{"id":103322,"date":"2020-01-09T00:00:00","date_gmt":"2020-01-09T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/san-la-gan-lon\/"},"modified":"2022-09-15T00:00:00","modified_gmt":"2022-09-15T00:00:00","slug":"san-la-gan-lon","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/truyen-nhiem\/san-la-gan-lon\/","title":{"rendered":"B\u1ec7nh s\u00e1n l\u00e1 gan l\u1edbn: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

S\u00e1n l\u00e1 gan l\u1edbn (Fasciola spp) l\u00e0 k\u00ed sinh tr\u00f9ng g\u00e2y b\u1ec7nh \u1edf \u0111\u1ed9ng v\u1eadt \u0103n c\u1ecf, k\u00fd sinh l\u1ea1c ch\u1ee7 \u1edf ng\u01b0\u1eddi c\u0169ng g\u00e2y m\u1ed9t s\u1ed1 b\u1ec7nh. N\u0103m 2013 \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi xem l\u00e0 c\u0103n b\u1ec7nh k\u00fd sinh tr\u00f9ng quan tr\u1ecdng \u1edf ng\u01b0\u1eddi. K\u00ed sinh tr\u00f9ng n\u00e0y l\u00e2y qua \u0111\u01b0\u1eddng th\u1ef1c ph\u1ea9m. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb c\u0103n c\u00e1c ca b\u1ec7nh n\u00e0y l\u00e0 c\u1ea7n thi\u1ebft nh\u1eb1m gi\u1ea3m thi\u1ebfu g\u00e1nh n\u1eb7ng y t\u1ebf. C\u00f9ng Docosan<\/a> t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 lo\u1ea1i k\u00ed sinh tr\u00f9ng n\u00e0y ngay trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/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 l\u1edbn<\/h2>\n\n\n\n

S\u00e1n tr\u01b0\u1edfng th\u00e0nh Fasciola spp. g\u00e2y b\u1ec7nh \u1edf ng\u01b0\u1eddi do 2 lo\u00e0i ch\u00ednh l\u00e0 F. hepatica v\u00e0 F. gigantica. S\u00e1n tr\u01b0\u1edfng th\u00e0nh c\u00f3 d\u1ea1ng h\u00ecnh chi\u1ebfc l\u00e1 d\u1eb9t, m\u00e0u tr\u1eafng h\u1ed3ng\/ x\u00e1m \u0111\u1ecf. \u0110\u0129a h\u00fat \u1edf mi\u1ec7ng nh\u1ecf, \u0111\u0129a h\u00fat \u1edf b\u1ee5ng to h\u01a1n. C\u1ea5u tr\u00fac b\u00ean trong s\u00e1n ph\u00e2n nhanh ph\u1ee9c t\u1ea1p, bu\u1ed3ng tr\u1ee9ng n\u1eb1m \u1edf b\u00ean ph\u1ea3i c\u01a1 th\u1ec3, tinh ho\u00e0n ph\u00e2n nh\u00e1nh r\u1ea5t nhi\u1ec1u, c\u00f3 th\u1ec3 n\u00f3i \u0111\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i s\u00e1n l\u01b0\u1ee1ng t\u00ednh. .<\/p>\n\n\n\n

Tr\u1ee9ng s\u00e1n c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t trong s\u1ed1 c\u00e1c lo\u1ea1i s\u00e1n, th\u01b0\u1eddng c\u00f3 m\u00e0u v\u00e0ng trong ph\u00e2n. <\/p>\n\n\n\n

\"s\u00e1n
H\u00ecnh \u1ea3nh s\u00e1n l\u00e1 gan l\u1edbn<\/figcaption><\/figure><\/div>\n\n\n\n

V\u00f2ng \u0111\u1eddi ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n la gan l\u1edbn<\/h2>\n\n\n\n

S\u00e1n la gan l\u1edbn Fasciola spp. tr\u01b0\u1edfng th\u00e0nh k\u00fd sinh \u1edf h\u1ec7 th\u1ed1ng \u0111\u01b0\u1eddng d\u1eabn m\u1eadt trong gan, t\u00fai m\u1eadt, \u0111\u1ebb tr\u1ee9ng \u1edf \u0111\u00e2y. Tr\u1ee9ng theo \u0111\u01b0\u1eddng m\u1eadt \u0111i xu\u1ed1ng ru\u1ed9t v\u00e0 theo ph\u00e2n b\u00e0i ti\u1ebft ra b\u00ean ngo\u00e0i m\u00f4i tr\u01b0\u1eddng. Tr\u1ee9ng r\u01a1i xu\u1ed1ng n\u01b0\u1edbc n\u1edf ra \u1ea5u tr\u00f9ng l\u00f4ng sau khi tr\u1ea3i qua tr\u1ea1ng th\u00e1i b\u00e0o t\u1eed nang, Redia. Sau \u0111\u00f3 \u1ea5u tr\u00f9ng l\u00f4ng b\u01a1i l\u1ed9i v\u00e0 \u0111\u1ebfn k\u00fd sinh \u1edf \u1ed1c Lymnaea ph\u00e1t tri\u1ec3n th\u00e0nh \u1ea5u tr\u00f9ng \u0111u\u00f4i. \u1ea4u tr\u00f9ng \u0111u\u00f4i r\u1eddi kh\u1ecfi \u1ed1c v\u00e0 ti\u1ebfp t\u1ee5c b\u01a1i trong n\u01b0\u1edbc \u0111\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh nang tr\u00f9ng. <\/p>\n\n\n\n

Khi c\u00e1c \u0111\u1ed9ng v\u1eadt nh\u01b0 tr\u00e2u, b\u00f2, hay con ng\u01b0\u1eddi u\u1ed1ng ph\u1ea3i n\u01b0\u1edbc c\u00f3 nang \u1ea5u tr\u00f9ng s\u1ebd b\u1ecb nhi\u1ec5m s\u00e1n. Nang tr\u00f9ng sau \u0111\u00f3 th\u00f3a kh\u1ecfi k\u00e9n v\u00e0 \u0111i xuy\u00ean qua c\u00e1c l\u1edbp c\u1ee7a th\u00e0nh ru\u1ed9t, th\u1eddi gian t\u1eeb khi nang tr\u00f9ng v\u00e0o \u0111\u1ebfn khi xu\u1ea5t hi\u1ec7n trong \u1ed5 b\u1ee5ng l\u00e0 2 gi\u1edd. Sau \u0111\u00f3 ch\u00fang ti\u1ebfp t\u1ee5c xuy\u00ean qua bao gan \u0111\u1ec3 k\u00fd sinh \u1edf gan. T\u1ea1i \u0111\u00e2y, ch\u00fang \u0103n c\u00e1c t\u1ed5 ch\u1ee9c gan v\u00e0 m\u00e1u, sau \u0111\u00f3 di chuy\u1ec3n xu\u1ed1ng \u1ed1ng m\u1eadt \u0111\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh d\u1ea1ng tr\u01b0\u1edfng th\u00e0nh trong kho\u1ea3ng 12 tu\u1ea7n. Th\u1eddi gian l\u00e2u nh\u1ea5t ghi nh\u1eadn ch\u00fang s\u1ed1ng trong gan \u0111\u1ebfn 11 n\u0103m. <\/p>\n\n\n\n

S\u00e1n s\u1ed1ng trung t\u00fai m\u1eadt v\u00e0 tr\u1ee9ng di chuy\u1ec3n theo ph\u00e2n ra ngo\u00e0i. Ghi nh\u1eadn m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p rau th\u1ee7y sinh c\u00f3 d\u00ednh c\u00e1c nang tr\u00f9ng nh\u01b0u rau c\u1ea3i xoong, rau m\u00f9i b\u1ea1c h\u00e0. <\/p>\n\n\n\n

\"s\u00e1n
V\u00f2ng \u0111\u1eddi ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n la gan l\u1edbn<\/figcaption><\/figure>\n\n\n\n

Y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5 c\u1ee7a s\u00e1n l\u00e1 gan l\u1edbn<\/h2>\n\n\n\n

V\u00ec c\u00f3 m\u1ed9t chu k\u1ef3 sinh h\u1ecdc v\u00e0 ph\u00e1t tri\u1ec3n ph\u1ee9c t\u1ea1p, n\u00ean s\u00e1n c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n qua cho c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt v\u00e0 con ng\u01b0\u1eddi th\u00f4ng qua nhi\u1ec1u h\u00ecnh th\u1ee9c. C\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 ngu\u1ed3n n\u01b0\u1edbc \u00f4 nhi\u1ec5m<\/strong> ch\u1ee9a nang tr\u00f9ng, ho\u1eb7c c\u00e1c lo\u1ea1i rau th\u1ee7y sinh,<\/strong> c\u00f3 t\u00e0i li\u1ec7u ghi nh\u1eadn c\u00e1c lo\u1ea1i rau \u0103n d\u1ea1ng “salad” c\u0169ng ph\u00e1t hi\u1ec7n th\u1ea5y nang tr\u00f9ng c\u1ee7a s\u00e1n l\u00e1 gan l\u1edbn. <\/p>\n\n\n\n

B\u1ec7nh ph\u00e2n b\u1ed1 kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u c\u00e1c m\u00f9a trong n\u0103m, t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u1edf ng\u01b0\u1eddi kh\u00f4ng t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi t\u00ecnh h\u00ecnh b\u1ec7nh t\u1eadt \u1edf gia s\u00fac. C\u00e1c nh\u00e0 d\u1ecbch t\u1ec5 h\u1ecdc nh\u1eadn \u0111\u1ecbnh b\u1ec7nh do s\u00e1n l\u00e1 l\u1edbn \u1edf gan l\u00e0 m\u1ed9t b\u1ec7nh nghi\u00eam tr\u1ecdng, con ng\u01b0\u1eddi kh\u00f4ng ch\u1ec9 l\u00e0 v\u1eadt ch\u1ee7 t\u00ecnh c\u1edd. <\/p>\n\n\n\n

K\u00ed ch\u1ee7 trung gian quan tr\u1ecdng l\u00e0 \u1ed1c Lymnaea, \u1edf Vi\u1ec7t Nam \u0111\u00e3 t\u00ecm ra \u0111\u01b0\u1ee3c hai v\u1eadt ch\u1ee7 trung gian c\u1ee7a F. gigantica \u0111\u00f3 l\u00e0 L. viridis, L. swinhoei. K\u00ed ch\u1ee7 trung gian 2 l\u00e0 c\u00e1c lo\u1ea1i rau \u0103n s\u1ed1ng th\u01b0\u1eddng g\u1eb7p nh\u01b0 c\u1ea3i xoong, rawu r\u0103m, x\u00e0 l\u00e1ch xoong, rau mu\u1ed1ng, rau di\u1ebfp c\u00e1, b\u1ea1c h\u00e0, rau \u0111\u1eafng. <\/p>\n\n\n\n

\"s\u00e1n
\u1ed0c Lymnaea l\u00e0 k\u00fd ch\u1ee7 trung gian c\u1ee7a m\u1ea7m b\u1ec7nh s\u00e1n l\u00e1 gan<\/figcaption><\/figure>\n\n\n\n

D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh do nhi\u1ec5m s\u00e1n l\u00e1 gan l\u1edbn<\/h2>\n\n\n\n

Nang tr\u00f9ng \u0111i v\u00e0o c\u01a1 th\u1ec3 ng\u01b0\u1eddi, x\u00e2m nh\u1eadp qua th\u00e0nh ru\u1ed9t ho\u1eb7c t\u00e1 tr\u00e0ng s\u1ebd g\u00e2y xu\u1ea5t huy\u1ebft v\u00e0 xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam t\u1ea1i ch\u1ed7 ho\u1eb7c \u1edf nh\u1eefng n\u01a1i m\u00e0 s\u00e1n c\u00f3 th\u1ec3 \u0111i t\u1edbi. Nguy hi\u1ec3m h\u01a1n, s\u00e1n c\u00f2n ph\u00e1 h\u1ee7y nhu m\u00f4 gan, ph\u00e1<\/em><\/strong> h\u1ee7y \u0111\u01b0\u1eddng m\u1eadt.<\/strong><\/em><\/p>\n\n\n\n

Giai \u0111o\u1ea1n c\u1ea5p:<\/strong> c\u00f2n g\u1ecdi l\u00e0 giai \u0111o\u1ea1n x\u00e2m nh\u1eadp, \u0111\u1ed9c t\u1ed1 c\u1ee7a s\u00e1n l\u00e0m t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 \u0111\u01b0\u1eddng m\u1eadt. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p gi\u1ed1ng nh\u01b0 trong b\u1ec7nh l\u00fd vi\u00eam gan ho\u1eb7c \u00e1p xe gan.<\/p>\n\n\n\n

\"s\u00e1n
S\u00e1n l\u00e1 gan l\u1edbn th\u01b0\u1eddng g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a gan<\/figcaption><\/figure>\n\n\n\n

Giai \u0111o\u1ea1n m\u1ea1n t\u00ednh:<\/strong> t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt, vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng m\u1eadt trong gan, vi\u00eam \u1ed1ng m\u1eadt ch\u1ee7, vi\u00eam t\u00fai m\u1eadt, x\u01a1 h\u00f3a ch\u00edt h\u1eb9p \u0111\u01b0\u1eddng m\u1eadt. Tri\u1ec7u ch\u1ee9ng hay g\u1eb7p l\u00e0 \u0111au b\u1ee5ng v\u00f9ng t\u1ed5n th\u01b0\u01a1ng v\u00e0 v\u00e0ng da sau \u0111\u00f3. C\u00f2n c\u00f3 th\u1ec3 ghi nh\u1eadn t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u do ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng m\u1eadt<\/p>\n\n\n\n