{"id":5927,"date":"2020-09-24T14:47:55","date_gmt":"2020-09-24T12:47:55","guid":{"rendered":"https:\/\/mvec.mcri.edu.au\/?page_id=5927"},"modified":"2022-05-31T09:31:56","modified_gmt":"2022-05-30T23:31:56","slug":"nhan-dien-aefi-trong-da-dang-mau-da","status":"publish","type":"references","link":"https:\/\/mvec.mcri.edu.au\/vi\/references\/identifying-aefi-in-diverse-skin-colour\/","title":{"rendered":"X\u00e1c \u0111\u1ecbnh AEFI theo m\u00e0u da \u0111a d\u1ea1ng"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div data-parent=\"true\" class=\"vc_row row-container\" id=\"row-unique-0\"><div class=\"row single-top-padding single-bottom-padding one-h-padding full-width row-parent\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_left column_parent col-lg-12 single-internal-gutter\"><div class=\"uncol style-light\"  ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div class=\"uncode_text_column\" ><\/p>\n<h2>L\u00fd l\u1ecbch<\/h2>\n<p>Vi\u1ec7c \u0111\u00e1nh gi\u00e1 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng tr\u00ean da l\u00e0 r\u1ea5t quan tr\u1ecdng khi x\u00e1c \u0111\u1ecbnh c\u00e1c bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i sau khi ti\u00eam ch\u1ee7ng (AEFI). H\u1ea7u h\u1ebft c\u00e1c h\u01b0\u1edbng d\u1eabn \u0111\u00e1nh gi\u00e1 da li\u1ec5u th\u01b0\u1eddng \u0111\u1ec1 c\u1eadp \u0111\u1ebfn vi\u1ec7c bi\u1ec3u hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u00f4ng m\u00e0u da s\u00e1ng.<\/p>\n<p>Da l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 quan ph\u1ee9c t\u1ea1p nh\u1ea5t trong c\u01a1 th\u1ec3. N\u00f3 bao g\u1ed3m 3 l\u1edbp, v\u1edbi m\u1ed7i l\u1edbp th\u1ef1c hi\u1ec7n c\u00e1c vai tr\u00f2 kh\u00e1c nhau. M\u00e0u da c\u1ee7a m\u1ed9t ng\u01b0\u1eddi b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi l\u01b0\u1ee3ng melanin (s\u1eafc t\u1ed1 t\u1ef1 nhi\u00ean) \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi c\u00e1c t\u1ebf b\u00e0o h\u1eafc t\u1ed1 n\u1eb1m \u1edf l\u1edbp bi\u1ec3u b\u00ec (l\u1edbp ngo\u00e0i c\u00f9ng c\u1ee7a da), v\u1edbi l\u00e0n da s\u1eabm m\u00e0u h\u01a1n c\u00f3 nhi\u1ec1u h\u1eafc t\u1ed1 h\u01a1n l\u00e0n da s\u00e1ng h\u01a1n. L\u01b0\u1ee3ng h\u1eafc t\u1ed1 s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a AEFI tr\u00ean da c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 do \u0111\u00f3, AEFI, ch\u1eb3ng h\u1ea1n nh\u01b0 xanh xao, t\u00edm t\u00e1i, ban \u0111\u1ecf v\u00e0 n\u1ed5i m\u1ec1 \u0111ay, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n kh\u00e1c nhau \u1edf c\u00e1c t\u00f4ng m\u00e0u da kh\u00e1c nhau. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u1eb7t ra m\u1ed9t th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ti\u00eam ch\u1ee7ng trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a AEFI m\u1ed9t c\u00e1ch k\u1ecbp th\u1eddi.<\/p>\n<h2>xanh xao<\/h2>\n<p>Xanh xao \u0111\u1ec1 c\u1eadp \u0111\u1ebfn s\u1ef1 xu\u1ea5t hi\u1ec7n nh\u1ee3t nh\u1ea1t c\u1ee7a da, m\u00f3ng tay v\u00e0 m\u00e0ng nh\u1ea7y. Xanh xao kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n<p>Da nh\u1ee3t nh\u1ea1t c\u00f3 th\u1ec3 kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf l\u00e0n da s\u0103n ch\u1eafc s\u1eabm m\u00e0u v\u00e0 c\u00f3 th\u1ec3 c\u00f3 m\u00e0u x\u00e1m tro ho\u1eb7c x\u00e1m. \u1ede l\u00e0n da s\u0103n ch\u1eafc m\u00e0u n\u00e2u, da s\u1ebd c\u00f3 m\u00e0u v\u00e0ng h\u01a1n. M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u00e0u xanh xao \u1edf t\u00f4ng m\u00e0u da t\u1ed1i h\u01a1n c\u00f3 th\u1ec3 l\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec1 m\u1eb7t da nh\u1ee3t nh\u1ea1t h\u01a1n.<\/p>\n<p>Sau khi ch\u1ee7ng ng\u1eeba, xanh xao c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong c\u00e1c s\u1ef1 ki\u1ec7n nh\u01b0 ng\u1ea5t do vasovagal (ng\u1ea5t x\u1ec9u) v\u00e0 <a href=\"https:\/\/mvec.mcri.edu.au\/references\/hypotonic-hyporesponsive-episode-hhe\/\">c\u00e1c \u0111\u1ee3t ph\u1ea3n \u1ee9ng gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c (HHE)<\/a>.<\/p>\n<h2>t\u00edm t\u00e1i<\/h2>\n<p>T\u00edm t\u00e1i l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u1ec7c gi\u1ea3m oxy trong m\u00e1u. C\u00f3 2 lo\u1ea1i t\u00edm t\u00e1i:<\/p>\n<ul>\n<li>Ch\u1ee9ng t\u00edm t\u00e1i ngo\u1ea1i vi, \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y \u1edf c\u00e1c chi bao g\u1ed3m b\u00e0n tay, \u0111\u1ea7u ng\u00f3n tay v\u00e0 b\u00e0n ch\u00e2n.<\/li>\n<li>Ch\u1ee9ng xanh t\u00edm trung t\u00e2m, \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf c\u00e1c b\u1ed9 ph\u1eadn trung t\u00e2m c\u1ee7a c\u01a1 th\u1ec3 bao g\u1ed3m \u0111\u1ea7u, th\u00e2n v\u00e0 m\u00e0ng nh\u1ea7y v\u00e0 th\u01b0\u1eddng nghi\u00eam tr\u1ecdng h\u01a1n.<\/li>\n<\/ul>\n<p>\u1ede nh\u1eefng ng\u01b0\u1eddi c\u00f3 t\u00f4ng m\u00e0u da s\u00e1ng, ch\u1ee9ng xanh t\u00edm s\u1ebd xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng m\u00e0u h\u01a1i xanh\/t\u00edm. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 l\u00e0n da s\u0103n ch\u1eafc m\u00e0u v\u00e0ng t\u1ef1 nhi\u00ean, ch\u1ee9ng xanh t\u00edm c\u00f3 th\u1ec3 g\u00e2y ra m\u00e0u xanh x\u00e1m. \u1ede nh\u1eefng ng\u01b0\u1eddi c\u00f3 t\u00f4ng m\u00e0u da s\u1eabm m\u00e0u h\u01a1n, ch\u1ee9ng xanh t\u00edm c\u00f3 th\u1ec3 kh\u00f3 \u0111\u00e1nh gi\u00e1 h\u01a1n v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y l\u00e0 m\u00e0u x\u00e1m ho\u1eb7c tr\u1eafng.<\/p>\n<p>Sau khi ch\u1ee7ng ng\u1eeba, ch\u1ee9ng t\u00edm t\u00e1i c\u00f3 th\u1ec3 x\u1ea3y ra trong m\u00f4i tr\u01b0\u1eddng <a href=\"https:\/\/mvec.mcri.edu.au\/references\/hypotonic-hyporesponsive-episode-hhe\/\">HHE<\/a>, ng\u01b0ng th\u1edf, n\u00edn th\u1edf t\u1eebng c\u01a1n ho\u1eb7c s\u1ed1t cao.<\/p>\n<h2>ban \u0111\u1ecf<\/h2>\n<p>Ban \u0111\u1ecf m\u00f4 t\u1ea3 s\u1ef1 xu\u1ea5t hi\u1ec7n m\u00e0u \u0111\u1ecf c\u1ee7a da do s\u1ef1 gi\u00e3n n\u1edf c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u b\u1ec1 m\u1eb7t v\u00e0 t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u. N\u00f3 th\u01b0\u1eddng x\u1ea3y ra v\u1edbi ch\u1ea5n th\u01b0\u01a1ng da, vi\u00eam, nhi\u1ec5m tr\u00f9ng ho\u1eb7c ph\u00e1t ban.<\/p>\n<p>Ban \u0111\u1ecf c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y r\u00f5 r\u00e0ng tr\u00ean l\u00e0n da s\u0103n ch\u1eafc. N\u00f3 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u00e0u \u0111\u1ecf ho\u1eb7c g\u00e2y ra s\u1ef1 \u0111\u1ed5i m\u00e0u h\u01a1i t\u00eda tr\u00ean m\u1ed9t s\u1ed1 l\u00e0n da s\u1eabm m\u00e0u h\u01a1n, tuy nhi\u00ean r\u1ea5t kh\u00f3 nh\u00ecn th\u1ea5y tr\u00ean l\u00e0n da r\u1ea5t s\u1eabm m\u00e0u. \u0110\u00e1nh gi\u00e1 v\u1ecb tr\u00ed ho\u1eb7c khu v\u1ef1c b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u1ec3 t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c bao g\u1ed3m n\u00f3ng, s\u01b0ng ho\u1eb7c chai c\u1ee9ng c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ecf.<\/p>\n<p>Sau khi ch\u1ee7ng ng\u1eeba, ban \u0111\u1ecf c\u00f3 th\u1ec3 lan r\u1ed9ng ho\u1eb7c <a href=\"https:\/\/mvec.mcri.edu.au\/references\/injection-site-reactions\/\">khu tr\u00fa t\u1ea1i ch\u1ed7 ti\u00eam<\/a>.<\/p>\n<h2>M\u1ec1 \u0111ay<\/h2>\n<p>M\u1ec1 \u0111ay, hay ph\u00e1t ban, x\u1ea3y ra khi c\u00e1c t\u1ebf b\u00e0o mast n\u1eb1m trong da gi\u1ea3i ph\u00f3ng histamine g\u00e2y k\u00edch th\u00edch c\u00e1c \u0111\u1ea7u d\u00e2y th\u1ea7n kinh v\u00e0 khi\u1ebfn c\u00e1c m\u1ea1ch m\u00e1u t\u1ea1i ch\u1ed7 gi\u00e3n ra v\u00e0 r\u00f2 r\u1ec9 ch\u1ea5t l\u1ecfng. Ch\u00fang c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t c\u1ee9 \u0111\u00e2u tr\u00ean c\u01a1 th\u1ec3 v\u00e0 c\u00f3 th\u1ec3 tho\u00e1ng qua trong t\u1ef1 nhi\u00ean. Tuy nhi\u00ean, nguy\u00ean nh\u00e2n th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn, ch\u00fang c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng ho\u1eb7c d\u1ecb \u1ee9ng.<\/p>\n<p>Tr\u00ean l\u00e0n da s\u00e1ng m\u00e0u, n\u1ed5i m\u1ec1 \u0111ay xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng ng\u1ee9a, n\u1ed5i m\u1ea9n \u0111\u1ecf. Ch\u00fang th\u01b0\u1eddng c\u00f3 m\u1ed9t trung t\u00e2m m\u00e0u tr\u1eafng ho\u1eb7c m\u1ed9t n\u1ed1t ban tr\u00f4ng gi\u1ed1ng nh\u01b0 v\u1ebft mu\u1ed7i \u0111\u1ed1t v\u00e0 \u0111\u01b0\u1ee3c bao quanh b\u1edfi m\u1ed9t v\u00f2ng ban \u0111\u1ecf. \u1ede l\u00e0n da s\u1eabm m\u00e0u h\u01a1n, n\u1ed5i m\u1ec1 \u0111ay xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng c\u1ee5c n\u1ed5i l\u00ean tuy nhi\u00ean s\u1ef1 thay \u0111\u1ed5i m\u00e0u s\u1eafc tr\u00ean da c\u00f3 th\u1ec3 kh\u00f4ng r\u00f5 r\u00e0ng.<\/p>\n<p>Sau khi ch\u1ee7ng ng\u1eeba, ph\u00e1t ban c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t c\u1ee9 \u0111\u00e2u tr\u00ean c\u01a1 th\u1ec3 v\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra trong m\u00f4i tr\u01b0\u1eddng <a href=\"https:\/\/mvec.mcri.edu.au\/references\/allergy-and-immunisation\/\">d\u1ecb \u1ee9ng.<\/a><\/p>\n<h2>T\u00e0i li\u1ec7u<\/h2>\n<h3>H\u00ecnh \u1ea3nh<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.instagram.com\/brownskinmatters\" target=\"_blank\" rel=\"noopener noreferrer\">Instagram: V\u1ea5n \u0111\u1ec1 da n\u00e2u<\/a><\/li>\n<li><a href=\"https:\/\/www.blackandbrownskin.co.uk\/mindthegap\" target=\"_blank\" rel=\"noopener noreferrer\">Da \u0111en v\u00e0 da n\u00e2u: H\u00e3y \u0111\u1ec3 t\u00e2m \u0111\u1ebfn kho\u1ea3ng c\u00e1ch<\/a><\/li>\n<\/ul>\n<h3>C\u00e1c ngu\u1ed3n l\u1ef1c kh\u00e1c<\/h3>\n<ul>\n<li><a href=\"https:\/\/dermnetnz.org\/topics\/ethnic-dermatology\/\" target=\"_blank\" rel=\"noopener noreferrer\">DermNetNZ: Da li\u1ec5u d\u00e2n t\u1ed9c<\/a><\/li>\n<li><a href=\"https:\/\/www.allergy.org.au\/patients\/skin-allergy\/urticaria-hives\" target=\"_blank\" rel=\"noopener noreferrer\">Hi\u1ec7p h\u1ed9i Mi\u1ec5n d\u1ecbch h\u1ecdc l\u00e2m s\u00e0ng v\u00e0 D\u1ecb \u1ee9ng \u00dac: M\u1ec1 \u0111ay<\/a><\/li>\n<li><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0151963812701230\" target=\"_blank\" rel=\"noopener noreferrer\">Ortonne, J. M\u00e0u da b\u00ecnh th\u01b0\u1eddng v\u00e0 b\u1ea5t th\u01b0\u1eddng, Annales de Dermatologie et de Venereologie Th\u00e1ng 12 n\u0103m 2021 (139):S125-S129<\/a><\/li>\n<li><a href=\"https:\/\/www.myamericannurse.com\/color-awareness-a-must-for-patient-assessment\/\" target=\"_blank\" rel=\"noopener noreferrer\">Sommers, M. Nh\u1eadn th\u1ee9c v\u1ec1 m\u00e0u s\u1eafc: C\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n, American Nurse, th\u00e1ng 1 n\u0103m 2011<\/a><\/li>\n<li><a href=\"https:\/\/www.the-dermatologist.com\/news\/identifying-erythema-skin-color\" target=\"_blank\" rel=\"noopener noreferrer\">B\u00e1c s\u0129 da li\u1ec5u: X\u00e1c \u0111\u1ecbnh ban \u0111\u1ecf \u1edf da m\u00e0u<\/a><\/li>\n<\/ul>\n<div class=\"reviewedSection\">\n<p><b>C\u00e1c t\u00e1c gi\u1ea3:<\/b> Georgina Lewis (Gi\u00e1m \u0111\u1ed1c l\u00e2m s\u00e0ng SAEFVIC, Vi\u1ec7n nghi\u00ean c\u1ee9u tr\u1ebb em Murdoch), Mel Addison (Y t\u00e1 nghi\u00ean c\u1ee9u SAEFVIC, Vi\u1ec7n nghi\u00ean c\u1ee9u tr\u1ebb em Murdoch), Francesca Machingaifa (Y t\u00e1 nghi\u00ean c\u1ee9u SAEFVIC, Vi\u1ec7n nghi\u00ean c\u1ee9u tr\u1ebb em Murdoch) v\u00e0 Rachael McGuire (Y t\u00e1 nghi\u00ean c\u1ee9u SAEFVIC, Vi\u1ec7n nghi\u00ean c\u1ee9u tr\u1ebb em Murdoch) )<\/p>\n<p class=\" translation-block\"><strong>\u0110\u01b0\u1ee3c xem x\u00e9t b\u1edfi:<\/strong> Rachael McGuire (\u0110i\u1ec1u Ph\u1ed1i Vi\u00ean Y T\u00e1 Gi\u00e1o D\u1ee5c MVEC)<\/p>\n<p><strong>Ng\u00e0y:<\/strong> Th\u00e1ng 5 31, 2022<\/p>\n<p>T\u00e0i li\u1ec7u trong ph\u1ea7n n\u00e0y \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt khi c\u00f3 th\u00f4ng tin m\u1edbi v\u00e0 c\u00f3 v\u1eafc-xin. Nh\u00e2n vi\u00ean c\u1ee7a Trung T\u00e2m Gi\u00e1o D\u1ee5c V\u1eafc-xin Melbourne (MVEC) th\u01b0\u1eddng xuy\u00ean xem x\u00e9t \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a c\u00e1c t\u00e0i li\u1ec7u.<\/p>\n<p>Qu\u00fd v\u1ecb kh\u00f4ng n\u00ean coi th\u00f4ng tin trong trang web n\u00e0y l\u00e0 t\u01b0 v\u1ea5n y t\u1ebf chuy\u00ean nghi\u1ec7p, c\u1ee5 th\u1ec3 cho s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n c\u1ee7a qu\u00fd v\u1ecb hay c\u1ee7a gia \u0111\u00ecnh qu\u00fd v\u1ecb. \u0110\u1ed1i v\u1edbi c\u00e1c lo ng\u1ea1i v\u1ec1 y t\u1ebf, bao g\u1ed3m c\u00e1c quy\u1ebft \u0111\u1ecbnh v\u1ec1 ch\u1ee7ng ng\u1eeba, thu\u1ed1c men v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c, qu\u00fd v\u1ecb lu\u00f4n ph\u1ea3i tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a chuy\u00ean vi\u00ean ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/p>\n<\/div>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/div><script id=\"script-row-unique-0\" data-row=\"script-row-unique-0\" type=\"text\/javascript\" class=\"vc_controls\">UNCODE.initRow(document.getElementById(\"row-unique-0\"));<\/script><\/div><\/div><\/div>\n<\/div>","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":"","_wp_rev_ctl_limit":""},"first_letter":[17],"class_list":["post-5927","references","type-references","status-publish","hentry","first_letter-i"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - 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