{"id":19549,"date":"2023-04-13T10:08:28","date_gmt":"2023-04-13T03:08:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19549"},"modified":"2023-04-14T15:20:54","modified_gmt":"2023-04-14T08:20:54","slug":"tong-quan-ve-benh-san-mang-phoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/tong-quan-ve-benh-san-mang-phoi\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i"},"content":{"rendered":"

B\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i (Pulmonary Schistosomiasis) \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do k\u00fd sinh tr\u00f9ng s\u00e1n m\u00e1ng (thu\u1ed9c gi\u1ed1ng Schistosoma) g\u00e2y ra. Bi\u1ec3u hi\u1ec7n c\u1ee7a ph\u1ed5i trong b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ee5 thu\u1ed9c v\u00e0o ch\u1ee7ng lo\u1ea1i, s\u1ed1 l\u01b0\u1ee3ng k\u00fd sinh tr\u00f9ng, ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u1ea3 c\u00e1c giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng. Sau \u0111\u00e2y, ch\u00fang ta c\u00f9ng t\u00ecm hi\u1ec3u s\u01a1 l\u01b0\u1ee3c v\u1ec1 b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i.<\/strong><\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 c\u1ee7a b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i<\/h2>\n

B\u1ec7nh s\u00e1n m\u00e1ng<\/a> c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh Bilharzs hay s\u1ed1t \u1ed1c l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m k\u00fd sinh tr\u00f9ng, g\u00e2y ra b\u1edfi m\u1ed9t s\u1ed1 lo\u00e0i s\u00e1n thu\u1ed9c gi\u1ed1ng Schistosoma. S\u00e1n m\u00e1ng ph\u1ed5i c\u00f3 th\u1ec3 g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m S.mansoni, S.japonicum ho\u1eb7c S.haematobium c\u00f3 l\u00e1ch to. Sau khi x\u00e2m nh\u1eadp qua da, tr\u1ee9ng s\u00e1n chu du \u0111\u1ebfn ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. T\u1ea1i \u0111\u00e2y n\u00f3 g\u00e2y ra nh\u1eefng b\u1ec7nh l\u00fd t\u1ea1i ph\u1ed5i.<\/p>\n

B\u1ec7nh s\u00e1n m\u00e1ng th\u01b0\u1eddng g\u1eb7p nh\u1eefng khu v\u1ef1c \u0111ang ph\u00e1t tri\u1ec3n nh\u01b0 ch\u00e2u \u00c1, ch\u00e2u Phi v\u00e0 khu v\u1ef1c Nam M\u1ef9, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng v\u00f9ng c\u00f3 t\u1ed3n t\u1ea1i nhi\u1ec1u \u1ed1c n\u01b0\u1edbc ng\u1ecdt – \u0111i\u1ec1u ki\u1ec7n v\u00e0 v\u1eadt ch\u1ee7 trung gian g\u00e2y b\u1ec7nh s\u00e1n m\u00e1ng. Tr\u00ean th\u1ebf gi\u1edbi, \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 1,5 t\u1ef7 ng\u01b0\u1eddi trong h\u01a1n 190 qu\u1ed1c gia b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi lo\u1ea1i k\u00fd sinh tr\u00f9ng n\u00e0y (2021 – theo WHO). S\u1ef1 lan truy\u1ec1n b\u1ec7nh kh\u00e1c bi\u1ec7t nhau \u1edf m\u1ed9t v\u00e0i n\u01b0\u1edbc. \u0110\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng qu\u1ed1c gia c\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5 nh\u01b0 l\u00e0m n\u00f4ng nghi\u1ec7p; l\u00e0m vi\u1ec7c, sinh ho\u1ea1t \u1edf nh\u1eefng n\u01a1i c\u00f3 ngu\u1ed3n n\u01b0\u1edbc b\u1ecb \u00f4 nhi\u1ec5m,… th\u00ec nguy c\u01a1 m\u1eafc b\u1ec7nh s\u1ebd cao h\u01a1n. \u1ede nh\u1eefng v\u00f9ng c\u00f3 d\u1ecbch t\u1ec5, tr\u1ebb em l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 b\u1ecb nhi\u1ec5m b\u1ec7nh. C\u01b0\u1eddng \u0111\u1ed9 v\u00e0 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh t\u0103ng theo tu\u1ed5i v\u00e0 \u0111\u1ea1t \u0111\u1ec9nh \u0111i\u1ec3m \u1edf \u0111\u1ed9 tu\u1ed5i gi\u1eefa 10-20 tu\u1ed5i. Ng\u00e0y nay, ng\u01b0\u1eddi ta c\u00f2n ph\u00e1t hi\u1ec7n th\u1ea5y nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p m\u1eafc Schistosomiasis \u1edf nh\u1eefng n\u01b0\u1edbc kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5 do t\u00ecnh tr\u1ea1ng di c\u01b0 v\u00e0 kh\u00e1ch tham gia du l\u1ecbch ng\u00e0y c\u00e0ng ph\u00e1t tri\u1ec3n.<\/p>\n

2. K\u00fd sinh tr\u00f9ng s\u00e1n m\u00e1ng x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 con ng\u01b0\u1eddi nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh<\/strong>: K\u00fd sinh tr\u00f9ng s\u00e1n m\u00e1ng (Genus chistosoma -S.monsoni, S.mekongi, S.intercalatum, S.hematobium, v\u00e0 S.japonicum)<\/p>\n

V\u1eadt ch\u1ee7<\/strong>: \u1ed0c n\u01b0\u1edbc ng\u1ecdt h\u1ecd Planorbidae l\u00e0 v\u1eadt ch\u1ee7 trung gian truy\u1ec1n b\u1ec7nh \u1ea5u tr\u00f9ng s\u00e1n m\u00e1ng v\u00e0 con ng\u01b0\u1eddi c\u0169ng l\u00e0 m\u1ed9t v\u1eadt ch\u1ee7 trung gian.<\/p>\n

Chu tr\u00ecnh ph\u00e1t tri\u1ec3n v\u00e0 g\u00e2y b\u1ec7nh c\u1ee7a s\u00e1n m\u00e1ng ph\u1ed5i:<\/strong><\/p>\n

    \n
  1. Ngu\u1ed3n n\u01b0\u1edbc ng\u1ecdt b\u1ecb \u00f4 nhi\u1ec5m b\u1edf ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh s\u00e1n m\u00e1ng – ch\u1ee9a r\u1ea5t nhi\u1ec1u tr\u1ee9ng s\u00e1n m\u00e1ng.<\/li>\n
  2. Tr\u1ee9ng s\u00e1n m\u00e1ng g\u1eb7p n\u01b0\u1edbc s\u1ebd n\u1edf th\u00e0nh c\u00e1c \u1ea5u tr\u00f9ng s\u00e1n m\u00e1ng c\u00f3 l\u00f4ng b\u01a1i t\u1ef1 do trong n\u01b0\u1edbc.<\/li>\n
  3. Khi g\u1eb7p v\u1eadt ch\u1ee7 l\u00e0 \u1ed1c, c\u00e1c \u1ea5u tr\u00f9ng s\u00e1n x\u00e2m nh\u1eadp v\u00e0 sinh s\u1ea3n v\u00f4 t\u00ednh \u0111\u1ec3 t\u1ea1o ra h\u00e0ng ngh\u00ecn \u1ea5u tr\u00f9ng c\u00f3 \u0111u\u00f4i r\u1ed3i chui ra kh\u1ecfi \u1ed1c<\/li>\n
  4. Da ng\u01b0\u1eddi khi ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n n\u01b0\u1edbc ch\u1ee9a c\u00e1c \u1ea5u tr\u00f9ng s\u00e1n c\u00f3 \u0111u\u00f4i n\u00e0y, ch\u00fang s\u1ebd b\u00e1m d\u00ednh, xuy\u00ean qua da v\u00e0 di chuy\u1ec3n theo m\u1ea1ch m\u00e1u v\u00e0 chu du \u0111\u1ebfn ph\u1ed5i v\u00e0 \u1edf \u0111\u00f3 ch\u00fang th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc thay \u0111\u1ed5i, p h\u00e1t tri\u1ec3n c\u1ea7n thi\u1ebft \u0111\u1ec3 ti\u1ebfp t\u1ee5c di chuy\u1ec3n t\u1edbi gan.<\/li>\n
  5. T\u1ea1i gan, ch\u00fang k\u1ebft h\u1ee3p v\u1edbi nhau, th\u01b0\u1eddng \u1edf v\u1ecb tr\u00ed t\u0129nh m\u1ea1ch c\u1eeda ho\u1eb7c h\u1ec7 th\u1ed1ng b\u1ec3 ch\u1ee9a m\u00e1u, \u0111\u1ec3 \u0111\u1ebb tr\u1ee9ng.<\/li>\n
  6. Tr\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 chu du xu\u1ed1ng b\u00e0ng quang, ru\u1ed9t v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u.<\/li>\n<\/ol>\n

    Nh\u01b0 v\u1eady, ph\u1ed5i ch\u00ednh l\u00e0 c\u01a1 quan \u0111\u1ea7u ti\u00ean m\u00e0 c\u00e1c k\u00fd sinh tr\u00f9ng s\u00e1n t\u1edbi \u0111\u1ec3 tr\u01b0\u1edfng th\u00e0nh v\u00e0 \u0111\u1ed3ng th\u1eddi n\u00f3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c ch\u1ee9c n\u0103ng c\u1ee7a ph\u1ed5i.<\/p>\n

    \"chu
    Chu tr\u00ecnh sinh tr\u01b0\u1edfng v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a\u00a0 \u00a0 \u00a0 s\u00e1n m\u00e1ng ph\u1ed5i<\/figcaption><\/figure>\n

    3. Bi\u1ec3u hi\u1ec7n c\u1ee7a ph\u1ed5i trong b\u1ec7nh s\u00e1n m\u00e1ng l\u00e0 g\u00ec?<\/h2>\n

    T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do s\u00e1n m\u00e1ng kh\u00f4ng ph\u1ea3i hi\u1ebfm g\u1eb7p. T\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 ch\u1ee7ng lo\u1ea1i g\u00e2y b\u1ec7nh, s\u1ed1 l\u01b0\u1ee3ng k\u00fd sinh tr\u00f9ng, \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m s\u00e1n v\u00e0 c\u1ea3 giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng. L\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh ph\u1ed5i do s\u00e1n m\u00e1ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n c\u1ea5p, b\u00e1n c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh do t\u00ednh ph\u1ee9c t\u1ea1p c\u1ee7a chu tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a s\u00e1n trong v\u1eadt ch\u1ee7, c\u00e1c th\u1ec3 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a ph\u1ed5i g\u00e2y ra.<\/p>\n

    3.1 Nhi\u1ec5m s\u00e1n m\u00e1ng ph\u1ed5i c\u1ea5p t\u00ednh<\/h3>\n

    Th\u1eddi gian: 2-4 tu\u1ea7n sau khi ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp x\u00fac v\u1edbi y\u1ebfu t\u1ed1 nguy c\u01a1 b\u00ean ngo\u00e0i. Th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng du kh\u00e1c \u0111\u1ebfn v\u1edbi nh\u1eefng v\u00f9ng c\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5.<\/p>\n

    Bi\u1ec3u hi\u1ec7n c\u1ee7a nhi\u1ec5m s\u00e1n m\u00e1ng ph\u1ed5i c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam ph\u1ed5i tho\u00e1ng qua, th\u00e2m nhi\u1ec5m mau bay tr\u00ean phim XQ (H\u1ed9i ch\u1ee9ng Loeffler). Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea5p t\u00ednh nh\u01b0 s\u1ed1t, ho, th\u1edf r\u00edt v\u00e0 ban \u0111\u1ecf tr\u00ean da k\u1ebft h\u1ee3p v\u1edbi t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan (h\u1ed9i ch\u1ee9ng Katayama). Ngo\u00e0i ra b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 r\u00e9t run, \u0111au \u0111\u1ea7u, n\u1ed5i h\u1ea1ch ngo\u1ea1i bi\u00ean v\u00e0 gan l\u00e1ch to.<\/p>\n

    3.2 Nhi\u1ec5m s\u00e1n m\u00e1ng ph\u1ed5i b\u00e1n c\u1ea5p<\/h3>\n

    T\u00f9y thu\u1ed9c v\u00e0o ch\u1ee7ng lo\u1ea1i, s\u00e1n m\u00e1ng s\u1ebd chu du t\u1eeb c\u00e1c m\u1ea1ch m\u00e1u h\u1ec7 c\u1eeda \u0111\u1ebfn v\u1ecb tr\u00ed \u0111\u1ebb tr\u1ee9ng. Tr\u1ee9ng s\u00e1n s\u1ebd di chuy\u1ec3n ng\u01b0\u1ee3c d\u00f2ng t\u0129nh m\u1ea1ch v\u00e0o t\u1ed5 ch\u1ee9c \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u b\u1eb1ng t\u0129nh m\u1ea1ch, k\u00edch th\u00edch ph\u1ea3n \u1ee9ng vi\u00eam m\u1ea1ch v\u00e0 h\u00ecnh th\u00e0nh u h\u1ea1t, g\u00e2y t\u1eafc ngh\u1ebdn c\u00e1ch m\u1ea1ch m\u00e1u t\u1ea1i ph\u1ed5i. C\u00f3 th\u1ec3 g\u1eb7p t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i trong tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m S.haematobium. Ph\u1ea3n \u1ee9ng vi\u00eam h\u1ea1t c\u00f3 th\u1ec3 lan t\u1ecfa khu tr\u00fa ho\u1eb7c c\u00f3 th\u1ec3 lan r\u1ed9ng ra. Qu\u00e1 tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n

    Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u1edf giai \u0111o\u1ea1n n\u00e0y c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0 ho, thi\u1ebfu oxy, ph\u00f9 ph\u1ed5i v\u00e0 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi nguy c\u01a1 t\u1eed vong. Ch\u1ee5p XQ c\u00f3 h\u00ecnh \u1ea3nh \u0111\u00e1m m\u1edd, \u0111\u00f4i khi c\u00f3 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/p>\n

    3.3 Nhi\u1ec5m s\u00e1n m\u00e1ng ph\u1ed5i m\u1ea1n t\u00ednh<\/h3>\n

    T\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p trong giai \u0111o\u1ea1n n\u00e0y th\u01b0\u1eddng l\u00e0 u h\u1ea1t ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng k\u1ebd do vi\u00eam m\u1ea1ch. T\u00f9y v\u00e0o t\u1eebng lo\u1ea1i s\u00e1n m\u00e1ng m\u00e0 bi\u1ec3u hi\u1ec7n \u1edf c\u00e1c c\u01a1 quan kh\u00e1c nhau. S.haematobium g\u00e2y t\u00ecnh tr\u1ea1ng ngh\u1ebdn m\u1ea1ch n\u1eb7ng do tr\u1ee9ng s\u00e1n t\u1eeb \u0111\u00e1m r\u1ed1i t\u0129nh m\u1ea1ch hang \u0111\u1ebfn ph\u1ed5i. \u0110\u1ed1i v\u1edbi nhi\u1ec5m S.mansoni v\u00e0 S.japonicum do s\u00e1n tr\u01b0\u1edfng th\u00e0nh s\u1ed1ng trong t\u0129nh m\u1ea1ch m\u1ea1c treo b\u1ecb \u1ee9 \u0111\u1ecdng l\u1ea1i t\u1ea1i c\u00e1c ti\u1ec3u t\u0129nh m\u1ea1ch c\u1ee7a trong gan g\u00e2y ra u m\u1ea1ch, t\u1eafc t\u0129nh m\u1ea1ch c\u1eeda v\u00e0 qua nhi\u1ec1u n\u0103m g\u00e2y ra x\u01a1 h\u00f3a d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. Sau \u0111\u00f3, cacsc<\/strong> nh\u00e1nh n\u1ed1i t\u0129nh m\u1ea1ch c\u1eeda cho ph\u00e9p tr\u1ee9ng s\u00e1n tr\u1ef1c ti\u1ebfp \u0111i \u0111\u1ebfn ph\u1ed5i g\u00e2y l\u00ean b\u1ec7nh ph\u1ed5i k\u1ebd do s\u00e1n m\u00e1ng.<\/p>\n

    Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ch\u1ee7 y\u1ebfu \u1edf giai \u0111o\u1ea1n n\u00e0y bao g\u1ed3m t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, t\u00e2m ph\u1ebf m\u1ea1n, kh\u00f3 th\u1edf, gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng g\u1eafng s\u1ee9c, thi\u1ebfu oxy n\u1eb7ng, \u0111au ng\u1ef1c v\u00e0 ng\u00f3n tay d\u00f9i tr\u1ed1ng c\u00f3 th\u1ec3 g\u1eb7p<\/p>\n

    T\u00f3m l\u1ea1i, tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i r\u1ea5t \u0111a d\u1ea1ng. N\u00f3 ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 \u0111\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ec3u hi\u1ec7n kh\u00e1c nhau tr\u00ean l\u00e2m s\u00e0ng. \u0110\u1ec3 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c b\u1ec7nh, giai \u0111o\u1ea1n b\u1ec7nh v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng m\u00e0 s\u00e1n m\u00e1ng g\u00e2y ra, c\u00e1c b\u1ea1n c\u1ea7n ph\u1ea3i th\u0103m kh\u00e1m t\u1ea1i nh\u1eefng n\u01a1i uy t\u00edn v\u00e0 \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng.<\/p>\n

     <\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i (Pulmonary Schistosomiasis) \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do k\u00fd sinh tr\u00f9ng s\u00e1n m\u00e1ng (thu\u1ed9c gi\u1ed1ng Schistosoma) g\u00e2y ra. Bi\u1ec3u hi\u1ec7n c\u1ee7a ph\u1ed5i trong b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ee5 thu\u1ed9c v\u00e0o ch\u1ee7ng lo\u1ea1i, s\u1ed1 l\u01b0\u1ee3ng k\u00fd sinh tr\u00f9ng, ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u1ea3 c\u00e1c giai […]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i - Vinmec<\/title>\n<meta name=\"description\" content=\"Bi\u1ec3u hi\u1ec7n trong b\u1ec7nh s\u00e1n m\u00e1ng ph\u1ed5i g\u00e2y ra nhi\u1ec1u h\u00e2u qu\u1ea3 nghi\u00eam tr\u1ecdng. 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