{"id":19574,"date":"2023-04-13T09:57:08","date_gmt":"2023-04-13T02:57:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19574"},"modified":"2023-05-02T16:44:17","modified_gmt":"2023-05-02T09:44:17","slug":"benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/","title":{"rendered":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng – Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh."},"content":{"rendered":"

B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng c\u00f3 th\u1ec3 b\u1eaft ngu\u1ed3n t\u1eeb c\u00e1c nguy\u00ean nh\u00e2n nh\u01b0 vi khu\u1ea9n, c\u00e1c k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y. Nha s\u0129 c\u1ea7n c\u00f3 c\u00e1i nh\u00ecn s\u00e2u s\u1eafc \u0111\u1ec3 n\u1eafm r\u00f5 c\u00e1c v\u1ea5n \u0111\u1ec1, \u0111\u1ed3ng th\u1eddi r\u00e8n luy\u1ec7n b\u1ea3n th\u00e2n th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng d\u1ef1a tr\u00ean l\u00fd thuy\u1ebft c\u01a1 b\u1ea3n hi\u1ec7u qu\u1ea3 h\u01a1n.<\/strong><\/p>\n

\"benh-ly-tuy-rang\"
B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng – Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh<\/figcaption><\/figure>\n

1. Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh l\u00fd tu\u1ef7 r\u0103ng<\/h2>\n

1.1. Vi khu\u1ea9n<\/h3>\n

\u2013 Vi khu\u1ea9n c\u00f3 m\u1eb7t trong s\u00e2u r\u0103ng l\u00e0 nh\u1eefng ngu\u1ed3n k\u00edch th\u00edch ch\u00ednh t\u1ee7y r\u0103ng v\u00e0 m\u00f4 quanh r\u0103ng.<\/p>\n

\u2013 Trong men v\u00e0 ng\u00e0 s\u00e2u ch\u1ee9a r\u1ea5t nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n nh\u01b0 Streptococcus mutans, Lactobacilli v\u00e0 Actinomyces. M\u1eadt \u0111\u1ed9 c\u1ee7a nh\u1eefng vi khu\u1ea9n tr\u00ean gi\u1ea3m xu\u1ed1ng, th\u1eadm ch\u00ed kh\u00f4ng c\u00f2n trong l\u1edbp s\u00e2u nh\u1ea5t c\u1ee7a ng\u00e0.<\/p>\n

\u2013 Ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd t\u1ee7y r\u0103ng v\u00e0 vi\u00eam tu\u1ef7 x\u1ea3y ra do trong l\u1ed7 s\u00e2u \u0111\u1ed9c t\u1ed1 c\u1ee7a vi khu\u1ea9n th\u1ea5m qua c\u00e1c \u1ed1ng ng\u00e0 v\u00e0o tu\u1ef7. Nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng, ngay c\u1ea3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nh\u1ecf trong men r\u0103ng c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u1edf t\u1ee7y r\u0103ng.<\/p>\n

\u2013 T\u1ee7y b\u1ecb th\u00e2m nhi\u1ec5m t\u1ea1i ch\u1ed7 ban \u0111\u1ea7u b\u1eb1ng nh\u1eefng t\u1ebf b\u00e0o vi\u00eam m\u1ea1n t\u00ednh nh\u01b0 nh\u1eefng \u0111\u1ea1i th\u1ef1c b\u00e0o, lympho b\u00e0o, huy\u1ebft t\u01b0\u01a1ng b\u00e0o. Khi qu\u00e1 tr\u00ecnh s\u00e2u ti\u1ebfn v\u1ec1 ph\u00eda t\u1ee7y r\u0103ng, c\u01b0\u1eddng \u0111\u1ed9 v\u00e0 t\u00ednh ch\u1ea5t c\u1ee7a th\u00e2m nhi\u1ec5m thay \u0111\u1ed5i. Khi t\u1ee7y b\u1ecb h\u1edf, m\u00f4 tu\u1ef7 b\u1ecb th\u00e2m nhi\u1ec5m t\u1ea1i ch\u1ed7 b\u1edfi b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n. Sau khi tu\u1ef7 b\u1ed9c l\u1ed9, vi khu\u1ea9n x\u00e2m chi\u1ebfm \u1edf ch\u1ed7 tu\u1ef7 b\u1ed9c l\u1ed9.<\/p>\n

\u2013 M\u00f4 tu\u1ef7 c\u00f3 th\u1ec3 d\u1eebng \u1edf vi\u00eam trong m\u1ed9t th\u1eddi gian d\u00e0i v\u00e0 cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 b\u1ecb ho\u1ea1i t\u1eed hay tr\u1edf th\u00e0nh ho\u1ea1i t\u1eed nhanh ch\u00f3ng. \u0110i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1: (1) \u0110\u1ed9c t\u00ednh c\u1ee7a vi khu\u1ea9n. (2) Kh\u1ea3 n\u0103ng gi\u1ea3i ph\u00f3ng d\u1ecbch vi\u00eam \u0111\u1ec3 tr\u00e1nh t\u0103ng \u00e1p l\u1ef1c n\u1ed9i t\u1ee7y (3) S\u1ef1 \u0111\u1ec1 kh\u00e1ng. (4) L\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n v\u00e0 (5) Quan tr\u1ecdng nh\u1ea5t l\u00e0 d\u1eabn l\u01b0u b\u1ea1ch huy\u1ebft.<\/span><\/p>\n

Sau vi\u00eam t\u1ee7y v\u00e0 ho\u1ea1i t\u1eed tu\u1ef7, m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u1edf ch\u00f3p r\u0103ng ch\u1eafc ch\u1eafn x\u1ea3y ra. Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng l\u00fac \u0111\u1ea7u lan theo chi\u1ec1u ngang, sau \u0111\u00f3 theo chi\u1ec1u d\u1ecdc tr\u01b0\u1edbc khi ch\u00fang d\u1eebng l\u1ea1i. <\/span>Nh\u01b0 v\u1eady, vi khu\u1ea9n \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong b\u1ec7nh l\u00fd t\u1ee7y r\u0103ng v\u00e0 c\u00e1c m\u00f4 quanh r\u0103ng<\/span><\/p>\n

C\u00e1c \u0111\u01b0\u1eddng x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n g\u00e2y b\u1ec7nh l\u00fd t\u1ee7y r\u0103ng – vi\u00eam t\u1ee7y:<\/span><\/p>\n

+ Qua l\u1ed7 s\u00e2u h\u1edf tu\u1ef7 ho\u1eb7c c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u1ee9t g\u00e3y th\u00e2n r\u0103ng.<\/span><\/p>\n

+ Qua \u1ed1ng ng\u00e0.<\/span><\/p>\n

+ Qua r\u00e3nh l\u1ee3i v\u00e0 d\u00e2y ch\u1eb1ng quanh r\u0103ng. Nhi\u1ec5m tr\u00f9ng nha chu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u00f4 tu\u1ef7 qua c\u00e1c \u0111\u01b0\u1eddng sau: c\u00e1c \u1ed1ng tu\u1ef7 ph\u1ee5, c\u00e1c \u1ed1ng ng\u00e0, c\u00e1c \u1ed1ng tu\u1ef7 ph\u1ee5 \u1edf v\u00f9ng ch\u1ebd, khoang ngo\u1ea1i ti\u00eau.<\/p>\n

+ Qua l\u1ed7 cu\u1ed1ng r\u0103ng g\u1eb7p trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam tu\u1ef7 ng\u01b0\u1ee3c d\u00f2ng.<\/p>\n

+ Qua \u0111\u01b0\u1eddng m\u00e1u: \u00edt g\u1eb7p.<\/p>\n

1.2. C\u00e1c k\u00edch th\u00edch c\u01a1 h\u1ecdc<\/h3>\n

C\u00f9ng v\u1edbi k\u00edch th\u00edch vi khu\u1ea9n, tu\u1ef7 v\u00e0 m\u00f4 quanh ch\u00e2n r\u0103ng c\u00f3 th\u1ec3 b\u1ecb k\u00edch th\u00edch c\u01a1 h\u1ecdc.<\/p>\n

a) Y\u00eau t\u1ed1 nhi\u1ec7t:<\/p>\n

Do qu\u00e1 tr\u00ecnh m\u00e0i r\u0103ng s\u1eed d\u1ee5ng tay khoan si\u00eau t\u1ed1c kh\u00f4ng c\u00f3 n\u01b0\u1edbc hay n\u01b0\u1edbc kh\u00f4ng \u0111\u1ee7, \u0111\u00e1nh b\u00f3ng ch\u1ea5t tr\u00e1m, nhi\u1ec7t sinh ra trong qu\u00e1 tr\u00ecnh ch\u1ea5t tr\u00e1m \u0111\u00f4ng c\u1ee9ng \u0111\u00e3 g\u00e2y h\u1eadu qu\u1ea3 gi\u00e3n m\u1ea1ch tu\u1ef7. Qu\u00e1 tr\u00ecnh c\u1eaft ng\u00e0 t\u1ea1o ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng m\u00f4 tu\u1ef7 kh\u00e1c nhau ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc m\u0169i khoan, t\u1ed1c \u0111\u1ed9, nhi\u1ec7t \u0111\u1ed9, \u0111\u1ed9 s\u00e2u c\u1ee7a khoang tr\u00e1m. N\u1ebfu nh\u1eefng k\u00edch th\u00edch n\u00f3i tr\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf, c\u00e1c nguy\u00ean b\u00e0o t\u1ea1o ng\u00e0 \u1edf d\u01b0\u1edbi s\u1ebd b\u1ecb ph\u00e1 hu\u1ef7. Y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ec3 b\u1ea3o v\u1ec7 m\u00f4 tu\u1ef7 l\u00e0 \u0111\u1ed9 d\u00e0y c\u1ee7a l\u1edbp ng\u00e0 c\u00f2n l\u1ea1i \u1edf tr\u1ea7n bu\u1ed3ng t\u1ee7y.<\/p>\n

b) Y\u1ebfu t\u1ed1 v\u1eadt l\u00fd:<\/p>\n

Trong \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha \u0111\u01b0a m\u1ed9t l\u1ef1c v\u01b0\u1ee3t qu\u00e1 s\u1ef1 ch\u1ecbu \u0111\u1ef1ng sinh l\u00fd c\u1ee7a d\u00e2y ch\u1eb1ng quanh r\u0103ng s\u1ebd d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n cung c\u1ea5p m\u00e1u v\u00e0 th\u1ea7n kinh c\u1ee7a m\u00f4 tu\u1ef7. H\u1eadu qu\u1ea3 c\u1ee7a nh\u1eefng thay \u0111\u1ed5i \u0111\u00f3 bao g\u1ed3m teo m\u00f4 v\u00e0 bi\u1ebfn \u0111\u1ed5i th\u00e2n t\u1ebf b\u00e0o th\u1ea7n kinh. Th\u00eam n\u1eefa, s\u1ef1 di chuy\u1ec3n do ch\u1ec9nh nha c\u00f3 th\u1ec3 l\u00e0m ti\u00eau ch\u00f3p ch\u00e2n r\u0103ng ban \u0111\u1ea7u. N\u1ea1o s\u00e2u t\u00fai quanh r\u0103ng c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u v\u00e0 th\u1ea7n kinh ch\u00f3p ch\u00e2n r\u0103ng, k\u1ebft qu\u1ea3 tu\u1ef7 b\u1ecb ph\u00e1 hu\u1ef7. Va ch\u1ea1m c\u00f3 hay kh\u00f4ng k\u00e8m theo v\u1ebft n\u1ee9t th\u00e2n ho\u1eb7c ch\u00e2n r\u0103ng c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n t\u1ed5n th\u01b0\u01a1ng tu\u1ef7. T\u00ednh ch\u1ea5t nghi\u00eam tr\u1ecdng ch\u1ea5n th\u01b0\u01a1ng v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u00f3ng k\u00edn cu\u1ed1ng l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ec3 ph\u1ee5c h\u1ed3i tu\u1ef7 r\u0103ng. S\u1ef1 s\u1ed1ng s\u00f3t c\u1ee7a tu\u1ef7 \u1edf nh\u1eefng r\u0103ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng nh\u1eb9 v\u00e0 cu\u1ed1ng r\u0103ng ch\u01b0a \u0111\u00f3ng k\u00edn t\u1ed1t h\u01a1n \u1edf nh\u1eefng r\u0103ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng v\u00e0 cu\u1ed1ng \u0111\u00e3 \u0111\u00f3ng.<\/p>\n

1.3. K\u00edch th\u00edch h\u00f3a h\u1ecdc<\/h3>\n

K\u00edch th\u00edch h\u00f3a h\u1ecdc c\u1ee7a tu\u1ef7 r\u0103ng bao g\u1ed3m c\u00e1c ch\u1ea5t kh\u00e1c nhau:<\/p>\n

\u2013 Ch\u1ea5t l\u00e0m s\u1ea1ch ng\u00e0 (alcohol, chloroform, oxy gi\u00e0 v\u00e0 c\u00e1c acid kh\u00e1c nhau).<\/p>\n

\u2013 Ch\u1ea5t ch\u1ed1ng nh\u1ea1y c\u1ea3m nh\u01b0 m\u1ed9t v\u00e0i c\u00e1c ch\u1ea5t c\u00f3 trong nh\u1eefng v\u1eadt li\u1ec7u h\u00e0n t\u1ea1m v\u00e0 h\u00e0n v\u0129nh vi\u1ec5n.<\/p>\n

\u2013 Ch\u1ea5t ch\u1ed1ng vi khu\u1ea9n: nitrat b\u1ea1c, phenol c\u00f3 hay kh\u00f4ng c\u00f3 camphor v\u00e0 eugenol \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 ch\u1ea5t kh\u1eed tr\u00f9ng ng\u00e0 sau khi \u0111\u00e3 chu\u1ea9n b\u1ecb xong l\u1ed7 tr\u00e1m. Nh\u01b0ng d\u00f9 sao hi\u1ec7u qu\u1ea3 kh\u1eed tr\u00f9ng c\u1ee7a ch\u00fang c\u00f2n nghi ng\u1edd. V\u00e0 \u0111\u1ed9c t\u1ed1 c\u1ee7a ch\u00fang c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam t\u1ee7y r\u0103ng.<\/p>\n

\u2013 C\u00e1c ch\u1ea5t l\u00e0m s\u1ea1ch v\u00e0 t\u1ea1o h\u00ecnh \u1ed1ng t\u1ee7y, v\u00e0i h\u1ee3p ch\u1ea5t c\u00f3 m\u1eb7t trong ch\u1ea5t h\u00e0n \u1ed1ng tu\u1ef7 c\u00f3 th\u1ec3 g\u00e2y k\u00edch th\u00edch m\u00f4 quanh ch\u00f3p r\u0103ng.<\/p>\n

2. Ba \u0111\u1eb7c t\u00ednh m\u00f4 h\u1ecdc quan tr\u1ecdng nh\u1ea5t trong b\u1ec7nh l\u00fd tu\u1ef7 r\u0103ng<\/h2>\n

\u2013 S\u1ef1 m\u1ea5t c\u00e2n x\u1ee9ng gi\u1eefa th\u1ec3 t\u00edch m\u00f4 tu\u1ef7 v\u00e0 h\u1ec7 th\u1ed1ng cung c\u1ea5p m\u00e1u. \u0110\u00e2y th\u1ef1c ch\u1ea5t l\u00e0 h\u1ec7 th\u1ed1ng vi tu\u1ea7n ho\u00e0n, n\u00ean l\u01b0\u1ee3ng m\u00e1u cung c\u1ea5p kh\u00f4ng \u0111\u1ee7 cho s\u1ef1 h\u00e0n g\u1eafn m\u00f4 tu\u1ef7 b\u1ec7nh.<\/p>\n

\u2013 H\u1ec7 th\u1ed1ng cung c\u1ea5p m\u00e1u thi\u1ebfu c\u1ea5u tr\u00fac tu\u1ea7n ho\u00e0n ph\u1ee5. C\u00e1c ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch \u0111i qua l\u1ed7 cu\u1ed1ng b\u00ean s\u1ebd b\u1ecb t\u1eafc d\u1ea7n theo qu\u00e1 tr\u00ecnh calci ho\u00e1.<\/p>\n

\u2013 Th\u1ec3 t\u00edch bu\u1ed3ng t\u1ee7y kh\u00f4ng thay \u0111\u1ed5i n\u00ean t\u1ee7y r\u1ea5t d\u1ec5 b\u1ecb ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch ngay trong giai \u0111o\u1ea1n ph\u1ea3n \u1ee9ng huy\u1ebft qu\u1ea3n huy\u1ebft c\u1ee7a vi\u00eam do hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng \u00e1p l\u1ef1c c\u1ee7a ph\u1ea3n \u1ee9ng gi\u00e3n m\u1ea1ch, t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch v\u00e0 tho\u00e1t d\u1ecbch ph\u00f9 vi\u00eam.<\/p>\n

3. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh l\u00fd t\u1ee7y r\u0103ng<\/h2>\n

3.1. Giai \u0111o\u1ea1n m\u1ea1ch m\u00e1u<\/h3>\n

\u0110\u1eb7c \u0111i\u1ec3m \u1edf giai \u0111o\u1ea1n n\u00e0y l\u00e0 t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u1ea1ch m\u00e1u, gi\u00e3n m\u1ea1ch, t\u0103ng \u00e1p l\u1ef1c v\u00e0 t\u00ednh th\u1ea5m c\u00e1c mao m\u1ea1ch l\u00e0m t\u0103ng \u00e1p l\u1ef1c \u1edf m\u00f4. D\u1eabn \u0111\u1ebfn l\u00e0m \u00e9p c\u00e1c m\u1ea1ch m\u00e1u, gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n, t\u0103ng \u00e1p l\u1ef1c mao m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch. \u0110i\u1ec1u n\u00e0y l\u00e0m n\u00e9n c\u00e1c m\u1ea1ch m\u00e1u \u1edf l\u1ed7 ch\u00f3p, g\u00e2y th\u1eaft ngh\u1eb9t l\u00e0m \u1ee9 tr\u1ec7 v\u00e0 ho\u1ea1i t\u1eed do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/p>\n

M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng \u00e1p l\u1ef1c m\u00f4 ch\u1ec9 khu tr\u00fa \u1edf m\u1ed9t v\u00f9ng nh\u1ecf, kh\u00f4ng lan r\u1ed9ng to\u00e0n b\u1ed9 tu\u1ef7.<\/p>\n

Tuy r\u1eb1ng c\u00f3 m\u1ed9t h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u phong ph\u00fa v\u00e0 ph\u1ea3n \u1ee9ng vi\u00eam ch\u1ec9 x\u1ea3y ra \u1edf v\u00f9ng b\u1ecb k\u00edch th\u00edch, n\u00ean c\u00e1c v\u00f9ng c\u00f2n l\u1ea1i tu\u1ea7n ho\u00e0n kh\u00f4ng thay \u0111\u1ed5i. Gi\u1eefa v\u00f9ng b\u1ecb vi\u00eam v\u00e0 v\u00f9ng kh\u00f4ng b\u1ecb vi\u00eam c\u00f3 s\u1ef1 ch\u00eanh l\u1ec7ch v\u1ec1 \u00e1p l\u1ef1c, do \u0111\u00f3 tu\u1ef7 c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng m\u1ed9t th\u1eddi gian d\u00e0i v\u1edbi c\u00e1c k\u00edch th\u00edch v\u00e0 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi n\u1ebfu c\u00e1c k\u00edch th\u00edch \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf.<\/p>\n

3.2. Giai \u0111o\u1ea1n t\u1ebf b\u00e0o<\/h3>\n

Giai \u0111o\u1ea1n n\u00e0y b\u1eaft \u0111\u1ea7u x\u1ea3y ra khi c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng t\u00ednh th\u1ea5m c\u00e1c mao m\u1ea1ch. K\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 k\u00edch th\u00edch t\u1ee7y l\u00e0m kh\u1edfi \u0111\u1ed9ng c\u00e1c h\u1ec7 th\u1ed1ng sinh h\u1ecdc kh\u00e1c nhau nh\u01b0 m\u1ed9t ph\u1ea3n \u1ee9ng vi\u00eam kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, gi\u1ea3i ph\u00f3ng c\u00e1c y\u1ebfu t\u1ed1 trung gian b\u1edfi c\u00e1c b\u1ea1ch c\u1ea7u trung t\u00ednh, histamin, bradykinin, prostaglandin. \u1ede giai \u0111o\u1ea1n vi\u00eam n\u00e0y tuy c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i n\u1ebfu c\u00e1c k\u00edch th\u00edch \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf.<\/p>\n

C\u00e1c t\u1ebf b\u00e0o lympho, \u0111\u1ea1i th\u1ef1c b\u00e0o, t\u01b0\u01a1ng b\u00e0o t\u1ea1o ra ph\u1ea3n \u1ee9ng vi\u00eam \u0111\u1eb7c hi\u1ec7u, t\u1ea1o ra c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m vi\u00eam m\u1ea1n t\u00ednh. C\u00e1c t\u1ebf b\u00e0o trung t\u00ednh gi\u1ea3i ph\u00f3ng ra n\u1ed9i \u0111\u1ed9c b\u00e0o, c\u00f3 vai tr\u00f2 nh\u01b0 c\u00e1c enzym ph\u00e2n hu\u1ef7 protein, ph\u00e1 hu\u1ef7 t\u1ebf b\u00e0o, c\u00e1c s\u1ee3i v\u00e0 c\u00e1c ch\u1ea5t c\u01a1 b\u1ea3n.Qu\u00e1 tr\u00ecnh n\u00e0y s\u1ebd h\u00ecnh th\u00e0nh c\u00e1c vi \u00e1p xe, ch\u00fang ti\u1ebfp t\u1ee5c ph\u00e1 hu\u1ef7 t\u1ed5 ch\u1ee9c hay c\u00f3 th\u1ec3 calci ho\u00e1.<\/p>\n

Trong tu\u1ef7, \u0111\u1eb7c bi\u1ec7t \u1edf v\u00f9ng ngo\u1ea1i vi c\u1ee7a tu\u1ef7 c\u00f3 c\u00e1c t\u1ebf b\u00e0o lympho B v\u00e0 T, ch\u00fang t\u1ea1o ra c\u00e1c ph\u1ee9c h\u1ee3p kh\u00e1ng nguy\u00ean \u2013 kh\u00e1ng th\u1ec3 c\u00f3 th\u1ec3 b\u1ecb th\u1ef1c b\u00e0o b\u1edfi c\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o. Ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch n\u00e0y gi\u1ea3i ph\u00f3ng c\u00e1c cytokine v\u00e0 c\u00e1c men l\u00e0m ti\u00eau collagen, h\u1eadu qu\u1ea3 l\u00e0 tu\u1ef7 b\u1ecb ph\u00e1 hu\u1ef7 tr\u1ea7m tr\u1ecdng.<\/p>\n

3.3. Kh\u1ea3 n\u0103ng s\u1eeda ch\u1eefa c\u1ee7a tu\u1ef7 r\u0103ng<\/h3>\n

Quan s\u00e1t tu\u1ef7 r\u0103ng kh\u00f4ng vi\u00eam \u1edf b\u00ean d\u01b0\u1edbi m\u1ed9t l\u1ed7 s\u00e2u \u0111\u1ec3 minh ch\u1ee9ng kh\u1ea3 n\u0103ng s\u1eeda ch\u1eefa tu\u1ef7 r\u0103ng. Ng\u00e0 x\u01a1 ho\u00e1 v\u00e0 ng\u00e0 th\u1ee9 ph\u00e1t t\u1eeb l\u00e2u \u0111\u01b0\u1ee3c coi nh\u01b0 l\u00e0 ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ec3 b\u1ea3o v\u1ec7 tu\u1ef7 do t\u1ea1o ra m\u1ed9t thanh ch\u1eafn sinh l\u00fd v\u1edbi c\u00e1c k\u00edch th\u00edch tu\u1ef7 r\u0103ng.<\/p>\n

N\u1ebfu k\u00edch th\u00edch b\u1ecb lo\u1ea1i b\u1ecf th\u00ec vi\u00eam c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi. Khi c\u00f3 s\u00e2u r\u0103ng tu\u1ef7 r\u0103ng c\u00f3 kh\u1ea3 n\u0103ng sinh ra ng\u00e0 trong \u1ed1ng t\u1ea1o ra t\u00ecnh tr\u1ea1ng x\u01a1 ho\u00e1 \u1ed5ng ng\u00e0. Ng\u00e0 x\u01a1 ho\u00e1 n\u00e0y l\u00e0 c\u00e1c tinh th\u1ec3 hydroxyapatite nh\u1ecf n\u00fat b\u00edt c\u00e1c \u1ed1ng ng\u00e0. V\u00f9ng ngo\u1ea1i vi c\u1ee7a ng\u00e0 x\u01a1 ho\u00e1 c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y c\u00e1c m\u1ea3ng b\u1ecb kho\u1ea3ng ho\u00e1 trong \u1ed1ng ng\u00e0. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng b\u1ecb \u0111\u1ed9ng, t\u1ea1i n\u01a1i n\u00e0y tu\u1ef7 r\u0103ng kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng can thi\u1ec7p. C\u00e1c m\u1ea3ng kho\u00e1ng ho\u00e1 n\u00e0y \u0111\u01b0\u1ee3c t\u1ea1o ra t\u1eeb c\u00e1c tinh th\u1ec3 hydroxyapatite l\u1edbn v\u00e0 c\u00e1c t\u1ec9nh th\u1ec3 rhomboedric. C\u00e1c tinh th\u1ec3 n\u00e0y \u0111\u01b0\u1ee3c t\u1ea1o m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean do s\u1ef1 l\u1eafng \u0111\u1ecdng c\u00e1c s\u1ea3n ph\u1ea9m b\u1ecb ho\u00e0 tan do s\u00e2u r\u0103ng. C\u00e1c \u1ed1ng tu\u1ef7 b\u1ecb t\u1eafc l\u1ea1i c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m s\u1ef1 lan r\u1ed9ng c\u1ee7a c\u00e1c k\u00edch th\u00edch nh\u01b0ng kh\u00f4ng lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c k\u00edch th\u00edch.<\/p>\n

Th\u1eadt ra, c\u00e1c s\u00e2u r\u0103ng kh\u00f4ng ti\u1ebfn tri\u1ec3n theo m\u1ed9t h\u01b0\u1edbng m\u00e0 theo nhi\u1ec1u h\u01b0\u1edbng t\u00ecm ra c\u00e1c v\u00f9ng ng\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 \u0111\u1ec3 k\u00edch th\u00edch tu\u1ef7 li\u00ean t\u1ee5c. T\u1ea5t c\u1ea3 c\u00e1c r\u0103ng c\u00f3 s\u00e2u r\u0103ng ti\u1ebfn tri\u1ec3n th\u00ec coi nh\u01b0 tu\u1ef7 \u0111\u00e3 b\u1ecb vi\u00eam. Sau r\u0103ng kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd ti\u1ebfn tri\u1ec3n v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng tu\u1ef7 g\u00e2y ra t\u00ecnh tr\u1ea1ng tu\u1ef7 vi\u00eam kh\u00f4ng h\u1ed3i ph\u1ee5c.<\/p>\n

Ngu\u1ed3n:<\/em><\/p>\n

1. Baum LJ: Dental pulp conditions in relation to carious lesions, Int Dent 20: 309,1970.<\/em>
\n2. Brannstrom M, Lind PO: Pulpal response to early dental caries. J Dent Res 44:1045,1965.<\/em>
\n3. Kumar V., Abba A.K., Fausto N., Robbius and Cotran (2004), Pathologic basic of diseases, 7 Edition Elsevier Saunders, pp.47-86.<\/em>
\n4. McKay GS: The histology and microbiology of acute occlusal dentine letions in human permanent premolar teeth, Arch Oral Biol 21:51,1976.<\/em>
\n5. Merwyn C.C. (1997), “Dental Differential Diagnosis Endodontic Fuilure” Dental clinic of North America, pp.617-636.<\/em>
\n6. Langeland K: Management of the inflamer pulp associated with deep carious lession, J Endod 7:169, 1981.<\/em>
\n7. Seltzer S, Bender IB, Ziontz M: The dynamics of pulp inflammation: correlations between diagnostic data and actual histologic findings in the pulp, Oral Surg Oral Med Oral Pathol 16:846, 1963.<\/em>
\n8. Smulson M.H, Steven M.Sicraski (1996). “Histolophisiology and diseases of demalpulp”, Endodontic Theraphy, 5 Edition, Mosby, pp.84-165.<\/em>
\n9. Wirthlin MR: Acid-reaching stain, softening, and bacterial invation in human carious dentin, J Dent Res 49: 42, 1970.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng c\u00f3 th\u1ec3 b\u1eaft ngu\u1ed3n t\u1eeb c\u00e1c nguy\u00ean nh\u00e2n nh\u01b0 vi khu\u1ea9n, c\u00e1c k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y. Nha s\u0129 c\u1ea7n c\u00f3 c\u00e1i nh\u00ecn s\u00e2u s\u1eafc \u0111\u1ec3 n\u1eafm r\u00f5 c\u00e1c […]<\/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":"\nB\u1ec7nh l\u00fd t\u1ee7y r\u0103ng - Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng do vi khu\u1ea9n, k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb nguy\u00ean nh\u00e2n, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp s\u00e2u s\u1eafc \u0111\u1ebfn c\u01a1 ch\u1ebf b\u1ec7nh sinh. C\u00f9ng t\u00ecm hi\u1ec3u.\" \/>\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=\"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng - Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh. - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng do vi khu\u1ea9n, k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb nguy\u00ean nh\u00e2n, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp s\u00e2u s\u1eafc \u0111\u1ebfn c\u01a1 ch\u1ebf b\u1ec7nh sinh. C\u00f9ng t\u00ecm hi\u1ec3u.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-13T02:57:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-02T09:44:17+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20221104_viem-tuy-rang-1-300x206.jpg\" \/>\n<meta name=\"author\" content=\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 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\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/\",\"name\":\"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng - Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh. - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-13T02:57:08+00:00\",\"dateModified\":\"2023-05-02T09:44:17+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/0814873f6fe8921a5247b948716cd3ea\"},\"description\":\"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng do vi khu\u1ea9n, k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb nguy\u00ean nh\u00e2n, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp s\u00e2u s\u1eafc \u0111\u1ebfn c\u01a1 ch\u1ebf b\u1ec7nh sinh. C\u00f9ng t\u00ecm hi\u1ec3u.\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng – Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh.\"}]},{\"@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\/0814873f6fe8921a5247b948716cd3ea\",\"name\":\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/c52a87ee108b53d8fa3ba5d082724b14?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/c52a87ee108b53d8fa3ba5d082724b14?s=96&d=mm&r=g\",\"caption\":\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/trantienthanhchl1619gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng - Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh. - Vinmec","description":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng do vi khu\u1ea9n, k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb nguy\u00ean nh\u00e2n, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp s\u00e2u s\u1eafc \u0111\u1ebfn c\u01a1 ch\u1ebf b\u1ec7nh sinh. C\u00f9ng t\u00ecm hi\u1ec3u.","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":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng - Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh. - Vinmec","og_description":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng do vi khu\u1ea9n, k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb nguy\u00ean nh\u00e2n, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp s\u00e2u s\u1eafc \u0111\u1ebfn c\u01a1 ch\u1ebf b\u1ec7nh sinh. C\u00f9ng t\u00ecm hi\u1ec3u.","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/","og_site_name":"Vinmec","article_published_time":"2023-04-13T02:57:08+00:00","article_modified_time":"2023-05-02T09:44:17+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20221104_viem-tuy-rang-1-300x206.jpg"}],"author":"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/","name":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng - Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh. - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-13T02:57:08+00:00","dateModified":"2023-05-02T09:44:17+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/0814873f6fe8921a5247b948716cd3ea"},"description":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng do vi khu\u1ea9n, k\u00edch th\u00edch c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. T\u1eeb nguy\u00ean nh\u00e2n, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp s\u00e2u s\u1eafc \u0111\u1ebfn c\u01a1 ch\u1ebf b\u1ec7nh sinh. C\u00f9ng t\u00ecm hi\u1ec3u.","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/benh-ly-tuy-rang-nguyen-nhan-va-co-che-benh-sinh\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"B\u1ec7nh l\u00fd t\u1ee7y r\u0103ng – Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh."}]},{"@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\/0814873f6fe8921a5247b948716cd3ea","name":"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/c52a87ee108b53d8fa3ba5d082724b14?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/c52a87ee108b53d8fa3ba5d082724b14?s=96&d=mm&r=g","caption":"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/trantienthanhchl1619gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/19574"}],"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\/21"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=19574"}],"version-history":[{"count":5,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/19574\/revisions"}],"predecessor-version":[{"id":30788,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/19574\/revisions\/30788"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=19574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=19574"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=19574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}