{"id":27216,"date":"2023-04-23T22:55:17","date_gmt":"2023-04-23T15:55:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27216"},"modified":"2023-04-23T22:55:17","modified_gmt":"2023-04-23T15:55:17","slug":"cap-nhap-chan-doan-hoi-chung-guillain-barre","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/cap-nhap-chan-doan-hoi-chung-guillain-barre\/","title":{"rendered":"C\u1eadp nh\u1eadp ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng Guillain-Barre"},"content":{"rendered":"

Trong h\u1ed9i ch\u1ee9ng Guillain -Barr\u00e9 l\u00e0 do c\u01a1 th\u1ec3 sinh ra kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng, \u0111\u1ed3ng th\u1eddi c\u0169ng ch\u00ednh c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u00f3 t\u1ea5n c\u00f4ng v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng myeline v\u00e0\/ho\u1eb7c s\u1ee3i tr\u1ee5c c\u1ee7a r\u1ec5 v\u00e0 d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean. Bi\u1ec3u hi\u1ec7n l\u00e0 y\u1ebfu c\u01a1 ti\u1ebfn tri\u1ec3n nhi\u1ec1u n\u01a1i, b\u1ec7nh n\u0103ng l\u00e0 khi c\u00f3 li\u1ec7t c\u01a1 h\u00f4 h\u1ea5p v\u00e0 r\u1ed1i lo\u1ea1n th\u1ea7n kinh t\u1ef1 ch\u1ee7.<\/span><\/strong><\/p>\n

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\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0H\u1ed9i ch\u1ee9ng Guillain -Barr\u00e9<\/span><\/figcaption><\/figure>\n

1. Nguy\u00ean nh\u00e2n c\u1ee7a h\u1ed9i ch\u1ee9ng Guillain-Barre<\/span><\/b><\/h2>\n

– Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0\u00a0Campylobacter jeuni<\/i>, vi khu\u1ea9n n\u00e0y c\u00f3 trong vi\u00eam d\u1ea1 d\u00e0y.<\/span><\/p>\n

– \u00cdt g\u0103p h\u01a1n:\u00a0Cytomegalovirus, Epstein-barr virus v\u00e0 Mycoplasma pneumoniae.<\/i><\/span><\/p>\n

– Sau d\u00f9ng vacxin: b\u1ea1i li\u1ec7t, c\u00fam, s\u1edfi, b\u1ea1ch h\u1ea7u-ho g\u00e0-u\u1ed1n v\u00e1n….<\/span><\/p>\n

2. Tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng Guillain-Barre<\/span><\/b><\/h2>\n

2.1. L\u00e2m s\u00e0ng<\/span><\/b><\/h3>\n

Kho\u1ea3ng 1-3 tu\u1ea7n tr\u01b0\u1edbc \u0111\u00f3 c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a nhi\u1ec5m vi r\u00fat nh\u01b0 h\u1eaft h\u01a1i, s\u1ed5 m\u0169i, ch\u1ea3y n\u01b0\u1edbc m\u1eaft, \u0111au h\u1ecdng, \u0111au m\u1ecfi b\u1eafp c\u01a1.<\/span><\/p>\n

a) Giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t<\/span><\/p>\n

– Th\u01b0\u1eddng kh\u00f4ng s\u1ed1t. R\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c nh\u01b0 ki\u1ebfn b\u00f2 \u1edf ngon chi hay quanh m\u00f4i.<\/span><\/p>\n

– \u0110au m\u1ecfi nhi\u1ec1u n\u01a1i t\u0103ng l\u00ean.<\/span><\/p>\n

b) Giai \u0111o\u1ea1n to\u00e0n ph\u00e1t<\/span><\/p>\n

– Y\u1ebfu c\u01a1 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u \u1edf ch\u00e2n, c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u \u1edf c\u00e1nh tay ho\u1eb7c c\u01a1 v\u00f9ng m\u1eb7t. C\u00f3 d\u1ecb c\u1ea3m \u1edf tay v\u00e0 ch\u00e2n b\u1ecb y\u1ebfu c\u01a1<\/span><\/p>\n

– Y\u1ebfu c\u01a1 m\u1eb7t, li\u1ec7t c\u01a1 h\u1ea7u h\u1ecdng.Y\u1ebfu c\u01a1 v\u1eadn nh\u00e3n.<\/span><\/p>\n

– Y\u1ebfu c\u01a1 h\u00f4 h\u1ea5p c\u1ea7n ph\u1ea3i th\u1edf m\u00e1y h\u1ed7 tr\u1ee3.<\/span><\/p>\n

– R\u1ed1i lo\u1ea1n th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng: nh\u1ecbp tim nhanh (hay g\u1eb7p nh\u1ea5t), ho\u1eb7c nh\u1ecbp ch\u1eadm, b\u00ed ti\u1ec3u, huy\u1ebft \u00e1p thay \u0111\u1ed5i, t\u1eafc ru\u1ed9t, ra nhi\u1ec1u m\u1ed3 h\u00f4i.<\/span><\/p>\n

– C\u00e1c tri\u1ec7u ch\u1ee9ng \u00edt g\u1eb7p: ph\u00f9 gai th\u1ecb, gi\u1eadt run c\u01a1 v\u00f9ng m\u1eb7t, gi\u1ea3m th\u00ednh l\u1ef1c, d\u1ea5u hi\u1ec7u m\u00e0ng n\u00e3o, li\u1ec7t d\u00e2y thanh \u00e2m, thay \u0111\u1ed5i \u00fd th\u1ee9c.<\/span><\/p>\n

– C\u00f3 90% b\u1ec7nh ti\u1ebfn tri\u1ec3n trong 2-4 tu\u1ea7n t\u1eeb khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u.<\/span><\/p>\n

2.2. C\u1eadn l\u00e2m s\u00e0ng<\/span><\/b><\/h3>\n

a) D\u1ecbch n\u00e3o t\u1ee7y<\/span><\/p>\n

– C\u00f3 s\u1ef1 ph\u00e2n ly \u0111\u1ea1m- t\u1ebf b\u00e0o: protein > 0,5g\/l\u00edt, t\u1ebf b\u00e0o < 10\/mm3<\/sup>.<\/span><\/p>\n

– C\u00f3 80 – 90% ng\u01b0\u1eddi b\u1ec7nh t\u0103ng protein d\u1ecbch n\u00e3o t\u1ee7y trong tu\u1ea7n \u0111\u1ea7u c\u1ee7a b\u1ec7nh.<\/span><\/p>\n

b) \u0110i\u1ec7n c\u01a1 v\u00e0 d\u1eabn truy\u1ec1n th\u1ea7n kinh<\/span><\/p>\n

– T\u1ed5n th\u01b0\u01a1ng myelin: k\u00e9o d\u00e0i th\u1eddi gian ti\u1ec1m t\u00e0ng ng\u1ecdn chi v\u00e0 s\u00f3ng F, gi\u1ea3m t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh, ngh\u1ebdn d\u1eabn truy\u1ec1n do m\u1ea5t myelin t\u1eebng \u0111o\u1ea1n.<\/span><\/p>\n

– T\u1ed5n th\u01b0\u01a1ng s\u1ee3i tr\u1ee5c: s\u00f3ng F c\u00f3 th\u1ec3 m\u1ea5t, \u0111\u00e1p \u1ee9ng v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c gi\u1ea3m ho\u1eb7c m\u1ea5t.<\/span><\/p>\n

c) C\u00e1c x\u00e9t nghi\u1ec7m v\u1ec1 mi\u1ec5n d\u1ecbch: kh\u00e1ng th\u1ec3 glycolipid nh\u01b0: GQ1b. GM1, GD1a, GalNac-GD1a, GD1b. GT1a. GD1b \u2026<\/span><\/p>\n

3. Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng Guillain-Barre<\/span><\/b><\/h2>\n

3.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/span><\/b>\u00a0<\/span><\/h3>\n

(Theo ti\u00eau chu\u1ea9n c\u1ee7a Ashbury v\u00e0 comblath n\u0103m 1990)<\/span><\/p>\n

a) L\u00e2m s\u00e0ng<\/span><\/p>\n

– C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ea7n ngh\u0129 \u0111\u1ebfn h\u1ed9i ch\u1ee9ng Guilain-Barr\u00e9.<\/span><\/p>\n

+ C\u00f3 s\u1ef1 y\u1ebfu c\u01a1 ti\u1ebfn tri\u1ec3n d\u1ea7n d\u1ea7n c\u1ee7a c\u1ea3 ch\u00e2n v\u00e0 tay.<\/span><\/p>\n

+ C\u00f3 gi\u1ea3m ho\u1eb7c m\u1ea5t ph\u1ea3n x\u1ea1.<\/span><\/p>\n

– C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng h\u1ed7 tr\u1ee3 th\u00eam cho ch\u1ea9n \u0111o\u00e1n:<\/span><\/p>\n

+ Ti\u1ebfn tri\u1ec3n nhi\u1ec1u ng\u00e0y \u0111\u1ebfn 4 tu\u1ea7n.<\/span><\/p>\n

+ C\u00f3 t\u00ednh ch\u1ea5t \u0111\u1ed1i x\u1ee9ng c\u1ee7a c\u00e1c d\u1ea5u hi\u1ec7u.<\/span><\/p>\n

+ C\u00e1c tri\u1ec7u ch\u1ee9ng hay d\u1ea5u hi\u1ec7u c\u1ea3m gi\u00e1c th\u01b0\u1eddng l\u00e0 nh\u1eb9.<\/span><\/p>\n

+ T\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh s\u1ecd (t\u00ednh ch\u1ea5t hai b\u00ean).<\/span><\/p>\n

+ B\u1eaft \u0111\u1ea7u ph\u1ee5c h\u1ed3i sau 2-4 tu\u1ea7n sau khi ng\u1eebng ti\u1ebfn tri\u1ec3n.<\/span><\/p>\n

+ R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng.<\/span><\/p>\n

+ Kh\u00f4ng c\u00f3 s\u1ed1t l\u00fac kh\u1edfi b\u1ec7nh.<\/span><\/p>\n

b) C\u1eadn l\u00e2m s\u00e0ng<\/span><\/p>\n

– D\u1ecbch n\u00e3o t\u1ee7y: Protein t\u0103ng, t\u1ebf b\u00e0o <10\/mm3<\/span><\/p>\n

– \u0110i\u1ec7n c\u01a1: d\u1eabn truy\u1ec1n th\u1ea7n kinh ch\u1eadm ho\u1eb7c m\u1ea5t, t\u1ed5n th\u01b0\u01a1ng myelin v\u00e0\/ho\u1eb7c s\u1ee3i tr\u1ee5c<\/span><\/p>\n

c) C\u00e1c d\u1ea5u hi\u1ec7u n\u1eb7ng<\/span><\/p>\n

– Li\u1ec7t t\u1ee9 chi c\u00f3 k\u00e8m theo li\u1ec7t h\u1ea7u h\u1ecdng: nu\u1ed1t ngh\u1eb9n, s\u1eb7c.<\/span><\/p>\n

– C\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng.<\/span><\/p>\n

– C\u00f3 t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p:<\/span><\/p>\n

+ Li\u1ec7t c\u01a1 h\u00f4 h\u1ea5p: th\u1edf nhanh ho\u1eb7c ch\u1eadm (> 30 ho\u1eb7c < 10 l\u1ea7n\/ph\u00fat), n\u00f4ng.<\/span><\/p>\n

+ T\u00edm m\u00f4i, \u0111\u1ea7u chi: t\u0103ng PaCO2<\/sub>, gi\u1ea3m PaO2<\/sub>.<\/span><\/p>\n

+ Xquang ph\u1ed5i: h\u00ecnh \u1ea3nh vi\u00eam ph\u1ed5i do s\u1eb7c, x\u1eb9p ph\u1ed5i.<\/span><\/p>\n

3.2. Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n<\/span><\/b><\/h3>\n

– Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 Campylobacter jeuni: t\u00ecm vi khu\u1ea9n n\u00e0y trong d\u1ecbch d\u1ea1 d\u00e0y.<\/span><\/p>\n

– C\u00e1c nguy\u00ean nh\u00e2n \u00edt g\u1eb7p:\u00a0Cytomegalovirus, Epstein-barr virus<\/i>\u00a0v\u00e0\u00a0Mycoplasma pneumoniae<\/i>. Ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc \u0111\u00f3 c\u00f3 s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 vacxin.<\/span><\/p>\n

3.3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/span><\/b><\/h3>\n

– Vi\u00eam m\u1ea1ch th\u1ea7n kinh ngo\u1ea1i vi: vi\u00eam m\u1ea1ch ti\u1ebfn tri\u1ec3n nhanh, l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 gi\u1ed1ng Guillain-Barr\u00e9 v\u1edbi y\u1ebfu c\u01a1 c\u00f3 t\u00ednh ch\u1ea5t \u0111\u1ed1i x\u1ee9ng.<\/span><\/p>\n

– B\u1ec7nh l\u00fd t\u1ee7y s\u1ed1ng c\u1ea5p: l\u00fan c\u1ed9t s\u1ed1ng, vi\u00eam t\u1ee7y c\u1eaft ngang c\u1ea5p t\u00ednh. Ph\u1ea3n x\u1ea1 c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh c\u1ee7a b\u1ec7nh t\u1ee7y s\u1ed1ng. R\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c ki\u1ec3u khoanh t\u1ee7y.<\/span><\/p>\n

– C\u00e1c b\u1ec7nh c\u1ee7a kh\u1edbp th\u1ea7n kinh-c\u01a1: ng\u1ed9 \u0111\u1ed9c, nh\u01b0\u1ee3c c\u01a1 n\u1eb7ng, h\u1ed9i ch\u1ee9ng Lambert-Eaton. C\u00f3 t\u00ecnh tr\u1ea1ng y\u1ebfu c\u01a1 c\u1ea5p t\u00ednh, kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1ec1 c\u1ea3m gi\u00e1c.<\/span><\/p>\n

– B\u1ec7nh vi\u00eam \u0111a c\u01a1, b\u1ec7nh l\u00fd c\u01a1 n\u1eb7ng, b\u1ec7nh l\u00fd th\u1ea7n kinh n\u1eb7ng \u0111\u00f4i khi gi\u1ed1ng Guillain-Barr\u00e9. C\u00e1c b\u1ec7nh n\u00e0y bi\u1ec3u hi\u1ec7n nh\u01b0 t\u00ecnh tr\u1ea1ng li\u1ec7t c\u1ea5p t\u00ednh.<\/span><\/p>\n

– H\u1ed9i ch\u1ee9ng Miller-Fisher: c\u01a1n \u0111\u1ed9t qu\u1ef5 n\u00e3o, b\u1ec7nh n\u00e3o Wernicke v\u00e0 vi\u00eam n\u00e3o v\u00f9ng th\u00e2n n\u00e3o, nh\u01b0ng th\u01b0\u1eddng c\u00f3 thay \u0111\u1ed5i \u00fd th\u1ee9c.<\/span><\/p>\n

– B\u1ea1i li\u1ec7t: li\u1ec7t kh\u00f4ng \u0111\u00f3i x\u1ee9ng, kh\u00f4ng c\u00f3 r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c k\u00e8m theo.<\/span><\/p>\n

– R\u1eafn c\u1ea1p nia c\u1eafn: li\u1ec7t v\u1eadn \u0111\u1ed9ng, th\u01b0\u1eddng k\u00e8m theo \u0111\u1ed3ng t\u1eed gi\u00e3n.<\/span><\/p>\n

– H\u1ea1 kali m\u00e1u: n\u1ed3ng \u0111\u1ed9 kali m\u00e1u gi\u1ea3m < 3,5 mEq\/l.<\/span><\/p>\n

– \u0110\u00e1i ra porphyrin: x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u c\u00f3 porphobilinogen.<\/span><\/p>\n

– Vi\u00eam t\u1ee7y lan l\u00ean: t\u1ed5n th\u01b0\u01a1ng t\u1ee7y ki\u1ec3u khoanh (m\u1ea5t v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c).<\/span><\/p>\n

– T\u1ed5n th\u01b0\u01a1ng t\u1ee7y do: vi\u00eam m\u00e0ng nh\u1ec7n t\u1ee7y, ch\u00e8n \u00e9p t\u1ee7y (lao, ung th\u01b0, tho\u00e1t v\u1ecb…).<\/span><\/p>\n

– H\u1ed9i ch\u1ee9ng \u0111u\u00f4i ng\u1ef1a: ch\u1ec9 khi c\u00f3 bi\u1ec3u hi\u1ec7n li\u1ec7t hai ch\u00e2n.<\/span><\/p>\n

– B\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i vi do r\u1ef1\u01a1u, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng…<\/span><\/p>\n

3.4. Ch\u1ea9n \u0111o\u00e1n th\u1ec3 l\u00e2m s\u00e0ng<\/span><\/b><\/h3>\n

a) B\u00eanh \u0111a d\u00e2y th\u1eadn kinh h\u1ee7y myelin c\u1ea5p<\/span><\/p>\n

– M\u1ea5t ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng.<\/span><\/p>\n

– S\u1ef1 h\u1ed3i ph\u1ee5c myelin th\u1ea7n kinh ngo\u1ea1i vi x\u1ea3y ra t\u01b0\u01a1ng \u0111\u1ed1i nhanh.<\/span><\/p>\n

b) B\u00eanh th\u1ea7n kinh s\u1ee3i tr\u1ee5c v\u1eadn \u0111\u1ed9ng c\u1ea5p<\/span><\/p>\n

– Ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng \u0111\u00f4i khi c\u00f2n, d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u1ea3m gi\u00e1c b\u00ecnh th\u01b0\u1eddng<\/span><\/p>\n

– L\u00e2m s\u00e0ng v\u00e0 s\u1ef1 ph\u1ee5c h\u1ed3i kh\u00f4ng gi\u1ed1ng nh\u01b0 th\u1ec3 h\u1ee7y myelin c\u1ea5p.<\/span><\/p>\n

c) B\u1ec7nh th\u1ea7n kinh s\u1ee3i tr\u1ee5c v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c c\u1ea5p<\/span><\/p>\n

– S\u1ee3i c\u1ea3m gi\u00e1c v\u00e0 v\u1eadn \u0111\u1ed9ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng, h\u1ed3i ph\u1ee5c ch\u1eadm v\u00e0 kh\u00f4ng ho\u00e0n to\u00e0n.<\/span><\/p>\n

– C\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ea3m gi\u00e1c \u0111i k\u00e8m nhi\u1ec1u h\u01a1n, li\u1ec7t xu\u1ea5t hi\u1ec7n nhanh v\u00e0 n\u1eb7ng.<\/span><\/p>\n

d) H\u1ed9i ch\u1ee9ng Miller Fisher<\/span><\/p>\n

– G\u1eb7p kho\u1ea3ng 5% c\u00e1c tr\u01b0\u1eddng h\u1ee3p GBS.<\/span><\/p>\n

– Th\u01b0\u1eddng do nhi\u1ec5m\u00a0Campylobacter jejuni\u00a0<\/i>tr\u01b0\u1edbc \u0111\u00f3.<\/span><\/p>\n

– L\u00e2m s\u00e0ng \u0111i\u1ec3n h\u00ecnh: li\u1ec7t v\u1eadn nh\u00e3n, m\u1ea5t \u0111i\u1ec1u h\u00f2a v\u00e0 m\u1ea5t ph\u1ea3n x\u1ea1.<\/span><\/p>\n

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

Trong h\u1ed9i ch\u1ee9ng Guillain -Barr\u00e9 l\u00e0 do c\u01a1 th\u1ec3 sinh ra kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng, \u0111\u1ed3ng th\u1eddi c\u0169ng ch\u00ednh c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u00f3 t\u1ea5n c\u00f4ng v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng myeline v\u00e0\/ho\u1eb7c s\u1ee3i tr\u1ee5c c\u1ee7a r\u1ec5 v\u00e0 d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean. Bi\u1ec3u hi\u1ec7n l\u00e0 y\u1ebfu c\u01a1 ti\u1ebfn tri\u1ec3n nhi\u1ec1u n\u01a1i, […]<\/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\u1eadp nh\u1eadp ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng Guillain-Barre - Vinmec<\/title>\n<meta name=\"description\" content=\"Trong h\u1ed9i ch\u1ee9ng Guillain -Barr\u00e9 l\u00e0 do c\u01a1 th\u1ec3 sinh ra kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng, \u0111\u1ed3ng th\u1eddi c\u0169ng ch\u00ednh c\u00e1c kh\u00e1ng th\u1ec3 ...\" \/>\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\u1eadp nh\u1eadp ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng Guillain-Barre - 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