{"id":2204,"date":"2018-11-19T13:17:15","date_gmt":"2018-11-19T13:17:15","guid":{"rendered":"https:\/\/robot.yeupet.vn\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo\/"},"modified":"2018-11-19T13:17:15","modified_gmt":"2018-11-19T13:17:15","slug":"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo\/","title":{"rendered":"B\u1ec7nh Do N\u1ea5m Aspergillus V\u00e0 Penicillium Tr\u00ean Ch\u00f3 M\u00e8o"},"content":{"rendered":"<p>Aspergillus v\u00e0 Penicillium l\u00e0 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh c\u01a1 h\u1ed9i khi mi\u1ec5n d\u1ecbch c\u1ee7a v\u1eadt ch\u1ee7 suy gi\u1ea3m do c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng. Mi\u1ec5n d\u1ecbch trung gian t\u1ebf b\u00e0o l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng h\u1ea1n ch\u1ebf l\u00e2y lan s\u1ef1 nhi\u1ec5m tr\u00f9ng. Suy gi\u1ea3m mi\u1ec5n d\u1ecbch nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, gi\u1ea3m b\u1ea1ch c\u1ea7u k\u00e9o d\u00e0i, h\u00f3a tr\u1ecb li\u1ec7u, \u0111i\u1ec1u tr\u1ecb glucocorticoid, ..<span id=\"more-2544\"><\/span><br \/>\n<b>1. Nguy\u00ean nh\u00e2n gay b\u1ec7nh<\/b><\/p>\n<p>N\u1ea5m m\u0169i do Aspergillus (Sino-Nasal Aspergillosis \u2013 SNA) th\u01b0\u1eddng g\u1eb7p h\u01a1n do Penicillium. C\u00f3 kho\u1ea3ng h\u01a1n 250 lo\u00e0i n\u1ea5m.<i>Aspergillus fumigatus<\/i>\u00a0ph\u1ed5 bi\u1ebfn nh\u1ea5t (<i>Aspergillus niger<\/i>,\u00a0<i>Aspergillus nidulans<\/i>\u00a0v\u00e0\u00a0<i>Aspergillus flavus<\/i>).C\u1ea3 hai nh\u00f3m n\u1ea5m ho\u1ea1i sinh ph\u1ed5 bi\u1ebfn v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh c\u01a1 h\u1ed9i tr\u00ean ch\u00f3.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo.jpg\" class=\"aligncenter size-full wp-image-2545\" alt=\"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo\" width=\"320\" height=\"243\"><\/p>\n<p>\u00a0<\/p>\n<p>H\u00ecnh 1: H\u00ecnh s\u1ee3i n\u1ea5m\u00a0Aspergillus V\u00e0 Penicillium<\/p>\n<p><b>2. Sinh b\u1ec7nh h\u1ecdc<\/b><b><\/b><\/p>\n<p>Aspergillus x\u00e2m nh\u1eadp\u00a0\u2192\u00a0ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p\u00a0\u2192\u00a0ti\u00eau di\u1ec7t t\u1ebf b\u00e0o xung quanh\u00a0\u2192\u00a0ch\u1ed1ng l\u1ea1i th\u1ef1c b\u00e0o. b\u00e0o t\u1eed b\u00e1m v\u00e0o protein c\u00e1c b\u1ec1 m\u1eb7t, nh\u1edd h\u1ec7 th\u1ed1ng b\u00e1m d\u00ednh hydrophobins. \u0110\u1ed9c t\u1ed1 gliotoxin\u00a0\u2192\u00a0\u1ee9c ch\u1ebf \u0111\u1ea1i th\u1ef1c b\u00e0o\u00a0\u2192\u00a0\u1ee9c ch\u1ebf h\u1ec7 mi\u1ec5n d\u1ecbch. Gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng l\u00f4ng rung v\u00e0 m\u00e0ng nh\u00e0y l\u00e0m k\u00e9o d\u00e0i th\u1eddi gian c\u01b0 tr\u00fa (c\u1ee7a n\u1ea5m v\u00e0 nhi\u1ec1u lo\u1ea1i m\u1ea7m b\u1ec7nh kh\u00e1c) trong bi\u1ec3u m\u00f4. Enzyme nh\u01b0 protease gi\u00fap t\u1ebf b\u00e0o n\u1ea5m x\u00e2m nh\u1eadp v\u00e0o m\u00f4.<\/p>\n<p>SNA: ph\u1ed5 bi\u1ebfn ch\u00f3 nh\u1ecf v\u00e0 ch\u00f3 l\u1ee9a m\u00f5m d\u00e0i. T\u1eeb 3 th\u00e1ng \u2013 11 n\u0103m (trung b\u00ecnh 3,3 n\u0103m).<\/p>\n<p>Kh\u1ed1i u m\u0169i: x\u1ea3y ra \u1edf ch\u00f3 l\u1edbn. Ch\u1ea5n th\u01b0\u01a1ng m\u0169i kh\u00f4ng ph\u1ed5 bi\u1ebfn. SNA x\u1ea3y ra do nguy\u00ean nh\u00e2n k\u1ebf ph\u00e1t. R\u1ed1i lo\u1ea1n kh\u00e1c: lan r\u1ed9ng xu\u1ed1ng r\u0103ng mi\u1ec7ng v\u00e0 v\u00f2m mi\u1ec7ng, vi\u00eam m\u0169i d\u1ecb \u1ee9ng,\u2026 Aspergillosis kh\u00f4ng bi\u1ec3u hi\u1ec7n r\u00f5 r\u00e0ng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng. SNA: \u0103n m\u00f2n hay ti\u00eau h\u1ee7y h\u1ed9p s\u1ecd m\u0169i, t\u1ea5m s\u1ee5n, v\u00f2m mi\u1ec7ng ho\u1eb7c x\u01b0\u01a1ng \u1ed5 m\u1eaft. A. fumigatus\u00a0\u2192\u00a0n\u1ed9i \u0111\u1ed9c t\u1ed1\u00a0\u2192\u00a0xu\u1ea5t huy\u1ebft v\u00e0 b\u1eaft \u0111\u1ea7u ho\u1ea1i t\u1eed ph\u00e1 h\u1ee7y m\u00f4 t\u1ea1i ch\u1ed7.<\/p>\n<p><b>3. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh<\/b><b><\/b><\/p>\n<p>SNA: ch\u1ea3y n\u01b0\u1edbc m\u0169i nh\u1ea7y, h\u1eaft h\u01a1i, kh\u00f3 ch\u1ecbu \u1edf m\u0169i (c\u00e0o m\u1eb7t), ch\u1ea3y m\u00e1u cam, ch\u00e1n \u0103n, l\u1edd \u0111\u1edd v\u00e0 m\u1ea5t s\u1eafc t\u1ed1 ho\u1eb7c lo\u00e9t c\u1ee7a l\u1ed7 m\u0169i. Giai \u0111o\u1ea1n cu\u1ed1i ch\u00f3 th\u01b0\u1eddng h\u00e1 mi\u1ec7ng th\u1edf do t\u1eafc m\u0169i v\u00e0 c\u00f3 th\u1ec3 \u0111i k\u00e8m v\u1edbi b\u1ec7nh kh\u00e1c. M\u1edbi \u0111\u1ea7u m\u0169i ch\u1ea3y m\u1ed9t b\u00ean nh\u01b0ng th\u01b0\u1eddng ph\u00e1t tri\u1ec3n t\u1ed5n th\u01b0\u01a1ng hai b\u00ean do ph\u00e1 h\u1ee7y v\u00e1ch ng\u0103n \u0111\u01b0\u1eddng gi\u1eefa m\u0169i. Vi\u00eam m\u0169i\u00a0\u2192\u00a0vi\u00eam xoang\u00a0\u2192\u00a0s\u01b0ng m\u1eb7t, t\u1eafc ngh\u1ebdn \u1ed1ng d\u1eabn, ph\u00e1 h\u1ee7y to\u00e0n b\u1ed9 xoang\u00a0\u2192\u00a0ch\u1ea3y n\u01b0\u1edbc m\u1eaft. X\u00e2m nhi\u1ec5m \u1ed5 m\u1eaft\u00a0\u2192\u00a0ch\u1ea3y n\u01b0\u1edbc m\u1eaft n\u01b0\u1edbc m\u0169i, l\u1ed3i m\u1eaft, h\u00e1 mi\u1ec7ng, t\u1ed5n th\u01b0\u01a1ng gi\u00e1c m\u1ea1c ho\u1eb7c lo\u00e9t m\u1eaft. L\u00f5m m\u1eaft v\u00e0 b\u1ec7nh lao h\u00f3a s\u1ee3i: trong c\u00e1c giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb (l\u00e0nh b\u1ec7nh).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo1.jpg\" class=\"aligncenter size-full wp-image-2546\" alt=\"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo1\" width=\"626\" height=\"263\"><\/p>\n<p>\u00a0<\/p>\n<p>H\u00ecnh 2:\u00a0H\u00ecnh: (A) Ch\u00f3 lo\u00e9t v\u00e0 ch\u1ea3y n\u01b0\u1edbc m\u0169i. (B) n\u1ea5m trong xoang m\u0169i.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo2.jpg\" class=\"aligncenter size-full wp-image-2547\" alt=\"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo2\" width=\"640\" height=\"346\"><\/p>\n<p><p>H\u00ecnh 3: M\u00e8o b\u1ecb x\u01b0ng m\u1eb7t v\u00e0 l\u1ed3i m\u1eaft do n\u1ea5m\u00a0Aspergillus V\u00e0 Penicillium<\/p>\n<p><b>4. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh<\/b><b><\/b><\/p>\n<p>Ki\u1ec3m tra n\u00ean bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng b\u00ean ngo\u00e0i:<\/p>\n<ul>\n<li>D\u1ea5u hi\u1ec7u \u0111au v\u00f9ng m\u0169i.<\/li>\n<li>D\u1ecbch m\u0169i, mi\u1ec7ng.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo3.jpg\" class=\"aligncenter size-full wp-image-2548\" alt=\"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo3\" width=\"320\" height=\"232\"><\/p>\n<p><p>H\u00ecnh 4:\u00a0N\u1ed9i soi m\u0169i (Rhinoscopy)<\/p>\n<div>N\u1ed9i soi m\u0169i (Rhinoscopy).<\/div>\n<div>Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh (ch\u1ee5p X-quang , CT, MRI)<\/div>\n<div>Ki\u1ec3m tra t\u1ebf b\u00e0o h\u1ecdc, m\u00f4 b\u1ec7nh h\u1ecdc.<\/div>\n<div><\/div>\n<ul>\n<li>M\u1eabu sinh thi\u1ebft.<\/li>\n<li>Nu\u00f4i c\u1ea5y sinh v\u1eadt.<\/li>\n<li>Huy\u1ebft thanh h\u1ecdc (t\u00ecm KN, KT).<\/li>\n<li>PCR\u00a0m\u1eabu d\u1ecbch nh\u1ea7y t\u00ecm t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo4.jpg\" class=\"aligncenter size-full wp-image-2549\" alt=\"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo4\" width=\"627\" height=\"447\"><\/p>\n<p>\u00a0<\/p>\n<p>H\u00ecnh 5: S\u01a1 \u0111\u1ed3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh do n\u1ea5m\u00a0Aspergillus V\u00e0 Penicillium<\/p>\n<h2>5. Li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb SNA tr\u00ean ch\u00f3 lu\u00f4n kh\u00f3 kh\u0103n, \u0111\u1ebfn nay v\u1eabn l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c.<\/p>\n<h3>a\/ \u0110i\u1ec1u tr\u1ecb qua \u0111\u01b0\u1eddng u\u1ed1ng:<\/h3>\n<p>\u01afu \u0111i\u1ec3m: d\u1ec5 th\u1ef1c hi\u1ec7n.\u00a0Khuy\u1ebft \u0111i\u1ec3m: Hi\u1ec7u qu\u1ea3 th\u1ea5p, c\u1ea5p thu\u1ed1c d\u00e0i h\u1ea1n (4 tu\u1ea7n). \u0110\u1eaft ti\u1ec1n.T\u00e1c d\u1ee5ng ph\u1ee5: h\u1ea1i gan, bi\u1ebfng \u0103n, n\u00f4n m\u1eeda<\/p>\n<h3>b\/ \u0110i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7:<\/h3>\n<p>Enilcomazole v\u00e0 clotrimazole: H\u00f2a tan k\u00e9m, k\u00e9m h\u1ea5p thu \u1edf ru\u1ed9t. Ki\u1ec1m n\u1ea5m \u1edf n\u1ed3ng \u0111\u1ed9 th\u1ea5p, di\u1ec7t n\u1ea5m \u1edf n\u1ed3ng \u0111\u1ed9 cao.<\/p>\n<ul>\n<li>\u01afu \u0111i\u1ec3m: hi\u1ec7u qu\u1ea3 cao, \u00edt t\u00e1c d\u1ee5ng ph\u1ee5<\/li>\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m: \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 th\u00eam s\u1ef1 n\u1ea1o, r\u1eeda, h\u00fat \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3ng n\u1ea5m<\/li>\n<\/ul>\n<h4>Ph\u01b0\u01a1ng ph\u00e1p 1:<\/h4>\n<p>Ph\u1eabu thu\u1eadt m\u0169i, l\u1eafp \u0111\u1eb7t c\u00e1c \u1ed1ng th\u00f4ng.Truy\u1ec1n t\u1eeb t\u1eeb enilconazole d\u1ea1ng nh\u0169 t\u01b0\u01a1ng 2 l\u1ea7n\/ng\u00e0y trong v\u00f2ng 7-14 ng\u00e0y.Hi\u1ec7u qu\u1ea3 cao, l\u00ean t\u1edbi 80%.\u0110\u1eaft, \u00edt \u0111\u01b0\u1ee3c c\u00e1c ch\u1ee7 ch\u00f3 ch\u1ea5p nh\u1eadn.C\u00f3 th\u1ec3 d\u00f9ng clotrimazole thay th\u1ebf.<\/p>\n<h4>Ph\u01b0\u01a1ng ph\u00e1p 2:<\/h4>\n<p>Kh\u00f4ng ph\u1eabu thu\u1eadt.C\u00e1c \u1ed1ng s\u1ebd \u0111\u01b0\u1ee3c d\u1eabn t\u1edbi khoang m\u0169i ho\u1eb7c xoang tr\u00e1n d\u01b0\u1edbi s\u1ef1 g\u00e2y m\u00ea to\u00e0n th\u00e2n. Enilconazole v\u00e0 clotrimazole \u0111\u01b0\u1ee3c d\u00f9ng v\u1edbi c\u00e1c n\u1ed3ng \u0111\u1ed9 kh\u00e1c nhau, truy\u1ec1n l\u1eb7p l\u1ea1i 2 ho\u1eb7c 3 l\u1ea7n (kho\u1ea3ng c\u00e1ch 3 tu\u1ea7n). T\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng 80-90%.Nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 b\u1eb1ng l\u00f2ng t\u1eeb ch\u1ee7 nu\u00f4i, v\u1eadt nu\u00f4i c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo5.jpg\" class=\"aligncenter size-full wp-image-2550\" alt=\"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo5\" width=\"640\" height=\"178\"><\/p>\n<p><p>H\u00ecnh 6: B\u1ea3ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh do n\u1ea5m\u00a0Aspergillus V\u00e0 Penicillium tr\u00ean m\u00e8o<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-do-nam-aspergillus-va-penicillium-tren-cho-meo6.jpg\" class=\"aligncenter size-full wp-image-2551\" alt=\"benh-do-nam-aspergillus-va-penicillium-tren-cho-meo6\" width=\"602\" height=\"167\"><\/p>\n<p>H\u00ecnh 7:\u00a0B\u1ea3ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh do n\u1ea5m\u00a0Aspergillus tr\u00ean ch\u00f3<\/p>\n<div>\n<h3>c\/ Ph\u1eabu thu\u1eadt<\/h3>\n<\/div>\n<p>\u00c1p d\u1ee5ng \u0111\u1ed1i v\u1edbi v\u1eadt nu\u00f4i \u0111\u00e1p \u1ee9ng k\u00e9m v\u1edbi \u0111i\u1ec1u tr\u1ecbt\u1ea1i ch\u1ed7.Ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c hi\u1ec7n v\u1edbi nh\u1eefng mi\u1ebfng g\u1ea1c povidone-iodine t\u1ea1i ch\u1ed7.B\u0103ng \u0111\u01b0\u1ee3c thay th\u1ebf t\u1eeb 2-3 ng\u00e0y trong v\u00f2ng 15-21 ng\u00e0y d\u01b0\u1edbi s\u1ef1 g\u00e2y m\u00ea to\u00e0n than.Ph\u1eabu thu\u1eadt \u0111\u00f3ng xoang m\u0169i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi t\u1ea5t c\u1ea3 c\u00e1c m\u00f4 ti\u1ebfp x\u00fac \u0111\u01b0\u1ee3c bao ph\u1ee7 b\u1edfi c\u00e1c m\u00f4 kh\u1ecfe m\u1ea1nh.<\/p>\n<p>\u01afu \u0111i\u1ec3m:D\u00f9ng khi th\u1ea5t b\u1ea1i trong ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7. C\u00f3 th\u1ec3 c\u1eaft b\u1ecf nh\u1eefng ph\u1ea7n b\u1ecb nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc khi \u0111\u01b0a thu\u1ed1c v\u00e0o.Nh\u01b0\u1ee3c \u0111i\u1ec3m:C\u1ea7n xem x\u00e9t t\u00ednh \u0111\u1ed9c h\u1ea1i c\u1ee7a iodine. Ph\u1ee9c t\u1ea1p v\u00e0 \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean.<\/p>\n<div>\n<h2>6. Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh<\/h2>\n<\/div>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c xem l\u00e0 th\u00e0nh c\u00f4ng khi kh\u00f4ng c\u00f2n hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y d\u1ecbch m\u0169i, ch\u1ea3y m\u00e1u cam, \u0111au v\u00e0 lo\u00e9t c\u00e1c b\u00ean l\u1ed7 m\u0169i. Ch\u1ea3y d\u1ecbch m\u0169i dai d\u1eb3ng c\u00f3 th\u1ec3 do vi\u00eam m\u0169i\/vi\u00eam xoang m\u00e3n t\u00ednh nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 do n\u1ea5m \u2192 c\u1ea7n ki\u1ec3m tra l\u1ea1i xoang m\u0169i v\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi. \u00cdt th\u1ea5y d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng tr\u00ean m\u0169i \u0111\u1ed1i v\u1edbi nh\u1eefng con \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi, kh\u00f4ng ghi nh\u1eadn tr\u01b0\u1eddng h\u1ee3p t\u1eed vong n\u00e0o tr\u00ean ch\u00f3.<\/p>\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p \u00edt ph\u1ed5 bi\u1ebfn: ch\u1ea3y n\u01b0\u1edbc m\u0169i, vi\u00eam m\u0169i nh\u1eb9. Hi\u1ebfm khi t\u00e1i ph\u00e1t.Ng\u01b0\u1eddi c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m b\u1ec7nh v\u00e0 c\u0169ng c\u00f3 th\u1ec3 l\u00e0 trung gian truy\u1ec1n l\u00e2y. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t l\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7.<\/p>\n<p>N\u1ebfu copy b\u00e0i, xin \u0111\u1ec3 l\u1ea1i m\u1ed9t link s\u1ed1ng v\u1ec1 trang n\u00e0y. Xin c\u1ea3m \u01a1n!<\/p>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Aspergillus v\u00e0 Penicillium l\u00e0 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh c\u01a1 h\u1ed9i khi mi\u1ec5n d\u1ecbch c\u1ee7a v\u1eadt ch\u1ee7 suy gi\u1ea3m do c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng. Mi\u1ec5n d\u1ecbch trung gian t\u1ebf b\u00e0o l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng h\u1ea1n ch\u1ebf l\u00e2y lan s\u1ef1 nhi\u1ec5m tr\u00f9ng. Suy gi\u1ea3m mi\u1ec5n d\u1ecbch nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, gi\u1ea3m b\u1ea1ch c\u1ea7u k\u00e9o d\u00e0i, h\u00f3a tr\u1ecb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2204","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2204","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2204"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2204\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2204"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2204"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2204"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}