{"id":19670,"date":"2025-11-17T15:12:10","date_gmt":"2025-11-17T08:12:10","guid":{"rendered":"https:\/\/www.synphaet.co.th\/lamlukka\/scrub-typhus-silent-threat-chigger-mite-prevention\/"},"modified":"2025-11-17T15:17:34","modified_gmt":"2025-11-17T08:17:34","slug":"yang-chong-bing-fang-zhi-yu-wei-hai","status":"publish","type":"post","link":"https:\/\/www.synphaet.co.th\/lamlukka\/zh-hans\/yang-chong-bing-fang-zhi-yu-wei-hai\/","title":{"rendered":"\u6059\u866b\u75c5\uff1a\u87a8\u866b\u5e7c\u866b\u5e26\u6765\u7684\u65e0\u58f0\u5a01\u80c1\uff0c\u9700\u63d0\u9ad8\u8b66\u60d5"},"content":{"rendered":"<h1><strong>\u6059\u866b\u75c5\uff1a\u87a8\u866b\u5e7c\u866b\u5e26\u6765\u7684\u65e0\u58f0\u5a01\u80c1\uff0c\u9700\u63d0\u9ad8\u8b66\u60d5<\/strong><\/h1>\n<h2><strong>\u6059\u866b\u75c5\uff08Scrub Typhus\uff09<\/strong><\/h2>\n<p>\u662f\u4e00\u79cd\u7531\u4e00\u79cd\u7ec6\u83cc\u5f15\u8d77\u7684\u6025\u6027\u4f20\u67d3\u75c5\uff0c\u4e5f\u662f\u5305\u62ec\u6cf0\u56fd\u5728\u5185\u7684\u4e9a\u592a\u5730\u533a\u91cd\u8981\u7684\u5730\u65b9\u75c5\u3002\u5b83\u88ab\u8ba4\u4e3a\u662f\u4e00\u79cd\u65e0\u58f0\u7684\u5a01\u80c1\uff0c\u5e38\u89c1\u4e8e\u524d\u5f80\u6216\u5728\u68ee\u6797\u3001\u5c71\u5730\u3001\u8349\u5730\u6216\u704c\u6728\u4e1b\u8302\u5bc6\u5730\u533a\u6d3b\u52a8\u7684\u4eba\u7fa4\u3002\u5982\u672a\u80fd\u53ca\u65f6\u8bca\u65ad\u548c\u6cbb\u7597\uff0c\u53ef\u80fd\u5bfc\u81f4\u4e25\u91cd\u7684\u5e76\u53d1\u75c7\uff0c\u751a\u81f3\u5371\u53ca\u751f\u547d\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\u75c5\u56e0\u4e0e\u4f20\u64ad\u9014\u5f84<\/strong><\/h3>\n<p>\u6059\u866b\u75c5\u7531\u7acb\u514b\u6b21\u4f53\u7fa4\u4e2d\u7684\u4e00\u79cd\u7ec6\u83cc**<i>Orientia tsutsugamushi<\/i>**\u611f\u67d3\u5f15\u8d77\uff0c\u5e76\u4ee5**\u6059\u87a8\u5e7c\u866b\uff08Chigger mite\uff09**\uff08\u5c5e\u4e8e\u87a8\u79d1 Family Trombiculidae \u7684\u5e7c\u866b\u9636\u6bb5\uff09\u4f5c\u4e3a\u4f20\u64ad\u5a92\u4ecb\u3002<\/p>\n<ul>\n<li><b>\u5a92\u4ecb\uff1a<\/b> \u643a\u5e26\u75c5\u539f\u4f53\u7684\u6059\u87a8\u5e7c\u866b\u53ee\u54ac\u4eba\u6216\u52a8\u7269\uff0c\u5c06\u75c5\u83cc\u91ca\u653e\u5230\u76ae\u80a4\u4e2d\u3002<\/li>\n<li><b>\u5bbf\u4e3b\uff08\u81ea\u7136\u75ab\u6e90\u5730\uff09\uff1a<\/b> \u5c0f\u578b\u556e\u9f7f\u52a8\u7269\uff0c\u5982\u8001\u9f20\u3001\u6811\u9f29\u3001\u677e\u9f20\u7b49\uff0c\u662f\u75c5\u83cc\u5728\u81ea\u7136\u754c\u7684\u5bbf\u4e3b\u3002<\/li>\n<li><b>\u4eba\u9645\u4f20\u64ad\uff1a<\/b> \u4eba\u7c7b\u611f\u67d3\u53d1\u751f\u4e8e\u88ab\u5e26\u6709\u75c5\u83cc\u7684\u6059\u87a8\u5e7c\u866b\u53ee\u54ac\uff0c\u591a\u89c1\u4e8e\u96e8\u5b63\u8f6c\u51ac\u5b63\uff0c\u6216\u5728\u5c71\u6797\u5730\u533a\u6709\u6d3b\u52a8\u65f6\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><strong>\u63d0\u793a\u5371\u9669\u7684\u5173\u952e\u75c7\u72b6<\/strong><\/h3>\n<p>\u4e00\u822c\u6765\u8bf4\uff0c\u88ab\u6059\u87a8\u5e7c\u866b\u53ee\u54ac\u7684\u4eba\u4f1a\u5728\u7ea6 7-14 \u5929\uff08\u6700\u957f\u53ef\u8fbe 3 \u5468\uff09\u7684\u6f5c\u4f0f\u671f\u540e\u5f00\u59cb\u51fa\u73b0\u75c7\u72b6\u3002\u521d\u59cb\u75c7\u72b6\u901a\u5e38\u4e0d\u5177\u7279\u5f02\u6027\uff0c\u4f46\u6709\u4e00\u4e9b\u5173\u952e\u75c7\u72b6\u9700\u8981\u6ce8\u610f\uff0c\u5b83\u4eec\u662f\u75c5\u60c5\u4e25\u91cd\u7684\u4fe1\u53f7\u3002<\/p>\n<ol start=\"1\">\n<li><b>\u6301\u7eed\u9ad8\u70ed\uff1a<\/b> \u6025\u6027\u9ad8\u70ed\uff0c\u53ef\u80fd\u9ad8\u8fbe 39 \u00b0C &#8211; 40 \u00b0C\uff0c\u4e14\u901a\u5e38\u5bf9\u9000\u70e7\u836f\u53cd\u5e94\u4e0d\u4f73\u3002<\/li>\n<li><b>\u7c7b\u4f3c\u6d41\u611f\u7684\u4e00\u822c\u75c7\u72b6\uff1a<\/b> \u5267\u70c8\u5934\u75db\u3001\u808c\u8089\u9178\u75db\u3001\u5bd2\u6218\u3001\u4e4f\u529b\u3002<\/li>\n<li><b>\u5c40\u90e8\u7126\u75c2\uff08Eschar\uff09\uff1a<\/b> \u662f\u672c\u75c5\u7684\u5178\u578b\u7279\u5f81\uff0c\u7ea6 50-80% \u7684\u60a3\u8005\u53ef\u89c1\u3002\u5176\u7279\u5f81\u662f\u7c7b\u4f3c\u70df\u5934\u70eb\u4f24\u7684\u9ed1\u8272\u4f24\u53e3\u6216\u786c\u75c2\uff0c\u901a\u5e38\u51fa\u73b0\u5728\u6059\u87a8\u5e7c\u866b\u53ee\u54ac\u90e8\u4f4d\uff0c\u5982\u814b\u4e0b\u3001\u8179\u80a1\u6c9f\u3001\u4e73\u623f\u4e0b\u65b9\u6216\u8863\u7269\u906e\u76d6\u7684\u533a\u57df\u3002<\/li>\n<li><b>\u76ae\u75b9\uff1a<\/b> \u8eaf\u5e72\u53ef\u80fd\u51fa\u73b0\u6241\u5e73\u6216\u8f7b\u5fae\u51f8\u8d77\u7684\u7ea2\u8272\u76ae\u75b9\u3002<\/li>\n<li><b>\u6dcb\u5df4\u7ed3\u80bf\u5927\uff1a<\/b> \u5e38\u89c1\u4e8e\u88ab\u53ee\u54ac\u4f24\u53e3\u9644\u8fd1\u7684\u6dcb\u5df4\u7ed3\u80bf\u5927\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3><strong>\u4e25\u91cd\u548c\u5371\u53ca\u751f\u547d\u7684\u5e76\u53d1\u75c7<\/strong><\/h3>\n<p>\u5982\u679c\u672a\u5f97\u5230\u53ca\u65f6\u548c\u9002\u5f53\u7684\u6cbb\u7597\uff0c\u75c5\u83cc\u53ef\u80fd\u6269\u6563\u5e76\u5f71\u54cd\u8eab\u4f53\u591a\u4e2a\u7cfb\u7edf\uff0c\u5bfc\u81f4\u5371\u9669\u7684\u5e76\u53d1\u75c7\u3002<\/p>\n<ul>\n<li><b>\u5668\u5b98\u8870\u7aed\uff1a<\/b> \u53ef\u80fd\u5bfc\u81f4\u80ba\u708e\u3001\u809d\u708e\u6216\u6025\u6027\u80be\u8870\u7aed\u3002<\/li>\n<li><b>\u795e\u7ecf\u7cfb\u7edf\u5e76\u53d1\u75c7\uff1a<\/b> \u4f8b\u5982\u8111\u819c\u708e\u3001\u8111\u708e\uff0c\u53ef\u80fd\u51fa\u73b0\u610f\u8bc6\u6a21\u7cca\u3001\u55dc\u7761\u751a\u81f3\u660f\u8ff7\u3002<\/li>\n<li><b>\u6b7b\u4ea1\uff1a<\/b> \u672a\u7ecf\u6cbb\u7597\u7684\u60a3\u8005\u6b7b\u4ea1\u7387\u53ef\u80fd\u9ad8\u8fbe 20%\u3002\u4f46\u5982\u679c\u53ca\u65f6\u63a5\u53d7\u6b63\u786e\u7684\u6297\u751f\u7d20\u6cbb\u7597\uff0c\u6b7b\u4ea1\u7387\u5c06\u5927\u5e45\u964d\u4f4e\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><strong>\u6709\u6548\u9884\u9632\u201c\u6059\u866b\u75c5\u201d\u7684 5 \u4e2a\u5173\u952e\u6b65\u9aa4<\/strong><\/h2>\n<p>\u7531\u4e8e\u76ee\u524d\u5c1a\u672a\u6709\u9884\u9632\u6059\u866b\u75c5\u7684\u75ab\u82d7\uff0c\u6700\u597d\u7684\u9884\u9632\u63aa\u65bd\u662f\u907f\u514d\u88ab\u6059\u87a8\u5e7c\u866b\u53ee\u54ac\uff0c\u5c24\u5176\u662f\u5728\u8fdb\u5165\u9ad8\u98ce\u9669\u5730\u533a\u65f6\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3>1. \u5728\u5371\u9669\u533a\u57df\u7a7f\u6234\u4e25\u5bc6\u8863\u7269<\/h3>\n<ul>\n<li><b>\u7a7f\u7740\u8986\u76d6\u5168\u8eab\u7684\u8863\u7269\uff1a<\/b> \u8fdb\u5165\u68ee\u6797\u3001\u8349\u5730\u6216\u704c\u6728\u4e1b\u5730\u533a\u65f6\uff0c\u5e94\u9009\u62e9\u7a7f\u7740\u957f\u8896\u8863\u7269\u548c\u957f\u88e4\uff0c\u5e76\u5c06\u88e4\u811a\u5b8c\u5168\u585e\u5165\u889c\u5b50\u6216\u9774\u5b50\u4e2d\u3002<\/li>\n<li><b>\u907f\u514d\u63a5\u89e6\u704c\u6728\u4e1b\uff1a<\/b> \u5c3d\u91cf\u6cbf\u7740\u5c0f\u8def\u884c\u8d70\uff0c\u907f\u514d\u7a7f\u8fc7\u8302\u5bc6\u7684\u8349\u4e1b\uff0c\u6216\u5750\u5728\/\u8eba\u5728\u5730\u9762\u3001\u8349\u5730\u6216\u6f6e\u6e7f\u4e14\u6709\u704c\u6728\u8986\u76d6\u7684\u533a\u57df\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>2. \u4f7f\u7528\u5316\u5b66\u9a71\u907f\u5242\u9632\u6b62\u6059\u87a8\u5e7c\u866b<\/h3>\n<ul>\n<li><b>\u9a71\u866b\u5242\uff08Repellent\uff09\uff1a<\/b> \u5728\u66b4\u9732\u7684\u76ae\u80a4\u4e0a\u6d82\u62b9\u542b\u6709 **DEET**\uff08\u81f3\u5c11 20-50%\uff09\u7684\u9a71\u866b\u5242\uff0c\u5e76\u6309\u7167\u6807\u7b7e\u4e0a\u7684\u8bf4\u660e\u91cd\u590d\u6d82\u62b9\uff08\u4f8b\u5982\u6bcf 4-6 \u5c0f\u65f6\uff09\u3002<\/li>\n<li><b>\u8863\u7269\u55b7\u6d12\uff1a<\/b> \u53ef\u4f7f\u7528\u6c2f\u83ca\u916f\uff08Permethrin\uff09\u7b49\u5316\u5b66\u836f\u5242\u55b7\u6d12\u8863\u7269\u548c\u88c5\u5907\uff0c\u4ee5\u63d0\u9ad8\u9884\u9632\u6548\u679c\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>3. \u9009\u62e9\u9732\u8425\u5730\u70b9<\/h3>\n<ul>\n<li><b>\u7a7a\u65f7\u533a\u57df\uff1a<\/b> \u5982\u679c\u9700\u8981\u9732\u8425\uff0c\u5e94\u9009\u62e9\u5728\u7a7a\u65f7\u3001\u901a\u98ce\u826f\u597d\u3001\u8fdc\u79bb\u704c\u6728\u4e1b\u6216\u9ad8\u8349\u5806\u7684\u533a\u57df\u642d\u5e10\u7bf7\u3002<\/li>\n<li><b>\u7ba1\u7406\u5367\u5177\uff1a<\/b> \u4e0d\u5e94\u5c06\u8863\u7269\u653e\u7f6e\u6216\u60ac\u6302\u5728\u6811\u4e0a\u6216\u704c\u6728\u4e1b\u4e2d\uff0c\u5e94\u5b58\u653e\u5728\u5b89\u5168\u7684\u5730\u65b9\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>4. \u4ece\u5371\u9669\u533a\u57df\u8fd4\u56de\u540e\u7acb\u5373\u68c0\u67e5\u548c\u6e05\u6d01\u8eab\u4f53<\/h3>\n<ul>\n<li><b>\u6dcb\u6d74\u548c\u6362\u8863\uff1a<\/b> \u4ece\u5371\u9669\u533a\u57df\u8fd4\u56de\u540e\uff0c\u5e94\u7acb\u5373\u6dcb\u6d74\u3001\u6d17\u5934\u5e76\u7528\u80a5\u7682\u6e05\u6d01\u8eab\u4f53\uff0c\u56e0\u4e3a\u6059\u87a8\u5e7c\u866b\u53ef\u80fd\u9644\u7740\u5728\u8eab\u4f53\u4e0a\u3002<\/li>\n<li><b>\u68c0\u67e5\u8eab\u4f53\uff1a<\/b> \u4ed4\u7ec6\u68c0\u67e5\u8eab\u4f53\uff0c\u7279\u522b\u662f\u5a07\u5ae9\u548c\u9690\u853d\u7684\u76ae\u80a4\u533a\u57df\uff0c\u5982\u8179\u80a1\u6c9f\u3001\u814b\u4e0b\u3001\u8863\u670d\u8986\u76d6\u5904\u3001\u8170\u90e8\u4ee5\u53ca\u76ae\u80a4\u8936\u76b1\u5904\u3002<\/li>\n<li><b>\u6e05\u6d01\u8863\u7269\uff1a<\/b> \u7acb\u5373\u7528\u6d53\u7f29\u6d17\u8863\u7c89\u6e05\u6d17\u7a7f\u8fc7\u7684\u8863\u7269\uff0c\u4ee5\u6e05\u9664\u53ef\u80fd\u9644\u7740\u7684\u6059\u87a8\u5e7c\u866b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>5. \u89c2\u5bdf\u75c7\u72b6\u5e76\u8fc5\u901f\u5c31\u533b<\/h3>\n<ul>\n<li><b>\u75c7\u72b6\u76d1\u6d4b\uff1a<\/b> \u5982\u679c\u51fa\u73b0\u9ad8\u70ed\u3001\u5934\u75db\uff0c\u5e76\u4e14\u5728 2 \u5468\u5185\u6709\u5728\u68ee\u6797\u6216\u5c71\u5730\u6d3b\u52a8\u7684\u5386\u53f2\uff0c\u5e94\u7acb\u5373\u5c31\u533b\u3002<\/li>\n<li><b>\u544a\u77e5\u65c5\u884c\u53f2\uff1a<\/b> \u6700\u91cd\u8981\u7684\u662f\u5411\u533b\u751f\u8be6\u7ec6\u544a\u77e5\u8fdb\u5165\u68ee\u6797\u6216\u5371\u9669\u5730\u533a\u7684\u5386\u53f2\uff0c\u4ee5\u4fbf\u5c3d\u5feb\u83b7\u5f97\u8bca\u65ad\u548c\u9002\u5f53\u7684\u6297\u751f\u7d20\u6cbb\u7597\uff0c\u4ece\u800c\u5e2e\u52a9\u51cf\u5c11\u53d1\u751f\u4e25\u91cd\u5e76\u53d1\u75c7\u7684\u673a\u4f1a\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>\u53c2\u8003\u8d44\u6599<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.ddc.moph.go.th\/disease_detail.php?d=89\">\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25 \u0e2a\u0e04\u0e23\u0e31\u0e1a\u0e44\u0e17\u0e1f\u0e31\u0e2a (Scrub Typhus, Mite-borne typhus fever) | \u0e01\u0e23\u0e21\u0e04\u0e27\u0e1a\u0e04\u0e38\u0e21\u0e42\u0e23\u0e04 (Department of Disease Control, DDC)<\/a><\/li>\n<li><a href=\"https:\/\/www.bedee.com\/articles\/gen-med\/scrub-typhus\">\u0e44\u0e02\u0e49\u0e23\u0e32\u0e01\u0e2a\u0e32\u0e14\u0e43\u0e2b\u0e0d\u0e48 (Scrub Typhus) \u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23 \u0e40\u0e17\u0e35\u0e48\u0e22\u0e27\u0e1b\u0e48\u0e32\u0e41\u0e04\u0e21\u0e1b\u0e4c\u0e1b\u0e34\u0e49\u0e07\u0e15\u0e49\u0e2d\u0e07\u0e23\u0e30\u0e27\u0e31\u0e07 | BeDee<\/a><\/li>\n<li><a href=\"https:\/\/www.synphaet.co.th\/%E0%B9%84%E0%B8%82%E0%B9%89%E0%B8%A3%E0%B8%B2%E0%B8%81%E0%B8%AA%E0%B8%B2%E0%B8%94%E0%B9%83%E0%B8%AB%E0%B8%8D%EE%80%8B%E0%B9%84%E0%B8%82%E0%B9%89%E0%B8%88%E0%B8%B2%E0%B8%81%E0%B8%95%E0%B8%B1\/\">\u0e44\u0e02\u0e49\u0e23\u0e32\u0e01\u0e2a\u0e32\u0e14\u0e43\u0e2b\u0e0d\u0e48&#8230;\u0e44\u0e02\u0e49\u0e08\u0e32\u0e01\u0e15\u0e31\u0e27\u0e44\u0e23\u0e2d\u0e48\u0e2d\u0e19\u0e01\u0e31\u0e14 !!! | \u0e42\u0e23\u0e07\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25\u0e2a\u0e34\u0e19\u0e41\u0e1e\u0e17\u0e22\u0e4c<\/a><\/li>\n<li><a href=\"https:\/\/sriphat.med.cmu.ac.th\/th\/knowledge-421\">\u0e42\u0e23\u0e04\u0e44\u0e02\u0e49\u0e23\u0e32\u0e01\u0e2a\u0e32\u0e14\u0e43\u0e2b\u0e0d\u0e48 | 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