{"id":3940,"date":"2021-04-06T14:55:53","date_gmt":"2021-04-06T07:55:53","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=3940"},"modified":"2021-04-06T14:55:53","modified_gmt":"2021-04-06T07:55:53","slug":"kham-phat-hien-lao-chu-dong","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/04\/06\/kham-phat-hien-lao-chu-dong\/","title":{"rendered":"KH\u00c1M PH\u00c1T HI\u1ec6N LAO CH\u1ee6 \u0110\u1ed8NG"},"content":{"rendered":"<p>N\u0103m 2020 ch\u01b0\u01a1ng tr\u00ecnh ch\u1ed1ng Lao An Giang v\u1edbi s\u1ef1 t\u00e0i tr\u1ee3 D\u1ef1 \u00e1n FHI 360 \u0111\u00e3 ti\u1ebfn h\u00e0nh tri\u1ec3n khai chi\u1ebfn l\u01b0\u1ee3c 2X (Ch\u1ee5p XQ v\u00e0 XN GreenXpert). Kh\u00e1m s\u00e0ng l\u1ecdc ph\u00e1t hi\u1ec7n b\u1ec7nh Lao t\u1ea1i c\u1ed9ng \u0111\u1ed3ng cho nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao: ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i; ng\u01b0\u1eddi s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia, h\u00fat thu\u1ed1c l\u00e1; g\u1ea7y SDD; ng\u01b0\u1eddi c\u00f3 c\u00e1c b\u1ec7nh nguy c\u01a1 nh\u01b0 tim m\u1ea1ch, huy\u1ebft \u00e1p, ti\u1ec3u \u0111\u01b0\u1eddng. T\u1ea1i 03 huy\u1ec7n g\u1ed3m: th\u00e0nh ph\u1ed1 Long Xuy\u00ean, Ch\u00e2u Ph\u00fa, Ch\u1ee3 M\u1edbi v\u00e0 B\u1ec7nh vi\u1ec7n \u0110a khoa Trung t\u00e2m An Giang.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3941\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2021\/04\/Picture2.jpg\" alt=\"\" width=\"840\" height=\"724\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2021\/04\/Picture2.jpg 840w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2021\/04\/Picture2-300x259.jpg 300w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2021\/04\/Picture2-768x662.jpg 768w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2021\/04\/Picture2-750x646.jpg 750w\" sizes=\"auto, (max-width: 840px) 100vw, 840px\" \/><\/p>\n<p>Qua kh\u00e1m s\u00e0ng l\u1ecdc Lao t\u1ea1i c\u1ed9ng \u0111\u1ed3ng cho ng\u01b0\u1eddi c\u00f3 ti\u1ebfp x\u00fac v\u1edbi b\u1ec7nh nh\u00e2n Lao t\u1ed5ng c\u1ed9ng 15.357 ng\u01b0\u1eddi, ti\u1ebfn h\u00e0nh ch\u1ee5p X.quang ph\u1ed5i cho 14.992 tr\u01b0\u1eddng h\u1ee3p x\u00e9t nghi\u1ec7m Xpert cho 2.107 ng\u01b0\u1eddi ph\u00e1t hi\u1ec7n 352 tr\u01b0\u1eddng h\u1ee3p m\u1eafc lao trong \u0111\u00f3 c\u00f3 19 tr\u01b0\u1eddng h\u1ee3p Kh\u00e1ng thu\u1ed1c Rifamicine.<\/p>\n<p>T\u1ef7 l\u1ec7 x\u00e9t nghi\u1ec7m Xpert ph\u00e1t hi\u1ec7n Lao D\u01b0\u01a1ng t\u00ednh l\u00e0 17,6%. Cao nh\u1ea5t Long Xuy\u00ean 18,5%.<\/p>\n<p>T\u1ef7 l\u1ec7 x\u00e9t nghi\u1ec7m Xpert ph\u00e1t hi\u1ec7n Lao D\u01b0\u01a1ng t\u00ednh kh\u00e1ng Rifamicine chung t\u1ea1i c\u1ed9ng \u0111\u1ed3ng l\u00e0 0,9% cao nh\u1ea5t huy\u1ec7n Ch\u00e2u Ph\u00fa 1,7%.<\/p>\n<p>K\u1ebft qu\u1ea3 kh\u00e1m s\u00e0ng l\u1ecdc ph\u00e1t hi\u1ec7n b\u1ec7nh Lao t\u1ea1i C\u01a1 s\u1edf Y t\u1ebf cho nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao: ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i; ng\u01b0\u1eddi s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia, h\u00fat thu\u1ed1c l\u00e1; g\u1ea7y suy dinh d\u01b0\u1ee1ng; ng\u01b0\u1eddi c\u00f3 c\u00e1c b\u1ec7nh nguy c\u01a1 nh\u01b0 tim m\u1ea1ch, huy\u1ebft \u00e1p, ti\u1ec3u \u0111\u01b0\u1eddng, HIV:<\/p>\n<p>Qua kh\u00e1m s\u00e0ng l\u1ecdc cho nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao: 4856 ng\u01b0\u1eddi, ti\u1ebfn h\u00e0nh ch\u1ee5p X.quang ph\u1ed5i cho 1293 tr\u01b0\u1eddng h\u1ee3p x\u00e9t nghi\u1ec7m Xpert cho 1165 ng\u01b0\u1eddi ph\u00e1t hi\u1ec7n 473 tr\u01b0\u1eddng h\u1ee3p m\u1eafc lao trong \u0111\u00f3 c\u00f3 29 tr\u01b0\u1eddng h\u1ee3p Kh\u00e1ng thu\u1ed1c Rifamicine.<\/p>\n<p>T\u1ef7 l\u1ec7 x\u00e9t nghi\u1ec7m Xpert ph\u00e1t hi\u1ec7n Lao cho nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao l\u00e0 40,6%. Cao nh\u1ea5t Ch\u1ee3 m\u1edbi: 53,3%.<\/p>\n<p>T\u1ef7 l\u1ec7 x\u00e9t nghi\u1ec7m Xpert ph\u00e1t hi\u1ec7n Lao D\u01b0\u01a1ng t\u00ednh kh\u00e1ng Rifamicine nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao l\u00e0: 0,9%. Cao nh\u1ea5t Ch\u00e2u Ph\u00fa 2,9%.<\/p>\n<p>K\u1ebft qu\u1ea3 X\u00e9t nghi\u1ec7m Mantoux hay c\u00f2n g\u1ecdi l\u00e0 TST cho \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao:<\/p>\n<p>Ch\u01b0\u01a1ng tr\u00ecnh ch\u1ed1ng lao x\u00e9t nghi\u1ec7m Mantoux cho 7.653 ng\u01b0\u1eddi ph\u00e1t hi\u1ec7n TST (+): 740 ng\u01b0\u1eddi nhi\u1ec5m Lao ti\u1ec1m \u1ea9n, nh\u1eefng ng\u01b0\u1eddi n\u00e0y \u0111ang \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n \u0111\u01b0a v\u00e0o \u0111i\u1ec1u tr\u1ecb Lao ti\u1ec1m \u1ea9n.<\/p>\n<p>T\u1ef7 l\u1ec7 nhi\u1ec5m Lao ti\u1ec1m \u1ea9n chung l\u00e0 9,6% cao nh\u1ea5t l\u00e0 TP. Long Xuy\u00ean 21,2%.<\/p>\n<p>Qua tri\u1ec3n khai \u0111\u00e3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc lao \u0111\u01b0a v\u00e0o \u0111i\u1ec1u tr\u1ecb l\u00e0m gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng do lao, gi\u1ea3m t\u1eed vong, gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m lao trong c\u1ed9ng \u0111\u1ed3ng. H\u01b0\u1edbng t\u1edbi ti\u00ea\u0301p tu\u0323c \u0111\u00e2\u0309y ma\u0323nh c\u00f4ng t\u00e1c kh\u00e1m s\u00e0ng l\u1ecdc lao cho nh\u00f3m nguy c\u01a1. Ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u01b0a v\u00e0o \u0111i\u1ec1u tr\u1ecb. Ph\u00e1t hi\u1ec7n s\u1edbm \u0111i\u1ec1u tr\u1ecb s\u1edbm s\u1ebd l\u00e0m gi\u1ea3m l\u00e2y nhi\u1ec5m Lao t\u1ea1i c\u1ed9ng \u0111\u1ed3ng, t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe cho nh\u00e2n d\u00e2n.<\/p>\n<p>&#8211; Tri\u1ec3n khai kh\u00e1m s\u00e0ng l\u1ecdc cho nh\u00f3m nguy c\u01a1 t\u1ea5t c\u1ea3 c\u00e1c huy\u1ec7n, th\u1ecb, th\u00e0nh ph\u1ed1 tr\u00ean \u0111\u1ecba b\u00e0n t\u1ec9nh: chi\u1ebfn l\u01b0\u1ee3c 2X (Ch\u1ee5p XQ v\u00e0 XN Green Xpert).<\/p>\n<p>&#8211; C\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh n\u00ean s\u00e0ng l\u1ecdc Lao cho t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n b\u1eb1ng 4 c\u00e2u h\u1ecfi: Ho kh\u1ea1c \u0111\u00e0m k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 ho ra m\u00e1u. S\u1ed1t k\u00e9o d\u00e0i. G\u1ea7y s\u00fat. Ra m\u1ed3 h\u00f4i ban \u0111\u00eam c\u1ea7n \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf kh\u00e1m lao.<\/p>\n<p>&#8211; Tuy\u00ean truy\u1ec1n \u0111eo kh\u1ea9u trang n\u01a1i c\u00f4ng c\u1ed9ng ph\u00f2ng l\u00e2y nhi\u1ec5m lao, kh\u00f4ng kh\u1ea1c nh\u1ed5 b\u1eeba b\u00e3i.<\/p>\n<p>&#8211; C\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ea7n c\u00f3 bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t m\u00f4i tr\u01b0\u1eddng b\u1ea3o \u0111\u1ea3m th\u00f4ng tho\u00e1ng kh\u00ed, s\u1eed d\u1ee5ng \u0111\u00e8n c\u1ef1c t\u00edm \u0111\u1ec3 kh\u1eed tr\u00f9ng khu v\u1ef1c kh\u00e1m ch\u1eefa b\u1ec7nh, c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea7n \u0111\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc.<\/p>\n<p>&#8211; C\u00e1c Trung t\u00e2m Y t\u1ebf c\u1ea7n c\u00f3 b\u00e1c s\u1ef9 \u0111\u1ec3 kh\u00e1m lao c\u00f3 hi\u1ec7u qu\u1ea3 h\u01a1n, ph\u1ea3i l\u1ed3ng gh\u00e9p t\u1ed5 lao v\u00e0o khoa kh\u00e1m b\u1ec7nh \u0111\u1ec3 ti\u1ebfn t\u1edbi thanh to\u00e1n thu\u1ed1c Lao qua BHYT.\/.<\/p>\n<p style=\"text-align: right;\"><strong><em>BS.CKI \u0110\u1ed7 Xu\u00e2n Nguy\u00ean, Khoa Ph\u00f2ng, ch\u1ed1ng HIV\/AIDS &#8211; Lao &#8211; Da li\u1ec5u<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u0103m 2020 ch\u01b0\u01a1ng tr\u00ecnh ch\u1ed1ng Lao An Giang v\u1edbi s\u1ef1 t\u00e0i tr\u1ee3 D\u1ef1 \u00e1n FHI 360 \u0111\u00e3 ti\u1ebfn h\u00e0nh tri\u1ec3n khai chi\u1ebfn l\u01b0\u1ee3c 2X (Ch\u1ee5p XQ v\u00e0 XN GreenXpert). Kh\u00e1m s\u00e0ng l\u1ecdc ph\u00e1t hi\u1ec7n b\u1ec7nh Lao t\u1ea1i c\u1ed9ng \u0111\u1ed3ng cho nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao: ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i; ng\u01b0\u1eddi s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":3941,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[4,12,50,2],"tags":[],"class_list":["post-3940","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ban-tin-tong-hop","category-hoat-dong","category-cac-khoa-phong","category-tin-tuc-su-kien"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/3940","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=3940"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/3940\/revisions"}],"predecessor-version":[{"id":3942,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/3940\/revisions\/3942"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/3941"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=3940"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=3940"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=3940"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}