{"id":26908,"date":"2023-04-22T23:13:55","date_gmt":"2023-04-22T16:13:55","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26908"},"modified":"2023-04-22T23:13:55","modified_gmt":"2023-04-22T16:13:55","slug":"test-chan-doan-nhuoc-co-bang-thuoc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/test-chan-doan-nhuoc-co-bang-thuoc\/","title":{"rendered":"Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c"},"content":{"rendered":"

Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh mi\u1ec5n d\u1ecbch c\u00f3 t\u00ean l\u00e0 b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 (Myasthenia Gravis – MG). B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 l\u00e0 m\u1ed9t b\u1ec7nh mi\u1ec5n d\u1ecbch, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng c\u1ee7a c\u01a1 th\u1ec3 trong vi\u1ec7c ki\u1ec3m so\u00e1t c\u00e1c c\u01a1 c\u1ee7a c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n. Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem b\u1ec7nh nh\u00e2n c\u00f3 b\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 hay kh\u00f4ng.<\/strong><\/p>\n

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Ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 c\u00f3 th\u1ec3 d\u00f9ng test b\u1eb1ng thu\u1ed1c<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 b\u1ec7nh nh\u01b0\u1ee3c c\u01a1<\/b><\/h2>\n

B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 (Myasthenia Gravis<\/a>) l\u00e0 b\u1ec7nh r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u01a1 nguy\u00ean ph\u00e1t ph\u1ed5 bi\u1ebfn nh\u1ea5t. T\u1ec9 l\u1ec7 b\u1ec7nh m\u1eafc b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 t\u1ea1i Hoa K\u1ef3 kho\u1ea3ng 14\/100.000 d\u00e2n, n\u1eef cao h\u01a1n nam gi\u1edbi (2\/1). Tu\u1ed5i kh\u1edfi b\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a n\u1eef l\u00e0 20-30 tu\u1ed5i, c\u00f2n \u1edf nam l\u00e0 60 – 70 tu\u1ed5i.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 th\u01b0\u1eddng \u0111\u1ebfn kh\u00e1m b\u1ec7nh v\u00ec y\u1ebfu nh\u1eefng nh\u00f3m c\u01a1 \u0111\u1eb7c hi\u1ec7u. C\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn nh\u00e3n, s\u1ee5p mi ho\u1eb7c song th\u1ecb, l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean c\u1ee7a 2\/3 ng\u01b0\u1eddi b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. Y\u1ebfu c\u01a1 v\u00f9ng h\u1ea7u h\u1ecdng, kh\u00f3 nhai, kh\u00f3 nu\u1ed1t, ho\u1eb7c kh\u00f3 n\u00f3i, l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean \u1edf 1\/6 ng\u01b0\u1eddi b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 v\u00e0 y\u1ebfu tay ch\u00e2n ch\u1ec9 c\u00f3 \u1edf 10% b\u1ec7nh nh\u00e2n.<\/p>\n

Trong b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, s\u1ed1 l\u01b0\u1ee3ng c\u00e1c th\u1ee5 th\u1ec3 acetylcholin gi\u1ea3m l\u00e0m ngh\u1ebdn qu\u00e1 tr\u00ecnh d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u01a1 v\u00e2n, l\u00e0m y\u1ebfu m\u1ecfi c\u01a1. Edrophonium v\u00e0 neostigmin \u1ee9c ch\u1ebf men cholinesterase \u0111\u1ec3 t\u0103ng s\u1ed1 l\u01b0\u1ee3ng acetylcholin \u0111\u1ebfn m\u00e0ng sau synap, n\u1ed1i l\u1ea1i d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u01a1, \u0111\u00e2y l\u00e0 nguy\u00ean l\u00fd \u0111\u1ec3 c\u00f3 test Tensilon ho\u1eb7c test prostigmin, l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n

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

Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1<\/p>\n

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

– M\u1eabn c\u1ea3m v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a thu\u1ed1c.<\/p>\n

– T\u1eafc ru\u1ed9t ho\u1eb7c t\u1eafc \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u do nguy\u00ean nh\u00e2n c\u01a1 h\u1ecdc.<\/p>\n

* Th\u1eadn tr\u1ecdng: \u0111\u1ed9ng kinh, hen ph\u1ebf qu\u1ea3n, nh\u1ecbp tim nhanh, t\u1eafc m\u1ea1ch v\u00e0nh, lo\u00e9t d\u1ea1 d\u00e0y, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, block nh\u0129 th\u1ea5t, c\u01b0\u1eddng gi\u00e1p v\u00e0 c\u01b0\u1eddng ph\u1ebf v\u1ecb.<\/p>\n

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

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

01 b\u00e1c s\u1ef9 v\u00e0 01 \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n

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

B\u01a1m ti\u00eam, b\u00f4ng c\u1ed3n s\u00e1t khu\u1ea9n, thu\u1ed1c, ph\u01b0\u01a1ng ti\u1ec7n ch\u1ed1ng s\u1ed1c, h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u.<\/p>\n

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

N\u1eb1m t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh, gi\u1ea3i th\u00edch \u0111\u1ed9ng vi\u00ean \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh h\u1ee3p t\u00e1c.<\/p>\n

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

Ghi l\u1ea1i c\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh, theo d\u00f5i v\u00e0 x\u1eed tr\u00ed<\/p>\n

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

Tr\u01b0\u1edbc khi th\u1eed test<\/b>, d\u1eebng c\u00e1c thu\u1ed1c kh\u00e1ng cholinesterase kh\u00e1c \u00edt nh\u1ea5t 8h<\/p>\n

Ti\u00eam b\u1eafp Atropin <\/b>0.011mg\/kg tr\u1ecdng l\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc th\u1eed test 30 ph\u00fat (ph\u00f2ng tai bi\u1ebfn v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5).<\/p>\n

Ti\u1ebfn h\u00e0nh th\u1eed test<\/b><\/p>\n

– Test Edrophonium (Tensilon):<\/i><\/b><\/p>\n

T\u1ed5ng li\u1ec1u 10mg (1ml) Tensilon t\u0129nh m\u1ea1ch. Kh\u1edfi \u0111\u1ea7u ti\u00eam tr\u1ef1c ti\u1ebfp t\u0129nh m\u1ea1ch 2mg (0,2ml). N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh dung n\u1ea1p thu\u1ed1c t\u1ed1t v\u00e0 kh\u00f4ng th\u1ea5y c\u1ea3i thi\u1ec7n s\u1ee9c c\u01a1 sau 60 gi\u00e2y, ti\u00eam ti\u1ebfp 3-5mg. Sau 60 gi\u00e2y, n\u1ebfu v\u1eabn kh\u00f4ng c\u00f3 \u0111\u00e1p \u1ee9ng, c\u00f3 th\u1ec3 d\u00f9ng n\u1ed1t l\u01b0\u1ee3ng c\u00f2n l\u1ea1i trong v\u00f2ng 1 ph\u00fat. \u0110a s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u0111\u00e1p \u1ee9ng v\u1edbi 5mg Tensilon, v\u00e0 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i 4-5 ph\u00fat.<\/p>\n

– Test prostigmin:<\/i><\/b><\/p>\n

Neostigmin methylsulphat 0,022mg\/kg ti\u00eam b\u1eafp, \u0111\u00e1p \u1ee9ng thu\u1ed1c s\u1ebd xu\u1ea5t hi\u1ec7n trong 5 \u0111\u1ebfn 15 ph\u00fat, k\u00e9o d\u00e0i 1-2 gi\u1edd.<\/p>\n

6. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3<\/b><\/h2>\n

– Test d\u01b0\u01a1ng t\u00ednh<\/i><\/b>:<\/i><\/p>\n

C\u1ea3i thi\u1ec7n r\u00f5 r\u00e0ng tri\u1ec7u ch\u1ee9ng b\u1ec7nh: h\u1ebft s\u1ee5p mi, h\u1ebft nh\u00ecn \u0111\u00f4i, nu\u1ed1t d\u1ec5 d\u00e0ng, s\u1ee9c c\u01a1 c\u00e1c chi t\u0103ng l\u00ean r\u00f5 r\u1ec7t (c\u1ea7n \u0111o s\u1ee9c c\u01a1 tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh th\u1eed test v\u00e0 so s\u00e1nh sau khi th\u1eed test)\u2026 Test d\u01b0\u01a1ng t\u00ednh cao nh\u1ea5t \u0111\u1ea1t 95% ng\u01b0\u1eddi b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n

– Test \u00e2m t\u00ednh:<\/i><\/b><\/p>\n

Khi tri\u1ec7u ch\u1ee9ng b\u1ec7nh kh\u00f4ng c\u1ea3i thi\u1ec7n ho\u1eb7c c\u1ea3i thi\u1ec7n kh\u00f4ng r\u00f5 r\u00e0ng \u0111\u1ec1u \u0111\u01b0\u1ee3c coi l\u00e0 \u00e2m t\u00ednh. Test \u00e2m t\u00ednh kh\u00f4ng lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c ng\u01b0\u1eddi b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 b\u1ea9m sinh do thi\u1ebfu acetylcholin hay c\u00e1c h\u1ed9i ch\u1ee9ng kh\u00e1c g\u00e2y nh\u01b0\u1ee3c c\u01a1.<\/p>\n

C\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n l\u1ea1i test prostigmin v\u00e0o ng\u00e0y sau v\u1edbi li\u1ec1u 0,016mg\/kg Atropin v\u00e0 0.031mg\/kg prostigmin \u0111\u00e1nh gi\u00e1 l\u1ea1i.<\/p>\n

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

7.1. C\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng (0,16%)<\/b>:<\/h3>\n

Ng\u1ea5t v\u00e0 nh\u1ecbp tim ch\u1eadm.<\/p>\n

X\u1eed tr\u00ed: Ti\u00eam t\u0129nh m\u1ea1ch Atropin 0,4mg \u0111\u1ebfn 2mg, h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u.<\/p>\n

7.2. T\u00e1c d\u1ee5ng ph\u1ee5<\/b>:<\/h3>\n

N\u00f4n, \u0111au d\u1ea1 d\u00e0y, t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt, t\u0103ng ti\u1ebft d\u1ecbch ph\u1ebf qu\u1ea3n, v\u00e3 m\u1ed3 h\u00f4i v\u00e0 rung c\u01a1 c\u1ee5c b\u1ed9.<\/p>\n

X\u1eed tr\u00ed: Ti\u00eam b\u1eafp th\u00eam Atropin nh\u01b0 li\u1ec1u d\u1ef1 ph\u00f2ng ban \u0111\u1ea7u.<\/p>\n

8. \u01afu \u0111i\u1ec3m c\u1ee7a Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c<\/h2>\n

Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m:<\/p>\n

    \n
  • \u0110\u1ed9 ch\u00ednh x\u00e1c cao: \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111\u00e1ng tin c\u1eady trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/li>\n
  • Nhanh ch\u00f3ng v\u00e0 d\u1ec5 th\u1ef1c hi\u1ec7n: Test ch\u1ec9 m\u1ea5t kho\u1ea3ng v\u00e0i ph\u00fat \u0111\u1ec3 ti\u00eam thu\u1ed1c v\u00e0 \u0111\u00e1nh gi\u00e1 ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n
  • Kh\u00f4ng x\u00e2m l\u1ea5n: Kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn ho\u1eb7c kh\u00f4ng tho\u1ea3i m\u00e1i cho b\u1ec7nh nh\u00e2n, n\u00ean kh\u00f4ng c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c g\u00e2y t\u00ea ho\u1eb7c dao g\u0103m.<\/li>\n
  • C\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb: Test c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 trong th\u1eddi gian d\u00e0i.<\/li>\n
  • Gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c: Test gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, t\u1eeb \u0111\u00f3 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/li>\n
  • T\u00ednh an to\u00e0n cao: \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 kh\u00f4ng g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/li>\n
  • Ph\u00f9 h\u1ee3p cho m\u1ecdi \u0111\u1ed9 tu\u1ed5i: Test c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n \u1edf m\u1ecdi \u0111\u1ed9 tu\u1ed5i, k\u1ec3 c\u1ea3 tr\u1ebb em v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i.<\/li>\n
  • Chi ph\u00ed th\u1ea5p: Test c\u00f3 chi ph\u00ed th\u1ea5p h\u01a1n so v\u1edbi nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c, gi\u00fap ti\u1ebft ki\u1ec7m chi ph\u00ed cho b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

    T\u00f3m l\u1ea1i, Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c, nhanh ch\u00f3ng, kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 an to\u00e0n, gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c cho b\u1ec7nh nh\u00e2n v\u1edbi b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n

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

    Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh mi\u1ec5n d\u1ecbch c\u00f3 t\u00ean l\u00e0 b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 (Myasthenia Gravis – MG). B\u1ec7nh nh\u01b0\u1ee3c c\u01a1 l\u00e0 m\u1ed9t b\u1ec7nh mi\u1ec5n d\u1ecbch, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng c\u1ee7a c\u01a1 th\u1ec3 trong vi\u1ec7c ki\u1ec3m so\u00e1t c\u00e1c c\u01a1 c\u1ee7a c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n. Test ch\u1ea9n […]<\/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":"\nTest ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c - Vinmec<\/title>\n<meta name=\"description\" content=\"Trong b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, s\u1ed1 l\u01b0\u1ee3ng c\u00e1c th\u1ee5 th\u1ec3 acetylcholin gi\u1ea3m l\u00e0m ngh\u1ebdn qu\u00e1 tr\u00ecnh d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u01a1 v\u00e2n, l\u00e0m y\u1ebfu m\u1ecfi c\u01a1. ..\" \/>\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=\"Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Trong b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, s\u1ed1 l\u01b0\u1ee3ng c\u00e1c th\u1ee5 th\u1ec3 acetylcholin gi\u1ea3m l\u00e0m ngh\u1ebdn qu\u00e1 tr\u00ecnh d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u01a1 v\u00e2n, l\u00e0m y\u1ebfu m\u1ecfi c\u01a1. ..\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/test-chan-doan-nhuoc-co-bang-thuoc\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-22T16:13:55+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1408205923-612x612-1-300x200.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\/test-chan-doan-nhuoc-co-bang-thuoc\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/test-chan-doan-nhuoc-co-bang-thuoc\/\",\"name\":\"Test ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1 b\u1eb1ng thu\u1ed1c - 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