{"id":28216,"date":"2023-04-26T16:47:17","date_gmt":"2023-04-26T09:47:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28216"},"modified":"2023-04-26T16:47:17","modified_gmt":"2023-04-26T09:47:17","slug":"dot-quy-can-thiep-lay-huyet-khoi-bang-dung-cu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/dot-quy-can-thiep-lay-huyet-khoi-bang-dung-cu\/","title":{"rendered":"\u0110\u1ed9t qu\u1ef5: Can thi\u1ec7p l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5"},"content":{"rendered":"<p><strong>\u0110i\u1ec1u tr\u1ecb l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5 ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111em l\u1ea1i nh\u1eefng hi\u1ec7u qu\u1ea3 t\u00edch c\u1ef1c v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 trong t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 kh\u1ea3 n\u0103ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. Trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y, ch\u00fang ta h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y.<\/strong><\/p>\n<h2>1. Gi\u1edbi thi\u1ec7u ph\u01b0\u01a1ng ph\u00e1p l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5<\/h2>\n<p><span lang=\"VI\">B\u1eaft \u0111\u1ea7u \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u \u00e1p d\u1ee5ng t\u1eeb 15 n\u0103m tr\u01b0\u1edbc v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c th\u1ebf h\u1ec7 1 v\u00e0 2, k\u1ef9 thu\u1eadt can thi\u1ec7p l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5 qua \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch sau \u0111\u00f3 \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn v\u01b0\u1ee3t b\u1eadc v\u1edbi th\u1ebf h\u1ec7 th\u1ee9 3 t\u1eeb n\u0103m 2012 v\u00e0 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a H\u1ed9i Tim m\u1ea1ch v\u00e0 \u0110\u1ed9t qu\u1ef5 Hoa K\u1ef3 t\u1eeb n\u0103m 2016 sau k\u1ebft qu\u1ea3 t\u00edch c\u1ef1c t\u1ea1i 5 nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean kh\u00f4ng \u0111\u1ed1i ch\u1ee9ng \u1edf c\u00e1c b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p do t\u1eafc \u0111\u1ed9ng m\u1ea1ch l\u1edbn. Cho \u0111\u1ebfn hi\u1ec7n t\u1ea1i, k\u1ef9 thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u01a1 b\u1ea3n, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p ngay sau khi d\u00f9ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft t\u0129nh m\u1ea1ch (v\u1edbi c\u1eeda s\u1ed5 4,5 gi\u1edd v\u00e0 kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh rt-PA) ho\u1eb7c \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n thu\u1ea7n khi b\u1ec7nh nh\u00e2n t\u1edbi c\u01a1 s\u1edf y t\u1ebf ngo\u00e0i c\u1eeda s\u1ed5 4,5 gi\u1edd sau khi \u0111\u1ed9t qu\u1ef5 n\u00e3o do t\u1eafc m\u1ea1ch l\u1edbn.<\/span><\/p>\n<p><span lang=\"VI\">V\u1ec1 m\u1eb7t l\u00fd thuy\u1ebft, l\u00e0m tan c\u1ee5c huy\u1ebft kh\u1ed1i b\u1eb1ng k\u1ef9 thu\u1eadt c\u01a1 h\u1ecdc \u00edt g\u00e2y ra c\u00e1c nguy c\u01a1 ch\u1ea3y m\u00e1u h\u01a1n trong v\u00e0 sau t\u00e1i t\u01b0\u1edbi m\u00e1u so v\u1edbi d\u00f9ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. V\u1ec1 c\u01a1 ch\u1ebf t\u00e1c \u0111\u1ed9ng, c\u00e1c d\u1ee5ng c\u1ee5 l\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc c\u0169ng c\u00f3 th\u1ec3 chia th\u00e0nh 2 nh\u00f3m ch\u00ednh, t\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed t\u1ea1o l\u1ef1c l\u00ean \u0111\u1ea7u g\u1ea7n hay \u0111\u1ea7u xa c\u1ee5c huy\u1ebft kh\u1ed1i. Nh\u00f3m t\u1ea1o l\u1ef1c \u0111\u1ea7u g\u1ea7n bao g\u1ed3m c\u00e1c \u1ed1ng th\u00f4ng h\u00fat huy\u1ebft kh\u1ed1i r\u1ea5t m\u1ec1m, ch\u1eafc c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn d\u1ec5 d\u00e0ng \u0111\u1ea7u g\u1ea7n c\u1ee7a c\u1ee5c huy\u1ebft kh\u1ed1i v\u00e0 ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt nhanh v\u1edbi t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng th\u1ea5p, \u00edt t\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch. M\u1ed9t s\u1ed1 \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean l\u00e0: Sofia Plus (microvention), Jet7 (Penumbra), React (Medtronic), Catalyst (Stryker). Nh\u00f3m t\u1ea1o l\u1ef1c \u0111\u1ea7u xa, bao g\u1ed3m c\u00e1c d\u1ee5ng c\u1ee5 l\u1ea5y huy\u1ebft kh\u1ed1i, th\u01b0\u1eddng l\u00e0 stent v\u1edbi c\u00e1c h\u00ecnh d\u1ea1ng kh\u00e1c nhau (h\u00ecnh th\u00f2ng l\u1ecdng, h\u00ecnh r\u1ed5 hay h\u00ecnh v\u00f2ng xo\u1eafn) s\u1ebd ti\u1ebfp c\u1eadn \u0111\u1ea7u xa c\u1ee5c huy\u1ebft kh\u1ed1i qua m\u1ed9t vi \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a qua kho\u1ea3ng tr\u1ed1ng gi\u1eefa huy\u1ebft kh\u1ed1i v\u00e0 l\u00f2ng m\u1ea1ch. Nh\u00f3m n\u00e0y c\u00f3 t\u1ef7 l\u1ec7 l\u1ea5y huy\u1ebft kh\u1ed1i th\u00e0nh c\u00f4ng cao h\u01a1n nh\u01b0ng s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 t\u1eafc m\u1ed9t s\u1ed1 nh\u00e1nh xa do m\u1ea3nh v\u1ee5n c\u1ee7a huy\u1ebft kh\u1ed1i di tr\u00fa. B\u00ean c\u1ea1nh \u0111\u00f3, k\u00e9o huy\u1ebft kh\u1ed1i tr\u1ef1c ti\u1ebfp b\u1eb1ng c\u00e1c d\u1ee5ng c\u1ee5 stent kim lo\u1ea1i tr\u00ean m\u1ed9t \u0111o\u1ea1n d\u00e0i c\u0169ng d\u1ec5 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn co th\u1eaft, h\u1eb9p t\u1eafc ho\u1eb7c b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c. M\u1ed9t s\u1ed1 lo\u1ea1i stent l\u1ea5y huy\u1ebft kh\u1ed1i ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c ch\u1ee9ng nh\u1eadn c\u1ee7a FDA trong can thi\u1ec7p n\u1ed9i m\u1ea1ch: Solitaire (Medtronic), Trevo (Stryker)\u00a0<\/span><\/p>\n<h2>2. L\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5<\/h2>\n<p><span lang=\"VI\">T\u1eeb n\u0103m 2018, th\u00e0nh c\u00f4ng c\u1ee7a nghi\u00ean c\u1ee9u DAWN v\u00e0 DEFUSE 3 \u0111\u00e3 gi\u00fap m\u1edf r\u1ed9ng c\u1eeda s\u1ed5 \u0111i\u1ec1u tr\u1ecb <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dot-quy-nguyen-nhan-dau-hieu-nhan-biet-cach-phong-tranh\/\">\u0111\u1ed9t qu\u1ef5<\/a> thi\u1ebfu m\u00e1u n\u00e3o c\u1ea5p b\u1eb1ng d\u1ee5ng c\u1ee5 c\u01a1 h\u1ecdc t\u1eeb 6 gi\u1edd l\u00ean \u0111\u1ebfn 24 gi\u1edd \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p c\u00e1c ti\u00eau chu\u1ea9n l\u1ef1a ch\u1ecdn. C\u00e1c h\u01b0\u1edbng d\u1eabn m\u1edbi c\u1ee7a H\u1ed9i tim m\u1ea1ch v\u00e0 \u0111\u1ed9t qu\u1ef5 Hoa K\u1ef3 n\u0103m 2018, 2019 \u0111\u01b0a ra khuy\u1ebfn ngh\u1ecb l\u1ea5y huy\u1ebft kh\u1ed1i \u1edf b\u1ec7nh nh\u00e2n \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n trong c\u1eeda s\u1ed5 6 \u0111\u1ebfn 16 gi\u1edd sau \u0111\u1ed9t qu\u1ef5, c\u1ee5 th\u1ec3 l\u00e0 \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1edbn \u1edf m\u1ed9t trong nh\u1eefng m\u1ea1ch l\u1edbn \u1edf n\u1ec1n n\u00e3o v\u00e0 \u0111\u00e1p \u1ee9ng c\u00e1c ti\u00eau ch\u00ed sau:<\/span><\/p>\n<ul>\n<li><span lang=\"VI\">\u0110i\u1ec3m s\u1ed1 Rankin s\u1eeda \u0111\u1ed5i (mRS) t\u1eeb 0 &#8211; 1;<\/span><\/li>\n<li><span lang=\"VI\">T\u1eafc \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch n\u00e3o gi\u1eefa ph\u00e2n \u0111o\u1ea1n 1 (M1);<\/span><\/li>\n<li><span lang=\"VI\">Tu\u1ed5i tr\u00ean 18 tu\u1ed5i;<\/span><\/li>\n<li><span lang=\"VI\">Thang \u0111i\u1ec3m \u0111\u1ed9t qu\u1ef5 NIHSS t\u1eeb 6 tr\u1edf l\u00ean v\u00e0<\/span><\/li>\n<li><span lang=\"VI\"><span lang=\"VI\">Ch\u01b0\u01a1ng tr\u00ecnh \u0111\u1ed9t qu\u1ef5 c\u1ee7a Alberta \u0110i\u1ec3m CT s\u1edbm t\u1eeb 6 tr\u1edf l\u00ean.<\/span><\/span>\n<p><figure id=\"attachment_28222\" aria-describedby=\"caption-attachment-28222\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-28222\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dot-quy-1-300x175.jpg\" alt=\"Minh-hoa-dot-quy-nao\" width=\"300\" height=\"175\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dot-quy-1-300x175.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Dot-quy-1.jpg 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28222\" class=\"wp-caption-text\">Minh h\u1ecda \u0111\u1ed9t qu\u1ef5 n\u00e3o<\/figcaption><\/figure><\/li>\n<\/ul>\n<h2>3. Ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p><span lang=\"VI\">H\u1ed9i \u0111\u1ed9t qu\u1ef5 ch\u00e2u \u00c2u c\u00f4ng b\u1ed1 h\u01b0\u1edbng d\u1eabn can thi\u1ec7p l\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc trong \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u1ea5p t\u00ednh nh\u01b0 sau:<\/span><\/p>\n<ul>\n<li><span lang=\"VI\">L\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t \u1edf b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 n\u00e3o c\u1ea5p do thi\u1ebfu m\u00e1u trong v\u00f2ng 6h kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng do t\u1eafc m\u1ea1ch l\u1edbn c\u1ee7a tu\u1ea7n ho\u00e0n n\u00e3o tr\u01b0\u1edbc<\/span><\/li>\n<li><span lang=\"VI\">L\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh \u0111\u1ed9t qu\u1ef5 n\u00e3o c\u1ea5p do thi\u1ebfu m\u00e1u li\u00ean quan \u0111\u1ebfn t\u1eafc m\u1ea1ch v\u00f2ng tu\u1ea7n ho\u00e0n n\u00e3o tr\u01b0\u1edbc xu\u1ea5t hi\u1ec7n trong kho\u1ea3ng t\u1eeb 6 \u0111\u1ebfn 24 gi\u1edd.<\/span><\/li>\n<li><span lang=\"VI\">Ti\u00eau s\u1ee3i huy\u1ebft \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ph\u1ed1i h\u1ee3p l\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc n\u00ean \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o do t\u1eafc m\u1ea1ch m\u00e1u l\u1edbn. C\u1ea3 hai ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t sau khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n.<\/span><\/li>\n<li><span lang=\"VI\">L\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u (bao g\u1ed3m c\u1ea3 ti\u00eau s\u1ee3i huy\u1ebft khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh) n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t v\u1edbi b\u1ec7nh nh\u00e2n t\u1eeb 80 tu\u1ed5i tr\u1edf l\u00ean, \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o c\u1ea5p t\u00ednh do t\u1eafc m\u1ea1ch m\u00e1u l\u1edbn xu\u1ea5t hi\u1ec7n trong v\u00f2ng 6 gi\u1edd k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng.<\/span><\/li>\n<li><span lang=\"VI\">L\u1ea5y huy\u1ebft kh\u1ed1i v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u (bao g\u1ed3m c\u1ea3 \u0111i\u1ec1u tr\u1ecb ti\u00eau s\u1ee3i huy\u1ebft khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh) \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb trong c\u1eeda s\u1ed5 th\u1eddi gian 0 &#8211; 6 gi\u1edd \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u1ed9t qu\u1ef5 tu\u1ea7n ho\u00e0n n\u00e3o tr\u01b0\u1edbc do t\u1eafc m\u1ea1ch l\u1edbn m\u00e0 kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 nh\u1ed3i m\u00e1u di\u1ec7n r\u1ed9ng.<\/span><\/li>\n<li><span lang=\"VI\">L\u1ea5y huy\u1ebft kh\u1ed1i c\u01a1 h\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u (bao g\u1ed3m c\u1ea3 \u0111i\u1ec1u tr\u1ecb ti\u00eau s\u1ee3i huy\u1ebft khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh) \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb trong c\u1eeda s\u1ed5 th\u1eddi gian 6 &#8211; 24 gi\u1edd \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u1ed9t qu\u1ef5 tu\u1ea7n ho\u00e0n n\u00e3o tr\u01b0\u1edbc do t\u1eafc m\u1ea1ch l\u1edbn, \u0111\u00e1p \u1ee9ng c\u00e1c ti\u00eau ch\u00ed thu nh\u1eadn trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng DEFUSE-3 v\u00e0 DAWN.<\/span><\/li>\n<li><span lang=\"VI\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh n\u00e2ng cao l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ec3 l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 n\u00e3o do t\u1eafc m\u1ea1ch m\u00e1u l\u1edbn c\u1ee7a tu\u1ea7n ho\u00e0n n\u00e3o tr\u01b0\u1edbc xu\u1ea5t hi\u1ec7n t\u1eeb 0 &#8211; 6 gi\u1edd k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng.<\/span><\/li>\n<\/ul>\n<p>Ngu\u1ed3n t\u00e0i li\u1ec7u: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec1u tr\u1ecb l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5 ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111em l\u1ea1i nh\u1eefng hi\u1ec7u qu\u1ea3 t\u00edch c\u1ef1c v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 trong t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 kh\u1ea3 n\u0103ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. Trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y, ch\u00fang ta h\u00e3y c\u00f9ng [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u1ed9t qu\u1ef5: Can thi\u1ec7p l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5 - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec1u tr\u1ecb l\u1ea5y huy\u1ebft kh\u1ed1i ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd g\u1ea7n \u0111\u00e2y. 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