{"id":24818,"date":"2023-04-25T01:03:35","date_gmt":"2023-04-24T18:03:35","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24818"},"modified":"2023-04-25T01:03:35","modified_gmt":"2023-04-24T18:03:35","slug":"viem-gan-giam-tuoi-mau-dinh-nghia-chan-doan-va-quan-ly","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/viem-gan-giam-tuoi-mau-dinh-nghia-chan-doan-va-quan-ly\/","title":{"rendered":"Vi\u00eam gan gi\u1ea3m t\u01b0\u1edbi m\u00e1u: \u0110\u1ecbnh ngh\u0129a, ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd"},"content":{"rendered":"<p><strong>Gan l\u00e0 m\u1ed9t c\u01a1n quan c\u00f3 t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a cao, \u0111i\u1ec1u n\u00e0y l\u00e0m cho nhu m\u00f4 gan r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng thi\u1ebfu m\u00e1u. T\u1ed5n th\u01b0\u01a1ng gan g\u00e2y ra do s\u1ef1 gi\u1ea3m t\u01b0\u1edbi m\u00e1u gan \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam gan do thi\u1ebfu oxy. Vi\u00eam gan gi\u1ea3m t\u01b0\u1edbi m\u00e1u c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m r\u1ea5t \u0111\u1eb7c tr\u01b0ng trong c\u1ea3 ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd.<\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a v\u00e0 nguy\u00ean nh\u00e2n<\/h2>\n<p>Gan c\u00f3 h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u phong ph\u00fa v\u00e0 ph\u1ee9c t\u1ea1p. V\u1eadn t\u1ed1c chuy\u1ec3n h\u00f3a c\u1ee7a c\u00e1c t\u1ebf b\u00e0o gan r\u1ea5t cao l\u00e0m cho nhu m\u00f4 gan r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng g\u00e2y thi\u1ebfu m\u00e1u. S\u1ef1 gi\u1ea3m t\u01b0\u1edbi m\u00e1u g\u00e2y gi\u00e1n \u0111o\u1ea1n qu\u00e1 tr\u00ecnh cung c\u1ea5p oxy v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t cho nhu m\u00f4 gan, \u0111\u1ed3ng th\u1eddi g\u00e2y t\u00edch l\u0169y c\u00e1c \u0111\u1ed9c ch\u1ea5t c\u00f3 kh\u1ea3 n\u0103ng t\u1ed5n h\u1ea1i \u0111\u1ebfn t\u1ebf b\u00e0o gan.<\/p>\n<p>Khi c\u00f3 m\u1ed9t b\u1ec7nh c\u1ea3nh l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u01b0\u1edbi m\u00e1u c\u1ee7a c\u1ea3 l\u00e1 gan nh\u01b0 c\u00e1c t\u00ecnh tr\u1ea1ng cho\u00e1ng hay huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh s\u1ebd g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u, g\u1ecdi l\u00e0 vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u (ischemic hepatitis)<\/p>\n<p>V\u1ec1 m\u1eb7t thu\u1eadt ng\u1eef y khoa, \u0111\u00f4i khi b\u1ec7nh l\u00fd n\u00e0y \u0111\u01b0\u1ee3c d\u1ecbch th\u00e0nh vi\u00eam gan do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. Thu\u1eadt ng\u1eef &#8220;ischemia&#8221; c\u00f3 ngh\u0129a l\u00e0 s\u1ef1 gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u1ebfn m\u00f4 hay c\u01a1 quan n\u00e0o n\u00e0o \u0111\u00f3. Do v\u1ec1 m\u1eb7t m\u00f4 b\u1ec7nh h\u1ecdc, &#8220;ischemic hepatitis&#8221; \u00a0m\u00f4 t\u1ea3 t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 gan lan t\u1ecfa do bi\u1ebfn c\u1ed1 g\u00e2y gi\u1ea3m t\u01b0\u1edbi m\u00e1u h\u1ec7 th\u1ed1ng; trong khi \u0111\u00f3, &#8220;hepatic infarction&#8221; &#8211; nh\u1ed3i m\u00e1u gan l\u00e0 thu\u1eadt ng\u1eef d\u00f9ng \u0111\u1ec3 m\u00f4 t\u1ea3 s\u1ef1 t\u1ed5n th\u01b0\u01a1ng c\u1ee5c b\u1ed9 nhu m\u00f4 gan g\u00e2y ra do c\u00e1c bi\u1ebfn c\u1ed1 l\u00e0m t\u1eafc m\u1ea1ch m\u00e1u trong gan nh\u01b0 huy\u1ebft kh\u1ed1i hay thuy\u00ean t\u1eafc do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c. Nh\u01b0 v\u1eady, \u1edf trong khu\u00f4n kh\u1ed5 t\u00e0i li\u1ec7u n\u00e0y, \u00a0l\u1ef1a ch\u1ecdn thu\u1eadt ng\u1eef vi\u00eam gan gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u1ec3 m\u00f4 t\u1ea3 t\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa nhu m\u00f4 gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u, tr\u00e1nh g\u00e2y b\u1ed1i r\u1ed1i cho qu\u00fd \u0111\u1ecdc gi\u1ea3.<\/p>\n<p>M\u1eb7c d\u00f9 sinh b\u1ec7nh h\u1ecdc c\u1ee7a hai c\u1ea3nh n\u00f3i tr\u00ean \u0111\u1ec1u l\u00e0 t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan do thi\u1ebfu m\u00e1u, nh\u01b0ng b\u1ed1i c\u1ea3nh l\u00e2m s\u00e0ng c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd t\u01b0\u01a1ng \u0111\u1ed1i kh\u00e1c nhau, kh\u1edfi ph\u00e1t tr\u00ean l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng c\u0169ng c\u00f3 nhi\u1ec1u \u0111i\u1ec3m ph\u00e2n bi\u1ec7t.<\/p>\n<figure style=\"width: 484px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"r48jcc pT0Scc iPVvYb\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/8\/81\/Histopathology_of_shock_liver_%28intermediate_magnification%29.jpg\" alt=\"minh-hoa-ton-thuong-gan-do-giam-tuoi-mau\" width=\"484\" height=\"362\" \/><figcaption class=\"wp-caption-text\">Minh h\u1ecda t\u1ed5n th\u01b0\u01a1ng gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u<\/figcaption><\/figure>\n<p>Thu\u1eadt ng\u1eef vi\u00eam gan do gi\u1ea3m thi\u1ebfu oxy (hypoxic hepatitis) c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 ch\u1ec9 vi\u00eam gan do gi\u1edbi h\u1ea1n d\u00f2ng m\u00e1u cung c\u1ea5p \u0111\u1ebfn gan, nh\u01b0ng c\u00f3 \u00fd ngh\u0129a r\u1ed9ng h\u01a1n kh\u00e1 nhi\u1ec1u. Vi\u00eam gan do thi\u1ebfu oxy m\u00e1u \u0111\u01b0\u1ee3c hi\u1ec3u r\u1ed9ng h\u01a1n l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n t\u01b0\u01a1ng t\u1ebf b\u00e0o gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u do cho\u00e1ng ho\u1eb7c ng\u1eebng tim, hay gi\u1ea3m oxy m\u00e1u do suy h\u00f4 h\u1ea5p ho\u1eb7c l\u00e0 t\u0103ng nhu c\u1ea7u oxy do nhi\u1ec5m tr\u00f9ng.<\/p>\n<p>Nh\u01b0 v\u1eady, g\u00e2y vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u c\u00f3 th\u1ec3 l\u00e0 k\u1ebft c\u1ee5c c\u1ee7a r\u1ea5t nhi\u1ec1u b\u1ec7nh c\u1ea3nh kh\u00e1c nhau. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan do t\u01b0\u1edbi m\u00e1u l\u00e1 gan kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 nhu c\u1ea7u c\u1ee7a nhu m\u00f4 gan g\u1ed3m:<\/p>\n<ul>\n<li>Suy tim m\u1ea5t b\u00f9 hay suy tim c\u1ea5p<\/li>\n<li>C\u00e1c b\u1ec7nh c\u1ea3nh cho\u00e1ng<\/li>\n<li>Huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh (lo\u1ea1n nh\u1ecbp, ng\u1eebng tim..)<\/li>\n<li>Suy h\u00f4 h\u1ea5p n\u1eb7ng<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng n\u1eb7ng<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng, b\u1ecfng, t\u0103ng th\u00e2n nhi\u1ec7t qu\u00e1 m\u1ee9c<\/li>\n<\/ul>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u<\/h2>\n<p>D\u1ea5u hi\u1ec7u g\u1ee3i \u00fd vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u th\u01b0\u1eddng l\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 h\u00f3a sinh m\u00e1u ch\u1ec9 \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan trong b\u1ed5i c\u1ea3nh l\u00e2m s\u00e0ng g\u1ee3i \u00fd t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u1ebfn gan \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea \u1edf tr\u00ean. Tr\u00ean l\u00e2m s\u00e0ng th\u01b0\u1eddng \u00edt c\u00f3 d\u1ea5u hi\u1ec7u r\u00f5 r\u00e0ng do b\u1ecb che l\u1ea5p b\u1edfi c\u00e1c b\u1ec7nh l\u00fd n\u1eb7ng n\u1ec1 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra s\u1ef1 kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u1ec1 huy\u1ebft \u0111\u1ed9ng.<\/p>\n<p>Do c\u00e1c t\u1ebf b\u00e0o gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa, n\u1ed3ng \u0111\u1ed9 c\u00e1c men aminotransferase trong m\u00e1u t\u0103ng r\u1ea5t cao. M\u1ee9c AST v\u00e0 ALT g\u1ee3i \u00fd vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u th\u01b0\u1eddng ph\u1ea3i tr\u00ean 1000 UI\/L, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p c\u00e1c men n\u00e0y t\u0103ng v\u01b0\u1ee3t ng\u01b0\u1ee1ng 3000UI\/L. C\u00e1c men n\u00e0y th\u01b0\u1eddng t\u0103ng \u0111\u1ea1t \u0111\u1ec9nh trong v\u00f2ng 1 \u0111\u1ebfn 3 ng\u00e0y sau t\u1ed5n th\u01b0\u01a1ng. C\u00e1c x\u00e9t nghi\u1ec7m g\u1ee3i ch\u1ee9c n\u0103ng gan nh\u01b0 bilirubin, INR th\u01b0\u1eddng ch\u1ec9 bi\u1ebfn \u0111\u1ed5i nh\u1eb9 trong b\u1ed1i c\u1ea3nh vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u.<\/p>\n<p>M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 g\u00e2y r\u0103ng c\u00e1c men aminotransferase cao nh\u01b0 v\u1eady c\u1ea7n \u0111\u1eb7t v\u00e0o ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t g\u1ed3m: vi\u00eam gan do si\u00eau vi, \u00a0\u0111\u1ee3t b\u00f9ng ph\u00e1t c\u1ee7a vi\u00eam gan do t\u1ef1 mi\u1ec5n, h\u1ed9i ch\u1ee9ng Budd-Chiari, \u00a0h\u1ed9i ch\u1ee9ng HELLP&#8230;.<\/p>\n<p>\u0110\u1ec3 ph\u00e2n bi\u1ec7t vi\u00eam gan do ngu\u1ed3n m\u00e1u cung c\u1ea5p kh\u00f4ng \u0111\u1ee7 cho gan v\u1edbi c\u00e1c b\u1ec7nh l\u00fd c\u00f2n l\u1ea1i, c\u00f3 th\u1ec3 d\u1ef1a v\u00e0o m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 sau.<\/p>\n<ul>\n<li>C\u00f3 s\u1ef1 t\u0103ng cao v\u00e0 s\u1edbm c\u1ee7a men LDH trong m\u00e1u. LDH t\u0103ng r\u1ea5t cao, c\u00f3 th\u1ec3 cao h\u01a1n c\u1ea3 c\u00e1c men aminotransferase. T\u1ec9 s\u1ed1 ALT tr\u00ean LDH th\u1ea5p h\u01a1n 1.5 gi\u00fap ph\u00e2n bi\u1ec7t vi\u00eam gan v\u1edbi vi\u00eam gan do si\u00eau vi.<\/li>\n<li>N\u1ebfu c\u00e1c nguy\u00ean nh\u00e2n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft, c\u00e1c men aminotransferase nhanh ch\u00f3ng gi\u1ea3m v\u00e0 c\u00f3 th\u1ec3 tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng trong 7 \u0111\u1ebfn 10 ng\u00e0y. \u0110\u1eb7c \u0111i\u1ec3m n\u00e0y gi\u00fap ph\u00e2n bi\u1ec7t vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u v\u00e0 h\u00ecnh th\u00e1i t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan do c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c.<\/li>\n<li>Trong b\u1ec7nh c\u1ea3nh c\u1ee7a vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u, c\u00f3 th\u1ec3 c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed3ng th\u1eddi c\u1ee7a c\u00e1c c\u01a1 quan kh\u00e1c do thi\u1ebfu m\u00e1u. S\u1ef1 t\u0103ng s\u1edbm v\u00e0 \u0111\u1ed3ng th\u1eddi c\u1ee7a creatinine m\u00e1u c\u0169ng r\u1ea5t \u1ee7ng h\u1ed9 ch\u1ea9n \u0111o\u00e1n vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u.<\/li>\n<\/ul>\n<h2>3. Qu\u1ea3n l\u00fd<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u1ea3nh t\u1ed5n th\u01b0\u01a1ng gan do gi\u1edbi h\u1ea1n ngu\u1ed3n m\u00e1u \u0111\u1ebfn gan ch\u1ee7 y\u1ebfu nh\u1eafm v\u00e0o gi\u1ea3i quy\u1ebft nguy\u00ean nh\u00e2n, \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u1ed9ng. N\u1ebfu c\u00e1c nguy\u00ean nh\u00e2n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft, vi\u00eam gan do thi\u1ebfu m\u00e1u s\u1ebd s\u1edbm t\u1ef1 gi\u1edbi h\u1ea1n, c\u00e1c men aminotransferase s\u1ebd nhanh ch\u00f3ng tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng trong v\u00f2ng 7 \u0111\u1ebfn 10 ng\u00e0y. C\u00e1c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c d\u00e3n m\u1ea1ch t\u1ea1ng ch\u1ecdn l\u1ecdc, truy\u1ec1n N-acetylcysteine ch\u01b0a ch\u1ee9ng minh \u0111\u01b0\u1ee3c vai tr\u00f2.<\/p>\n<p>Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh c\u1ea3nh vi\u00eam gan do thi\u1ebfu m\u00e1u ph\u1ee5 thu\u1ed9c v\u00e0o b\u1ec7nh c\u1ea3nh \u0111\u00f3ng vai tr\u00f2 l\u00e0 nguy\u00ean nh\u00e2n. Ti\u00ean l\u01b0\u1ee3ng x\u1ea5u n\u1ebfu vi\u00eam gan ch\u1ec9 l\u00e0 d\u1ea5u hi\u1ec7u t\u1ea1i gan c\u1ee7a m\u1ed9t t\u00ecnh tr\u1ea1ng suy \u0111a c\u01a1 quan do huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh. \u0110\u00f4i khi b\u1ec7nh c\u1ea3nh n\u00e0y th\u00fac \u0111\u1ea9y b\u1ec7nh nh\u00e2n r\u01a1i v\u00e0o suy gan c\u1ea5p n\u1ebfu nh\u01b0 b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng gan n\u1ec1n t\u1ea3ng gi\u1edbi h\u1ea1n.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gan l\u00e0 m\u1ed9t c\u01a1n quan c\u00f3 t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a cao, \u0111i\u1ec1u n\u00e0y l\u00e0m cho nhu m\u00f4 gan r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng thi\u1ebfu m\u00e1u. T\u1ed5n th\u01b0\u01a1ng gan g\u00e2y ra do s\u1ef1 gi\u1ea3m t\u01b0\u1edbi m\u00e1u gan \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam gan do thi\u1ebfu [&hellip;]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam gan gi\u1ea3m t\u01b0\u1edbi m\u00e1u: \u0110\u1ecbnh ngh\u0129a, ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd<\/title>\n<meta name=\"description\" content=\"T\u1ed5n th\u01b0\u01a1ng gan g\u00e2y ra do s\u1ef1 gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u - c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m r\u1ea5t \u0111\u1eb7c tr\u01b0ng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd\" \/>\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 gi\u1ea3m t\u01b0\u1edbi m\u00e1u: \u0110\u1ecbnh ngh\u0129a, ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd\" \/>\n<meta property=\"og:description\" content=\"T\u1ed5n th\u01b0\u01a1ng gan g\u00e2y ra do s\u1ef1 gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam gan do gi\u1ea3m t\u01b0\u1edbi m\u00e1u - 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