{"id":27660,"date":"2023-04-25T12:29:08","date_gmt":"2023-04-25T05:29:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27660"},"modified":"2023-04-25T12:29:08","modified_gmt":"2023-04-25T05:29:08","slug":"tiep-can-kho-khe-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/tiep-can-kho-khe-o-tre-em\/","title":{"rendered":"Ti\u1ebfp c\u1eadn kh\u00f2 kh\u00e8 \u1edf tr\u1ebb em"},"content":{"rendered":"

Khi \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong l\u1ed3ng ng\u1ef1c b\u1ecb h\u1eb9p s\u1ebd t\u1ea1o ra ti\u1ebfng th\u1edf c\u00f3 \u00e2m s\u1eafc nh\u1ea1c li\u00ean t\u1ee5c, g\u1ecdi l\u00e0 kh\u00f2 kh\u00e8. Kh\u00f2 kh\u00e8 ch\u1ee7 y\u1ebfu nghe trong th\u00ec th\u1edf ra, \u0111\u00f4i khi nghe trong c\u1ea3 hai th\u00ec h\u00f4 h\u1ea5p n\u1ebfu t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trung t\u00e2m ho\u1eb7c t\u1eafc ngh\u1ebdn n\u1eb7ng \u0111\u01b0\u1eddng d\u1eabn kh\u00ed ngo\u1ea1i bi\u00ean.<\/strong><\/p>\n

1. Gi\u1ea3i ph\u1eabu v\u00e0 sinh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong l\u1ed3ng ng\u1ef1c<\/h2>\n

\u0110\u01b0\u1eddng d\u1eabn kh\u00ed trong l\u1ed3ng ng\u1ef1c g\u1ed3m \u0111o\u1ea1n d\u01b0\u1edbi kh\u00ed qu\u1ea3n n\u1eb1m trong l\u1ed3ng ng\u1ef1c, ph\u1ebf qu\u1ea3n g\u1ed1c v\u00e0 c\u00e1c ph\u00e2n nh\u00e1nh ph\u1ebf qu\u1ea3n, c\u00e1c th\u1ebf h\u1ec7 ti\u1ec3u ph\u1ebf qu\u1ea3n v\u00e0 t\u1eadn c\u00f9ng b\u1eb1ng ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eadn. Kh\u00ed qu\u1ea3n v\u00e0 ph\u1ebf qu\u1ea3n g\u1ed1c \u0111\u01b0\u1ee3c bao quanh 5\/6 chu vi b\u1edfi v\u00f2ng s\u1ee5n c\u1ee9ng d\u1ea1ng ch\u1eef C gi\u00fap \u0111\u01b0\u1eddng d\u1eabn kh\u00ed ngo\u00e0i ph\u1ed5i kh\u00f4ng b\u1ecb x\u1eb9p, \u0111\u1eb7c bi\u1ec7t trong th\u00ec th\u1edf ra. T\u1eeb c\u00e1c ph\u1ebf qu\u1ea3n th\u00f9y, v\u00f2ng s\u1ee5n m\u1ecfng d\u1ea7n n\u00ean d\u1ec5 b\u1ecb x\u1eb9p khi ch\u1ecbu \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u00e1p l\u1ef1c xuy\u00ean ph\u1ed5i trong th\u00ec th\u1edf ra<\/p>\n

L\u1edbp c\u01a1 tr\u01a1n \u0111\u01b0\u1eddng d\u1eabn kh\u00ed thay \u0111\u1ed5i t\u00f9y theo v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu, t\u1eeb m\u1ed9t b\u00f3 c\u01a1 n\u1ed1i hai \u0111\u1ea7u v\u00f2ng s\u1ee5n ch\u1eef C (t\u1ea1i \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trung t\u00e2m) m\u1ecfng d\u1ea7n th\u00e0nh nh\u1eefng v\u00f2ng c\u01a1 \u201cv\u00f2ng c\u01a1 Reissessen\u201d (bao quanh \u1ed1ng ph\u1ebf nang).<\/p>\n

Nh\u1edd ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c l\u00f4ng chuy\u1ec3n, l\u1edbp ch\u1ea5t nh\u1ea7y \u0111\u01b0\u1ee3c d\u1ecbch chuy\u1ec3n t\u1eeb c\u00e1c \u0111\u01b0\u1eddng d\u1eabn kh\u00ed xa v\u1ec1 ph\u00eda h\u1ea7u h\u1ecdng v\u00e0 cu\u1ed1n theo nhi\u1ec1u ch\u1ea5t c\u1eb7n, t\u1ebf b\u00e0o ch\u1ebft v\u00e0 vi sinh v\u1eadt trong \u0111\u01b0\u1eddng d\u1eabn kh\u00ed, gi\u00fap l\u00e0m s\u1ea1ch l\u00f2ng \u0111\u01b0\u1eddng d\u1eabn kh\u00ed .<\/p>\n

\u0110\u01b0\u1eddng d\u1eabn kh\u00ed ch\u1ecbu chi ph\u1ed1i ch\u1ee7 y\u1ebfu b\u1edfi h\u1ec7 th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng, c\u01a1 tr\u01a1n \u0111\u01b0\u1eddng th\u1edf co l\u1ea1i trong \u0111\u00e1p \u1ee9ng v\u1edbi k\u00edch th\u00edch ph\u00f3 giao c\u1ea3m v\u00e0 d\u00e3n ra trong \u0111\u00e1p \u1ee9ng v\u1edbi k\u00edch th\u00edch giao c\u1ea3m. H\u1ec7 th\u1ea7n kinh giao c\u1ea3m k\u00edch th\u00edch th\u00f4ng qua t\u00e1c d\u1ee5ng c\u1ee7a epinephrine l\u00ean th\u1ee5 th\u1ec3 \u03b22 tr\u00ean c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n, c\u00f2n h\u1ec7 ph\u00f3 giao c\u1ea3m th\u00ec t\u00e1c \u0111\u1ed9ng qua t\u00e1c d\u1ee5ng c\u1ee7a acetylcholine \u0111\u01b0\u1ee3c ti\u1ebft ra t\u1eeb c\u00e1c nh\u00e1nh \u0111i t\u1eeb d\u00e2y X v\u00e0o ph\u1ed5i .<\/p>\n

2. \u0110\u1ecbnh ngh\u0129a<\/h2>\n

Khi \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong l\u1ed3ng ng\u1ef1c b\u1ecb h\u1eb9p s\u1ebd t\u1ea1o ra ti\u1ebfng th\u1edf c\u00f3 \u00e2m s\u1eafc nh\u1ea1c li\u00ean t\u1ee5c, g\u1ecdi l\u00e0 kh\u00f2 kh\u00e8. Kh\u00f2 kh\u00e8 ch\u1ee7 y\u1ebfu nghe trong th\u00ec th\u1edf ra, \u0111\u00f4i khi nghe trong c\u1ea3 hai th\u00ec h\u00f4 h\u1ea5p n\u1ebfu t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trung t\u00e2m ho\u1eb7c t\u1eafc ngh\u1ebdn n\u1eb7ng \u0111\u01b0\u1eddng d\u1eabn kh\u00ed ngo\u1ea1i bi\u00ean. \u00c2m s\u1eafc c\u1ee7a kh\u00f2 kh\u00e8 thay \u0111\u1ed5i t\u00f9y theo v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1eafc ngh\u1ebdn. Kh\u00f2 kh\u00e8 \u0111\u01a1n \u00e2m th\u01b0\u1eddng do t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trung t\u00e2m ho\u1eb7c t\u1eafc ngh\u1ebdn \u1edf m\u1ed9t v\u1ecb tr\u00ed, trong khi kh\u00f2 kh\u00e8 \u0111a \u00e2m th\u00ec do t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed ngo\u1ea1i bi\u00ean \u1edf nhi\u1ec1u v\u1ecb tr\u00ed v\u1edbi nhi\u1ec1u m\u1ee9c \u0111\u1ed9 t\u1eafc ngh\u1ebdn kh\u00e1c nhau.<\/p>\n

\"S\u1ef1
S\u1ef1 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong l\u1ed3ng ng\u1ef1c – ngo\u00e0i ph\u1ed5i<\/figcaption><\/figure>\n
\"S\u1ef1
S\u1ef1 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong l\u1ed3ng ng\u1ef1c – trong ph\u1ed5i<\/figcaption><\/figure>\n

A: Trong th\u00ec h\u00edt v\u00e0o , \u00e1p l\u1ef1c \u00e2m trong khoang m\u00e0ng ph\u1ed5i \u00e2m nhi\u1ec1u h\u01a1n \u00e1p l\u1ef1c \u00e2m trong \u0111\u01b0\u1eddng th\u1edf c\u00f3 th\u1ec3 k\u00e9o m\u1edf \u0111\u01b0\u1eddng th\u1edf, gi\u1ea3m t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn<\/p>\n

B: Trong th\u00ec th\u1edf ra, \u00e1p l\u1ef1c d\u01b0\u01a1ng trong khoang m\u00e0ng ph\u1ed5i t\u00e1c \u0111\u1ed9ng g\u00e2y x\u1eb9p \u0111\u01b0\u1eddng th\u1edf, l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn<\/p>\n

Tuy nhi\u00ean, do \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trung t\u00e2m (\u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong l\u1ed3ng ng\u1ef1c \u2013 ngo\u00e0i ph\u1ed5i) \u0111\u01b0\u1ee3c bao quanh b\u1edfi s\u1ee5n c\u1ee9ng n\u00ean \u00edt b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi s\u1ef1 thay \u0111\u1ed5i \u00e1p l\u1ef1c trong khoang m\u00e0ng ph\u1ed5i. V\u00ec v\u1eady, s\u1ef1 ch\u00eanh \u00e1p qua ch\u1ed7 h\u1eb9p l\u00e0m lu\u1ed3ng kh\u00ed h\u00edt v\u00e0o \u2013 th\u1edf ra xo\u00e1y khi ngang qua ch\u1ed7 h\u1eb9p, g\u00e2y rung \u0111\u1ed9ng th\u00e0nh \u0111\u01b0\u1eddng th\u1edf (kh\u00f2 kh\u00e8) c\u1ea3 hai th\u00ec. Ngo\u00e0i ra, do \u0111\u01b0\u1eddng th\u1edf trung t\u00e2m th\u01b0\u1eddng ch\u1ec9 c\u00f3 m\u1ed9t m\u1ee9c \u0111\u1ed9 t\u1eafc ngh\u1ebdn n\u00ean kh\u00f2 kh\u00e8 \u0111\u01a1n \u00e2m. Trong khi \u0111\u00f3, th\u00e0nh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed ngo\u1ea1i bi\u00ean (\u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong l\u1ed3ng ng\u1ef1c \u2013 trong ph\u1ed5i) v\u00f2ng s\u1ee5n r\u1ea5t m\u1ecfng n\u00ean ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u c\u1ee7a \u00e1p l\u1ef1c xuy\u00ean ph\u1ed5i, \u0111\u01b0\u1eddng d\u1eabn kh\u00ed b\u1ecb t\u1eafc ngh\u1ebdn n\u1eb7ng h\u01a1n trong th\u00ec th\u1edf ra, g\u00e2y kh\u00f2 kh\u00e8 ch\u1ee7 y\u1ebfu trong th\u00ec th\u1edf ra. V\u00e0, \u0111\u01b0\u1eddng d\u1eabn kh\u00ed ngo\u1ea1i bi\u00ean ph\u00e2n t\u1ea7ng nh\u1ecf d\u1ea7n v\u1edbi nhi\u1ec1u c\u1ea5p \u0111\u1ed9 n\u00ean s\u1ef1 t\u1eafc ngh\u1ebdn c\u0169ng c\u00f3 nhi\u1ec1u m\u1ee9c \u0111\u1ed9, g\u00e2y kh\u00f2 kh\u00e8 \u0111a \u00e2m.<\/p>\n

3. Nguy\u00ean nh\u00e2n<\/h2>\n

3.1. Kh\u00f2 kh\u00e8 c\u1ea5p t\u00ednh<\/h3>\n
    \n
  • Hen<\/li>\n
  • Vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n<\/li>\n
  • Vi\u00eam ph\u1ebf qu\u1ea3n<\/li>\n
  • Vi\u00eam thanh kh\u00ed qu\u1ea3n<\/li>\n
  • Vi\u00eam kh\u00ed qu\u1ea3n do vi tr\u00f9ng<\/li>\n
  • D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf c\u1ea5p.<\/li>\n<\/ul>\n

    3.2. Kh\u00f2 kh\u00e8 m\u1ea1n t\u00ednh hay kh\u00f2 kh\u00e8 t\u00e1i ph\u00e1t<\/h3>\n

    3.2.1. B\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac<\/h4>\n
      \n
    • M\u1ec1m s\u1ee5n kh\u00ed qu\u1ea3n<\/li>\n
    • V\u00f2ng m\u1ea1ch m\u00e1u ch\u00e8n \u00e9p<\/li>\n
    • H\u1eb9p kh\u00ed qu\u1ea3n\/m\u00e0ng ng\u0103n kh\u00ed qu\u1ea3n<\/li>\n
    • Nang, kh\u1ed1i u, h\u1ea1ch trung th\u1ea5t ch\u00e8n \u00e9p<\/li>\n
    • Tim to ch\u00e8n \u00e9p.<\/li>\n<\/ul>\n

      3.2.2. B\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng<\/h4>\n
        \n
      • Hen<\/li>\n
      • Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n<\/li>\n
      • H\u00edt s\u1eb7c t\u00e1i ph\u00e1t<\/li>\n
      • Suy gi\u1ea3m mi\u1ec5n d\u1ecbch<\/li>\n
      • B\u1ea5t ho\u1ea1t l\u00f4ng chuy\u1ec3n<\/li>\n
      • Lo\u1ea1n s\u1ea3n ph\u1ebf qu\u1ea3n ph\u1ed5i<\/li>\n
      • D\u1ecb v\u1eadt ph\u1ebf qu\u1ea3n b\u1ecf qu\u00ean<\/li>\n
      • B\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd.<\/li>\n<\/ul>\n

        4. Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n kh\u00f2 kh\u00e8<\/h2>\n

        4.1. B\u1ec7nh s\u1eed v\u00e0 ti\u1ec1n c\u0103n<\/h3>\n
          \n
        • X\u00e1c \u0111\u1ecbnh tr\u1ebb kh\u00f2 kh\u00e8 th\u1ef1c s\u1ef1<\/li>\n
        • Tu\u1ed5i kh\u1edfi ph\u00e1t (b\u1ea9m sinh hay m\u1eafc ph\u1ea3i)<\/li>\n
        • C\u00e1ch kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t\/c\u1ea5p t\u00ednh (d\u1ecb v\u1eadt, h\u00edt s\u1eb7c, c\u01a1n hen, nhi\u1ec5m tr\u00f9ng) ho\u1eb7c ti\u1ebfn tri\u1ec3n m\u1ea1n t\u00ednh\/t\u00e1i ph\u00e1t (d\u1ecb t\u1eadt, u\/h\u1ea1ch ch\u00e8n \u00e9p, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, hen,…)<\/li>\n
        • Y\u1ebfu t\u1ed1 t\u0103ng, gi\u1ea3m kh\u00f2 kh\u00e8: kh\u00f2 kh\u00e8 thay \u0111\u1ed5i theo t\u01b0 th\u1ebf (m\u1ec1m s\u1ee5n kh\u00ed ph\u1ebf qu\u1ea3n, v\u00f2ng m\u1ea1ch, tuy\u1ebfn \u1ee9c to), kh\u00f2 kh\u00e8 t\u0103ng trong\/sau b\u00fa (r\u00f2 kh\u00ed qu\u1ea3n \u2013 th\u1ef1c qu\u1ea3n, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n)<\/li>\n
        • Tri\u1ec7u ch\u1ee9ng kh\u00e1c \u0111i k\u00e8m: s\u1ed1t, ho, \u0111au ng\u1ef1c, t\u00edm t\u00e1i,…<\/li>\n
        • Ti\u1ec1n c\u0103n ch\u1eadm t\u0103ng c\u00e2n (tim b\u1ea9m sinh, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n), nhi\u1ec5m tr\u00f9ng t\u00e1i \u0111i t\u00e1i l\u1ea1i (suy gi\u1ea3m mi\u1ec5n d\u1ecbch), c\u01a1 \u0111\u1ecb d\u1ecb \u1ee9ng (hen),…<\/li>\n<\/ul>\n

          4.2. Kh\u00e1m<\/h3>\n
            \n
          • Sinh hi\u1ec7u<\/li>\n
          • \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng<\/li>\n
          • Da ni\u00eam: t\u00edm, d\u00f9i tr\u1ed1ng, ch\u00e0m da, h\u1ea1ch ngo\u1ea1i vi<\/li>\n
          • Nghe tim, ph\u1ed5i: ran ng\u00e1y, r\u00edt, gi\u1ea3m ph\u1ebf \u00e2m, th\u00f4ng kh\u00ed gi\u1ea3m th\u00ec th\u1edf ra, ti\u1ebfng tim b\u1ea5t th\u01b0\u1eddng<\/li>\n
          • Gan to, \u1ee9 kh\u00ed ph\u1ed5i, suy tim sung huy\u1ebft, b\u1ec7nh l\u00fd \u00e1c t\u00ednh.<\/li>\n<\/ul>\n

            4.3. C\u1eadn l\u00e2m s\u00e0ng<\/h3>\n
              \n
            • X-quang ng\u1ef1c ch\u1ec9 \u0111\u1ecbnh khi: kh\u00f2 kh\u00e8 l\u1ea7n \u0111\u1ea7u ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n ho\u1eb7c kh\u00f2 kh\u00e8 m\u1ea1n t\u00ednh kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb<\/li>\n
            • CT-scan ng\u1ef1c: khi nghi ng\u1edd d\u1ecb t\u1eadt \u0111\u01b0\u1eddng th\u1edf b\u1ea9m sinh<\/li>\n
            • N\u1ed9i soi \u0111\u01b0\u1eddng th\u1edf: khi nghi ng\u1edd d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf<\/li>\n
            • \u0110\u1ecbnh l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3, \u0111\u1ecbnh l\u01b0\u1ee3ng qu\u1ea7n th\u1ec3 t\u1ebf b\u00e0o lympho, test nhanh HIV khi nghi ng\u1edd suy gi\u1ea3m mi\u1ec5n d\u1ecbch<\/li>\n
            • Si\u00eau \u00e2m b\u1ee5ng l\u00fac no: khi nghi ng\u1edd tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n.<\/li>\n<\/ul>\n

              5. X\u1eed tr\u00ed<\/h2>\n

              – X\u1eed tr\u00ed c\u1ea5p c\u1ee9u (n\u1ebfu c\u1ea7n)
              \n– H\u1ecfi b\u1ec7nh s\u1eed, ti\u1ec1n c\u0103n v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng
              \n– Ch\u1ec9 \u0111\u1ecbnh test d\u00e3n ph\u1ebf qu\u1ea3n
              \n– Tr\u1ebb kh\u00f2 kh\u00e8 c\u1ea7n nh\u1eadp vi\u1ec7n khi:<\/p>\n

                \n
              • C\u00f3 d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p<\/li>\n
              • Kh\u00f2 kh\u00e8 kh\u1edfi ph\u00e1t c\u1ea5p t\u00ednh \u0111\u1ed9t ng\u1ed9t nghi d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf<\/li>\n
              • Kh\u00f2 kh\u00e8 t\u00e1i \u0111i t\u00e1i l\u1ea1i hay kh\u00f2 kh\u00e8 m\u1ea1n t\u00ednh c\u1ea7n t\u00ecm nguy\u00ean nh\u00e2n<\/li>\n
              • Kh\u00f2 kh\u00e8 x\u1ea3y ra \u1edf tr\u1ebb < 3 th\u00e1ng.<\/li>\n<\/ul>\n
                \"L\u01b0u
                L\u01b0u \u0111\u1ed3 ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n kh\u00f2 kh\u00e8<\/figcaption><\/figure>\n

                API: Asthama Predictive Index,\u00a0GPQ: Gi\u00e3n ph\u1ebf qu\u1ea3n, HC: H\u1ed9i ch\u1ee9ng<\/p>\n

                Ch\u00fa th\u00edch: n\u00ean l\u00e0m test GPQ \u1edf tr\u1ebb \u2265 6 th\u00e1ng tu\u1ed5i. Test GPQ phun kh\u00ed dung salbutamol 0,15 mg\/kg ( t\u1ed1i thi\u1ec3u 2,5 mg, t\u1ed1i \u0111a 5 mg \u00d7 3 l\u1ea7n c\u00e1ch nhau 30 ph\u00fat \u2192\u00a0\u0111\u00e1nh gi\u00e1 l\u1ea1i )<\/p>\n

                Ngu\u1ed3n: Gi\u00e1o tr\u00ecnh nhi khoa tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c H\u1ed3 Ch\u00ed Minh<\/p>\n","protected":false},"excerpt":{"rendered":"

                Khi \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong l\u1ed3ng ng\u1ef1c b\u1ecb h\u1eb9p s\u1ebd t\u1ea1o ra ti\u1ebfng th\u1edf c\u00f3 \u00e2m s\u1eafc nh\u1ea1c li\u00ean t\u1ee5c, g\u1ecdi l\u00e0 kh\u00f2 kh\u00e8. Kh\u00f2 kh\u00e8 ch\u1ee7 y\u1ebfu nghe trong th\u00ec th\u1edf ra, \u0111\u00f4i khi nghe trong c\u1ea3 hai th\u00ec h\u00f4 h\u1ea5p n\u1ebfu t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trung t\u00e2m ho\u1eb7c t\u1eafc ngh\u1ebdn n\u1eb7ng \u0111\u01b0\u1eddng […]<\/p>\n","protected":false},"author":39,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1,15,33],"tags":[],"yoast_head":"\nTi\u1ebfp c\u1eadn kh\u00f2 kh\u00e8 \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Khi \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong l\u1ed3ng ng\u1ef1c b\u1ecb h\u1eb9p s\u1ebd t\u1ea1o ra ti\u1ebfng th\u1edf c\u00f3 \u00e2m s\u1eafc nh\u1ea1c li\u00ean t\u1ee5c, g\u1ecdi l\u00e0 kh\u00f2 kh\u00e8. 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