u1ec1u tr\u1ecb kh\u1ecfi c\u0169ng th\u01b0\u1eddng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng n\u1eb7ng n\u1ec1.<\/p>\n

-Khi b\u1ecb b\u1ee5i ho\u1eb7c n\u01b0\u1edbc b\u1ea9n v\u00e0o m\u1eaft c\u00f3 th\u1ec3 ch\u1edbp m\u1eaft v\u00e0o c\u1ed1c n\u01b0\u1edbc s\u1ea1ch,tr\u00e1nh day d\u1ee5i m\u1eaft, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf c\u00f3 chuy\u00ean khoa m\u1eaft \u0111\u1ec3 l\u1ea5y b\u1ee5i, g\u1eafp d\u1ecb v\u1eadt v\u00e0 d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng gi\u00e1c m\u1ea1c.<\/p>\n

-Thu\u1ed1c kh\u00e1ng sinh nh\u1ecf m\u1eaft c\u1ea7n \u0111\u01b0\u1ee3c th\u1ea7y thu\u1ed1c k\u00ea \u0111\u01a1n, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng t\u1ef1 mua.<\/p>\n

-C\u00e1c thu\u1ed1c m\u1eaft c\u00f3 ch\u1ee9a corticoid ph\u1ea3i theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng v\u1eabn c\u1ea7n ph\u1ea3i theo d\u00f5i.<\/p>\n

-Tr\u1ebb em c\u1ea7n \u0111\u1ea3m b\u1ea3o \u0103n u\u1ed1ng \u0111\u1ee7 ch\u1ea5t, u\u1ed1ng th\u00eam vitamin A nh\u01b0 khuy\u1ebfn c\u00e1o c\u1ee7a ng\u00e0nh y t\u1ebf \u0111\u1ec3 tr\u00e1nh b\u1ec7nh kh\u00f4 m\u1eaft, lo\u00e9t gi\u00e1c m\u1ea1c do thi\u1ebfu vitamin A.<\/p>\n

-C\u00e1c b\u1ec7nh l\u00fd t\u1ea1i m\u1eaft c\u1ea7n ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n","protected":false},"excerpt":{"rendered":"

N\u01b0\u1edbc ta c\u00f3 kh\u00ed h\u1eadu n\u00f3ng \u1ea9m, nhi\u1ec7t \u0111\u1edbi gi\u00f3 m\u00f9a, \u0111\u1eb7c bi\u1ec7t l\u1ea1i l\u00e0 n\u01b0\u1edbc s\u1ea3n xu\u1ea5t n\u00f4ng nghi\u1ec7p l\u00e0 ch\u1ee7 y\u1ebfu. \u0110\u00e2y l\u00e0 nh\u1eefng \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i \u0111\u1ec3 xu\u1ea5t hi\u1ec7n b\u1ec7nh vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c nhi\u1ec5m khu\u1ea9n. Vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c th\u01b0\u1eddng \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1, c\u00f3 th\u1ec3 g\u00e2y m\u00f9 […]\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/184"}],"collection":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=184"}],"version-history":[{"count":1,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/184\/revisions"}],"predecessor-version":[{"id":185,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/184\/revisions\/185"}],"wp:attachment":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}