![\"M\u00e0y](\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/3.jpg\" "\\"\\"")
NGUY\u00caN NH\u00c2N V\u00c0 SINH L\u00dd B\u1ec6NH<\/h2>\n
M\u00e0y \u0111ay trung gian b\u1edfi c\u00e1c t\u1ebf b\u00e0o mast v\u00e0 basophil \u1edf l\u1edbp b\u00ec n\u00f4ng c\u1ee7a da, trong khi ph\u00f9 m\u1ea1ch trung gian b\u1edfi c\u00e1c t\u1ebf b\u00e0o n\u00e0y \u1edf l\u1edbp s\u00e2u h\u01a1n c\u1ee7a da v\u00e0 m\u00f4 d\u01b0\u1edbi da.<\/p>\n
Khi \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a, c\u00e1c t\u1ebf b\u00e0o mast v\u00e0 basophil gi\u1ea3i ph\u00f3ng nhi\u1ec1u ch\u1ea5t trung gian, bao g\u1ed3m histamine (nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ng\u1ee9a v\u00e0 \u0111\u1ecf da) v\u00e0 c\u00e1c ch\u1ea5t gi\u00e3n m\u1ea1ch (nh\u01b0 leukotriene v\u00e0 prostaglandin, g\u00e2y s\u01b0ng t\u1ea1i ch\u1ed7 \u1edf l\u1edbp tr\u00ean c\u1ee7a da v\u00e0 c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y ng\u1ee9a v\u00e0 \u0111\u1ecf da trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng).<\/p>\n
Qu\u00e1 tr\u00ecnh t\u01b0\u01a1ng t\u1ef1 s\u1ebd g\u00e2y ph\u00f9 m\u1ea1ch khi c\u00e1c t\u1ebf b\u00e0o mast \u1edf l\u1edbp b\u00ec s\u00e2u v\u00e0 m\u00f4 d\u01b0\u1edbi da \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a. C\u00e1c t\u1ebf b\u00e0o mast v\u00e0 basophil c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a qua nhi\u1ec1u c\u01a1 ch\u1ebf kh\u00e1c nhau; t\u1ebf b\u00e0o mast c\u00f3 th\u1ee5 th\u1ec3 d\u00e0nh cho IgE c\u0169ng nh\u01b0 c\u00e1c th\u1ee5 th\u1ec3 nh\u1eadn bi\u1ebft m\u1ed9t s\u1ed1 c\u1ea5u tr\u00fac h\u00f3a h\u1ecdc \u0111\u1eb7c tr\u01b0ng tr\u00ean thu\u1ed1c, m\u1ea3nh b\u1ed5 th\u1ec3, neuropeptide, protein vi sinh v\u1eadt v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c.<\/p>\n
B\u1ec7nh nh\u00e2n b\u1ecb m\u00e0y \u0111ay c\u1ea5p t\u00ednh th\u01b0\u1eddng c\u00f3 kh\u1ea3 n\u0103ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n cao h\u01a1n so v\u1edbi m\u00e0y \u0111ay m\u1ea1n t\u00ednh. Tuy nhi\u00ean, kh\u00f4ng th\u1ec3 t\u00ecm th\u1ea5y nguy\u00ean nh\u00e2n trong kho\u1ea3ng 30 \u0111\u1ebfn 50% c\u00e1c tr\u01b0\u1eddng h\u1ee3p.<\/p>\n
Nhi\u1ec5m tr\u00f9ng \u2013 Nhi\u1ec5m virus, vi khu\u1ea9n v\u00e0 k\u00fd sinh tr\u00f9ng c\u00f3 li\u00ean quan \u0111\u1ebfn m\u00e0y \u0111ay m\u1edbi kh\u1edfi ph\u00e1t, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em.<\/p>\n
Nhi\u1ec5m virus v\u00e0 vi khu\u1ea9n \u2013 \u1ede m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u tr\u00ean tr\u1ebb em, nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn 80% c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u00e0y \u0111ay c\u1ea5p t\u00ednh. M\u00e0y \u0111ay c\u1ea5p c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong l\u00fac \u0111ang b\u1ecb nhi\u1ec5m tr\u00f9ng ho\u1eb7c sau khi nhi\u1ec5m tr\u00f9ng \u0111\u00e3 kh\u1ecfi; trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, m\u00e0y \u0111ay c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n v\u00e0i tu\u1ea7n sau khi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea5p t\u00ednh \u0111\u00e3 bi\u1ebfn m\u1ea5t.<\/p>\n
Ph\u1ea3n \u1ee9ng m\u00e0y \u0111ay do nhi\u1ec5m virus \u1edf tr\u1ebb \u0111ang d\u00f9ng kh\u00e1ng sinh c\u00f3 th\u1ec3 d\u1ec5 b\u1ecb nh\u1ea7m v\u1edbi d\u1ecb \u1ee9ng thu\u1ed1c kh\u00e1ng sinh. \u0110\u00e1ng ti\u1ebfc l\u00e0 m\u00e0y \u0111ay c\u1ea5p do nhi\u1ec5m virus v\u00e0 m\u00e0y \u0111ay do d\u1ecb \u1ee9ng kh\u00e1ng sinh th\u01b0\u1eddng r\u1ea5t kh\u00f3 ph\u00e2n bi\u1ec7t, v\u00e0 \u0111\u00f4i khi c\u1ea7n d\u00f9ng l\u1ea1i kh\u00e1ng sinh sau n\u00e0y \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh r\u1eb1ng thu\u1ed1c kh\u00f4ng ph\u1ea3i nguy\u00ean nh\u00e2n.<\/p>\n
Nhi\u1ec5m k\u00fd sinh tr\u00f9ng \u2013 Nhi\u1ec5m k\u00fd sinh tr\u00f9ng th\u01b0\u1eddng g\u00e2y m\u00e0y \u0111ay c\u1ea5p t\u00ednh t\u1ef1 gi\u1edbi h\u1ea1n v\u00e0 th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u ngo\u1ea1i vi.<\/p>\n
Thu\u1ed1c \u2013 Nhi\u1ec1u lo\u1ea1i thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y m\u00e0y \u0111ay th\u00f4ng qua ho\u1ea1t h\u00f3a t\u1ebf b\u00e0o mast b\u1edfi IgE, ho\u1eb7c ho\u1ea1t h\u00f3a kh\u00f4ng qua mi\u1ec5n d\u1ecbch th\u00f4ng qua th\u1ee5 th\u1ec3 MRGPRX2, ho\u1eb7c th\u00f4ng qua c\u00e1c c\u01a1 ch\u1ebf kh\u00e1c.<\/p>\n
Kh\u00e1ng sinh beta-lactam \u2013 g\u1ed3m penicillin v\u00e0 cephalosporin; c\u00e1c thu\u1ed1c n\u00e0y th\u01b0\u1eddng g\u00e2y m\u00e0y \u0111ay th\u00f4ng qua ph\u1ea3n \u1ee9ng trung gian IgE.<\/p>\n
Fluoroquinolone \u2013 th\u01b0\u1eddng g\u00e2y ph\u1ea3n \u1ee9ng m\u00e0y \u0111ay th\u00f4ng qua MRGPRX2, m\u1eb7c d\u00f9 c\u00e1c ph\u1ea3n \u1ee9ng qua trung gian IgE hi\u1ebfm c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n
Thu\u1ed1c gi\u00e3n c\u01a1 \u2013 g\u00e2y m\u00e0y \u0111ay th\u00f4ng qua MRGPRX2 ho\u1eb7c trung gian IgE.<\/p>\n
Vancomycin \u2013 Ph\u1ea3n \u1ee9ng truy\u1ec1n vancomycin th\u01b0\u1eddng x\u1ea3y ra khi truy\u1ec1n qu\u00e1 nhanh, g\u00e2y \u0111\u1ecf da lan t\u1ecfa, v\u00e0 \u00edt g\u1eb7p h\u01a1n l\u00e0 m\u00e0y \u0111ay k\u00e8m theo. Vancomycin k\u00edch ho\u1ea1t t\u1ebf b\u00e0o mast qua MRGPRX2 trong \u0111a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. D\u00f9ng opioid c\u00f9ng l\u00fac c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ph\u1ea3n \u1ee9ng.<\/p>\n
Opioid \u2013 nh\u01b0 morphine v\u00e0 codeine c\u00f3 th\u1ec3 k\u00edch ho\u1ea1t t\u1ebf b\u00e0o mast, v\u00e0 m\u1ee9c \u0111\u1ed9 nh\u1ea1y c\u1ea3m kh\u00e1c nhau gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n ch\u1ec9 ng\u1ee9a nh\u1eb9 khi d\u00f9ng li\u1ec1u cao, nh\u01b0ng m\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u00e0y \u0111ay r\u00f5 r\u1ec7t. Dextromethorphan, m\u1ed9t d\u1eabn xu\u1ea5t opioid trong siro ho c\u0169ng c\u00f3 th\u1ec3 g\u00e2y m\u00e0y \u0111ay qua c\u01a1 ch\u1ebf n\u00e0y.<\/p>\n
NSAID \u2013 c\u00f3 th\u1ec3 g\u00e2y m\u00e0y \u0111ay v\u00e0 ho\u1eb7c ph\u00f9 m\u1ea1ch \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.<\/p>\n
Th\u1ee9c \u0103n \u2013 Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng qua trung gian IgE v\u1edbi th\u1ee9c \u0103n c\u00f3 th\u1ec3 g\u00e2y m\u00e0y \u0111ay, th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u trong kho\u1ea3ng 30 ph\u00fat sau khi \u0103n v\u00e0 gi\u1ea3m d\u1ea7n trong v\u00e0i gi\u1edd \u0111\u1ebfn m\u1ed9t ng\u00e0y.<\/p>\n
\u1ede tr\u1ebb em, c\u00e1c th\u1ef1c ph\u1ea9m th\u01b0\u1eddng g\u00e2y m\u00e0y \u0111ay to\u00e0n th\u00e2n bao g\u1ed3m s\u1eefa, tr\u1ee9ng, \u0111\u1eadu ph\u1ed9ng, c\u00e1c lo\u1ea1i h\u1ea1t, \u0111\u1eadu n\u00e0nh v\u00e0 l\u00faa m\u00ec. D\u1ecb \u1ee9ng th\u1ee9c \u0103n c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, ngay c\u1ea3 khi tr\u01b0\u1edbc \u0111\u00e2y h\u1ecd v\u1eabn \u0103n \u0111\u01b0\u1ee3c b\u00ecnh th\u01b0\u1eddng; \u0111i\u1ec1u n\u00e0y th\u01b0\u1eddng x\u1ea3y ra v\u1edbi c\u00e1 v\u00e0 h\u1ea3i s\u1ea3n.<\/p>\n
\u0110\u00c1NH GI\u00c1 V\u00c0 CH\u1ea8N \u0110O\u00c1N<\/h2>\n
Khai th\u00e1c b\u1ec7nh s\u1eed v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng \u2013 M\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a vi\u1ec7c khai th\u00e1c b\u1ec7nh s\u1eed l\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 g\u00e2y m\u00e0y \u0111ay.<\/p>\n
Vi\u1ec7c kh\u00e1m l\u00e2m s\u00e0ng, ho\u1eb7c xem h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng da do b\u1ec7nh nh\u00e2n cung c\u1ea5p, l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u1eb7c \u0111i\u1ec3m \u0111i\u1ec3n h\u00ecnh c\u1ee7a t\u1ed5n th\u01b0\u01a1ng.<\/p>\n
C\u00e1c b\u1ec7nh l\u00fd c\u1ea7n lo\u1ea1i tr\u1eeb \u2013 \u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u00e0y \u0111ay m\u1edbi kh\u1edfi ph\u00e1t l\u00e0 l\u00e0nh t\u00ednh v\u00e0 t\u1ef1 gi\u1edbi h\u1ea1n.<\/p>\n
C\u00e1c t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 c\u1ea7n lo\u1ea1i tr\u1eeb bao g\u1ed3m:<\/p>\n
S\u1ed1c ph\u1ea3n v\u1ec7 \u2013 c\u1ea7n h\u1ecfi k\u1ef9 v\u1ec1 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng to\u00e0n th\u00e2n ho\u1eb7c s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n
M\u00e0y \u0111ay vi\u00eam m\u1ea1ch \u2013 t\u1ed5n th\u01b0\u01a1ng k\u00e9o d\u00e0i h\u01a1n 24 gi\u1edd, \u0111au v\u00e0 \u0111\u1ec3 l\u1ea1i v\u1ebft b\u1ea7m.<\/p>\n
B\u1ec7nh l\u00fd to\u00e0n th\u00e2n \u2013 h\u1ecfi th\u00eam v\u1ec1 tri\u1ec7u ch\u1ee9ng tuy\u1ebfn gi\u00e1p, s\u1ed1t, s\u1ee5t c\u00e2n, \u0111au kh\u1edbp.<\/p>\n
Khi n\u00e0o nghi ng\u1edd nguy\u00ean nh\u00e2n do IgE \u2013 khi m\u00e0y \u0111ay xu\u1ea5t hi\u1ec7n trong v\u00f2ng v\u00e0i ph\u00fat \u0111\u1ebfn hai gi\u1edd sau ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean (thu\u1ed1c, th\u1ee9c \u0103n, c\u00f4n tr\u00f9ng…).<\/p>\n
X\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n \u2013 d\u1ef1a v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng \u0111i\u1ec3n h\u00ecnh: m\u1ea3ng \u0111\u1ecf, g\u1ed3, gi\u1edbi h\u1ea1n r\u00f5, ng\u1ee9a, t\u1ef1 h\u1ebft trong 24 gi\u1edd.<\/p>\n T\u01b0 v\u1ea5n v\u00e0 tr\u1ea5n an b\u1ec7nh nh\u00e2n \u2013 M\u00e0y \u0111ay m\u1edbi kh\u1edfi ph\u00e1t l\u00e0 t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn, \u0111a ph\u1ea7n t\u1ef1 kh\u1ecfi trong v\u00f2ng 6 tu\u1ea7n.<\/p>\n \u0110i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng histamin H1 \u2013 l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay cho t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n.<\/p>\n \u01afu ti\u00ean kh\u00e1ng histamin H1 th\u1ebf h\u1ec7 2 \u2013 nh\u01b0 cetirizine, bilastine\u2026 c\u00f3 hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng th\u1ebf h\u1ec7 1 nh\u01b0ng \u00edt bu\u1ed3n ng\u1ee7 h\u01a1n.<\/p>\n Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch d\u00f9ng \u2013 b\u1eaft \u0111\u1ea7u b\u1eb1ng li\u1ec1u chu\u1ea9n, c\u00f3 th\u1ec3 t\u0103ng g\u1ea5p \u0111\u00f4i ho\u1eb7c g\u1ea5p ba n\u1ebfu ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng.<\/p>\n Cetirizine: ng\u01b0\u1eddi l\u1edbn 10 mg; tr\u1ebb em t\u00f9y l\u1ee9a tu\u1ed5i (2.5\u201310 mg\/ng\u00e0y).<\/p>\n Diphehydramine: ng\u01b0\u1eddi l\u1edbn 25\u201350 mg; tr\u1ebb em 0.5\u20131.25 mg\/kg.<\/p>\n Hydroxyzine: ng\u01b0\u1eddi l\u1edbn 25\u201350 mg; tr\u1ebb em 0.5\u20131 mg\/kg.<\/p>\n Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb \u2013 ti\u1ebfp t\u1ee5c d\u00f9ng cho \u0111\u1ebfn khi h\u1ebft ho\u00e0n to\u00e0n t\u1ed5n th\u01b0\u01a1ng, sau \u0111\u00f3 gi\u1ea3m li\u1ec1u d\u1ea7n \u0111\u1ec3 tr\u00e1nh t\u00e1i ph\u00e1t.<\/p>\n Tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i >6 tu\u1ea7n \u2013 c\u00e2n nh\u1eafc m\u00e0y \u0111ay m\u1ea1n, d\u00f9ng kh\u00e1ng histamine li\u1ec1u cao h\u01a1n.<\/p>\n Kh\u00e1ng histamine th\u1ebf h\u1ec7 \u0111\u1ea7u \u2013 c\u00f3 th\u1ec3 g\u00e2y bu\u1ed3n ng\u1ee7, kh\u00f4 mi\u1ec7ng, b\u00ed ti\u1ec3u; tr\u00e1nh d\u00f9ng \u1edf tr\u1ebb nh\u1ecf v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i.<\/p>\n Glucocorticoid h\u1ed7 tr\u1ee3 \u2013 ch\u1ec9 d\u00f9ng khi tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i d\u00f9 \u0111\u00e3 d\u00f9ng kh\u00e1ng histamine \u0111\u1ec1u \u0111\u1eb7n.<\/p>\n Ng\u01b0\u1eddi l\u1edbn: Prednisone 30\u201360 mg\/ng\u00e0y, gi\u1ea3m d\u1ea7n trong 5\u20137 ng\u00e0y.<\/p>\n Tr\u1ebb em: Prednisone 0.5\u20131 mg\/kg\/ng\u00e0y (t\u1ed1i \u0111a 60 mg\/ng\u00e0y).<\/p>\n \u0110i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o:<\/strong><\/em><\/p>\n Kh\u00e1ng histamine H2 \u2013 kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n Thu\u1ed1c b\u00f4i t\u1ea1i ch\u1ed7 \u2013 kh\u00f4ng c\u00f3 l\u1ee3i \u00edch r\u00f5 r\u00e0ng trong gi\u1ea3m ng\u1ee9a ho\u1eb7c l\u00e0m t\u1ed5n th\u01b0\u01a1ng bi\u1ebfn m\u1ea5t.<\/p>\n","protected":false},"excerpt":{"rendered":" Ngu\u1ed3n: NT \u0397\u039d GI\u1edaI THI\u1ec6U M\u00e0y \u0111ay l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p v\u1edbi t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh kho\u1ea3ng 20% d\u00e2n s\u1ed1 chung. Sang th\u01b0\u01a1ng m\u00e0y \u0111ay \u0111i\u1ec3n h\u00ecnh l\u00e0 m\u00e0ng \u0111\u1ecf, ng\u1ee9a nhi\u1ec1u. M\u00e0y \u0111ay th\u1ec9nh tho\u1ea3ng k\u00e8m theo ph\u00f9 m\u1ea1ch. Y\u1ebfu t\u1ed1 kh\u1edfi ph\u00e1t nh\u01b0 thu\u1ed1c, th\u1ee9c \u0103n, c\u00f4n tr\u00f9ng \u0111\u1ed1t ho\u1eb7c nhi\u1ec5m tr\u00f9ng […]\n","protected":false},"author":1,"featured_media":147798,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-147795","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\/147795","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=147795"}],"version-history":[{"count":2,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/147795\/revisions"}],"predecessor-version":[{"id":147800,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/147795\/revisions\/147800"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/147798"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=147795"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=147795"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=147795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"M\u00e0y](\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/2.jpg\" "\\"\\"")
\u0110I\u1ec0U TR\u1eca<\/h2>\n