{"id":29679,"date":"2023-04-30T14:01:17","date_gmt":"2023-04-30T07:01:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29679"},"modified":"2023-04-30T14:01:17","modified_gmt":"2023-04-30T07:01:17","slug":"phau-thuat-dieu-tri-soi-duong-mat-trong-gan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-soi-duong-mat-trong-gan\/","title":{"rendered":"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan"},"content":{"rendered":"<p><strong>\u00a0Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi trong gan ph\u1ea3i \u0111\u1ea1t m\u1ee5c \u0111\u00edch l\u1ea5y \u0111\u01b0\u1ee3c s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt m\u1ed9t c\u00e1ch t\u1ed1i \u0111a, \u0111\u1ea3m b\u1ea3o l\u01b0u th\u00f4ng d\u1ecbch m\u1eadt xu\u1ed1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 tr\u00e1nh \u1ee9 \u0111\u1ecdng d\u1ecbch m\u1eadt. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi trong gan, trong \u0111\u00f3 vi\u1ec7c s\u1eed d\u1ee5ng n\u1ed9i soi \u0111\u01b0\u1eddng m\u1eadt v\u00e0 t\u00e1n s\u1ecfi \u0111i\u1ec7n th\u1ee7y l\u1ef1c l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt ti\u00ean ti\u1ebfn gi\u00fap cho l\u1ea5y s\u1ecfi hi\u1ec7u qu\u1ea3 nh\u1ea5t, h\u1ea1 th\u1ea5p t\u1ed1i \u0111a t\u1ef7 l\u1ec7 s\u00f3t s\u1ecfi.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-29802\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-499566163-612x612-1-1-300x220.jpg\" alt=\"\" width=\"300\" height=\"220\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-499566163-612x612-1-1-300x220.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-499566163-612x612-1-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><b>1. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n<p>T\u1ea5t c\u1ea3 c\u00e1c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 s\u1ecfi trong gan c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7 v\u00e0 <a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/soi-tui-mat-nguyen-nhan-trieu-chung-va-cach-dieu-tri\/\">s\u1ecfi t\u00fai m\u1eadt.<\/a><\/p>\n<h2><b>2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n<p>&#8211; C\u00e1c ng\u01b0\u1eddi b\u1ec7nh trong t\u00ecnh tr\u1ea1ng n\u1eb7ng: s\u1ed1c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh gi\u00e0 suy ki\u1ec7t n\u1eb7ng.<\/p>\n<p>&#8211; C\u00e1c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i c\u1ee7a g\u00e2y m\u00ea: suy tim n\u1eb7ng, suy h\u00f4 h\u1ea5p n\u1eb7ng.<\/p>\n<h2><b>3. Chu\u1ea9n b\u1ecb<\/b><\/h2>\n<h3><b>3.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n:<\/b><\/h3>\n<p>Ph\u1eabu thu\u1eadt vi\u00ean chuy\u00ean khoa gan m\u1eadt v\u00e0 b\u00e1c s\u0129 g\u00e2y m\u00ea h\u1ed3i s\u1ee9c c\u00f3 kinh nghi\u1ec7m (PTV v\u00e0 2 ph\u1ee5 m\u1ed5).<\/p>\n<h3><b>3.2. Ph\u01b0\u01a1ng ti\u1ec7n:<\/b><\/h3>\n<p>&#8211; B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu thu\u1eadt trong m\u1ed5 m\u1edf s\u1ecfi m\u1eadt.Kim ch\u1ec9 ti\u00eau ch\u1eadm 3\/0,4\/0.<\/p>\n<p>&#8211; B\u1ed9 d\u1ee5ng c\u1ee5 l\u1ea5y s\u1ecfi kinh \u0111i\u1ec3n: k\u00ecm Mirizzi v\u1edbi c\u00e1c \u0111\u1ed9 cong kh\u00e1c nhau.<\/p>\n<p>&#8211; D\u00e0n m\u00e1y n\u1ed9i soi \u0111\u01b0\u1eddng m\u1eadt v\u1edbi \u1ed1ng soi m\u1ec1m \u0111\u01b0\u1eddng k\u00ednh 5mm c\u00f3 th\u1ec3 \u0111i\u1ec1u khi\u1ec3n 2 chi\u1ec1u ho\u1eb7c 4 chi\u1ec1u.<\/p>\n<p>&#8211; M\u00e1y t\u00e1n s\u1ecfi \u0111i\u1ec7n th\u1ee7y l\u1ef1c + d\u00e2y t\u00e1n s\u1ecfi.<\/p>\n<p>&#8211; Gi\u00e1 treo t\u00fai n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd c\u00f3 qu\u1ea5n b\u0103ng c\u1ee7a m\u00e1y \u0111o huy\u1ebft \u00e1p ho\u1eb7c t\u1ed1t nh\u1ea5t l\u00e0 c\u00f3 m\u00e1y b\u01a1m n\u01b0\u1edbc v\u1edbi \u0111\u1ed9ng c\u01a1 c\u00f3 \u0111i\u1ec1u khi\u1ec3n \u00e1p l\u1ef1c b\u01a1m n\u01b0\u1edbc.<\/p>\n<h3><b>3.3. Ng\u01b0\u1eddi b\u1ec7nh: <\/b><\/h3>\n<p>\u0110\u00e3 \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb m\u1ed5 theo k\u1ebf ho\u1ea1ch.<\/p>\n<h3><b>3.4. Th\u1eddi gian ph\u1eabu thu\u1eadt: <\/b>180 ph\u00fat.<\/h3>\n<h2><b>4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h2>\n<h3><b>4.1. T\u01b0 th\u1ebf: <\/b><\/h3>\n<p>Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, 2 tay d\u1ea1ng.<\/p>\n<h3><b>4.2. V\u00f4 c\u1ea3m: <\/b><\/h3>\n<p>G\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n.<\/p>\n<p>\u0110\u1eb7t sonde d\u1ea1 d\u00e0y v\u00e0 sonde ti\u1ec3u.<\/p>\n<h3><b>5.3. K\u1ef9 thu\u1eadt:<\/b><\/h3>\n<p>&#8211; B\u01b0\u1edbc 1. M\u1edf b\u1ee5ng theo \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa tr\u00ean r\u1ed1n, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i qua r\u1ed1n.<\/p>\n<p>&#8211; B\u01b0\u1edbc 2. Ph\u1eabu t\u00edch b\u1ed9c l\u1ed9 r\u00f5 cu\u1ed1ng gan, \u1ed1ng m\u1eadt ch\u1ee7.<\/p>\n<p>&#8211; B\u01b0\u1edbc 3. Th\u0103m d\u00f2 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng gan, l\u00e1ch, \u0111\u01b0\u1eddng m\u1eadt, t\u00fai m\u1eadt v\u00e0 \u1ed5 b\u1ee5ng.<\/p>\n<p>&#8211; B\u01b0\u1edbc 4. M\u1edf \u1ed1ng m\u1eadt ch\u1ee7: kh\u00e2u treo v\u00e0 m\u1edf m\u1ed9t l\u1ed7 \u1edf m\u1eb7t tr\u01b0\u1edbc \u1ed1ng m\u1eadt ch\u1ee7 (m\u1edf ngang ho\u1eb7c d\u1ecdc).<\/p>\n<p>&#8211; B\u01b0\u1edbc 5. Soi \u0111\u01b0\u1eddng m\u1eadt \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ecfi v\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u01b0\u1eddng m\u1eadt:<\/p>\n<p>+ M\u00e0n h\u00ecnh \u0111\u1ec3 \u0111\u1ed1i di\u1ec7n ph\u1eabu thu\u1eadt vi\u00ean, c\u00e1ch kho\u1ea3ng 1,5 &#8211; 2m.<\/p>\n<p>+ PTV \u0111\u1ee9ng \u1edf b\u00ean tr\u00e1i ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>+ B\u1ed9 t\u01b0\u1edbi r\u1eeda tr\u00ean cao kho\u1ea3ng 1m so v\u1edbi m\u1eb7t b\u00e0n m\u1ed5 c\u00f3 qu\u1ea5n b\u0103ng b\u01a1m \u00e1p l\u1ef1c kho\u1ea3ng 300mmHg, ho\u1eb7c s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng m\u00e1y b\u01a1m n\u01b0\u1edbc c\u00f3 van \u0111i\u1ec1u khi\u1ec3n \u00e1p l\u1ef1c.<\/p>\n<p>+ Tay tr\u00e1i c\u1ee7a PTV c\u1ea7m b\u1ed9 ph\u1eadn \u0111i\u1ec1u khi\u1ec3n \u1ed1ng soi, tay ph\u1ea3i c\u1ea7m ph\u1ea7n \u0111\u1ea7u xa c\u1ee7a \u1ed1ng soi \u0111\u1ec3 \u0111\u01b0a v\u00e0o \u00f4ng m\u1eadt ch\u1ee7. B\u1eaft \u0111\u1ea7u soi l\u1ea7n l\u01b0\u1ee3t \u1ed1ng m\u1eadt ch\u1ee7, \u1ed1ng gan chung v\u00e0 c\u00e1c \u1ed1ng gan, \u1ed1ng ph\u00e2n th\u00f9y v\u00e0 h\u1ea1 ph\u00e2n th\u00f9y c\u1ee7a t\u1eebng b\u00ean. Trong khi soi quan s\u00e1t tr\u00ean m\u00e0n h\u00ecnh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng trong \u0111\u01b0\u1eddng m\u1eadt v\u00e0 s\u1ecfi.<\/p>\n<p>&#8211; B\u01b0\u1edbc 6. L\u1ea5y s\u1ecfi b\u1eb1ng d\u1ee5ng c\u1ee5 kinh \u0111i\u1ec3n: s\u1eed d\u1ee5ng k\u00ecm Mirizzi v\u1edbi c\u00e1c \u0111\u1ed9 cong kh\u00e1c nhau l\u1ea5y s\u1ecfi \u1edf \u1ed1ng m\u1eadt ch\u1ee7 v\u00e0 c\u00e1c \u0111\u01b0\u1eddng m\u1eadt trong gan, k\u1ebft h\u1ee3p v\u1edbi b\u01a1m r\u1eeda \u0111\u01b0\u1eddng m\u1eadt \u0111\u1ec3 l\u1ea5y s\u1ecfi m\u1ed9t c\u00e1ch t\u1ed1i \u0111a.<\/p>\n<p>&#8211; B\u01b0\u1edbc 7. Soi l\u1ea1i \u0111\u01b0\u1eddng m\u1eadt \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ecfi s\u00f3t c\u00f2n ch\u01b0a l\u1ea5y \u0111\u01b0\u1ee3c.<\/p>\n<p>&#8211; B\u01b0\u1edbc 8. T\u00e1n s\u1ecfi \u0111i\u1ec7n th\u1ee7y l\u1ef1c<\/p>\n<p>+ Tr\u01b0\u1edbc khi t\u00e1n s\u1ecfi c\u1ea7n nh\u1eafc b\u00e1c s\u0129 g\u00e2y m\u00ea ph\u1ed1i h\u1ee3p, tr\u00e1nh cho ng\u01b0\u1eddi b\u1ec7nh n\u1ea5c, t\u1ec9nh khi t\u00e1n s\u1ecfi.<\/p>\n<p>+ PTV s\u1eed d\u1ee5ng \u1ed1ng soi m\u1ec1m \u0111\u1ec3 ti\u1ebfp c\u1eadn vi\u00ean s\u1ecfi c\u1ea7n t\u00e1n.<\/p>\n<p>+ D\u1ee5ng c\u1ee5 vi\u00ean nh\u1eb9 nh\u00e0ng lu\u1ed3n \u0111i\u1ec7n c\u1ef1c t\u00e1n s\u1ecfi qua k\u00eanh d\u1ee5ng c\u1ee5 v\u00e0 quan s\u00e1t tr\u00ean quang tr\u01b0\u1eddng, khi th\u1ea5y \u0111\u1ea7u \u0111i\u1ec7n c\u1ef1c chui ra kh\u1ecfi \u0111\u1ea7u \u1ed1ng soi h\u1ebft ph\u1ea7n c\u00f3 b\u1ecdc kim lo\u1ea1i th\u00ec d\u1eebng l\u1ea1i.<\/p>\n<p>+ PTV b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i l\u1ea7n cu\u1ed1i \u0111\u1ec3 \u0111\u1ea7u \u0111i\u1ec7n c\u1ef1c ch\u1ea1m v\u00e0o gi\u1eefa b\u1ec1 m\u1eb7t vi\u00ean s\u1ecfi, tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea1m ho\u1eb7c s\u00e1t th\u00e0nh \u0111\u01b0\u1eddng m\u1eadt.<\/p>\n<p>+ Ng\u01b0\u1eddi ch\u1ea1y ngo\u00e0i \u0111\u1ee9ng c\u1ea1nh m\u00e1y t\u00e1n \u0111\u1ec3 \u0111i\u1ec1u khi\u1ec3n c\u01b0\u1eddng \u0111\u1ed9 theo s\u1ef1 \u0111i\u1ec1u khi\u1ec3n c\u1ee7a PTV.<\/p>\n<p>+ T\u1ea5t c\u1ea3 \u00eak\u00edp ph\u1eabu thu\u1eadt ph\u1ea3i tuy\u1ec7t \u0111\u1ed1i nghe theo kh\u1ea9u l\u1ec7nh c\u1ee7a PTV.<\/p>\n<p>+ Tr\u01b0\u1edbc khi gi\u1eabm l\u00ean b\u00e0n \u0111\u1ea1p t\u00e1n s\u1ecfi, PTV c\u1ea7n nh\u1eafc ng\u01b0\u1eddi ph\u1ee5 tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u1ed9ng v\u00e0o d\u00e2y t\u00e1n s\u1ecfi \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 l\u00e0m ch\u1ec7ch.<\/p>\n<p>+ PTV b\u1eaft \u0111\u1ea7u gi\u1eabm l\u00ean b\u00e0n \u0111\u1ea1p v\u00e0 quan s\u00e1t hi\u1ec7u qu\u1ea3 v\u1ee1 s\u1ecfi. N\u1ebfu ch\u01b0a \u0111\u1ea1t th\u00ec ph\u1ea3i nh\u1eafc t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 t\u00e1n. Quan s\u00e1t n\u1ebfu th\u1ea5y vi\u00ean s\u1ecfi \u0111\u00e3 v\u1ee1 th\u00e0nh t\u1eebng m\u1ea3nh th\u00ec d\u1eebng l\u1ea1i, r\u00fat b\u1ecf d\u00e2y t\u00e1n v\u00e0 t\u0103ng \u00e1p l\u1ef1c b\u01a1m r\u1eeda \u0111\u1ec3 \u0111\u1ea9y s\u1ecfi ra. Kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i t\u00e1n v\u1ee1 v\u1ee5n (nh\u1eb1m ti\u1ebft ki\u1ec7m \u0111\u1ea7u t\u00e1n).<\/p>\n<p>+ Sau khi b\u01a1m r\u1eeda kh\u00f4ng c\u00f2n th\u1ea5y ra s\u1ecfi n\u1eefa th\u00ec soi l\u1ea1i \u0111\u1ec3 ti\u1ebfp t\u1ee5c 1 quy tr\u00ecnh t\u00e1n nh\u01b0 tr\u01b0\u1edbc.<\/p>\n<p><sub>+ \u0110\u1ebfn khi \u0111\u00e3 l\u1ea5y s\u1ecfi \u0111\u01b0\u1ee3c 1 c\u00e1ch t\u1ed1i \u0111a c\u1ea7n ki\u1ec3m tra \u0111\u1ea3m b\u1ea3o l\u01b0u th\u00f4ng qua\u00a0<\/sub>oddi.<\/p>\n<p>&#8211; B\u01b0\u1edbc 9. \u0110\u1eb7t kehr v\u00e0 kh\u00e2u l\u1ea1i \u1ed1ng m\u1eadt ch\u1ee7.<\/p>\n<p>&#8211; B\u01b0\u1edbc 10. Lau r\u1eeda s\u1ea1ch \u1ed5 b\u1ee5ng, \u0111\u1eb7t d\u1eabn l\u01b0u d\u01b0\u1edbi gan v\u00e0 \u0111\u00f3ng b\u1ee5ng hai l\u1edbp.<\/p>\n<h2><b>5. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/b><\/h2>\n<h3><b>5.1. Tai bi\u1ebfn ngay trong m\u1ed5:<\/b><\/h3>\n<p>Ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng m\u1eadt trong khi t\u00e1n s\u1ecfi: th\u01b0\u1eddng l\u00e0 do \u0111\u1ea7u \u0111i\u1ec7n c\u1ef1c t\u00e1n s\u1ecfi ch\u1ea1m v\u00e0o th\u00e0nh \u0111\u01b0\u1eddng m\u1eadt. Khi th\u1ea5y m\u00e1u ch\u1ea3y ph\u1ea3i x\u00e1c \u0111\u1ecbnh ngay v\u1ecb tr\u00ed ch\u1ea3y m\u00e1u \u1edf h\u1ea1 ph\u00e2n th\u00f9y n\u00e0o. R\u00fat \u1ed1ng soi nh\u1eb9 nh\u00e0ng v\u00e0 b\u01a1m r\u1eeda \u0111\u01b0\u1eddng m\u1eadt b\u1eb1ng huy\u1ebft thanh m\u1eb7n \u1ea5m. N\u1ebfu kh\u00f4ng \u0111\u1ee1 c\u00f3 th\u1ec3 nh\u00e9t meche v\u00e0o \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c d\u00f9ng 1 Foley nh\u1ecf lu\u1ed3n v\u00e0o \u0111\u01b0\u1eddng m\u1eadt r\u1ed3i b\u01a1m k\u1edbp \u0111\u1ec3 c\u1ea7m m\u00e1u, \u0111\u1ee3i kho\u1ea3ng 5-10 ph\u00fat sau \u0111\u00f3 l\u1ea5y b\u1ecf meche nh\u1eb9 nh\u00e0ng. N\u1ebfu kh\u00f4ng h\u1ebft ch\u1ea3y c\u00f3 th\u1ec3 ph\u1ea3i th\u1eaft \u0111\u1ed9ng m\u1ea1ch gan ri\u00eang. N\u1ebfu kh\u00f4ng k\u1ebft qu\u1ea3 th\u00ec: ho\u1eb7c kh\u00e2u c\u1ea7m m\u00e1u qua nhu m\u00f4, ho\u1eb7c c\u1eaft gan.<\/p>\n<h3><b>5.2. Theo d\u00f5i sau m\u1ed5:<\/b><\/h3>\n<p>&#8211; \u0110\u1ea3m b\u1ea3o l\u01b0u th\u00f4ng kehr<\/p>\n<p>&#8211; Theo d\u00f5i gi\u1ed1ng nh\u01b0 h\u1eadu ph\u1eabu \u1ed5 b\u1ee5ng n\u00f3i chung.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi trong gan ph\u1ea3i \u0111\u1ea1t m\u1ee5c \u0111\u00edch l\u1ea5y \u0111\u01b0\u1ee3c s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt m\u1ed9t c\u00e1ch t\u1ed1i \u0111a, \u0111\u1ea3m b\u1ea3o l\u01b0u th\u00f4ng d\u1ecbch m\u1eadt xu\u1ed1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 tr\u00e1nh \u1ee9 \u0111\u1ecdng d\u1ecbch m\u1eadt. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi trong gan, trong \u0111\u00f3 vi\u1ec7c [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan - Vinmec<\/title>\n<meta name=\"description\" content=\"\u00a0Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi trong gan ph\u1ea3i \u0111\u1ea1t m\u1ee5c \u0111\u00edch l\u1ea5y \u0111\u01b0\u1ee3c s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt m\u1ed9t c\u00e1ch t\u1ed1i \u0111a, \u0111\u1ea3m b\u1ea3o l\u01b0u th\u00f4ng d\u1ecbch m\u1eadt xu\u1ed1ng \u0111\u01b0\u1eddng ...\" \/>\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 s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan - 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