{"id":966,"date":"2015-04-02T12:58:03","date_gmt":"2015-04-02T10:58:03","guid":{"rendered":"http:\/\/www.mvec.vic.edu.au\/?page_id=966"},"modified":"2022-08-05T17:31:49","modified_gmt":"2022-08-05T07:31:49","slug":"tre-co-benh-tim","status":"publish","type":"references","link":"https:\/\/mvec.mcri.edu.au\/vi\/references\/children-with-cardiac-disease\/","title":{"rendered":"Tr\u1ebb b\u1ecb b\u1ec7nh tim"},"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>B\u1ec7nh tim \u1edf tr\u1ebb em c\u00f3 th\u1ec3 b\u1ea9m sinh ho\u1eb7c m\u1eafc ph\u1ea3i. B\u1ec7nh tim b\u1ea9m sinh m\u00f4 t\u1ea3 m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng bao g\u1ed3m d\u1ecb t\u1eadt tim, m\u1ea1ch m\u00e1u l\u1edbn ho\u1eb7c van tim. Kho\u1ea3ng 1 trong 100 tr\u1ebb sinh ra \u1edf \u00dac m\u1ed7i n\u0103m s\u1ebd m\u1eafc m\u1ed9t s\u1ed1 d\u1ea1ng b\u1ec7nh tim b\u1ea9m sinh. B\u1ec7nh tim m\u1eafc ph\u1ea3i c\u00f3 th\u1ec3 bao g\u1ed3m b\u1ec7nh th\u1ea5p tim ho\u1eb7c b\u1ec7nh tim th\u1ee9 ph\u00e1t sau <a href=\"https:\/\/mvec.mcri.edu.au\/references\/kawasaki-disease-and-vaccines\/\">b\u1ec7nh Kawasaki<\/a>.<\/p>\n<p>Tr\u1ebb em m\u1eafc b\u1ec7nh tim ti\u1ec1m \u1ea9n c\u00f3 nguy c\u01a1 cao b\u1ecb bi\u1ebfn ch\u1ee9ng c\u1ee7a c\u00e1c b\u1ec7nh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c b\u1eb1ng v\u1eafc-xin khi so s\u00e1nh v\u1edbi tr\u1ebb kh\u00f4ng m\u1eafc b\u1ec7nh tim. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n do nguy c\u01a1 ph\u01a1i nhi\u1ec5m t\u0103ng l\u00ean do nhu c\u1ea7u \u0111i kh\u00e1m s\u1ee9c kh\u1ecfe th\u01b0\u1eddng xuy\u00ean v\u00e0 th\u1eddi gian n\u1eb1m vi\u1ec7n. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nh\u1ea5t bao g\u1ed3m tr\u1ebb em b\u1ecb b\u1ec7nh tim t\u00edm t\u00e1i ho\u1eb7c suy tim.<\/p>\n<h2>Khuy\u1ebfn ngh\u1ecb v\u1ec1 v\u1eafc xin<\/h2>\n<p>Tr\u1ebb m\u1eafc b\u1ec7nh tim c\u00f3 th\u1ec3 ti\u00eam v\u1eafc-xin m\u1ed9t c\u00e1ch an to\u00e0n theo h\u01b0\u1edbng d\u1eabn <a href=\"https:\/\/www.health.vic.gov.au\/immunisation\/immunisation-schedule-and-vaccine-eligibility-criteria\" target=\"_blank\" rel=\"noopener\">Ch\u01b0\u01a1ng tr\u00ecnh Ti\u00eam ch\u1ee7ng Qu\u1ed1c gia (NIP)<\/a> l\u1ecbch v\u1eafc xin. C\u00e1c v\u1eafc-xin b\u1ed5 sung nh\u01b0 v\u1eafc-xin ph\u1ebf c\u1ea7u khu\u1ea9n, c\u00fam v\u00e0 COVID-19 c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb (xem B\u1ea3ng 1).<\/p>\n<p>C\u00e1c th\u00e0nh vi\u00ean gia \u0111\u00ecnh v\u00e0 nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac trong gia \u0111\u00ecnh \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb c\u1eadp nh\u1eadt t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i v\u1eafc-xin bao g\u1ed3m v\u1eafc-xin ho g\u00e0, c\u00fam h\u00e0ng n\u0103m v\u00e0 v\u1eafc-xin COVID-19. Nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi tr\u1ebb em m\u1eafc b\u1ec7nh tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc-xin s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c m\u00e0 kh\u00f4ng c\u1ea7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ed5 sung.<\/p>\n<h3>B\u1ea3ng 1: C\u00e1c khuy\u1ebfn ngh\u1ecb v\u1ec1 v\u1eafc-xin cho tr\u1ebb m\u1eafc b\u1ec7nh tim<\/h3>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<thead>\n<tr>\n<th style=\"width: 50%;\">v\u1eafc xin<\/th>\n<th style=\"width: 50%;\">S\u1ef1 gi\u1edbi thi\u1ec7u<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"width: 50%;\"><a href=\"https:\/\/mvec.mcri.edu.au\/references\/influenza-vaccine-recommendations\/\">C\u00fam<\/a><\/td>\n<td style=\"width: 50%;\">V\u1eafc xin c\u00fam h\u00e0ng n\u0103m \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o t\u1eeb 6 th\u00e1ng tu\u1ed5i. C\u1ea7n ti\u00eam 2 li\u1ec1u v\u1eafc-xin ph\u00f9 h\u1ee3p v\u1edbi l\u1ee9a tu\u1ed5i trong n\u0103m \u0111\u1ea7u ti\u00ean ti\u00eam ch\u1ee7ng cho tr\u1ebb em &lt; 9 tu\u1ed5i.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\"><a href=\"https:\/\/mvec.mcri.edu.au\/references\/pneumococcal-disease-and-vaccines\/\">ph\u1ebf c\u1ea7u khu\u1ea9n<\/a><\/td>\n<td style=\"width: 50%;\">N\u00ean ti\u00eam th\u00eam m\u1ed9t lo\u1ea1i v\u1eafc-xin li\u00ean h\u1ee3p ph\u1ebf c\u1ea7u khu\u1ea9n (Prevenar 13\u00ae) khi tr\u1ebb \u0111\u01b0\u1ee3c 6 th\u00e1ng tu\u1ed5i (ho\u1eb7c khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, t\u00f9y theo th\u1eddi \u0111i\u1ec3m n\u00e0o \u0111\u1ebfn sau). N\u00ean ti\u00eam v\u1eafc-xin polysacarit ph\u1ebf c\u1ea7u khu\u1ea9n (Pneumovax 23\u00ae) khi tr\u1ebb 4 tu\u1ed5i (t\u1ed1i thi\u1ec3u 8 tu\u1ea7n sau Prevenar13, t\u00f9y theo th\u1eddi \u0111i\u1ec3m n\u00e0o \u0111\u1ebfn sau), ti\u1ebfp theo l\u00e0 m\u1ed9t li\u1ec1u kh\u00e1c \u00edt nh\u1ea5t 5 n\u0103m sau (t\u1ed1i \u0111a 2 li\u1ec1u trong \u0111\u1eddi).<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\"><a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19-vaccination-in-children\/\">COVID-19<\/a><\/td>\n<td style=\"width: 50%;\"><a href=\"https:\/\/www.heartkids.org.au\/page\/212\/chd-and-covid-19\" target=\"_blank\" rel=\"noopener\">Tr\u1ebb b\u1ecb b\u1ec7nh tim<\/a> c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh COVID nghi\u00eam tr\u1ecdng cao h\u01a1n. M\u1ed9t \u0111\u1ee3t ti\u00eam v\u1eafc-xin COVID-19 c\u01a1 b\u1ea3n \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho tr\u1ebb em t\u1eeb 6 th\u00e1ng tu\u1ed5i tr\u1edf l\u00ean v\u1edbi c\u00e1c li\u1ec1u nh\u1eafc l\u1ea1i ti\u1ebfp theo \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho nh\u1eefng tr\u1ebb \u2265 12 tu\u1ed5i.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\"><a href=\"https:\/\/mvec.mcri.edu.au\/references\/travel-medicine\/\">v\u1eafc xin du l\u1ecbch<\/a><\/td>\n<td style=\"width: 50%;\">N\u00ean t\u00ecm ki\u1ebfm l\u1eddi khuy\u00ean du l\u1ecbch c\u1ee7a chuy\u00ean gia khi \u0111i du l\u1ecbch n\u01b0\u1edbc ngo\u00e0i, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng khu v\u1ef1c c\u00f3 nguy c\u01a1 cao \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c b\u1eb1ng v\u1eafc-xin.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Tr\u1ebb m\u1eafc b\u1ec7nh tim ph\u1ea3i tr\u1ea3i qua m\u1ed9t cu\u1ed9c ph\u1eabu thu\u1eadt <a href=\"https:\/\/mvec.mcri.edu.au\/references\/solid-organ-transplant-recipient\/\">c\u1ea5y<\/a> c\u0169ng n\u00ean nh\u1eadn th\u00eam v\u1eafc-xin nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a c\u00f4ng vi\u1ec7c tr\u01b0\u1edbc khi c\u1ea5y gh\u00e9p.<\/p>\n<p>C\u00e1c th\u1eafc m\u1eafc v\u1ec1 ch\u1ee7ng ng\u1eeba n\u00ean \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u00e0\/ho\u1eb7c <a href=\"https:\/\/mvec.mcri.edu.au\/references\/the-royal-childrens-hospital-immunisation-service-drop-in-centre\/\">D\u1ecbch v\u1ee5 Ch\u1ee7ng ng\u1eeba c\u1ee7a B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Ho\u00e0ng gia<\/a>.<\/p>\n<h2>bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1eb1ng v\u1eafc-xin<\/h2>\n<p>C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb khi ti\u00eam ph\u00f2ng cho tr\u1ebb m\u1eafc b\u1ec7nh tim trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<ul>\n<li>\u1edf tr\u1ebb em <a href=\"https:\/\/mvec.mcri.edu.au\/references\/immunosuppression-and-vaccines\/\">suy gi\u1ea3m mi\u1ec5n d\u1ecbch<\/a>, v\u1eafc xin s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c c\u00f3 th\u1ec3 b\u1ecb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/li>\n<li>nh\u1eefng \u0111\u1ee9a tr\u1ebb \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c <a href=\"https:\/\/mvec.mcri.edu.au\/references\/live-attenuated-vaccines-and-immunoglobulins-or-blood-products\/\">s\u1ea3n ph\u1ea9m m\u00e1u\/v\u00e0 ho\u1eb7c globulin mi\u1ec5n d\u1ecbch<\/a> c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i tr\u00ec ho\u00e3n ti\u00eam ch\u1ee7ng<\/li>\n<li>n\u1ebfu tr\u1ebb em c\u0169ng <a href=\"https:\/\/mvec.mcri.edu.au\/references\/asplenia\/\">asplenic ho\u1eb7c c\u00f3 hyposplenism,<\/a> c\u00e1c lo\u1ea1i v\u1eafc-xin b\u1ed5 sung kh\u00e1c \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb<\/li>\n<li>tr\u1ebb em c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt tim:\n<ul>\n<li>tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt \u2013 v\u1eafc xin b\u1ea5t ho\u1ea1t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam cho \u0111\u1ebfn 1 tu\u1ea7n tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt, v\u1eafc xin s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam cho \u0111\u1ebfn 3 tu\u1ea7n tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt (v\u00ed d\u1ee5: MMR, varicella)<\/li>\n<li>v\u1eafc-xin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh sau ph\u1eabu thu\u1eadt n\u00ean \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n \u00edt nh\u1ea5t m\u1ed9t tu\u1ea7n do kh\u1ea3 n\u0103ng nh\u1ea7m l\u1eabn t\u00e1c d\u1ee5ng ph\u1ee5 d\u1ef1 ki\u1ebfn c\u1ee7a v\u1eafc-xin v\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u<\/h2>\n<ul>\n<li><a href=\"https:\/\/mvec.mcri.edu.au\/immunisation-references\/influenza-vaccine-recommendations\/\" target=\"_blank\" rel=\"noopener noreferrer\">MVEC: Khuy\u1ebfn ngh\u1ecb v\u1eafc-xin c\u00fam<\/a><\/li>\n<li><a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19-vaccination-in-children\/\">MVEC: Ti\u00eam ph\u00f2ng COVID-19 cho tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean<\/a><\/li>\n<li><a href=\"https:\/\/mvec.mcri.edu.au\/references\/pneumococcal-disease-and-vaccines\/\">MVEC: Ph\u1ebf c\u1ea7u khu\u1ea9n<\/a><\/li>\n<li><a href=\"https:\/\/mvec.mcri.edu.au\/references\/needle-phobia\/\">MVEC: Ch\u1ee9ng s\u1ee3 kim ti\u00eam<\/a><\/li>\n<li><a href=\"https:\/\/www.health.gov.au\/health-topics\/immunisation\/when-to-get-vaccinated\/immunisation-for-people-with-medical-risk-conditions\" target=\"_blank\" rel=\"noopener\">S\u1edf Y t\u1ebf: Ch\u1ee7ng ng\u1eeba cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 t\u00ecnh tr\u1ea1ng nguy c\u01a1 y t\u1ebf<\/a><\/li>\n<li><a href=\"https:\/\/www.heartkids.org.au\/page\/212\/chd-and-covid-19\" target=\"_blank\" rel=\"noopener\">Heart Kids: B\u1ec7nh tim b\u1ea9m sinh v\u00e0 COVID-19<\/a><\/li>\n<\/ul>\n<div class=\"reviewedSection\">\n<p><strong>T\u00e1c gi\u1ea3:<\/strong> Kirsten Mitchell (Y t\u00e1 Nghi\u00ean c\u1ee9u SAEFVIC, Vi\u1ec7n Nghi\u00ean c\u1ee9u Tr\u1ebb em Murdoch)<\/p>\n<p><strong>\u0110\u01b0\u1ee3cxem x\u00e9t b\u1edfi:<\/strong> Francesca Machingaifa (\u0110i\u1ec1u ph\u1ed1i vi\u00ean Y t\u00e1 Gi\u00e1o d\u1ee5c MVEC) v\u00e0 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 8 5, 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 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. B\u1ea1n kh\u00f4ng n\u00ean coi th\u00f4ng tin trong trang web n\u00e0y l\u00e0 l\u1eddi khuy\u00ean y t\u1ebf c\u1ee5 th\u1ec3, chuy\u00ean nghi\u1ec7p cho s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n c\u1ee7a b\u1ea1n ho\u1eb7c cho s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n c\u1ee7a gia \u0111\u00ecnh b\u1ea1n. \u0110\u1ed1i v\u1edbi c\u00e1c m\u1ed1i quan t\u00e2m v\u1ec1 y t\u1ebf, bao g\u1ed3m c\u00e1c quy\u1ebft \u0111\u1ecbnh v\u1ec1 ti\u00eam ch\u1ee7ng, thu\u1ed1c men v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c, b\u1ea1n lu\u00f4n ph\u1ea3i tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a chuy\u00ean gia 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":[11],"class_list":["post-966","references","type-references","status-publish","hentry","first_letter-c"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - 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