{"id":25806,"date":"2023-04-21T00:07:03","date_gmt":"2023-04-20T17:07:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25806"},"modified":"2023-04-21T10:21:25","modified_gmt":"2023-04-21T03:21:25","slug":"phac-do-dieu-tri-ung-thu-vu-theo-bo-y-te-phau-thuat-xa-tri-va-dieu-tri-he-thong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phac-do-dieu-tri-ung-thu-vu-theo-bo-y-te-phau-thuat-xa-tri-va-dieu-tri-he-thong\/","title":{"rendered":"Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb Ung th\u01b0 v\u00fa theo b\u1ed9 Y t\u1ebf: Ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ec7 th\u1ed1ng"},"content":{"rendered":"

Ung th\u01b0 v\u00fa l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea1ng ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ph\u1ee5 n\u1eef tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. M\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, nh\u01b0ng ch\u00fang ta v\u1eabn c\u1ea7n ph\u1ea3i ti\u1ebfp t\u1ee5c nghi\u00ean c\u1ee9u v\u00e0 \u00e1p d\u1ee5ng nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t \u0111\u1ec3 n\u00e2ng cao hi\u1ec7u qu\u1ea3 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf, bao g\u1ed3m ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p.<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ung th\u01b0 v\u00fa<\/h2>\n

Ung th\u01b0 v\u00fa (UTV)<\/a> l\u00e0 lo\u1ea1i ung th\u01b0 th\u01b0\u1eddng g\u1eb7p v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u do ung th\u01b0 \u1edf ph\u1ee5 n\u1eef tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. M\u1ed7i n\u0103m n\u01b0\u1edbc ta c\u00f3 kho\u1ea3ng h\u01a1n 15.230 ph\u1ee5 n\u1eef m\u1edbi m\u1eafc v\u00e0 h\u01a1n 6.100 ng\u01b0\u1eddi t\u1eed vong do UTV. Ung th\u01b0 v\u00fa nam chi\u1ebfm kho\u1ea3ng 1% c\u00e1c tr\u01b0\u1eddng h\u1ee3p UTV. \u0110a s\u1ed1 UTV xu\u1ea5t ph\u00e1t t\u1eeb c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 c\u1ee7a v\u00fa. B\u1ec7nh Paget c\u1ee7a v\u00fa c\u00f3 th\u1ec3 k\u00e8m theo UTV. Do v\u1eady, khi c\u00f3 th\u00e0nh ph\u1ea7n ung th\u01b0 tr\u00ean Paget v\u00fa c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 UTV th\u00f4ng th\u01b0\u1eddng v\u1edbi giai \u0111o\u1ea1n t\u01b0\u01a1ng \u1ee9ng.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng quan tr\u1ecdng bao g\u1ed3m: k\u00edch th\u01b0\u1edbc u nguy\u00ean ph\u00e1t, s\u1ed1 l\u01b0\u1ee3ng h\u1ea1ch di c\u0103n, th\u1ec3 m\u00f4 b\u1ec7nh h\u1ecdc, \u0111\u1ed9 m\u00f4 h\u1ecdc, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 y\u1ebfu t\u1ed1 ph\u00e1t tri\u1ec3n bi\u1ec3u b\u00ec ng\u01b0\u1eddi s\u1ed1 2 (human epidermal growth factor receptor-HER2), tu\u1ed5i.<\/p>\n

\"anh-minh-hoa-ung-thu-vu\"
Ung th\u01b0 v\u00fa l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u do ung th\u01b0 \u1edf ph\u1ee5 n\u1eef tr\u00ean to\u00e0n th\u1ebf gi\u1edbi<\/figcaption><\/figure>\n

2. \u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/h2>\n

2.1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb <\/strong><\/h3>\n

\u0110i\u1ec1u tr\u1ecb UTV ph\u1ee5 thu\u1ed9c giai \u0111o\u1ea1n b\u1ec7nh l\u00fac ch\u1ea9n \u0111o\u00e1n, \u0111\u1eb7c \u0111i\u1ec3m b\u1ec7nh h\u1ecdc kh\u1ed1i u (th\u1ec3 m\u00f4 b\u1ec7nh h\u1ecdc, \u0111\u1ed9 m\u00f4 h\u1ecdc, t\u00ecnh tr\u1ea1ng th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft, HER2, ch\u1ec9 s\u1ed1 t\u0103ng sinh kh\u1ed1i u, c\u00e1c \u0111\u1ed9t bi\u1ebfn gen, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u1ec1 gen…), t\u1ed1c \u0111\u1ed9 ph\u00e1t tri\u1ec3n tr\u00ean l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh, s\u1ef1 \u01b0a th\u00edch c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u00e1c b\u1ec7nh k\u00e8m theo.<\/p>\n

\u0110\u1ed1i v\u1edbi h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, \u0111i\u1ec1u tr\u1ecb c\u1ea7n ph\u1ed1i h\u1ee3p \u0111a ph\u01b0\u01a1ng ph\u00e1p, bao g\u1ed3m ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb, v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ec7 th\u1ed1ng. Vi\u1ec7c s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p, thu\u1ed1c v\u1edbi th\u1eddi \u0111i\u1ec3m v\u00e0 li\u1ec1u l\u01b0\u1ee3ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a theo t\u1eebng ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn sao cho k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao nh\u1ea5t m\u00e0 \u0111\u1ed9c t\u00ednh, t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ea5p v\u00e0 m\u00e3n th\u1ea5p nh\u1ea5t, \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng t\u1ed1t nh\u1ea5t. \u0110\u1ed3ng th\u1eddi, c\u1ea7n quan t\u00e2m \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c: th\u1ea9m m\u1ef9, t\u00e2m l\u00fd, kh\u1ea3 n\u0103ng quay l\u1ea1i c\u00f4ng vi\u1ec7c, \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c, sinh \u0111\u1ebb\u2026<\/p>\n

2.2. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb <\/strong><\/h3>\n

2.2.1. Ph\u1eabu thu\u1eadt<\/h4>\n
    \n
  • \u0110\u1ed1i v\u1edbi kh\u1ed1i u nguy\u00ean ph\u00e1t: c\u00f3 c\u00e1c h\u00ecnh th\u00e1i ph\u1eabu thu\u1eadt nh\u01b0 c\u1eaft tuy\u1ebfn v\u00fa v\u00e9t h\u1ea1ch n\u00e1ch, c\u1eaft tuy\u1ebfn v\u00fa ti\u1ebft ki\u1ec7m da, c\u1eaft tuy\u1ebfn v\u00fa b\u1ea3o t\u1ed3n qu\u1ea7ng n\u00fam, ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n k\u1ebft h\u1ee3p v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o.<\/li>\n
  • \u0110\u1ed1i v\u1edbi h\u1ea1ch v\u00f9ng: c\u00f3 c\u00e1c h\u00ecnh th\u00e1i ph\u1eabu thu\u1eadt nh\u01b0 n\u1ea1o v\u00e9t h\u1ea1ch n\u00e1ch ho\u1eb7c sinh thi\u1ebft h\u1ea1ch c\u1eeda.<\/li>\n
  • T\u1ea1o h\u00ecnh v\u00e0 t\u00e1i t\u1ea1o tuy\u1ebfn v\u00fa cho b\u1ec7nh nh\u00e2n UTV: \u0111\u00e2y l\u00e0 nhu c\u1ea7u c\u1ea5p thi\u1ebft v\u00e0 ch\u00ednh \u0111\u00e1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y. C\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p t\u1ea1o h\u00ecnh, t\u00e1i t\u1ea1o tuy\u1ebfn v\u00fa nh\u01b0 s\u1eed d\u1ee5ng ch\u1ea5t li\u1ec7u \u0111\u1ed9n (implant), s\u1eed d\u1ee5ng c\u00e1c v\u1ea1t da c\u01a1 c\u00f3 cu\u1ed1ng hay v\u1ea1t da c\u01a1 t\u1ef1 do v\u1edbi k\u1ef9 thu\u1eadt vi ph\u1eabu. Vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra b\u1edfi b\u00e1c s\u1ef9 chuy\u00ean ng\u00e0nh ung b\u01b0\u1edbu sau khi \u0111\u00e3 c\u00f3 \u0111\u00e1nh gi\u00e1 t\u1ed5ng th\u1ec3 to\u00e0n di\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh ung th\u01b0 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n
  • Ph\u1eabu thu\u1eadt s\u1ea1ch s\u1ebd, ph\u1eabu thu\u1eadt tri\u1ec7u ch\u1ee9ng: \u0111\u1ed1i v\u1edbi giai \u0111o\u1ea1n mu\u1ed9n.<\/li>\n<\/ul>\n

    2.2.2. X\u1ea1 tr\u1ecb<\/h4>\n

    2.2.2.1. X\u1ea1 tr\u1ecb chi\u1ebfu ngo\u00e0i<\/h5>\n
      \n
    • X\u1ea1 tr\u1ecb t\u1ea1i di\u1ec7n u: \u00e1p d\u1ee5ng v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 kh\u1ed1i u l\u1edbn (>5cm) ho\u1eb7c u \u1edf v\u1ecb tr\u00ed ngo\u1ea1i bi\u00ean, kh\u1ea3 n\u0103ng c\u1eaft r\u1ed9ng b\u1ecb gi\u1edbi h\u1ea1n<\/li>\n
    • X\u1ea1 tr\u1ecb t\u1ea1i h\u1ea1ch v\u00f9ng: \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 4 h\u1ea1ch di c\u0103n ho\u1eb7c c\u00f3 h\u1ea1ch di c\u0103n k\u1ebft h\u1ee3p v\u1edbi y\u1ebfu t\u1ed1 nguy c\u01a1 cao<\/li>\n
    • X\u1ea1 tr\u1ecb trong \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n: \u0111\u00e2y l\u00e0 l\u1ef1a ch\u1ecdn b\u1eaft bu\u1ed9c trong \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n ung th\u01b0 v\u00fa.<\/li>\n<\/ul>\n

      X\u1ea1 tr\u1ecb trong UTV c\u00f3 nhi\u1ec1u h\u00ecnh th\u1ee9c \u0111a d\u1ea1ng: x\u1ea1 tr\u1ecb b\u1eb1ng m\u00e1y Cobalt th\u00f4ng th\u01b0\u1eddng \u0111\u1ebfn x\u1ea1 tr\u1ecb b\u1eb1ng m\u00e1y gia t\u1ed1c v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i nh\u01b0 l\u1eadp k\u1ebf ho\u1ea1ch v\u00e0 x\u1ea1 tr\u1ecb 3D, x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn li\u1ec1u, x\u1ea1 tr\u1ecb v\u1edbi su\u1ea5t li\u1ec1u th\u1ea5p, x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn th\u1ec3 t\u00edch VMAT, x\u1ea1 tr\u1ecb proton\u2026<\/p>\n

      M\u00f4 ph\u1ecfng x\u1ea1 tr\u1ecb: Ch\u1ee5p m\u00f4 ph\u1ecfng b\u1eb1ng CLVT, MRI ho\u1eb7c PET\/CT, PET\/MRI.<\/p>\n

      2.2.2.2. X\u1ea1 tr\u1ecb \u00e1p s\u00e1t<\/h5>\n
        \n
      • C\u1ea5y h\u1ea1t ph\u00f3ng x\u1ea1 v\u00e0o kh\u1ed1i u ho\u1eb7c di\u1ec7n u trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng ph\u1eabu thu\u1eadt tri\u1ec7t c\u0103n \u0111\u01b0\u1ee3c ho\u1eb7c b\u1ec7nh l\u00fd k\u00e8m theo kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt hay b\u1ec7nh nh\u00e2n nh\u1ea5t \u0111\u1ecbnh t\u1eeb ch\u1ed1i ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n
        2.2.2.3. X\u1ea1 tr\u1ecb trong m\u1ed5 (Intraoperative Radiation Therapy: IORT)<\/h5>\n
          \n
        • IORT l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 cung c\u1ea5p m\u1ed9t li\u1ec1u x\u1ea1 tr\u1ecb duy nh\u1ea5t, t\u1eadp trung cao li\u1ec1u b\u1ee9c x\u1ea1 t\u1ea1i n\u1ec1n kh\u1ed1i u sau ph\u1eabu thu\u1eadt ho\u1eb7c ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a kh\u1ed1i u kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c, c\u00e1c kh\u1ed1i u t\u00e1i ph\u00e1t, di c\u0103n.<\/li>\n
        • C\u00e1c ch\u1ec9 \u0111\u1ecbnh cho x\u1ea1 tr\u1ecb trong m\u1ed5 v\u1edbi ung th\u01b0 v\u00fa th\u01b0\u1eddng l\u00e0 c\u00e1c kh\u1ed1i u v\u00fa m\u1ed5 ti\u1ebfp c\u1eadn, m\u1ed5 b\u1ea3o t\u1ed3n (k\u00edch th\u01b0\u1edbc u l\u00e0 d\u01b0\u1edbi 3cm v\u00e0 kh\u00f4ng c\u00f3 h\u1ea1ch tr\u00ean l\u00e2m s\u00e0ng), ho\u1eb7c c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00e1i ph\u00e1t.<\/li>\n
        • C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng IORT v\u1edbi li\u1ec1u duy nh\u1ea5t ho\u1eb7c t\u0103ng c\u01b0\u1eddng x\u1ea1 tr\u1ecb to\u00e0n b\u1ed9 v\u00fa, \u0111\u1eb7c bi\u1ec7t nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 v\u00fa t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n

          2.2.3. \u0110i\u1ec1u tr\u1ecb h\u1ec7 th\u1ed1ng<\/h4>\n
            \n
          • H\u00f3a tr\u1ecb: \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho ph\u1ea7n l\u1edbn c\u00e1c b\u1ec7nh nh\u00e2n UTV v\u00e0o m\u1ed9t th\u1eddi gian n\u00e0o \u0111\u00f3. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 cao, mang l\u1ea1i r\u1ea5t nhi\u1ec1u l\u1ee3i \u00edch v\u1ec1 s\u1ed1ng th\u00eam cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n
          • \u0110i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft: \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p UTV c\u00f3 th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft d\u01b0\u01a1ng t\u00ednh.<\/li>\n
          • \u0110i\u1ec1u tr\u1ecb \u0111\u00edch: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c l\u00e0 kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng nh\u1eafm v\u00e0o c\u00e1c \u0111\u00edch \u0111\u1eb7c hi\u1ec7u c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 v\u00fa<\/li>\n
          • \u0110i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng c\u00e1c thu\u1ed1c t\u00e1c \u0111\u1ed9ng v\u00e0o c\u00e1c \u0111\u00edch l\u00e0 c\u00e1c c\u01a1 ch\u1ebf mi\u1ec5n d\u1ecbch x\u00e1c \u0111\u1ecbnh, gi\u00fap c\u01a1 th\u1ec3 lo\u1ea1i tr\u1eeb t\u1ebf b\u00e0o ung th\u01b0.<\/li>\n<\/ul>\n

            Vi\u1ec7c s\u1eed d\u1ee5ng m\u1ed9t hay nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00eau tr\u00ean c\u0103n c\u1ee9 v\u00e0o giai \u0111o\u1ea1n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh h\u1ecdc tr\u00ean t\u1eebng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3.<\/p>\n

             <\/p>\n","protected":false},"excerpt":{"rendered":"

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M\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, nh\u01b0ng ch\u00fang ta v\u1eabn c\u1ea7n ph\u1ea3i ti\u1ebfp t\u1ee5c nghi\u00ean c\u1ee9u v\u00e0 \u00e1p d\u1ee5ng nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb […]<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"\nPh\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb Ung th\u01b0 v\u00fa theo b\u1ed9 Y t\u1ebf: Ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ec7 th\u1ed1ng<\/title>\n<meta name=\"description\" content=\"T\u00ecm hi\u1ec3u v\u1ec1 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf, bao g\u1ed3m ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb v\u00e0 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