{"id":6949,"date":"2020-07-18T03:34:46","date_gmt":"2020-07-17T20:34:46","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2020\/07\/18\/viem-da-co-dia-co-gi-moi\/"},"modified":"2024-03-17T05:53:06","modified_gmt":"2024-03-16T22:53:06","slug":"viem-da-co-dia-co-gi-moi","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/viem-da-co-dia-co-gi-moi\/","title":{"rendered":"Vi\u00eam da c\u01a1 \u0111\u1ecba c\u00f3 g\u00ec m\u1edbi?"},"content":{"rendered":"<p style=\"text-align: right\"><em><strong>T\u00e1c gi\u1ea3:\u00a0Dr. Huynh Wynn Tran, Assistant Professor of Medicine Los Angeles, Hoa K\u1ef3<\/strong><\/em><\/p>\n<p>Vi\u00eam da c\u01a1 \u0111\u1ecba (Atopic Dermatitis hay g\u1ecdi t\u1eaft l\u00e0 AD) l\u00e0 lo\u1ea1i b\u1ec7nh m\u00e3n t\u00ednh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em (1 trong 5 b\u00e9) v\u00e0 ng\u01b0\u1eddi l\u1edbn (1 trong 30 ng\u01b0\u1eddi). B\u1ec7nh n\u00e0y thu\u1ed9c h\u1ecd b\u1ec7nh d\u1ecb \u1ee9ng mi\u1ec5n d\u1ecbch, th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u00e1c b\u1ec7nh d\u1ecb \u1ee9ng kh\u00e1c nh\u01b0 suy\u1ec5n hay vi\u00eam m\u0169i d\u1ecb \u1ee9ng. B\u1ec7nh n\u00e0y th\u01b0\u1eddng x\u1ea3y ra \u1edf v\u00f9ng th\u00e0nh th\u1ecb v\u00e0 n\u01a1i c\u00f3 thu nh\u1eadp cao. Vi\u00eam da c\u01a1 \u0111\u1ecba c\u00f3 th\u1ec3 chia l\u00e0m 3 lo\u1ea1i: tr\u1ebb em (b\u1eaft \u0111\u1ea7u l\u00fac 1-2 tu\u1ed5i), thi\u1ebfu ni\u00ean (b\u1eaft \u0111\u1ea7u l\u00fac tr\u00ean 10 tu\u1ed5i \u0111\u1ebfn l\u1edbn), v\u00e0 l\u1edbn tu\u1ed5i (b\u1eaft \u0111\u1ea7u sau 60).<\/p>\n<p>Vi\u00eam da c\u01a1 \u0111\u1ecba th\u01b0\u1eddng x\u1ea3y ra theo chu k\u1ef3, g\u1ed3m vi\u00eam da c\u1ea5p t\u00ednh (x\u1ea3y ra trong v\u00e0i ng\u00e0y, s\u01b0ng vi\u00eam da, m\u1ecdng n\u01b0\u1edbc), d\u01b0\u1edbi c\u1ea5p t\u00ednh (v\u00e0i tu\u1ea7n), v\u00e0 m\u00e3n t\u00ednh (nhi\u1ec1u th\u00e1ng v\u00e0 nhi\u1ec1u n\u0103m) t\u1ea1o ra mi\u1ebfng s\u1ea7n d\u00e0y, n\u1ed5i h\u1ed9t, v\u00e0 s\u1eb9o do g\u00e3y. Vi\u00eam da c\u01a1 \u0111\u1ecba c\u00f2n c\u00f3 th\u1ec3 x\u1ea3y ra t\u1ea1i m\u1ed9t s\u1ed1 n\u01a1i kh\u00e1c tr\u00ean c\u01a1 th\u1ec3 nh\u01b0 m\u1eaft, n\u00fam v\u00fa, l\u00f2ng b\u00e0n tay, hay v\u00e0nh tai.<\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n vi\u00eam da c\u01a1 \u0111\u1ecba (AD)<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n \u0111\u00fang b\u1ec7nh AD trong tr\u1ecb b\u1ec7nh da li\u1ec5u c\u1ef1c k\u1ef3 quan tr\u1ecdng v\u00ec AD c\u00f3 th\u1ec3 nh\u1ea7m v\u1edbi c\u00e1c b\u1ec7nh da kh\u00e1c. H\u1ecfi k\u1ef9 b\u1ec7nh s\u1eed t\u1eeb c\u1ea3 b\u1ec7nh nh\u00e2n l\u1eabn cha m\u1eb9 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 t\u00ecm ra b\u1ec7nh.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n AD bao g\u1ed3m 2 y\u1ebfu t\u1ed1:<\/p>\n<ol>\n<li>Ng\u1ee9a (th\u01b0\u1eddng n\u1eb7ng h\u01a1n v\u1ec1 ban \u0111\u00eam)<\/li>\n<li>V\u00c0 th\u00eam \u00edt nh\u1ea5t 3 \u0111i\u1ec3m sau:<\/li>\n<\/ol>\n<ul>\n<li>Da kh\u00f4<\/li>\n<li>B\u1ec7nh s\u1eed suy\u1ec5n hay vi\u00eam m\u0169i d\u1ecb \u1ee9ng<\/li>\n<li>B\u1eaft \u0111\u1ea7u tr\u01b0\u1edbc 2 tu\u1ed5i<\/li>\n<li>Vi\u00eam da \u1edf v\u00f9ng da g\u1ea5p (flexural dermatitis)<\/li>\n<li>C\u00f3 b\u1ec7nh s\u1eed (th\u1eb9o) do vi\u00eam da<\/li>\n<\/ul>\n<p>Ng\u1ee9a l\u00e0 tri\u1ec7u ch\u1ee9ng kh\u1ee7ng ho\u1ea3ng nh\u1ea5t c\u1ee7a AD, nhi\u1ec1u b\u1ec7nh nh\u00e2n ng\u1ee9a \u0111\u1ebfn n\u1ed5i g\u00e3i ch\u1ea3y m\u00e1u, t\u1eafm n\u01b0\u1edbc n\u00f3ng r\u1ed3i n\u01b0\u1edbc l\u1ea1nh, d\u00f9ng \u0111\u1ee7 th\u1ee9 \u0111\u1ec3 ch\u1eefa c\u01a1n ng\u1ee9a. V\u00ec v\u1eady, ch\u1eefa ng\u1ee9a trong vi\u00eam da c\u01a1 \u0111\u1ecba l\u00e0 \u0111i\u1ec3m quan tr\u1ecdng kh\u00f4ng k\u00e9m b\u00ean c\u1ea1nh ch\u1eefa v\u1ebft vi\u00eam tr\u00ean da. Khi x\u01b0a c\u00f3 l\u1ebd T\u1ec1 Thi\u00ean \u0110\u1ea1i Th\u00e1nh c\u0169ng m\u1eafc b\u1ec7nh n\u00e0y.<\/p>\n<p>X\u00e9t nghi\u1ec7m lab IgE th\u01b0\u1eddng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng. C\u00e1c x\u00e9t nghi\u1ec7m lab kh\u00e1c c\u00f3 th\u1ec3 h\u1eefu \u00edch khi t\u00ecm c\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n kh\u00e1c nh\u01b0 lupus ban \u0111\u1ecf.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-33066\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2020\/05\/viem-da-co-dia-co-gi-moi-1.jpg\" alt=\"Vi\u00eam gia c\u01a1 \u0111\u1ecba c\u00f3 g\u00ec m\u1edbi 1\" width=\"781\" height=\"960\" \/><\/p>\n<p style=\"text-align: center\"><em><strong>H\u00ecnh 1.<\/strong><\/em><\/p>\n<h2>V\u00ec sao b\u1ec7nh nh\u00e2n m\u1eafc vi\u00eam da c\u01a1 \u0111\u1ecba?<\/h2>\n<p>V\u1eabn ch\u01b0a c\u00f3 c\u00e2u tr\u1ea3 l\u1eddi r\u00f5 r\u00e0ng l\u00fd do n\u00e0o khi\u1ebfn b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh. C\u00e1c nghi\u00ean c\u1ee9u hi\u1ec7n nay ch\u1ec9 ra b\u1ec7nh AD l\u00e0 do k\u1ebft h\u1ee3p nhi\u1ec1u nguy\u00ean nh\u00e2n, trong \u0111\u00f3 3 \u0111i\u1ec3m quan tr\u1ecdng nh\u1ea5t l\u00e0 ph\u1ea7n b\u1ea3o v\u1ec7 ngo\u00e0i c\u00f9ng c\u1ee7a da (l\u1edbp s\u1eebng) b\u1ecb kh\u00f4 n\u1ee9t &#8211; d\u1eabn \u0111\u1ebfn c\u00e1c vi khu\u1ea9n hay t\u00e1c nh\u00e2n k\u00edch th\u00edch v\u00e0o trong, h\u1ec7 mi\u1ec5n d\u1ecbch kh\u00f4ng ki\u1ec3m so\u00e1t &#8211; t\u0103ng qu\u00e1 nhi\u1ec1u t\u00edn hi\u1ec7u k\u00edch th\u00edch ng\u1ee9a v\u00e0 vi\u00eam, v\u00e0 y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng.<\/p>\n<p>Y\u1ebfu t\u1ed1 di truy\u1ec1n v\u00e0 b\u1ec7nh s\u1eed gia \u0111\u00ecnh g\u00f3p ph\u1ea7n quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n. Anh ch\u1ecb em sinh \u0111\u00f4i c\u00f9ng tr\u1ee9ng s\u1ebd c\u00f3 r\u1ee7i ro m\u1eafc b\u1ec7nh AD cao h\u01a1n. Cha m\u1eb9 m\u1eafc AD s\u1ebd d\u1ec5 c\u00f3 con b\u1ecb AD.<\/p>\n<p>D\u1ecb bi\u1ebfn gen \u1edf l\u1edbp s\u1eebng Filaggrin, t\u0103ng c\u00e1c protein TLR2, FCER1A v\u00e0 DEFB1. S\u1ef1 m\u1ea5t ki\u1ec3m so\u00e1t gi\u1eefa 2 h\u1ec7 Th1 v\u00e0 Th2 c\u1ee7a t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u lympho CD4 (T helper 1, chuy\u00ean v\u1ec1 ph\u1ea3n \u1ee9ng vi\u00eam \u0111\u1ec3 gi\u1ebft vi tr\u00f9ng) v\u00e0 Th2 (chuy\u00ean v\u1ec1 d\u1ecb \u1ee9ng). Trong b\u1ec7nh AD, h\u1ec7 Th2 nhi\u1ec1u h\u01a1n Th1, d\u1eabn \u0111\u1ebfn t\u0103ng IL-4, IL-5, IL-12, v\u00e0 IL-13, t\u0103ng kh\u00e1ng th\u1ec3 d\u1ecb \u1ee9ng IgE.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-33067\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2020\/05\/viem-da-co-dia-co-gi-moi-2.jpg\" alt=\"Vi\u00eam gia c\u01a1 \u0111\u1ecba c\u00f3 g\u00ec m\u1edbi 2\" width=\"794\" height=\"796\" \/><\/p>\n<p style=\"text-align: center\"><em><strong>H\u00ecnh 2.<\/strong><\/em><\/p>\n<h2>Nguy\u00ean t\u1eafc ch\u1eefa tr\u1ecb vi\u00eam da c\u01a1 \u0111\u1ecba<\/h2>\n<p>Ch\u1eefa ng\u1ee9a, vi\u00eam, v\u00e0 nhi\u1ec5m tr\u00f9ng c\u00f9ng m\u1ed9t l\u00fac. D\u00f9ng thu\u1ed1c theo m\u1ee9c \u0111\u1ed9 b\u1ec7nh AD t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng (nh\u01b0 t\u1eeb kem x\u1ee9c Steroid\/Calcineurin), \u0111\u1ebfn d\u00f9ng \u0111\u00e8n (Light therapy nbUVB&gt;UVA1), sau \u0111\u00f3 thu\u1ed1c u\u1ed1ng (Systemic Corticosteroid) hay \u1ee9c ch\u1ebf PDE4, \u0111\u1ebfn ho\u00e1 tr\u1ecb Cyclosporine, Azathioprine, hay Methotrexate.<\/p>\n<p>Lu\u00f4n gi\u1eef \u1ea9m da v\u00e0 chu\u1ea9n b\u1ecb cho l\u1ea7n vi\u00eam da s\u1eafp t\u1edbi. Nhi\u1ec1u b\u1ec7nh nh\u00e2n x\u1ee9c thu\u1ed1c\/u\u1ed1ng thu\u1ed1c s\u1ebd th\u1ea5y \u0111\u1ee1 h\u01a1n, sau \u0111\u00f3 qu\u00ean ch\u0103m s\u00f3c da, d\u1eabn \u0111\u1ebfn da kh\u00f4 v\u00e0 l\u1ea1i b\u1ecb vi\u00eam AD l\u1ea7n n\u1eefa. D\u00f9ng c\u00e1c kem gi\u1eefa \u1ea9m da c\u00f3 m\u1ee1 (ointment) nh\u01b0 Petroleum hay Aquaphor hay kem Cream t\u1ed1t h\u01a1n l\u00e0 Lotion. X\u1ee9c kem ngay sau khi t\u1eafm.<\/p>\n<p>Ng\u0103n ng\u1eeba c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch nh\u01b0 th\u1ee9c \u0103n (\u0111\u1ed3 bi\u1ec3n), ti\u1ebfp x\u00fac v\u1edbi c\u00e1c \u0111\u1ed3 v\u1eadt g\u00e2y vi\u00eam da.<\/p>\n<p>Ki\u00ean nh\u1eabn v\u00e0 gi\u00e1o d\u1ee5c. B\u1ec7nh nh\u00e2n v\u00e0 cha m\u1eb9 n\u00ean hi\u1ec3u \u0111\u00fang v\u1ec1 b\u1ec7nh, v\u1ec1 chu k\u1ef3 t\u00e1i ph\u00e1t v\u00e0 c\u00e1c lo\u1ea1i kem. Gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n v\u00e0 cha m\u1eb9 c\u00e1ch d\u00f9ng \u0111\u00fang v\u00e0 \u0111\u1ee7 kem b\u00f4i.<\/p>\n<p>M\u1eb7c \u0111\u1ed3 tho\u1ea3i m\u00e1i, d\u00f9ng \u0111\u1ed3 \u0103n \u00edt g\u00e2y d\u1ecb \u1ee9ng, v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c &#8211; S\u1eefa m\u1eb9 gi\u00fap gi\u1ea3m r\u1ee7i ro b\u1ec7nh vi\u00eam da c\u01a1 \u0111\u1ecba.<\/p>\n<p>\u0110a s\u1ed1 vi\u00eam da c\u01a1 \u0111\u1ecba \u1edf tr\u1ebb em c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t t\u1ed1t n\u1ebfu cha m\u1eb9 hi\u1ec3u r\u00f5 v\u1ec1 b\u1ec7nh n\u00e0y. \u1ede ng\u01b0\u1eddi l\u1edbn, vi\u00eam da c\u01a1 \u0111\u1ecba kh\u00f3 ch\u1eefa h\u01a1n, \u0111\u00f4i khi ph\u1ea3i d\u00f9ng \u0111\u1ebfn thu\u1ed1c u\u1ed1ng v\u00e0 ch\u1eefa l\u00e2u d\u00e0i m\u1edbi hi\u1ec7u qu\u1ea3. Vi\u1ec7n H\u00e0n L\u00e2m Da Li\u1ec5u Hoa K\u1ef3 c\u00f3 h\u01b0\u1edbng d\u1eabn ch\u1eefa tr\u1ecb vi\u00eam da c\u01a1 \u0111\u1ecba theo t\u1eebng b\u01b0\u1edbc tu\u1ef3 theo tri\u1ec7u ch\u1ee9ng (1).<\/p>\n<h2>C\u00f3 nhi\u1ec1u thu\u1ed1c b\u00f4i ch\u1eefa vi\u00eam da c\u01a1 \u0111\u1ecba<\/h2>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c b\u00f4i Corticosteroid l\u00e0 tr\u1ecb li\u1ec7u ch\u00ednh hi\u1ec7n nay do gi\u00e1 r\u1ebb v\u00e0 c\u00f3 m\u1eb7t \u1edf kh\u1eafp n\u01a1i. C\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c Corticosteroid, t\u1eeb r\u1ea5t nh\u1eb9 \u0111\u1ebfn r\u1ea5t n\u1eb7ng (Nh\u1eb9 nh\u1ea5t l\u00e0 Hydrocortisone 1% cream \u0111\u1ebfn n\u1eb7ng nh\u1ea5t l\u00e0 nh\u00f3m Clobetasol 0.05%). L\u01b0u \u00fd l\u00e0 ch\u1ec9 s\u1ed1 ph\u1ea7n tr\u0103m kh\u00f4ng quan tr\u1ecdng, t\u00ean thu\u1ed1c m\u1edbi quan tr\u1ecdng (nh\u01b0 lo\u1ea1i ti\u1ec1n g\u00ec, USD hay VND m\u1edbi quan tr\u1ecdng, ch\u1ee9 kh\u00f4ng ph\u1ea3i bao nhi\u00eau s\u1ed1 0 ph\u00eda sau).<\/p>\n<p>B\u1ec7nh nh\u00e2n n\u00ean h\u1ea1n ch\u1ebf d\u00f9ng lo\u1ea1i n\u1eb7ng do d\u00f9ng l\u00e2u d\u00e0i d\u1eabn \u0111\u1ebfn m\u1ecfng da, m\u1ee5n tr\u1ee9ng c\u00e1, nhi\u1ec5m tr\u00f9ng da, v\u00e0 n\u1ed5i m\u1ea1ch m\u00e1u. N\u00ean d\u00f9ng c\u00e1c thu\u1ed1c b\u00f4i d\u1ea1ng m\u1ee1 (ointment) cho c\u00e1c ch\u1ed7 tr\u00ean ng\u01b0\u1eddi, d\u00f9ng kem v\u00e0 lotion tr\u00ean da m\u1eb7t. D\u00f9ng kem steroid l\u00ean v\u00f9ng da vi\u00eam v\u00e0 kem gi\u1eef \u1ea9m l\u00ean v\u00f9ng da kh\u00f4ng vi\u00eam. Khi d\u00f9ng thu\u1ed1c k\u1ebft h\u1ee3p (Steroid v\u00e0 Calcipotriene) n\u00ean \u0111\u1ee3i \u00edt nh\u1ea5t v\u00e0i ti\u1ebfng gi\u1eefa c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u1ec3 thu\u1ed1c ng\u1ea5m v\u00e0o da ho\u00e0n to\u00e0n.<\/p>\n<p>C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf PDE4 inhibitor g\u1ed3m thu\u1ed1c b\u00f4i Crisaborole (Eucrisa), thu\u1ed1c u\u1ed1ng Roflumilast (Daliresp), Apremilast (Otezla) c\u00f3 t\u00e1c d\u1ee5ng r\u1ea5t kh\u1ea3 quan. C\u00f3 th\u1ec3 d\u00f9ng xen k\u1ebd\/k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c b\u00f4i Corticosteroid.<\/p>\n<p>Thu\u1ed1c b\u00f4i Vitamin D3 nh\u01b0 Calcipotriene (d\u00f9ng cho b\u1ec7nh v\u1ea3y n\u1ebfn) c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng v\u1edbi AD, d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 b\u00e0i nghi\u00ean c\u1ee9u.<\/p>\n<p>Thu\u1ed1c b\u00f4i \u1ee9c ch\u1ebf Calcineurin (l\u00e0 enzyme k\u00edch ho\u1ea1t t\u1ebf b\u00e0o T cell) c\u0169ng l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn t\u1ed1t. Hi\u1ec7n nay 2 lo\u1ea1i th\u00f4ng d\u1ee5ng l\u00e0 Tacrolimus v\u00e0 Pimecrolimus.<\/p>\n<p>Thu\u1ed1c nh\u1eafm \u0111\u00edch \u1ee9c ch\u1ebf IL-4 Dupilumab hay \u1ee9c ch\u1ebf IL-33. Thu\u1ed1c \u1ee9c ch\u1ebf Janus Kinase (JAK) Tofacitinib l\u00e0 l\u1ef1a ch\u1ecdn sau khi nhi\u1ec1u c\u00e1ch ch\u1eefa tr\u00ean th\u1ea5t b\u1ea1i. Tofacitinib c\u0169ng l\u00e0 thu\u1ed1c d\u00f9ng \u0111\u1ec3 ch\u1eefa b\u1ea1ch t\u1ea1ng (off label).<\/p>\n<h2>Thu\u1ed1c tr\u1ecb ng\u1ee9a th\u01b0\u1eddng l\u00e0 Antihistamine<\/h2>\n<p>Nhi\u1ec1u BS d\u00f9ng thu\u1ed1c u\u1ed1ng tr\u1ecb ng\u1ee9a k\u00e8m theo thu\u1ed1c b\u00f4i v\u00ec ng\u1ee9a d\u1eabn \u0111\u1ebfn g\u00e3i tr\u1ea7y x\u01b0\u1edbc d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam th\u00eam. C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng histamine g\u00e2y bu\u1ed3n ng\u1ee7 v\u1eabn l\u00e0 tr\u1ecb li\u1ec7u ch\u00ednh nh\u01b0 Chlorpheniramine and Hydroxyzine.<\/p>\n<h2>C\u00f3 nhi\u1ec1u lo\u1ea1i vi\u00eam da gi\u1ed1ng AD<\/h2>\n<p>V\u1ea3y n\u1ebfn (psoriasis), vi\u00eam da do ti\u1ebfp x\u00fac (contact dermatitis), vi\u00eam da do n\u1ea5m (tinea) l\u00e0 c\u00e1c b\u1ec7nh d\u1ec5 g\u00e2y nh\u1ea7m l\u1eabn v\u1edbi AD. Qu\u00fd v\u1ecb nh\u1edb \u0111\u1ebfn g\u1eb7p BS gia \u0111\u00ecnh ho\u1eb7c BS chuy\u00ean khoa da li\u1ec5u \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00fang. Kh\u00f4ng n\u00ean t\u1ef1 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh vi\u00eam da v\u00e0 t\u1ef1 tr\u1ecb theo c\u00e1c ch\u1ec9 d\u1eabn tr\u00ean m\u1ea1ng.<\/p>\n<h2>T\u00f3m l\u1ea1i:<\/h2>\n<ul>\n<li>Vi\u00eam da c\u01a1 \u0111\u1ecba l\u00e0 b\u1ec7nh l\u00e2u d\u00e0i, kh\u00f3 tr\u1ecb, nh\u01b0ng c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n \u0111\u00fang, gi\u00e1o d\u1ee5c hi\u1ec3u v\u1ec1 b\u1ec7nh, v\u00e0 ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t l\u00e0 nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng.<\/li>\n<li>C\u00f3 nhi\u1ec1u thu\u1ed1c v\u00e0 kem h\u1eefu hi\u1ec7u ch\u1eefa tr\u1ecb cho b\u1ec7nh n\u00e0y.<\/li>\n<li>Gi\u1eef \u1ea9m v\u00e0 s\u1ea1ch cho da.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>H\u01b0\u1edbng d\u1eabn ch\u1eefa tr\u1ecb vi\u00eam da c\u01a1 \u0111\u1ecba t\u1eeb Vi\u1ec7n H\u00e0n L\u00e2m Da Li\u1ec5u Hoa K\u1ef3 <a href=\"https:\/\/www.jaad.org\/article\/S0190-9622(14)01257-2\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.jaad.org\/article\/S0190-9622(14)01257-2\/fulltext<\/a><\/li>\n<li>H\u00ecnh \u1ea3nh t\u1eeb National Jewish Health<\/li>\n<li><a href=\"https:\/\/www.facebook.com\/huynhtranmd\/posts\/10158042792891183\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/huynhtranmd\/posts\/10158042792891183<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam da c\u01a1 \u0111\u1ecba th\u01b0\u1eddng x\u1ea3y ra theo chu k\u1ef3, g\u1ed3m vi\u00eam da c\u1ea5p t\u00ednh (x\u1ea3y ra trong v\u00e0i ng\u00e0y, s\u01b0ng vi\u00eam da, m\u1ecdng n\u01b0\u1edbc), d\u01b0\u1edbi c\u1ea5p t\u00ednh (v\u00e0i tu\u1ea7n), v\u00e0 m\u00e3n t\u00ednh (nhi\u1ec1u th\u00e1ng v\u00e0 nhi\u1ec1u n\u0103m) t\u1ea1o ra mi\u1ebfng s\u1ea7n d\u00e0y, n\u1ed5i h\u1ed9t, v\u00e0 s\u1eb9o do g\u00e3y. <\/p>\n","protected":false},"author":14,"featured_media":6950,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4712,5164,5148,5204,4711,1],"tags":[4780,5032,5033],"series":[1333],"coauthors":[2479],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam da c\u01a1 \u0111\u1ecba c\u00f3 g\u00ec m\u1edbi? 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