{"id":25758,"date":"2023-04-22T16:12:11","date_gmt":"2023-04-22T09:12:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25758"},"modified":"2023-04-22T16:25:19","modified_gmt":"2023-04-22T09:25:19","slug":"phan-loai-giat-co-dua-theo-sinh-ly-va-giai-phau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/phan-loai-giat-co-dua-theo-sinh-ly-va-giai-phau\/","title":{"rendered":"Ph\u00e2n lo\u1ea1i gi\u1eadt c\u01a1 d\u1ef1a theo sinh l\u00fd v\u00e0 gi\u1ea3i ph\u1eabu"},"content":{"rendered":"

Gi\u1eadt c\u01a1 (myoclonus) l\u00e0 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng ch\u1ee7 \u00fd nhanh, ng\u1eafn do s\u1ef1 co c\u01a1 ho\u1eb7c \u1ee9c ch\u1ebf co c\u01a1. Gi\u1eadt c\u01a1 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng, k\u1ebft qu\u1ea3 th\u0103m kh\u00e1m v\u00e0 kh\u1ea3o s\u00e1t \u0111i\u1ec7n sinh l\u00fd th\u1ea7n kinh l\u00e2m s\u00e0ng v\u00e0 nguy\u00ean nh\u00e2n. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y tr\u00ecnh b\u00e0y v\u1ec1 ph\u00e2n lo\u1ea1i gi\u1eadt c\u01a1 d\u1ef1a theo sinh l\u00fd v\u00e0 gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng c\u1ee7a n\u00e3o b\u1ed9<\/strong><\/p>\n

1. S\u01a1 \u0111\u1ed3 ph\u00e2n lo\u1ea1i gi\u1eadt c\u01a1<\/h2>\n

Ngo\u00e0i ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean l\u00e2m s\u00e0ng v\u00e0 nguy\u00ean nh\u00e2n, gi\u1eadt c\u01a1 c\u00f2n c\u00f3 th\u1ec3 ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean v\u1ecb tr\u00ed c\u1ee7a c\u01a1 ch\u1ebf sinh l\u00fd g\u00e2y ra gi\u1eadt c\u01a1. Nh\u1eefng v\u1ecb tr\u00ed sinh l\u00fd \u2013 gi\u1ea3i ph\u1eabu bao g\u1ed3m:
\n\u2013 V\u1ecf n\u00e3o
\n\u2013 V\u1ecf n\u00e3o \u2013 d\u01b0\u1edbi v\u1ecf
\n\u2013 D\u01b0\u1edbi v\u1ecf \u2013 kh\u00f4ng khoanh \u0111o\u1ea1n
\n\u2013 Khoanh \u0111o\u1ea1n (segmental)
\n\u2013 Ngo\u1ea1i bi\u00ean
\nS\u01a1 \u0111\u1ed3 ph\u00e2n lo\u1ea1i n\u00e0y c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n gi\u1eadt c\u01a1 v\u00e0 h\u01b0\u1edbng d\u1eabn l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t s\u1ed1 lo\u1ea1i gi\u1eadt c\u01a1.<\/p>\n

2. C\u01a1 ch\u1ebf sinh l\u00fd ph\u00e2n lo\u1ea1i gi\u1eadt c\u01a1 \u1edf v\u00f9ng v\u1ecf n\u00e3o<\/strong><\/h2>\n
\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng c\u00e1c v\u00f9ng c\u1ee7a v\u1ecf n\u00e3o<\/figcaption><\/figure>\n

Trong gi\u1eadt c\u01a1 v\u1ecf n\u00e3o, \u1ed5 ph\u00f3ng \u0111i\u1ec7n khu tr\u00fa t\u1eeb v\u1ecf n\u00e3o c\u1ea3m gi\u00e1c \u2013 v\u1eadn \u0111\u1ed9ng nguy\u00ean ph\u00e1t, g\u00e2y n\u00ean gi\u1eadt c\u01a1 sau m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u1eabn truy\u1ec1n theo b\u00f3 v\u1ecf gai. Lo\u1ea1i gi\u1eadt c\u01a1 n\u00e0y x\u1ea3y ra do s\u1ef1 \u1ee9c ch\u1ebf kh\u00f4ng hi\u1ec7u qu\u1ea3 b\u00ean trong c\u00e1c v\u00f2ng neuron c\u1ee7a v\u1ecf n\u00e3o v\u1eadn \u0111\u1ed9ng nguy\u00ean ph\u00e1t, v\u1ecf n\u00e3o c\u1ea3m gi\u00e1c nguy\u00ean ph\u00e1t hay c\u1ea3 hai.
\nGi\u1eadt c\u01a1 v\u1ecf n\u00e3o c\u00f3 th\u1ec3 x\u1ea3y ra khi c\u00f3 k\u00edch th\u00edch ph\u1ea3n x\u1ea1 c\u1ea3m gi\u00e1c (gi\u1eadt c\u01a1 v\u1ecf n\u00e3o ph\u1ea3n x\u1ea1: cortical reflex myoclonus), khi v\u1eadn \u0111\u1ed9ng c\u01a1 (gi\u1eadt c\u01a1 v\u1ecf n\u00e3o khi v\u1eadn \u0111\u1ed9ng), khi ngh\u1ec9 (c\u01a1n \u0111\u1ed9ng kinh v\u1eadn \u0111\u1ed9ng c\u1ee5c b\u1ed9) ho\u1eb7c k\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i tr\u00ean.
\nTrong gi\u1eadt c\u01a1 v\u1ecf n\u00e3o ph\u1ea3n x\u1ea1, m\u1ed9t \u0111\u00e1p \u1ee9ng v\u1ecf n\u00e3o qu\u00e1 m\u1ee9c \u0111\u1ed1i v\u1edbi k\u00edch th\u00edch c\u1ea3m gi\u00e1c b\u1ea3n th\u1ec3 g\u00e2y ra gi\u1eadt c\u01a1, nh\u01b0ng sau \u0111\u00f3 to\u00e0n b\u1ed9 v\u1ecf n\u00e3o v\u1eadn \u0111\u1ed9ng-c\u1ea3m gi\u00e1c s\u1ebd g\u00e2y ra \u0111i\u1ec7n th\u1ebf g\u1ee3i c\u1ea3m gi\u00e1c b\u1ea3n th\u1ec3 (SEP) kh\u1ed5ng l\u1ed3 \u1edf v\u1ecf n\u00e3o v\u00e0 gi\u1eadt c\u01a1 ph\u1ea3n x\u1ea1. V\u1ecf n\u00e3o c\u1ea3m gi\u00e1c-v\u1eadn \u0111\u1ed9ng ph\u00f3ng \u0111i\u1ec7n nh\u1ecbp nh\u00e0ng hay b\u00e1n nh\u1ecbp nh\u00e0ng c\u00f3 th\u1ec3 g\u00e2y ra v\u1eadn \u0111\u1ed9ng l\u1eb7p l\u1ea1i g\u1ea7n gi\u1ed1ng nh\u01b0 run.
\nM\u1ed9t c\u01a1 ch\u1ebf b\u1ec7nh sinh \u0111\u1ed3ng nh\u1ea5t c\u1ee7a gi\u1eadt c\u01a1 v\u1ecf n\u00e3o th\u00ec v\u1eabn c\u00f2n ch\u01b0a r\u00f5 r\u00e0ng v\u00e0 c\u00f3 th\u1ec3 do nhi\u1ec1u c\u01a1 ch\u1ebf ph\u1ed1i h\u1ee3p.<\/p>\n

2. V\u1ecf n\u00e3o-d\u01b0\u1edbi v\u1ecf<\/strong><\/h2>\n

Sinh l\u00fd v\u1ecf n\u00e3o-d\u01b0\u1edbi v\u1ecf l\u00e0 c\u01a1 ch\u1ebf ch\u00ednh c\u1ee7a gi\u1eadt c\u01a1 \u0111\u1ed9ng kinh m\u00e0 n\u00f3 x\u1ea3y ra trong c\u00e1c h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng kinh to\u00e0n th\u1ec3 nguy\u00ean ph\u00e1t (v\u00ed d\u1ee5: gi\u1eadt c\u01a1 \u0111\u1ed9ng kinh thi\u1ebfu ni\u00ean) v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c (v\u00ed d\u1ee5: \u0111a gi\u1eadt c\u01a1 nh\u1ecf (minipolymyoclonus)).
\nC\u00e1c v\u00ed d\u1ee5 bao g\u1ed3m gi\u1eadt c\u01a1 \u0111\u1ed9ng kinh thi\u1ebfu ni\u00ean v\u00e0 \u0111\u1ed9ng kinh v\u1eafng \u00fd th\u1ee9c. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c m\u1ea1ng l\u01b0\u1edbi th\u1ea7n kinh \u1edf \u0111\u1ed3i th\u1ecb \u0111\u01b0\u1ee3c cho l\u00e0 k\u1ebft h\u1ee3p m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng v\u1edbi c\u00e1c v\u00f9ng l\u1edbn c\u1ee7a v\u1ecf n\u00e3o, g\u00e2y ra ho\u1ea1t \u0111\u1ed9ng th\u1ea7n kinh qu\u00e1 m\u1ee9c v\u00e0 c\u00e1c c\u01a1n gi\u1eadt c\u01a1 \u0111\u1ed9ng kinh. C\u00e1c gi\u1eadt c\u01a1 x\u1ea3y ra th\u01b0\u1eddng l\u00e0 to\u00e0n th\u1ec3 ho\u1eb7c \u0111\u1ed3ng th\u1eddi hai b\u00ean.<\/p>\n

3. D\u01b0\u1edbi v\u1ecf \u2013 kh\u00f4ng khoanh \u0111o\u1ea1n<\/strong><\/h2>\n

Gi\u1eadt c\u01a1 d\u01b0\u1edbi v\u1ecf \u2013 kh\u00f4ng khoanh \u0111o\u1ea1n \u0111\u01b0\u1ee3c t\u1ea1o ra \u1edf v\u1ecb tr\u00ed d\u01b0\u1edbi v\u1ecf, nh\u01b0ng \u0111\u1eb7c \u0111i\u1ec3m quan tr\u1ecdng l\u00e0 gi\u1eadt c\u01a1 bi\u1ec3u hi\u1ec7n v\u01b0\u1ee3t ra kh\u1ecfi c\u00e1c khoanh \u0111o\u1ea1n \u1edf g\u1ea7n v\u1ecb tr\u00ed t\u1ea1o ra gi\u1eadt c\u01a1.
\nBi\u1ec3u hi\u1ec7n sinh l\u00fd \u0111\u1eb7c tr\u01b0ng nh\u1ea5t c\u1ee7a gi\u1eadt c\u01a1 d\u01b0\u1edbi v\u1ecf – kh\u00f4ng khoanh \u0111o\u1ea1n l\u00e0 gi\u1eadt c\u01a1 h\u1ec7 l\u01b0\u1edbi ph\u1ea3n x\u1ea1 (reticular\u2013reflex myoclonus) v\u00e0 gi\u1eadt c\u01a1 c\u1ed9t sau t\u1ee7y s\u1ed1ng (propriospinal myoclonus). Trong c\u1ea3 2 v\u00ed d\u1ee5 tr\u00ean, ho\u1ea1t \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng xu\u1ea5t ph\u00e1t \u1edf m\u1ed9t v\u1ecb tr\u00ed c\u1ee5c b\u1ed9 c\u1ee7a tr\u1ee5c th\u1ea7n kinh, sau \u0111\u00f3 lan ra c\u1ea3 2 chi\u1ec1u l\u00ean tr\u00ean v\u00e0 xu\u1ed1ng d\u01b0\u1edbi, g\u00e2y n\u00ean gi\u1eadt c\u01a1 to\u00e0n th\u1ec3 do \u1ea3nh h\u01b0\u1edfng con \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n \u1edf c\u1ea3 hai b\u00ean.<\/p>\n

\"H\u1ec7
H\u1ec7 l\u01b0\u1edbi l\u00e0 t\u1eadp h\u1ee3p c\u00e1c nh\u00e2n trung gian d\u1ecdc su\u1ed1t chi\u1ec1u d\u00e0i c\u1ee7a th\u00e2n n\u00e3o<\/figcaption><\/figure>\n

Ph\u00e2n lo\u1ea1i sinh l\u00fd v\u00e0 gi\u1ea3i ph\u1eabu c\u1ee7a c\u00e1c gi\u1eadt c\u01a1 th\u01b0\u1eddng g\u1eb7p<\/strong><\/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\n\n\n\n\n
V\u1ecf n\u00e3o<\/strong><\/td>\n<\/tr>\n
Run v\u1eaby (m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p)<\/td>\n<\/tr>\n
\u0110\u1ed9ng kinh c\u1ee5c b\u1ed9 li\u00ean t\u1ee5c<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 v\u1ecf n\u00e3o ph\u1ea3n x\u1ea1<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 v\u1ecf n\u00e3o kh\u00f4ng k\u00e8m gia t\u0103ng ph\u1ea3n x\u1ea1<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 do m\u1ed9t s\u1ed1 thu\u1ed1c, \u0111\u1ed9c ch\u1ea5t, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a nh\u1ea5t \u0111\u1ecbnh<\/td>\n<\/tr>\n
B\u1ec7nh tho\u00e1i h\u00f3a th\u1ea7n kinh c\u00f3 \u1ea3nh h\u01b0\u1edfng v\u1ecf n\u00e3o nh\u01b0:<\/td>\n<\/tr>\n
B\u1ec7nh Alzheimer<\/td>\n<\/tr>\n
Tho\u00e1i h\u00f3a v\u1ecf n\u00e3o h\u1ea1ch n\u1ec1n<\/td>\n<\/tr>\n
B\u1ec7nh Creutzfeldt \u2013 Jakob<\/td>\n<\/tr>\n
B\u1ec7nh Huntington<\/td>\n<\/tr>\n
B\u1ec7nh Parkinson v\u00e0 b\u1ec7nh c\u00e1c b\u1ec7nh th\u1ec3 Lewy<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 do v\u1eadn \u0111\u1ed9ng sau thi\u1ebfu oxy n\u00e3o (gi\u1eadt c\u01a1 Lance \u2013 Adams)<\/td>\n<\/tr>\n
Th\u1ea5t \u0111i\u1ec1u gi\u1eadt c\u01a1 ti\u1ebfn tri\u1ec3n<\/td>\n<\/tr>\n
\u0110\u1ed9ng kinh gi\u1eadt c\u01a1 ti\u1ebfn tri\u1ec3n<\/td>\n<\/tr>\n
V\u1ecf n\u00e3o \u2013 d\u01b0\u1edbi v\u1ecf<\/strong><\/td>\n<\/tr>\n
C\u01a1n \u0111\u1ed9ng kinh v\u1eafng \u00fd th\u1ee9c<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 \u0111\u1ed9ng kinh to\u00e0n th\u1ec3 nguy\u00ean ph\u00e1t<\/td>\n<\/tr>\n
C\u01a1n \u0111\u1ed9ng kinh gi\u1eadt c\u01a1 to\u00e0n th\u1ec3 nguy\u00ean ph\u00e1t<\/td>\n<\/tr>\n
D\u01b0\u1edbi v\u1ecf – kh\u00f4ng khoanh \u0111o\u1ea1n<\/strong><\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 v\u00f4 c\u0103n (di truy\u1ec1n)<\/td>\n<\/tr>\n
Tr\u1ea1ng th\u00e1i gi\u1eadt m\u00ecnh qu\u00e1 m\u1ee9c<\/td>\n<\/tr>\n
H\u1ed9i ch\u1ee9ng opsoclonus-myoclonus<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 c\u1ed9t sau t\u1ee7y s\u1ed1ng<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 h\u1ec7 l\u01b0\u1edbi ph\u1ea3n x\u1ea1<\/td>\n<\/tr>\n
Khoanh \u0111o\u1ea1n<\/strong><\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 kh\u1ea9u c\u00e1i<\/td>\n<\/tr>\n
Gi\u1eadt c\u01a1 khoanh \u0111o\u1ea1n t\u1ee7y s\u1ed1ng<\/td>\n<\/tr>\n
Ngo\u1ea1i bi\u00ean<\/strong><\/td>\n<\/tr>\n
Co th\u1eaft n\u1eeda m\u1eb7t<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

C\u0169ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y h\u1ed9i ch\u1ee9ng gi\u1eadt c\u01a1\u2013lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u00f3 c\u01a1 ch\u1ebf sinh l\u00fd d\u01b0\u1edbi v\u1ecf-kh\u00f4ng khoanh \u0111o\u1ea1n. V\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a \u1ed5 ph\u00f3ng xung d\u01b0\u1edbi v\u1ecf trong gi\u1eadt c\u01a1\u2013lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 th\u00ec v\u1eabn ch\u01b0a r\u00f5, nh\u01b0ng s\u1ef1 ph\u00e2n b\u1ed1 c\u1ee7a gi\u1eadt c\u01a1 lan r\u1ed9ng qua kh\u1ecfi v\u00f9ng \u0111\u1ea7u, c\u1ed5, th\u00e2n tr\u00ean v\u00e0 hai chi tr\u00ean.<\/p>\n

4. Khoanh \u0111o\u1ea1n<\/strong><\/h2>\n

Gi\u1eadt c\u01a1 khoanh \u0111o\u1ea1n \u0111\u01b0\u1ee3c t\u1ea1o ra t\u1ea1i m\u1ed9t khoanh \u0111o\u1ea1n nh\u1ea5t \u0111\u1ecbnh ho\u1eb7c t\u1ea1i c\u00e1c khoanh \u0111o\u1ea1n k\u1ebf c\u1eadn nhau c\u1ee7a th\u00e2n n\u00e3o v\u00e0\/ho\u1eb7c t\u1ee7y s\u1ed1ng. Dao \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng b\u1ec7nh l\u00fd trong d\u1ea1ng gi\u1eadt c\u01a1 n\u00e0y x\u1ea3y ra v\u1edbi t\u1ea7n s\u1ed1 th\u1ea5p h\u01a1n so v\u1edbi run.
\nGi\u1eadt c\u01a1 khoanh \u0111o\u1ea1n bi\u1ec3u hi\u1ec7n \u1edf khoanh \u0111o\u1ea1n, ho\u1eb7c g\u1ea7n v\u1edbi m\u1ed9t khoanh \u0111o\u1ea1n nh\u1ea5t \u0111\u1ecbnh ho\u1eb7c t\u1ea1i c\u00e1c khoanh \u0111o\u1ea1n k\u1ebf c\u1eadn nhau c\u1ee7a c\u01a1 th\u1ec3 (v\u00ed d\u1ee5: gi\u1eadt c\u01a1 kh\u1ea9u c\u00e1i, gi\u1eadt c\u01a1 khoanh \u0111o\u1ea1n t\u1ee7y s\u1ed1ng).<\/p>\n

5. Ngo\u1ea1i bi\u00ean<\/strong><\/h2>\n

Gi\u1eadt c\u01a1 ngo\u1ea1i bi\u00ean l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean g\u00e2y ra ph\u00f3ng xung v\u1eadn \u0111\u1ed9ng qu\u00e1 m\u1ee9c \u0111\u1ebfn c\u01a1 m\u00e0 n\u00f3 chi ph\u1ed1i (v\u00ed d\u1ee5: co th\u1eaft n\u1eeda m\u1eb7t).<\/p>\n

T\u00f3m l\u1ea1i, s\u01a1 \u0111\u1ed3 ph\u00e2n lo\u1ea1i n\u00e0y c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n gi\u1eadt c\u01a1 v\u00e0 h\u01b0\u1edbng d\u1eabn l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t s\u1ed1 lo\u1ea1i gi\u1eadt c\u01a1.<\/p>\n

Ngu\u1ed3n: H\u1ed9i th\u1ea7n kinh h\u1ecdc Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Gi\u1eadt c\u01a1 (myoclonus) l\u00e0 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng ch\u1ee7 \u00fd nhanh, ng\u1eafn do s\u1ef1 co c\u01a1 ho\u1eb7c \u1ee9c ch\u1ebf co c\u01a1. Gi\u1eadt c\u01a1 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng, k\u1ebft qu\u1ea3 th\u0103m kh\u00e1m v\u00e0 kh\u1ea3o s\u00e1t \u0111i\u1ec7n sinh l\u00fd th\u1ea7n kinh l\u00e2m s\u00e0ng v\u00e0 nguy\u00ean […]<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"\nPh\u00e2n lo\u1ea1i gi\u1eadt c\u01a1 d\u1ef1a theo sinh l\u00fd v\u00e0 gi\u1ea3i ph\u1eabu - Vinmec<\/title>\n<meta name=\"description\" content=\"Gi\u1eadt c\u01a1 l\u00e0 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng kh\u00f3 ch\u1ea9n \u0111o\u00e1n. 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