{"id":17971,"date":"2018-09-11T09:24:38","date_gmt":"2018-09-11T02:24:38","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/benh-sot-mo-o-tre-em\/"},"modified":"2018-09-11T09:24:38","modified_gmt":"2018-09-11T02:24:38","slug":"benh-sot-mo-o-tre-em","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-sot-mo-o-tre-em\/","title":{"rendered":"B\u1ec7nh s\u1ed1t m\u00f2 \u1edf tr\u1ebb em"},"content":{"rendered":"<h2>T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng<\/h2>\n<div class=\"text_exposed_show\">\n<p>Tr\u1ebb trai 9 tu\u1ed5i t\u1edbi kh\u00e1m v\u00ec s\u1ed1t ng\u00e0y th\u1ee9 12<br \/>\n<strong>L\u00e2m s\u00e0ng :<\/strong><\/p>\n<ul>\n<li>S\u1ed1t cao li\u00ean t\u1ee5c 39- 40 \u0111\u1ed9 C.<\/li>\n<li>Da xung huy\u1ebft \u0111\u1ecf.<\/li>\n<li>M\u00f4i kh\u00f4 n\u1ee9t n\u1ebb, m\u1eb7t m\u0169i ph\u1edd ph\u1ea1c, l\u01b0\u1ee1i tr\u1eafng.<\/li>\n<li>H\u1ea1ch n\u00e1ch ph\u1ea3i l\u1edbn 3 cm * 3.5 cm, \u0111au , ch\u1eafc.<\/li>\n<li>Gan l\u00e1ch l\u1edbn.<\/li>\n<li>C\u00e1c c\u01a1 quan kh\u00e1c ch\u01b0a th\u1ea5y b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>V\u1ebft lo\u00e9t h\u1ea1 \u0111\u00f2n ph\u1ea3i .<\/li>\n<\/ul>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-23145 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2018\/09\/benh-sot-mo-o-tre-em-300x150-1.jpg\" alt=\"B\u1ec7nh s\u1ed1t m\u00f2 \u1edf tr\u1ebb em\" width=\"466\" height=\"233\" \/><\/p>\n<h2>T\u00ecm hi\u1ec3u v\u1ec1 s\u1ed1t m\u00f2<\/h2>\n<ul>\n<li>T\u00ean g\u1ecdi kh\u00e1c : S\u1ed1t b\u1edd b\u1ee5i, s\u1ed1t r\u1eebng r\u00fa.<\/li>\n<li>Nguy\u00ean nh\u00e2n : Do con Orientia tsutsugamushi thu\u1ed9c h\u1ecd Ricketsia g\u00e2y ra.<\/li>\n<li>V\u1eadt trung gian truy\u1ec1n b\u1ec7nh : \u1ea4U TR\u00d9NG CON M\u00d2.<\/li>\n<li>N\u01a1i hay c\u00f3 b\u1ec7nh : V\u00f9ng r\u1eebng n\u00fai, nhi\u1ec1u c\u00e2y c\u1ed1i r\u1eadm r\u1ea1p, nhi\u1ec1u c\u1ecf d\u1ea1i ,\u0111\u1ea5t m\u00f9n \u1ea9m \u01b0\u1edbt.<\/li>\n<li>Ai hay b\u1ecb s\u1ed1t m\u00f2 : Ng\u01b0\u1eddi l\u00e0m r\u1eebng, l\u00e0m r\u1eaby, l\u00e0m \u0111\u01b0\u1eddng, khai hoang, s\u0103n b\u1eafn, \u0111\u00e0o v\u00e0ng.<\/li>\n<li>M\u00f9a n\u00e0o hay b\u1ecb s\u1ed1t m\u00f2 : T\u1ea1i Vi\u1ec7t Nam hay g\u1eb7p t\u1eeb \u0111\u1ea7u \u0111\u1ebfn cu\u1ed1i m\u00f9a m\u01b0a ( t\u1eeb th\u00e1ng 6 \u0111\u1ebfn th\u00e1ng 9 ).<\/li>\n<li>Qu\u00e1 tr\u00ecnh con ng\u01b0\u1eddi b\u1ecb truy\u1ec1n b\u1ec7nh nh\u01b0 th\u1ebf n\u00e0o : Con m\u00f2 \u0111\u1ebb ra tr\u1ee9ng = &gt; tr\u1ee9ng n\u1edf ra \u1ea5u tr\u00f9ng = &gt; \u1ea5u tr\u00f9ng b\u00f2 l\u00ean ng\u1ecdn c\u1ecf = &gt; \u1ea5u tr\u00f9ng m\u00f2 \u0111\u1ed1t th\u00fa ho\u1eb7c ng\u01b0\u1eddi =&gt; trong n\u01b0\u1edbc b\u1ecdt \u1ea5u tr\u00f9ng m\u00f2 c\u00f3 th\u1ec3 c\u00f3 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh (Orientia tsutsugamushi), v\u00e0 th\u1ebf l\u00e0 ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh.<\/li>\n<\/ul>\n<h2>Tri\u1ec7u ch\u1ee9ng<\/h2>\n<ul>\n<li>Trong giai \u0111o\u1ea1n s\u1edbm ( nung b\u1ec7nh ) k\u00e9o d\u00e0i 6-20 ng\u00e0y ch\u1ec9 th\u1ea5y n\u1ed1t m\u00f2 \u0111\u1ed1t v\u00e0 s\u01b0ng h\u1ea1ch c\u1ea1nh n\u01a1i b\u1ecb \u0111\u1ed1t.<\/li>\n<\/ul>\n<p><strong>Giai \u0111o\u1ea1n sau c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng sau :\u00a0<\/strong><\/p>\n<ul>\n<li>S\u1ed1t ( 100 % c\u00f3 s\u1ed1t ) , xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t , m\u1edbi \u0111\u1ea7u s\u1ed1t nh\u1eb9 , sau v\u00e0i ng\u00e0y s\u1ed1t cao li\u00ean t\u1ee5c 39-40 \u0111\u1ed9.<\/li>\n<li>Nh\u1ee9c \u0111\u1ea7u , ch\u00f3ng m\u1eb7t , \u0111au m\u00ecnh , m\u00f4i kh\u00f4 l\u01b0\u1ee1i b\u1ea9n, s\u1ed1t cao nh\u01b0ng m\u1ea1ch kh\u00f4ng nhanh ( \u0111i\u1ec3m n\u00e0y gi\u1ed1ng b\u1ec7nh th\u01b0\u01a1ng h\u00e0n ).<\/li>\n<li>N\u1ed1t lo\u00e9t do \u1ea5u tr\u00f9ng m\u00f2 \u0111\u1ed1t : \u0111i\u1ec3n h\u00ecnh nh\u01b0 trong h\u00ecnh , v\u1ecb tr\u00ed hay \u1edf v\u00f9ng da non, c\u00f3 n\u1ebfp g\u1ea5p : b\u1eb9n , b\u00ecu d\u00e1i, b\u1ee5ng &#8230;.<\/li>\n<li>S\u01b0ng h\u1ea1ch to\u00e0n th\u00e2n<\/li>\n<li>Ph\u00e1t ban : th\u01b0\u1eddng t\u1eeb ng\u00e0y 4 \u0111\u1ebfn ng\u00e0y 7 c\u1ee7a b\u1ec7nh, h\u1ed3ng ban kh\u00f4ng ng\u1ee9a, kh\u00f4ng \u0111au , t\u1ef1 h\u1ebft.<\/li>\n<\/ul>\n<p><strong>Ngo\u00e0i ra c\u00f2n c\u00f3 :<\/strong><\/p>\n<ul>\n<li>\u00a0R\u1ed1i lo\u1ea1n th\u1ea7n kinh : li b\u00ec , m\u00ea s\u1ea3ng , h\u00f4n m\u00ea ho\u1eb7c k\u00edch \u0111\u1ed9ng.<\/li>\n<li>Vi\u00eam c\u01a1 tim, vi\u00eam t\u1eafc m\u1ea1ch m\u00e1u , t\u1ee5t huy\u1ebft \u00e1p v\u00e0o cu\u1ed1i tu\u1ea7n th\u1ee9 2.<\/li>\n<li>Vi\u00eam ph\u1ed5i.<\/li>\n<li>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a , gan l\u00e1ch to.<\/li>\n<li>Vi\u00eam Th\u1eadn.<\/li>\n<li><strong>Xu\u1ea5t huy\u1ebft<\/strong> : N\u00f4n ra m\u00e1u, \u1ec9a m\u00e1u, ho ra m\u00e1u.<\/li>\n<\/ul>\n<ul>\n<li><strong>C\u00f4ng th\u1ee9c m\u00e1u<\/strong> : b\u1ea1ch c\u1ea7u b\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng, \u0111a nh\u00e2n trung t\u00ednh \u01b0u th\u1ebf, ti\u1ec3u c\u1ea7u th\u01b0\u1eddng gi\u1ea3m.<\/li>\n<li>Men gan t\u0103ng r\u1ea5t cao c\u00f3 khi t\u1edbi v\u00e0i tr\u0103m.<\/li>\n<li>Test nhanh d\u00f9ng ph\u1ea3n \u1ee9ng ELISA ( + ).<\/li>\n<\/ul>\n<h2>Di\u1ec5n bi\u1ebfn<\/h2>\n<ul>\n<li>C\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi sau 6 tu\u1ea7n, mi\u1ec5n d\u1ecbch kh\u00f4ng b\u1ec1n v\u1eefng.<\/li>\n<li>N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb ch\u1ebft 7 %.<\/li>\n<li>N\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang kh\u00e1ng sinh cho k\u1ebft qu\u1ea3 ngo\u1ea1n m\u1ee5c.<\/li>\n<\/ul>\n<h2>\u0110i\u1ec1u tr\u1ecb<\/h2>\n<p><strong>Kh\u00e1ng sinh<\/strong><\/p>\n<ul>\n<li>DOXYCYCLIN 100 mg * 2 l\u1ea7n\/ ng\u00e0y<\/li>\n<li>Chloramphenicol 50-100 mg\/kg\/24h, ng\u01b0\u1eddi l\u1edbn 500 mg * 4 l\u1ea7n\/ ng\u00e0y.<br \/>\n<em><strong>Th\u1eddi gian d\u00f9ng thu\u1ed1c<\/strong><\/em> : 15 ng\u00e0y ho\u1eb7c th\u00eam 3 ng\u00e0y sau khi c\u1eaft s\u1ed1t.<br \/>\n<strong><em>Kh\u00e1ng sinh thay th\u1ebf<\/em><\/strong> : Tetracyclin ho\u1eb7c Rifampicin, Azithromycin, tr\u1ebb con d\u00f9ng AZITHROMYCIN.<\/li>\n<\/ul>\n<h2>Ph\u00f2ng b\u1ec7nh<\/h2>\n<ul>\n<li>X\u1eed l\u00fd \u1ed5 d\u1ecbch.<\/li>\n<li>B\u1ea3o v\u1ec7 c\u00e1 nh\u00e2n.<\/li>\n<li>D\u1ef1 ph\u00f2ng b\u1eb1ng thu\u1ed1c.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/410890602441799\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/410890602441799<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh s\u1ed1t m\u00f2 \u1edf tr\u1ebb em trong giai \u0111o\u1ea1n s\u1edbm ( nung b\u1ec7nh ) k\u00e9o d\u00e0i 6-20 ng\u00e0y ch\u1ec9 th\u1ea5y n\u1ed1t m\u00f2 \u0111\u1ed1t v\u00e0 s\u01b0ng h\u1ea1ch c\u1ea1nh n\u01a1i b\u1ecb \u0111\u1ed1t.<\/p>\n","protected":false},"author":14,"featured_media":17972,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5148,5151],"tags":[8844,8845],"series":[],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh s\u1ed1t m\u00f2 \u1edf tr\u1ebb em - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh s\u1ed1t m\u00f2 \u1edf tr\u1ebb em trong giai \u0111o\u1ea1n s\u1edbm ( nung b\u1ec7nh ) k\u00e9o d\u00e0i 6-20 ng\u00e0y ch\u1ec9 th\u1ea5y n\u1ed1t m\u00f2 \u0111\u1ed1t v\u00e0 s\u01b0ng h\u1ea1ch c\u1ea1nh n\u01a1i b\u1ecb \u0111\u1ed1t.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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