{"id":402,"date":"2021-08-16T11:52:14","date_gmt":"2021-08-16T11:52:14","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=402"},"modified":"2021-08-17T14:32:37","modified_gmt":"2021-08-17T14:32:37","slug":"u-nguyen-bao-than","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-nguyen-bao-than\/","title":{"rendered":"U NGUY\u00caN B\u00c0O TH\u1eacN"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>U<\/strong><strong> nguy\u00ean b\u00e0o th\u1eadn<\/strong><\/p>\n\n\n\n<ul><li>U nguy\u00ean b\u00e0o th\u1eadn (hay c\u00f2n g\u1ecdi l\u00e0 u Wilm) l\u00e0 ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a th\u1eadn \u1edf tr\u1ebb em.<\/li><li>L\u1ee9a tu\u1ed5i th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u nh\u1ea5t l\u00e0 6 th\u00e1ng \u0111\u1ebfn 5 tu\u1ed5i.<\/li><li>B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf m\u1ed9t th\u1eadn, nh\u01b0ng \u0111\u00f4i khi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong c\u1ea3 hai qu\u1ea3 th\u1eadn c\u00f9ng m\u1ed9t l\u00fac.<strong><\/strong><\/li><li>Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh r\u1ea5t t\u1ed1t v\u1edbi t\u1ec9 l\u1ec7 s\u1ed1ng s\u00f3t sau 5 n\u0103m l\u00ean \u0111\u1ebfn tr\u00ean 90% n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<p>Tr\u1ebb em c\u00f3 kh\u1ed1i u Wilms c\u00f3 th\u1ec3 kh\u1ecfe m\u1ea1nh, ho\u1eb7c c\u00f3 th\u1ec3 g\u1eb7p:<\/p>\n\n\n\n<ul><li>B\u1ee5ng to.<\/li><li>M\u1ed9t kh\u1ed1i trong b\u1ee5ng c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y.<\/li><li>\u0110au b\u1ee5ng.<\/li><li>S\u1ed1t.<\/li><li>C\u00f3 m\u00e1u trong n\u01b0\u1edbc ti\u1ec3u.<\/li><\/ul>\n\n\n\n<p>H\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 n\u1ebfu nh\u1eadn th\u1ea5y b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng lo l\u1eafng.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>Hi\u1ec7n nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh u Wilm v\u1eabn ch\u01b0a ho\u00e0n to\u00e0n \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5. Ch\u00fang ta ch\u1ec9 bi\u1ebft r\u1eb1ng ung th\u01b0 b\u1eaft \u0111\u1ea7u khi c\u00e1c t\u1ebf b\u00e0o ph\u00e1t tri\u1ec3n c\u00e1c l\u1ed7i trong ADN c\u1ee7a n\u00f3. C\u00e1c l\u1ed7i n\u00e0y cho ph\u00e9p t\u1ebf b\u00e0o ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c v\u00e0 s\u1ed1ng khi c\u00e1c t\u1ebf b\u00e0o kh\u00e1c s\u1ebd ch\u1ebft. C\u00e1c t\u1ebf b\u00e0o t\u00edch t\u1ee5 t\u1ea1o th\u00e0nh m\u1ed9t kh\u1ed1i u. Trong kh\u1ed1i u Wilms, qu\u00e1 tr\u00ecnh n\u00e0y x\u1ea3y ra trong c\u00e1c t\u1ebf b\u00e0o th\u1eadn<\/li><li>Trong m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p u Wilms, c\u00e1c l\u1ed7i trong DNA \u0111\u01b0\u1ee3c truy\u1ec1n t\u1eeb cha m\u1eb9 cho tr\u1ebb em. Trong h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p, kh\u00f4ng c\u00f3 k\u1ebft n\u1ed1i quan h\u1ec7 gi\u1eefa cha m\u1eb9 v\u00e0 con c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ung th\u01b0. Thay v\u00e0o \u0111\u00f3, m\u1ed9t b\u1ea5t th\u01b0\u1eddng n\u00e0o \u0111\u00f3 x\u1ea3y ra trong ph\u00e1t tri\u1ec3n s\u1edbm c\u1ee7a tr\u1ebb em \u0111\u00f3 g\u00e2y ra l\u1ed7i DNA v\u00e0 d\u1eabn \u0111\u1ebfn kh\u1ed1i u Wilms.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/p>\n\n\n\n<ul><li>N\u1eef gi\u1edbi: Con g\u00e1i h\u01a1i nhi\u1ec1u kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n kh\u1ed1i u Wilms h\u01a1n l\u00e0 con trai.<\/li><li>M\u00e0u da \u0111en: Tr\u1ebb em da \u0111en cao h\u01a1n m\u1ed9t ch\u00fat nguy c\u01a1 ph\u00e1t tri\u1ec3n kh\u1ed1i u Wilms so v\u1edbi tr\u1ebb em thu\u1ed9c c\u00e1c ch\u1ee7ng t\u1ed9c kh\u00e1c. Tr\u1ebb em g\u1ed1c \u00c1 Ch\u00e2u c\u00f3 m\u1ed9t r\u1ee7i ro th\u1ea5p h\u01a1n so v\u1edbi tr\u1ebb em thu\u1ed9c c\u00e1c ch\u1ee7ng t\u1ed9c kh\u00e1c.<\/li><li>Trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh u Wilms: N\u1ebfu ai \u0111\u00f3 trong gia \u0111\u00ecnh \u0111\u00e3 b\u1ecb u Wilms, th\u1ebf h\u1ec7 sau c\u00f3 t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n b\u1ec7nh<\/li><li>B\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh:<\/li><li>T\u1eadt kh\u00f4ng m\u1ed1ng m\u1eaft: ph\u1ea7n m\u00e0u c\u1ee7a m\u1eaft t\u1ea1o th\u00e0nh ch\u1ec9 m\u1ed9t ph\u1ea7n ho\u1eb7c kh\u00f4ng g\u00ec c\u1ea3.<\/li><li>Ph\u00ec \u0111\u1ea1i n\u1eeda ng\u01b0\u1eddi: m\u1ed9t b\u00ean c\u1ee7a c\u01a1 th\u1ec3 l\u1edbn h\u01a1n ph\u00eda b\u00ean kia.<\/li><li>Tinh ho\u00e0n kh\u00f4ng xu\u1ed1ng: M\u1ed9t ho\u1eb7c c\u1ea3 hai tinh ho\u00e0n kh\u00f4ng xu\u1ed1ng v\u00e0o b\u00ecu.<\/li><li>L\u1ed7 ti\u1ec3u th\u1ea5p: l\u1ed7 ti\u1ec3u \u1edf m\u1eb7t d\u01b0\u1edbi d\u01b0\u01a1ng v\u1eadt<\/li><li>H\u1ed9i ch\u1ee9ng hi\u1ebfm g\u1eb7p:<\/li><li>H\u1ed9i ch\u1ee9ng WAGR: H\u1ed9i ch\u1ee9ng n\u00e0y bao g\u1ed3m c\u00e1c kh\u1ed1i u Wilms, aniridia, b\u1ea5t th\u01b0\u1eddng c\u1ee7a b\u1ed9 ph\u1eadn sinh d\u1ee5c v\u00e0 h\u1ec7 th\u1ed1ng ti\u1ebft ni\u1ec7u v\u00e0 ch\u1eadm ph\u00e1t tri\u1ec3n tr\u00ed tu\u1ec7.<\/li><li>H\u1ed9i ch\u1ee9ng Denys-Drash: H\u1ed9i ch\u1ee9ng n\u00e0y bao g\u1ed3m c\u00e1c kh\u1ed1i u Wilms, b\u1ec7nh th\u1eadn v\u00e0 pseudohermaphroditism nam (\u201c\u00e1i nam \u00e1i n\u1eef gi\u1ea3 ki\u1ec3u nam\u201d), trong \u0111\u00f3 m\u1ed9t c\u1eadu b\u00e9 \u0111\u01b0\u1ee3c sinh ra c\u00f3 tinh ho\u00e0n nh\u01b0ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n \u0111\u1eb7c t\u00ednh n\u1eef.<\/li><li>H\u1ed9i ch\u1ee9ng Beckwith-Wiedemann: C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y bao g\u1ed3m c\u00e1c c\u01a1 quan b\u1ee5ng nh\u00f4 ra v\u00e0o n\u01a1i c\u1ee7a d\u00e2y r\u1ed1n, l\u01b0\u1ee1i l\u1edbn v\u00e0 c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng l\u1edbn.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>X\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u: X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 kh\u00f4ng ph\u00e1t hi\u1ec7n kh\u1ed1i u Wilms, nh\u01b0ng c\u00f3 th\u1ec3 cung c\u1ea5p cho b\u00e1c s\u0129 m\u1ed9t \u0111\u00e1nh gi\u00e1 t\u1ed5ng th\u1ec3 s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb.<\/li><li>Ki\u1ec3m tra h\u00ecnh \u1ea3nh: Ki\u1ec3m tra h\u00ecnh \u1ea3nh t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a th\u1eadn c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh xem c\u00f3 m\u1ed9t kh\u1ed1i u th\u1eadn. Ki\u1ec3m tra h\u00ecnh \u1ea3nh c\u00f3 th\u1ec3 bao g\u1ed3m si\u00eau \u00e2m, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) v\u00e0 h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI).<\/li><li>Ph\u1eabu thu\u1eadt: N\u1ebfu c\u00f3 m\u1ed9t kh\u1ed1i u th\u1eadn, b\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u00ean n\u00ean lo\u1ea1i b\u1ecf kh\u1ed1i u. C\u00e1c m\u00f4 s\u1ebd \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch trong ph\u00f2ng th\u00ed nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ung th\u01b0 v\u00e0 nh\u1eefng lo\u1ea1i t\u1ebf b\u00e0o c\u00f3 li\u00ean quan. Ph\u1eabu thu\u1eadt n\u00e0y c\u0169ng c\u00f3 th\u1ec3 ph\u1ee5c v\u1ee5 nh\u01b0 \u0111i\u1ec1u tr\u1ecb cho c\u00e1c kh\u1ed1i u Wilms.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>X\u00e1c \u0111\u1ecbnh giai \u0111o\u1ea1n<\/strong><\/p>\n\n\n\n<ul><li>Khi b\u00e1c s\u0129 \u0111\u00e3 ch\u1ea9n \u0111o\u00e1n kh\u1ed1i u Wilms, c\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 (giai \u0111o\u1ea1n) c\u1ee7a ung th\u01b0.<\/li><li>B\u00e1c s\u0129 c\u1ee7a c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb ch\u1ee5p X-quang, CT scan ng\u1ef1c, MRI ng\u1ef1c v\u00e0 qu\u00e9t x\u01b0\u01a1ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem ung th\u01b0 \u0111\u00e3 lan tr\u00e0n ra ngo\u00e0i th\u1eadn ch\u01b0a.<\/li><li>B\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n b\u1ec7nh ung th\u01b0 s\u1ebd gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c giai \u0111o\u1ea1n c\u1ee7a kh\u1ed1i u Wilms:<\/strong><strong><\/strong><\/p>\n\n\n\n<ul><li>Giai \u0111o\u1ea1n I.: Ung th\u01b0 ch\u1ec9 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u1ed9t qu\u1ea3 th\u1eadn, v\u00e0 n\u00f3i chung c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n b\u1ecb lo\u1ea1i b\u1ecf b\u1eb1ng ph\u1eabu thu\u1eadt&#8230;<\/li><li>Giai \u0111o\u1ea1n II: Ung th\u01b0 \u0111\u00e3 lan r\u1ed9ng \u0111\u1ebfn c\u00e1c m\u00f4 v\u00e0 c\u01a1 g\u1ea7n th\u1eadn b\u1ecb \u1ea3nh h\u01b0\u1edfng, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u01a1 hay c\u00e1c m\u1ea1ch m\u00e1u, nh\u01b0ng n\u00f3 v\u1eabn c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n b\u1ecb lo\u1ea1i b\u1ecf b\u1eb1ng ph\u1eabu thu\u1eadt.<\/li><li>Giai \u0111o\u1ea1n III: Ung th\u01b0 \u0111\u00e3 lan r\u1ed9ng ra ngo\u00e0i v\u00f9ng th\u1eadn \u0111\u1ebfn c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft g\u1ea7n \u0111\u00f3 ho\u1eb7c c\u00e1c c\u1ea5u tr\u00fac kh\u00e1c trong b\u1ee5ng, v\u00e0 n\u00f3 c\u00f3 th\u1ec3 kh\u00f4ng ho\u00e0n to\u00e0n b\u1ecb lo\u1ea1i b\u1ecf b\u1eb1ng ph\u1eabu thu\u1eadt.<\/li><li>Giai \u0111o\u1ea1n IV: Ung th\u01b0 \u0111\u00e3 lan r\u1ed9ng t\u1edbi c\u00e1c c\u1ea5u tr\u00fac xa, ch\u1eb3ng h\u1ea1n nh\u01b0 ph\u1ed5i, gan, x\u01b0\u01a1ng ho\u1eb7c n\u00e3o.<\/li><li>Giai \u0111o\u1ea1n V: T\u1ebf b\u00e0o ung th\u01b0 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong c\u1ea3 hai qu\u1ea3 th\u1eadn.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>\u0110i\u1ec1u tr\u1ecb kh\u1ed1i u Wilms bao g\u1ed3m ph\u1eabu thu\u1eadt v\u00e0 h\u00f3a tr\u1ecb, ngo\u00e0i ra x\u1ea1 tr\u1ecb c\u00f3 th\u1ec3 c\u1ea7n trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p.<\/li><li>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay theo ti\u00eau chu\u1ea9n c\u1ee7a c\u00e1c n\u01b0\u1edbc ch\u00e2u \u00c2u (\u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u v\u00e0 cho th\u1ea5y k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t) l\u00e0 h\u00f3a tr\u1ecb 4 tu\u1ea7n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/li><li>T\u00f9y tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 th\u00ec ph\u00e1c \u0111\u1ed3 n\u00e0y s\u1ebd thay \u0111\u1ed5i.<\/li><\/ul>\n\n\n\n<p><strong><em>Ph\u1eabu thu\u1eadt:<\/em><\/strong><\/p>\n\n\n\n<ul><li>C\u1eaft b\u1ecf to\u00e0n b\u1ed9 th\u1eadn ch\u1ee9a u: \u0110\u00e2y l\u00e0 ph\u1eabu thu\u1eadt ti\u00eau chu\u1ea9n trong \u0111i\u1ec1u tr\u1ecb u Wilm. Trong ph\u1eabu thu\u1eadt n\u00e0y, c\u00e1c b\u00e1c s\u0129 c\u1eaft b\u1ecf th\u1eadn v\u00e0 m\u00f4 xung quanh, bao g\u1ed3m ni\u1ec7u qu\u1ea3n v\u00e0 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. C\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft l\u00e2n c\u1eadn c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y \u0111i.<\/li><li>C\u1eaft u b\u1ea3o t\u1ed3n th\u1eadn: Ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong tr\u01b0\u1eddng h\u1ee3p u th\u1eadn 2 b\u00ean, c\u1ea7n ph\u1ea3i b\u1ea3o t\u1ed3n 1 b\u00ean th\u1eadn<\/li><\/ul>\n\n\n\n<p><strong><em>H\u00f3a tr\u1ecb<\/em><\/strong><em>:<\/em><\/p>\n\n\n\n<ul><li>H\u00f3a tr\u1ecb s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 kh\u1eafp c\u01a1 th\u1ec3.<\/li><li>C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n, r\u1ee5ng t\u00f3c v\u00e0 s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o m\u00e1u tr\u1eafng th\u1ea5p.<\/li><li>H\u1ea7u h\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 s\u1ebd c\u1ea3i thi\u1ec7n sau khi thu\u1ed1c \u0111\u01b0\u1ee3c d\u1eebng l\u1ea1i, v\u00e0 m\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 gi\u1ea3m b\u1edbt trong khi \u0111i\u1ec1u tr\u1ecb.<\/li><\/ul>\n\n\n\n<p><em><strong>X\u1ea1 tr\u1ecb<\/strong>:<\/em><\/p>\n\n\n\n<ul><li>X\u1ea1 tr\u1ecb s\u1eed d\u1ee5ng X-quang ho\u1eb7c c\u00e1c ngu\u1ed3n kh\u00e1c c\u1ee7a c\u00e1c tia n\u0103ng l\u01b0\u1ee3ng cao \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/li><li>Th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u trong v\u00f2ng v\u00e0i ng\u00e0y sau khi ph\u1eabu thu\u1eadt. N\u1ebfu b\u1ec7nh nh\u00e2n r\u1ea5t nh\u1ecf, c\u00f3 th\u1ec3 c\u1ea7n m\u1ed9t thu\u1ed1c an th\u1ea7n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/li><li>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 x\u1ea1 tr\u1ecb s\u1ebd \u0111\u00e1nh d\u1ea5u c\u00e1c khu v\u1ef1c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng m\u1ed9t lo\u1ea1i thu\u1ed1c nhu\u1ed9m \u0111\u1eb7c bi\u1ec7t. C\u00e1c khu v\u1ef1c kh\u00f4ng n\u00ean nh\u1eadn \u0111\u01b0\u1ee3c b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7.<\/li><li>Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 bao g\u1ed3m bu\u1ed3n n\u00f4n, m\u1ec7t m\u1ecfi v\u00e0 k\u00edch \u1ee9ng da. Ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 x\u1ea3y ra sau khi b\u1ee9c x\u1ea1 v\u00e0o b\u1ee5ng.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng:<\/strong><\/p>\n\n\n\n<ul><li>N\u00f3i chung kh\u00e1 t\u1ed1t (&gt;90% kh\u1ecfi b\u1ec7nh)<\/li><li>Nh\u01b0ng c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n v\u00e0 lo\u1ea1i t\u1ebf b\u00e0o c\u1ee7a kh\u1ed1i u.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>U nguy\u00ean b\u00e0o th\u1eadn U nguy\u00ean b\u00e0o th\u1eadn (hay c\u00f2n g\u1ecdi l\u00e0 u Wilm) l\u00e0 ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a th\u1eadn \u1edf tr\u1ebb em. L\u1ee9a tu\u1ed5i th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u nh\u1ea5t l\u00e0 6 th\u00e1ng \u0111\u1ebfn <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-nguyen-bao-than\/\" title=\"U NGUY\u00caN B\u00c0O TH\u1eacN\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":418,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,21],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/402"}],"collection":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=402"}],"version-history":[{"count":2,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/402\/revisions"}],"predecessor-version":[{"id":420,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/402\/revisions\/420"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/418"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=402"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}