{"id":18526,"date":"2023-02-20T14:44:25","date_gmt":"2023-02-20T07:44:25","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=18526"},"modified":"2023-02-20T14:44:25","modified_gmt":"2023-02-20T07:44:25","slug":"benh-gout-va-nhung-bien-chung-nguy-hiem-ma-nhieu-nguoi-chua-biet","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/02\/20\/benh-gout-va-nhung-bien-chung-nguy-hiem-ma-nhieu-nguoi-chua-biet\/","title":{"rendered":"B\u1ec7nh gout v\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m m\u00e0 nhi\u1ec1u ng\u01b0\u1eddi ch\u01b0a bi\u1ebft"},"content":{"rendered":"

Nhi\u1ec1u ng\u01b0\u1eddi ch\u1ec9 bi\u1ebft r\u1eb1ng\u00a0b\u1ec7nh gout<\/a>\u00a0kh\u00f4ng qu\u00e1 nguy hi\u1ec3m \u0111\u1ebfn m\u1ee9c g\u00e2y t\u1eed vong nh\u01b0ng \u0111i\u1ec1u \u00edt ng\u01b0\u1eddi bi\u1ebft l\u00e0 b\u1ec7nh gout n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang s\u1ebd ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n

1. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf ng\u01b0\u1eddi m\u1eafc b\u1ec7nh gout<\/h4>\n

–\u00a0H\u1ea1t tophi<\/a>:<\/h4>\n

H\u1ea1t Tophi l\u00e0 bi\u1ebfn ch\u1ee9ng hay g\u1eb7p c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh gout. H\u1ea1t tophi th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n tr\u00f4ng gi\u1ed1ng nh\u1eefng kh\u1ed1i u nh\u1ecf, ph\u1ed3ng ph\u00e1t tri\u1ec3n tr\u00ean c\u00e1c kh\u1edbp ngay d\u01b0\u1edbi da. M\u1eb7c d\u00f9 ph\u00e1t tri\u1ec3n b\u00ean d\u01b0\u1edbi l\u1edbp da nh\u01b0ng c\u00e1c h\u1ea1t tophi v\u1eabn c\u00f3 th\u1ec3 d\u1ec5 nh\u1eadn th\u1ea5y \u0111\u01b0\u1ee3c.<\/p>\n

H\u1ea1t tophi c\u00f3 l\u00fac\u00a0 \u1edf t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ea5p l\u00e0m da n\u00f3ng, \u0111\u1ecf. Theo th\u1eddi gian, c\u00f3 th\u1ec3 to d\u1ea7n v\u00e0 v\u1ee1 ch\u1ea3y ra ch\u1ea5t nh\u00e3o v\u00e0 tr\u1eafng nh\u01b0 ph\u1ea5n, ho\u1eb7c r\u1ec9 d\u1ecbch v\u00e0ng. V\u1ebft l\u1edf lo\u00e9t da do h\u1ea1t tophi v\u1ee1 \u1ea5t l\u00e2u li\u1ec1n, g\u00e2y nhi\u1ec5m tr\u00f9ng m\u1ea1n t\u00ednh. Nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng do h\u1ea1t tophi \u01a1\u0309 nh\u01b0\u0303ng vi\u0323 tri\u0301 t\u1ef3 \u0111\u00e8 d\u00ea\u0303 co\u0323 xa\u0301t nh\u01b0 ba\u0300n cha\u0302n, ba\u0300n tay, khu\u1ef7u. Ho\u1eb7c b\u1ec7nh nh\u00e2n t\u1ef1 ch\u1ecdc v\u00e0o h\u1ea1t tophi c\u1ee7a m\u00ecnh. D\u00e2\u0303n \u0111\u00ea\u0301n loe\u0301t va\u0300 do\u0300, v\u01a1\u0303 v\u00e0 ch\u1ea3y d\u1ecbch. \u0110\u00e2y la\u0300 con \u0111\u01b0\u01a1\u0300ng cho vi khu\u00e2\u0309n xa\u0302m nh\u1ea1\u0302p ga\u0302y nhi\u00ea\u0303m tr\u00f9ng ha\u0323t to\u0302 phi.<\/p>\n

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T\u1ed5n th\u01b0\u01a1ng \u1edf ng\u01b0\u1eddi b\u1ec7nh gout.<\/figcaption><\/figure>\n

– Bi\u1ebfn ch\u1ee9ng\u00a0th\u1eadn:<\/h4>\n

B\u1ec7nh gout kh\u00f4ng ch\u1ec9 g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u1edf c\u00e1c kh\u1edbp x\u01b0\u01a1ng m\u00e0 c\u00f2n t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. M\u1ed9t trong nh\u1eefng c\u01a1 quan ch\u1ecbu bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 c\u1ee7a gout ch\u00ednh l\u00e0 th\u1eadn. Theo th\u1ed1ng k\u00ea, kho\u1ea3ng 20% b\u1ec7nh nh\u00e2n gout c\u00f3\u00a0t\u1ed5n th\u01b0\u01a1ng th\u1eadn.<\/p>\n

B\u1ec7nh gout g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1eadn ch\u1ee7 y\u1ebfu qua 2 c\u01a1 ch\u1ebf. C\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp g\u00e2y b\u1ec7nh l\u00e0 do l\u1eafng \u0111\u1ecdng tinh th\u1ec3 mu\u1ed1i urat tr\u1ef1c ti\u1ebfp g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn c\u1ea7u th\u1eadn, \u1ed1ng th\u1eadn g\u00e2y t\u00ecnh tr\u1ea1ng vi\u00eam, l\u00e2u ng\u00e0y d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn. C\u01a1 ch\u1ebf gi\u00e1n ti\u1ebfp l\u00e0 do qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh s\u1ecfi th\u1eadn t\u1eeb tinh th\u1ec3 mu\u1ed1i urat g\u00e2y t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn, vi\u00eam \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, \u1ee9 n\u01b0\u1edbc, g\u00e2y gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n

Th\u1ef1c t\u1ebf cho th\u1ea5y, b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p v\u00e0 nguy hi\u1ec3m tr\u00ean nh\u1eefng ng\u01b0\u1eddi b\u1ecb\u00a0gout m\u1ea1n t\u00ednh<\/a>. B\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng l\u1ecdc c\u1ea7u th\u1eadn d\u1eabn t\u1edbi gi\u1ea3m \u0111\u1ed9 l\u1ecdc c\u1ee7a acid uric. N\u1ed3ng \u0111\u1ed9 acid uric trong m\u00e1u t\u0103ng cao t\u00edch t\u1ee5 l\u1ea1i l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh l\u00fd th\u1eadn. T\u1ea1o n\u00ean m\u1ed9t v\u00f2ng xo\u1eafn b\u1ec7nh l\u00fd n\u1eb7ng n\u1ec1 li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi nhau.<\/p>\n

M\u1ee9c \u0111\u1ed9 suy th\u1eadn c\u00e0ng n\u1eb7ng, nh\u01b0 trong giai \u0111o\u1ea1n cu\u1ed1i c\u00f3 th\u1ec3 \u0111\u00f2i h\u1ecfi ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o l\u1ecdc m\u00e1u. Do \u0111\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m kh\u00e1c cho c\u01a1 th\u1ec3, trong \u0111\u00f3 c\u00f3 t\u1eed vong.<\/p>\n

– S\u1ecfi th\u1eadn<\/h4>\n

N\u1ebfu b\u1ec7nh gout kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch, nh\u1eefng tinh th\u1ec3 urat l\u1eafng \u0111\u1ecdng r\u1ea3i r\u00e1c \u1edf t\u1ed5 ch\u1ee9c k\u1ebd th\u1eadn, b\u1ec3 th\u1eadn, ni\u1ec7u qu\u1ea3n. L\u00e2u ng\u00e0y h\u00ecnh th\u00e0nh s\u1ecfi uric, s\u1ecfi c\u00f3 th\u1ec3 n\u1eb1m \u1edf v\u1ecb tr\u00ed nh\u01b0 trong \u0111\u00e0i b\u1ec3 th\u1eadn. Ho\u1eb7c g\u1eb7p s\u1ecfi ni\u1ec7u qu\u1ea3n, s\u1ecfi b\u00e0ng quang, s\u1ecfi ni\u1ec7u \u0111\u1ea1o.<\/p>\n

S\u1ecfi uric g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u00e0i b\u1ec3 th\u1eadn, \u1ee9 n\u01b0\u1edbc \u1ee9 m\u1ee7 \u1edf th\u1eadn. Ngo\u00e0i ra c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, ti\u1ec3u m\u00e1u do s\u1ef1 c\u1ecd s\u00e1t c\u1ee7a s\u1ecfi. \u0110\u00f4i khi b\u1ec7nh nh\u00e2n g\u1eb7p c\u01a1n \u0111au qu\u1eb7n th\u1eadn d\u1eef d\u1ed9i do s\u1ecfi di chuy\u1ec3n g\u00e2y ra.<\/p>\n

\"\"<\/p>\n

2. Bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb b\u1ec7nh gout<\/h4>\n

C\u00e1c bi\u1ebfn ch\u1ee9ng do d\u00f9ng thu\u1ed1c ch\u1ed1ng vi\u00eam gi\u1ea3m \u0111au: Nh\u01b0 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, suy gan, suy th\u1eadn, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a\u2026 C\u00e1c bi\u1ebfn ch\u1ee9ng do d\u00f9ng colchicine c\u00f3 th\u1ec3 g\u00e2y ra ti\u00eau ch\u1ea3y c\u1ea5p, \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng qu\u00e1 li\u1ec1u. C\u00e1c bi\u1ebfn ch\u1ee9ng do b\u1ecb d\u1ecb \u1ee9ng thu\u1ed1c (nh\u01b0 allopurinol, kh\u00e1ng sinh…): b\u1ec7nh nh\u00e2n gout th\u01b0\u1eddng c\u00f3 c\u01a1 \u0111\u1ecba r\u1ea5t d\u1ec5 b\u1ecb d\u1ecb \u1ee9ng, th\u1eadm ch\u00ed c\u00f3 b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb gout.<\/p>\n

\u0110\u1eb7c bi\u1ec7t, c\u00e1c bi\u1ebfn ch\u1ee9ng do d\u00f9ng corticoid hay g\u1eb7p do thu\u1ed1c gi\u1ea3m \u0111au nhanh ch\u00f3ng n\u00ean hay b\u1ecb l\u1ea1m d\u1ee5ng. Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng u\u1ed1ng thu\u1ed1c theo m\u00e1ch b\u1ea3o v\u00e0 th\u1ea5y gi\u1ea3m \u0111au t\u1ed1t ngh\u0129 l\u00e0 thu\u1ed1c t\u1ed1t, l\u1ea7n sau b\u1ecb l\u1ea1i u\u1ed1ng. Thu\u1ed1c nh\u00f3m n\u00e0y l\u00e0m gi\u1ea3m th\u1ea3i acid uric qua th\u1eadn n\u00ean l\u00e0m acid b\u1ecb t\u00edch t\u1ef1 l\u1ea1i th\u00e0nh c\u00e1c h\u1ea1t tophi, b\u1ec7nh tr\u1edf n\u00ean m\u1ea1n t\u00ednh. Ngo\u00e0i ra, corticoid l\u00e0m t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng, t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, suy th\u01b0\u1ee3ng th\u1eadn.<\/p>\n

Nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh gout g\u00e2y \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ee9c kh\u1ecfe, kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng c\u0169ng nh\u01b0 sinh ho\u1ea1t c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Th\u1eadm ch\u00ed c\u00f3 nh\u1eefng bi\u1ebfn ch\u1ee9ng \u0111e d\u1ecda t\u1edbi t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n. Bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh gout g\u00e2y n\u00ean, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng ng\u1eeba v\u00e0 h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng x\u1ea3y ra.<\/p>\n

3. L\u1eddi khuy\u00ean th\u1ea7y thu\u1ed1c<\/b><\/p>\n

\u0110\u1ec3 h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh gout, c\u00e1ch t\u1ed1t nh\u1ea5t l\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi b\u1eb1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 d\u00f9ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m t\u1ed5ng h\u1ee3p ho\u1eb7c t\u0103ng \u0111\u00e0o th\u1ea3i acid uric.<\/p>\n

\u0110\u1ec3 tr\u00e1nh t\u00e1i di\u1ec5n n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i lu\u00f4n tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t c\u00e1c ch\u1ec9 d\u1eabn c\u1ee7a th\u1ea7y thu\u1ed1c v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb, bao g\u1ed3m thu\u1ed1c men v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, ngh\u1ec9 ng\u01a1i. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt nh\u01b0 c\u1eaft b\u1ecf kh\u1ed1i u tophi v\u00ec kh\u1ed1i u qu\u00e1 l\u1edbn g\u00e2y m\u1ea5t th\u1ea9m m\u1ef9 ho\u1eb7c \u1ea3nh h\u01b0\u1edfng kh\u1ea3 n\u0103ng \u0111i l\u1ea1i.<\/p>\n

\u0110\u1ec3 ph\u00f2ng b\u1ec7nh, c\u1ea7n c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd nh\u01b0: \u0102n gi\u1ea3m \u0111\u1ea1m (th\u1ecbt \u0103n kh\u00f4ng qu\u00e1 150g\/ng\u00e0y). H\u1ea1n ch\u1ebf \u0103n c\u00e1c th\u1ee9c \u0103n c\u00f3 ch\u1ee9a nhi\u1ec1u purin. Ki\u00eang r\u01b0\u1ee3u bia v\u00e0 c\u00e1c ch\u1ea5t k\u00edch th\u00edch nh\u01b0 \u1edbt, c\u00e0 ph\u00ea, h\u1ea1t ti\u00eau. U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc (n\u01b0\u1edbc l\u1ecdc, n\u01b0\u1edbc hoa qu\u1ea3, s\u1eefa), \u2026 \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng th\u1ea3i ti\u1ebft acid uric qua n\u01b0\u1edbc ti\u1ec3u. \u0102n ch\u00e1o, s\u00fap\u2026 \u0103n nhi\u1ec1u rau xanh, hoa qu\u1ea3 nh\u01b0 x\u00e0 l\u00e1ch, c\u00e0 r\u1ed1t, b\u1eafp c\u1ea3i, d\u01b0a chu\u1ed9t, \u2026Ngo\u00e0i ra, sinh ho\u1ea1t \u0111i\u1ec1u \u0111\u1ed9, l\u00e0m vi\u1ec7c nh\u1eb9 nh\u00e0ng; tr\u00e1nh l\u1ea1nh, tr\u00e1nh m\u1ec7t m\u1ecfi c\u1ea3 tinh th\u1ea7n v\u00e0 th\u1ec3 ch\u1ea5t. C\u1ea7n t\u1eadp th\u1ec3 d\u1ee5c ph\u00f9 h\u1ee3p v\u00e0 duy tr\u00ec li\u00ean t\u1ee5c.<\/p>\n

B\u1ec7nh gout th\u01b0\u1eddng c\u00f3 2 giai \u0111o\u1ea1n: Gout c\u1ea5p t\u00ednh v\u00e0 m\u1ea1n t\u00ednh.<\/strong><\/em><\/p>\n

Gout c\u1ea5p t\u00ednh th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n vi\u00eam kh\u1edbp \u0111\u1ed9t ng\u1ed9t (80% vi\u00eam kh\u1edbp ng\u00f3n m\u1ed9t b\u00e0n ch\u00e2n v\u00e0 m\u1ed9t s\u1ed1 v\u1ecb tr\u00ed kh\u1edbp kh\u00e1c: Kh\u1edbp b\u00e0n c\u1ed5 ch\u00e2n, kh\u1edbp g\u1ed1i, kh\u1edbp khu\u1ef7u tay\u2026), th\u01b0\u1eddng x\u1ea3y ra v\u00e0o ban \u0111\u00eam v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng: S\u01b0ng, n\u00f3ng, \u0111\u1ecf, \u0111au, kh\u1edbp b\u1ecb t\u1ed5n th\u01b0\u01a1ng. B\u1ec7nh di\u1ec5n bi\u1ebfn trong v\u00e0i ng\u00e0y, c\u00f3 th\u1ec3 t\u1ef1 h\u1ea1n ch\u1ebf trong 1 tu\u1ea7n. Tuy nhi\u00ean, b\u1ec7nh d\u1ec5 t\u00e1i ph\u00e1t n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/strong><\/em><\/p>\n

N\u1ebfu b\u1ecb c\u01a1n gout c\u1ea5p t\u00ednh t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, b\u1ec7nh s\u1ebd chuy\u1ec3n sang m\u1ea1n t\u00ednh v\u1edbi bi\u1ec3u hi\u1ec7n vi\u00eam nhi\u1ec1u kh\u1edbp, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c h\u1ea1t tophi (S\u1ef1 l\u1eafng \u0111\u1ecdng c\u1ee7a tinh th\u1ec3 Urat \u1edf v\u00f9ng ph\u1ea7n m\u1ec1m c\u1ea1nh kh\u1edbp, v\u00e0nh tai\u2026) k\u00e8m theo b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n s\u1ecfi th\u1eadn, suy th\u1eadn\u2026<\/strong><\/em><\/p><\/blockquote>\n

Ngu\u1ed3n b\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Nhi\u1ec1u ng\u01b0\u1eddi ch\u1ec9 bi\u1ebft r\u1eb1ng\u00a0b\u1ec7nh gout\u00a0kh\u00f4ng qu\u00e1 nguy hi\u1ec3m \u0111\u1ebfn m\u1ee9c g\u00e2y t\u1eed vong nh\u01b0ng \u0111i\u1ec1u \u00edt ng\u01b0\u1eddi bi\u1ebft l\u00e0 b\u1ec7nh gout n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang s\u1ebd ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. 1. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf ng\u01b0\u1eddi m\u1eafc b\u1ec7nh gout […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-18526","post","type-post","status-publish","format-standard","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=18526"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18526\/revisions"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=18526"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=18526"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=18526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}