{"id":26049,"date":"2023-04-21T14:12:06","date_gmt":"2023-04-21T07:12:06","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26049"},"modified":"2023-04-21T18:02:46","modified_gmt":"2023-04-21T11:02:46","slug":"hep-van-hai-la-lam-sang-va-hinh-anh-hoc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/hep-van-hai-la-lam-sang-va-hinh-anh-hoc\/","title":{"rendered":"H\u1eb9p van hai l\u00e1: l\u00e2m s\u00e0ng v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc"},"content":{"rendered":"

H\u1eb9p van hai l\u00e1 l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf n\u01b0\u1edbc ta chi\u1ebfm kho\u1ea3ng 40,3% c\u00e1c\u00a0 b\u1ec7nh tim m\u1eafc ph\u1ea3i. Van hai l\u00e1 n\u1ed1i li\u1ec1n nh\u0129 tr\u00e1i v\u00e0 th\u1ea5t tr\u00e1i, gi\u00fap m\u00e1u di chuy\u1ec3n theo m\u1ed9t h\u01b0\u1edbng t\u1eeb nh\u0129 xu\u1ed1ng th\u1ea5t, bao g\u1ed3m 2 l\u00e1 van: l\u00e1 van l\u1edbn (hay l\u00e1 van tr\u01b0\u1edbc) v\u00e0 l\u00e1 van nh\u1ecf (hay l\u00e1 van sau). V\u00e0o k\u1ef3 t\u00e2m tr\u01b0\u01a1ng di\u1ec7n t\u00edch m\u1edf van (DTMV) trung b\u00ecnh t\u1eeb 4 – 6cm2. \u0110\u01b0\u1ee3c coi l\u00e0 h\u1eb9p van 2 l\u00e1<\/a> khi di\u1ec7n t\u00edch m\u1edf van d\u01b0\u1edbi hay b\u1eb1ng 2cm2 (1,18cm2\/ m2 di\u1ec7n t\u00edch c\u01a1 th\u1ec3 (DTCT) ). H\u1eb9p kh\u00edt n\u1eb7ng khi DTMV < 1cm2 (0,6 cm2\/m DTCT).<\/strong><\/p>\n

1. L\u00e2m s\u00e0ng <\/em>h\u1eb9p van hai l\u00e1<\/em><\/h2>\n

1.1. To\u00e0n th\u00e2n<\/strong>: N\u1ebfu m\u1eafc b\u1ec7nh tr\u01b0\u1edbc tu\u1ed5i d\u1eady th\u00ec, b\u1ec7nh nh\u00e2n k\u00e9m ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t\u00a0 g\u1ecdi l\u00e0 \u201dl\u00f9n hai l\u00e1\u201d (nanisme mitral). N\u1ebfu x\u1ea3y ra sau tu\u1ed5i d\u1eady th\u00ec tr\u1ebb ph\u00e1t tri\u1ec3n g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n

1.2. C\u01a1 n\u0103ng\u00a0\u00a0<\/strong><\/p>\n

– C\u00f3 khi ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd b\u1edfi kh\u00e1m s\u1ee9c kh\u1ecfe h\u00e0ng lo\u1ea1t m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng\u00a0 c\u00f3 tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng n\u00e0o ngay c\u1ea3 khi g\u1eafng s\u1ee9c.<\/p>\n

– C\u00f3 khi b\u1ec7nh nh\u00e2n \u0111i kh\u00e1m v\u00ec kh\u00f3 th\u1edf, ho v\u00e0 kh\u1ea1c ra m\u00e1u, h\u1ed3i h\u1ed9p \u0111\u00e1nh tr\u1ed1ng\u00a0 ng\u1ef1c, nu\u1ed1t ngh\u1eb9n do t\u00e2m nh\u0129 ch\u00e8n \u00e9p v\u00e0o th\u1ef1c qu\u1ea3n nh\u1ea5t l\u00e0 khi g\u1eafng s\u1ee9c.<\/p>\n

1.3. D\u1ea5u ch\u1ee9ng th\u1ef1c th\u1ec3:<\/strong> Nghe tim l\u00e0 ch\u1ee7 y\u1ebfu, c\u00f3 th\u1ec3 nghe khi n\u1eb1m ng\u1eeda, n\u1eb1m\u00a0 nghi\u00eang tr\u00e1i ho\u1eb7c c\u00f3 khi ph\u1ea3i \u0111\u1ec3 b\u1ec7nh nh\u00e2n l\u00e0m \u0111\u1ed9ng t\u00e1c g\u1eafng s\u1ee9c. H\u1eb9p van hai l\u00e1\u00a0 \u0111i\u1ec3n h\u00ecnh th\u01b0\u1eddng nghe \u0111\u01b0\u1ee3c c\u00e1c d\u1ea5u ch\u1ee9ng sau theo t\u1ea7n su\u1ea5t hay g\u1eb7p.<\/p>\n

– Ti\u1ebfng T1 \u0111anh \u1edf m\u1ecfm (do van x\u01a1 d\u00e0y \u0111\u1eadp v\u00e0o nhau).<\/p>\n

– Rung t\u00e2m tr\u01b0\u01a1ng (RTTr) \u1edf m\u1ecfm do van h\u1eb9p lu\u1ed3ng m\u00e1u b\u1ecb t\u1ed1ng m\u1ea1nh xu\u1ed1ng th\u1ea5t\u00a0 tr\u00e1i va v\u00e0o c\u00e1c c\u1ed9t c\u01a1 v\u00e0 c\u1ea7u c\u01a1 \u1edf th\u1ea5t tr\u00e1i b\u1ecb vi\u00eam d\u00e0y x\u01a1 c\u1ee9ng, v\u00f4i h\u00f3a ho\u1eb7c RTTr\u00a0 m\u1ea5t khi van h\u1eb9p kh\u00edt, van v\u00e0 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi van d\u00e0y, v\u00f4i h\u00f3a, d\u00ednh v\u1edbi nhau.<\/p>\n

– T2 m\u1ea1nh \u1edf \u0111\u00e1y tim do s\u1ef1 t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do hai van \u0110MC v\u00e0 \u0110MP\u00a0 \u0111\u00f3ng kh\u00f4ng c\u00f9ng l\u00fac t\u1ea1o n\u00ean T2 t\u00e1ch \u0111\u00f4i (van \u0110MP \u0111\u00f3ng mu\u1ed9n h\u01a1n van \u0110MC).<\/p>\n

– Ti\u1ebfng th\u1ed5i ti\u1ec1n t\u00e2m thu \u1edf gi\u1eefa tim hay \u1edf m\u1ecfm do lu\u1ed3ng m\u00e1u \u0111i qua ch\u1ed7 h\u1eb9p n\u1ebfu c\u00f2n\u00a0 \u1ee9 l\u1ea1i \u1edf nh\u0129 tr\u00e1i, nh\u0129 tr\u00e1i ph\u1ea3i b\u00f3p th\u00eam m\u1ed9t l\u1ea7n n\u1eefa \u0111\u1ec3 \u0111\u1ea9y n\u1ed1t s\u1ed1 m\u00e1u xu\u1ed1ng th\u1ea5t tr\u00e1i;\u00a0 nh\u01b0ng khi b\u1ecb rung nh\u0129 hay nh\u0129 tr\u00e1i gi\u00e3n r\u1ed3i th\u00ec kh\u00f4ng c\u00f2n nghe ti\u1ebfng th\u1ed5i ti\u1ec1n t\u00e2m thu\u00a0 n\u1eefa.<\/p>\n

– Ti\u1ebfng cl\u1eafc m\u1edf van hai l\u00e1 \u1edf m\u1ecfm ho\u1eb7c trong m\u1ecfm. Ti\u1ebfng n\u00e0y ch\u1ec9 c\u00f3 khi van c\u00f2n\u00a0 m\u1ec1m.<\/p>\n

– Khi \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i t\u0103ng cao th\u1ea5t ph\u1ea3i gi\u00e3n nhi\u1ec1u l\u00e0m gi\u00e3n v\u00f2ng van \u0110MP\u00a0 g\u00e2y ra ti\u1ebfng th\u1ed5i t\u00e2m tr\u01b0\u01a1ng \u1edf van \u0110MP g\u1ecdi l\u00e0 ti\u1ebfng th\u1ed5i Graham – Steel. \u00a0 C\u0169ng c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p h\u1eb9p van hai l\u00e1 khi kh\u00e1m b\u1ec7nh kh\u00f4ng nghe \u0111\u01b0\u1ee3c\u00a0 g\u00ec m\u00e0 nh\u1edd bi\u1ebfn ch\u1ee9ng v\u00e0 nh\u1edd c\u1eadn l\u00e2m s\u00e0ng nh\u1ea5t l\u00e0 si\u00eau \u00e2m g\u1ecdi l\u00e0 h\u1eb9p van hai l\u00e1 \u201d\u00a0 c\u00e2m\u201d.<\/p>\n

– C\u00e1c tri\u1ec7u ch\u1ee9ng do c\u1ee5c m\u00e1u \u0111\u00f4ng thuy\u00ean t\u1eafc \u0111\u1ebfn n\u00e3o, th\u1eadn, \u0110MV, \u0110MP. Tr\u01b0\u1edbc th\u1eddi k\u1ef3 d\u00f9ng kh\u00e1ng \u0111\u00f4ng v\u00e0 ph\u1eabu thu\u1eadt tim, kho\u1ea3ng 25% b\u1ec7nh nh\u00e2n h\u1eb9p 2 l\u00e1 t\u1eed vong do bi\u1ebfn ch\u1ee9ng thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch, c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 th\u1ec3 n\u1eb1m s\u00e1t v\u00e1ch nh\u0129 ho\u1eb7c l\u00e0 kh\u1ed1i l\u1edbn tr\u00f2n tr\u00f4i n\u1ed5i t\u1ef1 do trong t\u00e2m nh\u0129 ho\u1eb7c c\u00f3 cu\u1ed1ng g\u1eafn v\u00e0o v\u00e1ch nh\u0129. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng, l\u00e0m ng\u1ea5t hay \u0111\u1ed9t t\u1eed.<\/p>\n

\"Minh-hoa-hep-van-hai-la\"<\/p>\n

2. C\u1eadn l\u00e2m s\u00e0ng\u00a0\u00a0<\/em><\/h2>\n

2.1. \u0110i\u1ec7n quang:<\/strong> C\u00f3 2 t\u01b0 th\u1ebf \u0111\u1ec3 th\u0103m d\u00f2 trong h\u1eb9p van 2 l\u00e1:<\/p>\n

– T\u01b0 th\u1ec3 th\u1eb3ng:<\/p>\n

+ B\u00ean ph\u1ea3i: T\u00e2m nh\u0129 tr\u00e1i to l\u1ea5n sang ph\u00eda ph\u1ea3i th\u01b0\u1eddng c\u00f3 3 giai \u0111o\u1ea1n.\u00a0 Giai \u0111o\u1ea1n 1: Nh\u0129 tr\u00e1i to t\u1ea1o th\u00e0nh 2 cung song song v\u1edbi b\u1edd trong l\u00e0 nh\u0129 tr\u00e1i, b\u1edd ngo\u00e0i\u00a0 l\u00e0 nh\u0129 ph\u1ea3i.<\/p>\n

Giai \u0111o\u1ea1n 2: Nh\u0129 tr\u00e1i to l\u1ea5n ra c\u1eaft cung nh\u0129 ph\u1ea3i, t\u1ea1o th\u00e0nh hai cung c\u1eaft nhau.\u00a0 Giai \u0111o\u1ea1n 3: Nh\u0129 tr\u00e1i to l\u1ea5n ra ngo\u00e0i t\u1ea1o th\u00e0nh 2 cung song song m\u00e0 cung ngo\u00e0i l\u00e0 nh\u0129 tr\u00e1i v\u00e0 cung trong l\u00e0 nh\u0129 ph\u1ea3i (ng\u01b0\u1ee3c v\u1edbi giai \u0111o\u1ea1n 1).<\/p>\n

+ B\u00ean tr\u00e1i: c\u00f3 4 cung: cung \u0110MC, cung \u0110MP, cung ti\u1ec3u nh\u0129 tr\u00e1i, cung d\u01b0\u1edbi tr\u00e1i v\u1edbi\u00a0 m\u1ecfm tim h\u1ebfch l\u00ean (th\u1ea5t ph\u1ea3i l\u1edbn).<\/p>\n

R\u1ed1n ph\u1ed5i: \u0110\u1eadm, t\u1ea1o n\u00ean \u1edf 2 b\u00ean b\u00f3ng tim hai kho\u1ea3ng m\u1edf r\u1ed9ng v\u00e0 ranh gi\u1edbi kh\u00f4ng r\u00f5.\u00a0 Hai ph\u1ebf tr\u01b0\u1eddng m\u1edd do \u1ee9 huy\u1ebft, c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c h\u00ecnh Kerley B. N\u1ebfu khi c\u00f3 t\u00ecnh tr\u1ea1ng\u00a0 t\u0103ng \u00e1p l\u1ef1c \u0110MP ch\u1ee7 \u0111\u1ed9ng th\u00ec th\u1ea5y v\u00f9ng r\u1ed1n ph\u1ed5i \u0111\u1eadm v\u00e0 v\u00f9ng r\u00eca ph\u1ed5i r\u1ea5t s\u00e1ng.<\/p>\n

– Tr\u00ean phim nghi\u00eang c\u00f3 u\u1ed1ng bar\u00edt: th\u1ef1c qu\u1ea3n b\u1ecb ch\u00e8n \u00e9p \u1edf 1\/3 gi\u1eefa. M\u1ea5t kho\u1ea3ng\u00a0 s\u00e1ng tr\u01b0\u1edbc tim ho\u1eb7c sau x\u01b0\u01a1ng \u1ee9c (th\u1ea5t ph\u1ea3i l\u1edbn).<\/p>\n

2.2. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3\u00a0<\/strong><\/p>\n

– Giai \u0111o\u1ea1n \u0111\u1ea7u ch\u01b0a h\u1eb9p kh\u00edt ho\u1eb7c ch\u01b0a \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u tr\u00ean c\u00e1c khoang tim: \u0111i\u1ec7n\u00a0 tim c\u00f2n b\u00ecnh th\u01b0\u1eddng.<\/p>\n

– Giai \u0111o\u1ea1n sau: d\u00e0y nh\u0129 tr\u00e1i v\u1edbi P (0,12s ho\u1eb7c P hai pha, pha \u00e2m l\u1edbn h\u01a1n pha\u00a0 (+) \u1edf V1. Tr\u1ee5c \u0111i\u1ec7n tim l\u1ec7ch ph\u1ea3i v\u00e0 d\u00e0y th\u1ea5t ph\u1ea3i.<\/p>\n

Ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 th\u1ea5y t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u01b0 ngo\u1ea1i t\u00e2m thu nh\u0129, nh\u1ecbp nhanh\u00a0 nh\u0129, rung nh\u0129 l\u00e0 hay g\u1eb7p h\u01a1n c\u1ea3. C\u00f3 th\u1ec3 c\u00f3 bl\u1ed1c nh\u00e1nh ph\u1ea3i kh\u00f4ng ho\u00e0n to\u00e0n.<\/p>\n

2.3. Si\u00eau \u00e2m tim\u00a0\u00a0<\/strong><\/p>\n

L\u00e0 ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c h\u1eb9p van hai l\u00e1 nh\u1ea5t l\u00e0 khi h\u1eb9p\u00a0 van hai l\u00e1 tr\u00ean l\u00e2m s\u00e0ng kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c. Si\u00eau \u00e2m c\u00f2n cho ph\u00e9p ta \u0111\u00e1nh gi\u00e1\u00a0 van v\u00e0 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi van c\u00f3 d\u00e0y kh\u00f4ng \u0111\u1ec3 ta c\u00f3 quy\u1ebft \u0111\u1ecbnh thay van hay t\u00e1ch van.\u00a0 Trong h\u1eb9p \u0111\u01a1n thu\u1ea7n<\/p>\n

– Ki\u1ec3u m\u1ed9t b\u00ecnh di\u1ec7n: Van l\u00e1 van tr\u01b0\u1edbc v\u00e0 sau d\u00ednh v\u00e0o nhau n\u00ean di \u0111\u1ed9ng song\u00a0 song c\u00f9ng chi\u1ec1u, c\u00e1c l\u00e1 van d\u00e0y l\u00ean. Van c\u00f3 d\u1ea1ng h\u00ecnh cao nguy\u00ean hay gi\u00e0y tr\u01b0\u1ee3t\u00a0 tuy\u1ebft. \u0110\u1ed9 d\u1ed1c t\u00e2m tr\u01b0\u01a1ng EF b\u1ecb gi\u1ea3m. N\u1ebfu h\u1eb9p kh\u00edt \u0111\u1ed9 d\u1ed1c t\u00e2m tr\u01b0\u01a1ng c\u00f3 th\u1ec3 gi\u1ea3m\u00a0 <15 mm\/s. \u0110\u01b0\u1eddng k\u00ednh nh\u0129 tr\u00e1i t\u0103ng. \u0110\u01b0\u1eddng k\u00ednh th\u1ea5t ph\u1ea3i t\u0103ng, v\u00e1ch th\u1ea5t ph\u1ea3i d\u00e0y.\u00a0 C\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c d\u1ea5u t\u0103ng \u00e1p \u0110MP gi\u00e1n ti\u1ebfp.<\/p>\n

– Si\u00eau \u00e2m 2 chi\u1ec1u: X\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c s\u1ef1 di \u0111\u1ed9ng c\u1ee7a van, do k\u00edch th\u01b0\u1edbc bu\u1ed3ng\u00a0 tim \u0111\u1ed3ng th\u1eddi \u0111o \u0111\u01b0\u1ee3c di\u1ec7n t\u00edch l\u1ed7 van.<\/p>\n

– Si\u00eau \u00e2m Doppler c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c h\u1eb9p van hai l\u00e1 c\u00f3 k\u1ebft h\u1ee3p v\u1edbi c\u00e1c t\u1ed5n\u00a0 th\u01b0\u01a1ng kh\u00e1c \u0111\u1ec3 c\u00f3 th\u00e1i \u0111\u1ed9 x\u1eed tr\u00ed th\u00edch \u0111\u00e1ng. \u0110\u1ed3ng th\u1eddi \u0111o \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i,\u00a0 theo d\u00f5i \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n

2.4. T\u00e2m thanh c\u01a1 \u0111\u1ed9ng \u0111\u1ed3\u00a0<\/strong><\/p>\n

K\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u1eb9p c\u1ee7a van d\u1ef1a v\u00e0o kho\u1ea3ng Q –\u00a0 T1 v\u00e0 kho\u1ea3ng T2 – CM. N\u1ebfu Q – T1 c\u00e0ng d\u00e0i v\u00e0 T2 – CM c\u00e0ng ng\u1eafn th\u00ec h\u1eb9p van hai l\u00e1\u00a0 kh\u00edt, hi\u1ec7n nay th\u0103m d\u00f2 n\u00e0y \u00edt s\u1eed d\u1ee5ng do \u0111\u00e3 c\u00f3 si\u00eau \u00e2m tim<\/p>\n

2.5. Th\u00f4ng tim\u00a0\u00a0<\/strong><\/p>\n

Th\u1ea5y \u0111\u01b0\u1ee3c s\u1ef1 ch\u00each l\u1ec7ch \u00e1p t\u00e2m tr\u01b0\u01a1ng gi\u1eefa nh\u0129 tr\u00e1i v\u00e0 th\u1ea5t tr\u00e1i, d\u1ea5u hi\u1ec7u\u00a0 \u0111\u1eb7c tr\u01b0ng c\u1ee7a h\u1eb9p hai l\u00e1. Hi\u1ec7n nay, si\u00eau \u00e2m c\u00f3 t\u00ednh ch\u1ea5t quy\u1ebft \u0111\u1ecbnh n\u00ean \u00edt s\u1eed d\u1ee5ng\u00a0 ph\u01b0\u01a1ng ti\u1ec7n n\u00e0y. Ng\u01b0\u1eddi ta ch\u1ec9 s\u1eed d\u1ee5ng khi c\u00f3 nghi ng\u1edd c\u00f3 h\u1edf hai l\u00e1 ho\u1eb7c c\u00e1c b\u1ec7nh\u00a0 van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ph\u1ed1i h\u1ee3p (hi\u1ebfm).<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong> B\u00e0i gi\u1ea3ng n\u1ed9i khoa – \u0110\u1ea1i h\u1ecdc Y Khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/p>\n","protected":false},"excerpt":{"rendered":"

H\u1eb9p van hai l\u00e1 l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf n\u01b0\u1edbc ta chi\u1ebfm kho\u1ea3ng 40,3% c\u00e1c\u00a0 b\u1ec7nh tim m\u1eafc ph\u1ea3i. Van hai l\u00e1 n\u1ed1i li\u1ec1n nh\u0129 tr\u00e1i v\u00e0 th\u1ea5t tr\u00e1i, gi\u00fap m\u00e1u di chuy\u1ec3n theo m\u1ed9t h\u01b0\u1edbng t\u1eeb nh\u0129 xu\u1ed1ng th\u1ea5t, bao g\u1ed3m 2 l\u00e1 van: l\u00e1 van l\u1edbn (hay l\u00e1 van tr\u01b0\u1edbc) v\u00e0 […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"\nH\u1eb9p van hai l\u00e1: l\u00e2m s\u00e0ng v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1eb9p van hai l\u00e1 l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf n\u01b0\u1edbc ta. \u0110\u01b0\u1ee3c coi l\u00e0 h\u1eb9p van 2 l\u00e1 khi di\u1ec7n t\u00edch m\u1edf van d\u01b0\u1edbi hay b\u1eb1ng 2cm2.\" \/>\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=\"H\u1eb9p van hai l\u00e1: l\u00e2m s\u00e0ng v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc - Vinmec\" \/>\n<meta property=\"og:description\" content=\"H\u1eb9p van hai l\u00e1 l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf n\u01b0\u1edbc ta. \u0110\u01b0\u1ee3c coi l\u00e0 h\u1eb9p van 2 l\u00e1 khi di\u1ec7n t\u00edch m\u1edf van d\u01b0\u1edbi hay b\u1eb1ng 2cm2.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/hep-van-hai-la-lam-sang-va-hinh-anh-hoc\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-21T07:12:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-21T11:02:46+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3-16-300x255.jpg\" \/>\n<meta name=\"author\" content=\"Dai Tran Van\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dai Tran Van\" \/>\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\/21\/hep-van-hai-la-lam-sang-va-hinh-anh-hoc\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/hep-van-hai-la-lam-sang-va-hinh-anh-hoc\/\",\"name\":\"H\u1eb9p van hai l\u00e1: l\u00e2m s\u00e0ng v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc - 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