{"id":26418,"date":"2023-04-22T09:24:47","date_gmt":"2023-04-22T02:24:47","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26418"},"modified":"2023-05-02T10:07:09","modified_gmt":"2023-05-02T03:07:09","slug":"tien-luong-ket-qua-dieu-tri-noi-nha-truoc-trong-va-sau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tien-luong-ket-qua-dieu-tri-noi-nha-truoc-trong-va-sau\/","title":{"rendered":"Ti\u00ean l\u01b0\u1ee3ng k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha: Tr\u01b0\u1edbc, trong v\u00e0 sau."},"content":{"rendered":"

C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng k\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o 3 nh\u00f3m l\u00e0 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, trong \u0111i\u1ec1u tr\u1ecb v\u00e0 sau \u0111i\u1ec1u tr\u1ecb. Ch\u00fang \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha th\u00f4ng qua vi\u1ec7c ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng. Quan tr\u1ecdng l\u00e0, nh\u1eefng hi\u1ec3u bi\u1ebft v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng s\u1ebd gi\u00fap nh\u00e0 l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 b\u1ec7nh nh\u00e2n x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p nh\u1ea5t, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 cao. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam \u1edf b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n

1. C\u00e1c y\u1ebfu t\u1ed1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng k\u1ebft qu\u1ea3<\/h2>\n

\u0110\u00e1nh gi\u00e1 v\u00e0 ch\u1ea9n \u0111o\u00e1n \u0111\u00fang b\u1ec7nh l\u00fd t\u1ee7y v\u00e0 b\u1ec7nh l\u00fd m\u00f4 quanh ch\u00f3p r\u1ea5t quan tr\u1ecdng, b\u00ean c\u1ea1nh nh\u1eefng hi\u1ec3u bi\u1ebft v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 sinh h\u1ecdc c\u01a1 b\u1ea3n, v\u00ec ch\u1ea9n \u0111o\u00e1n s\u1ebd ph\u1ea3n \u00e1nh s\u1ef1 thay \u0111\u1ed5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 m\u1ee9c \u0111\u1ed9 nhi\u1ec5m tr\u00f9ng c\u1ee7a v\u00f9ng m\u00f4 quanh ch\u00f3p. Nhi\u1ec1u b\u00e1o c\u00e1o \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh r\u00f5 r\u00e0ng v\u1ec1 s\u1ef1 c\u00f3 v\u00e0 kh\u00f4ng c\u00f3 x\u1ea3y ra ti\u00eau x\u01b0\u01a1ng quanh ch\u00f3p l\u00e0 1 y\u1ebfu t\u1ed1 r\u1ea5t quan tr\u1ecdng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 th\u00e0nh c\u00f4ng hay th\u1ea5t b\u1ea1i c\u1ee7a \u0111i\u1ec1u tr\u1ecb. Do \u0111\u00f3, r\u0103ng tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 c\u00f3 t\u1ed3n t\u1ea1i t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p th\u01b0\u1eddng c\u00f3 k\u1ebft qu\u1ea3 kh\u00f4ng t\u1ed1t b\u1eb1ng nh\u1eefng r\u0103ng kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng, sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt. H\u01a1n n\u1eefa, v\u00f9ng t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng r\u1ed9ng l\u1edbn th\u00ec s\u1ef1 t\u00e1i t\u1ea1o x\u01b0\u01a1ng quanh ch\u00f3p s\u1ebd x\u1ea3y ra v\u1edbi m\u1ee9c \u0111\u1ed9 th\u1ea5p h\u01a1n so v\u1edbi r\u0103ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng nh\u1ecf. V\u00ec v\u1eady khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p th\u00ec t\u1ed5n th\u01b0\u01a1ng c\u00e0ng nh\u1ecf, ti\u00ean l\u01b0\u1ee3ng cu\u1ed9c \u0111i\u1ec1u tr\u1ecb c\u00e0ng t\u1ed1t h\u01a1n. Tuy nhi\u00ean, v\u1eabn c\u00f3 nhi\u1ec1u r\u0103ng v\u1edbi t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p l\u1edbn \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng, m\u1eb7c d\u00f9 v\u1eabn c\u00f3 nguy c\u01a1 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt v\u1ec1 sau.<\/p>\n

\"\"
(a) Phim XQ cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p c\u00f3 d\u1ea1ng nang, lan r\u1ed9ng \u0111\u1ebfn s\u00e0n m\u0169i, d\u1ecdc theo m\u1eb7t g\u1ea7n c\u1ee7a r\u0103ng nanh v\u00e0 \u0111\u01b0\u1eddng vi\u1ec1n ph\u00eda xa c\u1ee7a implant v\u1ecb tr\u00ed r\u0103ng c\u1eeda gi\u1eefa. (b) Phim XQ cho th\u1ea5y tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y ho\u00e0n t\u1ea5t. C\u00f3 th\u1ec3 th\u1ea5y r\u00f5 h\u00ecnh \u1ea3nh thu\u1ed1c tr\u00e1m b\u00edt d\u01b0. (c) Phim XQ cho th\u1ea5y x\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o, ph\u00f9 h\u1ee3p v\u1edbi k\u1ebft qu\u1ea3 l\u00e0nh th\u01b0\u01a1ng. Khung h\u00ecnh d\u01b0\u1edbi: (a) H\u00ecnh \u1ea3nh CB cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng lan r\u1ed9ng \u1edf quanh v\u00f9ng r\u0103ng c\u1eeda b\u00ean. (b) H\u00ecnh \u1ea3nh CB cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng lan r\u1ed9ng \u1edf quanh implant. (c) H\u00ecnh \u1ea3nh CB cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn m\u1eb7t xa implant v\u00e0 ch\u00e2n r\u0103ng c\u1eeda b\u00ean, r\u0103ng nanh, RCN 1.<\/figcaption><\/figure>\n

\"tien-luong-ket-qua-1\"<\/p>\n

(a) H\u00ecnh \u1ea3nh XQ tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb r\u0103ng s\u1ed1 #10 v\u1edbi gi\u1ea3i ph\u1eabu ph\u1ee9c t\u1ea1p. V\u00f9ng th\u1ea5u quang quanh ch\u00f3p r\u1ed9ng c\u00f3 \u0111\u01b0\u1eddng kinh 10 mm. (b) \u0110i\u1ec1u tr\u1ecb t\u1ee7y ho\u00e0n t\u1ea5t. XQ sau tr\u00e1m b\u00edt cho th\u1ea5y m\u1ee9c \u0111\u1ed9 ph\u00e1 h\u1ee7y c\u1ee7a x\u01b0\u01a1ng quanh ch\u00f3p. (c) H\u00ecnh \u1ea3nh XQ sau 15 th\u00e1ng \u0111i\u1ec1u tr\u1ecb, tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha, cho th\u1ea5y s\u1ef1 gi\u1ea3m \u0111\u00e1ng k\u1ec3 k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i th\u1ea5u quang. (d) H\u00ecnh \u1ea3nh sau 2 n\u0103m \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u00e0 1 n\u0103m sau \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha. V\u00f9ng th\u1ea5u quang c\u00f2n s\u00f3t l\u1ea1i c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ef1 l\u00e0nh th\u01b0\u01a1ng c\u00f9ng v\u1edbi s\u1eb9o x\u01b0\u01a1ng. (e) H\u00ecnh \u1ea3nh sau 4 n\u0103m \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u00e0 6 th\u00e1ng sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha cho th\u1ea5y k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng. (f) 18 n\u0103m sau \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y c\u1ea5u tr\u00fac m\u00f4 quanh ch\u00f3p b\u00ecnh th\u01b0\u1eddng.R\u0103ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng c\u00f3 nhi\u1ec5m tr\u00f9ng \u1ed1ng t\u1ee7y t\u1ed3n t\u1ea1i dai d\u1eb3ng h\u01a1n so v\u1edbi r\u0103ng b\u00ecnh th\u01b0\u1eddng. Do v\u1eady nh\u1eefng r\u0103ng n\u00e0y th\u01b0\u1eddng s\u1ebd c\u00f3 l\u1edbp m\u00e0ng ph\u00edm (biofilm) \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp trong \u1ed1ng t\u1ee7y. Ngo\u00e0i ra, vi khu\u1ea9n c\u0169ng g\u00e2y nhi\u1ec5m tr\u00f9ng trong 1 v\u00e0i tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng, d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng ra ngo\u00e0i da. V\u00ec th\u1ebf s\u1ebd r\u1ea5t kh\u00f3 \u0111\u1ec3 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng vi khu\u1ea9n trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng \u1edf nh\u1eefng r\u0103ng n\u00e0y, n\u00ean s\u1ebd g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

T\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd to\u00e0n th\u00e2n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 1 trong nh\u1eefng y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u1ed1i v\u1edbi r\u0103ng c\u00f3 vi\u00eam quanh ch\u00f3p, l\u00e0 y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb khi r\u0103ng c\u00f3 h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y b\u1ecb nhi\u1ec5m tr\u00f9ng. Tuy nhi\u00ean nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y th\u01b0\u1eddng n\u1eb1m ngo\u00e0i t\u1ea7m ki\u1ec3m so\u00e1t c\u1ee7a nha s\u0129.<\/p>\n

2. C\u00e1c y\u1ebfu t\u1ed1 trong \u0111i\u1ec1u tr\u1ecb<\/h2>\n

Th\u00f4ng qua vi\u1ec7c \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb 1 c\u00e1ch h\u1ec7 th\u1ed1ng v\u00e0 to\u00e0n di\u1ec7n, tu\u00e2n th\u1ee7 nguy\u00ean t\u1eafc l\u00e2m s\u00e0ng th\u00ec nha s\u0129 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c h\u1ea7u h\u1ebft c\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng trong \u0111i\u1ec1u tr\u1ecb, nh\u01b0 l\u00e0 chi\u1ec1u d\u00e0i gi\u1edbi h\u1ea1n c\u1ee7a d\u1ee5ng c\u1ee5, ch\u1ea5t l\u01b0\u1ee3ng tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y v\u00e0 tai n\u1ea1n khi l\u00e0m th\u1ee7 thu\u1eadt. \u0110\u01b0a d\u1ee5ng c\u1ee5 qu\u00e1 ch\u00f3p c\u00f3 th\u1ec3 \u0111\u1ea9y vi khu\u1ea9n v\u00e0 m\u00f4 ho\u1ea1i t\u1eed t\u1eeb \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng v\u00e0o m\u00f4 quanh ch\u00f3p. \u0110\u01b0a d\u1ee5ng c\u1ee5 kh\u00f4ng t\u1edbi ch\u00f3p th\u00ec \u0111\u1ec3 l\u1ea1i vi khu\u1ea9n trong \u1ed1ng t\u1ee7y, nh\u1ea5t l\u00e0 \u0111o\u1ea1n \u1ed1ng t\u1ee7y c\u00e1ch ch\u00f3p v\u00e0i mm.<\/p>\n

Chi\u1ec1u d\u00e0i gi\u1edbi h\u1ea1n c\u1ee7a d\u1ee5ng c\u1ee5 khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng gi\u1ed1ng nhau gi\u1eefa c\u00e1c ch\u00f3p r\u0103ng b\u00ecnh th\u01b0\u1eddng v\u1edbi ch\u00f3p r\u0103ng nhi\u1ec5m tr\u00f9ng. C\u00f3 b\u00e1o c\u00e1o cho bi\u1ebft thi\u1ebfu 1 mm chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c s\u1ebd l\u00e0m gi\u1ea3m t\u1ec9 l\u1ec7 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng 14% v\u00e0 12% t\u01b0\u01a1ng \u1ee9ng v\u1edbi 2 lo\u1ea1i ch\u00f3p n\u00f3i tr\u00ean.<\/p>\n

Khi n\u00f3i \u0111\u1ebfn vi\u1ec7c tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y thi\u1ebfu, th\u00ec n\u00ean ph\u00e2n bi\u1ec7t gi\u1eefa s\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y \u0111\u00fang nh\u01b0ng tr\u00e1m b\u00edt thi\u1ebfu, v\u1edbi s\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y thi\u1ebfu v\u00e0 tr\u00e1m b\u00edt thi\u1ebfu. C\u00e1i th\u1ee9 nh\u1ea5t cho k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t h\u01a1n c\u00e1i th\u1ee9 2 v\u00ec \u0111\u00e3 l\u00e0m gi\u1ea3m thi\u1ebfu vi khu\u1ea9n trong \u1ed1ng t\u1ee7y. Tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y kh\u00f4ng t\u1ed1t v\u00e0 \u0111\u1ec3 l\u1ea1i k\u1ebd h\u1edf c\u00f3 th\u1ec3 g\u00e2y r\u00f2 r\u1ec9 th\u00e2n r\u0103ng khi\u1ebfn cho vi khu\u1ea9n x\u00e2m nh\u1eadp l\u1ea1i v\u00e0o m\u00f4 quanh ch\u00f3p. G\u00e3y d\u1ee5ng c\u1ee5 ho\u1eb7c th\u1ee7ng ch\u00e2n r\u0103ng l\u00e0m ng\u0103n c\u1ea3n vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ea3nh v\u1ee5n m\u00f4 b\u1eb1ng c\u01a1 \u2013 h\u00f3a h\u1ecdc – trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y t\u1eeb ch\u00f3p cho \u0111\u1ebfn ch\u1ed7 g\u00e3y ho\u1eb7c ch\u1ed7 th\u1ee7ng, do \u0111\u00f3 l\u00e0m c\u1ea3n tr\u1edf vi\u1ec7c lo\u1ea1i b\u1ecf vi khu\u1ea9n trong \u1ed1ng t\u1ee7y, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

3. C\u00e1c y\u1ebfu t\u1ed1 sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha<\/h2>\n

Y\u1ebfu t\u1ed1 sau \u0111i\u1ec1u tr\u1ecb, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u1ec7c ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng k\u1ecbp th\u1eddi c\u0169ng nh\u01b0 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng sau c\u00f9ng \u1edf r\u0103ng \u0111\u00e3 n\u1ed9i nha, l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 m\u00e0 nha s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c. Vai tr\u00f2 c\u1ee7a 1 ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng t\u1ed1t sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha c\u00f3 li\u00ean quan \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha th\u00e0nh c\u00f4ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh trong r\u1ea5t nhi\u1ec1u nghi\u00ean c\u1ee9u. \u0110\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t, r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha n\u00ean c\u00f3 c\u1ea3 ch\u1ea5t l\u01b0\u1ee3ng tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng t\u1ed1t v\u00e0 c\u1ea3 ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng t\u1ed1t. Ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng v\u0129nh vi\u1ec5n l\u00e0 y\u1ebfu t\u1ed1 c\u1ea7n thi\u1ebft \u0111\u1ec3 ng\u0103n ng\u1eeba t\u00e1i nhi\u1ec5m tr\u00f9ng v\u00e0 c\u1ea3 t\u1ed5n th\u01b0\u01a1ng n\u1ee9t g\u00e3y v\u1ec1 sau \u0111\u1ed1i v\u1edbi ph\u1ea7n m\u00f4 r\u0103ng c\u00f2n nguy\u00ean v\u1eb9n.<\/p>\n

Ngu\u1ed3n: Clinical Guide for Optimal Treatment Outcome – Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng k\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o 3 nh\u00f3m l\u00e0 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, trong \u0111i\u1ec1u tr\u1ecb v\u00e0 sau \u0111i\u1ec1u tr\u1ecb. Ch\u00fang \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha th\u00f4ng qua vi\u1ec7c ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng. Quan tr\u1ecdng l\u00e0, nh\u1eefng hi\u1ec3u bi\u1ebft v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 ti\u00ean […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[],"yoast_head":"\nTi\u00ean l\u01b0\u1ee3ng k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha: Tr\u01b0\u1edbc, trong v\u00e0 sau. - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng k\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o 3 nh\u00f3m l\u00e0 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, trong \u0111i\u1ec1u tr\u1ecb v\u00e0 sau \u0111i\u1ec1u tr\u1ecb. 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