1. Trang chủ
  2. » Giáo Dục - Đào Tạo

Hướng dẫn của Hiệp hội Nghiên cứu bệnh gan Châu Á Thái Bình Dương trong chẩn đoán và điều trị bệnh gan nhiễm mỡ liên quan chuyển hoá

11 6 1

Đang tải... (xem toàn văn)

Tài liệu hạn chế xem trước, để xem đầy đủ mời bạn chọn Tải xuống

THÔNG TIN TÀI LIỆU

Nội dung

Bệnh gan nhiễm mỡ liên quan chuyển hoá (MAFLD) là nguyên nhân chính gây ra bệnh gan trên toàn thế giới, ảnh hưởng đến gần một phần tư dân số toàn cầu. Nhằm hướng dẫn lâm sàng, tạo tiền đề cho việc nâng cao kiến thức và nghiên cứu MAFLD ở người lớn, Hiệp hội Nghiên cứu bệnh gan Châu Á Thái Bình Dương (APASL) xây dựng một hướng dẫn bao gồm dịch tễ học, chẩn đoán, đánh giá và điều trị MAFLD.

7UҫQ7Kӏ.KiQK7ѭӡQJ7ҥSFKt@9uWKӃGӵDWUrQFiFQJKLrQFӭX YjGӳOLӋXWUrQ3XE0HGWӯWKiQJFiF WiFJLҧÿmÿѭDUDFiFNKX\ӃQFiRPӝWFiFKFy KӋWKӕQJQKҵPFҧLWKLӋQYLӋFÿiQKJLiYjTXҧQ OêEӋQKQKkQ0$/)'&iFKѭӟQJGүQQj\EDR JӗPQKLӅXNKtDFҥQKNKiFQKDXFӫD0$)/' QKѭ GӏFK WӉ KӑF FKҭQ ÿRiQ VjQJ OӑF ÿiQK JLiYjÿLӅXWUӏ+ѭӟQJGүQQj\ÿѭӧFWKLӃWNӃ QKҵPӭQJGөQJWURQJWKӵFWӃOkPVjQJYjWҥR WLӅQÿӅFKRYLӋFQkQJFDRNLӃQWKӭFYjQJKLrQ FӭXYӅ0$/)'ӣQJѭӡLOӟQWURQJWѭѫQJODL 0өFÿtFKFXӕLFQJOjFҧLWKLӋQYLӋFFKăPVyF EӋQKQKkQQKұQWKӭFYӅ0$)/'YjKӛWUӧFiF FKX\rQNKRDOLrQTXDQWURQJYLӋFÿѭDUDTX\ӃW ÿӏQKOkPVjQJGӵDWUrQFiFEҵQJFKӭQJNKRD KӑFKLӋQFy 7Ә1*48$1 'ӎ&+7ӈ+Ӑ& 0ӝWQJKLrQFӭXKӋWKӕQJYjSKkQWtFKJӝS WUrQ  QJѭӡL FKR WKҩ\ Wӹ OӋ KLӋQ PҳF0$)/'WURQJNKXYӵFOj 7&      >@ 7ӹ OӋ Qj\ UҩW NKiF ELӋWJLӳDFiFTXӕFJLDWӯNKRҧQJӣ1KұW %ҧQ +jQ 4XӕF +ӗQJ {QJ ÿӃQ KѫQ  ӣ %DQJODGHVK>@>@>@ĈLӅXQj\GRFyVӵ NKiFELӋWYӅGLWUX\ӅQGLQKGѭӥQJNLQKWӃOӕL VӕQJYjPӭFÿӝYұQÿӝQJJLӳDFiFQѭӟF7X\ QKLrQ Wӹ OӋ 0$)/' FӫD FiF QѭӟF ÿӅX QJj\ FjQJWăQJYjWLӋPFұQQKDX1Jj\FjQJQKLӅX QJKLrQ FӭX FKӭQJ PLQK Vӵ JLD WăQJ WKHR FҩS VӕQKkQFӫD0$)/'ӣNKXYӵF&KkXÈ7KiL %uQK'ѭѫQJWURQJEDWKұSNӹTXD>@ĈiQJ FK~êQKҩWOjWҥL1KұW%ҧQWӹOӋ0$)/'WăQJ OrQJҫQJҩSOҫQWURQJQăP WӯQăP OrQQăP >@+ѫQWKӃQӳD Wӹ OӋ XQJ WKѭ ELӇX P{ WӃ EjR JDQ +&&  GR 0$)/' FNJQJ ÿDQJ Fy [X KѭӟQJ WăQJ WURQJ NKXYӵF0ӝWQJKLrQFӭXӣ1KұW%ҧQFKRWKҩ\ NKRҧQJ  Vӕ FD +&& WҥL QѭӟF Qj\ WURQJ QăPOjGR0$)/'YjWӹOӋJLDQj\WăQJ WKrPVDXQăP>@7ѭѫQJWӵPӝW QJKLrQFӭXӣ+jQ4XӕFFKRWKҩ\WӹOӋ+&&GR 0$)/'WăQJWӯWURQJJLDLÿRҥQ OrQWURQJJLDLÿRҥQ WURQJ NKL Wӹ OӋ +&& GR +%9 JLҧP Wӯ  66 [XӕQJ  >@ ĈLӅX Qj\ FKR WKҩ\ FK~QJ WDÿmÿiQKJLiWKҩSJiQKQһQJEӋQKWұWJk\UD EӣL0$)/'WURQJNKXYӵFGRTXiFK~WUӑQJ YjRWӹOӋYLrPJDQGR9LU~WNKiFDR7ӯÿy FKRWKҩ\KLӋQWҥLFK~QJWDFҫQPӝWWLrXFKXҭQ ³FKҭQÿRiQGѭѫQJ´0$)/'Yj[HP0$)/' OjPӝWEӋQKÿӝFOұSKѫQOjPӝWFKҭQÿRiQVDX NKLÿmORҥLWUӯFiFEӋQKJDQNKiF 7,ӂ3&Ұ1&+Ҭ1Ĉ2È10$)/' ĈӏQKQJKƭD 1Kѭ ÿm WUuQK Ej\ PӕL TXDQ WkP GjQK FKR QKyP EӋQK Oê JDQ QKLӉP Pӥ NK{QJ GR UѭӧX 1$)/'  QJj\ FjQJ OӟQ GR WҫQ VXҩW PҳF ÿm YjÿDQJWăQJYӟLWӕFÿӝÿiQJNӇ9LӋFVӱGөQJ ÿӏQK QJKƭD 1$)/' QKѭ WUѭӟF ÿk\ Fy WKӇ GүQ ÿӃQYLӋFÿiQKJLiNK{QJFKtQK[iFJiQKQһQJ GR QKyP EӋQK Qj\ Jk\ UD ÿһF ELӋW WҥL QKӳQJ NKXYӵFFyWӹOӋYLrPJDQGR9LU~WYjUѭӧX FDRQKѭ&KkXÈ9uWKӃ$3$6/ÿmÿӅ[XҩWPӝW GDQKSKiSWKtFKKӧSKѫQOj³%ӋQKJDQQKLӉP Pӥ GR FKX\ӇQ KyD´ 0$)/'  YӟL PөF ÿtFK FKtQK Oj PXӕQ KѭӟQJ WӟL PӝW FKҭQ ÿRiQ [iF ÿӏQKKѫQOjFKҭQÿRiQORҥLWUӯQKѭWUѭӟFÿk\ 1JRjLUDGDQKSKiSQj\FNJQJ[HP0$)/'Oj PӝWQKyPEӋQKPӟLÿӗQJQKҩWYjFyWKӇÿӗQJ PҳFYӟLFiFEӋQKJDQNKiF&KҭQÿRiQ0$)/' VӁSKҧLWKӓDÿLӅXNLӋQVDX  3KiW KLӋQ JDQ QKLӉP Pӥ WK{QJ TXD VLQK WKLӃWJDQKuQKҧQKKӑFKRһFFiFGҩXҩQVLQKKӑF .qPWKHRWURQJWLrXFKXҭQVDX R 7KӯDFkQKRһFEpRSKu R ĈiLWiRÿѭӡQJWtS R %ҵQJFKӭQJUӕLORҥQFKX\ӇQKyDWăQJ FKXYLYzQJEөQJEҩWWKѭӡQJÿѭӡQJKX\ӃWKRһF PӥPiX 1JRjL UD PӝW ÿLӇP QәL EұW FӫD GDQK SKiS PӟLOjEDRJӗPFҧQKyPEӋQKQKkQ[ѫJDQYj NK{QJ FzQ WӗQ WҥL Pӥ WURQJ JDQ 0ӝW QJKLrQ FӭXÿRjQKӋWUrQEӋQKQKkQF{QJEӕWҥL KӝL QJKӏ 1+$1(6 ,,, ÿm FKR WKҩ\ WLrX FKXҭQ FKҭQÿRiQ0$)/'PӟLFyWtQKӭQJGөQJFDR KѫQ Yj NKҧ QăQJ FKҭQ ÿRiQ FKtQK [iF KѫQ ӣ QKyPEӋQKQKkQQJX\FѫFDR>@7ӯÿyFiF WiFJLҧÿӅ[XҩWPӝWOѭXÿӗWLӃSFұQFKҭQÿRiQ 0$)/' PDQJ WtQK ӭQJ GөQJ FDR WURQJ WKӵF KjQKOkPVjQJ OѭXÿӗ  7UҫQ7Kӏ.KiQK7ѭӡQJ7ҥSFKt@ >@ 9u WKӃ QJѭӥQJFҳWYӅ%0,YjFKӍVӕYzQJEөQJFNJQJ ÿѭӧF ÿӅ QJKӏ ULrQJ FKR QJѭӡL &KkX È WURQJ EҧQJ>@>@ %ҧQJ@ 7URQJWKӵFKjQKOkPVjQJQKӳQJSKѭѫQJSKiS KuQKҧQKKӑFWKѭӡQJTX\QKѭVLrXkPEөQJWәQJ TXiWFNJQJÿӫÿӇSKiWKLӋQJDQQKLӉPPӥ6LrX kPÿӝÿjQKӗLJDQWKRiQJTXD 9&7( VӱGөQJ ÿҫXGz&$3FKRWKҩ\QKLӅXѭXÿLӇPQKѭFyÿӝ QKҥ\FDRKѫQVLrXkPEөQJWKѭӡQJTX\FXQJ FҩSPӝWWK{QJVӕOLrQWөFÿӇWKHRG}LÿӝQKLӉP PӥJDQWKHRWKӡLJLDQ>@7X\QKLrQJLiWUӏ 68 WURQJFKҭQÿRiQ0$)/'OҥLFKѭDFDRÿһFELӋW ӣNKRҧQJWKDPFKLӃX&$3!G%P>@ >@9uWKӃFiFNӻWKXұWÿRÿӝQKLӉPPӥJDQ WUrQPi\FKөSFӝQJKѭӣQJWӯ 05, QKѭ056 05,3'))YjSURWRQ056YүQOjWLrXFKXҭQ YjQJWURQJÿӏQKOѭӧQJJDQQKLӉPPӥ0ӝWYjL WKӱQJKLӋPOkPVjQJFKRWKҩ\YLӋFJLҧP! WӹOӋQKLӉPPӥWUrQ05,3'))FyWѭѫQJTXDQ YӟL YLӋF FҧL WKLӋQ ÿӝ KRҥW ÿӝQJ FӫD YLrP JDQ QKLӉPPӥNKLVLQKWKLӃW>@1JRjLUDPӝWVӕ FKӍVӕPӟLQKѭ)/,86)/,«FNJQJFyWKӇ ÿѭӧFVӱGөQJWURQJYLӋFFKҭQÿRiQJDQQKLӉP Pӥ WX\ QKLrQ JLi WUӏ FKѭD FDR Yj FҫQ ÿѭӧF QJKLrQFӭXWKrPWURQJWѭѫQJODL>@>@ 7UҫQ7Kӏ.KiQK7ѭӡQJ7ҥSFKt@ >@ 1JѭӡL EӋQK VӁ ÿѭӧF ÿiQK JLi QJX\ Fѫ WKҩS WUXQJ EuQK Yj FDR GӵD WUrQ QKӳQJ QJѭӥQJ FҳW VDX $35,  Yj   ),%    Yj   1)6    Yj !  >@0һWKҥQFKӃFӫDFiFFKӍVӕQj\ OjNK{QJÿiQKJLiÿѭӧF[ѫKyDJDQӣEӋQKQKkQ [ѫ JDQ Fy PHQ JDQ EuQK WKѭӡQJ KRһF GѭѫQJ JLҧ ӣ QKӳQJ EӋQK QKkQ OӟQ WXәL GR PHQ JDQ WăQJJLҧWKHRWXәL 9uWKӃPӝWVӕSKѭѫQJSKiS ÿһFKLӋXKѫQÿѭӧFÿӅ[XҩWQKѭP{KuQKFKҭQ ÿRiQ$'$37 EDRJӗPWXәLWLӅQFăQÿiLWKiR ÿѭӟQJWtSVӕOѭӧQJWLӇXFҫXYjQӗQJÿӝ3UR & FyGLӋQWtFKGѭӟLÿѭӡQJFRQJWURQJFKҭQ ÿRiQ[ѫKyDJDQWLӃQWULӇQOrQWӟLÿӝ[ѫ KRiJDQ /60 ÿREҵQJNӻWKXұWÿRÿӝÿjQKӗL JDQWKRiQJTXD 9&7( KD\YұQWӕFVyQJELӃQ GҥQJWURQJNӻWKXұW$5),>@>@7X\QKLrQ WӹOӋQJѭӡL&KkXÈFy0$)/'QKѭQJFyFkQ QһQJEuQKWKѭӡQJOҥLNKiFDRÿLӅXQj\GүQWӟL KҥQFKӃWURQJYLӋFVӱGөQJ9&7(6ӵSKӕLKӧS 9&7(YjFiFFKӍVӕVLQKKӑFVӁFҧLWKLӋQÿiQJ NӇQKѭӧFÿLӇPQj\ +LӋQ QD\ FKѭD Fy SKѭѫQJ SKiS NK{QJ [kPOҩQQjRQәLWUӝLWURQJÿiQKJLiYLrPJDQ QKLӉP Pӥ 0ӝW Vӕ QJKLrQ FӭX FKR WKҩ\ QӗQJ ÿӝ HUDWLQ   FzQ ÿѭӧF ELӃW WӟL QKѭ PҧQK YӥӫD&\WRNHUDWLQ FyÿӝFKtQK[iFWUXQJ EuQKWURQJGӵÿRiQNӃWFөFQj\>@*ҫQÿk\ PӝWQJKLrQFӭXÿDWUXQJWkPFKRWKҩ\ÿLӇPVӕ )$67 NӃW KӧS PHQ JDQ $67 &$3 Yj /60 ÿREҵQJ9&7( FyÿӝFKtQK[iFNKiFDRWURQJ FKҭQ ÿRiQ YLrP JDQ QKLӉP Pӥ $8&    >@ 6LQKWKL͇WJDQ 9ӟLVӵSKiWWULӇQFӫDFiFELӋQSKiSNK{QJ [kP OҩQ YDL WUz FӫD VLQK WKLӃW JDQ WURQJ 0$)/' QJj\ FjQJ KҥQ FKӃ 7X\ QKLrQ VLQK WKLӃW JDQ YүQ JLӳ YDL WUz Oj WLrX FKXҭQ YjQJ WURQJ FKҭQ ÿRiQ ÿһF ELӋW NKL OkP VjQJ KRһF [pWQJKLӋPNK{QJÿLӇQKuQKQKѭEӋQKQKkQFy PHQ JDQ WăQJ FDR YLrP JDQ QKLӉP Pӥ QһQJ QKѭQJNK{QJFyUӕLORҥQFKX\ӇQKyDÿLӇQKuQK 69 EӋQKQKkQJKLQKұQ[ѫJDQEҵQJKuQKҧQKKӑF QKѭQJ [pW QJKLӋP VLQK KRi EuQK WKѭӡQJ KD\ QKӳQJEӋQKQKkQFy&$3ӣYQJNpPWLQFұ\ «1JRjLUDEӋQKQKkQ0$)/'WѭӡQJNqPVӓL W~LPұWKRһFEpRSKuQrQYLӋFNӃWKӧSVLQKWKLӃW JDQWURQJO~FSKүXWKXұWFNJQJQrQÿѭӧFÿһWUD 9uWKӃFiFWiFJLҧÿӅ[XҩWPӝWVӕFKӍÿӏQKVLQK WKLӃWJDQQKѭVDX  %ӋQK QKkQ NKy FKҭQ ÿRiQ KRһF Fy WuQK WUҥQJQKLӉPPӥJDQGRQJX\rQQKkQWUӣOrQ &iFFKӍVӕVLQKKӑFӣPӭFÿӝWUXQJJLDQ JLӳD  JLi WUӏ QJѭӥQJ ÿӇ FKҭQ ÿRiQ Yj ORҥL WUӯ  KRһF NK{QJ ÿӗQJ QKҩW YӟL KuQK ҧQK KӑF YjOkPVjQJ 7URQJTXiWUuQKSKүXWKXұWJLҧPFkQKRһF FҳWW~LPұW  7URQJ FiF QJKLrQ FӭX NKRD KӑF ÿm ÿѭӧF FKҩSWKXұQ  &iFELӃQFKӭQJGR0$)/' ;˯JDQGR0$)/' 1KLӅXEҵQJFKӭQJFKRWKҩ\TXiWUuQKQKLӉP Pӥ JDQ VӁ FKH Pӡ TXi WUuQK [ѫ KRi GүQ ÿӃQ QKLӅXEӋQKQKkQ0$)/'Fy[ѫJDQNK{QJÿѭӧF FKҭQ ÿRiQ KRһF QKұS YLӋQ OҫQ ÿҫX GR [ѫ JDQ PҩWE[XҩWKX\ӃWWLrXKyDGRYӥGmQWƭQKPҥFK WKӵF TXҧQ XQJ WKѭ JDQ «>@9u WKӃ QKҵP FKҭQ ÿRiQ VӟP FiF WiF JLҧ ÿѭD UD NKiL QLӋP ³EӋQKJDQ[ѫKyDPҥQWtQKFzQE´ &$&/' YjVӱGөQJ/60QKѭPӝWF{QJFөFKҭQÿRiQ Yu VLrXkPEөQJWKѭӡQJTX\VӁEӏVDLVӕWURQJEӋQK FҧQK0$)/' /60N3DFKRSKpSORҥLWUӯ Yj/60!N3DJӧLêQKLӅXÿӃQ&$&/'>@ 1KӳQJ EӋQK QKkQ 0$)/' Fy /60 ! N3D QrQÿѭӧFNKҧRViW+&&Yj/60!N3D YjKRһFJLҧPWLӇXFҫXFyQJX\FѫWăQJiSOӵF WƭQKPҥFKFӱDUҩWFDRYjQrQÿѭӧFQӝLVRLWҫP VRiWGmQWƭQKPҥFKWKӵFTXҧQ>@ 1JRjLUDFiFWiFJLҧÿѭDUDWLrXFKXҭQFKҭQ ÿRiQ[ѫJDQGR0$)/'NKLEӋQKQKkQ[ѫJDQ FyQKӳQJ\ӃXWӕQJX\FѫFӫD0$)/' OѭXÿӗ  YjNqPtWQKҩWWURQJWLrXFKXҭQ 6LQKWKLӃWJDQJKLQKұQ0$)/'  %ҵQJ FKӭQJ QKLӉP Pӥ JDQ EҵQJ KuQK ҧQKKӑF &iFEL͋XKL͏QQJRjLJDQ 0$)/'OjPӝWEӋQKOêKӋWKӕQJYjEӋQKOê WLPPҥFK &9' OjELӃQFKӭQJTXDQWUӑQJQKҩW WLӃS WKHR Oj XQJ WKѭ KӝL FKӭQJ QJѭQJ WKӣ NKL QJӫEӋQKWKұQPҥQKӝLFKӭQJEXӗQJWUӭQJÿD 7UҫQ7Kӏ.KiQK7ѭӡQJ7ҥSFKt@ 9jTXDQWUӑQJKѫQ0$)/'OjPWăQJQJX\Fѫ Wӱ YRQJ YjKRһF FiF ELӃQ Fӕ WLP PҥFK ӣ EӋQK QKkQÿһFELӋWӣQKyPEӋQKQKkQFy[ѫKyDJDQ QһQJ>@>@>@9uWKӃFiFWiFJLҧNKX\ӃQ FiR WҩW Fҧ EӋQK QKkQ 0$)/' QrQ ÿѭӧF ÿiQK JLiQJX\FѫWLPPҥFKPӛLQăPYjÿLӅXWUӏ FKX\rQ NKRD QӃX FҫQ 1JRjL UD 0$)/' FzQ Fy PӕL OLrQ TXDQ FKһW FKӁ YӟL EӋQK WKұQ PҥQ ÿһFELӋWӣQKyPEӋQKQKkQFyEpRSKuÿiLWKiR ÿѭӡQJWtSYjWăQJKX\ӃWiS9uWKӃYLӋFWҫP VRiWYjÿLӅXWUӏFiFEӋQKÿӗQJPҳFQj\FNJQJQҵP WURQJPөFWLrXÿLӅXWUӏ VӁWUuQKEj\ӣPөF«  Ĉ,ӄ875ӎ 0өFWLrXÿLӅXWUӏ0$)/'NK{QJFKӍQKҵP JLҧP WKLӇX QKLӉP Pӥ Yj WәQ WKѭѫQJ JDQ Pj SKҧLNLӇPVRiWFiFKұXTXҧGRUӕLORҥQFKX\ӇQ KyDYjQJX\Fѫ&9'ӣEӋQKQKkQ9uWKӃKLӋQ QD\ ÿLӅX WUӏ NK{QJ GQJ WKXӕF EDR JӗP ÿLӅX FKӍQKFKӃÿӝăQJLҧPFkQYjYұQÿӝQJWKӇOӵF  JLӳYDLWUzQӅQWҧQJYjWLrQTX\ӃWWURQJÿLӅXWUӏ  ĈLӅXWUӏNK{QJGQJWKXӕF 9LӋFWKD\ÿәLOӕLVӕQJYjJLҧPFkQOjPJLҧP VӵWtFKONJ\PӥWURQJJDQWӯÿyFҧLWKLӋQFiFWәQ WKѭѫQJ YLrP JDQ QKLӉP Pӥ [ѫ KyD JDQ FNJQJ QKѭ WăQJ FKҩW OѭӧQJ VӕQJ FKR EӋQK QKkQ 0ӝW QJKLrQFӭXJҫQÿk\WUrQEӋQKQKkQFKRWKҩ\  EӋQK QKkQ JLҧP !  FkQ QһQJ Yj  EӋQKQKkQJLҧPWUrQ!FkQQһQJFҧLWKLӋQ ÿѭӧF WәQ WKѭѫQJ YLrP JDQ QKLӉP Pӥ WUrQ P{ KӑF ÿһF ELӋW QKyP JLҧP !  FkQ QһQJ FzQ FҧLWKLӋQÿѭӧFWuQKWUҥQJ[ѫKyDJDQ>@9uWKӃ FiFWiFJLҧNKX\ӃQFiRWҩWFҧEӋQKQKkQ0$)/' ÿһFELӋWQKyPEӋQKQKkQEpRSKu QrQJLҧPWӯ FkQQһQJQrQJLҧPWӯWӯ WӕLÿDNJ WXҫQ %ӋQKQKkQQrQWXkQWKӫFKӃÿӝăQJLҧP QăQJOѭӧQJ JLҧPNFDO JLҧPÿѭӡQJ JLҧPEpR0ӝWVӕFKӃÿӝăQFKRWKҩ\QKLӅXWULӇQ YӑQJQKѭFKӃÿӝăQĈӏD7UXQJ+ҧLGRJLҧPÿӝ QKLӉPPӥJDQÿӗQJWKӡLYӟLQJX\Fѫ&9'WLrQ SKiW >@ KD\ YLӋF XӕQJ Fj SKr Fy WKӇ [ѫ KyD JDQӣEӋQKQKkQ0$)/'>@7X\QKLrQFiF WiFJLҧFKѭDNKX\ӃQFiRFөWKӇGROӧLtFKOkXGjL WӯFiFFKӃÿӝăQQj\FҫQÿѭӧFQJKLrQFӭXWKrP 70 %rQFҥQKÿyFiFEӋQKQKkQ0$)/'ÿѭӧF NKX\rQQrQYұQÿӝQJӣPӭFÿӝWUXQJEuQK• SK~WQJj\•QJj\WXҫQ •SK~WWXҫQ KRһF ӣPӭFÿӝFDR•SK~WQJj\•QJj\WXҫQ • SK~WWXҫQ YuPӝWQJKLrQFӭXÿRjQKӋWӯQăP ÿӃQQăPWUrQEӋQKQKkQFKR WKҩ\ YұQ ÿӝQJ ӣ FѭӡQJ ÿӝ Qj\ VӁ JLҧP WKLӇX Vӵ[XҩWKLӋQYQJQKLӉPPӥPӟLFNJQJQKѭFҧL WKLӋQWuQKWUҥQJQKLӉPPӥKLӋQFyFӫDJDQ>@  ĈLӅXWUӏGQJWKXӕF 1KѭÿmWUuQKEj\&9'Yj&.'OjFiFELӃQ FKӭQJTXDQWUӑQJFӫD0$)/'YjFyOLrQTXDQ FKһWFKӁYӟLFiFEӋQKÿӗQJPҳFQKѭWăQJKX\ӃW iSÿiLWKiRÿѭӡQJWtSUӕLORҥQPӥPiX9u WKӃFiFWiFJLҧÿӅQJKӏJLӳKX\ӃWiSEӋQKQKkQ PP+J+E$F”YjÿLӅXWUӏWӕW FiFUӕLORҥQPӥPiXÿLNqP>@>@>@ %rQFҥQKÿyPӝWVӕWKXӕFÿLӅXWUӏÿiLWKiR ÿѭӡQJWtSFNJQJFKRWKҩ\FҧLWKLӋQWәQWKѭѫQJ P{KӑFӣ0$)/'3LRJOLWD]RQHFҧLWKLӋQWuQK WUҥQJYLrPJDQQKLӉPPӥJDQVDXWKiQJÿLӅX WUӏYjFҧLWKLӋQ[ѫKyDVDXWKiQJӣQKӳQJ EӋQK QKkQ 0$)/' NqP WLӅQ ÿiL WKiR ÿѭӡQJ KRһF ÿiL WKiR ÿѭӡQJ WtS  >@ >@ 7KXӕF ÿӗQJYұQ*/3 */3D YjӭFFKӃ6*/7 6*/7L FNJQJFKRWKҩ\FҧLWKLӋQP{KӑFJDQ >@>@>@>@KD\WKXӕF0HWIRUPLQNK{QJ FҧLWKLӋQP{KӑFQKѭQJJLҧPWKLӇXWӹOӋ+&& ӣ0$)/'>@>@7X\QKLrQYLӋFFKѭDFy FiFQJKLrQFӭXÿӫOӟQFiFSKkQWtFKWәQJKӧS YӅOӧLtFKQj\FQJYӟLFiFWiFGөQJSKөNKL GQJOkXGjLQrQFiFWiFJLҧFKѭDÿѭDUDNKX\ӃQ FiRFөWKӇYLӋFVӱGөQJFiFWKXӕFQj\7ѭѫQJ Wӵ YLӋF Vӱ GөQJ YLWDPLQ ( SHQWR[\I\OOLQH Yj PӝW Vӕ WKXӕF PӟL QKѭ 2&$ HOH¿EUDQRU VHORQVHUWLE«WURQJÿLӅXWUӏFNJQJÿDQJÿѭӧF FkQQKҳFGRFiFGӳOLӋXQJKLrQFӭXKLӋQQD\ FKѭD ÿӗQJ QKҩW KRһF ÿDQJ GӯQJ ӣ SKD  FӫD WKӱQJKLӋPOkPVjQJ  3KүXWKXұW 7UӑQJ PӝW WKұS Nӹ JҫQ ÿk\ FiF WiF JLҧ JKL QKұQEӋQKQKkQSKүXWKXұWJLҧPFkQ GREpRSKuFy0$)/'>@YjQJKLrQFӭXOӟQ FӫD+D൵HH]6>@$JXLOODU2OLYHU1( >@Yj&ODQWRQ->@FKRWKҩ\! EӋQKQKkQQj\FyFҧLWKLӋQWuQKWUҥQJYLrPJDQ QKLӉPPӥKұXSKүX+ѫQWKӃWuQKWUҥQJ[ѫKRi JDQFyFҧLWKLӋQWӯQăPÿҫXWLrQYjNpRGjLVXӕW QăPVDXÿy1KӳQJEҵQJFKӭQJQj\FKRWKҩ\ 7UҫQ7Kӏ.KiQK7ѭӡQJ7ҥSFKt@ QJKLrQ FӭX QăP  FӫD WiF JLҧ +DOGDU ' FKR WKҩ\ Wӹ OӋ VӕQJ FzQ VDX  QăP KұX JKpS FӫD 0$)/' Oj WѭѫQJ ÿѭѫQJ YӟL FiF QJX\rQ QKkQNKiF>@9uWKӃFiFWiFJLҧYүQNKX\ӃQ FiR [HP [pW JKpS JDQ ӣ EӋQK QKkQ 0$)/' VDX NKL ÿm ÿiQK JLiWRjQ GLӋQFiFEӋQKÿӗQJ PҳFYjQJX\FѫWLӅQSKүX .ӂ7/8Ұ1 &QJYӟLYLrPJDQGRYLU~WYjUѭӧXJiQK QһQJEӋQKWұWGR0$)/'QJj\FjQJJLDWăQJ WURQJ NKX YӵF &KkX È  7KiL %uQK 'ѭѫQJ 0$)/'OjQJX\rQQKkQKjQJÿҫXJk\UDEӋQK OêJDQPҥQWtQKYj+&&FNJQJQKѭOjPJLDWăQJ FiF ELӃQ FKӭQJ WRjQ WKkQ QKѭ ÿiL WKiR ÿѭӡQJ WtSEӋQKOêWLPPҥFKYjEӋQKWKұQPҥQ;ѫ KRiJDQOj\ӃXWӕKjQJÿҫXTX\ӃWÿӏQKFiFELӃQ FKӭQJQj\YjVLQKWKLӃWJDQYүQOjWLrXFKXҭQ YjQJWURQJÿiQKJLiÿӝ[ѫKyD%ӋQKQKkQ[ѫ JDQ GR 0$)/' QrQ ÿѭӧF NKҧR ViW GmQ WƭQK PҥFK WKӵF TXҧQ Yj +&& WKѭӡQJ TX\ 7KD\ ÿәL OӕL VӕQJ YүQ Oj ÿLӅX WUӏ QӅQ WҧQJ G QJj\ FjQJ QKLӅX WKXӕF ÿѭӧF FKҩS WKXұQ Yj WKrP YjR ÿLӅX WUӏ 0өF WLrX ÿLӅX WUӏ QJRjL FҧL WKLӋQ FiFWәQWKѭѫQJWӃEjRJDQÿLӅXFKӍQKUӕLORҥQ FKӭF QăQJ FKX\ӇQ KyD FzQ FҫQ FK~ WUӑQJ ÿӃQ FҧPQKұQFӫDEӋQKQKkQYjFҫQVӵSKӕLKӧSÿD QJjQKWRjQGLӋQOҩ\EӋQKQKkQOjPWUXQJWkP 'DQKPөFYLӃWWҳW &KӳYLӃWWҳW 7LӃQJ$QK 7LӃQJ9LӋW $3$6/ 7KH$VLDQ3DFL¿F$VVRFLDWLRQIRU +LӋSKӝL1JKLrQFӭXEӋQKJDQ&KkXÈ 7KiL%uQK'ѭѫQJ WKH6WXG\RIWKH/LYHU %0, %RG\PDVVLQGH[ &KӍVӕNKӕLFѫWKӇ &$3 &RQWUROOHGDWWHQXDWLRQSDUDPHWHU 7K{QJVӕJLҧPkPÿѭӧFNLӇPVRiW &$&/' &RPSHQVDWHGDGYDQFHGFKURQLF OLYHUGLVHDVH %ӋQKJDQ[ѫKyDPҥQWtQKFzQE &9' &DUGLRYDVFXODUGLVHDVH %ӋQKOêWLPPҥFK )/, )DWW\/LYHU,QGH[ &KӍVӕJDQQKLӉPPӥ +&& +HSDWRFHOOXODU&DUFLQRPD 8QJWKѭELӇXP{WӃEjRJDQ /7 /LYHUWUDQVSODQWDWLRQ *KpSJDQ 0$)/' 0HWDEROLFDVVRFLDWHGIDWW\OLYHU GLVHDVH %ӋQKJDQQKLӉPPӥOLrQTXDQFKX\ӇQKyD 1$)/' 1RQDOFKROLFIDWW\OLYHUGLVHDVH %ӋQKJDQQKLӉPPӥNK{QJGRUѭӧX 86±)/, 8OWUDVRQRJUDSKLF)DWW\/LYHU ,QGLFDWRU &KӍVӕQKLӉPPӥJDQWUrQVLrXkP 9&7( 9LEUDWLRQ&RQWUROOHG7UDQVLHQW (ODVWRJUDSK\ 6LrXkPÿjQKӗLJDQWKRiQJTXD 71 7UҫQ7Kӏ.KiQK7ѭӡQJ7ҥSFKt

Ngày đăng: 17/05/2023, 19:31

TÀI LIỆU CÙNG NGƯỜI DÙNG

TÀI LIỆU LIÊN QUAN

w