{"id":21739,"date":"2023-04-18T17:46:50","date_gmt":"2023-04-18T10:46:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21739"},"modified":"2023-05-16T00:44:37","modified_gmt":"2023-05-15T17:44:37","slug":"nguyen-nhan-tang-triglycerid-mau-o-nguoi-lon","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/nguyen-nhan-tang-triglycerid-mau-o-nguoi-lon\/","title":{"rendered":"Nguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn"},"content":{"rendered":"

T\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng<\/strong>\u00a0ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m lipid nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111\u00e1nh gi\u00e1 r\u1ee7i ro tim m\u1ea1ch. Trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n t\u0103ng triglycerid m\u00e1u trung b\u00ecnh ho\u1eb7c n\u1eb7ng, r\u1ed1i lo\u1ea1n di truy\u1ec1n (nguy\u00ean ph\u00e1t) v\u00e0 m\u1eafc ph\u1ea3i (th\u1ee9 ph\u00e1t) th\u01b0\u1eddng c\u00f9ng t\u1ed3n t\u1ea1i. C\u00e1c y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh \u0111a gen ph\u1ed5 bi\u1ebfn h\u01a1n nhi\u1ec1u so v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n \u0111\u01a1n gen. M\u1ed9t s\u1ed1 h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng l\u00e0 do t\u00e1c \u0111\u1ed9ng k\u1ebft h\u1ee3p c\u1ee7a t\u00ednh nh\u1ea1y c\u1ea3m di truy\u1ec1n ph\u1ee9c t\u1ea1p v\u00e0 \u0111\u1ed9t bi\u1ebfn \u0111\u01a1n gen.<\/strong><\/p>\n

1. Ph\u00e2n lo\u1ea1i t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn<\/h2>\n

N\u1ed3ng \u0111\u1ed9 triglycerid (TG) trong huy\u1ebft thanh (ho\u1eb7c huy\u1ebft t\u01b0\u01a1ng) l\u00fac \u0111\u00f3i \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo c\u00e1c ti\u00eau ch\u00ed sau (\u0111\u1ec3 chuy\u1ec3n \u0111\u1ed5i t\u1eeb mg\/dL sang mmol\/L, chia cho 88,5):<\/p>\n

    \n
  • B\u00ecnh th\u01b0\u1eddng \u2013 <150 mg\/dL (<1,7 mmol\/L)<\/li>\n
  • T\u0103ng triglycerid m\u00e1u v\u1eeba ph\u1ea3i \u2013 150 \u0111\u1ebfn 499 mg\/dL (1,7 \u0111\u1ebfn 5,6 mmol\/L)<\/li>\n
  • T\u0103ng triglycerid m\u00e1u trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng \u2013 500 \u0111\u1ebfn 999 mg\/dL (5,65 \u0111\u1ebfn 11,3 mmol\/L)<\/li>\n
  • T\u0103ng triglycerid m\u00e1u n\u1eb7ng \u2013 >1000 mg\/dL (>11,3 mmol\/L)<\/li>\n<\/ul>\n

    C\u00e1c h\u01b0\u1edbng d\u1eabn v\u00e0 h\u1ed9i \u0111\u1ed3ng chuy\u00ean gia \u0111\u00e3 s\u1eed d\u1ee5ng nhi\u1ec1u h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i cho t\u0103ng triglycerid m\u00e1u. M\u1eb7c d\u00f9 s\u1ef1 \u0111\u1ed3ng thu\u1eadn c\u1ee7a c\u00e1c h\u1ed9i \u0111\u1ed3ng n\u00e0y l\u00e0 m\u1ee9c b\u00ecnh th\u01b0\u1eddng l\u00e0 <150 mg\/dL (1,7 mmol\/L), nh\u01b0ng c\u00e1c h\u1ed9i \u0111\u1ed3ng \u0111\u00e3 s\u1eed d\u1ee5ng c\u00e1c thu\u1eadt ng\u1eef v\u00e0 ti\u00eau ch\u00ed kh\u00e1c nhau \u0111\u1ec3 ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u0103ng triglycerid m\u00e1u. Trong khi c\u00e1c h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i t\u0103ng triglycerid m\u00e1u cung c\u1ea5p m\u1ed9t c\u1ea5u tr\u00fac \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd, nh\u1eefng \u0111i\u1ec3m gi\u1edbi h\u1ea1n n\u00e0y kh\u00f4ng n\u1eafm b\u1eaft \u0111\u1ea7y \u0111\u1ee7 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 k\u1ebft qu\u1ea3 lipoprotein gi\u1eefa c\u00e1c c\u00e1 nh\u00e2n. Trong t\u0103ng triglycerid m\u00e1u v\u1eeba ph\u1ea3i, c\u00f3 s\u1ef1 gia t\u0103ng lipoprotein t\u1ef7 tr\u1ecdng r\u1ea5t th\u1ea5p (VLDL). Khi n\u1ed3ng \u0111\u1ed9 TG trong huy\u1ebft thanh ho\u1eb7c huy\u1ebft t\u01b0\u01a1ng l\u00fac \u0111\u00f3i >500 mg\/dL (5,6 mmol\/L) nh\u01b0ng <1000 mg\/dL (11,3 mmol\/L), m\u1ed9t s\u1ed1, nh\u01b0ng kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3, b\u1ec7nh nh\u00e2n c\u00f3 chylomicron. Khi n\u1ed3ng \u0111\u1ed9 TG l\u00fac \u0111\u00f3i >1000 mg\/dL (11,3 mmol\/L), h\u1ea7u h\u1ebft t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u1ec1u c\u00f3 chylomicron, b\u00ean c\u1ea1nh s\u1ef1 gia t\u0103ng VLDL.<\/p>\n

    2. Nguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn<\/h2>\n

    \u1ede h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 n\u1ed3ng \u0111\u1ed9 TG cao, c\u00e1c r\u1ed1i lo\u1ea1n di truy\u1ec1n (nguy\u00ean ph\u00e1t) v\u00e0 m\u1eafc ph\u1ea3i (th\u1ee9 ph\u00e1t) c\u00f9ng t\u1ed3n t\u1ea1i. T\u0103ng triglyceride m\u00e1u l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng trong qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t lipoprotein gi\u00e0u TG t\u1eeb gan (VLDL) v\u00e0 ru\u1ed9t (chylomicrons) v\u00e0 lo\u1ea1i b\u1ecf TG b\u1eb1ng ph\u00e2n gi\u1ea3i m\u1ee1 t\u1eeb c\u1ea3 hai lo\u1ea1i lipoprotein n\u00e0y v\u00e0 t\u00e0n d\u01b0 c\u1ee7a ch\u00fang. Vi\u1ec7c s\u1ea3n xu\u1ea5t qu\u00e1 m\u1ee9c VLDL th\u01b0\u1eddng xuy\u00ean g\u00f3p ph\u1ea7n. S\u1ea3n xu\u1ea5t chylomicron ph\u1ea3n \u00e1nh l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng. H\u1ea7u h\u1ebft qu\u00e1 tr\u00ecnh ph\u00e2n gi\u1ea3i m\u1ee1 c\u1ee7a c\u00e1c lipoprotein gi\u00e0u TG l\u01b0u h\u00e0nh \u0111\u01b0\u1ee3c trung gian b\u1edfi lipoprotein lipase (LPL). G\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng triglycerid m\u00e1u n\u1eb7ng \u0111\u1ec1u c\u00f3 khuynh h\u01b0\u1edbng di truy\u1ec1n c\u1ed9ng v\u1edbi m\u1ed9t t\u00ecnh tr\u1ea1ng ho\u1eb7c y\u1ebfu t\u1ed1 b\u1ed5 sung \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 l\u00e0m t\u0103ng TG huy\u1ebft thanh (v\u00ed d\u1ee5: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u ho\u1eb7c li\u1ec7u ph\u00e1p estrogen \u0111\u01b0\u1eddng u\u1ed1ng) d\u1eabn \u0111\u1ebfn \u0111\u1ed9ng h\u1ecdc b\u00e3o h\u00f2a c\u1ee7a lipoprotein lipase (LPL). LPL l\u00e0m trung gian cho qu\u00e1 tr\u00ecnh ph\u00e2n gi\u1ea3i lipid c\u1ee7a TG trong c\u00e1c lipoprotein gi\u00e0u TG, chylomicron v\u00e0 VLDL.<\/p>\n

    \"nguyen-nhan-tang-triglycerid-mau-o-nguoi-lon\"
    X\u00e9t nghi\u1ec7m t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn<\/figcaption><\/figure>\n

    2.1. C\u00e1c nguy\u00ean nh\u00e2n m\u1eafc ph\u1ea3i<\/h3>\n

    C\u00e1c t\u00ecnh tr\u1ea1ng v\u00e0 y\u1ebfu t\u1ed1 m\u1eafc ph\u1ea3i sau \u0111\u00e2y l\u00e0m t\u0103ng nguy c\u01a1 t\u0103ng triglycerid m\u00e1u (\u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 di truy\u1ec1n):<\/p>\n

      \n
    • Kh\u00e1ng insulin l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 ph\u1ed5 bi\u1ebfn v\u00e0 bao g\u1ed3m b\u00e9o ph\u00ec, h\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lo\u1ea1i 2, mang thai , suy th\u1eadn m\u00e3n t\u00ednh,HIV, b\u1ec7nh gan v\u00e0 b\u1ec7nh vi\u00eam m\u00e3n t\u00ednh. T\u00ecnh tr\u1ea1ng kh\u00e1ng insulin d\u1eabn \u0111\u1ebfn s\u1ef1 gia t\u0103ng v\u1eadn chuy\u1ec3n axit b\u00e9o t\u1ef1 do t\u1eeb m\u00f4 m\u1ee1 \u0111\u1ebfn gan v\u00e0 s\u1ea3n xu\u1ea5t qu\u00e1 m\u1ee9c VLDL-TG v\u1edbi c\u00e1c khi\u1ebfm khuy\u1ebft kh\u00e1c nhau v\u1ec1 \u0111\u1ed9 thanh th\u1ea3i th\u1ee9 ph\u00e1t do gi\u1ea3m LPL<\/li>\n
    • B\u1ec7nh th\u1eadn (protein ni\u1ec7u, ur\u00ea huy\u1ebft ho\u1eb7c vi\u00eam c\u1ea7u th\u1eadn). V\u1edbi h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0, t\u0103ng triglycerid m\u00e1u th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi t\u0103ng cholesterol m\u00e1u<\/li>\n
    • Suy gi\u00e1p th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn t\u0103ng cholesterol m\u00e1u, nh\u01b0ng m\u1ed1i li\u00ean h\u1ec7 v\u1edbi t\u0103ng triglycerid m\u00e1u c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3<\/li>\n
    • Ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang v\u1edbi l\u01b0\u1ee3ng calo d\u01b0 th\u1eeba, l\u01b0\u1ee3ng \u0111\u01b0\u1eddng huy\u1ebft cao v\u00e0\/ho\u1eb7c \u0111\u1ed3 u\u1ed1ng c\u00f3 ch\u1ee9a sucrose ho\u1eb7c fructose. T\u1ed5ng l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 TG \u2265500 mg\/dL.<\/li>\n
    • Ti\u00eau th\u1ee5 r\u01b0\u1ee3u tr\u00ean hai ly m\u1ed7i ng\u00e0y \u0111\u1ed1i v\u1edbi nam v\u00e0 m\u1ed9t ly m\u1ed7i ng\u00e0y \u0111\u1ed1i v\u1edbi n\u1eef.<\/li>\n
    • Mang thai (\u0111\u1eb7c bi\u1ec7t l\u00e0 trong tam c\u00e1 nguy\u1ec7t th\u1ee9 ba).<\/li>\n
    • \u0110a u t\u1ee7y<\/li>\n
    • Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/li>\n
    • Thu\u1ed1c:\n
        \n
      • Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide<\/li>\n
      • Glucocorticoid<\/li>\n
      • Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi-r\u00fat, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi HIV<\/li>\n
      • Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n th\u1ebf h\u1ec7 th\u1ee9 hai nh\u01b0 clozapine v\u00e0 olanzapine<\/li>\n
      • H\u1ea7u h\u1ebft c\u00e1c thu\u1ed1c ch\u1eb9n beta<\/li>\n
      • M\u1ed9t s\u1ed1 ch\u1ea5t ch\u1ed1ng ung th\u01b0 ( cyclophosphamide v\u00e0 L-asparaginase).<\/li>\n
      • M\u1ed9t s\u1ed1 ch\u1ea5t \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch (v\u00ed d\u1ee5, cyclosporine v\u00e0 m\u1ee5c ti\u00eau c\u01a1 h\u1ecdc c\u1ee7a ch\u1ea5t \u1ee9c ch\u1ebf kinase rapamycin (mTOR) nh\u01b0 everolimus v\u00e0 sirolimus)<\/li>\n
      • Estrogen u\u1ed1ng<\/li>\n
      • Tamoxifen, raloxifene, clomiphene.<\/li>\n
      • C\u00e1c d\u1eabn xu\u1ea5t c\u1ee7a axit retinoic: isotretinoin, acitretin v\u00e0 bexarotene<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

        2.2. C\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n<\/strong><\/h3>\n

        Trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng triglyceride m\u00e1u, c\u00e1c y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh \u0111a gen (g\u00e2y ra t\u00ednh nh\u1ea1y c\u1ea3m di truy\u1ec1n ph\u1ee9c t\u1ea1p) ph\u1ed5 bi\u1ebfn h\u01a1n nhi\u1ec1u so v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n \u0111\u01a1n gen; m\u1ed9t s\u1ed1 h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng l\u00e0 do t\u00e1c \u0111\u1ed9ng k\u1ebft h\u1ee3p c\u1ee7a t\u00ednh nh\u1ea1y c\u1ea3m di truy\u1ec1n ph\u1ee9c t\u1ea1p v\u00e0 \u0111\u1ed9t bi\u1ebfn \u0111\u01a1n gen. C\u00e1c h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng do nguy\u00ean nh\u00e2n ch\u00ednh (\u0111a gen v\u00e0\/ho\u1eb7c \u0111\u01a1n gen) c\u1ee7a t\u0103ng lipid m\u00e1u \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn d\u01b0\u1edbi \u0111\u00e2y. (Xem ‘C\u00e1c h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng do nguy\u00ean nh\u00e2n ch\u00ednh’ b\u00ean d\u01b0\u1edbi.)<\/p>\n

        3. K\u1ebft lu\u1eadn nguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn<\/strong><\/h2>\n

        T\u0103ng triglycerid m\u00e1u l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m lipid nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111\u00e1nh gi\u00e1 r\u1ee7i ro tim m\u1ea1ch. Trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n t\u0103ng triglycerid m\u00e1u trung b\u00ecnh ho\u1eb7c n\u1eb7ng, r\u1ed1i lo\u1ea1n di truy\u1ec1n (nguy\u00ean ph\u00e1t) v\u00e0 m\u1eafc ph\u1ea3i (th\u1ee9 ph\u00e1t) th\u01b0\u1eddng c\u00f9ng t\u1ed3n t\u1ea1i. C\u00e1c y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh \u0111a gen ph\u1ed5 bi\u1ebfn h\u01a1n nhi\u1ec1u so v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n \u0111\u01a1n gen. M\u1ed9t s\u1ed1 h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng l\u00e0 do t\u00e1c \u0111\u1ed9ng k\u1ebft h\u1ee3p c\u1ee7a t\u00ednh nh\u1ea1y c\u1ea3m di truy\u1ec1n ph\u1ee9c t\u1ea1p v\u00e0 \u0111\u1ed9t bi\u1ebfn \u0111\u01a1n gen.<\/p>\n","protected":false},"excerpt":{"rendered":"

        T\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng\u00a0ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m lipid nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111\u00e1nh gi\u00e1 r\u1ee7i ro tim m\u1ea1ch. Trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n t\u0103ng triglycerid m\u00e1u trung b\u00ecnh ho\u1eb7c n\u1eb7ng, r\u1ed1i lo\u1ea1n di truy\u1ec1n […]<\/p>\n","protected":false},"author":60,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nNguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn - Vinmec<\/title>\n<meta name=\"description\" content=\"Nguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn, r\u1ed1i lo\u1ea1n di truy\u1ec1n (nguy\u00ean ph\u00e1t) v\u00e0 m\u1eafc ph\u1ea3i (th\u1ee9 ph\u00e1t) th\u01b0\u1eddng c\u00f9ng t\u1ed3n t\u1ea1i.\" \/>\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=\"Nguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Nguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn, r\u1ed1i lo\u1ea1n di truy\u1ec1n (nguy\u00ean ph\u00e1t) v\u00e0 m\u1eafc ph\u1ea3i (th\u1ee9 ph\u00e1t) th\u01b0\u1eddng c\u00f9ng t\u1ed3n t\u1ea1i.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/nguyen-nhan-tang-triglycerid-mau-o-nguoi-lon\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-18T10:46:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-15T17:44:37+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/6386273-300x300.jpg\" \/>\n<meta name=\"author\" content=\"L\u00ea Th\u1ecb \u00c1nh Kim\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"L\u00ea Th\u1ecb \u00c1nh Kim\" \/>\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\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/nguyen-nhan-tang-triglycerid-mau-o-nguoi-lon\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/nguyen-nhan-tang-triglycerid-mau-o-nguoi-lon\/\",\"name\":\"Nguy\u00ean nh\u00e2n t\u0103ng triglycerid m\u00e1u \u1edf ng\u01b0\u1eddi l\u1edbn - 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