{"id":26827,"date":"2023-04-29T15:44:28","date_gmt":"2023-04-29T08:44:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26827"},"modified":"2023-04-29T15:44:28","modified_gmt":"2023-04-29T08:44:28","slug":"xuat-huyet-tieu-hoa-o-tre-em-tiep-can-va-huong-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xuat-huyet-tieu-hoa-o-tre-em-tiep-can-va-huong-dieu-tri\/","title":{"rendered":"Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a \u1edf tr\u1ebb em: Ti\u1ebfp c\u1eadn v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u n\u1ed9i v\u00e0 ngo\u1ea1i khoa nguy hi\u1ec3m, th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. Theo th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u tr\u00ean to\u00e0n c\u1ea7u. Tuy nhi\u00ean, t\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong v\u00ec xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 gi\u1eefa c\u00e1c khu v\u1ef1c v\u00e0 qu\u1ed1c gia.<\/b><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/strong><\/h2>\n

Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a (XHTH) l\u00e0 s\u1ef1 \u0111\u00e0o th\u1ea3i qua \u0111\u01b0\u1eddng mi\u1ec7ng v\u00e0 hay l\u00e0 qua \u0111\u01b0\u1eddng h\u1eadu m\u00f4n m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng m\u00e1u t\u1eeb c\u00e1c th\u01b0\u01a1ng t\u1ed5n c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau ho\u00e1
\n– Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a cao: Xu\u1ea5t huy\u1ebft t\u1eeb mi\u1ec7ng \u0111\u1ebfn g\u00f3c Treitz
\n– Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a th\u1ea5p: Xu\u1ea5t huy\u1ebft t\u1eeb d\u01b0\u1edbi g\u00f3c Treitz<\/p>\n

\"PH\u00c1C
PH\u00c1C \u0110\u1ed2 \u0110I\u1ec0U TR\u1eca NHI KHOA 2016 (B\u1ec6NH VI\u1ec6N NHI \u0110\u1ed2NG 2)<\/figcaption><\/figure>\n

2. Ti\u1ebfp c\u1eadn ban \u0111\u1ea7u\u00a0<\/strong><\/h2>\n

B\u01b0\u1edbc 1<\/strong>
\n– L\u00fd do v\u00e0o vi\u1ec7n:<\/p>\n

+ n\u00f4n ra m\u00e1u
\n+ \u0111i c\u1ea7u ph\u00e2n \u0111en
\n+ \u0111i c\u1ea7u ph\u00e2n m\u00e1u t\u01b0\u01a1i
\n– \u0110\u00e1nh gi\u00e1 to\u00e0n tr\u1ea1ng: tri gi\u00e1c (t\u1ec9nh t\u00e1o, k\u00edch th\u00edch, v\u1eadt v\u00e3, li b\u00ec, h\u00f4n m\u00ea), d\u1ea5u hi\u1ec7u sinh t\u1ed3n (m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf), Refill, da, ni\u00eam m\u1ea1c.
\n\u2ba1 Ph\u00e2n \u0111\u1ed9 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/p>\n\n\n\n\n\n\n\n\n\n\n\n
 <\/p>\n

Kh\u1ed1i l\u01b0\u1ee3ng m\u00e1u m\u1ea5t<\/em><\/strong><\/td>\n

<15%<\/strong><\/td>\n15-30%<\/strong><\/td>\n30-35%<\/strong><\/td>\n35-50%<\/strong><\/td>\n<\/tr>\n
L\u00e2m s\u00e0ng<\/em><\/strong><\/td>\nT\u1ec9nh t\u00e1o<\/td>\nLo \u00e2u, k\u00edch th\u00edch, l\u1ea1nh<\/td>\nL\u1ecbm, Li b\u00ec<\/td>\nL\u01a1 m\u01a1, h\u00f4n m\u00ea<\/td>\n<\/tr>\n
M\u1ea1ch<\/em><\/strong><\/td>\nT\u0103ng 10-20%<\/td>\nNhanh >150 l\u1ea7n\/ph\u00fat<\/td>\nNhanh >150 l\u1ea7n\/ph\u00fat<\/td>\nKh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c hay m\u1ea1ch b\u1eb1ng 0<\/td>\n<\/tr>\n
Huy\u1ebft \u00e1p<\/em><\/strong><\/td>\nB\u00ecnh th\u01b0\u1eddng<\/td>\nH\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf, gi\u1ea3m 10mmHg<\/td>\nH\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf, gi\u1ea3m 10mmHg<\/td>\nKh\u00f4ng \u0111o \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p<\/td>\n<\/tr>\n
Nh\u1ecbp th\u1edf<\/em><\/strong><\/td>\nB\u00ecnh th\u01b0\u1eddng<\/td>\nTh\u1edf nhanh<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Refill<\/em><\/strong><\/td>\nB\u00ecnh th\u01b0\u1eddng<\/td>\nK\u00e9o d\u00e0i<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
N\u01b0\u1edbc ti\u1ec3u<\/em><\/strong><\/td>\nB\u00ecnh th\u01b0\u1eddng<\/td>\n>1ml\/kg\/gi\u1edd<\/td>\n<1ml\/kg\/gi\u1edd<\/td>\nV\u00f4 ni\u1ec7u<\/td>\n<\/tr>\n
Hct<\/em><\/strong><\/td>\nB\u00ecnh th\u01b0\u1eddng<\/td>\n<20%<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Hb<\/em><\/strong><\/td>\nB\u00ecnh th\u01b0\u1eddng<\/td>\n<7g\/l<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u2b62 \u0110\u1ed9 III, IV (c\u00f3 Shock, thi\u1ebfu m\u00e1u n\u1eb7ng): x\u1eed tr\u00ed c\u1ea5p c\u1ee9u
\n\u2b62 \u0110\u1ed9 I, II (kh\u00f4ng c\u00f3 Shock, ch\u1ea3y m\u00e1u \u00edt, to\u00e0n tr\u1ea1ng chung \u1ed5n): th\u0103m kh\u00e1m t\u1ec9 m\u1ec9<\/p>\n

B\u01b0\u1edbc 2<\/strong><\/p>\n

1. X\u00e1c \u0111\u1ecbnh c\u00f3 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/strong><\/h3>\n

– N\u00f4n ra m\u00e1u: \u0110\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi c\u00f3 m\u00e1u t\u01b0\u01a1i ho\u1eb7c m\u00e1u \u0111en trong ch\u1ea5t n\u00f4n
\n* Ph\u00e2n bi\u1ec7t:
\n+ Ho ra m\u00e1u<\/p>\n\n\n\n\n\n\n\n\n
 <\/p>\n

Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p<\/strong><\/td>\n

B\u1ec7nh l\u00fd tim ph\u1ed5i<\/strong><\/td>\nB\u1ec7nh ti\u00eau h\u00f3a<\/strong><\/td>\n<\/tr>\n
H\u00ecnh th\u00e1i<\/strong><\/td>\nC\u00f3 b\u1ecdt<\/td>\nKh\u00f4ng c\u00f3 ho\u1eb7c b\u1ecdt \u00edt<\/td>\n<\/tr>\n
Bi\u1ec3u hi\u1ec7n<\/strong><\/td>\n\u0110\u1ecf t\u01b0\u01a1i<\/td>\nN\u00e2u s\u1eabm, n\u00e2u \u0111\u1ecf<\/td>\n<\/tr>\n
Th\u00e0nh ph\u1ea7n k\u00e8m theo<\/strong><\/td>\nL\u1eabn m\u1ee7<\/td>\nL\u1eabn th\u1ee9c \u0103n<\/td>\n<\/tr>\n
Tri\u1ec7u ch\u1ee9ng k\u00e8m theo<\/strong><\/td>\nKh\u00f3 th\u1edf<\/td>\nBu\u1ed3n n\u00f4n<\/td>\n<\/tr>\n
pH<\/strong><\/td>\nKi\u1ec1m<\/td>\nToan<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

+ Th\u1ee9c \u0103n v\u00e0 thu\u1ed1c
\n+ Tr\u1ebb s\u01a1 sinh nu\u1ed1t m\u00e1u m\u1eb9: Test Aphte downey
\nX\u00e9t nghi\u1ec7m Aphte downey r\u1ea5t h\u1eefu \u00edch nh\u1edd v\u00e0o s\u1ef1 nh\u1ea1y c\u1ea3m kh\u00e1c nhau c\u1ee7a HbA v\u00e0 HbF v\u1edbi s\u1ef1 bi\u1ebfn t\u00ednh ki\u1ec1m. HbF c\u1ee7a tr\u1ebb s\u01a1 sinh \u0111\u1ec1 kh\u00e1ng l\u1ea1i bi\u1ebfn t\u00ednh ki\u1ec1m t\u1ed1t h\u01a1n HbA n\u00ean v\u1eabn gi\u1eef m\u00e0u h\u1ed3ng, HbA s\u1ebd chuy\u1ec3n th\u00e0nh m\u00e0u n\u00e2u v\u00e0ng.
\n+ Ch\u1ea3y m\u00e1u cam, m\u00e1u mi\u1ec7ng: h\u1ecfi ti\u1ec1n s\u1eed v\u00e0 kh\u00e1m tai, m\u0169i, h\u1ecdng
\n– \u0110i c\u1ea7u ph\u00e2n \u0111en: ph\u00e2n m\u00e0u \u0111en nh\u01b0 h\u1eafc \u00edn ho\u1eb7c b\u00e3 c\u00e0 ph\u00ea, m\u00f9i th\u1ed1i kh\u1eafm.<\/p>\n

* Ph\u00e2n bi\u1ec7t: th\u1ee9c \u0103n v\u00e0 thu\u1ed1c, tr\u1ebb s\u01a1 sinh nu\u1ed1t m\u00e1u m\u1eb9, ch\u1ea3y m\u00e1u cam, ch\u1ea3y m\u00e1u mi\u1ec7ng
\n– \u0110i c\u1ea7u ph\u00e2n m\u00e1u t\u01b0\u01a1i: c\u00f3 th\u1ec3 \u1edf ngay \u0111\u1ea7u ho\u1eb7c cu\u1ed1i b\u00e3i ph\u00e2n ho\u1eb7c th\u00e0nh v\u1ec7t bao ngo\u00e0i ph\u00e2n th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi tri\u1ec7u ch\u1ee9ng li\u00ean quan t\u1edbi r\u1eb7n \u1ec9a, t\u00e1o b\u00f3n.
\n– N\u1ebfu nghi ng\u1edd, \u0111\u00e1nh gi\u00e1 l\u1ea1i s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a m\u00e1u trong ph\u00e2n b\u1eb1ng x\u00e9t nghi\u1ec7m t\u00ecm m\u00e1u \u1ea9n trong ph\u00e2n.<\/p>\n

2. X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/strong><\/h3>\n

– N\u00f4n ra m\u00e1u \u2b62 XHTH tr\u00ean
\n– \u0110i c\u1ea7u ph\u00e2n \u0111en \u2b62 XHTH tr\u00ean
\n– Ph\u00e2n m\u00e1u \u0111\u1ecf t\u01b0\u01a1i \u2b62 XHTH d\u01b0\u1edbi
\n– Ph\u00e2n m\u00e1u t\u01b0\u01a1i c\u00f3 th\u1ec3 th\u1ea5y \u1edf tr\u01b0\u1eddng h\u1ee3p XHTH tr\u00ean l\u01b0\u1ee3ng l\u1edbn, \u1ed3 \u1ea1t;
\n– Ph\u00e2n \u0111en c\u00f3 th\u1ec3 th\u1ea5y \u1edf XHTH d\u01b0\u1edbi n\u1ebfu v\u1ecb tr\u00ed g\u1ea7n g\u00f3c Treitz ho\u1eb7c do th\u1eddi gian v\u1eadn chuy\u1ec3n ph\u00e2n k\u00e9o d\u00e0i.<\/p>\n

B\u01b0\u1edbc 3: X\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft<\/strong><\/p>\n

– Kh\u00e1m b\u1ee5ng: \u0111au b\u1ee5ng, b\u1ee5ng ch\u01b0\u1edbng, d\u1ea5u ch\u1ee9ng vi\u00eam ph\u00fac m\u1ea1c, kh\u00e1m gan, l\u00e1ch l\u1edbn, tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7, b\u00e1ng b\u1ee5ng.<\/p>\n

– Kh\u00e1m da, ni\u00eam m\u1ea1c: t\u00ecm tr\u00ean da c\u00e1c v\u1ebft b\u1ea7m t\u00edm, n\u1ed1t xu\u1ea5t.huy\u1ebft, m\u1ea3ng xu\u1ea5t huy\u1ebft, u m\u00e1u tr\u00ean da, v\u00e0ng da, n\u1ed1t nh\u1ec7n
\n– Th\u0103m h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c l\u1ed7 d\u00f2 h\u1eadu m\u00f4n, n\u1ee9t k\u1ebd h\u1eadu m\u00f4n, polyp, d\u1ea5u hi\u1ec7u th\u00e1o c\u1ed1ng, tr\u0129 …
\n– Ti\u1ec1n s\u1eed: S\u1eed d\u1ee5ng thu\u1ed1c NSAIDs, Corticoid, Wafarin
\nB\u1ec7nh n\u1ec1n: b\u1ec7nh gan, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, suy gi\u1ea3m mi\u1ec5n d\u1ecbch
\n\u0110\u1ecbnh h\u01b0\u1edbng ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n XHTH tr\u1ebb em<\/a><\/p>\n

B\u01b0\u1edbc 4: C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n

T\u00f9y thu\u1ed9c b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng v\u00e0 m\u1ee9c \u0111\u1ed9 m\u1ea5t m\u00e1u<\/p>\n

* CTM, nh\u00f3m m\u00e1u, ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u to\u00e0n b\u1ed9, soi v\u00e0 c\u1ea5y ph\u00e2n, ch\u1ee9c n\u0103ng gan, ch\u1ee9c n\u0103ng th\u1eadn, si\u00eau \u00e2m b\u1ee5ng, Xquang b\u1ee5ng, n\u1ed9i soi ti\u00eau h\u00f3a, CT Scan b\u1ee5ng…
\nSoi v\u00e0 c\u1ea5y ph\u00e2n, t\u00ecm \u0111\u1ed9c t\u1ed1, tr\u1ee9ng v\u00e0 k\u00fd sinh tr\u00f9ng n\u1ebfu nghi ng\u1edd l\u1ef5.
\n* X-quang b\u1ee5ng \u0111\u1ee9ng kh\u00f4ng chu\u1ea9n b\u1ecb
\n– Ph\u00e1t hi\u1ec7n d\u1ecb v\u1eadt khi c\u00f3 ti\u1ec1n s\u1eed, l\u00e2m s\u00e0ng nghi ng\u1edd, gi\u00fap \u0111\u00e1nh gi\u00e1 s\u1ef1 t\u1eafc ngh\u1ebdn (t\u1eafc ru\u1ed9t, xo\u1eafn ru\u1ed9t, l\u1ed3ng ru\u1ed9t) v\u00e0 th\u1ee7ng t\u1ea1ng.
\n– Th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc n\u1ed9i soi \u0111\u1ec3 lo\u1ea1i tr\u1eeb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a n\u1ed9i soi (l\u1ed3ng ru\u1ed9t, tr\u00e0n kh\u00ed ph\u00fac m\u1ea1c)
\n* Si\u00eau \u00e2m b\u1ee5ng (bao g\u1ed3m si\u00eau \u00e2m Doppler)
\n– Gi\u00fap \u0111\u00e1nh gi\u00e1 l\u1ed3ng ru\u1ed9t, xo\u1eafn ru\u1ed9t, t\u1eafc ru\u1ed9t
\n– N\u1ebfu nghi ng\u1edd t\u0103ng \u00e1p c\u1eeda, b\u1ec7nh l\u00fd gan, l\u00e1ch<\/p>\n

* N\u1ed9i soi ti\u00eau h\u00f3a:
\nTi\u00eau chu\u1ea9n v\u00e0ng ch\u1ea9n \u0111o\u00e1n XHTH
\n+ Ch\u1ec9 \u0111\u1ecbnh
\n– XHTH n\u1eb7ng c\u1ea7n truy\u1ec1n m\u00e1u\/\u0111e d\u1ecda t\u00ednh m\u1ea1ng
\n– XHTH t\u00e1i ph\u00e1t.
\n– C\u1ea5p c\u1ee9u: hi\u1ebfm v\u00ec th\u01b0\u1eddng t\u1ef1 c\u1ea7m sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa
\nN\u00ean n\u1ed9i soi \u1edf ph\u00f2ng m\u1ed5 k\u1ebft h\u1ee3p v\u1edbi b\u00e1c s\u0129 n\u1ed9i soi \u0111\u1ec3 th\u1ea5t b\u1ea1i c\u1ea7m m\u00e1u n\u1ed9i soi s\u1ebd ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt ngay.
\n\u2ba1\u00a0 C\u1ea7n ph\u1ea3i \u1ed5n \u0111\u1ecbnh DHST v\u00e0 x\u00e1c \u0111\u1ecbnh kh\u00f4ng c\u00f3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u n\u1eb7ng tr\u01b0\u1edbc khi n\u1ed9i soi.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n

3.1. M\u1ee5c ti\u00eau<\/strong><\/h3>\n

B\u1ed3i ho\u00e0n th\u1ec3 t\u00edch m\u00e1u m\u1ea5t
\nX\u1eed tr\u00ed c\u1ea7m m\u00e1u
\n\u00d0i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n
\nPh\u00f2ng ng\u1eeba xu\u1ea5t huy\u1ebft t\u00e1i ph\u00e1t<\/p>\n

3.2. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/strong><\/h3>\n

– X\u1eed tr\u00ed ban \u0111\u1ea7u tu\u1ef3 m\u1ee9c \u0111\u1ed9 m\u1ea5t m\u00e1u, t\u1ed5ng tr\u1ea1ng chung v\u00e0 b\u1ec7nh \u0111i k\u00e8m c\u1ee7a b\u1ec7nh nh\u00e2n.
\n– B\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh, r\u1ed1i lo\u1ea1n tri gi\u00e1c, s\u1ed1c, m\u1ea5t m\u00e1u n\u1eb7ng, ho\u1eb7c c\u00f3 b\u1ec7nh \u0111i k\u00e8m n\u1eb7ng: \u0111i\u1ec1u tr\u1ecb t\u1ea1i khoa c\u1ea5p c\u1ee9u ho\u1eb7c ph\u00f2ng c\u1ea5p c\u1ee9u c\u1ee7a khoa.<\/p>\n

4. Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/h2>\n

\u00b7 Th\u01b0\u1eddng t\u1ef1 h\u1ebft
\n\u00b7 T\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t cao g\u1ea7n 40%
\n\u00b7 Hi\u1ebfm ph\u1eabu thu\u1eadt (5%) t\u1eeb khi \u00e1p d\u1ee5ng n\u1ed9i soi ti\u00eau h\u00f3a c\u1ea7m m\u00e1u<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong><\/p>\n

S\u00e1ch Ngo\u1ea1i b\u1ec7nh l\u00fd t\u1eadp 1-YDH<\/p>\n","protected":false},"excerpt":{"rendered":"

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Theo th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u tr\u00ean to\u00e0n […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[],"yoast_head":"\nXu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a \u1edf tr\u1ebb em: Ti\u1ebfp c\u1eadn v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u n\u1ed9i v\u00e0 ngo\u1ea1i khoa nguy hi\u1ec3m, th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. 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