{"id":18018,"date":"2023-04-12T19:34:11","date_gmt":"2023-04-12T12:34:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18018"},"modified":"2023-04-19T12:22:14","modified_gmt":"2023-04-19T05:22:14","slug":"cham-soc-benh-nhan-sau-rut-noi-khi-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/cham-soc-benh-nhan-sau-rut-noi-khi-quan\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n sau r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n"},"content":{"rendered":"<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">R\u00fat n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 ch\u0103m s\u00f3c sau \u0111\u00f3 l\u00e0 v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng \u0111\u1eb7t l\u1ea1i n\u1ed9i kh\u00ed qu\u1ea3n k\u00e8m theo nhi\u1ec1u bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. C\u00e1c th\u00f4ng tin d\u01b0\u1edbi \u0111\u00e2y c\u1ea7n thi\u1ebft \u0111\u1ec3 ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch t\u1ed1t nh\u1ea5t.<\/span><\/span><\/strong><\/p>\n<h2><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">1.Ch <\/span><\/span><\/strong><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u0103 <\/span><\/span><\/strong><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">m s\u00f3c h\u00f4 h\u1ea5p:<\/span><\/span><\/strong><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">R\u00fat n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 ch\u0103m s\u00f3c sau \u0111\u00f3 l\u00e0 v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng \u0111\u1eb7t l\u1ea1i n\u1ed9i kh\u00ed qu\u1ea3n k\u00e8m theo nhi\u1ec1u bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. <\/span>C\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n \u0111\u01b0\u1ee3c quan t\u00e2m l\u00e0:<\/span><\/span><\/p>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Theo d\u00f5i nh\u1ecbp tim v\u00e0 oxy trong m\u00e1u (pulse oximetry). Theo d\u00f5i s\u00e1t 2 v\u1ea5n \u0111\u1ec1 n\u00e0y tr\u00ean m\u00e1y mornitor \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 tim m\u1ea1ch c\u0169ng nh\u01b0 suy h\u00f4 h\u1ea5p.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Cho b\u1ec7nh nh\u00e2n th\u1edf oxy m\u0169i \u0111\u1ec3\u00a0 SpO2 &gt; 90%. Gi\u1eef m\u1ee9c SpO2 t\u1eeb m\u1ee9c n\u00e0y \u0111em l\u1ea1i an to\u00e0n cho b\u1ec7nh nh\u00e2n<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ti\u00eam \u0111\u1ee7 gi\u1ea3m \u0111au v\u00e0 tr\u00e1nh g\u00e2y m\u00ea (ketorolac, thu\u1ed1c g\u00e2y m\u00ea nh\u1eb9). Vi\u1ec7c ti\u00eam \u0111\u1ee7 thu\u1ed1c gi\u1ea3m \u0111au l\u00e0m cho b\u1ec7nh nh\u00e2n d\u1ec5 ch\u1ecbu. Tr\u00e1nh c\u00e1c thu\u1ed1c g\u00e2y m\u00ea v\u00ec c\u00f3 th\u1ec3 l\u00e0m \u1ee9c ch\u1ebf c\u01a1 h\u00f4 h\u1ea5p, l\u00e0m t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p di\u1ec5n ti\u1ebfn n\u1eb7ng h\u01a1n.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">X-quang ng\u1ef1c sau khi lo\u1ea1i b\u1ecf \u1ed1ng d\u1eabn l\u01b0u t\u1ea1i ng\u1ef1c. Sau khi \u0111\u00e3 r\u00fat \u1ed1ng d\u1eabn l\u01b0u, c\u1ea7n ch\u1ee5p XQuang ng\u1ef1c th\u1eb3ng t\u1ea1i gi\u01b0\u1eddng \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm t\u00ecnh tr\u1ea1ng tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i do thao t\u00e1c r\u00fat \u1ed1ng d\u1eabn l\u01b0u. Kh\u00ed t\u1eeb b\u00ean ngo\u00e0i c\u00f3 th\u1ec3 v\u00e0o trong n\u1ebfu ng\u01b0\u1eddi r\u00fat ch\u01b0a nhi\u1ec1u kinh nghi\u1ec7m.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">V\u1eadn \u0111\u1ed9ng s\u1edbm ngay khi c\u00f3 th\u1ec3; <\/span><span style=\"vertical-align: inherit;\">thay \u0111\u1ed5i v\u1ecb tr\u00ed th\u01b0\u1eddng xuy\u00ean trong gi\u01b0\u1eddng. Ngo\u00e0i t\u00e1c d\u1ee5ng ch\u1ed1ng lo\u00e9t c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m cho h\u00f4 h\u1ea5p c\u1ea3i thi\u1ec7n, c\u00e1c c\u01a1 c\u1ee7a c\u01a1 th\u1ec3 l\u00e0m vi\u1ec7c tr\u1edf l\u1ea1i.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Mang T\u1ea5t chuy\u00ean d\u1ee5ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u ho\u1eb7c heparin ti\u00eam d\u01b0\u1edbi da n\u1ebfu c\u00f3 nguy c\u01a1 cao. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt tim, c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u1ec3 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u. Mang t\u1ea5t c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba s\u1edbm thuy\u00ean t\u1eafc ph\u1ed5i.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Th\u1ea3i n\u01b0\u1edbc t\u00edch c\u1ef1c sau khi \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u1ed9ng. Sau khi huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh, \u0111\u00e1nh gi\u00e1 d\u1ecbch c\u0169ng nh\u01b0 th\u1ea3i n\u01b0\u1edbc l\u00e0 vi\u1ec7c l\u00e0m c\u1ea7n thi\u1ebft \u0111\u1ec3 h\u00f4 h\u1ea5p t\u1ed1t h\u01a1n.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Kh\u00e1ng sinh n\u1ebfu c\u00f3 nhi\u1ec5m khu\u1ea9n. N\u1ebfu nghi ng\u1edd t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n t\u1eeb c\u00e1c n\u01a1i nh\u01b0: \u0110\u01b0\u1eddng h\u00f4 h\u1ea5p, \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u1ea7n d\u00f9ng kh\u00e1ng sinh s\u1edbm d\u1ef1a tr\u00ean kinh nghi\u1ec7m \u0111\u1ed3ng th\u1eddi l\u00e0m kh\u00e1ng sinh \u0111\u1ed3, ph\u00e1t hi\u1ec7n ra t\u00e1c nh\u00e2n.<\/span><\/span><\/li>\n<\/ul>\n<h2><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">2.C\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n l\u01b0u \u00fd kh\u00e1c:<\/span><\/span><\/strong><\/h2>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">V\u00ec v\u1ebft r\u1ea1ch gi\u1eefa c\u00e1c l\u1edbp da g\u00e2y \u0111au v\u00e0 gi\u1ea3m \u0111\u1ed9 linh ho\u1ea1t c\u1ee7a th\u00e0nh ng\u1ef1c, b\u1ec7nh nh\u00e2n c\u00f3 xu h\u01b0\u1edbng th\u1edf nh\u1eb9 v\u00e0 kh\u00f4ng ho.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tr\u1ea1ng th\u00e1i oxy h\u00f3a m\u00e1u s\u00e1t gi\u1edbi h\u1ea1n g\u1ea7n d\u01b0\u1edbi, c\u00f3 th\u1ec3 theo d\u00f5i qua kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c m\u1ed9t h\u00ecnh th\u1ee9c th\u00f4ng kh\u00ed kh\u00f4ng x\u00e2m nh\u1eadp (NIV) \u0111\u1ec3 c\u1ea3i thi\u1ec7n oxy h\u00f3a v\u00e0 tr\u00e1nh vi\u1ec7c \u0111\u1eb7t l\u1ea1i \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">S\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng oxy d\u00f2ng cao (HFNC) l\u00e0 t\u1ed1t nh<\/span><\/span>\u1ea5t \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng oxy gi\u1ea3m ho\u1eb7c carbon dioxide t\u0103ng cao<span style=\"vertical-align: inherit;\">\u00a0v\u1eeba ph\u1ea3i. N\u00f3 t\u1ea1o ra c\u1ea3m gi\u00e1c th\u1edf tho\u1ea3i m\u00e1i h\u01a1n, gi\u1ea3m th\u1edf v\u00e0 c\u1ea3i thi\u1ec7n trao \u0111\u1ed5i kh\u00ed. <\/span><span style=\"vertical-align: inherit;\">Oxy \u0111\u01b0\u1ee3c l\u00e0m n\u00f3ng v\u00e0 \u1ea9m v\u00e0 \u0111\u01b0\u1ee3c cung c\u1ea5p l\u00ean \u0111\u1ebfn 60 L\/ph\u00fat v\u00e0 FiO2 \u0111\u01b0\u1ee3c gi\u1eef \u1edf m\u1ee9c \u1ed5n \u0111\u1ecbnh.<\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00c1p l\u1ef1c d\u01b0\u01a1ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p li\u00ean t\u1ee5c (CPAP) cung c\u1ea5p m\u1ed9t m\u1ee9c \u00e1p l\u1ef1c d\u01b0\u01a1ng tr\u00ean \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 th\u00f4ng kh\u00ed h\u1ed7 tr\u1ee3 n\u00e0o.\u00a0<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Khi chuy\u1ec3n l\u00ean ph\u00f2ng h\u1eadu ph\u1eabu, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch h\u00f4 h\u1ea5p v\u00e0 th\u1edf s\u00e2u. <\/span><span style=\"vertical-align: inherit;\">B\u1ec7nh nh\u00e2n h\u1ee3p t\u00e1c c\u00f3 th\u1ec3 tham gia t\u00edch c\u1ef1c v\u00e0o c\u00e1c t\u00e1c \u0111\u1ed9ng n\u00e0y v\u00e0 th\u01b0\u1eddng c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 th\u1ea3i kh\u00ed v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng ch\u1ee9ng, nh\u01b0ng th\u01b0\u1eddng c\u1ea7n h\u1ed7 tr\u1ee3 th\u00eam \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n cao tu\u1ed5i v\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au ng\u1ef1c \u0111\u00e1ng k\u1ec3. <\/span><span style=\"vertical-align: inherit;\">N\u00ean s\u1eed d\u1ee5ng g\u1ed1i \u00f4m khi th\u1edf s\u00e2u v\u00e0 ho \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 h\u1ea1n ch\u1ebf chuy\u1ec3n \u0111\u1ed9ng.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">V\u1eadt l\u00fd tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 h\u1eefu \u00edch \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh, ch\u1ee9c n\u0103ng\u00a0 h\u00f4 h\u1ea5p gi\u1ea3m ho\u1eb7c d\u1ecbch ti\u1ebft nhi\u1ec1u \u0111\u00e0m.Albuterol \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u00f4ng qua m\u00e1y phun kh\u00ed dung th\u00f4ng th\u01b0\u1eddng c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 co th\u1eaft \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p .<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">M\u1eb7c d\u00f9 kh\u00f3 nu\u1ed1t l\u00e0 kh\u00f4ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u00f4ng kh\u00ed trong v\u00f2ng 24 gi\u1edd, nh\u01b0ng \u0111i\u1ec1u n\u00e0y kh\u00f4ng l\u1ea1 khi x\u1ea3y ra sau khi \u1ed1ng kh\u00ed qu\u1ea3n \u0111\u01b0\u1ee3c duy tr\u00ec l\u00e2u h\u01a1n.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u0110i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 r\u1ea5t h\u1eefu \u00edch trong c\u1ea3i thi\u1ec7n h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n. <\/span><span style=\"vertical-align: inherit;\">Ban \u0111\u1ea7u, paracetamol s\u1ebd \u0111\u01b0\u1ee3c truy\u1ec1n.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch (VTE) hi\u1ebfm khi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 hi\u1ebfm g\u1eb7p, sau ph\u1eabu thu\u1eadt tim. <\/span><span style=\"vertical-align: inherit;\">M\u1ed9t s\u1ed1 \u0111\u00e1nh gi\u00e1 \u0111\u00e3 cho th\u1ea5y t\u1ef7 l\u1ec7\u00a0 t\u0129nh m\u1ea1ch s\u00e2u (DVT) c\u00f3 tri\u1ec7u ch\u1ee9ng, \u0111\u1ed5 m\u00e1u (PE) v\u00e0 t\u1eed vong do PE l\u1ea7n l\u01b0\u1ee3t l\u00e0 3,2%, 0,6% v\u00e0 0,3 %.112.Trong giai \u0111o\u1ea1n sau ph\u1eabu thu\u1eadt s\u1edbm, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 nguy\u00ean nh\u00e2n t\u1ea1o huy\u1ebft kh\u1ed1i v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f3ng g\u00f3p bao g\u1ed3m m\u1ee9c \u0111\u1ed9 fibrinogen cao, s\u1ea3n sinh thrombin, k\u00edch ho\u1ea1t y\u1ebfu t\u1ed1 m\u00f4, gi\u1ea3m s\u1ef1 ph\u00e2n h\u1ee7y fibrin v\u00e0 kh\u00e1ng aspirin. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n s\u1ebd b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng aspirin 81 mg m\u1ed7i ng\u00e0y sau khi ph\u1eabu thu\u1eadt.<\/span><\/span><\/li>\n<\/ul>\n<h2><strong>3. K\u1ebft lu\u1eadn:<\/strong><\/h2>\n<p>Sau khi r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t, ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0 kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, ho, kh\u00f3 nu\u1ed1t v\u00e0 s\u1ed1t \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 \u0111\u1ea3m b\u1ea3o h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng v\u00e0 c\u00f3 th\u1ec3 nhanh ch\u00f3ng chuy\u1ec3n sang ph\u00f2ng h\u1eadu ph\u1eabu \u0111\u1ec3 theo d\u00f5i ti\u1ebfp.<\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/\"><strong>B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec<\/strong><\/a> \u0111\u00e3 \u0111\u01b0a h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c, thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t chu\u1ea9n v\u00e0o c\u00f4ng t\u00e1c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u00fat n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 ch\u0103m s\u00f3c sau \u0111\u00f3 l\u00e0 v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng \u0111\u1eb7t l\u1ea1i n\u1ed9i kh\u00ed qu\u1ea3n k\u00e8m theo nhi\u1ec1u bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. C\u00e1c th\u00f4ng tin d\u01b0\u1edbi \u0111\u00e2y c\u1ea7n thi\u1ebft \u0111\u1ec3 ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch t\u1ed1t nh\u1ea5t. 1.Ch \u0103 m [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":20013,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n sau r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n sau r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n l\u00e0 v\u1ea5n \u0111\u1ec1 quan t\u00e2m \u0111\u1ec3 tr\u00e1nh ph\u1ea3i \u0111\u1eb7t l\u1ea1i.Tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan.\" \/>\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=\"H\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n sau r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n - 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