{"id":12229,"date":"2023-11-03T19:58:47","date_gmt":"2023-11-03T11:58:47","guid":{"rendered":"https:\/\/docquity.com\/?post_type=articles&#038;p=12229"},"modified":"2025-02-11T13:37:34","modified_gmt":"2025-02-11T05:37:34","slug":"aasld-2023-danh-gia-kiem-soat-gan-nhiem-mo","status":"publish","type":"articles","link":"https:\/\/docquity.com\/vi\/articles\/aasld-2023-danh-gia-kiem-soat-gan-nhiem-mo\/","title":{"rendered":"AASLD 2023: H\u01b0\u1edbng d\u1eabn \u0111\u00e1nh gi\u00e1 v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u"},"content":{"rendered":"\n<p>Hi\u1ec7p h\u1ed9i Nghi\u00ean c\u1ee9u B\u1ec7nh gan Hoa K\u1ef3 (American Association for the Study of Liver Diseases \u2013 AASLD) \u0111\u00e3 c\u00f4ng b\u1ed1 h\u01b0\u1edbng d\u1eabn ki\u1ec3m so\u00e1t b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u phi\u00ean b\u1ea3n c\u1eadp nh\u1eadt n\u0103m 2023. \u0110\u1ed9i ng\u0169 Docquity h\u00e2n h\u1ea1nh gi\u1edbi thi\u1ec7u v\u1edbi qu\u00fd v\u1ecb \u0111\u1ed3ng nghi\u1ec7p b\u1ea3n l\u01b0\u1ee3c d\u1ecbch nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng trong h\u01b0\u1edbng d\u1eabn, t\u1eeb c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb cho \u0111\u1ebfn \u0111\u00e1nh gi\u00e1 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">AASLD \u0110\u1ecaNH NGH\u0128A<\/h2>\n\n\n\n<p>B\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u bao g\u1ed3m b\u1ec7nh \u1edf t\u1ea5t c\u1ea3 c\u00e1c m\u1ee9c \u0111\u1ed9 v\u00e0 giai \u0111o\u1ea1n \u1edf ng\u01b0\u1eddi kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u ho\u1eb7c u\u1ed1ng \u00edt r\u01b0\u1ee3u (&lt; 20 g\/ng\u00e0y \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef v\u00e0 &lt; 30 g\/ng\u00e0y \u0111\u1ed1i v\u1edbi nam gi\u1edbi) c\u00f3 \u2265 5% t\u1ebf b\u00e0o hepatocyte b\u1ecb nhi\u1ec5m m\u1ee1 h\u1ea1t to (macrovesicular steatosis) m\u00e0 kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y. B\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u bao g\u1ed3m gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng gan nhi\u1ec5m m\u1ee1 h\u1ea1t to c\u00f3 th\u1ec3 \u0111i k\u00e8m v\u1edbi vi\u00eam nh\u1eb9, vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u \u2013 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u1ee9c \u0111\u1ed9 t\u1ebf b\u00e0o, k\u00e8m theo ho\u1eb7c kh\u00f4ng k\u00e8m theo x\u01a1 h\u00f3a, v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 x\u01a1 gan \u2013 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c d\u1ea3i v\u00e1ch x\u01a1 d\u1eabn \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh n\u1ed1t x\u01a1, \u1edf giai \u0111o\u1ea1n n\u00e0y, nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u c\u00f3 th\u1ec3 kh\u00f4ng c\u00f2n c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ea7y \u0111\u1ee7 qua sinh thi\u1ebft.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">M\u1ed0I LI\u00caN H\u1ec6 GI\u1eeeA GIAI \u0110O\u1ea0N B\u1ec6NH V\u00c0 C\u00c1C BI\u1ebeN C\u1ed0 C\u00d3 H\u1ea0I<\/h2>\n\n\n\n<p>Nguy\u00ean nh\u00e2n t\u1eed vong th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u bao g\u1ed3m c\u00e1c b\u1ec7nh tim m\u1ea1ch, c\u00e1c b\u1ec7nh \u00e1c t\u00ednh kh\u00f4ng li\u00ean quan \u0111\u1ebfn gan v\u00e0 c\u00e1c b\u1ec7nh tr\u00ean gan.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-us.googleusercontent.com\/7SKrV9_YZyoKvMkHhByil4fMXzJS85f__QPQcWgjafJZaVbDEtb2lw04eC1tK3m_1Ib3_1CLJyxIZZTmBYL5K0_HGzo8BbQviIQxsbakfSt55hn2Q-afqczwDPzznQ5f1iitwGNhsFhTXbbaNApYttA\" alt=\"AASLD 2023\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">B\u1ec6NH M\u1eaeC K\u00c8M LI\u00caN QUAN \u0110\u1ebeN B\u1ec6NH GAN NHI\u1ec4M M\u1ee0 KH\u00d4NG DO R\u01af\u1ee2U<\/h3>\n\n\n\n<p>B\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn v\u00e0 th\u01b0\u1eddng x\u1ea3y ra tr\u01b0\u1edbc c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 m\u1eb7t chuy\u1ec3n h\u00f3a (\u0111\u1ec1 kh\u00e1ng insulin, r\u1ed1i lo\u1ea1n lipid m\u00e1u, b\u00e9o ph\u00ec trung t\u00e2m v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00f3 nhi\u1ec1u b\u1ea5t th\u01b0\u1eddng v\u1ec1 m\u1eb7t chuy\u1ec3n h\u00f3a l\u00e0m t\u0103ng nguy c\u01a1 ti\u1ebfn tri\u1ec3n m\u00f4 h\u1ecdc c\u1ee7a b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u v\u00e0 t\u1eed vong do m\u1ecdi nguy\u00ean nh\u00e2n. M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u v\u1edbi c\u00e1c b\u1ec7nh chuy\u1ec3n h\u00f3a c\u00f3 th\u1ec3 ph\u1ea3n \u00e1nh m\u1ed1i li\u00ean h\u1ec7 2 chi\u1ec1u gi\u1eefa gan v\u00e0 c\u00e1c c\u01a1 quan chuy\u1ec3n h\u00f3a kh\u00e1c (ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ee5y, m\u00f4 m\u1ee1, c\u01a1) th\u00f4ng qua vi\u1ec7c ti\u1ebft hepatokine, \u0111i\u1ec1u h\u00f3a chuy\u1ec3n h\u00f3a acid b\u00e9o, \u0111i\u1ec1u h\u00f2a ho\u1ea1t \u0111\u1ed9ng c\u1ee7a insulin, \u0111i\u1ec1u h\u00f2a chuy\u1ec3n h\u00f3a glucose, adipokine v\u00e0 myokine.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-us.googleusercontent.com\/L8z9zQJ9sXM5G_jt0zQJz3oDJZd_5uH_nyEWZy6-nqrv4b8x11iB25Skhtsz7BjXEW_ZkrA_k1enLMrqMYDF0OsPjbvrVlZYFyLwPIOojeRL_hUgAoVJo0cG-DP4EqYybRsSlSzz2kIghkxsyw3-Iyg\" alt=\"\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110\u00c1NH GI\u00c1 S\u01a0 B\u1ed8 B\u1ec6NH NH\u00c2N M\u1eaeC B\u1ec6NH GAN NHI\u1ec4M M\u1ee0 KH\u00d4NG DO R\u01af\u1ee2U<\/h3>\n\n\n\n<p>\u0110\u00e1nh gi\u00e1 s\u01a1 b\u1ed9 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u n\u00ean&nbsp; bao g\u1ed3m s\u00e0ng l\u1ecdc c\u00e1c b\u1ec7nh chuy\u1ec3n h\u00f3a \u0111\u1ed3ng m\u1eafc, \u0111\u00e1nh gi\u00e1 th\u00f3i quen u\u1ed1ng r\u01b0\u1ee3u, lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh gan, th\u0103m kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh d\u1ea5u hi\u1ec7u \u0111\u1ec1 kh\u00e1ng insulin v\u00e0 b\u1ec7nh gan ti\u1ebfn tri\u1ec3n (b\u1ea3ng 1). M\u1ed9t s\u1ed1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gan nhi\u1ec5m m\u1ee1 ho\u1eb7c vi\u00eam gan nhi\u1ec5m m\u1ee1 ho\u1eb7c k\u1ecbch ph\u00e1t b\u1ec7nh \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u. C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb n\u00e0y bao g\u1ed3m amiodarone, 5-FU, irinotecan, tamoxifen, methotrexate, corticosteroid.<\/p>\n\n\n\n<p><strong>B\u1ea3ng 1.<\/strong>\u00a0\u0110\u00e1nh gi\u00e1 s\u01a1 b\u1ed9 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u<\/p>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-6ba4da43f442311be5f7da084ec32ff2.png\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Vai tr\u00f2 c\u1ee7a u\u1ed1ng r\u01b0\u1ee3u\/bia<\/h3>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-e8ec68dabfba7b7729c529fa2749e912.png\" alt=\"\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00c1C B\u1ec6NH N\u1ed8I TI\u1ebeT LI\u00caN QUAN<\/h3>\n\n\n\n<p>B\u00ean c\u1ea1nh m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u v\u1edbi b\u00e9o ph\u00ec v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 chuy\u1ec3n h\u00f3a kh\u00e1c, t\u1ef7 l\u1ec7 cao b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh suy gi\u00e1p, suy gi\u1ea3m ch\u1ee9c n\u0103ng sinh d\u1ee5c, thi\u1ebfu h\u1ee5t hormone t\u0103ng tr\u01b0\u1edfng v\u00e0 h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-4f0187b3e65462a67562539b4524db81.png\" alt=\"\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">B\u1ec6NH NH\u00c2N N\u00c0O N\u00caN \u0110\u01af\u1ee2C S\u00c0NG L\u1eccC X\u01a0 H\u00d3A GAN?<\/h2>\n\n\n\n<p>S\u00e0ng l\u1ecdc nh\u1eafm \u0111\u00edch nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao cho b\u1ec7nh gan ti\u1ebfn tri\u1ec3n \u0111\u01b0\u01a1ck khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh nh\u00e2n b\u1ecb x\u01a1 h\u00f3a \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng. S\u00e0ng l\u1ecdc nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, b\u00e9o ph\u00ec v\u1edbi bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a, ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi suy gan ho\u1eb7c u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u.<\/p>\n\n\n\n<p><strong>B\u1ea3ng 2.&nbsp;<\/strong>T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u c\u00f3 x\u01a1 h\u00f3a ti\u1ebfn tri\u1ec3n \u1edf m\u1ed9t s\u1ed1 nh\u00f3m b\u1ec7nh nh\u00e2n<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-6503515faf19883336d887d6fd6bcef2.png\" alt=\"\" \/><\/figure>\n\n\n\n<p>\u1ede \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n, b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00f4ng r\u00f5 r\u00e0ng, do v\u1eady, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. T\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh b\u1ec7nh ti\u1ebfn tri\u1ec3n th\u01b0\u1eddng th\u1ea5p h\u01a1n \u1edf trung t\u00e2m ch\u0103m s\u00f3c ban \u0111\u1ea7u so v\u1edbi b\u1ec7nh vi\u1ec7n chuy\u00ean khoa gan. Do v\u1eady, c\u00e1ch ki\u1ec3m so\u00e1t \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n c\u0169ng t\u00f9y thu\u1ed9c v\u00e0o b\u1ed1i c\u1ea3nh (h\u00ecnh 1).<\/p>\n\n\n\n<p><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-6f924f3ff8952784b13698e8ef505d2f.png\"><br><strong>H\u00ecnh 1.<\/strong>&nbsp;\u0110\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 ho\u1eb7c \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-2ab3c4f5609a4be330100b1f101641eb.png\" alt=\"AASLD 2023\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">D\u1ea4U CH\u1ec8 SINH H\u1eccC\/X\u00c9T NGHI\u1ec6M KH\u00d4NG X\u00c2M L\u1ea4N TRONG CH\u1ea8N \u0110O\u00c1N V\u00c0 \u0110\u00c1NH GI\u00c1<\/h2>\n\n\n\n<p><strong>B\u1ea3ng 3.<\/strong>&nbsp;C\u00e1c th\u00f4ng s\u1ed1 cho c\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n \u0111\u00e1nh gi\u00e1 b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u<br><br><img decoding=\"async\" alt=\"\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-55c5e169815306797f910c062d5e3859.png\"><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-21d6154007a6e66332c67813d72aef8a.png\" alt=\"AASLD 2023\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110I\u1ec0U TR\u1eca<\/h2>\n\n\n\n<p>Ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0nh m\u1ea1nh v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean l\u00e0 n\u1ec1n t\u1ea3ng c\u1ee7a bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u00e0nh cho \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u. Ngay c\u1ea3 khi gi\u1ea3m c\u00e2n kh\u00f4ng c\u1ea7n thi\u1ebft, th\u00ec vieecjc \u1ea3i thi\u1ec7n th\u00e0nh ph\u1ea7n b\u1eefa \u0103n v\u00e0 t\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe tim m\u1ea1ch v\u00e0 s\u1ee9c kh\u1ecfe chuy\u1ec3n h\u00f3a. \u0110\u1ec3 t\u1ed1i \u01b0u h\u00f3a \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh l\u00fd chuy\u1ec3n h\u00f3a m\u1eafc k\u00e8m li\u00ean quan, x\u00e2y d\u1ef1ng m\u1ed9t \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c li\u00ean ng\u00e0nh l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh. M\u1ed9t s\u1ed1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc (ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, b\u00e9o ph\u00ec) \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u tr\u00ean b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ch\u1ee9c anwng gan ho\u1eb7c t\u00ecnh tr\u1ea1ng nhi\u1ec5m m\u1ee1 ho\u1eb7c c\u1ea3i thi\u1ec7n m\u00f4 h\u1ecdc gan (b\u1ea3ng 4).<\/p>\n\n\n\n<p><strong>B\u1ea3ng 4.<\/strong>&nbsp;T\u00e1c \u0111\u1ed9ng ti\u1ec1m t\u00e0ng c\u1ee7a c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tr\u00ean b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-1ec1ae59d8c838d36aef5b0c4b626a33.png\" alt=\"\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-29a847e11e4f570bc5c7483ec169f607.png\" alt=\"AASLD 2023\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">D\u1ea4U CH\u1ec8 SINH H\u1eccC CHO \u0110\u00c1P \u1ee8NG \u0110I\u1ec0U TR\u1eca<\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-3ba847cf37786bcc215d38b92aa36d45.png\" alt=\"AASLD 2023\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h3 class=\"wp-block-heading\">AASLD 2023: NGU\u1ed2N<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, Abdelmalek MF, Caldwell S, Barb D, Kleiner DE, Loomba R. AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease. Hepatology. 2023 May 1;77(5):1797-1835. doi: 10.1097\/HEP.0000000000000323.<\/li>\n<\/ol>\n\n\n\n<p>Th\u1ea3o lu\u1eadn c\u00f9ng c\u00e1c b\u00e1c s\u0129 gi\u1ecfi nh\u1ea5t trong khu v\u1ef1c. T\u00ecm hi\u1ec3u n\u1ed9i dung y khoa v\u00e0 tham d\u1ef1 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia \u0111\u1ea7u ng\u00e0nh x\u00e2y d\u1ef1ng. Tham gia c\u00e1c bu\u1ed5i th\u1ea3o lu\u1eadn tr\u1ef1c tuy\u1ebfn c\u00f9ng c\u00e1c chuy\u00ean gia qu\u1ed1c t\u1ebf <a href=\"https:\/\/docquity.com\/vn\/\">Docquity<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hi\u1ec7p h\u1ed9i Nghi\u00ean c\u1ee9u B\u1ec7nh gan Hoa K\u1ef3 (American Association for the Study of Liver Diseases \u2013 AASLD) \u0111\u00e3 c\u00f4ng b\u1ed1 h\u01b0\u1edbng d\u1eabn ki\u1ec3m so\u00e1t b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u phi\u00ean b\u1ea3n c\u1eadp nh\u1eadt n\u0103m 2023. \u0110\u1ed9i ng\u0169 Docquity h\u00e2n h\u1ea1nh gi\u1edbi thi\u1ec7u v\u1edbi qu\u00fd v\u1ecb \u0111\u1ed3ng nghi\u1ec7p b\u1ea3n l\u01b0\u1ee3c d\u1ecbch nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng trong h\u01b0\u1edbng d\u1eabn, t\u1eeb c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb cho \u0111\u1ebfn \u0111\u00e1nh gi\u00e1 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb.<\/p>\n","protected":false},"author":123,"featured_media":12239,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"articles_categories":[1370],"articles_tags":[],"articles_topics":[1437],"articles_languages":[1375],"articles_filters":[],"class_list":["post-12229","articles","type-articles","status-publish","has-post-thumbnail","hentry","articles_categories-medical-content-vi","articles_languages-vietnamese-vi"],"_links":{"self":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/12229","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles"}],"about":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/types\/articles"}],"author":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/users\/123"}],"replies":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/comments?post=12229"}],"version-history":[{"count":0,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/12229\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media\/12239"}],"wp:attachment":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media?parent=12229"}],"wp:term":[{"taxonomy":"articles_categories","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_categories?post=12229"},{"taxonomy":"articles_tags","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_tags?post=12229"},{"taxonomy":"articles_topics","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_topics?post=12229"},{"taxonomy":"articles_languages","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_languages?post=12229"},{"taxonomy":"articles_filters","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_filters?post=12229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}