{"id":22538,"date":"2020-07-13T16:55:12","date_gmt":"2020-07-13T09:55:12","guid":{"rendered":"https:\/\/asprou.com\/?p=22538"},"modified":"2020-08-11T13:45:28","modified_gmt":"2020-08-11T06:45:28","slug":"vaccine-nguoi-lon-18-tuoi","status":"publish","type":"post","link":"https:\/\/asprou.com\/y-te-suc-khoe\/vaccine-nguoi-lon-18-tuoi\/","title":{"rendered":"Vaccine ng\u01b0\u1eddi l\u1edbn > 18 tu\u1ed5i"},"content":{"rendered":"\n
L\u1ee2I \u00cdCH VI\u1ec6C CH\u1ee6NG NG\u1eeaA CHO NG\u01af\u1edcI L\u1edaN > 18 TU\u1ed4I.<\/strong><\/span><\/p>\n\n\n\n V\u00ec sao ng\u01b0\u1eddi l\u1edbn c\u1ea7n ti\u00eam vaccine?<\/span><\/strong><\/p>\n\n\n\n Nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng khuy\u1ebfn kh\u00edch ti\u00eam ng\u1eeba?<\/span><\/strong><\/p>\n\n\n\n Vaccine ph\u00f2ng ng\u1eeba ung th\u01b0 c\u1ed5 t\u1eed cung:<\/span><\/strong> Ti\u00eam ph\u00f2ng ung th\u01b0 c\u1ed5 t\u1eed cung gi\u00fap ng\u0103n ch\u1eb7n c\u0103n b\u1ec7nh nguy hi\u1ec3m h\u00e0ng \u0111\u1ea7u \u1edf ph\u1ee5 n\u1eef, ung th\u01b0 c\u1ed5 t\u1eed cung \u0111ang l\u00e0 b\u1ec7nh ph\u1ed5 bi\u1ebfn th\u1ee9 hai \u1edf ph\u1ee5 n\u1eef tr\u00ean to\u00e0n th\u1ebf gi\u1edbi v\u00e0 x\u1ebfp th\u1ee9 4 v\u1ec1 c\u00e1c b\u1ec7nh c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc v\u00e0 t\u1eed vong tr\u00ean to\u00e0n c\u1ea7u. T\u1ea1i Vi\u1ec7t Nam, v\u1eafc xin ph\u00f2ng HPV theo khuy\u1ebfn c\u00e1o c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t v\u1eafc xin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ti\u00eam cho n\u1eef gi\u1edbi trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 9 \u2013 26 tu\u1ed5i, b\u1ea5t lu\u1eadn \u0111\u00e3 t\u1eebng quan h\u1ec7 t\u00ecnh d\u1ee5c hay ch\u01b0a. V\u1eafc xin c\u00f3 hi\u1ec7u qu\u1ea3 k\u00e9o d\u00e0i l\u00ean \u0111\u1ebfn 30 n\u0103m.<\/p>\n\n\n\n L\u1ee2I \u00cdCH VI\u1ec6C CH\u1ee6NG NG\u1eeaA CHO NG\u01af\u1edcI L\u1edaN > 18 TU\u1ed4I. Ngo\u1ea1i tr\u1eeb ngu\u1ed3n n\u01b0\u1edbc s\u1ea1ch, kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p […]<\/p>\n","protected":false},"author":46,"featured_media":23857,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":""},"categories":[109],"tags":[606],"yoast_head":"\nVACCINE<\/strong><\/span><\/td> L\u1ecbch ti\u00eam<\/span><\/strong><\/td> N\u1ed9i dung c\u1ea7n bi\u1ebft<\/strong><\/span><\/td><\/tr> C\u00fam(Vaxigrip\/Influvac\/GCFlu)<\/strong><\/span><\/td> Ti\u00eam 1 li\u1ec1u 0.5ml, sau \u0111\u00f3 ti\u00eam nh\u1eafc l\u1ea1i h\u00e0ng n\u0103m.<\/span><\/td> Tri\u1ec7u ch\u1ee9ng (c\u00fam chi\u1ebfm 43%, \u0111au \u0111\u1ea7u chi\u1ebfm 59%, \u0111au h\u1ecdng chi\u1ebfm 35%, s\u1ed5 m\u0169i chi\u1ebfm 67%, s\u1ed1 chi\u1ebfm 75%, m\u1ecfi c\u01a1 chi\u1ebfm 51%)<\/td><\/tr> Vi\u00eam Gan B <\/strong><\/span>
Engerix-B <\/strong><\/span>
Twinrix1ml (B\u1ec9) <\/strong><\/span>
EUVAX b<\/strong><\/span><\/td>N\u1ebfu c\u01a1 th\u1ec3 ch\u01b0a t\u1eebng nhi\u1ec5m virus vi\u00eam gan B (HBsAg \u00e2m t\u00ednh) v\u00e0 ch\u01b0a c\u00f3 kh\u00e1ng th\u1ec3 vi\u00eam gan B (AntiHBs \u00e2m t\u00ednh) s\u1ebd \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o ti\u00eam ph\u00f2ng 3 m\u0169i theo ph\u00e1c \u0111\u1ed3:
M\u0169i 1: l\u1ea7n \u0111\u1ea7u \u0111\u1ebfn ti\u00eam.
M\u0169i 2: m\u1ed9t th\u00e1ng sau m\u0169i 1.
M\u0169i 3: s\u00e1u th\u00e1ng sau m\u0169i 1.<\/td>Ng\u01b0\u1eddi l\u1edbn ch\u00edch ng\u1eeba vi\u00eam gan B m\u1ea5y m\u0169i?<\/strong><\/span>
HBsAg (-), Anti HBs (+), t\u00ecnh tr\u1ea1ng<\/strong>: \u0110\u00e3 b\u1ecb nhi\u1ec5m nh\u01b0ng \u0111\u00e3 kh\u1ecfi b\u1ec7nh v\u00e0 c\u01a1 th\u1ec3 \u0111\u00e3 t\u1ea1o kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7 n\u00ean kh\u00f4ng c\u1ea7n ti\u00eam ng\u1eeba, \u0111\u00e3 ti\u00eam ng\u1eeba v\u1eafc-xin vi\u00eam gan B tr\u01b0\u1edbc \u0111\u00e2y.
HBsAg (-), Anti HBs (-), t\u00ecnh tr\u1ea1ng<\/strong>: C\u01a1 th\u1ec3 ho\u00e0n to\u00e0n ch\u01b0a b\u1ecb nhi\u1ec5m, n\u00ean ti\u00eam ng\u1eeba.
HBsAg (+), Anti HBs (-), t\u00ecnh tr\u1ea1ng<\/strong>: C\u01a1 th\u1ec3 \u0111ang b\u1ecb nhi\u1ec5m virus vi\u00eam gan B, c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e9p ti\u00eam ng\u1eeba (v\u00ec v\u1eafc xin l\u00fac n\u00e0y s\u1ebd kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng), b\u1ec7nh nh\u00e2n c\u1ea7n l\u00e0m th\u00eam m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u \u0111\u1ec3 b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb hay theo d\u00f5i.<\/td><\/tr>S\u1edfi – Quai b\u1ecb – Rubella<\/strong><\/span>
MMR II (Measles-Mumps Rubella<\/span>)<\/td>– V\u1edbi tr\u1ebb > 7 tu\u1ed5i v\u00e0 ng\u01b0\u1eddi l\u1edbn:
+ M\u0169i 1 l\u00e0 l\u1ea7n ti\u00eam \u0111\u1ea7u ti\u00ean.
+ M\u0169i 2 c\u00e1ch m\u0169i 1 \u00edt nh\u1ea5t 1 th\u00e1ng.
– Ri\u00eang v\u1edbi ph\u1ee5 n\u1eef, n\u00ean ho\u00e0n t\u1ea5t ph\u00e1c \u0111\u1ed3 ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc khi mang thai \u00edt nh\u1ea5t 3 th\u00e1ng<\/strong>.<\/td>T\u1ea1i sao ph\u1ea3i ti\u00eam vaccine S\u1edfi- Quai b\u1ecb – Rubella?<\/strong>
– S\u1edfi, quai b\u1ecb, rubella \u0111\u1ec1u l\u00e0 d\u1eabn c\u0103n b\u1ec7nh r\u1ea5t d\u1ec5 l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee7ng ng\u1eeba b\u1eb1ng v\u1eafc xin tr\u01b0\u1edbc \u0111\u00f3. Hi\u1ec7n nay, \u0111\u00e3 c\u00f3 v\u1eafc xin k\u1ebft h\u1ee3p gi\u00fap ph\u00f2ng c\u00f9ng l\u00fac ba b\u1ec7nh s\u1edfi, quai b\u1ecb, rubella ch\u1ec9 trong 1 m\u0169i ti\u00eam, ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 v\u1eafc xin MMR II.
<\/td><\/tr>U\u1ed1n v\u00e1n (VAT)<\/span><\/strong><\/td> – L\u1ecbch ti\u00eam ng\u1eeba u\u1ed1n v\u00e1n d\u1ef1 ph\u00f2ng nh\u01b0 sau:
+ L\u1ea7n 1: Ti\u00eam m\u0169i VAT th\u1ee9 nh\u1ea5t.
+ L\u1ea7n 2: Th\u1ef1c hi\u1ec7n ti\u00eam m\u0169i th\u1ee9 2 sau 30 ng\u00e0y.
+ L\u1ea7n 3: M\u0169i th\u1ee9 3 c\u00e1ch m\u0169i th\u1ee9 2 kho\u1ea3ng 6 – 12 th\u00e1ng.
+ L\u1ea7n 4: 5 n\u0103m sau ti\u00eam m\u0169i v\u1eafc xin th\u1ee9 4.
+ L\u1ea7n 5: Sau 10 n\u0103m ti\u00eam th\u00eam m\u0169i v\u1eafc xin VAT th\u1ee9 5.<\/td>– \u0110\u00e2y l\u00e0 lo\u1ea1i v\u1eafc xin c\u1ea7n thi\u1ebft cho t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi.<\/span><\/strong>
+ G\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt do u\u1ed1n v\u00e1n g\u00e2y n\u00ean v\u1eabn \u0111ang hi\u1ec7n h\u1eefu t\u1eebng ng\u00e0y. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ecb u\u1ed1n v\u00e1n nguy k\u1ecbch ch\u1ec9 t\u1eeb v\u1ebft th\u01b0\u01a1ng nh\u1ecf nh\u01b0 g\u00e0 m\u1ed5, heo c\u1ea1p, b\u00f2 \u0111\u1ea1p, gai \u0111\u00e2m\u2026 v\u00e0 h\u1ea7u h\u1ebft ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec1u kh\u00f4ng ngh\u0129 m\u00ecnh s\u1ebd m\u1eafc b\u1ec7nh u\u1ed1n v\u00e1n n\u00ean ch\u1ee7 quan trong \u0111i\u1ec1u tr\u1ecb, kh\u00f4ng \u0111i ti\u00eam ph\u00f2ng (ch\u00edch ng\u1eeba) k\u1ecbp th\u1eddi v\u00e0 ph\u1ea3i nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng b\u1ec7nh \u0111\u00e3 ti\u1ebfn tri\u1ec3n n\u1eb7ng\u2026 Ti\u00eam ph\u00f2ng ch\u00ednh l\u00e0 bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t.
+ Vi\u1ec7c ti\u00eam ph\u00f2ng v\u1eafc xin u\u1ed1n v\u00e1n \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho t\u1ea5t c\u1ea3 tr\u1ebb s\u01a1 sinh, tr\u1ebb em, tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean v\u00e0 ng\u01b0\u1eddi l\u1edbn\/ng\u01b0\u1eddi l\u1edbn tu\u1ed5i. Li\u1ec7u tr\u00ecnh c\u01a1 b\u1ea3n g\u1ed3m 3 \u2013 4 m\u0169i ph\u1ee5 thu\u1ed9c v\u00e0o khuy\u1ebfn c\u00e1o c\u1ee7a t\u1eebng qu\u1ed1c gia v\u00e0 sau \u0111\u00f3 ti\u00eam nh\u1eafc l\u1ea1i m\u1ed7i 10 n\u0103m.
* 4 b\u01b0\u1edbc x\u1eed l\u00fd v\u1ebft th\u01b0\u01a1ng ng\u0103n ng\u1eeba u\u1ed1n v\u00e1n:
1. R\u1eeda s\u1ea1ch v\u1ebft th\u01b0\u01a1ng.
2. S\u00e1t tr\u00f9ng v\u1ebft th\u01b0\u01a1ng.
3. \u0110\u1ec3 h\u1edf v\u1ebft th\u01b0\u01a1ng kh\u00f4ng b\u1ecbt k\u00edn, kh\u00f4ng l\u1eafp \u0111\u1eb7t g\u00ec l\u00ean v\u1ebft th\u01b0\u01a1ng vi\u00eam nhi\u1ec5m v\u00e0 tao m\u00f4i tr\u01b0\u1eddng y\u1ebfm kh\u00ed.
4. Ti\u00eam ph\u00f2ng u\u1ed1n v\u00e1n, ng\u0103n ch\u1eb7n r\u1ee7i ro cho s\u1ee9c kh\u1ecfe.<\/td><\/tr>Vi\u00eam m\u00e0ng n\u00e3o m\u00f4 c\u1ea7u ACYW<\/span><\/strong><\/td> – Ti\u00eam m\u1ed9t li\u1ec1u duy nh\u1ea5t (Tr\u1ebb tr\u00f2n 24 th\u00e1ng \u0111\u1ebfn 55 tu\u1ed5i ti\u00eam 1 li\u1ec1u duy nh\u1ea5t).
<\/td>– C\u00f3 \u00edt nh\u1ea5t 12 lo\u1ea1i N. meningitidis, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cc\u00e1c nh\u00f3m huy\u1ebft thanh\u201d. C\u00e1c nh\u00f3m huy\u1ebft thanh A, B, C, W, v\u00e0 Y g\u00e2y ra b\u1ec7nh vi\u00eam m\u00e0ng n\u00e3o m\u00f4 c\u1ea7u nhi\u1ec1u nh\u1ea5t. T\u1ea1i Vi\u1ec7t Nam, ghi nh\u1eadn h\u1eb1ng n\u0103m c\u00f3 h\u01a1n 600 tr\u01b0\u01a1\u0300ng h\u01a1\u0323p m\u1eafc vi\u00eam ma\u0300ng na\u0303o vi khu\u1ea9n, trong \u0111o\u0301 vi khu\u1ea9n na\u0303o m\u00f4 c\u00e2\u0300u chi\u00ea\u0301m khoa\u0309ng 14%.
– B\u1ea5t k\u1ef3 ai c\u0169ng c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh vi\u00eam m\u00e0ng n\u00e3o m\u00f4 c\u1ea7u bao g\u1ed3m:
+ Tr\u1ebb s\u01a1 sinh d\u01b0\u1edbi m\u1ed9t tu\u1ed5i.
+ Tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean v\u00e0 thanh ni\u00ean t\u1eeb 16 \u0111\u1ebfn 23 tu\u1ed5i.
+ Ng\u01b0\u1eddi m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh tr\u1ea1ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 mi\u1ec5n d\u1ecbch.
+ Nh\u1eefng nh\u00e0 vi tr\u00f9ng h\u1ecdc th\u01b0\u1eddng xuy\u00ean l\u00e0m vi\u1ec7c v\u1edbi c\u00e1c th\u1ec3 ph\u00e2n l\u1eadp N. Meningitidis.<\/td><\/tr><\/tbody><\/table>Lo\u1ea1i v\u1eafc xin<\/span><\/strong><\/td> V\u1eafc xin Gardasil (M\u1ef9)<\/span><\/strong><\/td> V\u1eafc xin Cervarix (B\u1ec9)<\/strong><\/span><\/td><\/tr> S\u1ed1 ch\u1ee7ng ph\u00f2ng ng\u1eeba<\/span><\/strong><\/td> Ph\u00f2ng 4 t\u00fdp HPV (6, 11, 16 v\u00e0 18)<\/td> Ph\u00f2ng 2 t\u00fdp HPV (16 v\u00e0 18)<\/td><\/tr> \u0110\u1ed1i t\u01b0\u1ee3ng ti\u00eam<\/span><\/strong><\/td> Ti\u00eam cho n\u1eef gi\u1edbi t\u1eeb 9 tu\u1ed5i \u0111\u1ebfn 26 tu\u1ed5i<\/td> Ti\u00eam cho n\u1eef gi\u1edbi t\u1eeb 10 tu\u1ed5i \u0111\u1ebfn 25 tu\u1ed5i.<\/td><\/tr> L\u1ecbch ti\u00eam<\/span><\/strong><\/td> G\u1ed3m 3 m\u0169i:
– M\u0169i 1: l\u00e0 ng\u00e0y ti\u00eam m\u0169i \u0111\u1ea7u ti\u00ean.
– M\u0169i 2: 2 th\u00e1ng sau m\u0169i \u0111\u1ea7u ti\u00ean.
– M\u0169i 3: 6 th\u00e1ng sau m\u0169i \u0111\u1ea7u ti\u00ean.<\/td>G\u1ed3m 3 m\u0169i:
– M\u0169i 1: l\u00e0 ng\u00e0y ti\u00eam m\u0169i \u0111\u1ea7u ti\u00ean.
– M\u0169i 2: 1 th\u00e1ng sau m\u0169i \u0111\u1ea7u ti\u00ean.
– M\u0169i 3: 6 th\u00e1ng sau m\u0169i \u0111\u1ea7u ti\u00ean.<\/td><\/tr>T\u00e1c d\u1ee5ng<\/span><\/strong><\/td> Ph\u00f2ng ng\u1eeba ung th\u01b0 c\u1ed5 t\u1eed cung, ung th\u01b0 \u00e2m h\u1ed9, ung th\u01b0 \u00e2m \u0111\u1ea1o, m\u1ee5n c\u00f3c sinh d\u1ee5c v\u00e0 ung th\u01b0 h\u1eadu m\u00f4n.<\/td> Ph\u00f2ng ng\u1eeba ung th\u01b0 c\u1ed5 t\u1eed cung<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"