{"id":21548,"date":"2023-04-16T14:27:13","date_gmt":"2023-04-16T07:27:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21548"},"modified":"2023-04-17T12:44:01","modified_gmt":"2023-04-17T05:44:01","slug":"viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/","title":{"rendered":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \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 m\u00f4i tr\u01b0\u1eddng 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 m\u00f4i tr\u01b0\u1eddng<\/h2>\n<p>D\u1ecbch t\u1ec5: vi\u00eam teo ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do m\u00f4i tr\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn Hp v\u00e0 y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng nh\u01b0 ch\u1ebf \u0111\u1ed9 \u0103n, ph\u01a1i nhi\u1ec5m \u0111\u1ed9c ch\u1ea5t. Nh\u01b0ng c\u00f2n ch\u01b0a c\u00f3 nhi\u1ec1u d\u1eef di\u1ec7u \u0111\u00e1ng tin v\u00e0 \u0111\u1ed3ng nh\u1ea5t v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 li\u00ean quan v\u1edbi EMAG.<\/p>\n<p>Nhi\u1ec5m Helicobacter pylori (Hp) l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p EMAG. Nhi\u1ec5m Hp \u0111\u01b0\u1ee3c ghi nh\u1eadn trong kho\u1ea3ng 85% tr\u01b0\u1eddng h\u1ee3p ph\u00f9 h\u1ee3p b\u1ed1i c\u1ea3nh EMAG. C\u00e1c nghi\u00ean c\u1ee9u m\u00f4 b\u1ec7nh h\u1ecdc cho th\u1ea5y, nhi\u1ec5m Hp c\u00f3 kh\u1ea3 n\u0103ng khi\u1ebfn ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y thay \u0111\u1ed5i d\u1ea7n qua c\u00e1c giai \u0111o\u1ea1n, m\u00e0 vi\u00eam teo chuy\u1ec3n s\u1ea3n l\u00e0 m\u1ed9t giai \u0111o\u1ea1n trong \u0111\u00f3, g\u1ed3m vi\u00eam m\u1ea1n b\u1ec1 m\u1eb7t ni\u00eam m\u1ea1c, chuy\u1ec3n s\u1ea3n ru\u1ed9t, lo\u1ea1n s\u1ea3n v\u00e0 ung th\u01b0 h\u00f3a. C\u01a1 ch\u1ebf b\u1ec7nh h\u1ecdc c\u1ee7a qu\u00e1 tr\u00ecnh n\u00e0y ch\u01b0a th\u1ef1c s\u1ef1 r\u00f5 r\u00e0ng, c\u00e1c nghi\u00ean c\u1ee9u nh\u1eadn th\u1ea5y c\u00f3 vai tr\u00f2 \u0111\u00f3ng g\u00f3p c\u1ee7a nhi\u1ec1u y\u1ebfu t\u1ed1, t\u1eeb \u0111\u1ed9c l\u1ef1c c\u1ee7a c\u00e1c ch\u1ee7ng Hp cho \u0111\u1ebfn c\u00e1c ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>Ch\u1ebf \u0111\u1ed9 \u0103n c\u0169ng nh\u01b0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c c\u00f3 vai tr\u00f2, nh\u01b0ng b\u1eb1ng ch\u1ee9ng \u0111\u1ed3ng nh\u1ea5t v\u00e0 \u0111\u00e1ng t\u00ednh v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c l\u1eadp. Ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 nhi\u1ec1u mu\u1ed1i, h\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng r\u01b0\u1ee3u hay tr\u00e0o ng\u01b0\u1ee3c mu\u1ed1i m\u1eadt l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 \u0111\u01b0\u1ee3c cho l\u00e0 c\u00e1c vai tr\u00f2.<\/p>\n<p>Nguy c\u01a1 ung th\u01b0 h\u00f3a: b\u1ec7nh nh\u00e2n EMAG c\u00f3 nguy m\u1eafc ung th\u01b0 d\u1ea1 d\u00e0y t\u0103ng g\u1ea5p 10-15 l\u1ea7n so v\u1edbi d\u00e2n s\u1ed1 chung.<\/p>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do m\u00f4i tr\u01b0\u1eddng<\/h2>\n<p>Vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n do m\u00f4i tr\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u01b0\u1eddng c\u00f3 \u00edt tri\u1ec7u ch\u1ee9ng h\u01a1i do t\u1ef1 mi\u1ec5n. Nh\u00ecn chung EMAG di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m kh\u00f4ng tri\u1ec7u ch\u1ee9ng, tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p n\u1ebfu c\u00f3 l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng xoay quanh t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a d\u1ea1 d\u00e0y nh\u01b0 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. Kh\u00f4ng gi\u1ed1ng nh\u01b0 AMAG, \u0111\u1ecbnh l\u01b0\u1ee3ng gastrin trong m\u00e1u c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n EMAG c\u0169ng kh\u00f4ng t\u0103ng \u0111\u00e1ng k\u1ec3 v\u00e0 c\u0169ng kh\u00f4ng h\u00ecnh th\u00e0nh c\u00e1c kh\u00e1ng th\u1ec3 kh\u00e1ng t\u1ebf b\u00e0o th\u00e0nh hay y\u1ebfu t\u1ed1 n\u1ed9i t\u1ea1i.<\/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 h\u1ecda tri\u1ec7u ch\u1ee9ng vi\u00eam teo d\u1ea1 d\u00e0y do m\u00f4i tr\u01b0\u1eddng<\/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. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a sang th\u01b0\u1eddng do EMAG l\u00e0 c\u00e1c t\u1ed5 th\u01b0\u01a1ng thi\u1ec3u d\u01b0\u1ee1ng, chuy\u1ec3n s\u1ea3n v\u00e0 vi\u00eam ph\u00e2n b\u1ed1 th\u00e0nh nhi\u1ec1u \u1ed5 kh\u00e1c nhau ph\u00e2n b\u1ed1 ch\u1ee7 y\u1ebfu \u1edf hang v\u1ecb (antrum). C\u00e1c sang th\u01b0\u01a1ng n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf b\u1edd cong v\u1ecb nh\u1ecf v\u00e0 v\u00f9ng chuy\u1ec3n ti\u1ebfp hang v\u1ecb &#8211; th\u00e2n v\u1ecb, th\u01b0\u1eddng \u0111i k\u00e8m h\u00ecnh \u1ea3nh gi\u1ea3m t\u1ebf b\u00e0o th\u00e0nh.<\/p>\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","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do m\u00f4i tr\u01b0\u1eddng 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 [&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 m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \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 m\u00f4i tr\u01b0\u1eddng 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 m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \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 m\u00f4i tr\u01b0\u1eddng 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=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-16T07:27:13+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-17T05:44:01+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=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/\",\"name\":\"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-16T07:27:13+00:00\",\"dateModified\":\"2023-04-17T05:44:01+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/baa0641dfd7d6cbbb9f3a6fd0f1afbc8\"},\"description\":\"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do m\u00f4i tr\u01b0\u1eddng 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\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-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 m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \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 m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n","description":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do m\u00f4i tr\u01b0\u1eddng 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 m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n","og_description":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do m\u00f4i tr\u01b0\u1eddng 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":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/","og_site_name":"Vinmec","article_published_time":"2023-04-16T07:27:13+00:00","article_modified_time":"2023-04-17T05:44:01+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":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/","name":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \u0110\u1eb7c \u0111i\u1ec3m v\u00e0 ch\u1ea9n \u0111o\u00e1n","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-16T07:27:13+00:00","dateModified":"2023-04-17T05:44:01+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/baa0641dfd7d6cbbb9f3a6fd0f1afbc8"},"description":"Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh do m\u00f4i tr\u01b0\u1eddng 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":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-dac-diem-va-chan-doan\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/viem-teo-da-day-man-do-moi-truong-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 m\u1ea1n do m\u00f4i tr\u01b0\u1eddng: \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\/21548"}],"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=21548"}],"version-history":[{"count":7,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21548\/revisions"}],"predecessor-version":[{"id":23595,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21548\/revisions\/23595"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=21548"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=21548"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=21548"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}