{"id":18240,"date":"2023-04-11T07:42:35","date_gmt":"2023-04-11T00:42:35","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18240"},"modified":"2023-05-02T17:08:49","modified_gmt":"2023-05-02T10:08:49","slug":"benh-ly-niem-mac-mieng-o-nguoi-cao-tuoi-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/benh-ly-niem-mac-mieng-o-nguoi-cao-tuoi-tong-quan\/","title":{"rendered":"B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c mi\u1ec7ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i &#8211; T\u1ed5ng quan."},"content":{"rendered":"<p><strong>\u1ea2nh h\u01b0\u1edfng chung c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e3o ho\u00e1 s\u1ebd khi\u1ebfn cho m\u00f4 b\u1ecb kh\u00f4, m\u1ea5t n\u01b0\u1edbc, gi\u1ea3m t\u00ednh \u0111\u00e0n h\u1ed3i, gi\u1ea3m kh\u1ea3 n\u0103ng b\u00f9 tr\u1eeb v\u00e0 thay \u0111\u1ed5i t\u00ednh th\u1ea5m c\u1ee7a t\u1ebf b\u00e0o. B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c \u1edf ng\u01b0\u1eddi cao tu\u1ed5i g\u1eb7p nhi\u1ec1u h\u01a1n trong qu\u00e1 tr\u00ecnh l\u00e3o ho\u00e1 t\u1ed5 ch\u1ee9c khoang mi\u1ec7ng (s\u1ef1 m\u1ea5t ch\u1ee9c n\u0103ng v\u00e0 d\u1ec5 t\u1ed5n th\u01b0\u01a1ng). B\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp s\u00e2u v\u00e0o c\u00e1c d\u1ea1ng b\u1ec7nh l\u00fd ni\u00eam m\u1ea1c, c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh.<\/strong><\/p>\n<h2>1. M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd ni\u00eam m\u1ea1c mi\u1ec7ng th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i<\/h2>\n<h3>1.1. Lo\u00e9t do ch\u1ea5n th\u01b0\u01a1ng &#8211; B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c mi\u1ec7ng ph\u1ed5 bi\u1ebfn<\/h3>\n<figure id=\"attachment_18242\" aria-describedby=\"caption-attachment-18242\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18242\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/The-initial-condition-Figure-2-Oral-c-Personal-documentation-Perso_Q320-300x300.jpg\" alt=\"benh-ly-niem-mac-mieng\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/The-initial-condition-Figure-2-Oral-c-Personal-documentation-Perso_Q320-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/The-initial-condition-Figure-2-Oral-c-Personal-documentation-Perso_Q320-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/The-initial-condition-Figure-2-Oral-c-Personal-documentation-Perso_Q320.jpg 320w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18242\" class=\"wp-caption-text\">Lo\u00e9t mi\u1ec7ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i<\/figcaption><\/figure>\n<p>Lo\u00e9t do ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u00f3 ngu\u1ed3n g\u1ed1c do r\u0103ng khi c\u00f3 m\u1ed9t r\u0103ng g\u00e3y v\u1ee1 k\u00edch th\u00edch ni\u00eam m\u1ea1c ho\u1eb7c l\u1ee3i ho\u1eb7c do ph\u1ee5c h\u00ecnh kh\u00f4ng ph\u00f9 h\u1ee3p (b\u1edd ph\u1ee5c h\u00ecnh qu\u00e1 cao hay kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi m\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng, c\u00f3 c\u00e1c m\u00f3c g\u00e2y ch\u1ea5n th\u01b0\u01a1ng) t\u1ea1o n\u00ean m\u1ed9t gai k\u00edch th\u00edch d\u01b0\u1edbi d\u1ea1ng m\u1ed9t v\u1ebft th\u01b0\u01a1ng \u0111au, \u0111\u00e1y v\u00e0ng. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c ch\u1eefa kh\u1ecfi ho\u00e0n to\u00e0n sau kho\u1ea3ng 10 ng\u00e0y sau khi lo\u1ea1i b\u1ecf nguy\u00ean nh\u00e2n. N\u1ebfu t\u1ed5n th\u01b0\u01a1ng v\u1eabn c\u00f2n k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh sinh thi\u1ebft.<\/p>\n<h3>1.2. D\u1ecb s\u1ea3n tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt ni\u00eam m\u1ea1c ho\u1ea1i t\u1eed<\/h3>\n<p>Nguy\u00ean nh\u00e2n c\u1ee7a n\u00f3 ch\u01b0a \u0111\u01b0\u1ee3c t\u00ecm hi\u1ec3u r\u00f5, c\u00f3 th\u1ec3 l\u00e0 do ch\u1ee9ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 li\u00ean quan t\u1edbi ch\u1ea5n th\u01b0\u01a1ng, c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan t\u1edbi t\u00ecnh tr\u1ea1ng thi\u1ebfu dinh d\u01b0\u1ee1ng, s\u1ef1 thi\u1ebfu m\u00e1u, gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t c\u00f3 th\u1ec3 li\u00ean quan t\u1edbi t\u00ecnh tr\u1ea1ng nghi\u1ec7n r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y ch\u1ee7 y\u1ebfu \u1edf c\u00e1c tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt ph\u1ee5, ch\u1ee7 y\u1ebfu \u1edf m\u1eb7t v\u00f2m mi\u1ec7ng. Bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng \u0111\u1ecf lo\u00e9t, nham nh\u1edf, gi\u1ed1ng nh\u01b0 c\u00e1c m\u1ea3ng ch\u1ebft ho\u1ea1i t\u1eed, \u0111\u00e1y v\u00e0ng, t\u1ea1o ra c\u00e1c l\u1ed7 th\u1ee7ng tr\u00ean v\u00f2m mi\u1ec7ng, v\u00e0 th\u00f4ng th\u01b0\u01a1ng l\u00ean m\u0169i v\u00e0 xoang h\u00e0m tr\u00ean.<\/p>\n<p>M\u1eb7c d\u00f9 t\u1ed5n th\u01b0\u01a1ng tho\u00e1i tri\u1ec3n nh\u01b0ng bi\u1ec3u hi\u1ec7n c\u1ee7a n\u00f3 khi\u1ebfn ch\u00fang ta ngh\u0129 t\u1edbi m\u1ed9t d\u1ea1ng ung th\u01b0 xuy\u00ean v\u00e0 ph\u00e1 hu\u1ef7 c\u1ea7n thi\u1ebft ph\u1ea3i th\u1ef1c hi\u1ec7n sinh thi\u1ebft. Kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c bi\u1ec7t n\u00e0o ngo\u00e0i vi\u1ec7c gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au, ph\u1ee5c h\u1ed3i l\u1ea1i t\u1ed5 ch\u1ee9c khoang mi\u1ec7ng v\u00e0 c\u00e2n b\u1eb1ng l\u1ea1i ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng. N\u1ebfu nghi ng\u1edd c\u00f3 b\u1ed9i nhi\u1ec5m t\u1ed5n th\u01b0\u01a1ng th\u00ec b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh.<\/p>\n<h3>1.3. L\u01b0\u1ee1i l\u00e1ng m\u1ea5t u nh\u00fa<\/h3>\n<p>Ni\u00eam m\u1ea1c l\u01b0\u1ee1i ch\u1ecbu c\u00e1c bi\u1ebfn \u0111\u1ed5i m\u1ea1nh, kh\u00f4 \u0111i v\u00e0 m\u1ea5t c\u00e1c nh\u00fa l\u01b0\u1ee1i. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00e0ng n\u1eb7ng n\u1ec1 trong tr\u01b0\u1eddng h\u1ee3p gi\u1ea3m ti\u1ebft n\u01b0\u1edbc b\u1ecdt, do s\u1eed d\u1ee5ng thu\u1ed1c ho\u1eb7c kh\u00f4ng. Ni\u00eam m\u1ea1c l\u01b0\u1ee1i tr\u1edf n\u00ean l\u00e1ng, b\u00f3ng, s\u00e1ng l\u00ean v\u00e0 \u0111au. C\u00e1c b\u1ec7nh nh\u00e2n g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c \u0103n u\u1ed1ng v\u00e0 nu\u1ed1t.<\/p>\n<p>B\u1ec7nh n\u00e0y th\u01b0\u1eddng x\u1ea3y ra m\u1ed9t m\u00ecnh ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c b\u1ec7nh vi\u00eam l\u01b0\u1ee1i do n\u1ea5m Candida, hi\u1ebfm g\u1eb7p h\u01a1n l\u00e0 thi\u1ebfu m\u00e1u Biermer, vi\u00eam l\u01b0\u1ee1i Hunter, h\u1ed9i ch\u1ee9ng Gougerot- Sj\u00f6gren, vi\u00eam l\u1ee3i do thi\u1ebfu vitamin C (th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y m\u00e1u), thi\u1ebfu vitamin PP (g\u00e2y ra c\u00e1c lo\u00e9t d\u1ea1ng \u00e1p t\u01a1) v\u00e0 thi\u1ebfu m\u00e1u gi\u1ea3m s\u1eafc t\u1ed1 acrylic.<br \/>\nTrong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, c\u00e1c vi\u00eam l\u01b0\u1ee1i th\u01b0\u1eddng ch\u1ec9 tho\u00e1ng qua nh\u01b0ng \u1edf c\u00e1c b\u1ec7nh nh\u00e2n n\u1eef th\u00ec ch\u00fang tr\u1edf n\u00ean m\u1ea1n t\u00ednh.<\/p>\n<h3>1.4. Vi\u00eam l\u1ee3i d\u1ea1ng v\u1ea3y<\/h3>\n<p>D\u1ea1ng vi\u00eam l\u1ee3i n\u00e0y l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng m\u1ea1n t\u00ednh th\u01b0\u1eddng g\u1eb7p, \u0111\u1eb7c tr\u01b0ng b\u1edfi ban \u0111\u1ecf, tr\u1ee3t lo\u00e9t v\u00e0 t\u0103ng sinh c\u00e1c m\u1ee5n n\u01b0\u1edbc, \u0111\u00f3ng v\u1ea3y \u1edf l\u1ee3i d\u00ednh ho\u1eb7c l\u1ee3i di \u0111\u1ed9ng. B\u1ec7nh l\u00fd n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n n\u1eef t\u1eeb 50 tu\u1ed5i tr\u1edf l\u00ean.<\/p>\n<p>C\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd n\u00e0y, c\u00e1c nghi\u00ean c\u1ee9u s\u1eed d\u1ee5ng hu\u1ef3nh quang sinh thi\u1ebft l\u1ea1nh \u0111\u00e3 ch\u1ee9ng minh trong ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u s\u1eb9o c\u1ee7a pemphigoide, pemphigus th\u01b0\u1eddng, pemphigoide ni\u00eam m\u1ea1c v\u00e0 Lichen ph\u1eb3ng.<\/p>\n<p>S\u1ef1 bi\u1ebfn \u0111\u1ed5i hormone trong giai \u0111o\u1ea1n m\u00e3n kinh c\u0169ng \u0111\u00f3ng vai tr\u00f2 trong nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh.<\/p>\n<h3>1.5. U h\u1ea1t Fordyce<\/h3>\n<p>C\u00e1c h\u1ea1t Fordyce l\u00e0 nh\u1eefng tuy\u1ebfn m\u1ed3 h\u00f4i d\u1ecb s\u1ea3n trong ni\u00eam m\u1ea1c mi\u1ec7ng. N\u00f3 th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra bi\u1ebfn ch\u1ee9ng. Th\u01b0\u1eddng hi\u1ebfm g\u1eb7p nh\u01b0ng t\u0103ng theo tu\u1ed5i, t\u1ea1o ra c\u00e1c h\u1ea1t v\u00e0ng, th\u00e0nh c\u00e1c n\u1ebfp \u0111\u00f4i khi d\u00ednh nhau. V\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p \u1edf m\u00f4i tr\u00ean v\u00e0 v\u00f9ng h\u1eadu h\u00e0m v\u1edbi s\u1ef1 ph\u00e2n b\u1ed1 th\u01b0\u1eddng \u0111\u1ed1i x\u1ee9ng.<\/p>\n<h3>1.6. B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c mi\u1ec7ng &#8211; nhi\u1ec5m tr\u00f9ng<\/h3>\n<figure id=\"attachment_18243\" aria-describedby=\"caption-attachment-18243\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18243\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/prf_090216-300x212.jpg\" alt=\"benh-ly-niem-mac-mieng-2\" width=\"300\" height=\"212\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/prf_090216-300x212.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/prf_090216.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18243\" class=\"wp-caption-text\">Nhi\u1ec5m tr\u00f9ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i<\/figcaption><\/figure>\n<p>Ch\u1ee7 y\u1ebfu do n\u1ea5m Candidose, zona, pemphigus v\u00e0 pemphigus m\u1ee5n n\u01b0\u1edbc.<\/p>\n<p><span style=\"text-decoration: underline;\"><em>Candidose<\/em><\/span><\/p>\n<p>L\u00e0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng tr\u1eafng do n\u1ea5m Candida albicans khi c\u00f3 s\u1ef1 thay \u0111\u1ed5i c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4i trong khoang mi\u1ec7ng. C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i nh\u01b0:<\/p>\n<p>+ T\u1ea1i ch\u1ed7: v\u1ec7 sinh r\u0103ng mi\u1ec7ng k\u00e9m, thu\u1ed1c l\u00e1, ti\u00eau th\u1ee5 nhi\u1ec1u \u0111\u01b0\u1eddng.<\/p>\n<p>+ V\u00f9ng: X\u1ea1 tr\u1ecb lo\u1ea1n s\u1ea3n khoang mi\u1ec7ng hay tai m\u0169i h\u1ecdng.<\/p>\n<p>+ To\u00e0n th\u00e2n: gi\u1ea3m mi\u1ec5n d\u1ecbch, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, stress&#8230; Thu\u1ed1c: kh\u00e1ng sinh, c\u00e1c thu\u1ed1c corticoide, thu\u1ed1c ch\u1ed1ng \u0111\u00e0o th\u1ea3i m\u00f4.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n g\u1ed3m:<\/p>\n<p>+ Ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a khoang mi\u1ec7ng: l\u1ea5y cao r\u0103ng, c\u00e1c \u0111i\u1ec1u tr\u1ecb r\u0103ng v\u00e0 ph\u1ee5c h\u00ecnh.<\/p>\n<p>+ \u0110i\u1ec1u tr\u1ecb \u0111au: n\u01b0\u1edbc s\u00fac mi\u1ec7ng (aspirin, dung d\u1ecbch bicarbonate), gel xylocain, gel polysilane, gel sulcrafate. + \u0110i\u1ec1u tr\u1ecb n\u1ea5m: s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c nh\u01b0 myconazole, amphotericin B, mycostatin,<br \/>\nfluconazole,&#8230;<\/p>\n<p>+ \u0110i\u1ec1u tr\u1ecb gi\u1ea3m ti\u1ebft n\u01b0\u1edbc b\u1ecdt: t\u0103ng \u0111\u1ed9 \u1ea9m, k\u00edch th\u00edch ti\u1ebft n\u01b0\u1edbc b\u1ecdt.<\/p>\n<p>+ \u0110i\u1ec1u ch\u1ec9nh c\u00e2n b\u1eb1ng trong vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, th\u01b0\u1eddng kh\u00e1 kh\u00f3 kh\u0103n.<\/p>\n<p>+ \u0110i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n n\u1ebfu c\u00f3 v\u00ed d\u1ee5 \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p><em><span style=\"text-decoration: underline;\">Zona<\/span><\/em><\/p>\n<p>Li\u00ean quan t\u1edbi s\u1ef1 ho\u1ea1t \u0111\u1ed9ng l\u1ea1i c\u1ee7a virus HZV trong c\u00e1c h\u1ea1ch th\u1ea7n kinh c\u1ea3m gi\u00e1c v\u00e0 khi c\u00f3 s\u1ef1 gi\u1ea3m mi\u1ec5n d\u1ecbch \u0111\u1ed9t ng\u1ed9t, n\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c bi\u1ec3u hi\u1ec7n \u1edf ni\u00eam m\u1ea1c, th\u1ea7n kinh v\u00e0 nhi\u1ec5m tr\u00f9ng:<\/p>\n<p>+ Ni\u00eam m\u1ea1c: C\u00e1c m\u1ee5n nh\u1ecf m\u1ecdc m\u1ed9t b\u00ean ph\u00e1t tri\u1ec3n nhanh t\u1ea1o th\u00e0nh v\u1ebft lo\u00e9t \u0111au.<\/p>\n<p>+ Th\u1ea7n kinh: C\u00e1c c\u01a1n \u0111au t\u1ef1 nhi\u00ean, li\u00ean t\u1ee5c, d\u1eef d\u1ed9i li\u00ean quan t\u1edbi d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c. N\u00f3 c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng t\u1edbi d\u00e2y III (nh\u00e1nh m\u1eaft, h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi), d\u00e2y IX l\u00e0m r\u1ed1i lo\u1ea1n ho\u1ea1t \u0111\u1ed9ng nu\u1ed1t, d\u00e2y VII (g\u00e2y li\u1ec7t m\u1eb7t ngo\u1ea1i vi).<\/p>\n<p>+ Nhi\u1ec5m tr\u00f9ng: s\u1ed1t, t\u0103ng b\u1ea1ch c\u1ea7u, m\u1ec7t m\u1ecfi.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb: Thu\u1ed1c gi\u1ea3m \u0111au, kh\u00e1ng khu\u1ea9n (s\u00fac mi\u1ec7ng chlorhexidine), Corticoide (theo c\u01a1 ch\u1ebf chuy\u1ec3n ho\u00e1 v\u00e0 tu\u1ed5i), kh\u00e1ng virus (acyclovir theo \u0111\u01b0\u1eddng u\u1ed1ng hay ti\u00eam t\u0129nh m\u1ea1ch).<\/p>\n<p><em><span style=\"text-decoration: underline;\">Pemphigus v\u00e0 pemphigus m\u1ee5n n\u01b0\u1edbc<\/span><\/em><\/p>\n<p>C\u00e1c t\u1ed5n th\u01b0\u01a1ng m\u1ee5n n\u01b0\u1edbc \u0111\u1ec3 l\u1ea1i c\u00e1c v\u1ebft lo\u00e9t ch\u1ea3y m\u00e1u \u00edt hay nhi\u1ec1u, c\u00f3 th\u1ec3 tr\u00ean da hay ni\u00eam m\u1ea1c.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng nh\u01b0 gi\u1ea3i ph\u1eabu b\u1ec7nh b\u1eb1ng hu\u1ef3nh quang tr\u1ef1c ti\u1ebfp nh\u1eb1m t\u00ecm ki\u1ebfm IgG, m\u1ea3nh C3 hay c\u00e1c kh\u00e1ng th\u1ec3 tr\u00ean m\u00e0ng \u0111\u00e1y t\u1ebf b\u00e0o ho\u1eb7c ch\u1ea5t ch\u1ed1ng gian b\u00e0o tu\u1ef7 theo pemphigus hay pemphigus m\u1ee5n n\u01b0\u1edbc. C\u00e1c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng gi\u1ea3i quy\u1ebft tri\u1ec7u ch\u1ee9ng \u0111au v\u00e0 \u1ea3nh h\u01b0\u1edfng ch\u1ee9c n\u0103ng. Li\u1ec7u ph\u00e1p corticoid to\u00e0n th\u00e2n c\u00f3 k\u1ebft h\u1ee3p hay kh\u00f4ng v\u1edbi c\u00e1c ch\u1ea5t ch\u1ed1ng mi\u1ec5n d\u1ecbch trong pha c\u1ea5p th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n<p><em><span style=\"text-decoration: underline;\">T\u1ed5n th\u01b0\u01a1ng s\u1eebng ho\u00e1 tr\u1eafng<\/span><\/em><\/p>\n<p>Th\u01b0\u1eddng hay g\u1eb7p nh\u1ea5t l\u00e0 s\u1eebng ho\u00e1 do thu\u1ed1c l\u00e1 v\u00e0 Lichen ph\u1eb3ng.<\/p>\n<p>Ch\u00fang c\u00f3 th\u1ec3 t\u1ef1 xu\u1ea5t hi\u1ec7n hay d\u01b0\u1edbi \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00e1c t\u00e1c nh\u00e2n ung th\u01b0. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y n\u1ebfu c\u00e1c t\u00e1c nh\u00e2n nguy c\u01a1 b\u1ecb lo\u1ea1i b\u1ecf, c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1eef \u1ed5n \u0111\u1ecbnh.<\/p>\n<h3>1.7. S\u1eebng ho\u00e1 do thu\u1ed1c l\u00e1<\/h3>\n<p>&#8211; \u0110\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c t\u1ed5n th\u01b0\u01a1ng m\u00e0u tr\u1eafng, t\u1eadp trung \u00edt hay nhi\u1ec1u t\u1ea1i m\u1ed9t ch\u1ed7, chi\u1ec1u d\u00e0y kh\u00e1c nhau, d\u1ea1ng h\u00ecnh l\u00e1t, \u00edt nhi\u1ec1u lan to\u1ea3 tu\u1ef3 thu\u1ed9c b\u1ec7nh nh\u00e2n h\u00fat x\u00ec g\u00e0 hay thu\u1ed1c l\u00e1.<br \/>\n&#8211; C\u00e1c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n t\u1ea1i c\u00e1c v\u1ecb tr\u00ed ti\u1ebfp x\u00fac v\u1edbi thu\u1ed1c l\u00e1 (m\u00f4i, ti\u1ec1n \u0111\u00ecnh, m\u00e1, v\u00f2m mi\u1ec7ng, s\u1ea3n mi\u1ec7ng).<br \/>\n&#8211; Ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi sinh thi\u1ebft.<br \/>\n&#8211; N\u00f3 c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh ung th\u01b0 trong 20% tr\u01b0\u1eddng h\u1ee3p, ph\u1ed5 bi\u1ebfn nh\u1ea5t n\u1ebfu n\u00f3 c\u00f3<br \/>\nd\u1ea1ng s\u1ea7n s\u00f9i.<br \/>\n&#8211; \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch b\u1ecf thu\u1ed1c l\u00e1 ngay l\u1eadp t\u1ee9c v\u00e0 v\u0129nh vi\u1ec5n. Theo d\u00f5i v\u00e0 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd th\u00ec th\u1ef1c hi\u1ec7n sinh thi\u1ebft.<\/p>\n<h3>1.8. Lichen ph\u1eb3ng<\/h3>\n<p>Kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng, c\u00f3 th\u1ec3 do thu\u1ed1c l\u00e1, do thu\u1ed1c, t\u1ef1 mi\u1ec5n v\u00e0 n\u1eb7ng h\u01a1n do stress. Xu\u1ea5t hi\u1ec7n ch\u1ee7 y\u1ebfu \u1edf c\u00e1c v\u00f9ng ni\u00eam m\u1ea1c mi\u1ec7ng ph\u00eda sau (m\u1eb7t trong c\u1ee7a m\u00e1 v\u00e0 tam gi\u00e1c h\u1eadu h\u00e0m). Ngo\u00e0i ra, c\u00e1c ni\u00eam m\u1ea1c (sinh d\u1ee5c, h\u1eadu m\u00f4n), m\u00f4 li\u00ean k\u1ebft hay da c\u0169ng b\u1ecb nhi\u1ec5m Lichen. C\u1ea7n c\u00f3 m\u1ed9t th\u0103m kh\u00e1m to\u00e0n th\u00e2n. Bi\u1ec3u hi\u1ec7n ch\u1ee7 y\u1ebfu c\u1ee7a b\u1ec7nh n\u00e0y l\u00e0 c\u00e1c nh\u00fa Lichen. C\u00f3 th\u1ec3 g\u1eb7p c\u00e1c d\u1ea1ng ch\u1ea5m, s\u1ee3i nh\u00e1nh, m\u1ea1ng l\u01b0\u1edbi, d\u1ea1ng tr\u00f2n, m\u1ea3ng hay t\u1ea7ng l\u1edbp. B\u1ec7nh ti\u1ebfn tri\u1ec3n theo c\u00e1c giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng v\u00e0 y\u00ean l\u1eb7ng. S\u1ef1 ti\u1ebfn tri\u1ec3n th\u00e0nh d\u1ea1ng ung th\u01b0 \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n khi Lichen c\u00f3 d\u1ea5u hi\u1ec7u x\u00f3i m\u00f2n v\u00e0 teo \u0111i, chi\u1ebfm 0,3-10% c\u00e1c ca theo nhi\u1ec1u t\u00e1c gi\u1ea3. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh khi th\u1ef1c hi\u1ec7n sinh thi\u1ebft. N\u1ebfu Lichen kh\u00f4ng \u1edf d\u1ea1ng ho\u1ea1t \u0111\u1ed9ng, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1ec9 l\u00e0 theo d\u00f5i, ng\u01b0\u1ee3c l\u1ea1i, c\u00e1c d\u1ea1ng ho\u1ea1t \u0111\u1ed9ng c\u1ea7n ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb corticoid d\u00e0i ng\u00e0y (bao g\u1ed3m c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5) do c\u00f3 nguy c\u01a1 t\u00e1i ph\u00e1t. Ngo\u00e0i ra vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u00e2m l\u00fd cho b\u1ec7nh nh\u00e2n c\u0169ng r\u1ea5t c\u1ea7n thi\u1ebft.<\/p>\n<h3>1.9. U mi\u1ec7ng l\u00e0nh t\u00ednh<\/h3>\n<p>Th\u00f4ng th\u01b0\u1eddng, c\u00e1c d\u1ea1ng u l\u00e0nh t\u00ednh \u1edf ng\u01b0\u1eddi l\u1edbn th\u01b0\u1eddng c\u00f3 s\u1ef1 ph\u00e1t tri\u1ec3n ch\u1eadm ch\u1ea1p. N\u00f3 c\u00f3 th\u1ec3 l\u00e0 c\u00e1c u x\u01a1, u m\u1ee1, u nh\u00e1i. Ch\u1ec9 \u0111\u1ecbnh c\u1eaft b\u1ecf ch\u00fang ch\u1ec9 khi g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi b\u1ec7nh nh\u00e2n hay l\u00e0m c\u1ea3n tr\u1edf \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u1ee5c h\u00ecnh r\u0103ng. C\u00e1c u v\u00f2m mi\u1ec7ng, \u0111\u01b0\u1ee3c ph\u1ee7 b\u1edfi ni\u00eam m\u1ea1c b\u00ecnh th\u01b0\u1eddng, c\u00f3 th\u1ec3 b\u1ecb nghi ng\u1edd \u00e1c t\u00ednh v\u00e0 ph\u1ea3i ti\u1ebfn h\u00e0nh sinh thi\u1ebft. Qu\u00e1 s\u1ea3n l\u1ee3i hay u x\u01a1 ph\u1ee5c h\u00ecnh. Th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n mang ph\u1ee5c h\u00ecnh kh\u00f4ng ph\u00f9 h\u1ee3p hay kh\u00f4ng b\u00e1m d\u00ednh t\u1ed1t v\u1edbi t\u00ecnh tr\u1ea1ng x\u01b0\u01a1ng \u1ed5 r\u0103ng ph\u00eda d\u01b0\u1edbi. Ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf ph\u1ea3i \u0111i k\u00e8m v\u1edbi ph\u1ee5c h\u00ecnh ngay l\u1eadp t\u1ee9c nh\u1eb1m tr\u00e1nh s\u1ef1 m\u1ea5t chi\u1ec1u s\u00e2u ng\u00e1ch ti\u1ec1n \u0111\u00ecnh l\u00e0m ph\u1ee5c h\u00ecnh v\u0129nh vi\u1ec5n m\u1ea5t \u0111\u00e1p \u1ee9ng.<\/p>\n<h3>1.10. U mi\u1ec7ng \u00e1c t\u00ednh (Ung th\u01b0 bi\u1ec3u m\u00f4) &#8211; B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c nguy hi\u1ec3m<\/h3>\n<p>Khi ph\u00e1t hi\u1ec7n ra b\u1ec7nh, h\u1ecfi b\u1ec7nh cho ph\u00e9p x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c ti\u1ec1n s\u1eed c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n b\u1ec7nh, c\u00e1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 tr\u1ea3i qua ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb, x\u00e1c minh c\u00e1c nguy\u00ean nh\u00e2n nhi\u1ec5m \u0111\u1ed9c r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1, c\u00f3 th\u1ec3 quan s\u00e1t c\u00e1c lo\u1ea1i ung th\u01b0 \u0111i\u1ec3n h\u00ecnh, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1ee5 n\u1eef. Di truy\u1ec1n \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 \u0111i\u1ec1u ki\u1ec7n s\u1ed1ng nh\u01b0ng ch\u00fang ta kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf y\u1ebfu t\u1ed1 di truy\u1ec1n. C\u00e1c x\u00e9t nghi\u1ec7m cho th\u1ea5y c\u00e1c t\u1ed5n th\u01b0\u01a1ng khoang mi\u1ec7ng, ch\u1ee7 y\u1ebfu \u1edf m\u00f4i d\u01b0\u1edbi, l\u01b0\u1ee1i, s\u1ea3n mi\u1ec7ng, c\u00e1c lo\u00e9t duy nh\u1ea5t, c\u00f3 th\u1ec3 c\u00f3 d\u1ea1ng xo\u1eafn n\u1ee5, m\u00e0u h\u1ed3ng, s\u1edf h\u01a1i ch\u1eafc. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, ung th\u01b0 bi\u1ec3u m\u00f4 lo\u00e9t s\u1ea7n s\u00f9i c\u00f3 \u0111\u00e1y c\u1ee9ng. C\u00f3 th\u1ec3 c\u00f3 c\u00e1c h\u1ea1ch \u1edf c\u1ed5 nh\u01b0ng \u0111\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 y\u1ebfu t\u1ed1 b\u1eaft bu\u1ed9c m\u00e0 ch\u1ec9 l\u00e0 y\u1ebfu t\u1ed1 gi\u00fap ta nh\u1eadn bi\u1ebft r\u00f5 h\u01a1n. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n, \u0111\u1eb7c bi\u1ec7t trong th\u1eddi k\u1ef3 \u0111\u1ea7u c\u1ee7a b\u1ec7nh. Do v\u1eady, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p ph\u00e1t hi\u1ec7n s\u1edbm l\u00e0 r\u1ea5t quan tr\u1ecdng. Giai \u0111o\u1ea1n mu\u1ed9n, k\u00e8m theo s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a u, m\u1ee9c \u0111\u1ed9 \u0111au, ch\u1ea3y m\u00e1u v\u00e0 nu\u1ed1t kh\u00f3 t\u0103ng d\u1ea7n. Sinh thi\u1ebft l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh l\u00e0 b\u1eb1ng ch\u1ee9ng ch\u00ednh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<h2>2. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ec7nh l\u00fd ni\u00eam m\u1ea1c mi\u1ec7ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i<\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 v\u00e0 ung th\u01b0 mi\u1ec7ng \u1edf xoang mi\u1ec7ng v\u00e0 h\u1ea7u h\u1ecdng c\u00f3 t\u1ea7n su\u1ea5t b\u1ec7nh v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n b\u1ea5t k\u1ef3 lo\u1ea1i ung th\u01b0 n\u00e0o kh\u00e1c, v\u1edbi t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t tr\u00ean 5 n\u0103m kho\u1ea3ng 53%. Ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nh\u1ea5t \u0111\u1ed1i v\u1edbi t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 v\u00e0 ung th\u01b0 mi\u1ec7ng g\u1eb7p \u1edf nh\u00f3m tu\u1ed5i t\u1eeb 60 tr\u1edf l\u00ean. Y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh l\u00e0 h\u00fat thu\u1ed1c, u\u1ed1ng r\u01b0\u1ee3u. Y\u1ebfu t\u1ed1 kinh t\u1ebf \u2013 x\u00e3 h\u1ed9i c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn s\u1ef1 s\u1ed1ng c\u00f2n c\u1ee7a b\u1ec7nh ung th\u01b0 \u1edf NCT. Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 nh\u01b0 b\u1ea1ch s\u1ea3n, Lichen ph\u1eb3ng th\u01b0\u1edfng g\u1eb7p \u1edf NCT c\u0169ng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng kinh t\u1ebf \u2013 x\u00e3 h\u1ed9i th\u1ea5p.<\/p>\n<p>Ung th\u01b0 mi\u1ec7ng th\u01b0\u1edfng g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n h\u01a1n l\u00e0 c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n. T\u1ef7 l\u1ec7 b\u1ea1ch s\u1ea3n \u1edf NCT l\u00e0 1\u20134,8%, t\u1ef7 l\u1ec7 Lichen ph\u1eb3ng l\u00e0 1,1\u22126,6%. B\u1ea1ch s\u1ea3n th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u00e0n \u00f4ng trong khi Lichen ph\u1eb3ng th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef.<br \/>\nVi\u00eam mi\u1ec7ng do h\u00e0m gi\u1ea3 l\u00e0 t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c mi\u1ec7ng th\u01b0\u1eddng g\u1eb7p \u1edf NCT. T\u1ef7 l\u1ec7 n\u1ea3y chi\u1ebfm 11-67% \u1edf nh\u1eefng ng\u01b0\u1eddi mang ph\u1ee5c h\u00ecnh to\u00e0n ph\u1ea7n. Y\u1ebfu t\u1ed1 g\u00e2y vi\u00eam mi\u1ec7ng do h\u00e0m gi\u1ea3 c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn l\u00e0: do n\u1ea5m Candida albicans, do d\u1ecb \u1ee9ng v\u1edbi v\u1eadt li\u1ec7u l\u00e0m h\u00e0m gi\u1ea3, do b\u1ec7nh to\u00e0n th\u00e2n. T\u1ef7 l\u1ec7 vi\u00eam mi\u1ec7ng li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi v\u1ec7 sinh h\u00e0m gi\u1ea3, s\u1ed1 l\u01b0\u1ee3ng m\u1ea3ng b\u00e1m vi khu\u1ea9n \u1edf h\u00e0m gi\u1ea3.<\/p>\n<p>Y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c c\u1ee7a vi\u00eam mi\u1ec7ng do h\u00e0m gi\u1ea3 l\u00e0 mang h\u00e0m ban \u0111\u00eam, qu\u00ean ng\u00e2m h\u00e0m gi\u1ea3 v\u00e0o ban \u0111\u00eam, s\u1eed d\u1ee5ng h\u00e0m gi\u1ea3 kh\u00f4ng \u0111\u00fang v\u00e0 kh\u00f4ng th\u00edch h\u1ee3p, h\u00fat thu\u1ed1c, u\u1ed1ng r\u01b0\u1ee3u. Tr\u00ecnh \u0111\u1ed9 h\u1ecdc v\u1ea5n c\u00e0ng th\u1ea5p, t\u1ef7 l\u1ec7 vi\u00eam mi\u1ec7ng c\u00e0ng cao; c\u00e0ng \u00edt kh\u00e1m r\u0103ng mi\u1ec7ng, t\u1ed5n th\u01b0\u01a1ng mi\u1ec7ng do h\u00e0m gi\u1ea3 c\u00e0ng cao. Ngo\u00e0i vi\u00eam mi\u1ec7ng do h\u00e0m gi\u1ea3, c\u00e1c sang th\u01b0\u01a1ng kh\u00e1c c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn l\u00e0 lo\u00e9t do t\u0103ng s\u1ea3n v\u00e0 ch\u1ea5n th\u01b0\u01a1ng h\u00e0m gi\u1ea3; t\u1ef7 l\u1ec7 n\u00e0y \u1edf ng\u01b0\u1eddi mang h\u00e0m gi\u1ea3 l\u00e2u n\u0103m l\u00e0 4\u201326%. T\u0103ng s\u1ea3n do h\u00e0nh gi\u1ea3 th\u01b0\u1eddng g\u1eb7p \u1edf h\u00e0m gi\u1ea3 kh\u00f4ng kh\u00edt s\u00e1t hay k\u00e9m l\u01b0u gi\u1eef. C\u1ea3 hai sang th\u01b0\u01a1ng n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi mang h\u00e0m gi\u1ea3 to\u00e0n ph\u1ea7n h\u01a1n l\u00e0 h\u00e0m th\u00e1o l\u1eafp.<\/p>\n<p>Kho\u1ea3ng 50% ng\u01b0\u1eddi mang h\u00e0m gi\u1ea3 to\u00e0n ph\u1ea7n h\u00e0m tr\u00ean b\u1ecb vi\u00eam mi\u1ec7ng do n\u1ea5m Candida, \u1ede b\u1ec7nh nh\u00e2n AIDS, t\u1ef7 l\u1ec7 n\u00e0y cao \u1edf v\u00f9ng h\u1ea7u h\u1ecdng. \u1ede trong mi\u1ec7ng, n\u1ea5m Candida albicans hi\u1ec7n di\u1ec7n \u1edf t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 c\u1ee7a ni\u00eam m\u1ea1c m\u00e1, l\u01b0\u1ee1i, b\u1ec1 m\u1eb7t r\u0103ng v\u00e0 h\u00e0m gi\u1ea3.<\/p>\n<p><em>Ngu\u1ed3n: L\u00e3o nha &#8211; NXB Gi\u00e1o d\u1ee5c Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u1ea2nh h\u01b0\u1edfng chung c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e3o ho\u00e1 s\u1ebd khi\u1ebfn cho m\u00f4 b\u1ecb kh\u00f4, m\u1ea5t n\u01b0\u1edbc, gi\u1ea3m t\u00ednh \u0111\u00e0n h\u1ed3i, gi\u1ea3m kh\u1ea3 n\u0103ng b\u00f9 tr\u1eeb v\u00e0 thay \u0111\u1ed5i t\u00ednh th\u1ea5m c\u1ee7a t\u1ebf b\u00e0o. B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c \u1edf ng\u01b0\u1eddi cao tu\u1ed5i g\u1eb7p nhi\u1ec1u h\u01a1n trong qu\u00e1 tr\u00ecnh l\u00e3o ho\u00e1 t\u1ed5 ch\u1ee9c khoang mi\u1ec7ng (s\u1ef1 m\u1ea5t [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c mi\u1ec7ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i - T\u1ed5ng quan. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh l\u00fd ni\u00eam m\u1ea1c mi\u1ec7ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i g\u1eb7p nhi\u1ec1u trong l\u00e3o ho\u00e1 khoang mi\u1ec7ng. 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