ផលិតផល​ផ្លាស្ទិក បង្ក​គ្រោះថ្នាក់​យ៉ាងណា​ដល់​សុខភាព ?

Bisphénol A សារធាតុ​គីមី​ម្យ៉ាង​ប្រើ​ជា​ល្បាយសំរាប់​ផលិត​របស់​របរ​ប្រើប្រាស់​ ដូច​ជា​ប្រអប់​ ផ្លាស្ទិក ដាក់​ម្ហូប​អាហារ ដបទឹក​ជ័រ ប្រអប់​អាហារ​កំប៉ុង​​ ដប​ទឹក​ដោះគោ​កូន​ង៉ែត​ ។ល។ និង​​។ល។ កំពុង​ក្លាយ​ជា​ប្រធានបទ​ដ៏​ប្រទាញ​ប្រទង់បំផុត​មួយ​ ចំពោះ​សុខភាព។ ប្រទេស​កាណាដា បាន​ប្រកាស​ផ្អាក​​មិន​ឱ្យ​មាន​ការ​ផលិត​ដប​ទឹកដោះគោជ័រ មាន​បង្កប់​សារធាតុគីមី Bisphénol​ តាំង​ពី​ឆ្នាំ​២០០៨​មក សហរដ្ឋ​អាមេរិក​ធ្វើ​តាម​ក្រោយ។ ចំណែក​ប្រទេស​បារាំង សភា​ទើប​បាន​អនុម័ត​ច្បាប់​ហាម​ឃាត់​ដែរ​ ពោល​គឺ​ចាប់​ពី​ឆ្នាំ​២០១៣​នេះ​ទៅ ហាមឃាត់​ដាច់​ខាត​ការ​ផលិត​ប្រអប់​អាហារ ដប​ទឹក​គោ​ សម្រាប់​ក្មេង និង​សម្រាប់​មនុស្ស​ចាស់​នៅ​ឆ្នាំ​២០១៥។
តើ​ Bisphénol A ជា​អ្វី ? និង​ពិត​ជា​បង្ក​គ្រោះ​ថ្នាក់​ដល់​សុខភាពមែន​ឬ​យ៉ាងណា ?

បទអត្ថាធិប្បាយ​របស់ អៀង​ សុខម៉ិញ

(09:00)

ដើម «ញ»

១.វេជ្ជបញ្ជាពីប្រភពធម្មជាតិ និងដើម «ញ»

ទស្សនៈរបស់អ្នកស្រាវជ្រាវអំពីប្រជាជាតិ និងវេជ្ជសា ស្រ្តបុរាណពិតជាមានសារសំខាន់ មានលក្ខណៈវិទ្យាសាស្រ្ត និងហ្មត់ចត់។ ការស្រាវជ្រាវទាំងនោះ ពិតជាចាំបាច់ ព្រោះថា
បច្ចុប្បន្ននេះមានប្រមាណ ៦០% នៃឧសថមានប្រភពមកពីធម្មជាតិ។
ទោះបីជាមានការខិតខំប្រឹងប្រែងស្រាវជាវពីវា ស្នាដៃស្រាវជា្រវពីឧសថបុរាណនៅហាវ៉ៃ នៅតែអះអាង
ថា សមាសធាតុសារធាតុចំបង និងប្រសិទ្ធភាពរបស់ដើម «ញ» នៅតែជាប្រការអាថកំបាំងនៅឡើយ។
ដើម «ញ» មានឈ្មោះវិទ្យាសាស្រ្តថា Morinda Citrifolia គឺជារុក្ខជាតិស្ថិតក្នុងចំណាត់ថ្នាក់
មានសារធាតុសំខាន់លំដាប់ថ្នាក់លេខ ២ ក្នុងចំណោមរុក្ខជាតិឧសថទាំងអស់។ មនុស្សបាន
ប្រើប្រាស់វានៅសមាសធាតុរូមទាំងអស់ដែលមានៈ ដើម, ឬស, ស្លឹក, ផ្កា និង ផ្លែ ដើម្បីព្យាបាល
ជំងឺ។ មានជិត ៤០ រូបមន្តព្យាបាលជំងឺផ្សេងៗគ្នាដែលប្រើប្រាស់ «ញ» ធ្វើជាសមាសធាតុ
រួមផ្សំដ៏សំខាន់។ ក្នុងប្រវត្តិសាស្រ្តមនុស្សជាតិធ្លាប់រំលឹកពីការរសរានមានជីវិតរបស់មនុស្ស
ដែលបានស៊ីផ្លែ «ញ» នៅពេលប្រឈមមុខជាមួយគ្រោះអត់ឃ្លាន និង ជំងឺសង្កាត់ផ្សេងៗ។

ដើម ញ ដុះឡើងខៀវស្រងាត់ក្បែមាត់សមុទ្រ ក្នុងកំរិតខ្ពស់ជាង ៣០០ម៉ែត្រ បើធៀបទៅនិង
ផ្ទៃទឹកសមុទ្រ។ តំបន់ដែលជាកម្អែរភ្នំភ្លើងចាស់ គឺជាកន្លែងដែលផ្តល់ការរីកលូតលាស់
ដ៏ប្រសើរបំផុតដល់ដើម ញ។ ដើម ញ មានដើមដុះត្រង់ ស្លឹកធំ មានផ្កា មានផ្លែ។ ដើម ញពណ៌លឿងមានវិជ្ឈមាត្រ ១២សង់ទីម៉ែត្រ។ ផ្លែ ញ ពេលទំមានក្លិនពិបាក នឹងហិត និងគួរឲ្យចង់ក្អួត។ ចលនាប្រើផ្លែញ ដើម្បីព្យាបាលជំងឺបានផ្ទុះឡើងនៅអាមេរិចខាងជើង
ចាប់ពីឆ្នាំ ១៩៩២ នៅពេលដែលវេជ្ជបណ្ឌិតម្នាក់ប្រើផ្លែ ញ ក្នុងការព្យាបាលរោគមហារីក
សុដន ឲ្យប្រពន្ធរបស់ខ្លួន នឹងទទួលបានលទ្ធផលគួរឲ្យភ្ញាក់ផ្អើល។ ចាប់ពីពេលនោះមកគ្រូពេទ្រ
រូបនេះបានចលនាមនុស្សរាល់គ្នាឲ្យដាំដើម ញ សំរាប់ព្យាបាលជំងឺនិងសំរាប់ធ្វើការនាំចេញ។ ផ្លែ ញ ត្រូវបានគេសម្ងួតកិនជាម្សៅ និងច្រកជាគ្រាប់ Capsule ប្រើប្រាស់យ៉ាងទូលំទូលាយ
នៅអាមេរិច និងកាណាដា។

ប្រសិទ្ធភាពផ្នែកឧសថនៃផ្លែញ មានការស្មុកស្មាញ និងមានអាថកំបាំងនៅឡើយ។តាម
របាយការប្រចាំឆ្នាំរបស់សមាគមសិក្សាពីរោគមហារីកអាមេរិច នាខែឧសភា ឆ្នាំ ១៩៩២ បានឲ្យ ដឹងថាកណ្តូរកើតរោគមហារីកសួតយ៉ាងធ្ងន់ធ្ងរអាចមានជីវិតរស់នៅបានយូរជាង
មុនកាលបើឲ្យវាស៊ីផ្លែ ញ។ ឯកសារចាស់មួយនៃទស្សនាវដ្តីវេជ្ជសាស្រ្តមហាសមុទ្រប៉ាស៊ីហ្វិក បានបង្ហាញថា «ញ» មានប្រសិទ្ធភាពទៅលើបាក់តេរី Bacteria M, polygenes, E coli, Ps aeruginosa។

ថ្មីៗនេះការស្រាវជ្រាវរបស់មហាវិទ្យាល័យ Hawaii បានឲ្យឃើញថា មានប្រសិទ្ធភាពផ្នែក
គ្លីនីកយ៉ាងល្អប្រសើរសំរាប់ជំងឺលើសឈាម ចុកពោះ យ៉ាងខ្លាំង រលាកនិងមហារីកក្រពះ រោគឆាប់ចាស់ មហារីកសុដន់ និងមហារីក Retina ។បណ្ឌិត ហ្សូសេហ្វ បែក (Dr. Josep Betz) ជំនាញការរបស់ FDA (ស្ថាប័នគ្រប់គ្រងម្ហូបអាហារ និង ឪសថអាមេរិក) បានឲ្យដឹងថា ញ មានប្រសិទ្ធភាពរារាំងដល់ការលុកលុយរបស់បាក់តេរី និងវីរុស បន្ថយការឈឺចាប់ និងធ្វើ
ឲ្យស្ងប់អារម្មណ៍។

ឆ្នាំ ១៩៩៣ ក្រុមស្រាវជ្រាវនៅមហាវិទ្យាល័យ Keo (ជប៉ុន) បានចម្រាញ់ចេញនូវ
សារជាតិanthraquinone ពីផ្លែ ញ មានប្រសិទ្ធភាពបន្ថយនូវចំនួនកោសិកាក្នុងមហារីក K-as-NRK។ ការស្រាវជ្រាវកំពុងបន្តទៀតក្នុងអាការយកចិត្តទុកដាក់។ ទន្ទឹមនឹងនោះដើម ញ បានក្លាយជារុក្ខជាតិឧស្សាហកម្មដ៏ល្បីល្បាញរបស់អ្នកនៅហាវ៉ៃ។ ដើមឈើថ្មីនេះកំពុងត្រូវ
គេដាំឆ្លាស់គ្នាជាមួយរុក្ខជាតិឧស្សាហកម្មដ៏ទៃទៀត។ អ្នករស់នៅហាវ៉ៃបានល្បីល្បាញ
ឡើងដោយសារដើម ញ។

ដើមញរុក្ខជាតិឱសថព្យាបាលជំងឺបានច្រើនមុខ

* វេជ្ជបញ្ជាពីប្រភពធម្មជាតិនិងដើម ញ        ទស្សនៈរបស់អ្នកស្រាវជ្រាវអំពីប្រជាជាតិនិងវេជ្ជសាស្ត្របុរាណ ពិតជាមានសារសំខាន់មានលក្ខណៈវិទ្យាសាស្ត្រនិងហ្មត់ចត់។

ការស្រាវជ្រាវទាំងនោះពិតជាចាំបាច់ព្រោះថាបច្ចុប្បន្ននេះមានការស្រាវជ្រាវទាំងនោះ ពិតជាចាំបាច់ព្រោះថាបច្ចុប្បន្ននេះមានប្រមាណ៦០%នៃឱសថមានប្រភពមកពីធម្មជាតិ។ ទោះបីជាមានការខិតខំប្រឺងប្រែងស្រាវជ្រាវពីវាស្នាដៃស្រាវជ្រាវពីឱសថបុរាណនៅហាវ៉ៃ នៅតែអះអាងថាសមាសធាតុសារធាតុចម្បងនិងប្រសិទ្ធភាពរបស់ដើមញ នៅតែជា ប្រការដ៏អាថ៌កំបាំងនៅឡើយ។        ដើមញមានឈ្មោះវិទ្យាសាស្ត្រថា�mornindaciteifolia�គឺជារុក្ខជាតិស្ថិតក្នុងចំណាត់ថ្នាក់ មានសារសំខាន់លំដាប់លេខ២ ក្នុងចំណោមរុក្ខចាតិឱសថទាំងអស់។មនុស្សបានប្រើប្រាស់ វានូវសមាសធាតុរួមទាំងអស់ដែលមានៈ ដើម, ឬស, ស្លឹក,ផ្កានិងផ្លែដើម្បីព្យាបាលជំងឺ។ មានជិត៤០រូបមន្តព្យាបាលជំងឺផ្សេងៗគ្នាដែលប្រើប្រាស់ញធ្វើជាសមាសធាតុរួមផ្សំដ៏សំខាន់ ។ក្នុងប្រវត្តិសាស្ត្រមនុស្សជាតិធ្លាប់រំឭកពីការរស់រានមានជីវិតរបស់មនុស្សដែលបានស៊ីផ្លែ ញនៅពេលប្រឈមមុខជាមួយគ្រោះអត់ឃ្លាននិងជំងឺតម្កាត់ផ្សេងៗ។        ដើមញ ដុះឡើងខៀវស្រងាត់ក្បែរមាត់សមុទ្រក្នុងកម្រិតកម្ពស់ជាង៣០០ម៉ែត្របើ ប្រៀបធៀបទៅនឹងផ្ទៃទឹកសមុទ្រ។តំបន់ដែលជាកម្អែរភ្នំភ្លើងចាស់គឺជាកន្លែងដែលផ្ដល់ ការរីកលូតលាស់ដ៏ល្អប្រសើរបំផុតដល់ដើមញ។ដើមញមានដើមដុះត្រង់ ស្លឹកធំ មានផ្កា មានផ្លែ។ដើម ញ ពណ៌លឿងមានវិជ្ឈមាត្រ ១២ សង់ទីម៉ែត្រ។ ផ្លែញពេលទុំមានក្លិន ពិបាកនឹងហិតនិងគួរឲ្យចង់ក្អួត។ចលនាប្រើផ្លែញដើម្បីព្យាបាលជំងឺបាននូវលទ្ធោលដ៏គួរ ឲ្យភ្ញាក់ផ្អើល។ចាប់ពីបេលនោះមកគ្រូពេទ្យរូបនេះបានចលនាមនុស្សរាល់គ្នាឲ្យដាំដើម ញ សម្រាប់ព្យាបាលជំងឺនិងសម្រាប់ព្យាបាលជំងឺផ្ទុះឡើងនៅអាមេរិកភាគខាងជើងចាប់ពីឆ្នាំ ១៩៩២នៅពេលដែលវេជ្ជបណ្ឌិតម្នាក់ប្រើផ្លែញក្នុងការព្យាបាលរោគមហារីកសុដន់ឲ្យ ប្រពន្ធរបស់ខ្លួននឹងទទួលបាននូវលទ្ធផលដ៏គួរឲ្យភ្ញាក់ផ្អើល។ចាប់ពីពេលនោះមកគ្រូពេទ្យ រូបនេះបានចលនាមនុស្សរាល់គ្នាឲ្យដាំដើមញសម្រាប់ព្យាបាលជំងឺនិងសម្រាប់ធ្វើការនាំ ចេញ។ផ្លែញត្រូវបានគេសម្ងួតកិនជាម្សៅនិងច្រកជាគ្រាប់Capsuleប្រើប្រាស់យ៉ាងទូលំ ទូលាយនៅអាមេរិកនិងកាណាដា។ប្រសិទ្ធភាពផ្នែកឱសថសាស្ត្រនៃផ្លែញ មានការស្មុគ ស្មាញនិងនៅមានអាថ៌កំបាំង។        តាមរបាយការណ៍ប្រចាំឆ្នាំរបស់សមាគមសិក្សាពីរោគមហារីកអាមេរិកនាខែឧសភាឆ្នាំ ១៩៩២បានឲ្យដឹងថាកណ្តុរកើតរោគមហារីកសួតយ៉ាងធ្ងន់ធ្ងរអាចមានជីវិតរស់នៅបានយូរ ជាងមនុស្សកាលបើវាស៊ីផ្លែញ។ឯកសារចាស់មួយនៃទស្សនាវដ្តីវិជ្ជាសាស្ត្រមហាសមុទ្រ ប៉ាស៊ីហ្វិក បានបង្ហាញថា ញ មានប្រសិទ្ធភាពទៅលើបាក់តេរីBacteria M,polygens, Ecole,Psaeruginosa។ថ្មីៗនេះការស្រាវជ្រាវរបស់មហារវិទ្យាល័យHawaiiបានបង្ហាញឲ្យ ឃើញថាមានប្រសិទ្ធភាពផ្នែកគ្លីនិកយ៉ាងល្អប្រសើរសម្រាប់ជំងឺលើសឈាមចុកពោះយ៉ាង ខ្លាំងរលាក និង មហារីកក្រពះ រោគឆាប់ចាស់ មហារីកសុដន់ និង មហារីក Retina។        បណ្តិតហ្សូសេហ្វបែក(Dr.JosephBetz)ជំនាញការរបស់FDA(ស្ថាប័នគ្រប់គ្រងម្ហូប អាហារនិងឱសថអាមេរិក)បានឲ្យដឹងថា មានប្រសិទ្ធភាពរារាំងដល់ការលុកលុយរបស់ បាក់តេរីនិងវីរុសបន្ថយការឈឺចាប់និងធ្វើឲ្យស្ងប់អារម្មណ៍។        ឆ្នាំ១៩៩៣ ក្រុមស្រាវជ្រាវនៅមហាវិទ្យាល័យ Keo (ជប៉ុន) បានចម្រាញ់នូវសារជាតិ anthraquinone ពីផ្លែ ញ មានប្រសិទ្ធភាពបន្ថយនូចំនួនកោសិកាក្នុងរោគមហារីក K-as-NRK។        ការស្រាវជ្រាវកំពុងបន្តទៀតក្នុងអាការយកចិត្តទុកដាក់។ទន្ទឹមនឹងនោះដើមញបាន ក្លាយជារុក្ខជាតិឧស្សាហកម្មដ៏ល្បីល្បាញរបស់អ្នកនៅហាវ៉ៃ។ដើមឈើថ្មីនេះកំពុងត្រូវគេ ដាំឆ្លាស់គ្នាជាមួយរក្ខជាតិឧស្សាហកម្មដ៏ទៃទៀត។អ្នករស់នៅហាវ៉ៃបានល្បីល្បាញឡើង ដោយសារដើមញ។       * ប្រសិទ្ធភាពផ្នែកឱសថសាស្ត្រនៃដើមញ        ការស្រាវជ្រាវទាំងឡាយបានចាប់ផ្តើមនៅឆ្នាំ១៩៩២សំដៅស្វែងយល់ពីប្រសិទ្ធភាព ផ្នែកឱសថសាស្ត្រនៃសារធាតុចម្បងរបស់ដើមញ។លទ្ធផលដែលទទួលបានបង្កឲ្យមាន ការចាប់អារម្មណ៍ពីសំណាក់មជ្ឈដ្ឋានអ្នកឯកទេសតែការវិភាគពីសមាធាតុរបស់ដើមញឲ្យ បានល្អិតល្អន់គេនៅត្រូវការពេលវេលាជាច្រើនទៀត។សារធាតុចម្បងរបស់វាមិនទាន់ ប្រាកដថាស្ថិតក្នុងដើមឬក្នុងផ្លែហើយពេលខ្លះទាល់តែយកទៅស្ងោរឬត្រាំស្រាទើបដឹង។        សមាសធាតុដែលគេចាប់អារម្មណ៍បំផុតគឺប្រភេទalkaloidដែលមានឈ្មោះxeronine ដូចគ្នានឹងសារធាតុដែលគេស្រាវជ្រាវឃើញក្នុងផ្លែម្នាស់។ ម្យ៉ាងទៀតក្នុងដើមញ មានអង់ហ្ស៊ីម (Enzyme) ម្យ៉ាងដែលពេលវាធ្វើសកម្មភាព នឹងបង្កើតចេញនូវ Xeronine ពីproxeronine ។        ប្រសិទ្ធភាពដែលគេធ្លាប់ដឹងពីXeronineគឺវាសម្របសម្រួលរចនាសម្ពួ័ន្ធនិងទម្រង់ ម៉ូលេគុលនៃប្រូតេអ៊ីនពិសេសមួយចំនួនក្នុងសរីរាង្គ។ ម្យ៉ាងទៀត ការស្រាវជ្រាវផ្សេង ទៀតក៏បានបង្ហាញថា មើមយិនស៊ិន និង ញ អាចជួយឲ្យកោសិកាសរសៃប្រសាទឆ្លើយ តបបានល្អប្រសើរជាមួយសារធាតុបន្ថយការឈឺចាប់ Endogenous ដែលគេស្គាល់តាំងពី យូរគឺ �Endorphine�។        និយាយជារួមក្រៅពីប្រសិទ្ធរួមដូចalakaloidញនៅមានបំប៉នសុខភាពជួយដល់ការពារ ជំងឺសរសៃប្រសាទបេះដូងជាដើម។        ម្សៅញកំពុងត្រូវគេប្រើយ៉ាងទូលំទូលាយនៅអាមេរិកភាគខាងជើងសម្រាប់បំប៉ន សុខភាព និងការពារជំងឺកើតតម្កាត់ផ្សេងៗ៕                     ទស្សនាវដ្តី ប្រជាប្រិយ                     លេខ ១៩៨ ថ្ងៃទី ១១-២០ មិនា ២០០២

Vacxin 5 trong 1 và vacxin 6 trong 1 loại nào tốt hơn thưa BS?

Chào em,
Vacxin 6 trong 1 bao gồm 6 thành phần là bạch hầu, ho gà, uốn ván, bại liệt, viêm gan siêu vi B và các bệnh gây ra do vi khuẩn Haemophilus influenzase (Hib) đặc biệt là viêm màng não mủ trong một mũi tiêm.
Vacxin 5 trong 1 là vaccine tổng hợp phòng 5 bệnh gây nguy hiểm cho trẻ gồm: Bạch hầu, ho gà, uốn ván, viêm gan B và các bệnh gây ra do vi khuẩn Haemophilus influenzase (Hib) đặc biệt là viêm màng não mủ trong một mũi tiêm.
Như BS đã trình bày, vacxin 6 trong 1 khác với vacxin 5 trong 1 là:

- Vacxin 6 trong 1 có 6 bệnh.

- Bé chỉ cần tiêm một mũi là đủ 6 bệnh.

- Không phải uống thêm một liều vacxin ngừa bại liệt như khi dùng vacxin 5 trong 1.

- Điều đặc biệt nữa là vacxin 6 trong 1 em phải đóng tiền.
Trường hợp của con em, em có thể cho bé tiêm ngừa vacxin 6 trong 1 hoặc vacxin 5 trong 1 và uống thêm một liều vacxin ngừa bại liệt đều được, tùy theo em cân nhắc túi tiền của em. Hiện chưa có nghiên cứu vacxin nào là tốt hơn em ạ.
Chỉ có sự so sánh vacxin tổng hợp này có nhiều ưu điểm hơn các loại vacxin tiêm từng mũi một trước đây:

- Giảm số mũi tiêm cho em bé (từ 9 mũi xuống còn 3 mũi), giảm đau đớn cho bé yêu.

- Tiết kiệm thời gian đi lại cho các bậc cha mẹ.

- Thành phần ho gà trong vacxin 6 trong 1 là loại vô bào nên an toàn, ít sốt và ít tác dụng phụ hơn các loại vacxin có thành phần ho gà là loại toàn tế bào.
Chúc bé yêu của em luôn khỏe mạnh!

vắc-xin "5 trong 1"

 BÌNH THUẬN: Từ tháng 6/2010, sẽ tiêm vắc – xin “5 trong 1”

 Vắc xin phối hợp DPT-VGB-Hib còn có tên gọi là Quinvaxem hay vắc-xin 5 trong 1. Đây là vắc-xin 5 trong 1 đầu tiên dạng dung dịch hoàn toàn được Tổ chức Y tế Thế giới thẩm định đạt tiêu chuẩn chất lượng để dùng trong chương trình Tiêm chủng mở rộng năm 2006. Có trên 125 triệu liều vắc-xin với chất lượng ổn định đã được cung cấp từ năm 2006 cho trên 50 quốc gia.

Phản ứng sau tiêm của vắc-xin DPT-VGB-Hib giống như những vắc-xin mà có chứa thành phần DPT khác:

- Phản ứng thông thường có thể gặp: đau, đỏ hoặc sưng nhẹ tại chỗ tiêm, những biểu hiện này tự khỏi sau 1 đến 3 ngày.

-  Sau khi tiêm trẻ có thể bị sốt nhẹ.

Tiêm vắc xin phối hợp DPT-VGB-Hib cho trẻ lúc 2, 3 và 4 tháng tuổi. Không sử dụng vắc xin này cho liều sơ sinh.

Từ thời điểm vắc-xin phối hợp DPT-VGB-Hib được đưa vào sử dụng trong Chương trình tiêm chủng mở rộng, tất cả các trường hợp đến tiêm vắc xin DPT và VGB từ 2 tháng tuổi trở lên đều được thay thế bằng vắc-xin phối hợp DPT-VGB-Hib. Cụ thể tại Bình Thuận, từ tháng 6/2010, các huyện: Tuy Phong, Bắc Bình, Hàm Thuận Bắc, Hàm Thuận Nam và TP Phan Thiết sẽ triển khai tiêm “5 trong 1”. Từ tháng 7/2010, sẽ triển khai trên toàn tỉnh. Quý phụ huynh đưa con đến các điểm tiêm chủng thường kỳ để trẻ có thể tiếp cận với dịch vụ mới này. Tại đây, các chi tiết, cụ thể liên quan đến vắc-xin “5 trong 1” sẽ được hướng dẫn, giải đáp tường tận. Vắc-xin trong Chương trình tiêm chủng mở rộng hoàn toàn miễn phí.

Ghi chú: (1) Vắc-xin DPT: bạch hầu- ho gà- uốn ván, (2)VGB: viêm gan B, (3) vắc-xin Hib:là vắc xin cộng hợp được tiêm để phòng các bệnh viêm màng não, viêm phổi, và những nhiễm trùng khác do vi khuẩn Haemophilus influenzae týp b gây nên.

Thiên Hồng (T4G)

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──[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░██───██░░░░──░░░█ ─[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░███░░░░░░░──░░░█ [̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░░░░░░░░░░░░──░░░░█ [̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░░░░░░░░░░░──░░░░░█ [̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░▀▄▄▀▀▀▀▄░░░░▄▀▀▀▀▄▄▀░░░░░█ [̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░▀▄█─▄▄─█░░░░█─▄▄─█▄▀░░░░░█ [̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░▄▀█─██─█░░░░█─██─█▀▄░░░░░█ ─[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░ ▄▀█▄██▄█░░░ █▄██▄█▀▄░░░░█ ─[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░░░░░░░░░░░░░░░█ ──[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░░░░░░░░░░░░░█ ──[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░▄▄░░░░░░░░░░░█ ───[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░░░░░░░░░░░█ ────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]▀█░░░░░░▄███▄███▄░░░░░█▀ ──────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░ ▀████▀░░░░░░█ ───────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░░░░█ ────────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]█░░░░░░░░░░░░░░█ ─────────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]▀█░░░░░░░░░░█▀ ───────────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]▀█░░░░░░█▀ ─────────────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]▀█░░█▀ ───────────────[̲̲̅̅L̲̲̅̅O̲̲̅̅V̲̲̅̅E̲̲̅̅ ̲̲̅̅H̲̲̅̅E̲̲̅̅R̲̲̅̅]▀▀ (¯`♥´¯)░░░░░░(¯`♥´¯)░ (¯`♥´¯)░░░(¯`♥´¯)(¯`♥´¯)(¯`♥´¯)░ (¯`♥´¯)░░░(¯`♥´¯)░(¯`♥´¯)(¯`♥´¯)░░(¯`♥´¯)(¯`♥´¯)░░░░░ (¯`♥´¯)░░░(¯`♥´¯)░(¯`♥´¯)(¯`♥´¯)░ (¯`♥´¯)(¯`♥´¯)░░░░░ (¯`♥´¯)░░░(¯`♥´¯)░(¯`♥´¯)(¯`♥´¯)(¯`♥´¯)░ (¯`♥´¯)(¯`♥´¯) (¯`♥´¯)░░░(¯`♥´¯)░(¯`♥´¯)░(¯`♥´¯¯`♥´¯)░░(¯`♥´¯)░░░░░ (¯`♥´¯)░░░(¯`♥´¯)░(¯`♥´¯)░░░¯`♥´¯)░░░░ (¯`♥´¯)░░░░░ (¯`♥´¯)(¯`♥´¯)░ (¯`♥´¯)(¯`♥´¯)░░░(¯`♥´¯)(¯`♥´¯)░ ░░╔╦═╦╦═══╦╦═══╦══╦══╦╗╔╦══════╦╦╦╦╦╗░░ ░░║║╚╣╚╦═╗╠╬══╗║║║╠╦╗║╚╝╠═╦═╦═╦╣╠╣║║║░░ 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ជំងឺគ្រុនពោះវៀន

ជំងឺ​គ្រុន​ពោះវៀន​ជា​ជំងឺ​ឆ្លង​ម្យ៉ាង​ដែល​បង្ក​ឡើង​ដោយ​ពពួក​បាក់តេរី Salmonella Typhi និង​ salmonella paratyphi។ ការ​ចម្លង​អាច​ប្រព្រឹត្ត​ទៅ​តាម​ការ​ទទួល​ទាន​អាហារ និង​ការ​បរិភោគ​ទឹក​ក្នុង​ចាន​និង​កែវ​តែមួយ។ ជំងឺ​នេះ​ចាប់​ផ្តើម​ដំបូង​ដោយ​ធ្វើ​ការ​វិវឌ្ឍន៍​នៅ ក្នុង​ក្រពេញ​ពោះវៀន បន្ទាប់​មក​ទើប​រាត​ត្បាត​ចូល​ដល់​ក្នុង​ឈាម។ គ្រុន​ពោះវៀន​អាច​បង្ក​ជា​គ្រោះ​ថ្នាក់​ធ្ងន់ធ្ងរ ទៅ​ថ្ងៃ​ក្រោយ​ ប្រសិន​បើ​អ្នក​ជំងឺ​មិន​បាន​ទទួល​ការ​ព្យាបាល​ត្រឹមត្រូវ។ អ្នក​ជំងឺ​ងាយ​នឹង​លាប់​ឡើង​វិញ​ណាស់។ ការ​លាប់​ឡើង​វិញ​ច្រើន​ស្តែង​ឡើង​ក្នុង​អំឡុង​ខែ​ដំបូង​ ក្រោយ​ការ​ព្យាបាល។
គេ​សង្កេត​ឃើញ​ថា​ជំងឺ​នេះ ជា​ជំងឺ​របស់​ប្រទេស​ដែល​មាន​អាកាសធាតុ​ក្តៅ​ហើយ សើម ដូច​ជា​ប្រទេស​កម្ពុជា​ និង​ ​បណ្តា​ប្រទេស​ក្នុង​តំបន់​ត្រូពិក​ ហើយជំងឺ​ច្រើនន​រាត​ត្បាត​ខ្លាំង​តែ​នៅ​ក្នុង​បណ្តា​ប្រទេស​ដែល​មាន​ លក្ខខណ្ឌ​អនាម័យ​មិន​គ្រប់​គ្រាន់ ដូចនេះហើយ​បាន​ជា​មុន​នឹង​ធ្វើ​ដំណើរ​ទៅ​កាន់​បណ្តា​ប្រទេស​នៅ​តំបន់​ដែល​ មាន​បញ្ហា​អនាម័យ​ចោទ​ខ្លាំង គ្រូពេទ្យ​តែង​ណែនាំ​ឲ្យ​ធ្វើ​ការ​ចាក់​ថ្នាំ​វ៉ាក់សាំង​ជំងឺគ្រុន​ពោះវៀន។
ជំងឹគ្រុន​ពោះវៀន​នេះជា​ជំងឺឆ្លង​តាម​រយៈទឹក និង​ ចំណី​អាហារ​ ក្នុង​ករណីដែល​អ្នកផ្ទុក​មេរោគ​ជំងឹនោះ​ ហើយ​ព្យាបាល​​ពុំបានត្រឹម​ត្រូវទេនោះ​មេរោគ​នោះវា​នឹងចម្លង​ទៅអ្នក​ ដ៍ទៃផ្សេង​ទៀត​ ជា​ពិសេស​ឆ្លង​ទៅកាន់​​ក្រុមគ្រួសារ​ទាំងមូលបាន​​។ ​​ក្រោយ​ពីមេរោគ​ឆ្លងចូល​ទៅខ្លួន​អ្នកជំងឺនោះ​វាមាន​រោគ​សញ្ញា​ដូចខាង​ ក្រោម៖
                   ទី១-អ្នកជំងឺ​មាន​គ្រុនក្តៅ​ ដែល​មានសីតុណ្ហភាពឡើងដល់​ ពី ​៤០ ​ទៅ ៤១ ​អង្សា​
                  ទី២-​អ្នកជំងឺឈឺ​ក្បាល​គេង​មិនលក់​
​​​​ទី៣-អ្នកជំងឺ​ឈឺក្នុងពោះ​អាច​មានរាគ​ឫទល់​លាមក​
​​​​ទី៤-​មិនឃ្លាន​អាហារ​ ចង់ក្អួត​ចង្អោរ​
​​​​ទី៥-​ឈឺចាប់​សាច់ដុំ​នៅក្នុង​ខ្លួនរបស់​អ្នកជំងឺ​
              តើអ្វីជាការ​គ្រោះថ្នាក់​ទៅថ្ងៃក្រោយ​នៅពេល​អ្នកជំងឺ​​ប្រសិនបើ​មានជំងឺ​ នេះកើតឡើង​ ហើយ​អ្នកជំងឺ​ព្យាបាន​មិនបាន​ត្រឹមត្រូវ​តាមក្បួន​វេជ្ជសាស្រ្ត​នោះគឺ​​ អ្នកជំងឺនោះ​នឹងទទួល​គ្រោះថ្នាក់​ធ្ងន់ធ្ងរ​ផងដែរ​ ​ដូចជា​អ្នកជំងឺ​អាចហូរ​ឈាម​តាមពោះវៀន​ ​អ្នកជំងឺអាច​ធ្លាយពោះវៀន​ អាច​ប៉ះពាល់​ទៅដល់​ខួរក្បាល​អ្នកជំងឺ​នៅពេល​មេរោគ​វាឡើងទៅដល់​ខួរក្បាល​។​
                ចំពោះ​ការព្យាបាល​តាមក្បួន​វេជ្ជសាស្រ្ត ​បច្ចុប្បន្ននេះ​គេព្យាបាល​រយៈពេល​មួយ​សប្តាហ៍​ ​ទៅ ​១០ថ្ងៃ ប៉ុណ្ណោះ​ជំងឺនេះ​អាចជាសះ​ស្បើយ​ហើយ​។​ ​នៅពេល​ដឹងថាមាន​ជំងឺគ្រុនពោះវៀន​នោះ​អ្នកជំងឺ​ត្រូវធ្វើការ​តមអាហារ​ ដោយបរិភោគ​ចំណីអាហារ​ណាដែល​ទន់ៗ​ ​និង​ ​បរិភោគ​តិចៗ​ នឹងឱ្យ​បាន​ច្រើនដង​ ​ក្នុង១ថ្ងៃ​ដើម្បីកុំ​​​ឱ្យ​ប្រដាប់​រំលាយអាហារ​ប្រឹងធ្វើការ​ខ្លាំងពេក​ និង​​ដើម្បីឱ្យ​សិរីរាង្គ​ដែលរលាក​នោះ​មិនសូវប្រឹង​ធ្វើការ ​គឺអាចជួយ​សម្រាល​ការធ្វើការ​នៃពោះវៀន​​។
            បច្ចុប្បន្ននេះ​វិធីការពារដ៍​ត្រឹមត្រូវគឺការ​រក្សា​អនាម័យ​ “បរិភោគស្អាត រស់​នៅ​ស្អាត និង​គេង​ស្អាត” ជា​កាយ​វិការ​ដ៏​សំខាន់​មួយ​សំរាប់​ទប់​ស្កាត់​ជំងឺ​ឆ្លង​ទាំង​ឡាយ​ រួម​ទាំង​ជំងឺ​គ្រុន​ពោះវៀន​នេះ​ផង​ដែរ។
          ការបរិភោគ​ស្អាតនោះគឺ​ ទាមទារ​បរិភោគ​របស់ដែលស្អាតនោះ​គឺជារបស់​ដែលយើង​យកមក​រំងាប់​មេរោគ​ឱ្យបាន​ ត្រឹមត្រូវ ដូចជាបន្លែជាដើម យើងកុំបរិភោគ ឆៅគឺត្រូវយក មកចំអិនវាជាមុនសិន​។
         ការរស់​នៅ​ស្អាតនោះគឺ​នៅបរិស្ថាន​ជុំវិញផ្ទះ​របស់​យើងនោះ​យើង​ត្រូវប្រមូល​ សម្រាម​ដុតឱ្យបាន​ត្រឹម​ត្រូវ​ ត្រូវ​កាប់ឆ្ការ​កន្លែង​ឧបទ្រព​ជុំវិញផ្ទះ ​និងសំអាត​ទឹកកខ្វក់​នៅជុំវិញផ្ទះ​ជាដើម​។
         ការគេង​ស្អាត​នោះគឺ ​ត្រូវគេងក្នុង​មុងឱ្យ​បានត្រឹមត្រូវ​ ​ទាំងអស់​នេះជាវិធីបញ្ចៀស​បាន​នូវជំងឺ​ផ្សេងៗ​ទាំងឡាយ​។​
​    នៅក្នុង​នោះក៍​មានវ៉ាក់​សំាងសម្រាប់​ការពារជំងឺ​គ្រុនពោះវៀន​នោះដែរ​ ​នៅប្រទេស​កម្ពុជា​យើងមាន​វ៉ាក់​សាំងសម្រាប់​ចាក់ដល់​មនុស្ស​គ្រប់រូប​ ទាំងប្រុសទាំង​ស្រីគឺពីក្មេង​ដែលមាន​អាយុចាប់​ពី​ ​២ ឆ្នាំ​ឡើង​ទៅ ហើយ​យើងអាច​ចាក់វាបាន​នៅពេល​ដែលគ្រូពេទ្យ​ពិនិត្យឃើញ​ថាបុគ្គលនោះ​ពុំមាន​ ជំងឺ​អ្វី​នៅក្នុងខ្លួន​គាត់ ​ដូចជាសង្ស័៍យ​ថាមនុស្សនោះ​ផ្ទុកមេរោគ​ជំងឺគ្រុនពោះវៀន​ជាដើម​​ ហើយការ​វាក់​សាំង​នេះ​យើងចាក់ម្តង​វាអាចការពារ​ជំងឹរនេះបាន​ពី ៣​ ឆ្នាំ ​ទៅ ​៥ ឆ្នាំ ​៕