{"id":20508,"date":"2023-04-15T21:30:57","date_gmt":"2023-04-15T14:30:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20508"},"modified":"2023-04-17T14:42:46","modified_gmt":"2023-04-17T07:42:46","slug":"cay-hat-phong-xa-dieu-tri-ung-thu-tuyen-tien-liet","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/cay-hat-phong-xa-dieu-tri-ung-thu-tuyen-tien-liet\/","title":{"rendered":"C\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t"},"content":{"rendered":"

Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/a> l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh ph\u1ed5 bi\u1ebfn \u1edf nam gi\u1edbi tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi. Tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng trong h\u1ec7 th\u1ed1ng sinh s\u1ea3n nam gi\u1edbi, c\u00f3 nhi\u1ec7m v\u1ee5 s\u1ea3n xu\u1ea5t ch\u1ea5t l\u1ecfng ti\u1ebft ra trong qu\u00e1 tr\u00ecnh xu\u1ea5t tinh. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u0169ng nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe nam gi\u1edbi. M\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t hi\u1ec7n nay l\u00e0 c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng c\u00e1c h\u1ea1t ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c c\u1ea5y tr\u1ef1c ti\u1ebfp v\u00e0o tuy\u1ebfn ti\u1ec1n li\u1ec7t \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/p>\n

\"\"
Ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/figcaption><\/figure>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n

C\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p x\u1ea1 tr\u1ecb \u00e1p s\u00e1t su\u1ea5t li\u1ec1u th\u1ea5p \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t. C\u00e1c h\u1ea1t ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c c\u1ea5y tr\u1ef1c ti\u1ebfp v\u00e0o tuy\u1ebfn ti\u1ec1n li\u1ec7t, v\u00ec v\u1eady kh\u1ed1i u tuy\u1ebfn ti\u1ec1n li\u1ec7t s\u1ebd nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec1u b\u1ee9c x\u1ea1 cao nh\u1ea5t v\u00e0 gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a li\u1ec1u b\u1ee9c x\u1ea1 \u0111\u1ebfn c\u00e1c c\u01a1 quan xung quanh. \u0110i\u1ec1u n\u00e0y gi\u00fap cho vi\u1ec7c ki\u1ec3m so\u00e1t kh\u1ed1i u t\u1ed1i \u01b0u \u0111\u1ed3ng th\u1eddi b\u1ea3o t\u1ed3n t\u1ed1t nh\u1ea5t c\u00e1c ch\u1ee9c n\u0103ng c\u1ee7a c\u01a1 quan xung quanh, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. C\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u01a1 b\u1ea3n \u0111\u01b0\u1ee3c minh ch\u1ee9ng mang l\u1ea1i hi\u1ec7u qu\u1ea3 r\u1ea5t cao \u0111\u1ed3ng th\u1eddi g\u1ea7n nh\u01b0 b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c c\u00e1c ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn nh\u01b0 b\u00e0ng quang, tr\u1ef1c tr\u00e0ng, sinh d\u1ee5c v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c tri\u1ec3n khai th\u01b0\u1eddng quy t\u1ea1i c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n nh\u01b0 M\u1ef9, ch\u00e2u \u00c2u, tuy nhi\u00ean ph\u01b0\u01a1ng ph\u00e1p n\u00e0y m\u1edbi \u0111\u01b0\u1ee3c tri\u1ec3n khai \u1edf n\u01b0\u1edbc ta.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u1ee7a ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/h2>\n

2.1. L\u00e2m s\u00e0ng<\/h3>\n

Giai \u0111o\u1ea1n s\u1edbm th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec, c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh qua s\u00e0ng l\u1ecdc cho nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao. Khi b\u1ec7nh xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ea7m r\u1ed9 nh\u01b0 b\u00ed ti\u1ec3u, ti\u1ec3u m\u00e1u, b\u1ec7nh th\u01b0\u1eddng \u0111\u00e3 \u1edf giai \u0111o\u1ea1n mu\u1ed9n.<\/p>\n

Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n: s\u1ee5t c\u00e2n, ch\u00e1n \u0103n, thi\u1ebfu m\u00e1u.<\/p>\n

Tri\u1ec7u ch\u1ee9ng ti\u1ebft ni\u1ec7u-sinh d\u1ee5c: ti\u1ec3u r\u1eaft, ti\u1ec3u kh\u00f3, b\u00ed ti\u1ec3u, ti\u1ec3u ng\u1eaft qu\u00e3ng, c\u00f3 th\u1ec3 \u0111au khi xu\u1ea5t tinh.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng di c\u0103n: \u0111au x\u01b0\u01a1ng, g\u00e3y x\u01b0\u01a1ng b\u1ec7nh l\u00fd, \u0111au ng\u1ef1c, kh\u00f3 th\u1edf\u2026<\/p>\n

Th\u0103m kh\u00e1m tr\u1ef1c tr\u00e0ng: c\u00f3 th\u1ec3 th\u1ea5y ti\u1ec1n li\u1ec7t tuy\u1ebfn to, d\u00ednh, h\u1ea1n ch\u1ebf di \u0111\u1ed9ng khi u \u0111\u00e3 x\u00e2m l\u1ea5n ra ngo\u00e0i.<\/p>\n

\"\"
M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u1ee7a ung th\u01b0 TTL (ngu\u1ed3n: Internet)<\/figcaption><\/figure>\n

2.2. C\u1eadn l\u00e2m s\u00e0ng<\/h3>\n

C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p c\u1eadn l\u00e2m s\u00e0ng h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n, trong \u0111\u00f3 c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0:<\/p>\n

    \n
  • Sinh thi\u1ebft u qua t\u1ea7ng sinh m\u00f4n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n m\u00f4 b\u1ec7nh h\u1ecdc<\/li>\n
  • Ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m ung th\u01b0 PSA<\/li>\n
  • X\u00e9t nghi\u1ec7m sinh h\u1ecdc ph\u00e2n t\u1eed<\/li>\n
  • C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u<\/li>\n
  • C\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng kh\u1ed1i u, ph\u00e1t hi\u1ec7n c\u00e1c h\u1ea1ch di c\u0103n, t\u1ed5n th\u01b0\u01a1ng hay x\u00e2m l\u1ea5n<\/li>\n
  • Y h\u1ecdc h\u1ea1t nh\u00e2n<\/li>\n<\/ul>\n

    3. Ph\u00e2n lo\u1ea1i nguy c\u01a1 di c\u0103n<\/h2>\n

    3.1. Nguy c\u01a1 r\u1ea5t th\u1ea5p<\/h3>\n
      \n
    • Giai \u0111o\u1ea1n T1a<\/li>\n
    • \u0110i\u1ec3m Gleason: \u22646<\/li>\n
    • PSA <10ng\/ml<\/li>\n
    • PSA t\u1ef7 tr\u1ecdng <0,15ng\/ml\/g<\/li>\n
    • Sinh thi\u1ebft tuy\u1ebfn ti\u1ec1n li\u1ec7t: <3 \u0111i\u1ec3m (+), <50% t\u1ebf b\u00e0o (+) trong m\u1ed7i \u0111i\u1ec3m.<\/li>\n<\/ul>\n

      3.2. Nguy c\u01a1 th\u1ea5p<\/h3>\n
        \n
      • Giai \u0111o\u1ea1n T1, T2a<\/li>\n
      • \u0110i\u1ec3m Gleason: 2-6 PSA <10ng\/ml.<\/li>\n<\/ul>\n

        3.3. Nguy c\u01a1 trung b\u00ecnh<\/h3>\n
          \n
        • Giai \u0111o\u1ea1n T2b, T2c ho\u1eb7c<\/li>\n
        • \u0110i\u1ec3m Gleason =7 ho\u1eb7c<\/li>\n
        • PSA=10-20ng\/ml.<\/li>\n<\/ul>\n

          3.4. Nguy c\u01a1 cao<\/h3>\n
            \n
          • Giai \u0111o\u1ea1n T3a ho\u1eb7c<\/li>\n
          • \u0110i\u1ec3m Gleason =8-10 ho\u1eb7c<\/li>\n
          • PSA >20 ng\/ml<\/li>\n<\/ul>\n

            3.5. Nguy c\u01a1 r\u1ea5t cao<\/h3>\n
              \n
            • Giai \u0111o\u1ea1n T3b, T4<\/li>\n
            • Giai \u0111o\u1ea1n N1<\/li>\n<\/ul>\n

              4. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

              4.1. Nguy\u00ean t\u1eafc chung<\/h3>\n

              T\u00f9y theo b\u1ea3ng ph\u00e2n lo\u1ea1i nguy c\u01a1 l\u1ef1a ch\u1ecdn v\u00e0 ph\u1ed1i h\u1ee3p nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p. Giai \u0111o\u1ea1n khu tr\u00fa: ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn l\u00e0 ph\u1eabu thu\u1eadt ho\u1eb7c x\u1ea1 tr\u1ecb k\u1ebft h\u1ee3p n\u1ed9i ti\u1ebft. Giai \u0111o\u1ea1n mu\u1ed9n: \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft, \u0111i\u1ec1u tr\u1ecb h\u00f3a ch\u1ea5t khi n\u1ed9i ti\u1ebft th\u1ea5t b\u1ea1i, x\u1ea1 tr\u1ecb tri\u1ec7u ch\u1ee9ng.<\/p>\n

              4.2. \u0110i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 125I<\/h3>\n

              L\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0a c\u00e1c h\u1ea1t ph\u00f3ng x\u1ea1 tr\u1ef1c ti\u1ebfp v\u00e0o tuy\u1ebfn ti\u1ec1n li\u1ec7t theo m\u1ed9t k\u1ebf ho\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1eadp tr\u01b0\u1edbc b\u1eb1ng m\u1ed9t ph\u1ea7n m\u1ec1m chuy\u00ean d\u1ee5ng \u0111\u1ea3m b\u1ea3o kh\u1ed1i u s\u1ebd nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec1u b\u1ee9c x\u1ea1 cao nh\u1ea5t v\u00e0 gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a li\u1ec1u b\u1ee9c x\u1ea1 t\u1edbi c\u00e1c c\u01a1 quan l\u00e0nh xung quanh. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 v\u0129nh vi\u1ec5n (Permanent brachytherapy ho\u1eb7c Low dose rate brachytherapy): c\u00e1c h\u1ea1t ph\u00f3ng x\u1ea1 (Iodine-125 ho\u1eb7c Palladium-103) \u0111\u01b0\u1ee3c c\u1ea5y v\u0129nh vi\u1ec5n trong tuy\u1ebfn ti\u1ec1n li\u1ec7t, li\u1ec1u b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng ch\u1eadm trong m\u1ed9t v\u00e0i th\u00e1ng.<\/p>\n

              \"\"
              \u1ee8ng d\u1ee5ng th\u00e0nh c\u00f4ng k\u1ef9 thu\u1eadt c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t t\u1ea1i Vi\u1ec7t Nam<\/figcaption><\/figure>\n

              Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf c\u00e1c c\u01a1 s\u1edf Y h\u1ecdc h\u1ea1t nh\u00e2n c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c ph\u00e9p x\u1eed l\u00fd, l\u01b0u tr\u1eef v\u00e0 s\u1eed d\u1ee5ng c\u00e1c ngu\u1ed3n ph\u00f3ng x\u1ea1 cho quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, theo lu\u1eadt an to\u00e0n b\u1ee9c x\u1ea1.<\/p>\n

              4.2.1. Ch\u1ec9 \u0111\u1ecbnh<\/h4>\n
                \n
              • Nguy c\u01a1 th\u1ea5p: c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 \u0111i\u1ec1u tr\u1ecb \u00e1p s\u00e1t \u0111\u01a1n thu\u1ea7n.<\/li>\n
              • Nguy c\u01a1 trung b\u00ecnh: c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 \u0111i\u1ec1u tr\u1ecb \u00e1p s\u00e1t + x\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i (40-50Gy) \u00b1 n\u1ed9i ti\u1ebft (4-6 th\u00e1ng).<\/li>\n<\/ul>\n

                Li\u1ec1u x\u1ea1 tr\u1ecb:<\/p>\n

                  \n
                • C\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 v\u1edbi 125I li\u1ec1u 145Gy, v\u1edbi 103Pd li\u1ec1u 125Gy.<\/li>\n
                • C\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 sau khi x\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i 40-50Gy: v\u1edbi 125I li\u1ec1u 110Gy v\u00e0 103Pd li\u1ec1u 100Gy.<\/li>\n<\/ul>\n

                  4.2.2 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h4>\n

                  Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t t\u1ed5n th\u01b0\u01a1ng r\u1ed9ng, di c\u0103n, th\u1ec3 tr\u1ea1ng k\u00e9m.<\/p>\n

                  T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng b\u00e0i ni\u1ec7u n\u1eb7ng.<\/p>\n

                  Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a g\u00e2y m\u00ea.<\/p>\n

                  B\u1ec7nh nh\u00e2n ung th\u01b0 k\u00e8m b\u1ec7nh l\u00fd suy tim, suy h\u00f4 h\u1ea5p n\u1eb7ng, th\u1eddi gian s\u1ed1ng th\u00eam d\u01b0\u1edbi 5 n\u0103m.<\/p>\n

                  C\u1ea7n c\u00e2n nh\u1eafc khi k\u00edch th\u01b0\u1edbc tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u1edbn, k\u00edch th\u01b0\u1edbc th\u00f9y gi\u1eefa tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u1edbn do kh\u1ea3 n\u0103ng c\u1ea5y kh\u00f4ng \u0111\u1ea1t t\u1ed1i \u01b0u. C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft tr\u01b0\u1edbc sau \u0111\u00f3 \u0111\u00e1nh gi\u00e1 l\u1ea1i x\u00e9t c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1.<\/p>\n

                  4.3. C\u00e1c bi\u1ebfn ch\u1ee9ng khi th\u1ef1c hi\u1ec7n<\/h3>\n

                  T\u00e1c d\u1ee5ng ph\u1ee5 trong qu\u00e1 tr\u00ecnh c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1: c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan xung quanh nh\u01b0 b\u00e0ng quang, tr\u1ef1c tr\u00e0ng, \u0111\u1ea1i tr\u00e0ng, ru\u1ed9t non\u2026 tuy nhi\u00ean c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi do c\u00f3 s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

                  T\u00e1c d\u1ee5ng ph\u1ee5 sau c\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1:<\/p>\n

                    \n
                  • Tri\u1ec7u ch\u1ee9ng v\u1ec1 ti\u1ebft ni\u1ec7u-sinh d\u1ee5c: th\u01b0\u1eddng g\u1eb7p l\u00e0 ti\u1ec3u nhi\u1ec1u l\u1ea7n, ti\u1ec3u bu\u1ed1t, c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y s\u1ebd h\u1ebft sau 4-6 tu\u1ea7n.<\/li>\n
                  • Tri\u1ec7u ch\u1ee9ng v\u1ec1 ti\u00eau h\u00f3a: \u0111au r\u00e1t, ch\u1ea3y m\u00e1u tr\u1ef1c tr\u00e0ng, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, \u0111\u1ea1i ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7.<\/li>\n
                  • M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c: m\u1ec7t m\u1ecfi, c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu \u1edf v\u00f9ng ch\u1eadu, vi\u00eam nhi\u1ec5m v\u00f9ng da gi\u1eefa b\u00ecu v\u00e0 h\u1eadu m\u00f4n\u2026<\/li>\n<\/ul>\n

                    T\u00e1c d\u1ee5ng ph\u1ee5 mu\u1ed9n: vi\u00eam tr\u1ef1c tr\u00e0ng m\u1ea1n t\u00ednh, vi\u00eam b\u00e0ng quang m\u1ea1n t\u00ednh, ti\u1ec3u kh\u00f3 do h\u1eb9p ni\u1ec7u \u0111\u1ea1o,…<\/p>\n","protected":false},"excerpt":{"rendered":"

                    Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh ph\u1ed5 bi\u1ebfn \u1edf nam gi\u1edbi tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi. Tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng trong h\u1ec7 th\u1ed1ng sinh s\u1ea3n nam gi\u1edbi, c\u00f3 nhi\u1ec7m v\u1ee5 s\u1ea3n xu\u1ea5t ch\u1ea5t l\u1ecfng ti\u1ebft ra trong qu\u00e1 tr\u00ecnh xu\u1ea5t tinh. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 tuy\u1ebfn […]<\/p>\n","protected":false},"author":30,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"\nC\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho ung th\u01b0 TTL giai \u0111o\u1ea1n s\u1edbm. 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