{"id":19973,"date":"2023-04-13T15:00:56","date_gmt":"2023-04-13T08:00:56","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=19973"},"modified":"2023-04-13T15:00:56","modified_gmt":"2023-04-13T08:00:56","slug":"canh-bao-ngo-doc-do-vi-khuan-clostridium-botulinum","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/04\/13\/canh-bao-ngo-doc-do-vi-khuan-clostridium-botulinum\/","title":{"rendered":"C\u1ea3nh b\u00e1o ng\u1ed9 \u0111\u1ed9c do vi khu\u1ea9n Clostridium Botulinum"},"content":{"rendered":"<p><strong><em>Vi khu\u1ea9n Clostridium Botulinum ch\u1ee9a \u0111\u1ed9c t\u1ed1 g\u00e2y ra b\u1ec7nh c\u1ea5p t\u00ednh r\u1ea5t m\u1ea1nh, l\u00e0m ph\u00e1 h\u1ee7y th\u1ea7n kinh trung \u01b0\u01a1ng. N\u00f3 t\u1eebng g\u00e2y ra v\u1ee5 ng\u1ed9 \u0111\u1ed9c do \u0103n ph\u1ea3i pat\u00ea chay v\u00e0 g\u1ea7n \u0111\u00e2y nh\u1ea5t \u0103n c\u00e1 ch\u00e9p mu\u1ed1i \u1ee7 chua. \u0110\u00e2y th\u1ef1c s\u1ef1 l\u00e0 lo\u1ea1i \u0111\u1ed9c t\u1ed1 g\u00e2y n\u00ean n\u1ed7i \u00e1m \u1ea3nh l\u1edbn v\u00ec nguy c\u01a1 t\u1eed vong cao, \u1ea3nh h\u01b0\u1edfng s\u1ee9c kh\u1ecfe n\u1eb7ng n\u1ec1 trong khi ngu\u1ed3n thu\u1ed1c gi\u1ea3i \u0111\u1ed9c l\u1ea1i hi\u1ebfm.<\/em><\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-19974 alignleft\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/04\/NgoDocdoVK.jpg\" alt=\"\" width=\"640\" height=\"335\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/04\/NgoDocdoVK.jpg 640w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/04\/NgoDocdoVK-300x157.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>Clostridium Botulinum l\u00e0 tr\u1ef1c khu\u1ea9n k\u1ef5 kh\u00ed, c\u00f3 nha b\u00e0o. Nhi\u1ec7t \u0111\u1ed9 th\u00edch h\u1ee3p cho vi khu\u1ea9n ph\u00e1t tri\u1ec3n t\u1eeb 3,5 \u0111\u1ebfn 48 \u0111\u1ed9 C. Khi \u0103n th\u1ef1c ph\u1ea9m nhi\u1ec5m Clostridium botulinum sinh \u0111\u1ed9c t\u1ed1 s\u1ebd v\u00e0o d\u1ea1 d\u00e0y ru\u1ed9t v\u00e0 \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 ch\u1ee7 y\u1ebfu \u1edf t\u00e1 tr\u00e0ng v\u00e0 h\u1ed7ng tr\u00e0ng v\u00e0o m\u00e1u t\u1edbi c\u01a1 quan \u0111\u00edch thu\u1ed9c h\u1ec7 v\u1eadn \u0111\u1ed9ng \u1edf\u00a0th\u1ea7n kinh ngo\u1ea1i bi\u00ean. B\u1ec7nh xu\u1ea5t hi\u1ec7n nhanh 6 &#8211; 48 gi\u1edd sau khi \u0103n th\u1ef1c ph\u1ea9m nhi\u1ec5m \u0111\u1ed9c, ph\u1ed5 bi\u1ebfn 12-36 gi\u1edd sau \u0103n, \u0111\u00f4i khi c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn 6-8 ng\u00e0y. Theo C\u1ee5c An to\u00e0n th\u1ef1c ph\u1ea9m, \u0111\u1ed9c t\u1ed1 botulinum \u0111\u01b0\u1ee3c sinh ra do vi khu\u1ea9n Clostridium botulinum trong m\u00f4i tr\u01b0\u1eddng k\u1ef5 kh\u00ed. C\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb rau, c\u1ee7, qu\u1ea3, th\u1ecbt, h\u1ea3i s\u1ea3n l\u00ean men, \u0111\u00f3ng h\u1ed9p kh\u00f4ng \u0111\u1ea3m b\u1ea3o \u0111i\u1ec1u ki\u1ec7n an to\u00e0n th\u1ef1c ph\u1ea9m c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m vi khu\u1ea9n Clostridium botulinum v\u00e0 sinh \u0111\u1ed9c t\u1ed1 botulinum.<\/p>\n<p>Sau khi \u0103n th\u1ee9c \u0103n nhi\u1ec5m \u0111\u1ed9c t\u1ed1 botulinum b\u1ec7nh nh\u00e2n bi\u1ec3u hi\u1ec7n li\u1ec7t theo tr\u00ecnh t\u1ef1 li\u1ec7t b\u1eaft \u0111\u1ea7u t\u1eeb v\u00f9ng \u0111\u1ea7u m\u1eb7t c\u1ed5 nh\u01b0 kh\u00f3 nu\u1ed1t, \u0111au h\u1ecdng, kh\u00f3 n\u00f3i, kh\u00e0n gi\u1ecdng, m\u1eaft kh\u00f4ng m\u1edf \u0111\u01b0\u1ee3c, lan xu\u1ed1ng hai tay, sau \u0111\u00f3 t\u1edbi hai ch\u00e2n, li\u1ec7t c\u00e1c c\u01a1 h\u00f4 h\u1ea5p (kh\u00f2 kh\u00e8, \u1ee9 \u0111\u1ecdng \u0111\u1eddm r\u00e3i \u1edf h\u1ecdng, kh\u00f3 th\u1edf). \u0110\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh l\u00e0 li\u1ec7t m\u1ec1m, \u0111\u1ed1i x\u1ee9ng hai b\u00ean, lan xu\u1ed1ng b\u1eaft \u0111\u1ea7u t\u1eeb v\u00f9ng \u0111\u1ea7u xu\u1ed1ng ch\u00e2n. \u0110\u1eb7c bi\u1ec7t b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c v\u00e0 b\u1ec7nh nh\u00e2n v\u1eabn t\u1ec9nh t\u00e1o. Tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a c\u00f3 th\u1ec3 g\u1eb7p l\u00e0 bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au b\u1ee5ng, gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t. Li\u1ec7t n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y suy h\u00f4 h\u1ea5p l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong. Tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 c\u00f3 th\u1ec3 ch\u1ec9 y\u1ebfu m\u1ecfi c\u00e1c c\u01a1 gi\u1ed1ng nh\u01b0 suy nh\u01b0\u1ee3c, kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c \u0111\u1ed9ng t\u00e1c g\u1eafng s\u1ee9c. Th\u1eddi gian li\u1ec7t k\u00e9o d\u00e0i, trung b\u00ecnh th\u1eddi gian th\u1edf m\u00e1y \u1edf c\u00e1c b\u1ec7nh nh\u00e2n l\u00e0 2 th\u00e1ng, c\u00f3 th\u1ec3 l\u00e2u h\u01a1n v\u00e0 c\u1ea7n nhi\u1ec1u th\u00e1ng \u0111\u1ec3 h\u1ed3i ph\u1ee5c. Ng\u1ed9 \u0111\u1ed9c botulinum l\u00e0 ng\u1ed9 \u0111\u1ed9c \u0111\u1eb7c bi\u1ec7t, x\u1ea3y ra kh\u00f4ng th\u01b0\u1eddng xuy\u00ean. Bi\u1ec3u hi\u1ec7n l\u1ea1i gi\u1ed1ng nh\u01b0 ng\u1ed9 \u0111\u1ed9c c\u00e1 n\u00f3c, b\u1ea1ch tu\u1ed9c v\u00f2ng xanh, n\u00ean r\u1ea5t d\u1ec5 nh\u1ea7m. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ng\u1ed9 \u0111\u1ed9c lo\u1ea1i n\u00e0y c\u0169ng c\u00f3 th\u1ec3 b\u1ecb b\u1ecf s\u00f3t khi li\u1ec7t xu\u1ea5t hi\u1ec7n nhanh, khi ph\u00e1t hi\u1ec7n \u0111\u00e3 t\u1eed vong ho\u1eb7c li\u1ec7t n\u1eb7ng; do \u0111\u00f3 kh\u00f4ng th\u1ec3 k\u1ec3 l\u1ea1i lo\u1ea1i th\u1ee9c \u0103n nghi ng\u1edd v\u00e0 bi\u1ec3u hi\u1ec7n b\u1ec7nh \u0111\u1eb7c tr\u01b0ng \u1edf tr\u00ean.<\/p>\n<p>Theo khuy\u1ebfn c\u00e1o, \u0111\u1ec3 ph\u00f2ng ng\u1ed9 \u0111\u1ed9c do vi khu\u1ea9n Clostridium botulinum n\u00ean ch\u1ecdn c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ngu\u1ed3n g\u1ed1c xu\u1ea5t x\u1ee9 r\u00f5 r\u00e0ng, c\u00f3 ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 an to\u00e0n \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn. Th\u1eadn tr\u1ecdng v\u1edbi c\u00e1c th\u1ef1c ph\u1ea9m \u0111\u00f3ng k\u00edn, c\u00f3 m\u00f9i ho\u1eb7c m\u00e0u s\u1eafc thay \u0111\u1ed5i ho\u1eb7c c\u00f3 v\u1ecb kh\u00e1c th\u01b0\u1eddng. Kh\u00f4ng n\u00ean t\u1ef1 \u0111\u00f3ng g\u00f3i k\u00edn c\u00e1c th\u1ef1c ph\u1ea9m v\u00e0 \u0111\u1ec3 k\u00e9o d\u00e0i trong \u0111i\u1ec1u ki\u1ec7n kh\u00f4ng ph\u1ea3i \u0111\u00f4ng \u0111\u00e1 (ch\u1ec9 c\u00f3 nhi\u1ec7t \u0111\u1ed9 \u0111\u00f4ng \u0111\u00e1 m\u1edbi l\u00e0m vi khu\u1ea9n ng\u1eebng ph\u00e1t tri\u1ec3n v\u00e0 kh\u00f4ng sinh \u0111\u1ed9c t\u1ed1). \u01afu ti\u00ean \u0103n c\u00e1c th\u1ef1c ph\u1ea9m m\u1edbi ch\u1ebf bi\u1ebfn, m\u1edbi n\u1ea5u ch\u00edn. V\u1edbi c\u00e1c th\u1ef1c ph\u1ea9m l\u00ean men, \u0111\u00f3ng g\u00f3i ho\u1eb7c che \u0111\u1eady k\u00edn theo c\u00e1ch truy\u1ec1n th\u1ed1ng (nh\u01b0 d\u01b0a mu\u1ed1i, m\u0103ng, c\u00e0 mu\u1ed1i&#8230;) c\u1ea7n \u0111\u1ea3m b\u1ea3o ph\u1ea3i chua, m\u1eb7n. Khi th\u1ef1c ph\u1ea9m h\u1ebft chua th\u00ec kh\u00f4ng n\u00ean \u0103n. Khi ph\u00e1t hi\u1ec7n nghi ng\u1edd ng\u1ed9 \u0111\u1ed9c ph\u1ea3i \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 kh\u00e1m v\u00e0 ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi.\/.<\/p>\n<p style=\"text-align: right;\"><strong><em>Nguy\u1ec5n Minh Th\u1eddi &#8211; TTYT T\u1ecbnh Bi\u00ean<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi khu\u1ea9n Clostridium Botulinum ch\u1ee9a \u0111\u1ed9c t\u1ed1 g\u00e2y ra b\u1ec7nh c\u1ea5p t\u00ednh r\u1ea5t m\u1ea1nh, l\u00e0m ph\u00e1 h\u1ee7y th\u1ea7n kinh trung \u01b0\u01a1ng. N\u00f3 t\u1eebng g\u00e2y ra v\u1ee5 ng\u1ed9 \u0111\u1ed9c do \u0103n ph\u1ea3i pat\u00ea chay v\u00e0 g\u1ea7n \u0111\u00e2y nh\u1ea5t \u0103n c\u00e1 ch\u00e9p mu\u1ed1i \u1ee7 chua. \u0110\u00e2y th\u1ef1c s\u1ef1 l\u00e0 lo\u1ea1i \u0111\u1ed9c t\u1ed1 g\u00e2y n\u00ean n\u1ed7i \u00e1m \u1ea3nh [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":19974,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-19973","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/19973","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=19973"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/19973\/revisions"}],"predecessor-version":[{"id":19975,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/19973\/revisions\/19975"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/19974"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=19973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=19973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=19973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}