{"id":35829,"date":"2023-06-29T14:22:50","date_gmt":"2023-06-29T07:22:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35829"},"modified":"2023-06-29T14:22:50","modified_gmt":"2023-06-29T07:22:50","slug":"benh-bach-bien-trieu-chung-nguyen-nhan-va-phuong-phap-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/29\/benh-bach-bien-trieu-chung-nguyen-nhan-va-phuong-phap-dieu-tri\/","title":{"rendered":"B\u1ec7nh b\u1ea1ch bi\u1ebfn: Tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>B\u1ec7nh b\u1ea1ch bi\u1ebfn l\u00e0 b\u1ec7nh do t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n s\u1eafc t\u1ed1 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c \u0111\u00e1m gi\u1ea3m s\u1eafc t\u1ed1 to nh\u1ecf kh\u00e1c nhau, ph\u1ea7n l\u1edbn l\u00e0 h\u00ecnh tr\u00f2n. \u0110\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh l\u00e0 nh\u1eefng \u0111i\u1ec3m gi\u1ea3m s\u1eafc t\u1ed1 , m\u00e0u tr\u1eafng, ranh gi\u1edbi r\u00f5 v\u00e0 \u0111\u01b0\u1ee3c bao quanh l\u00e0 v\u00f9ng s\u1eabm m\u00e0u. B\u1ec7nh do nhi\u1ec1u nguy\u00ean nh\u00e2n ph\u00fac t\u1ea1p g\u00e2y ra, l\u00e0nh t\u00ednh , kh\u00f4ng ng\u1ee9a kh\u00f4ng \u0111au r\u00e1t nh\u01b0ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ea9m m\u1ef9 v\u00e0 t\u00e2m l\u00fd c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35830 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/d43d605a-c53c-427f-b538-5171c531f325-300x300.jpg\" alt=\"benh-bach-bien\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/d43d605a-c53c-427f-b538-5171c531f325-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/d43d605a-c53c-427f-b538-5171c531f325-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/d43d605a-c53c-427f-b538-5171c531f325-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/d43d605a-c53c-427f-b538-5171c531f325.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>1. Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p><strong>1.1 Nguy\u00ean nh\u00e2n<\/strong><\/p>\n<p>B\u1ec7nh b\u1ea1ch bi\u1ebfn l\u00e0 b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c kh\u00f4ng ph\u1ea3i di truy\u1ec1n. M\u1ed9t v\u00e0i gi\u1ea3 thuy\u1ebft \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn nh\u01b0ng cho \u0111\u1ebfn nay, nguy\u00ean nh\u00e2n th\u1eadt s\u1ef1 c\u1ee7a b\u1ea1ch bi\u1ebfn v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5.<\/p>\n<ul>\n<li>T\u1ef1 mi\u1ec5n d\u1ecbch: s\u1ef1 thay \u0111\u1ed5i v\u1ec1 mi\u1ec5n d\u1ecbch d\u1ecbch th\u1ec3 v\u00e0 mi\u1ec5n d\u1ecbch qua trung gian t\u1ebf b\u00e0o c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 ph\u00e1 h\u1ee7y s\u1eafc t\u1ed1 c\u1ee7a da \u1edf b\u1ec7nh nh\u00e2n b\u1ea1ch bi\u1ebfn. C\u00e1c b\u1ec7nh l\u00fd c\u1ee7a tuy\u1ebfn gi\u00e1p, nh\u01b0 b\u1ec7nh \u00a0vi\u00eam gi\u00e1p t\u1ef1 mi\u1ec5n Hashimoto v\u00e0 b\u1ec7nh Grave, c\u00e1c r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft kh\u00e1c trong b\u1ec7nh Adison hay \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ee5ng t\u00f3c, thi\u1ebfu m\u00e1u \u00e1c t\u00ednh, v\u00e0 c\u00e1c b\u1ec7nh n\u1ed9i&#8230; \u00a0c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ea1ch bi\u1ebfn.<\/li>\n<li>S\u1ef1 khi\u1ebfm khuy\u1ebft c\u1ee7a t\u1ebf b\u00e0o s\u1eafc t\u1ed1 \u1edf da: c\u00f3 th\u1ec3 l\u00e0 khi\u1ebfm khuy\u1ebft do b\u1ea5t th\u01b0\u1eddng h\u00ecnh d\u1ea1ng, l\u01b0\u1edbi nguy\u00ean sinh ch\u1ea5t th\u00f4, kh\u00f4ng \u0111\u1ee7 kh\u1ea3 n\u0103ng t\u1ed5ng h\u1ee3p v\u00e0 v\u1eadn chuy\u1ec3n c\u00e1c h\u1ea1t s\u1eafc t\u1ed1 melanin sang t\u00e9 b\u00e0o t\u1ea1o s\u1eebng. M\u1ed9t s\u1ed1 t\u1ebf b\u00e0o c\u00f3 th\u1ebf b\u1ecb ch\u1ebft.<\/li>\n<li>S\u1ef1 ch\u1ebft t\u1ebf b\u00e0o theo chu tr\u00ecnh (apoptosis) v\u00e0 s\u1ef1 r\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng oxy h\u00f3a. Apotosis x\u1ea3y ra s\u1edbm d\u1eabn \u0111\u1ebfn gi\u1ea3m \u0111\u1eddi s\u1ed1ng c\u1ee7a t\u1ebf b\u00e0o s\u1eafc t\u1ed1. S\u1ef1 oxy h\u00f3a \u0111\u00f3ng vai tr\u00f2 ch\u1ee7 y\u1ebfu trong c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a b\u1ec7nh b\u1ea1ch bi\u1ebfn.<\/li>\n<li>Y\u1ebfu t\u1ed1 di truy\u1ec1n: tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u00a0b\u1ea1ch bi\u1ebfn, nghi\u00ean c\u1ee9u ch\u00f4 th\u1ea5y l\u1ec7 gen c\u00f3 HLA-DR4, HLA-B13 v\u00e0 HLA-B35 cao h\u01a1n nh\u1eefng ng\u01b0\u1eddi kh\u00e1c.<\/li>\n<\/ul>\n<p><strong>1.2 Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/strong><\/p>\n<p>B\u1ec7nh b\u1ea1ch bi\u1ebfn \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c \u0111\u00e1m t\u1ed5n th\u01b0\u01a1ng to nh\u1ecf kh\u00e1c nhau, ph\u1ea7n l\u1edbn l\u00e0 h\u00ecnh tr\u00f2n, m\u00e0u tr\u1eafng nh\u01b0 v\u00f4i, ranh gi\u1edbi r\u00f5 v\u00e0 \u0111\u01b0\u1ee3c bao quanh l\u00e0 v\u00f9ng s\u1eabm m\u00e0u (vi\u1ec1n s\u1eafc t\u1ed1) Ban \u0111\u1ea7u t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 ch\u1ec9 l\u00e0 ch\u1ea5m nh\u1ecf 2-3mm, t\u1ed5n th\u01b0\u01a1ng m\u1edf r\u1ed9ng d\u1ea7n ra v\u00f9ng ngo\u1ea1i vi (c\u00f3 th\u1ec3 t\u1eeb t\u1eeb ho\u1eb7c r\u1ea5t nhanh ch\u00f3ng) v\u00e0 xu\u1ea5t hi\u1ec7n th\u00eam nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng m\u1edbi li\u00ean k\u1ebft v\u1edbi nhau t\u1ea1o th\u00e0nh h\u00ecnh \u0111a cung.<\/p>\n<p>C\u00f3 c\u00e1c lo\u1ea1i d\u00e1t b\u1ea1ch bi\u1ebfn sau<\/p>\n<p>&#8211; \u00a0 D\u00e1t b\u1ea1ch bi\u1ebfn ba s\u1eafc (trichrome vitiligo) \u1edf trung t\u00e2m l\u00e0 m\u00e0u tr\u1eafng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng b\u1ea1ch bi\u1ebfn, xen gi\u1eefa l\u00e1 vi\u1ec1n n\u00e2u \u1edd r\u00eca t\u1ed1n th\u01b0\u01a1ng (m\u00e0u nh\u1ea1t h\u01a1n da b\u00ecnh th\u01b0\u1eddng), ngo\u00e0i c\u00f9ng l\u00e0 v\u00f9ng da b\u00ecnh th\u01b0\u1eddng<\/p>\n<p>&#8211;\u00a0 \u00a0 \u00a0 D\u00e1t b\u1ea1ch bi\u1ebfn b\u1ed1n s\u1eafc (quadrichromie vitiligo) \u1edf trung t\u00e2m l\u00e0 m\u00e0u tr\u1eafng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng b\u1ea1ch bi\u1ebfn, ti\u1ebfp theo l\u00e0 vi\u1ec1n n\u00e2u (m\u00e0u nh\u1ea1t h\u01a1n da b\u00ecnh th\u01b0\u1eddng) v\u00e0 vi\u1ec1n t\u0103ng s\u1eafc t\u1ed1 (m\u00e0u \u0111\u1eadm h\u01a1n da b\u00ecnh th\u01b0\u1eddng) \u1edf r\u00eca t\u1ed5n th\u01b0\u01a1ng, ngo\u00e0i c\u00f9ng l\u00e0 v\u00f9ng da b\u00ecnh th\u01b0\u1eddng. Th\u01b0\u1eddng g\u1eb7p \u1edf v\u00f9ng da h\u1ed3i ph\u1ee5c s\u1eafc t\u1ed1 sau \u0111i\u1ec1u tr\u1ecb<\/p>\n<p>&#8211;\u00a0 D\u00e1t b\u1ea1ch bi\u1ebfn vi\u00eam l\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u00f3 h\u1ed3ng ban \u0111\u1ecf, c\u00f3 b\u1edd g\u1edd cao tr\u00f4ng gi\u1ed1ng nh\u01b0 t\u1ed5n th\u01b0\u01a1ng b\u1ec7nh n\u1ea5m lang ben.\u00a0 Th\u01b0\u1eddng t\u1ed5n th\u01b0\u01a1ng n\u00e0y\u00a0 g\u1eb7p b\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n<\/p>\n<p>&#8211;\u00a0 D\u00e1t b\u1ea1ch bi\u1ebfn ban \u0111\u1ea7u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf m\u1ed9t v\u1ecb tr\u00ed b\u1ea5t k\u1ef3 tr\u00ean da. Th\u01b0\u1eddng ch\u1ec9 l\u00e0 m\u1ed9t v\u00e0i ch\u1ea5m nh\u1ecf, sau \u0111\u00f3 lan r\u1ed9ng ra c\u1ea3 v\u1ec1 k\u00edch th\u01b0\u1edbc v\u00e0 s\u1ed1 l\u01b0\u1ee3ng t\u1ed5n th\u01b0\u01a1ng. T\u00f9y theo th\u1ec3 l\u00e2m s\u00e0ng m\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n ch\u1eadm trong nhi\u1ec1u n\u0103m ho\u1eb7c ph\u00e1t tri\u1ec3n r\u1ea5t nhanh ch\u1ec9 trong v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i th\u00e1ng<\/p>\n<p>Trong b\u1ec7nh b\u1ea1ch bi\u1ebfn hi\u1ec7n nay, tr\u00ean l\u00e2m s\u00e0ng ng\u01b0\u1eddi ta chia l\u00e0m 2 type ch\u00ednh l\u00e0 type A v\u00e0 type B<\/p>\n<p>S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa b\u1ea1ch bi\u1ebfn type A v\u00e0 type B<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"269\"><strong>\u0110\u1eb7c \u0111i\u1ec3m <\/strong><strong>l\u00e2m <\/strong><strong>s\u00e0ng<\/strong><\/td>\n<td width=\"272\"><strong>Typ<\/strong><strong>e <\/strong><strong>A<\/strong><\/td>\n<td width=\"268\"><strong>T\u00fdpB<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"269\">Ph\u00e2n b\u1ed1<\/td>\n<td width=\"272\">Kh\u00f4ng khuc bi<\/td>\n<td width=\"268\">Khuc b\u00ec<\/td>\n<\/tr>\n<tr>\n<td width=\"269\">T\u1ec9 l\u1ec7<\/td>\n<td width=\"272\">3<\/td>\n<td width=\"268\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"269\">Ho\u1ea1t \u0111\u1ed9ng<\/td>\n<td width=\"272\">M\u1ecdi tu\u1ed5i (50% &lt;20 tu\u1ed5i)<\/td>\n<td width=\"268\">Lan ra (&lt;1 tu\u1ed5i)<\/td>\n<\/tr>\n<tr>\n<td width=\"269\">Ti\u1ebfn tri\u1ec3n<\/td>\n<td width=\"272\">Ti\u1ebfn tri\u1ec3n trong nhi\u1ec1u n\u0103m trong cu\u1ed9c \u0111\u1eddi<\/td>\n<td width=\"268\">Lan nhanh &lt;2 n\u0103m v\u00e0 d\u1eebng l\u1ea1i<\/td>\n<\/tr>\n<tr>\n<td width=\"269\">Sinh b\u1ec7nh h\u1ecdc<\/td>\n<td width=\"272\">C\u01a1 ch\u1ebf t\u1ef1 mi\u1ec5n<\/td>\n<td width=\"268\">C\u01a1 ch\u1ebf h\u00f3a th\u1ea7n kinh<\/td>\n<\/tr>\n<tr>\n<td width=\"269\">D\u1ea5u hi\u1ec7u Koebner<\/td>\n<td width=\"272\">C\u00f3<\/td>\n<td width=\"268\">Kh\u00f4ng<\/td>\n<\/tr>\n<tr>\n<td width=\"269\">Li\u00ean quan t\u1ef1 mi\u1ec5n<\/td>\n<td width=\"272\">C\u00f3<\/td>\n<td width=\"268\">Kh\u00f4ng<\/td>\n<\/tr>\n<tr>\n<td width=\"269\">Li\u00ean quan v\u1edbi Halo nevus<\/td>\n<td width=\"272\">C\u00f3<\/td>\n<td width=\"268\">Kh\u00f4ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>(Ngu\u1ed3n theo Thomas Habif-2010)<\/p>\n<p><strong>1.3 X\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 b\u1ec7nh v\u00e0 giai \u0111o\u1ea1n b\u1ec7nh b\u1ea1ch bi\u1ebfn<\/strong><\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh b\u1ea1ch bi\u1ebfn d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng l\u00e0 ch\u00ednh.<\/p>\n<p>\u0110\u1ec3 gi\u00fap cho vi\u1ec7c \u0111\u01b0a ra m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh b\u1ea1ch bi\u1ebfn, c\u00e1c t\u00e1c gi\u1ea3 \u0111\u00e3 th\u1ed1ng nh\u1ea5t c\u00e1ch \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 b\u1ec7nh v\u00e0 giai \u0111o\u1ea1n b\u1ec7nh b\u0103ng 2 chi s\u1ed1 l\u00e0 VASI (vitiligo area and seventy index) v\u00e0 VADI (vitiligo disease activity score)<\/p>\n<p><strong><em>X\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 b\u1ec7nh<\/em><\/strong><\/p>\n<p>X\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh b\u1ea1ch bi\u1ebfn b\u1eb1ng ch\u1ec9 s\u1ed1 VASI (Viti\u00adligo area and severity index) \u0110\u00e2y l\u00e0 chi s\u1ed1 x\u00e1c \u0111|nh m\u1ee9c \u0111\u1ed9 b\u1ec7nh b\u1ea1ch bi\u1ebfn d\u1ef1a tr\u00ean hai ti\u00eau ch\u00ed l\u00e0 di\u1ec7n t\u00edch t\u1ed5n th\u01b0\u01a1ng v\u00e0 \u0111\u1ed9 n\u1eb7ng t\u1ed5n th\u01b0\u01a1ng Di\u1ec7n t\u00edch t\u1ed5n th\u01b0\u01a1ng dung ph\u01b0\u01a1ng ph\u00e1p b\u00e0n tay (1 l\u00f2ng b\u00e0n tay b\u1ec7nh nh\u00e2n bang 1 &#8216;0 di\u1ec7n t\u00edch c\u01a1 th\u1ec3 c\u1ee7a ch\u00ednh h\u1ecd) c\u00f2n \u0111\u1ed9 n\u1eb7ng d\u1ef1a v\u00e0o t\u1ec9 l\u1ec7 ph\u1ea7n tr\u0103m m\u1eaft s\u1eafc t\u1ed1 t\u1ea1i v\u00f9ng t\u1ed5n th\u01b0\u01a1ng VASI l\u00e0 t\u1ed5ng di\u1ec7n t\u00edch t\u1ed5n th\u01b0\u01a1ng nh\u00e2n v\u1edbi ph\u1ea7n tr\u0103m s\u1eafc t\u1ed1.<\/p>\n<p><strong>VASI= di\u1ec7n t\u00edch t\u1ea5t c\u1ea3 ch\u1ed7 c\u01a1 th\u1ec3 (\u0111\u01a1n v\u1ecb b\u00e0n tay) xph\u1ea7n c\u00f2n l\u1ea1i m\u1ea5t s\u1eafc t\u1ed1<\/strong><\/p>\n<p>Trong \u0111\u00f3, ph\u1ea7n c\u00f2n l\u1ea1i m\u1ea5t s\u1eafc t\u1ed1 0% 10%, 50%, 75%, 90% ho\u1eb7c 100% v\u00e0 di\u1ec7n t\u00edch t\u1ea5t c\u1ea3 b\u1eb1ng di\u1ec7n t\u00edch c\u00e1c v\u00f9ng m\u1eb7t, th\u00e2n, chi tr\u00ean, chi d\u01b0\u1edbi, sinh d\u1ee5c c\u1ed9ng l\u1ea1i.<\/p>\n<p><strong>X\u00e1c <em>\u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh b\u1ea1ch bi\u1ebfn<\/em><\/strong><\/p>\n<p>X\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh b\u1ea1ch bi\u1ebfn b\u1eb1ng ch\u1ec9 s\u1ed1 VIDA<\/p>\n<p>\u0110\u00e2y l\u00e0 ch\u00ec s\u1ed1 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh b\u1ea1ch bi\u1ebfn d\u1ef1a v\u00e0o th\u1eddi gian b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n b\u1ec7nh b\u1ea1ch bi\u1ebfn \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m x\u00e1c \u0111\u1ecbnh b\u1ec7nh C\u1ee5 th\u1ec3:<\/p>\n<p><strong><em>B\u1ea3ng : M\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh b\u1ea1ch bi\u1ebfn<\/em><\/strong><\/p>\n<table width=\"856\">\n<tbody>\n<tr>\n<td width=\"315\"><strong>Ho\u1ea1t \u0111\u1ed9ng b\u1ea1ch bi\u1ebfn<\/strong><\/td>\n<td width=\"388\"><strong>Th\u1eddi gian<\/strong><\/td>\n<td width=\"153\"><strong>Ch\u1ec9 s\u1ed1 VIDA<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"315\">Ho\u1ea1t \u0111\u1ed9ng<\/td>\n<td width=\"388\">d\u01b0\u1edbi ho\u1eb7c b\u1eb1ng 6 tu\u1ea7n<\/td>\n<td width=\"153\">+ 4<\/td>\n<\/tr>\n<tr>\n<td width=\"315\">&#8211;<\/td>\n<td width=\"388\">6 tu\u1ea7n &#8211; &lt;3 th\u00e1ng<\/td>\n<td width=\"153\">+ 3<\/td>\n<\/tr>\n<tr>\n<td width=\"315\">&#8211;<\/td>\n<td width=\"388\">3-6 th\u00e1ng<\/td>\n<td width=\"153\">+ 2<\/td>\n<\/tr>\n<tr>\n<td width=\"315\">&#8211;<\/td>\n<td width=\"388\">6-&lt; 12 th\u00e1ng<\/td>\n<td width=\"153\">+ 1<\/td>\n<\/tr>\n<tr>\n<td width=\"315\">\u1ed5n \u0111\u1ecbnh<\/td>\n<td width=\"388\">1 n\u0103m ho\u1eb7c h\u01a1n<\/td>\n<td width=\"153\">0<\/td>\n<\/tr>\n<tr>\n<td width=\"315\">\u1ed5n \u0111\u1ecbnh v\u1edbi c\u00f3 t\u00e1i nhi\u1ec5m s\u1eafc<\/td>\n<td width=\"388\">1 n\u0103m ho\u1eb7c h\u01a1n<\/td>\n<td width=\"153\">&#8211; 1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>1.4 Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh b\u1ea1ch t\u1ea1ng<\/li>\n<li>B\u1ec7nh phong<\/li>\n<li>B\u1ec7nh lang ben<\/li>\n<li>Di ch\u1ee9ng sau \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh da kh\u00e1c nh\u01b0 zona, v\u1ea3y n\u1ebfn<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>2. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh b\u1ea1ch bi\u1ebfn<\/h2>\n<p>\u0110\u1ec3 ch\u1ecdn m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho t\u1eebng b\u1ec7nh nh\u00e2n, c\u1ea7n d\u1ef1a v\u00e0o m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 nh\u01b0 tu\u1ed5i \u0111\u1eddi gi\u1edbi t\u00ednh v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, di\u1ec7n t\u00edch t\u1ed5n th\u01b0\u01a1ng, nh\u1eefng bi\u1ebfn \u0111\u1ed5i mi\u1ec5n d\u1ecbch, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3 \u0111i\u1ec1u ki\u1ec7n c\u00f4ng t\u00e1c, kh\u1ea3 n\u0103ng kinh t\u1ebf.\u00a0 Hi\u1ec7n nay c\u00e1c t\u00e1c gi\u1ea3 \u0111\u01b0a ra hai ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh b\u1ea1ch bi\u1ebfn l\u00e0 thu\u1ed1c g\u00e2y t\u00e1i nhi\u1ec5m s\u1eafc (repigmentation) v\u00e1 g\u00e2y m\u1ea5t nhi\u1ec5m s\u1eafc (depigmentation)<\/p>\n<p>C\u00e1c li\u1ec7u ph\u00e1p g\u00e2y t\u00e1i nhi\u1ec5m s\u1eafc \u0111\u1ebfn nay bao g\u1ed3m c\u00e1c thu\u1ed1c corticoid t\u1ea1i ch\u1ed7 tacrolimus b\u00f4i (protopic, rocimus ), calcipotriol b\u00f4i (daivonex, daivobet), piperine (kem Viticare-E), UV-B, UV-311nm PUVA v\u00e0 ph\u1eabu thu\u1eadt (gh\u00e9p da t\u1ef1 th\u00e2n ). Ngo\u00e0i ra, c\u00f2n dung laser HeNe chi\u1ebfu v\u00e0 laser CO<sub>2<\/sub> \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh b\u1ea1ch bi\u1ebfn c\u0169ng mang l\u1ea1i nhi\u1ec1u kh\u1ea3 quan<\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p g\u00e2y m\u1ea5t s\u1eafc t\u1ed1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi t\u1ed5n th\u01b0\u01a1ng b\u1ea1ch bi\u1ebfn qu\u00e1 nhi\u1ec1u &#8211; tr\u00ean 50% b\u1ec1 m\u1eb7t di\u1ec7n tich da m\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1i nhi\u1ec5m s\u1eafc kh\u00f4ng k\u1ebft qu\u1ea3 C\u00e1c thu\u1ed1c dung monobenzylether 20%.<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong> M\u1ed9t s\u1ed1 b\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch th\u01b0\u1eddng g\u1eb7p &#8211; PGS.TS \u0110\u1eb7ng V\u0103n Em, Vi\u1ec7n 108.<\/p>\n<p><strong>Tags: #Da li\u1ec5u,#B\u1ec7nh t\u1ef1 mi\u1ec5n, #B\u1ec7nh b\u1ea1ch bi\u1ebfn<\/strong><\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/benh-vay-nen-3093\/\">B\u1ec7nh v\u1ea3y n\u1ebfn<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh b\u1ea1ch bi\u1ebfn l\u00e0 b\u1ec7nh do t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n s\u1eafc t\u1ed1 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c \u0111\u00e1m gi\u1ea3m s\u1eafc t\u1ed1 to nh\u1ecf kh\u00e1c nhau, ph\u1ea7n l\u1edbn l\u00e0 h\u00ecnh tr\u00f2n. \u0110\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh l\u00e0 nh\u1eefng \u0111i\u1ec3m gi\u1ea3m s\u1eafc t\u1ed1 , m\u00e0u tr\u1eafng, ranh gi\u1edbi r\u00f5 v\u00e0 \u0111\u01b0\u1ee3c bao quanh l\u00e0 v\u00f9ng s\u1eabm m\u00e0u. B\u1ec7nh [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[27,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh b\u1ea1ch bi\u1ebfn: Tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh b\u1ea1ch bi\u1ebfn l\u00e0 b\u1ec7nh do t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n s\u1eafc t\u1ed1 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c \u0111\u00e1m gi\u1ea3m s\u1eafc t\u1ed1 to nh\u1ecf kh\u00e1c nhau, ph\u1ea7n l\u1edbn l\u00e0 h\u00ecnh tr\u00f2n.\" \/>\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 b\u1ea1ch bi\u1ebfn: Tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb - 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