{"id":17574,"date":"2022-01-04T20:55:49","date_gmt":"2022-01-04T20:55:49","guid":{"rendered":"https:\/\/www.lifescienceart.com\/?p=17574"},"modified":"2022-01-04T20:55:49","modified_gmt":"2022-01-04T20:55:49","slug":"roundworm-infection-human-brain-rare-case","status":"publish","type":"post","link":"https:\/\/www.lifescienceart.com\/vi\/science\/medical-science\/roundworm-infection-human-brain-rare-case\/","title":{"rendered":"Nhi\u1ec5m k\u00fd sinh tr\u00f9ng n\u00e3o do giun \u0111\u0169a: M\u1ed9t tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm v\u00e0 g\u00e2y s\u1ed1c!"},"content":{"rendered":"

Nhi\u1ec5m giun \u0111\u0169a \u1edf n\u00e3o ng\u01b0\u1eddi: M\u1ed9t tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p v\u00e0 b\u1ea5t th\u01b0\u1eddng<\/h2>\n\n

Ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng n\u00e3o<\/h2>\n\n

V\u00e0o n\u0103m 2021, m\u1ed9t ph\u1ee5 n\u1eef \u00dac 64 tu\u1ed5i \u0111\u00e3 b\u1ecb \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1ec1 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Ban \u0111\u1ea7u, c\u00e1c b\u00e1c s\u0129 nghi ng\u1edd t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng nh\u01b0ng kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n. C\u00e1c x\u00e9t nghi\u1ec7m ti\u1ebfp theo cho th\u1ea5y l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan cao, cho th\u1ea5y kh\u1ea3 n\u0103ng nhi\u1ec5m k\u00fd sinh tr\u00f9ng. Ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c cho d\u00f9ng thu\u1ed1c ch\u1ed1ng k\u00fd sinh tr\u00f9ng nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1eabn dai d\u1eb3ng.<\/p>\n\n

M\u1ed9t ph\u00e1t hi\u1ec7n g\u00e2y s\u1ed1c<\/h2>\n\n

Sau \u0111\u00f3, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb cho th\u1ea5y m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u0111ang ph\u00e1t tri\u1ec3n trong n\u00e3o c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. Trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt th\u1ea7n kinh Hari Priya Bandi \u0111\u00e3 ch\u1ee9ng ki\u1ebfn c\u1ea3nh t\u01b0\u1ee3ng b\u1ea5t ng\u1edd: m\u1ed9t con giun \u0111\u0169a s\u1ed1ng d\u00e0i ba inch \u0111ang ng\u1ecd ngu\u1eady trong n\u00e3o b\u1ec7nh nh\u00e2n. Con giun \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 Ophidascaris robertsi, lo\u00e0i th\u01b0\u1eddng th\u1ea5y \u1edf tr\u0103n th\u1ea3m.<\/p>\n\n

L\u00e2y truy\u1ec1n v\u00e0 r\u1ee7i ro<\/h2>\n\n

Ophidascaris robertsi l\u00e0 m\u1ed9t lo\u1ea1i k\u00fd sinh tr\u00f9ng l\u00e2y nhi\u1ec5m cho r\u1eafn v\u00e0 ho\u00e0n th\u00e0nh v\u00f2ng \u0111\u1eddi th\u00f4ng qua vi\u1ec7c \u0103n ph\u1ea3i \u0111\u1ed9ng v\u1eadt c\u00f3 v\u00fa nh\u1ecf b\u1ecb nhi\u1ec5m b\u1ec7nh. Ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c cho l\u00e0 \u0111\u00e3 v\u00f4 t\u00ecnh \u0103n ph\u1ea3i tr\u1ee9ng giun khi t\u00ecm ki\u1ebfm th\u1ef1c v\u1eadt \u0103n \u0111\u01b0\u1ee3c g\u1ea7n nh\u00e0. \u0110\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m Ophidascaris \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn \u1edf ng\u01b0\u1eddi.<\/p>\n\n

C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef ti\u1ebfn tri\u1ec3n bao g\u1ed3m hay qu\u00ean v\u00e0 tr\u1ea7m c\u1ea3m, bi\u1ec3u hi\u1ec7n nhi\u1ec5m tr\u00f9ng n\u00e3o. T\u00ednh ch\u1ea5t hi\u1ebfm g\u1eb7p c\u1ee7a t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u1ec7c thi\u1ebfu c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n \u0111\u1eb7c hi\u1ec7u khi\u1ebfn vi\u1ec7c x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n tr\u1edf n\u00ean kh\u00f3 kh\u0103n. Tuy nhi\u00ean, vi\u1ec7c ph\u00e1t hi\u1ec7n ra con giun trong n\u00e3o \u0111\u00e3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n\n

\u0110i\u1ec1u tr\u1ecb v\u00e0 ph\u1ee5c h\u1ed3i<\/h2>\n\n

Ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng th\u00eam thu\u1ed1c ch\u1ed1ng k\u00fd sinh tr\u00f9ng v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u00e0 d\u1ea7n thuy\u00ean gi\u1ea3m. B\u00e0 v\u1eabn \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia y t\u1ebf theo d\u00f5i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ecdi di ch\u1ee9ng v\u1ec1 l\u00e2u d\u00e0i.<\/p>\n\n

T\u1ea7m quan tr\u1ecdng c\u1ee7a an to\u00e0n th\u1ef1c ph\u1ea9m v\u00e0 r\u1eeda tay<\/h2>\n\n

Tr\u01b0\u1eddng h\u1ee3p n\u00e0y nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a an to\u00e0n th\u1ef1c ph\u1ea9m v\u00e0 r\u1eeda tay \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u00e1c b\u1ec7nh nhi\u1ec5m k\u00fd sinh tr\u00f9ng. Nh\u1eefng ng\u01b0\u1eddi tr\u1ed3ng tr\u1ecdt ho\u1eb7c t\u00ecm ki\u1ebfm th\u1ee9c \u0103n \u1edf nh\u1eefng khu v\u1ef1c c\u00f3 \u0111\u1ed9ng v\u1eadt c\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u0103m ch\u1ec9 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y.<\/p>\n\n

B\u1ec7nh l\u00e2y t\u1eeb \u0111\u1ed9ng v\u1eadt v\u00e0 s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u<\/h2>\n\n

Ca nhi\u1ec5m tr\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y l\u00e0 l\u1eddi nh\u1eafc nh\u1edf v\u1ec1 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh l\u00e2y t\u1eeb \u0111\u1ed9ng v\u1eadt, v\u1ed1n l\u00e0 c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi. Khi con ng\u01b0\u1eddi ng\u00e0y c\u00e0ng l\u1ea5n chi\u1ebfm m\u00f4i tr\u01b0\u1eddng s\u1ed1ng c\u1ee7a \u0111\u1ed9ng v\u1eadt, kh\u1ea3 n\u0103ng m\u1eafc c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng nh\u01b0 v\u1eady c\u00e0ng t\u0103ng cao.<\/p>\n\n

Th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/h2>\n\n

Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng hi\u1ebfm g\u1eb7p v\u00e0 b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 r\u1ea5t kh\u00f3 kh\u0103n. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n ban \u0111\u1ea7u \u0111\u01b0\u1ee3c cho l\u00e0 do c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd kh\u00e1c, khi\u1ebfn vi\u1ec7c x\u00e1c \u0111\u1ecbnh k\u00fd sinh tr\u00f9ng b\u1ecb ch\u1eadm tr\u1ec5. Ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u.<\/p>\n\n

S\u1ee9c m\u1ea1nh ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n<\/h2>\n\n

Trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111\u1ed1i m\u1eb7t v\u1edbi th\u1eed th\u00e1ch, ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u00e3 th\u1ec3 hi\u1ec7n s\u1ee9c m\u1ea1nh ph\u1ee5c h\u1ed3i v\u00e0 l\u00f2ng d\u0169ng c\u1ea3m. B\u00e0 \u0111\u00e3 chi\u1ebfn \u0111\u1ea5u v\u1edbi c\u0103n b\u1ec7nh nhi\u1ec5m tr\u00f9ng hi\u1ebfm g\u1eb7p v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u1edbi s\u1ef1 ki\u00ean nh\u1eabn v\u00e0 quy\u1ebft t\u00e2m. Kinh nghi\u1ec7m c\u1ee7a b\u00e0 nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c t\u00ecm ki\u1ebfm s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf \u0111\u1ed1i v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng ho\u1eb7c kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n\n

\u00dd ngh\u0129a \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u<\/h2>\n\n

Tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u0169ng nh\u1ea5n m\u1ea1nh \u0111\u1ebfn nhu c\u1ea7u nghi\u00ean c\u1ee9u v\u00e0 h\u1ee3p t\u00e1c li\u00ean t\u1ee5c \u0111\u1ec3 gi\u1ea3i quy\u1ebft nh\u1eefng m\u1ed1i \u0111e d\u1ecda m\u1edbi n\u1ed5i t\u1eeb c\u00e1c b\u1ec7nh l\u00e2y t\u1eeb \u0111\u1ed9ng v\u1eadt. B\u1eb1ng c\u00e1ch hi\u1ec3u r\u00f5 c\u00e1c con \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng n\u00e0y, ch\u00fang ta c\u00f3 th\u1ec3 x\u00e2y d\u1ef1ng c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba v\u00e0 ki\u1ec3m so\u00e1t hi\u1ec7u qu\u1ea3 nh\u1eb1m b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe con ng\u01b0\u1eddi tr\u00ean to\u00e0n c\u1ea7u.<\/p>","protected":false},"excerpt":{"rendered":"

Nhi\u1ec5m giun \u0111\u0169a \u1edf n\u00e3o ng\u01b0\u1eddi: M\u1ed9t tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p v\u00e0 b\u1ea5t th\u01b0\u1eddng Ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng n\u00e3o V\u00e0o n\u0103m 2021, m\u1ed9t ph\u1ee5 n\u1eef \u00dac 64 tu\u1ed5i…<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3029],"tags":[23088,23090,23086,23089,23087],"class_list":["post-17574","post","type-post","status-publish","format-standard","hentry","category-medical-science","tag-zoonosis","tag-medical-anomaly","tag-roundworm","tag-parasite","tag-brain-infection"],"_links":{"self":[{"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/posts\/17574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/comments?post=17574"}],"version-history":[{"count":1,"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/posts\/17574\/revisions"}],"predecessor-version":[{"id":17575,"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/posts\/17574\/revisions\/17575"}],"wp:attachment":[{"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/media?parent=17574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/categories?post=17574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifescienceart.com\/vi\/wp-json\/wp\/v2\/tags?post=17574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}