{"id":24029,"date":"2023-04-29T14:15:59","date_gmt":"2023-04-29T07:15:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24029"},"modified":"2023-04-29T14:15:59","modified_gmt":"2023-04-29T07:15:59","slug":"viem","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem\/","title":{"rendered":"Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng: Bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c th\u1ec3 th\u01b0\u1eddng g\u1eb7p"},"content":{"rendered":"

Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng (VPC\u0110) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n, virus v\u00e0 n\u1ea5m kh\u00e1c nhau. M\u1eb7c d\u00f9 vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u01a1n gi\u1ea3n v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi sau v\u00e0i ng\u00e0y, nh\u01b0ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng v\u00e0 th\u1ec3 kh\u00e1c nhau.<\/strong><\/p>\n

1. Ch\u1ea9n \u0111o\u00e1n bi\u1ebfn ch\u1ee9ng<\/strong><\/h1>\n

Vi\u00eam ph\u1ed5i c\u00f3 th\u1ec3 g\u00e2y c\u00e1c bi\u1ebfn ch\u1ee9ng t\u1ea1i ph\u1ed5i, trong l\u1ed3ng ng\u1ef1c v\u00e0 bi\u1ebfn ch\u1ee9ng xa<\/p>\n

1.1. Bi\u1ebfn ch\u1ee9ng t\u1ea1i ph\u1ed5i<\/strong><\/h3>\n

– B\u1ec7nh c\u00f3 th\u1ec3 lan r\u1ed9ng ra hai ho\u1eb7c nhi\u1ec1u th\u00f9y ph\u1ed5i, b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf nhi\u1ec1u h\u01a1n, t\u00edm m\u00f4i; m\u1ea1ch nhanh, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ebft trong t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p, s\u1ed1c nhi\u1ec5m khu\u1ea9n.<\/p>\n

– X\u1eb9p m\u1ed9t thu\u1ef3 ph\u1ed5i: t\u1eafc ph\u1ebf qu\u1ea3n do \u0111\u1eddm.<\/p>\n

– \u00c1p xe ph\u1ed5i: r\u1ea5t th\u01b0\u1eddng g\u1eb7p, do d\u00f9ng kh\u00e1ng sinh kh\u00f4ng \u0111\u1ee7 li\u1ec1u l\u01b0\u1ee3ng, b\u1ec7nh nh\u00e2n s\u1ed1t dai d\u1eb3ng, kh\u1ea1c nhi\u1ec1u \u0111\u1eddm c\u00f3 m\u1ee7. X quang ph\u1ed5i c\u00f3 1 ho\u1eb7c nhi\u1ec1u h\u00ecnh hang v\u1edbi m\u1ee9c n\u01b0\u1edbc, m\u1ee9c h\u01a1i.<\/p>\n

1.2. Bi\u1ebfn ch\u1ee9ng trong l\u1ed3ng ng\u1ef1c<\/strong><\/h3>\n

– Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, trung th\u1ea5t: th\u01b0\u1eddng do nguy\u00ean nh\u00e2n\u00a0S. aureus<\/em>.<\/p>\n

– Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: vi\u00eam ph\u1ed5i d\u01b0\u1edbi m\u00e0ng g\u00e2y tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, n\u01b0\u1edbc v\u00e0ng chanh, nh\u1eb9, ch\u00f3ng kh\u1ecfi – th\u01b0\u1eddng do\u00a0S. pneumoniae<\/em>.<\/p>\n

– Tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i: b\u1ec7nh nh\u00e2n s\u1ed1t dai d\u1eb3ng, ch\u1ecdc d\u00f2 m\u00e0ng ph\u1ed5i c\u00f3 m\u1ee7, th\u01b0\u1eddng x\u1ea3y ra trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ed5i m\u00e0ng ph\u1ed5i, ho\u1eb7c do ch\u1ecdc d\u00f2 m\u00e0ng ph\u1ed5i g\u00e2y b\u1ed9i nhi\u1ec5m.<\/p>\n

– Vi\u00eam m\u00e0ng ngo\u00e0i tim: tri\u1ec7u ch\u1ee9ng \u0111au v\u00f9ng tr\u01b0\u1edbc tim, nghe c\u00f3 ti\u1ebfng c\u1ecd m\u00e0ng tim, th\u01b0\u1eddng l\u00e0 vi\u00eam m\u00e0ng tim c\u00f3 m\u1ee7.<\/p>\n

1.3. Bi\u1ebfn ch\u1ee9ng xa<\/strong><\/h3>\n

– Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c c\u1ea5p t\u00ednh do\u00a0S. pneumoniae<\/em>: bi\u1ebfn ch\u1ee9ng n\u00e0y hi\u1ebfm g\u1eb7p, b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1n s\u1ed1t r\u00e9t run, l\u00e1ch to.<\/p>\n

– Vi\u00eam kh\u1edbp do\u00a0S. pneumoniae<\/em>: g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i, th\u01b0\u1eddng ch\u1ec9 b\u1ecb m\u1ed9t kh\u1edbp s\u01b0ng, \u0111\u1ecf, n\u00f3ng, \u0111au.<\/p>\n

– Vi\u00eam m\u00e0ng n\u00e3o do\u00a0S. pneumoniae<\/em>: l\u00e0 bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p, n\u01b0\u1edbc n\u00e3o tu\u1ef7 ch\u1ee9a nhi\u1ec1u\u00a0S. pneumoniae<\/em>, glucose gi\u1ea3m, c\u00f3 \u00edt b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n.<\/p>\n

– Vi\u00eam ph\u00fac m\u1ea1c: th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em. S\u1ed1c nhi\u1ec5m tr\u00f9ng, m\u00ea s\u1ea3ng \u1ecf ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u….<\/p>\n

– Nhi\u1ec5m khu\u1ea9n huy\u1ebft: vi khu\u1ea9n v\u00e0o m\u00e1u, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c \u1ed5 \u00e1p xe nh\u1ecf \u1edf c\u00e1c c\u01a1 quan, n\u1ed9i t\u1ea1ng kh\u00e1c.<\/p>\n

– S\u1ed1c nhi\u1ec5m khu\u1ea9n: tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1 \u0111\u1ecba \u0111\u1eb7c b\u1ec7t nh\u01b0 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy th\u1eadn, suy tim\u2026 t\u00ecnh tr\u1ea1ng s\u1ed1c k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y h\u1ed9i ch\u1ee9ng suy \u0111a ph\u1ee7 t\u1ea1ng.<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Ngu\u1ed3n<\/strong>: Pneumonia Complications<\/em><\/figcaption><\/figure>\n

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2. M\u1ed9t s\u1ed1 th\u1ec3 vi\u00eam ph\u1ed5i\u00a0<\/strong><\/h2>\n

2.1.\u00a0<\/em><\/strong>Vi\u00eam ph\u1ed5i do\u00a0S.aureus<\/em><\/strong><\/h3>\n

– Ti\u1ec1n s\u1eed: nhi\u1ec5m tr\u00f9ng ngo\u00e0i da, \u0111\u1eb7t catheter t\u0129nh m\u1ea1ch trung t\u00e2m\u2026<\/p>\n

– L\u00e2m s\u00e0ng: Kh\u1edfi \u0111\u1ea7u \u0111\u1ed9t ng\u1ed9t, s\u1ed1t cao, r\u00e9t run, m\u1ea1ch nhanh, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, to\u00e0n th\u00e2n suy s\u1ee5p nhanh. Ho kh\u1ea1c \u0111\u1eddm nh\u1ea7y m\u1ee7 v\u00e0ng. Kh\u00e1m ph\u1ed5i c\u00f3 ran \u1ea9m, ran n\u1ed5 r\u1ea3i r\u00e1c, g\u00f5 \u0111\u1ee5c.<\/p>\n

– X-quang ph\u1ed5i: t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i nhi\u1ec1u n\u01a1i v\u00e0 bi\u1ebfn \u0111\u1ed5i nhanh, c\u00f3 nhi\u1ec1u \u1ed5 \u00e1p xe nh\u1ecf \u1edf hai ph\u1ed5i.<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh nh\u1edd c\u1ea5y \u0111\u1eddm, c\u1ea5y m\u00e1u t\u00ecm th\u1ea5y\u00a0S.aureus<\/em>.<\/p>\n

2.2.\u00a0<\/em><\/strong>Vi\u00eam ph\u1ed5i do\u00a0Klebsiella pneumoniae<\/em><\/strong><\/h3>\n

– B\u1ec7nh x\u1ea3y ra \u1edf ng\u01b0\u1eddi gi\u00e0 y\u1ebfu, nghi\u1ec7n r\u01b0\u1ee3u.<\/p>\n

– L\u00e2m s\u00e0ng: To\u00e0n th\u00e2n m\u1ec7t l\u1ea3, c\u00f3 th\u1ec3 k\u00e8m theo nhi\u1ec5m khu\u1ea9n huy\u1ebft, s\u1ed1c nhi\u1ec5m khu\u1ea9n. S\u1ed1t nh\u1eb9, ho kh\u1ea1c \u0111\u1eddm v\u00e0ng ho\u1eb7c xanh ho\u1eb7c \u0111\u1eddm m\u1ee7.<\/p>\n

– X-quang ph\u1ed5i: t\u1ed5n th\u01b0\u01a1ng lan r\u1ed9ng nhi\u1ec1u thu\u1ef3, c\u00f3 nhi\u1ec1u \u1ed5 \u00e1p xe nh\u1ecf, r\u1ed3i t\u1ea1o n\u00ean \u1ed5 \u00e1p xe l\u1edbn, ri\u1ec1m m\u1ecfng, c\u00f3 m\u1ee9c n\u01b0\u1edbc. Th\u01b0\u1eddng c\u00f3 d\u1ecbch m\u1ee7 m\u00e0ng ph\u1ed5i k\u00e8m theo.<\/p>\n

2.3.\u00a0<\/em><\/strong>Vi\u00eam ph\u1ed5i do\u00a0Pseudomonas aeruginosae<\/em><\/strong><\/h3>\n

– Vi\u00eam ph\u1ed5i n\u00e0y g\u1eb7p 6 \u2013 11% m\u1eafc \u1edf c\u1ed9ng \u0111\u1ed3ng. T\u1ef7 l\u1ec7 t\u1eed vong cao: 31 \u2013 90%.<\/p>\n

–\u00a0Pseudomonas\u00a0<\/em>c\u00f3 ngo\u1ea1i \u0111\u1ed9c t\u1ed1 A l\u00e0 lo\u1ea1i \u0111\u1ed9c t\u1ed1 m\u1ea1nh.<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n nhi\u1ec5m \u0111\u1ed9c: v\u1ebb m\u1eb7t lo \u00e2u, l\u00fa l\u1eabn, s\u1ed1t cao, r\u00e9t run, m\u1ea1ch ch\u1eadm. Ho kh\u1ea1c \u0111\u1eddm xanh ho\u1eb7c v\u00e0ng. B\u1ea1ch c\u1ea7u t\u0103ng cao. R\u1ea5t hay g\u1eb7p vi\u00eam ph\u1ed5i c\u00f3 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/p>\n

– X-quang ph\u1ed5i: T\u1ed5n th\u01b0\u01a1ng th\u00e2m nhi\u1ec5m lan t\u1ecfa hai b\u00ean ph\u1ed5i, th\u01b0\u1eddng k\u00e8m theo tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i v\u00e0 c\u00f3 nhi\u1ec1u \u1ed5 \u00e1p xe nh\u1ecf \u1edf ph\u1ed5i.<\/p>\n

2.4.\u00a0Vi\u00eam ph\u1ed5i do\u00a0Bukhoderia pseudomalei<\/em><\/strong><\/h3>\n

–\u00a0B.pseudomallei\u00a0<\/em>s\u1ed1ng trong \u0111\u1ea5t v\u00e0 n\u01b0\u1edbc b\u1ec1 m\u1eb7t \u1edf c\u00e1c qu\u1ed1c gia khu v\u1ef1c \u0110\u00f4ng Nam \u00c1 v\u00e0 B\u1eafc Australia. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p .v\u00e0o m\u00f9a m\u01b0a. T\u1ea1i Vi\u1ec7t Nam, b\u1ec7nh g\u1eb7p t\u1ef7 l\u1ec7 cao t\u1eeb th\u00e1ng 9 \u0111\u1ebfn th\u00e1ng 11.<\/p>\n

– Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n ch\u1ee7 y\u1ebfu qua da khi ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ea5t ho\u1eb7c n\u01b0\u1edbc b\u1ecb nhi\u1ec5m\u00a0B.pseudomallei\u00a0<\/em>\u1edf c\u00e1c v\u00f9ng nhi\u1ec7t \u0111\u1edbi.<\/p>\n

– C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng nh\u1ea5t c\u1ee7a melioidosis l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, nghi\u1ec7n r\u01b0\u1ee3u, b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh v\u00e0 b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh.<\/p>\n

– Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng bao g\u1ed3m c\u00e1c th\u1ec3 c\u1ea5p t\u00ednh, b\u00e1n c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh. Bi\u1ec3u hi\u1ec7n c\u1ea5p t\u00ednh bao g\u1ed3m s\u1ed1t cao, ho, kh\u1ea1c \u0111\u1eddm m\u1ee7, \u0111au ng\u1ef1c ki\u1ec3u m\u00e0ng ph\u1ed5i, \u1edbn l\u1ea1nh, s\u1ed1t r\u00e9t, suy h\u00f4 h\u1ea5p ti\u1ebfn tri\u1ec3n nhanh, c\u00f3 th\u1ec3 k\u00e8m theo nhi\u1ec5m khu\u1ea9n huy\u1ebft, \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng v\u00e0 t\u1eed vong. Th\u1ec3 di\u1ec5n bi\u1ebfn b\u00e1n c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng n\u1eb1m trong v\u00f9ng d\u1ecbch t\u1ec5, melioidosis xu\u1ea5t hi\u1ec7n sau khi b\u1ec7nh nh\u00e2n \u0111\u00e3 r\u1eddi kh\u1ecfi khu v\u1ef1c b\u1ec7nh l\u01b0u h\u00e0nh, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0 ho, kh\u1ea1c \u0111\u1eddm m\u1ee7, ho m\u00e1u, s\u00fat c\u00e2n v\u00e0 ra m\u1ed3 h\u00f4i ban \u0111\u00eam, nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m n\u00e0y d\u1ec5 nh\u1ea7m v\u1edbi lao ph\u1ed5i. Melioidosis m\u1ea1n t\u00ednh ti\u1ebfn tri\u1ec3n th\u01b0\u1eddng ch\u1eadm, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 1 \u0111\u1ebfn nhi\u1ec1u th\u00e1ng.<\/p>\n

– Xquang ph\u1ed5i: t\u1ed5n th\u01b0\u01a1ng r\u1ea5t \u0111a d\u1ea1ng, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 g\u1eb7p: \u0111\u00f4ng \u0111\u1eb7c m\u1ed9t ho\u1eb7c nhi\u1ec1u th\u00f9y, th\u00e2m nhi\u1ec5m r\u1ea3i r\u00e1c, k\u00ednh m\u1edd, \u00e1p xe ph\u1ed5i, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, h\u1ea1ch trung th\u1ea5t, t\u1ed5n th\u01b0\u01a1ng ho\u1ea1i t\u1eed d\u1ea1ng hang, c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n r\u1ea5t nhanh. Tr\u01b0\u1eddng h\u1ee3p melioidosis m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng hang, \u0111\u00f4ng \u0111\u1eb7c ho\u1eb7c th\u00e2m nhi\u1ec5m th\u00f9y tr\u00ean, c\u00e1c d\u1ea3i x\u01a1, c\u00e1c n\u1ed1t th\u00e2m nhi\u1ec5m nh\u1ecf gi\u1ed1ng t\u1ed5n th\u01b0\u01a1ng do lao, c\u00f3 h\u1ea1ch trung th\u1ea5t nh\u01b0ng hi\u1ebfm khi canxi h\u00f3a v\u00e0 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u0111\u01a1n thu\u1ea7n.<\/p>\n

2.5. Vi\u00eam ph\u1ed5i \u1edf ng\u01b0\u1eddi suy gi\u1ea3m mi\u1ec5n d\u1ecbch<\/strong><\/h3>\n

– Ng\u01b0\u1eddi thi\u1ebfu gamma globulin m\u00e1u d\u1ec5 b\u1ecb vi\u00eam ph\u1ed5i do\u00a0S.pneumoniae, Hemophilus inluenza<\/em>.<\/p>\n

– Khi gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh m\u00e1u, th\u01b0\u1eddng b\u1ecb vi\u00eam ph\u1ed5i do\u00a0P.aeruginosae\u00a0<\/em>v\u00e0\u00a0S.aureus<\/em>.<\/p>\n

Ngu\u1ed3n<\/strong>:\u00a0 H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn c\u1ee7a B\u1ed9 Y t\u1ebf 2020<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng (VPC\u0110) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n, virus v\u00e0 n\u1ea5m kh\u00e1c nhau. M\u1eb7c d\u00f9 vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u01a1n gi\u1ea3n v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi sau v\u00e0i ng\u00e0y, nh\u01b0ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3, […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"\nVi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng: Bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c th\u1ec3 th\u01b0\u1eddng g\u1eb7p - Vinmec<\/title>\n<meta name=\"description\" content=\"M\u1eb7c d\u00f9 vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u01a1n gi\u1ea3n v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi sau v\u00e0i ng\u00e0y, nh\u01b0ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3\" \/>\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=\"Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng: Bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c th\u1ec3 th\u01b0\u1eddng g\u1eb7p - 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