{"id":19769,"date":"2023-04-16T18:21:00","date_gmt":"2023-04-16T11:21:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19769"},"modified":"2023-04-17T12:19:17","modified_gmt":"2023-04-17T05:19:17","slug":"benh-san-la-ruot-lon-tac-nhan-trieu-chung-va-xet-nghiem","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/benh-san-la-ruot-lon-tac-nhan-trieu-chung-va-xet-nghiem\/","title":{"rendered":"B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn: T\u00e1c nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 x\u00e9t nghi\u1ec7m"},"content":{"rendered":"<p><strong>B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn l\u00e0 b\u1ec7nh k\u00fd sinh tr\u00f9ng truy\u1ec1n l\u00e2y gi\u1eefa ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt. Ng\u01b0\u1eddi b\u1ec7nh nhi\u1ec5m s\u00e1n \u1edf ru\u1ed9t non, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf t\u00e1 tr\u00e0ng, c\u00e1c tri\u1ec7u ch\u1ee9ng g\u00e2y n\u00ean do lo\u00e9t t\u1ea1i ch\u1ed7 ho\u1eb7c nhi\u1ec5m \u0111\u1ed9c to\u00e0n th\u00e2n, ti\u00eau ch\u1ea3y th\u01b0\u1eddng xen k\u1ebd v\u1edbi t\u00e1o b\u00f3n, n\u00f4n v\u00e0 ch\u00e1n \u0103n. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 s\u1ed1 l\u01b0\u1ee3ng s\u00e1n l\u1edbn c\u00f3 th\u1ec3 g\u00e2y t\u1eafc ru\u1ed9t c\u1ea5p, ph\u00f9 m\u1eb7t, ph\u00f9 th\u00e0nh b\u1ee5ng, ph\u00f9 ch\u00e2n, c\u1ed5 ch\u01b0\u1edbng.<\/strong><\/p>\n<h2>1. T\u00e1c nh\u00e2n<\/h2>\n<p>B\u1ec7nh g\u00e2y ra b\u1edfi lo\u00e0i Fasciolopsis buski, l\u00e0 m\u1ed9t trong nh\u1eefng lo\u00e0i s\u00e1n l\u00e1 l\u1edbn nh\u1ea5t g\u00e2y b\u1ec7nh tr\u00ean c\u01a1 th\u1ec3 ng\u01b0\u1eddi.<\/p>\n<h2>2. Ngu\u1ed3n b\u1ec7nh<\/h2>\n<ul>\n<li>\u1ed4 ch\u1ee9a: L\u1ee3n v\u00e0 ng\u01b0\u1eddi l\u00e0 nh\u1eefng v\u1eadt ch\u1ee7 ch\u00ednh c\u1ee7a s\u00e1n tr\u01b0\u1edfng th\u00e0nh; Ch\u00f3 l\u00e0 lo\u1ea1i v\u1eadt ch\u1ee7 ch\u00ednh \u00edt g\u1eb7p h\u01a1n.<\/li>\n<li>Th\u1eddi gian \u1ee7 b\u1ec7nh: Tr\u1ee9ng s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn xu\u1ea5t hi\u1ec7n trong ph\u00e2n kho\u1ea3ng 3 th\u00e1ng sau khi nhi\u1ec5m b\u1ec7nh.<\/li>\n<li>Th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n: K\u00e9o d\u00e0i khi tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ea3i ra theo ph\u00e2n, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb th\u1ea3i tr\u1ee9ng k\u00e9o d\u00e0i trong 1 n\u0103m. Kh\u00f4ng truy\u1ec1n tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi.<\/li>\n<\/ul>\n<h2>3. Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn<\/h2>\n<p>Ng\u01b0\u1eddi, l\u1ee3n nhi\u1ec5m b\u1ec7nh do \u0103n s\u1ed1ng c\u00e1c lo\u1ea1i rau \u1edf d\u01b0\u1edbi n\u01b0\u1edbc c\u00f3 nhi\u1ec5m nang tr\u00f9ng s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn.<\/p>\n<h2>4. Chu k\u1ef3 ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn<\/h2>\n<figure id=\"attachment_19833\" aria-describedby=\"caption-attachment-19833\" style=\"width: 224px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-19833 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/image001.gif\" alt=\"Chu k\u00ec ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn\" width=\"224\" height=\"184\" \/><figcaption id=\"caption-attachment-19833\" class=\"wp-caption-text\">Chu k\u00ec ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn<\/figcaption><\/figure>\n<p>Gi\u1ed1ng nh\u01b0 c\u00e1c lo\u00e0i s\u00e1n l\u00e1 kh\u00e1c, s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn tr\u1ea3i qua v\u00f2ng \u0111\u1eddi \u0111a v\u1eadt ch\u1ee7.<\/p>\n<ul>\n<li>Tr\u1ee9ng s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i theo ph\u00e2n c\u1ee7a v\u1eadt ch\u1ee7 ch\u00ednh ra ngo\u00e0i.<\/li>\n<li>Tr\u1ee9ng ph\u00e1t tri\u1ec3n th\u00e0nh \u1ea5u tr\u00f9ng l\u00f4ng Miracidia trong m\u00f4i tr\u01b0\u1eddng n\u01b0\u1edbc.<\/li>\n<li>Miracidia x\u00e2m nh\u1eadp v\u00e0o v\u1eadt ch\u1ee7 trung gian th\u1ee9 nh\u1ea5t l\u00e0 \u1ed1c.<\/li>\n<li>Trong \u1ed1c Miracidia ph\u00e1t tri\u1ec3n th\u00e0nh c\u00e1c giai \u0111o\u1ea1n kh\u00e1c nhau (4a, 4b, 4c), \u0111\u1ebfn giai \u0111o\u1ea1n cu\u1ed1i l\u00e0 \u1ea5u tr\u00f9ng \u0111u\u00f4i Cercariae, th\u00ec r\u1eddi kh\u1ecfi v\u1eadt ch\u1ee7 \u1ed1c.<\/li>\n<li>\u1ea4u tr\u00f9ng \u0111u\u00f4i Cercariae b\u01a1i t\u1ef1 do trong n\u01b0\u1edbc, b\u00e1m v\u00e0o th\u1ef1c v\u1eadt th\u1ee7y sinh v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh metacercariae.<\/li>\n<li>\u1ea4u tr\u00f9ng Metacercariae b\u00e1m v\u00e0o c\u00e2y th\u1ee7y sinh.<\/li>\n<li>V\u1eadt ch\u1ee7 ch\u00ednh l\u00e0 \u0111\u1ed9ng v\u1eadt c\u00f3 v\u00fa ho\u1eb7c ng\u01b0\u1eddi s\u1ebd b\u1ecb nhi\u1ec5m b\u1ec7nh khi t\u00ecnh c\u1edd \u0103n ph\u1ea3i th\u1ef1c v\u1eadt th\u1ee7y sinh ch\u1ee9a Metacercariae c\u00f2n s\u1ed1ng. Trong c\u01a1 th\u1ec3 v\u1eadt ch\u1ee7 n\u00e0y Metacercariae tho\u00e1t nang t\u1ea1i t\u00e1 tr\u00e0ng v\u00e0 b\u00e1m v\u00e0o th\u00e0nh ru\u1ed9t. \u1ede \u0111\u00f3, ch\u00fang ph\u00e1t tri\u1ec3n th\u00e0nh s\u00e1n tr\u01b0\u1edfng th\u00e0nh; Qu\u00e1 tr\u00ecnh n\u00e0y m\u1ea5t kho\u1ea3ng 3 th\u00e1ng.<\/li>\n<li>Con tr\u01b0\u1edfng th\u00e0nh (20 \u0111\u1ebfn 75 mm x 8 \u0111\u1ebfn 20 mm) c\u00f3 tu\u1ed5i th\u1ecd kho\u1ea3ng 1 n\u0103m.<\/li>\n<\/ul>\n<h2>5. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn<\/h2>\n<h3>5.1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h3>\n<p>&#8211; H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>&#8211; Trong tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m n\u1eb7ng c\u00f3 th\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng: Ch\u01b0\u1edbng b\u1ee5ng, ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, ph\u00f9 m\u1eb7t, ph\u00f9 ch\u00e2n v\u00e0 c\u00f3 th\u1ec3 c\u00f3 thi\u1ebfu m\u00e1u.<\/p>\n<h3>5.2. Th\u1ec3 l\u00e2m s\u00e0ng<\/h3>\n<h4>5.2.1. Th\u1ec3 nh\u1eb9<\/h4>\n<p>&#8211; B\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n<p>&#8211; Ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u1eb9: m\u1ec7t m\u1ecfi, thi\u1ebfu m\u00e1u nh\u1eb9.<\/p>\n<h4>5.2.2. Th\u1ec3 trung b\u00ecnh<\/h4>\n<p>&#8211; To\u00e0n th\u00e2n: m\u1ec7t m\u1ecfi, bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n, gi\u1ea3m c\u00e2n.<\/p>\n<p>&#8211; \u0110au b\u1ee5ng: th\u01b0\u1eddng \u0111au \u1edf v\u00f9ng h\u1ea1 v\u1ecb, \u0111au b\u1ee5ng k\u00e8m theo ti\u00eau ch\u1ea3y v\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra nh\u1eefng c\u01a1n \u0111au d\u1eef d\u1ed9i. B\u1ee5ng ch\u01b0\u1edbng, nh\u1ea5t l\u00e0 v\u1edbi tr\u1ebb em.<\/p>\n<p>&#8211; Ti\u00eau ch\u1ea3y: c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u ng\u00e0y. T\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng v\u00e0 ti\u00eau ch\u1ea3y x\u1ea3y ra th\u1ea5t th\u01b0\u1eddng, c\u00f3 th\u1ec3 t\u00e1o b\u00f3n. Ph\u00e2n l\u1ecfng, kh\u00f4ng c\u00f3 m\u00e1u nh\u01b0ng c\u00f3 nhi\u1ec1u ch\u1ea5t nh\u1ea7y v\u00e0 c\u00f3 l\u1eabn nhi\u1ec1u th\u1ee9c \u0103n kh\u00f4ng ti\u00eau.<\/p>\n<h4>5.2.3. Th\u1ec3 n\u1eb7ng<\/h4>\n<p>&#8211; N\u1ebfu nhi\u1ec5m s\u1ed1 l\u01b0\u1ee3ng s\u00e1n nhi\u1ec1u v\u00e0 n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh s\u1ebd chuy\u1ec3n sang giai \u0111o\u1ea1n n\u1eb7ng.<\/p>\n<p>&#8211; To\u00e0n th\u00e2n: c\u01a1 th\u1ec3 suy nh\u01b0\u1ee3c.<\/p>\n<p>&#8211; T\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng v\u00e0 r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a tr\u1ea7m tr\u1ecdng h\u01a1n.<\/p>\n<p>&#8211; Ph\u00f9 m\u1eb7t, ph\u00f9 th\u00e0nh b\u1ee5ng, ph\u00f9 ch\u00e2n, c\u00f3 th\u1ec3 ph\u00f9 n\u1ec1 to\u00e0n th\u00e2n; tr\u00e0n d\u1ecbch m\u00e0ng tim, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, c\u1ed5 ch\u01b0\u1edbng.<\/p>\n<p>&#8211; Tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m s\u1ed1 l\u01b0\u1ee3ng s\u00e1n l\u00e1 ru\u1ed9t nhi\u1ec1u c\u00f3 th\u1ec3 n\u00f4n ra s\u00e1n.<\/p>\n<h2>6. C\u1eadn l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn<\/h2>\n<h3>6.1. X\u00e9t nghi\u1ec7m m\u00e1u<\/h3>\n<p>&#8211; X\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u: s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u gi\u1ea3m, huy\u1ebft c\u1ea7u t\u1ed1 gi\u1ea3m; B\u1ea1ch c\u1ea7u \u00e1i toan t\u0103ng c\u00f3 th\u1ec3 t\u1edbi 15 &#8211; 20%.<\/p>\n<p>&#8211; Sinh h\u00f3a m\u00e1u: c\u00f3 th\u1ec3 gi\u1ea3m albumin m\u00e1u \u1edf th\u1ec3 n\u1eb7ng.<\/p>\n<h3>6.2. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/h3>\n<p>&#8211; Ch\u1ee5p Xquang ng\u1ef1c: c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh tr\u00e0n d\u1ecbch m\u00e0ng tim, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i;<\/p>\n<p>&#8211; Ch\u1ee5p Xquang \u1ed5 b\u1ee5ng kh\u00f4ng chu\u1ea9n b\u1ecb: c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t, h\u00ecnh \u1ea3nh tr\u00e0n d\u1ecbch m\u00e0ng b\u1ee5ng;<\/p>\n<p>&#8211; Si\u00eau \u00e2m: si\u00eau \u00e2m m\u00e0ng ph\u1ed5i, si\u00eau \u00e2m m\u00e0ng tim, si\u00eau \u00e2m \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh tr\u00e0n d\u1ecbch c\u00e1c m\u00e0ng t\u00f9y m\u1ee9c \u0111\u1ed9. Si\u00eau \u00e2m \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh vi\u00eam ru\u1ed9t, t\u1eafc ru\u1ed9t.<\/p>\n<h3>6.3. X\u00e9t nghi\u1ec7m ph\u00e2n, d\u1ecbch t\u00e1 tr\u00e0ng, ti\u00eau b\u1ea3n<\/h3>\n<p>&#8211; Soi ph\u00e2n t\u00ecm tr\u1ee9ng s\u00e1n b\u1eb1ng k\u1ef9 thu\u1eadt Kato &#8211; Katz, ho\u1eb7c k\u1ef9 thu\u1eadt Ether &#8211; Formalin, k\u1ef9 thu\u1eadt l\u1eafng c\u1eb7n: t\u00ecm \u0111\u01b0\u1ee3c tr\u1ee9ng s\u00e1n.<\/p>\n<p>&#8211; Soi d\u1ecbch t\u00e1 tr\u00e0ng b\u1eb1ng k\u1ef9 thu\u1eadt soi t\u01b0\u01a1i: x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c tr\u1ee9ng s\u00e1n.<\/p>\n<p>&#8211; N\u1ed9i soi \u1ed1ng ti\u00eau h\u00f3a: c\u00f3 th\u1ec3 th\u1ea5y s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn tr\u01b0\u1edfng th\u00e0nh.<\/p>\n<p>&#8211; L\u00e0m ti\u00eau b\u1ea3n s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p Carmin: x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c s\u00e1n.<\/p>\n<h4>6.4. X\u00e9t nghi\u1ec7m sinh h\u1ecdc ph\u00e2n t\u1eed<\/h4>\n<p>X\u00e9t nghi\u1ec7m PCR \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u00e0i: ph\u00e2n bi\u1ec7t gi\u1eefa s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn v\u1edbi s\u00e1n l\u00e1 gan l\u1edbn.<\/p>\n<p>T\u00f3m l\u1ea1i, s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn l\u00e0 m\u1ed9t lo\u1ea1i s\u00e1n k\u00ed sinh s\u1ed1ng trong ru\u1ed9t ng\u01b0\u1eddi v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu. Vi\u1ec7c gi\u1eef v\u1ec7 sinh c\u00e1 nh\u00e2n v\u00e0 th\u1ef1c ph\u1ea9m l\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ph\u00f2ng ng\u1eeba b\u1ec7nh.<\/p>\n<p><iframe loading=\"lazy\" title=\"D\u1ea5u hi\u1ec7u khi nhi\u1ec5m s\u00e1n l\u1ee3n | S\u00e1n l\u1ee3n c\u00f3 nguy hi\u1ec3m kh\u00f4ng?\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/ZSrGZuP3YpU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn l\u00e0 b\u1ec7nh k\u00fd sinh tr\u00f9ng truy\u1ec1n l\u00e2y gi\u1eefa ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt. Ng\u01b0\u1eddi b\u1ec7nh nhi\u1ec5m s\u00e1n \u1edf ru\u1ed9t non, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf t\u00e1 tr\u00e0ng, c\u00e1c tri\u1ec7u ch\u1ee9ng g\u00e2y n\u00ean do lo\u00e9t t\u1ea1i ch\u1ed7 ho\u1eb7c nhi\u1ec5m \u0111\u1ed9c to\u00e0n th\u00e2n, ti\u00eau ch\u1ea3y th\u01b0\u1eddng xen k\u1ebd v\u1edbi t\u00e1o b\u00f3n, n\u00f4n v\u00e0 ch\u00e1n [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn: T\u00e1c nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 x\u00e9t nghi\u1ec7m<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t l\u1edbn l\u00e0 b\u1ec7nh k\u00fd sinh tr\u00f9ng truy\u1ec1n l\u00e2y gi\u1eefa ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt. 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