{"id":22818,"date":"2023-04-19T16:57:17","date_gmt":"2023-04-19T09:57:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22818"},"modified":"2023-04-20T16:31:36","modified_gmt":"2023-04-20T09:31:36","slug":"nguyen-tac-va-cac-nhom-thuoc-dieu-tri-lao-khang-thuoc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/nguyen-tac-va-cac-nhom-thuoc-dieu-tri-lao-khang-thuoc\/","title":{"rendered":"Nguy\u00ean t\u1eafc v\u00e0 c\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c"},"content":{"rendered":"

Nguy\u00ean t\u1eafc v\u00e0 c\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/a> lao kh\u00e1ng thu\u1ed1c r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao kh\u00e1ng thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong b\u1ed1i c\u1ea3nh ng\u00e0y nay khi s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh lao kh\u00e1ng thu\u1ed1c \u0111ang t\u0103ng l\u00ean. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c gi\u00fap \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch v\u00e0 hi\u1ec7u qu\u1ea3. B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1ng lao kh\u00e1c nhau trong m\u1ed9t th\u1eddi gian d\u00e0i v\u00e0 k\u1ebft h\u1ee3p ch\u00fang v\u1edbi nhau gi\u00fap ti\u00eau di\u1ec7t vi khu\u1ea9n lao kh\u00e1ng thu\u1ed1c v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ch\u1ee7ng vi khu\u1ea9n m\u1edbi.<\/strong><\/p>\n

\"B\u1ec7nh
B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh lao kh\u00e1ng thu\u1ed1c \u0111ang t\u0103ng l\u00ean<\/figcaption><\/figure>\n

1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/span><\/b><\/h2>\n

Nguy\u00ean t\u1eafc trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao r\u1ea5t quan tr\u1ecdng. C\u00e1c nguy\u00ean t\u1eafc \u0111\u1ecbnh h\u01b0\u1edbng cho c\u00e1c chuy\u00ean gia y t\u1ebf v\u00e0 b\u1ec7nh nh\u00e2n c\u00e1ch ti\u1ebfp c\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n.<\/p>\n

Trong \u0111i\u1ec1u tr\u1ecb lao, nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb lao th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng, bao g\u1ed3m\u00a0 b\u1ed1n nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/strong><\/p>\n

1.1. Ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c ch\u1ed1ng lao<\/span><\/b><\/h3>\n

–\u00a0M\u1ed7i lo\u1ea1i thu\u1ed1c ch\u1ed1ng lao c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1c nhau tr\u00ean vi khu\u1ea9n lao (di\u1ec7t khu\u1ea9n, k\u00ecm khu\u1ea9n, m\u00f4i tr\u01b0\u1eddng vi khu\u1ea9n), do v\u1eady ph\u1ea3i ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c ch\u1ed1ng lao. M<\/span>\u1ed7i lo\u1ea1i thu\u1ed1c ch\u1ed1ng lao c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1c nhau tr\u00ean vi khu\u1ea9n lao v\u00e0 c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u1edf c\u00e1c giai \u0111o\u1ea1n kh\u00e1c nhau c\u1ee7a chu k\u1ef3 s\u1ed1ng c\u1ee7a vi khu\u1ea9n lao. V\u00ec v\u1eady, \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u0111a v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ch\u1ee7ng vi khu\u1ea9n kh\u00e1ng thu\u1ed1c m\u1edbi, c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng lao th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p s\u1eed d\u1ee5ng.<\/p>\n

–\u00a0V\u1edbi<\/span>\u00a0b\u1ec7nh\u00a0lao c\u00f2n nh<\/span>\u1ea1y c\u1ea3m v\u1edbi thu\u1ed1c: ph\u1ed1i h\u1ee3p \u00edt nh\u1ea5t 3 lo\u1ea1i thu\u1ed1c ch\u1ed1ng lao trong giai \u0111o\u1ea1n t\u1ea5n c\u00f4ng v\u00e0 \u00edt nh\u1ea5t 2 lo\u1ea1i trong giai \u0111o\u1ea1n duy tr\u00ec.<\/span><\/p>\n

–\u00a0V\u1edbi b\u1ec7nh lao \u0111a kh\u00e1ng:\u00a0<\/span>C\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p theo nguy\u00ean t\u1eafc ri\u00eang t\u00f9y thu\u1ed9c v\u00e0o ph\u00e1c \u0111\u1ed3 \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ban h\u00e0nh (c\u0103n c\u1ee9 v\u00e0o th\u1ec3 b\u1ec7nh, l\u1ee9a tu\u1ed5i, c\u00e1c b\u1ec7nh l\u00fd\u00a0ph\u1ed1i h\u1ee3p<\/span>\u00a0v\u00e0 ti\u1ec1n s\u1eed \u0111i\u1ec1u tr\u1ecb- tham kh\u1ea3o ph\u1ea7n ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c).<\/span><\/p>\n

1.2.\u00a0<\/span><\/b>D<\/b>\u00f9ng thu\u1ed1c \u0111\u00fang li\u1ec1u<\/span><\/b><\/h3>\n

Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang li\u1ec1u l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh. \u0110i\u1ec1u n\u00e0y gi\u00fap \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n ch\u1ee7ng vi khu\u1ea9n kh\u00e1ng thu\u1ed1c v\u00e0 tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n. C\u00e1c thu\u1ed1c ch\u1ed1ng lao t\u00e1c d\u1ee5ng h\u1ee3p \u0111\u1ed3ng, m\u1ed7i thu\u1ed1c c\u00f3 m\u1ed9t n\u1ed3ng \u0111\u1ed9 t\u00e1c d\u1ee5ng nh\u1ea5t \u0111\u1ecbnh. N\u1ebfu d\u00f9ng li\u1ec1u th\u1ea5p s\u1ebd kh\u00f4ng hi\u1ec7u qu\u1ea3 v\u00e0 d\u1ec5 t\u1ea1o ra c\u00e1c ch\u1ee7ng vi khu\u1ea9n kh\u00e1ng thu\u1ed1c, n\u1ebfu d\u00f9ng li\u1ec1u cao d\u1ec5 g\u00e2y tai bi\u1ebfn. \u0110\u1ed1i v\u1edbi lao tr\u1ebb em c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c h\u00e0ng th\u00e1ng theo c\u00e2n n\u1eb7ng.<\/span><\/p>\n

1.3.\u00a0<\/span><\/b>D<\/b>\u00f9ng thu\u1ed1c \u0111\u1ec1u \u0111\u1eb7n<\/span><\/b><\/h3>\n

–\u00a0C\u00e1c thu\u1ed1c ch\u1ed1ng lao ph\u1ea3i \u0111\u01b0\u1ee3c u\u1ed1ng c\u00f9ng m\u1ed9t l\u1ea7n v\u00e0o th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh trong ng\u00e0y v\u00e0 xa b\u1eefa \u0103n \u0111\u1ec3 \u0111\u1ea1t h\u1ea5p thu thu\u1ed1c t\u1ed1i \u0111a.<\/span><\/p>\n

–\u00a0V\u1edbi b\u1ec7nh lao \u0111a kh\u00e1ng: d\u00f9ng thu\u1ed1c 6 ng\u00e0y\/tu\u1ea7n, \u0111a s\u1ed1 thu\u1ed1c d\u00f9ng 1 l\u1ea7n v\u00e0o bu\u1ed5i s\u00e1ng, m\u1ed9t s\u1ed1 thu\u1ed1c nh\u01b0: Cs, Pto, Eto, PAS t\u00f9y theo kh\u1ea3 n\u0103ng dung n\u1ea1p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh – c\u00f3 th\u1ec3 chia li\u1ec1u 2 l\u1ea7n trong ng\u00e0y (s\u00e1ng – chi\u1ec1u) \u0111\u1ec3 gi\u1ea3m\u00a0<\/span>bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i\u00a0ho\u1eb7c c\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u trong 2 tu\u1ea7n \u0111\u1ea7u n\u1ebfu thu\u1ed1c kh\u00f3 dung n\u1ea1p, n\u1ebfu b\u1ec7nh nh\u00e2n g\u1eb7p\u00a0<\/span>bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i li\u00ean quan \u0111\u1ebfn\u00a0thu\u1ed1c ti\u00eam – c\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u, ti\u00eam 3 l\u1ea7n\/tu\u1ea7n ho\u1eb7c ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c ti\u00eam c\u0103n c\u1ee9 v\u00e0o m\u1ee9c \u0111\u1ed9 n\u1eb7ng-nh\u1eb9<\/span><\/p>\n

1.4.\u00a0<\/span><\/b>D<\/b>\u00f9ng thu\u1ed1c \u0111\u1ee7 th\u1eddi gian v\u00e0 theo 2 giai \u0111o\u1ea1n t\u1ea5n c\u00f4ng v\u00e0 duy tr\u00ec<\/span><\/b><\/h3>\n

–\u00a0V\u1edbi<\/span>\u00a0b\u1ec7nh<\/span>\u00a0lao c\u00f2n nh<\/span>\u1ea1y c\u1ea3m v\u1edbi thu\u1ed1c<\/span>\u00a0(kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng kh\u00e1ng thu\u1ed1c<\/span>):\u00a0Giai \u0111o\u1ea1n t\u1ea5n c\u00f4ng k\u00e9o d\u00e0i 2, 3 th\u00e1ng nh\u1eb1m ti\u00eau di\u1ec7t nhanh s\u1ed1 l\u01b0\u1ee3ng l\u1edbn vi khu\u1ea9n c\u00f3 trong c\u00e1c v\u00f9ng t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 ng\u0103n ch\u1eb7n c\u00e1c vi khu\u1ea9n lao \u0111\u1ed9t bi\u1ebfn kh\u00e1ng thu\u1ed1c. Giai \u0111o\u1ea1n duy tr\u00ec k\u00e9o d\u00e0i 4 \u0111\u1ebfn\u00a0<\/span>10\u00a0th\u00e1ng nh\u1eb1m ti\u00eau di\u1ec7t tri\u1ec7t \u0111\u1ec3 c\u00e1c vi khu\u1ea9n lao trong v\u00f9ng t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 tr\u00e1nh t\u00e1i ph\u00e1t.<\/span><\/p>\n

–\u00a0V\u1edbi b\u1ec7nh lao \u0111a kh\u00e1ng:\u00a0<\/span>\u01afu ti\u00ean s\u1eed d\u1ee5ng thu\u1ed1c u\u1ed1ng, v\u00ec v\u1eady \u0111a s\u1ed1 ph\u00e1c \u0111\u1ed3 kh\u00f4ng c\u00f3 giai \u0111o\u1ea1n t\u1ea5n c\u00f4ng (ch\u1ec9 m\u1ed9t t\u1ef7 l\u1ec7 r\u1ea5t nh\u1ecf b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c ti\u00eam trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft \u1edf ph\u00e1c \u0111\u1ed3 d\u00e0i h\u1ea1n th\u00ec th\u1eddi gian t\u1ea5n c\u00f4ng l\u00e0 6 th\u00e1ng)<\/p>\n

2. C\u00e1c thu\u1ed1c ch\u1ed1ng lao<\/span><\/b><\/h2>\n

Ch\u01b0\u01a1ng tr\u00ecnh Ch\u1ed1ng lao ch\u1ecbu tr\u00e1ch nhi\u1ec7m cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7, li\u00ean t\u1ee5c thu\u1ed1c ch\u1ed1ng lao c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng<\/span>.<\/p>\n

\u25cb\u00a0Thu\u1ed1c ch\u1ed1ng lao thi\u1ebft y\u1ebfu (h\u00e0ng 1)<\/span><\/p>\n

+\u00a0C\u00e1c thu\u1ed1c ch\u1ed1ng lao thi\u1ebft y\u1ebfu (h\u00e0ng 1) l\u00e0:\u00a0<\/span>isoniazid (H),\u00a0<\/span>rifampicin (R),\u00a0<\/span>pyrazinamid (Z),\u00a0<\/span>streptomycin (S),\u00a0<\/span>ethambutol (E).<\/span><\/p>\n

+\u00a0Hi\u1ec7n nay TCYTTG \u0111\u00e3 khuy\u1ebfn c\u00e1o b\u1ed5 sung 2 lo\u1ea1i thu\u1ed1c ch\u1ed1ng lao h\u00e0ng 1 l\u00e0\u00a0<\/span>rifabutin (Rfb) v\u00e0\u00a0<\/span>rifapentine (Rpt).<\/span><\/p>\n

+\u00a0Thu\u1ed1c ch\u1ed1ng lao h\u00e0ng 2:<\/span><\/p>\n

C\u00e1c thu\u1ed1c ch\u1ed1ng lao h\u00e0ng 2 ch\u1ee7 y\u1ebfu c\u00f3 th\u1ec3 ph\u00e2n ra th\u00e0nh c\u00e1c nh\u00f3m nh\u01b0 sau:<\/span><\/p>\n

B\u1ea3ng Ph\u00e2n lo\u1ea1i c\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c (WHO 2019)<\/b><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

Nh\u00f3m thu\u1ed1c v\u00e0 c\u00e1c b\u01b0\u1edbc x\u00e2y d\u1ef1ng ph\u00e1c \u0111\u1ed3<\/span><\/b><\/p>\n<\/td>\n

\n

Thu\u1ed1c<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n

\n

Nh\u00f3m A:<\/span><\/b><\/p>\n

Ch\u1ecdn c\u1ea3 3 thu\u1ed1c<\/span><\/b><\/p>\n<\/td>\n

\n

Levofloxacin HO\u1eb6C<\/span><\/p>\n

Moxifloxacin<\/span><\/p>\n<\/td>\n

\n

Lfx<\/span><\/p>\n

Mfx<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Bedaquiline<\/span><\/p>\n<\/td>\n

\n

Bdq<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Linezolid<\/span><\/p>\n<\/td>\n

\n

Lzd<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Nh\u00f3m B:<\/span><\/b><\/p>\n

Th\u00eam 1 ho\u1eb7c c\u1ea3 2 thu\u1ed1c<\/span><\/b><\/p>\n<\/td>\n

\n

Clofazimine<\/span><\/p>\n<\/td>\n

\n

Cfz<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Cycloserine HO\u1eb6C<\/span><\/p>\n

Terizidone<\/span><\/p>\n<\/td>\n

\n

Cs<\/span><\/p>\n

Trd<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Nh\u00f3m C:<\/span><\/b><\/p>\n

B\u1ed5 sung \u0111\u1ec3 ho\u00e0n ch\u1ec9nh ph\u00e1c \u0111\u1ed3 khi kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng 1 s\u1ed1 thu\u1ed1c nh\u00f3m A v\u00e0 B<\/span><\/b><\/p>\n<\/td>\n

\n

Ethambutol<\/span><\/p>\n<\/td>\n

\n

E<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Delamanid<\/span><\/p>\n<\/td>\n

\n

Dlm<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Pyrazinamide<\/span><\/p>\n<\/td>\n

\n

Z<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Imipenem-cilastatin HO\u1eb6C<\/span><\/p>\n

Meropenem<\/span><\/p>\n<\/td>\n

\n

Ipm-Cln<\/span><\/p>\n

Mpm<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Amikacin<\/span><\/p>\n

(HO\u1eb6C Streptomycin)<\/span><\/p>\n<\/td>\n

\n

Am<\/span><\/p>\n

(S)<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Ethionamide HO\u1eb6C<\/span><\/p>\n

Prothionamide<\/span><\/p>\n<\/td>\n

\n

Eto<\/span><\/p>\n

Pto<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

p-aminosalicylic acid<\/span><\/p>\n<\/td>\n

\n

PAS<\/span><\/p>\n<\/td>\n<\/tr>\n<\/thead>\n<\/table>\n

Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c, c\u00e1c chuy\u00ean gia y t\u1ebf th\u01b0\u1eddng k\u1ebft h\u1ee3p nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1ng lao kh\u00e1c nhau \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n ch\u1ee7ng vi khu\u1ea9n kh\u00e1ng thu\u1ed1c m\u1edbi. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng \u0111\u1ec3 tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n.<\/p>\n

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

Nguy\u00ean t\u1eafc v\u00e0 c\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao kh\u00e1ng thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong b\u1ed1i c\u1ea3nh ng\u00e0y nay khi s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh lao kh\u00e1ng thu\u1ed1c \u0111ang t\u0103ng l\u00ean. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c gi\u00fap \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nNguy\u00ean t\u1eafc v\u00e0 c\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c - Vinmec<\/title>\n<meta name=\"description\" content=\"Nguy\u00ean t\u1eafc v\u00e0 c\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao kh\u00e1ng thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong b\u1ed1i c\u1ea3nh ...\" \/>\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=\"Nguy\u00ean t\u1eafc v\u00e0 c\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lao kh\u00e1ng thu\u1ed1c - 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