{"id":21941,"date":"2023-04-18T21:46:39","date_gmt":"2023-04-18T14:46:39","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21941"},"modified":"2023-04-19T11:52:48","modified_gmt":"2023-04-19T04:52:48","slug":"cac-thang-diem-trong-tien-luong-xuat-huyet-tieu-hoa-tren","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/cac-thang-diem-trong-tien-luong-xuat-huyet-tieu-hoa-tren\/","title":{"rendered":"C\u00e1c thang \u0111i\u1ec3m trong ti\u00ean l\u01b0\u1ee3ng xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 tr\u00ean"},"content":{"rendered":"

Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/a> tr\u00ean l\u00e0 xu\u1ea5t huy\u1ebft \u1edf ph\u1ea7n tr\u00ean \u1ed1ng ti\u00eau h\u00f3a, t\u1eeb th\u1ef1c qu\u1ea3n \u0111\u1ebfn g\u00f3c Treitz. C\u00e1c thang \u0111i\u1ec3m trong ti\u00ean l\u01b0\u1ee3ng xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n. C\u00e1c thang \u0111i\u1ec3m n\u00e0y c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean.<\/strong><\/p>\n

1. Thang \u0111i\u1ec3m Glasgow-Blatchford<\/h2>\n

Thang \u0111i\u1ec3m n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u1ea9n c\u1ea5p. Thang \u0111i\u1ec3m n\u00e0y d\u1ef1a tr\u00ean n\u0103m y\u1ebfu t\u1ed1: huy\u1ebft \u00e1p, nh\u1ecbp tim, n\u1ed3ng \u0111\u1ed9 ure trong m\u00e1u, n\u1ed3ng \u0111\u1ed9 hemoglobin trong m\u00e1u v\u00e0 d\u1ea5u hi\u1ec7u xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a. Thang \u0111i\u1ec3m n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a v\u00e0 quy\u1ebft \u0111\u1ecbnh li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u.<\/p>\n

\u0110i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n theo b\u1ea3ng d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Thang \u0110i\u1ec3m Glasgow-Blatchford<\/b><\/td>\n<\/tr>\n
Ch\u1ec9 \u0111i\u1ec3m nguy c\u01a1 l\u00fac nh\u1eadp vi\u1ec7n<\/b><\/td>\nGi\u00e1 tr\u1ecb th\u00e0nh ph\u1ea7n trong thang \u0111i\u1ec3m<\/b><\/td>\n<\/tr>\n
Ure huy\u1ebft<\/b><\/td>\n<\/tr>\n
\u22656\u00b75 <8\u00b70<\/td>\n2<\/td>\n<\/tr>\n
\u22658\u00b70 <10\u00b70<\/td>\n3<\/td>\n<\/tr>\n
\u226510\u00b70 <25\u00b70<\/td>\n4<\/td>\n<\/tr>\n
\u226525<\/td>\n6<\/td>\n<\/tr>\n
Hemoglobin (g\/dL) cho nam<\/b><\/td>\n<\/tr>\n
\u226512.0 <13.0<\/td>\n1<\/td>\n<\/tr>\n
\u226510.0 <12.0<\/td>\n3<\/td>\n<\/tr>\n
<10.0<\/td>\n6<\/td>\n<\/tr>\n
Hemoglobin (g\/dL) cho n\u1eef<\/b><\/td>\n<\/tr>\n
\u226510.0 <12.0<\/td>\n1<\/td>\n<\/tr>\n
<10.0<\/td>\n6<\/td>\n<\/tr>\n
Huy\u1ebft \u00e1p t\u00e2m thu (mm Hg)<\/b><\/td>\n<\/tr>\n
100\u2013109<\/td>\n1<\/td>\n<\/tr>\n
90\u201399<\/td>\n2<\/td>\n<\/tr>\n
<90<\/td>\n3<\/td>\n<\/tr>\n
C\u00e1c ch\u1ec9 \u0111i\u1ec3m kh\u00e1c<\/b><\/td>\n<\/tr>\n
M\u1ea1ch \u2265100 (m\u1ed7i ph\u00fat)<\/td>\n1<\/td>\n<\/tr>\n
C\u00f3 ti\u00eau ph\u00e2n \u0111en<\/td>\n1<\/td>\n<\/tr>\n
C\u00f3 ng\u1ea5t x\u1ec9u<\/td>\n2<\/td>\n<\/tr>\n
C\u00f3 b\u1ec7nh l\u00fd gan<\/td>\n2<\/td>\n<\/tr>\n
C\u00f3 suy tim<\/td>\n2<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u0110i\u1ec3m s\u1ed1 b\u1eb1ng “0” n\u1ebfu c\u00f3 t\u1ea5t c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 sau \u0111\u00e2y:<\/b><\/p>\n

    \n
  • 1. Hemoglobin >12.9 g\/dL (nam) ho\u1eb7c >11.9 g\/dL (n\u1eef)<\/li>\n
  • 2. Huy\u1ebft \u00e1p t\u00e2m thu >109\u00a0mm Hg<\/li>\n
  • 3. M\u1ea1ch <100\/ph\u00fat<\/li>\n
  • 4. BUN (Blood urea nitrogen) <18.2\u00a0mg\/dL<\/li>\n
  • 5. Kh\u00f4ng ti\u00eau ph\u00e2n \u0111en ho\u1eb7c ng\u1ea5t x\u1ec9u<\/li>\n
  • 6. Kh\u00f4ng c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch hay gan trong ti\u1ec1n s\u1eed ho\u1eb7c v\u00e0o th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i<\/li>\n
  • Thang \u0111i\u1ec3m Blatchtord \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb 0-23 \u0111i\u1ec3m, \u0111i\u1ec3m s\u1ed1 c\u00e0ng cao th\u00ec nguy c\u01a1 ch\u1ea3y m\u00e1u t\u00e1i ph\u00e1t c\u00e0ng l\u1edbn.<\/strong>\u00a0\u0110i\u1ec3m s\u1ed1 t\u1eeb 6 tr\u1edf l\u00ean \u0111i k\u00e8m v\u1edbi t\u0103ng tr\u00ean 50% nguy c\u01a1: c\u1ea7n thi\u1ebft ph\u1ea3i can thi\u1ec7p.<\/li>\n<\/ul>\n

    2. Thang \u0111i\u1ec3m Rockall<\/h2>\n

    Thang \u0111i\u1ec3m Rockall \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a. Thang \u0111i\u1ec3m n\u00e0y d\u1ef1a tr\u00ean n\u0103m y\u1ebfu t\u1ed1: tu\u1ed5i, b\u1ec7nh l\u00fd c\u01a1 b\u1ea3n, nguy\u00ean nh\u00e2n c\u1ee7a xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng v\u00e0 \u0111i\u1ec3m s\u1ed1 Rockall.<\/p>\n

    H\u1ec7 th\u1ed1ng cho \u0111i\u1ec3m nguy c\u01a1 Rockall<\/b> mang m\u1ee5c \u0111\u00edch x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 g\u1eb7p h\u1eadu qu\u1ea3 x\u1ea5u theo sau xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean\u00a0c\u1ea5p t\u00ednh. Rockall\u00a0v\u00e0 nhi\u1ec1u ng\u01b0\u1eddi kh\u00e1c \u0111\u00e3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u1ed9c l\u1eadp\u00a0 <\/sup>v\u00e0o n\u0103m 1996 m\u00e0 sau n\u00e0y khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00e3 ti\u00ean \u0111o\u00e1n ch\u00ednh x\u00e1c t\u1ec9 l\u1ec7 t\u1eed vong. H\u1ec7 th\u1ed1ng cho \u0111i\u1ec3m n\u00e0y s\u1eed d\u1ee5ng c\u00e1c ch\u1ec9 ti\u00eau l\u00e2m s\u00e0ng (tu\u1ed5i t\u0103ng d\u1ea7n, b\u1ec7nh \u0111i k\u00e8m, s\u1ed1c) c\u0169ng nh\u01b0 c\u00e1c ph\u00e1t hi\u1ec7n khi n\u1ed9i soi (d\u1ea5u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh, ch\u1ea9n \u0111o\u00e1n c\u1ee7a ch\u1ea3y m\u00e1u c\u1ea5p). N\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean theo Gi\u00e1o s\u01b0 Tim Rockall, l\u00e0 nh\u00e0 nghi\u00ean c\u1ee9u ch\u00ednh v\u00e0 t\u00e1c gi\u1ea3 th\u1ee9 nh\u1ea5t c\u1ee7a c\u00e1c b\u00e0i nghi\u00ean c\u1ee9u d\u1eabn \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a h\u1ec7 th\u1ed1ng n\u00e0y.<\/p>\n\n\n\n\n\n\n\n\n
    Bi\u1ebfn<\/sup><\/th>\nGhi \u0111i\u1ec3m 0<\/th>\nGhi \u0111i\u1ec3m 1<\/th>\nGhi \u0111i\u1ec3m 2<\/th>\nGhi \u0111i\u1ec3m 3<\/th>\n<\/tr>\n
    Tu\u1ed5i<\/td>\n<60<\/td>\n60- 79<\/td>\n>80<\/td>\n<\/td>\n<\/tr>\n
    S\u1ed1c<\/td>\nKh\u00f4ng s\u1ed1c<\/td>\nM\u1ea1ch >100
    \nHuy\u1ebft \u00e1p t\u00e2m thu>100<\/td>\n    		M\u1ea1ch >100
    \nHuy\u1ebft \u00e1p t\u00e2m thu\u00a0<100<\/td>\n    		<\/td>\n<\/tr>\n
    B\u1ec7nh \u0111i k\u00e8m<\/td>\nKh\u00f4ng b\u1ec7nh quan tr\u1ecdng<\/td>\n<\/td>\nSuy tim m\u1ea1n,\u00a0B\u1ec7nh thi\u1ebfu m\u00e1u tim, b\u1ec7nh quan tr\u1ecdng<\/td>\nSuy th\u1eadn, suy gan, ung th\u01b0 di c\u0103n<\/td>\n<\/tr>\n
    Ch\u1ea9n \u0111o\u00e1n n\u1ed9i soi<\/td>\nMallory-Weiss<\/td>\nT\u1ea5t c\u1ea3 c\u00e1c ch\u1ea9n \u0111o\u00e1n kh\u00e1c<\/td>\nUng th\u01b0 ti\u00eau h\u00f3a \u00e1c t\u00ednh<\/td>\n<\/td>\n<\/tr>\n
    B\u1eb1ng ch\u1ee9ng ch\u1ea3y m\u00e1u (n\u1ed9i soi)<\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/td>\nM\u00e1u, c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng d\u00ednh, m\u1ea1nh m\u00e1u tu\u00f4n tr\u00e0o<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    T\u1ed5ng \u0111i\u1ec3m \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng ph\u00e9p c\u1ed9ng \u0111\u01a1n gi\u1ea3n. S\u1ed1 \u0111i\u1ec3m\u00a0th\u1ea5p h\u01a1n 3 c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t nh\u01b0ng n\u1ebfu t\u1ed5ng \u0111i\u1ec3m l\u1edbn h\u01a1n 8 th\u00ec c\u00f3 t\u1ec9 l\u1ec7 t\u1eed vong cao.<\/p>\n

    – Nguy c\u01a1 ch\u1ea3y m\u00e1u t\u00e1i ph\u00e1t:<\/strong><\/p>\n

    + 0 \u0111i\u1ec3m: 5%
    \n+\u00a0> 8 \u0111i\u1ec3m: > 40%<\/p>\n

    – Nguy c\u01a1 t\u1eed vong:<\/strong><\/p>\n

    + 0-2 \u0111i\u1ec3m: <1%
    \n+ >= 8 \u0111i\u1ec3m: 41%<\/p>\n

    3. Thang \u0111i\u1ec3m Forrest<\/h2>\n

    Thang \u0111i\u1ec3m Forrest l\u00e0 m\u1ed9t trong c\u00e1c thang \u0111i\u1ec3m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ti\u00ean l\u01b0\u1ee3ng xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 (XHTH) \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n. Thang \u0111i\u1ec3m n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7t theo t\u00ean c\u1ee7a nh\u00e0 n\u1ed9i soi h\u1ecdc ng\u01b0\u1eddi Anh, ti\u1ebfn s\u0129 James D. Forrest, ng\u01b0\u1eddi \u0111\u00e3 ph\u00e1t tri\u1ec3n n\u00f3 v\u00e0o nh\u1eefng n\u0103m 1970.<\/p>\n

    Thang \u0111i\u1ec3m Forrest \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a v\u00e0 d\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t xu\u1ea5t huy\u1ebft. Thang \u0111i\u1ec3m n\u00e0y d\u1ef1a tr\u00ean b\u1ed1n lo\u1ea1i m\u00f4 h\u00ecnh xu\u1ea5t huy\u1ebft: Forrest Ia, Ib, IIa v\u00e0 IIb.<\/p>\n

    H\u00ecnh \u1ea3nh n\u1ed9i soi c\u1ee7a m\u1ed9t \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng\u00a0 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i Forrest v\u1edbi m\u1ee5c \u0111\u00edch ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p c\u1ea7m m\u00e1u n\u1ed9i soi v\u00e0 ti\u00ean l\u01b0\u1ee3ng xu\u1ea5t huy\u1ebft t\u00e1i ph\u00e1t.<\/p>\n

    B\u1ea3ng Ph\u00e2n lo\u1ea1i Forrest. S\u1ed1 li\u1ec7u khi kh\u00f4ng c\u00f3 c\u1ea7m m\u00e1u qua n\u1ed9i soi.<\/p>\n\n\n\n\n\n\n\n\n\n
    \n

    Nguy c\u01a1<\/strong><\/p>\n<\/td>\n

    		\n

    T\u00ednh ch\u1ea5t xu\u1ea5t huy\u1ebft<\/strong><\/p>\n<\/td>\n

    		\n

    M\u1ee9c \u0111\u1ed9<\/strong><\/p>\n<\/td>\n

    		\n

    H\u00ecnh \u1ea3nh tr\u00ean n\u1ed9i soi<\/strong><\/p>\n<\/td>\n

    		\n

    Ch\u1ea3y m\u00e1u t\u00e1i ph\u00e1t (%)<\/strong><\/p>\n<\/td>\n

    		\n

    T\u1ec9 l\u1ec7 t\u1eed vong (%)<\/strong><\/p>\n<\/td>\n<\/tr>\n

    Nguy c\u01a1 cao<\/td>\nXu\u1ea5t huy\u1ebft c\u1ea5p<\/td>\nla<\/td>\nM\u00e1u phun th\u00e0nh tia (m\u00e1u \u0111\u1ed9ng m\u1ea1ch)<\/td>\n\n

    55<\/p>\n<\/td>\n

    		\n

    11<\/p>\n<\/td>\n<\/tr>\n

    lb<\/td>\nR\u1ec9 m\u00e1u (m\u00e1u t\u0129nh m\u1ea1ch)<\/td>\n<\/tr>\n
    Xu\u1ea5t m\u1edbi x\u1ea3y ra g\u1ea7n \u0111\u00e2y<\/td>\nlla<\/td>\nC\u00f3 m\u1ea1ch m\u00e1u nh\u01b0ng kh\u00f4ng ch\u1ea3y m\u00e1u<\/td>\n\n

    43<\/p>\n<\/td>\n

    		\n

    11<\/p>\n<\/td>\n<\/tr>\n

    llb<\/td>\nC\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng<\/td>\n\n

    22<\/p>\n<\/td>\n

    		\n

    7<\/p>\n<\/td>\n<\/tr>\n

    Nguy c\u01a1 th\u1ea5p<\/td>\nllc<\/td>\nC\u00f3 c\u1eb7n \u0111en<\/td>\n\n

    10<\/p>\n<\/td>\n

    		\n

    3<\/p>\n<\/td>\n<\/tr>\n

    Kh\u00f4ng c\u00f3 xu\u1ea5t huy\u1ebft<\/td>\nIII<\/td>\n\u0110\u00e1y s\u1ea1ch<\/td>\n\n

    5<\/p>\n<\/td>\n

    		\n

    2<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\n

    \"H\u00ecnh
    H\u00ecnh \u1ea3nh n\u1ed9i soi c\u1ee7a m\u1ed9t \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng\u00a0 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo thang \u0111i\u1ec3m Forrest<\/figcaption><\/figure>\n

    T\u00f3m l\u1ea1i, c\u00e1c thang \u0111i\u1ec3m n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c v\u00e0 nhanh ch\u00f3ng, t\u1eeb \u0111\u00f3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u1eed vong v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n. C\u00e1c thang \u0111i\u1ec3m n\u00e0y l\u00e0 c\u00e1ch quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean v\u00e0 quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thang \u0111i\u1ec3m n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c v\u00e0 nhanh ch\u00f3ng, t\u1eeb \u0111\u00f3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u1eed vong v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, vi\u1ec7c \u00e1p d\u1ee5ng c\u00e1c thang \u0111i\u1ec3m n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi kinh nghi\u1ec7m v\u00e0 kh\u1ea3 n\u0103ng \u0111\u00e1nh gi\u00e1 c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t cho b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean l\u00e0 xu\u1ea5t huy\u1ebft \u1edf ph\u1ea7n tr\u00ean \u1ed1ng ti\u00eau h\u00f3a, t\u1eeb th\u1ef1c qu\u1ea3n \u0111\u1ebfn g\u00f3c Treitz. C\u00e1c thang \u0111i\u1ec3m trong ti\u00ean l\u01b0\u1ee3ng xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n. C\u00e1c thang […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nC\u00e1c thang \u0111i\u1ec3m trong ti\u00ean l\u01b0\u1ee3ng xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 tr\u00ean - Vinmec<\/title>\n<meta name=\"description\" content=\"Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a cao l\u00e0 xu\u1ea5t huy\u1ebft \u1edf ph\u1ea7n tr\u00ean \u1ed1ng ti\u00eau h\u00f3a, t\u1eeb th\u1ef1c qu\u1ea3n \u0111\u1ebfn g\u00f3c Treitz. 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