{"id":19149,"date":"2022-11-10T09:20:29","date_gmt":"2022-11-10T02:20:29","guid":{"rendered":"https:\/\/metmar.net\/?p=19149"},"modified":"2022-11-14T08:17:47","modified_gmt":"2022-11-14T01:17:47","slug":"sot-xuat-huyet-va-nhung-dieu-can-biet","status":"publish","type":"post","link":"https:\/\/metmar.net\/sot-xuat-huyet-va-nhung-dieu-can-biet\/","title":{"rendered":"S\u1ed1t xu\u1ea5t huy\u1ebft v\u00e0 nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft"},"content":{"rendered":"

T\u00e1i nhi\u1ec5m virus dengue c\u00f3 th\u1ec3 l\u00e0m s\u1ed1t xu\u1ea5t huy\u1ebft nghi\u00eam tr\u1ecdng h\u01a1n?<\/strong><\/span>
\n– Virus g\u00e2y b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue c\u00f3 4 lo\u1ea1i t\u01b0\u01a1ng \u1ee9ng v\u1edbi 4 tu\u00fdp huy\u1ebft thanh l\u00e0 DEN-1, DEN-2, DEN-3 v\u00e0 DEN-4. N\u1ebfu nhi\u1ec5m l\u1ea1i m\u1ed9t tu\u00fdp virus dengue kh\u00e1c v\u1edbi tu\u00fdp \u0111\u00e3 t\u1eebng nhi\u1ec5m c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 s\u1ed1t xu\u1ea5t huy\u1ebft nghi\u00eam tr\u1ecdng h\u01a1n.<\/span>
\n– Theo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi, s\u1ed1t xu\u1ea5t huy\u1ebft \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o 10 th\u00e1ch th\u1ee9c y t\u1ebf to\u00e0n c\u1ea7u. C\u00f3 40% d\u00e2n s\u1ed1 tr\u00ean th\u1ebf gi\u1edbi s\u1ed1ng trong v\u00f9ng nguy c\u01a1 nhi\u1ec5m s\u1ed1t xu\u1ea5t huy\u1ebft dengue, t\u1ec9 l\u1ec7 m\u1ed7i l\u00fac m\u1ed7i t\u0103ng.<\/span>
\nS\u1ed1t xu\u1ea5t huy\u1ebft dengue do 4 tu\u00fdp huy\u1ebft thanh c\u1ee7a virus dengue g\u00e2y ra. Virus g\u00e2y b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue c\u00f3 4 lo\u1ea1i t\u01b0\u01a1ng \u1ee9ng v\u1edbi 4 tu\u00fdp huy\u1ebft thanh l\u00e0 DEN-1, DEN-2, DEN-3 v\u00e0 DEN-4.<\/span><\/p>\n

T\u00e1i nhi\u1ec5m s\u1ed1t xu\u1ea5t huy\u1ebft c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n?<\/em><\/span>
\nM\u1ecdi ch\u1ee7ng ng\u01b0\u1eddi, gi\u1edbi t\u00ednh, l\u1ee9a tu\u1ed5i \u0111\u1ec1u c\u00f3 th\u1ec3 nhi\u1ec5m virus v\u00e0 m\u1eafc b\u1ec7nh s\u1ed1t dengue (SD) v\u00e0 s\u1ed1t xu\u1ea5t huy\u1ebft dengue (SXHD) n\u1ebfu ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch. \u1ede v\u00f9ng b\u1ec7nh l\u01b0u h\u00e0nh n\u1eb7ng (mi\u1ec1n Nam v\u00e0 Nam Trung B\u1ed9 n\u01b0\u1edbc ta), t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh c\u1ee7a tr\u1ebb em (d\u01b0\u1edbi 15 tu\u1ed5i) th\u01b0\u1eddng cao h\u01a1n, c\u00f2n \u1edf v\u00f9ng l\u01b0u h\u00e0nh nh\u1eb9, kh\u1ea3 n\u0103ng m\u1eafc c\u1ee7a tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn nh\u01b0 nhau tuy b\u1ec7nh c\u1ea3nh tr\u00ean ng\u01b0\u1eddi l\u1edbn th\u01b0\u1eddng n\u1eb7ng h\u01a1n.<\/span>
\n– Ng\u01b0\u1eddi t\u1eebng nhi\u1ec5m virus dengue ho\u1eb7c \u0111\u00e3 m\u1eafc b\u1ec7nh th\u01b0\u1eddng c\u00f3 mi\u1ec5n d\u1ecbch l\u00e2u d\u00e0i v\u1edbi virus c\u00f9ng tu\u00fdp huy\u1ebft thanh. Tuy nhi\u00ean, n\u1ebfu nhi\u1ec5m l\u1ea1i m\u1ed9t tu\u00fdp virus dengue kh\u00e1c v\u1edbi tu\u00fdp \u0111\u00e3 t\u1eebng nhi\u1ec5m th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n b\u1ec7nh c\u1ea3nh n\u1eb7ng h\u01a1n, d\u1ec5 tr\u1edf th\u00e0nh s\u1ed1t xu\u1ea5t huy\u1ebft dengue (SXHD) ho\u1eb7c s\u1ed1c dengue do c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh c\u00e1c ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch trong m\u00e1u.<\/span>
\n– \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0, nh\u1eefng l\u1ea7n nhi\u1ec5m virus v\u1ec1 sau s\u1ebd khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 di\u1ec5n bi\u1ebfn n\u1eb7ng h\u01a1n so v\u1edbi l\u1ea7n nhi\u1ec5m tr\u01b0\u1edbc \u0111\u00f3. Tuy nhi\u00ean, vi\u1ec7c s\u1ed1t xu\u1ea5t huy\u1ebft c\u00f3 di\u1ec5n bi\u1ebfn n\u1eb7ng h\u01a1n hay kh\u00f4ng c\u00f2n ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o vi\u1ec7c ph\u00e1t hi\u1ec7n, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb c\u00f3 k\u1ecbp th\u1eddi v\u00e0 \u0111\u00fang ph\u00e1c \u0111\u1ed3 hay kh\u00f4ng.<\/span><\/p>\n

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N\u1ebfu nhi\u1ec5m l\u1ea1i m\u1ed9t tu\u00fdp virus dengue kh\u00e1c v\u1edbi tu\u00fdp \u0111\u00e3 t\u1eebng nhi\u1ec5m th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n b\u1ec7nh c\u1ea3nh n\u1eb7ng h\u01a1n, d\u1ec5 tr\u1edf th\u00e0nh s\u1ed1t xu\u1ea5t huy\u1ebft dengue (SXHD) ho\u1eb7c s\u1ed1c dengue do c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh c\u00e1c ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch trong m\u00e1u.<\/span><\/p>\n

C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh s\u1ed1t xu\u1ea5t huy\u1ebft:<\/strong><\/span><\/p>\n

1.S\u1ed1t xu\u1ea5t huy\u1ebft l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh, c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch. V\u00ec th\u1ebf, \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe cho b\u1ea3n th\u00e2n, gia \u0111\u00ecnh v\u00e0 m\u1ecdi ng\u01b0\u1eddi xung quanh, m\u1ed7i ng\u01b0\u1eddi h\u00e3y th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh sau:<\/span><\/p>\n

2. Tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe: \u0110\u1ec3 th\u1ef1c hi\u1ec7n ki\u1ec3m so\u00e1t v\u00e0 kh\u1ed1ng ch\u1ebf mu\u1ed7i Aedes truy\u1ec1n b\u1ec7nh m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3, l\u00e2u d\u00e0i c\u1ea7n tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c v\u00e0 h\u01b0\u1edbng d\u1eabn cho ng\u01b0\u1eddi d\u00e2n quy ho\u1ea1ch l\u1ea1i khu v\u1ef1c d\u00e2n c\u01b0 v\u00e0 c\u00e1ch d\u1ef1 tr\u1eef n\u01b0\u1edbc sinh ho\u1ea1t \u1edf h\u1ed9 gia \u0111\u00ecnh; th\u01b0\u1eddng xuy\u00ean l\u00e0m t\u1ed5ng v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng khu d\u00e2n c\u01b0, lo\u1ea1i b\u1ecf t\u1ed1i \u0111a \u1ed5 b\u1ecd g\u1eady ngu\u1ed3n (l\u00e0 v\u1ecb tr\u00ed mu\u1ed7i \u0111\u1ebb tr\u1ee9ng hay g\u1eb7p nh\u1ea5t \u1edf m\u1ed7i \u0111\u1ecba ph\u01b0\u01a1ng) c\u1ee7a lo\u00e0i mu\u1ed7i Aedes.<\/span><\/p>\n

3. V\u1ec7 sinh ph\u00f2ng b\u1ec7nh: Hi\u1ec7n ch\u01b0a c\u00f3 v\u1eafc xin ph\u00f2ng b\u1ec7nh SD\/SXHD; bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t, di\u1ec7t b\u1ecd g\u1eady\/lo\u0103ng qu\u0103ng v\u00e0 mu\u1ed7i tr\u01b0\u1edfng th\u00e0nh c\u1ee7a lo\u00e0i Aedes l\u00e0 quan tr\u1ecdng nh\u1ea5t. H\u01b0\u1edbng d\u1eabn \u0111\u1ec3 ng\u01b0\u1eddi d\u00e2n l\u00e0m n\u1eafp \u0111\u1eady k\u00edn b\u1ec3 ch\u1ee9a n\u01b0\u1edbc, th\u01b0\u1eddng xuy\u00ean thau r\u1eeda b\u1ec3, chum, v\u1ea1i; lo\u1ea1i b\u1ecf ho\u1eb7c ki\u1ec3m so\u00e1t nh\u1eefng n\u01a1i mu\u1ed7i Aedes th\u01b0\u1eddng \u0111\u1ebb tr\u1ee9ng nh\u01b0 l\u1ecd hoa, b\u1ec3 c\u00e1 c\u1ea3nh, \u0111\u1ed3 v\u1eadt ph\u1ebf th\u1ea3i c\u00f3 \u0111\u1ecdng n\u01b0\u1edbc m\u01b0a quanh h\u1ed9 gia \u0111\u00ecnh; nu\u00f4i th\u1ea3 m\u1ed9t s\u1ed1 lo\u1ea1i c\u00e1 nh\u1ecf ho\u1eb7c gi\u00e1p x\u00e1c \u0103n b\u1ecd g\u1eady nh\u01b0 Mesocyclop \u1edf nh\u1eefng v\u1eadt ch\u1ee9a n\u01b0\u1edbc l\u1edbn \u00edt c\u00f3 kh\u1ea3 n\u0103ng thay r\u1eeda. Cho mu\u1ed1i ho\u1eb7c d\u1ea7u h\u1ecfa, ma d\u00fat v\u00e0o n\u01b0\u1edbc ch\u1ed1ng ki\u1ebfn.<\/span><\/p>\n

4. Ch\u1ed1ng mu\u1ed7i \u0111\u1ed1t b\u1eb1ng n\u1eb1m m\u00e0n c\u1ea3 \u0111\u00eam v\u00e0 ng\u00e0y, nh\u1ea5t l\u00e0 cho tr\u1ebb nh\u1ecf; h\u01b0\u1edbng d\u1eabn c\u00e1ch xua mu\u1ed7i ch\u1ed1ng \u0111\u1ed1t cho tr\u1ebb l\u1edbn.<\/span><\/p>\n

5. Di\u1ec7t mu\u1ed7i tr\u01b0\u1edfng th\u00e0nh b\u1eb1ng h\u00f3a ch\u1ea5t di\u1ec7t c\u00f4n tr\u00f9ng theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a ng\u00e0nh y t\u1ebf. H\u00f3a ch\u1ea5t th\u01b0\u1eddng d\u00f9ng hi\u1ec7n nay l\u00e0 c\u00e1c d\u1eabn ch\u1ea5t thu\u1ed9c nh\u00f3m Pyrethroid \u00edt \u0111\u1ed9c v\u1edbi ng\u01b0\u1eddi v\u00e0 gia s\u00fac. C\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c \u0111\u1ec3 xua, di\u1ec7t mu\u1ed7i tr\u01b0\u1edfng th\u00e0nh nh\u01b0 x\u00f4ng kh\u00f3i, xua \u0111\u1eadp c\u01a1 h\u1ecdc, d\u00f9ng m\u00e0nh r\u00e8m th\u01b0\u1eddng ho\u1eb7c m\u00e0nh r\u00e8m t\u1ea9m h\u00f3a ch\u1ea5t, d\u00f9ng h\u01b0\u01a1ng mu\u1ed7i…v\u00e0o nh\u1eefng gi\u1edd mu\u1ed7i ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh.<\/span><\/p>\n

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PGS.TS Nguy\u1ec5n Huy Nga, Nguy\u00ean C\u1ee5c tr\u01b0\u1edfng C\u1ee5c Y t\u1ebf d\u1ef1 ph\u00f2ng, B\u1ed9 Y t\u1ebf
\n<\/em><\/span>Ng\u1ecdc Thi\u1ec7n (T\/h)<\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"T\u00e1i nhi\u1ec5m virus dengue c\u00f3 th\u1ec3 l\u00e0m s\u1ed1t xu\u1ea5t huy\u1ebft nghi\u00eam tr\u1ecdng h\u01a1n?\r\n– Virus g\u00e2y b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft Dengue c\u00f3 4 lo\u1ea1i t\u01b0\u01a1ng \u1ee9ng v\u1edbi 4 tu\u00fdp huy\u1ebft thanh l\u00e0 DEN-1, DEN-2, DEN-3 v\u00e0 DEN-4. N\u1ebfu nhi\u1ec5m l\u1ea1i m\u1ed9t tu\u00fdp virus dengue kh\u00e1c v\u1edbi tu\u00fdp \u0111\u00e3 t\u1eebng nhi\u1ec5m c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 s\u1ed1t xu\u1ea5t huy\u1ebft nghi\u00eam tr\u1ecdng h\u01a1n.","protected":false},"author":14,"featured_media":19151,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[72,167],"tags":[986,558,855,983,984,985],"acf":[],"_links":{"self":[{"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/posts\/19149"}],"collection":[{"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/comments?post=19149"}],"version-history":[{"count":4,"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/posts\/19149\/revisions"}],"predecessor-version":[{"id":19169,"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/posts\/19149\/revisions\/19169"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/media\/19151"}],"wp:attachment":[{"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/media?parent=19149"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/categories?post=19149"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/metmar.net\/wp-json\/wp\/v2\/tags?post=19149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}