Cum A la benh nhiem trung duong ho hap cap tinh do virus cum A gay ra. Benh co kha nang lay lan nhanh qua duong ho hap, dac biet trong moi truong dong nguoi, truong hoc, gia dinh, noi lam viec hoac khong gian kin.

Tai Dak Lak, thoi tiet thay doi giua mua mua va mua kho, chenh lech nhiet do ngay – dem, bui trong khong khi va viec tiep xuc gan voi nguoi benh co the lam tang nguy co mac cum A. Benh thuong khoi phat dot ngot, gay sot, dau dau, dau moi co the, ho va met moi ro ret.

Phan lon nguoi mac cum A co the hoi phuc sau vai ngay den khoang mot tuan neu duoc cham soc dung cach. Tuy nhien, cum A cung co the gay bien chung nguy hiem, nhat la o tre nho, nguoi cao tuoi, phu nu mang thai, nguoi co benh nen hoac nguoi suy giam mien dich.

Xem them:https://thienhanhhospital.com/

Cum A la gi?

Cum A la benh do virus Influenza A gay ra. Mot so chung virus cum A thuong duoc biet den gom A/H1N1 va A/H3N2. Virus lay truyen chu yeu qua:

Giot ban ho hap khi nguoi benh ho, hat hoi, noi chuyen.

Tiep xuc truc tiep voi dich tiet mui hong.

Cham tay vao be mat co virus roi dua len mat, mui hoac mieng.

Dung chung khan, ly uong nuoc, do dung ca nhan.

Tiep xuc gan trong khong gian kin, dong nguoi.

Thoi gian u benh thuong khoang 1–4 ngay. Nguoi benh co the lay virus ngay truoc khi trieu chung xuat hien va tiep tuc lay trong nhung ngay dau mac benh.

Tham khao them: BV Thien Hanh tinh Dak Lak

Trieu chung cum A tai Dak Lak thuong gap

1. Sot cao, khoi phat dot ngot

Sot la mot trong nhung trieu chung dien hinh cua cum A. Nguoi benh co the sot tu 38–40°C, xuat hien nhanh chong va keo dai vai ngay.

Sot thuong di kem:

On lanh hoac ret run.

Va mo hoi.

Mat nong, da nong.

Khat nuoc.

Met moi nhieu.

Dau dau hoac choang vang.

Khong phai truong hop nao cung sot cao, dac biet o nguoi cao tuoi, nguoi suy giam mien dich hoac nguoi da dung thuoc ha sot truoc do. Vi vay, khong nen loai tru cum A chi vi khong sot.

Tham khao them:Benh Vien Thien Hanh Dak Lak

2. Dau dau, chong mat

Cum A co the gay dau dau tu nhe den ro ret. Nguoi benh thuong cam thay:

Dau dau am i hoac dau nhieu.

Nang vung tran.

Choang vang khi dung len.

Nhay cam voi anh sang.

Kho tap trung.

Cam giac dau nang, met moi.

Neu dau dau du doi bat thuong, kem cung gay, non lien tuc, co giat, lo mo hoac roi loan y thuc, can di cap cuu de loai tru bien chung than kinh.

3. Dau moi toan than

Dau moi co the thuong la trieu chung noi bat giup phan biet cum voi cam lanh thong thuong. Nguoi benh co the bi:

Dau co.

Dau lung.

Dau vai gay.

Dau khop.

Moi tay chan.

Cam giac kiet suc.

Kho thuc hien cac hoat dong thuong ngay.

Muc do dau moi co the tang khi sot cao va thuong giam dan khi than nhiet on dinh.

4. Ho khan hoac ho co dom

Ho thuong xuat hien som hoac trong vai ngay dau mac cum. Ban dau, nguoi benh co the ho khan, rat hong, sau do xuat hien it dom.

Dac diem thuong gap:

Ho lien tuc hoac tung con.

Ho tang ve dem.

Ho gay dau rat nguc hoac hong.

Kho chiu khi hit sau.

Co the khan tieng.

Neu ho kem kho tho, dau nguc, tho nhanh, tim moi, ho ra mau hoac sot keo dai, can kham som vi co the da xuat hien viem phoi hoac bien chung khac.

5. Dau hong, rat hong

Nguoi benh co the cam thay:

Kho hong.

Ngua hong.

Dau rat khi nuot.

Kho chiu khi noi.

Khan tieng.

Cam giac vuong hong.

Dau hong do cum A thuong di kem ho va sot. Neu dau hong du doi, amidan co mu, kho ha mieng hoac kho nuot nuoc bot, can duoc kiem tra de loai tru viem amidan, ap xe quanh amidan hoac nhiem khuan khac.

6. So mui, nghet mui, hat hoi

Mot so nguoi mac cum A co bieu hien viem long duong ho hap nhu:

Chay nuoc mui.

Nghet mui.

Hat hoi.

Ngua mui.

Dich mui chay xuong hong.

Giam kha nang ngui.

So voi cam lanh, cum A thuong noi bat hon o sot, dau dau, dau moi co the va met moi dot ngot. Tuy nhien, chi dua vao trieu chung van khong the xac dinh chac chan tac nhan gay benh.

7. Met moi, ue oai keo dai

Cum A co the khien nguoi benh met nhieu hon cam lanh. Mot so bieu hien gom:

Khong muon van dong.

Buon ngu hoac ngu nhieu.

An uong kem.

Kho tap trung.

Giam nang suat lam viec.

Cam giac yeu suc sau khi het sot.

Tinh trang met moi co the keo dai them mot den vai tuan, nhat la khi nguoi benh sot cao, mat nuoc hoac co benh nen.

8. Chan an, buon non hoac non

Mot so truong hop cum A, dac biet o tre em, co the xuat hien:

Chan an.

Buon non.

Non.

Dau bung nhe.

Tieu chay.

Neu non nhieu, khong uong duoc nuoc, tieu it, moi kho, mat trung hoac lu du, can dua nguoi benh di kham vi co nguy co mat nuoc.

9. Dau tuc nguc

Ho nhieu co the gay dau co vung nguc. Tuy nhien, dau nguc cung co the la dau hieu cua bien chung ho hap hoac tim mach.

Can di kham ngay khi dau nguc:

Xuat hien ca khi khong ho.

Dau du doi hoac keo dai.

Kem kho tho.

Kem va mo hoi, choang hoac ngat.

Lan len vai, lung, co hoac ham.

Kem tim dap nhanh bat thuong.

10. Kho tho, tho nhanh hoac kho khe

Kho tho khong phai trieu chung nen xem nhe. Nguoi mac cum A co the kho tho do viem phoi, co that phe quan, boi nhiem hoac lam nang benh hen, COPD va cac benh phoi nen.

Dau hieu can chu y:

Tho nhanh hon binh thuong.

Cam giac hut hoi.

Kho tho khi nam.

Kho khe.

Dau nguc khi hit sau.

Tim moi hoac dau ngon tay.

Tre tho rut lom long nguc.

Khi co kho tho ro, nguoi benh can duoc dua den co so y te ngay.

Trieu chung cum A o tre em

Tre em, dac biet tre duoi 5 tuoi, co the dien tien nhanh hon nguoi lon. Trieu chung thuong gap gom:

Sot cao.

Ho.

So mui, nghet mui.

Dau hong.

Quay khoc, met moi.

Bo bu hoac an kem.

Non, tieu chay.

Dau moi co the nhung tre nho co the khong dien ta duoc.

Ngu nhieu hoac it tuong tac hon binh thuong.

Dau hieu cum A nang o tre

Can dua tre di kham ngay neu co:

Kho tho, tho rut lom nguc.

Moi hoac mat tim tai.

Sot cao keo dai hoac sot giam roi tang tro lai.

Tre li bi, kho danh thuc.

Co giat.

Bo bu, khong uong duoc nuoc.

Non lien tuc.

Khong tieu trong thoi gian dai.

Da lanh, noi van tim.

Dau nguc.

Tre dang mac benh nen nhu hen, tim bam sinh, benh than kinh hoac suy giam mien dich.

Khong tu y cho tre dung aspirin vi co nguy co gay hoi chung Reye, dac biet khi tre dang mac benh do virus.

Trieu chung cum A o nguoi lon

O nguoi lon, cum A thuong bieu hien bang:

Sot cao dot ngot.

Ret run.

Dau dau.

Dau moi co.

Ho khan.

Dau hong.

So mui hoac nghet mui.

Met moi ro.

Chan an.

Co the buon non, non hoac tieu chay.

Nguoi truong thanh khoe manh thuong hoi phuc tot, nhung nguy co bien chung tang o nguoi:

Tren 65 tuoi.

Mang thai hoac moi sinh.

Beo phi.

Mac tieu duong.

Co benh tim mach.

Co benh phoi man tinh.

Mac benh than, gan hoac than kinh.

Suy giam mien dich.

Dang dieu tri ung thu hoac dung thuoc uc che mien dich.

Cum A co nguy hiem khong?

Cum A khong phai luc nao cung nguy hiem, nhung co the gay bien chung, dac biet khi nguoi benh chu quan hoac thuoc nhom nguy co cao.

Cac bien chung co the gap gom:

Viem phoi

Viem phoi co the do virus cum truc tiep gay ra hoac do boi nhiem vi khuan. Dau hieu goi y gom:

Sot cao keo dai.

Ho tang dan.

Kho tho.

Dau nguc.

Tho nhanh.

SpO₂ giam.

Met la.

Lu lan o nguoi cao tuoi.

Viem phe quan

Cum A co the gay viem phe quan, lam ho keo dai, kho khe hoac tang tiet dom.

Lam nang benh nen

Cum A co the lam nang:

Hen phe quan.

Benh phoi tac nghen man tinh.

Suy tim.

Benh mach vanh.

Tieu duong.

Benh than man.

Benh than kinh.

Viem co tim hoac viem mang ngoai tim

Bien chung nay co the gay:

Dau nguc.

Kho tho.

Tim dap nhanh.

Met bat thuong.

Choang hoac ngat.

Bien chung than kinh

Mot so truong hop hiem co the xuat hien:

Viem nao.

Viem mang nao.

Co giat.

Roi loan y thuc.

Yeu liet.

Dau dau du doi, non nhieu.

Phan biet cum A voi cam lanh

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Dac diem

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Cum A

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Cam lanh

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Khoi phat

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Thuong dot ngot

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Thuong tu tu

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Sot

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Thuong sot cao

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Khong sot hoac sot nhe

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Dau moi co the

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Ro ret

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Nhe

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Dau dau

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Thuong gap

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Co the co nhung nhe

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Met moi

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Nhieu

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Thuong nhe

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Ho

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Thuong ro, co the keo dai

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Thuong nhe hon

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So mui, hat hoi

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Co the co

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Rat thuong gap

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Bien chung

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Co the nang, nhat la nhom nguy co

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Thuong nhe hon

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Du vay, trieu chung giua cac benh co the chong lap. Muon xac dinh cum A, bac si co the chi dinh test nhanh hoac xet nghiem phu hop.

Chan doan cum A bang cach nao?

Bac si thuong dua tren:

Trieu chung lam sang.

Thoi diem khoi phat.

Tinh trang sot va ho hap.

Tien su tiep xuc voi nguoi mac cum.

Tinh hinh dich benh tai dia phuong.

Kham hong, mui, phoi.

Do nhiet do, nhip tim, nhip tho va SpO₂.

Trong mot so truong hop, nguoi benh co the duoc chi dinh:

Test nhanh cum A/B.

Xet nghiem sinh hoc phan tu.

Cong thuc mau.

Xet nghiem CRP hoac cac xet nghiem viem.

X-quang nguc khi nghi viem phoi.

Xet nghiem chuc nang gan, than, dien giai khi benh nang hoac co nguy co bien chung.

Test nhanh am tinh khong phai luc nao cung loai tru hoan toan cum, dac biet khi lay mau khong dung thoi diem hoac tai luong virus thap. Bac si se ket hop ket qua xet nghiem voi bieu hien thuc te.

Dieu tri cum A nhu the nao?

Nghi ngoi va uong du nuoc

Nguoi benh nen:

Nghi ngoi nhieu.

Uong nuoc thuong xuyen.

Bo sung nuoc canh, sup hoac dung dich bu nuoc khi can.

An thuc an mem, de tieu.

Theo doi nhiet do va tinh trang ho hap.

Giu phong thong thoang.

Ha sot, giam dau dung cach

Paracetamol co the duoc su dung de giam sot, dau dau va dau moi theo lieu phu hop. Can dung dung huong dan, tranh dung nhieu thuoc cam co cung thanh phan paracetamol.

Khong tu y dung aspirin cho tre em. Nguoi co benh gan, benh than, dang mang thai hoac dang dung thuoc khac nen hoi bac si truoc khi su dung thuoc.

Thuoc khang virus

Mot so nguoi benh co the duoc bac si chi dinh thuoc khang virus nhu oseltamivir. Thuoc thuong co loi nhat khi duoc su dung som, dac biet trong 48 gio dau ke tu khi xuat hien trieu chung, nhung nguoi benh nang hoac thuoc nhom nguy co cao van co the can dieu tri sau thoi diem nay.

Khong nen tu mua thuoc khang virus de su dung tuy tien. Bac si can danh gia:

Tuoi va can nang.

Muc do benh.

Thoi gian khoi phat.

Benh nen.

Chuc nang than.

Kha nang tuong tac thuoc.

Nguy co bien chung.

Co can dung khang sinh khong?

Khang sinh khong dieu tri duoc virus cum A. Chi su dung khang sinh khi bac si xac dinh co nhiem khuan hoac boi nhiem nhu viem phoi do vi khuan, viem tai giua hoac viem xoang do vi khuan.

Tu dung khang sinh co the gay di ung, tieu chay, ton thuong gan than va lam tang tinh trang khang thuoc.

Khi nao nguoi mac cum A can di kham?

Nen di kham khi:

Sot cao hoac sot keo dai.

Ho nhieu, ho ngay cang nang.

Kho tho hoac dau nguc.

Met la, an uong kem.

Non nhieu hoac tieu chay keo dai.

Co benh nen.

La phu nu mang thai.

La tre nho hoac nguoi cao tuoi.

Trieu chung khong cai thien sau vai ngay.

Da het sot nhung sot quay tro lai kem ho nang hon.

Co dau hieu mat nuoc.

Nghi ngo cum A sau khi tiep xuc voi nguoi benh.

Dau hieu can cap cuu

Dua nguoi benh den cap cuu ngay neu co:

Kho tho ro hoac tim tai.

Dau nguc du doi.

SpO₂ giam neu co may do.

Lo mo, co giat hoac mat y thuc.

Sot cao kem cung gay.

Ho ra mau.

Khong uong duoc nuoc hoac tieu rat it.

Tre bo bu hoan toan, kho danh thuc hoac tho rut lom nguc.

Nguoi benh co benh nen va tinh trang xau di nhanh chong.

Phong ngua cum A tai Dak Lak

Tiem vaccine cum

Tiem vaccine cum hang nam la mot trong nhung bien phap quan trong giup giam nguy co mac cum va giam muc do nang, dac biet o nhom nguy co cao.

Vaccine cum can duoc tiem nhac lai theo khuyen nghi vi virus cum co the thay doi theo thoi gian.

Giu ve sinh ca nhan

Rua tay bang xa phong thuong xuyen.

Khong dua tay len mat, mui, mieng.

Che mieng va mui khi ho, hat hoi.

Bo khan giay dung noi quy dinh.

Khong khac nho bua bai.

Khong dung chung khan, ly, ban chai hoac do dung ca nhan.

Han che lay lan trong gia dinh

Nguoi dang mac cum nen:

Han che tiep xuc gan voi tre nho, nguoi cao tuoi va phu nu mang thai.

Deo khau trang khi o gan nguoi khac.

Nghi hoc, nghi lam khi dang sot hoac co trieu chung ro.

Khong dung chung do an, do uong.

Ve sinh tay truoc khi cham soc nguoi khac.

Giu phong o thong thoang.

Tang cuong suc khoe

Ngu du giac.

An uong du chat.

Uong du nuoc.

Tap luyen phu hop.

Han che ruou bia va thuoc la.

Giu am khi thoi tiet thay doi.

Kiem soat tot benh nen.

Kham va dieu tri cum A tai Benh vien da khoa Thien Hanh hospital

Khi xuat hien cac trieu chung nghi ngo cum A tai Dak Lak, nguoi dan co the tham khao Benh vien da khoa Thien Hanh hospital de duoc kham va danh gia muc do benh.

Nguoi benh co the duoc tiep nhan tai Khoa Kham benh hoac Khoa Noi tong hop. Tuy bieu hien, bac si se kiem tra dau hieu sinh ton, kham ho hap, danh gia nguy co bien chung va chi dinh xet nghiem khi can.

Viec tham kham giup phan biet cum A voi cac benh co bieu hien tuong tu nhu:

Cam lanh.

COVID-19.

Viem phe quan.

Viem phoi.

Viem amidan.

Viem xoang.

Hen phe quan.

Dot cap benh phoi tac nghen man tinh.

Cac benh nhiem trung ho hap khac.

Benh vien co Khoa Cap cuu hoat dong 24/24, phu hop voi nhung truong hop co kho tho, sot cao kem lo mo, dau nguc, tim tai hoac dien tien nang.

Thong tin lien he tham khao:

Ten co so: Benh vien da khoa Thien Hanh hospital.

Dia chi: 17 Nguyen Chi Thanh, phuong Tan An, tinh Dak Lak.

Hotline: 0262 3 950 606.

Kham ngoai tru: Khoang 7h00–17h00 tat ca cac ngay.

Tiep nhan cap cuu: 24/24.

Nguoi benh nen goi truoc de duoc huong dan ve khu vuc tiep nhan, dac biet khi dang sot, ho hoac nghi ngo mac benh truyen nhiem.

Mot so cau hoi thuong gap ve cum A

Cum A co tu khoi khong?

Nhieu truong hop cum A nhe co the tu cai thien voi nghi ngoi, uong du nuoc va cham soc dung cach. Tuy nhien, nguoi thuoc nhom nguy co cao hoac co dau hieu nang can duoc bac si danh gia, co the phai dung thuoc khang virus hoac dieu tri tai benh vien.

Cum A co lay khong?

Co. Cum A lay kha nhanh qua giot ban ho hap va tiep xuc voi dich tiet. Nguoi benh nen han che tiep xuc gan, deo khau trang va ve sinh tay de giam lay nhiem.

Cum A co can cach ly khong?

Nguoi mac cum A nen o nha, han che tiep xuc voi nguoi khac, nhat la trong giai doan con sot va ho nhieu. Khi can ra ngoai de kham, nen deo khau trang va thong bao truoc cho co so y te ve trieu chung.

Cum A co tai nhiem khong?

Co. Nguoi tung mac cum A van co the mac lai do virus cum co nhieu chung va co kha nang bien doi. Tiem vaccine hang nam giup giam nguy co mac benh va bien chung.

Cum A co phai luc nao cung sot cao?

Khong. Mot so nguoi co the chi sot nhe hoac khong sot, dac biet la nguoi cao tuoi, nguoi suy giam mien dich hoac da dung thuoc ha sot. Vi vay, can xem xet toan bo trieu chung thay vi chi dua vao nhiet do.

Ket luan

Trieu chung cum A tai Dak Lak thuong khoi phat dot ngot voi sot cao, ret run, dau dau, dau moi toan than, ho, dau hong, so mui va met moi ro ret. Mot so nguoi co the kem buon non, non hoac tieu chay, nhat la tre em.

Cum A thuong co the hoi phuc neu duoc cham soc dung cach, nhung van tiem an nguy co viem phoi, suy ho hap, viem co tim, bien chung than kinh hoac lam nang benh nen. Nguoi benh khong nen tu dung khang sinh, khong tu phoi hop nhieu loai thuoc cam va can di kham khi co dau hieu bat thuong.

Neu dang sinh song tai Dak Lak va xuat hien trieu chung nghi ngo cum A, nguoi benh co the lien he Benh vien da khoa Thien Hanh hospital de duoc tham kham, xet nghiem va huong dan dieu tri phu hop.