{"id":29100,"date":"2023-04-29T18:22:51","date_gmt":"2023-04-29T11:22:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29100"},"modified":"2023-04-29T18:22:51","modified_gmt":"2023-04-29T11:22:51","slug":"cong-huong-tu-trong-benh-tim-bam-sinh-va-benh-van-tim","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/cong-huong-tu-trong-benh-tim-bam-sinh-va-benh-van-tim\/","title":{"rendered":"C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh tim b\u1ea9m sinh v\u00e0 b\u1ec7nh van tim"},"content":{"rendered":"

C\u1ed9ng h\u01b0\u1edfng t\u1eeb<\/a> trong b\u1ec7nh tim b\u1ea9m sinh v\u00e0 b\u1ec7nh van tim l\u00e0 hai \u1ee9ng d\u1ee5ng quan tr\u1ecdng c\u1ee7a ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb. Trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y n\u00eau r\u00f5 v\u1ec1 \u1ee9ng d\u1ee5ng c\u1ee7a k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh n\u00e0y.<\/strong><\/p>\n

\"C\u1ed9ng<\/p>\n

C\u1ed9ng h\u01b0\u1edfng t\u1eeb tim<\/strong><\/p>\n

1.C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh l\u00fd tim b\u1ea9m sinh<\/h2>\n

Si\u00eau \u00e2m Doppler tim lu\u00f4n gi\u1eef vai tr\u00f2 quan tr\u1ecdng trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh van tim trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p do si\u00eau \u00e2m tim cho h\u00ecnh \u1ea3nh c\u00f3 \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao v\u00e0 si\u00eau \u00e2m tim c\u00f3 t\u00ednh linh ho\u1ea1t h\u01a1n so v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt kh\u00e1c. Tuy nhi\u00ean c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim l\u00e0 m\u1ed9t s\u1ef1 l\u1ef1a ch\u1ecdn kh\u00e1c khi c\u00e1c c\u1eeda s\u1ed5 si\u00eau \u00e2m tim b\u1ecb h\u1ea1n ch\u1ebf; ho\u1eb7c khi c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n m\u00e0 h\u00ecnh \u1ea3nh si\u00eau \u00e2m tim qua th\u00e0nh ng\u1ef1c kh\u00f4ng r\u00f5 r\u00e0ng; ho\u1eb7c khi c\u00f3 s\u1ef1 kh\u00f4ng ph\u00f9 h\u1ee3p gi\u1eefa k\u1ebft qu\u1ea3 si\u00eau \u00e2m v\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng.<\/p>\n

CHT c\u0169ng r\u1ea5t h\u1eefu \u00edch khi mu\u1ed1n \u0111\u00e1nh gi\u00e1 chi ti\u1ebft c\u1ea5u tr\u00fac gi\u1ea3i ph\u0201u c\u1ee7a tim, nh\u01b0 tr\u01b0\u1eddng h\u1ee3p mu\u1ed1n \u0111\u00e1nh gi\u00e1 chi ti\u1ebft k\u00edch th\u01b0\u1edbc \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u1edf ng\u01b0\u1eddi b\u1ecb b\u1ec7nh van \u0110M ch\u1ee7 hai l\u00e1 van ho\u1eb7c khi nghi ng\u1edd c\u00f3 h\u1eb9p eo \u0110M ch\u1ee7, ho\u1eb7c khi l\u00ean k\u1ebf ho\u1ea1ch t\u00e1i t\u01b0\u1edbi m\u00e1u v\u00e0 s\u1eeda ch\u1eefa van tim v\u00e0 mu\u1ed1n \u0111\u00e1nh gi\u00e1 v\u1ec1 kh\u1ea3 n\u0103ng s\u1ed1ng c\u00f2n c\u1ee7a c\u01a1 tim. CHT \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb trong theo d\u00f5i h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 th\u1ee9 ph\u00e1t do b\u1ec7nh g\u1ed1c \u0110M ch\u1ee7, khi m\u00e0 c\u00f3 th\u1ec3 \u0111o l\u01b0\u1eddng li\u00ean t\u1ee5c, ch\u00ednh x\u00e1c v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng d\u1ef1ng h\u00ecnh c\u00e1c k\u00edch th\u01b0\u1edbc c\u1ee7a g\u1ed1c \u0110M ch\u1ee7.<\/p>\n

B\u1ea3n \u0111\u1ed3 v\u1eadn t\u1ed1c d\u00f2ng ch\u1ea3y pha \u0111\u1ed1i quang t\u1eeb c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1eadn t\u1ed1c d\u00f2ng ch\u1ea3y t\u1ed1i \u0111a, v\u00e0 \u01b0\u1edbc l\u01b0\u1ee3ng ch\u00eanh \u00e1p qua van v\u00e0 c\u00f3 th\u1ec3 \u01b0\u1edbc l\u01b0\u1ee3ng g\u1ea7n nh\u01b0 ch\u00ednh x\u00e1c ph\u00e2n s\u1ed1 ph\u1ee5t ng\u01b0\u1ee3c. B\u1ea3n \u0111\u1ed3 m\u1eb7t ph\u1eb3ng d\u00f2ng ch\u1ea3y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 m\u00f4 t\u1ea3 chi ti\u1ebft d\u00f2ng ch\u1ea3y v\u00e0 t\u1ea1o thu\u1eadn l\u1ee3i x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed m\u1eb7t ph\u1eb3ng ch\u00ednh x\u00e1c \u0111\u1ec3 \u0111o v\u1eadn t\u1ed1c d\u00f2ng ch\u1ea3y. \u0110o l\u01b0\u1eddng n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong m\u1ed9t l\u1ea7n n\u00edn th\u1edf.<\/p>\n

CHT c\u00f3 kh\u1ea3 n\u0103ng \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c v\u00e0 tr\u1ef1c ti\u1ebfp th\u1ec3 t\u00edch t\u00e2m th\u1ea5t, cho ph\u00e9p \u01b0\u1edbc l\u01b0\u1ee3ng ri\u00eang bi\u1ec7t th\u1ec3 t\u00edch nh\u00e1t b\u00f3p v\u00e0 t\u00ednh to\u00e1n s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 th\u1ec3 t\u00edch nh\u00e1t b\u00f3p, ch\u1ec9 s\u1ed1 r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb trong h\u1edf hai l\u00e1. S\u1ef1 v\u1eadn \u0111\u1ed9ng c\u1ee7a v\u00f2ng van, v\u00e0 s\u1ef1 thay \u0111\u1ed5i h\u00ecnh d\u1ea1ng c\u1ee7a van l\u00e0m cho vi\u1ec7c s\u1eed d\u1ee5ng ch\u00ednh x\u00e1c b\u1ea3n \u0111\u1ed3 v\u1eadn t\u1ed1c d\u00f2ng ch\u1ea3y \u0111\u1ed1i quang t\u1eeb kh\u00f3 kh\u0103n.<\/p>\n

CHT c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111o di\u1ec7n t\u00edch van \u0110M ch\u1ee7, cho ph\u00e9p \u0111o l\u01b0\u1eddng tr\u1ef1c ti\u1ebfp g\u1ea7n ch\u00ednh x\u00e1c di\u1ec7n t\u00edch l\u1ed7 van. Th\u00eam v\u00e0o \u0111\u00f3, k\u00edch th\u01b0\u1edbc g\u1ed1c \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, \u0111\u1ed9ng m\u1ea1ch ch\u1eadu v\u00e0 gi\u1ea3i ph\u0201u \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, cung c\u1ea5p nh\u1eefng th\u00f4ng tin h\u1eefu \u00edch khi c\u00f3 k\u1ebf ho\u1ea1ch thay van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 qua da.<\/p>\n

Kh\u1ea3 n\u0103ng ch\u1ee5p \u0111a chi\u1ec1u c\u1ee7a CHT cho ph\u00e9p \u0111\u00e1nh gi\u00e1 chi ti\u1ebft c\u01a1 ch\u1ebf c\u1ee7a h\u1edf van hai l\u00e1 v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ednh ch\u1ea5t c\u00e1c l\u00e1 van th\u00edch h\u1ee3p cho ph\u01b0\u01a1ng \u00e1n s\u1eeda van b\u1eb1ng ph\u0201u thu\u1eadt hay can thi\u1ec7p.<\/p>\n

CHT cho ph\u00e9p thu nh\u1eadn nh\u1eefng h\u00ecnh \u1ea3nh chi ti\u1ebft c\u1ee7a van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 th\u1ea5t ph\u1ea3i, r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb trong \u01b0\u1edbc \u0111o\u00e1n \u00e1p l\u1ef1c d\u00f2ng h\u1edf van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u0169ng nh\u01b0 l\u00e0 gi\u1ea3i ph\u0201u \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u1edf b\u1ec7nh nh\u00e2n t\u1ee9 ch\u1ee9ng Fallot v\u00e0 nh\u1eefng b\u1ec7nh tim b\u1ea9m sinh kh\u00e1c li\u00ean quan \u0111\u1ebfn th\u1ea5t ph\u1ea3i. N\u00f3 c\u0169ng cho ph\u00e9p \u01b0\u1edbc t\u00ednh l\u01b0u l\u01b0\u1ee3ng c\u00e1c lu\u1ed3ng th\u00f4ng b\u1ea5t th\u01b0\u1eddng v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n gi\u00fap \u0111\u00e1nh gi\u00e1 shunt c\u1ea3 trong v\u00e0 ngo\u00e0i tim.<\/p>\n

2. C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh l\u00fd vale tim<\/h2>\n

Vi\u1ec7c kh\u00f4ng s\u1eed d\u1ee5ng b\u1ee9c x\u1ea1 ion h\u00f3a (\u0111\u1eb7c bi\u1ec7t khi c\u1ea7n \u0111\u00e1nh gi\u00e1 nhi\u1ec1u l\u1ea7n \u1edf ng\u01b0\u1eddi tr\u1ebb v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean), kho\u1ea3ng c\u1eeda s\u1ed5 r\u1ed9ng v\u00e0 kh\u1ea3 n\u0103ng ch\u1ee5p \u1ea3nh \u0111a chi\u1ec1u 2D v\u00e0 3D l\u00e0m cho CHT tr\u1edf th\u00e0nh s\u1ef1 l\u1ef1a ch\u1ecdn th\u00edch h\u1ee3p \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n tim b\u1ea9m sinh. CHT \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb trong tr\u01b0\u1eddng h\u1ee3p gi\u1ea3i ph\u0201u ph\u1ee9c t\u1ea1p. V\u00ed d\u1ee5: Tu\u1ea7n ho\u00e0n Fontan ho\u1eb7c sau ph\u0201u thu\u1eadt khi c\u00e1c m\u00f4 s\u1eb9o ph\u00e1t tri\u1ec3n l\u00e0m h\u1ea1n ch\u1ebf c\u1eeda s\u1ed5 si\u00eau \u00e2m.<\/p>\n

Ph\u1ea1m vi quan s\u00e1t r\u1ed9ng cho ph\u00e9p \u0111\u00e1nh gi\u00e1 d\u1ec5 d\u00e0ng v\u1ecb tr\u00ed t\u1ea1ng – nh\u0129 (viscero- atrial situs) v\u00e0 v\u1ecb tr\u00ed tim. CHT c\u0169ng c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 t\u01b0\u01a1ng h\u1ee3p nh\u0129 – th\u1ea5t v\u00e0 th\u1ea5t – \u0111\u1ed9ng m\u1ea1ch.<\/p>\n

\u0110\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c d\u00f2ng ch\u1ea3y \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 cho ph\u00e9p t\u00ednh ph\u00e2n su\u1ea5t l\u01b0u l\u01b0\u1ee3ng ph\u1ed5i\/ch\u1ee7 (Qp\/Qs). H\u00ecnh \u1ea3nh v\u00e0 b\u1ea3n \u0111\u1ed3 d\u00f2ng ch\u1ea3y c\u1ee7a t\u00e2m nh\u0129, v\u00e1ch li\u00ean nh\u0129 gi\u00fap \u0111\u00e1nh gi\u00e1 l\u1ed7 th\u00f4ng li\u00ean nh\u0129 cho can thi\u1ec7p ho\u1eb7c ph\u0201u thu\u1eadt \u0111\u00f3ng l\u1ed7<\/p>\n

th\u00f4ng v\u00e0 x\u00e1c \u0111\u1ecbnh b\u1ea5t th\u01b0\u1eddng tr\u1edf v\u1ec1 c\u1ee7a c\u00e1c t\u0129nh m\u1ea1ch ph\u1ed5i. \u0110\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng tr\u00ean th\u1ec3 t\u00edch v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t ph\u1ea3i \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng trong quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p v\u00e0 th\u1eddi \u0111i\u1ec3m ph\u0201u thu\u1eadt.<\/p>\n

V\u1ecb tr\u00ed xu\u1ea5t ph\u00e1t v\u00e0 \u0111o\u1ea1n g\u1ea7n c\u1ee7a h\u1ec7 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng b\u1edfi chu\u1ed7i h\u00ecnh \u1ea3nh ch\u1ee5p to\u00e0n b\u1ed9 h\u1ec7 v\u00e0nh tim, cho ph\u00e9p x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u1ea5t th\u01b0\u1eddng c\u1ee7a h\u1ec7 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 m\u1ed1i li\u00ean quan c\u1ee7a n\u00f3 v\u1edbi \u0110M ch\u1ee7 v\u00e0 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. CHT cho ph\u00e9p x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u1ea5t th\u01b0\u1eddng nguy hi\u1ec3m v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch ph\u0201u thu\u1eadt s\u1eeda ch\u1eefa.<\/p>\n

CHT c\u0169ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 to\u00e0n v\u1eb9n \u0111o\u1ea1n g\u1ea7n \u0111\u1ed9ng m\u1ea1ch v\u00e0nh sau ph\u0201u thu\u1eadt Bentall s\u1eeda ch\u1eefa cho b\u1ec7nh l\u00fd g\u1ed1c \u0110M ch\u1ee7, ph\u0201u thu\u1eadt Ross v\u00e0 trong ph\u0201u thu\u1eadt chuy\u1ec3n g\u1ed1c \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch. CHT c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p v\u1edbi h\u00ecnh \u1ea3nh CHT t\u01b0\u1edbi m\u00e1u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 v\u1ec1 m\u1eb7t ch\u1ee9c n\u0103ng.<\/p>\n

CHT \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb khi \u0111\u00e1nh gi\u00e1 h\u00ecnh \u1ea3nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00e1ch m\u1ea1ch m\u00e1u l\u1edbn.<\/p>\n

\u1ed0ng \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng li\u00ean quan kh\u00e1c d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n, bao g\u1ed3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng v\u00e0 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng nong b\u00f3ng qua da, \u0111\u00e1nh gi\u00e1 s\u1ef1 t\u00e1i h\u1eb9p v\u00e0 c\u1ea5u tr\u00fac gi\u1ea3 ph\u00ecnh sau ph\u0201u thu\u1eadt s\u1eeda ch\u1eefa.<\/p>\n

H\u00ecnh \u1ea3nh r\u00f5 r\u00e0ng c\u1ee7a th\u1ea5t ph\u1ea3i tr\u00ean CHT, c\u00f9ng v\u1edbi nh\u1eefng th\u00f4ng tin v\u1ec1 m\u1eb7t ch\u1ee9c n\u0103ng m\u00e0 k\u1ef9 thu\u1eadt n\u00e0y cung c\u1ea5p, khi\u1ebfn CHT tr\u1edf th\u00e0nh ph\u01b0\u01a1ng ti\u1ec7n r\u1ea5t c\u00f3 \u00fd ngh\u0129a trong \u0111\u00e1nh gi\u00e1 d\u00f2ng h\u1edf ph\u1ed5i v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t ph\u1ea3i sau ph\u0201u thu\u1eadt s\u1eeda ch\u1eefa t\u1ee9 ch\u1ee9ng Fallot.<\/p>\n

Nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, s\u1ef1 ph\u00e1t hi\u1ec7n ph\u01b0\u01a1ng th\u1ee9c \u0111\u00e1nh gi\u00e1 th\u1ea5t ph\u1ea3i \u1edf th\u00ec mu\u1ed9n b\u1eb1ng thu\u1ed1c \u0111\u1ed1i quang t\u1eeb gi\u00fap ph\u00e1t hi\u1ec7n nh\u1eefng x\u01a1 h\u00f3a c\u00f3 \u00fd ngh\u0129a, gi\u00fap \u00edch trong ti\u00ean l\u01b0\u1ee3ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 th\u1ea5t ph\u1ea3i l\u00e0 th\u1ea5t h\u1ec7 th\u1ed1ng. V\u00ed d\u1ee5: \u0110\u1ea3o g\u1ed1c c\u00e1c \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u0201u thu\u1eadt \u0111\u1ea3o t\u1ea7ng nh\u0129. CHT khi \u0111\u00f3 c\u00f3 th\u1ec3 cung c\u1ea5p th\u00f4ng tin to\u00e0n di\u1ec7n v\u1ec1 m\u1eb7t gi\u1ea3i ph\u0201u, ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t, ch\u1ee9c n\u0103ng van, s\u1ef1 t\u01b0\u1edbi m\u00e1u v\u00e0 t\u00ednh ch\u1ea5t c\u00e1c m\u00f4 m\u00e0 kh\u00f4ng ph\u1ea3i th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt x\u00e2m l\u1ea5n.<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh tim b\u1ea9m sinh v\u00e0 b\u1ec7nh van tim l\u00e0 hai \u1ee9ng d\u1ee5ng quan tr\u1ecdng c\u1ee7a ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb. Trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y n\u00eau r\u00f5 v\u1ec1 \u1ee9ng d\u1ee5ng c\u1ee7a k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh n\u00e0y. C\u1ed9ng h\u01b0\u1edfng t\u1eeb tim 1.C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh l\u00fd tim b\u1ea9m sinh Si\u00eau \u00e2m Doppler […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[88,33],"tags":[],"yoast_head":"\nC\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh tim b\u1ea9m sinh v\u00e0 b\u1ec7nh van tim<\/title>\n<meta name=\"description\" content=\"C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh tim b\u1ea9m sinh v\u00e0 b\u1ec7nh van tim l\u00e0 hai \u1ee9ng d\u1ee5ng quan tr\u1ecdng c\u1ee7a c\u1ed9ng h\u01b0\u1edfng t\u1eeb. 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