{"id":13279,"date":"2018-08-08T10:28:05","date_gmt":"2018-08-08T03:28:05","guid":{"rendered":"https:\/\/ttud.com.vn\/?p=13279"},"modified":"2018-08-08T10:28:05","modified_gmt":"2018-08-08T03:28:05","slug":"nhung-dieu-ban-chua-biet-ve-vi-khuan-an-thit-nguoi","status":"publish","type":"post","link":"https:\/\/casta.ttud.com.vn\/index.php\/nhung-dieu-ban-chua-biet-ve-vi-khuan-an-thit-nguoi\/","title":{"rendered":"Nh\u1eefng \u0111i\u1ec1u b\u1ea1n ch\u01b0a bi\u1ebft v\u1ec1 vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi"},"content":{"rendered":"

C\u00e1i gi\u00e1 c\u00f3 th\u1ec3 l\u00e0 m\u1ea1ng s\u1ed1ng c\u1ee7a b\u1ea1n, nh\u1eb9 th\u00ec v\u00e0i cu\u1ed9c ph\u1eabu thu\u1eadt cho \u0111\u1ebfn c\u1eaft c\u1ee5t chi.<\/strong><\/p>\n

Necrotizing fasciitis l\u00e0 thu\u1eadt ng\u1eef l\u00e2m s\u00e0ng \u0111\u1ec3 g\u1ecdi c\u0103n b\u1ec7nh g\u00e2y ra b\u1edfi nh\u1eefng con vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi. Ch\u00fang c\u00f3 th\u1ec3 nhi\u1ec5m v\u00e0o c\u01a1 th\u1ec3 b\u1ea1n t\u1eeb n\u01b0\u1edbc b\u1ea9n, khi \u0111i b\u01a1i ho\u1eb7c th\u1eadm ch\u00ed \u0111i d\u1ea1o b\u00ean b\u1edd bi\u1ec3n.<\/div>\n
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M\u1eb7c d\u00f9 kh\u00e1 hi\u1ebfm g\u1eb7p, vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng c\u00e1i ch\u1ebft bi th\u1ea3m, \u00e1m \u1ea3nh b\u1ea5t c\u1ee9 ai t\u1eebng bi\u1ebft \u0111\u1ebfn n\u00f3. N\u1ebfu mu\u1ed1n m\u1ea5t \u0103n m\u1ea5t ng\u1ee7, b\u1ea1n c\u1ee9 th\u1eed google t\u1eeb kh\u00f3a “Necrotizing\u00a0fasciitis” v\u00e0 xem\u00a0nh\u1eefng h\u00ecnh \u1ea3nh v\u1ec1 n\u00f3.<\/p>\n

R\u1ed3i b\u1ea1n s\u1ebd th\u1ea5y h\u00ecnh \u1ea3nh minh h\u1ecda d\u01b0\u1edbi \u0111\u00e2y \u0111\u00e3 nh\u1eb9 nh\u00e0ng l\u1eafm r\u1ed3i:<\/p>\n

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\"Nh\u1eefng<\/div>\n
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\u0110\u1eebng bao gi\u1edd l\u1ed9i xu\u1ed1ng n\u01b0\u1edbc b\u1ea9n ch\u01a1i, n\u1ebfu kh\u00f4ng mu\u1ed1n nhi\u1ec5m vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi<\/p>\n<\/div>\n<\/div>\n

Ngay trong th\u00e1ng 5 v\u1eeba r\u1ed3i, m\u1ed9t nh\u1ea1c s\u0129 ng\u01b0\u1eddi Nga c\u00f3 t\u00ean l\u00e0\u00a0Andrey Suchilin\u00a0\u0111\u00e3 b\u1ecb Necrotizing fasciitis d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed n\u1ed9i t\u1ea1ng khi \u0111ang tr\u00ean \u0111\u01b0\u1eddng bay t\u1eeb T\u00e2y Ban Nha t\u1edbi H\u00e0 Lan. Chuy\u1ebfn bay \u0111\u00e3 ph\u1ea3i h\u1ea1 c\u00e1nh kh\u1ea9n c\u1ea5p v\u00ec c\u00e1c h\u00e0nh kh\u00e1ch kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c m\u00f9i th\u1ecbt th\u1ed1i r\u1eefa ph\u00e1t ra t\u1eeb \u00f4ng \u1ea5y.<\/p>\n

Kh\u00f4ng ai bi\u1ebft \u0111i\u1ec1u g\u00ec \u0111\u00e3 x\u1ea3y ra, k\u1ec3 c\u1ea3 n\u1ea1n nh\u00e2n c\u1ee7a Necrotizing fasciitis. Vi khu\u1ea9n \u0111\u00e3 nhi\u1ec5m v\u00e0o ng\u01b0\u1eddi Suchilin trong m\u1ed9t th\u1eddi \u0111i\u1ec3m n\u00e0o \u0111\u00f3, t\u1eeb v\u1ebft th\u01b0\u01a1ng h\u1edf ho\u1eb7c m\u1ed9t bu\u1ed5i \u0111i b\u01a1i \u1edf b\u00e3i bi\u1ec3n.<\/p>\n

Tr\u01b0\u1edbc khi l\u00ean m\u00e1y bay, \u00f4ng b\u1ecb s\u1ed1t v\u00e0 \u0111i kh\u00e1m. Nh\u01b0ng b\u00e1c s\u0129 cho r\u1eb1ng \u0111\u00f3 ch\u1ec9 l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng th\u00f4ng th\u01b0\u1eddng. Ch\u1ec9 \u0111\u1ebfn khi c\u01a1 th\u1ec3 Suchilin t\u1ecfa ra m\u1ed9t m\u00f9i th\u1ed1i r\u1eefa kh\u00f3 ch\u1ecbu, nh\u1eefng con vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi m\u1edbi l\u1ed9 di\u1ec7n. Suchilin t\u1eed vong sau v\u00e0i tu\u1ea7n v\u00ec suy \u0111a t\u1ea1ng.<\/p>\n

M\u1ed9t ca nhi\u1ec5m vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi kh\u00e1c l\u00e0 Alan Avery, m\u1ed9t ch\u1ee7 s\u1edf h\u1eefu ph\u00f2ng tr\u01b0ng b\u00e0y ngh\u1ec7 thu\u1eadt \u1edf Atlanta. N\u0103m 2016, ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng 50 tu\u1ed5i n\u00e0y \u0111\u00e3 may m\u1eafn s\u1ed1ng s\u00f3t sau khi m\u1eafc Necrotizing fasciitis. Trong m\u1ed9t chuy\u1ebfn l\u01b0\u1edbt s\u00f3ng, Avery b\u1ecb x\u01b0\u1edbc b\u1ee5ng d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng.<\/p>\n

M\u1eb7c d\u00f9 c\u1ea3 \u00f4ng v\u00e0 b\u00e1c s\u0129 \u0111\u1ec1u ngh\u0129 v\u1ebft x\u01b0\u1edbc kh\u00f4ng nghi\u00eam tr\u1ecdng, sau m\u1ed9t v\u00e0i ng\u00e0y, Avery b\u1eaft \u0111\u1ea7u c\u00f3 tri\u1ec7u ch\u1ee9ng nhi\u1ec5m tr\u00f9ng m\u00e1u. \u00d4ng k\u1ec3 l\u1ea1i m\u00ecnh \u0111\u00e3 g\u1eb7p \u1ea3o gi\u00e1c khi ng\u1ed3i tr\u01b0\u1edbc hi\u00ean nh\u00e0, nh\u00ecn th\u1ea5y m\u1ed9t t\u00e1c ph\u1ea9m \u0111i\u00eau kh\u1eafc trong s\u00e2n bi\u1ebfn th\u00e0nh ng\u01b0\u1eddi kh\u1ed5ng l\u1ed3 \u0111i xu\u1ed1ng ph\u1ed1.<\/p>\n

Avery g\u1ecdi \u0111i\u1ec7n b\u00e1o c\u1ea3nh s\u00e1t trong t\u00ecnh tr\u1ea1ng hoang t\u01b0\u1edfng. May m\u1eafn, vi\u00ean c\u1ea3nh s\u00e1t nh\u1eadn ra \u00f4ng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n s\u1eed d\u1ee5ng ma t\u00fay. Thay v\u00e0o \u0111\u00f3, Avery \u0111ang \u1edf trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch v\u00e0 c\u1ea7n c\u1ea5p c\u1ee9u y t\u1ebf. C\u00e1c b\u00e1c s\u0129 n\u00f3i ch\u1ec9 mu\u1ed9n v\u00e0i gi\u1edd th\u00f4i, \u00f4ng s\u1ebd ch\u1ebft.<\/p>\n

“T\u00f4i may m\u1eafn v\u00ec \u0111\u00e3 ph\u00e1t hi\u1ec7n ra nhi\u1ec5m tr\u00f9ng s\u1edbm<\/i>“, Avery n\u00f3i. “T\u00f4i \u0111\u00e3 ph\u1ea3i tr\u1ea3i qua 11 ca ph\u1eabu thu\u1eadt, d\u00e0nh c\u1ea3 1 n\u0103m tr\u00ean xe l\u0103n v\u00e0 m\u00e1y t\u1eadp \u0111i b\u1ed9. Nh\u01b0ng t\u00f4i v\u1eabn may m\u1eafn v\u00ec \u0111\u01b0\u1ee3c s\u1ed1ng<\/i>“.<\/p>\n

M\u1ed9t th\u1ef1c t\u1ebf, h\u1ea7u h\u1ebft c\u00e1c b\u00e1c s\u0129 ch\u1ec9 g\u1eb7p 1 tr\u01b0\u1eddng h\u1ee3p Necrotizing fasciitis trong s\u1ef1 nghi\u1ec7p c\u1ee7a m\u00ecnh, \u0111i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 h\u1ecd kh\u00f4ng c\u00f3 kinh nghi\u1ec7m v\u00e0 r\u1ea5t d\u1ec5 ch\u1ea9n \u0111o\u00e1n sai.<\/p>\n

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\"Nh\u1eefng<\/div>\n
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Necrotizing fasciitis d\u1ec5 b\u1ecb ch\u1ea9n \u0111o\u00e1n sai, b\u1edfi trung b\u00ecnh m\u1ed7i b\u00e1c s\u0129 ch\u1ec9 g\u1eb7p 1 n\u1ea1n nh\u00e2n c\u1ee7a n\u00f3 trong \u0111\u1eddi<\/p>\n<\/div>\n<\/div>\n

Vi khu\u1ea9n n\u00e0o l\u00e0 vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi?<\/b><\/p>\n

Theo Colleen Kraft, m\u1ed9t b\u00e1c s\u0129 b\u1ec7nh truy\u1ec1n nhi\u1ec5m t\u1ea1i \u0110\u1ea1i h\u1ecdc Emory, c\u00f3 r\u1ea5t nhi\u1ec1u lo\u00e0i vi khu\u1ea9n th\u00f4ng th\u01b0\u1eddng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra Necrotizing fasciitis. Ch\u00fang kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i l\u00e0 vi khu\u1ea9n \u0111\u1ed9t bi\u1ebfn ho\u1eb7c c\u00e1c vi khu\u1ea9n hi\u1ebfm g\u1eb7p.<\/p>\n

“Necrotizing fasciitis l\u00e0 do vi khu\u1ea9n \u1edf sai ch\u1ed7. Khi vi khu\u1ea9n chui \u0111\u01b0\u1ee3c v\u00e0o l\u1edbp fascia \u2013 n\u1eb1m gi\u1eefa da v\u00e0 c\u01a1 b\u1eafp \u2013 n\u00f3 \u0111\u00e3 l\u1ecdt \u0111\u01b0\u1ee3c v\u00e0o n\u01a1i gi\u1ed1ng nh\u01b0 m\u1ed9t si\u00eau xa l\u1ed9 \u0111\u1ec3 lan truy\u1ec1n r\u1ed9ng kh\u1eafp c\u01a1 th\u1ec3<\/i>“, b\u00e1c s\u0129 Kraft n\u00f3i. “R\u1ea5t nhi\u1ec1u vi khu\u1ea9n v\u1ed1n s\u1ed1ng trong m\u00f4i tr\u01b0\u1eddng \u1ea9m \u01b0\u1edbt, v\u00ec v\u1eady, ch\u00fang l\u00e2y lan \u0111i\u00ean lo\u1ea1n m\u1ed9t khi v\u00e0o \u0111\u01b0\u1ee3c b\u00ean trong fascia”.<\/i><\/p>\n

Nh\u1eefng nghi ph\u1ea1m th\u00f4ng th\u01b0\u1eddng g\u00e2y ra Necrotizing fasciitis l\u00e0 nh\u00f3m A Strep, E. Coli, Staph v\u00e0 Vibrio (m\u1ed9t ch\u1ee7ng \u0111\u1eb7c bi\u1ec7t c\u00f3 \u0111\u1ed9c t\u00ednh trong n\u01b0\u1edbc m\u1eb7n). Nh\u1eefng vi khu\u1ea9n n\u00e0y c\u00f3 m\u1eb7t m\u1ecdi l\u00fac xung quanh ch\u00fang ta. Staph l\u00e0 m\u1ed9t v\u00ed d\u1ee5, n\u00f3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean da c\u1ee7a nh\u1eefng ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh. Ch\u1ec9 khi da b\u1ecb x\u01b0\u1edbc x\u00e1t cho ph\u00e9p Staph v\u00e0o b\u00ean trong c\u01a1 th\u1ec3, n\u00f3 m\u1edbi khi\u1ebfn b\u1ea1n b\u1ecb b\u1ec7nh.<\/p>\n

Vi khu\u1ea9n t\u1ea5n c\u00f4ng l\u1edbp fascia, g\u00e2y ho\u1ea1i t\u1eed v\u00e0 l\u00e2y lan nhanh ch\u00f3ng. B\u00e1c s\u0129 Kraft n\u00f3i vi khu\u1ea9n c\u0169ng c\u1ed1 g\u1eafng tho\u00e1t ra ngo\u00e0i khi ch\u00fang gi\u1ebft ch\u1ebft c\u00e1c m\u00f4 m\u1ec1m v\u00e0 ti\u1ebfp t\u1ee5c nh\u00e2n l\u00ean. Nh\u01b0ng b\u1edfi \u0111\u00e3 b\u1ecb k\u1eb9p gi\u1eefa l\u1edbp da v\u00e0 c\u01a1 b\u1eafp, ch\u00fang nhanh ch\u00f3ng lan truy\u1ec1n trong l\u1edbp fascia \u0111i kh\u1eafp c\u01a1 th\u1ec3. S\u1ef1 ph\u00e1t tri\u1ec3n \u00e2m th\u1ea7m n\u00e0y \u00edt \u0111\u01b0\u1ee3c c\u1ea3 b\u1ec7nh nh\u00e2n l\u1eabn b\u00e1c s\u0129 ch\u00fa \u00fd \u0111\u1ebfn.<\/p>\n

M\u1eb7c d\u00f9 nh\u00ecn b\u1ec1 ngo\u00e0i b\u1ec7nh nh\u00e2n c\u00f3 v\u1ebb \u1ed5n, nhi\u1ec5m tr\u00f9ng trong fascia c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n r\u1ea5t nhanh. V\u00e0 m\u1ed9t khi b\u1ec7nh nh\u00e2n \u0111\u00e3 m\u1eafc Necrotizing fasciitis, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb g\u1eb7p r\u1ea5t nhi\u1ec1u th\u00e1ch th\u1ee9c. Thu\u1ed1c kh\u00e1ng sinh ch\u1ec9 c\u00f3 th\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n, trong khi b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 m\u00f4 ho\u1ea1i t\u1eed.<\/p>\n

\u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn vi\u1ec7c ch\u1eefa tr\u1ecb Necrotizing fasciitis th\u01b0\u1eddng \u0111\u00f2i h\u1ecfi c\u1eaft c\u1ee5t chi.<\/p>\n

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\"Nh\u1eefng<\/div>\n
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Khi vi khu\u1ea9n l\u1ecdt \u0111\u01b0\u1ee3c v\u00e0o l\u1edbp fascia n\u1eb1m gi\u1eefa da v\u00e0 c\u01a1, n\u00f3 c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u “\u0103n th\u1ecbt” n\u1ea1n nh\u00e2n v\u00e0 l\u00e2y lan kh\u1eafp c\u01a1 th\u1ec3<\/p>\n<\/div>\n<\/div>\n

Theo Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ng\u1eeba d\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC), m\u1ed7i n\u0103m t\u1ea1i M\u1ef9 c\u00f3 t\u1eeb 700 -1.200 ng\u01b0\u1eddi m\u1eafc Necrotizing fasciitis. C\u1ee9 4 b\u1ec7nh nh\u00e2n th\u00ec c\u00f3 1 ng\u01b0\u1eddi ch\u1ebft. Trong khi \u0111\u00f3, con s\u1ed1 th\u1ef1c t\u1ebf c\u00f2n c\u00f3 th\u1ec3 cao h\u01a1n v\u00ec nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p Necrotizing fasciitis kh\u00f4ng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. CDC hi\u1ec7n ch\u1ec9 \u0111ang theo d\u00f5i c\u00e1c ca nhi\u1ec5m tr\u00f9ng g\u00e2y ra b\u1edfi Nh\u00f3m A Strep, ngu\u1ed3n l\u00e2y nhi\u1ec5m Necrotizing fasciitis ph\u1ed5 bi\u1ebfn nh\u1ea5t.<\/p>\n

Nh\u01b0ng b\u00ean c\u1ea1nh \u0111\u00f3, v\u1eabn c\u00f3 nh\u1eefng ch\u1ee7ng vi khu\u1ea9n ph\u1ed5 bi\u1ebfn kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra Necrotizing fasciitis bao g\u1ed3m Vibrio, E. coli v\u00e0 Aeromonas hydrophila. Ch\u00fang th\u01b0\u1eddng ph\u00e1t tri\u1ec3n m\u1ea1nh trong m\u00f4i tr\u01b0\u1eddng n\u01b0\u1edbc nh\u01b0 \u1edf h\u1ed3, s\u00f4ng, khu v\u1ef1c n\u01b0\u1edbc m\u1eb7n th\u1eadm ch\u00ed c\u1ea3 h\u1ed3 b\u01a1i v\u00e0 b\u1ed3n t\u1eafm n\u01b0\u1edbc n\u00f3ng. Nh\u1eefng vi khu\u1ea9n n\u00e0y r\u1ea5t nguy hi\u1ec3m m\u1ed9t khi ch\u00fang chui \u0111\u01b0\u1ee3c qua da v\u00e0 nhi\u1ec5m v\u00e0o m\u00f4 s\u00e2u b\u00ean trong ng\u01b0\u1eddi.<\/p>\n

N\u0103m ngo\u00e1i, \u00edt nh\u1ea5t hai ng\u01b0\u1eddi t\u1ea1i M\u1ef9 \u0111\u00e3 ch\u1ebft v\u00ec Necrotizing fasciitis sau khi nhi\u1ec5m n\u00f3 t\u1eeb v\u00f9ng l\u1ee5t sau b\u00e3o Hurricane Harvey. B\u1ea1n th\u1eadm ch\u00ed v\u1eabn c\u00f3 th\u1ec3 nhi\u1ec5m vi khu\u1ea9n m\u1eb7c d\u00f9 kh\u00f4ng l\u1ed9i xu\u1ed1ng n\u01b0\u1edbc. M\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng \u1edf California b\u1ecb Necrotizing fasciitis sau khi b\u1eaft m\u1ed9t con c\u00e1 khi\u1ebfn tay \u00f4ng b\u1ecb tr\u1ea7y x\u01b0\u1edbc.<\/p>\n

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\"Nh\u1eefng<\/div>\n
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Vibrio vulnificus l\u00e0 m\u1ed9t lo\u00e0i c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi<\/p>\n<\/div>\n<\/div>\n

N\u00ean tr\u00e1nh nh\u1eefng v\u00f9ng n\u01b0\u1edbc n\u00e0o?<\/b><\/p>\n

\u1ede M\u1ef9, ch\u00ednh quy\u1ec1n v\u00e0 c\u01a1 quan b\u1ea3o v\u1ec7 m\u00f4i tr\u01b0\u1eddng \u0111\u1ecba ph\u01b0\u01a1ng th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra c\u00e1c trung t\u00e2m gi\u1ea3i tr\u00ed d\u01b0\u1edbi n\u01b0\u1edbc. H\u1ecd s\u1ebd \u0111\u00f3ng c\u1eeda c\u00e1c c\u01a1 s\u1edf n\u00e0y khi th\u1ea5y n\u1ed3ng \u0111\u1ed9 vi khu\u1ea9n v\u01b0\u1ee3t ng\u01b0\u1ee1ng an to\u00e0n.<\/p>\n

Candice Hoffman, ng\u01b0\u1eddi ph\u00e1t ng\u00f4n c\u1ee7a CDC, khuy\u1ebfn ngh\u1ecb m\u1ecdi ng\u01b0\u1eddi n\u00ean tr\u00e1nh ao h\u1ed3, s\u00f4ng su\u1ed1i ho\u1eb7c c\u00e1c b\u00e3i bi\u1ec3n, n\u1ebfu n\u00f3 b\u1ecb \u0111\u00f3ng c\u1eeda v\u00ec c\u00f3 khuy\u1ebfn c\u00e1o m\u1ee9c \u0111\u1ed9 vi khu\u1ea9n cao ho\u1eb7c c\u00e1c s\u1ef1 c\u1ed1 kh\u00e1c nh\u01b0 tr\u00e0n n\u01b0\u1edbc th\u1ea3i ho\u1eb7c t\u1ea3o n\u1edf hoa.<\/p>\n

CDC c\u0169ng khuy\u00ean m\u1ecdi ng\u01b0\u1eddi n\u00ean tr\u00e1nh b\u1eaft c\u00e1 ho\u1eb7c c\u00e1c \u0111\u1ed9ng v\u1eadt kh\u00e1c ch\u1ebft trong ho\u1eb7c g\u1ea7n khu v\u1ef1c n\u01b0\u1edbc b\u1ecb \u0111\u1ed5i m\u00e0u, c\u00f3 v\u00e1ng, b\u1ecdt ho\u1eb7c b\u1ed1c m\u00f9i.<\/p>\n

N\u1ebfu c\u1ea3nh gi\u00e1c khi \u0111i bi\u1ec3n, b\u1ea1n n\u00ean tr\u00e1nh nh\u1eefng khu v\u1ef1c c\u00f3 n\u01b0\u1edbc l\u1ee3 \u1edf c\u1eeda s\u00f4ng, c\u1eeda bi\u1ec3n. D\u00f2ng n\u01b0\u1edbc ng\u1ecdt \u0111\u1ed5 v\u00e0o bi\u1ec3n t\u1eeb s\u00f4ng c\u00f3 th\u1ec3 mang theo b\u1ea5t c\u1ee9 th\u1ee9 g\u00ec, k\u1ec3 c\u1ea3 x\u00e1c \u0111\u1ed9ng v\u1eadt, t\u0103ng nguy c\u01a1 vi khu\u1ea9n s\u1ed1ng s\u00f3t v\u00e0 ph\u00e1t tri\u1ec3n.<\/p>\n

M\u1eb7c d\u00f9 v\u1eady, n\u01b0\u1edbc bi\u1ec3n th\u1eadm ch\u00ed n\u01b0\u1edbc trong h\u1ed3 b\u01a1i c\u0169ng c\u00f3 th\u1ec3 ch\u1ee9a vi khu\u1ea9n c\u00f3 th\u1ec3 g\u00e2y Necrotizing fasciitis. M\u1ed9t l\u1ea7n n\u1eefa, vi khu\u1ea9n kh\u00f4ng ph\u1ea3i v\u1ea5n \u0111\u1ec1, v\u1ea5n \u0111\u1ec1 l\u00e0 v\u1ecb tr\u00ed c\u1ee7a vi khu\u1ea9n.<\/p>\n

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\"Nh\u1eefngC<\/div>\n<\/div>\n

L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 t\u1ef1 b\u1ea3o v\u1ec7 m\u00ecnh kh\u1ecfi vi khu\u1ea9n \u0103n th\u1ecbt?<\/b><\/p>\n

Hoffman khuy\u00ean r\u1eb1ng c\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 \u0111\u01a1n gi\u1ea3n, b\u1eaft \u0111\u1ea7u t\u1eeb vi\u1ec7c\u00a0x\u1eed l\u00fd v\u1ebft th\u01b0\u01a1ng \u0111\u00fang c\u00e1ch. N\u1ebfu c\u00f3 \u0111i b\u01a1i ho\u1eb7c ho\u1ea1t \u0111\u1ed9ng \u1edf nh\u1eefng khu v\u1ef1c ng\u1eadp n\u01b0\u1edbc, h\u00e3y \u0111em theo m\u1ed9t chai n\u01b0\u1edbc s\u1ea1ch, x\u00e0 ph\u00f2ng kh\u00e1ng khu\u1ea9n, c\u1ed3n y t\u1ebf r\u1eeda v\u1ebft th\u01b0\u01a1ng v\u00e0 b\u00f4ng b\u0103ng \u0111\u1ec3 ph\u00f2ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng may.<\/p>\n

Quy tr\u00ecnh x\u1eed l\u00fd v\u1ebft th\u01b0\u01a1ng b\u1eaft \u0111\u1ea7u b\u1eb1ng vi\u1ec7c c\u1ea7m m\u00e1u. Sau \u0111\u00f3, r\u1eeda v\u1ebft th\u01b0\u01a1ng v\u00e0 c\u1ea3 khu v\u1ef1c xung quanh b\u1eb1ng n\u01b0\u1edbc s\u1ea1ch v\u00e0 x\u00e0 ph\u00f2ng. B\u1ea5t k\u1ef3 d\u1ecb v\u1eadt l\u1ea1 n\u00e0o, nh\u01b0 b\u1ee5i b\u1ea9n ho\u1eb7c c\u00e1t, c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c l\u1ea5y ra kh\u1ecfi v\u1ebft th\u01b0\u01a1ng.<\/p>\n

R\u1eeda v\u1ebft th\u01b0\u01a1ng l\u1ea7n cu\u1ed1i v\u1edbi c\u1ed3n y t\u1ebf, th\u1ea5m kh\u00f4 v\u00e0 b\u0103ng n\u1ebfu c\u1ea7n thi\u1ebft. Nh\u01b0ng l\u01b0u \u00fd, tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng d\u00f9ng b\u0103ng kh\u00f4ng th\u1ea5m v\u1edbi \u00fd \u0111\u1ecbnh nh\u1ea3y tr\u1edf l\u1ea1i m\u00f4i tr\u01b0\u1eddng n\u01b0\u1edbc. B\u0103ng kh\u00f4ng th\u1ea5m s\u1ebd b\u1eaby vi khu\u1ea9n v\u00e0 khi\u1ebfn cho v\u1ebft nhi\u1ec5m tr\u00f9ng tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n. N\u00f3 ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p b\u0103ng v\u1ebft th\u01b0\u01a1ng h\u1edf tr\u01b0\u1edbc khi \u0111i b\u01a1i.<\/p>\n

\n
\"Nh\u1eefng<\/div>\n
\n

Ch\u0103m s\u00f3c nh\u1eefng v\u1ebft th\u01b0\u01a1ng \u0111\u00fang c\u00e1ch v\u00e0 c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t<\/p>\n<\/div>\n<\/div>\n

Ch\u0103m s\u00f3c v\u1ebft th\u01b0\u01a1ng c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, Hoffman n\u00f3i, th\u1eddi gian l\u00e0 v\u00e0ng b\u1ea1c b\u1edfi vi khu\u1ea9n ph\u00e1t tri\u1ec3n r\u1ea5t nhanh. N\u1ebfu b\u1ea1n c\u1ea1o r\u00e2u, c\u1eaft ph\u1ea3i tay, ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 x\u01b0\u1edbc da trong khi b\u01a1i, n\u00f3 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch v\u00e0 ch\u0103m s\u00f3c c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t – kh\u00f4ng th\u1ec3 ch\u1eadm tr\u1ec5, kh\u00f4ng ph\u1ea3i \u0111\u1ee3i khi b\u1ea1n tr\u1edf v\u1ec1 nh\u00e0 b\u1eadt qu\u1ea1t hay pha \u0111\u1ed3 u\u1ed1ng xong m\u1edbi \u0111\u1ebfn l\u01b0\u1ee3t v\u1ebft th\u01b0\u01a1ng.<\/p>\n

Ch\u0103m s\u00f3c n\u00f3 ngay l\u1eadp t\u1ee9c v\u00e0 \u0111\u00fang c\u00e1ch l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 m\u1eafc Necrotizing fasciitis. C\u0169ng gi\u1ed1ng nh\u01b0 sau khi \u0111i r\u1eebng, b\u1ea1n c\u1ea7n ki\u1ec3m tra l\u1ea1i ng\u01b0\u1eddi xem c\u00f3 d\u00ednh v\u1eaft kh\u00f4ng, sau khi \u0111i b\u01a1i ho\u1eb7c \u1edf v\u00e0o khu v\u1ef1c c\u1ea7n ti\u1ebfp x\u00fac v\u1edbi n\u01b0\u1edbc, b\u1ea1n c\u0169ng n\u00ean ki\u1ec3m tra l\u1ea1i ng\u01b0\u1eddi m\u00ecnh xem c\u00f3 b\u1ecb tr\u1ea7y x\u01b0\u1edbc hay kh\u00f4ng.<\/p>\n

Tham kh\u1ea3o\u00a0Tonic<\/i><\/p>\n

B\u00c1O \u0110I\u1ec6N T\u1eec TR\u00cd TH\u1ee8C TR\u1eba<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

C\u00e1i gi\u00e1 c\u00f3 th\u1ec3 l\u00e0 m\u1ea1ng s\u1ed1ng c\u1ee7a b\u1ea1n, nh\u1eb9 th\u00ec v\u00e0i cu\u1ed9c ph\u1eabu thu\u1eadt cho \u0111\u1ebfn c\u1eaft c\u1ee5t chi. Necrotizing fasciitis l\u00e0 thu\u1eadt ng\u1eef l\u00e2m s\u00e0ng \u0111\u1ec3 g\u1ecdi c\u0103n b\u1ec7nh g\u00e2y ra b\u1edfi nh\u1eefng con vi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi. Ch\u00fang c\u00f3 th\u1ec3 nhi\u1ec5m v\u00e0o c\u01a1 th\u1ec3 b\u1ea1n t\u1eeb n\u01b0\u1edbc b\u1ea9n, khi \u0111i b\u01a1i […]<\/p>\n","protected":false},"author":18,"featured_media":13280,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-13279","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/posts\/13279","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/comments?post=13279"}],"version-history":[{"count":3,"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/posts\/13279\/revisions"}],"predecessor-version":[{"id":13312,"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/posts\/13279\/revisions\/13312"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/media\/13280"}],"wp:attachment":[{"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13279"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/casta.ttud.com.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}