{"id":22178,"date":"2023-04-19T21:49:05","date_gmt":"2023-04-19T14:49:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22178"},"modified":"2023-04-22T18:58:39","modified_gmt":"2023-04-22T11:58:39","slug":"gioi-thieu-thuoc-dieu-tri-di-can-xuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/gioi-thieu-thuoc-dieu-tri-di-can-xuong\/","title":{"rendered":"Gi\u1edbi thi\u1ec7u thu\u1ed1c \u0111i\u1ec1u tr\u1ecb di c\u0103n x\u01b0\u01a1ng"},"content":{"rendered":"

Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u00f3 di c\u0103n \u0111\u1ebfn x\u01b0\u01a1ng l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong vi\u1ec7c ki\u1ec3m so\u00e1t s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 trong x\u01b0\u01a1ng v\u00e0 gi\u00fap gi\u1ea3m nh\u1eb9 c\u01a1n \u0111au do kh\u1ed1i u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn x\u01b0\u01a1ng g\u00e2y ra.<\/p>\n

\"Di
Di c\u0103n x\u01b0\u01a1ng<\/figcaption><\/figure>\n

1. Gi\u1edbi thi\u1ec7u<\/strong><\/h2>\n

C\u00f3 2 lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb di c\u0103n x\u01b0\u01a1ng:\u00a0<\/span><\/p>\n

    \n
  • Bisphosphonates (zoledronic acid (Zometa) ho\u1eb7c pamidronate (Aredia))<\/span><\/li>\n
  • ANK ligand (RANKL) inhibitor (denosumab (Xgeva))<\/span><\/li>\n<\/ul>\n

    Nh\u1eadp vi\u1ec7n v\u00ec bi\u1ebfn ch\u1ee9ng x\u01b0\u01a1ng ho\u1eb7c t\u0103ng calci m\u00e1u (n\u1ed3ng \u0111\u1ed9 canxi cao trong m\u00e1u c\u00f3 th\u1ec3 l\u00e0m suy y\u1ebfu x\u01b0\u01a1ng, g\u00e2y ra s\u1ecfi th\u1eadn v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim). N\u1ebfu xu\u1ea5t hi\u1ec7n di c\u0103n x\u01b0\u01a1ng, k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb s\u1ebd bao g\u1ed3m bisphosphonate ho\u1eb7c denosumab. <\/span>C\u00e1c thu\u1ed1c n\u00e0y c\u0169ng gi\u00fap ki\u1ec3m so\u00e1t n\u1ed3ng \u0111\u1ed9 canxi trong m\u00e1u \u0111\u1ec3 n\u00f3 kh\u00f4ng qu\u00e1 cao.<\/span><\/p>\n

    B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd t\u01b0 v\u1ea5n cho b\u1ec7nh nh\u00e2n<\/span> v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn, gi\u1ea3i th\u00edch m\u1ee5c \u0111\u00edch c\u1ee7a \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n xem x\u00e9t v\u00e0 c\u00e2n nh\u1eafc c\u00e1c l\u1ee3i \u00edch so v\u1edbi c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5\/ngo\u1ea1i \u00fd c\u00f3 th\u1ec3 x\u1ea3y ra.<\/span><\/p>\n

    2. L\u1ee3i \u00edch thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/b><\/h2>\n

    \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 di c\u0103n x\u01b0\u01a1ng, vi\u1ec7c s\u1eed d\u1ee5ng bisphosphonates ho\u1eb7c denosumab c\u00f3 th\u1ec3<\/span><\/p>\n

      \n
    • Gi\u1ea3m nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng\u00a0<\/span><\/li>\n
    • Gi\u00fap gi\u1ea3m \u0111au do di c\u0103n x\u01b0\u01a1ng\u00a0<\/span><\/li>\n
    • L\u00e0m gi\u1ea3m nhu c\u1ea7u ph\u1eabu thu\u1eadt \u0111\u1ec3 ch\u1eefa c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn di c\u0103n x\u01b0\u01a1ng<\/span><\/li>\n
    • L\u00e0m gi\u1ea3m nhu c\u1ea7u x\u1ea1 tr\u1ecb \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111au x\u01b0\u01a1ng\u00a0<\/span><\/li>\n
    • Ng\u0103n ng\u1eeba s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a di c\u0103n x\u01b0\u01a1ng\u00a0<\/span><\/li>\n
    • C\u1ea3i thi\u1ec7n m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng<\/span><\/li>\n<\/ul>\n

      3. C\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/b><\/h2>\n\n\n\n\n\n\n
      <\/td>\n\n

      C\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/b>\u00a0<\/b><\/p>\n<\/td>\n

      		M\u1ee9c \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb<\/b><\/td>\n<\/tr>\n
      \n

      Pamidronate (Aredia)\u00a0\u00a0<\/b><\/p>\n<\/td>\n

      		Truy\u1ec1n t\u0129nh m\u1ea1ch\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/td>\nKho\u1ea3ng 3-4 tu\u1ea7n\/l\u1ea7n <\/span>ho\u1eb7c 12 tu\u1ea7n\/ l\u1ea7n\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/span><\/td>\n<\/tr>\n
      \n

      Zoledronic acid (Zometa) <\/b><\/p>\n<\/td>\n

      		Truy\u1ec1n t\u0129nh m\u1ea1ch<\/span><\/td>\n12 tu\u1ea7n\/ l\u1ea7n<\/span><\/td>\n<\/tr>\n
      \n

      Denosumab <\/b><\/p>\n

      (Xgeva)<\/b><\/p>\n<\/td>\n

      		\n

      Ti\u00eam d\u01b0\u1edbi da<\/span><\/p>\n<\/td>\n

      		4 tu\u1ea7n\/ l\u1ea7n<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

      4. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c<\/b><\/h2>\n

      \u0110au x\u01b0\u01a1ng, kh\u1edbp ho\u1eb7c c\u01a1 b\u1eafp: <\/b>\u1ede m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, bisphosphonates v\u00e0 denosumab c\u00f3 th\u1ec3 g\u00e2y \u0111au x\u01b0\u01a1ng, kh\u1edbp ho\u1eb7c c\u01a1 . Lo\u1ea1i \u0111au n\u00e0y th\u01b0\u1eddng ch\u1ec9 k\u00e9o d\u00e0i trong 1-2 ng\u00e0y v\u00e0 ch\u1ec9 v\u1edbi l\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean.<\/span><\/p>\n

      \u0110au \u0111\u1ea7u, \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda: <\/b>\u0110\u00e2y l\u00e0 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p c\u1ee7a bisphosphonates.<\/span><\/p>\n

      Suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a x\u01b0\u01a1ng: <\/b>S\u1eed d\u1ee5ng l\u00e2u d\u00e0i bisphosphonates ho\u1eb7c denosumab c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a x\u01b0\u01a1ng.<\/span><\/p>\n

      Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 ti\u00eam: <\/b>C\u00e1c ph\u1ea3n \u1ee9ng n\u00e0y l\u00e0 hi\u1ebfm, nh\u01b0ng c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng bisphosphonates ho\u1eb7c denosumab.<\/span><\/p>\n

      X\u01a1 h\u00f3a h\u00e0m khi d\u00f9ng thu\u1ed1c<\/b><\/p>\n

      Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm hoi, v\u1edbi bisphosphonates ho\u1eb7c denosumab, m\u1ed9t r\u1ed1i lo\u1ea1n g\u1ecdi l\u00e0 x\u01b0\u01a1ng c\u1ee7a h\u00e0m c\u00f3 th\u1ec3 x\u1ea3y ra. \u0110\u00e2y ch\u1ee7 y\u1ebfu l\u00e0 m\u1ed9t m\u1ed1i quan t\u00e2m \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean d\u00f9ng m\u1ed9t li\u1ec1u c\u1ee7a m\u1ed9t trong nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y trong th\u1eddi gian d\u00e0i. \u0110\u1ec3 gi\u1ea3m nguy c\u01a1 x\u01b0\u01a1ng kh\u1edbp c\u1ee7a h\u00e0m, ng\u01b0\u1eddi b\u1ec7nh n\u00ean ki\u1ec3m tra nha khoa v\u00e0 ch\u0103m s\u00f3c b\u1ea5t k\u1ef3 c\u00f4ng vi\u1ec7c nha khoa n\u00e0o tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng bisphosphonates ho\u1eb7c denosumab. Tham kh\u1ea3o \u00fd ki\u1ebfn v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tr\u01b0\u1edbc khi nh\u1eadn \u0111\u01b0\u1ee3c b\u1ea5t k\u1ef3 can thi\u1ec7p nha khoa n\u00e0o trong khi \u0111ang \u0111i\u1ec1u tr\u1ecb c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng x\u01b0\u01a1ng. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n h\u00e3y n\u00f3i v\u1edbi nha s\u0129 \u0111ang d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y.<\/span><\/p>\n

      M\u1eb7c d\u00f9 thu\u1ed1c t\u0103ng c\u01b0\u1eddng x\u01b0\u01a1ng c\u00f3 th\u1ec3 cung c\u1ea5p nhi\u1ec1u l\u1ee3i \u00edch cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ung th\u01b0 v\u00fa di c\u0103n \u0111\u1ebfn x\u01b0\u01a1ng, ch\u00fang c\u0169ng c\u00f3 th\u1ec3 c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1ea5t \u0111\u1ecbnh, bao g\u1ed3m:<\/span><\/p>\n

      T\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng lo\u1ea1i thu\u1ed1c v\u00e0 t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3. N\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 c\u00e1ch gi\u1ea3m thi\u1ec3u ch\u00fang.<\/span><\/p>\n

      5. Gi\u1ea3m \u0111au di c\u0103n x\u01b0\u01a1ng<\/b><\/h2>\n

      S\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111au do di c\u0103n x\u01b0\u01a1ng, nh\u01b0ng ch\u00fang kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t cho \u0111au x\u01b0\u01a1ng. \u0110au x\u01b0\u01a1ng c\u0169ng n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p qu\u1ea3n l\u00fd c\u01a1n \u0111au \u1edf m\u1ee9c \u0111\u1ed9 ti\u00eau chu\u1ea9n.<\/span><\/p>\n

      5.1 Thu\u1ed1c g\u00e2y \u0111au x\u01b0\u01a1ng nh\u1eb9<\/b><\/h3>\n

      \u0110au x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u00e1p \u1ee9ng v\u1edbi nhi\u1ec7t, ho\u1eb7c c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au nh\u1eb9 nh\u01b0 ibuprofen (Advil ho\u1eb7c Motrin), naproxen (Aleve ho\u1eb7c Naprosyn) ho\u1eb7c acetaminophen (Tylenol). M\u1eb7c d\u00f9 c\u00f3 th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y m\u00e0 kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n, h\u00e3y ki\u1ec3m tra v\u1edbi nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc khi d\u00f9ng ch\u00fang.\u00a0<\/span><\/p>\n

      V\u00ed d\u1ee5: N\u1ebfu c\u00f3 (ho\u1eb7c d\u1ef1 ki\u1ebfn \u200b\u200bs\u1ebd c\u00f3) s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u th\u1ea5p, ho\u1eb7c th\u1eadn kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng ho\u1eb7c b\u1ecb suy tim, nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 khuy\u00ean kh\u00f4ng n\u00ean d\u00f9ng ibuprofen ho\u1eb7c naproxen.\u00a0<\/span><\/p>\n

      5.2 Thu\u1ed1c g\u00e2y \u0111au x\u01b0\u01a1ng nghi\u00eam tr\u1ecdng h\u01a1n<\/b><\/h3>\n

      Tramadol ho\u1eb7c opioid, nh\u01b0 morphin ho\u1eb7c oxycodone, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u00eam v\u00e0o n\u1ebfu m\u1ed9t m\u00ecnh ibuprofen, naproxen ho\u1eb7c acetaminophen kh\u00f4ng th\u1ec3 l\u00e0m gi\u1ea3m \u0111au.\u00a0<\/span><\/p>\n

      T\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u00e1o b\u00f3n, v\u00ec v\u1eady c\u00f3 th\u1ec3 c\u1ea7n thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ho\u1eb7c d\u00f9ng thu\u1ed1c \u0111\u1ec3 th\u00fac \u0111\u1ea9y c\u00e1c chuy\u1ec3n \u0111\u1ed9ng ru\u1ed9t th\u01b0\u1eddng xuy\u00ean. V\u00ed d\u1ee5, nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe\u00a0 c\u00f3 th\u1ec3 khuy\u00ean n\u00ean \u0103n th\u1ef1c ph\u1ea9m nhi\u1ec1u ch\u1ea5t x\u01a1, nh\u01b0 tr\u00e1i c\u00e2y v\u00e0 rau qu\u1ea3, v\u00e0 u\u1ed1ng nhi\u1ec1u ch\u1ea5t l\u1ecfng (ch\u1ea5t l\u1ecfng \u1ea5m ho\u1eb7c n\u00f3ng c\u00f3 th\u1ec3 h\u1eefu \u00edch) \u0111\u1ec3 qu\u1ea3n l\u00fd t\u00e1o b\u00f3n.\u00a0<\/span><\/p>\n

      T\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y bao g\u1ed3m bu\u1ed3n ng\u1ee7 v\u00e0 bu\u1ed3n n\u00f4n. Ch\u00fang th\u01b0\u1eddng bi\u1ebfn m\u1ea5t sau kho\u1ea3ng m\u1ed9t tu\u1ea7n. N\u1ebfu n\u00f3 kh\u00f4ng bi\u1ebfn m\u1ea5t, h\u00e3y n\u00f3i v\u1edbi nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.\u00a0<\/span><\/p>\n

      N\u1ebfu \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thu\u1ed1c opioid, nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe\u00a0 s\u1ebd theo d\u00f5i c\u1ea9n th\u1eadn s\u1ed1 li\u1ec1u \u0111\u01b0\u1ee3c quy \u0111\u1ecbnh \u0111\u1ec3 kh\u00f4ng d\u00f9ng qu\u00e1 nhi\u1ec1u. M\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 lo l\u1eafng v\u1ec1 vi\u1ec7c d\u00f9ng thu\u1ed1c opioid, s\u1ee3 t\u00e1c d\u1ee5ng ph\u1ee5 ho\u1eb7c nghi\u1ec7n. Tuy nhi\u00ean, khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng theo quy \u0111\u1ecbnh, nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y r\u1ea5t hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m \u0111au<\/span><\/p>\n

      5.3 X\u1ea1 tr\u1ecb ho\u1eb7c ph\u1eabu thu\u1eadt\u00a0<\/b><\/h3>\n

      X\u1ea1 tr\u1ecb v\u1edbi x\u01b0\u01a1ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111au t\u1ea1i v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u v\u00e0 ng\u0103n ng\u1eeba g\u00e3y x\u01b0\u01a1ng.<\/span>
      \n<\/span>Ngay c\u1ea3 v\u1edbi c\u00e1c kh\u00f3a h\u1ecdc x\u1ea1 tr\u1ecb r\u1ea5t ng\u1eafn, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u0111\u01b0a ra trong 1-5 ng\u00e0y, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m c\u01a1n \u0111au c\u1ee7a di c\u0103n x\u01b0\u01a1ng.<\/span>
      \n<\/span>Ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba ho\u1eb7c ch\u1eefa g\u00e3y x\u01b0\u01a1ng.<\/span><\/p>\n

      5.4 H\u00f3a tr\u1ecb ho\u1eb7c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb hormone\u00a0<\/b><\/h3>\n

      C\u00e1c li\u1ec7u ph\u00e1p d\u00f9ng thu\u1ed1c \u0111\u1ec3 ki\u1ec3m so\u00e1t ung th\u01b0 v\u00fa di c\u0103n tr\u00ean kh\u1eafp c\u01a1 th\u1ec3 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u0111i\u1ec1u tr\u1ecb \u0111au do ung th\u01b0 di c\u0103n \u0111\u1ebfn x\u01b0\u01a1ng. V\u00ed d\u1ee5, li\u1ec7u ph\u00e1p h\u00f3a tr\u1ecb ho\u1eb7c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb hormone c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111au x\u01b0\u01a1ng b\u1eb1ng c\u00e1ch l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc kh\u1ed1i u \u0111\u1ec3 n\u00f3 kh\u00f4ng l\u00e0m \u00e1p l\u1ef1c l\u00ean c\u1ed9t s\u1ed1ng ho\u1eb7c x\u01b0\u01a1ng kh\u00e1c.<\/span><\/p>\n

      Ngu\u1ed3n t\u1ed5ng h\u1ee3p<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

      Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u00f3 di c\u0103n \u0111\u1ebfn x\u01b0\u01a1ng l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong vi\u1ec7c ki\u1ec3m so\u00e1t s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 trong x\u01b0\u01a1ng v\u00e0 gi\u00fap gi\u1ea3m nh\u1eb9 c\u01a1n \u0111au do kh\u1ed1i u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn x\u01b0\u01a1ng g\u00e2y ra. 1. 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