Bnh si tr di 1 tui c nguy him

khng v cn king k nhng g

L virus si thuc h Paramyxoviridae, virus hnh cu, ng knh 120 250nm,
sc chu ng yu, d b dit vi cc thuc kh trng thng thng,
nh sng mt tri, sc nng nhit 56 C b dit trong 30 pht.
Virus si c hai khng nguyn
Ly qua ng h hp.
Ly trc tip khi bnh nhn ho, ht hi, ni chuyn
Ly gin tip t gp v virus si d b dit ngoi cnh.
Bnh do choi cho be do choi go etic 2 tuoi si gy ra do siu vi si. Bnh n y hay ly
n ni 90% nhng ngi tip xc vi bnh nhn s b ly si nu
cha chch nga. Siu vi si c mi v c hng ca bnh nhn.
2. Triu chng bnh si tr
H st: phng php vt l, thuc h st thng thng (Paracetamol).

An thn.
Thuc ho, long m
Khng histamin: Dimedron, Pipolphen.
St trng mi hng: nh mt nh mi bng dung dch Chloromycetin,
Argyrol
Khng sinh ch dng khi c bi nhim v dng cho tr di 2 tui, v tr suy
dinh dng.
Khi c bin chng: vim thanh qun, vim no, si c tnh th dng khng sinh

v corticoid.
Cc bin php hi sc ty theo triu chng ca bnh nhn: hi sc h
hp khi c suy h hp (th O2, h hp h tr) hi sc tim mch
Ch n ung tt.
D phng
Mm bnh:
iu tr
Bnh si tr di 1 tui c nguy him khng v cn king k nhng
g tr nhanh chng l nh bnh trnh nhng bin chng nguy him c hi
cho sc khe ca tr. Ma nng l thi im thch hp cho bnh si
ho nh h nh nht l tr nh di 1 tui. Bnh do virus gy nn v c th
ly truyn nn cc m cn c nhng kin thc cn thit chm sc cho sc
khe ca b gip b vt qua giai on bnh tt, hi phc v pht trin
bnh thng. tm hiu k hn thng tin v bnh si tr em mi
cc m tham kho thng tin di y ca mecuti.vn nh
1. Nguyn nhn bnh si tr
Gramma globulin 40mg/kg dng phng bnh khn cp cho tr suy dinh dng, hoc
tr ang b mt bnh khc m c tip xc vi tr b si.
Vacxin si: vacxin sng, gim c lc dng cho tr 6 9 thng tui tr ln,
c tc dng bo v cao. Vacxin si l mt vacxin bt buc trong Chng
trnh tim chng m rng nc ta hin nay. Nh , hin nay t
l mc bnh v t l t vong do si gim nhiu.
5. Tr b si nn king g
Vim m ng no thanh dch do viru si
Vim m ng no m sau vim tai do bi nhim.
Vim no cht trng bn cp x ha(Van bogaert)
Hay gp tui 2 20 tui, xut hin mun sau v i nm, iu n y ni ln
virus si c th sng tim t ng nhiu nm trong c th bnh nhn c p
ng min dch bt thng. Din bin bn cp t v i thng n 1 nm.
Bnh nhn cht trong tnh trng tng tng lc c v co cng mt no.
Giai on mun: do bi nhim (hay gp do t cu, lin cu, ph cu),
xut hin sau mc ban. Din bin thng nng: st cao vt ln, ho ng
ng, kh n ting, kh th, tm ti.
Khong 10 ti 12 ng y sau khi tip xc vi siu vi si, nhng triu chng sau
y c th xy ra:

Bin chng tai mi hng

Khng th xut hin t ng y th 2 3 sau khi mc ban v tn ti lu d i.
Min dch trong s l min dch bn vng.
Mt khi siu vi si v o cth bnh nhn, chng thng mc v o trong
nhng t b o ng sau c hng v phi. Sau bnh s lan khp cth
k c h h hp v da.
Bin chng thn kinh
L bin chng nguy him gy t vong v di chng cao. Gp 0,1 0,6% bnh
nhn si. Thng gp tr ln (tui i hc), v o tun u ca ban
(ng y 3 6 ca ban). Khi pht t ngt, st cao vt co git, ri lon
thc: u m hn m, lit ngi hoc 1 chi, lit dy III, VII hay gp hi
chng thp ngoi thp, tiu no, tin nh
Vim rut
Xut hin mun, do bi nhim xon khun Vincent l mt loi vi khun
hoi th gy lot nim mc ming, lan su rng v o xng h m gy hoi t
nim mc, vim xng, rng rng, hi th hi thi.
Mun thng do bi nhim
Do bi nhim, thng xut hin mun sau mc ban. Biu hin nng: st
cao kh th, khm phi c ran ph qun v ra n. X quang c hnh nh ph
qun ph vm (nt m ri rc 2 phi). Bch cu tng, neutro tng, thng
l nguyn nhn gy t vong trong bnh si, nht l tr nh.

Do bi nhim cc loi vi khun nh shigella, E. coli

Bin chng ng tiu ha

C ch: c 2 gi thuyt, cho l phn ng d ng hoc l phn ng
min dch bnh l.
Vim m ng no kiu thanh dch (do virus).
Vim nim mc ming
Dng khn hoc tay che ming khi ho, ht hi.
Ra tay trc khi n v trc khi ch bin thc n cho tr.
V sinh mi trng: Ty trng s n nh , chi tr em, dng c, vt
dng ca tr
Tim phng vc-xin si cho tr t 9 thng tui l bin php ch ng
phng nga bnh si.
Vim thanh qun
Vim ph qun phi
Giai on sm, l do virus si: xut hin giai on khi pht, giai on
u ca mc ban thng mt theo ban,hay c Croup gi, gy cn kh th do
co tht thanh qun.
St
Ho khan
Chy nc mi
Mt
Khng chu c nh sng
Nhng nt nh xu vi trung tm mu xanh trng xut hin bn trong ming
ni g m. Nhng nt n y c tn l m Koplik.
Ngi mc ra nhng m ln, phng, chp v o nhau
3. Cc bin chng ca bnh si
Cam m tu (noma)
Ch yu l iu tr triu chng sn sc v nui dng.
Bnh si tr em di 1 tui c nguy him khng v cn king k
nhng g phn 1

Vim no m ng no ty cp
Vim ty: lit 2 chi di, ri lon c vng.
Thng xuyn ra mt, lau ming cho b, thay ga, m, qun o m
bo gi v sinh. Lau ngi cho tr h ng ng y bng khn sch, mm.

King gi, king bn, cch ly tr, cho tr phng thong, sng, trnh gi la.
Khng nn cho tr n cc loi thc n cha protein gy d ng nh king
dng cc loi thy sn, c r, c chp, c hoa v ng, cua, tm c ng, tm nn, c
dic, s, nghu, cc loi tht d, tht ch, tht g , vt, nga, la, cc loi
cn trng nh chu chu, kn nhng, cc loi rau kch thch nh t, rau thm,
cc th gia v thm cay nh hoa hi, bt ht ci
Trong giai on b bnh si, nn n thc n lng, d tiu ho v ung
nhiu nc hoa qu. Cho tr n nhiu rau chn vt, ci trng, c rt, c
ci, to, l, o s cung cp nng lng cho tr, gip tr nhanh chng
phc hi sc kho.
Khi b si, tr rt d b mt nc do nn, tiu chy v i tiu nhiu,
v vy cn phi c b nc bng cch cho tr ung nhiu nc,
khong 6 -8 cc nc/ng y gim thiu tnh trng mt nc ca c
th. Khng nn ung cc loi nc kch thch, c ga.
Nh thuc mi hoc mt cho tr bng nc mui sinh l hoc thuc
nh mt mi chuyn dng khong 3, 4 ln/ng y
Nu tr khng b bin chng th tuyt i khng dng khng sinh, ch
nn dng B1, vitamin C liu cao. Nu tr b bin chng khi lin tc b st
th nn h nhit theo ch nh ca bc s v a tr n bnh vin
uy tn theo di v iu tr
6. Cch phng nga si tr
Thng do bi nhim, xut hin v o cui thi k mc ban. Biu hin

st li, ho nhiu, nghe phi c ran ph qun, bch cu tng, neutro tng, X
quang c hnh nh vim ph qun.
Bin chng ng h hp
Vim ph qun
Lc u do virus si, thng ht cng vi ban.
H thng c th ly bnh cho ngi khc 4 ng y trc khi vt
xut hin. Khi bnh nhn ho, ht x, hay ni chuyn, nhng git nc nh
xu c cha siu vi s bn ra khng kh v ngi khc c th ht v o hoc
nhng git n y c th ri xung mt ni n o nhmt b n, in
thoiKhi ta s v o nhng ni n y v a tay ln mi hay ming, ta s b
ly bnh
Vim m ng no
Vim mi hng bi nhim
Vim tai vim tai xng chm.
Bin chng do suy gim min dch
D mc thm cc bnh khc nh lao, bch hu, ho g
4. Chm sc tr b si ti nh
Khng nguyn ngng kt hng cu (Hemagglutinin).
Khng nguyn tan hng cu (Hemolysin)
Khi virus v o trong c th bnh nhn s kch thch sinh khng th. Bng k
thut kt hp b th v k thut c ch ngng kt hng cu gip cho
chn on bnh.