Dich te benh lao.ppt

7/23/2019 Dich te benh lao.ppt

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DCH T BNH LAO

Trinh bay: Ts Bs Trn Ngoc Bu

BV Phm Ngoc Thch


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Mc tu

Su tt g!ng" hoc #n nh$%n bt &'(c:) Nguyn *+ tr',ng t-n c. /0ch b%nh *1

) 23c ch4 s5 /0ch t6 th',ng /7ng &5 #8 b%nh *1

) Tinh hinh b%nh *1 trn th g8 ) V%t Nm) Nguyn *+ c9 b!n tr1ng ;m s13t b%nh *1


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T t? *$u &,:) @Au tch *1 C'9ng Dun s3t thAy trn nhEng C3c '8F G 2$%F c< &H) IFF1crtJs &K mL t! b%nh *1 Fh


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@Z #a1 &$u ng', t Fh$n *1*1 Fh


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am s1 Fh3t h%n # hu[n *1 num$%t &L%V] qRH`m* &am

2Ay &am:) 2Ay truyYn th5ng #8 mL tr',ng 1JnstJnJnsJn: _ th

) 2Ay tr1ng mL tr',ng *vngH V/: MefT : _ ) tun

) V hu[n p`m* &am

) 2u*turJ l: 2Ay /'9ng tnh 2lj

) 2u*turJ ): 2Ay $m tnh 2 )j


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]h! nOng *$y nh6m GkB l #a 2 lc> h3c nhu hLng


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@6n tn tZ nhn c. b^nh *1tr'8c th, & IfVj

Nh6m *1

B^nh *1 Lao phiAFB+

Ng', *anh

Lao phi AFB-,Lao ngoi phi

R

Uw ww ww

ChtT lnh x

_ nOm

It *$y b%nh

dich lao trng tn, mt ngun lyse ly nhm cho t nht 2 ng


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C h! "# $%h t& li'n ()an *n nh lao

Nh6m 1:) T *^ nh6m *1) Nguy c9 nh6m *1 hang nOm

MWc 1:) I^n mWc

) M8 mWc 2ht /1 *1

) 2ht /1 *1 tr1ng czng &-ng) 2ht tr1ng &Yu tr0 *1

Nguy c9 g tOng g3nh n{ng b^nh *1) IfV) 1 h3ng thu5c) 1 mang nK1 tr| Jm) 23c ch4 s5 h3c


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NhWc * c3c h3 n^m

T *^ Fr1F1rt1nj` lb

T s5 rt1j ` b

T suAt rtJ" b^nh suAt thJ1 th, gnj ` b tr1ng h1!ng th, gn C3c &0nh #8 bth, gn *uLn *a

ng', *anh tc *uLn trng th3 &5 /^n nguy c9 mWc b^nhj

T suAt *u tch cumu*t#J nc/JncJ rtJj

` lb ]h Du3 nhv" *}c nay t suAt *u tch b^nh gn nh' t*^" t *^ m8 mWcj


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23c ch4 s5 /0ch t6 *n Dun &nb^nh *1

Nh6m *1:) T *^ nh6m *1:

0nh ngh~: t *^ ng', nh6m *1 c> Fh!n ng tubJrcu*n /'9ngtnhj tr1ng mzt Dun th; t mzt th, &;m C3c &0nhH

ngh~: mc &z b0 *$y nh6m *1 tr1ng czng &-ng

) Nguy c9 nh6m *1 hang nOm: 0nh ngh~: ]h! nOng b0 nh6m" t3 nh6m *1 c. mzt ng', *anh

tr1ng mzt nOmH 2Lng thc tnh: \ RRFjR`G

F: t *^ nh6m *1 Dun th; tr| &'(c h!1 s3tG: Tu


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MWc 1

T *^ h^n mWc c. mzt Dun th; C3c &0nh:PrJ#*JncJ

0nh ngh~: T *^ ng', h^n &ng b0 mWc *1 tnh trn RH/$n t mzt th, &;m C3c &0nhH 2n go *a *'u hanh &z b^nh*1H

Ph'9ng Fh3F: &Yu tr tinh hinh *1 tr1ng czng &-ng

ngh~: mc &z trm trong c. b^nhH


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S5 ng', h%n mWc *1

NOm _R: c> R_ tr^u ng', mWc *1 ) V^t Nm : _H


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T *%h%n mWc *1`RH /$n

_R: c RH ng', trn tr3 &At c> Rx ng', &ng mWc *1H V^t Nm: U


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23c Du5c g c> t *^ ng', mWc *1 c1


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MWc 1 ttj

T ").t lao /0i 12ni$3n3 4at35) a t *^" #8 :

t s5: s5 c m8 mWc tr1ng mzt h1!ng th, gn C3c &0nh th',ng *a R nOmj mu s5: /$n s5 trung binh c. Dun th; tr1ng R nOm thJ1 /j tnh trn RH /$n

V/: Mzt Dun th; c> RH ng', hLng b^nhH ThJ1 / tr1ng R nOm c>_ c *1 CuAt h^nH

T suAt *1 m8 mWc Dun th; &> *a _`RH ng',

) Ph'9ng Fh3F:

Thu thF Du s< s3ch &Ong + b^nh 8c *'(ng Du &Yu tr *'u hanh &z b^nh *1H) ngh~: 3nh g3 t3c &zng c3c yu t5 nguy c9 b^nh *1H


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S5 ng', m8 mWc *1

_: '8c tnh c> HH ng', m8 mWc *1H V^t Nm RH


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T suAt mWc *1 m8`RH /$n

2 RH ng', trn tr3 &At" nOm _R c> R_ ng', m8 mWc *1H V^t Nm: R


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S5 ng', m8 mWc *a ngu-n *$y

_: c> UHH tr',ng h(F *1 m8 mWc *a ngu-n *$yH V^t Nm: H


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T suAt m8 mWc *1 *a ngu-n *$ych1 m RH ng',

_: c RH /$n tr3 &At" c> U ng', mWc *1 *1 *a ngu-n *$y m8H V^t Nm:


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Li'n ()an gi6a 7 8 2 t4ong nh lao

=un h^ gE t *^ h^n mWc #a t suAt *1 m8:P f C @

@: th, gn mWc b^nhH

tr1ng /0ch t6 *1: th, gn ng', b^nhh1 hc r # hu[nH

Tr1ng mL hinh c< &;n c. b^nh *1 @ *a "w nOmH


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S1 s3nh gE P #a f

SuAt &z *1 m8 fj 'u hanh &z *1 Pj

T s5:23c c *1 m8 tr1ng th, gn nhAt&0nh

T s5:TAt c! c3c c *1 m8" c.j t mzt th,&;m h1{c mzt h1!ng th, gn nhAt&0nhH

Mu s5:@$n s5 th, &;m bWt &u C!y rnguy c91 tr? c3c tr',ng h(F &K mWc *1tr1ng th, gn thJ1 /

Mu s5:TAt c! c3 th; tr1ng czng &-ngTnh t mzt th, &;m h1{c /$n s5trung binh tr1ng th, gn nhAt &0nhH

S /ng &;:8c tnh nguy c9

S /ng &;Tnh mc &z nghm trong c. b^nh


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2ht /1 *1

T #1ng:) T suAt /1 *1 tr1ng czng &-ng: M1rt*ty rtJ

0nh ngh~: t *^ ng', cht /1 b^nh *1 c. mzt Dun th; nhAt &0nhtr1ng R nOm" tnh trn RH /$nH

Thu thF:

) =u &Yu tr t #1ng tr1ng czng &-ng) =u s5 *û trn s< t #1ng t tuyn CK" Fh',ng ngh~: tnh nghm trong c. b^nhH

) T suAt tr1ng &Yu tr0 *1: kt*ty rtJ 0nh ngh~: t *^ ng', mWc *1 b0 cht tr1ng Du3 trinh &Yu tr0

*1H Thu thF:) =u s5 *û Du!n *+ *1 tuyn huy^n

ngh~: hû Du! Fh3c &- &Yu tr0" Fh3t h^n b^nh muzn" c3c b^nh*+ Fh5 h(FH


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S5 ng', cht /1 *1

_R: trn t1an cu c> RHRH cht #i b%nh *1H V^t Nm: _H


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T *%cht /1 b%nh *1 tnh trnRH ng',

NOm _R" c RH ng', trn tr3 &At" c> Rw ng', cht /1 *1H V^t Nm: U


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23c ch4 s5 1 ) IfV

T *^ nh6m IfV tr1ng s5 ng', mWc *1:) 0nh ngh~: t * ng', c> Ct ngh^m IfVlj tr1ng s5 ng',

mWc *1H) Thu thF:

S< &Ong + *1 tuyn huy^nH

) ngh~: mc &z !nh h'ng IfV *n /0ch t6 *1" c3c b^n Fh3Fcn th^FH

T *^ mWc *1 tr1ng s5 ng', nh6m IfV:) T *^ ng', mWc *1 tr1ng s5 ng', nh6m IfVH

) Thu thF: S< thJ1 / ng', s5ng chung #8 I t c3c P2 hvj

) ngh~: mc &z !nh h'ng c. 1 *n /0ch t6 IfV" c3c b^nFh3F cn th^FH


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n Dun gE 1 #a IfV

t nhAt R` ng', nh6m IfV b0 nh6m *1H Ng', &-ng nh6m 1 ) IfV: nguy c9 *1 tn tr;n gAF _ ) *n

s1 #8 ng', hLng b0 nh6m IfVH 1 *a b^nh c9 hz th',ng g{F ng', nh6m IfV 6 c! h &'(c

/7ng thu5c h3ng #rus IfVH

Ng', nh6m IfV rAt /6 c> nguy c9 h3ng thu5c *1H 1: nguyn nh$n hang &u g$y t #1ng ng', s5ng chung #8

IfV chm _w TS t #1ngjH NOm _:

) " ng', t #1ng /1 1IfVH

) 8c tnh R"R tr^u BN 1 ) IfV" c' ng t #7ng cn Shrn ch$uPhH

Tuy c> chYu h'8ng gKm nh t? _" nh'ng s5 BN *1 tOng gAF *n Du5c g c> *'u hanh &z IfV c1 tr1ng _ thF Q #? DuH


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S5 ng', nh6m IfV

2u5 _R" t1an cu c> U"" ng', nh6m IfV


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T *%lao m8 c3c th;`RH ng', IfV

2u5 _" c RH ng', nh6m IfV trn tr3 &At c> Rx mWc thm b%nh *1


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T *%IfV BN *1 m8 _R

httF:``Hg*1b*hJ*thctsH1rg`

8c tnh cu5 _R" _ s5 b%nh nh$n *1 &-ng nh6m IfVH V^t nm: U"


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T #1ng /1 *1 tnh trnRH ng', IfV lj

2u5 _x" c RH ng', IfVlj" c> x ng', cht /1 *1


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T3c L%ng c. IfV *n Tu


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T3c &L%ng IfV *n t Du! &Yu tr0*1 t TFHI2M Rx _x


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2h4 s5 #Y tinh hinh h3ng thu5c *1

1 h3ng thu5c: a tinh trng # hu[n *1 h3ng #8mL%t h1O%c nhYu h3ng snh /7ng &Yu tr0 *1H

T *^ *1 h3ng thu5c:) 0nh ngh~: t * ng', b^nh *1 mng # hu[n h3ng thu5c

tr1ng s5 ng', b^nh &'(c h!1 s3t t mzt th, &;m ) g &1nnhAt &0nhH

) ngh~: tinh hinh h3ng thu5c h^n t" chAt *'(ng h1t &zngc. 2T2" Du!n *+ thu5c *1 trn th0 tr',ngH


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Ph$n *1 h3ng thu5c *1

Th3o ti9n ": *i9) t4% lao Th3o l;hng

?hng th)# ti'n pht@h3ng thu5c*1 ng', ch' &Yu tr0 thu5c h3ng*1 *n na1

?hng th)# .t >ny /rug rJsstncJj]h3ng #8 t nhAt mzt h3ng snh hng *1

?hng th)# / phi@h3ng thu5c

*1 ng', &K c> tYn s /7ng thu5c*1

?hng /t th)#m1n1 /rug rJsstncJj

]h3ng #8 mzt *1 h3ng snh h3ng *1

?hng nhi9) th)#F1*y /rug rJsstncJj]h3ng t? _ h3ng snh h3ng *1 tr *n nh'nghLng h3ng #8 \ #a I

?hng *a th)#mu*t/rug rJsstncJ M@\j]h3ng t nhAt #8 \ #a I

Ei') >hng th)#JCtJns#J*y /rug rJsstncJj]h3ng & thu5c m h3ng #8 R h3ng snhh3ng *1 hang th _ /ng tm ]nmycn )2FrJ1mycnj #a Dun1*1nJH


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1 ]h3ng Thu5c

23ch &$y w nOm" ch' c> thu5c &Yu tr0 *1" h3ng thu5c *1 gh nh$%n /ng # hu[n *1 h1ng / rAt thAF:) R`R tr%u: h3ng \fk" fNI) R`RHH h3ng SM) R`RH h3ng MB" PGHH

I%n t" nhEng /ng # hu[n *1 h3ng thu5c &'(c gh nh$%n bAt cDu5c g na1 c> h!1 s3t #Y h3ng thu5cH B31 c31 dTTe _:) B%nh *1 m8:

Rx h3ng bAt h3ng thu5c: _H

) B%nh t3 tr0: wHw h3ng bAt

h3ng thu5c: wH

Nhin chung c3c /ng # hu[n *1 h3ng #8 c3c thu5c tht yu &ng gtOngH


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1 ]h3ng Thu5c

Nguyn nh$n c. tinh trng h3ng thu5c /1 &Yu tr0 hLng &Yu h1O%c &Yu tr0 hLng&}ng Fh3c &-:) BN thAy hvJ nn tZ + bv thu5cH) Thy thu5c ch4 &0nh Fh3c &- hLng &}ng) TF *%u thu5c hLng *n tcH

T *%M@\TB &O%c b%t c1 :) Tr gm" tr c! t1) 23c n'8c thuL%c n XL c. chm RU tr1ng s5 _ n'8c M@\TB c1j #a &J

/o thanh cLng c. 2T2H

]h3ng thu5c *1 c> th; &Yu tr0 &'(c" n> & hv:) Th, gn &Yu tr0 h3 /a _ nOmj"

) S /ng c3c thu5c h3ng snh h3ng *1 hang th h rAt &Wt tYnj) Va Fh! &5 mO%t #8 t *%c1 Fh! ng hLng m1ng mu5n rAt nO%ng #a h> ;m

s13t &'(cH

SZ g tOng gn &$y c. X@\TB &O%c b%t *a nhEng n9 &-ng nh6m IfV &K t3c&L%ng #L c7ng bAt *( &n #%c ;m s13t b%nh *1H

5


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8c tnh s5 b^nh nh$n M@\TBcu5 _R

?hong

5


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1 h3ng & thu5c b^nh nh$n *1 m8 RU ) _R

]hLng c> s5 *^u

S5 *^u /'8 cAF =e

5


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1 h3ng & thu5c b^nh nh$n *1 t3 tr0 RU ) _R

]hLng c> s5 *^u

S5 *^u /'8 cAF =e


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Tinh trng h3ng thu5c #a thAt b &Yu tr0 RHU BN *1 Fh


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Tinh hinh X@\ &n cu5 nOm _R

@6n tn tZ nhn c. b^nh *1


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@6n tn tZ nhn c. b^nh *1tr'8c th, & IfVj

Nh6m *1

B^nh *1 Lao phiAFB+

Ng', *anh

Lao phi AFB-,Lao ngoi phi

R

Uw ww ww

ChtT lnh x

_ nOm &u: `R

_ nOm

@ I13 /Z Fhng

@Fh3t h%n ngu-n *$y" &Yu tr0ch1 *anh

dich lao trng tn, mt ngun ly se ly nhm cho t nht 2 ng


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Nguyn *+ c9 b!n c.2h'9ng Trinh 2h5ng 1

; cWt &t #ng *$y truyYn c. /0ch b^nh *1:) Fh3t h^n ngu-n *$y #a

) &Yu tr0 ch1 ho hLng cn *$y &'(c nEH

y c!ng l" nguy#n l$ c% &'n cho (h%ng )r*nh(h+ng ao -u+c .a /()(-.0 nht l" c1c nc c3thu nh45 th56


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Ngu-n thLng tn #Y tinh hinh b^nh *1

httF:``Hh1Hnt`t1Fcs`tubJrcu*1ss`Jn`







http://www.who.int/topics/tuberculosis/en/http://www.globalhealthfacts.org/http://www.who.int/topics/tuberculosis/en/http://www.globalhealthfacts.org/http://www.who.int/topics/tuberculosis/en/http://www.globalhealthfacts.org/http://www.globalhealthfacts.org/http://www.who.int/topics/tuberculosis/en/http://www.who.int/topics/tuberculosis/en/http://www.globalhealthfacts.org/http://www.who.int/topics/tuberculosis/en/http://www.globalhealthfacts.org/http://www.who.int/topics/tuberculosis/en/


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