{"id":23617,"date":"2023-04-18T11:15:03","date_gmt":"2023-04-18T04:15:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23617"},"modified":"2023-04-18T14:42:59","modified_gmt":"2023-04-18T07:42:59","slug":"nguyen-nhan-va-co-che-benh-sinh-viem-mang-nao-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/nguyen-nhan-va-co-che-benh-sinh-viem-mang-nao-tre-em\/","title":{"rendered":"Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh vi\u00eam m\u00e0ng n\u00e3o tr\u1ebb em"},"content":{"rendered":"

Vi\u00eam m\u00e0ng n\u00e3o \u1edf tr\u1ebb em<\/a> l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam \u1edf m\u00e0ng nu\u00f4i, m\u00e0ng nh\u1ec7n v\u00e0 khoang d\u01b0\u1edbi nh\u1ec7n su\u1ed1t t\u1eeb n\u00e3o b\u1ed9 \u0111\u1ebfn t\u1ee7y s\u1ed1ng c\u1ee7a tr\u1ebb. <\/strong>T\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh c\u00f2n kh\u00e1 ph\u1ed5 bi\u1ebfn, t\u1ef7 l\u1ec7 t\u1eed vong, c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 di ch\u1ee9ng t\u00e2m th\u1ea7n kinh c\u00f2n n\u1eb7ng n\u1ec1 do \u0111\u00f3 b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm, x\u1eed tr\u00ed k\u1ecbp th\u1eddi v\u00e0 t\u00edch c\u1ef1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1eed vong c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 di ch\u1ee9ng.<\/p>\n

1. Nguy\u00ean nh\u00e2n vi\u00eam m\u00e0ng n\u00e3o \u1edf tr\u1ebb em<\/h2>\n

C\u00e1c vi khu\u1ea9n g\u00e2y vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 thay \u0111\u1ed5i t\u00f9y theo t\u1eebng th\u1eddi k\u1ef3, t\u00f9y theo t\u1eebng v\u00f9ng \u0111\u1ecba l\u00fd, t\u1eebng n\u01b0\u1edbc, c\u00f3 khi b\u00f9ng ph\u00e1t th\u00e0nh d\u1ecbch nh\u1ea5t l\u00e0 n\u00e3o m\u00f4 c\u1ea7u. T\u1ea7n su\u1ea5t vi khu\u1ea9n g\u00e2y b\u1ec7nh c\u00f2n c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y theo l\u1ee9a tu\u1ed5i, m\u00f9a, th\u1eddi ti\u1ebft, t\u00ecnh tr\u1ea1ng mi\u1ec5n d\u1ecbch, dinh d\u01b0\u1ee1ng, b\u1ec7nh k\u00e8m theo v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng, vi\u00eam tai…
\nVi\u00eam m\u00e0ng n\u00e3o m\u1ee7 \u1edf tr\u1ebb s\u01a1 sinh ch\u1ee7 y\u1ebfu l\u00e0 do li\u00ean c\u1ea7u nh\u00f3m B, Listeria monocytogene, tr\u1ef1c tr\u00f9ng Gram (-), enterococci, t\u1ee5 c\u1ea7u. \u0110\u1ed1i v\u1edbi tr\u1ebb ngo\u00e0i di\u1ec7n s\u01a1 sinh, tr\u1ebb c\u00e0ng nh\u1ecf t\u1ea7n su\u1ea5t g\u1eb7p Haemophilus influenzae type b c\u00e0ng cao, th\u1ee9 \u0111\u1ebfn l\u00e0 n\u00e3o m\u00f4 c\u1ea7u v\u00e0 ph\u1ebf c\u1ea7u .
\nNh\u1eefng t\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p theo l\u1ee9a tu\u1ed5i<\/strong><\/p>\n

S\u01a1 sinh: VMNM th\u01b0\u1eddng c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c lo\u1ea1i\u00a0 vi tr\u00f9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a \u00e2m \u0111\u1ea1o ng\u01b0\u1eddi m\u1eb9: GBS, Escherichia coli. C\u00e1c tr\u1ef1c tr\u00f9ng gram \u00e2m kh\u00e1c (Klebsiella, Enterobacter, Serratia….) v\u00e0 Listeria monocytogenes<\/p>\n

Tr\u1ebb nh\u1ee7 nhi: \u00a0GBS, HiB, S. pneumoniae<\/p>\n

Tr\u1ebb > 3 th\u00e1ng: S. pneumoniae, Neisseria meningitidi<\/p>\n

T\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p theo c\u01a1 \u0111\u1ecba<\/p>\n\n\n\n\n\n\n\n
M\u1ea5t ho\u1ea1t t\u00ednh opsonic v\u00e0 di\u1ec7t khu\u1ea9n<\/td>\nHiB, Ph\u1ebf c\u1ea7u, Neisseria meningitidis<\/td>\n<\/tr>\n
Sickle cell disease ho\u1eb7c c\u1eaft l\u00e1ch<\/td>\nHiB, Ph\u1ebf c\u1ea7u, vi tr\u00f9ng gram \u00e2m<\/td>\n<\/tr>\n
Thi\u1ebfu C5 \u0111\u1ebfn C6<\/td>\nNeisseria meningitidis<\/td>\n<\/tr>\n
B\u1ec7nh Hodgkin<\/td>\nListeria monocytogenes<\/td>\n<\/tr>\n
K m\u00e1u, gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t, suy t\u1ee7y<\/td>\nVi tr\u00f9ng gram \u00e2m (Pseudomonas, Serratia)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/strong>2.C\u01a1 ch\u1ebf\u00a0 b\u1ec7nh sinh\u00a0<\/strong><\/p>\n

Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u00e0ng n\u00e3o nhi\u1ec5m khu\u1ea9n tu\u1ea7n ti\u1ebfn qua 4 giai \u0111o\u1ea1n :<\/p>\n

    \n
  • Th\u1ee9 nh\u1ea5t : nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/li>\n
  • Th\u1ee9 hai : x\u00e2m nh\u1eadp v\u00e0o m\u00e1u t\u1eeb c\u00e1c \u1ed5 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/li>\n
  • Th\u1ee9 ba : c\u00e1c vi khu\u1ea9n theo \u0111\u01b0\u1eddng m\u00e1u tr\u00e0n v\u00e0o m\u00e0ng n\u00e3o.<\/li>\n
  • Th\u1ee9 t\u01b0 : vi\u00eam m\u00e0ng n\u00e3o – n\u00e3o.<\/li>\n<\/ul>\n

    \u0110\u1ea1i b\u1ed9 ph\u1eadn tr\u1ebb em b\u00ecnh th\u01b0\u1eddng l\u1ee9a tu\u1ed5i c\u00f2n b\u00fa v\u00e0 tr\u1ebb l\u1edbn v\u00e0o th\u1eddi gian n\u00e0o \u0111\u00f3, \u0111\u1ec1u b\u1ecb c\u01b0 tr\u00fa ho\u1eb7c nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do c\u00e1c vi khu\u1ea9n g\u00e2y vi\u00eam m\u00e0ng n\u00e3o. Trong ph\u1ea7n l\u1edbn tr\u1ebb em c\u00f3 b\u1ec7nh nh\u1eb9 \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. \u1ede m\u1ed9t s\u1ed1 \u00edt tr\u1ebb, vi khu\u1ea9n n\u00e0y \u0111\u00e3 x\u00e2m nh\u1eadp v\u00e0o m\u00e1u. \u1ede m\u1ed9t s\u1ed1 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi khu\u1ea9n huy\u1ebft n\u00e0y, c\u00e1c vi khu\u1ea9n b\u1ecb qu\u00e9t s\u1ea1ch kh\u1ecfi d\u00f2ng m\u00e1u nh\u1edd c\u00e1c c\u01a1 ch\u1ebf ph\u00f2ng v\u1ec7 t\u1ef1 nhi\u00ean. \u1ede m\u1ed9t s\u1ed1 kh\u00e1c, nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft t\u1ea1i giai \u0111o\u1ea1n n\u00e0y b\u1eb1ng c\u00e1c th\u1ee9 thu\u1ed1c kh\u00e1ng khu\u1ea9n u\u1ed1ng th\u00f4ng th\u01b0\u1eddng. Tuy v\u1eady \u1edf m\u1ed9t s\u1ed1 \u00edt tr\u1ebb (\u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c kh\u00f4ng \u0111i\u1ec1u tr\u1ecb), b\u1ec7nh nhi\u1ec5m khu\u1ea9n tu\u1ea7n ti\u1ebfn v\u00e0 gieo r\u1eafc v\u00e0o h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng r\u1ed3i vi\u00eam m\u00e0ng n\u00e3o.
    \nC\u00e1c \u1ed5 nhi\u1ec5m tr\u00f9ng v\u00f9ng b\u00ean c\u1ea1nh n\u00e3o nh\u01b0 vi\u00eam xoang m\u1ee7, vi\u00eam tai gi\u1eefa, vi\u00eam tai x\u01b0\u01a1ng ch\u0169m, vi\u00eam xoang s\u00e0n, xoang b\u01b0\u1edbm, xoang tr\u00e1n, vi\u00eam x\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng s\u1ecd, c\u1ed9t s\u1ed1ng; ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o h\u1edf; u m\u00e0ng n\u00e3o t\u1ee7y c\u00f3 th\u1ec3 g\u00e2y vi\u00eam m\u00e0ng n\u00e3o qua \u0111\u01b0\u1eddng lan truy\u1ec1n l\u00e2n c\u1eadn, song th\u01b0\u1eddng l\u00e0 do v\u00e3n khu\u1ea9n huy\u1ebft tr\u01b0\u1edbc \u0111\u00f3.
    \nVi khu\u1ea9n theo \u0111\u01b0\u1eddng m\u00e1u qua \u0111\u00e1m r\u1ed1i \u1edf c\u00e1c n\u00e3o th\u1ea5t b\u00ean, qua m\u00e0ng n\u00e3o vi khu\u1ea9n s\u1ebd \u0111i v\u00e0o Sau \u0111\u00f3 vi khu\u1ea9n s\u1ebd l\u01b0u th\u00f4ng \u0111\u1ebfn ph\u1ea7n D\u1ecbch n\u00e3o t\u1ee7y (DNT) ngo\u00e0i n\u00e3o, \u0111\u1ebfn khoang d\u01b0\u1edbi nh\u1ec7n v\u00e0 t\u1ea1i \u0111\u00e2y ch\u00fang nhanh ch\u00f3ng sinh s\u1ea3n v\u00ec n\u1ed3ng \u0111\u1ed9 b\u1ed5 th\u1ec3 v\u00e0 kh\u00e1ng th\u1ec3 c\u1ee7a DNT kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 \u1ee9c ch\u1ebf ch\u00fang. Ti\u1ebfp \u0111\u1ebfn l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng vi\u00eam khu tr\u00fa do th\u00e2m nh\u1eadp c\u1ee7a b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n qua trung gian c\u00e1c y\u1ebfu t\u1ed1 h\u00f3a h\u01b0\u1edbng \u0111\u1ed9ng. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a Lipopolysaccharide v\u1ecf t\u1ebf b\u00e0o (n\u1ed9i \u0111\u1ed9c t\u1ed1) c\u1ee7a vi khu\u1ea9n gram (-) (H. influenzae b, n\u00e3o m\u00f4 c\u1ea7u) c\u0169ng nh\u01b0 c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a v\u1ecf vi khu\u1ea9n ph\u1ebf c\u1ea7u (acide teichoic, peptidoglycan) s\u1ebd k\u00edch th\u00edch v\u00e0 g\u00e2y m\u1ed9t ph\u1ea3n \u1ee9ng vi\u00eam n\u1eb7ng n\u1ec1 k\u00e8m theo s\u1ea3n xu\u1ea5t t\u1ea1i ch\u1ed5 c\u00e1c y\u1ebfu t\u1ed1 : TNF (ho\u1ea1i t\u1eed kh\u1ed1i u ), Interleukin 1, Prostaglandin E2 v\u00e0 m\u1ed9t s\u1ed1 ch\u1ea5t trung gian g\u00e2y vi\u00eam kh\u00e1c v\u1edbi Cytokin.
    \nV\u1edbi s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c ch\u1ea5t trung gian vi\u00eam n\u00e0y, ph\u1ea3n \u1ee9ng vi\u00eam ti\u1ebfp t\u1ee5c x\u1ea3y ra : th\u1ea5m nh\u1eadp b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n, t\u0103ng t\u00ednh th\u1ea5m m\u1ea1ch m\u00e1u, t\u1ed5n th\u01b0\u01a1ng h\u00e0ng r\u00e0o m\u1ea1ch m\u00e1u – n\u00e3o v\u00e0 huy\u1ebft kh\u1ed1i m\u1ea1ch m\u00e1u. Sau khi DNT \u0111\u00e3 s\u1ea1ch vi khu\u1ea9n, m\u1ed9t ph\u1ea3n \u1ee9ng vi\u00eam kh\u00e1c ti\u1ebfp t\u1ee5c x\u1ea3y ra m\u00e0 nguy\u00ean nh\u00e2n l\u00e0 do c\u00e1c ch\u1ea5t Cytokin th\u1eeba th\u1ea3i \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebft ra m\u00e0 ng\u01b0\u1eddi ta cho r\u1eb1ng di ch\u1ee9ng c\u1ee7a vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 l\u00e0 do t\u00ecnh tr\u1ea1ng vi\u00eam m\u00e3n t\u00ednh n\u00e0y.<\/p>\n

    \"minh-hoa-viem-mang-nao\"
    Th\u00e0nh ph\u1ea7n d\u1ecbch n\u00e3o t\u1ee7y<\/figcaption><\/figure>\n

    T\u0103ng protein DNT m\u1ed9t ph\u1ea7n l\u00e0 do t\u0103ng t\u00ednh th\u1ea5m c\u1ee7a h\u00e0ng r\u00e0o m\u1ea1ch m\u00e1u n\u00e3o, m\u1ed9t ph\u1ea7n l\u00e0 do m\u1ea5t ch\u1ea5t d\u1ecbch gi\u00e0u albumin t\u1eeb c\u00e1c mao m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch \u0111i ngang qua khoang d\u01b0\u1edbi m\u00e0ng c\u1ee9ng. V\u00e0o giai \u0111o\u1ea1n sau c\u1ee7a vi\u00eam m\u00e0ng n\u00e3o m\u1ee7, hi\u1ec7n t\u01b0\u1ee3ng th\u1ea5m d\u1ecbch n\u00e0y s\u1ebd g\u00e2y ra tr\u00e0n d\u1ecbch d\u01b0\u1edbi m\u00e0ng c\u1ee9ng.
    \nGlucose DNT gi\u1ea3m l\u00e0 do m\u00e0ng n\u00e3o b\u1ecb vi\u00eam g\u00e2y gi\u1ea3m v\u1eadn chuy\u1ec3n glucose v\u00e0 do t\u0103ng nhu c\u1ea7u s\u1eed d\u1ee5ng glucose c\u1ee7a t\u1ed5 ch\u1ee9c n\u00e3o.<\/p>\n

    2.2 C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i<\/h3>\n

    2.2.1 Y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n qua m\u00e0ng n\u00e3o<\/strong>
    \n<\/em><\/strong>– C\u00f3 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean do virus ho\u1eb7c nhi\u1ec5m tr\u00f9ng ph\u1ed5i do Pneumococcus.
    \n<\/em><\/strong>– Vi khu\u1ea9n c\u00f3 \u00e1i t\u00ednh v\u1edbi m\u00e0ng n\u00e3o m\u1ed9t khi \u0111\u00e3 lan tr\u00e0n v\u00e0o m\u00e1u (H. influenzae, ph\u1ebf c\u1ea7u v\u00e0 n\u00e3o m\u00f4 c\u1ea7u).
    \n<\/em><\/strong>– T\u1ed5n th\u01b0\u01a1ng m\u00e0ng ch\u1eafn m\u00e1u – d\u1ecbch n\u00e3o t\u1ee7y \u0111\u1ec3 vi khu\u1ea9n v\u00e0o \u0111\u1ebfn khoang d\u01b0\u1edbi m\u00e0ng nh\u1ec7n do ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o k\u00edn, h\u1edf g\u00e2y h\u1ee7y ho\u1ea1i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng t\u1ea1i ch\u1ed5.
    \n<\/em><\/strong>3.2.2 C\u00e1c y\u1ebfu t\u1ed1 c\u00f3 nguy c\u01a1 g\u00e2y vi\u00eam m\u00e0ng n\u00e3o m\u1ee7<\/strong>
    \n<\/em><\/strong>– Y\u1ebfu t\u1ed1 v\u1eadt ch\u1ee7 : thi\u1ebfu h\u1ee5t mi\u1ec5n d\u1ecbch b\u1ea9m sinh hay m\u1eafc ph\u1ea3i, nam m\u1eafc b\u1ec7nh nhi\u1ec1u h\u01a1n n\u1eef. Tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf m\u1eafc b\u1ec7nh nhi\u1ec1u h\u01a1n tr\u1ebb l\u1edbn. Tr\u1ebb b\u1ecb c\u1eaft l\u00e1ch d\u1ec5 b\u1ecb vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 do ph\u1ebf c\u1ea7u, H. influenzae t\u00fdp b v\u00e0 tr\u1ef1c tr\u00f9ng gram (-). Tr\u1ebb b\u1ecb thi\u1ebfu m\u00e1u h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m v\u00e0 b\u1ecb b\u1ec7nh l\u00fd huy\u1ebft s\u1eafc t\u1ed1 Hb b\u1ecb vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 do ph\u1ebf c\u1ea7u v\u00e0 H. influenzae b. Tr\u1ebb thi\u1ebfu b\u1ed5 th\u1ec3
    \n<\/em><\/strong>C5 – C8 d\u1ec5 b\u1ecb vi\u00eam m\u00e0ng n\u00e3o do n\u00e3o m\u00f4 c\u1ea7u. B\u1ec7nh l\u00fd b\u1ed5 th\u1ec3 d\u1ec5 b\u1ecb vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 do
    \n<\/em><\/strong>Salmonella. B\u1ec7nh \u00e1c t\u00ednh h\u1ec7 v\u00f5ng n\u1ed9i m\u00f4 d\u1ec5 b\u1ecb vi\u00eam m\u00e0ng n\u00e3o do c\u00e1c vi khu\u1ea9n c\u00f3 \u0111\u1ed9c l\u1ef1c
    \n<\/em><\/strong>th\u1ea5p v\u00e0 \u00edt \u0111e d\u1ecda \u1edf nh\u1eefng tr\u1ebb n\u00e0y.
    \n<\/em><\/strong>– Y\u1ebfu t\u1ed1 gen : H. influenzae g\u00e2y vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 cao h\u01a1n \u1edf m\u1ed9t s\u1ed1 ch\u1ee7ng t\u1ed9c. HLA B12 d\u1ec5 b\u1ecb\u00a0 h\u01a1n so v\u1edbi HLA BW40. Ch\u1eadm \u0111\u00e1p \u1ee9ng kh\u00e1ng th\u1ec3 IgG so v\u1edbi kh\u00e1ng nguy\u00ean v\u1ecf polysaccharide type b d\u1ec5 b\u1ecb m\u1eafc vi\u00eam m\u00e0ng n\u00e3o m\u1ee7.<\/p>\n

    \u00a0<\/em><\/strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong>
    \n<\/strong>1. Tr\u01b0\u1eddng \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c TP. H\u1ed3 Ch\u00ed Minh – B\u1ed9 M\u00f4n Nhi. S\u1ed5 tay x\u1eed tr\u00ed l\u1ed3ng gh\u00e9p
    \n<\/em><\/strong>b\u1ec7nh tr\u1ebb em. Nh\u00e0 Xu\u1ea5t B\u1ea3n Y H\u1ecdc.
    \n<\/em><\/strong>2. Tr\u01b0\u1eddng \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c Hu\u1ebf – B\u1ed9 M\u00f4n Nhi. Gi\u00e1o tr\u00ecnh Nhi Khoa.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Vi\u00eam m\u00e0ng n\u00e3o \u1edf tr\u1ebb em l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam \u1edf m\u00e0ng nu\u00f4i, m\u00e0ng nh\u1ec7n v\u00e0 khoang d\u01b0\u1edbi nh\u1ec7n su\u1ed1t t\u1eeb n\u00e3o b\u1ed9 \u0111\u1ebfn t\u1ee7y s\u1ed1ng c\u1ee7a tr\u1ebb. T\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh c\u00f2n kh\u00e1 ph\u1ed5 bi\u1ebfn, t\u1ef7 l\u1ec7 t\u1eed vong, c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 di ch\u1ee9ng t\u00e2m th\u1ea7n kinh c\u00f2n n\u1eb7ng n\u1ec1 do \u0111\u00f3 b\u1ec7nh […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[3],"yoast_head":"\nNguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh vi\u00eam m\u00e0ng n\u00e3o tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam m\u00e0ng n\u00e3o tr\u1ebb em l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam \u1edf m\u00e0ng nu\u00f4i, m\u00e0ng nh\u1ec7n v\u00e0 khoang d\u01b0\u1edbi nh\u1ec7n su\u1ed1t t\u1eeb n\u00e3o b\u1ed9 \u0111\u1ebfn t\u1ee7y s\u1ed1ng c\u1ee7a tr\u1ebb.\" \/>\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 v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh vi\u00eam m\u00e0ng n\u00e3o tr\u1ebb em - 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