{"id":21947,"date":"2023-04-21T12:17:29","date_gmt":"2023-04-21T05:17:29","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21947"},"modified":"2023-04-21T12:24:15","modified_gmt":"2023-04-21T05:24:15","slug":"hoi-chung-kem-hap-thu-phan-loai-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/hoi-chung-kem-hap-thu-phan-loai-chan-doan-va-dieu-tri\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu: ph\u00e2n lo\u1ea1i, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb."},"content":{"rendered":"<p><strong>H\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu g\u1ed3m nhi\u1ec1u bi\u1ec3u hi\u1ec7n kh\u00e1c nhau tr\u00ean l\u00e2m s\u00e0ng ch\u1ec9 t\u00ecnh tr\u1ea1ng k\u00e9m ti\u00eau h\u00f3a v\u00e0 k\u00e9m h\u1ea5p thu. Tr\u00ean l\u00e2m s\u00e0ng b\u1ec7nh bi\u1ec3u hi\u1ec7n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ti\u00eau ch\u1ea3y m\u1ea1n t\u00ednh, ph\u00e2n c\u00f3 m\u1ee1, ch\u1eadm t\u0103ng c\u00e2n v\u00e0 c\u00f3 th\u1ec3 k\u00e8m theo c\u00e1c bi\u1ec3u hi\u1ec7n thi\u1ebfu vitamin v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 vi l\u01b0\u1ee3ng m\u1eb7c d\u00f9 v\u1eabn \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7. K\u00e9m h\u1ea5p thu carbohydrate, lipid ho\u1eb7c protein l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a r\u1ed1i lo\u1ea1n qu\u00e1 tr\u00ecnh ti\u00eau h\u00f3a \u1edf l\u00f2ng ru\u1ed9t, h\u1ea5p thu v\u00e0 v\u1eadn chuy\u1ec3n c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng \u1edf ni\u00eam m\u1ea1c v\u00e0o v\u00f2ng tu\u1ea7n ho\u00e0n h\u1ec7 th\u1ed1ng.\u00a0<\/strong><\/p>\n<h2><strong>1. Ph\u00e2n lo\u1ea1i h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu.<\/strong><\/h2>\n<p>C\u00f3 nhi\u1ec1u c\u00e1ch ph\u00e2n lo\u1ea1i h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu, \u1edf \u0111\u00e2y tr\u00ecnh b\u00e0y ph\u00e2n lo\u1ea1i theo 2 c\u00e1ch:<\/p>\n<h3><strong>1.1. Ph\u00e2n lo\u1ea1i theo r\u1ed1i lo\u1ea1n ch\u1ea5t h\u1ea5p thu.\u00a0<\/strong><\/h3>\n<p><strong>K\u00e9m h\u1ea5p thu to\u00e0n b\u1ed9 ch\u1ea5t dinh d\u01b0\u1ee1ng:<\/strong><\/p>\n<p><em>D0 b\u1ea5t th\u01b0\u1eddng v\u1ec1 ti\u00eau h\u00f3a nh\u01b0:\u00a0<\/em><\/p>\n<ul>\n<li>T\u1ea1i t\u1ee5y: do x\u01a1 nang t\u1ee5y, h\u1ed9i ch\u1ee9ng Schwachman-Diamond, vi\u00eam t\u1ee5y c\u1ea5p, m\u1ea1n hay t\u00e1i ph\u00e1t.<\/li>\n<li>T\u1ea1i gan: do teo \u0111\u01b0\u1eddng m\u1eadt b\u1ea9m sinh, vi\u00eam gan m\u1ea1n, x\u01a1 gan.<\/li>\n<li>Qu\u00e1 ph\u00e1t vi khu\u1ea9n ru\u1ed9t: h\u1ed9i ch\u1ee9ng kh\u00fac ru\u1ed9t m\u00f9, gi\u1ea3 t\u1eafc ru\u1ed9t m\u1ea1n.<\/li>\n<li>T\u0103ng b\u00e0i ti\u1ebft d\u1ecbch v\u1ecb: h\u1ed9i ch\u1ee9ng Zollinger &#8211; Ellison.<\/li>\n<\/ul>\n<p><em>Do b\u1ea5t th\u01b0\u1eddng c\u1ee7a ni\u00eam m\u1ea1c ru\u1ed9t nh\u01b0<\/em>: b\u1ec7nh thi\u1ebfu h\u1ee5t mi\u1ec5n d\u1ecbch, teo nhung mao ru\u1ed9t, b\u1ec7nh Celiac, suy dinh d\u01b0\u1ee1ng, gi\u00e3n b\u1ea1ch m\u1ea1ch ru\u1ed9t, nhi\u1ec5m Giardia lamblia, vi\u00eam ru\u1ed9t non m\u1ea1n, u lympho Hodgkin, thu\u1ed1c kh\u00e1ng sinh, kh\u00e1ng t\u1ebf b\u00e0o, thi\u1ebfu s\u1eaft, acid folic.<\/p>\n<p><em>Do b\u1ea5t th\u01b0\u1eddng gi\u1ea3i ph\u1eabu ru\u1ed9t<\/em>: c\u1eaft qu\u00e1 nhi\u1ec1u h\u1ed7ng tr\u00e0ng, h\u1eb9p h\u1ed7ng h\u1ed3i tr\u00e0ng, r\u00f2 ti\u00eau h\u00f3a.<\/p>\n<p><em>Do b\u1ea5t th\u01b0\u1eddng nhu \u0111\u1ed9ng ru\u1ed9t:<\/em> c\u01b0\u1eddng gi\u00e1p, m\u1ea5t nhu \u0111\u1ed9ng ru\u1ed9t.<\/p>\n<p><em>B\u1ea5t th\u01b0\u1eddng sinh h\u00f3a<\/em>: kh\u00f4ng c\u00f3 beta lipoprotein m\u00e1u, vi\u00eam ru\u1ed9t &#8211; \u0111\u1ea7u chi thi\u1ebfu k\u1ebdm, k\u00e9m h\u1ea5p thu mu\u1ed1i m\u1eadt.<\/p>\n<p><strong>K\u00e9m h\u1ea5p thu ch\u1ecdn l\u1ecdc:\u00a0<\/strong><\/p>\n<p><em>K\u00e9m h\u1ea5p thu carbohydrate:\u00a0<\/em><\/p>\n<ul>\n<li>Thi\u1ebfu men disaccharidase.<\/li>\n<li>K\u00e9m h\u1ea5p thu glucose v\u00e0 galactose.<\/li>\n<\/ul>\n<p><em>K\u00e9m h\u1ea5p thu lipid<\/em>: thi\u1ebfu lipase b\u1ea9m sinh.<\/p>\n<p><em>K\u00e9m h\u1ea5p thu protein:\u00a0<\/em><\/p>\n<ul>\n<li>Do thi\u1ebfu men enterokinase.<\/li>\n<li>K\u00e9m h\u1ea5p thu acid amin.<\/li>\n<\/ul>\n<p><em>K\u00e9m h\u1ea5p thu ion:\u00a0<\/em><\/p>\n<ul>\n<li>Ti\u00eau ch\u1ea3y m\u1ea5t clo b\u1ea9m sinh.<\/li>\n<li>Ti\u00eau ch\u1ea3y m\u1ea5t Na b\u1ea9m sinh.<\/li>\n<li>U\u1ed1ng corticoid.<\/li>\n<li>Gi\u1ea3m Mg b\u1ea9m sinh.<\/li>\n<li>K\u00e9m h\u1ea5p thu B12, acid folic.<\/li>\n<\/ul>\n<h3><strong>1.2. Ph\u00e2n lo\u1ea1i k\u00e9m h\u1ea5p thu theo ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn:\u00a0<\/strong><\/h3>\n<p>K\u00e9m h\u1ea5p thu lipid:<\/p>\n<ul>\n<li>Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t.<\/li>\n<li>Do gi\u1ea3m pH t\u00e1 tr\u00e0ng: h\u1ed9i ch\u1ee9ng Zollinger &#8211; Ellison.<\/li>\n<li>Do gi\u1ea3m di\u1ec7n t\u00edch h\u1ea5p thu: b\u1ec7nh Crohn, vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, Celiac, c\u1eaft ru\u1ed9t non.<\/li>\n<li>Do gi\u1ea3m acid m\u1eadt: b\u1ec7nh gan (nh\u01b0 x\u01a1 gan), t\u1eafc m\u1eadt.<\/li>\n<li>Do qu\u00e1 ph\u00e1t vi khu\u1ea9n ru\u1ed9t non.<\/li>\n<li>Do gi\u1ea3m ch\u1ee9c n\u0103ng t\u1ee5y ngo\u1ea1i ti\u1ebft: vi\u00eam t\u1ee5y m\u1ea1n, c\u1eaft t\u1ee5y, x\u01a1 nang, ung th\u01b0.<\/li>\n<\/ul>\n<p>K\u00e9m h\u1ea5p thu carbohydrate:<\/p>\n<ul>\n<li>Do thi\u1ebfu amylase t\u1ee5y.<\/li>\n<li>Do gi\u1ea3m ho\u1ea1t t\u00ednh disaccharidase: lactase, sucrase, trehalase.<\/li>\n<li>Do m\u1ea5t di\u1ec7n t\u00edch h\u1ea5p thu \u1edf ru\u1ed9t non: b\u1ec7nh Celiac, sprue nhi\u1ec7t \u0111\u1edbi, b\u1ec7nh t\u1ef1 mi\u1ec5n \u1edf ru\u1ed9t, gi\u00e3n b\u1ea1ch m\u1ea1ch, b\u1ec7nh vi\u00eam ru\u1ed9t m\u1ea1n (IBD).<\/li>\n<\/ul>\n<p>K\u00e9m h\u1ea5p thu protein: vi\u00eam t\u1ee5y m\u1ea1n, x\u01a1 nang t\u1ee5y, IBD.<\/p>\n<p>K\u00e9m h\u1ea5p thu kho\u00e1ng v\u00e0 vitamin: do b\u1ec7nh l\u00fd d\u1ea1 d\u00e0y\/ru\u1ed9t non, k\u00e9m h\u1ea5p thu m\u1ee1, m\u1ea5t di\u1ec7n t\u00edch h\u1ea5p thu.<\/p>\n<p>K\u00e9m h\u1ea5p thu do vi khu\u1ea9n: <i>Giardia lamblia<\/i>\u00a0(giardiasis),\u00a0<i>Tropheryma whipplei<\/i>,\u00a0<i>Cryptosporidium parvum<\/i> (cryptosporidiosis), and the Phylum Microspora.<\/p>\n<figure id=\"attachment_25712\" aria-describedby=\"caption-attachment-25712\" style=\"width: 445px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-25712\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/c8b19e59-1b8b-46cf-a76c-f4e2bd499312-300x300.jpg\" alt=\"\" width=\"445\" height=\"445\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/c8b19e59-1b8b-46cf-a76c-f4e2bd499312-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/c8b19e59-1b8b-46cf-a76c-f4e2bd499312-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/c8b19e59-1b8b-46cf-a76c-f4e2bd499312-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/c8b19e59-1b8b-46cf-a76c-f4e2bd499312.jpg 1024w\" sizes=\"(max-width: 445px) 100vw, 445px\" \/><figcaption id=\"caption-attachment-25712\" class=\"wp-caption-text\">Ngu\u1ed3n: t\u1ed5ng h\u1ee3p<\/figcaption><\/figure>\n<h2><strong>2. Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu.<\/strong><\/h2>\n<h3><strong>2.1. H\u1ecfi b\u1ec7nh.<\/strong><\/h3>\n<ul>\n<li>Th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a v\u00e0 s\u1ef1 li\u00ean quan v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n.<\/li>\n<li>Th\u1eddi gian v\u00e0 di\u1ec5n ti\u1ebfn c\u00e2n n\u1eb7ng.<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n.<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng k\u00e8m theo: n\u00f4n, bu\u1ed3n n\u00f4n, ch\u01b0\u1edbng b\u1ee5ng, k\u00e9m \u0103n, m\u1ec7t m\u1ecfi, ch\u00e2m t\u0103ng c\u00e2n, suy dinh d\u01b0\u1ee1ng.<\/li>\n<li>\u0110\u1eb7c \u0111i\u1ec3m ph\u00e2n: ph\u00e2n l\u1ecfng v\u1edbi th\u00e0nh ph\u1ea7n ch\u01b0a ti\u00eau, ph\u00e2n m\u1ee1, ph\u00e2n nh\u00e0y m\u00e1u.<\/li>\n<li>Ti\u1ec1n s\u1eed b\u1ec7nh t\u1eadt.<\/li>\n<li>D\u1ecbch t\u1ec5 b\u1ec7nh nhi\u1ec5m khu\u1ea9n \u1edf \u0111\u1ecba ph\u01b0\u01a1ng\/du l\u1ecbch.<\/li>\n<\/ul>\n<h3><strong>2.2. Kh\u00e1m l\u00e2m s\u00e0ng.<\/strong><\/h3>\n<ul>\n<li>\u0110o chi\u1ec1u cao, c\u00e2n n\u1eb7ng, ch\u1ec9 s\u1ed1 nh\u00e2n tr\u1eafc, \u0111\u00e1nh gi\u00e1 t\u01b0\u01a1ng quan m\u1ee9c \u0111\u1ed9 suy dinh d\u01b0\u1ee1ng v\u1edbi h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu.<\/li>\n<li>Ph\u00f9 ngo\u1ea1i bi\u00ean do suy dinh d\u01b0\u1ee1ng n\u1eb7ng ho\u1eb7c h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu c\u00f3 m\u1ea5t protein qua ru\u1ed9t.<\/li>\n<li>T\u00f3c hung \u0111\u1ed5i m\u00e0u do thi\u1ebfu protein.<\/li>\n<li>Ng\u00f3n tay d\u00f9i tr\u1ed1ng trong x\u01a1 nang t\u1ee5y, b\u1ec7nh gan m\u1eadt m\u1ea1n t\u00ednh.<\/li>\n<li>Kh\u00e1m b\u1ee5ng: \u0111\u00e1nh gi\u00e1 ch\u01b0\u1edbng, v\u00f9ng v\u00e0 \u0111i\u1ec3m \u0111au khu tr\u00fa, kh\u1ed1i u.<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh: m\u1ecfi c\u01a1, \u0111au kh\u1edbp, co r\u00fat c\u01a1, c\u01a1n tetani.<\/li>\n<li>Quan s\u00e1t ph\u00e2n.<\/li>\n<\/ul>\n<h3><strong>2.3. C\u1eadn l\u00e2m s\u00e0ng.<\/strong><\/h3>\n<ul>\n<li>X\u00e9t nghi\u1ec7m ph\u00e2n: pH, t\u00ecm m\u00e1u \u1ea9n, \u0111\u1ecbnh l\u01b0\u1ee3ng m\u1ee1 trong ph\u00e2n, \u0111\u1ecbnh l\u01b0\u1ee3ng alpha 1 &#8211; antritrypsin.<\/li>\n<li>L\u00e0m m\u00f4 b\u1ec7nh h\u1ecdc m\u1ea3nh sinh thi\u1ebft ru\u1ed9t h\u1ed7ng tr\u00e0ng: \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd ni\u00eam m\u1ea1c ru\u1ed9t.<\/li>\n<li>X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u: t\u0103ng glucose ni\u1ec7u trong r\u1ed1i lo\u1ea1n h\u1ea5p thu glucose &#8211; galactose, t\u0103ng 4-hydroxyphenylacetic trong qu\u00e1 ph\u00e1t vi khu\u1ea9n ru\u1ed9t, \u0111\u1ecbnh l\u01b0\u1ee3ng acid amin trong k\u00e9m h\u1ea5p thu ch\u1ecdn l\u1ecdc acid amin, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 ni\u1ec7u.<\/li>\n<li>H\u00ecnh \u1ea3nh h\u1ecdc: X quang c\u00f3 c\u1ea3n quang, si\u00eau \u00e2m, CT scan \u0111\u00e1nh gi\u00e1 gan v\u00e0 \u0111\u01b0\u1eddng m\u1eadt.<\/li>\n<li>C\u00f4ng th\u1ee9c m\u00e1u: h\u1ed3ng c\u1ea7u nh\u1ecf nh\u01b0\u1ee3c s\u1eafc do thi\u1ebfu s\u1eaft, h\u1ed3ng c\u1ea7u to do thi\u1ebfu folic v\u00e0 B12.<\/li>\n<li>Sinh h\u00f3a: albumin v\u00e0 protid gi\u1ea3m do k\u00e9m h\u1ea5p thu protein qua ru\u1ed9t, suy t\u1ee5y. LDL gi\u1ea3m. CRP v\u00e0 m\u00e1u l\u1eafng t\u0103ng trong vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u1ea1n.<\/li>\n<li>Test \u0111\u00e1nh gi\u00e1 k\u00e9m h\u1ea5p thu glucid: test hydrogen h\u01a1i th\u1edf, test \u0111\u00e1nh gi\u00e1 h\u1ea5p thu monosaccharid v\u00e0 disaccharid, \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111i\u1ec7n gi\u1ea3i, th\u1eed ph\u00e2n Clinitest.<\/li>\n<li>Test \u0111\u00e1nh gi\u00e1 h\u1ea5p thu lipid: \u0111\u1ecbnh l\u01b0\u1ee3ng lipid th\u1ea3i trong ph\u00e2n, nhu\u1ed9m Sudan t\u00ecm h\u1ea1t m\u1ee1.<\/li>\n<\/ul>\n<h2><strong>3. \u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu.<\/strong><\/h2>\n<ul>\n<li>Kh\u00f4ng dung n\u1ea1p gluten: ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng gluten (b\u1ed9t m\u00ec), b\u1ed5 sung s\u1eaft v\u00e0 vitamin.<\/li>\n<li>Do vi khu\u1ea9n v\u00e0 k\u00ed sinh tr\u00f9ng: Cung c\u1ea5p \u0111\u1ee7 dinh d\u01b0\u1ee1ng, protein, virtamin v\u00e0 mu\u1ed1i kho\u00e1ng. Kh\u00e1ng sinh \u0111\u01b0\u1ee3c d\u00f9ng khi bi\u1ebft r\u00f5 nguy\u00ean nh\u00e2n. Kh\u00f4ng d\u00f9ng thu\u1ed1c c\u1ea7m ti\u00eau ch\u1ea3y.<\/li>\n<li>Do nhi\u1ec5m tr\u00f9ng ru\u1ed9t (b\u1ec7nh sprue nhi\u1ec7t \u0111\u1edbi): kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng; cho \u0103n \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng; b\u1ed5 sung acid folic v\u00e0 B12.<\/li>\n<li>H\u1ed9i ch\u1ee9ng kh\u00fac ru\u1ed9t m\u00f9, qu\u00e1 ph\u00e1t vi khu\u1ea9n ru\u1ed9t: Metronidazole 15 &#8211; 30 mg\/kg\/ng\u00e0y 5 &#8211; 7 ng\u00e0y. B\u00f9 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i, b\u1ed5 sung vitamin A v\u00e0 k\u00e9m.<\/li>\n<li>Giun l\u01b0\u01a1n: mebendazole 100mg x2 l\u1ea7n\/ng\u00e0y x3 ng\u00e0y.<\/li>\n<li>Ti\u00eau ch\u1ea3y m\u1ea1n do gi\u1ea3m h\u1ea5p thu acid m\u1eadt: cholestyramine 240mg\/kg\/ng\u00e0y chia 2 &#8211; 3 l\u1ea7n.<\/li>\n<li>B\u1ec7nh t\u1ef1 mi\u1ec5n: thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/li>\n<li>Kh\u00f4ng dung n\u1ea1p lactose: ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng lactose.<\/li>\n<li>Thi\u1ebfu men sucrase &#8211; isomantase: lo\u1ea1i saccharose kh\u1ecfi ch\u1ebf \u0111\u1ed9 \u0103n.<\/li>\n<li>Do b\u1ec7nh gan m\u1eadt: b\u1ed5 sung vitamin tan trong d\u1ea7u A, D, E, K.<\/li>\n<li>X\u01a1 nang t\u1ee5y: ch\u1ebf ph\u1ea9m t\u1eeb t\u1ee5y v\u00e0 kh\u00e1ng sinh ch\u1ed1ng b\u1ed9i nhi\u1ec5m, vitamin E, K, D.<\/li>\n<\/ul>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0<\/strong><\/p>\n<p>S\u00e1ch gi\u00e1o khoa nhi khoa Vi\u1ec7t Nam.<\/p>\n<p>Zuvarox T, Belletieri C. Malabsorption Syndromes. [Updated 2022 Jul 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.<\/p>\n<p>Ensari A. The Malabsorption Syndrome and Its Causes and Consequences. Pathobiology of Human Disease. 2014:1266\u201387.<\/p>\n<p><a href=\"https:\/\/vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/tim-hieu-hoi-chung-kem-hap-thu-o-ruot\/#:~:text=Bi%E1%BB%83u%20hi%E1%BB%87n%20c%E1%BB%A7a%20h%E1%BB%99i%20ch%E1%BB%A9ng%20k%C3%A9m%20h%E1%BA%A5p%20thu%20%E1%BB%9F%20tr%E1%BA%BB%20em&amp;text=T%C3%B9y%20nguy%C3%AAn%20nh%C3%A2n%2C%20c%C3%A1c%20tri%E1%BB%87u,nhi%E1%BB%81u%20h%C6%A1n%20200%20g%2Fng%C3%A0y.\">T\u00ecm hi\u1ec3u h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu \u1edf ru\u1ed9t<\/a><\/p>\n<div class=\"share\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu g\u1ed3m nhi\u1ec1u bi\u1ec3u hi\u1ec7n kh\u00e1c nhau tr\u00ean l\u00e2m s\u00e0ng ch\u1ec9 t\u00ecnh tr\u1ea1ng k\u00e9m ti\u00eau h\u00f3a v\u00e0 k\u00e9m h\u1ea5p thu. Tr\u00ean l\u00e2m s\u00e0ng b\u1ec7nh bi\u1ec3u hi\u1ec7n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ti\u00eau ch\u1ea3y m\u1ea1n t\u00ednh, ph\u00e2n c\u00f3 m\u1ee1, ch\u1eadm t\u0103ng c\u00e2n v\u00e0 c\u00f3 th\u1ec3 k\u00e8m theo c\u00e1c bi\u1ec3u hi\u1ec7n thi\u1ebfu vitamin [&hellip;]<\/p>\n","protected":false},"author":69,"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>H\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu: ph\u00e2n lo\u1ea1i, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu glucid, lipid, protein l\u00e0 do r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a \u1edf l\u00f2ng ru\u1ed9t, h\u1ea5p thu v\u00e0 v\u1eadn chuy\u1ec3n ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0o tu\u1ea7n ho\u00e0n.\u00a0\" \/>\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=\"H\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu: ph\u00e2n lo\u1ea1i, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. - 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