{"id":23823,"date":"2023-04-18T00:17:09","date_gmt":"2023-04-17T17:17:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23823"},"modified":"2023-04-18T10:57:41","modified_gmt":"2023-04-18T03:57:41","slug":"bach-cau-man-dong-lympho-tu-chan-doan-den-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/bach-cau-man-dong-lympho-tu-chan-doan-den-dieu-tri\/","title":{"rendered":"B\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng lympho: t\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>B\u1ec7nh b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng lympho (Chronic lymphoid leukemia &#8211; CLL) l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 m\u00e1u b\u1eaft ngu\u1ed3n t\u1eeb t\u1ebf b\u00e0o lympho B, m\u1ed9t lo\u1ea1i t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u trong h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3. \u0110\u00e2y l\u00e0 b\u1ec7nh ung th\u01b0 m\u00e1u ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i. B\u1ec7nh c\u00f3 tri\u1ec7u ch\u1ee9ng r\u1ea5t \u0111a d\u1ea1ng.<\/strong><\/p>\n<figure id=\"attachment_23825\" aria-describedby=\"caption-attachment-23825\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-23825\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/CLL-300x224.png\" alt=\"BENH-BACH-CAU-MAN-TINH-DONG-LYMPHO\" width=\"300\" height=\"224\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/CLL-300x224.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/CLL.png 522w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-23825\" class=\"wp-caption-text\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-bach-cau-man-dong-tuy-chan-doan-va-dieu-tri\/\">B\u1ec7nh b\u1ea1ch c\u1ea7u m\u1ea1n t\u00ednh d\u00f2ng lympho<\/a><\/figcaption><\/figure>\n<h2>1. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng lympho<\/h2>\n<p>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh CLL c\u00f3 t\u00ednh \u0111\u1eb7c tr\u01b0ng v\u00e0 ph\u1ee9c t\u1ea1p. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u00f3 xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n ch\u1eadm v\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh. Tuy nhi\u00ean, khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a CLL c\u00f3 th\u1ec3 tr\u1edf n\u00ean r\u00f5 r\u00e0ng h\u01a1n v\u00e0 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>M\u1ec7t m\u1ecfi l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a CLL, \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n. Nh\u1eefng c\u01a1n m\u1ec7t m\u1ecfi n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng v\u00e0 kh\u00f4ng gi\u1ea3m sau khi ngh\u1ec9 ng\u01a1i. B\u1ec7nh nh\u00e2n CLL c\u0169ng th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c u\u1ec3 o\u1ea3i, \u0111au \u0111\u1ea7u v\u00e0 ch\u00f3ng m\u1eb7t.<\/p>\n<p>S\u1ef1 gi\u1ea3m c\u00e2n c\u0169ng l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u1ee7a CLL. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng m\u1ea5t c\u1ea3m gi\u00e1c th\u00e8m \u0103n v\u00e0 c\u00f3 th\u1ec3 m\u1ea5t c\u00e2n n\u1eb7ng m\u1ed9t c\u00e1ch \u0111\u00e1ng k\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong giai \u0111o\u1ea1n sau c\u1ee7a b\u1ec7nh.<\/p>\n<p>S\u1ed1t l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a CLL, th\u01b0\u1eddng xuy\u00ean xu\u1ea5t hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n trong giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. S\u1ed1t c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0 kh\u00f3 ki\u1ec3m so\u00e1t, d\u1eabn \u0111\u1ebfn c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu v\u00e0 m\u1ea5t ng\u1ee7.<\/p>\n<p>B\u1ec7nh nh\u00e2n CLL c\u0169ng c\u00f3 th\u1ec3 b\u1ecb \u0111au \u0111\u1ea7u v\u00e0 \u0111au x\u01b0\u01a1ng. \u0110au \u0111\u1ea7u th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n khi b\u1ec7nh nh\u00e2n thay \u0111\u1ed5i v\u1ecb tr\u00ed, c\u00f2n \u0111au x\u01b0\u01a1ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n khi b\u1ec7nh nh\u00e2n t\u1eadp trung v\u00e0o m\u1ed9t ho\u1ea1t \u0111\u1ed9ng nh\u1ea5t \u0111\u1ecbnh.<\/p>\n<p>Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n CLL c\u0169ng d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng do h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb suy y\u1ebfu. Nh\u1eefng tri\u1ec7u ch\u1ee9ng nhi\u1ec5m tr\u00f9ng bao g\u1ed3m s\u1ed1t, \u0111au \u0111\u1ea7u, \u0111au c\u1ed5 h\u1ecdng v\u00e0 ho.<\/p>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng lympho<\/h2>\n<p>Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n CLL \u0111\u00f2i h\u1ecfi s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa ti\u1ec1n s\u1eed b\u1ec7nh, d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m.<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n, b\u00e1c s\u0129 c\u1ea7n h\u1ecfi k\u1ef9 ti\u1ec1n s\u1eed b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m ti\u1ec1n s\u1eed c\u00e1 nh\u00e2n, ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 ti\u1ec1n s\u1eed v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1. Vi\u1ec7c n\u00e0y gi\u00fap b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c gi\u1ea3 \u0111\u1ecbnh ban \u0111\u1ea7u v\u1ec1 b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>Sau \u0111\u00f3, b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh th\u0103m kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ec3 t\u00ecm ki\u1ebfm c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh. Vi\u1ec7c kh\u00e1m l\u00e2m s\u00e0ng bao g\u1ed3m ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 v\u1ebft b\u1ea7m t\u00edm, ph\u00f9 n\u1ec1, c\u1ea3m gi\u00e1c u\u1ec3 o\u1ea3i v\u00e0 kh\u00f3 th\u1edf. Ngo\u00e0i ra, b\u00e1c s\u0129 c\u0169ng s\u1ebd ki\u1ec3m tra c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nh\u01b0 h\u1ea1ch, gan v\u00e0 tuy\u1ebfn gi\u00e1p \u0111\u1ec3 t\u00ecm ki\u1ebfm c\u00e1c kh\u1ed1i u hay b\u1ea5t th\u01b0\u1eddng kh\u00e1c.<\/p>\n<p>B\u01b0\u1edbc ti\u1ebfp theo trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n l\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 t\u1ee7y x\u01b0\u01a1ng. X\u00e9t nghi\u1ec7m m\u00e1u s\u1ebd cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n. N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng cao h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng, \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a CLL.<\/p>\n<p>X\u00e9t nghi\u1ec7m t\u1ee7y x\u01b0\u01a1ng c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n CLL. X\u00e9t nghi\u1ec7m n\u00e0y cho ph\u00e9p b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c h\u01a1n v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng trong t\u1ee7y x\u01b0\u01a1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>Cu\u1ed1i c\u00f9ng, \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c h\u01a1n v\u1ec1 b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m ph\u00e2n t\u00edch ph\u00e2n t\u1eed ho\u1eb7c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m v\u00e0 CT scan.<\/p>\n<h2>3. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng lympho<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh l\u00e2u d\u00e0i v\u00e0 ph\u1ee9c t\u1ea1p, \u0111\u00f2i h\u1ecfi s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a b\u1ec7nh.<\/p>\n<p>M\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a CLL l\u00e0 h\u00f3a tr\u1ecb. H\u00f3a tr\u1ecb th\u00f4ng th\u01b0\u1eddng s\u1ebd ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t ho\u00e1 h\u1ecdc \u0111\u1ed9c h\u1ea1i. Tuy nhi\u00ean, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c l\u00e0 kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng. Kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t protein c\u1ee5 th\u1ec3 tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0. Thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i u v\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/p>\n<p>Ngo\u00e0i ra, c\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb CLL. Qu\u00e1 tr\u00ecnh n\u00e0y s\u1ebd thay th\u1ebf t\u1ee7y x\u01b0\u01a1ng b\u1ec7nh nh\u00e2n b\u1eb1ng t\u1ee7y x\u01b0\u01a1ng m\u1edbi t\u1eeb ng\u01b0\u1eddi cho. C\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng t\u1ee7y x\u01b0\u01a1ng v\u00e0 gi\u00fap s\u1ea3n xu\u1ea5t c\u00e1c t\u1ebf b\u00e0o m\u00e1u kh\u1ecfe m\u1ea1nh h\u01a1n.<\/p>\n<p>Cu\u1ed1i c\u00f9ng, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng th\u1ee7 thu\u1eadt c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb CLL. Th\u1ee7 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n ho\u1eb7c ph\u1ea7n kh\u1ed1i u, gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh.<\/p>\n<p>T\u1ed5ng h\u1ee3p l\u1ea1i, \u0111i\u1ec1u tr\u1ecb CLL \u0111\u00f2i h\u1ecfi s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a b\u1ec7nh. B\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n th\u1ea3o lu\u1eadn \u0111\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ec1 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2>4. K\u1ebft lu\u1eadn<\/h2>\n<p>B\u1ec7nh b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng lympho (CLL) l\u00e0 m\u1ed9t b\u1ec7nh ung th\u01b0 l\u00e2m s\u00e0ng ph\u1ee9c t\u1ea1p v\u00e0 \u0111\u00f2i h\u1ecfi s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng bao g\u1ed3m h\u00f3a tr\u1ecb, kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng, c\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng v\u00e0 th\u1ee7 thu\u1eadt. Tuy nhi\u00ean, c\u1ea7n c\u00f3 th\u00eam nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u1ec3 t\u00ecm ra nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi v\u00e0 c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n CLL.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh b\u1ea1ch c\u1ea7u m\u1ea1n d\u00f2ng lympho (Chronic lymphoid leukemia &#8211; CLL) l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 m\u00e1u b\u1eaft ngu\u1ed3n t\u1eeb t\u1ebf b\u00e0o lympho B, m\u1ed9t lo\u1ea1i t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u trong h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3. \u0110\u00e2y l\u00e0 b\u1ec7nh ung th\u01b0 m\u00e1u ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf [&hellip;]<\/p>\n","protected":false},"author":70,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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