{"id":26597,"date":"2023-04-22T19:08:42","date_gmt":"2023-04-22T12:08:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26597"},"modified":"2023-04-22T19:08:42","modified_gmt":"2023-04-22T12:08:42","slug":"dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin"},"content":{"rendered":"

Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm<\/a>) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda m\u1eb7t c\u1ee7a b\u1ec7nh nh\u00e2n. Ti\u00eam Botulinum Toxin (Botox) l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho co th\u1eaft n\u1eeda m\u1eb7t. Vi\u1ec7c ti\u00eam Botox v\u00e0o c\u00e1c c\u01a1 trong v\u00f9ng n\u1eeda m\u1eb7t b\u1ecb co th\u1eaft gi\u00fap l\u00e0m gi\u1ea3m s\u1ef1 co th\u1eaft c\u1ee7a ch\u00fang, gi\u1ea3m c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1edbn li\u00ean quan \u0111\u1ebfn b\u1ec7nh. Hi\u1ec7u qu\u1ea3 c\u1ee7a Botox th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 3 \u0111\u1ebfn 6 th\u00e1ng, sau \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam l\u1ea1i.<\/strong><\/p>\n

\"\"<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n

– Co th\u1eaft n\u1eeda m\u1eb7t (Hemifacial spasm) \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c v\u1eadn \u0111\u1ed9ng tr\u01b0\u01a1ng l\u1ef1c kh\u00f4ng t\u1ef1 ch\u1ee7 v\u00e0 kh\u00f4ng th\u01b0\u1eddng xuy\u00ean c\u00e1c c\u01a1 \u1edf m\u1eb7t do th\u1ea7n kinh s\u1ed1 VII chi ph\u1ed1i \u1edf m\u1ed9t b\u00ean m\u1eb7t v\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng nh\u1ea5t l\u00e0 s\u1ef1 ch\u00e8n \u00e9p m\u1ea1ch m\u00e1u l\u00ean d\u00e2y th\u1ea7n kinh m\u1eb7t t\u1ea1i v\u00f9ng \u0111i ra c\u1ee7a n\u00f3. C\u00e1c c\u01a1 m\u1eb7t co th\u1eaft ban \u0111\u1ea7u xu\u1ea5t hi\u1ec7n \u1edf xung quanh \u1ed5 m\u1eaft, sau \u0111\u00f3 lan ra v\u00f9ng m\u00e1 v\u00e0 xung quanh mi\u1ec7ng. C\u00e1c c\u01a1 m\u1eb7t c\u00f3 li\u00ean quan bao g\u1ed3m: c\u01a1 v\u00f2ng m\u1eaft (orbicularis culi), c\u01a1 tr\u00e1n (hi\u1ebfm g\u1eb7p)(frontalis), c\u01a1 cau m\u00e0y (corrugator), c\u01a1 m\u0169i (nasalis), c\u01a1 g\u00f2 m\u00e1 (zygomaticus), c\u01a1 c\u01b0\u1eddi (risorius), c\u01a1 v\u00f2ng mi\u1ec7ng (orbicularis oris), v\u00e0 \u0111\u00f4i khi l\u00e0 c\u01a1 b\u00e1m da c\u1ed5 (platysma).<\/p>\n

– C\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t co th\u1eaft n\u1eeda m\u1eb7t v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh li\u00ean quan \u0111\u1ebfn c\u00e1c c\u01a1 v\u00f9ng m\u1eb7t nh\u01b0: co gi\u1eadt m\u00ed m\u1eaft (blepharospasm), facial myokymia, lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 h\u00e0m (oromandibular dystonia), co gi\u1eadt s\u1ee3i v\u00f9ng m\u1eb7t (facial tic), co th\u1eaft c\u01a1 c\u1eafn (masticatory spasm), lo\u1ea1n \u0111\u1ed9ng sau li\u1ec7t m\u1eb7t (post Bell\u2019s palsy synkinesis) v\u00e0 \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9.<\/p>\n

– Botulinum toxine nh\u00f3m A c\u00f3 t\u00e1c d\u1ee5ng \u1edf m\u00e0ng tr\u01b0\u1edbc kh\u1edbp th\u1ea7n kinh (sin\u00e1p), l\u00e0m \u1ee9c ch\u1ebf gi\u1ea3i ph\u00f3ng Acetylcholin (l\u00e0 m\u1ed9t ch\u1ea5t trung gian d\u1eabn truy\u1ec1n th\u1ea7n kinh), do \u0111\u00f3 l\u00e0m t\u00ea li\u1ec7t d\u1eabn truy\u1ec1n qua sinap th\u1ea7n kinh – c\u01a1 v\u00e0 l\u00e0m c\u01a1 gi n ra.<\/p>\n

– Ti\u00eam Botulinum toxine nh\u00f3m A (Dysport ho\u1eb7c Botox) v\u00e0o c\u01a1 v\u00f9ng m\u1eb7t hi\u1ec7n nay l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h2>\n

Ng\u01b0\u1eddi b\u1ec7nh b\u1ecb co th\u1eaft n\u1eeda m\u1eb7t.<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

– Ng\u01b0\u1eddi b\u1ec7nh r\u1ed1i lo\u1ea1n nu\u1ed1t.<\/p>\n

– B\u1ec7nh l\u00fd to\u00e0n th\u00e2n n\u1eb7ng (nhi\u1ec5m khu\u1ea9n n\u1eb7ng, suy th\u1eadn\u2026).<\/p>\n

4. Chu\u1ea9n b\u1ecb<\/strong><\/h2>\n

C\u00e1n b\u1ed9 th\u1ef1c hi\u1ec7n<\/strong><\/p>\n

– 01 b\u00e1c s\u0129 c\u00f3 ch\u1ee9ng ch\u1ec9 ho\u1eb7c ch\u1ee9ng nh\u1eadn ti\u00eam thu\u1ed1c Botulinum toxin nh\u00f3m A.<\/p>\n

– 01 \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n

Ph\u01b0\u01a1ng ti\u1ec7n<\/strong><\/p>\n

– Thu\u1ed1c Botulinum toxine nh\u00f3m A (bi\u1ec7t d\u01b0\u1ee3c: Dysport 500UI ho\u1eb7c Botox 100 UI).<\/p>\n

– M\u1ed9t kim ti\u00eam lo\u1ea1i d\u01b0\u1edbi da, k\u00edch th\u01b0\u1edbc 28 – 30 gauge.<\/p>\n

– B\u01a1m ti\u00eam 1 ml: 02 c\u00e1i.<\/p>\n

– N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd 0.9% \u0111\u1ec3 pha thu\u1ed1c.<\/p>\n

– B\u00f4ng, c\u1ed3n s\u00e1t tr\u00f9ng 70o<\/sup> ho\u1eb7c Betadine.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh<\/strong><\/p>\n

Gi\u1ea3i th\u00edch, h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ho\u00e0n th\u00e0nh th\u1ee7 t\u1ee5c tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt.<\/p>\n

H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/strong><\/p>\n

– Ho\u00e0n th\u00e0nh \u0111\u1ea7y \u0111\u1ee7, c\u00f3 ch\u1ea9n \u0111o\u00e1n, theo d\u00f5i b\u1ec7nh h\u1eb1ng ng\u00e0y.<\/p>\n

– Kh\u00e1m x\u00e9t c\u1ea9n th\u1eadn c\u00e1c co c\u01a1 b\u1ea5t th\u01b0\u1eddng v\u00f9ng m\u1eb7t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u00f3m c\u01a1 ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 nh\u1eefng bi\u1ebfn \u0111\u1ed5i \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y.<\/p>\n

– Ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng thu\u1ed1c.<\/p>\n

5. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/strong><\/h2>\n

Ki\u1ec3m tra v\u00e0 kh\u00e1m x\u00e9t c\u00e1c c\u01a1 tr\u00ean m\u1eb7t c\u1ea7n ti\u00eam<\/strong><\/p>\n

– Ki\u1ec3m tra m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf.<\/p>\n

– Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt: 30 – 40 ph\u00fat.<\/p>\n

B\u01b0\u1edbc 1: <\/em><\/strong>chu\u1ea9n b\u1ecb thu\u1ed1c<\/p>\n

– \u0110i\u1ec1u d\u01b0\u1ee1ng pha lo\u00e3ng thu\u1ed1c Botulinum toxine v\u1edbi dung d\u1ecbch Natriclorua 0,9%. \u0110\u1ed9 pha lo\u00e3ng \u0111\u1ed1i v\u1edbi c\u00e1c c\u01a1 v\u00f9ng \u1ed5 m\u1eaft: thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c pha v\u1edbi 2,5 ml NaCl 0.9% v\u1edbi t\u1ef7 l\u1ec7: 40 \u0111\u01a1n v\u1ecb Botox \/1 ml ho\u1eb7c 200 \u0111\u01a1n v\u1ecb Dysport\/1 ml.<\/p>\n

B\u01b0\u1edbc 2: <\/em><\/strong>s\u00e1t khu\u1ea9n t\u1ea1i ch\u1ed7 ti\u00eam b\u1eb1ng c\u1ed3n 70 \u0111\u1ed9 ho\u1eb7c Betadine.<\/p>\n

L\u01b0u \u00fd: n\u1ebfu s\u00e1t tr\u00f9ng b\u1eb1ng c\u1ed3n 70o<\/sup>, ph\u1ea3i ch\u1edd c\u1ed3n kh\u00f4 m\u1edbi \u0111\u01b0\u1ee3c \u0111\u00e2m kim.<\/p>\n

B\u01b0\u1edbc 3: <\/em><\/strong>ti\u1ebfn h\u00e0nh ti\u00eam<\/p>\n

– Ti\u00eam d\u01b0\u1edbi da v\u00e0o c\u00e1c \u0111i\u1ec3m c\u01a1 ho\u1ea1t \u0111\u1ed9ng nh\u1ea5t t\u1ea1i c\u00e1c v\u00f9ng c\u01a1 m\u1eb7t (c\u01a1 v\u00e0 li\u1ec1u ti\u00eam theo b\u1ea3ng \u1edf d\u01b0\u1edbi).<\/p>\n

– B\u1eaft \u0111\u1ea7u ti\u00eam ph\u1ea7n tr\u00ean v\u00e0 ph\u1ea7n d\u01b0\u1edbi v\u00f9ng ngo\u00e0i c\u1ee7a c\u01a1 v\u00f2ng m\u1eaft. C\u00e1c m\u0169i ti\u00eam ti\u1ebfp theo v\u00e0o c\u00e1c c\u01a1 th\u1ea5p \u1edf m\u1eb7t (xung quang mi\u1ec7ng v\u00e0 tr\u00ean c\u01a1 b\u00e1m da c\u1ed5).<\/p>\n

B\u01b0\u1edbc 4: <\/em><\/strong>thu d\u1ecdn d\u1ee5ng c\u1ee5.<\/p>\n

B\u1ea3ng 1. <\/strong>Li\u1ec1u l\u01b0\u1ee3ng ti\u00eam v\u00e0 c\u01a1 ti\u00eam (Theo Karen Frei v\u00e0 Peter Roggenkaemper – 2009)<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n
C\u01a1 ti\u00eam<\/strong><\/td>\nS\u1ed1 v\u1ecb tr\u00ed ti\u00eam<\/strong><\/td>\nBotox<\/strong><\/td>\nDysport<\/strong><\/td>\n<\/tr>\n
C\u01a1 tr\u00e1n (Frontalis)<\/td>\n1<\/td>\n10 UI<\/td>\n30 UI<\/td>\n<\/tr>\n
C\u01a1 cau m\u00e0y (Corrugator)<\/td>\n1<\/td>\n1 UI<\/td>\n5 UI<\/td>\n<\/tr>\n
C\u01a1 v\u00f2ng \u1ed5 m\u1eaft (Orbicularis oculi)<\/td>\n4-5<\/td>\n15-20 UI<\/td>\n40-80 UI<\/td>\n<\/tr>\n
C\u01a1 g\u00f2 m\u00e1 l\u1edbn (Zygomaticus major)<\/td>\n1<\/td>\n1 UI<\/td>\n5 UI<\/td>\n<\/tr>\n
C\u01a1 g\u00f2 m\u00e1 b\u00e9 (Zygomaticus minor)<\/td>\n1<\/td>\n1 UI<\/td>\n5 UI<\/td>\n<\/tr>\n
C\u01a1 m\u00fat (Buccimator)<\/td>\n1<\/td>\n1 UI<\/td>\n5 UI<\/td>\n<\/tr>\n
C\u01a1 h\u1ea1 g\u00f3c mi\u1ec7ng (Depressor angularis oris)<\/td>\n1<\/td>\n1 UI<\/td>\n5 UI<\/td>\n<\/tr>\n
C\u01a1 c\u1eb1m ( Mentalis)<\/td>\n1<\/td>\n1 UI<\/td>\n5 UI<\/td>\n<\/tr>\n
C\u01a1 b\u00e1m da c\u1ed5 (Platysma)<\/td>\n3-5<\/td>\n2-3 UI<\/td>\n30-50 UI<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

T\u1ed5ng li\u1ec1u: 10 – 35 \u0111\u01a1n v\u1ecb Botox v\u00e0 30 – 300 \u0111\u01a1n v\u1ecb Dysport.<\/p>\n

6. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/strong><\/h2>\n

Theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh sau ti\u00eam \u0111\u1ebfn 48 gi\u1edd.<\/p>\n

Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/b><\/p>\n

H\u1ea7u h\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ch\u1ec9 tho\u00e1ng qua v\u00e0 x\u1ea9y ra ch\u1ee7 y\u1ebfu trong v\u00e0i tu\u1ea7n \u0111\u1ea7u sau ti\u00eam. Th\u01b0\u1eddng bi\u1ebfn m\u1ea5t trong v\u00f2ng 4 – 6 tu\u1ea7n.<\/p>\n

– S\u1ee5p mi: tr\u00e1nh kh\u00f4ng ti\u00eam v\u00e0o c\u01a1 n\u00e2ng mi tr\u00ean.<\/p>\n

– Y\u1ebfu li\u1ec7t n\u1eeda m\u1eb7t.<\/p>\n

– Nh\u00ecn \u0111\u00f4i.<\/p>\n

– Kh\u00f4 mi\u1ec7ng.<\/p>\n

T\u00f3m l\u1ea1i, ti\u00eam Botulinum Toxin (Botox) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm), gi\u00fap gi\u1ea3m s\u1ef1 co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 trong v\u00f9ng n\u1eeda m\u1eb7t v\u00e0 gi\u1ea3m c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1edbn li\u00ean quan \u0111\u1ebfn b\u1ec7nh. Hi\u1ec7u qu\u1ea3 c\u1ee7a Botox k\u00e9o d\u00e0i t\u1eeb 3 \u0111\u1ebfn 6 th\u00e1ng v\u00e0 c\u00f3 th\u1ec3 ti\u00eam l\u1ea1i sau \u0111\u00f3. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng Botox \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 r\u1ee7i ro v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra, bao g\u1ed3m \u0111au \u0111\u1ea7u, kh\u00f3 nu\u1ed1t, m\u1ec7t m\u1ecfi. Vi\u1ec7c s\u1eed d\u1ee5ng Botox c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 chuy\u00ean m\u00f4n v\u00e0 kinh nghi\u1ec7m trong l\u0129nh v\u1ef1c n\u00e0y. Ngo\u00e0i ra, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n co th\u1eaft n\u1eeda m\u1eb7t c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ch\u00ednh x\u00e1c b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda m\u1eb7t c\u1ee7a b\u1ec7nh nh\u00e2n. Ti\u00eam Botulinum Toxin (Botox) l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho co th\u1eaft n\u1eeda m\u1eb7t. Vi\u1ec7c ti\u00eam Botox […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\n\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin - Vinmec<\/title>\n<meta name=\"description\" content=\"Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda ...\" \/>\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=\"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-22T12:08:42+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-xuong-8-300x150.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 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\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/\",\"name\":\"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-22T12:08:42+00:00\",\"dateModified\":\"2023-04-22T12:08:42+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda ...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\",\"name\":\"mitkaka mitkaka\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"caption\":\"mitkaka mitkaka\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin - Vinmec","description":"Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda ...","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin - Vinmec","og_description":"Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda ...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/","og_site_name":"Vinmec","article_published_time":"2023-04-22T12:08:42+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-xuong-8-300x150.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/","name":"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-22T12:08:42+00:00","dateModified":"2023-04-22T12:08:42+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"Co th\u1eaft n\u1eeda m\u1eb7t (hemifacial spasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 m\u1eb7t, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 tr\u00ean n\u1eeda ...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-that-nua-mat-bang-tiem-botulinum-toxin\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"\u0110i\u1ec1u tr\u1ecb co th\u1eaft n\u1eeda m\u1eb7t b\u1eb1ng ti\u00eam Botulinum Toxin"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c","name":"mitkaka mitkaka","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","caption":"mitkaka mitkaka"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26597"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=26597"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26597\/revisions"}],"predecessor-version":[{"id":26632,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26597\/revisions\/26632"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=26597"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=26597"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=26597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}