{"id":21131,"date":"2023-04-19T19:37:25","date_gmt":"2023-04-19T12:37:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21131"},"modified":"2023-04-21T11:52:38","modified_gmt":"2023-04-21T04:52:38","slug":"phac-do-dieu-tri-benh-gut-theo-huong-dan-cua-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/phac-do-dieu-tri-benh-gut-theo-huong-dan-cua-bo-y-te\/","title":{"rendered":"Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n b\u1ec7nh G\u00fat theo B\u1ed9 Y T\u1ebf"},"content":{"rendered":"<p><strong>B\u1ec7nh g\u00fat l\u00e0 b\u1ec7nh vi\u00eam kh\u1edbp do vi tinh th\u1ec3, \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng \u0111\u1ee3t vi\u00eam kh\u1edbp c\u1ea5p t\u00e1i ph\u00e1t, c\u00f3 l\u1eafng \u0111\u1ecdng tinh th\u1ec3 mu\u1ed1i urat natri trong c\u00e1c m\u00f4, g\u00e2y ra do t\u0103ng acid uric trong m\u00e1u. \u0110\u00e2y l\u00e0 b\u1ec7nh do r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a nh\u00e2n purin, thu\u1ed9c nh\u00f3m b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a. C\u00f9ng t\u00ecm hi\u1ec3u ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n b\u1ec7nh G\u00fat theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y T\u1ebf.<\/strong><\/p>\n<h3>1. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh G\u00fat tr\u00ean l\u00e2m s\u00e0ng<\/h3>\n<p>C\u01a1n g\u00fat c\u1ea5p t\u00ednh \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf l\u1ee9a tu\u1ed5i 35 &#8211; 55, \u00edt khi tr\u01b0\u1edbc 25 ho\u1eb7c sau 65 tu\u1ed5i. \u1ede n\u1eef \u00edt x\u1ea3y ra tr\u01b0\u1edbc tu\u1ed5i m\u00e3n kinh, \u1edf nam m\u1eafc \u1edf tu\u1ed5i c\u00e0ng tr\u1ebb th\u00ec b\u1ec7nh c\u00e0ng n\u1eb7ng.<br \/>\n\u0110i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i: nhi\u1ec1u khi kh\u00f4ng r\u00f5 nh\u01b0ng c\u00f3 th\u1ec3 x\u1ea3y ra sau b\u1eefa \u0103n c\u00f3 nhi\u1ec1u th\u1ecbt (nh\u1ea5t l\u00e0 lo\u1ea1i th\u1ecbt c\u00f3 nhi\u1ec1u purin), r\u01b0\u1ee3u, sau x\u00fac c\u1ea3m m\u1ea1nh, sau ch\u1ea5n th\u01b0\u01a1ng k\u1ec3 c\u1ea3 vi ch\u1ea5n th\u01b0\u01a1ng (\u0111i gi\u00e0y ch\u1eadt), sau nhi\u1ec5m khu\u1ea9n, d\u00f9ng c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u01b0 thiazid&#8230;<\/p>\n<p><em><strong>\u2212 C\u01a1n g\u00fat c\u1ea5p:<\/strong><\/em><\/p>\n<ul>\n<li>Xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t ban \u0111\u00eam, b\u1ec7nh nh\u00e2n th\u1ee9c d\u1eady v\u00ec \u0111au \u1edf kh\u1edbp, th\u01b0\u1eddng l\u00e0 kh\u1edbp b\u00e0n &#8211; ng\u00f3n ch\u00e2n c\u00e1i (60 &#8211; 70% ): kh\u1edbp s\u01b0ng to, \u0111\u1ecf, ph\u00f9 n\u1ec1, c\u0103ng b\u00f3ng, n\u00f3ng, \u0111au d\u1eef d\u1ed9i v\u00e0 ng\u00e0y c\u00e0ng t\u0103ng, va ch\u1ea1m nh\u1eb9 c\u0169ng r\u1ea5t \u0111au, thay \u0111\u1ed5i th\u1ee9 t\u1ef1: b\u00e0n ch\u00e2n, c\u1ed5 ch\u00e2n, g\u1ed1i, b\u00e0n tay, c\u1ed5 tay, khu\u1ef7u, hi\u1ebfm th\u1ea5y \u1edf kh\u1edbp h\u00e1ng, vai, c\u1ed9t s\u1ed1ng. L\u00fac \u0111\u1ea7u ch\u1ec9 vi\u00eam m\u1ed9t kh\u1edbp sau \u0111\u00f3 c\u00f3 th\u1ec3 vi\u00eam nhi\u1ec1u kh\u1edbp.<\/li>\n<li>Ngo\u00e0i kh\u1edbp ra, t\u00fai thanh d\u1ecbch, g\u00e2n, bao kh\u1edbp c\u0169ng c\u00f3 th\u1ec3 b\u1ecb th\u01b0\u01a1ng t\u1ed5n.<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u ng\u00e0y, th\u01b0\u1eddng t\u1eeb 5-7 ng\u00e0y r\u1ed3i c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam gi\u1ea3m d\u1ea7n: \u0111\u1ee1 \u0111au, \u0111\u1ee1 n\u1ec1, b\u1edbt \u0111\u1ecf. H\u1ebft c\u01a1n, kh\u1edbp tr\u1edf l\u1ea1i ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>Trong c\u01a1n g\u00fat c\u1ea5p c\u00f3 th\u1ec3 c\u00f3 s\u1ed1t v\u1eeba ho\u1eb7c nh\u1eb9, t\u0103ng t\u1ed1c \u0111\u1ed9 l\u1eafng h\u1ed3ng c\u1ea7u, d\u1ecbch kh\u1edbp (ch\u1ec9 l\u00e0m \u0111\u01b0\u1ee3c \u1edf kh\u1edbp g\u1ed1i) th\u1ea5y b\u1ea1ch c\u1ea7u 5000\/mm3, \u0111a s\u1ed1 l\u00e0 lo\u1ea1i \u0111a nh\u00e2n, d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi th\u1ea5y nhi\u1ec1u tinh th\u1ec3 urat.<\/li>\n<li>C\u01a1n g\u00fat c\u1ea5p d\u1ec5 t\u00e1i ph\u00e1t, kho\u1ea3ng c\u00e1ch c\u00f3 th\u1ec3 g\u1ea7n nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 r\u1ea5t xa, c\u00f3 khi &gt;10 n\u0103m.<\/li>\n<li>B\u00ean c\u1ea1nh th\u1ec3 \u0111i\u1ec3n h\u00ecnh, c\u0169ng c\u00f3 th\u1ec3 t\u1ed1i c\u1ea5p v\u1edbi kh\u1edbp vi\u00eam s\u01b0ng t\u1ea5y d\u1eef d\u1ed9i, b\u1ec7nh nh\u00e2n \u0111au nhi\u1ec1u nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p th\u1ec3 nh\u1eb9, k\u00edn \u0111\u00e1o, \u0111au \u00edt d\u1ec5 b\u1ecb b\u1ecf qua.<\/li>\n<\/ul>\n<figure id=\"attachment_25702\" aria-describedby=\"caption-attachment-25702\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-25702 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16563083354662076149744-300x225.jpg\" alt=\"chan-doan-benh-gut\" width=\"300\" height=\"225\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16563083354662076149744-300x225.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16563083354662076149744.jpg 768w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-25702\" class=\"wp-caption-text\">\u0110au ng\u00f3n ch\u00e2n c\u00e1i d\u1eef d\u1ed9i l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng trong c\u01a1n gout c\u1ea5p<\/figcaption><\/figure>\n<p><strong><em>\u2212 L\u1eafng \u0111\u1ecdng urat:<\/em><\/strong><\/p>\n<p>L\u1eafng \u0111\u1ecdng urat l\u00e0m cho h\u00ecnh th\u00e0nh c\u00e1c t\u00f4phi d\u01b0\u1edbi da v\u00e0 g\u00e2y n\u00ean b\u1ec7nh kh\u1edbp m\u1ea1n t\u00ednh do urat.<\/p>\n<ul>\n<li>T\u00f4phi: th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n ch\u1eadm, h\u00e0ng ch\u1ee5c n\u0103m sau c\u01a1n g\u00fat \u0111\u1ea7u ti\u00ean nh\u01b0ng c\u0169ng c\u00f3 khi s\u1edbm h\u01a1n. Khi \u0111\u00e3 xu\u1ea5t hi\u1ec7n th\u00ec d\u1ec5 t\u0103ng s\u1ed1 l\u01b0\u1ee3ng v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng v\u00e0 c\u00f3 th\u1ec3 lo\u00e9t. T\u00f4phi th\u01b0\u1eddng th\u1ea5y tr\u00ean s\u1ee5n v\u00e0nh tai r\u1ed3i \u0111\u1ebfn khu\u1ef7u tay, ng\u00f3n ch\u00e2n c\u00e1i, g\u00f3t ch\u00e2n, mu b\u00e0n ch\u00e2n, g\u00e2n Achille.<\/li>\n<li>B\u1ec7nh kh\u1edbp do urat: xu\u1ea5t hi\u1ec7n ch\u1eadm. Kh\u1edbp b\u1ecb c\u1ee9ng, \u0111au khi v\u1eadn \u0111\u1ed9ng v\u00e0 l\u00e0m h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng, kh\u1edbp c\u00f3 th\u1ec3 s\u01b0ng to v\u1eeba ph\u1ea3i, kh\u00f4ng \u0111\u1ed1i x\u1ee9ng, c\u0169ng c\u00f3 th\u1ec3 c\u00f3 t\u00f4phi k\u00e8m theo. Tr\u00ean Xquang th\u1ea5y h\u1eb9p kh\u1edbp, h\u00ecnh \u1ea3nh khuy\u1ebft x\u01b0\u01a1ng h\u00ecnh h\u1ed1c \u1edf \u0111\u1ea7u x\u01b0\u01a1ng.<\/li>\n<\/ul>\n<p><em><strong>\u2212 Bi\u1ec3u hi\u1ec7n v\u1ec1 th\u1eadn:<\/strong><\/em><\/p>\n<p>Urat l\u1eafng \u0111\u1ecdng r\u1ea3i r\u00e1c \u1edf t\u1ed5 ch\u1ee9c k\u1ebd th\u1eadn, b\u1ec3 th\u1eadn, ni\u1ec7u qu\u1ea3n.<\/p>\n<ul>\n<li>S\u1ecfi th\u1eadn: 10 &#8211; 20% c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00fat, \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i l\u00e0 pH n\u01b0\u1edbc ti\u1ec3u qu\u00e1 toan, n\u1ed3ng \u0111\u1ed9 acid uric cao. S\u1ecfi urat th\u01b0\u1eddng nh\u1ecf v\u00e0 kh\u00f4ng c\u1ea3n quang.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng th\u1eadn: l\u00fac \u0111\u1ea7u ch\u1ec9 c\u00f3 protein ni\u1ec7u, c\u00f3 th\u1ec3 c\u00f3 k\u00e8m theo h\u1ed3ng c\u1ea7u, b\u1ea1ch c\u1ea7u vi th\u1ec3, d\u1ea7n d\u1ea7n di\u1ec5n ti\u1ebfn \u0111\u1ebfn suy th\u1eadn. Suy th\u1eadn th\u01b0\u1eddng g\u1eb7p \u1edf th\u1ec3 c\u00f3 t\u00f4phi, ti\u1ebfn tri\u1ec3n ch\u1eadm v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong.<\/li>\n<\/ul>\n<h3>1.2. C\u1eadn l\u00e2m s\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh G\u00fat<\/h3>\n<ul>\n<li>Acid uric m\u00e1u t\u0103ng &gt; 420 \u00b5mol\/l, tuy nhi\u00ean kho\u1ea3ng 40% b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1n g\u00fat c\u1ea5p nh\u01b0ng acid uric m\u00e1u b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>\u0110\u1ecbnh l\u01b0\u1ee3ng acid uric ni\u1ec7u 24 gi\u1edd: \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u0103ng b\u00e0i ti\u1ebft (&gt; 600mg\/24h) hay gi\u1ea3m th\u1ea3i t\u01b0\u01a1ng \u0111\u1ed1i (&lt; 600mg\/24h). N\u1ebfu acid uric ni\u1ec7u t\u0103ng d\u1ec5 g\u00e2y s\u1ecfi th\u1eadn v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u00f3m thu\u1ed1c t\u0103ng \u0111\u00e0o th\u1ea3i acid uric.<\/li>\n<li>X\u00e9t nghi\u1ec7m d\u1ecbch kh\u1edbp: quan tr\u1ecdng nh\u1ea5t l\u00e0 t\u00ecm th\u1ea5y tinh th\u1ec3 urat trong d\u1ecbch kh\u1edbp. D\u1ecbch kh\u1edbp vi\u00eam gi\u00e0u t\u1ebf b\u00e0o (&gt; 2000 tb\/mm3), ch\u1ee7 y\u1ebfu l\u00e0 b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh.<\/li>\n<li>C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c: t\u1ed1c \u0111\u1ed9 l\u1eafng m\u00e1u t\u0103ng, CRP b\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng&#8230;<\/li>\n<li>Xquang kh\u1edbp: giai \u0111o\u1ea1n \u0111\u1ea7u b\u00ecnh th\u01b0\u1eddng, n\u1ebfu mu\u1ed9n c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c khuy\u1ebft x\u01b0\u01a1ng h\u00ecnh h\u1ed1c \u1edf \u0111\u1ea7u x\u01b0\u01a1ng, h\u1eb9p khe kh\u1edbp, gai x\u01b0\u01a1ng&#8230;<\/li>\n<\/ul>\n<h3>1.3. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n<p><em><strong>\u2212 <\/strong><strong><em>Ti\u00ea<\/em>u chu\u1ea9n Bennet v\u00e0 Wood (1968)<\/strong><\/em>: \u0110\u1ed9 nh\u1ea1y 70%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 82,7%<br \/>\nTi\u00eau chu\u1ea9n Bennet v\u00e0 Wood (1968) \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t \u1edf Vi\u1ec7t Nam do d\u1ec5 nh\u1edb v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n thi\u1ebfu x\u00e9t nghi\u1ec7m.<br \/>\na. Ho\u1eb7c t\u00ecm th\u1ea5y tinh th\u1ec3 natri urat trong d\u1ecbch kh\u1edbp hay trong c\u00e1c h\u1ea1t t\u00f4phi.<br \/>\nb. Ho\u1eb7c t\u1ed1i thi\u1ec3u c\u00f3 hai trong c\u00e1c y\u1ebfu t\u1ed1 sau \u0111\u00e2y:<br \/>\n+ Ti\u1ec1n s\u1eed ho\u1eb7c hi\u1ec7n t\u1ea1i c\u00f3 t\u1ed1i thi\u1ec3u hai \u0111\u1ee3t s\u01b0ng \u0111au c\u1ee7a m\u1ed9t kh\u1edbp v\u1edbi t\u00ednh ch\u1ea5t kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t, \u0111au d\u1eef d\u1ed9i, v\u00e0 kh\u1ecfi ho\u00e0n to\u00e0n trong v\u00f2ng 2 tu\u1ea7n.<br \/>\n+ Ti\u1ec1n s\u1eed ho\u1eb7c hi\u1ec7n t\u1ea1i c\u00f3 s\u01b0ng \u0111au kh\u1edbp b\u00e0n ng\u00f3n ch\u00e2n c\u00e1i v\u1edbi c\u00e1c t\u00ednh ch\u1ea5t nh\u01b0 tr\u00ean.<br \/>\n+ C\u00f3 h\u1ea1t t\u00f4phi.<br \/>\n+ \u0110\u00e1p \u1ee9ng t\u1ed1t v\u1edbi colchicin (gi\u1ea3m vi\u00eam, gi\u1ea3m \u0111au trong 48 gi\u1edd) trong ti\u1ec1n s\u1eed ho\u1eb7c hi\u1ec7n t\u1ea1i.<br \/>\nCh\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh khi c\u00f3 ti\u00eau chu\u1ea9n a ho\u1eb7c 2 y\u1ebfu t\u1ed1 c\u1ee7a ti\u00eau chu\u1ea9n b.<\/p>\n<p><em><strong>\u2212 Theo ti\u00eau chu\u1ea9n c\u1ee7a ILAR v\u00e0 Omeract (2000)<\/strong><\/em>: \u0110\u1ed9 nh\u1ea1y 70%, \u0111\u1eb7c hi\u1ec7u 78,8%.<\/p>\n<p>+ C\u00f3 tinh th\u1ec3 urat \u0111\u1eb7c tr\u01b0ng trong d\u1ecbch kh\u1edbp, v\u00e0 \/ ho\u1eb7c:<br \/>\n+ H\u1ea1t t\u00f4phi \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 ch\u1ee9a tinh th\u1ec3 urat b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u00f3a h\u1ecdc ho\u1eb7c k\u00ednh hi\u1ec3n vi ph\u00e2n c\u1ef1c, v\u00e0 \/ ho\u1eb7c:<br \/>\n+ C\u00f3 6 trong s\u1ed1 12 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng, x\u00e9t nghi\u1ec7m v\u00e0 Xquang sau:<br \/>\n1. Vi\u00eam ti\u1ebfn tri\u1ec3n t\u1ed1i \u0111a trong v\u00f2ng m\u1ed9t ng\u00e0y.<br \/>\n2. C\u00f3 h\u01a1n m\u1ed9t c\u01a1n vi\u00eam kh\u1edbp c\u1ea5p.<br \/>\n3. Vi\u00eam kh\u1edbp \u1edf m\u1ed9t kh\u1edbp.<br \/>\n4. \u0110\u1ecf v\u00f9ng kh\u1edbp.<br \/>\n5. S\u01b0ng, \u0111au kh\u1edbp b\u00e0n ng\u00f3n ch\u00e2n I.<br \/>\n6. Vi\u00eam kh\u1edbp b\u00e0n ng\u00f3n ch\u00e2n I \u1edf m\u1ed9t b\u00ean.<br \/>\n7. Vi\u00eam kh\u1edbp c\u1ed5 ch\u00e2n m\u1ed9t b\u00ean.<br \/>\n8. T\u00f4phi nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c.<br \/>\n9. T\u0103ng acid uric m\u00e1u (nam \u2265 420 \u00b5mol\/l, n\u1eef \u2265 360\u00b5mol\/l).<br \/>\n10. S\u01b0ng \u0111au kh\u1edbp kh\u00f4ng \u0111\u1ed1i x\u1ee9ng.<br \/>\n11. Nang d\u01b0\u1edbi v\u1ecf x\u01b0\u01a1ng, kh\u00f4ng c\u00f3 h\u00ecnh khuy\u1ebft x\u01b0\u01a1ng tr\u00ean Xquang.<br \/>\n12. C\u1ea5y vi khu\u1ea9n \u00e2m t\u00ednh.<\/p>\n<h3>1.4. Ph\u00e2n lo\u1ea1i<\/h3>\n<p>\u2212 B\u1ec7nh g\u00fat c\u1ea5p t\u00ednh.<br \/>\n\u2212 B\u1ec7nh g\u00fat m\u1ea1n t\u00ednh.<br \/>\n\u2212 Th\u1eddi gian \u1ed5n \u0111\u1ecbnh gi\u1eefa c\u00e1c c\u01a1n g\u00fat c\u1ea5p.<\/p>\n<p>Ph\u00e2n lo\u1ea1i b\u1ec7nh G\u00fat l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh g\u00fat l\u00e0 b\u1ec7nh vi\u00eam kh\u1edbp do vi tinh th\u1ec3, \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng \u0111\u1ee3t vi\u00eam kh\u1edbp c\u1ea5p t\u00e1i ph\u00e1t, c\u00f3 l\u1eafng \u0111\u1ecdng tinh th\u1ec3 mu\u1ed1i urat natri trong c\u00e1c m\u00f4, g\u00e2y ra do t\u0103ng acid uric trong m\u00e1u. \u0110\u00e2y l\u00e0 b\u1ec7nh do r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a nh\u00e2n purin, thu\u1ed9c nh\u00f3m b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n b\u1ec7nh G\u00fat theo B\u1ed9 Y T\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh G\u00fat thu\u1ed9c nh\u00f3m b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a. 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