{"id":21601,"date":"2023-04-16T11:27:30","date_gmt":"2023-04-16T04:27:30","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21601"},"modified":"2023-04-18T15:38:44","modified_gmt":"2023-04-18T08:38:44","slug":"thang-diem-has-bled","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/thang-diem-has-bled\/","title":{"rendered":"Thang \u0111i\u1ec3m HAS-BLED: C\u00e1ch t\u00ednh v\u00e0 \u1ee9ng d\u1ee5ng"},"content":{"rendered":"<p><strong>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c c\u01a1n \u0111\u1ed9t qu\u1ef5, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra r\u1ee7i ro ch\u1ea3y m\u00e1u. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.\u00a0 Thang \u0111i\u1ec3m HAS-BLED l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.\u00a0 \u00a0 \u00a0 \u00a0<\/strong><\/p>\n<h2>1.C\u00e1ch t\u00ednh \u0111i\u1ec3m HAS-BLED<\/h2>\n<p>Thang \u0111i\u1ec3m HAS-BLED l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u. HAS-BLED l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong thang \u0111i\u1ec3m n\u00e0y, bao g\u1ed3m:<\/p>\n<ul>\n<li>H (Hypertension): Huy\u1ebft \u00e1p cao (\u2265160 mmHg) \u0111\u01b0\u1ee3c g\u00e1n \u0111i\u1ec3m 1, n\u1ebfu kh\u00f4ng, \u0111i\u1ec3m s\u1ebd l\u00e0 0.<\/li>\n<li>A (Abnormal renal and liver function): Ch\u1ee9c n\u0103ng th\u1eadn ho\u1eb7c gan b\u1ea5t th\u01b0\u1eddng (v\u00ed d\u1ee5 nh\u01b0 s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn ho\u1eb7c gan) \u0111\u01b0\u1ee3c g\u00e1n \u0111i\u1ec3m 1.<\/li>\n<\/ul>\n<p>B\u1ec7nh th\u1eadn: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh th\u1eadn, di\u1ec7n k\u1ebf bao g\u1ed3m proteinuri (albumin &gt;30 mg\/g creatinine) ho\u1eb7c t\u1ef7 l\u1ec7 th\u1eadn suy gi\u1ea3m (GFR) &lt;60 mL\/min\/1.73m2, \u0111i\u1ec3m s\u1ebd \u0111\u01b0\u1ee3c g\u00e1n l\u00e0 1, n\u1ebfu kh\u00f4ng, \u0111i\u1ec3m s\u1ebd l\u00e0 0.<\/p>\n<p>Ch\u1ee9c n\u0103ng gan k\u00e9m: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng gan k\u00e9m, di\u1ec7n k\u1ebf bao g\u1ed3m c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ee9c n\u0103ng gan nh\u01b0 bilirubin to\u00e0n ph\u1ea7n &gt;2x gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng ho\u1eb7c AST\/ALT &gt;3x gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng, \u0111i\u1ec3m s\u1ebd \u0111\u01b0\u1ee3c g\u00e1n l\u00e0 1, n\u1ebfu kh\u00f4ng, \u0111i\u1ec3m s\u1ebd l\u00e0 0.<\/p>\n<ul>\n<li>S (Stroke): N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng b\u1ecb tai bi\u1ebfn, \u0111\u01b0\u1ee3c g\u00e1n \u0111i\u1ec3m 1.<\/li>\n<li>B (Bleeding history or predisposition): N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 l\u1ecbch s\u1eed ch\u1ea3y m\u00e1u ho\u1eb7c xu\u1ea5t huy\u1ebft, \u0111i\u1ec3m s\u1ebd \u0111\u01b0\u1ee3c g\u00e1n l\u00e0 1, n\u1ebfu kh\u00f4ng, \u0111i\u1ec3m s\u1ebd l\u00e0 0.<\/li>\n<li>L (Labile INR): Ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u b\u1ea5t th\u01b0\u1eddng INR t\u0103ng\/kh\u00f4ng \u1ed5n \u0111\u1ecbnh ho\u1eb7c th\u1eddi gian \u0111\u1ea1t ng\u01b0\u1ee1ng th\u1ea5p \u0111\u01b0\u1ee3c g\u00e1n \u0111i\u1ec3m 1<\/li>\n<li>E (Elderly): B\u1ec7nh nh\u00e2n c\u00f3 tu\u1ed5i tr\u00ean 65 \u0111\u01b0\u1ee3c g\u00e1n \u0111i\u1ec3m 1, n\u1ebfu kh\u00f4ng, \u0111i\u1ec3m s\u1ebd l\u00e0 0.<\/li>\n<li>D (Drugs\/alcohol concomitantly):<\/li>\n<\/ul>\n<p>Thu\u1ed1c g\u00e2y ch\u1ea3y m\u00e1u: N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c g\u00e2y ch\u1ea3y m\u00e1u (nh\u01b0 acid acetylsalicylic, clopidogrel, warfarin, dabigatran, rivaroxaban, apixaban, enoxaparin), \u0111i\u1ec3m s\u1ebd \u0111\u01b0\u1ee3c g\u00e1n l\u00e0 1, n\u1ebfu kh\u00f4ng, \u0111i\u1ec3m s\u1ebd l\u00e0 0.<\/p>\n<p>S\u1eed d\u1ee5ng r\u01b0\u1ee3u (\u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 &gt; 8 \u0111\u01a1n v\u1ecb c\u1ed3n m\u1ed7i tu\u1ea7n)<\/p>\n<table style=\"height: 398px;\" width=\"780\">\n<tbody>\n<tr>\n<td width=\"119\">Ch\u1eef c\u00e1i<\/td>\n<td width=\"785\">\u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng<\/td>\n<td width=\"186\">\u0110i\u1ec3m<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">H<\/td>\n<td width=\"785\">T\u0103ng huy\u1ebft \u00e1p<\/td>\n<td width=\"186\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">A<\/td>\n<td width=\"785\">B\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng th\u1eadn\/gan (1 \u0111i\u1ec3m cho m\u1ed7i y\u1ebfu t\u1ed1)<\/td>\n<td width=\"186\">1 ho\u1eb7c 2<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">S<\/td>\n<td width=\"785\">\u0110\u1ed9t qu\u1ecb<\/td>\n<td width=\"186\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">B<\/td>\n<td width=\"785\">Ch\u1ea3y m\u00e1u<\/td>\n<td width=\"186\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">L<\/td>\n<td width=\"785\">INR dao \u0111\u1ed9ng<\/td>\n<td width=\"186\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">E<\/td>\n<td width=\"785\">Tu\u1ed5i &gt; 65<\/td>\n<td width=\"186\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"119\">D<\/td>\n<td width=\"785\">D\u00f9ng \u0111\u1ed3ng th\u1eddi thu\u1ed1c t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u ho\u1eb7c nghi\u1ec7n r\u01b0\u1ee3u (1 \u0111i\u1ec3m cho m\u1ed7i y\u1ebfu t\u1ed1)<\/td>\n<td width=\"186\">1 ho\u1eb7c 2<\/td>\n<\/tr>\n<tr>\n<td width=\"119\"><\/td>\n<td width=\"785\"><\/td>\n<td width=\"186\">T\u1ed1i \u0111a 9 \u0111i\u1ec3m<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>2.L\u00fd gi\u1ea3i thang \u0111i\u1ec3m<\/h2>\n<p>T\u1ed5ng s\u1ed1 \u0111i\u1ec3m HAS-BLED s\u1ebd \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng c\u00e1ch c\u1ed9ng t\u1ed5ng s\u1ed1 \u0111i\u1ec3m c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 tr\u00ean. T\u1ed5ng \u0111i\u1ec3m c\u00f3 th\u1ec3 n\u1eb1m trong kho\u1ea3ng t\u1eeb 0 \u0111\u1ebfn 9. M\u1ed9t s\u1ed1 b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c ng\u01b0\u1ee1ng kh\u00e1c nhau \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n. Th\u00f4ng th\u01b0\u1eddng, \u0111i\u1ec3m HAS-BLED c\u00e0ng cao, b\u1ec7nh nh\u00e2n c\u00e0ng c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u cao khi s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.<\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>0 \u0111i\u1ec3m:<\/strong><\/td>\n<td>1,13\u00a0tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u\/100\u00a0b\u1ec7nh nh\u00e2n-n\u0103m<\/td>\n<\/tr>\n<tr>\n<td><strong>1 \u0111i\u1ec3m:<\/strong><\/td>\n<td>1,02\u00a0tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u\/100\u00a0b\u1ec7nh nh\u00e2n-n\u0103m<\/td>\n<\/tr>\n<tr>\n<td><strong>2 \u0111i\u1ec3m:<\/strong><\/td>\n<td>1,88\u00a0tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u\/100\u00a0b\u1ec7nh nh\u00e2n-n\u0103m<\/td>\n<\/tr>\n<tr>\n<td><strong>3 \u0111i\u1ec3m:<\/strong><\/td>\n<td>3,74\u00a0tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u\/100\u00a0b\u1ec7nh nh\u00e2n-n\u0103m<\/td>\n<\/tr>\n<tr>\n<td><strong>4 \u0111i\u1ec3m:<\/strong><\/td>\n<td>8,70\u00a0tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u\/100\u00a0b\u1ec7nh nh\u00e2n-n\u0103m<\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a05-9 \u0111i\u1ec3m:\u00a0 \u00a0\u00a0<\/strong><\/td>\n<td>Kh\u00f4ng \u0111\u1ee7 d\u1eef li\u1ec7u (nguy c\u01a1 cao)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>3.\u1ee8ng d\u1ee5ng<\/h2>\n<p>Thang \u0111i\u1ec3m HAS-BLED l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u00e0 c\u00f3 nhi\u1ec1u \u1ee9ng d\u1ee5ng quan tr\u1ecdng, bao g\u1ed3m:<\/p>\n<ul>\n<li>H\u1ed7 tr\u1ee3 quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u: Thang \u0111i\u1ec3m HAS-BLED gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u ph\u00f9 h\u1ee3p. N\u1ebfu \u0111i\u1ec3m HAS-BLED cao, b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t gi\u1ea3m li\u1ec1u ho\u1eb7c thay \u0111\u1ed5i lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u1ec3 gi\u1ea3m r\u1ee7i ro ch\u1ea3y m\u00e1u. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu \u0111i\u1ec3m HAS-BLED th\u1ea5p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u1edbi li\u1ec1u v\u00e0 t\u1ea7n su\u1ea5t ph\u00f9 h\u1ee3p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u trong b\u1ec7nh nh\u00e2n: Thang \u0111i\u1ec3m HAS-BLED gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c: N\u1ebfu \u0111i\u1ec3m HAS-BLED c\u1ee7a b\u1ec7nh nh\u00e2n cao, b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t gi\u1ea3m li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u1ec3 gi\u1ea3m r\u1ee7i ro ch\u1ea3y m\u00e1u. \u0110i\u1ec1u n\u00e0y gi\u00fap gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.<\/li>\n<li>\u0110\u01b0a ra l\u1eddi khuy\u00ean v\u1ec1 l\u1ed1i s\u1ed1ng: Thang \u0111i\u1ec3m HAS-BLED c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u01b0a ra l\u1eddi khuy\u00ean v\u1ec1 l\u1ed1i s\u1ed1ng \u0111\u1ec3 gi\u1ea3m c\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro ch\u1ea3y m\u00e1u nh\u01b0 ti\u00eau th\u1ee5 r\u01b0\u1ee3u, h\u00fat thu\u1ed1c, t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t, v\u00e0 gi\u1ea3m c\u00e2n.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u trong ph\u1eabu thu\u1eadt: Thang \u0111i\u1ec3m HAS-BLED c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u trong c\u00e1c ca ph\u1eabu thu\u1eadt v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 li\u1ec7u ph\u00e1p ch\u1ed1ng \u0111\u00f4ng m\u00e1u ph\u00f9 h\u1ee3p.<\/li>\n<li>Thang \u0111i\u1ec3m HAS-BLED \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u, \u0111\u1eb7c bi\u1ec7t l\u00e0 thu\u1ed1c kh\u00e1ng vitamin K. Thang \u0111i\u1ec3m n\u00e0y gi\u00fap c\u00e1c b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 t\u1ed1i \u01b0u h\u00f3a \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 ch\u1ea3y m\u00e1u. Tuy nhi\u00ean, thang \u0111i\u1ec3m HAS-BLED c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf v\u00e0 kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c nguy c\u01a1 ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n, do \u0111\u00f3 vi\u1ec7c \u0111\u01b0a quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u1ef1a tr\u00ean s\u1ef1 \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n c\u1ee7a t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<li>T\u00f3m l\u1ea1i, thang \u0111i\u1ec3m HAS-BLED l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng gi\u00fap \u0111\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u00e0 c\u00f3 nhi\u1ec1u \u1ee9ng d\u1ee5ng trong l\u0129nh v\u1ef1c y t\u1ebf v\u00e0 ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c c\u01a1n \u0111\u1ed9t qu\u1ef5, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra r\u1ee7i ro ch\u1ea3y m\u00e1u. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 r\u1ee7i ro ch\u1ea3y m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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