{"id":3699,"date":"2024-07-21T18:07:06","date_gmt":"2024-07-21T11:07:06","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?p=3699"},"modified":"2024-07-21T18:07:06","modified_gmt":"2024-07-21T11:07:06","slug":"mat-do-xuong-bao-nhieu-la-bi-loang-xuong","status":"publish","type":"post","link":"https:\/\/bsvothanhtoan.com\/en\/mat-do-xuong-bao-nhieu-la-bi-loang-xuong\/","title":{"rendered":"M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau l\u00e0 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng?"},"content":{"rendered":"

Osteoporosis<\/a> l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 c\u1ea7n quan t\u00e2m \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u1edf \u0111\u1ed9 tu\u1ed5i trung ni\u00ean. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng g\u00e3y x\u01b0\u01a1ng ho\u1eb7c t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u00e3ng x\u01b0\u01a1ng, ph\u01b0\u01a1ng ph\u00e1p \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. V\u1eady m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau th\u00ec b\u1ecb coi l\u00e0 lo\u00e3ng x\u01b0\u01a1ng?<\/span><\/h2>\n

\u1ede \u0111\u1ed9 tu\u1ed5i trung ni\u00ean, m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1eaft \u0111\u1ea7u gi\u1ea3m d\u1ea7n, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng lo\u00e3ng x\u01b0\u01a1ng. C\u00e1c k\u1ef9 thu\u1eadt \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng ng\u00e0y c\u00e0ng ph\u00e1t tri\u1ec3n, cho ph\u00e9p \u0111o to\u00e0n th\u00e2n ho\u1eb7c t\u1eebng v\u00f9ng c\u1ee5 th\u1ec3. V\u1eady m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng nh\u01b0 th\u1ebf n\u00e0o th\u00ec \u0111\u01b0\u1ee3c xem l\u00e0 lo\u00e3ng x\u01b0\u01a1ng? C\u00f9ng t\u00ecm hi\u1ec3u c\u00e2u tr\u1ea3 l\u1eddi trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n

Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 g\u00ec?<\/strong><\/p>\n

Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 t\u00ecnh tr\u1ea1ng x\u01b0\u01a1ng m\u1ea5t d\u1ea7n m\u1eadt \u0111\u1ed9 kho\u00e1ng, d\u1eabn \u0111\u1ebfn gi\u1ea3m c\u1ea5u tr\u00fac x\u01b0\u01a1ng, khi\u1ebfn x\u01b0\u01a1ng tr\u1edf n\u00ean m\u1ecfng, y\u1ebfu v\u00e0 d\u1ec5 g\u00e3y. Fracture<\/a> do lo\u00e3ng x\u01b0\u01a1ng l\u00e0 t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, v\u00e0 sau khi ph\u1eabu thu\u1eadt g\u00e3y x\u01b0\u01a1ng, x\u01b0\u01a1ng th\u01b0\u1eddng kh\u00f3 c\u00f3 kh\u1ea3 n\u0103ng l\u00e0nh l\u1ea1i.<\/p>\n

\"H\u00ecnh
Lo\u00e3ng X\u01b0\u01a1ng<\/figcaption><\/figure>\n

Khi tu\u1ed5i t\u00e1c t\u0103ng l\u00ean, qu\u00e1 tr\u00ecnh h\u1ee7y x\u01b0\u01a1ng di\u1ec5n ra nhanh h\u01a1n qu\u00e1 tr\u00ecnh t\u1ea1o x\u01b0\u01a1ng. Tuy nhi\u00ean, qu\u00e1 tr\u00ecnh n\u00e0y di\u1ec5n ra \u00e2m th\u1ea7m, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm.<\/p>\n

M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng l\u00e0 g\u00ec?<\/strong><\/p>\n

M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng (bone mineral density) l\u00e0 ch\u1ec9 s\u1ed1 \u0111o l\u01b0\u1eddng l\u01b0\u1ee3ng m\u00f4 kho\u00e1ng tr\u00ean m\u1ed9t \u0111\u01a1n v\u1ecb di\u1ec7n t\u00edch ho\u1eb7c th\u1ec3 t\u00edch. M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u0111\u01b0\u1ee3c bi\u1ec3u th\u1ecb b\u1eb1ng \u0111\u01a1n v\u1ecb g\/cm\u00b2 ho\u1eb7c g\/cm\u00b3.<\/p>\n

K\u1ebft qu\u1ea3 \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ec3u th\u1ecb b\u1eb1ng T-score v\u00e0 Z-score:<\/p>\n

– T-score: So s\u00e1nh m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi ch\u1ec9 s\u1ed1 chu\u1ea9n c\u1ee7a ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i. Ch\u1ec9 s\u1ed1 chu\u1ea9n n\u00e0y \u0111\u01b0\u1ee3c \u0111o t\u1eeb m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, c\u00f9ng gi\u1edbi t\u00ednh v\u00e0 c\u00f9ng ch\u1ee7ng t\u1ed9c.
\n– Z-score: So s\u00e1nh m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi ch\u1ec9 s\u1ed1 c\u1ee7a m\u1ed9t ng\u01b0\u1eddi c\u00f9ng tu\u1ed5i, c\u00f9ng gi\u1edbi t\u00ednh, c\u00f9ng chi\u1ec1u cao v\u00e0 c\u00e2n n\u1eb7ng, c\u00f9ng ch\u1ee7ng t\u1ed9c. Ch\u1ec9 s\u1ed1 Z-score c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng th\u1ee9 ph\u00e1t.<\/p>\n

\"Chuy\u00ean
Lo\u00e3ng X\u01b0\u01a1ng 1<\/figcaption><\/figure>\n

\u0110o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng l\u00e0 ti\u00eau chu\u1ea9n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u00e3ng x\u01b0\u01a1ng v\u00e0 d\u1ef1 \u0111o\u00e1n kh\u1ea3 n\u0103ng g\u00e3y x\u01b0\u01a1ng trong t\u01b0\u01a1ng lai. Lo\u00e3ng x\u01b0\u01a1ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn x\u1eb9p l\u00fan c\u1ed9t s\u1ed1ng v\u00e0 g\u00e3y x\u01b0\u01a1ng d\u00e0i. Nh\u1edd \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng, ch\u00fang ta c\u00f3 th\u1ec3 k\u1ecbp th\u1eddi ng\u0103n ch\u1eb7n c\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea5u c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n

Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 c\u1ea7n quan t\u00e2m \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u1edf \u0111\u1ed9 tu\u1ed5i trung ni\u00ean. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng g\u00e3y x\u01b0\u01a1ng ho\u1eb7c t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u00e3ng x\u01b0\u01a1ng, ph\u01b0\u01a1ng ph\u00e1p \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. V\u1eady m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau th\u00ec b\u1ecb coi l\u00e0 lo\u00e3ng x\u01b0\u01a1ng?<\/p>\n

\u1ede \u0111\u1ed9 tu\u1ed5i trung ni\u00ean, m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1eaft \u0111\u1ea7u gi\u1ea3m d\u1ea7n, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng lo\u00e3ng x\u01b0\u01a1ng. C\u00e1c k\u1ef9 thu\u1eadt \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng ng\u00e0y c\u00e0ng ph\u00e1t tri\u1ec3n, cho ph\u00e9p \u0111o to\u00e0n th\u00e2n ho\u1eb7c t\u1eebng v\u00f9ng c\u1ee5 th\u1ec3. V\u1eady m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng nh\u01b0 th\u1ebf n\u00e0o th\u00ec \u0111\u01b0\u1ee3c xem l\u00e0 lo\u00e3ng x\u01b0\u01a1ng? C\u00f9ng t\u00ecm hi\u1ec3u c\u00e2u tr\u1ea3 l\u1eddi trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n

Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 g\u00ec?<\/strong><\/p>\n

Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 t\u00ecnh tr\u1ea1ng x\u01b0\u01a1ng m\u1ea5t d\u1ea7n m\u1eadt \u0111\u1ed9 kho\u00e1ng, d\u1eabn \u0111\u1ebfn gi\u1ea3m c\u1ea5u tr\u00fac x\u01b0\u01a1ng, khi\u1ebfn x\u01b0\u01a1ng tr\u1edf n\u00ean m\u1ecfng, y\u1ebfu v\u00e0 d\u1ec5 g\u00e3y. G\u00e3y x\u01b0\u01a1ng do lo\u00e3ng x\u01b0\u01a1ng l\u00e0 t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, v\u00e0 sau khi ph\u1eabu thu\u1eadt g\u00e3y x\u01b0\u01a1ng, x\u01b0\u01a1ng th\u01b0\u1eddng kh\u00f3 c\u00f3 kh\u1ea3 n\u0103ng l\u00e0nh l\u1ea1i.<\/p>\n

Khi tu\u1ed5i t\u00e1c t\u0103ng l\u00ean, qu\u00e1 tr\u00ecnh h\u1ee7y x\u01b0\u01a1ng di\u1ec5n ra nhanh h\u01a1n qu\u00e1 tr\u00ecnh t\u1ea1o x\u01b0\u01a1ng. Tuy nhi\u00ean, qu\u00e1 tr\u00ecnh n\u00e0y di\u1ec5n ra \u00e2m th\u1ea7m, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm.<\/p>\n

M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng l\u00e0 g\u00ec?<\/strong><\/p>\n

M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng (bone mineral density) l\u00e0 ch\u1ec9 s\u1ed1 \u0111o l\u01b0\u1eddng l\u01b0\u1ee3ng m\u00f4 kho\u00e1ng tr\u00ean m\u1ed9t \u0111\u01a1n v\u1ecb di\u1ec7n t\u00edch ho\u1eb7c th\u1ec3 t\u00edch. M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u0111\u01b0\u1ee3c bi\u1ec3u th\u1ecb b\u1eb1ng \u0111\u01a1n v\u1ecb g\/cm\u00b2 ho\u1eb7c g\/cm\u00b3.<\/p>\n

K\u1ebft qu\u1ea3 \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ec3u th\u1ecb b\u1eb1ng T-score v\u00e0 Z-score:<\/p>\n

– T-score: So s\u00e1nh m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi ch\u1ec9 s\u1ed1 chu\u1ea9n c\u1ee7a ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i. Ch\u1ec9 s\u1ed1 chu\u1ea9n n\u00e0y \u0111\u01b0\u1ee3c \u0111o t\u1eeb m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, c\u00f9ng gi\u1edbi t\u00ednh v\u00e0 c\u00f9ng ch\u1ee7ng t\u1ed9c.
\n– Z-score: So s\u00e1nh m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi ch\u1ec9 s\u1ed1 c\u1ee7a m\u1ed9t ng\u01b0\u1eddi c\u00f9ng tu\u1ed5i, c\u00f9ng gi\u1edbi t\u00ednh, c\u00f9ng chi\u1ec1u cao v\u00e0 c\u00e2n n\u1eb7ng, c\u00f9ng ch\u1ee7ng t\u1ed9c. Ch\u1ec9 s\u1ed1 Z-score c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng th\u1ee9 ph\u00e1t.<\/p>\n

\u0110o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng l\u00e0 ti\u00eau chu\u1ea9n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u00e3ng x\u01b0\u01a1ng v\u00e0 d\u1ef1 \u0111o\u00e1n kh\u1ea3 n\u0103ng g\u00e3y x\u01b0\u01a1ng trong t\u01b0\u01a1ng lai. Lo\u00e3ng x\u01b0\u01a1ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn x\u1eb9p l\u00fan c\u1ed9t s\u1ed1ng v\u00e0 g\u00e3y x\u01b0\u01a1ng d\u00e0i. Nh\u1edd \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng, ch\u00fang ta c\u00f3 th\u1ec3 k\u1ecbp th\u1eddi ng\u0103n ch\u1eb7n c\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea5u c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n

M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau l\u00e0 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng?<\/strong><\/p>\n

Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), gi\u00e1 tr\u1ecb c\u1ee7a hai ch\u1ec9 s\u1ed1 T-score v\u00e0 Z-score \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p DEXA nh\u01b0 sau:<\/p>\n

Ch\u1ec9 s\u1ed1 T-score:<\/p>\n

– T-score > -1: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng.
\n– T-score t\u1eeb -1 \u0111\u1ebfn -2.5: Thi\u1ebfu x\u01b0\u01a1ng.
\n– T-score \u2264 -2.5: Lo\u00e3ng x\u01b0\u01a1ng. N\u1ebfu c\u00f3 k\u00e8m g\u00e3y x\u01b0\u01a1ng ho\u1eb7c ti\u1ec1n s\u1eed g\u00e3y x\u01b0\u01a1ng th\u00ec lo\u00e3ng x\u01b0\u01a1ng n\u1eb7ng.<\/p>\n

Ch\u1ec9 s\u1ed1 Z-score:<\/p>\n

– Z-score = 0: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1eb1ng gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi c\u00f9ng nh\u00f3m.
\n– Z-score > 0: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng cao h\u01a1n gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi c\u00f9ng nh\u00f3m.
\n– Z-score < 0: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u1ea5p h\u01a1n gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi c\u00f9ng nh\u00f3m.
\n– Z-score < -2.0: C\u1ea7n t\u00ecm nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t g\u00e2y m\u1ea5t x\u01b0\u01a1ng.
\n– Z-score < -2.5: Lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n

V\u1eady, m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng nh\u01b0 th\u1ebf n\u00e0o th\u00ec b\u1ecb xem l\u00e0 lo\u00e3ng x\u01b0\u01a1ng? Theo c\u00e1c k\u1ebft qu\u1ea3 tr\u00ean, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng n\u1ebfu ch\u1ec9 s\u1ed1 T-score \u2264 -2.5 v\u00e0 ch\u1ec9 s\u1ed1 Z-score < -2.5.<\/p>\n

Vi\u1ec7c \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng sau:<\/p>\n

– Ph\u1ee5 n\u1eef sau m\u00e3n kinh kh\u00f4ng b\u1ed5 sung estrogen;
\n– Ph\u1ee5 n\u1eef tr\u00ean 65 tu\u1ed5i v\u00e0 nam gi\u1edbi tr\u00ean 70 tu\u1ed5i;
\n– Ng\u01b0\u1eddi s\u1eed d\u1ee5ng corticoid k\u00e9o d\u00e0i;
\n– Ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p hormone thay th\u1ebf k\u00e9o d\u00e0i tr\u00ean 10 n\u0103m;
\n– Ng\u01b0\u1eddi \u0111\u00e3 g\u00e3y x\u01b0\u01a1ng ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed g\u00e3y x\u01b0\u01a1ng kh\u00f4ng do ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng;
\n– Ng\u01b0\u1eddi \u0111ang m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0: arthritis<\/a> d\u1ea1ng th\u1ea5p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a>, b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p.<\/p>\n

\"Chuy\u00ean
Lo\u00e3ng X\u01b0\u01a1ng<\/figcaption><\/figure>\n

M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau l\u00e0 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng?<\/p>\n

Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), gi\u00e1 tr\u1ecb c\u1ee7a hai ch\u1ec9 s\u1ed1 T-score v\u00e0 Z-score \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p DEXA nh\u01b0 sau:<\/p>\n

Ch\u1ec9 s\u1ed1 T-score:<\/p>\n

– T-score > -1: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng.
\n– T-score t\u1eeb -1 \u0111\u1ebfn -2.5: Thi\u1ebfu x\u01b0\u01a1ng.
\n– T-score \u2264 -2.5: Lo\u00e3ng x\u01b0\u01a1ng. N\u1ebfu c\u00f3 k\u00e8m g\u00e3y x\u01b0\u01a1ng ho\u1eb7c ti\u1ec1n s\u1eed g\u00e3y x\u01b0\u01a1ng th\u00ec lo\u00e3ng x\u01b0\u01a1ng n\u1eb7ng.<\/p>\n

Ch\u1ec9 s\u1ed1 Z-score:<\/p>\n

– Z-score = 0: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1eb1ng gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi c\u00f9ng nh\u00f3m.
\n– Z-score > 0: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng cao h\u01a1n gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi c\u00f9ng nh\u00f3m.
\n– Z-score < 0: M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u1ea5p h\u01a1n gi\u00e1 tr\u1ecb trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi c\u00f9ng nh\u00f3m.
\n– Z-score < -2.0: C\u1ea7n t\u00ecm nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t g\u00e2y m\u1ea5t x\u01b0\u01a1ng.
\n– Z-score < -2.5: Lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n

V\u1eady, m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng nh\u01b0 th\u1ebf n\u00e0o th\u00ec b\u1ecb xem l\u00e0 lo\u00e3ng x\u01b0\u01a1ng? Theo c\u00e1c k\u1ebft qu\u1ea3 tr\u00ean, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng n\u1ebfu ch\u1ec9 s\u1ed1 T-score \u2264 -2.5 v\u00e0 ch\u1ec9 s\u1ed1 Z-score < -2.5.<\/p>\n

Vi\u1ec7c \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng sau:<\/p>\n

– Ph\u1ee5 n\u1eef sau m\u00e3n kinh kh\u00f4ng b\u1ed5 sung estrogen;
\n– Ph\u1ee5 n\u1eef tr\u00ean 65 tu\u1ed5i v\u00e0 nam gi\u1edbi tr\u00ean 70 tu\u1ed5i;
\n– Ng\u01b0\u1eddi s\u1eed d\u1ee5ng corticoid k\u00e9o d\u00e0i;
\n– Ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p hormone thay th\u1ebf k\u00e9o d\u00e0i tr\u00ean 10 n\u0103m;
\n– Ng\u01b0\u1eddi \u0111\u00e3 g\u00e3y x\u01b0\u01a1ng ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed g\u00e3y x\u01b0\u01a1ng kh\u00f4ng do ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng;
\n– Ng\u01b0\u1eddi \u0111ang m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0: vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p.<\/p>\n

C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng<\/p>\n

\u0110\u1ec3 bi\u1ebft m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau l\u00e0 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean c\u00e1c ch\u1ec9 s\u1ed1 T-score v\u00e0 Z-score. T\u1eeb \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ea1n c\u00f3 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng hay kh\u00f4ng v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c:<\/strong><\/p>\n

B\u00e1c s\u0129 s\u1ebd k\u00ea \u0111\u01a1n m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ng\u0103n qu\u00e1 tr\u00ecnh h\u1ee7y x\u01b0\u01a1ng. Thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng bao g\u1ed3m: nh\u00f3m bisphosphonate, ch\u1ea5t \u0111i\u1ec1u h\u00f2a ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 estrogen, v\u00e0 strontium ranelate. C\u00e1c thu\u1ed1c \u0111\u01b0\u1eddng ti\u00eam truy\u1ec1n bao g\u1ed3m: bisphosphonate d\u1ea1ng ti\u00eam, calcitonin, thu\u1ed1c \u1ee9c ch\u1ebf ho\u1ea1t h\u00f3a th\u1ee5 th\u1ec3 c\u1ee7a y\u1ebfu t\u1ed1 nh\u00e2n kappa-B, hormone tuy\u1ebfn c\u1eadn gi\u00e1p v\u00e0 c\u00e1c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1.<\/p>\n

L\u01b0u \u00fd khi s\u1eed d\u1ee5ng thu\u1ed1c:<\/p>\n

Ph\u1ea3i tu\u00e2n theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00e0 d\u01b0\u1ee3c s\u0129. S\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang c\u00e1ch kh\u00f4ng ch\u1ec9 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 cao m\u00e0 c\u00f2n tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n. M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng l\u00e0 ng\u0103n ng\u1eeba g\u00e3y x\u01b0\u01a1ng, b\u1ea3o v\u1ec7 kh\u1ed1i x\u01b0\u01a1ng hi\u1ec7n t\u1ea1i v\u00e0 gi\u1ea3m \u0111au cho ng\u01b0\u1eddi b\u1ec7nh. Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft v\u00ec qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 3 \u0111\u1ebfn 5 n\u0103m.<\/p>\n

Bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 t\u1ea1i nh\u00e0:<\/strong><\/p>\n

– Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: Thi\u1ebft l\u1eadp ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, \u0111\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 canxi, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t, \u0111\u1eb7c bi\u1ec7t l\u00e0 canxi v\u00e0 vitamin D.
\n– B\u1ed5 sung vitamin D: N\u1ebfu c\u1ea7n thi\u1ebft, c\u00f3 th\u1ec3 b\u1ed5 sung vitamin D th\u00f4ng qua vi\u1ec7c t\u1eafm n\u1eafng.
\n– Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng theo ch\u1ec9 \u0111\u1ecbnh: Kh\u00f4ng t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au, gi\u1ea3m vi\u00eam c\u00f3 ch\u1ee9a corticoid v\u00ec corticoid c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng.
\n– Tr\u00e1nh c\u00e1c ch\u1ea5t k\u00edch th\u00edch: Kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia, thu\u1ed1c l\u00e1 \u0111\u1ec3 tr\u00e1nh g\u00e2y h\u1ea1i \u0111\u1ebfn x\u01b0\u01a1ng.
\n– T\u1eadp th\u1ec3 d\u1ee5c: N\u1ebfu c\u00f3 th\u1ec3, n\u00ean t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng \u0111\u1ec3 t\u0103ng d\u1ebbo dai v\u00e0 s\u1ee9c b\u1ec1n cho c\u01a1 th\u1ec3.
\n– Ph\u00f2ng tr\u00e1nh t\u00e9 ng\u00e3: Ng\u01b0\u1eddi th\u00e2n v\u00e0 gia \u0111\u00ecnh n\u00ean c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh t\u00e9 ng\u00e3 cho ng\u01b0\u1eddi b\u1ec7nh, nh\u01b0 s\u00e0n nh\u00e0 kh\u00f4 r\u00e1o, s\u1ea1ch s\u1ebd, l\u1eafp th\u00eam tay v\u1ecbn trong nh\u00e0 t\u1eafm, \u0111\u1ea3m b\u1ea3o nh\u00e0 c\u1eeda lu\u00f4n tho\u00e1ng m\u00e1t, \u0111\u1ee7 \u00e1nh s\u00e1ng v\u00e0 h\u1ed7 tr\u1ee3 di chuy\u1ec3n khi c\u1ea7n thi\u1ebft.
\n– T\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3: \u0110\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00e1c.
\n– Ki\u1ec3m so\u00e1t b\u1ec7nh l\u00fd k\u00e8m theo: Ki\u1ec3m so\u00e1t t\u1ed1t c\u00e1c b\u1ec7nh l\u00fd m\u1eafc k\u00e8m nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n lipid m\u00e1u.
\n– H\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129: Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c hay th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng n\u00e0o, v\u00ec t\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n.<\/p>\n

\"Chuy\u00ean
Lo\u00e3ng X\u01b0\u01a1ng 2<\/figcaption><\/figure>\n

C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng<\/strong><\/p>\n

\u0110\u1ec3 bi\u1ebft m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau l\u00e0 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean c\u00e1c ch\u1ec9 s\u1ed1 T-score v\u00e0 Z-score. T\u1eeb \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ea1n c\u00f3 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng hay kh\u00f4ng v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c:<\/strong><\/p>\n

B\u00e1c s\u0129 s\u1ebd k\u00ea \u0111\u01a1n m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ng\u0103n qu\u00e1 tr\u00ecnh h\u1ee7y x\u01b0\u01a1ng. Thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng bao g\u1ed3m: nh\u00f3m bisphosphonate, ch\u1ea5t \u0111i\u1ec1u h\u00f2a ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 estrogen, v\u00e0 strontium ranelate. C\u00e1c thu\u1ed1c \u0111\u01b0\u1eddng ti\u00eam truy\u1ec1n bao g\u1ed3m: bisphosphonate d\u1ea1ng ti\u00eam, calcitonin, thu\u1ed1c \u1ee9c ch\u1ebf ho\u1ea1t h\u00f3a th\u1ee5 th\u1ec3 c\u1ee7a y\u1ebfu t\u1ed1 nh\u00e2n kappa-B, hormone tuy\u1ebfn c\u1eadn gi\u00e1p v\u00e0 c\u00e1c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1.<\/p>\n

L\u01b0u \u00fd khi s\u1eed d\u1ee5ng thu\u1ed1c:<\/strong><\/p>\n

Ph\u1ea3i tu\u00e2n theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00e0 d\u01b0\u1ee3c s\u0129. S\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang c\u00e1ch kh\u00f4ng ch\u1ec9 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 cao m\u00e0 c\u00f2n tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n. M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng l\u00e0 ng\u0103n ng\u1eeba g\u00e3y x\u01b0\u01a1ng, b\u1ea3o v\u1ec7 kh\u1ed1i x\u01b0\u01a1ng hi\u1ec7n t\u1ea1i v\u00e0 gi\u1ea3m \u0111au cho ng\u01b0\u1eddi b\u1ec7nh. Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft v\u00ec qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 3 \u0111\u1ebfn 5 n\u0103m.<\/p>\n

Bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 t\u1ea1i nh\u00e0:<\/strong><\/p>\n

– Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: Thi\u1ebft l\u1eadp ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, \u0111\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 canxi, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t, \u0111\u1eb7c bi\u1ec7t l\u00e0 canxi v\u00e0 vitamin D.
\n– B\u1ed5 sung vitamin D: N\u1ebfu c\u1ea7n thi\u1ebft, c\u00f3 th\u1ec3 b\u1ed5 sung vitamin D th\u00f4ng qua vi\u1ec7c t\u1eafm n\u1eafng.
\n– Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng theo ch\u1ec9 \u0111\u1ecbnh: Kh\u00f4ng t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au, gi\u1ea3m vi\u00eam c\u00f3 ch\u1ee9a corticoid v\u00ec corticoid c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng.
\n– Tr\u00e1nh c\u00e1c ch\u1ea5t k\u00edch th\u00edch: Kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia, thu\u1ed1c l\u00e1 \u0111\u1ec3 tr\u00e1nh g\u00e2y h\u1ea1i \u0111\u1ebfn x\u01b0\u01a1ng.
\n– T\u1eadp th\u1ec3 d\u1ee5c: N\u1ebfu c\u00f3 th\u1ec3, n\u00ean t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng \u0111\u1ec3 t\u0103ng d\u1ebbo dai v\u00e0 s\u1ee9c b\u1ec1n cho c\u01a1 th\u1ec3.
\n– Ph\u00f2ng tr\u00e1nh t\u00e9 ng\u00e3: Ng\u01b0\u1eddi th\u00e2n v\u00e0 gia \u0111\u00ecnh n\u00ean c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh t\u00e9 ng\u00e3 cho ng\u01b0\u1eddi b\u1ec7nh, nh\u01b0 s\u00e0n nh\u00e0 kh\u00f4 r\u00e1o, s\u1ea1ch s\u1ebd, l\u1eafp th\u00eam tay v\u1ecbn trong nh\u00e0 t\u1eafm, \u0111\u1ea3m b\u1ea3o nh\u00e0 c\u1eeda lu\u00f4n tho\u00e1ng m\u00e1t, \u0111\u1ee7 \u00e1nh s\u00e1ng v\u00e0 h\u1ed7 tr\u1ee3 di chuy\u1ec3n khi c\u1ea7n thi\u1ebft.
\n– T\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3: \u0110\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00e1c.
\n– Ki\u1ec3m so\u00e1t b\u1ec7nh l\u00fd k\u00e8m theo: Ki\u1ec3m so\u00e1t t\u1ed1t c\u00e1c b\u1ec7nh l\u00fd m\u1eafc k\u00e8m nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n lipid m\u00e1u.
\n– H\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129: Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c hay th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng n\u00e0o, v\u00ec t\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n.<\/p>\n

Xem th\u00eam c\u00e1c ki\u1ebfn th\u1ee9c kh\u00e1c<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 c\u1ea7n quan t\u00e2m \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u1edf \u0111\u1ed9 tu\u1ed5i trung ni\u00ean. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng g\u00e3y x\u01b0\u01a1ng ho\u1eb7c t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u00e3ng x\u01b0\u01a1ng, ph\u01b0\u01a1ng ph\u00e1p \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. V\u1eady m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng bao nhi\u00eau […]<\/p>\n","protected":false},"author":1,"featured_media":3705,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nxb":"","tac-gia":"","the-loai":"","nam-xuat-ban":"","ngon-ngu":"","isbn":"","gia":"","muc-luc":"","footnotes":""},"categories":[19],"tags":[],"class_list":["post-3699","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3699","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=3699"}],"version-history":[{"count":3,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3699\/revisions"}],"predecessor-version":[{"id":3706,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3699\/revisions\/3706"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/3705"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=3699"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/categories?post=3699"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=3699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}