{"id":20486,"date":"2023-04-14T12:37:00","date_gmt":"2023-04-14T05:37:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20486"},"modified":"2023-04-17T14:40:42","modified_gmt":"2023-04-17T07:40:42","slug":"quan-ly-dau-trong-rang-ham-mat-chien-luoc-cu-the","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/quan-ly-dau-trong-rang-ham-mat-chien-luoc-cu-the\/","title":{"rendered":"Qu\u1ea3n l\u00fd \u0111au trong R\u0103ng H\u00e0m M\u1eb7t – Chi\u1ebfn l\u01b0\u1ee3c c\u1ee5 th\u1ec3."},"content":{"rendered":"

S\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 qu\u1ea3n l\u00fd \u0111au kh\u00f4ng ch\u1ec9 gi\u00fap b\u1ec7nh nh\u00e2n h\u1ecdc c\u00e1ch \u0111\u1ec3 tham gia v\u00e0o ki\u1ec3m so\u00e1t c\u01a1n \u0111au c\u1ee7a ri\u00eang m\u00ecnh, m\u00e0 c\u00f2n gi\u00fap c\u00e1c b\u00e1c s\u0129 t\u1ea1o ra m\u1ed9t m\u00f4i tr\u01b0\u1eddng thu\u1eadn l\u1ee3i khi l\u00e0m vi\u1ec7c gi\u00fap b\u1ec7nh nh\u00e2n gi\u1ea3m b\u1edbt c\u0103ng th\u1eb3ng, c\u1ea3i thi\u1ec7n t\u00e2m tr\u1ea1ng lo \u00e2u, t\u1eadp trung ch\u00fa \u00fd v\u00e0o v\u1ea5n \u0111\u1ec1 kh\u00e1c \u0111\u1ec3 gi\u1ea3m \u0111au. C\u00f9ng t\u00ecm hi\u1ec3u trong b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n

\"quan-ly-dau\"
Qu\u1ea3n l\u00fd \u0111au t\u1ed1t s\u1ebd gi\u00fap thu\u1eadn l\u1ee3i h\u01a1n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb Nha khoa<\/figcaption><\/figure>\n

1. \u0110\u1ecbnh h\u01b0\u1edbng chi\u1ebfn l\u01b0\u1ee3c qu\u1ea3n l\u00fd \u0111au trong R\u0103ng H\u00e0m M\u1eb7t<\/h2>\n

Chi\u1ebfn l\u01b0\u1ee3c qu\u1ea3n l\u00fd v\u00e0 ki\u1ec3m so\u00e1t \u0111au \u0111\u01b0\u1ee3c xem nh\u01b0 m\u1ed9t chu\u1ed7i li\u00ean t\u1ee5c v\u00e0 ph\u1ed1i h\u1ee3p, b\u1ed5 sung l\u1eabn nhau, trong \u0111\u00f3 m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt ph\u1ea7n l\u1edbn d\u1ef1a tr\u00ean t\u00e2m l\u00fd h\u1ecdc v\u00e0 m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt ph\u1ea7n l\u1edbn d\u1ef1a tr\u00ean d\u01b0\u1ee3c l\u00fd h\u1ecdc. Nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh th\u1ea7n kinh \u0111\u00e3 \u0111\u01b0a ra c\u01a1 s\u1edf sinh l\u00fd cho s\u1ef1 \u0111i\u1ec1u ch\u1ec9nh t\u00e2m l\u00fd \u0111au, v\u1edbi c\u00e1c ho\u1ea1t \u0111\u1ed9ng trong qu\u00e1 tr\u00ecnh nh\u1eadn bi\u1ebft \u0111au \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 th\u1ec3 b\u1ecb thay \u0111\u1ed5i b\u1edfi tr\u1ea1ng th\u00e1i t\u1eadp trung, c\u1ea3m x\u00fac t\u00edch c\u1ef1c v\u00e0 ti\u00eau c\u1ef1c, s\u1ef1 \u0111\u1ed3ng c\u1ea3m, s\u1ef1 \u00e1m th\u1ecb th\u00f4i mi\u00ean, quan \u0111i\u1ec3m th\u00e1i \u0111\u1ed9, s\u1ef1 k\u1ef3 v\u1ecdng v\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng gi\u1ea3 d\u01b0\u1ee3c. C\u00e1c y\u1ebfu t\u1ed1 t\u00e2m l\u00fd k\u00edch ho\u1ea1t h\u1ec7 th\u1ed1ng \u0111i\u1ec1u ch\u1ec9nh \u0111au (modulatory) n\u1ed9i t\u1ea1i trong n\u00e3o, gi\u1ed1ng nh\u01b0 nh\u1eefng thay \u0111\u1ed5i \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t khi s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 l\u00e0m gi\u1ea3m \u0111au. \u0110\u00e2y l\u00e0 \u0111i\u1ec1u quan tr\u1ecdng \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 r\u0103ng h\u00e0m m\u1eb7t v\u00e0 b\u1ec7nh nh\u00e2n hi\u1ec3u \u0111\u01b0\u1ee3c \u1ea3nh h\u01b0\u1edfng c\u1ee7a tr\u1ea1ng th\u00e1i t\u00e2m l\u00fd \u0111\u1ed1i v\u1edbi s\u1ef1 lan truy\u1ec1n \u0111au. S\u1ef1 hi\u1ec3u bi\u1ebft \u0111\u00f3 s\u1ebd kh\u00f4ng ch\u1ec9 gi\u00fap b\u1ec7nh nh\u00e2n h\u1ecdc c\u00e1ch \u0111\u1ec3 tham gia v\u00e0o ki\u1ec3m so\u00e1t c\u01a1n \u0111au c\u1ee7a ri\u00eang m\u00ecnh, m\u00e0 c\u00f2n gi\u00fap c\u00e1c b\u00e1c s\u0129 t\u1ea1o ra m\u1ed9t m\u00f4i tr\u01b0\u1eddng thu\u1eadn l\u1ee3i khi l\u00e0m vi\u1ec7c gi\u00fap b\u1ec7nh nh\u00e2n gi\u1ea3m b\u1edbt c\u0103ng th\u1eb3ng, c\u1ea3i thi\u1ec7n t\u00e2m tr\u1ea1ng lo \u00e2u, t\u1eadp trung ch\u00fa \u00fd v\u00e0o v\u1ea5n \u0111\u1ec1 kh\u00e1c \u0111\u1ec3 gi\u1ea3m \u0111au.<\/span><\/p>\n

2. M\u1ed9t s\u1ed1 chi\u1ebfn l\u01b0\u1ee3c c\u1ee5 th\u1ec3<\/h2>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u ch\u1ec9nh c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng ch\u1ecdn l\u1ecdc tr\u00ean c\u00e1c c\u01a1 quan nh\u1eadn c\u1ea3m c\u1ea3m gi\u00e1c ho\u1eb7c bi\u1ec3u l\u1ed9 c\u1ea3m x\u00fac c\u1ee7a h\u1ec7 th\u1ed1ng nh\u1eadn c\u1ea3m \u0111au ho\u1eb7c c\u1ea3 hai.<\/span><\/p>\n

B\u00e1c s\u0129 r\u0103ng h\u00e0m m\u1eb7t c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng s\u1ef1 t\u1eadp trung v\u00e0 c\u1ea3m x\u00fac \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n b\u1eb1ng li\u1ec7u ph\u00e1p th\u01b0 gi\u00e3n v\u00e0 l\u00e0m gi\u1ea3m ch\u00fa \u00fd (ph\u00e2n t\u00e2m).<\/span><\/em><\/span><\/p>\n

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  • C\u1ea3 s\u1ef1 ph\u00e2n t\u00e2m v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng c\u1ea3m x\u00fac d\u01b0\u01a1ng t\u00ednh \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i c\u1ea3m gi\u00e1c \u0111au, v\u00e0 n\u00f3 t\u00e1c \u0111\u1ed9ng th\u00f4ng qua h\u1ec7 th\u1ed1ng \u0111i\u1ec1u ti\u1ebft \u0111\u1ed9c l\u1eadp nhau. Do \u0111\u00f3, b\u1ea5t k\u00ec ho\u1ea1t \u0111\u1ed9ng n\u00e0o l\u00e0m chuy\u1ec3n h\u01b0\u1edbng s\u1ef1 ch\u00fa \u00fd t\u1eeb m\u1ed9t th\u1ee7 thu\u1eadt (c\u00e1ch th\u1ee9c) \u0111au \u0111\u1edbn v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ecdng c\u1ea3m x\u00fac c\u1ee7a b\u1ec7nh nh\u00e2n th\u00ec \u0111\u1ec1u c\u00f3 th\u1ec3 h\u1eefu \u00edch trong th\u1ef1c h\u00e0nh r\u0103ng h\u00e0m m\u1eb7t.<\/span><\/li>\n
  • C\u00e1c th\u1ee7 thu\u1eadt trong r\u0103ng h\u00e0m m\u1eb7t th\u01b0\u1eddng xuy\u00ean g\u00e2y lo l\u1eafng cho b\u1ec7nh nh\u00e2n. Do s\u1ef1 lo l\u1eafng v\u00e0 stress s\u1ebd l\u00e0m t\u0103ng c\u1ea3m nh\u1eadn \u0111au, n\u00ean vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p nh\u1eb1m gi\u1ea3m lo l\u1eafng, c\u1ea3i thi\u1ec7n t\u00e2m tr\u1ea1ng c\u0169ng nh\u01b0 l\u00e0m b\u1ec7nh nh\u00e2n ph\u00e2n t\u00e2m kh\u00e1 quan tr\u1ecdng. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c trong ph\u00f2ng kh\u00e1m nh\u01b0 m\u1edf nh\u1ea1c. xem c\u00e1c b\u1ed9 phim h\u00e0i h\u01b0\u1edbc tr\u00ean m\u1ed9t m\u00e0n h\u00ecnh ngay tr\u01b0\u1edbc gh\u1ebf r\u0103ng (ho\u1eb7c v\u1edbi h\u1ec7 th\u1ed1ng k\u00ednh m\u1eaft) ho\u1eb7c d\u00f9ng c\u00e1c m\u00f9i h\u01b0\u01a1ng d\u1ec5 ch\u1ecbu trong ph\u00f2ng kh\u00e1m. H\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n h\u00edt s\u00e2u th\u1edf \u0111\u1ec1u c\u0169ng gi\u00fap th\u01b0 gi\u00e3n c\u01a1 ho\u1eb7c \u0111i\u1ec1u h\u00f2a l\u01b0u l\u01b0\u1ee3ng m\u00e1u qua \u0111\u00f3 l\u00e0m gi\u1ea3m \u0111au. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au tr\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.<\/span><\/li>\n
  • Tuy nhi\u00ean, ch\u00fang ta c\u1ea7n bi\u1ebft r\u1eb1ng kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi c\u00f9ng m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. V\u00ed d\u1ee5, m\u1ed9t s\u1ed1 nh\u00e0 nghi\u00ean c\u1ee9u nh\u1eadn th\u1ea5y c\u1ea3 hai ph\u01b0\u01a1ng ph\u00e1p th\u01b0 gi\u00e3n ng\u1eafn v\u00e0 ph\u00e2n t\u00e2m b\u1eb1ng \u00e2m nh\u1ea1c \u0111\u1ec1u l\u00e0m gi\u1ea3m lo l\u1eafng \u0111\u00e1ng k\u1ec3 trong r\u0103ng h\u00e0m m\u1eb7t, nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p th\u01b0 gi\u00e3n c\u00f3 hi\u1ec7u qu\u1ea3 r\u00f5 r\u1ec7t h\u01a1n v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n lo l\u1eafng nhi\u1ec1u, trong khi ph\u01b0\u01a1ng ph\u00e1p g\u00e2y ph\u00e2n t\u00e2m b\u1eb1ng \u00e2m nh\u1ea1c kh\u00f4ng \u0111\u1ea1t hi\u1ec7u qu\u1ea3 b\u1eb1ng. Do \u0111\u00f3, vi\u1ec7c thu th\u1eadp c\u00e1c th\u00f4ng tin li\u00ean quan \u0111\u1ebfn \u0111\u1eb7c \u0111i\u1ec3m t\u00ednh c\u00e1ch c\u1ee7a b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi l\u00e0m th\u1ee7 thu\u1eadt s\u1ebd gi\u00fap b\u00e1c s\u0129 l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c chi\u1ebfn l\u01b0\u1ee3c (kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c) \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 lo l\u1eafng c\u00f3 hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/span><\/li>\n
  • Cu\u1ed1i c\u00f9ng, thu h\u00fat b\u1ec7nh nh\u00e2n v\u00e0o nh\u1eefng ho\u1ea1t \u0111\u1ed9ng l\u00e0m ph\u00e2n t\u00e2m gi\u1ea3m ch\u00fa \u00fd trong giai \u0111o\u1ea1n ph\u1ee5c h\u1ed3i sau ph\u1eabu thu\u1eadt c\u0169ng kh\u00e1 h\u1eefu \u00edch. Levine v\u00e0 c\u1ed9ng s\u1ef1 b\u00e1o c\u00e1o nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1ea5y r\u0103ng kh\u00f4n h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi cho th\u1ea5y \u0111au sau nh\u1ecf nhi\u1ec1u h\u01a1n n\u1ebfu \u0111\u01b0\u1ee3c h\u1ecfi m\u00f4 t\u1ea3 c\u1ea3m gi\u00e1c \u0111au c\u1eed 20 ph\u00fat m\u1ed9t l\u1ea7n h\u01a1n l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u1ecfi m\u1ed9t ti\u1ebfng m\u1ed9t l\u1ea7n.<\/span><\/li>\n<\/ul>\n

    Cung c\u1ea5p th\u00f4ng tin ch\u00ednh x\u00e1c chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u00e0 th\u1ee7 thu\u1eadt r\u0103ng h\u00e0m m\u1eb7t<\/em><\/span> <\/span><\/p>\n

      \n
    • R\u1ea5t h\u1eefu \u00edch \u0111\u1ec3 gi\u1ea3m lo l\u1eafng, gi\u1ea3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng n\u1ec1 c\u1ee7a con \u0111au. <\/span><\/li>\n
    • \u0110\u1eb7c bi\u1ec7t, thu th\u1eadp c\u00e1c th\u00f4ng tin bao g\u1ed3m m\u00f4 t\u1ea3 c\u1ea3m gi\u00e1c m\u00e0 b\u1ec7nh nh\u00e2n s\u1eafp tr\u1ea3i qua v\u00e0 tr\u00ecnh t\u1ef1 c\u00e1c th\u1ee7 thu\u1eadt y khoa lu\u00f4n \u0111\u01b0\u1ee3c cho l\u00e0 c\u00e1ch h\u1eefu \u00edch nh\u1ea5t trong vi\u1ec7c gi\u1ea3m c\u00e1c \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c, c\u1ea3m gi\u00e1c \u0111au \u0111\u1edbn, bu\u1ed3n phi\u1ec1n (so s\u00e1nh v\u1edbi vi\u1ec7c ch\u1ec9 m\u00f4 t\u1ea3 c\u1ea3m gi\u00e1c c\u1ee7a b\u1ec7nh nh\u00e2n hay tr\u00ecnh t\u1ef1, quy tr\u00ecnh th\u1ee7 thu\u1eadt m\u1ed9t c\u00e1ch ri\u00eang l\u1ebb)<\/span><\/li>\n<\/ul>\n

      S\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 gi\u1ea3 \u0111\u01b0\u1ee3c \u0111\u1ec3 gi\u1ea3m \u0111au.<\/span><\/em><\/span><\/p>\n

      Th\u00f4i mi\u00ean.<\/span><\/em> <\/span><\/p>\n

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      • C\u00f3 th\u1ec3 l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt r\u1ea5t hi\u1ec7u qu\u1ea3 v\u1edbi m\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 th\u00edch h\u1ee3p. B\u1ec7nh <\/span>nh\u00e2n \u0111\u01b0\u1ee3c th\u01b0 gi\u00e3n ho\u00e0n to\u00e0n, \u0111\u01b0\u1ee3c thuy\u1ebft ph\u1ee5c tin r\u1eb1ng th\u1ed5i mi\u1ec1n s\u1ebd l\u00e0m gi\u1ea3m \u0111au, c\u00e1c suy ngh\u0129 v\u1ec1 \u0111au c\u0169ng \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn kh\u00e1c \u0111i.<\/li>\n
      • Ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111au c\u1ea5p nh\u01b0 khi sinh n\u1edf, ch\u1eefa r\u0103ng, b\u1ecb b\u1ecfng hay \u0111au \u0111\u1ea7u tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 l\u1ef1a ch\u1ecdn c\u1ea9n th\u1eadn (Barber, 1963).<\/li>\n<\/ul>\n

        Ch\u00e2m t\u00ea<\/span><\/em><\/span><\/p>\n

        U\u1ed1ng thu\u1ed1c an th\u1ea7n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m b\u1edbt lo \u00e2u.<\/span><\/em><\/span><\/p>\n

        Thu\u1ed1c an th\u1ea7n th\u1ee9c t\u1ec9nh (conscious sedation)<\/em> <\/span><\/span><\/p>\n

          \n
        • S\u1eed d\u1ee5ng kh\u00ed N2O, ho\u1eb7c c\u00e1c ch\u1ea5t \u0111\u01b0\u1ee3c l\u00fd kh\u00e1c c\u00f3 m\u1ed9t v\u1ecb tr\u00ed quan tr\u1ecdng trong c\u00e1c chi\u1ebfn l\u01b0\u1ee3c s\u1eb5n c\u00f3 c\u1ee7a b\u00e1c s\u0129 r\u0103ng h\u00e0m m\u1eb7t \u0111\u1ec3 l\u00e0m gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m lo l\u1eafng. <\/span><\/li>\n
        • Kh\u00f4ng nghi ng\u1edd g\u00ec khi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 tr\u1edf th\u00e0nh m\u1ed9t bi\u1ec7n ph\u00e1p ch\u00ednh c\u1ee7a c\u1ee7a b\u00e1c s\u0129 r\u0103ng h\u00e0m m\u1eb7t \u0111\u1ec3 gi\u00fap ng\u0103n ch\u1eb7n \u0111au.<\/span><\/li>\n<\/ul>\n

          G\u00e2y m\u00ea \u0111\u01b0\u1eddng to\u00e0n th\u00e2n.<\/span><\/em>\u00a0<\/span><\/p>\n

            \n
          • H\u1eefu \u00edch trong r\u0103ng h\u00e0m m\u1eb7t trong tr\u01b0\u1eddng h\u1ee3p nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u00ean gh\u1ebf r\u0103ng th\u00f4ng th\u01b0\u1eddng.<\/span><\/li>\n<\/ul>\n

            V\u1edbi s\u1ef1 \u0111a d\u1ea1ng c\u1ee7a c\u00e1c chi\u1ebfn l\u01b0\u1ee3c s\u1eb5n c\u00f3 trong r\u0103ng h\u00e0m m\u1eb7t \u0111\u1ec3 qu\u1ea3n l\u00fd ho\u1eb7c ng\u0103n ng\u1eeba s\u1ef1 kh\u00f3 ch\u1ecbu v\u00e0 \u0111au th\u00ec ta c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111\u1eb7t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau l\u00e0 gi\u1eef cho b\u1ec7nh nh\u1eadn \u0111\u01b0\u1ee3c b\u00ecnh t\u0129nh, d\u1ec5 ch\u1ecbu v\u00e0 h\u1ee3p t\u00e1c h\u01a1n bao gi\u1edd h\u1ebft.<\/span><\/p>\n

            Ngu\u1ed3n: S\u00e1ch T\u00e2m l\u00fd v\u00e0 \u0110\u1ea1o \u0111\u1ee9c trong R\u0103ng H\u00e0m M\u1eb7t – NXB Gi\u00e1o d\u1ee5c Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

            S\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 qu\u1ea3n l\u00fd \u0111au kh\u00f4ng ch\u1ec9 gi\u00fap b\u1ec7nh nh\u00e2n h\u1ecdc c\u00e1ch \u0111\u1ec3 tham gia v\u00e0o ki\u1ec3m so\u00e1t c\u01a1n \u0111au c\u1ee7a ri\u00eang m\u00ecnh, m\u00e0 c\u00f2n gi\u00fap c\u00e1c b\u00e1c s\u0129 t\u1ea1o ra m\u1ed9t m\u00f4i tr\u01b0\u1eddng thu\u1eadn l\u1ee3i khi l\u00e0m vi\u1ec7c gi\u00fap b\u1ec7nh nh\u00e2n gi\u1ea3m b\u1edbt c\u0103ng th\u1eb3ng, c\u1ea3i thi\u1ec7n t\u00e2m tr\u1ea1ng lo \u00e2u, t\u1eadp […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nQu\u1ea3n l\u00fd \u0111au trong R\u0103ng H\u00e0m M\u1eb7t - Chi\u1ebfn l\u01b0\u1ee3c c\u1ee5 th\u1ec3. - Vinmec<\/title>\n<meta name=\"description\" content=\"S\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 qu\u1ea3n l\u00fd \u0111au kh\u00f4ng ch\u1ec9 gi\u00fap b\u1ec7nh nh\u00e2n v\u00e0o ki\u1ec3m so\u00e1t c\u01a1n \u0111au c\u1ee7a ri\u00eang m\u00ecnh, c\u00f2n gi\u00fap b\u00e1c s\u0129 t\u1ea1o ra m\u00f4i tr\u01b0\u1eddng thu\u1eadn l\u1ee3i.\" \/>\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=\"Qu\u1ea3n l\u00fd \u0111au trong R\u0103ng H\u00e0m M\u1eb7t - 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