![\"heartworm_life_cycle\"](\"https:\/\/img.yeupet.vn\/2018\/12\/heartworm_life_cycle.gif\")
<\/p>\nB\u1ec7nh giun tim l\u00e0\u00a0m\u1ed9t b\u1ec7nh k\u00fd sinh do giun ch\u1ec9 Dirofilaria immitis g\u00e2y ra, qua trung gian l\u00e0 c\u00e1c lo\u1ea1i mu\u1ed7i Aedes, Anophel v\u00e0 Culex spp. Ch\u00f3 b\u1ecb nhi\u1ec5m giun tim n\u1eb7ng, tim s\u1ebd b\u1ecb gi\u00e3n n\u1edf, t\u1eafc ngh\u1ebdn t\u00e2m th\u1ea5t, ph\u1ed5i n\u1ed5i nhi\u1ec1u kh\u1ed1i u, g\u00e2y vi\u00eam gan c\u1ea5p t\u00ednh, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u1eed vong.<\/p>\n
<\/p>\n
V\u00f2ng truy\u1ec1n l\u00e2y \u1ea5u tr\u00f9ng giun tim<\/strong><\/p>\n Giun tr\u01b0\u1edfng th\u00e0nh c\u00f3 k\u00edch th\u01b0\u1edbc kho\u1ea3ng 25 \u2013 30cm. Th\u1eddi gian k\u1ec3 t\u1eeb khi x\u00e2m nhi\u1ec5m v\u00e0o ch\u00f3 m\u00e8o t\u1edbi khi tr\u01b0\u1edfng th\u00e0nh c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh v\u00e0 sinh s\u1ea3n ra c\u00e1c \u1ea5u tr\u00f9ng L1 \u1edf ch\u00f3 l\u00e0 6 -7 th\u00e1ng, \u1edf m\u00e8o l\u00e0 8 th\u00e1ng. B\u1ec7nh n\u00e0y l\u00e2y lan nh\u01b0 th\u1ebf n\u00e0o?<\/strong> T\u00e1c h\u1ea1i c\u1ee7a ch\u00fang l\u00e0 g\u00ec?<\/strong> Ch\u00f3 s\u1ebd c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n g\u00ec?<\/strong> C\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh giun tim?<\/strong> Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ec7nh giun tim th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/strong> B\u1ec7nh giun tim l\u00e0\u00a0m\u1ed9t b\u1ec7nh k\u00fd sinh do giun ch\u1ec9 Dirofilaria immitis g\u00e2y ra, qua trung gian l\u00e0 c\u00e1c lo\u1ea1i mu\u1ed7i Aedes, Anophel v\u00e0 Culex spp. Ch\u00f3 b\u1ecb nhi\u1ec5m giun tim n\u1eb7ng, tim s\u1ebd b\u1ecb gi\u00e3n n\u1edf, t\u1eafc ngh\u1ebdn t\u00e2m th\u1ea5t, ph\u1ed5i n\u1ed5i nhi\u1ec1u kh\u1ed1i u, g\u00e2y vi\u00eam gan c\u1ea5p t\u00ednh, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi […]<\/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-2879","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2879","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=2879"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2879\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2879"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2879"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2879"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nB\u1ec7nh n\u00e0y r\u1ea5t nghi\u00eam tr\u1ecdng b\u1edfi m\u1ed9t ch\u00f3 m\u1eafc b\u1ec7nh c\u00f3 th\u1ec3 ch\u1ee9a h\u00e0ng tr\u0103m con giun trong m\u1ea1ch m\u00e1u v\u00e0 tim. Giun tr\u01b0\u1edfng th\u00e0nh s\u1ed1ng trong c\u01a1 th\u1ec3 ch\u00f3 kho\u1ea3ng tr\u00ean 5 -7 n\u0103m. Kho\u1ea3ng t\u1eeb 30 \u2013 80% \u0111\u00e0n ch\u00f3 b\u1ecb nhi\u1ec5m v\u1edbi \u1ea5u tr\u00f9ng c\u1ee7a giun tim.
\n\u1ea4u tr\u00f9ng L1 c\u00f3 th\u1ec3 s\u1ed1ng trong c\u01a1 th\u1ec3 ch\u00f3 tr\u00ean 2 n\u0103m. C\u00e1c \u1ea5u tr\u00f9ng n\u00e0y kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng sinh s\u1ea3n ho\u1eb7c ph\u00e1t tri\u1ec3n ti\u1ebfp n\u1ebfu ch\u00fang kh\u00f4ng s\u1ed1ng trong c\u01a1 th\u1ec3 mu\u1ed7i (mu\u1ed7i kh\u00f4ng h\u00fat ch\u00fang v\u00e0o trong c\u01a1 th\u1ec3).
\n\u1ede ng\u01b0\u1eddi c\u0169ng c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m giun tim, tuy nhi\u00ean ch\u00fang th\u01b0\u1eddng di tr\u00fa \u0111\u1ebfn ph\u1ed5i thay v\u00ec \u0111\u1ebfn tim. Ch\u00fang g\u00e2y ra v\u00f9ng th\u01b0\u01a1ng t\u1ed5n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p X quang. Ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m giun tim r\u1ea5t \u00edt c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n
\nKhi mu\u1ed7i h\u00fat m\u00e1u ch\u00f3\/ m\u00e8o m\u1eafc b\u1ec7nh giun tim, ch\u00fang h\u00fat lu\u00f4n c\u1ea3 \u1ea5u tr\u00f9ng giun tim. Nh\u1eefng con mu\u1ed7i mang \u1ea5u tr\u00f9ng giun tim n\u00e0y h\u00fat m\u00e1u nh\u1eefng ch\u00f3\/ m\u00e8o kh\u00e1c, v\u00e0 truy\u1ec1n nh\u1eefng \u1ea5u tr\u00f9ng n\u00e0y v\u00e0o c\u01a1 th\u1ec3 c\u1ee7a nh\u1eefng con th\u00fa m\u1edbi. Sau kho\u1ea3ng 75 \u2013 120 ng\u00e0y b\u1ecb nhi\u1ec5m \u1ea5u tr\u00f9ng do mu\u1ed7i truy\u1ec1n, \u1ea5u tr\u00f9ng ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n th\u00e0nh giun non, di chuy\u1ec3n v\u00e0o d\u00f2ng m\u00e1u, \u0111i qua tim v\u00e0 c\u01b0 tr\u00fa \u1edf ph\u1ed5i, t\u1ea1i \u0111\u00e2y, ch\u00fang ph\u00e1t tri\u1ec3n th\u00e0nh giun tr\u01b0\u1edfng th\u00e0nh.<\/p>\n
\n\u1ede ch\u00f3 giun tr\u01b0\u1edfng th\u00e0nh c\u00f3 th\u1ec3 l\u00e0m bi\u1ebfn d\u1ea1ng nghi\u00eam tr\u1ecdng c\u00e1c m\u1ea1ch m\u00e1u d\u1eabn m\u00e1u t\u1eeb tim v\u00e0 ph\u1ed5i, ch\u00fang x\u00e2m nh\u1eadp v\u00e0o c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf l\u00e0m t\u1eafc ngh\u1ebdn m\u00e1u d\u1eabn \u0111\u1ebfn m\u00e1u kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 ho\u1eb7c kh\u00f4ng cung c\u1ea5p \u0111\u01b0\u1ee3c \u0111i t\u1edbi c\u00e1c c\u01a1 quan, l\u00e0m t\u1eafc ngh\u1ebdn bu\u1ed3ng tim, \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0m t\u1ed5n h\u1ea1i c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 gan, ph\u1ed5i, th\u1eadn\u2026 Nh\u1eefng th\u00fa \u0111\u00e3 nhi\u1ec5m giun tim n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng t\u1eed vong.<\/p>\n
\nCh\u00f3 b\u1ecb nhi\u1ec5m giun tr\u01b0\u1edfng th\u00e0nh bi\u1ec3u hi\u1ec7n ho, b\u01a1 ph\u1edd, m\u1ec7t m\u1ecfi, l\u01b0\u1eddi v\u1eadn \u0111\u1ed9ng, c\u00f3 th\u1ec3 s\u1ee5t c\u00e2n v\u00e0 th\u1ec3 tr\u1ea1ng gi\u1ea3m s\u00fat, thi\u1ebfu m\u00e1u, kh\u00f3 th\u1edf\u2026 Nh\u1eefng bi\u1ec3u hi\u1ec7n n\u00e0y c\u00f2n t\u00f9y thu\u1ed9c s\u1ed1 l\u01b0\u1ee3ng giun trong tim v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u. N\u1ebfu \u00edt h\u01a1n 25 giun\/ ch\u00f3 th\u00ec \u00edt bi\u1ec3u hi\u1ec7n th\u00e0nh tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng. N\u1ebfu nhi\u1ec1u h\u01a1n 100 giun\/ ch\u00f3 th\u00ec c\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m: Kh\u00f3 th\u1edf, ho, kh\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 ch\u1ea1y, nh\u1ea3y, k\u00e9o xe, \u2026, n\u00f4n, tr\u1ee5y tim, thi\u1ebfu m\u00e1u (da, ni\u00eam m\u1ea1c nh\u1ee3t nh\u1ea1t), y\u1ebfu d\u1ea7n v\u00e0 ch\u1ebft.<\/p>\n
\nNhi\u1ec1u b\u00e1c s\u0129 th\u00fa y khuy\u1ebfn c\u00e1o n\u00ean d\u00f9ng Ivermectin trong m\u1ed9t th\u1eddi gian d\u00e0i (kho\u1ea3ng 2 n\u0103m) \u0111\u1ec3 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n nh\u1eefng con giun tim tr\u01b0\u1edfng th\u00e0nh.
\nNh\u1eefng lo\u1ea1i thu\u1ed1c c\u00f3 g\u1ed1c arsenic (th\u1ea1ch t\u00edn) th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi s\u1ef1 theo d\u00f5i ch\u1eb7t ch\u1ebd c\u1ee7a b\u00e1c s\u0129 th\u00fa y. V\u00ec khi giun tim tr\u01b0\u1edfng th\u00e0nh ch\u1ebft, ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ngh\u1ebdn m\u1ea1ch m\u00e1u \u0111\u1ebfn ph\u1ed5i, l\u00e0m th\u00fa ch\u1ebft. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, c\u1ea7n gi\u1ea3i ph\u1eabu th\u00fa \u0111\u1ec3 l\u1ea5y giun tim ch\u1ebft ra.
\nNgo\u00e0i vi\u1ec7c ch\u1ecdn ph\u01b0\u01a1ng th\u1ee9c ch\u1eefa tr\u1ecb nh\u01b0 tr\u00ean, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i h\u1ea1n ch\u1ebf nh\u1eefng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ch\u00f3 t\u1eeb 4-6 tu\u1ea7n. B\u1edbt ho\u1ea1t \u0111\u1ed9ng s\u1ebd l\u00e0m gi\u1ea3m \u0111i kh\u1ea3 n\u0103ng ngh\u1ebdn m\u1ea1ch ph\u1ed5i khi nh\u1eefng con giun tim ch\u1ebft \u0111i v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n xu\u1ed1ng ph\u1ed5i t\u1eeb tim v\u00e0 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. S\u00e1u th\u00e1ng k\u1ec3 t\u1eeb khi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ho\u00e0n t\u1ea5t, n\u00ean ti\u1ebfn h\u00e0nh m\u1ed9t \u0111\u1ee3t ki\u1ec3m tra kh\u00e1ng nguy\u00ean giun tim v\u00e0 si\u00eau giun tim \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c ch\u1eefa tr\u1ecb.
\n\u0110i\u1ec1u tr\u1ecb giun tim tr\u01b0\u1edfng th\u00e0nh tr\u00ean ch\u00f3 kh\u00f4ng d\u1ec5 d\u00e0ng v\u00e0 chi ph\u00ed cao, nh\u01b0ng c\u00f3 th\u1ec3 kh\u1eafc ph\u1ee5c \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y th\u00f4ng qua vi\u1ec7c \u00e1p d\u1ee5ng ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng ng\u1eeba giun tim.<\/p>\n
\nLi\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t l\u00e0 ph\u00f2ng giun tim cho ch\u00f3\/ m\u00e8o tr\u01b0\u1edbc khi ph\u00e1t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nghi ng\u1edd b\u1ec7nh giun tim. X\u00e9t nghi\u1ec7m cho th\u00fa c\u01b0ng \u0111\u1ec3 ki\u1ec3m tra s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u1ea5u tr\u00f9ng giun tim. Ch\u00f3 con d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng ng\u1eeba giun tim m\u00e0 kh\u00f4ng c\u1ea7n x\u00e9t nghi\u1ec7m. B\u1edfi v\u00ec c\u1ea7n ph\u1ea3i \u0111\u1ebfn 7 th\u00e1ng r\u01b0\u1ee1i k\u1ec3 t\u1eeb khi b\u1ecb nghi\u1ec5m \u1ea5u tr\u00f9ng giun tim t\u1eeb mu\u1ed7i, ch\u00f3 con m\u1edbi x\u00e9t nghi\u1ec7m c\u00f3 k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh. Ch\u00f3 con c\u1ea7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m v\u00e0o kho\u1ea3ng th\u1eddi gian 4 \u2013 7 th\u00e1ng sau khi b\u1eaft \u0111\u1ea7u ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng giun tim \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00f3 b\u1ecb nhi\u1ec5m giun tim tr\u01b0\u1edfng th\u00e0nh hay kh\u00f4ng trong c\u00e1c th\u00e1ng \u0111\u1ea7u \u0111\u1eddi c\u1ee7a ch\u00f3. Tham kh\u1ea3o t\u01b0 v\u1ea5n c\u1ee7a BSTY \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh l\u1ecbch tr\u00ecnh x\u00e9t nghi\u1ec7m ph\u00f9 h\u1ee3p cho th\u00fa c\u01b0ng c\u1ee7a b\u1ea1n.
\nD\u00f9ng thu\u1ed1c ph\u00f2ng giun tim ng\u0103n ng\u1eeba \u1ea5u tr\u00f9ng ph\u00e1t tri\u1ec3n th\u00e0nh giun tim tr\u01b0\u1edfng th\u00e0nh. H\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c ph\u00f2ng giun tim \u0111\u01b0\u1ee3c d\u00f9ng theo li\u1ec7u tr\u00ecnh h\u00e0ng th\u00e1ng. Th\u1ef1c hi\u1ec7n ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng b\u1ec7nh \u1ed5n \u0111\u1ecbnh v\u00e0 ph\u00f9 h\u1ee3p s\u1ebd ng\u0103n ng\u1eeba nhi\u1ec5m giun tim th\u00e0nh c\u00f4ng.
\nH\u1ea1n ch\u1ebf vi\u1ec7c th\u00fa c\u01b0ng b\u1ecb mu\u1ed7i \u0111\u1ed1t. \u0110\u00e2y l\u00e0 vi\u1ec7c h\u1ebft s\u1ee9c kh\u00f3 kh\u0103n \u0111\u1ec3 ph\u00f2ng ng\u1eeba r\u1ee7i ro b\u1ecb nhi\u1ec5m giun tim tr\u00ean th\u00fa c\u01b0ng. Th\u00fa c\u01b0ng c\u1ee7a b\u1ea1n \u00edt b\u1ecb mu\u1ed7i \u0111\u1ed1t ngh\u0129a l\u00e0 \u00edt nguy c\u01a1 b\u1ecb nhi\u1ec5m giun tim. \u0110i\u1ec1u ki\u1ec7n v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng xung quanh th\u00f4ng tho\u00e1ng r\u1ea5t quan tr\u1ecdng nh\u1eb1m h\u1ea1n ch\u1ebf kh\u00f4ng gian cho mu\u1ed7i c\u01b0 tr\u00fa.<\/p>\n","protected":false},"excerpt":{"rendered":"