[x]�Դ˹�ҵ�ҧ
Start by Narongrit.net & Powered by ## MAXSITE 1.10 plus ##

Webboard

˹á webboard  >>   >> ʹ͡ ҡ ˵ Сѡäʹ͡ 7 Ը !!

ѧʴ˹ҷ 1/1 << 1 >>

Topic  :  ʹ͡ ҡ ˵ Сѡäʹ͡ 7 Ը !!
ҷԵ 14 ͹ Ҥ ..2560  Ҫ : 3524 
Start by : K. Somboon
IP : 58.10.107.XXX

äʹ͡ ʹ͡ (Dengue hemorrhagic fever DHF) äԴͫ˵Ҩҡധ (Dengue virus) اºҹ繾йä ҡâͧäФ¤֧ѺäѴ㹪ǧá (ѡҡäѴ١ ١ ҡҧ·Ѵ) ֧㨤Ҵ͹ҵ§äѴзѺѡҧ١ͧá ǹҡФعçͧäдѺҡҡ硹仨֧ԴЪ͡˵طªԵ (عçͧõԴ͢Ѻ Ԥѹ Фعçͧ) ää辺ҡä˹ ѡкҴ㹪ǧĴٽ繪ǧاªء ҡʶԵ㹻 .. 2556 ͧӹѡäԴ͹ŧ Ǻä зǧҸóآ ռ¨ӹǹ 154,444 (Դѵһ 241.03 ͻЪҡ 100,000 ) ըӹǹªԵӹǹ 136 (ԴѵªԵ 0.21 ͻЪҡ 100,000 ) ǹѵҡªԵԴ 0.09% Ѻ***ǹͧ¨ṡ ǹ˭㹡 15-24 29.16% ͧŧ 10-14 21.31% С 5-9 13.74% ӴѺ ǹ 0-4 ҡ 25 ֧ 65 繪ǧط辺·ش (硢Ǻáѡ㹪ǧ 7-9 ͹) ˵آͧäʹ͡ Դҡധ (Dengue virus) ͡ 4 ¾ѹ Դ 1, 2, 3 4 (DEN-1, DEN-2, DEN-3, DEN-4) اºҹ (Aedes aegypti) 繾йä Ǥ اµ¨СѴдٴʹͧ·äʹ͡͹ (ധʹͧ¨仿ѡӹǹ㹵ا͹öժԵ㹵اʹآͧا ҳ 1-2 ͹) Ǩ֧仡Ѵ§Թ 400 觨繡餹 اԴا͡ҡԹ (Ѵ) ҡҧѹСҧ׹ (ا¹͡ҡԹ੾ҡҧѹ ѧاա͡ҡԹҡҧ׹) Ъͺоѹ觹ӹ㹺dzҹ 觹 ᨡѹ ҹͧѺ лͧ ҡ ҧö¹ չӢѧ 繵 ˵äʹ͡ õԴധҡʴ 3 Ẻ ധ (Denque Fever DF), ʹ͡ ʹ͡ധ (Dengue hemorrhagic fever DHF) ʹ͡ധշ͡ (Denque Shock Syndrome DSS) ·Ѻധ令á (öԴ͵ 6 ͹) пѡǢͧäԴҡûҳ 3-15 ѹ (ǹҡ 5-7 ѹ) ¨٧Ѵ˭ҳ 5-7 ѹ ǹҡҡʹ͡ §ǹҹ鹷Ҩʹ͡ҡعç ¡ ധՔ (Dengue fever DF) ҶҼѺͫա ҨധժԴͤЪԴѺѺá пѡǢͧä鹡Ҥá ҧ¨Դԡҷʹʹʹ ֧͹ʹū͡Ҩҡʹʹ (ǨдѺⵤԵ٧ չçʹЪͧͧ) ʹ͡ ˵ԴЪ͡ ധշ 4 Դ Antigen ѹҧǹ ԴõԴͪԴ˹觨зԴԤѹաԴ˹觴 ԷԴ§ 6-12 ͹ ǹԷԴѺͷ¨仵ʹԵ ҡʹ͡ҡ DEN-1 ¨Ԥѹ͹仵ʹ ԤѹധժԴ§ 6-12 ͹ ѧ Ҩ֧͡ʵԴʹ͡¤ ǹ˭͡ʹ͡Դعç§ ҧҡԹ 2 㹪ǪԵ ǹعç ѹ¤駹鹹Ѻչҡ ǹ˭褹ѺധդáѡҡҨ§٧ Ǵ Ǵ¡ Ǵд١ ҹ 㹤Դ繤駷 2 ੾ͷҧ¾ѹѺá ҨҡعçԴЪ͡ ·仡õԴͤѧ Դҡعç ѡԴѧõԴͤáҳ 6 ͹ ֧ 5 ˵عʹ͡ҡعç֧ѡصӡ 10 Ѻധ 褹ʴҡ§ 30-50% ҹ ѧ ֧դӹǹҡԴҡʴ ҡâͧäʹ͡ ҡâͧʹ͡͡ 3 з 1 (٧) ¨٧ԴҧѺѹ 39-41 ͧ ѡɳ٧µʹ (ѺзҹŴѡŴ) ˹ᴧ ᴧ Ǵ Ǵµ ¹ ѡҡ¹ ҨӾѺҡá硹 㹺ҧҨҡûǴͧ㹺dz鹻ͪçҹ ͻǴͧ Ҩҡ÷ͧ١Ͷ ǹصӡ 1 Ҩҡ٧Ѻҡêѡ ҡ 辺 ͹ Ǵк͡ ҡ͡ҨлǴ ʧ Ǵѧ Ǵ Ǵµ Ǵ Ǵд١ 㹪ǧ 24-48 áͧ纻 Ҩҡü˹ѧᴧdz˹ Ӥ ˹͡ öҳ 50-80% ͧ Դҡ÷ʹʹ˹ѧµ ҡ͡ըҧŧ ʹ͡ҡ ѹ 3 ͧ (ѧҡü˹ѧᴧ) Ҩռ蹻ᴧѴ ѹ 鹵ᢹ ӵ 觨ҳ 2-3 ѹ 蹪Դѡ鹷ѧ ѧ ǡШѧᢹ ӵѧ ѡ辺dzн 㹺ҧҨѡɳ繨ʹͨشʹ͡ѡɳ繨شᴧ (ҧҨըǴ¡) 鹵˹ ᢹ ͡ѡ 㹪ͧҡ (ྴҹҡ о ) 繵Ǻ͡ʹҧµŧ кҧҨʹ͡ÿѹ ʹ ҡʹ͡ʹ͡ й¨٧ҳ 2-7 ѹ ҡعç ǹҡŴŧѹ 5-7 ҧҨԹ 7 ѹ ҡлҡҡз 2 ǹҡʹ͡ѡҡäѴ١ ١ ҡҧ·Ѵ͡Ѵ 㹺ҧҨҡ纤 ᴧ硹 ҡͺҧ硹 ÷ͺव (Tourniquet test) ǹ˭źǡ 2 ѹ繵 ǧ鹼ٹҧ 1 ѡоشʹ͡ҡ 10-20 ش 硷äʹ͡ ѡҡ§硹ҹ ҡ黡ͧ¾ѺѡҷçҺ ͡ʷ硨ªԵͧҡѺѡҷҪ з 2 (Ъ͡ʹ͡ ԡĵ) ѡоʹ͡Դҡധշդعç鹷 3 4 ҡèԴ㹪ǧҧѹ 3-7 ͧä 觶繪ǧԡĵԢͧä ҡŴŧ ¡Ѻҡ÷ش˹ѡ ҡûǴͧ¹¢ ҡ Ѻ ˧͡ ͡ վ (Ҩҡ 120 /ҷ) դѹ ҡâͧЪ͡ (йԴͧҡū͡ҡʹʹ ֧ҵâͧʹŴŧҡ) عç Ҩҡ֡ 繪״ ҡ Ӫվ ФѹѴ ҡѺѡҧѹǧ ҨªԵ 1-2 ѹ 㹺ҧҨҡûǴͧҡ ͧⵢ ͺ˹ ͧҡչ͡ҡʹʹͧʹЪͧͧ Ҩҡʹ͡˹ѧ (ըǾӢ) ͧҡʹ Ҩʹ ʹ͡ÿѹ ¹ʹʴ ա بʹʴ չѹԺ ʹ͡ѡзԴЪ͡عçмҨªԵѹǴ йСԹһҳ 24-72 ҡöҹǧԡĵԹз 3 з 3 (п鹵) ·Ъ͡عç ͼҹԡĵԪǧз 2 ҡáдբҧǴ ·Ъ͡عç Ѻѡҧ١ͧзѹǧաп鹵Ҿ ҡ÷ʴҴբ鹹 ¨ҡѺзҹ ҡõҧ СѺ׹Ҿ վ鹪ŧ ѹԵѺ軡 ͡ҡ 㹺ҧҨ蹫ѡɳШТǧ բ ᴧ˹ѧա (٤ բ㹷ᴧ 繻ҡóԤѹͧҧ¡ѧѴáѺ) ੾зҷͧҧ 蹪Դǹҡҡäѹ Ҩҡäѹ˹ѧ§硹»ҳ 16-27% ͧ ҡѹҡҨŪ蹷ѹ ѡͧ 1 ѻ ·´ Ҩҡü˹ѧ͡繢ҧ硹 駹 蹪Դá (ҡü˹ѧ繻ᴧ) ЪԴͧ (ǧ繻ᴧ) 繵ͧѹ ҡâͧʹ͡ йҨԹһҳ 7-10 ѹ (ѧҡҹз 2 ) ҵ騹çաһҳ 7-14 ѹ ǹ·ҡ§硹Ҩ 3-4 ѹ ͧ ǹҡ (͹) Ҩ 2-7 ѹ ͺҧҨҹ 10 ѹ дѺعçͧäʹ͡ ʹ͡öдѺعç 4 鹷 1 (ô 1) ¨ҡʴ 价੾Ш ҡʴͧʹ͡§ҧ ըشᴧ ˹ѧҡʹ͡ҧ С÷ͺवźǡ 鹷 2 (ô 2) ¨ҡ鹨ҡ鹷 1 ʹͧ͡ Ҩ͡繨ʹ˹ѧ ʹ͡ҡ ¹ʹ بʹ ѧЪ͡ վФѹԵѧ繻 鹷 3 (ô 3) ¨ҡʴͧЪ͡ Ѻ ˧͡ վ ѹդᵡҧҧѹǧФѹǧҧ ¡ çվ ѹվ (Pulse pressure) ¡ 30 .ͷ ѹǧ 80 ǧҧ 60 鹷 4 (ô 4) ¨Ъ͡ҧعç վǨѺ ѹѴ /ʹ͡ҡ ¹Ͷʹҡ ʹ͡Դҡͪԡعع (Ǵا) դعç㹢鹷 1 2 ش繢鹷 3 4 ǹʹ͡Դҡധ (Dengue virus) Ҩդعç֧鹷 3 4 ҳ 20-30% зա 70-80% ʴҡ㹢鹷 1 2 ¹ŧͧµ鹵ҧ ԴҧǴ ѧ ᾷдżҧԴ ੾ҧ ¹ҡ鹷 2 Ң鹷 3 4 èѺվ ѴѹԵ ҨͧǨҤ鹢ͧʹ¡ʹǨⵤԵ еǨѺӹdzʹ á͹ͧäʹ͡ äʹ͡äعç ͡ѡ¡٧ѺõǨѡҵá ҡѺѡ ¨͡ªԵ٧֧ 50% ҡԴá͹ ʹ͡еҧ á͹Ӥѭͧäʹ͡ յعç ʹ͡˹ѧ ʹ 仨֧ʹ͡عç㹵ҧ ͧ лʹ ѡзѵҡªԵ٧ Ъ͡Ҩ˵طªԵ ҨԴеѺ (ҡôիҹ) çҨªԵ ѡ㹼·Ъ͡ҹ йԹҧ¨Դչ㹪ͧʹ㹪ͧͧҡԹ Դҡͺ Ӻҡ йԴҡŢͧ͡͡ʹʹ㹪ǧЪ͡ ҡǨѡѹǧ ͡骹ԴС˹ҳҧҧʹʹ ¨öҹйҧʹ Ҩ繻ʹѡʺ (Ҩչ㹪ͧʹ) ʹѡʺ ͧѡʺ ͡ѡʺá͹ ͡Դҡ ҡʹ͡ѺҷҧʹʹҡԹ ҨԴлʹ (Pulmonary edema) ѹ ѧͷҧʹʹ ᾷеǨҡüҧԴ á͹ ͧӧҹԴ ԹԨäʹ͡ ᾷöԹԨäʹ͡ҡҡ÷ʴѡ ੾ҡ٧ 39-41 ͧ ˹ᴧ ͡ᴧ ҨѺ ռᴧ ͨشᴧ ҡäѴ١ ١ 纤 Ѻջѵäʹͧ͡dzǡѹ աкҴͧä㹪ǧ С÷ͺवźǡ 觨ЪʹѺʹعԹԨä ͡ҡ 觵Ǩʹ պի (CBC) еǨʹ ʹǤ͹ҧФ鹢ͧʹ٧ §ҹöԹԨäǹ˭ 㹺ҧ ҡҡ šõǨҧ мʹͧѧöԹԨä 㹻ѨغѹԸաʹ仵ǨԤѹҹҹധ 觨Ъ·ԹԨäҧҡ ÷ͺव (Tourniquet test) 繡÷ͺͧѴѹѴ˹ͧ͢͡´¤Ҥѹ觡ҧҧѹǧФѹǧҧͧҹҹ 5 ҷ (ͧѴѹ Ҩҧ˹ѧʵѴ˹͢͡硹 ѧͤӪվ÷ ҹҹ 5 ҷ) Ҿըشʹͨ͡شᴧԴ鹷dzͧᢹ˹觷Ѵ繨ӹǹҡ 10 شǧҴ鹼ٹҧ 1 ʴźǡ ҹ¡ 10 ش ʴź 㹼ʹ͡ ÷ͺźǡҡ 80% 2 ѹ繵 㹪ǧ 1-2 ѹáҨѧź 㹤äʹʹ Եҧоʵԡ ;շ ͤѴ Ҩźǡ蹡ѹ ǹ㹼ʹ͡Ъ͡͡ѧЪ͡ ͼ·ǹҡ (ѹѴҨ衴Ѻʹ ͧҡժѹ˹ҡ) ͼ·ҡ (ѹѴЪѺǧᢹ) ÷ͺҨźǧ ÷ͺव ʹ͡ѡ¡͡ҡѴҧѴਹ ·ʹ͡ҡäѴ١١ Ҩ٧˹ᴧ ᴧ ռ蹢鹤Ѵ ö¡͡ҡѴ ¼·Ѵչ١ҡ еǨشͻԡ (Kopliks spot) 繨شբ ͧ ᴧ Ҵ 紧ҷоҹ㹺dzѹҧͿѹҹͧش ͡ҡҡ٧չ١ ѧҨ٤Ѵ˭ ䷿´ 蹡Һ㹷á Ѻѡʺҡá ä˹ 繵 㹪ǧĴٽ㹪ǧաкҴͧʹ͡ Ҿҡ٧ºѹ Ҩͼ˭ ÷ͺव ͵Ǩ ;٨ʹ͡ء Ըѡäʹ͡ 㹻Ѩغѹѧѡäʹ͡µç ҡҡعçäͧ ѧ ѡҨ֧§ѡ仵ҡӤѭ Ǥ Ŵ 紵 ҡ ͻͧѹЪ͡ Сѡá͹ҧ ҨԴ ҡҡ٧ ҡ 纤 չ١ 仾ᾷͻ֡еǨäʹ͡ ੾ҡ㹪ǧĴٽͪǧաкҴͧäʹ͡ ·ҡعç (ҡ㹢鹷 1) ҡ٧ Ǵ ѧҡʹ͡Ъ͡ ᾷŴ Ҽ (ORS) ͻͧѹЪ͡ Ѻѧࡵҡ÷ҹ ҡ鹡йѴ¡ѺҵԴҡ÷çҺ ·ͧ͹ѡѡҵçҺ ͧմ Ҿҧ ͧһԪǹ´ й黯ԺѵԵйӵ仹 ¹͹ѡ͹ҡ 㹷ҡȶ෴ ҡ ͡ҡ Ҩ繹 Ӽ Ѵҿͧ͡ ͼ (ORS) ͻͧѹТҴӨҡ٧ ШҡǢͧ͡͡ʹʹ ˵طդѹԵŧЪ͡ Ѻзҹ͹ § ǵ Ѻзҹ й ҹ Ӽ ͹ ¹й ѺзҹԵԹ ѺзҹԵԹ ա§÷ʨѴءԴ ҨФͧ͡ ա§͹ӷմ չӵ ᴧ ҨѺʹѺʹ͡㹷ҧԹҡ¹ ա§ ੾´ һԪǹ 件֧éմҡ ҡ٧ҪغسԻ͹蹺ԴҴ 紺dz˹ ӵ ᢹ Ǿѡ 紵ͷdzѡ ͡ ѧ ˹պѺѹ ӵԴ͡ѹҧ 15 ҷ ҧ紵ҡҡ˹蹡شҺҧ ѺзҹŴ૵ (Paracetamol) ҹ ¤þسԢͧҧµ [url]https://www.honestdocs.co/dengue-fever[/url] [url]https://www.honestdocs.co[/url] 
 
 [ ҧԧ ]


RE : ʹ͡ ҡ ˵ Сѡäʹ͡ 7 Ը !! [ 繷 1]
ҷԵ 14 ͹ Ҥ ..2560 13:15:39
: Jack Somboon 
IP :
58.10.107.XXX

äʹ͡

ʹ͡ (Dengue hemorrhagic fever – DHF) äԴͫ˵Ҩҡധ (Dengue virus) اºҹ繾йä ҡâͧäФ¤֧ѺäѴ㹪ǧá (ѡҡäѴ١ ١ ҡҧ·Ѵ) ֧㨤Ҵ͹ҵ§äѴзѺѡҧ١ͧá ǹҡФعçͧäдѺҡҡ硹仨֧ԴЪ͡˵طªԵ (عçͧõԴ͢Ѻ Ԥѹ Фعçͧ)

ää辺ҡä˹ ѡкҴ㹪ǧĴٽ繪ǧاªء ҡʶԵ㹻 .. 2556 ͧӹѡäԴ͹ŧ Ǻä зǧҸóآ ռ¨ӹǹ 154,444  (Դѵһ 241.03 ͻЪҡ 100,000 ) ըӹǹªԵӹǹ 136  (ԴѵªԵ 0.21 ͻЪҡ 100,000 ) ǹѵҡªԵԴ 0.09% Ѻ***ǹͧ¨ṡ ǹ˭㹡 15-24 29.16% ͧŧ 10-14 21.31% С 5-9 13.74% ӴѺ ǹ 0-4 ҡ 25 ֧ 65 繪ǧط辺·ش (硢Ǻáѡ㹪ǧ 7-9 ͹)

˵آͧäʹ͡

Դҡധ (Dengue virus) ͡ 4 ¾ѹ Դ 1, 2, 3 4 (DEN-1, DEN-2, DEN-3, DEN-4) اºҹ (Aedes aegypti) 繾йä Ǥ اµ¨СѴдٴʹͧ·äʹ͡͹ (ധʹͧ¨仿ѡӹǹ㹵ا͹öժԵ㹵اʹآͧا ҳ 1-2 ͹) Ǩ֧仡Ѵ§Թ 400 觨繡餹 اԴا͡ҡԹ (Ѵ) ҡҧѹСҧ׹ (ا¹͡ҡԹ੾ҡҧѹ ѧاա͡ҡԹҡҧ׹) Ъͺоѹ觹ӹ㹺dzҹ 觹 ᨡѹ ҹͧѺ лͧ ҡ ҧö¹ չӢѧ 繵

˵äʹ͡

õԴധҡʴ 3 Ẻ   (Denque Fever – DF), ʹ͡  ʹ͡ധ (Dengue hemorrhagic fever – DHF) ʹ͡ധշ͡ (Denque Shock Syndrome – DSS)

·Ѻധ令á (öԴ͵ 6 ͹) пѡǢͧäԴҡûҳ 3-15 ѹ (ǹҡ 5-7 ѹ) ¨٧Ѵ˭ҳ 5-7 ѹ ǹҡҡʹ͡ §ǹҹ鹷Ҩʹ͡ҡعç ¡ “” (Dengue fever – DF) ҶҼѺͫա ҨധժԴͤЪԴѺѺá пѡǢͧä鹡Ҥá ҧ¨Դԡҷʹʹʹ ֧͹ʹū͡Ҩҡʹʹ (ǨдѺⵤԵ٧ չçʹЪͧͧ) ʹ͡ ˵ԴЪ͡

ധշ 4 Դ Antigen ѹҧǹ ԴõԴͪԴ˹觨зԴԤѹաԴ˹觴 ԷԴ§ 6-12 ͹ ǹԷԴѺͷ¨仵ʹԵ ҡʹ͡ҡ DEN-1 ¨Ԥѹ͹仵ʹ ԤѹധժԴ§ 6-12 ͹ ѧ Ҩ֧͡ʵԴʹ͡¤ ǹ˭͡ʹ͡Դعç§ ҧҡԹ 2 㹪ǪԵ ǹعç ѹ¤駹鹹Ѻչҡ

ǹ˭褹ѺധդáѡҡҨ§٧ Ǵ Ǵ¡ Ǵд١ ҹ 㹤Դ繤駷 2 ੾ͷҧ¾ѹѺá ҨҡعçԴЪ͡ ·仡õԴͤѧ Դҡعç ѡԴѧõԴͤáҳ 6 ͹ ֧ 5 ˵عʹ͡ҡعç֧ѡصӡ 10

Ѻധ 褹ʴҡ§ 30-50% ҹ ѧ ֧դӹǹҡԴҡʴ

ҡâͧäʹ͡

ҡâͧʹ͡͡ 3

  • з 1 (٧) ¨٧ԴҧѺѹ 39-41 ͧ ѡɳ٧µʹ (ѺзҹŴѡŴ) ˹ᴧ ᴧ Ǵ Ǵµ ¹ ѡҡ¹ ҨӾѺҡá硹 㹺ҧҨҡûǴͧ㹺dz鹻ͪçҹ ͻǴͧ Ҩҡ÷ͧ١Ͷ ǹصӡ 1 Ҩҡ٧Ѻҡêѡ
    • ҡ 辺 ͹ Ǵк͡ ҡ͡ҨлǴ ʧ Ǵѧ Ǵ Ǵµ Ǵ Ǵд١
    • 㹪ǧ 24-48 áͧ纻 Ҩҡü˹ѧᴧdz˹ Ӥ ˹͡ öҳ 50-80% ͧ Դҡ÷ʹʹ˹ѧµ ҡ͡ըҧŧ
      ʹ͡ҡ
    • ѹ 3 ͧ (ѧҡü˹ѧᴧ) Ҩռ蹻ᴧѴ ѹ 鹵ᢹ ӵ 觨ҳ 2-3 ѹ 蹪Դѡ鹷ѧ ѧ ǡШѧᢹ ӵѧ ѡ辺dzн 㹺ҧҨѡɳ繨ʹͨشʹ͡ѡɳ繨شᴧ  (ҧҨըǴ¡) 鹵˹ ᢹ ͡ѡ 㹪ͧҡ (ྴҹҡ о ) 繵Ǻ͡ʹҧµŧ кҧҨʹ͡ÿѹ ʹ
      ҡʹ͡ʹ͡
    • й¨٧ҳ 2-7 ѹ ҡعç ǹҡŴŧѹ 5-7 ҧҨԹ 7 ѹ ҡлҡҡз 2
    • ǹҡʹ͡ѡҡäѴ١ ١ ҡҧ·Ѵ͡Ѵ 㹺ҧҨҡ纤 ᴧ硹 ҡͺҧ硹
    • ÷ͺव (Tourniquet test) ǹ˭źǡ 2 ѹ繵 ǧ鹼ٹҧ 1 ѡоشʹ͡ҡ 10-20 ش
    • 硷äʹ͡ ѡҡ§硹ҹ ҡ黡ͧ¾ѺѡҷçҺ ͡ʷ硨ªԵͧҡѺѡҷҪ
  • з 2 (Ъ͡ʹ͡  ԡĵ) ѡоʹ͡Դҡധշդعç鹷 3 4 ҡèԴ㹪ǧҧѹ 3-7 ͧä 觶繪ǧԡĵԢͧä ҡŴŧ ¡Ѻҡ÷ش˹ѡ ҡûǴͧ¹¢ ҡ Ѻ ˧͡ ͡ վ (Ҩҡ 120 /ҷ) դѹ ҡâͧЪ͡ (йԴͧҡū͡ҡʹʹ ֧ҵâͧʹŴŧҡ) عç Ҩҡ֡ 繪״ ҡ Ӫվ ФѹѴ ҡѺѡҧѹǧ ҨªԵ 1-2 ѹ
    • 㹺ҧҨҡûǴͧҡ ͧⵢ ͺ˹ ͧҡչ͡ҡʹʹͧʹЪͧͧ
    • Ҩҡʹ͡˹ѧ (ըǾӢ) ͧҡʹ Ҩʹ ʹ͡ÿѹ ¹ʹʴ ա بʹʴ չѹԺ  ʹ͡ѡзԴЪ͡عçмҨªԵѹǴ
    • йСԹһҳ 24-72 ҡöҹǧԡĵԹз 3
  • з 3 (п鹵) ·Ъ͡عç ͼҹԡĵԪǧз 2 ҡáдբҧǴ ·Ъ͡عç Ѻѡҧ١ͧзѹǧաп鹵Ҿ ҡ÷ʴҴբ鹹 ¨ҡѺзҹ ҡõҧ СѺ׹Ҿ վ鹪ŧ ѹԵѺ軡 ͡ҡ
    • 㹺ҧҨ蹫ѡɳШТǧ բ ᴧ˹ѧա (٤ “բ㹷ᴧ” 繻ҡóԤѹͧҧ¡ѧѴáѺ) ੾зҷͧҧ 蹪Դǹҡҡäѹ Ҩҡäѹ˹ѧ§硹»ҳ 16-27% ͧ ҡѹҡҨŪ蹷ѹ ѡͧ 1 ѻ ·´ Ҩҡü˹ѧ͡繢ҧ硹 駹 蹪Դá (ҡü˹ѧ繻ᴧ) ЪԴͧ (ǧ繻ᴧ) 繵ͧѹ
      ҡâͧʹ͡
    • йҨԹһҳ 7-10 ѹ (ѧҡҹз 2 ) ҵ騹çաһҳ 7-14 ѹ ǹ·ҡ§硹Ҩ 3-4 ѹ ͧ ǹҡ (͹) Ҩ 2-7 ѹ ͺҧҨҹ 10 ѹ

дѺعçͧäʹ͡

ʹ͡öдѺعç 4

  • 鹷 1 (ô 1) ¨ҡʴ 价੾Ш ҡʴͧʹ͡§ҧ ըشᴧ ˹ѧҡʹ͡ҧ С÷ͺवźǡ
  • 鹷 2 (ô 2) ¨ҡ鹨ҡ鹷 1 ʹͧ͡ Ҩ͡繨ʹ˹ѧ ʹ͡ҡ ¹ʹ بʹ ѧЪ͡ վФѹԵѧ繻
  • 鹷 3 (ô 3) ¨ҡʴͧЪ͡ Ѻ ˧͡ վ ѹդᵡҧҧѹǧФѹǧҧ ¡ çվ ѹվ (Pulse pressure) ¡ 30 .ͷ ѹǧ 80 ǧҧ 60
  • 鹷 4 (ô 4) ¨Ъ͡ҧعç վǨѺ ѹѴ /ʹ͡ҡ ¹Ͷʹҡ

ʹ͡Դҡͪԡعع (Ǵا) դعç㹢鹷 1 2 ش繢鹷 3 4 ǹʹ͡Դҡധ (Dengue virus) Ҩդعç֧鹷 3 4 ҳ 20-30% зա 70-80% ʴҡ㹢鹷 1 2

¹ŧͧµ鹵ҧ ԴҧǴ ѧ ᾷдżҧԴ ੾ҧ ¹ҡ鹷 2 Ң鹷 3 4 èѺվ ѴѹԵ ҨͧǨҤ鹢ͧʹ¡ʹǨⵤԵ еǨѺӹdzʹ

á͹ͧäʹ͡

äʹ͡äعç ͡ѡ¡٧ѺõǨѡҵá ҡѺѡ ¨͡ªԵ٧֧ 50% ҡԴá͹

  • ʹ͡еҧ á͹Ӥѭͧäʹ͡ յعç ʹ͡˹ѧ ʹ 仨֧ʹ͡عç㹵ҧ ͧ лʹ ѡзѵҡªԵ٧
  • Ъ͡Ҩ˵طªԵ
  • ҨԴеѺ (ҡôիҹ) çҨªԵ ѡ㹼·Ъ͡ҹ
  • йԹҧ¨Դչ㹪ͧʹ㹪ͧͧҡԹ Դҡͺ Ӻҡ йԴҡŢͧ͡͡ʹʹ㹪ǧЪ͡ ҡǨѡѹǧ ͡骹ԴС˹ҳҧҧʹʹ ¨öҹйҧʹ
  • Ҩ繻ʹѡʺ (Ҩչ㹪ͧʹ) ʹѡʺ ͧѡʺ ͡ѡʺá͹ ͡Դҡ
  • ҡʹ͡ѺҷҧʹʹҡԹ ҨԴлʹ (Pulmonary edema) ѹ ѧͷҧʹʹ ᾷеǨҡüҧԴ
  • á͹ ͧӧҹԴ

ԹԨäʹ͡

ᾷöԹԨäʹ͡ҡҡ÷ʴѡ ੾ҡ٧ 39-41 ͧ ˹ᴧ ͡ᴧ ҨѺ ռᴧ ͨشᴧ ҡäѴ١ ١ 纤 Ѻջѵäʹͧ͡dzǡѹ աкҴͧä㹪ǧ С÷ͺवźǡ 觨ЪʹѺʹعԹԨä

͡ҡ 觵Ǩʹ պի (CBC) еǨʹ ʹǤ͹ҧФ鹢ͧʹ٧ §ҹöԹԨäǹ˭ 㹺ҧ ҡҡ šõǨҧ мʹͧѧöԹԨä 㹻ѨغѹԸաʹ仵ǨԤѹҹҹധ 觨Ъ·ԹԨäҧҡ

÷ͺव (Tourniquet test) 繡÷ͺͧѴѹѴ˹ͧ͢͡´¤Ҥѹ觡ҧҧѹǧФѹǧҧͧҹҹ 5 ҷ (ͧѴѹ Ҩҧ˹ѧʵѴ˹͢͡硹 ѧͤӪվ÷ ҹҹ 5 ҷ) Ҿըشʹͨ͡شᴧԴ鹷dzͧᢹ˹觷Ѵ繨ӹǹҡ 10 شǧҴ鹼ٹҧ 1 ʴźǡ ҹ¡ 10 ش ʴź 㹼ʹ͡ ÷ͺźǡҡ 80% 2 ѹ繵 㹪ǧ 1-2 ѹáҨѧź 㹤äʹʹ Եҧоʵԡ ;շ ͤѴ Ҩźǡ蹡ѹ ǹ㹼ʹ͡Ъ͡͡ѧЪ͡ ͼ·ǹҡ (ѹѴҨ衴Ѻʹ ͧҡժѹ˹ҡ) ͼ·ҡ (ѹѴЪѺǧᢹ) ÷ͺҨźǧ

÷ͺव

ʹ͡ѡ¡͡ҡѴҧѴਹ ·ʹ͡ҡäѴ١١ Ҩ٧˹ᴧ ᴧ ռ蹢鹤Ѵ ö¡͡ҡѴ ¼·Ѵչ١ҡ еǨشͻԡ (Koplik’s spot) 繨شբ ͧ ᴧ Ҵ 紧ҷоҹ㹺dzѹҧͿѹҹͧش ͡ҡҡ٧չ١ ѧҨ٤Ѵ˭ ䷿´ 蹡Һ㹷á Ѻѡʺҡá ä˹ 繵

㹪ǧĴٽ㹪ǧաкҴͧʹ͡ Ҿҡ٧ºѹ Ҩͼ˭ ÷ͺव ͵Ǩ ;٨ʹ͡ء

 

Ըѡäʹ͡

㹻Ѩغѹѧѡäʹ͡µç ҡҡعçäͧ ѧ ѡҨ֧§ѡ仵ҡӤѭ Ǥ Ŵ 紵 ҡ ͻͧѹЪ͡ Сѡá͹ҧ ҨԴ

  • ҡҡ٧ ҡ 纤 չ١ 仾ᾷͻ֡еǨäʹ͡ ੾ҡ㹪ǧĴٽͪǧաкҴͧäʹ͡
  • ·ҡعç (ҡ㹢鹷 1) ҡ٧ Ǵ ѧҡʹ͡Ъ͡ ᾷŴ Ҽ (ORS) ͻͧѹЪ͡ Ѻѧࡵҡ÷ҹ ҡ鹡йѴ¡ѺҵԴҡ÷çҺ  ·ͧ͹ѡѡҵçҺ ͧմ Ҿҧ ͧһԪǹ´ й黯ԺѵԵйӵ仹
    1. ¹͹ѡ͹ҡ 㹷ҡȶ෴
    2. ҡ ͡ҡ Ҩ繹 Ӽ Ѵҿͧ͡ ͼ (ORS) ͻͧѹТҴӨҡ٧ ШҡǢͧ͡͡ʹʹ ˵طդѹԵŧЪ͡
    3. Ѻзҹ͹ § ǵ Ѻзҹ й ҹ Ӽ ͹ ¹й
    4. ѺзҹԵԹ ѺзҹԵԹ
    5. ա§÷ʨѴءԴ ҨФͧ͡ ա§͹ӷմ չӵ ᴧ ҨѺʹѺʹ͡㹷ҧԹҡ¹
    6. ա§ ੾´ һԪǹ 件֧éմҡ
    7. ҡ٧ҪغسԻ͹蹺ԴҴ 紺dz˹ ӵ ᢹ Ǿѡ 紵ͷdzѡ ͡ ѧ ˹պѺѹ ӵԴ͡ѹҧ 15 ҷ ҧ紵ҡҡ˹蹡شҺҧ ѺзҹŴ૵ (Paracetamol) ҹ ¤þسԢͧҧµ HonestDocs

 


 [ ]  
[ ҧԧ ]

  ѧʴ˹ҷ 1/1
  << 1 >>

Դ

Re Ǣ :
ṺٻСͺ : Limit 100 kB
ͤ :  

ԡ¹
ʷҹ
/email :