{"id":2200,"date":"2018-11-19T13:14:51","date_gmt":"2018-11-19T13:14:51","guid":{"rendered":"https:\/\/robot.yeupet.vn\/benh-do-leishmania-tren-cho-meo-leishmaniosis\/"},"modified":"2018-11-19T13:14:51","modified_gmt":"2018-11-19T13:14:51","slug":"benh-do-leishmania-tren-cho-meo-leishmaniosis","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/benh-do-leishmania-tren-cho-meo-leishmaniosis\/","title":{"rendered":"B\u1ec7nh Do Leishmania Tr\u00ean Ch\u00f3 M\u00e8o (Leishmaniosis)"},"content":{"rendered":"<p>1. C\u0103n b\u1ec7nh<br \/>\nLeishmaniosis l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi v\u00e0 th\u00fa v\u1eadt thu\u1ea7n d\u01b0\u1ee1ng c\u0169ng nh\u01b0 hoang d\u00e3 tr\u00ean th\u1ebf gi\u1edbi, b\u1ec7nh do c\u00e1c th\u00e0nh vi\u00ean c\u1ee7a gi\u1ed1ng Leishmania. Leishmaniosis l\u00e0 t\u1eeb ng\u1eef ch\u1ec9 \u0111\u1ebfn b\u1ec7nh \u1edf th\u00fa v\u1eadt.<br \/>\nLeishmania l\u00e0 nguy\u00ean sinh \u0111\u1ed9ng v\u1eadt hai pha (amastigotes v\u00e0 promastigotes) thu\u1ed9c: H\u1ecd Trypanosomatidae, l\u1edbp Kinetoplasta, gi\u1ed1ng Leishmania; Hai gi\u1ed1ng ph\u1ee5 l\u00e0 Leishmania v\u00e0 Viannia.<span id=\"more-2626\"><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/Leishmania_infantum_in_dog.png\" class=\"aligncenter size-full wp-image-2631\" alt=\"Leishmania_infantum_in_dog\" width=\"1600\" height=\"1064\"><br \/>\n2. D\u1ecbch t\u1ec5 h\u1ecdc<br \/>\nC\u00f3 kho\u1ea3ng 20 lo\u00e0i g\u00e2y ra nhi\u1ec1u b\u1ec7nh l\u00e2m s\u00e0ng tr\u00ean kho\u1ea3ng 30 lo\u00e0i Leishmania kh\u00e1c nhau.<br \/>\nB\u1ec7nh do Leishmania tr\u00ean ng\u01b0\u1eddi: d\u1ecbchx\u1ea3y ra t\u1ea1i 88 qu\u1ed1c gia, kho\u1ea3ng 12 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m Leishmania v\u00e0 c\u00f3 kho\u1ea3ng 350 tri\u1ec7u ng\u01b0\u1eddi \u0111ang c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh n\u00e0y. H\u00e0ng n\u0103m c\u00f3 kho\u1ea3ng 1 \u0111\u1ebfn 1,5 tri\u1ec7u tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh th\u1ec3 ngo\u00e0i da v\u00e0 500.000 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh th\u1ec3 ph\u1ee7 t\u1ea1ng c\u00f3 kh\u1ea3 n\u0103ng t\u1eed vong.<br \/>\nLeishmania nhi\u1ec5m tr\u00ean ch\u00f3:<br \/>\n\u2013 C\u00e1c ch\u1ee7ng \u1edf c\u00e1c v\u00f9ng \u0111\u1ecba l\u00fd kh\u00e1c nhau: L. infantum (L. chagasi), L. donovani, Leishmania tropica, L. braziliensis, Leishmania peruviana, Leishmania panamensis, v\u00e0 Leishmania amazonensis.<br \/>\n\u2013 L\u01b0u h\u00e0nh huy\u1ebft thanh \u1edf T\u00e2y Ban Nha, Ph\u00e1p, \u00dd v\u00e0 B\u1ed3 \u0110\u00e0o Nha, \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 2,5 tri\u1ec7u ch\u00f3;<br \/>\n\u2013 T\u1ef7 l\u1ec7 nhi\u1ec5m \u1edf ch\u00f3 cao: t\u1eeb 70% \u0111\u1ebfn 90% (theo ph\u00e1t hi\u1ec7n b\u1eb1ng PCR v\u00e0 huy\u1ebft thanh h\u1ecdc trong khu v\u1ef1c d\u1ecbch t\u1ec5 cao, nh\u01b0 \u1edf Balearic Islands c\u1ee7a T\u00e2y Ban Nha, v\u00f9ng Marseille \u1edf Ph\u00e1p, v\u00f9ng Naples \u1edf \u00dd).<br \/>\n\u2013 Ch\u00f3 nh\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 ngu\u1ed3n t\u00e0ng tr\u1eef ch\u00ednh c\u1ee7a b\u1ec7nh do Leishmania th\u1ec3 ph\u1ee7 t\u1ea1ng \u1edf ng\u01b0\u1eddi trong v\u00f9ng \u0110\u1ecba Trung H\u1ea3i, Trung \u0110\u00f4ng v\u00e0 Nam M\u1ef9, trong \u0111\u00f3 L. infantum (L. chagasi) l\u00e0 m\u1ea7m b\u1ec7nh.<br \/>\nLeishmania nhi\u1ec5m tr\u00ean m\u00e8o<br \/>\n\u2013 C\u00e1c ch\u1ee7ng \u1edf c\u00e1c v\u00f9ng \u0111\u1ecba l\u00fd kh\u00e1c nhau: L. infantum \u1edf Ch\u00e2u \u00c2u v\u00e0 Brazil, Leishmania mexicana \u1edf Texas, Leishmania venezuelensis \u1edf Venezuela, v\u00e0 L. braziliensis v\u00e0 Leishmania amazonensis \u1edf Brazil.<br \/>\n\u2013 T\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh huy\u1ebft thanh \u1edf m\u1ee9c \u0111\u1ed9 t\u1eeb 0,9% \u0111\u1ebfn 28%.<br \/>\n\u2013 T\u1ef7 l\u1ec7 kh\u00e1c nhau c\u1ee7a b\u1ec7nh nhi\u1ec5m, t\u1eeb 0,43% \u0111\u1ebfn 30% (C\u00e1c nghi\u00ean c\u1ee9u PCR tr\u00ean c\u00e1c m\u1eabu m\u00e1u).<\/p>\n<p>3. S\u1ef1 l\u00e2y nhi\u1ec5m<br \/>\nB\u1ec7nh truy\u1ec1n l\u00e2y do mu\u1ed7i c\u00e1t (sandflies) thu\u1ed9c gi\u1ed1ng (genus) Phlebotomusin. \u1ede v\u00f9ng \u0110\u1ecba Trung H\u1ea3i v\u00e0 Ch\u00e2u \u00c1, mu\u1ed7i c\u00e1t thu\u1ed9c gi\u1ed1ng (genus) Phlebotomus ch\u1ee7 y\u1ebfu ho\u1ea1t \u0111\u1ed9ng trong nh\u1eefng th\u00e1ng \u1ea5m \u00e1p, t\u1eeb m\u00f9a xu\u00e2n cho \u0111\u1ebfn cu\u1ed1i thu. \u1ede Ch\u00e2u M\u1ef9 La Tinh, mu\u1ed7i c\u00e1t thu\u1ed9c gi\u1ed1ng Lutzomyia ho\u1ea1t \u0111\u1ed9ng su\u1ed1t n\u0103m.<br \/>\nChu k\u1ef3 trong t\u1ef1 nhi\u00ean c\u1ee7a b\u1ec7nh nhi\u1ec5m Leishmaniali\u00ean quan \u0111\u1ebfn trung gian truy\u1ec1n l\u00e2y l\u00e0 mu\u1ed7i c\u00e1t v\u00e0 k\u00fd ch\u1ee7 c\u00f3 x\u01b0\u01a1ng s\u1ed1ng<br \/>\nL\u1ee9a tu\u1ed5i c\u1ee7a b\u1ec7nh l\u00e2m s\u00e0ng c\u00f3 hai \u0111\u1ec9nh \u0111i\u1ec3m: ch\u00f3 non (2 \u0111\u1ebfn 4 n\u0103m tu\u1ed5i) v\u00e0 ch\u00f3 gi\u00e0 (tr\u00ean 7 n\u0103m tu\u1ed5i); Tr\u00ean m\u00e8o ch\u1ec9 c\u00f3 b\u00e1o tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh l\u00fac 4 th\u00e1ng tu\u1ed5i;<br \/>\nM\u1ed9t s\u1ed1 gi\u1ed1ng ch\u00f3, bao g\u1ed3m gi\u1ed1ng boxer, cocker spaniel, Rottweiler v\u00e0 German shepherd c\u00f3 kh\u1ea3 n\u0103ng m\u1eabn c\u1ea3m cao h\u01a1n \u0111\u1ed1i v\u1edbi b\u1ec7nh.<br \/>\n4. C\u00e1ch sinh b\u1ec7nh<br \/>\n\u1ede c\u00e1c k\u00fd ch\u1ee7 c\u00f3 x\u01b0\u01a1ng s\u1ed1ng, Leishmania t\u00ecm th\u1ea5y trong c\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o (macrophages) trong d\u1ea1ng kh\u00f4ng c\u00f3 l\u00f4ng mao (nonflagellate form), g\u1ecdi l\u00e0 amastigote (giai \u0111o\u1ea1n kh\u00f4ng c\u00f3 l\u00f4ng mao hay roi \u0111u\u00f4i c\u1ee7a nguy\u00ean sinh \u0111\u1ed9ng v\u1eadt Trypanosoma).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/Leishmania_infantum-tren-cho-meo1.png\" class=\"aligncenter size-full wp-image-2628\" alt=\"Leishmania_infantum-tren-cho-meo1\" width=\"377\" height=\"445\"><\/p>\n<p>C\u00e1c amastigotes sinh s\u00f4i b\u1eb1ng ph\u00e2n chia nh\u1ecb ph\u00e2n, sau \u0111\u00f3 ph\u00e1 v\u1ee1 \u0111\u1ea1i th\u1ef1c b\u00e0o \u0111\u1ec3 nhi\u1ec5m \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o m\u1edbi. Mu\u1ed7i c\u00e1t c\u00f3 th\u1ec3 \u0103n ph\u1ea3i c\u00e1c amastigotes khi ch\u00fang h\u00fat m\u00e1u t\u1eeb c\u00e1c k\u00fd ch\u1ee7 b\u1ecb nhi\u1ec5m. Trong ru\u1ed9t mu\u1ed7i c\u00e1t, c\u00e1c amastigotes tho\u00e1t ra kh\u1ecfi c\u00e1c t\u1ebf b\u00e0o k\u00fd ch\u1ee7, tr\u1ea3i qua m\u1ed9t lo\u1ea1t c\u00e1c bi\u1ebfn \u0111\u1ed5i h\u00ecnh th\u00e1i v\u00e0 chuy\u1ec3n sang d\u1ea1ng s\u1ed1ng ngo\u1ea1i b\u00e0o, c\u00f3 roi \u0111u\u00f4i (flagella) g\u1ecdi l\u00e0 promastigote \u0111\u1ea7u chu k\u1ef3 (procylic promastigote ) v\u00e0 sinh s\u00f4i.<br \/>\nTrong trung gian truy\u1ec1n l\u00e2y th\u00edch h\u1ee3p, ch\u00fang sinh s\u00f4i \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 \u0111i\u1ec1u ch\u1ec9nh gen di truy\u1ec1n trong t\u1ebf b\u00e0o c\u1ee7a k\u00fd ch\u1ee7 trung gian n\u00e0y, sau \u0111\u00f3 t\u00e1ch r\u1eddi kh\u1ecfi bi\u1ec3u b\u00ec ru\u1ed9t gi\u1eefa. Khi t\u00e1ch kh\u1ecfi ru\u1ed9t gi\u1eefa, ch\u00fang di chuy\u1ec3n l\u00ean ph\u00eda tr\u00ean v\u00e0 h\u00ecnh th\u00e0nh d\u1ea1ng promastigote gi\u1eefa chu k\u1ef3 (metacyclic promastigotes) \u1edf ru\u1ed9t tr\u01b0\u1edbc v\u00e0 phi\u1ebfn mi\u1ec7ng (mouthpart) c\u1ee7a k\u00fd ch\u1ee7 trung gian.<br \/>\nC\u00e1c promastigotes \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o da c\u1ee7a k\u00fd ch\u1ee7 c\u00f3 x\u01b0\u01a1ng s\u1ed1ng theo n\u01b0\u1edbc b\u1ecdt c\u1ee7a mu\u1ed7i c\u00e1t trong l\u00fac h\u00fat m\u00e1u. Sau khi \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o k\u00fd ch\u1ee7, c\u00e1c promastigotes r\u1ee5ng roi \u0111u\u00f4i v\u00e0 bi\u1ebfn h\u00ecnh tr\u1edf l\u1ea1i th\u00e0nh c\u00e1c amastigotes.<\/p>\n<p>5. Tri\u1ec7u ch\u1ee9ng, b\u1ec7nh t\u00edch:<br \/>\nC\u00e1c d\u1ea5u hi\u1ec7u th\u01b0\u1eddng g\u1eb7p<br \/>\nD\u1ea5u hi\u1ec7u \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0% ch\u00f3 b\u1ecb<br \/>\nKh\u00f3 ch\u1ecbu \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a067.5<br \/>\nGi\u1ea3m th\u1ec3 tr\u1ecdng \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a064<br \/>\nL\u1edd \u0111\u1edd \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a060<br \/>\nU\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 40<br \/>\nB\u1ecf \u0103n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a032.5<br \/>\nTi\u00eau ch\u1ea3y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a030<br \/>\n\u00d3i m\u1eeda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 26<br \/>\n\u0102n b\u1eady \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a015<br \/>\nCh\u1ea3y m\u00e1u cam \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a06 \u2013 15<br \/>\n\u1ec8a ph\u00e2n \u0111en \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 12.5<br \/>\nH\u1eaft h\u01a1i \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a010<br \/>\nHo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a06<br \/>\nNg\u1ea5t \/ h\u00f4n m\u00ea \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 6<\/p>\n<p>Ki\u1ec3m tra c\u00e1c b\u1ea5t th\u01b0\u1eddng<\/p>\n<p>D\u1ea5u hi\u1ec7u \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0% ch\u00f3 b\u1ecb<br \/>\nS\u01b0ng h\u1ea1ch b\u1ea1ch huy\u1ebft \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a062 \u2013 90<br \/>\nB\u1ec7nh da \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 81 \u2013 89<br \/>\nSuy nh\u01b0\u1ee3c \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a010 \u2013 48<br \/>\nR\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 37.5<br \/>\nS\u1ed1t \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a04 \u2013 36<br \/>\nB\u1ec7nh m\u1eaft \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a016 \u2013 81<br \/>\nSung l\u00e1ch \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 10 \u2013 53<br \/>\nB\u1ea5t th\u01b0\u1eddng m\u00f3ng \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a020 \u2013 31<br \/>\nVi\u00eam m\u0169i \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 10<br \/>\nVi\u00eam ph\u1ed5i \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a02.5<br \/>\nV\u00e0ng da \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a02.5<\/p>\n<p>6. Ch\u1ea9n \u0111o\u00e1n<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/Leishmania_infantum-tren-cho-meo2.png\" class=\"aligncenter size-full wp-image-2629\" alt=\"Leishmania_infantum-tren-cho-meo2\" width=\"602\" height=\"505\"><\/p>\n<p>Ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng tr\u00ean ch\u00f3 b\u1ec7nh Leishmaniosis<br \/>\nB\u1ea5t th\u01b0\u1eddng \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0% ch\u00f3 b\u1ecb<br \/>\nT\u0103ng protein huy\u1ebft \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a063.3 \u2013 72.8<br \/>\nT\u0103ng globulin huy\u1ebft \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a076 \u2013 100<br \/>\nGi\u1ea3m albumin huy\u1ebft \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a068 \u2013 94<br \/>\nGi\u1ea3m t\u1ef7 l\u1ec7 albumin\/globulin \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a076<br \/>\nT\u0103ng u-r\u00ea huy\u1ebft \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 16 \u2013 45<br \/>\nGi\u1ea3m ho\u1ea1t t\u00ednh alkaline phosphatase huy\u1ebft thanh \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 16 \u2013 51<br \/>\nGi\u1ea3m ho\u1ea1t t\u00ednh alanine aminotransferase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 16 \u2013 61<br \/>\nProtein ni\u1ec7u \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 71.5 \u2013 85<br \/>\nThi\u1ebfu m\u00e1u \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a060 \u2013 73.4<br \/>\nT\u0103ng b\u1ea1ch c\u1ea7u \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 24<br \/>\nGi\u1ea3m b\u1ea1ch c\u1ea7u \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 22<br \/>\nThrombocytopenia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a029.3 \u2013 50<br \/>\nD\u01b0\u01a1ng t\u00ednh kh\u00e1ng th\u1ec3 kh\u00e1ng nh\u00e2n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a031 \u2013 53<br \/>\nD\u01b0\u01a1ng t\u00ednh Coombs \u2019 test \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 21 \u2013 84<\/p>\n<p>7. \u0110i\u1ec1u tr\u1ecb<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/Leishmania_infantum-tren-cho-meo3.png\" class=\"aligncenter size-full wp-image-2630\" alt=\"Leishmania_infantum-tren-cho-meo3\" width=\"666\" height=\"696\"><\/p>\n<p><span>8. Ph\u00f2ng b\u1ec7nh<\/span><\/p>\n<p>K\u1ebft h\u1ee3p ti\u00eam vaccin v\u1edbi s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t di\u1ec7t c\u00f4n tr\u00f9ng d\u00f9ng ngo\u00e0i da<br \/>\n\u2013 C\u00e1c ch\u1ea5t di\u1ec7t c\u00f4n tr\u00f9ng d\u00f9ng ngo\u00e0i da \u0111\u1ec3 b\u1ea3o v\u1ec7 ch\u00f3 kh\u1ecfi b\u1ecb mu\u1ed7i c\u00e1t h\u00fat m\u00e1u: c\u00e1c lo\u1ea1i dung d\u1ecbch, thu\u1ed1c b\u00f4i, thu\u1ed1c phun x\u1ecbt v\u00e0 v\u00f2ng c\u1ed5.<br \/>\n\u2013 Thu\u1ed1c b\u00f4i ch\u1ee9a imidacloprid v\u00e0 permethrin \u0111\u01b0\u1ee3c khuy\u00ean s\u1eed d\u1ee5ng cho ch\u00f3 m\u1ed7i l\u1ea7n c\u00e1ch nhau 3 \u0111\u1ebfn 4 tu\u1ea7n \u0111\u1ec3 xua \u0111u\u1ed5i mu\u1ed7i c\u00e1t;<br \/>\n\u2013 V\u00f2ng c\u1ed5 deltamethrin-impregnated t\u1ea1o \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 cho ch\u00f3 trong kho\u1ea3ng 8 th\u00e1ng.<br \/>\n\u2013 Vaccin FML (fucose mannose ligand \u2013 FML) t\u00ean th\u01b0\u01a1ng m\u1ea1i l\u00e0 Leishmune (Fort Dodge, Campinas, SP, Brazil) v\u00e0 vaccin LiESAp (L. infantum promastigotes excreted\/secreted antigen).<br \/>\n(\u0110\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin truy c\u1eadp http:\/\/www.greeneinfectiousdiseases.com).<\/p>\n<p>N\u1ebfu copy b\u00e0i, xin \u0111\u1ec3 l\u1ea1i m\u1ed9t link s\u1ed1ng v\u1ec1 trang n\u00e0y. Xin c\u1ea3m \u01a1n!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. C\u0103n b\u1ec7nh Leishmaniosis l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi v\u00e0 th\u00fa v\u1eadt thu\u1ea7n d\u01b0\u1ee1ng c\u0169ng nh\u01b0 hoang d\u00e3 tr\u00ean th\u1ebf gi\u1edbi, b\u1ec7nh do c\u00e1c th\u00e0nh vi\u00ean c\u1ee7a gi\u1ed1ng Leishmania. Leishmaniosis l\u00e0 t\u1eeb ng\u1eef ch\u1ec9 \u0111\u1ebfn b\u1ec7nh \u1edf th\u00fa v\u1eadt. Leishmania l\u00e0 nguy\u00ean sinh \u0111\u1ed9ng v\u1eadt hai pha (amastigotes v\u00e0 promastigotes) thu\u1ed9c: H\u1ecd [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2200","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2200","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2200"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2200\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2200"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2200"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2200"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}