{"id":10047,"date":"2026-08-11T10:47:48","date_gmt":"2026-08-11T03:47:48","guid":{"rendered":"https:\/\/useful.vn\/?p=10047"},"modified":"2026-08-11T10:47:48","modified_gmt":"2026-08-11T03:47:48","slug":"sung-do-ban-hoai-tu-rai-rac-tay-chan-vi-benh-viem-mach-hiem-gap","status":"publish","type":"post","link":"https:\/\/useful.vn\/?p=10047","title":{"rendered":"S\u01b0ng \u0111\u1ecf, ban ho\u1ea1i t\u1eed r\u1ea3i r\u00e1c tay ch\u00e2n v\u00ec b\u1ec7nh vi\u00eam m\u1ea1ch hi\u1ebfm g\u1eb7p"},"content":{"rendered":"
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\n B\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n nhi\u1ec1u n\u1ed1t d\u01b0\u1edbi da s\u01b0ng \u0111\u1ecf, \u0111au k\u00e8m c\u00e1c ban ho\u1ea1i t\u1eed m\u00e0u t\u00edm r\u1ea3i r\u00e1c \u1edf tay, ch\u00e2n v\u00e0 th\u00e2n m\u00ecnh, t\u1eadp trung ch\u1ee7 y\u1ebfu \u1edf hai chi d\u01b0\u1edbi. <\/strong><\/h2>\n

Tin t\u1eeb B\u1ec7nh vi\u1ec7n Da li\u1ec5u Trung \u01b0\u01a1ng cho bi\u1ebft, b\u00e1c s\u0129 Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n v\u1eeba ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ed9t tr\u01b0\u1eddng h\u1ee3p m\u1eafc u h\u1ea1t t\u0103ng b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n \u00e1i toan k\u00e8m vi\u00eam \u0111a m\u1ea1ch (Eosinophilic Granulomatosis with Polyangiitis – EGPA) \u2013 m\u1ed9t b\u1ec7nh l\u00fd vi\u00eam m\u1ea1ch m\u00e1u k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 trung b\u00ecnh r\u1ea5t hi\u1ebfm g\u1eb7p, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi ch\u00e2u \u00c1.<\/p>\n

B\u1ec7nh nh\u00e2n nam, h\u01a1n 30 tu\u1ed5i, nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng xu\u1ea5t hi\u1ec7n nhi\u1ec1u n\u1ed1t d\u01b0\u1edbi da s\u01b0ng, \u0111\u1ecf, \u0111au k\u00e8m theo c\u00e1c ban ho\u1ea1i t\u1eed m\u00e0u t\u00edm r\u1ea3i r\u00e1c \u1edf tay, ch\u00e2n v\u00e0 th\u00e2n m\u00ecnh, t\u1eadp trung ch\u1ee7 y\u1ebfu \u1edf hai chi d\u01b0\u1edbi. C\u00e1c t\u1ed5n th\u01b0\u01a1ng g\u00e2y \u0111au nhi\u1ec1u, \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn sinh ho\u1ea1t v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n

Sau khi \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m l\u00e2m s\u00e0ng k\u1ef9 l\u01b0\u1ee1ng, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh sinh thi\u1ebft da \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m gi\u1ea3i ph\u1eabu b\u1ec7nh.<\/p>\n

Theo b\u00e1c s\u0129 Nguy\u1ec5n M\u1eadu Tr\u00e1ng, Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch, B\u1ec7nh vi\u1ec7n Da li\u1ec5u Trung \u01b0\u01a1ng, k\u1ebft qu\u1ea3 m\u00f4 b\u1ec7nh h\u1ecdc ghi nh\u1eadn h\u00ecnh \u1ea3nh vi\u00eam m\u1ea1ch m\u00e1u k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 trung b\u00ecnh v\u1edbi \u01b0u th\u1ebf b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n \u00e1i toan, k\u00e8m ph\u1ea3n \u1ee9ng u h\u1ea1t v\u00e0 vi\u00eam m\u00f4 m\u1ee1. \u0110\u00e2y l\u00e0 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 b\u1ec7nh h\u1ecdc \u0111i\u1ec3n h\u00ecnh, g\u1ee3i \u00fd m\u1ea1nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n u h\u1ea1t t\u0103ng b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n \u00e1i toan k\u00e8m vi\u00eam \u0111a m\u1ea1ch (EGPA).<\/p>\n

Sau khi h\u1ed9i ch\u1ea9n chuy\u00ean m\u00f4n, c\u00e1c b\u00e1c s\u0129 th\u1ed1ng nh\u1ea5t ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n m\u1eafc EGPA. \u0110\u1ed3ng th\u1eddi, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh th\u0103m kh\u00e1m v\u00e0 s\u00e0ng l\u1ecdc to\u00e0n di\u1ec7n nh\u1eb1m \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh nh\u01b0 ph\u1ed5i, th\u1eadn v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c \u0111\u1ec3 c\u00f3 chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

Sau m\u1ed9t tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, c\u00e1c n\u1ed1t vi\u00eam gi\u1ea3m r\u00f5 r\u1ec7t, t\u00ecnh tr\u1ea1ng s\u01b0ng \u0111au g\u1ea7n nh\u01b0 h\u1ebft ho\u00e0n to\u00e0n, c\u00e1c t\u1ed5n th\u01b0\u01a1ng lo\u00e9t c\u00f3 xu h\u01b0\u1edbng li\u1ec1n t\u1ed1t. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong t\u00ecnh tr\u1ea1ng \u1ed5n \u0111\u1ecbnh v\u00e0 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ecbnh k\u1ef3 t\u1ea1i Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh l\u00e2u d\u00e0i.<\/p>\n

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\"B\u1ec7nh<\/span><\/p>\n
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B\u1ec7nh EGPA khi\u1ebfn ch\u00e2n b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n nhi\u1ec1u n\u1ed1t ho\u1ea1i t\u1eed t\u00edm b\u1ea7m. \u1ea2nh BVCC\u00a0<\/p>\n

Theo b\u00e1c s\u0129 Nguy\u1ec5n M\u1eadu Tr\u00e1ng, Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch, B\u1ec7nh vi\u1ec7n Da li\u1ec5u Trung \u01b0\u01a1ng, k\u1ebft qu\u1ea3 m\u00f4 b\u1ec7nh h\u1ecdc ghi nh\u1eadn h\u00ecnh \u1ea3nh vi\u00eam m\u1ea1ch m\u00e1u k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 trung b\u00ecnh v\u1edbi \u01b0u th\u1ebf b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n \u00e1i toan, k\u00e8m ph\u1ea3n \u1ee9ng u h\u1ea1t v\u00e0 vi\u00eam m\u00f4 m\u1ee1. \u0110\u00e2y l\u00e0 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 b\u1ec7nh h\u1ecdc \u0111i\u1ec3n h\u00ecnh, g\u1ee3i \u00fd m\u1ea1nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n u h\u1ea1t t\u0103ng b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n \u00e1i toan k\u00e8m vi\u00eam \u0111a m\u1ea1ch (EGPA).<\/p>\n

Sau khi h\u1ed9i ch\u1ea9n chuy\u00ean m\u00f4n, c\u00e1c b\u00e1c s\u0129 th\u1ed1ng nh\u1ea5t ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n m\u1eafc EGPA. \u0110\u1ed3ng th\u1eddi, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh th\u0103m kh\u00e1m v\u00e0 s\u00e0ng l\u1ecdc to\u00e0n di\u1ec7n nh\u1eb1m \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh nh\u01b0 ph\u1ed5i, th\u1eadn v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c \u0111\u1ec3 c\u00f3 chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

Sau m\u1ed9t tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, c\u00e1c n\u1ed1t vi\u00eam gi\u1ea3m r\u00f5 r\u1ec7t, t\u00ecnh tr\u1ea1ng s\u01b0ng \u0111au g\u1ea7n nh\u01b0 h\u1ebft ho\u00e0n to\u00e0n, c\u00e1c t\u1ed5n th\u01b0\u01a1ng lo\u00e9t c\u00f3 xu h\u01b0\u1edbng li\u1ec1n t\u1ed1t. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong t\u00ecnh tr\u1ea1ng \u1ed5n \u0111\u1ecbnh v\u00e0 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ecbnh k\u1ef3 t\u1ea1i Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh l\u00e2u d\u00e0i.<\/p>\n

Theo TS V\u0169 Huy L\u01b0\u1ee3ng, Tr\u01b0\u1edfng nh\u00f3m chuy\u00ean m\u00f4n B\u1ec7nh vi\u00eam m\u1ea1ch, Tr\u01b0\u1edfng khoa Laser v\u00e0 S\u0103n s\u00f3c da, B\u1ec7nh vi\u1ec7n Da li\u1ec5u Trung \u01b0\u01a1ng, EGPA l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd vi\u00eam m\u1ea1ch c\u1ef1c k\u1ef3 hi\u1ebfm tr\u00ean th\u1ebf gi\u1edbi c\u0169ng nh\u01b0 \u1edf Ch\u00e2u \u00c1. Theo s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea \u1edf M\u1ef9 v\u00e0 ch\u00e2u \u00c2u, t\u1ef7 su\u1ea5t m\u1edbi m\u1eafc kho\u1ea3ng 0.5-3\/1.000.000 ng\u01b0\u1eddi.<\/p>\n

T\u1ea1i ch\u00e2u \u00c1, ch\u1ec9 c\u00f3 r\u1ea3i r\u00e1c c\u00e1c ca l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o ri\u00eang l\u1ebb. B\u1ec7nh x\u1ea3y ra do r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch, g\u00e2y vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 trung b\u00ecnh, v\u1edbi s\u1ef1 x\u00e2m nh\u1eadp n\u1ed5i b\u1eadt c\u1ee7a b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n \u00e1i toan v\u00e0 h\u00ecnh th\u00e0nh c\u00e1c t\u1ed5n th\u01b0\u01a1ng u h\u1ea1t.<\/p>\n

B\u1ec7nh c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n b\u1eb1ng nhi\u1ec1u tri\u1ec7u ch\u1ee9ng ngo\u00e0i da nh\u01b0 ban xu\u1ea5t huy\u1ebft, n\u1ed1t d\u01b0\u1edbi da, lo\u00e9t, ho\u1ea1i t\u1eed da ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng m\u1ea3ng t\u00edm, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u c\u01a1 quan n\u1ed9i t\u1ea1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1ed5i, th\u1ea7n kinh ngo\u1ea1i bi\u00ean, tim v\u00e0 th\u1eadn.<\/p>\n

N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, EGPA c\u00f3 th\u1ec3 di\u1ec5n bi\u1ebfn n\u1eb7ng, g\u00e2y suy \u0111a c\u01a1 quan, th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng. V\u00ec v\u1eady, vi\u1ec7c nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean da c\u00f3 \u00fd ngh\u0129a \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng, gi\u00fap ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/p>\n

\"V\u1ebft<\/span><\/p>\n

V\u1ebft th\u01b0\u01a1ng tr\u00ean ch\u00e2n b\u1ec7nh nh\u00e2n \u0111\u00e3 l\u00e0nh sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb. \u1ea2nh BVCC<\/p>\n

V\u1ec1 \u0111i\u1ec1u tr\u1ecb, trong giai \u0111o\u1ea1n vi\u00eam c\u1ea5p t\u00ednh, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch v\u1edbi li\u1ec1u cao, sau \u0111\u00f3 gi\u1ea3m d\u1ea7n.<\/p>\n

TS L\u01b0\u1ee3ng cho bi\u1ebft th\u00eam, hi\u1ec7n nay, Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch \u2013 B\u1ec7nh vi\u1ec7n Da li\u1ec5u Trung \u01b0\u01a1ng \u0111ang qu\u1ea3n l\u00fd h\u01a1n 1.000 b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh l\u00fd vi\u00eam m\u1ea1ch m\u00e1u, trong \u0111\u00f3 c\u00f3 nhi\u1ec1u b\u1ec7nh hi\u1ebfm g\u1eb7p nh\u01b0 b\u1ec7nh m\u1ea1ch m\u00e1u d\u1ea1ng m\u1ea1ng l\u01b0\u1edbi, h\u1ed9i ch\u1ee9ng cryoglobulin m\u00e1u, EGPA v\u00e0 nhi\u1ec1u th\u1ec3 vi\u00eam m\u1ea1ch kh\u00e1c.<\/p>\n

TS L\u01b0\u1ee3ng chia s\u1ebb, nhi\u1ec1u b\u1ec7nh l\u00fd vi\u00eam m\u1ea1ch c\u00f3 bi\u1ec3u hi\u1ec7n ban \u0111\u1ea7u l\u00e0 c\u00e1c s\u1ea9n xu\u1ea5t huy\u1ebft, d\u00e1t xu\u1ea5t huy\u1ebft m\u00e0u \u0111\u1ecf t\u00edm t\u1eadp trung \u1edf c\u1eb3ng ch\u00e2n b\u00e0n ch\u00e2n, c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh ban ho\u1ea1i t\u1eed, v\u1ebft lo\u00e9t. Do \u0111\u00f3, n\u1ebfu ng\u01b0\u1eddi d\u00e2n c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n n\u00e0y th\u00ec n\u00ean \u0111\u1ebfn c\u01a1 s\u1edf c\u00f3 ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 v\u1ec1 vi\u00eam m\u1ea1ch \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm.<\/p>\n

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\"Nh\u1eefng<\/div>\n
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\n Nh\u1eefng n\u1ed1t ban t\u00edm c\u1ea3nh b\u00e1o b\u1ec7nh c\u1ef1c hi\u1ebfm tr\u00ean th\u1ebf gi\u1edbi\n <\/div>\n
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C\u00e1c b\u00e1c s\u0129 Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch, B\u1ec7nh vi\u1ec7n Da li\u1ec5u Trung \u01b0\u01a1ng v\u1eeba ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p m\u1eafc u h\u1ea1t t\u0103ng b\u1ea1ch…<\/p>\n<\/div>\n

B\u1ea5m xem >>\n <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n
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\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n nhi\u1ec1u n\u1ed1t d\u01b0\u1edbi da s\u01b0ng \u0111\u1ecf, \u0111au k\u00e8m c\u00e1c ban ho\u1ea1i t\u1eed m\u00e0u t\u00edm r\u1ea3i r\u00e1c \u1edf tay, ch\u00e2n v\u00e0 th\u00e2n m\u00ecnh, t\u1eadp trung ch\u1ee7 y\u1ebfu \u1edf hai chi d\u01b0\u1edbi. Tin t\u1eeb B\u1ec7nh vi\u1ec7n Da li\u1ec5u Trung \u01b0\u01a1ng cho bi\u1ebft, b\u00e1c s\u0129 Ph\u00f2ng kh\u00e1m chuy\u00ean \u0111\u1ec1 B\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee7a b\u1ec7nh<\/p>\n","protected":false},"author":1,"featured_media":10048,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-10047","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe"],"_links":{"self":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/10047","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10047"}],"version-history":[{"count":0,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/10047\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/media\/10048"}],"wp:attachment":[{"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10047"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10047"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10047"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}