{"id":18963,"date":"2023-04-12T12:04:22","date_gmt":"2023-04-12T05:04:22","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18963"},"modified":"2023-04-13T16:56:05","modified_gmt":"2023-04-13T09:56:05","slug":"benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/","title":{"rendered":"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t"},"content":{"rendered":"

B\u1ec7nh\u00a0 Th\u00f4ng li\u00ean th\u1ea5t<\/a> (TLT) chi\u1ebfm\u00a015 – 20% t\u1ed5ng s\u1ed1 ca b\u1ec7nh tim b\u1ea9m sinh<\/b>. B\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t g\u00e2y \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n to\u00e0n di\u1ec7n c\u1ee7a tr\u1ebb v\u1edbi nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 ch\u1eadm l\u1edbn, suy tim \u1ee9 huy\u1ebft, nhi\u1ec5m tr\u00f9ng ph\u1ed5i, t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i… v\u00e0 c\u00f3 th\u1ec3 t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi.<\/strong><\/p>\n

1. Gi\u1ea3i ph\u1eabu v\u00e0 sinh l\u00fd b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t:<\/h2>\n

V\u00e1ch li\u00ean th\u1ea5t: ph\u1ea7n m\u00e0ng nh\u1ecf v\u00e0 ph\u1ea7n c\u01a1 l\u1edbn h\u01a1n. Ph\u1ea7n c\u01a1 c\u00f3 3 th\u00e0nh ph\u1ea7n: ph\u1ea7n bu\u1ed3ng nh\u1eadn, ph\u1ea7n c\u01a1 b\u00e8 v\u00e0 ph\u1ea7n tho\u00e1t. Ph\u1ea7n c\u01a1 b\u00e8 \u0111\u01b0\u1ee3c chia th\u00e0nh ph\u1ea7n trung t\u00e2m, ph\u1ea7n r\u00eca v\u00e0 ph\u1ea7n m\u1ecfm.<\/p>\n

Ph\u1ea7n m\u00e0ng l\u00e0 ph\u1ea7n t\u01b0\u01a1ng \u0111\u1ed1i nh\u1ecf n\u1eb1m ngay d\u01b0\u1edbi van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. C\u00f3 th\u1ec3 lan \u0111\u1ebfn nh\u1eefng v\u00f9ng c\u01a1 k\u1ebf c\u1eadn c\u00f2n g\u1ecdi l\u00e0 v\u00f9ng quanh m\u00e0ng (perimembranous).<\/p>\n

C\u00f3 4 v\u1ecb tr\u00ed l\u1ed7 th\u00f4ng
\n– TLT ph\u1ea7n m\u00e0ng: chi\u1ebfm 80% c\u00e1c th\u1ec3, n\u1eb1m \u1edf ngay d\u01b0\u1edbi van \u00d0MC. TLT c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00f3ng l\u1ea1i do s\u1ef1 \u00e1p c\u1ee7a l\u00e1 van ph\u00eda v\u00e1ch c\u1ee7a van 3 l\u00e1 v\u00e0o l\u1ed7 th\u00f4ng t\u1ea1o th\u00e0nh 1 t\u00fai ph\u00ecnh.
\n– TLT ph\u1ea7n ph\u1ec5u: chi\u1ebfm kho\u1ea3ng 5%, n\u1eb1m ngay d\u01b0\u1edbi v\u00f2ng van \u00d0MC v\u00e0 \u00d0MP. TLT c\u00f3 th\u1ec3
\n\u0111\u01b0\u1ee3c b\u00edt l\u1ea1i do 1l\u00e1 van \u00d0MC g\u00e2y sa van \u00d0MC v\u00e0 h\u1edf van \u00d0MC (H\u1ed9i ch\u1ee9ng Laubry-Pezzi).
\n– TLT ph\u1ea7n bu\u1ed3ng nh\u1eadn: chi\u1ebfm 5%, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00edt l\u1ea1i b\u1edfi c\u00e1c van nh\u0129 th\u1ea5t t\u1ea1o th\u00e0nh c\u00e1c t\u00fai ph\u00ecnh t\u1ea1i v\u1ecb tr\u00ed l\u1ed7 th\u00f4ng.
\n– TLT ph\u1ea7n c\u01a1 b\u00e8 gi\u1eefa: chi\u1ebfm 10%, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00edt l\u1ea1i do 1 c\u1ed9t c\u01a1 c\u1ee7a van 3 l\u00e1.<\/p>\n

K\u00edch th\u01b0\u1edbc TLT thay \u0111\u1ed5i t\u1eeb r\u1ea5t nh\u1ecf m\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u0111\u1ed9ng h\u1ecdc \u0111\u00e1ng k\u1ec3 cho \u0111\u1ebfn suy tim v\u00e0 t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n

TLT v\u00f9ng tho\u00e1t l\u00e1 v\u00e0nh ph\u1ea3i c\u00f3 th\u1ec3 sa qua l\u1ed7 TLT l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc l\u1ed7 th\u00f4ng nh\u01b0ng s\u1ebd g\u00e2y h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng tho\u00e1t th\u1ea5t ph\u1ea3i. L\u00e1 v\u00e0nh ph\u1ea3i v\u00e0 \/ ho\u1eb7c l\u00e1 kh\u00f4ng v\u00e0nh c\u00f3 th\u1ec3 sa qua TLT quanh m\u00e0ng.<\/p>\n

M\u1ee9c \u0111\u1ed9 shunt t\u00f9y thu\u1ed9c k\u00edch th\u01b0\u1edbc TLT v\u00e0 \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. \u00c1p l\u1ef1c c\u00e0ng cao, m\u00e1u qua c\u00e0ng \u00edt. TLT l\u1ed7 l\u1edbn giai \u0111o\u1ea1n s\u01a1 sinh ch\u01b0a bi\u1ec3u hi\u1ec7n cho \u0111\u1ebfn 6-8 tu\u1ea7n tu\u1ed5i.<\/p>\n

M\u00e1u t\u1eeb th\u1ea5t tr\u00e1i sang th\u1ea5t ph\u1ea3i v\u00e0 \u0111\u01b0\u1ee3c \u201cb\u01a1m\u201d l\u00ean \u0110M ph\u1ed5i ngay (kh\u00f4ng l\u1edbn th\u1ea5t ph\u1ea3i), g\u00e2y t\u0103ng l\u01b0\u1ee3ng m\u00e1u l\u00ean ph\u1ed5i v\u00e0 l\u01b0\u1ee3ng m\u00e1u v\u1ec1 tim tr\u00e1i g\u00e2y t\u0103ng th\u1ec3 t\u00edch nh\u0129 tr\u00e1i v\u00e0 th\u1ea5t tr\u00e1i.
\nDo s\u1ef1 ch\u00eanh l\u1ec7ch \u00e1p l\u1ef1c l\u1edbn gi\u1eefa 2 th\u1ea5t s\u1ebd t\u1ea1o ra lu\u1ed3ng th\u00f4ng tr\u00e1i-ph\u1ea3i g\u00e2y t\u0103ng g\u00e1nh ph\u1ed5i, nh\u0129 tr\u00e1i v\u00e0 th\u1ea5t tr\u00e1i. H\u1eadu qu\u1ea3 l\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf ph\u1ed5i, t\u0103ng \u1ee9 m\u00e1u \u1edf ph\u1ed5i v\u00e0 g\u00e2y gi\u00e3n nh\u0129 tr\u00e1i th\u1ea5t tr\u00e1i v\u00e0 c\u00e1c \u00d0MP.( kh\u00f4ng vi\u1ebft t\u1eaft \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i)<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n th\u00f4ng li\u00ean th\u1ea5t:<\/h2>\n

L\u00e2m s\u00e0ng c\u1ee7a TLT ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc l\u1ed7 th\u00f4ng<\/p>\n

    \n
  • TLT l\u1ed7 nh\u1ecf kh\u00f4ng tri\u1ec7u ch\u1ee9ng.<\/li>\n
  • TLT l\u1ed7 trung b\u00ecnh, l\u1edbn c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t, gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, vi\u00eam ph\u1ed5i t\u00e1i ph\u00e1t.<\/li>\n
  • N\u1ebfu di\u1ec5n ti\u1ebfn cao \u00e1p ph\u1ed5i k\u00e9o d\u00e0i g\u00e2y b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u ph\u1ed5i (Eisenmenger h\u1ed9i ch\u1ee9ng): g\u00e2y tri\u1ec7u ch\u1ee9ng nh\u01b0 t\u00edm t\u00e1i, m\u1ec7t m\u1ecfi, \u2026<\/li>\n
  • Tr\u1ebb s\u01a1 sinh v\u1edbi TLT l\u1ed7 nh\u1ecf ph\u00e1t tri\u1ec3n t\u1ed1t, kh\u00f4ng t\u00edm t\u00e1i. Tr\u01b0\u1edbc 2-3 th\u00e1ng tu\u1ed5i n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 TLT l\u1ed7 l\u1edbn c\u00f3 th\u1ec3 suy dinh d\u01b0\u1ee1ng, suy tim. T\u00edm t\u00e1i v\u00e0 tay ch\u00e2n d\u00f9i tr\u1ed1ng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n \u0111\u1ea3o shunt (HC Eisenmenger).<\/li>\n
  • Rung miu v\u00e0 t\u0103ng \u0111\u1ed9ng tr\u01b0\u1edbc tim g\u1eb7p khi c\u00f3 shunt l\u1edbn.<\/li>\n
  • T2 b\u00ecnh th\u01b0\u1eddng khi shunt nh\u1ecf, v\u00e0 m\u1ea1nh khi shunt l\u1edbn. T2 \u0111anh v\u00e0 \u0111\u01a1n khi b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh m\u1ea1ch m\u00e1u ph\u1ed5i.<\/li>\n
  • \u00c2m th\u1ed5i to\u00e0n t\u00e2m thu 2-5\/6 \u1edf c\u1ea1nh \u1ee9c tr\u00e1i. R\u00f9ng t\u00e2m tr\u01b0\u01a1ng \u1edf m\u1ecfm c\u00f3 th\u1ec3 nghe khi shunt l\u1edbn<\/li>\n
  • TLT v\u00f9ng tho\u00e1t c\u00f3 th\u1ec3 nghe \u00e2m th\u1ed5i t\u00e2m tr\u01b0\u01a1ng do h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 do sa l\u00e1 van qua TLT.<\/li>\n<\/ul>\n

    3. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n

    3.1 \u0110i\u1ec7n t\u00e2m \u0111\u1ed3<\/h3>\n
      \n
    • TLT l\u1ed7 nh\u1ecf. ECG b\u00ecnh th\u01b0\u1eddng.<\/li>\n
    • TLT l\u1ed7 trung b\u00ecnh, l\u1edbn th\u1ea5t tr\u00e1i v\u00e0 th\u1ec9nh tho\u1ea3ng g\u1eb7p l\u1edbn nh\u0129 tr\u00e1i.<\/li>\n
    • TLT l\u1ed7 l\u1edbn, l\u1edbn 2 th\u1ea5t c\u00f3 hay kh\u00f4ng l\u1edbn nh\u0129 tr\u00e1i.<\/li>\n
    • N\u1ebfu b\u1ec7nh m\u1ea1ch m\u00e1u ph\u1ed5i ti\u1ebfn tri\u1ec3n ECG ch\u1ec9 c\u00f3 l\u1edbn th\u1ea5t ph\u1ea3i<\/li>\n<\/ul>\n

      3.2 X-quang ng\u1ef1c<\/h3>\n
        \n
      • B\u00f3ng tim to thay \u0111\u1ed5i li\u00ean quan \u0111\u1ebfn nh\u0129 tr\u00e1i, th\u1ea5t tr\u00e1i v\u00e0 th\u1ea5t ph\u1ea3i. T\u0103ng tu\u1ea7n ho\u00e0n ph\u1ed5i ch\u1ee7 \u0111\u1ed9ng. M\u1ee9c \u0111\u1ed9 tim to v\u00e0 t\u0103ng tu\u1ea7n ho\u00e0n ph\u1ed5i li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn shunt.<\/li>\n
      • N\u1ebfu b\u1ec7nh m\u1ea1ch m\u00e1u ph\u1ed5i, \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i g\u1ed1c v\u00e0 r\u1ed1n ph\u1ed5i gi\u00e3n to, nh\u01b0ng ph\u1ebf tr\u01b0\u1eddng s\u00e1ng h\u01a1n b\u00ecnh th\u01b0\u1eddng ( h\u00ecnh \u1ea3nh c\u1eaft c\u1ee5t \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i).<\/li>\n<\/ul>\n

        \"minh-hoa-xquang-thong-lien-that\"<\/p>\n

        3.3 Si\u00eau \u00e2m tim<\/h3>\n
          \n
        • \u00a0 \u00a0 \u00a0 SA 2D v\u00e0 Doppler ch\u1ea9n \u0111o\u00e1n ch\u1eafc ch\u1eafn v\u00e0 x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc s\u1ed1 l\u01b0\u1ee3ng v\u00e0 v\u1ecb tr\u00ed TLT.<\/li>\n
        • \u00a0 \u00a0 \u00a0 \u01af\u1edbc \u0111\u1ecbnh \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p v\u00e0 \u01b0\u1edbc l\u01b0\u1ee3ng t\u1ea7m quan tr\u1ecdng c\u1ee7a shunt.<\/li>\n<\/ul>\n

          \"minh-hoa-sieu-am-tim-thong-lien-that\"<\/p>\n

          4. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

          4.1 N\u1ed9i khoa<\/h3>\n

          – \u0110i\u1ec1u tr\u1ecb suy tim (Digoxin v\u00e0 l\u1ee3i ti\u1ec3u) kho\u1ea3ng 2-4 th\u00e1ng, xem x\u00e9t c\u1ea3i thi\u1ec7n l\u00e2m s\u00e0ng c\u00f3 t\u1ed1t kh\u00f4ng? Ch\u1ebf \u0111\u1ed9 \u0103n gi\u00e0u n\u0103ng l\u01b0\u1ee3ng, hay c\u00f3 th\u1ec3 \u0103n b\u1eb1ng \u1ed1ng sonde n\u1ebfu qu\u00e1 suy dinh d\u01b0\u1ee1ng v\u00e0 kh\u00f4ng th\u1ec3 b\u00fa t\u1ed1t \u0111\u01b0\u1ee3c. \u0110i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u n\u1ebfu c\u00f3.<\/p>\n

          – V\u1ec7 sinh r\u0103ng mi\u1ec7ng, ph\u00f2ng vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c.<\/p>\n

          – Xem x\u00e9t \u0111\u00f3ng TLT b\u1eb1ng th\u00f4ng tim can thi\u1ec7p.<\/p>\n

          4.2\u00a0 Ngo\u1ea1i khoa<\/h3>\n

          – Ch\u1ec9 \u0111\u1ecbnh v\u00e0 th\u1eddi \u0111i\u1ec3m:<\/p>\n

            \n
          • Tr\u1ebb s\u01a1 sinh n\u1ebfu TLT l\u1ed7 l\u1edbn, c\u00f3 suy tim v\u00e0 ch\u1eadm ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t, \u0111\u1ea7u ti\u00ean n\u00ean \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa. N\u1ebfu l\u00e2m s\u00e0ng kh\u00f4ng c\u1ea3i thi\u1ec7n, ph\u1eabu thu\u1eadt ph\u1ea3i th\u1ef1c hi\u1ec7n trong v\u00f2ng 6 th\u00e1ng \u0111\u1ea7u. Kh\u00f4ng n\u00ean tr\u00ec ho\u00e3n n\u1ebfu kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa.<\/li>\n
          • Sau 1 tu\u1ed5i, shunt quan tr\u1ecdng Qp\/Qs > 2:1 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt cho d\u00f9 \u00e1p l\u1ef1c ph\u1ed5i c\u00f2n th\u1ea5p.<\/li>\n
          • Tr\u1ebb s\u01a1 sinh c\u00f3 t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i nh\u01b0ng kh\u00f4ng suy tim hay ch\u1eadm ph\u00e1t tri\u1ec3n n\u00ean th\u00f4ng tim m\u1ed7i 6-12 th\u00e1ng. B\u1ec7nh nh\u00e2n l\u1edbn c\u00f3 TLT l\u1edbn , t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i n\u00ean ph\u1eabu thu\u1eadt c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/li>\n
          • Tr\u1ebb s\u01a1 sinh c\u00f3 TLT nh\u1ecf, kh\u00f4ng b\u1eb1ng ch\u1ee9ng suy tim, t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh m\u1ed5. Ph\u1eabu thu\u1eadt kh\u00f4ng \u0111\u1eb7t ra n\u1ebfu Qp\/Qs < 1.5:1.<\/li>\n<\/ul>\n

            – Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh khi c\u00f3 kh\u00e1ng l\u1ef1c ph\u1ed5i\/kh\u00e1ng l\u1ef1c ch\u1ee7 > 0.5 hay b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u1ea3o shunt.<\/p>\n

            T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong>
            \n1. Gi\u00e1o tr\u00ecnh nhi khoa – \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c Hu\u1ebf<\/p>\n

              \n
            1. Batisse A (1993): \u201cCardiologie p\u00e9diatrique pratique\u201d. Doin \u00e9diteurs-Paris.<\/li>\n
            2. Dupuis C, Kachaner J, Payot M, Freedom R.M, (1991): \u201cCardiologie p\u00e9diatrique\u201d.Davignon A. Ed. Flammarion M\u00e9dicine-Sciences.<\/li>\n
            3. Philippe F (1994): \u201cCardiopathies cong\u00e9nitales\u201d. In: Cardiologie. ELLIPSES\/ AUPELF, p. 416-420.<\/li>\n
            4. Moss and Adams (1995): \u201cHeart disease in Infants, Children, and Adolescents including the Fetus and Young Adult\u201d. 5th Ed. Baltimore Williams and Wilkins.<\/li>\n<\/ol>\n

               <\/p>\n

               <\/p>\n","protected":false},"excerpt":{"rendered":"

              B\u1ec7nh\u00a0 Th\u00f4ng li\u00ean th\u1ea5t (TLT) chi\u1ebfm\u00a015 – 20% t\u1ed5ng s\u1ed1 ca b\u1ec7nh tim b\u1ea9m sinh. B\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t g\u00e2y \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n to\u00e0n di\u1ec7n c\u1ee7a tr\u1ebb v\u1edbi nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 ch\u1eadm l\u1edbn, suy tim \u1ee9 huy\u1ebft, nhi\u1ec5m tr\u00f9ng ph\u1ed5i, t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i… […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"\nB\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t - Vinmec<\/title>\n<meta name=\"description\" content=\"Th\u00f4ng li\u00ean th\u1ea5t (TLT) chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 30% trong s\u1ed1 c\u00e1c b\u1ec7nh tim b\u1ea9m sinh n\u00f3i chung. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c tr\u01b0\u1edbc sinh qua si\u00eau \u00e2m tim thai.\" \/>\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=\"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Th\u00f4ng li\u00ean th\u1ea5t (TLT) chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 30% trong s\u1ed1 c\u00e1c b\u1ec7nh tim b\u1ea9m sinh n\u00f3i chung. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c tr\u01b0\u1edbc sinh qua si\u00eau \u00e2m tim thai.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-12T05:04:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-13T09:56:05+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/z4257149897756_b12490d6c8b0c5afcc3b9767f18773e8-300x158.jpg\" \/>\n<meta name=\"author\" content=\"Dai Tran Van\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dai Tran Van\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/\",\"name\":\"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-12T05:04:22+00:00\",\"dateModified\":\"2023-04-13T09:56:05+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\"},\"description\":\"Th\u00f4ng li\u00ean th\u1ea5t (TLT) chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 30% trong s\u1ed1 c\u00e1c b\u1ec7nh tim b\u1ea9m sinh n\u00f3i chung. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c tr\u01b0\u1edbc sinh qua si\u00eau \u00e2m tim thai.\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\",\"name\":\"Dai Tran Van\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g\",\"caption\":\"Dai Tran Van\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tranvandai2791995gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t - Vinmec","description":"Th\u00f4ng li\u00ean th\u1ea5t (TLT) chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 30% trong s\u1ed1 c\u00e1c b\u1ec7nh tim b\u1ea9m sinh n\u00f3i chung. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c tr\u01b0\u1edbc sinh qua si\u00eau \u00e2m tim thai.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t - Vinmec","og_description":"Th\u00f4ng li\u00ean th\u1ea5t (TLT) chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 30% trong s\u1ed1 c\u00e1c b\u1ec7nh tim b\u1ea9m sinh n\u00f3i chung. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c tr\u01b0\u1edbc sinh qua si\u00eau \u00e2m tim thai.","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/","og_site_name":"Vinmec","article_published_time":"2023-04-12T05:04:22+00:00","article_modified_time":"2023-04-13T09:56:05+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/z4257149897756_b12490d6c8b0c5afcc3b9767f18773e8-300x158.jpg"}],"author":"Dai Tran Van","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Dai Tran Van","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/","name":"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-12T05:04:22+00:00","dateModified":"2023-04-13T09:56:05+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2"},"description":"Th\u00f4ng li\u00ean th\u1ea5t (TLT) chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 30% trong s\u1ed1 c\u00e1c b\u1ec7nh tim b\u1ea9m sinh n\u00f3i chung. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c tr\u01b0\u1edbc sinh qua si\u00eau \u00e2m tim thai.","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sinh-chan-doan-va-dieu-tri-benh-thong-lien-that\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"B\u1ec7nh sinh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u00f4ng li\u00ean th\u1ea5t"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2","name":"Dai Tran Van","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g","contentUrl":"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g","caption":"Dai Tran Van"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tranvandai2791995gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/18963"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=18963"}],"version-history":[{"count":6,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/18963\/revisions"}],"predecessor-version":[{"id":19160,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/18963\/revisions\/19160"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=18963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=18963"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=18963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}