Artwork: Internet On the morning of May 9, the Ministry of Health said that there were 832,635 people vaccinated against COVID-19 nationwide. With the motto “Where to get vaccinated safely to there”, the procedure for vaccination against COVID-19 in Vietnam has been carried out methodically and differs from other countries in the world, including advanced countries. up. Up to 16:00 on May 8, 2021, a total of 832,635 people were vaccinated against COVID-19, phase 1 and 2 in the provinces / cities. COVID-19, health workers perform tasks such as sampling, testing, tracing, members of community COVID-19 groups, Steering Committee for epidemic prevention at all levels, police forces. , army. TS.BS. Pham Quang Thai, Immunization Specialist – Head of the Northern Regional Expansion Immunization Office, said: Currently, Vietnam is one of the leading countries in ensuring the COVID-19 vaccination process. With the motto “Where to get vaccinated safely,” the procedure for vaccination against COVID-19 in Vietnam has been carried out methodically and differs from other countries in the world, including the first countries. up. While in many countries, they organize injections, injections in the community (carry the syringe to each house), inject at mobile sites (people pass by, stop the injection, and then continue), inject in drugstores or supermarket. In Vietnam, ensuring safety of COVID-19 vaccination is always on top priority; strictly comply with each step, step by step at all immunization facilities. The COVID-19 vaccination establishment must have facilities and equipment (with sufficient means to prevent shock), and have a team that is well trained for safe vaccination. These facilities themselves are also regularly supervised, as well as vaccination operators are regularly trained to update new vaccines and safe injection procedures. This is the strength of the vaccination system in Vietnam and has been recognized by the world. In addition, Vietnam is also one of the very few countries that have a national immunization information system that manages each person to be vaccinated. Data from the system helps ensure injection safety

According to the Global Cancer Registry System GLOBOCAN 2020, in Vietnam by 2020 there are more than 350,000 patients living with cancer, more than 182,000 new cases and 122,000 deaths. According to a study conducted by the Economist Intelligence Unit (EIU) in June 2020, the death rate per cancer case in Vietnam is more than 70%, at the highest level in Asia. Most people with cancer in Vietnam come for examination and treatment in a late stage, making treatment difficult and creating a huge financial burden on patients, the health system and the whole society. This situation makes it more and more urgent to accelerate the work of diagnosis and improve the quality of cancer treatment. Cooperation between Hanoi Oncology Hospital and Roche Vietnam to improve the quality of cancer treatment Therefore, the cooperation between Hanoi Oncology Hospital and Roche Vietnam is expected to bring about a positive impact to improve professional capacity in cancer treatment and meet the increasingly urgent need for solutions. advanced and effective method for patients, implementing the principle of putting the patient first. Specifically, the two sides will promote cooperation in enhancing the capacity and experience of health workers in treating and caring for cancer patients; connect, integrate and participate in cooperation activities with domestic and international agencies and organizations in the field of oncology; as well as establishing and implementing activities targeting patients and communities … In addition, the two sides also cooperate to implement the project to increase access to advanced therapies for high-risk breast cancer patients in the period 2020 – 2025 (according to the scheme signed between the Ministry of Health. and Vietnam Medical Association in 2020). “In recent years, Hanoi Oncology Hospital and Roche Vietnam have had an active and effective cooperative relationship. Today’s important event will definitely help to promote more positively the relationship between the two sides, in order to bring the most practical benefits to the patient and the community “, TS.BS. Said Bui Vinh Quang, director of Hanoi Oncology Hospital. Meanwhile, Mr. Girish Mulye, General Director of Roche Pharma Vietnam, emphasized that the combination of Roche global strengths and advanced solutions with the expertise and dedication of the Hanoi Oncology Hospital team, It is expected to create positive changes to help change medical capacity throughout the journey from cancer diagnosis and treatment, towards the common goal of minimizing mortality and reducing the burden caused by this group of diseases. . The Memorandum of Understanding between Hanoi Oncology Hospital and Roche Vietnam is expected to be implemented in 3 years, with the first activity taking place from April 2021.

According to information recorded by Dr. Nguyen Phan Tu Dung – Director of JW Korean Aesthetic Hospital (Ho Chi Minh City), said that the hospital has just received a case of an eye roll from Binh Duong. This is the result of an eyelid cut with a horizontal “doctor” over a year ago. It is known that this eyelid surgery facility is just a spa and the person performing the eyelid surgery is not a regular doctor. Through clinical examination, the patient was diagnosed with an inverted eye, exposing the lower eyelid mucosa, making the eye always in a state of redness, burning. According to the patient, this facility has patched the eyelids many times and used other interventions, but now after more than a year, the complication is getting worse and worse. Through the medical history, the patient said: “ I had eye surgery over and over by the spa many times, even the lower eyelid was patched up like a tire patch “. After surgery, the patient’s eyes were increasingly exposed because the lower eyelid was pulled down, this facility cut the corner of the inner eye to close the eyelid but failed. Next, they put the thread running from the forehead to the nose wings to pull up the skin of the eyes. According to the consultant, this is only self-destructive but so far, after more than a year of surgery, this thread is still intact, causing the patient’s forehead to appear a large triangular scar like a knife cut, looking very lost Beauty. A close-up of a beauty patient’s rolling eyes in a spa facility Dr. Tu Dung added: “ Patient is rolling back eye because there is not enough skin for the lower eyelid. It is also because the patient’s eyes are rolling outwards as long as the wind drains in or goes out without cover, tears will flow, eyes red and easily cause eye diseases “. Sharing about treatment methods, Dr. Tu Dung said: “ This is a difficult case because the eye surgery has been patched too many times, the scars are located inside. For the treatment, first of all, JW Hospital’s doctor team will handle the front eye roll to reduce inflammation for the patient by lifting the external cheekbones muscle and closing the angle of the inner eyelid cartilage. After that, patients need a minimum of 6 months to 1 year to recover before entering other cosmetic surgeries “. Doctor Tu Dung examines and assesses the patient’s condition Eyelid shaping is a complex method For eyelid aesthetics, Dr. Nguyen Phan Tu Dung shared: “ The doctor will perform a thin incision in the eyelid, through this surgery will skillfully remove excess skin and excess fat combined to embellish a new, balanced and precise eyelid fold. “. However, Dr. Tu Dung said that cutting eyelids is really not easy, this cosmetic method requires the physician to have high expertise and skillful techniques in determining eyelid shaping for the client. If not, complications are very likely to happen. Client for the treatment of congenital drooping dropper at JW Hospital Results of eyelid surgery at JW Hospital after 3 days Complications due to cosmetic eye spa is an alarming condition, JW Hospital has received many similar cases. Technology of re-surgery of the eye after complications is relatively difficult and complex. Depending on the person’s location and how the eye condition needs to be improved, the doctor will prescribe when it is appropriate to re-operate. Usually, eye re-surgery can take place 3 – 6 months after the last eye surgery. This time, the skin cells and eye fat are restored to normal. Then, your eyes will be able to respond to the next eye surgery. A faulty eyelid surgery patient was re-operated by JW Hospital When wishing to beautify with cosmetic surgery methods, Dr. Tu Dung advised: “ Be awake when choosing cosmetic facilities, avoid losing money and carrying problems. According to the regulations of the Ministry of Health, cosmetic establishments such as spas or beauty salons only have the function of normal skin care or tattoo spray. In addition, other medical services such as eyelid surgery, nose lift, chin removal, … must be performed at a hospital with a specialist and a professional plastic surgeon. “. Over the past few days, the media has repeatedly reported urgent complications caused by cosmetic surgery “under”, in which, there are many cases causing public shock such as: omitting gauze in the chest of breast augmentation patients , girl with butt rot after getting filler at home or in case of blind girl after eyelid removal at spa. These are warnings for those who are wishing to find their perfect beauty, first of all to choose a reputable facility, be licensed to operate and choose a licensed, licensed doctor. expertise to convey trust.

The most recent is the case of a 9x young woman named H. in Hanoi. This female friend has small eyes and always wants to improve her eyes. Following the invitation on facebook of a newly opened salon, H. was determined to do what she always cherished with the desire to own big, round eyes. But sadly, after opening the corner of his eyes, H.’s eyes have turned into “flying dove eyes”, scarring appeared on the lower eyelids, the corner of the eye not only was not widened but looked at like a person with an eye out of place. The illustration image opens the corner of the eye. According to BS. Quang, opening the corner of his eyes to create accents for the eyes. The inherent feature of Asians is that the eyes are quite small, so the intervention of modern aesthetic technology to make the eye angle bigger and more beautiful in the past few years has been a lot of attention. But those who do not have experience opening the corner of the eye will cause the eyelids to turn upside down, and the slanted eyes cannot close their eyes. Watch out for complications With the ophthalmic method, your doctor will open the inner or outer corner of your eye. The corner of the eye in the doctor will make a thin incision in the corner of the inner eye. Then, the doctor will skillfully remove wrinkles, excess fat in the eye area. Finally, reshape the eye and fix the eye position with a dedicated thread. As for the outer corner of the eye, the doctor will also perform a thin incision on the eye. Instead of the incision at the corner of the inner eye, this method will be done at the corner of the eye. Wrinkles at the tail of the eye will be removed, the eyes will be longer and more deep – the plastic surgeon said. Those with narrow eye angles, redundant skin in place where the corner of the eye is obscured, people with narrow eyes, the opening of the small eye arch are recommended cases to widen the eye angle. Doctors said that most of the complications of hospitalization said that they had done in medical facilities that they did not understand well, even they considered it just a simple procedure so they should do it horizontally. Of course, in the spa, the corner of the eye is not opened, but it also turns the eyelashes up. TS. Quang also emphasized that the widening of the eye angle is only a simple procedure but still needs to be done in medical facilities and because doctors must have expertise in plastic surgery, not in spas. Because the staff, the students self-study each other and then the implementation will have the risk of causing complications.

Recently, medical examination and treatment facilities have received many complications after cosmetic surgery for the eye area. At the National Hospital of Dermatology, a 29-year-old girl in Hanoi came to see her with a skewed eye, scarred and slanted eyes.

TS-BS. Nguyen Huu Quang, Deputy Head of Plastic Surgery and Rehabilitation Department, Central Dermatology Hospital, said that this patient performed eye opening technique at a newly opened salon that she happened to known through advertising on facebook.

After the surgery, the dream of big round eyes suddenly disappeared, instead this girl saw herself in the mirror and was alarmed by the scarring of the lower eyelid, the corner of the eye was in a skewed state.

Eye opening is intended to create accents for the eyes, but those inexperienced in opening the corner of the eye will make the eyelids turn upside down, and the slanted eyes cannot close the eyes. The widening of the eye angle is only a procedure but still needs to be done in medical facilities and because doctors must have expertise in plastic surgery, not in spas by staff. each other’s self-study and then implementation will risk causing complications-BS. Quang recommends.

Similarly, another case came to Ophthalmology Department, Military Central Hospital 108, in which the left eye was aching and the eyesight was severely reduced. The doctor diagnosed the patient with severe uveitis. During an ultrasound, doctors discovered a suspicious image of a small foreign object in the vitreous chamber.

Taking careful history, the patient said that he had previously implanted only the face and eyelids under the eyes at a beauty facility. During the course of treatment, doctors removed a segment of 4-0 catgut about 10 mm long. The patient’s eyes stopped stimulating, his vision recovered.

According to TS-BS. Hoang Thanh Tuan, Plastic Surgery-Aesthetic Center, National Burn Institute: The purpose of implantation is only on the face and lower lids to rejuvenate the skin. When only transplanted into the subcutaneous fat layer or the deep dermis will have the effect of proliferating fibroblasts, collagen helps to increase skin thickness and firm skin, fade shallow wrinkles, shrink pores.

At the same time, the transplanted skin will only become firmer, helping to lift structures under the skin to help a younger face. Implantation only stimulates vascular growth factors that increase metabolism, making the skin pink and radiant.

However, this may be because an operator other than a physician has inserted a thread (this should not be used in rejuvenation) through the sclera into the vitreous chamber. When the foreign body appears in the vitreous chamber, there will be an allergic reaction, the appearance of inflammatory cells in the iris, the eyelid, the chorum causing the intraocular infection – total uveitis.

The release of many inflammatory cells in the vitreous causes opaque to the transparent environment of the eye that the patient will see blurred vision. Inflammatory cells, chemical mediators will stimulate the V-nerve in the eye area, causing pain very uncomfortable for the patient.

The woman fell into a condition that her eyes were always backward, unable to close after eyelid surgery (TL photo)

At the same time, the inflammatory process to create fibrin, blocking the anterior chamber or the iris sticking to the front of the vitreous body, obstructing the circulation of the aqueous humor, causing glaucoma, causing pain for the patient. If not handled in time, it will damage the optic nerve causing blindness.

Therefore, to avoid unfortunate accidents that can occur in the process of transplanting the special eye area around the eyes to rejuvenate, women need to choose reputable establishments, use only high quality products that are certified. by safety quality accreditation organizations-BS. Hoang Thanh Tuan recommended.

Before that, a woman over 50 years old in Binh Duong, after having her eyelid cut off and being “corrected” by the cosmetic facility by patching, her eyes became deformed, even in a state of rolled up, exposing the lower eyelid mucosa, making the eyes always in a state of redness, burning.

TS-BS. Nguyen Phan Tu Dung (working at a cosmetic hospital in Ho Chi Minh City) shared that the patient came to the examination in the state that the eyelid was operated again and again, the lower eyelid was patched up like tire patch. After surgery, the patient’s eye was increasingly exposed due to the lower eyelid being pulled down, this facility cut the corner of the inner eye to close the eyelid but failed.

In addition, the patient is placed by this facility threaded from the forehead running down the nose to pull the eye skin up. After more than a year of surgery, this part is still intact, causing the patient’s forehead to appear a large triangular scar like a knife cut.

In this case, the treatment is difficult because the eye has been patched up too many times, the scars are located inside. To treat, doctors will first treat the front eye roll to reduce inflammation in the patient by lifting the muscles of the outer cheekbones and closing the angle of the inner eyelid cartilage muscle. After that, patients need a minimum of 6 months to 1 year to recover before entering other cosmetic surgeries.

The eyes are not only “windows to the soul” but in the old saying “rich with two eyes”. Therefore, when wishing to beautify, everyone should be alert when choosing cosmetic facilities, avoiding money lost, handicapped because the technology of re-surgery of the eye after complications is relatively difficult and complicated. Depending on the person’s location and how the eye condition needs to be improved, the doctor will prescribe when it is appropriate to re-operate.

Hand, foot and mouth disease in Vietnam is a gastrointestinal disease and occurs in most provinces and cities. Although the disease is encountered all year round, statistics show that the number of cases usually increases in the period from May 4-5 and from September to October each year.

Pediatric patients with hand, foot and mouth disease are being treated at the National Hospital of Pediatrics.

TS.BS. Nguyen Van Lam, Director of the Center for Clinical Medicine for Children of Tropical Diseases, Central Pediatric Hospital, said that from the beginning of the year until now, the Center has received about 125 patients, hand, foot and mouth disease.

Experts said, although no serious complications were recorded, the number of cases in 2021 had a sudden increase compared to two years ago. In the same period in 2019, the Center received about 70 cases; in 2020, this number is 19-20 cases and in 2021 it is currently 125 cases.

At Children’s Hospital City. HCM is currently receiving treatment for more than 40 patients, hand, foot, mouth and mouth at all levels. The number of children suffering from this disease is increasing day by day.

Some children have also had cardiovascular neurological complications. In particular, some children have very fast disease progresses even though the rash is only small at first.

Meanwhile, according to the Center for Disease Control City. Da Nang, from the beginning of the year to April 2021, the number of cases of hand, foot and mouth disease across the city was more than 212, an increase of 2.5 times over the same period in 2020 to 92 cases. Only in the last three weeks of March 2021, the whole city recorded 68 cases.

Nationwide, according to the infectious disease surveillance system from the beginning of 2021 to April 7, the country recorded 17,451 cases of hand, foot and mouth disease, including 4 deaths in Kien Giang (2 ), An Giang (1) and Long An (1).

Compared to the same period in 2020, the number of cases increased four times and mainly in the South and local areas in some provinces and cities such as: Ho Chi Minh City, Dong Nai, Long An, Dong Thap, An Giang.

Because the disease spreads through the gastrointestinal tract, contact, droplets and spread from person to person. Therefore, climatic conditions, a crowded environment, and hygiene habits are factors that make the spread of the disease.

To prevent hand, foot and mouth disease, according to the representative of the National Hospital of Pediatrics, people must ensure distance, keep the habits of hand hygiene, children’s toys must be kept clean to avoid cross-contamination.

Experts also recommend that parents need to feed their children cooked foods, boiled drinks, use easily digestible foods, ensure nutrition to strengthen their children.

“Parents need to clean the body every day for the baby, when taking a bath to avoid drafts. For wounds in the throat, children must rinse their mouths according to the instructions and apply pain relievers “, the director of the Center for Clinical Medicine of Children Tropical Diseases said.

In the treatment of hand, foot, mouth and mouth Dr. Lam pointed out some mistakes of parents in monitoring and treatment.

Accordingly, when seeing that the child does not respond to fever reduction, some parents immediately increase the dose for their child. “This is a very dangerous thing that can lead to poisoning and liver damage because fever-reducing drugs must be treated with the right dose and only once every six hours”, experts of the National Hospital of Pediatrics said.

It is known that at the establishment also received cases of children not responding to antipyretic fever, parents impatiently used another dose of fever-reducing, leading to overdose, causing children with paracetamol poisoning, leading to severe liver damage. masonry.

Although the rate of children having brain damage due to hand, foot and mouth disease is not too high, if the child has severe complications due to delay in treatment, it will cause brain stem damage, leaving serious sequelae such as encephalitis, cardiovascular disease, pulmonary edema. level …

In the extreme form, the disease can cause serious illness in the child and death if it is not cared for and treated promptly. Therefore, when parents see signs of aggravation of their children, they should promptly send their children to medical facilities for prompt monitoring and treatment, to avoid unfortunate consequences.

To prevent hand, foot and mouth disease, everyone needs to practice good eating and drinking hygiene; do not feed the baby; not feeding children, sucking hands, sucking toys; Do not allow children to share napkins, handkerchiefs, and eating utensils such as cups, bowls, plates, spoons, and toys that have not yet been disinfected.

Residents need to regularly clean surfaces, daily contact tools such as toys, school supplies, door handles, stair handrails, table / chair surfaces, floors with soap or detergent. usually, common, normal. Restrict or not let your child come into contact with someone who is sick or suspected of having an illness.