AU MT

TRIU CHNG
-

mt hoc c hai mt.

Nga mt hoc c hai mt.
Cm gic c sn trong mt.
R dch mt hoc hai mt,
chy nc mt.
Kh chu vi nh sng.
C cht dch mu trng r rng.
C ghn mu vng hoc mu
xanh.
Khi thc dy mt b dnh cht
li do mng g mt.

TIN LNG
Bnh thng ko di 7-14 ngy s
khi. Tuy nhin, nu khng c
iu tr ng cch, c th dn ti
nhiu bin chng, c bit l tr
em:
- Tn thng gic mc;
- Vim gic mc m, vim gic
mc chm nng;
- Lot gic mc, kh mt, tng
nhn p,
- C th gy suy gim th lc hoc
dn ti m.

iu tr c im

Thuc

Bit dc

Khng
Virus

Khng c
hiu.

Acyclovir

Zovirax,
Vacrax,
Avirtab,
Lovir,...

Nc
ra mt

Gip ra tri Nc mui

mm bnh.
sinh l

Khng
sinh

- Ch dng
tra
mt.
- Khng
dng
Corticoid.

NaCl 0,9%

Nc mt
nhn to
hoc dinh
dng mt

Sanlein, acid
amin Taurin,
CB2, ...

Tobramycin
0.3%

Tobrex,
Toeycine,

Quinolone

Oflovid,
Okacin,
Vigamox, ...

Neomycin

Nemydexan, .
..

Polymycin B

Cebemycin, ..
.

NM DA U
TRIU CHNG
- u xut hin gu nhiu, c
bit l gu t.
- Xut hin cc cn nga, da
u bt rt kh chu ngay c
khi va mi gi u xong
trong vng vi gi.
- Da u ni mn , vng da
tn tc:
thng
mng
- b
Rng
xutto
hin
sau dy.
20 ngy - 1 thng
sau khi mc nm, ban u t, sau nhiu
dn v nhiu nht khi gi u v chi tc.
- Rng tc th mng: c nhng m trn hay bu
dc ng knh 2- 5 cm l ra hn bn ngoi, vng
da ti y s b rng tc nhiu v li nhng
mng da khng tc.

TIN LNG

Ngoi vic gy nga ngy kh chu cho ngi bnh, nu

nm da u khng c iu tr kp thi, trit s gy ra
tnh trng bong trc da u to thnh mng hi, lot, chy

Thuc
Miconazole
(Micatin,
Monistat-Derm)

Cch iu tr
Dng
Du gi Sulffide,
thuc
Nizoral, Haiclneal,
gi u Ketoconazol, du gi

dc liu Thi
Dng,...
Griseofulvin
(S-fulvin)
Ketoconazol
(Leivis)

Clotrimazol
(Canesten,
Lotrimin,
Mycelex)
Terbinafine
(Terbicil,Relonch
em)
Corticoid ti ch.
(Triamcinolone)

Dng
thuc
bi tr
nm

Dung dch BSI, dung

dch Castellani, m
Clotrimazol, kem
Nizoral, kem Lamisil,
dung dch
Minoxidil,...
Thuc Vin Griseofulvin (hay
ung
Zexan,...); vin
tr nm Ketoconazol (hay
ton
Etoral, Nizoral,...);
thn
vin Terbisil;...

BNH ST RT
TRIU CHNG
- Cn st in hnh (th thng
thng) c 3 giai on: rt run - st
- v m hi.
- Cn st khng in hnh nh: st
khng thnh cn, n lnh, gai rt
(hay gp ngi sng lu trong
vng st rt lu hnh), st lin tc
hoc dao ng (hay gp tr em,
ngi bnh b st rt ln u).
+ Nhng du hiu khc: thiu mu,
lch to, gan to...

TIN LNG
Nu khng c iu tr kp thi,
st rt th thng thng c th tin
trin thnh st rt c tnh vi nhiu bin
chng:
- Ri lon chc nng gan; Vim gan
mn; X gan
- Lch to; Cng lch
- Vim cu thn; Hi chng thn h
- Ph n
- Bin chng khc: thiu mu, thiu
st, thiu acid folic trong mu, h
ng mu, au v vim dy thn
kinh...
- St rt th c tnh nu khng iu tr
kp thi c th dn ti t vong!

IU TR
Thuc st rt theo nhm ngi bnh v chng loi KST st rt
Nhm ngi
bnh

St rt lm
sng

St rt do
P.falciparum

St rt
doP.vivax/
P.ovale

St rt
St rt nhim
doP.malariae/ phi hp c
P.knowlesi
P.falciparum

Di 3 tui

DHA-PPQ

DHA-PPQ

Chloroquin

Chloroquin

T 3 tui tr
ln

DHA-PPQ

DHA-PPQ
+Primaquin

Chloroquin Chloroquin
+Primaquin

DHA-PPQ
+Primaquin

Ph n c thai
trong 3 thng

Quinin +
Clindamycin

Quinin +
Clindamycin

Chloroquin

Chloroquin

Quinin +
Clindamycin

Ph n c thai
trn 3 thng

DHA-PPQ

DHA-PPQ

Chloroquin

Chloroquin

DHA-PPQ

Thuc

DHA-PPQ

Thuc

Bit dc

Bit dc

DHA-PPQ
(DihydroartemisininPiperaquin phosphat)

- CV Artecan

Quinin

Euquinin, Quinin sulfat,

- Arterakine

Clindamycin

Clindamycin hydrochlorid,

Chloroquin

Chloroquin phosphate,

Primaquin

Malafree,