{"id":19621,"date":"2023-04-14T15:03:40","date_gmt":"2023-04-14T08:03:40","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19621"},"modified":"2023-04-14T16:26:16","modified_gmt":"2023-04-14T09:26:16","slug":"tang-ap-luc-dong-mach-phoi-do-san-mang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/","title":{"rendered":"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng"},"content":{"rendered":"<p><strong>B\u1ec7nh s\u00e1n m\u00e1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 do S.mansoni, \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (schistosome-related pulmonary arterial hypertension, vi\u1ebft t\u1eaft Sch-PAH). C\u00e1c c\u01a1 ch\u1ebf g\u00e2y b\u1ec7nh c\u01a1 ch\u1ebf g\u00e2y b\u1ec7nh c\u01a1 b\u1ea3n c\u1ee7a b\u1ec7nh n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. B\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3 cho th\u1ea5y tr\u1ee9ng c\u1ee7a s\u00e1n m\u00e1ng \u0111\u1ebfn ph\u1ed5i th\u00f4ng qua c\u00e1c shunt\u00a0 \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh do h\u1eadu qu\u1ea3 c\u1ee7a t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda do b\u1ec7nh s\u00e1n m\u00e1ng gan l\u00e1ch. Sau \u0111\u00e2y, ch\u00fang ta c\u00f9ng t\u00ecm hi\u1ec3u chi ti\u1ebft h\u01a1n v\u1ec1 b\u1ec7nh l\u00fd nguy hi\u1ec3m n\u00e0y.<\/strong><\/p>\n<h2>1. Sinh b\u1ec7nh h\u1ecdc v\u00e0 qu\u00e1 tr\u00ecnh nhi\u1ec5m k\u00fd sinh tr\u00f9ng s\u00e1n m\u00e1ng<\/h2>\n<h3>1.1 Sinh b\u1ec7nh h\u1ecdc<\/h3>\n<p>Qu\u00e1 tr\u00ecnh nhi\u1ec5m tr\u00f9ng s\u00e1n m\u00e1ng \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i th\u00e0nh 3 giai \u0111o\u1ea1n bao g\u1ed3m: giai \u0111o\u1ea1n c\u1ea5p t\u00ednh, giai \u0111o\u1ea1n b\u00e1n c\u1ea5p v\u00e0 giai \u0111o\u1ea1n m\u1ea1n t\u00ednh. B\u1ec7nh l\u00fd t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng (Sch-PAH) th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf giai \u0111o\u1ea1n m\u1ea1n t\u00ednh. C\u00e1c \u1ea5u tr\u00f9ng s\u00e1n sau khi ph\u00e1t tri\u1ec3n ho\u00e0n thi\u1ec7n th\u00ec di chuy\u1ec3n xu\u1ed1ng gan. Ta\u1ecb \u0111\u00e2y, ch\u00fang k\u1ebft h\u1ee3p v\u1edbi nhau t\u1ea1i v\u1ecb tr\u00ed t\u0129nh m\u1ea1ch c\u1eeda \u0111\u1ec3 \u0111\u1ebb tr\u1ee9ng. T\u00ecnh tr\u1ea1ng vi\u00eam u h\u1ea1t quanh tr\u1ee9ng g\u00e2y n\u00ean thuy\u00ean t\u1eafc v\u00f9ng t\u0129nh m\u1ea1ch c\u1eeda c\u1ee7a gan. Giai \u0111o\u1ea1n \u0111\u1ea7u c\u00f3 th\u1ec3 g\u00e2y ra gan to. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, nhi\u1ec5m tr\u00f9ng trong m\u1ed9t th\u1eddi gian d\u00e0i, l\u1eafng \u0111\u1ecdng collagen t\u1ea1i t\u0129nh m\u1ea1ch c\u1eeda g\u00e2y x\u01a1 h\u00f3a, t\u1eafc d\u1ea7n c\u00e1c nh\u00e1nh cu\u1ed1i c\u1ee7a t\u0129nh m\u1ea1ch c\u1eeda g\u00e2y t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch c\u1eeda. Tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 th\u1ea5y bi\u1ec3u hi\u1ec7n l\u00e1ch to, tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7 c\u1eeda ch\u1ee7, gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, xu\u1ea5t hi\u1ec7n c\u00e1c shunt&#8230;<\/p>\n<p>C\u00e1c shunt xu\u1ea5t hi\u1ec7n do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda trong b\u1ec7nh s\u00e1n m\u00e1ng cho ph\u00e9p c\u00e1c tr\u1ee9ng c\u1ee7a \u1ea5u tr\u00f9ng t\u1eeb h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch c\u1eeda \u0111\u1ebfn tu\u1ea7n ho\u00e0n t\u0129nh m\u1ea1ch h\u1ec7 th\u1ed1ng v\u00e0 sau \u0111\u00f3 \u0111\u1ebfn ph\u1ed5i. T\u1ea1i ph\u1ed5i, ti\u1ebfp t\u1ee5c hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam u h\u1ea1t quanh tr\u1ee9ng t\u1ea1i nhu m\u00f4 ph\u1ed5i v\u00e0 m\u1ea1ch m\u00e1u ph\u1ed5i g\u00e2y n\u00ean hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<\/p>\n<h3>1.2 Qu\u00e1 tr\u00ecnh nhi\u1ec5m tr\u00f9ng c\u1ee7a s\u00e1n m\u00e1ng<\/h3>\n<p>Tr\u1ee9ng s\u00e1n <strong>Schistosoma <\/strong>\u0111\u01b0\u1ee3c th\u1ea3i ra m\u00f4i tr\u01b0\u1eddng th\u00f4ng qua ph\u00e2n ho\u1eb7c n\u01b0\u1edbc ti\u1ec3u. Tr\u1ee9ng \u0111\u1ebfn n\u01b0\u1edbc ng\u1ecdt gi\u1ea3i ph\u00f3ng \u1ea5u tr\u00f9ng s\u00e1ng m\u00e1ng c\u00f3 l\u00f4ng, b\u01a1i t\u1ef1 do trong n\u01b0\u1edbc. Khi g\u1eb7p v\u1eadt ch\u1ee7 trung gian, ch\u00fang s\u1ebd l\u00e2y nhi\u1ec5m sang v\u1eadt ch\u1ee7 trung gian. Sau khi nh\u00e2n l\u00ean v\u00f4 t\u00ednh th\u00e0nh b\u00e0o t\u1eed v\u00e0 sau \u0111\u00f3 th\u00e0nh \u1ea5u tr\u00f9ng c\u00f3 \u0111u\u00f4i, ch\u00fang b\u1ecb chui ra kh\u1ecfi v\u1eadt ch\u1ee7 trung gian. Khi con ng\u01b0\u1eddi ti\u1ebfp x\u00fac v\u1edbi ch\u00fang, ch\u00fang s\u1ebd x\u00e2m nh\u1eadp v\u00e0o da, m\u1ea5t \u0111u\u00f4i ph\u00e2n nh\u00e1nh bi\u1ebfn th\u00e0nh Schistosomula, di chuy\u1ec3n trong m\u00e1u \u0111\u1ebfn ph\u1ed5i v\u00e0 sau \u0111\u00f3 \u0111\u1ebfn gan, n\u01a1i ch\u00fang ph\u00e1t tri\u1ec3n, tr\u01b0\u1edfng th\u00e0nh, giao ph\u1ed1i v\u00e0 \u0111i theo con \u0111\u01b0\u1eddng \u0111\u1ebfn t\u0129nh m\u1ea1ch m\u1ea1c treo c\u1ee7a \u0111\u1ea1i tr\u00e0ng (S. <em>mansoni<\/em>), ru\u1ed9t non (S.\u00a0<em>japonicum<\/em>) ho\u1eb7c \u0111\u00e1m r\u1ed1i v\u00f9ng ch\u1eadu (<em>S. haematobium<\/em>), n\u01a1i tr\u1ee9ng \u0111\u01b0\u1ee3c \u0111\u1ebb . Kho\u1ea3ng m\u1ed9t ph\u1ea7n ba s\u1ed1 tr\u1ee9ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf qua ph\u00e2n ho\u1eb7c n\u01b0\u1edbc ti\u1ec3u. Nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf v\u1eabn b\u1ecb m\u1eafc k\u1eb9t trong th\u00e0nh ru\u1ed9t ho\u1eb7c b\u00e0ng quang, ho\u1eb7c \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n b\u1eb1ng m\u00e1u \u0111\u1ebfn gan ho\u1eb7c c\u00e1c c\u01a1 quan kh\u00e1c . Tr\u1ee9ng b\u1ecb m\u1eafc k\u1eb9t v\u00e0o c\u00e1c m\u00f4 g\u00e2y ra ph\u1ea3n \u1ee9ng u h\u1ea1t quanh tr\u1ee9ng qua trung gian t\u1ebf b\u00e0o. Khi nhi\u1ec5m tr\u00f9ng ti\u1ebfn tri\u1ec3n, u h\u1ea1t nh\u1ecf h\u01a1n ti\u1ebfn tri\u1ec3n, d\u1ea7n d\u1ea7n \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng hi\u1ec7n t\u01b0\u1ee3ng x\u01a1 h\u00f3a. Do \u0111\u00f3, trong nhi\u1ec5m tr\u00f9ng mu\u1ed9n, c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u0111\u1eb7c hi\u1ec7u c\u1ee7a c\u01a1 quan th\u01b0\u1eddng t\u01b0\u01a1ng quan tr\u1ef1c ti\u1ebfp v\u1edbi c\u01b0\u1eddng \u0111\u1ed9 nhi\u1ec5m tr\u00f9ng, v\u00e0 ch\u1ee7 y\u1ebfu qua trung gian l\u00e0 vi\u00eam do tr\u1ee9ng v\u00e0 ph\u1ea3n \u1ee9ng u h\u1ea1t.<\/p>\n<figure id=\"attachment_19674\" aria-describedby=\"caption-attachment-19674\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19674\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/chu-trinh-phat-trien-cua-loai-san-mang-gay-tang-ap-luc-dong-mach-phoi-300x220.png\" alt=\"chu tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a lo\u00e0i s\u00e1n m\u00e1ng g\u00e2y t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i\" width=\"300\" height=\"220\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/chu-trinh-phat-trien-cua-loai-san-mang-gay-tang-ap-luc-dong-mach-phoi-300x220.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/chu-trinh-phat-trien-cua-loai-san-mang-gay-tang-ap-luc-dong-mach-phoi-1024x750.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/chu-trinh-phat-trien-cua-loai-san-mang-gay-tang-ap-luc-dong-mach-phoi-768x563.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/chu-trinh-phat-trien-cua-loai-san-mang-gay-tang-ap-luc-dong-mach-phoi.png 1280w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19674\" class=\"wp-caption-text\">Chu tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a lo\u00e0i s\u00e1n m\u00e1ng g\u00e2y t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<\/figcaption><\/figure>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng<\/h2>\n<h3>2.1 Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh<\/h3>\n<p>Hi\u1ec7n nay, Sch-PAH \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c ti\u00eau ch\u00ed sau:<\/p>\n<ul>\n<li>Tri\u1ec7u ch\u1ee9ng: \u0111au ng\u1ef1c, kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c, xu\u1ea5t hi\u1ec7n c\u00e1c tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7, m\u1ec7t v\u00e0 c\u00f3 th\u1ec3 ng\u1ea5t.<\/li>\n<li>\u00c1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i trung b\u00ecnh &gt;20 mmHg, \u00e1p l\u1ef1c n\u1ec1n \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u226415 mmHg (ti\u00eau ch\u00ed hi\u1ec7n t\u1ea1i c\u1ee7a pH ti\u1ec1n mao m\u1ea1ch) li\u00ean quan \u0111\u1ebfn s\u1ee9c c\u1ea3n m\u1ea1ch m\u00e1u ph\u1ed5i &gt;3 WU, \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 khi ngh\u1ec9 ng\u01a1i b\u1eb1ng c\u00e1ch \u0111\u1eb7t \u1ed1ng th\u00f4ng tim ph\u1ea3i.<\/li>\n<li>Ti\u1ec1n s\u1eed nhi\u1ec5m b\u1ec7nh s\u00e1n m\u00e1ng, \u0111\u01b0\u1ee3c ch\u1ee9ng minh b\u1eb1ng s\u1ef1 hi\u1ec7n di\u1ec7n hi\u1ec7n t\u1ea1i ho\u1eb7c tr\u01b0\u1edbc \u0111\u00f3 c\u1ee7a tr\u1ee9ng s\u00e1n m\u00e1ng khi kh\u00e1m ph\u00e2n ho\u1eb7c sinh thi\u1ebft tr\u1ef1c tr\u00e0ng, \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u s\u00e1n m\u00e1ng tr\u01b0\u1edbc \u0111\u00f3, ho\u1eb7c ph\u01a1i nhi\u1ec5m tr\u01b0\u1edbc v\u1edbi nhi\u1ec5m tr\u00f9ng \u1edf v\u00f9ng l\u01b0u h\u00e0nh d\u1ecbch b\u1ec7nh s\u00e1n m\u00e1ng.<\/li>\n<li>K\u1ebft qu\u1ea3 si\u00eau \u00e2m ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh s\u00e1n m\u00e1ng gan l\u00e1ch, bao g\u1ed3m x\u01a1 h\u00f3a quanh t\u0129nh m\u1ea1ch c\u1eeda, m\u1edf r\u1ed9ng th\u00f9y tr\u00e1i c\u1ee7a gan v\u00e0 d\u00e0y th\u00e0nh t\u00fai m\u1eadt, li\u00ean quan \u0111\u1ebfn c\u00e1c d\u1ea5u hi\u1ec7u t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda nh\u01b0 l\u00e1ch to v\u00e0 c\u00e1c shunt t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n<h3>2.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h3>\n<p>C\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a Sch-PAH r\u1ea5t kh\u00f3 \u0111\u1ec3 ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c. Tuy nhi\u00ean, c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1edbi c\u00e1c nh\u00f3m b\u1ec7nh sau:<\/p>\n<ul>\n<li>T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i li\u00ean quan t\u1edbi tim tr\u00e1i.<\/li>\n<li>T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do huy\u1ebft kh\u1ed1i m\u1ea1n t\u00ednh<\/li>\n<\/ul>\n<h2>3. \u0110i\u1ec1u tr\u1ecb<\/h2>\n<ul>\n<li>Tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam b\u1ec7nh (v\u00ed d\u1ee5 nh\u01b0 h\u00fat thu\u1ed1c l\u00e1, s\u1ed1ng n\u01a1i qu\u00e1 cao, mang thai, s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m)<\/li>\n<li>S\u1eed d\u1ee5ng c\u00e1c nh\u00f3m thu\u1ed1c bao g\u1ed3m g\u1ed3m c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf phosphodiesterase lo\u1ea1i 5 (sildenafil v\u00e0 tadalafil) v\u00e0 c\u00e1c ch\u1ea5t k\u00edch th\u00edch guanylyl cyclase h\u00f2a tan (riociguat); con \u0111\u01b0\u1eddng endothelin-1 (ET-1), bao g\u1ed3m c\u00e1c ch\u1ea5t \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 (bosentan, ambrisentan v\u00e0 macitentan); v\u00e0 con \u0111\u01b0\u1eddng prostacyclin (PGI2), bao g\u1ed3m c\u00e1c ch\u1ea5t t\u01b0\u01a1ng t\u1ef1 prostacyclin (epoprostenol, treprostinil v\u00e0 iloprost).<\/li>\n<li>Li\u1ec7u ph\u00e1p h\u1ed7 tr\u1ee3: Th\u1edf oxy, thu\u1ed1c l\u1ee3i ti\u1ec3u, v\u00e0\/ho\u1eb7c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/li>\n<li>Ph\u1eabu thu\u1eadt: gh\u00e9p ph\u1ed5i<\/li>\n<\/ul>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/tang-ap-luc-dong-mach-phoi-co-nguy-hiem\/#:~:text=T%C4%83ng%20%C3%A1p%20l%E1%BB%B1c%20%C4%91%E1%BB%99ng%20m%E1%BA%A1ch%20ph%E1%BB%95i%20l%C3%A0%20g%C3%AC%3F,c%E1%BB%A7a%20c%C3%A1c%20y%E1%BA%BFu%20t%E1%BB%91%20tr%C3%AAn.\">T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u00f3 nguy hi\u1ec3m? | Vinmec<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh s\u00e1n m\u00e1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 do S.mansoni, \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (schistosome-related pulmonary arterial hypertension, vi\u1ebft t\u1eaft Sch-PAH). C\u00e1c c\u01a1 ch\u1ebf g\u00e2y b\u1ec7nh c\u01a1 ch\u1ebf g\u00e2y b\u1ec7nh c\u01a1 b\u1ea3n c\u1ee7a b\u1ec7nh n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. B\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3 cho [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"U h\u1ea1t quanh tr\u1ee9ng s\u00e1n m\u00e1ng t\u1ea1i nhu m\u00f4 ph\u1ed5i v\u00e0 m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam v\u00e0 x\u01a1. Cu\u1ed1i c\u00f9ng d\u1eabn t\u1edbi t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.\" \/>\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=\"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng - Vinmec\" \/>\n<meta property=\"og:description\" content=\"U h\u1ea1t quanh tr\u1ee9ng s\u00e1n m\u00e1ng t\u1ea1i nhu m\u00f4 ph\u1ed5i v\u00e0 m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam v\u00e0 x\u01a1. Cu\u1ed1i c\u00f9ng d\u1eabn t\u1edbi t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-14T08:03:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T09:26:16+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/chu-trinh-phat-trien-cua-loai-san-mang-gay-tang-ap-luc-dong-mach-phoi-300x220.png\" \/>\n<meta name=\"author\" content=\"Duyet Vu Hong\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Duyet Vu Hong\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/\",\"name\":\"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-14T08:03:40+00:00\",\"dateModified\":\"2023-04-14T09:26:16+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b3acb87ab3cf5a5e1c05914874837021\"},\"description\":\"U h\u1ea1t quanh tr\u1ee9ng s\u00e1n m\u00e1ng t\u1ea1i nhu m\u00f4 ph\u1ed5i v\u00e0 m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam v\u00e0 x\u01a1. Cu\u1ed1i c\u00f9ng d\u1eabn t\u1edbi t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng\"}]},{\"@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\/b3acb87ab3cf5a5e1c05914874837021\",\"name\":\"Duyet Vu Hong\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g\",\"caption\":\"Duyet Vu Hong\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/vuhongduyethmugmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng - Vinmec","description":"U h\u1ea1t quanh tr\u1ee9ng s\u00e1n m\u00e1ng t\u1ea1i nhu m\u00f4 ph\u1ed5i v\u00e0 m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam v\u00e0 x\u01a1. Cu\u1ed1i c\u00f9ng d\u1eabn t\u1edbi t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.","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":"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng - Vinmec","og_description":"U h\u1ea1t quanh tr\u1ee9ng s\u00e1n m\u00e1ng t\u1ea1i nhu m\u00f4 ph\u1ed5i v\u00e0 m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam v\u00e0 x\u01a1. Cu\u1ed1i c\u00f9ng d\u1eabn t\u1edbi t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/","og_site_name":"Vinmec","article_published_time":"2023-04-14T08:03:40+00:00","article_modified_time":"2023-04-14T09:26:16+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/chu-trinh-phat-trien-cua-loai-san-mang-gay-tang-ap-luc-dong-mach-phoi-300x220.png"}],"author":"Duyet Vu Hong","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Duyet Vu Hong","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/","name":"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-14T08:03:40+00:00","dateModified":"2023-04-14T09:26:16+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b3acb87ab3cf5a5e1c05914874837021"},"description":"U h\u1ea1t quanh tr\u1ee9ng s\u00e1n m\u00e1ng t\u1ea1i nhu m\u00f4 ph\u1ed5i v\u00e0 m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam v\u00e0 x\u01a1. Cu\u1ed1i c\u00f9ng d\u1eabn t\u1edbi t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tang-ap-luc-dong-mach-phoi-do-san-mang\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do s\u00e1n m\u00e1ng"}]},{"@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\/b3acb87ab3cf5a5e1c05914874837021","name":"Duyet Vu Hong","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g","caption":"Duyet Vu Hong"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/vuhongduyethmugmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/19621"}],"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\/26"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=19621"}],"version-history":[{"count":9,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/19621\/revisions"}],"predecessor-version":[{"id":20785,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/19621\/revisions\/20785"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=19621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=19621"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=19621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}