{"id":2309,"date":"2018-11-19T14:37:12","date_gmt":"2018-11-19T14:37:12","guid":{"rendered":"https:\/\/robot.yeupet.vn\/benh-nam-da-tren-cho-meo-dermatophytosis\/"},"modified":"2018-11-19T14:37:12","modified_gmt":"2018-11-19T14:37:12","slug":"benh-nam-da-tren-cho-meo-dermatophytosis","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/benh-nam-da-tren-cho-meo-dermatophytosis\/","title":{"rendered":"B\u1ec7nh N\u1ea5m Da Tr\u00ean ch\u00f3, M\u00e8o \u2013 Dermatophytosis"},"content":{"rendered":"<p><strong>1. Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh n\u1ea5m da<\/strong><\/p>\n<p>C\u00e1c b\u1ec7nh n\u1ea5m da g\u00e2y nhi\u1ec5m tr\u00f9ng b\u1ec1 m\u1eb7t c\u1ee7a t\u1ea7ng l\u1edbp s\u1eebng, s\u1ee3i t\u00f3c, ho\u1eb7c m\u00f3ng vu\u1ed1t, ch\u1ee7 y\u1ebfu g\u1ed3m 3 gi\u1ed1ng Microsporum, Trichophyton v\u00e0 Epidermophyton . Nhi\u1ec1u lo\u1ea1i n\u1ea5m da \u0111\u01b0\u1ee3c bi\u1ebft c\u00f3 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c lo\u1ea1i b\u00e0o t\u1eed kh\u00e1c nhau do sinh s\u1ea3n h\u1eefu t\u00ednh (h\u00ecnh th\u00e0nh c\u00e1c t\u00fai b\u00e0o t\u1eed) hay sinh s\u1ea3n v\u00f4 t\u00ednh (s\u1ea3n xu\u1ea5t b\u00e0o t\u1eed \u0111\u00ednh).<span id=\"more-5574\"><\/span><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-nam-da-tren-ch0-meo.jpg\" class=\"aligncenter wp-image-5575 \" alt=\"benh-nam-da-tren-ch0-meo\" width=\"340\" height=\"236\"><\/p>\n<p>N\u1ea5m tr\u00ean da \u0111\u1ea7u ch\u00f3.<\/p>\n<p><strong>2. D\u1ecbch t\u1ec5 h\u1ecdc<\/strong><\/p>\n<p>N\u1ea5m da \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u00ean ngo\u00e0i, t\u01b0\u01a1ng \u0111\u1ed3ng nh\u01b0 c\u00e1c b\u1ec7nh c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y ngo\u00e0i da kh\u00e1c, t\u1ef7 l\u1ec7 nhi\u1ec5m n\u1ea5m da l\u00e0 kho\u1ea3ng 2 % c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<p>Y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng, nh\u01b0 t\u0103ng s\u1ef1 \u1ea5m \u00e1p v\u00e0 \u0111\u1ed9 \u1ea9m cao, t\u00ecnh tr\u1ea1ng suy nh\u01b0\u1ee3c c\u1ee7a \u0111\u1ed9ng v\u1eadt, tu\u1ed5i t\u00e1c,\u2026c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ec9 l\u1ec7 nhi\u1ec5m \u1edf ch\u00f3 v\u00e0 m\u00e8o.<br \/>\nB\u1ec7nh h\u1ecdc<br \/>\nTruy\u1ec1n b\u1ec7nh v\u00e0 y\u1ebfu t\u1ed1 m\u1eafc b\u1ec7nh<br \/>\nN\u1ea5m da \u0111\u01b0\u1ee3c lan truy\u1ec1n gi\u1eefa \u0111\u1ed9ng v\u1eadt ho\u1eb7c ng\u01b0\u1eddi t\u1eeb \u0111\u1ed9ng v\u1eadt ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp, ti\u1ebfp x\u00fac v\u1edbi l\u00f4ng ho\u1eb7c \u0111\u1ed3 v\u1eadt b\u1ecb nhi\u1ec5m v\u00e0 t\u1eeb m\u00f4i tr\u01b0\u1eddng. C\u00e1c l\u00e2y nhi\u1ec5m \u0111i\u1ec3n h\u00ecnh c\u1ee7a c\u01a1 th\u1ec3 l\u00e0 b\u00e0o t\u1eed chia \u0111\u00f4i , h\u00ecnh th\u00e0nh t\u1eeb c\u00e1c ph\u00e2n kh\u00fac v\u00e0 ph\u00e2n m\u1ea3nh c\u1ee7a s\u1ee3i n\u1ea5m. Nh\u1eefng b\u00e0o t\u1eed l\u00e2y nhi\u1ec5m nh\u1ecf v\u00e0 c\u00f3 th\u1ec3 l\u00e2y nhi\u1ec5m trong kh\u00f4ng kh\u00ed v\u00e0 c\u00e1c h\u1ea1t b\u1ee5i ho\u1eb7c ch\u1ea5t r\u1eafn, \u0111\u1ed3 v\u1eadt truy\u1ec1n b\u1ec7nh. B\u1ecd ch\u00e9t t\u1eeb \u0111\u1ed9ng v\u1eadt b\u1ecb nhi\u1ec5m b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 truy\u1ec1n b\u1ec7nh.<\/p>\n<p>B\u1ec7nh n\u1ea5m da l\u00e0 ph\u1ed5 bi\u1ebfn h\u01a1n trong n\u00f3ng, m\u00f4i tr\u01b0\u1eddng \u1ea9m \u01b0\u1edbt. T\u1eafm qu\u00e1 nhi\u1ec1u v\u00e0 ch\u1ea3i chu\u1ed1t l\u00f4ng c\u1ee7a m\u00e8o ho\u1eb7c ch\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec5m n\u1ea5m v\u00ec lo\u1ea1i b\u1ecf t\u1ed5 ch\u1ee9c ph\u00f2ng v\u1ec7 c\u1ee7a c\u01a1 th\u1ec3 ( b\u00e3 nh\u1eddn k\u00ecm n\u1ea5m v\u00e0 huy\u1ebft thanh), lo\u1ea1i b\u1ecf c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u b\u00ec nh\u01b0 m\u1ed9t r\u00e0o c\u1ea3n c\u00f2n nguy\u00ean v\u1eb9n, v\u00e0 t\u0103ng \u0111\u1ed9 \u1ea9m c\u1ee7a da v\u00e0 l\u00f4ng .<br \/>\nC\u00e1c y\u1ebfu t\u1ed1 \u0111\u1ed9c l\u1ef1c<br \/>\nQu\u00e1 tr\u00ecnh l\u00e2y nhi\u1ec5m b\u1ec7nh x\u1ea3y ra r\u1ea5t ph\u1ee9c t\u1ea1p; Qu\u00e1 tr\u00ecnh l\u00e2y nhi\u1ec5m c\u00f3 ba giai \u0111o\u1ea1n: s\u1ef1 b\u00e1m d\u00ednh c\u1ee7a c\u00e1c \u0111\u1ed1t b\u00e0o t\u1eed h\u1ea1t; n\u1ea3y m\u1ea7m; v\u00e0 n\u1ea5m t\u1ea5n c\u00f4ng v\u00e0o l\u1edbp keratin.<br \/>\nC\u00e1c y\u1ebfu t\u1ed1 mi\u1ec5n d\u1ecbch.<br \/>\nC\u00e1c kh\u00e1ng nguy\u00ean n\u1ea5m da : Ba th\u00e0nh ph\u1ea7n v\u1eadt l\u00fd kh\u00e1c nhau c\u1ee7a n\u1ea5m da c\u00f3 vai tr\u00f2 kh\u00e1ng nguy\u00ean trong c\u00e1c \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch ch\u00ednh: carbohydrate th\u00e0nh t\u1ebf b\u00e0o, protein th\u00e0nh t\u1ebf b\u00e0o v\u00e0 ti\u1ebft enzyme keratin. H\u1ea7u h\u1ebft c\u00e1 nh\u00e2n b\u1ecb nhi\u1ec5m b\u1ec7nh ph\u00e1t tri\u1ec3n d\u1ecbch th\u1ec3 v\u00e0 t\u1ebf b\u00e0o trung gian mi\u1ec5n d\u1ecbch (CMI) ch\u1ed1ng l\u1ea1i keratinases n\u1ea5m, ph\u00e2n gi\u1ea3i protein enzyme ti\u1ebft ra \u1edf nh\u1eefng \u0111\u1ea7u c\u1ee7a c\u00e1c s\u1ee3i n\u1ea5m.<\/p>\n<p><strong>3. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>B\u1ec7nh n\u1ea5m da l\u00e0 m\u1ed9t b\u1ec7nh \u0111a d\u1ea1ng, kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u1ec9 d\u1ef1a tr\u00ean d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng. N\u00f3 ch\u1ee7 y\u1ebfu l\u00e0 b\u1ec7nh nang, v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t bao g\u1ed3m r\u1ee5ng t\u00f3c, m\u1edf r\u1ed9ng quy m\u00f4, l\u00e0m bong tr\u00f3c, v\u00e0 ng\u1ee9a ng\u00e1y. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng r\u1ea5t kh\u00e1c nhau v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 vi\u00eam nhi\u1ec5m v\u00e0 ph\u00e1 h\u1ee7y ch\u00e2n l\u00f4ng.<\/p>\n<blockquote>\n<p>Mi\u1ec5n d\u1ecbch thu \u0111\u01b0\u1ee3c trong nhi\u1ec5m b\u1ec7nh. V\u1eadt ph\u1ee5c h\u1ed3i t\u1eeb b\u1ec7nh n\u1ea5m da c\u00f3 mi\u1ec5n d\u1ecbch \u0111\u1ed1i v\u1edbi t\u00e1i nhi\u1ec5m. \u0110\u1ec1 kh\u00e1ng n\u00e0y thay \u0111\u1ed5i trong m\u1ee9c \u0111\u1ed9 v\u00e0 th\u1eddi gian, t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng c\u00e1 nh\u00e2n, lo\u00e0i k\u00fd ch\u1ee7, ch\u1ee7ng n\u1ea5m da, v\u00e0 v\u1ecb tr\u00ed nhi\u1ec5m ban \u0111\u1ea7u.<\/p>\n<\/blockquote>\n<p><strong>Tr\u00ean m\u00e8o<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh n\u1ea5m da g\u1ea7n nh\u01b0 gi\u1ed1ng h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh da.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 khu tr\u00fa ho\u1eb7c nhi\u1ec1u n\u01a1i.<\/li>\n<li>Ng\u1ee9a thay \u0111\u1ed5i t\u1eeb kh\u00f4ng c\u00f3 g\u00ec \u0111\u1ebfn t\u1ef1 l\u00e0m t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>C\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y t\u0103ng s\u1eafc t\u1ed1 c\u1ee7a da.<\/li>\n<li>N\u00f4n, t\u00e1o b\u00f3n, ban \u0111\u1ecf v\u00e0 m\u1edf r\u1ed9ng quy m\u00f4 c\u1ee7a b\u00ean trong ho\u1eb7c b\u00ean ngo\u00e0i loa tai (ho\u1eb7c c\u1ea3 hai).<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng n\u1ea5m da g\u1ed3m r\u1ee5ng l\u00f4ng, ban \u0111\u1ecf c\u00f3 th\u1ec3 thay \u0111\u1ed5i. T\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y \u0111\u1ea7u ti\u00ean nh\u01b0 l\u0129nh v\u1ef1c r\u1ee5ng t\u00f3c tr\u00ean s\u1ed1ng m\u0169i, m\u1eb7t, tai v\u00e0 ch\u00e2n tr\u01b0\u1edbc.<\/li>\n<li>Da m\u00e8o ph\u1ea3n \u1ee9ng khi nhi\u1ec5m n\u1ea5m n\u00ean \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t bao g\u1ed3m vi\u00eam da h\u1ea1t k\u00ea , r\u1ee5ng l\u00f4ng \u0111\u1ed1i x\u1ee9ng, m\u1ea3ng b\u1ea1ch c\u1ea7u \u00e1i toan v\u00e0 lo\u00e9t kh\u00f4ng \u0111au.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-nam-da-tren-ch0-meo-1.png\" class=\"aligncenter size-full wp-image-5576\" alt=\"benh-nam-da-tren-ch0-meo-1\" width=\"422\" height=\"363\"><\/p>\n<p>Tri\u1ec7u ch\u1ee9ng n\u1ea5m tr\u00ean m\u00e8o<\/p>\n<p><strong>Tr\u00ean ch\u00f3<\/strong><\/p>\n<ul>\n<li>T\u1ed5n th\u01b0\u01a1ng trong con ch\u00f3 th\u01b0\u1eddng bao g\u1ed3m c\u00e1c khu v\u1ef1c tr\u1ecdng \u0111i\u1ec3m ho\u1eb7c nhi\u1ec1u \u0111i\u1ec3m c\u1ee7a r\u1ee5ng l\u00f4ng v\u00e0 kh\u00f4ng th\u1ec3 ph\u00e2n bi\u1ec7t tr\u00ean l\u00e2m s\u00e0ng, \u0111\u1eb7c bi\u1ec7t b\u1ec7nh n\u1ea5m da v\u00e0 vi khu\u1ea9n m\u1ee7 da.<\/li>\n<li>Nh\u01b0 trong m\u00e8o con, s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a con ch\u00f3 con l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng trong m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a nhi\u1ec5m tr\u00f9ng.<\/li>\n<li>Ch\u00f3 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n nh\u1eefng v\u00f9ng ti\u00eau \u0111i\u1ec3m r\u1ee5ng l\u00f4ng v\u1edbi s\u1ea9n nang, v\u00e0 m\u1ed9t khu v\u1ef1c t\u0103ng s\u1eafc t\u1ed1<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng da d\u1ea1ng n\u1ed1t \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u1ea3n \u1ee9ng kerion c\u00f3 th\u1ec3 x\u1ea3y ra tr\u00ean m\u1eb7t v\u00e0 ch\u00e2n. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y xu\u1ea5t hi\u1ec7n nh\u01b0 c\u1ee7a b\u1ec7nh m\u1ee7 da v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi M. gypseum ho\u1eb7c Trichophyton spp.<\/li>\n<li>U h\u1ea1t do n\u1ea5m da hi\u1ebfm khi x\u1ea3y ra tr\u00ean ch\u00f3<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-nam-da-tren-ch0-meo-2.gif\" class=\"aligncenter size-full wp-image-5577\" alt=\"benh-nam-da-tren-ch0-meo-2\" width=\"509\" height=\"371\"><\/p>\n<p>Tri\u1ec7u ch\u1ee9ng n\u1ea5m tr\u00ean ch\u00f3<\/p>\n<p><strong>4. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n<p>Ki\u1ec3m tra b\u1eb1ng \u0111\u00e8n WOOD (\u0111\u00e8n tia c\u1ef1c t\u00edm, b\u01b0\u1edbc s\u00f3ng 320-400 nm)<br \/>\nKi\u1ec3m tra d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi tr\u1ef1c ti\u1ebfp<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-nam-da-tren-ch0-meo-3.png\" class=\"aligncenter size-full wp-image-5578\" alt=\"benh-nam-da-tren-ch0-meo-3\" width=\"399\" height=\"288\"><\/p>\n<p>Ki\u1ec3m tra \u00e1nh s\u00e1ng WOOD v\u1edbi m\u1ed9t con\u00a0\u00a0m\u00e8o\u00a0c\u00f3\u00a0d\u01b0\u01a1ng t\u00ednh v\u1edbi dermatophytosis k\u1ebft qu\u1ea3 ph\u00e1t hu\u1ef3nh quang.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-nam-da-tren-ch0-meo-8.gif\" class=\"aligncenter size-full wp-image-5580\" alt=\"benh-nam-da-tren-ch0-meo-8\" width=\"298\" height=\"296\"><\/p>\n<p>H\u00ecnh \u1ea3nh vi th\u1ec3 ki\u1ec3m tra c\u1ee7a l\u00f4ng v\u00e0 v\u1ea3y tr\u00f3c ra t\u1eeb m\u1ed9t con ch\u00f3 (chu\u1ea9n b\u1ecb m\u1eabu KOH) c\u00f3 ch\u1ee9a b\u00e0o t\u1eed n\u1ea5m.<\/p>\n<p>Nu\u00f4i c\u1ea5y n\u1ea5m<br \/>\nM\u1eabu b\u1ec7nh ph\u1ea9m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch nh\u1ed5 l\u00f4ng v\u00e0 v\u1ea3y da t\u1eeb t\u1ed5n th\u01b0\u01a1ng nghi ng\u1edd ho\u1eb7c b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea3i l\u00f4ng (ph\u01b0\u01a1ng ph\u00e1p n\u00e0y r\u1ea5t khuy\u1ebfn c\u00e1o)<br \/>\nM\u1ed9t b\u00e0n ch\u1ea3i m\u1edbi, ch\u1ea3i k\u1ef9 h\u01a1n, m\u1ea1nh h\u01a1n c\u00e1c khu v\u1ef1c nghi ng\u1edd nhi\u1ec5m tr\u00f9ng trong 2 \u0111\u1ebfn 3 ph\u00fat<br \/>\nSau \u0111\u00f3 \u0111\u01b0a b\u00e0n ch\u1ea3i n\u00e0y v\u00e0o m\u00f4i tr\u01b0\u1eddng th\u1ea1ch nu\u00f4i c\u1ea5y.<br \/>\nN\u1ebfu m\u00f3ng vu\u1ed1t m\u00ecnh b\u1ecb nghi ng\u1edd b\u1ecb b\u1ec7nh, d\u00f9ng m\u1ed9t l\u01b0\u1ee1i dao s\u1eed d\u1ee5ng \u0111\u1ec3 c\u1ea1o ph\u1ea7n m\u00f3ng vu\u1ed1t \u0111\u00f3 ho\u1eb7c c\u1eaft lu\u00f4n m\u1eabu v\u1eadt \u0111\u1ec3 nu\u00f4i c\u1ea5y<br \/>\nSinh thi\u1ebft ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng n\u1ed1t.<br \/>\nKhu\u1ea9n l\u1ea1c n\u1ea5m c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ngay sau khi 5 \u0111\u1ebfn 7 ng\u00e0y sau khi nu\u00f4i c\u1ea5y v\u00e0 h\u1ea7u nh\u01b0 lu\u00f4n ph\u00e1t tri\u1ec3n trong v\u00f2ng 14 ng\u00e0y. \u0110\u1ed1i v\u1edbi \u0111\u1ed9ng v\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 trong 21 ng\u00e0y<br \/>\nTh\u00f4ng th\u01b0\u1eddng, m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c khu\u1ea9n l\u1ea1c c\u1ee7a n\u1ea5m da s\u1ebd xu\u1ea5t hi\u1ec7n tr\u00ean \u0111\u0129a n\u1ebfu \u0111\u1ed9ng v\u1eadt b\u1ecb nhi\u1ec5m th\u1ef1c s\u1ef1.<\/p>\n<p><strong>5. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh<\/strong><\/p>\n<p><strong>5.1.T\u1ea1i ch\u1ed7<\/strong><br \/>\n<strong>5.1.1. C\u1eaft l\u00f4ng<\/strong><br \/>\nGi\u1ea3m l\u00e2y nhi\u1ec5m ra m\u00f4i tr\u01b0\u1eddng b\u1edfi l\u00f4ng v\u00e0 m\u1ea7m b\u1ec7nh (b\u00e0o t\u1eed).<br \/>\nCho ph\u00e9p thu\u1ed1c thoa th\u1ea5m s\u00e2u v\u00e0o b\u00ean trong gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><strong>5.1.2. \u0110i\u1ec1u tr\u1ecb ch\u1ed1ng n\u1ea5m t\u1ea1i ch\u1ed7<\/strong><br \/>\nS\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 v\u00f4i l\u01b0u hu\u1ef3nh, enilconazole v\u00e0 miconazole. N\u00ean d\u00f9 ng \u0111\u1ed3ng th\u1eddi v\u1edbi m\u1ed9t thu\u1ed1c kh\u00e1ng n\u1ea5m to\u00e0n th\u00e2n. V\u00f4i l\u01b0u hu\u1ef3nh: t\u1ec9 l\u1ec7 pha lo\u00e3ng 1\/16. Enilconazole (Imaverol) : t\u1ec9 l\u1ec7 pha lo\u00e3ng 1\/68. Miconazole c\u00f3 trong th\u00e0nh d\u1ea7u g\u1ed9i \u0111\u1ea7u ( \u0111\u01a1n l\u1ebb ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi chlorhexidine)<br \/>\n\u00c1p d\u1ee5ng hai l\u1ea7n m\u1ed9t tu\u1ea7n<br \/>\nN\u1ebfu \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t li\u1ec7u ph\u00e1p duy nh\u1ea5t, c\u1ea7n c\u1eaft l\u00f4ng v\u00e0 s\u1eed d\u1ee5ng m\u1ed9t trong hai s\u1ea3n ph\u1ea9m l\u00e0 v\u00f4i l\u01b0u hu\u1ef3nh ho\u1eb7c enilconazole.<br \/>\nT\u1ed1t nh\u1ea5t l\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n.<br \/>\nKh\u00f4ng cho ph\u00e9p v\u1eadt nu\u00f4i li\u1ebfm ho\u1eb7c ch\u1ea3i l\u00f4ng l\u00e0m l\u00e2y lan b\u00e0o t\u1eed n\u1ea5m.<\/p>\n<p><strong>5.2. \u0110i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n<\/strong><br \/>\nCh\u1ec9 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng n\u1ea5m khi ch\u1ea9n \u0111o\u00e1n cho k\u1ebft qu\u1ea3 ch\u1eafc ch\u1eafn l\u00e0 b\u1ecb nhi\u1ec5m n\u1ea5m.<br \/>\nTrong th\u1eddi gian ch\u1edd k\u1ebft q\u1ee7a nu\u00f4i c\u1ea5y th\u00ec ch\u1ec9 s\u1eed d\u1ee5ng kh\u00e1ng n\u1ea5m t\u1ea1i ch\u1ed7.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-nam-da-tren-ch0-meo-5.png\" class=\"aligncenter size-full wp-image-5579\" alt=\"benh-nam-da-tren-ch0-meo-5\" width=\"839\" height=\"292\"><\/p>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb n\u1ea5m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng<\/p>\n<p>Ki\u1ec3m tra v\u00e0 theo d\u00f5i trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb<br \/>\nB\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ph\u1ea3i ghi ch\u00e9p l\u1ea1i v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng (s\u01a1 \u0111\u1ed3\/ h\u00ecnh \u1ea3nh)<br \/>\nS\u1eed d\u1ee5ng \u0111\u00e8n Wood (\u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u00e0o t\u1eed n\u1ea5m tr\u00ean l\u00f4ng \u1edf m\u1eb7t, m\u00f5m v\u00e0 tai) =&gt; gi\u00fap trong vi\u1ec7c l\u1eadp s\u01a1 \u0111\u1ed3 v\u00e0 theo d\u00f5i t\u1ed5n th\u01b0\u01a1ng<br \/>\nKi\u1ec3m tra \u0111\u1ecbnh k\u1ef3 : 2 \u2013 4 tu\u1ea7n<br \/>\nL\u1ea5y m\u1eabu n\u1ea5m nu\u00f4i c\u1ea5y m\u1ed7i tu\u1ea7n<br \/>\n\u0110i\u1ec1u tr\u1ecb cho m\u00e8o : D\u00f9ng Itz\/PO li\u00ean t\u1ee5c trong 21 ng\u00e0y. R\u1eeda b\u1eb1ng dung d\u1ecbch V\u00f4i l\u01b0u hu\u1ef3nh 2 l\u1ea7n\/tu\u1ea7n cho \u0111\u1ebfn khi kh\u1ecfi b\u1ec7nh.<br \/>\nK\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb khi \u00edt nh\u1ea5t 2 k\u1ebft qu\u1ea3 nu\u00f4i c\u1ea5y 2 tu\u1ea7n li\u00ean ti\u1ebfp l\u00e0 \u00e2m t\u00ednh.<br \/>\nS\u1eed d\u1ee5ng k\u1ebft qu\u1ea3 nu\u00f4i c\u1ea5y \u0111\u1ec3 \u0111\u01b0a ra h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><strong>5.3. Bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t m\u00f4i tr\u01b0\u1eddng<\/strong><br \/>\nR\u1eeda, kh\u1eed tr\u00f9ng ho\u1eb7c lo\u1ea1i b\u1ecf \u0111\u1ed3 ch\u01a1i c\u1ee7a v\u00e2t nu\u00f4i, d\u1ee5ng c\u1ee5 h\u1ed7 tr\u1ee3 nh\u01b0 b\u00e0n ch\u1ea3i \u2026<br \/>\nKh\u1eed tr\u00f9ng c\u00e1c b\u1ec1 m\u1eb7t c\u1ee9ng : dd thu\u1ed1c t\u1ea9y t\u1ec9 l\u1ec7 pha 1: 100; l\u00e0m \u01b0\u1edbt trong 10 ph\u00fat.<br \/>\nD\u00f9ng m\u00e1y h\u00fat b\u1ee5i, l\u00f4ng v\u00e0 kh\u1eed tr\u00f9ng c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n v\u00e0 l\u1ed3ng v\u1eadn chuy\u1ec3n<br \/>\nR\u1eeda v\u00e0 kh\u1eed tr\u00f9ng ph\u1ea3i \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i 2 l\u1ea7n\/tu\u1ea7n<br \/>\nH\u1ea1n ch\u1ebf v\u1eadt nu\u00f4i ra v\u00e0o nh\u00e0 \u1edf<br \/>\nD\u00f9ng m\u00e1y h\u00fat b\u1ee5i l\u00e0m v\u1ec7 sinh trong c\u00e1c ph\u00f2ng v\u00e0 \u0111\u1ed3 trang tr\u00ed n\u1ed9i th\u1ea5t trong nh\u00e0<br \/>\nD\u00f9ng n\u01b0\u1edbc t\u1ea9y r\u1eeda b\u1ec1 m\u1eb7t ti\u1ebfp x\u00fac c\u1ee7a s\u00e0n nh\u00e0, chu\u1ed3ng v\u00e0 n\u01a1i v\u1eadt nu\u00f4i n\u1eb1m<br \/>\nD\u00f9ng n\u01b0\u1edbc n\u00f3ng v\u00e0 m\u00e1y s\u1ea5y n\u00f3ng t\u1ed5ng v\u1ec7 sinh th\u1ea3m, g\u01b0\u1eddng, rap g\u01b0\u1eddng, \u0111\u1ed3 n\u1ed9i th\u1ea5t \u2026 m\u00e0 th\u00fa \u0111\u01b0\u1ee3c ph\u00e9p \u0111\u1ebfn.<\/p>\n<p><strong>6. Ph\u00f2ng ng\u1eeba<\/strong><\/p>\n<p>C\u00e1ch ly v\u1eadt nu\u00f4i b\u1ecb b\u1ec7nh<br \/>\nV\u1eadt nu\u00f4i m\u1edbi \u0111\u01b0a v\u1ec1 c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra xem c\u00f3 nhi\u1ec5m n\u1ea5m hay kh\u00f4ng<br \/>\n\u0110\u1ecbnh k\u1ef3 ki\u1ec3m tra , l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng m\u00f4i tr\u01b0\u1eddng.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh n\u1ea5m da C\u00e1c b\u1ec7nh n\u1ea5m da g\u00e2y nhi\u1ec5m tr\u00f9ng b\u1ec1 m\u1eb7t c\u1ee7a t\u1ea7ng l\u1edbp s\u1eebng, s\u1ee3i t\u00f3c, ho\u1eb7c m\u00f3ng vu\u1ed1t, ch\u1ee7 y\u1ebfu g\u1ed3m 3 gi\u1ed1ng Microsporum, Trichophyton v\u00e0 Epidermophyton . Nhi\u1ec1u lo\u1ea1i n\u1ea5m da \u0111\u01b0\u1ee3c bi\u1ebft c\u00f3 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c lo\u1ea1i b\u00e0o t\u1eed kh\u00e1c nhau do sinh s\u1ea3n [&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-2309","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2309","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=2309"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2309\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}