{"id":22757,"date":"2023-04-17T05:27:23","date_gmt":"2023-04-16T22:27:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22757"},"modified":"2023-04-17T11:07:03","modified_gmt":"2023-04-17T04:07:03","slug":"phac-do-dieu-tri-lupus-ban-do","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/phac-do-dieu-tri-lupus-ban-do\/","title":{"rendered":"Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng theo B\u1ed9 Y T\u1ebf"},"content":{"rendered":"<p><strong>B\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng (SLE) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n d\u1ecbch m\u00e0 c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t c\u00e1c kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c t\u1ebf b\u00e0o v\u00e0 m\u00f4 c\u1ee7a ch\u00ednh n\u00f3. B\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1ec7t m\u1ecfi, \u0111au kh\u1edbp, ph\u00e1t ban tr\u00ean da, s\u1ed1t v\u00e0 \u0111au \u0111\u1ea7u, v\u00e0 n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/strong><\/p>\n<h2>1. B\u1ec7nh Lupus ban \u0111\u1ecf l\u00e0 g\u00ec?<\/h2>\n<p>Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng (SLE) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n d\u1ecbch, trong \u0111\u00f3 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t c\u00e1c kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c t\u1ebf b\u00e0o v\u00e0 m\u00f4 c\u1ee7a ch\u00ednh n\u00f3. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3, bao g\u1ed3m da, kh\u1edbp, th\u1eadn, tim v\u00e0 n\u00e3o. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 th\u1ec3 kh\u00e1c nhau \u0111\u1ed1i v\u1edbi t\u1eebng ng\u01b0\u1eddi v\u00e0 c\u00f3 th\u1ec3 bao g\u1ed3m s\u1ed1t, \u0111au kh\u1edbp, m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, ph\u00e1t ban tr\u00ean da, v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p, ti\u00eau h\u00f3a v\u00e0 th\u1ea7n kinh.<\/p>\n<h2>2. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/h2>\n<h3>2.1. Nguy\u00ean t\u1eafc chung<\/h3>\n<p>\u2212 \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh.<br \/>\n\u2212 \u0110i\u1ec1u tr\u1ecb bao g\u1ed3m: giai \u0111o\u1ea1n t\u1ea5n c\u00f4ng, c\u1ee7ng c\u1ed1 v\u00e0 duy tr\u00ec.<br \/>\n\u2212 C\u00e2n nh\u1eafc c\u1ea9n th\u1eadn gi\u1eefa t\u00e1c d\u1ee5ng mong mu\u1ed1n v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a m\u1ed7i lo\u1ea1i thu\u1ed1c.<\/p>\n<h3>2.2. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/h3>\n<p>\u2212 Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid: trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p lupus k\u00e8m vi\u00eam \u0111au kh\u1edbp, s\u1ed1t v\u00e0 vi\u00eam nh\u1eb9 c\u00e1c m\u00e0ng t\u1ef1 nhi\u00ean nh\u01b0ng kh\u00f4ng k\u00e8m t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan l\u1edbn. N\u00ean tr\u00e1nh d\u00f9ng \u1edf c\u00e1c b\u1ec7nh nh\u00e2n vi\u00eam th\u1eadn \u0111ang ho\u1ea1t \u0111\u1ed9ng.<\/p>\n<p>\u2212 Hydroxychloroquine 200mg\/ng\u00e0y \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 ban, nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, \u0111au ho\u1eb7c vi\u00eam kh\u1edbp, bi\u1ebfn ch\u1ee9ng \u1edf m\u1eaft r\u1ea5t hi\u1ebfm (theo d\u00f5i: kh\u00e1m m\u1eaft 1 l\u1ea7n\/n\u0103m).<\/p>\n<p>\u2212 Li\u1ec7u ph\u00e1p glucocorticoid: d\u00f9ng \u0111\u01b0\u1eddng to\u00e0n th\u00e2n.<br \/>\nCh\u1ec9 \u0111\u1ecbnh: lupus ban \u0111\u1ecf c\u00f3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng nh\u01b0 c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, gi\u1ea3m ti\u1ec3u c\u1ea7u, thi\u1ebfu m\u00e1u huy\u1ebft t\u00e1n ho\u1eb7c lupus ban \u0111\u1ecf kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n.<br \/>\nLi\u1ec1u d\u00f9ng:<br \/>\n+ 1-2mg\/kg \u0111\u01b0\u1eddng u\u1ed1ng. Khi b\u1ec7nh ki\u1ec3m so\u00e1t t\u1ed1t, gi\u1ea3m li\u1ec1u prednisolone 10% m\u1ed7i 7-10 ng\u00e0y.<br \/>\n+ D\u00f9ng methylprednisolone \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch 500mg m\u1ed7i 12 gi\u1edd trong 3-5 ng\u00e0y \u0111\u01b0\u1ee3c d\u00f9ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng th\u1eadn ti\u1ebfn tri\u1ec3n nhanh, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh n\u1eb7ng v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u n\u1eb7ng. Sau \u0111\u00f3 chuy\u1ec3n sang d\u00f9ng corticoid b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 gi\u1ea3m li\u1ec1u t\u01b0\u01a1ng t\u1ef1 nh\u01b0 tr\u00ean.<\/p>\n<p>\u2212 Li\u1ec7u ph\u00e1p d\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c:<br \/>\nCh\u1ec9 \u0111\u1ecbnh: Lupus ban \u0111\u1ecf th\u1ec3 n\u1eb7ng c\u00f3 kh\u1ea3 n\u0103ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng nh\u01b0 vi\u00eam c\u1ea7u th\u1eadn c\u1ea5p n\u1eb7ng, c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, gi\u1ea3m ti\u1ec3u c\u1ea7u v\u00e0 thi\u1ebfu m\u00e1u huy\u1ebft t\u00e1n ho\u1eb7c lupus kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi corticoid ho\u1eb7c xu\u1ea5t hi\u1ec7n t\u00e1c d\u1ee5ng ph\u1ee5 n\u1eb7ng c\u1ee7a corticoid.<br \/>\nLi\u1ec1u d\u00f9ng: c\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi nhau, ho\u1eb7c v\u1edbi corticoid.<br \/>\n+ Cyclophosphamide: 0,5- 1g\/m2 da, \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch 3-4 tu\u1ea7n\/ l\u1ea7n trong 6-7 th\u00e1ng ho\u1eb7c 1,0-5,0 mg\/kg\/ng\u00e0y \u0111\u01b0\u1eddng u\u1ed1ng. C\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi mesna (mercapto &#8211; ethanesulphonic acid) \u0111\u1ec3 d\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng t\u1ea1i b\u00e0ng quang.<br \/>\n+ Dapsone 100mg\/ng\u00e0y (\u00edt s\u1eed d\u1ee5ng).<br \/>\n+ Azathioprine (2-2,5mg\/kg\/ng\u00e0y), mycophenolate mofetil (500-1500mg), \u0111\u00e2y l\u00e0 nh\u00f3m thu\u1ed1c hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng v\u00ec \u00edt t\u00e1c d\u1ee5ng ph\u1ee5, hi\u1ec7u qu\u1ea3 cao, th\u00edch h\u1ee3p v\u1edbi c\u00e1c ph\u1ee5 n\u1eef c\u00f2n \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb, tuy nhi\u00ean gi\u00e1 th\u00e0nh t\u01b0\u01a1ng \u0111\u1ed1i cao.<br \/>\n+ Methotrexate 7,5-20 mg\/tu\u1ea7n.<br \/>\n+ C\u00e1c thu\u1ed1c kh\u00e1c: leflunomide, li\u1ec7u ph\u00e1p hormon, thalidomide, truy\u1ec1n t\u0129nh m\u1ea1ch immunoglobulin li\u1ec1u cao\u2026<br \/>\n+ Ch\u1ebf ph\u1ea9m sinh h\u1ecdc: rituximab (mab Thera) l\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf t\u1ebf b\u00e0o B v\u1edbi li\u1ec1u m\u1ed7i n\u0103m m\u1ed9t l\u1ea7n g\u1ed3m hai \u0111\u1ee3t m\u1ed7i \u0111\u1ee3t truy\u1ec1n hai l\u1ea7n c\u00e1ch nhau hai tu\u1ea7n v\u1edbi li\u1ec1u 500-1000mg\/l\u1ea7n. C\u1ea7n s\u00e0ng l\u1ecdc lao, vi\u00eam gan v\u00e0 c\u00e1c b\u1ec7nh nhi\u1ec5m khu\u1ea9n n\u1eb7ng tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb sinh h\u1ecdc cho b\u1ec7nh nh\u00e2n lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng.<\/p>\n<h3>2.3. \u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/h3>\n<p>Ch\u1ee7 y\u1ebfu l\u00e0 \u0111\u1ed1i v\u1edbi th\u1ec3 nh\u1eb9, bao g\u1ed3m: ngh\u1ec9 ng\u01a1i, tr\u00e1nh ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u00e1nh s\u00e1ng, d\u1ef1 ph\u00f2ng nhi\u1ec5m khu\u1ea9n, gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n hi\u1ec3u r\u00f5 v\u1ec1 b\u1ec7nh.<\/p>\n<p>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng suy th\u1eadn n\u1eb7ng c\u00f3 th\u1ec3 ph\u1ea3i l\u1ecdc m\u00e1u ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n<h2>3. Ti\u1ebfn tri\u1ec3n &#8211; Bi\u1ebfn ch\u1ee9ng<\/h2>\n<h3>3.1. Ti\u1ebfn tri\u1ec3n<\/h3>\n<ul>\n<li>\u00a0Th\u1ec3 c\u1ea5p: ti\u1ebfn tri\u1ec3n nhanh v\u00e0 t\u1eed vong sau v\u00e0i th\u00e1ng.<\/li>\n<li>\u00a0Th\u1ec3 m\u1ea1n: ti\u1ebfn tri\u1ec3n ch\u1eadm, ti\u00ean l\u01b0\u1ee3ng t\u1ed1t.<\/li>\n<li>\u00a0Th\u1ec3 b\u00e1n c\u1ea5p: ti\u1ebfn tri\u1ec3n t\u1eebng \u0111\u1ee3t, ng\u00e0y c\u00e0ng n\u1eb7ng d\u1ea7n. B\u1ec7nh n\u1eb7ng th\u00eam n\u1ebfu c\u00f3 thai, nhi\u1ec5m<\/li>\n<li>khu\u1ea9n, ch\u1ea5n th\u01b0\u01a1ng, ph\u1eabu thu\u1eadt, stress, l\u1ea1m d\u1ee5ng thu\u1ed1c. Th\u1eddi gian s\u1ed1ng trung b\u00ecnh 5 &#8211; 10 n\u0103m.<\/li>\n<li>H\u1ed9i ch\u1ee9ng Sharp: \u00edt bi\u1ec3u hi\u1ec7n \u1edf n\u1ed9i t\u1ea1ng n\u00ean ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n.<\/li>\n<\/ul>\n<h3>3.2. Bi\u1ebfn ch\u1ee9ng<\/h3>\n<figure id=\"attachment_22761\" aria-describedby=\"caption-attachment-22761\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-22761\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thuoc-dieu-tri-suy-than-300x188.jpg\" alt=\"\" width=\"300\" height=\"188\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thuoc-dieu-tri-suy-than-300x188.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thuoc-dieu-tri-suy-than.jpg 768w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-22761\" class=\"wp-caption-text\">B\u1ec7nh lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 th\u1ec3 bi\u1ebfn ch\u1ee9ng suy th\u1eadn<\/figcaption><\/figure>\n<p>C\u00e1c bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng bao g\u1ed3m:<\/p>\n<ul>\n<li>Vi\u00eam m\u1ea1ch m\u00e1u: B\u1ec7nh Lupus c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam m\u1ea1ch m\u00e1u, d\u1eabn \u0111\u1ebfn suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 trong c\u01a1 th\u1ec3.<\/li>\n<li>Vi\u00eam kh\u1edbp: Vi\u00eam kh\u1edbp l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a b\u1ec7nh Lupus, l\u00e0m cho c\u00e1c kh\u1edbp tr\u1edf n\u00ean \u0111au \u0111\u1edbn, s\u01b0ng t\u1ea5y v\u00e0 v\u00f4i h\u00f3a.<\/li>\n<li>Vi\u00eam th\u1eadn: Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam th\u1eadn v\u00e0 l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy th\u1eadn.<\/li>\n<li>Vi\u00eam m\u00e0ng n\u00e3o: Vi\u00eam m\u00e0ng n\u00e3o l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a b\u1ec7nh Lupus, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda.<\/li>\n<li>B\u1ec7nh tim: B\u1ec7nh Lupus c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam \u1edf m\u00e0ng b\u1ecdc tim, d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ng\u1ef1c, kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi.<\/li>\n<li>Ph\u1ed5i: Lupus ban \u0111\u1ecf l\u00e0m ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 b\u1ecb vi\u00eam ph\u1ed5i, vi\u00eam m\u00e0ng ph\u1ed5i, d\u1eabn t\u1edbi tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, thuy\u00ean t\u1eafc ph\u1ed5i v\u00e0 xu\u1ea5t huy\u1ebft ph\u1ed5i, g\u00e2y \u0111au \u0111\u1edbn khi th\u1edf.<\/li>\n<\/ul>\n<p>C\u00f3 th\u1ec3 tham kh\u1ea3o b\u00e0i vi\u1ebft sau \u0111\u00e2y \u0111\u1ec3 hi\u1ec3u th\u00eam v\u1ec1 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/su-nguy-hiem-cua-benh-lupus-ban-do\/\">s\u1ef1 nguy hi\u1ec3m c\u1ee7a b\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/a><\/p>\n<h2>4. Ph\u00f2ng b\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/h2>\n<p>\u2212 C\u1ea9n th\u1eadn khi s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 thu\u1ed1c d\u1ec5 g\u00e2y m\u1eabn c\u1ea3m, nh\u1ea5t l\u00e0 kh\u00e1ng sinh nh\u01b0 procainamide, hydralazine, minocycline, diltiazem, penicillamine, INH, quinidine, methyldopa\u2026.<br \/>\n\u2212 \u0110\u1ec1 ph\u00f2ng c\u00e1c \u0111\u1ee3t nhi\u1ec5m khu\u1ea9n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng (SLE) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n d\u1ecbch m\u00e0 c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t c\u00e1c kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c t\u1ebf b\u00e0o v\u00e0 m\u00f4 c\u1ee7a ch\u00ednh n\u00f3. B\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1ec7t m\u1ecfi, \u0111au kh\u1edbp, ph\u00e1t ban tr\u00ean da, s\u1ed1t [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng theo B\u1ed9 Y T\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng g\u00e2y tri\u1ec7u ch\u1ee9ng \u1edf da va kh\u1edbp. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng t\u1ea1i th\u1eadn, n\u00e3o v\u00e0 tim.\" \/>\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=\"Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng theo B\u1ed9 Y T\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng g\u00e2y tri\u1ec7u ch\u1ee9ng \u1edf da va kh\u1edbp. 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