{"id":18671,"date":"2023-04-13T00:56:42","date_gmt":"2023-04-12T17:56:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18671"},"modified":"2023-04-13T09:42:53","modified_gmt":"2023-04-13T02:42:53","slug":"theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/","title":{"rendered":"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

Vi\u00eam gan C (HCV) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan C g\u00e2y ra. B\u1ec7nh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 gan tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Theo d\u00f5i \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C l\u00e0 qu\u00e1 tr\u00ecnh theo d\u00f5i s\u00e1t sao t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. Qu\u00e1 tr\u00ecnh n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa gan ho\u1eb7c nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 chuy\u00ean m\u00f4n v\u1ec1 vi\u00eam gan C.<\/strong><\/p>\n

\"B\u00e1c
B\u00e1c s\u0129 l\u00e0 ng\u01b0\u1eddi theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n vi\u00eam gan virus C<\/figcaption><\/figure>\n

1. Theo d\u00f5i t\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/strong><\/h2>\n

– \u0110\u00e1nh gi\u00e1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb vi\u00eam gan vi r\u00fat C v\u00e0 tr\u01b0\u1edbc khi ng\u01b0\u1eddi b\u1ec7nh b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u00e1c thu\u1ed1c kh\u00e1c trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb (Ph\u1ee5 l\u1ee5c 5).<\/p>\n

– Theo d\u00f5i \u0111\u00e1nh gi\u00e1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed3ng nhi\u1ec5m HCV\/HIV do nhi\u1ec1u thu\u1ed1c DAA c\u00f3 t\u01b0\u01a1ng t\u00e1c v\u1edbi ARV, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 r\u1ed1i lo\u1ea1n nh\u1ecbp tim \u0111i\u1ec1u tr\u1ecb amiodaron c\u00f3 t\u01b0\u01a1ng t\u00e1c v\u1edbi SOF, VEL g\u00e2y ch\u1eadm nh\u1ecbp tim, ng\u01b0\u1eddi b\u1ec7nh \u0111ang s\u1eed d\u1ee5ng nh\u00f3m statin \u0111i\u1ec1u tr\u1ecb h\u1ea1 lipid m\u00e1u c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi SOF g\u00e2y t\u0103ng nguy c\u01a1 ly gi\u1ea3i c\u01a1 v\u00e2n…<\/p>\n

2. Theo d\u00f5i t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/strong><\/h2>\n

C\u00e1c thu\u1ed1c DAA c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u1eb9, th\u01b0\u1eddng t\u1ef1 kh\u1ecfi. X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn n\u1ebfu nghi ng\u1edd suy th\u1eadn khi s\u1eed d\u1ee5ng c\u00e1c ph\u00e1c \u0111\u1ed3 DAA c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 kh\u1ea3 n\u0103ng t\u01b0\u01a1ng t\u00e1c g\u00e2y \u0111\u1ed9c t\u00ednh l\u00ean th\u1eadn<\/p>\n

\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb RBV: Theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a RBV, x\u00e9t nghi\u1ec7m hemoglobin v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u1ef1a tr\u00ean m\u1ee9c hemoglobin.<\/p>\n

– \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 b\u1ec7nh tim m\u1ea1ch:<\/p>\n

+ Hemoglobin < 10g\/dL: gi\u1ea3m li\u1ec1u RBV t\u1eeb 800 – 1200 mg\/ng\u00e0y xu\u1ed1ng 600 mg\/ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 d\u00f9ng th\u00eam erythropoietin, darbepoietin.<\/p>\n

+ Hemoglobin 8,5 – 10g\/dL: gi\u1ea3m li\u1ec1u RBV 50% cho \u0111\u1ebfn li\u1ec1u 200mg\/ng\u00e0y.<\/p>\n

+ Hemoglobin < 8,5g\/dL: ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch \u1ed5n \u0111\u1ecbnh: gi\u1ea3m li\u1ec1u RBV n\u1ebfu hemoglobin gi\u1ea3m nhi\u1ec1u h\u01a1n 2g\/dL trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb 4 tu\u1ea7n. N\u1ebfu sau 4 tu\u1ea7n gi\u1ea3m li\u1ec1u m\u00e0 hemoglobin v\u1eabn gi\u1ea3m nhi\u1ec1u h\u01a1n 2g\/dL th\u00ec ng\u1eebng \u0111i\u1ec1u tr\u1ecb RBV.<\/p>\n

3. Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u01b0 v\u1ea5n h\u1ed7 tr\u1ee3 kh\u00e1c<\/strong><\/h2>\n

– Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p th\u00f4ng tin v\u1ec1 t\u1ea7m quan tr\u1ecdng c\u1ee7a tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, \u0111\u00e1nh gi\u00e1 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb m\u1ed7i l\u1ea7n t\u00e1i kh\u00e1m, nh\u1eadn thu\u1ed1c.<\/p>\n

– T\u01b0 v\u1ea5n v\u1ec1 t\u00e1c h\u1ea1i c\u1ee7a r\u01b0\u1ee3u bia<\/p>\n

– T\u01b0 v\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng, \u0111\u1eb7c bi\u1ec7t cho ng\u01b0\u1eddi b\u1ec7nh x\u01a1 gan<\/p>\n

– T\u01b0 v\u1ea5n v\u00e0 k\u1ebft n\u1ed1i ng\u01b0\u1eddi b\u1ec7nh vi\u00eam gan vi r\u00fat C nghi\u1ec7n ch\u00edch ma t\u00fay \u0111\u1ebfn c\u00e1c d\u1ecbch v\u1ee5 gi\u1ea3m h\u1ea1i<\/p>\n

– T\u01b0 v\u1ea5n nguy c\u01a1 x\u01a1 gan v\u00e0 HCC<\/p>\n

4. Theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb vi\u00eam gan vi r\u00fat C m\u1ea1n<\/strong><\/h2>\n

4.1. \u0110i\u1ec1u tr\u1ecb kh\u1ecfi<\/strong><\/p>\n

– \u0110\u1ea1t \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng vi r\u00fat b\u1ec1n v\u1eefng (SVR): T\u1ea3i l\u01b0\u1ee3ng HCV RNA d\u01b0\u1edbi ng\u01b0\u1ee1ng ph\u00e1t hi\u1ec7n \u1edf tu\u1ea7n th\u1ee9 12 sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb (SVR12).<\/p>\n

– Theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh sau khi \u0111i\u1ec1u tr\u1ecb kh\u1ecfi:<\/p>\n

+ Theo d\u00f5i bi\u1ebfn ch\u1ee9ng HCC \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi c\u00f3 x\u01a1 h\u00f3a gan \u2265 F3 b\u1eb1ng si\u00eau \u00e2m b\u1ee5ng v\u00e0 AFP m\u1ed7i 3-6 th\u00e1ng. X\u00e9t nghi\u1ec7m AFP-L3, PIVKA-II \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm HCC.<\/p>\n

+ Theo d\u00f5i bi\u1ebfn ch\u1ee9ng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh x\u01a1 gan: n\u1ed9i soi d\u1ea1 d\u00e0y ph\u00e1t hi\u1ec7n gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n \u0111\u1ec3 ph\u00f2ng ng\u1eeba xu\u1ea5t huy\u1ebft do v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n…<\/p>\n

+ T\u01b0 v\u1ea5n d\u1ef1 ph\u00f2ng t\u00e1i nhi\u1ec5m HCV tr\u00ean ng\u01b0\u1eddi b\u1ec7nh ti\u00eam ch\u00edch ma t\u00fay, nam quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ed3ng gi\u1edbi, ng\u01b0\u1eddi nhi\u1ec5m HIV.<\/p>\n

+ Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 t\u00e1i nhi\u1ec5m HCV ho\u1eb7c c\u00f3 t\u0103ng men gan tr\u1edf l\u1ea1i: c\u1ea7n ki\u1ec3m tra l\u1ea1i x\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng HCV RNA \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh t\u00e1i ph\u00e1t ho\u1eb7c nhi\u1ec5m HCV m\u1edbi.<\/p>\n

4.2. Ng\u1eebng \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n

Vi\u1ec7c ng\u1eebng \u0111i\u1ec1u tr\u1ecb r\u1ea5t \u00edt g\u1eb7p khi \u0111i\u1ec1u tr\u1ecb v\u1edbi ph\u00e1c \u0111\u1ed3 DAA. Tuy nhi\u00ean, c\u00f3 th\u1ec3 ng\u1eebng \u0111i\u1ec1u tr\u1ecb khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n n\u1eb7ng, \u0111e d\u1ecda t\u00ednh m\u1ea1ng (\u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ph\u00e1c \u0111\u1ed3 c\u00f3 ribavirin):<\/p>\n

+ ALT t\u0103ng \u2265 10 l\u1ea7n \u1edf tu\u1ea7n th\u1ee9 4 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

+ ALT t\u0103ng d\u01b0\u1edbi 10 l\u1ea7n \u1edf tu\u1ea7n th\u1ee9 4 \u0111i\u1ec1u tr\u1ecb nh\u01b0ng k\u00e8m theo b\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng: suy nh\u01b0\u1ee3c, bu\u1ed3n n\u00f4n, n\u00f4n, h\u1ed9i ch\u1ee9ng n\u00e3o gan, \u1ee9 m\u1eadt c\u00f3 t\u0103ng Bilirubin (Bilirubin TP > 3 mg\/dL ho\u1eb7c Bilirubin TT: >1,5 mg\/dL) v\u00e0\/ho\u1eb7c t\u0103ng phosphatase ki\u1ec1m c\u00f3 \u00fd ngh\u0129a.<\/p>\n

+ ALT t\u0103ng d\u01b0\u1edbi 10 l\u1ea7n \u1edf tu\u1ea7n th\u1ee9 4 \u0111i\u1ec1u tr\u1ecb v\u00e0 kh\u00f4ng gi\u1ea3m \u1edf tu\u1ea7n th\u1ee9 6 v\u00e0 tu\u1ea7n th\u1ee9 8 \u0111i\u1ec1u tr\u1ecb: xem x\u00e9t ng\u01b0ng \u0111i\u1ec1u tr\u1ecb sau khi \u0111\u00e3 lo\u1ea1i tr\u1eeb t\u0103ng ALT do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c.<\/p>\n

4.3. \u0110i\u1ec1u tr\u1ecb l\u1ea1i \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n

Th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn khi kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c SVR12 sau k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb\u00a0(B\u1ea3ng 7).<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb, c\u1ea7n x\u00e9t nghi\u1ec7m ki\u1ec3u gen HCV n\u1ebfu tr\u01b0\u1edbc \u0111\u00f3 ch\u01b0a x\u00e9t nghi\u1ec7m. Chuy\u1ec3n tuy\u1ebfn\/h\u1ed9i ch\u1ea9n xin \u00fd ki\u1ebfn chuy\u00ean gia \u0111\u1ec3 ch\u1ecdn l\u1ef1a ph\u00e1c \u0111\u1ed3 th\u00edch h\u1ee3p cho t\u1eebng c\u00e1 th\u1ec3, n\u1ebfu c\u1ea7n.<\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0B\u1ea3ng Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi <\/strong>\u0111i\u1ec1u tr\u1ecb <\/strong>th\u1ea5t b\u1ea1i\u00a0<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb th\u1ea5t b\u1ea1i<\/strong><\/td>\nPh\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb l\u1ea1i v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb<\/strong><\/td>\n<\/tr>\n
Ph\u00e1c \u0111\u1ed3 thay th\u1ebf<\/strong><\/td>\nKh\u00f4ng x\u01a1 gan v\u00e0 x\u01a1 gan c\u00f2n b\u00f9<\/strong><\/td>\nX<\/strong>\u01a1<\/strong>\u00a0gan m\u1ea5t b\u00f9<\/strong><\/td>\n<\/tr>\n
SOF + RBV<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
SOF\/VEL<\/td>\n12 tu\u1ea7n<\/td>\n24 tu\u1ea7n (+RBV)<\/td>\n<\/tr>\n
SOF\/VEL\/VOX1<\/sup><\/td>\n12 tu\u1ea7n<\/td>\nKh\u00f4ng<\/td>\n<\/tr>\n
GLE\/PIB2<\/sup><\/td>\n12 tu\u1ea7n<\/td>\nKh\u00f4ng<\/td>\n<\/tr>\n
SOF\/DAC<\/p>\n

SOF\/LDV<\/td>\n

SOF\/VEL +RBV<\/td>\n24 tu\u1ea7n<\/td>\n24 tu\u1ea7n<\/td>\n<\/tr>\n
SOF\/VEL\/VOX1<\/sup><\/td>\n12 tu\u1ea7n<\/td>\nKh\u00f4ng<\/td>\n<\/tr>\n
GLE\/PIB2<\/sup><\/td>\n12 tu\u1ea7n<\/td>\nKh\u00f4ng<\/td>\n<\/tr>\n
SOF\/VEL<\/td>\nSOF\/VEL +RBV<\/td>\n24 tu\u1ea7n<\/td>\n24 tu\u1ea7n<\/td>\n<\/tr>\n
SOF\/VEL\/VOX1<\/sup><\/td>\n12 tu\u1ea7n<\/td>\nKh\u00f4ng<\/td>\n<\/tr>\n
GLE\/PIB2<\/sup><\/td>\n12 tu\u1ea7n<\/td>\nKh\u00f4ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

1, 2<\/sup>\u00a0Thu\u1ed1c ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd t\u1ea1i Vi\u1ec7t Nam v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n. Ch\u1ec9 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n khi c\u00e1c thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf c\u1ea5p ph\u00e9p.<\/p>\n

L\u01b0u \u00fd:<\/strong> C\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c ph\u00e1c \u0111\u1ed3 DAA kh\u00f4ng \u0111\u1ec1 c\u1eadp trong b\u1ea3ng, vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb l\u1ea1i ph\u1ea3i c\u00f3 \u00fd ki\u1ebfn h\u1ed9i ch\u1ea9n v\u1edbi chuy\u00ean gia trong t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/p>\n

T\u00f3m l\u1ea1i, theo d\u00f5i \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. Vi\u1ec7c tham gia kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7u qu\u1ea3.<\/p>\n

\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0HOTLINE<\/strong><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\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.\u00a0 https:\/\/youtu.be\/sJAOMNkNpz8<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam gan C (HCV) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan C g\u00e2y ra. B\u1ec7nh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 gan tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Theo d\u00f5i \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C l\u00e0 qu\u00e1 tr\u00ecnh theo d\u00f5i s\u00e1t sao t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n trong su\u1ed1t […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nTheo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf<\/title>\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=\"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf\" \/>\n<meta property=\"og:description\" content=\"Vi\u00eam gan C (HCV) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan C g\u00e2y ra. B\u1ec7nh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 gan tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Theo d\u00f5i \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C l\u00e0 qu\u00e1 tr\u00ecnh theo d\u00f5i s\u00e1t sao t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n trong su\u1ed1t […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-12T17:56:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-13T02:42:53+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-817537942-612x612-1-300x252.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\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/\",\"name\":\"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-12T17:56:42+00:00\",\"dateModified\":\"2023-04-13T02:42:53+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\",\"name\":\"mitkaka mitkaka\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/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":"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf","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":"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf","og_description":"Vi\u00eam gan C (HCV) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan C g\u00e2y ra. B\u1ec7nh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 gan tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Theo d\u00f5i \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C l\u00e0 qu\u00e1 tr\u00ecnh theo d\u00f5i s\u00e1t sao t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n trong su\u1ed1t […]","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/","og_site_name":"Vinmec","article_published_time":"2023-04-12T17:56:42+00:00","article_modified_time":"2023-04-13T02:42:53+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-817537942-612x612-1-300x252.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":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/","name":"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-12T17:56:42+00:00","dateModified":"2023-04-13T02:42:53+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/theo-doi-trong-qua-trinh-dieu-tri-viem-gan-virus-c-cua-bo-y-te\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C c\u1ee7a B\u1ed9 Y t\u1ebf"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c","name":"mitkaka mitkaka","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/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\/18671"}],"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=18671"}],"version-history":[{"count":5,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/18671\/revisions"}],"predecessor-version":[{"id":19022,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/18671\/revisions\/19022"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=18671"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=18671"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=18671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}