{"id":26460,"date":"2023-04-22T10:18:50","date_gmt":"2023-04-22T03:18:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26460"},"modified":"2023-05-02T10:03:22","modified_gmt":"2023-05-02T03:03:22","slug":"co-che-nhiem-trung-ong-tuy-chan-rang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/co-che-nhiem-trung-ong-tuy-chan-rang\/","title":{"rendered":"C\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng, t\u00e1c nh\u00e2n g\u00e2y x\u1ea3y ra qu\u00e1 tr\u00ecnh vi\u00eam v\u00e0 k\u00edch ho\u1ea1t s\u1ef1 \u0111\u00e1p \u1ee9ng c\u1ee7a nh\u1eefng lo\u1ea1i t\u1ebf b\u00e0o \u0111\u1eb7c hi\u1ec7u. Nh\u1eefng bi\u1ebfn \u0111\u1ed5i x\u1ea3y ra trong m\u00f4 t\u1ee7y c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng c\u01a1n \u0111au nghi\u00eam tr\u1ecdng, v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i m\u1ed9t v\u00e0i ng\u00e0y. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n.<\/strong><\/p>\n

1. C\u00e1c \u0111\u01b0\u1eddng v\u00e0o c\u1ee7a vi khu\u1ea9n<\/h2>\n

L\u1edbp h\u00e0ng r\u00e0o m\u00f4 c\u1ee9ng c\u00f2n nguy\u00ean v\u1eb9n c\u1ee7a r\u0103ng gi\u00fap b\u1ea3o v\u1ec7 t\u1ee7y c\u00f3 th\u1ec3 b\u1ecb ph\u00e1 h\u1ee7y b\u1edfi nhi\u1ec1u l\u00ed do. Vi khu\u1ea9n c\u00f3 nguy c\u01a1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ee7y r\u0103ng nh\u1ea5t b\u1eaft ngu\u1ed3n t\u1eeb c\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng. C\u00e1c l\u1ed1i v\u00e0o kh\u00e1c bao g\u1ed3m ch\u1ea5n th\u01b0\u01a1ng, n\u1ee9t, g\u00e3y v\u00e0 v\u1ee1 do th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt c\u01a1 h\u1ecdc nha khoa l\u00e0m l\u1ed9 b\u1ec1 m\u1eb7t. \u00d4ng t\u1ee7y ch\u00e2n r\u0103ng c\u0169ng c\u00f3 th\u1ec3 b\u1ecb l\u1ed9 \u1edf nh\u1eefng r\u0103ng c\u00f3 b\u1ec7nh nha chu n\u1eb7ng. Khi \u0111\u00f3, vi khu\u1ea9n c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp th\u00f4ng qu\u00e1 c\u00e1c \u1ed1ng t\u1ee7y ph\u1ee5, \u1ed1ng t\u1ee7y b\u00ean, \u1ed1ng t\u1ee7y v\u00f9ng ch\u1ebd v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 l\u1ed7 ch\u00f3p ch\u00e2n r\u0103ng. Ti\u00eau ng\u00f3t ch\u00e2n r\u0103ng, s\u00e2u r\u0103ng v\u00e0 c\u00e1c l\u1ed7 th\u1ee7ng \u1edf l\u1edbp cement c\u00f3 th\u1ec3 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0o t\u1ee7y.<\/p>\n

2. Ph\u1ea3n \u1ee9ng vi\u00eam c\u1ee7a t\u1ee7y r\u0103ng v\u00e0 c\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng<\/h2>\n

M\u00f4 t\u1ee7y s\u1ebd c\u00f3 \u0111\u00e1p \u1ee9ng vi\u00eam khi t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng x\u00e2m nh\u1eadp \u0111\u1ebfn l\u1edbp ng\u00e0. Vi khu\u1ea9n v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a c\u1ee7a ch\u00fang, ch\u1eb3ng h\u1ea1n nh\u01b0 acid, s\u1ebd \u0111i v\u00e0o c\u00e1c \u1ed1ng ng\u00e0 v\u00e0 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi m\u00f4 t\u1ee7y. V\u00e0o giai \u0111o\u1ea1n n\u00e0y, m\u00f4 t\u1ee7y s\u1ebd x\u1ea3y ra ph\u1ea3n \u1ee9ng vi\u00eam m\u1ea1nh \u0111\u1ec3 v\u00f4 hi\u1ec7u h\u00f3a c\u00e1c t\u00e1c nh\u00e2n x\u00e2m nh\u1eadp v\u00e0 s\u1eeda ch\u1eefa v\u00f9ng m\u00f4 b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Tuy nhi\u00ean, c\u00f2n t\u00f9y thu\u1ed9c v\u00e0o s\u1ef1 ph\u00e1 h\u1ee7y b\u1edfi nh\u1eefng k\u00edch th\u00edch m\u1ea1nh, v\u00ed d\u1ee5 nh\u01b0 m\u1ed9t l\u1ed7 s\u00e2u l\u1edbn, th\u00ec \u0111\u00e1p \u1ee9ng vi\u00eam c\u1ee7a t\u1ee7y r\u0103ng c\u00f3 th\u1ec3 di\u1ec5n ra m\u1ea1nh m\u1ebd \u0111\u1ebfn m\u1ee9c g\u00e2y ph\u00e1 h\u1ee7y. Giai \u0111o\u1ea1n m\u00e0 ph\u1ea3n \u1ee9ng vi\u00eam v\u01b0\u1ee3t qu\u00e1 gi\u1edbi h\u1ea1n, t\u1eeb c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c sang kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c c\u00f2n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. Tuy nhi\u00ean s\u1ef1 kh\u00f4ng h\u1ed3i ph\u1ee5c \u0111\u01b0\u1ee3c ghi nh\u1eadn b\u1edfi s\u1ef1 t\u00edch l\u0169y c\u1ee7a c\u00e1c ch\u1ea5t trung gian, m\u00e0 cu\u1ed1i c\u00f9ng s\u1ebd g\u00e2y ra ho\u1ea1i t\u1eed. Nh\u1eefng bi\u1ebfn \u0111\u1ed5i x\u1ea3y ra trong m\u00f4 t\u1ee7y c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng c\u01a1n \u0111au nghi\u00eam tr\u1ecdng, v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i m\u1ed9t v\u00e0i ng\u00e0y.<\/p>\n

3. S\u1ef1 x\u00e2m nh\u1eadp nguy\u00ean ph\u00e1t<\/h2>\n

Th\u00f4ng th\u01b0\u1eddng, h\u1ec7 vi khu\u1ea9n ch\u1ecbu tr\u00e1ch nhi\u1ec7m ch\u00ednh cho \u0111\u00e1p \u1ee9ng vi\u00eam ban \u0111\u1ea7u c\u1ee7a m\u00f4 t\u1ee7y s\u1ed1ng th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn l\u1ed7 s\u00e2u \u1edf ng\u00e0, chi\u1ebfm \u01b0u th\u1ebf l\u00e0 c\u00e1c lo\u00e0i Gr(-), nh\u1ea5t l\u00e0 Lactobacillus v\u00e0 Streptococcus (Streptococcus mutans, Streptococcus sanguinis, Streptococcus oralis, Streptococcus mitis, Streptococcus salivarius, ngo\u00e0i ra c\u00f2n c\u00f3 Actinomyces, Propionibacterium, Corynebacterium, v\u00e0 Bifdobacterium c\u0169ng th\u01b0\u1eddng th\u1ea5y. Ch\u00fang l\u00e0 c\u00e1c lo\u00e0i sinh acid v\u00e0 c\u00f3 th\u1ec3 sinh t\u1ed3n trong m\u00f4i tr\u01b0\u1eddng acid. Nh\u1eefng lo\u1ea1i vi khu\u1ea9n n\u00e0y c\u1ea7n ngu\u1ed3n dinh d\u01b0\u1ee1ng t\u1eeb n\u01b0\u1edbc b\u1ecdt th\u00f4ng qua l\u1ed7 s\u00e2u c\u0169ng nh\u01b0 t\u1eeb s\u1ef1 l\u1ed9 t\u1ee7y.<\/p>\n

4. S\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a c\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng<\/h2>\n

Trong v\u00e0 sau qu\u00e1 tr\u00ecnh ho\u1ea1i t\u1eed t\u1ee7y, vi khu\u1ea9n s\u1ebd x\u00e2m nh\u1eadp v\u00e0o bu\u1ed3ng t\u1ee7y v\u00e0 c\u00e1c \u1ed1ng t\u1ee7y, s\u1ef1 x\u00e2m nh\u1eadp n\u00e0y t\u1ea1o ra c\u00e1c l\u1edbp biofilm b\u00e1m v\u00e0o th\u00e0nh trong c\u1ee7a ng\u00e0. Vi khu\u1ea9n ph\u00e1t tri\u1ec3n v\u1edbi s\u1ed1 l\u01b0\u1ee3ng l\u1edbn, v\u00e0 c\u00f3 v\u0169 kh\u00ed ch\u1ed1ng l\u1ea1i h\u1ec7 mi\u1ec5n d\u1ecbch, bao g\u1ed3m s\u1ef1 s\u1ea3n xu\u1ea5t c\u00e1c s\u1ea3n ph\u1ea9m ngo\u1ea1i sinh, protein kh\u00e1ng kh\u00e1ng sinh v\u00e0 thay \u0111\u1ed5i h\u00ecnh th\u1ec3, l\u00e0m cho ch\u00fang kh\u00f4ng th\u1ec3 b\u1ecb t\u1ea5n c\u00f4ng b\u1edfi c\u00e1c \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch c\u00f2n l\u1ea1i.<\/p>\n

H\u1ec7 th\u1ed1ng ch\u1ed1ng l\u1ea1i h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch c\u1ee7a vi khu\u1ea9n g\u1ed3m:<\/p>\n

    \n
  • S\u1ef1 s\u1ea3n xu\u1ea5t c\u00e1c protease \u0111\u1eb7c bi\u1ec7t, ho\u1ea1t \u0111\u1ed9ng nh\u01b0 b\u1ed9 ph\u1eadn \u0111i\u1ec1u ch\u1ec9nh ho\u1eb7c l\u00e0 ch\u1ea5t \u0111\u1ed9c<\/li>\n
  • \u1ee8c ch\u1ebf s\u1ef1 th\u1ef1c b\u00e0o b\u1eb1ng c\u00e1ch t\u1eadp h\u1ee3p nhi\u1ec1u t\u1ebf b\u00e0o<\/li>\n
  • Can thi\u1ec7p b\u1eb1ng c\u00e1c ph\u1ea7n t\u1eed TLR \u0111\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 nh\u1eadn bi\u1ebft, gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng vi\u00eam v\u00e0 \u1ee9c ch\u1ebf c\u00e1c t\u00edn hi\u1ec7u vi\u00eam<\/li>\n
  • Ng\u0103n ch\u1eb7n \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch b\u1edfi IgA protease v\u00e0 tr\u00ecnh di\u1ec7n kh\u00e1ng nguy\u00ean<\/li>\n
  • S\u1ea3n xu\u1ea5t kh\u00e1ng nguy\u00ean: c\u1ea5u tr\u00fac b\u1ec1 m\u1eb7t nhung mao, protein m\u00e0ng, LPS (v\u1edbi c\u1ea5u tr\u00fac bi\u1ebfn \u0111\u1ed5i t\u1eeb lo\u00e0i n\u00e0y \u0111\u1ebfn lo\u00e0i kh\u00e1c)<\/li>\n
  • \u1ee8c ch\u1ebf c\u00e1c cytokine interferon\/chemokine b\u1eb1ng c\u00e1ch ch\u1eb7n \u0111\u01b0\u1eddng d\u1eabn vi\u00eam, k\u00edch ho\u1ea1t c\u00e1c con \u0111\u01b0\u1eddng kh\u00e1c v\u00e0 ti\u1ebft ra c\u00e1c protease ph\u00e2n gi\u1ea3i<\/li>\n
  • B\u1ec1 m\u1eb7t t\u1ebf b\u00e0o c\u1ee7a vi khu\u1ea9n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 tr\u00e1nh b\u1ecb nh\u1eadn di\u1ec7n: lipid A c\u1ee7a LPS, carbohydrate trong l\u1edbp v\u1ecf, protein m\u00e0ng v\u00e0 th\u00e0nh ph\u1ea7n k\u00edch ho\u1ea1t b\u00e1m d\u00ednh v\u00e0 x\u00e2m nh\u1eadp<\/li>\n
  • C\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch\/th\u1ef1c b\u00e0o b\u1ecb ti\u00eau di\u1ec7t ho\u1eb7c ph\u00e1 h\u1ee7y tr\u1ef1c ti\u1ebfp b\u1edfi c\u00e1c si\u00eau kh\u00e1ng nguy\u00ean, tr\u00e1nh s\u1ef1 h\u1ee3p nh\u1ea5t c\u1ee7a c\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o, \u1ee9c ch\u1ebf \u0111\u01b0\u1eddng d\u1eabn vi\u00eam v\u00e0 sao ch\u00e9p c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch<\/li>\n
  • \u1ee8c ch\u1ebf c\u00e1c ph\u00e2n t\u1eed kh\u00e1ng khu\u1ea9n nh\u1ecf b\u1eb1ng c\u00e1ch ti\u1ebft ra c\u00e1c protease, bi\u1ebfn \u0111\u1ed5i b\u1ec1 m\u1eb7t t\u1ebf b\u00e0o \u0111\u1ec3 tr\u00e1nh ch\u00e8n peptide v\u00e0 tr\u1ef1c ti\u1ebfp c\u1ea3m nh\u1eadn c\u00e1c ph\u00e2n t\u1eed nh\u1ecf \u0111\u1ec3 k\u00edch ho\u1ea1t h\u00e0ng r\u00e0o ph\u00f2ng ng\u1ef1<\/li>\n
  • \u1ee8c ch\u1ebf tr\u1ef1c ti\u1ebfp s\u1ef1 t\u1ef1 ti\u00eau h\u1ee7y c\u1ee7a t\u1ebf b\u00e0o, k\u00edch ho\u1ea1t c\u00e1c t\u00edn hi\u1ec7u ti\u00eau di\u1ec7t v\u00e0 thay \u0111\u1ed5i \u0111\u01b0\u1eddng d\u1eabn t\u00edn hi\u1ec7u t\u1ef1 ti\u00eau h\u1ee7y<\/li>\n
  • H\u1ec7 th\u1ed1ng h\u1ed7 tr\u1ee3 b\u1ed5 sung b\u1ecb \u1ee9c ch\u1ebf b\u1edfi c\u00e1c enzym protease, v\u1ecf b\u1ecdc v\u00e0 c\u00e1c chu\u1ed7i d\u00e0i LPS<\/li>\n
  • H\u1ec7 th\u1ed1ng ch\u1ed1ng l\u1ea1i h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch c\u1ee7a vi khu\u1ea9n<\/li>\n<\/ul>\n

    C\u00e1c y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 c\u01a1 h\u1ecdc v\u00e0 mi\u1ec5n d\u1ecbch nh\u1edd v\u00e0o c\u1ea5u tr\u00fac c\u1ee7a biofilm do vi khu\u1ea9n t\u1ea1o ra c\u00f3 th\u1ec3 l\u00e0 m\u1ea5u ch\u1ed1t cho s\u1ef1 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i c\u1ee7a ch\u00fang. Sau m\u1ed9t th\u1eddi gian th\u00ec s\u1ebd xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng vi\u00eam lan \u0111\u1ebfn m\u00f4 quanh ch\u00f3p, hay th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam quanh ch\u00f3p.<\/p>\n

    5. C\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh trong n\u1ed9i nha<\/h2>\n

    T\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh trong n\u1ed9i nha \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 c\u00e1c vi sinh v\u1eadt c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ph\u00e1 h\u1ee7y m\u00f4 trong b\u1ec7nh l\u00fd vi\u00eam quanh ch\u00f3p. Tuy nhi\u00ean, hi\u1ec7n nay ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng th\u1ef1c t\u1ebf n\u00e0o cho th\u1ea5y c\u00f3 m\u1ed9t s\u1ed1 vi sinh v\u1eadt nh\u1ea5t \u0111\u1ecbnh \u0111\u1ed9c h\u1ea1i h\u01a1n c\u00e1c vi sinh v\u1eadt kh\u00e1c trong s\u1ed1 h\u1ec7 sinh v\u1eadt \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng. Do v\u1eady r\u1ea5t kh\u00f3 \u0111\u1ec3 ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c gi\u1eefa vi khu\u1ea9n th\u00f4ng th\u01b0\u1eddng (vi khu\u1ea9n h\u1ed9i sinh) v\u1edbi vi khu\u1ea9n tham gia t\u00edch c\u1ef1c v\u00e0o qu\u00e1 tr\u00ecnh vi\u00eam (t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh). Ph\u1ea7n l\u1edbn c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 vi tr\u00f9ng h\u1ecdc \u2013 n\u1ed9i nha \u0111\u1ec1u xem x\u00e9t c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh trong n\u1ed9i nha l\u00e0 nh\u1eefng vi khu\u1ea9n \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp t\u1eeb m\u1ed9t \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng trong m\u00f4i tr\u01b0\u1eddng \u0111\u1eb7c bi\u1ec7t trong ph\u00f2ng th\u00ed nghi\u1ec7m. B\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u00ec x\u00e1c \u0111\u1ecbnh nh\u1eefng lo\u00e0i h\u1ed3i ph\u1ee5c nhi\u1ec1u nh\u1ea5t \u0111\u00f3ng vai tr\u00f2 l\u00e0 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh n\u1ed9i nha.<\/p>\n

    6. S\u1ef1 \u0111a d\u1ea1ng c\u1ee7a vi khu\u1ea9n trong c\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7<\/h2>\n

    D\u1ef1a v\u00e0o k\u1ebft qu\u1ea3 t\u1eeb nh\u1eefng k\u0129 thu\u1eadt truy\u1ec1n th\u1ed1ng, nhi\u1ec5m tr\u00f9ng \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c kh\u1edfi ph\u00e1t b\u1edfi m\u1ed9t s\u1ed1 \u00edt t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh. Ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1ef1 chi\u1ebfm \u01b0u th\u1ebf c\u1ee7a c\u00e1c vi khu\u1ea9n k\u1ecb kh\u00ed ph\u00e2n gi\u1ea3 protein trong c\u1ed9ng \u0111\u1ed3ng vi khu\u1ea9n \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng b\u1ecb nhi\u1ec5m tr\u00f9ng c\u00f3 li\u00ean quan \u0111\u1ebfn nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ea5p t\u00ednh v\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a ch\u1ee7ng lo\u00e0i duy nh\u1ea5t E.faecalis, t\u1ed3n t\u1ea1i dai d\u1eb3ng trong c\u00e1c \u1ed1ng t\u1ee7y nhi\u1ec5m tr\u00f9ng g\u1ee3i \u00fd r\u1eb1ng nh\u1eefng vi sinh v\u1eadt n\u00e0y l\u00e0 nh\u1eefng t\u00e1c nh\u00e2n ch\u00ednh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady. Tuy nhi\u00ean, nh\u1eefng nghi\u00ean c\u1ee9u to\u00e0n di\u1ec7n tr\u00ean h\u1ec7 vi sinh v\u1eadt \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u0129 thu\u1eadt ph\u00e2n t\u1eed cho th\u1ea5y \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng c\u00f3 nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n ch\u01b0a \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn tr\u01b0\u1edbc \u0111\u00e2y nh\u01b0ng l\u1ea1i c\u00f3 li\u00ean quan \u0111\u1ebfn l\u00e2m s\u00e0ng.<\/p>\n

    S\u1ef1 \u0111a d\u1ea1ng c\u1ee7a vi khu\u1ea9n trong \u1ed1ng t\u1ee7y b\u1ecb nhi\u1ec5m tr\u00f9ng c\u0169ng \u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh trong h\u00e0ng lo\u1ea1t nghi\u00ean c\u1ee9u m\u00f4 h\u00ecnh in vivo tr\u00ean \u0111\u1ed9ng v\u1eadt. Trong c\u00e1c nghi\u00ean c\u1ee9u \u1edf lo\u00e0i kh\u1ec9, s\u1ef1 ph\u1ed1i h\u1ee3p kh\u00e1c nhau c\u1ee7a vi khu\u1ea9n \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m trong \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng trong ph\u00f2ng th\u00ed nghi\u1ec7m \u0111\u00e3 th\u1ea5y xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. R\u0103ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u00e0 theo d\u00f5i b\u1eb1ng XQ v\u00e0 m\u00f4 h\u1ecdc trong th\u1eddi gian 2 \u2013 2.5 n\u0103m. \u0110\u1ed1i v\u1edbi \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng c\u00f2n s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n sau khi lo\u1ea1i b\u1ecf ch\u1ea5t tr\u00e1m b\u00edt, th\u00ec c\u00f3 30 trong s\u1ed1 31 \u1ed1ng t\u1ee7y v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. Quan tr\u1ecdng h\u01a1n l\u00e0 c\u00f2n c\u00f3 nhi\u1ec1u lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ed3i ph\u1ee5c l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a nhi\u1ec1u lo\u00e0i vi khu\u1ea9n, v\u00ed d\u1ee5 nh\u01b0 nhi\u1ec5m tr\u00f9ng ph\u1ed1i h\u1ee3p, h\u01a1n l\u00e0 ch\u1ec9 m\u1ed9t lo\u1ea1i vi khu\u1ea9n \u0111\u01a1n \u0111\u1ed9c. C\u00e1c th\u00ed nghi\u00eam b\u1ed5 sung s\u1eed d\u1ee5ng m\u1ed9t \u201cb\u1ed9 s\u01b0u t\u1eadp 8 lo\u00e0i\u201d, xu\u1ea5t ph\u00e1t t\u1eeb m\u1ed9t \u1ed1ng t\u1ee7y b\u1ecb nhi\u1ec5m tr\u00f9ng c\u00f3 t\u00e1i nhi\u1ec5m v\u1edbi m\u1ed9t t\u1ec9 l\u1ec7 b\u1eb1ng nhau \u1edf r\u0103ng c\u1ee7a nh\u1eefng lo\u00e0i khi kh\u00e1c, cho th\u1ea5y kh\u1ea3 n\u0103ng ph\u00e1 h\u1ee7y m\u00f4 m\u1ea1nh h\u01a1n so v\u1edbi nhi\u1ec5m tr\u00f9ng trong c\u1ed9ng \u0111\u1ed3ng vi khu\u1ea9n \u0111\u1ed3ng nh\u1ea5t.<\/p>\n

    Ngu\u1ed3n: Clinical Guide for Optimal Treatment Outcome – Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

    B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng, t\u00e1c nh\u00e2n g\u00e2y x\u1ea3y ra qu\u00e1 tr\u00ecnh vi\u00eam v\u00e0 k\u00edch ho\u1ea1t s\u1ef1 \u0111\u00e1p \u1ee9ng c\u1ee7a nh\u1eefng lo\u1ea1i t\u1ebf b\u00e0o \u0111\u1eb7c hi\u1ec7u. Nh\u1eefng bi\u1ebfn \u0111\u1ed5i x\u1ea3y ra trong m\u00f4 t\u1ee7y c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng c\u01a1n \u0111au nghi\u00eam tr\u1ecdng, v\u00e0 c\u00f3 th\u1ec3 […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[],"yoast_head":"\nC\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u01a1 ch\u1ebf nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng, g\u00e2y vi\u00eam v\u00e0 k\u00edch ho\u1ea1t s\u1ef1 \u0111\u00e1p \u1ee9ng c\u1ee7a t\u1ebf b\u00e0o \u0111\u1eb7c hi\u1ec7u. 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