{"id":18838,"date":"2023-04-16T16:44:50","date_gmt":"2023-04-16T09:44:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18838"},"modified":"2023-04-18T14:47:26","modified_gmt":"2023-04-18T07:47:26","slug":"cac-thang-diem-danh-gia-dau-va-ung-dung-lam-sang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/cac-thang-diem-danh-gia-dau-va-ung-dung-lam-sang\/","title":{"rendered":"C\u00e1c thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 \u0111au v\u00e0 \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng"},"content":{"rendered":"

Ngay t\u1eeb \u0111\u1ecbnh ngh\u0129a \u0111au \u0111\u00e3 cho th\u1ea5y \u201c\u0111au\u201d l\u00e0 m\u1ed9t ph\u1ea1m tr\u00f9 thu\u1ed9c ch\u1ee7 quan c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Do \u0111\u00f3 vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u01b0\u1ee3ng gi\u00e1 \u0111au r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 kh\u00f3 th\u1ed1ng nh\u1ea5t. \u0110\u00f3 l\u00e0 nguy\u00ean nh\u00e2n t\u1ed3n t\u1ea1i song song r\u1ea5t nhi\u1ec1u thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 \u0111au. D\u01b0\u1edbi \u0111\u00e2y, ch\u00fang t\u00f4i xin tr\u00ecnh b\u00e0y m\u1ed9t s\u1ed1 thang \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn v\u00e0 \u00e1p d\u1ee5ng t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ed5 bi\u1ebfn<\/strong><\/p>\n

1. C\u00e1c thang \u0111i\u1ec3m \u0111o c\u01b0\u1eddng \u0111\u1ed9 \u0111au<\/h2>\n

1.1. Thang \u0111i\u1ec3m c\u01b0\u1eddng \u0111\u1ed9 \u0111au d\u1ea1ng nh\u00ecn (Visual Analog Scale – VAS)<\/a><\/h3>\n

Thang \u0111i\u1ec3m nh\u00ecn g\u1ed3m m\u1ed9t \u0111o\u1ea1n th\u1eb3ng 10 cm, v\u1edbi hai \u0111\u1ea7u c\u1ed1 \u0111\u1ecbnh. M\u1ed9t \u0111\u1ea7u ghi \u201ckh\u00f4ng \u0111au\u201d, \u0111\u1ea7u kia ghi \u201c\u0111au nh\u1ea5t c\u00f3 th\u1ec3 h\u00ecnh dung\u201d. B\u1ec7nh nh\u00e2n \u0111\u00e1nh d\u1ea5u v\u1ecb tr\u00ed tr\u00ean \u0111o\u1ea1n th\u1eb3ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi c\u01b0\u1eddng \u0111\u1ed9 \u0111au. Ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 s\u1ebd \u0111o b\u1eb1ng th\u01b0\u1edbc v\u00e0 ghi \u0111i\u1ec3m (ch\u00ednh l\u00e0 \u0111\u1ed9 d\u00e0i \u0111o\u1ea1n th\u1eb3ng t\u1eeb 0 t\u1edbi \u0111i\u1ec3m \u0111\u00e1nh d\u1ea5u).<\/p>\n

1.2. Thang \u0111i\u1ec3m c\u01b0\u1eddng \u0111\u1ed9 \u0111au d\u1ea1ng s\u1ed1<\/strong> (Numerical rating scale – NRS)\"Chi\u1ebfn<\/h3>\n

G\u1ed3m 10 m\u1ee5c \u0111\u00e1nh gi\u00e1:<\/p>\n

0- Kh\u00f4ng \u0111au.
\n1- \u0110au r\u1ea5t nh\u1eb9, h\u1ea7u nh\u01b0 kh\u00f4ng c\u1ea3m nh\u1eadn v\u00e0 ngh\u0129 \u0111\u1ebfn n\u00f3, th\u1ec9nh tho\u1ea3ng \u0111au nh\u1eb9.
\n2- \u0110au nh\u1eb9, th\u1ec9nh tho\u1ea3ng \u0111au nh\u00f3i m\u1ea1nh.
\n3- \u0110au l\u00e0m ng\u01b0\u1eddi b\u1ec7nh ch\u00fa \u00fd, m\u1ea5t t\u1eadp trung trong c\u00f4ng vi\u1ec7c, v\u1eabn th\u1ec3 th\u00edch \u1ee9ng v\u1edbi n\u00f3.
\n4- \u0110au v\u1eeba ph\u1ea3i, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 qu\u00ean \u0111i c\u01a1n \u0111au n\u1ebfu \u0111ang l\u00e0m vi\u1ec7c.
\n5- \u0110au nhi\u1ec1u h\u01a1n, b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 qu\u00ean \u0111au sau nhi\u1ec1u ph\u00fat, b\u1ec7nh nh\u00e2n v\u1eabn c\u00f3 th\u1ec3 l\u00e0m vi\u1ec7c.
\n6- \u0110au v\u1eeba ph\u1ea3i nhi\u1ec1u h\u01a1n, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c sinh ho\u1ea1t h\u00e0ng ng\u00e0y, kh\u00f3 t\u1eadp trung.
\n7- \u0110au n\u1eb7ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c gi\u00e1c quan v\u00e0 h\u1ea1n ch\u1ebf nhi\u1ec1u \u0111\u1ebfn sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n. \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn gi\u1ea5c ng\u1ee7.
\n8- \u0110au d\u1eef d\u1ed9i, h\u1ea1n ch\u1ebf nhi\u1ec1u ho\u1ea1t \u0111\u1ed9ng, c\u1ea7n ph\u1ea3i n\u1ed7 l\u1ef1c r\u1ea5t nhi\u1ec1u.
\n9- \u0110au kinh kh\u1ee7ng, k\u00eau kh\u00f3c, r\u00ean r\u1ec9 kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.
\n10- \u0110au kh\u00f4ng th\u1ec3 n\u00f3i chuy\u1ec7n \u0111\u01b0\u1ee3c, n\u1eb1m li\u1ec7t gi\u01b0\u1eddng v\u00e0 c\u00f3 th\u1ec3 m\u00ea s\u1ea3ng.<\/p>\n

Thang \u0111i\u1ec3m n\u00e0y \u0111\u01a1n gi\u1ea3n v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111au th\u01b0\u1eddng d\u00f9ng tr\u00ean l\u00e2m s\u00e0ng<\/strong>. Thang \u0111i\u1ec3m n\u00e0y ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng ng\u01b0\u1eddi gi\u1ea3m kh\u1ea3 n\u0103ng ho\u1eb7c ng\u01b0\u1eddi c\u00f3 tr\u00ecnh \u0111\u1ed9 h\u1ecdc v\u1ea5n th\u1ea5p<\/p>\n

    \n
  • Nh\u01b0\u1ee3c \u0111i\u1ec3m:\n
      \n
    • \u0110\u00e1nh m\u1ea5t m\u1ed9t \u00edt th\u00f4ng tin, b\u1edfi v\u00ec nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t h\u01a1n nhi\u1ec1u m\u1ee9c \u0111au.<\/li>\n
    • N\u00f3 l\u00e0 thang \u0111i\u1ec3m th\u1ee9 b\u1eadc h\u01a1n l\u00e0 thang \u0111i\u1ec3m kho\u1ea3ng c\u00e1ch th\u1eadt s\u1ef1, do v\u1eady kh\u00f4ng c\u00f3 m\u1ed1i quan h\u1ec7 c\u1ed1 \u0111\u1ecbnh gi\u1eefa c\u00e1c \u0111i\u1ec3m, cho d\u00f9 c\u00e1c kho\u1ea3ng c\u00e1ch c\u1ee7a ch\u00fang \u0111\u1ec1u nhau. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 \u0111au \u0111i\u1ec3m 4 kh\u00f4ng ph\u1ea3i n\u1eb7ng g\u1ea5p 2 l\u1ea7n \u0111au \u0111i\u1ec3m 2.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

      1.3. Thang \u0111i\u1ec3m \u0111au theo v\u1ebb m\u1eb7t c\u1ee7a Wong-Baker (Wong-Baker faces rating scale \u2013 FRS)<\/strong><\/h3>\n
      \"Thang
      Thang \u0111i\u1ec3m \u0111au khu\u00f4n m\u1eb7t cho tr\u1ebb t\u1eeb 3 tu\u1ed5i v\u00e0 ng\u01b0\u1eddi kh\u00f3 trao \u0111\u1ed5i v\u1ec1 con s\u1ed1<\/figcaption><\/figure>\n

      Bi\u1ec3u di\u1ec5n c\u00e1c khu\u00f4n m\u1eb7t kh\u00e1c nhau do \u0111au. Thang \u0111i\u1ec3m n\u00e0y \u0111\u00f4i khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi b\u1ec7nh nh\u00e2n l\u00e0 tr\u1ebb em, nh\u1eefng ng\u01b0\u1eddi k\u00e9m nh\u1eadn th\u1ee9c ho\u1eb7c b\u1ea5t \u0111\u1ed3ng ng\u00f4n ng\u1eef.<\/p>\n

      1.4. Thang \u0111i\u1ec3m \u0111au theo l\u1eddi n\u00f3i (VRS)<\/strong><\/h3>\n

      Thang \u0111i\u1ec3m n\u00e0y l\u00e0 c\u00e1ch \u0111o \u0111\u01a1n gi\u1ea3n nh\u1ea5t, ch\u1ee9a \u00edt th\u00f4ng tin nh\u1ea5t. Tuy nhi\u00ean c\u00f3 th\u1ec3 \u00edt tin c\u1eady h\u01a1n c\u00e1c thang \u0111i\u1ec3m kh\u00e1c, b\u1edfi c\u00e1c t\u00ednh t\u1eeb c\u00f3 \u00fd ngh\u0129a kh\u00e1c nhau v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c nhau.<\/p>\n

      2. C\u00e1c c\u00f4ng c\u1ee5 l\u01b0\u1ee3ng gi\u00e1 \u0111au t\u1ed5ng h\u1ee3p<\/h2>\n

      2.1. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh c\u1ee7a Nh\u00f3m nghi\u00ean c\u1ee9u \u0111au li\u00ean hi\u1ec7p Anh (2002)<\/em><\/strong><\/h3>\n

      Ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh khi c\u00f3 \u00edt nh\u1ea5t 2\/5 tri\u1ec7u ch\u1ee9ng<\/p>\n

      1)\u00a0\u00a0\u00a0\u00a0<\/em>T\u0103ng c\u1ea3m \u0111au\u00a0<\/em>(hyperalgesia)<\/em><\/p>\n

      2)\u00a0\u00a0\u00a0\u00a0<\/em>Lo\u1ea1n c\u1ea3m \u0111au<\/em>\u00a0(allodynia)<\/em><\/p>\n

      3)\u00a0\u00a0\u00a0\u00a0<\/em>\u0110au ch\u00e1y <\/em>(burning pain)<\/em><\/p>\n

      4)\u00a0\u00a0\u00a0\u00a0<\/em>\u0110au nh\u01b0 \u0111\u00e2m (<\/em>shooting pain)<\/em><\/p>\n

      5)\u00a0\u00a0\u00a0\u00a0B\u1ec7nh nh\u00e2n d\u1ec5 b\u1ecb \u0111au, \u0111au nh\u01b0 xuy\u00ean, nh\u01b0 \u0111\u00e2m, nh\u01b0 \u0111i\u1ec7n gi\u1eadt, ch\u00e1y b\u1ecfng, r\u00e1t\u2026\u00a0<\/em><\/p>\n

      2.2. Thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 \u0111au S-LANNSS (Leeds Assessment of Neuropathic Symptoms and Signs)<\/em><\/h3>\n

      Thang \u0111i\u1ec3m do Bennett v\u00e0 c\u00f4ng s\u1ef1 \u0111\u01b0a ra v\u00e0o n\u0103m 2005, d\u00f9ng cho b\u1ec7nh nh\u00e2n t\u1ef1 \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng. \u00c1p d\u1ee5ng trong c\u00e1c nghi\u00ean c\u1ee9u s\u00e0ng l\u1ecdc \u0111au th\u1ea7n kinh<\/strong> trong c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

      2.3. B\u1ea3ng c\u00e2u h\u1ecfi \u0111au McGill (McGill pain questionaire \u2013 MPQ)<\/em><\/h3>\n

      \u0110\u00e2y l\u00e0 c\u00f4ng c\u1ee5 do Melzack – \u0110\u1ea1i h\u1ecdc McGill (Canada), \u0111\u01b0a ra n\u0103m 1975 nh\u1eb1m kh\u1ea3o s\u00e1t c\u1ea3 ba ph\u01b0\u01a1ng di\u1ec7n c\u1ee7a \u0111au (c\u1ea3m gi\u00e1c, c\u1ea3m x\u00fac – t\u00ecnh c\u1ea3m v\u00e0 l\u01b0\u1ee3ng gi\u00e1 nh\u1eadn th\u1ee9c). N\u00f3 \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m r\u1ed9ng r\u00e3i trong l\u00e2m s\u00e0ng v\u00e0 tr\u1edf th\u00e0nh “ti\u00eau chu\u1ea9n v\u00e0ng” cho c\u00e1c c\u00f4ng c\u1ee5 kh\u00e1c. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u 80 t\u00ednh t\u1eeb theo nh\u00f3m v\u00e0 b\u1ec7nh nh\u00e2n ch\u1ecdn m\u1ed9t t\u1eeb \u0111\u1ec3 m\u00f4 t\u1ea3 tr\u1ea1ng th\u00e1i \u0111au c\u1ee7a b\u1ea3n th\u00e2n. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng v\u1edbi c\u00e1c c\u00f4ng c\u1ee5 kh\u00e1c nh\u1eb1m c\u1ea3i thi\u1ec7n \u0111\u1ed9 ch\u00ednh x\u00e1c. Do c\u1ea7n 20 \u2013 30 ph\u00fat \u0111\u1ec3 ho\u00e0n th\u00e0nh n\u00ean g\u00e2y phi\u1ec1n h\u00e0 cho b\u1ec7nh nh\u00e2n h\u01a1n thang \u0111i\u1ec3m Nh\u00ecn v\u00e0 S\u1ed1.<\/p>\n

      \u0110\u1ec3 gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 tr\u00ean, b\u1ea3ng c\u00e2u h\u1ecfi \u0111au McGill r\u00fat g\u1ecdn (Short-form McGill Pain Questionnaire) \u0111\u00e3 \u0111\u01b0\u1ee3c Melzack \u0111\u1ec1 xu\u1ea5t n\u0103m 1987, v\u1edbi th\u1eddi gian 2 \u2013 3 ph\u00fat \u0111\u1ec3 th\u1ef1c hi\u1ec7n. MPQ kh\u00f4ng c\u00f3 t\u00ednh \u0111\u1eb7c hi\u1ec7u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh.<\/strong><\/p>\n

      \"B\u1ea3ng
      B\u1ea3ng c\u00e2u h\u1ecfi \u0111au McGill r\u00fat g\u1ecdn. Trong \u0111\u00f3 11 ph\u1ea1m tr\u00f9 \u0111\u1ea7u m\u00f4 t\u1ea3 chi\u1ec1u k\u00edch c\u1ea3m gi\u00e1c, 4 ph\u1ea1m tr\u00f9 sau m\u00f4 t\u1ea3 kh\u00eda c\u1ea1nh c\u1ea3m x\u00fac c\u1ee7a \u0111au. K\u00e8m theo l\u00e0 thang \u0111i\u1ec3m nh\u00ecn v\u00e0 thang \u0111i\u1ec3m s\u1ed1 v\u1edbi: 0 \u2013 kh\u00f4ng \u0111au, 1- \u0111au nh\u1eb9, 2 \u2013 kh\u00f3 ch\u1ecbu, 3 \u2013 kh\u1ed1n kh\u1ed5, 4 \u2013 kh\u1ee7ng khi\u1ebfp , 5 \u2013 c\u1ef1c k\u00ec d\u1eef d\u1ed9i.<\/figcaption><\/figure>\n

      2.4. B\u1ea3ng c\u00e2u h\u1ecfi \u0111au th\u1ea7n kinh (Neuropathic pain questionnaire \u2013 NPQ) <\/strong><\/h3>\n

      G\u1ed3m 12 c\u00e2u h\u1ecfi. \u1ee8ng d\u1ee5ng ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t gi\u1eefa \u0111au th\u1ea7n kinh v\u1edbi c\u00e1c lo\u1ea1i \u0111au kh\u00e1c.<\/p>\n

      2.5. Thang \u0111i\u1ec3m DN4 <\/strong>(Douleur Neuropathique en 4 questions)<\/h3>\n

      Do Bouhassira \u0111\u1ec1 xu\u1ea5t n\u0103m 2005 d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t \u0111au th\u1ea7n kinh v\u00e0 \u0111au nh\u1eadn c\u1ea3m. G\u1ed3m c\u00f3 2 c\u00e2u h\u1ecfi v\u1ec1 \u0111au (7 tri\u1ec7u ch\u1ee9ng) do b\u1ec7nh nh\u00e2n tr\u1ea3 l\u1eddi v\u00e0 2 test c\u1ea3m gi\u00e1c da (3 tri\u1ec7u ch\u1ee9ng) do th\u1ea7y thu\u1ed1c th\u0103m kh\u00e1m. Ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh n\u1ebfu c\u00f3 \u2265 4\/10 tri\u1ec7u ch\u1ee9ng.<\/p>\n

      \"Thang
      Thang \u0111i\u1ec3m DN4<\/figcaption><\/figure>\n

      2.6 Th\u1ebb ghi nh\u1edb l\u01b0\u1ee3ng gi\u00e1 \u0111au (the memorial pain assessment card)<\/strong><\/h3>\n

      \u0110\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 l\u01b0\u1ee3ng gi\u00e1 t\u1ed5ng h\u1ee3p \u0111au nhanh \u1edf c\u00e1c b\u1ec7nh nh\u00e2n ung th\u01b0. \u01afu \u0111i\u1ec3m l\u00e0 \u00edt m\u1ea5t th\u1eddi gian nh\u01b0ng v\u1eabn cho k\u1ebft qu\u1ea3 t\u01b0\u01a1ng \u1ee9ng v\u1edbi c\u00e1c b\u1ea3ng l\u01b0\u1ee3ng gi\u00e1 kh\u00e1c d\u00e0i h\u01a1n<\/p>\n

      \"Th\u1ebb
      Th\u1ebb ghi nh\u1edb l\u01b0\u1ee3ng gi\u00e1 \u0111au<\/figcaption><\/figure>\n

      2.7 B\u1ea3ng ki\u1ec3m \u0111au r\u00fat g\u1ecdn (The Brief Pain Inventory – BPI)<\/h3>\n

      \u0110\u00e2y l\u00e0 c\u00f4ng c\u1ee5 l\u01b0\u1ee3ng gi\u00e1 \u0111au t\u1ed5ng h\u1ee3p \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh \u1edf b\u1ec7nh nh\u00e2n AIDS, ung th\u01b0 v\u00e0 vi\u00eam kh\u1edbp. B\u1ec7nh nh\u00e2n m\u1ea5t kho\u1ea3ng 5 – 15 ph\u00fat \u0111\u1ec3 ho\u00e0n th\u00e0nh b\u1ea3ng ki\u1ec3m, g\u1ed3m 11 thang \u0111i\u1ec3m s\u1ed1 \u0111\u00e1nh gi\u00e1 c\u01b0\u1eddng \u0111\u1ed9 \u0111au, c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 t\u00e1c \u0111\u1ed9ng c\u1ee7a \u0111au l\u00ean ho\u1ea1t \u0111\u1ed9ng chung, t\u00e2m tr\u1ea1ng, kh\u1ea3 n\u0103ng \u0111i l\u1ea1i, l\u00e0m vi\u1ec7c, quan h\u1ec7, ng\u1ee7 v\u00e0 s\u1ef1 tho\u1ea3i m\u00e1i. BPI l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn t\u1ed1t \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5ng h\u1ee3p c\u01b0\u1eddng \u0111\u1ed9 \u0111au \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh ti\u1ebfn tri\u1ec3n.<\/p>\n

      Ngu\u1ed3n: T\u1ed5ng h\u1ee3p<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

      Ngay t\u1eeb \u0111\u1ecbnh ngh\u0129a \u0111au \u0111\u00e3 cho th\u1ea5y \u201c\u0111au\u201d l\u00e0 m\u1ed9t ph\u1ea1m tr\u00f9 thu\u1ed9c ch\u1ee7 quan c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Do \u0111\u00f3 vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u01b0\u1ee3ng gi\u00e1 \u0111au r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 kh\u00f3 th\u1ed1ng nh\u1ea5t. \u0110\u00f3 l\u00e0 nguy\u00ean nh\u00e2n t\u1ed3n t\u1ea1i song song r\u1ea5t nhi\u1ec1u thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 \u0111au. D\u01b0\u1edbi \u0111\u00e2y, ch\u00fang t\u00f4i xin […]<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"\nC\u00e1c thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 \u0111au v\u00e0 \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00f3 r\u1ea5t nhi\u1ec1u thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 \u0111au. 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