{"id":32984,"date":"2022-06-25T21:17:05","date_gmt":"2022-06-25T14:17:05","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=32984"},"modified":"2022-07-03T08:24:37","modified_gmt":"2022-07-03T01:24:37","slug":"sarcoidosis","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/sarcoidosis\/","title":{"rendered":"Sarcoidosis l\u00e0 b\u1ec7nh g\u00ec? Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p style=\"text-align: right;\">T\u1ea3i file PDF b\u00e0i vi\u1ebft <b>Sarcoidosis <\/b><a href=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis.pptx.pdf\">t\u1ea1i \u0111\u00e2y<\/a><\/p>\n<p style=\"text-align: right;\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy<\/p>\n<h2>T\u00f3m l\u01b0\u1ee3c<\/h2>\n<p>Sarcoidosis l\u00e0 b\u1ec7nh vi\u00eam h\u1ea1t v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 x-quang \u0111a d\u1ea1ng. T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i v\u00e0 trung th\u1ea5t kh\u00e1 ph\u1ed5 bi\u1ebfn, chi\u1ebfm \u0111\u1ebfn 90% c\u00e1c b\u1ec7nh nh\u00e2n sarcoidosis.<\/p>\n<h2>D\u1ecbch t\u1ec5<\/h2>\n<p>90% b\u1ec7nh nh\u00e2n sarcoidosis c\u00f3 bi\u1ec3u hi\u1ec7n \u1edf ph\u1ed5i. \u0110\u1ed9 tu\u1ed5i th\u01b0\u1eddng t\u1eeb 20-40, m\u1eb7c d\u00f9 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u00f3 th\u1ec3 g\u1eb7p \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i. B\u1ec7nh chi\u1ebfm \u01b0u th\u1ebf \u1edf n\u1eef gi\u1edbi, ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi M\u1ef9 g\u1ed1c Phi, hi\u1ebfm g\u1eb7p \u1edf ng\u01b0\u1eddi ch\u00e2u \u00c1.<\/p>\n<h2>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/h2>\n<p>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng kh\u00e1c nhau. 50% b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p nh\u01b0 ho ho\u1eb7c kh\u00f3 th\u1edf, ho\u1eb7c c\u00e1c bi\u1ebfn \u0111\u1ed5i \u1edf da nh\u01b0 h\u1ed3ng ban n\u00fat, lupus pernio, s\u1eb9o, m\u1ea3ng,\u2026<\/li>\n<li>H\u1ed9i ch\u1ee9ng L\u00f6fgren l\u00e0 m\u1ed9t bi\u1ec3u hi\u1ec7n c\u1ea5p t\u00ednh kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0ng c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n.<\/li>\n<li>\u0110o ch\u1ee9c n\u0103ng th\u00f4ng kh\u00ed cho th\u1ea5y gi\u1ea3m th\u1ec3 t\u00edch ph\u1ed5i v\u1edbi gi\u1ea3m kh\u1ea3 n\u0103ng khu\u1ebfch t\u00e1n kh\u00ed. R\u1ed1i lo\u1ea1n th\u00f4ng kh\u00ed t\u1eafc ngh\u1ebdn c\u0169ng x\u1ea3y ra v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 h\u00fat thu\u1ed1c l\u00e1.<\/li>\n<\/ul>\n<h2>B\u1ec7nh l\u00fd h\u1ecdc<\/h2>\n<p>C\u00e1c u h\u1ea1t Sarcoid ch\u1ee7 y\u1ebfu ph\u00e2n b\u1ed1 d\u1ecdc theo h\u1ec7 b\u1ea1ch huy\u1ebft trong h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u ph\u1ebf qu\u1ea3n, v\u00e1ch li\u00ean ti\u1ec3u th\u00f9y v\u00e0 v\u00f9ng ph\u1ed5i d\u01b0\u1edbi m\u00e0ng ph\u1ed5i. \u0110\u1eb7c \u0111i\u1ec3m ph\u00e2n b\u1ed1 n\u00e0y gi\u00fap ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c v\u00e0 h\u01b0\u1edbng d\u1eabn cho vi\u1ec7c sinh thi\u1ebft. Tr\u00ean h\u00ecnh \u1ea3nh vi th\u1ec3, c\u00e1c u h\u1ea1t kh\u00f4ng li\u00ean k\u1ebft l\u1ea1i v\u1edbi nhau v\u00e0 kh\u00f4ng b\u00e3 \u0111\u1eadu h\u00f3a. C\u00e1c u h\u1ea1t c\u00f3 th\u1ec3 t\u1ef1 tho\u00e1i tri\u1ec3n ho\u1eb7c ti\u1ebfn tri\u1ec3n th\u00e0nh x\u01a1 h\u00f3a.<\/p>\n<p>M\u1ed9t s\u1ed1 ki\u1ec3u h\u00ecnh ph\u00e2n b\u1ed1 \u0111\u1eb7c bi\u1ec7t, bao g\u1ed3m:<\/p>\n<ul>\n<li>Sarcoidosis ph\u1ebf nang<\/li>\n<li>Bullous Sarcoidosis<\/li>\n<li>U h\u1ea1t sarcoid ho\u1ea1i t\u1eed<\/li>\n<li>Sarcoidosis d\u1ea1ng k\u00ea<\/li>\n<li>Sarcoidosis ho\u1ea1i t\u1eed t\u1ea1o hang.<\/li>\n<\/ul>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h2>\n<p>C\u1ea3 x-quang v\u00e0 CT \u0111\u1ec1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 b\u1ec7nh sarcoidosis \u1edf l\u1ed3ng ng\u1ef1c. C\u00e1c bi\u1ec3u hi\u1ec7n c\u00f3 th\u1ec3 thay \u0111\u1ed5i v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n b\u1ec7nh. 25-30% tr\u01b0\u1eddng h\u1ee3p c\u00f3 c\u00e1c ph\u00e1t hi\u1ec7n kh\u00f4ng \u0111\u1eb7c hi\u1ec7u v\u00e0 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/p>\n<h3>X-quang<\/h3>\n<p>X-quang c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng ngay c\u1ea3 khi c\u00f3 bi\u1ec3u hi\u1ec7n tr\u00ean m\u00f4 h\u1ecdc (5-10% tr\u01b0\u1eddng h\u1ee3p).<\/p>\n<h4>C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a h\u1ea1ch bao g\u1ed3m:<\/h4>\n<ul>\n<li aria-level=\"1\">D\u1ea5u hi\u1ec7u 1-2-3 hay b\u1ed9 ba Garland, pawnbroker&#8217;s sign: bao g\u1ed3m c\u00e1c h\u1ea1ch l\u1edbn \u1edf c\u00e1c v\u1ecb tr\u00ed: c\u1ea1nh ph\u1ea3i kh\u00ed qu\u1ea3n, r\u1ed1n ph\u1ed5i hai b\u00ean. H\u1ea1ch \u1edf c\u1ea1nh tr\u00e1i kh\u00ed qu\u1ea3n v\u00e0 c\u1eeda s\u1ed5 ph\u1ebf ch\u1ee7 c\u0169ng th\u01b0\u1eddng to ra nh\u01b0ng kh\u00f3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c tr\u00ean phim x-quang.<\/li>\n<li aria-level=\"1\">C\u00e1c h\u1ea1ch th\u01b0\u1eddng l\u1edbn, nh\u01b0ng th\u01b0\u1eddng kh\u00f4ng x\u00f3a m\u1edd b\u00f3ng tim: kh\u00e1c v\u1edbi lymphoma, c\u00e1c h\u1ea1ch th\u01b0\u1eddng ti\u1ebfp x\u00fac v\u1edbi b\u1edd tim.<\/li>\n<li aria-level=\"1\">V\u00f4i h\u00f3a: 20% tr\u01b0\u1eddng h\u1ee3p c\u00f3 v\u00f4i h\u00f3a c\u00e1c h\u1ea1ch trong l\u1ed3ng ng\u1ef1c sau 10 n\u0103m b\u1ec7nh. C\u00e1c ki\u1ec3u h\u00ecnh v\u00f4i h\u00f3a: b\u1ecfng ng\u00f4, v\u00f4 \u0111\u1ecbnh h\u00ecnh, v\u1ecf tr\u1ee9ng (5%).<\/li>\n<\/ul>\n<h4>C\u00e1c ki\u1ec3u h\u00ecnh t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i:<\/h4>\n<ul>\n<li>M\u1edd d\u1ea1ng l\u01b0\u1edbi n\u1ed1t:\n<ul>\n<li>Ph\u1ed5 bi\u1ebfn nh\u1ea5t: 75-90% tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh \u1edf giai \u0111o\u1ea1n II v\u00e0 III.<\/li>\n<li>Ph\u00e2n b\u1ed1 \u1edf v\u00f9ng gi\u1eefa v\u00e0 tr\u00ean ph\u1ed5i.<\/li>\n<li>Hai b\u00ean v\u00e0 \u0111\u1ed1i x\u1ee9ng.<\/li>\n<li>C\u00e1c n\u1ed1t c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n r\u00f5 nh\u01b0 n\u1ed1t k\u00ea (sarcoidosis d\u1ea1ng k\u00ea).<\/li>\n<\/ul>\n<\/li>\n<li>C\u00e1c v\u00f9ng m\u1edd: sarcoidosis ph\u1ebf nang (kh\u00f4ng \u0111i\u1ec3n h\u00ecnh): c\u00f3 th\u1ec3 c\u00f3 ranh gi\u1edbi kh\u00f4ng r\u00f5 v\u00e0 \u1edf v\u00f9ng ngo\u1ea1i vi, \u0111\u1eb7c tr\u01b0ng l\u00e0 t\u1ed5n th\u01b0\u01a1ng \u1edf kho\u1ea3ng k\u1ebd h\u01a1n l\u00e0 ti\u1ebfn tri\u1ec3n trong ph\u1ebf nang.<\/li>\n<li>C\u00e1c n\u1ed1t: (sarcoidosis nhu m\u00f4 ph\u1ed5i d\u1ea1ng n\u1ed1t) (hi\u1ebfm).<\/li>\n<li>Kh\u1ed1i (d\u1ea5u hi\u1ec7u d\u1ea3i ng\u00e2n h\u00e0 &#8211; Galaxy sign): th\u01b0\u1eddng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n &gt; 50 tu\u1ed5i, hi\u1ebfm khi \u0111\u01a1n \u0111\u1ed9c. Do s\u1ef1 li\u00ean k\u1ebft c\u00e1c n\u1ed1t c\u00f3 ranh gi\u1edbi kh\u00f4ng r\u00f5.<\/li>\n<li>C\u00e1c hang \u1edf ngo\u1ea1i vi (hi\u1ebfm g\u1eb7p): Ph\u1ed5 bi\u1ebfn \u1edf d\u1ea1ng sarcoidosis ho\u1ea1i t\u1eed, c\u1ea7n lo\u1ea1i tr\u1eeb b\u1ec7nh nhi\u1ec5m lao ho\u1ea1i t\u1eed.<\/li>\n<li>X\u01a1 ph\u1ed5i (20-25%) \u1edf giai \u0111o\u1ea1n cu\u1ed1i: ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf v\u00f9ng tr\u00ean v\u00e0 gi\u1eefa ph\u1ed5i: c\u00e1c \u0111\u01b0\u1eddng m\u1edd k\u1ebd th\u00f4, k\u00e9o d\u00e0i t\u1eeb r\u1ed1n ph\u1ed5i ra ngo\u1ea1i vi.<\/li>\n<li>Co k\u00e9o kh\u00ed qu\u1ea3n.<\/li>\n<\/ul>\n<h3>CT<\/h3>\n<p>CT c\u00f3 \u0111\u1ed9 nh\u1ea1y cao h\u01a1n trong \u0111\u00e1nh gi\u00e1 h\u1ea1ch \u1edf trung th\u1ea5t v\u00e0 r\u1ed1n ph\u1ed5i (80-90% tr\u01b0\u1eddng h\u1ee3p).<\/p>\n<h4>C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m nhu m\u00f4 ph\u1ed5i tr\u00ean CT:<\/h4>\n<ul>\n<li>D\u00e0y d\u1ea1ng n\u1ed1t kh\u00f4ng \u0111\u1ec1u quanh b\u1ea1ch m\u1ea1ch ph\u00e2n b\u1ed1 \u1edf v\u00f9ng tr\u00ean v\u00e0 gi\u1eefa c\u1ee7a ph\u1ed5i: c\u00e1c n\u1ed1t trung t\u00e2m ti\u1ec3u th\u00f9y, v\u00e1ch li\u00ean ti\u1ec3u th\u00f9y, d\u01b0\u1edbi m\u00e0ng ph\u1ed5i v\u00e0 r\u00e3nh li\u00ean th\u00f9y.<\/li>\n<li>C\u00e1c n\u1ed1t nh\u1ecf chi\u1ebfm \u01b0u th\u1ebf v\u00e0 bi\u1ec3u hi\u1ec7n t\u01b0\u01a1ng t\u1ef1 n\u1ed1t lao k\u00ea.<\/li>\n<li>C\u00e1c n\u1ed1t ho\u1eb7c h\u00ecnh m\u1edd l\u1edbn c\u00f3 k\u00edch th\u01b0\u1edbc t\u1eeb 1-4cm:\n<ul>\n<li>H\u1ee3p l\u1ea1i c\u1ee7a c\u00e1c n\u1ed1t nh\u1ecf n\u00ean c\u00f3 b\u1edd kh\u00f4ng \u0111\u1ec1u.<\/li>\n<li>G\u1eb7p \u1edf 15-25% b\u1ec7nh nh\u00e2n<\/li>\n<li>C\u00f3 th\u1ec3 gi\u1ed1ng v\u1edbi h\u00ecnh \u0111\u00f4ng \u0111\u1eb7c<\/li>\n<li>Th\u01b0\u1eddng c\u00f3 h\u00ecnh ph\u1ebf qu\u1ea3n ch\u1ee9a kh\u00ed.<\/li>\n<\/ul>\n<\/li>\n<li>Ki\u1ec3u h\u00ecnh k\u00ednh m\u1edd.<\/li>\n<li>C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed nh\u1ecf :do vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eadn.<\/li>\n<li>X\u01a1 ph\u1ed5i: \u0111\u1eb7c tr\u01b0ng \u1edf giai \u0111o\u1ea1n IV, v\u1edbi 3 ki\u1ec3u h\u00ecnh ch\u00ednh:\n<ul>\n<li>Co k\u00e9o, gi\u00e3n c\u00e1c ph\u1ebf qu\u1ea3n trung t\u00e2m, t\u1ea1o ra c\u00e1c c\u1ea1m kh\u00ed, g\u00e2y r\u1ed1i lo\u1ea1n th\u00f4ng kh\u00ed t\u1eafc ngh\u1ebdn.<\/li>\n<li>Ki\u1ec3u h\u00ecnh t\u1ed5 ong \u1edf ngo\u1ea1i vi: ch\u1ee7 y\u1ebfu trong tr\u01b0\u1eddng h\u1ee3p x\u01a1 h\u00f3a n\u1eb7ng, d\u01b0\u1edbi m\u00e0ng ph\u1ed5i \u1edf v\u00f9ng gi\u1eefa v\u00e0 tr\u00ean ph\u1ed5i. Bi\u1ec3u hi\u1ec7n \u1edf v\u00f9ng d\u01b0\u1edbi ph\u1ed5i c\u00f3 th\u1ec3 gi\u1ed1ng v\u1edbi UIP nh\u01b0ng hi\u1ebfm.<\/li>\n<li>C\u00e1c d\u1ea3i x\u01a1: \u00edt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p.<\/li>\n<\/ul>\n<\/li>\n<li>Thay \u0111\u1ed5i c\u1ea5u tr\u00fac ph\u1ed5i l\u00e0 h\u1ed7n h\u1ee3p gi\u1eefa:\n<ul>\n<li>Gi\u00e3n ph\u1ebf qu\u1ea3n co k\u00e9o<\/li>\n<li>T\u0103ng th\u00f4ng kh\u00ed v\u00f9ng d\u01b0\u1edbi do th\u1edf b\u00f9<\/li>\n<li>Co k\u00e9o r\u1ed1n ph\u1ed5i l\u00ean tr\u00ean v\u00e0 ra ngo\u00e0i<\/li>\n<li>S\u1ef1 d\u1ecbch chuy\u1ec3n ra sau c\u1ee7a c\u00e1c ph\u1ebf qu\u1ea3n th\u00f9y tr\u00ean.<\/li>\n<\/ul>\n<\/li>\n<li>Nang ph\u1ed5i.<\/li>\n<li>B\u1eaby kh\u00ed trong th\u00ec th\u1edf ra: b\u1eaby kh\u00ed \u1edf m\u1ee9c ti\u1ec3u th\u00f9y ph\u1ed5i th\u1ee9 c\u1ea5p, do t\u1eafc ngh\u1ebdn c\u00e1c ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eadn do u h\u1ea1t d\u01b0\u1edbi ni\u00eam m\u1ea1c, th\u1ea5y r\u00f5 h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u00fat thu\u1ed1c.<\/li>\n<\/ul>\n<h4>T\u1ed5n th\u01b0\u01a1ng m\u00e0ng ph\u1ed5i kh\u00f4ng th\u01b0\u1eddng g\u1eb7p.<\/h4>\n<ul>\n<li>Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/li>\n<li>M\u1ea3ng m\u00e0ng ph\u1ed5i\/d\u00e0y m\u00e0ng ph\u1ed5i.<\/li>\n<\/ul>\n<h3>Y h\u1ecdc h\u1ea1t nh\u00e2n.<\/h3>\n<p>PET\/CT c\u00f3 \u0111\u1ed9 nh\u1ea1y t\u1eeb 94-100% trong \u0111\u00e1nh gi\u00e1 sarcoidosis trong l\u1ed3ng ng\u1ef1c. Vai tr\u00f2 c\u1ee7a PET\/CT:<\/p>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng c\u1ee7a b\u1ec7nh.<\/li>\n<li>H\u01b0\u1edbng d\u1eabn sinh thi\u1ebft<\/li>\n<li>\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n vi\u00eam ho\u1ea1t \u0111\u1ed9ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng m\u1ea1n t\u00ednh.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<h3>Scintigraphy<\/h3>\n<p>T\u0103ng h\u1ea5p th\u1ee5 Gallium-67 Scintigraphy trong sarcoidosis giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2>Giai \u0111o\u1ea1n<\/h2>\n<p>Giai \u0111o\u1ea1n b\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean x-quang.<\/p>\n<p>Ph\u00e2n lo\u1ea1i c\u1ee7a Scadding:<\/p>\n<ul>\n<li>Giai \u0111o\u1ea1n 0: x-quang ng\u1ef1c b\u00ecnh th\u01b0\u1eddng (5-15% tr\u01b0\u1eddng h\u1ee3p)<\/li>\n<li>Giai \u0111o\u1ea1n I: Ch\u1ec9 c\u00f3 h\u1ea1ch \u1edf r\u1ed1n ph\u1ed5i ho\u1eb7c trung th\u1ea5t (25-65%) , 60-90% kh\u1ecfi b\u1ec7nh.<\/li>\n<li>Giai \u0111o\u1ea1n II: h\u1ea1ch r\u1ed1n ph\u1ed5i v\u00e0 c\u00f3 t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 (th\u00e2m nhi\u1ec5m m\u00f4 k\u1ebd m\u1ed9t ph\u1ea7n hay to\u00e0n b\u1ed9 ph\u1ed5i): 20-40% tr\u01b0\u1eddng h\u1ee3p, t\u1ef7 l\u1ec7 kh\u1ecfi b\u1ec7nh 40-70%.<\/li>\n<li>Giai \u0111o\u1ea1n III: b\u1ec7nh ch\u1ec9 \u1edf nhu m\u00f4 (th\u00e2m nhi\u1ec5m nhu m\u00f4 ph\u1ed5i hai b\u00ean m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a h\u1ea1ch r\u1ed1n ph\u1ed5i) (10-15% ), t\u1ef7 l\u1ec7 kh\u1ecfi l\u00e0 10-20%.<\/li>\n<li>Giai \u0111o\u1ea1n IV: x\u01a1 ph\u1ed5i (5%), kh\u00f4ng \u0111i\u1ec1u tr\u1ecb kh\u1ecfi \u0111\u01b0\u1ee3c.<\/li>\n<\/ul>\n<h2>\u0110i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/h2>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu l\u00e0 corticosteroids, trong giai \u0111o\u1ea1n b\u1ec7nh ho\u1ea1t \u0111\u1ed9ng. Tuy nhi\u00ean kh\u00f3 ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c giai \u0111o\u1ea1n b\u1ec7nh ho\u1ea1t \u0111\u1ed9ng v\u1edbi giai \u0111o\u1ea1n bi\u1ebfn \u0111\u1ed5i x\u01a1 h\u00f3a.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 ph\u1ed5i l\u00e0 nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn t\u1eed vong. T\u1ef7 l\u1ec7 t\u1eed vong chung l\u00e0 5%.\n<ul>\n<li>Giai \u0111o\u1ea1n I: 60% h\u1ed3i ph\u1ee5c sau 1-2 n\u0103m.<\/li>\n<li>Giai \u0111o\u1ea1n II: 46%<\/li>\n<li>Giai \u0111o\u1ea1n III: 12%.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Bi\u1ebfn ch\u1ee9ng<\/h2>\n<ul>\n<li>X\u01a1 ph\u1ed5i (giai \u0111o\u1ea1n IV)<\/li>\n<li>C\u00e1c bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u: T\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 b\u1ec7nh tim ph\u1ed5i, \u2026<\/li>\n<li>Ho m\u00e1u \u1edf b\u1ec7nh nh\u00e2n nhi\u1ec5m n\u1ea5m aspergillus.<\/li>\n<\/ul>\n<h2>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n<ul>\n<li aria-level=\"1\">Giai \u0111o\u1ea1n I: ph\u00e2n bi\u1ec7t v\u1edbi b\u1ec7nh l\u00fd g\u00e2y h\u1ea1ch to trong l\u1ed3ng ng\u1ef1c.<\/li>\n<li aria-level=\"1\">Giai \u0111o\u1ea1n III:\n<ul>\n<li>Ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c h\u00ecnh m\u1edd m\u1ea1n t\u00ednh: vi\u00eam ph\u1ed5i t\u1ed5 ch\u1ee9c h\u00f3a v\u00f4 c\u0103n (COP) v\u00e0 vi\u00eam ph\u1ed5i qu\u00e1 m\u1eabn.<\/li>\n<li>Ph\u00e2n bi\u1ec7t v\u1edbi b\u1ec7nh d\u00e0y v\u00e1ch li\u00ean ti\u1ec3u th\u00f9y: ung th\u01b0 theo \u0111\u01b0\u1eddng b\u1ea1ch m\u1ea1ch.<\/li>\n<\/ul>\n<\/li>\n<li aria-level=\"1\">Giai \u0111o\u1ea1n IV: ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh x\u01a1 ph\u1ed5i, v\u00f4i h\u00f3a h\u1ea1ch d\u1ea1ng v\u1ecf tr\u1ee9ng.<\/li>\n<\/ul>\n<h2>C\u00e1c v\u00ed d\u1ee5<\/h2>\n<p>V\u00ed d\u1ee5 1: giai \u0111o\u1ea1n I<\/p>\n<ul>\n<li aria-level=\"1\">B\u1ec7nh nh\u00e2n nam, 30 tu\u1ed5i, bi\u1ec3u hi\u1ec7n kh\u00f3 th\u1edf 4 th\u00e1ng nay.<\/li>\n<li aria-level=\"1\">Phim x-quang cho th\u1ea5y h\u1ea1ch r\u1ed1n ph\u1ed5i hai b\u00ean, kh\u00f4ng c\u00f3 th\u00e2m nhi\u1ec5m nhu m\u00f4, kh\u00f4ng c\u00f3 x\u01a1 h\u00f3a.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32989\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-2.png\" alt=\"\" width=\"950\" height=\"890\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-2.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-2-427x400.png 427w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-2-854x800.png 854w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-2-768x719.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-2-350x328.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>Case 2: giai \u0111o\u1ea1n II.<\/p>\n<ul>\n<li aria-level=\"1\">Phim x-quang cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng l\u01b0\u1edbi n\u1ed1t \u1edf v\u00f9ng tr\u00ean ph\u1ed5i v\u1edbi h\u1ea1ch r\u1ed1n ph\u1ed5i v\u00e0 trung th\u1ea5t, ph\u00f9 h\u1ee3p v\u1edbi giai \u0111o\u1ea1n II.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32990\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-1-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li>CT cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng n\u1ed1t lan t\u1ecfa ph\u00e2n b\u1ed1 quanh ph\u1ebf qu\u1ea3n v\u00e0 \u0111\u00f4ng \u0111\u1eb7c \u1edf th\u00f9y tr\u00ean. M\u1ed9t s\u1ed1 c\u00f3 h\u00ecnh k\u00ednh m\u1edd xung quanh. Kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng x\u01a1 h\u00f3a.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32991\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-3.png\" alt=\"\" width=\"950\" height=\"961\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-3.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-3-395x400.png 395w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-3-791x800.png 791w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-3-768x777.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-3-350x354.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-3-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32992\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-4.png\" alt=\"\" width=\"950\" height=\"961\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-4.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-4-395x400.png 395w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-4-791x800.png 791w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-4-768x777.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-4-350x354.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-4-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32993\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-5.png\" alt=\"\" width=\"950\" height=\"961\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-5.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-5-395x400.png 395w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-5-791x800.png 791w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-5-768x777.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-5-350x354.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-5-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li>Sau 3 n\u0103m \u0111i\u1ec1u tr\u1ecb th\u00ec t\u1ed5n th\u01b0\u01a1ng \u0111\u00e3 gi\u1ea3m r\u00f5 r\u1ec7t.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32994\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-6-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>Case 3: giai \u0111o\u1ea1n IV<\/p>\n<ul>\n<li aria-level=\"1\">Phim x-quang cho th\u1ea5y c\u00e1c d\u1ea3i x\u01a1 ph\u1ed5i v\u00e0 h\u1ea1ch trung th\u1ea5t.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32995\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-7-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li aria-level=\"1\">Phim CT:\n<ul>\n<li>Kh\u00ed ph\u1ebf th\u0169ng v\u00f9ng \u0111\u1ec9nh v\u1edbi c\u00e1c k\u00e9n kh\u00ed th\u00e0nh m\u1ecfng<\/li>\n<li>C\u00e1c d\u1ea3i x\u01a1 \u1edf v\u00f9ng gi\u1eefa v\u00e0 d\u01b0\u1edbi hai ph\u1ed5i<\/li>\n<li>Gi\u00e3n ph\u1ebf qu\u1ea3n th\u00f9y d\u01b0\u1edbi hai b\u00ean<\/li>\n<li>C\u00e1c n\u1ed1t nh\u1ecf \u1edf th\u00f9y d\u01b0\u1edbi<\/li>\n<li>H\u00ecnh \u1ea3nh k\u00ednh m\u1edd \u1edf th\u00f9y l\u01b0\u1ee1i<\/li>\n<li>D\u00e0y m\u00e0ng ph\u1ed5i v\u00f9ng \u0111\u00e1y<\/li>\n<li>H\u1ea1ch b\u1ec7nh l\u00fd: quanh m\u1ea1ch m\u00e1u, c\u1ea1nh ph\u1ea3i kh\u00ed qu\u1ea3n.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32996\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-8.png\" alt=\"\" width=\"950\" height=\"1009\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-8.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-8-377x400.png 377w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-8-753x800.png 753w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-8-768x816.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-8-350x372.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32997\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-9.png\" alt=\"\" width=\"950\" height=\"1009\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-9.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-9-377x400.png 377w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-9-753x800.png 753w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-9-768x816.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-9-350x372.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32998\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-10.png\" alt=\"\" width=\"950\" height=\"1009\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-10.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-10-377x400.png 377w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-10-753x800.png 753w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-10-768x816.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-10-350x372.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32999\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-11.png\" alt=\"\" width=\"950\" height=\"1009\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-11.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-11-377x400.png 377w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-11-753x800.png 753w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-11-768x816.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-11-350x372.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>Case 4: b\u1ec7nh nh\u00e2n n\u1eef, l\u1edbn tu\u1ed5i.<\/p>\n<ul>\n<li aria-level=\"1\">Phim x-quang cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng l\u01b0\u1edbi n\u1ed1t hai b\u00ean.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33000\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12.png\" alt=\"\" width=\"950\" height=\"953\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12-399x400.png 399w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12-797x800.png 797w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12-768x770.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12-350x351.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-12-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li aria-level=\"1\">Phim CT:\n<ul>\n<li>C\u00e1c n\u1ed1t quanh b\u1ea1ch m\u1ea1ch v\u1edbi kh\u00ed ph\u1ebf th\u0169ng c\u1ea1nh v\u00e1ch v\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng t\u1ed5 ong (giai \u0111o\u1ea1n IV)<\/li>\n<li>H\u1ea1ch r\u1ed1n ph\u1ed5i v\u00f4i h\u00f3a<\/li>\n<li>\u0110\u1ed9ng m\u1ea1ch ph\u1ed5i g\u1ed1c gi\u00e3n 3,1 cm cho th\u1ea5y c\u00f3 t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. \u00cdt d\u1ecbch m\u00e0ng ngo\u00e0i tim.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33001\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13.png\" alt=\"\" width=\"950\" height=\"953\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13-399x400.png 399w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13-797x800.png 797w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13-768x770.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13-350x351.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-13-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33002\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14.png\" alt=\"\" width=\"950\" height=\"953\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14-399x400.png 399w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14-797x800.png 797w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14-768x770.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14-350x351.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-14-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33003\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15.png\" alt=\"\" width=\"950\" height=\"953\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15-399x400.png 399w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15-797x800.png 797w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15-768x770.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15-350x351.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-15-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<ul>\n<li aria-level=\"1\">Case 5: sarcoidosis d\u1ea1ng t\u1ed5n th\u01b0\u01a1ng \u1edf ph\u1ebf nang. B\u1ec7nh nh\u00e2n 50 tu\u1ed5i, v\u1edbi ho v\u00e0 kh\u00f3 th\u1edf m\u1ea1n t\u00ednh.<\/li>\n<li aria-level=\"1\">H\u00ecnh \u1ea3nh k\u00ednh m\u1edd ph\u00e2n b\u1ed1 quanh ph\u1ebf qu\u1ea3n m\u1ea1ch m\u00e1u \u1edf v\u00f9ng tr\u00ean v\u00e0 gi\u1eefa hai ph\u1ed5i. Gi\u00e3n ph\u1ebf qu\u1ea3n co k\u00e9o ch\u1ee7 y\u1ebfu \u1edf th\u00f9y tr\u00ean ph\u1ed5i tr\u00e1i. V\u00f4i h\u00f3a c\u00e1c u h\u1ea1t \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33004\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-16-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33005\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-17-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33006\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-18-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33007\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/06\/sarcoidosis-19-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>Dr Yuranga Weerakkody, <a href=\"https:\/\/radiopaedia.org\/articles\/sarcoidosis-thoracic-manifestations-2?lang=us\" rel=\"noopener\">Sarcoidosis (thoracic manifestations)<\/a>,Radiopaedia. Truy c\u1eadp ng\u00e0y 25\/06\/2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea3i file PDF b\u00e0i vi\u1ebft Sarcoidosis t\u1ea1i \u0111\u00e2y B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy T\u00f3m l\u01b0\u1ee3c Sarcoidosis l\u00e0 b\u1ec7nh vi\u00eam h\u1ea1t v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 x-quang \u0111a d\u1ea1ng. T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i v\u00e0 trung th\u1ea5t kh\u00e1 ph\u1ed5 bi\u1ebfn, chi\u1ebfm \u0111\u1ebfn 90% c\u00e1c b\u1ec7nh nh\u00e2n sarcoidosis. D\u1ecbch t\u1ec5 90% [&#8230;]\n","protected":false},"author":1,"featured_media":32996,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-32984","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\/32984","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=32984"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/32984\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/32996"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=32984"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=32984"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=32984"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}