{"id":1541,"date":"2023-04-07T11:42:31","date_gmt":"2023-04-07T04:42:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1541"},"modified":"2023-04-14T15:31:58","modified_gmt":"2023-04-14T08:31:58","slug":"dinh-ruot-sau-phau-thuat-va-cach-phong-tranh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/dinh-ruot-sau-phau-thuat-va-cach-phong-tranh\/","title":{"rendered":"C\u00e1ch ph\u00f2ng tr\u00e1nh d\u00ednh ru\u1ed9t sau ph\u1eabu thu\u1eadt"},"content":{"rendered":"

D<\/span>\u00ednh ru\u1ed9t<\/a> sau ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00e0 h\u1ec7 th\u1ed1ng y t\u1ebf. C\u00e1c ch\u1ea5t k\u1ebft d\u00ednh h\u00ecnh th\u00e0nh trong b\u1ee5ng sau ph\u1eabu thu\u1eadt b\u1ee5ng ho\u1eb7c v\u00f9ng ch\u1eadu l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng b\u00ecnh th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi t\u1ed5n th\u01b0\u01a1ng b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c trong khi ph\u1eabu thu\u1eadt, v\u00e0 m\u1eb7c d\u00f9 k\u1ebft d\u00ednh c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i, ch\u00fang c\u0169ng g\u00e2y ra t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u0111\u00e1ng k\u1ec3, bao g\u1ed3m t\u1eafc ru\u1ed9t non do d\u00ednh, v\u00f4 sinh n\u1eef, \u0111au b\u1ee5ng m\u00e3n t\u00ednh v\u00e0 t\u0103ng kh\u00f3 kh\u0103n v\u1edbi ph\u1eabu thu\u1eadt ti\u1ebfp theo.<\/strong><\/p>\n

1. T\u1ef7 l\u1ec7 m\u1eafc v\u00e0 g\u00e1nh n\u1eb7ng<\/h2>\n

T\u1eafc ru\u1ed9t do d\u00ednh l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y t\u1eafc ru\u1ed9t \u1edf c\u00e1c n\u01b0\u1edbc ph\u01b0\u01a1ng T\u00e2y. T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh r\u1ea5t kh\u00e1c nhau t\u00f9y theo t\u00ednh ch\u1ea5t c\u1ee7a ph\u1eabu thu\u1eadt ch\u1ec9 s\u1ed1 v\u00e0 th\u1eddi gian theo d\u00f5i. T\u1ef7 l\u1ec7 t\u1eafc ru\u1ed9t non do d\u00ednh sau ph\u1eabu thu\u1eadt t\u0103ng l\u00ean v\u1edbi m\u1ed7i th\u1ee7 thu\u1eadt ti\u1ebfp theo \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong \u0111i\u1ec1u tr\u1ecb t\u1eafc ru\u1ed9t.<\/p>\n

V\u00f4 sinh: c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 d\u00ednh v\u00f9ng ch\u1eadu, c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i gi\u1ea3i ph\u1eabu v\u00f9ng ch\u1eadu v\u00e0 c\u1ea3n tr\u1edf vi\u1ec7c b\u1eaft v\u00e0 v\u1eadn chuy\u1ec3n no\u00e3n, ho\u1eb7c t\u1eeb s\u1ef1 d\u00ednh trong \u1ed1ng d\u1eabn tr\u1ee9ng ho\u1eb7c t\u1eed cung c\u1ea3n tr\u1edf vi\u1ec7c v\u1eadn chuy\u1ec3n tinh tr\u00f9ng ho\u1eb7c c\u1ea5y ph\u00f4i. D\u00ednh ph\u00fac m\u1ea1c v\u00f9ng ch\u1eadu v\u00e0 b\u1ea5t th\u01b0\u1eddng \u1ed1ng d\u1eabn tr\u1ee9ng g\u00e2y ra kho\u1ea3ng 10% c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00f4 sinh n\u1eef, d\u00ednh trong t\u1eed cung l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n t\u01b0\u01a1ng \u0111\u1ed1i hi\u1ebfm g\u1eb7p g\u00e2y v\u00f4 sinh.<\/p>\n

\u0110au b\u1ee5ng m\u00e3n t\u00ednh: m\u1ed1i quan h\u1ec7 gi\u1eefa s\u1ef1 k\u1ebft d\u00ednh v\u00e0 \u0111au b\u1ee5ng ho\u1eb7c v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh k\u00e9m. Tuy nhi\u00ean, c\u00f3 m\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng ch\u1ec9 ra r\u1eb1ng s\u1ef1 k\u1ebft d\u00ednh d\u00e0y \u0111\u1eb7c c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u00e1c c\u01a1 quan, c\u00f3 th\u1ec3 g\u00e2y \u0111au n\u1ed9i t\u1ea1ng<\/p>\n

S\u1ef1 k\u1ebft d\u00ednh, \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf 95 ph\u1ea7n tr\u0103m b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt ti\u1ebfp theo, c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n v\u1ec1 k\u1ef9 thu\u1eadt v\u00e0 t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng, c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n

    \n
  • \u00a0Ti\u1ebfp c\u1eadn b\u1ee5ng kh\u00f3 kh\u0103n li\u00ean quan \u0111\u1ebfn m\u1ea5t m\u1eb7t ph\u1eb3ng m\u00f4 ho\u1eb7c gi\u1ea3i ph\u1eabu m\u00e9o m\u00f3<\/li>\n
  • Kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt n\u1ed9i soi, l\u1ecdc m\u00e1u c\u1ea5p c\u1ee9u li\u00ean t\u1ee5c ho\u1eb7c cung c\u1ea5p thu\u1ed1c trong \u1ed5 b\u1ee5ng kh\u00e1c<\/li>\n
  • G\u00e2y t\u1ed5n th\u01b0\u01a1ng cho ru\u1ed9t non, b\u00e0ng quang ho\u1eb7c ni\u1ec7u qu\u1ea3n<\/li>\n
  • T\u0103ng th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 g\u00e2y m\u00ea k\u00e9o d\u00e0i<\/li>\n
  • T\u0103ng m\u1ea5t m\u00e1u<\/li>\n<\/ul>\n

    2. Sinh b\u1ec7nh h\u1ecdc<\/span><\/h2>\n

    \u00a0<\/span>\u1ede c\u1ea5p \u0111\u1ed9 ph\u00e2n t\u1eed, s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u01b0\u01a1ng t\u00e1c ph\u1ee9c t\u1ea1p c\u1ee7a cytokine, c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng, ph\u00e2n t\u1eed b\u00e1m d\u00ednh t\u1ebf b\u00e0o, neuropeptide v\u00e0 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c do c\u00e1c t\u1ebf b\u00e0o ti\u1ebft ra trong ho\u1eb7c g\u1ea7n khu v\u1ef1c ch\u1ea5n th\u01b0\u01a1ng. S\u1ef1 c\u00e2n b\u1eb1ng s\u1edbm gi\u1eefa l\u1eafng \u0111\u1ecdng fibrin v\u00e0 tho\u00e1i h\u00f3a d\u01b0\u1eddng nh\u01b0 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng trong sinh b\u1ec7nh h\u1ecdc c\u1ee7a s\u1ef1 k\u1ebft d\u00ednh.<\/p>\n

    T\u1ed5n th\u01b0\u01a1ng b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c g\u00e2y ra ph\u1ea3n \u1ee9ng s\u1eeda ch\u1eefa, bao g\u1ed3m ph\u1ea3n \u1ee9ng vi\u00eam li\u00ean quan \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 t\u1ebf b\u00e0o v\u00e0 c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 m\u00f4 v\u00e0 \u0111\u00f4ng m\u00e1u. Ph\u1ea3n \u1ee9ng vi\u00eam d\u1eabn \u0111\u1ebfn l\u1eafng \u0111\u1ecdng fibrin t\u1ea1i v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng trong v\u00f2ng ba gi\u1edd sau ch\u1ea5n th\u01b0\u01a1ng m\u00f4 v\u00e0 \u0111\u1ea1t \u0111\u1ec9nh \u0111i\u1ec3m v\u00e0o c\u00e1c ng\u00e0y sau ph\u1eabu thu\u1eadt t\u1eeb 4 \u0111\u1ebfn 5.<\/p>\n

    S\u1eeda ch\u1eefa ph\u00fac m\u1ea1c sau ph\u1eabu thu\u1eadt b\u1eaft \u0111\u1ea7u b\u1eb1ng \u0111\u00f4ng m\u00e1u, k\u00edch ho\u1ea1t s\u1ef1 gi\u1ea3i ph\u00f3ng m\u1ed9t lo\u1ea1t c\u00e1c s\u1ee9 gi\u1ea3 h\u00f3a h\u1ecdc l\u00e0m trung gian cho m\u1ed9t lo\u1ea1t c\u00e1c s\u1ef1 ki\u1ec7n. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 t\u1ebf b\u00e0o ch\u00ednh li\u00ean quan bao g\u1ed3m b\u1ea1ch c\u1ea7u (b\u1ea1ch c\u1ea7u trung t\u00ednh \u0111a nh\u00e2n v\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o) v\u00e0 t\u1ebf b\u00e0o trung bi\u1ec3u m\u00f4. C\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o c\u0169ng l\u1ea5y c\u00e1c t\u1ebf b\u00e0o trung bi\u1ec3u m\u00f4 m\u1edbi l\u00ean b\u1ec1 m\u1eb7t c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng, \u0111\u1ea7u ti\u00ean k\u1ebft h\u1ee3p \u0111\u1ec3 t\u1ea1o th\u00e0nh c\u00e1c t\u1ea5m t\u1ebf b\u00e0o cu\u1ed1i c\u00f9ng t\u00e1i bi\u1ec3u m\u00f4 to\u00e0n b\u1ed9 b\u1ec1 m\u1eb7t, th\u01b0\u1eddng l\u00e0 t\u1eeb n\u0103m \u0111\u1ebfn b\u1ea3y ng\u00e0y sau ch\u1ea5n th\u01b0\u01a1ng ph\u1eabu thu\u1eadt.<\/p>\n

    3. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h2>\n

    H\u01a1n 75% b\u1ec7nh nh\u00e2n b\u1ecb d\u00ednh tri\u1ec7u ch\u1ee9ng c\u00f3 ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt tr\u01b0\u1edbc \u0111\u00f3, v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i c\u00f3 ti\u1ec1n s\u1eed vi\u00eam trong \u1ed5 b\u1ee5ng ho\u1eb7c v\u00f9ng ch\u1eadu. Khi c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra, s\u1ef1 k\u1ebft d\u00ednh c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n nh\u01b0 t\u1eafc ru\u1ed9t, \u0111au m\u00e3n t\u00ednh v\u00e0, \u1edf ph\u1ee5 n\u1eef, l\u00e0 v\u00f4 sinh.<\/p>\n

    Ch\u1ea9n \u0111o\u00e1n d\u00ednh th\u01b0\u1eddng d\u1ef1a tr\u00ean nghi ng\u1edd l\u00e2m s\u00e0ng trong b\u1ed1i c\u1ea3nh c\u00f3 li\u00ean quan, sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn b\u1eb1ng c\u00e1ch kh\u00e1m b\u1ee5ng ho\u1eb7c x\u01b0\u01a1ng ch\u1eadu th\u00f4ng qua n\u1ed9i soi \u1ed5 b\u1ee5ng ho\u1eb7c ph\u1eabu thu\u1eadt n\u1ed9i soi ho\u1eb7c b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u00e1n ti\u1ebfp, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, c\u00f3 th\u1ec3 l\u00e0 si\u00eau \u00e2m ho\u1eb7c c\u1ed9ng h\u01b0\u1edfng t\u1eeb.<\/p>\n

    4. C\u00e1c bi\u1ec7n ph\u00e1p ng\u0103n ng\u1eeba d\u00ednh<\/h2>\n
      \n
    • Gi\u1ea3m thi\u1ec3u ch\u1ea5n th\u01b0\u01a1ng<\/li>\n
    • D\u00f9ng m\u1ed9t r\u00e0o c\u1ea3n gi\u1eefa c\u00e1c b\u1ec1 m\u1eb7t b\u1ecb th\u01b0\u01a1ng<\/li>\n
    • Ng\u0103n ng\u1eeba \u0111\u00f4ng m\u00e1u, huy\u1ebft thanh<\/li>\n
    • Lo\u1ea1i b\u1ecf ho\u1eb7c h\u00f2a tan fibrin l\u1eafng \u0111\u1ecdng<\/li>\n
    • \u1ee8c ch\u1ebf ph\u1ea3n \u1ee9ng nguy\u00ean b\u00e0o s\u1ee3i \u0111\u1ed1i v\u1edbi t\u1ed5n th\u01b0\u01a1ng m\u00f4<\/li>\n
    • Li\u00ean quan \u0111\u1ebfn ch\u1ea5t ho\u1ea1t h\u00f3a plasminogen m\u00f4 t\u00e1i t\u1ed5 h\u1ee3p v\u00e0 thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft m\u1edbi<\/li>\n
    • Gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt<\/li>\n
    • C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ng\u0103n ng\u1eeba \u0111\u1ed9 b\u00e1m d\u00ednh: c\u00e1c bi\u1ec7n ph\u00e1p k\u1ef9 thu\u1eadt; r\u00e0o c\u1ea3n v\u1eadt l\u00fd, c\u00f3 th\u1ec3 l\u00e0 r\u1eafn ho\u1eb7c l\u1ecfng.<\/li>\n
    • C\u00e1c bi\u1ec7n ph\u00e1p k\u1ef9 thu\u1eadt h\u1ea1n ch\u1ebf ho\u1eb7c ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng ph\u00fac m\u1ea1c ban \u0111\u1ea7u.<\/li>\n
    • C\u00e1c t\u00e1c nh\u00e2n r\u00e0o c\u1ea3n ho\u1ea1t \u0111\u1ed9ng ch\u1ee7 y\u1ebfu nh\u01b0 m\u1ed9t s\u1ef1 t\u00e1ch bi\u1ec7t v\u1eadt l\u00fd gi\u1eefa c\u00e1c b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c ph\u1ee7 fibrin c\u00f3 xu h\u01b0\u1edbng tu\u00e2n th\u1ee7: v\u1eadt li\u1ec7u r\u1eafn ho\u1eb7c l\u1ecfng.<\/li>\n
    • Nhu \u0111\u1ed9ng ru\u1ed9t b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 gi\u00fap gi\u1eef s\u1ef1 t\u00e1ch bi\u1ec7t v\u1eadt l\u00fd c\u1ee7a c\u00e1c b\u1ec1 m\u1eb7t ch\u1eefa b\u1ec7nh v\u00e0 duy tr\u00ec chuy\u1ec3n \u0111\u1ed9ng t\u01b0\u01a1ng \u0111\u1ed1i gi\u1eefa c\u00e1c b\u1ec1 m\u1eb7t ch\u1eefa b\u1ec7nh, t\u1eeb \u0111\u00f3 ng\u0103n ng\u1eeba ho\u1eb7c h\u1ea1n ch\u1ebf s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh.<\/li>\n<\/ul>\n

      4. K\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt<\/h2>\n

      4.1. X\u1eed l\u00fd m\u00f4 nh\u1eb9 nh\u00e0ng<\/span>\u00a0<\/span><\/h3>\n

      K\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt t\u1ed1t l\u00e0 bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 \u0111\u1ea7u ti\u00ean ch\u1ed1ng l\u1ea1i s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh.<\/p>\n

      C\u1ea7m m\u00e1u t\u1ec9 m\u1ec9 v\u00e0 x\u1eed l\u00fd m\u00f4 nh\u1eb9 nh\u00e0ng, t\u1ed1i thi\u1ec3u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 h\u1ea1n ch\u1ebf m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ph\u00fac m\u1ea1c ban \u0111\u1ea7u. T\u1ed5n th\u01b0\u01a1ng huy\u1ebft thanh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba b\u1eb1ng c\u00e1ch gi\u1ea3m thi\u1ec3u ch\u1ea5n th\u01b0\u01a1ng, ch\u1ea3y m\u00e1u v\u00e0 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u00e0 b\u1eb1ng c\u00e1ch gi\u1eef \u1ea9m cho l\u0129nh v\u1ef1c ph\u1eabu thu\u1eadt v\u1edbi t\u01b0\u1edbi ti\u00eau th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c m\u00f4 b\u1ecb kh\u00f4.<\/p>\n

      B\u1ecdt bi\u1ec3n n\u1ed9i soi truy\u1ec1n th\u1ed1ng c\u00f3 th\u1ec3 b\u1ecb m\u00e0i m\u00f2n v\u00e0 n\u00ean tr\u00e1nh. Nhi\u1ec1u b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00f9ng ch\u1eadu \u0111\u1eb7t nh\u1eefng mi\u1ebfng b\u1ecdt bi\u1ec3n n\u00e0y trong t\u00fai nh\u1ef1a v\u00f4 tr\u00f9ng, do \u0111\u00f3 ng\u0103n v\u1ea3i b\u1ec7n ch\u1ea1m v\u00e0o ph\u00fac m\u1ea1c khi c\u1ea7n \u0111\u00f3ng g\u00f3i.<\/p>\n

      Lo\u1ea1i b\u1ecf b\u1ed9t talc ho\u1eb7c tinh b\u1ed9t kh\u1ecfi g\u0103ng tay tr\u01b0\u1edbc khi v\u00e0o khoang ph\u00fac m\u1ea1c l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n, nh\u01b0ng th\u01b0\u1eddng b\u1ecb b\u1ecf qua, gi\u00fap lo\u1ea1i b\u1ecf m\u1ed9t ngu\u1ed3n k\u00edch th\u00edch d\u1eabn \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh. S\u1ef1 ra \u0111\u1eddi c\u1ee7a c\u00e1c v\u1eadt th\u1ec3 l\u1ea1 c\u00f3 kh\u1ea3 n\u0103ng ph\u1ea3n \u1ee9ng (v\u00ed d\u1ee5:, v\u1eadt li\u1ec7u kh\u00e2u d\u01b0 th\u1eeba, x\u01a1 v\u1ea3i, ho\u1ea1t th\u1ea1ch) n\u00ean \u0111\u01b0\u1ee3c gi\u1ea3m thi\u1ec3u \u0111\u1ec3 gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng nidi cho s\u1ef1 l\u1eafng \u0111\u1ecdng fibrin. V\u1eadt li\u1ec7u kh\u00e2u m\u1ecbn, kh\u00f4ng ph\u1ea3n \u1ee9ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1ea5t c\u1ee9 khi n\u00e0o c\u00f3 th\u1ec3; Ch\u1ec9 kh\u00e2u l\u1ee5a, g\u00e2y x\u01a1, n\u00ean tr\u00e1nh \u1edf b\u1ee5ng.<\/p>\n

      C\u00e1c v\u1eadt li\u1ec7u kh\u00e2u ph\u00fac m\u1ea1c nh\u01b0 polyglactin k\u00edch th\u00edch \u00edt ph\u1ea3n \u1ee9ng m\u00f4 v\u00e0 do \u0111\u00f3 \u0111\u01b0\u1ee3c \u01b0a th\u00edch h\u01a1n c\u00e1c v\u1eadt li\u1ec7u ph\u1ea3n \u1ee9ng m\u1ea1nh h\u01a1n nh\u01b0 ch\u1ec9 kh\u00e2u catgut crom ho\u1eb7c l\u1ee5a.<\/p>\n

      4.2. Ph\u1eabu thu\u1eadt n\u1ed9i<\/span>\u00a0soi<\/h3>\n

      N\u1ed9i soi cung c\u1ea5p nh\u1eefng l\u1ee3i th\u1ebf nh\u1ea5t \u0111\u1ecbnh so v\u1edbi ph\u1eabu thu\u1eadt b\u1ee5ng m\u1edf li\u00ean quan \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh k\u1ebft d\u00ednh. C\u00e1c v\u1ebft m\u1ed5 b\u1ee5ng nh\u1ecf, v\u00e0 \u00edt x\u1eed l\u00fd m\u00f4 v\u00e0 ti\u1ebfp x\u00fac v\u1edbi d\u1ecb v\u1eadt, t\u1ea5t c\u1ea3 \u0111\u1ec1u c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m ch\u1ea5n th\u01b0\u01a1ng m\u00f4, so v\u1edbi ph\u1eabu thu\u1eadt n\u1ed9i soi, v\u00e0 do \u0111\u00f3 l\u00e0m gi\u1ea3m nguy c\u01a1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh, \u0111\u1eb7c bi\u1ec7t l\u00e0 th\u00e0nh b\u1ee5ng.<\/p>\n

      Th\u1eddi gian ph\u1eabu thu\u1eadt d\u00e0i h\u01a1n v\u00e0 \u00e1p l\u1ef1c th\u1ed5i ph\u1ed3ng cao th\u1eadm ch\u00ed c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh \u0111\u1ed9 b\u00e1m d\u00ednh.\u00a0Sau 1 n\u0103m, so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf, ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u00f3 li\u00ean quan \u0111\u1ebfn t\u1ef7 l\u1ec7 t\u00e1i nh\u1eadp vi\u1ec7n li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn \u0111\u1ed9 d\u00ednh th\u1ea5p h\u01a1n (7,4% so v\u1edbi 3,0%; p<0001,16) v\u00e0 t\u1ef7 l\u1ec7 t\u00e1i nh\u1eadp vi\u1ec7n th\u1ea5p h\u01a1n c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn d\u00ednh (18 so v\u1edbi 0%). M\u1eb7c d\u00f9 gi\u1ea3m nguy c\u01a1, tuy nhi\u00ean, ph\u1eabu thu\u1eadt n\u1ed9i soi v\u1eabn li\u00ean quan \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh d\u1eabn \u0111\u1ebfn t\u00e1i ph\u00e1t.<\/p>\n

      4.3. T\u1ea5m ng\u0103n c\u00e1ch<\/span><\/h3>\n

      T\u1ea5m v\u1eadt l\u00fd<\/h4>\n

      \u00a0–\u00a0<\/span>C\u00e1c t\u1ea5m v\u1eadt l\u00fd bao g\u1ed3m v\u1eadt li\u1ec7u r\u1eafn (t\u1ea5m c\u00f3 th\u1ec3 h\u1ea5p th\u1ee5, v\u1eadt li\u1ec7u gi\u1ea3 kh\u00f4ng th\u1ec3 h\u1ea5p th\u1ee5) v\u00e0 ch\u1ea5t l\u1ecfng nh\u1edbt \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o b\u1ee5ng. T\u1ea5t c\u1ea3 \u0111\u1ec1u nh\u1eb1m m\u1ee5c \u0111\u00edch gi\u1eef cho c\u00e1c b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng t\u00e1ch bi\u1ec7t trong n\u0103m \u0111\u1ebfn b\u1ea3y ng\u00e0y \u0111\u1ea7u sau ph\u1eabu thu\u1eadt cho \u0111\u1ebfn khi t\u00e1i bi\u1ec3u m\u00f4 h\u00f3a \u0111\u00e3 x\u1ea3y ra.<\/p>\n

      Khuy\u1ebft \u0111i\u1ec3m: chi ph\u00ed cao, c\u00e1c r\u1ee7i ro li\u00ean quan \u0111\u1ebfn r\u00f2 r\u1ec9, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00ecnh th\u00e0nh l\u1ed7 r\u00f2, vi\u00eam ph\u00fac m\u1ea1c, h\u00ecnh th\u00e0nh \u00e1p xe v\u00e0 nhi\u1ec5m tr\u00f9ng huy\u1ebft.<\/p>\n

      R\u00e0o c\u1ea3n r\u1eafn (t\u1ea5m)<\/span><\/h4>\n

      \u00a0–\u00a0<\/span>Hai t\u1ea5m m\u00e0ng c\u00f3 th\u1ec3 h\u1ea5p th\u1ee5 c\u00f3 s\u1eb5n tr\u00ean th\u1ecb tr\u01b0\u1eddng. M\u1ed9t l\u00e0 t\u1ea5m\u00a0carboxymethylcellulose\u00a0d\u1ef1a tr\u00ean natri hyaluronate (Seprafilm), v\u00e0 th\u1ee9 hai l\u00e0 t\u1ea5m\u00a0cellulose t\u00e1i sinh b\u1ecb oxy h\u00f3a. C\u1ea3 hai \u0111\u1ec1u c\u00f3 v\u1ebb an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 k\u1ebft d\u00ednh gi\u1eefa c\u00e1c b\u1ec1 m\u1eb7t m\u00e0 ch\u00fang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nh\u01b0ng h\u01a1i kh\u00f3 x\u1eed l\u00fd v\u00e0 kh\u00f4ng ng\u0103n ch\u1eb7n s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh t\u1ea1i c\u00e1c v\u1ecb tr\u00ed kh\u00e1c trong b\u1ee5ng. Ngo\u00e0i ra, c\u00f3 m\u1ed9t h\u00e0ng r\u00e0o r\u1eafn kh\u00f4ng th\u1ec3 h\u1ea5p th\u1ee5 (polytetrafluoroethylene m\u1edf r\u1ed9ng) \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 k\u1ebft d\u00ednh trong c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng.<\/p>\n

      R\u00e0o c\u1ea3n ch\u1ea5t l\u1ecfng (th\u1ea5m nhu\u1ea7n)<\/span><\/h4>\n

      H\u00e0ng r\u00e0o b\u00e1m d\u00ednh polyethylene glycol (Spraygel, Sprayshield) l\u00e0 m\u1ed9t hydrogel t\u1ed5ng h\u1ee3p h\u00ecnh th\u00e0nh trong v\u00f2ng v\u00e0i gi\u00e2y sau khi phun \u0111\u1ed3ng th\u1eddi hai dung d\u1ecbch ch\u1ea5t l\u1ecfng g\u1ed1c polyethylene glycol<\/span> (PEG) l\u00ean m\u00f4 m\u1ee5c ti\u00eau. Li\u00ean k\u1ebft ch\u00e9o gi\u1eefa c\u00e1c dung d\u1ecbch t\u1ea1o th\u00e0nh m\u1ed9t h\u00e0ng r\u00e0o gel c\u00f3 th\u1ec3 h\u1ea5p th\u1ee5, linh ho\u1ea1t, b\u00e1m d\u00ednh, v\u1eabn c\u00f2n nguy\u00ean v\u1eb9n trong n\u0103m \u0111\u1ebfn b\u1ea3y ng\u00e0y tr\u01b0\u1edbc khi ph\u00e2n h\u1ee7y th\u00e0nh c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a n\u00f3, sau \u0111\u00f3 \u0111\u01b0\u1ee3c t\u00e1i h\u1ea5p thu v\u00e0 b\u00e0i ti\u1ebft qua th\u1eadn.<\/p>\n

      Th\u00fac \u0111\u1ea9y nhu \u0111\u1ed9ng ru\u1ed9t<\/span>\u00a0<\/span><\/h4>\n

      L\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p b\u1ed5 tr\u1ee3 cho vi\u1ec7c t\u00e1ch v\u1eadt l\u00fd c\u00e1c b\u1ec1 m\u1eb7t ch\u1eefa b\u1ec7nh, duy tr\u00ec chuy\u1ec3n \u0111\u1ed9ng t\u01b0\u01a1ng \u0111\u1ed1i gi\u1eefa c\u00e1c b\u1ec1 m\u1eb7t ch\u1eefa b\u1ec7nh, b\u1eaft ch\u01b0\u1edbc nhu \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng v\u00e0 kh\u1ea3 n\u0103ng di chuy\u1ec3n, \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t \u0111\u1ec3 ng\u0103n ng\u1eeba ho\u1eb7c h\u1ea1n ch\u1ebf s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh. \u1ede ng\u01b0\u1eddi, nhu \u0111\u1ed9ng ru\u1ed9t sau ph\u1eabu thu\u1eadt b\u1ecb suy gi\u1ea3m c\u00f3 th\u1ec3 g\u00e2y ra t\u1eafc ru\u1ed9t sau ph\u1eabu thu\u1eadt, tr\u1ea7m tr\u1ecdng h\u01a1n do ki\u1ec3m so\u00e1t c\u01a1n \u0111au sau ph\u1eabu thu\u1eadt b\u1eb1ng thu\u1ed1c phi\u1ec7n. Ru\u1ed9t non b\u1ecb suy gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng trong m\u1ed9t \u0111\u1ebfn hai ng\u00e0y sau ph\u1eabu thu\u1eadt, trong khi \u0111\u1ea1i tr\u00e0ng b\u1ecb suy gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng trung b\u00ecnh t\u1eeb hai \u0111\u1ebfn ba ng\u00e0y.<\/p>\n

      5. T\u00f3m t\u1eaft v\u00e0 khuy\u1ebfn ngh\u1ecb<\/h2>\n

      Sinh b\u1ec7nh h\u1ecdc: <\/strong>C\u00e1c ch\u1ea5t k\u1ebft d\u00ednh h\u00ecnh th\u00e0nh trong b\u1ee5ng sau ph\u1eabu thu\u1eadt b\u1ee5ng ho\u1eb7c v\u00f9ng ch\u1eadu l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng m\u00f4 v\u00e0 ch\u1eefa l\u00e0nh sau \u0111\u00f3 v\u00e0 l\u00e0 ph\u1ea3n \u1ee9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c \u0111\u1ed1i v\u1edbi ch\u1ea5n th\u01b0\u01a1ng ph\u1eabu thu\u1eadt. S\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u01b0\u01a1ng t\u00e1c ph\u1ee9c t\u1ea1p c\u1ee7a nhi\u1ec1u y\u1ebfu t\u1ed1 ti\u1ebft ra t\u1ebf b\u00e0o trong c\u00e1c khu v\u1ef1c ch\u1ea5n th\u01b0\u01a1ng ph\u1eabu thu\u1eadt. S\u1ef1 c\u00e2n b\u1eb1ng gi\u1eefa l\u1eafng \u0111\u1ecdng v\u00e0 tho\u00e1i h\u00f3a fibrin (t\u1ee9c l\u00e0 ti\u00eau s\u1ee3i huy\u1ebft) d\u01b0\u1eddng nh\u01b0 l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong s\u1ef1 h\u00ecnh th\u00e0nh \u0111\u1ed9 b\u00e1m d\u00ednh.<\/p>\n

      Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/strong> : M\u1eb7c d\u00f9 s\u1ef1 h\u00ecnh th\u00e0nh k\u1ebft d\u00ednh l\u00e0 kh\u00f4ng th\u1ec3 thi\u1ebfu trong qu\u00e1 tr\u00ecnh ch\u1eefa b\u1ec7nh, nh\u01b0ng s\u1ef1 k\u1ebft d\u00ednh c\u00f3 th\u1ec3 g\u00e2y ra t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u0111\u00e1ng k\u1ec3. D\u00ednh l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u00e2y t\u1eafc ru\u1ed9t v\u00e0 c\u1ea7n nghi ng\u1edd \u1edf b\u1ea5t k\u1ef3 b\u1ec7nh nh\u00e2n n\u00e0o c\u00f3 ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt b\u1ee5ng ho\u1eb7c v\u00f9ng ch\u1eadu tr\u01b0\u1edbc \u0111\u00f3 c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng t\u1eafc ru\u1ed9t.<\/p>\n

      Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba d\u00ednh ph\u00fac m\u1ea1c<\/strong><\/p>\n

        \n
      • Bi\u1ec7n ph\u00e1p<\/span> h\u00e0ng \u0111\u1ea7u ch\u1ed1ng l\u1ea1i s\u1ef1 h\u00ecnh th\u00e0nh b\u00e1m d\u00ednh l\u00e0 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt t\u1ec9 m\u1ec9. M\u1eb7c d\u00f9 n\u1ed9i soi \u1ed5 b\u1ee5ng th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng m\u00f4 \u00edt h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt n\u1ed9i soi, t\u1ef7 l\u1ec7 m\u1eafc v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a k\u1ebft d\u00ednh sau ph\u1eabu thu\u1eadt sau khi n\u1ed9i soi \u1ed5 b\u1ee5ng kh\u00f4ng nh\u1ea5t thi\u1ebft th\u1ea5p h\u01a1n sau khi ph\u1eabu thu\u1eadt n\u1ed9i soi.<\/li>\n
      • \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao b\u1ecb d\u00ednh khi ph\u1eabu thu\u1eadt n\u1ed9i soi (v\u00ed d\u1ee5: ph\u1eabu thu\u1eadt ph\u1ee5 khoa, ph\u1eabu thu\u1eadt n\u1ed9i soi l\u1eb7p l\u1ea1i), ch\u00fang t\u00f4i khuy\u00ean b\u1ea1n n\u00ean s\u1eed d\u1ee5ng m\u1ed9t h\u00e0ng r\u00e0o v\u1eadt l\u00fd v\u1eefng ch\u1eafc nh\u01b0 Interceed (cellulose t\u00e1i sinh b\u1ecb oxy h\u00f3a) \u0111\u1ec3 ng\u0103n ng\u1eeba b\u00e1m d\u00ednh, thay v\u00ec ch\u1ea5t r\u00e0o c\u1ea3n l\u1ecfng ho\u1eb7c kh\u00f4ng c\u00f3 r\u00e0o c\u1ea3n. link sai<\/li>\n<\/ul>\n
        \n

        B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec l\u00e0 \u0111\u1ecba ch\u1ec9 th\u0103m kh\u00e1m, \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba c\u00e1c b\u1ec7nh l\u00fd. Khi th\u1ef1c hi\u1ec7n quy tr\u00ecnh th\u0103m kh\u00e1m t\u1ea1i Vinmec, Qu\u00fd kh\u00e1ch h\u00e0ng s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00f3n ti\u1ebfp v\u00e0 s\u1eed d\u1ee5ng c\u01a1 s\u1edf v\u1eadt ch\u1ea5t, h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c hi\u1ec7n \u0111\u1ea1i \u0111i k\u00e8m v\u1edbi c\u00e1c d\u1ecbch v\u1ee5 y t\u1ebf ho\u00e0n h\u1ea3o d\u01b0\u1edbi s\u1ef1 ch\u1ec9 d\u1eabn, t\u01b0 v\u1ea5n c\u1ee7a c\u00e1c b\u00e1c s\u0129 gi\u1ecfi, \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n \u1edf c\u1ea3 trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

        D\u00ednh ru\u1ed9t sau ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00e0 h\u1ec7 th\u1ed1ng y t\u1ebf. C\u00e1c ch\u1ea5t k\u1ebft d\u00ednh h\u00ecnh th\u00e0nh trong b\u1ee5ng sau ph\u1eabu thu\u1eadt b\u1ee5ng ho\u1eb7c v\u00f9ng ch\u1eadu l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng b\u00ecnh th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi t\u1ed5n th\u01b0\u01a1ng b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c trong khi […]<\/p>\n","protected":false},"author":15,"featured_media":1608,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nC\u00e1ch ph\u00f2ng tr\u00e1nh d\u00ednh ru\u1ed9t sau ph\u1eabu thu\u1eadt - Vinmec<\/title>\n<meta name=\"description\" content=\"D\u00ednh ru\u1ed9t sau ph\u1eabu thu\u1eadt c\u00f3 h\u1eadu nghi\u00eam quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00e0 h\u1ec7 th\u1ed1ng y t\u1ebf, c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e1ch ph\u00f2ng tr\u00e1nh d\u00ednh ru\u1ed9t sau ph\u1eabu thu\u1eadt - Vinmec\" \/>\n<meta property=\"og:description\" content=\"D\u00ednh ru\u1ed9t sau ph\u1eabu thu\u1eadt c\u00f3 h\u1eadu nghi\u00eam quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00e0 h\u1ec7 th\u1ed1ng y t\u1ebf, c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/dinh-ruot-sau-phau-thuat-va-cach-phong-tranh\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-07T04:42:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T08:31:58+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20210622_024322_984643_phau-thuat-noi-soi-.max-1800x1800-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"500\" \/>\n\t<meta property=\"og:image:height\" content=\"500\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Minh Tang Phuong\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Minh Tang Phuong\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/dinh-ruot-sau-phau-thuat-va-cach-phong-tranh\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/dinh-ruot-sau-phau-thuat-va-cach-phong-tranh\/\",\"name\":\"C\u00e1ch ph\u00f2ng tr\u00e1nh d\u00ednh ru\u1ed9t sau ph\u1eabu thu\u1eadt - 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