{"id":36259,"date":"2025-11-17T10:51:20","date_gmt":"2025-11-17T03:51:20","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=36259"},"modified":"2025-11-17T10:51:20","modified_gmt":"2025-11-17T03:51:20","slug":"benh-sot-dang-go-sot-xuat-huyet-dang-go","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2025\/11\/17\/benh-sot-dang-go-sot-xuat-huyet-dang-go\/","title":{"rendered":"B\u1ec7nh s\u1ed1t \u0111\u0103ng g\u01a1, S\u1ed1t xu\u1ea5t huy\u1ebft \u0111\u0103ng g\u01a1"},"content":{"rendered":"

ICD-10 A90: Dengue fever, A91: Dengue hemorrhagic fever<\/strong><\/span>
\nB\u1ec7nh s\u1ed1t \u0110\u0103ng g\u01a1, s\u1ed1t xu\u1ea5t huy\u1ebft \u0110\u0103ng g\u01a1 thu\u1ed9c nh\u00f3m B trong Lu\u1eadt Ph\u00f2ng, ch\u1ed1ng b\u1ec7nh truy\u1ec1n nhi\u1ec5m.<\/em><\/span><\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh<\/strong><\/span>
\n1.1 \u0110\u1ecbnh ngh\u0129a ca b\u1ec7nh<\/em><\/span>
\n*\u00a0Ca b\u1ec7nh l\u00e2m s\u00e0ng s\u1ed1t \u0111\u0103ng g\u01a1<\/em>(SD):<\/em>\u00a0B\u1ec7nh nh\u00e2n c\u00f3 s\u1ed1t \u0111\u1ed9t ng\u1ed9t, s\u1ed1t cao tr\u00ean 38,50<\/sup>C, k\u00e9o d\u00e0i 2 \u2013 7 ng\u00e0y, \u0111i c\u00f9ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1ea7u, \u0111au h\u1ed1c m\u1eaft, \u0111au c\u01a1, \u0111au kh\u1edbp, ph\u00e1t ban, c\u00f3 bi\u1ec3u hi\u1ec7n xu\u1ea5t huy\u1ebft (d\u1ea5u hi\u1ec7u d\u00e2y th\u1eaft d\u01b0\u01a1ng t\u00ednh); gi\u1ea3m b\u1ea1ch c\u1ea7u.<\/span>
\n*\u00a0Ca b\u1ec7nh l\u00e2m s\u00e0ng s\u1ed1t xu\u1ea5t huy\u1ebft \u0111\u0103ng g\u01a1 (SXHD)<\/em>: B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh c\u1ea3nh c\u1ee7a s\u1ed1t \u0111\u0103ng g\u01a1, c\u00f3 th\u1ec3 th\u00eam m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng: ban xu\u1ea5t huy\u1ebft, \u0111\u1ed1m xu\u1ea5t huy\u1ebft, ch\u1ea3y m\u00e1u (ch\u00e2n r\u0103ng, m\u0169i, \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, t\u1ea1i n\u01a1i ti\u00eam, kinh nguy\u1ec7t k\u00e9o d\u00e0i…); gi\u1ea3m ti\u1ec3u c\u1ea7u (d\u01b0\u1edbi 100.000 \/mm3<\/sup>); c\u00f3 d\u1ea5u hi\u1ec7u tho\u00e1t huy\u1ebft t\u01b0\u01a1ng do t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch, hematocrit t\u0103ng\u00a0 tr\u00ean 20% so v\u1edbi gi\u00e1 tr\u1ecb trung b\u00ecnh t\u00ednh theo tu\u1ed5i v\u00e0 gi\u1edbi.<\/span>
\n* H\u1ed9i ch\u1ee9ng s\u1ed1c \u0111\u0103ng g\u01a1:<\/em>\u00a0B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a s\u1ed1t xu\u1ea5t huy\u1ebft dengue (DHF) c\u1ed9ng v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a suy tu\u1ea7n ho\u00e0n: m\u1ea1ch nhanh v\u00e0 y\u1ebfu, huy\u1ebft \u00e1p k\u1eb9t (ch\u00eanh l\u1ec7ch d\u01b0\u1edbi 20mmHg) ho\u1eb7c t\u1ee5t huy\u1ebft \u00e1p so v\u1edbi tu\u1ed5i, da l\u1ea1nh v\u00e0 \u1ea9m, t\u00ecnh tr\u1ea1ng t\u00e2m tinh th\u1ea7n thay \u0111\u1ed5i.<\/span>
\n*\u00a0Ca b\u1ec7nh SD\/SXHD x\u00e1c \u0111\u1ecbnh<\/em>: c\u00f3 1 hay nhi\u1ec1u k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m sau:<\/span>
\n– Kh\u00e1ng th\u1ec3 IgM ph\u00e1t hi\u1ec7n trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh b\u1eb1ng ph\u1ea3n \u1ee9ng MAC- ELISA d\u01b0\u01a1ng t\u00ednh.<\/span>
\n– Kh\u00e1ng th\u1ec3 IgG ph\u00e1t hi\u1ec7n qua x\u00e9t nghi\u1ec7m huy\u1ebft thanh k\u00e9p t\u0103ng \u00edt nh\u1ea5t 4 l\u1ea7n, ho\u1eb7c n\u1ebfu x\u00e9t nghi\u1ec7m huy\u1ebft thanh \u0111\u01a1n th\u00ec hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 ng\u0103n ng\u01b0ng k\u1ebft h\u1ed3ng c\u1ea7u (HI) \u2265 1280.<\/span>
\n– Ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c vi r\u00fat dengue t\u1eeb huy\u1ebft thanh, huy\u1ebft t\u01b0\u01a1ng, b\u1ea1ch c\u1ea7u ho\u1eb7c m\u1eabu sinh thi\u1ebft.<\/span>
\n1.2 Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:\u00a0<\/em>C\u1ea7n ph\u00e2n bi\u1ec7t SD\/SXHD v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh s\u1ed1t c\u00f3 ph\u00e1t ban v\u00e0 c\u00f3 xu\u1ea5t huy\u1ebft nh\u01b0 s\u1ed1t chikungunya, s\u1edfi, rubella, s\u1ed1t do rickettsia, b\u1ec7nh do li\u00ean c\u1ea7u khu\u1ea9n… \u0110\u1ec3 lo\u1ea1i tr\u1eeb c\u1ea7n l\u00e0m x\u00e9t nghi\u1ec7m t\u00ecm kh\u00e1ng th\u1ec3 IgM, IgG \u0111\u1eb7c hi\u1ec7u\u00a0 ho\u1eb7c ph\u00e2n l\u1eadp vi r\u00fat dengue.<\/span>
\n1.3 X\u00e9t nghi\u1ec7m<\/em><\/span>
\n– Lo\u1ea1i m\u1eabu b\u1ec7nh ph\u1ea9m: M\u00e1u, l\u1ea5y trong giai \u0111o\u1ea1n s\u1edbm (0 – 5 ng\u00e0y sau kh\u1edfi ph\u00e1t), ho\u1eb7c trong giai \u0111o\u1ea1n mu\u1ed9n (14 – 21 ng\u00e0y sau kh\u1edfi ph\u00e1t). M\u00e1u c\u00f3 th\u1ec3 l\u1ea5y v\u00e0o \u1ed1ng nghi\u1ec7m ho\u1eb7c b\u1eb1ng gi\u1ea5y th\u1ea5m. Ngo\u00e0i ra, c\u00f3 th\u1ec3 l\u1ea5y d\u1ecbch n\u00e3o t\u1ee7y, m\u00f4 t\u1eed thi ho\u1eb7c thu th\u1eadp m\u1eabu mu\u1ed7i Aedes \u0111\u1ec3 ph\u00e2n l\u1eadp vi r\u00fat dengue.\u00a0<\/span>
\n– Ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m: (i) ph\u00e2n l\u1eadp vi r\u00fat dengue; (ii) x\u00e9t nghi\u1ec7m huy\u1ebft thanh ph\u00e1t hi\u1ec7n IgM b\u1eb1ng MAC-ELISA, ph\u00e1t hi\u1ec7n IgG b\u1eb1ng GAC-ELISA ho\u1eb7c ph\u1ea3n \u1ee9ng ng\u0103n ng\u01b0ng k\u1ebft h\u1ed3ng c\u1ea7u (HI); (iii) x\u00e9t nghi\u1ec7m d\u1ea5u \u1ea5n ARN vi r\u00fat dengue b\u1eb1ng ph\u1ea3n \u1ee9ng PCR.<\/span>
\n2. T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh<\/strong><\/span>
\n– Vi r\u00fat dengue (Dengue virus<\/em>) g\u00e2y b\u1ec7nh SD\/SXHD thu\u1ed9c gi\u1ed1ng\u00a0Flaviviruses<\/em>, h\u1ecd\u00a0Flaviviridae;\u00a0<\/em>g\u1ed3m 4 tu\u00fdp huy\u1ebft thanh c\u00f3 k\u00fd hi\u1ec7u l\u00e0 D1, D2, D3, D4. C\u1ea3 4 tu\u00fdp huy\u1ebft thanh \u0111\u1ec1u c\u00f3 th\u1ec3 g\u1eb7p \u1edf Vi\u1ec7t Nam v\u00e0 lu\u00e2n phi\u00ean g\u00e2y d\u1ecbch.<\/span>
\n– H\u00ecnh th\u1ec3: h\u1ea1t vi r\u00fat h\u00ecnh c\u1ea7u, k\u00edch th\u01b0\u1edbc nh\u1ecf, \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 40 – 50 nm, c\u1ea5u tr\u00fac di truy\u1ec1n ANR, s\u1ee3i \u0111\u01a1n 11 kb, m\u00e3 h\u00f3a 3 protein c\u1ea5u tr\u00fac v\u00e0 7 protein kh\u00f4ng c\u1ea5u tr\u00fac c\u1ee7a nucleocapsit v\u00e0 v\u1ecf glycoprotein, li\u00ean quan t\u1edbi ho\u1ea1t t\u00ednh ng\u01b0ng k\u1ebft h\u1ed3ng c\u1ea7u v\u00e0 trung h\u00f2a c\u1ee7a vi r\u00fat.<\/span>
\n– Kh\u1ea3 n\u0103ng t\u1ed3n t\u1ea1i \u1edf m\u00f4i tr\u01b0\u1eddng: vi r\u00fat dengue c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i, ph\u00e1t tri\u1ec3n l\u00e2u d\u00e0i trong c\u01a1 th\u1ec3 mu\u1ed7i\u00a0Aedes aegypti<\/em>, tuy nhi\u00ean d\u1ec5 d\u00e0ng b\u1ecb di\u1ec7t khi ra m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i. C\u00e1c h\u00f3a ch\u1ea5t kh\u1eed khu\u1ea9n th\u00f4ng th\u01b0\u1eddng (nh\u00f3m clo ho\u1ea1t, nh\u00f3m ancol, c\u00e1c mu\u1ed1i kim lo\u1ea1i n\u1eb7ng, ch\u1ea5t oxy h\u00f3a, ch\u1ea5t t\u1ea9y, x\u00e0 ph\u00f2ng…) v\u00e0 nhi\u1ec7t \u0111\u1ed9 tr\u00ean 560<\/sup>C b\u1ea5t ho\u1ea1t vi r\u00fat ch\u1ec9 trong v\u00e0i ch\u1ee5c ph\u00fat. Vi r\u00fat c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i h\u01a1n (nhi\u1ec1u th\u00e1ng, h\u00e0ng n\u0103m) trong nhi\u1ec7t \u0111\u1ed9 \u00e2m s\u00e2u (-700<\/sup>C).<\/span>
\n3. \u0110\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 h\u1ecdc<\/strong><\/span>
\n– Ph\u00e2n b\u1ed1 \u0111\u1ecba l\u00fd: B\u1ec7nh SD\/SXHD l\u01b0u h\u00e0nh \u1edf khu v\u1ef1c nhi\u1ec7t \u0111\u1edbi v\u00e0 c\u1eadn nhi\u1ec7t \u0111\u1edbi, n\u01a1i sinh s\u1ed1ng c\u1ee7a c\u00e1c lo\u00e0i mu\u1ed7i\u00a0Aedes<\/em>. \u1ede Ch\u00e2u \u00c1, b\u1ec7nh l\u01b0u h\u00e0nh \u1edf h\u1ea7u h\u1ebft c\u00e1c qu\u1ed1c gia trong khu v\u1ef1c. B\u1ec7nh g\u1eb7p c\u1ea3 \u1edf v\u00f9ng th\u00e0nh th\u1ecb, n\u00f4ng th\u00f4n v\u00e0 ngay c\u1ea3 mi\u1ec1n n\u00fai, tuy nhi\u00ean t\u1eadp trung cao nh\u1ea5t \u1edf c\u00e1c khu v\u1ef1c c\u00f3 m\u1eadt \u0111\u1ed9 d\u00e2n c\u01b0 \u0111\u00f4ng, t\u00ecnh tr\u1ea1ng \u0111\u00f4 th\u1ecb h\u00f3a cao. Vi\u1ec7t Nam \u0111\u01b0\u1ee3c coi l\u00e0 v\u00f9ng d\u1ecbch l\u01b0u h\u00e0nh \u0111\u1ecba ph\u01b0\u01a1ng, ch\u1ee7 y\u1ebfu \u1edf c\u00e1c t\u1ec9nh mi\u1ec1n Nam v\u00e0 Nam Trung b\u1ed9. T\u1ef7 l\u1ec7 m\u1eafc h\u00e0ng n\u0103m trong v\u00f2ng 10 n\u0103m g\u1ea7n \u0111\u00e2y dao \u0111\u1ed9ng t\u1eeb 40 t\u1edbi 310 tr\u01b0\u1eddng h\u1ee3p tr\u00ean 100.000 d\u00e2n, trong \u0111\u00f3 khu v\u1ef1c mi\u1ec1n Nam th\u01b0\u1eddng xuy\u00ean chi\u1ebfm tr\u00ean 70% c\u00e1c ca m\u1eafc m\u1edbi. T\u1ef7 l\u1ec7 t\u1eed vong c\u00f3 th\u1ec3 l\u1edbn h\u01a1n 1\/100 000 d\u00e2n, tuy nhi\u00ean trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y Vi\u1ec7t Nam th\u01b0\u1eddng duy tr\u00ec \u1edf m\u1ee9c th\u1ea5p ho\u1eb7c r\u1ea5t th\u1ea5p, t\u1eeb 0,1 t\u1edbi 0,01\/100.000 ng\u01b0\u1eddi.<\/span>
\n– Ph\u00e2n b\u1ed1 theo th\u1eddi gian: B\u1ec7nh th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0 g\u00e2y th\u00e0nh d\u1ecbch v\u00e0o c\u00e1c th\u00e1ng m\u00f9a m\u01b0a, nhi\u1ec7t \u0111\u1ed9 trung b\u00ecnh th\u00e1ng cao; \u1edf mi\u1ec1n Nam g\u1ea7n nh\u01b0 quanh n\u0103m, \u1edf mi\u1ec1n B\u1eafc t\u1eeb th\u00e1ng 7 t\u1edbi th\u00e1ng 11. Chu k\u1ef3 c\u1ee7a d\u1ecbch b\u1ec7nh SD\/SXHD kho\u1ea3ng 3 – 5 n\u0103m. Th\u01b0\u1eddng sau m\u1ed9t s\u1ed1 chu k\u1ef3 d\u1ecbch nh\u1ecf v\u00e0 v\u1eeba l\u1ea1i c\u00f3 m\u1ed9t chu k\u1ef3 d\u1ecbch l\u1edbn x\u1ea3y ra, v\u00ed d\u1ee5 \u1edf Vi\u1ec7t Nam c\u00e1c \u0111\u1ec9nh d\u1ecbch SD\/SXHD l\u1edbn v\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i l\u1edbn r\u01a1i v\u00e0o c\u00e1c n\u0103m 1987, 1998, 2007, trong khi c\u00e1c \u0111\u1ec9nh d\u1ecbch nh\u1ecf g\u1eb7p v\u00e0o c\u00e1c n\u0103m 1991, 2004.<\/span>
\n– Ph\u00e2n b\u1ed1 theo nh\u00f3m ng\u01b0\u1eddi: M\u1ecdi ng\u01b0\u1eddi s\u1ed1ng trong khu v\u1ef1c l\u01b0u h\u00e0nh \u0111\u1ecba ph\u01b0\u01a1ng c\u1ee7a SD\/SXHD \u0111\u1ec1u c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh ho\u1eb7c nhi\u1ec5m vi r\u00fat l\u00e0nh. Tuy nhi\u00ean, do ch\u1ecbu \u1ea3nh h\u01b0\u1edfng c\u1ee7a nhi\u1ec1u y\u1ebfu t\u1ed1 n\u00ean t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh r\u1ea5t kh\u00e1c nhau gi\u1eefa c\u00e1c nh\u00f3m d\u00e2n c\u01b0. Nh\u00f3m ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao m\u1eafc SD\/SXHD l\u00e0 tr\u1ebb em, ng\u01b0\u1eddi di c\u01b0 hay du l\u1ecbch \u0111\u1ebfn t\u1eeb v\u00f9ng kh\u00f4ng l\u01b0u h\u00e0nh s\u1ed1t xu\u1ea5t huy\u1ebft, ng\u01b0\u1eddi d\u00e2n sinh s\u1ed1ng t\u1ea1i c\u00e1c khu \u0111ang \u0111\u00f4 th\u1ecb h\u00f3a, \u0111\u1eddi s\u1ed1ng kinh t\u1ebf th\u1ea5p k\u00e9m, v\u00f9ng c\u00f3 t\u1eadp qu\u00e1n tr\u1eef n\u01b0\u1edbc v\u00e0 s\u1eed d\u1ee5ng n\u01b0\u1edbc kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, v\u00f9ng c\u00f3 m\u1eadt \u0111\u1ed9 mu\u1ed7i\u00a0Aedes aegypti<\/em>\u00a0th\u01b0\u1eddng xuy\u00ean cao.<\/span>
\n4. Ngu\u1ed3n truy\u1ec1n nhi\u1ec5m<\/strong><\/span>
\n– \u1ed4 ch\u1ee9a: Ng\u01b0\u1eddi l\u00e0 \u1ed5 ch\u1ee9a v\u00e0 l\u00e0 ngu\u1ed3n truy\u1ec1n nhi\u1ec5m ch\u1ee7 y\u1ebfu c\u1ee7a b\u1ec7nh SD\/SXHD trong chu tr\u00ecnh \u201cng\u01b0\u1eddi-mu\u1ed7i Aedes aegypti<\/em>\u201d \u1edf khu v\u1ef1c th\u00e0nh th\u1ecb v\u00e0 n\u00f4ng th\u00f4n. Ngo\u00e0i b\u1ec7nh nh\u00e2n, ng\u01b0\u1eddi mang vi-r\u00fat dengue kh\u00f4ng tri\u1ec7u ch\u1ee9ng c\u0169ng c\u00f3 vai tr\u00f2 truy\u1ec1n b\u1ec7nh quan tr\u1ecdng. Trong \u1ed5 d\u1ecbch SD\/SXHD c\u1ee9 1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh \u0111i\u1ec3n h\u00ecnh c\u00f3 h\u00e0ng ch\u1ee5c tr\u01b0\u1eddng h\u1ee3p mang vi r\u00fat ti\u1ec1m \u1ea9n, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/span>
\n– Th\u1eddi gian \u1ee7 b\u1ec7nh: T\u1eeb 3 -14 ng\u00e0y, th\u00f4ng th\u01b0\u1eddng t\u1eeb 5 – 7 ng\u00e0y.<\/span>
\n– Th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n: B\u1ec7nh nh\u00e2n SD\/SXHD l\u00e0 ngu\u1ed3n l\u00e2y truy\u1ec1n ngay tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n c\u01a1n s\u1ed1t cho t\u1edbi khi h\u1ebft s\u1ed1t, trung b\u00ecnh kho\u1ea3ng 6 – 7 ng\u00e0y. Ng\u01b0\u1eddi mang vi r\u00fat kh\u00f4ng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng c\u00f3 th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n ng\u1eafn h\u01a1n. Mu\u1ed7i\u00a0Aedes aegypti<\/em>\u00a0nhi\u1ec5m vi r\u00fat t\u1eeb 6 – 12 ng\u00e0y sau khi h\u00fat m\u00e1u v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng truy\u1ec1n b\u1ec7nh su\u1ed1t \u0111\u1eddi.<\/span>
\n5. Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n:<\/strong><\/span>
\n– B\u1ec7nh l\u00e2y truy\u1ec1n qua v\u00e9c t\u01a1, \u1edf Vi\u1ec7t Nam l\u00e0 2 lo\u00e0i mu\u1ed7i\u00a0Aedes aegypti\u00a0<\/em>v\u00e0\u00a0 Aedes albopictus.<\/em>\u00a0Vi r\u00fat \u0111\u01b0\u1ee3c truy\u1ec1n qua v\u1ebft \u0111\u1ed1t c\u1ee7a mu\u1ed7i, ch\u1ee7 y\u1ebfu l\u00e0 c\u1ee7a lo\u00e0i mu\u1ed7i\u00a0Aedes aegypti<\/em>. \u0110\u00e2y l\u00e0 lo\u00e0i mu\u1ed7i \u01b0a th\u00edch \u0111\u1ed1t h\u00fat m\u00e1u ng\u01b0\u1eddi, \u0111\u1ed1t ban ng\u00e0y, th\u01b0\u1eddng v\u00e0o bu\u1ed5i s\u00e1ng s\u1edbm v\u00e0 chi\u1ec1u t\u00e0, c\u00f3 th\u1ec3 \u0111\u1ed1t nhi\u1ec1u l\u1ea7n trong ng\u00e0y n\u1ebfu ch\u01b0a no m\u00e1u. Mu\u1ed7i tr\u01b0\u1edfng th\u00e0nh th\u01b0\u1eddng tr\u00fa \u0111\u1eadu \u1edf c\u00e1c g\u00f3c t\u1ed1i trong nh\u00e0, th\u00edch \u0111\u1ebb tr\u1ee9ng \u1edf nh\u1eefng v\u1eadt ch\u1ee9a n\u01b0\u1edbc s\u1ea1ch trong khu d\u00e2n c\u01b0. Mu\u1ed7i\u00a0Aedes<\/em>\u00a0ph\u00e1t tri\u1ec3n m\u1ea1nh v\u00e0o m\u00f9a m\u01b0a, khi nhi\u1ec7t \u0111\u1ed9 trung b\u00ecnh h\u00e0ng th\u00e1ng tr\u00ean 200<\/sup>C.<\/span>
\n– Lo\u00e0i mu\u1ed7i\u00a0Aedes albopictus<\/em>\u00a0\u00edt c\u00f3 vai tr\u00f2 truy\u1ec1n b\u1ec7nh do \u00edt \u0111\u1ed1t h\u00fat m\u00e1u ng\u01b0\u1eddi v\u00e0 c\u00f3 th\u1ec3 s\u1ed1ng ngo\u00e0i thi\u00ean nhi\u00ean, r\u1eebng n\u00fai. Vai tr\u00f2 truy\u1ec1n b\u1ec7nh SD\/SXHD c\u1ee7a lo\u00e0i mu\u1ed7i n\u00e0y \u1edf n\u01b0\u1edbc ta \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c nghi\u00ean c\u1ee9u th\u00eam.<\/span>
\n6. T\u00ednh c\u1ea3m nhi\u1ec5m v\u00e0 mi\u1ec5n d\u1ecbch<\/strong><\/span>
\n– M\u1ecdi ch\u1ee7ng ng\u01b0\u1eddi, gi\u1edbi t\u00ednh, l\u1ee9a tu\u1ed5i \u0111\u1ec1u c\u00f3 th\u1ec3 nhi\u1ec5m vi r\u00fat v\u00e0 m\u1eafc b\u1ec7nh SD\/SXHD n\u1ebfu ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch. \u1ede v\u00f9ng b\u1ec7nh l\u01b0u h\u00e0nh n\u1eb7ng (mi\u1ec1n Nam v\u00e0 Nam Trung b\u1ed9 n\u01b0\u1edbc ta), t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh c\u1ee7a tr\u1ebb em (d\u01b0\u1edbi 15 tu\u1ed5i) th\u01b0\u1eddng cao h\u01a1n, c\u00f2n \u1edf v\u00f9ng l\u01b0u h\u00e0nh nh\u1eb9, kh\u1ea3 n\u0103ng m\u1eafc c\u1ee7a tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn nh\u01b0 nhau tuy b\u1ec7nh c\u1ea3nh tr\u00ean ng\u01b0\u1eddi l\u1edbn th\u01b0\u1eddng n\u1eb7ng h\u01a1n. Ng\u01b0\u1eddi t\u1eebng nhi\u1ec5m vi r\u00fat dengue ho\u1eb7c \u0111\u00e3 m\u1eafc b\u1ec7nh th\u01b0\u1eddng c\u00f3 mi\u1ec5n d\u1ecbch l\u00e2u d\u00e0i v\u1edbi vi r\u00fat c\u00f9ng tu\u00fdp huy\u1ebft thanh. Tuy nhi\u00ean, n\u1ebfu nhi\u1ec5m l\u1ea1i m\u1ed9t t\u00fdp vi r\u00fat dengue kh\u00e1c v\u1edbi t\u00fdp \u0111\u00e3 t\u1eebng nhi\u1ec5m th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n b\u1ec7nh c\u1ea3nh n\u1eb7ng h\u01a1n, d\u1ec5 tr\u1edf th\u00e0nh SXHD ho\u1eb7c s\u1ed1c dengue do c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh c\u00e1c ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch trong m\u00e1u.<\/span>
\n– C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 ch\u1ee7ng vi r\u00fat dengue (D1, D2, D3, D4) khi ch\u00fang lu\u00e2n phi\u00ean g\u00e2y d\u1ecbch, gi\u1edbi t\u00ednh, ch\u1ee7ng ng\u01b0\u1eddi, th\u1ec3 tr\u1ea1ng v\u00e0 dinh d\u01b0\u1ee1ng c\u1ee7a tr\u1ebb, b\u1ec7nh \u0111i k\u00e8m…c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u00ednh c\u1ea3m nhi\u1ec5m v\u1edbi vi-r\u00fat dengue v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh SD\/SXHD.<\/span>
\n7. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng, ch\u1ed1ng d\u1ecbch<\/strong><\/span>
\n7.1 Bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng<\/em><\/span>
\n– Tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe: \u0110\u1ec3 th\u1ef1c hi\u1ec7n ki\u1ec3m so\u00e1t v\u00e0 kh\u1ed1ng ch\u1ebf mu\u1ed7i\u00a0Aedes<\/em>\u00a0truy\u1ec1n b\u1ec7nh m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3, l\u00e2u d\u00e0i c\u1ea7n tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c v\u00e0 h\u01b0\u1edbng d\u1eabn cho ng\u01b0\u1eddi d\u00e2n quy ho\u1ea1ch l\u1ea1i khu v\u1ef1c d\u00e2n c\u01b0 v\u00e0 c\u00e1ch d\u1ef1 tr\u1eef n\u01b0\u1edbc sinh ho\u1ea1t \u1edf h\u1ed9 gia \u0111\u00ecnh; th\u01b0\u1eddng xuy\u00ean l\u00e0m t\u1ed5ng v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng khu d\u00e2n c\u01b0, lo\u1ea1i b\u1ecf t\u1ed1i \u0111a \u1ed5 b\u1ecd g\u1eady ngu\u1ed3n (l\u00e0 v\u1ecb tr\u00ed mu\u1ed7i \u0111\u1ebb tr\u1ee9ng hay g\u1eb7p nh\u1ea5t \u1edf m\u1ed7i \u0111\u1ecba ph\u01b0\u01a1ng) c\u1ee7a lo\u00e0i mu\u1ed7i\u00a0Aedes.<\/em>\u00a0<\/span><\/p>\n

– V\u1ec7 sinh ph\u00f2ng b\u1ec7nh: Hi\u1ec7n \u0111\u00e3 c\u00f3 v\u1eafc xin ph\u00f2ng b\u1ec7nh SD\/SXHD; bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t, di\u1ec7t b\u1ecd g\u1eady\/lo\u0103ng qu\u0103ng v\u00e0 mu\u1ed7i tr\u01b0\u1edfng th\u00e0nh c\u1ee7a lo\u00e0i\u00a0Aedes<\/em>\u00a0l\u00e0 quan tr\u1ecdng nh\u1ea5t. Tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 ng\u01b0\u1eddi d\u00e2n l\u00e0m n\u1eafp \u0111\u1eady k\u00edn b\u1ec3 ch\u1ee9a n\u01b0\u1edbc, th\u01b0\u1eddng xuy\u00ean thau r\u1eeda b\u1ec3, chum, v\u1ea1i; lo\u1ea1i b\u1ecf ho\u1eb7c ki\u1ec3m so\u00e1t\u00a0 nh\u1eefng n\u01a1i mu\u1ed7i\u00a0Aedes<\/em>\u00a0th\u01b0\u1eddng \u0111\u1ebb tr\u1ee9ng nh\u01b0 l\u1ecd hoa, b\u1ec3 c\u00e1 c\u1ea3nh, \u0111\u1ed3 v\u1eadt ph\u1ebf th\u1ea3i c\u00f3 \u0111\u1ecdng n\u01b0\u1edbc m\u01b0a quanh h\u1ed9 gia \u0111\u00ecnh; nu\u00f4i th\u1ea3 m\u1ed9t s\u1ed1 lo\u1ea1i c\u00e1 nh\u1ecf ho\u1eb7c gi\u00e1p x\u00e1c \u0103n b\u1ecd g\u1eady nh\u01b0\u00a0Mesocyclop<\/em>\u00a0\u1edf nh\u1eefng v\u1eadt ch\u1ee9a n\u01b0\u1edbc l\u1edbn \u00edt c\u00f3 kh\u1ea3 n\u0103ng thay r\u1eeda. Cho mu\u1ed1i ho\u1eb7c d\u1ea7u h\u1ecfa, ma d\u00fat v\u00e0o n\u01b0\u1edbc ch\u1ed1ng ki\u1ebfn ch\u00e2n ch\u1ea1n.<\/span>
\nCh\u1ed1ng mu\u1ed7i \u0111\u1ed1t b\u1eb1ng n\u1eb1m m\u00e0n c\u1ea3 \u0111\u00eam v\u00e0 ng\u00e0y, nh\u1ea5t l\u00e0 cho tr\u1ebb nh\u1ecf; h\u01b0\u1edbng d\u1eabn c\u00e1ch xua mu\u1ed7i ch\u1ed1ng \u0111\u1ed1t cho tr\u1ebb l\u1edbn.<\/span>
\nDi\u1ec7t mu\u1ed7i tr\u01b0\u1edfng th\u00e0nh b\u1eb1ng h\u00f3a ch\u1ea5t di\u1ec7t c\u00f4n tr\u00f9ng theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a ng\u00e0nh y t\u1ebf. H\u00f3a ch\u1ea5t th\u01b0\u1eddng d\u00f9ng hi\u1ec7n nay l\u00e0 c\u00e1c d\u1eabn ch\u1ea5t thu\u1ed9c nh\u00f3m Pyrethroid \u00edt \u0111\u1ed9c v\u1edbi ng\u01b0\u1eddi v\u00e0 gia s\u00fac. C\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p\u00a0 kh\u00e1c \u0111\u1ec3 xua, di\u1ec7t mu\u1ed7i tr\u01b0\u1edfng th\u00e0nh nh\u01b0 x\u00f4ng kh\u00f3i, xua \u0111\u1eadp c\u01a1 h\u1ecdc, d\u00f9ng m\u00e0nh r\u00e8m th\u01b0\u1eddng ho\u1eb7c m\u00e0nh r\u00e8m t\u1ea9m h\u00f3a ch\u1ea5t, d\u00f9ng h\u01b0\u01a1ng mu\u1ed7i…v\u00e0o nh\u1eefng gi\u1edd mu\u1ed7i ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh.<\/span>
\nL\u00e0m t\u1ed1t th\u01b0\u1eddng xuy\u00ean vi\u1ec7c gi\u00e1m s\u00e1t b\u1ec7nh nh\u00e2n SD\/SXHD, gi\u00e1m s\u00e1t c\u01a1 c\u1ea5u lo\u00e0i v\u00e0 m\u1eadt \u0111\u1ed9 mu\u1ed7i\u00a0Aedes<\/em>, m\u1ee9c \u0111\u1ed9 kh\u00e1ng h\u00f3a ch\u1ea5t c\u1ee7a ch\u00fang<\/span>
\n7.2 Bi\u1ec7n ph\u00e1p ch\u1ed1ng d\u1ecbch<\/em><\/span>
\n– B\u00e1o c\u00e1o ngay cho c\u01a1 quan Y t\u1ebf d\u1ef1 ph\u00f2ng tuy\u1ebfn tr\u00ean khi c\u00f3 ch\u00f9m ca b\u1ec7nh nghi m\u1eafc SD\/SXHD (\u0111\u1ea1t ng\u01b0\u1ee1ng c\u1ea3nh b\u00e1o d\u1ecbch). Th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 b\u00e1o c\u00e1o kh\u1ea9n c\u1ea5p (khi c\u00f3 d\u1ecbch), ho\u1eb7c b\u00e1o c\u00e1o th\u01b0\u1eddng xuy\u00ean theo tu\u1ea7n v\u00e0 theo th\u00e1ng.<\/span>
\n\u00a0– Th\u00e0nh l\u1eadp Ban ch\u1ec9 \u0111\u1ea1o ph\u00f2ng ch\u1ed1ng SD\/SXHD theo t\u1eebng tuy\u1ebfn (x\u00e3, huy\u1ec7n, t\u1ec9nh) khi c\u00f3 c\u00f4ng b\u1ed1 d\u1ecbch. Ban ch\u1ec9 \u0111\u1ea1o ho\u1ea1t \u0111\u1ed9ng theo c\u00e1c \u0111i\u1ec1u kho\u1ea3n c\u1ee7a Lu\u1eadt Ph\u00f2ng, ch\u1ed1ng b\u1ec7nh truy\u1ec1n nhi\u1ec5m, \u00e1p d\u1ee5ng cho c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m thu\u1ed9c nh\u00f3m B.<\/span>
\n– C\u00e1ch ly b\u1ec7nh nh\u00e2n: ch\u1ee7 y\u1ebfu th\u1ef1c hi\u1ec7n bi\u1ec7n ph\u00e1p n\u1eb1m m\u00e0n, ch\u1ed1ng mu\u1ed7i \u0111\u1ed1t trong th\u1eddi k\u1ef3 l\u00e2y truy\u1ec1n.<\/span>
\n– \u0110i\u1ec1u tra ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh SD\/SXHD m\u1edbi xu\u1ea5t hi\u1ec7n trong \u1ed5 d\u1ecbch \u0111\u1ec3 t\u1ed5 ch\u1ee9c c\u00e1ch ly, h\u1ea1n ch\u1ebf ngu\u1ed3n l\u00e2y, \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111\u00fang quy \u0111\u1ecbnh \u0111\u1ec3 tr\u00e1nh chuy\u1ec3n th\u00e0nh b\u1ec7nh n\u1eb7ng ho\u1eb7c t\u1eed vong.<\/span>
\n– T\u0103ng c\u01b0\u1eddng c\u00e1c bi\u1ec7n ph\u00e1p di\u1ec7t mu\u1ed7i\u00a0Aedes<\/em>\u00a0tr\u01b0\u1edfng th\u00e0nh, th\u1ef1c hi\u1ec7n phun h\u00f3a ch\u1ea5t d\u1ea1ng th\u1ec3 t\u00edch c\u1ef1c nh\u1ecf (ULV) t\u1ea1i \u1ed5 d\u1ecbch theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a Trung t\u00e2m Y t\u1ebf d\u1ef1 ph\u00f2ng t\u1ec9nh\/th\u00e0nh ph\u1ed1. T\u0103ng c\u01b0\u1eddng bi\u1ec7n ph\u00e1p xua di\u1ec7t ch\u1ed1ng mu\u1ed7i \u0111\u1ed1t cho ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd b\u1ea3o v\u1ec7 \u0111\u1ed1i t\u01b0\u1ee3ng tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i. Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p di\u1ec7t v\u00e0 l\u00e0m gi\u1ea3m qu\u1ea7n th\u1ec3 b\u1ecd g\u1eady\/lo\u0103ng qu\u0103ng mu\u1ed7i\u00a0Aedes<\/em>\u00a0t\u1ea1i t\u1eebng h\u1ed9 gia \u0111\u00ecnh v\u00e0 khu d\u00e2n c\u01b0.<\/span>
\n– T\u1ed5 ch\u1ee9c chi\u1ebfn d\u1ecbch tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c c\u1ed9ng \u0111\u1ed3ng di\u1ec7t mu\u1ed7i, b\u1ecd g\u1eady, c\u1ea3i t\u1ea1o v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng s\u1ed1ng, ch\u00fa tr\u1ecdng v\u1ec7 sinh c\u00e1c ngu\u1ed3n n\u01b0\u1edbc sinh ho\u1ea1t.<\/span>
\n7.3 Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/em><\/span>
\n– B\u1ec7nh nh\u00e2n SD: ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm t\u1ea1i nh\u00e0 ho\u1eb7c y t\u1ebf c\u01a1 s\u1edf; t\u1eadp trung \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng nh\u01b0 gi\u1ea3m s\u1ed1t, gi\u1ea3m \u0111au, b\u00f9 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i\u00a0 theo \u0111\u01b0\u1eddng u\u1ed1ng l\u00e0 ch\u00ednh; k\u1ebft h\u1ee3p d\u00f9ng thu\u1ed1c \u0111\u00f4ng y; theo d\u00f5i ch\u1eb7t ch\u1ebd ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u chuy\u1ec3n th\u00e0nh SXHD ho\u1eb7c s\u1ed1c dengue \u0111\u1ec3 x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/span>
\n– B\u1ec7nh nh\u00e2n SXHD: Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm t\u1ea1i b\u1ec7nh vi\u1ec7n; t\u1eadp trung \u0111i\u1ec1u tr\u1ecb b\u00f9 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i b\u1eb1ng truy\u1ec1n d\u1ecbch k\u1ebft h\u1ee3p \u0111\u01b0\u1eddng u\u1ed1ng; \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng h\u1ea1 s\u1ed1t (tr\u00e1nh d\u00f9ng c\u00e1c thu\u1ed1c h\u1ea1 s\u1ed1t c\u00f3 Salixylat), gi\u1ea3m \u0111au, h\u1ea1n ch\u1ebf th\u1ea9m th\u1ea5u th\u00e0nh m\u1ea1ch tho\u00e1t huy\u1ebft t\u01b0\u01a1ng; ch\u1ed1ng xu\u1ea5t huy\u1ebft n\u1eb7ng (truy\u1ec1n m\u00e1u t\u01b0\u01a1i khi xu\u1ea5t huy\u1ebft ph\u1ee7 t\u1ea1ng n\u1eb7ng v\u00e0 hematocrit kh\u00f4ng cao) v\u00e0 ch\u1ed1ng s\u1ed1c dengue.\u00a0<\/span>
\n7.4 Ki\u1ec3m d\u1ecbch y t\u1ebf bi\u00ean gi\u1edbi<\/em><\/span>
\n– C\u00e1 nh\u00e2n t\u1ef1 khai b\u00e1o b\u1ec7nh khi qu\u00e1 c\u1ea3nh.<\/span>
\n– Tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p ki\u1ec3m d\u1ecbch, di\u1ec7t mu\u1ed7i nh\u1eb1m ng\u0103n ch\u1eb7n s\u1ef1 lan r\u1ed9ng c\u1ee7a mu\u1ed7i Aedes qua t\u00e0u th\u1ee7y, m\u00e1y bay v\u00e0 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n v\u1eadn t\u1ea3i \u0111\u01b0\u1eddng b\u1ed9 t\u1eeb n\u01a1i c\u00f3 d\u1ecbch SD\/SXHD t\u1edbi c\u00e1c v\u00f9ng kh\u00e1c.\/.<\/span><\/p>\n

Ngu\u1ed3n: C\u1ee5c Ph\u00f2ng b\u1ec7nh, B\u1ed9 Y t\u1ebf<\/em><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

ICD-10 A90: Dengue fever, A91: Dengue hemorrhagic fever B\u1ec7nh s\u1ed1t \u0110\u0103ng g\u01a1, s\u1ed1t xu\u1ea5t huy\u1ebft \u0110\u0103ng g\u01a1 thu\u1ed9c nh\u00f3m B trong Lu\u1eadt Ph\u00f2ng, ch\u1ed1ng b\u1ec7nh truy\u1ec1n nhi\u1ec5m. 1. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh 1.1 \u0110\u1ecbnh ngh\u0129a ca b\u1ec7nh *\u00a0Ca b\u1ec7nh l\u00e2m s\u00e0ng s\u1ed1t \u0111\u0103ng g\u01a1(SD):\u00a0B\u1ec7nh nh\u00e2n c\u00f3 s\u1ed1t \u0111\u1ed9t ng\u1ed9t, s\u1ed1t cao tr\u00ean 38,50C, k\u00e9o d\u00e0i […]<\/p>\n","protected":false},"author":3,"featured_media":30981,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"1","last_modified_date":"","footnotes":""},"categories":[363],"tags":[],"class_list":["post-36259","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sot-xuat-huyet"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/36259","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=36259"}],"version-history":[{"count":4,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/36259\/revisions"}],"predecessor-version":[{"id":36284,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/36259\/revisions\/36284"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/30981"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=36259"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=36259"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=36259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}