{"id":27992,"date":"2023-04-27T20:11:47","date_gmt":"2023-04-27T13:11:47","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27992"},"modified":"2023-04-27T20:11:47","modified_gmt":"2023-04-27T13:11:47","slug":"dac-diem-can-lam-sang-u-than-kinh-dem","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/dac-diem-can-lam-sang-u-than-kinh-dem\/","title":{"rendered":"\u0110\u1eb7c \u0111i\u1ec3m c\u1eadn l\u00e2m s\u00e0ng u th\u1ea7n kinh \u0111\u1ec7m"},"content":{"rendered":"

U th\u1ea7n kinh \u0111\u1ec7m<\/a> l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh ph\u1ee9c t\u1ea1p v\u00e0 \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Vi\u1ec7c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1i \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u0103n b\u1ec7nh n\u00e0y l\u00e0 r\u1ea5t quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm. Trong b\u00e0i vi\u1ebft n\u00e0y, h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 \u0111\u1eb7c \u0111i\u1ec3m c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a c\u00e1c d\u1ea1ng u th\u1ea7n kinh \u0111\u1ec7m.<\/p>\n

\"dac-diem-can-lam-sang-u-than-kinh-dem\"
H\u00ecnh \u1ea3nh minh h\u1ecda u th\u1ea7n kinh \u0111\u1ec7m<\/figcaption><\/figure>\n

1. U sao b\u00e0o l\u00f4ng (Astrocytome pilocytique)<\/strong><\/h2>\n

\u0110\u1eb7c \u0111i\u1ec3m chung:<\/strong> U th\u01b0\u1eddng d\u1ea1ng nang, ph\u1ea7n \u0111\u1eb7c n\u1eb1m \u1edf v\u00e1ch u t\u0103ng t\u00edn hi\u1ec7u, lo\u1ea1i u n\u00e0y chi\u1ebfm 2-5% trong s\u1ed1 c\u00e1c u th\u1ea7n kinh \u0111\u1ec7m. V\u1ecb tr\u00ed u hay g\u1eb7p l\u1ea7n l\u01b0\u1ee3t theo th\u1ee9 t\u1ef1: ti\u1ec3u n\u00e3o (60%), d\u00e2y th\u1ea7n kinh s\u1ecd s\u1ed1 II v\u00e0 giao thoa th\u1ecb gi\u00e1c (25-30%), c\u00f2n l\u1ea1i l\u00e0 n\u00e3o th\u1ea5t III v\u00e0 th\u00e2n n\u00e3o (10-15%).<\/p>\n

H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh<\/strong><\/p>\n

    \n
  • Tr\u01b0\u1edbc ti\u00eam: U th\u01b0\u1eddng d\u1ea1ng nang, \u0111\u1ed3ng ho\u1eb7c t\u0103ng nh\u1eb9 t\u1ef7 tr\u1ecdng so v\u1edbi d\u1ecbch n\u00e3o t\u1ee7y, 20% v\u00f4i h\u00f3a, c\u00f3 th\u1ec3 ph\u00f9 n\u00e3o, hi\u1ebfm khi c\u00f3 ch\u1ea3y m\u00e1u trong u. U d\u1ea1ng \u0111\u1eb7c \u00edt g\u1eb7p (gi\u1ea3m t\u1ef7 tr\u1ecdng, s\u1ed1 \u00edt \u0111\u1ed3ng t\u1ef7 tr\u1ecdng so v\u1edbi t\u1ed5 ch\u1ee9c quanh u)<\/li>\n
  • Sau ti\u00eam: V\u1edbi u d\u1ea1ng nang: 50% kh\u00f4ng t\u0103ng t\u1ef7 tr\u1ecdng ph\u1ea7n d\u1ecbch, th\u01b0\u1eddng kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, 40% c\u00f3 ho\u1ea1i t\u1eed trung t\u00e2m u. V\u1edbi u \u0111\u1eb7c: 95% t\u0103ng t\u1ef7 tr\u1ecdng \u1edf ph\u1ea7n nh\u00e2n \u0111\u1eb7c, 10% \u0111\u1ed3ng nh\u1ea5t.<\/li>\n<\/ul>\n

    H\u00ecnh \u1ea3nh ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb:<\/strong><\/p>\n

      \n
    • T1, T2<\/em><\/strong>\n
        \n
      • Tr\u01b0\u1edbc ti\u00eam: U \u1edf d\u1ea1ng nang: gi\u1ea3m ho\u1eb7c \u0111\u1ed3ng t\u00edn hi\u1ec7u so v\u1edbi d\u1ecbch n\u00e3o t\u1ee7y tr\u00ean T1 v\u00e0 t\u0103ng t\u00edn hi\u1ec7u tr\u00ean T2. Ph\u1ea7n nh\u00e2n \u0111\u1eb7c tr\u00ean v\u1ecf nang ho\u1eb7c u \u0111\u1eb7c gi\u1ea3m ho\u1eb7c \u0111\u1ed3ng t\u00edn hi\u1ec7u so v\u1edbi ch\u1ea5t x\u00e1m tr\u00ean T1, t\u0103ng t\u00edn hi\u1ec7u m\u1ea1nh so v\u1edbi ch\u1ea5t x\u00e1m tr\u00ean T2.<\/li>\n
      • Sau ti\u00eam: Ph\u1ea7n \u0111\u1eb7c t\u0103ng t\u00edn hi\u1ec7u kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, th\u00e0nh nang \u0111\u00f4i khi c\u00f3 t\u0103ng t\u00edn hi\u1ec7u.<\/li>\n<\/ul>\n<\/li>\n
      • MRS:<\/em><\/strong> Cho\/NAA: 1,5-2,2; Cho\/Cr: 1,5-2,5; NAA\/Cr: 2,5-1,5<\/li>\n<\/ul>\n

        Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n

          \n
        • U nguy\u00ean b\u00e0o tu\u1ef7 (Medulloblastoma):<\/em><\/strong> h\u00ecnh \u1ea3nh t\u0103ng t\u00edn hi\u1ec7u \u1edf gi\u1eefa u, u th\u01b0\u1eddng ph\u00e1t tri\u1ec3n chi\u1ebfm h\u1ebft n\u00e3o th\u1ea5t IV.<\/li>\n
        • U nguy\u00ean b\u00e0o m\u1ea1ch (Hemangioblastoma):<\/em><\/strong> th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, u c\u00f3 d\u1ea1ng nang, c\u00f3 nh\u00e2n nh\u1ecf t\u0103ng t\u00edn hi\u1ec7u \u1edf v\u00e1ch u.<\/li>\n<\/ul>\n

          2. U t\u1ebf b\u00e0o h\u00ecnh sao lan t\u1ecfa (Astrocytome Diffuse, \u0111\u1ed9 II)<\/strong><\/h2>\n

          \u0110\u1eb7c \u0111i\u1ec3m chung:<\/strong> U t\u1ebf b\u00e0o h\u00ecnh sao lan to\u1ea3 l\u00e0 lo\u1ea1i u hay g\u1eb7p c\u1ee7a nh\u00f3m u sao b\u00e0o chi\u1ebfm 25-30% u th\u1ea7n kinh \u0111\u1ec7m \u1edf ng\u01b0\u1eddi l\u1edbn, 10-15% c\u1ee7a c\u00e1c u sao b\u00e0o n\u00f3i chung. U g\u1eb7p ch\u1ee7 y\u1ebfu \u1edf b\u00e1n c\u1ea7u \u0111\u1ea1i n\u00e3o (2\/3 u n\u1eb1m tr\u00ean l\u1ec1u ti\u1ec3u n\u00e3o); trong \u0111\u00f3 1\/3 \u1edf th\u00f9y tr\u00e1n, 1\/3 th\u00f9y th\u00e1i d\u01b0\u01a1ng, ngo\u00e0i ra c\u00f2n g\u1eb7p \u1edf th\u00f9y \u0111\u1ec9nh v\u00e0 th\u00f9y ch\u1ea9m. C\u00f2n 1\/3 u n\u1eb1m d\u01b0\u1edbi l\u1ec1u ti\u1ec3u n\u00e3o v\u00e0 th\u00e2n n\u00e3o (50% u th\u1ea7n kinh \u0111\u1ec7m \u1edf th\u00e2n n\u00e3o l\u00e0 u sao b\u00e0o \u0111\u1ed9 \u00e1c t\u00ednh th\u1ea5p). Tu\u1ed5i th\u01b0\u1eddng g\u1eb7p t\u1eeb 20-45 tu\u1ed5i. U c\u00f3 xu h\u01b0\u1edbng ti\u1ebfn tri\u1ec3n th\u00e0nh u sao b\u00e0o k\u00e9m bi\u1ec7t ho\u00e1.<\/p>\n

          \u0110\u1eb7c \u0111i\u1ec3m u sao b\u00e0o lan t\u1ecfa tr\u00ean phim CT scan v\u00e0 MRI<\/strong><\/p>\n

          H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh<\/strong><\/p>\n

            \n
          • Tr\u01b0\u1edbc ti\u00eam: Kh\u1ed1i u \u0111\u1ed3ng nh\u1ea5t, gi\u1ea3m ho\u1eb7c \u0111\u1ed3ng t\u1ef7 tr\u1ecdng so v\u1edbi ch\u1ea5t tr\u1eafng, 20% v\u00f4i h\u00f3a, \u00edt khi l\u00e0 u nang.<\/li>\n
          • Sau ti\u00eam: Kh\u1ed1i u kh\u00f4ng t\u0103ng t\u1ef7 tr\u1ecdng ho\u1eb7c t\u0103ng nh\u1eb9. N\u1ebfu u c\u00f3 h\u00ecnh \u1ea3nh t\u0103ng t\u1ef7 tr\u1ecdng th\u01b0\u1eddng l\u00e0 ti\u1ebfn tri\u1ec3n th\u00e0nh \u0111\u1ed9 3 (\u00e1c t\u00ednh).<\/li>\n<\/ul>\n

            H\u00ecnh \u1ea3nh ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb:<\/strong><\/p>\n

              \n
            • T1: <\/em><\/strong>\n
                \n
              • Tr\u01b0\u1edbc ti\u00eam: Kh\u1ed1i u \u0111\u1ed3ng nh\u1ea5t, gi\u1ea3m t\u00edn hi\u1ec7u, c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ranh gi\u1edbi tr\u00ean T1.<\/li>\n
              • Sau ti\u00eam: Th\u01b0\u1eddng kh\u00f4ng t\u0103ng t\u00edn hi\u1ec7u, n\u1ebfu c\u00f3 t\u0103ng th\u00ec g\u1ee3i \u00fd b\u1ec7nh ti\u1ebfn tri\u1ec3n l\u00ean \u0111\u1ed9 cao h\u01a1n.<\/li>\n<\/ul>\n<\/li>\n
              • T2:<\/em><\/strong> Kh\u1ed1i t\u0103ng t\u00edn hi\u1ec7u \u0111\u1ed3ng nh\u1ea5t, c\u00f3 th\u1ec3 c\u00f3 vi\u1ec1n nh\u01b0ng th\u01b0\u1eddng l\u00e0 th\u00e2m nhi\u1ec5m v\u00e0o v\u00f9ng n\u00e3o xung quanh, nang v\u00e0 v\u00f4i h\u00f3a th\u01b0\u1eddng kh\u00f4ng ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 lan t\u1ecfa v\u00e0o v\u1ecf n\u00e3o xung quanh.<\/li>\n
              • DW1:<\/em><\/strong> Th\u01b0\u1eddng kh\u00f4ng th\u1ea5y c\u1ea3n tr\u1edf t\u00edn hi\u1ec7u<\/li>\n
              • MRS:<\/em><\/strong> Cho\/NAA: 1,5-2,2; Cho\/Cr: 1,5-2,5; NAA\/Cr: 2,5-1,5<\/li>\n<\/ul>\n

                Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n

                  \n
                • U t\u1ebf b\u00e0o sao gi\u1ea3m bi\u1ec7t ho\u00e1 (Anaplastic Astrocytoma):<\/em><\/strong> u th\u01b0\u1eddng khu tr\u00fa ho\u1eb7c x\u00e2m l\u1ea5n kh\u00f4ng t\u0103ng t\u00edn hi\u1ec7u. Khi c\u00f3 ti\u00eam thu\u1ed1c c\u1ea3n quang u t\u0103ng t\u00edn hi\u1ec7u r\u00f5.<\/li>\n
                • Nh\u1ed3i m\u00e1u n\u00e3o (Ischemia):<\/em><\/strong> b\u1ec7nh xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t, c\u1ea5p t\u00ednh. V\u00f9ng t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng c\u00f3 h\u00ecnh ch\u00eam, g\u1ed3m c\u1ea3 ch\u1ea5t x\u00e1m v\u00e0 ch\u1ea5t tr\u1eafng.<\/li>\n
                • Vi\u00eam n\u00e3o (Cerebritis): <\/em><\/strong>ph\u00f9 n\u00e3o nhi\u1ec1u, t\u0103ng t\u00edn hi\u1ec7u loang l\u1ed5. Th\u01b0\u1eddng kh\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh x\u00e2m l\u1ea5n. To\u00e0n th\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh<\/li>\n<\/ul>\n

                  3. U t\u1ebf b\u00e0o th\u1ea7n kinh \u0111\u1ec7m \u00edt nh\u00e1nh (Oligodendroglioma)<\/strong><\/h2>\n

                  H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh <\/strong><\/p>\n

                    \n
                  • Tr\u01b0\u1edbc ti\u00eam: M\u1eadt \u0111\u1ed9 h\u1ed7n h\u1ee3p, gi\u1ea3m ho\u1eb7c \u0111\u1ed3ng t\u1ef7 tr\u1ecdng. 70-90% c\u00f3 v\u00f4i h\u00f3a. 20% c\u00f3 tho\u00e1i h\u00f3a d\u1ea1ng nang. Hi\u1ebfm khi c\u00f3 ph\u00f9 n\u00e3o v\u00e0 ch\u1ea3y m\u00e1u trong u<\/li>\n
                  • Sau ti\u00eam: 50% ng\u1ea5m thu\u1ed1c sau ti\u00eam v\u00e0 m\u1ee9c \u0111\u1ed9 ng\u1ea5m thu\u1ed1c thay \u0111\u1ed5i<\/li>\n<\/ul>\n

                    H\u00ecnh \u1ea3nh ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb:<\/strong><\/p>\n

                      \n
                    • T1: Kh\u1ed1i u kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, gi\u1ea3m ho\u1eb7c \u0111\u1ed3ng t\u00edn hi\u1ec7u so v\u1edbi ch\u1ea5t x\u00e1m, hi\u1ebfm khi c\u00f3 ph\u00f9 n\u00e3o.<\/li>\n
                    • T2: Kh\u1ed1i kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, t\u0103ng t\u00edn hi\u1ec7u, \u00edt khi xu\u1ea5t hi\u1ec7n ph\u00f9 n\u00e3o. Xu\u1ea5t huy\u1ebft v\u00e0 ho\u1ea1i t\u1eed hi\u1ebfm th\u1ea5y tr\u1eeb khi kh\u1ed1i u k\u00e9m bi\u1ec7t h\u00f3a<\/li>\n
                    • Flair: Kh\u1ed1i u kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, t\u0103ng t\u00edn hi\u1ec7u.<\/li>\n
                    • MRS: T\u0103ng chuy\u1ec3n h\u00f3a Cho, Gi\u1ea3m chuy\u1ec3n h\u00f3a NAA.<\/li>\n<\/ul>\n

                      Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/strong> u lao, gangliocytoma<\/p>\n

                      4. U th\u1ea7n kinh \u0111\u1ec7m d\u01b0\u1edbi \u1ed1ng n\u1ed9i t\u1ee7y (Subependymoma)<\/strong><\/h2>\n

                      H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh<\/strong><\/p>\n

                        \n
                      • Tr\u01b0\u1edbc ti\u00eam: Kh\u1ed1i u \u0111\u1ed3ng nh\u1ea5t ho\u1eb7c gi\u1ea3m t\u1ef7 tr\u1ecdng, c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c nang ho\u1eb7c v\u00f4i h\u00f3a khi kh\u1ed1i u l\u1edbn, hi\u1ebfm khi ch\u1ea3y m\u00e1u<\/li>\n
                      • Sau ti\u00eam: \u0110i\u1ec3n h\u00ecnh l\u00e0 c\u00e1c kh\u1ed1i kh\u00f4ng ng\u1ea5m ho\u1eb7c ng\u1ea5m thu\u1ed1c \u00edt. M\u1ed9t s\u1ed1 kh\u1ed1i u l\u1edbn c\u00f3 th\u1ec3 th\u1ea5y ng\u1ea5m thu\u1ed1c kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t.<\/li>\n<\/ul>\n

                        H\u00ccnh \u1ea3nh ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb<\/strong><\/p>\n

                          \n
                        • T1: Kh\u1ed1i u \u0111\u1eb7c \u0111\u1ed3ng nh\u1ea5t, gi\u1ea3m ho\u1eb7c \u0111\u1ed3ng t\u00edn hi\u1ec7u so v\u1edbi ch\u1ea5t tr\u1eafng. Kh\u1ed1i u k\u00edch th\u01b0\u1edbc l\u1edbn c\u00f3 th\u1ec3 th\u1ea5y kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t.<\/li>\n
                        • T2: T\u0103ng t\u00edn hi\u1ec7u. Kh\u1ed1i u l\u1edbn c\u00f3 th\u1ec3 th\u1ea5y kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t do c\u00f3 c\u00e1c ph\u1ea7n nang c\u1ee7a u, c\u00e1c n\u1ed1t v\u00f4i h\u00f3a hay ch\u1ea3y m\u00e1u c\u0169. Th\u01b0\u1eddng kh\u00f4ng k\u00e8m theo ph\u00f9 n\u00e3o.<\/li>\n
                        • Flair: T\u0103ng t\u00edn hi\u1ec7u, kh\u00f4ng c\u00f3 ph\u00f9 n\u00e3o.<\/li>\n<\/ul>\n

                          Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/strong> u lao, t\u1ed5n th\u01b0\u01a1ng th\u1ee9 ph\u00e1t, u m\u00e1u th\u1ec3 hang.<\/p>\n

                          5. U bi\u1ec3u m\u00f4 \u1ed1ng n\u1ed9i t\u1ee7y (Ependymoma)<\/strong><\/h2>\n

                          H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh<\/strong><\/p>\n

                            \n
                          • Tr\u01b0\u1edbc ti\u00eam: Kh\u1ed1i l\u1edbn kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t th\u01b0\u1eddng th\u1ea5y v\u00f4i h\u00f3a (50%)<\/li>\n
                          • Sau ti\u00eam: Ng\u1ea5m thu\u1ed1c kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t<\/li>\n<\/ul>\n

                            H\u00ecnh \u1ea3nh ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb:<\/strong><\/p>\n

                              \n
                            • T1: Kh\u1ed1i u kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, gi\u1ea3m ho\u1eb7c \u0111\u1ed3ng t\u00edn hi\u1ec7u, d\u1ea1ng nang th\u01b0\u1eddng t\u0103ng t\u00edn hi\u1ec7u nh\u1eb9 so v\u1edbi d\u1ecbch n\u00e3o t\u1ee7y; c\u00e1c n\u1ed1t v\u00f4i h\u00f3a hay ch\u1ea3y m\u00e1u t\u0103ng t\u00edn hi\u1ec7u<\/li>\n
                            • T2: Kh\u1ed1i kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, \u0111\u1ed3ng ho\u1eb7c t\u0103ng t\u00edn hi\u1ec7u. C\u00e1c n\u1ed1t d\u1ea1ng nang t\u0103ng t\u00edn hi\u1ec7u. C\u00e1c n\u1ed1t v\u00f4i h\u00f3a hay ch\u1ea3y m\u00e1u gi\u1ea3m t\u00edn hi\u1ec7u<\/li>\n
                            • Flair: C\u00f3 th\u1ec3 c\u00f3 ranh gi\u1edbi r\u00f5 gi\u1eefa kh\u1ed1i u v\u1edbi d\u1ecbch n\u00e3o t\u1ee7y. C\u00e1c ph\u1ea7n d\u1ea1ng nang t\u0103ng t\u00edn hi\u1ec7u r\u1ea5t m\u1ea1nh so v\u1edbi d\u1ecbch n\u00e3o t\u1ee7y.<\/li>\n
                            • MRS: T\u0103ng chuy\u1ec3n h\u00f3a Cho, gi\u1ea3m chuy\u1ec3n h\u00f3a NAA<\/li>\n<\/ul>\n

                              Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/strong> u nguy\u00ean t\u1ee7y b\u00e0o (Meduloblastoma)<\/p>\n

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

                              U th\u1ea7n kinh \u0111\u1ec7m l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh ph\u1ee9c t\u1ea1p v\u00e0 \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Vi\u1ec7c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1i \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u0103n b\u1ec7nh n\u00e0y l\u00e0 r\u1ea5t quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm. Trong b\u00e0i vi\u1ebft n\u00e0y, h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u […]<\/p>\n","protected":false},"author":61,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[],"yoast_head":"\n\u0110\u1eb7c \u0111i\u1ec3m c\u1eadn l\u00e2m s\u00e0ng u th\u1ea7n kinh \u0111\u1ec7m - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c \u0111\u1eb7c \u0111i\u1ec3m c\u1eadn l\u00e2m s\u00e0ng u th\u1ea7n kinh \u0111\u1ec7m l\u00e0 r\u1ea5t quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.\" \/>\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=\"\u0110\u1eb7c \u0111i\u1ec3m c\u1eadn l\u00e2m s\u00e0ng u th\u1ea7n kinh \u0111\u1ec7m - 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