{"id":2263,"date":"2018-11-19T13:51:12","date_gmt":"2018-11-19T13:51:12","guid":{"rendered":"https:\/\/robot.yeupet.vn\/benh-cum-cho-do-h3n8-canine-influenza-virus\/"},"modified":"2018-11-19T13:51:12","modified_gmt":"2018-11-19T13:51:12","slug":"benh-cum-cho-do-h3n8-canine-influenza-virus","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/benh-cum-cho-do-h3n8-canine-influenza-virus\/","title":{"rendered":"B\u1ec7nh C\u00fam Ch\u00f3 Do H3N8 \u2013 Canine Influenza Virus"},"content":{"rendered":"

1. Nguy\u00ean nh\u00e2n v\u00e0 d\u1ecbch t\u1ec5<\/strong>
\nCh\u1ee7ng virus c\u00fam ch\u00f3
\nC\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m virus ch\u00fam ch\u00f3 c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng li\u00ean quan v\u1edbi vi\u1ec7c truy\u1ec1n gi\u1eefa c\u00e1c qu\u1ea7n th\u1ec3 ch\u00f3 x\u1ea3y ra \u1edf Florida, M\u1ef9.T\u1eeb nh\u1eefng n\u0103m 1999, ch\u1ee7ng virus c\u00fam ng\u1ef1a H3N8 \u0111\u00e3 l\u01b0u h\u00e0nh tr\u00ean ng\u1ef1a, qua \u0111\u1ed9t bi\u1ebfn gen-bi\u1ebfn \u0111\u1ed5i x\u1ea3y ra \u1edf protein HA v\u00e0 khi \u0111\u00f3 gi\u1ed1ng ch\u00f3 Greyhound \u1edf M\u1ef9 tr\u1edf n\u00ean m\u1eabn c\u1ea3m. <\/span>Ph\u00e2n l\u1eadp virus \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7u ti\u00ean tr\u00ean ch\u00f3 b\u1ecb nhi\u1ec5m d\u1ecbch h\u00f4 h\u1ea5p \u1edf Florida v\u00e0o n\u0103m 2004, v\u00e0 vi\u1ec7c ph\u00e2n l\u1eadp t\u01b0\u01a1ng \u0111\u1ed3ng n\u00e0y c\u0169ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf gi\u1ed1ng ch\u00f3 Greyhound v\u00e0 c\u00e1c gi\u1ed1ng ch\u00f3 kh\u00e1c \u1edf bang n\u00e0y hay nh\u1eefng bang kh\u00e1c sau \u0111\u00f3. Vi\u1ec7c l\u00e2y lan n\u00e0y \u0111\u01b0\u1eddng nh\u01b0 kh\u00f4ng th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111\u01b0\u1ee3c xem nh\u01b0 c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c di chuy\u1ec3n ch\u00f3 b\u1ecb nhi\u1ec5m b\u1ec7nh v\u00e0o trong qu\u1ea7n th\u1ec3 ch\u00f3 nh\u1ea1y c\u1ea3m v\u1edbi b\u1ec7nh.
\nPh\u00e2n l\u1eadp virus H3N8 t\u1eeb c\u00e1c \u1ed5 d\u1ecbch Florida \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 th\u00edch nghi tr\u00ean k\u00fd ch\u1ee7 ch\u00f3 (CIV), n\u00f3 d\u1ec5 d\u00e0ng nh\u00e2n r\u1ed9ng \u1edf ch\u00f3 v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 \u0111\u00e3 l\u00e2y lan m\u1ed9t c\u00e1ch kh\u00f4ng th\u01b0\u1eddng xuy\u00ean t\u1ea1i M\u1ef9. D\u00f2ng ch\u00f3 n\u00e0y c\u00f3 to\u00e0n b\u1ed9 gen c\u1ee7a virus c\u00fam ng\u1ef1a, gen m\u00e3 h\u00f3a HA \u0111\u00e3 c\u00f3 s\u1ef1 thay \u0111\u1ed5i 5 acid amin trong protein \u0111\u00f3. Ki\u1ec3m tra tu\u1ea7n t\u1ef1 ch\u00f3 \u0111\u01b0\u1ee3c l\u1ea5y m\u1eabu ph\u00e2n l\u1eadp cho th\u1ea5y c\u00f3 s\u1ef1 bi\u1ebfn \u0111\u1ed5i gen nh\u1ecf v\u1edbi xu h\u01b0\u1edbng ti\u1ebfp t\u1ee5c \u0111\u1ed9t bi\u1ebfn \u0111i\u1ec3n h\u00ecnh c\u1ee7a virus c\u00fam. S\u1ef1 ch\u1ec9nh s\u1eeda c\u1ee7a virus H3N8 n\u00e0y d\u1ec5 d\u00e0ng sao ch\u00e9p v\u00e0 l\u00e2y lan gi\u1eefa nh\u1eefng c\u00e1 th\u1ec3 ch\u00f3 v\u1edbi nhau nh\u01b0ng s\u1ebd kh\u00f4ng l\u00e2y sang ng\u1ef1a. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, c\u00fam ch\u00f3 s\u1ebd kh\u00f4ng g\u00e2y b\u1ec7nh tr\u00ean nh\u1eefng lo\u00e0i c\u1ea7m thu\u1ea7n h\u00f3a nh\u01b0 g\u00e0, g\u00e0 t\u00e2y, v\u1ecbt.
\n<\/a><\/p>\n

\"cum-cho-do-h3n8-1\"
\nCh\u1ee7ng virus c\u00fam ng\u1ef1a
\nT\u00e0i li\u1ec7u h\u1ed3i c\u1ee9u di truy\u1ec1n \u1edf Anh v\u00e0 \u00dac t\u1eeb n\u0103m 2002 \u0111\u1ebfn 2007, nghi\u00ean c\u1ee9u ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 c\u1ee7a nh\u1eefng con ch\u00f3 b\u1ecb nhi\u1ec5m v\u1edbi ch\u1ee7ng c\u00fam ng\u1ef1a H3N8 l\u00e0 do ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp hay gi\u00e1n ti\u1ebfp v\u1edbi ng\u1ef1a. Nh\u1eefng c\u00e1 th\u1ec3 ch\u00f3 n\u00e0y b\u1ecb nhi\u1ec5m virus c\u00fam ng\u1ef1a v\u00e0 l\u00e2y lan tr\u00ean ch\u00f3 m\u1ed9t c\u00e1ch h\u1ea1n ch\u1ebf chu kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t th\u00edch nghi \u0111\u1ed9t bi\u1ebfn tr\u00ean ch\u00f3. L\u00e2y lan theo chi\u1ec1u ngang tr\u00ean ch\u00f3 \u0111\u1ed1i v\u1edbi virus n\u00e0y th\u00ec ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh. Trong m\u1ed9t nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m th\u00ec ch\u00f3 \u0111\u01b0\u1ee3c COHOUSED chung v\u1edbi ng\u1ef1a b\u1ecb nhi\u1ec5m H3N8 c\u00f4 l\u1eadp th\u00ec ch\u00f3 b\u1ecb nhi\u1ec5m. Tuy nhi\u00ean, m\u1eb7c d\u00f9 virus \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u0169i ch\u00f3 b\u1ecb \u1ea3nh h\u01b0\u1edfng, nh\u01b0ng vi\u1ec7c truy\u1ec1n ngang th\u00ec kh\u00f4ng \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady vi\u1ec7c t\u00ecm ki\u1ebfm \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong \u1ed5 d\u1ecbch t\u1ef1 nhi\u00ean m\u00e0 ch\u00f3 b\u1ecb nhi\u1ec5m tr\u1ef1c ti\u1ebfp hay v\u00f9ng l\u00e2n c\u1eadn c\u1ee7a ng\u1ef1a b\u1ecb nhi\u1ec5m c\u00fam. Tuy nhi\u00ean, ch\u00f3 trong nghi\u00ean c\u1ee9u n\u00e0y th\u00ec kh\u00f4ng b\u1ecb nhi\u1ec5m n\u1ebfu nh\u01b0 ch\u00fang ch\u1ec9 ti\u1ebfp x\u00fac v\u1edbi y\u1ebfu t\u1ed1 duy nh\u1ea5t l\u00e0 ng\u1ef1a b\u1ecb nhi\u1ec5m b\u1ec7nh. H\u01a1n n\u1eefa ch\u00f3 b\u1ecb nhi\u1ec5m b\u1ec7nh t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n v\u00e0 cho nh\u1ed1t chung v\u1edbi nh\u1eefng con ch\u00f3 kh\u00e1c trong c\u00e1c khu \u0111\u00f4 th\u1ecb, v\u00e0 s\u1ef1 lan r\u1ed9ng c\u1ee7a ch\u00f3 \u0111\u1ed1i v\u1edbi b\u1ec7nh n\u00e0y th\u00ec kh\u00f4ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y. Lan truy\u1ec1n virus c\u00fam t\u1eeb ng\u1ef1a sang ch\u00f3 l\u00e0m tang m\u1ed1i quan t\u00e2m \u0111\u1ed1i v\u1edbi d\u1ecbch nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p trong t\u01b0\u01a1ng lai tr\u00ean ch\u00f3 khi ti\u1ebfp x\u00fac v\u1edbi ng\u1ef1a ho\u1eb7c s\u1ef1 chuy\u1ec3n th\u1ec3 c\u1ee7a virus ng\u1ef1a \u0111\u1ec3 g\u00e2y m\u1eabn c\u1ea3m tr\u00ean ch\u00f3.<\/p>\n

2. Sinh b\u1ec7nh h\u1ecdc<\/strong>
\nTi\u00eam g\u00e2y b\u1ec7nh l\u1ea5y ngu\u1ed3n t\u1eeb nh\u1eefng ch\u00f3 nhi\u1ec5m virus c\u00fam th\u00edch nghi tr\u00ean ch\u00f3 l\u00ean tr\u1edf l\u1ea1i con ng\u1ef1a th\u00ec th\u1ea5y con ng\u1ef1a c\u00f3 bi\u1ec3u hi\u1ec7n c\u00fam nh\u1eb9, con chu\u1ed9t l\u00e0m th\u00ed nghi\u1ec7m th\u00ec th\u00ec th\u1ea5y b\u1ec7nh h\u00f4 h\u1ea5p ti\u1ebfn tri\u1ec3n vi\u00eam n\u1eb7ng \u1edf kh\u00ed qu\u1ea3n, khi ph\u00e2n l\u1eadp ti\u00eam tr\u00ean ch\u00f3 th\u00ec c\u00f3 bi\u1ec3u hi\u1ec7n s\u1ed1t (tr\u00ean 39 \u0111\u1ed9 C) v\u00e0 trong hai ng\u00e0y kh\u00f4ng th\u1ea5y d\u1ea5u hi\u1ec7u b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Trong c\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c th\u00ec ng\u01b0\u1eddi ta ti\u00eam li\u1ec1u g\u00e2y nhi\u1ec5m tr\u00ea m\u1ed9t ch\u00fa cho con kho\u1ea3ng 15 tu\u1ea7n tu\u1ed5i c\u00f3 kh\u00e1ng th\u1ec3 \u00e2m t\u00ednh v\u1edbi virus n\u00e0y th\u00ec th\u1ea5y c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 b\u1ec7nh t\u00edch t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i (H\u00ecnh 23-2) v\u1edbi vi\u1ec7c ch\u1ee9ng minh \u0111\u01b0\u1ee3c c\u00f3 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a s\u1ef1 chuy\u1ec3n \u0111\u1ed5i c\u1ee7a virus trong huy\u1ebft thanh. Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng n\u00e0y c\u0169ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong nh\u1eefng nghi\u00ean c\u1ee9u s\u00e2u h\u01a1n \u1edf ch\u00f3 tr\u01b0\u1edfng th\u00e0nh b\u1ecb nhi\u1ec5m virus trong \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.M\u1eb7c d\u00f9 trong th\u00ed nghi\u1ec7m g\u00e2y nhi\u1ec5m tr\u00ean ch\u00f3 , vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 h\u1ea1ch b\u1ea1ch huy\u1ebft th\u00ec n\u1ed5i b\u1eadc, vi\u00eam ph\u1ed5i th\u00ec kh\u00f4ng ph\u1ed5 bi\u1ebfn. Virus nh\u00e2n l\u00ean v\u00e0 ph\u00e1t t\u00e1n m\u1ea1nh nh\u1ea5t trong th\u1eddi k\u1ef3 \u1ee7 b\u1ec7nh (2-4 ng\u00e0y) v\u00e0 gi\u1ea3m nhanh s\u1ed1 l\u01b0\u1ee3ng v\u1ec1 sau (7-10 ng\u00e0y). C\u01b0\u1eddng \u0111\u1ed9 ph\u00e1t t\u00e1n c\u00fam ch\u00f3 cao h\u01a1n v\u00e0 th\u1eddi gian ng\u1eafn h\u01a1n so v\u1edbi c\u00e1c lo\u1ea1i c\u00fam kh\u00e1c trong quan s\u00e1t cho vi\u1ec7c l\u00e2y nhi\u1ec5m c\u00fam c\u1ee7a c\u00e1c lo\u00e0i kh\u00e1c. Tuy nhi\u00ean ngay c\u1ea3 l\u00fac ch\u00f3 ch\u01b0a c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m sang v\u1eabn b\u00e0i th\u1ea3i virus, m\u1eb7c d\u00f9 th\u1ea5p h\u01a1n nhi\u1ec1u so v\u1edbi vi\u1ec7c b\u00e0i th\u1ea3i virus \u1edf ch\u00f3 b\u1ecb nhi\u1ec5m \u0111\u00e3 c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng.<\/p>\n

3. D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng<\/strong>
\n\"cum-cho-do-h3n8-1\"
\nVi\u00eam nhi\u1ec5m c\u1eadn l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ghi l\u1ea1i \u1edf s\u1ef1 bi\u1ebfn \u0111\u1ed5i huy\u1ebft thanh m\u00e0 ch\u00f3 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh. \u0110\u1ed1i v\u1edbi nh\u1eefng ch\u00f3 nh\u1ea1y c\u1ea3m th\u00ec m\u1ee9c \u0111\u1ed9 nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng h\u01a1n n\u1edbi c\u00e1c nguy\u00ean nh\u00e2n b\u1ec7nh truy\u1ec1n nhi\u1ec5m h\u00f4 h\u1ea5p kh\u00e1c tr\u00ean ch\u00f3 (xem ch\u01b0\u01a1ng 6). Nh\u1eefng ch\u00f3 ch\u01b0a ti\u1ebfp x\u00fac v\u1edbi m\u1ea7m b\u1ec7nh l\u1ea7n n\u00e0o khi v\u00e0o m\u00f4i tr\u01b0\u1eddng c\u00f3 m\u1ea7m b\u1ec7nh th\u00ec s\u1ebd d\u1ec5 d\u00e0ng nhi\u1ec5m b\u1ec7nh h\u01a1n. D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean ch\u00f3 b\u1ecb nhi\u1ec5m l\u00e0 s\u1ed1t, th\u1edf nhanh, ch\u1ea3y n\u01b0\u1edbc m\u0169i v\u00e0 ho (10-14 ng\u00e0y)
\nKhi nhi\u1ec5m CIV lan r\u1ed9ng v\u00e0 vi\u1ec7c ti\u00eam ph\u00f2ng \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00ec m\u1ee9c \u0111\u1ed9 nhi\u1ec5m v\u00e0 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh c\u0169ng \u0111\u00e3 gi\u1ea3m \u1edf nh\u1eefng ch\u00f3 s\u1ed1ng trong m\u00f4i tr\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ed1t ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u00f3 nu\u00f4i trong c\u1ee7i.
\nBi\u1ec3u hi\u1ec7n h\u00f4 h\u1ea5p n\u1eb7ng v\u00e0 dai d\u1eb3ng nh\u1ea5t l\u00e0 g\u1eafn li\u1ec1n v\u1edbi vi\u00eam ph\u1ed5i ph\u00e1t tri\u1ec3n, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn b\u1edfi ch\u1ee5p X-quang ng\u1ef1c. V\u1edbi ch\u00f3 b\u1ecb vi\u00eam ph\u1ed5i th\u00ec th\u00f4ng s\u1ed1 huy\u1ebft h\u1ecdc nh\u01b0 b\u1ea1ch c\u1ea7u s\u1ebd tang. H\u1ea7u h\u1ebft ch\u00f3 c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i nh\u01b0ng m\u1ed9t s\u1ed1 ch\u1ebft. Nh\u1eefng con ch\u1ebft c\u00f3 li\u00ean quan \u0111\u1ebfn ph\u1ed5i, xoang trung th\u1ea5t , xu\u1ea5t huy\u1ebft m\u00e0ng ph\u1ed5i khi kh\u00e1m t\u1eed. Nhi\u1ec5m tr\u00f9ng ch\u00f3 s\u0103n nu\u00f4i trong c\u0169i c\u00f3 bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p l\u00e0 nghi\u00eam tr\u1ecdng nh\u1ea5t bao g\u1ed3m vi\u00eam ph\u1ed5i, c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m C (xem ch\u01b0\u01a1ng 33) v\u00e0 c\u00e1c vi khu\u1ea9n kh\u00e1c. C\u00f3 s\u1ef1 thay \u0111\u1ed5i m\u00f4 h\u1ecdc bao g\u1ed3m vi\u00eam kh\u00ed qu\u1ea3n, vi\u00eam cu\u1ed1ng ph\u1ed5i v\u00e0 vi\u00eam ph\u1ebf qu\u1ea3n ph\u1ed5i v\u00e0 m\u1ee7. Sau nh\u1eefng tr\u1eadn d\u1ecbch, nh\u1eefng ch\u00f3 ch\u01b0a t\u1eebng c\u00f3 l\u1ecbch s\u1eed b\u1ecb b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p th\u00ec c\u00f3 l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i virus n\u00e0y cao h\u01a1n. S\u1ef1 vi\u00eam nhi\u1ec5m c\u1ee7a b\u1ec7nh \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n nhanh ch\u00f3ng v\u1edbi nh\u1eefng d\u1ea5u hi\u1ec7u c\u1eadn l\u00e2m s\u00e0ng tr\u00ean nhi\u1ec1u ch\u00f3 \u1edf nh\u1eefng tr\u1ea1i ch\u00f3, n\u01a1i ch\u00f3 t\u1eadp trung, v\u00e0 k\u1ec3 c\u1ea3 nh\u1eefng ch\u00f3 nu\u00f4i ri\u00eang l\u1ebb.<\/p>\n

4. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n

\"cum-cho-do-h3n8-2\"<\/strong>
\nD\u1ea5u hi\u1ec7u nhi\u1ec5m CIV t\u01b0\u01a1ng t\u1ef1 nh\u01b0 nh\u1eefng b\u1ec7nh truy\u1ec1n nhi\u1ec5m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p kh\u00e1c tr\u00ean ch\u00f3 (xem ch\u01b0\u01a1ng 6). Ki\u1ec3m tra c\u1ee5 th\u1ec3 th\u00ec kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng. Nh\u01b0 v\u1eady \u0111\u1ec3 h\u1ed7 tr\u1ee3 trong c\u00e1c bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c d\u1ecbch th\u00ec ph\u1ea3i x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c. M\u1ed9t lo\u1ea1t c\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u00f3 l\u00e0 ki\u1ec3m tra h\u00e0m l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3 trong huy\u1ebft thanh (ph\u01b0\u01a1ng ph\u00e1p n\u00e0y hi\u1ec7n nay \u0111\u00e1ng tin c\u1eady nh\u1ea5t). \u0110\u1ed1i v\u1edbi m\u1eabu t\u1eeb nh\u1eefng c\u00e1 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ea5p t\u00ednh th\u00ec n\u00ean th\u1ef1c hi\u1ec7n trong v\u00f2ng 7 ng\u00e0y \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh v\u00e0 ki\u1ec3m tra l\u1ea1i m\u1ed9t l\u1ea7n n\u1eefa sau 14 ng\u00e0y sau \u0111\u00f3. S\u1ef1 thay \u0111\u1ed5i hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 g\u1ea5p kho\u1ea3ng 4 l\u1ea7n l\u00e0 d\u1ea5u hi\u1ec7u bi\u1ec3u th\u1ecb s\u1ef1 nhi\u1ec5m CIV \u0111ang di\u1ec5n ra. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 l\u00e0 d\u01b0\u01a1ng t\u00ednh hay kh\u00f4ng th\u1ea5y kh\u00f4ng th\u1ea5y \u0111\u01b0\u1ee3c s\u1ef1 thay \u0111\u1ed5i hi\u1ec7u gi\u00e1 th\u00ec ch\u1ec9 kh\u1eb3ng \u0111\u1ecbnh \u0111\u01b0\u1ee3c ch\u00f3 \u0111\u00e3 t\u1eebng ti\u1ebfp x\u00fac v\u1edbi m\u1ea7m b\u1ec7nh th\u00f4i. Hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 \u0111\u1ed1i v\u1edbi CIV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111o l\u01b0\u1eddng b\u1eb1ng x\u00e9t nghi\u1ec7m HI hay ph\u1ea3n \u1ee9ng trung h\u00f2a. Ph\u01b0\u01a1ng ph\u00e1p th\u1ee9 hai l\u00e0 t\u00ecm ra virus, ph\u00e2n l\u1eadp t\u1eeb d\u1ecbch m\u0169i l\u00e0 t\u1ed1t nh\u1ea5t ho\u1eb7c d\u1ecbch h\u1ea7u h\u1ecdng (hi\u1ec7u qu\u1ea3 th\u1ea5p h\u01a1n) trong 4 ng\u00e0y \u0111\u1ea7u c\u1ee7a qu\u00e1 tr\u00ecnh nhi\u1ec5m. M\u1eb7c d\u00f9 vi\u1ec7c r\u1eeda kh\u00ed qu\u1ea3n ho\u1eb7c ph\u1ed5i th\u00ec c\u00f3 l\u1ebd thu \u0111\u01b0\u1ee3c virus nhi\u1ec1u h\u01a1n nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m cho nh\u1eefng con c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng. Virus c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nu\u00f4i c\u1ea5y trong m\u00f4i tr\u01b0\u1eddng t\u1ebf b\u00e0o MDCK hay t\u1ebf b\u00e0o ph\u00f4i tr\u1ee9ng ho\u1eb7c k\u1ebft h\u1ee3p c\u1ea3 hai ph\u01b0\u01a1ng ph\u00e1p. D\u00f9ng kh\u00e1ng huy\u1ebft thanh v\u00e0 ph\u01b0\u01a1ng ph\u00e1p PCR c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh H3N8. PCR c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u1ef1c ti\u1ebfp t\u1eeb c\u00e1c m\u1eabu l\u00e2m s\u00e0ng tr\u00ean b\u1ec7nh ph\u1ea9m m\u0169i. Tuy nhi\u00ean, c\u0169ng nh\u01b0 s\u1ef1 ph\u00e2n l\u1eadp virus, th\u01b0\u1eddng th\u00ec k\u1ebft qu\u1ea3 cho d\u01b0\u01a1ng t\u00ednh trong 4 ng\u00e0y \u0111\u1ea7u ph\u00e2n l\u1eadp. S\u1eed d\u1ee5ng mi\u1ec5n d\u1ecbch nhu\u1ed9m ho\u1eb7c lai t\u1ea1i ch\u1ed7, virus c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n kh\u1eafp \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong vi\u00eam nhi\u1ec5m. M\u00f4 ph\u1ed5i n\u00ean \u0111\u01b0\u1ee3c nu\u00f4i c\u1ea5y, PCR, ho\u1eb7c \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd t\u1eeb nh\u1eefng ch\u00f3 \u0111\u00e3 ch\u1ebft.
\nD\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a nh\u1eefng s\u1ef1 vi\u00eam nhi\u1ec5m th\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n b\u1edfi nh\u00f3m li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m C (streptococcus equi subsp.zooepidemicus). M\u00e0 n\u00f3 c\u0169ng c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra s\u1ef1 b\u00f9ng ph\u00e1t c\u1ea5p t\u00ednh, b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p th\u01b0\u1eddng g\u00e2y t\u1eed vong c\u1ea5p t\u00ednh \u1edf nhi\u1ec1u c\u00e1 th\u1ec3 ch\u00f3 bao g\u1ed3m ch\u00f3 nu\u00f4i l\u1ed3ng (xem ch\u01b0\u01a1ng 33).<\/p>\n

5. \u0110i\u1ec1u tr\u1ecb<\/strong>
\n\u0110i\u1ec1u tr\u1ecb v\u1edbi kh\u00e1ng khu\u1ea9n ph\u1ed5 r\u1ed9ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh do nhi\u1ec5m khu\u1ea9n th\u1ee9 ph\u00e1t v\u00e0 vi\u00eam ph\u1ed5i bi\u1ebfn ch\u1ee9ng. Tuy nhi\u00ean \u0111i\u1ec1u n\u00e0y trong th\u1ef1c t\u1ebf kh\u00f4ng \u0111\u01b0a ra \u0111\u01b0\u1ee3c \u00fd ngh\u0129a cho vi\u1ec7c ki\u1ec3m so\u00e1t vi\u1ec7c k\u00e9o d\u00e0i th\u1eddi gian v\u00e0 s\u1ebd kh\u00f4ng r\u00fat ng\u1eafn \u0111\u01b0\u1ee3c di\u1ec5n ti\u1ebfn c\u1ee7a b\u1ec7nh \u1edf \u0111\u1ed9ng v\u1eadt kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng th\u1ee9 ph\u00e1t. S\u1eed d\u1ee5ng thu\u1ed1c virus c\u00fam \u0111\u1eb7c bi\u1ec7t, ch\u1eb3ng h\u1ea1n nh\u01b0 oseltamivir, th\u00ec kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o b\u1edfi v\u00ec t\u00ednh hi\u1ec7u qu\u1ea3 c\u1ee7a n\u00f3 ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u (xem c\u00f4ng th\u1ee9c h\u00f3a h\u1ecdc thu\u1ed1c trong ph\u1ee5 l\u1ee5c). Nh\u1eefng \u0111\u1ed9ng v\u1eadt b\u1ecb \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111\u01b0a \u0111iu nh\u1eadp vi\u1ec7n v\u00e0 \u0111\u00f2i h\u1ecfi c\u00e1ch ly v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u1edbi d\u1ecbch ti\u00eam \u0111\u1ec3 duy tr\u00ec n\u01b0\u1edbc. Ph\u1ee5c h\u1ed3i th\u01b0\u1eddng sau 2-3 tu\u1ea7n, m\u1eb7c d\u00f9 n\u00f3 c\u00f3 th\u1ec3 d\u00e0i h\u01a1n \u1edf ch\u00f3 trong vi\u00eam ph\u1ed5i (xem ch\u01b0\u01a1ng 6 cho bi\u1ebft th\u00f4ng tin c\u1ee5 th\u1ec3 cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p do virus).<\/p>\n

6. Ph\u00f2ng ch\u1ed1ng<\/strong>
\nTrong nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m, vaccine t\u00e1i t\u1ed5 h\u1ee3p \u0111\u00e3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 kh\u00e1ng th\u1ec3 virus trong huy\u1ebft thanh. Vaccine b\u1ea3o h\u1ed9 n\u00e0y c\u00f3 b\u00e1n tr\u00ean th\u1ecb tr\u01b0\u1eddng cho ch\u00f3 v\u00e0 ng\u1ef1a. Vaccine b\u1ea5t ho\u1ea1t virus c\u00fam ng\u1ef1a th\u00ec \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc khi vaccine c\u00fam ch\u00f3 s\u1eb5n s\u00e0ng \u0111\u1ec3 \u0111\u01b0a v\u00e0o s\u1eed d\u1ee5ng nh\u01b0ng kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7. Theo c\u00e1ch n\u00f3i th\u01b0\u01a1ng m\u1ea1i th\u00ec vaccine CIV l\u00e0 vaccine b\u1ea5t ho\u1ea1t v\u00e0 dung \u0111\u1ec3 ti\u00eam d\u01b0\u1edbi da, n\u00f3 gi\u00fap \u00edch cho vi\u1ec7c b\u1ea3o v\u1ec7 ch\u00f3 non sau khi ti\u00eam nh\u1eafc l\u1ea7n 2 kho\u1ea3ng 13 ng\u00e0y. M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, t\u1ed5n th\u01b0\u01a1ng b\u1ec7nh l\u00fd v\u00e0 l\u01b0\u1ee3ng virus ph\u00e1t t\u00e1n th\u1ea5p h\u01a1n \u1edf nh\u1eefng ch\u00f3 con \u0111\u01b0\u1ee3c ch\u00edch vaccine. Hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 trong ph\u1ea3n \u1ee9ng HI tang h\u01a1n \u0111\u00e1ng k\u1ec3 sau khi ti\u00eam ch\u1ee7ng vaccine tr\u00ean ch\u00f3 non. Vaccine \u0111\u01b0\u1ee3c chia l\u00e0m hai li\u1ec1u, m\u1ed7i li\u1ec1u 1 ml, c\u00e1ch nhau 2-4 tu\u1ea7n.Ch\u00edch vaccine tr\u00ean ch\u00f3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o tr\u00ean nh\u1eefng ch\u00f3 c\u00f3 nguy c\u01a1 ti\u1ebfp x\u00fac v\u1edbi c\u00fam ch\u00f3 hay s\u1ef1 vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p kh\u00e1c (th\u1ea5y trong ch\u01b0\u01a1ng 6 v\u00e0 100). Nh\u1eefng ch\u00f3 trong m\u1ed9t nh\u00f3m l\u1edbn c\u00f3 th\u1ec3 l\u00e0 c\u00e1c tr\u1ea1i \u0111\u1ed9ng v\u1eadt ho\u1eb7c trong nh\u1eefng n\u01a1i c\u00f3 m\u1eadt \u0111\u1ed9 nhi\u1ec5m b\u1ec7nh cao th\u00ec khuy\u1ebfn c\u00e1o ti\u00eam vaccine. Ch\u00f3 ti\u1ebfp x\u00fac v\u1edbi ng\u1ef1a c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ee7ng ng\u1eeba. Tuy nhi\u00ean vi\u1ec7c ch\u00edch vaccine b\u1ea3o v\u1ec7 ch\u00f3 ch\u1ed1ng l\u1ea1i virus c\u00fam t\u1eeb ng\u1ef1a th\u00ed \u0111\u00f2i h\u1ecfi ph\u1ea3i nghi\u00ean c\u1ee9u th\u00eam. Nh\u1eefng c\u00e1 th\u1ec3 nu\u00f4i trong h\u1ed9 gia \u0111\u00ecnh ri\u00eang l\u1ebb th\u00ec \u00edt c\u00f3 kh\u1ea3 n\u0103ng nhi\u1ec5m c\u00fam ch\u00f3. Ch\u00f3 con t\u1ed1t nh\u1ea5t l\u00e0 kho\u1ea3ng 6 tu\u1ea7n tu\u1ed5i th\u00ec n\u00ean cho ti\u00eam m\u0169i \u0111\u1ea7u ti\u00ean. Vi\u1ec7c ti\u00eam nh\u1eafc l\u1ea1i hang n\u0103m l\u00e0 \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch. V\u00ec m\u1ee9c \u0111\u1ed9v\u00e0 th\u1eddi gian ph\u00e1t t\u00e1n c\u1ee7a virus c\u00fam ch\u00f3 b\u1ecb nhi\u1ec5m b\u1ec7nh h\u1ea1n ch\u1ebf, s\u1ef1 l\u00e2y lan \u0111\u1ecba l\u00fd kh\u00f4ng th\u01b0\u1eddng xuy\u00ean. Th\u1ef1c hi\u1ec7n ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam ch\u1ee7ng cho ch\u00f3 c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t s\u1ef1 lan r\u1ed9ng c\u1ee7a virus n\u00e0y. \u0110\u1ec3 bi\u1ebft them th\u00f4ng tin cho vi\u1ec7c ti\u00eam ch\u1ee7ng b\u1ec7nh n\u00e0y, xem ch\u01b0\u01a1ng 6 v\u1ec1 b\u1ec7nh truy\u1ec1n nhi\u1ec5m tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean ch\u00f3. Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 ng\u0103n ng\u1eeba vi\u1ec7c nhi\u1ec5m ch\u00e9o virus c\u00fam. Xem th\u00f4ng tin li\u00ean k\u1ebft trong b\u1ea3ng 23-2 cho c\u00e1c ki\u1ebfn ngh\u1ecb trong vi\u1ec7c ki\u1ec3m so\u00e1t d\u1ecbch c\u00fam. Virus c\u00fam l\u00e2y truy\u1ec1n t\u1eeb ng\u1ef1a sang ch\u00f3 c\u00f3 th\u1ec3 t\u1ea1o do ch\u00f3 \u0103n th\u1ecbt ng\u1ef1a s\u1ed1ng, \u0111i\u1ec1u n\u00e0y ph\u1ed5 bi\u1ebfn \u1edf m\u1ed9t s\u1ed1 nh\u00f3m ch\u00f3. Trong b\u00e1o c\u00e1o c\u1ee7a Anh, nh\u1eefng ch\u00f3 s\u0103n c\u0169ng c\u00f3 khi ti\u1ebfp x\u00fac g\u1ea7n g\u0169i v\u1edbi ng\u1ef1a.
\n7. T\u1ea7m quan tr\u1ecdng trong s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng<\/strong>
\nM\u1eb7c d\u00f9 c\u00fam ng\u01b0\u1eddi \u0111\u00f4i khi c\u00f3 l\u00e2y nhi\u1ec5m cho ch\u00f3 v\u00e0 m\u00e8o (xem c\u00e1c cu\u1ed9c th\u1ea3o lu\u1eadn tr\u01b0\u1edbc \u0111\u00f3 c\u1ee7a c\u00fam ng\u01b0\u1eddi), kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng r\u1eb1ng H3N8 c\u00f3 th\u1ec3 l\u00e2y lan t\u1eeb ch\u00f3 sang ng\u01b0\u1eddi. Tuy nhi\u00ean, khi ng\u01b0\u1eddi b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch th\u00ec n\u00ean tr\u00e1nh ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u0111\u1ed9ng v\u1eadt c\u00f3 b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (xem ch\u01b0\u01a1ng 99). B\u00e1c s\u1ef9 th\u00fa y ph\u1ea3i b\u00e1o c\u00e1o d\u1ecbch c\u1ee7a \u0111\u1ed9ng v\u1eadt tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00ec c\u00f3 th\u1ec3 x\u1ea3y ra s\u1ef1 bi\u1ebfn \u0111\u1ed5i v\u1ec1 m\u1eb7c di truy\u1ec1n \u0111\u1ec3 thay \u0111\u1ed5i m\u1ed1i quan h\u1ec7 v\u1edbi c\u00e1c lo\u00e0i m\u1edbi trong vi\u1ec7c l\u00e2y lan ti\u1ebfn theo. Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y CIV l\u00e2y nhi\u1ec5m \u0111\u1ed9ng v\u1eadt kh\u00e1c nh\u01b0 m\u00e8o. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong qu\u1ea3n l\u00fd ch\u00f3 b\u1ec7nh \u0111\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 l\u00e2y lan c\u1ee7a nhi\u1ec5m tr\u00f9ng.<\/p>\n

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":"

1. Nguy\u00ean nh\u00e2n v\u00e0 d\u1ecbch t\u1ec5 Ch\u1ee7ng virus c\u00fam ch\u00f3 C\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m virus ch\u00fam ch\u00f3 c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng li\u00ean quan v\u1edbi vi\u1ec7c truy\u1ec1n gi\u1eefa c\u00e1c qu\u1ea7n th\u1ec3 ch\u00f3 x\u1ea3y ra \u1edf Florida, M\u1ef9.T\u1eeb nh\u1eefng n\u0103m 1999, ch\u1ee7ng virus c\u00fam ng\u1ef1a H3N8 \u0111\u00e3 l\u01b0u h\u00e0nh tr\u00ean ng\u1ef1a, qua \u0111\u1ed9t bi\u1ebfn gen-bi\u1ebfn \u0111\u1ed5i […]<\/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-2263","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2263","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=2263"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2263\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}