{"id":105203,"date":"2022-05-29T00:00:00","date_gmt":"2022-05-29T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/viem-dai-trang-gia-mac\/"},"modified":"2022-08-25T00:00:00","modified_gmt":"2022-08-25T00:00:00","slug":"viem-dai-trang-gia-mac","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tieu-hoa\/viem-dai-trang-gia-mac\/","title":{"rendered":"Vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c: Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

Vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c (PMC) l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam trong ru\u1ed9t k\u1ebft x\u1ea3y ra khi c\u00f3 qu\u00e1 nhi\u1ec1u vi khu\u1ea9n nh\u1ea5t \u0111\u1ecbnh trong h\u1ec7 th\u1ed1ng ru\u1ed9t c\u1ee7a b\u1ea1n. Vi khu\u1ea9n g\u00e2y ra PMC l\u00e0 Clostridium difficile ho\u1eb7c C. diff. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 b\u1ec7nh l\u00fd ti\u00eau h\u00f3a n\u00e0y, m\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng Docosan<\/a> theo d\u00f5i n\u1ed9i dung d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n\n\n\n

Vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u00e0ng gi\u1ea3 l\u00e0 g\u00ec?<\/h2>\n\n\n\n

Vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u00e0ng gi\u1ea3 l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam (s\u01b0ng, t\u1ea5y) ru\u1ed9t gi\u00e0. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, n\u00f3 x\u1ea3y ra sau khi d\u00f9ng thu\u1ed1c kh\u00e1ng sinh. S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh c\u00f3 th\u1ec3 khi\u1ebfn vi khu\u1ea9n Clostridium difficile (C.diff) ph\u00e1t tri\u1ec3n v\u00e0 l\u00e2y nhi\u1ec5m sang l\u1edbp ni\u00eam m\u1ea1c c\u1ee7a ru\u1ed9t, t\u1ea1o ra t\u00ecnh tr\u1ea1ng vi\u00eam. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh, nh\u01b0 penicillin, clindamycin (Cleocin\u00ae), cephalosporin v\u00e0 fluoroquinolon c\u00f3 th\u1ec3 l\u00e0m cho C. diff ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c.<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c l\u00e0 g\u00ec?<\/h2>\n\n\n\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c bao g\u1ed3m:<\/p>\n\n\n\n

  • Th\u01b0\u1eddng xuy\u00ean ti\u00eau ch\u1ea3y ra n\u01b0\u1edbc \u0111\u00f4i khi c\u00f3 m\u00e1u<\/li>
  • \u0110au v\u00e0 m\u1ec1m \u1edf d\u1ea1 d\u00e0y<\/li>
  • Chu\u1ed9t r\u00fat<\/li>
  • Bu\u1ed3n n\u00f4n<\/li>
  • S\u1ed1t<\/li>
  • \u0102n m\u1ea5t ngon<\/li><\/ul>\n\n\n\n

    Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng h\u01a1n, nhi\u1ec5m tr\u00f9ng huy\u1ebft (ph\u1ea3n \u1ee9ng qu\u00e1 m\u1ee9c nguy hi\u1ec3m c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi nhi\u1ec5m tr\u00f9ng) c\u00f3 th\u1ec3 x\u1ea3y ra. H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u00e0ng gi\u1ea3 nh\u1eadn th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1eeb 5 \u0111\u1ebfn 10 ng\u00e0y sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh.<\/p>\n\n\n\n

    \"\"\/<\/figure>\n\n\n\n

    Ai c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c?<\/h2>\n\n\n\n

    Nh\u1eefng ng\u01b0\u1eddi trong b\u1ec7nh vi\u1ec7n ho\u1eb7c vi\u1ec7n d\u01b0\u1ee1ng l\u00e3o c\u0169ng c\u00f3 th\u1ec3 b\u1ecb PMC, \u0111\u1eb7c bi\u1ec7t n\u1ebfu h\u1ecd v\u1eeba ph\u1eabu thu\u1eadt ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb ung th\u01b0.B\u00ean c\u1ea1nh vi\u1ec7c d\u00f9ng thu\u1ed1c kh\u00e1ng sinh, b\u1ea1n c\u00f3 nhi\u1ec1u nguy c\u01a1 m\u1eafc b\u1ec7nh n\u1ebfu:<\/p>\n\n\n\n

    • Tr\u00ean 65 tu\u1ed5i<\/li>
    • \u0110\u00e3 t\u1eebng \u1edf \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t (ICU)<\/li>
    • C\u00f3 v\u1ebft b\u1ecfng tr\u00ean c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n<\/li>
    • \u0110\u00e3 t\u1eebng ph\u1eabu thu\u1eadt c\u1eaft l\u1edbp ho\u1eb7c ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/li>
    • C\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn<\/li>
    • C\u00e1c b\u1ec7nh v\u1ec1 ru\u1ed9t k\u1ebft nh\u01b0 b\u1ec7nh vi\u00eam ru\u1ed9t ho\u1eb7c ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng<\/li>
    • S\u1eed d\u1ee5ng thu\u1ed1c h\u00f3a tr\u1ecb<\/li>
    • S\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf b\u01a1m proton, l\u00e0m gi\u1ea3m axit trong d\u1ea1 d\u00e0y<\/li>
    • \u0110\u00e3 t\u1eebng b\u1ecb nhi\u1ec5m C. diff tr\u01b0\u1edbc \u0111\u00e2y<\/li><\/ul>\n\n\n\n
      \"\"\/<\/figure>\n\n\n\n

      Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c<\/h2>\n\n\n\n

      C. diff s\u1ed1ng trong \u0111\u1ea5t, kh\u00f4ng kh\u00ed, n\u01b0\u1edbc , ph\u00e2n v\u00e0 \u0111\u00f4i khi trong th\u1ef1c ph\u1ea9m nh\u01b0 th\u1ecbt \u0111\u00e3 qua ch\u1ebf bi\u1ebfn. B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m vi khu\u1ea9n n\u00e0y khi ch\u1ea1m v\u00e0o b\u1ec1 m\u1eb7t c\u00f3 vi khu\u1ea9n v\u00e0 sau \u0111\u00f3 \u0111\u01b0a tay v\u00e0o g\u1ea7n ho\u1eb7c trong mi\u1ec7ng. Khi \u0111\u00e3 v\u00e0o trong c\u01a1 th\u1ec3 b\u1ea1n, C. diff s\u1ebd t\u1ea1o ra m\u1ed9t lo\u1ea1i ch\u1ea5t \u0111\u1ed9c.<\/p>\n\n\n\n

      C\u00e1c vi khu\u1ea9n t\u1ed1t trong ru\u1ed9t k\u1ebft c\u1ee7a b\u1ea1n th\u01b0\u1eddng gi\u1eef cho s\u1ed1 l\u01b0\u1ee3ng C. diff trong c\u01a1 th\u1ec3 b\u1ea1n \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, nh\u01b0ng thu\u1ed1c kh\u00e1ng sinh c\u00f3 th\u1ec3 gi\u1ebft ch\u1ebft c\u00e1c vi khu\u1ea9n l\u00e0nh m\u1ea1nh v\u00e0 \u0111\u1ec3 C. diff ph\u00e1t tri\u1ec3n qu\u00e1 nhanh. \u0110i\u1ec1u n\u00e0y l\u00e0m h\u1ecfng ru\u1ed9t k\u1ebft c\u1ee7a b\u1ea1n v\u00e0 g\u00e2y ra PMC.<\/p>\n\n\n\n

      M\u1eb7c d\u00f9 tr\u00ean th\u1ef1c t\u1ebf, b\u1ea5t k\u1ef3 lo\u1ea1i kh\u00e1ng sinh n\u00e0o c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh n\u00e0y, nh\u01b0ng m\u1ed9t s\u1ed1 lo\u1ea1i c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng g\u00e2y ra PMC h\u01a1n nh\u1eefng lo\u1ea1i kh\u00e1c. Bao g\u1ed3m c\u00e1c:<\/p>\n\n\n\n

      • Cephalosporin (Cephalexin, Suprax)<\/li>
      • Clindamycin (Cleocin)<\/li>
      • Fluoroquinolon (Cipro, Levaquin)<\/li>
      • Penicillin (amoxicillin, ampicillin)<\/li><\/ul>\n\n\n\n

        PMC c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn:<\/p>\n\n\n\n

        • Nh\u1eefng thay \u0111\u1ed5i trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a b\u1ea1n<\/li>
        • H\u00f3a tr\u1ecb li\u1ec7u<\/li>
        • B\u1ec7nh Hirschsprung (m\u1ed9t t\u00ecnh tr\u1ea1ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ru\u1ed9t k\u1ebft c\u1ee7a b\u1ea1n)<\/li>
        • B\u1ec7nh th\u1eadn ho\u1eb7c suy th\u1eadn<\/li>
        • Suy dinh d\u01b0\u1ee1ng<\/li>
        • Ph\u1eabu thu\u1eadt ru\u1ed9t g\u1ea7n \u0111\u00e2y<\/li><\/ul>\n\n\n\n
          \"\"\/<\/figure>\n\n\n\n

          L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c?<\/h2>\n\n\n\n

          \u0110\u1ec3 t\u00ecm hi\u1ec3u xem b\u1ea1n c\u00f3 b\u1ecb PMC hay kh\u00f4ng, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n m\u1ed9t trong c\u00e1c x\u00e9t nghi\u1ec7m sau:<\/p>\n\n\n\n

          • X\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ki\u1ec3m tra s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u c\u1ee7a b\u1ea1n<\/li>
          • C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh, nh\u01b0 ch\u1ee5p X-quang ho\u1eb7c CT v\u00f9ng b\u1ee5ng d\u01b0\u1edbi c\u1ee7a b\u1ea1n (\u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng)<\/li>
          • X\u00e9t nghi\u1ec7m m\u1eabu ph\u00e2n \u0111\u1ec3 ki\u1ec3m tra vi khu\u1ea9n trong ru\u1ed9t k\u1ebft c\u1ee7a b\u1ea1n<\/li><\/ul>\n\n\n\n

            B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng ho\u1eb7c n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng x\u00edch ma, l\u00e0 nh\u1eefng x\u00e9t nghi\u1ec7m nh\u00ecn v\u00e0o b\u00ean trong ru\u1ed9t k\u1ebft c\u1ee7a b\u1ea1n b\u1eb1ng m\u1ed9t \u1ed1ng m\u1ec1m m\u1ecfng. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu m\u00f4 trong qu\u00e1 tr\u00ecnh kh\u00e1m \u0111\u1ec3 x\u00e9t nghi\u1ec7m.<\/p>\n\n\n\n

            \u0110i\u1ec1u tr\u1ecb vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c<\/h2>\n\n\n\n

            B\u00e1c s\u0129 s\u1ebd k\u00ea \u0111\u01a1n thu\u1ed1c kh\u00e1ng sinh gi\u00fap vi khu\u1ea9n t\u1ed1t ph\u00e1t tri\u1ec3n tr\u1edf l\u1ea1i \u0111\u1ec3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n bi\u1ebfn m\u1ea5t nhanh h\u01a1n. Bao g\u1ed3m:<\/p>\n\n\n\n

            • Fidaxomicin (Dificid)<\/li>
            • Metronidazole ( Flagyl )<\/li>
            • Vancomycin<\/li><\/ul>\n\n\n\n

              B\u1ea1n d\u00f9ng nh\u1eefng  lo\u1ea1i thu\u1ed1c n\u00e0y b\u1eb1ng  \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c qua t\u0129nh m\u1ea1ch. Ch\u1ebf ph\u1ea9m sinh  h\u1ecdc c\u00f3 th\u1ec3 h\u1eefu \u00edch trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb  nhi\u1ec5m tr\u00f9ng C. diff nh\u1eb9 nh\u01b0ng h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n tr\u01b0\u1edbc khi d\u00f9ng. Trong khi d\u00f9ng thu\u1ed1c kh\u00e1ng sinh, b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng bezlotoxumab (Zinplava). \u0110\u01b0\u1ee3c ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch, thu\u1ed1c n\u00e0y gi\u00fap gi\u1ea3m s\u1ef1 t\u00e1i ph\u00e1t c\u1ee7a nhi\u1ec5m tr\u00f9ng C. diff .<\/p>\n\n\n\n

              N\u1ebfu PMC c\u1ee7a b\u1ea1n nghi\u00eam tr\u1ecdng ho\u1eb7c ti\u1ebfp t\u1ee5c t\u00e1i ph\u00e1t, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n:<\/p>\n\n\n\n

              • Th\u00eam \u0111\u1ee3t kh\u00e1ng sinh<\/li>
              • C\u1ea5y vi sinh v\u1eadt trong ph\u00e2n (FMT), trong \u0111\u00f3 b\u00e1c s\u0129 \u0111\u01b0a ph\u00e2n kh\u1ecfe m\u1ea1nh t\u1eeb ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng v\u00e0o h\u1ec7 th\u1ed1ng c\u1ee7a b\u1ea1n \u0111\u1ec3 gi\u00fap kh\u00f4i ph\u1ee5c vi khu\u1ea9n t\u1ed1t<\/li>
              • Ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u1ed9t ph\u1ea7n ru\u1ed9t k\u1ebft c\u1ee7a b\u1ea1n (\u00edt h\u01a1n 1% nh\u1eefng ng\u01b0\u1eddi b\u1ecb PMC c\u1ea7n \u0111i\u1ec1u n\u00e0y.)<\/li><\/ul>\n\n\n\n
                \"\"\/<\/figure>\n\n\n\n

                Vi\u00eam \u0111\u1ea1i tr\u00e0ng m\u00e0ng gi\u1ea3 c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c kh\u00f4ng?<\/h2>\n\n\n\n

                C\u00f3 th\u1ec3 ng\u0103n ng\u1eeba vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c do s\u1ef1 ph\u00e1t tri\u1ec3n ngo\u00e0i t\u1ea7m ki\u1ec3m so\u00e1t c\u1ee7a vi khu\u1ea9n C. diff b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p v\u1ec7 sinh c\u01a1 b\u1ea3n sau:<\/p>\n\n\n\n

                • Th\u01b0\u1eddng xuy\u00ean r\u1eeda tay b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc.<\/li>
                • R\u1eeda tay sau khi \u0111\u1ebfn th\u0103m b\u1ea5t k\u1ef3 ai trong vi\u1ec7n d\u01b0\u1ee1ng l\u00e3o ho\u1eb7c b\u1ec7nh vi\u1ec7n<\/li>
                • Kh\u1eed tr\u00f9ng b\u1ec1 m\u1eb7t b\u1eb1ng c\u00e1c s\u1ea3n ph\u1ea9m t\u1ea9y r\u1eeda g\u1ed1c clo<\/li>
                • Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh ngo\u1ea1i tr\u1eeb nh\u1eefng lo\u1ea1i thu\u1ed1c do b\u00e1c s\u0129 k\u00ea \u0111\u01a1n<\/li>
                • N\u1ebfu ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ecb C. diff, h\u00e3y \u0111eo g\u0103ng tay d\u00f9ng m\u1ed9t l\u1ea7n v\u00e0 r\u1eeda tay sau t\u1ea5t c\u1ea3 c\u00e1c l\u1ea7n ti\u1ebfp x\u00fac.<\/li>
                • N\u1ebfu qu\u1ea7n \u00e1o c\u1ee7a b\u1ea1n b\u1ecb d\u00ednh ph\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m C. diff, h\u00e3y gi\u1eb7t qu\u1ea7n \u00e1o c\u1ee7a b\u1ea1n b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 thu\u1ed1c t\u1ea9y clo.<\/li><\/ul>\n\n\n\n

                  V\u1edbi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb, h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n kh\u1ecfi b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c. \u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 \u00edt ng\u01b0\u1eddi, vi\u1ec7c t\u00e1i nhi\u1ec5m C. diff c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ec7nh t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n. N\u1ebfu b\u1ea1n xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu b\u1ea1n v\u1eeba m\u1edbi d\u00f9ng thu\u1ed1c kh\u00e1ng sinh, h\u00e3y li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

                  B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n

                  Ngu\u1ed3n tham kh\u1ea3o: clevelandclinic<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

                  Vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c (PMC) l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam trong ru\u1ed9t k\u1ebft x\u1ea3y ra khi c\u00f3 qu\u00e1 nhi\u1ec1u vi khu\u1ea9n nh\u1ea5t \u0111\u1ecbnh trong h\u1ec7 th\u1ed1ng ru\u1ed9t c\u1ee7a b\u1ea1n. Vi khu\u1ea9n g\u00e2y ra PMC l\u00e0 Clostridium difficile ho\u1eb7c C. diff. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 b\u1ec7nh l\u00fd ti\u00eau h\u00f3a n\u00e0y, m\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng Docosan […]<\/p>\n","protected":false},"author":7,"featured_media":97227,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[61],"tags":[],"class_list":["post-105203","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tieu-hoa"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/05\/viem-dai-trang-gia-mac-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/05\/viem-dai-trang-gia-mac-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=105203"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105203\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/97227"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=105203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=105203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=105203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}