{"id":3223,"date":"2024-04-23T16:47:25","date_gmt":"2024-04-23T09:47:25","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?p=3223"},"modified":"2024-04-23T16:50:43","modified_gmt":"2024-04-23T09:50:43","slug":"cac-benh-ve-xuong-khop-o-tre-em","status":"publish","type":"post","link":"https:\/\/bsvothanhtoan.com\/en\/cac-benh-ve-xuong-khop-o-tre-em\/","title":{"rendered":"C\u00e1c b\u1ec7nh v\u1ec1 x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em"},"content":{"rendered":"

\u0110au nh\u1ee9c \u1edf ch\u00e2n tay th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb nh\u1ecf, do t\u00ednh c\u00e1ch n\u0103ng \u0111\u1ed9ng v\u00e0 th\u00edch v\u1eadn \u0111\u1ed9ng c\u1ee7a ch\u00fang. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, \u0111\u1eb7c bi\u1ec7t khi tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i v\u00e0 kh\u00f4ng gi\u1ea3m \u0111i, vi\u1ec7c th\u0103m kh\u00e1m ngay l\u00e0 c\u1ea7n thi\u1ebft, c\u00f3 th\u1ec3 \u0111\u00e2y l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em.<\/span><\/em><\/h2>\n

B\u1ec7nh x\u01b0\u01a1ng kh\u1edbp ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em l\u00e0 g\u00ec v\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u0169ng nh\u01b0 \u0111i\u1ec1u tr\u1ecb?<\/p>\n

C\u00e1c b\u1ec7nh x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em c\u1ea7n l\u01b0u \u00fd<\/strong><\/p>\n

\"Gi\u1ea3ng
X\u01b0\u01a1ng Kh\u1edbp \u1edf Tr\u1ebb Em<\/figcaption><\/figure>\n

\u0110au nh\u1ee9c x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em c\u00f3 th\u1ec3 xu\u1ea5t ph\u00e1t t\u1eeb nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau. Tr\u1ebb c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i \u0111au m\u1ecfi x\u01b0\u01a1ng kh\u1edbp trong giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n khi c\u01a1 th\u1ec3 \u0111ang ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd, ho\u1eb7c do c\u00e1c b\u1ec7nh arthritis<\/a> c\u1ea5p t\u00ednh do vi khu\u1ea9n, tuberculosis<\/a> kh\u1edbp ho\u1eb7c vi\u00eam kh\u1edbp sau ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n

Ngo\u00e0i ra, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em c\u0169ng c\u00f3 th\u1ec3 l\u00e0 c\u00e1c b\u1ec7nh m\u00e3n t\u00ednh li\u00ean quan \u0111\u1ebfn c\u00e1c r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch, c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u v\u1edbi tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam kh\u1edbp c\u1ea5p t\u00ednh, nh\u01b0 vi\u1ec7c ph\u00e1t hi\u1ec7n t\u0103ng b\u1ea1ch c\u1ea7u.<\/p>\n

Vi\u00eam kh\u1edbp t\u1ef1 ph\u00e1t \u1edf tu\u1ed5i thi\u1ebfu ni\u00ean l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh m\u00e3n t\u00ednh v\u1ec1 x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em. B\u1ec7nh n\u00e0y thu\u1ed9c nh\u00f3m b\u1ec7nh t\u1ef1 mi\u1ec5n khi tri\u1ec7u ch\u1ee9ng vi\u00eam kh\u1edbp k\u00e9o d\u00e0i \u00edt nh\u1ea5t 6 tu\u1ea7n v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc 16 tu\u1ed5i.<\/p>\n

B\u1ec7nh vi\u00eam kh\u1edbp t\u1ef1 ph\u00e1t \u1edf tu\u1ed5i thi\u1ebfu ni\u00ean c\u00f3 th\u1ec3 ph\u00e1t sinh khi tr\u1ebb b\u1ecb nhi\u1ec5m vi khu\u1ea9n ho\u1eb7c virus nh\u01b0 Streptococcus<\/a>, Chlamydia, Salmonella, Shigella. M\u1eb7c d\u00f9 kh\u00f4ng ph\u1ea3i l\u00e0 hi\u1ebfm, nh\u01b0ng nhi\u1ec1u ph\u1ee5 huynh th\u01b0\u1eddng kh\u00f4ng nh\u1eadn ra tri\u1ec7u ch\u1ee9ng s\u1edbm \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, th\u01b0\u1eddng ph\u00e1t hi\u1ec7n ra \u1edf giai \u0111o\u1ea1n mu\u1ed9n. Vi\u1ec7c tr\u00ec ho\u00e3n n\u00e0y c\u00f3 th\u1ec3 l\u00e0m cho b\u1ec7nh tr\u1edf n\u00ean n\u1eb7ng h\u01a1n, g\u00e2y bi\u1ebfn d\u1ea1ng kh\u1edbp v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb.<\/p>\n

Tri\u1ec7u ch\u1ee9ng b\u1ec7nh x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em
\n<\/strong><\/p>\n

\"H\u00ecnh
X\u01b0\u01a1ng Kh\u1edbp \u1edf Tr\u1ebb Em 1<\/figcaption><\/figure>\n

B\u1ec7nh x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n v\u1edbi nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng lo\u1ea1i b\u1ec7nh c\u1ee5 th\u1ec3. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u1ee7a m\u1ed9t s\u1ed1 b\u1ec7nh x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em:<\/p>\n

1. Vi\u00eam kh\u1edbp: Tr\u1ebb c\u00f3 th\u1ec3 tr\u1ea3i qua \u0111au \u0111\u1edbn, s\u01b0ng v\u00e0 c\u1ee9ng kh\u1edbp. C\u00e1c kh\u1edbp b\u1ecb \u1ea3nh h\u01b0\u1edfng c\u00f3 th\u1ec3 tr\u1edf n\u00ean \u0111\u1ecf, n\u00f3ng v\u00e0 g\u00e2y kh\u00f3 kh\u0103n khi v\u1eadn \u0111\u1ed9ng.<\/p>\n

2. B\u1ec7nh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p: Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m \u0111au kh\u1edbp k\u00e9o d\u00e0i \u00edt nh\u1ea5t 6 tu\u1ea7n, s\u01b0ng kh\u1edbp, c\u1ee9ng kh\u1edbp v\u00e0o bu\u1ed5i s\u00e1ng, m\u1ec7t m\u1ecfi, s\u1ed1t v\u00e0 s\u1ee5t c\u00e2n.<\/p>\n

3. Henoch-Sch\u00f6nlein purpura (HSP): Tr\u1ebb c\u00f3 th\u1ec3 ph\u00e1t ban \u0111\u1ecf tr\u00ean da, \u0111au b\u1ee5ng, s\u01b0ng kh\u1edbp v\u00e0 ti\u1ebft ni\u1ec7u c\u00f3 m\u00e1u.<\/p>\n

4. B\u1ec7nh lupus ban \u0111\u1ecf to\u00e0n th\u00e2n: Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m m\u1ec7t m\u1ecfi, s\u1ed1t, ban \u0111\u1ecf tr\u00ean da, \u0111au kh\u1edbp, s\u01b0ng kh\u1edbp v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim, ph\u1ed5i, th\u1eadn ho\u1eb7c h\u1ec7 ti\u00eau h\u00f3a.<\/p>\n

5. Vi\u00eam kh\u1edbp t\u1ef1 ph\u00e1t thi\u1ebfu ni\u00ean (Juvenile idiopathic arthritis – JIA): \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam kh\u1edbp m\u1ea1n t\u00ednh xu\u1ea5t hi\u1ec7n \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean. JIA c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh ba th\u1ec3 ch\u00ednh d\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng:<\/p>\n

– Th\u1ec3 vi\u00eam kh\u1edbp c\u1ea5p t\u00ednh (Oligoarticular JIA): \u1ea2nh h\u01b0\u1edfng \u00edt h\u01a1n 5 kh\u1edbp trong 6 th\u00e1ng \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh v\u00e0 c\u00f3 th\u1ec3 g\u00e2y vi\u00eam m\u1eaft (uveitis). Th\u01b0\u1eddng x\u1ea3y ra \u1edf tr\u1ebb em d\u01b0\u1edbi 6 tu\u1ed5i.<\/p>\n

– Th\u1ec3 vi\u00eam kh\u1edbp nhi\u1ec1u kh\u1edbp (Polyarticular JIA): \u1ea2nh h\u01b0\u1edfng \u00edt nh\u1ea5t 5 kh\u1edbp trong 6 th\u00e1ng \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh, c\u00f3 th\u1ec3 chia th\u00e0nh th\u1ec3 RF \u00e2m (RF-negative) v\u00e0 th\u1ec3 RF d\u01b0\u01a1ng (RF-positive).<\/p>\n

– Th\u1ec3 vi\u00eam kh\u1edbp h\u1ec7 th\u1ed1ng (Systemic JIA): \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 kh\u1edbp v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 da, gan, tim v\u00e0 ph\u1ed5i. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m s\u1ed1t k\u00e9o d\u00e0i v\u00e0 ban \u0111\u1ecf tr\u00ean da.<\/p>\n

C\u1ea7n l\u00e0m g\u00ec khi tr\u1ebb m\u1eafc c\u00e1c b\u1ec7nh x\u01b0\u01a1ng kh\u1edbp?<\/strong><\/p>\n

\"B\u00e1c
X\u01b0\u01a1ng Kh\u1edbp \u1edf Tr\u1ebb Em 2<\/figcaption><\/figure>\n

\u0110\u1ed1i v\u1edbi b\u1ea5t k\u1ef3 b\u1ec7nh x\u01b0\u01a1ng kh\u1edbp n\u00e0o \u1edf tr\u1ebb em, vi\u1ec7c theo d\u00f5i, th\u0103m kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t l\u00e0 r\u1ea5t quan tr\u1ecdng. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u di ch\u1ee9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb sau n\u00e0y. M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb b\u1ec7nh x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em l\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u00e0 bi\u1ebfn d\u1ea1ng kh\u1edbp.<\/p>\n

C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n

1. V\u1eadt l\u00fd tr\u1ecb li\u1ec7u: M\u1ee5c ti\u00eau c\u1ee7a v\u1eadt l\u00fd tr\u1ecb li\u1ec7u l\u00e0 duy tr\u00ec v\u00e0 t\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp, h\u1ea1n ch\u1ebf nguy c\u01a1 c\u1ee9ng kh\u1edbp. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn bao g\u1ed3m s\u00f3ng ng\u1eafn, tia h\u1ed3ng ngo\u1ea1i, v\u00e0 c\u00e1c b\u00e0i t\u1eadp Rehabilitation<\/a> kh\u1edbp. Trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, khi kh\u1edbp c\u1ea7n \u0111\u01b0\u1ee3c gi\u1eef t\u0129nh, c\u00e1c t\u01b0 th\u1ebf ph\u00f9 h\u1ee3p s\u1ebd \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 duy tr\u00ec bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng.<\/p>\n

2. S\u1eed d\u1ee5ng thu\u1ed1c: M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u01b0 aspirin, naproxen, ibuprofen c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 s\u01b0ng kh\u1edbp. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft, c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid ho\u1eb7c c\u00e1c lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch nh\u01b0 Methotrexate, Corticosteroid, Hydroxychloroquine c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa: Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, ph\u1eabu thu\u1eadt thay kh\u1edbp ho\u1eb7c ch\u1ec9nh h\u00ecnh c\u01a1 b\u1ea3n d\u1ea1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t.<\/p>\n

B\u1ec7nh x\u01b0\u01a1ng kh\u1edbp \u1edf tr\u1ebb em l\u00e0 m\u1ed9t b\u1ec7nh m\u00e3n t\u00ednh, v\u00e0 vi\u1ec7c kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u di ch\u1ee9ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb sau n\u00e0y. Do \u0111\u00f3, khi ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh nh\u01b0 \u0111au kh\u1edbp k\u00e9o d\u00e0i, m\u1ec7t m\u1ecfi, s\u1ed1t, ba m\u1eb9 n\u00ean \u0111\u01b0a tr\u1ebb \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean khoa s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

Xem th\u00eam c\u00e1c ki\u1ebfn th\u1ee9c kh\u00e1c<\/a><\/p>","protected":false},"excerpt":{"rendered":"

\u0110au nh\u1ee9c \u1edf ch\u00e2n tay th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb nh\u1ecf, do t\u00ednh c\u00e1ch n\u0103ng \u0111\u1ed9ng v\u00e0 th\u00edch v\u1eadn \u0111\u1ed9ng c\u1ee7a ch\u00fang. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, \u0111\u1eb7c bi\u1ec7t khi tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i v\u00e0 kh\u00f4ng gi\u1ea3m \u0111i, vi\u1ec7c th\u0103m kh\u00e1m ngay l\u00e0 c\u1ea7n thi\u1ebft, c\u00f3 th\u1ec3 \u0111\u00e2y l\u00e0 bi\u1ec3u […]<\/p>\n","protected":false},"author":1,"featured_media":3228,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nxb":"","tac-gia":"","the-loai":"","nam-xuat-ban":"","ngon-ngu":"","isbn":"","gia":"","muc-luc":"","footnotes":""},"categories":[19],"tags":[],"class_list":["post-3223","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=3223"}],"version-history":[{"count":4,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3223\/revisions"}],"predecessor-version":[{"id":3230,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3223\/revisions\/3230"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/3228"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=3223"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/categories?post=3223"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=3223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}