{"id":28207,"date":"2023-05-01T21:50:02","date_gmt":"2023-05-01T14:50:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28207"},"modified":"2023-05-01T21:50:02","modified_gmt":"2023-05-01T14:50:02","slug":"huong-dan-chan-doan-viem-gan-vung-mom-tram-quay-co-tay","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/huong-dan-chan-doan-viem-gan-vung-mom-tram-quay-co-tay\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay"},"content":{"rendered":"

Vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay (De Quervain syndrome) l\u00e0 b\u1ec7nh l\u00fd vi\u00eam bao g\u00e2n c\u01a1 d\u1ea1ng d\u00e0i v\u00e0 du\u1ed7i ng\u1eafn ng\u00f3n tay c\u00e1i do nh\u00e0 ph\u1eabu thu\u1eadt ng\u01b0\u1eddi Thu\u1ef5 S\u1ef9 Fr\u00e9deric De Quervain ph\u00e1t hi\u1ec7n n\u0103m 1895. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef gi\u1edbi t\u1eeb 30 \u0111\u1ebfn 50 tu\u1ed5i.<\/strong><\/p>\n

1. Vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay l\u00e0 g\u00ec?<\/h2>\n

B\u00ecnh th\u01b0\u1eddng c\u01a1 d\u1ea1ng d\u00e0i v\u00e0 c\u01a1 du\u1ed7i ng\u1eafn ng\u00f3n c\u00e1i tr\u01b0\u1ee3t trong \u0111\u01b0\u1eddng h\u1ea7m \u0111\u01b0\u1ee3c bao b\u1ecdc b\u1edfi bao ho\u1ea1t d\u1ecbch g\u00e2n, c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m tr\u01a1n \u0111\u1ec3 hai g\u00e2n tr\u01b0\u1ee3t \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng. Khi bao g\u00e2n n\u00e0y b\u1ecb vi\u00eam s\u1ebd s\u01b0ng ph\u1ed3ng l\u00ean g\u00e2y ra hi\u1ec7n t\u01b0\u1ee3ng ch\u00e8n \u00e9p d\u1eabn \u0111\u1ebfn h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u1ee7a g\u00e2n trong \u0111\u01b0\u1eddng h\u1ea7m g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng De Querrvain – Vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay<\/a><\/p>\n

\"viem-gan-vung-mom-tram-quay-co-tay\"
H\u1ed9i ch\u1ee9ng De Querrvain<\/figcaption><\/figure>\n

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

Nguy\u00ean nh\u00e2n c\u00f2n ch\u01b0a r\u00f5 (t\u1ef1 ph\u00e1t). Tuy nhi\u00ean c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0:<\/p>\n

    \n
  • C\u00e1c ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng c\u1ed5 b\u00e0n tay.<\/li>\n
  • Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/li>\n
  • C\u00e1c ngh\u1ec1 nghi\u1ec7p ph\u1ea3i s\u1eed d\u1ee5ng b\u00e0n tay nhi\u1ec1u nh\u01b0 l\u00e0m ru\u1ed9ng, gi\u00e1o vi\u00ean, ph\u1eabu thu\u1eadt, c\u1eaft t\u00f3c, n\u1ed9i tr\u1ee3. Vi ch\u1ea5n th\u01b0\u01a1ng (c\u00e1c \u0111\u1ed9ng t\u00e1c l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n nh\u01b0 c\u1ea7m, n\u1eafm, xoay, v\u1eb7n c\u1ee7a c\u1ed5 tay v\u00e0 ng\u00f3n c\u00e1i) l\u00e0 \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i g\u00e2y n\u00ean vi\u00eam bao g\u00e2n.<\/li>\n
  • Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 s\u1ef1 k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh kh\u1edbp nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, tho\u00e1i h\u00f3a kh\u1edbp.<\/li>\n<\/ul>\n

    3. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

    3.1. L\u00e2m s\u00e0ng<\/h3>\n

    M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay:<\/p>\n

    \u0110au v\u00f9ng m\u1ecfm tr\u00e2m quay, \u0111au t\u0103ng khi v\u1eadn \u0111\u1ed9ng ng\u00f3n c\u00e1i, \u0111au li\u00ean t\u1ee5c nh\u1ea5t l\u00e0 v\u1ec1 \u0111\u00eam. \u0110au c\u00f3 th\u1ec3 lan ra ng\u00f3n c\u00e1i v\u00e0 lan l\u00ean c\u1eb3ng tay.<\/p>\n

    S\u01b0ng n\u1ec1 v\u00f9ng m\u1ecfm tr\u00e2m quay.<\/p>\n

    Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa.<\/p>\n

    S\u1edd th\u1ea5y bao g\u00e2n d\u1ea7y l\u00ean, c\u00f3 khi c\u00f3 n\u00f3ng, \u0111\u1ecf, \u1ea5n v\u00e0o \u0111au h\u01a1n.<\/p>\n

    Kh\u00f3 n\u1eafm tay. Khi v\u1eadn \u0111\u1ed9ng ng\u00f3n c\u00e1i c\u00f3 th\u1ec3 nghe th\u1ea5y ti\u1ebfng k\u00eau c\u00f3t k\u00e9t.<\/p>\n

    Test Finkelstein:<\/em><\/strong> g\u1ea5p ng\u00f3n c\u00e1i v\u00e0 kh\u00e9p v\u1ec1 ph\u00eda ng\u00f3n 5 v\u00e0o trong l\u00f2ng b\u00e0n tay. N\u1eafm c\u00e1c ng\u00f3n tay tr\u00f9m l\u00ean ng\u00f3n c\u00e1i. U\u1ed1n c\u1ed5 tay v\u1ec1 ph\u00eda x\u01b0\u01a1ng tr\u1ee5. N\u1ebfu b\u1ec7nh nh\u00e2n th\u1ea5y \u0111au ch\u00f3i v\u00f9ng g\u00e2n d\u1ea1ng d\u00e0i v\u00e0 g\u00e2n du\u1ed7i ng\u1eafn ng\u00f3n c\u00e1i ho\u1eb7c \u1edf g\u1ed1c ng\u00f3n c\u00e1i l\u00e0 d\u1ea5u hi\u1ec7u d\u01b0\u01a1ng t\u00ednh c\u1ee7a nghi\u1ec7m ph\u00e1p.<\/p>\n

    3.2. C\u1eadn l\u00e2m s\u00e0ng<\/h3>\n

    C\u00f3 th\u1ec3 si\u00eau \u00e2m v\u00f9ng m\u1ecfm tr\u00e2m quay: H\u00ecnh \u1ea3nh g\u00e2n d\u1ea1ng d\u00e0i v\u00e0 du\u1ed7i ng\u1eafn d\u1ea7y l\u00ean, bao g\u00e2n d\u1ea7y, c\u00f3 d\u1ecbch quanh g\u00e2n.<\/p>\n

    C\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh t\u0103ng sinh m\u1ea1ch trong g\u00e2n ho\u1eb7c bao g\u00e2n tr\u00ean Doppler n\u0103ng l\u01b0\u1ee3ng (PW).<\/p>\n

    L\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n (\u0111\u01b0\u1eddng m\u00e1u, ch\u1ee9c n\u0103ng gan, th\u1eadn…).<\/p>\n

    3.3. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n

    Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o kh\u00e1m l\u00e2m s\u00e0ng. Tri\u1ec7u ch\u1ee9ng \u0111au ch\u00f3i v\u00f9ng m\u1ecfm tr\u00e2m quay v\u00e0 test Finkelstein d\u01b0\u01a1ng t\u00ednh l\u00e0 b\u1eaft bu\u1ed9c ph\u1ea3i c\u00f3 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh. C\u0169ng c\u1ea7n \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy\u00ean nh\u00e2n hay y\u1ebfu t\u1ed1 nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh nh\u01b0 ti\u1ec1n s\u1eed ngh\u1ec1 nghi\u1ec7p, ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng c\u1ed5 b\u00e0n tay, c\u00e1c b\u1ec7nh kh\u1edbp k\u00e8m theo nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, tho\u00e1i h\u00f3a kh\u1edbp. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng th\u00eam si\u00eau \u00e2m v\u00f9ng m\u1ecfm tr\u00e2m quay \u1edf c\u01a1 s\u1edf y t\u1ebf c\u00f3 \u0111i\u1ec1u ki\u1ec7n.<\/p>\n

    3.4. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h3>\n
      \n
    • Vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch kh\u1edbp c\u1ed5 tay.<\/li>\n
    • Tho\u00e1i h\u00f3a kh\u1edbp g\u1ed1c ng\u00f3n tay c\u00e1i.<\/li>\n
    • Vi\u00eam bao ho\u1ea1t d\u1ecbch g\u00e2n c\u01a1 du\u1ed7i c\u1ed5 tay quay ng\u1eafn v\u00e0 d\u00e0i.<\/li>\n
    • Ch\u00e8n \u00e9p nh\u00e1nh n\u00f4ng th\u1ea7n kinh quay.<\/li>\n<\/ul>\n

      4. \u0110i\u1ec1u tr\u1ecb Vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay<\/h2>\n

      4.1. Nguy\u00ean t\u1eafc chung<\/h3>\n

      K\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb: Kh\u00f4ng d\u00f9ng thu\u1ed1c, d\u00f9ng thu\u1ed1c, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, ngo\u1ea1i khoa.<\/p>\n

      D\u1ef1 ph\u00f2ng b\u1ec7nh t\u00e1i ph\u00e1t: Lo\u1ea1i b\u1ecf c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, sinh ho\u1ea1t
      \nh\u1ee3p l\u00fd, ch\u00fa \u00fd t\u01b0 th\u1ebf lao \u0111\u1ed9ng \u0111\u00fang..<\/p>\n

      4.2. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/h3>\n

      4.2.1. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c<\/h4>\n
        \n
      • Gi\u1ea3m ho\u1eb7c ng\u1eebng v\u1eadn \u0111\u1ed9ng c\u1ed5 tay v\u00e0 ng\u00f3n tay c\u00e1i (th\u01b0\u1eddng 4 – 6 tu\u1ea7n).<\/li>\n
      • Tr\u01b0\u1eddng h\u1ee3p s\u01b0ng \u0111au nhi\u1ec1u n\u00ean d\u00f9ng b\u0103ng n\u1eb9p c\u1ed5 tay v\u00e0 ng\u00f3n c\u00e1i li\u00ean t\u1ee5c trong 3 – 6 tu\u1ea7n \u1edf t\u01b0 th\u1ebf c\u1ed5 tay \u0111\u1ec3 nguy\u00ean, ng\u00f3n c\u00e1i d\u1ea1ng 45 \u0111\u1ed9 so v\u1edbi tr\u1ee5c x\u01b0\u01a1ng quay v\u00e0 g\u1ea5p 10 \u0111\u1ed9.<\/li>\n
      • Ch\u01b0\u1eddm l\u1ea1nh.<\/li>\n
      • \u0110i\u1ec1u tr\u1ecb b\u1eb1ng s\u1eed d\u1ee5ng laser m\u00e0u, si\u00eau \u00e2m, xung \u0111i\u1ec7n k\u00edch th\u00edch th\u1ea7n kinh qua da (TENS \u2013 transcutaneous elactrical nerve stimulation) \u0111\u1ec3 gi\u1ea3m \u0111au, ch\u1ed1ng vi\u00eam<\/li>\n<\/ul>\n

        4.2.2. D\u00f9ng thu\u1ed1c<\/h4>\n

        Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid b\u00f4i t\u1ea1i ch\u1ed7: thu\u1ed1c diclofenac d\u1ea1ng b\u00f4i: b\u00f4i 2-3 l\u1ea7n\/ng\u00e0y.<\/p>\n

        Thu\u1ed1c gi\u1ea3m \u0111au: acetaminophen (Paracetamol): 0,5g x 2-4 vi\u00ean \/24h.<\/p>\n

        Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng streroid \u0111\u01b0\u1eddng u\u1ed1ng. D\u00f9ng m\u1ed9t trong c\u00e1c lo\u1ea1i thu\u1ed1c sau: diclofenac 50mg x 2 vi\u00ean\/24h; meloxicam 7,5mg x 1-2 vi\u00ean\/24h; celecoxib 200 mg x 1 \u2013 2 vi\u00ean\/24h.<\/p>\n

        Ti\u00eam corticoid trong bao g\u00e2n De Quervain. C\u1ea7n tr\u00e1nh ti\u00eam v\u00e0o m\u1ea1ch m\u00e1u. Do v\u1eady t\u1ed1t nh\u1ea5t l\u00e0 n\u00ean ti\u00eam corticoid d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m do t\u00ednh ch\u00ednh x\u00e1c, \u0111\u1ed9 an to\u00e0n cao. Ch\u1ec9 c\u00e1c b\u00e1c s\u0129 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o chuy\u00ean khoa kh\u1edbp m\u1edbi \u0111\u01b0\u1ee3c ti\u00eam corticoid trong bao g\u00e2n v\u00ec c\u00f3 nguy c\u01a1 \u0111\u1ee9t g\u00e2n khi ti\u00eam v\u00e0o g\u00e2n hay nhi\u1ec5m tr\u00f9ng. C\u00e1c ch\u1ebf ph\u1ea9m:
        \n+ Hydrocortison acetat l\u00e0 lo\u1ea1i t\u00e1c d\u1ee5ng nhanh, th\u1eddi gian b\u00e1n hu\u1ef7 ng\u1eafn. Li\u1ec1u cho
        \nm\u1ed9t l\u1ea7n ti\u00eam trong bao kh\u1edbp l\u00e0 0,3ml. Ti\u00eam kh\u00f4ng qu\u00e1 ba l\u1ea7n cho m\u1ed7i \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb.
        \n+ Methyl prednisolon acetat l\u00e0 lo\u1ea1i t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i, li\u1ec1u d\u00f9ng 0,3 ml\/1 l\u1ea7n, m\u1ed7i
        \n\u0111\u1ee3t ti\u00eam hai l\u1ea7n. M\u1ed7i n\u0103m kh\u00f4ng qu\u00e1 ba \u0111\u1ee3t.
        \n+ Betamethasone (t\u00ean \u0111\u1ea7y \u0111\u1ee7: betamethasone pripionate): Li\u1ec1u d\u00f9ng 0,3ml\/1 l\u1ea7n ti\u00eam.<\/p>\n

        4.2.3. \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/h4>\n

        Ch\u1ec9 \u00e1p d\u1ee5ng khi t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p tr\u00ean kh\u00f4ng hi\u1ec7u qu\u1ea3. Can thi\u1ec7p ph\u1eabu thu\u1eadt t\u1ea1o ra nhi\u1ec1u kh\u00f4ng gian h\u01a1n cho g\u00e2n ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec3 g\u00e2n kh\u00f4ng c\u1ecd x\u00e1t v\u00e0o \u0111\u01b0\u1eddng h\u1ea7m.
        \nSau m\u1ed5, c\u00f3 th\u1ec3 tham gia ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng. Sau khi c\u1eaft ch\u1ec9, t\u1eadp c\u00e1c b\u00e0i t\u1eadp ch\u1ee7 \u0111\u1ed9ng \u0111\u1ec3 t\u0103ng d\u1ea7n bi\u00ean \u0111\u1ed9 v\u00e0 s\u1ee9c m\u1ea1nh c\u1ee7a c\u00e1c c\u01a1.<\/p>\n

        5. Ti\u00ean tri\u1ec3n v\u00e0 bi\u1ebfn ch\u1ee9ng<\/h2>\n

        H\u1ed9i ch\u1ee9ng De Quervain \u0111a s\u1ed1 di\u1ec5n bi\u1ebfn t\u1eeb t\u1eeb v\u00e0 k\u00e9o d\u00e0i; tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng kh\u00f4ng r\u1ea7m r\u1ed9. \u0110\u00f4i khi b\u1ec7nh nh\u00e2n ch\u1ec9 \u0111au v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng nh\u1eb9. Tuy nhi\u00ean b\u1ec7nh \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng, sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, l\u00e0m gi\u1ea3m n\u0103ng su\u1ea5t lao \u0111\u1ed9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi l\u00e0m c\u00e1c \u0111\u1ed9ng t\u00e1c c\u1ea7n \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng tinh t\u1ebf c\u1ee7a b\u00e0n tay.<\/p>\n

        6. Ph\u00f2ng b\u1ec7nh Vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay<\/h2>\n

        \u2212 Tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng b\u00e0n tay, c\u1ed5 tay l\u1eb7p \u0111i l\u1eb7p l\u1ea1i trong th\u1eddi gian d\u00e0i; c\u1ea7n xen k\u1ebd th\u1eddi gian ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd. C\u0169ng c\u1ea7n t\u1eadp luy\u1ec7n cho g\u00e2n d\u1ebbo dai qua nh\u1eefng b\u00e0i t\u1eadp cho g\u00e2n kh\u1edbp v\u00f9ng c\u1ed5 tay.
        \n\u2212 Kh\u00f4ng n\u00ean xoa b\u00f3p thu\u1ed1c r\u01b0\u1ee3u, d\u1ea7u n\u00f3ng v\u00ec d\u1ec5 l\u00e0m t\u00ecnh tr\u1ea1ng vi\u00eam n\u1eb7ng th\u00eam. Kh\u00f4ng n\u00ean n\u1eafn b\u1ebb kh\u1edbp v\u00ec s\u1ebd l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u00eam g\u00e2n kh\u1edbp.
        \n\u2212 Ngo\u00e0i ra, n\u00ean c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u1ea7y \u0111\u1ee7 sinh t\u1ed1, \u0111\u1eb7c bi\u1ec7t \u1edf ph\u1ee5 n\u1eef khi mang thai hay sau khi sinh. \u1ede ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, n\u00ean b\u1ed5 sung th\u00eam calci, d\u00f9ng s\u1eefa v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u1ee7a s\u1eefa (s\u1eefa chua, phomat).<\/p>\n","protected":false},"excerpt":{"rendered":"

        Vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay (De Quervain syndrome) l\u00e0 b\u1ec7nh l\u00fd vi\u00eam bao g\u00e2n c\u01a1 d\u1ea1ng d\u00e0i v\u00e0 du\u1ed7i ng\u1eafn ng\u00f3n tay c\u00e1i do nh\u00e0 ph\u1eabu thu\u1eadt ng\u01b0\u1eddi Thu\u1ef5 S\u1ef9 Fr\u00e9deric De Quervain ph\u00e1t hi\u1ec7n n\u0103m 1895. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef gi\u1edbi t\u1eeb 30 \u0111\u1ebfn 50 tu\u1ed5i. 1. Vi\u00eam g\u00e2n v\u00f9ng […]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"\nH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay<\/title>\n<meta name=\"description\" content=\"Vi\u00eam g\u00e2n v\u00f9ng m\u1ecfm tr\u00e2m quay c\u1ed5 tay l\u00e0 b\u1ec7nh l\u00fd vi\u00eam bao g\u00e2n c\u01a1 d\u1ea1ng d\u00e0i v\u00e0 du\u1ed7i ng\u1eafn ng\u00f3n tay c\u00e1i. 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