![\"\"](\"https:\/\/yeucuocsong.vn\/wp-content\/uploads\/2024\/12\/da.jpg\")
<\/p>\nNgo\u00e0i vai tr\u00f2 gi\u1ea3i \u0111\u1ed9c, gan c\u00f2n c\u00f3 ch\u1ee9c n\u0103ng t\u1ed5ng h\u1ee3p, b\u00e0i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a c\u00e1c ch\u1ea5t trong c\u01a1 th\u1ec3, gi\u00fap duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng v\u00e0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3. Tuy nhi\u00ean, gan l\u1ea1i l\u00e0 m\u1ed9t c\u01a1 quan \u0111\u1eb7c bi\u1ec7t v\u00ec n\u00f3 kh\u00f4ng c\u00f3 \u201cd\u00e2y th\u1ea7n kinh \u0111au\u201d, \u0111i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 khi gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng, c\u01a1 th\u1ec3 kh\u00f4ng c\u1ea3m nh\u1eadn ngay \u0111\u01b0\u1ee3c s\u1ef1 \u0111au \u0111\u1edbn. V\u00ec v\u1eady, khi gan g\u1eb7p v\u1ea5n \u0111\u1ec1, ch\u1ee9c n\u0103ng chuy\u1ec3n h\u00f3a ch\u1ea5t c\u1ee7a c\u01a1 th\u1ec3 s\u1ebd b\u1ecb suy gi\u1ea3m, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u qu\u00e1 tr\u00ecnh quan tr\u1ecdng. \u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe l\u00e1 gan m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3, vi\u1ec7c duy tr\u00ec th\u00f3i quen \u0103n u\u1ed1ng khoa h\u1ecdc, sinh ho\u1ea1t h\u1ee3p l\u00fd v\u00e0 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft.<\/p>\n
Trong tr\u01b0\u1eddng h\u1ee3p c\u01a1 th\u1ec3 b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 hai tri\u1ec7u ch\u1ee9ng ng\u1ee9a d\u01b0\u1edbi \u0111\u00e2y, b\u1ea1n n\u00ean ch\u1ee7 \u0111\u1ed9ng \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe ngay, b\u1edfi ch\u00fang c\u00f3 th\u1ec3 l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o r\u1eb1ng gan \u0111ang g\u1eb7p v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng.<\/p>\n
<\/p>\n
Nhi\u1ec1u ng\u01b0\u1eddi th\u01b0\u1eddng ngh\u0129 r\u1eb1ng ng\u1ee9a da ch\u1ec9 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a d\u1ecb \u1ee9ng ho\u1eb7c do mu\u1ed7i \u0111\u1ed1t. Tuy nhi\u00ean, n\u1ebfu b\u1ea1n b\u1ed7ng d\u01b0ng b\u1ecb ng\u1ee9a da k\u00e9o d\u00e0i trong m\u1ed9t kho\u1ea3ng th\u1eddi gian m\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng, th\u00ec \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o s\u1edbm m\u1ed9t v\u1ea5n \u0111\u1ec1 v\u1ec1 gan, bao g\u1ed3m c\u1ea3 ung th\u01b0 gan. Khi gan g\u1eb7p v\u1ea5n \u0111\u1ec1, kh\u1ea3 n\u0103ng trao \u0111\u1ed5i ch\u1ea5t c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb suy y\u1ebfu, khi\u1ebfn d\u1ecbch m\u1eadt kh\u00f4ng th\u1ec3 di chuy\u1ec3n d\u1ec5 d\u00e0ng \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a \u0111\u1ec3 h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh ti\u00eau h\u00f3a. L\u00fac n\u00e0y, m\u1eadt d\u01b0 th\u1eeba s\u1ebd b\u1ecb l\u1eafng \u0111\u1ecdng trong t\u00fai m\u1eadt, v\u00e0 m\u1ed9t ph\u1ea7n m\u1eadt s\u1ebd th\u1ea5m v\u00e0o m\u00e1u. M\u00e1u l\u01b0u th\u00f4ng kh\u1eafp c\u01a1 th\u1ec3 s\u1ebd mang theo mu\u1ed1i m\u1eadt, l\u00e0m cho ch\u00fang t\u00edch t\u1ee5 d\u01b0\u1edbi da, k\u00edch th\u00edch c\u00e1c \u0111\u1ea7u d\u00e2y th\u1ea7n kinh v\u00e0 g\u00e2y ng\u1ee9a. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng quan tr\u1ecdng c\u1ea7n \u0111\u01b0\u1ee3c ch\u00fa \u00fd.<\/p>\n
B\u1ec7nh s\u1ea9n ng\u1ee9a do gan l\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd vi\u1ec7c suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea3i \u0111\u1ed9c c\u1ee7a gan. Gan l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 quan thi\u1ebft y\u1ebfu c\u1ee7a c\u01a1 th\u1ec3, \u0111\u1ea3m nh\u1eadn nhi\u1ec1u vai tr\u00f2 quan tr\u1ecdng kh\u00e1c nhau. Kh\u1ea3 n\u0103ng l\u1ecdc v\u00e0 lo\u1ea1i b\u1ecf c\u00e1c ch\u1ea5t c\u00f3 h\u1ea1i cho c\u01a1 th\u1ec3 t\u1eeb th\u1ee9c \u0103n, n\u01b0\u1edbc u\u1ed1ng l\u00e0 m\u1ed9t ch\u1ee9c n\u0103ng kh\u00f4ng th\u1ec3 thi\u1ebfu lu\u00f4n \u0111\u01b0\u1ee3c gan \u0111\u1ea3m b\u1ea3o. Tuy nhi\u00ean, n\u1ebfu c\u01a1 th\u1ec3 ng\u01b0\u1eddi nh\u1eadn qu\u00e1 nhi\u1ec1u c\u00e1c lo\u1ea1i \u0111\u1ed9c t\u1ed1 kh\u00e1c nhau, gan c\u00f3 th\u1ec3 s\u1ebd b\u1ecb t\u1ed5n th\u01b0\u01a1ng t\u1eeb \u0111\u00f3 kh\u00f4ng th\u1ef1c hi\u1ec7n t\u1ed1t \u0111\u01b0\u1ee3c c\u00e1c ho\u1ea1t \u0111\u1ed9ng chuy\u1ec3n h\u00f3a c\u1ea7n c\u00f3. Ch\u1ea5t \u0111\u1ed9c t\u1ed3n d\u01b0 trong c\u01a1 th\u1ec3 l\u00e2u ng\u00e0y s\u1ebd g\u00e2y ra c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nh\u01b0 s\u1ea9n ng\u1ee9a, m\u1ec1 \u0111ay. B\u1ec7nh s\u1ea9n ng\u1ee9a do gan th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o m\u00f9a h\u00e8, khi th\u1eddi ti\u1ebft kh\u00f3 ch\u1ecbu do n\u1eafng n\u00f3ng, m\u00f4i tr\u01b0\u1eddng xung quanh \u00f4 nhi\u1ec5m. Trong \u0111i\u1ec1u ki\u1ec7n n\u00e0y, c\u01a1 th\u1ec3 ng\u01b0\u1eddi th\u01b0\u1eddng ti\u1ebft nhi\u1ec1u m\u00f4 h\u00f4i, tuy\u1ebfn b\u00e3 ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh l\u00e0 \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho vi\u1ec7c h\u00ecnh th\u00e0nh nhi\u1ec1u s\u1ea9n ng\u1ee9a. Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh s\u1ea9n ng\u1ee9a do gan r\u1ea5t d\u1ec5 t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh c\u00f3 th\u1ec3 \u00e2m th\u1ea7m ti\u1ebfn tri\u1ec3n trong th\u1eddi gian d\u00e0i, , g\u00e2y suy gi\u1ea3m ch\u1ee9c n\u0103ng gan m\u1ea1n t\u00ednh, n\u1eb7ng n\u1ec1 h\u01a1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn x\u01a1 gan.<\/p>\n
V\u00ec sao b\u1ec7nh gan l\u1ea1i g\u00e2y s\u1ea9n ng\u1ee9a da<\/strong><\/p>\n Khi m\u1eafc b\u1ec7nh, ch\u1ee9c n\u0103ng c\u1ee7a gan kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c ho\u1ea1t \u0111\u1ed9ng t\u1ed1t, bao g\u1ed3m c\u1ea3 vi\u1ec7c l\u1ecdc v\u00e0 thanh th\u1ea3i c\u00e1c \u0111\u1ed9c t\u1ed1. C\u00e1c ch\u1ea5t c\u00f3 h\u1ea1i \u0111\u01b0\u1ee3c t\u00edch t\u1ee5 nhi\u1ec1u trong c\u01a1 th\u1ec3, l\u00e2u d\u1ea7n bi\u1ec3u hi\u1ec7n th\u00e0nh c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng tr\u00ean l\u00e2m s\u00e0ng nh\u01b0 c\u00e1c s\u1ea9n ng\u1ee9a tr\u00ean da. M\u1ed9t s\u1ed1 ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t v\u00e0 dinh d\u01b0\u1ee1ng kh\u00f4ng h\u1ee3p l\u00fd \u0111\u00f3ng vai tr\u00f2 l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 \u0111\u1ea9y nhanh ti\u1ebfn tr\u00ecnh b\u1ec7nh l\u00fd nh\u01b0:<\/p>\n S\u1eed d\u1ee5ng nhi\u1ec1u th\u1ef1c ph\u1ea9m ch\u1ebf bi\u1ebfn s\u1eb5n, nhi\u1ec1u ch\u1ea5t b\u1ea3o qu\u1ea3n. N\u1ebfu b\u1ea1n cho r\u1eb1ng ng\u1ee9a c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t\u00a0d\u1ea5u hi\u1ec7u ung th\u01b0<\/b>, h\u00e3y \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00f3 h\u01b0\u1edbng x\u1eed l\u00fd k\u1ecbp th\u1eddi. C\u00e1c tri\u1ec7u ch\u1ee9ng ng\u1ee9a da n\u00ean \u0111i kh\u00e1m bao g\u1ed3m:<\/p>\n T\u00f3m l\u1ea1i, c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n g\u00e2y ng\u1ee9a. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, n\u00f3 c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 ho\u1eb7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0. N\u1ebfu b\u1ea1n b\u1ecb ung th\u01b0 v\u00e0 c\u1ea3m th\u1ea5y ng\u1ee9a ng\u00e1y b\u1ea5t th\u01b0\u1eddng, h\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng \u0111\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a m\u1ed9t v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng. B\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 v\u00e0 \u0111\u01b0a ra m\u1ed9t s\u1ed1 g\u1ee3i \u00fd v\u1ec1 c\u00e1ch gi\u1ea3m ng\u1ee9a.<\/p>\n Nghi\u00ean c\u1ee9u n\u0103m 2018 tr\u00ean 16.000 ng\u01b0\u1eddi trong H\u1ec7 th\u1ed1ng Y t\u1ebf Johns Hopkins ch\u1ec9 ra r\u1eb1ng nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ng\u1ee9a to\u00e0n th\u00e2n c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb ung th\u01b0 h\u01a1n nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng ng\u1ee9a. C\u00e1c lo\u1ea1i ung th\u01b0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t li\u00ean quan \u0111\u1ebfn ng\u1ee9a bao g\u1ed3m:<\/p>\n M\u1eaft l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn r\u1ea5t d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t khi ch\u00fang ta ph\u1ea3i l\u00e0m vi\u1ec7c li\u00ean t\u1ee5c m\u00e0 kh\u00f4ng ch\u00fa \u00fd \u0111\u1ebfn vi\u1ec7c ngh\u1ec9 ng\u01a1i, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng kh\u00f4 v\u00e0 ng\u1ee9a m\u1eaft. Tuy nhi\u00ean, n\u1ebfu m\u1eaft b\u1ea1n v\u1eabn xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng ng\u1ee9a m\u00e0 kh\u00f4ng c\u00f3 l\u00fd do r\u00f5 r\u00e0ng, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u ti\u1ec1m \u1ea9n c\u1ee7a ung th\u01b0 gan. Khi gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng, kh\u1ea3 n\u0103ng d\u1ef1 tr\u1eef m\u00e1u c\u1ee7a gan b\u1ecb gi\u1ea3m s\u00fat, khi\u1ebfn qu\u00e1 tr\u00ecnh l\u01b0u th\u00f4ng m\u00e1u \u0111\u1ebfn gan kh\u00f4ng \u0111\u1ee7, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u nu\u00f4i d\u01b0\u1ee1ng c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 m\u1eaft. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng kh\u00f4 v\u00e0 ng\u1ee9a m\u1eaft.<\/p>\n N\u1ebfu b\u1ea1n g\u1eb7p ph\u1ea3i c\u1ea3 hai tri\u1ec7u ch\u1ee9ng ng\u1ee9a n\u00e0y, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi ch\u00fang x\u1ea3y ra c\u00f9ng l\u00fac, b\u1ea1n c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 ki\u1ec3m tra v\u00e0 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe gan k\u1ecbp th\u1eddi. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm s\u1ebd gi\u00fap qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u1edf n\u00ean hi\u1ec7u qu\u1ea3 h\u01a1n, b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe gan v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3.<\/p>\n M\u1ec7t m\u1ecfi l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t cu\u0309a b\u00ea\u0323nh gan. M\u0103\u0323c du\u0300 c\u01a1 ch\u00ea\u0301 b\u00ea\u0323nh sinh c\u01a1 ba\u0309n hi\u00ea\u0323n v\u00e2\u0303n ch\u01b0a co\u0301 k\u00ea\u0301t lu\u00e2\u0323n chi\u0301nh xa\u0301c nh\u01b0ng \u0111\u01b0\u01a1\u0323c xa\u0301c \u0111i\u0323nh li\u00ean quan \u0111\u00ea\u0301n nh\u01b0\u0303ng thay \u0111\u00f4\u0309i trong d\u00e2\u0303n truy\u00ea\u0300n th\u00e2\u0300n kinh trung \u01b0\u01a1ng. No\u0301i ca\u0301ch kha\u0301c, m\u00ea\u0323t mo\u0309i chi\u0301nh la\u0300 k\u00ea\u0301t qua\u0309 t\u01b0\u0300 ti\u0301n hi\u00ea\u0323u m\u00e2\u0301t \u00f4\u0309n \u0111i\u0323nh gi\u01b0\u0303a na\u0303o va\u0300 gan t\u00f4\u0309n th\u01b0\u01a1ng. T\u01b0\u0300 \u0111o\u0301, c\u01a1 th\u00ea\u0309 b\u0103\u0301t \u0111\u00e2\u0300u r\u01a1i va\u0300o tra\u0323ng tha\u0301i u\u00ea\u0309 oa\u0309i, tay ch\u00e2n bu\u0309n ru\u0309n va\u0300 kh\u00f4ng co\u0301 ca\u0309m gia\u0301c the\u0300m \u0103n.<\/p>\n Vi\u00ea\u0323c ki\u00ea\u0309m soa\u0301t tri\u00ea\u0323u ch\u01b0\u0301ng na\u0300y th\u01b0\u01a1\u0300ng r\u00e2\u0301t kho\u0301 kh\u0103n, do \u0111o\u0301, ca\u0301c ph\u01b0\u01a1ng pha\u0301p \u0111i\u00ea\u0300u tri\u0323 cu\u0323 th\u00ea\u0309 hi\u00ea\u0323n kh\u00f4ng co\u0301 s\u0103\u0303n. \u0110\u00f4\u0301i v\u01a1\u0301i tr\u01b0\u01a1\u0300ng h\u01a1\u0323p na\u0300y, ba\u0301c si\u0303 th\u01b0\u01a1\u0300ng ti\u0300m ca\u0301ch loa\u0323i bo\u0309 nh\u01b0\u0303ng y\u00ea\u0301u t\u00f4\u0301 nguy\u00ean nh\u00e2n g\u00e2y m\u00ea\u0323t mo\u0309i ta\u0301ch bi\u00ea\u0323t v\u01a1\u0301i b\u00ea\u0323nh gan \u01a1\u0309 ng\u01b0\u01a1\u0300i b\u00ea\u0323nh, ch\u0103\u0309ng ha\u0323n nh\u01b0 tho\u0301i quen sinh hoa\u0323t, thu\u00f4\u0301c \u0111i\u00ea\u0300u tri\u0323\u2026<\/p>\n Nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng na\u0300y th\u01b0\u01a1\u0300ng hi\u00ea\u0301m g\u0103\u0323p \u01a1\u0309 b\u00ea\u0323nh gan li\u00ean quan \u0111\u00ea\u0301n r\u01b0\u01a1\u0323u va\u0300 gan nhi\u00ea\u0303m m\u01a1\u0303 kh\u00f4ng do r\u01b0\u01a1\u0323u. Ng\u01b0\u01a1\u0323c la\u0323i, x\u01a1 gan \u01b0\u0301 m\u00e2\u0323t nguy\u00ean pha\u0301t (PBC), vi\u00eam \u0111\u01b0\u01a1\u0300ng m\u00e2\u0323t x\u01a1 c\u01b0\u0301ng nguy\u00ean pha\u0301t (PSC)\u2026 la\u0323i co\u0301 kha\u0309 n\u0103ng cao g\u00e2y ra d\u00e2\u0301u hi\u00ea\u0323u ng\u01b0\u0301a, mu\u0323n nho\u0323t ho\u0103\u0323c n\u00f4\u0309i m\u00ea\u0300 \u0111ay, tuy nhi\u00ean kh\u00f4ng ph\u1ea3i ai b\u1ecb ng\u1ee9a c\u0169ng b\u1ecb b\u1ec7nh gan m\u00e0 nhi\u1ec1u khi li\u00ean quan \u0111\u1ebfn d\u1ecb \u1ee9ng. Theo nhi\u00ea\u0300u nghi\u00ean c\u01b0\u0301u th\u01b0\u0309 nghi\u00ea\u0323m va\u0300 l\u00e2m sa\u0300ng, nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng na\u0300y co\u0301 th\u00ea\u0309 xu\u00e2\u0301t pha\u0301t t\u01b0\u0300 ca\u0301c y\u00ea\u0301u t\u00f4\u0301 sau:<\/p>\n Axit m\u00e2\u0323t.<\/p>\n M\u00f4\u0323t s\u00f4\u0301 ch\u00e2\u0301t t\u01b0\u0323 nhi\u00ean trong c\u01a1 th\u00ea\u0309: Histamine, Serotonin\u2026<\/p>\n T\u00ea\u0301 ba\u0300o da nha\u0323y ca\u0309m.<\/p>\n Lysophosphatidic acid (LPA) va\u0300 autotaxin (m\u00f4\u0323t loa\u0323i enzym hi\u0300nh tha\u0300nh LPA). (3)<\/p>\n \u0110\u00e2y la\u0300 tri\u00ea\u0323u ch\u01b0\u0301ng cho th\u00e2\u0301y t\u00ea\u0301 ba\u0300o h\u00f4\u0300ng c\u00e2\u0300u trong ma\u0301u ti\u0301ch tu\u0323 qua\u0301 nhi\u00ea\u0300u bilirubin do gan kh\u00f4ng ph\u00e2n hu\u0309y bi\u0300nh th\u01b0\u01a1\u0300ng. Lu\u0301c na\u0300y, n\u01b0\u01a1\u0301c ti\u00ea\u0309u th\u01b0\u01a1\u0300ng co\u0301 ma\u0300u nh\u01b0 n\u01b0\u1edbc ch\u00e8 \u0111\u1eb7c. (4)<\/p>\n Gan hoa\u0323t \u0111\u00f4\u0323ng nh\u01b0 m\u00f4\u0323t b\u00f4\u0323 lo\u0323c, co\u0301 nhi\u00ea\u0323m vu\u0323 t\u00f4\u0301ng kh\u01b0\u0301 ca\u0301c ch\u00e2\u0301t tha\u0309i ra kho\u0309i ma\u0301u va\u0300 bi\u00ea\u0301n \u0111\u00f4\u0309i m\u00f4\u0323t s\u00f4\u0301 ch\u00e2\u0301t trong ma\u0301u tha\u0300nh m\u00e2\u0323t \u0111\u00ea\u0309 \u0111i va\u0300o ru\u00f4\u0323t, t\u01b0\u0300 \u0111o\u0301 ba\u0300i ti\u00ea\u0301t ra theo ph\u00e2n. Khi c\u01a1 quan bi\u0323 t\u00f4\u0309n th\u01b0\u01a1ng, kha\u0309 n\u0103ng lo\u0323c nh\u01b0\u0303ng h\u01a1\u0323p ch\u00e2\u0301t ch\u01b0\u0301a l\u01b0u huy\u0300nh cu\u0303ng bi\u0323 ha\u0323n ch\u00ea\u0301. \u0110i\u00ea\u0300u na\u0300y \u0111\u00f4\u0300ng nghi\u0303a v\u01a1\u0301i vi\u00ea\u0323c gan bi\u0323 suy, d\u00e2\u0303n \u0111\u00ea\u0301n vi\u00ea\u0323c xu\u00e2\u0301t hi\u00ea\u0323n mu\u0300i kho\u0301 chi\u0323u trong h\u01a1i th\u01a1\u0309. Tuy nhi\u00ean, mu\u0300i b\u00e2\u0301t th\u01b0\u01a1\u0300ng na\u0300y hoa\u0300n toa\u0300n kh\u00f4ng li\u00ean quan \u0111\u00ea\u0301n v\u00e2\u0301n \u0111\u00ea\u0300 v\u00ea\u0323 sinh hay s\u01b0\u0301c kho\u0309e r\u0103ng mi\u00ea\u0323ng. Ng\u01b0\u01a1\u0300i b\u00ea\u0323nh kh\u00f4ng th\u00ea\u0309 gia\u0309i quy\u00ea\u0301t b\u0103\u0300ng ph\u01b0\u01a1ng pha\u0301p su\u0301c mi\u00ea\u0323ng nh\u01b0 th\u00f4ng th\u01b0\u01a1\u0300ng.<\/p>\n Ph\u00e2\u0300n l\u01a1\u0301n ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p \u0111au ha\u0323 s\u01b0\u01a1\u0300n pha\u0309i \u0111\u00ea\u0300u m\u0103\u0301c b\u00ea\u0323nh ly\u0301 v\u00ea\u0300 gan, ch\u0103\u0309ng ha\u0323n nh\u01b0 x\u01a1 gan, ung th\u01b0 gan\u2026 C\u01a1n \u0111au co\u0301 th\u00ea\u0309 nho\u0301i nh\u01b0ng th\u01b0\u1eddng l\u00e0 c\u1ea3m gi\u00e1c t\u1ee9c n\u1eb7ng, xu\u00e2\u0301t hi\u00ea\u0323n r\u00f4\u0300i bi\u00ea\u0301n m\u00e2\u0301t. N\u00ea\u0301u tri\u00ea\u0323u ch\u01b0\u0301ng na\u0300y xa\u0309y ra th\u01b0\u01a1\u0300ng xuy\u00ean va\u0300 c\u01b0\u01a1\u0300ng \u0111\u00f4\u0323 t\u0103ng d\u00e2\u0300n khi\u00ea\u0301n c\u01a1 th\u00ea\u0309 m\u00e2\u0301t kha\u0309 n\u0103ng hoa\u0323t \u0111\u00f4\u0323ng bi\u0300nh th\u01b0\u01a1\u0300ng thi\u0300 ng\u01b0\u01a1\u0300i b\u00ea\u0323nh c\u00e2\u0300n ti\u0300m ki\u00ea\u0301m s\u01b0\u0323 ch\u0103m so\u0301c y t\u00ea\u0301 ca\u0300ng s\u01a1\u0301m ca\u0300ng t\u00f4\u0301t.<\/p>\n Ngoa\u0300i ra, d\u00e2\u0301u hi\u00ea\u0323u \u0111i ke\u0300m th\u01b0\u01a1\u0300ng la\u0300 m\u00ea\u0323t mo\u0309i, cha\u0301n \u0103n, bu\u00f4\u0300n n\u00f4n, kho\u0301 ti\u00eau, su\u0323t c\u00e2n nhanh cho\u0301ng\u2026 Khi ti\u0300nh tra\u0323ng ti\u00ea\u0301n tri\u00ea\u0309n nghi\u00eam tro\u0323ng h\u01a1n, ng\u01b0\u01a1\u0300i b\u00ea\u0323nh co\u0300n bi\u0323 va\u0300ng da, va\u0300ng m\u0103\u0301t va\u0300 \u0111\u00f4\u0309i ma\u0300u n\u01b0\u01a1\u0301c ti\u00ea\u0309u.<\/p>\n \u0110\u00e2y la\u0300 m\u00f4\u0323t trong nh\u01b0\u0303ng d\u00e2\u0301u hi\u00ea\u0323u b\u00ea\u0323nh gan th\u01b0\u01a1\u0300ng g\u0103\u0323p nh\u00e2\u0301t, trong \u0111o\u0301 ph\u00f4\u0309 bi\u00ea\u0301n la\u0300 t\u1eafc m\u00e2\u0323t. \u0110\u00e2y la\u0300 ti\u0300nh tra\u0323ng \u0111\u01b0\u01a1\u0300ng m\u00e2\u0323t trong c\u01a1 quan bi\u0323 vi\u00eam ho\u0103\u0323c ki\u0301ch thi\u0301ch, khi\u00ea\u0301n do\u0300ng cha\u0309y cu\u0309a m\u00e2\u0323t \u0111\u00ea\u0301n ru\u00f4\u0323t bi\u0323 ca\u0309n tr\u01a1\u0309.<\/p>\n Th\u00f4ng th\u01b0\u01a1\u0300ng, mu\u00f4\u0301i m\u00e2\u0323t \u0111\u01b0\u01a1\u0323c gan gia\u0309i pho\u0301ng ra se\u0303 la\u0300m cho ph\u00e2n co\u0301 ma\u0300u v\u00e0ng. Trong tr\u01b0\u01a1\u0300ng h\u01a1\u0323p c\u01a1 quan kh\u00f4ng sa\u0309n xu\u00e2\u0301t \u0111u\u0309 m\u00e2\u0323t ho\u0103\u0323c do\u0300ng cha\u0309y cu\u0309a m\u00e2\u0323t bi\u0323 ch\u0103\u0323n, ph\u00e2n se\u0303 b\u1ea1c ma\u0300u.<\/p>\n Khi gan bi\u0323 t\u00f4\u0309n th\u01b0\u01a1ng, kha\u0309 n\u0103ng lo\u0323c ch\u00e2\u0301t \u0111\u00f4\u0323c ra kho\u0309i c\u01a1 th\u00ea\u0309 bi\u0323 gia\u0309m su\u0301t nghi\u00eam tro\u0323ng, t\u01b0\u0300 \u0111o\u0301 g\u00e2y ra ca\u0301c v\u00e2\u0301n \u0111\u00ea\u0300 ti\u00eau ho\u0301a b\u00e2\u0301t th\u01b0\u01a1\u0300ng. Lu\u0301c na\u0300y, tri\u00ea\u0323u ch\u01b0\u0301ng bu\u00f4\u0300n n\u00f4n ho\u0103\u0323c bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n khi ng\u1eedi th\u1ea5y m\u00f9i th\u1ee9c \u0103n. \u0110\u00e2y co\u0301 th\u00ea\u0309 la\u0300 tri\u1ec7u ch\u1ee9ng b\u00ea\u0323nh gan \u0111a\u0303 chuy\u00ea\u0309n bi\u00ea\u0301n nghi\u00eam tro\u0323ng, c\u00e2\u0300n ti\u0300m ki\u00ea\u0301m s\u01b0\u0323 ch\u0103m so\u0301c y t\u00ea\u0301 ca\u0300ng s\u01a1\u0301m ca\u0300ng t\u00f4\u0301t.<\/p>\n \u0110\u00e2y la\u0300 tri\u00ea\u0323u ch\u01b0\u0301ng cho th\u00e2\u0301y t\u00ea\u0301 ba\u0300o h\u00f4\u0300ng c\u00e2\u0300u trong ma\u0301u ch\u01b0\u0301a qu\u00e1 nhi\u1ec1u bilirubin (m\u00f4\u0323t ch\u00e2\u0301t ma\u0300u va\u0300ng cam). Khi nh\u01b0\u0303ng t\u00ea\u0301 ba\u0300o na\u0300y ch\u00ea\u0301t \u0111i, gan cu\u0303ng b\u0103\u0301t \u0111\u00e2\u0300u lo\u0323c bulirubin ra kho\u0309i ma\u0301u. Tuy nhi\u00ean, n\u00ea\u0301u c\u01a1 quan bi\u0323 t\u00f4\u0309n th\u01b0\u01a1ng, kh\u00f4ng co\u0300n hoa\u0323t \u0111\u00f4\u0323ng bi\u0300nh th\u01b0\u01a1\u0300ng, bilirubin se\u0303 d\u00e2\u0300n ti\u0301ch tu\u0323 va\u0300 g\u00e2y ra hi\u00ea\u0323n t\u01b0\u01a1\u0323ng va\u0300ng da, va\u0300ng m\u0103\u0301t. \u0110\u00e2y co\u0301 th\u00ea\u0309 la\u0300 d\u00e2\u0301u hi\u00ea\u0323u \u0111i\u00ea\u0309n hi\u0300nh cho m\u00f4\u0323t s\u00f4\u0301 b\u00ea\u0323nh ly\u0301 sau:<\/p>\n Vi\u00eam gan.<\/p>\n B\u1ec7nh gan li\u00ean quan \u0111\u1ebfn r\u01b0\u1ee3u.<\/p>\n T\u0103\u0301c \u00f4\u0301ng m\u00e2\u0323t.<\/p>\n Ung th\u01b0 tuy\u1ebfn t\u1ee5y.<\/p>\n Ngoa\u0300i ra, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u01b0 acetaminophen, penicillin, thu\u1ed1c tr\u00e1nh thai v\u00e0 steroid cu\u0303ng th\u01b0\u01a1\u0300ng li\u00ean quan \u0111\u00ea\u0301n b\u00ea\u0323nh gan, co\u0301 th\u00ea\u0309 g\u00e2y tri\u00ea\u0323u ch\u01b0\u0301ng va\u0300ng da, va\u0300ng m\u0103\u0301t \u01a1\u0309 ng\u01b0\u01a1\u0300i b\u00ea\u0323nh.<\/p>\n D\u00e2\u0301u sao ma\u0323ch tr\u00ean da la\u0300 ph\u00e2\u0300n cu\u00f4\u0301i cu\u0309a ti\u00ea\u0309u \u0111\u00f4\u0323ng ma\u0323ch v\u01a1\u0301i ca\u0301c mao ma\u0323ch to\u0309a ra b\u00ean ngoa\u0300i gi\u00f4\u0301ng nh\u01b0 ch\u00e2n nh\u00ea\u0323n m\u00e0u \u0111\u1ecf, hay g\u1eb7p \u1edf vunguwcj nagy d\u01b0\u1edbi c\u1ed5. \u0110\u00e2y th\u01b0\u01a1\u0300ng la\u0300 d\u00e2\u0301u hi\u00ea\u0323u b\u00ea\u0323nh gan m\u1ea1n ti\u0301nh, hay g\u1eb7p do u\u00f4\u0301ng r\u01b0\u01a1\u0323u. Ngoa\u0300i ra, tri\u00ea\u0323u ch\u01b0\u0301ng na\u0300y cu\u0303ng xu\u00e2\u0301t hi\u00ea\u0323n \u01a1\u0309 \u2153 t\u00f4\u0309ng s\u00f4\u0301 tr\u01b0\u01a1\u0300ng h\u01a1\u0323p m\u0103\u0301c x\u01a1 gan. Theo \u0111o\u0301, s\u00f4\u0301 l\u01b0\u01a1\u0323ng t\u00f4\u0309n th\u01b0\u01a1ng se\u0303 t\u01b0\u01a1ng quan v\u01a1\u0301i m\u01b0\u0301c \u0111\u00f4\u0323 nghi\u00eam tro\u0323ng cu\u0309a b\u00ea\u0323nh ly\u0301 cu\u0303ng nh\u01b0 s\u01b0\u0323 xu\u00e2\u0301t hi\u00ea\u0323n cu\u0309a ch\u01b0\u0301ng gia\u0303n ti\u0303nh ma\u0323ch th\u01b0\u0323c qua\u0309n va\u0300 da\u0323 da\u0300y. (5)<\/p>\n Khi gan bi\u0323 t\u00f4\u0309n th\u01b0\u01a1ng, l\u01b0\u01a1\u0323ng protein ta\u0323o ra se\u0303 kh\u00f4ng \u0111u\u0309 \u0111\u00ea\u0309 tham gia va\u0300o qua\u0301 tri\u0300nh \u0111\u00f4ng ma\u0301u, do \u0111o\u0301 da d\u00ea\u0303 bi\u0323 b\u00e2\u0300m ti\u0301m va\u0300 cha\u0309y ma\u0301u h\u01a1n bi\u0300nh th\u01b0\u01a1\u0300ng. Hay g\u1eb7p khi c\u00f3 x\u01a1 gan ch\u1ee9c n\u0103ng gan \u0111\u00e3 suy gi\u1ea3m. (6)<\/p>\n Tr\u01b0\u01a1\u0301ng bu\u0323ng la\u0300 m\u00f4\u0323t trong nh\u01b0\u0303ng bi\u1ec3u hi\u1ec7n b\u00ea\u0323nh gan d\u00ea\u0303 nh\u00e2\u0323n bi\u00ea\u0301t nh\u00e2\u0301t, \u0111\u0103\u0323c bi\u00ea\u0323t la\u0300 x\u01a1 gan, xa\u0309y ra do s\u01b0\u0323 m\u00e2\u0301t c\u00e2n b\u0103\u0300ng protein d\u00e2\u0303n \u0111\u00ea\u0301n ti\u0301ch tu\u0323 di\u0323ch. Trong m\u00f4\u0323t s\u00f4\u0301 tr\u01b0\u01a1\u0300ng h\u01a1\u0323p, di\u0323ch co\u0300n co\u0301 th\u00ea\u0309 ti\u0301ch tu\u0323 va\u0300o ca\u0301c b\u00f4\u0323 ph\u00e2\u0323n kha\u0301c tr\u00ean c\u01a1 th\u00ea\u0309, ch\u0103\u0309ng ha\u0323n nh\u01b0 tay, ch\u00e2n.<\/p>\n D\u00e2\u0301u hi\u00ea\u0323u \u0111i\u00ea\u0309n hi\u0300nh cu\u0309a b\u00ea\u0323nh gan nhi\u00ea\u0303m m\u01a1\u0303 la\u0300 ti\u0301ch tu\u0323 ch\u00e2\u0301t ch\u00e2\u0301t be\u0301o trong gan, g\u00e2y hi\u00ea\u0323n t\u01b0\u01a1\u0323ng s\u01b0ng phu\u0300 ch\u00e2n. Nguy\u00ean nh\u00e2n ph\u00f4\u0309 bi\u00ea\u0301n nh\u00e2\u0301t la\u0300 la\u0323m du\u0323ng r\u01b0\u01a1\u0323u bia va\u0300 xu\u00e2\u0301t pha\u0301t t\u01b0\u0300 tho\u0301i quen s\u00f4\u0301ng thi\u00ea\u0301u la\u0300nh ma\u0323nh.<\/p>\n Ch\u01b0\u0301c n\u0103ng gan ke\u0301m se\u0303 d\u00e2\u0303n \u0111\u00ea\u0301n s\u01b0\u0323 ti\u0301ch tu\u0323 ch\u00e2\u0301t \u0111\u00f4\u0323c trong c\u01a1 th\u00ea\u0309, l\u00e2u d\u00e2\u0300n x\u00e2m nh\u00e2\u0323p va\u0300o ma\u0301u va\u0300 lan \u0111\u00ea\u0301n na\u0303o. Ban \u0111\u00e2\u0300u, ng\u01b0\u01a1\u0300i b\u00ea\u0323nh se\u0303 g\u0103\u0323p pha\u0309i tri\u00ea\u0323u ch\u01b0\u0301ng m\u00e2\u0301t t\u00e2\u0323p trung, hay nh\u00e2\u0300m l\u00e2\u0303n, sau \u0111o\u0301 ta\u0301c \u0111\u00f4\u0323ng nghi\u00eam tro\u0323ng \u0111\u00ea\u0301n ch\u00e2\u0301t l\u01b0\u01a1\u0323ng gi\u00e2\u0301c ngu\u0309, \u0111a\u0303ng tri\u0301, th\u00e2\u0323m chi\u0301 la\u0300 m\u00e2\u0301t pha\u0309n \u01b0\u0301ng.<\/p>\n","protected":false},"excerpt":{"rendered":" Ngo\u00e0i vai tr\u00f2 gi\u1ea3i \u0111\u1ed9c, gan c\u00f2n c\u00f3 ch\u1ee9c n\u0103ng t\u1ed5ng h\u1ee3p, b\u00e0i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a c\u00e1c ch\u1ea5t trong c\u01a1 th\u1ec3, gi\u00fap duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng v\u00e0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3. Tuy nhi\u00ean, gan l\u1ea1i l\u00e0 m\u1ed9t c\u01a1 quan \u0111\u1eb7c bi\u1ec7t v\u00ec n\u00f3 kh\u00f4ng c\u00f3 \u201cd\u00e2y th\u1ea7n kinh \u0111au\u201d, \u0111i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a […]<\/p>\n","protected":false},"author":1,"featured_media":1243,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1242","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chua-phan-loai"],"_links":{"self":[{"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/posts\/1242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/comments?post=1242"}],"version-history":[{"count":1,"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/posts\/1242\/revisions"}],"predecessor-version":[{"id":1244,"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/posts\/1242\/revisions\/1244"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/media\/1243"}],"wp:attachment":[{"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/media?parent=1242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/categories?post=1242"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tamsudoisong.com.vn\/index.php\/wp-json\/wp\/v2\/tags?post=1242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nCh\u1ebf \u0111\u1ed9 \u0103n \u00edt ch\u1ea5t x\u01a1, thi\u1ebfu h\u1ee5t nhi\u1ec1u vitamin v\u00e0 kho\u00e1ng ch\u1ea5t.
\nCh\u1ebf \u0111\u1ed9 l\u00e0m vi\u1ec7c c\u0103ng th\u1eb3ng, nhi\u1ec1u \u00e1p l\u1ef1c.
\nTh\u01b0\u1eddng xuy\u00ean ph\u1ea3i th\u1ee9c khuya, lao \u0111\u1ed9ng th\u1ec3 ch\u1ea5t qu\u00e1 s\u1ee9c.
\nL\u1ea1m d\u1ee5ng c\u00e1c th\u1ee9c u\u1ed1ng c\u00f3 c\u1ed3n nh\u01b0 r\u01b0\u1ee3u, bia. R\u01b0\u1ee3u l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u d\u1eabn \u0111\u1ebfn x\u01a1 gan \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn tr\u00ean l\u00e2m s\u00e0ng.<\/p>\nDa b\u1ecb ng\u1ee9a, khi n\u00e0o \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129?<\/h2>\n
\n
Nh\u1eefng b\u1ec7nh ung th\u01b0 n\u00e0o c\u00f3 th\u1ec3 khi\u1ebfn da b\u1ecb ng\u1ee9a<\/h2>\n
\n
Ng\u1ee9a m\u1eaft<\/h2>\n
C\u00e1c d\u1ea5u hi\u1ec7u b\u1ec7nh gan th\u01b0\u1eddng g\u1eb7p<\/h2>\n
1. M\u1ec7t m\u1ecfi ch\u00e1n \u0103n<\/h3>\n
2. Ng\u1ee9a, n\u1ed5i m\u1ec1 \u0111ay, m\u1ee5n nh\u1ecdt<\/h3>\n
3. N\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u<\/h3>\n
4. H\u01a1i th\u1edf c\u00f3 m\u00f9i<\/h3>\n
5. \u0110au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i<\/h3>\n
6. M\u00e0u ph\u00e2n thay \u0111\u1ed5i<\/h3>\n
7. N\u00f4n m\u01b0\u0309a dai d\u0103\u0309ng<\/h3>\n
8. V\u00e0ng da, v\u00e0ng m\u1eaft<\/h3>\n
9. D\u1ea5u sao m\u1ea1ch tr\u00ean da<\/h3>\n
10. Xu\u1ea5t hi\u1ec7n c\u00e1c v\u1ebft b\u1ea7m t\u00edm d\u01b0\u1edbi da<\/h3>\n
11. Tr\u01b0\u1edbng b\u1ee5ng<\/h3>\n
12. S\u01b0ng ph\u00f9 ch\u00e2n<\/h3>\n
13. Thay \u0111\u00f4\u0309i t\u00e2m tra\u0323ng va\u0300 ti\u0301nh ca\u0301ch<\/h3>\n