¼×è¹á¾ŒÂÒ

“ÍÒ¡ÒÃÍѹäÁ‹¾Ö§»ÃÐʧ¤·ÕèÊÒÁÒö»‡Í§¡Ñ¹ä´Œ”

´ŒÇÂÃÑ¡áÅÐˋǧã¨ҡ

. .
 ÍÒËÁͤÃѺ...
àÃÒ¨ÐÃٌ䴌Í‹ҧääÃѺNjÒ
àÃÒ໚¹¼×è¹á¾ŒÂÒẺä˹

¼×è¹á¾ŒÂÒ·ÕèÁÑ¡¨Ðà¡Ô´¢Öé¹
ËÅÑ¡æÁÕ 5 ÅѡɳШŒÐ
ËÅÒ¹àÁç´ÂÒ

>> ¼×è¹á¾ŒÂÒª¹Ô´µ‹Ò§æ
1.urticaria áÅÐ angioedema
2. fixed drug eruption
3. erythema multiforme
4. Steven Johnson Syndrome (SJS)
5.toxic epidermal necrolysis (TEN)
 ÍÒ¡Òü×è¹áÅкÇÁ ÍÒËÁͤÃѺ...
·ÕèàÃÒàËç¹ÍÂÙ‹¹Õé ·ÓäÁ¹ŒÍ§à¤ŒÒ»Ò¡ºÇÁ
໚¹ÍÒ¡ÒÃᾌÂÒẺ˹Ö觨Ð Í‹ҧ¹Ñé¹Å‹Ð¤ÃѺ
àÃÒàÃÕ¡NjÒ...

Urticaria(ÅÁ¾ÔÉ) Angioedema
ÍÒ¡ÒúÇÁºÃÔàdzÃÔÁ½‚»Ò¡áÅеÒ
ÁÑ¡à¡Ô´ÀÒÂã¹ 1-2 ªÁ. ËÃ×͹ҹ໚¹ÊÑ»´ÒˏËÅѧ䴌ÃѺÂÒ¤ÃÑé§áá
¼×è¹ÁÑ¡ÂغÀÒÂã¹ 24 ªÁ. àÁ×èÍËÂØ´ÂÒ áÅÐËÅѧ¼×è¹Âغ¨ÐäÁ‹àËÅ×ÍÃÍ·Ôé§äÇŒ
ã¹ÃÒ·ÕèÁÕÍÒ¡ÒÃᾌÃعáç ÍÒ¨¾º ËÒÂã¨Ëͺà˹×èÍ ¤ÇÒÁ´Ñ¹âÅËÔµµèÓ
áÅÐËÁ´ÊµÔ(anaphylactic shock)
ÊÒà˵Ø
ÁÑ¡à¡Ô´¨Ò¡...

ÂÒ·Õ辺NjÒ໚¹ÊÒà˵غ‹Í : ÂÒ¡ÅØ‹Á penicillin, sulfonamide,

ÂҡѹªÑ¡, aspirin, NSAIDs, morphine, codeine, radiocontrast media
 ÍÒËÁͤÃѺ
ª‹Ç¹ŒÍ§à¢Ò´ŒÇ¹ФÃѺ

¼×è¹á¾ŒÂÒª¹Ô´ urticaria áÅÐ angioedema

ÊÓËÃѺ¼ÙŒ»†ÇÂà´ç¡ ¼×è¹ÅÁ¾ÔɵŒÍ§á¡¨Ò¡ÊÒà˵ØÍ×è¹
ઋ¹ ¡ÒÃᾌÍÒËÒ÷ÐàŠᾌ¹ÁÇÑÇ ¡ÒõԴàª×éÍäÇÃÑÊ áÅСÒõԴàª×éÍẤ·ÕàÃÕÂ

¡ÒÃÃÑ¡ÉÒ: ·Óâ´ÂËÂØ´ÂÒ·ÕèʧÊÑ ËÇÁ¡Ñº¡ÒÃãËŒÂÒᡌᾌ㹡ÅØ‹Á antihistamine

ઋ¹ ¢¹Ò´ÂÒã¹à´ç¡ hydroxyzine 1-2 ÁÔÅÅÔ¡ÃÑÁ/¡¡./Çѹ ¹Ò¹ 3-5 Çѹ
ã¹ÃÒ·ÕèÁÕÍÒ¡ÒÃÃعáç ËÃ×ÍÁÕÍÒ¡Òà angioedema ËÇÁ´ŒÇÂ
ÍÒ¨¾Ô¨ÒóÒãËŒÂÒÊàµÕÂÃÍ´ÃѺ»ÃзҹËÃ×Í©Õ´ã¹ÃÐÂÐàÇÅÒÊÑé¹æ
- ÁÑ¡à¡Ô´ÀÒÂã¹ 1-2 ªÁ. ËÃ×͹ҹ໚¹ÊÑ»´ÒˏËÅѧ䴌ÃѺÂÒ¤ÃÑé§áá
- ¼×è¹ÁÑ¡ÂغÀÒÂã¹ 24 ªÁ. àÁ×èÍËÂØ´ÂÒ áÅÐËÅѧ¼×è¹Âغ¨ÐäÁ‹àËÅ×ÍÃÍ·Ôé§äÇŒ
- ã¹ÃÒ·ÕèÁÕÍÒ¡ÒÃᾌÃعáç ÍÒ¨¾º ËÒÂã¨Ëͺà˹×ËÅÒ¹àÁç
èÍ ¤ÇÒÁ´Ñ
´ÂÒ ¹âÅËÔµµèÓ
໚¹¤¹ÁÕ¹éÓ㨨ÃÔ§æ
áÅÐËÁ´ÊµÔ(anaphylactic shock)
äÁ‹µŒÍ§Ë‹Ç§¹Ð¨Ð
à´ÕëÂÇÍÒËÁͨдÙáŹŒÍ§à¢Ò
- ÁÑ¡à¡Ô´ÀÒÂã¹ 1-2 ªÁ. ËÃ×͹ҹ໚¹ÊÑ»´ÒˏËÅÑàͧ¨
§ä´ŒÐÃѺÂÒ¤ÃÑé§áá
- ¼×è¹ÁÑ¡ÂغÀÒÂã¹ 24 ªÁ. àÁ×èÍËÂØ´ÂÒ áÅÐËÅѧ¼×è¹Âغ¨ÐäÁ‹àËÅ×ÍÃÍ·Ôé§äÇŒ
- ã¹ÃÒ·ÕèÁÕÍÒ¡ÒÃᾌÃعáç ÍÒ¨¾º ËÒÂã¨Ëͺà˹×èÍ ¤ÇÒÁ´Ñ¹âÅËÔµµèÓ
áÅÐËÁ´ÊµÔ(anaphylactic shock)
 áŌǼ×è¹áºº Fix.. Fix…
Áѹ໚¹áººä˹ÍФÃѺÍÒËÁÍ

¼×è¹á¾ŒÂÒª¹Ô´ fixed drug eruption

Åѡɳм×è¹ : ÃٻËҧ¡ÅÁ ¢ÍºªÑ´ ÊÕá´§¨Ñ´ µÃ§¡ÅÒ§¼×è¹ÍÒ¨à»ÅÕè¹໚¹ÊÕá´§¤ÅéÓËÃ×ÍÊÕÁ‹Ç§

ËÃ×;ͧ໚¹µØ‹Á¹éÓ ¼×è¹ÍÒ¨ÁÕÍÒ¡ÒÃáʺËÃ×ͤѹ
ÃÐÂÐàÇÅÒ㹡ÒÃà¡Ô´ : ¶ŒÒä´ŒÃѺÂÒ¤ÃÑé§ááÁÑ¡à¡Ô´ËÅѧ㪌ÂÒ»ÃÐÁÒ³ 7 Çѹ
ᵋàÁ×èÍä´ŒÃѺÂÒ«éÓ¨Ðà¡Ô´¼×è¹¢Öé¹µÑé§áµ‹ã¹Á×éÍáá áÅÐà¡Ô´ã¹ºÃÔàdzà´ÔÁ ÃÍ´ÓÁÑ¡ÍÂÙ‹¹Ò¹
µÓá˹‹§·Õ辺º‹Í : ÃÔÁ½‚»Ò¡ ᢹ¢Ò ÍÇÑÂÇÐà¾È
ÂÒ·Õ辺NjÒ໚¹ÊÒà˵غ‹Í : co-trimoxazole, barbiturate, penicillin, tetracycline
¡ÒÃÃÑ¡ÉÒ : ËÂØ´ÂÒ·Õè໚¹ÊÒà˵ØËÇÁ¡Ñº¡ÒÃãËŒÂÒÊàµÕÂÃÍ´·Ò

à¢ÒàÃÕ¡
fixed drug eruption ¨Ð
 ÁÕÅѡɳÐàËÁ×͹ã¹ÃÙ»
ËÃ×Íà»Å‹Ò¨Ð
ÍÒËÁͤÃѺ
àÁç´ÂÒà¤ÂàËç¹à¾×è͹໚¹¼×è¹·Õè໚¹Ç§æ
áÅÐÁյ؋Á¹éÓ´ŒÇ ¹Ñ蹡ç໚¹
ÍÒ¡ÒÃᾌÂÒËÃ×Íà»Å‹Ò¤ÃѺ
 

Åѡɳм×è¹ : ¤ÅŒÒ maculopapular rash ᵋµÃ§¡ÅÒ§¼×蹨ÐÁÕÊÕࢌÁ

ËÃ×ÍÍÒ¨¾Í§¡ÅÒÂ໚¹µØ‹Á¹éÓ àÃÕÂ¡Ç‹Ò target lesion
«Öè§à»š¹ÅѡɳÐ੾ÒТͧ¡ÒÃᾌÂÒª¹Ô´¹Õé
ÃÐÂÐàÇÅÒ㹡ÒÃà¡Ô´¼×è¹ : ÀÒÂËÅѧ䴌ÃѺÂÒ 1-2 ÊÑ»´Òˏ
µÓá˹‹§·Õ辺º‹Í : ½†ÒÁ×Í ½†Òà·ŒÒ á¢¹¢Ò ÁÑ¡¨Ð໚¹·Ñé§ 2 ¢ŒÒ§
àÂ×èͺØÀÒÂã¹Ã‹Ò§¡Ò ÍÒ¨¨Ð¤Ñ¹ËÃ×ÍäÁ‹¡çä´Œ
㪋áÅŒÇ ¤ÃѺ ÍÒËÁÍ
Ẻ¹ÕéàÅÂ
Í×Á.....áÊ´§Ç‹Òà¾×è͹àÁç´ÂÒ
ᾌÂÒáÅŒÇËÅÐ
 ÊÒà˵ØÁÑ¡à¡Ô´¨Ò¡
¡ÅØ‹ÁÂÒàËÅ‹Ò¹Õ騍Ð
ʧÊÑÂàÁç´ÂÒ
µŒÍ§¶ÒÁª×èÍÂÒ·Ø¡¤ÃÑé§
·Õèä´ŒÃѺÂÒáÅŒÇËÅФÃѺÍÒËÁÍ

¼×è¹á¾ŒÂÒª¹Ô´ erythema multiforme

ÊÒà˵Ø: 50%à¡Ô´¨Ò¡ÂÒ àª‹¹ sulfonamides, barbiturates, NSAIDS, phenyltoin,
allopurinol, penicillin ʋǹ·ÕèàËÅ×Íà¡Ô´¨Ò¡µÔ´àª×éÍઋ¹ àÃÔÁ ¡ÒõԴàª×éÍ mycoplasma
ÇѤ«Õ¹ (BCG â»ÅÔ âÍ) ËÃ×Í àª×éÍÃÒºÒ§ª¹Ô´

¶ŒÒ¾º¼×è¹Ã‹ÇÁ¡ÑºÁÕ䢌ÊÙ§áÅоº¼×è¹·Õè mucous membrane ÁÒ¡¡Ç‹Ò 1 áË‹§ ઋ¹

àÂ×èͺعѹµÒ ÀÒÂã¹»Ò¡ ÍÇÑÂÇÐà¾È àÃÕ¡ Stevens-Johnson Syndrome (SJS)

¡ÒÃÃÑ¡ÉÒ ¤×Í ¾ÂÒÂÒÁËÒÊÒà˵آͧâä áÅÐÃÑ¡ÉÒµÒÁÍÒ¡ÒÃ

¶ŒÒ໚¹ erythema multiforme ¼×蹨ÐËÒÂÀÒÂã¹ 1-2 ÊÑ»´Òˏ ¡çàÁç´ÂÒ¨Ðä´ŒÃٌNjÒ
ᵋ¶ŒÒ SJS µŒÍ§ÃѺ¼ÙŒ»†ÇÂäÇŒã¹Ã¾.à¾×èÍ´ÙáÅÍ‹ҧã¡ÅŒªÔ´ àÁç´ÂÒÁÕâÍ¡ÒÊàÊÕè§
·Õè¨ÐᾌÂÒËÃ×Íà»Å‹Ò䧤ÃѺ

à¾ÃÒÐÍÐäÃËÃ×ͨÐ
 âÍÇ..âÍÇ..!!!!
ÍÒËÁͤÃѺ
·ÓäÁ»Ò¡¾Õèà¢Òà
»š¹Í‹ҧ§Ñé¹ËÅФÃѺ

Stevens-Johnson¨ÐÁÕ¼×è¹á´§áÅÐÅÍ¡
(ÅÍ¡ <10%) ·ÕèÊÓ¤ÑިеŒÍ§ÁÕ¼×è¹·ÕèàÂ×èÍ͋͹
ઋ¹ àÂ×èͺØã¹»Ò¡ µÒ ÍÇÑÂÇÐà¾È ·ÇÒÃ˹ѡ
·‹Í»˜ÊÊÒÇÐ ËÃ×ÍÁÕÍÒ¡ÒáÅ×¹ÍÒËÒÃÅÓºÒ¡
ËÃ×Ͷ‹ÒÂàËÅÇ

ÍÒ¡Òú‹§ªÕéÇ‹ÒÍҨᾌÂÒẺ SJS 䴌ᡋ:

ÁÕ䢌ÊÙ§ »Ç´àÁ×èÍ à¨çº¤Í ¤ÅŒÒÂÍÒ¡ÒÃ䢌ËÇÑ´
(·ÕèäÁ‹ãª‹ÍÒ¡Ò÷ÕèÁÕÍÂÙ‹à´ÔÁ) ËÇÁ¡Ñº
ÁÕ¼×è¹ µØ‹Á¾Í§ ËÃ×ͨشᴧºÃÔàdz¼ÔÇ˹ѧ
à¨çºµÒ ˹ѧµÒºÇÁá´§ àÂ×èͺصÒÍÑ¡àʺ

¹‹Ò¡ÅÑǨѧàŤÃѺ
¾Õèà¢ÒᾌÂÒẺ SJS ¨Ð ÍÒËÁÍ
ËÅÒ¹àÁç´ÂÒ
«Öè§à»š¹ÍÒ¡ÒÃᾌÂÒ·ÕèÃعáç
 ÂÒàËÅ‹Ò¹Õé
àÁ×èÍÁÕÍÒ¡ÒÃᾌ
ÁÑ¡ÁÕÍÒ¡ÒÃÃعá稍Ð

Steven Johnson Syndrome (SJS)

ÊÒà˵Ø: ÂÒ·Õ辺䴌º‹ÍÂ䴌ᡋ ÂÒ»¯ÔªÕǹР(sulfa, penicillin), NSAIDs, allopurinol,

phenytoin, carbamazepine, barbiturates, ÂÒµŒÒ¹äÇÃÑÊ HIV
ÊÒà˵ØÍ×è¹æ: ¡ÒõԴàª×éÍઋ¹ Mycoplasma, herpes simplex virus 1 ËÃ×Í
2 Streptococcus species, Histoplasma capsulatum, influenza virus,
áÅÐ adenovirus ¡ÒéմÇѤ«Õ¹âäºÒ§ª¹Ô´àª‹¹ systemic lupu

¡ÒÃÃÑ¡ÉÒ:
 ËÒ¡¤Ô´¶Ö§ÂÒãËŒËÂØ´ÂÒ·Õè໚¹ÊÒà˵طѹ·Õ ¼ÙŒ»†ÇÂÁÑ¡ä´ŒÃѺÂÒ¡‹Í¹à¡Ô´ÍÒ¡ÒÃ
 1 – 3 ÍҷԵ ËÒ¡¼ÙŒ»†ÇÂà¤Âä´ŒÃѺÂÒËÃ×Íà¤ÂᾌÁÒ¡‹Í¹¨Ðà¡Ô´àÃçÇ

ÂÒ¡ÅØ‹Á¹Õé
ª‹Ò§ÃŒÒ¡Ҩ¨ÃÔ§æ¤ÃѺÍÒËÁÍ
 áÅзÕ蹋ҡÅÑÇ·ÕèÊØ´ ÍŽÍ ¼ÁÃÙŒ ¼ÁÃÙŒ!!!
¤×Í TEN ¨Ð TEN ·Õèá»ÅÇ‹Ò 10
㪋äËÁ¤ÃѺÍÒËÁÍ

໚¹¼×è¹á¾ŒÂÒ·ÕèÃعáç·ÕèÊØ´ ÁÑ¡àÃÔèÁ´ŒÇÂÍÒ¡ÒÃ䢌 ͋͹à¾ÅÕ »Ç´áʺ»Ç´ÃŒÍ¹µÒÁ¼ÔÇ˹ѧ

¡‹Í¹ÁÕ¼×è¹¢Öé¹·ÑèǵÑÇ Áյ؋Á¹éӾͧ áÅÐÁÕÅѡɳÐËÔÇ˹ѧËÅØ´§‹ÒÂàÁ×èÍ㪌¹ÔéǶÙàºÒæ
(Nikolsky’s sign positive)¼ÔÇ˹ѧÅ͡໚¹á¼‹¹ãËÞ‹¤ÅŒÒ¶١¹éÓÌ͹ÅÇ¡ >30%
¢Í§¾×é¹·Õè¼ÔÇ˹ѧ·Ñé§ËÁ´ áÅÐÁÕ¤ÇÒÁ¼Ô´»¡µÔ¢Í§àÂ×èͺØÀÒÂã¹Ã‹Ò§¡ÒÂËÇÁ´ŒÇÂ
ÂÒ·Õè໚¹ÊÒà˵غ‹Í : ÂÒ»¯ÔªÕǹР(sulfa, penicillin), NSAIDs, phenobarbital, phenytoin,
carbamazepine, allopurinol, barbiturates, ÂÒµŒÒ¹äÇÃÑÊ HIV

ÍÒËÁÍ¡ÓÅѧËÁÒ¶֧
TEN ·Õè໚¹¼×è¹á¾ŒÂÒ
·ÕèÃعáç·ÕèÊØ´¨Ð
ÍŒÒÇàËÃͤÃѺ !!!!
 ÂÒÁդس»ÃÐ⪹
ÍÒËÁͤÃѺ ᵋ¡çÁÕâ·ÉÁËѹµ àËÁ×͹¡Ñ¹¨Ð
¼ÁªÑ¡àÃÔèÁ¡ÅÑÇ ¶ŒÒàÃÒ㪌Í‹ҧäÁ‹¶Ù¡µŒÍ§
¡ÒáԹÂÒáÅŒÇÊÔ¤ÃѺ

¹Ñè¹áËÅШÐ໚¹àÃ×èͧ·Õ蹋ÒàÈÌҷÕèÊØ´
ÁÕËÅÒ¤¹àÊÕªÕÇÔµ¨Ò¡¡ÒÃᾌÂÒ«éÓ
à¾ÃÒÐÍÒ¡ÒèÐÃعáç
ÍÒËÁͤÃѺ ·Ñé§æ·Õè¨ÃÔ§áÅŒÇ໚¹àÃ×èͧ
à¤ÂÁÕ¤¹àÊÕªÕÇÔµ¨Ò¡ ·ÕèàÃÒÊÒÁÒö»‡Í§¡Ñ¹ä´Œ¨Ð
ÍÒ¡ÒÃᾌÂÒºŒÒ§äËÁ¤ÃѺ

àÃÒà¹Õè ª‹Ò§Ê§ÊѨÃÔ§æàÅ !!!

ËÅÒ¹àÁç´ÂÒ
à´ÕëÂÇÍÒËÁͨÐàÅ‹ÒãËŒ¿˜§¹Ð
áÅŒÇàÃҨл‡Í§¡Ñ¹
ÍÒ¡ÒÃᾌÂÒ«éÓáÅÐ
㪌ÂÒÍ‹ҧ»ÅÍ´ÀÑÂ䴌͋ҧäÃ
ËÃ×ͤÃѺÍÒËÁÍ
 ÊÓËÃѺºØ¤Åҡ÷ҧ¡ÒÃᾷ
µŒÍ§ÊÒÁÒöÇÔ¹Ô¨©Ñ¼×è¹á¾ŒÂÒãˌ䴌¡‹Í¹¨Ð
Ç‹Ò໚¹¼×è¹áººä˹áÅмٌ»†ÇÂᾌÂÒÍÐäÃ

¡ÒÃÇÔ¹Ô¨©Ñ “¼×è¹á¾ŒÂÒ”
¡ÒÃÇÔ¹Ô¨©Ñ¡ÒÃᾌÂÒ ¤Ç÷ÃҺ㹻ÃÐà´ç¹µ‹Í仹Õ顋͹
»ÃÐÇѵÔᾌÂÒã¹Í´Õµ
¨Ó¹Ç¹áÅлÃÐàÀ·¢Í§ÂÒ·Ø¡ª¹Ô´ ·Õèä´ŒÃѺÀÒÂã¹ 30 Çѹ ¡‹Í¹¼×è¹¢Öé¹
ʋǹãËÞ‹¼×蹨ТÖé¹ÀÒÂã¹ 2 ÊÑ»´ÒˏËÅѧ䴌ÃѺÂÒ¤ÃÑé§áá
»ÃÐÇѵԡÒÃ㪌ÂÒµÑÇ·ÕèʧÊÑÂÇ‹Ò¨Ðᾌ
âä·Õè໚¹ÍÂÙ‹·Õè·Óãˌ䴌ÃѺÂÒ ËÃ×Íâä·Õè໚¹ÁÒ¡‹Í¹
ÃÐÂÐàÇÅÒ·Õèä´ŒÃѺÂÒ »¡µÔ¼×蹨Ðà¡Ô´ÀÒÂËÅѧ䴌ÃѺÂÒ 1-2 ÊÑ»´Òˏ
Dechallenge àÁ×èÍËÂØ´ÂÒ ÍÒ¡Òü×è¹´Õ¢Öé¹
Rechallenge â´ÂãËŒÂÒ·ÕèʧÊÑÂä»ãËÁ‹ ËŒÒÁ·Óã¹¼ÙŒ»†Ç SJS/TEN ËÃ×Í
urticaria/angioedema
 ÊÓËÃѺºØ¤Åҡ÷ҧ¡ÒÃᾷ
µŒÍ§ÊÒÁÒöÇÔ¹Ô¨©Ñ¼×è¹á¾ŒÂÒãˌ䴌¡‹Í¹¨Ð
Ç‹Ò໚¹¼×è¹áººä˹áÅмٌ»†ÇÂᾌÂÒÍÐäÃ

¡ÒÃÃÑ¡ÉÒ¼×è¹á¾ŒÂÒ
**¤ÇÃËÂØ´ÂÒ·ÕèʧÊÑÂÇ‹Òᾌ·Ñ¹·Õ**

¡ÒÃÃÑ¡ÉÒ¼×è¹¼ÔÇ˹ѧ:
㹡óշÕè¼×è¹á¾ŒäÁ‹Ãعáç ઋ¹ maculopapular rash, Fixed drug eruption
ËÃ×Í Eczematous reaction
-ÃѺ»ÃзҹÂÒ antihistamine
-ãËŒÂÒ·Òá¡Œ¤Ñ¹ ઋ¹ calamine
-ãËŒÂÒ·ÕèãËŒ¤ÇÒÁªØ‹Áª×鹡Ѻ¼ÔÇ˹ѧ (emollients)
-ãËŒÂÒÊàµÕÂÃÍ´·Òã¹ÃÒ·Õè໚¹ fixed drug eruption
 ᨌ§¢ŒÍÁÙÅà¡ÕèÂǡѺ
¡ÒÃᾌÂÒãËŒ¼ÙŒ»†Ç·ÃÒº¨Ð

ÊÔ觤ÇÃ·Ó àÁ×è;º¼ÙŒ»†ÇÂᾌÂÒ
ÊÓËÃѺàÁç´ÂÒ ¡çµŒÍ§....
1. ¨´ª×èÍÂÒáÅÐÍÒ¡Ò÷Õèᾌãˌᡋ¼ÙŒ»†Ç ËÃ×ͼٌ»¡¤Ãͧ ¨Óª×èÍÂÒãËŒ¶Ù¡ ºÍ¡ª×èÍÂÒ·Ø¡¤ÃÑé§
â´Âà¢Õ¹·Ñé§ÀÒÉÒÍѧ¡ÄÉáÅÐÀÒÉÒä·Â´ŒÇµÑÇ˹ѧÊ×Í·ÕèÍ‹Ò¹§‹Ò à¾×èÍ»‡Í§¡Ñ¹¡ÒÃᾌÂÒ«éÓ
2. ·º·Ç¹ áÅоÂÒÂÒÁãËŒ¼ÙŒ»†Ç¨Ӫ×èÍÂÒ·ÕèᾌãËŒ¶Ù¡µŒÍ§ 㪋äËÁ¤ÃѺ
3. á¹Ð¹ÓãËŒ¼ÙŒ»†ÇÂᨌ§»ÃÐÇѵԡÒÃᾌÂÒᡋᾷ àÀÊѪ¡Ã ·Ñ¹µá¾·Â
áÅоÂÒºÒÅ·Ø¡¤ÃÑ駷ÕèࢌÒÃѺ¡ÒÃÃÑ¡ÉÒ
4. á¹Ð¹Ó¼ÙŒ»†ÇÂäÁ‹ãËŒ«×éÍÂÒÃѺ»Ãзҹàͧ

à¡‹§ÁÒ¡¨ÐËÅÒ¹àÁç´ÂÒ
 ËÅÒ¹àÁç´ÂÒ¨Ð....
¼×è¹á¾ŒÂÒ໚¹à¾Õ§¤ÇÒÁ¼Ô´»¡µÔ
ʋǹ˹Ö觢ͧÍÒ¡ÒÃäÁ‹¾Ö§»ÃÐʧ¤ à¾ÃÒÐÍÐäÃ
¨Ò¡¡ÒÃ㪌ÂÒà·‹Ò¹Ñ鹨Ð ËÃ×ͤÃѺÍÒËÁÍ
ᵋ»˜¨¨ØºÑ¹¾ºÇ‹Ò໚¹»˜ÞËÒ
à¾ÔèÁ¢Öé¹ã¹à´ç¡

¡çà¾ÃÒÐÁÕ¡ÒÃ㪌ÂÒ áŌǡÒÃÃÑ¡ÉÒ
à¾ÔèÁ¢Öé¹àÃ×èÍÂæ¹ÐÊÔ¨Ð ¼×è¹á¾ŒÂÒã¹à´ç¡
µ‹Ò§¨Ò¡¼ÙŒãËÞ‹äËÁ¤ÃѺ
ÍÒËÁÍ

ÊÓËÃѺ¼ÙŒ»†ÇÂà´ç¡ã¹ÃÒ·ÕèʧÊÑÂᾌÂÒ
µŒÍ§ÊÑÁÀÒɳ»ÃÐÇѵԡÒÃ㪌ÂÒÍ‹ҧÅÐàÍÕ´¡‹Í¹¨ŒÐ
áÅеŒÍ§ãËŒ¤ÇÒÁÊÓ¤ÑÞ㹡ÒÃᡨҡ
âä㹡ÅØ‹Á¡ÒõԴàª×éÍâ´Â੾ÒСÒõԴàª×éÍäÇÃÑÊ áÅŒÇÍ‹ҧ¹Õé
«Öè§ÍÒ¨·ÓãËŒà¡Ô´¼×蹤ŌÒÂᾌÂÒä´Œ ÁÕÇÔ¸Õ»‡Í§¡Ñ¹¡ÒÃà¡Ô´¼×è¹á¾ŒÂÒ
àËÁ×͹¡Ñ¹¨Ð ã¹à´ç¡äËÁ¤ÃѺÍÒËÁÍ

¡ç§‹ÒÂæàŨÐ
㪌ÂÒàÁ×èͨÓ໚¹à·‹Ò¹Ñé¹
áÅÐËÅÕ¡àÅÕ觡ÒÃ㪌ÂÒµŒÒ¹¨ØŪվ
¶ŒÒäÁ‹ÁÕ¢ŒÍº‹§ãªŒ
 䢌ÍÍ¡¼×è¹ã¹à´ç¡
áÅм×蹨ҡ¡ÒõԴàª×éÍ

ÍÒËÁͤÃѺàÁç´ÂÒ
à¤ÂàËç¹¹ŒÍ§µÑÇàÅç¡æ
ÁÕ¼×è¹àµçÁµÑÇàÅ Í‹ҧ¹Õéà¢ÒᾌÂÒ
ËÃ×Íà»Å‹Ò¤ÃѺ

µŒÍ§ÇÔ¹Ô¨©Ñ¡‹Í¹¨ÐËÅÒ¹àÁç´ÂÒ
à¾ÃÒкҧ¤ÃÑ駹ŒÍ§µÑÇàÅç¡
ÍÒ¨ÁÕ䢌ÍÍ¡¼×è¹ ËÃ×Íà¡Ô´¨Ò¡
¡ÒõԴàª×éÍ¡çä´Œ¨Ð
 ÊÒà˵طÕ辺º‹Í¢ͧ䢌ÍÍ¡¼×è¹ã¹à´ç¡
¡ÒõԴàª×éÍ (infection)
-¡ÒõԴàª×éÍäÇÃÑÊ (viral infection)
-¡ÒõԴàª×éÍẤ·ÕàÃÕ (bacterial infection)
-¡ÒõԴàª×éÍ mycoplasma
-¡ÒõԴàª×éÍ rickettsiae

ÊÒà˵ØÍ×è¹æ ·ÕèäÁ‹ãª‹¡ÒõԴàª×éÍ (non-infection)

-¼×è¹á¾ŒÂÒ
-collagen vascular disease

ÊÒà˵طÕèàÃÒ¾ºº‹ÍÂ
ÁÑ¡à¡Ô´¨Ò¡¡ÒõԴàª×éÍäÇÃÑʨÐ
 ÍÒËÁͨÐàÅ‹ÒãËŒ¿˜§¨Ð
Ç‹ÒÍÒ¡ÒÃ䢌ÍÍ¡¼×è¹
·Õèà¡Ô´¨Ò¡¡ÒõԴàª×éÍäÇÃÑÊᵋÅЪ¹Ô´
ÁÕÅѡɳÐÍ‹ҧäÃ

䢌ÍÍ¡¼×蹪¹Ô´ maculopapular ¨Ò¡ virus

âä ÍÒ¡Òùӡ‹Í¹ÁÕ¼×è¹ ÍÒÂØ·Õ辺º‹ÍÂ

(ª‹Ç§àÇÅÒ·Õ辺º‹ÍÂ)
ÁÕÃÐÂÐàÇÅÒ¹Ò¹ 3-4 Çѹ ÁÕÍÒ¡ÒÃ䢌 8 à´×͹ ¶Ö§ 5 »‚
ÅѡɳФ‹ÍÂæÊÙ§¢Öé¹ áÅТÖé¹ÊÙ§ÊØ´ã¹ (Ä´Ù˹ÒÇ)
Measles (ËÑ´) Çѹ·ÕèÍÍ¡¼×è¹µÒá´§ photophobia
¹éÓÁÙ¡äËÅÁÒ¡ äÍÁÒ¡ (barking cough)
ÁÕµ‹ÍÁ¹éÓàËÅ×ͧ⵷Ñ駵ÑÇä´Œ
ã¹à´ç¡àÅç¡ÁÑ¡¨ÐäÁ‹ÁÕ prodromal period
µ‹ÍÁ¹éÓàËÅ×ͧⵠáÅм×è¹ ÍҨ໚¹ÍÒ¡ÒÃ
Rulbella áá·Õè¹Ó¼ÙŒ»†ÇÂÁÒ¾ºá¾·Â ã¹à´ç¡âµÍÒ¨ ÇÑÂÃØ‹¹
(ËÑ´àÂÍÃÁѹ) ÁÕÍÒ¡ÒùӤ×Í ä¢ŒµèÓæ ¤ÃÑè¹à¹×éͤÃÑè¹µÑÇ
1 – 4 Çѹ ÍÒ¨¨ÐÁÕÍÒ¡ÒûǴ¢ŒÍ

Roseola infantum 䢌ÊÙ§ÅÍ ÁÕÍÒ¡ÒáÃÐǹ¡ÃÐÇÒ 3 -4 6 à´×͹ ¶Ö§ 3 »‚

(ËÑ´´Í¡¡ØËÅÒº) Çѹ ¡‹Í¹ÁÕ¼×è¹¢Öé¹
 䢌ÍÍ¡¼×蹪¹Ô´ maculopapular ¨Ò¡ virus

âä ÍÒ¡Òùӡ‹Í¹ÁÕ¼×è¹ ÍÒÂØ·Õ辺º‹ÍÂ

(ª‹Ç§àÇÅÒ·Õ辺º‹ÍÂ)

Infectious »Ç´àÁ×èÍ à¾ÅÕ »Ç´ËÑÇ ÁÕ䢌 à¨çº¤Í ¤Å×è¹äÊŒ ÇÑÂà´ç¡àÅç¡ áÅÐÇÑÂÃØ‹¹

mononucleosis »Ç´·ŒÍ§¤‹ÍÂ໚¹¤‹ÍÂ仹ҹ 1 – 3 ÊÑ»´Òˏ

ã¹à´ç¡ÁÑ¡¨ÐäÁ‹ÁÕÍÒ¡ÒÃ¹Ó ËÃ×Í ÁÕ䢌µèÓæ

»Ç´ÈÕÃÉÐ͋͹à¾ÅÕÂÍÂÙ‹ 2 Çѹ à¾Õ§ÌÍÂÅÐ
Erythema 10 ¢Í§¼ÙŒ»†ÇÂà´ç¡¨ÐÁÕÍÒ¡ÒûǴ¢ŒÍËÃ×Í ÇÑÂÃØ‹¹
infectiosum ÁÕÍÒ¡ÒÃÍÑ¡àʺ¢Í§¢ŒÍãËÞ‹ «Ö觵‹Ò§¨Ò¡ã¹
ÇѼٌãËÞ‹¨Ð¾ºÍÒ¡ÒûǴ¢ŒÍä´Œº‹Í¡NjÒ
áÅÐÁÕÍÒ¡ÒÃ䢌䴌ÁÒ¡¡Ç‹Ò ᵋ¡ÒÃÍÍ¡¼×è¹
ÍÒ¨¨ÐäÁ‹¾ºàÅÂã¹¼ÙŒãËÞ‹
 䢌ÍÍ¡¼×蹪¹Ô´ maculopapular ¨Ò¡ virus

âä ÍÒ¡ÒÃáÊ´§áÅÐÅѡɳÐà´‹¹¢Í§¼×è¹

Measles - Çѹ·Õè 2 – 3 ¢Í§ä¢Œ (¡‹Í¹ÍÍ¡¼×è¹ 2 – 3 Çѹ) ¨Ð¾º koplik’s spot

໇¹¼×è¹ã¹àÂ×èͺØÁÑ¡¾ºã¹¡ÃоاᡌÁ ÅѡɳÐ໚¹¨Ø´àÅç¡æ ¢¹Ò´à·‹Ò
»ÅÒÂà¢çÁËÁØ´º¹¼×è¹á´§¢Í§àÂ×èͺءÃо،§á¡ŒÁ·Ñé§ 2 ¢ŒÒ§ ¾ºË¹Òṋ¹
ºÃÔàdzµÃ§¢ŒÒÁ¡Ñº¿˜¹¡ÃÒÁ«Õè·Õè 2 ¨Ð¾º¼×è¹¹ÕéÍÂÙ‹à¾Õ§ 1 – 2 Çѹ
¡çËÒÂä» ºÒ§¤ÃÑé§ÍÒ¨¾ºä´Œ·ÕèàÂ×èͺØ˹ѧµÒ´ŒÒ¹ã¹ ËÃ×Íã¹ÅÓäÊŒãËÞ‹
- Çѹ·Õè 3 – 5 ËÅѧÍÒ¡ÒÃ䢌¨ÐÁÕ¼×è¹áÅÐ䢌¨ÐÊÙ§¢Öé¹ Åѡɳм×è¹ÁÑ¡àÃÔèÁ·Õè
Koplik’s
spot äüÁ ËÅѧË٠˹ŒÒ ¤Í µ‹ÍÁÒÅÒÁä»·ÕèÅÓµÑÇáÅÐᢹ¢Ò µ‹ÍÁÒ¼×蹨Ð˹Ò
໚¹»„œ¹æ ·Õè˹ŒÒ, Í¡ ᵋ·Õ跌ͧáÅÐᢹ¢Ò¨ÐÂѧ¡ÃСÒÂæ ¨Ò¡¹Ñé¹¼×è¹
¨Ð¨Ò§áÅÐà»ÅÕè¹໚¹ÊÕ¹éÓµÒÅࢌÁ¢Öé¹ ËÃ×ÍÍÒ¨¨ÐÅ͡໚¹¢ØÂËÅØ´ã¹
Çѹ·Õè 5 – 6
 âä ÍÒ¡ÒÃáÊ´§áÅÐÅѡɳÐà´‹¹¢Í§¼×è¹

Rubella µ‹ÍÁ¹éÓàËÅ×ͧ·ÕèËÅѧËÙ ·ŒÒ·Í áÅеŒ¹¤ÍÁÑ¡¨ÐâµÁÒ¡ áÅС´à¨çº

ã¹Çѹ·ÕèÁÕ¼×è¹ Åѡɳм×蹨ÐàÃÔèÁ·ÕèãºË¹ŒÒ¡ÃШÒÂÃÇ´àÃçÇÀÒÂã¹ 1 Çѹ
ä»·Õè¤Í ÅÓµÑÇ á¢¹áÅÐ¢Ò ¼×蹨ШҧËÒÂã¹ 3 Çѹ â´ÂàÃÔèÁ·ÕèãºË¹ŒÒ
¡‹Í¹ ÁÑ¡äÁ‹ÁÕ¡ÒÃÅÍ¡ ᵋºÒ§¤ÃÑé§ÍÒ¨ÁÕ¡ÒÃÅÍ¡¢Í§¼×è¹ä´Œ ÍÒ¨¾º
¨Ø´á´§æ ·Õèྴҹ͋͹ã¹ÇѹÍÍ¡¼×è¹ ÍÒ¨ÁÕÍÒ¡ÒûǴàÁ×è͵ÒÁµÑÇ
ËÃ×ͻǴ¢ŒÍ «Ö觾ºã¹¼ÙŒãËÞ‹ÁÒ¡¡Ç‹Òà´ç¡

Roseola ÁÑ¡ÁÕÍÒ¡ÒÃ䢌ÊÙ§ àº×èÍÍÒËÒà Ìͧ¡Ç¹ äÁ‹ÁÕäÍ äÁ‹ÁÕ¹éÓÁÙ¡ µÒäÁ‹á´§

infantum 䢌ÁÑ¡ÍÂÙ‹»ÃÐÁÒ³ 3 – 5 Çѹ áÅŒÇŴŧÍ‹ҧÃÇ´àÃçÇ ËÅѧ¨Ò¡¹Ñ鹨Ð
ÁÕ¼×è¹ Maculopapular rash ÁÑ¡àÃÔèÁ·ÕèÅÓµÑÇËÃ×ÍãºË¹ŒÒ¡çä´Œ ¡ÃШÒÂ
ÍÍ¡ä» ÍÒ¨¾º¼×蹨ӹǹ¹ŒÍÂËÃ×ÍÁÒ¡¡çä´Œ ¼×è¹ÍÒ¨¨ÐËÒÂä»ã¹àÇÅÒ
äÁ‹¡ÕèªÑèÇâÁ§ ËÃ×͹ҹ 1 – 2 Çѹ â´ÂäÁ‹ÁÕ¡ÒÃà»ÅÕè¹ÊÕËÃ×ÍÅÍ¡ ÍÒ¨
¾ºµ‹ÍÁ¹éÓàËÅ×ͧºÃÔàdzËÅѧËÙ áÅФÍâµ
 âä ÍÒ¡ÒÃáÊ´§áÅÐÅѡɳÐà´‹¹¢Í§¼×è¹

Infactious ÁÕ䢌 à¨çº¤Í ·Í¹«ÔÅÍÑ¡àʺ ÍÒ¨¾º tonsillar patch,

mononucleosis lymphadenopathy µÑºâµÁŒÒÁⵠ˹ѧµÒºÇÁ ¼×è¹¾ºä´Œà¾Õ§ÌÍÂÅÐ
3 – 15 ໚¹ maculopapule ·Õè˹ŒÒ ÅÓµÑÇáÅÐ¢Ò ºÒ§ÃÒ¾ºà»š¹
urticaria, petichiae ËÃ×ÍÁÕ vesicle ÁÑ¡à¡Ô´¼×è¹ËÒ¡ä´ŒÃѺÂÒ»¯ÔªÕǹÐ
«Ö觼×è¹¹ÕéäÁ‹ãª‹¼×蹨ҡ¡ÒÃᾌÂÒ ´Ñ§¹Ñ鹡ÒÃÇÔ¹Ô¨©Ñ¡ÒÃᾌÂÒã¹
âä¹Õ鵌ͧ·Ó´ŒÇ¤ÇÒÁÃÐÁÑ´ÃÐÇѧ

Erythema ÁÕ¼×è¹á´§àËÁ×͹¶Ù¡µºË¹ŒÒºÃÔàdzᡌÁ·Ñé§ 2 ¢ŒÒ§ ¨Ò¡¹Ñé¹ 1 – 4 Çѹ

infectiosum µ‹ÍÁÒ ¨Ö§àÃÔèÁÁÕ¼×¹·Õèᢹ¢Ò reticulate erythema ËÃ×Í໚¹
maculopapular ºÒ§¤ÃÑ駼×蹨лÃÒ¡¯àÁ×èÍÁÕÍسËÀÙÁÔà»ÅÕè¹á»Å§
ÍÍ¡¡ÓÅѧ¡Ò ËÃ×ÍÍÒÃÁ³à»ÅÕ¹á»Å§ ¼×蹨ÐÍÂÙ‹¹Ò¹»ÃÐÁÒ³
1 ÊÑ»´Òˏ ËÃ×Í໚¹æ ËÒÂæ ÍÂÙ‹ËÅÒÂÊÑ»´Òˏ ÍÒ¨¾º¨Ø´á´§ã¹
ª‹Í§»Ò¡ä´Œ
 䢌àÅ×Í´ÍÍ¡(dengue infection)

à¡Ô´¨Ò¡¡ÒõԴàª×éÍ dengue virus

ÍÒ¡Òà : 䢌ÊÙ§ äÁ‹ÁÕÍÒ¡ÒÃäÍËÃ×͹éÓÁÙ¡ »Ç´·ŒÍ§ ÍÒà¨Õ¹ ¼×è¹¾ºã¹Çѹ·Õè 4-5 ËÅѧ¨Ò¡
䢌Ŵŧ ÅѡɳÐ໚¹¼×è¹á´§ Áըش¢Òǵç¡ÅÒ§ â´Â¾º·Õèᢹ ¢Ò áÅоº¨Ø´àÅ×Í´ÍÍ¡
ÍÒ¨¾ºÍÒ¡ÒäѹËÇÁ´ŒÇÂ

¡ÒõÃǨ¾ºÃ‹Ò§¡Ò¾º µÑºâµ ¡´à¨çº µÃǨ CBC ¾º hemoconcentration,

atypical lymphocyte à¾ÔèÁ¢Öé¹ à¡Ãç´àÅ×Í´µèÓ

¼×è¹á´§àµçÁµÑÇ
àËÁ×͹µÍ¹·ÕèàÁç´ÂÒ
໚¹ä¢ŒàÅ×Í´ÍÍ¡
àŤÃѺÍÒËÁÍ
 ¼×蹨ҡ¡ÒõԴàª×éÍẤ·ÕàÃÕÂ

leptospirosis Rickettsiae

µÑÇÍ‹ҧ¼×è¹
·Õèà¡Ô´¨Ò¡¡ÒõԴàª×éÍ
Ấ·ÕàÃÕ¨Ð

Scarlate fever
 ໚¹ä§ºŒÒ§ËÅÒ¹àÁç´ÂÒ
ÁÒàÂ×èÂÁÍÒËÁÍÇѹ¹Õé
ä´Œ¤ÇÒÁÃÙŒ¡ÅѺä»àÂÍÐäËÁ¨Ð
¤ÃѺÍÒËÁÍ
¼Á¿˜§ÍÒËÁÍàÅ‹ÒàÃ×èͧ¼×è¹
¨¹¼×蹨ТÖé¹ÍÂÙ‹áŌǤÃѺ
ËÅÒ¹àÁç´ÂÒ¶×ÍÇ‹Ò⪤´Õ¹Ð¨Ð 55555
·ÕèàÃÒä´ŒÁÕâÍ¡ÒÊÃÙŒ¢ŒÍÁÙÅ
àÃÒ¨Ðä´ŒÊÒÁÒö´ÙáÅáÅÐ
»‡Í§¡Ñ¹µ¹àͧ䴌

¤ÃѺÍÒËÁÍ
¼Á¨Ó¤Ò¶Ò·ÕèÍÒËÁͺ͡
ä´Œ¢Öé¹ã¨àŤÃѺNjÒ......
“¨Óª×èÍÂÒãËŒ¶Ù¡ ºÍ¡ª×èÍÂÒ·Ø¡¤ÃÑé§
à¡‹§ÁÒ¡ ËÅÒ¹ÍÒ à¾×èÍ»‡Í§¡Ñ¹¡ÒÃᾌÂÒ«éÓ”
 Êӹѡ§Ò¹ÊÒ¸ÒóÊØ¢¨Ñ§ËÇÑ´ÊÁØ·Ãʧ¤ÃÒÁ
â·Ã.034-711571 â·ÃÊÒÃ.034-711124 ËÃ×Í µ‹Í 102
http://skmo.moph.go.th
¡ÅØ‹Á§Ò¹¤ØŒÁ¤Ãͧ¼ÙŒºÃÔ âÀ¤ â·ÃÈѾ·/ â·ÃÊÒà 034-716888 ËÃ×Í µ‹Í 205 206
www.consumer75000.com
ËÁÒÂàÅ¢ÀÒÂã¹Êӹѡ§Ò¹ÊÒ¸ÒóÊØ¢¨Ñ§ËÇÑ´ÊÁØ·Ãʧ¤ÃÒÁ ʶҹ¾ÂÒºÒÅ㹨ѧËÇÑ´ÊÁØ·Ãʧ¤ÃÒÁ âç¾ÂÒÅ : ʶҹÕ͹ÒÁÑ (ÍÓàÀÍÍÑÁ¾ÇÒ)
»ÃЪÒÊÑÁ¾Ñ¹¸ 101-102 âç¾ÂÒÅ : ʶҹÕ͹ÒÁÑ (ÍÓàÀÍàÁ×ͧ) 1. âç¾ÂÒºÒÅÍÑÁ¾ÇÒ 034-702114-5
¤ÅÔ¹Ô¡·Ñ¹µ¡ÃÃÁ 106 1. þ.ÊÁà´ç¨¾Ãоط¸àÅÔÈËÅŒÒ 034-723044-9 2. ½†ÒÂàÀÊѪ¡ÃÃÁ þ.ÍÑÁ¾ÇÒ
·Ñ¹µÊÒ¸ÒóÊØ¢ 107 2. ½†ÒÂàÀÊѪ¡ÃÃÁ þ.ÊÁà´ç¨Ï 3. ÊÊÍ.ÍÑÁ¾ÇÒ 034-751225
ÊˡóÍÍÁ·ÃѾ 108 3. ÊÊÍ.àÁ×ͧÊÁØ·Ãʧ¤ÃÒÁ 034-711801 4. ÊÍ.ÇÑ´â¤¡à¡µØ 034-753914
§Ò¹Ê‹§àÊÃÔÁÊØ¢ÀÒ¾ 110 4. ÈٹᾷªØÁª¹áÁ‹¡Åͧ 034-716621 5. ÊÍ.·‹Ò¤Ò 034-766209
§Ò¹¾Ñ²¹ÒºØ¤ÅÒ¡Ã 111 5. PCU ÇÑ´»ÃзØÁ 034-736066 6. ÊÍ.ºÒ§¹Ò§ÅÕè 034-772626
§Ò¹¤Çº¤ØÁ âääÁ‹µÔ´µ‹Í 112 6. PCU ¡Ç¹ÍÙ 034-712029 7. ÊÍ.µ.ÂÕèÊÒà 034-763132
ÈٹºÃÔ¡ÒüÅÔµÀѳ±ÊØ¢ÀÒ¾àºç´àÊÃç¨ (OSSC) 115 7. ÊÍ.µÐÇѹ¨Ò¡ 034-764352 8. ÊÍ.ÇÑ´»Ãдً 034-768273
ˌͧ¶‹ÒÂàÍ¡ÊÒà 114 8. ÊÍ.ºÒ§¨Ðà¡Ãç§ 034-711702 9. ÊÍ.µ.á¾Ã¡Ë¹ÒÁá´§ 032-282479
»‡ÍÁÂÒÁ 130 9. ÊÍ.´ÒÇâ´‹§ 034-752252 10. ÊÍ.ÇÑ´»ÃÐªÒ 034-765930
ˌͧÂҹ¹µ 266 10. ÊÍ.ºŒÒ¹»Ã¡ 034-763744 11. ÊÍ.ºŒÒ¹ÊÕèá¡ 034-701601
ˌͧ»ÃЪØÁ 1 200 11. ÊÍ.¹Ò§µÐà¤Õ¹ 034-700428 12. ÊÍ.µ.ºÒ§á¤ 034-772600
ËÑÇ˹ŒÒ§Ò¹ºÃÔËÒÃ/¡ÒÃà§×¹ 201 12. ÊÍ.à©ÅÔÁ¾ÃÐà¡ÕÂÃµÔ 034-765717 13. ÊÍ.ÇÑ´´ÒǴէɏ 034-751227
¸ØáÒà 202 13. ÊÍ.ºÑ§»„¹ 034-764351 14. ÊÍ.ÇÑ´ÇÃÀÙÁÔ 034-732404
¡ÒÃ਌Ò˹ŒÒ·Õè 203 14. ÊÍ.¤Åͧª‹Í§ 034-764761 15. ÊÍ.ª‹Í§ÅÁ 034-765180
¹ÔµÔ¡Ã/¡‹ÍÊÌҧ/¾ÑÊ´Ø 204 15. ÊÍ.ÇÑ´ºÒ§¢Ñ¹áµ¡ 034-713341 16. ÊÍ.ºŒÒ¹¤ÅͧàËÁ×ͧãËÁ‹ 034-757140
¡ÅØ‹Á¤Çº¤ØÁ âäµÔ´µ‹Í/§Ò¹àʹʏ 207 16. ÊÍ.¤Åͧ⤹ 034-731276 17. ÊÍ.µ.àËÁ×ͧãËÁ‹ 034-768138
Ãͧ¹ÒÂá¾·ÂÏ ½†ÒºÃÔËÒà 208 17. ÊÍ.ÇÑ´»Ò¡ÅÑ´ 034-756322 18. ÊÍ.µ.ºÒ§ªŒÒ§ 034-751228
Ãͧ¹ÒÂá¾·ÂÏ ½†ÒºÃÔ¡Òà 209 18. ÊÍ.ºŒÒ¹á¡ŒÇ¿‡Ò 034-752640,753175 19. ÊÍ.µ.ÊǹËÅǧ 034-751373
Ãͧ¹ÒÂá·¾ÂÏ ½†ÒÂàǪ¡ÃÃÁ 210 19. ÊÍ.áËÅÁãËÞ‹ 034-770482 20. ÊÍ.ºŒÒ¹¤Åͧ¾ÅѺ 034-752883
ˌͧàŢҹءÒà ¹ÒÂᾷÊÒ¸ÒóÊØ¢ 211-212 20. ÊÍ.ºÒ§á¡ŒÇ 034-715970
ˌͧÈÔŻР300 21. ÊÍ.©Ù‹©Õè 034-713230 âç¾ÂÒÅ : ʶҹÕ͹ÒÁÑ (ÍÓàÀͺҧ¤¹·Õ)
Èٹ¤ÍÁ¾ÔÇàµÍÏ 301 22. ÊÍ.ÅÒ´ãËÞ‹ 034-756334 1. âç¾ÂÒºÒŹÀÒÅÑ 034-761476-7
§Ò¹ÃкҴÇÔ·ÂÒ 302 23. ÊÍ.ºŒÒ¹à¢µàÁ×ͧ 034-756582 2. ½†ÒÂàÀÊѪ¡ÃÃÁ þ.¹ÀÒÅÑÂ
§Ò¹á¼¹§Ò¹ 303 24. ÊÍ.·ŒÒÂËÒ´ 034-767674 3. ÊÊÍ.ºÒ§¤¹·Õ 034-761907
§Ò¹á¼¹§Ò¹ 304 25. ÊÍ.ºŒÒ¹»Ò¡ÁÒº 034-769818 4. ÊÍ.ºŒÒ¹´Í¹ÁÐâ¹ÃÒ 034-769071
§Ò¹»ÃСѹÊØ¢ÀÒ¾ 305 26. ÊÍ.ÇÑ´»Ò¡ÊÁØ·Ã 034-771526 5. ÊÍ.ºÒ§ÂÕè礏 034-773233
§Ò¹¾Ñ²¹Ò¾ÄµÔ¡ÃÃÁÊØ¢ÀÒ¾ 306 6. ÊÍ.µ.ºÒ§¡ØŒ§ 034-702834
ËÑÇ˹ŒÒ§Ò¹»ÃСѹÊØ¢ÀÒ¾ 307 7. ÊÍ.µ.ºÒ§¡Ãк×Í 034-757540
ˌͧ»ÃЪØÁ 3 308 8. ÊÍ.ºÒ§¤¹·Õ 034-761908
ˌͧ»ÃЪØÁ 2 309 9. ÊÍ.µ.´Í¹ÁÐâ¹ÃÒ 034-769073
ˌͧÊÁØ´ 310 10. ÊÍ.µ.âçËÕº 034-702836
ˌͧ¤Çº¤ØÁàÊÕ§ 311 11. ÊÍ.µ.ºÒ§¹¡á¢Ç¡ 034-703221
12. ÊÍ.µ.ºÒ§ÊÐá¡ 034-757090
13. ÊÍ.µ.ºÒ§¾ÃËÁ 034-762001
14. ÊÍ.µ.ÂÒÂᾧ 034-703636
15. ÊÍ.ºŒÒ¹»ÃÒâÁ·Â 034-768283
16. ÊÍ.¨ÍÁ»ÅÇ¡ 034-703634

á¼¹§Ò¹ÊÌҧ¡Åä¡à½‡ÒÃÐÇѧáÅоѲ¹ÒÃкºÂÒ
ÍÒ¤ÒÃâÍʶÈÒÅÒ ªÑé¹ 4 ¤³ÐàÀÊѪÈÒʵÏ ¨ØÌÒŧ¡Ã³ÁËÒÇÔ·ÂÒÅÑ ¶.¾ÞÒä· ¡·Á. 10330
â·Ã. 0-2218-8452 , 0-2218-8443 â·ÃÊÒÃ. 0-2218-8443
E-mail : spr.chula@gmail.com , www.thaidrugwatch.org