{"id":28102,"date":"2023-04-24T22:08:31","date_gmt":"2023-04-24T15:08:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28102"},"modified":"2023-04-24T22:08:31","modified_gmt":"2023-04-24T15:08:31","slug":"ho-van-hai-la-trong-sieu-am-tim-qua-thuc-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/ho-van-hai-la-trong-sieu-am-tim-qua-thuc-quan\/","title":{"rendered":"H\u1edf van hai l\u00e1 trong si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n"},"content":{"rendered":"<p><a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/benh-ho-van-tim-hai-la-co-nguy-hiem-khong\/\"><strong>H<\/strong><strong>\u1edf van hai l\u00e1 <\/strong><\/a>c\u1ea5p\u00a0lu\u00f4n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng n\u1eb7ng n\u1ec1. Kh\u00e1m l\u00e2m s\u00e0ng \u1edf m\u1ecfm tim th\u01b0\u1eddng d\u1ec5 b\u1ecf s\u00f3t, do th\u1ea5t tr\u00e1i v\u1edbi k\u00edch th\u01b0\u1edbc b\u00ecnh th\u01b0\u1eddng kh\u00f4ng h\u1ec1 g\u00e2y m\u1ecfm tim \u0111\u1eadp t\u0103ng \u0111\u1ed9ng. Ti\u1ebfng th\u1ed5i t\u00e2m thu do h\u1edf van hai l\u00e1 c\u1ea5p t\u00ednh nhi\u1ec1u khi kh\u00f4ng k\u00e9o d\u00e0i h\u1ebft th\u00ec t\u00e2m thu th\u1eadm ch\u00ed c\u00f3 l\u00fac kh\u00f4ng nghe th\u1ea5y. Si\u00eau \u00e2m tim qua th\u00e0nh ng\u1ef1c gi\u00fap ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 h\u1edf van hai l\u00e1, c\u01a1 ch\u1ebf h\u1edf van, \u0111a\u0301nh gia\u0301 ch\u01b0\u0301c na\u0306ng th\u1ea5t tr\u00e1i, ch\u01b0\u0301c na\u0306ng th\u1ea5t ph\u1ea3i v\u00e0 a\u0301p l\u01b0\u0323c \u0111\u1ecd\u0302ng ma\u0323ch ph\u00f4\u0309i\u2026.<\/p>\n<h2>1.Si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n trong h\u1edf van 2 l\u00e1<\/h2>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 h\u00ecnh th\u00e1i van hai l\u00e1 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u01a1 ch\u1ebf h\u1edf<\/li>\n<li>D\u00e2y ch\u1eb1ng d\u00e0i ho\u1eb7c \u0111\u1ee9t d\u00e2y ch\u1eb1ng. Co r\u00fat d\u00e2y ch\u1eb1ng.<\/li>\n<li>Sa ho\u1eb7c co r\u00fat c\u00e1c l\u00e1 van. B\u1ed9 m\u00e1y d\u01b0\u1edbi van.<\/li>\n<li>\u0110\u01b0\u1eddng k\u00ednh v\u00f2ng van, m\u1ee9c \u0111\u1ed9 v\u00f4i h\u00f3a.<\/li>\n<li>K\u00edch th\u01b0\u1edbc th\u1ea5t tr\u00e1i v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng v\u00f9ng.<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-28105 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Preoperative-transesophageal-echocardiography-images-showing-mitral-valve-and-a-color-300x218.png\" alt=\"Si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n h\u1edf van hai l\u00e1\" width=\"300\" height=\"218\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Preoperative-transesophageal-echocardiography-images-showing-mitral-valve-and-a-color-300x218.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Preoperative-transesophageal-echocardiography-images-showing-mitral-valve-and-a-color-768x559.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Preoperative-transesophageal-echocardiography-images-showing-mitral-valve-and-a-color.png 850w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n h\u1edf van hai l\u00e1<\/strong><\/p>\n<h3>1.1 C\u00e1c m\u1eb7t c\u1eaft c\u01a1 b\u1ea3n<\/h3>\n<ul>\n<li>Sa ho\u1eb7c co r\u00fat l\u00e1 van (m\u1eb7t c\u1eaft 4 bu\u1ed3ng gi\u1eefa th\u1ef1c qu\u1ea3n \u1edf g\u00f3c 0\u00b0, m\u1eb7t c\u1eaft qua m\u00e9p van hai l\u00e1 gi\u1eefa th\u1ef1c qu\u1ea3n \u1edf g\u00f3c 45\u00b0, m\u1eb7t c\u1eaft hai bu\u1ed3ng gi\u1eefa th\u1ef1c qu\u1ea3n \u1edf g\u00f3c 90\u00b0, m\u1eb7t c\u1eaft tr\u1ee5c d\u1ecdc gi\u1eefa th\u1ef1c qu\u1ea3n \u1edf g\u00f3c 120\u00b0).<\/li>\n<li>\u0110\u01b0\u1eddng k\u00ednh v\u00f2ng van (m\u1eb7t c\u1eaft tr\u1ee5c d\u1ecdc gi\u1eefa th\u1ef1c qu\u1ea3n \u1edf g\u00f3c 120\u00b0). Sa l\u00e1 van (m\u1eb7t c\u1eaft tr\u1ee5c ng\u1eafn qua ph\u1ea7n \u0111\u00e1y d\u1ea1 d\u00e0y \u1edf g\u00f3c 0\u00b0).<\/li>\n<li>B\u1ed9 m\u00e1y d\u01b0\u1edbi van (m\u1eb7t c\u1eaft hai bu\u1ed3ng qua d\u1ea1 d\u00e0y \u1edf g\u00f3c 90\u00b0).<\/li>\n<\/ul>\n<h3>1.2 C\u00e1ch \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a HoHL b\u1eb1ng si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n<\/h3>\n<ul>\n<li>Chi\u1ec1u d\u00e0i d\u00f2ng ph\u1ee5t ng\u01b0\u1ee3c.<\/li>\n<li>Th\u1eddi gian HoHL: \u0110\u1ea7u t\u00e2m thu hay to\u00e0n t\u00e2m thu tr\u00ean si\u00eau TM m\u00e0u.<\/li>\n<li>H\u01b0\u1edbng d\u00f2ng ph\u1ee5t ng\u01b0\u1ee3c: Trung t\u00e2m hay l\u1ec7ch t\u00e2m v\u1ec1 ph\u00eda th\u00e0nh nh\u0129 tr\u00e1i.<\/li>\n<li>D\u00f2ng ch\u1ea3y t\u0129nh m\u1ea1ch ph\u1ed5i<\/li>\n<\/ul>\n<p>C\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a HoHL n\u1eb7ng:<\/p>\n<ul>\n<li>\u0110\u1ed9 r\u1ed9ng c\u1ee7a d\u00f2ng ph\u1ee5t ng\u01b0\u1ee3c t\u1ea1i g\u1ed1c, \u2265 0,5 cm \u1edf g\u00f3c 120\u00b0, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201c vena contracta \u201d<\/li>\n<li>T\u0103ng th\u1ec3 t\u00edch th\u1ea5t tr\u00e1i<\/li>\n<li>V\u1eadn t\u1ed1c \u0111\u1ec9nh s\u00f3ng E &gt; 1,5 m\/s.<\/li>\n<\/ul>\n<p>\u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 HoHL d\u1ef1a tr\u00ean d\u00f2ng ch\u1ea3y qua t\u0129nh m\u1ea1ch ph\u1ed5i<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"68\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>M\u1ee9c \u0111\u1ed9<\/strong><\/td>\n<td width=\"134\"><strong>Chi\u1ec1u d\u00e0i<\/strong><\/p>\n<p><strong>d\u00f2ng HoHL \/nh\u0129<\/strong><\/p>\n<p><strong>tr\u00e1i<\/strong><\/td>\n<td width=\"144\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Th\u1eddi gian<\/strong><\/td>\n<td width=\"137\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>H\u01b0\u1edbng<\/strong><\/td>\n<td width=\"170\"><strong>\u00a0<\/strong><\/p>\n<p><strong>D\u00f2ng ch\u1ea3y qua t\u0129nh<\/strong><\/p>\n<p><strong>m\u1ea1ch ph\u1ed5i<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"68\"><strong>1<\/strong><\/td>\n<td width=\"134\">1\/3<\/td>\n<td width=\"144\">\u0110\u1ea7u t\u00e2m thu<\/td>\n<td width=\"137\">Trung t\u00e2m<\/td>\n<td width=\"170\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<\/tr>\n<tr>\n<td width=\"68\"><strong>2<\/strong><\/td>\n<td width=\"134\">2\/3<\/td>\n<td width=\"144\">To\u00e0n t\u00e2m thu<\/td>\n<td width=\"137\">Trung t\u00e2m<\/td>\n<td width=\"170\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<\/tr>\n<tr>\n<td width=\"68\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>3<\/strong><\/td>\n<td width=\"134\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>2\/3<\/td>\n<td width=\"144\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>To\u00e0n t\u00e2m thu<\/td>\n<td width=\"137\"><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>L\u1ec7ch t\u00e2m<\/td>\n<td width=\"170\"><strong>\u00a0<\/strong><\/p>\n<p>B\u00ecnh th\u01b0\u1eddng ho\u1eb7c<\/p>\n<p>\u0111\u1ea3o ng\u01b0\u1ee3c<\/td>\n<\/tr>\n<tr>\n<td width=\"68\"><strong>\u00a0<\/strong><\/p>\n<p><strong>4<\/strong><\/td>\n<td width=\"134\"><strong>\u00a0<\/strong><\/p>\n<p>3\/3<\/td>\n<td width=\"144\"><strong>\u00a0<\/strong><\/p>\n<p>To\u00e0n t\u00e2m thu<\/td>\n<td width=\"137\">L\u1ec7ch t\u00e2m ho\u1eb7c trung t\u00e2m<\/td>\n<td width=\"170\"><strong>\u00a0<\/strong><\/p>\n<p>\u0110\u1ea3o ng\u01b0\u1ee3c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>2. Si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n trong sa van hai l\u00e1<\/h2>\n<p>Sa van hai l\u00e1 g\u00e2y ra h\u1edf hai l\u00e1 l\u1ec7ch t\u00e2m, do \u0111\u00f3 sa l\u00e1 sau s\u1ebd t\u1ea1o ra d\u00f2ng ph\u1ee5t h\u01b0\u1edbng v\u1ec1 ph\u00eda tr\u01b0\u1edbc v\u00e0 ng\u01b0\u1ee3c l\u1ea1i. L\u01b0u \u00fd: Khi d\u00f2ng ph\u1ee5t c\u1ee7a h\u1edf hai l\u00e1 lan t\u1edbi th\u00e0nh nh\u0129 tr\u00e1i th\u00ec c\u1ea7n \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1edf hai l\u00e1 t\u0103ng l\u00ean. \u0110\u1ed1i v\u1edbi c\u00e1c t\u0129nh m\u1ea1ch ph\u1ed5i tr\u00e1i v\u00e0 ph\u1ea3i c\u1ea7n d\u00f9ng Doppler xung \u0111\u1ec3 ki\u1ec3m tra xem c\u00f3 \u0111\u1ea3o ng\u01b0\u1ee3c ph\u1ed5 t\u00e2m thu hay kh\u00f4ng.<\/p>\n<h3>2.1 Sa van hai l\u00e1 kinh \u0111i\u1ec3n<\/h3>\n<p>L\u00e1 van hai l\u00e1 di l\u1ec7ch \u00edt nh\u1ea5t <strong>2 mm <\/strong>qu\u00e1 m\u1eb7t ph\u1eb3ng v\u00f2ng van \u1edf b\u1ea5t c\u1ee9 m\u1eb7t c\u1eaft n\u00e0o; Van hai l\u00e1 d\u00e0y <strong>&gt; 5 mm .<\/strong><\/p>\n<h3>2.2 Sa van hai l\u00e1 kh\u00f4ng kinh \u0111i\u1ec3n<\/h3>\n<ul>\n<li>L\u00e1 van sa kh\u00f4ng b\u1ecb d\u00e0y (&lt; 5 mm) v\u00e0 kh\u00f4ng ph\u1ea3i tho\u00e1i h\u00f3a d\u1ea1ng nh\u1ea7y.<\/li>\n<li>Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y kh\u00f4ng b\u1ecb t\u0103ng nguy c\u01a1 x\u1ea3y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0: H\u1edf VHL n\u1eb7ng, vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n v\u00e0 \u0111\u1ed9t t\u1eed khi so v\u1edbi sa VHL kinh \u0111i\u1ec3n.<\/li>\n<\/ul>\n<h2>3. Si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n trong s\u1eeda van hai l\u00e1<\/h2>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 nh\u1eefng v\u00f9ng b\u1ecb sa c\u1ee7a van hai l\u00e1 \u0111\u1ec3 l\u00ean k\u1ebf ho\u1ea1ch ph\u0201u thu\u1eadt. 2\/3 tr\u01b0\u1eddng h\u1ee3p sa van hai l\u00e1 l\u00e0 \u1edf v\u00f9ng gi\u1eefa c\u1ee7a l\u00e1 sau v\u00e0 70% nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 s\u1eeda th\u00e0nh c\u00f4ng.<\/li>\n<li>Ch\u00fa \u00fd t\u00ecnh tr\u1ea1ng \u0111\u1ee9t d\u00e2y ch\u1eb1ng van hai l\u00e1.<\/li>\n<li>\u0110o \u0111\u01b0\u1eddng k\u00ednh v\u00f2ng van hai l\u00e1 (gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng cao: 35 mm ) v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng v\u00f4i h\u00f3a v\u00f2ng van.<\/li>\n<\/ul>\n<h2>4.Si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n \u0111\u00e1nh gi\u00e1 h\u1edf van hai l\u00e1 do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 m\u1ea1n t\u00ednh<\/h2>\n<p>Th\u00f4ng th\u01b0\u1eddng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y van hai l\u00e1 c\u00f3 c\u1ea5u tr\u00fac b\u00ecnh th\u01b0\u1eddng, v\u00e0 do \u0111\u00f3 g\u1ecdi l\u00e0 h\u1edf hai l\u00e1 \u201cc\u01a1 n\u0103ng\u201d.<\/p>\n<p>T\u00e1i c\u1ea5u tr\u00fac c\u1ee7a th\u1ea5t tr\u00e1i l\u00e0m d\u1ecbch chuy\u1ec3n c\u01a1 nh\u00fa v\u1ec1 ph\u00eda m\u1ecfm tim, c\u00f9ng v\u1edbi s\u1ef1 co k\u00e9o c\u1ee7a c\u00e1c l\u00e1 van hai l\u00e1 l\u00e0m c\u00e1c l\u00e1 van \u0111\u00f3ng kh\u00f4ng ho\u00e0n to\u00e0n.<\/p>\n<p>V\u00f9ng \u00e1p c\u1ee7a hai l\u00e1 van (coaptation) b\u1ecb d\u1ecbch chuy\u1ec3n v\u1ec1 ph\u00eda m\u1ecfm t\u1ea1o n\u00ean h\u00ecnh \u1ea3nh hai l\u00e1 van \u0111\u00f3ng trong th\u1eddi k\u1ef3 t\u00e2m thu c\u00f3 d\u1ea1ng <strong>h\u00ecnh l\u1ec1u <\/strong>(systolic tenting).<\/p>\n<p>T\u00e1i c\u1ea5u tr\u00fac v\u00e0 gi\u00e3n th\u1ea5t tr\u00e1i th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh h\u1edf hai l\u00e1 ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n. N\u00f3i chung, n\u1ebfu nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng v\u00f9ng c\u1ee7a th\u00e0nh th\u1ea5t tr\u00e1i x\u1ea3y ra \u0111\u01a1n \u0111\u1ed9c m\u00e0 kh\u00f4ng k\u00e8m theo gi\u00e3n bu\u1ed3ng tim th\u00ec <strong>\u00edt li\u00ean quan t\u1edbi h\u1edf van hai l\u00e1 n\u1eb7ng <\/strong>.<\/p>\n<p>Gi\u00e3n v\u00f2ng van s\u1ebd l\u00e0m t\u0103ng t\u00ecnh tr\u1ea1ng \u0111\u00f3ng kh\u00f4ng ho\u00e0n to\u00e0n c\u1ee7a c\u00e1c l\u00e1 van.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim th\u00e0nh sau ho\u1eb7c th\u00e0nh d\u01b0\u1edbi, c\u00f3 th\u1ec3 c\u00f3 t\u00ecnh tr\u1ea1ng ph\u00ecnh th\u00e0nh sau v\u00f9ng \u0111\u00e1y c\u1ee7a th\u1ea5t tr\u00e1i (n\u1eb1m v\u1ec1 ph\u00eda c\u1ee7a c\u01a1 nh\u00fa sau gi\u1eefa). \u0110i\u1ec1u n\u00e0y g\u00e2y ra s\u1ef1 co k\u00e9o b\u1ea5t \u0111\u1ed1i x\u1ee9ng c\u1ee7a c\u00e1c d\u00e2y ch\u1eb1ng, d\u0201n t\u1edbi s\u1ef1 co k\u00e9o c\u1ee7a l\u00e1 van sau. K\u1ebft qu\u1ea3 l\u00e0 x\u1ea3y ra h\u1edf van v\u00e0 xu\u1ea5t hi\u1ec7n d\u00f2ng ph\u1ee5t l\u1ec7ch t\u00e2m, h\u01b0\u1edbng ra tr\u01b0\u1edbc.<\/p>\n<p>C\u00e1c m\u1eb7t c\u1eaft thi\u1ebft y\u1ebfu:<\/p>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 s\u1ef1 di \u0111\u1ed9ng h\u1ea1n ch\u1ebf c\u1ee7a c\u00e1c l\u00e1 van, h\u00ecnh \u1ea3nh hai l\u00e1 van \u0111\u00f3ng trong th\u1eddi k\u1ef3 t\u00e2m thu c\u00f3 d\u1ea1ng h\u00ecnh l\u1ec1u (g\u00f3c 0 o m\u1eb7t c\u1eaft 4 bu\u1ed3ng gi\u1eefa th\u1ef1c qu\u1ea3n, g\u00f3c 45 o m\u1eb7t c\u1eaft gi\u1eefa th\u1ef1c qu\u1ea3n qua hai m\u00e9p van, g\u00f3c 90 o m\u1eb7t c\u1eaft 2 bu\u1ed3ng gi\u1eefa th\u1ef1c qu\u1ea3n, g\u00f3c 120 o m\u1eb7t c\u1eaft tr\u1ee5c d\u1ecdc gi\u1eefa th\u1ef1c qu\u1ea3n).<\/li>\n<li>\u0110\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc v\u00f2ng van (g\u00f3c 120\u00b0 m\u1eb7t c\u1eaft tr\u1ee5c d\u1ecdc gi\u1eefa th\u1ef1c qu\u1ea3n).<\/li>\n<li>\u0110\u00e1nh gi\u00e1 th\u1ea5t tr\u00e1i, \u0111\u1eb7c bi\u1ec7t l\u00e0 th\u00e0nh sau v\u00f9ng \u0111\u00e1y tim (g\u00f3c 90 o m\u1eb7t c\u1eaft 2 bu\u1ed3ng gi\u1eefa th\u1ef1c qu\u1ea3n, g\u00f3c 0 o m\u1eb7t c\u1eaft tr\u1ee5c ngang \u0111o\u1ea1n gi\u1eefa qua d\u1ea1 d\u00e0y).<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>H\u1edf van hai l\u00e1 c\u1ea5p\u00a0lu\u00f4n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng n\u1eb7ng n\u1ec1. Kh\u00e1m l\u00e2m s\u00e0ng \u1edf m\u1ecfm tim th\u01b0\u1eddng d\u1ec5 b\u1ecf s\u00f3t, do th\u1ea5t tr\u00e1i v\u1edbi k\u00edch th\u01b0\u1edbc b\u00ecnh th\u01b0\u1eddng kh\u00f4ng h\u1ec1 g\u00e2y m\u1ecfm tim \u0111\u1eadp t\u0103ng \u0111\u1ed9ng. Ti\u1ebfng th\u1ed5i t\u00e2m thu do h\u1edf van hai l\u00e1 c\u1ea5p t\u00ednh nhi\u1ec1u khi kh\u00f4ng k\u00e9o d\u00e0i [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[88,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u1edf van hai l\u00e1 trong si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n - Vinmec<\/title>\n<meta name=\"description\" content=\"Si\u00eau \u00e2m tim gi\u00fap ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 h\u1edf van hai l\u00e1, c\u01a1 ch\u1ebf h\u1edf van, \u0111a\u0301nh gia\u0301 ch\u01b0\u0301c na\u0306ng th\u1ea5t tr\u00e1i, ch\u01b0\u0301c na\u0306ng th\u1ea5t ph\u1ea3i ..\" \/>\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=\"H\u1edf van hai l\u00e1 trong si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n - 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