{"id":26922,"date":"2023-04-24T22:48:23","date_gmt":"2023-04-24T15:48:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26922"},"modified":"2023-05-02T08:38:29","modified_gmt":"2023-05-02T01:38:29","slug":"thuoc-dieu-tri-viem-loet-dai-trang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/thuoc-dieu-tri-viem-loet-dai-trang\/","title":{"rendered":"Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng: Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng"},"content":{"rendered":"<p><strong>Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t trong hai \u0111\u1ea1i di\u1ec7n c\u1ee7a nh\u00f3m b\u1ec7nh l\u00fd ru\u1ed9t vi\u00eam. B\u1ec7nh l\u00fd n\u00e0y c\u00f3 th\u1ec3 cho h\u00ecnh \u1ea3nh kh\u1edfi ph\u00e1t l\u00e2m s\u00e0ng r\u1ea5t \u0111a d\u1ea1ng, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan trong c\u01a1 th\u1ec3. Ch\u00ednh b\u1edfi s\u1ef1 ph\u1ee9c t\u1ea1p trong h\u00ecnh th\u00e1i l\u00e2m s\u00e0ng v\u00e0 di\u1ec5n ti\u1ebfn b\u1ec7nh, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng th\u01b0\u1eddng \u0111\u00f2i h\u1ecfi s\u1ef1 d\u1ee5ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c nhau v\u1edbi c\u01a1 ch\u1ebf v\u00e0 c\u00e1ch d\u00f9ng c\u0169ng r\u1ea5t \u0111a d\u1ea1ng.<\/strong><\/p>\n<h2>1. \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 v\u00e0 nguy c\u01a1 b\u1ec7nh nh\u00e2n vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng<\/h2>\n<p>Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng (ulcerative colitis &#8211; <span style=\"font-weight: 400;\">UC) \u00a0l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c \u0111\u1ee3t vi\u00eam t\u00e1i di\u1ec5n v\u00e0 t\u1ef1 tho\u00e1i lui gi\u1edbi h\u1ea1n \u1edf l\u1edbp ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng. \u0110\u00e2y l\u00e0 d\u1ea1ng b\u1ec7nh ru\u1ed9t vi\u00eam th\u01b0\u1eddng ch\u1ec9 \u1ea3nh \u0111\u1ebfn \u0111\u1ea1i tr\u00e0ng. T\u1ed5n th\u01b0\u01a1ng vi\u00eam lo\u00e9t th\u01b0\u1eddng li\u00ean t\u1ee5c, h\u1ea7u nh\u01b0 lu\u00f4n \u1ea3nh h\u01b0\u1edfng tr\u1ef1c tr\u00e0ng v\u00e0 c\u00f3 th\u1ec3 cho sang th\u01b0\u01a1ng \u0111\u1ebfn c\u00e1c \u0111o\u1ea1n kh\u00e1c c\u1ee7a khung \u0111\u1ea1i tr\u00e0ng.<\/span><\/p>\n<p>Kh\u1edfi ph\u00e1t ch\u1ee7 y\u1ebfu c\u1ee7a UC th\u01b0\u1eddng l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ea3n \u00e1nh s\u1ef1 vi\u00eam c\u1ee7a v\u00f9ng \u0111\u1ea1i &#8211; tr\u1ef1c tr\u00e0ng. C\u00e1c tri\u1ec7u ch\u1ee9ng hay g\u1eb7p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc UC g\u1ed3m: ch\u1ea3y m\u00e1u tr\u1ef1c tr\u00e0ng, ti\u00eau ch\u1ea3y, ti\u00eau ph\u00e2n nh\u1ea7y, g\u1ea5p \u0111i ti\u00eau v\u00e0 \u0111au b\u1ee5ng; \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111au qu\u1eb7n v\u00f9ng b\u1ee5ng d\u01b0\u1edbi. H\u00ecnh th\u00e1i l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3 ph\u1ee5 thu\u1ed9c r\u1ea5t nhi\u1ec1u v\u00e0o m\u1ee9c \u0111\u1ed9 lan r\u1ed9ng c\u1ee7a sang th\u01b0\u01a1ng vi\u00eam lo\u00e9t. Ngo\u00e0i ra, UC c\u00f2n c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u1edfi ph\u00e1t \u1edf c\u00e1c c\u01a1 quan ngo\u00e0i h\u1ec7 ti\u00eau h\u00f3a nh\u01b0 da, c\u01a1 x\u01b0\u01a1ng, m\u1eaft, huy\u1ebft h\u1ecdc, h\u00f4 h\u1ea5p.<\/p>\n<p>T\u00f9y v\u00e0o m\u1ee9c \u0111\u1ed9 lan t\u1ecfa c\u1ee7a t\u1ed5n th\u01b0\u01a1ng vi\u00eam lo\u00e9t, UC c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c d\u1ea1ng nh\u01b0 vi\u00eam tr\u1ef1c tr\u00e0ng, vi\u00eam tr\u1ef1c tr\u00e0ng &#8211; \u0111\u1ea1i tr\u00e0ng sigma, vi\u00eam \u0111\u1ea1i tr\u00e0ng tr\u00e1i, vi\u00eam \u0111\u1ea1i tr\u00e0ng lan t\u1ecfa. M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh l\u00fd UC c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng b\u1ea3ng ph\u00e2n \u0111\u1ed9 c\u1ee7a Truelove v\u00e0 Witts, d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 g\u1ed3m s\u1ed1 l\u1ea7n \u0111i ti\u00eau ch\u1ea3y, c\u00f3 hay kh\u00f4ng c\u00f3 s\u1ed1t, thi\u1ebfu m\u00e1u, nh\u1ecbp tim nhanh v\u00e0 t\u1ed1c \u0111\u1ed9 m\u00e1u l\u1eafng. Trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng c\u00f3 thang \u0111i\u1ec3m Mayo \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 b\u1ec7nh, c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh v\u00e0 di\u1ec5n ti\u1ebfn hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ec7nh UC. Thang \u0111i\u1ec3m Mayo c\u0169ng l\u00e0 c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng nh\u1ea5t trong c\u00e1c nghi\u00ean c\u1ee9u v\u00e0 th\u1eed nghi\u1ec7m li\u00ean quan \u0111\u1ebfn UC. Thang \u0111i\u1ec3m Mayo g\u1ed3m c\u00e1c ti\u00eau ch\u00ed l\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng, m\u1ee9c \u0111\u1ed9 ch\u1ea3y m\u00e1u tr\u1ef1c tr\u00e0ng, s\u1ed1 l\u1ea7n \u0111i ti\u00eau v\u00e0 \u0111\u00e1nh gi\u00e1 chung c\u1ee7a b\u00e1c s\u0129 v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n. Gi\u1ea3m \u0111i\u1ec3m Mayo l\u00e0 m\u1ed9t m\u1ee5c ti\u00eau quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng.<\/p>\n<p>B\u00e0i vi\u1ebft chi ti\u1ebft v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng b\u1ea3ng ph\u00e2n \u0111\u1ed9 c\u1ee7a Truelove v\u00e0 Witts, c\u0169ng nh\u01b0 thang \u0111i\u1ec3m Mayo \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 b\u1ec7nh l\u00fd UC c\u00f3 tr\u00ean chuy\u00ean trang <a href=\"https:\/\/vinmecdr.com\/\">VinmecDr.<\/a><\/p>\n<p>K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb, ch\u1ecdn l\u1ef1a c\u00e1c lo\u1ea1i thu\u1ed1c v\u00e0 bi\u1ec7n ph\u00e1p c\u1ee5 th\u1ec3, c\u0169ng nh\u01b0 l\u00e0 ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh UC c\u00f3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 v\u00e0 nguy c\u01a1 c\u1ee7a b\u1ec7nh nh\u00e2n UC. C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m d\u01b0\u1edbi \u0111\u00e2y gi\u00fap ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n c\u00f3 \u00edt nguy c\u01a1 ph\u1ea3i ch\u1ecbu nh\u1eefng k\u1ebft c\u1ee5c l\u00e2u d\u00e0i n\u1eb7ng n\u1ec1 (nh\u01b0 l\u00e0 c\u1eaft \u0111\u1ea1i tr\u00e0ng) do b\u1ec7nh l\u00fd UC:<\/p>\n<ul>\n<li>Tri\u1ec7u ch\u1ee9ng trung b\u00ecnh ho\u1eb7c nh\u1eb9 (VD: \u0111i ph\u00e2n d\u01b0\u1edbi 6 l\u1ea7n\/ng\u00e0y)<\/li>\n<li>Kh\u00f4ng c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n (s\u1ed1t, s\u1ee5t c\u00e2n, thi\u1ebfu m\u00e1u)<\/li>\n<li>Kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c ni\u00eam tr\u1ecdng (kh\u00f4ng c\u00f3 lo\u00e9t s\u00e2u)<\/li>\n<li>T\u1ed1c \u0111\u1ed9 m\u00e1u l\u1eafng, CRP huy\u1ebft t\u01b0\u01a1ng hay calprotectin trong ph\u00e2n b\u00ecnh th\u01b0\u1eddng hay ch\u1ec9 t\u0103ng nh\u1eb9<\/li>\n<li>Kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng ngo\u00e0i ti\u00eau h\u00f3a<\/li>\n<li>Tu\u1ed5i ch\u1ea9n \u0111o\u00e1n &gt;40<\/li>\n<li>Albumin huy\u1ebft thanh b\u00ecnh th\u01b0\u1eddng<\/li>\n<\/ul>\n<h2>2. C\u00e1c thu\u1ed1c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng<\/h2>\n<figure style=\"width: 665px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"r48jcc pT0Scc iPVvYb\" src=\"https:\/\/assets.medpagetoday.net\/media\/images\/98xxx\/98817.png\" alt=\"Nhieu-loai-thuoc-duoc-dung-trong-viem-loet-dai-trang\" width=\"665\" height=\"374\" aria-hidden=\"false\" \/><figcaption class=\"wp-caption-text\">Nhi\u1ec1u lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng<\/figcaption><\/figure>\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng (tham kh\u1ea3o khuy\u1ebfn c\u00e1o v\u1ec1 \u0111i\u1ec1u tr\u1ecb UC c\u1ee7a Hi\u1ec7p h\u1ed9i Ti\u00eau H\u00f3a Hoa K\u1ef3 gi\u1edbi thi\u1ec7u n\u0103m 2020)<\/p>\n<ul>\n<li><strong>Mesalamine:<\/strong> d\u01b0\u1ee3c ch\u1ea5t thu\u1ed9c nh\u00f3m (5-aminosalicylic acid &#8211; 5-ASA) l\u00e0 thu\u1ed1c \u0111\u1ea7u tay trong \u0111i\u1ec1u tr\u1ecb UC m\u1ee9c \u0111\u1ed9 nh\u1eb9-trung b\u00ecnh, \u0111\u1eb7t bi\u1ec7t l\u00e0 b\u1ec7nh UC \u1edf d\u1ea1ng vi\u00eam lo\u00e9t tr\u1ef1c tr\u00e0ng. Mesalamine c\u00f3 th\u1ec3 kh\u1edfi \u0111\u1ea7u b\u1eb1ng d\u1ea1ng d\u00f9ng t\u1ea1i ch\u1ed7 v\u1edbi li\u1ec1u chu\u1ea9n hay li\u1ec1u cao. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh lan r\u1ed9ng h\u01a1n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng mesalamine \u0111\u01b0\u1eddng u\u1ed1ng. \u0110\u00e2y l\u00e0 thu\u1ed1c \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u trong \u0111i\u1ec1u tr\u1ecb UC. Mesalamine \u0111\u01b0\u1ee3c d\u00f9ng \u1edf c\u1ea3 giai \u0111o\u1ea1n t\u1ea5n c\u00f4ng v\u00e0 c\u1ea3 giai \u0111o\u1ea1n duy tr\u00ec lui b\u1ec7nh v\u1edbi vai tr\u00f2 ch\u00ednh.<\/li>\n<li><strong>Budesonide:<\/strong> budesonide MMX (d\u1ea1ng b\u00e0o ch\u1ebf gi\u00fap budesonide \u0111\u1ebfn \u0111\u01b0\u1ee3c \u0111\u1ea1i tr\u00e0ng nhi\u1ec1u h\u01a1n) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi mesalamine khi b\u1ec7nh k\u00e9m \u0111\u00e1p \u1ee9ng v\u1edbi mesalamine \u0111\u01a1n tr\u1ecb. Ngo\u00e0i budesonide MMX, khuy\u1ebfn c\u00e1o c\u0169ng cho ph\u00e9p s\u1eed d\u1ee5ng prednisone \u0111\u01b0\u1eddng u\u1ed1ng v\u1edbi ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng t\u1ef1<\/li>\n<li><strong>C\u00e1c thu\u1ed1c 5-ASA kh\u00e1c<\/strong>: sulfalazine, balsalazine c\u0169ng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb UC, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c d\u1ea1ng UC nh\u1eb9<\/li>\n<li><strong>C\u00e1c thu\u1ed1c c\u00f3 t\u00ednh \u0111\u1ed1i v\u1eadn y\u1ebfu t\u1ed1 ho\u1ea1i t\u1eed u (tumor necrosis factor &#8211; TNF) lo\u1ea1i alpha<\/strong>: infliximab, adalimumab, golimumab, vedolizumab, tofacitinib ho\u1eb7c ustekinumab \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh UC m\u1ee9c \u0111\u1ed9 trung b\u00ecnh-n\u1eb7ng. C\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u01a1n tr\u1ecb ho\u1eb7c ph\u1ed1i h\u1ee3p.<\/li>\n<li><strong>Thiopurine:<\/strong> \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh UC m\u1ee9c \u0111\u1ed9 n\u1eb7ng trong giai \u0111o\u1ea1n lui b\u1ec7nh. Thu\u1ed1c n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u01a1n tr\u1ecb trong giai \u0111o\u1ea1n \u0111\u1ea7u.<\/li>\n<li><strong>Methotrexate<\/strong>: \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf TNF-alpha trong \u0111i\u1ec1u tr\u1ecb UC m\u1ee9c \u0111\u1ed9 trung b\u00ecnh-n\u1eb7ng.<\/li>\n<li><strong>Methylprednisolone<\/strong>: c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch li\u1ec1u cao trong \u0111i\u1ec1u tr\u1ecb UC n\u1eb7ng, giai \u0111o\u1ea1n c\u1ea5p t\u00ednh<\/li>\n<li><strong>Cyclosporine<\/strong>: c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o trong \u0111i\u1ec1u tr\u1ecb UC n\u1eb7ng, giai \u0111o\u1ea1n c\u1ea5p t\u00ednh kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi methylprednisolone \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n<p>L\u1ef1a ch\u1ecdn thu\u1ed1c, li\u1ec1u v\u00e0 \u0111\u01b0\u1eddng d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 b\u1ec7nh, nguy c\u01a1 v\u00e0 m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 c\u1ee7a m\u1ed7i b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p c\u00f3 vai tr\u00f2 gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u1ea1t \u0111\u01b0\u1ee3c lui b\u1ec7nh s\u1edbm, duy tr\u00ec lui b\u1ec7nh \u0111\u01b0\u1ee3c l\u00e2u h\u01a1n v\u00e0 c\u00f3 \u00edt nguy c\u01a1 m\u1eafc nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t trong hai \u0111\u1ea1i di\u1ec7n c\u1ee7a nh\u00f3m b\u1ec7nh l\u00fd ru\u1ed9t vi\u00eam. B\u1ec7nh l\u00fd n\u00e0y c\u00f3 th\u1ec3 cho h\u00ecnh \u1ea3nh kh\u1edfi ph\u00e1t l\u00e2m s\u00e0ng r\u1ea5t \u0111a d\u1ea1ng, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan trong c\u01a1 th\u1ec3. Ch\u00ednh b\u1edfi s\u1ef1 ph\u1ee9c t\u1ea1p trong h\u00ecnh th\u00e1i l\u00e2m s\u00e0ng v\u00e0 di\u1ec5n ti\u1ebfn [&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 lo\u00e9t \u0111\u1ea1i tr\u00e0ng: Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Do s\u1ef1 ph\u1ee9c t\u1ea1p trong h\u00ecnh th\u00e1i l\u00e2m s\u00e0ng v\u00e0 di\u1ec5n ti\u1ebfn b\u1ec7nh, \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng th\u01b0\u1eddng \u0111\u00f2i h\u1ecfi s\u1ef1 d\u1ee5ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c nhau.\" \/>\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 lo\u00e9t \u0111\u1ea1i tr\u00e0ng: Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng - 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