{"id":18125,"date":"2023-04-15T22:48:51","date_gmt":"2023-04-15T15:48:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18125"},"modified":"2023-04-18T15:24:28","modified_gmt":"2023-04-18T08:24:28","slug":"ung-thu-phoi-chan-doan-giai-doan-benh-nhu-the-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/ung-thu-phoi-chan-doan-giai-doan-benh-nhu-the-nao\/","title":{"rendered":"Ung th\u01b0 ph\u1ed5i: ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh nh\u01b0 th\u1ebf n\u00e0o?"},"content":{"rendered":"<p>Ung th\u01b0 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi v\u00e0 g\u00e2y ra g\u00e1nh n\u1eb7ng l\u1edbn cho c\u00e1 nh\u00e2n v\u00e0 x\u00e3 h\u1ed9i. C\u0103n b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, s\u1ee9c kh\u1ecfe v\u00e0 n\u0103ng su\u1ea5t lao \u0111\u1ed9ng c\u1ee7a b\u1ec7nh nh\u00e2n. Ch\u1ea9n \u0111o\u00e1n \u0111\u00fang giai \u0111o\u1ea1n b\u1ec7nh r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i, gi\u00fap x\u00e1c \u0111\u1ecbnh t\u1ea7m \u1ea3nh h\u01b0\u1edfng c\u1ee7a kh\u1ed1i u \u0111\u1ebfn c\u00e1c c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3, \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a b\u1ec7nh v\u00e0 gi\u00fap b\u00e1c s\u0129 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n.<\/p>\n<figure id=\"attachment_18146\" aria-describedby=\"caption-attachment-18146\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18146\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/97db8139-ad39-4d13-b032-1877c4d9897d-300x300.jpg\" alt=\"minh-hoa-nguoi-mac-ung-thu-phoi\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/97db8139-ad39-4d13-b032-1877c4d9897d-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/97db8139-ad39-4d13-b032-1877c4d9897d-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/97db8139-ad39-4d13-b032-1877c4d9897d-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/97db8139-ad39-4d13-b032-1877c4d9897d.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18146\" class=\"wp-caption-text\">Minh h\u1ecda ng\u01b0\u1eddi m\u1eafc ung th\u01b0 ph\u1ed5i<\/figcaption><\/figure>\n<h2><strong>1. Giai \u0111o\u1ea1n b\u1ec7nh ung th\u01b0 ph\u1ed5i theo ph\u00e2n lo\u1ea1i TNM theo AJCC 2017\u00a0<\/strong><\/h2>\n<p><em>H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i TNM m\u1edbi nh\u1ea5t l\u00e0 phi\u00ean b\u1ea3n 8 n\u0103m 2017 c\u1ee7a AJCC (American Joint Committee on Cancer)<\/em><\/p>\n<p>H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i TNM d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n th\u00f4ng qua 3 y\u1ebfu t\u1ed1: kh\u1ed1i u nguy\u00ean ph\u00e1t, kh\u1ed1i u di c\u0103n h\u1ea1ch v\u00f9ng v\u00e0 kh\u1ed1i u di c\u0103n \u0111\u1ebfn c\u00e1c c\u01a1 quan kh\u00e1c.<\/p>\n<h3><strong>T (Tumour) U nguy\u00ean ph\u00e1t<\/strong><\/h3>\n<ul>\n<li>Tx: Kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c kh\u1ed1i u, c\u00f3 t\u1ebf b\u00e0o \u00e1c t\u00ednh trong \u0111\u1eddm ho\u1eb7c d\u1ecbch r\u1eeda ph\u1ebf qu\u1ea3n nh\u01b0ng kh\u00f4ng nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c tr\u00ean ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh hay n\u1ed9i soi ph\u1ebf qu\u1ea3n.<\/li>\n<li>T0: Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 u nguy\u00ean ph\u00e1t<\/li>\n<li>Tis: Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ea1i ch\u1ed7\/ Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o v\u1ea3y t\u1ea1i ch\u1ed7\/ Ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn t\u1ea1i ch\u1ed7: k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22643cm.<\/li>\n<li>T1: K\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t c\u1ee7a kh\u1ed1i u \u22643cm, \u0111\u01b0\u1ee3c bao quanh b\u1edfi nhu m\u00f4 ph\u1ed5i ho\u1eb7c l\u00e1 t\u1ea1ng m\u00e0ng ph\u1ed5i, kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 x\u00e2m l\u1ea5n v\u01b0\u1ee3t qu\u00e1 \u0111o\u1ea1n g\u1ea7n c\u1ee7a ph\u1ebf qu\u1ea3n th\u00f9y.<\/li>\n<li>T1mi: Ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u: ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn (k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22643cm).\n<ul>\n<li>T1a: K\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22641cm.<\/li>\n<li>T1b: 1cm &lt; k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22642cm.<\/li>\n<li>T1c: 2cm &lt;k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22643cm.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>T2: 3cm &lt; k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22645cm ho\u1eb7c b\u1ea5t k\u1ef3 nh\u01b0ng: (1) x\u00e2m l\u1ea5n ph\u1ebf qu\u1ea3n g\u1ed1c, c\u00e1ch ng\u00e3 ba kh\u00ed ph\u1ebf qu\u1ea3n (carina) \u22652cm; (2) x\u00e2m l\u1ea5n l\u00e1 t\u1ea1ng m\u00e0ng ph\u1ed5i; (3) g\u00e2y x\u1eb9p ph\u1ed5i ho\u1eb7c vi\u00eam ph\u1ed5i t\u1eafc ngh\u1ebdn lan \u0111\u1ebfn r\u1ed1n ph\u1ed5i nh\u01b0ng ch\u01b0a lan to\u00e0n b\u1ed9 ph\u1ed5i.\n<ul>\n<li>T2a: 3cm &lt; k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22644cm;<\/li>\n<li>T2b: 4cm &lt; k\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22645cm.<\/li>\n<\/ul>\n<\/li>\n<li>T3: 5cm &lt; K\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t \u22647cm ho\u1eb7c x\u00e2m l\u1ea5n m\u1ed9t trong c\u00e1c th\u00e0nh ph\u1ea7n: th\u00e0nh ng\u1ef1c (bao g\u1ed3m c\u1ea3 kh\u1ed1i u r\u00e3nh li\u00ean thu\u1ef3 tr\u00ean); th\u1ea7n kinh ho\u00e0nh; m\u00e0ng ph\u1ed5i trung th\u1ea5t; m\u00e0ng ngo\u00e0i tim ho\u1eb7c c\u00f3 c\u00e1c n\u1ed1t ri\u00eang bi\u1ec7t tr\u00ean c\u00f9ng m\u1ed9t thu\u1ef3 ph\u1ed5i.<\/li>\n<li>T4: Kh\u1ed1i u \u22657cm ho\u1eb7c u b\u1ea5t k\u1ef3 k\u00edch th\u01b0\u1edbc nh\u01b0ng x\u00e2m l\u1ea5n m\u1ed9t trong c\u00e1c th\u00e0nh ph\u1ea7n: c\u01a1 ho\u00e0nh trung th\u1ea5t, tim, m\u1ea1ch m\u00e1u l\u1edbn, kh\u00ed qu\u1ea3n, th\u1ea7n kinh qu\u1eb7t ng\u01b0\u1ee3c thanh qu\u1ea3n, th\u1ef1c qu\u1ea3n, th\u00e2n \u0111\u1ed1t s\u1ed1ng, carina, c\u00e1c n\u1ed1t kh\u1ed1i u kh\u00e1c \u1edf thu\u1ef3 ph\u1ed5i kh\u00e1c c\u00f9ng b\u00ean.<\/li>\n<\/ul>\n<h3><strong>N (Nodes): H\u1ea1ch v\u00f9ng<\/strong><\/h3>\n<ul>\n<li>Nx: Kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c h\u1ea1ch v\u00f9ng<\/li>\n<li>N0: Kh\u00f4ng c\u00f3 di c\u0103n h\u1ea1ch v\u00f9ng<\/li>\n<li>N1: Di c\u0103n h\u1ea1ch c\u1ea1nh ph\u1ebf qu\u1ea3n v\u00e0 ho\u1eb7c h\u1ea1ch trong ph\u1ed5i, h\u1ea1ch r\u1ed1n ph\u1ed1i c\u00f9ng b\u00ean, bao g\u1ed3m c\u1ea3 s\u1ef1 x\u00e2m l\u1ea5n tr\u1ef1c ti\u1ebfp.<\/li>\n<li>N2: Di c\u0103n h\u1ea1ch trung th\u1ea5t c\u00f9ng b\u00ean v\u00e0 h\u1ea1ch d\u01b0\u1edbi carina<\/li>\n<li>N3: Di c\u0103n h\u1ea1ch r\u1ed1n ph\u1ed5i \u0111\u1ed1i b\u00ean, h\u1ea1ch trung th\u1ea5t \u0111\u1ed1i b\u00ean, h\u1ea1ch c\u01a1 b\u1eadc thang c\u00f9ng ho\u1eb7c \u0111\u1ed1i b\u00ean, h\u1ea1ch th\u01b0\u1ee3ng \u0111\u00f2n.<\/li>\n<\/ul>\n<h3><strong>M (Metastasis): Di c\u0103n xa<\/strong><\/h3>\n<ul>\n<li>Mx: Kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c di c\u0103n xa<\/li>\n<li>M0: Kh\u00f4ng c\u00f3 di c\u0103n xa<\/li>\n<li>M1: Di c\u0103n xa\n<ul>\n<li>M1a: C\u00f3 k\u00e8m theo c\u00e1c n\u1ed1t kh\u1ed1i u \u1edf ph\u1ed5i \u0111\u1ed1i b\u00ean, u \u1edf m\u00e0ng ph\u1ed5i, m\u00e0ng tim ho\u1eb7c tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, tr\u00e0n d\u1ecbch m\u00e0ng tim \u00e1c t\u00ednh.<\/li>\n<li>M1b: Di c\u0103n ngo\u00e0i ng\u1ef1c \u1edf m\u1ed9t c\u01a1 quan \u0111\u01a1n thu\u1ea7n<\/li>\n<li>M1c: Di c\u0103n nhi\u1ec1u n\u01a1i ngo\u00e0i ng\u1ef1c v\u1edbi ch\u1ec9 m\u1ed9t n\u1ed1t \u1edf m\u1ed9t c\u01a1 quan ho\u1eb7c nhi\u1ec1u c\u01a1 quan.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><strong>2. Ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n ung th\u01b0 ph\u1ed5i<\/strong><\/h2>\n<p>Ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n b\u1ec7nh ung th\u01b0 ph\u1ed5i t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi ph\u00e2n lo\u1ea1i TNM nh\u01b0 sau:<\/p>\n<ul>\n<li>Giai \u0111o\u1ea1n 0: TisN0M0<\/li>\n<li>Giai \u0111o\u1ea1n IA1: T1mi,aN0M0<\/li>\n<li>Giai \u0111o\u1ea1n IA2: T1bN0M0<\/li>\n<li>Giai \u0111o\u1ea1n IA3: T1cN0M0<\/li>\n<li>Giai \u0111o\u1ea1n IB: T2aN0M0<\/li>\n<li>Giai \u0111o\u1ea1n IIA: T2bN0M0<\/li>\n<li>Giai \u0111o\u1ea1n IIB: T1a,1b,1cN1M0; T2a,2bN1M0; T3N0M0<\/li>\n<li>Giai \u0111o\u1ea1n IIIA: T1a,1b,1cN2M0; T2a,2bN2M0; T3N1M0; T4N0-1M0<\/li>\n<li>Giai \u0111o\u1ea1n IIIB: T1a,1b,1cN3M0; T2a,2bN3M0; T3-4N2M0<\/li>\n<li>Giai \u0111o\u1ea1n IIIC: T3-4N3M0<\/li>\n<li>Giai \u0111o\u1ea1n IVA: T b\u1ea5t k\u1ef3, N b\u1ea5t k\u1ef3, M1a,1b<\/li>\n<li>Giai \u0111o\u1ea1n IVB: T b\u1ea5t k\u1ef3, N b\u1ea5t k\u1ef3, M1c<\/li>\n<\/ul>\n<h2><strong>3. Ph\u00e2n chia giai \u0111o\u1ea1n tr\u00ean l\u00e2m s\u00e0ng <\/strong><\/h2>\n<p>Ngo\u00e0i ra, tr\u00ean l\u00e2m s\u00e0ng, c\u00e1c b\u00e1c s\u0129 ph\u00e2n chia giai \u0111o\u1ea1n ung th\u01b0 ph\u1ed5i d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 khu tr\u00fa c\u1ee7a kh\u1ed1i u:<\/p>\n<ul>\n<li><strong><em>Giai \u0111o\u1ea1n khu tr\u00fa<\/em><\/strong>: khi kh\u1ed1i u c\u00f2n khu tr\u00fa c\u00f3 th\u1ec3 bao ph\u1ee7 b\u1edfi m\u1ed9t tr\u01b0\u1eddng chi\u1ebfu x\u1ea1. Th\u01b0\u1eddng \u0111\u00e1nh gi\u00e1 gi\u1edbi h\u1ea1n \u1edf m\u1ed9t b\u00ean c\u1ee7a l\u1ed3ng ng\u1ef1c v\u00e0 h\u1ea1ch v\u00f9ng bao g\u1ed3m h\u1ea1ch trung th\u1ea5t, h\u1ea1ch th\u01b0\u1ee3ng \u0111\u00f2n c\u00f9ng b\u00ean. Bao g\u1ed3m giai \u0111o\u1ea1n I-III (T b\u1ea5t k\u1ef3, N b\u1ea5t k\u1ef3, M0) lo\u1ea1i tr\u1eeb c\u00e1c tr\u01b0\u1eddng h\u1ee3p T3-4 m\u00e0 kh\u1ed1i u qu\u00e1 lan r\u1ed9ng ho\u1eb7c c\u00f3 kh\u1ed1i u ho\u1eb7c h\u1ea1ch qu\u00e1 l\u1edbn v\u01b0\u1ee3t qu\u00e1 s\u1ef1 bao ph\u1ee7 m\u1ed9t tr\u01b0\u1eddng chi\u1ebfu x\u1ea1.<\/li>\n<li><strong><em>Giai \u0111o\u1ea1n lan tr\u00e0n<\/em><\/strong>: khi b\u1ec7nh v\u01b0\u1ee3t qu\u00e1 gi\u1edbi h\u1ea1n c\u00e1c v\u00f9ng tr\u00ean. Bao g\u1ed3m giai \u0111o\u1ea1n IV v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p T3-4 m\u00e0 kh\u1ed1i u qu\u00e1 lan r\u1ed9ng ho\u1eb7c c\u00f3 kh\u1ed1i u ho\u1eb7c h\u1ea1ch qu\u00e1 l\u1edbn v\u01b0\u1ee3t qu\u00e1 s\u1ef1 bao ph\u1ee7 m\u1ed9t tr\u01b0\u1eddng chi\u1ebfu x\u1ea1.<\/li>\n<\/ul>\n<h2>K\u1ebft lu\u1eadn<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n \u0111\u00fang giai \u0111o\u1ea1n b\u1ec7nh gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n, c\u00f3 th\u1ec3 l\u00e0 ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb, <a href=\"https:\/\/vinmecdr.com\/xa-tri-4d-ung-thu-phoi\/\">x\u1ea1 tr\u1ecb<\/a> ho\u1eb7c k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean. \u0110i\u1ec1u n\u00e0y gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho b\u1ec7nh nh\u00e2n. B\u00ean c\u1ea1nh \u0111\u00f3, ch\u1ea9n \u0111o\u00e1n \u0111\u00fang giai \u0111o\u1ea1n b\u1ec7nh c\u00f2n gi\u00fap d\u1ef1 \u0111o\u00e1n ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p ch\u0103m s\u00f3c v\u00e0 h\u1ed7 tr\u1ee3 ph\u00f9 h\u1ee3p.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi v\u00e0 g\u00e2y ra g\u00e1nh n\u1eb7ng l\u1edbn cho c\u00e1 nh\u00e2n v\u00e0 x\u00e3 h\u1ed9i. C\u0103n b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, s\u1ee9c kh\u1ecfe v\u00e0 n\u0103ng su\u1ea5t lao \u0111\u1ed9ng c\u1ee7a b\u1ec7nh nh\u00e2n. [&hellip;]<\/p>\n","protected":false},"author":61,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ung th\u01b0 ph\u1ed5i: ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh nh\u01b0 th\u1ebf n\u00e0o? - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ea9n \u0111o\u00e1n \u0111\u00fang giai \u0111o\u1ea1n ung th\u01b0 ph\u1ed5i b\u1ec7nh r\u1ea5t quan tr\u1ecdng, gi\u00fap b\u00e1c s\u0129 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n\" \/>\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=\"Ung th\u01b0 ph\u1ed5i: ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh nh\u01b0 th\u1ebf n\u00e0o? 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