{"id":21944,"date":"2023-04-20T10:56:14","date_gmt":"2023-04-20T03:56:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21944"},"modified":"2023-04-20T16:03:53","modified_gmt":"2023-04-20T09:03:53","slug":"chi-so-apri-la-gi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/chi-so-apri-la-gi\/","title":{"rendered":"Ch\u1ec9 s\u1ed1 APRI l\u00e0 g\u00ec?"},"content":{"rendered":"

Ch\u1ec9 s\u1ed1 APRI (Aspartate aminotransferase-to-Platelet Ratio Index) – \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan do vi\u00eam gan B ho\u1eb7c C. Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u00e1nh gi\u00e1 t\u1ef7 l\u1ec7 gi\u1eefa enzym Aspartate aminotransferase (AST) v\u00e0 s\u1ed1 ti\u1ec3u c\u1ea7u trong huy\u1ebft thanh. Vi\u1ec7c \u00e1p d\u1ee5ng ch\u1ec9 s\u1ed1 n\u00e0y gi\u00fap b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan \u1edf b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh.<\/strong><\/p>\n

\"Ch\u1ec9
Ch\u1ec9 s\u1ed1 APRI \u0111\u00e1nh gi\u00e1 t\u1ef7 l\u1ec7 gi\u1eefa AST v\u00e0 s\u1ed1 ti\u1ec3u c\u1ea7u trong huy\u1ebft thanh<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 ch\u1ec9 s\u1ed1 APRI<\/h2>\n

Ch\u1ec9 s\u1ed1 APRI (Aspartate Aminotransferase to Platelet Ratio Index) \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi Sterling v\u00e0 \u0111\u1ed3ng nghi\u1ec7p v\u00e0o n\u0103m 2006. \u00dd t\u01b0\u1edfng ban \u0111\u1ea7u c\u1ee7a h\u1ecd l\u00e0 s\u1eed d\u1ee5ng m\u1ed9t ch\u1ec9 s\u1ed1 \u0111\u01a1n gi\u1ea3n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan \u1edf b\u1ec7nh nh\u00e2n m\u1eafc vi\u00eam gan C.<\/p>\n

Nghi\u00ean c\u1ee9u ban \u0111\u1ea7u c\u1ee7a Sterling v\u00e0 \u0111\u1ed3ng nghi\u1ec7p \u0111\u00e3 cho th\u1ea5y r\u1eb1ng ch\u1ec9 s\u1ed1 APRI c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 d\u1ef1 b\u00e1o c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh gan m\u00e3n t\u00ednh, nh\u01b0 x\u01a1 gan v\u00e0 ung th\u01b0 gan.<\/p>\n

Sau \u0111\u00f3, nhi\u1ec1u nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u00e3 ti\u1ebfp t\u1ee5c ch\u1ee9ng minh t\u00ednh kh\u1ea3 thi v\u00e0 \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a ch\u1ec9 s\u1ed1 APRI trong \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan m\u00e3n t\u00ednh kh\u00e1c nhau, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u00eam gan B v\u00e0 x\u01a1 gan.<\/p>\n

Ch\u1ec9 s\u1ed1 APRI \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n b\u1eb1ng c\u00e1ch chia AST cho s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u v\u00e0 nh\u00e2n v\u1edbi h\u1ec7 s\u1ed1 chuy\u1ec3n \u0111\u1ed5i. H\u1ec7 s\u1ed1 chuy\u1ec3n \u0111\u1ed5i th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 100.<\/p>\n

Ch\u1ec9 s\u1ed1 APRI \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan \u1edf b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh. N\u00f3 l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u01a1n gi\u1ea3n v\u00e0 ti\u1ebft ki\u1ec7m th\u1eddi gian \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 d\u1ef1 b\u00e1o c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh gan m\u00e3n t\u00ednh.<\/p>\n

T\u00f3m l\u1ea1i, ch\u1ec9 s\u1ed1 APRI l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan \u1edf b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh. N\u00f3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n v\u00e0o n\u0103m 2006 b\u1edfi Sterling v\u00e0 \u0111\u1ed3ng nghi\u1ec7p v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 d\u1ef1 b\u00e1o c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh gan m\u00e3n t\u00ednh.<\/p>\n

2. C\u00e1ch t\u00ednh ch\u1ec9 s\u1ed1 APRI<\/h2>\n

Ch\u1ec9 s\u1ed1 APRI (Aspartate Aminotransferase to\u00a0Platelet Ratio<\/a>\u00a0Index) \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng c\u00e1ch chia gi\u00e1 tr\u1ecb AST cho s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u v\u00e0 nh\u00e2n v\u1edbi h\u1ec7 s\u1ed1 chuy\u1ec3n \u0111\u1ed5i. H\u1ec7 s\u1ed1 chuy\u1ec3n \u0111\u1ed5i th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 100.<\/p>\n

C\u00f4ng th\u1ee9c t\u00ednh ch\u1ec9 s\u1ed1 APRI:<\/p>\n

Ch\u1ec9 s\u1ed1 APRI = (AST\/AST ULN) x 100) \/ s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u (109<\/sup>\/L)<\/h4>\n

Trong \u0111\u00f3:<\/p>\n

    \n
  • M\u1ee9c AST (U\/L)<\/li>\n
  • \u0110\u1ebfm s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u (109<\/sup>\/L)<\/li>\n
  • Gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a AST \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng l\u00e0 kho\u1ea3ng 20-40 U\/L v\u00e0 gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u l\u00e0 kho\u1ea3ng 150.000\/\u03bcL.<\/li>\n<\/ul>\n

    K\u1ebft qu\u1ea3 ch\u1ec9 s\u1ed1 ARPI c\u1ee7a b\u1ec7nh nh\u00e2n:<\/p>\n

    Gi\u00e1 tr\u1ecb ch\u1ec9 s\u1ed1 APRI b\u00ecnh th\u01b0\u1eddng l\u00e0 d\u01b0\u1edbi 1.0. N\u1ebfu gi\u00e1 tr\u1ecb ch\u1ec9 s\u1ed1 APRI cao h\u01a1n 1.0, c\u00f3 th\u1ec3 cho th\u1ea5y m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang cao h\u01a1n, v\u00e0 n\u1ebfu gi\u00e1 tr\u1ecb ch\u1ec9 s\u1ed1 APRI cao h\u01a1n 2.0, c\u00f3 th\u1ec3 cho th\u1ea5y b\u1ec7nh nh\u00e2n \u0111ang \u1edf m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan n\u1eb7ng.<\/p>\n

    Gi\u00e1 tr\u1ecb APRI > 2 c\u00f3 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 89% trong ch\u1ea9n \u0111o\u00e1n x\u01a1 gan (F4). V\u1edbi \u0111\u1ed9 nh\u1ea1y 35%, gi\u00e1 tr\u1ecb APRI > 2 c\u00f3 th\u1ec3 b\u1ecf s\u00f3t 2\/3 s\u1ed1 ca m\u1eafc x\u01a1 gan. Gi\u00e1 tr\u1ecb APRI > 1 c\u00f3 \u0111\u1ed9 nh\u1ea1y l\u1edbn h\u01a1n (65%) nh\u01b0ng \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u nh\u1ecf h\u01a1n (75%) trong ch\u1ea9n \u0111o\u00e1n x\u01a1 gan. Gi\u00e1 tr\u1ecb APRI > 1.5 c\u00f3 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 92% nh\u01b0ng c\u00f3 th\u1ec3 b\u1ecf s\u00f3t g\u1ea7n 2\/3 s\u1ed1 ca x\u01a1 gan trung b\u00ecnh v\u00e0 n\u1eb7ng (F2-F4).<\/p>\n

    V\u00ed d\u1ee5, n\u1ebfu gi\u00e1 tr\u1ecb AST c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 80 U\/L v\u00e0 s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u l\u00e0 100.000\/\u03bcL, th\u00ec ch\u1ec9 s\u1ed1 APRI c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c t\u00ednh nh\u01b0 sau:<\/p>\n

    APRI = [(80 \/ 30) \/ (100,000 \/ 150,000)] x 100
    \nAPRI = 2.67<\/p>\n

    3. \u1ee8ng d\u1ee5ng<\/h2>\n

    Ch\u1ec9 s\u1ed1 APRI (Aspartate Aminotransferase to Platelet Ratio Index) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan \u1edf b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u00eam gan B v\u00e0 C. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u1ee9ng d\u1ee5ng c\u1ee7a ch\u1ec9 s\u1ed1 APRI:<\/p>\n

      \n
    • \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan: Ch\u1ec9 s\u1ed1 APRI l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u01a1n gi\u1ea3n v\u00e0 ti\u1ebft ki\u1ec7m th\u1eddi gian \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan \u1edf b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh. N\u00f3 c\u00f3 th\u1ec3 gi\u00fap c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n
    • D\u1ef1 b\u00e1o c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh gan: Ch\u1ec9 s\u1ed1 APRI c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 d\u1ef1 b\u00e1o c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh gan, ch\u1eb3ng h\u1ea1n nh\u01b0 x\u01a1 gan v\u00e0 ung th\u01b0 gan. N\u00f3 c\u00f3 th\u1ec3 gi\u00fap c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n.<\/li>\n
    • \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh nh\u00e2n: Ch\u1ec9 s\u1ed1 APRI c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh nh\u00e2n. N\u1ebfu gi\u00e1 tr\u1ecb ch\u1ec9 s\u1ed1 APRI cao, c\u00f3 th\u1ec3 cho th\u1ea5y m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang cao h\u01a1n v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd h\u01a1n.<\/li>\n<\/ul>\n

      Tuy nhi\u00ean, ch\u1ec9 s\u1ed1 APRI kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ec9 s\u1ed1 duy nh\u1ea5t \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi c\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng gan m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n.<\/p>\n

      4. H\u1ea1n ch\u1ebf c\u1ee7a ch\u1ec9 s\u1ed1 APRI<\/h2>\n

      M\u1eb7c d\u00f9 ch\u1ec9 s\u1ed1 APRI (Aspartate Aminotransferase to Platelet Ratio Index) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan trong c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh nh\u01b0 vi\u00eam gan B v\u00e0 C, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf nh\u01b0 sau:<\/p>\n

        \n
      • Kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ec9 s\u1ed1 duy nh\u1ea5t: Ch\u1ec9 s\u1ed1 APRI kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ec9 s\u1ed1 duy nh\u1ea5t \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan. Th\u00f4ng th\u01b0\u1eddng, c\u00e1c chuy\u00ean gia y t\u1ebf s\u1ebd s\u1eed d\u1ee5ng nhi\u1ec1u ch\u1ec9 s\u1ed1 kh\u00e1c nhau \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng gan m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n.<\/li>\n
      • Kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n: Ch\u1ec9 s\u1ed1 APRI ch\u1ec9 ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh nh\u01b0 vi\u00eam gan B v\u00e0 C. \u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh gan kh\u00e1c, ch\u1ec9 s\u1ed1 n\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ea3n \u00e1nh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan.<\/li>\n
      • Kh\u00f4ng ph\u1ea1m vi r\u1ed9ng: Gi\u00e1 tr\u1ecb ch\u1ec9 s\u1ed1 APRI th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u00f3a gan v\u00e0 s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u \u1edf d\u00e2n s\u1ed1 chung. Do \u0111\u00f3, gi\u00e1 tr\u1ecb n\u00e0y kh\u00f4ng ph\u1ea3i l\u00e0 ph\u1ea1m vi r\u1ed9ng v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ea3n \u00e1nh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n.<\/li>\n
      • C\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c: Ch\u1ec9 s\u1ed1 APRI c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c nhau nh\u01b0 tu\u1ed5i, gi\u1edbi t\u00ednh, t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c. Do \u0111\u00f3, c\u00e1c chuy\u00ean gia y t\u1ebf c\u1ea7n ph\u1ea3i xem x\u00e9t c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y khi \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng gan c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

        T\u00f3m l\u1ea1i, ch\u1ec9 s\u1ed1 APRI l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan trong c\u00e1c b\u1ec7nh gan m\u00e3n t\u00ednh, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi c\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng gan m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n.<\/p>\n

        T\u00c0I LI\u1ec6U THAM KH\u1ea2O: H\u01b0\u1edbng d\u1eabn d\u1ef1 ph\u00f2ng, ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n m\u1eafc vi\u00eam gan B m\u1ea1n, 2015, T\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi<\/p>\n","protected":false},"excerpt":{"rendered":"

        Ch\u1ec9 s\u1ed1 APRI (Aspartate aminotransferase-to-Platelet Ratio Index) – \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan do vi\u00eam gan B ho\u1eb7c C. Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u00e1nh gi\u00e1 t\u1ef7 l\u1ec7 gi\u1eefa enzym Aspartate aminotransferase (AST) v\u00e0 s\u1ed1 ti\u1ec3u c\u1ea7u trong huy\u1ebft thanh. Vi\u1ec7c \u00e1p d\u1ee5ng ch\u1ec9 s\u1ed1 n\u00e0y gi\u00fap b\u00e1c s\u0129 c\u00f3 th\u1ec3 […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nCh\u1ec9 s\u1ed1 APRI l\u00e0 g\u00ec? - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ec9 s\u1ed1 APRI (Aspartate aminotransferase-to-Platelet Ratio Index) - \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan do vi\u00eam gan B ho\u1eb7c C...\" \/>\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=\"Ch\u1ec9 s\u1ed1 APRI l\u00e0 g\u00ec? - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ch\u1ec9 s\u1ed1 APRI (Aspartate aminotransferase-to-Platelet Ratio Index) - \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan do vi\u00eam gan B ho\u1eb7c C...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/chi-so-apri-la-gi\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-20T03:56:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-20T09:03:53+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1409388482-612x612-1-300x200.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\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\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/chi-so-apri-la-gi\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/chi-so-apri-la-gi\/\",\"name\":\"Ch\u1ec9 s\u1ed1 APRI l\u00e0 g\u00ec? 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