{"id":29751,"date":"2023-05-02T15:07:49","date_gmt":"2023-05-02T08:07:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29751"},"modified":"2023-05-04T23:02:13","modified_gmt":"2023-05-04T16:02:13","slug":"nhiem-nam-histoplasma-va-anh-huong-cua-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/","title":{"rendered":"Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh"},"content":{"rendered":"<h5>B\u1ec7nh n\u1ea5m histoplasma l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra. \u0110\u00e2y l\u00e0 lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt, v\u00e0 khi h\u00edt ph\u1ea3i b\u1ee5i ch\u1ee9a n\u1ea5m, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh \u1edf con ng\u01b0\u1eddi. B\u1ec7nh n\u1ea5m histoplasma c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan trong c\u01a1 th\u1ec3, bao g\u1ed3m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, gan, ph\u1ed5i v\u00e0 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch. Trong \u0111\u00f3, m\u00f4 nha chu l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 quan c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi b\u1ec7nh n\u00e0y. V\u00ec v\u1eady, vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma \u0111\u1ebfn m\u00f4 nha chu c\u0169ng nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft.<\/h5>\n<h4>1. T\u1ed5ng quan v\u1ec7 b\u1ec7nh vi n\u1ea5m histoplasma:<\/h4>\n<h5>1.1. B\u1ec7nh n\u1ea5m histoplasma l\u00e0 g\u00ec?<\/h5>\n<p>B\u1ec7nh n\u1ea5m histoplasma l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m n\u1ea5m do n\u1ea5m Histoplasma capsulatum g\u00e2y ra. N\u1ea5m n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 chim v\u00e0 d\u01a1i.<\/p>\n<figure style=\"width: 800px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/login.medlatec.vn\/\/ImagePath\/images\/20210718\/20210718_nhiem-nam-Histoplasma-2.png\" alt=\"Nhi\u1ec5m n\u1ea5m Histoplasma\" width=\"800\" height=\"533\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda<\/figcaption><\/figure>\n<h5>1.2. Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch l\u00e2y lan c\u1ee7a b\u1ec7nh:<\/h5>\n<p>Ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m n\u1ea5m histoplasma th\u00f4ng th\u01b0\u1eddng l\u00e0 do h\u00edt ph\u1ea3i b\u1ee5i ch\u1ee9a n\u1ea5m Histoplasma. B\u1ee5i n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u1ea1o ra khi \u0111\u1ea5t b\u1ecb \u0111\u1ed9ng ho\u1eb7c \u0111\u00e0o b\u1edbi, ho\u1eb7c khi l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng b\u1ecb \u00f4 nhi\u1ec5m b\u1edfi ph\u00e2n \u0111\u1ed9ng v\u1eadt c\u00f3 ch\u1ee9a n\u1ea5m Histoplasma. Ng\u01b0\u1eddi ta c\u0169ng c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m n\u1ea5m histoplasma khi ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n c\u1ee7a c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt b\u1ecb nhi\u1ec5m n\u1ea5m n\u00e0y.<\/p>\n<p>Nhi\u1ec5m n\u1ea5m histoplasma kh\u00f4ng l\u00e2y lan t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c ho\u1eb7c t\u1eeb \u0111\u1ed9ng v\u1eadt sang ng\u01b0\u1eddi.\u00a0B\u1ec7nh n\u1ea5m histoplasma ch\u1ee7 y\u1ebfu l\u00e2y lan qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p khi ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m h\u00edt ph\u1ea3i b\u1ee5i ch\u1ee9a n\u1ea5m Histoplasma. Vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi ph\u00e2n c\u1ee7a c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt ch\u1ee9a n\u1ea5m c\u0169ng c\u00f3 th\u1ec3 l\u00e0 ngu\u1ed3n l\u00e2y nhi\u1ec5m.<\/p>\n<h4>2. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma:<\/h4>\n<p>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed c\u1ee7a nhi\u1ec5m n\u1ea5m trong c\u01a1 th\u1ec3. Nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m n\u1ea5m histoplasma kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u1ec9 c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u1eb9 gi\u1ed1ng c\u00fam, c\u00f3 th\u1ec3 m\u1ea5t v\u00e0i n\u0103m b\u1ec7nh nh\u00e2n m\u1edbi ph\u00e1t hi\u1ec7n m\u00ecnh m\u1eafc b\u1ec7nh. Tuy nhi\u00ean, khi tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n, ch\u00fang th\u01b0\u1eddng bao g\u1ed3m:<\/p>\n<ul>\n<li>S\u1ed1t v\u00e0 c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi<\/li>\n<li>Ho v\u00e0 kh\u00f3 th\u1edf<\/li>\n<li>\u0110au ng\u1ef1c v\u00e0 kh\u00f3 th\u1edf khi th\u1edf s\u00e2u<\/li>\n<li>Ho khan v\u00e0 \u0111au h\u1ecdng<\/li>\n<li>\u0110au \u0111\u1ea7u v\u00e0 ch\u00f3ng m\u1eb7t<\/li>\n<li>S\u01b0ng v\u00e0 \u0111au kh\u1edbp<\/li>\n<li>N\u1ed5i m\u1ea9n tr\u00ean da<\/li>\n<li>S\u01b0ng h\u1ea1ch<\/li>\n<li>Suy gi\u1ea3m c\u00e2n nhanh ch\u00f3ng<\/li>\n<\/ul>\n<h4>3. \u1ea2nh h\u01b0\u1edfng\u00a0c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma \u0111\u1ebfn m\u00f4 nha chu:<\/h4>\n<p>B\u1ec7nh n\u1ea5m histoplasma c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u00f4 nha chu, nh\u01b0ng t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nhi\u1ec5m n\u1ea5m v\u00e0 th\u1ec3 tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, n\u1ea5m histoplasma c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o m\u00f4 nha chu v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng, vi\u00eam, ph\u00f9 v\u00e0 m\u1ea5t m\u00f4 nha chu. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, nhi\u1ec5m tr\u00f9ng nha chu c\u00f3 th\u1ec3 lan r\u1ed9ng v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng trong h\u1ec7 th\u1ed1ng h\u00f4 h\u1ea5p v\u00e0 h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n.<\/p>\n<p>Tuy nhi\u00ean, trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh n\u1ea5m histoplasma kh\u00f4ng g\u00e2y ra t\u00e1c \u0111\u1ed9ng nghi\u00eam tr\u1ecdng \u0111\u1ebfn m\u00f4 nha chu v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh t\u1eadp trung ch\u1ee7 y\u1ebfu \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 nh\u01b0 ph\u1ed5i, gan v\u00e0 th\u1eadn.<\/p>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma \u0111\u1ebfn m\u00f4 nha chu v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng<\/p>\n<figure style=\"width: 320px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.researchgate.net\/profile\/Marco-Brazao-Silva\/publication\/249322059\/figure\/fig1\/AS:214202212982788@1428081195127\/Intraoral-aspect-showing-an-ulcerative-lesion-with-a-granulomatous-aspect-destructing-the_Q320.jpg\" alt=\"histoplasmosis g\u00e2y m\u1ea5t m\u00f4 nha chu\" width=\"320\" height=\"320\" \/><figcaption class=\"wp-caption-text\">Histoplasmosis g\u00e2y m\u1ea5t m\u00f4 nha chu<\/figcaption><\/figure>\n<h4>4. \u1ea2nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma \u0111\u1ebfn b\u1ec7nh nh\u00e2n HIV:<\/h4>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n <a href=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/can-lam-gi-sau-khi-phoi-nhiem-hiv\/\">HIV<\/a> b\u1ecb nhi\u1ec5m n\u1ea5m histoplasma do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd \u0111\u00e3 suy y\u1ebfu, d\u1eabn \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u1edbi n\u1ea5m histoplasma gi\u1ea3m \u0111i. Khi n\u1ea5m histoplasma x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n HIV, n\u00f3 c\u00f3 th\u1ec3 lan r\u1ed9ng nhanh ch\u00f3ng, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n<p>M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma \u1edf b\u1ec7nh nh\u00e2n HIV bao g\u1ed3m s\u1ed1t cao, s\u01b0ng ph\u1ed5i, suy h\u00f4 h\u1ea5p, suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Ngo\u00e0i ra, b\u1ec7nh n\u1ea5m histoplasma c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb HIV v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn HIV.<\/p>\n<p>Ng\u01b0\u1eddi m\u1eafc HIV c\u1ea7n \u0111\u1eb7c bi\u1ec7t c\u1ea9n tr\u1ecdng trong vi\u1ec7c ph\u00f2ng ng\u1eeba b\u1ec7nh n\u1ea5m histoplasma b\u1eb1ng c\u00e1ch tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi c\u00e1c v\u1eadt li\u1ec7u c\u00f3 ch\u1ee9a n\u1ea5m histoplasma, \u0111eo kh\u1ea9u trang khi l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng c\u00f3 nhi\u1ec1u b\u1ee5i v\u00e0 gi\u1eef v\u1ec7 sinh t\u1ed1t trong nh\u00e0 v\u00e0 n\u01a1i l\u00e0m vi\u1ec7c. N\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh n\u1ea5m histoplasma, ng\u01b0\u1eddi m\u1eafc HIV c\u1ea7n t\u00ecm ki\u1ebfm s\u1ef1 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm t\u1eeb m\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/p>\n<h4>5. Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u1ea5m histoplasma:<\/h4>\n<h5>5.1. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e1c \u0111\u1ecbnh b\u1ec7nh:<\/h5>\n<p>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh n\u1ea5m histoplasma, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 x\u00e9t nghi\u1ec7m m\u00e1u, x\u00e9t nghi\u1ec7m d\u1ecbch ph\u1ebf qu\u1ea3n, x\u00e9t nghi\u1ec7m m\u00f4 v\u00e0 x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u \u0111\u1ec3 t\u00ecm ki\u1ebfm s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a n\u1ea5m histoplasma trong c\u01a1 th\u1ec3. Ngo\u00e0i ra, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh nh\u01b0 ch\u1ee5p X-quang v\u00e0 CT c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i li\u00ean quan \u0111\u1ebfn b\u1ec7nh n\u1ea5m histoplasma.<\/p>\n<h5>5.2. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh n\u1ea5m histoplasma:<\/h5>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh n\u1ea5m histoplasma th\u01b0\u1eddng bao g\u1ed3m s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng n\u1ea5m nh\u01b0 Itraconazole, Amphotericin B, Fluconazole,&#8230; T\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t ho\u1eb7c m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c tr\u00ean cho \u0111i\u1ec1u tr\u1ecb. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng k\u00e9o d\u00e0i 1 n\u0103m tr\u1edf l\u00ean ho\u1eb7c l\u00e2u h\u01a1n th\u1eadm ch\u00ed l\u00e0 su\u1ed1t \u0111\u1eddi n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng mi\u1ec5n d\u1ecbch suy y\u1ebfu.<\/p>\n<h5>5.3. Ph\u00f2ng ng\u1eeba b\u1ec7nh n\u1ea5m histoplasma:<\/h5>\n<p>\u0110\u1ec3 ph\u00f2ng ng\u1eeba nhi\u1ec5m b\u1ec7nh n\u1ea5m histoplasma, b\u1ec7nh nh\u00e2n n\u00ean tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi v\u1eadt li\u1ec7u c\u00f3 ch\u1ee9a n\u1ea5m histoplasma nh\u01b0 ph\u00e2n chu\u1ed3ng, ph\u00e2n gia s\u00fac v\u00e0 \u0111\u1ed9ng v\u1eadt hoang d\u00e3. B\u1ec7nh nh\u00e2n c\u0169ng n\u00ean \u0111eo kh\u1ea9u trang khi l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng c\u00f3 nhi\u1ec1u b\u1ee5i v\u00e0 gi\u1eef v\u1ec7 sinh t\u1ed1t trong nh\u00e0 v\u00e0 n\u01a1i l\u00e0m vi\u1ec7c. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 mi\u1ec5n d\u1ecbch suy y\u1ebfu, b\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u1ebfn c\u00e1o b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ec7nh n\u1ea5m kh\u00e1c nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng n\u1ea5m \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m b\u1ec7nh.<\/p>\n<h4>6. K\u1ebft lu\u1eadn:<\/h4>\n<p>B\u1ec7nh n\u1ea5m histoplasma l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng g\u00e2y ra b\u1edfi n\u1ea5m Histoplasma capsulatum v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u00f4 nha chu. B\u1ec7nh nh\u00e2n HIV l\u00e0 m\u1ed9t trong nh\u1eefng nh\u00f3m ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nhi\u1ec5m b\u1ec7nh n\u1ea5m histoplasma v\u00e0 c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u1ea5m histoplasma k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh \u0111\u1ebfn m\u00f4 nha chu v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh n\u1ea5m histoplasma l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra. \u0110\u00e2y l\u00e0 lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt, v\u00e0 khi h\u00edt ph\u1ea3i b\u1ee5i ch\u1ee9a n\u1ea5m, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh \u1edf con ng\u01b0\u1eddi. B\u1ec7nh n\u1ea5m histoplasma c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 [&hellip;]<\/p>\n","protected":false},"author":29,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh - Vinmec<\/title>\n<meta name=\"description\" content=\"Nhi\u1ec5m n\u1ea5m histoplasma l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra - lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt\" \/>\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 n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Nhi\u1ec5m n\u1ea5m histoplasma l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra - lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-02T08:07:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-04T16:02:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/login.medlatec.vn\/\/ImagePath\/images\/20210718\/20210718_nhiem-nam-Histoplasma-2.png\" \/>\n<meta name=\"author\" content=\"Quang Mai Duy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Quang Mai Duy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/\",\"name\":\"Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-02T08:07:49+00:00\",\"dateModified\":\"2023-05-04T16:02:13+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e\"},\"description\":\"Nhi\u1ec5m n\u1ea5m histoplasma l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra - lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e\",\"name\":\"Quang Mai Duy\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g\",\"caption\":\"Quang Mai Duy\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/maiduyquang091002gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh - Vinmec","description":"Nhi\u1ec5m n\u1ea5m histoplasma l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra - lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh - Vinmec","og_description":"Nhi\u1ec5m n\u1ea5m histoplasma l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra - lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/","og_site_name":"Vinmec","article_published_time":"2023-05-02T08:07:49+00:00","article_modified_time":"2023-05-04T16:02:13+00:00","og_image":[{"url":"https:\/\/login.medlatec.vn\/\/ImagePath\/images\/20210718\/20210718_nhiem-nam-Histoplasma-2.png"}],"author":"Quang Mai Duy","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Quang Mai Duy","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/","name":"Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-02T08:07:49+00:00","dateModified":"2023-05-04T16:02:13+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e"},"description":"Nhi\u1ec5m n\u1ea5m histoplasma l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng do n\u1ea5m Histoplasma capsulatum g\u00e2y ra - lo\u1ea1i n\u1ea5m th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u1ea5t v\u00e0 ph\u00e2n \u0111\u1ed9ng v\u1eadt","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nhiem-nam-histoplasma-va-anh-huong-cua-benh\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Nhi\u1ec5m n\u1ea5m Histoplasma v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e","name":"Quang Mai Duy","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g","caption":"Quang Mai Duy"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/maiduyquang091002gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29751"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29751"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29751\/revisions"}],"predecessor-version":[{"id":29876,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29751\/revisions\/29876"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29751"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29751"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}