{"id":8215,"date":"2023-07-04T16:49:36","date_gmt":"2023-07-04T09:19:36","guid":{"rendered":"https:\/\/abtvn.com\/?p=8215"},"modified":"2023-07-20T15:11:50","modified_gmt":"2023-07-20T07:41:50","slug":"viem-gan-c-moi-nguy-hiem-tiem-an-khong-nen-chu-quan","status":"publish","type":"post","link":"https:\/\/abtvn.com\/en\/viem-gan-c-moi-nguy-hiem-tiem-an-khong-nen-chu-quan\/","title":{"rendered":"<strong>Vi\u00eam gan C &#8211; M\u1ed1i nguy hi\u1ec3m ti\u1ec1m \u1ea9n kh\u00f4ng n\u00ean ch\u1ee7 quan<\/strong>"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Hepatitis C virus<\/strong> g\u00e2y n\u00ean b\u1edfi <em>Hepatitis C<\/em> virus (HCV) &#8211; m\u1ed9t b\u1ec7nh ph\u1ed5 bi\u1ebfn tr\u00ean th\u1ebf gi\u1edbi khi c\u00f3 \u0111\u1ebfn 1,5 tri\u1ec7u ca nhi\u1ec5m m\u1edbi h\u00e0ng n\u0103m v\u00e0 \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng v\u1edbi 290.000 ca t\u1eed vong. \u0110i\u1ec1u \u0111\u00e1ng n\u00f3i l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m n\u00e0y l\u1ea1i \u00edt \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n r\u00f5 r\u00e0ng. Do \u0111\u00f3, hi\u1ec3u bi\u1ebft trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb l\u00e0 v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft \u0111\u1ec3 t\u0103ng nh\u1eadn th\u1ee9c v\u00e0 gi\u1ea3m s\u1ed1 ca nhi\u1ec5m. Hi\u1ec7n nay, vi\u1ec7c \u1ee9ng d\u1ee5ng sinh h\u1ecdc ph\u00e2n t\u1eed trong x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ng\u00e0y c\u00e0ng quan tr\u1ecdng, ch\u00fang tr\u1edf th\u00e0nh c\u00e1c ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m b\u1eaft bu\u1ed9c trong \u0111i\u1ec1u tr\u1ecb Vi\u00eam gan C.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\"><strong>C\u1ea5u tr\u00fac virus vi\u00eam gan C (HCV)<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Virus Vi\u00eam gan C<\/strong> ban \u0111\u1ea7u \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u1ed9t lo\u1ea1i \u201cvi-r\u00fat m\u1edbi g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan\u201d (kh\u00f4ng ph\u1ea3i Vi\u00eam gan A hay  B) v\u00e0 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1edbi t\u00ean <em>Hepatitis C<\/em> (HCV) v\u00e0o n\u0103m 1989. Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) c\u00f3 \u0111\u1ebfn 58 tri\u1ec7u ca nhi\u1ec5m virus Vi\u00eam gan C m\u00e3n t\u00ednh tr\u00ean to\u00e0n th\u1ebf gi\u1edbi n\u0103m 2019, v\u1edbi 1,5 tri\u1ec7u ca nhi\u1ec5m m\u1edbi h\u00e0ng n\u0103m v\u1edbi 399.000 ca t\u1eed vong [1].<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hepatitis C virus<\/strong> l\u00e0 lo\u1ea1i b\u1ec7nh truy\u1ec1n nhi\u1ec5m g\u00e2y t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng gan g\u00e2y ra b\u1edfi virus Vi\u00eam gan C (<em>Hepatitis C <\/em>virus). HCV c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf (55- 65nm), thu\u1ed9c chi Hepacivirus, h\u1ecd Flaviviridae v\u00e0 c\u00f3 v\u1eadt ch\u1ea5t di truy\u1ec1n l\u00e0 chu\u1ed7i RNA s\u1ee3i \u0111\u01a1n c\u00f3 t\u00ednh ph\u00e2n c\u1ef1c d\u01b0\u01a1ng. Virus \u0111\u01b0\u1ee3c c\u1ea5u t\u1ea1o d\u1ea1ng \u0111a di\u1ec7n \u0111\u1ec1u, ngo\u00e0i c\u00f9ng l\u00e0 l\u1edbp v\u1ecf lipid c\u00f3 ngu\u1ed3n g\u1ed1c c\u1ee7a t\u1ebf b\u00e0o gan v\u1edbi 2 lo\u1ea1i glycoprotein b\u1ec1 m\u1eb7t l\u00e0 E1 v\u00e0 E2 g\u1eafn tr\u00ean l\u1edbp v\u1ecf ngo\u00e0i lipid n\u00e0y. RNA c\u1ee7a virus c\u00f3 chi\u1ec1u d\u00e0i 9600 nucleotide, c\u00f3 ch\u1ee9c n\u0103ng m\u00e3 h\u00f3a chu\u1ed7i protein \u0111\u01a1n kho\u1ea3ng 3300 acid amin v\u00e0 h\u00ecnh th\u00e0nh nh\u1eefng protein nh\u1ecf c\u00f3 ho\u1ea1t t\u00ednh.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCV-Genomic-structure.png\" alt=\"H\u00ecnh 1: C\u1ea5u tr\u00fac HCV (virus Vi\u00eam gan C)\" class=\"wp-image-8217\" width=\"910\" height=\"386\" srcset=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCV-Genomic-structure.png 994w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCV-Genomic-structure-300x127.png 300w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCV-Genomic-structure-768x326.png 768w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCV-Genomic-structure-18x8.png 18w\" sizes=\"(max-width: 910px) 100vw, 910px\" \/><figcaption class=\"wp-element-caption\"><em>H\u00ecnh 1: C\u1ea5u tr\u00fac HCV.<\/em><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">HCV c\u00f3 7 ki\u1ec3u gen \u0111\u01b0\u1ee3c \u0111\u00e1nh s\u1ed1 t\u1eeb 1 \u0111\u1ebfn 7 v\u00e0 67 ki\u1ec3u ph\u1ee5 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. Trong \u0111\u00f3, ki\u1ec3u gen 1,2, 3 v\u00e0 6 l\u00e0 c\u00e1c ki\u1ec3u gen th\u01b0\u1eddng g\u1eb7p v\u00e0 g\u00e2y b\u1ec7nh ch\u1ee7 y\u1ebfu t\u1ea1i Vi\u1ec7t Nam. Chu\u1ed7i ARN c\u00f3 hai \u0111\u1ea7u 5\u2019URT v\u00e0 3\u2019URT kh\u00f4ng m\u00e3 h\u00f3a tr\u1ef1c ti\u1ebfp c\u00e1c acid amin nh\u01b0ng tham gia v\u00e0o kh\u1edfi \u0111\u1ed9ng d\u1ecbch m\u00e3 c\u0169ng nh\u01b0 qu\u00e1 tr\u00ecnh sao ch\u00e9p c\u1ee7a chu\u1ed7i RNA [2]. Ph\u00e2n t\u1eed ARN virus m\u00e3 h\u00f3a cho 11 ph\u00e2n t\u1eed protein kh\u00e1c nhau \u0111\u01b0\u1ee3c chia l\u00e0m 2 nh\u00f3m. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nh\u00f3m Protein tham gia t\u1ea1o khung c\u1ea5u tr\u00fac virus g\u1ed3m protein l\u00f5i C, protein v\u1ecf E1, v\u00e0 E2. C\u1ea3 hai protein v\u1ecf E1 v\u00e0 E2 \u0111\u1ec1u \u0111\u01b0\u1ee3c glycosyl h\u00f3a cao v\u00e0 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c x\u00e2m nh\u1eadp v\u00e0o t\u1ebf b\u00e0o. Trong \u0111\u00f3, E1 \u0111\u00f3ng vai tr\u00f2 nh\u01b0 m\u1ed9t th\u00e0nh ph\u1ea7n gi\u00fap cho qu\u00e1 tr\u00ecnh dung h\u1ee3p v\u00e0o t\u1ebf b\u00e0o ch\u1ee7 d\u1ec5 d\u00e0ng, c\u00f2n E2 ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t protein ti\u1ebfp nh\u1eadn th\u1ee5 th\u1ec3.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nh\u00f3m Protein kh\u00f4ng tham gia v\u00e0o c\u1ea5u tr\u00fac virus g\u1ed3m P7, NS2, NS3, NS4A, NS4B, NS5A, NS5; tham gia v\u00e0o c\u00e1c qu\u00e1 tr\u00ecnh nh\u01b0 x\u00e2m nh\u1eadp, nh\u00e2n l\u00ean, ho\u00e0n thi\u1ec7n virus m\u1edbi.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ban \u0111\u1ea7u, virus x\u00e2m nh\u1eadp v\u00e0o t\u1ebf b\u00e0o gan nh\u1edd nh\u1eefng th\u1ee5 th\u1ec3 \u0111\u1eb7c hi\u1ec7u tr\u00ean b\u1ec1 m\u1eb7t t\u1ebf b\u00e0o ch\u1ee7 \u0111\u1ec3 nh\u1eadp b\u00e0o (endocytosis). Sau \u0111\u00f3, virus dung n\u1ea1p v\u1edbi t\u1ebf b\u00e0o ch\u1ee7 \u0111\u1ed3ng th\u1eddi gi\u1ea3i ph\u00f3ng v\u1eadt ch\u1ea5t di truy\u1ec1n RNA. RNA c\u1ee7a virus \u0111\u01b0\u1ee3c d\u1ecbch m\u00e3 v\u00e0 c\u1eaft ti\u1ec1n protein th\u00e0nh nhi\u1ec1u \u0111o\u1ea1n nh\u1ecf l\u00e0 c\u00e1c \u0111o\u1ea1n m\u00e3 h\u00f3a v\u00e0 kh\u00f4ng m\u00e3 h\u00f3a protein. RNA ti\u1ebfp t\u1ee5c nh\u00e2n \u0111\u00f4i, t\u1ed5ng h\u1ee3p n\u00ean c\u00e1c ph\u00e2n t\u1eed HCV-RNA m\u1edbi. Sau \u0111\u00f3, virus \u0111\u00f3ng g\u00f3i v\u00e0 t\u1ea1o th\u00e0nh virus ho\u00e0n ch\u1ec9nh sau khi qua b\u1ed9 m\u00e1y Golgi. HCV ph\u00e1 b\u1ecf v\u1ecf t\u1ebf b\u00e0o gan, gi\u1ea3i ph\u00f3ng v\u00e0 ti\u1ebfp t\u1ee5c x\u00e2m nhi\u1ec5m c\u00e1c t\u1ebf b\u00e0o l\u00e0nh kh\u00e1c [3,4,5].<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\"><strong>Vi\u00eam gan C v\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sau khi v\u00e0o c\u01a1 th\u1ec3, virus Vi\u00eam gan C c\u00f3 th\u1eddi k\u1ef3 \u1ee7 b\u1ec7nh kh\u00e1 d\u00e0i (kho\u1ea3ng t\u1eeb 7 &#8211; 8 tu\u1ea7n), sau \u0111\u00f3 l\u00e0 th\u1eddi k\u1ef3 kh\u1edfi ph\u00e1t. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p Vi\u00eam gan C c\u1ea5p t\u00ednh \u00edt c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng cho \u0111\u1ebfn khi c\u00f3 bi\u1ec3u hi\u1ec7n x\u01a1 gan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng g\u1eb7p nh\u01b0 m\u1ec7t m\u1ecfi, nh\u1ee9c \u0111\u1ea7u v\u00e0 c\u00f3 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u1ea3m c\u00fam. C\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a nh\u01b0 \u0111au b\u1ee5ng, ch\u00e1n \u0103n, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, \u0111au t\u1ee9c v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i (v\u00f9ng gan) do gan b\u1ecb s\u01b0ng, vi\u00eam. Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au, v\u00e0ng da, v\u00e0ng m\u1eaft, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u nh\u01b0 n\u01b0\u1edbc v\u1ed1i do gan b\u1ecb vi\u00eam l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u01b0\u1eddng d\u1eabn m\u1eadt trong gan l\u00e0m cho s\u1eafc t\u1ed1 m\u1eadt \u1ee9 tr\u1ec7. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng ngo\u00e0i gan nh\u01b0: \u0111au c\u01a1, \u0111au kh\u1edbp, vi\u00eam kh\u1edbp, t\u00f3c d\u1ec5 g\u00e3y r\u1ee5ng, b\u1ec7nh c\u01a1 tim, vi\u00eam c\u1ea7u th\u1eadn t\u0103ng sinh m\u00e0ng.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"629\" data-src=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCVV-1024x629.png\" alt=\"H\u00ecnh 2: C\u00e1c giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng gan do virus Vi\u00eam gan C g\u00e2y ra.\" class=\"wp-image-8229 lazyload\" data-srcset=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCVV-1024x629.png 1024w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCVV-300x184.png 300w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCVV-768x472.png 768w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCVV-18x12.png 18w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HCVV.png 1200w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/629;\" \/><figcaption class=\"wp-element-caption\">H\u00ecnh 2: C\u00e1c giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng gan do virus Vi\u00eam gan C g\u00e2y ra.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\"><strong>Con \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n c\u1ee7a HCV<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hepatitis C virus <\/strong>l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y nhi\u1ec5m r\u1ea5t nhanh v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y truy\u1ec1n cao. HCV \u0111\u01b0\u1ee3c l\u00e2y truy\u1ec1n t\u1eeb ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh sang ng\u01b0\u1eddi l\u00e0nh theo 3 con \u0111\u01b0\u1eddng ch\u00ednh bao g\u1ed3m: \u0111\u01b0\u1eddng m\u00e1u, \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c v\u00e0 m\u1eb9 truy\u1ec1n sang con qua nhau thai khi sinh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 h\u00ecnh th\u1ee9c virus Vi\u00eam gan C c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng m\u00e1u nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00f9ng chung d\u1ee5ng c\u1ee5, b\u01a1m kim ti\u00eam, ho\u1eb7c c\u00e1c v\u1eadt d\u1ee5ng ti\u00eam thu\u1ed1c kh\u00e1c hay c\u00e1c lo\u1ea1i \u1ed1ng d\u00f9ng \u0111\u1ec3 h\u00fat ho\u1eb7c h\u00edt c\u00f3 d\u00ednh m\u00e1u c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh HCV<\/li>\n\n\n\n<li>D\u00f9ng chung d\u1ee5ng c\u1ee5 x\u0103m ho\u1eb7c x\u1ecf khuy\u00ean nh\u01b0 thi\u1ebft b\u1ecb, khuy\u00ean hay m\u1ef1c x\u0103m v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh<\/li>\n\n\n\n<li>D\u00f9ng chung \u0111\u1ed3 d\u00f9ng c\u00e1 nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng d\u00ednh m\u00e1u do tr\u1ea7y x\u01b0\u1edbc nh\u01b0 b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, dao c\u1ea1o r\u00e2u, b\u1ea5m m\u00f3ng tay<\/li>\n\n\n\n<li>T\u00e1i s\u1eed d\u1ee5ng ho\u1eb7c s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb, d\u1ee5ng c\u1ee5 y t\u1ebf ch\u01b0a qua kh\u1eed tr\u00f9ng<\/li>\n\n\n\n<li>Truy\u1ec1n m\u00e1u kh\u00f4ng qua s\u00e0ng l\u1ecdc HCV khi ng\u01b0\u1eddi b\u1ec7nh l\u1ecdc m\u00e1u chu k\u1ef3, gh\u00e9p t\u1ea1ng<\/li>\n\n\n\n<li>Quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00ec v\u1eady, c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng nh\u01b0 ng\u01b0\u1eddi ti\u00eam ch\u00edch ma t\u00fay, ng\u01b0\u1eddi c\u00f3 khuy\u00ean, x\u0103m tr\u00ean c\u01a1 th\u1ec3, nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c kh\u00f4ng l\u00e0nh m\u1ea1nh c\u00f3 t\u1ec9 l\u1ec7 nhi\u1ec5m tr\u00f9ng HCV t\u01b0\u01a1ng \u0111\u1ed1i cao. Ngo\u00e0i ra, c\u00e1c nh\u00e2n vi\u00ean ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe hay tr\u1ebb c\u00f3 m\u1eb9 m\u1eafc b\u1ec7nh Vi\u00eam gan C v\u00e0 ng\u01b0\u1eddi c\u00f3 ng\u01b0\u1eddi th\u00e2n nhi\u1ec5m b\u1ec7nh c\u0169ng n\u1eb1m trong nh\u00f3m nguy c\u01a1 m\u1eafc b\u1ec7nh.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\"><strong>Giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n b\u1ec7nh<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hepatitis C virus <\/strong>ph\u00e1t tri\u1ec3n theo 2 giai \u0111o\u1ea1n: Nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh (sau nhi\u1ec5m tr\u00f9ng kh\u1edfi ph\u00e1t) v\u00e0 nhi\u1ec5m tr\u00f9ng m\u00e3n t\u00ednh.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong><em>Vi\u00eam gan C c\u1ea5p t\u00ednh<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Giai \u0111o\u1ea1n c\u1ea5p t\u00ednh \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb 6 th\u00e1ng \u0111\u1ea7u ti\u00ean c\u1ee7a nhi\u1ec5m b\u1ec7nh. \u0110\u00e2y l\u00e0 giai \u0111o\u1ea1n khi m\u1edbi nhi\u1ec5m virus Vi\u00eam gan C, th\u1eddi gian sau khi virus x\u00e2m nh\u1eadp v\u00e0o m\u00e1u. Kho\u1ea3ng 20% nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m Vi\u00eam gan C c\u1ea5p t\u00ednh s\u1ebd t\u1ef1 lo\u1ea1i b\u1ecf kh\u1ecfi c\u01a1 th\u1ec3 m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean trong v\u00f2ng 6 th\u00e1ng \u0111\u1ea7u ti\u00ean m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb&nbsp; (kh\u00e1c v\u1edbi vi\u00eam gan B l\u00e0 90%). C\u00f2n 80% c\u00f2n l\u1ea1i s\u1ebd ph\u00e1t tri\u1ec3n th\u00e0nh nhi\u1ec5m Vi\u00eam gan C m\u00e3n t\u00ednh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd v\u00e0 k\u1ecbp th\u1eddi [6].<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong><em>Vi\u00eam gan C m\u00e3n t\u00ednh<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Giai \u0111o\u1ea1n Vi\u00eam gan C m\u00e3n t\u00ednh k\u00e9o d\u00e0i sau 6 th\u00e1ng \u0111\u1ea7u ti\u00ean nhi\u1ec5m b\u1ec7nh. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch, c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u00e0o th\u1ea3i HCV ra kh\u1ecfi c\u01a1 th\u1ec3, b\u1ec7nh c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i su\u1ed1t \u0111\u1eddi v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng, bao g\u1ed3m suy ch\u1ee9c n\u0103ng gan, x\u01a1 gan, ung th\u01b0 bi\u1ec3u m\u00f4 gan v\u00e0 th\u1eadm ch\u00ed t\u1eed vong.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean, ngay c\u1ea3 khi ph\u00e1t tri\u1ec3n t\u1edbi giai \u0111o\u1ea1n n\u00e0y, h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi v\u1eabn kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng. D\u00f9 v\u1eady, ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh c\u0169ng tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng th\u1ec3 ch\u1ee7 quan v\u00e0 n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n Vi\u00eam gan C \u0111\u1ecbnh k\u1ef3 hay ngay khi c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\"><strong>Bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh nguy c\u01a1 l\u00e2y nhi\u1ec5m HCV<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S\u1ed1 li\u1ec7u cho th\u1ea5y m\u1ee9c \u0111\u1ed9 nh\u1eadn bi\u1ebft v\u00e0 ch\u1ea9n \u0111o\u00e1n Vi\u00eam gan C kh\u00e1 th\u1ea5p khi ch\u1ec9 c\u00f3 20% b\u1ec7nh nh\u00e2n nhi\u1ec5m HCV \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 15% trong s\u1ed1 \u0111\u00f3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m Vi\u00eam gan C, nh\u1eefng bi\u1ec7n ph\u00e1p \u0111\u1ec3 tr\u00e1nh l\u00e2y nhi\u1ec5m ng\u01b0\u1eddi kh\u00e1c nh\u01b0 s\u1eed d\u1ee5ng ri\u00eang bi\u1ec7t c\u00e1c v\u1eadt d\u1ee5ng, \u0111\u1ed3 d\u00f9ng c\u00e1 nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng, ch\u1ea3y m\u00e1u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1eb7c bi\u1ec7t, c\u1ea7n l\u01b0u \u00fd c\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00e2y truy\u1ec1n cao nh\u01b0 khi c\u00f3 v\u1ebft th\u01b0\u01a1ng h\u1edf, truy\u1ec1n t\u1eeb m\u1eb9 sang con v\u00e0 quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng l\u00e0nh m\u1ea1nh. Ngo\u00e0i ra, th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p t\u1ed1i \u01b0u nh\u1ea5t trong ph\u00f2ng tr\u00e1nh nguy c\u01a1 l\u00e2y nhi\u1ec5m Vi\u00eam gan C.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\"><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n vi\u00eam gan C<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i vi\u1ec7c quan s\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb Vi\u00eam gan C.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong><em>X\u00e9t nghi\u1ec7m Anti-HCV<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">X\u00e9t nghi\u1ec7m gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a kh\u00e1ng th\u1ec3 kh\u00e1ng virus Vi\u00eam gan C trong c\u01a1 th\u1ec3 nh\u1eb1m t\u1ea7m so\u00e1t, s\u00e0ng l\u1ecdc b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00dd ngh\u0129a k\u1ebft qu\u1ea3:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c2m t\u00ednh v\u1edbi Anti-HCV: C\u01a1 th\u1ec3 kh\u00f4ng c\u00f3 kh\u00e1ng th\u1ec3 kh\u00e1ng virus HCV, k\u1ebft lu\u1eadn ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m ch\u01b0a t\u1eebng b\u1ecb nhi\u1ec5m Vi\u00eam gan C.<\/li>\n\n\n\n<li>D\u01b0\u01a1ng t\u00ednh: C\u01a1 th\u1ec3 xu\u1ea5t hi\u1ec7n kh\u00e1ng th\u1ec3 kh\u00e1ng virus HCV, ch\u01b0a th\u1ec3 k\u1ebft lu\u1eadn c\u01a1 th\u1ec3 \u0111\u00e3 t\u1ea1o ra \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i b\u1ec7nh n\u00e0y. 2 tr\u01b0\u1eddng h\u1ee3p cho k\u1ebft qu\u1ea3 n\u00e0y bao g\u1ed3m: \u0111ang m\u1eafc b\u1ec7nh ho\u1eb7c \u0111\u00e3 t\u1eebng nhi\u1ec5m Vi\u00eam gan C nh\u01b0ng \u0111\u00e3 t\u1ef1 kh\u1ecfi trong th\u1eddi gian c\u1ea5p t\u00ednh. \u0110\u1ec3 ph\u00e2n lo\u1ea1i m\u1ed9t c\u00e1ch ch\u1eafc ch\u1eafn, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ti\u1ebfn h\u00e0nh ki\u1ec3m tra HCV RNA b\u1eb1ng k\u1ef9 thu\u1eadt Real-time PCR \u0111\u1ec3 bi\u1ebft c\u00f3 virus ho\u00e0n ch\u1ec9nh \u0111ang ho\u1ea1t \u0111\u1ed9ng trong c\u01a1 th\u1ec3 hay kh\u00f4ng.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img decoding=\"async\" data-src=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/anti-HCV-test.png\" alt=\"H\u00ecnh 4: X\u00e9t nghi\u1ec7m Anti-HCV trong ch\u1ea9n \u0111o\u00e1n Vi\u00eam gan C.\" class=\"wp-image-8228 lazyload\" width=\"912\" height=\"512\" data-srcset=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/anti-HCV-test.png 803w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/anti-HCV-test-300x168.png 300w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/anti-HCV-test-768x431.png 768w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/anti-HCV-test-18x10.png 18w\" data-sizes=\"(max-width: 912px) 100vw, 912px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 912px; --smush-placeholder-aspect-ratio: 912\/512;\" \/><figcaption class=\"wp-element-caption\"><em>H\u00ecnh 4: X\u00e9t nghi\u1ec7m Anti-HCV trong ch\u1ea9n \u0111o\u00e1n Vi\u00eam gan C.<\/em><\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong><em>Real-time PCR ph\u00e1t hi\u1ec7n HCV RNA<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1eabu b\u1ec7nh ph\u1ea9m d\u00f9ng \u0111\u1ec3 x\u00e9t nghi\u1ec7m HCV l\u00e0 huy\u1ebft thanh, huy\u1ebft t\u01b0\u01a1ng, nh\u1eb1m m\u1ee5c \u0111\u00edch x\u00e1c \u0111\u1ecbnh n\u1ed3ng \u0111\u1ed9 c\u1ee7a virus Hepatitis C th\u00f4ng qua vi\u1ec7c \u0111o RNA trong m\u1eabu m\u00e1u sau khi t\u00e1ch chi\u1ebft.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00dd ngh\u0129a k\u1ebft qu\u1ea3:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c2m t\u00ednh v\u1edbi HCV: C\u01a1 th\u1ec3 kh\u00f4ng mang virus Vi\u00eam gan C, k\u1ebft lu\u1eadn ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m kh\u00f4ng nhi\u1ec5m Vi\u00eam gan C.<\/li>\n\n\n\n<li>D\u01b0\u01a1ng t\u00ednh v\u1edbi HCV: C\u01a1 th\u1ec3 c\u00f3 mang HCV g\u00e2y b\u1ec7nh, k\u1ebft lu\u1eadn ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m c\u00f3 mang virus Vi\u00eam gan C v\u00e0 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c <strong>x\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng HCV<\/strong> nh\u1eb1m bi\u1ebft \u0111\u01b0\u1ee3c t\u1ea3i l\u01b0\u1ee3ng nhi\u1ec1u hay \u00edt c\u1ee7a virus cho m\u1ee5c \u0111\u00edch thi\u1ebft l\u1eadp ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u01b0\u01a1ng \u1ee9ng.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"575\" data-src=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1-1024x575.jpeg\" alt=\"H\u00ecnh 5:\u00a0Kit Real-time PCR d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n Vi\u00eam gan C.\" class=\"wp-image-8219 lazyload\" data-srcset=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1-1024x575.jpeg 1024w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1-300x168.jpeg 300w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1-768x431.jpeg 768w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1-1536x862.jpeg 1536w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1-18x10.jpeg 18w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1-1707x958.jpeg 1707w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/HBV-HCV-CHUA-CHIA-2048x1149-1.jpeg 1920w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/575;\" \/><figcaption class=\"wp-element-caption\"><em>H\u00ecnh 5:&nbsp;<\/em><strong><em><a href=\"https:\/\/abtvn.com\/en\/product\/topcare-hcv-one-step-rt-qpcr-kit-sqh-126\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kit Real-time PCR d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n HCV<\/a><\/em><\/strong>.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong><em>X\u00e9t nghi\u1ec7m HCV Genotype<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay, virus HCV \u0111ang c\u00f3 6 ki\u1ec3u gen t\u1eeb 1 &#8211; 6, m\u1ed7i ki\u1ec3u l\u1ea1i \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c nh\u00f3m nh\u1ecf kh\u00e1c nhau. Trong \u0111\u00f3, t\u1ea1i Vi\u1ec7t Nam, virus HCV c\u00f3 ki\u1ec3u gen 1, 2, 3 v\u00e0 6 th\u01b0\u1eddng ph\u1ed5 bi\u1ebfn v\u00e0 th\u01b0\u1eddng g\u1eb7p h\u01a1n c\u1ea3. M\u1ed7i ki\u1ec3u gen c\u1ee7a virus th\u01b0\u1eddng c\u00f3 c\u00e1c \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. Do \u0111\u00f3, x\u00e1c \u0111\u1ecbnh virus thu\u1ed9c ki\u1ec3u gen g\u00ec s\u1ebd gi\u00fap vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao nh\u1ea5t. X\u00e1c \u0111\u1ecbnh ki\u1ec3u gen c\u1ee7a virus v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd nh\u1ea5t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sau khi \u0111\u00e3 c\u00f3 k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh v\u1edbi HCV, m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 c\u1ea7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m sau khi ch\u1ea9n \u0111o\u00e1n nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u00e1nh gi\u00e1 x\u01a1 h\u00f3a gan b\u1eb1ng sinh thi\u1ebft v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n nh\u01b0 ch\u1ec9 s\u1ed1 APRI, FIB-4, Fibroscan, ARFI, Fibrotest,&#8230;<\/li>\n\n\n\n<li>C\u00e1c x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, sinh h\u00f3a v\u00e0 ch\u1ee9c n\u0103ng gan g\u1ed3m AST, ALT, c\u00f4ng th\u1ee9c m\u00e1u, s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, albumin, bilirubin, AFP, th\u1eddi gian prothrombin, INR, si\u00eau \u00e2m gan,\u2026<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img decoding=\"async\" data-src=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/xet-nghiem-hcv-giup-xac-dinh-virus-hcv-trong-co-the-edited-1.jpg\" alt=\"H\u00ecnh 6: X\u00e9t nghi\u1ec7m HCV gi\u00fap x\u00e1c \u0111\u1ecbnh virus Vi\u00eam gan C trong c\u01a1 th\u1ec3.\" class=\"wp-image-8227 lazyload\" width=\"912\" data-srcset=\"https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/xet-nghiem-hcv-giup-xac-dinh-virus-hcv-trong-co-the-edited-1.jpg 800w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/xet-nghiem-hcv-giup-xac-dinh-virus-hcv-trong-co-the-edited-1-300x169.jpg 300w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/xet-nghiem-hcv-giup-xac-dinh-virus-hcv-trong-co-the-edited-1-768x432.jpg 768w, https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/xet-nghiem-hcv-giup-xac-dinh-virus-hcv-trong-co-the-edited-1-18x10.jpg 18w\" data-sizes=\"(max-width: 800px) 100vw, 800px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 800px; --smush-placeholder-aspect-ratio: 800\/450;\" \/><figcaption class=\"wp-element-caption\"><em>H\u00ecnh 6: X\u00e9t nghi\u1ec7m HCV gi\u00fap x\u00e1c \u0111\u1ecbnh virus Vi\u00eam gan C trong c\u01a1 th\u1ec3<\/em>.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay, <strong>Hepatitis C virus <\/strong>x\u00e2m nh\u1eadp c\u01a1 th\u1ec3 m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o ho\u1eb7c c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ec7nh kh\u00f4ng r\u00f5 r\u00e0ng. \u0110\u00e2y c\u0169ng \u0111\u01b0\u1ee3c cho l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y n\u00ean c\u00e1c b\u1ec7nh nghi\u00eam tr\u1ecdng v\u1ec1 gan nh\u01b0 ung th\u01b0 gan. Do \u0111\u00f3, vi\u1ec7c ch\u1ee7 \u0111\u1ed9ng th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n s\u1edbm c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng gi\u00fap ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. \u0110\u1eb7c bi\u1ec7t, c\u00e1c x\u00e9t nghi\u1ec7m \u00e1p d\u1ee5ng sinh h\u1ecdc ph\u00e2n t\u1eed nh\u01b0<a href=\"https:\/\/abtvn.com\/en\/real-time-pcr\/\" target=\"_blank\" rel=\"noreferrer noopener\"> <em><strong>K\u1ef9 thu\u1eadt Real-time PCR<\/strong><\/em><\/a> cho ra k\u1ebft qu\u1ea3 nhanh ch\u00f3ng, ch\u00ednh x\u00e1c, gi\u00fap \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00f3m l\u1ea1i, vi\u1ec7c n\u1eafm r\u00f5 c\u01a1 ch\u1ebf g\u00e2y b\u1ec7nh, nguy\u00ean nh\u00e2n v\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba s\u1ebd l\u00e0 c\u1ea7n thi\u1ebft khi t\u1ef1 ch\u1ee7 \u0111\u1ed9ng ng\u0103n ng\u1eeba v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb <strong>Hepatitis C virus<\/strong>. H\u00e3y chia s\u1ebb th\u00f4ng tin n\u00e0y v\u00ec ch\u00fang c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n t\u1ef1 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a ch\u00ednh m\u00ecnh v\u00e0 nh\u1eefng ng\u01b0\u1eddi xung quanh. Chia s\u1ebb ngay nh\u00e9!<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>World Health Organization. Hepatitis C. <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hepatitis-c\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hepatitis-c<\/a><\/li>\n\n\n\n<li>Altaira D. Dearbor, Joseph Marcotrigiano. Hepatitis C Virus Structure: Defined by What It Is Not. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6938659\/#:~:text=HCV%20contains%20a%209.6%2Dkbp,the%20nonstructural%20(NS)%20proteins.\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6938659\/#:~:text=HCV%20contains%20a%209.6%2Dkbp,the%20nonstructural%20(NS)%20proteins.<\/a><\/li>\n\n\n\n<li>Jean Dubuisson. Virology and cell biology of the hepatitis C virus life cycle. <a href=\"https:\/\/www.journal-of-hepatology.eu\/article\/S0168-8278(14)00461-9\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.journal-of-hepatology.eu\/article\/S0168-8278(14)00461-9\/fulltext<\/a><\/li>\n\n\n\n<li>Caruntu FA, Benea L. Acute hepatitis C virus infection: Diagnosis, pathogenesis, treatment. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17013450\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/17013450\/<\/a><\/li>\n\n\n\n<li>Kohji M, Yorshiharu M. Mechanisms of Hepatitis C Virus Infection. <a href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/095632020301400601\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/095632020301400601<\/a><\/li>\n\n\n\n<li>S Zaltron, A Spinetti, L Biasi, C Baiguera, F Castelli. Chronic HCV infection: epidemiological and clinical relevance.<a href=\" https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3495628\/\"> https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3495628\/<\/a><\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam gan C g\u00e2y n\u00ean b\u1edfi Hepatitis C virus (HCV) &#8211; m\u1ed9t b\u1ec7nh ph\u1ed5 bi\u1ebfn tr\u00ean th\u1ebf gi\u1edbi khi c\u00f3 \u0111\u1ebfn 1,5 tri\u1ec7u ca nhi\u1ec5m m\u1edbi h\u00e0ng n\u0103m v\u00e0 \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng v\u1edbi 290.000 ca t\u1eed vong. \u0110i\u1ec1u \u0111\u00e1ng n\u00f3i l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m n\u00e0y l\u1ea1i \u00edt \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n r\u00f5 r\u00e0ng. Do \u0111\u00f3, s\u1ef1 hi\u1ec3u bi\u1ebft trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb HCV l\u00e0 v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft \u0111\u1ec3 t\u0103ng nh\u1eadn th\u1ee9c v\u00e0 gi\u1ea3m s\u1ed1 ca nhi\u1ec5m. Hi\u1ec7n nay, vi\u1ec7c \u1ee9ng d\u1ee5ng sinh h\u1ecdc ph\u00e2n t\u1eed trong ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam gan virus C ng\u00e0y c\u00e0ng quan tr\u1ecdng, ch\u00fang tr\u1edf th\u00e0nh c\u00e1c ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m b\u1eaft bu\u1ed9c trong \u0111i\u1ec1u tr\u1ecb vi\u00eam gan C.<\/p>","protected":false},"author":1,"featured_media":8235,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","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":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[270],"tags":[450,448,447,449],"class_list":["post-8215","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kien-thuc","tag-hcv","tag-sinh-hoc-phan-tu","tag-viem-gan-c","tag-virus"],"uagb_featured_image_src":{"full":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C.png",1920,1194,false],"thumbnail":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-150x150.png",150,150,true],"medium":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-300x187.png",300,187,true],"medium_large":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-768x478.png",768,478,true],"large":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-1024x637.png",1024,637,true],"1536x1536":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-1536x956.png",1536,956,true],"2048x2048":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-2048x1274.png",2048,1274,true],"trp-custom-language-flag":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-18x12.png",18,12,true],"woocommerce_thumbnail":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-1707x1062.png",1707,1062,true],"woocommerce_single":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-2560x1593.png",2560,1593,true],"woocommerce_gallery_thumbnail":["https:\/\/abtvn.com\/wp-content\/uploads\/2023\/07\/VIEM-GAN-C-100x100.png",100,100,true]},"uagb_author_info":{"display_name":"ABT Team","author_link":"https:\/\/abtvn.com\/en\/author\/admin\/"},"uagb_comment_info":0,"uagb_excerpt":"Vi\u00eam gan C g\u00e2y n\u00ean b\u1edfi Hepatitis C virus (HCV) - m\u1ed9t b\u1ec7nh ph\u1ed5 bi\u1ebfn tr\u00ean th\u1ebf gi\u1edbi khi c\u00f3 \u0111\u1ebfn 1,5 tri\u1ec7u ca nhi\u1ec5m m\u1edbi h\u00e0ng n\u0103m v\u00e0 \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng v\u1edbi 290.000 ca t\u1eed vong. \u0110i\u1ec1u \u0111\u00e1ng n\u00f3i l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m n\u00e0y l\u1ea1i \u00edt \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n&hellip;","_links":{"self":[{"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/posts\/8215","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/comments?post=8215"}],"version-history":[{"count":7,"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/posts\/8215\/revisions"}],"predecessor-version":[{"id":8237,"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/posts\/8215\/revisions\/8237"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/media\/8235"}],"wp:attachment":[{"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/media?parent=8215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/categories?post=8215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/abtvn.com\/en\/wp-json\/wp\/v2\/tags?post=8215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}