{"id":28390,"date":"2023-04-25T19:36:05","date_gmt":"2023-04-25T12:36:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28390"},"modified":"2023-04-25T19:36:47","modified_gmt":"2023-04-25T12:36:47","slug":"dieu-tri-doa-de-non","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/dieu-tri-doa-de-non\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb do\u1ea1 \u0111\u1ebb non"},"content":{"rendered":"<p style=\"font-weight: 400;\"><strong>Chu\u1ea9n \u0111o\u00e1n d\u1ecda \u0111\u1ebb non c\u00f2n g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n v\u00ec c\u00f3 kho\u1ea3ng 60% l\u00e0 do\u1ea1 \u0111\u1ebb non gi\u1ea3. Ch\u00fang ta c\u1ea7n hi\u1ec3u r\u00f5 b\u1ec7nh \u0111\u1ec3 c\u00f3 nh\u1eefng \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng ph\u00f9 h\u1ee3p gi\u00fap thai ph\u1ee5 gi\u1eef thai an to\u00e0n.<\/strong><\/p>\n<h2><b>1. Do\u1ea1 \u0111\u1ebb non l\u00e0 g\u00ec?<\/b><\/h2>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Theo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi, \u0111\u1ebb non l\u00e0 cu\u1ed9c chuy\u1ec3n d\u1ea1 x\u1ea3y ra t\u1eeb\u00a0<\/span><span style=\"font-weight: 400;\">tu\u1ea7n th\u1ee9 22 \u0111\u1ebfn tr\u01b0\u1edbc tu\u1ea7n 37 c\u1ee7a thai k\u1ef3 t\u00ednh theo kinh cu\u1ed1i c\u00f9ng. Do\u1ea1 \u0111\u1ebb non l\u00e0 giai \u0111o\u1ea1n tr\u01b0\u1edbc b\u00e1o hi\u1ec7u \u0111\u1ebb non.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nguy\u00ean nh\u00e2n do\u1ea1 \u0111\u1ebb non:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1ea3n khoa: \u0111a thai, rau ti\u1ec1n \u0111\u1ea1o, \u0111a \u1ed1i, d\u1ecb d\u1ea1ng b\u1ea9m sinh t\u1eed cung, u x\u01a1 t\u1eed cung, d\u00ednh bu\u1ed3ng t\u1eed cung, <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/ho-eo-co-tu-cung-khi-mang-thai-co-nguy-hiem-khong\/\">h\u1edf eo t\u1eed cung<\/a><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nhi\u1ec5m tr\u00f9ng: Ti\u1ebft ni\u1ec7u, c\u1ed5 t\u1eed cung, \u00e2m \u0111\u1ea1o<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kinh t\u1ebf &#8211; x\u00e3 h\u1ed9i: Ngh\u00e8o \u0111\u00f3i, lao \u0111\u1ed9ng n\u1eb7ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n: chi\u1ebfm 40%<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a d\u1ecda \u0111\u1ebb non l\u00e0:\u00a0<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au b\u1ee5ng t\u1eebng c\u01a1n, kh\u00f4ng \u0111\u1ec1u \u0111\u1eb7n, t\u1ee9c n\u1eb7ng b\u1ee5ng d\u01b0\u1edbi, \u0111au l\u01b0ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ra d\u1ecbch \u00e2m \u0111\u1ea1o d\u1ecbch nh\u1ea7y, l\u1eabn m\u00e1u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u01a1n co t\u1eed cung th\u01b0a nh\u1eb9 (2 c\u01a1n trong 10 ph\u00fat, th\u1eddi gian co d\u01b0\u1edbi 30 gi\u00e2y)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u1ed5 t\u1eed cung \u0111\u00f3ng, ho\u1eb7c x\u00f3a m\u1edf d\u01b0\u1edbi 2cm<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_28396\" aria-describedby=\"caption-attachment-28396\" style=\"width: 543px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-28396\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/C09E437B-BDE4-4E2E-B250-00BE78C92189.jpeg\" alt=\"Trieu-chung-doa-de-non\" width=\"543\" height=\"292\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/C09E437B-BDE4-4E2E-B250-00BE78C92189.jpeg 543w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/C09E437B-BDE4-4E2E-B250-00BE78C92189-300x161.jpeg 300w\" sizes=\"(max-width: 543px) 100vw, 543px\" \/><figcaption id=\"caption-attachment-28396\" class=\"wp-caption-text\">Tri\u1ec7u ch\u1ee9ng do\u1ea1 \u0111\u1ebb non<\/figcaption><\/figure>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">C\u00e1c x\u00e9t nghi\u1ec7m h\u1ed7 tr\u1ee3 chu\u1ea9n \u0111o\u00e1n d\u1ecda \u0111\u1ebb non:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Test fibronectin: L\u00e0 1 glycoprotein c\u00f3 t\u00e1c d\u1ee5ng g\u1eafn ch\u1eb7t v\u00e0o c\u00e1c t\u1ebf b\u00e0o v\u1edbi nhau, ch\u00fang ch\u1ee7 \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng khi c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ly gi\u1ea3i t\u1ebf b\u00e0o. N\u00f3 c\u00f3 t\u00e1c d\u1ee5ng g\u1eafn b\u00e1nh ray c\u0169ng nh\u01b0 m\u00e0ng r\u1ee5ng v\u00e0o th\u00e0nh t\u1eed cung. S\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a fibronectine trong d\u1ecbch \u00e2m \u0111\u1ea1o ch\u1ee9ng t\u1ecf hi\u1ec7n t\u01b0\u1ee3ng bong rau hay bong m\u00e0ng \u1ed1i kh\u1ecfi th\u00e0nh t\u1eed cung<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Si\u00eau \u00e2m \u0111o chi\u1ec1u d\u00e0i c\u1ed5 t\u1eed cung: B\u00ecnh th\u01b0\u1eddng c\u1ed5 t\u1eed cung d\u00e0i 30-35cm \u1edf tu\u1ed5i thai 24 tu\u1ea7n v\u00e0 26-40mm sau 24 tu\u1ea7n. \u0110\u1ed1i v\u1edbi do\u1ea1 \u0111\u1ebb non h\u00ecnh \u1ea3nh si\u00eau \u00e2m c\u1ed5 t\u1eed cung d\u00e0i d\u01b0\u1edbi 26mm, l\u1ed7 trong m\u1edf, \u0111\u1ea7u \u1ed1i t\u1ee5t v\u00e0 trong \u1ed1ng c\u1ed5 t\u1eed cung, l\u1ed7 trong m\u1edf khi \u1ea5n tay v\u00e0 \u0111\u00e1y t\u1eed cung trong l\u00e0m si\u00eau \u00e2m. S\u1ed1 \u0111o c\u1ed5 t\u1eed cung c\u00f3 gi\u00e1 tr\u1ecb d\u01b0\u01a1ng t\u00ednh 40,4%.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Si\u00eau \u00e2m xem h\u00ecnh th\u00e1i c\u1ed5 t\u1eed cung<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Monitoring s\u1ea3n khoa: X\u00e1c \u0111\u1ecbnh xu\u1ea5t hi\u1ec7n c\u01a1n co t\u1eed cung ngay c\u1ea3 khi thai ph\u1ee5 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/span><\/li>\n<\/ul>\n<h2><b>2. \u0110i\u1ec1u tr\u1ecb do\u1ea1 \u0111\u1ebb non?<\/b><\/h2>\n<h3 style=\"font-weight: 400;\"><b>2.1 Ngh\u1ec9 ng\u01a1i<\/b><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ngh\u1ec9 ng\u01a1i\u00a0 tuy\u1ec7t \u0111\u1ed1i t\u1ea1i gi\u01b0\u1eddng, nghi\u00eang tr\u00e1i, tr\u00e1nh k\u00edch th\u00edch<\/span><\/p>\n<h3 style=\"font-weight: 400;\"><b>\u00a02.2 Thu\u1ed1c gi\u1ea3m &#8211; c\u1eaft c\u01a1n co t\u1eed cung<\/b><\/h3>\n<h4 style=\"font-weight: 400;\"><b>2.2.1 Thu\u1ed1c h\u01b0\u1edbng b\u00ea ta giao c\u1ea3m<\/b><\/h4>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0Salbutamol:\u00a0<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh tim, c\u01b0\u1eddng gi\u00e1p, t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u1eb7ng, ch\u1ea3y m\u00e1u nhi\u1ec1u, nhi\u1ec5m khu\u1ea9n \u1ed1i.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c d\u1ee5ng ph\u1ee5: t\u0103ng nh\u1ecbp tim, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, h\u1ea1 Kali m\u00e1u. D\u1eebng thu\u1ed1c n\u1ebfu nh\u1ecbp tim &gt;120l\u1ea7n\/ph\u00fat.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Salbutamol: li\u1ec1u 5mg pha trong 500ml Glucose 5%, truy\u1ec1n t\u0129nh m\u1ea1ch 20 gi\u1ecdt\/ph\u00fat (10mcg\/ph\u00fat), li\u1ec1u t\u1ed1i \u0111a 45 gi\u1ecdt\/ ph\u00fat. Khi \u0111\u00e3 c\u1eaft \u0111\u01b0\u1ee3c c\u01a1n co, chuy\u1ec3n sang li\u1ec1u duy tr\u00ec : vi\u00ean 4mg, ng\u1eadm 1 &#8211; 2 vi\u00ean\/ng\u00e0y.<\/span><\/li>\n<\/ul>\n<h4 style=\"font-weight: 400;\"><b>2.2.2 Thu\u1ed1c ch\u1eb9n k\u00eanh calci<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/h4>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nifedipine:\u00a0<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Li\u1ec1u t\u1ea5n c\u00f4ng 20mg ng\u1eadm d\u01b0\u1edbi l\u01b0\u1ee1i trong 20 ph\u00fat, t\u1ed1i \u0111a 03 li\u1ec1u. Sau khi c\u1eaft c\u01a1n co duy tr\u00ec Nifedipine ch\u1eadm 20mg, u\u1ed1ng 6-8h \/l\u1ea7n. Theo d\u00f5i huy\u1ebft \u00e1p khi d\u00f9ng thu\u1ed1c, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh n\u1ebfu huy\u1ebft \u00e1p th\u1ea5p &lt; 90\/50mmHg.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c d\u1ee5ng ph\u1ee5: n\u00f3ng b\u1eebng m\u1eb7t, bu\u1ed3n n\u00f4n, t\u1ee5t huy\u1ebft \u00e1p tho\u00e1ng qua.<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Magnesium Sulfate:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Li\u1ec1u t\u1ea5n c\u00f4ng 4-6g pha trong 100ml Glucose 5%, truy\u1ec1n TM trong 20 ph\u00fat. Li\u1ec1u duy tr\u00ec: 2g\/h truy\u1ec1n t\u0129nh m\u1ea1ch trong 12h, sau \u0111\u00f3 1g\/h trong 24h.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tai bi\u1ebfn: n\u00f3ng b\u1eebng m\u1eb7t, gi\u1ea3m ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng, \u1ee9c ch\u1ebf h\u00f4 h\u1ea5p, ng\u1eebng th\u1edf, ng\u1eebng tim. C\u1ea7n theo d\u00f5i n\u1ed3ng \u0111\u1ed9 ion Mg huy\u1ebft thanh 5-7mg\/dL.<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Thu\u1ed1c \u0111\u1ed1i kh\u00e1ng c\u1ea1nh tranh v\u1edbi oxytocin:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Atosiban c\u00f3 t\u00e1c d\u1ee5ng c\u1ea1nh tranh v\u1edbi oxytocin tr\u00ean c\u00e1c th\u1ee5 th\u1ec3 t\u1ea1i m\u00e0ng t\u1ebf b\u00e0o c\u01a1 t\u1eed cung l\u00e0m gi\u1ea3m s\u1ef1 \u0111\u00e1p \u1ee9ng c\u1ee7a c\u01a1 t\u1eed cung v\u1edbi oxytocin.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb d\u1ecda \u0111\u1ebb non t\u1eeb tu\u1ea7n 24-33 c\u1ee7a thai k\u1ef3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: \u1ed1i v\u1ee1 non, thai suy, thai ch\u1eadm ph\u00e1t tri\u1ec3n, ch\u1ea3y m\u00e1u n\u1eb7ng, ti\u1ec1n s\u1ea3n gi\u1eadt, rau ti\u1ec1n \u0111\u1ea1o, rau bong non.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Li\u1ec1u d\u00f9ng : 75mg Atosiban (10ml) pha trong 90ml dung d\u1ecbch Glucose 5% ho\u1eb7c NaCl 0,9%. Truy\u1ec1n t\u0129nh m\u1ea1ch 24ml\/h, sau 3h gi\u1ea3m xu\u1ed1ng 8ml\/h. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb kh\u00f4ng n\u00ean qu\u00e1 48h, kh\u00f4ng qu\u00e1 3 \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb trong thai k\u1ef3.<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><b>2.3 Li\u1ec7u ph\u00e1p Corticoid\u00a0<\/b><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">T\u0103ng c\u01b0\u1eddng s\u1ea3n xu\u1ea5t surfactan, th\u00fac \u0111\u1ea9y s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a m\u00f4 li\u00ean k\u1ebft, l\u00e0m gi\u1ea3m suy h\u00f4 h\u1ea5p \u1edf tr\u1ebb non th\u00e1ng. Ch\u1ec9 \u0111\u1ecbnh cho thai t\u1eeb 28 \u0111\u1ebfn h\u1ebft 34 tu\u1ea7n tu\u1ed5i, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t trong c\u00e1c thu\u1ed1c sau \u1edf c\u00e1c tuy\u1ebfn y t\u1ebf.<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bethamethasone 12mg, 2 li\u1ec1u ti\u00eam b\u1eafp c\u00e1ch nhau 24h.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ho\u1eb7c Dexamethasone 6mg\/l\u1ea7n, ti\u00eam b\u1eafp 4 l\u1ea7n c\u00e1ch nhau 12h<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><b>2.4. X\u1eed tr\u00ed \u0111\u1ebb non khi \u1ee9c ch\u1ebf chuy\u1ec3n d\u1ea1 kh\u00f4ng th\u00e0nh c\u00f4ng\u00a0<\/b><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tr\u00e1nh sang ch\u1ea5n cho thai : b\u1ea3o v\u1ec7 \u0111\u1ea7u \u1ed1i \u0111\u1ebfn khi c\u1ed5 t\u1eed cung m\u1edf h\u1ebft, h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng oxytocin, c\u1eaft t\u1ea7ng sinh m\u00f4n r\u1ed9ng, m\u1ed5 l\u1ea5y thai n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ch\u1ed1ng nhi\u1ec5m khu\u1ea9n n\u1ebfu \u1ed1i v\u1ee1 s\u1edbm, d\u1ef1 ph\u00f2ng s\u00f3t rau, ch\u1ea3y m\u00e1u sau \u0111\u1ebb. \u0110\u1ea3m b\u1ea3o h\u1ed3i s\u1ee9c, ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh non th\u00e1ng.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110\u1ebb non c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 m\u1eafc b\u1ec7nh cao h\u01a1n r\u1ea5t nhi\u1ec1u so v\u1edbi tr\u1ebb \u0111\u1ebb \u0111\u1ee7 th\u00e1ng, nguy c\u01a1 cao b\u1ecb di ch\u1ee9ng th\u1ea7n kinh v\u1edbi t\u1ef7 l\u1ec7 1\/3 tr\u01b0\u1edbc tu\u1ea7n 32, gi\u1ea3m xu\u1ed1ng 1\/10 sau 35 tu\u1ea7n. D\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ecda \u0111\u1ebb non &#8211; \u0111\u1ebb non lu\u00f4n l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi s\u1ea3n khoa, s\u01a1 sinh v\u00e0 to\u00e0n x\u00e3 h\u1ed9i.<\/span><\/p>\n<p>Theo ph\u00e1c \u0111\u1ed3 b\u1ed9 y t\u1ebf n\u0103m 2015<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chu\u1ea9n \u0111o\u00e1n d\u1ecda \u0111\u1ebb non c\u00f2n g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n v\u00ec c\u00f3 kho\u1ea3ng 60% l\u00e0 do\u1ea1 \u0111\u1ebb non gi\u1ea3. Ch\u00fang ta c\u1ea7n hi\u1ec3u r\u00f5 b\u1ec7nh \u0111\u1ec3 c\u00f3 nh\u1eefng \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng ph\u00f9 h\u1ee3p gi\u00fap thai ph\u1ee5 gi\u1eef thai an to\u00e0n. 1. Do\u1ea1 \u0111\u1ebb non l\u00e0 g\u00ec? Theo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi, [&hellip;]<\/p>\n","protected":false},"author":34,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110i\u1ec1u tr\u1ecb do\u1ea1 \u0111\u1ebb non - Vinmec<\/title>\n<meta name=\"description\" content=\"Chu\u1ea9n \u0111o\u00e1n d\u1ecda \u0111\u1ebb non c\u00f2n g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n v\u00ec c\u00f3 kho\u1ea3ng 60% l\u00e0 do\u1ea1 \u0111\u1ebb non gi\u1ea3. 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