{"id":26546,"date":"2023-04-22T13:23:40","date_gmt":"2023-04-22T06:23:40","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26546"},"modified":"2023-05-02T09:53:53","modified_gmt":"2023-05-02T02:53:53","slug":"nhiem-trung-ong-tuy-chan-rang-tien-luong-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/nhiem-trung-ong-tuy-chan-rang-tien-luong-benh\/","title":{"rendered":"Nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng – Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh."},"content":{"rendered":"

Hi\u1ec3u \u0111\u01b0\u1ee3c c\u00e1ch vi khu\u1ea9n ph\u00e1t tri\u1ec3n m\u1ea1nh trong m\u00f4i tr\u01b0\u1eddng nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 sau \u0111i\u1ec1u tr\u1ecb v\u00e0 kh\u1ea3 n\u0103ng h\u1ee3p t\u00e1c \u0111\u1ec3 t\u1ed3n t\u1ea1i, nh\u01b0 vi\u1ec7c thi\u1ebfu h\u1ee5t ch\u1ea5t dinh d\u01b0\u1ee1ng, c\u00f3 th\u1ec3 gi\u00fap l\u00e0m s\u00e1ng t\u1ecf sinh b\u1ec7nh h\u1ecdc vi\u00eam nha chu m\u1ea1n t\u00ednh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ti\u1ebfn b\u1ed9 h\u01a1n trong vi\u1ec7c ti\u00ean l\u01b0\u1ee3ng nhi\u1ec5m tr\u00f9ng dai d\u1eb3ng v\u00e0 m\u00f4 t\u1ea3 c\u1ed9ng \u0111\u1ed3ng biofilm nh\u01b0 l\u00e0 ch\u00eca kh\u00f3a then ch\u1ed1t trong nhi\u1ec5m tr\u00f9ng n\u1ed9i nha m\u1ea1n t\u00ednh. C\u00f9ng \u0111i s\u00e2u h\u01a1n v\u00e0o b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n

\"nhiem-trung-ong-tuy\"<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 qu\u00e1 tr\u00ecnh ti\u00ean l\u01b0\u1ee3ng nhi\u1ec5m tr\u00f9ng \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng<\/h2>\n

\u0110i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng l\u00e0 s\u1ef1 s\u1eeda so\u1ea1n b\u1eb1ng c\u01a1 h\u1ecdc (bao g\u1ed3m vi\u1ec7c m\u1edf r\u1ed9ng, lo\u1ea1i b\u1ecf m\u1ea3nh v\u1ee5n m\u00f4 v\u00e0 l\u00e0m s\u1ea1ch) \u0111\u1ec3 kh\u00f4ng c\u00f2n vi khu\u1ea9n\/ho\u1eb7c m\u00f4 ho\u1ea1i t\u1eed s\u00f3t l\u1ea1i trong \u1ed1ng t\u1ee7y nh\u1eb1m tr\u00e1m b\u00edt t\u1ed1t. Vi\u1ec7c lo\u1ea1i b\u1ecf vi khu\u1ea9n v\u00e0 m\u1ea3nh v\u1ee5n m\u00f4 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00f9ng v\u1edbi vi\u1ec7c b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y b\u1eb1ng c\u00e1c ch\u1ea5t s\u00e1t khu\u1ea9n. Y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng t\u1edbi ti\u00ean l\u01b0\u1ee3ng c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u1ed1ng t\u1ee7y b\u1ecb nhi\u1ec5m tr\u00f9ng l\u00e0 s\u1ef1 l\u00e2y nhi\u1ec5m trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y v\u0129nh vi\u1ec5n kh\u00f4ng t\u1ed1t. Y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong nhi\u1ec1u nghi\u00ean c\u1ee9u vi sinh h\u1ecdc, khi ng\u01b0\u1eddi ta ph\u00e1t hi\u1ec7n nh\u1eefng r\u0103ng c\u00f3 t\u1ed3n t\u1ea1i t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p tr\u00ean phim XQ th\u00ec li\u00ean quan \u0111\u1ebfn c\u00e1c vi khu\u1ea9n c\u00f2n s\u00f3t l\u1ea1i trong \u1ed1ng t\u1ee7y.<\/p>\n

Nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u00f3 \u0111\u00e3 ch\u1ec9 ra r\u00f5 r\u00e0ng l\u00e0 kh\u1ea3 n\u0103ng l\u00e0nh th\u01b0\u01a1ng s\u1ebd cao h\u01a1n t\u1eeb 2 \u2013 5 l\u1ea7n n\u1ebfu nh\u01b0 vi khu\u1ea9n b\u1ecb lo\u1ea1i tr\u1eeb tri\u1ec7t \u0111\u1ec3 v\u00ec kh\u00f4ng th\u1ea5y s\u1ef1 t\u0103ng tr\u01b0\u1edfng trong nh\u1eefng m\u1eabu tr\u01b0\u1edbc tr\u00e1m b\u00edt. Tuy nhi\u00ean, n\u1ebfu t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i 2 n\u0103m sau khi tr\u00e1m th\u00ec c\u00f3 kh\u1ea3 n\u0103ng l\u00e0 \u1ed1ng t\u1ee7y v\u1eabn c\u00f2n ch\u1ee9a vi khu\u1ea9n v\u00e0o th\u1eddi \u0111i\u1ec3m tr\u00e1m b\u00edt. Hi\u1ec3u \u0111\u01b0\u1ee3c c\u00e1ch vi khu\u1ea9n ph\u00e1t tri\u1ec3n m\u1ea1nh trong m\u00f4i tr\u01b0\u1eddng \u1ed1ng t\u1ee7y sau \u0111i\u1ec1u tr\u1ecb t\u1ee7y v\u00e0 kh\u1ea3 n\u0103ng h\u1ee3p t\u00e1c \u0111\u1ec3 t\u1ed3n t\u1ea1i, nh\u01b0 vi\u1ec7c thi\u1ebfu h\u1ee5t ch\u1ea5t dinh d\u01b0\u1ee1ng, c\u00f3 th\u1ec3 gi\u00fap l\u00e0m s\u00e1ng t\u1ecf sinh b\u1ec7nh h\u1ecdc vi\u00eam nha chu m\u1ea1n t\u00ednh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ti\u1ebfn b\u1ed9 h\u01a1n trong vi\u1ec7c ti\u00ean l\u01b0\u1ee3ng nhi\u1ec5m tr\u00f9ng dai d\u1eb3ng v\u00e0 m\u00f4 t\u1ea3 c\u1ed9ng \u0111\u1ed3ng biofilm nh\u01b0 l\u00e0 ch\u00eca kh\u00f3a then ch\u1ed1t trong nhi\u1ec5m tr\u00f9ng n\u1ed9i nha m\u1ea1n t\u00ednh.<\/p>\n

2. Vi khu\u1ea9n s\u1ebd c\u01b0 tr\u00fa \u1edf \u0111\u00e2u sau khi \u0111i\u1ec1u tr\u1ecb t\u1ee7y?<\/h2>\n

Vi khu\u1ea9n c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y b\u1eb1ng c\u00e1ch x\u00e2m nh\u1eadp v\u00e0o c\u00e1c \u1ed1ng ng\u00e0 d\u1ecdc theo th\u00e0nh \u1ed1ng t\u1ee7y. M\u1eb7c d\u00f9 vi\u1ec7c lo\u1ea1i b\u1ecf ch\u00fang kh\u1ecfi nh\u1eefng v\u1ecb tr\u00ed si\u00eau nh\u1ecf nh\u01b0 v\u1eady d\u01b0\u1eddng nh\u01b0 r\u1ea5t kh\u00f3 kh\u0103n, nh\u01b0ng ng\u01b0\u1eddi ta v\u1eabn nghi ng\u1edd li\u1ec7u nh\u1eefng vi khu\u1ea9n n\u00e0y c\u00f3 c\u1ea7n ph\u1ea3i lo\u1ea1i tr\u1eeb ho\u00e0n to\u00e0n hay kh\u00f4ng? Quan \u0111i\u1ec3m ph\u1ed5 bi\u1ebfn l\u00e0 n\u1ebfu ch\u00fang kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf kh\u1ecfi \u1ed1ng ng\u00e0, th\u00ec ch\u00fang c\u0169ng c\u00f3 th\u1ec3 b\u1ecb ch\u00f4n v\u00f9i khi tr\u00e1m b\u00edt t\u1ed1t v\u00e0 s\u1ebd kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn m\u00f4 quanh ch\u00f3p.<\/p>\n

M\u1ed9t v\u1ecb tr\u00ed kh\u00e1c n\u1eefa th\u01b0\u1eddng th\u1ea5y \u0111\u1ed1i v\u1edbi nh\u1eefng vi khu\u1ea9n c\u00f2n s\u00f3t l\u1ea1i l\u00e0 v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu ph\u1ee9c t\u1ea1p v\u00f9ng ch\u00f3p. Nh\u1eefng khu v\u1ef1c nh\u01b0 delta ch\u00f3p v\u00e0 \u1ed1ng t\u1ee7y b\u00ean t\u1ea1o th\u00e0nh m\u1ed9t c\u1ea5u tr\u00fac c\u1ef1c k\u1ef3 ph\u1ee9c t\u1ea1p m\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1ng khu\u1ea9n c\u0169ng kh\u00f3 ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c. Vi khu\u1ea9n \u1ea9n n\u00e1u \u1edf nh\u1eefng v\u00f9ng gi\u1ea3i ph\u1eabu ph\u1ee9c t\u1ea1p n\u00e0y c\u00f3 th\u1ec3 g\u00e2y kh\u1edfi ph\u00e1t vi\u00eam ngay c\u1ea3 khi \u0111\u00e3 tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y. M\u1ee9c \u0111\u1ed9 vi\u00eam ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 th\u00f4ng th\u01b0\u01a1ng v\u00e0 \u0111\u1ed9 ph\u1ee9c t\u1ea1p c\u1ee7a gi\u1ea3i ph\u1eabu v\u00f9ng ch\u00f3p. \u0110\u1ed1i v\u1edbi nh\u1eefng r\u0103ng \u0111\u00e3 tr\u01b0\u1edfng th\u00e0nh t\u1eeb l\u00e2u n\u0103m, c\u00f3 r\u1ea5t \u00edt s\u1ef1 th\u00f4ng th\u01b0\u01a1ng v\u00e0 kho\u1ea3ng tr\u1ed1ng, c\u00e1c vi khu\u1ea9n c\u00f2n s\u00f3t l\u1ea1i c\u00f3 th\u1ec3 s\u1ed1ng \u1edf \u0111\u00f3 trong nhi\u1ec1u n\u0103m m\u00e0 kh\u00f4ng g\u00e2y h\u1ea1i g\u00ec nhi\u1ec1u, nh\u01b0ng v\u1eabn duy tr\u00ec ph\u1ea3n \u1ee9ng vi\u00eam \u1edf m\u1ed9t m\u1ee9c \u0111\u1ed9 n\u00e0o \u0111\u00f3. Li\u1ec7u nh\u1eefng vi khu\u1ea9n n\u00e0y c\u00f3 n\u00ean \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf hay kh\u00f4ng c\u00f2n l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 c\u1ea7n \u0111\u01b0\u1ee3c b\u00e0n lu\u1eadn, v\u00e0 hi\u1ec7n nay v\u1eabn ch\u01b0a c\u00f3 \u0111\u01b0\u1ee3c s\u1ef1 th\u1ed1ng nh\u1ea5t r\u00f5 r\u00e0ng n\u00e0o.<\/p>\n

C\u0169ng c\u00f3 th\u1ec3 l\u00e0 c\u00e1c vi khu\u1ea9n c\u00f2n t\u1ed3n t\u1ea1i n\u1eb1m \u1edf b\u1ec1 m\u1eb7t ch\u00f3p ch\u00e2n r\u0103ng v\u00e0 v\u00f9ng ti\u00eau ng\u00f3t ch\u00e2n r\u0103ng\/khe h\u1edf ch\u00e2n r\u0103ng. Khi \u0111\u00f3 c\u00e1c t\u00e1c nh\u00e2n kh\u00e1ng khu\u1ea9n c\u0169ng kh\u00f4ng th\u1ec3 ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Vi\u1ec7c l\u1ea5y m\u1eabu th\u01b0\u1eddng r\u1ea5t ph\u1ee9c t\u1ea1p, v\u00e0 t\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng r\u1ea5t kh\u00f3 ch\u1ea9n \u0111o\u00e1n tr\u00ean l\u00e2m s\u00e0ng. Ph\u1eabu thu\u1eadt c\u1eaft ch\u00f3p \u0111\u00f4i khi l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111\u1ec3 lo\u1ea1i b\u1ecf l\u01b0\u1ee3ng vi khu\u1ea9n n\u00f3i tr\u00ean.<\/p>\n

3. Vi khu\u1ea9n s\u1ed1ng s\u00f3t nh\u01b0 th\u1ebf n\u00e0o trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb t\u1ee7y?<\/h2>\n

Nhi\u1ec5m tr\u00f9ng v\u1edbi c\u00e1c vi khu\u1ea9n biofilm t\u1ed3n t\u1ea1i dai d\u1eb3ng \u1edf tr\u1ea1ng th\u00e1i ng\u1ee7 y\u00ean ho\u1eb7c c\u00f3 ho\u1ea1t \u0111\u1ed9ng chuy\u1ec3n h\u00f3a th\u1ea5p c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 th\u1ea5t b\u1ea1i c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. Vi khu\u1ea9n trong biofilm \u1edf tr\u1ea1ng th\u00e1i ng\u1ee7 ho\u1eb7c chuy\u1ec3n h\u00f3a th\u1ea5p, c\u00f2n s\u00f3t l\u1ea1i trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y d\u00f9 c\u00f3 s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p kh\u00e1ng khu\u1ea9n \u0111\u1ec3 lo\u1ea1i b\u1ecf ch\u00fang, c\u00f3 li\u00ean quan \u0111\u1ebfn h\u1ea7u h\u1ebft nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m tr\u00f9ng dai d\u1eb3ng n\u00e0y. S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n biofilm v\u01b0\u1ee3t qu\u00e1 gi\u1edbi h\u1ea1n g\u00e2y ra c\u00e1c \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch m\u00e3n t\u00ednh v\u00e0 trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 l\u00e2y lan v\u00e0o c\u00e1c m\u00f4 xung quanh.<\/p>\n

4. C\u00e1c ch\u1ee7ng vi khu\u1ea9n c\u00f3 s\u1ee9c \u0111\u1ec1 kh\u00e1ng m\u1ea1nh nh\u1ea5t \u0111\u1ed1i v\u1edbi nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng<\/h2>\n

M\u1ed9t trong s\u1ed1 c\u00e1c ch\u1ee7ng vi khu\u1ea9n \u0111\u1ec1 kh\u00e1ng m\u1ea1nh nh\u1ea5t l\u00e0 Enterococcus faecalis. Ch\u00fang \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp t\u1eeb nh\u1eefng \u1ed1ng t\u1ee7y c\u00f3 nhi\u1ec5m tr\u00f9ng dai d\u1eb3ng. E. faecalis \u0111\u1ec1 kh\u00e1ng m\u1ea1nh v\u1edbi r\u1ea5t nhi\u1ec1u bi\u1ec7n ph\u00e1p kh\u00e1ng khu\u1ea9n (h\u00f3a h\u1ecdc v\u00e0 c\u01a1 h\u1ecdc), c\u00f3 c\u1ea5u tr\u00fac b\u1ea9m sinh \u0111\u1ec3 ph\u00e1t tri\u1ec3n m\u1ea1nh trong m\u00f4i tr\u01b0\u1eddng ki\u1ec1m, v\u00ed d\u1ee5 nh\u01b0 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u01b0\u1ee3c Ca(OH) cao. C\u00e1c lo\u00e0i Enterococci hi\u1ec7n di\u1ec7n kh\u00f4ng th\u01b0\u1eddng xuy\u00ean, v\u1edbi s\u1ed1 l\u01b0\u1ee3ng \u00edt trong h\u1ec7 vi sinh v\u1eadt v\u00f9ng mi\u1ec7ng \u1edf ng\u01b0\u1eddi, v\u00e0 c\u00f9ng v\u1edbi c\u00e1c lo\u1ea1i vi khu\u1ea9n kh\u00e1c trong mi\u1ec7ng, ch\u00fang x\u00e2m nh\u1eadp v\u00e0o c\u00e1c \u1ed1ng t\u1ee7y b\u1ecb nhi\u1ec5m tr\u00f9ng. \u00cdt khi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c ch\u00fang trong c\u00e1c lo\u00e0i vi sinh v\u1eadt kh\u00e1c \u1edf nh\u1eefng r\u0103ng nhi\u1ec5m tr\u00f9ng ho\u1ea1i t\u1eed nguy\u00ean ph\u00e1t nh\u01b0ng l\u1ea1i th\u1ea5y trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. \u0110\u1ed9c t\u00ednh v\u00e0 kh\u1ea3 n\u0103ng g\u00e2y \u0111au t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p.<\/p>\n

Ngo\u00e0i ra ng\u01b0\u1eddi ta c\u0169ng t\u00ecm th\u1ea5y c\u00e1c lo\u00e0i vi khu\u1ea9n Gr (+) kh\u00e1c v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i trong nh\u1eefng r\u0103ng \u0111\u00e3 tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y. Streptococcus, Lactobacillus v\u00e0 Actinomyces l\u00e0 nh\u1eefng lo\u00e0i vi sinh v\u1eadt c\u1ed9ng sinh ch\u1ee7 y\u1ebfu trong m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng, \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp t\u1eeb nh\u1eefng \u1ed1ng t\u1ee7y c\u00f3 nhi\u1ec5m tr\u00f9ng dai d\u1eb3ng. Nh\u1eefng nghi\u00ean c\u1ee9u in vitro h\u1ec7 vi sinh v\u1eadt Gr(+) n\u00e0y cho th\u1ea5y, ch\u00fang c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ec1 kh\u00e1ng v\u1edbi c\u00e1c \u0111i\u1ec1u ki\u1ec7n b\u1ea5t l\u1ee3i, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u00f4i tr\u01b0\u1eddng ki\u1ec1m, r\u1ea5t gi\u1ed1ng v\u1edbi \u0111\u1eb7c t\u00ednh c\u1ee7a Enterococci khi th\u00e0nh l\u1eadp biofilm.<\/p>\n

5. \u0110\u00e1p \u1ee9ng vi\u00eam m\u1ea1n t\u00ednh<\/h2>\n

M\u00f4 h\u00ecnh m\u00f4 h\u1ecdc \u0111\u1eb7c tr\u01b0ng nh\u1ea5t c\u1ee7a \u0111\u00e1p \u1ee9ng vi\u00eam m\u00e3n t\u00ednh l\u00e0 s\u1ef1 h\u00ecnh th\u00e0nh m\u00f4 h\u1ea1t v\u1edbi s\u1ef1 th\u00e2m nhi\u1ec5m ch\u1ee7 y\u1ebfu c\u1ee7a t\u1ebf b\u00e0o lympho v\u00e0 t\u1ebf b\u00e0o plasma. M\u00f4 h\u1ea1t t\u1ea1o th\u00e0nh m\u1ed9t h\u00e0ng r\u00e0o ch\u1ed1ng l\u1ea1i s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n, v\u00e0 nguy c\u01a1 vi khu\u1ea9n l\u00e2y lan t\u1eeb nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nh\u01b0 v\u1eady l\u00e0 r\u1ea5t th\u1ea5p.<\/p>\n

H\u1ea7u h\u1ebft nhi\u1ec5m tr\u00f9ng \u1ed1ng t\u1ee7y \u0111\u1ec1u ph\u00e1t tri\u1ec3n tr\u1ef1c ti\u1ebfp \u0111\u1ebfn giai \u0111o\u1ea1n m\u1ea1n t\u00ednh n\u00e0y khi m\u00e0 nhi\u1ec5m tr\u00f9ng lan \u0111\u1ebfn m\u00f4 quanh ch\u00f3p. S\u1ef1 th\u00f4ng th\u01b0\u01a1ng gi\u1eefa \u1ed1ng t\u1ee7y v\u00e0 m\u00f4 quanh ch\u00f3p c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn, quy\u1ebft \u0111\u1ecbnh nhi\u1ec5m tr\u00f9ng s\u1ebd ph\u00e1t tri\u1ec3n c\u1ea5p t\u00ednh hay chuy\u1ec3n sang m\u1ea1n t\u00ednh nh\u01b0 th\u1ebf n\u00e0o. Vi\u00eam quanh ch\u00f3p m\u1ea1n th\u01b0\u1eddng c\u00f3 \u00edt tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng. Tr\u00ean th\u1ef1c t\u1ebf, \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng h\u1ec1 nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c l\u00e0 c\u00f3 t\u1ed5n th\u01b0\u01a1ng, nh\u01b0ng nha s\u0129 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ch\u00fang nh\u1edd quan s\u00e1t tr\u00ean phim XQ.<\/p>\n

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

Hi\u1ec3u \u0111\u01b0\u1ee3c c\u00e1ch vi khu\u1ea9n ph\u00e1t tri\u1ec3n m\u1ea1nh trong m\u00f4i tr\u01b0\u1eddng nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 sau \u0111i\u1ec1u tr\u1ecb v\u00e0 kh\u1ea3 n\u0103ng h\u1ee3p t\u00e1c \u0111\u1ec3 t\u1ed3n t\u1ea1i, nh\u01b0 vi\u1ec7c thi\u1ebfu h\u1ee5t ch\u1ea5t dinh d\u01b0\u1ee1ng, c\u00f3 th\u1ec3 gi\u00fap l\u00e0m s\u00e1ng t\u1ecf sinh b\u1ec7nh h\u1ecdc vi\u00eam nha chu m\u1ea1n t\u00ednh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ti\u1ebfn b\u1ed9 h\u01a1n […]<\/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":"\nNhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng - Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh. - Vinmec<\/title>\n<meta name=\"description\" content=\"Hi\u1ec3u c\u00e1ch vi khu\u1ea9n ph\u00e1t tri\u1ec3n trong qu\u00e1 tr\u00ecnh nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 v\u00e0 kh\u1ea3 n\u0103ng h\u1ee3p t\u00e1c \u0111\u1ec3 t\u1ed3n t\u1ea1i gi\u00fap l\u00e0m s\u00e1ng t\u1ecf sinh b\u1ec7nh h\u1ecdc vi\u00eam.\" \/>\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=\"Nhi\u1ec5m tr\u00f9ng \u1ed1ng tu\u1ef7 ch\u00e2n r\u0103ng - 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