{"id":29638,"date":"2023-04-30T13:19:27","date_gmt":"2023-04-30T06:19:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29638"},"modified":"2023-04-30T13:19:27","modified_gmt":"2023-04-30T06:19:27","slug":"phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/","title":{"rendered":"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa"},"content":{"rendered":"

Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c nu\u1ed1t th\u1ee9c \u0103n v\u00e0 \u0111au t\u1ee9c ng\u1ef1c. N\u1ebfu c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng hi\u1ec7u qu\u1ea3, ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1eefu hi\u1ec7u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin v\u1ec1 ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa.<\/strong><\/p>\n

\"\"
Co th\u1eaft th\u1ef1c qu\u1ea3n l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd<\/a> trong \u0111\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ch\u1ee7 y\u1ebfu l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng.<\/figcaption><\/figure>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/b><\/h2>\n

Co th\u1eaft th\u1ef1c qu\u1ea3n l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd<\/a> c\u1ee7a th\u1ef1c qu\u1ea3n, trong \u0111\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ch\u1ee7 y\u1ebfu l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng (nhu \u0111\u1ed9ng) b\u00ecnh th\u01b0\u1eddng c\u1ee7a th\u1ef1c qu\u1ea3n v\u00e0 t\u00e2m v\u1ecb: m\u1ea5t ho\u00e0n to\u00e0n co b\u00f3p d\u1ea1ng nhu \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n v\u00e0 m\u1ea5t s\u1ef1 d\u00e3n n\u1edf \u0111\u1ed3ng b\u1ed9 c\u1ee7a c\u01a1 th\u1eaft t\u00e2m v\u1ecb. B\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm nh\u1ea5t trong nh\u1eefng b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n. Thomas Villis (1674) l\u00e0 ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1ec7nh tr\u00ean nh\u1eefng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng \u1edf Oxford m\u1eafc b\u1ec7nh nu\u1ed1t kh\u00f3 v\u00e0 n\u00f4n o\u1eb9 li\u00ean t\u1ee5c do s\u1ef1 \u0111\u00f3ng ch\u1eb7t c\u1ee7a c\u01a1 th\u1ef1c qu\u1ea3n. Sau \u0111\u00f3 Purton (1921) l\u1ea7n \u0111\u1ea7u ti\u00ean t\u00ecm th\u1ea5y v\u00e0 m\u00f4 t\u1ea3 b\u1ec7nh tr\u00ean t\u1eed thi. Co th\u1eaft th\u1ef1c qu\u1ea3n chia l\u00e0m hai lo\u1ea1i: r\u1ed1i lo\u1ea1n co th\u1eaft ph\u1ea7n th\u1ea5p c\u01a1 th\u1ef1c qu\u1ea3n (co th\u1eaft t\u00e2m v\u1ecb) v\u00e0 r\u1ed1i lo\u1ea1n co th\u1eaft to\u00e0n b\u1ed9 th\u1ef1c qu\u1ea3n (co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa).<\/p>\n

Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ch\u1eafc ch\u1eafn, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u0169ng c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, c\u00f3 th\u1ec3 t\u00f3m t\u1eaft th\u00e0nh 2 lo\u1ea1i : (+) \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa: nong th\u1ef1c qu\u1ea3n b\u1eb1ng nh\u1eefng d\u1ee5ng c\u1ee5 \u0111\u1eb7c bi\u1ec7t (\u1ed1ng nong thu\u1ef7 ng\u00e2n, n\u01b0\u1edbc, h\u01a1i v\u00e0 \u1ed1ng nong Savary), thu\u1ed1c ch\u1eb9n k\u00eanh canxi, nh\u00f3m Nitrates, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m\u2026 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng. K\u1ebft qu\u1ea3 n\u00f3i chung ch\u1ec9 t\u1ea1m th\u1eddi ho\u1eb7c trong tr\u01b0\u1eddng h\u1ee3p ch\u1edd ph\u1eabu thu\u1eadt. (+) \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa: ph\u1eabu thu\u1eadt Heller (m\u1edf c\u01a1 th\u1ef1c qu\u1ea3n-t\u00e2m v\u1ecb ngo\u00e0i ni\u00eam m\u1ea1c) l\u00e0 ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i, cho k\u1ebft qu\u1ea3 s\u1edbm ngay sau m\u1ed5 t\u1ed1t \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p co th\u1eaft t\u00e2m v\u1ecb, ph\u1eabu thu\u1eadt m\u1edf to\u00e0n b\u1ed9 c\u01a1 d\u1ecdc chi\u1ec1u d\u00e0i th\u1ef1c qu\u1ea3n trong tr\u01b0\u1eddng h\u1ee3p co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa. Tuy nhi\u00ean ph\u1eabu thu\u1eadt n\u00e0y c\u00f3 nh\u01b0\u1ee3c \u0111i\u1ec3m l\u00e0 c\u00f3 th\u1ec3 g\u00e2y hi\u1ec7n t\u01b0\u1ee3ng tr\u00e0o ng\u01b0\u1ee3c t\u1eeb d\u1ea1 d\u00e0y l\u00ean th\u1ef1c qu\u1ea3n m\u00e0 h\u1eadu qu\u1ea3 l\u00e2u d\u00e0i s\u1ebd d\u1eabn \u0111\u1ebfn vi\u00eam th\u1ef1c qu\u1ea3n. \u0110\u1ec3 gi\u1ea3m b\u1edbt h\u1eadu qu\u1ea3 tr\u00ean \u0111\u00e3 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p t\u1ea1o van th\u1ef1c qu\u1ea3n ch\u1ed1ng tr\u00e0o ng\u01b0\u1ee3c \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng. Trong \u0111\u00f3 ph\u01b0\u01a1ng ph\u00e1p t\u1ea1o van to\u00e0n b\u1ed9 c\u1ee7a Nissen v\u00e0 c\u1ea3i ti\u1ebfn c\u1ee7a h\u1ecdc tr\u00f2 \u00f4ng l\u00e0 Rossetti \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh qua th\u1ef1c t\u1ebf l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p c\u00f3 hi\u1ec7u qu\u1ea3 .<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

Ng\u01b0\u1edfi b\u1ec7nh ch\u1ea9n \u0111o\u00e1n co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa v\u1edbi x\u00e9t nghi\u1ec7m, Xquang, soi th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng v\u00e0 \u0111o \u00e1p l\u1ef1c c\u01a1 th\u1ef1c qu\u1ea3n (n\u1ebfu \u0111\u01b0\u1ee3c).<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

– Th\u1ec3 tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh qu\u00e1 y\u1ebfu kh\u00f4ng ch\u1ecbu \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh gi\u00e0 y\u1ebfu, c\u00f3 nhi\u1ec1u b\u1ec7nh ph\u1ed1i h\u1ee3p.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 th\u1ef1c qu\u1ea3n.<\/p>\n

– B\u1ec7nh to\u00e0n th\u00e2n n\u1eb7ng: b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u1ec7nh van tim, b\u1ec7nh t\u00e2m ph\u1ebf m\u00e3n.<\/p>\n

4. Chu\u1ea9n b\u1ecb<\/b><\/h2>\n

4.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n:<\/b><\/h3>\n

– S\u1ed1 ng\u01b0\u1eddi: 3 ng\u01b0\u1eddi<\/p>\n

– Tr\u00ecnh \u0111\u1ed9 ph\u1eabu thu\u1eadt vi\u00ean: t\u1ed1t nghi\u1ec7p b\u00e1c s\u1ef9 v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o chuy\u00ean s\u00e2u v\u1ec1 ti\u00eau\u00a0<\/sub>h\u00f3a<\/p>\n

– Tr\u00ecnh \u0111\u1ed9 ng\u01b0\u1eddi ph\u1ee5: t\u1ed1t nghi\u1ec7p b\u00e1c s\u1ef9<\/sub><\/p>\n

4.2. Ng\u01b0\u1eddi b\u1ec7nh:<\/b><\/h3>\n

– C\u00e1c x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n, n\u1ed9i soi, Xquang, si\u00eau \u00e2m \u1ed5 b\u1ee5ng<\/p>\n

– Do ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0103n \u0111\u01b0\u1ee3c v\u00ec nu\u1ed1t ngh\u1eb9n n\u00ean th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n suy dinh d\u01b0\u1ee1ng, r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i. C\u1ea7n \u0111\u01b0\u1ee3c b\u00f9 n\u0103ng l\u01b0\u1ee3ng v\u00e0 b\u1ed3i ph\u1ee5 n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch v\u00e0i ng\u00e0y tr\u01b0\u1edbc m\u1ed5.<\/p>\n

N\u1ebfu c\u00f3 \u1ee9 \u0111\u1ecdng th\u1ee9c \u0103n trong th\u1ef1c qu\u1ea3n c\u1ea7n \u0111\u01b0\u1ee3c r\u1eeda h\u00fat s\u1ea1ch tr\u01b0\u1edbc m\u1ed5.<\/p>\n

– Th\u1ee5t th\u00e1o \u0111\u1ea1i tr\u00e0ng.<\/p>\n

– V\u1ec7 sinh t\u1ea1i ch\u1ed7.<\/p>\n

– Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng tr\u01b0\u1edbc m\u1ed5.<\/p>\n

4.3. Ph\u01b0\u01a1ng ti\u1ec7n:<\/b><\/h3>\n

– B\u1ed9 trang thi\u1ebft b\u1ecb \u0111\u1ed3ng b\u1ed9 m\u1ed5 n\u1ed9i soi c\u1ee7a h\u00e3ng Kall Storz: b\u1ed9 d\u1ee5ng c\u1ee5 n\u1ed9i soi, m\u00e0n h\u00ecnh , camera..<\/p>\n

– B\u1ed9 d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng ph\u1eabu thu\u1eadt ti\u00eau h\u00f3a<\/p>\n

– B\u1ed9 Van b\u1ed9c l\u1ed9 tr\u01b0\u1eddng ph\u1eabu thu\u1eadt<\/p>\n

– B\u1ed9 d\u1ee5ng c\u1ee5 m\u1ea1ch m\u00e1u + ch\u1ec9 m\u1ea1ch m\u00e1u<\/p>\n

– C\u00e1c d\u1ee5ng c\u1ee5 k\u1ef9 thu\u1eadt cao: Dao si\u00eau \u00e2m, dao h\u00e0n m\u1ea1ch\u2026<\/p>\n

5. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h2>\n

5.1. T\u01b0 th\u1ebf: <\/b><\/h3>\n

Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m s\u1ea5p, k\u00ea m\u1ed9t g\u1ed1i \u0111\u1ec7m nh\u1ecf \u1edf ng\u1ef1c ph\u1ea3i l\u00e0m cho ng\u01b0\u1eddi b\u1ec7nh nghi\u00eang m\u1ed9t g\u00f3c kho\u1ea3ng 30 \u0111\u1ed9. Tay ph\u1ea3i ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c k\u00ea sao cho kho\u1ea3ng kh\u00f4ng gian ng\u1ef1c ph\u1ea3i v\u00e0 n\u00e1ch kh\u00f4ng b\u1ecb c\u1ea3n tr\u1edf.<\/p>\n

5.2. V\u00f4 c\u1ea3m: <\/b><\/h3>\n

G\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n v\u1edbi \u1ed1ng Carlen \u0111\u1ec3 l\u00e0m x\u1eb9p ph\u1ed5i, kh\u00f4ng b\u01a1m h\u01a1i khoang m\u00e0ng ph\u1ed5i ho\u1eb7c b\u01a1m v\u1edbi \u00e1p l\u1ef1c nh\u1ecf.<\/p>\n

5.3. K\u1ef9 thu\u1eadt:<\/b><\/h3>\n

– Ph\u1eabu t\u00edch quai t\u0129nh m\u1ea1ch \u0111\u01a1n, th\u1eaft v\u00e0 c\u1eaft quai t\u0129nh m\u1ea1ch \u0111\u01a1n b\u1eb1ng ch\u1ec9 vicryl 3.0 k\u1ebft h\u1ee3p v\u1edbi k\u1eb9p clip ho\u1eb7c ch\u1ec9 dung clip Haemolock \u0111\u01a1n thu\u1ea7n.<\/p>\n

– M\u1edf m\u00e0ng ph\u1ed5i trung th\u1ea5t d\u1ecdc theo chi\u1ec1u d\u00e0i b\u1eb1ng m\u00f3c \u0111i\u1ec7n t\u1eeb v\u1ecb tr\u00ed tr\u00ean c\u01a1 ho\u00e0nh \u0111\u1ebfn \u0111\u1ec9nh ph\u1ed5i ph\u1ea3i.<\/p>\n

– \u0110\u01b0\u1eddng m\u1edf c\u01a1 b\u1eaft \u0111\u1ea7u t\u1eeb v\u1ecb tr\u00ed th\u1ef1c qu\u1ea3n tr\u00ean c\u01a1 ho\u00e0nh ch\u1ea1y su\u1ed1t chi\u1ec1u d\u00e0i th\u1ef1c qu\u1ea3n cho \u0111\u1ebfn s\u00e1t v\u1ecb tr\u00ed n\u1ec1n c\u1ed5 (trong qu\u00e1 tr\u00ecnh ph\u1eabu t\u00edch c\u00f3 th\u1ec3 d\u00f9ng m\u00f3c \u0111i\u1ec7n ho\u1eb7c k\u00e9o)<\/p>\n

– Sau kh\u00ed k\u1ebft th\u00fac qu\u00e1 tr\u00ecnh m\u1edf c\u01a1 ph\u1ea3i b\u01a1m h\u01a1i \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y \u0111\u1ec3 ki\u1ec3m tra xem c\u00f3 v\u1ecb tr\u00ed n\u00e0o c\u00f2n c\u01a1 th\u1ef1c qu\u1ea3n ho\u1eb7c v\u1ecb tr\u00ed ni\u00eam m\u1ea1c th\u1ef1c qu\u1ea3n b\u1ecb th\u1ee7ng.<\/p>\n

– \u0110\u1eb7t d\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i v\u00e0 \u0111\u00f3ng l\u1ed7 troca<\/p>\n

6. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/b><\/h2>\n

6.1. Theo d\u00f5i:<\/b><\/h3>\n

– Nh\u01b0 m\u1ecdi tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a n\u00f3i chung v\u00e0 \u0111\u01b0\u1eddng ng\u1ef1c<\/p>\n

– Kh\u00e1ng sinh t\u1eeb 2 \u0111\u1ebfn 5 ng\u00e0y.<\/p>\n

– C\u1ea7n l\u01b0u \u00fd b\u1ed3i ph\u1ee5 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i.<\/p>\n

6.2. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/b><\/h3>\n

6.2.1. Trong ph\u1eabu thu\u1eadt<\/i><\/b><\/h4>\n

– Th\u1ee7ng th\u1ef1c qu\u1ea3n: kh\u00e2u ngay v\u00e0 m\u1edf th\u00f4ng d\u1ea1 d\u00e0y ho\u1eb7c m\u1edf th\u00f4ng h\u1ed7ng tr\u00e0ng t\u00f9y v\u00e0o v\u1ecb tr\u00ed th\u1ee7ng<\/p>\n

– Ch\u1ea3y m\u00e1u: c\u1eb7p clip c\u1ea7m m\u00e1u.<\/p>\n

6.2.2. Sau ph\u1eabu thu\u1eadt<\/i><\/b><\/h4>\n

– Ch\u1ea3y m\u00e1u: m\u1ed5 l\u1ea1i c\u1ea7m m\u00e1u<\/p>\n

– \u00c1p xe trung th\u1ea5t: m\u1edf th\u00f4ng d\u1ea1 d\u00e0y, kh\u00e1ng sinh m\u1ea1nh, h\u1ed3i s\u1ee9c<\/p>\n

– Suy h\u00f4 h\u1ea5p, vi\u00eam ph\u1ed5i: kh\u00e1ng sinh, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c nu\u1ed1t th\u1ee9c \u0103n v\u00e0 \u0111au t\u1ee9c ng\u1ef1c. N\u1ebfu c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng hi\u1ec7u qu\u1ea3, ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1eefu […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nPh\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa - Vinmec<\/title>\n<meta name=\"description\" content=\"Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c ...\" \/>\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=\"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-30T06:19:27+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1404218142-612x612-1-300x158.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 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\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/\",\"name\":\"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-30T06:19:27+00:00\",\"dateModified\":\"2023-04-30T06:19:27+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c ...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\",\"name\":\"mitkaka mitkaka\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"caption\":\"mitkaka mitkaka\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa - Vinmec","description":"Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c ...","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":"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa - Vinmec","og_description":"Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c ...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/","og_site_name":"Vinmec","article_published_time":"2023-04-30T06:19:27+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1404218142-612x612-1-300x158.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/","name":"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-30T06:19:27+00:00","dateModified":"2023-04-30T06:19:27+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"Co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa l\u00e0 t\u00ecnh tr\u1ea1ng khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n, b\u1ecb co th\u1eaft qu\u00e1 m\u1ee9c, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c ...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-co-that-thuc-quan-lan-toa\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb co th\u1eaft th\u1ef1c qu\u1ea3n lan t\u1ecfa"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c","name":"mitkaka mitkaka","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","caption":"mitkaka mitkaka"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29638"}],"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\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29638"}],"version-history":[{"count":2,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29638\/revisions"}],"predecessor-version":[{"id":29697,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29638\/revisions\/29697"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29638"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}