{"id":11502,"date":"2019-06-23T00:37:32","date_gmt":"2019-06-22T17:37:32","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=11502"},"modified":"2019-06-23T00:37:32","modified_gmt":"2019-06-22T17:37:32","slug":"viem-gan-e","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/viem-gan-e\/","title":{"rendered":"Vi\u00eam gan E"},"content":{"rendered":"

\u1ede c\u00e1c b\u00e0i tr\u01b0\u1edbc\u00a0vnras.com\/drug<\/a>\u00a0\u0111\u00e3 gi\u1edbi thi\u1ec7u t\u1edbi c\u00e1c b\u1ea1n hai c\u0103n b\u1ec7nh nguy hi\u1ec3m l\u00e0 vi\u00ean gan B, vi\u00eam gan C c\u1ea3 vi\u00eam gan D<\/a>. \u1ede b\u00e0i n\u00e0y nh\u00e0 thu\u1ed1c xin gi\u1edbi thi\u1ec7u t\u1edbi c\u00e1c b\u1ea1n m\u1ed9t b\u1ec7nh vi\u00eam gan nguy hi\u1ec3m n\u1eefa v\u1edbi t\u1ec9 l\u1ec7 m\u1eafc r\u1ea5t cao \u0111\u00f3 l\u00e0 vi\u00eam gan E. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 to\u00e0n b\u1ed9 nh\u1eefng g\u00ec b\u1ea1n c\u1ea7n bi\u1ebft v\u1ec1 Vi\u00eam gan D.<\/p>\n

T\u1ed5ng quan<\/h2>\n
$\"V\u1ecb$
\u1ea2nh: V\u1ecb tr\u00ed c\u00e1c v\u00f9ng gen m\u00e3 h\u00f3a tr\u00ean ARN HEV.<\/figcaption><\/figure>\n
Vi\u00eam gan E l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng gan do virus vi\u00eam gan E l\u00e0 HEV (Hepatitis E Virus) g\u00e2y ra. B\u1ec7nh l\u00e2y lan ch\u1ee7 y\u1ebfu qua \u0111\u01b0\u1eddng ph\u00e2n – mi\u1ec7ng do \u00f4 nhi\u1ec5m ph\u00e2n \u1edf ngu\u1ed3n c\u1ea5p n\u01b0\u1edbc ho\u1eb7c th\u1ef1c ph\u1ea9m.<\/p>\n
T\u00ednh \u0111\u1ebfn ng\u00e0y 19\/9\/2018, \u01b0\u1edbc t\u00ednh m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 20 tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi nhi\u1ec5m HEV, v\u00e0 WHO \u01b0\u1edbc t\u00ednh r\u1eb1ng vi\u00eam gan E g\u00e2y ra kho\u1ea3ng 44,000 ca t\u1eed vong tr\u00ean to\u00e0n th\u1ebf gi\u1edbi v\u00e0o n\u0103m 2015 (chi\u1ebfm 3.3% t\u1ec9 l\u1ec7 t\u1eed vong do vi\u00eam gan virus).<\/p>\n
Virus HEV \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, tuy nhi\u00ean t\u1ec9 l\u1ec7 l\u01b0u h\u00e0nh cao nh\u1ea5t l\u00e0 \u1edf \u0110\u00f4ng v\u00e0 Nam \u00c1.<\/p>\n
Vaccin ph\u00f2ng ng\u1eeba vi\u00eam gan E \u0111\u00e3 ph\u00e1t tri\u1ec3n v\u00e0 \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p t\u1ea1i Trung Qu\u1ed1c, tuy nhi\u00ean ch\u01b0a c\u00f3 s\u1eb5n t\u1ea1i c\u00e1c qu\u1ed1c gia kh\u00e1c.<\/p>\n
D\u1ecbch t\u1ec5<\/em><\/p>\n
Vi\u00eam gan E \u0111\u1eb7c bi\u1ec7t ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng n\u01b0\u1edbc m\u00e0 ng\u01b0\u1eddi d\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn h\u1ea1n ch\u1ebf v\u1edbi c\u00e1c d\u1ecbch v\u1ee5 thi\u1ebft y\u1ebfu v\u1ec1 cung c\u1ea5p n\u01b0\u1edbc, v\u1ec7 sinh v\u00e0 y t\u1ebf, \u1edf \u0111\u00f3 vi\u00eam gan E ph\u00e1t tri\u1ec3n th\u00e0nh nh\u1eefng v\u00f9ng d\u1ecbch t\u01b0\u01a1ng \u0111\u1ed1i l\u1edbn nh\u01b0 c\u00e1c khu v\u1ef1c xung \u0111\u1ed9t, chi\u1ebfn tranh, tr\u1ea1i d\u00e0nh cho ng\u01b0\u1eddi t\u1ecb n\u1ea1n… Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m HEV \u1edf c\u00e1c khu v\u1ef1c n\u00e0y ch\u1ee7 y\u1ebfu r\u01a1i v\u00e0o genotype 1 v\u00e0 2.<\/p>\n
\u1ede nh\u1eefng khu v\u1ef1c c\u00f3 \u0111i\u1ec1u ki\u1ec7n v\u1ec7 sinh v\u00e0 cung c\u1ea5p n\u01b0\u1edbc t\u1ed1t h\u01a1n, b\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra l\u1ebb t\u1ebb v\u00e0 th\u01b0\u1eddng do genotype 3 g\u00e2y ra. Genotype n\u00e0y th\u01b0\u1eddng c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb \u0111\u1ed9ng v\u1eadt, th\u01b0\u1eddng do \u0103n th\u1ecbt ch\u01b0a n\u1ea5u ch\u00edn v\u00e0 kh\u00f4ng c\u00f3 li\u00ean quan \u0111\u1ebfn \u00f4 nhi\u1ec5m n\u01b0\u1edbc ho\u1eb7c th\u1ef1c ph\u1ea9m.<\/p>\n
Tham kh\u1ea3o th\u00eam:<\/p>\n
Vi\u00ean gan B<\/a><\/p>\n
Vi\u00eam gan C<\/a><\/p>\n
Nguy\u00ean nh\u00e2n<\/h2>\n
$\"\u1ea2nh$
\u1ea2nh: \u1ea2nh ch\u1ee5p virus vi\u00eam gan E b\u1eb1ng k\u00ednh hi\u1ec3n vi \u0111i\u1ec7n t\u1eed.<\/figcaption><\/figure>\n
Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 virus HEV, m\u1ed9t virus nh\u1ecf thu\u1ed9c h\u1ecd Hepeviridae<\/em>, c\u00f3 b\u1ed9 gen l\u00e0 ARN s\u1ee3i \u0111\u01a1n, chi\u1ec1u d\u00e0i kho\u1ea3ng 7,200 base, kh\u00f4ng c\u00f3 v\u1ecf envelope. C\u00f3 \u00edt nh\u1ea5t l\u00e0 4 ki\u1ec3u genotype kh\u00e1c nhau 1, 2, 3 v\u00e0 4. Ki\u1ec3u 1 v\u00e0 2 ch\u1ec9 t\u00ecm th\u1ea5y \u1edf ng\u01b0\u1eddi. Ki\u1ec3u 3 v\u00e0 4 l\u01b0u h\u00e0nh tr\u00ean m\u1ed9t s\u1ed1 \u0111\u1ed9ng v\u1eadt (l\u1ee3n, h\u01b0\u01a1u, nai) v\u00e0 \u0111\u00f4i khi nhi\u1ec5m tr\u00ean ng\u01b0\u1eddi.<\/p>\n
Ch\u1ea9n \u0111o\u00e1n<\/h2>\n
Kh\u00f4ng th\u1ec3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t vi\u00eam gan E v\u1edbi c\u00e1c vi\u00eam gan si\u00eau vi kh\u00e1c tr\u00ean l\u00e2m s\u00e0ng ch\u1ec9 d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n
Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh vi\u00eam gan E d\u1ef1a v\u00e0o d\u1ecbch t\u1ec5 h\u1ecdc, kh\u00e1ng th\u1ec3 typ IgM kh\u00e1ng HEV ho\u1eb7c ARN HEV (s\u1eed d\u1ee5ng ph\u1ea3n \u1ee9ng khu\u1ebfch \u0111\u1ea1i gen RT-PCR) cho k\u1ebft qu\u1ea3 \u0111\u00e1ng tin c\u1eady.<\/p>\n
Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h2>\n
Vi\u00eam gan E c\u1ea5p t\u00ednh<\/em><\/h3>\n
Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam gan E c\u1ea5p t\u00ednh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 vi\u00eam gan si\u00eau vi c\u1ea5p n\u00f3i chung.<\/p>\n
Th\u1eddi k\u00ec \u1ee7 b\u1ec7nh:<\/em><\/p>\n
\n
K\u00e9o d\u00e0i 2 \u0111\u1ebfn 10 tu\u1ea7n, k\u00e9o d\u00e0i trung b\u00ecnh 5-6 tu\u1ea7n, th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng ho\u1eb7c ch\u1ec9 v\u00e0ng da nh\u1eb9 kh\u00f3 ph\u00e1t hi\u1ec7n.<\/li>\n<\/ul>\n
Th\u1eddi k\u00ec kh\u1edfi ph\u00e1t:<\/em><\/p>\n
K\u00e9o d\u00e0i 3-10 ng\u00e0y.<\/p>\n
S\u1ed1t nh\u1eb9 38-39^{\u25cb<\/sup>C.<\/p>\n}
\u0110au t\u1ee9c v\u00f9ng b\u1ee5ng b\u00ean ph\u1ea3i, ngay d\u01b0\u1edbi x\u01b0\u01a1ng s\u01b0\u1eddn (c\u00f2n g\u1ecdi h\u1ea1 s\u01b0\u1eddn ph\u1ea3i, v\u1ecb tr\u00ed th\u00f4ng th\u01b0\u1eddng c\u1ee7a gan, tr\u1eeb m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ea3o ng\u01b0\u1ee3c ph\u1ee7 t\u1ea1ng th\u00ec gan \u1edf h\u1ea1 s\u01b0\u1eddn tr\u00e1i).<\/p>\n
B\u1ec7nh nh\u00e2n ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n, m\u1ec7t m\u1ecfi nhi\u1ec1u, kh\u00f4ng mu\u1ed1n l\u00e0m g\u00ec.<\/p>\n
Th\u1eddi k\u00ec to\u00e0n ph\u00e1t:<\/em><\/p>\n
\n
K\u00e9o d\u00e0i 1-3 tu\u1ea7n.<\/li>\n<\/ul>\n
C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00e1t tri\u1ec3n v\u00e0 n\u1eb7ng l\u00ean:<\/p>\n
\n
Gan to v\u00e0 \u0111au, l\u00e1ch c\u00f3 th\u1ec3 to.<\/li>\n
Ch\u00e1n \u0103n, m\u1ec7t m\u1ecfi, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a…<\/li>\n
V\u00e0ng da (do t\u0103ng bilirubin \u2013 s\u1eafc t\u1ed1 m\u1eadt trong m\u00e1u), v\u00e0ng m\u1eaft ph\u00e1t tri\u1ec3n nhanh, k\u00e9o d\u00e0i 2-4 tu\u1ea7n.<\/li>\n
Ph\u00e2n b\u1ea1c m\u00e0u (c\u00f3 th\u1ec3 tr\u1eafng nh\u01b0 ph\u00e2n c\u00f2).<\/li>\n
N\u01b0\u1edbc ti\u1ec3u \u00edt v\u00e0 s\u1eabm m\u00e0u (gi\u1ed1ng m\u00e0u n\u01b0\u1edbc v\u1ed1i).<\/li>\n
R\u1ea5t ng\u1ee9a (do t\u00edch t\u1ee5 bilirubin d\u01b0\u1edbi da k\u00edch th\u00edch c\u00e1c th\u1ee5 c\u1ea3m th\u1ec3 g\u00e2y ng\u1ee9a, ng\u1ee9a trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng histamin H1).<\/li>\n<\/ul>\n
Th\u1eddi k\u00ec h\u1ed3i ph\u1ee5c:<\/em><\/p>\n
Th\u01b0\u1eddng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng \u0111a ni\u1ec7u.<\/p>\n
C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng gi\u1ea3m d\u1ea7n r\u1ed3i m\u1ea5t.<\/p>\n
B\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u1ecfe l\u00ean, d\u1ec5 ch\u1ecbu d\u1ea7n, \u0103n ng\u1ee7 t\u1ed1t.<\/p>\n
N\u01b0\u1edbc ti\u1ec3u trong tr\u1edf l\u1ea1i, ph\u00e2n c\u0169ng tr\u1edf v\u1ec1 m\u00e0u nh\u01b0 c\u0169.<\/p>\n
Gan d\u1ea7n tr\u1edf v\u1ec1 k\u00edch th\u01b0\u1edbc b\u00ecnh th\u01b0\u1eddng.<\/p>\n
S\u1ef1 m\u1ec7t m\u1ecfi v\u00e0 \u0111au t\u1ee9c h\u1ea1 s\u01b0\u1eddn ph\u1ea3i c\u00f3 th\u1ec3 c\u00f2n k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng sau \u0111\u00f3.<\/p>\n
Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, vi\u00eam gan c\u1ea5p c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n n\u1eb7ng th\u00e0nh vi\u00eam gan t\u1ed1i c\u1ea5p, \u0111\u1eb7c bi\u1ec7t trong thai k\u00ec.<\/p>\n
Vi\u00eam gan E m\u1ea1n t\u00ednh:<\/em><\/h3>\n
B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng.<\/p>\n
C\u00f3 th\u1ec3 c\u00f3 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng nh\u01b0 vi\u00eam gan c\u1ea5p: m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, \u0111au b\u1ee5ng…<\/p>\n
Khi b\u1ecb bi\u1ebfn ch\u1ee9ng x\u01a1 gan, ung th\u01b0 gan b\u1ec7nh nh\u00e2n s\u1ebd c\u00f3 th\u00eam nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd n\u00e0y.<\/p>\n
Vi\u00eam gan E c\u1ea5p hi\u1ebfm khi ph\u00e1t tri\u1ec3n th\u00e0nh m\u1ea1n t\u00ednh, ch\u1ec9 ph\u00e1t hi\u1ec7n th\u1ea5y tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 suy gi\u1ea3m mi\u1ec5n d\u1ecbch (b\u1ec7nh nh\u00e2n HIV\/AIDS, d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch), nhi\u1ec5m tr\u00f9ng HEV genotype 3 ho\u1eb7c 4.<\/p>\n
C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n
$\"C\u1ea5u$
H\u00ecnh \u1ea3nh: C\u1ea5u tr\u00fac HEV<\/figcaption><\/figure>\n
Vi\u00eam gan E c\u1ea5p t\u00ednh<\/em><\/h3>\n
C\u1eadn l\u00e2m s\u00e0ng vi\u00eam gan E c\u1ea5p c\u00f3 nhi\u1ec1u \u0111i\u1ec3m t\u01b0\u01a1ng t\u1ef1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan si\u00eau vi c\u1ea5p kh\u00e1c.<\/p>\n
Th\u1eddi k\u00ec kh\u1edfi ph\u00e1t:<\/em><\/p>\n
\n
Kh\u00e1m th\u1ef1c th\u1ec3: gan to (h\u1ea7u nh\u01b0 m\u1ecdi tr\u01b0\u1eddng h\u1ee3p).<\/li>\n
N\u01b0\u1edbc ti\u1ec3u s\u1eabm (\u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p).<\/li>\n
Urobilinogen ni\u1ec7u (+).<\/li>\n<\/ul>\n
Th\u1eddi k\u00ec to\u00e0n ph\u00e1t:<\/em><\/p>\n
\n
ALT, AST t\u0103ng cao (c\u00f3 th\u1ec3 tr\u00ean 5 l\u1ea7n), \u0111\u1eb7c bi\u1ec7t l\u00e0 ALT.<\/li>\n
Bilirubin to\u00e0n ph\u1ea7n t\u0103ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 bilirubin tr\u1ef1c ti\u1ebfp.<\/li>\n
Phosphatase ki\u1ec1m t\u0103ng trong tr\u01b0\u1eddng h\u1ee3p t\u1eafc m\u1eadt.<\/li>\n
Urobilinogen ni\u1ec7u (-).<\/li>\n<\/ul>\n
Th\u1eddi k\u00ec h\u1ed3i ph\u1ee5c:<\/em><\/p>\n
\n
C\u00e1c ch\u1ec9 s\u1ed1 bilirubin to\u00e0n ph\u1ea7n, transaminase m\u00e1u, c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u00f3a kh\u00e1c d\u1ea7n tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n
Vi\u00eam gan E m\u1ea1n t\u00ednh:<\/em><\/h3>\n
\n
AST\/ALT t\u0103ng t\u1eebng \u0111\u1ee3t hay k\u00e9o d\u00e0i.<\/li>\n
Sinh thi\u1ebft gan: h\u00ecnh \u1ea3nh vi\u00eam gan m\u1ea1n t\u00ednh.<\/li>\n
C\u1ea3 vi\u00eam gan c\u1ea5p v\u00e0 m\u1ea1n \u0111\u1ec1u c\u00f3 th\u1ec3 c\u00f3 ARN HEV (+), kh\u00e1ng th\u1ec3 type IgM kh\u00e1ng HEV (+).<\/li>\n<\/ul>\n
\u0110i\u1ec1u tr\u1ecb<\/h2>\n
Vi\u00eam gan c\u1ea5p<\/em><\/p>\n
Kh\u00f4ng c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u, ch\u1ee7 y\u1ebfu l\u00e0 l\u00e0 h\u1ed7 tr\u1ee3 v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng.<\/p>\n
\n
Ngh\u1ec9 ng\u01a1i ho\u00e0n to\u00e0n t\u1ea1i gi\u01b0\u1eddng trong giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n.<\/li>\n
\u0102n u\u1ed1ng \u0111\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng, \u0103n th\u1ecbt n\u1ea1c, rau xanh, hoa qu\u1ea3 t\u01b0\u01a1i, ki\u00eang m\u1ee1 \u0111\u1ed9ng v\u1eadt…<\/li>\n
Ki\u00eang r\u01b0\u1ee3u bia v\u00e0 c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n kh\u00e1c.<\/li>\n
C\u00f3 th\u1ec3 xem x\u00e9t nu\u00f4i d\u01b0\u1ee1ng b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/li>\n
C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c b\u1ea3o v\u1ec7 t\u1ebf b\u00e0o gan n\u1ebfu c\u1ea7n: Fortec<\/em>, Nissel<\/em>, Grocel<\/em>… hay c\u00e1c thu\u1ed1c c\u00f3 ngu\u1ed3n g\u1ed1c d\u01b0\u1ee3c li\u1ec7u nh\u01b0 ch\u00f3 \u0111\u1ebb r\u0103ng c\u01b0a…<\/li>\n
Vi\u00eam gan t\u1ed1i c\u1ea5p: \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c.<\/li>\n<\/ul>\n
Vi\u00eam gan m\u1ea1n<\/em><\/p>\n
M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 \u0111\u1ec1 xu\u1ea5t s\u1eed d\u1ee5ng ribavarin trong \u0111i\u1ec1u tr\u1ecb vi\u00eam gan E m\u1ea1n t\u00ednh m\u1eb7c d\u00f9 tr\u00ean th\u1ef1c t\u1ebf thu\u1ed1c kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t cho ch\u1ec9 \u0111\u1ecbnh n\u00e0y. Ngo\u00e0i ra c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng Pegylated Interferon-\u03b1 \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi ribavarin.<\/p>\n
D\u1ef1 ph\u00f2ng<\/h2>\n
Ph\u00f2ng b\u1ec7nh ch\u1ee7 \u0111\u1ed9ng<\/em><\/p>\n
\n
Hi\u1ec7n t\u1ea1i Vi\u1ec7t Nam ch\u01b0a c\u00f3 s\u1eb5n vaccin ph\u00f2ng HEV. Vaccin m\u1edbi ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t t\u1ea1i Trung Qu\u1ed1c.<\/li>\n<\/ul>\n
Ph\u00f2ng b\u1ec7nh kh\u00f4ng \u0111\u1eb7c hi\u1ec7u<\/em><\/p>\n
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R\u1eeda tay b\u1eb1ng x\u00e0 ph\u00f2ng tr\u01b0\u1edbc khi \u0103n v\u00e0 sau khi \u0111i v\u1ec7 sinh, tr\u01b0\u1edbc khi s\u01a1 ch\u1ebf th\u1ef1c ph\u1ea9m.<\/li>\n
S\u1eed d\u1ee5ng ngu\u1ed3n n\u01b0\u1edbc \u0111\u1ea1t ti\u00eau chu\u1ea9n v\u1ec7 sinh, tr\u00e1nh s\u1eed d\u1ee5ng n\u01b0\u1edbc kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c.<\/li>\n
X\u1eed l\u00ed ph\u00e2n ng\u01b0\u1eddi an to\u00e0n.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"
\u1ede c\u00e1c b\u00e0i tr\u01b0\u1edbc\u00a0vnras.com\/drug\u00a0\u0111\u00e3 gi\u1edbi thi\u1ec7u t\u1edbi c\u00e1c b\u1ea1n hai c\u0103n b\u1ec7nh nguy hi\u1ec3m l\u00e0 vi\u00ean gan B, vi\u00eam gan C c\u1ea3 vi\u00eam gan D. \u1ede b\u00e0i n\u00e0y nh\u00e0 thu\u1ed1c xin gi\u1edbi thi\u1ec7u t\u1edbi c\u00e1c b\u1ea1n m\u1ed9t b\u1ec7nh vi\u00eam gan nguy hi\u1ec3m n\u1eefa v\u1edbi t\u1ec9 l\u1ec7 m\u1eafc r\u1ea5t cao \u0111\u00f3 l\u00e0 vi\u00eam gan E. D\u01b0\u1edbi […]\n","protected":false},"author":1,"featured_media":11515,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-11502","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/11502","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=11502"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/11502\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/11515"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=11502"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=11502"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=11502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}