{"id":2380,"date":"2018-11-19T16:23:17","date_gmt":"2018-11-19T16:23:17","guid":{"rendered":"https:\/\/robot.yeupet.vn\/benh-giun-tim-o-cho-lay-nhiem-qua-nguoi\/"},"modified":"2018-11-19T16:23:17","modified_gmt":"2018-11-19T16:23:17","slug":"benh-giun-tim-o-cho-lay-nhiem-qua-nguoi","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/benh-giun-tim-o-cho-lay-nhiem-qua-nguoi\/","title":{"rendered":"B\u1ec7nh Giun Tim \u1ede Ch\u00f3 L\u00e2y Nhi\u1ec5m Qua Ng\u01b0\u1eddi"},"content":{"rendered":"

B\u1eaft \u0110\u1ea7u T\u1eeb B\u1ec7nh Giun Tim Ch\u00f3<\/b><\/p>\n

Giun tim ch\u00f3 D. immitis l\u00e0 m\u1ed9t b\u1ec7nh k\u00fd sinh kh\u00e1 ph\u1ed5 bi\u1ebfn kh\u1eafp th\u1ebf gi\u1edbi. B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra nhi\u1ec1u nh\u1ea5t \u1edf lo\u00e0i ch\u00f3, b\u1ea5t k\u1ef3 con \u0111\u1ef1c hay c\u00e1i, b\u1ea5t k\u1ef3 tu\u1ed5i t\u00e1c hay n\u01a1i ch\u1ed1n \u1edf.<\/p>\n

B\u1ec7nh c\u0169ng c\u00f2n c\u00f3 th\u1ec3 th\u1ea5y \u1edf m\u00e8o nh\u00e0 v\u00e0 \u1edf m\u1ed9t s\u1ed1 th\u00fa r\u1eebng nh\u01b0 ch\u00f3 s\u00f3i, coyote, ch\u1ed3n v\u00e0 ferret, s\u01b0 t\u1eed bi\u1ec3n\u2026<\/span><\/p>\n

Ng\u01b0\u1eddi c\u0169ng c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m lo\u1ea1i giun k\u00fd sinh n\u1ea7y, tuy nhi\u00ean r\u1ea5t l\u00e0 hi h\u1eefu hi\u1ebfm th\u1ea5y x\u1ea3y ra.<\/p>\n

Ch\u00f3 l\u00e0 k\u00fd ch\u1ee7 th\u1eadt s\u1ef1 (definitive host) c\u1ee7a giun tim Dirofilaria immitis.<\/p>\n

Giun tr\u01b0\u1edfng th\u00e0nh d\u00e0i t\u1eeb 6 cm \u0111\u1ebfn 30 cm, con \u0111\u1ef1c nh\u1ecf h\u01a1n con c\u00e1i. Th\u00f4ng th\u01b0\u1eddng c\u00f3 t\u1eeb v\u00e0i ch\u1ee5c \u0111\u1ebfn m\u1ed9t hai tr\u0103m giun s\u1ed1ng trong t\u00e2m th\u1ea5t ph\u1ea3i (right ventricle) v\u00e0 trong \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (pulmonary artery) c\u1ee7a lo\u00e0i ch\u00f3.\u00a0Giun \u0111\u1ef1c v\u00e0 c\u00e1i giao h\u1ee3p nhau \u0111\u1ebb ra v\u00f4 s\u1ed1 \u1ea5u tr\u00f9ng microfilariae giai \u0111o\u1ea1n 1 hay L1 v\u00e0o trong m\u00e1u.<\/p>\n

Mu\u1ed7i l\u00e0 k\u00fd ch\u1ee7 trung gian (intermediate host) c\u1ee7a giun D. immitis.\u00a0Khi mu\u1ed7i h\u00fat m\u00e1u ch\u00f3 b\u1ec7nh th\u00ec h\u00fat lu\u00f4n c\u1ea3 \u1ea5u tr\u00f9ng L1.\u00a0Trong b\u1ee5ng mu\u1ed7i, L1 s\u1ebd chuy\u1ec3n bi\u1ebfn qua nhi\u1ec1u giai \u0111o\u1ea1n trong v\u00f2ng 2 tu\u1ea7n l\u1ec5 \u0111\u1ec3 tr\u1edf th\u00e0nh \u1ea5u tr\u00f9ng L3.\u00a0Sau \u0111\u00f3, L3 di chuy\u1ec3n l\u00ean tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt c\u1ee7a con mu\u1ed7i. Ch\u1ec9 c\u00f3 \u1ea5u tr\u00f9ng L3 m\u1edbi c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m (infective stage) cho th\u00fa v\u1eadt v\u00e0 cho ng\u01b0\u1eddi. Khi mu\u1ed7i h\u00fat m\u00e1u m\u1ed9t con ch\u00f3, n\u00f3 s\u1ebd b\u00f4m lu\u00f4n \u1ea5u tr\u00f9ng L3 v\u00e0o con v\u1eadt. L3 theo m\u00e1u ch\u1ea1y kh\u1eafp c\u01a1 th\u1ec3 v\u00e0 th\u01b0\u1eddng v\u00e0o c\u00e1c s\u1edb c\u01a1 v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh \u1ea5u tr\u00f9ng L4 r\u1ed3i L5\u2026\u00a0L5 \u0111\u01b0\u1ee3c xem nh\u01b0 th\u1eadt s\u1ef1 l\u00e0 m\u1ed9t con giun con. Cu\u1ed1i c\u00f9ng L5 ch\u1ea1y v\u1ec1 tim \u0111\u1ec3 ti\u1ebfp t\u1ee5c tr\u01b0\u1edfng th\u00e0nh. Th\u1eddi gian t\u1eeb l\u00fac \u1ea5u tr\u00f9ng L3 x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 ch\u00f3 \u0111\u1ebfn l\u00fac ch\u00fang tr\u1edf th\u00e0nh giun tr\u01b0\u1edfng th\u00e0nh \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1ebb \u0111\u01b0\u1ee3c th\u00ec c\u0169ng ph\u1ea3i m\u1ea5t t\u1eeb 7 hay 8 th\u00e1ng.<\/p>\n

\"benh-giun-tim-tren-cho-lay-nhiem-qua-nguoi\"<\/p>\n

T\u00f9y theo giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n v\u00e0 m\u1ee9c \u0111\u1ed9 nhi\u1ec5m c\u1ee7a giun m\u00e0 con ch\u00f3 s\u1ebd bi\u1ec3u l\u1ed9 ra nh\u1eefng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00e1c nhau, nh\u01b0 th\u1edf kh\u00f3, ho kinh ni\u00ean, d\u1ec5 m\u1ec7t, b\u1ed3n ch\u1ed3n (restlessness), m\u1ea5t c\u00e2n, da v\u00e0 l\u00f4ng kh\u00f4 kh\u00f4ng \u0111\u01b0\u1ee3c m\u01b0\u1edbt, v.v\u2026 Giun c\u00f3 th\u1ec3 l\u00e0m t\u1eafc ngh\u1ebdn tim khi\u1ebfn tim ph\u1ea3i t\u0103ng s\u1ee9c co th\u1eaft v\u00e0 b\u1ecb tri\u1ec3n d\u01b0\u1ee1ng, y\u1ebfu \u0111i d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng suy tim (congestive heart failure) v\u00e0 b\u1ecb b\u00e1ng (ascitis). Ch\u00f3 c\u00f3 th\u1ec3 ch\u1ebft.<\/p>\n

\"benh-giun-tim-tren-cho-lay-nhiem-qua-nguoi1\"<\/p>\n

Ch\u1ea9n\u00a0\u0111o\u00e1n b\u1ec7nh giun tim ch\u00f3 c\u00f3 th\u1ec3\u00a0\u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng nhi\u1ec1u c\u00e1ch:<\/strong><\/p>\n

    \n
  1. S\u1eed d\u1ee5ng k\u00ednh hi\u1ec3n vi \u0111\u1ec3 t\u00ecm s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u1ea5u tr\u00f9ng microfilariae trong m\u00e1u ch\u00f3.\u00a0C\u00e1ch n\u1ea7y c\u00f3 th\u1ec3 kh\u00f4ng h\u1eefu hi\u1ec7u n\u1ebfu th\u1eed qu\u00e1 s\u1edbm, v\u00ec s\u1ed1 l\u01b0\u1ee3ng \u1ea5u tr\u00f9ng c\u00f2n qu\u00e1 \u00edt, ho\u1eb7c kh\u00f4ng c\u00f3 \u1ea5u tr\u00f9ng trong m\u00e1u nh\u01b0 trong tr\u01b0\u1eddng h\u1ee3p m\u00e0 khoa h\u1ecdc g\u1ecdi l\u00e0 occult heartworm (c\u00f3 th\u1ec3 v\u00ec l\u00fd do ch\u1ec9 c\u00f3 duy nh\u1ea5t m\u1ed9t gi\u1ed1ng giun ho\u1eb7c ch\u1ec9 to\u00e0n l\u00e0 con c\u00e1i hay ch\u1ec9 to\u00e0n l\u00e0 con \u0111\u1ef1c g\u1ecdi l\u00e0 Single sex infection). C\u0169ng c\u00f3 th\u1ec3 v\u00ec l\u00fd do giun \u0111i l\u1ea1c \u0111\u01b0\u1eddng aberrant migration n\u00ean kh\u00f4ng g\u1eb7p nhau \u0111\u1ec3 giao h\u1ee3p \u0111\u01b0\u1ee3c).<\/li>\n
  2. T\u00ecm kh\u00e1ng th\u1ec3 (antibody) ch\u1ed1ng l\u1ea1i c\u00e1c giai \u0111o\u1ea1n c\u1ee7a \u1ea5u tr\u00f9ng. Ph\u01b0\u01a1ng ph\u00e1p n\u1ea7y c\u0169ng kh\u00f4ng m\u1ea5y h\u1eefu hi\u1ec7u cho l\u1eafm v\u00ec l\u00fd do kh\u00e1ng th\u1ec3 c\u00f3 th\u1ec3 v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i trong m\u00e1u m\u1ed9t th\u1eddi gian sau khi \u1ea5u tr\u00f9ng \u0111\u00e3 ch\u1ebft m\u1ea5t t\u1eeb m\u1ed9t v\u00e0i n\u0103m v\u1ec1 tr\u01b0\u1edbc r\u1ed3i.<\/li>\n
  3. T\u00ecm kh\u00e1ng nguy\u00ean (antigen) c\u1ee7a giun c\u00e1i \u0111ang \u0111\u1ebb. K\u1ebft qu\u1ea3 r\u1ea5t thay \u0111\u1ed5i kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t.<\/li>\n
  4. Ch\u1ee5p X-ray ph\u1ed5i v\u00e0 tim, \u0111\u1ec3 hy v\u1ecdng t\u00ecm nh\u1eefng s\u1ef1 bi\u1ebfn \u0111\u1ed5i c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c ch\u1eb3ng h\u1ea1n nh\u01b0 t\u00e2m th\u1ea5t ph\u1ea3i b\u1ecb tri\u1ec3n d\u01b0\u1ee1ng v\u00e0 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i ph\u00ecnh to ra.<\/li>\n
  5. D\u00f9ng si\u00eau \u00e2m (ultrasounds) \u0111\u1ec3 nh\u1eadn di\u1ec7n s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a giun trong tim.<\/li>\n
  6. B\u1ec7nh giun ch\u1ec9 \u1edf ch\u00f3 c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 ch\u1eefa tr\u1ecb h\u1eefu hi\u1ec7u b\u1eb1ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c ch\u00edch, u\u1ed1ng, nhai ho\u1eb7c thoa ngo\u00e0i da m\u1ed7i th\u00e1ng \u0111\u1ec3 di\u1ec7t \u1ea5u tr\u00f9ng (larvae) ho\u1eb7c \u0111\u1ec3 di\u1ec7t giun tr\u01b0\u1edfng th\u00e0nh (adult). \u0110\u00f3 l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 Thiacetarsamide, Ivermectin, Diethylcarbamazine DEC, Benzimidazole, Melarsomine dihydrochloride, Macrocyclic lactone ML, Milbemycin oxime, Selamectin, Moxidectin, Heartgard\u2026<\/li>\n<\/ol>\n

    Coi ch\u1eebng ph\u1ea3n \u1ee9ng thu\u1ed1c v\u00ec c\u00f3 v\u00e0i lo\u1ea1i c\u00f3 ch\u1ee9a arsenic r\u1ea5t \u0111\u1ed9c. \u0110\u00f4i khi vi\u1ec7c ch\u1eefa tr\u1ecb l\u00e0m ch\u1ebft con ch\u00f3 v\u00ec l\u00fd do m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng qu\u00e1 nhi\u1ec1u giun b\u1ecb gi\u1ebft c\u0169ng m\u1ed9t l\u00fac v\u00e0 x\u00e1c c\u1ee7a ch\u00fang l\u00e0m t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u qua hi\u1ec7n t\u01b0\u1ee3ng thromboembolism. Th\u01b0\u1eddng m\u1ed9t s\u1ed3 thu\u1ed1c ng\u1eeba giun tim c\u0169ng \u0111\u1ed3ng th\u1eddi ng\u1eeba lu\u00f4n giun m\u00f3c (hookworms) v\u00e0 m\u1ed9t s\u1ed1 k\u00fd sinh tr\u00f9ng \u0111\u01b0\u1eddng ru\u1ed9t kh\u00e1c n\u1eefa.<\/p>\n

    \u0110\u1ebfn b\u1ec7nh giun ch\u1ec9\u00a0\u1edf ng\u01b0\u1eddi<\/strong><\/p>\n

    \u0110i\u1ec1u n\u00ean nh\u1edb l\u00e0 b\u1ec7nh giun ch\u1ec9 Dilofilariosis b\u1eaft bu\u1ed9c ph\u1ea3i qua trung gian c\u1ee7a con mu\u1ed7i (Aedes, Culex, Anopheles) m\u1edbi c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n v\u00e0 truy\u1ec1n l\u00e2y \u0111\u01b0\u1ee3c. Mu\u1ed7i v\u1eeba l\u00e0 k\u00fd ch\u1ee7 trung gian v\u1eeba l\u00e0 vector c\u1ee7a giun ch\u1ec9.<\/p>\n

    Ng\u01b0\u1eddi \u0111\u01b0\u1ee3c xem l\u00e0 k\u00fd ch\u1ee7 r\u1ee7i ro (accidental host) kh\u00e1c v\u1edbi ch\u00f3 l\u00e0 k\u00fd ch\u1ee7 t\u1ef1 nhi\u00ean (natural host) c\u1ee7a giun Dirofilaria. Khi mu\u1ed7i c\u1eafn, \u1ea5u tr\u00f9ng L3 \u0111\u01b0\u1ee3c mu\u1ed7i b\u00f4m v\u00e0o m\u00e1u nh\u01b0ng h\u1ea7u nh\u01b0 t\u1ea5t c\u1ea3 \u0111\u1ec1u b\u1ecb h\u1ec7 mi\u1ec5n d\u1ecbch ti\u00eau di\u1ec7t h\u1ebft, ngo\u1ea1i tr\u1eeb m\u1ed9t s\u1ed1 \u00edt c\u00f2n s\u00f3t l\u1ea1i v\u00e0 ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n trong c\u01a1 th\u1ec3.<\/p>\n

    Tuy nhi\u00ean, v\u00ec ng\u01b0\u1eddi l\u00e0 k\u00fd ch\u1ee7 r\u1ee7i ro cho n\u00ean s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a giun kh\u00f4ng bao gi\u1edd \u0111\u01b0\u1ee3c tr\u1ecdn v\u1eb9n, ngh\u0129a l\u00e0 kh\u00f4ng th\u1ec3 \u0111\u1ea1t t\u1edbi giai \u0111o\u1ea1n giun tr\u01b0\u1edfng th\u00e0nh sinh d\u1ee5c(sexually mature) v\u00ec v\u1eady ch\u00fang kh\u00f4ng th\u1ec3 \u0111\u1ebb \u0111\u01b0\u1ee3c.<\/p>\n

    B\u1edfi l\u00fd do n\u1ea7y cho n\u00ean kh\u00f4ng th\u1ea5y c\u00f3 \u1ea5u tr\u00f9ng microfilariae trong m\u00e1u c\u1ee7a ng\u01b0\u1eddi, v\u00e0 c\u0169ng kh\u00f4ng c\u00f3 v\u1ea5n \u0111\u1ec1 l\u00e2y nhi\u1ec5m giun ch\u1ec9 t\u1eeb ng\u01b0\u1eddi n\u1ea7y sang cho ng\u01b0\u1eddi kh\u00e1c \u0111\u01b0\u1ee3c.<\/p>\n

    Hai lo\u1ea1i giun sau\u00a0\u0111\u00e2y th\u01b0\u1eddng th\u1ea5y hay l\u00e2y sang cho ng\u01b0\u1eddi:<\/strong><\/p>\n

      \n
    1. Dirofilaria immitis<\/i>\u00a0l\u00e0 giun tim ch\u00f3. \u1ede ng\u01b0\u1eddi, thay v\u00ec ch\u1ea1y v\u00e0o tim ch\u00fang l\u1ea1i ch\u1ea1y v\u00e0o c\u00e1c nh\u00e1nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, g\u00e2y t\u1eafc ngh\u1ebdn l\u01b0u th\u00f4ng m\u00e1u v\u00e0 qua hi\u1ec7n t\u01b0\u1ee3ng infarction (m\u00f4 nh\u1ed3i m\u00e1u) g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u1ed9t v\u00f9ng ph\u1ed5i. M\u1ed9t n\u1ed1t hay nodule l\u1ed1i 2cm \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp ngay n\u01a1i \u0111\u00f3. N\u1ebfu nh\u00ecn qua h\u00ecnh quang tuy\u1ebfn Xray, s\u1ebd th\u1ea5y v\u1ebft n\u00e1m tr\u00f2n c\u1ee1 \u0111\u1ed3ng xu tr\u00ean ph\u1ed5i ngay ch\u1ed7 nodule. Tr\u01b0\u1eddng h\u1ee3p n\u1ea7y r\u1ea5t d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi b\u1ec7nh t\u00edch lesion c\u1ee7a cancer ph\u1ed5i.<\/li>\n
    2. Dirofilaria (Notchtiella) repens,<\/i>\u00a0th\u01b0\u1eddng \u0111\u1ecbnh v\u1ecb trong nh\u1eefng n\u1ed1t d\u01b0\u1edbi da ch\u00f3 v\u00e0 m\u00e8o. \u1ede ng\u01b0\u1eddi, giun c\u00f3 th\u1ec3 \u0111\u1ecbnh v\u1ecb trong m\u1ed9t th\u1eddi gian m\u1ed9t v\u00e0i n\u0103m trong c\u00e1c n\u1ed1t d\u01b0\u1edbi da (subcutaneous nodule), v\u00f9ng v\u00fa, trong b\u00ecu scrotum d\u1ecbch ho\u00e0n v\u00e0 d\u01b0\u1edbi l\u1edbp k\u1ebft m\u1ea1c c\u1ee7a m\u1eaft (subconjunctival space). Khi giun ch\u1ebft, c\u00e1c n\u1ed1t tr\u1edf th\u00e0nh calci h\u00f3a.<\/li>\n<\/ol>\n

      Theo t\u00e0i li\u1ec7u cho bi\u1ebft, t\u1eeb tr\u01b0\u1edbc t\u1edbi gi\u1edd c\u1ea3 th\u1ebf gi\u1edbi \u0111\u00e3 c\u00f3 kho\u1ea3ng 782 ca nhi\u1ec5m giun ch\u1ec9\u00a0D. repens<\/i>t\u1eeb s\u00fac v\u1eadt sang cho ng\u01b0\u1eddi.<\/p>\n

      \u0110\u00f4i khi giun v\u1eabn c\u00f2n s\u1ed1ng ng\u1ecd ngo\u1eb9 l\u00fac \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ra. \u0110i\u1ec3n h\u00ecnh l\u00e0 v\u00e0o th\u00e1ng gi\u00eang 2008 \u0110\u1ea1i h\u1ecdc Y H\u00e0 n\u1ed9i\u00a0c\u00f3 b\u00e1o c\u00e1o l\u1ea7n \u0111\u1ea7u ti\u00ean Vi\u1ec7t Nam \u0111\u00e3 t\u00ecm th\u1ea5y \u0111\u01b0\u1ee3c giun\u00a0D. repens\u00a0<\/i>c\u00f2n s\u1ed1ng trong l\u1edbp k\u1ebft m\u1ea1c n\u01a1i m\u1eaft m\u1ed9t b\u1ec7nh nh\u00e2n. Giun n\u1eb1m cu\u1ed9n tr\u00f2n trong m\u1ed9t c\u00e1i k\u00e9n trong l\u1edbp k\u1ebft m\u1ea1c c\u1ee7a m\u1eaft. Sau khi m\u1ed5, giun \u0111o \u0111\u01b0\u1ee3c 12 cm.<\/p>\n

      K\u1ebft lu\u1eadn<\/strong><\/p>\n

      C\u00e1c kh\u1ea3o c\u1ee9u v\u1ec1 d\u1ecbch t\u1ec3 h\u1ecdc \u0111\u00e3 cho ch\u00fang ta bi\u1ebft l\u00e0 s\u1ed1 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m giun ch\u1ec9 Dirofilaria t\u1eeb th\u00fa kh\u00f4ng ng\u1eebng gia t\u0103ng th\u00eam m\u00e3i\u2026 C\u00e1c n\u01a1i \u0111\u01b0\u1ee3c th\u1ea5y b\u00e1o c\u00e1o l\u00e0 c\u00e1c x\u1ee9 thu\u1ed9c kh\u1ed1i Li\u00ean bang S\u00f4 vi\u1ebft c\u0169, Ti\u1ec7p Kh\u1eafc, \u0110\u00e0i Loan, \u1ea4n \u0111\u1ed9, SriLanka, Iran, Do Th\u00e1i, Hoa K\u1ef3, Nh\u1eadt B\u1ea3n, \u00dd \u0110\u1ea1i L\u1ee3i, Th\u1ee5y S\u0129, T\u00e2y Ban Nha, Hung Gia L\u1ee3i, Slovakia, Tunisie, Brazil, \u00dac Ch\u00e2u, Philippines, Th\u00e1i Lan, Vi\u1ec7t Nam,v.v\u2026<\/p>\n

      Ng\u00e0y nay, gi\u1edbi y khoa \u0111\u00e3 \u00fd th\u1ee9c v\u00e0 c\u1ea3nh gi\u00e1c h\u01a1n khi x\u01b0a v\u1ec1 nh\u1eefng b\u1ec7nh t\u1eeb th\u00fa l\u00e2y sang cho ng\u01b0\u1eddi. C\u00e1c ti\u1ebfn b\u1ed9 khoa h\u1ecdc c\u0169ng \u0111\u00e3 g\u00f3p ph\u1ea7n kh\u00f4ng nh\u1ecf v\u00e0o vi\u1ec7c ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c nhanh h\u01a1n v\u00e0 ch\u00ednh x\u00e1c h\u01a1n. Ngo\u00e0i ra, hi\u1ec7n t\u01b0\u1ee3ng h\u00e2m n\u00f3ng to\u00e0n c\u1ea7u (global warming) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem nh\u01b0 y\u1ebfu t\u1ed1 m\u1ea5u ch\u1ed1t l\u00e0m thay \u0111\u1ed5i m\u00f4i sinh v\u00e0 sinh th\u00e1i c\u0169ng nh\u01b0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho mu\u1ed7i ph\u00e1t tri\u1ec3n d\u1ec5 d\u00e0ng v\u00e0 c\u00f3 th\u1ec3 h\u00fat m\u00e1u m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn th\u00fa v\u00e0 ng\u01b0\u1eddi k\u1ec3 c\u1ea3 t\u1ea1i nh\u1eefng v\u00f9ng m\u00e0 t\u1eeb x\u01b0a nay \u0111\u01b0\u1ee3c xem nh\u01b0 c\u00f3 \u00edt mu\u1ed7i.<\/p>\n

      Qu\u1ea3 th\u1eadt, Dirofilariosis l\u00e0 m\u1ed9t b\u1ec7nh t\u1eeb th\u00fa sang ng\u01b0\u1eddi hay l\u00e0 m\u1ed9t zoonosis\u00a0\u0111ang l\u00ean!<\/strong><\/p>\n

      Ph\u00f2ng ng\u1eeba b\u1ec7nh giun ch\u1ec9 \u1edf ch\u00f3 m\u00e8o l\u00e0 vi\u1ec7c c\u1ea7n ph\u1ea3i quan t\u00e2m \u0111\u1ebfn, tuy nhi\u00ean v\u1ea5n \u0111\u1ec1 n\u1ea7y kh\u00f4ng \u0111\u01a1n gi\u1ea3n v\u00e0 d\u1ec5 th\u1ef1c hi\u1ec7n. Trong th\u1ef1c t\u1ebf c\u00f2n r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi ch\u01b0a \u00fd th\u1ee9c \u0111\u00fang m\u1ee9c t\u1ea7m quan tr\u1ecdng c\u1ee7a b\u1ec7nh giun tim ch\u00f3. S\u1ed1 l\u01b0\u1ee3ng ch\u00f3 hoang qu\u00e1 l\u1edbn \u0111ang t\u1ef1 do l\u01b0u h\u00e0nh t\u1ea1i n\u00f4ng th\u00f4n v\u00e0 th\u00e0nh th\u1ecb \u1edf c\u00e1c qu\u1ed1c gia \u0111ang ph\u00e1t tri\u1ec3n c\u00f9ng v\u1edbi nh\u01b0 m\u1ed9t s\u1ed1 th\u00fa r\u1eebng l\u00e0 nh\u1eefng v\u1eadt ch\u1ee7 hay reservoir tr\u01b0\u1eddng k\u1ef3 c\u1ee7a giun ch\u1ec9 Dirofilaria. Ngo\u00e0i ra c\u00f2n v\u1ea5n \u0111\u1ec1 mu\u1ed7i n\u1eefa, kh\u00f4ng th\u1ec3 n\u00e0o c\u00f3 bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t h\u1eefu hi\u1ec7u 100% \u0111\u01b0\u1ee3c h\u1ebft.<\/p>\n

      Tri\u1ec7u ch\u1ee9ng \u2013 B\u1ec7nh t\u00edch<\/strong><\/p>\n

        \n
      • Khi nhi\u1ec5m n\u1eb7ng ch\u00f3 kh\u00f3 th\u1edf, ki\u1ec7t s\u1ee9c, thi\u1ebfu m\u00e1u, vi\u00eam th\u1eadn, vi\u00eam b\u00e0ng quang, n\u01b0\u1edbc ti\u1ec3u c\u00f3 m\u00e1u, ho kh\u1ea1c khi v\u1eadn \u0111\u1ed9ng.<\/li>\n
      • T\u00e2m nh\u0129 ph\u1ea3i n\u1edf to, vi\u00eam c\u01a1 tim, g\u00e2y t\u1eafc m\u1ea1ch v\u00e0 n\u1ee9t m\u1ea1ch m\u00e1u. Th\u00e0nh c\u1ee7a t\u00e2m th\u1ea5t ph\u1ea3i b\u1ecb r\u00e1ch. Da vi\u00eam, nh\u1eefng ch\u1ed7 c\u00f3 \u1ea5u tr\u00f9ng b\u1ecb x\u01a1 h\u00f3a.<\/li>\n<\/ul>\n

        \"benh-giun-tim-tren-cho-lay-nhiem-qua-nguoi2\"<\/p>\n

        \"benh-giun-tim-tren-cho-lay-nhiem-qua-nguoi3\"<\/p>\n

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

          \n
        • D\u00f9ng test nhanh.<\/li>\n
        • D\u00f9ng ph\u01b0\u01a1ng ph\u00e1p soi t\u01b0\u01a1i.<\/li>\n
        • D\u00f9ng X quang ch\u1ee5p v\u00f9ng tim.<\/li>\n<\/ul>\n

          \u0110i\u1ec1u tr\u1ecb<\/strong>
          \nTr\u1ecb giun tr\u01b0\u1edfng th\u00e0nh<\/p>\n

            \n
          • D\u00f9ng aspirin 500 mg\/vi\u00ean li\u1ec1u 20 mg\/kg P 10 (L\u00e0m gi\u00e3n m\u1ea1ch m\u00e1u nh\u1eb1m tr\u00e1nh t\u1eafc m\u1ea1ch), ng\u00e0y tr\u01b0\u1edbc khi d\u00f9ng levamisol v\u00e0 li\u00ean t\u1ee5c 10 ng\u00e0y sau khi d\u1ee9t li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb s\u1ebd gi\u00fap h\u1ed7 tr\u1ee3 ch\u1ed1ng t\u1eafc m\u1ea1ch.<\/li>\n
          • S\u1eed d\u1ee5ng levamisol HCl \u0111\u01b0\u1eddng u\u1ed1ng li\u1ec1u 25 \u2013 30 mg\/kg P\/ng\u00e0y (li\u1ec7u tr\u00ecnh 15 \u2013 20 ngy).<\/li>\n
          • Ho\u1eb7c Immidicide (melarsomine), b\u1ec7nh nh\u1eb9 s\u1eed d\u1ee5ng li\u1ec1u 2,5 mg\/kg P (ti\u00eam b\u1eafp), chia 2 l\u1ea7n c\u00e1ch nhau 24 gi\u1edd, sau \u0111\u00f3 4 th\u00e1ng l\u1eadp l\u1ea1i. B\u1ec7nh n\u1eb7ng dng 2,5 mg\/kg P (tim b\u1eafp), 1 thng sau l\u1eb7p l\u1ea1i.<\/li>\n
          • Ngo\u00e0i ra ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3i ph\u1eabu \u0111\u1ec3 g\u1eafp giun tim, tuy nhi\u00ean ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00e1 ph\u1ee9c t\u1ea1p.<\/li>\n<\/ul>\n

            Tr\u1ecb \u1ea5u tr\u00f9ng c\u1ea3m nhi\u1ec5m (do mu\u1ed7i truy\u1ec1n sang)
            \nD\u00f9ng ivermectin 0,5 mg\/kg P ti\u00eam d\u01b0\u1edbi da, ho\u1eb7c levamisol 10 mg\/kg P ngy 1 l\u1ea7n, u\u1ed1ng lin t\u1ee5c trong 6 \u2013 10 ng\u00e0y.<\/p>\n

            Ph\u00f2ng b\u1ec7nh<\/strong>
            \nDi\u1ec7t mu\u1ed7i v v\u1eadt trung gian ht mu.
            \nDi\u1ec7t \u1ea5u trng c\u1ea3m nhi\u1ec5m.
            \nHeartgard (ivermectin, pyrantel) 1 thng u\u1ed1ng 1 l\u1ea7n.
            \nIvermectin: 1,6 mg\/kg P (ch\u00edch m\u1ed7i thng1 l\u1ea7n).<\/p>\n","protected":false},"excerpt":{"rendered":"

            B\u1eaft \u0110\u1ea7u T\u1eeb B\u1ec7nh Giun Tim Ch\u00f3 Giun tim ch\u00f3 D. immitis l\u00e0 m\u1ed9t b\u1ec7nh k\u00fd sinh kh\u00e1 ph\u1ed5 bi\u1ebfn kh\u1eafp th\u1ebf gi\u1edbi. B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra nhi\u1ec1u nh\u1ea5t \u1edf lo\u00e0i ch\u00f3, b\u1ea5t k\u1ef3 con \u0111\u1ef1c hay c\u00e1i, b\u1ea5t k\u1ef3 tu\u1ed5i t\u00e1c hay n\u01a1i ch\u1ed1n \u1edf. B\u1ec7nh c\u0169ng c\u00f2n c\u00f3 th\u1ec3 th\u1ea5y \u1edf m\u00e8o nh\u00e0 […]<\/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-2380","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2380","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=2380"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2380\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}