{"id":22266,"date":"2023-04-19T16:18:43","date_gmt":"2023-04-19T09:18:43","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22266"},"modified":"2023-04-20T16:43:35","modified_gmt":"2023-04-20T09:43:35","slug":"cham-soc-ton-thuong-da-do-ung-thu-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/cham-soc-ton-thuong-da-do-ung-thu-theo-bo-y-te\/","title":{"rendered":"Ch\u0103m s\u00f3c t\u1ed5n th\u01b0\u01a1ng da do Ung th\u01b0 theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

T\u1ed5n th\u01b0\u01a1ng da do ung th\u01b0 c\u00f3 th\u1ec3 bao g\u1ed3m nhi\u1ec1u d\u1ea1ng kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i ung th\u01b0 v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a b\u1ec7nh.<\/span><\/p>\n

\"Cham
Ch\u0103m s\u00f3c t\u1ed5n th\u01b0\u01a1ng da<\/figcaption><\/figure>\n

1. \u0110\u1ecbnh ngh\u0129a t\u1ed5n th\u01b0\u01a1ng da<\/strong><\/h2>\n

T\u1ed5n th\u01b0\u01a1ng da do ung th\u01b0 h\u00ecnh th\u00e0nh tr\u00ean n\u1ec1n c\u00e1c ung th\u01b0 ti\u1ebfn tri\u1ec3n ho\u1eb7c di c\u0103n.\u00a0<\/span><\/p>\n

T\u1ed5n th\u01b0\u01a1ng da do ung th\u01b0 c\u00f3 th\u1ec3 \u0111em l\u1ea1i nhi\u1ec1u kh\u00f3 ch\u1ecbu cho ng\u01b0\u1eddi b\u1ec7nh, t\u1eeb nh\u1eefng v\u1ea5n \u0111\u1ec1 th\u1ec3 ch\u1ea5t nh\u01b0 \u0111au nh\u1ee9c, nhi\u1ec5m tr\u00f9ng, ch\u1ea3y d\u1ecbch\/m\u00e1u, m\u00f9i h\u00f4i, cho \u0111\u1ebfn nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 t\u00e2m l\u00fd, x\u00e3 h\u1ed9i, t\u00e2m linh.\u00a0<\/span><\/p>\n

Kh\u1ed1i u l\u1edbn nhanh, thi\u1ebfu m\u00e1u nu\u00f4i, v\u1ee1 ra da, v\u1ee1 ho\u1ea1i t\u1eed trung t\u00e2m, ti\u1ebft d\u1ecbch, m\u00f9i h\u00f4i, nhi\u1ec5m tr\u00f9ng, ch\u1ea3y m\u00e1u, \u0111au<\/span><\/p>\n

    \n
  • V\u1ebft th\u01b0\u01a1ng c\u00f3 th\u1ec3 l\u00e0nh: N\u1ebfu c\u00f3 th\u1ec3 can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u nh\u01b0 x\u1ea1 tr\u1ecb ho\u1eb7c h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 v\u1edbi m\u1ee5c ti\u00eau l\u00e0m l\u00e0nh t\u1ed5n th\u01b0\u1eddng ph\u1ea3i \u0111\u01b0\u1ee3c \u01b0u ti\u00ean<\/span><\/li>\n
  • V\u1ebft th\u01b0\u01a1ng kh\u00f4ng th\u1ec3 l\u00e0nh: t\u1eadp trung v\u00e0o ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng nh\u01b0: \u0111au nh\u1ee9t, ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng, m\u00f9i h\u00f4i,..<\/span><\/li>\n<\/ul>\n

    2. Ch\u0103m s\u00f3c t\u00f4\u0309n th\u01b0\u01a1ng da do ung th\u01b0<\/strong><\/h2>\n
      \n
    • L\u00e0m s\u1ea1ch v\u1ebft th\u01b0\u01a1ng nh\u1eb9 nh\u00e0ng b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i v\u00f4 tr\u00f9ng 0,9%\u00a0<\/span><\/li>\n
    • Tr\u00e1nh d\u00f9ng dung d\u1ecbch c\u00f3 t\u00ednh s\u00e1t khu\u1ea9n cao nh\u01b0 hydrogen peroxid (oxy gi\u00e0), povidon – iod \u2026v\u00ec ch\u00fang c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u00f4 v\u00e0 \u0111au \u0111\u1edbn\u00a0<\/span><\/li>\n
    • Ch\u0103m s\u00f3c nh\u01b0 m\u1ed9t v\u1ebft th\u01b0\u01a1ng th\u00f4ng th\u01b0\u1eddng\u00a0<\/span><\/li>\n
    • Gi\u1ea3m \u0111au tr\u01b0\u1edbc khi thay b\u0103ng \u0111\u1ed1i v\u1edbi \u0111au kh\u00f4ng li\u00ean t\u1ee5c v\u00e0 \u0111au theo chu k\u1ef3: n\u00ean g\u00e2y t\u00ea v\u00e0\/ ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt.\u00a0<\/span><\/li>\n
    • \u0110au t\u1ea1i ch\u1ed7: b\u00e1o c\u00e1o tri\u1ec7u ch\u1ee9ng \u0111au hi\u1ec7n c\u00f3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 c\u00f9ng th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c: \u0111\u1eafp morphin sulfat ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c ch\u1ea5t g\u00e2y t\u00ea nh\u01b0 xylocain 2% <\/span>ho\u1eb7c morphin sulfat d\u1ea1ng ti\u00eam 10mg + 8g gel tan trong n\u01b0\u1edbc (t\u1ea1o h\u1ed7n h\u1ee3p Morphin gel 0,125%) b\u00f4i tr\u00ean b\u1ec1 m\u1eb7t v\u1ebft th\u01b0\u01a1ng l\u00e0 c\u1ea7n thi\u1ebft.<\/li>\n<\/ul>\n

      3. Di\u0323ch ti\u1ebft<\/strong><\/h2>\n
        \n
      • Xem x\u00e9t s\u1eed d\u1ee5ng hydrofiber th\u1ea5m v\u00e0 b\u0103ng che c\u00f3 kh\u1ea3 n\u0103ng th\u1ea5m d\u1ecbch cao ho\u1eb7c b\u0103ng hydrocolloid \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 ti\u1ebft d\u1ecbch.\u00a0<\/span><\/li>\n
      • B\u1ea3o v\u1ec7 v\u00f9ng da xung quanh v\u1ebft th\u01b0\u01a1ng v\u1edbi k\u1ebdm oxit, m\u1ee1 d\u1ea7u.\u00a0<\/span><\/li>\n
      • Kh\u00e1ng sinh t\u1ea1i ch\u1ed7 ho\u1eb7c to\u00e0n th\u00e2n khi c\u1ea7n<\/span><\/li>\n<\/ul>\n

        4. T\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng\u00a0<\/strong><\/h2>\n

        Nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 g\u00e2y n\u00ean m\u00f9i h\u00f4i k\u00e8m theo ti\u1ebft d\u1ecbch m\u1ee7.<\/span><\/p>\n

        N\u1ebfu ch\u1ec9 nhi\u1ec5m tr\u00f9ng b\u1ec1 m\u1eb7t: v\u1ec7 sinh t\u1ed5n th\u01b0\u01a1ng v\u1edbi n\u01b0\u1edbc mu\u1ed1i sinh ly\u0301 ho\u1eb7c n\u01b0\u1edbc c\u1ea5t, co\u0301 th\u1ec3 s\u1eed d\u1ee5ng dung d\u1ecbch g\u00e2y \u0111\u1ed9c t\u1ebf ba\u0300o nh\u01b0 povidon – iod, oxy gi\u00e0. Iod c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m s\u1ea1ch t\u1ed5n th\u01b0\u01a1ng, m\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh th\u1ea5y iod g\u00e2y k\u00edch \u1ee9ng v\u00e0 g\u00e2y \u0111au. \u0110\u1ed1i v\u1edbi Pseudomonas, axit acetic 0,0025% c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 l\u00e0m gi\u1ea3m t\u0103ng sinh vi khu\u1ea9n khi s\u1eed d\u1ee5ng k\u00e8m kh\u00e1ng sinh t\u1ea1i ch\u1ed7\/to\u00e0n th\u00e2n.\u00a0<\/span><\/p>\n

        C\u1eaft lo\u0323c t\u1ed5n th\u01b0\u01a1ng c\u1ea9n th\u1eadn, v\u00e0 \u0111\u1eafp kh\u00e1ng sinh t\u1ea1i ch\u1ed7 trong m\u1ed7i l\u1ea7n thay b\u0103ng. Metronidazol v\u00e0 b\u1ea1c sulfadiazin th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng k\u1ef5 kh\u00ed trong ung th\u01b0, th\u01b0\u1eddng c\u00f3 kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t t\u1ed1t nhi\u1ec5m tr\u00f9ng b\u1ec1 m\u1eb7t trong v\u00f2ng 5-7 ng\u00e0y.\u00a0<\/span><\/p>\n

        N\u1ebfu nhi\u1ec5m tr\u00f9ng lan s\u00e2u xu\u1ed1ng b\u00ean d\u01b0\u1edbi t\u1ed5n th\u01b0\u01a1ng, ho\u1eb7c lan r\u1ed9ng sang m\u00f4 l\u00e0nh xung quanh, c\u1ea7n th\u00eam metronidazol 250-500mg \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c t\u0129nh m\u1ea1ch m\u1ed7i 8 gi\u1edd \u0111\u1ebfn khi h\u1ebft nhi\u1ec5m tr\u00f9ng. C\u1ea7n l\u01b0u y\u0301 nh\u1eafc nh\u1edf ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u khi s\u1eed d\u1ee5ng metronidazol.\u00a0<\/span><\/p>\n

        N\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n nhi\u1ec5m n\u1ea5m r\u00f5 r\u1ec7t ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng \u0111\u00f3ng nhi\u1ec1u l\u1edbp m\u00e0y, tr\u1ed9n th\u00eam thu\u1ed1c kh\u00e1ng n\u1ea5m t\u1ea1i ch\u1ed7, nh\u01b0 ketoconazol, v\u1edbi kh\u00e1ng sinh t\u1ea1i ch\u1ed7 ho\u1eb7c lu\u00e2n phi\u00ean s\u1eed d\u1ee5ng\u00a0<\/span><\/p>\n

        5. Ki\u1ec3m so\u00e1t m\u00f9i h\u00f4i\u00a0<\/strong><\/h2>\n

        C\u1eaft lo\u0323c m\u00f4 th\u1ed1i r\u1eefa. R\u1eeda s\u1ea1ch t\u1ed5n th\u01b0\u01a1ng k\u1ef9 c\u00e0ng \u0111\u1ec3 lo\u1ea1i b\u1ecf d\u1ecbch m\u1ee7, sau \u0111\u00f3 c\u1eaft lo\u0323c m\u00f4 ho\u1ea1i t\u1eed c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t.\u00a0\u00a0<\/span><\/p>\n

        Ph\u1eabu thu\u1eadt, t\u1ef1 ly gi\u1ea3i\u2026\u00a0\u00a0<\/span><\/p>\n

        C\u1eaft lo\u0323c c\u1ea9n th\u1eadn m\u00f4 ho\u1ea1i t\u1eed c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng\u00a0\u00a0<\/span><\/p>\n

        Ch\u00fa \u00fd t\u1ed5n th\u01b0\u01a1ng b\u1edf, \u0111au, d\u1ec5 ch\u1ea3y m\u00e1u\u00a0<\/span><\/p>\n

        T\u0103ng th\u00f4ng kh\u00ed. \u0110\u1ec3 c\u1eeda s\u1ed5 m\u1edf \u0111\u1ec3 kh\u00f4ng kh\u00ed trong l\u00e0nh c\u00f3 th\u1ec3 v\u00e0o ph\u00f2ng, ho\u1eb7c cho qu\u1ea1t quay ch\u1eadm \u0111\u1ec3 l\u01b0u th\u00f4ng kh\u00f4ng kh\u00ed trong ph\u00f2ng m\u00e0 kh\u00f4ng l\u00e0m ng\u01b0\u1eddi b\u1ec7nh b\u1ecb l\u1ea1nh. H\u1ea5p th\u1ee5 m\u00f9i h\u00f4i.\u00a0<\/span><\/p>\n

        D\u00f9ng m\u00f9i thay th\u1ebf. S\u1eed d\u1ee5ng c\u00e1c m\u00f9i m\u00e0 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c, v\u00ed d\u1ee5, c\u00e0 ph\u00ea, vani, hay gi\u1ea5m. Tr\u00e1nh c\u00e1c lo\u1ea1i n\u01b0\u1edbc hoa th\u01b0\u01a1ng m\u1ea1i do nhi\u1ec1u lo\u1ea1i g\u00e2y kh\u00f3 ch\u1ecbu v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 ti\u1ebfn xa.\u00a0<\/span><\/p>\n

        Ki\u1ec3m so\u00e1t m\u00f9i h\u00f4i b\u1eb1ng h\u00f3a ch\u1ea5t\u00a0<\/span><\/p>\n

        6. T\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u<\/strong><\/span>\u00a0<\/span><\/h2>\n

        Gi\u1ea3m nguy c\u01a1 ch\u1ea3y m\u00e1u khi thay b\u0103ng: l\u00e0m \u01b0\u1edbt b\u0103ng tr\u01b0\u1edbc khi th\u00e1o, g\u1ee1 b\u0103ng ch\u1eadm v\u00e0 t\u1eeb r\u00eca v\u00e0o trong, d\u00f9ng g\u1ea1c kh\u00f4ng d\u00ednh khi thay b\u0103ng (mepitel, alginat, urgotul\u2026)\u2026\u00a0<\/span><\/p>\n

        G\u1ee1 b\u1ecf t\u1eebng l\u1edbp b\u0103ng ch\u1eadm r\u00e3i, b\u1eaft \u0111\u1ea7u t\u1eeb c\u00e1c ph\u1ea7n r\u00eca c\u1ee7a l\u1edbp b\u0103ng.\u00a0<\/span><\/p>\n

        Tr\u00e1nh thay b\u0103ng th\u01b0\u1eddng xuy\u00ean n\u1ebfu kh\u00f4ng c\u1ea7n thi\u1ebft.<\/span><\/p>\n

        Khi b\u1ec1 m\u1eb7t t\u1ed5n th\u01b0\u01a1ng b\u1edf nhi\u1ec1u, c\u1ea7n d\u00f9ng m\u1ed9t mi\u1ebfng g\u1ea1c l\u01b0\u1edbi t\u1eeb polymer t\u1ed5ng h\u1ee3p, v\u1edbi t\u00ednh ch\u1ea5t kh\u00f4ng d\u00ednh, kh\u00f4ng th\u1ea5m h\u00fat, l\u00e0m l\u1edbp b\u0103ng \u0111\u1ea7u ti\u00ean\u00a0<\/span><\/p>\n

        Ki\u1ec3m so\u00e1t ch\u1ea3y m\u00e1u nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh\u00a0<\/span><\/p>\n

        \u0110\u00e8 \u00e9p c\u00f3 tro\u0323ng \u0111i\u1ec3m n\u01a1i ch\u1ea3y m\u00e1u v\u1edbi \u00e1p l\u1ef1c trong 10 – 15 ph\u00fat v\u1edbi b\u0103ng b\u1ea1c alginate ho\u1eb7c g\u1ea1c t\u1ea9m t\u00e1c nh\u00e2n c\u1ea7m m\u00e1u t\u1ea1i ch\u1ed7 (adrenalin 1:1000, tranexamic axit, sucralfat…)\u00a0<\/span><\/p>\n

        Tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u dai d\u1eb3ng c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc x\u1ea1 tr\u1ecb gi\u1ea3m nh\u1eb9 t\u1ea1i ch\u1ed7<\/span><\/p>\n

        7. K\u1ebft lu\u1eadn khi \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng da<\/strong><\/h2>\n

        T\u1ed5n th\u01b0\u01a1ng da do ung th\u01b0 l\u00e0m \u1ea3nh h\u01b0\u1edfng r\u1ea5t nhi\u1ec1u \u0111\u1ebfn sinh ho\u1ea1t v\u00e0 giao ti\u1ebfp x\u00e3 h\u1ed9i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c h\u1ed7 tr\u1ee3 duy tr\u00ec ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh l\u00e0 m\u1ed9t \u0111i\u1ec1u v\u00f4 c\u00f9ng h\u1eefu \u00edch. \u0110i\u1ec1u d\u01b0\u1ee1ng c\u1ea7n:\u00a0<\/span><\/p>\n

          \n
        • Qu\u1ea3n ly\u0301 t\u1ed1t c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e8m theo m\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111ang c\u00f3.\u00a0<\/span><\/li>\n
        • N\u00e2ng cao nh\u1eadn th\u1ee9c c\u00e1 nh\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh: chia s\u1ebb c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft v\u1ec1 vi\u1ec7c ch\u0103m s\u00f3c v\u1ebft lo\u00e9t.\u00a0<\/span><\/li>\n
        • Tr\u1ea5n an v\u00e0 h\u1ed7 tr\u1ee3 tinh th\u1ea7n cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh; gi\u00fap ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed1i di\u1ec7n v\u1edbi v\u1ebft lo\u00e9t v\u1edbi tinh th\u1ea7n tho\u1ea3i m\u00e1i\u00a0<\/span><\/li>\n
        • Gi\u1edbi thi\u1ec7u c\u00e1c chuy\u00ean vi\u00ean c\u00f4ng t\u00e1c x\u00e3 h\u1ed9i, t\u00e2m ly\u0301 x\u00e3 h\u1ed9i, c\u00e1c d\u1ecbch v\u1ee5 t\u01b0 v\u1ea5n, khi c\u1ea7n.<\/span><\/li>\n
        • Khuy\u1ebfn kh\u00edch v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp c\u1eadn v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ngh\u1ec7 thu\u1eadt, yoga, chuy\u00ean gia dinh d\u01b0\u1ee1ng\u2026 <\/span><\/li>\n<\/ul>\n

          Ngu\u1ed3n: Global Cancer, B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

          T\u1ed5n th\u01b0\u01a1ng da do ung th\u01b0 c\u00f3 th\u1ec3 bao g\u1ed3m nhi\u1ec1u d\u1ea1ng kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i ung th\u01b0 v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a b\u1ec7nh. 1. \u0110\u1ecbnh ngh\u0129a t\u1ed5n th\u01b0\u01a1ng da T\u1ed5n th\u01b0\u01a1ng da do ung th\u01b0 h\u00ecnh th\u00e0nh tr\u00ean n\u1ec1n c\u00e1c ung th\u01b0 ti\u1ebfn tri\u1ec3n ho\u1eb7c di c\u0103n.\u00a0 T\u1ed5n th\u01b0\u01a1ng da do […]<\/p>\n","protected":false},"author":57,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"\nCh\u0103m s\u00f3c t\u1ed5n th\u01b0\u01a1ng da do Ung th\u01b0 theo B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u0103m s\u00f3c t\u1ed5n th\u01b0\u01a1ng da do ung th\u01b0 c\u00f3 th\u1ec3 bao g\u1ed3m nhi\u1ec1u d\u1ea1ng kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i ung th\u01b0 v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a b\u1ec7nh.\" \/>\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\u0103m s\u00f3c t\u1ed5n th\u01b0\u01a1ng da do Ung th\u01b0 theo B\u1ed9 Y t\u1ebf - 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