{"id":273996,"date":"2012-08-29T08:00:00","date_gmt":"2012-08-29T01:00:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/y-nghia-lam-sang-cua-hbv-dna-va-hbsag-o-bn-viem-gan\/"},"modified":"2025-11-08T19:18:49","modified_gmt":"2025-11-08T12:18:49","slug":"y-nghia-lam-sang-cua-hbv-dna-va-hbsag-o-bn-viem-gan","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/y-nghia-lam-sang-cua-hbv-dna-va-hbsag-o-bn-viem-gan\/","title":{"rendered":"\u00dd Ngh\u0129a L\u00e2m S\u00e0ng C\u1ee7a HBV- DNA V\u00e0 HbsAg \u1ede BN Vi\u00eam Gan"},"content":{"rendered":"\n<figure class=\"wp-block-table\"><table><tbody><tr><td colspan=\"2\">&nbsp;<\/td><\/tr><tr><td colspan=\"2\">\n<p align=\"justify\">&#8211; Th\u01b0\u1eddng c\u00f3 s\u1ef1 l\u1eabn l\u1ed9n \u00fd ngh\u0129a l\u00e2m s\u00e0ng c\u1ee7a l\u01b0\u1ee3ng HBV-DNA v\u00e0 kh\u00e1ng nguy\u00ean b\u1ec1 m\u1eb7t c\u1ee7a HBV (HBsAg). Th\u1ef1c ra, c\u0169ng c\u00f3 m\u1ed1i quan h\u1ec7 n\u00e0o \u0111\u00f3 gi\u1eefa l\u01b0\u1ee3ng HBV-DNA v\u00e0 HBsAg huy\u1ebft thanh v\u00e0 \u1edf b\u1ec7nh nh\u00e2n vi\u00eam gan B d\u01b0\u01a1ng t\u00ednh v\u1ec1 HBeAg, m\u1ed1i quan h\u1ec7 n\u00e0y bi\u1ec3u hi\u1ec7n r\u00f5 r\u1ec7t h\u01a1n l\u00e0 \u1edf b\u1ec7nh nh\u00e2n vi\u00eam gan B \u00e2m t\u00ednh v\u1ec1 HBeAg.<\/p>\n<p align=\"justify\">&#8211; V\u1ec1 m\u1eb7t vir\u00fat h\u1ecdc, HBV-DNA cho bi\u1ebft s\u1ed1 l\u01b0\u1ee3ng h\u1ea1t vir\u00fat (hay c\u00f2n g\u1ecdi l\u00e0 h\u1ea1t Dane), c\u00f2n HBsAg cho bi\u1ebft s\u1ed1 l\u01b0\u1ee3ng h\u1ea1t Dane c\u00f9ng v\u1edbi s\u1ed1 l\u01b0\u1ee3ng h\u1ea1t vir\u00fat r\u1ed7ng.<\/p>\n<p align=\"justify\">&#8211; V\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng, HBV-DNA ph\u1ea3n \u00e1nh s\u1ef1 sao ch\u00e9p c\u1ee7a vir\u00fat. Trong qu\u00e1 tr\u00ecnh b\u1ec7nh s\u1eed vi\u00eam gan B m\u1ea1n, l\u01b0\u1ee3ng HBV-DNA thay \u0111\u1ed5i theo th\u1ef1c tr\u1ea1ng thanh th\u1ea3i mi\u1ec5n d\u1ecbch. Trong l\u00fac \u0111\u00f3, HBsAg ph\u1ea3n \u00e1nh l\u01b0\u1ee3ng vir\u00fat trong t\u1ebf b\u00e0o gan ho\u1eb7c s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o gan b\u1ecb nhi\u1ec5m vir\u00fat. L\u01b0\u1ee3ng HBsAg huy\u1ebft thanh hi\u1ebfm khi thay \u0111\u1ed5i nhanh ch\u00f3ng, ngay c\u1ea3 trong giai \u0111o\u1ea1n chuy\u1ec3n \u0111\u1ed5i huy\u1ebft thanh v\u1ec1 HBeAg.<\/p>\n<p align=\"justify\">&#8211; N\u00f3i chung, l\u01b0\u1ee3ng HBsAg \u1edf b\u1ec7nh nh\u00e2n vi\u00eam gan B \u00e2m t\u00ednh v\u1ec1 HBeAg th\u01b0\u1eddng th\u1ea5p h\u01a1n so v\u1edbi b\u1ec7nh nh\u00e2n vi\u00eam gan B d\u01b0\u01a1ng t\u00ednh v\u1ec1 HBeAg. Gi\u1ea3m l\u01b0\u1ee3ng HBsAg th\u01b0\u1eddng ch\u1ee9ng t\u1ecf s\u1ef1 c\u1ea3i thi\u1ec7n trong ki\u1ec3m so\u00e1t mi\u1ec5n d\u1ecbch, nh\u1ea5t l\u00e0 \u1edf b\u1ec7nh nh\u00e2n vi\u00eam gan B \u00e2m t\u00ednh v\u1ec1 HBeAg. Do s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 b\u1ea3n ch\u1ea5t c\u1ee7a 2 marker huy\u1ebft thanh n\u00e0y, ch\u00fang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00e1c nhau tr\u00ean l\u00e2m s\u00e0ng. HBV-DNA \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ed1t nh\u1ea5t trong vi\u1ec7c theo d\u00f5i s\u1ef1 sao ch\u00e9p c\u1ee7a vir\u00fat trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1 nucleos(t)ide. S\u1ef1 \u1ee9c ch\u1ebf HBV-DNA trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb theo ph\u01b0\u01a1ng h\u01b0\u1edbng \u0111\u00e3 \u0111\u1ec1 ra, gi\u1ea3m thi\u1ec3u v\u1ea5n \u0111\u1ec1 kh\u00e1ng thu\u1ed1c.<\/p>\n<p align=\"justify\">&#8211; Theo d\u00f5i HBV-DNA c\u0169ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n kh\u00e1ng thu\u1ed1c \u0111\u1ec3 s\u1edbm \u0111i\u1ec1u ch\u1ec9nh tr\u1ecb li\u1ec7u cho th\u00edch h\u1ee3p. M\u1eb7t kh\u00e1c, h\u1ea7u h\u1ebft c\u00e1c b\u00e1o c\u00e1o v\u1ec1 s\u1eed d\u1ee5ng HBsAg \u0111\u1ec1u nh\u1eb1m v\u00e0o vi\u1ec7c ti\u00ean l\u01b0\u1ee3ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u1edbi Peginterferon. C\u00f3 th\u1ec3 d\u00f9ng HBsAg \u0111\u1ec3 c\u00f3 ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb v\u1edbi Peginterferon ri\u00eang cho t\u1eebng b\u1ec7nh nh\u00e2n. M\u1edbi \u0111\u00e2y \u0111\u00e3 c\u00f3 m\u1ed9t v\u00e0i b\u00e1o c\u00e1o v\u1ec1 vi\u1ec7c d\u00f9ng l\u01b0\u1ee3ng HBsAg \u0111\u1ec3 ti\u00ean l\u01b0\u1ee3ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1 nucleos(t)ide v\u00e0 c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o vi\u1ec7c x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m ng\u01b0ng \u0111i\u1ec1u tr\u1ecb trong t\u01b0\u01a1ng lai.<\/p>\n<p align=\"justify\"><strong>BS. NGUY\u1ec4N \u0110\u00ccNH \u00c1I \u2013 PK Ho\u00e0n M\u1ef9 Hu\u1ebf<\/strong><\/p>\n<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &#8211; Th\u01b0\u1eddng c\u00f3 s\u1ef1 l\u1eabn l\u1ed9n \u00fd ngh\u0129a l\u00e2m s\u00e0ng c\u1ee7a l\u01b0\u1ee3ng HBV-DNA v\u00e0 kh\u00e1ng nguy\u00ean b\u1ec1 m\u1eb7t c\u1ee7a HBV (HBsAg). Th\u1ef1c ra, c\u0169ng c\u00f3 m\u1ed1i quan h\u1ec7 n\u00e0o \u0111\u00f3 gi\u1eefa l\u01b0\u1ee3ng HBV-DNA v\u00e0 HBsAg huy\u1ebft thanh v\u00e0 \u1edf b\u1ec7nh nh\u00e2n vi\u00eam gan B d\u01b0\u01a1ng t\u00ednh v\u1ec1 HBeAg, m\u1ed1i quan h\u1ec7 n\u00e0y bi\u1ec3u hi\u1ec7n [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-273996","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273996","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=273996"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273996\/revisions"}],"predecessor-version":[{"id":310998,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273996\/revisions\/310998"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273996"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273996"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}