{"id":12679,"date":"2023-11-22T21:53:10","date_gmt":"2023-11-22T13:53:10","guid":{"rendered":"https:\/\/docquity.com\/?post_type=articles&#038;p=12679"},"modified":"2025-02-11T13:37:55","modified_gmt":"2025-02-11T05:37:55","slug":"bao-cao-ca-benh-nhan-nam-voi-sang-thuong-o-luoi","status":"publish","type":"articles","link":"https:\/\/docquity.com\/vi\/articles\/bao-cao-ca-benh-nhan-nam-voi-sang-thuong-o-luoi\/","title":{"rendered":"B\u00c1O C\u00c1O CA: B\u1ec7nh nh\u00e2n nam v\u1edbi sang th\u01b0\u01a1ng \u1edf l\u01b0\u1ee1i"},"content":{"rendered":"\n<p>B\u1ec7nh nh\u00e2n nam, 19 tu\u1ed5i \u0111\u1ebfn ph\u00f2ng kh\u00e1m v\u00ec b\u1ecb \u0111au \u1edf l\u01b0\u1ee1i k\u00e9o d\u00e0i trong su\u1ed1t 3 th\u00e1ng. C\u01a1n \u0111au tr\u1ea7m tr\u1ecdng h\u01a1n khi b\u1ec7nh nh\u00e2n \u0103n \u0111\u1ed3 cay. B\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u1ebfn m\u1ed9t ph\u00f2ng kh\u00e1m tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n vi\u00ean ng\u1eadm clitrimazole. Ban \u0111\u1ea7u c\u01a1n \u0111au c\u00f3 gi\u1ea3m nh\u1eb9 nh\u01b0ng v\u1ec1 sau l\u1ea1i tr\u1edf n\u00ean \u0111au h\u01a1n. V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u1ebfn ph\u00f2ng kh\u00e1m tai \u2013 m\u0169i \u2013 h\u1ecdng.<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n kh\u00f4ng n\u1ed5i h\u1ea1ch lympho, kh\u00f4ng s\u1ed1t, kh\u00f4ng m\u1ec7t m\u1ecfi, kh\u00f4ng ph\u00e1t ban, kh\u00f4ng s\u1ee5t c\u00e2n v\u00e0 c\u0169ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh \u0111\u00e1ng ch\u00fa \u00fd. B\u1ec7nh nh\u00e2n thi tho\u1ea3ng u\u1ed1ng r\u01b0\u1ee3u, kh\u00f4ng h\u00fat thu\u1ed1c ho\u1eb7c d\u00f9ng ch\u1ea5t k\u00edch th\u00edch. B\u1ec7nh nh\u00e2n cho bi\u1ebft b\u1ec7nh nh\u00e2n c\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c qua \u0111\u01b0\u1eddng mi\u1ec7ng v\u00e0 \u0111\u01b0\u1eddng h\u1eadu m\u00f4n.<\/p>\n\n\n\n<p>Th\u0103m kh\u00e1m th\u1ea5y b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea1ch s\u1ea3n ni\u00eam \u1edf 2 b\u00ean l\u01b0\u1ee1i. B\u1ea1ch s\u1ea3n ni\u00eam b\u00ean ph\u1ea3i r\u1ed9ng h\u01a1n b\u00ean tr\u00e1i v\u00e0 nh\u00ecn gi\u1ed1ng l\u00f4ng. Sang th\u01b0\u01a1ng \u0111au khi s\u1edd ch\u1ea1m v\u00e0 kh\u00f4ng th\u1ec3 c\u1ea1o b\u1ecf (h\u00ecnh 1). M\u00f4i v\u00e0 ni\u00eam m\u1ea1c mi\u1ec7ng c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 sang th\u01b0\u01a1ng t\u01b0\u01a1ng t\u1ef1, c\u00f3 kh\u1ed1i u ho\u1eb7c lo\u00e9t. B\u1ec7nh nh\u00e2n c\u0169ng kh\u00f4ng b\u1ecb n\u1ed5i h\u1ea1ch v\u00f9ng \u0111\u1ea7u \u2013 c\u1ed5. K\u1ebft qu\u1ea3 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng \u1edf b\u1ed9 ph\u1eadn kh\u00e1c \u0111\u1ec1u b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c l\u00e0m sinh thi\u1ebft sang th\u01b0\u01a1ng l\u01b0\u1ee1i b\u00ean ph\u1ea3i. M\u1eabu sinh thi\u1ebft \u0111\u01b0\u1ee3c nhu\u1ed9m hematoxylin-eosin. K\u1ebft qu\u1ea3 cho th\u1ea5y c\u00f3 t\u00ecnh tr\u1ea1ng th\u00e2m nhi\u1ec5m plasmacytic quanh m\u1ea1ch v\u00e0 vi\u00eam t\u0103ng b\u1ea1ch c\u1ea7u trung t\u00ednh (h\u00ecnh 1).<\/p>\n\n\n\n<p><img decoding=\"async\" alt=\"\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-3aa2d66edf52c0742f7cb4f448f68879.png\"><strong>H\u00ecnh 1.<\/strong>&nbsp;Sang th\u01b0\u01a1ng \u1edf l\u01b0\u1ee1i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 h\u00ecnh nhu\u1ed9m Hematoxylin-eosin sinh thi\u1ebft l\u01b0\u1ee1i b\u00ean ph\u1ea3i<\/p>\n\n\n\n<p><strong>C\u00c2U H\u1eceI<\/strong><\/p>\n\n\n\n<p><img decoding=\"async\" alt=\"\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-ef50a651c1b9b7e20f40fc372d17f0f3.png\"><em>Click v\u00e0o \u0111\u01b0\u1eddng d\u1eabn&nbsp;<a href=\"https:\/\/docquity.app.link\/n3EzXL3XoAb\">https:\/\/docquity.app.link\/n3EzXL3XoAb<\/a>&nbsp;\u0111\u1ec3 xem \u0111\u1ed3ng nghi\u1ec7p c\u1ee7a b\u1ea1n c\u00f3 suy ngh\u0129 nh\u01b0 th\u1ebf n\u00e0o v\u1ec1 tr\u01b0\u1eddng h\u1ee3p n\u00e0y?<\/em><\/p>\n\n\n\n<p><strong>\u0110\u00c1P \u00c1N<\/strong><\/p>\n\n\n\n<p><strong>B\u00c0N LU\u1eacN<\/strong><\/p>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<p>B\u1ea1ch s\u1ea3n c\u00f3 l\u00f4ng \u1edf mi\u1ec7ng hi\u1ebfm g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i [1]. Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o v\u1ea3y \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i (&lt; 40 tu\u1ed5i) l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u00e1ng \u0111\u01b0\u1ee3c quan t\u00e2m do t\u00ecnh tr\u1ea1ng b\u1ec7nh t\u1ea5n c\u00f4ng<sup>2<\/sup>. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t cho sang th\u01b0\u01a1ng \u1edf l\u01b0\u1ee1i c\u1ee7a b\u1ec7nh nh\u00e2n bao g\u1ed3m ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o v\u1ea3y, lo\u1ea1n s\u1ea3n d\u00e0y s\u1eebng (hyperkaretotic dysplasia), lichen ph\u1eb3ng (lichen planus), b\u1ea1ch s\u1ea3n c\u00f3 l\u00f4ng v\u00e0 nhi\u1ec5m tr\u00f9ng (ch\u1eb3ng h\u1ea1n nh\u01b0 nhi\u1ec5m n\u1ea5m candida, HIV, v\u00e0 giang mai \u1edf mi\u1ec7ng). M\u1eb7c d\u00f9 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, nh\u01b0ng t\u00ecnh tr\u1ea1ng th\u00e2m nhi\u1ec5m plasmacytic quan s\u00e1t \u0111\u01b0\u1ee3c \u1edf m\u1eabu sinh thi\u1ebft nhu\u1ed9m hematoxylin-eosin l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 b\u1ec7nh h\u1ecdc c\u1ee7a b\u1ec7nh giang mai \u1edf da v\u00e0 ni\u00eam m\u1ea1c (h\u00ecnh 1). L\u01b0u \u00fd r\u1eb1ng c\u00e1c t\u1ebf b\u00e0o vi\u00eam l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m \u0111i\u1ec3n h\u00ecnh v\u1ec1 h\u00ecnh th\u00e1i h\u1ecdc, khi\u1ebfn cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c nguy\u00ean nh\u00e2n ung th\u01b0 kh\u00f4ng ch\u1eafc ch\u1eafn.<\/p>\n\n\n\n<p>D\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 nhu\u1ed9m sinh thi\u1ebft v\u1edbi th\u00f4ng tin c\u00e1 nh\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n (tr\u1ebb tu\u1ed5i v\u00e0 c\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c), x\u00e9t nghi\u1ec7m treponema pallidum immunostaining \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh. K\u1ebft qu\u1ea3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c s\u1ed1 l\u01b0\u1ee3ng l\u1edbn vi sinh (h\u00ecnh 2). K\u1ebft qu\u1ea3 nhu\u1ed9m Grocott-Gomori trong b\u1ea1c \u2013 methenamine, ph\u1ea3n \u1ee9ng acid periodic (periodic acid-Schiff-diastase) v\u00e0 nhu\u1ed9m virus herpes \u0111\u1ec1u \u00e2m t\u00ednh, cho th\u1ea5y b\u1ec7nh nh\u00e2n kh\u00f4ng nhi\u1ec5m n\u1ea5m hay virus. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m rapid plasma reagin (PRP) d\u01b0\u01a1ng t\u00ednh \u1edf t\u1ef7 l\u1ec7 pha lo\u00e3ng 1:128. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ph\u1ea3n \u1ee9ng hu\u1ef3nh quang h\u1ea5p th\u1ee5 kh\u00e1ng th\u1ec3 treponemal (Fluorescent Treponemal Antibody absorption &#8211; FTA-abs) c\u0169ng d\u01b0\u01a1ng t\u00ednh. K\u1ebft qu\u1ea3 kh\u00e1ng th\u1ec3\/kh\u00e1ng nguy\u00ean HIV, gonorrhea v\u00e0 chlamydia (n\u01b0\u1edbc ti\u1ec3u v\u00e0 h\u1ecdng) \u0111\u1ec1u \u00e2m t\u00ednh.<\/p>\n\n\n\n<p><img decoding=\"async\" alt=\"\" src=\"https:\/\/s3-ap-southeast-1.amazonaws.com\/bucket.docquity.com\/journals\/editor\/file-260898eda26d3414ab3c87c900aa758e.png\"><br><strong>H\u00ecnh 2.<\/strong>&nbsp;K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m treponema pallidum immunostaining<\/p>\n\n\n\n<p>C\u0103n c\u1ee9 v\u00e0o th\u1eddi gian xu\u1ea5t hi\u1ec7n sang th\u01b0\u01a1ng v\u00e0 tri\u1ec7u ch\u1ee9ng, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc giang mai giai \u0111o\u1ea1n 2 (\u0111\u00e1p \u00e1n C). B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi penicillin G \u0111\u01b0\u1eddng ti\u00eam b\u1eafp trong 3 tu\u1ea7n. Sau khi k\u1ebft th\u00fac \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb, sang th\u01b0\u01a1ng \u1edf mi\u1ec7ng c\u0169ng \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft.<\/p>\n\n\n\n<p><strong>D\u1ecbch t\u1ec5 v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m b\u1ec7nh h\u1ecdc<\/strong><\/p>\n\n\n\n<p>M\u1ed9t ph\u00e2n t\u00edch ti\u1ebfn c\u1ee9u tr\u00ean 63 nghi\u00ean c\u1ee9u v\u1edbi t\u1ed5ng c\u1ed9ng 247 tr\u01b0\u1eddng h\u1ee3p giang mai \u1edf \u0111\u01b0\u1eddng mi\u1ec7ng cho th\u1ea5y tu\u1ed5i trung b\u00ecnh c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 35.9 tu\u1ed5i, trong \u0111\u00f3 78.9% b\u1ec7nh nh\u00e2n l\u00e0 nam gi\u1edbi. V\u1ecb tr\u00ed sang th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 l\u01b0\u1ee1i (33.9%), sau \u0111\u00f3 l\u00e0 v\u00f2m mi\u1ec7ng (31.9%) v\u00e0 m\u00f4i (17.1%) [3]. Giang mai \u1edf \u0111\u01b0\u1eddng mi\u1ec7ng th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n lo\u00e9t (\u0111a ho\u1eb7c \u0111\u01a1n), d\u00e1t \u1edf ni\u00eam m\u1ea1c v\u00e0 m\u1ea3ng gi\u1ed1ng b\u1ea1ch s\u1ea3n. Sang th\u01b0\u01a1ng kh\u00f4ng lo\u00e9t g\u1ee3i \u00fd cho ch\u1ea9n \u0111o\u00e1n giang mai giai \u0111o\u1ea1n 2.<\/p>\n\n\n\n<p>Giang mai kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng ph\u00e1t tri\u1ec3n qua 3 giai \u0111o\u1ea1n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Giai \u0111o\u1ea1n 1: lo\u00e9t kh\u00f4ng \u0111au (chancre)<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n 2: s\u1ed1t, ph\u00e1t ban lan t\u1ecfa, sang th\u01b0\u01a1ng \u1edf da v\u00e0 ni\u00eam m\u1ea1c, s\u01b0ng h\u1ea1ch b\u1ea1ch huy\u1ebft<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n 3: Xu\u1ea5t hi\u1ec7n sau v\u00e0i th\u1eadp k\u1ef7 v\u1edbi t\u00ecnh tr\u1ea1ng g\u00f4m khu tr\u00fa g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 tim m\u1ea1ch<sup>4<\/sup>.<\/li>\n<\/ul>\n\n\n\n<p>Ch\u1ea9n \u0111o\u00e1n giang mai bao g\u1ed3m treponemal v\u00e0 nontreponemal (x\u00e9t nghi\u1ec7m venereal disease research laboratory v\u00e0 rapid plasma reagin). Vi\u1ec7c ti\u1ebfn h\u00e0nh c\u1ea3 2 x\u00e9t nghi\u1ec7m treponemal v\u00e0 nontreponemal c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng \u00e2m t\u00ednh gi\u1ea3 \u1edf giai \u0111o\u1ea1n b\u1ec7nh s\u1edbm v\u00e0 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3. D\u01b0\u01a1ng t\u00ednh gi\u1ea3 trong x\u00e9t nghi\u1ec7m nontreponemal th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh t\u1ef1 mi\u1ec5n, ph\u1ee5 n\u1eef mang thai v\u00e0 b\u1ec7nh nh\u00e2n m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng. X\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch treponemal \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o v\u1edbi \u0111\u1ed9 nh\u1ea1y l\u00e0 100% cho giang mai giai \u0111o\u1ea1n 2 v\u00e0 94.5% &#8211; 100% cho m\u1ecdi giai \u0111o\u1ea1n, bao g\u1ed3m c\u1ea3 b\u1ec7nh nh\u00e2n giang mai ti\u1ec1m \u1ea9n<sup>5<\/sup>.<\/p>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi giang mai giai \u0111o\u1ea1n 1 v\u00e0 giai \u0111o\u1ea1n 2 \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 benzathine penicillin G ti\u00eam b\u1eafp (2.4 tri\u1ec7u \u0111\u01a1n v\u1ecb). \u0110\u1ed1i v\u1edbi ca l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp trong b\u00e0i, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi 3 li\u1ec1u penicillin do m\u1ee9c \u0111\u1ed9 m\u1ea1n t\u00ednh c\u1ee7a b\u1ec7nh v\u00e0 m\u1ee9c \u0111\u1ed9 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh \u1edf \u0111\u01b0\u1eddng mi\u1ec7ng. M\u1ecdi b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh giang mai bi\u1ec3u hi\u1ec7n \u1edf \u0111\u01b0\u1eddng mi\u1ec7ng n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh g\u00eda HIV, l\u1eadu c\u1ea7u v\u00e0 chlamydia qua m\u1eabu ph\u1ebft h\u1ecdng v\u00e0 n\u01b0\u1edbc ti\u1ec3u. N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh th\u00ec v\u1eabn n\u00ean \u0111\u1ec1 ngh\u1ecb c\u00e1c li\u1ec7u ph\u00e1p d\u1ef1 ph\u00f2ng ti\u1ec1n ph\u01a1i nhi\u1ec5m HIV cho b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n trong tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 huy\u1ebft thanh 6 v\u00e0 12 th\u00e1ng sau khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p><strong>NGU\u1ed2N<\/strong><\/p>\n\n\n\n<p>Victor M, Vavinskaya V, Guo T. A Young Man Presenting With Tongue Lesions. JAMA Otolaryngol Head Neck Surg. 2023;149(1):89\u201390. doi:10.1001\/jamaoto.2022.3799<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><strong>T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Carrard VC, van der Waal I. A clinical diagnosis of oral leukoplakia: a guide for dentists. Med Oral Patol Oral Cir Bucal. 2018;23(1):e59-e64.<\/li>\n\n\n\n<li>Garavello W, Spreafico R, Gaini RM. Oral tongue cancer in young patients: a matched analysis. Oral Oncol. 2007;43(9):894-897. doi:10.1016\/j.oraloncology.2006.10.013<\/li>\n\n\n\n<li>Schuch LF, da Silva KD, de Arruda JAA, et al. Forty cases of acquired oral syphilis and a review of the literature. Int J Oral Maxillofac Surg. 2019;48(5):635-643. doi:10.1016\/j.ijom.2018.10.023<\/li>\n\n\n\n<li>Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1-187. doi:10.15585\/mmwr.rr7004a110.<\/li>\n\n\n\n<li>Park IU, Tran A, Pereira L, Fakile Y. Sensitivity and specificity of treponemal specific tests for the diagnosis of syphilis. Clin Infect Dis. 2020;71(suppl 1):S13-S20. doi:10.1093\/cid\/ciaa349<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh nh\u00e2n nam, 19 tu\u1ed5i \u0111\u1ebfn ph\u00f2ng kh\u00e1m v\u00ec b\u1ecb \u0111au \u1edf l\u01b0\u1ee1i k\u00e9o d\u00e0i trong su\u1ed1t 3 th\u00e1ng. C\u01a1n \u0111au tr\u1ea7m tr\u1ecdng h\u01a1n khi b\u1ec7nh nh\u00e2n \u0103n \u0111\u1ed3 cay. B\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u1ebfn m\u1ed9t ph\u00f2ng kh\u00e1m tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n vi\u00ean ng\u1eadm clitrimazole. Ban \u0111\u1ea7u c\u01a1n \u0111au c\u00f3 gi\u1ea3m nh\u1eb9 nh\u01b0ng v\u1ec1 &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/docquity.com\/vi\/articles\/bao-cao-ca-benh-nhan-nam-voi-sang-thuong-o-luoi\/\"> <span class=\"screen-reader-text\">B\u00c1O C\u00c1O CA: B\u1ec7nh nh\u00e2n nam v\u1edbi sang th\u01b0\u01a1ng \u1edf l\u01b0\u1ee1i<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":123,"featured_media":12680,"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":[1438],"articles_languages":[1375],"articles_filters":[],"class_list":["post-12679","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\/12679","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=12679"}],"version-history":[{"count":0,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/12679\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media\/12680"}],"wp:attachment":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media?parent=12679"}],"wp:term":[{"taxonomy":"articles_categories","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_categories?post=12679"},{"taxonomy":"articles_tags","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_tags?post=12679"},{"taxonomy":"articles_topics","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_topics?post=12679"},{"taxonomy":"articles_languages","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_languages?post=12679"},{"taxonomy":"articles_filters","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_filters?post=12679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}