{"id":260,"date":"2026-01-26T07:03:04","date_gmt":"2026-01-26T07:03:04","guid":{"rendered":"https:\/\/dongythelong.vn\/?p=260"},"modified":"2026-01-26T07:19:24","modified_gmt":"2026-01-26T07:19:24","slug":"benh-thuy-dau-la-gi","status":"publish","type":"post","link":"https:\/\/dongythelong.vn\/index.php\/2026\/01\/26\/benh-thuy-dau-la-gi\/","title":{"rendered":"B\u1ec7nh thu\u1ef7 \u0111\u1eadu l\u00e0 g\u00ec ?"},"content":{"rendered":"\n

1. \u0110\u1ecaNH NGH\u0128A<\/strong><\/p>\n\n\n\n

Th\u1ee7y \u0111\u1eadu l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh, l\u00e2y theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ch\u1ee7 y\u1ebfu c\u1ee7a b\u1ec7nh l\u00e0 s\u1ed1t; ph\u00e1t ban m\u1ee5n n\u01b0\u1edbc tr\u00ean da – ni\u00eam m\u1ea1c, ban m\u1ecdc th\u00e0nh nhi\u1ec1u \u0111\u1ee3t c\u00e1ch nhau 3 – 4 ng\u00e0y.<\/p>\n\n\n\n

2. L\u1ecaCH S\u1eec NGHI\u00caN C\u1ee8U<\/strong><\/p>\n\n\n\n

B\u1ec7nh th\u1ee7y \u0111\u1eadu \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c gi\u1ea3 m\u00f4 t\u1ea3 t\u1eeb th\u1eddi c\u1ed5 \u0111\u1ea1i (C.S. Plimus) v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t th\u1ec3 b\u1ec7nh \u0111\u1eadu m\u00f9a nh\u1eb9.<\/p>\n\n\n\n

Vogel (1765) \u0111\u1eb7t t\u00ean b\u1ec7nh l\u00e0 Varicella.<\/em><\/p>\n\n\n\n

Heberden (1767) l\u1ea7n \u0111\u1ea7u ti\u00ean m\u00f4 t\u1ea3 th\u1ee7y \u0111\u1eadu l\u00e0 m\u1ed9t b\u1ec7nh c\u00f3 b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng ri\u00eang bi\u1ec7t.<\/p>\n\n\n\n

Steiner (1875) \u0111\u00e3 ch\u1ee9ng minh th\u1ee7y \u0111\u1eadu l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m.<\/p>\n\n\n\n

Aragao (1911) v\u00e0 E. Paschen (1917) ch\u1ee9ng minh m\u1ea7m b\u1ec7nh l\u00e0 virus.<\/p>\n\n\n\n

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\"\"<\/figure>\n<\/figure>\n\n\n\n

3. D\u1ecaCH T\u1ec4 H\u1eccC<\/strong><\/p>\n\n\n\n

3.1. M\u1ea7m b\u1ec7nh<\/strong><\/p>\n\n\n\n

Virus g\u00e2y b\u1ec7nh th\u1ee7y \u0111\u1eadu l\u00e0 m\u1ed9t lo\u1ea1i virus c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn, c\u00f3 t\u00ean g\u1ecdi l\u00e0 virus Varicella<\/em> z<\/em>oster<\/em>, thu\u1ed9c h\u1ecd Herpe<\/em>s<\/em>viridae<\/em>, c\u00f3 acid nh\u00e2n l\u00e0 DNA. K\u00edch th\u01b0\u1edbc kho\u1ea3ng 150 – 200nm, \u1edf ngo\u00e0i c\u01a1 th\u1ec3 virus k\u00e9m b\u1ec1n v\u1eefng. Nu\u00f4i c\u1ea5y virus trong ph\u00f4i b\u00e0o g\u00e0 v\u00e0 \u1edf m\u00f4i tr\u01b0\u1eddng m\u00f4.<\/p>\n\n\n\n

Virus Varicella zoster<\/em> g\u00e2y ra hai th\u1ec3 b\u1ec7nh l\u00e0 th\u1ee7y \u0111\u1eadu v\u00e0 Herpes zoster<\/em> (b\u1ec7nh Zona) \u0111\u01b0\u1ee3c Kindratitf m\u00f4 t\u1ea3 n\u0103m 1925.<\/p>\n\n\n\n

3.2. Ngu\u1ed3n b\u1ec7nh<\/strong><\/p>\n\n\n\n

Ngu\u1ed3n b\u1ec7nh l\u00e0 ng\u01b0\u1eddi b\u1ec7nh th\u1ee7y \u0111\u1eadu, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi kh\u00e1c t\u1eeb cu\u1ed1i th\u1eddi k\u1ef3 nung b\u1ec7nh (kho\u1ea3ng 48 gi\u1edd tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n ban), trong giai \u0111o\u1ea1n ph\u00e1t ban (th\u01b0\u1eddng k\u00e9o d\u00e0i 4 – 5 ng\u00e0y) v\u00e0 cho t\u1edbi khi ban \u0111\u00f3ng v\u1ea3y.<\/p>\n\n\n\n

Tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh th\u1ee7y \u0111\u1eadu sau khi ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi l\u1edbn b\u1ecb b\u1ec7nh Herpes zoster.<\/p>\n\n\n\n

3.3. \u0110\u01b0\u1eddng l\u00e2y<\/strong><\/p>\n\n\n\n

B\u1ec7nh th\u1ee7y \u0111\u1eadu l\u00e2y theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do virus trong n\u01b0\u1edbc b\u1ecdt v\u00e0 d\u1ecbch \u1edf h\u1ecdng ng\u01b0\u1eddi b\u1ec7nh b\u1eafn ra m\u00f4i tr\u01b0\u1eddng xung quanh. Khi ng\u01b0\u1eddi b\u1ec7nh ho, h\u1eaft h\u01a1i,           g\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi kh\u00e1c ch\u01b0a b\u1ecb b\u1ec7nh. \u0110\u01b0\u1eddng v\u00e0o ch\u1ee7 y\u1ebfu l\u00e0 ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, c\u0169ng c\u00f3 th\u1ec3 l\u00e0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, k\u1ebft m\u1ea1c m\u1eaft nh\u01b0ng hi\u1ebfm g\u1eb7p. Th\u1ee7y \u0111\u1eadu            l\u00e0 b\u1ec7nh d\u1ec5 l\u00e2y truy\u1ec1n, t\u1ef7 l\u1ec7 l\u00e2y nhi\u1ec5m l\u00ean \u0111\u1ebfn 90% \u1edf nh\u1eefng ng\u01b0\u1eddi ch\u01b0a c\u00f3          mi\u1ec5n d\u1ecbch.<\/p>\n\n\n\n

2.3.4. C\u01a1 th\u1ec3 c\u1ea3m th\u1ee5 v\u00e0 mi\u1ec5n d\u1ecbch<\/strong><\/p>\n\n\n\n

T\u1ea5t c\u1ea3 m\u1ecdi l\u1ee9a tu\u1ed5i \u0111\u1ec1u c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh th\u1ee7y \u0111\u1eadu. L\u1ee9a tu\u1ed5i d\u1ec5 m\u1eafc b\u1ec7nh l\u00e0 tr\u1ebb em t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 7 tu\u1ed5i. Ng\u01b0\u1eddi l\u1edbn \u00edt b\u1ecb m\u1eafc b\u1ec7nh v\u00ec \u0111\u00e3 c\u00f3 mi\u1ec5n d\u1ecbch, ch\u1ec9 kho\u1ea3ng 10% ng\u01b0\u1eddi l\u1edbn tr\u00ean 20 tu\u1ed5i m\u1eafc b\u1ec7nh th\u1ee7y \u0111\u1eadu. B\u1ec7nh hay g\u1eb7p v\u00e0o m\u00f9a l\u1ea1nh.<\/p>\n\n\n\n

Ng\u01b0\u1eddi b\u1ec7nh sau khi m\u1eafc b\u1ec7nh c\u00f3 mi\u1ec5n d\u1ecbch b\u1ec1n v\u1eefng su\u1ed1t \u0111\u1eddi, tuy nhi\u00ean c\u0169ng c\u00f3 kho\u1ea3ng 1% t\u00e1i nhi\u1ec5m.<\/p>\n\n\n\n

4. C\u01a0 CH\u1ebe B\u1ec6NH SINH V\u00c0 M\u00d4 B\u1ec6NH H\u1eccC<\/strong><\/p>\n\n\n\n

4.1. C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/strong><\/p>\n\n\n\n

T\u1eeb c\u1eeda v\u00e0o l\u00e0 ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, virus v\u00e0o m\u00e1u v\u00e0 \u0111i \u0111\u1ebfn c\u00e1c c\u01a1 quan kh\u00e1c. Ban xu\u1ea5t hi\u1ec7n \u1edf da v\u00e0 ni\u00eam m\u1ea1c l\u00e0 do virus th\u1ee7y \u0111\u1eadu khu tr\u00fa v\u00e0 ph\u00e1t tri\u1ec3n \u1edf \u0111\u00f3. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 cho r\u1eb1ng virus th\u1ee7y \u0111\u1eadu c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh \u1edf th\u1ec3 ng\u1ee7 sau khi kh\u1ecfi b\u1ec7nh.<\/p>\n\n\n\n

4.2. M\u00f4 b\u1ec7nh h\u1ecdc<\/strong><\/p>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng ch\u1ee7 y\u1ebfu \u1edf da v\u00e0 ni\u00eam m\u1ea1c, ph\u00f9 n\u1ec1, tho\u00e1i h\u00f3a n\u01b0\u1edbc t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 t\u1ea1o th\u00e0nh c\u00e1c n\u1ed1t ph\u1ecfng n\u01b0\u1edbc c\u00f3 m\u1ed9t ng\u0103n trong da. C\u00e1c n\u1ed1t ph\u1ecfng ch\u1ee9a virus th\u1ee7y \u0111\u1eadu, d\u1ecbch t\u1ebf b\u00e0o bi\u1ec3u m\u00f4, b\u1ea1ch c\u1ea7u tho\u00e1i h\u00f3a v\u00e0 t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ebfn ch\u1ee9ng vi\u00eam n\u00e3o b\u1ecb t\u1eed vong, h\u00ecnh \u1ea3nh m\u00f4 b\u1ec7nh h\u1ecdc l\u00e0 vi\u00eam n\u00e3o virus h\u1eadu ph\u00e1t.<\/p>\n\n\n\n

5. L\u00c2M S\u00c0NG<\/strong><\/p>\n\n\n\n

5.1. Ph\u00e2n chia th\u1ec3 l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n

– Th\u1ec3 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/p>\n\n\n\n

– Th\u1ec3 th\u00f4ng th\u01b0\u1eddng \u0111i\u1ec3n h\u00ecnh.<\/p>\n\n\n\n

– Th\u1ec3 \u0111\u1eb7c bi\u1ec7t.<\/p>\n\n\n\n

5.2. Tri\u1ec7u ch\u1ee9ng h\u1ecdc theo t\u1eebng th\u1ec3 b\u1ec7nh<\/strong><\/p>\n\n\n\n

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  1. a)<\/em><\/strong> Th<\/em><\/strong>\u1ee7y<\/em><\/strong> \u0111\u1eadu th\u1ec3 th\u00f4ng th\u01b0\u1eddng \u0111i\u1ec3n h\u00ecnh<\/em><\/strong><\/li>\n<\/ol>\n\n\n\n

    Th\u1eddi k\u1ef3 nung b\u1ec7nh: T\u1eeb 14 – 17 ng\u00e0y (trung b\u00ecnh t\u1eeb 10 – 21 ng\u00e0y), th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n\n\n\n

    Th\u1eddi k\u1ef3 kh\u1edfi ph\u00e1t: Kho\u1ea3ng 1 – 2 ng\u00e0y, c\u00f3 th\u1ec3 kh\u00f4ng s\u1ed1t ho\u1eb7c s\u1ed1t nh\u1eb9, \u0111au m\u1ecfi c\u01a1 kh\u1edbp, tr\u1ebb nh\u1ecf th\u01b0\u1eddng qu\u1ea5y kh\u00f3c, kh\u00f4ng ch\u1ecbu ch\u01a1i. C\u00f3 tr\u01b0\u1eddng h\u1ee3p s\u1ed1t cao 39 – 400<\/sup>C, tr\u1eb1n tr\u1ecdc, m\u00ea s\u1ea3ng, co gi\u1eadt, k\u00e8m theo vi\u00eam h\u1ecdng, vi\u00eam xu\u1ea5t ti\u1ebft \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/p>\n\n\n\n

    Th\u1eddi k\u1ef3 to\u00e0n ph\u00e1t (th\u1eddi k\u1ef3 m\u1ecdc ban): Ban th\u1ee7y \u0111\u1eadu xu\u1ea5t hi\u1ec7n nhanh ngay t\u1eeb nh\u1eefng ng\u00e0y \u0111\u1ea7u c\u1ee7a b\u1ec7nh. Ban m\u1ecdc khi t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng ho\u1eb7c s\u1ed1t nh\u1eb9 \u1edf tr\u1ebb em, k\u00e8m theo s\u1ed1t cao v\u00e0 t\u00ecnh tr\u1ea1ng nhi\u1ec5m \u0111\u1ed9c to\u00e0n th\u00e2n n\u1eb7ng \u1edf ng\u01b0\u1eddi l\u1edbn. Ban th\u1ee7y \u0111\u1eadu c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m:<\/p>\n\n\n\n

    – Tho\u1ea1t \u0111\u1ea7u l\u00e0 nh\u1eefng ban d\u00e1t m\u00e0u \u0111\u1ecf, v\u00e0i gi\u1edd sau th\u00e0nh n\u1ed1t ph\u1ecfng n\u01b0\u1edbc trong, r\u1ea5t n\u00f4ng nh\u01b0 \u0111\u1eb7t tr\u00ean m\u1eb7t da, sau 24 – 48 gi\u1edd ng\u1ea3 m\u00e0u v\u00e0ng, n\u1ed1t th\u1ee7y \u0111\u1eadu c\u00f3 h\u00ecnh c\u1ea7u n\u1ed5i tr\u00ean m\u1eb7t da kho\u1ea3ng 2mm, c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 5mm,           xung quanh n\u1ed1t c\u00f3 n\u1ec1n da t\u1ea5y \u0111\u1ecf r\u1ed9ng kho\u1ea3ng 1mm, m\u1ed9t s\u1ed1 n\u1ed1t ph\u1ecfng h\u01a1i l\u00f5m \u1edf trung t\u00e2m.<\/p>\n\n\n\n

    – Ban th\u1ee7y \u0111\u1eadu m\u1ecdc r\u1ea3i r\u00e1c to\u00e0n th\u00e2n, c\u00f3 xu h\u01b0\u1edbng d\u00e0y h\u01a1n \u1edf b\u1ee5ng, ng\u1ef1c, m\u1eb7t tr\u01b0\u1edbc da ch\u00e2n, tay, th\u01b0a h\u01a1n \u1edf m\u1eb7t. \u1ede l\u00f2ng b\u00e0n ch\u00e2n, tay h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3, nh\u01b0ng ban th\u1ee7y \u0111\u1eadu \u1edf ch\u00e2n t\u00f3c th\u00ec bao gi\u1edd c\u0169ng c\u00f3.<\/p>\n\n\n\n

    – N\u1ed1t ph\u1ecfng th\u1ee7y \u0111\u1eadu ch\u1ec9 c\u00f3 m\u1ed9t ng\u0103n n\u00ean khi d\u00f9ng kim ch\u1ecdc v\u00e0o th\u00ec x\u1eb9p.<\/p>\n\n\n\n

    – Ban m\u1ecdc th\u00e0nh nhi\u1ec1u \u0111\u1ee3t (t\u1eeb 3 – 4 ng\u00e0y\/\u0111\u1ee3t) n\u00ean tr\u00ean m\u1ed9t v\u00f9ng da th\u1ea5y c\u00f3 \u0111\u1ee7 c\u00e1c n\u1ed1t ban \u1edf c\u00e1c \u0111\u1ed9 tu\u1ed5i kh\u00e1c nhau.<\/p>\n\n\n\n

    – Trong ni\u00eam m\u1ea1c mi\u1ec7ng c\u0169ng c\u00f3 nh\u1eefng n\u1ed1t ph\u1ecfng nh\u01b0 \u1edf l\u01b0\u1ee1i, v\u00f2m h\u1ecdng.             Khi c\u00e1c n\u1ed1t ph\u1ecfng v\u1ee1 t\u1ea1o th\u00e0nh c\u00e1c n\u1ed1t lo\u00e9t n\u00f4ng, h\u00ecnh tr\u00f2n ho\u1eb7c b\u1ea7u d\u1ee5c, l\u00e0m ng\u01b0\u1eddi b\u1ec7nh ch\u1ea3y n\u01b0\u1edbc d\u00e3i, nu\u1ed1t \u0111au. \u00cdt th\u1ea5y ban m\u1ecdc \u1edf m\u00e0ng ti\u1ebfp h\u1ee3p ho\u1eb7c trong \u00e2m h\u1ed9.<\/p>\n\n\n\n

    – Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng ng\u1ee9a nhi\u1ec1u khi ban m\u1ecdc, c\u00e1c n\u1ed1t ph\u1ecfng v\u1ee1 d\u1ec5 b\u1ed9i nhi\u1ec5m, h\u1ea1ch ngo\u1ea1i vi c\u00f3 th\u1ec3 s\u01b0ng.<\/p>\n\n\n\n

    – Sau 4 – 6 ng\u00e0y, n\u1ed1t th\u1ee7y \u0111\u1eadu t\u1ef1 kh\u00f4, \u0111\u00f3ng v\u1ea3y m\u00e0u n\u00e2u s\u1eabm, v\u1ea3y bong ra sau m\u1ed9t tu\u1ea7n, kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1eb9o v\u0129nh vi\u1ec5n, tr\u1eeb khi c\u00f3 lo\u00e9t v\u00e0 b\u1ed9i nhi\u1ec5m.<\/p>\n\n\n\n

    – X\u00e9t nghi\u1ec7m: S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u m\u00e1u ngo\u1ea1i vi c\u00f3 th\u1ec3 gi\u1ea3m, b\u1ea1ch c\u1ea7u \u01b0a acid l\u00fac \u0111\u1ea7u gi\u1ea3m, sau \u0111\u00f3 t\u0103ng trong th\u1eddi k\u1ef3 lui b\u1ec7nh. Lympho b\u00e0o c\u0169ng t\u0103ng, t\u1ed1c \u0111\u1ed9 m\u00e1u l\u1eafng t\u0103ng.<\/p>\n\n\n\n

    Sinh h\u00f3a m\u00e1u: C\u00f3 th\u1ec3 c\u00f3 t\u0103ng enzym gan.<\/p>\n\n\n\n

      \n
    1. b) Th\u1ee7y \u0111\u1eadu th\u1ec3 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh<\/em><\/strong><\/li>\n<\/ol>\n\n\n\n

      Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng s\u1ed1t, ban m\u1ecdc th\u01b0a th\u1edbt kh\u00f4ng ti\u1ebfn tri\u1ec3n th\u00e0nh c\u00e1c n\u1ed1t ph\u1ecfng n\u01b0\u1edbc ho\u1eb7c ban ch\u1ec9 m\u1ecdc khu tr\u00fa \u1edf m\u1ed9t v\u00f9ng da chi\u1ebfu tia h\u1ed3ng ngo\u1ea1i, quanh th\u1eaft l\u01b0ng.<\/p>\n\n\n\n

        \n
      1. c) Th\u1ee7y \u0111\u1eadu th\u1ec3 \u0111\u1eb7c bi\u1ec7t<\/em><\/strong><\/li>\n<\/ol>\n\n\n\n

        – N\u1ed1t th\u1ee7y \u0111\u1eadu b\u1ed9i nhi\u1ec5m g\u00e2y m\u1ee7, vi khu\u1ea9n g\u00e2y b\u1ed9i nhi\u1ec5m th\u01b0\u1eddng l\u00e0 t\u1ee5 c\u1ea7u, li\u00ean c\u1ea7u.<\/p>\n\n\n\n

        – N\u1ed1t th\u1ee7y \u0111\u1eadu c\u00f3 m\u00e1u \u1edf nh\u1eefng b\u1ec7nh nhi b\u1ecb b\u1ec7nh m\u00e1u, tr\u1ebb em suy dinh d\u01b0\u1ee1ng, suy m\u00f2n. N\u1ed1t th\u1ee7y \u0111\u1eadu c\u00f3 th\u1ec3 b\u1ecb ho\u1ea1i t\u1eed t\u1ea1o th\u00e0nh v\u1ebft lo\u00e9t s\u00e2u, c\u00f3 d\u1ecbch m\u00e0u x\u00e1m.<\/p>\n\n\n\n

        – Th\u1ee7y \u0111\u1eadu th\u1ec3 xu\u1ea5t huy\u1ebft (Haemorrhagic varicella): C\u00e1c n\u1ed1t ph\u1ecfng ch\u1ee9a m\u00e1u v\u00e0 ch\u1ea3y m\u00e1u, th\u01b0\u1eddng k\u00e8m theo \u0111\u00e1i ra m\u00e1u, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, ch\u1ea3y m\u00e1u cam.<\/p>\n\n\n\n

        – Th\u1ee7y \u0111\u1eadu th\u1ec3 ho\u1ea1i th\u01b0 (Varicella gangraena): N\u1ed1t ph\u1ecfng c\u00f3 th\u1ec3 b\u1ecb ho\u1ea1i t\u1eed g\u00e2y lo\u00e9t s\u00e2u, \u0111\u00e1y v\u1ebft lo\u00e9t c\u00f3 d\u1ecbch, b\u1edd v\u1ebft lo\u00e9t nham nh\u1edf.<\/p>\n\n\n\n

        Th\u1ec3 th\u1ee7y \u0111\u1eadu xu\u1ea5t huy\u1ebft v\u00e0 ho\u1ea1i th\u01b0 th\u01b0\u1eddng di\u1ec5n bi\u1ebfn n\u1eb7ng, k\u00e9o d\u00e0i hay c\u00f3 bi\u1ebfn ch\u1ee9ng nhi\u1ec5m khu\u1ea9n huy\u1ebft, t\u1ef7 l\u1ec7 t\u1eed vong cao.<\/p>\n\n\n\n

        5.3. Bi\u1ebfn ch\u1ee9ng<\/strong><\/p>\n\n\n\n

        – Vi\u00eam da b\u1ed9i nhi\u1ec5m to\u00e0n th\u00e2n.<\/p>\n\n\n\n

        – Vi\u00eam ni\u00eam m\u1ea1c mi\u1ec7ng, vi\u00eam tai gi\u1eefa v\u00e0 tai ngo\u00e0i, vi\u00eam thanh qu\u1ea3n, h\u1ed9i ch\u1ee9ng Croup gi\u1ea3.<\/p>\n\n\n\n

        – Vi\u00eam th\u1eadn trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, ban m\u1ecdc mu\u1ed9n v\u00e0o ng\u00e0y th\u1ee9 3, th\u1ee9 4 c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 l\u00e0m \u0111i ti\u1ec3u ra m\u00e1u.<\/p>\n\n\n\n

        – Vi\u00eam kh\u1edbp tr\u00e0n d\u1ecbch: G\u1eb7p \u1edf c\u00e1c th\u1ec3 n\u1eb7ng, c\u00e1c kh\u1edbp c\u00f3 vi\u00eam v\u00e0 tr\u00e0n d\u1ecbch, \u00edt khi th\u00e0nh m\u1ee7.<\/p>\n\n\n\n

        – Vi\u00eam ph\u1ed5i hay g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn b\u1ecb th\u1ee7y \u0111\u1eadu, \u0111\u1eb7c bi\u1ec7t ph\u1ee5 n\u1eef mang thai, th\u01b0\u1eddng t\u1eeb 3 – 5 ng\u00e0y sau khi b\u1eaft \u0111\u1ea7u ph\u00e1t ban, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi suy h\u00f4 h\u1ea5p, ho ra m\u00e1u. Tr\u00ean phim X quang, c\u00f3 t\u1ed5n th\u01b0\u01a1ng n\u1ed1t v\u00e0 t\u1ed5n th\u01b0\u01a1ng k\u1ebd.<\/p>\n\n\n\n

        – B\u1ec7nh k\u1ebft h\u1ee3p: B\u1ec7nh th\u1ee7y \u0111\u1eadu c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m kh\u00e1c c\u00f9ng xu\u1ea5t hi\u1ec7n nh\u01b0 b\u1ea1ch h\u1ea7u, ho g\u00e0, s\u1edfi. C\u00e1c b\u1ec7nh n\u00e0y th\u01b0\u1eddng n\u1eb7ng, l\u1ea5n \u00e1t l\u00e2m s\u00e0ng b\u1ec7nh th\u1ee7y \u0111\u1eadu.<\/p>\n\n\n\n

        – Vi\u00eam n\u00e3o: Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 do virus th\u1ee7y \u0111\u1eadu ho\u1eb7c d\u1ecb \u1ee9ng hay do m\u1ed9t virus kh\u00e1c. \u0110\u00e2y l\u00e0 vi\u00eam n\u00e3o virus h\u1eadu ph\u00e1t, th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u \u1edf tr\u1ebb trai m\u1eafc th\u1ee7y \u0111\u1eadu. Kh\u1edfi ph\u00e1t t\u1eeb ng\u00e0y th\u1ee9 3 \u0111\u1ebfn ng\u00e0y th\u1ee9 8 c\u1ee7a b\u1ec7nh, c\u00f3 th\u1ec3 ch\u1eadm h\u01a1n v\u00e0o ng\u00e0y th\u1ee9 21 c\u1ee7a b\u1ec7nh. T\u1ef7 l\u1ec7 t\u1eed vong kho\u1ea3ng 5%.<\/p>\n\n\n\n

        – Bi\u1ebfn ch\u1ee9ng kh\u00e1c: Vi\u00eam c\u01a1 tim, h\u1ea1ch lympho, h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9, vi\u00eam t\u1ee7y c\u1eaft ngang, h\u1ed9i ch\u1ee9ng Reye, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec5m khu\u1ea9n huy\u1ebft.<\/p>\n\n\n\n

        5.4. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n

          \n
        1. a) L\u00e2m s\u00e0ng<\/em><\/strong><\/li>\n<\/ol>\n\n\n\n

          – B\u1ec7nh kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t.<\/p>\n\n\n\n

          – Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n nh\u1eb9.<\/p>\n\n\n\n

          – Ban m\u1ecdc ngay t\u1eeb ng\u00e0y \u0111\u1ea7u c\u1ee7a b\u1ec7nh, ch\u1ec9 c\u00f3 n\u1ed1t ph\u1ecfng n\u01b0\u1edbc n\u1ebfu kh\u00f4ng nhi\u1ec5m khu\u1ea9n th\u00ec kh\u00f4ng c\u00f3 m\u1ee5n m\u1ee7.<\/p>\n\n\n\n

          – Ban m\u1ecdc kh\u00f4ng theo th\u1ee9 t\u1ef1, m\u1ecdc th\u00e0nh nhi\u1ec1u \u0111\u1ee3t c\u00e1ch nhau t\u1eeb 3 – 4 ng\u00e0y, ban \u1edf ch\u00e2n t\u00f3c bao gi\u1edd c\u0169ng c\u00f3.<\/p>\n\n\n\n

          – Tr\u00ean c\u00f9ng m\u1ed9t v\u00f9ng da c\u00f3 nhi\u1ec1u tu\u1ed5i ban kh\u00e1c nhau.<\/p>\n\n\n\n

          – Khi ban l\u1eb7n kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1eb9o v\u0129nh vi\u1ec5n.<\/p>\n\n\n\n

            \n
          1. b) X\u00e9t nghi\u1ec7m<\/em><\/strong><\/li>\n<\/ol>\n\n\n\n

            – B\u1ea1ch c\u1ea7u m\u00e1u ngo\u1ea1i vi gi\u1ea3m, lympho b\u00e0o t\u0103ng. Enzym gan c\u00f3 th\u1ec3 t\u0103ng.<\/p>\n\n\n\n

            – X\u00e9t nghi\u1ec7m kh\u1eb3ng \u0111\u1ecbnh th\u1ee7y \u0111\u1eadu: Kh\u00f4ng s\u1eb5n c\u00f3, \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng, bao g\u1ed3m:<\/p>\n\n\n\n

            + Ph\u00e2n l\u1eadp virus, soi t\u00ecm virus th\u1ee7y \u0111\u1eadu b\u1eb1ng k\u00ednh hi\u1ec3n vi \u0111i\u1ec7n t\u1eed.<\/p>\n\n\n\n

            + X\u00e9t nghi\u1ec7m d\u1ecbch n\u1ed1t ph\u1ecfng: Lam Tzanck t\u00ecm t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 \u0111a nh\u00e2n, PCR x\u00e1c \u0111\u1ecbnh DNA c\u1ee7a Herpes zoster<\/em>\u2026<\/p>\n\n\n\n

            + X\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc: X\u00e1c \u0111\u1ecbnh chuy\u1ec3n \u0111\u1ea3o huy\u1ebft thanh ho\u1eb7c t\u0103ng hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 v\u1edbi VZV<\/em>\u2026<\/p>\n\n\n\n

              \n
            1. c) D\u1ecbch t\u1ec5<\/em><\/strong><\/li>\n<\/ol>\n\n\n\n

              B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u1ecf ch\u01b0a b\u1ecb b\u1ec7nh, c\u00f9ng m\u1ed9t t\u1eadp th\u1ec3 c\u00f3 nhi\u1ec1u tr\u1ebb m\u1eafc b\u1ec7nh. B\u1ec7nh th\u1ee7y \u0111\u1eadu th\u01b0\u1eddng x\u1ea3y ra v\u00e0o m\u00f9a \u0111\u00f4ng, th\u1eddi ti\u1ebft l\u1ea1nh kh\u00f4.<\/p>\n\n\n\n

              5.5. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n

              – B\u1ec7nh \u0111\u1eadu m\u00f9a th\u1ec3 nh\u1eb9 v\u00e0 th\u1ec3 c\u1ee5t: Kh\u00f4ng c\u00f3 m\u1ee5n m\u1ee7 ho\u1eb7c m\u1ee5n m\u1ee7 m\u1ecdc theo th\u1ee9 t\u1ef1, c\u00f9ng l\u1ee9a tu\u1ed5i. Khi m\u1ee5n \u0111\u1eadu m\u00f9a m\u1ecdc th\u00ec nhi\u1ec7t \u0111\u1ed9 to\u00e0n th\u00e2n gi\u1ea3m, x\u00e9t nghi\u1ec7m c\u00f3 b\u1ea1ch c\u1ea7u m\u00e1u ngo\u1ea1i vi t\u0103ng.<\/p>\n\n\n\n

              – Ban sau ti\u00eam vaccin \u0111\u1eadu m\u00f9a: Ban xu\u1ea5t hi\u1ec7n \u1edf ch\u1ed7 ti\u00eam, xu\u1ea5t hi\u1ec7n c\u00f9ng m\u1ed9t th\u1eddi gian sau khi ti\u00eam ch\u1ee7ng t\u1eeb 8 – 10 ng\u00e0y, c\u00f3 nhi\u1ec1u tu\u1ed5i, d\u01b0\u1edbi d\u1ea1ng n\u1ed1t ph\u1ecfng, kh\u00f4ng c\u00f3 m\u1ee5n m\u1ee7. Sau 3 ng\u00e0y b\u1eaft \u0111\u1ea7u kh\u00f4 \u0111\u1ec3 l\u1ea1i s\u1eb9o.<\/p>\n\n\n\n

              – M\u1ed9t s\u1ed1 b\u1ec7nh ngo\u00e0i da g\u00e2y n\u1ed1t ph\u1ecfng nh\u01b0 ch\u1ed1c l\u1edf, vi\u00eam da d\u1ecb \u1ee9ng, vi\u00eam da m\u1ee7, b\u1ec7nh Zona t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n, b\u1ec7nh ch\u00e2n tay mi\u1ec7ng do Enterovirus<\/em>, b\u1ec7nh do Herpes simplex <\/em>v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c.<\/p>\n\n\n\n

              \n
              \"\"<\/figure>\n<\/figure>\n\n\n\n

              6. \u0110I\u1ec0U TR\u1eca<\/strong><\/p>\n\n\n\n

              6.1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n

              – C\u00e1ch ly \u0111\u1ec3 ph\u00f2ng l\u00e2y lan.<\/p>\n\n\n\n

              – \u0110i\u1ec1u tr\u1ecb kh\u00e1ng virus.<\/p>\n\n\n\n

              – \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng.<\/p>\n\n\n\n

              – X\u1eed tr\u00ed t\u1ed1t c\u00e1c n\u1ed1t ph\u1ecfng, n\u1ed1t lo\u00e9t \u0111\u1ec1 ph\u00f2ng b\u1ed9i nhi\u1ec5m.<\/p>\n\n\n\n

              – Th\u1eddi gian c\u00e1ch ly: Cho t\u1edbi khi ban h\u1ebft m\u1ecdc, v\u1ea3y ban bong h\u1ebft.<\/p>\n\n\n\n

              6.<\/strong>2<\/strong>. <\/strong>\u0110i\u1ec1u tr\u1ecb kh\u00e1ng virus<\/strong><\/p>\n\n\n\n

              – Acyclovir 800mg x 5 l\u1ea7n\/ng\u00e0y trong 5 – 7 ng\u00e0y. \u0110i\u1ec1u tr\u1ecb c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t nh\u1ea5t khi b\u1eaft \u0111\u1ea7u s\u1edbm, trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u sau khi ph\u00e1t ban. Tr\u1ebb em d\u01b0\u1edbi 12 tu\u1ed5i c\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u 20mg\/kg, u\u1ed1ng 4 l\u1ea7n\/ng\u00e0y x 5 ng\u00e0y.<\/p>\n\n\n\n

              – Ng\u01b0\u1eddi b\u1ec7nh suy gi\u1ea3m mi\u1ec5n d\u1ecbch n\u1eb7ng, th\u1ee7y \u0111\u1eadu bi\u1ebfn ch\u1ee9ng vi\u00eam n\u00e3o: \u01afu ti\u00ean d\u00f9ng acyclovir t\u0129nh m\u1ea1ch (\u00edt nh\u1ea5t trong giai \u0111o\u1ea1n \u0111\u1ea7u), li\u1ec1u 10 – 12,5mg\/kg, 8 gi\u1edd\/l\u1ea7n \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1ed9i t\u1ea1ng. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb l\u00e0 7 ng\u00e0y. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh suy gi\u1ea3m mi\u1ec5n d\u1ecbch nguy c\u01a1 th\u1ea5p c\u00f3 th\u1ec3 ch\u1ec9 c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng virus u\u1ed1ng.<\/p>\n\n\n\n

              – Ngo\u00e0i acyclovir, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng valacyclovir, famciclovir.<\/p>\n\n\n\n

              6.3. <\/strong>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n

              – Khi c\u00f3 s\u1ed1t cao: U\u1ed1ng thu\u1ed1c h\u1ea1 nhi\u1ec7t paracetamol (tr\u00e1nh d\u00f9ng aspirin \u0111\u1ec3 ng\u0103n ng\u1eeba h\u1ed9i ch\u1ee9ng Reye), thu\u1ed1c an th\u1ea7n ch\u1ed1ng co gi\u1eadt (gardenal, seduxen).<\/p>\n\n\n\n

              – Ch\u1ed1ng ng\u1ee9a b\u1eb1ng c\u00e1c thu\u1ed1c kh\u00e1ng histamin nh\u01b0 dimedrol 1%…<\/p>\n\n\n\n

              – Khi c\u00f3 b\u1ed9i nhi\u1ec5m: D\u00f9ng kh\u00e1ng sinh th\u00edch h\u1ee3p.<\/p>\n\n\n\n

              – \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p khi c\u00f3 vi\u00eam ph\u1ed5i do th\u1ee7y \u0111\u1eadu.<\/p>\n\n\n\n

              – C\u00e1c thu\u1ed1c vitamin nh\u00f3m B, C…<\/p>\n\n\n\n

              – C\u00f4ng t\u00e1c s\u0103n s\u00f3c ng\u01b0\u1eddi b\u1ec7nh th\u1ee7y \u0111\u1eadu r\u1ea5t quan tr\u1ecdng:<\/p>\n\n\n\n

              + Ng\u01b0\u1eddi b\u1ec7nh \u1edf bu\u1ed3ng tho\u00e1ng, tr\u00e1nh gi\u00f3 l\u00f9a.<\/p>\n\n\n\n

              + \u0110\u1ec1 ph\u00f2ng v\u00e0 ph\u00e1t hi\u1ec7n bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n

              + V\u1ec7 sinh r\u0103ng mi\u1ec7ng b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd, dung d\u1ecbch acid boric 1%… V\u1ec7 sinh tai, m\u0169i, h\u1ecdng.<\/p>\n\n\n\n

              + V\u1ec7 sinh da: Gi\u1eef cho da kh\u00f4 s\u1ea1ch, kh\u00f4ng \u0111\u1ec3 tr\u1ebb g\u00e3i g\u00e2y v\u1ee1 n\u1ed1t ph\u1ecfng n\u01b0\u1edbc. Ch\u1ea5m dung d\u1ecbch xanh methylen ho\u1eb7c thu\u1ed1c t\u00edm 1\/4.000 v\u00e0o c\u00e1c n\u1ed1t lo\u00e9t, m\u1eb7c qu\u1ea7n \u00e1o m\u1ec1m s\u1ea1ch.<\/p>\n\n\n\n

              – \u0102n l\u1ecfng, \u1ea5m, \u0111\u1ee7 dinh d\u01b0\u1ee1ng.<\/p>\n\n\n\n

              7. PH\u00d2NG B\u1ec6NH<\/strong><\/p>\n\n\n\n

              7.1. Ph\u00f2ng b\u1ec7nh \u0111\u1eb7c hi\u1ec7u<\/strong><\/p>\n\n\n\n

              – Vaccin th\u1ee7y \u0111\u1eadu l\u00e0 vaccin s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho t\u1ea5t c\u1ea3 tr\u1ebb em tr\u00ean 1 tu\u1ed5i (cho t\u1edbi 12 tu\u1ed5i) ch\u01b0a m\u1eafc th\u1ee7y \u0111\u1eadu v\u00e0 ng\u01b0\u1eddi l\u1edbn ch\u01b0a c\u00f3 kh\u00e1ng th\u1ec3 v\u1edbi Herpes zoster<\/em>. Vaccin th\u1ee7y \u0111\u1eadu c\u00f3 t\u00ednh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cao.<\/p>\n\n\n\n

              – Tr\u1ebb em c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam m\u1ed9t li\u1ec1u vaccin v\u00e0 ng\u01b0\u1eddi l\u1edbn \u0111\u01b0\u1ee3c ti\u00eam hai li\u1ec1u. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u00f3 th\u1ee7y \u0111\u1eadu sau ti\u00eam ph\u00f2ng.<\/p>\n\n\n\n

              – Kh\u00f4ng ti\u00eam vaccin th\u1ee7y \u0111\u1eadu cho tr\u1ebb suy gi\u1ea3m mi\u1ec5n d\u1ecbch n\u1eb7ng (tr\u1ebb nhi\u1ec5m HIV c\u00f3 tri\u1ec7u ch\u1ee9ng).<\/p>\n\n\n\n

              – Huy\u1ebft thanh kh\u00e1ng th\u1ee7y \u0111\u1eadu (Varicella zoster immune globulin: VZIG) \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 b\u1ecb bi\u1ebfn ch\u1ee9ng n\u1eb7ng do th\u1ee7y \u0111\u1eadu trong v\u00f2ng 72 gi\u1edd sau khi ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n b\u1ec7nh.<\/p>\n\n\n\n

              7.2. Ph\u00f2ng b\u1ec7nh kh\u00f4ng \u0111\u1eb7c hi\u1ec7u<\/strong><\/p>\n\n\n\n

              – Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0. Ch\u1ec9 \u0111\u01b0a \u0111i b\u1ec7nh vi\u1ec7n nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n

              – T\u1ea9y u\u1ebf bu\u1ed3ng b\u1ec7nh h\u00e0ng ng\u00e0y.<\/p>\n\n\n\n

              – Th\u1eddi gian c\u00e1ch ly: Sau khi m\u1ecdc ban \u0111\u1ee3t cu\u1ed1i c\u00f9ng 5 ng\u00e0y.<\/p>\n\n\n\n

              – Tr\u1ebb em \u1edf tu\u1ed5i nh\u00e0 tr\u1ebb, m\u1eabu gi\u00e1o ch\u01b0a b\u1ecb th\u1ee7y \u0111\u1eadu, n\u1ebfu c\u00f3 ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh th\u1ee7y \u0111\u1eadu ph\u1ea3i gi\u1eef t\u1ea1i nh\u00e0 t\u1eeb 11 – 21 ng\u00e0y k\u1ec3 t\u1eeb khi ti\u1ebfp x\u00fac.<\/p>\n\n\n\n

              <\/p>\n","protected":false},"excerpt":{"rendered":"

              1. \u0110\u1ecaNH NGH\u0128A Th\u1ee7y \u0111\u1eadu l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh, l\u00e2y theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ch\u1ee7 y\u1ebfu c\u1ee7a b\u1ec7nh l\u00e0 s\u1ed1t; ph\u00e1t ban m\u1ee5n n\u01b0\u1edbc tr\u00ean da – ni\u00eam m\u1ea1c, ban m\u1ecdc th\u00e0nh nhi\u1ec1u \u0111\u1ee3t c\u00e1ch nhau 3 – 4 ng\u00e0y. 2. L\u1ecaCH S\u1eec NGHI\u00caN C\u1ee8U B\u1ec7nh th\u1ee7y \u0111\u1eadu […]<\/p>\n","protected":false},"author":1,"featured_media":261,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-260","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-hoc"],"_links":{"self":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts\/260","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/comments?post=260"}],"version-history":[{"count":3,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts\/260\/revisions"}],"predecessor-version":[{"id":271,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts\/260\/revisions\/271"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/media\/261"}],"wp:attachment":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/media?parent=260"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/categories?post=260"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/tags?post=260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}