{"id":28466,"date":"2023-04-29T14:28:13","date_gmt":"2023-04-29T07:28:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28466"},"modified":"2023-05-07T12:06:34","modified_gmt":"2023-05-07T05:06:34","slug":"viem-bang-quang-cap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/","title":{"rendered":"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p"},"content":{"rendered":"

Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang.B\u00e0i vi\u1ebft s\u1ebd tr\u00ecnh b\u00e0y nh\u1eefng tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u1ee7a vi\u00eam b\u00e0ng quang c\u1ea5p nh\u01b0 ti\u1ec3u nhi\u1ec1u, ti\u1ec3u bu\u1ed1t, ti\u1ec3u \u0111\u00eam nhi\u1ec1u l\u1ea7n, c\u1ea3m gi\u00e1c \u0111au r\u00e1t khi \u0111i ti\u1ec3u, v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 bao g\u1ed3m nhi\u1ec5m khu\u1ea9n, t\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c, v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c.<\/strong><\/p>\n

1. N<\/strong>guy\u00ean nh\u00e2n<\/strong><\/h1>\n

1.1. C\u00e1c lo\u1ea1i vi khu\u1ea9n th\u01b0\u1eddng g\u1eb7p<\/strong><\/h3>\n

Vi khu\u1ea9n gram(-) chi\u1ebfm kho\u1ea3ng 90%, vi khu\u1ea9n gram(+) chi\u1ebfm kho\u1ea3ng 10%. Th\u01b0\u1eddng g\u1eb7p l\u00e0:<\/p>\n

–\u00a0Escherichia coli:\u00a0<\/em>70 – 80% ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– Proteus mirabilis<\/em>: 10 – 15% ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

–\u00a0Klebsiella:\u00a0<\/em>5 – 10% ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– Staphylococus saprophyticus<\/em>: 5 – 10% ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

–\u00a0Pseudomoras aeruginosa<\/em>: 1 – 2% ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

–\u00a0Staphylococus aereus:\u00a0<\/em>1 – 2% ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

1.2. Nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i<\/strong><\/h3>\n

– Ph\u00ec \u0111\u1ea1i l\u00e0nh t\u00ednh ho\u1eb7c u tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n

– S\u1ecfi, u b\u00e0ng quang.<\/p>\n

– H\u1eb9p ni\u1ec7u \u0111\u1ea1o, h\u1eb9p bao qui \u0111\u1ea7u.<\/p>\n

– \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n

– C\u00f3 thai.<\/p>\n

– \u0110\u1eb7t sonde d\u1eabn l\u01b0u b\u00e0ng quang ho\u1eb7c can thi\u1ec7p b\u00e0ng quang, ni\u1ec7u \u0111\u1ea1o\u2026<\/p>\n

\"\"
Ngu\u1ed3n<\/strong>: Cystitis – Nurseslabs<\/em><\/figcaption><\/figure>\n

2. C<\/strong>h\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/strong><\/h2>\n

2.1. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam b\u00e0ng quang c\u1ea5p th\u00f4ng th\u01b0\u1eddng \u1edf ph\u1ee5 n\u1eef<\/strong><\/h3>\n

2.1.1. Ch\u1ea9n \u0111o\u00e1n: D\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng.<\/em><\/strong><\/p>\n

L\u00e2m s\u00e0ng:<\/em><\/p>\n

– C\u00f3 h\u1ed9i ch\u1ee9ng b\u00e0ng quang r\u00f5 v\u1edbi ti\u1ec3u bu\u1ed1t, ti\u1ec3u d\u1eaft, c\u00f3 th\u1ec3 ti\u1ec3u m\u00e1u, ti\u1ec3u m\u1ee7 cu\u1ed1i b\u00e3i.<\/p>\n

– C\u00f3 th\u1ec3 c\u00f3 \u0111au nh\u1eb9 v\u00f9ng tr\u00ean kh\u1edbp mu khi b\u00e0ng quang c\u0103ng.<\/p>\n

– \u0110\u00f4i khi tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, ch\u1ec9 c\u00f3 n\u00f3ng r\u00e1t khi \u0111i ti\u1ec3u ho\u1eb7c ti\u1ec3u d\u1eaft.<\/p>\n

– Th\u01b0\u1eddng kh\u00f4ng s\u1ed1t ho\u1eb7c ch\u1ec9 s\u1ed1t nh\u1eb9 ( nhi\u1ec7t \u0111\u1ed9 < 38o<\/sup>C).<\/p>\n

C\u1eadn l\u00e2m s\u00e0ng:<\/em><\/p>\n

– X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u:<\/p>\n

+ B\u1ea1ch c\u1ea7u ni\u1ec7u d\u01b0\u01a1ng t\u00ednh t\u1eeb (++) \u0111\u1ebfn (+++) (\u2265 104<\/sup>\u00a0b\u1ea1ch c\u1ea7u\/ml). Tuy nhi\u00ean khi tr\u00ean k\u00ednh hi\u1ec3n vi soi c\u00f3 nhi\u1ec1u b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n\u00a0tho\u00e1i\u00a0h\u00f3a \u1edf m\u1eabu n\u01b0\u1edbc ti\u1ec3u t\u01b0\u01a1i th\u00ec kh\u00f4ng c\u1ea7n \u0111\u1ebfn s\u1ed1 l\u01b0\u1ee3ng \u2265 104<\/sup>\u00a0b\u1ea1ch c\u1ea7u\/ml n\u01b0\u1edbc ti\u1ec3u v\u1eabn \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.<\/p>\n

+ Nitrit ni\u1ec7u (+)<\/p>\n

+ Vi khu\u1ea9n ni\u1ec7u \u2265 105<\/sup>\/ml n\u01b0\u1edbc ti\u1ec3u c\u1ea5y. Tuy nhi\u00ean ch\u1ec9 c\u1ea7n c\u1ea5y n\u01b0\u1edbc ti\u1ec3u khi \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng kh\u00f4ng \u0111\u00e1p \u1ee9ng ho\u1eb7c t\u00e1i ph\u00e1t.<\/p>\n

+ Kh\u00f4ng c\u00f3 protein ni\u1ec7u tr\u1eeb khi c\u00f3 ti\u1ec3u m\u00e1u, ti\u1ec3u m\u1ee7 \u0111\u1ea1i th\u1ec3.<\/p>\n

– X\u00e9t nghi\u1ec7m m\u00e1u:<\/p>\n

+ Th\u01b0\u1eddng kh\u00f4ng c\u1ea7n x\u00e9t nghi\u1ec7m.<\/p>\n

+ B\u1ea1ch c\u1ea7u m\u00e1u th\u01b0\u1eddng kh\u00f4ng cao.<\/p>\n

– Si\u00eau \u00e2m: C\u00f3 th\u1ec3 th\u1ea5y th\u00e0nh b\u00e0ng quang d\u00e0y h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n

2.1.2. \u0110i\u1ec1u tr\u1ecb:<\/em><\/strong><\/p>\n

Th\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh m\u1ed9t li\u1ec7u tr\u00ecnh ng\u1eafn t\u1eeb 3-5 ng\u00e0y, c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t trong nh\u1eefng thu\u1ed1c sau:<\/p>\n

– Trimethoprim sulfamethoxazol: vi\u00ean 480 mg, u\u1ed1ng 1-2 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y c\u00e1ch nhau 12 gi\u1edd trong 3 – 5 ng\u00e0y.<\/p>\n

– Cephalexin: vi\u00ean 500 mg, u\u1ed1ng 1- 2 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y c\u00e1ch nhau 12 gi\u1edd trong 5 ng\u00e0y.<\/p>\n

– Nitrofurantoin: vi\u00ean 100 mg, u\u1ed1ng 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y c\u00e1ch nhau 12 gi\u1edd trong 5 ng\u00e0y.<\/p>\n

– Amoxicillin + Clavulanate: vi\u00ean 625 mg, u\u1ed1ng 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y c\u00e1ch nhau 12 gi\u1edd trong 5 ng\u00e0y.<\/p>\n

– Nh\u00f3m Fluoroquinolones kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay tr\u1eeb khi \u0111i\u1ec1u tr\u1ecb c\u00e1c kh\u00e1ng sinh kh\u00e1c th\u1ea5t b\u1ea1i ho\u1eb7c \u0111\u00e3 t\u00e1i ph\u00e1t. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ecdn l\u00e0 Norfloxacin 400 mg, u\u1ed1ng m\u1ed7i l\u1ea7n 1 vi\u00ean c\u00e1ch nhau 12 gi\u1edd trong 3 – 5 ng\u00e0y.<\/p>\n

U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc, n\u01b0\u1edbc ti\u1ec3u \u00edt nh\u1ea5t > 1,5 l\u00edt\/24h v\u00e0 kh\u00f4ng nh\u1ecbn ti\u1ec3u qu\u00e1 6 gi\u1edd l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng gi\u00fap \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng nhi\u1ec5m khu\u1ea9n.<\/p>\n

2.2. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam b\u00e0ng quang c\u1ea5p \u1edf ph\u1ee5 n\u1eef c\u00f3 thai:<\/strong><\/h3>\n

2.2.1. Ch\u1ea9n \u0111o\u00e1n<\/em><\/strong><\/p>\n

Vi\u00eam b\u00e0ng quang c\u1ea5p \u1edf ph\u1ee5 n\u1eef c\u00f3 thai tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 vi\u00eam b\u00e0ng quang c\u1ea5p th\u00f4ng th\u01b0\u1eddng. \u0110\u1ec3 tr\u00e1nh vi\u00eam th\u1eadn b\u1ec3 th\u1eadn c\u1ea5p d\u1ec5 g\u00e2y s\u1ea3y thai c\u1ea7n \u0111i\u1ec1u tr\u1ecb s\u1edbm. N\u00ean c\u1ea5y n\u01b0\u1edbc ti\u1ec3u tr\u01b0\u1edbc khi d\u00f9ng kh\u00e1ng sinh. C\u1ea7n l\u1ef1a ch\u1ecdn kh\u00e1ng sinh kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb c\u0169ng n\u00ean k\u00e9o d\u00e0i h\u01a1n, trung b\u00ecnh l\u00e0 1 tu\u1ea7n l\u1ec5. Khi c\u00f3 vi khu\u1ea9n ni\u1ec7u \u2265 105<\/sup>\/ml th\u00ec d\u00f9 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u1eabn c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. V\u00ec v\u1eady n\u00ean ch\u1ee7 \u0111\u1ed9ng x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u v\u00e0 c\u1ea5y n\u01b0\u1edbc ti\u1ec3u khi kh\u00e1m thai \u0111\u1ecbnh k\u1ef3, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng thai ph\u1ee5 \u0111\u00e3 c\u00f3 ti\u1ec1n s\u1eed nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh c\u00f3 vi khu\u1ea9n ni\u1ec7u (+) hay kh\u00f4ng.<\/p>\n

2.2.2. \u0110i\u1ec1u tr\u1ecb<\/em><\/strong><\/p>\n

C\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t trong nh\u1eefng thu\u1ed1c sau:<\/p>\n

– Cephalexin: vi\u00ean 500 mg, u\u1ed1ng 1-2 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y c\u00e1ch nhau 12 gi\u1edd trong 7 ng\u00e0y.<\/p>\n

– Amoxicillin + Clavulanate: vi\u00ean 625 mg, u\u1ed1ng 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y c\u00e1ch nhau 12h trong 7 ng\u00e0y.<\/p>\n

– N\u1ebfu c\u1ea5y c\u00f3 vi khu\u1ea9n ni\u1ec7u (+), l\u1ef1a ch\u1ecdn theo kh\u00e1ng sinh \u0111\u1ed3.<\/p>\n

– Tr\u00e1nh s\u1eed d\u1ee5ng nh\u00f3m fluoroquinolones v\u00e0 Trimethoprim-Sulfamethoxazol do c\u00e1c thu\u1ed1c n\u00e0y c\u00f3 nguy c\u01a1 g\u00e2y qu\u00e1i thai v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi ngay c\u1ea3 \u1edf nh\u1eefng th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3. C\u0169ng kh\u00f4ng d\u00f9ng nitrofurantoin \u1edf 3 th\u00e1ng cu\u1ed1i thai k\u1ef3 v\u00ec c\u00f3 nguy c\u01a1 tan huy\u1ebft s\u01a1 sinh.<\/p>\n

– U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 kh\u00f4ng nh\u1ecbn ti\u1ec3u c\u0169ng l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft.<\/p>\n

2.3. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam b\u00e0ng quang c\u1ea5p \u1edf nam gi\u1edbi<\/strong><\/h3>\n

2.3.1. Ch\u1ea9n \u0111o\u00e1n:<\/em><\/strong><\/p>\n

Ch\u1ea9n \u0111o\u00e1n vi\u00eam b\u00e0ng quang c\u1ea5p \u1edf nam gi\u1edbi c\u0169ng d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng nh\u01b0 vi\u00eam b\u00e0ng quang c\u1ea5p th\u00f4ng th\u01b0\u1eddng \u1edf n\u1eef gi\u1edbi. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u1ea7n t\u00ecm nguy\u00ean nh\u00e2n li\u00ean quan nh\u01b0 vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t, vi\u00eam tinh ho\u00e0n, m\u00e0o tinh ho\u00e0n \u2026 \u0111\u1ec3 c\u00f3 l\u1ef1a ch\u1ecdn kh\u00e1ng sinh v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb cho th\u00edch h\u1ee3p. Khi ch\u01b0a r\u00f5 c\u00f3 nguy\u00ean nh\u00e2n li\u00ean quan, th\u1eddi gian d\u00f9ng thu\u1ed1c c\u0169ng n\u00ean k\u00e9o d\u00e0i h\u01a1n.<\/p>\n

2.3.2. \u0110i\u1ec1u tr\u1ecb:<\/em><\/strong><\/p>\n

N\u00ean \u01b0u ti\u00ean d\u00f9ng nh\u00f3m quinolone v\u00ec thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng th\u00e2m nh\u1eadp v\u00e0o m\u00f4 tuy\u1ebfn ti\u1ec1n li\u1ec7t t\u1ed1t nh\u1ea5t. C\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t trong nh\u1eefng thu\u1ed1c sau:<\/p>\n

– Trimethoprim – sulfamethoxazol: vi\u00ean 480 mg, u\u1ed1ng 2 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y trong 7-10 ng\u00e0y.<\/p>\n

– Cephalexin: vi\u00ean 500 mg, u\u1ed1ng 2 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y trong 7-14 ng\u00e0y.<\/p>\n

– Amoxicillin + Clavulanate: vi\u00ean 1000 mg, u\u1ed1ng 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ng\u00e0y trong 7-14 ng\u00e0y.<\/p>\n

– Norfloxacin vi\u00ean 400 mg, u\u1ed1ng 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ ng\u00e0y trong 7-14 ng\u00e0y.<\/p>\n

– U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 kh\u00f4ng nh\u1ecbn ti\u1ec3u qu\u00e1 6 gi\u1edd.<\/p>\n

– N\u1ebfu ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c nguy\u00ean nh\u00e2n nh\u01b0: vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh \u2026 s\u1ebd c\u00f3 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ri\u00eang.<\/p>\n

2.4. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam b\u00e0ng quang c\u1ea5p bi\u1ebfn ch\u1ee9ng<\/strong><\/h3>\n

2.4.1. Ch\u1ea9n \u0111o\u00e1n:<\/em><\/strong><\/p>\n

Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng nh\u01b0 vi\u00eam b\u00e0ng quang c\u1ea5p th\u00f4ng th\u01b0\u1eddng.<\/p>\n

– Ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u1ed9t trong c\u00e1c nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i th\u01b0\u1eddng g\u1eb7p: t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng b\u00e0i ni\u1ec7u (s\u1ecfi, u, n\u01b0\u1edbc ti\u1ec3u t\u1ed3n d\u01b0 > 100 ml, b\u00e0ng quang th\u1ea7n kinh, \u0111\u1eb7t sonde b\u00e0ng quang ho\u1eb7c soi b\u00e0ng quang, can thi\u1ec7p ni\u1ec7u \u0111\u1ea1o (vi khu\u1ea9n b\u1ec7nh vi\u1ec7n kh\u00e1ng thu\u1ed1c), \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy gi\u1ea3m mi\u1ec5n d\u1ecbch\u2026)<\/p>\n

– C\u1ea7n c\u1ea5y n\u01b0\u1edbc ti\u1ec3u tr\u01b0\u1edbc khi d\u00f9ng kh\u00e1ng sinh. Khi c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ti\u1ec3u bu\u1ed1t, ti\u1ec3u r\u1eaft th\u00ec s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u ni\u1ec7u < 104<\/sup>\u00a0b\u1ea1ch c\u1ea7u\/ml v\u00e0 vi khu\u1ea9n ni\u1ec7u < 105<\/sup>\u00a0vi khu\u1ea9n\/ml v\u1eabn \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u, nh\u1ea5t l\u00e0 khi c\u00f3 nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i ho\u1eb7c nh\u1eefng vi khu\u1ea9n \u00edt g\u1eb7p (t\u1ee5 c\u1ea7u v\u00e0ng, tr\u1ef1c khu\u1ea9n m\u1ee7 xanh\u2026).<\/p>\n

– Th\u1eddi gian d\u00f9ng kh\u00e1ng sinh c\u0169ng c\u1ea7n k\u00e9o d\u00e0i h\u01a1n.<\/p>\n

2.4.2. \u0110i\u1ec1u tr\u1ecb:<\/em><\/strong><\/p>\n

C\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t trong nh\u1eefng thu\u1ed1c sau:<\/p>\n

– C\u00e1c thu\u1ed1c nh\u00f3m quinolon, vi\u00ean 400 mg, 500 mg, u\u1ed1ng 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ ng\u00e0y trong 10- 14 ng\u00e0y.<\/p>\n

– Amoxicilline + Clavulanate vi\u00ean 1 gram, u\u1ed1ng 1 vi\u00ean\/l\u1ea7n, 2 l\u1ea7n\/ ng\u00e0y trong 10- 14 ng\u00e0y.<\/p>\n

– N\u1ebfu n\u01b0\u1edbc ti\u1ec3u c\u00f3 vi khu\u1ea9n ni\u1ec7u (+) s\u1ebd d\u00f9ng kh\u00e1ng sinh theo kh\u00e1ng sinh \u0111\u1ed3.<\/p>\n

v\u00a0\u0110i\u1ec1u tr\u1ecb lo\u1ea1i b\u1ecf nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i n\u1ebfu c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c:<\/p>\n

– L\u1ea5y s\u1ecfi, u\u2026<\/p>\n

– R\u00fat sonde ho\u1eb7c thay sonde b\u00e0ng quang\u2026<\/p>\n

v\u00a0U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 kh\u00f4ng nh\u1ecbn ti\u1ec3u qu\u00e1 6 gi\u1edd.<\/p>\n

2.5. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam b\u00e0ng quang c\u1ea5p hay t\u00e1i ph\u00e1t<\/strong><\/h3>\n

2.5.1. Ch\u1ea9n \u0111o\u00e1n<\/em><\/strong><\/p>\n

Ch\u1ea9n \u0111o\u00e1n vi\u00eam b\u00e0ng quang c\u1ea5p hay t\u00e1i ph\u00e1t khi c\u00f3 vi\u00eam b\u00e0ng quang c\u1ea5p \u2265 4 l\u1ea7n trong n\u0103m. N\u1ebfu c\u1ea5y vi khu\u1ea9n th\u00ec th\u01b0\u1eddng g\u1eb7p c\u00f9ng m\u1ed9t lo\u1ea1i vi khu\u1ea9n g\u00e2y b\u1ec7nh. Khi c\u00f3 vi\u00eam b\u00e0ng quang c\u1ea5p hay t\u00e1i ph\u00e1t c\u0169ng c\u1ea7n ph\u1ea3i t\u00ecm ki\u1ebfm c\u00e1c nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i \u0111i k\u00e8m.<\/p>\n

2.5.2. \u0110i\u1ec1u tr\u1ecb<\/em><\/strong><\/p>\n

Sau \u0111i\u1ec1u tr\u1ecb \u0111\u1ee3t kh\u00e1ng sinh nh\u01b0 vi\u00eam b\u00e0ng quang c\u1ea5p th\u00f4ng th\u01b0\u1eddng, n\u00ean xem x\u00e9t vi\u1ec7c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb duy tr\u00ec. C\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t trong c\u00e1c ph\u00e1c \u0111\u1ed3 sau:<\/p>\n

– D\u00f9ng m\u1ed9t li\u1ec1u kh\u00e1ng sinh tr\u01b0\u1edbc ho\u1eb7c sau quan h\u1ec7 t\u00ecnh d\u1ee5c. V\u00ed d\u1ee5:<\/p>\n

+ Trimethoprim- sulfamethoxazol vi\u00ean 480 mg, u\u1ed1ng 1 vi\u00ean.<\/p>\n

+ Noroxin vi\u00ean 400 mg u\u1ed1ng \u00bd vi\u00ean<\/p>\n

+ Nitrofurantoin vi\u00ean 100 mg u\u1ed1ng 1 vi\u00ean.<\/p>\n

– D\u00f9ng kh\u00e1ng sinh li\u1ec1u th\u1ea5p h\u00e0ng ng\u00e0y, v\u00e0o bu\u1ed5i t\u1ed1i tr\u01b0\u1edbc khi \u0111i ng\u1ee7, k\u00e9o d\u00e0i 3 th\u00e1ng ho\u1eb7c h\u01a1n.<\/p>\n

+ Trimethoprim- sulfamethoxazol vi\u00ean 480 mg u\u1ed1ng \u00bd vi\u00ean.<\/p>\n

+ Nitrofurantoin vi\u00ean 50 mg: u\u1ed1ng 1 vi\u00ean<\/p>\n

+ Cephalexin vi\u00ean 250 mg: u\u1ed1ng 1 vi\u00ean.<\/p>\n

+ Norfloxacin vi\u00ean 400 mg u\u1ed1ng \u00bd vi\u00ean.<\/p>\n

+ Ciprofloxacin vi\u00ean 250 mg u\u1ed1ng \u00bd vi\u00ean.<\/p>\n

U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc \u0111\u1ec3 n\u01b0\u1edbc ti\u1ec3u \u00edt nh\u1ea5t > 1,5 l\u00edt\/ 24h v\u00e0 kh\u00f4ng nh\u1ecbn ti\u1ec3u qu\u00e1 6 gi\u1edd l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n

2.6. M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c v\u00e0 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/em><\/strong><\/h3>\n

– Nh\u00f3m fluoroquinolon: Kh\u00f4ng d\u00f9ng nh\u00f3m quinolon cho ph\u1ee5 n\u1eef c\u00f3 thai, cho con b\u00fa, tr\u1ebb em d\u01b0\u1edbi 15 tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed co gi\u1eadt v\u00e0 c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c. Th\u1eadn tr\u1ecdng d\u00f9ng Peflacin \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 suy gan n\u1eb7ng.<\/p>\n

– Nh\u00f3m beta-lactam: Thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y s\u1ed1c ph\u1ea3n v\u1ec7 n\u00ean ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh khi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi penicilin ho\u1eb7c c\u00e1c thu\u1ed1c trong nh\u00f3m. Gi\u1ea3m li\u1ec1u khi m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn < 30 ml\/1 ph\u00fat \u0111\u1ed1i v\u1edbi nh\u1eefng s\u1ea3n ph\u1ea9m c\u00f3 acid clavulanic v\u00e0 sulbactam.<\/p>\n

– Nh\u00f3m sulfamid: Thu\u1ed1c \u00edt c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5. \u0110\u00f4i khi c\u00f3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1eb7ng ki\u1ec3u h\u1ed9i ch\u1ee9ng Steven-Johnson, gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c khi c\u00f3 suy gan, suy th\u1eadn n\u1eb7ng, ph\u1ee5 n\u1eef c\u00f3 thai, qu\u00e1 m\u1eabn c\u1ea3m v\u1edbi thu\u1ed1c.<\/p>\n

2.7. Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/h3>\n

– \u0110\u1ed1i v\u1edbi th\u1ec3 vi\u00eam b\u00e0ng quang c\u1ea5p th\u00f4ng th\u01b0\u1eddng: C\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t, b\u1ec7nh th\u01b0\u1eddng kh\u1ecfi h\u1eb3n sau m\u1ed9t li\u1ec7u tr\u00ecnh kh\u00e1ng sinh ng\u1eafn ph\u00f9 h\u1ee3p. Tuy nhi\u00ean vi khu\u1ea9n v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng ng\u01b0\u1ee3c d\u00f2ng l\u00ean ni\u1ec7u qu\u1ea3n, b\u1ec3 th\u1eadn, th\u1eadn g\u00e2y vi\u00eam th\u1eadn, b\u1ec3 th\u1eadn c\u1ea5p, m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u n\u1ed9i khoa. B\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t. N\u1ebfu vi\u00eam t\u00e1i ph\u00e1t t\u1eeb 4 l\u1ea7n tr\u1edf l\u00ean trong 1 n\u0103m th\u00ec c\u1ea7n c\u00f3 th\u00e1i \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng. Khi vi\u00eam k\u00e9o d\u00e0i ho\u1eb7c hay t\u00e1i ph\u00e1t \u0111\u1ec3 l\u1ea1i nhi\u1ec1u s\u1eb9o x\u01a1 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 vi\u00eam b\u00e0ng quang m\u1ea1n t\u00ednh.<\/p>\n

– \u0110\u1ed1i v\u1edbi th\u1ec3 vi\u00eam b\u00e0ng quang c\u1ea5p c\u00f3 nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i bi\u1ebfn ch\u1ee9ng th\u00ec ti\u00ean l\u01b0\u1ee3ng d\u00e8 d\u1eb7t h\u01a1n. B\u00ean c\u1ea1nh vi\u1ec7c \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh ch\u1ed1ng nhi\u1ec5m khu\u1ea9n, c\u1ea7n \u0111i\u1ec1u tr\u1ecb lo\u1ea1i b\u1ecf nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i n\u1ebfu c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c th\u00ec m\u1edbi c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t. Li\u1ec7u ph\u00e1p kh\u00e1ng sinh ch\u1ed1ng nhi\u1ec5m khu\u1ea9n \u0111\u00f2i h\u1ecfi d\u00e0i ng\u00e0y h\u01a1n<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh v\u1ec1 th\u1eadn \u2013 ti\u1ebft ni\u1ec7u c\u1ee7a B\u1ed9 Y t\u1ebf 2015.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang.B\u00e0i vi\u1ebft s\u1ebd tr\u00ecnh b\u00e0y nh\u1eefng tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u1ee7a vi\u00eam b\u00e0ng quang c\u1ea5p nh\u01b0 ti\u1ec3u nhi\u1ec1u, ti\u1ec3u bu\u1ed1t, ti\u1ec3u \u0111\u00eam nhi\u1ec1u l\u1ea7n, c\u1ea3m gi\u00e1c \u0111au r\u00e1t khi […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"\nKh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang\" \/>\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=\"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-29T07:28:13+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-07T05:06:34+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-8.png\" \/>\n<meta name=\"author\" content=\"tdan tdan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"tdan tdan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/\",\"name\":\"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-29T07:28:13+00:00\",\"dateModified\":\"2023-05-07T05:06:34+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d\"},\"description\":\"Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d\",\"name\":\"tdan tdan\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g\",\"caption\":\"tdan tdan\"},\"sameAs\":[\"http:\/\/tdan\"],\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tdan99102gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p - Vinmec","description":"Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p - Vinmec","og_description":"Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/","og_site_name":"Vinmec","article_published_time":"2023-04-29T07:28:13+00:00","article_modified_time":"2023-05-07T05:06:34+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-8.png"}],"author":"tdan tdan","twitter_card":"summary_large_image","twitter_misc":{"Written by":"tdan tdan","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/","name":"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-29T07:28:13+00:00","dateModified":"2023-05-07T05:06:34+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d"},"description":"Vi\u00eam b\u00e0ng quang c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 b\u00e0ng quang","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-bang-quang-cap\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Kh\u00e1i qu\u00e1t v\u1ec1 vi\u00eam b\u00e0ng quang c\u1ea5p"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d","name":"tdan tdan","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g","caption":"tdan tdan"},"sameAs":["http:\/\/tdan"],"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tdan99102gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/28466"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=28466"}],"version-history":[{"count":7,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/28466\/revisions"}],"predecessor-version":[{"id":32471,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/28466\/revisions\/32471"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=28466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=28466"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=28466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}