{"id":31161,"date":"2023-05-04T16:25:16","date_gmt":"2023-05-04T09:25:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31161"},"modified":"2023-05-04T16:25:16","modified_gmt":"2023-05-04T09:25:16","slug":"chan-doan-va-dieu-tri-benh-au-trung-giun-dau-gai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/chan-doan-va-dieu-tri-benh-au-trung-giun-dau-gai\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u1ea7u gai"},"content":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u1ea7u gai l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ru\u1ed9t ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn s\u1ed1ng trong nh\u1eefng v\u00f9ng c\u00f3 m\u1ee9c \u0111\u1ed9 v\u1ec7 sinh k\u00e9m. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb em.<\/strong><\/p>\n

\"\"<\/p>\n

1. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

1.1. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nghi ng\u1edd<\/span><\/b><\/h3>\n

B\u1ec7nh nh\u00e2n s\u1ed1ng trong v\u00f9ng d\u1ecbch t\u1ec5 c\u00f3 b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u1ea7u gai l\u01b0u h\u00e0nh, \u0103n c\u00e1c m\u00f3n \u0103n c\u00f3 nguy c\u01a1 nhi\u1ec5m \u1ea5u tr\u00f9ng v\u00e0 c\u00f3 c\u00e1c b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng.<\/span><\/p>\n

1.2. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh x\u00e1c \u0111\u1ecbnh<\/span><\/b><\/h3>\n

L\u00e0 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nghi ng\u1edd v\u00e0 c\u00f3 k\u00e8m theo c\u00e1c x\u00e9t nghi\u1ec7m sau:<\/span><\/p>\n

– Soi tr\u1ef1c ti\u1ebfp t\u00ecm th\u1ea5y \u1ea5u tr\u00f9ng\u00a0Gnathostoma<\/i>\u00a0spp. \u1edf c\u00e1c v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, ho\u1eb7c<\/span><\/p>\n

– X\u00e9t nghi\u1ec7m ELISA<\/a> ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 IgM\/IgG kh\u00e1ng \u1ea5u tr\u00f9ng\u00a0Gnathostoma<\/i>\u00a0spp. d\u01b0\u01a1ng t\u00ednh, ho\u1eb7c\/v\u00e0:<\/span><\/p>\n

+ B\u1ea1ch c\u1ea7u \u00e1i toan t\u0103ng cao v\u00e0\/ho\u1eb7c ch\u1ec9 s\u1ed1 IgE to\u00e0n ph\u1ea7n t\u0103ng.<\/span><\/p>\n

+ Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh: ph\u00e1t hi\u1ec7n c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng \u1edf n\u1ed9i t\u1ea1ng, m\u00f4 t\u01b0\u01a1ng \u1ee9ng g\u1ee3i \u00fd th\u01b0\u01a1ng t\u1ed5n do \u1ea5u tr\u00f9ng.<\/span><\/p>\n

1.3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/span><\/b><\/h4>\n

– B\u1ec7nh giun l\u01b0\u01a1n\u00a0S. stercoralis<\/i>, vi\u00eam m\u00e0ng n\u00e3o t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan do giun\u00a0A. cantonensis<\/i>, k\u00fd sinh tr\u00f9ng \u1edf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng.<\/span><\/p>\n

– \u1ea4u tr\u00f9ng giun \u0111\u0169a ch\u00f3\/m\u00e8o.<\/span><\/p>\n

– Vi\u00eam da c\u01a1 \u0111\u1ecba, vi\u00eam da ti\u1ebfp x\u00fac.<\/span><\/p>\n

– S\u00e1n l\u00e1 gan l\u1edbn, \u1ea5u tr\u00f9ng s\u00e1n d\u00e2y l\u1ee3n.<\/span><\/p>\n

– Nhi\u1ec5m c\u00e1c lo\u1ea1i giun \u0111\u01b0\u1eddng ru\u1ed9t kh\u00e1c.<\/span><\/p>\n

2. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

2.1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/span><\/b><\/h3>\n

\u0110i\u1ec1u tr\u1ecb thu\u1ed1c \u0111\u1eb7c hi\u1ec7u ph\u1ed1i h\u1ee3p v\u1edbi \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng.<\/span><\/p>\n

2.2. \u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u<\/span><\/b><\/h3>\n

S\u1eed d\u1ee5ng m\u1ed9t trong c\u00e1c thu\u1ed1c theo th\u1ee9 t\u1ef1 \u01b0u ti\u00ean nh\u01b0 sau:<\/span><\/p>\n

2.2.1. Ph\u00e1c \u0111\u1ed3 1:<\/span><\/i><\/b>\u00a0albendazole (vi\u00ean n\u00e9n 200mg v\u00e0 400mg)<\/span><\/h4>\n

a) Li\u1ec1u d\u00f9ng<\/span><\/p>\n

– Ng\u01b0\u1eddi l\u1edbn: 800mg\/ng\u00e0y, chia 2 l\u1ea7n\/ng\u00e0y x 21 ng\u00e0y.<\/span><\/p>\n

– Tr\u1ebb em > 1 tu\u1ed5i: 10-15mg\/kg\/ng\u00e0y (t\u1ed1i \u0111a 800mg\/ng\u00e0y), chia 2 l\u1ea7n\/ng\u00e0y x 21 ng\u00e0y.<\/span><\/p>\n

b) \u0110i\u1ec1u tr\u1ecb theo th\u1ec3 b\u1ec7nh<\/span><\/p>\n

– \u0110\u1ed1i v\u1edbi b\u1ec7nh giun \u0111\u1ea7u gai th\u1ec3 m\u1eaft v\u00e0 th\u1ea7n kinh khuy\u1ebfn c\u00e1o kh\u00f4ng n\u00ean \u0111i\u1ec1u tr\u1ecb b\u1eb1ng albendazole, l\u00ed do v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n t\u0103ng n\u1eb7ng. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng corticosteroid.<\/span><\/p>\n

c) Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a albendazole<\/span><\/p>\n

– Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn v\u1edbi benzimidazole.<\/span><\/p>\n

– Ph\u1ee5 n\u1eef c\u00f3 thai ho\u1eb7c \u0111ang cho con b\u00fa.<\/span><\/p>\n

– Tr\u1ebb em < 1 tu\u1ed5i.<\/span><\/p>\n

– Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed nhi\u1ec5m \u0111\u1ed9c t\u1ee7y x\u01b0\u01a1ng.<\/span><\/p>\n

d) L\u01b0u \u00fd<\/span><\/p>\n

– Th\u1eadn tr\u1ecdng khi d\u00f9ng albendazole v\u1edbi ng\u01b0\u1eddi suy gan, suy th\u1eadn.<\/span><\/p>\n

– C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a albendazole, trong \u0111\u00f3 c\u00f3 gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t, gi\u1ea3m c\u00e1c lo\u1ea1i huy\u1ebft c\u1ea7u v\u00e0 \u1ea3nh h\u01b0\u1edfng ch\u1ee9c n\u0103ng gan khi d\u00f9ng k\u00e9o d\u00e0i. Do \u0111\u00f3, c\u1ea7n l\u00e0m x\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u v\u00e0 ch\u1ee9c n\u0103ng gan (c\u00e1c transaminase) khi b\u1eaft \u0111\u1ea7u m\u1ed7i chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb v\u00e0 \u00edt nh\u1ea5t 2 tu\u1ea7n m\u1ed9t l\u1ea7n trong khi \u0111i\u1ec1u tr\u1ecb. N\u1ebfu enzyme gan t\u0103ng nhi\u1ec1u, n\u00ean ng\u1eebng d\u00f9ng albendazol. Sau \u0111\u00f3 c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb n\u1ebfu enzyme gan tr\u1edf v\u1ec1 m\u1ee9c tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, nh\u01b0ng c\u1ea7n x\u00e9t nghi\u1ec7m th\u01b0\u1eddng xuy\u00ean h\u01a1n khi t\u00e1i \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

2.2.2. Ph\u00e1c \u0111\u1ed3 2:<\/span><\/i><\/b>\u00a0ivermectin (vi\u00ean n\u00e9n 6mg)<\/span><\/h4>\n

a) Li\u1ec1u d\u00f9ng<\/span><\/p>\n

– Ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em \u2265 5 tu\u1ed5i: 0,2mg\/kg x 01 li\u1ec1u\/ ng\u00e0y x 2 ng\u00e0y<\/span><\/p>\n

b) \u0110i\u1ec1u tr\u1ecb theo th\u1ec3 b\u1ec7nh<\/span><\/p>\n

– \u0110\u1ed1i v\u1edbi b\u1ec7nh giun \u0111\u1ea7u gai th\u1ec3 m\u1eaft v\u00e0 th\u1ea7n kinh khuy\u1ebfn c\u00e1o kh\u00f4ng n\u00ean \u0111i\u1ec1u tr\u1ecb ivermectin, l\u00ed do v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n t\u0103ng n\u1eb7ng. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng corticosteroid.<\/span><\/p>\n

c) Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a ivermectin<\/span><\/p>\n

– B\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/span><\/p>\n

– B\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh c\u00f3 k\u00e8m r\u1ed1i lo\u1ea1n h\u00e0ng r\u00e0o m\u00e1u n\u00e3o.<\/span><\/p>\n

– Tr\u1ebb em < 5 tu\u1ed5i.<\/span><\/p>\n

– Ph\u1ee5 n\u1eef c\u00f3 thai trong 3 th\u00e1ng \u0111\u1ea7u.<\/span><\/p>\n

d) Th\u1eadn tr\u1ecdng: khi d\u00f9ng cho ng\u01b0\u1eddi l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/span><\/p>\n

2.2.3. Ph\u00e1c \u0111\u1ed3 3:<\/span><\/i><\/b>\u00a0thiabendazole (vi\u00ean n\u00e9n 500 mg)<\/span><\/h4>\n

a) Li\u1ec1u d\u00f9ng: 2 l\u1ea7n\/ng\u00e0y x 7 ng\u00e0y, theo c\u00e2n n\u1eb7ng b\u1ec7nh nh\u00e2n (xem b\u1ea3ng)<\/span><\/p>\n

b) \u0110i\u1ec1u tr\u1ecb theo th\u1ec3 b\u1ec7nh: \u00e1p d\u1ee5ng v\u1edbi th\u1ec3 n\u1ed9i t\u1ea1ng v\u00e0 th\u1ec3 th\u00f4ng th\u01b0\u1eddng.<\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n
\n

C\u00e2n n\u1eb7ng (kg)<\/span><\/b><\/p>\n<\/td>\n

\n

Li\u1ec1u d\u00f9ng<\/span><\/b><\/p>\n<\/td>\n

\n

M\u1ed9t s\u1ed1 l\u01b0u \u00fd<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n

\n

Gi\u1edd 0<\/span><\/b><\/p>\n<\/td>\n

\n

Gi\u1edd th\u1ee9 12<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n

\n

13.60<\/span>\u00a0<\/span>–<\/span>\u00a0<\/span><<\/span>\u00a0<\/span>22.6<\/span><\/p>\n<\/td>\n

\n

250mg<\/span><\/p>\n<\/td>\n

\n

250mg<\/span><\/p>\n<\/td>\n

– Kh\u00f4ng \u0111i\u1ec1u tr\u1ecb qu\u00e1 7 ng\u00e0y.<\/span><\/p>\n

– Kh\u00f4ng d\u00f9ng v\u01b0\u1ee3t 3000mg\/ ng\u00e0y.<\/span><\/td>\n<\/tr>\n

\n

22.6 – < 34.0<\/span><\/p>\n<\/td>\n

\n

500mg<\/span><\/p>\n<\/td>\n

\n

500mg<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

34.0<\/span>\u00a0<\/span>–<\/span>\u00a0<\/span><<\/span>\u00a0<\/span>45.0<\/span><\/p>\n<\/td>\n

\n

750mg<\/span><\/p>\n<\/td>\n

\n

750mg<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

45.0 – < 56.0<\/span><\/p>\n<\/td>\n

\n

1.000mg<\/span><\/p>\n<\/td>\n

\n

1.000mg<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

56.0 – < 68.0<\/span><\/p>\n<\/td>\n

\n

1.250mg<\/span><\/p>\n<\/td>\n

\n

1.250mg<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

\u2265\u00a068.0<\/span><\/p>\n<\/td>\n

\n

1.500mg<\/span><\/p>\n<\/td>\n

\n

1.500mg<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

c) Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: qu\u00e1 m\u1eabn v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a thu\u1ed1c.<\/span><\/p>\n

d) Th\u1eadn tr\u1ecdng<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ecb suy gan, suy th\u1eadn;<\/span><\/p>\n

– Ph\u1ee5 n\u1eef c\u00f3 thai 3 th\u00e1ng \u0111\u1ea7u v\u00e0 \u0111ang cho con b\u00fa;<\/span><\/p>\n

– Kh\u00f4ng d\u00f9ng thu\u1ed1c khi v\u1eadn h\u00e0nh m\u00e1y m\u00f3c, l\u00e1i t\u00e0u, xe;<\/span><\/p>\n

– Tr\u1ebb em d\u01b0\u1edbi 12 th\u00e1ng tu\u1ed5i ho\u1eb7c tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 d\u01b0\u1edbi 13,6 kg.<\/span><\/p>\n

2.3. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/span><\/b><\/h3>\n

T\u00f9y theo tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p:<\/span><\/p>\n

– Ng\u1ee9a, m\u00e0y \u0111ay: s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng histamin cho \u0111\u1ebfn khi h\u1ebft tri\u1ec7u ch\u1ee9ng.<\/span><\/p>\n

– S\u1ed1t: khi b\u1ec7nh nh\u00e2n s\u1ed1t, ph\u1ed1i h\u1ee3p bi\u1ec7n ph\u00e1p h\u1ea1 s\u1ed1t c\u01a1 h\u1ecdc v\u00e0 thu\u1ed1c h\u1ea1 s\u1ed1t.<\/span><\/p>\n

– Thu\u1ed1c h\u1ed7 tr\u1ee3: men ti\u00eau h\u00f3a, vitamin t\u1ed5ng h\u1ee3p, b\u1ed5 gan.<\/span><\/p>\n

– Th\u1ec3 m\u1eaft v\u00e0 th\u1ec3 th\u1ea7n kinh: cho b\u1ec7nh nh\u00e2n \u0111i kh\u00e1m chuy\u00ean khoa ph\u00f9 h\u1ee3p \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p. C\u00e2n nh\u1eafc s\u1eed d\u1ee5ng corticoid.<\/span><\/p>\n

2.4. \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/span><\/b><\/h3>\n

Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh \u1ea5u tr\u00f9ng di chuy\u1ec3n d\u01b0\u1edbi da, m\u00f4 m\u1ec1m s\u00e1t ngo\u00e0i da, \u1edf m\u1eaft c\u00f3 th\u1ec3 c\u00f3 ch\u1ec9 \u0111\u1ecbnh ngo\u1ea1i khoa t\u00f9y theo t\u1eebng ca b\u1ec7nh.<\/span><\/p>\n

2.5. Theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb<\/span><\/b><\/h3>\n

B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i, t\u00e1i kh\u00e1m trong v\u00f2ng 6 th\u00e1ng t\u1ea1i c\u00e1c th\u1eddi \u0111i\u1ec3m 1 – 3 – 6 th\u00e1ng sau l\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean, \u0111\u1ec1 ph\u00f2ng hi\u1ec7n t\u01b0\u1ee3ng t\u00e1i ph\u00e1t.<\/span><\/p>\n

3. Ti\u00eau chu\u1ea9n kh\u1ecfi b\u1ec7nh<\/h2>\n

– C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng gi\u1ea3m ho\u1eb7c h\u1ebft sau \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

– X\u00e9t nghi\u1ec7m ELISA c\u00f3 hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 gi\u1ea3m ho\u1eb7c tr\u1edf v\u1ec1 \u00e2m t\u00ednh.<\/span><\/p>\n

– T\u1ef7 l\u1ec7 b\u1ea1ch c\u1ea7u \u00e1i toan, IgE to\u00e0n ph\u1ea7n gi\u1ea3m ho\u1eb7c tr\u1edf v\u1ec1 gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n

4. Ph\u00f2ng b\u1ec7nh<\/h2>\n

Tuy\u00ean truy\u1ec1n, gi\u00e1o d\u1ee5c, c\u1ea3nh b\u00e1o trong nh\u00e2n d\u00e2n v\u1ec1 c\u00e1c m\u00f3n \u0103n c\u00f3 nguy c\u01a1 nhi\u1ec5m b\u1ec7nh, kh\u00f4ng \u0103n c\u00e1c th\u1ee9c \u0103n th\u1ee7y h\u1ea3i s\u1ea3n t\u00e1i\/ch\u01b0a ch\u00edn (c\u00e1, \u1ebfch, nh\u00e1i, t\u00f4m), s\u1eed d\u1ee5ng ngu\u1ed3n n\u01b0\u1edbc h\u1ee3p v\u1ec7 sinh, kh\u00f4ng u\u1ed1ng n\u01b0\u1edbc l\u00e3 d\u1ec5 c\u00f3\u00a0Cyclops<\/i>.<\/span><\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u1ea7u gai l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ru\u1ed9t ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn s\u1ed1ng trong nh\u1eefng v\u00f9ng c\u00f3 m\u1ee9c \u0111\u1ed9 v\u1ec7 sinh k\u00e9m. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nCh\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u1ea7u gai - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u1ea7u gai l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ru\u1ed9t ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em v\u00e0 ...\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u1ea7u gai - 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