VIÊM DA TIẾP XÚC DO KIẾN BA KHOANG

DANH MỤC CHIA SẼ
  •  
  •  
  •  
  •  
  •  

PHÒNG NGỪA VÀ CÁCH XỬ TRÍ BAN ĐẦU

  Bước vào mùa mưa, mấy tuần qua phòng khám Da Liễu Bệnh viện Sản Nhi An Giang có tiếp nhận một số bệnh nhân đến khám vì viêm da tiếp xúc do kiến ba khoang.

  Kiến ba khoang là côn trùng có tên khoa học: Paederus fuscipes Curtis (Staphylinidae, Coleoptera), thân hình thon, dài như hạt thóc (dài 0,7-1 cm), màu đen và cam sẫm xen kẽ từng đốt, bò giống con kiến. Dân gian gọi với nhiều tên khác như: kiến hoang, kiến kim, kiến lác, kiến gạo, cằm cặp, kiến cong… Dịch chất trong cơ thể chúng có chứa chất Pederin- độc tính gây bỏng.

kien3khoang

  Kiến ba khoang đốt trên da chỉ gây ngứa nhẹ, nhưng do phản xạ khi ngứa nên người bị đốt dùng tay chà đập làm dập vỡ thân kiến, dịch từ trong thân con kiến chảy ra (có độc tính) lan dính trên da gây bỏng rát và tạo sang thương nơi da tiếp xúc: dạng hồng ban, phù nề, hình thái mụn nước, mụn mủ kéo dài thành đường quệt, gặp ở vùng da hở như mặt, cổ, tay, chân. Đặc biệt, thương tổn đối xứng (kissing lesions) gặp ở vùng nách, bẹn, khuỷu tay, khoeo chân do chất độc dính ở da mặt này rồi dính sang mặt da đối xứng khi bệnh nhân gập lại. Cũng vậy, độc tố dính vào tay nếu không rửa ngay mà sờ chạm dính vào da nơi khác trên cơ thể sẽ gây viêm da mặc dù nơi đó không bị kiến đốt.

kien3khoang1

  Viêm da tiếp xúc do kiến ba khoang không gây nguy hiểm và việc điều trị không khó nhưng nếu không đúng cách có thể gây viêm nặng hơn, bội nhiễm và loét. Khi mắc phải, nên nhanh chóng rửa tay và rửa nơi da bỏng rát dưới vòi nước rồi đến cơ sở y tế để được chăm sóc điều trị. Bệnh có thể thành dịch làm cho nhiều người trong một nhà hoặc một khu dân cư cùng mắc một lúc, hoặc một người có thể mắc nhiều lần trong mùa.

Giới thiệu vài cách để phòng ngừa:

  - Dùng lưới ngăn côn trùng ở các cửa sổ và cửa ra vào, đóng kín các cửa ra vào và cửa sổ khi trời tối.

  - Nên ngủ mùng, lưu ý trẻ em và các bé sơ sinh.

  - Vệ sinh môi trường, phát quang bụi rậm, cây cỏ xung quanh nhà vì đây là nơi trú ẩn của loại côn trùng này.

  - Giũ mạnh khăn mặt, quần áo trước khi sử dụng.

Trường hợp đã tiếp xúc với kiến ba khoang hoặc nghi ngờ là đã tiếp xúc với chúng, nên thực hiện theo hướng dẫn sau:

  - Nếu có kiến ba khoang đang bò trên người, hãy lấy nó ra khỏi người bằng cách phủi nhẹ hoặc để một tờ giấy vào cho nó bò lên và lấy nó ra.

  - Không nên đập hoặc chà xát chúng trên da. Nếu lỡ tay đập, chà xát chúng trên da thì phải nhanh chóng rửa sạch nơi tiếp xúc để hạn chế độc tính.

  - Đến cơ sở y tế để được khám và điều trị theo chỉ định của bác sĩ chuyên khoa Da Liễu.

Tài liệu tham khảo

1. Nguyễn Thị Xuyên và cộng sự (2015). Viêm da tiếp xúc do côn trùng. Hướng dẫn chẩn đoán và điều trị các bệnh da liễu, Nhà xuất bản Y học, Hà Nội, 64-66.

2. Palaniappan Vijayasankar, Hima Gopinath, and Kaliaperumal Karthikeyan ( 2019). Kissing Lesions in Paederus Dermatitis, Am J Trop Med Hyg Jul, 101(1), 5.

ThsBS. Đào Thị Tú Trinh

  •  
  •  
  •  
  •  
  •  
  •  
  •  
  •  
  •  
  •   
  •   

366 bình luận

  1. 890449 491259Be the precise blog if you have wants to learn about this topic. You comprehend considerably its nearly onerous to argue to you (not that I personally would needHaHa). You undoubtedly put a new spin for a subject thats been discussing for some time. Nice stuff, simply good! 789406

  2. 157168 386881Excellent editorial! Would like took pleasure the specific following. Im hoping to learn to read a great deal a lot more of you. Theres no doubt that you possess tremendous awareness and even imagination. I happen to be very highly fascinated using this critical data. 782309

  3. Hey There. I discovered your blog using msn. This is a very smartly written article. I will be sure to bookmark it and return to learn extra of your useful info. Thanks for the post. I’ll definitely comeback.

  4. Complicado encontrar quem esteja comentando com tanta opinião sobre isto, porém parece que tu sabe do que esta falando. Agradeço por compartilhar teu conhecimento!

  5. Have you ever considered publishing an e-book or guest authoring on other blogs? I have a blog based upon on the same topics you discuss and would love to have you share some stories/information. I know my viewers would value your work. If you’re even remotely interested, feel free to send me an e mail.

  6. We are a group of volunteers and starting a new scheme in our community. Your site provided us with valuable info to work on. You’ve done an impressive job and our whole community will be thankful to you.

  7. Heya i am for the primary time here. I found this board and I find It truly helpful & it helped me out a lot. I hope to offer something again and aid others such as you helped me.

  8. Thank you for the good writeup. It in truth used to be a enjoyment account it. Look complicated to far introduced agreeable from you! By the way, how can we keep up a correspondence?

  9. I was wondering if you ever thought of changing the layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two pictures. Maybe you could space it out better?

  10. Wow! This can be one particular of the most useful blogs We have ever arrive across on this subject. Actually Magnificent. I am also a specialist in this topic so I can understand your effort.

  11. I think this is one of the most significant info for me. And i’m glad reading your article. But should remark on few general things, The web site style is ideal, the articles is really excellent : D. Good job, cheers

  12. Nice post. I was checking constantly this blog and I am impressed! Very useful information specially the last part 🙂 I care for such information much. I was looking for this particular information for a very long time. Thank you and good luck.

  13. You could certainly see your skills within the article you write. The sector hopes for even more passionate writers such as you who are not afraid to say how they believe. At all times follow your heart.

  14. Howdy would you mind letting me know which hosting company you’re using? I’ve loaded your blog in 3 completely different browsers and I must say this blog loads a lot faster then most. Can you suggest a good web hosting provider at a honest price? Thanks a lot, I appreciate it!

  15. I’m truly enjoying the design and layout of your blog. It’s a very easy on the eyes which makes it much more pleasant for me to come here and visit more often. Did you hire out a designer to create your theme? Great work!

  16. Wow that was unusual. I just wrote an very long comment but after I clicked submit my comment didn’t appear. Grrrr… well I’m not writing all that over again. Anyway, just wanted to say wonderful blog!

  17. Heya i am for the primary time here. I came across this board and I to find It really useful & it helped me out much. I am hoping to present one thing back and help others such as you aided me.

  18. I’m not sure exactly why but this blog is loading incredibly slow for me. Is anyone else having this issue or is it a problem on my end? I’ll check back later on and see if the problem still exists.

  19. Hello just wanted to give you a quick heads up. The words in your article seem to be running off the screen in Safari. I’m not sure if this is a format issue or something to do with browser compatibility but I figured I’d post to let you know. The design look great though! Hope you get the problem resolved soon. Many thanks

  20. That is a very good tip particularly to those fresh to the blogosphere. Brief but very precise info… Thank you for sharing this one. A must read article!

  21. Thank you a lot for sharing this with all of us you really understand what you’re speaking approximately! Bookmarked. Kindly also consult with my website =). We may have a link exchange contract among us

  22. You can definitely see your expertise within the work you write. The arena hopes for even more passionate writers like you who are not afraid to say how they believe. At all times go after your heart.

  23. Heya i am for the first time here. I found this board and I to find It truly helpful & it helped me out much. I am hoping to present one thing again and help others like you aided me.

  24. Heya! I just wanted to ask if you ever have any issues with hackers? My last blog (wordpress) was hacked and I ended up losing several weeks of hard work due to no backup. Do you have any methods to protect against hackers?

  25. I was suggested this website by way of my cousin. I’m now not certain whether this put up is written by him as no one else understand such exact approximately my difficulty. You’re amazing! Thanks!

  26. Hi! This is my first visit to your blog! We are a group of volunteers and starting a new initiative in a community in the same niche. Your blog provided us beneficial information to work on. You have done a outstanding job!

  27. Hello would you mind sharing which blog platform you’re working with? I’m going to start my own blog soon but I’m having a difficult time deciding between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your layout seems different then most blogs and I’m looking for something unique. P.S Sorry for getting off-topic but I had to ask!

  28. I was suggested this blog by my cousin. I’m not sure whether this post is written by him as nobody else know such detailed about my trouble. You are incredible! Thanks!

  29. I have been surfing online more than 2 hours today, yet I never found any interesting article like yours. It is pretty worth enough for me. In my view, if all web owners and bloggers made good content as you did, the internet will be a lot more useful than ever before.

  30. Thanks a lot for sharing this with all folks you really realize what you are speaking approximately! Bookmarked. Kindly also seek advice from my site =). We may have a hyperlink trade agreement among us

  31. Great web site you have got here.. It’s difficult to find high quality writing like yours nowadays. I seriously appreciate individuals like you! Take care!!

  32. Howdy! This is my first visit to your blog! We are a collection of volunteers and starting a new initiative in a community in the same niche. Your blog provided us beneficial information to work on. You have done a wonderful job!

  33. Good post. I learn something totally new and challenging on websites I stumbleupon everyday. It’s always interesting to read articles from other authors and use something from other web sites.

  34. Hi there! I’m at work surfing around your blog from my new iphone 3gs! Just wanted to say I love reading through your blog and look forward to all your posts! Keep up the fantastic work!

  35. Attractive section of content. I just stumbled upon your website and in accession capital to assert that I acquire in fact enjoyed account your blog posts. Anyway I will be subscribing to your feeds and even I achievement you access consistently rapidly.

  36. I think this is among the most significant info for me. And i’m glad reading your article. But want to remark on some general things, The web site style is perfect, the articles is really great : D. Good job, cheers

  37. Thank you for sharing excellent informations. Your web-site is very cool. I am impressed by the details that you’ve on this website. It reveals how nicely you understand this subject. Bookmarked this website page, will come back for more articles. You, my pal, ROCK! I found simply the info I already searched all over the place and simply could not come across. What a great website.

  38. Hey! Would you mind if I share your blog with my myspace group? There’s a lot of folks that I think would really appreciate your content. Please let me know. Thanks

  39. Seen anything brand-new from in this article. I did nonetheless expertise a couple of technical elements using this web site, since The company seeks to experienced to reload the positioning a lot of times before I could obtain this to load correctly.

  40. Nice read, I just passed this onto a friend who was doing a little research on that. And he just bought me lunch because I found it for him smile Therefore let me rephrase that: Thanks for lunch!

  41. Great goods from you, man. I’ve bear in mind your stuff previous to and you’re just extremely magnificent. I actually like what you’ve received here, really like what you’re stating and the best way through which you are saying it. You are making it enjoyable and you continue to take care of to keep it sensible. I cant wait to read far more from you. That is actually a tremendous site.

  42. certainly like your web-site however you need to take a look at the spelling on several of your posts. Many of them are rife with spelling problems and I find it very troublesome to tell the truth on the other hand I will certainly come again again.

  43. Do you mind if I quote a few of your posts as long as I provide credit and sources back to your webpage? My blog is in the very same area of interest as yours and my visitors would really benefit from some of the information you provide here. Please let me know if this alright with you. Cheers!

  44. This is very fascinating, You are an overly professional blogger. I have joined your rss feed and look forward to looking for more of your fantastic post. Also, I’ve shared your website in my social networks!

  45. I’m so happy to read this. This is the type of manual that needs to be given and not the accidental misinformation that’s at the other blogs. Appreciate your sharing this best doc.

  46. Thank you a lot for sharing this with all of us you really understand what you are talking about! Bookmarked. Kindly also visit my website =). We will have a hyperlink exchange contract among us!

  47. What’s up i am kavin, its my first time to commenting anywhere, when i read this paragraph i thought i could also create comment due to this brilliant article.

  48. I simply needed to thank you so much all over again. I am not sure the things that I would have carried out in the absence of these hints shown by you relating to such question. It truly was a very distressing concern for me, nevertheless discovering a specialised fashion you managed that made me to weep with happiness. I’m just happier for your advice and have high hopes you recognize what a powerful job that you are putting in teaching many others through the use of your site. More than likely you’ve never encountered any of us.

  49. Oh my goodness! Awesome article dude! Thank you, However I am going through problems with your RSS. I don?t understand the reason why I am unable to join it. Is there anyone else getting identical RSS problems? Anyone who knows the solution can you kindly respond? Thanks!!

  50. Hey! This is my 1st comment here so I just wanted to give a quick shout out and say I truly enjoy reading your blog posts. Can you suggest any other blogs/websites/forums that deal with the same subjects? Thank you so much!

  51. Greetings! Quick question that’s entirely off topic. Do you know how to make your site mobile friendly? My website looks weird when viewing from my iphone. I’m trying to find a theme or plugin that might be able to fix this problem. If you have any suggestions, please share. Many thanks!

  52. Wonderful goods from you, man. I have take into account your stuff prior to and you’re just extremely excellent. I really like what you have obtained right here, really like what you’re saying and the way by which you say it. You make it enjoyable and you continue to take care of to keep it sensible. I can’t wait to read much more from you. That is actually a tremendous website.

  53. Hey there! I understand this is sort of off-topic but I needed to ask. Does operating a well-established website such as yours take a massive amount work? I’m completely new to running a blog however I do write in my journal on a daily basis. I’d like to start a blog so I can share my personal experience and thoughts online. Please let me know if you have any kind of ideas or tips for new aspiring blog owners. Appreciate it!

  54. I would like to show my gratitude for your generosity supporting visitors who need assistance with the study. Your special commitment to passing the solution across was amazingly effective and has usually permitted workers much like me to arrive at their objectives. Your personal insightful recommendations implies much a person like me and substantially more to my fellow workers. Regards; from all of us.

  55. This is really interesting, You’re a very skilled blogger. I’ve joined your rss feed and look forward to seeking more of your fantastic post. Also, I’ve shared your site in my social networks!

  56. I just couldn’t go away your web site before suggesting that I really enjoyed the usual information an individual provide to your visitors? Is gonna be back steadily to check out new posts

  57. This is really interesting, You are a very skilled blogger. I have joined your rss feed and look forward to seeking more of your fantastic post. Also, I have shared your site in my social networks!

  58. Wow, superb blog layout! How lengthy have you ever been running a blog for? you made blogging look easy. The overall glance of your website is fantastic, let alone the content material!

  59. Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You obviously know what youre talking about, why throw away your intelligence on just posting videos to your site when you could be giving us something informative to read?

  60. obviously like your web-site however you have to test the spelling on several of your posts. A number of them are rife with spelling problems and I to find it very troublesome to tell the reality nevertheless I will surely come back again.

  61. Good ? I should definitely pronounce, impressed with your web site. I had no trouble navigating through all tabs as well as related info ended up being truly easy to do to access. I recently found what I hoped for before you know it in the least. Quite unusual. Is likely to appreciate it for those who add forums or anything, web site theme . a tones way for your client to communicate. Nice task.

  62. Thanks for some other informative site. The place else could I am getting that type of information written in such a perfect approach? I’ve a project that I am just now operating on, and I have been on the look out for such info.

  63. It’s really a great and useful piece of information. I am satisfied that you simply shared this helpful information with us. Please stay us up to date like this. Thank you for sharing.

  64. Greetings from Carolina! I’m bored at work so I decided to check out your blog on my iphone during lunch break. I love the info you present here and can’t wait to take a look when I get home. I’m amazed at how quick your blog loaded on my phone .. I’m not even using WIFI, just 3G .. Anyhow, awesome blog!

  65. Nice post. I was checking constantly this blog and I’m impressed! Very helpful information specially the last part 🙂 I care for such information much. I was looking for this particular information for a very long time. Thank you and best of luck.

  66. Hey exceptional website! Does running a blog like this require a massive amount work? I’ve no understanding of computer programming however I had been hoping to start my own blog in the near future. Anyways, should you have any suggestions or tips for new blog owners please share. I know this is off subject nevertheless I just wanted to ask. Many thanks!

  67. Hi, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam feedback? If so how do you protect against it, any plugin or anything you can recommend? I get so much lately it’s driving me insane so any help is very much appreciated.

  68. You could definitely see your skills within the article you write. The sector hopes for even more passionate writers such as you who aren’t afraid to say how they believe. All the time go after your heart.

  69. Hello, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam remarks? If so how do you stop it, any plugin or anything you can recommend? I get so much lately it’s driving me crazy so any assistance is very much appreciated.

  70. Hi there, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam responses? If so how do you protect against it, any plugin or anything you can advise? I get so much lately it’s driving me insane so any assistance is very much appreciated.

  71. Woah! I’m really loving the template/theme of this blog. It’s simple, yet effective. A lot of times it’s very difficult to get that “perfect balance” between superb usability and visual appearance. I must say you’ve done a amazing job with this. Also, the blog loads very quick for me on Opera. Excellent Blog!

  72. I seriously love your site.. Pleasant colors & theme. Did you build this web site yourself? Please reply back as I’m hoping to create my own website and want to find out where you got this from or exactly what the theme is named. Thank you!

  73. I was very pleased to find this page. I need to to thank you for your time due to this wonderful read!! I definitely appreciated every bit of it and i also have you saved as a favorite to see new things in your web site.

  74. Hi there, I found your blog by means of Google while searching for a comparable topic, your website got here up, it appears to be like good. I’ve bookmarked it in my google bookmarks.

  75. Whats up very nice blog!! Man .. Beautiful .. Wonderful .. I’ll bookmark your blog and take the feeds additionally? I’m glad to seek out so many helpful information here within the submit, we want develop extra strategies in this regard, thank you for sharing. . . . . .

  76. We would like to thank you once more for the lovely ideas you offered Jeremy when preparing her post-graduate research as well as, most importantly, pertaining to providing all the ideas in one blog post. Provided we had been aware of your web page a year ago, i’d have been saved the needless measures we were having to take. Thank you very much.

  77. Fantastic goods from you, man. I’ve understand your stuff previous to and you’re just extremely fantastic. I actually like what you’ve acquired here, certainly like what you are saying and the way in which you say it. You make it enjoyable and you still take care of to keep it wise. I can’t wait to read much more from you. This is really a tremendous web site.

  78. This is the perfect site for anyone who wishes to understand this topic. You know a whole lot its almost hard to argue with you (not that I actually would want to?HaHa). You certainly put a fresh spin on a topic that has been written about for decades. Wonderful stuff, just excellent!

  79. Very nice post. I just stumbled upon your blog and wanted to say that I’ve really enjoyed browsing your blog posts. In any case I will be subscribing on your feed and I am hoping you write again soon!

  80. Very nice post. I simply stumbled upon your weblog and wished to say that I have truly enjoyed browsing your weblog posts. After all I’ll be subscribing to your rss feed and I hope you write again soon!

  81. You are so cool! I do not think I have read through anything like that before. So wonderful to discover another person with a few genuine thoughts on this subject matter. Really.. many thanks for starting this up. This site is one thing that is needed on the internet, someone with some originality!

  82. Hello there! This is kind of off topic but I need some help from an established blog. Is it very difficult to set up your own blog? I’m not very techincal but I can figure things out pretty quick. I’m thinking about making my own but I’m not sure where to start. Do you have any points or suggestions? Thanks

  83. Awesome site you have here but I was wanting to know if you knew of any community forums that cover the same topics talked about in this article? I’d really like to be a part of community where I can get advice from other knowledgeable individuals that share the same interest. If you have any suggestions, please let me know. Thank you!

  84. This is very fascinating, You’re a very skilled blogger. I have joined your rss feed and look ahead to in search of extra of your fantastic post. Also, I’ve shared your site in my social networks

  85. Hey there! This is my 1st comment here so I just wanted to give a quick shout out and say I really enjoy reading your posts. Can you suggest any other blogs/websites/forums that go over the same subjects? Thanks!

  86. Do you mind if I quote a few of your posts as long as I provide credit and sources back to your weblog? My website is in the very same niche as yours and my visitors would certainly benefit from a lot of the information you present here. Please let me know if this alright with you. Thanks a lot!

  87. Aw, this was an incredibly good post. Taking a few minutes and actual effort to make a superb article… but what can I say… I procrastinate a lot and never seem to get nearly anything done.

  88. Hello there I am so grateful I found your web site, I really found you by mistake, while I was looking on Digg for something else, Regardless I am here now and would just like to say cheers for a marvelous post and a all round enjoyable blog (I also love the theme/design), I don’t have time to read through it all at the moment but I have book-marked it and also included your RSS feeds, so when I have time I will be back to read more, Please do keep up the fantastic b.

  89. You are so cool! I do not suppose I have read through something like this before. So wonderful to discover somebody with some unique thoughts on this issue. Seriously.. many thanks for starting this up. This site is something that’s needed on the web, someone with a little originality!

  90. Oh my goodness! Awesome article dude! Many thanks, However I am experiencing troubles with your RSS. I don?t understand why I am unable to join it. Is there anybody else having identical RSS problems? Anybody who knows the solution can you kindly respond? Thanks!!

  91. I don’t even understand how I ended up here, but I assumed this publish was once great. I don’t know who you might be however certainly you’re going to a famous blogger if you are not already 😉 Cheers!

  92. I simply needed to thank you very much all over again. I’m not certain the things that I would have gone through without the type of basics documented by you relating to such theme. It had become the horrifying circumstance for me, however , being able to view your specialised way you processed the issue forced me to jump for delight. Now i am happy for the service and as well , believe you know what a great job you’re doing teaching men and women with the aid of your blog. I know that you’ve never come across all of us.

  93. I’m impressed, I must say. Seldom do I encounter a blog that’s both educative and entertaining, and without a doubt, you’ve hit the nail on the head. The issue is something which too few people are speaking intelligently about. I’m very happy I came across this in my search for something regarding this.

  94. Oh my goodness! Awesome article dude! Many thanks, However I am encountering difficulties with your RSS. I don?t understand why I cannot join it. Is there anybody getting similar RSS issues? Anyone that knows the solution can you kindly respond? Thanx!!

  95. I precisely wished to say thanks again. I do not know the things that I would’ve accomplished in the absence of those creative ideas provided by you regarding this topic. It had been a real troublesome problem for me, nevertheless looking at the expert approach you dealt with it took me to leap with happiness. Extremely happy for your support and thus hope that you recognize what a powerful job your are putting in educating the others by way of your blog post. Probably you haven’t met any of us.

  96. This is the right webpage for everyone who hopes to find out about this topic. You understand so much its almost hard to argue with you (not that I really would want to…HaHa). You certainly put a brand new spin on a subject that’s been discussed for decades. Excellent stuff, just wonderful!

  97. Pretty section of content. I just stumbled upon your site and in accession capital to assert that I acquire in fact enjoyed account your blog posts. Anyway I’ll be subscribing to your augment and even I achievement you access consistently fast.

  98. Aw, this was a really nice post. Taking a few minutes and actual effort to create a superb article… but what can I say… I hesitate a lot and don’t seem to get anything done.

  99. Pretty great post. I simply stumbled upon your blog and wanted to mention that I’ve truly enjoyed browsing your blog posts. After all I’ll be subscribing to your rss feed and I am hoping you write again soon!

  100. I must thank you for the efforts you have put in penning this blog. I’m hoping to view the same high-grade blog posts from you later on as well. In truth, your creative writing abilities has motivated me to get my very own site now 😉

  101. Great ? I should certainly pronounce, impressed with your web site. I had no trouble navigating through all the tabs and related information ended up being truly simple to do to access. I recently found what I hoped for before you know it in the least. Quite unusual. Is likely to appreciate it for those who add forums or something, website theme . a tones way for your client to communicate. Nice task.

  102. Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You clearly know what youre talking about, why throw away your intelligence on just posting videos to your site when you could be giving us something enlightening to read?

  103. I think that what you published was actually very reasonable. But, consider this, suppose you added a little content? I ain’t saying your content isn’t good, however suppose you added something that makes people desire more? I mean VIÊM DA TIẾP XÚC DO KIẾN BA KHOANG – Bệnh viện Sản Nhi An Giang is kinda boring. You should glance at Yahoo’s home page and watch how they write post headlines to grab people interested. You might try adding a video or a pic or two to get readers excited about everything’ve written. In my opinion, it might bring your blog a little bit more interesting.

  104. Hi there, I discovered your site by means of Google at the same time as looking for a comparable subject, your site came up, it appears to be like good. I’ve bookmarked it in my google bookmarks.

  105. I was recommended this web site by my cousin. I am not sure whether this post is written by him as nobody else know such detailed about my problem. You’re wonderful! Thanks!

  106. Aw, this was an exceptionally nice post. Taking a few minutes and actual effort to create a good article… but what can I say… I put things off a lot and don’t manage to get nearly anything done.

  107. We’re a gaggle of volunteers and starting a new scheme in our community. Your site offered us with valuable information to work on. You have done an impressive process and our whole neighborhood can be grateful to you.

  108. Excellent goods from you, man. I’ve understand your stuff previous to and you are just too wonderful. I really like what you’ve acquired here, certainly like what you’re stating and the way in which you say it. You make it entertaining and you still care for to keep it sensible. I can not wait to read much more from you. This is really a terrific site.

  109. Great goods from you, man. I’ve keep in mind your stuff previous to and you’re just too great. I really like what you have obtained here, certainly like what you’re stating and the way in which wherein you are saying it. You are making it entertaining and you continue to take care of to keep it sensible. I can’t wait to learn much more from you. This is actually a terrific website.

  110. I know this if off topic but I’m looking into starting my own blog and was wondering what all is needed to get setup? I’m assuming having a blog like yours would cost a pretty penny? I’m not very web savvy so I’m not 100% certain. Any recommendations or advice would be greatly appreciated. Appreciate it

  111. After I initially left a comment I seem to have clicked on the -Notify me when new comments are added- checkbox and now each time a comment is added I get 4 emails with the exact same comment. Perhaps there is a means you can remove me from that service? Thank you!

  112. I loved as much as you’ll receive carried out right here. The sketch is tasteful, your authored subject matter stylish. nonetheless, you command get got an edginess over that you wish be delivering the following. unwell unquestionably come more formerly again since exactly the same nearly a lot often inside case you shield this increase.

  113. My brother recommended I might like this blog. He was once entirely right. This post actually made my day. You cann’t consider simply how so much time I had spent for this info! Thank you!

  114. Hey there! Do you know if they make any plugins to assist with SEO? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good results. If you know of any please share. Thank you!

  115. An intriguing discussion is definitely worth comment. I do believe that you ought to write more on this subject, it might not be a taboo subject but usually people do not discuss such topics. To the next! Cheers!!

  116. Hello there! Do you know if they make any plugins to help with Search Engine Optimization? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good results. If you know of any please share. Thank you!

  117. Fantastic goods from you, man. I’ve understand your stuff previous to and you are just extremely great. I actually like what you have acquired here, certainly like what you’re saying and the way in which you say it. You make it entertaining and you still take care of to keep it smart. I can’t wait to read much more from you. This is really a terrific web site.

  118. I have been browsing online more than three hours today, yet I never found any interesting article like yours. It’s pretty worth enough for me. Personally, if all webmasters and bloggers made good content as you did, the net will be a lot more useful than ever before.

  119. It’s appropriate time to make a few plans for the long run and it’s time to be happy. I’ve read this publish and if I may I wish to suggest you few attention-grabbing things or advice. Perhaps you can write next articles relating to this article. I want to learn even more issues approximately it!

  120. Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I’ve been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.

  121. Hello there! This article could not be written any better! Going through this article reminds me of my previous roommate! He continually kept preaching about this. I most certainly will send this information to him. Pretty sure he will have a great read. Many thanks for sharing!

  122. Greetings, I do think your site could be having web browser compatibility issues. Whenever I take a look at your web site in Safari, it looks fine but when opening in I.E., it’s got some overlapping issues. I just wanted to give you a quick heads up! Other than that, wonderful website!

  123. You have made some decent points there. I looked on the web to find out more about the issue and found most people will go along with your views on this web site.

  124. It’s a shame you don’t have a donate button! I’d most certainly donate to this excellent blog! I suppose for now i’ll settle for book-marking and adding your RSS feed to my Google account. I look forward to fresh updates and will share this blog with my Facebook group. Chat soon!

  125. Thanks , I have recently been looking for information approximately this topic for a while and yours is the greatest I’ve found out so far. But, what concerning the bottom line? Are you sure about the supply?

  126. Hi there! Do you know if they make any plugins to help with Search Engine Optimization? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good gains. If you know of any please share. Many thanks!

  127. I comment when I appreciate a article on a website or I have something to add to the discussion. It is triggered by the fire displayed in the article I browsed. And on this post VIÊM DA TIẾP XÚC DO KIẾN BA KHOANG – Bệnh viện Sản Nhi An Giang. I was moved enough to drop a thought 🙂 I do have a couple of questions for you if you do not mind. Is it simply me or do a few of the responses look as if they are written by brain dead people? 😛 And, if you are writing on other sites, I would like to follow anything new you have to post. Could you list all of all your shared sites like your linkedin profile, Facebook page or twitter feed?

  128. Undeniably believe that which you stated. Your favorite justification seemed to be on the web the easiest thing to be aware of. I say to you, I definitely get irked while people consider worries that they just don’t know about. You managed to hit the nail upon the top and also defined out the whole thing without having side effect , people could take a signal. Will likely be back to get more. Thanks

  129. Thank you for some other informative blog. Where else may just I get that kind of info written in such an ideal method? I have a challenge that I’m just now working on, and I have been on the look out for such info.

  130. Someone necessarily lend a hand to make critically articles I would state. That is the first time I frequented your website page and so far? I amazed with the analysis you made to make this actual submit extraordinary. Fantastic process!

  131. Its like you read my mind! You seem to know a lot about this, like you wrote the book in it or something. I think that you can do with a few pics to drive the message home a little bit, but instead of that, this is magnificent blog. A great read. I will certainly be back.

  132. My family members all the time say that I am killing my time here at net, however I know I am getting familiarity everyday by reading such good articles or reviews.

  133. I have to thank you for the efforts you have put in writing this site. I am hoping to view the same high-grade content by you later on as well. In truth, your creative writing abilities has motivated me to get my very own site now 😉

  134. I do consider all of the ideas you’ve introduced on your post. They are really convincing and will definitely work. Still, the posts are very quick for starters. May just you please prolong them a little from next time? Thank you for the post.

  135. Have you ever thought about writing an ebook or guest authoring on other sites? I have a blog centered on the same ideas you discuss and would really like to have you share some stories/information. I know my visitors would enjoy your work. If you are even remotely interested, feel free to shoot me an e mail.

  136. Hello would you mind letting me know which hosting company you’re using? I’ve loaded your blog in 3 completely different internet browsers and I must say this blog loads a lot faster then most. Can you suggest a good internet hosting provider at a fair price? Thanks, I appreciate it!

  137. Wow that was strange. I just wrote an extremely long comment but after I clicked submit my comment didn’t appear. Grrrr… well I’m not writing all that over again. Anyways, just wanted to say fantastic blog!

  138. I think that everything composed was very logical. However, think on this, what if you were to write a killer headline? I am not saying your information isn’t solid., however suppose you added something to possibly get a person’s attention? I mean VIÊM DA TIẾP XÚC DO KIẾN BA KHOANG – Bệnh viện Sản Nhi An Giang is a little vanilla. You could look at Yahoo’s front page and note how they create article headlines to get people to open the links. You might try adding a video or a related picture or two to get readers excited about what you’ve got to say. Just my opinion, it could make your posts a little bit more interesting.

  139. It’s in reality a nice and helpful piece of info. I am satisfied that you shared this useful information with us. Please keep us up to date like this. Thanks for sharing.

  140. I will right away seize your rss as I can’t to find your e-mail subscription link or e-newsletter service. Do you have any? Please let me realize so that I may just subscribe. Thanks.

  141. Hi there would you mind sharing which blog platform you’re using?
    I’m going to start my own blog in the near future but I’m
    having a difficult time deciding between BlogEngine/Wordpress/B2evolution and Drupal.
    The reason I ask is because your design and style seems different then most blogs
    and I’m looking for something unique.
    P.S My apologies for being off-topic but I had to ask!

  142. This is a great tip especially to those fresh to
    the blogosphere. Short but very precise info… Thank you for sharing
    this one. A must read post!

  143. Hi, I do believe your site could possibly be having browser compatibility issues. When I take a look at your website in Safari, it looks fine however, when opening in I.E., it’s got some overlapping issues. I just wanted to give you a quick heads up! Other than that, wonderful site!

  144. Just desire to say your article is as surprising.
    The clarity in your post is just excellent and i
    could assume you’re an expert on this subject. Fine with your permission let me to grab your RSS feed to keep updated with
    forthcoming post. Thanks a million and please carry on the rewarding work.

  145. I do not know if it’s just me or if everyone else encountering issues with your blog. It appears as though some of the written text on your posts are running off the screen. Can someone else please comment and let me know if this is happening to them as well? This could be a problem with my web browser because I’ve had this happen before. Thank you

  146. Just wish to say your article is as astounding. The clearness in your post is simply cool
    and i could assume you’re an expert on this subject.
    Fine with your permission allow me to grab your RSS feed to keep updated with forthcoming post.
    Thanks a million and please continue the gratifying
    work.

  147. Its like you read my mind! You appear to know so much about this, like you wrote the book in it or something. I think that you could do with a few pics to drive the message home a little bit, but other than that, this is wonderful blog. An excellent read. I’ll definitely be back.

  148. 161721 21585Hey really nice weblog!! Man .. Beautiful .. Wonderful .. I will bookmark your web site and take the feeds alsoIm satisfied to seek out numerous valuable information here within the post, we require develop a lot more techniques on this regard, thanks for sharing. 559106

  149. Pretty component of content. I simply stumbled upon your website and in accession capital to assert that I acquire actually enjoyed account your blog posts. Any way I’ll be subscribing on your augment and even I achievement you get admission to constantly rapidly.

  150. Excellent post. I was checking continuously this blog and I am impressed!
    Extremely helpful information particularly the last section 🙂
    I take care of such info much. I used to be seeking this particular info for a very
    lengthy time. Thank you and best of luck.

  151. obviously like your website but you need to take a look at the spelling on quite a few of your posts.

    Several of them are rife with spelling problems and
    I find it very bothersome to inform the truth then again I’ll certainly come back
    again. scoliosis surgery https://0401mm.tumblr.com/ scoliosis surgery

  152. Woah! I’m really digging the template/theme of this site. It’s simple, yet effective. A lot of times it’s very hard to get that “perfect balance” between superb usability and visual appeal. I must say that you’ve done a awesome job with this. In addition, the blog loads super fast for me on Firefox. Outstanding Blog!

  153. Thanks for your personal marvelous posting! I certainly enjoyed reading it, you happen to be a great author. I will make certain to bookmark your blog and will often come back in the future. I want to encourage that you continue your great writing, have a nice morning!

  154. Hey! This is my 1st comment here so I just wanted to give a quick shout
    out and say I genuinely enjoy reading your posts.
    Can you suggest any other blogs/websites/forums
    that go over the same topics? Thanks!

  155. [url=http://buytadalafilgenericpills.com/]tadalafil otc[/url] [url=http://cialisdiscountcoupons.com/]cialis 100mg real[/url] [url=http://ivermectinplus.com/]stromectol ivermectin buy[/url] [url=http://ivermectinbuyonline.com/]ivermectin oral[/url] [url=http://viagraonlinex.com/]how to buy genuine viagra online[/url] [url=http://sildenafilmpro.com/]generic viagra usa[/url] [url=http://modefinil.com/]order provigil from canada[/url] [url=http://buyviagramedication.com/]viagra 2018[/url] [url=http://wheretobuycialisonline.com/]buy generic cialis 20mg[/url] [url=http://buytadalafiltb.com/]tadalafil us[/url]

  156. I blog frequently and I genuinely appreciate your content. The article has truly peaked my interest. I’m going to book mark your website and keep checking for new details about once per week. I opted in for your RSS feed too.

  157. [url=https://cialisgoal.online/]cialis 80 mg price[/url] [url=https://rlcialis.online/]cialis 10mg cost[/url] [url=https://viagrawithnoprescription.online/]150 mg viagra online[/url] [url=https://bluepillviagra.online/]how to buy generic viagra in canada[/url]

  158. [url=http://orderwithoutprescription.com/]wellbutrin 150 mg coupon[/url] [url=http://ivermectintabletsforhumans.com/]stromectol 12mg online[/url] [url=http://modafinilwithnorx.com/]provigil online us pharmacy[/url] [url=http://prednisonebuying.com/]prednisone pill 10 mg[/url] [url=http://ivermectinq.com/]stromectol uk[/url]

Để lại một phản hồi

Thư điện tử của bạn sẽ không được hiện thị công khai.