\u0110\u00e2y l\u00e0 lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn th\u1ee9 5 t\u1ea1i Vi\u1ec7t Nam, \u0111\u00e3 c\u00f3 nhi\u1ec1u c\u00e1ch ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 ch\u1eefa hi\u1ec7u qu\u1ea3 nh\u01b0ng nhi\u1ec1u ng\u01b0\u1eddi c\u00f2n ch\u01b0a bi\u1ebft.<\/p>\n
Ung th\u01b0 \u0111\u1ea1i tr\u00e0ng th\u01b0\u1eddng h\u00ecnh th\u00e0nh t\u1eeb trong l\u00f2ng \u0111\u1ea1i tr\u00e0ng, t\u1eeb l\u1edbp trong c\u00f9ng c\u00f2n g\u1ecdi l\u00e0 ni\u00eam m\u1ea1c. Qua nhi\u1ec1u nghi\u00ean c\u1ee9u, ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y ph\u1ea7n l\u1edbn ca b\u1ec7nh c\u00f3 kh\u1edfi \u0111\u1ea7u l\u00e0 nh\u1eefng Polyp \u0111\u1ea1i tr\u00e0ng, m\u1ed9t d\u1ea1ng “ti\u1ec1n ung th\u01b0” m\u00e0 nguy c\u01a1 ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0 t\u0103ng d\u1ea7n theo k\u00edch th\u01b0\u1edbc c\u1ee7a polyp.<\/p>\n
- \n
- Polyp d\u01b0\u1edbi 5mm: 0.5%<\/li>\n
- Polyp 6-9mm: 4%<\/li>\n
- Polyp 10-19mm: 15%<\/li>\n
- Polyp tr\u00ean 20mm: 60%!<\/li>\n<\/ul>\n
(S\u1ed1 li\u1ec7u n\u00e0y c\u0169ng cho th\u1ea5y KH\u00d4NG PH\u1ea2I<\/em> <\/strong>polyp n\u00e0o c\u0169ng l\u00e0 ung th\u01b0, m\u00e0 ch\u1ec9 nh\u1eefng polyp \u0111\u1ee7 to m\u1edbi c\u00f3 nguy c\u01a1 chuy\u1ec3n th\u00e0nh ung th\u01b0)<\/p>\n
Nh\u01b0 v\u1eady, c\u00f3 th\u1ec3 th\u1ea5y r\u1eb1ng ph\u00e1t hi\u1ec7n s\u1edbm polyp v\u00e0 c\u1eaft b\u1ecf ch\u00fang l\u00e0 chi\u1ebfn l\u01b0\u1ee3c m\u1ea5u ch\u1ed1t \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u00e0ng S\u1edaM<\/em><\/strong>.<\/p>\n
C\u00f3 v\u00e0i c\u00e1ch gi\u00fap ph\u00e1t hi\u1ec7n polyp v\u00e0 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng s\u1edbm hi\u1ec7u qu\u1ea3, \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh b\u1eb1ng nhi\u1ec1u nghi\u00ean c\u1ee9u khoa h\u1ecdc.<\/p>\n
Nh\u1edd hi\u1ec7u qu\u1ea3 l\u00e0m GI\u1ea2M T\u1ec8 L\u1ec6 T\u1eec VONG<\/em><\/strong> cho ng\u01b0\u1eddi \u0111i t\u1ea7m so\u00e1t, nh\u1eefng c\u00e1ch l\u00e0m d\u01b0\u1edbi \u0111\u00e2y \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ea1i tr\u00e0 \u1edf Nh\u1eadt B\u1ea3n v\u00e0 nhi\u1ec1u n\u01a1i c\u00f2n ph\u00e1t coupon gi\u1ea3m gi\u00e1 \u0111\u1ec3 nhi\u1ec1u ng\u01b0\u1eddi tr\u00ean 40-45 tu\u1ed5i ti\u1ebfp c\u1eadn:<\/p>\n
N\u1ed9i soi to\u00e0n b\u1ed9 \u0111\u1ea1i tr\u00e0ng<\/strong><\/h2>\n
B\u00e1c s\u0129 s\u1ebd \u0111\u01b0a m\u1ed9t d\u00e2y soi c\u00f3 g\u1eafn camera v\u00e0o l\u00f2ng ru\u1ed9t, ki\u1ec3m tra k\u1ef9 l\u01b0\u1ee1ng xem c\u00f3 polyp hay “c\u1ee5c u” n\u00e0o kh\u00f4ng. D\u00f9 c\u00e1ch n\u00e0y kh\u00e1 phi\u1ec1n ph\u1ee9c (ph\u1ea3i x\u1eed l\u00fd cho s\u1ea1ch ph\u00e2n v\u00e0 soi c\u00f3 th\u1ec3 h\u01a1i \u0111au), n\u00f3 \u01b0u vi\u1ec7t \u1edf \u1edf ch\u1ed7 c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p t\u1ea7m so\u00e1t (kh\u1ea3o s\u00e1t), ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb (c\u1eaft b\u1ecf polyp) trong 1 l\u1ea7n x\u00e9t nghi\u1ec7m (t\u00f9y t\u00ecnh hu\u1ed1ng c\u00f3 th\u1ec3 b\u00e1c s\u0129 ph\u1ea3i h\u1eb9n l\u1ea1i \u0111\u1ec3 x\u1eed tr\u00ed c\u1eaft v\u00e0o h\u00f4m kh\u00e1c).<\/p>\n
![\"\"](\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/10\/309505458_10229609328076473_5557590490566103227_n_optimized.jpg\")
<\/p>\nX\u00e9t nghi\u1ec7m t\u00ecm m\u00e1u \u1ea9n trong ph\u00e2n<\/strong><\/h2>\n
Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y d\u1ef1a tr\u00ean l\u00fd lu\u1eadn khi trong ru\u1ed9t c\u00f3 kh\u1ed1i u, nh\u1eefng c\u1ee5c ph\u00e2n \u0111i qua va qu\u1eb9t v\u00e0o s\u1ebd g\u00e2y ch\u1ea3y m\u00e1u. C\u00f3 th\u1ec3 ch\u1ea3y m\u00e1u \u00edt th\u00f4i, kh\u00f4ng th\u1ea5y b\u1eb1ng m\u1eaft th\u01b0\u1eddng, nh\u01b0ng x\u00e9t nghi\u1ec7m ph\u00e2n \u0111\u1ee7 nh\u1ea1y th\u00ec c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n. Khi x\u00e9t nghi\u1ec7m n\u00e0y d\u01b0\u01a1ng t\u00ednh (trong ph\u00e2n c\u00f3 t\u00ed m\u00e1u), b\u00e1c s\u0129 s\u1ebd khuy\u00ean ng\u01b0\u1eddi \u0111\u00f3 \u0111i n\u1ed9i soi \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n
T\u1ea7m so\u00e1t ki\u1ec3u n\u00e0y c\u00f3 c\u00e1i ti\u1ec7n l\u00e0 r\u1ebb ti\u1ec1n, kh\u00f4ng \u0111au, kh\u00f4ng c\u1ea7n x\u1eed l\u00fd l\u00f2ng ru\u1ed9t nh\u01b0ng n\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ung th\u01b0. Ai “d\u01b0\u01a1ng t\u00ednh” th\u00ec ph\u1ea3i \u0111i soi \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c h\u01a1n. Nhi\u1ec1u ca nh\u1eadn k\u1ebft qu\u1ea3 “d\u01b0\u01a1ng t\u00ednh” g\u00e2y lo l\u1eafng nh\u01b0ng x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u l\u1ea1i cho th\u1ea5y vi\u00eam ru\u1ed9t ho\u1eb7c tr\u0129,\u2026 ch\u1ee9 kh\u00f4ng ph\u1ea3i ung th\u01b0.<\/p>\n
![\"\"](\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/10\/309935443_10229609328396481_6970091578590861282_n_optimized.jpg\")
<\/p>\nD\u00f9 kh\u00f4ng ph\u1ea3i ai d\u01b0\u01a1ng t\u00ednh c\u0169ng l\u00e0 ung th\u01b0, t\u1ea7m so\u00e1t theo c\u00e1ch tr\u00ean th\u1ef1c s\u1ef1 \u0111\u00e3 gi\u1ea3m nguy c\u01a1 t\u1eed vong cho ng\u01b0\u1eddi \u0111i t\u1ea7m so\u00e1t t\u1edbi 60-70%.<\/p>\n
Xin n\u00f3i th\u00eam l\u00e0 \u0111\u1ed9 tu\u1ed5i khuy\u1ebfn c\u00e1o \u0111i t\u1ea7m so\u00e1t l\u00e0 40 tu\u1ed5i (50 tu\u1ed5i \u1edf m\u1ed9t s\u1ed1 n\u01b0\u1edbc) v\u00ec nhi\u1ec1u b\u00e1o c\u00e1o cho th\u1ea5y t\u1ec9 l\u1ec7 m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u00e0ng b\u1eaft \u0111\u1ea7u t\u0103ng m\u1ea1nh khi qua m\u1ed1c n\u00e0y. T\u1ea7m 25% ng\u01b0\u1eddi trong \u0111\u1ed9 tu\u1ed5i 40-50 c\u00f3 polyps \u0111\u1ea1i tr\u00e0ng, v\u00e0 t\u1ec9 l\u1ec7 n\u00e0y t\u0103ng l\u00ean 35.5% khi qua tu\u1ed5i 60.<\/p>\n
C\u00f2n t\u1ea7m so\u00e1t b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u \u0111o ch\u1ea5t ch\u1ec9 th\u1ecb kh\u1ed1i u th\u00ec sao? N\u00f3 c\u00f3 gi\u00fap \u00edch g\u00ec kh\u00f4ng?<\/strong><\/em><\/p>\n
Khi ung th\u01b0 ti\u1ebfn tri\u1ec3n h\u01a1n, n\u00f3 s\u1ebd x\u00e2m l\u1ea5n hay “\u0103n s\u00e2u” xu\u1ed1ng l\u1edbp c\u01a1 b\u00ean d\u01b0\u1edbi, c\u00f3 khi \u0103n th\u1ee7ng th\u00e0nh \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 l\u00f2 m\u1eb7t ra “ch\u00e0o h\u1ecfi” c\u01a1 quan b\u00ean c\u1ea1nh. C\u00f3 ng\u01b0\u1eddi u l\u1edbn qu\u00e1 l\u00e0m t\u1eafc ru\u1ed9t lu\u00f4n.<\/p>\n
\u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady, kh\u1ea3 n\u0103ng ung th\u01b0 xu\u1ea5t hi\u1ec7n trong m\u00e1u l\u00e0 cao, ho\u1eb7c ung th\u01b0 c\u00f3 th\u1ec3 ti\u1ebft ra m\u1ed9t s\u1ed1 ch\u1ea5t li\u00ean quan nh\u01b0 CEA<\/a>, CA19-9 v\u1edbi n\u1ed3ng \u0111\u1ed9 \u0111\u1ee7 cao \u0111\u1ec3 ph\u00e1t hi\u1ec7n qua x\u00e9t nghi\u1ec7m m\u00e1u. Theo m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u, \u0111\u1ed9 nh\u1ea1y c\u1ee7a CEA thay \u0111\u1ed5i theo giai \u0111o\u1ea1n, ch\u1ec9 t\u1ea7m 21% cho giai \u0111o\u1ea1n I, 39% \u1edf giai \u0111o\u1ea1n II v\u00e0 42% \u0111\u1ed1i v\u1edbi giai \u0111o\u1ea1n III.<\/p>\n
Nh\u01b0 v\u1eady, \u0111i\u1ec3m tr\u1eeb \u0111\u1ea7u ti\u00ean c\u1ee7a x\u00e9t nghi\u1ec7m n\u00e0y l\u00e0 kh\u00f4ng \u0111\u1ee7 nh\u1ea1y v\u00e0 ch\u00fang ta c\u00f3 th\u1ec3 hi\u1ec3u t\u1ea1i sao nhi\u1ec1u ng\u01b0\u1eddi nh\u1eadn k\u1ebft qu\u1ea3 CEA \u00c2M T\u00cdNH nh\u01b0ng th\u1eadt ra \u0111\u00e3 c\u00f3 b\u1ec7nh ung th\u01b0 trong ng\u01b0\u1eddi! T\u1ea7m so\u00e1t b\u1eb1ng CEA s\u1ebd l\u00e0m ng\u01b0\u1eddi ta ch\u1ee7 quan v\u00ec…\u00e2m t\u00ednh gi\u1ea3, v\u00e0 m\u00ecnh \u0111\u00e3 th\u1ea5y nhi\u1ec1u ca nh\u1eadp vi\u1ec7n v\u00ec t\u1eafc ru\u1ed9t trong khi CEA ho\u00e0n to\u00e0n \u00e2m t\u00ednh.<\/p>\n
M\u1ed9t \u0111i\u1ec3m tr\u1eeb kh\u00e1c c\u1ee7a ch\u1ea5t ch\u1ec9 th\u1ecb kh\u1ed1i u l\u00e0 n\u00f3 kh\u00f4ng h\u1ec1 \u0111\u1eb7c hi\u1ec7u cho ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Ch\u1ec9 s\u1ed1 CEA c\u00f3 th\u1ec3 t\u0103ng \u1edf Ung th\u01b0 b\u00e0ng quang<\/a>, Ung th\u01b0 v\u00fa<\/a>, Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/a>, Ung th\u01b0 ph\u1ed5i<\/a>, Ung th\u01b0 tu\u1ef5<\/a>, Ung th\u01b0 d\u1ea1 d\u00e0y<\/a>, Ung th\u01b0 tuy\u1ebfn gi\u00e1p<\/a>. Nh\u01b0ng CEA c\u0169ng c\u00f3 th\u1ec3 t\u0103ng \u1edf c\u00e1c b\u1ec7nh l\u00e0nh t\u00ednh kh\u00e1c nh\u01b0 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD), vi\u00eam t\u00fai m\u1eadt, vi\u00eam t\u00fai th\u1eeba, b\u1ec7nh vi\u00eam ru\u1ed9t, Nang v\u00fa, ho\u1eb7c m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c \u1edf gan v\u00e0 ph\u1ed5i!<\/p>\n
\u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 n\u1ebfu CEA d\u01b0\u01a1ng t\u00ednh th\u00ec b\u00e1c s\u0129 s\u1ebd th\u01b0\u1eddng ch\u1ec9 \u0111\u1ecbnh th\u00eam h\u00e0ng lo\u1ea1t x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 “t\u1eeb \u0111\u1ea7u t\u1edbi ch\u00e2n” xem nguy\u00ean nh\u00e2n t\u0103ng CEA l\u00e0 \u1edf \u0111\u00e2u.<\/p>\n
\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 kh\u00f3 kh\u0103n t\u00e0i ch\u00ednh th\u00ec \u0111\u00e2y th\u1ef1c s\u1ef1 l\u00e0 th\u1ea3m ho\u1ea1 v\u00ec ngo\u00e0i lo l\u1eafng, \u1ea3nh h\u01b0\u1edfng t\u00e2m l\u00fd, h\u1ecd s\u1ebd t\u1ed1n h\u00e0ng tri\u1ec7u t\u1edbi h\u00e0ng ch\u1ee5c tri\u1ec7u \u0111\u1ed3ng cho c\u00e1c x\u00e9t nghi\u1ec7m nh\u01b0 CT c\u1ea3n quang ho\u1eb7c PET\/CT, n\u1ed9i soi d\u1ea1 d\u00e0y, n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng, si\u00eau \u00e2m b\u1ee5ng,… Ch\u01b0a k\u1ec3 l\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y s\u1ebd c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i h\u1eb1ng n\u0103m v\u00ec b\u1ec7nh nh\u00e2n kh\u00f3 tho\u00e1t kh\u1ecfi \u00e1m \u1ea3nh t\u1eeb c\u00e1i t\u00ean “ch\u1ea5t ch\u1ec9 th\u1ecb ung th\u01b0”, d\u00f9 n\u00f3 ch\u1ea3 c\u00f3 \u00fd ngh\u0129a ch\u1ec9 th\u1ecb \u0111\u1eb7c hi\u1ec7u g\u00ec nh\u01b0 t\u1eebng \u0111\u01b0\u1ee3c k\u1ef3 v\u1ecdng v\u00e0 nghi\u00ean c\u1ee9u r\u1ea7m r\u1ed9 30-40 n\u0103m tr\u01b0\u1edbc.<\/p>\n
V\u1edbi b\u1ea3n n\u0103ng lo l\u1eafng v\u00e0 t\u00f2 m\u00f2, ng\u01b0\u1eddi nh\u1eadn k\u1ebft qu\u1ea3 “d\u01b0\u01a1ng t\u00ednh” th\u01b0\u1eddng s\u1ebd \u0111i \u0111o l\u1ea1i \u0111\u1ecbnh k\u1ef3 xem “n\u00f3 th\u1ebf n\u00e0o r\u1ed3i” v\u00e0 ti\u1ebfp t\u1ee5c c\u00e1c kh\u1ea3o s\u00e1t cho t\u1edbi khi t\u00ecm ra nguy\u00ean nh\u00e2n g\u00ec \u0111\u00f3. Theo m\u1ed9t b\u00e1o c\u00e1o t\u1eeb H\u00e0n Qu\u1ed1c, sau 5-7 n\u0103m theo d\u00f5i nh\u1eefng ng\u01b0\u1eddi c\u00f3 m\u1ee9c CA19-9 t\u0103ng cao m\u00e0 kh\u00f4ng ph\u1ea3i ung th\u01b0, ng\u01b0\u1eddi ta ghi nh\u1eadn g\u1ea7n 50 b\u1ec7nh b\u1ec7nh l\u00e0nh t\u00ednh, m\u1ea1n t\u00ednh kh\u00e1c nhau \u1edf gan, ph\u1ed5i, ph\u1ee5 khoa, t\u1ee5y, tuy\u1ebfn gi\u00e1p,…c\u00f3 th\u1ec3 gi\u1ea3i th\u00edch k\u1ebft qu\u1ea3 n\u00e0y, nh\u01b0ng c\u0169ng c\u00f3 t\u1edbi g\u1ea7n 25% (t\u1ee9c 1\/4) kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n l\u00e0 g\u00ec!<\/p>\n
M\u1ed9t s\u1ed1 b\u00e1o c\u00e1o kh\u00e1c cho th\u1ea5y vi\u1ec7c s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 t\u1ea7m so\u00e1t ung th\u01b0 l\u00e0m t\u0103ng nguy c\u01a1 g\u1eb7p bi\u1ebfn ch\u1ee9ng y khoa do ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p qu\u00e1 m\u1ee9c (kh\u00f4ng c\u1ea7n thi\u1ebft). \u0110\u00f3 l\u00e0 v\u00ec m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n s\u1ebd t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n ra t\u1ed5n th\u01b0\u01a1ng n\u00e0o \u0111\u00f3 trong ng\u01b0\u1eddi, ph\u1ea3i ch\u1ecdc kim\/m\u1ed5 sinh thi\u1ebft th\u00eam \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n cho r\u00f5 r\u00e0ng m\u00e0 th\u1ee7 thu\u1eadt y t\u1ebf n\u00e0o c\u0169ng s\u1ebd \u0111i k\u00e8m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/p>\n
X\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t l\u00e0 x\u00e9t nghi\u1ec7m th\u1ef1c hi\u1ec7n khi KH\u00d4NG C\u00d3 TRI\u1ec6U CH\u1ee8NG<\/strong>, v\u00ec th\u1ebf ph\u1ea3i c\u1ea9n th\u1eadn k\u1ebbo bi\u1ebfn ng\u1ef1a l\u00e0nh th\u00e0nh ng\u1ef1a qu\u00e8!<\/p>\n
V\u00ec x\u00e9t nghi\u1ec7m m\u00e1u \u0111o c\u00e1c ch\u1ea5t ch\u1ec9 th\u1ecb nh\u01b0 CEA, CA19-9, SCC,…c\u00f3 nguy c\u01a1 d\u01b0\u01a1ng t\u00ednh gi\u1ea3, \u00e2m t\u00ednh gi\u1ea3 cao v\u00e0 s\u1ed1 li\u1ec7u th\u1ef1c t\u1ebf c\u0169ng cho th\u1ea5y ch\u00fang kh\u00f4ng gi\u00fap ng\u01b0\u1eddi \u0111i t\u1ea7m so\u00e1t s\u1ed1ng l\u00e2u h\u01a1n, t\u1ea5t c\u1ea3 c\u00e1c Hi\u1ec7p h\u1ed9i chuy\u00ean khoa v\u1ec1 ung th\u01b0 \u0111\u00e3 ra khuy\u1ebfn c\u00e1o KH\u00d4NG N\u00caN<\/strong> s\u1eed d\u1ee5ng ch\u00fang trong vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0.<\/p>\n
V\u00ec th\u1ebf, vi\u1ec7c “t\u1ef1 ti\u1ec7n” \u0111o th\u00eam c\u00e1c m\u1ee5c n\u00e0y trong g\u00f3i t\u1ea7m so\u00e1t s\u1ee9c kh\u1ecfe, t\u1ea7m so\u00e1t ung th\u01b0 t\u1ea1i Vi\u1ec7t Nam l\u00e0 l\u1ef1a ch\u1ecdn K\u00c9M TH\u00d4NG MINH<\/strong> (c\u00f3 ng\u01b0\u1eddi c\u00f2n b\u1ea3o l\u00e0 H.\u1ea1.i n.g.\u01b0.\u1edd.i!), m\u1ecdi ng\u01b0\u1eddi c\u1ea7n t\u1ec9nh t\u00e1o \u0111\u1ec3 kh\u00f4ng b\u1ecb r\u01a1i v\u00e0o v\u00f2ng xo\u00e1y:<\/p>\n
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