{"id":2799,"date":"2016-05-27T17:23:01","date_gmt":"2016-05-27T10:23:01","guid":{"rendered":"http:\/\/hotboyxamtro.vn\/?p=2799"},"modified":"2016-05-27T17:23:01","modified_gmt":"2016-05-27T10:23:01","slug":"u-mem-lay-cach-nhan-biet-va-dieu-tri","status":"publish","type":"post","link":"https:\/\/khogiaodien.itheme.vn\/GD0007\/u-mem-lay-cach-nhan-biet-va-dieu-tri.html","title":{"rendered":"U m\u1ec1m l\u00e2y – C\u00e1ch nh\u1eadn bi\u1ebft v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

U m\u1ec1m l\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh vi\u00eam da do virut m\u00e0 bi\u1ec3u hi\u1ec7n b\u1eb1ng c\u00e1c th\u01b0\u01a1ng t\u1ed5n da \u0111\u1ee9ng ri\u00eang r\u1ebd, r\u1eddi r\u1ea1c v\u00e0 l\u00f5m \u1edf trung t\u00e2m. B\u1ec7nh l\u00e2y lan r\u1ed9ng do t\u1ef1 l\u00e2y nhi\u1ec5m b\u1edfi c\u00e1c v\u1ebft c\u00e0o x\u01b0\u1edbc ho\u1eb7c s\u1edd m\u00f3 v\u00e0o th\u01b0\u01a1ng t\u1ed5n. U m\u1ec1m l\u00e2y th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u1ecf, b\u1ec7nh c\u0169ng hay g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn c\u00f3 ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c v\u00e0 b\u1ec7nh nh\u00e2n nhi\u1ec5m HIV. Th\u1eddi gian \u1ee7 b\u1ec7nh kh\u00e1c nhau trong kho\u1ea3ng t\u1eeb 4 – 8 tu\u1ea7n. \u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 mi\u1ec5n d\u1ecbch t\u1ed1t, sau v\u00e0i th\u00e1ng b\u1ec7nh s\u1ebd t\u1ef1 kh\u1ecfi<\/strong><\/p>\n

Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh<\/strong><\/p>\n

U m\u1ec1m l\u00e2y do Pox virut g\u00e2y n\u00ean. B\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o th\u01b0\u01a1ng t\u1ed5n l\u00e2m s\u00e0ng tr\u00ean da. Soi k\u00ednh l\u00fap c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y s\u1ea9n l\u00f5m \u1edf trung t\u00e2m. N\u1ebfu c\u1ea7n thi\u1ebft, ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng n\u1ea1o th\u01b0\u01a1ng t\u1ed5n v\u1edbi 1 curret v\u00e0 ki\u1ec3m tra ti\u00eau b\u1ea3n sau khi th\u00eam kali hydroxyte v\u00e0 h\u01a1 n\u00f3ng nh\u1eb9. Nhu\u1ed9m b\u1eb1ng xanh toluidine s\u1ebd b\u1ed9c l\u1ed9 th\u1ec3 v\u00f9i c\u1ee7a virut.<\/p>\n

\"u-mem-lay-cach-nhan-biet-va-dieu-tri\"<\/p>\n

Poxvirus<\/em> <\/strong><\/p>\n

C\u00e1ch nh\u1eadn bi\u1ebft v\u00e0 ph\u00e2n bi\u1ec7t u m\u1ec1m l\u00e2y v\u1edbi b\u1ec7nh kh\u00e1c:\u00a0<\/em>Kh\u1edfi \u0111\u1ea7u th\u01b0\u01a1ng t\u1ed5n c\u1ee7a u m\u1ec1m l\u00e2y l\u00e0 s\u1ea9n tr\u00f2n g\u1ed3 cao tr\u00ean da, ch\u1eafc, b\u1ec1 m\u1eb7t nh\u1eb5n, trung t\u00e2m s\u1ea9n l\u00f5m. C\u00e1c s\u1ea9n th\u01b0\u1eddng t\u1eadp trung th\u00e0nh nh\u00f3m. K\u00edch c\u1ee1 m\u1ed7i s\u1ea9n th\u01b0\u1eddng t\u1eeb 2 – 6mm \u0111\u01b0\u1eddng k\u00ednh. V\u1ecb tr\u00ed ph\u00e2n b\u1ed1 th\u01b0\u01a1ng t\u1ed5n \u1edf tr\u1ebb em l\u00e0 \u1edf m\u1eb7t, tay, ch\u00e2n v\u00e0 th\u00e2n m\u00ecnh. Ni\u00eam m\u1ea1c kh\u00f4ng c\u00f3 th\u01b0\u01a1ng t\u1ed5n. Ph\u00e2n b\u1ed1 th\u01b0\u01a1ng t\u1ed5n \u1edf ng\u01b0\u1eddi l\u1edbn th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn v\u00f9ng sinh d\u1ee5c v\u00e0 v\u00f9ng mu sinh d\u1ee5c. \u0110\u00f4i khi th\u01b0\u01a1ng t\u1ed5n c\u00f3 \u0111\u1ecf v\u00e0 bong v\u1ea9y xung quanh do qu\u00e1 tr\u00ecnh c\u00e0o, g\u00e3i ho\u1eb7c do ph\u1ea3n \u1ee9ng t\u0103ng nh\u1ea1y c\u1ea3m c\u1ee7a s\u1ea9n. Th\u01b0\u01a1ng t\u1ed5n kh\u00f4ng c\u00f3 \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n.<\/p>\n

U m\u1ec1m l\u00e2y c\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh sau:<\/strong><\/p>\n

– H\u1ea1t c\u01a1m ph\u1eb3ng: s\u1ea9n b\u1eb1ng ph\u1eb3ng kh\u00f4ng c\u00f3 l\u00f5m \u1edf trung t\u00e2m, b\u1ec1 m\u1eb7t kh\u00f4ng \u0111\u1ec1u, kh\u00f4ng c\u00f3 h\u00ecnh v\u00f2m, b\u00e0n tay v\u00e0 ch\u00e2n c\u00f3 th\u1ec3 c\u00f3 th\u01b0\u01a1ng t\u1ed5n.<\/p>\n

– Herpes simplex: th\u01b0\u01a1ng t\u1ed5n nhanh ch\u00f3ng l\u00f5m gi\u1eefa.<\/p>\n

– Th\u1ee7y \u0111\u1eadu: xu\u1ea5t hi\u1ec7n b\u1ecdng n\u01b0\u1edbc v\u00e0 m\u1ee5n n\u01b0\u1edbc.<\/p>\n

– Vi\u00eam nang l\u00f4ng: s\u1ea9n kh\u00f4ng c\u00f3 l\u00f5m \u1edf trung t\u00e2m, s\u1ea9n ho\u1eb7c m\u1ee5n m\u1ee7 khu tr\u00fa \u1edf ch\u00e2n t\u00f3c.<\/p>\n

– Ung th\u01b0 bi\u1ec3u m\u00f4 \u0111\u00e1y: g\u1ed3m nhi\u1ec1u th\u1ec3 l\u00e2m s\u00e0ng. – N\u1ea5m s\u00e2u cryptococcosis tr\u00ean da \u1edf b\u1ec7nh nh\u00e2n AIDS: x\u00e9t nghi\u1ec7m c\u00f3 t\u1ebf b\u00e0o n\u1ea5m men \u1edf th\u01b0\u01a1ng t\u1ed5n da. X\u00e9t nghi\u1ec7m: th\u01b0\u1eddng kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u1edf tr\u1ebb em. U m\u1ec1m l\u00e2y sinh d\u1ee5c \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c th\u00ec c\u1ea7n ph\u1ea3i x\u00e9t nghi\u1ec7m v\u1ec1 c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c.<\/p>\n

U m\u1ec1m l\u00e2y ti\u1ebfn tri\u1ec3n nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n

H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111\u1ec1u \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p \u1edf tr\u00ean \u0111\u00e3 \u0111\u1ec1 c\u1eadp. M\u1ed9t s\u1ed1 ca c\u00f3 th\u1ec3 t\u1ef1 bi\u1ebfn m\u1ea5t kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb sau 6 – 9 th\u00e1ng, g\u1eb7p \u1edf ng\u01b0\u1eddi c\u00f3 s\u1ee9c \u0111\u1ec1 kh\u00e1ng t\u1ed1t.<\/p>\n

Ch\u1ec9 \u0111\u1ecbnh: l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh khi c\u00f2n nghi ng\u1edd ch\u1ea9n \u0111o\u00e1n ho\u1eb7c l\u00e0 th\u01b0\u01a1ng t\u1ed5n lan r\u1ed9ng.<\/p>\n

U m\u1ec1m l\u00e2y sinh d\u1ee5c \u1edf tr\u1ebb em c\u00f3 th\u1ec3 do l\u1ea1m d\u1ee5ng t\u00ecnh d\u1ee5c. M\u1ed9t th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u00f3 ki\u1ec3m so\u00e1t v\u1edbi u m\u1ec1m l\u00e2y \u1edf nam gi\u1edbi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kem imiquimod 1% v\u00e0 placebo, k\u1ebft qu\u1ea3 v\u1edbi imiquimod t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n kh\u1ecfi l\u00e0 82% so v\u1edbi t\u1ef7 l\u1ec7 kh\u1ecfi c\u1ee7a placebo l\u00e0 16%. M\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ti\u1ebfn c\u1ee9u v\u1edbi laser m\u00e0u xung t\u00e1i t\u1ea1o collagen b\u01b0\u1edbc s\u00f3ng 585nm cho k\u1ebft qu\u1ea3 kh\u1ecfi 96,3% th\u01b0\u01a1ng t\u1ed5n sau l\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean v\u00e0 ti\u1ebfp t\u1ee5c kh\u1ecfi 3,7% sau l\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u1ee9 2 (sau 2 tu\u1ea7n).<\/p>\n

\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n

U m\u1ec1m l\u00e2y th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u00e1p l\u1ea1nh v\u1edbi nit\u01a1. N\u1ea1o b\u1eb1ng curret c\u00e1c u m\u1ec1m l\u00e2y, tr\u01b0\u1edbc khi n\u1ea1o ph\u1ea3i b\u00f4i kem EMLA 2,5% \u0111\u1ec3 l\u00e0m t\u00ea th\u01b0\u01a1ng t\u1ed5n. Khi n\u1ea1o curret ph\u1ea3i tr\u00e1nh kh\u00f4ng \u0111\u1ec3 t\u1ea1o s\u1eb9o t\u1ea1i c\u00e1c v\u00f9ng th\u1ea9m m\u1ef9. S\u1eed d\u1ee5ng cantharidin 0,7% b\u00f4i l\u00ean c\u00e1c th\u01b0\u01a1ng t\u1ed5n \u0111\u01a1n \u0111\u1ed9c, thu\u1ed1c tr\u00e1nh kh\u00f4ng b\u00f4i l\u00ean m\u1eb7t. Li\u1ec7u ph\u00e1p d\u00f9ng nit\u01a1 l\u1ea1nh k\u1ebft h\u1ee3p v\u1edbi n\u1ea1o b\u1eb1ng curret c\u00f3 hi\u1ec7u qu\u1ea3 tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n l\u1edbn m\u00e0 kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/p>\n

Li\u1ec7u ph\u00e1p kh\u00e1c l\u00e0 d\u00f9ng kem imiquimod, gel ho\u1eb7c kem tretinoin 0,025% ho\u1eb7c 0,01% b\u00f4i v\u00e0o bu\u1ed5i t\u1ed1i h\u00e0ng ng\u00e0y. \u0110\u00f4i khi c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng laser.<\/p>\n

Axit trichloroacetic l\u1ed9t th\u01b0\u01a1ng t\u1ed5n 2 tu\u1ea7n\/1 l\u1ea7n v\u00e0 l\u00e0m v\u00e0i tu\u1ea7n, hi\u1ec7u qu\u1ea3 tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n th\u01b0\u01a1ng t\u1ed5n lan r\u1ed9ng v\u00e0 c\u00f3 s\u1ee9c \u0111\u1ec1 kh\u00e1ng.<\/p>\n","protected":false},"excerpt":{"rendered":"U m\u1ec1m l\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh vi\u00eam da do virut m\u00e0 bi\u1ec3u hi\u1ec7n b\u1eb1ng c\u00e1c th\u01b0\u01a1ng t\u1ed5n da \u0111\u1ee9ng ri\u00eang r\u1ebd, r\u1eddi r\u1ea1c v\u00e0 l\u00f5m \u1edf trung t\u00e2m. B\u1ec7nh l\u00e2y lan r\u1ed9ng do t\u1ef1 l\u00e2y","protected":false},"author":1,"featured_media":2800,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[188],"tags":[509,508,203,507],"yoast_head":"\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\n\t\n\t\n\t\n