{"id":27214,"date":"2023-04-23T22:55:46","date_gmt":"2023-04-23T15:55:46","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27214"},"modified":"2023-04-23T22:55:46","modified_gmt":"2023-04-23T15:55:46","slug":"con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/","title":{"rendered":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba"},"content":{"rendered":"

C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng<\/a> m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o d\u00e0i trong m\u1ed9t kho\u1ea3ng th\u1eddi gian ng\u1eafn. C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 \u0111\u1ed9 tu\u1ed5i n\u00e0o v\u00e0 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau. X\u1eed tr\u00ed c\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng l\u00e0 r\u1ea5t quan tr\u1ecdng, b\u1edfi v\u00ec t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng. Vi\u1ec7c x\u1eed tr\u00ed c\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y.<\/strong><\/p>\n

\"\"
C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng n\u1ebfu kh\u00f4ng x\u1eed tr\u00ed k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng<\/figcaption><\/figure>\n

1. \u0110i\u1ec1u tr\u1ecb c\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng<\/b><\/h2>\n

1.1. Nguy\u00ean t\u1eafc x\u1eed tr\u00ed<\/span><\/b><\/h3>\n

– \u0110\u1ea3m b\u1ea3o duy tr\u00ec ch\u1ee9c n\u0103ng s\u1ed1ng.<\/span><\/p>\n

– C\u00e1c bi\u1ec7n ph\u00e1p c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng y\u1ebfu c\u01a1 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

– Lo\u1ea1i b\u1ecf nguy\u00ean nh\u00e2n g\u00e2y t\u00ecnh tr\u1ea1ng y\u1ebfu c\u01a1 n\u1eb7ng th\u00eam \u1edf ng\u01b0\u1eddi b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/span><\/p>\n

– Ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf tuy\u1ebfn \u1ee9c \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 u tuy\u1ebfn \u1ee9c.<\/span><\/p>\n

1.2. X\u1eed tr\u00ed ban \u0111\u1ea7u v\u00e0 v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u<\/span><\/b><\/h3>\n

– N\u1eb1m \u0111\u1ea7u cao 30o<\/sup>\u00a0– 45o<\/sup>.<\/span><\/p>\n

– Th\u1edf oxy k\u00ednh ho\u1eb7c qua m\u1eb7t n\u1ea1. Khi c\u00f3 li\u1ec7t c\u01a1 h\u00f4 h\u1ea5p: \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 b\u00f3p b\u00f3ng qua \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n.<\/span><\/p>\n

– \u0110\u1eb7t \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y, \u0103n qua \u1ed1ng th\u00f4ng khi c\u00f3 r\u1ed1i lo\u1ea1n nu\u1ed1t.<\/span><\/p>\n

– Glucocorticoid: methylprednisolone80 mg\/ng\u00e0y chia 2 l\u1ea7n.<\/span><\/p>\n

1.3. X\u1eed tr\u00ed t\u1ea1i b\u1ec7nh vi\u1ec7n<\/span><\/b><\/h3>\n

a) C\u00e1c x\u1eed tr\u00ed h\u1ed7 tr\u1ee3<\/span><\/p>\n

– H\u00f4 h\u1ea5p:<\/span><\/p>\n

+ Li\u00eat c\u01a1 h\u00f4 h\u1ea5p g\u00e2y suy h\u00f4 h\u1ea5p c \u1ea7n \u0111\u01b0\u1ee3c th\u1edf m\u00e1y h\u1ed7 tr\u1ee3.<\/span><\/p>\n

+ Nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: m\u1ea5t kh\u1ea3 n\u0103ng ho, th\u1edf y\u1ebfu, kh\u00f4ng n\u00e2ng \u0111\u01b0\u1ee3c khu\u1ef7u tay ho\u1eb7c \u0111\u1ea7u, m\u1ea5t kh\u1ea3 n\u0103ng \u0111\u1ee9ng. C\u1ea7n nh\u1eadp Khoa h\u1ed3i s\u1ee9c \u0111\u1ec3 theo d\u00f5i, \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 th\u1edf m\u00e1y x\u00e2m nh\u1eadp v\u1edbi Vt cao (10- 12ml\/kg) k\u1ebft h\u1ee3p PEEP 5 cmH2<\/sub>O \u0111\u1ec3 tr\u00e1nh x\u1eb9p ph\u1ed5i<\/span><\/p>\n

– Tu\u1ea7n ho\u00e0n: theo d\u00f5i li\u00ean t\u1ee5c m\u1ea1ch, \u0111i\u1ec7n tim, huy\u1ebft \u00e1p \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi r\u1ed1i lo\u1ea1n nh\u1ecbp, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1ecbp ch\u1eadm, r\u1ed1i lo\u1ea1n huy\u1ebft \u00e1p n\u1ebfu c\u00f2.<\/span><\/p>\n

– D\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng t\u1eafc m\u1ea1ch ph\u1edfi, t\u0129nh m\u1ea1ch s\u00e2u: v\u1eadn \u0111\u1ed9ng tr\u1ecb li\u1ec7u, d\u00f9ng thu\u1ed1c heparin th\u01b0\u1eddng ho\u1eb7c tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p.<\/span><\/p>\n

– D\u1ef1 ph\u00f2ng lo\u00e9t d\u1ea1 d\u00e0y v\u00e0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: gi\u1ea3m ti\u1ebft d\u1ecbch d\u1ea1 d\u00e0y (thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 H2 ho\u1eb7c \u1ee9c ch\u1ebf b\u01a1m proton) \u0103n qua \u1ed1ng th\u00f4ng s\u1edbm.<\/span><\/p>\n

– \u0110i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i, th\u0103ng b\u1eb1ng ki\u1ec3m to\u00e1n<\/span><\/p>\n

– \u0110\u1ea3m b\u1ea3o \u0111\u1ee7 ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng: 40 Kcalo\/kg\/ng\u00e0y v\u00e0 c\u00e1c kho\u00e1ng ch\u1ea5t.<\/span><\/p>\n

b) X\u1eed tr\u00ed \u0111\u1eb7c hi\u1ec7u<\/span><\/p>\n

– Thu\u1ed1c kh\u00e1ng men cholinesterase: c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf men cholinesterase \u0111\u1ec3 duy tr\u00ec n\u1ed3ng \u0111\u1ed9 acetylcholine \u1edf xi n\u00e1p t\u1eeb \u0111\u00f3 duy tr\u00ec kh\u1ea3 n\u0103ng co c\u01a1.<\/span><\/p>\n

+ C\u00e1c thu\u1ed1c \u0111\u01b0\u1eddng u\u1ed1ng:<\/span><\/p>\n

T\u00e1c d\u1ee5ng ch\u1eadm v\u00e0 k\u00e9o d\u00e0i n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng: Pyridostigmin (Mestinon), li\u1ec1u 60mg\/l\u1ea7n ng\u00e0y 4 \u2013 6 l\u1ea7n, t\u00e1c d\u1ee5ng nhanh (15-30 ph\u00fat sau u\u1ed1ng) v\u00e0 k\u00e9o d\u00e0i 3 – 4 gi\u1edd. Ambenoiumchlorid (Mytelase), li\u1ec1u 5 \u2013 25 mg\/l\u1ea7n ng\u00e0y 3-4 l\u1ea7n, t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i h\u01a1n pyridostigmin, kh\u00f3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng h\u01a1n.<\/span><\/p>\n

T\u00e1c d\u1ee5ng ph\u1ee5: c\u00f3 h\u1ed9i ch\u1ee9ng muscarin nh\u01b0 \u0111au b\u1ee5ng, \u1ec9a ch\u1ea3y, t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt, co th\u1eaft ph\u1ebf qu\u1ea3n, nh\u1ecbp ch\u1eadm\u2026Qu\u00e1 li\u1ec1u thu\u1ed1c: (th\u01b0\u1eddng v\u1edbi li\u1ec1u > 120mg\/3h\/l\u1ea7n) l\u00e0m cho t\u00ecnh tr\u1ea1ng y\u1ebfu c\u01a1 n\u1eb7ng l\u00ean, kh\u00f3 ph\u00e2n bi\u1ec7t v\u1edbi t\u00ecnh tr\u1ea1ng n\u1eb7ng l\u00ean c\u1ee7a nh\u01b0\u1ee3c c\u01a1.<\/span><\/p>\n

+ C\u00e1c thu\u1ed1c \u0111\u01b0\u1eddng ti\u00eam: neostigmin (prostigmin)<\/span><\/p>\n

T\u00e1c d\u1ee5ng nhanh n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng trong c\u1ea5p c\u1ee9u c\u01a1n nh\u01b0\u1ee3c c\u01a1 c\u1ea5p. Li\u1ec1u: neotigmin 0,5 mg\/\u1ed1ng ti\u00eam b\u1eafp ho\u1eb7c t\u0129nh m\u1ea1ch ch\u1eadm.<\/span><\/p>\n

N\u00ean ph\u1ed1i h\u1ee3p v\u1edbi atropin ti\u00eam b\u1eafp tr\u01b0\u1edbc khi ti\u00eam neostigmin \u0111\u1ec3 d\u1ef1 ph\u00f2ng t\u00e1c d\u1ee5ng t\u0103ng ti\u1ebft c\u1ee7a neostigmin ho\u1eb7c d\u00f9ng ngay tr\u01b0\u1edbc c\u00e1c b\u1eefa \u0103n.<\/span><\/p>\n

Ch\u00fa \u00fd<\/span><\/i><\/b>: khi d\u00f9ng qu\u00e1 li\u1ec1u c\u00e1c thu\u1ed1c kh\u00e1ng cholinesterase c\u00f3 th\u1ec3 g\u00e2y c\u01a1n c\u01b0\u1eddng cholin. Tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u00ean c\u00f3 th\u1ec3 g\u00e2y nh\u1ea7m l\u1eabn.<\/span><\/p>\n

– Thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch: hi\u1ec7u qu\u1ea3 ch\u1eadm, nh\u01b0ng k\u00e9o d\u00e0i.<\/span><\/p>\n

+ Glucocorticoid:<\/span><\/p>\n

Thu\u1ed1c ti\u00eam t\u0129nh m\u1ea1ch: methylprednisolone 40mg\/\u1ed1ng ng\u00e0y 2 \u1ed1ng chia 2 l\u1ea7n<\/span><\/p>\n

Thu\u1ed1c u\u1ed1ng prednisolon: 5mg\/ng\u00e0y, t\u0103ng d\u1ea7n 5mg\/3 ng\u00e0y, duy tr\u00ec 60mg\/ng\u00e0y ho\u1eb7c 120mg c\u00e1ch ng\u00e0y.<\/span><\/p>\n

+ Azathioprine (Imuran): li\u1ec1u kh\u1edfi \u0111\u1ea7u 0,5 mg\/kg\/ng\u00e0y, li\u1ec1u duy tr\u00ec: t\u0103ng d\u1ea7n 0,5mg\/kg\/ng\u00e0y sau m\u1ed7i 2 tu\u1ea7n \u0111\u1ec3 \u0111\u1ea1t 2,2 mg\/kg\/ng\u00e0y. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/span><\/p>\n

+ Cyclosporine…th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c glucocorticoid: kh\u1edfi \u0111\u1ea7u 3mg\/kg\/ng\u00e0y chia 2 l\u1ea7n, li\u1ec1u duy tr\u00ec: t\u0103ng li\u1ec1u sau v\u00e0i tu\u1ea7n, li\u1ec1u 6 mg\/kg\/ng\u00e0y chia 2 l\u1ea7n. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u0103ng huy\u1ebft \u00e1p, suy th\u1eadn m\u00e3n, ph\u1ee5 n\u1eef c\u00f3 thai.<\/span><\/p>\n

– Truy\u1ec1n globulin mi\u1ec5n d\u1ecbch:<\/span><\/p>\n

+ C\u00f3 t\u00e1c d\u1ee5ng nhanh, nh\u01b0ng ch\u1ec9 t\u1ea1m th\u1eddi. Th\u01b0\u1eddng d\u00f9ng trong \u0111\u1ee3t c\u1ea5p. C\u1ea3i thi\u1ec7n l\u00e2m s\u00e0ng g\u1eb7p 50% – 90% ng\u01b0\u1eddi b\u1ec7nh nh\u01b0ng m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng c\u00f3 kh\u00e1c nhau.<\/span><\/p>\n

+ C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: s\u1ef1 b\u00e1m v\u00e0o v\u1ecb tr\u00ed \u0111\u1eb7c tr\u01b0ng tr\u00ean kh\u00e1ng nguy\u00ean, l\u00e0m gi\u1ea3m s\u1ef1 \u0111i\u1ec1u h\u00f2a s\u1ea3n sinh ra kh\u00e1ng th\u1ec3, l\u00e0m thay \u0111\u1ed5i ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o lympho T.<\/span><\/p>\n

+ Li\u1ec1u d\u00f9ng: t\u1ed5ng li\u1ec1u 2 g\/kg trong 2 – 5 ng\u00e0y.<\/span><\/p>\n

+ T\u00e1c d\u1ee5ng ph\u1ee5: \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n, c\u00f3 khi c\u00f3 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u00fam.<\/span><\/p>\n

– L\u1ecdc huy\u1ebft t\u01b0\u01a1ng: lo\u1ea1i b\u1ecf b\u1edbt t\u1ef1 kh\u00e1ng th\u1ec3, t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n nhanh ch\u00f3ng sau m\u1ed7i l\u1ea7n l\u1ecdc, th\u00f4ng th\u01b0\u1eddng sau l\u1ecdc 3-5 l\u1ea7n l\u00e0 c\u00f3 th\u1ec3 b\u1ecf \u0111\u01b0\u1ee3c m\u00e1y th\u1edf<\/span><\/p>\n

+ Thay huy\u1ebft t\u01b0\u01a1ng: (xin xem quy tr\u00ecnh k\u1ef9 thu\u1eadt thay huy\u1ebft t\u01b0\u01a1ng).<\/span><\/p>\n

+ L\u1ecdc k\u00e9p (double filter): (xin xem quy tr\u00ecnh k\u1ef9 thu\u1eadt l\u1ecdc k\u00e9p).<\/span><\/p>\n

+ L\u1ecdc h\u1ea5p ph\u1ee5 (hemoadsorption): (xin xem quy tr\u00ecnh k\u1ef9 thu\u1eadt l\u1ecdc h\u1ea5p ph\u1ee5).<\/span><\/p>\n

c) \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/span><\/p>\n

Khi b\u1ec7nh nh\u00e2n c\u00f3 u tuy\u1ebfn \u1ee9c: ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tuy\u1ebfn \u1ee9c nh\u1eb1m m\u1ee5c \u0111\u00edch l\u00e0m gi\u1ea3m t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 t\u1ef1 mi\u1ec5n kh\u00e1ng th\u1ee5 th\u1ec3 acetylcholin.<\/span><\/p>\n

d) Theo d\u00f5i<\/span><\/p>\n

– Theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p, m\u1ea1ch, nh\u1ecbp tim, huy\u1ebft \u00e1p.<\/span><\/p>\n

– Theo d\u00f5i SaO2<\/sub>, PaO2<\/sub>, PaCO2<\/sub>\u00a0m\u00e1u \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u01a1 l\u1ef1c t\u1ee9 chi v\u00e0 r\u1ed1i lo\u1ea1n nu\u1ed1t h\u00e0ng ng\u00e0y.<\/span><\/p>\n

– \u0110o th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng (Vt), \u00e1p l\u1ef1c \u00e2m h\u00edt v\u00e0o t\u1ed1i \u0111a (NIP) h\u00e0ng ng\u00e0y.<\/span><\/p>\n

2. Ti\u00ean l\u01b0\u1ee3ng v\u00e0 bi\u1ebfn ch\u1ee9ng<\/span><\/b><\/h2>\n

2.1. Ti\u00ean l\u01b0\u1ee3ng<\/span><\/b><\/h3>\n

– Kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 n\u00e0o d\u1ef1 \u0111o\u00e1n li\u1ec7u ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 bi\u1ec3u hi\u1ec7n \u1edf m\u1eaft ti\u1ebfn tri\u1ec3n th\u00e0nh nh\u01b0\u1ee3c c\u01a1 to\u00e0n th\u00e2n.<\/span><\/p>\n

– T\u00ecnh tr\u1ea1ng y\u1ebfu c\u01a1 ng\u00e0y c\u00e0ng ti\u1ec3n tri\u1ec3n n\u1eb7ng h\u01a1n, c\u00f3 nh\u1eefng \u0111\u1ee3t y\u1ebfu c\u01a1 c\u1ea5p.<\/span><\/p>\n

2.2. Bi\u1ebfn ch\u1ee9ng<\/span><\/b><\/h3>\n

– Vi\u00eam ph\u1ed5i do y\u1ebfu c\u01a1 h\u1ea7u h\u1ecdng. X\u1eb9p ph\u1ed5i<\/span><\/p>\n

– Teo c\u01a1.<\/span><\/p>\n

– Gi\u1ea3m kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng.<\/span><\/p>\n

3. Ph\u00f2ng b\u1ec7nh<\/span><\/b><\/h2>\n

– D\u00f9ng thu\u1ed1c \u0111\u1ee7 li\u1ec1u, kh\u00e1m ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c.<\/span><\/p>\n

– Tr\u00e1nh nhi\u1ec5m khu\u1ea9n, \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p.<\/span><\/p>\n

– Tr\u00e1nh dung c\u00e1c thu\u1ed1c l\u00e0m t\u0103ng t\u00ecnh tr\u1ea1ng y\u1ebfu c\u01a1.<\/span><\/p>\n

– Ph\u1eabu thu\u1eadt tuy\u1ebfn \u1ee9c n\u1ebfu ph\u00e1t hi\u1ec7n c\u00f3 u tuy\u1ebfn \u1ee9c.<\/span><\/p>\n

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

C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o d\u00e0i trong m\u1ed9t kho\u1ea3ng th\u1eddi gian ng\u1eafn. C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 \u0111\u1ed9 tu\u1ed5i n\u00e0o v\u00e0 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau. X\u1eed tr\u00ed […]<\/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":"\nC\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba<\/title>\n<meta name=\"description\" content=\"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng (hay c\u00f2n g\u1ecdi l\u00e0 c\u01a1n suy nh\u01b0\u1ee3c c\u01a1) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o ...\" \/>\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=\"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba\" \/>\n<meta property=\"og:description\" content=\"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng (hay c\u00f2n g\u1ecdi l\u00e0 c\u01a1n suy nh\u01b0\u1ee3c c\u01a1) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-23T15:55:46+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-859968186-612x612-1-300x203.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=\"6 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\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/\",\"name\":\"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-23T15:55:46+00:00\",\"dateModified\":\"2023-04-23T15:55:46+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng (hay c\u00f2n g\u1ecdi l\u00e0 c\u01a1n suy nh\u01b0\u1ee3c c\u01a1) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o ...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba\"}]},{\"@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":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba","description":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng (hay c\u00f2n g\u1ecdi l\u00e0 c\u01a1n suy nh\u01b0\u1ee3c c\u01a1) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o ...","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":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba","og_description":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng (hay c\u00f2n g\u1ecdi l\u00e0 c\u01a1n suy nh\u01b0\u1ee3c c\u01a1) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o ...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/","og_site_name":"Vinmec","article_published_time":"2023-04-23T15:55:46+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-859968186-612x612-1-300x203.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/","name":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-23T15:55:46+00:00","dateModified":"2023-04-23T15:55:46+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng (hay c\u00f2n g\u1ecdi l\u00e0 c\u01a1n suy nh\u01b0\u1ee3c c\u01a1) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o ...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/con-nhuoc-co-nang-dieu-tri-bien-chung-va-cach-phong-ngua\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"C\u01a1n nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng: \u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba"}]},{"@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\/27214"}],"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=27214"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27214\/revisions"}],"predecessor-version":[{"id":27345,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27214\/revisions\/27345"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=27214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=27214"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=27214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}