{"id":103320,"date":"2020-01-09T00:00:00","date_gmt":"2020-01-09T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/san-la-gan-nho\/"},"modified":"2022-09-15T00:00:00","modified_gmt":"2022-09-15T00:00:00","slug":"san-la-gan-nho","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/truyen-nhiem\/san-la-gan-nho\/","title":{"rendered":"B\u1ec7nh s\u00e1n l\u00e1 gan nh\u1ecf: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

S\u00e1n l\u00e1 gan nh\u1ecf \u1edf ng\u01b0\u1eddi l\u00e0 nh\u1eefng k\u00fd sinh tr\u00f9ng thu\u1ed9c l\u1edbp s\u00e1n, h\u00ecnh d\u1ea1ng gi\u1ed1ng chi\u1ebfc l\u00e1, g\u00e2y b\u1ec7nh \u1edf \u1ed1ng m\u1eadt v\u00e0 t\u00fai m\u1eadt \u1edf gan. S\u00e1n l\u00e1 nh\u1ecf c\u00f3 2 lo\u00e0i v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m g\u00e2y b\u1ec7nh kh\u00e1 gi\u1ed1ng nhau. Ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m s\u00e1n l\u00e1 nh\u1ecf th\u01b0\u1eddng do th\u00f3i quen \u0103n u\u1ed1ng kh\u00f4ng h\u1ee3p v\u1ec7 sinh, \u0103n c\u00e1 ch\u01b0a ch\u00edn, t\u00e1i s\u1ed1ng. Ch\u1ea9n \u0111o\u00e1n b\u1eb1ng c\u00e1ch t\u00ecm tr\u1ee9ng c\u1ee7a s\u00e1n trong ph\u00e2n. Hi\u1ec7n t\u1ea1i \u0111\u00e3 c\u00f3 thu\u1ed1c tr\u1ecb b\u1ec7nh do s\u00e1n l\u00e1 nh\u1ecf g\u00e2y ra. Tuy nhi\u00ean, \u0111\u1ec3 r\u00f5 h\u01a1n v\u1ec1 lo\u1ea1i k\u00ed sinh tr\u00f9ng n\u00e0y, m\u1eddi b\u1ea1n \u0111\u1ecdc t\u00ecm hi\u1ec3u qua b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y c\u00f9ng Docosan<\/a>.<\/strong><\/p>\n\n\n\n

\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh th\u1ec3, c\u1ea5u t\u1ea1o c\u1ee7a s\u00e1n l\u00e1 gan nh\u1ecf<\/h2>\n\n\n\n

T\u1ea1i Vi\u1ec7t Nam, c\u00f3 hai lo\u1ea1i s\u00e1n la gan nh\u1ecf ch\u00ednh th\u01b0\u1eddng g\u1eb7p l\u00e0 Clonorchis sinensis v\u00e0 Opisthorchis viverrni c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1 gi\u1ed1ng nhau v\u1ec1 chu tr\u00ecnh ph\u00e1t tri\u1ec3n v\u00e0 sinh b\u1ec7nh h\u1ecdc. S\u00e1n tr\u01b0\u1edfng th\u00e0nh th\u01b0\u1eddng s\u1ed1ng trong \u1ed1ng d\u1eabn m\u1eadt c\u1ee7a gan trong c\u01a1 th\u1ec3 k\u00fd ch\u1ee7, s\u00e1n d\u1eb9t c\u00f3 h\u00ecnh d\u1ea1ng gi\u1ed1ng chi\u1ebfc l\u00e1, c\u00f3 m\u00e0u \u0111\u1ecf n\u00e2u.<\/p>\n\n\n\n

Clonorchis sinensis tr\u01b0\u1edfng th\u00e0nh c\u00f3 m\u00e0u h\u1ed3ng nh\u1ea1t ho\u1eb7c m\u00e0u n\u00e2u v\u00e0ng. C\u00f3 2 \u0111\u0129a h\u00fat, \u0111\u0129a h\u00fat mi\u1ec7ng, \u0111\u0129a h\u00fat b\u1ee5ng, tinh ho\u00e0n ph\u00e2n th\u00e0nh nhi\u1ec1u nh\u00e1nh nh\u1ecf.<\/p>\n\n\n\n

Opisthorchis viverrni nh\u1ecf h\u01a1n, v\u1ecf c\u00f3 c\u00e1c s\u1ee3i gai nh\u1ecf, tinh ho\u00e0n chia th\u00e0nh 2-3 th\u00f9y h\u00ecnh b\u00fai tr\u00f2n. <\/p>\n\n\n\n

Tr\u1ee9ng c\u1ee7a hai lo\u00e0i kh\u00e1 gi\u1ed1ng nhau n\u00ean kh\u00f3 ph\u00e2n bi\u00eat. Tr\u1ee9ng h\u00ecnh b\u1ea7u d\u1ee5c, c\u00f3 n\u1eafp l\u1ed3i, b\u00ean trong tr\u1ee9ng c\u00f3 s\u1eb5n ph\u00f4i b\u00e0o ngay t\u1eeb l\u00fac m\u1edbi sinh. <\/p>\n\n\n\n

\"s\u00e1n
H\u00ecnh \u1ea3nh s\u00e1n l\u00e1 gan nh\u1ecf<\/figcaption><\/figure>\n\n\n\n

Chu k\u00ec ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u00e1 gan nh\u1ecf<\/h2>\n\n\n\n

S\u00e1n tr\u01b0\u1edfng th\u00e0nh k\u00fd sinh \u1edf \u0111\u01b0\u1eddng d\u1eabn m\u1eadt, sau \u0111\u00f3 ch\u00fang \u0111\u1ebb tr\u1ee9ng, tr\u1ee9ng theo ph\u00e2n \u0111i ra ngo\u00e0i m\u00f4i tr\u01b0\u1eddng. Tr\u1ee9ng \u0111i v\u00e0o m\u00f4i tr\u01b0\u1eddng n\u01b0\u1edbc ng\u1ecdt v\u00e0 \u0111\u01b0\u1ee3c k\u00fd ch\u1ee7 trung gian l\u00e0 \u1ed1c nu\u1ed1t v\u00e0o, n\u1edf ra \u1ea5u tr\u00f9ng l\u00f4ng v\u00e0 bi\u1ebfn \u0111\u1ed5i th\u00e0nh b\u00e0o t\u1eed nang, sau \u0111\u00f3 l\u00e0 d\u1ea1ng redia cu\u1ed1i c\u00f9ng bi\u1ebfn th\u00e0nh \u1ea5u tr\u00f9ng \u0111u\u00f4i r\u1eddi kh\u1ecfi k\u00fd ch\u1ee7 \u1ed1c v\u00e0 b\u01a1i t\u1ef1u do trong n\u01b0\u1edbc. C\u00e1 n\u01b0\u1edbc ng\u1ecdt nu\u1ed1t ph\u1ea3i \u1ea5u tr\u00f9ng l\u00f4ng x\u00e2m nh\u1eadp \u0111\u1ed1ng k\u00e9n v\u00e0 t\u1ea1o th\u00e0nh nang \u1ea5u tr\u00f9ng. <\/p>\n\n\n\n

Con ng\u01b0\u1eddi \u0103n ph\u1ea3i c\u00e1 c\u00f3 nang \u1ea5u tr\u00f9ng ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ebf bi\u1ebfn k\u0129, c\u00f2n t\u00e1i s\u1ed1ng s\u1ebd \u0111\u01b0a k\u00fd sinh tr\u00f9ng n\u00e0y v\u00e0o c\u01a1 th\u1ec3. Nang \u1ea5u tr\u00f9ng xu\u1ea5t nang \u1edf t\u00e1 tr\u00e0ng, ph\u00e1t tri\u1ec3n th\u00e0nh s\u00e1n tr\u01b0\u1edfng th\u00e0nh, di chuy\u1ec3n qua c\u01a1 v\u00f2ng Oddi \u0111i ng\u01b0\u1ee3c l\u00ean \u1ed1ng d\u1eabn m\u1eadt chung r\u1ed3i len v\u00e0o c\u00e1c nh\u00e1nh m\u1eadt trong gan. Th\u1eddi gian k\u1ec3 t\u1eeb l\u00fac \u0103n ph\u1ea3i c\u00e1 cho \u0111\u1ebfn khi t\u1ea1o th\u00e0nh s\u00e1n tr\u01b0\u1edfng th\u00e0nh m\u1ea5t kho\u1ea3ng 4 tu\u1ea7n. <\/p>\n\n\n\n

\"s\u00e1n
Q\u00faa tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n l\u00e1 gan nh\u1ecf<\/figcaption><\/figure>\n\n\n\n

Y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5 c\u1ee7a s\u00e1n l\u00e1 gan nh\u1ecf<\/h2>\n\n\n\n

\u1ede Vi\u1ec7t Nam, Clonorchis sinensis c\u00f3 v\u00f9ng d\u1ecbch t\u1ec5 ch\u1ee7 y\u1ebfu \u1edf c\u00e1c t\u1ec9nh ph\u00eda B\u1eafc v\u00e0 Opisthorchis viverrni th\u00ec th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c t\u1ec9nh mi\u1ec1n Trung. \u0110i\u1ec1u n\u00e0y gi\u1ea3i th\u00edch do y\u1ebfu t\u1ed1 k\u00ed ch\u1ee7 trung gian l\u00e0 c\u00e1c lo\u1ea1i \u1ed1c ph\u00f9 h\u1ee3p c\u1ee7a t\u1eebng v\u00f9ng mi\u1ec1n. <\/p>\n\n\n\n

C\u00e1c k\u00fd ch\u1ee7 trung gian \u1ed1c th\u01b0\u1eddng g\u1eb7p l\u00e0 Bithynia striatula, Melaniodes tuberculata. K\u00fd ch\u1ee7 trung gian II c\u1ee7a s\u00e1n l\u00e1 gan nh\u1ecf l\u00e0 c\u00e1c gi\u1ed1ng c\u00e1 n\u01b0\u1edbc ng\u1ecdt, th\u01b0\u1eddng g\u1eb7p h\u1ecd Cyprinidae, c\u00e1 di\u1ebfc Carassius carassius. <\/p>\n\n\n\n

Ng\u01b0\u1eddi nhi\u1ec5m do \u0103n th\u1ecbt c\u00e1 ch\u01b0a ch\u00edn ch\u1ee9a nang \u1ea5u tr\u00f9ng. Ng\u01b0\u1eddi mi\u1ec1n B\u1eafc th\u01b0\u1eddng th\u00e1i c\u00e1 l\u00e1t m\u1ecfng, t\u00e1i s\u01a1 v\u00e0 l\u00e0m g\u1ecfi c\u00e1, ng\u01b0\u1eddi d\u00e2n mi\u1ec1n Trung c\u00f3 t\u1eadp t\u1ee5c \u0103n c\u00e1 s\u1ed1ng ho\u1eb7c l\u00e0m g\u1ecfi c\u00e1 di\u1ebfc. <\/p>\n\n\n\n

\"s\u00e1n
Bithynia striatula l\u00e0 k\u00fd v\u1eadt trung gian c\u1ee7a s\u00e1n l\u00e1 gan nh\u1ecf<\/figcaption><\/figure>\n\n\n\n

D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng khi nhi\u1ec5m s\u00e1n l\u00e1 gan nh\u1ecf<\/h2>\n\n\n\n

B\u1ec7nh l\u00fd c\u1ea5p t\u00ednh<\/strong><\/h3>\n\n\n\n

\u00cdt \u0111\u01b0\u1ee3c ghi nh\u1eadn, b\u1ec7nh do Clonorchis sinensis k\u00e9o d\u00e0i nhi\u1ec1u tu\u1ea7n, bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ed1t k\u00e9o d\u00e0i, \u0111au b\u1ee5ng, m\u1ec7t, gan to, x\u00e9t nghi\u1ec7m th\u1ea5y b\u1ea1ch c\u1ea7u \u00e1i toan t\u0103ng cao, t\u00ecm th\u1ea5y tr\u1ee9ng s\u00e1n l\u00e1 gan<\/strong><\/a> nh\u1ecf trong ph\u00e2n sau 3-4 tu\u1ea7n. C\u00f2n b\u1ec7nh c\u1ea5p do Opisthorchis viverrni g\u00e2y ra th\u00ec bi\u1ec3u hi\u1ec7n s\u1ed1t, \u0111au b\u1ee5ng, n\u1ed5i m\u1ec1 \u0111ay. <\/p>\n\n\n\n

B\u1ec7nh l\u00fd m\u1ea1n t\u00ednh<\/strong><\/h3>\n\n\n\n

M\u1ee9c \u0111\u1ed9 n\u1eb7ng bi\u1ebfn \u0111\u1ed5i, k\u00e9o d\u00e0i nhi\u1ec1u n\u0103m v\u00e0 th\u01b0\u1eddng \u00edt c\u00f3 tri\u1ec7u ch\u1ee9ng. Nhi\u1ec5m n\u1eb7ng khi ph\u00e1t hi\u1ec7n h\u01a1n 10.000 tr\u1ee9ng trong m\u1ed9t gam ph\u00e2n, l\u00fac n\u00e0y b\u1ec7nh nh\u00e2n s\u1ebd c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au b\u1ee5ng, m\u1ec7t, \u0103n kh\u00f4ng ti\u00eau, gan to, m\u1ec7t t\u1eebng c\u01a1n, \u0111\u1ea7y h\u01a1i, \u0103n u\u1ed1ng kh\u00f4ng ngon mi\u1ec7ng, s\u1ee5t c\u00e2n, ti\u00eau ch\u1ea3y., gan to v\u00e0 \u0111au. C\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p bao g\u1ed3m:<\/p>\n\n\n\n