{"id":59398,"date":"2021-08-27T13:33:54","date_gmt":"2021-08-27T06:33:54","guid":{"rendered":"http:\/\/tcvn.gov.vn\/?p=59398"},"modified":"2021-08-27T13:33:54","modified_gmt":"2021-08-27T06:33:54","slug":"than-trong-khi-dung-nhung-loai-thuoc-nay-khi-dieu-tri-cho-tre-mac-covid-19-tai-nha","status":"publish","type":"post","link":"https:\/\/tcvn.gov.vn\/than-trong-khi-dung-nhung-loai-thuoc-nay-khi-dieu-tri-cho-tre-mac-covid-19-tai-nha\/27\/08\/2021\/","title":{"rendered":"Th\u1eadn tr\u1ecdng khi d\u00f9ng nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y khi \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb m\u1eafc Covid-19 t\u1ea1i nh\u00e0"},"content":{"rendered":"

Theo c\u00e1c chuy\u00ean gia y t\u1ebf, m\u1eb7c d\u00f9 hi\u1ec7n nay \u0111\u00e3 c\u00f3 h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c cho ng\u01b0\u1eddi m\u1eafc Covid-19 t\u1ea1i nh\u00e0 v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf c\u1ea5p ph\u00e9p nh\u01b0ng vi\u1ec7c d\u00f9ng thu\u1ed1c v\u1eabn c\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd, nh\u1ea5t l\u00e0 v\u1edbi tr\u1ebb em.<\/strong><\/span><\/p>\n

\u0110\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u ch\u0103m s\u00f3c, b\u1ea3o \u0111\u1ea3m an to\u00e0n trong \u0111i\u1ec1u tr\u1ecb tr\u1ebb em d\u01b0\u1edbi 16 tu\u1ed5i m\u1eafc COVID-19 t\u1ea1i nh\u00e0, c\u00e1ch \u0111\u00e2y \u00edt ng\u00e0y S\u1edf Y t\u1ebf Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh \u0111\u00e3 c\u00f3 v\u0103n b\u1ea3n g\u1eedi c\u00e1c \u0111\u01a1n v\u1ecb li\u00ean quan v\u1ec1 vi\u1ec7c ti\u1ebfp nh\u1eadn \u0111i\u1ec1u tr\u1ecb cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/span><\/p>\n

Theo \u0111\u00f3, tr\u1ebb em d\u01b0\u1edbi 16 tu\u1ed5i m\u1eafc COVID-19 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng nh\u1eb9, n\u1ebfu \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n c\u00e1ch ly t\u1ea1i nh\u00e0 th\u00ec h\u01b0\u1edbng d\u1eabn cho ng\u01b0\u1eddi b\u1ec7nh c\u00e1ch ly t\u1ea1i nh\u00e0 theo quy \u0111\u1ecbnh. Tuy nhi\u00ean, theo c\u00e1c chuy\u00ean gia y t\u1ebf, do hi\u1ec7n nay c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 t\u00ednh an to\u00e0n trong \u0111i\u1ec1u tr\u1ecb Covid-19 \u1edf tr\u1ebb em v\u1eabn c\u00f2n nhi\u1ec1u h\u1ea1n ch\u1ebf so v\u1edbi ng\u01b0\u1eddi l\u1edbn. V\u00ec v\u1eady, b\u00ean c\u1ea1nh h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf th\u00ec ph\u1ee5 huynh c\u1ea7n c\u1ea9n tr\u1ecdng khi d\u00f9ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c cho con tr\u1ebb t\u1ea1i nh\u00e0.<\/span><\/p>\n

Thu\u1ed1c Aspirin<\/strong><\/span><\/p>\n

\u0110\u00e2y l\u00e0 thu\u1ed1c gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t, kh\u00e1ng vi\u00eam, th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi li\u1ec1u th\u1ea5p \u0111\u1ec3 \u0111\u1ec1 ph\u00f2ng tai bi\u1ebfn tim m\u1ea1ch. Aspirin kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng cho tr\u1ebb d\u01b0\u1edbi 16 tu\u1ed5i v\u00ec nguy c\u01a1 g\u00e2y ra h\u1ed9i ch\u1ee9ng Reye (c\u00f3 th\u1ec3 g\u00e2y s\u01b0ng ph\u00f9 \u1edf n\u00e3o, gan), c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng (t\u0103ng huy\u1ebft \u00e1p, lo\u00e9t d\u1ea1 d\u00e0y, kh\u00f3 c\u1ea7m m\u00e1u, suy th\u1eadn c\u1ea5p, nhi\u1ec5m toan chuy\u1ec3n h\u00f3a, ph\u00f9 n\u00e3o, xu\u1ea5t huy\u1ebft n\u00e3o, co gi\u1eadt, \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn h\u1ec7 h\u00f4 h\u1ea5p, co th\u1eaft ph\u1ebf qu\u1ea3n).\u00a0Aspirin c\u0169ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi ph\u1ee5 n\u1eef \u1edf tam c\u00e1 nguy\u1ec7t th\u1ee9 3 c\u1ee7a thai k\u1ef3 v\u00ec c\u00f3 nguy c\u01a1 g\u00e2y \u0111\u1ed9c th\u1eadn thai nhi.\u00a0<\/span><\/p>\n

\"\"<\/span><\/p>\n

\u00a0D\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb COVID-19 cho tr\u1ebb nh\u1ecf c\u1ea7n th\u1eadn tr\u1ecdng. \u1ea2nh minh h\u1ecda<\/span><\/strong><\/p>\n<\/div>\n

Thu\u1ed1c kh\u00e1ng vi\u00eam nh\u00f3m Steroid (Dexamethasone, Prednisone)<\/strong><\/span><\/p>\n

Methylprednisolone hay Hydrocortisonec n\u1ed5i ti\u1ebfng trong \u0111i\u1ec1u tr\u1ecb Covid-19 v\u00ec l\u1ee3i \u00edch \u0111em l\u1ea1i nhi\u1ec1u h\u01a1n so v\u1edbi t\u00e1c h\u1ea1i c\u1ee7a n\u00f3 n\u1ebfu s\u1eed d\u1ee5ng h\u1ee3p l\u00fd. Do \u0111\u00f3, ch\u00fang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em.\u00a0Tuy nhi\u00ean, lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng cho b\u1ec7nh nh\u00e2n m\u1ee9c \u0111\u1ed9 v\u1eeba v\u00e0 n\u1eb7ng. Khi b\u1ec7nh b\u1eaft \u0111\u1ea7u tr\u1edf n\u1eb7ng, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 ph\u1ea3n \u1ee9ng m\u1ea1nh h\u01a1n, khi\u1ebfn n\u1ed9i t\u1ea1ng c\u00f3 nguy c\u01a1 b\u1ecb t\u1ed5n th\u01b0\u01a1ng. V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n d\u00f9ng Steroid \u0111\u1ec3 l\u00e0m d\u1ecbu ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng vi\u00eam khi b\u1ecb nhi\u1ec5m tr\u00f9ng.<\/span><\/p>\n

Trong nh\u1eefng ng\u00e0y \u0111\u1ea7u nhi\u1ec5m b\u1ec7nh, tr\u1ebb em hay ng\u01b0\u1eddi l\u1edbn kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng nh\u1eb9 (kh\u00f4ng bao g\u1ed3m ho ho\u1eb7c kh\u00f3 th\u1edf v\u00e0 th\u1edf nhanh) \u0111\u00e3 b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c Steroid ngay s\u1ebd khi\u1ebfn h\u1ec7 mi\u1ec5n d\u1ecbch \u0111ang l\u00e0m vi\u1ec7c b\u1ecb \u1ee9c ch\u1ebf. Virus c\u00f3 c\u01a1 h\u1ed9i tr\u1ed7i d\u1eady, l\u00e0m b\u1ec7nh n\u1eb7ng h\u01a1n.\u00a0V\u00ec v\u1eady, b\u1ea1n n\u00ean li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 ho\u1eb7c c\u00e1c t\u1ed5 t\u01b0 v\u1ea5n t\u1eeb xa v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng lo\u1ea1i thu\u1ed1c n\u00e0y cho tr\u1ebb khi m\u1eafc Covid-19.<\/span><\/p>\n

Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, thu\u1ed1c kh\u00e1ng virus<\/strong><\/span><\/p>\n

Hi\u1ec7n t\u1ea1i, lo\u1ea1i thu\u1ed1c n\u00e0y ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e9p s\u1eed d\u1ee5ng trong b\u1ec7nh vi\u1ec7n v\u1edbi b\u1ec7nh nh\u00e2n n\u1eb7ng. B\u1edfi c\u00e1c ch\u1ec9 s\u1ed1 c\u1ee7a tr\u1ebb c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 t\u00ednh to\u00e1n ch\u00ednh x\u00e1c li\u1ec1u l\u01b0\u1ee3ng. Vi\u1ec7c t\u00ednh li\u1ec1u d\u00f9ng \u1edf tr\u1ebb em c\u1ea7n s\u1eed d\u1ee5ng \u0111\u00fang c\u00f4ng th\u1ee9c d\u1ef1a tr\u00ean c\u00e2n n\u1eb7ng c\u01a1 th\u1ec3 ho\u1eb7c di\u1ec7n t\u00edch da, do nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 kinh nghi\u1ec7m.<\/span><\/p>\n

Tr\u1ebb em kh\u00f4ng ph\u1ea3i l\u00e0 ng\u01b0\u1eddi l\u1edbn thu nh\u1ecf. R\u1ea5t nhi\u1ec1u tai n\u1ea1n qu\u00e1 li\u1ec1u thu\u1ed1c d\u1eabn \u0111\u1ebfn \u0111\u1ed9c t\u00ednh do ph\u1ee5 huynh t\u00ednh li\u1ec1u s\u1eed d\u1ee5ng \u1edf tr\u1ebb em kh\u00f4ng \u0111\u00fang. M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00e1ng ch\u00fa \u00fd c\u1ee7a thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng l\u00e0 nguy c\u01a1 ch\u1ea3y m\u00e1u, ho ra m\u00e1u, ti\u00eau ph\u00e2n \u0111en, t\u00ea li\u1ec7t, ng\u1ea5t x\u1ec9u.<\/span><\/p>\n

\u0110\u1ec3 tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5 nguy hi\u1ec3m, ng\u01b0\u1eddi d\u00e2n kh\u00f4ng n\u00ean t\u1ef1 \u00fd mua v\u00e0 d\u00f9ng cho tr\u1ebb. B\u1ed9 Y t\u1ebf hi\u1ec7n ch\u1ec9 ban h\u00e0nh ch\u1ec9 \u0111\u1ecbnh cho ng\u01b0\u1eddi tr\u00ean 18 tu\u1ed5i khi \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0.<\/span><\/p>\n

Ivermectin<\/strong><\/span><\/p>\n

Thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho tr\u1ebb em c\u00f3 c\u00e2n n\u1eb7ng tr\u00ean 15 kg \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng giun s\u00e1n, lang ben… S\u1ef1 an to\u00e0n khi s\u1eed d\u1ee5ng Ivermectin \u1edf tr\u1ebb em c\u00e2n n\u1eb7ng d\u01b0\u1edbi 15 kg v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c t\u01b0\u01a1ng t\u1ef1 \u1edf ng\u01b0\u1eddi l\u1edbn.<\/span><\/p>\n

Hi\u1ec7n t\u1ea1i, ch\u00fang ta ch\u01b0a c\u00f3 d\u1eef li\u1ec7u n\u00e0o v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng Ivermectin \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ph\u00f2ng ng\u1eeba Covid-19 \u1edf tr\u1ebb em. Ph\u1ee5 huynh tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh.<\/span><\/p>\n

C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t, \u0111i\u1ec1u tr\u1ecb ho, vi\u00eam h\u1ecdng<\/strong><\/span><\/p>\n

Ph\u1ee5 huynh c\u00f3 th\u1ec3 d\u00f9ng cho con \u0111\u1ec3 ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng cho tr\u1ebb m\u1ee9c \u0111\u1ed9 nh\u1eb9. Tuy nhi\u00ean, cha m\u1eb9 c\u1ea7n t\u00ednh \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng, \u0111\u1ed9 tu\u1ed5i v\u00e0 th\u1eddi gian s\u1eed d\u1ee5ng.<\/span><\/p>\n

Hi\u1ec7n c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 t\u00ednh an to\u00e0n trong \u0111i\u1ec1u tr\u1ecb Covid-19 \u1edf tr\u1ebb em v\u1eabn c\u00f2n nhi\u1ec1u h\u1ea1n ch\u1ebf so v\u1edbi ng\u01b0\u1eddi l\u1edbn. Do v\u1eady, khi cho tr\u1ebb s\u1eed d\u1ee5ng thu\u1ed1c, ph\u1ee5 huynh c\u1ea7n c\u1ea9n tr\u1ecdng v\u00e0 b\u1eaft bu\u1ed9c ph\u1ea3i tham kh\u1ea3o tr\u01b0\u1edbc \u00fd ki\u1ebfn nh\u00e2n vi\u00ean y t\u1ebf.<\/span><\/p>\n\n\n\n
U\u1ed1ng thu\u1ed1c ph\u1ea3i c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129<\/strong><\/span><\/p>\n

M\u1ed9t b\u00e1c s\u0129 \u0111ang \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 c\u1ea3nh b\u00e1o ng\u01b0\u1eddi d\u00e2n kh\u00f4ng n\u00ean s\u0103n l\u00f9ng u\u1ed1ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y v\u00f4 t\u1ed9i v\u1ea1, d\u1eabn \u0111\u1ebfn ti\u1ec1n m\u1ea5t t\u1eadt mang. M\u1ed7i ng\u01b0\u1eddi c\u00f3 m\u1ed9t c\u01a1 \u0111\u1ecba, b\u1ec7nh l\u00fd m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau, do \u0111\u00f3 c\u1ea7n c\u00f3 s\u1ef1 ch\u1ec9 \u0111\u1ecbnh v\u1ec1 li\u1ec1u l\u01b0\u1ee3ng c\u1ee7a b\u00e1c s\u0129.<\/span><\/p>\n

Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng vi\u00eam corticoid ph\u1ea3i theo ph\u00e2n \u0111\u1ed9 c\u1ee7a B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn, \u0111i\u1ec1u n\u00e0y ch\u1ec9 c\u00f3 b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb m\u1edbi c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 ch\u1ec9 \u0111\u1ecbnh. N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng khi d\u00f9ng thu\u1ed1c kh\u00e1ng vi\u00eam corticoid s\u1ebd r\u1ea5t nguy hi\u1ec3m, c\u00f3 th\u1ec3 t\u1eed vong do r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng huy\u1ebft. Ngo\u00e0i ra, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 \u0111i\u1ec1u tr\u1ecb \u1edf nh\u00e0, c\u1ea7n h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng b\u1edfi c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng. Vi\u1ec7c s\u1eed d\u1ee5ng thi\u1ebfu ki\u1ec3m so\u00e1t c\u00e1c lo\u1ea1i thu\u1ed1c n\u00eau tr\u00ean c\u00f2n g\u00e2y ra c\u00e1c di ch\u1ee9ng n\u1eb7ng n\u1ec1 v\u1ec1 sau.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

Theo c\u00e1c chuy\u00ean gia y t\u1ebf, m\u1eb7c d\u00f9 hi\u1ec7n nay \u0111\u00e3 c\u00f3 h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c cho ng\u01b0\u1eddi m\u1eafc Covid-19 t\u1ea1i nh\u00e0 v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf c\u1ea5p ph\u00e9p nh\u01b0ng vi\u1ec7c d\u00f9ng thu\u1ed1c v\u1eabn c\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd, nh\u1ea5t l\u00e0 v\u1edbi tr\u1ebb em. \u0110\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u […]<\/p>\n","protected":false},"author":5,"featured_media":59399,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[66],"tags":[],"acf":{"linh-vuc":"C\u00e1c l\u0129nh v\u1ef1c kh\u00e1c"},"_links":{"self":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/posts\/59398"}],"collection":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/comments?post=59398"}],"version-history":[{"count":0,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/posts\/59398\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/media\/59399"}],"wp:attachment":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/media?parent=59398"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/categories?post=59398"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/tags?post=59398"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}