{"id":2926,"date":"2018-12-17T06:37:03","date_gmt":"2018-12-17T06:37:03","guid":{"rendered":"https:\/\/robot.yeupet.vn\/dieu-tri-benh-soi-tiet-lieu-o-cho\/"},"modified":"2018-12-17T06:37:03","modified_gmt":"2018-12-17T06:37:03","slug":"dieu-tri-benh-soi-tiet-lieu-o-cho","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/12\/17\/dieu-tri-benh-soi-tiet-lieu-o-cho\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb b\u00eanh s\u1ecfi ti\u1ebft li\u1ec7u \u1edf ch\u00f3"},"content":{"rendered":"

S\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 m\u1ed9t b\u1ec7nh th\u01b0\u1eddng g\u1eb7p tr\u00ean h\u1ec7 ti\u1ebft ni\u1ec7u c\u1ee7a ch\u00f3, m\u00e8o. T\u00f9y theo v\u1ecb tr\u00ed m\u00e0 c\u00f3 s\u1ecfi th\u1eadn, s\u1ecfi ni\u1ec7u qu\u1ea3n, s\u1ecfi b\u00e0ng quang v\u00e0 s\u1ecfi ni\u1ec7u \u0111\u1ea1o. Tr\u00ean th\u1ef1c t\u1ebf s\u1ecfi th\u1eadn \u00edt g\u1eb7p v\u00ec \u0111a s\u1ed1 s\u1ecfi ni\u1ec7u \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh \u1edf b\u00e0ng quang.<\/p>\n

\"cach-chua-benh-care\"<\/p>\n

Theo th\u00e0nh ph\u1ea7n h\u00f3a h\u1ecdc s\u1ecfi ti\u1ebft ni\u1ec7u bao g\u1ed3m s\u1ecfi struvite, s\u1ecfi urate, s\u1ecfi oxalate v\u00e0 s\u1ecfi cystin. Tr\u00ean 50% s\u1ecfi b\u00e0ng quang l\u00e0 s\u1ecfi struvite, c\u00f2n l\u1ea1i l\u00e0 s\u1ecfi oxalate, s\u1ecfi urate v\u00e0 s\u1ecfi cystin. S\u1ecfi struvite th\u01b0\u1eddng g\u1eb7p tr\u00ean ch\u00f3 c\u00e1i. S\u1ecfi ti\u1ebft ni\u1ec7u x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i nh\u01b0ng ph\u1ed5 bi\u1ebfn \u1edf ch\u00f3 gi\u00e0 t\u1eeb 4 \u2013 6 n\u0103m tu\u1ed5i v\u00e0 b\u1ec7nh c\u00f3 li\u00ean quan nhi\u1ec1u \u0111\u1ebfn t\u1eadp t\u00ednh nu\u00f4i nh\u1ed1t th\u1eddi gian nh\u1ecbn ti\u1ec3u l\u00e2u, l\u00e0m n\u01b0\u1edbc ti\u1ec3u l\u1eafng \u0111\u1ed9ng d\u1ec5 h\u00ecnh th\u00e0nh s\u1ecfi, y\u1ebfu t\u1ed1 v\u1ec1 bi\u1ebfn d\u01b0\u1ee1ng do ch\u1ee9c n\u0103ng l\u1ecdc th\u1ea3i c\u1ee7a th\u1eadn, do th\u00e0nh ph\u1ea7n dinh d\u01b0\u1ee1ng c\u1ee7a th\u1ee9c \u0103n c\u0169ng nh\u01b0 y\u1ebfu t\u1ed1 di truy\u1ec1n (gi\u1ed1ng ch\u00f3 Damaltia, Cocker th\u01b0\u1eddng hay s\u1ecfi ni\u1ec7u \u0111\u1ea1o). Ngo\u00e0i ra s\u1ef1 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ni\u1ec7u do Staphylococcus.spp l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 \u0111\u00e1ng l\u01b0u \u00fd trong vi\u1ec7c h\u00ecnh th\u00e0nh s\u1ecfi struvite.<\/p>\n

Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n

Ch\u00f3, m\u00e8o b\u1ecb s\u1ecfi ti\u1ebft ni\u1ec7u th\u01b0\u1eddng \u0111au v\u00f9ng b\u1ee5ng, b\u1ee5ng c\u0103ng c\u1ee9ng d\u00e1ng \u0111i lom khom, l\u01b0ng cong, ti\u1ec3u kh\u00f3, ti\u1ec3u l\u1eaft nh\u1eaft, ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t, ti\u1ec3u ra m\u00e1u ho\u1eb7c b\u00ed ti\u1ec3u. Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 th\u1ec3 ng\u1ea5t sau m\u1ed7i l\u1ea7n r\u1eb7n ti\u1ec3u. Tuy nhi\u00ean c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd qua ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 v\u00e0 ch\u1ec9 th\u01b0\u1eddng g\u1eb7p tr\u00ean ch\u00f3 c\u00e1i do \u0111\u01b0\u1eddng ni\u1ec7u qu\u1ea3n l\u1edbn v\u00e0 ng\u1eafn h\u01a1n l\u00e0 tr\u00ean ch\u00f3 \u0111\u1ef1c.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c b\u1ec7nh s\u1ecfi ti\u1ebft ni\u1ec7u, ngo\u00e0i c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0n v\u1eeba k\u1ec3 tr\u00ean c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0: si\u00eau \u00e2m, ch\u1ee5p X-quang \u0111\u01b0\u1eddng h\u1ec7 ni\u1ec7u c\u00f3 c\u1ea3n quang hay kh\u00f4ng c\u1ea3n quang v\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u, n\u01b0\u1edbc ti\u1ec3u. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c s\u1ed1 l\u01b0\u1ee3ng c\u00e1c vi\u00ean s\u1ecfi v\u00e0 v\u1ecb tr\u00ed s\u1ecfi tr\u00ean \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng huy\u1ebft v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn, nh\u1eefng ch\u1ea9n \u0111o\u00e1n n\u00e0y l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p: \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa hay ph\u1ea3i ph\u1ea9u thu\u1eadt<\/p>\n

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

\u0110i\u1ec1u tr\u1ecb s\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 m\u1ed9t c\u00f4ng vi\u1ec7c r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 l\u00e2u d\u00e0i. T\u00f9y v\u00e0o v\u1ecb tr\u00ed s\u1ecfi, k\u00edch thu\u1edbc s\u1ecfi, th\u00e0nh ph\u1ea7n h\u00f3a h\u1ecdc c\u1ee7a s\u1ecfi c\u0169ng nh\u01b0 t\u00ecnh tr\u1ea1ng \u1ee9 n\u01b0\u1edbc c\u1ee7a th\u1eadn \u0111\u1ec3 l\u1ef1a ch\u1ecdn c\u00e1ch \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p ch\u1ec9 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa khi s\u1ecfi c\u00f2n nh\u1ecf ch\u01b0a g\u00e2y t\u1eaft ngh\u1ebdn th\u1eadt s\u1ef1 tr\u00ean th\u00fa.<\/p>\n

D\u01b0\u1edbi \u0111\u00e2y xin g\u1ee3i \u00fd m\u1ed9t v\u00e0i ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa s\u1ecfi ti\u1ebft ni\u1ec7u.<\/strong><\/p>\n

Thu\u1ed1c kh\u00e1ng sinh: D\u00f9ng khi ch\u00f3 c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam th\u1eadn, vi\u00eam b\u00e0ng quang khi n\u01b0\u1edbc ti\u1ec3u c\u00f3 nhi\u1ec1u b\u1ea1ch c\u1ea7u th\u00ec m\u1edbi s\u1eed d\u1ee5ng m\u1ed9t trong nh\u1eefng lo\u1ea1i kh\u00e1ng sinh c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u: nh\u01b0 nh\u00f3m cephalo, nh\u00f3m quinolon. Kh\u00e1ng sinh g\u00e2y \u0111\u1ed9c tr\u00ean th\u1eadn (nh\u01b0 nh\u00f3m aminoside) tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n

Thu\u1ed1c gi\u1ea3m \u0111au, an th\u1ea7n t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng: S\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p th\u00fa c\u00f3 d\u1ea5u hi\u1ec7u \u0111au qu\u1eb7n v\u00f9ng th\u1eaft l\u01b0ng, tu\u1ef3 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 \u0111au m\u00e0 c\u00f3 th\u1ec3 ch\u1ecdn m\u1ed9t trong c\u00e1c lo\u1ea1i thu\u1ed1c sau: ketoprofen, diazepam<\/p>\n

Thu\u1ed1c ch\u1ed1ng co th\u1eaft, g\u00e2y gi\u00e3n c\u01a1 tr\u01a1n, gi\u00e3n ni\u1ec7u qu\u1ea3n: Spasfon.<\/p>\n

Thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng: Kh\u1ea9u ph\u1ea7n \u0103n \u00edt \u0111\u1ea1m, \u00edt kho\u00e1ng\u2026<\/p>\n

S\u1eed d\u1ee5ng thu\u1ed1c b\u00e0o m\u00f2n v\u00e0 l\u00e0m tan s\u1ecfi: Thu\u1ed1c n\u00e0y c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng l\u00e2u d\u00e0i m\u1edbi th\u1ea5y \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3, c\u1ea7n t\u00e1i kh\u00e1m si\u00eau \u00e2m l\u1ea1i theo \u0111\u1ecbnh k\u1ef3 v\u00e0 khi s\u1ecfi \u0111\u00e3 th\u1ef1c s\u1ef1 h\u1ebft th\u00ec 6 th\u00e1ng v\u1eabn ph\u1ea3i duy tr\u00ec thu\u1ed1c l\u1ea1i 1 th\u00e1ng \u0111\u1ec3 ch\u1ed1ng t\u00ecnh tr\u1ea1ng t\u00e1i l\u1eadp s\u1ea1n m\u1edbi. C\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng: Amonium chloride trong s\u1ecfi struvite, Allopurinol trong s\u1ecfi urate. Methionine trong s\u1ecfi struvite. Ph\u1ea3i h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng khi d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u trong tr\u01b0\u1eddn h\u1ee3p b\u00ed ti\u1ec3u, d\u1ec5 d\u1eabn \u0111\u1ebfn nguy c\u01a1 v\u1ee1 b\u00e0ng quang.<\/p>\n

C\u1ea7n ph\u1ea3i ti\u1ebfn h\u00e0nh ph\u1ea9u thu\u1eadt ngay khi th\u1ea5y b\u00ed ti\u1ec3u tr\u00ean 24 gi\u1edd, b\u1ee5ng \u0111au, b\u00e0ng quang c\u0103ng c\u1ee9ng vi\u1ec7c th\u00f4ng ti\u1ec3u th\u1ea5t b\u1ea1i, k\u1ebft qu\u1ea3 si\u00eau \u00e2m, x-q c\u00f3 th\u1ea5y s\u1ecfi\u2026 th\u00ec c\u1ea7n ph\u1ea3i m\u1ed7 l\u1ea5y s\u1ea1n ngay \u0111\u1ec3 gi\u1ea3i \u00e1p cho th\u1eadn, tr\u00e1nh t\u00ecnh tr\u1ea1ng ur\u00ea huy\u1ebft. \u0110\u00e2y l\u00e0 nh\u1eefng ca ph\u1eabu thu\u1eadt kh\u00f3 m\u1ea5t nhi\u1ec1u th\u1eddi gian \u0111\u1eb7c bi\u1ec7t tr\u00ean ch\u00f3 \u0111\u1ef1c. T\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng l\u1ec7 thu\u1ed9c nhi\u1ec1u v\u00e0o th\u1eddi gian ph\u00e1t hi\u1ec7n c\u1ee7a ch\u1ee7 nu\u00f4i khi vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh qu\u00e1 tr\u1ec5 b\u00e0ng quang \u0111\u00e3 b\u1ecb gi\u00e3n qu\u00e1 m\u1ee9c kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c, hay t\u00ecnh tr\u1ea1ng nhi\u1ec5m ure huy\u1ebft qu\u00e1 n\u1eb7ng, ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m nghi\u00eam tr\u1ecdng th\u00ec vi\u1ec7c ph\u1eabu thu\u1eadt l\u1ea5y s\u1ecfi v\u1eabn kh\u00f4ng mang l\u1ea1i s\u1ef1 th\u00e0nh c\u00f4ng cao.<\/p>\n

N\u1ebfu ph\u1eabu thu\u1eadt \u0111\u00e3 th\u00e0nh c\u00f4ng th\u00ec sau \u0111\u00f3 c\u1ea7n ph\u1ea3i duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n b\u1eb1ng th\u1ee9c \u0103n Urinary m\u1ed9t th\u1eddi gian sau \u0111\u00f3 \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng l\u1eafng \u0111\u1ed9ng s\u1ecfi m\u1edbi v\u00e0 gi\u00fap l\u00e0m tan nh\u1eefng s\u1ecfi nh\u1ecf \u1edf th\u1eadn, \u1edf c\u1ea7u qu\u1ea3n th\u1eadn m\u00e0 ph\u1ea9u thu\u1eadt kh\u00f4ng th\u1ec3 l\u1ea5y ra h\u1ebft v\u00e0 sau \u0111\u00f3 c\u1ee9 6 th\u00e1ng t\u00e1i kh\u00e1m 1 l\u1ea7n si\u00eau \u00e2m ki\u1ec3m tra s\u1ecfi. \u0110\u00e2y l\u00e0 b\u1ec7nh kh\u00f3 kh\u0103n trong \u0111i\u1ec1u tr\u1ecb do v\u1eady ch\u1ee7 nu\u00f4i n\u00ean \u0111\u1ecbnh k\u1ef3 6 th\u00e1ng ki\u1ec3m tra s\u1ee9c kh\u1ecfe ch\u00f3 m\u00e8o 1 l\u1ea7n khi ch\u00fang tr\u00ean 4 n\u0103m tu\u1ed5i, kh\u00f4ng n\u00ean cho ch\u00fang \u0103n qu\u00e1 m\u1eb7n hay nh\u1ecbn kh\u00e1t v\u00e0 nh\u1ecbn ti\u1ec3u qu\u00e1 l\u00e2u c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd kh\u00f4ng n\u00ean \u0103n qu\u00e1 nhi\u1ec1u caxi khi ch\u00f3 gi\u00e0, c\u1ea7n tri\u1ec7t s\u1ea3n \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng ti\u1ec3u l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n d\u1ec5 h\u00ecnh th\u00e0nh s\u1ecfi ti\u1ebft ni\u1ec7u.<\/p>\n","protected":false},"excerpt":{"rendered":"

S\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 m\u1ed9t b\u1ec7nh th\u01b0\u1eddng g\u1eb7p tr\u00ean h\u1ec7 ti\u1ebft ni\u1ec7u c\u1ee7a ch\u00f3, m\u00e8o. T\u00f9y theo v\u1ecb tr\u00ed m\u00e0 c\u00f3 s\u1ecfi th\u1eadn, s\u1ecfi ni\u1ec7u qu\u1ea3n, s\u1ecfi b\u00e0ng quang v\u00e0 s\u1ecfi ni\u1ec7u \u0111\u1ea1o. Tr\u00ean th\u1ef1c t\u1ebf s\u1ecfi th\u1eadn \u00edt g\u1eb7p v\u00ec \u0111a s\u1ed1 s\u1ecfi ni\u1ec7u \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh \u1edf b\u00e0ng quang. Theo th\u00e0nh ph\u1ea7n h\u00f3a […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2926","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2926","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2926"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2926\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2926"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2926"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}