{"id":27494,"date":"2023-04-25T01:30:57","date_gmt":"2023-04-24T18:30:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27494"},"modified":"2023-04-29T19:09:08","modified_gmt":"2023-04-29T12:09:08","slug":"benh-crohn-cac-cong-cu-danh-gia-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/benh-crohn-cac-cong-cu-danh-gia-benh\/","title":{"rendered":"B\u1ec7nh Crohn: C\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 b\u1ec7nh"},"content":{"rendered":"

B\u1ec7nh ru\u1ed9t vi\u00eam c\u00f3 hai d\u1ea1ng ch\u00ednh l\u00e0 vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng v\u00e0 b\u1ec7nh Crohn. B\u1ec7nh Crohn c\u00f3 kh\u1edfi ph\u00e1t l\u00e2m s\u00e0ng r\u1ea5t \u0111a d\u1ea1ng, c\u00f3 th\u1ec3 cho tri\u1ec7u ch\u1ee9ng \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 \u1edf c\u00e1c c\u01a1 quan n\u1eb1m ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh Crohn ch\u00ednh x\u00e1c l\u00e0 ti\u1ec1n \u0111\u1ec1 \u0111\u1ec3 thi\u1ebft l\u1eadp ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n.<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u b\u1ec7nh Crohn<\/h2>\n

B\u1ec7nh ru\u1ed9t vi\u00eam (inflammatory bowel disease \u2013 IBD) l\u00e0 nh\u00f3m b\u1ec7nh l\u00fd vi\u00eam m\u1ea1n t\u00ednh c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, c\u00f3 c\u01a1 ch\u1ebf b\u1ec7nh sinh r\u1ea5t ph\u1ee9c t\u1ea1p, nguy\u00ean nh\u00e2n v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh r\u00f5 r\u00e0ng. B\u1ec7nh ru\u1ed9t vi\u00eam g\u1ed3m c\u00f3 hai lo\u1ea1i ch\u00ednh l\u00e0 b\u1ec7nh Crohn (Crohn\u2019s disease – CD) v\u00e0 vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng (ulcerative colitis).<\/span><\/p>\n

So v\u1edbi vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, t\u1ed5n th\u01b0\u01a1ng th\u00e0nh ru\u1ed9t do b\u1ec7nh Crohn \u1ea3nh h\u01b0\u1edfng t\u1ea5t c\u1ea3 c\u00e1c l\u1edbp c\u1ee7a th\u00e0nh \u1ed1ng ti\u00eau h\u00f3a,\u00a0 th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ru\u1ed9t non v\u00e0 \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a \u0111\u1ea1i tr\u00e0ng. Hi\u1ebfm khi CD \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ef1c tr\u00e0ng, nh\u01b0ng CD c\u00f3 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng m\u1ecdi v\u1ecb tr\u00ed c\u1ee7a h\u1ec7 ti\u00eau h\u00f3a.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf ru\u1ed9t non \u1edf d\u1ea1ng CD \u0111i\u1ec3n h\u00ecnh, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n nh\u01b0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p t\u1eafc ru\u1ed9t non – bi\u1ec3u hi\u1ec7n l\u00e0 nh\u1eefng \u0111\u1ee3t co th\u1eaft \u0111\u1ea1i tr\u00e0ng t\u00e1i di\u1ec5n, \u0111\u00f4i khi c\u00f3 th\u1ec3 k\u00e8m theo bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. C\u00f3 th\u1ec3 c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u th\u1ec3 hi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam ru\u1ed9t nh\u01b0: ti\u00eau ph\u00e2n l\u1ecfng, ch\u00e1n \u0103n, s\u1ee5t c\u00e2n, s\u1ed1t nh\u1eb9. Trong kho\u1ea3ng 1\/4 b\u1ec7nh nh\u00e2n CD, r\u00f2 h\u1eadu m\u00f4n \u0111\u00f4i khi l\u00e0 v\u1ea5n \u0111\u1ec1 n\u1ed5i b\u1eadt nh\u1ea5t ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 tri\u1ec7u ch\u1ee9ng kh\u1edfi ph\u00e1t \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh. \u0110\u1ed1i v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u1eb1m \u1edf c\u00e1c v\u1ecb tr\u00ed kh\u00f4ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a CD, kh\u1edfi ph\u00e1t th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 c\u00e1c b\u1ec7nh l\u00fd lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng. \u00cdt g\u1eb7p h\u01a1n l\u00e0 lo\u00e9t mi\u1ec7ng d\u1ea1ng \u00e1p-t\u01a1, nu\u1ed1t kh\u00f3, nu\u1ed1t \u0111au.<\/p>\n

Ngo\u00e0i c\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean, tri\u1ec7u ch\u1ee9ng b\u1ec7nh Crohn c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t \u1edf c\u00e1c c\u01a1 quan ngo\u00e0i h\u1ec7 ti\u00eau h\u00f3a nh\u01b0 \u1edf kh\u1edbp, da, m\u1eaft, h\u1ec7 ni\u1ec7u…<\/p>\n

B\u1ec7nh Crohn \u0111\u01b0\u1ee3c g\u1ee3i \u00fd b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a t\u00ecnh tr\u1ea1ng ru\u1ed9t vi\u00eam (\u0111au b\u1ee5ng, ti\u00eau l\u1ecfng, m\u1ec7t m\u1ecfi, s\u1ed1t nh\u1eb9, ch\u00e1n \u0103n) v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u li\u00ean quan r\u1ed1i lo\u1ea1n h\u1ea5p thu dinh d\u01b0\u1ee1ng (thi\u1ebfu m\u00e1u, thi\u1ebfu calcium, thi\u1ebfu vitamin D). Ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp v\u1edbi c\u00e1c b\u1eb1ng ch\u1ee9ng h\u00ecnh \u1ea3nh h\u1ecdc, quan s\u00e1t \u0111\u1ea1i th\u1ec3 qua n\u1ed9i soi v\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh h\u1ecdc. C\u00e1c d\u1ea5u hi\u1ec7u sinh h\u00f3a tuy kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01a1n \u0111\u1ed9c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n CD nh\u01b0ng c\u00f3 vai tr\u00f2 trong \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i m\u1ee9c \u0111\u1ed9 b\u1ec7nh.<\/p>\n

C\u00e1c b\u00e0i vi\u1ebft chi ti\u1ebft v\u1ec1 tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Crohn \u0111\u00e3 c\u00f3 tr\u00ean chuy\u00ean trang VinmecDr.<\/a><\/p>\n

2. \u0110\u00e1nh gi\u00e1 b\u1ec7nh Crohn b\u1eb1ng ch\u1ec9 s\u1ed1 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh Crohn<\/h2>\n

Ch\u1ec9 s\u1ed1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh Crohn (Crohn’s Disease Activity Index – CDAI) l\u00e0 c\u00f4ng c\u1ee5 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng nh\u1ea5t \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a CD. Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 b\u1ec7nh Crohn d\u1ef1a tr\u00ean nhi\u1ec1u ti\u00eau ch\u00ed kh\u00e1c nhau.<\/p>\n

    \n
  • Th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1 th\u1ec3 tr\u1ea1ng b\u1ec7nh nh\u00e2n: gi\u1edbi t\u00ednh, chi\u1ec1u cao, c\u00e2n n\u1eb7ng<\/li>\n
  • T\u1ed5ng s\u1ed1 l\u1ea7n ti\u00eau ph\u00e2n l\u1ecfng trong 7 ng\u00e0y v\u1eeba qua<\/li>\n
  • M\u1ee9c \u0111\u1ed9 \u0111au b\u1ee5ng trong 7 ng\u00e0y v\u1eeba qua: kh\u00f4ng c\u00f3, nh\u1eb9, v\u1eeba hay n\u1eb7ng<\/li>\n
  • \u0110\u00e1nh gi\u00e1 chung v\u1ec1 t\u1ed5ng tr\u1ea1ng trong 7 ng\u00e0y v\u1eeba qua<\/li>\n
  • C\u00f3 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u1ea7m ti\u00eau ch\u1ea3y hay kh\u00f4ng<\/li>\n
  • C\u00f3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u00e1c kh\u1ed1i v\u00f9ng b\u1ee5ng<\/li>\n
  • Hematocrit<\/li>\n
  • C\u00e1c tri\u1ec7u ch\u1ee9ng ngo\u1ea1i ti\u00eau h\u00f3a: \u0111au kh\u1edbp\/vi\u00eam kh\u1edbp, vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o\/vi\u00eam m\u1ed1ng m\u1eaft, c\u00e1c d\u1ea5u hi\u1ec7u tr\u00ean da, xu\u1ea5t hi\u1ec7n c\u00e1c l\u1ed7 r\u00f2, s\u1ed1t tr\u00ean 37.8 \u0111\u1ed9 C.<\/li>\n<\/ul>\n

    C\u00e1c tham s\u1ed1 n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n v\u1edbi c\u00e1c h\u1ec7 s\u1ed1 kh\u00e1c nhau \u0111\u1ec3 \u0111\u01b0a ra gi\u00e1 tr\u1ecb chung CDAI. C\u00f4ng c\u1ee5 CDAI l\u00e0 c\u00f4ng c\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u nh\u1ea5t trong c\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t v\u00e0 th\u1eed nghi\u1ec7m li\u00ean quan \u0111\u1ebfn CD. CDAI l\u00e0 c\u0169ng l\u00e0 c\u00f4ng c\u1ee5 d\u00f9ng \u0111\u1ec3 l\u1ef1a ch\u1ecdn v\u00e0 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o b\u1edfi Hi\u1ec7p h\u1ed9i Ti\u00eau H\u00f3a Hoa K\u1ef3. M\u1ee9c \u0111\u1ed9 b\u1ec7nh Crohn \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean CDAI nh\u01b0 sau:<\/p>\n

      \n
    • CDAI < 150: \u0111\u1ea1t \u0111\u01b0\u1ee3c lui b\u1ec7nh<\/li>\n
    • CDAI 150-220: CD m\u1ee9c \u0111\u1ed9 nh\u1eb9<\/li>\n
    • CDAI 220-450: CD m\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/li>\n
    • CDAI >450: CD m\u1ee9c \u0111\u1ed9 n\u1eb7ng<\/li>\n<\/ul>\n

      CDAI \u0111\u01b0\u1ee3c xem l\u00e0 ti\u00eau chu\u1ea9n trong \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 b\u1ec7nh v\u00e0 theo d\u00f5i \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb. \u01afu \u0111i\u1ec3m c\u1ee7a CDAI l\u00e0 c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng, gi\u00e1 tr\u1ecb t\u1ed1t v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a CDAI l\u00e0 kh\u00f3 khai th\u00e1c \u0111\u00e1nh gi\u00e1 kh\u00e1ch quan tri\u1ec7u ch\u1ee9ng trong v\u00f2ng 7 ng\u00e0y c\u1ee7a CD, c\u1ea7n c\u00f3 c\u00e1c d\u1eef ki\u1ec7n c\u1eadn l\u00e2m s\u00e0ng, c\u1ea7n th\u0103m kh\u00e1m k\u1ef9 l\u01b0\u1ee1ng \u0111\u1ec3 t\u00ecm c\u00e1c kh\u1edfi ph\u00e1t c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n k\u00edn \u0111\u00e1o c\u1ee7a b\u1ec7nh Crohn. C\u00f4ng th\u1ee9c t\u00ednh c\u0169ng kh\u00e1 ph\u1ee9c t\u1ea1p v\u00e0 th\u01b0\u1eddng c\u1ea7n s\u1eed d\u1ee5ng c\u00f4ng c\u1ee5 \u0111\u1ec3 t\u00ednh to\u00e1n.<\/p>\n

      C\u0169ng c\u00f9ng m\u1ee5c \u0111\u00edch nh\u01b0 CDAI, nh\u01b0ng lo\u1ea1i b\u1edbt c\u00e1c tham s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng v\u00e0 tri\u1ec7u ch\u1ee9ng khai th\u00e1c trong 7 ng\u00e0y, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ch\u1ec9 s\u1ed1 Harvey-Bardshaw. Ch\u1ec9 s\u1ed1 n\u00e0y c\u00f3 gi\u00e1 tr\u1ecb t\u01b0\u01a1ng \u0111\u01b0\u01a1ng kho\u1ea3ng 90% so v\u1edbi CDAI.<\/p>\n

      3. \u0110\u00e1nh gi\u00e1 b\u1ec7nh Crohn b\u1eb1ng b\u1ea3ng ph\u00e2n lo\u1ea1i Montreal.<\/h2>\n

      Ph\u00e2n lo\u1ea1i Montreal d\u00e0nh cho b\u1ec7nh Crohn (Montreal Classification for Crohn’s Disease) gi\u00fap \u0111\u00e1nh gi\u00e1 b\u1ec7nh Crohn d\u1ef1a tr\u00ean ph\u01b0\u01a1ng di\u1ec7n h\u00ecnh th\u00e1i l\u00e2m s\u00e0ng ch\u1ee7 y\u1ebfu v\u00e0 di\u1ec5n ti\u1ebfn c\u1ee7a b\u1ec7nh. Ph\u00e2n lo\u1ea1i theo Montreal c\u0169ng \u0111\u01b0\u1ee3c Hi\u1ec7p h\u1ed9i Ti\u00eau H\u00f3a Hoa K\u1ef3 d\u00f9ng trong \u0111\u1ec3 thi\u1ebft k\u1ebf ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n CD. Ph\u00e2n lo\u1ea1i n\u00e0y \u0111\u00e1nh gi\u00e1 CD d\u1ef1a tr\u00ean 03 y\u1ebfu t\u1ed1 g\u1ed3m: Tu\u1ed5i t\u1ea1i th\u1eddi \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n, V\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng v\u00e0 Di\u1ec5n ti\u1ebfn ch\u1ee7 y\u1ebfu c\u1ee7a b\u1ec7nh.<\/p>\n

        \n
      • Tu\u1ed5i t\u1ea1i th\u1eddi \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n (Age – A):\n
          \n
        • A1: \u2264 16 tu\u1ed5i<\/li>\n
        • A2: 17-40 tu\u1ed5i<\/li>\n
        • A3 >40<\/li>\n<\/ul>\n<\/li>\n
        • V\u1ecb tr\u00ed ch\u1ee7 y\u1ebfu c\u1ee7a t\u1ed5n th\u01b0\u01a1ng (Location – L):\n
            \n
          • L1: \u0110o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng<\/li>\n
          • L2: \u0110\u1ea1i tr\u00e0ng<\/li>\n
          • L3: H\u1ed3i \u0111\u1ea1i tr\u00e0ng<\/li>\n<\/ul>\n<\/li>\n
          • Di\u1ec5n ti\u1ebfn ch\u1ee7 y\u1ebfu c\u1ee7a b\u1ec7nh (Behavior – B):\n
              \n
            • B1: Kh\u00f4ng g\u00e2y h\u1eb9p, kh\u00f4ng x\u00e2m l\u1ea5n<\/li>\n
            • B2: G\u00e2y ch\u00edt h\u1eb9p ch\u1ee7 y\u1ebfu<\/li>\n
            • B3: X\u00e2m l\u1ea5n ch\u1ee7 y\u1ebfu<\/li>\n<\/ul>\n<\/li>\n
            • C\u00f3 th\u1ec3 th\u00eam L4 v\u00e0o c\u00e1c gi\u00e1 tr\u1ecb c\u1ee7a ti\u00eau ch\u00ed L n\u1ebfu nh\u01b0 c\u00f3 c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed3ng th\u1eddi \u1edf ti\u00eau h\u00f3a tr\u00ean<\/li>\n
            • C\u00f3 th\u1ec3 th\u00eam p v\u00e0o c\u00e1c gi\u00e1 tr\u1ecb c\u1ee7a ti\u00eau ch\u00ed B n\u1ebfu nh\u01b0 c\u00f3 c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed3ng th\u1eddi \u1edf quanh h\u1eadu m\u00f4n (perianal)<\/li>\n<\/ul>\n

              M\u1ed9t tr\u01b0\u1eddng h\u1ee3p CD \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng ph\u00e2n lo\u1ea1i Montreal c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ec3 hi\u1ec7n nh\u01b0 sau: A2 (L3+L4) B3p<\/p>\n

              \"Minh-hoa-danh-gia-vi-tri-benh-Crohn\"
              Minh h\u1ecda \u0111\u00e1nh gi\u00e1 b\u1ec7nh Crohn<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

              B\u1ec7nh ru\u1ed9t vi\u00eam c\u00f3 hai d\u1ea1ng ch\u00ednh l\u00e0 vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng v\u00e0 b\u1ec7nh Crohn. B\u1ec7nh Crohn c\u00f3 kh\u1edfi ph\u00e1t l\u00e2m s\u00e0ng r\u1ea5t \u0111a d\u1ea1ng, c\u00f3 th\u1ec3 cho tri\u1ec7u ch\u1ee9ng \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 \u1edf c\u00e1c c\u01a1 quan n\u1eb1m ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh Crohn ch\u00ednh x\u00e1c l\u00e0 ti\u1ec1n […]<\/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":"\nB\u1ec7nh Crohn: C\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 b\u1ec7nh - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh Crohn ch\u00ednh x\u00e1c l\u00e0 ti\u1ec1n \u0111\u1ec1 quan tr\u1ecdng \u0111\u1ec3 thi\u1ebft l\u1eadp ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n\" \/>\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=\"B\u1ec7nh Crohn: C\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 b\u1ec7nh - 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