{"id":6863,"date":"2024-05-25T16:19:10","date_gmt":"2024-05-25T09:19:10","guid":{"rendered":"https:\/\/jhasim1.com\/?p=6863"},"modified":"2024-05-27T07:53:38","modified_gmt":"2024-05-27T00:53:38","slug":"su-dung-khang-sinh-hop-ly-de-phong-chong-khang-thuoc","status":"publish","type":"post","link":"https:\/\/jhasim1.com\/su-dung-khang-sinh-hop-ly-de-phong-chong-khang-thuoc.html","title":{"rendered":"S\u1eed d\u1ee5ng kh\u00e1ng sinh h\u1ee3p l\u00fd \u0111\u1ec3 ph\u00f2ng, ch\u1ed1ng kh\u00e1ng thu\u1ed1c"},"content":{"rendered":"

Trong n\u1ed9i dung thi m\u00f4n D\u01b0\u1ee3c l\u00e2m s\u00e0ng m\u00e0 c\u00e1c b\u1ea1n Sinh vi\u00ean Cao \u0111\u1eb3ng D\u01b0\u1ee3c K21 \u0111ang \u00f4n t\u1eadp \u0111\u1ec3 chu\u1ea9n b\u1ecb thi k\u1ebft th\u00fac n\u0103m h\u1ecdc c\u00f3 v\u1ea5n \u0111\u1ec1 s\u1eed d\u1ee5ng Thu\u1ed1c Kh\u00e1ng sinh. \u0110\u00e2y l\u00e0 n\u1ed9i dung quan tr\u1ecdng trong h\u1ecdc m\u00f4n D\u01b0\u1ee3c l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi b\u1ea5t c\u1ee9 h\u1ec7 \u0111\u00e0o t\u1ea1o D\u01b0\u1ee3c s\u0129 \u1edf tr\u00ecnh \u0111\u1ed9 n\u00e0o.<\/span><\/p>\n

Kh\u00e1ng sinh l\u00e0 thu\u1ed1c v\u00f4 c\u00f9ng quan tr\u1ecdng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00e2y nhi\u1ec5m. S\u1ef1 ra \u0111\u1eddi c\u1ee7a thu\u1ed1c kh\u00e1ng sinh \u0111\u00e3 m\u1edf ra k\u1ef7 nguy\u00ean m\u1edbi cho y h\u1ecdc th\u1ebf gi\u1edbi, c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng nhanh ch\u00f3ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean, v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh m\u1ed9t c\u00e1ch kh\u00f4ng ki\u1ec3m so\u00e1t nh\u01b0 hi\u1ec7n nay \u0111\u00e3 l\u00e0m cho t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh c\u1ee7a vi khu\u1ea9n g\u00e2y b\u1ec7nh ng\u00e0y c\u00e0ng gia t\u0103ng, g\u00e2y \u1ea3nh h\u01b0\u1edfng x\u1ea5u t\u1edbi hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

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T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) c\u1ea3nh b\u00e1o, k<\/span>h\u00e1ng kh\u00e1ng sinh l\u00e0\u00a0m\u1ed9t trong nh\u1eefng\u00a0<\/span>m\u1ed1i \u0111e d\u1ecda s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3<\/span>ng tr\u00ean to\u00e0n th\u1ebf gi\u1edbi,\u00a0\u01b0<\/span>\u1edbc t\u00ednh m\u1ed7i n\u0103m tr\u00ean th\u1ebf gi\u1edbi c\u00f3 kho\u1ea3ng 700.000 ng\u01b0\u1eddi t\u1eed vong li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng do kh\u00e1ng thu\u1ed1c. V\u1edbi t\u00ecnh h\u00ecnh n\u00e0y,\u00a0WHO\u00a0<\/span>d\u1ef1 t\u00ednh \u0111\u1ebfn n\u0103m 2050, c\u1ee9 3 gi\u00e2y s\u1ebd c\u00f3 1 ng\u01b0\u1eddi t\u1eed vong do c\u00e1c si\u00eau vi khu\u1ea9n kh\u00e1ng thu\u1ed1c, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi kho\u1ea3ng 10 tri\u1ec7u ng\u01b0\u1eddi m\u1ed7i n\u0103m.<\/span><\/p>\n

Theo \u0111\u00e1nh gi\u00e1 c\u1ee7a WHO,\u00a0Vi\u1ec7t Nam\u00a0l\u00e0 m\u1ed9t trong nh\u1eefng n\u01b0\u1edbc c\u00f3 t\u1ef7 l\u1ec7 kh\u00e1ng thu\u1ed1c kh\u00e1ng sinh cao, do t\u00ecnh tr\u1ea1ng l\u1ea1m d\u1ee5ng v\u00e0 t\u00f9y ti\u1ec7n s\u1eed d\u1ee5ng thu\u1ed1c c\u1ee7a ng\u01b0\u1eddi d\u00e2n. Th\u1ef1c tr\u1ea1ng n\u00e0y \u0111\u1eb7t ch\u00fang ta tr\u01b0\u1edbc nguy c\u01a1 \u0111\u1ed1i m\u1eb7t v\u1edbi vi\u1ec7c kh\u00f4ng c\u00f2n thu\u1ed1c kh\u00e1ng sinh hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nhi\u1ec5m tr\u00f9ng.<\/span><\/p>\n

Theo k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t c\u1ee7a ng\u00e0nh\u00a0Y<\/span>\u00a0t\u1ebf, ph\u1ea7n l\u1edbn kh\u00e1ng sinh \u0111\u01b0\u1ee3c b\u00e1n m\u00e0 kh\u00f4ng c\u00f3 \u0111\u01a1n c\u1ee7a b\u00e1c s\u0129, \u1edf khu v\u1ef1c th\u00e0nh th\u1ecb l\u00e0 88%, \u1edf n\u00f4ng th\u00f4n t\u1edbi 91%. V\u1ea5n \u0111\u1ec1 kh\u00e1ng thu\u1ed1c kh\u00e1ng sinh \u0111ang ng\u00e0y c\u00e0ng tr\u1ea7m tr\u1ecdng khi nhi\u1ec1u vi khu\u1ea9n kh\u00e1ng v\u1edbi nhi\u1ec1u lo\u1ea1i kh\u00e1ng sinh m\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh l\u00e0 do l\u1ea1m d\u1ee5ng kh\u00e1ng sinh. Ph\u1ea7n l\u1edbn c\u00e1c lo\u1ea1i kh\u00e1ng sinh thu\u1ed9c th\u1ebf h\u1ec7 1 v\u00e0 th\u1ebf h\u1ec7 2 hi\u1ec7n nay \u0111\u1ec1u kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1eb7c hi\u1ec7u. C\u00e1c b\u1ec7nh vi\u1ec7n h\u1ea7u h\u1ebft \u0111\u1ec1u ph\u1ea3i s\u1eed d\u1ee5ng kh\u00e1ng sinh th\u1ebf h\u1ec7 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

T\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh hi\u1ec7n nay d\u1eabn \u0111\u1ebfn ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng (vi\u00eam ph\u1ed5i, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u, b\u1ec7nh lao,…) tr\u1edf n\u00ean kh\u00f3 \u0111i\u1ec1u tr\u1ecb h\u01a1n ho\u1eb7c th\u1eadm ch\u00ed kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c n\u1eefa.<\/span><\/p>\n

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H\u1ed9i ngh\u1ecb chuy\u00ean \u0111\u1ec1 ph\u00f2ng ch\u1ed1ng Kh\u00e1ng thu\u1ed1c Kh\u00e1ng sinh do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c<\/em><\/span><\/figcaption><\/figure>\n

Ch\u1ec9 s\u1eed d\u1ee5ng kh\u00e1ng sinh khi\u00a0c\u00f3 nhi\u1ec5m khu\u1ea9n<\/b><\/span><\/h2>\n

Kh\u00e1ng sinh ch\u1ec9 c\u00f3 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi vi khu\u1ea9n, ch\u1ee9 kh\u00f4ng ph\u1ea3i \u0111\u1ed1i v\u1edbi c\u00e1c lo\u1ea1i l\u00e2y nhi\u1ec5m nh\u01b0 vi r\u00fat l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a c\u1ea3m, c\u00fam. Do \u0111\u00f3, ch\u1ec9 n\u00ean ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng kh\u00e1ng sinh trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 nhi\u1ec5m khu\u1ea9n.<\/span><\/p>\n

Vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh khi kh\u00f4ng c\u00f3 nhi\u1ec5m khu\u1ea9n d\u1eabn \u0111\u1ebfn th\u1ea5t b\u1ea1i trong \u0111i\u1ec1u tr\u1ecb, g\u00e2y t\u1ed1n k\u00e9m, c\u00f3 th\u1ec3 mang l\u1ea1i c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n cho ng\u01b0\u1eddi b\u1ec7nh. Vi\u1ec7c d\u00f9ng b\u1eeba b\u00e3i kh\u00e1ng sinh c\u00f2n l\u00e0m t\u0103ng c\u00e1c ch\u1ee7ng \u0111\u1ec1 kh\u00e1ng thu\u1ed1c. \u0110\u1ec3 quy\u1ebft \u0111\u1ecbnh vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh c\u1ea7n ti\u1ebfn h\u00e0nh: th\u0103m kh\u00e1m l\u00e2m s\u00e0ng; l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1ec3 t\u00ecm vi khu\u1ea9n g\u00e2y b\u1ec7nh.<\/span><\/p>\n

Ph\u1ea3i s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng v\u00e0 \u0111\u00fang th\u1eddi gian qui \u0111\u1ecbnh<\/b><\/span><\/h3>\n

Li\u1ec1u d\u00f9ng c\u1ee7a kh\u00e1ng sinh ph\u1ee5 thu\u1ed9c nhi\u1ec1u y\u1ebfu t\u1ed1: tu\u1ed5i ng\u01b0\u1eddi b\u1ec7nh, c\u00e2n n\u1eb7ng, ch\u1ee9c n\u0103ng gan\u00a0–\u00a0th\u1eadn, m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. Kh\u00f4ng c\u00f3 li\u1ec1u chu\u1ea9n cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m khu\u1ea9n n\u1eb7ng. K\u00ea \u0111\u01a1n kh\u00f4ng \u0111\u1ee7 li\u1ec1u s\u1ebd d\u1eabn \u0111\u1ebfn th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng t\u1ef7 l\u1ec7 vi khu\u1ea9n kh\u00e1ng thu\u1ed1c. Ng\u01b0\u1ee3c l\u1ea1i, v\u1edbi nh\u1eefng kh\u00e1ng sinh c\u00f3 \u0111\u1ed9c t\u00ednh cao, ph\u1ea1m vi \u0111i\u1ec1u tr\u1ecb h\u1eb9p (v\u00ed d\u1ee5: c\u00e1c aminoglycosid, polypeptide), ph\u1ea3i b\u1ea3o \u0111\u1ea3m n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u theo khuy\u1ebfn c\u00e1o \u0111\u1ec3 tr\u00e1nh \u0111\u1ed9c t\u00ednh.<\/span><\/p>\n

Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n, v\u1ecb tr\u00ed nhi\u1ec5m khu\u1ea9n v\u00e0 s\u1ee9c \u0111\u1ec1 kh\u00e1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m khu\u1ea9n nh\u1eb9 v\u00e0 trung b\u00ecnh th\u01b0\u1eddng \u0111\u1ea1t k\u1ebft qu\u1ea3 sau 7 – 10 ng\u00e0y nh\u01b0ng nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m khu\u1ea9n n\u1eb7ng, nhi\u1ec5m khu\u1ea9n \u1edf nh\u1eefng t\u1ed5 ch\u1ee9c m\u00e0 kh\u00e1ng sinh kh\u00f3 th\u00e2m nh\u1eadp (m\u00e0ng tim, m\u00e0ng n\u00e3o, x\u01b0\u01a1ng-kh\u1edbp\u2026), b\u1ec7nh Lao th\u00ec \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i h\u01a1n nhi\u1ec1u. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 b\u1ec7nh nhi\u1ec5m khu\u1ea9n ch\u1ec9 c\u1ea7n m\u1ed9t \u0111\u1ee3t ng\u1eafn nh\u01b0: nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u – sinh d\u1ee5c ch\u01b0a bi\u1ebfn ch\u1ee9ng (kho\u1ea3ng 3 ng\u00e0y, th\u1eadm ch\u00ed m\u1ed9t li\u1ec1u duy nh\u1ea5t). Kh\u00f4ng n\u00ean \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i \u0111\u1ec3 tr\u00e1nh kh\u00e1ng thu\u1ed1c, t\u0103ng t\u1ef7 l\u1ec7 xu\u1ea5t hi\u1ec7n t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n v\u00e0 t\u0103ng chi ph\u00ed \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

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Gi\u1ea3ng vi\u00ean Khoa D\u01b0\u1ee3c HMC c\u01a1 s\u1edf \u0111\u00e0o t\u1ea1o t\u1ea1i M\u1ef9 \u0110\u00ecnh ph\u00e1t bi\u1ec3u trong H\u1ed9i th\u1ea3o Ph\u00f2ng ch\u1ed1ng Kh\u00e1ng thu\u1ed1c Kh\u00e1ng sinh<\/span><\/figcaption><\/figure>\n

\u0110\u1ec3 h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng l\u1ea1m d\u1ee5ng thu\u1ed1c KS v\u00e0 d\u00f9ng KS bao v\u00e2y nh\u01b0 hi\u1ec7n nay, Khoa d\u01b0\u1ee3c c\u00e1c BV c\u1ea7n cung c\u1ea5p th\u00f4ng tin cho b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 b\u1ec7nh nh\u00e2n v\u1ec1 vi\u1ec7c d\u00f9ng KS \u0111\u00fang li\u1ec1u v\u00e0 \u0111\u00fang thu\u1ed1c. C\u00e1c BV c\u1ea7n ph\u1ea3i l\u00e0m t\u1ed1t c\u00f4ng t\u00e1c d\u01b0\u1ee3c l\u00e2m s\u00e0ng, b\u00ecnh b\u1ec7nh \u00e1n v\u00e0 th\u00f4ng tin thu\u1ed1c. N\u1ebfu l\u00e0m t\u1ed1t c\u00e1c c\u00f4ng t\u00e1c n\u00e0y s\u1ebd h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c r\u1ea5t nhi\u1ec1u t\u00ecnh tr\u1ea1ng s\u1eed d\u1ee5ng KS kh\u00f4ng \u0111\u00fang quy \u0111\u1ecbnh trong BV. V\u00e0 vi\u1ec7c thay \u0111\u1ed5i h\u00e0nh vi v\u00e0 th\u00f3i quen s\u1eed d\u1ee5ng thu\u1ed1c KS kh\u00f4ng \u0111\u00fang quy \u0111\u1ecbnh, c\u1ea7n b\u1eaft \u0111\u1ea7u t\u1eeb ch\u00ednh th\u1ea7y thu\u1ed1c. B\u00ean c\u1ea1nh \u0111\u00f3 c\u00e1c Khoa d\u01b0\u1ee3c BV c\u1ea7n \u0111\u01b0\u1ee3c tr\u1ea1ng b\u1ecb h\u1ec7 th\u1ed1ng b\u1ea3o qu\u1ea3n thu\u1ed1c \u0111\u1ea1t chu\u1ea9n GSP v\u00e0 c\u00f3 kho KS ri\u00eang. V\u00ec KS n\u1ebfu b\u1ea3o qu\u1ea3n kh\u00f4ng t\u1ed1t s\u1ebd b\u1ecb gi\u1ea3m t\u00e1c d\u1ee5ng c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c.<\/span><\/p>\n

ThS L\u00ea Qu\u1ed1c Th\u1ecbnh – Gi\u1ea3ng vi\u00ean Khoa D\u01b0\u1ee3c<\/strong><\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Trong n\u1ed9i dung thi m\u00f4n D\u01b0\u1ee3c l\u00e2m s\u00e0ng m\u00e0 c\u00e1c b\u1ea1n Sinh vi\u00ean Cao \u0111\u1eb3ng D\u01b0\u1ee3c K21 \u0111ang \u00f4n t\u1eadp \u0111\u1ec3 chu\u1ea9n b\u1ecb thi k\u1ebft th\u00fac n\u0103m h\u1ecdc c\u00f3 v\u1ea5n \u0111\u1ec1 s\u1eed d\u1ee5ng Thu\u1ed1c Kh\u00e1ng sinh. \u0110\u00e2y l\u00e0 n\u1ed9i dung quan tr\u1ecdng trong h\u1ecdc m\u00f4n D\u01b0\u1ee3c l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi b\u1ea5t c\u1ee9 h\u1ec7 \u0111\u00e0o t\u1ea1o […]\n","protected":false},"author":20,"featured_media":6869,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,1719,1401,2398,1,1950],"tags":[],"class_list":["post-6863","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cao-dang-duoc","category-dao-tao","category-huong-nghiep","category-kien-thuc-y-duoc","category-tin-tuc","category-tin-y-te"],"yoast_head":"\nS\u1eed 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