{"id":2360,"date":"2018-11-19T15:41:10","date_gmt":"2018-11-19T15:41:10","guid":{"rendered":"https:\/\/robot.yeupet.vn\/benh-lyme-o-cho-borrelia-burgdoferi\/"},"modified":"2018-11-19T15:41:10","modified_gmt":"2018-11-19T15:41:10","slug":"benh-lyme-o-cho-borrelia-burgdoferi","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/benh-lyme-o-cho-borrelia-burgdoferi\/","title":{"rendered":"B\u1ec7nh Lyme \u1ede Ch\u00f3 \u2013 Borrelia Burgdoferi"},"content":{"rendered":"<p>B\u1ec7nh do Borrelia l\u00e0 b\u1ec7nh truy\u1ec1n l\u00e2y qua trung gian, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c k\u00fd ch\u1ee7 l\u00e0 th\u00fa c\u00f3 v\u00fa v\u00e0 chim. Borrelia g\u1ed3m \u00edt nh\u1ea5t 31 lo\u00e0i, chia th\u00e0nh hai nh\u00f3m: nh\u00f3m Borrelia g\u00e2y b\u1ec7nh Lyme v\u00e0 nh\u00f3m g\u00e2y s\u1ed1t h\u1ed3i quy. C\u1ea3 hai nh\u00f3m \u0111\u1ec1u ch\u1ee9a c\u00e1c lo\u00e0i c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh ngo\u00e0i c\u00e1c lo\u00e0i Borrelia kh\u00e1c ch\u1ec9 ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c t\u1eeb ve hay t\u1eeb c\u00e1c \u0111\u1ed9ng v\u1eadt kh\u00f4ng tri\u1ec7u ch\u1ee9ng kh\u00e1c. B\u1ec7nh Lyme l\u00e0 b\u1ec7nh truy\u1ec1n l\u00e2y qua trung gian ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi.<span id=\"more-5431\"><\/span> B\u1ec7nh \u0111\u00e3 c\u00f3 b\u00e1o c\u00e1o \u1edf B\u1eafc M\u1ef9, Ch\u00e2u \u00c2u v\u00e0 Ch\u00e2u \u00c1. C\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5 c\u0169ng c\u00f3 b\u00e1o c\u00e1o \u1edf \u00dac, Nam M\u1ef9 v\u00e0 Ch\u00e2u Phi. Do kh\u00f3 kh\u0103n trong ch\u1ea9n \u0111o\u00e1n x\u00e1c nh\u1eadn v\u00e0 t\u00ednh \u0111a d\u1ea1ng c\u1ee7a c\u00e1c lo\u00e0i borrelia ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c t\u1eeb ve, nh\u1eefng tranh lu\u1eadn v\u1eabn t\u1ed3n t\u1ea1i li\u00ean quan \u0111\u1ebfn x\u00e1c \u0111\u1ecbnh l\u01b0u h\u00e0nh v\u00e0 ph\u00e2n b\u1ed1 \u0111\u1ecba l\u00fd c\u1ee7a b\u1ec7nh. S\u1ed1t h\u1ed3i quy do Borrelia c\u00f3 \u1edf c\u1ea3 ng\u01b0\u1eddi l\u1eabn th\u00fa v\u1eadt thu\u1ea7n d\u01b0\u1ee1ng.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-lyme-o-cho-borrelia-burgdoferi.png\" class=\"aligncenter size-full wp-image-5432\" alt=\"benh-lyme-o-cho-borrelia- burgdoferi\" width=\"496\" height=\"307\"><\/p>\n<p>\u1ea2nh\u00a0Borrelia burgdoferi d\u01b0\u1edbi\u00a0k\u00ednh hi\u1ec3n vi n\u1ec1n \u0111en.<\/p>\n<p><strong>II. Sinh B\u1ec7nh H\u1ecdc<\/strong><\/p>\n<p><strong>1. B\u1ec7nh Lyme<\/strong><br \/>\nBorrelia l\u00e0 vi khu\u1ea9n d\u1ea1ng s\u1ee3i m\u1ea3nh v\u00e0 d\u00e0i (0.2 \u03bcm \u00d7 30 \u03bcm). Th\u1ef1c t\u1ebf kh\u00f4ng th\u1ec3 th\u1ea5y b\u1eb1ng k\u00ednh hi\u1ec3n vi quan h\u1ecdc b\u00ecnh th\u01b0\u1eddng m\u00e0 b\u1eb1ng k\u00ednh hi\u1ec3n vi n\u1ec1n \u0111en. Borrelia burgdorferi sensu lato g\u1ed3m \u00edt nh\u1ea5t 13 lo\u00e0i c\u00f9ng gen di truy\u1ec1n, trong \u0111\u00f3 c\u00e1c lo\u00e0i c\u00f9ng gen di truy\u1ec1n li\u00ean quan \u0111\u1ebfn g\u00e2y b\u1ec7nh. \u1ede ng\u01b0\u1eddi, vi khu\u1ea9n li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh t\u00edch n\u1ed5i m\u1ea9n tr\u00f2n tr\u00ean da, vi\u00eam \u0111a kh\u1edbp, vi\u00eam m\u00e0ng n\u00e3o v\u00e0 vi\u00eam c\u01a1 tim.<\/p>\n<p><strong>2. B\u1ec7nh s\u1ed1t h\u1ed3i quy<\/strong><br \/>\nC\u00f3 nhi\u1ec1u lo\u00e0i Borrelia (\u00edt nh\u1ea5t 15 lo\u00e0i) h\u1ee3p th\u00e0nh nh\u00f3m vi khu\u1ea9n g\u00e2y s\u1ed1t h\u1ed3i quy qua c\u00e1c trung gian truy\u1ec1n l\u00e2y cho c\u00e1c \u0111\u1ed9ng v\u1eadt thu\u1ea7n d\u01b0\u1ee1ng v\u00e0 ng\u01b0\u1eddi. Ngo\u1ea1i tr\u1eeb Borrelia recurrentis, g\u00e2y s\u1ed1t t\u00e1i ph\u00e1t qua trung gian ch\u1ea5y r\u1eadn, t\u1ea5t c\u1ea3 c\u00e1c lo\u00e0i c\u00f2n l\u1ea1i \u0111\u1ec1u truy\u1ec1n l\u00e2y qua ve.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-lyme-o-cho-borrelia-burgdoferi-1.png\" class=\"aligncenter size-full wp-image-5433\" alt=\"benh-lyme-o-cho-borrelia- burgdoferi-1\" width=\"956\" height=\"571\"><\/p>\n<p>M\u1ed9t v\u00e0i lo\u00e0i Borrelia quan tr\u1ecdng trong nh\u00e2n y v\u00e0 th\u00fa y<\/p>\n<p>B\u1ec7nh nhi\u1ec5m \u1edf ch\u00f3 v\u00e0 m\u00e8o \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 g\u1ea7n \u0111\u00e2y nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh r\u00f5 r\u00e0ng. Tuy nhi\u00ean, t\u00ecnh tr\u1ea1ng nhi\u1ec5m xo\u1eafn khu\u1ea9n huy\u1ebft k\u00e8m theo b\u1ec7nh l\u00e2m s\u00e0ng \u0111\u00e3 th\u1ea5y \u1edf ch\u00f3 thu\u1ed9c v\u00f9ng Texas v\u00e0 Florida. C\u00e1c xo\u1eafn khu\u1ea9n g\u00e2y b\u1ec7nh n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c nh\u1eadn di\u1ec7n l\u00e0 Borrelia turicatae. Borrelia persica l\u00e0 m\u1ed9t xo\u1eafn khu\u1ea9n g\u00e2y s\u1ed1t h\u1ed3i quy truy\u1ec1n l\u00e2y qua ve, th\u1ea5y \u1edf c\u00e1c qu\u1ed1c gia mi\u1ec1n nam c\u1ee7a Li\u00ean X\u00f4 tr\u01b0\u1edbc \u0111\u00e2y, \u1edf Iran, Iraq, Syria, Jordan, Turkey, Israel, Egypt, v\u00e0 Cyprus, truy\u1ec1n l\u00e2y nh\u1edd Ornithodoros tholozani. Xo\u1eafn khu\u1ea9n n\u00e0y \u0111\u01b0\u1ee3c bi\u1ebft nhi\u1ec5m \u0111\u1ebfn ng\u01b0\u1eddi, ch\u00f3 v\u00e0 m\u00e8o.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-lyme-o-cho-borrelia-burgdoferi-4.jpg\" class=\"aligncenter size-full wp-image-5436\" alt=\"benh-lyme-o-cho-borrelia- burgdoferi-4\" width=\"480\" height=\"184\"><\/p>\n<p>H\u00ecnh \u1ea3nh c\u1ee7a\u00a0Ixodes scapularis k\u00fd sinh tr\u00ean ch\u00f3<\/p>\n<p><strong>III. D\u1ecbch T\u1ec5 H\u1ecdc<\/strong><\/p>\n<p><strong>1. B\u1ec7nh Lyme<\/strong><br \/>\nKh\u00f4ng gi\u1ed1ng Leptospira, Borreliae c\u1ea7n c\u00f3 k\u00fd ch\u1ee7 (th\u00fa c\u00f3 v\u00fa, chim v\u00e0 th\u1eb1n l\u1eb1n) v\u00e0 c\u00f3 c\u00e1c trung gian truy\u1ec1n l\u00e2y l\u00e0 lo\u00e0i ch\u00e2n \u0111\u1ed1t h\u00fat m\u00e1u. B\u1ec7nh nhi\u1ec5m B. burgdorferi sensu lato l\u00e0 b\u1ec7nh ph\u00e1t t\u00e1n theo v\u00f9ng \u0111\u1ecba l\u00fd. Th\u00f4ng th\u01b0\u1eddng b\u1ec7nh Lyme do Borrelia x\u1ea3y ra \u1edf kh\u1eafp B\u1eafc B\u00e1n c\u1ea7u, \u1edf c\u00e1c v\u00f9ng c\u00f3 nhi\u1ec7t \u0111\u1ed9 l\u1ea1nh. \u1ede c\u00e1c bang v\u00f9ng b\u1edd bi\u1ec3n, ch\u00f3 nhi\u1ec5m ve v\u00e0 l\u01b0u h\u00e0nh trong huy\u1ebft thanh cao nh\u1ea5t \u1edf c\u00e1c v\u00f9ng ven bi\u1ec3n,c\u00f3 th\u1ec3 do t\u00ednh th\u00edch \u1ea9m c\u1ee7a lo\u00e0i ve.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-lyme-o-cho-borrelia-burgdoferi-3.jpg\" class=\"aligncenter size-full wp-image-5435\" alt=\"Microsoft Word - TREPAR_918_edited.doc\" width=\"812\" height=\"626\"><\/p>\n<p>Chu k\u1ef3 s\u1ed1ng c\u1ee7a Ixodes scapularis<\/p>\n<p><strong>2. B\u1ec7nh s\u1ed1t h\u1ed3i quy<\/strong><br \/>\nS\u1ed1t h\u1ed3i quy l\u00e0 b\u1ec7nh \u0111i\u1ec3n h\u00ecnh truy\u1ec1n l\u00e2y t\u1eeb th\u00fa sang ng\u01b0\u1eddi, trong \u0111\u00f3 m\u1ea7m b\u1ec7nh \u0111\u01b0\u1ee3c duy tr\u00ec t\u1ef1 nhi\u00ean gi\u1eefa c\u00e1c k\u00fd ch\u1ee7 t\u00e0ng tr\u1eef c\u00f3 m\u1eabn c\u1ea3m v\u00e0 ve m\u1ec1m c\u00f3 kh\u1ea3 n\u0103ng duy tr\u00ec m\u1ea7m b\u1ec7nh. Borrelia g\u00e2y s\u1ed1t h\u1ed3i quy th\u01b0\u1eddng gi\u1edbi h\u1ea1n \u1edf c\u00e1c v\u00f9ng \u0111\u1ecba l\u00fd c\u00f9ng v\u1edbi c\u00e1c k\u00fd ch\u1ee7 trung gian t\u01b0\u01a1ng \u1ee9ng t\u1ea1i khu v\u1ef1c nh\u1ecf h\u01a1n nhi\u1ec1u so v\u1edbi Borrelia g\u00e2y b\u1ec7nh Lyme (b\u1ea3ng 43.1).<\/p>\n<p><strong>IV. Kh\u1ea3 N\u0103ng G\u00e2y B\u1ec7nh<\/strong><\/p>\n<p><strong>1. B\u1ec7nh Lyme<\/strong><br \/>\nQu\u00e1 tr\u00ecnh truy\u1ec1n b\u1ec7nh c\u1ea7n th\u1eddi gian ve b\u00e1m h\u00fat m\u00e1u t\u1eeb 1 \u0111\u1ebfn 2 ng\u00e0y, vi sinh v\u1eadt nh\u00e2n l\u00ean v\u00e0 xuy\u00ean qua bi\u1ec3u b\u00ec ru\u1ed9t \u0111\u1ebfn m\u1ea1ch b\u1ea1ch huy\u1ebft, ph\u00e2n t\u00e1n \u0111\u1ebfn c\u00e1c tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt c\u1ee7a ve v\u00e0 nhi\u1ec5m v\u00e0o k\u00fd ch\u1ee7 th\u00fa v\u1eadt qua n\u01b0\u1edbc b\u1ecdt c\u1ee7a ve.<\/p>\n<p><strong>2. B\u1ec7nh s\u1ed1t h\u1ed3i quy<\/strong><br \/>\nKh\u00f4ng gi\u1ed1ng nh\u01b0 c\u00e1c lo\u00e0i ve Ixodes kh\u00e1c, ve Ornithodoros t\u00e0ng tr\u1eef c\u00e1c xo\u1eafn khu\u1ea9n trong th\u1eddi gian d\u00e0i, do chu k\u1ef3 s\u1ed1ng c\u1ee7a ch\u00fang k\u00e9o d\u00e0i \u0111\u1ebfn h\u00e0ng n\u0103m m\u1edbi ho\u00e0n t\u1ea5t. C\u00e1c k\u00fd ch\u1ee7 l\u00e0 th\u00fa c\u00f3 v\u00fa th\u01b0\u1eddng ch\u1ec9 b\u1ecb nhi\u1ec5m xo\u1eafn khu\u1ea9n huy\u1ebft m\u1ed9t c\u00e1ch gi\u00e1n \u0111o\u1ea1n trong 14 \u0111\u1ebfn 30 ng\u00e0y.<\/p>\n<p><strong>V. D\u1ea5u Hi\u1ec7u L\u00e2m S\u00e0ng C\u1ee7a B\u1ec7nh<\/strong><\/p>\n<p><strong>1. B\u1ec7nh Lyme<\/strong><br \/>\n\u1ede ng\u01b0\u1eddi bao g\u1ed3m vi\u00eam da, vi\u00eam kh\u1edbp, vi\u00eam m\u00e0ng n\u00e3o t\u1ee7y v\u00e0 vi\u00eam c\u01a1 tim. M\u1ed9t s\u1ed1 th\u1ec3 hi\u1ec7n n\u00e0y c\u0169ng quan s\u00e1t th\u1ea5y \u1edf ch\u00f3 v\u00e0 m\u00e8o. B\u1ec7nh tr\u00f9ng nhi\u1ec5m c\u0169ng th\u01b0\u1eddng g\u1eb7p, nh\u1ea5t l\u00e0 trong c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua ve m\u00e0 c\u00f3 nhi\u1ec1u m\u1ea7m b\u1ec7nh c\u00f3 th\u1ec3 truy\u1ec1n c\u00f9ng l\u00fac t\u1eeb ve sang. B\u1ec7nh l\u00e2m s\u00e0ng trong th\u00fa v\u1eadt b\u1ecb nhi\u1ec5m c\u00f3 th\u1ec3 khu tr\u00fa hay n\u1eb7ng n\u1ec1 h\u01a1n do c\u00e1c m\u1ea7m b\u1ec7nh nhi\u1ec5m kh\u00e1c nh\u01b0 Anaplasma phagocytophilum.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-lyme-o-cho-borrelia-burgdoferi-5.jpg\" class=\"aligncenter size-full wp-image-5437\" alt=\"benh-lyme-o-cho-borrelia- burgdoferi-5\" width=\"568\" height=\"423\"><\/p>\n<p>Qu\u00e8 m\u1ed9t ch\u00e2n k\u00e9o d\u00e0i v\u00e0i ng\u00e0y v\u00e0 sau \u0111\u00f3 c\u00f3 th\u1ec3 chuy\u1ec3n sang ch\u00e2n kh\u00e1c b\u1ecb qu\u00e8 ho\u1eb7c kh\u1ecfi h\u1eb3n.<\/p>\n<p>\u1ede ch\u00f3: C\u00e1c th\u1ec3 hi\u1ec7n b\u1ec7nh l\u00e2m s\u00e0ng tr\u00ean ch\u00f3 g\u00e2y b\u1ec7nh th\u1ef1c nghi\u1ec7m \u0111\u00e3 xu\u1ea5t hi\u1ec7n t\u1eeb 2 \u0111\u1ebfn 6 th\u00e1ng.<\/p>\n<ul>\n<ul>\n<ul>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u to\u00e0n th\u00e2n: S\u1ed1t (39,5\u00b0C \u2013 40,5\u00b0C), qu\u00e8 \u0111\u1ed5i ch\u00e2n, s\u01b0ng m\u1ea1ch m\u00e1u, tri\u1ec3n d\u01b0\u1ee1ng h\u1ea1ch l\u00e2m ba, bi\u1ebfng \u0103n v\u00e0 \u1edbn l\u1ea1nh to\u00e0n th\u00e2n.<\/li>\n<li>Vi\u00eam kh\u1edbp: Qu\u00e8 m\u1ed9t ch\u00e2n k\u00e9o d\u00e0i v\u00e0i ng\u00e0y v\u00e0 sau \u0111\u00f3 c\u00f3 th\u1ec3 chuy\u1ec3n sang ch\u00e2n kh\u00e1c b\u1ecb qu\u00e8 ho\u1eb7c kh\u1ecfi h\u1eb3n.<\/li>\n<li>B\u1ec7nh \u1edf th\u1eadn: Gi\u1ed1ng ch\u00f3 Labrador v\u00e0 gi\u1ed1ng ch\u00f3 s\u0103n m\u00e0u v\u00e0ng \u0111\u00e3 ph\u00e1t hi\u1ec7n b\u1ecb nhi\u1ec5m. Th\u1eddi gian b\u1ec7nh trong v\u00f2ng 24 gi\u1edd \u0111\u1ebfn 8 tu\u1ea7n v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 \u0111\u1ed9t ng\u1ed9t b\u1ecf \u0103n, \u00f3i m\u1eeda v\u00e0 h\u00f4n m\u00ea. C\u00e1c ph\u00e2n t\u00edch b\u1ea5t th\u01b0\u1eddng v\u1ec1 ni\u1ec7u cho th\u1ea5y c\u00f3 protein ni\u1ec7u, ni\u1ec7u huy\u1ebft, huy\u1ebft s\u1eafc t\u1ed1 trong n\u01b0\u1edbc ti\u1ec3u, glucose trong n\u01b0\u1edbc ti\u1ec3u, s\u1eafc t\u1ed1 m\u1eadt trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 c\u1eb7n l\u1eafng trong n\u01b0\u1edbc ti\u1ec3u.<\/li>\n<li>Vi\u00eam m\u00e0ng n\u00e3o: Ch\u00f3 g\u00e2y b\u1ec7nh th\u1ef1c nghi\u1ec7m c\u00f3 vi\u00eam m\u00e0ng n\u00e3o nh\u1eb9 d\u1ea1ng \u0111i\u1ec3m, vi\u00eam n\u00e3o v\u00e0 vi\u00eam ngo\u1ea1i m\u1ea1c th\u1ea7n kinh. Tuy nhi\u00ean, kh\u00f4ng quan s\u00e1t th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh.<\/li>\n<li>C\u00e1c th\u1ec3 hi\u1ec7n kh\u00e1c. M\u1ed9t b\u1ec7nh t\u00edch \u0111\u1ecf, nh\u1ecf xu\u1ea5t hi\u1ec7n \u1edf da c\u1ee7a ch\u00f3, n\u01a1i ve h\u00fat ch\u00edch nh\u01b0ng s\u1ebd m\u1ea5t \u0111i trong tu\u1ea7n \u0111\u1ea7u ti\u00ean.<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-lyme-o-cho-borrelia-burgdoferi-2.jpg\" class=\"aligncenter size-full wp-image-5434\" alt=\"benh-lyme-o-cho-borrelia- burgdoferi-2\" width=\"300\" height=\"225\"><\/p>\n<p>b\u1ec7nh t\u00edch \u0111\u1ecf, nh\u1ecf xu\u1ea5t hi\u1ec7n \u1edf da c\u1ee7a ch\u00f3<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o trong m\u1ed9t s\u1ed1 ch\u00f3 b\u1ec7nh ng\u1eabu nhi\u00ean, bao g\u1ed3m vi\u00eam kh\u1edbp, ch\u1ea3y n\u01b0\u1edbc m\u0169i v\u00e0 vi\u00eam c\u01a1 tim g\u00e2y kh\u00f3 th\u1edf .<\/p>\n<p>\u1ede m\u00e8o: M\u00e8o c\u00f3 \u0111\u1ec1 kh\u00e1ng m\u1ea1nh h\u01a1n ch\u00f3 trong b\u1ec7nh Lyme.<\/p>\n<p><strong>2. B\u1ec7nh s\u1ed1t h\u1ed3i quy<\/strong><br \/>\nC\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng \u1edf ch\u00f3 nh\u01b0 t\u0103ng nhi\u1ec7t \u0111\u1ed9 tr\u1ef1c tr\u00e0ng, qu\u00e8 \u0111\u1ed5i ch\u00e2n, l\u00e1ch s\u01b0ng t\u1ee5 m\u00e1u, th\u1ec3 hi\u1ec7n nhi\u1ec5m xo\u1eafn khu\u1ea9n huy\u1ebft v\u00e0 vi\u00eam m\u1ed1ng m\u1eaft ngo\u00e0i. T\u1ea5t c\u1ea3 \u0111\u1ec1u t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c d\u1ea5u hi\u1ec7u d\u1ecbch t\u1ec5 c\u1ee7a s\u1ed1t h\u1ed3i quy truy\u1ec1n l\u00e2y t\u1eeb ve.<\/p>\n<p><strong>VI. Ch\u1ea9n \u0110o\u00e1n<br \/>\n<\/strong><br \/>\nKh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m \u0111\u1eb7c tr\u01b0ng cho b\u1ec7nh Lyme. Tuy nhi\u00ean, ch\u00f3 c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng trong c\u00e1c v\u00f9ng d\u1ecbch t\u1ec5 c\u00f3 nhi\u1ec1u ve th\u01b0\u1eddng \u0111\u01b0\u1ee3c quan t\u00e2m nhi\u1ec1u h\u01a1n.<\/p>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m tham kh\u1ea3o:Th\u1ea9m th\u1ea5u mi\u1ec5n d\u1ecbch, kh\u00e1ng th\u1ec3 \u0111\u1ed1i v\u1edbi c\u00e1c protein \u0111\u1eb7c hi\u1ec7u \u1edf b\u1ec1 m\u1eb7t \u2013 VlsE v\u00e0 C6, c\u00e1c kh\u00e1ng th\u1ec3 \u1edf d\u1ecbch n\u00e3o t\u1ee7y, ph\u00e1t hi\u1ec7n vi sinh v\u1eadt b\u1eb1ng soi kinh hi\u1ec3n vi, nu\u00f4i c\u1ea5y \u1edf ngo\u1ea1i m\u00f4i tr\u01b0\u1eddng, ph\u00e2n l\u1eadp Borrelia,\u2026<\/p>\n<p><strong>VII. Ph\u00e1t Hi\u1ec7n Kh\u1ea3 N\u0103ng G\u00e2y B\u1ec7nh<\/strong><\/p>\n<p>Th\u00fa b\u1ecb nhi\u1ec5m n\u1eb7ng, c\u00e1c kh\u1edbp x\u01b0\u01a1ng s\u01b0ng l\u00ean v\u00e0 ph\u00f9 xoang kh\u1edbp, ph\u00ec \u0111\u1ea1i h\u1ea1ch l\u00e2m ba ngo\u1ea1i bi\u00ean, nh\u1ea5t l\u00e0 c\u00e1c h\u1ea1ch l\u00e2m ba li\u00ean quan \u0111\u1ebfn c\u00e1c ch\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh m\u00e3n t\u00ednh, ch\u00f3 c\u00f3 chuy\u1ec3n h\u00f3a huy\u1ebft thanh s\u1ebd ph\u00e1t tri\u1ec3n vi\u00eam kh\u00f4ng sinh m\u1ee7, d\u1ecbch vi\u00eam ch\u1ee7 y\u1ebfu l\u00e0 t\u1ebf b\u00e0o l\u00e2m ba g\u1ed1c.<\/p>\n<p><strong>VIII. \u0110i\u1ec1u Tr\u1ecb B\u1ec7nh<\/strong><\/p>\n<p><strong>1. B\u1ec7nh Lyme do Borrelia (Lyme Borreliosis)<\/strong><br \/>\nDo kh\u00f3 kh\u0103n trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ch\u00ednh x\u00e1c, c\u00e1c ch\u1ea5t kh\u00e1ng sinh th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u1ea5p theo kinh nghi\u1ec7m. C\u00e1c lao5i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb nh\u01b0 Doxycycline, Amoxicllin, Azithromycin, Penicillin G, Ceftriaxone, Cefotaxime, Chloramphenicol nh\u01b0ng Doxycycline th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ecdn v\u00ec n\u00f3 l\u00e0 m\u1ed9t d\u1ea1ng tetracycline h\u00f2a tan trong ch\u1ea5t lipid v\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i r\u1ebb ti\u1ec1n.<\/p>\n<p><strong>2. B\u1ec7nh s\u1ed1t h\u1ed3i quy<\/strong><br \/>\n\u0110i\u1ec1u tr\u1ecb \u0111\u1ed1i v\u1edbi b\u1ec7nh s\u1ed1t t\u00e1i ph\u00e1t do xo\u1eafn khu\u1ea9n n\u00e0y c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u0111\u1ed1i v\u1edbi b\u1ec7nh Lyme.<\/p>\n<p><strong>IX. Ph\u00f2ng Ng\u1eeba<\/strong><\/p>\n<p>\u1ede ng\u01b0\u1eddi, m\u1ed9t li\u1ec1u doxycycline c\u1ea5p l\u00fac b\u1ecb ve h\u00fat ch\u00edch c\u00f3 hi\u1ec7u qu\u1ea3 87% trong ph\u00f2ng ng\u1eeba b\u1ec7nh Lyme. \u00c1p d\u1ee5ng th\u1ef1c h\u00e0nh n\u00e0y \u1edf ch\u00f3 l\u00e0 c\u00f3 th\u1ec3; tuy nhi\u00ean, tr\u1ecb li\u1ec7u ph\u00f2ng ng\u1eeba l\u00e0 kh\u00f4ng th\u1ef1c t\u1ebf do m\u1ee9c \u0111\u1ed9 ph\u01a1i nhi\u1ec5m cao \u1edf ch\u00f3 v\u00e0 m\u00e8o.<\/p>\n<p><strong>1. Ti\u00eam ph\u00f2ng vaccin:<\/strong><br \/>\nT\u00f9y theo d\u1ecbch t\u1ec5 v\u00f9ng, c\u00f3 th\u1ec3 ch\u1ecdn v\u1eafc xin \u0111\u1ec3 ti\u00eam ph\u00f2ng. Hi\u1ec7n nay, tr\u00ean th\u1ecb tr\u01b0\u1eddng m\u1ef9, Canada v\u00e0 c\u00e1c n\u01b0\u1edbc Ch\u00e2u \u00c2u c\u00f3 c\u00e1c d\u1ea1ng v\u1eafc xin t\u1ebf b\u00e0o \u0111\u01a1n gi\u00e1 (LymeVax \u2013 Pfizer, Duramune Lyme \u2013 Boehringer-Ingelheim), v\u1eafc xin t\u00e1i t\u1ed5 h\u1ee3p (Recombitek Lyme \u2013 Merial),..<br \/>\n<strong><br \/>\n2. Ki\u1ec3m so\u00e1t trung gian truy\u1ec1n l\u00e2y \u1edf ch\u00f3 v\u00e0 m\u00e8o<\/strong><br \/>\nC\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o v\u1ec7 con ng\u01b0\u1eddi \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c ch\u00fa \u00fd nhi\u1ec1u nh\u1ea5t \u0111\u1ed1i v\u1edbi ki\u1ec3m so\u00e1t ve \u1edf th\u00fa nu\u00f4i. C\u00e1c s\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng ri\u00eang bao g\u1ed3m v\u00f2ng \u0111eo c\u1ed5, b\u1ed9t thoa ngo\u00e0i, x\u00e0 b\u00f4ng, thu\u1ed1c hay x\u00e0 b\u00f4ng ng\u00e2m, thu\u1ed1c x\u1ecbt, thu\u1ed1c thoa v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m cho u\u1ed1ng.<\/p>\n<p><strong>3. Ki\u1ec3m so\u00e1t trung gian truy\u1ec1n l\u00e2y trong m\u00f4i tr\u01b0\u1eddng<\/strong><br \/>\nHi\u1ec7u qu\u1ea3 c\u1ee7a ch\u1ea5t di\u1ec7t lo\u00e0i ch\u00e2n \u0111\u1ed1t (fipronil) qua \u00e1p d\u1ee5ng tr\u00ean lo\u00e0i g\u1eb7m nh\u1ea5m hay h\u01b0\u01a1u \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 qua nhi\u1ec1u nghi\u00ean c\u1ee9u. Vi\u1ec7c gi\u1ea3m qu\u1ea7n th\u1ec3 h\u01b0\u01a1u s\u1ebd gi\u00fap gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng ve Ixodes, nh\u01b0ng c\u00e1c k\u00fd ch\u1ee7 th\u00fa c\u00f3 v\u00fa kh\u00e1c v\u1eabn c\u00f2n c\u00f3 th\u1ec3 t\u1ea1o \u0111\u01b0\u1ee3c nh\u00e2n sao cho c\u00e1c trung gian truy\u1ec1n l\u00e2y n\u00e0y. Vi\u1ec7c gi\u1ea3m \u0111\u00e0n li\u00ean t\u1ee5c s\u1ebd c\u1ea7n thi\u00e9t \u0111\u1ec3 lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng h\u01b0\u01a1u nu\u00f4i \u0111\u00e0o tho\u00e1t ra ngo\u00e0i m\u00f4i tr\u01b0\u1eddng.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh do Borrelia l\u00e0 b\u1ec7nh truy\u1ec1n l\u00e2y qua trung gian, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c k\u00fd ch\u1ee7 l\u00e0 th\u00fa c\u00f3 v\u00fa v\u00e0 chim. Borrelia g\u1ed3m \u00edt nh\u1ea5t 31 lo\u00e0i, chia th\u00e0nh hai nh\u00f3m: nh\u00f3m Borrelia g\u00e2y b\u1ec7nh Lyme v\u00e0 nh\u00f3m g\u00e2y s\u1ed1t h\u1ed3i quy. C\u1ea3 hai nh\u00f3m \u0111\u1ec1u ch\u1ee9a c\u00e1c lo\u00e0i c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh [&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-2360","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2360","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=2360"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2360\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2360"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2360"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}