{"id":28140,"date":"2023-04-25T15:06:17","date_gmt":"2023-04-25T08:06:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28140"},"modified":"2023-04-25T15:06:17","modified_gmt":"2023-04-25T08:06:17","slug":"pcs-hoi-chung-sau-cat-tui-mat-la-gi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/pcs-hoi-chung-sau-cat-tui-mat-la-gi\/","title":{"rendered":"PCS- H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt l\u00e0 g\u00ec?"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt- PCS l\u00e0\u00a0 l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu v\u00e0 ph\u1ed5 bi\u1ebfn x\u1ea3y ra sau khi b\u1ec7nh nh\u00e2n ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt<\/a> c\u1eaft b\u1ecf t\u00fai m\u1eadt. PCS c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, bao g\u1ed3m \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y v\u00e0 kh\u00f3 ti\u00eau. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb PCS, b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n c\u1ee7a t\u00ecnh tr\u1ea1ng n\u00e0y, bao g\u1ed3m thu\u1ed1c, ph\u1eabu thu\u1eadt ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung. Vi\u1ec7c tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh c\u0169ng l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb PCS.<\/strong><\/p>\n

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PCS l\u00e0\u00a0 l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu v\u00e0 ph\u1ed5 bi\u1ebfn x\u1ea3y ra sau khi b\u1ec7nh nh\u00e2n ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u00fai m\u1eadt<\/figcaption><\/figure>\n

1. PCS- H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt l\u00e0 g\u00ec?<\/h2>\n

PCS l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a t\u1eeb “Post-cholecystectomy Syndrome”, d\u1ecbch sang ti\u1ebfng Vi\u1ec7t c\u00f3 th\u1ec3 hi\u1ec3u l\u00e0 “H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt”. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng ph\u1ed5 bi\u1ebfn x\u1ea3y ra sau khi b\u1ec7nh nh\u00e2n ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u00fai m\u1eadt. PCS l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, bao g\u1ed3m \u0111au b\u1ee5ng<\/a> \u00e2m \u1ec9 ho\u1eb7c \u0111au nh\u00f3i v\u00f9ng b\u1ee5ng d\u01b0\u1edbi, s\u1ed1t, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, kh\u00f3 ti\u00eau, v\u00e0ng da, h\u1ed9i ch\u1ee9ng d\u1ea1 d\u00e0y.<\/p>\n

2. Nguy\u00ean nh\u00e2n g\u00e2y n\u00ean h\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt<\/h2>\n

PCS c\u00f3 th\u1ec3 x\u1ea3y ra do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau. Sau \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn:<\/p>\n

–\u00a0 S\u00f3t s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c trong \u1ed1ng t\u1ee5y: M\u1eb7c d\u00f9 t\u00fai m\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf, nh\u01b0ng s\u1ecfi m\u1eadt c\u00f3 th\u1ec3 c\u00f2n s\u00f3t trong c\u00e1c \u0111\u01b0\u1eddng m\u1eadt hay \u1ed1ng t\u1ee5y, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng PCS.<\/p>\n

– T\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng m\u1eadt: Sau khi ph\u1eabu thu\u1eadt c\u1eaft t\u00fai m\u1eadt, \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ecb h\u1eb9p l\u00f2ng \u1ed1ng m\u1eadt, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng PCS.<\/p>\n

–\u00a0 Vi\u00eam \u0111\u01b0\u1eddng m\u1eadt: Nhi\u1ec5m tr\u00f9ng ho\u1eb7c vi\u00eam \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 x\u1ea3y ra sau ph\u1eabu thu\u1eadt c\u1eaft t\u00fai m\u1eadt, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng PCS.<\/p>\n

– R\u00f2 r\u1ec9 d\u1ecbch m\u1eadt sau ph\u1eabu thu\u1eadt: Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, d\u1ecbch m\u1eadt c\u00f3 th\u1ec3 r\u00f2 r\u1ec9 v\u00e0o \u1ed5 b\u1ee5ng sau ph\u1eabu thu\u1eadt.<\/p>\n

– S\u1ef1 b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh l\u01b0u th\u00f4ng d\u1ecbch m\u1eadt xu\u1ed1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a sau c\u1eaft b\u1ecf t\u00fai m\u1eadt: M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 x\u1ea3y ra s\u1ef1 b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh l\u01b0u th\u00f4ng d\u1ecbch m\u1eadt xu\u1ed1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a sau khi c\u1eaft b\u1ecf t\u00fai m\u1eadt.<\/p>\n

– Kh\u1ed1i u \u0111\u01b0\u1eddng m\u1eadt trong gan: Kh\u1ed1i u \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 g\u00e2y ra PCS.<\/p>\n

Tuy nhi\u00ean, c\u1ea7n l\u01b0u \u00fd r\u1eb1ng PCS c\u00f3 th\u1ec3 do m\u1ed9t ho\u1eb7c nhi\u1ec1u nguy\u00ean nh\u00e2n k\u1ebft h\u1ee3p v\u1edbi nhau, v\u00e0 kh\u00f4ng ph\u1ea3i tr\u01b0\u1eddng h\u1ee3p n\u00e0o c\u0169ng c\u00f3 c\u1ea3 c\u00e1c nguy\u00ean nh\u00e2n tr\u00ean. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a PCS l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng PCS sau khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eaft t\u00fai m\u1eadt, c\u1ea7n \u0111i kh\u00e1m v\u00e0 th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 ch\u1ea9n \u0111o\u00e1n \u0111\u00fang nguy\u00ean nh\u00e2n, t\u1eeb \u0111\u00f3 \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

3. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y ra h\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt<\/h2>\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y h\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt (PCS):<\/p>\n

    \n
  • Tu\u1ed5i: Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb PCS.<\/li>\n
  • Gi\u1edbi t\u00ednh: Ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb PCS so v\u1edbi nam gi\u1edbi.<\/li>\n
  • Ti\u1ec1n s\u1eed b\u1ec7nh v\u1ec1 gan m\u1eadt: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh gan m\u1eadt, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u00eam gan, x\u01a1 gan hay ung th\u01b0 gan, c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb PCS.<\/li>\n
  • Ti\u1ec1n s\u1eed s\u1ecfi m\u1eadt: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed s\u1ecfi m\u1eadt ho\u1eb7c t\u00e1i ph\u00e1t s\u1ecfi m\u1eadt sau ph\u1eabu thu\u1eadt c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb PCS.<\/li>\n
  • Ti\u1ec1n s\u1eed nhi\u1ec5m tr\u00f9ng: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c v\u1ebft m\u1ed5 tr\u01b0\u1edbc \u0111\u00f3 c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb PCS.<\/li>\n
  • C\u00f3 s\u1ecfi \u1ed1ng t\u1ee5y: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 s\u1ecfi \u1ed1ng t\u1ee5y c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb PCS.<\/li>\n
  • C\u00e2n n\u1eb7ng: Nh\u1eefng ng\u01b0\u1eddi b\u00e9o ph\u00ec c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb PCS.<\/li>\n
  • Ph\u1eabu thu\u1eadt laparoscopic: Ph\u1eabu thu\u1eadt c\u1eaft t\u00fai m\u1eadt b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p laparoscopic c\u00f3 nguy c\u01a1 th\u1ea5p h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf.<\/li>\n
  • Th\u1eddi gian ph\u1eabu thu\u1eadt: Th\u1eddi gian ph\u1eabu thu\u1eadt d\u00e0i c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 PCS.<\/li>\n
  • Y\u1ebfu t\u1ed1 t\u00e2m l\u00fd: Stress, lo l\u1eafng v\u00e0 t\u00e2m l\u00fd kh\u00f4ng \u1ed5n \u0111\u1ecbnh c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 PCS.<\/li>\n<\/ul>\n

    4. Bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/h2>\n

    C\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb PCS (h\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt) nh\u01b0 sau:<\/p>\n

      \n
    • \u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd g\u1ed1c: N\u1ebfu PCS \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t b\u1ec7nh l\u00fd g\u1ed1c nh\u01b0 s\u1ecfi m\u1eadt ho\u1eb7c vi\u00eam \u0111\u01b0\u1eddng m\u1eadt, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd g\u1ed1c l\u00e0 \u0111i\u1ec1u quan tr\u1ecdng nh\u1ea5t. \u0110i\u1ec1u tr\u1ecb bao g\u1ed3m thu\u1ed1c kh\u00e1ng sinh, thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c t\u00f9y thu\u1ed9c v\u00e0o b\u1ec7nh l\u00fd c\u1ee5 th\u1ec3.<\/li>\n
    • \u0110i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: \u0110i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng PCS. B\u1ec7nh nh\u00e2n n\u00ean h\u1ea1n ch\u1ebf \u0103n \u0111\u1ed3 n\u00f3ng, cay, \u0111\u1ed3 chi\u00ean x\u00e0o v\u00e0 \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n. Thay v\u00e0o \u0111\u00f3, n\u00ean \u0103n nhi\u1ec1u rau xanh, tr\u00e1i c\u00e2y, th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t x\u01a1 v\u00e0 u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc.<\/li>\n
    • S\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au: Thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 paracetamol ho\u1eb7c ibuprofen c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m vi\u00eam.<\/li>\n
    • \u0110i\u1ec1u tr\u1ecb b\u1eb1ng corticoid: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng corticoid c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m t\u00ecnh tr\u1ea1ng vi\u00eam \u0111\u01b0\u1eddng m\u1eadt.<\/li>\n
    • Ph\u1eabu thu\u1eadt: N\u1ebfu PCS kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00ean ho\u1eb7c n\u1ebfu cc\u00f2n s\u00f3t s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c trong \u1ed1ng t\u1ee5y, ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 l\u1ea5y s\u1ecfi ra.<\/li>\n<\/ul>\n

      Nh\u1eefng bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb PCS c\u1ee5 th\u1ec3 s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a PCS. B\u1ec7nh nh\u00e2n n\u00ean t\u00ecm ki\u1ebfm l\u1eddi khuy\u00ean t\u1eeb b\u00e1c s\u0129 \u0111\u1ec3 ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

      PCS l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn x\u1ea3y ra sau ph\u1eabu thu\u1eadt c\u1eaft t\u00fai m\u1eadt. H\u1ed9i ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, bao g\u1ed3m s\u1ecfi m\u1eadt t\u00e1i ph\u00e1t, \u0111\u1ed9ng kinh \u0111\u01b0\u1eddng m\u1eadt, vi\u00eam \u0111\u01b0\u1eddng m\u1eadt v\u00e0 r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb PCS, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n c\u1ee7a t\u00ecnh tr\u1ea1ng n\u00e0y, bao g\u1ed3m s\u1eed d\u1ee5ng thu\u1ed1c, ph\u1eabu thu\u1eadt ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung. Vi\u1ec7c tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh c\u0169ng l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb PCS.<\/p>\n","protected":false},"excerpt":{"rendered":"

      H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt- PCS l\u00e0\u00a0 l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu v\u00e0 ph\u1ed5 bi\u1ebfn x\u1ea3y ra sau khi b\u1ec7nh nh\u00e2n ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u00fai m\u1eadt. PCS c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, bao g\u1ed3m \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y v\u00e0 kh\u00f3 ti\u00eau. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nPCS- H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt l\u00e0 g\u00ec? - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt- PCS l\u00e0\u00a0 l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu v\u00e0 ph\u1ed5 bi\u1ebfn x\u1ea3y ra sau khi b\u1ec7nh nh\u00e2n ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u00fai m\u1eadt, g\u1ed3m ...\" \/>\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=\"PCS- H\u1ed9i ch\u1ee9ng sau c\u1eaft t\u00fai m\u1eadt l\u00e0 g\u00ec? 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