{"id":1045,"date":"2017-05-16T08:44:32","date_gmt":"2017-05-16T01:44:32","guid":{"rendered":"http:\/\/benhvienhuyencuchi.com\/?p=1045"},"modified":"2023-11-08T15:05:24","modified_gmt":"2023-11-08T08:05:24","slug":"nhu%cc%83ng-dieu-can-biet-ve-cum-ah7n9","status":"publish","type":"post","link":"https:\/\/benhvienhuyencuchi.com\/?p=1045","title":{"rendered":"Nh\u01b0\u0303ng \u0111i\u00ea\u0300u c\u00e2\u0300n bi\u00ea\u0301t v\u00ea\u0300 cu\u0301m A\/H7N9"},"content":{"rendered":"

B\u1ec7nh c\u00fam A\/H7N9 l\u00e0 b\u1ec7nh vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p n\u1eb7ng, do virus c\u00fam A\/H7N9 tr\u00ean gia c\u1ea7m l\u00e2y sang ng\u01b0\u1eddi.<\/span>
\n D\u1ecbch c\u00fam A\/H7N9 \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u1ea1i 17 t\u1ec9nh c\u1ee7a Trung Qu\u1ed1c v\u1edbi s\u1ed1 ca t\u0103ng nhanh nh\u1ea5t t\u1eeb tr\u01b0\u1edbc \u0111\u1ebfn nay (h\u01a1n 425 ca m\u1eafc), trong \u0111\u00f3 c\u00f3 hai t\u1ec9nh gi\u00e1p bi\u00ean gi\u1edbi v\u1edbi Vi\u1ec7t Nam l\u00e0 Qu\u1ea3ng T\u00e2y v\u00e0 V\u00e2n Nam.<\/span><\/p>\n

Do \u0111\u00f3, m\u1eb7c d\u00f9 ch\u01b0a ghi nh\u1eadn c\u00e1c ca m\u1eafc c\u00fam A\/H7N9 tr\u00ean ng\u01b0\u1eddi c\u0169ng nh\u01b0 tr\u00ean gia c\u1ea7m, nh\u01b0ng theo c\u00e1c chuy\u00ean gia, Vi\u1ec7t Nam c\u1ea7n t\u0103ng c\u01b0\u1eddng gi\u00e1m s\u00e1t tr\u00ean gia c\u1ea7m, ng\u01b0\u1eddi b\u1edfi nguy c\u01a1 d\u1ecbch b\u1ec7nh l\u00e2y lan v\u00e0o n\u01b0\u1edbc ta l\u00e0 r\u1ea5t l\u1edbn.<\/span><\/p>\n

Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh c\u00fam A\/H7N9<\/span><\/p>\n

B\u1ec7nh c\u00fam A\/H7N9 l\u00e0 b\u1ec7nh vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p n\u1eb7ng, do virus c\u00fam A\/H7N9 tr\u00ean gia c\u1ea7m l\u00e2y sang ng\u01b0\u1eddi, b\u1ec7nh ti\u1ebfn tri\u1ec3n nhanh v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao. N\u0103m 2013 t\u1ea1i Trung Qu\u1ed1c l\u1ea7n \u0111\u1ea7u ti\u00ean b\u00e1o c\u00e1o c\u00f3 ca nhi\u1ec5m virus H7N9 \u1edf ng\u01b0\u1eddi.<\/span><\/p>\n

Virus c\u00fam A\/H7N9 thu\u1ed9c nh\u00f3m ARN-virus, h\u1ecd Orthomyxoviridae, gi\u1ed1ng Influenzavirus A, c\u00f3 ch\u1ee9a kh\u00e1ng nguy\u00ean b\u1ec1 m\u1eb7t haemaglutinin 7 (H7) v\u00e0 kh\u00e1ng nguy\u00ean neuraminidase 9 (N9), c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ra b\u1ec7nh d\u1ecbch c\u00fam \u1edf c\u00e1c lo\u00e0i l\u00f4ng v\u0169 (avian infl uenza).<\/span><\/p>\n

Theo Trung t\u00e2m ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ng\u1eeba d\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC) th\u00ec ch\u1ee7ng virus A\/H7N9 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 t\u00e1i t\u1ed5 h\u1ee3p c\u1ee7a genom t\u1eeb 3 ch\u1ee7ng virus c\u00fam \u0111ang l\u01b0u h\u00e0nh l\u00e0 virus c\u00fam v\u1ecbt nh\u00e0 (A\/H7N3), virus c\u00fam chim hoang d\u00e3 (A\/H7N9) v\u00e0 virus c\u00fam g\u00e0 (A\/H9N2).<\/span><\/p>\n

Virus c\u00fam A\/H7N9 c\u00f3 kh\u1ea3 n\u0103ng nh\u00e2n l\u00ean trong c\u00e1c c\u01a1 quan h\u00f4 h\u1ea5p, ti\u00eau h\u00f3a, ti\u1ebft ni\u1ec7u c\u1ee7a lo\u00e0i chim v\u00e0 gia c\u1ea7m, sinh s\u1ea3n \u1edf \u0111\u00f3 v\u00e0 c\u00f3 m\u1eb7t trong ch\u1ea5t ti\u1ebft c\u1ee7a c\u00e1c c\u01a1 quan tr\u00ean. Ch\u1ee7ng A\/H7N9 g\u00e2y nhi\u1ec5m cho gia c\u1ea7m l\u00e0 ch\u00ednh v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m v\u00e0 g\u00e2y b\u1ec7nh cho ng\u01b0\u1eddi.<\/span><\/p>\n

\u0110\u1ed9c l\u1ef1c c\u1ee7a virus c\u00fam A\/H7N9 th\u1ec3 hi\u1ec7n tr\u00ean gia c\u1ea7m th\u01b0\u1eddng y\u1ebfu ho\u1eb7c h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 (t\u1ee9c l\u00e0 con gia c\u1ea7m ho\u00e0n to\u00e0n kh\u1ecfe m\u1ea1nh nh\u01b0ng l\u1ea1i mang virus c\u00fam).<\/span><\/p>\n

T\u1ef7 l\u1ec7 t\u1eed vong do nhi\u1ec5m c\u00fam A\/H7N9 tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 g\u1ea7n 50%.\u00a0<\/span><\/p>\n

Tuy nhi\u00ean, tr\u00ean ng\u01b0\u1eddi \u0111\u1ed9c l\u1ef1c l\u1ea1i th\u1ec3 hi\u1ec7n r\u00f5 \u1edf 4 m\u1ee9c \u0111\u1ed9 l\u00e0 lo\u1ea1i cao (highly virulent\/pathogen), lo\u1ea1i v\u1eeba v\u00e0 nh\u1eb9 (moderately and mildly virulent) v\u00e0 lo\u1ea1i kh\u00f4ng c\u00f3 \u0111\u1ed9c l\u1ef1c (avirulent) th\u01b0\u1eddng l\u00e0 nhi\u1ec5m virus kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 kh\u00f4ng g\u00e2y t\u1eed vong.<\/span><\/p>\n

Kh\u00e1ng nguy\u00ean virus c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u1eb1ng ph\u1ea3n \u1ee9ng chu\u1ed7i tr\u00f9ng h\u1ee3p (PR-PCR) t\u1eeb d\u1ecbch h\u1ecdng hay d\u1ecbch \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi trong khi kh\u00e1ng th\u1ec3 \u0111\u1eb7c hi\u1ec7u \u1edf m\u00e1u c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt sinh h\u00f3a (ELISA).<\/span><\/p>\n

Theo \u0111\u1ea1i di\u1ec7n B\u1ed9 Y t\u1ebf cho bi\u1ebft, t\u1ef7 l\u1ec7 t\u1eed vong do nhi\u1ec5m c\u00fam A\/H7N9 tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 g\u1ea7n 50%, nay gi\u1ea3m c\u00f2n 30% nh\u01b0ng b\u1ec7nh tr\u1edf n\u1eb7ng r\u1ea5t nhanh n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee7 quan khi c\u00f3 d\u1ea5u hi\u1ec7u nghi ng\u1edd.<\/span><\/p>\n

Theo ph\u00e2n t\u00edch \u0111\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 h\u1ecdc m\u1edbi nh\u1ea5t, h\u01a1n 90% s\u1ed1 ca m\u1eafc c\u00f3 ti\u1ec1n s\u1eed ti\u1ebfp x\u00fac v\u1edbi gia c\u1ea7m, trong \u0111\u00f3 c\u00f3 30 ch\u00f9m ca b\u1ec7nh. Virus \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp t\u1eeb ng\u01b0\u1eddi b\u1ec7nh c\u00f9ng ch\u00f9m ca b\u1ec7nh c\u00f3 k\u1ebft qu\u1ea3 gi\u1ed1ng nhau v\u1edbi t\u1ef7 l\u1ec7 r\u1ea5t cao. Tuy nhi\u00ean, ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 s\u1ef1 l\u00e2y truy\u1ec1n d\u1ec5 d\u00e0ng v\u00e0 b\u1ec1n v\u1eefng t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi.<\/span><\/p>\n

Kh\u1ea3 n\u0103ng x\u00e2m nh\u1eadp c\u1ee7a d\u1ecbch b\u1ec7nh c\u00fam A\/H7N9 v\u00e0o n\u01b0\u1edbc ta l\u00e0 r\u1ea5t cao.<\/span><\/p>\n

Theo C\u1ee5c Y t\u1ebf d\u1ef1 ph\u00f2ng (B\u1ed9 Y t\u1ebf), t\u00ecnh h\u00ecnh d\u1ecbch c\u00fam A\/H7N9 t\u1ea1i Trung Qu\u1ed1c hi\u1ec7n \u0111ang di\u1ec5n bi\u1ebfn r\u1ea5t ph\u1ee9c t\u1ea1p, v\u1edbi s\u1ed1 ca m\u1eafc t\u0103ng cao \u0111\u1ed9t bi\u1ebfn v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong cao; c\u00f2n t\u1ea1i t\u1ec9nh Svayrieng (Campuchia) – l\u00e0 t\u1ec9nh c\u00f3 chung \u0111\u01b0\u1eddng bi\u00ean gi\u1edbi v\u1edbi n\u01b0\u1edbc ta trong th\u00e1ng 1-2017, c\u0169ng \u0111\u00e3 c\u00f3 m\u1ed9t s\u1ed1 \u1ed5 d\u1ecbch c\u00fam A (H5N1). V\u00ec v\u1eady, kh\u1ea3 n\u0103ng x\u00e2m nh\u1eadp c\u1ee7a d\u1ecbch b\u1ec7nh v\u00e0o n\u01b0\u1edbc ta l\u00e0 r\u1ea5t cao.<\/span><\/p>\n

C\u00e1n b\u1ed9 ki\u1ec3m d\u1ecbch Y t\u1ebf c\u1eeda kh\u1ea9u H\u1eefu Ngh\u1ecb ki\u1ec3m tra th\u00e2n nhi\u1ec7t c\u1ee7a kh\u00e1ch nh\u1eadp c\u1ea3nh b\u1eb1ng m\u00e1y test nhanh. \u1ea2nh: Th\u00e1i Thu\u1ea7n – TTXVN<\/span><\/p>\n

Theo \u0111\u1ea1i di\u1ec7n C\u1ee5c Th\u00fa y, B\u1ed9 N\u00f4ng nghi\u1ec7p v\u00e0 Ph\u00e1t tri\u1ec3n n\u00f4ng th\u00f4n, d\u00f9 Vi\u1ec7t Nam ch\u01b0a ghi nh\u1eadn d\u1ecbch c\u00fam A\/H7N9 tr\u00ean gia c\u1ea7m, tuy nhi\u00ean t\u1eeb \u0111\u1ea7u n\u0103m 2017 \u0111\u1ebfn nay, trong n\u01b0\u1edbc \u0111\u00e3 ph\u00e1t hi\u1ec7n nhi\u1ec1u \u1ed5 d\u1ecbch c\u00fam gia c\u1ea7m. \u1ed4 d\u1ecbch c\u00fam gia c\u1ea7m m\u1edbi nh\u1ea5t \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong ng\u00e0y 20-2 t\u1ea1i x\u00e3 Tr\u1ef1c Thu\u1eadn, huy\u1ec7n Tr\u1ef1c Ninh, t\u1ec9nh Nam \u0110\u1ecbnh.<\/span><\/p>\n

Tr\u01b0\u1edbc \u0111\u00f3, trong th\u00e1ng 2-2017, ng\u00e0nh ch\u1ee9c n\u0103ng \u0111\u00e3 ph\u00e1t hi\u1ec7n 3 \u1ed5 d\u1ecbch c\u00fam gia c\u1ea7m H5N1 \u1edf t\u1ec9nh B\u1ea1c Li\u00eau v\u00e0 Ngh\u1ec7 An. C\u0169ng trong th\u1eddi gian n\u00e0y, \u0111\u00e3 ghi nh\u1eadn \u1ed5 d\u1ecbch c\u00fam gia c\u1ea7m H5N1 t\u1ea1i x\u00e3 Ph\u1ed5 C\u01b0\u1eddng, huy\u1ec7n \u0110\u1ee9c Ph\u1ed5, t\u1ec9nh Qu\u1ea3ng Ng\u00e3i.<\/span><\/p>\n

M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng \u1edf ng\u01b0\u1eddi nghi ng\u1edd m\u1eafc b\u1ec7nh c\u00fam A\/H7N9 v\u00e0 khuy\u1ebfn c\u00e1o c\u1ee7a B\u1ed9 Y t\u1ebf – Tri\u1ec7u ch\u1ee9ng nghi ng\u1edd m\u1eafc c\u00fam A\/H7N9<\/span><\/p>\n

+ S\u1ed1t cao 39 – 40 \u0111\u1ed9 C.<\/span>
\n + \u0110au m\u1ecfi c\u00e1c kh\u1edbp x\u01b0\u01a1ng, nh\u1ee9c \u0111\u1ea7u, bu\u1ed3n n\u00f4n, n\u00f4n.<\/span>
\n + M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean nh\u01b0 s\u1ed5 m\u0169i, h\u1eaft h\u01a1i, \u0111au h\u1ecdng\u2026<\/span>
\n + Ho, t\u1ee9c ng\u1ef1c, kh\u00f3 th\u1edf t\u0103ng d\u1ea7n.<\/span>
\n + C\u00e1c tri\u1ec7u ch\u1ee9ng suy h\u00f4 h\u1ea5p: t\u00edm m\u00f4i, \u0111\u1ea7u chi, th\u1edf nhanh, co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p.<\/span>
\n + C\u00e1c bi\u1ec3u hi\u1ec7n n\u1eb7ng, nguy k\u1ecbch bao g\u1ed3m: thi\u1ec3u ni\u1ec7u ho\u1eb7c v\u00f4 ni\u1ec7u, ph\u00f9, suy tim, \u0111\u00f4ng m\u00e1u n\u1ed9i qu\u1ea3n r\u1ea3i r\u00e1c, suy gan n\u1eb7ng, h\u00f4n m\u00ea\u2026<\/span>
\n + Ch\u1ee5p X-quang ph\u1ed5i th\u1ea5y c\u00f3 h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng gi\u1ed1ng nh\u01b0 do c\u00fam A\/H5N1: c\u00e1c \u0111\u00e1m m\u1edd kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u, l\u00fac \u0111\u1ea7u th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf m\u1ed9t th\u00f9y ph\u1ed5i sau lan ra kh\u1eafp 2 ph\u1ed5i n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. M\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i tr\u00ean phim X-quang c\u0169ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u0111\u1ed9 n\u1eb7ng, nh\u1eb9 c\u1ee7a b\u1ec7nh nh\u00e2n tr\u00ean l\u00e2m s\u00e0ng.<\/span><\/p>\n

– Bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh b\u1ec7nh c\u00fam A\/H7N9<\/span><\/p>\n

\u0110\u1ec3 ch\u1ee7 \u0111\u1ed9ng ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y truy\u1ec1n c\u1ee7a virus c\u00fam A\/H7N9 sang ng\u01b0\u1eddi, C\u1ee5c Y t\u1ebf d\u1ef1 ph\u00f2ng khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi d\u00e2n th\u1ef1c hi\u1ec7n t\u1ed1t c\u00e1c n\u1ed9i dung sau:<\/span><\/p>\n

+ Kh\u00f4ng \u0103n gia c\u1ea7m, c\u00e1c s\u1ea3n ph\u1ea9m gia c\u1ea7m \u1ed1m, ch\u1ebft v\u00e0 kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c. \u0110\u1ea3m b\u1ea3o \u0103n ch\u00edn, u\u1ed1ng ch\u00edn. R\u1eeda tay b\u1eb1ng x\u00e0 ph\u00f2ng tr\u01b0\u1edbc khi \u0103n.<\/span>
\n + Kh\u00f4ng gi\u1ebft m\u1ed5, v\u1eadn chuy\u1ec3n, mua b\u00e1n gia c\u1ea7m v\u00e0 s\u1ea3n ph\u1ea9m gia c\u1ea7m kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c.<\/span>
\n + Khi ph\u00e1t hi\u1ec7n gia c\u1ea7m \u1ed1m, ch\u1ebft, tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c gi\u1ebft m\u1ed5 v\u00e0 s\u1eed d\u1ee5ng m\u00e0 ph\u1ea3i th\u00f4ng b\u00e1o ngay cho ch\u00ednh quy\u1ec1n \u0111\u1ecba ph\u01b0\u01a1ng v\u00e0 \u0111\u01a1n v\u1ecb th\u00fa y tr\u00ean \u0111\u1ecba b\u00e0n.<\/span>
\n + Khi c\u00f3 bi\u1ec3u hi\u1ec7n c\u00fam nh\u01b0 s\u1ed1t, ho, \u0111au ng\u1ef1c, kh\u00f3 th\u1edf c\u00f3 li\u00ean quan \u0111\u1ebfn gia c\u1ea7m ph\u1ea3i \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n, kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.\/.<\/span><\/p>\n

[Ngu\u1ed3n: B\u1ed9 Y t\u1ebf, TTXVN]<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh c\u00fam A\/H7N9 l\u00e0 b\u1ec7nh vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p n\u1eb7ng, do virus c\u00fam A\/H7N9 tr\u00ean gia c\u1ea7m l\u00e2y sang ng\u01b0\u1eddi. D\u1ecbch c\u00fam A\/H7N9 \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u1ea1i 17 t\u1ec9nh c\u1ee7a Trung Qu\u1ed1c v\u1edbi s\u1ed1 ca t\u0103ng nhanh nh\u1ea5t t\u1eeb tr\u01b0\u1edbc \u0111\u1ebfn nay (h\u01a1n 425 ca m\u1eafc), trong \u0111\u00f3 c\u00f3 hai t\u1ec9nh gi\u00e1p bi\u00ean gi\u1edbi […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/1045"}],"collection":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1045"}],"version-history":[{"count":0,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/1045\/revisions"}],"wp:attachment":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1045"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1045"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1045"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}