"ѳä" ͷ¡ѹҽ㹷ͧ 繷šääѧ繻ѭҸóآдѺҡл ֧ҨԷҡ÷ҧᾷѹǡ 㹻ͧöʸ ѳä ä辺˵ءõ·ӤѭѧԴѹѺ 22 ȷռѳäҡشšա
ѵԤǹҹ 2400
2400 ǷѳäѺҧǹҹ ѡҹѹ͡õǨ DNA ͧѳä㹡д١ѹѧͧԻ Hippocrates ¹֧ѳää辺·ش ͺء¨ªԵ (¹¡ѳä Pthisis)
- դ..1720 ѡԷʵᾷѧ 駷ɮբͧѳääԴҡժԵ 觤繹ҨѺ觹Ҩҡ· (¹ѧդѡẤ)
- 1882 Robert Koch ѲԸѳä 繤áըԧ· (ѧҡդ駷ɮ 160 ա !!!)
- ÷ͧá㹻 1921 ͧ Bacille Calmette-Guerin (BCG) ѺáԴ ôªԵҡѳä á跴ͧ Dr. Calmette "Թ" BCG ( BCG áš ¡áԹ մ !!!) Żҡ硤ѳäµʹԵ
˵آͧä
ѳääԴѧ ԴҡẤ Mycobacterium tuberculosis acid fast bacillus (AFB) Դᴧ 觨㹻ʹͧ·Ѻѡ
ԸաШѳä
- ͨШ¨ҡ褹¡
- õԴԴҡѺͨҡ ¡ ҧþٴ¡Ѻ ҡͨͧ ͧ͢·Դͧ ١¢Ҵ 1 - 5 ѳä öժԵҹҹ Ҥͧѳäاʹ ҳ 5 - 10 ͧԴѳäҹ鹷лѳä
- Դҡ еǨ辺ѳä㹻ʹ X-rays зҺҵԴѳä¡÷ͺԹźǡ
ͧѳä
ѳäԴѺзءǹͧ¡ 80% ѡԴ鹷ʹ Ҩ֧ѳä͡ 2 ˭
1. ѳäʹ
2. ѳä͡ʹ ѳäͧ ͡˹ͨҡʹ ʹ ͧ ͧͧ˹ѧ д١Т ͧ кѹзҧԹ
ʶҹóͧä
ҡèѴѹѺȷԡĵǡѺѳäҡشš §ҹͧͧš ( 2007) ѴѹѺȷըӹǹѳä٧ش 22 觻¶١ѴѹѺ 18 ǹ 5 á Թ չ Թⴹ 乨 Ϳԡ բŤҴҳǡѺѳäͧ (ҧ 1)
- лըо (incidence estimates) ҳ 91,000 µͻ ѵһ 142 ͻЪҡʹͻ 㹨ӹǹо·ռšõǨ繺ǡҳ 39,000 µͻѵһ 62 ͻЪҡʹͻ
- ռѳäªԵҳ 13900 µͻ ¡
o ªԵѳä (HIV-negative) ҳ 10000 µͻѵҵ 15 ͻЪҡ ʹͻ
o ªԵѳä֧繼ʹ (HIV-positive) ҳ 3900 µͻѵҵ 6 ͻЪҡʹͻ
- ءͧѳä (prevalence) ҳ 123 ͻѵ 192 ͻЪҡʹͻ
ҧ 1 ŤҴҳкҴͧѳä 5 á л 2007
* šûҳغѵԡóФءѳä㹼ʹ
: Global Tuberculosis Control WHO REPORT 2009
ҧԧ : http://www.who.int/tb/publications/global_report/2009/pdf/chapter1.pdf ˹ 7
ǹʶҹó㹻 ҡ§ҹͧǺä зǧҸóآʹ͡ѳäҡҤԶ֧ 10 ҧ¢ҴԤѹ Դ»ѭҡõԴ HIV мʹдѺ٧ӹǹѳä㹻ҧͧ㹪ǧ 10 ҹ 㹻 2551 ռ 65,252 ѵ 113.51 µͻЪҡʹ 鹨ҡ 2550 1.8 Сʹѳä٧֧ 30 (ٻ 1)
ٻ 1 ѵҼ´ѳä 2542 - 2551
: ӹѡºطʵ ӹѡҹѴзǧҸóآ
ҧԧ : ѧ˹ 2552 ˹ 4 ӹѡҹСþѲҡɰԨ ѧ觪ҵ http://www.nesdb.go.th/temp_social/ts/temp_social_1-2552.pdf
ѭҴ
ҡ§ҹѭҴѧ˹觻 2552 (ٻ 2)
- ѳäԴ㹵Ǽ»ҳ 10 ͧԴͷ ͧҡ¶蹷 ТҴ Ѻзҹúٵ 6 ҧͧ
- ÷ʹ觼㹡úӺѴѡ٧֧ 2 ʹҷ ºѺѡҼѳä价 µ»ҳ 16,800 ҷ ԴҾ駻ȷͧ¤» 1,500 ҹҷ
- ѡҼǹ˭ԷкѡСѹآҾǹ˹ ʴԡҤѰ еͧҳ
ٻ 2 СԡʶҹҺŵʴԡâͧѳä 2551
: ӹѡѳä зǧҸóآ
ҧԧ : ѧ˹ 2552 ˹ 5 ӹѡҹСþѲҡɰԨѧ
觪ҵ http://www.nesdb.go.th/temp_social/ts/temp_social_1-2552.pdf
ҡâͧä
1. ѧԹ 2 ѻ ҧ ҧҨ ͧ ͻʹ
2. ˹͡
3.
4. ˹ͺ
5. ˹ѡŴ
ҡҹҨԴͷкҧ
- ҡѧ Ҩ ʹ (ѳäʹ)
- Ǵѧҹѻ Ǵҡ Ыŧ (ѳäͧ)
- ѧ 繹ѹ˹ (ѳäҧԹ)
- Ǵѧѧ Ǵҡ ҹ (ѳäд١ѹѧ)
- ç Ѻ Ҩյͧͧ (ѳäͧѺ ѳäԴШ)
- з ѧѡ (ѳä˹ѧ)
ҡҹѧҧ ͼաõԴ HIV
ͧҡҧ Ԥѹͧ §͡Դä
ôѡͻ
1. 仾ᾷѴ 觵Ǩء駵ᾷ
2. Թ÷ջª ѵ ѡ ͺاҧç
3. Դҡ ١ ͨء ͻͧѹ
4. Ѵҹҡȶдǡ
5. ؤ㹺ҹѺõǨ Ҿһѳäᾷѡҷѹ
6. ԹúǹءԴᾷ СԹԴ͡ѹͷءѹ
Ըջͧѹҧѳä
1. ѡآҾç ¡͡ѧ¡Թ÷ջª ú 5
2. ա§äءԴѺѳä
3. ռѳä㹺ҹ ԹҤúǹͷءѹ
4. õǨҧ ¡͡ʹҧ»Ф
5. Һص ҹ ѺéմѤչ
6. ҡҡüԴ ʧҨѳä պ仾ᾷѺõǨ ¡͡ʹ еǨ |