{"id":1556,"date":"2023-04-08T12:53:31","date_gmt":"2023-04-08T05:53:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1556"},"modified":"2023-04-17T10:19:44","modified_gmt":"2023-04-17T03:19:44","slug":"khi-mau-dong-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/khi-mau-dong-mach\/","title":{"rendered":"C\u00e1c c\u00e1ch ki\u1ec3m tra k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch"},"content":{"rendered":"<p><strong>\u0110\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch \u0111\u00e1ng tin c\u1eady cho ph\u00e2n t\u00edch th\u00ec ngo\u00e0i vi\u1ec7c th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt \u0111\u00fang, k\u0129 thu\u1eadt l\u01b0u tr\u1eef \u1ed1ng m\u00e1u tr\u01b0\u1edbc khi \u0111\u01b0a v\u00e0o m\u00e1y ph\u00e2n t\u00edch th\u00ec vi\u1ec7c ki\u1ec3m tra l\u1ea1i c\u00e1c th\u00f4ng s\u1ed1 tr\u01b0\u1edbc khi ph\u00e2n t\u00edch c\u0169ng g\u00f3p ph\u1ea7n h\u1ea1n ch\u1ebf sai s\u00f3t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u.<\/strong><\/p>\n<p>Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a h\u1ec7 th\u1ed1ng h\u00f4 h\u1ea5p v\u00e0 tim m\u1ea1ch c\u0169ng nh\u01b0 c\u00e1c r\u1ed1i lo\u1ea1n th\u0103ng b\u1eb1ng ki\u1ec1m \u2013 toan. Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch bao g\u1ed3m c\u00e1c ch\u1ec9 s\u1ed1 th\u00f4ng tin v\u1ec1 pH, ph\u00e2n \u00e1p v\u00e0 n\u1ed3ng \u0111\u1ed9 Oxy v\u00e0 CO2 trong m\u00e1u \u0111\u1ed9ng m\u1ea1ch.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1572 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1.webp\" alt=\"\" width=\"800\" height=\"879\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1.webp 800w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-273x300.webp 273w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-768x844.webp 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p>C\u00e1c gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng trong kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch<\/p>\n<h2>1. CH\u1ec8 \u0110\u1ecaNH L\u1ea4Y KH\u00cd M\u00c1U \u0110\u1ed8NG M\u1ea0CH<\/h2>\n<ul>\n<li>Ch\u1ea9n \u0111o\u00e1n suy h\u00f4 h\u1ea5p.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 toan ki\u1ec1m.<\/li>\n<li>Theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb suy h\u00f4 h\u1ea5p, r\u1ed1i lo\u1ea1n c\u00e2n b\u1eb1ng ki\u1ec1m toan.<\/li>\n<li>R\u1ed1i lo\u1ea1n tri gi\u00e1c kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/li>\n<li>Khi d\u00f9ng m\u00e1y th\u1edf \u0111\u1ec3 c\u00e0y \u0111\u1eb7t c\u00e1c th\u00f4ng s\u1ed1.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt v\u00f9ng l\u1ed3ng ng\u1ef1c hay v\u00f9ng b\u1ee5ng cao.<\/li>\n<\/ul>\n<h2>2. CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH (T\u01af\u01a0NG \u0110\u1ed0I)<\/h2>\n<ul>\n<li>Tu\u1ea7n ho\u00e0n b\u00ean (tu\u1ea7n ho\u00e0n v\u00f2ng n\u1ed1i) kh\u00f4ng \u0111\u1ea3m b\u1ea3o t\u1ea1i v\u1ecb tr\u00ed l\u1ea5y m\u00e1u. Kh\u00f4ng l\u1ea5y m\u00e1u qua v\u1ebft s\u1eb9o ho\u1eb7c shunt ph\u1eabu thu\u1eadt.<\/li>\n<li>C\u00f3 b\u1eb1ng ch\u1ee9ng b\u1ec7nh l\u00fd ngo\u1ea1i bi\u00ean xa v\u00f9ng ch\u1ecdc kim.<\/li>\n<li>C\u00f3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng \u0111\u00f4ng li\u1ec1u v\u1eeba \u0111\u1ebfn cao.<\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p k\u1ecbch ph\u00e1t ch\u01b0a ki\u1ec3m so\u00e1t.<\/li>\n<li>B\u1ecfng, nhi\u1ec5m tr\u00f9ng t\u1ea1i ch\u1ed7.<\/li>\n<\/ul>\n<h2>3. BI\u1ebeN CH\u1ee8NG KHI L\u1ea4Y KH\u00cd M\u00c1U \u0110\u1ed8NG M\u1ea0CH<\/h2>\n<ul>\n<li>Kh\u1ed1i m\u00e1u t\u1ee5 l\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t.<\/li>\n<li>Thuy\u00ean t\u1eafc kh\u00ed<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh<\/li>\n<\/ul>\n<h2>4. C\u00c1C PH\u01af\u01a0NG PH\u00c1P \u0110\u00c1NH GI\u00c1 KH\u00cd M\u00c1U.<\/h2>\n<p><strong>4.1. Ki\u1ec3m tra s\u1ef1 t\u01b0\u01a1ng \u1ee9ng b\u00ean trong.<\/strong><\/p>\n<p><strong>4.1.1. \u0110\u00e1nh gi\u00e1 chuy\u1ec3n h\u00f3a gi\u00e1n ti\u1ebfp.<\/strong><\/p>\n<p>B\u1ea5t k\u00ec c\u00e1c thay \u0111\u1ed5i pH n\u00e0o c\u0169ng b\u1ea5t ngu\u1ed3n l\u00e0 h\u00f4 h\u1ea5p ho\u1eb7c chuy\u1ec3n h\u00f3a<\/p>\n<p>C\u00e1c b\u01b0\u1edbc t\u00ednh to\u00e1n:<\/p>\n<ul>\n<li>T\u00ednh pH d\u1ef1 ki\u1ebfn t\u1eeb tr\u1ecb s\u1ed1 PaCO2<\/li>\n<li>So s\u00e1nh pH th\u1ef1c v\u1edbi pH d\u1ef1 ki\u1ebfn<\/li>\n<\/ul>\n<p>pH th\u1ef1c &gt; pH d\u1ef1 ki\u1ebfn ~ 0.03 th\u00ec c\u00f3 k\u00e8m theo ki\u1ec3m chuy\u1ec3n h\u00f3a. Khi \u0111\u00f3, HCO3\u2013 s\u1ebd t\u0103ng.<\/p>\n<p>pH th\u1ef1c &lt; pH d\u1ef1 ki\u1ebfn ~ 0.03 th\u00ec c\u00f3 k\u00e8m theo toan chuy\u1ec3n h\u00f3a. Khi \u0111\u00f3, HCO3\u2013 s\u1ebd gi\u1ea3m.<\/p>\n<p>Do \u0111\u00f3, n\u1ebfu thay \u0111\u1ed5i HCO3\u2013 ng\u01b0\u1ee3c h\u01b0\u1edbng th\u00ec \u0111i\u1ec1u \u0111\u00f3 cho th\u1ea5y \u0111\u00e3 c\u00f3 sai s\u00f3t k\u1ef9 thu\u1eadt.<\/p>\n<ul>\n<li>Vi\u1ec7c \u01b0\u1edbc l\u01b0\u1ee3ng thay \u0111\u1ed5i pH, HCO3- theo PaCO2 g\u1ed3m c\u00f3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/li>\n<\/ul>\n<p>Thay \u0111\u1ed5i PaCO2 c\u1ea5p. Khi \u0111\u00f3, n\u1ebfu \u00a0PaCO2 t\u0103ng 10 mmHg th\u00ec pH gi\u1ea3m 0.05 v\u00e0 HCO3- t\u0103ng 1 mmol\/L, ng\u01b0\u1ee3c l\u1ea1i n\u1ebfu PaCO2 gi\u1ea3m 10 mmHg th\u00ec pH t\u0103ng 0.1 v\u00e0 HCO3- gi\u1ea3m 2 mmol\/L.<\/p>\n<p>Thay \u0111\u1ed5i PaCO2 m\u1ea1n. Khi \u0111\u00f3, n\u1ebfu \u00a0PaCO2 t\u0103ng 10 mmHg th\u00ec pH gi\u1ea3m 0.03 v\u00e0 HCO3- t\u0103ng 3.5 mmol\/L, ng\u01b0\u1ee3c l\u1ea1i n\u1ebfu PaCO2 gi\u1ea3m 10 mmHg th\u00ec pH t\u0103ng 0.03 v\u00e0 HCO3- gi\u1ea3m 5 mmol\/L.<\/p>\n<p><strong>4.1.2. Qui lu\u1eadt s\u1ed1 8.<\/strong><\/p>\n<p>G\u00eda tr\u1ecb HCO3- c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00ean \u0111o\u00e1n d\u1ef1a tr\u00ean tr\u1ecb s\u1ed1 pH v\u00e0 PaCO2.<\/p>\n<p>T\u00ednh gi\u00e1 tr\u1ecb tuy\u1ec7t \u0111\u1ed1i c\u1ee7a\u00a0 |HCO3- \u0111o \u0111\u01b0\u1ee3c &#8211; \u00a0HCO3- d\u1ef1 \u0111o\u00e1n| &gt; 4 mmol\/L. \u0110i\u1ec1u \u0111\u00f3, c\u00f3 ngh\u0129a l\u00e0 \u0111\u00e3 c\u00f3 sai s\u00f3t k\u1ef9 thu\u1eadt.<\/p>\n<p style=\"text-align: center;\">HCO3- d\u1ef1 \u0111o\u00e1n = PaCO2 x H\u1ec7 s\u1ed1 theo pH<\/p>\n<p style=\"text-align: center;\">(pH l\u1ea7n l\u01b0\u1ee3t l\u00e0 7.6; 7.5; 7.4; 7.3; 7.2; 7.1 t\u01b0\u01a1ng \u1ee9ng v\u1edbi h\u1ec7 s\u1ed1 l\u00e0 8\/8; 6\/8; 5\/8; 4\/8; 2.5\/8; 2\/8)<\/p>\n<p><strong>4.1.3. Ph\u01b0\u01a1ng tr\u00ecnh Henderson Hasselbalch c\u1ea3i bi\u00ean.<\/strong><\/p>\n<p>Ph\u01b0\u01a1ng tr\u00ecnh t\u00ednh to\u00e1n:<\/p>\n<p style=\"text-align: center;\">[H+] = (24 x PaCO2) \/ [HCO3-]<\/p>\n<p>Khi \u0111\u00f3, pH thay \u0111\u1ed5i trong kho\u1ea3ng 7.2 \u2013 7.5 c\u00f3 t\u01b0\u01a1ng quan \u0111\u01b0\u1eddng th\u1eb3ng gi\u1eefa pH v\u00e0 H+.<\/p>\n<p><strong>4.2. Ki\u1ec3m tra s\u1ef1 t\u01b0\u01a1ng \u1ee9ng b\u00ean ngo\u00e0i.<\/strong><\/p>\n<p><strong>4.2.1. B\u1ec7nh c\u1ea3nh \u0111\u1ed1i l\u1eadp v\u1edbi kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch.<\/strong><\/p>\n<p><strong>4.2.2. K\u1ebft qu\u1ea3 HCO3 \u0111\u1ed9ng m\u1ea1ch \u2013 HCO3 t\u0129nh m\u1ea1ch &gt; 5 mmol\/L<\/strong><\/p>\n<p><strong>4.2.3. G\u00eda tr\u1ecb SpO2 kh\u00e1c v\u1edbi SaO2<\/strong><\/p>\n<p>Do l\u01b0\u1ee3ng Oxy h\u00f2a tan quy\u1ebft \u0111\u1ecbnh l\u01b0\u1ee3ng Oxy g\u1eafn v\u00e0o Hemoglobin n\u00ean n\u1ebfu PaO2 t\u0103ng th\u00ec SaO2 t\u0103ng, v\u00e0 ng\u01b0\u1ee3c l\u1ea1i (t\u1ee9c PaO2 t\u1ec9 l\u1ec7 thu\u1eadn v\u1edbi SaO2). Tuy nhi\u00ean v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 ngo\u1ea1i l\u1ec7 hi\u1ebfm g\u1eb7p nh\u01b0: H\u1ed3ng c\u1ea7u b\u1ea5t th\u01b0\u1eddng (Hb b\u1ea5t th\u01b0\u1eddng); b\u1ec7nh Methemoglobin huy\u1ebft; CO Hemoglobin&#8230; d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng PaO2 t\u0103ng nh\u01b0ng SaO2 gi\u1ea3m.<\/p>\n<p><strong>4.2.4. G\u00eda tr\u1ecb PaO2 &gt; 500 x FiO2<\/strong><\/p>\n<p><strong>4.3. C\u00e1c y\u00eau t\u1ed1 kh\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u00ed m\u00e1u.<\/strong><\/p>\n<p><strong>4.3.1. Khu\u1ebfch t\u00e1n kh\u00ed qua \u1ed1ng ti\u00eam.<\/strong><\/p>\n<p><strong>4.3.2. B\u00f3ng kh\u00ed.<\/strong><\/p>\n<ul>\n<li>PaCO2 trong m\u1eabu m\u00e1u &gt; 158 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng gi\u1ea3m PaO2.<\/li>\n<li>PaCO2 trong m\u1eabu m\u00e1u &lt; 158 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng PaO2 th\u00ec khi \u0111\u00f3 ta s\u1ebd t\u00f9y theo l\u01b0\u1ee3ng kh\u00ed v\u00e0o, th\u1eddi gian ti\u1ebfp x\u00fac, c\u00f3 l\u1eafc \u1ed1ng ti\u00eam kh\u00f4ng m\u00e0 x\u1eed tr\u00ed. Th\u00f4ng th\u01b0\u1eddng,x\u1eed tr\u00ed s\u1ebd l\u00e0 \u0111\u1ea9y h\u1ebft kh\u00ed trong m\u1eabu m\u00e1u trong v\u00f2ng 2 ph\u00fat.<\/li>\n<\/ul>\n<p><strong>4.3.3. Heparin.<\/strong><\/p>\n<p>Heparin c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m PaCO2 do pha lo\u00e3ng. Do \u0111\u00f3, c\u1ea7n t\u1ed1i thi\u1ec3u 0.6ml th\u1ec3 t\u00edch m\u00e1u khi\u00a0 l\u1ea5y.<\/p>\n<p><strong>4.3.4. T\u0103ng b\u1ea1ch c\u1ea7u m\u00e1u.<\/strong><\/p>\n<p><strong>4.3.5. Kh\u00f4ng ghi Hb, FiO2 v\u00e0 nhi\u1ec7t \u0111\u1ed9 k\u00e8m theo.<\/strong><\/p>\n<p>Vi\u00eac kh\u00f4ng ghi Hb, FiO2 v\u00e0 nhi\u1ec7t \u0111\u1ed9 k\u00e8m theo th\u00ec m\u00e1y s\u1ebd m\u1eb7c \u0111\u1ecbnh l\u00e0 Hb = 15 g\/dL, FiO2 = 21% v\u00e0 nhi\u1ec7t \u0111\u1ed9 l\u00e0 37 \u0111\u1ed9. Nh\u01b0ng kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111i\u1ec1u nh\u01b0 v\u1eady b\u00ean s\u1ebd d\u1eabn \u0111\u1ebfn sai s\u00f3t khi \u0111\u00e1nh gi\u00e1,c\u00e1c thay \u0111\u1ed5i c\u00f3 th\u1ec3 l\u00e0<\/p>\n<ul>\n<li>Hb c\u00f3 th\u1ec3 l\u00e0m t\u0103ng SaO2 v\u00ec CtO2 = 1.34xHbxSaO2 + 0.003xPaO2.<\/li>\n<li>FiO2 c\u00f3 li\u00ean quan \u0111\u1ebfn \u0111\u00e1nh gi\u00e1 m\u1ed9t s\u1ed1 gi\u00e1 tr\u1ecb nh\u01b0 AaDO2 = FiO2x(760 \u2013 pH2O) \u2013 PaO2 \u2013 PaO2\/R hay t\u1ec9 l\u1ec7 PaO2\/FiO2.<\/li>\n<li>Nhi\u1ec7t \u0111\u1ed9 c\u00f3 th\u1ec3 l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 v\u00ec t\u0103ng 1 \u0111\u1ed9 s\u1ebd l\u00e0m t\u0103ng 5% PaO2.<\/li>\n<\/ul>\n<p><strong>4.3.6. C\u00e1c y\u1ebfu t\u1ed1 nhi\u1ec5u<\/strong><\/p>\n<ul>\n<li>T\u00e1n huy\u1ebft<\/li>\n<li>V\u00e0ng da.<\/li>\n<li>T\u0103ng m\u1ee1 m\u00e1u.<\/li>\n<\/ul>\n<p>Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng gi\u00fap \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 h\u1ed7 tr\u1ee3 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 \u0111\u00fang k\u1ebft qu\u1ea3 c\u1ee7a kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch th\u00f4ng qua c\u00e1c bi\u1ec7n ph\u00e1p ki\u1ec3m tra s\u1ebd l\u00e0m h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c sai s\u00f3t khi th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 \u0111\u1ec1 ra \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb nhanh nh\u1ea5t, ch\u00ednh x\u00e1c nh\u1ea5t cho c\u00e1c B\u00e1c s\u0129 trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch \u0111\u00e1ng tin c\u1eady cho ph\u00e2n t\u00edch th\u00ec ngo\u00e0i vi\u1ec7c th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt \u0111\u00fang, k\u0129 thu\u1eadt l\u01b0u tr\u1eef \u1ed1ng m\u00e1u tr\u01b0\u1edbc khi \u0111\u01b0a v\u00e0o m\u00e1y ph\u00e2n t\u00edch th\u00ec vi\u1ec7c ki\u1ec3m tra l\u1ea1i c\u00e1c th\u00f4ng s\u1ed1 tr\u01b0\u1edbc khi ph\u00e2n t\u00edch c\u0169ng g\u00f3p ph\u1ea7n h\u1ea1n ch\u1ebf sai s\u00f3t \u1ea3nh [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c c\u00e1ch ki\u1ec3m tra k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch<\/title>\n<meta name=\"description\" content=\"Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a h\u1ec7 th\u1ed1ng h\u00f4 h\u1ea5p v\u00e0 tim m\u1ea1ch c\u0169ng nh\u01b0 c\u00e1c r\u1ed1i lo\u1ea1n th\u0103ng b\u1eb1ng ki\u1ec1m \u2013 toan\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, 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\/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1.webp\" \/>\n<meta name=\"author\" content=\"tdan tdan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"tdan tdan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 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\/08\/khi-mau-dong-mach\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/khi-mau-dong-mach\/\",\"name\":\"C\u00e1c c\u00e1ch ki\u1ec3m tra k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u \u0111\u1ed9ng 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