{"id":4675,"date":"2026-11-02T07:09:10","date_gmt":"2026-11-02T00:09:10","guid":{"rendered":"https:\/\/benhvienthaihoa.vn\/?p=4675"},"modified":"2026-11-02T07:09:10","modified_gmt":"2026-11-02T00:09:10","slug":"kien-thuc-suc-khoe-nhi-khoa-benh-gan-nhiem-mo-o-tre-em","status":"publish","type":"post","link":"https:\/\/benhvienthaihoa.vn\/en\/kien-thuc-suc-khoe-nhi-khoa-benh-gan-nhiem-mo-o-tre-em\/","title":{"rendered":"KI\u1ebeN TH\u1ee8C S\u1ee8C KH\u1eceE | NHI KHOA B\u1ec6NH GAN NHI\u1ec4M M\u1ee0 \u1ede TR\u1eba EM"},"content":{"rendered":"<p><strong><b>B\u1ec6NH GAN NHI\u1ec4M M\u1ee0 \u1ede TR\u1eba EM<\/b><\/strong><\/p>\n<p><strong><b>Ph\u00e1t hi\u1ec7n s\u1edbm \u2013 \u0110i\u1ec1u tr\u1ecb \u0111\u00fang \u2013 Ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng<\/b><\/strong><\/p>\n<p>Gan nhi\u1ec5m m\u1ee1 kh\u00f4ng ch\u1ec9 g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn m\u00e0 \u0111ang tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe \u0111\u00e1ng quan t\u00e2m \u1edf tr\u1ebb em, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb th\u1eeba c\u00e2n, b\u00e9o ph\u00ec. B\u1ec7nh th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m, \u00edt c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y vi\u00eam gan, x\u01a1 h\u00f3a gan n\u1ebfu ti\u1ebfn tri\u1ec3n k\u00e9o d\u00e0i. Ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe l\u00e2u d\u00e0i c\u1ee7a tr\u1ebb. [1, 2]<\/p>\n<ol>\n<li><strong><b> Gan nhi\u1ec5m m\u1ee1 \u1edf tr\u1ebb em l\u00e0 g\u00ec?<\/b><\/strong><\/li>\n<\/ol>\n<p>Gan nhi\u1ec5m m\u1ee1 l\u00e0 t\u00ecnh tr\u1ea1ng ch\u1ea5t b\u00e9o t\u00edch t\u1ee5 qu\u00e1 m\u1ee9c trong t\u1ebf b\u00e0o gan. Hi\u1ec7n nay, b\u1ec7nh gan nhi\u1ec5m m\u1ee1 li\u00ean quan r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong><b>MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease)<\/b><\/strong>, tr\u01b0\u1edbc \u0111\u00e2y th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp v\u1edbi thu\u1eadt ng\u1eef NAFLD.<\/p>\n<p>B\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn th\u1eeba c\u00e2n, b\u00e9o ph\u00ec, kh\u00e1ng insulin, r\u1ed1i lo\u1ea1n lipid m\u00e1u v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh vi\u00eam gan nhi\u1ec5m m\u1ee1 (MASH), x\u01a1 h\u00f3a gan ho\u1eb7c x\u01a1 gan. [1, 2]<\/p>\n<ol start=\"2\">\n<li><strong><b> T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh t\u1ea1i Vi\u1ec7t Nam v\u00e0 th\u1ebf gi\u1edbi<\/b><\/strong><\/li>\n<\/ol>\n<p>Theo ph\u00e2n t\u00edch g\u1ed9p 62 nghi\u00ean c\u1ee9u qu\u1ed1c t\u1ebf c\u00f4ng b\u1ed1 n\u0103m 2024, t\u1ef7 l\u1ec7 gan nhi\u1ec5m m\u1ee1 \u1edf tr\u1ebb em l\u00e0:<\/p>\n<ul>\n<li><b><\/b><strong><b>Kho\u1ea3ng 13%<\/b><\/strong>trong d\u00e2n s\u1ed1 tr\u1ebb em n\u00f3i chung.<\/li>\n<li><b><\/b><strong><b>Kho\u1ea3ng 47%<\/b><\/strong>\u1edf nh\u00f3m tr\u1ebb b\u00e9o ph\u00ec.<\/li>\n<\/ul>\n<p>\u0110\u00e2y l\u00e0 s\u1ed1 li\u1ec7u theo ti\u00eau chu\u1ea9n NAFLD \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c nghi\u00ean c\u1ee9u, c\u00f3 th\u1ec3 kh\u00e1c v\u1edbi t\u1ef7 l\u1ec7 x\u00e1c \u0111\u1ecbnh theo ti\u00eau chu\u1ea9n MASLD hi\u1ec7n nay. [3]<\/p>\n<p><strong><b>T\u1ea1i Vi\u1ec7t Nam<\/b><\/strong>, m\u1ed9t nghi\u00ean c\u1ee9u t\u1ea1i Ph\u00f2ng kh\u00e1m Dinh d\u01b0\u1ee1ng \u2013 B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng ghi nh\u1eadn <strong><b>34,5% tr\u1ebb th\u1eeba c\u00e2n, b\u00e9o ph\u00ec c\u00f3 gan nhi\u1ec5m m\u1ee1 tr\u00ean si\u00eau \u00e2m<\/b><\/strong>. \u0110\u00e2y l\u00e0 t\u1ef7 l\u1ec7 \u1edf nh\u00f3m tr\u1ebb \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n, kh\u00f4ng ph\u1ea3i t\u1ef7 l\u1ec7 chung c\u1ee7a to\u00e0n b\u1ed9 tr\u1ebb em Vi\u1ec7t Nam. [4]<\/p>\n<ol start=\"3\">\n<li><strong><b> Nh\u1eefng tr\u1ebb n\u00e0o c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh?<\/b><\/strong><\/li>\n<\/ol>\n<p>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 th\u01b0\u1eddng g\u1eb7p g\u1ed3m:<\/p>\n<ul>\n<li>Th\u1eeba c\u00e2n, b\u00e9o ph\u00ec, \u0111\u1eb7c bi\u1ec7t b\u00e9o b\u1ee5ng.<\/li>\n<li>\u0102n nhi\u1ec1u th\u1ee9c \u0103n nhanh, b\u00e1nh k\u1eb9o, u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc ng\u1ecdt c\u00f3 \u0111\u01b0\u1eddng.<\/li>\n<li>\u00cdt v\u1eadn \u0111\u1ed9ng, d\u00e0nh nhi\u1ec1u th\u1eddi gian s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb \u0111i\u1ec7n t\u1eed.<\/li>\n<li>R\u1ed1i lo\u1ea1n lipid m\u00e1u, ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2.<\/li>\n<li>Gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc gan nhi\u1ec5m m\u1ee1 ho\u1eb7c b\u1ec7nh l\u00fd chuy\u1ec3n h\u00f3a.<\/li>\n<\/ul>\n<p>Ph\u1ea7n l\u1edbn tr\u1ebb m\u1eafc b\u1ec7nh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. M\u1ed9t s\u1ed1 tr\u1ebb c\u00f3 th\u1ec3 m\u1ec7t m\u1ecfi, kh\u00f3 ch\u1ecbu v\u00f9ng b\u1ee5ng tr\u00ean b\u00ean ph\u1ea3i ho\u1eb7c \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd khi x\u00e9t nghi\u1ec7m men gan, si\u00eau \u00e2m b\u1ee5ng. [1, 2, 5]<\/p>\n<ol start=\"4\">\n<li><strong><b> Tr\u1ebb t\u1eeb m\u1ea5y tu\u1ed5i n\u00ean \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t?<\/b><\/strong><\/li>\n<\/ol>\n<p>Theo khuy\u1ebfn c\u00e1o NASPGHAN, n\u00ean c\u00e2n nh\u1eafc s\u00e0ng l\u1ecdc t\u1eeb <strong><b>9\u201311 tu\u1ed5i<\/b><\/strong>\u00a0\u0111\u1ed1i v\u1edbi tr\u1ebb b\u00e9o ph\u00ec ho\u1eb7c tr\u1ebb th\u1eeba c\u00e2n c\u00f3 th\u00eam y\u1ebfu t\u1ed1 nguy c\u01a1 chuy\u1ec3n h\u00f3a.<\/p>\n<p>Tr\u1ebb nh\u1ecf h\u01a1n, k\u1ec3 c\u1ea3 t\u1eeb <strong><b>6 tu\u1ed5i<\/b><\/strong>, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 c\u00e2n nh\u1eafc t\u1ea7m so\u00e1t s\u1edbm n\u1ebfu b\u00e9o ph\u00ec n\u1eb7ng, c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u00e1ng k\u1ec3. Kh\u00f4ng c\u1ea7n s\u00e0ng l\u1ecdc \u0111\u1ea1i tr\u00e0 cho t\u1ea5t c\u1ea3 tr\u1ebb \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0y. [1, 5]<\/p>\n<ol start=\"5\">\n<li><strong><b> Ch\u1ea9n \u0111o\u00e1n gan nhi\u1ec5m m\u1ee1 b\u1eb1ng c\u00e1ch n\u00e0o?<\/b><\/strong><\/li>\n<\/ol>\n<p>B\u00e1c s\u0129 k\u1ebft h\u1ee3p th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eadn l\u00e2m s\u00e0ng:<\/p>\n<ul>\n<li><b><\/b><strong><b>X\u00e9t nghi\u1ec7m m\u00e1u:<\/b><\/strong>ALT, AST, GGT, \u0111\u01b0\u1eddng huy\u1ebft, HbA1c, lipid m\u00e1u v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft kh\u00e1c.<\/li>\n<li><b><\/b><strong><b>Si\u00eau \u00e2m gan:<\/b><\/strong>H\u1ed7 tr\u1ee3 ph\u00e1t hi\u1ec7n h\u00ecnh \u1ea3nh gan nhi\u1ec5m m\u1ee1, kh\u1ea3o s\u00e1t c\u1ea5u tr\u00fac gan v\u00e0 \u0111\u01b0\u1eddng m\u1eadt.<\/li>\n<li><b><\/b><strong><b>Si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i gan, FibroScan:<\/b><\/strong>H\u1ed7 tr\u1ee3 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 c\u1ee9ng gan, nguy c\u01a1 x\u01a1 h\u00f3a v\u00e0, khi c\u00f3 k\u1ef9 thu\u1eadt ph\u00f9 h\u1ee3p, \u0111\u1ecbnh l\u01b0\u1ee3ng m\u1ee9c \u0111\u1ed9 nhi\u1ec5m m\u1ee1.<\/li>\n<li><b><\/b><strong><b>C\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u:<\/b><\/strong>\u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi c\u1ea7n lo\u1ea1i tr\u1eeb b\u1ec7nh gan kh\u00e1c ho\u1eb7c nghi ng\u1edd t\u1ed5n th\u01b0\u01a1ng gan ti\u1ebfn tri\u1ec3n.<\/li>\n<\/ul>\n<p>Theo NASPGHAN, ALT t\u0103ng tr\u00ean hai l\u1ea7n gi\u1edbi h\u1ea1n tham chi\u1ebfu k\u00e9o d\u00e0i tr\u00ean ba th\u00e1ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1; ALT tr\u00ean 80 U\/L l\u00e0 d\u1ea5u hi\u1ec7u c\u1ea7n quan t\u00e2m v\u00e0 th\u0103m kh\u00e1m k\u1ecbp th\u1eddi.<\/p>\n<p><strong><b>L\u01b0u \u00fd:<\/b><\/strong>\u00a0Kh\u00f4ng th\u1ec3 ch\u1ea9n \u0111o\u00e1n ho\u1eb7c lo\u1ea1i tr\u1eeb ho\u00e0n to\u00e0n b\u1ec7nh gan nhi\u1ec5m m\u1ee1 ch\u1ec9 d\u1ef1a v\u00e0o m\u1ed9t k\u1ebft qu\u1ea3 men gan hay si\u00eau \u00e2m. FibroScan kh\u00f4ng ph\u1ea3i x\u00e9t nghi\u1ec7m b\u1eaft bu\u1ed9c cho m\u1ecdi tr\u1ebb v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c di\u1ec5n gi\u1ea3i theo \u0111\u1eb7c \u0111i\u1ec3m nhi khoa. [1, 2, 5]<\/p>\n<ol start=\"6\">\n<li><strong><b> B\u1ec7nh gan nhi\u1ec5m m\u1ee1 \u1edf tr\u1ebb em c\u00f3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c kh\u00f4ng?<\/b><\/strong><\/li>\n<\/ol>\n<p>C\u00f3. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 khi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 can thi\u1ec7p s\u1edbm.<\/p>\n<p><strong><b>Bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng nh\u1ea5t l\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng:<\/b><\/strong><\/p>\n<ul>\n<li>H\u1ea1n ch\u1ebf n\u01b0\u1edbc ng\u1ecdt c\u00f3 \u0111\u01b0\u1eddng, tr\u00e0 s\u1eefa, b\u00e1nh k\u1eb9o v\u00e0 th\u1ee9c \u0103n nhanh.<\/li>\n<li>T\u0103ng rau xanh, tr\u00e1i c\u00e2y nguy\u00ean qu\u1ea3, th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t x\u01a1.<\/li>\n<li>Khuy\u1ebfn kh\u00edch tr\u1ebb v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c ph\u00f9 h\u1ee3p, h\u01b0\u1edbng \u0111\u1ebfn trung b\u00ecnh \u00edt nh\u1ea5t 60 ph\u00fat m\u1ed7i ng\u00e0y \u1edf tr\u1ebb 6\u201317 tu\u1ed5i.<\/li>\n<li>Ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng ph\u00f9 h\u1ee3p v\u1edbi tu\u1ed5i, b\u1ea3o \u0111\u1ea3m tr\u1ebb v\u1eabn ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a \u0111i k\u00e8m v\u00e0 t\u00e1i kh\u00e1m theo h\u01b0\u1edbng d\u1eabn.<\/li>\n<\/ul>\n<p>Hi\u1ec7n ch\u01b0a c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng th\u01b0\u1eddng quy cho t\u1ea5t c\u1ea3 tr\u1ebb m\u1eafc MASLD. Vitamin E ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 chuy\u00ean khoa c\u00e2n nh\u1eafc trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan nhi\u1ec5m m\u1ee1 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng sinh thi\u1ebft, kh\u00f4ng s\u1eed d\u1ee5ng th\u01b0\u1eddng quy cho tr\u1ebb c\u00f3 gan nhi\u1ec5m m\u1ee1 \u0111\u01a1n thu\u1ea7n. [1, 2, 6]<\/p>\n<ol start=\"7\">\n<li><strong><b> T\u1ea7m so\u00e1t b\u1ec7nh gan nhi\u1ec5m m\u1ee1 t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa Th\u00e1i H\u00f2a<\/b><\/strong><\/li>\n<\/ol>\n<p>B\u1ec7nh vi\u1ec7n \u0110a khoa Th\u00e1i H\u00f2a c\u00f3 \u0111\u1ed9i ng\u0169 <strong><b>b\u00e1c s\u0129 chuy\u00ean khoa Nhi nhi\u1ec1u kinh nghi\u1ec7m<\/b><\/strong>, c\u00f9ng h\u1ec7 th\u1ed1ng trang thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 th\u0103m kh\u00e1m, ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh gan nhi\u1ec5m m\u1ee1 \u1edf tr\u1ebb em:<\/p>\n<ul>\n<li><b><\/b><strong><b>H\u1ec7 th\u1ed1ng x\u00e9t nghi\u1ec7m sinh h\u00f3a, mi\u1ec5n d\u1ecbch:<\/b><\/strong>\u0110\u00e1nh gi\u00e1 men gan, ch\u1ee9c n\u0103ng gan v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a li\u00ean quan.<\/li>\n<li><b><\/b><strong><b>Si\u00eau \u00e2m gan:<\/b><\/strong>Kh\u1ea3o s\u00e1t c\u1ea5u tr\u00fac gan, \u0111\u01b0\u1eddng m\u1eadt v\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng trong \u1ed5 b\u1ee5ng.<\/li>\n<li><b><\/b><strong><b>H\u1ec7 th\u1ed1ng si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i gan, FibroScan:<\/b><\/strong>H\u1ed7 tr\u1ee3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nhi\u1ec5m m\u1ee1 v\u00e0 nguy c\u01a1 x\u01a1 h\u00f3a gan b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n, theo ch\u1ec9 \u0111\u1ecbnh ph\u00f9 h\u1ee3p.<\/li>\n<li><b><\/b><strong><b>B\u00e1c s\u0129 chuy\u00ean khoa Nhi:<\/b><\/strong>Th\u0103m kh\u00e1m, \u0111\u00e1nh gi\u00e1 nguy c\u01a1, t\u01b0 v\u1ea5n dinh d\u01b0\u1ee1ng, h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i l\u00e2u d\u00e0i.<\/li>\n<\/ul>\n<p>Ph\u1ee5 huynh n\u00ean \u0111\u01b0a tr\u1ebb \u0111\u1ebfn kh\u00e1m khi tr\u1ebb b\u1ecb th\u1eeba c\u00e2n, b\u00e9o ph\u00ec, c\u00f3 men gan t\u0103ng, si\u00eau \u00e2m nghi ng\u1edd gan nhi\u1ec5m m\u1ee1 ho\u1eb7c c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 chuy\u1ec3n h\u00f3a.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-4677\" src=\"https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2026\/11\/12345-1-320x452.jpg\" alt=\"\" width=\"320\" height=\"452\" srcset=\"https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2026\/11\/12345-1-320x452.jpg 320w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2026\/11\/12345-1-768x1085.jpg 768w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2026\/11\/12345-1-8x12.jpg 8w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2026\/11\/12345-1-540x763.jpg 540w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2026\/11\/12345-1.jpg 1055w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/p>\n<p><strong><b>TH\u00d4NG \u0110I\u1ec6P S\u1ee8C KH\u1eceE<\/b><\/strong><\/p>\n<p><strong><b>Gan nhi\u1ec5m m\u1ee1 \u1edf tr\u1ebb em c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 c\u1ea3i thi\u1ec7n n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm. \u0110\u1eebng \u0111\u1ee3i \u0111\u1ebfn khi tr\u1ebb c\u00f3 tri\u1ec7u ch\u1ee9ng m\u1edbi \u0111\u01b0a \u0111i kh\u00e1m.<\/b><\/strong><\/p>\n<p>B\u1ec7nh vi\u1ec7n \u0110a khoa Th\u00e1i H\u00f2a khuy\u1ebfn kh\u00edch ph\u1ee5 huynh ch\u1ee7 \u0111\u1ed9ng \u0111\u01b0a tr\u1ebb thu\u1ed9c nh\u00f3m nguy c\u01a1 \u0111\u1ebfn th\u0103m kh\u00e1m, t\u01b0 v\u1ea5n v\u00e0 t\u1ea7m so\u00e1t ph\u00f9 h\u1ee3p \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe l\u00e1 gan c\u1ee7a tr\u1ebb.<\/p>\n<p><strong><b>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/b><\/strong><\/p>\n<p>[1] Vos MB, et al. NASPGHAN Clinical Practice Guideline for the Diagnosis and Treatment of Nonalcoholic Fatty Liver Disease in Children. <em><i>J Pediatr Gastroenterol Nutr.<\/i><\/em>\u00a02017;64(2):319\u2013334.<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28107283\/\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/28107283\/<\/u><\/a><\/p>\n<p>[2] Xanthakos SA, et al. AASLD Practice Statement on the Evaluation and Management of Metabolic Dysfunction-Associated Steatotic Liver Disease in Children. <em><i>Hepatology.<\/i><\/em>\u00a02025;82(5):1352\u20131394.<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40300071\/\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/40300071\/<\/u><\/a><\/p>\n<p>[3] Lee EJ, et al. Prevalence of Nonalcoholic Fatty Liver Disease in Pediatrics and Adolescents: A Systematic Review and Meta-analysis. <em><i>World J Pediatr.<\/i><\/em>\u00a02024;20:569\u2013580.<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38771552\/\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/38771552\/<\/u><\/a><\/p>\n<p>[4] Bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a \u1edf tr\u1ebb th\u1eeba c\u00e2n, b\u00e9o ph\u00ec t\u1ea1i Ph\u00f2ng kh\u00e1m Dinh d\u01b0\u1ee1ng \u2013 B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng. <em><i>T\u1ea1p ch\u00ed Nghi\u00ean c\u1ee9u Y h\u1ecdc.<\/i><\/em>\u00a02026.<br \/>\n<a href=\"https:\/\/tapchinghiencuuyhoc.vn\/index.php\/tcncyh\/article\/view\/5200\"><u>https:\/\/tapchinghiencuuyhoc.vn\/index.php\/tcncyh\/article\/view\/5200<\/u><\/a><\/p>\n<p>[5] B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng. Gan nhi\u1ec5m m\u1ee1 \u1edf tr\u1ebb em.<br \/>\n<a href=\"https:\/\/benhviennhitrunguong.gov.vn\/gan-nhiem-mo-o-tre-em.html\"><u>https:\/\/benhviennhitrunguong.gov.vn\/gan-nhiem-mo-o-tre-em.html<\/u><\/a><\/p>\n<p>[6] Lavine JE, et al. Effect of Vitamin E or Metformin for Treatment of Nonalcoholic Fatty Liver Disease in Children and Adolescents: The TONIC Randomized Controlled Trial. <em><i>JAMA.<\/i><\/em>\u00a02011;305(16):1659\u20131668.<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21521847\/\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/21521847\/<\/u><\/a><\/p>\n<p><strong><b>Bi\u00ean so\u1ea1n: Ban Bi\u00ean t\u1eadp \u2013 B\u1ec7nh vi\u1ec7n \u0110a khoa Th\u00e1i H\u00f2a.<\/b><\/strong><\/p>\n<p><em><i>N\u1ed9i dung t\u1ed5ng h\u1ee3p t\u1eeb c\u00e1c h\u01b0\u1edbng d\u1eabn v\u00e0 nghi\u00ean c\u1ee9u y khoa \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1, c\u00f3 d\u1eabn ngu\u1ed3n tham kh\u1ea3o.<\/i><\/em><\/p>\n<p><em><i>Th\u00f4ng tin nh\u1eb1m m\u1ee5c \u0111\u00edch gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe, kh\u00f4ng thay th\u1ebf vi\u1ec7c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u1ef1c ti\u1ebfp c\u1ee7a b\u00e1c s\u0129.<\/i><\/em><\/p>\n<p><strong><b>B\u1ec6NH VI\u1ec6N \u0110A KHOA TH\u00c1I H\u00d2A<\/b><\/strong><br \/>\n93\u201395 Ng\u00f4 Gia T\u1ef1, Ph\u01b0\u1eddng Phan Rang, t\u1ec9nh Kh\u00e1nh H\u00f2a. Website: <a href=\"https:\/\/benh\"><u>https:\/\/benh<\/u><\/a>vienthaihoa.vn<\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>B\u1ec6NH GAN NHI\u1ec4M M\u1ee0 \u1ede TR\u1eba EM Ph\u00e1t hi\u1ec7n s\u1edbm \u2013 \u0110i\u1ec1u tr\u1ecb \u0111\u00fang \u2013 Ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng Gan nhi\u1ec5m m\u1ee1 kh\u00f4ng ch\u1ec9 g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn m\u00e0 \u0111ang tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe \u0111\u00e1ng quan t\u00e2m \u1edf tr\u1ebb em, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb th\u1eeba c\u00e2n, b\u00e9o ph\u00ec. B\u1ec7nh th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2mLeer M\u00e1s<\/p>","protected":false},"author":7,"featured_media":4676,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[33],"tags":[],"class_list":["post-4675","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thong-tin-y-khoa"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/comments?post=4675"}],"version-history":[{"count":2,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4675\/revisions"}],"predecessor-version":[{"id":4679,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4675\/revisions\/4679"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media\/4676"}],"wp:attachment":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media?parent=4675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/categories?post=4675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/tags?post=4675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}