{"id":19418,"date":"2023-04-15T22:23:18","date_gmt":"2023-04-15T15:23:18","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19418"},"modified":"2023-04-17T14:30:28","modified_gmt":"2023-04-17T07:30:28","slug":"cac-phuong-phap-dieu-tri-ung-thu-phoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/cac-phuong-phap-dieu-tri-ung-thu-phoi\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i"},"content":{"rendered":"<p>L\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m ph\u00e2n lo\u1ea1i v\u00e0 giai \u0111o\u1ea1n ung th\u01b0, t\u00ednh ch\u1ea5t kh\u1ed1i u v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u0169ng gi\u00fap b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh c\u00f3 th\u1ec3 tham gia t\u00edch c\u1ef1c v\u00e0o qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, t\u0103ng c\u01b0\u1eddng s\u1ef1 h\u1ee3p t\u00e1c v\u1edbi \u0111\u1ed9i ng\u0169 y t\u1ebf v\u00e0 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. V\u1eady ung th\u01b0 ph\u1ed5i c\u00f3 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o, h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u nh\u00e9.<\/p>\n<figure id=\"attachment_19432\" aria-describedby=\"caption-attachment-19432\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19432\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/b713c2d1-9b06-4cac-8a95-f3ef9a128cff-300x300.jpg\" alt=\"minh-hoa-ung-thu-phoi\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/b713c2d1-9b06-4cac-8a95-f3ef9a128cff-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/b713c2d1-9b06-4cac-8a95-f3ef9a128cff-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/b713c2d1-9b06-4cac-8a95-f3ef9a128cff-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/b713c2d1-9b06-4cac-8a95-f3ef9a128cff.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19432\" class=\"wp-caption-text\">Minh h\u1ecda h\u00ecnh \u1ea3nh ung th\u01b0 ph\u1ed5i<\/figcaption><\/figure>\n<h2>1. Nh\u1eafc l\u1ea1i v\u1ec1 ph\u00e2n lo\u1ea1i ung th\u01b0<\/h2>\n<p>Ung th\u01b0 ph\u1ed5i \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a v\u00e0o m\u00f4 b\u1ec7nh h\u1ecdc. Theo \u0111\u00f3 ung th\u01b0 ph\u1ed5i \u0111\u01b0\u01a1c ph\u00e2n th\u00e0nh 2 lo\u1ea1i ch\u00ednh:<\/p>\n<ul>\n<li><strong>Ung th\u01b0 ph\u1ed5i kh\u00f4ng t\u1ebf b\u00e0o nh\u1ecf (Non-Small Cell Lung Cancer &#8211; NSCLC)<\/strong><\/li>\n<\/ul>\n<p>\u0110\u00e2y l\u00e0 lo\u1ea1i ung th\u01b0 ph\u1ed5i ph\u1ed5 bi\u1ebfn nh\u1ea5t, chi\u1ebfm kho\u1ea3ng 85% tr\u01b0\u1eddng h\u1ee3p. Trong \u0111\u00f3, NSCLC \u0111\u01b0\u1ee3c chia th\u00e0nh ba lo\u1ea1i ch\u00ednh:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong>Ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o tuy\u1ebfn (adenocarcinoma):<\/strong> chi\u1ebfm 40% tr\u01b0\u1eddng h\u1ee3p NSCLC. Kh\u1ed1i u xu\u1ea5t ph\u00e1t t\u1eeb t\u1ebf b\u00e0o tuy\u1ebfn ti\u1ebft nh\u1ea7y l\u00f3t m\u1eb7t trong c\u00e1c \u1ed1ng d\u1eabn kh\u00ed. \u0110\u00e2y c\u0169ng l\u00e0 lo\u1ea1i ung th\u01b0 ph\u1ed5i ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng h\u00fat thu\u1ed1c.<\/li>\n<li><strong>Ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o v\u1ea3y (squamous cell carcinoma)<\/strong> th\u01b0\u1eddng xu\u1ea5t ph\u00e1t t\u1eeb c\u00e1c \u0111\u01b0\u1eddng th\u1edf l\u1edbn h\u01a1n, chi\u1ebfm kho\u1ea3ng 25-30% t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p NSCLC. Lo\u1ea1i ung th\u01b0 n\u00e0y\u00a0th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c n\u1eb7ng ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c.<\/li>\n<li><strong>Ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o l\u1edbn (carcinoma): <\/strong>chi\u1ebfm kho\u1ea3ng 10-15%, kh\u1ed1i u c\u00f3 th\u1ec3 xu\u1ea5t ph\u00e1t t\u1eeb b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o trong ph\u1ed5i v\u00e0 c\u00f3 xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><strong>Ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o nh\u1ecf (Small Cell Lung Cancer &#8211; SCLC)<\/strong>:<\/li>\n<\/ul>\n<p>\u0110\u00e2y l\u00e0 lo\u1ea1i ung th\u01b0\u00a0 nghi\u00eam tr\u1ecdng v\u00e0 ph\u00e1t tri\u1ec3n r\u1ea5t nhanh, chi\u1ebfm kho\u1ea3ng 10-15% tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 ph\u1ed5i. N\u00f3 th\u01b0\u1eddng ch\u1ee7 y\u1ebfu g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c. Lo\u1ea1i n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng di c\u0103n nhanh ch\u00f3ng t\u1eeb ph\u1ed5i sang c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c trong c\u01a1 th\u1ec3, nh\u01b0 n\u00e3o, gan v\u00e0 x\u01b0\u01a1ng.<\/p>\n<h2>2. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i<\/h2>\n<h3>2.1. Ung th\u01b0 ph\u1ed5i kh\u00f4ng t\u1ebf b\u00e0o nh\u1ecf (NSCLC)<\/h3>\n<p>\u0110\u1ed1i v\u1edbi ung th\u01b0 ph\u1ed5i kh\u00f4ng t\u1ebf b\u00e0o nh\u1ecf, vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh.<\/p>\n<h4>2.1.1. Ph\u1eabu thu\u1eadt<\/h4>\n<p>Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn khi kh\u1ed1i u \u1edf giai \u0111o\u1ea1n\u00a0 I \u0111\u1ebfn IIIA. T\u00f9y thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 m\u1ee9c \u0111\u1ed9 lan tr\u00e0n c\u1ee7a kh\u1ed1i u, ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt th\u00edch h\u1ee3p c\u00f3 k\u00e8m theo n\u1ea1o v\u00e9t h\u1ea1ch v\u00f9ng.<\/p>\n<p>C\u00f3 4 ph\u01b0\u01a1ng ph\u00e1p c\u1eaft ph\u1ed5i ch\u1ee7 y\u1ebfu:<\/p>\n<ul>\n<li>C\u1eaft th\u00f9y ph\u1ed5i (Lobectomy)<\/li>\n<li>C\u1eaft ph\u1ed5i (Pneumonectomy)<\/li>\n<li>C\u1eaft ph\u00e2n th\u00f9y ph\u1ed5i (Segmentectomy)<\/li>\n<li>C\u1eaft h\u00ecnh ch\u00eam (Wedge Resection)<\/li>\n<\/ul>\n<h4>2.1.2. X\u1ea1 tr\u1ecb<\/h4>\n<p>X\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn cho giai \u0111o\u1ea1n t\u1eeb I \u0111\u1ebfn IIIA trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c do c\u00f3 b\u1ec7nh l\u00fd \u0111i k\u00e8m ho\u1eb7c b\u1ec7nh nh\u00e2n t\u1eeb ch\u1ed1i ph\u1eabu thu\u1eadt.<\/p>\n<p>Khi kh\u1ed1i u \u1edf giai \u0111o\u1ea1n IIIB, ng\u01b0\u1eddi ta s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb.<\/p>\n<p>X\u1ea1 tr\u1ecb c\u00f2n \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ed5 tr\u1ee3 sau m\u1ed5 trong tr\u01b0\u1eddng h\u1ee3p di\u1ec7n c\u1eaft d\u01b0\u01a1ng t\u00ednh, ho\u1eb7c b\u1ed5 tr\u1ee3 sau h\u00f3a tr\u1ecb cho c\u00e1c kh\u1ed1i u \u1edf giai \u0111o\u1ea1n N2<\/p>\n<p>Ngo\u00e0i ra, x\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng do kh\u1ed1i u g\u00e2y ra nh\u01b0 gi\u1ea3m \u0111au, c\u1ea7m m\u00e1u, ch\u1ed1ng ch\u00e8n \u00e9p trung th\u1ea5t, ho\u1eb7c x\u1ea1 tr\u1ecb n\u00e3o khi ung th\u01b0 \u0111\u00e3 di c\u0103n n\u00e3o.<\/p>\n<h4>2.1.3. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n<\/h4>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn khi kh\u1ed1i u \u0111\u00e3 di c\u0103n, ho\u1eb7c d\u00f9ng ph\u1ed1i h\u1ee3p v\u1edbi nh\u1eefng ph\u01b0\u01a1ng \u00e1n kh\u00e1c \u1edf giai \u0111o\u1ea1n s\u1edbm \u0111\u1ec3 d\u1ef1 ph\u00f2ng t\u00e1i ph\u00e1t v\u00e0 di c\u0103n. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 H\u00f3a tr\u1ecb, \u0110i\u1ec1u tr\u1ecb \u0111\u00edch v\u00e0 \u0110i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch.<\/p>\n<p><strong>H\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:\u00a0<\/strong><\/p>\n<ul>\n<li>H\u00f3a ch\u1ea5t b\u1ed5 tr\u1ee3:\n<ul>\n<li>Giai \u0111o\u1ea1n II tr\u1edf l\u00ean (N(+), T2b tr\u1edf l\u00ean)<\/li>\n<li>Giai \u0111o\u1ea1n IB (T2aN0) nguy c\u01a1 cao\n<ul>\n<li>U bi\u1ec7t h\u00f3a th\u1ea5p, x\u00e2m l\u1ea5n h\u1ea1ch<\/li>\n<li>Ph\u1eabu thu\u1eadt kh\u00f4ng \u0111\u1ea3m b\u1ea3o s\u1ea1ch h\u1ebft c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 trong c\u00e1c ph\u01b0\u01a1ng \u00e1n b\u00f3c t\u00e1ch u, ph\u1eabu thu\u1eadt h\u00ecnh ch\u00eam ho\u1eb7c v\u00e9t h\u1ea1ch kh\u00f4ng \u0111\u1ea3m b\u1ea3o.<\/li>\n<li>K\u00edch th\u01b0\u1edbc kh\u1ed1i u &gt; 4cm, x\u00e2m l\u1ea5n l\u00e1 t\u1ea1ng m\u00e0ng ph\u1ed5i.<\/li>\n<\/ul>\n<\/li>\n<li>H\u00f3a x\u1ea1 \u0111\u1ed3ng th\u1eddi b\u1ed5 tr\u1ee3 n\u1ebfu di\u1ec7n c\u1eaft d\u01b0\u01a1ng t\u00ednh<\/li>\n<\/ul>\n<\/li>\n<li>H\u00f3a ch\u1ea5t t\u00e2n b\u1ed5 tr\u1ee3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc kh\u1ed1i u tr\u01b0\u1edbc, sau \u0111\u00f3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf kh\u1ed1i u.<\/li>\n<li>H\u00f3a x\u1ea1 \u0111\u1ed3ng th\u1eddi tri\u1ec7t c\u0103n\n<ul>\n<li>Giai \u0111o\u1ea1n IIIB ho\u1eb7c giai \u0111o\u1ea1n IIIA m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c<\/li>\n<li>T\u00e1c d\u1ee5ng\u00a0 tr\u1ee3 cho tia x\u1ea1<\/li>\n<\/ul>\n<\/li>\n<li>H\u00f3a ch\u1ea5t giai \u0111o\u1ea1n IV<\/li>\n<\/ul>\n<h3>2.2. Ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o nh\u1ecf (SCLC)<\/h3>\n<p>Ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o nh\u1ecf c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u h\u01a1n do b\u1ec7nh ti\u1ebfn tri\u1ec3n nhanh v\u00e0 t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t cao. Tuy nhi\u00ean ch\u00fang th\u01b0\u1eddng nh\u1ea1y c\u1ea3m h\u01a1n v\u1edbi h\u00f3a ch\u1ea5t v\u00e0 tia x\u1ea1.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb SCLC d\u1ef1a v\u00e0o m\u1ee9c \u0111\u1ed9 khu tr\u00fa c\u1ee7a kh\u1ed1i u. Theo \u0111\u00f3, tr\u00ean l\u00e2m s\u00e0ng ng\u01b0\u1eddi ta chia SCLC th\u00e0nh 2 giai \u0111o\u1ea1n:<\/p>\n<ul>\n<li><strong>Giai \u0111o\u1ea1n khu tr\u00fa:<\/strong><\/li>\n<\/ul>\n<p>L\u00fac n\u00e0y, t\u1ed5n th\u01b0\u01a1ng c\u00f2n \u1edf 1 b\u00ean l\u1ed3ng ng\u1ef1c, u v\u00e0 h\u1ea1ch x\u00e2m l\u1ea5n t\u1ea1i v\u00f9ng v\u1eabn n\u1eb1m trong 1 tr\u01b0\u1eddng x\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u0103n b\u1ea3n \u0111\u01b0\u1ee3c d\u00f9ng \u1edf giai \u0111o\u1ea1n n\u00e0y l\u00e0 h\u00f3a x\u1ea1 tr\u1ecb \u0111\u1ed3ng th\u1eddi. Ng\u01b0\u1eddi ta chi\u1ebfu tia x\u1ea1 v\u00e0o v\u00f9ng u, h\u1ea1ch trung th\u1ea5t v\u00e0 h\u1ea1ch th\u01b0\u1eddng \u0111\u00f2n c\u00f9ng b\u00ean v\u1edbi li\u1ec1u x\u1ea1 65Gy. H\u00f3a ch\u1ea5t \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p tu\u1ea7n t\u1ef1 ho\u1eb7c \u0111\u1ed3ng th\u1eddi v\u1edbi x\u1ea1 tr\u1ecb.<\/p>\n<p>\u0110\u1ed1i v\u1edbi kh\u1ed1i u \u1edf giai \u0111o\u1ea1n T1-2 N0 M0, ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u01b0u ti\u00ean l\u1ef1a ch\u1ecdn.<\/p>\n<p>Sau khi \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb, x\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 d\u1ef1 ph\u00f2ng di c\u0103n n\u00e3o.<\/p>\n<ul>\n<li><strong>Giai \u0111o\u1ea1n lan tr\u00e0n:<\/strong><\/li>\n<\/ul>\n<p>Khi t\u1ed5n th\u01b0\u01a1ng v\u01b0\u1ee3t qu\u00e1 1 b\u00ean l\u1ed3ng ng\u1ef1c, kh\u00f4ng c\u00f9ng n\u1eb1m trong 1 tr\u01b0\u1eddng x\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c. \u1ede giai \u0111o\u1ea1n n\u00e0y, h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c \u01b0u ti\u00ean s\u1eed d\u1ee5ng, k\u00e8m v\u1edbi x\u1ea1 tr\u1ecb d\u1ef1 ph\u00f2ng di c\u0103n n\u00e3o.<\/p>\n<p>T\u00f3m l\u1ea1i, vi\u1ec7c l\u1ef1a ch\u1ecdn \u0111\u00fang ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng trong vi\u1ec7c c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, t\u0103ng kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m ph\u00e2n lo\u1ea1i v\u00e0 giai \u0111o\u1ea1n ung th\u01b0, t\u00ednh ch\u1ea5t kh\u1ed1i u v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u0169ng gi\u00fap b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh c\u00f3 th\u1ec3 tham gia [&hellip;]<\/p>\n","protected":false},"author":61,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"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 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i - Vinmec<\/title>\n<meta name=\"description\" content=\"L\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1. 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