{"id":21903,"date":"2023-04-18T12:10:53","date_gmt":"2023-04-18T05:10:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21903"},"modified":"2023-04-18T12:59:10","modified_gmt":"2023-04-18T05:59:10","slug":"benh-san-la-ruot-nho-tac-nhan-va-phuong-thuc-lay-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/benh-san-la-ruot-nho-tac-nhan-va-phuong-thuc-lay-benh\/","title":{"rendered":"B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf: T\u00e1c nh\u00e2n v\u00e0 ph\u01b0\u01a1ng th\u1ee9c l\u00e2y b\u1ec7nh"},"content":{"rendered":"

B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf l\u00e2y truy\u1ec1n t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi, th\u01b0\u1eddng do m\u1ed9t s\u1ed1 lo\u00e0i thu\u1ed9c h\u1ecd Heterophyidae (31 lo\u00e0i) v\u00e0 Echinostomatidae (21 lo\u00e0i) g\u00e2y n\u00ean, s\u00e1n th\u01b0\u1eddng k\u00fd sinh \u1edf ru\u1ed9t non. Nhi\u1ec5m s\u00e1n v\u1edbi s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i, bu\u1ed3n n\u00f4n, \u0111au qu\u1eb7n b\u1ee5ng, m\u1ec7t m\u1ecfi, kh\u00f3 ch\u1ecbu, ch\u00e1n \u0103n, suy dinh d\u01b0\u1ee1ng, thi\u1ebfu m\u00e1u, b\u1ea1ch c\u1ea7u ngo\u1ea1i bi\u00ean t\u0103ng cao. V\u00ec v\u1eady, vi\u1ec7c t\u00ecm hi\u1ec3u v\u1ec1 t\u00e1c nh\u00e2n v\u00e0 ph\u01b0\u01a1ng th\u1ee9c l\u00e2y b\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf l\u00e0 r\u1ea5t quan tr\u1ecdng,<\/span><\/strong><\/p>\n

\"B\u1ec7nh
B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i<\/figcaption><\/figure>\n

1. T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh<\/span><\/b><\/h2>\n

Ch\u1ee7 y\u1ebfu c\u00e1c lo\u00e0i trong 2 h\u1ecd g\u1ed3m:<\/span><\/p>\n

– H\u1ecd Heterophyidae bao g\u1ed3m m\u1ed9t s\u1ed1 lo\u00e0i th\u01b0\u1eddng g\u1eb7p:\u00a0Haplorchis pumilio, Haplorchis taichui, Haplochis yokogawai, Procerovum varium, Stellantchasmus falcatus, Heterophyes dispar, Heterophyes heterophyes, Heterophyes nocens, Heterophyopis continus, Metagonimus minutes, Metagonimus yokogawai, Centrocestus armatus, Centrocestus formosanus Centrocestus longus, Cryptocotyle lisngua.<\/i><\/span><\/p>\n

– H\u1ecd Echinostomatidae bao g\u1ed3m m\u1ed9t s\u1ed1 lo\u00e0i th\u01b0\u1eddng g\u1eb7p:\u00a0Echinochasmus japonicus, Echinochasmus perfoliatus, Echinostoma malayanum, Echinostoma revolutum, Echinostoma ilocanum.<\/i><\/span><\/p>\n

2. Ngu\u1ed3n b\u1ec7nh<\/span><\/b><\/h2>\n

– Ngu\u1ed3n b\u1ec7nh l\u00e0 s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf tr\u00ean ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt b\u1ecb nhi\u1ec5m b\u1ec7nh.<\/span><\/p>\n

– S\u1ef1 l\u01b0u h\u00e0nh: Tr\u00ean th\u1ebf gi\u1edbi, b\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf t\u00ecm th\u1ea5y \u1edf Nh\u1eadt B\u1ea3n, Trung Qu\u1ed1c, \u0110\u00e0i Loan, Philippines, Indonesia, H\u00e0n Qu\u1ed1c, Th\u00e1i Lan, L\u00e0o… T\u1ea1i Vi\u1ec7t Nam, \u00edt nh\u1ea5t 18 t\u1ec9nh trong c\u1ea3 n\u01b0\u1edbc: Y\u00ean B\u00e1i, Ph\u00fa Th\u1ecd, \u0110i\u1ec7n Bi\u00ean, L\u00e0o Cai, B\u1eafc K\u1ea1n, Qu\u1ea3ng Ninh, B\u1eafc Giang, H\u00e0 N\u1ed9i, Nam \u0110\u1ecbnh, Ninh B\u00ecnh, Thanh H\u00f3a, H\u1ea3i Ph\u00f2ng, Th\u00e1i B\u00ecnh, Ngh\u1ec7 An, Th\u1eeba Thi\u00ean Hu\u1ebf, Ph\u00fa Y\u00ean, B\u00ecnh \u0110\u1ecbnh, L\u00e2m \u0110\u1ed3ng, \u0110\u1ed3ng Nai v\u00e0 An Giang…<\/span><\/p>\n

– \u1ed4 ch\u1ee9a: V\u1eadt ch\u1ee7 ch\u00ednh l\u00e0 ng\u01b0\u1eddi, gia s\u00fac, gia c\u1ea7m, chim t\u1ef1 nhi\u00ean …<\/span><\/p>\n

– V\u1eadt ch\u1ee7 trung gian c\u1ee7a s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf l\u00e0 \u1ed1c n\u01b0\u1edbc ng\u1ecdt, c\u00e1 n\u01b0\u1edbc ng\u1ecdt, n\u01b0\u1edbc l\u1ee3.<\/span><\/p>\n

3. Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n<\/span><\/b><\/h2>\n

Ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh do \u0103n c\u00e1 nhi\u1ec5m nang \u1ea5u tr\u00f9ng s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf ch\u01b0a \u0111\u01b0\u1ee3c n\u1ea5u ch\u00edn.<\/span><\/p>\n

4. T\u00ednh c\u1ea3m nhi\u1ec5m v\u00e0 mi\u1ec5n d\u1ecbch<\/span><\/b><\/h2>\n

M\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 th\u1ec3 nhi\u1ec5m s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf, mi\u1ec5n d\u1ecbch kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, kh\u00f4ng b\u1ec1n v\u1eefng.<\/span><\/p>\n

5. Chu k\u1ef3<\/span><\/b><\/h2>\n

<\/span><\/p>\n

\u00a0Chu k\u1ef3 ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf\u00a0(Ngu\u1ed3n US- CDC).<\/i><\/span><\/p>\n

    \n
  • 1. S\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf (SLR) tr\u01b0\u1edfng th\u00e0nh \u0111\u1ebb tr\u1ee9ng trong v\u1eadt ch\u1ee7 nhi\u1ec5m b\u1ec7nh cu\u1ed1i c\u00f9ng, tr\u1ee9ng SLR nh\u1ecf ph\u00e1t tri\u1ec3n ho\u00e0n ch\u1ec9nh t\u1ea1o ph\u00f4i v\u00e0 \u0111\u00e0o th\u1ea3i theo ph\u00e2n ra ngo\u00e0i.<\/span><\/li>\n
  • 2. V\u1eadt ch\u1ee7 trung gian th\u1ee9 1 l\u00e0 \u1ed1c nu\u1ed1t tr\u1ee9ng SLR nh\u1ecf. Trong \u1ed1c, tr\u1ee9ng ph\u00e1t tri\u1ec3n th\u00e0nh miracidia v\u00e0 x\u00e2m nh\u1eadp v\u00e0o ru\u1ed9t \u1ed1c r\u1ed3i ph\u00e1t tri\u1ec3n th\u00e0nh c\u00e1c giai \u0111o\u1ea1n kh\u00e1c nhau v\u00e0 t\u0103ng v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng (2a, 2b, 2c), \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 trung gian th\u1ee9 1.<\/span><\/li>\n
  • 3. \u1ea4u tr\u00f9ng \u0111u\u00f4i cercariae b\u01a1i t\u1ef1 do trong n\u01b0\u1edbc.<\/span><\/li>\n
  • 4. \u1ea4u tr\u00f9ng \u0111u\u00f4i cercariae x\u00e2m nh\u1eadp v\u1eadt ch\u1ee7 trung gian th\u1ee9 2 – th\u01b0\u1eddng l\u00e0 c\u00e1 n\u01b0\u1edbc ng\u1ecdt\/n\u01b0\u1edbc l\u1ee3; k\u00fd sinh v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh metacercariae.<\/span><\/li>\n
  • 5. V\u1eadt ch\u1ee7 cu\u1ed1i c\u00f9ng (ng\u01b0\u1eddi, ch\u00f3\/m\u00e8o, gia c\u1ea7m, chim…) b\u1ecb nhi\u1ec5m b\u1ec7nh sau khi \u0103n v\u1eadt ch\u1ee7 trung gian th\u1ee9 2 ch\u1ee9a metacercariae ch\u01b0a n\u1ea5u ch\u00edn.<\/span><\/li>\n
  • 6. Khi v\u00e0o c\u01a1 th\u1ec3 v\u1eadt ch\u1ee7 cu\u1ed1i c\u00f9ng, \u1ea5u tr\u00f9ng metacercariae tho\u00e1t nang v\u00e0 b\u00e1m v\u00e0o ni\u00eam m\u1ea1c ru\u1ed9t non, t\u00e1 tr\u00e0ng.<\/span><\/li>\n
  • 7. V\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf tr\u01b0\u1edfng th\u00e0nh c\u00f3 KT 1.0 – 1.7mm x 0.3 – 0.4mm.<\/span><\/li>\n
  • 8. V\u1eadt ch\u1ee7 cu\u1ed1i c\u00f9ng (ng\u01b0\u1eddi, gia s\u00fac, gia c\u1ea7m…) khi \u0103n ph\u1ea3i c\u00e1 c\u00f3 ch\u1ee9a \u1ea5u tr\u00f9ng metacercariae c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh SLR nh\u1ecf. Th\u1eddi gian k\u1ec3 t\u1eeb khi nhi\u1ec5m SLR nh\u1ecf \u0111\u1ebfn l\u00fac SLR nh\u1ecf ph\u00e1t tri\u1ec3n th\u00e0nh con tr\u01b0\u1edfng th\u00e0nh c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ebb tr\u1ee9ng kho\u1ea3ng 5-7 ng\u00e0y.<\/span><\/li>\n<\/ul>\n

    6. Ph\u00f2ng b\u1ec7nh<\/span><\/b><\/h2>\n

    Bi\u1ec7n ph\u00e1p ph\u00f2ng\u00a0 b\u1ec7nh \u0111\u00f3 l\u00e0 c\u1eaft \u0111\u1ee9t \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n t\u1eeb c\u00e1 sang ng\u01b0\u1eddi b\u1eb1ng c\u00e1ch kh\u00f4ng \u0103n g\u1ecfi c\u00e1 ho\u1eb7c c\u00e1 ch\u01b0a n\u1ea5u ch\u00edn, \u0111\u1ed3ng th\u1eddi ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh nh\u00e2n k\u1ebft h\u1ee3p v\u1edbi v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng (qu\u1ea3n l\u00fd ph\u00e2n v\u00e0 kh\u00f4ng cho c\u00e1 \u0103n ph\u00e2n ng\u01b0\u1eddi).<\/span><\/p>\n

    D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 c\u00e1ch ph\u00f2ng ng\u1eeba b\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf:<\/p>\n

      \n
    • R\u1eeda tay th\u01b0\u1eddng xuy\u00ean: Vi\u1ec7c r\u1eeda tay th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111\u00fang c\u00e1ch l\u00e0 m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf. Lu\u00f4n r\u1eeda tay tr\u01b0\u1edbc khi \u0103n, sau khi \u0111i v\u1ec7 sinh, tr\u01b0\u1edbc khi chu\u1ea9n b\u1ecb th\u1ef1c ph\u1ea9m v\u00e0 sau khi ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed9ng v\u1eadt ho\u1eb7c \u0111\u1ea5t \u0111ai.<\/li>\n
    • U\u1ed1ng n\u01b0\u1edbc an to\u00e0n: S\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t t\u00e1n qua n\u01b0\u1edbc u\u1ed1ng b\u1ecb nhi\u1ec5m s\u00e1n. V\u00ec v\u1eady, h\u00e3y s\u1eed d\u1ee5ng n\u01b0\u1edbc u\u1ed1ng \u0111\u01b0\u1ee3c x\u1eed l\u00fd ho\u1eb7c s\u1eed d\u1ee5ng n\u01b0\u1edbc \u0111\u00f3ng chai c\u00f3 ngu\u1ed3n g\u1ed1c tin c\u1eady. Tr\u00e1nh s\u1eed d\u1ee5ng n\u01b0\u1edbc t\u1eeb gi\u1ebfng khoan ho\u1eb7c s\u00f4ng su\u1ed1i ch\u01b0a qua x\u1eed l\u00fd.<\/li>\n
    • Ch\u1ebf bi\u1ebfn th\u1ef1c ph\u1ea9m \u0111\u00fang c\u00e1ch: Th\u1ef1c ph\u1ea9m b\u1ecb nhi\u1ec5m s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf c\u00f3 th\u1ec3 g\u00e2y ra nguy c\u01a1 nhi\u1ec5m tr\u00f9ng. Lu\u00f4n ch\u1ebf bi\u1ebfn th\u1ef1c ph\u1ea9m \u0111\u00fang c\u00e1ch, r\u1eeda s\u1ea1ch rau qu\u1ea3 tr\u01b0\u1edbc khi \u0103n, kh\u00f4ng \u0103n th\u1ef1c ph\u1ea9m s\u1ed1ng ho\u1eb7c ch\u01b0a ch\u00edn, kh\u00f4ng \u0103n g\u1ecfi c\u00e1 ho\u1eb7c c\u00e1 ch\u01b0a \u0111\u01b0\u1ee3c n\u1ea5u ch\u00edn.<\/li>\n
    • Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p qu\u1ea3n l\u00fd ph\u00e2n \u0111\u1ec3 ph\u00f2ng ng\u1eeba s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf: Ti\u00eau h\u1ee7y ph\u00e2n b\u1eb1ng c\u00e1ch \u0111\u1ed1t ho\u1eb7c ch\u00f4n c\u1ea5t ph\u00e2n: \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ti\u00eau di\u1ec7t s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf hi\u1ec7u qu\u1ea3 nh\u1ea5t. N\u1ebfu kh\u00f4ng th\u1ec3 \u0111\u1ed1t ho\u1eb7c ch\u00f4n c\u1ea5t ph\u00e2n, h\u00e3y \u0111\u1ea3m b\u1ea3o ph\u00e2n \u0111\u01b0\u1ee3c x\u1eed l\u00fd ho\u1eb7c t\u00e1i ch\u1ebf m\u1ed9t c\u00e1ch an to\u00e0n. N\u1ebfu ph\u1ea3i ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n, h\u00e3y \u0111\u1ea3m b\u1ea3o s\u1eed d\u1ee5ng b\u1ea3o v\u1ec7 \u0111\u1ea7y \u0111\u1ee7. Sau khi ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n, r\u1eeda tay th\u1eadt s\u1ea1ch b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc. Gi\u00e1m s\u00e1t v\u00e0 ki\u1ec3m so\u00e1t ch\u1ea5t th\u1ea3i, \u0111\u1ea3m b\u1ea3o ch\u1ea5t th\u1ea3i \u0111\u01b0\u1ee3c x\u1eed l\u00fd \u0111\u00fang c\u00e1ch v\u00e0 kh\u00f4ng g\u00e2y \u00f4 nhi\u1ec5m cho m\u00f4i tr\u01b0\u1eddng xung quanh. Kh\u00f4ng cho c\u00e1 \u0103n ph\u00e2n ng\u01b0\u1eddi<\/li>\n
    • Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed9ng v\u1eadt: Ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed9ng v\u1eadt b\u1ecb nhi\u1ec5m s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf c\u00f3 th\u1ec3 g\u00e2y ra nguy c\u01a1 nhi\u1ec5m tr\u00f9ng. Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n c\u1ee7a \u0111\u1ed9ng v\u1eadt v\u00e0 r\u1eeda tay ngay sau khi ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed9ng v\u1eadt.<\/li>\n
    • Th\u1ef1c hi\u1ec7n v\u1ec7 sinh an to\u00e0n th\u1ef1c ph\u1ea9m: V\u1ec7 sinh an to\u00e0n th\u1ef1c ph\u1ea9m bao g\u1ed3m c\u00e1c quy t\u1eafc v\u1ec1 v\u1ec7 sinh th\u1ef1c ph\u1ea9m, b\u1ea3o qu\u1ea3n th\u1ef1c ph\u1ea9m v\u00e0 qu\u1ea3n l\u00fd th\u1ef1c ph\u1ea9m. Th\u1ef1c hi\u1ec7n c\u00e1c quy t\u1eafc n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf.<\/li>\n
    • \u0110i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf: N\u1ebfu b\u1ecb nhi\u1ec5m tr\u00f9ng s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf n\u00ean \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a s\u00e1n sang ng\u01b0\u1eddi kh\u00e1c v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/li>\n
    • Ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3: Ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 gi\u00fap ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00e1c b\u1ec7nh l\u00fd, bao g\u1ed3m c\u1ea3 nhi\u1ec5m tr\u00f9ng s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf.<\/li>\n<\/ul>\n

      Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

      B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf l\u00e2y truy\u1ec1n t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi, th\u01b0\u1eddng do m\u1ed9t s\u1ed1 lo\u00e0i thu\u1ed9c h\u1ecd Heterophyidae (31 lo\u00e0i) v\u00e0 Echinostomatidae (21 lo\u00e0i) g\u00e2y n\u00ean, s\u00e1n th\u01b0\u1eddng k\u00fd sinh \u1edf ru\u1ed9t non. Nhi\u1ec5m s\u00e1n v\u1edbi s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i, bu\u1ed3n n\u00f4n, \u0111au qu\u1eb7n b\u1ee5ng, m\u1ec7t m\u1ecfi, […]<\/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":"\nB\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf: T\u00e1c nh\u00e2n v\u00e0 ph\u01b0\u01a1ng th\u1ee9c l\u00e2y b\u1ec7nh - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf l\u00e2y truy\u1ec1n t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi g\u1ed3m 69 lo\u00e0i trong 11 h\u1ecd, trong \u0111\u00f3 th\u01b0\u1eddng do m\u1ed9t s\u1ed1 lo\u00e0i thu\u1ed9c h\u1ecd Heterophyidae ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh s\u00e1n l\u00e1 ru\u1ed9t nh\u1ecf: T\u00e1c nh\u00e2n v\u00e0 ph\u01b0\u01a1ng th\u1ee9c l\u00e2y b\u1ec7nh - 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