Nhi\u1ec1u ng\u01b0\u1eddi khi nghe ch\u1ea9n \u0111o\u00e1n vi\u00eam gan B \u0111\u1ec1u c\u1ea3m th\u1ea5y lo l\u1eafng \u2014 cho b\u1ea3n th\u00e2n v\u00e0 cho c\u1ea3 ng\u01b0\u1eddi th\u00e2n trong nh\u00e0. C\u1ea3m gi\u00e1c \u1ea5y ho\u00e0n to\u00e0n d\u1ec5 hi\u1ec3u. Vi\u00eam gan B l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m, c\u00f3 l\u00e2y \u2014 nh\u01b0ng ch\u1ec9 qua m\u1ed9t s\u1ed1 con \u0111\u01b0\u1eddng r\u1ea5t c\u1ee5 th\u1ec3.<\/strong> Hi\u1ec3u \u0111\u00fang v\u1ec1 c\u01a1 ch\u1ebf l\u00e2y s\u1ebd gi\u00fap b\u1ea1n ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng ng\u1eeba v\u00e0 tr\u00e1nh \u0111\u01b0\u1ee3c s\u1ef1 k\u1ef3 th\u1ecb kh\u00f4ng c\u1ea7n thi\u1ebft v\u1edbi ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng h\u1ee3p nh\u1eefng g\u00ec b\u1ea1n c\u1ea7n bi\u1ebft v\u1ec1 kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m c\u1ee7a vi\u00eam gan B, ai l\u00e0 nh\u00f3m c\u1ea7n t\u1ea7m so\u00e1t v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 theo khuy\u1ebfn c\u00e1o c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) v\u00e0 kinh nghi\u1ec7m l\u00e2m s\u00e0ng t\u1ea1i Ph\u00f2ng Kh\u00e1m \u0110a Khoa Ho\u00e0 \u0110\u1ee9c<\/a><\/strong>.<\/p>\n

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M\u1ee5c L\u1ee5c<\/p>\n Toggle<\/span>
Vi\u00eam Gan B C\u00f3 L\u00e2y Kh\u00f4ng? C\u00e2u Tr\u1ea3 L\u1eddi Ng\u1eafn G\u1ecdn<\/a><\/li>
3 Con \u0110\u01b0\u1eddng L\u00e2y Nhi\u1ec5m Ch\u00ednh C\u1ee7a Vi\u00eam Gan B<\/a>
L\u00e2y qua \u0111\u01b0\u1eddng m\u00e1u<\/a><\/li>
L\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c<\/a><\/li>
L\u00e2y t\u1eeb m\u1eb9 sang con<\/a><\/li><\/ul><\/li>
B\u1ea3ng So S\u00e1nh M\u1ee9c \u0110\u1ed9 Nguy C\u01a1 Theo T\u1eebng Con \u0110\u01b0\u1eddng L\u00e2y<\/a><\/li>
Vi\u00eam Gan B KH\u00d4NG L\u00e2y Qua Nh\u1eefng \u0110\u01b0\u1eddng N\u00e0o?<\/a>
Kh\u00f4ng l\u00e2y qua \u0103n u\u1ed1ng chung v\u00e0 d\u00f9ng ch\u00e9n b\u00e1t<\/a><\/li>
Kh\u00f4ng l\u00e2y qua ho, h\u1eaft h\u01a1i, \u00f4m, b\u1eaft tay<\/a><\/li>
Kh\u00f4ng l\u00e2y qua mu\u1ed7i \u0111\u1ed1t<\/a><\/li>
Kh\u00f4ng l\u00e2y qua s\u1eefa m\u1eb9 trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng<\/a><\/li><\/ul><\/li>
Ai L\u00e0 \u0110\u1ed1i T\u01b0\u1ee3ng Nguy C\u01a1 Cao C\u1ea7n T\u1ea7m So\u00e1t Vi\u00eam Gan B?<\/a><\/li>
X\u00e9t Nghi\u1ec7m Ch\u1ea9n \u0110o\u00e1n Vi\u00eam Gan B: C\u1ea7n L\u00e0m G\u00ec?<\/a>
HBsAg \u2014 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc c\u01a1 b\u1ea3n<\/a><\/li>
Anti-HBs \u2014 ki\u1ec3m tra kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7<\/a><\/li>
X\u00e9t nghi\u1ec7m b\u1ed5 sung khi c\u1ea7n thi\u1ebft<\/a><\/li><\/ul><\/li>
C\u00e1ch Ph\u00f2ng Ng\u1eeba Vi\u00eam Gan B Hi\u1ec7u Qu\u1ea3<\/a>
Ti\u00eam vaccine \u2014 bi\u1ec7n ph\u00e1p ch\u1ee7 \u0111\u1ed9ng quan tr\u1ecdng nh\u1ea5t<\/a><\/li>
Quan h\u1ec7 t\u00ecnh d\u1ee5c an to\u00e0n<\/a><\/li>
Kh\u00f4ng d\u00f9ng chung v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n c\u00f3 nguy c\u01a1 d\u00ednh m\u00e1u<\/a><\/li>
D\u1ef1 ph\u00f2ng m\u1eb9 truy\u1ec1n sang con<\/a><\/li>
Th\u1eadn tr\u1ecdng v\u1edbi th\u1ee7 thu\u1eadt y t\u1ebf, x\u0103m h\u00ecnh, nha khoa<\/a><\/li><\/ul><\/li>
Khi N\u00e0o B\u1ea1n C\u1ea7n \u0110\u1ebfn G\u1eb7p B\u00e1c S\u0129?<\/a><\/li>
C\u00e2u H\u1ecfi Th\u01b0\u1eddng G\u1eb7p V\u1ec1 L\u00e2y Nhi\u1ec5m Vi\u00eam Gan B<\/a>
Vi\u00eam gan B c\u00f3 l\u00e2y qua \u0111\u01b0\u1eddng n\u01b0\u1edbc b\u1ecdt kh\u00f4ng?<\/a><\/li>
V\u1ee3 ho\u1eb7c ch\u1ed3ng b\u1ecb vi\u00eam gan B c\u00f3 l\u00e2y sang b\u1ea1n \u0111\u1eddi kh\u00f4ng?<\/a><\/li>
\u0110\u00e3 ti\u00eam vaccine vi\u00eam gan B r\u1ed3i c\u00f3 c\u00f2n b\u1ecb l\u00e2y kh\u00f4ng?<\/a><\/li>
Vi\u00eam gan B c\u00f3 di truy\u1ec1n t\u1eeb cha m\u1eb9 sang con kh\u00f4ng?<\/a><\/li>
S\u1ed1ng chung nh\u00e0 v\u1edbi ng\u01b0\u1eddi b\u1ecb vi\u00eam gan B c\u00f3 c\u1ea7n c\u00e1ch ly kh\u00f4ng?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n
<\/span>Vi\u00eam Gan B C\u00f3 L\u00e2y Kh\u00f4ng? C\u00e2u Tr\u1ea3 L\u1eddi Ng\u1eafn G\u1ecdn<\/span><\/h2>\n
C\u00f3. Vi\u00eam gan B l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus HBV g\u00e2y ra, l\u00e2y qua ba con \u0111\u01b0\u1eddng ch\u00ednh: m\u00e1u, quan h\u1ec7 t\u00ecnh d\u1ee5c v\u00e0 t\u1eeb m\u1eb9 sang con.<\/strong> B\u1ec7nh kh\u00f4ng l\u00e2y qua sinh ho\u1ea1t th\u00f4ng th\u01b0\u1eddng nh\u01b0 \u0103n chung, \u00f4m, b\u1eaft tay hay ho h\u1eaft h\u01a1i.<\/p>\n
M\u1ed9t v\u00e0i con s\u1ed1 \u0111\u00e1ng ch\u00fa \u00fd \u0111\u1ec3 b\u1ea1n h\u00ecnh dung m\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn c\u1ee7a b\u1ec7nh:<\/p>\n
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Virus HBV l\u00e2y nhanh h\u01a1n HIV t\u1eeb 50 \u0111\u1ebfn 100 l\u1ea7n (Ngu\u1ed3n: WHO, 2024).<\/li>\n
HBV c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i b\u00ean ngo\u00e0i c\u01a1 th\u1ec3 \u00edt nh\u1ea5t 7 ng\u00e0y v\u00e0 v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh n\u1ebfu x\u00e2m nh\u1eadp v\u00e0o ng\u01b0\u1eddi ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam vaccine.<\/li>\n
Th\u1eddi gian \u1ee7 b\u1ec7nh k\u00e9o d\u00e0i 30\u2013180 ng\u00e0y, trung b\u00ecnh kho\u1ea3ng 75 ng\u00e0y. Trong giai \u0111o\u1ea1n n\u00e0y ng\u01b0\u1eddi nhi\u1ec5m th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng.<\/li>\n
Theo th\u1ed1ng k\u00ea c\u1ee7a WHO n\u0103m 2020, Vi\u1ec7t Nam c\u00f3 kho\u1ea3ng 8,9 tri\u1ec7u ng\u01b0\u1eddi mang virus vi\u00eam gan B m\u1ea1n t\u00ednh<\/strong> v\u00e0 kho\u1ea3ng 40.000 ca t\u1eed vong m\u1ed7i n\u0103m do c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan.<\/li>\n<\/ul>\n
V\u00ec virus l\u00e2y r\u1ea5t d\u1ec5 v\u00e0 ph\u1ea7n l\u1edbn ng\u01b0\u1eddi nhi\u1ec5m kh\u00f4ng bi\u1ebft m\u00ecnh mang b\u1ec7nh, vi\u1ec7c n\u1eafm r\u00f5 c\u00e1c con \u0111\u01b0\u1eddng l\u00e2y \u2014 v\u00e0 c\u00e1c \u0111\u01b0\u1eddng kh\u00f4ng l\u00e2y<\/strong> \u2014 l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean \u0111\u1ec3 b\u1ea3o v\u1ec7 b\u1ea3n th\u00e2n v\u00e0 gia \u0111\u00ecnh.<\/p>\n
<\/span>3 Con \u0110\u01b0\u1eddng L\u00e2y Nhi\u1ec5m Ch\u00ednh C\u1ee7a Vi\u00eam Gan B<\/span><\/h2>\n
<\/span>L\u00e2y qua \u0111\u01b0\u1eddng m\u00e1u<\/span><\/h3>\n
M\u00e1u l\u00e0 n\u01a1i virus HBV c\u00f3 n\u1ed3ng \u0111\u1ed9 cao nh\u1ea5t. V\u00ec v\u1eady b\u1ea5t k\u1ef3 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp n\u00e0o gi\u1eefa m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u01a1 th\u1ec3 ng\u01b0\u1eddi l\u00e0nh \u0111\u1ec1u l\u00e0 nguy c\u01a1.<\/p>\n
C\u00e1c t\u00ecnh hu\u1ed1ng ph\u1ed5 bi\u1ebfn bao g\u1ed3m:<\/p>\n
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Truy\u1ec1n m\u00e1u ho\u1eb7c ch\u1ebf ph\u1ea9m m\u00e1u kh\u00f4ng \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc \u0111\u1ea7y \u0111\u1ee7.<\/li>\n
D\u00f9ng chung kim ti\u00eam, nh\u1ea5t l\u00e0 trong ti\u00eam ch\u00edch ma tu\u00fd.<\/li>\n
Th\u1ee7 thu\u1eadt y t\u1ebf, nha khoa, x\u0103m h\u00ecnh, x\u1ecf khuy\u00ean, ch\u00e2m c\u1ee9u v\u1edbi d\u1ee5ng c\u1ee5 kh\u00f4ng \u0111\u01b0\u1ee3c ti\u1ec7t tr\u00f9ng \u0111\u00fang c\u00e1ch.<\/li>\n
D\u00f9ng chung v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 d\u00ednh m\u00e1u nh\u1ecf: dao c\u1ea1o r\u00e2u, b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, d\u1ee5ng c\u1ee5 c\u1eaft m\u00f3ng.<\/li>\n
Tai n\u1ea1n ngh\u1ec1 nghi\u1ec7p \u1edf nh\u00e2n vi\u00ean y t\u1ebf khi b\u1ecb kim \u0111\u00e2m.<\/li>\n<\/ul>\n
T\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn, m\u00e1u truy\u1ec1n \u0111\u00e3 \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc HBsAg nghi\u00eam ng\u1eb7t n\u00ean nguy c\u01a1 t\u1eeb truy\u1ec1n m\u00e1u hi\u1ec7n nay r\u1ea5t th\u1ea5p. Ph\u1ea7n l\u1edbn ca l\u00e2y qua \u0111\u01b0\u1eddng m\u00e1u trong c\u1ed9ng \u0111\u1ed3ng \u0111\u1ebfn t\u1eeb d\u1ee5ng c\u1ee5 kh\u00f4ng v\u00f4 tr\u00f9ng \u1edf c\u00e1c ho\u1ea1t \u0111\u1ed9ng ngo\u00e0i b\u1ec7nh vi\u1ec7n (Ngu\u1ed3n: CDC Hoa K\u1ef3).<\/p>\n
$\"Vi\u00eam$ <\/p>\n
<\/span>L\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c<\/span><\/h3>\n
Virus HBV c\u00f3 m\u1eb7t trong tinh d\u1ecbch v\u00e0 d\u1ecbch \u00e2m \u0111\u1ea1o c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi n\u1ed3ng \u0111\u1ed9 \u0111\u1ee7 \u0111\u1ec3 l\u00e2y. Quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng d\u00f9ng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 l\u00e0 con \u0111\u01b0\u1eddng l\u00e2y r\u1ea5t th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh.<\/p>\n
Th\u1ed1ng k\u00ea t\u1ea1i Hoa K\u1ef3 cho th\u1ea5y c\u1ee9 10 ca vi\u00eam gan B \u1edf ng\u01b0\u1eddi l\u1edbn th\u00ec c\u00f3 kho\u1ea3ng 3 ca l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c. Nguy c\u01a1 cao h\u01a1n r\u00f5 r\u1ec7t \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n
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Kh\u00f4ng s\u1eed d\u1ee5ng bao cao su.<\/li>\n
C\u00f3 nhi\u1ec1u b\u1ea1n t\u00ecnh ho\u1eb7c b\u1ea1n t\u00ecnh kh\u00f4ng r\u00f5 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe.<\/li>\n
Quan h\u1ec7 \u0111\u1ed3ng gi\u1edbi nam ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam vaccine.<\/li>\n
K\u00e8m b\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c kh\u00e1c (herpes, l\u1eadu, HIV) \u2014 c\u00e1c b\u1ec7nh n\u00e0y t\u1ea1o c\u00e1c v\u1ebft x\u01b0\u1edbc nh\u1ecf gi\u00fap HBV d\u1ec5 x\u00e2m nh\u1eadp h\u01a1n.<\/li>\n<\/ul>\n
\u0110i\u1ec1u \u0111\u00e1ng n\u00f3i l\u00e0 ch\u1ec9 m\u1ed9t l\u1ea7n quan h\u1ec7 kh\u00f4ng an to\u00e0n v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m HBV c\u0169ng \u0111\u1ee7 \u0111\u1ec3 l\u00e2y b\u1ec7nh<\/strong>, n\u1ebfu virus c\u00f3 c\u01a1 h\u1ed9i ti\u1ebfp x\u00fac v\u1edbi ni\u00eam m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n
<\/span>L\u00e2y t\u1eeb m\u1eb9 sang con<\/span><\/h3>\n
\u1ede c\u00e1c qu\u1ed1c gia c\u00f3 t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh vi\u00eam gan B cao nh\u01b0 Vi\u1ec7t Nam, \u0111\u01b0\u1eddng l\u00e2y t\u1eeb m\u1eb9 sang con l\u00e0 \u0111\u01b0\u1eddng l\u00e2y quan tr\u1ecdng nh\u1ea5t<\/strong>. N\u1ebfu kh\u00f4ng \u00e1p d\u1ee5ng bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng, \u0111\u1ebfn 90% tr\u1ebb sinh ra t\u1eeb m\u1eb9 c\u00f3 n\u1ed3ng \u0111\u1ed9 virus cao s\u1ebd nhi\u1ec5m HBV v\u00e0 ph\u1ea7n l\u1edbn ti\u1ebfn tri\u1ec3n th\u00e0nh m\u1ea1n t\u00ednh.<\/p>\n
L\u00e2y truy\u1ec1n c\u00f3 th\u1ec3 x\u1ea3y ra trong ba giai \u0111o\u1ea1n, v\u1edbi m\u1ee9c nguy c\u01a1 r\u1ea5t kh\u00e1c nhau:<\/p>\n
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Trong thai k\u1ef3<\/strong>: t\u1ef7 l\u1ec7 l\u00e2y kho\u1ea3ng 2%. Nhau thai \u0111\u00f3ng vai tr\u00f2 h\u00e0ng r\u00e0o b\u1ea3o v\u1ec7, nh\u01b0ng m\u1eb9 c\u1ea7n tr\u00e1nh c\u00e1c can thi\u1ec7p l\u00e0m t\u1ed5n th\u01b0\u01a1ng nhau thai t\u1eeb th\u00e1ng th\u1ee9 4 tr\u1edf \u0111i.<\/li>\n
L\u00fac chuy\u1ec3n d\u1ea1 v\u00e0 sinh<\/strong>: t\u1ef7 l\u1ec7 l\u00e2y cao nh\u1ea5t, l\u00ean t\u1edbi 90%<\/strong>. Tr\u1ebb ti\u1ebfp x\u00fac v\u1edbi m\u00e1u v\u00e0 d\u1ecbch \u00e2m \u0111\u1ea1o c\u1ee7a m\u1eb9 khi qua \u0111\u01b0\u1eddng sinh.<\/li>\n
Cho con b\u00fa<\/strong>: nguy c\u01a1 r\u1ea5t th\u1ea5p n\u1ebfu tr\u1ebb \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam vaccine vi\u00eam gan B v\u00e0 HBIG (globulin mi\u1ec5n d\u1ecbch) trong v\u00f2ng 12\u201324 gi\u1edd sau sinh.<\/li>\n<\/ul>\n
Tin t\u1ed1t l\u00e0 v\u1edbi quy tr\u00ecnh d\u1ef1 ph\u00f2ng \u0111\u1ea7y \u0111\u1ee7 \u2014 ti\u00eam vaccine s\u1edbm cho tr\u1ebb, k\u1ebft h\u1ee3p HBIG v\u00e0 thu\u1ed1c kh\u00e1ng virus cho m\u1eb9 trong ba th\u00e1ng cu\u1ed1i thai k\u1ef3 n\u1ebfu n\u1ed3ng \u0111\u1ed9 virus cao \u2014 t\u1ef7 l\u1ec7 l\u00e2y m\u1eb9 sang con c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng d\u01b0\u1edbi 5% (Ngu\u1ed3n: WHO, 2024 Hepatitis B guidelines).<\/p>\n
<\/span>B\u1ea3ng So S\u00e1nh M\u1ee9c \u0110\u1ed9 Nguy C\u01a1 Theo T\u1eebng Con \u0110\u01b0\u1eddng L\u00e2y<\/span><\/h2>\n
\u0110\u1ec3 b\u1ea1n d\u1ec5 h\u00ecnh dung, d\u01b0\u1edbi \u0111\u00e2y l\u00e0 b\u1ea3ng t\u1ed5ng h\u1ee3p c\u00e1c con \u0111\u01b0\u1eddng l\u00e2y ph\u1ed5 bi\u1ebfn, m\u1ee9c \u0111\u1ed9 nguy c\u01a1 v\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba t\u01b0\u01a1ng \u1ee9ng:<\/p>\n\n\n\n\n\n\n\n\n\n\n
Con \u0111\u01b0\u1eddng l\u00e2y<\/th>\n M\u1ee9c nguy c\u01a1<\/th>\n T\u00ecnh hu\u1ed1ng ph\u1ed5 bi\u1ebfn<\/th>\n Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba ch\u00ednh<\/th>\n<\/tr>\n<\/thead>\n
M\u1eb9 sang con (l\u00fac sinh)<\/td>\n R\u1ea5t cao (~90%)<\/td>\n M\u1eb9 mang HBV kh\u00f4ng \u0111\u01b0\u1ee3c d\u1ef1 ph\u00f2ng<\/td>\n Ti\u00eam vaccine + HBIG cho tr\u1ebb trong 12\u201324h sau sinh<\/td>\n<\/tr>\n
Truy\u1ec1n m\u00e1u, d\u00f9ng chung kim ti\u00eam<\/td>\n R\u1ea5t cao<\/td>\n Ti\u00eam ch\u00edch, th\u1ee7 thu\u1eadt y t\u1ebf kh\u00f4ng v\u00f4 tr\u00f9ng<\/td>\n Ch\u1ec9 d\u00f9ng kim m\u1edbi, ch\u1ecdn c\u01a1 s\u1edf y t\u1ebf uy t\u00edn<\/td>\n<\/tr>\n
Quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n<\/td>\n Cao<\/td>\n Kh\u00f4ng d\u00f9ng bao cao su, nhi\u1ec1u b\u1ea1n t\u00ecnh<\/td>\n Bao cao su, chung thu\u1ef7, ti\u00eam vaccine<\/td>\n<\/tr>\n
D\u00f9ng chung dao c\u1ea1o, b\u00e0n ch\u1ea3i<\/td>\n Trung b\u00ecnh<\/td>\n S\u1ed1ng chung nh\u00e0 v\u1edbi ng\u01b0\u1eddi b\u1ec7nh VGB<\/td>\n D\u00f9ng ri\u00eang v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n<\/td>\n<\/tr>\n
X\u0103m h\u00ecnh, nha khoa, ch\u00e2m c\u1ee9u<\/td>\n Trung b\u00ecnh<\/td>\n D\u1ee5ng c\u1ee5 kh\u00f4ng ti\u1ec7t tr\u00f9ng \u0111\u00fang c\u00e1ch<\/td>\n Ch\u1ecdn c\u01a1 s\u1edf uy t\u00edn, y\u00eau c\u1ea7u d\u1ee5ng c\u1ee5 d\u00f9ng m\u1ed9t l\u1ea7n<\/td>\n<\/tr>\n
Tai n\u1ea1n ngh\u1ec1 nghi\u1ec7p (kim \u0111\u00e2m)<\/td>\n Trung b\u00ecnh \u2013 cao<\/td>\n Nh\u00e2n vi\u00ean y t\u1ebf, ph\u00f2ng x\u00e9t nghi\u1ec7m<\/td>\n Ti\u00eam vaccine \u0111\u1ea7y \u0111\u1ee7, trang b\u1ecb b\u1ea3o h\u1ed9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
Nh\u00ecn v\u00e0o b\u1ea3ng n\u00e0y b\u1ea1n s\u1ebd th\u1ea5y: g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 con \u0111\u01b0\u1eddng l\u00e2y \u0111\u1ec1u c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng \u0111\u01b0\u1ee3c<\/strong> b\u1eb1ng vaccine v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n. \u0110\u00e2y ch\u00ednh l\u00e0 l\u00fd do t\u1ea1i sao vi\u00eam gan B \u0111\u01b0\u1ee3c xem l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 nh\u1ea5t hi\u1ec7n nay.<\/p>\n
<\/span>Vi\u00eam Gan B KH\u00d4NG L\u00e2y Qua Nh\u1eefng \u0110\u01b0\u1eddng N\u00e0o?<\/span><\/h2>\n
\u0110\u00e2y l\u00e0 ph\u1ea7n r\u1ea5t quan tr\u1ecdng \u2014 v\u00ec r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh b\u1ecb k\u1ef3 th\u1ecb oan khi s\u1ed1ng chung v\u1edbi gia \u0111\u00ecnh ho\u1eb7c l\u00e0m vi\u1ec7c t\u1ea1i c\u00f4ng s\u1edf. Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC) \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh nhi\u1ec1u con \u0111\u01b0\u1eddng kh\u00f4ng<\/strong> c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y HBV.<\/p>\n
<\/span>Kh\u00f4ng l\u00e2y qua \u0103n u\u1ed1ng chung v\u00e0 d\u00f9ng ch\u00e9n b\u00e1t<\/span><\/h3>\n
Virus HBV c\u00f3 xu\u1ea5t hi\u1ec7n trong n\u01b0\u1edbc b\u1ecdt, nh\u01b0ng n\u1ed3ng \u0111\u1ed9 r\u1ea5t th\u1ea5p \u2014 kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 l\u00e2y qua vi\u1ec7c \u0103n chung m\u00e2m, d\u00f9ng chung ly, ch\u00e9n, \u0111\u0169a. B\u1ea1n ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 \u0103n c\u00f9ng ng\u01b0\u1eddi th\u00e2n b\u1ecb vi\u00eam gan B m\u00e0 kh\u00f4ng c\u1ea7n \u0103n ri\u00eang.<\/p>\n
Ch\u1ec9 c\u00f3 m\u1ed9t t\u00ecnh hu\u1ed1ng ngo\u1ea1i l\u1ec7: n\u1ebfu c\u1ea3 hai ng\u01b0\u1eddi c\u00f9ng c\u00f3 v\u1ebft th\u01b0\u01a1ng h\u1edf trong mi\u1ec7ng v\u00e0 c\u00f3 s\u1ef1 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp gi\u1eefa m\u00e1u, th\u00ec m\u1edbi c\u00f3 nguy c\u01a1 \u2014 v\u00e0 \u0111\u00e2y l\u00e0 t\u00ecnh hu\u1ed1ng hi\u1ebfm g\u1eb7p.<\/p>\n
<\/span>Kh\u00f4ng l\u00e2y qua ho, h\u1eaft h\u01a1i, \u00f4m, b\u1eaft tay<\/span><\/h3>\n
Vi\u00eam gan B kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Virus kh\u00f4ng ph\u00e1t t\u00e1n qua kh\u00f4ng kh\u00ed, gi\u1ecdt b\u1eafn hay ti\u1ebfp x\u00fac da th\u01b0\u1eddng. B\u1ea1n c\u00f3 th\u1ec3 \u00f4m, b\u1eaft tay, h\u00f4n m\u00e1, ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh trong sinh ho\u1ea1t h\u00e0ng ng\u00e0y m\u00e0 kh\u00f4ng c\u00f3 nguy c\u01a1.<\/p>\n
<\/span>Kh\u00f4ng l\u00e2y qua mu\u1ed7i \u0111\u1ed1t<\/span><\/h3>\n
D\u00f9 vi\u00eam gan B l\u00e2y qua \u0111\u01b0\u1eddng m\u00e1u, mu\u1ed7i kh\u00f4ng truy\u1ec1n \u0111\u01b0\u1ee3c<\/strong> virus n\u00e0y sang ng\u01b0\u1eddi. M\u00f4i tr\u01b0\u1eddng b\u00ean trong c\u01a1 th\u1ec3 mu\u1ed7i kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 HBV t\u1ed3n t\u1ea1i v\u00e0 nh\u00e2n l\u00ean. \u0110i\u1ec1u n\u00e0y c\u0169ng \u0111\u00fang v\u1edbi HIV v\u00e0 nhi\u1ec1u virus l\u00e2y qua m\u00e1u kh\u00e1c.<\/p>\n
<\/span>Kh\u00f4ng l\u00e2y qua s\u1eefa m\u1eb9 trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng<\/span><\/h3>\n
DNA c\u1ee7a HBV c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong s\u1eefa m\u1eb9 v\u1edbi n\u1ed3ng \u0111\u1ed9 r\u1ea5t th\u1ea5p, nh\u01b0ng s\u1eefa m\u1eb9 kh\u00f4ng ph\u1ea3i<\/strong> l\u00e0 \u0111\u01b0\u1eddng l\u00e2y. Tr\u1ebb sinh ra t\u1eeb m\u1eb9 nhi\u1ec5m HBV v\u1eabn \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o b\u00fa m\u1eb9 b\u00ecnh th\u01b0\u1eddng, v\u1edbi \u0111i\u1ec1u ki\u1ec7n \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam vaccine v\u00e0 HBIG \u0111\u1ea7y \u0111\u1ee7.<\/p>\n
C\u1ea7n th\u1eadn tr\u1ecdng trong tr\u01b0\u1eddng h\u1ee3p n\u00fam v\u00fa c\u1ee7a m\u1eb9 b\u1ecb n\u1ee9t, ch\u1ea3y m\u00e1u \u2014 khi \u0111\u00f3 m\u00e1u m\u1eb9 c\u00f3 th\u1ec3 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi ni\u00eam m\u1ea1c mi\u1ec7ng c\u1ee7a tr\u1ebb v\u00e0 t\u1ea1o nguy c\u01a1.<\/p>\n
<\/span>Ai L\u00e0 \u0110\u1ed1i T\u01b0\u1ee3ng Nguy C\u01a1 Cao C\u1ea7n T\u1ea7m So\u00e1t Vi\u00eam Gan B?<\/span><\/h2>\n
Kh\u00f4ng ph\u1ea3i ai c\u0169ng c\u00f3 nguy c\u01a1 nh\u01b0 nhau. Theo khuy\u1ebfn c\u00e1o c\u1ee7a WHO v\u00e0 B\u1ed9 Y t\u1ebf, nh\u1eefng nh\u00f3m sau \u0111\u00e2y n\u00ean ch\u1ee7 \u0111\u1ed9ng x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc vi\u00eam gan B:<\/p>\n
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Ph\u1ee5 n\u1eef \u0111ang mang thai ho\u1eb7c chu\u1ea9n b\u1ecb mang thai<\/strong> \u2014 x\u00e9t nghi\u1ec7m HBsAg l\u00e0 b\u1eaft bu\u1ed9c \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch d\u1ef1 ph\u00f2ng cho con.<\/li>\n
Ng\u01b0\u1eddi s\u1ed1ng chung nh\u00e0 v\u1edbi b\u1ec7nh nh\u00e2n vi\u00eam gan B<\/strong> \u2014 \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1ee3\/ch\u1ed3ng, anh ch\u1ecb em ru\u1ed9t, con c\u00e1i.<\/li>\n
Nh\u00e2n vi\u00ean y t\u1ebf, nh\u00e2n vi\u00ean ph\u00f2ng x\u00e9t nghi\u1ec7m, nha s\u0129<\/strong> \u2014 nh\u00f3m ti\u1ebfp x\u00fac m\u00e1u th\u01b0\u1eddng xuy\u00ean.<\/li>\n
Ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng truy\u1ec1n m\u00e1u, ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, gh\u00e9p t\u1ea1ng<\/strong>.<\/li>\n
Ng\u01b0\u1eddi d\u00f9ng ma tu\u00fd \u0111\u01b0\u1eddng ti\u00eam ch\u00edch<\/strong> ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed d\u00f9ng chung kim ti\u00eam.<\/li>\n
Ng\u01b0\u1eddi c\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n, nhi\u1ec1u b\u1ea1n t\u00ecnh, ho\u1eb7c c\u00f3 b\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c kh\u00e1c<\/strong>.<\/li>\n
Ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean x\u0103m m\u00ecnh, x\u1ecf khuy\u00ean, l\u00e0m m\u00f3ng t\u1ea1i c\u01a1 s\u1edf kh\u00f4ng r\u00f5 uy t\u00edn<\/strong>.<\/li>\n
Ng\u01b0\u1eddi ch\u01b0a t\u1eebng ti\u00eam vaccine vi\u00eam gan B<\/strong> ho\u1eb7c kh\u00f4ng nh\u1edb r\u00f5 l\u1ecbch s\u1eed ti\u00eam ch\u1ee7ng.<\/li>\n<\/ul>\n
N\u1ebfu b\u1ea1n thu\u1ed9c m\u1ed9t trong c\u00e1c nh\u00f3m tr\u00ean, \u0111\u1eebng tr\u00ec ho\u00e3n \u2014 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc chi ph\u00ed kh\u00f4ng cao v\u00e0 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n trong v\u00f2ng 30 ph\u00fat t\u1ea1i ph\u1ea7n l\u1edbn c\u01a1 s\u1edf y t\u1ebf.<\/p>\n
<\/span>X\u00e9t Nghi\u1ec7m Ch\u1ea9n \u0110o\u00e1n Vi\u00eam Gan B: C\u1ea7n L\u00e0m G\u00ec?<\/span><\/h2>\n
Ch\u1ea9n \u0111o\u00e1n vi\u00eam gan B b\u1eaft \u0111\u1ea7u t\u1eeb hai x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01a1n gi\u1ea3n. Ph\u00e1t hi\u1ec7n s\u1edbm gi\u00fap b\u1ea1n ch\u1ee7 \u0111\u1ed9ng \u0111i\u1ec1u tr\u1ecb khi c\u1ea7n v\u00e0 ng\u0103n nguy c\u01a1 l\u00e2y cho ng\u01b0\u1eddi th\u00e2n.<\/p>\n
$\"Vi\u00eam$ <\/p>\n
<\/span>HBsAg \u2014 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc c\u01a1 b\u1ea3n<\/span><\/h3>\n
HBsAg (kh\u00e1ng nguy\u00ean b\u1ec1 m\u1eb7t virus) cho bi\u1ebft b\u1ea1n c\u00f3 \u0111ang nhi\u1ec5m HBV hay kh\u00f4ng<\/strong>. \u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ea7u ti\u00ean v\u00e0 quan tr\u1ecdng nh\u1ea5t:<\/p>\n
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D\u01b0\u01a1ng t\u00ednh<\/strong>: trong c\u01a1 th\u1ec3 \u0111ang c\u00f3 virus HBV. C\u1ea7n x\u00e9t nghi\u1ec7m b\u1ed5 sung \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a virus.<\/li>\n
\u00c2m t\u00ednh<\/strong>: hi\u1ec7n kh\u00f4ng nhi\u1ec5m HBV. B\u1ea1n n\u00ean ki\u1ec3m tra ti\u1ebfp Anti-HBs xem \u0111\u00e3 c\u00f3 mi\u1ec5n d\u1ecbch hay ch\u01b0a.<\/li>\n<\/ul>\n
<\/span>Anti-HBs \u2014 ki\u1ec3m tra kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7<\/span><\/h3>\n
Anti-HBs (kh\u00e1ng th\u1ec3 b\u1ec1 m\u1eb7t) cho bi\u1ebft c\u01a1 th\u1ec3 \u0111\u00e3 c\u00f3 kh\u1ea3 n\u0103ng ch\u1ed1ng l\u1ea1i HBV ch\u01b0a<\/strong>:<\/p>\n
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D\u01b0\u01a1ng t\u00ednh<\/strong> (n\u1ed3ng \u0111\u1ed9 \u2265 10 mIU\/mL): \u0111\u00e3 c\u00f3 mi\u1ec5n d\u1ecbch, kh\u00f4ng c\u1ea7n ti\u00eam vaccine.<\/li>\n
\u00c2m t\u00ednh<\/strong>: ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch. N\u1ebfu \u0111\u1ed3ng th\u1eddi HBsAg c\u0169ng \u00e2m t\u00ednh, b\u1ea1n n\u00ean ti\u00eam vaccine \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 ph\u00f2ng b\u1ec7nh.<\/li>\n<\/ul>\n
<\/span>X\u00e9t nghi\u1ec7m b\u1ed5 sung khi c\u1ea7n thi\u1ebft<\/span><\/h3>\n
Khi HBsAg d\u01b0\u01a1ng t\u00ednh, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh th\u00eam \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh:<\/p>\n
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HBV-DNA \u0111\u1ecbnh l\u01b0\u1ee3ng<\/strong>: \u0111o n\u1ed3ng \u0111\u1ed9 virus trong m\u00e1u, quy\u1ebft \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 l\u00e2y v\u00e0 nhu c\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/li>\n
HBeAg \/ Anti-HBe<\/strong>: \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nh\u00e2n l\u00ean c\u1ee7a virus.<\/li>\n
AST, ALT (men gan)<\/strong>: \u0111\u00e1nh gi\u00e1 m\u1ee9c t\u1ed5n th\u01b0\u01a1ng gan.<\/li>\n
Si\u00eau \u00e2m gan, FibroScan<\/strong>: t\u1ea7m so\u00e1t x\u01a1 gan v\u00e0 bi\u1ebfn ch\u1ee9ng.<\/li>\n<\/ul>\n
T\u1ea1i Ph\u00f2ng Kh\u00e1m \u0110a Khoa Ho\u00e0 \u0110\u1ee9c, ch\u00fang t\u00f4i khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3 6\u201312 th\u00e1ng\/l\u1ea7n<\/strong>. Ph\u1ea7n l\u1edbn tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan B m\u1ea1n t\u00ednh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng trong nhi\u1ec1u n\u0103m \u2014 ch\u1ec9 c\u00f3 x\u00e9t nghi\u1ec7m m\u1edbi ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c k\u1ecbp th\u1eddi tr\u01b0\u1edbc khi b\u1ec7nh ti\u1ebfn tri\u1ec3n th\u00e0nh x\u01a1 gan ho\u1eb7c ung th\u01b0 gan.<\/p>\n
<\/span>C\u00e1ch Ph\u00f2ng Ng\u1eeba Vi\u00eam Gan B Hi\u1ec7u Qu\u1ea3<\/span><\/h2>\n
Tin t\u1ed1t l\u00e0 vi\u00eam gan B n\u1eb1m trong nh\u00f3m b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3<\/strong> b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh r\u1ed9ng r\u00e3i. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p theo th\u1ee9 t\u1ef1 \u01b0u ti\u00ean.<\/p>\n
<\/span>Ti\u00eam vaccine \u2014 bi\u1ec7n ph\u00e1p ch\u1ee7 \u0111\u1ed9ng quan tr\u1ecdng nh\u1ea5t<\/span><\/h3>\n
Vaccine vi\u00eam gan B c\u00f3 hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 \u0111\u1ebfn 95%<\/strong> v\u00e0 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t trong nh\u1eefng vaccine an to\u00e0n, hi\u1ec7u qu\u1ea3 nh\u1ea5t hi\u1ec7n nay (Ngu\u1ed3n: WHO, 2024).<\/p>\n
L\u1ecbch ti\u00eam ph\u1ed5 bi\u1ebfn:<\/p>\n
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Tr\u1ebb s\u01a1 sinh<\/strong>: m\u0169i \u0111\u1ea7u trong 24 gi\u1edd sau sinh, sau \u0111\u00f3 theo l\u1ecbch ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng l\u00fac 2, 3, 4 th\u00e1ng tu\u1ed5i.<\/li>\n
Ng\u01b0\u1eddi l\u1edbn ch\u01b0a ti\u00eam<\/strong>: ph\u00e1c \u0111\u1ed3 0 \u2013 1 \u2013 6 th\u00e1ng (3 m\u0169i).<\/li>\n
Sau 5\u201310 n\u0103m, n\u00ean ki\u1ec3m tra l\u1ea1i Anti-HBs \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh c\u00f3 c\u1ea7n ti\u00eam nh\u1eafc l\u1ea1i hay kh\u00f4ng.<\/li>\n<\/ul>\n
<\/span>Quan h\u1ec7 t\u00ecnh d\u1ee5c an to\u00e0n<\/span><\/h3>\n
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S\u1eed d\u1ee5ng bao cao su \u0111\u00fang c\u00e1ch trong m\u1ecdi cu\u1ed9c quan h\u1ec7 c\u00f3 nguy c\u01a1.<\/li>\n
X\u00e9t nghi\u1ec7m HBsAg tr\u01b0\u1edbc khi k\u1ebft h\u00f4n ho\u1eb7c b\u1eaft \u0111\u1ea7u m\u1ed1i quan h\u1ec7 \u1ed5n \u0111\u1ecbnh.<\/li>\n
N\u1ebfu b\u1ea1n \u0111\u1eddi nhi\u1ec5m HBV, b\u1ea1n n\u00ean ti\u00eam vaccine \u0111\u1ea7y \u0111\u1ee7 tr\u01b0\u1edbc khi quan h\u1ec7 kh\u00f4ng d\u00f9ng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7.<\/li>\n<\/ul>\n
<\/span>Kh\u00f4ng d\u00f9ng chung v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n c\u00f3 nguy c\u01a1 d\u00ednh m\u00e1u<\/span><\/h3>\n
Gi\u1eef ri\u00eang c\u00e1c v\u1eadt d\u1ee5ng sau, nh\u1ea5t l\u00e0 khi s\u1ed1ng chung nh\u00e0 v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m HBV:<\/p>\n
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Dao c\u1ea1o r\u00e2u, b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, d\u1ee5ng c\u1ee5 c\u1eaft m\u00f3ng.<\/li>\n
Kim x\u1ecf tai, \u0111\u1ed3 d\u00f9ng cho x\u0103m h\u00ecnh.<\/li>\n
Kh\u0103n m\u1eb7t c\u00e1 nh\u00e2n (n\u1ebfu c\u00f3 v\u1ebft th\u01b0\u01a1ng v\u00f9ng m\u1eb7t).<\/li>\n<\/ul>\n
<\/span>D\u1ef1 ph\u00f2ng m\u1eb9 truy\u1ec1n sang con<\/span><\/h3>\n
\u0110\u00e2y l\u00e0 nh\u00f3m bi\u1ec7n ph\u00e1p quan tr\u1ecdng nh\u1ea5t \u1edf Vi\u1ec7t Nam:<\/p>\n
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M\u1ecdi ph\u1ee5 n\u1eef mang thai<\/strong> n\u00ean x\u00e9t nghi\u1ec7m HBsAg trong l\u1ea7n kh\u00e1m thai \u0111\u1ea7u ti\u00ean.<\/li>\n
N\u1ebfu m\u1eb9 d\u01b0\u01a1ng t\u00ednh v\u00e0 c\u00f3 n\u1ed3ng \u0111\u1ed9 virus cao, b\u00e1c s\u0129 s\u1ebd c\u00e2n nh\u1eafc thu\u1ed1c kh\u00e1ng virus trong 3 th\u00e1ng cu\u1ed1i thai k\u1ef3<\/strong> \u0111\u1ec3 gi\u1ea3m n\u1ed3ng \u0111\u1ed9 HBV xu\u1ed1ng m\u1ee9c an to\u00e0n.<\/li>\n
Tr\u1ebb s\u01a1 sinh c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam vaccine vi\u00eam gan B v\u00e0 HBIG trong v\u00f2ng 12\u201324 gi\u1edd sau sinh<\/strong>, sau \u0111\u00f3 ho\u00e0n th\u00e0nh \u0111\u1ee7 c\u00e1c m\u0169i ti\u00eam theo l\u1ecbch.<\/li>\n<\/ul>\n
Khi th\u1ef1c hi\u1ec7n \u0111\u00fang v\u00e0 \u0111\u1ee7, nguy c\u01a1 l\u00e2y m\u1eb9 sang con c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng d\u01b0\u1edbi 5%<\/strong>.<\/p>\n
<\/span>Th\u1eadn tr\u1ecdng v\u1edbi th\u1ee7 thu\u1eadt y t\u1ebf, x\u0103m h\u00ecnh, nha khoa<\/span><\/h3>\n
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Ch\u1ecdn c\u01a1 s\u1edf y t\u1ebf c\u00f3 gi\u1ea5y ph\u00e9p ho\u1ea1t \u0111\u1ed9ng v\u00e0 uy t\u00edn.<\/li>\n
Y\u00eau c\u1ea7u nh\u00ecn th\u1ea5y kim, b\u01a1m ti\u00eam, d\u1ee5ng c\u1ee5 x\u0103m c\u00f2n nguy\u00ean bao b\u00ec tr\u01b0\u1edbc khi d\u00f9ng.<\/li>\n
Kh\u00f4ng t\u00e1i s\u1eed d\u1ee5ng kim ti\u00eam trong b\u1ea5t k\u1ef3 ho\u00e0n c\u1ea3nh n\u00e0o.<\/li>\n<\/ul>\n
<\/span>Khi N\u00e0o B\u1ea1n C\u1ea7n \u0110\u1ebfn G\u1eb7p B\u00e1c S\u0129?<\/span><\/h2>\n
Kh\u00f4ng ph\u1ea3i ai c\u0169ng c\u1ea7n \u0111\u1ebfn ph\u00f2ng kh\u00e1m ngay, nh\u01b0ng c\u00f3 nh\u1eefng t\u00ecnh hu\u1ed1ng b\u1ea1n n\u00ean \u0111i ki\u1ec3m tra s\u1edbm:<\/p>\n
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Xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng nghi ng\u1edd<\/strong>: v\u00e0ng da, v\u00e0ng m\u1eaft, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u, m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i, ch\u00e1n \u0103n, \u0111au v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i.<\/li>\n
Sau ph\u01a1i nhi\u1ec5m nguy c\u01a1 cao<\/strong>: b\u1ecb kim \u0111\u00e2m, quan h\u1ec7 kh\u00f4ng an to\u00e0n v\u1edbi ng\u01b0\u1eddi c\u00f3 th\u1ec3 nhi\u1ec5m HBV, d\u00f9ng chung dao c\u1ea1o v\u1edbi ng\u01b0\u1eddi b\u1ec7nh. Trong v\u00f2ng 24\u201372 gi\u1edd c\u00f3 th\u1ec3 d\u00f9ng HBIG k\u1ebft h\u1ee3p vaccine \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m.<\/li>\n
Ph\u1ee5 n\u1eef chu\u1ea9n b\u1ecb mang thai ho\u1eb7c \u0111ang mang thai<\/strong> ch\u01b0a t\u1eebng x\u00e9t nghi\u1ec7m vi\u00eam gan B.<\/li>\n
C\u00f3 ng\u01b0\u1eddi th\u00e2n trong gia \u0111\u00ecnh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n vi\u00eam gan B<\/strong> (v\u1ee3\/ch\u1ed3ng, cha m\u1eb9, anh ch\u1ecb em, con c\u00e1i) \u2014 b\u1ea1n n\u00ean ch\u1ee7 \u0111\u1ed9ng x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc.<\/li>\n
Ch\u01b0a t\u1eebng ti\u00eam vaccine<\/strong> ho\u1eb7c kh\u00f4ng ch\u1eafc m\u00ecnh \u0111\u00e3 c\u00f3 kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7 hay ch\u01b0a.<\/li>\n
Ng\u01b0\u1eddi thu\u1ed9c nh\u00f3m nguy c\u01a1 cao<\/strong> n\u00ean t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3 6\u201312 th\u00e1ng\/l\u1ea7n, ngay c\u1ea3 khi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/li>\n<\/ul>\n
T\u1ea1i Ph\u00f2ng Kh\u00e1m \u0110a Khoa Ho\u00e0 \u0110\u1ee9c, nhi\u1ec1u b\u1ec7nh nh\u00e2n ph\u00e1t hi\u1ec7n vi\u00eam gan B t\u00ecnh c\u1edd qua kh\u00e1m s\u1ee9c kho\u1ebb \u0111\u1ecbnh k\u1ef3 \u2014 khi \u0111\u00f3 b\u1ec7nh c\u00f2n \u1edf giai \u0111o\u1ea1n s\u1edbm v\u00e0 vi\u1ec7c theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb thu\u1eadn l\u1ee3i h\u01a1n r\u1ea5t nhi\u1ec1u so v\u1edbi ph\u00e1t hi\u1ec7n mu\u1ed9n. N\u1ebfu b\u1ea1n \u0111ang \u1edf Quy Nh\u01a1n v\u00e0 thu\u1ed9c nh\u00f3m nguy c\u01a1, \u0111\u1eebng ng\u1ea7n ng\u1ea1i \u0111\u1eb7t l\u1ecbch x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc \u0111\u1ec3 y\u00ean t\u00e2m v\u1ec1 t\u00ecnh tr\u1ea1ng s\u1ee9c kho\u1ebb c\u1ee7a m\u00ecnh.<\/p>\n
<\/span>C\u00e2u H\u1ecfi Th\u01b0\u1eddng G\u1eb7p V\u1ec1 L\u00e2y Nhi\u1ec5m Vi\u00eam Gan B<\/span><\/h2>\n
<\/span>Vi\u00eam gan B c\u00f3 l\u00e2y qua \u0111\u01b0\u1eddng n\u01b0\u1edbc b\u1ecdt kh\u00f4ng?<\/span><\/h3>\n
Virus HBV c\u00f3 trong n\u01b0\u1edbc b\u1ecdt v\u1edbi n\u1ed3ng \u0111\u1ed9 r\u1ea5t th\u1ea5p \u2014 kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 l\u00e2y qua \u0103n u\u1ed1ng chung, d\u00f9ng chung ly hay n\u1ee5 h\u00f4n th\u00f4ng th\u01b0\u1eddng. CDC Hoa K\u1ef3 \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh h\u00f4n m\u00f4i, \u00f4m, b\u1eaft tay \u0111\u1ec1u kh\u00f4ng<\/strong> ph\u1ea3i \u0111\u01b0\u1eddng l\u00e2y vi\u00eam gan B.<\/p>\n
Ngo\u1ea1i l\u1ec7 l\u00e0 khi c\u1ea3 hai ng\u01b0\u1eddi c\u00f9ng c\u00f3 v\u1ebft th\u01b0\u01a1ng h\u1edf trong mi\u1ec7ng v\u00e0 c\u00f3 ti\u1ebfp x\u00fac m\u00e1u tr\u1ef1c ti\u1ebfp \u2014 t\u00ecnh hu\u1ed1ng r\u1ea5t hi\u1ebfm g\u1eb7p trong th\u1ef1c t\u1ebf.<\/p>\n
<\/span>V\u1ee3 ho\u1eb7c ch\u1ed3ng b\u1ecb vi\u00eam gan B c\u00f3 l\u00e2y sang b\u1ea1n \u0111\u1eddi kh\u00f4ng?<\/span><\/h3>\n
C\u00f3 \u2014 qua hai con \u0111\u01b0\u1eddng ch\u00ednh: quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng d\u00f9ng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 v\u00e0 d\u00f9ng chung v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 d\u00ednh m\u00e1u (dao c\u1ea1o, b\u00e0n ch\u1ea3i). \u0110\u00e2y l\u00e0 l\u00fd do c\u00e1c c\u1eb7p \u0111\u00f4i n\u00ean x\u00e9t nghi\u1ec7m HBsAg v\u00e0 Anti-HBs tr\u01b0\u1edbc khi k\u1ebft h\u00f4n.<\/p>\n
N\u1ebfu m\u1ed9t ng\u01b0\u1eddi \u0111\u00e3 nhi\u1ec5m, ng\u01b0\u1eddi c\u00f2n l\u1ea1i n\u00ean ti\u00eam \u0111\u1ee7 3 m\u0169i vaccine vi\u00eam gan B. Sau khi c\u00f3 kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7, cu\u1ed9c s\u1ed1ng v\u1ee3 ch\u1ed3ng c\u00f3 th\u1ec3 di\u1ec5n ra b\u00ecnh th\u01b0\u1eddng.<\/p>\n
<\/span>\u0110\u00e3 ti\u00eam vaccine vi\u00eam gan B r\u1ed3i c\u00f3 c\u00f2n b\u1ecb l\u00e2y kh\u00f4ng?<\/span><\/h3>\n
Vaccine hi\u1ec7u qu\u1ea3 kho\u1ea3ng 95%, ngh\u0129a l\u00e0 v\u1eabn c\u00f3 kho\u1ea3ng 2,5\u20135% ng\u01b0\u1eddi sau ti\u00eam c\u00f3 th\u1ec3 nhi\u1ec5m b\u1ec7nh. C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 vaccine g\u1ed3m: ti\u00eam kh\u00f4ng \u0111\u1ee7 m\u0169i, ti\u00eam sai l\u1ecbch, h\u1ec7 mi\u1ec5n d\u1ecbch y\u1ebfu, ho\u1eb7c vaccine kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n \u0111\u00fang c\u00e1ch.<\/p>\n
\u0110\u1ec3 ch\u1eafc ch\u1eafn, b\u1ea1n n\u00ean x\u00e9t nghi\u1ec7m Anti-HBs sau khi ho\u00e0n th\u00e0nh 3 m\u0169i. N\u1ebfu n\u1ed3ng \u0111\u1ed9 \u2265 10 mIU\/mL, b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7.<\/p>\n
<\/span>Vi\u00eam gan B c\u00f3 di truy\u1ec1n t\u1eeb cha m\u1eb9 sang con kh\u00f4ng?<\/span><\/h3>\n
Kh\u00f4ng. Vi\u00eam gan B kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh di truy\u1ec1n<\/strong> m\u00e0 l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus. Tr\u1ebb c\u00f3 th\u1ec3 b\u1ecb l\u00e2y t\u1eeb m\u1eb9 trong l\u00fac sinh, nh\u01b0ng \u0111\u00e2y l\u00e0 l\u00e2y nhi\u1ec5m qua m\u00e1u \u2014 kh\u00f4ng li\u00ean quan \u0111\u1ebfn gen.<\/p>\n
N\u1ebfu cha m\u1eafc vi\u00eam gan B, con kh\u00f4ng b\u1ecb l\u00e2y qua tinh tr\u00f9ng. Nguy c\u01a1 ch\u1ec9 xu\u1ea5t hi\u1ec7n khi con ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi m\u00e1u c\u1ee7a cha (v\u00ed d\u1ee5 qua v\u1ebft th\u01b0\u01a1ng h\u1edf).<\/p>\n
<\/span>S\u1ed1ng chung nh\u00e0 v\u1edbi ng\u01b0\u1eddi b\u1ecb vi\u00eam gan B c\u00f3 c\u1ea7n c\u00e1ch ly kh\u00f4ng?<\/span><\/h3>\n
Kh\u00f4ng c\u1ea7n c\u00e1ch ly. B\u1ea1n c\u00f3 th\u1ec3 \u0103n chung m\u00e2m, d\u00f9ng chung ph\u00f2ng t\u1eafm, sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng v\u1edbi ng\u01b0\u1eddi b\u1ec7nh. Vi\u00eam gan B kh\u00f4ng l\u00e2y qua kh\u00f4ng kh\u00ed, ti\u1ebfp x\u00fac da, \u0111\u1ed3 d\u00f9ng \u0103n u\u1ed1ng hay sinh ho\u1ea1t th\u00f4ng th\u01b0\u1eddng.<\/p>\n
Ch\u1ec9 c\u1ea7n l\u01b0u \u00fd kh\u00f4ng d\u00f9ng chung dao c\u1ea1o, b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, d\u1ee5ng c\u1ee5 c\u1eaft m\u00f3ng. \u0110\u1ed3ng th\u1eddi, c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c trong gia \u0111\u00ecnh n\u00ean x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc v\u00e0 ti\u00eam vaccine n\u1ebfu ch\u01b0a c\u00f3 kh\u00e1ng th\u1ec3.<\/p>\n\t\t
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PH\u00d2NG KH\u00c1M \u0110A KHOA HO\u00c0 \u0110\u1ee8C<\/strong><\/span><\/p>
\ud83c\udfe5 \u0110\u1ecba ch\u1ec9:<\/strong> 04 – 06 – 08 \u0110inh C\u00f4ng Tr\u00e1ng, Ph\u01b0\u1eddng Quy Nh\u01a1n Nam, t\u1ec9nh Gia Lai<\/span><\/p>
\u260e\ufe0f Hotline: 0256 350 7789<\/a><\/strong> – 0935 056 468<\/a><\/strong><\/span><\/p>
\u24d5 Fanpage:<\/strong>\u00a0Ph\u00f2ng kh\u00e1m \u0110a khoa Ho\u00e0 \u0110\u1ee9c<\/a><\/strong><\/span><\/p>
\ud83c\udf10 Website:<\/strong> https:\/\/ytehoaduc.com.vn\/en\/<\/a><\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t \n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tHotline: 0935 056 468<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n
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N\u1ed9i dung n\u00e0y ch\u1ec9 mang t\u00ednh th\u00f4ng tin gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe, kh\u00f4ng thay th\u1ebf t\u01b0 v\u1ea5n, ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb y t\u1ebf chuy\u00ean nghi\u1ec7p. Vui l\u00f2ng tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ea1n.<\/em><\/p><\/blockquote>\n
Ngu\u1ed3n tham kh\u1ea3o:<\/strong><\/p>\n
\n
World Health Organization (2024). Hepatitis B \u2014 Fact sheet<\/em>. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hepatitis-b<\/li>\n
World Health Organization (2024). Guidelines for the prevention, diagnosis, care and treatment for people with chronic hepatitis B infection<\/em>.<\/li>\n
World Health Organization (2024). Global hepatitis report 2024: action for access in low- and middle-income countries<\/em>.<\/li>\n
Centers for Disease Control and Prevention (CDC). Hepatitis B Basics<\/em>. https:\/\/www.cdc.gov\/hepatitis-b\/about\/<\/li>\n
Hepatitis B Foundation. Prevention Tips<\/em>. https:\/\/www.hepb.org\/prevention-and-diagnosis\/prevention-tips\/<\/li>\n<\/ol>\n
\u00a0<\/body><\/p>\n","protected":false},"excerpt":{"rendered":"
Vi\u00eam gan B c\u00f3 l\u00e2y kh\u00f4ng? C\u00f3 \u2014 qua m\u00e1u, t\u00ecnh d\u1ee5c v\u00e0 m\u1eb9 sang con. Nh\u1eadn di\u1ec7n 3 \u0111\u01b0\u1eddng l\u00e2y ch\u00ednh, nh\u00f3m nguy c\u01a1 v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3.<\/p>\n","protected":false},"author":2,"featured_media":9926,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[140],"tags":[],"class_list":["post-9914","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tieu-hoa-gan-mat"],"acf":[],"_links":{"self":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts\/9914","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/comments?post=9914"}],"version-history":[{"count":3,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts\/9914\/revisions"}],"predecessor-version":[{"id":9953,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts\/9914\/revisions\/9953"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/media\/9926"}],"wp:attachment":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/media?parent=9914"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/categories?post=9914"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/tags?post=9914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}