{"id":372,"date":"2021-11-24T07:47:18","date_gmt":"2021-11-24T07:47:18","guid":{"rendered":"http:\/\/bvmatnguyenhung.vn\/?p=372"},"modified":"2021-11-24T07:47:44","modified_gmt":"2021-11-24T07:47:44","slug":"can-thi","status":"publish","type":"post","link":"http:\/\/bvmatnguyenhung.vn\/?p=372","title":{"rendered":"C\u1eadn th\u1ecb"},"content":{"rendered":"

Kh\u00e1i ni\u1ec7m<\/strong><\/p>\n

C\u1eadn th\u1ecb (Myopia, Nearsightedness) l\u00e0 do s\u1ef1 m\u1ea5t c\u00e2n \u0111\u1ed1i gi\u1eefa chi\u1ec1u d\u00e0i nh\u00e3n c\u1ea7u v\u00e0 l\u1ef1c quang h\u1ecdc c\u1ee7a m\u1eaft khi\u1ebfn cho \u1ea3nh h\u1ed9i t\u1ee5 tr\u01b0\u1edbc v\u00f5ng m\u1ea1c.<\/p>\n

G\u1ea7n \u0111\u00e2y c\u1eadn th\u1ecb h\u1ecdc \u0111\u01b0\u1eddng \u0111ang c\u00f3 xu h\u01b0\u1edbng t\u0103ng nhanh li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u ti\u1ebft c\u1ee7a m\u1eaft trong th\u1eddi gian d\u00e0i (nh\u00ecn nh\u1eefng con s\u1ed1 nh\u1ecf, \u0111\u1ecdc s\u00e1ch, ti\u1ebfp x\u00fac m\u00e0n h\u00ecnh m\u00e1y t\u00ednh\u2026) trong \u0111i\u1ec1u ki\u1ec7n kh\u00f4ng \u0111\u1ee7 \u00e1nh s\u00e1ng c\u00f3 li\u00ean quan t\u1edbi c\u1eadn th\u1ecb. <\/strong>Ngo\u00e0i ra, tr\u1ebb sinh thi\u1ebfu th\u00e1ng, thi\u1ebfu dinh d\u01b0\u1ee1ng c\u0169ng g\u00f3p ph\u1ea7n g\u00e2y c\u1eadn th\u1ecb.<\/p>\n

Y\u1ebfu t\u1ed1 di truy\u1ec1n c\u0169ng li\u00ean quan t\u1edbi b\u1ec7nh n\u00e0y. N\u1ebfu cha m\u1eb9 b\u1ecb c\u1eadn th\u1ecb th\u00ec con c\u00e1i s\u1ebd c\u00f3 nguy c\u01a1 m\u1eafc t\u1eadt c\u1eadn th\u1ecb cao h\u01a1n v\u00e0 bi\u1ec3u hi\u1ec7n t\u1eeb khi nh\u1ecf.<\/p>\n

Trong h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p c\u1eadn th\u1ecb, b\u1ec7nh s\u1ebd \u00edt t\u0103ng \u0111\u1ed9 h\u01a1n khi tr\u01b0\u1edfng th\u00e0nh; nh\u01b0ng th\u1ec9nh tho\u1ea3ng n\u00f3 v\u1eabn ti\u1ebfp t\u1ee5c ti\u1ebfn tri\u1ec3n theo tu\u1ed5i.<\/p>\n

Nguy\u00ean nh\u00e2n tr\u1ef1c ti\u1ebfp g\u00e2y c\u1eadn th\u1ecb do chi\u1ec1u d\u00e0i nh\u00e3n c\u1ea7u l\u1edbn h\u01a1n b\u00ecnh th\u01b0\u1eddng, c\u1eadn th\u1ecb do gi\u00e1c m\u1ea1c hay th\u1ee7y tinh th\u1ec3 gia t\u0103ng \u0111\u1ed9 cong, c\u1eadn th\u1ecb t\u0103ng gi\u1ea3m ch\u1ec9 s\u1ed1 kh\u00fac x\u1ea1 th\u1ee7y tinh th\u1ec3.<\/p>\n

\"\"<\/p>\n

Tri\u1ec7u ch\u1ee9ng nh\u1eadn bi\u1ebft<\/strong><\/p>\n

Khi b\u1ecb c\u1eadn th\u1ecb, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd nh\u00ecn kh\u00f4ng r\u00f5 c\u00e1c v\u1eadt \u1edf xa, nh\u01b0ng l\u1ea1i nh\u00ecn th\u1ea5y r\u00f5 c\u00e1c v\u1eadt \u1edf g\u1ea7n nh\u01b0 \u0111\u1ecdc s\u00e1ch v\u00e0 s\u1eed d\u1ee5ng m\u00e1y t\u00ednh, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng hay nheo m\u1eaft, m\u1ecfi m\u1eaft v\u00e0 nh\u1ee9c \u0111\u1ea7u.<\/p>\n

 <\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u1eadn th\u1ecb<\/strong><\/p>\n

Ng\u01b0\u1eddi b\u1ecb c\u1eadn th\u1ecb c\u00f3 th\u1ec3 \u0111eo k\u00ednh c\u00f3 g\u1ecdng, k\u00ednh \u00e1p tr\u00f2ng ho\u1eb7c ph\u1eabu thu\u1eadt kh\u00fac x\u1ea1 \u0111\u1ec3 nh\u00ecn xa r\u00f5, nh\u01b0 l\u00e1i xe, nh\u00ecn b\u1ea3ng khi h\u1ecdc ho\u1eb7c xem phim.<\/p>\n

N\u00ean ch\u1ecdn tr\u00f2ng k\u00ednh c\u00f3 \u0111\u1ed9 chi\u1ebft su\u1ea5t cao \u0111\u1ec3 ch\u1ed1ng t\u0103ng \u0111\u1ed9 nhanh, c\u00f3 l\u1edbp ch\u1ed1ng ch\u00f3i, ch\u1ed1ng tia c\u1ef1c t\u00edm v\u00e0 \u00e1nh s\u00e1ng xanh c\u00f3 h\u1ea1i.<\/p>\n

Ph\u1eabu thu\u1eadt kh\u00fac x\u1ea1 c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 gi\u00fap b\u1ea1n kh\u00f4ng c\u1ea7n \u0111eo k\u00ednh. Th\u1ee7 thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ph\u1eabu thu\u1eadt th\u1ef1c hi\u1ec7n v\u1edbi Laser Excimer.G\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt nh\u01b0 PRK (Photo Refractive Keratectomy), LASIK\u00a0<\/strong><\/a>, Femto LASIK<\/strong><\/a>,<\/u><\/strong> Smart Surf ACE<\/strong>, ReLEx SMILE<\/strong><\/a>.<\/u><\/strong><\/p>\n

Trong c\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u00ec ph\u01b0\u01a1ng ph\u00e1p ReLEx SMILE<\/strong><\/a>.<\/u><\/strong> c\u00f3 \u0111\u1ed9 an to\u00e0n v\u00e0 ch\u00ednh x\u00e1c g\u1ea7n nh\u01b0 tuy\u1ec7t \u0111\u1ed1i. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p ReLEx SMILE l\u00e0 \u00edt g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng h\u1ec7 th\u1ea7n kinh \u1edf gi\u00e1c m\u1ea1c, \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1ee3c s\u1ef1 v\u1eefng ch\u1eafc c\u01a1 h\u1ecdc t\u1ef1 nhi\u00ean c\u1ee7a gi\u00e1c m\u1ea1c.\u00a0B\u1ec7nh nh\u00e2n sau khi ph\u1eabu thu\u1eadt c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t, c\u00f3 t\u00ednh \u1ed5n \u0111\u1ecbnh cao, \u00edt kh\u1ea3 n\u0103ng t\u00e1i c\u1eadn.<\/p>\n

Ph\u1eabu thu\u1eadt\u00a0ReLEx SMILE<\/strong><\/a>\u00a0l\u00e0 ph\u1eabu thu\u1eadt \u0111i\u1ec1u ch\u1ec9nh t\u1eadt kh\u00fac x\u1ea1 kh\u00f4ng l\u1eadt v\u1ea1t gi\u00e1c m\u1ea1c, kh\u00f4ng s\u1eed d\u1ee5ng dao vi ph\u1eabu c\u01a1 h\u1ecdc, c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u1eadt kh\u00fac x\u1ea1 cho b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ed9 c\u1eadn v\u00e0 \u0111\u1ed9 lo\u1ea1n th\u1ecb cao..Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 \u0111\u1ed9 an to\u00e0n v\u00e0 ch\u00ednh x\u00e1c g\u1ea7n nh\u01b0 tuy\u1ec7t \u0111\u1ed1i. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p ReLEx SMILE l\u00e0 \u00edt g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng h\u1ec7 th\u1ea7n kinh \u1edf gi\u00e1c m\u1ea1c, \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1ee3c s\u1ef1 v\u1eefng ch\u1eafc c\u01a1 h\u1ecdc t\u1ef1 nhi\u00ean c\u1ee7a gi\u00e1c m\u1ea1c.\u00a0B\u1ec7nh nh\u00e2n sau khi ph\u1eabu thu\u1eadt c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t, c\u00f3 t\u00ednh \u1ed5n \u0111\u1ecbnh cao, \u00edt kh\u1ea3 n\u0103ng t\u00e1i c\u1eadn.<\/p>\n

Ngo\u00e0i ra c\u00f2n c\u00f3 ph\u01b0\u01a1ng ph\u00e1p Orthokeratology<\/strong><\/a>\u00a0(Ortho-K) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng ph\u1eabu thu\u1eadt, ng\u01b0\u1eddi b\u1ecb c\u1eadn th\u1ecb s\u1ebd mang m\u1ed9t k\u00ednh \u00e1p tr\u00f2ng c\u1ee9ng (RGP ho\u1eb7c GP) v\u00e0o ban \u0111\u00eam, gi\u00fap \u0111i\u1ec1u ch\u1ec9nh h\u00ecnh d\u00e1ng gi\u00e1c m\u1ea1c trong khi ng\u1ee7. Bu\u1ed5i s\u00e1ng, khi th\u00e1o k\u00ednh gi\u00e1c m\u1ea1c s\u1ebd t\u1ea1m th\u1eddi gi\u1eef l\u1ea1i h\u00ecnh d\u1ea1ng m\u1edbi, v\u00ec v\u1eady b\u1ea1n c\u00f3 th\u1ec3 nh\u00ecn r\u00f5 c\u1ea3 ng\u00e0y m\u00e0 kh\u00f4ng c\u1ea7n \u0111eo k\u00ednh c\u00f3 g\u1ecdng hay k\u00ednh \u00e1p tr\u00f2ng \u0111i\u1ec1u ch\u1ec9nh m\u1eaft c\u1eadn th\u1ecb.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ch\u1eefa tr\u1ecb t\u1ea1m th\u1eddi c\u1eadn th\u1ecb \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh, \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh c\u00f2n qu\u00e1 nh\u1ecf kh\u00f4ng \u0111\u1ee7 tu\u1ed5i \u0111\u1ec3 ph\u1eabu thu\u1eadt<\/p>\n

Khi ng\u01b0\u1eddi c\u1eadn th\u1ecb n\u1eb7ng ho\u1eb7c c\u00f3 gi\u00e1c m\u1ea1c m\u1ecfng h\u01a1n b\u00ecnh th\u01b0\u1eddng m\u00e0 c\u00e1c ph\u1eabu thu\u1eadt laser \u0111i\u1ec1u ch\u1ec9nh c\u1eadn th\u1ecb c\u00f3 th\u1ec3\u00a0t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng th\u00ec c\u00f3 th\u1ec3 d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u1eb7t k\u00ednh n\u1ed9i nh\u00e3n tr\u00ean m\u1eaft c\u00f2n th\u1ee7y tinh th\u1ec3 (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Phakic IOL). Phakic IOL ho\u1ea1t \u0111\u1ed9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 k\u00ednh \u00e1p tr\u00f2ng, nh\u01b0ng n\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u00ean trong m\u1eaft c\u00f3 th\u1ec3 v\u0129nh vi\u1ec5n.<\/p>\n

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T\u00ean m\u00e1y: H\u1ec7 th\u1ed1ng m\u00e1y ph\u1eabu thu\u1eadt kh\u00fac x\u1ea1 Visumax<\/strong><\/p>\n

C\u1eadn th\u1ecb b\u1ec7nh l\u00fd<\/strong><\/p>\n

C\u1eadn th\u1ecb b\u1ec7nh l\u00fd c\u00f2n g\u1ecdi l\u00e0 C\u1eadn th\u1ecb tho\u00e1i h\u00f3a, \u0111\u01b0\u1ee3c cho l\u00e0 di truy\u1ec1n v\u00e0 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1eeb khi c\u00f2n nh\u1ecf.<\/p>\n

Khi s\u1ef1 k\u00e9o d\u00e0i c\u1ee7a tr\u1ee5c nh\u00e3n c\u1ea7u di\u1ec5n ra nhanh c\u00f2n g\u1ecdi l\u00e0 c\u1eadn th\u1ecb \u00e1c t\u00ednh, l\u00fac \u0111\u00f3 \u0111\u1ed9 t\u0103ng nhanh v\u00e0 m\u1ea5t th\u1ecb l\u1ef1c. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 b\u1ecb bong v\u00f5ng m\u1ea1c ho\u1eb7c xu\u1ea5t huy\u1ebft v\u00f5ng m\u1ea1c do s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c t\u00e2n m\u1ea1ch.<\/p>\n

C\u1eadn th\u1ecb b\u1ec7nh l\u00fd c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ee5c th\u1ee7y tinh th\u1ec3.<\/p>\n

\u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng c\u1ee7a c\u1eadn th\u1ecb b\u1ec7nh l\u00fd b\u1eb1ng c\u00e1ch d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p quang \u0111\u1ed9ng h\u1ecdc bao g\u1ed3m k\u1ebft h\u1ee3p thu\u1ed1c v\u00e0 th\u1ee7 thu\u1eadt laser (photodynamic therapy). Hi\u1ec7n nay ng\u01b0\u1eddi<\/p>\n

Ki\u1ec3m so\u00e1t b\u1eb1ng thu\u1ed1c<\/strong><\/p>\n

Hi\u1ec7n nay Atropin t\u00e1c d\u1ee5ng t\u1ea1i ch\u1ed7 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u1ea7u h\u1ebft v\u00e0 r\u1ed9ng r\u00e3i \u0111\u1ec3 ki\u1ec3m so\u00e1t ti\u1ebfn tri\u1ec3n c\u1eadn th\u1ecb. Atropin l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u1ed1i kh\u00e1ng kh\u00f4ng ch\u1ecdn l\u1ecdc muscarinic, l\u00e0m gi\u00e3n \u0111\u1ed3ng t\u1eed k\u00e9o d\u00e0i v\u00e0 li\u1ec7t c\u01a1 th\u1ec3 mi, hi\u1ec7u qu\u1ea3 v\u1edbi n\u1ed3ng \u0111\u1ed9 th\u00e2p nh\u1ea5t 0.01% trong m\u1ed9t lo\u1ea1t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ATOM t\u1eeb Singapore.<\/p>\n

M\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 li\u00ean quan \u0111\u1ebfn th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng cho ki\u1ec3m so\u00e1t ti\u1ebfn tri\u1ec3n c\u1eadn th\u1ecb l\u00e0 7 \u2013 methylxanthine (7 \u2013 MX ) \u0111\u01b0\u1eddng u\u1ed1ng – m\u1ed9t ch\u1ea5t \u0111\u1ed1i kh\u00e1ng adnosine c\u00f2n trong v\u00f2ng nghi\u00ean c\u1ee9u.<\/p>\n

C\u00e1c khuy\u1ebfn ngh\u1ecb v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c h\u1ea1 nh\u00e3n \u00e1p m\u1ee5c \u0111\u00edch ki\u1ec3m so\u00e1t c\u1eadn th\u1ecb v\u1edbi mong mu\u1ed1n l\u00e0 gi\u1ea3m nh\u00e3n \u00e1p s\u1ebd l\u00e0m gi\u1ea3m s\u1ee9c c\u1eafng l\u00ean th\u00e0nh nh\u00e3n c\u1ea7u do \u0111\u00f3 l\u00e0m gi\u1ea3m s\u1ef1 d\u00e0i ra c\u1ee7a n\u00f3 v\u1eabn c\u00f2n \u0111ang nghi\u00ean c\u1ee9u ch\u01b0a \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o.<\/p>\n

\u00a0<\/strong><\/p>\n

Ngu\u1ed3n: <\/strong><\/p>\n

-Monica Jong, BOptom PhD Executive Director IMI Brien Holden Vision Institute Sydney, Visiting Fellow School of Optometry and Vision Science, University of New South Wales, Sydney, Australia. Christine F. Wildsoet, DipAppSci (Optom) BSci (Hons Pharm) PhD Committee Chair IMI Berkeley Myopia Research Group, School of Optometry & Vision Science Program, University of California Berkeley, Berkeley, CA, USA<\/p>\n

–https:\/\/nei.nih.gov\/health\/errors\/myopia<\/a><\/p>\n

–https:\/\/www.mayoclinic.org\/diseases-conditions\/nearsightedness\/symptoms-causes\/syc-20375556<\/a><\/p>\n

–https:\/\/www.aao.org\/eye-health\/diseases\/myopia-nearsightedness<\/a>–https:\/\/medlineplus.gov\/ency\/article\/001023.htm<\/a><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1ec7nh vi\u1ec7n m\u1eaft Nguy\u1ec5n H\u00f9ng<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Kh\u00e1i ni\u1ec7m C\u1eadn th\u1ecb (Myopia, Nearsightedness) l\u00e0 do s\u1ef1 m\u1ea5t c\u00e2n \u0111\u1ed1i gi\u1eefa chi\u1ec1u d\u00e0i nh\u00e3n c\u1ea7u v\u00e0 l\u1ef1c quang h\u1ecdc c\u1ee7a m\u1eaft khi\u1ebfn cho \u1ea3nh h\u1ed9i t\u1ee5 tr\u01b0\u1edbc v\u00f5ng m\u1ea1c. G\u1ea7n \u0111\u00e2y c\u1eadn th\u1ecb h\u1ecdc \u0111\u01b0\u1eddng \u0111ang c\u00f3 xu h\u01b0\u1edbng t\u0103ng nhanh li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u ti\u1ebft c\u1ee7a m\u1eaft trong th\u1eddi gian d\u00e0i (nh\u00ecn…<\/p>\n","protected":false},"author":1,"featured_media":376,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"yoast_head":"\r\nC\u1eadn th\u1ecb - B\u1ec7nh vi\u1ec7n m\u1eaft Nguy\u1ec5n H\u00f9ng<\/title>\r\n<link rel=\"canonical\" href=\"http:\/\/bvmatnguyenhung.vn\/?p=372\" \/>\r\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"C\u1eadn th\u1ecb - B\u1ec7nh vi\u1ec7n m\u1eaft Nguy\u1ec5n H\u00f9ng\" \/>\r\n<meta property=\"og:description\" content=\"Kh\u00e1i ni\u1ec7m C\u1eadn th\u1ecb (Myopia, Nearsightedness) l\u00e0 do s\u1ef1 m\u1ea5t c\u00e2n \u0111\u1ed1i gi\u1eefa chi\u1ec1u d\u00e0i nh\u00e3n c\u1ea7u v\u00e0 l\u1ef1c quang h\u1ecdc c\u1ee7a m\u1eaft khi\u1ebfn cho \u1ea3nh h\u1ed9i t\u1ee5 tr\u01b0\u1edbc v\u00f5ng m\u1ea1c. 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