{"id":11248,"date":"2024-04-18T00:02:19","date_gmt":"2024-04-18T00:02:19","guid":{"rendered":"https:\/\/4pal.net\/?p=11248"},"modified":"2024-04-12T03:09:54","modified_gmt":"2024-04-12T03:09:54","slug":"phong-chong-benh-sot-xuat-huyet-dengue","status":"publish","type":"post","link":"https:\/\/4pal.net\/phong-chong-benh-sot-xuat-huyet-dengue\/","title":{"rendered":"PH\u00d2NG, CH\u1ed0NG B\u1ec6NH S\u1ed0T XU\u1ea4T HUY\u1ebeT DENGUE"},"content":{"rendered":"

B\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue<\/em> (Hay c\u00f2n g\u1ecdi l\u00e0 s\u1ed1t xu\u1ea5t huy\u1ebft – Dengue hemorrhagic fever) l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m ph\u1ed5 bi\u1ebfn t\u1ea1i Vi\u1ec7t Nam v\u00e0 tr\u00ean th\u1ebf gi\u1edbi. B\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch h\u00e0ng n\u0103m (th\u01b0\u1eddng t\u1eadp trung cao \u0111i\u1ec3m c\u00e1c ca m\u1eafc t\u1eeb th\u00e1ng 7 \u0111\u1ebfn th\u00e1ng 10). B\u1ec7nh c\u00f3 m\u00e3 theo CDC l\u00e0 A91 v\u00e0 \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf Vi\u1ec7t Nam x\u1ebfp v\u00e0o nh\u00f3m B trong c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m.<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 vi r\u00fat Dengue (DEN) g\u00e2y n\u00ean. \u0110\u00e2y l\u00e0 virus thu\u1ed9c nh\u00f3m\u00a0Flavivirus<\/em>, h\u1ecd Flaviviridae<\/em> v\u1edbi 4 t\u00fdp huy\u1ebft thanh l\u00e0 DEN – 1, DEN – 2, DEN – 3 v\u00e0 DEN – 4.<\/em><\/p>\n

B\u1ec7nh kh\u00f4ng l\u00e2y truy\u1ec1n tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi m\u00e0 do mu\u1ed7i \u0111\u1ed1t ng\u01b0\u1eddi b\u1ec7nh c\u00f3 mang vi r\u00fat sau \u0111\u00f3 truy\u1ec1n vi r\u00fat sang ng\u01b0\u1eddi l\u00e0nh qua v\u1ebft \u0111\u1ed1t. \u1ede Vi\u1ec7t Nam, hai lo\u00e0i mu\u1ed7i truy\u1ec1n b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft l\u00e0\u00a0Aedes aegypti\u00a0v\u00e0\u00a0Aedes albopictus, trong \u0111\u00f3 quan tr\u1ecdng nh\u1ea5t l\u00e0\u00a0Aedes aegypti.<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mu\u1ed7i Aedes aegypti (Hay c\u00f2n g\u1ecdi l\u00e0 mu\u1ed7i v\u1eb1n) ho\u1ea1t \u0111\u1ed9ng v\u00e0o ban ng\u00e0y v\u00e0 ch\u1ec9 c\u00f3 mu\u1ed7i c\u00e1i m\u1edbi \u0111\u1ed1t ng\u01b0\u1eddi v\u00e0 truy\u1ec1n b\u1ec7nh. Khi mu\u1ed7i c\u00e1i Aedes h\u00fat m\u00e1u b\u1ec7nh nh\u00e2n nhi\u1ec5m virus dengue, virus n\u00e0y s\u1ebd \u1ee7 b\u1ec7nh trong c\u01a1 th\u1ec3 mu\u1ed7i kho\u1ea3ng 8 \u0111\u1ebfn 11 ng\u00e0y. Trong kho\u1ea3ng th\u1eddi gian s\u1ed1ng c\u00f2n l\u1ea1i sau \u0111\u00f3, mu\u1ed7i c\u00f3 nguy c\u01a1 truy\u1ec1n b\u1ec7nh cho ng\u01b0\u1eddi. Khi virus v\u00e0o c\u01a1 th\u1ec3 ng\u01b0\u1eddi, ch\u00fang tu\u1ea7n ho\u00e0n trong m\u00e1u t\u1eeb 2 \u0111\u1ebfn 7 ng\u00e0y. Trong kho\u1ea3ng th\u1eddi gian n\u00e0y n\u1ebfu mu\u1ed7i Aedes h\u00fat m\u00e1u th\u00ec virus \u0111\u01b0\u1ee3c truy\u1ec1n cho mu\u1ed7i. Th\u1eddi k\u1ef3 \u1ee7 b\u1ec7nh \u1edf ng\u01b0\u1eddi t\u1eeb 3 – 14 ng\u00e0y, trung b\u00ecnh t\u1eeb 5 – 7 ng\u00e0y. B\u1ec7nh nh\u00e2n l\u00e0 ngu\u1ed3n l\u00e2y b\u1ec7nh trong th\u1eddi k\u1ef3 c\u00f3 s\u1ed1t, nh\u1ea5t l\u00e0 5 ng\u00e0y \u0111\u1ea7u c\u1ee7a s\u1ed1t l\u00e0 giai \u0111o\u1ea1n trong m\u00e1u c\u00f3 nhi\u1ec1u vi r\u00fat.<\/p>\n

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Mu\u1ed7i Aedes aegypti l\u00e0 trung gian truy\u1ec1n b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue (\u1ea2nh: https:\/\/vncdc.gov.vn\/)<\/p><\/div>\n

\u00a0\u00a0\u00a0\u00a0M\u1ecdi ng\u01b0\u1eddi ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch \u0111\u1eb7c hi\u1ec7u \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb m\u1eafc b\u1ec7nh t\u1eeb tr\u1ebb s\u01a1 sinh cho \u0111\u1ebfn ng\u01b0\u1eddi l\u1edbn. Sau khi kh\u1ecfi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c mi\u1ec5n d\u1ecbch su\u1ed1t \u0111\u1eddi v\u1edbi t\u00fdp vi r\u00fat Dengue g\u00e2y b\u1ec7nh nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c mi\u1ec5n d\u1ecbch b\u1ea3o v\u1ec7 ch\u00e9o v\u1edbi c\u00e1c t\u00fdp vi r\u00fat Dengue kh\u00e1c. N\u1ebfu b\u1ecb m\u1eafc b\u1ec7nh l\u1ea7n th\u1ee9 hai v\u1edbi t\u00fdp vi r\u00fat Dengue kh\u00e1c, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1ebd b\u1ecb b\u1ec7nh n\u1eb7ng h\u01a1n v\u00e0 d\u1ec5 xu\u1ea5t hi\u1ec7n s\u1ed1c Dengue.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n s\u1ed1t xu\u1ea5t huy\u1ebft Dengue th\u01b0\u1eddng d\u1ef1a v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nh\u01b0: n\u1ed5i ban \u0111\u1eb7c tr\u01b0ng tr\u00ean da c\u1ee7a s\u1ed1t xu\u1ea5t huy\u1ebft k\u00e8m s\u1ed1t cao, ng\u01b0\u1eddi m\u1ec7t m\u1ecfi r\u0169 r\u01b0\u1ee3i, nh\u1ee9c \u0111\u1ea7u, \u0111au sau h\u1ed1c m\u1eaft, \u0111au c\u01a1 (\u0111au th\u1eaft l\u01b0ng v\u00e0 \u0111\u00f4i khi \u0111au ch\u00e2n), th\u01b0\u1eddng k\u00e8m theo \u0111au h\u1ecdng, bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda, \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb v\u00e0 ti\u00eau ch\u1ea3y; c\u0169ng nh\u01b0 d\u1ef1a v\u00e0o c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u01a1n gi\u1ea3n nh\u01b0: s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u, s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u v\u00e0 hematocrit.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n huy\u1ebft thanh h\u1ecdc th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p x\u00e1c \u0111\u1ecbnh IgM b\u1eb1ng k\u1ef9 thu\u1eadt h\u1ea5p ph\u1ee5 mi\u1ec5n d\u1ecbch g\u1eafn k\u1ebft enzyme (MAC-ELISA) \u1edf hai m\u1eabu m\u00e1u b\u1ec7nh nh\u00e2n l\u1ea5y c\u00e1ch nhau 14 ng\u00e0y. M\u1eabu m\u00e1u th\u1ee9 nh\u1ea5t l\u1ea5y tr\u01b0\u1edbc ng\u00e0y th\u1ee9 7 c\u1ee7a b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 c\u00f3 \u00edch trong vi\u1ec7c ph\u00e2n l\u1eadp virus b\u1eb1ng c\u00e1ch c\u1ea5y v\u00e0o t\u1ebf b\u00e0o c\u1ee7a mu\u1ed7i Aedes albopictus. Sau \u0111\u00f3, vi\u1ec7c \u0111\u1ecbnh danh vi khu\u1ea9n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n nh\u1edd x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch hu\u1ef3nh quang s\u1eed d\u1ee5ng kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng.<\/p>\n

Ph\u00f2ng ch\u1ed1ng b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft: \u0110\u1ebfn nay, m\u1eb7c d\u00f9 tr\u00ean th\u1ebf gi\u1edbi \u0111\u00e3 c\u00f3 m\u1ed9t s\u1ed1 n\u01b0\u1edbc tri\u1ec3n khai ti\u00eam v\u1eafc-xin ph\u00f2ng b\u1ec7nh. Tuy nhi\u00ean, \u1edf Vi\u1ec7t Nam ch\u01b0a c\u00f3 v\u1eafc xin ph\u00f2ng b\u1ec7nh v\u00e0 c\u0169ng ch\u01b0a c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u. V\u00ec v\u1eady c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng b\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e0:<\/p>\n