{"id":27298,"date":"2023-04-23T12:45:11","date_gmt":"2023-04-23T05:45:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27298"},"modified":"2023-05-02T09:44:49","modified_gmt":"2023-05-02T02:44:49","slug":"nguyen-nhan-dau-trong-noi-nha-khong-phai-do-co-che-cam-thu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/nguyen-nhan-dau-trong-noi-nha-khong-phai-do-co-che-cam-thu\/","title":{"rendered":"Nguy\u00ean nh\u00e2n \u0111au trong n\u1ed9i nha kh\u00f4ng ph\u1ea3i do c\u01a1 ch\u1ebf c\u1ea3m th\u1ee5."},"content":{"rendered":"

Nguy\u00ean nh\u00e2n \u0111au b\u1edfi v\u1ea5n \u0111\u1ec1 n\u1ed9i nha kh\u00f4ng ph\u1ea3i do th\u1ea7n kinh c\u1ea3m th\u1ee5 \u0111\u1eb7c bi\u1ec7t (nociceptive pain) c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn l\u00e0 do vi\u00eam, \u0111au ng\u00e0 hay \u0111au th\u1ea7n kinh ngo\u1ea1i vi ho\u1eb7c trung \u01b0\u01a1ng. C\u00f9ng t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf v\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra tri\u1ec7u ch\u1ee9ng n\u00e0y tr\u00ean b\u1ec7nh nh\u00e2n \u0111\u1ec3 n\u1eafm r\u00f5 h\u01a1n c\u00e1c v\u1ea5n \u0111\u1ec1, \u0111\u1ed3ng th\u1eddi c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p tr\u00ean l\u00e2m s\u00e0ng.<\/strong><\/p>\n

\"\u0111au\"<\/p>\n

1. Nguy\u00ean nh\u00e2n do qu\u00e1 tr\u00ecnh vi\u00eam<\/h2>\n

Vi\u00eam l\u00e0 m\u1ed9t \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch t\u1ef1 b\u1ea3o v\u1ec7 b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi m\u00f4 nhi\u1ec5m tr\u00f9ng. C\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch l\u01b0u th\u00f4ng di chuy\u1ec3n qua h\u00e0ng r\u00e0o n\u1ed9i m\u1ea1c \u0111\u1ec3 \u0111\u1ebfn c\u00e1c m\u00f4 b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 lo\u1ea1i b\u1ecf c\u00e1c m\u1ea7m b\u1ec7nh nguy hi\u1ec3m. Tuy nhi\u00ean, vi\u00eam kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t lo\u1ea1t c\u00e1c r\u1ed1i lo\u1ea1n c\u1ea5p t\u00ednh, m\u00e3n t\u00ednh v\u00e0 to\u00e0n th\u00e2n. M\u00f4 t\u1ee7y l\u00e0 m\u00f4 gi\u00e0u m\u1ea1ch m\u00e1u v\u00e0 th\u1ea7n kinh, c\u00f3 r\u1ea5t \u00edt khe h\u1edf v\u00ec bao b\u1ecdc xung quanh n\u00f3 l\u00e0 c\u00e1c th\u00e0nh ng\u00e0 c\u1ee9ng ch\u1eafc. Vi\u00eam x\u1ea3y ra trong m\u00f4 t\u1ee7y, hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam t\u1ee7y, th\u01b0\u1eddng r\u1ea5t \u0111au.
\nKhi nhi\u1ec5m tr\u00f9ng t\u1eeb l\u1ed7 s\u00e2u ti\u1ebfn \u0111\u1ebfn g\u1ea7n m\u00f4 t\u1ee7y, lipopolysaccharide (LPS) t\u1eeb th\u00e0nh t\u1ebf b\u00e0o vi khu\u1ea9n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy h\u1ea1i kh\u00e1c s\u1ebd k\u00edch th\u00edch m\u1ed9t ph\u1ea3n \u1ee9ng vi\u00eam t\u1eeb h\u00e0ng lo\u1ea1t c\u00e1c t\u1ebf b\u00e0o n\u1eb1m trong m\u00f4 t\u1ee7y. C\u00e1c t\u1ebf b\u00e0o b\u1ecb \u1ea3nh h\u01b0\u1edfng gi\u1ea3i ph\u00f3ng c\u00e1c y\u1ebfu t\u1ed1 trung gian g\u00e2y vi\u00eam nh\u01b0 prostaglandin v\u00e0 bradykinin, c\u00e1c ch\u1ea5t n\u00e0y s\u1ebd k\u00edch ho\u1ea1t ho\u1eb7c g\u00e2y nh\u1ea1y c\u1ea3m l\u00ean c\u00e1c neuron c\u1ea3m gi\u00e1c trong m\u00f4 t\u1ee7y, \u0111\u1ebfn r\u0103ng t\u0103ng c\u1ea3m gi\u00e1c \u0111au v\u1edbi nhi\u1ec7t v\u00e0 c\u01a1 h\u1ecdc, ho\u1eb7c g\u00e2y ra d\u1ecb c\u1ea3m \u0111au d\u1eabn (allodynia). Trong giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam t\u1ee7y, ph\u1ea7n l\u1edbn c\u00e1c ph\u1ea7n c\u1ee7a m\u00f4 t\u1ee7y \u0111\u1ec1u b\u1ecb vi\u00eam v\u00e0 cu\u1ed1i c\u00f9ng m\u00f4 t\u1ee7y s\u1ebd b\u1ecb tho\u00e1i h\u00f3a. Trong qu\u00e1 tr\u00ecnh tho\u00e1i h\u00f3a, c\u00e1c s\u1ee3i th\u1ea7n kinh t\u1ee7y r\u0103ng c\u00f3 th\u1ec3 v\u1eabn c\u00f2n nguy\u00ean v\u1eb9n m\u1ed9t ph\u1ea7n v\u00e0 ti\u1ebfp t\u1ee5c g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au t\u1ef1 ph\u00e1t. Thu\u1eadt ng\u1eef ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee7y c\u00f3 h\u1ed3i ph\u1ee5c v\u00e0 vi\u00eam t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c d\u1ef1a tr\u00ean d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a m\u00f4 t\u1ee7y nh\u01b0ng c\u00e1c d\u1eef li\u1ec7u l\u00e2m s\u00e0ng d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u t\u1ee7y r\u0103ng c\u00f3 th\u1ef1c s\u1ef1 b\u1ecb vi\u00eam h\u1ed3i ph\u1ee5c hay kh\u00f4ng h\u1ed3i ph\u1ee5c th\u00ec v\u1eabn c\u00f2n ch\u01b0a r\u00f5 r\u00e0ng. Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID), thu\u1ed1c gi\u1ea3m \u0111au opioid, acetaminophen v\u00e0 steroid l\u00e0 c\u00e1c thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb \u0111au do vi\u00eam.<\/p>\n

2. \u0110au ng\u00e0 (dentinal pain)<\/h2>\n

S\u1ef1 m\u1ea5t hay h\u01b0 h\u1ea1i l\u1edbp men ho\u1eb7c cement c\u00f3 th\u1ec3 l\u00e0m l\u1ed9 ng\u00e0 r\u0103ng v\u00e0o xoang mi\u1ec7ng v\u00e0 g\u00e2y ra d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng ho\u1eb7c nh\u1ea1y c\u1ea3m. \u0110au ng\u00e0 th\u01b0\u1eddng l\u00e0 \u0111au ng\u1eafn, \u0111au ch\u00f3i x\u1ea3y ra khi ph\u1ea3n \u1ee9ng v\u1edbi nhi\u1ec7t, h\u01a1i, x\u00fac gi\u00e1c, th\u1ea9m th\u1ea5u ho\u1eb7c k\u00edch th\u00edch h\u00f3a h\u1ecdc. Thuy\u1ebft th\u1ee7y \u0111\u1ed9ng h\u1ecdc gi\u1ea3i th\u00edch r\u1eb1ng c\u00e1c k\u00edch th\u00edch t\u1ea1o ra s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a ch\u1ea5t l\u1ecfng trong c\u00e1c \u1ed1ng ng\u00e0, t\u1eeb \u0111\u00f3 k\u00edch ho\u1ea1t c\u00e1c s\u1ee3i th\u1ea7n kinh \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 trong \u1ed1ng ng\u00e0. Nh\u1ea1y c\u1ea3m ng\u00e0 c\u00f3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn k\u00edch th\u01b0\u1edbc v\u00e0 \u0111\u1ed9 m\u1edf c\u1ee7a \u1ed1ng ng\u00e0. M\u1ea5t men ho\u1eb7c cement th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 \u0103n m\u00f2n (attrition), x\u00f3i m\u00f2n (erosion), m\u00e0i m\u00f2n (abrasion) ho\u1eb7c m\u00f2n ng\u00f3t do l\u1ef1c kh\u1edbp c\u1eafn (abfraction). Ng\u01b0\u1eddi ta \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 30% ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh c\u00f3 nh\u1ea1y c\u1ea3m ng\u00e0 t\u1ea1i m\u1ed9t s\u1ed1 th\u1eddi \u0111i\u1ec3m nh\u1ea5t \u0111\u1ecbnh trong \u0111\u1eddi. Sau \u0111\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 h\u1ebft khi c\u00e1c \u1ed1ng ng\u00e0 b\u1ecb b\u1ecbt k\u00edn b\u1edfi c\u00e1c lo\u1ea1i mu\u1ed1i v\u00f4 c\u01a1, ng\u00e0 b\u1ea9n, ng\u00e0 gian \u1ed1ng, ng\u00e0 th\u1ee9 ph\u00e1t ho\u1eb7c ng\u00e0 s\u1eeda ch\u1eefa. H\u1ea7u h\u1ebft c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1ea1y c\u1ea3m ng\u00e0 \u0111ang c\u00f3 hi\u1ec7n nay \u0111\u1ec1u l\u00e0m b\u1ecbt k\u00edn c\u00e1c \u1ed1ng ng\u00e0, do \u0111\u00f3 ng\u0103n c\u1ea3n s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a d\u1ecbch trong \u1ed1ng ng\u00e0 v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 c\u1eaft h\u1ea7u h\u1ebft tri\u1ec7u ch\u1ee9ng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m s\u1eed d\u1ee5ng kem \u0111\u00e1nh r\u0103ng c\u00f3 ch\u1ee9a stronti ho\u1eb7c mu\u1ed1i oxalat, ch\u00fang s\u1ebd l\u00e0m l\u1eafng \u0111\u1ecdng mu\u1ed1i kho\u00e1ng trong c\u00e1c \u1ed1ng ng\u00e0. Tr\u00e1m r\u0103ng b\u1eb1ng glass ionomer, nh\u1ef1a ho\u1eb7c nh\u1ef1a d\u00e1n c\u0169ng \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 cao. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n nh\u01b0 v\u1eady \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u \u0111\u1ec3 l\u00e0m d\u1ecbu \u0111au, v\u00ec th\u01b0\u1eddng \u00edt th\u1ea5y t\u1ee7y r\u0103ng b\u1ecb vi\u00eam ho\u1eb7c b\u1ec7nh l\u00fd t\u1ee7y \u1edf nh\u1eefng r\u0103ng c\u00f3 nh\u1ea1y c\u1ea3m ng\u00e0. Thay v\u00e0o \u0111\u00f3, t\u00ecnh tr\u1ea1ng n\u00e0y ch\u1ec9 l\u00e0 s\u1ef1 th\u1ec3 hi\u1ec7n \u0111\u1ed9 nh\u1ea1y c\u1ea3m c\u1ee7a c\u00e1c neuron c\u1ea3m gi\u00e1c b\u00ecnh th\u01b0\u1eddng trong m\u00f4 t\u1ee7y v\u1edbi c\u00e1c k\u00edch th\u00edch, khi m\u00e0 l\u1edbp men v\u00e0 cement b\u1ea3o v\u1ec7 b\u1ecb ph\u00e1 h\u1ee7y.<\/p>\n

3. T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh (neuropathic pain)<\/h2>\n

\u0110au th\u1ea7n kinh (neuropathic pain) l\u00e0 m\u1ed9t d\u1ea1ng c\u1ee7a \u0111au m\u00e3n t\u00ednh, g\u00e2y ra b\u1edfi m\u1ed9t k\u00edch th\u00edch nguy\u00ean ph\u00e1t ho\u1eb7c r\u1ed1i lo\u1ea1i ch\u1ee9c n\u0103ng trong h\u1ec7 th\u1ed1ng th\u1ea7n kinh ngo\u1ea1i vi ho\u1eb7c th\u1ea7n kinh trung \u01b0\u01a1ng. \u0110au th\u1ea7n kinh c\u00f3 m\u1ed9t sinh l\u00fd b\u1ec7nh ph\u1ee9c t\u1ea1p v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u00f9ng mi\u1ec7ng \u2013 m\u1eb7t c\u0169ng nh\u01b0 c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 th\u1ec3. X\u00e9t v\u1ec1 s\u1ef1 li\u00ean quan v\u1edbi nha khoa ho\u1eb7c n\u1ed9i nha th\u00ec ng\u00e0y nay ng\u01b0\u1eddi ta hi\u1ec3u r\u1eb1ng \u0111au th\u1ea7n kinh c\u00f3 th\u1ec3 x\u1ea3y ra do c\u00e1c th\u1ee7 thu\u1eadt nha khoa nh\u01b0 ph\u1eabu thu\u1eadt nh\u1ed5 r\u0103ng kh\u00f4n, ph\u1eabu thu\u1eadt c\u1eafm implant, \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha c\u00f3 ph\u1eabu thu\u1eadt v\u00e0 kh\u00f4ng ph\u1eabu thu\u1eadt, th\u1eadm ch\u00ed c\u1ea3 sau g\u00e2y t\u00ea ch\u00edch. \u0110au th\u1ea7n kinh c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra nh\u01b0 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a c\u00e1c r\u1ed1i lo\u1ea1n kh\u00e1c trong c\u01a1 th\u1ec3 nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (b\u1ec7nh l\u00fd th\u1ea7n kinh do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng), HIV (b\u1ec7nh l\u00fd th\u1ea7n kinh HIV) v\u00e0 herpes zoster (\u0111au th\u1ea7n kinh h\u1eadu zona). Nh\u1eefng b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i vi n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf v\u00f9ng mi\u1ec7ng \u2013 m\u1eb7t k\u1ec3 c\u1ea3 trong mi\u1ec7ng, \u0111\u00f3 l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u00e0 vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1ebd r\u1ea5t kh\u00f3
\nkh\u0103n. V\u00e0 th\u1eadt kh\u00f4ng may l\u00e0, r\u1ea5t nhi\u1ec1u b\u1ec7nh nh\u00e2n ph\u1ea3i tr\u1ea3i qua nh\u1eefng th\u1ee7 thu\u1eadt \u0111i\u1ec1u tr\u1ecb nha khoa kh\u00f4ng c\u1ea7n thi\u1ebft ch\u1ec9 \u0111\u1ec3 l\u00e0m gi\u1ea3m nh\u1eefng c\u01a1n \u0111au ki\u1ec3u n\u00e0y. Do \u0111au th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00e2y ra suy nh\u01b0\u1ee3c nghi\u00eam tr\u1ecdng v\u00e0 r\u1ea5t kh\u00f3 ch\u1eefa, n\u00ean c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 ng\u0103n ch\u1eb7n ho\u1eb7c gi\u1ea3m thi\u1ec3u c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trong qu\u00e1 tr\u00ecnh l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb nha khoa. C\u00e1c r\u0103ng c\u1ed1i l\u1edbn v\u00e0 r\u0103ng c\u1ed1i nh\u1ecf h\u00e0m d\u01b0\u1edbi c\u00f3 ch\u00f3p r\u0103ng g\u1ea7n l\u1ed7 th\u1ea7n kinh c\u1eb1m c\u1ee7a k\u00eanh th\u1ea7n kinh r\u0103ng d\u01b0\u1edbi n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn c\u1ea9n th\u1eadn \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn c\u00e1c nh\u00e1nh th\u1ea7n kinh. C\u00e1c thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng d\u1ee5ng v\u00e0 NSAID th\u01b0\u1eddng \u00edt hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi \u0111au th\u1ea7n kinh, c\u00e1c thu\u1ed1c opioid c\u00f3 ph\u1ea7n t\u1ed1t h\u01a1n. N\u00f3i chung, c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 th\u1ea7n kinh \u0111\u01b0\u1ee3c th\u1ea5y l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh, bao g\u1ed3m thu\u1ed1c ch\u1ed1ng co gi\u1eadt nh\u01b0 gabapentin v\u00e0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m nh\u01b0 nortriptyline.<\/p>\n

Ngu\u1ed3n: Clinical Guide for Optimal Treatment Outcome – Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Nguy\u00ean nh\u00e2n \u0111au b\u1edfi v\u1ea5n \u0111\u1ec1 n\u1ed9i nha kh\u00f4ng ph\u1ea3i do th\u1ea7n kinh c\u1ea3m th\u1ee5 \u0111\u1eb7c bi\u1ec7t (nociceptive pain) c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn l\u00e0 do vi\u00eam, \u0111au ng\u00e0 hay \u0111au th\u1ea7n kinh ngo\u1ea1i vi ho\u1eb7c trung \u01b0\u01a1ng. C\u00f9ng t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf v\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra tri\u1ec7u ch\u1ee9ng n\u00e0y tr\u00ean b\u1ec7nh nh\u00e2n \u0111\u1ec3 n\u1eafm […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[],"yoast_head":"\nNguy\u00ean nh\u00e2n \u0111au trong n\u1ed9i nha kh\u00f4ng ph\u1ea3i do c\u01a1 ch\u1ebf c\u1ea3m th\u1ee5.<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf v\u00e0 nguy\u00ean nh\u00e2n \u0111au b\u1edfi v\u1ea5n \u0111\u1ec1 n\u1ed9i nha kh\u00f4ng ph\u1ea3i do th\u1ea7n kinh c\u1ea3m th\u1ee5 (nociceptive pain).\" \/>\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 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Th\u00e0nh\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\" \/>\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\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/nguyen-nhan-dau-trong-noi-nha-khong-phai-do-co-che-cam-thu\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/nguyen-nhan-dau-trong-noi-nha-khong-phai-do-co-che-cam-thu\/\",\"name\":\"Nguy\u00ean nh\u00e2n \u0111au trong n\u1ed9i nha kh\u00f4ng ph\u1ea3i do c\u01a1 ch\u1ebf c\u1ea3m 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