{"id":21588,"date":"2023-04-16T14:25:05","date_gmt":"2023-04-16T07:25:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21588"},"modified":"2023-04-17T12:44:27","modified_gmt":"2023-04-17T05:44:27","slug":"thang-olga-olgim-trong-danh-gia-viem-teo-da-day-man","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/thang-olga-olgim-trong-danh-gia-viem-teo-da-day-man\/","title":{"rendered":"Thang OLGA\/OLGIM trong \u0111\u00e1nh gi\u00e1 Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n"},"content":{"rendered":"<p><strong>Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh \u00a0hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n 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 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. \u0110\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 chuy\u1ec3n s\u1ea3n v\u00e0 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 \u00e1c t\u00ednh h\u00f3a c\u1ee7a t\u1ed5n th\u01b0\u01a1ng vi\u00eam teo chuy\u1ec3n s\u1ea3n ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y, c\u00e1c nh\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh h\u1ecdc th\u01b0\u1eddng d\u00f9ng thang OLGA\/OLGIM.<\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a v\u00e0 ph\u00e2n lo\u1ea1i<\/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). 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.<\/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. C\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 \u0111\u00f3ng g\u00f3p v\u00e0o c\u01a1 ch\u1ebf sinh b\u1ec7nh h\u1ecdc c\u1ee7a EMAG, trong \u0111\u00f3 ph\u1ea7n l\u1edbn \u0111\u1ec1u c\u00f3 li\u00ean quan \u0111\u1ebfn vi khu\u1ea9n HP.<\/li>\n<\/ul>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n vi\u00eam teo ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y<\/h2>\n<p>Vi\u00eam teo ni\u00eam m\u1ea1c 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. Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi ti\u00eau h\u00f3a tr\u00ean c\u00f3 sinh thi\u1ebft xu\u1ea5t ph\u00e1t t\u1eeb nghi ng\u1edd vi\u00eam d\u1ea1 d\u00e0y qua c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng chung v\u00e0 \u0111\u1eb7c tr\u01b0ng c\u1ee7a c\u00e1c d\u1ea1ng vi\u00eam teo chuy\u1ec3n s\u1ea3n ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (AMAG v\u00e0 EMAG) \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u v\u00e0 ph\u00e2n t\u00edch ri\u00eang \u1edf c\u00e1c b\u00e0i vi\u1ebft v\u1ec1 c\u00e1c ch\u1ee7 \u0111\u1ec1 n\u00e0y tr\u00ean chuy\u00ean trang\u00a0<a href=\"https:\/\/vinmecdr.com\/\"> VinmecDr.com<\/a><\/p>\n<p>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. 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<h2>Thang OLGA\/OLGIM trong \u0111\u00e1nh gi\u00e1 vi\u00eam teo ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y<\/h2>\n<p>\u0110\u1ec3 gi\u00e1 nguy c\u01a1 di\u1ec5n ti\u1ebfn \u00e1c t\u00ednh h\u00f3a c\u1ee7a t\u1ed5n th\u01b0\u01a1ng vi\u00eam teo chuy\u1ec3n s\u1ea3n d\u1ea1 d\u00e0y, m\u1ed9t nh\u00f3m c\u00e1c nh\u00e0 ti\u00eau h\u00f3a v\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh h\u1ecdc \u0111\u00e3 gi\u1edbi thi\u1ec7u hai h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i OLGA (Operative Link for Gastritis Assessment) v\u00e0 OLGIM (Operative Link for Gastritic Intestinal Metaplasia) \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 02 t\u1ed5n th\u01b0\u01a1ng ch\u00ednh c\u1ee7a vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh tr\u00ean gi\u1ea3i ph\u1eabu b\u1ec7nh t\u01b0\u01a1ng \u1ee9ng l\u00e0 thi\u1ec3u d\u01b0\u1ee1ng (teo) v\u00e0 chuy\u1ec3n s\u1ea3n ru\u1ed9t.<\/p>\n<p>\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 thang OLGA\/OLGIM c\u1ea7n k\u1ebft qu\u1ea3 m\u00f4 b\u1ec7nh h\u1ecdc t\u1eeb 2 v\u1ecb tr\u00ed l\u00e0 th\u00e2n v\u1ecb (corpus) v\u00e0 hang v\u1ecb (antrum). M\u1ed7i sang th\u01b0\u01a1ng teo hay chuy\u1ec3n s\u1ea3n t\u1ea1i m\u1ed7i v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 theo, h\u01b0\u1edbng d\u1eabn c\u1ee7a OLGA\/OLGIM v\u1edbi 4 m\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng \u1ee9ng \u0111i\u1ec3m t\u1eeb 0 \u0111\u1ebfn 3.<\/p>\n<div class=\"page\" title=\"Page 22\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<figure id=\"attachment_21642\" aria-describedby=\"caption-attachment-21642\" style=\"width: 201px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-21642 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-man-hinh-2023-04-15-luc-7.58.28-CH-201x300.png\" alt=\"Minh-hoa-danh-gia-theo-thang-OLGA\/OLGIM\" width=\"201\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-man-hinh-2023-04-15-luc-7.58.28-CH-201x300.png 201w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-man-hinh-2023-04-15-luc-7.58.28-CH-686x1024.png 686w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-man-hinh-2023-04-15-luc-7.58.28-CH-768x1146.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-man-hinh-2023-04-15-luc-7.58.28-CH.png 788w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/><figcaption id=\"caption-attachment-21642\" class=\"wp-caption-text\">Minh h\u1ecda \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 theo thang OLGA\/OLGIM<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Ph\u1ed1i h\u1ee3p m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a c\u1ea3 2 v\u1ecb tr\u00ed, b\u1ec7nh l\u00fd vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n \u0111\u01b0\u1ee3c chia l\u00e0m 5 giai \u0111o\u1ea1n t\u1eeb 0 \u0111\u1ebfn IV:<\/p>\n<ul>\n<li>Giai \u0111o\u1ea1n 0: \u0110i\u1ec3m 0 &#8211; kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u1edf c\u1ea3 th\u00e2n v\u1ecb v\u00e0 hang v\u1ecb<\/li>\n<li>Giai \u0111o\u1ea1n I: \u0110i\u1ec3m 1 \u1edf v\u00f9ng th\u00e2n v\u00e0 \u0111i\u1ec3m 0 ho\u1eb7c 1 \u1edf v\u00f9ng hang v\u1ecb, ho\u1eb7c \u0111i\u1ec3m 0 \u1edf v\u00f9ng th\u00e2n v\u00e0 \u0111i\u1ec3m 1 \u1edf v\u00f9ng hang v\u1ecb<\/li>\n<li>Giai \u0111o\u1ea1n II: \u0110i\u1ec3m 2 ho\u1eb7c 3 \u1edf v\u00f9ng th\u00e2n v\u00e0 \u0111i\u1ec3m 0 \u1edf v\u00f9ng hang v\u1ecb; \u0111i\u1ec3m 2 \u1edf v\u00f9ng th\u00e2n v\u00e0 \u0111i\u1ec3m 1 \u1edf v\u00f9ng hang; ho\u1eb7c \u0111i\u1ec3m 0 ho\u1eb7c 1 \u1edf th\u00e2n v\u00e0 \u0111i\u1ec3m 2 \u1edf hang v\u1ecb<\/li>\n<li>Giai \u0111o\u1ea1n III: \u0110i\u1ec3m 3 \u1edf th\u00e2n v\u00e0 \u0111i\u1ec3m 1 ho\u1eb7c 2 \u1edf v\u00f9ng hang v\u1ecb, ho\u1eb7c \u0111i\u1ec3m 0 ho\u1eb7c 1 \u1edf th\u00e2n v\u00e0 \u0111i\u1ec3m 3 \u1edf hang<\/li>\n<li>Giai \u0111o\u1ea1n IV: \u0110i\u1ec3m 3 \u1edf c\u1ea3 th\u00e2n v\u00e0 hang v\u1ecb; ho\u1eb7c \u0111i\u1ec3m 3 \u1edf th\u00e2n v\u00e0 \u0111i\u1ec3m 2 \u1edf hang v\u1ecb ho\u1eb7c \u0111i\u1ec3m 2 \u1edf th\u00e2n v\u00e0 \u0111i\u1ec3m 3 \u1edf hang v\u1ecb.<\/li>\n<\/ul>\n<p>\u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a vi\u00eam teo chuy\u1ec3n s\u1ea3n d\u1ea1 d\u00e0y c\u00f3 vai tr\u00f2 trong \u0111i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh. \u0110\u1ed1i v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 m\u1ee9c \u0111\u1ed9 cao h\u01a1n theo thang OLGA\/OLGIM s\u1ebd c\u00f3 kh\u1ea3 n\u0103ng cao di\u1ec5n ti\u1ebfn th\u00e0nh ung th\u01b0 d\u1ea1 d\u00e0y trong t\u01b0\u01a1ng lai. C\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf c\u00e1c giai \u0111o\u1ea1n n\u1eb7ng (Giai \u0111o\u1ea1n III hay IV) \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o c\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p qu\u1ea3n l\u00fd t\u00edch c\u1ef1c h\u01a1n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh \u00a0hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam teo d\u1ea1 d\u00e0y chuy\u1ec3n s\u1ea3n 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 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, [&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>Thang OLGA\/OLGIM trong \u0111\u00e1nh gi\u00e1 Vi\u00eam teo d\u1ea1 d\u00e0y m\u1ea1n -<\/title>\n<meta name=\"description\" content=\"\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 chuy\u1ec3n s\u1ea3n v\u00e0 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 \u00e1c t\u00ednh h\u00f3a c\u1ee7a t\u1ed5n th\u01b0\u01a1ng vi\u00eam teo chuy\u1ec3n s\u1ea3n th\u01b0\u1eddng d\u00f9ng thang OLGA\/OLGIM.\" \/>\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\" 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