{"id":29102,"date":"2023-04-29T18:22:22","date_gmt":"2023-04-29T11:22:22","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29102"},"modified":"2023-04-29T18:22:22","modified_gmt":"2023-04-29T11:22:22","slug":"cong-huong-tu-trong-benh-mang-ngoai-tim-va-danh-gia-khoi-u-tim","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/cong-huong-tu-trong-benh-mang-ngoai-tim-va-danh-gia-khoi-u-tim\/","title":{"rendered":"C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh m\u00e0ng ngo\u00e0i tim v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u tim"},"content":{"rendered":"

C\u1ed9ng h\u01b0\u1edfng t\u1eeb<\/a> (CHT) c\u00f3 th\u1ec3 thu \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh t\u1eeb \u1edf b\u1ea5t k\u1ef3 m\u1eb7t ph\u1eb3ng n\u00e0o v\u1edbi \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao v\u00e0 th\u1ec3 hi\u1ec7n \u0111\u1eb7c t\u00ednh chi ti\u1ebft c\u1ee7a t\u1eebng lo\u1ea1i m\u00f4, nh\u1edd \u0111\u00f3 CHT tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn ch\u00ednh trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd m\u00e0ng ngo\u00e0i tim v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u.<\/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 m\u00e0ng ngo\u00e0i tim<\/h2>\n

C\u1ed9ng h\u01b0\u1edfng t\u1eeb (CHT) c\u00f3 th\u1ec3 thu \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh t\u1eeb \u1edf b\u1ea5t k\u1ef3 m\u1eb7t ph\u1eb3ng n\u00e0o v\u1edbi \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao v\u00e0 th\u1ec3 hi\u1ec7n \u0111\u1eb7c t\u00ednh chi ti\u1ebft c\u1ee7a t\u1eebng lo\u1ea1i m\u00f4, nh\u1edd \u0111\u00f3 CHT tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn ch\u00ednh trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd m\u00e0ng ngo\u00e0i tim.<\/p>\n

CHT cho ph\u00e9p \u0111\u00e1nh gi\u00e1 chi ti\u1ebft gi\u1ea3i ph\u0201u c\u1ee7a m\u00e0ng ngo\u00e0i tim, ph\u00e1t hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng vi\u00eam, ph\u00e1t hi\u1ec7n v\u00e0 m\u00f4 t\u1ea3 chi ti\u1ebft c\u00e1c kh\u1ed1i u v\u00e0 nang m\u00e0ng ngo\u00e0i tim v\u00e0 gi\u00fap x\u00e1c \u0111\u1ecbnh nh\u1eefng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u0111\u1ed9ng c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd m\u00e0ng ngo\u00e0i tim.<\/p>\n

1.1 Vi\u00eam m\u00e0ng ngo\u00e0i tim v\u00e0 tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i<\/h3>\n

Trong vi\u00eam m\u00e0ng ngo\u00e0i tim c\u1ea5p, CHT xung T2 c\u00f3 th\u1ec3 khoanh v\u00f9ng c\u00e1c t\u00edn hi\u1ec7u cao trong m\u00e0ng ngo\u00e0i tim, ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ea5p t\u00ednh. CHT c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 d\u00e0y c\u1ee7a m\u00e0ng ngo\u00e0i tim v\u00e0 v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ti\u1ec1n xung th\u00edch h\u1ee3p c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n bi\u1ec7t m\u00e0ng ngo\u00e0i tim v\u1edbi c\u00e1c t\u1ed5 ch\u1ee9c m\u1ee1 v\u00e0 d\u1ecbch xung quanh.<\/p>\n

CHT l\u00e0 k\u1ef9 thu\u1eadt r\u1ea5t nh\u1ea1y trong \u0111\u00e1nh gi\u00e1 tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim. Tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n d\u1ec5 d\u00e0ng b\u1edfi si\u00eau \u00e2m tim, tuy nhi\u00ean CHT gi\u00fap x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed \u0111\u1ecbnh khu c\u1ee7a d\u1ecbch, x\u00e1c \u0111\u1ecbnh c\u00e1c kh\u1ed1i huy\u1ebft t\u1ee5 quanh m\u00e0ng ngo\u00e0i tim, v\u00e0 trong tr\u01b0\u1eddng h\u1ee3p c\u1eeda s\u1ed5 si\u00eau \u00e2m tim b\u1ecb h\u1ea1n ch\u1ebf, v\u00e0 v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n nghi ng\u1edd kh\u1ed1i lo\u1ea1n s\u1ea3n (g\u00e2y ra tr\u00e0n d\u1ecbch), c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u1ec1 t\u1ed5 ch\u1ee9c m\u00f4 xung quanh.<\/p>\n

CHT c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u1eefng h\u1eadu qu\u1ea3 c\u1ee7a vi\u00eam m\u00e0ng ngo\u00e0i tim c\u1ea5p t\u00ednh.<\/p>\n

C\u00f9ng v\u1edbi s\u1eed d\u1ee5ng ch\u1ea5t \u0111\u1ed1i quang t\u1eeb Gadolinium c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh v\u00f9ng c\u01a1 tim, v\u00ed d\u1ee5: Vi\u00eam c\u01a1 tim m\u00e0ng ngo\u00e0i tim v\u00e0 \u1edf th\u00ec mu\u1ed9n CHT c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft \u0111\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng cho ph\u0201u thu\u1eadt.<\/p>\n

1.2 Vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft<\/h3>\n

M\u00e0ng ngo\u00e0i tim b\u1ecb d\u00e0y l\u00ean v\u00e0 th\u01b0\u1eddng c\u00f3 t\u00edn hi\u1ec7u th\u1ea5p do ch\u1ee9a m\u00f4 m\u1ee1 v\u00e0 canxi, nh\u1eefng m\u00f4 c\u00f3 r\u1ea5t \u00edt n\u01b0\u1edbc. M\u00e0ng ngo\u00e0i tim d\u00e0y h\u01a1n 4 mm l\u00e0 ch\u1ec9 s\u1ed1 ngh\u0129 t\u1edbi vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft. Tuy nhi\u00ean trong tr\u01b0\u1eddng h\u1ee3p b\u1ec1 d\u00e0y m\u00e0ng ngo\u00e0i tim b\u00ecnh th\u01b0\u1eddng (nh\u1ecf h\u01a1n ho\u1eb7c b\u1eb1ng 2 mm) v\u0201n kh\u00f4ng th\u1ec3 lo\u1ea1i tr\u1eeb t\u00ecnh tr\u1ea1ng n\u00e0y. Ngo\u00e0i ra tr\u00ean h\u00ecnh \u1ea3nh CHT c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c nh\u01b0: Gi\u00e3n hai t\u00e2m nh\u0129, s\u1ef1 \u1ee9 tr\u1ec7 tu\u1ea7n ho\u00e0n c\u1ee7a t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi v\u00e0 c\u00e1c t\u0129nh m\u1ea1ch gan, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, d\u1ea5u hi\u1ec7u \u00e9p th\u1ea5t ph\u1ea3i v\u00e0 gi\u1ea3m k\u00edch th\u01b0\u1edbc r\u00e3nh nh\u0129 th\u1ea5t. Ch\u1ee9c n\u0103ng tr\u1ee5c d\u00e0i th\u1ea5t ph\u1ea3i th\u01b0\u1eddng b\u1ea3o t\u1ed3n \u0111\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf. CHT v\u1edbi k\u1ef9 thu\u1eadt \u0111\u00e1nh d\u1ea5u c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 x\u01a1 h\u00f3a li\u00ean t\u1ee5c gi\u1eefa khoang t\u1ea1ng v\u1edbi khoang quanh tim.<\/p>\n

Chu\u1ed7i xung \u0111\u1ed9ng (xung cin\u00e9) hi\u1ec7u ch\u1ec9nh nh\u1ecbp th\u1edf theo th\u1eddi gian th\u1ef1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u1ea3nh h\u01b0\u1edfng huy\u1ebft \u0111\u1ed9ng b\u1edfi s\u1ef1 co th\u1eaft m\u00e0ng ngo\u00e0i tim. Th\u1ea5t ph\u1ea3i b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ed5 \u0111\u1ea7y s\u1edbm h\u01a1n th\u1ea5t tr\u00e1i. M\u00e0ng ngo\u00e0i tim co th\u1eaft l\u00e0m h\u1ea1n ch\u1ebf s\u1ef1 gi\u00e3n ra c\u1ee7a th\u1ea5t ph\u1ea3i v\u00e0 h\u1eadu qu\u1ea3 l\u00e0 v\u00e1ch li\u00ean th\u1ea5t b\u1ecb \u0111\u1ea9y t\u1eeb ph\u1ea3i qua tr\u00e1i trong th\u00ec \u0111\u1ea7u t\u00e2m tr\u01b0\u01a1ng (d\u1ea5u hi\u1ec7u n\u1ea3y v\u00e1ch s\u1edbm). Khi h\u00edt v\u00e0o l\u00e0m t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y th\u1ea5t ph\u1ea3i c\u00e0ng l\u00e0m t\u0103ng \u00e1p l\u1ef1c \u00e9p v\u00e1ch li\u00ean th\u1ea5t v\u1ec1 th\u1ea5t tr\u00e1i trong th\u00ec \u0111\u1ea7u t\u00e2m tr\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t r\u00f5 \u1edf nh\u1ecbp tim \u0111\u1ea7u ti\u00ean khi h\u00edt v\u00e0o. Nh\u1eefng thay \u0111\u1ed5i n\u00e0y kh\u00f4ng g\u1eb7p trong b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf.<\/p>\n

1.3 Khi\u1ebfm khuy\u1ebft m\u00e0ng ngo\u00e0i tim<\/h3>\n

C\u00f3 th\u1ec3 l\u00e0 thi\u1ebfu m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 m\u00e0ng ngo\u00e0i tim, h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p li\u00ean quan \u0111\u1ebfn ph\u00eda b\u00ean tr\u00e1i c\u1ee7a m\u00e0ng ngo\u00e0i tim. Th\u01b0\u1eddng c\u00f3 s\u1ef1 d\u1ecbch chuy\u1ec3n r\u00f5 r\u1ec7t c\u1ee7a tim v\u00e0 hi\u1ec7n t\u01b0\u1ee3ng \u201ck\u1eb9t l\u01b0\u1ee1i ph\u1ed5i\u201d (nhu m\u00f4 ph\u1ed5i n\u1eb1m gi\u1eefa hai c\u1ea5u tr\u00fac gi\u1ea3i ph\u0201u t\u1ea1o th\u00e0nh h\u00ecnh c\u00e1i l\u01b0\u1ee1i) gi\u1eefa \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 gi\u1eefa m\u1eb7t d\u01b0\u1edbi c\u1ee7a tim v\u1edbi c\u01a1 ho\u00e0nh.<\/p>\n

CHT c\u0169ng gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00e1c b\u1ec7nh l\u00fd tim b\u1ea9m sinh nh\u01b0 c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch, t\u1ee9 ch\u1ee9ng Fallot, th\u00f4ng li\u00ean nh\u0129 v\u00e0 h\u1eb9p hai l\u00e1 b\u1ea9m sinh. Khi\u1ebfm khuy\u1ebft b\u00e1n ph\u1ea7n m\u00e0ng ngo\u00e0i tim c\u00f3 th\u1ec3 d\u0201n \u0111\u1ebfn tho\u00e1t v\u1ecb tim, \u0111\u1eb7c bi\u1ec7t l\u00e0 ti\u1ec3u nh\u0129 tr\u00e1i. V\u1ec1 sau c\u00f3 th\u1ec3 b\u1ecb th\u1eaft n\u00fat v\u00e0 d\u0201n \u0111\u1ebfn nh\u1ed3i m\u00e1u.<\/p>\n

1.4 U nang m\u00e0ng ngo\u00e0i tim<\/h3>\n

U nang m\u00e0ng ngo\u00e0i tim l\u00e0 nh\u1eefng c\u1ea5u tr\u00fac b\u1ea9m sinh, th\u01b0\u1eddng l\u00e0 \u0111\u01a1n \u0111\u1ed9c, nang ph\u00e1t sinh t\u1eeb m\u00e0ng ngo\u00e0i tim, c\u00f3 t\u00edn hi\u1ec7u cao tr\u00ean xung T2 v\u00ec ch\u1ee9a r\u1ea5t nhi\u1ec1u n\u01b0\u1edbc, kh\u00f4ng ng\u1ea5m thu\u1ed1c \u0111\u1ed1i quang v\u00ec kh\u00f4ng c\u00f3 m\u1ea1ch m\u00e1u nu\u00f4i d\u01b0\u1ee1ng tr\u1ef1c ti\u1ebfp. Do \u0111\u00f3 CHT d\u1ec5 d\u00e0ng cho ph\u00e9p ph\u00e2n bi\u1ec7t c\u00e1c u nang m\u00e0ng ngo\u00e0i tim v\u1edbi c\u00e1c c\u1ea5u tr\u00fac nang v\u00e0 c\u00e1c lo\u1ea1n s\u1ea3n kh\u00e1c.<\/p>\n

2. C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong \u0111\u00e1nh gi\u00e1 c\u00e1c kh\u1ed1i u tim<\/h2>\n

Tr\u01b0\u1eddng nh\u00ecn r\u1ed9ng \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi CHT v\u00e0 kh\u1ea3 n\u0103ng ch\u1ee5p \u1ea3nh tr\u00ean b\u1ea5t k\u1ef3 m\u1eb7t ph\u1eb3ng n\u00e0o v\u00e0 t\u00ednh ch\u1ea5t kh\u00f4ng x\u00e2m l\u1ea5n m\u00f4 khi\u1ebfn CHT tr\u1edf th\u00e0nh s\u1ef1 l\u1ef1a ch\u1ecdn t\u1ed1t trong \u0111\u00e1nh gi\u00e1 c\u00e1c kh\u1ed1i u tim.<\/p>\n

Huy\u1ebft kh\u1ed1i trong bu\u1ed3ng tim c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng h\u00ecnh \u1ea3nh Washout pha s\u1edbm sau khi ti\u00eam ch\u1ea5t \u0111\u1ed1i quang t\u1eeb. Huy\u1ebft kh\u1ed1i l\u00e0 c\u1ea5u tr\u00fac v\u00f4 m\u1ea1ch, kh\u00f4ng ng\u1ea5m thu\u1ed1c, v\u00e0 h\u00ecnh m\u00e0u \u0111en. H\u00ecnh \u1ea3nh pha mu\u1ed9n c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00f9ng c\u01a1 tim ng\u1ea5m thu\u1ed1c mu\u1ed9n, bi\u1ec3u l\u1ed9 v\u1ecb tr\u00ed v\u00f9ng nh\u1ed3i m\u00e1u, ch\u1ed7 c\u00f3 th\u1ec3 \u0111\u00f3ng g\u00f3p ch\u1ea5t n\u1ec1n cho huy\u1ebft kh\u1ed1i v\u00e0 c\u00f3 th\u1ec3 l\u00e0m n\u1ed5i b\u1eadt h\u01a1n n\u1eefa t\u00edn hi\u1ec7u th\u1ea5p c\u1ee7a huy\u1ebft kh\u1ed1i. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng \u1ee9ng d\u1ee5ng gi\u00e1 tr\u1ecb nh\u1ea5t c\u1ee7a CHT trong vi\u1ec7c ph\u00e2n bi\u1ec7t huy\u1ebft kh\u1ed1i hay kh\u1ed1i u, hay huy\u1ebft kh\u1ed1i tr\u00ean n\u1ec1n kh\u1ed1i u.<\/p>\n

C\u00e1c kh\u1ed1i u nguy\u00ean ph\u00e1t th\u01b0\u1eddng hi\u1ebfm v\u00e0 \u0111a ph\u1ea7n l\u00e0 l\u00e0nh t\u00ednh (> 70%). T\u1ed5n th\u01b0\u01a1ng l\u00e0nh t\u00ednh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 u nh\u1ea7y (Myxoma – chi\u1ebfm kho\u1ea3ng 50% s\u1ed1 t\u1ed5n th\u01b0\u01a1ng), u m\u1ee1 (Lipoma), u nh\u00fa li\u00ean k\u1ebft (papillary fibroelastoma) hay g\u1eb7p \u1edf tr\u1ebb nh\u1ecf v\u00e0 u c\u01a1, u x\u01a1 \u00edt g\u1eb7p h\u01a1n.<\/p>\n

Kh\u1ed1i u \u00e1c t\u00ednh nguy\u00ean ph\u00e1t hay g\u1eb7p nh\u1ea5t l\u00e0 ung th\u01b0 m\u00f4 li\u00ean k\u1ebft Sarcoma, ti\u1ebfp theo l\u00e0 u lympho nguy\u00ean ph\u00e1t. U sarcoma m\u1ea1ch l\u00e0 lo\u1ea1i hay g\u1eb7p nh\u1ea5t trong s\u1ed1 c\u00e1c Sarcom tim, v\u00e0 th\u01b0\u1eddng hay g\u1eb7p \u1edf v\u1ecb tr\u00ed t\u00e2m nh\u0129 ph\u1ea3i (75%).<\/p>\n

T\u1ed5n th\u01b0\u01a1ng di c\u0103n t\u1ef7 l\u1ec7 g\u1eb7p cao h\u01a1n 20 l\u1ea7n t\u1ed5n th\u01b0\u01a1ng nguy\u00ean ph\u00e1t. C\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 lan qua \u0111\u01b0\u1eddng m\u1ea1ch m\u00e1u, \u0111\u01b0\u1eddng b\u1ea1ch huy\u1ebft, x\u00e2m l\u1ea5n tr\u1ef1c ti\u1ebfp (u ph\u1ed5i, u v\u00fa) ho\u1eb7c th\u00f4ng qua h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch (ung th\u01b0 bi\u1ec3u m\u00f4 th\u1eadn).<\/p>\n

CHT cho ph\u00e9p x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, \u0111\u00e3 x\u00e2m l\u1ea5n hay ch\u01b0a, \u0111a t\u1ed5n th\u01b0\u01a1ng do ung th\u01b0 di c\u0103n. CHT c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, m\u00e0ng tim hay t\u0103ng kh\u1ea3 n\u0103ng nghi ng\u1edd b\u1ec7nh l\u00fd \u00e1c t\u00ednh.<\/p>\n

CHT c\u00f3 th\u1ec3 cung c\u1ea5p nh\u1eefng h\u00ecnh \u1ea3nh thu\u1eadn l\u1ee3i c\u1ee7a c\u1ea5u tr\u00fac m\u1ea1ch v\u00e0 c\u00e1c b\u1ed9 ph\u1eadn gi\u1ea3i ph\u0201u xung quanh \u0111\u1ec3 l\u00ean k\u1ebf ho\u1ea1ch ph\u0201u thu\u1eadt.<\/p>\n

\u0110\u00e1nh gi\u00e1 CHT c\u1ee7a b\u1ea5t k\u1ef3 kh\u1ed1i u tim n\u00e0o \u0111\u1ec1u theo tr\u00ecnh t\u1ef1 xung \u0111\u1ed9ng T1 v\u00e0 T2 v\u00e0 xung cin\u00e9 (h\u00ecnh \u1ea3nh \u0111\u1ed9ng).<\/p>\n

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t d\u1ef1a tr\u00ean v\u1ecb tr\u00ed, s\u1ef1 xu\u1ea5t hi\u1ec7n v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m t\u00edn hi\u1ec7u chi ti\u1ebft c\u1ee7a c\u00e1c kh\u1ed1i u v\u00e0 k\u1ebft h\u1ee3p v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 c\u00e1c th\u0103m d\u00f2 c\u1eadn l\u00e2m s\u00e0ng kh\u00e1c.<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u1ed9ng h\u01b0\u1edfng t\u1eeb (CHT) c\u00f3 th\u1ec3 thu \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh t\u1eeb \u1edf b\u1ea5t k\u1ef3 m\u1eb7t ph\u1eb3ng n\u00e0o v\u1edbi \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao v\u00e0 th\u1ec3 hi\u1ec7n \u0111\u1eb7c t\u00ednh chi ti\u1ebft c\u1ee7a t\u1eebng lo\u1ea1i m\u00f4, nh\u1edd \u0111\u00f3 CHT tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn ch\u00ednh trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd m\u00e0ng ngo\u00e0i tim v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u. C\u1ed9ng […]<\/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 m\u00e0ng ngo\u00e0i tim v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u tim<\/title>\n<meta name=\"description\" content=\"C\u1ed9ng h\u01b0\u1edfng t\u1eeb (CHT) th\u1ec3 hi\u1ec7n \u0111\u1eb7c t\u00ednh chi ti\u1ebft c\u1ee7a t\u1eebng lo\u1ea1i m\u00f4, l\u1ef1a ch\u1ecdn ch\u00ednh trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd m\u00e0ng ngo\u00e0i tim v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u.\" \/>\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=\"C\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh 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