{"id":22815,"date":"2023-04-20T19:01:16","date_gmt":"2023-04-20T12:01:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22815"},"modified":"2023-04-21T11:08:41","modified_gmt":"2023-04-21T04:08:41","slug":"viem-gan-virus-d-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/","title":{"rendered":"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Vi\u00eam gan virus D (HDV<\/a>) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan D g\u00e2y ra. Virus vi\u00eam gan D ch\u1ec9 c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong c\u01a1 th\u1ec3 c\u1ee7a nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m virus vi\u00eam gan B (HBV), v\u00ec v\u1eady b\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam gan B. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 ung th\u01b0 gan v\u00e0 x\u01a1 gan. V\u00ec v\u1eady, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus D l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/strong><\/p>\n

\"Virus
Virus vi\u00eam gan D ch\u1ec9 c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong c\u01a1 th\u1ec3 c\u1ee7a nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m virus vi\u00eam gan B (HBV),<\/figcaption><\/figure>\n

1. L\u00e2m s\u00e0ng b\u1ec7nh vi\u00eam gan virus D <\/strong><\/span><\/b><\/h2>\n

– Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng kh\u00e1c nhau \u1edf 3 h\u00ecnh th\u00e1i b\u1ec7nh: \u0111\u1ed3ng nhi\u1ec5m HBV v\u00e0 HDV, b\u1ed9i nhi\u1ec5m HDV tr\u00ean ng\u01b0\u1eddi mang HBV m\u1ea1n t\u00ednh, v\u00e0 vi\u00eam gan vi r\u00fat D m\u1ea1n t\u00ednh.<\/span><\/p>\n

– Do vi\u00eam gan vi r\u00fat D t\u1ed3n t\u1ea1i ph\u1ee5 thu\u1ed9c v\u00e0o vi\u00eam gan vi r\u00fat B n\u00ean bi\u1ec3u hi\u1ec7n b\u1ec7nh c\u1ee7a vi\u00eam gan vi r\u00fat D lu\u00f4n \u0111i c\u00f9ng v\u1edbi b\u1ec7nh vi\u00eam gan vi r\u00fat B v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ea5p t\u00ednh th\u01b0\u1eddng kh\u00e1 r\u1ea7m r\u1ed9: B\u1ec7nh nh\u00e2n m\u1ec7t m\u1ecfi ch\u00e1n \u0103n nhi\u1ec1u, v\u00e0ng m\u1eaft, v\u00e0ng da, ph\u00f9\u2026n\u1eb7ng c\u00f3 th\u1ec3 h\u00f4n m\u00ea, t\u1eed vong.<\/span><\/p>\n

– K<\/span>hi nhi\u1ec5m vi\u00eam gan virus D (HDV) \u1edf giai \u0111o\u1ea1n m\u00e3n t\u00ednh, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng ch\u1ee7 y\u1ebfu nh\u01b0 m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng v\u00e0 ti\u1ec3u m\u00e0u v\u00e0ng.<\/p>\n

– Trong giai \u0111o\u1ea1n mu\u1ed9n c\u1ee7a b\u1ec7nh, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 x\u01a1 gan, ung th\u01b0 gan v\u00e0 suy gan.<\/p>\n

+ Trong giai \u0111o\u1ea1n mu\u1ed9n c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a x\u01a1 gan. X\u01a1 gan s\u1ebd d\u1eabn \u0111\u1ebfn gi\u1ea3m ch\u1ee9c n\u0103ng gan v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn gan.<\/p>\n

+ C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a x\u01a1 gan c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n

    \n
  • M\u1ec7t m\u1ecfi, suy gi\u1ea3m s\u1ee9c kh\u1ecfe.<\/li>\n
  • \u0110au b\u1ee5ng, c\u1ea3m gi\u00e1c ch\u01b0\u1edbng b\u1ee5ng.<\/li>\n
  • Kh\u00f3 ti\u00eau, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n.<\/li>\n
  • Da v\u00e0 ni\u00eam m\u1ea1c v\u00e0ng, n\u01b0\u1edbc ti\u1ec3u v\u00e0ng<\/li>\n
  • T\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, d\u1ec5 b\u1ecb ch\u1ea3y m\u00e1u, …<\/li>\n<\/ul>\n

    2. C\u1eadn l\u00e2m s\u00e0ng<\/span><\/b><\/h2>\n

    – H\u1ed9i ch\u1ee9ng h\u1ee7y ho\u1ea1i t\u1ebf b\u00e0o gan: AST\/ALT t\u0103ng.<\/span><\/p>\n

    – H\u1ed9i ch\u1ee9ng suy t\u1ebf b\u00e0o gan: Bilirubin t\u0103ng, albumin m\u00e1u gi\u1ea3m, PT gi\u1ea3m.<\/span><\/p>\n

    – HBsAg (+), Anti HBc \u2013 IgM (+).<\/span><\/p>\n

    – HDAg: (+), xu\u1ea5t hi\u1ec7n s\u1edbm, th\u1eddi gian t\u1ed3n t\u1ea1i ng\u1eafn, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c trong huy\u1ebft thanh.<\/span><\/p>\n

    – Anti- HDV total: Xu\u1ea5t hi\u1ec7n mu\u1ed9n, c\u1ea7n ki\u1ec3m tra l\u1ea1i anti \u2013 HDV sau 1 th\u1eddi gian, v\u00ec s\u1ef1 chuy\u1ec3n \u0111\u1ea3o huy\u1ebft thanh HDAg (-) t\u00ednh, anti – HDV (+) t\u00ednh l\u00e0 c\u00e1ch duy nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam gan vi r\u00fat D c\u1ea5p t\u00ednh khi kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c HDAg.<\/span><\/p>\n

    – Anti – HD IgM: Xu\u1ea5t hi\u1ec7n th\u1eddi gian ng\u1eafn trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan D c\u1ea5p kh\u1ecfi ho\u00e0n to\u00e0n, khi n\u00f3 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i v\u1edbi n\u1ed3ng \u0111\u1ed9 cao \u2192 vi\u00eam gan vi r\u00fat D c\u1ea5p chuy\u1ec3n th\u00e0nh vi\u00eam gan vi r\u00fat D m\u1ea1n t\u00ednh. Tuy nhi\u00ean \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u c\u1ee7a x\u00e9t nghi\u1ec7m n\u00e0y kh\u00f4ng cao v\u00ec n\u00f3 c\u0169ng xu\u1ea5t hi\u1ec7n trong vi\u00eam gan vi r\u00fat D m\u1ea1n t\u00ednh.<\/span><\/p>\n

    – Anti- HD IgG: Xu\u1ea5t hi\u1ec7n ngay sau khi m\u1ea5t anti-HD IgM.<\/span><\/p>\n

    – HDV \u2013 RNA: \u0110\u1ecbnh l\u01b0\u1ee3ng HDV \u2013 RNA l\u00e0 x\u00e9t nghi\u1ec7m c\u00f3 \u0111\u1ed9 nh\u1ea1y cao nh\u1ea5t trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n vi\u00eam gan vi r\u00fat D, n\u00f3 xu\u1ea5t hi\u1ec7n trong c\u1ea3 3 th\u1ec3 b\u1ec7nh, v\u00e0 l\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng vi r\u00fat, l\u01b0\u1ee3ng HDV \u2013 RNA ph\u1ea3n \u00e1nh s\u1ef1 nh\u00e2n l\u00ean c\u1ee7a vi r\u00fat.<\/span><\/p>\n

    3. Ch\u1ea9n \u0111o\u00e1n <\/span><\/b>b\u1ec7nh vi\u00eam gan virus D<\/strong><\/span><\/b><\/h2>\n

    C\u00f3 3 h\u00ecnh th\u00e1i b\u1ec7nh c\u1ea7n ph\u00e2n bi\u1ec7t d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m l\u00e0: vi\u00eam gan vi r\u00fat B \u2013 D c\u1ea5p t\u00ednh, vi\u00eam gan vi r\u00fat D c\u1ea5p t\u00ednh tr\u00ean b\u1ec7nh nh\u00e2n vi\u00eam gan vi r\u00fat B m\u1ea1n t\u00ednh, v\u00e0 vi\u00eam gan vi r\u00fat D m\u1ea1n t\u00ednh. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t 3 th\u1ec3 b\u1ec7nh n\u00e0y c\u1ea7n d\u1ef1a v\u00e0o: th\u1eddi gian xu\u1ea5t hi\u1ec7n b\u1ec7nh, n\u1ed3ng \u0111\u1ed9 HDV RNA, HDAg, anti \u2013 HDV, v\u00e0 c\u00e1c marker c\u1ee7a vi\u00eam gan vi r\u00fat B.<\/span><\/p>\n\n\n\n\n\n\n\n\n
    \n

    \n<\/td>\n

    		\n

    Vi\u00eam gan vi r\u00fat B \u2013 D c\u1ea5p<\/p>\n<\/td>\n

    		\n

    B\u1ed9i nhi\u1ec5m vi\u00eam gan D \/Ng\u01b0\u1eddi mang HBV<\/p>\n<\/td>\n

    		\n

    Vi\u00eam gan vi r\u00fat D m\u1ea1n t\u00ednh<\/p>\n<\/td>\n<\/tr>\n

    HDAg<\/td>\n\n

    Xu\u1ea5t hi\u1ec7n s\u1edbm, t\u1ed3n t\u1ea1i ng\u1eafn<\/p>\n<\/td>\n

    		\n

    Xu\u1ea5t hi\u1ec7n s\u1edbm<\/p>\n<\/td>\n

    		\n

    (-)<\/p>\n<\/td>\n<\/tr>\n

    Anti \u2013 HDV, IgM<\/td>\n\n

    (+)<\/p>\n<\/td>\n

    		\n

    (+), n\u1ed3ng \u0111\u1ed9 cao<\/p>\n<\/td>\n

    		\n

    (+)<\/p>\n<\/td>\n<\/tr>\n

    Anti \u2013 HDV, IgG<\/td>\n\n

    (+)<\/p>\n<\/td>\n

    		\n

    (+)<\/p>\n<\/td>\n

    		\n

    (+)<\/p>\n<\/td>\n<\/tr>\n

    HDV \u2013 RNA<\/td>\n\n

    \n<\/td>\n

    		\n

    (+)<\/p>\n<\/td>\n

    		\n

    (+)<\/p>\n<\/td>\n<\/tr>\n

    Anti \u2013 HBc IgM<\/td>\n\n

    (+)<\/p>\n<\/td>\n

    		\n

    (-)<\/p>\n<\/td>\n

    		\n

    (-)<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    C\u00e1c marker \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c th\u1ec3 b\u1ec7nh vi\u00eam gan D<\/span><\/i><\/b><\/p>\n

    4. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

    – Peg-interferon c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u1ee9c ch\u1ebf s\u1ef1 nh\u00e2n l\u00ean c\u1ee7a vi r\u00fat vi\u00eam gan D.<\/span><\/p>\n

    – Nh\u00f3m nucleotid \u1ee9c ch\u1ebf s\u1ef1 nh\u00e2n l\u00ean c\u1ee7a vi r\u00fat vi\u00eam gan B kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u1ee9c ch\u1ebf s\u1ef1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a vi r\u00fat vi\u00eam gan D.<\/span><\/p>\n

    – Hi\u1ec7u qu\u1ea3 \u1ee9c ch\u1ebf s\u1ef1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a vi r\u00fat vi\u00eam gan D kh\u00f4ng \u0111\u01b0\u1ee3c t\u0103ng l\u00ean khi k\u1ebft h\u1ee3p Peg-interferon v\u00e0 nh\u00f3m nucleotid.<\/span><\/p>\n

    5. Ph\u00f2ng b\u1ec7nh<\/h2>\n

    Hi\u1ec7n nay, c\u00e1ch ph\u00f2ng b\u1ec7nh kh\u00f4ng ch\u1ec9 l\u00e0 ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh vi\u00eam gan virus B. Vi\u1ec7c ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh vi\u00eam gan virus B l\u00e0 c\u00e1ch ph\u00f2ng b\u1ec7nh vi\u00eam gan virus D m\u1ed9t ph\u1ea7n, nh\u01b0ng kh\u00f4ng th\u1ec3 ng\u0103n ng\u1eeba ho\u00e0n to\u00e0n. \u0110\u1ec3 ph\u00f2ng ng\u1eeba b\u1ec7nh, ng\u01b0\u1eddi ta c\u0169ng c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba l\u00e2y nhi\u1ec5m virus B, bao g\u1ed3m:<\/p>\n

      \n
    • 1. Ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh vi\u00eam gan virus B \u0111\u1ea7y \u0111\u1ee7 v\u00e0 \u0111\u00fang l\u1ecbch tr\u00ecnh.<\/li>\n
    • 2. Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi m\u00e1u, c\u00e1c ch\u1ea5t th\u1ea3i ch\u1ee9a m\u00e1u c\u1ee7a ng\u01b0\u1eddi kh\u00e1c.<\/li>\n
    • 3. S\u1eed d\u1ee5ng c\u00e1c \u0111\u1ed3 d\u00f9ng c\u00e1 nh\u00e2n ri\u00eang v\u00e0 kh\u00f4ng chia s\u1ebb v\u1edbi ng\u01b0\u1eddi kh\u00e1c.<\/li>\n
    • 4. S\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 khi quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/li>\n
    • 5. Tr\u00e1nh s\u1eed d\u1ee5ng chung c\u00e1c d\u1ee5ng c\u1ee5 ti\u00eam ch\u00edch, dao c\u1ea1o v\u00e0 kim ti\u00eam.<\/li>\n<\/ul>\n

      Ngo\u00e0i ra, vi\u1ec7c th\u1eed nghi\u1ec7m sinh kh\u00e1ng th\u1ec3 anti-HBs tr\u00ean lo\u00e0i tinh tinh \u0111\u1ec3 t\u1ea1o mi\u1ec5n d\u1ecbch ch\u1ed1ng l\u1ea1i vi\u00eam gan virus D l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p nghi\u00ean c\u1ee9u m\u1edbi \u0111ang \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n cho con ng\u01b0\u1eddi, v\u00e0 c\u1ea7n ph\u1ea3i ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u th\u00eam. Do \u0111\u00f3, vi\u1ec7c ti\u00eam v\u1eafc xin ph\u00f2ng b\u1ec7nh vi\u00eam gan virus B v\u1eabn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng b\u1ec7nh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t hi\u1ec7n nay.<\/p>\n

      T\u00f3m l\u1ea1i, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus D l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh n\u00e0y nh\u01b0 vi\u00eam gan m\u1ea1n t\u00ednh, x\u01a1 gan, th\u1eadm ch\u00ed l\u00e0 ung th\u01b0 gan.<\/p>\n

      Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

      Vi\u00eam gan virus D (HDV) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan D g\u00e2y ra. Virus vi\u00eam gan D ch\u1ec9 c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong c\u01a1 th\u1ec3 c\u1ee7a nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m virus vi\u00eam gan B (HBV), v\u00ec v\u1eady b\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam […]<\/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":"\nVi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam gan B. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 ...\" \/>\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=\"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam gan B. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-20T12:01:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-21T04:08:41+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1338795438-612x612-1-300x217.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=\"6 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\/viem-gan-virus-d-chan-doan-va-dieu-tri\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/\",\"name\":\"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-20T12:01:16+00:00\",\"dateModified\":\"2023-04-21T04:08:41+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"B\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam gan B. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 ...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\",\"name\":\"mitkaka mitkaka\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"caption\":\"mitkaka mitkaka\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec","description":"B\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam gan B. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 ...","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec","og_description":"B\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam gan B. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 ...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/","og_site_name":"Vinmec","article_published_time":"2023-04-20T12:01:16+00:00","article_modified_time":"2023-04-21T04:08:41+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1338795438-612x612-1-300x217.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/","name":"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-20T12:01:16+00:00","dateModified":"2023-04-21T04:08:41+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"B\u1ec7nh vi\u00eam gan virus D th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc vi\u00eam gan B. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 ...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/viem-gan-virus-d-chan-doan-va-dieu-tri\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Vi\u00eam gan virus D: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c","name":"mitkaka mitkaka","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","caption":"mitkaka mitkaka"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/22815"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=22815"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/22815\/revisions"}],"predecessor-version":[{"id":24135,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/22815\/revisions\/24135"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=22815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=22815"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=22815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}