{"id":5071,"date":"2019-03-19T15:36:41","date_gmt":"2019-03-19T08:36:41","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=5071"},"modified":"2019-03-19T15:37:36","modified_gmt":"2019-03-19T08:37:36","slug":"san-lon-va-dan-tri","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/san-lon-va-dan-tri\/","title":{"rendered":"S\u00e1n l\u1ee3n v\u00e0 d\u00e2n tr\u00ed"},"content":{"rendered":"

M\u1ea5y ng\u00e0y qua d\u01b0 lu\u1eadn b\u1ecb hoang mang qua vi\u1ec7c x\u00e9t nghi\u1ec7m s\u00e1n l\u1ee3n<\/strong> cho th\u1ea5y r\u1ea5t nhi\u1ec1u tr\u1ebb em h\u1ecdc sinh \u1edf H\u00f2a B\u00ecnh, B\u1eafc Ninh b\u1ecb nhi\u1ec5m s\u00e1n l\u1ee3n<\/strong> qua x\u00e9t nghi\u1ec7m m\u00e1u. S\u1ef1 vi\u1ec7c n\u00e0y th\u1eadt s\u1ef1 l\u00e0m ch\u00fang t\u00f4i th\u1ea5y r\u1ea5t b\u1ee9c x\u00fac v\u00ec s\u1ef1 kh\u00f4ng am hi\u1ec3u c\u1ee7a b\u00e1o ch\u00ed c\u0169ng nh\u01b0 s\u1ef1 gi\u1ea3i th\u00edch kh\u00f4ng r\u00f5 r\u00e0ng c\u1ee7a c\u00e1c nh\u00e0 chuy\u00ean m\u00f4n \u0111\u00e3 l\u00e0m cho s\u1ef1 vi\u1ec7c \u0111\u00e3 hoang mang l\u1ea1i c\u00e0ng hoang mang h\u01a1n. T\u00f4i c\u00f3 vi\u1ebft c\u00e1c nh\u1eadn x\u00e9t g\u1eedi \u0111\u1ebfn b\u00e1o Thanh Ni\u00ean v\u00e0 Tu\u1ed5i Tr\u1ebb nh\u01b0ng h\u00ecnh nh\u01b0 c\u00e1c b\u00e1o n\u00e0y kh\u00f4ng quan t\u00e2m m\u1ea5y v\u00ec h\u1ecd c\u1ea7n c\u00e1c tin t\u1ee9c gi\u1eadt g\u00e2n h\u01a1n l\u00e0 c\u00e1c \u00fd ki\u1ebfn \u0111\u00fang \u0111\u1eafn th\u1eadt s\u1ef1. Ch\u00ednh v\u00ec v\u1eady t\u00f4i vi\u1ebft b\u00e0i n\u00e0y \u0111\u1ec3 ph\u00e2n t\u00edch r\u00f5 v\u1ec1 chu k\u1ef3 ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u1ee3n v\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m s\u00e1n l\u1ee3n c\u0169ng nh\u01b0 \u00fd ngh\u0129a v\u00e0 s\u1ef1 c\u1ea7n thi\u1ebft th\u1eadt s\u1ef1 c\u1ee7a x\u00e9t nghi\u1ec7m m\u00e1u t\u00ecm s\u00e1n l\u1ee3n m\u00e0 hi\u1ec7n nay m\u1ecdi ng\u01b0\u1eddi \u0111\u1ed5 x\u00f4 \u0111i l\u00e0m c\u0169ng nh\u01b0 c\u00e1c b\u00e1c s\u0129 \u0111\u1ed5 x\u00f4 ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n.<\/p>\n

Chu tr\u00ecnh s\u1ed1ng hay chu tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u1ee3n<\/h2>\n
S\u00e1n l\u1ee3n hay \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 s\u00e1n d\u00e3i l\u1ee3n<\/strong>, s\u00e1n d\u00e3i heo c\u00f3 t\u00ean khoa h\u1ecdc l\u00e0 Taenia solium l\u00e0 con s\u00e1n h\u00ecnh d\u1eb9p c\u00f3 m\u1ed9t \u0111\u1ea7u c\u00f3 c\u00e1c mi\u1ec7ng x\u00fac tu \u0111\u1ec3 b\u00e1m v\u00e0o th\u00e0nh ru\u1ed9t v\u00e0 th\u00e2n l\u00e0 c\u00e1c \u0111\u1ed1t s\u00e1n li\u00ean t\u1ee5c d\u00ednh v\u00e0o nhau th\u00e0nh m\u1ed9t d\u00e2y.<\/p>\n
Ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m s\u00e1n l\u1ee3n do \u0103n ph\u1ea3i th\u1ecbt heo g\u1ea1o kh\u00f4ng n\u1ea5u ch\u00edn (v\u00ed d\u1ee5 nem, gi\u00f2) v\u00e0 c\u00e1c g\u1ea1o heo n\u00e0y, l\u00e0 c\u00e1c nang n\u01b0\u1edbc ch\u1ee9a m\u1ed9t \u0111\u1ea7u s\u00e1n l\u1ee3n, khi v\u00e0o ru\u1ed9t non c\u1ee7a ng\u01b0\u1eddi s\u1ebd ph\u00e1t tri\u1ec3n th\u00e0nh con s\u00e1n c\u00f3 m\u1ed9t \u0111\u1ea7u b\u00e1m ch\u1eb7t v\u00e0o ru\u1ed9t ng\u01b0\u1eddi v\u00e0 li\u00ean t\u1ee5c l\u1edbn v\u00e0 d\u00e0i ra b\u1eb1ng c\u00e1c t\u1ea1o th\u00e0nh c\u00e1c \u0111\u1ed1t s\u00e1n li\u00ean ti\u1ebfp nhau. M\u1ed7i \u0111\u1ed1t s\u00e1n ch\u1ee9a \u0111\u1ea7y c\u00e1c tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ea3i ra m\u00f4i tr\u01b0\u1eddng b\u1eb1ng \u0111\u01b0\u1eddng ph\u00e2n hay \u0111\u00f4i khi t\u1ef1 chui ra kh\u1ecfi h\u1eadu m\u00f4n. Ch\u00ednh v\u00ec v\u1eady m\u00e0 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c m\u1ed9t ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m s\u00e1n l\u1ee3n qua vi\u1ec7c t\u00ecm th\u1ea5y c\u00e1c \u0111\u1ed1t s\u00e1n trong ph\u00e2n hay c\u00e1c \u0111\u1ed1t s\u00e1n t\u1ef1 chui ra kh\u1ecfi h\u1eadu m\u00f4n c\u1ee7a ng\u01b0\u1eddi.<\/p>\n
Heo b\u1ecb nhi\u1ec5m s\u00e1n l\u1ee3n do \u0103n ph\u1ea3i c\u00e1c \u0111\u1ed1t s\u00e1n l\u1ee3n hay tr\u1ee9ng c\u1ee7a s\u00e1n l\u1ee3n m\u00e0 con ng\u01b0\u1eddi th\u1ea3i ra m\u00f4i tr\u01b0\u1eddng qua \u0111\u01b0\u1eddng ph\u00e2n. C\u00e1c \u0111\u1ed1t s\u00e1n l\u1ee3n ch\u1ee9a \u0111\u1ea7y tr\u1ee9ng sau khi b\u1ecb th\u1ea3i ra m\u00f4i tr\u01b0\u1eddng s\u1ebd b\u1ecb ph\u00e2n h\u1ee7y th\u1ea3i v\u00e0 th\u1ea3i ra c\u00e1c tr\u1ee9ng s\u00e1n l\u1ee3n. Tr\u1ee9ng s\u00e1n l\u1ee3n sau khi \u0111\u01b0\u1ee3c heo \u0103n v\u00e0o s\u1ebd ph\u00f3ng th\u00edch ra c\u00e1c \u1ea5u tr\u00f9ng v\u00e0 c\u00e1c \u1ea5u tr\u00f9ng n\u00e0y chui qua kh\u1ecfi th\u00e0nh ru\u1ed9t \u0111\u1ec3 v\u00e0o m\u00e1u v\u00e0 l\u01b0u th\u00f4ng \u0111\u1ebfn c\u00e1c c\u01a1 quan r\u1ed3i b\u1ecb \u0111\u1ecdng l\u1ea1i t\u1ea1i \u0111\u00e2y ph\u00e1t tri\u1ec3n th\u00e0nh c\u00e1c nang s\u00e1n l\u1ee3n. Ch\u1ea9n \u0111o\u00e1n heo b\u1ecb nhi\u1ec5m s\u00e1n l\u1ee3n nh\u1edd t\u00ecm th\u1ea5y \u0111\u01b0\u1ee3c nhi\u1ec1u nang s\u00e1n l\u1ee3n m\u00e0 ch\u00fang ta g\u1ecdi l\u00e0 c\u00e1c h\u1ea1t g\u1ea1o c\u00f3 r\u1ea5t nhi\u1ec1u trong th\u1ecbt heo.<\/p>\n
Qua chu tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u1ee3n ch\u00fang ta th\u1ea5y trong heo, chu tr\u00ecnh s\u1ed1ng c\u1ee7a s\u00e1n l\u1ee3n \u00edt khi l\u00e0m cho heo c\u00f3 \u0111\u01b0\u1ee3c s\u00e1n l\u1ee3n tr\u01b0\u1edfng th\u00e0nh trong ru\u1ed9t ngo\u1ea1i tr\u1eeb m\u1ed9t khi heo \u0103n ph\u1ea3i th\u1ecbt heo g\u1ea1o. Trong khi \u0111\u00f3 \u1edf con ng\u01b0\u1eddi th\u00ec chu tr\u00ecnh c\u1ee7a s\u00e1n l\u1ee3n l\u1ea1i gi\u00fap s\u00e1n l\u1ee3n tr\u1edf th\u00e0nh con tr\u01b0\u1edfng th\u00e0nh b\u00e1m v\u00e0o ru\u1ed9t non \u0111\u1ec3 li\u00ean t\u1ee5c th\u1ea3i c\u00e1c \u0111\u1ed1t s\u00e1n l\u1ee3n v\u00e0o ph\u00e2n r\u1ed3i th\u1ea3i ra m\u00f4i tr\u01b0\u1eddng. Tuy nhi\u00ean \u1edf ng\u01b0\u1eddi, n\u1ebfu \u0103n ph\u1ea3i rau c\u1ea3i t\u01b0\u1edbi ph\u00e2n ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m c\u00e1c tr\u1ee9ng s\u00e1n l\u1ee3n (do c\u00e1c \u0111\u1ed1t s\u00e1n l\u1ee3n ph\u00e2n h\u1ee7y th\u1ea3i ra) th\u00ec c\u00e1c tr\u1ee9ng n\u00e0y khi v\u00e0o ru\u1ed9t ng\u01b0\u1eddi s\u1ebd ph\u00f3ng th\u00edch ra c\u00e1c \u1ea5u tr\u00f9ng \u0111\u1ec3 chui qua ru\u1ed9t ng\u01b0\u1eddi v\u00e0o m\u00e1u r\u1ed3i h\u00ecnh th\u00e0nh c\u00e1c nang s\u00e1n l\u1ee3n t\u1ea1i c\u00e1c c\u01a1 quan, th\u01b0\u1eddng nh\u1ea5t l\u00e0 \u1edf c\u00e1c c\u01a1 d\u01b0\u1edbi da, m\u1eaft v\u00e0 n\u00e3o. Ngo\u00e0i ra c\u0169ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed1t s\u00e1n l\u1ee3n b\u00f2 ng\u01b0\u1ee3c l\u00ean bao t\u1eed r\u1ed3i b\u1ecb d\u1ecbch v\u1ecb bao t\u1eed ph\u00e2n h\u1ee7y th\u1ea3i ra c\u00e1c tr\u1ee9ng s\u00e1n l\u1ee3n xu\u1ed1ng l\u1ea1i ru\u1ed9t non n\u1ee1 th\u00e0nh c\u00e1c \u1ea5u tr\u00f9ng chui qua th\u00e0nh ru\u1ed9t v\u00e0o m\u00e1u \u0111\u1ebfn c\u00e1c c\u01a1 quan t\u1ea1o th\u00e0nh nang s\u00e1n l\u1ee3n. Nh\u01b0ng c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u01b0 th\u1ebf n\u00e0y c\u1ef1c k\u1ef3 hi\u1ebfm x\u00e3y ra.<\/p>\n
Ch\u1ea9n \u0111o\u00e1n ng\u01b0\u1eddi nhi\u1ec5m s\u00e1n l\u1ee3n<\/h2>\n
Ch\u1ea9n \u0111o\u00e1n ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m s\u00e1n l\u1ee3n \u0111a s\u1ed1 l\u00e0 qua vi\u1ec7c ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c \u0111\u1ed1t s\u00e1n t\u1ef1 chui ra kh\u1ecfi h\u1eadu m\u00f4n hay \u0111\u01b0\u1ee3c th\u1ea3i ra ph\u00e2n ch\u1ee9 kh\u00f4ng ph\u1ea3i qua x\u00e9t nghi\u1ec7m m\u00e1u t\u00ecm kh\u00e1ng th\u1ec3 v\u00ec b\u00ecnh th\u01b0\u1eddng chu k\u1ef3 s\u1ed1ng c\u1ee7a s\u00e1n l\u1ee3n \u1edf ng\u01b0\u1eddi th\u00ec kh\u00f4ng c\u00f3 \u1ea5u tr\u00f9ng s\u00e1n l\u1ee3n chui qua ru\u1ed9t \u0111\u1ec3 v\u00e0o m\u00e1u h\u00ecnh th\u00e0nh nang s\u00e1n l\u1ee3n. Ch\u1ec9 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi mang c\u00e1c nang s\u00e1n l\u1ee3n th\u00ec m\u1edbi c\u00f3 s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u1eb7c hi\u1ec7u s\u00e1n l\u1ee3n m\u00e0 th\u00f4i (m\u00e0 nh\u01b0 \u0111\u00e3 ph\u00e2n t\u00edch \u1edf tr\u00ean th\u00ec c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m n\u00e0y l\u1ea1i kh\u00f4ng ph\u1ea3i do \u0103n th\u1ecbt heo g\u1ea1o m\u00e0 do \u0103n ph\u1ea3i tr\u1ee9ng s\u00e1n l\u1ee3n c\u00f3 trong rau hay n\u01b0\u1edbc b\u1ecb nhi\u1ec5m tr\u1ee9ng s\u00e1n l\u1ee3n \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch t\u1eeb c\u00e1c \u0111\u1ed1t s\u00e1n l\u1ee3n c\u00f3 \u1edf m\u00f4i tr\u01b0\u1eddng).<\/p>\n
\u00dd ngh\u0129a c\u1ee7a x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m s\u00e1n l\u1ee3n<\/h2>\n
X\u00e9t nghi\u1ec7m ELISA kh\u00f4ng ph\u1ea3i l\u00e0 x\u00e9t nghi\u1ec7m d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m s\u00e1n l\u1ee3n v\u00ec b\u00ecnh th\u01b0\u1eddng ng\u01b0\u1eddi nhi\u1ec5m s\u00e1n l\u1ee3n ch\u1ec9 c\u00f3 con s\u00e1n tr\u01b0\u1edfng th\u00e0nh n\u1eb1m trong ru\u1ed9t ch\u1ee9 kh\u00f4ng c\u00f3 \u1ea5u tr\u00f9ng chui v\u00e0o m\u00e1u hay nang s\u00e1n t\u1ea1i c\u00e1c c\u01a1 quan \u0111\u1ec3 c\u00f3 c\u01a1 h\u1ed9i ti\u1ebfp x\u00fac v\u1edbi h\u1ec7 mi\u1ec5n d\u1ecbch t\u1ea1o ra kh\u00e1ng th\u1ec3 \u0111\u1eb7c hi\u1ec7u s\u00e1n l\u1ee3n. X\u00e9t nghi\u1ec7m ELISA t\u00ecm s\u00e1n l\u1ee3n ch\u1ec9 \u0111\u01b0\u1ee3c cho ch\u1ec9 \u0111\u1ecbnh tr\u00ean c\u00e1c ng\u01b0\u1eddi m\u00e0 l\u00e2m s\u00e0ng kh\u00e1m th\u1ea5y c\u00f3 c\u00e1c nang d\u01b0\u1edbi da, trong c\u01a1, hay si\u00eau \u00e2m th\u1ea5y c\u00f3 c\u00f3 c\u00e1c nang nghi nang s\u00e1n c\u00f3 trong n\u00e3o, m\u1eaft, hay c\u00e1c c\u01a1 quan. Ngo\u00e0i ra th\u1eed nghi\u1ec7m ELISA ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m s\u00e1n l\u1ee3n n\u1ebfu s\u1eed d\u1ee5ng c\u00e1c kit kh\u00f4ng ch\u1ea5t l\u01b0\u1ee3ng kh\u00f4ng d\u00f9ng \u0111\u01b0\u1ee3c c\u00e1c kh\u00e1ng nguy\u00ean \u0111\u1eb7c hi\u1ec7u cao cho s\u00e1n l\u1ee3n th\u00ec s\u1ebd cho r\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p d\u01b0\u01a1ng t\u00ednh gi\u1ea3. Ch\u00ednh v\u00ec v\u1eady m\u1ed9t k\u1ebft qu\u1ea3 ELISA ph\u1ea3i lu\u00f4n lu\u00f4n \u0111\u01b0\u1ee3c bi\u1ec7n lu\u1eadn c\u00f9ng v\u1edbi l\u00e2m s\u00e0ng, v\u1edbi t\u1ef7 l\u1ec7 eosinophil trong m\u00e1u (ph\u1ea3i cao h\u01a1n 9% hay \u00edt nh\u1ea5t ph\u1ea3i 7%). Vi\u1ec7c c\u00e1c c\u01a1 quan truy\u1ec1n th\u00f4ng kh\u00f4ng t\u00ecm hi\u1ec3u k\u1ef9 v\u00e0 kh\u00f4ng h\u1ecfi \u00fd ki\u1ebfn c\u00e1c nh\u00e0 chuy\u00ean m\u00f4n th\u1eadt s\u1ef1 m\u00e0 l\u1ea1i \u0111\u0103ng tin g\u00e2y hoang mang cho d\u00e2n ch\u00fang l\u00e0 r\u1ea5t \u0111\u00e1ng tr\u00e1ch. Vi\u1ec7c c\u00e1c b\u00e1c s\u0129 kh\u00f4ng gi\u1ea3i th\u00edch r\u00f5 cho ng\u01b0\u1eddi d\u00e2n khi \u0111\u1ebfn l\u00e0m x\u00e9t nghi\u1ec7m t\u00ecm s\u00e1n l\u1ee3n c\u0169ng r\u1ea5t \u0111\u00e1ng tr\u00e1ch. T\u00f4i vi\u1ebft b\u00e0i n\u00e0y \u0111\u1ec3 mong \u0111\u01b0\u1ee3c c\u00e1c b\u1ea1n chia s\u1ebd r\u1ed9ng r\u00e3i.<\/p>\n
Ph\u1ea1m H\u00f9ng V\u00e2n (19\/3\/19).<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
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