{"id":4540,"date":"2016-09-21T13:06:19","date_gmt":"2016-09-21T06:06:19","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2016\/09\/21\/benh-buerger\/"},"modified":"2024-03-17T03:06:03","modified_gmt":"2024-03-16T20:06:03","slug":"benh-buerger","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-buerger\/","title":{"rendered":"B\u1ec7nh Buerger"},"content":{"rendered":"<p>B\u1ec7nh Buerger l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u \u1edf ch\u00e2n v\u00e0 tay, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n. B\u1ec7nh n\u00e0y l\u00e0m thu h\u1eb9p v\u00e0 t\u1eafc ngh\u1ebdn c\u00e1c m\u1ea1ch m\u00e1u n\u00ean l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n gi\u1ea3m. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y \u0111au v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c, v\u00e0 cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng v\u00e0 g\u00e2y ch\u1ebft m\u00f4 (ho\u1ea1i t\u1eed) \u1edf tay v\u00e0\/ho\u1eb7c ch\u00e2n.<\/p>\n<p>Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh v\u1eabn ch\u01b0a r\u00f5, nh\u01b0ng n\u00f3 xu\u1ea5t hi\u1ec7n ch\u1ee7 y\u1ebfu \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c. \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t khi b\u1ecb ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh Buerger l\u00e0 ng\u1eebng h\u00fat thu\u1ed1c. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ch\u1eb7n c\u0103n b\u1ec7nh tr\u1edf n\u00ean n\u1eb7ng h\u01a1n v\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 ph\u1ea3i ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ng\u00f3n tay, ng\u00f3n ch\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h2 id=\"benh-buerger-la-gi\">B\u1ec7nh Buerger l\u00e0 g\u00ec?<\/h2>\n<p>B\u1ec7nh Buerger l\u00e0 m\u1ed9t trong c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf v\u00e0 v\u1eeba \u1edf ch\u00e2n v\u00e0 tay, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n. N\u00f3 th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch, nh\u01b0ng \u0111\u00f4i khi n\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 t\u0129nh m\u1ea1ch. C\u00e1c \u0111o\u1ea1n m\u1ea1ch b\u1ecb vi\u00eam g\u00e2y h\u1eb9p c\u00e1c m\u1ea1ch m\u00e1u. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng nh\u1ecf d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn ho\u00e0n to\u00e0n c\u00e1c m\u1ea1ch m\u00e1u. M\u00e1u kh\u00f4ng th\u1ec3 l\u01b0u th\u00f4ng qua nh\u1eefng \u0111o\u1ea1n m\u1ea1ch b\u1ecb thu h\u1eb9p v\u00e0 t\u1eafc ngh\u1ebdn \u0111\u1ec3 \u0111\u1ebfn t\u1ea5t c\u1ea3 c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n nh\u01b0 b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u n\u00e0y g\u00e2y \u0111au c\u1ed9ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c, v\u00e0 cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 l\u00e0m m\u00f4 \u1edf tay v\u00e0\/ho\u1eb7c ch\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 ch\u1ebft (ho\u1ea1i t\u1eed).<\/p>\n<p>Hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam c\u00f3 th\u1ec3 x\u1ea3y ra c\u00e1ch qu\u00e3ng n\u00ean s\u1ebd c\u00f3 nh\u1eefng \u0111o\u1ea1n m\u1ea1ch m\u00e1u b\u00ecnh th\u01b0\u1eddng xen gi\u1eefa c\u00e1c \u0111o\u1ea1n b\u1ecb vi\u00eam. B\u1ec7nh Buerger \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi B\u00e1c s\u0129 Leo Buerger v\u00e0o n\u0103m 1908. N\u00f3 c\u0169ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam thuy\u00ean t\u1eafc m\u1ea1ch m\u00e1u (thromboangiitis obliterans).<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" src=\"\/\/yhoccongdong.org\/Documents\/2398_hinh-1..jpg\" alt=\"\" \/><\/p>\n<p style=\"text-align: center;\">H\u00ecnh 1. B\u1ec7nh Buerger l\u00e0m h\u1eb9p v\u00e0 t\u1eafc m\u1ea1ch m\u00e1u g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u00e0 ho\u1ea1i t\u1eed \u1edf tay ch\u00e2n.<\/p>\n<h2 id=\"nguyen-nhan-gay-benh-buerger\">Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh Buerger?<\/h2>\n<p>Ng\u01b0\u1eddi ta v\u1eabn ch\u01b0a bi\u1ebft ch\u00ednh x\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh Buerger. Tuy nhi\u00ean, b\u1ec7nh \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c. H\u00fat thu\u1ed1c \u0111\u00f3ng vai tr\u00f2 nh\u01b0 m\u1ed9t nguy\u00ean nh\u00e2n k\u00edch ho\u1ea1t v\u00e0 g\u00e2y b\u1ec7nh Buerger. Vi\u1ec7c ti\u1ebfp t\u1ee5c h\u00fat thu\u1ed1c c\u0169ng l\u00e0m cho t\u00ecnh tr\u1ea1ng b\u1ec7nh tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n. Vi\u1ec7c nhai thu\u1ed1c l\u00e1 c\u0169ng \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh.<\/p>\n<p>Ng\u01b0\u1eddi ta cho r\u1eb1ng h\u1ec7 mi\u1ec5n d\u1ecbch c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh b\u1ec7nh Buerger theo m\u1ed9t c\u00e1ch n\u00e0o \u0111\u00f3. B\u1ec7nh Buerger c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh t\u1ef1 mi\u1ec5n \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi nicotine. (Th\u00f4ng th\u01b0\u1eddng, khi ch\u00fang ta b\u1ecb b\u1ec7nh nhi\u1ec5m tr\u00f9ng nh\u01b0 c\u1ea3m l\u1ea1nh ho\u1eb7c vi\u00eam h\u1ecdng th\u00ec c\u01a1 th\u1ec3 t\u1ea1o ra kh\u00e1ng th\u1ec3 gi\u00fap ti\u00eau di\u1ec7t c\u00e1c t\u00e1c nh\u00e2n g\u00e2y nhi\u1ec5m tr\u00f9ng. Tuy nhi\u00ean, \u1edf c\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n, c\u01a1 th\u1ec3 l\u1ea1i t\u1ea1o ra kh\u00e1ng th\u1ec3 \u0111\u1ec3 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng c\u1ee7a ch\u00ednh m\u00ecnh).<\/p>\n<h2 id=\"muc-do-pho-bien-cua-benh-buerger-va-ai-thuong-bi\">M\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn c\u1ee7a b\u1ec7nh Buerger v\u00e0 ai th\u01b0\u1eddng b\u1ecb?<\/h2>\n<p>B\u1ec7nh Buerger hi\u1ebfm th\u1ea5y \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u1ebfn t\u1eeb B\u1eafc \u00c2u. B\u1ec7nh ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi t\u1eeb \u0110\u00f4ng Nam \u00c1, \u1ea4n \u0110\u1ed9 v\u00e0 Trung \u0110\u00f4ng. B\u1ec7nh Buerger c\u00f3 v\u1ebb \u0111\u1eb7c bi\u1ec7t ph\u1ed5 bi\u1ebfn \u1edf Bangladesh, n\u01a1i ng\u01b0\u1eddi ta hay h\u00fat m\u1ed9t lo\u1ea1i thu\u1ed1c l\u00e1 t\u1ef1 l\u00e0m t\u1ea1i nh\u00e0 t\u1eeb thu\u1ed1c l\u00e1 s\u1ee3i (thu\u1ed1c l\u00e0o).<\/p>\n<p>H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh Buerger trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 19 \u0111\u1ebfn 55. B\u1ec7nh ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nam gi\u1edbi. Tuy nhi\u00ean, v\u1edbi s\u1ed1 l\u01b0\u1ee3ng ph\u1ee5 n\u1eef h\u00fat thu\u1ed1c \u0111ang t\u0103ng l\u00ean th\u00ec nhi\u1ec1u ph\u1ee5 n\u1eef c\u0169ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh n\u00e0y. Nh\u00ecn chung, s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n \u00edt \u0111i khi s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi h\u00fat thu\u1ed1c gi\u1ea3m d\u1ea7n. Xu h\u01b0\u1edbng n\u00e0y c\u0169ng d\u01b0\u1eddng nh\u01b0 c\u00f3 li\u00ean quan \u0111\u1ebfn nh\u1eefng c\u1ea3i thi\u1ec7n trong n\u1ec1n kinh t\u1ebf v\u00e0 c\u00e1c d\u1ecbch v\u1ee5 c\u00f4ng c\u1ed9ng \u1edf c\u00e1c qu\u1ed1c gia.<\/p>\n<h2 id=\"cac-trieu-chung-cua-benh-buerger\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Buerger<\/h2>\n<p>Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra v\u00ec m\u00e1u l\u00e0 kh\u00f4ng th\u1ec3 \u0111i t\u1edbi t\u1ea5t c\u1ea3 c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a b\u00e0n tay v\u00e0\/ho\u1eb7c ch\u00e2n. B\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y l\u1ea1nh v\u00e0 h\u01a1i s\u01b0ng. Tay ch\u00e2n c\u00f3 th\u1ec3 t\u00e1i nh\u1ee3t, ho\u1eb7c tr\u1edf n\u00ean \u0111\u1ecf, xanh ho\u1eb7c t\u00edm nh\u1ea1t. \u0110au \u1edf b\u00e0n tay, b\u00e0n ch\u00e2n l\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a c\u0103n b\u1ec7nh v\u00e0 \u0111\u00f4i khi ng\u01b0\u1eddi b\u1ec7nh th\u1ea5y b\u1ecfng r\u00e1t \u1edf nh\u1eefng v\u00f9ng \u0111\u00f3. C\u01a1n \u0111au c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ch\u00e2n ho\u1eb7c b\u00e0n ch\u00e2n khi \u0111i b\u1ed9 v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111au c\u00e1ch qu\u00e3ng (intermittent claudication, khi ngh\u1ec9 ng\u01a1i th\u00ec h\u1ebft \u0111au).<\/p>\n<p>Khi b\u1ec7nh n\u1eb7ng h\u01a1n, c\u01a1n \u0111au c\u00f3 th\u1ec3 x\u1ea3y ra ngay c\u1ea3 khi \u0111ang ngh\u1ec9 ng\u01a1i. \u0110au th\u01b0\u1eddng n\u1eb7ng h\u01a1n v\u00e0o ban \u0111\u00eam. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y ng\u1ee9a ran ho\u1eb7c t\u00ea \u1edf b\u00e0n ch\u00e2n v\u00e0 b\u00e0n tay. Th\u1eddi ti\u1ebft l\u1ea1nh th\u01b0\u1eddng s\u1ebd l\u00e0m cho c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1edf n\u00ean n\u1eb7ng h\u01a1n.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" src=\"\/\/yhoccongdong.org\/Documents\/2399_hinh-2.jpg\" alt=\"\" \/><\/p>\n<p style=\"text-align: center;\">H\u00ecnh 2. C\u00e1c ng\u00f3n tay s\u01b0ng l\u00ean v\u00e0 t\u00edm t\u00e1i do b\u1ec7nh Buerger.<\/p>\n<p>Khi b\u1ec7nh Buerger tr\u1edf n\u00ean n\u1eb7ng h\u01a1n, c\u00e1c v\u1ebft lo\u00e9t tr\u00ean b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n s\u1ebd h\u00ecnh th\u00e0nh v\u00e0 g\u00e2y \u0111au. Nhi\u1ec5m tr\u00f9ng da c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n. Ho\u1ea1i t\u1eed c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n n\u1ebfu c\u00e1c m\u00f4 \u1edf tay v\u00e0 ch\u00e2n ch\u1ebft do thi\u1ebfu ngu\u1ed3n m\u00e1u nu\u00f4i d\u01b0\u1ee1ng. Khi \u0111\u00f3 da v\u00e0 c\u00e1c m\u00f4 d\u01b0\u1edbi da s\u1ebd c\u00f3 m\u00e0u \u0111en.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" src=\"\/\/yhoccongdong.org\/Documents\/2400_hinh-3.jpg\" alt=\"\" \/><\/p>\n<p style=\"text-align: center;\">H\u00ecnh 3. Ho\u1ea1i t\u1eed xu\u1ea5t hi\u1ec7n tr\u00ean b\u00e0n tay ng\u01b0\u1eddi b\u1ec7nh Buerger.<\/p>\n<p>Th\u00f4ng th\u01b0\u1eddng, c\u0103n b\u1ec7nh s\u1ebd \u1ea3nh h\u01b0\u1edfng t\u1edbi \u00edt nh\u1ea5t l\u00e0 3 n\u01a1i trong t\u1ed5ng s\u1ed1 2 b\u00e0n ch\u00e2n v\u00e0 2 b\u00e0n tay. Tuy nhi\u00ean, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ch\u1ec9 nh\u1eadn ra c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean m\u1ed9t ng\u00f3n tay ho\u1eb7c m\u1ed9t ng\u00f3n ch\u00e2n c\u1ee7a m\u00ecnh.<\/p>\n<h2 id=\"chan-doan-benh-buerger\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Buerger<\/h2>\n<p>B\u1ec7nh Buerger \u0111\u00f4i khi kh\u00f3 ch\u1ea9n \u0111o\u00e1n, v\u00ec kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u \u0111\u1ec3 ki\u1ec3m tra. V\u00ec v\u1eady, vi\u1ec7c lo\u1ea1i tr\u1eeb nh\u1eefng c\u0103n b\u1ec7nh kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<p>C\u00e1c c\u0103n b\u1ec7nh kh\u00e1c th\u01b0\u1eddng bao g\u1ed3m:<\/p>\n<ul>\n<li>C\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n<\/li>\n<li>C\u00e1c b\u1ec7nh g\u00e2y \u0111\u00f4ng m\u00e1u<\/li>\n<li>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/li>\n<li>B\u1ec7nh x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean<\/li>\n<li>B\u1ec7nh thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch<\/li>\n<\/ul>\n<p>B\u00e1c s\u0129 s\u1ebd th\u01b0\u1eddng th\u0103m kh\u00e1m c\u00e1nh tay, b\u00e0n tay, c\u1eb3ng ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. H\u1ecd c\u00f3 th\u1ec3 ki\u1ec3m tra m\u1ea1ch \u0111\u1eadp \u1edf nh\u1eefng n\u01a1i n\u00e0y v\u00ec ch\u00fang th\u01b0\u1eddng m\u1ea5t \u0111i ho\u1eb7c suy gi\u1ea3m khi m\u1eafc b\u1ec7nh Buerger.<\/p>\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb l\u00e0m m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 t\u00ecm ki\u1ebfm d\u1ea5u hi\u1ec7u c\u1ee7a c\u00e1c b\u1ec7nh kh\u00e1c nh\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea \u1edf tr\u00ean.<\/p>\n<h3><\/h3>\n<p>B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb ki\u1ec3m tra b\u1eb1ng c\u00e1ch <u> <em> <strong> ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch <\/strong> <\/em> <\/u> . Trong ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n n\u00e0y, m\u1ed9t lo\u1ea1i thu\u1ed1c nhu\u1ed9m \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t c\u1ea3n quang \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o ng\u01b0\u1eddi. Sau \u0111\u00f3 b\u00e1c s\u0129 s\u1ebd ch\u1ee5p X-quang \u0111\u1ec3 xem c\u00e1c \u0111\u1ed9ng m\u1ea1ch \u1edf c\u00e1nh tay, b\u00e0n tay, c\u1eb3ng ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 b\u1ecb h\u1eb9p v\u00e0\/ho\u1eb7c t\u1eafc hay kh\u00f4ng. C\u00e1c m\u1ea1ch m\u00e1u tr\u00ean nh\u1eefng ph\u1ea7n c\u01a1 th\u1ec3 c\u00f2n l\u1ea1i l\u00e0 th\u01b0\u1eddng l\u00e0 b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean, nh\u1eefng thay \u0111\u1ed5i n\u00e0y c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra trong m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c n\u00ean kh\u00f4ng th\u1ec3 d\u00f9ng h\u00ecnh \u1ea3nh ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 l\u00e0m b\u1eb1ng ch\u1ee9ng k\u1ebft lu\u1eadn v\u1ec1 b\u1ec7nh Buerger.<\/p>\n<p>M\u1ed9t m\u1eabu m\u00f4 t\u1eeb m\u1ed9t trong nh\u1eefng m\u1ea1ch m\u00e1u \u0111\u00f4i khi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y \u0111i (sinh thi\u1ebft) v\u00e0 quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi \u0111\u1ec3 t\u00ecm ki\u1ebfm c\u00e1c thay \u0111\u1ed5i gi\u00fap h\u1ed7 tr\u1ee3 cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>\u0110\u00f4i khi b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb l\u00e0m m\u1ed9t x\u00e9t nghi\u1ec7m kh\u00e1c l\u00e0 <strong> <em> <u> si\u00eau \u00e2m Doppler <\/u> <\/em> <\/strong> . Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m \u0111\u1ec3 xem l\u01b0u l\u01b0\u1ee3ng m\u00e1u trong c\u00e1c m\u1ea1ch m\u00e1u \u1edf tay v\u00e0 ch\u00e2n. K\u1ef9 thu\u1eadt vi\u00ean s\u1ebd qu\u1ea5n v\u00e0 l\u00e0m ph\u1ed3ng b\u0103ng huy\u1ebft \u00e1p t\u1ea1i m\u1ed9t s\u1ed1 \u0111i\u1ec3m d\u1ecdc theo tay ho\u1eb7c ch\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh trong th\u1eddi gian x\u00e9t nghi\u1ec7m. \u0110\u00f4i khi, m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m kh\u00e1c nh\u01b0 si\u00eau \u00e2m tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb \u0111\u1ec3 gi\u00fap lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng trong tim l\u00e0m thuy\u00ean t\u1eafc m\u1ea1ch m\u00e1u \u1edf tay\/ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h3><\/h3>\n<p>B\u1edfi v\u00ec b\u1ec7nh Buerger c\u00f3 th\u1ec3 kh\u00f3 ch\u1ea9n \u0111o\u00e1n, n\u00ean m\u1ed9t danh s\u00e1ch c\u00e1c ti\u00eau ch\u00ed \u0111\u01b0\u1ee3c \u0111\u01b0a ra \u0111\u1ec3 gi\u00fap c\u00e1c b\u00e1c s\u0129. Ch\u00fang bao g\u1ed3m c\u00e1c m\u1ee5c nh\u01b0 h\u00fat thu\u1ed1c, tu\u1ed5i t\u00e1c, tri\u1ec7u ch\u1ee9ng, ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n (c\u00e1c b\u1ec7nh \u0111\u00e3 v\u00e0 \u0111ang m\u1eafc ph\u1ea3i), c\u0169ng nh\u01b0 c\u00e1c k\u1ebft qu\u1ea3 ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch\u2026 C\u00e0ng tho\u1ea3 m\u00e3n nhi\u1ec1u ti\u00eau ch\u00ed, kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh Buerger c\u00e0ng cao.<\/p>\n<h2 id=\"dieu-tri-benh-buerger\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh Buerger<\/h2>\n<p>Kh\u00f4ng c\u00f3 c\u00e1ch n\u00e0o ch\u1eefa kh\u1ecfi h\u1eb3n b\u1ec7nh Buerger. V\u00ec v\u1eady, m\u1ee5c \u0111\u00edch c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 ng\u0103n ch\u1eb7n c\u0103n b\u1ec7nh ti\u1ebfn tri\u1ec3n th\u00eam v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng. C\u00e1c bi\u1ec7n ph\u00e1p sau \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 h\u1eefu \u00edch:<\/p>\n<h3>Ng\u01b0ng h\u00fat thu\u1ed1c l\u00e1<\/h3>\n<p>\u0110i\u1ec1u \u0111\u01a1n gi\u1ea3n v\u00e0 quan tr\u1ecdng nh\u1ea5t khi b\u1ecb ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh Buerger l\u00e0 ng\u1eebng h\u00fat thu\u1ed1c. Th\u1eadm ch\u00ed h\u00fat m\u1ed9t \u0111i\u1ebfu thu\u1ed1c m\u1ed9t ng\u00e0y c\u0169ng c\u00f3 th\u1ec3 l\u00e0m b\u1ec7nh Buerger duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng, ti\u1ebfn tri\u1ec3n v\u00e0 l\u00e0m n\u1eb7ng th\u00eam c\u00e1c tri\u1ec7u ch\u1ee9ng. Ng\u1eebng h\u00fat thu\u1ed1c l\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3. B\u1ec7nh Buerger c\u00f3 th\u1ec3 tr\u1edf n\u00ean \u201dy\u00ean l\u1eb7ng\u201d khi b\u1ecf thu\u1ed1c l\u00e1. Ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u g\u1ee3i \u00fd r\u1eb1ng b\u1ec7nh nh\u00e2n n\u00ean tr\u00e1nh kh\u00f3i thu\u1ed1c l\u00e1 (h\u00fat thu\u1ed1c th\u1ee5 \u0111\u1ed9ng). <strong> <em> \u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin v\u00e0 h\u1ed7 tr\u1ee3 trong vi\u1ec7c b\u1ecf h\u00fat thu\u1ed1c <\/em> <\/strong> , h\u00e3y xem b\u00e0i vi\u1ebft d\u00e0nh ri\u00eang v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y &#8211; <a href=\"https:\/\/yhoccongdong.com\/thongtin\/tu-bo-thoi-quen-hut-thuoc\/\" target=\"_blank\" rel=\"noopener\"> https:\/\/yhoccongdong.com\/thongtin\/tu-bo-thoi-quen-hut-thuoc\/ <\/a> .<\/p>\n<h3>Thu\u1ed1c<\/h3>\n<p>V\u1edbi b\u1ec7nh nh\u00e2n Buerger th\u00ec b\u1ea5t c\u1ee9 nhi\u1ec5m tr\u00f9ng da b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n n\u00e0o c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh. Nhi\u1ec5m tr\u00f9ng da c\u00f3 th\u1ec3 x\u1ea3y ra do lo\u00e9t da ho\u1eb7c sau m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng nh\u1ecf. Thu\u1ed1c gi\u1ea3m \u0111au bao g\u1ed3m c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAIDs), ho\u1eb7c \u0111\u00f4i khi l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c m\u1ea1nh h\u01a1n nh\u01b0 thu\u1ed1c ch\u1ee9a codeine c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi c\u1ea7n thi\u1ebft.<\/p>\n<h3>Ph\u1eabu thu\u1eadt<\/h3>\n<p>Vi\u1ec7c ph\u1eabu thu\u1eadt nh\u1eb1m thay th\u1ebf c\u00e1c \u0111\u1ed9ng m\u1ea1ch b\u1ecb t\u1eafc th\u01b0\u1eddng r\u1ea5t kh\u00f3 th\u1ef1c hi\u1ec7n. Tuy nhi\u00ean, c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi nh\u1eb1m khai th\u00f4ng \u0111\u1ed9ng m\u1ea1ch ri\u00eang l\u1ebb \u1edf c\u00e1c ng\u00f3n tay ho\u1eb7c ng\u00f3n ch\u00e2n cho th\u1ea5y c\u00f3 nhi\u1ec1u tri\u1ec3n v\u1ecdng.<\/p>\n<p>N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp t\u1ee5c h\u00fat thu\u1ed1c, s\u1ef1 t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u s\u1ebd nghi\u00eam tr\u1ecdng h\u01a1n. Lo\u00e9t v\u00e0 ho\u1ea1i t\u1eed s\u1ebd h\u00ecnh th\u00e0nh v\u00e0 ti\u1ebfn tri\u1ec3n, \u0111\u00f2i h\u1ecfi ph\u1ea3i ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u1eaft b\u1ecf ng\u00f3n tay ho\u1eb7c ng\u00f3n ch\u00e2n. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u1ea7n ph\u1ea3i c\u1eaft c\u1ee5t cao h\u01a1n (v\u00ed d\u1ee5, to\u00e0n b\u1ed9 b\u00e0n ch\u00e2n, ho\u1eb7c c\u1eb3ng ch\u00e2n). Ph\u1eabu thu\u1eadt c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. Vi\u1ec7c c\u1eaft d\u00e2y th\u1ea7n kinh chi ph\u1ed1i c\u00e1c khu v\u1ef1c b\u1ecb \u1ea3nh h\u01b0\u1edfng (surgical sympathectomy, ph\u1eabu thu\u1eadt c\u1eaft th\u1ea7n kinh giao c\u1ea3m) c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u01a1n \u0111au. K\u1ef9 thu\u1eadt n\u00e0y v\u1eabn ch\u01b0a th\u00e0nh c\u00f4ng l\u1eafm n\u00ean m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c &#8211; c\u1eaft c\u00e1c d\u00e2y th\u1ea7n kinh xung quanh c\u00e1c \u0111\u1ed9ng m\u1ea1ch nu\u00f4i d\u01b0\u1ee1ng c\u00e1c ng\u00f3n tay ho\u1eb7c ng\u00f3n ch\u00e2n &#8211; \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n.<\/p>\n<h3>Nh\u1eefng \u0111i\u1ec1u tr\u1ecb trong giai \u0111o\u1ea1n th\u1eed nghi\u1ec7m<\/h3>\n<p>M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Buerger \u0111\u00e3 v\u00e0 \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nghi\u00ean c\u1ee9u v\u00e0 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng n\u00ean ch\u01b0a \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn r\u1ed9ng r\u00e3i. Ch\u00fang bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng m\u1ed9t lo\u1ea1i thu\u1ed1c c\u00f3 t\u00ean l\u00e0 Iloprost ti\u00eam qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Thu\u1ed1c n\u00e0y l\u00e0m gi\u00e3n c\u00e1c m\u1ea1ch m\u00e1u v\u00e0 do \u0111\u00f3 c\u1ea3i thi\u1ec7n l\u01b0u l\u01b0\u1ee3ng m\u00e1u. N\u00f3 c\u0169ng \u0111\u01b0\u1ee3c cho l\u00e0 l\u00e0m h\u1ea1n ch\u1ebf h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng. Tr\u00ean m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh Buerger v\u1eeba b\u1ecf h\u00fat thu\u1ed1c v\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb thi\u1ebfu m\u00e1u \u0111\u1ebfn b\u00e0n tay v\u00e0\/ho\u1eb7c ch\u00e2n nghi\u00eam tr\u1ecdng, Iloprost \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng:<\/p>\n<ul>\n<li>C\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng.<\/li>\n<li>L\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/li>\n<li>Gi\u1ea3m nguy c\u01a1 c\u1ea7n ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tay ch\u00e2n.<\/li>\n<\/ul>\n<p>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u kh\u00e1c \u0111ang xem x\u00e9t s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e0m tan c\u1ee5c m\u00e1u \u0111\u00f4ng v\u00e0 li\u1ec7u ph\u00e1p gen.<\/p>\n<h3>C\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 t\u1ef1 gi\u00fap b\u1ea3n th\u00e2n<\/h3>\n<p>C\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nh\u1eb9 tri\u1ec7u ch\u1ee9ng cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ec7nh Buerger. Ch\u00fang bao g\u1ed3m:<\/p>\n<ul>\n<li>M\u1eb7c \u1ea5m v\u00e0 tr\u00e1nh n\u01a1i l\u1ea1nh v\u00ec nhi\u1ec7t \u0111\u1ed9 th\u1ea5p c\u00f3 th\u1ec3 l\u00e0m cho c\u00e1c tri\u1ec7u ch\u1ee9ng n\u1eb7ng h\u01a1n.<\/li>\n<li>\u0110i gi\u00e0y d\u00e9p v\u1eeba v\u1eb7n \u0111\u1ec3 gi\u00fap ng\u0103n ng\u1eeba ch\u1ea5n th\u01b0\u01a1ng. Kh\u00f4ng \u0111i ch\u00e2n \u0111\u1ea5t.<\/li>\n<li>T\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n s\u1ef1 l\u01b0u th\u00f4ng m\u00e1u \u1edf tay v\u00e0 ch\u00e2n.<\/li>\n<li>Massage nh\u1eb9 nh\u00e0ng v\u00e0 l\u00e0m \u1ea5m c\u0169ng c\u00f3 th\u1ec3 gi\u00fap t\u0103ng c\u01b0\u1eddng l\u01b0u th\u00f4ng m\u00e1u trong c\u01a1 th\u1ec3.<\/li>\n<li>Tr\u00e1nh ng\u1ed3i ho\u1eb7c \u0111\u1ee9ng \u1edf m\u1ed9t v\u1ecb tr\u00ed trong th\u1eddi gian d\u00e0i.<\/li>\n<li>Tr\u00e1nh m\u1eb7c qu\u1ea7n \u00e1o b\u00f3 s\u00e1t.<\/li>\n<\/ul>\n<h3>Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh Burger<\/h3>\n<p>\u1ede ng\u01b0\u1eddi m\u1eafc b\u1ec7nh Buerger, vi\u1ec7c ti\u1ebfp t\u1ee5c h\u00fat thu\u1ed1c s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 ph\u1ea3i ph\u1eabu thu\u1eadt c\u1eaft c\u1ee5t m\u1ed9t ho\u1eb7c nhi\u1ec1u ng\u00f3n tay ho\u1eb7c ng\u00f3n ch\u00e2n do lo\u00e9t ho\u1eb7c ho\u1ea1i t\u1eed. Nguy c\u01a1 cao nh\u1ea5t th\u01b0\u1eddng \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c tr\u00ean 20 n\u0103m. Trong s\u1ed1 nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh Buerger m\u00e0 b\u1ecf h\u00fat thu\u1ed1c l\u00e1, 94 trong t\u1ed5ng s\u1ed1 100 s\u1ebd tr\u00e1nh \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tay ch\u00e2n.<\/p>\n<h2><span style=\"color: #000000;\"> <span style=\"font-size: 18px;\"> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/span> <\/span><\/h2>\n<ol>\n<li><a href=\"http:\/\/www.patient.co.uk\/health\/buergers-disease-leaflet\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.patient.co.uk\/health\/buergers-disease-leaflet <\/a><\/li>\n<li><a href=\"http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/imagepages\/18089.htm\"> http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/imagepages\/18089.htm <\/a><\/li>\n<li><a href=\"http:\/\/quoteimg.com\/buerger-disease-mayoclinic\/\" target=\"_blank\" rel=\"noopener\"> http:\/\/quoteimg.com\/buerger-disease-mayoclinic\/ <\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tu-bo-thoi-quen-hut-thuoc\/\" target=\"_blank\" rel=\"noopener\"> https:\/\/yhoccongdong.com\/thongtin\/tu-bo-thoi-quen-hut-thuoc\/ <\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh Buerger l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u \u1edf ch\u00e2n v\u00e0 tay, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n, th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1.<\/p>\n","protected":false},"author":45,"featured_media":4542,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5168,3442,5148,5149,5167],"tags":[3696],"series":[1006],"coauthors":[6210],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh Buerger - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh Buerger l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u \u1edf ch\u00e2n v\u00e0 tay, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n, th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1.\" \/>\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-buerger\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh Buerger - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh Buerger l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u \u1edf ch\u00e2n v\u00e0 tay, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n, th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-buerger\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/hung.lee.16752\" \/>\n<meta property=\"article:published_time\" content=\"2016-09-21T06:06:19+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T20:06:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/7137-thongtin-benh-buerger.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"400\" \/>\n\t<meta property=\"og:image:height\" content=\"300\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"TS. 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