{"id":21523,"date":"2023-04-16T14:37:58","date_gmt":"2023-04-16T07:37:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21523"},"modified":"2023-04-17T16:59:48","modified_gmt":"2023-04-17T09:59:48","slug":"viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/","title":{"rendered":"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p><strong>Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n) . \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a nh\u00f3m b\u1ec7nh n\u00e0y l\u00e0 ngo\u00e0i h\u00ecnh \u1ea3nh th\u1ec3 hi\u1ec7n s\u1ef1 vi\u00eam m\u1ea1n t\u00ednh c\u00f2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng l\u00e0m thi\u1ec3u s\u1ea3n (teo) bi\u1ec3u m\u00f4 tuy\u1ebfn d\u1ea1 d\u00e0y, c\u00f3 th\u1ec3 b\u1ecb thay th\u1ebf b\u1eb1ng bi\u1ec3u m\u00f4 tr\u1ee5 c\u1ee7a ru\u1ed9t. Nh\u00f3m b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u1eb7ng \u00a0n\u1ec1 h\u01a1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 ung th\u01b0 d\u1ea1 d\u00e0y, n\u00ean c\u1ea7n c\u00f3 chi\u1ebfn l\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n<p>Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (chronic atrophic gastritis) hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n (metaplastic atrophic gastritis) l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a nh\u00f3m b\u1ec7nh n\u00e0y l\u00e0 ngo\u00e0i h\u00ecnh \u1ea3nh m\u00f4 b\u1ec7nh h\u1ecdc th\u1ec3 hi\u1ec7n s\u1ef1 vi\u00eam m\u1ea1n t\u00ednh (s\u1ef1 x\u00e2m nhi\u1ec5m c\u1ee7a c\u00e1c t\u1ebf b\u00e0o vi\u00eam m\u1ea1n t\u00ednh &#8211; c\u00e1c t\u1ebf b\u00e0o \u0111\u01a1n nh\u00e2n nh\u01b0 mono b\u00e0o, t\u01b0\u01a1ng b\u00e0o v\u00e0 lympho b\u00e0o) c\u00f2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng l\u00e0m thi\u1ec3u s\u1ea3n (teo) bi\u1ec3u m\u00f4 tuy\u1ebfn d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 b\u1ecb thay th\u1ebf b\u1eb1ng bi\u1ec3u m\u00f4 tr\u1ee5 c\u1ee7a ru\u1ed9t.<\/p>\n<p>Vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh \u0111\u01b0\u1ee3c chia l\u00e0m 03 d\u1ea1ng ch\u00ednh d\u1ef1a tr\u00ean nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0ng ch\u1ee7 y\u1ebfu l\u00e0 h\u00ecnh th\u00e1i t\u1ed5n th\u01b0\u01a1ng quan s\u00e1t b\u1eb1ng n\u1ed9i soi hay b\u1eb1ng gi\u1ea3i ph\u1eabu b\u1ec7nh h\u1ecdc. B\u00ean c\u1ea1nh vi\u00eam hang v\u1ecb do Helicobacter pylori, th\u00ec vi\u00eam teo ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh l\u00fd thu\u1ed9c nh\u00f3m vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh. Trong \u0111\u00f3, vi\u00eam teo d\u1ea1 d\u00e0y c\u00f3 hai d\u1ea1ng b\u1ec7nh ch\u00ednh l\u00e0 Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n (autoimmune metaplastic atrophic gastritis \u00a0&#8211; AMAG) v\u00e0 Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do m\u00f4i tr\u01b0\u1eddng (environmental metaplastic atrophic gastritis &#8211; EMAG). Hai d\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 kh\u00e1c bi\u1ec7t v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh sinh b\u1ec7nh v\u00e0 c\u1ea3 h\u00ecnh th\u00e1i l\u00e2m s\u00e0ng. Nh\u01b0ng trong r\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, c\u00f3 s\u1ef1 ch\u1ed3ng l\u1ea5p hai d\u1ea1ng n\u00e0y tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e1i l\u00e2m s\u00e0ng kh\u00f3 ph\u00e2n bi\u1ec7t.<\/p>\n<ul>\n<li><strong>Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n (autoimmune metaplastic atrophic gastritis \u00a0&#8211; AMAG)<\/strong> &#8211; L\u00e0 d\u1ea1ng sang th\u01b0\u01a1ng thi\u1ec3u d\u01b0\u1ee1ng (hay c\u00f2n g\u1ecdi l\u00e0 teo) v\u00e0 chuy\u1ec3n s\u1ea3n c\u1ee7a bi\u1ec3u m\u00f4 d\u1ea1 d\u00e0y, \u0111\u1eb7c tr\u01b0ng l\u00e0 t\u1eadp trung \u1edf v\u00f9ng th\u00e2n v\u1ecb (corpus).<\/li>\n<li><strong>Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do m\u00f4i tr\u01b0\u1eddng (environmental metaplastic atrophic gastritis &#8211; EMAG)<\/strong> &#8211; L\u00e0 d\u1ea1ng sang th\u01b0\u01a1ng thi\u1ec3u d\u01b0\u1ee1ng (hay c\u00f2n g\u1ecdi l\u00e0 teo) v\u00e0 chuy\u1ec3n s\u1ea3n ru\u1ed9t c\u1ee7a bi\u1ec3u m\u00f4 d\u1ea1 d\u00e0y, \u0111\u1eb7c tr\u01b0ng l\u00e0 ph\u00e2n b\u1ed1 c\u1ee7a sang th\u01b0\u01a1ng lan t\u1ecfa \u1edf c\u1ea3 hang v\u1ecb v\u00e0 th\u00e2n v\u1ecb.<\/li>\n<\/ul>\n<h2>2. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n<\/h2>\n<p>D\u1ecbch t\u1ec5: AMAG c\u00f3 t\u1ec9 l\u1ec7 xu\u1ea5t hi\u1ec7n t\u01b0\u01a1ng t\u1ef1 \u1edf c\u00e1c ch\u1ee7ng t\u1ed9c kh\u00e1c nhau (d\u1eef ki\u1ec7n nghi\u00ean c\u1ee9u t\u1eeb c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n). AMAG c\u0169ng c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m chung c\u1ee7a c\u00e1c b\u1ec7nh l\u00ed li\u00ean quan \u0111\u1ebfn t\u1ef1 mi\u1ec5n nh\u01b0: g\u1eb7p nhi\u1ec1u h\u01a1n \u1edf n\u1eef, c\u00f3 xu h\u01b0\u1edbng c\u00f9ng xu\u1ea5t hi\u1ec7n v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n kh\u00e1c nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 v\u00e0 c\u00e1c b\u1ec7nh l\u00fd gi\u00e1p tr\u1ea1ng do t\u1ef1 mi\u1ec5n. T\u1ec9 l\u1ec7 m\u1eafc b\u1ec7nh trong d\u00e2n s\u1ed1 chung t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u t\u1ea1i M\u1ef9 cho th\u1ea5y t\u1ea7n su\u1ea5t c\u1ee7a AMAG kho\u1ea3ng 2%, t\u00edch l\u0169y d\u1ea7n theo tu\u1ed5i.<\/p>\n<p>Sinh b\u1ec7nh h\u1ecdc: AMAG \u00a0li\u00ean quan \u0111\u1ebfn s\u1ef1 ph\u00e1 h\u1ee7y c\u00e1c tuy\u1ebfn b\u00e0i ti\u1ebft axit c\u1ee7a ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y do s\u1ef1 k\u00edch ho\u1ea1t b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o lympho T v\u00e0 k\u00edch th\u00edch sinh kh\u00e1ng th\u1ec3 tr\u1ef1c ti\u1ebfp t\u1ea5n c\u00f4ng t\u1ebf b\u00e0o th\u00e0nh v\u00e0 y\u1ebfu t\u1ed1 n\u1ed9i t\u1ea1i. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt cho th\u1ea5y s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a kh\u00e1ng th\u1ec3 kh\u00e1ng b\u01a1m H+\/K+-ATPase tr\u00ean t\u1ebf b\u00e0o th\u00e0nh \u1edf m\u1ed9t s\u1ed1 c\u00e1 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c AMAG<\/p>\n<p>Nguy c\u01a1 ung th\u01b0 h\u00f3a: b\u1ec7nh nh\u00e2n m\u1eafc AMAG \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 t\u0103ng nguy c\u01a1 m\u1eafc c\u00e1c lo\u1ea1i ung th\u01b0 d\u1ea1 d\u00e0y, bao g\u1ed3m c\u00e1c kh\u1ed1i u ngu\u1ed3n g\u1ed1c t\u1eeb t\u1ebf b\u00e0o th\u1ea7n kinh-n\u1ed9i ti\u1ebft d\u1ea1 d\u00e0y v\u00e0 c\u00e1c kh\u1ed1i u ngu\u1ed3n g\u1ed1c bi\u1ec3u m\u00f4 tuy\u1ebfn d\u1ea1 d\u00e0y.<\/p>\n<p>V\u1ec1 m\u1eb7t c\u01a1 ch\u1ebf, s\u1ef1 m\u1ea5t ch\u1ee9c n\u0103ng b\u00e0i ti\u1ebft axit c\u1ee7a c\u00e1c tuy\u1ebfn d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 g\u00e2y nh\u01b0\u1ee3c toan v\u00e0 v\u00f4 toan d\u1ea1 d\u00e0y. \u0110i\u1ec1u n\u00e0y l\u00e0m k\u00edch th\u00edch b\u00e0i ti\u1ebft Gastrin t\u1eeb c\u00e1c t\u1ebf b\u00e0o G. Gastrin t\u0103ng k\u00edch th\u00edch s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh n\u1ed9i ti\u1ebft da d\u00e0y (\u0111i\u1ec3n h\u00ecnh l\u00e0 c\u00e1c ECL-cell). C\u00f3 th\u1ec3 th\u00fac \u0111\u1ea9y c\u00e1c t\u1ebf b\u00e0o n\u00e0y t\u0103ng sinh b\u1ea5t th\u01b0\u1eddng. S\u1ef1 chuy\u1ec3n s\u1ea3n ru\u1ed9t c\u1ee7a bi\u1ec3u m\u00f4 d\u1ea1 d\u00e0y trong AMAG tr\u1ea3i qua nhi\u1ec1u giai \u0111o\u1ea1n trung gian ph\u1ee9c t\u1ea1p, nh\u01b0ng nh\u00ecn chung l\u00e0 s\u1ef1 chuy\u1ec3n s\u1ea3n n\u00e0y c\u00f3 th\u1ec3 l\u00e0 ti\u1ec1n \u0111\u1ec3 cho lo\u1ea1n s\u1ea3n v\u00e0 ngh\u1ecbch s\u1ea3n \u0111\u1ec3 h\u00ecnh th\u00e0nh m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u00e1c t\u00ednh t\u1eeb bi\u1ec3u m\u00f4 tuy\u1ebfn d\u1ea1 d\u00e0y.<\/p>\n<h2>3. \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p>AMAG c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m kh\u00f4ng tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a d\u1ea1 d\u00e0y v\u00e0 thi\u1ebfu vitamin B12. L\u00e0 m\u1ed9t b\u1ec7nh l\u00fd vi\u00eam m\u1ea1n t\u00ednh c\u1ee7a d\u1ea1 d\u00e0y AMAG c\u00f3 th\u1ec3 g\u00e2y c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ti\u00eau, \u0111au th\u01b0\u1ee3ng v\u1ecb v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 xu\u1ea5t hi\u1ec7n hay t\u0103ng n\u1eb7ng sau khi \u0103n. Thi\u1ebfu vitamin B12 c\u00f3 th\u1ec3 g\u00e2y c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m th\u1ea7n kinh kh\u00f4ng r\u00f5 r\u00e0ng nh\u01b0 m\u1ec7t m\u1ecfi, k\u00edch th\u00edch, gi\u1ea3m tr\u00ed l\u1ef1c, m\u1ea5t t\u1eadp trung. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1ee3i \u00fd t\u00ecnh tr\u1ea1ng thi\u1ebfu vitamin b12 \u0111\u1eb7c hi\u1ec7u h\u01a1n g\u1ed3m s\u01b0ng \u0111au, m\u1ea5t gai l\u01b0\u1ee1i; t\u00ea, d\u1ecb c\u1ea3m c\u00e1c chi.<\/p>\n<figure style=\"width: 377px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/th.bing.com\/th\/id\/OIG.TKoxve1Gxz1GqOxYRuo_?pid=ImgGn\" alt=\"Minh-hoa-viem-da-day-man\" width=\"377\" height=\"377\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 tri\u1ec7u ch\u1ee9ng vi\u00eam teo d\u1ea1 d\u00e0y t\u1ef1 mi\u1ec5n<\/figcaption><\/figure>\n<p>C\u00e1c th\u1ec3 b\u1ec7nh vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean c\u00e1c b\u1eb1ng ch\u1ee9ng v\u1ec1 m\u00f4 b\u1ec7nh h\u1ecdc. Ph\u01b0\u01a1ng ph\u00e1p kh\u1ea3o s\u00e1t l\u1ef1a ch\u1ecdn \u01b0u ti\u00ean l\u00e0 n\u1ed9i soi ti\u00eau h\u00f3a tr\u00ean c\u00f3 sinh thi\u1ebft. N\u1ed9i soi ti\u00eau h\u00f3a tr\u00ean c\u00f3 sinh thi\u1ebft v\u1eeba c\u00f3 th\u1ec3 cung c\u1ea5p h\u00ecnh \u1ea3nh \u0111\u1ea1i th\u1ec3 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng vi\u00eam v\u1eeba c\u00f3 th\u1ec3 cho th\u00f4ng tin ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh qua ph\u00e2n t\u00edch m\u00f4 b\u1ec7nh h\u1ecdc. Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a nh\u00f3m b\u1ec7nh n\u00e0y l\u00e0 ngo\u00e0i h\u00ecnh \u1ea3nh m\u00f4 b\u1ec7nh h\u1ecdc th\u1ec3 hi\u1ec7n s\u1ef1 vi\u00eam m\u1ea1n t\u00ednh (s\u1ef1 x\u00e2m nhi\u1ec5m c\u1ee7a c\u00e1c t\u1ebf b\u00e0o vi\u00eam m\u1ea1n t\u00ednh &#8211; c\u00e1c t\u1ebf b\u00e0o \u0111\u01a1n nh\u00e2n nh\u01b0 mono b\u00e0o, t\u01b0\u01a1ng b\u00e0o v\u00e0 lympho b\u00e0o) c\u00f2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng l\u00e0m thi\u1ec3u s\u1ea3n (teo) bi\u1ec3u m\u00f4 tuy\u1ebfn d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 b\u1ecb thay th\u1ebf b\u1eb1ng bi\u1ec3u m\u00f4 tr\u1ee5 c\u1ee7a ru\u1ed9t. AMAG c\u00f2n cho th\u1ea5y s\u1ef1 th\u00e2m nhi\u1ec5m b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c lympho T.<\/p>\n<p>C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 b\u1ec7nh h\u1ecdc c\u1ee7a AMAG \u00a0\u0111\u01b0\u1ee3c quan s\u00e1t tr\u00ean c\u00e1c m\u1eabu sinh thi\u1ebft ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y bao g\u1ed3m \u00edt nh\u1ea5t hai trong c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m sau:<\/p>\n<ul>\n<li>Vi\u00eam m\u1ea1n t\u00ednh th\u00e2m nhi\u1ec5m s\u00e2u<\/li>\n<li>Ph\u00e1 hu\u1ef7 b\u00e0i ti\u1ebft axit c\u1ee7a d\u1ea1 d\u00e0y<\/li>\n<li>T\u0103ng nhi\u1ec1u Eosinophils<\/li>\n<li>Chuy\u1ec3n s\u1ea3n ru\u1ed9t\/gi\u1ea3 m\u00f4n v\u1ecb\/t\u1ee5y<\/li>\n<li>Gi\u1ea3 t\u0103ng k\u00edch th\u01b0\u1edbc t\u1ebf b\u00e0o th\u00e0nh<\/li>\n<\/ul>\n<p>Ph\u00e2n t\u00edch m\u00f4 b\u1ec7nh h\u1ecdc c\u00f2n cho ph\u00e9p \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9, qua \u0111\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 n\u0103ng ung th\u01b0 h\u00f3a c\u1ee7a t\u1ed5n th\u01b0\u01a1ng chuy\u1ec3n s\u1ea3n. \u0110\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n tr\u00ean gi\u1ea3i ph\u1eabu b\u1ec7nh h\u1ecdc, c\u00f3 th\u1ec3 d\u00f9ng thang OLGA\/OLGIM \u0111\u1ec3 \u0111\u00e1nh gi\u00e1.<\/p>\n<p>N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, trong \u0111\u00f3 c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n th\u00e0nh ung th\u01b0 d\u1ea1 d\u00e0y. Do \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh ung th\u01b0 d\u1ea1 d\u00e0y. T\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf <a href=\"https:\/\/www.vinmec.com\/vi\/dangkykham\/\">Vinmec,<\/a> c\u00e1c chuy\u00ean gia v\u00e0 k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i trong l\u0129nh v\u1ef1c ti\u00eau h\u00f3a s\u1eb5n s\u00e0ng h\u1ed7 tr\u1ee3 v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c v\u00e0 k\u1ecbp th\u1eddi.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n) . \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a nh\u00f3m b\u1ec7nh n\u00e0y l\u00e0 ngo\u00e0i h\u00ecnh \u1ea3nh th\u1ec3 hi\u1ec7n s\u1ef1 vi\u00eam m\u1ea1n t\u00ednh c\u00f2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng l\u00e0m thi\u1ec3u s\u1ea3n (teo) [&hellip;]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n -<\/title>\n<meta name=\"description\" content=\"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n)\" \/>\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=\"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n -\" \/>\n<meta property=\"og:description\" content=\"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n)\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-16T07:37:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-17T09:59:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/th.bing.com\/th\/id\/OIG.TKoxve1Gxz1GqOxYRuo_?pid=ImgGn\" \/>\n<meta name=\"author\" content=\"Th\u1ebf Th\u1eddi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Th\u1ebf Th\u1eddi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 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\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/\",\"name\":\"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n -\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-16T07:37:58+00:00\",\"dateModified\":\"2023-04-17T09:59:48+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/baa0641dfd7d6cbbb9f3a6fd0f1afbc8\"},\"description\":\"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n)\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n\"}]},{\"@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\/baa0641dfd7d6cbbb9f3a6fd0f1afbc8\",\"name\":\"Th\u1ebf Th\u1eddi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/807037f842332be6dc06462b09ec97c2?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/807037f842332be6dc06462b09ec97c2?s=96&d=mm&r=g\",\"caption\":\"Th\u1ebf Th\u1eddi\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/nguyenthethoi98gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n -","description":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n)","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":"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n -","og_description":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n)","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/","og_site_name":"Vinmec","article_published_time":"2023-04-16T07:37:58+00:00","article_modified_time":"2023-04-17T09:59:48+00:00","og_image":[{"url":"https:\/\/th.bing.com\/th\/id\/OIG.TKoxve1Gxz1GqOxYRuo_?pid=ImgGn"}],"author":"Th\u1ebf Th\u1eddi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Th\u1ebf Th\u1eddi","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/","name":"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n -","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-16T07:37:58+00:00","dateModified":"2023-04-17T09:59:48+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/baa0641dfd7d6cbbb9f3a6fd0f1afbc8"},"description":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do t\u1ef1 mi\u1ec5n l\u00e0 m\u1ed9t h\u00ecnh th\u00e1i c\u1ee7a vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n)","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-chuyen-san-do-tu-mien-dac-diem-va-chan-doan\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do t\u1ef1 mi\u1ec5n: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n"}]},{"@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\/baa0641dfd7d6cbbb9f3a6fd0f1afbc8","name":"Th\u1ebf Th\u1eddi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/807037f842332be6dc06462b09ec97c2?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/807037f842332be6dc06462b09ec97c2?s=96&d=mm&r=g","caption":"Th\u1ebf Th\u1eddi"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/nguyenthethoi98gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21523"}],"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\/37"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=21523"}],"version-history":[{"count":10,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21523\/revisions"}],"predecessor-version":[{"id":23467,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21523\/revisions\/23467"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=21523"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=21523"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=21523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}