{"id":26860,"date":"2023-04-23T22:53:51","date_gmt":"2023-04-23T15:53:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26860"},"modified":"2023-04-23T22:53:51","modified_gmt":"2023-04-23T15:53:51","slug":"quy-trinh-dieu-tri-trang-thai-dong-kinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/quy-trinh-dieu-tri-trang-thai-dong-kinh\/","title":{"rendered":"Quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh"},"content":{"rendered":"

Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh l\u00e0 t\u00ecnh tr\u1ea1ng<\/a> m\u1ea5t ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 th\u1ec3, th\u01b0\u1eddng x\u1ea3y ra do ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n t\u1eed b\u1ea5t th\u01b0\u1eddng trong n\u00e3o. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed l\u00fd k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh theo B\u1ed9 Y t\u1ebf<\/strong><\/p>\n

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Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 th\u1ec3<\/figcaption><\/figure>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng v\u00e0 \u0111\u1ecbnh ngh\u0129a tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh<\/b><\/h2>\n

– Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u trong th\u1ea7n kinh, n\u00f3 ph\u1ea3n \u00e1nh m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1ea5t c\u1ee7a \u0111\u1ed9ng kinh v\u00ec c\u00f3 nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m t\u1edbi t\u00ednh m\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, do v\u1eady c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi nh\u1eb1m:<\/p>\n

+) C\u1eaft c\u01a1n \u0111\u1ed9ng kinh b\u1eb1ng m\u1ecdi c\u00e1ch<\/p>\n

+) Ch\u1ed1ng c\u00e1c r\u1ed1i lo\u1ea1n th\u1ea7n kinh th\u1ef1c v\u1eadt<\/p>\n

+) V\u1ec1 m\u1eb7t l\u00fd thuy\u1ebft tri\u1ec7u ch\u1ee9ng c\u00e1c tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh c\u0169ng phong ph\u00fa nh\u01b0 c\u01a1n \u0111\u1ed9ng kinh.<\/p>\n

– Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng l\u1eb7p l\u1ea1i c\u00e1c c\u01a1n \u0111\u1ed9ng kinh trong kho\u1ea3ng th\u1eddi gian ng\u1eafn (c\u01a1n n\u00e0y ch\u01b0a k\u1ebft th\u00fac, c\u01a1n kh\u00e1c l\u1ea1i b\u1eaft \u0111\u1ea7u) ho\u1eb7c c\u01a1n \u0111\u1ed9ng kinh t\u1ed3n t\u1ea1i k\u00e9o d\u00e0i (t\u1eeb 10 – 30 ph\u00fat) hay \u00edt nh\u1ea5t c\u00f3 hai c\u01a1n \u0111\u1ed9ng kinh tr\u1edf l\u00ean k\u00e8m theo r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u th\u1ea7n kinh khu tr\u00fa gi\u1eefa c\u00e1c c\u01a1n.<\/p>\n

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

– V\u1edbi t\u1ea5t c\u1ea3 c\u00e1c tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh c\u00f3 co gi\u1eadt<\/p>\n

– C\u00f2n c\u00e1c tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh c\u01a1n c\u1ee5c b\u1ed9 th\u00ec t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3<\/p>\n

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

C\u01a1n \u0111\u1ed9ng kinh \u0111\u01a1n \u0111\u1ed9c<\/p>\n

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

4.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n: <\/b><\/h3>\n

Hai b\u00e1c s\u0129 v\u00e0 hai \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n

4.2. Ph\u01b0\u01a1ng ti\u1ec7n, d\u1ee5ng c\u1ee5, thu\u1ed1c<\/b><\/h3>\n

4.2.1. Ph\u01b0\u01a1ng ti\u1ec7n, d\u1ee5ng c\u1ee5<\/i><\/b><\/h4>\n

Ngo\u00e0i c\u00e1c d\u1ee5ng c\u1ee5 th\u00f4ng th\u01b0\u1eddng nh\u01b0 \u1ed1ng nghe huy\u1ebft \u00e1p th\u00ec:<\/p>\n

– \u0110\u00e8n soi thanh qu\u1ea3n l\u01b0\u1ee1i cong ho\u1eb7c \u0111\u00e8n soi thanh qu\u1ea3n l\u01b0\u1ee1i th\u1eb3ng: 01 b\u1ed9<\/p>\n

– \u1ed0ng n\u1ed9i kh\u00ed qu\u1ea3n c\u00e1c c\u1ee1: m\u1ed7i lo\u1ea1i 02 chi\u1ebfc<\/p>\n

– N\u00f2ng n\u1ed9i kh\u00ed qu\u1ea3n: 02 chi\u1ebfc<\/p>\n

– K\u1eb9p: 01 chi\u1ebfc<\/p>\n

– Canun Mayo: 01 chi\u1ebfc<\/p>\n

– M\u00e1y th\u1edf: 01 chi\u1ebfc<\/p>\n

– B\u1ed9 h\u00fat \u0111\u1eddm d\u00e3i v\u1edbi \u1ed1ng h\u00fat c\u1ee9ng: 01 b\u1ed9<\/p>\n

– B\u1ed9 th\u00f4ng kh\u00ed b\u1eb1ng tay: 01 b\u1ed9<\/p>\n

– B\u00f3p b\u00f3ng + Mask: 01 b\u1ed9<\/p>\n

– Gel b\u00f4i tr\u01a1n tan trong n\u01b0\u1edbc: 01 tu\u00fdp<\/p>\n

– Ngu\u1ed3n Oxy<\/p>\n

– G\u0103ng tay v\u00f4 tr\u00f9ng: 05 \u0111\u00f4i<\/p>\n

– M\u0169 ph\u1eabu thu\u1eadt: 04 chi\u1ebfc<\/p>\n

– B\u0103ng c\u1ed1 \u0111\u1ecbnh<\/p>\n

– B\u01a1m ti\u00eam 5ml: 05 c\u00e1i<\/p>\n

4.2.2. Thu\u1ed1c<\/i><\/b><\/h4>\n

Midazolam, Fentanyl, Adrenalin, Atropin, Diazepam, Thu\u1ed1c x\u1ecbt g\u00e2y t\u00ea<\/p>\n

4.3. Ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h3>\n

– Th\u00f4ng b\u00e1o, gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh bi\u1ebft v\u1ec1 t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u01b0\u1edbng x\u1eed tr\u00ed.<\/p>\n

– \u0110\u1eb7t ng\u01b0\u1eddi b\u1ec7nh \u1edf t\u01b0 th\u1ebf an to\u00e0n, thu\u1eadn ti\u1ec7n.<\/p>\n

4.4. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/b><\/h3>\n

– H\u1ecd t\u00ean, tu\u1ed5i, \u0111\u1ecba ch\u1ec9, ngh\u1ec1 nghi\u1ec7p<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh<\/p>\n

– Ti\u1ec3u s\u1eed li\u00ean quan \u0111\u1ebfn b\u1ec7nh<\/p>\n

5. Ti\u1ebfn h\u00e0nh<\/b><\/h2>\n

5.1. Ki\u1ec3m tra h\u1ed3 s\u01a1<\/b><\/h3>\n

\u0110\u1ed1i chi\u1ebfu h\u1ed3 s\u01a1 ng\u01b0\u1eddi b\u1ec7nh xem l\u1ea1i qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n

5.2. Ki\u1ec3m tra ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h3>\n

Xem l\u1ea1i c\u00e1c th\u00f4ng s\u1ed1 v\u1ec1 h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n, t\u00ecnh tr\u1ea1ng c\u01a1n \u0111\u1ed9ng kinh<\/p>\n

5.3. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt<\/b><\/h3>\n

C\u00e1c b\u01b0\u1edbc v\u00e0 th\u1ee9 t\u1ef1 \u01b0u ti\u00ean c\u00e1c thu\u1ed1c ki\u1ec3m so\u00e1t tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh:<\/p>\n

B\u01b0\u1edbc 1<\/b>: B\u01b0\u1edbc \u0111\u1ea7u ti\u00ean (0-10\/30 ph\u00fat), d\u00f9ng m\u1ed9t trong c\u00e1c thu\u1ed1c sau theo th\u1ee9 t\u1ef1 \u01b0u ti\u00ean:<\/p>\n

–\u00a0Lorazepam\u00a0<\/b>4mg \u1edf ng\u01b0\u1eddi l\u1edbn ho\u1eb7c 0.1mg\/kg \u1edf tr\u1ebb em ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm li\u1ec1u bolus ko qu\u00e1 2mg\/ph\u00fat Ho\u1eb7c<\/p>\n

–\u00a0Diazepam\u00a0<\/u><\/b>10 – 20mg \u1edf ng\u01b0\u1eddi l\u1edbn ho\u1eb7c 0,25 – 0.5mg\/kg \u1edf tr\u1ebb em nh\u01b0ng ko qu\u00e1 5mg\/ph Ho\u1eb7c<\/p>\n

–\u00a0Midazolam\u00a0<\/b>0.1 – 0.25mg\/kg ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm nh\u01b0ng ko qu\u00e1 0.15mg\/kg\/ph ho\u1eb7c 4mg\/ph Ho\u1eb7c<\/p>\n

–\u00a0Clonazepam\u00a0<\/b>1-2mg \u1edf ng\u01b0\u1eddi l\u1edbn, ho\u1eb7c 0.01 – 0.03mg\/kg \u1edf tr\u1ebb em nh\u01b0ng ko qu\u00e1 1mg\/ph.<\/p>\n

N\u1ebfu sau 10 ph\u00fat d\u00f9ng c\u00e1c thu\u1ed1c kh\u00e1ng \u0111\u1ed9ng kinh li\u1ec1u \u0111\u1ea7u ti\u00ean, c\u01a1n gi\u1eadt v\u1eabn ti\u1ebfp t\u1ee5c th\u00ec c\u00f3 th\u1ec3 nh\u1eafc l\u1ea1i l\u1ea7n 2<\/p>\n

–\u00a0Paraldehyde\u00a0<\/b>0.4ml\/kg \u0111\u1eb7t h\u1eadu m\u00f4n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u1edf tr\u1ebb nh\u1ecf n\u1ebfu benzodiazepine th\u1ea5t b\u1ea1i ho\u1eb7c vi\u1ec7c ti\u00eam t\u0129nh m\u1ea1ch kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t, ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng r\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p.<\/p>\n

N\u1ebfu c\u01a1n gi\u1eadt v\u1eabn ti\u1ebfp t\u1ee5c sau 30 ph\u00fat th\u00ec chuy\u1ec3n b\u01b0\u1edbc 2<\/p>\n

B\u01b0\u1edbc 2: B\u01b0\u1edbc ki\u1ec3m so\u00e1t tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh (10\/30 – 60\/0 ph\u00fat)<\/b><\/p>\n

–\u00a0Fosphenytoin<\/b>: Truy\u1ec1n t\u0129nh m\u1ea1ch 15 – 20mg\/kg v\u1edbi t\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a l\u00e0 150mg\/ph\u00fat Ho\u1eb7c<\/p>\n

–\u00a0Phenytoin<\/b>: Bolus t\u0129nh m\u1ea1ch 1g \u1edf ng\u01b0\u1eddi l\u1edbn ho\u1eb7c 15 – 20mg\/kg \u1edf tr\u1ebb nh\u1ecf v\u1edbi t\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a l\u00e0 50mg\/ph\u00fat (1mg\/kg\/ph\u00fat) Ho\u1eb7c<\/p>\n

–\u00a0Phenobarbital<\/b>: Truy\u1ec1n t\u0129nh m\u1ea1ch 10 – 20mg\/kg \u1edf ng\u01b0\u1eddi l\u1edbn ho\u1eb7c 15 – 20mg\/kg \u1edf tr\u1ebb em v\u1edbi t\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a 100mg\/ph\u00fat.<\/p>\n

– Valproate: Truy\u1ec1n t\u0129nh m\u1ea1ch 25mg\/kg (3-6mg\/kg\/ph\u00fat)<\/p>\n

N\u1ebfu b\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c co gi\u1eadt sau 30 – 90 ph\u00fat th\u00ec chuy\u1ec3n sang b\u01b0\u1edbc 3<\/p>\n

B\u01b0\u1edbc 3: B\u01b0\u1edbc c\u1ee7a tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh kh tr\u1ecb (tr\u00ean 60 – 0 ph\u00fat)<\/b><\/p>\n

–\u00a0Profol<\/b>:\u00a0Bolus t\u0129nh m\u1ea1ch 2mg\/kg<\/b>, nh\u1eafc l\u1ea1i n\u1ebfu c\u1ea7n thi\u1ebft, v\u00e0 sau \u0111\u00f3 ti\u1ebfp t\u1ee5c duy tr\u00ec\u00a0truy\u1ec1n t\u0129nh m\u1ea1ch v\u1edbi li\u1ec1u 5 – 10mg\/kg\/gi\u1edd\u00a0<\/b>l\u00e0 ch\u1ee7 y\u1ebfu, gi\u1ea3m li\u1ec1u t\u1edbi li\u1ec1u v\u1eeba \u0111\u1ee7 c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o \u0111\u01b0\u1ee3c s\u1ef1 xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t c\u1ee7a burst suppression pattern (1 d\u1ea1ng s\u00f3ng trong \u0111\u00f3 c\u00f3 c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n th\u1ebf cao v\u00e0 b\u1ecb gi\u00e1n \u0111o\u1ea1n b\u1edfi c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n th\u1ebf th\u1ea5p. Xu\u1ea5t hi\u1ec7n th\u00e0nh t\u1eebng \u0111\u1ee3t) tr\u00ean \u0111i\u1ec7n n\u00e3o \u0111\u1ed3. Th\u01b0\u1eddng l\u00e0 1-3 mg\/kg\/ph\u00fat).<\/p>\n

–\u00a0Midazolam:\u00a0<\/b>Bolus t\u0129nh m\u1ea1ch 0,1 – 0,3mg\/kg v\u1edbi t\u1ed1c \u0111\u1ed9 kh\u00f4ng qu\u00e1 4mg\/ph\u00fat l\u00e0 ch\u1ee7 y\u1ebfu. Sau \u0111\u00f3 duy tr\u00ec truy\u1ec1n t\u0129nh m\u1ea1ch \u1edf li\u1ec1u \u0111\u1ee7 \u0111\u1ec3 t\u1ea1o n\u00ean s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a \u201cburst suppression\u201d. Th\u01b0\u1eddng l\u00e0 0,05mg – 0,4mg\/kg\/gi\u1edd.<\/p>\n

Khi c\u01a1n gi\u1eadt \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t trong 12 gi\u1edd, li\u1ec1u d\u00f9ng thu\u1ed1c n\u00ean gi\u1ea3m \u0111i t\u1eeb kho\u1ea3ng 12 gi\u1edd 1 l\u1ea7n. N\u1ebfu co gi\u1eadt xu\u1ea5t hi\u1ec7n tr\u1edf l\u1ea1i, thu\u1ed1c truy\u1ec1n t\u0129nh m\u1ea1ch n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng l\u1ea1i trong 12 gi\u1edd ti\u1ebfp theo v\u00e0 sau \u0111\u00f3 cai thu\u1ed1c l\u1ea7n n\u1eefa. V\u00f2ng xo\u1eafn n\u00e0y c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 24 gi\u1edd cho \u0111\u1ebfn khi c\u01a1n gi\u1eadt \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ho\u00e0n to\u00e0n. Kh\u1eb3ng \u0111\u1ecbnh ch\u1eafc ch\u1eafn r\u1eb1ng co gi\u1eadt \u0111\u00e3 ch\u1ea5m d\u1ee9t b\u1eb1ng \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 v\u00e0 l\u00e2m s\u00e0ng b\u1edfi v\u00ec n\u1ebfu c\u00f3 ph\u00e2n ly \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 – L\u00e2m s\u00e0ng th\u00ec \u0111\u00f3 l\u00e0 1 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u c\u1ee7a tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh.<\/p>\n

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

Theo d\u00f5i M\u1ea1ch, Huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf,tri gi\u00e1c, SpO2<\/sub>, kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch, \u0111i\u1ec7n tim.<\/p>\n

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

– Suy h\u00f4 h\u1ea5p<\/span><\/b><\/p>\n

X\u1eed tr\u00ed: b\u00f3p b\u00f3ng h\u1ed7 tr\u1ee3, \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, th\u1edf m\u00e1y n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh<\/span><\/p>\n

– Ng\u1eebng tu\u1ea7n ho\u00e0n<\/span><\/b><\/p>\n

X\u1eed tr\u00ed: c\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n, \u00e9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c, Adrenalin ti\u00eam t\u0129nh m\u1ea1ch.<\/span><\/p>\n

– T\u1ee5t huy\u1ebft \u00e1p<\/span><\/b><\/p>\n

X\u1eed tr\u00ed: truy\u1ec1n d\u1ecbch,\u00a0<\/b>Adrenalin,\u2026<\/span><\/p>\n

Nh\u1eefng b\u01b0\u1edbc tr\u00ean \u0111\u00e2y cung c\u1ea5p m\u1ed9t quy tr\u00ecnh t\u1ed5ng qu\u00e1t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh, tuy nhi\u00ean, qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 v\u00e0 li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c c\u1ea7n tu\u00e2n th\u1ee7 theo ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n

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

Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 th\u1ec3, th\u01b0\u1eddng x\u1ea3y ra do ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n t\u1eed b\u1ea5t th\u01b0\u1eddng trong n\u00e3o. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed l\u00fd k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u1ea1ng […]<\/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":"\nQuy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh - Vinmec<\/title>\n<meta name=\"description\" content=\"Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 th\u1ec3, th\u01b0\u1eddng x\u1ea3y ra do ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n t\u1eed b\u1ea5t th\u01b0\u1eddng trong n\u00e3o. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh ...\" \/>\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=\"Quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh - 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