{"id":19628,"date":"2023-04-13T17:01:03","date_gmt":"2023-04-13T10:01:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19628"},"modified":"2023-04-14T12:25:56","modified_gmt":"2023-04-14T05:25:56","slug":"loet-da-day-ta-trang-chan-doan-va-bien-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/loet-da-day-ta-trang-chan-doan-va-bien-chung\/","title":{"rendered":"Lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng: Ch\u1ea9n \u0111o\u00e1n v\u00e0 bi\u1ebfn ch\u1ee9ng"},"content":{"rendered":"

Lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi, c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u1edf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng, g\u00e2y ra b\u1edfi s\u1ef1 \u0103n m\u00f2n c\u1ee7a acid d\u1ecbch v\u1ecb ho\u1eb7c enzyme ti\u00eau h\u00f3a. Tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng c\u00f3 th\u1ec3 bao g\u1ed3m \u0111au th\u1eaft b\u1ee5ng, n\u00f4n m\u1eeda, kh\u00f3 ti\u00eau, \u0111\u1ea7y h\u01a1i, ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a, v\u00e0 c\u1ea3m gi\u00e1c \u0111\u1ea7y b\u1ee5ng.<\/strong><\/p>\n

\"Minh
Minh ho\u1ea1 Lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng<\/figcaption><\/figure>\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng, c\u00e1c B\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1t c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, bao g\u1ed3m x\u00e9t nghi\u1ec7m m\u00e1u, si\u00eau \u00e2m, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT), v\u00e0 Endoscopy. Endoscopy l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c nh\u1ea5t, cho ph\u00e9p B\u00e1c s\u0129 xem tr\u1ef1c ti\u1ebfp t\u1ed5n th\u01b0\u01a1ng v\u00e0 l\u1ea5y m\u1eabu \u0111\u1ec3 x\u00e9t nghi\u1ec7m. Sau khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng acid, kh\u00e1ng sinh, v\u00e0 c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam (n\u1ebfu c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam \u0111i k\u00e8m).<\/strong> B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c b\u1ec7nh nh\u00e2n c\u0169ng c\u1ea7n tu\u00e2n th\u1ee7 m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh \u0111\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng c\u1ee7a m\u00ecnh. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng g\u1eb7p trong b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng.<\/p>\n

1. Ch\u1ea9n \u0111o\u00e1n lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng<\/strong><\/h2>\n

1.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/h3>\n

D\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng<\/a> (n\u1ed9i soi ti\u00eau h\u00f3a tr\u00ean: do tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t r\u1ea5t d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd ti\u00eau h\u00f3a tr\u00ean kh\u00e1c: r\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1 ch\u1ee9c n\u0103ng, GERD,\u2026).<\/p>\n

1.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/h3>\n

– Vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n:<\/strong> \u0110au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb m\u01a1 h\u1ed3, li\u00ean t\u1ee5c, kh\u00f4ng c\u00f3 t\u00ednh chu k\u1ef3, th\u01b0\u1eddng \u0111au sau \u0103n, k\u00e8m ch\u1eadm ti\u00eau \u0111\u1ea7y b\u1ee5ng. Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o n\u1ed9i soi sinh thi\u1ebft: c\u00f3 h\u00ecnh \u1ea3nh vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n v\u1edbi t\u1ea9m nhu\u1eadn t\u1ebf b\u00e0o vi\u00eam \u0111\u01a1n nh\u00e2n, x\u01a1 teo tuy\u1ebfn ti\u1ebft.<\/p>\n

– Ch\u1ee9ng ch\u1eadm ti\u00eau gi\u1ed1ng lo\u00e9t:<\/strong> tri\u1ec7u ch\u1ee9ng kh\u00e1 gi\u1ed1ng v\u1edbi lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng nh\u01b0ng n\u1ed9i soi kh\u00f4ng th\u1ea5y c\u00f3 t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

– GERD:<\/strong> c\u00f3 c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t v\u00f9ng th\u01b0\u1ee3ng v\u1ecb, sau x\u01b0\u01a1ng \u1ee9c, lan l\u00ean ng\u1ef1c, mi\u1ec7ng.
\n\u2192 N\u1ed9i soi r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb trong ch\u1ea9n \u0111o\u00e1n.<\/p>\n

– Ung th\u01b0 d\u1ea1 d\u00e0y:<\/strong> Th\u01b0\u1eddng x\u1ea3y ra \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111au kh\u00f4ng c\u00f3 t\u00ednh chu k\u1ef3, ng\u00e0y c\u00e0ng t\u0103ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb lo\u00e9t. C\u1ea7n n\u1ed9i soi sinh thi\u1ebft nhi\u1ec1u m\u1ea3nh cho h\u00ecnh \u1ea3nh ung th\u01b0 d\u1ea1 d\u00e0y.<\/p>\n

– Vi\u00eam \u0111\u01b0\u1eddng m\u1eadt m\u1ea1n do s\u1ecfi:<\/strong> Ti\u1ec1n s\u1eed s\u1ecfi m\u1eadt, l\u00e2m s\u00e0ng c\u00f3 c\u01a1n \u0111au qu\u1eb7n gan, nhi\u1ec5m tr\u00f9ng v\u00e0 t\u1eafc m\u1eadt. Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o si\u00eau \u00e2m v\u00e0 ch\u1ee5p \u0111\u01b0\u1eddng m\u1eadt ng\u01b0\u1ee3c d\u00f2ng cho h\u00ecnh \u1ea3nh s\u1ecfi, t\u00fai m\u1eadt x\u01a1 teo.<\/p>\n

– Vi\u00eam tu\u1ef5 m\u1ea1n:<\/strong> C\u00f3 ti\u1ec1n s\u1eed vi\u00eam t\u1ee5y c\u1ea5p, u\u1ed1ng r\u01b0\u1ee3u m\u1ea1n, c\u00f3 th\u1ec3 k\u00e8m \u0111i ch\u1ea3y m\u1ea1n v\u00e0 k\u00e9m h\u1ea5p thu. \u0110au th\u01b0\u1eddng lan ra sau l\u01b0ng \u1edf v\u00f9ng t\u1ee5y. X\u00e9t nghi\u1ec7m men amylase m\u00e1u th\u01b0\u1eddng t\u0103ng 2-3 l\u1ea7n. Si\u00eau \u00e2m v\u00e0 ch\u1ee5p phim X quang th\u1ea5y t\u1ee5y x\u01a1 teo c\u00f3 s\u1ecfi, \u1ed1ng t\u1ee5y d\u00e3n.<\/p>\n

– B\u1ec7nh c\u1ee7a c\u01a1 quan l\u00e2n c\u1eadn \u1ed5 b\u1ee5ng:<\/strong> c\u1ed9t s\u1ed1ng, tim m\u1ea1ch, h\u00f4 h\u1ea5p…<\/p>\n

2. Bi\u1ebfn ch\u1ee9ng<\/strong><\/h2>\n

– Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean (th\u01b0\u1eddng g\u1eb7p):<\/strong> nh\u01b0ng kh\u00f3 \u0111\u00e1nh gi\u00e1 t\u1ea7n s\u1ed1 ch\u00ednh x\u00e1c. \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng th\u1ee9 nh\u1ea5t. Kho\u1ea3ng 15-20% b\u1ec7nh nh\u00e2n lo\u00e9t m\u1edbi c\u00f3 1 v\u00e0i tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u (t\u1eeb 1 \u0111\u1ebfn v\u00e0i l\u1ea7n). Ng\u01b0\u1eddi gi\u00e0 ch\u1ea3y m\u00e1u nhi\u1ec1u h\u01a1n ng\u01b0\u1eddi tr\u1ebb. Lo\u00e9t d\u1ea1 d\u00e0y ch\u1ea3y m\u00e1u \u2248 12%, lo\u00e9t t\u00e1 tr\u00e0ng ch\u1ea3y m\u00e1u \u224817%. Bi\u1ebfn ch\u1ee9ng x\u1ea3y ra trong \u0111\u1ee3t lo\u00e9t ti\u1ebfn tri\u1ec3n ho\u1eb7c c\u0169ng c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean.
\nC\u1eadn l\u00e2m s\u00e0ng:<\/strong> d\u1ef1a v\u00e0o n\u1ed9i soi (c\u1ea7n th\u1ef1c hi\u1ec7n s\u1edbm khi ra kh\u1ecfi cho\u00e1ng).<\/p>\n

T\u1ea7n su\u1ea5t t\u00e1i ph\u00e1t (20%), ti\u00ean l\u01b0\u1ee3ng t\u1ed1t n\u1ebfu ch\u1ea3y m\u00e1u t\u1ef1 ng\u01b0ng trong v\u00f2ng 6h.
\nNguy c\u01a1 t\u00e1i ph\u00e1t (>50%), n\u1ebfu:
\n+ Ch\u1ea3y m\u00e1u t\u1eeb ti\u1ec3u \u0110M ch\u1ea3y th\u00e0nh tia.
\n+ Th\u1ea5y m\u1ea1ch m\u00e1u tr\u00ean n\u1ec1n \u1ed5 lo\u00e9t.
\n+ Ch\u1ea3y m\u00e1u k\u00e9o d\u00e0i >72h.<\/p>\n

– Th\u1ee7ng ho\u1eb7c d\u00f2 \u1ed5 lo\u00e9t (th\u01b0\u1eddng g\u1eb7p):<\/strong> g\u00e2y vi\u00eam ph\u00fac m\u1ea1c to\u00e0n b\u1ed9 ho\u1eb7c c\u1ee5c b\u1ed9. \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng th\u1ee9 hai. Kho\u1ea3ng 6% so v\u1edbi xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean. \u0110\u00e0n \u00f4ng nhi\u1ec1u h\u01a1n ph\u1ee5 n\u1eef. Lo\u00e9t m\u1eb7t tr\u01b0\u1edbc ho\u1eb7c b\u1edd cong nh\u1ecf th\u00ec th\u1ee7ng v\u00e0o khoang ph\u00fac m\u1ea1c l\u1edbn, lo\u00e9t m\u1eb7t sau th\u00ec th\u1ee7ng v\u00e0o c\u01a1 quan k\u1ebf c\u1eadn ho\u1eb7c h\u1eadu cung m\u1ea1c n\u1ed1i.
\nTri\u1ec7u ch\u1ee9ng:<\/strong> Kh\u1edfi \u0111\u1ea7u b\u1eb1ng c\u01a1n \u0111au d\u1eef d\u1ed9i nh\u01b0 dao \u0111\u00e2m, \u0111\u00f3 l\u00e0 d\u1ea5u c\u1ee7a vi\u00eam ph\u00fac m\u1ea1c v\u00e0 nhi\u1ec5m tr\u00f9ng nhi\u1ec5m \u0111\u1ed9c.
\nC\u1eadn l\u00e2m s\u00e0ng:<\/strong> Ch\u1ee5p phim b\u1ee5ng kh\u00f4ng s\u1eeda so\u1ea1n ho\u1eb7c si\u00eau \u00e2m b\u1ee5ng c\u00f3 li\u1ec1m h\u01a1i d\u01b0\u1edbi c\u01a1 ho\u00e0nh, nh\u1ea5t l\u00e0 b\u00ean ph\u1ea3i.<\/p>\n

– H\u1eb9p m\u00f4n v\u1ecb (th\u01b0\u1eddng g\u1eb7p):<\/strong> th\u01b0\u1eddng g\u1eb7p v\u1edbi c\u00e1c \u1ed5 lo\u00e9t g\u1ea7n m\u00f4n v\u1ecb ( do lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c lo\u00e9t t\u00e1 tr\u00e0ng n\u1eb1m g\u1ea7n m\u00f4n v\u1ecb ho\u1eb7c co th\u1eaft m\u00f4n v\u1ecb g\u00e2y ra). H\u1eb9p c\u00f3 th\u1ec3 do vi\u00eam ph\u00f9 n\u1ec1 m\u00f4n v\u1ecb.
\nTri\u1ec7u ch\u1ee9ng:<\/strong><\/p>\n

    \n
  • N\u1eb7ng b\u1ee5ng sau \u0103n.<\/li>\n
  • N\u00f4n ra th\u1ee9c \u0103n c\u0169 >24h.<\/li>\n
  • D\u1ea5u \u00f3c \u00e1ch d\u1ea1 d\u00e0y l\u00fac \u0111\u00f3i v\u00e0 d\u1ea5u Bouveret.<\/li>\n
  • G\u1ea7y v\u00e0 d\u1ea5u m\u1ea5t n\u01b0\u1edbc.<\/li>\n<\/ul>\n

    C\u1eadn l\u00e2m s\u00e0ng:<\/strong>
    \n+ Th\u00f4ng d\u1ea1 d\u00e0y c\u00f3 d\u1ecbch \u1ee9 >100ml.
    \n+ Phim Baryte d\u1ea1 d\u00e0y c\u00f2n t\u1ed3n \u0111\u1ecdng Baryte >6h.
    \n+ Phim nh\u1ea5p nh\u00e1y, ch\u1eadm l\u00e0m v\u01a1i d\u1ea1 d\u00e0y >6h khi th\u1ee9c \u0103n c\u00f3 \u0111\u00e1nh d\u1ea5u \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 Technium 99.
    \n+ X\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u01a1 n\u0103ng hay th\u1ef1c th\u1ec3 b\u1eb1ng nghi\u1ec7m ph\u00e1p no mu\u1ed1i k\u00e9o d\u00e0i, sau \u00bd gi\u1edd v\u00e0 4gi\u1edd:
    \nN\u1ebfu sau \u00bd gi\u1edd >400ml v\u00e0 sau 4 gi\u1edd >300ml l\u00e0 th\u1ef1c th\u1ec3, n\u1ebfu < 200 ml l\u00e0 c\u01a1 n\u0103ng.
    \nHo\u1eb7c l\u00e0m l\u1ea1i no mu\u1ed1i sau 3 ng\u00e0y truy\u1ec1n d\u1ecbch >100ml l\u00e0 th\u1ef1c th\u1ec3.<\/p>\n

    – Lo\u00e9t xuy\u00ean th\u1ea5u d\u00ednh v\u00e0o c\u01a1 quan k\u1ebf c\u1eadn:<\/strong> th\u01b0\u1eddng l\u00e0 t\u1ee5y, gan, l\u00e1ch, m\u1ea1c n\u1ed1i nh\u1ecf\/l\u1edbn, \u0111\u01b0\u1eddng m\u1eadt, m\u1ea1c treo \u0111\u1ea1i tr\u00e0ng, \u0111\u1ea1i tr\u00e0ng ngang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 lo\u00e9t m\u1eb7t sau ho\u1eb7c lo\u00e9t b\u1edd cong l\u1edbn.
    \nTri\u1ec7u ch\u1ee9ng:<\/strong> \u0110au d\u1eef d\u1ed9i \u00edt \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb, \u0111au lan ra sau l\u01b0ng (do lo\u00e9t xuy\u00ean v\u00e0o t\u1ee5y ho\u1eb7c bi\u1ec3u hi\u1ec7n vi\u00eam t\u1ee5y c\u1ea5p ho\u1eb7c lo\u00e9t th\u1ee7ng v\u00e0o \u0111\u01b0\u1eddng m\u1eadt).
    \nC\u1eadn l\u00e2m s\u00e0ng:<\/strong> Ch\u1ee5p \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c si\u00eau \u00e2m th\u1ea5y c\u00f3 h\u01a1i trong \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c Baryte v\u00e0o \u0111\u01b0\u1eddng m\u1eadt.
    \nNote: N\u1ebfu r\u00f2 d\u1ea1 d\u00e0y \u2013 \u0111\u1ea1i tr\u00e0ng g\u00e2y \u0111i ch\u1ea3y ph\u00e2n s\u1ed1ng v\u00e0 k\u00e9m h\u1ea5p thu \u2192 c\u1ea7n \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt.<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o:\u00a0<\/strong><\/p>\n

      \n
    • B\u00e0i gi\u1ea3ng Lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng n\u1ed9i ti\u00eau ho\u00e1 tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean 2020<\/li>\n
    • S\u00e1ch l\u00e2m s\u00e0ng n\u1ed9i ti\u00eau ho\u00e1 \u0110H Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

      Lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi, c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u1edf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng, g\u00e2y ra b\u1edfi s\u1ef1 \u0103n […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nLo\u00e9t d\u1ea1 d\u00e0y - t\u00e1 tr\u00e0ng: Ch\u1ea9n \u0111o\u00e1n v\u00e0 bi\u1ebfn ch\u1ee9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi, c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n\" \/>\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=\"Lo\u00e9t d\u1ea1 d\u00e0y - 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