{"id":12356,"date":"2018-07-31T06:32:28","date_gmt":"2018-07-30T23:32:28","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/benh-thalassemia\/"},"modified":"2024-03-17T03:52:25","modified_gmt":"2024-03-16T20:52:25","slug":"benh-thalassemia","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-thalassemia\/","title":{"rendered":"B\u1ec7nh Thalassemia"},"content":{"rendered":"<h2 id=\"benh-thalassemia-la-gi\">B\u1ec7nh Thalassemia l\u00e0 g\u00ec?<\/h2>\n<p>Hemoglobin l\u00e0 ch\u1ea5t quan tr\u1ecdng trong c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u gi\u00fap ch\u00fang chuy\u00ean ch\u1edf oxy. L\u01b0\u1ee3ng hemoglobin th\u1ea5p v\u00e0 s\u1ed1 t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u th\u1ea5p c\u00f3 th\u1ec3 g\u00e2y ra thi\u1ebfu m\u00e1u l\u00e0m b\u1ec7nh nh\u00e2n m\u1ec7t m\u1ecfi.<\/p>\n<p>Thalassemia l\u00e0 m\u1ed9t d\u1ea1ng<strong> r\u1ed1i lo\u1ea1n m\u00e1u di truy\u1ec1n<\/strong> g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u. C\u00f3 m\u1ed9t s\u1ed1 d\u1ea1ng thalassemia ch\u00ednh, bao g\u1ed3m alpha-thalassemia, beta-thalassemia, thi\u1ebfu m\u00e1u Cooley v\u00e0 thi\u1ebfu m\u00e1u \u0110\u1ecba Trung H\u1ea3i.<\/p>\n<p>N\u1ebfu b\u1ea1n b\u1ecb b\u1ec7nh thalassemia nh\u1eb9, b\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, n\u1ebfu b\u1ecb d\u1ea1ng n\u1eb7ng h\u01a1n, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n truy\u1ec1n m\u00e1u th\u01b0\u1eddng xuy\u00ean. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 b\u01b0\u1edbc, theo c\u00e1ch ri\u00eang c\u1ee7a b\u1ea1n \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi m\u1ec7t m\u1ecfi, ch\u1eb3ng h\u1ea1n nh\u01b0 l\u1ef1a ch\u1ecdn m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 450px; height: 240px;\" src=\"\/\/yhoccongdong.org\/Documents\/632_thalassemia.jpg\" alt=\"thalassemia\" \/><\/p>\n<h2 id=\"nhung-dau-hieu-cua-benh\u00a0thalassemia-la-gi\">Nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh\u00a0Thalassemia l\u00e0 g\u00ec?<\/h2>\n<p><span style=\"line-height: 1.6em;\"> C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh thalassemia bao g\u1ed3m: <\/span><\/p>\n<ul>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>Y\u1ebfu ng\u01b0\u1eddi<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>Da nh\u1ee3t nh\u1ea1t<\/li>\n<li>Kh\u00f3 ch\u1ecbu, d\u1ec5 n\u1ed5i n\u00f3ng<\/li>\n<li>V\u00e0ng da<\/li>\n<li>Bi\u1ebfn d\u1ea1ng x\u01b0\u01a1ng m\u1eb7t<\/li>\n<li>Ch\u1eadm t\u0103ng tr\u01b0\u1edfng<\/li>\n<li>Ph\u00ecnh b\u1ee5ng<\/li>\n<li>N\u01b0\u1edbc ti\u1ec3u s\u1eadm m\u00e0u<\/li>\n<\/ul>\n<p>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng <strong>ph\u1ee5 thu\u1ed9c v\u00e0o d\u1ea1ng b\u1ec7nh v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng<\/strong> c\u1ee7a b\u1ec7nh thalassemia. M\u1ed9t s\u1ed1 em b\u00e9 c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh thalassemia khi sinh, trong khi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n b\u1ec7nh tr\u1ec5 h\u01a1n, trong hai n\u0103m \u0111\u1ea7u \u0111\u1eddi. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi ch\u1ec9 c\u00f3 m\u1ed9t gene hemoglobin b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o c\u1ee7a b\u1ec7nh thalassemia.<\/p>\n<p><strong> Khi n\u00e0o n\u00ean g\u1eb7p b\u00e1c s\u0129 <\/strong><\/p>\n<p>H\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 Nhi khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 ch\u1ea9n \u0111o\u00e1n n\u1ebfu con b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u hay tri\u1ec7u ch\u1ee9ng khi\u1ebfn b\u1ea1n lo l\u1eafng.<\/p>\n<h2 id=\"nguyen-nhan-nao-gay-benh\u00a0thalassemia\">Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y b\u1ec7nh\u00a0Thalassemia?<\/h2>\n<p>B\u1ec7nh thalassemia x\u1ea3y ra do <strong>\u0111\u1ed9t bi\u1ebfn<\/strong> \u1edf DNA (gene) quy \u0111\u1ecbnh vi\u1ec7c s\u1ea3n xu\u1ea5t hemoglobin &#8211; ph\u00e2n t\u1eed quan tr\u1ecdng trong t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u gi\u00fap v\u1eadn chuy\u1ec3n oxy \u0111i kh\u1eafp c\u01a1 th\u1ec3. \u0110\u1ed9t bi\u1ebfn li\u00ean quan \u0111\u1ebfn b\u1ec7nh thalassemia \u0111\u01b0\u1ee3c di truy\u1ec1n t\u1eeb cha m\u1eb9 sang con c\u00e1i.<\/p>\n<p>\u0110\u1ed9t bi\u1ebfn g\u00e2y n\u00ean b\u1ec7nh thalassemia ph\u00e1 v\u1ee1 qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t b\u00ecnh th\u01b0\u1eddng c\u1ee7a hemoglobin, l\u00e0m h\u1ea1 m\u1ee9c hemoglobin trong m\u00e1u c\u0169ng nh\u01b0 l\u00e0m t\u0103ng t\u1ed1c \u0111\u1ed9 ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, g\u00e2y n\u00ean hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu m\u00e1u. Khi b\u1ecb thi\u1ebfu m\u00e1u, b\u1ea1n s\u1ebd kh\u00f4ng c\u00f3 \u0111\u1ee7 c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u \u0111\u1ec3 v\u1eadn chuy\u1ec3n oxy \u0111\u1ebfn c\u00e1c m\u00f4 v\u00e0 c\u01a1 quan. \u0110i\u1ec1u n\u00e0y s\u1ebd khi\u1ebfn b\u1ea1n m\u1ec7t m\u1ecfi.<\/p>\n<h2 id=\"cac-dang-benh-thalassemia\">C\u00e1c d\u1ea1ng b\u1ec7nh thalassemia<\/h2>\n<p>D\u1ea1ng thalassemia m\u00e0 b\u1ea1n m\u1eafc ph\u1ea3i t\u00f9y thu\u1ed9c v\u00e0o s\u1ed1 l\u01b0\u1ee3ng \u0111\u1ed9t bi\u1ebfn gene m\u00e0 b\u1ea1n th\u1eeba h\u01b0\u1edfng t\u1eeb cha m\u1eb9 v\u00e0 v\u1ecb tr\u00ed m\u00e0 ph\u00e2n t\u1eed hemoglobin b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi nh\u1eefng \u0111\u1ed9t bi\u1ebfn n\u00e0y. C\u00e0ng c\u00f3 nhi\u1ec1u \u0111\u1ed9t bi\u1ebfn gene, b\u1ea1n c\u00e0ng b\u1ecb b\u1ec7nh n\u1eb7ng. Ph\u00e2n t\u1eed hemoglobin \u0111\u01b0\u1ee3c t\u1ea1o n\u00ean b\u1edfi nh\u1eefng chu\u1ed7i protein g\u1ecdi l\u00e0 alpha v\u00e0 beta, v\u00e0 ch\u00fang \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi \u0111\u1ed9t bi\u1ebfn. C\u00f3 hai d\u1ea1ng ch\u00ednh c\u1ee7a b\u1ec7nh thalassemia l\u00e0 alpha v\u00e0 beta, c\u1ee5 th\u1ec3 nh\u01b0 b\u00ean d\u01b0\u1edbi.<\/p>\n<h3><strong> Thalassemia d\u1ea1ng alpha <\/strong><\/h3>\n<p>C\u00f3 4 gene li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1ea3n xu\u1ea5t chu\u1ed7i protein hemoglobin alpha. B\u1ea1n nh\u1eadn \u0111\u01b0\u1ee3c 2 gene t\u1eeb b\u1ed1 v\u00e0 2 gene t\u1eeb m\u1eb9. N\u1ebfu b\u1ea1n di truy\u1ec1n:<\/p>\n<ul>\n<li><strong> M\u1ed9t gene \u0111\u1ed9t bi\u1ebfn, <\/strong> b\u1ea1n s\u1ebd kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng n\u00e0o c\u1ee7a b\u1ec7nh thalassemia. Tuy nhi\u00ean, b\u1ea1n mang gene b\u1ea5t th\u01b0\u1eddng v\u00e0 c\u00f3 th\u1ec3 di truy\u1ec1n n\u00f3 cho con c\u1ee7a b\u1ea1n.<\/li>\n<li><strong> Hai gene \u0111\u1ed9t bi\u1ebfn, <\/strong> b\u1ea1n s\u1ebd c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng nh\u1eb9 c\u1ee7a b\u1ec7nh thalassemia. T\u00ecnh tr\u1ea1ng n\u00e0y g\u1ecdi l\u00e0 thalassemia d\u1ea1ng alpha th\u1ec3 nh\u1eb9 hay alpha-thalassemia th\u1ec3 \u1ea9n.<\/li>\n<li><strong> Ba gene \u0111\u1ed9t bi\u1ebfn, <\/strong> b\u1ea1n s\u1ebd c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng b\u1ec7nh n\u1eb7ng ho\u1eb7c kh\u00e1 n\u1eb7ng. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh hemoglobin H.<\/li>\n<li><strong> B\u1ed1n gene \u0111\u1ed9t bi\u1ebfn, <\/strong> t\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thalassemia d\u1ea1ng alpha th\u1ec3 n\u1eb7ng hay ph\u00f9 nhau thai. Thai nhi th\u01b0\u1eddng ch\u1ebft tr\u01b0\u1edbc khi ra \u0111\u1eddi ho\u1eb7c ch\u1ebft s\u1edbm sau sinh.<\/li>\n<\/ul>\n<h3><strong> Thalassemia d\u1ea1ng beta <\/strong><\/h3>\n<p>C\u00f3 2 gene li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u1ea1o ra chu\u1ed7i protein hemoglobin beta. B\u1ea1n s\u1ebd nh\u1eadn m\u1ed7i m\u1ed9t gene t\u1eeb cha v\u00e0 m\u1eb9. N\u1ebfu b\u1ea1n di truy\u1ec1n:<\/p>\n<ul>\n<li>M\u1ed9t gen \u0111\u1ed9t bi\u1ebfn, b\u1ea1n s\u1ebd c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng nh\u1eb9. T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thalassemia d\u1ea1ng beta th\u1ec3 nh\u1eb9.<\/li>\n<li>Hai gen \u0111\u1ed9t bi\u1ebfn, b\u1ea1n s\u1ebd c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng b\u1ec7nh n\u1eb7ng ho\u1eb7c kh\u00e1 n\u1eb7ng. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thalassemia d\u1ea1ng beta th\u1ec3 n\u1eb7ng ho\u1eb7c thi\u1ebfu m\u00e1u Cooley. Em b\u00e9 v\u1edbi hai gene beta hemoglobin \u0111\u1ed9t bi\u1ebfn th\u01b0\u1eddng kh\u1ecfe m\u1ea1nh khi sinh, nh\u01b0ng c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng s\u1ebd xu\u1ea5t hi\u1ec7n trong hai n\u0103m \u0111\u1ea7u \u0111\u1eddi.<\/li>\n<\/ul>\n<pre><em><strong>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-tan-mau-bam-sinh-thalassemia\/\" target=\"_blank\" rel=\"noopener\">B\u1ec7nh tan m\u00e1u b\u1ea9m sinh \u2013 Thalassemia<\/a><\/strong><\/em><\/pre>\n<h2 id=\"yeu-to-nao-gay-benh\u00a0thalassemia\">Y\u1ebfu t\u1ed1 n\u00e0o g\u00e2y b\u1ec7nh\u00a0Thalassemia?<\/h2>\n<p><span style=\"line-height: 1.6em;\"> Nh\u1eefng y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh thalassemia bao g\u1ed3m: <\/span><\/p>\n<ul>\n<li><strong> B\u1ec7nh s\u1eed gia \u0111\u00ecnh: <\/strong>thalassemia \u0111\u01b0\u1ee3c di truy\u1ec1n t\u1eeb cha m\u1eb9 sang con c\u00e1i th\u00f4ng qua nh\u1eefng gene quy \u0111\u1ecbnh hemoglobin \u0111\u1ed9t bi\u1ebfn. N\u1ebfu gia \u0111\u00ecnh b\u1ea1n c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh thalassemia, b\u1ea1n s\u1ebd c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh n\u00e0y cao h\u01a1n.<\/li>\n<li><strong> Ch\u1ee7ng t\u1ed9c: <\/strong>thalassemia th\u01b0\u1eddng x\u1ea3y ra \u1edf ng\u01b0\u1eddi g\u1ed1c \u00dd, Hy L\u1ea1p, Trung \u0110\u00f4ng, ch\u00e2u \u00c1 v\u00e0 ch\u00e2u Phi. Thalassemia d\u1ea1ng alpha th\u01b0\u1eddng g\u1eb7p \u1edf khu v\u1ef1c \u0110\u00f4ng Nam \u00c1, Trung Qu\u1ed1c v\u00e0 g\u1ed1c Philippines.<\/li>\n<\/ul>\n<h2 id=\"benh\u00a0thalassemia-co-the\u00a0gay-bien-chung-nao\">B\u1ec7nh\u00a0Thalassemia c\u00f3 th\u1ec3\u00a0g\u00e2y bi\u1ebfn ch\u1ee9ng n\u00e0o?<\/h2>\n<p><span style=\"line-height: 1.6em;\"> Bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh thalassemia c\u00f3 th\u1ec3 bao g\u1ed3m: <\/span><\/p>\n<ul>\n<li><strong> T\u00ecnh tr\u1ea1ng d\u01b0 th\u1eeba s\u1eaft (Iron overload): <\/strong>ng\u01b0\u1eddi m\u1eafc b\u1ec7nh thalassemia c\u00f3 th\u1ec3 qu\u00e1 nhi\u1ec1u s\u1eaft trong c\u01a1 th\u1ec3, do ph\u1ea3i truy\u1ec1n m\u00e1u nhi\u1ec1u l\u1ea7n ho\u1eb7c do b\u1ea3n th\u00e2n c\u0103n b\u1ec7nh. T\u00ecnh tr\u1ea1ng d\u01b0 th\u1eeba s\u1eaft s\u1ebd l\u00e0m s\u1eaft t\u00edch l\u0169y trong nhi\u1ec1u c\u01a1 quan, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng gan, tim, t\u1ee7y x\u01b0\u01a1ng v\u00e0 c\u00e1c tuy\u1ebfn n\u1ed9i ti\u1ebft (chuy\u00ean s\u1ea3n xu\u1ea5t hormone \u0111i\u1ec1u h\u00f2a c\u00e1c qu\u00e1 tr\u00ecnh trong c\u01a1 th\u1ec3).<\/li>\n<li><strong> Nhi\u1ec5m tr\u00f9ng:\u00a0<\/strong>b\u1ec7nh nh\u00e2n thalassemia c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh truy\u1ec1n nhi\u1ec5m cao, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau khi ph\u1eabu thu\u1eadt c\u1eaft l\u00e1ch.<\/li>\n<\/ul>\n<p>Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh n\u1eb7ng, c\u00e1c bi\u1ebfn ch\u1ee9ng sau \u0111\u00e2y c\u00f3 th\u1ec3 x\u1ea3y ra:<\/p>\n<ul>\n<li><strong> Bi\u1ebfn d\u1ea1ng x\u01b0\u01a1ng:\u00a0<\/strong>thalassemia c\u00f3 th\u1ec3 k\u00edch th\u00edch t\u1ee7y x\u01b0\u01a1ng v\u00e0 l\u00e0m c\u1ea5u tr\u00fac x\u01b0\u01a1ng tr\u1edf n\u00ean b\u1ea5t th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 x\u01b0\u01a1ng \u1edf h\u1ed9p s\u1ecd v\u00e0 v\u00f9ng m\u1eb7t. X\u01b0\u01a1ng c\u0169ng tr\u1edf n\u00ean m\u1ecfng v\u00e0 gi\u00f2n h\u01a1n, v\u00e0 v\u00ec th\u1ebf d\u1ec5 g\u00e3y h\u01a1n.<\/li>\n<li><strong> L\u00e1ch to:\u00a0<\/strong>l\u00e1ch gi\u00fap c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng v\u00e0 l\u1ecdc b\u1ecf nh\u1eefng t\u1ebf b\u00e0o m\u00e1u c\u0169 ho\u1eb7c b\u1ecb h\u01b0 h\u1ecfng. Thalassemia th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi vi\u1ec7c ph\u00e1 h\u1ee7y m\u1ed9t l\u01b0\u1ee3ng l\u1edbn t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, l\u00e0m l\u00e1ch ph\u1ea3i l\u00e0m vi\u1ec7c nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng v\u00e0 h\u1eadu qu\u1ea3 l\u00e0 to l\u00e1ch. L\u00e1ch to c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh h\u00ecnh thi\u1ebfu m\u00e1u t\u1ec7 h\u01a1n. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 gi\u1ea3m tu\u1ed5i th\u1ecd c\u1ee7a c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u \u0111\u01b0\u1ee3c truy\u1ec1n v\u00e0o c\u01a1 th\u1ec3 qua truy\u1ec1n m\u00e1u. N\u1ebfu l\u00e1ch qu\u00e1 l\u1edbn, n\u00f3 c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf.<\/li>\n<li><strong> L\u00e0m ch\u1eadm t\u0103ng tr\u01b0\u1edfng:\u00a0<\/strong>thi\u1ebfu m\u00e1u c\u00f3 th\u1ec3 l\u00e0m tr\u1ebb ch\u1eadm t\u0103ng tr\u01b0\u1edfng. Tr\u1ebb em b\u1ecb b\u1ec7nh thalassemia n\u1eb7ng hi\u1ebfm khi c\u00f3 chi\u1ec1u cao b\u00ecnh th\u01b0\u1eddng. S\u1ef1 d\u1eady th\u00ec c\u0169ng c\u00f3 th\u1ec3 b\u1ecb ch\u1eadm \u0111i.<\/li>\n<li><strong> V\u1ea5n \u0111\u1ec1 v\u1ec1 tim:\u00a0<\/strong>suy tim sung huy\u1ebft v\u00e0 nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng (r\u1ed1i lo\u1ea1n nh\u1ecbp tim) hay nh\u1eefng b\u1ec7nh tim kh\u00e1c c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n thalassemia d\u1ea1ng n\u1eb7ng.<\/li>\n<\/ul>\n<h2 id=\"chan-doan-benh\u00a0thalassemia-nhu-the-nao\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh\u00a0Thalassemia nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>H\u1ea7u h\u1ebft tr\u1ebb em m\u1eafc b\u1ec7nh thalassemia n\u1eb7ng ho\u1eb7c kh\u00e1 n\u1eb7ng cho th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng b\u1ec7nh trong v\u00f2ng hai n\u0103m \u0111\u1ea7u \u0111\u1eddi. N\u1ebfu nghi ng\u1edd tr\u1ebb b\u1ecb thalassemia, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m m\u00e1u.<\/p>\n<p>N\u1ebfu b\u1ecb b\u1ec7nh thalassemia, x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 cho th\u1ea5y:<\/p>\n<ul>\n<li>M\u1ee9c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u th\u1ea5p<\/li>\n<li>T\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u nh\u1ecf h\u01a1n d\u1ef1 ki\u1ebfn<\/li>\n<li>T\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u nh\u1ea1t<\/li>\n<li>T\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u c\u00f3 k\u00edch th\u01b0\u1edbc v\u00e0 h\u00ecnh d\u1ea1ng kh\u00e1c nhau<\/li>\n<li>T\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u c\u00f3 ph\u00e2n b\u1ed1 hemoglobin kh\u00f4ng \u0111\u1ec1u, c\u00f3 d\u1ea1ng \u201cm\u1eaft b\u00f2\u201d d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/li>\n<\/ul>\n<p>X\u00e9t nghi\u1ec7m m\u00e1u c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3:<\/p>\n<ul>\n<li>\u0110o l\u01b0\u1ee3ng s\u1eaft trong m\u00e1u<\/li>\n<li>\u0110\u00e1nh gi\u00e1 hemoglobin<\/li>\n<li>Ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch DNA nh\u1eb1m ch\u1ea9n \u0111o\u00e1n b\u1ec7nh thalassemia ho\u1eb7c x\u00e1c \u0111\u1ecbnh xem c\u00f3 gene hemoglobin \u0111\u1ed9t bi\u1ebfn hay kh\u00f4ng.<\/li>\n<\/ul>\n<h3><strong> X\u00e9t nghi\u1ec7m tr\u01b0\u1edbc khi sinh <\/strong><\/h3>\n<p>X\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi em b\u00e9 ra \u0111\u1eddi \u0111\u1ec3 xem xem c\u00f3 m\u1eafc b\u1ec7nh thalassemia kh\u00f4ng v\u00e0 n\u1ebfu c\u00f3 th\u00ec \u0111\u1ed9 nghi\u00eam tr\u1ecdng nh\u01b0 th\u1ebf n\u00e0o. C\u00e1c x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh thalassemia \u1edf thai nhi bao g\u1ed3m:<\/p>\n<ul>\n<li><strong> L\u1ea5y m\u1eabu sinh thi\u1ebft gai m\u00e0ng \u0111\u1ec7m:\u00a0<\/strong>x\u00e9t nghi\u1ec7m n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong kho\u1ea3ng tu\u1ea7n th\u1ee9 11 c\u1ee7a thai k\u1ef3, b\u1eb1ng vi\u1ec7c l\u1ea5y \u0111i m\u1ed9t m\u1ea3nh nh\u1ecf c\u1ee7a nhau thai \u0111\u1ec3 \u0111\u00e1nh gi\u00e1.<\/li>\n<li><strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/choc-oi\/\" target=\"_blank\" rel=\"noopener\"> Ch\u1ecdc \u1ed1i<\/a>: <\/strong>ki\u1ec3m tra n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n xung quanh tu\u1ea7n th\u1ee9 16 c\u1ee7a thai k\u1ef3, b\u1eb1ng vi\u1ec7c l\u1ea5y m\u1eabu d\u1ecbch (n\u01b0\u1edbc \u1ed1i) bao quanh thai nhi \u0111i x\u00e9t nghi\u1ec7m.<\/li>\n<\/ul>\n<h3><strong> K\u1ef9 thu\u1eadt h\u1ed7 tr\u1ee3 sinh s\u1ea3n <\/strong><\/h3>\n<p>M\u1ed9t d\u1ea1ng k\u1ef9 thu\u1eadt h\u1ed7 tr\u1ee3 sinh s\u1ea3n k\u1ebft h\u1ee3p gi\u1eefa th\u1ee5 tinh \u1ed1ng nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n gene tr\u01b0\u1edbc khi ph\u00f4i b\u00e1m v\u00e0o t\u1eed cung (pre-implantation genetic diagnosis) c\u00f3 th\u1ec3 gi\u00fap c\u00e1c b\u1eadc cha m\u1eb9 m\u1eafc b\u1ec7nh ho\u1eb7c \u0111ang mang gene \u0111\u1ed9t bi\u1ebfn g\u00e2y thalassemia sinh ra nh\u1eefng em b\u00e9 kh\u1ecfe m\u1ea1nh. Th\u1ee7 thu\u1eadt n\u00e0y li\u00ean quan \u0111\u1ebfn vi\u1ec7c l\u1ea5y tr\u1ee9ng tr\u01b0\u1edfng th\u00e0nh t\u1eeb ng\u01b0\u1eddi m\u1eb9 v\u00e0 cho th\u1ee5 tinh v\u1edbi tinh tr\u00f9ng c\u1ee7a ng\u01b0\u1eddi cha trong ph\u00f2ng th\u00ed nghi\u1ec7m. C\u00e1c ph\u00f4i \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ki\u1ec3m tra c\u00e1c gen \u0111\u1ed9t bi\u1ebfn v\u00e0 ch\u1ec9 c\u00f3 ph\u00f4i kh\u00f4ng c\u00f3 khuy\u1ebft t\u1eadt di truy\u1ec1n m\u1edbi \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o ng\u01b0\u1eddi m\u1eb9.<\/p>\n<h2 id=\"dieu-tri-benh\u00a0thalassemia\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh\u00a0Thalassemia<\/h2>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh thalassemia t\u00f9y thu\u1ed9c v\u00e0o d\u1ea1ng b\u1ec7nh v\u00e0 \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a n\u00f3.<\/p>\n<h3><strong> \u0110i\u1ec1u tr\u1ecb b\u1ec7nh thalassemia th\u1ec3 nh\u1eb9 <\/strong><\/h3>\n<p>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng nh\u1eb9 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y. \u0110i\u1ec1u tr\u1ecb c\u0169ng hi\u1ebfm khi c\u1ea7n thi\u1ebft. Th\u1ec9nh tho\u1ea3ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n truy\u1ec1n m\u00e1u, \u0111\u1eb7c bi\u1ec7t sau khi ph\u1eabu thu\u1eadt, sau khi c\u00f3 con, ho\u1eb7c khi b\u1ecb bi\u1ebfn ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng.<\/p>\n<h3><strong> \u0110i\u1ec1u tr\u1ecb b\u1ec7nh thalassemia th\u1ec3 n\u1eb7ng v\u00e0 kh\u00e1 n\u1eb7ng <\/strong><\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh thalassemia n\u1eb7ng v\u00e0 kh\u00e1 n\u1eb7ng th\u01b0\u1eddng bao g\u1ed3m:<\/p>\n<ul>\n<li><strong> Truy\u1ec1n m\u00e1u th\u01b0\u1eddng xuy\u00ean:\u00a0<\/strong>b\u1ec7nh d\u1ea1ng n\u1eb7ng th\u01b0\u1eddng y\u00eau c\u1ea7u truy\u1ec1n m\u00e1u th\u01b0\u1eddng xuy\u00ean, c\u00f3 khi v\u00e0i tu\u1ea7n m\u1ed9t l\u1ea7n. Theo th\u1eddi gian, vi\u1ec7c truy\u1ec1n m\u00e1u s\u1ebd g\u00e2y ra s\u1ef1 t\u00edch l\u0169y s\u1eaft trong c\u01a1 th\u1ec3, c\u00f3 th\u1ec3 t\u1ed5n th\u01b0\u01a1ng tim, gan v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c. \u0110\u1ec3 gi\u00fap c\u01a1 th\u1ec3 lo\u1ea1i b\u1ecf s\u1eaft d\u01b0 th\u1eeba, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c \u201ch\u1ea5p th\u1ee5 s\u1eaft\u201d (iron chelators).<\/li>\n<li><strong> C\u1ea5y gh\u00e9p <a href=\"https:\/\/yhoccongdong.com\/thongtin\/nghien-cuu-ve-te-bao-goc\/\" target=\"_blank\" rel=\"noopener\">t\u1ebf b\u00e0o g\u1ed1c<\/a>: <\/strong>c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 gh\u00e9p t\u1ee7y x\u01b0\u01a1ng, vi\u1ec7c c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh thalassemia d\u1ea1ng n\u1eb7ng. Tr\u01b0\u1edbc khi c\u1ea5y gh\u00e9p, b\u1ea1n ph\u1ea3i \u0111\u01b0\u1ee3c truy\u1ec1n thu\u1ed1c ho\u1eb7c chi\u1ebfu tia x\u1ea1 \u0111\u1ec3 di\u1ec7t h\u1ebft t\u1ee7y x\u01b0\u01a1ng b\u1ecb b\u1ec7nh. Sau d\u00f3, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c truy\u1ec1n c\u00e1c t\u1ebf b\u00e0o g\u1ed1c sinh m\u00e1u m\u1edbi t\u1eeb ng\u01b0\u1eddi cho th\u00edch h\u1ee3p. Tuy nhi\u00ean, v\u00ec c\u00e1c th\u1ee7 t\u1ee5c n\u00e0y mang theo nh\u1eefng r\u1ee7i ro nghi\u00eam tr\u1ecdng, bao g\u1ed3m c\u1ea3 t\u1eed vong, ch\u00fang th\u01b0\u1eddng d\u00e0nh cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u1eb7ng nh\u1ea5t c\u00f3 anh em v\u1edbi t\u1ee7y x\u01b0\u01a1ng ph\u00f9 h\u1ee3p (th\u01b0\u1eddng l\u00e0 anh em sinh \u0111\u00f4i).<\/li>\n<\/ul>\n<h2>L\u1ed1i s\u1ed1ng v\u00e0 bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c<\/h2>\n<p>N\u1ebfu b\u1ecb b\u1ec7nh thalassemia, h\u00e3y \u0111\u1ea3m b\u1ea3o:<\/p>\n<ul>\n<li><strong> Tr\u00e1nh d\u01b0 th\u1eeba s\u1eaft:\u00a0<\/strong>tr\u1eeb khi \u0111\u01b0\u1ee3c b\u00e1c s\u0129 \u0111\u1ec1 ngh\u1ecb, b\u1ea1n \u0111\u1eebng d\u00f9ng nh\u1eefng lo\u1ea1i vitamin hay ch\u1ea5t b\u1ed5 sung kh\u00e1c c\u00f3 ch\u1ee9a s\u1eaft.<\/li>\n<li><strong> Theo ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0nh m\u1ea1nh:\u00a0<\/strong>m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng c\u00f3 ch\u1ee9a nhi\u1ec1u th\u1ef1c ph\u1ea9m b\u1ed5 d\u01b0\u1ee1ng c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n c\u1ea3m th\u1ea5y t\u1ed1t h\u01a1n v\u00e0 nhi\u1ec1u sinh kh\u00ed h\u01a1n. B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 khuy\u00ean b\u1ea1n b\u1ed5 sung th\u00eam axit folic \u0111\u1ec3 gi\u00fap c\u01a1 th\u1ec3 t\u1ea1o th\u00eam t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u m\u1edbi. Ngo\u00e0i ra, \u0111\u1ec3 gi\u1eef x\u01b0\u01a1ng kh\u1ecfe m\u1ea1nh, h\u00e3y \u0111\u1ea3m b\u1ea3o ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 \u0111\u1ee7 canxi, k\u1ebdm v\u00e0 vitamin D. H\u00e3y h\u1ecfi b\u00e1c s\u0129 ph\u1ea3i d\u00f9ng nh\u1eefng ch\u1ea5t b\u1ed5 sung g\u00ec v\u1edbi li\u1ec1u l\u01b0\u1ee3ng bao nhi\u00eau.<\/li>\n<li><strong> Tr\u00e1nh b\u1ecb nhi\u1ec5m tr\u00f9ng:\u00a0<\/strong>h\u00e3y b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 kh\u1ecfi b\u1ec7nh nhi\u1ec5m tr\u00f9ng b\u1eb1ng c\u00e1ch r\u1eeda tay th\u01b0\u1eddng xuy\u00ean v\u00e0 tr\u00e1nh xa nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng n\u1ebfu b\u1ea1n c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt c\u1eaft l\u00e1ch. B\u1ea1n c\u0169ng c\u1ea7n ch\u00edch ng\u1eeba c\u00fam h\u00e0ng n\u0103m, c\u0169ng nh\u01b0 vaccine ng\u1eeba vi\u00eam m\u00e0ng n\u00e3o, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chung-ngua-phe-cau\/\" target=\"_blank\" rel=\"noopener\">ph\u1ebf c\u1ea7u khu\u1ea9n<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/vaccin-viem-gan-b\/\" target=\"_blank\" rel=\"noopener\">vi\u00eam gan si\u00eau vi B<\/a>. N\u1ebfu b\u1ecb s\u1ed1t ho\u1eb7c c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m tr\u00f9ng, h\u00e3y g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<h2>\u0110\u1ed1i ph\u00f3 v\u00e0 h\u1ed7 tr\u1ee3<\/h2>\n<p>S\u1ed1ng chung v\u1edbi b\u1ec7nh thalassemia c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t th\u1eed th\u00e1ch l\u1edbn. Tuy nhi\u00ean, b\u1ea1n kh\u00f4ng ph\u1ea3i l\u00e0m \u0111i\u1ec1u \u0111\u00f3 m\u1ed9t m\u00ecnh. N\u1ebfu c\u00f3 th\u1eafc m\u1eafc ho\u1eb7c mu\u1ed1n c\u00f3 th\u00eam h\u01b0\u1edbng d\u1eabn, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t th\u00e0nh vi\u00ean c\u1ee7a nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. Vi\u1ec7c tham gia m\u1ed9t nh\u00f3m h\u1ed7 tr\u1ee3 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u00edch v\u00ec b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c l\u1eafng nghe, c\u1ea3m th\u00f4ng v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c nhi\u1ec1u th\u00f4ng tin h\u1eefu \u00edch.<\/p>\n<h2>Ph\u00f2ng ch\u1ed1ng<\/h2>\n<p>Trong h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh thalassemia kh\u00f4ng th\u1ec3 ng\u0103n ch\u1eb7n. N\u1ebfu b\u1ecb b\u1ec7nh ho\u1eb7c mang gene b\u1ec7nh thalassemia, h\u00e3y xem x\u00e9t vi\u1ec7c n\u00f3i chuy\u1ec7n v\u1edbi ng\u01b0\u1eddi t\u01b0 v\u1ea5n di truy\u1ec1n \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc khi c\u00f3 con.<\/p>\n<h2><strong> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong><\/h2>\n<p><a href=\"http:\/\/www.mayoclinic.com\/health\/thalassemia\/DS00905\"> http:\/\/www.mayoclinic.com\/health\/thalassemia\/DS00905 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh thalassemia l\u00e0 b\u1ec7nh di truy\u1ec1n, \u0111\u1ed9t bi\u1ebfn l\u00e0m ph\u00e1 v\u1ee1 qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t b\u00ecnh th\u01b0\u1eddng c\u1ee7a hemoglobin, g\u00e2y n\u00ean hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu m\u00e1u<\/p>\n","protected":false},"author":108,"featured_media":12357,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5664,5164,5148,5663],"tags":[4028,4855,6781],"series":[5668],"coauthors":[1441],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh Thalassemia - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh thalassemia l\u00e0 b\u1ec7nh di truy\u1ec1n, \u0111\u1ed9t bi\u1ebfn l\u00e0m ph\u00e1 v\u1ee1 qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t b\u00ecnh th\u01b0\u1eddng c\u1ee7a hemoglobin, g\u00e2y n\u00ean hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu m\u00e1u\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-thalassemia\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh Thalassemia - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh thalassemia l\u00e0 b\u1ec7nh di truy\u1ec1n, \u0111\u1ed9t bi\u1ebfn l\u00e0m ph\u00e1 v\u1ee1 qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t b\u00ecnh th\u01b0\u1eddng c\u1ee7a hemoglobin, g\u00e2y n\u00ean hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu m\u00e1u\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-thalassemia\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/beequy\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-30T23:32:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T20:52:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2013\/12\/benh-thalassemia.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS.TS. 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