{"id":1706,"date":"2023-04-07T22:23:15","date_gmt":"2023-04-07T15:23:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1706"},"modified":"2023-04-14T13:57:11","modified_gmt":"2023-04-14T06:57:11","slug":"xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/","title":{"rendered":"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng?"},"content":{"rendered":"<p><strong><a href=\"https:\/\/www.vinmec.com\/vi\/vac-xin\/kien-thuc-tiem-chung\/nguyen-nhan-va-dau-hieu-canh-bao-benh-lao\/\">B\u1ec7nh lao<\/a> l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n Mycobacterium tuberculosis g\u00e2y ra, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 c\u01a1 quan n\u00e0o trong c\u01a1 th\u1ec3, nh\u01b0ng th\u01b0\u1eddng g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn ph\u1ed5i. B\u1ec7nh lao c\u00f3 t\u00ecnh tr\u1ea1ng l\u00e2y nhi\u1ec5m cao v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng nghi\u00eam tr\u1ecdng. Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 <a href=\"https:\/\/www.vinmec.com\/vi\/vac-xin\/kien-thuc-tiem-chung\/benh-lao-va-cach-dieu-tri\/\">ch\u1ea9n \u0111o\u00e1n<\/a> b\u1ec7nh lao \u0111\u00fang c\u00e1ch s\u1ebd gi\u00fap ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3. V\u1eady x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng? C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ee7 \u0111\u1ec1 n\u00e0y trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n<h2>1. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eadn l\u00e2m s\u00e0ng ch\u1ea9n \u0111o\u00e1n lao<\/h2>\n<ul>\n<li>X-quang ng\u1ef1c, CT- scanner ng\u1ef1c<\/li>\n<li>Nhu\u1ed9m soi tr\u1ef1c ti\u1ebfp (AFB)<\/li>\n<li>Nu\u00f4i c\u1ea5y<\/li>\n<li>Ph\u1ea3n \u1ee9ng Tuberculin (x\u00e9t nghi\u1ec7m lao da)<\/li>\n<li>X\u00e9t nghi\u1ec7m QuantiFERON-TB<\/li>\n<li>C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c: PCR, ELISA,\u2026<\/li>\n<\/ul>\n<h2>2. C\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao<\/h2>\n<h3>2.1. X\u00e9t nghi\u1ec7m lao qua m\u00e1u (IGRA &#8211; Interferon Gamma Release Assay):<\/h3>\n<p>C\u00f3 hai d\u1ea1ng bao g\u1ed3m: QuantiFERON \u2013 TB v\u00e0 T-SPOT.TB.<\/p>\n<p>QuantiFERON-TB: QuantiFERON-TB l\u00e0 m\u1ed9t lo\u1ea1i x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u1eb7c hi\u1ec7u c\u1ee7a vi khu\u1ea9n lao trong m\u00e1u. X\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao v\u00e0 nhanh ch\u00f3ng h\u01a1n so v\u1edbi ph\u1ea3n \u1ee9ng tuberculin.<\/p>\n<figure id=\"attachment_1717\" aria-describedby=\"caption-attachment-1717\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1717 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0a34bbe2-1491-4752-b12b-273570938ba6-300x300.jpg\" alt=\"X\u00e9t nghi\u1ec7u m\u00e1u c\u00f3 th\u1ebf cho bi\u1ebft m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 trong b\u1ec7nh lao\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0a34bbe2-1491-4752-b12b-273570938ba6-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0a34bbe2-1491-4752-b12b-273570938ba6-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0a34bbe2-1491-4752-b12b-273570938ba6-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0a34bbe2-1491-4752-b12b-273570938ba6.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1717\" class=\"wp-caption-text\">X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ebf cho bi\u1ebft m\u1ed9t v\u00e0i ch\u1ec9 s\u1ed1 trong b\u1ec7nh lao<\/figcaption><\/figure>\n<h3>2.2. X\u00e9t nghi\u1ec7m sinh h\u1ecdc ph\u00e2n t\u1eed PCR (Polymerase Chain Reaction):<\/h3>\n<ul>\n<li>X\u00e9t nghi\u1ec7m PCR lao b\u1eb1ng l\u1ea5y m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao. \u0110i\u1ec1u n\u00e0y b\u1edfi v\u00ec vi khu\u1ea9n lao th\u01b0\u1eddng kh\u00f4ng xu\u1ea5t hi\u1ec7n trong m\u00e1u \u1edf c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh lao ph\u1ed5i ho\u1eb7c b\u1ec7nh lao kh\u00e1c. Vi khu\u1ea9n lao th\u01b0\u1eddng t\u1eadp trung t\u1ea1i n\u01a1i nhi\u1ec5m tr\u00f9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 ph\u1ed5i, c\u00e1c tuy\u1ebfn b\u00e0i ti\u1ebft ho\u1eb7c c\u00e1c m\u00f4 kh\u00e1c trong c\u01a1 th\u1ec3.<\/li>\n<li>Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t, nh\u01b0 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh lao ph\u1ed5i v\u00e0 b\u1ec7nh lao h\u1ea1ch, vi khu\u1ea9n lao c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong m\u00e1u.<\/li>\n<li>\u0110\u1ec3 th\u1ef1c hi\u1ec7n, m\u1ed9t m\u1eabu m\u00e1u \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb t\u0129nh m\u1ea1ch c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 sau \u0111\u00f3 \u0111\u01b0\u1ee3c x\u1eed l\u00fd \u0111\u1ec3 l\u1ea5y ra ADN c\u1ee7a vi khu\u1ea9n lao. Sau \u0111\u00f3, c\u00e1c \u0111o\u1ea1n ADN \u0111\u1eb7c hi\u1ec7u c\u1ee7a vi khu\u1ea9n lao \u0111\u01b0\u1ee3c nh\u00e2n b\u1ea3n nhi\u1ec1u l\u1ea7n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p PCR. K\u1ebft qu\u1ea3 c\u1ee7a x\u00e9t nghi\u1ec7m PCR lao s\u1ebd cho th\u1ea5y ADN c\u1ee7a vi khu\u1ea9n lao trong m\u1eabu m\u00e1u, t\u1eeb \u0111\u00f3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m b\u1ec7nh lao.<\/li>\n<li>Tuy nhi\u00ean, nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, PCR lao b\u1eb1ng l\u1ea5y m\u00e1u kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i, v\u00e0 n\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/li>\n<\/ul>\n<h3>2.3. X\u00e9t nghi\u1ec7m sinh h\u00f3a mi\u1ec5n d\u1ecbch ELISA (Enzyme-linked Immunosorbent assay)<\/h3>\n<ul>\n<li>X\u00e9t nghi\u1ec7m sinh h\u00f3a mi\u1ec5n d\u1ecbch ELISA (Enzyme-Linked Immunosorbent Assay) lao \u0111\u1ec3 ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi khu\u1ea9n lao trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ed1i v\u1edbi vi khu\u1ea9n lao.<\/li>\n<li>C\u00e1ch th\u1ee9c th\u1ef1c hi\u1ec7n l\u00e0 s\u1eed d\u1ee5ng c\u00e1c kh\u00e1ng nguy\u00ean \u0111\u01b0\u1ee3c t\u00e1ch ra t\u1eeb vi khu\u1ea9n lao, \u0111\u01b0\u1ee3c ph\u1ee7 l\u00ean tr\u00ean m\u1ed9t t\u1ea5m m\u00e0ng nh\u1ef1a, k\u00edch th\u00edch mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n t\u1ea1o ra kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi khu\u1ea9n lao. Sau \u0111\u00f3, m\u1eabu m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c l\u1ea5y ra v\u00e0 \u0111\u01b0a v\u00e0o \u0111\u1ec3 kh\u00e1ng th\u1ec3 trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n ph\u1ea3n \u1ee9ng v\u1edbi kh\u00e1ng nguy\u00ean c\u1ee7a vi khu\u1ea9n lao tr\u00ean m\u00e0ng nh\u1ef1a. N\u1ebfu kh\u00e1ng th\u1ec3 trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n ph\u1ea3n \u1ee9ng v\u1edbi kh\u00e1ng nguy\u00ean c\u1ee7a vi khu\u1ea9n lao tr\u00ean m\u00e0ng nh\u1ef1a, th\u00ec s\u1ebd cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh, cho th\u1ea5y b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebfp x\u00fac v\u1edbi vi khu\u1ea9n lao v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb nhi\u1ec5m b\u1ec7nh lao.<\/li>\n<li>Tuy nhi\u00ean,\u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c cho b\u1ec7nh lao, v\u00ec vi khu\u1ea9n lao kh\u00f4ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong m\u00e1u. Do \u0111\u00f3, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n, k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nh\u01b0 x\u00e9t nghi\u1ec7m nhu\u1ed9m acid-fast ho\u1eb7c x\u00e9t nghi\u1ec7m PCR lao \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c cho b\u1ec7nh lao.<\/li>\n<\/ul>\n<h3>2.4. Ch\u1ec9 s\u1ed1 CRP (C-reactive protein) v\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u l\u1eafng ESR (Erythrocyte sedimentation rate)<\/h3>\n<p>Th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 vi\u00eam nhi\u1ec5m trong c\u01a1 th\u1ec3<\/p>\n<h2>3. \u01afu \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao<\/h2>\n<h3>3.1. \u01afu \u0111i\u1ec3m<\/h3>\n<ul>\n<li>Vi\u1ec7c l\u1ea5y m\u1eabu m\u00e1u l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01a1n gi\u1ea3n v\u00e0 kh\u00f4ng g\u00e2y kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n.<\/li>\n<li>C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi khu\u1ea9n lao trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n, cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao \u1edf c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh lao h\u1ea1ch ho\u1eb7c b\u1ec7nh lao kh\u00e1c.<\/li>\n<li>N\u1ebfu s\u1eed d\u1ee5ng ELISA, th\u1eddi gian x\u00e9t nghi\u1ec7m kh\u00e1 nhanh v\u00e0 k\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra trong v\u00e0i gi\u1edd.<\/li>\n<\/ul>\n<h3>3.2. H\u1ea1n ch\u1ebf<\/h3>\n<ul>\n<li>Vi khu\u1ea9n lao kh\u00f4ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong m\u00e1u \u1edf c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh lao ph\u1ed5i ho\u1eb7c b\u1ec7nh lao kh\u00e1c, do \u0111\u00f3, x\u00e9t nghi\u1ec7m m\u00e1u kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c cho b\u1ec7nh lao.<\/li>\n<li>Vi\u1ec7c ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi khu\u1ea9n lao trong m\u00e1u ch\u1ec9 cho bi\u1ebft r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebfp x\u00fac v\u1edbi vi khu\u1ea9n lao, nh\u01b0ng kh\u00f4ng kh\u00f4ng bi\u1ebft \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n \u0111\u00f3 \u0111\u00e3 b\u1ecb nhi\u1ec5m b\u1ec7nh lao.<\/li>\n<li>Vi\u1ec7c s\u1eed d\u1ee5ng PCR lao \u0111\u1ec3 ph\u00e1t hi\u1ec7n vi khu\u1ea9n lao trong m\u00e1u c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u th\u1ea5p h\u01a1n so v\u1edbi x\u00e9t nghi\u1ec7m nhu\u1ed9m AFB ho\u1eb7c x\u00e9t nghi\u1ec7m PCR lao tr\u00ean \u0111\u1eddm.<\/li>\n<li>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao, vi\u1ec7c s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n l\u1ea1i b\u1ec7nh lao kh\u00f4ng hi\u1ec7u qu\u1ea3, v\u00ec kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi khu\u1ea9n lao c\u00f3 th\u1ec3 v\u1eabn c\u00f2n trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n sau khi \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>Kh\u00f4ng th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 nhi\u1ec5m tr\u00f9ng c\u1ee7a vi khu\u1ea9n lao trong c\u01a1 th\u1ec3, do \u0111\u00f3 kh\u00f4ng th\u1ec3 l\u00e0m ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c cho c\u00e1c lo\u1ea1i b\u1ec7nh lao kh\u00e1c nhau.<\/li>\n<\/ul>\n<p>Ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m <a href=\"http:\/\/noithathoaphat.in\/ctv\/?p=1706&amp;preview=true\">m\u00e1u<\/a> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u00e1ng tin c\u1eady, tuy nhi\u00ean, c\u1ea7n k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong vi\u1ec7c ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ch\u1ed1ng b\u1ec7nh lao.<\/p>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/#\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/#\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n<p><a href=\"https:\/\/youtube.com\/shorts\/RAKMdO4UC5s?feature=share\">https:\/\/youtube.com\/shorts\/RAKMdO4UC5s?feature=share<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n Mycobacterium tuberculosis g\u00e2y ra, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 c\u01a1 quan n\u00e0o trong c\u01a1 th\u1ec3, nh\u01b0ng th\u01b0\u1eddng g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn ph\u1ed5i. B\u1ec7nh lao c\u00f3 t\u00ecnh tr\u1ea1ng l\u00e2y nhi\u1ec5m cao v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng nghi\u00eam tr\u1ecdng. Vi\u1ec7c ph\u00e1t [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,32],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng? - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n lao g\u00e2y ra. V\u1eady x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c lao kh\u00f4ng? C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ee7 \u0111\u1ec1 n\u00e0y ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng? - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n lao g\u00e2y ra. V\u1eady x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c lao kh\u00f4ng? C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ee7 \u0111\u1ec1 n\u00e0y ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-07T15:23:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T06:57:11+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0a34bbe2-1491-4752-b12b-273570938ba6-300x300.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/\",\"name\":\"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng? - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-07T15:23:15+00:00\",\"dateModified\":\"2023-04-14T06:57:11+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n lao g\u00e2y ra. V\u1eady x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c lao kh\u00f4ng? C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ee7 \u0111\u1ec1 n\u00e0y ...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\",\"name\":\"mitkaka mitkaka\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"caption\":\"mitkaka mitkaka\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng? - Vinmec","description":"B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n lao g\u00e2y ra. V\u1eady x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c lao kh\u00f4ng? C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ee7 \u0111\u1ec1 n\u00e0y ...","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng? - Vinmec","og_description":"B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n lao g\u00e2y ra. V\u1eady x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c lao kh\u00f4ng? C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ee7 \u0111\u1ec1 n\u00e0y ...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/","og_site_name":"Vinmec","article_published_time":"2023-04-07T15:23:15+00:00","article_modified_time":"2023-04-14T06:57:11+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0a34bbe2-1491-4752-b12b-273570938ba6-300x300.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/","name":"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng? - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-07T15:23:15+00:00","dateModified":"2023-04-14T06:57:11+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"B\u1ec7nh lao l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m, do vi khu\u1ea9n lao g\u00e2y ra. V\u1eady x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c lao kh\u00f4ng? C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ee7 \u0111\u1ec1 n\u00e0y ...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/xet-nghiem-mau-co-chan-doan-duoc-benh-lao-khong\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh lao kh\u00f4ng?"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c","name":"mitkaka mitkaka","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","caption":"mitkaka mitkaka"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/1706"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=1706"}],"version-history":[{"count":10,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/1706\/revisions"}],"predecessor-version":[{"id":20647,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/1706\/revisions\/20647"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=1706"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=1706"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=1706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}