{"id":22830,"date":"2023-04-18T18:15:18","date_gmt":"2023-04-18T11:15:18","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22830"},"modified":"2023-04-19T11:35:47","modified_gmt":"2023-04-19T04:35:47","slug":"chan-doan-benh-au-trung-giun-dua-cho-meo","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/chan-doan-benh-au-trung-giun-dua-cho-meo\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o"},"content":{"rendered":"<p><strong><span lang=\"VI\">B\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o l\u00e0 b\u1ec7nh k\u00fd sinh tr\u00f9ng l\u00e2y truy\u1ec1n t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi do lo\u00e0i giun \u0111\u0169a ch\u00f3\u00a0<i>(Toxocara can<\/i><\/span><i>i<\/i><i><span lang=\"VI\">s)<\/span><\/i><span lang=\"VI\">\u00a0ho\u1eb7c giun \u0111\u0169a m\u00e8o\u00a0<\/span><i>(T<\/i><i><span lang=\"VI\">oxocara cati)<\/span><\/i><span lang=\"VI\">\u00a0g\u00e2y n\u00ean. B\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i, gi\u1edbi t\u00ednh n\u00e0o v\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng t\u1eeb th\u1ec3 \u1ea5u tr\u00f9ng di chuy\u1ec3n trong da \u0111\u1ebfn th\u1ec3 n\u1eb7ng \u1edf c\u00e1c c\u01a1 quan nh\u01b0 ph\u1ed5i, m\u1eaft, gan v\u00e0 h\u1ec7 th\u1ea7n kinh c\u1ee7a ng\u01b0\u1eddi.<\/span><\/strong><\/p>\n<h2><b><span lang=\"VI\">1. T\u00e1c nh\u00e2n<\/span><\/b><\/h2>\n<p>\u1ea4<span lang=\"VI\">u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o\u00a0<i>(Toxocara canis\/ Toxocara cat<\/i><\/span><i>i<\/i><i><span lang=\"VI\">)<\/span><\/i><span lang=\"VI\">.<\/span><\/p>\n<figure id=\"attachment_24117\" aria-describedby=\"caption-attachment-24117\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-24117 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-942368788-612x612-1-300x191.jpg\" alt=\"\u1ea4u tr\u00f9ng giun \u0111\u0169a ch\u00f3\" width=\"300\" height=\"191\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-942368788-612x612-1-300x191.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-942368788-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-24117\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3<\/figcaption><\/figure>\n<h2><b><span lang=\"VI\">2. Ngu\u1ed3n b\u1ec7nh<\/span><\/b><\/h2>\n<p><span lang=\"VI\">Ngu\u1ed3n b\u1ec7nh hay \u1ed5 ch\u1ee9a ch\u00ednh l\u00e0 ch\u00f3, m\u00e8o nhi\u1ec5m giun\u00a0<i>Toxocara<\/i>\u00a0spp., \u0111\u1eb7c bi\u1ec7t ch\u00f3 con l\u00e0 \u1ed5 ch\u1ee9a nguy c\u01a1 cao nh\u1ea5t cho ng\u01b0\u1eddi. Ngo\u00e0i ra, m\u1ed9t s\u1ed1 \u0111\u1ed9ng v\u1eadt kh\u00e1c (g\u00e0, v\u1ecbt, tr\u00e2u, b\u00f2, c\u1eebu, th\u1ecf) c\u00f3 th\u1ec3 mang ngu\u1ed3n b\u1ec7nh v\u1edbi t\u1ef7 l\u1ec7 th\u1ea5p h\u01a1n.<\/span><\/p>\n<h2><b><span lang=\"VI\">3. Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o<\/span><\/b><\/h2>\n<p><span lang=\"VI\">&#8211; Ng\u01b0\u1eddi \u0103n ph\u1ea3i th\u1ef1c ph\u1ea9m, n\u01b0\u1edbc u\u1ed1ng b\u1ecb nhi\u1ec5m tr\u1ee9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Ng\u01b0\u1eddi \u0103n ph\u1ee7 t\u1ea1ng hay th\u1ecbt s\u1ed1ng\/ch\u01b0a ch\u1ebf bi\u1ebfn ch\u00edn c\u1ee7a m\u1ed9t s\u1ed1 v\u1eadt ch\u1ee7 ch\u1ee9a m\u1ea7m b\u1ec7nh nh\u01b0 g\u00e0, v\u1ecbt, tr\u00e2u, b\u00f2, c\u1eebu, th\u1ecf.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; B\u1ec7nh kh\u00f4ng l\u00e2y truy\u1ec1n tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi.<\/span><\/p>\n<h2><b><span lang=\"VI\">4. T\u00ednh c\u1ea3m nhi\u1ec5m v\u00e0 mi\u1ec5n d\u1ecbch<\/span><\/b><\/h2>\n<p><span lang=\"VI\">T\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi, c\u1ea3 hai gi\u1edbi \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m v\u00e0 d\u1ec5 b\u1ecb t\u00e1i nhi\u1ec5m khi s\u1ed1ng trong m\u00f4i tr\u01b0\u1eddng c\u00f3 b\u1ec7nh l\u01b0u h\u00e0nh.<\/span><\/p>\n<h2><b><span lang=\"VI\">5. Chu k\u1ef3 ph\u00e1t tri\u1ec3n c\u1ee7a \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o<\/span><\/b><\/h2>\n<p align=\"center\"><b><span lang=\"VI\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/thuvienphapluat.vn\/doc2htm\/00515094_files\/image001.gif\" width=\"576\" height=\"484\" \/><\/span><\/b><\/p>\n<p align=\"center\"><span lang=\"VI\">H\u00ecnh 1: Chu k\u1ef3 ph\u00e1t\u00a0<\/span>tr<span lang=\"VI\">i\u1ec3n c\u1ee7a \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o (Ngu\u1ed3n US-CDC, 2019)<\/span><\/p>\n<p><span lang=\"VI\">(1). Tr\u1ee9ng giun th\u1ea3i ra m\u00f4i tr\u01b0\u1eddng qua ph\u00e2n.<\/span><\/p>\n<p><span lang=\"VI\">(2). Tr\u1ee9ng mang ph\u00f4i ph\u00e1t tri\u1ec3n \u1edf ngo\u00e0i m\u00f4i tr\u01b0\u1eddng sau 1-4 tu\u1ea7n th\u00e0nh tr\u1ee9ng ch\u1ee9a \u1ea5u tr\u00f9ng giai \u0111o\u1ea1n 3 v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m.<\/span><\/p>\n<p><span lang=\"VI\">(3,4). T\u00e1i nhi\u1ec5m v\u00e0o v\u1eadt ch\u1ee7 ch\u00ednh v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh giun tr\u01b0\u1edfng th\u00e0nh \u1edf ru\u1ed9t non.<\/span><\/p>\n<p><span lang=\"VI\">(5,6). \u1ea4u tr\u00f9ng t\u1eeb ch\u00f3\/m\u00e8o m\u1eb9 sang con qua \u0111\u01b0\u1eddng nhau thai ho\u1eb7c cho b\u00fa, ph\u00e1t tri\u1ec3n th\u00e0nh giun tr\u01b0\u1edfng th\u00e0nh \u1edf ru\u1ed9t non.<\/span><\/p>\n<p><span lang=\"VI\">(7). V\u1eadt ch\u1ee7 ch\u1ee9a, v\u00ed d\u1ee5 th\u1ecf b\u1ecb nhi\u1ec5m do \u0103n ph\u1ea3i tr\u1ee9ng giun.<\/span><\/p>\n<p><span lang=\"VI\">(8). Chu k\u1ef3 kh\u00e9p k\u00edn khi ch\u00f3\/m\u00e8o \u0103n th\u1ecbt c\u00e1c \u0111\u1ed9ng v\u1eadt n\u00e0y.<\/span><\/p>\n<p><span lang=\"VI\">(9,10). Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh khi \u0103n ph\u1ea3i tr\u1ee9ng ch\u1ee9a \u1ea5u tr\u00f9ng giai \u0111o\u1ea1n 3 trong m\u00f4i tr\u01b0\u1eddng ho\u1eb7c qua v\u1eadt ch\u1ee7 ch\u1ee9a.<\/span><\/p>\n<p><span lang=\"VI\">(11). \u1ede ng\u01b0\u1eddi, \u1ea5u tr\u00f9ng chui qua th\u00e0nh ru\u1ed9t v\u00e0o m\u00e1u v\u00e0 \u0111i \u0111\u1ebfn c\u00e1c c\u01a1 quan kh\u00e1c nhau trong c\u01a1 th\u1ec3.<\/span><\/p>\n<h2><b><span lang=\"VI\">6. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o<\/span><\/b><\/h2>\n<h3><b><span lang=\"VI\">6.1. Th\u1ec3 th\u00f4ng th\u01b0\u1eddng:<\/span><\/b><span lang=\"VI\">\u00a0<\/span><\/h3>\n<p><span lang=\"VI\">C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng qu\u00e1 r\u1ea7m r\u1ed9, c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Ng\u1ee9a, n\u1ed5i m\u1ea9n;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; \u0110au \u0111\u1ea7u;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; \u0110au b\u1ee5ng;<\/span><\/p>\n<p><span lang=\"VI\">&#8211;<\/span><span lang=\"VI\">\u00a0<\/span><span lang=\"VI\">Ho;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Thay \u0111\u1ed5i h\u00e0nh vi.<\/span><\/p>\n<h3><b><span lang=\"VI\">6.2. Th\u1ec3 \u1ea5u tr\u00f9ng di chuy\u1ec3n \u1edf m\u1eaft:<\/span><\/b><span lang=\"VI\">\u00a0<\/span><\/h3>\n<p><span lang=\"VI\">Th\u1ec3 m\u1eaft \u00edt g\u1eb7p, th\u01b0\u1eddng b\u1ecb \u1edf m\u1ed9t b\u00ean m\u1eaft. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m:<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Gi\u1ea3m th\u1ecb l\u1ef1c;<\/span><\/p>\n<p><span lang=\"VI\">&#8211;\u00a0<\/span>U<span lang=\"VI\">\u00a0h\u1ea1t: u h\u1ea1t c\u1ef1c sau, u h\u1ea1t ngo\u1ea1i vi;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Vi\u00eam n\u1ed9i nh\u00e3n,<\/span><\/p>\n<p><span lang=\"VI\">&#8211; T\u1ed5n th\u01b0\u01a1ng v\u00f5ng m\u1ea1c, vi\u00eam k\u1ebft gi\u00e1c m\u1ea1c, vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o<\/span><\/p>\n<p><span lang=\"VI\">&#8211; M\u1ea5t th\u1ecb l\u1ef1c ho\u00e0n to\u00e0n.<\/span><\/p>\n<h3><b><span lang=\"VI\">6.3. Th\u1ec3 \u1ea5u tr\u00f9ng di chuy\u1ec3n n\u1ed9i t\u1ea1ng<\/span><\/b><\/h3>\n<p>\u1ea4<span lang=\"VI\">u tr\u00f9ng c\u00f3 th\u1ec3 di chuy\u1ec3n \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan kh\u00e1c nhau nh\u01b0 tim, ph\u1ed5i v\u00e0 gan. Th\u1ec3 n\u1ed9i t\u1ea1ng g\u1eb7p nhi\u1ec1u \u1edf tr\u1ebb em d\u01b0\u1edbi 7 tu\u1ed5i. C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00e1 \u0111a d\u1ea1ng ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ed1 l\u01b0\u1ee3ng v\u00e0 v\u1ecb tr\u00ed c\u01a1 quan b\u1ecb k\u00fd sinh, th\u01b0\u1eddng g\u1eb7p l\u00e0:<\/span><\/p>\n<p><span lang=\"VI\">&#8211; \u0110au b\u1ee5ng m\u00e3n t\u00ednh, gan to, ti\u00eau ch\u1ea3y, n\u00f4n;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Hen ph\u1ebf qu\u1ea3n: Kh\u00f2 kh\u00e8, ho khan, kh\u00f3 th\u1edf;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; T\u1ee9c ng\u1ef1c;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; S\u1ed1t, \u0111au \u0111\u1ea7u, m\u1ec7t m\u1ecfi, s\u00fat c\u00e2n;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; M\u1ea9n ng\u1ee9a, n\u1ed5i ban.<\/span><\/p>\n<h3><b><span lang=\"VI\">6.4. Th\u1ec3 \u1ea5u tr\u00f9ng di chuy\u1ec3n \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh<\/span><\/b><\/h3>\n<p><span lang=\"VI\">\u0110\u00e2y l\u00e0 th\u1ec3 b\u1ec7nh nguy hi\u1ec3m so v\u1edbi c\u00e1c th\u1ec3 kh\u00e1c. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, m\u1ee9c \u0111\u1ed9 bi\u1ec3u hi\u1ec7n ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng \u1edf h\u1ec7 th\u1ea7n kinh nh\u01b0:<\/span><\/p>\n<p><span lang=\"VI\">&#8211;<\/span><span lang=\"VI\">\u00a0<\/span><span lang=\"VI\">S\u1ed1t;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; \u0110au \u0111\u1ea7u;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Co gi\u1eadt.<\/span><\/p>\n<h2><b><span lang=\"VI\">7. C\u1eadn l\u00e2m s\u00e0ng<\/span><\/b><\/h2>\n<h3><b><span lang=\"VI\">7.1. X\u00e9t nghi\u1ec7m<\/span><\/b><\/h3>\n<p><span lang=\"VI\">&#8211; ELISA: Ph\u00e1t hi\u1ec7n c\u00f3 kh\u00e1ng th\u1ec3 IgG kh\u00e1ng kh\u00e1ng nguy\u00ean ti\u1ebft c\u1ee7a\u00a0<i>Toxocara<\/i>\u00a0spp. trong huy\u1ebft thanh ho\u1eb7c d\u1ecbch n\u1ed9i nh\u00e3n.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; C\u00f4ng th\u1ee9c m\u00e1u: B\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u t\u0103ng &gt; 7% (ho\u1eb7c &gt; 500 t\u1ebf b\u00e0o\/\u00b5<\/span>l m\u00e1u).<\/p>\n<p><span lang=\"VI\">&#8211; X\u00e9t nghi\u1ec7m m\u00e1u l\u1eafng: t\u0103ng<\/span><\/p>\n<p><span lang=\"VI\">&#8211; CRP (C Reaction Protein): t\u0103ng<\/span><\/p>\n<p><span lang=\"VI\">&#8211; X\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng IgE: t\u0103ng<\/span><\/p>\n<p><span lang=\"VI\">&#8211; X\u00e9t nghi\u1ec7m ph\u00e2n: t\u00ecm c\u00e1c k\u00fd sinh tr\u00f9ng kh\u00e1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u1ea1i tr\u1eeb.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Sinh thi\u1ebft t\u1ed5 ch\u1ee9c: X\u00e1c \u0111\u1ecbnh m\u00f4 b\u1ec7nh h\u1ecdc c\u1ee7a t\u1ed5n th\u01b0\u01a1ng nhi\u1ec5m \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o ho\u1eb7c x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u1ea5u tr\u00f9ng, th\u01b0\u1eddng c\u00f3 th\u00e2m nhi\u1ec5m b\u1ea1ch c<\/span>\u1ea7<span lang=\"VI\">u \u00e1i toan.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Sinh h\u1ecdc ph\u00e2n t\u1eed: Ph\u00e1t hi\u1ec7n \u0111o\u1ea1n gen \u0111\u1eb7c hi\u1ec7u c\u1ee7a \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o trong b\u1ec7nh ph\u1ea9m sinh thi\u1ebft.<\/span><\/p>\n<h3><b><span lang=\"VI\">7.2. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/span><\/b><\/h3>\n<p><span lang=\"VI\">&#8211; Ch\u1ee5p Xquang ph\u1ed5i: C\u00f3 h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 ph\u1ed5i, c\u00e1c v\u1ebft th\u00e2m nhi\u1ec5m<\/span><span lang=\"VI\">\u00a0<\/span><span lang=\"VI\">ph\u1ed5i.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT scanner): C\u00f3 h\u00ecnh \u1ea3nh thay \u0111\u1ed5i t\u1ef7 tr\u1ecdng t\u01b0\u01a1ng \u1ee9ng v\u1edbi v\u00f9ng t\u1ed5n th\u01b0\u01a1ng.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Ch\u1ee5p MRI c\u00e1c c\u01a1 quan nghi t\u1ed5n th\u01b0\u01a1ng: ph\u00e1t hi\u1ec7n thay \u0111\u1ed5i t\u00fai hi\u1ec7u t\u01b0\u01a1ng \u1ee9ng c\u00e1c v\u00f9ng t\u1ed5n th\u01b0\u01a1ng.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Si\u00eau \u00e2m \u1ed5 b\u1ee5ng, si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 n\u00f4ng: Ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng ho\u1eb7c ph\u1ea7n m\u1ec1m d\u01b0\u1edbi da. C\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf t\u1ea1ng d\u01b0\u1edbi d\u1ea1ng n\u1ed1t &lt; 3cm, gi\u1ea3m \u00e2m kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, c\u00f3 th\u1ec3 c\u00f3 c\u00e1c ch\u1ea5m t\u0103ng \u00e2m kh\u00f4ng k\u00e8m b\u00f3ng c\u1ea3n b\u00ean trong, t\u1ed5n th\u01b0\u01a1ng b\u1edd kh\u00e1 \u0111\u1ec1u, ranh gi\u1edbi r\u00f5, kh\u00f4ng t\u0103ng sinh m\u1ea1ch, c\u00f3 v\u1ecf x\u01a1 m\u1ea3nh xung quanh. D\u01b0\u1edbi da l\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u00e2m nhi\u1ec5m, c\u00f3 th\u1ec3 khu tr\u00fa t\u00f9y giai \u0111o\u1ea1n.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Soi \u0111\u00e1<\/span>y<span lang=\"VI\">\u00a0m\u1eaft: D\u1ea5u hi\u1ec7u x\u01a1 v\u00f5ng m\u1ea1c, v\u1ebft \u201cch\u00e2n v\u1ecbt\u201d, c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh \u1ea5u tr\u00f9ng \u1edf \u0111\u00e1y m\u1eaft.<\/span><\/p>\n<h2><b><span lang=\"VI\">8. Ch\u1ea9n \u0111o\u00e1n<\/span><\/b><\/h2>\n<h3><b><span lang=\"VI\">8.1. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nghi ng\u1edd<\/span><\/b><\/h3>\n<p><span lang=\"VI\">L\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u00f3 ti\u1ec1n s\u1eed d\u1ecbch t\u1ec5 ti\u1ebfp x\u00fac v\u1edbi ch\u00f3\/m\u00e8o ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Ng\u1ee9a, n\u1ed5i m\u1ea9n;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; \u0110au \u0111\u1ea7u, \u0111au b\u1ee5ng, kh\u00f3 ti\u00eau;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; \u0110au nh\u1ee9c m\u1ecfi, t\u00ea b\u00ec;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; S\u1ed1t, th\u1edf kh\u00f2 kh\u00e8;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; C\u00f3 th\u1ec3 k\u00e8m theo m\u1ed9t ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng sau: Gan to, vi\u00eam ph\u1ed5i, \u0111au b\u1ee5ng m\u00e3n t\u00ednh, r\u1ed1i lo\u1ea1n th\u1ea7n kinh khu tr\u00fa, t\u1ed5n th\u01b0\u01a1ng \u1edf m\u1eaft, gi\u1ea3m th\u1ecb l\u1ef1c, t\u1ed5n th\u01b0\u01a1ng v\u00f5ng m\u1ea1c.<\/span><\/p>\n<h3><b><span lang=\"VI\">8.2. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh x\u00e1c \u0111\u1ecbnh<\/span><\/b><\/h3>\n<p><span lang=\"VI\">L\u00e0 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nghi ng\u1edd v\u00e0 c\u00f3 m\u1ed9t trong c\u00e1c x\u00e9t nghi\u1ec7m sau:<\/span><\/p>\n<p><span lang=\"VI\">&#8211; T\u00ecm th\u1ea5y \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Ph\u00e1t hi\u1ec7n \u0111o\u1ea1n gen \u0111\u1eb7c hi\u1ec7u c\u1ee7a \u1ea5u tr\u00f9ng b\u1eb1ng sinh h\u1ecdc ph\u00e2n t\u1eed.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; X\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c kh\u00e1ng th\u1ec3 kh\u00e1ng giun \u0111\u0169a ch\u00f3\/m\u00e8o b\u1eb1ng ELISA.<\/span><\/p>\n<p><span lang=\"VI\">&#8211; B\u1ea1ch c\u1ea7u \u00e1i toan t\u0103ng ho\u1eb7c<\/span><\/p>\n<p><span lang=\"VI\">&#8211; C\u00f3 t\u1ed5n th\u01b0\u01a1ng nghi ng\u1edd tr\u00ean ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh.<\/span><\/p>\n<h3><b><span lang=\"VI\">8.3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/span><\/b><\/h3>\n<p><span lang=\"VI\">&#8211; Vi\u00eam da c\u01a1 \u0111\u1ecba;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Vi\u00eam da ti\u1ebfp x\u00fac;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; B\u1ec7nh \u1ea5u tr\u00f9ng di chuy\u1ec3n d\u01b0\u1edbi da do \u1ea5u tr\u00f9ng giun m\u00f3c\/m\u1ecf, giun l\u01b0\u01a1n;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; S\u00e1n l\u00e1 gan l\u1edbn;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; \u1ea4u tr\u00f9ng s\u00e1n l\u1ee3n;<\/span><\/p>\n<p><span lang=\"VI\">&#8211; Nhi\u1ec5m c\u00e1c lo\u1ea1i giun tr\u00f2n \u0111\u01b0\u1eddng ru\u1ed9t kh\u00e1c.<\/span><\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o l\u00e0 b\u1ec7nh k\u00fd sinh tr\u00f9ng l\u00e2y truy\u1ec1n t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi do lo\u00e0i giun \u0111\u0169a ch\u00f3\u00a0(Toxocara canis)\u00a0ho\u1eb7c giun \u0111\u0169a m\u00e8o\u00a0(Toxocara cati)\u00a0g\u00e2y n\u00ean. B\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i, gi\u1edbi t\u00ednh n\u00e0o v\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng t\u1eeb th\u1ec3 \u1ea5u tr\u00f9ng di chuy\u1ec3n trong da \u0111\u1ebfn [&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>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o l\u00e0 b\u1ec7nh k\u00fd sinh tr\u00f9ng l\u00e2y truy\u1ec1n t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi do lo\u00e0i giun \u0111\u0169a ch\u00f3\u00a0(Toxocara canis)\u00a0ho\u1eb7c ...\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o - 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