{"id":35025,"date":"2023-07-03T09:22:02","date_gmt":"2023-07-03T02:22:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35025"},"modified":"2023-07-03T15:26:21","modified_gmt":"2023-07-03T08:26:21","slug":"tac-dong-cua-thuoc-khang-sinh-den-vi-khuan-quanh-rang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/07\/03\/tac-dong-cua-thuoc-khang-sinh-den-vi-khuan-quanh-rang\/","title":{"rendered":"T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c kh\u00e1ng sinh \u0111\u1ebfn vi khu\u1ea9n quanh r\u0103ng"},"content":{"rendered":"
Vi khu\u1ea9n trong mi\u1ec7ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng, bao g\u1ed3m vi\u00eam n\u01b0\u1edbu, vi\u00eam lo\u00e9t ho\u1ea1i t\u1eed v\u00e0 b\u1ec7nh nha chu, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ch\u00fang ta. Trong \u0111\u00f3, vi khu\u1ea9n P. intermedia, P. gingivalis, A. actinomycetemcomitans v\u00e0 B. forsythus l\u00e0 nh\u1eefng lo\u1ea1i vi khu\u1ea9n ph\u1ed5 bi\u1ebfn trong vi khu\u1ea9n mi\u1ec7ng \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh \u0111\u1ebfn t\u1eebng lo\u1ea1i vi khu\u1ea9n n\u00e0y l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng v\u00e0 ph\u00f2ng ng\u1eeba c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan.<\/h5>\n

1. Gi\u1edbi thi\u1ec7u v\u1ec1 vi khu\u1ea9n trong r\u0103ng mi\u1ec7ng:<\/h4>\n

1.1. T\u1ed5ng quan vi khu\u1ea9n trong mi\u1ec7ng:<\/h5>\n

Vi khu\u1ea9n l\u00e0 c\u00e1c sinh v\u1eadt vi nh\u1ecf, kh\u00f4ng th\u1ec3 nh\u00ecn th\u1ea5y b\u1eb1ng m\u1eaft th\u01b0\u1eddng, s\u1ed1ng tr\u00ean c\u00e1c b\u1ec1 m\u1eb7t kh\u00e1c nhau trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi, bao g\u1ed3m c\u1ea3 mi\u1ec7ng. Trong mi\u1ec7ng, c\u00f3 h\u00e0ng tri\u1ec7u vi khu\u1ea9n kh\u00e1c nhau c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i, ph\u00e2n h\u1ee7y th\u1ee9c \u0103n v\u00e0 t\u1ea1o ra axit. M\u1ed9t s\u1ed1 lo\u1ea1i vi khu\u1ea9n trong mi\u1ec7ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng, bao g\u1ed3m vi\u00eam n\u01b0\u1edbu, vi\u00eam l\u1ee3i v\u00e0 b\u1ec7nh nha chu.<\/p>\n

Vi khu\u1ea9n ph\u00e1t tri\u1ec3n trong mi\u1ec7ng b\u1eb1ng c\u00e1ch h\u1ea5p th\u1ee5 \u0111\u01b0\u1eddng v\u00e0 c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng kh\u00e1c trong th\u1ee9c \u0103n v\u00e0 n\u01b0\u1edbc u\u1ed1ng. Khi ch\u00fang ta kh\u00f4ng ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng h\u1ee3p l\u00fd, vi khu\u1ea9n c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n v\u00e0 h\u00ecnh th\u00e0nh m\u1ed9t l\u1edbp m\u00e0ng d\u00e0y tr\u00ean r\u0103ng v\u00e0 n\u01b0\u1edbu, g\u1ecdi l\u00e0 m\u1ea3ng b\u00e1m r\u0103ng. M\u1ea3ng b\u00e1m r\u0103ng t\u1ea1o m\u00f4i tr\u01b0\u1eddng l\u00fd t\u01b0\u1edfng cho s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng.<\/p>\n

C\u00e1c lo\u1ea1i vi khu\u1ea9n trong mi\u1ec7ng c\u00f3 th\u1ec3 t\u1ea1o th\u00e0nh c\u00e1c v\u1ebft b\u00e1m tr\u00ean r\u0103ng, g\u00e2y ra m\u1ea3ng b\u00e1m r\u0103ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c nh\u01b0 vi\u00eam n\u01b0\u1edbu v\u00e0 b\u1ec7nh nha chu. M\u1ed9t s\u1ed1 lo\u1ea1i vi khu\u1ea9n trong mi\u1ec7ng c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1 h\u1ee7y men r\u0103ng v\u00e0 g\u00e2y ra s\u00e2u r\u0103ng.<\/p>\n

\"T\u00e1c
Vi khu\u1ea9n trong mi\u1ec7ng<\/figcaption><\/figure>\n
1.2. Vi khu\u1ea9n g\u00e2y b\u1ec7nh quanh r\u0103ng:<\/h5>\n

Vi khu\u1ea9n g\u00e2y b\u1ec7nh quanh r\u0103ng \u00a0l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng. B\u1ec7nh nha chu<\/a> l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng vi khu\u1ea9n t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn n\u01b0\u1edbu, \u0111\u01b0\u1eddng ch\u00e2n r\u0103ng v\u00e0 x\u01b0\u01a1ng h\u00e0m, d\u1eabn \u0111\u1ebfn vi\u1ec7c m\u1ea5t men r\u0103ng v\u00e0 th\u1eadm ch\u00ed l\u00e0 m\u1ea5t r\u0103ng.<\/p>\n

C\u00e1c lo\u1ea1i vi khu\u1ea9n ph\u1ed5 bi\u1ebfn g\u00e2y ra b\u1ec7nh nha chu bao g\u1ed3m P. gingivalis, A. actinomycetemcomitans v\u00e0 B. forsythus, P,intermedia,….. Nh\u1eefng lo\u1ea1i vi khu\u1ea9n n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o ra c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i, g\u00e2y ra s\u01b0ng n\u01b0\u1edbu v\u00e0 vi\u00eam n\u01b0\u1edbu, l\u00e0m cho n\u01b0\u1edbu b\u1ecb r\u00fat l\u1ea1i v\u00e0 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng k\u1eb9p ch\u1eb7t c\u1ee7a r\u0103ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh nha chu c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng h\u01a1n nh\u01b0 m\u1ea5t r\u0103ng, nhi\u1ec5m tr\u00f9ng v\u00e0 \u0111au \u0111\u1edbn.<\/p>\n

2. T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c kh\u00e1ng sinh v\u1edbi vi khu\u1ea9n g\u00e2y b\u1ec7nh quanh r\u0103ng:<\/h4>\n
2.1. Vi khu\u1ea9n A. actinomycetemcomitans:<\/h5>\n

Vi khu\u1ea9n A. actinomycetemcomitans l\u00e0 m\u1ed9t lo\u1ea1i vi khu\u1ea9n kh\u00e1c trong vi khu\u1ea9n mi\u1ec7ng \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng nh\u01b0 b\u1ec7nh nha chu. A. actinomycetemcomitans c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1 h\u1ee7y m\u00f4 x\u01b0\u01a1ng xung quanh r\u0103ng v\u00e0 g\u00e2y ra m\u1ea5t men r\u0103ng. Vi khu\u1ea9n n\u00e0y c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng thu\u1ed1c kh\u00e1ng sinh, th\u01b0\u1eddng A.actinomycetemcomitans type b kh\u00e1ng kh\u00e1ng sinh nhi\u1ec1u h\u01a1n type a.<\/p>\n

Vi khu\u1ea9n A.a nh\u1ea1y c\u1ea3m v\u1edbi thu\u1ed1c Metronidazole v\u00e0 tetracycline nh\u01b0ng kh\u00f4ng th\u1ec3 di\u1ec7t ho\u00e0n to\u00e0n \u0111\u01b0\u1ee3c vi khu\u1ea9n A.a. Ngo\u00e0i ra, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng tetracycline li\u1ec1u d\u00f9ng to\u00e0n th\u00e2n c\u00f3 th\u1ec3 di\u1ec7t \u0111\u01b0\u1ee3c \u0111\u1ebfn 50% vi khu\u1ea9n A.a. Ph\u1ed1i h\u1ee3p kh\u00e1ng sinh c\u00f3 hi\u1ec7u qu\u1ea3 h\u01a1n vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u01a1n l\u1ebb, c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p metronidazole (250mg) c\u00f9ng v\u1edbi amoxicline (375mg) d\u00f9ng 3 li\u1ec1u\/ng\u00e0y trong v\u00f2ng 8 ng\u00e0y.<\/p>\n

2.2. Vi khu\u1ea9n P. gingivalis:<\/h5>\n

A.a v\u00e0 P.gingivalis \u0111\u1ec1u l\u00e0 nh\u1eefng vi khu\u1ea9n c\u00f3 th\u1ec3 nu\u00f4i c\u1ea5y \u0111\u01b0\u1ee3c \u1edf m\u00f4i tr\u01b0\u1eddng ngo\u00e0i, ch\u00fang ta c\u0169ng kh\u00f4ng th\u1ec3 di\u1ec7t ho\u00e0n to\u00e0n P.gingivalis. C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 trong \u1ee9c ch\u1ebf s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a P. gingivalis bao g\u1ed3m metronidazole, tetracycline v\u00e0 clindamycin. Tuy nhi\u00ean, P. gingivalis c\u00f3 th\u1ec3 kh\u00e1ng metronidazole, trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p c\u00f9ng v\u1edbi augmentin \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 di\u1ec7t khu\u1ea9n.<\/p>\n

2.3. Vi khu\u1ea9n B. forsythus:<\/h5>\n

Vi khu\u1ea9n B. forsythus c\u0169ng l\u00e0 m\u1ed9t lo\u1ea1i vi khu\u1ea9n trong vi khu\u1ea9n mi\u1ec7ng li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng. B. forsythus c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1 h\u1ee7y men r\u0103ng v\u00e0 g\u00e2y ra s\u00e2u r\u0103ng. Vi khu\u1ea9n n\u00e0y c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng thu\u1ed1c kh\u00e1ng sinh.<\/p>\n

C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 trong \u1ee9c ch\u1ebf s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a B. forsythus s\u1eed d\u1ee5ng augmentin ph\u1ed1i h\u1ee3p metronidazole (hi\u1ec7u qu\u1ea3 t\u1ed1t) ho\u1eb7c ph\u1ed1i h\u1ee3p kh\u00e1ng sinh augmentin v\u1edbi tetracycline.<\/p>\n

2.4. Vi khu\u1ea9n P intermedia:<\/h5>\n

Vi khu\u1ea9n P. intermedia l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i vi khu\u1ea9n ph\u1ed5 bi\u1ebfn trong vi khu\u1ea9n mi\u1ec7ng, kh\u00f4ng th\u1ec3 nu\u00f4i c\u1ea5y \u1edf m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i v\u00e0 \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng, bao g\u1ed3m vi\u00eam n\u01b0\u1edbu v\u00e0 b\u1ec7nh nha chu. N\u00f3 c\u00f3 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c enzym ph\u00e2n hu\u1ef7 m\u00f4, l\u00e0m suy y\u1ebfu m\u00f4 li\u00ean k\u1ebft xung quanh r\u0103ng v\u00e0 g\u00e2y ra s\u1ef1 m\u1ea5t r\u0103ng.<\/p>\n

Vi khu\u1ea9n P. intermedia th\u01b0\u1eddng kh\u00e1ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh th\u00f4ng th\u01b0\u1eddng nh\u01b0 tetracycline v\u00e0 erythromycin. Tuy nhi\u00ean, c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh kh\u00e1c nh\u01b0 amoxicillin v\u00e0 metronidazole c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u1ee9c ch\u1ebf s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a P. intermedia. Ngo\u00e0i ra, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u00e1c s\u0129 v\u00e0 ch\u1ec9 khi c\u1ea7n thi\u1ebft.<\/p>\n

3. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nha chu:<\/h4>\n

\u0110\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd n\u00e0y, c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p nh\u01b0 sau:<\/p>\n

3.1. Duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 v\u1ec7 sinh mi\u1ec7ng h\u1ee3p l\u00fd:<\/h5>\n
    \n
  • \u0110\u00e1nh r\u0103ng \u00edt nh\u1ea5t hai l\u1ea7n m\u1ed7i ng\u00e0y b\u1eb1ng kem \u0111\u00e1nh r\u0103ng ch\u1ee9a fluoride v\u00e0 s\u1eed d\u1ee5ng ch\u1ec9 nh\u01b0 l\u00e0 d\u1ee5ng c\u1ee5 \u0111\u1ec3 l\u00e0m s\u1ea1ch r\u0103ng.<\/li>\n
  • S\u1eed d\u1ee5ng ch\u1ec9 nh\u01b0 l\u00e0 d\u1ee5ng c\u1ee5 \u0111\u1ec3 l\u00e0m s\u1ea1ch r\u0103ng trong kho\u1ea3ng kh\u00f4ng gian gi\u1eefa c\u00e1c r\u0103ng.<\/li>\n
  • S\u1eed d\u1ee5ng s\u00fac mi\u1ec7ng ch\u1ee9a ch\u1ea5t kh\u00e1ng khu\u1ea9n \u0111\u1ec3 gi\u00fap gi\u1ea3m vi khu\u1ea9n trong mi\u1ec7ng v\u00e0 l\u00e0m s\u1ea1ch n\u01b0\u1edbu.<\/li>\n<\/ul>\n
    3.2. \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd r\u0103ng mi\u1ec7ng s\u1edbm:<\/h5>\n
      \n
    • \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd r\u0103ng mi\u1ec7ng s\u1edbm tr\u01b0\u1edbc khi ch\u00fang tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c.<\/li>\n
    • \u0110i \u0111\u1ecbnh k\u1ef3 ki\u1ec3m tra r\u0103ng mi\u1ec7ng v\u00e0 n\u01b0\u1edbu v\u1edbi nha s\u0129 \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd s\u1edbm<\/li>\n<\/ul>\n
      3.3. S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u00e1c s\u0129 v\u00e0 ch\u1ec9 khi c\u1ea7n thi\u1ebft:<\/h5>\n
        \n
      • S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh ch\u1ec9 khi c\u00e1c bi\u1ec7n ph\u00e1p v\u1ec7 sinh mi\u1ec7ng kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng.<\/li>\n
      • S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 v\u00e0 \u0111\u1ea3m b\u1ea3o tu\u00e2n th\u1ee7 \u0111\u1ea7y \u0111\u1ee7 li\u1ec1u l\u01b0\u1ee3ng v\u00e0 th\u1eddi gian s\u1eed d\u1ee5ng.<\/li>\n<\/ul>\n
        3.4.Tr\u00e1nh c\u00e1c th\u00f3i quen x\u1ea5u:<\/h5>\n
          \n
        • Tr\u00e1nh h\u00fat thu\u1ed1c l\u00e1 v\u00e0 s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c l\u00e1 kh\u00e1c.<\/li>\n
        • Gi\u1ea3m ti\u00eau th\u1ee5 \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n v\u00e0 c\u00e1c lo\u1ea1i \u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng.<\/li>\n
        • Tr\u00e1nh nhai c\u00e1c lo\u1ea1i k\u1eb9o cao su c\u00f3 \u0111\u01b0\u1eddng.<\/li>\n<\/ul>\n

          4. K\u1ebft lu\u1eadn:<\/h4>\n

          B\u1ec7nh nha chu v\u00e0 vi\u00eam n\u01b0\u1edbu l\u00e0 c\u00e1c b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong r\u0103ng mi\u1ec7ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Vi\u1ec7c ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd n\u00e0y l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng v\u00e0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3.<\/p>\n","protected":false},"excerpt":{"rendered":"

          Vi khu\u1ea9n trong mi\u1ec7ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng, bao g\u1ed3m vi\u00eam n\u01b0\u1edbu, vi\u00eam lo\u00e9t ho\u1ea1i t\u1eed v\u00e0 b\u1ec7nh nha chu, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ch\u00fang ta. Trong \u0111\u00f3, vi khu\u1ea9n P. intermedia, P. gingivalis, A. actinomycetemcomitans v\u00e0 B. […]<\/p>\n","protected":false},"author":29,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,32],"tags":[],"yoast_head":"\nT\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c kh\u00e1ng sinh \u0111\u1ebfn vi khu\u1ea9n quanh r\u0103ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Thu\u1ed1c kh\u00e1ng sinh t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn t\u1eebng lo\u1ea1i vi khu\u1ea9n c\u1ea7n \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5 v\u00ec r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u00e1c b\u1ec7nh r\u0103ng mi\u1ec7ng,....\" \/>\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=\"T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c kh\u00e1ng sinh \u0111\u1ebfn vi khu\u1ea9n quanh r\u0103ng - 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