{"id":28902,"date":"2023-04-29T16:47:57","date_gmt":"2023-04-29T09:47:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28902"},"modified":"2023-04-29T16:47:57","modified_gmt":"2023-04-29T09:47:57","slug":"dieu-tri-con-nhip-nhanh-kich-phat-tren-that","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/dieu-tri-con-nhip-nhanh-kich-phat-tren-that\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb c\u01a1n nh\u1ecbp nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t"},"content":{"rendered":"<p><strong>Nh\u1ecbp nhanh tr\u00ean th\u1ea5t bao h\u00e0m nhi\u1ec1u lo\u1ea1i r\u1ed1i lo\u1ea1n nh\u1ecbp nhanh c\u00f3 c\u01a1 ch\u1ebf v\u00e0 ngu\u1ed3n g\u1ed1c kh\u00e1c nhau (rung nh\u0129, cu\u1ed3ng nh\u0129, nh\u1ecbp nhanh tr\u00ean th\u1ea5t c\u00f3 v\u00f2ng l\u1ea1i \u1edf n\u00fat nh\u0129 th\u1ea5t,&#8230; ) Nh\u1ecbp nhanh tr\u00ean th\u1ea5t th\u01b0\u1eddng g\u1eb7p nh\u1ea5t 3 lo\u1ea1i l\u00e0 nh\u1ecbp nhanh v\u00e0o l\u1ea1i n\u00fat nh\u0129 th\u1ea5t , nh\u1ecbp nhanh v\u00e0o l\u1ea1i nh\u0129 th\u1ea5t\u00a0 qua \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 v\u00e0 \u00a0nh\u1ecbp nhanh nh\u0129. Trong b\u00e0i vi\u1ebft n\u00e0y ch\u00fang t\u00f4i tr\u00ecnh b\u00e0y v\u1ec1 c\u01a1n nh\u1ecbp nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t, ch\u00ednh l\u00e0 nh\u1ecbp nhanh v\u00e0o l\u1ea1i n\u00fat nh\u0129 th\u1ea5t\u00a0 v\u00e0 nh\u1ecbp nhanh v\u00e0o l\u1ea1i nh\u0129 th\u1ea5t.\u00a0<\/strong><\/p>\n<h1>1.C\u01a1 ch\u1ebf<\/h1>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/con-nhip-nhanh-kich-phat-tren\/\">C\u01a1n nh\u1ecbp nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t<\/a> c\u00f3 v\u00f2ng v\u00e0o l\u1ea1i t\u1ea1i n\u00fat nh\u0129 th\u1ea5t (AV)<\/li>\n<\/ul>\n<p>V\u00f2ng v\u00e0o l\u1ea1i t\u1ea1i n\u00fat nh\u0129 th\u1ea5t h\u00ecnh th\u00e0nh do s\u1ef1 ph\u00e2n ly n\u00fat AV th\u00e0nh 2 \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n c\u00f3 t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u00e0 th\u1eddi k\u1ef3 tr\u01a1 kh\u00e1c nhau. \u0110\u01b0\u1eddng d\u1eabn truy\u1ec1n nhanh c\u00f3 th\u1eddi k\u1ef3 tr\u01a1 d\u00e0i v\u00e0 \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ch\u1eadm \u00a0c\u00f3 th\u1eddi k\u1ef3 tr\u01a1 ng\u1eafn. T\u1eeb \u0111\u00e2y xung \u0111\u1ed9ng s\u1ebd d\u1eabn ng\u01b0\u1ee3c l\u00ean nh\u0129 v\u00e0 c\u1ea3 xu\u00f4i xu\u1ed1ng th\u1ea5t, l\u00e0m c\u1ea3 hai kh\u1eed c\u1ef1c g\u1ea7n nh\u01b0 \u0111\u1ed3ng th\u1eddi.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/con-nhip-nhanh-kich-phat-tren\/\">C\u01a1n nh\u1ecbp nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t<\/a> c\u00f3 v\u00f2ng v\u00e0o l\u1ea1i nh\u0129 th\u1ea5t qua \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5<\/li>\n<\/ul>\n<p>V\u00f2ng v\u00e0o l\u1ea1i th\u01b0\u1eddng xu\u00f4i theo \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n nh\u0129 th\u00e1t b\u00ecnh th\u01b0\u1eddng g\u00e2y kh\u1eed c\u1ef1c th\u1ea5t. R\u1ed3i sau \u0111\u00f3 v\u00f2ng ng\u01b0\u1ee3c l\u00ean qua \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 g\u00e2y kh\u1eed c\u1ef1c nh\u0129. Do \u0111\u00f3 kh\u1eed c\u1ef1c th\u1ea5t v\u00e0 nh\u0129 c\u00e1ch nhau m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh.<\/p>\n<h2>2.Tri\u1ec7u ch\u1ee9ng<\/h2>\n<p>L\u00e2m s\u00e0ng:<\/p>\n<ul>\n<li>Ti\u1ec1n s\u1eed c\u00f3 th\u1ec3 th\u1ea5y b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng c\u01a1n h\u1ed3i h\u1ed9p \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c k\u00e9o d\u00e0i v\u00e0i ph\u00fat \u0111\u1ebfn v\u00e0i gi\u1edd, tim \u0111\u1eadp nhanh, s\u1ef1 xu\u1ea5t hi\u1ec7n v\u00e0 k\u1ebft th\u00fac c\u01a1n nh\u1ecbp nhanh kh\u00e1 \u0111\u1ed9t ng\u1ed9t.<\/li>\n<li>Trong c\u01a1n b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3m gi\u00e1c h\u1ed3i h\u1ed9p \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, lo l\u1eafng, tim \u0111\u1eadp r\u1ea5t nhanh.<\/li>\n<li>CNNKPTT th\u01b0\u1eddng \u00edt \u1ea3nh h\u01b0\u1edfng huy\u1ebft \u0111\u1ed9ng v\u00e0 th\u01b0\u1eddng kh\u00f4ng k\u00e9o d\u00e0i.<\/li>\n<li>\u00a0Nh\u1ecbp tim th\u01b0\u1eddng \u0111\u1ec1u, t\u1ea7n s\u1ed1 trung b\u00ecnh 180-200 ck\/ph\u00fat.<\/li>\n<li>CNNKPTT c\u00f3 th\u1ec3 k\u1ebft th\u00fac \u0111\u1ed9t ng\u1ed9t ho\u1eb7c khi b\u1ec7nh nh\u00e2n h\u00edt s\u00e2u v\u00e0o r\u1ed3i th\u1edf ra nh\u01b0ng \u0111\u00f3ng ch\u1eb7t thanh m\u00f4n (r\u1eb7n th\u1edf). Hay khi \u0111\u01b0\u1ee3c b\u00e1c s\u1ef9 l\u00e0m c\u00e1c nghi\u1ec7m ph\u00e1p: xoa xoang c\u1ea3nh hay \u1ea5n nh\u00e3n c\u1ea7u, nh\u1ecbp tim \u0111\u1ed9t ng\u1ed9t tr\u1edf v\u1ec1 nh\u1ecbp xoang, ho\u1eb7c l\u00e0 kh\u00f4ng l\u00e0m thay \u0111\u1ed5i nh\u1ecbp tim.<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/hahoangkiem.com\/Upload\/images\/1306.jpg\" alt=\" nh\u1ecbp nhanh k\u1ecbch ph\u00e1t \" width=\"367\" height=\"224\" \/><\/p>\n<h3>3.\u0110i\u1ec1u tr\u1ecb c\u01a1n nh\u1ecbp nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t<\/h3>\n<h4>3.1.C\u1eaft c\u01a1n nh\u1ecbp nhanh<\/h4>\n<p>-C\u00e1c bi\u1ec7n ph\u00e1p g\u00e2y c\u01b0\u1eddng ph\u1ebf v\u1ecb:<\/p>\n<ul>\n<li>B\u1ea3o b\u1ec7nh nh\u00e2n h\u00edt s\u00e2u v\u00e0o r\u1ed3i th\u1edf ra nh\u01b0ng \u0111\u00f3ng thanh m\u00f4n (\u0111\u1ed9ng t\u00e1c r\u1eb7n);<\/li>\n<li>Xoa xoang c\u1ea3nh , tr\u01b0\u1edbc khi xoa ph\u1ea3i x\u00e1c \u0111\u1ecbnh kh\u00f4ng nghe th\u1ea5y h\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh. Xoang c\u1ea3nh n\u1eb1m ngang s\u1ee5n gi\u00e1p, khi xoa b\u1ea3o b\u1ec7nh nh\u00e2n nghi\u00eang \u0111\u1ea7u m\u1ed9t b\u00ean, b\u00e1c s\u0129 d\u00f9ng ng\u00f3n tay c\u00e1i \u1ea5n l\u00ean xoang c\u1ea3nh v\u00e0 day. Xoa t\u1eebng b\u00ean m\u1ed9t, m\u1ed7i b\u00ean 10-20 gi\u00e2y.<\/li>\n<li>\u1ea4n nh\u00e3n c\u1ea7u l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p kh\u00e1 hi\u1ec7u qu\u1ea3\u00a0 nh\u01b0ng c\u0169ng kh\u00e1 th\u00f4 b\u1ea1o, \u0111\u00f4i khi c\u00f3 th\u1ec3 g\u00e2y bong v\u00f5ng m\u1ea1c c\u1ee7a b\u1ec7nh nh\u00e2n n\u00ean hi\u1ec7n nay \u00edt \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng.<\/li>\n<\/ul>\n<p>-Thu\u1ed1c :<\/p>\n<ul>\n<li>Adenosine: \u0110\u00e2y l\u00e0 thu\u1ed1c \u0111\u1ea7u tay, d\u1ea1ng \u1ed1ng ti\u00eam, 6mg\/\u1ed1ng.<\/li>\n<\/ul>\n<p>C\u01a1 ch\u1ebf: g\u00e2y block nh\u0129 th\u1ea5t t\u1ea1m th\u1eddi, c\u00f3 th\u1ec3 g\u00e2y t\u1ea1m ng\u01b0ng xoang n\u00ean l\u00e0m ng\u01b0ng d\u1eabn truy\u1ec1n n\u00fat nh\u0129 th\u1eadt v\u00e0 ph\u00e1 v\u1ee1 v\u00f2ng v\u00e0o l\u1ea1i.<\/p>\n<p>V\u1ecb tr\u00ed ti\u00eam: t\u0129nh m\u1ea1ch n\u1ec1n. Khi ti\u00eam ph\u1ea3i b\u01a1m th\u1eadt nhanh v\u00ec th\u1eddi gian b\u00e1n h\u1ee7y c\u1ee7a thu\u1ed1c c\u1ef1c nhanh, ng\u1eafn h\u01a1n 10 gi\u00e2y.<\/p>\n<p>Li\u1ec1u: l\u1ea7n \u0111\u1ea7u d\u00f9ng 6 mg, n\u1ebfu kh\u00f4ng th\u1ea5y k\u1ebft qu\u1ea3 c\u1ea3i thi\u1ec7n th\u00ec ti\u00eam nh\u1eafc l\u1ea1i 6 mg sau v\u00e0i ph\u00fat v\u00e0 n\u1ebfu v\u1eabn kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3 th\u00ec d\u00f9ng ti\u1ebfp 12 mg.<\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: c\u00f3 h\u1ed9i ch\u1ee9ng suy y\u1ebfu n\u00fat xoang; \u0111\u00e3 d\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf n\u00fat xoang ho\u1eb7c n\u00fat nh\u0129 th\u1ea5t; hen ph\u1ebf qu\u1ea3n\u00a0 (CC\u0110 tuy\u1ec7t \u0111\u1ed1i)<\/p>\n<p>N\u1ebfu sau khi ti\u00eam b\u1ec7nh nh\u00e2n m\u1ea5t tri gi\u00e1c c\u1ea7n \u0111\u1ea5m m\u1ea1nh v\u00e0o v\u00f9ng tr\u01b0\u1edbc x\u01b0\u01a1ng \u1ee9c b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ec9nh l\u1ea1i.<\/p>\n<ul>\n<li>\u00a0Thu\u1ed1c ch\u1eb9n k\u00eanh calci v\u00e0 ch\u1eb9n beta giao c\u1ea3m \u0111\u01b0\u1ee3c d\u00f9ng khi d\u00f9ng Adenosine th\u1ea5t b\u1ea1i.<\/li>\n<\/ul>\n<p>Thu\u1ed1c ch\u1eb9n k\u00eanh calci th\u01b0\u1eddng d\u00f9ng l\u00e0 Verapamil d\u1ea1ng ti\u00eam t\u0129nh m\u1ea1ch, c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i th\u1eddi gian tr\u01a1 c\u1ee7a n\u00fat nh\u0129 th\u1ea5t v\u00e0 ch\u1ea5m d\u1ee9t v\u00f2ng v\u00e0o l\u1ea1i.\u00a0 Li\u1ec1u t\u1eeb 5-10 mg ti\u00eam t\u0129nh m\u1ea1ch trong 2-3 ph\u00fat. Verapamil l\u00e0m gi\u1ea3m s\u1ee9c co b\u00f3p c\u01a1 tim r\u1ea5t m\u1ea1nh n\u00ean ch\u1ec9 d\u00f9ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ch\u1ee9c n\u0103ng tim t\u1ed1t v\u00e0 huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng Wolff Parkinson White (WPW) \u0111i\u1ec3n h\u00ecnh; suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i; t\u1ee5t huy\u1ebft \u00e1p; c\u1ea9n th\u1eadn khi d\u00f9ng cho ng\u01b0\u1eddi cao tu\u1ed5i..<\/p>\n<p>Thu\u1ed1c ch\u1eb9n beta giao c\u1ea3m th\u01b0\u1eddng d\u00f9ng l\u00e0 Propranolol ho\u1eb7c Esmolol d\u1ea1ng ti\u00eam t\u0129nh m\u1ea1ch. Li\u1ec1u c\u1ee7a Propranolol l\u00e0 0,15 mg\/kg ti\u00eam t\u0129nh m\u1ea1ch t\u1ed1c \u0111\u1ed9 1 mg\/ph\u00fat. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh b\u1ec7nh nh\u00e2n c\u00f3 hen ph\u1ebf qu\u1ea3n v\u00e0 c\u00e1c b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh, suy tim, huy\u1ebft \u00e1p th\u1ea5p.<\/p>\n<ul>\n<li>\u00a0Digitalis (digoxin) : c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 kh\u00e1 an to\u00e0n nh\u01b0ng c\u1ea7n m\u1ea5t v\u00e0i gi\u1edd \u0111\u1ec3 t\u00e1c d\u1ee5ng. N\u00ean d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 k\u00e8m suy tim. Th\u1eadn tr\u1ecdng khi b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng WPW\u00a0 ho\u1eb7c c\u00f3 \u00fd \u0111\u1ecbnh xoa xoang c\u1ea3nh sau \u0111\u00f3 v\u00ec digitalis c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nh\u1ea1y c\u1ea3m xoang c\u1ea3nh. Li\u1ec1u l\u01b0\u1ee3ng: Digoxin 0,5 mg ti\u00eam t\u0129nh m\u1ea1ch, sau 4-6 gi\u1edd c\u00f3 th\u1ec3 cho l\u1ea1i n\u1ebfu c\u1ea7n. T\u1ed5ng li\u1ec1u 1-1,25 mg\/ng\u00e0y<\/li>\n<li>\u00a0Amiodarone: c\u00e2n nh\u1eafc khi c\u00e1c bi\u1ec7n ph\u00e1p tr\u00ean th\u1ea5t b\u1ea1i. Sau khi d\u00f9ng ti\u1ebfn h\u00e0nh l\u1ea1i c\u00e1c bi\u1ec7n ph\u00e1p c\u01b0\u1eddng ph\u1ebf v\u1ecb th\u01b0\u1eddng s\u1ebd c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t.<\/li>\n<li>\u00a0Shock \u0111i\u1ec7n : ch\u1ec9 \u0111\u1ecbnh khi CNNKPTT dai d\u1eb3ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u0111\u1ed9ng, c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u. Shock \u0111i\u1ec7n \u0111\u1ed3ng b\u1ed9 v\u1edbi li\u1ec1u 50J-100J.<\/li>\n<\/ul>\n<h4>3.2. D\u1ef1 ph\u00f2ng<\/h4>\n<p>L\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau, c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p thu\u1ed1c nh\u01b0ng c\u1ea7n th\u1eadn tr\u1ecdng<\/p>\n<ul>\n<li>Digitalis<\/li>\n<li>Verapamil<\/li>\n<li>Diltiazem<\/li>\n<li>Sotalol<\/li>\n<li>Thu\u1ed1c ch\u1eb9n beta giao c\u1ea3m<\/li>\n<li>Amiodorone<\/li>\n<li>Propafenone<\/li>\n<\/ul>\n<p>Th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd k\u00edch th\u00edch c\u00f3 ch\u01b0\u01a1ng tr\u00ecnh \u0111\u1ec3 t\u1ea1o c\u01a1n v\u00e0 c\u1eaft c\u01a1n, \u0111\u1ed3ng th\u1eddi th\u1eed thu\u1ed1c \u0111\u1ec3 l\u1ef1a ch\u1ecdn thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 d\u00f9ng ph\u00f2ng t\u00e1i ph\u00e1t c\u01a1n l\u00e2u d\u00e0i.<\/p>\n<h4>3.3.\u0110i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3<\/h4>\n<p>Ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 v\u00e0 qua \u0111\u00f3 d\u00f9ng s\u00f3ng radio cao t\u1ea7n \u0111\u1ec3 tri\u1ec7t \u0111\u1ed1t c\u00e1c \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 qua \u1ed1ng th\u00f4ng c\u00f3 th\u1ec3 gi\u00fap ch\u1eefa kh\u1ecfi b\u1ec7nh ho\u00e0n to\u00e0n. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u cho c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 CNNKPTT t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa th\u00f4ng th\u01b0\u1eddng. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n c\u00f3 CNNKPTT, n\u00ean g\u1eedi \u0111\u1ebfn nh\u1eefng trung t\u00e2m tim m\u1ea1ch chuy\u00ean s\u00e2u c\u00f3 th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd, \u0111\u1ec3 xem x\u00e9t vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 c\u00e1c CNNKPTT cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u1ecbp nhanh tr\u00ean th\u1ea5t bao h\u00e0m nhi\u1ec1u lo\u1ea1i r\u1ed1i lo\u1ea1n nh\u1ecbp nhanh c\u00f3 c\u01a1 ch\u1ebf v\u00e0 ngu\u1ed3n g\u1ed1c kh\u00e1c nhau (rung nh\u0129, cu\u1ed3ng nh\u0129, nh\u1ecbp nhanh tr\u00ean th\u1ea5t c\u00f3 v\u00f2ng l\u1ea1i \u1edf n\u00fat nh\u0129 th\u1ea5t,&#8230; ) Nh\u1ecbp nhanh tr\u00ean th\u1ea5t th\u01b0\u1eddng g\u1eb7p nh\u1ea5t 3 lo\u1ea1i l\u00e0 nh\u1ecbp nhanh v\u00e0o l\u1ea1i n\u00fat nh\u0129 th\u1ea5t , nh\u1ecbp [&hellip;]<\/p>\n","protected":false},"author":36,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"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 c\u01a1n nh\u1ecbp nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t - Vinmec<\/title>\n<meta name=\"description\" content=\"Nh\u1ecbp nhanh tr\u00ean th\u1ea5t th\u01b0\u1eddng g\u1eb7p nh\u1ea5t 3 lo\u1ea1i l\u00e0 nh\u1ecbp nhanh v\u00e0o l\u1ea1i n\u00fat nh\u0129 th\u1ea5t , nh\u1ecbp nhanh v\u00e0o l\u1ea1i nh\u0129 th\u1ea5t\u00a0 qua \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 v\u00e0 \u00a0nh\u1ecbp nhanh nh\u0129. 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