{"id":18706,"date":"2023-04-13T17:18:16","date_gmt":"2023-04-13T10:18:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18706"},"modified":"2023-04-22T00:39:18","modified_gmt":"2023-04-21T17:39:18","slug":"tang-huyet-ap-trieu-chung-can-lam-sang-phan-do-va-du-phong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/tang-huyet-ap-trieu-chung-can-lam-sang-phan-do-va-du-phong\/","title":{"rendered":"T\u0103ng huy\u1ebft \u00e1p: Tri\u1ec7u ch\u1ee9ng, c\u1eadn l\u00e2m s\u00e0ng, ph\u00e2n \u0111\u1ed9 v\u00e0 d\u1ef1 ph\u00f2ng"},"content":{"rendered":"<p><strong>T\u0103ng huy\u1ebft \u00e1p (hay huy\u1ebft \u00e1p cao) l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 huy\u1ebft \u00e1p trong \u0111\u1ed9ng m\u1ea1ch c\u1ee7a b\u1ec7nh nh\u00e2n v\u01b0\u1ee3t qu\u00e1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng trong th\u1eddi gian d\u00e0i. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m \u0111\u1ed9t qu\u1ef5, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, b\u1ec7nh tim v\u00e0 suy th\u1eadn.\u00a0 B\u00e0i vi\u1ebft n\u00e0y s\u1ebd l\u00e0m r\u00f5 c\u00e1c ch\u1ee7 \u0111\u1ec1 v\u1ec1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng, ph\u00e2n \u0111\u1ed9 t\u0103ng huy\u1ebft \u00e1p v\u00e0 c\u00e1ch d\u1ef1 ph\u00f2ng b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p.<\/strong><\/p>\n<figure style=\"width: 502px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"\" src=\"https:\/\/i.imgur.com\/bdSdJso.png\" alt=\"Minh ho\u1ea1 t\u0103ng huy\u1ebft \u00e1p\" width=\"502\" height=\"254\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 t\u0103ng huy\u1ebft \u00e1p<\/figcaption><\/figure>\n<h2><strong>1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/h2>\n<h3><strong>1.1. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/h3>\n<p>&#8211; \u0110a s\u1ed1 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec cho \u0111\u1ebfn khi ph\u00e1t hi\u1ec7n.<br \/>\n&#8211; Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p : \u0110au \u0111\u1ea7u v\u00f9ng ch\u1ea9m .<br \/>\n&#8211; Tri\u1ec7u ch\u1ee9ng kh\u00e1c: H\u1ed3i h\u1ed9p, m\u1ec7t, kh\u00f3 th\u1edf, m\u1edd m\u1eaft, d\u1ea5u hi\u1ec7u ru\u1ed3i bay,&#8230;<br \/>\n&#8211; M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c t\u00f9y v\u00e0o nguy\u00ean nh\u00e2n ho\u1eb7c bi\u1ebfn ch\u1ee9ng t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<h3><strong>1.2. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/h3>\n<p>&#8211; \u0110\u00e1nh gi\u00e1 to\u00e0n tr\u1ea1ng, ch\u00fa \u00fd chi\u1ec1u cao, c\u00e2n n\u1eb7ng (BMI &gt;=23\/m2).<\/p>\n<ul>\n<li><strong>Kh\u00e1m da:<\/strong> c\u00e1c n\u1ed1t m\u00e0u cafe s\u1eefa c\u1ee7a neurofibromatosis (u t\u1ebf b\u00e0o \u01b0a crom t\u1ee7y th\u01b0\u1ee3ng th\u1eadn).<\/li>\n<\/ul>\n<p>+ B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u00e9o ph\u00ec, m\u1eb7t tr\u00f2n trong h\u1ed9i ch\u1ee9ng Cushing.<br \/>\n+ C\u01a1 chi tr\u00ean ph\u00e1t tri\u1ec3n h\u01a1n c\u01a1 chi d\u01b0\u1edbi trong b\u1ec7nh h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/p>\n<p>&#8211; Bi\u1ec3u hi\u1ec7n x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch tr\u00ean da (u v\u00e0ng, u m\u1ee1, cung gi\u00e1c m\u1ea1c\u2026)<\/p>\n<ul>\n<li><strong>Kh\u00e1m b\u1ee5ng:<\/strong> c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ti\u1ebfng th\u1ed5i t\u00e2m thu hai b\u00ean r\u1ed1n trong h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn, ph\u1ed3ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ho\u1eb7c kh\u00e1m ph\u00e1t hi\u1ec7n th\u1eadn to, th\u1eadn \u0111a nang, c\u00e1c kh\u1ed1i b\u1ea5t th\u01b0\u1eddng \u1edf b\u1ee5ng.<\/li>\n<li><strong>Kh\u00e1m tim:<\/strong> c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm d\u00e0y th\u1ea5t tr\u00e1i hay d\u1ea5u suy tim tr\u00e1i, c\u00e1c \u0111\u1ed9ng m\u1ea1ch gian s\u01b0\u1eddn \u0111\u1eadp trong h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, nh\u1ecbp tim (nhanh hay ch\u1eadm), ch\u00fa \u00fd c\u00e1c ti\u1ebfng th\u1ed5i \u1edf tim<br \/>\n+ S\u1edd v\u00e0 nghe \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c tr\u01b0\u1eddng h\u1ee3p ngh\u1ebdn hay t\u1eafc \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng.<\/li>\n<li><strong>Kh\u00e1m th\u1ea7n kinh:<\/strong> c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o c\u0169 ho\u1eb7c nh\u1eb9, t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a \u0111\u1ed9t qu\u1ef5<\/li>\n<li><strong>Kh\u00e1m c\u1ed5:<\/strong> l\u01b0u \u00fd \u00e2m th\u1ed5i \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, t\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i, tuy\u1ebfn gi\u00e1p l\u1edbn<\/li>\n<li><strong>Th\u0103m kh\u00e1m \u0111\u00e1y m\u1eaft:<\/strong> Ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n THA ng\u01b0\u1eddi tr\u1ebb, kh\u00e1ng tr\u1ecb hay k\u00e8m \u0110T\u0110<\/li>\n<\/ul>\n<h2><strong>2. C\u1eadn l\u00e2m s\u00e0ng (Theo H\u1ed9i THA Vi\u1ec7t Nam, 2015)<\/strong><\/h2>\n<p>M\u1ee5c \u0111\u00edch: Gi\u00fap cho \u0111\u00e1nh gi\u00e1, ph\u00e2n t\u1ea7ng nguy c\u01a1 tim m\u1ea1ch, t\u00ecm nguy\u00ean nh\u00e2n THA.<\/p>\n<h3><strong>2.1. C\u00e1c x\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy<\/strong><\/h3>\n<p>\u2022 \u0110\u01b0\u1eddng huy\u1ebft t\u01b0\u01a1ng (t\u1ed1t h\u01a1n n\u00ean l\u00e0m l\u00fac \u0111\u00f3i)<br \/>\n\u2022 Cholesterol TP, HDL-C, LDL-C, TG m\u00e1u l\u00fac \u0111\u00f3i<br \/>\n\u2022 Acid uric m\u00e1u, Creatinine m\u00e1u (K\u1ebft h\u1ee3p \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn)<br \/>\n\u2022 K+, Na+ huy\u1ebft t\u01b0\u01a1ng<br \/>\n\u2022 Hb, Hct<br \/>\n\u2022 T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<br \/>\n\u2022 ECG<\/p>\n<h3><strong>2.2. C\u00e1c x\u00e9t nghi\u1ec7m b\u1ed5 sung<\/strong><\/h3>\n<p>\u2022 HbA1c (n\u1ebfu \u0111\u01b0\u1eddng m\u00e1u &gt;5.6 mmol\/l ho\u1eb7c ti\u1ec1n s\u1eed \u0110T\u0110)<br \/>\n\u2022 Si\u00eau \u00e2m tim<br \/>\n\u2022 HA l\u01b0u \u0111\u1ed9ng 24h (ABPM) v\u00e0 HA t\u1ea1i nh\u00e0 (HABM)<br \/>\n\u2022 Holter ECG n\u1ebfu c\u00f3 lo\u1ea1n nh\u1ecbp tim<br \/>\n\u2022 Si\u00eau \u00e2m \u0110M c\u1ea3nh, \u0110M ngo\u1ea1i bi\u00ean\/b\u1ee5ng<br \/>\n\u2022 V\u1eadn t\u1ed1c s\u00f3ng m\u1ea1ch<br \/>\n\u2022 Ch\u1ec9 s\u1ed1 HA c\u1ed5 ch\u00e2n \/ c\u00e1nh tay<br \/>\n\u2022 \u0110\u1ecbnh l\u01b0\u1ee3ng Protein ni\u1ec7u (n\u1ebfu test que nh\u00fang d\u01b0\u01a1ng t\u00ednh)<br \/>\n\u2022 Soi \u0111\u00e1y m\u1eaft (trong THA n\u1eb7ng)<\/p>\n<h3><strong>2.3. C\u00e1c test m\u1edf r\u1ed9ng<\/strong><\/h3>\n<p>\u2022 THA c\u00f3 bi\u1ebfn ch\u1ee9ng: test ch\u1ee9c n\u0103ng n\u00e3o, tim, th\u1eadn khi kh\u00e1ng tr\u1ecb ho\u1eb7c c\u00f3 bi\u1ebfn ch\u1ee9ng<br \/>\n\u2022 T\u00ecm ki\u1ebfm THA th\u1ee9 ph\u00e1t: \u0110\u1ecbnh l\u01b0\u1ee3ng Renin, Aldosterone, corticosteroid, catecholamin, ch\u1ee5p \u0110M, si\u00eau \u00e2m th\u1eadn<\/p>\n<h2><strong>3. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p<\/strong><\/h2>\n<p>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p ch\u1ec9 c\u00f3 c\u00e1ch duy nh\u1ea5t l\u00e0 \u0111o huy\u1ebft \u00e1p (2). Hi\u1ec7n nay, c\u00f3 3 c\u00e1ch \u0111o huy\u1ebft \u00e1p \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh g\u1ed3m:<br \/>\n\u2022 \u0110o huy\u1ebft t\u1ea1i ph\u00f2ng kh\u00e1m: HA \u2265 140\/90 mmHg<br \/>\n\u2022 \u0110o huy\u1ebft \u00e1p t\u1ea1i nh\u00e0: HA \u2265 135\/85 mmHg<br \/>\n\u2022 M\u00e1y theo d\u00f5i huy\u1ebft \u00e1p li\u00ean t\u1ee5c 24 gi\u1edd (m\u00e1y Holter huy\u1ebft \u00e1p): HA \u2265 130\/80 mmHg<\/p>\n<h2><strong>*\u0110o huy\u1ebft \u00e1p \u0111\u00fang c\u00e1ch nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>\u2022 Ng\u1ed3i ngh\u1ec9 15 ph\u00fat tr\u01b0\u1edbc khi \u0111o.<br \/>\n\u2022 Kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng cafe 2 gi\u1edd tr\u01b0\u1edbc khi \u0111o.<br \/>\n\u2022 T\u01b0 th\u1ebf \u0111o: n\u1eb1m tr\u00ean gi\u01b0\u1eddng ho\u1eb7c ng\u1ed3i d\u1ef1a l\u01b0ng v\u00e0o gh\u1ebf, hai ch\u00e2n ch\u1ea1m s\u00e0n nh\u00e0, kh\u00f4ng b\u1eaft ch\u00e9o ch\u00e2n, tay du\u1ed7i th\u1eb3ng, \u0111\u1eb7t ngang tim, gi\u1eef im l\u1eb7ng trong l\u00fac \u0111o.<br \/>\n\u2022 L\u1ea7n \u0111\u1ea7u ti\u00ean \u0111o huy\u1ebft \u00e1p c\u1ea3 hai tay, tay c\u00f3 m\u1ee9c huy\u1ebft \u00e1p cao h\u01a1n \u0111\u01b0\u1ee3c ch\u1ecdn \u0111\u1ec3 \u0111o v\u00e0 theo d\u00f5i huy\u1ebft \u00e1p nh\u1eefng l\u1ea7n sau.<br \/>\n\u2022 M\u1ed7i l\u1ea7n \u0111o 2 l\u01b0\u1ee3t, c\u00f9ng m\u1ed9t tay, m\u1ed7i l\u01b0\u1ee3t \u0111o c\u00e1ch nhau 2 ph\u00fat. N\u1ebfu huy\u1ebft \u00e1p t\u00e2m thu \u1edf 2 l\u1ea7n \u0111o kh\u00e1c bi\u1ec7t &gt; 10 mmHg, \u0111o th\u00eam l\u1ea7n th\u1ee9 3 sau 2 ph\u00fat n\u1eefa. L\u1ea5y huy\u1ebft \u00e1p trung b\u00ecnh c\u1ee7a 2 l\u1ea7n \u0111o g\u1ea7n nh\u1ea5t.<br \/>\n\u2022 D\u00f9ng m\u00e1y \u0111o t\u1ef1 \u0111\u1ed9ng, lo\u1ea1i c\u00f3 b\u0103ng qu\u1ea5n c\u00e1nh tay c\u00f3 k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p. N\u1ebfu rung nh\u0129 th\u00ec n\u00ean <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/cach-do-huyet-ap-theo-huong-dan-cua-bo-y-te\/\">\u0111o b\u1eb1ng m\u00e1y c\u01a1<\/a>, quy tr\u00ecnh \u0111o HA c\u1ee7a B\u1ed9 Y T\u1ebf<br \/>\nNg\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 \u0111o huy\u1ebft \u00e1p bu\u1ed5i s\u00e1ng ho\u1eb7c bu\u1ed5i chi\u1ec1u, ho\u1eb7c khi c\u00f3 tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd t\u0103ng huy\u1ebft \u00e1p k\u1ec3 tr\u00ean.<\/p>\n<h2><strong>4. Ph\u00e2n \u0111\u1ed9 t\u0103ng huy\u1ebft \u00e1p<\/strong><\/h2>\n<p>\u2022 Theo ACC\/AHA (Hi\u1ec7p h\u1ed9i tim m\u1ea1ch Hoa K\u00ec)\u00a0 n\u0103m 2017 v\u00e0 ESC\/ESH ( Hi\u1ec7p h\u1ed9i tim m\u1ea1ch Ch\u00e2u \u00c2u) n\u0103m 2018.<\/p>\n<table style=\"height: 377px;\" width=\"875\">\n<tbody>\n<tr>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/td>\n<td>&nbsp;<\/p>\n<p><strong>ACC\/AHA<\/strong><\/td>\n<td><strong>ESC\/ESH<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>\u0110\u1ecbnh ngh\u0129a THA<\/strong><\/td>\n<td>&gt;=130\/80<\/td>\n<td>&gt;=140\/90<\/td>\n<\/tr>\n<tr>\n<td><strong>Huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng<\/strong><\/td>\n<td>B\u00ecnh th\u01b0\u1eddng: &lt;120\/80<\/td>\n<td>T\u1ed1i \u01b0u &lt;120\/80<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td>B\u00ecnh th\u01b0\u1eddng cao: 120-129\/80<\/td>\n<td>B\u00ecnh th\u01b0\u1eddng: 120-129\/80-84<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<td>B\u00ecnh th\u01b0\u1eddng cao: 130-139\/85-89<\/td>\n<\/tr>\n<tr>\n<td><strong>Giai \u0111o\u1ea1n t\u0103ng huy\u1ebft \u00e1p<\/strong><\/td>\n<td>THA \u0111\u1ed9 1: 130-139\/80-89<\/td>\n<td>\u0110\u1ed9 1: 140-159\/90-99<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td>THA \u0111\u1ed9 2: &gt;= 140\/90<\/td>\n<td>\u0110\u1ed9 2: 160-179\/100-109<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<td>\u0110\u1ed9 3: &gt;= 180\/110<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><strong>5. D\u1ef1 ph\u00f2ng<\/strong><\/h2>\n<table>\n<tbody>\n<tr>\n<td style=\"text-align: center;\">&nbsp;<\/p>\n<p><strong>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Khuy\u1ebfn c\u00e1o<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Gi\u1ea3m c\u00e2n<\/td>\n<td>Duy tr\u00ec tr\u1ecdng l\u01b0\u1ee3ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 ( BMI 18,5-24,9 kg\/m2)<\/p>\n<p>\u0110\u00edch BMI: 23 kg\/m2<\/p>\n<p>\u0110\u00edch v\u00f2ng eo: Nam&lt;90cm, n\u1eef &lt;80cm<\/td>\n<\/tr>\n<tr>\n<td>Th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n DASH ( Dietary Approaches to Stop Hypertension)<\/td>\n<td>Ch\u1ebf \u0111\u1ed9 \u0103n gi\u00e0u tr\u00e1i c\u00e2y, rau qu\u1ea3 v\u00e0 s\u1eefa \u00edt b\u00e9o c\u00f9ng v\u1edbi gi\u1ea3m l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o to\u00e0n ph\u1ea7n<\/td>\n<\/tr>\n<tr>\n<td>Gi\u1ea3m mu\u1ed1i<\/td>\n<td>L\u01b0\u1ee3ng mu\u1ed1i \u0103n v\u00e0o kh\u00f4ng qu\u00e1 6g\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td>Ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c<\/td>\n<td>Th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c nh\u1ecbp \u0111i\u1ec7u (Aerobic) th\u01b0\u1eddng xuy\u00ean nh\u01b0 \u0111i b\u1ed9 nhanh, \u00edt nh\u1ea5t 30 ph\u00fat\/ng\u00e0y v\u00e0 5-7 ng\u00e0y\/tu\u1ea7n<\/td>\n<\/tr>\n<tr>\n<td>Ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng r\u01b0\u1ee3u ti\u00eau th\u1ee5<\/td>\n<td>Nam: Kh\u00f4ng qu\u00e1 2 ly(20-30g)\/ng\u00e0y<\/p>\n<p>N\u1eef : Kh\u00f4ng qu\u00e1 1 ly(10-20g)\/ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td>Kh\u00f4ng h\u00fat thu\u1ed1c, tr\u00e1nh xa kh\u00f3i thu\u1ed1c<\/td>\n<td>Nh\u1eb1m l\u00e0m gi\u1ea3m t\u1ea5t c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Ngu\u1ed3n tham kh\u1ea3o:<\/strong><\/p>\n<ul>\n<li>Gi\u00e1o tr\u00ecnh b\u1ec7nh h\u1ecdc n\u1ed9i khoa nh\u00e0 xu\u1ea5t b\u1ea3n \u0110\u1ea1i h\u1ecdc Hu\u1ebf 2019<\/li>\n<li>ISH Global Hypertension<\/li>\n<li>C\u00c1C KHUY\u1ebeN C\u00c1O C\u1ee6A H\u1ed8I TIM M\u1ea0CH QU\u1ed0C GIA VI\u1ec6T NAM N\u0102M 2022<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>T\u0103ng huy\u1ebft \u00e1p (hay huy\u1ebft \u00e1p cao) l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 huy\u1ebft \u00e1p trong \u0111\u1ed9ng m\u1ea1ch c\u1ee7a b\u1ec7nh nh\u00e2n v\u01b0\u1ee3t qu\u00e1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng trong th\u1eddi gian d\u00e0i. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m \u0111\u1ed9t qu\u1ef5, [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u0103ng huy\u1ebft \u00e1p: Tri\u1ec7u ch\u1ee9ng, c\u1eadn l\u00e2m s\u00e0ng, ph\u00e2n \u0111\u1ed9 v\u00e0 d\u1ef1 ph\u00f2ng<\/title>\n<meta name=\"description\" content=\"T\u0103ng huy\u1ebft \u00e1p (hay huy\u1ebft \u00e1p cao) l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 huy\u1ebft \u00e1p trong \u0111\u1ed9ng m\u1ea1ch c\u1ee7a b\u1ea1n v\u01b0\u1ee3t qu\u00e1 m\u1ee9c 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