{"id":116157,"date":"2023-10-13T13:00:00","date_gmt":"2023-10-13T06:00:00","guid":{"rendered":"https:\/\/www.docosan.com\/blog\/?p=116157"},"modified":"2023-10-13T10:15:12","modified_gmt":"2023-10-13T03:15:12","slug":"benh-whitmore","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/truyen-nhiem\/benh-whitmore\/","title":{"rendered":"B\u1ec7nh whitmore l\u00e0 g\u00ec? 5 tri\u1ec7u ch\u1ee9ng nguy hi\u1ec3m khi m\u1eafc ph\u1ea3i"},"content":{"rendered":"\n

Th\u00f4ng th\u01b0\u1eddng, b\u1ec7nh whitmore r\u1ea5t kh\u00f3 ph\u00e1t hi\u1ec7n do d\u1ec5 b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c c\u0103n b\u1ec7nh kh\u00e1c b\u1edfi kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng, khi ph\u00e1t hi\u1ec7n ra th\u00ec b\u1ec7nh whitmore \u0111\u00e3 di\u1ec5n ti\u1ebfn n\u1eb7ng. Tuy v\u1eady, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p m\u1eb7c d\u00f9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00fang b\u1ec7nh nh\u01b0ng vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u0169ng v\u00f4 c\u00f9ng kh\u00f3 kh\u0103n v\u00e0 nguy c\u01a1 t\u1eed vong cao. V\u1eady, nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra b\u1ec7nh whitmore, v\u00ec sao b\u1ec7nh whitmore nguy hi\u1ec3m v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ra sao? H\u00e3y c\u00f9ng Doctor c\u00f3 s\u1eb5n<\/a> t\u00ecm hi\u1ec3u qua b\u00e0i vi\u1ebft n\u00e0y. <\/strong><\/p>\n\n\n\n

\n
\"b\u1ec7nh<\/figure>\n<\/figure>\n\n\n\n

B\u1ec7nh whitmore l\u00e0 g\u00ec?<\/h2>\n\n\n\n

Ngu\u1ed3n g\u1ed1c<\/h3>\n\n\n\n

B\u1ec7nh whitmore hay trong thu\u1eadt ng\u1eef y khoa c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh melioidosis , \u0111\u00e2y th\u1ef1c ch\u1ea5t l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh nguy hi\u1ec3m g\u1eb7p \u1edf ng\u01b0\u1eddi v\u00e0 m\u1ed9t s\u1ed1 lo\u00e0i \u0111\u1ed9ng v\u1eadt nh\u01b0 heo, ch\u00f3, c\u1eebu, d\u00ea, m\u00e8o, ng\u1ef1a,… B\u1ec7nh do b\u00e1c s\u0129 Afred Whitmore m\u00f4 t\u1ea3 n\u0103m 1912 t\u1ea1i Mi\u1ebfn \u0110i\u1ec7n (Myanmar ng\u00e0y nay), t\u1eeb \u0111\u00f3 l\u1ea5y t\u00ean l\u00e0 b\u1ec7nh whitmore.<\/p>\n\n\n\n

B\u1ec7nh whitmore v\u1ed1n do m\u1ed9t lo\u1ea1i vi khu\u1ea9n s\u1ed1ng trong b\u00f9n \u0111\u1ea5t, n\u01b0\u1edbc b\u1ecb \u00f4 nhi\u1ec5m v\u00e0 x\u00e2m nh\u1eadp ch\u1ee7 y\u1ebfu qua da b\u1edfi s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n v\u00e0o c\u00e1c v\u1ebft tr\u1ea7y x\u01b0\u1edbc. Ngo\u00e0i ra, b\u1ec7nh whitmore c\u00f3 th\u1ec3 l\u00e2y qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p khi h\u00edt ph\u1ea3i h\u1ea1t b\u1ee5i \u0111\u1ea5t, c\u00e1c gi\u1ecdt n\u01b0\u1edbc li ti trong gi\u00f3, m\u01b0a,… mang m\u1ea7m b\u1ec7nh v\u00e0o c\u01a1 th\u1ec3.<\/p>\n\n\n\n

Trao \u0111\u1ed5i v\u1edbi chuy\u00ean gia b\u1ec7nh truy\u1ec1n nhi\u1ec5m \u0111\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin:<\/p>\n\n\n\n

\u0110\u1eb6T H\u1eb8N KH\u00c1M B\u1ec6NH WHITMORE<\/a> <\/div> \n\n\n\n

D\u1ecbch t\u1ec5<\/h3>\n\n\n\n

Hi\u1ec7n ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng b\u1ec7nh whitmore l\u00e2y t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi ho\u1eb7c t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi, \u0111\u00e2y l\u00e0 b\u1ec7nh kh\u00f4ng th\u01b0\u1eddng g\u1eb7p, kh\u00f4ng l\u00e2y lan th\u00e0nh d\u1ecbch. B\u1ec7nh ghi nh\u1eadn s\u1ed1 ca m\u1eafc cao ch\u1ee7 y\u1ebfu t\u1ea1i B\u1eafc \u00dac v\u00e0 khu v\u1ef1c \u0110\u00f4ng Nam \u00c1, Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p l\u1ebb t\u1ebb Trung v\u00e0 Nam M\u1ef9, Trung \u0110\u00f4ng, ch\u00e2u Phi,. Ri\u00eang t\u1ea1i Vi\u1ec7t Nam, b\u1ec7nh whitmore \u0111\u01b0\u1ee3c ghi nh\u1eadn \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 1925 t\u1ea1i TP.HCM sao \u0111\u00f3 xu\u1ea5t hi\u1ec7n r\u1ea3i r\u00e1c \u1edf m\u1ed9t s\u1ed1 \u0111\u1ecba ph\u01b0\u01a1ng \u0111\u00e3 ghi nh\u1eadn. <\/p>\n\n\n\n

Theo b\u00e1o c\u00e1o c\u1ee7a B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng v\u00e0 h\u1ec7 th\u1ed1ng gi\u00e1m s\u00e1t b\u1ec7nh truy\u1ec1n nhi\u1ec5m \u0111\u00e3 ghi nh\u1eadn 2 ca m\u1eafc nhi\u1ec5m khu\u1ea9n whitmore \u1edf tr\u1ebb em t\u1ea1i th\u1ecb x\u00e3 Nghi S\u01a1n, huy\u1ec7n N\u00f4ng C\u1ed1ng, t\u1ec9nh Thanh H\u00f3a v\u00e0 1 ca ng\u01b0\u1eddi l\u1edbn \u1edf huy\u1ec7n Kr\u00f4ng P\u1eafc, t\u1ec9nh \u0110\u0103k L\u0103k. Tuy b\u1ec7nh whitmore l\u00e0 c\u0103n b\u1ec7nh kh\u00f4ng th\u01b0\u1eddng g\u1eb7p, kh\u00f4ng g\u00e2y th\u00e0nh d\u1ecbch nh\u01b0ng t\u1ef7 l\u1ec7 t\u1eed vong cao, nh\u1ea5t l\u00e0 nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 b\u1ec7nh n\u1ec1n.<\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n b\u1ec7nh whitmore<\/h1>\n\n\n\n

B\u1ec7nh whitmore l\u00e0 c\u0103n b\u1ec7nh truy\u1ec1n nhi\u1ec5m g\u00e2y n\u00ean b\u1edfi ch\u1ee7ng vi khu\u1ea9n Burkholderia pseudomallei. <\/em>\u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i vi khu\u1ea9n gram \u00e2m h\u00ecnh que, hi\u1ebfu kh\u00ed, c\u00f3 kh\u1ea3 n\u0103ng c\u1eed \u0111\u1ed9ng b\u1eb1ng ti\u00eam mao. Ch\u00fang s\u1ed1ng trong \u0111\u1ea5t c\u00e1c v\u00f9ng nhi\u1ec7t \u0111\u1edbi v\u00e0 c\u1eadn nhi\u1ec7t \u0111\u1edbi tr\u00ean th\u1ebf gi\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf Th\u00e1i Lan v\u00e0 B\u1eafc \u00dac. <\/p>\n\n\n\n

Vi khu\u1ea9n g\u00e2y b\u1ec7nh whitmore c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n trong m\u00f4i tr\u01b0\u1eddng nh\u00e2n t\u1ea1o ch\u1ee9a betaine hay arginine. Khi b\u1ecb nhi\u1ec5m B. pseudomallei <\/em>\u1edf b\u1ec7nh whitmore t\u1ef7 l\u1ec7 t\u1eed vong r\u1ea5t cao t\u1eeb 20 – 50% ngay c\u1ea3 khi \u0111i\u1ec1u tr\u1ecb. Hi\u1ec7n t\u1ea1i ch\u01b0a c\u00f3 v\u1eafc – xin \u0111\u1eb7c tr\u1ecb vi khu\u1ea9n n\u00e0y \u0111\u1ec3 ch\u1ed1ng l\u1ea1i b\u1ec7nh whitmore. Ngo\u00e0i ra, nguy\u00ean nh\u00e2n b\u1ec7nh whitmore c\u0169ng l\u00e0 c\u0103n nguy\u00ean c\u1ee7a b\u1ec7nh lo\u00e9t m\u0169i truy\u1ec1n nhi\u1ec5m \u1edf ng\u1ef1a, l\u1eeba v\u00e0 la kh\u00e1 t\u01b0\u01a1ng \u0111\u1ed3ng v\u1edbi tri\u1ec7u ch\u1ee9ng b\u1ec7nh \u1edf ng\u01b0\u1eddi.<\/p>\n\n\n\n

\n
\"Nhi\u1ec5m
Nhi\u1ec5m khu\u1ea9n whitmore do vi khu\u1ea9n Burkholderia pseudomallei<\/figcaption><\/figure>\n<\/figure>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng b\u1ec7nh whitmore<\/h2>\n\n\n\n

Khi b\u1ecb nhi\u1ec5m tr\u00f9ng \u1edf c\u00e1c v\u1ecb tr\u00ed c\u01a1 quan kh\u00e1c nhau th\u00ec tri\u1ec7u ch\u1ee9ng b\u1ec7nh whitmore<\/a> c\u0169ng s\u1ebd kh\u00e1c nhau:<\/p>\n\n\n\n

Nhi\u1ec5m tr\u00f9ng ph\u1ed5i<\/h3>\n\n\n\n

T\u00e1c \u0111\u1ed9ng c\u1ee7a nhi\u1ec5m tr\u00f9ng ph\u1ed5i c\u00f3 th\u1ec3 g\u00e2y vi\u00eam ph\u1ebf qu\u1ea3n nh\u1eb9 cho \u0111\u1ebfn vi\u00eam ph\u1ed5i n\u1eb7ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 s\u1ed1t, nh\u1ee9c \u0111\u1ea7u, ch\u00e1n \u0103n, ho, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c v\u00e0 \u0111au nh\u1ee9c c\u01a1.<\/p>\n\n\n\n

\n
\"b\u1ec7nh
B\u1ec7nh whitmore d\u1ec5 g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng s\u1ed1t<\/figcaption><\/figure>\n<\/figure>\n\n\n\n

Nhi\u1ec5m tr\u00f9ng c\u1ee5c b\u1ed9<\/h3>\n\n\n\n

\u0110au ho\u1eb7c s\u01b0ng \u1edf m\u1ed9t v\u00f9ng nh\u1ea5t \u0111\u1ecbnh (khu tr\u00fa), ch\u1eb3ng h\u1ea1n nh\u01b0 tuy\u1ebfn mang tai, n\u01a1i th\u01b0\u1eddng li\u00ean quan nh\u1ea5t v\u1edbi quai b\u1ecb v\u00e0 n\u1eb1m b\u00ean d\u01b0\u1edbi, ph\u00eda tr\u01b0\u1edbc tai.<\/p>\n\n\n\n

Nhi\u1ec5m tr\u00f9ng tr\u00ean da<\/h3>\n\n\n\n

G\u00e2y vi\u00eam m\u00f4 t\u1ebf b\u00e0o v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u \u0111au ho\u1eb7c s\u01b0ng, lo\u00e9t k\u00e8m \u00e1p xe, c\u00f3 th\u1ec3 g\u00e2y s\u1ed1t v\u00e0 \u0111au c\u01a1.<\/p>\n\n\n\n

Nhi\u1ec5m tr\u00f9ng m\u00e1u<\/h3>\n\n\n\n

N\u1ebfu vi khu\u1ea9n Burkholderia pseudomallei <\/em>x\u00e2m nh\u1eadp v\u00e0o m\u00e1u s\u1ebd g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng m\u00e1u v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng g\u1ed3m: s\u1ed1t cao r\u00e9t run, \u0111au \u0111\u1ea7u, \u0111au h\u1ecdng, kh\u00f3 th\u1edf, \u0111au v\u00f9ng b\u1ee5ng tr\u00ean, ti\u00eau ch\u1ea3y, \u0111au kh\u1edbp v\u00e0 \u0111au c\u01a1, v\u1ebft lo\u00e9t c\u00f3 m\u1ee7 tr\u00ean da,…<\/p>\n\n\n\n

Nhi\u1ec5m tr\u00f9ng lan t\u1ecfa<\/h3>\n\n\n\n

V\u1ebft lo\u00e9t h\u00ecnh th\u00e0nh \u1edf nhi\u1ec1u c\u01a1 quan kh\u00e1c nhau r\u1ea3i r\u00e1c tr\u00ean c\u01a1 th\u1ec3, g\u00e2y s\u1ee5t c\u00e2n, \u0111au \u0111\u1ea7u, co gi\u1eadt, \u0111au \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau nh\u01b0 ng\u1ef1c, d\u1ea1 d\u00e0y, c\u01a1 v\u00e0 kh\u1edbp.<\/p>\n\n\n\n

\u0110\u1eb7t h\u1eb9n kh\u00e1m n\u1ebfu c\u01a1 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u1ed9t ho\u1eb7c nhi\u1ec1u tri\u1ec7u ch\u1ee9ng tr\u00ean:<\/p>\n\n\n\n

\u0110\u1eb6T H\u1eb8N KH\u00c1M B\u1ec6NH WHITMORE<\/a> <\/div> \n\n\n\n
\n
\"\u0110au
\u0110au nh\u1ee9c x\u01b0\u01a1ng kh\u1edbp l\u00e0 tri\u1ec7u ch\u1ee9ng b\u1ec7nh whitmore<\/figcaption><\/figure>\n<\/figure>\n\n\n\n

B\u1ec7nh whitmore nguy hi\u1ec3m ra sao?<\/h2>\n\n\n\n

Nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m khu\u1ea9n whitmore th\u01b0\u1eddng c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao t\u1eeb 20 – 50%. Trong tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m khu\u1ea9n c\u1ea5p c\u00f3 th\u1ec3 t\u1eed vong trong v\u00f2ng 1 tu\u1ea7n k\u1ec3 t\u1eeb khi ph\u00e1t b\u1ec7nh. Khi \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c b\u1eb1ng kh\u00e1ng sinh v\u00e0 h\u1ed3i s\u1ee9c, c\u00e1c t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh s\u1ebd c\u00f3 c\u01a1 h\u1ed9i ph\u1ee5c h\u1ed3i 50%, nh\u01b0ng t\u1ef7 l\u1ec7 t\u1eed vong v\u1eabn cao, kho\u1ea3ng g\u1ea7n 40%. <\/p>\n\n\n\n

C\u00f3 th\u1ec3 c\u1ee5m t\u1eeb \u201cvi khu\u1ea9n \u0103n th\u1ecbt ng\u01b0\u1eddi\u201d gi\u1ea3i th\u00edch cho m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng khi b\u1ecb vi khu\u1ea9n B. pseudomallei t\u1ea5n c\u00f4ng l\u00e0 b\u1edfi n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ho\u1ea1i t\u1eed, l\u00e0m ch\u1ebft c\u00e1c m\u00f4 trong c\u01a1 th\u1ec3, \u1edf da th\u00ec g\u00e2y vi\u00eam lo\u00e9t, \u00e1p xe. Tr\u00ean ph\u1ed5i th\u00ec g\u00e2y vi\u00eam n\u1eb7ng; \u1edf trong m\u00e1u th\u00ec g\u00e2y nhi\u1ec5m tr\u00f9ng m\u00e1u lan t\u1ecfa trong c\u01a1 th\u1ec3,…<\/p>\n\n\n\n

V\u00ec l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd nguy hi\u1ec3m n\u00ean b\u1ea1n c\u1ea7n ch\u1ee7 \u0111\u1ed9ng kh\u00e1m ngay khi c\u01a1 th\u1ec3 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng:<\/p>\n\n\n\n

\u0110\u1eb6T H\u1eb8N KH\u00c1M B\u1ec6NH WHITMORE<\/a> <\/div> \n\n\n\n

B\u1ec7nh whitmore kh\u00e1m \u1edf \u0111\u00e2u, b\u00e1c s\u0129 n\u00e0o t\u01b0 v\u1ea5n?<\/h2>\n\n\n\n

M\u1ed9t s\u1ed1 \u0111\u1ecba ch\u1ec9 uy t\u00edn m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u1eb7t l\u1ecbch h\u1eb9n kh\u00e1m b\u1ec7nh whitmore n\u1ebfu khi ng\u1edd m\u1eafc ph\u1ea3i:<\/p>\n\n\n\n

Ph\u00f2ng kh\u00e1m \u0110a khoa Qu\u1ed1c t\u1ebf Victoria Healthcare – Qu\u1eadn 1, TPHCM<\/h3>\n\n\n\n

Ph\u00f2ng kh\u00e1m Victoria Healthcare<\/a> c\u00f3 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 gi\u00e0u kinh nghi\u1ec7m v\u00e0 c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n cao trong c\u00e1c l\u0129nh v\u1ef1c y t\u1ebf kh\u00e1c nhau. H\u1ecd kh\u00f4ng ch\u1ec9 c\u00f3 ki\u1ebfn th\u1ee9c s\u00e2u v\u1ec1 y khoa m\u00e0 c\u00f2n lu\u00f4n \u0111\u1eb7t l\u1ee3i \u00edch v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n l\u00ean h\u00e0ng \u0111\u1ea7u. V\u1edbi s\u1ef1 t\u1eadn t\u00e2m v\u00e0 chuy\u00ean nghi\u1ec7p, \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 t\u1ea1i ph\u00f2ng kh\u00e1m n\u00e0y cam k\u1ebft mang l\u1ea1i cho b\u1ea1n s\u1ef1 y\u00ean t\u00e2m v\u00e0 s\u1ef1 ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t.<\/p>\n\n\n\n

Chuy\u00ean khoa N\u1ed9i T\u1ed5ng h\u1ee3p c\u1ee7a ph\u00f2ng kh\u00e1m l\u00e0 \u0111\u01a1n v\u1ecb s\u1ebd ti\u1ebfp nh\u1eadn c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd m\u1eafc b\u1ec7nh whitmore.<\/p>\n\n\n\n