{"id":29683,"date":"2023-04-30T13:20:09","date_gmt":"2023-04-30T06:20:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29683"},"modified":"2023-04-30T13:20:09","modified_gmt":"2023-04-30T06:20:09","slug":"dieu-tri-dai-tien-mat-tu-chu-bang-phuong-phap-phau-thuat","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/dieu-tri-dai-tien-mat-tu-chu-bang-phuong-phap-phau-thuat\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb \u0111\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt"},"content":{"rendered":"

\u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c vi\u1ec7c \u0111\u1ea1i ti\u1ec7n. C\u01a1 ch\u1ebf \u0111\u1ea1i ti\u1ec7n do nhi\u1ec1u c\u01a1 quan \u0111i\u1ec1u khi\u1ec3n, do \u0111\u00f3 \u0111\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau: do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u0111i\u1ec1u khi\u1ec3n \u0111\u1ea1i ti\u1ec7n, do ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng, do t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1eaft h\u1eadu m\u00f4n\u2026\u0110i\u1ec1u tr\u1ecb \u0111\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 \u0111a ph\u1ea7n l\u00e0 n\u1ed9i khoa. Ph\u1eabu thu\u1eadt ch\u1ec9 \u0111\u1eb7t ra trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng v\u1ec1 gi\u1ea3i ph\u1eabu. Trong b\u00e0i vi\u1ebft n\u00e0y ch\u1ec9 \u0111\u1ec1 c\u1eadp t\u1edbi ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb m\u1ea5t t\u1ef1 ch\u1ee7 do \u0111\u1ee9t c\u01a1 th\u1eaft.<\/strong><\/p>\n

\"\"
\u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 mang l\u1ea1i nhi\u1ec1u b\u1ea5t ti\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh<\/figcaption><\/figure>\n

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

– \u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 do \u0111\u1ee9t c\u01a1 th\u1eaft v\u00e2n<\/a> (ngo\u00e0i) h\u1eadu m\u00f4n<\/p>\n

– \u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 do sa tr\u1ef1c tr\u00e0ng v\u00e0o th\u00e0nh sau \u00e2m \u0111\u1ea1o (rectocele)<\/p>\n

– \u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 do b\u1ec7nh Anismus<\/p>\n

– \u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 do b\u1ec7nh Hirchsprung.<\/a><\/p>\n

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

\u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trung \u01b0\u01a1ng, do t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng<\/p>\n

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

3.1<\/b>.\u00a0Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/b>:<\/h3>\n

Ph\u1eabu thu\u1eadt vi\u00ean ti\u00eau h\u00f3a ho\u1eb7c PTV ngo\u1ea1i chung<\/p>\n

3.2. Ph\u01b0\u01a1ng ti\u1ec7n:\u00a0<\/b><\/h3>\n

B\u1ed9 d\u1ee5ng c\u1ee5 trung ph\u1eabu, van h\u1eadu m\u00f4n, van Hill Ferguson<\/p>\n

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

– Gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh bi\u1ebft r\u00f5 b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n, v\u1ec1 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt s\u1ebd th\u1ef1c hi\u1ec7n, v\u1ec1 c\u00e1c tai bi\u1ebfn, bi\u1ebfn ch\u1ee9ng, di ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p do b\u1ec7nh, do ph\u1eabu thu\u1eadt, do g\u00e2y m\u00ea, do c\u01a1 \u0111\u1ecba c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– Gi\u1ea3i \u0111\u00e1p nh\u1eefng kh\u00fac m\u1eafc c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, v\u1ec1 b\u1ec7nh t\u1eadt, v\u1ec1 ph\u1eabu thu\u1eadt,…trong ph\u1ea1m vi cho ph\u00e9p.<\/p>\n

4. Ti\u1ebfn h\u00e0nh<\/b><\/h2>\n

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

Ph\u1ee5 khoa, c\u00f3 th\u1ec3 n\u1eb1m s\u1ea5p.<\/p>\n

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

G\u00e2y m\u00ea to\u00e0n th\u00e2n, g\u00e2y t\u00ea v\u00f9ng ho\u1eb7c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7.<\/p>\n

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

4.3.1. T\u1ed5n th\u01b0\u01a1ng do \u0111\u1ee9t c\u01a1 th\u1eaft:<\/i><\/b><\/h4>\n

– Th\u00ec 1<\/i>: \u0110\u00e1nh gi\u00e1 th\u01b0\u01a1ng t\u1ed5n: m\u1ee9c \u0111\u1ed9 th\u01b0\u01a1ng t\u1ed5n c\u01a1 th\u1eaft, v\u00e1ch \u00e2m \u0111\u1ea1o – tr\u1ef1c tr\u00e0ng, s\u1eb9o x\u01a1, t\u00ecm 2 \u0111\u1ea7u c\u01a1 th\u1eaft (d\u1ef1a tr\u00ean n\u1ebfp nh\u0103n h\u1eadu m\u00f4n).<\/p>\n

– Th\u00ec 2: <\/i>\u0110\u1eb7t 2 k\u1eb9p r\u0103ng chu\u1ed9t v\u00e0o ch\u00e2n 2 m\u00f4i l\u1edbn tr\u00ecnh b\u00e0y tr\u01b0\u1eddng m\u1ed5. Ti\u00eam ho\u1eb7c th\u1ea5m dung d\u1ecbch xylocaine v\u00e1ch \u00e2m \u0111\u1ea1o – tr\u1ef1c tr\u00e0ng.<\/p>\n

– Th\u00ec 3: <\/i>R\u1ea1ch da ngang gi\u1eefa v\u00e1ch \u00e2m \u0111\u1ea1o v\u00e0 tr\u1ef1c tr\u00e0ng (kho\u1ea3ng 4cm)<\/p>\n

– Th\u00ec 4: <\/i>B\u00f3c t\u00e1ch v\u00e1ch tr\u1ef1c tr\u00e0ng \u00e2m \u0111\u1ea1o, ph\u1eabu t\u00edch b\u1ed9c l\u1ed9 2 \u0111\u1ea7u c\u01a1 th\u1eaft ngo\u00e0i, b\u00f3 mu – tr\u1ef1c tr\u00e0ng.<\/p>\n

– Th\u00ec 5: <\/i>Kh\u00e2u ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng sau khi \u0111\u00e3 c\u1eaft x\u00e9n t\u1ed5 ch\u1ee9c vi\u00eam x\u01a1 (kh\u00e2u m\u0169i r\u1eddi ho\u1eb7c kh\u00e2u v\u1eaft ch\u1ec9 Vicryl 5.0).<\/p>\n

– Th\u00ec 6:<\/i><\/p>\n

    \n
  • Kh\u00e2u kh\u00e9p b\u00f3 mu – tr\u1ef1c tr\u00e0ng. Th\u01b0\u1eddng kh\u00e2u 2 m\u0169i r\u1eddi, ch\u1ec9 Vicryl s\u1ed1 0.<\/li>\n
  • Kh\u00e2u n\u1ed1i c\u01a1 th\u1eaft ngo\u00e0i m\u0169i ch\u1eef U, ch\u1ec9 Vicryl s\u1ed1 2.0.<\/li>\n<\/ul>\n

    – Th\u00ec 7: <\/i>Kh\u00e2u ni\u00eam m\u1ea1c \u00e2m \u0111\u1ea1o, m\u0169i r\u1eddi, ch\u1ec9 Vicryl s\u1ed1 4.0.<\/p>\n

    – Th\u00ec 8: <\/i>Kh\u00e2u l\u1edbp d\u01b0\u1edbi da v\u00e0 da, m\u0169i r\u1eddi, ch\u1ec9 vicryl 4.0.<\/p>\n

    4.3.2. Sa tr\u1ef1c tr\u00e0ng v\u00e0o th\u00e0nh sau \u00e2m \u0111\u1ea1o:<\/i><\/b><\/h4>\n

    – \u0110\u00e1nh gi\u00e1 th\u01b0\u01a1ng t\u1ed5n<\/i>:<\/p>\n

      \n
    • Nong h\u1eadu m\u00f4n.<\/li>\n
    • Th\u0103m tr\u1ef1c tr\u00e0ng \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc, v\u1ecb tr\u00ed t\u00fai tho\u00e1t v\u1ecb v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p.<\/li>\n<\/ul>\n

      – B\u1ed9c l\u1ed9 v\u00f9ng ph\u1eabu thu\u1eadt<\/i>:<\/p>\n

      Tr\u01b0\u1eddng m\u1ed5 c\u1ea7n \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y c\u00e2n x\u1ee9ng b\u1eb1ng n\u0103m k\u1eb9p r\u0103ng chu\u1ed9t: M\u1ed9t k\u1eb9p \u1edf v\u1ecb tr\u00ed 12h l\u1ed7 \u00e2m \u0111\u1ea1o; hai k\u1eb9p \u0111\u1ed1i x\u1ee9ng nhau qua \u0111\u01b0\u1eddng gi\u1eefa t\u1ea1i v\u1ecb tr\u00ed 4h v\u00e0 8h l\u1ed7 \u00e2m \u0111\u1ea1o; m\u1ed9t k\u1eb9p t\u1ea1i v\u1ecb tr\u00ed 6h l\u1ed7 \u00e2m \u0111\u1ea1o v\u00e0 m\u1ed9t k\u1eb9p t\u1ea1i v\u1ecb tr\u00ed 12h l\u1ed7 h\u1eadu m\u00f4n. Ti\u00eam th\u1ea5m v\u00e1ch \u00e2m \u0111\u1ea1o-tr\u1ef1c tr\u00e0ng b\u1eb1ng dung d\u1ecbch lidocain v\u00e0 epinephrine h\u00f2a lo\u00e3ng, gi\u00fap t\u1ea1o khoang t\u00e1ch bi\u1ec7t ni\u00eam m\u1ea1c \u00e2m \u0111\u1ea1o v\u00e0 ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng.<\/p>\n

      – R\u1ea1ch da: <\/i>v\u00f9ng gi\u1eefa l\u1ed7 \u00e2m \u0111\u1ea1o v\u00e0 l\u1ed7 h\u1eadu m\u00f4n theo \u0111\u01b0\u1eddng vu\u00f4ng g\u00f3c v\u1edbi \u0111\u01b0\u1eddng gi\u1eefa n\u1ed1i hai l\u1ed7, tr\u00ean m\u1ed9t \u0111o\u1ea1n kho\u1ea3ng 3-4 cm.<\/p>\n

      – T\u1ea1o khoang v\u00e1ch \u00e2m \u0111\u1ea1o – tr\u1ef1c tr\u00e0ng<\/i>:<\/p>\n

        \n
      • Ph\u1eabu t\u00edch v\u00e1ch \u00e2m \u0111\u1ea1o – tr\u1ef1c tr\u00e0ng t\u1ea1o khoang gi\u1eefa th\u00e0nh tr\u01b0\u1edbc tr\u1ef1c tr\u00e0ng v\u00e0 th\u00e0nh sau \u00e2m \u0111\u1ea1o<\/li>\n
      • \u0110\u00e2y l\u00e0 v\u00f9ng gi\u00e0u m\u1ea1ch m\u00e1u, d\u1ec5 ch\u1ea3y m\u00e1u khi ph\u1eabu t\u00edch v\u00e0 l\u00e0m nh\u00f2e tr\u01b0\u1eddng m\u1ed5, c\u1ea7n ph\u1eabu t\u00edch c\u1ea9n th\u1eadn t\u1ec9 m\u1ec9, tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng g\u00e2y th\u1ee7ng, r\u00e1ch ni\u00eam m\u1ea1c \u00e2m \u0111\u1ea1o hay ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng.<\/li>\n
      • T\u1ea1o m\u1ed9t khoang c\u00f3 chi\u1ec1u r\u1ed9ng kho\u1ea3ng 3 – 3,5 cm v\u00e0 chi\u1ec1u cao kho\u1ea3ng 4 – 5 cm.<\/li>\n<\/ul>\n

        – \u0110\u1eb7t t\u1ea5m l\u01b0\u1edbi nh\u00e2n t\u1ea1o polypropylene (MESH prolene): <\/i>v\u00e0o khoang v\u1eeba t\u1ea1o. T\u1ea5m l\u01b0\u1edbi c\u1ea7n \u0111\u01b0\u1ee3c c\u1eaft v\u00e0 c\u0103n ch\u1ec9nh k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p \u0111\u1ec3 tr\u00e1nh cu\u1ed9n g\u00f3c (do qu\u00e1 to) hay x\u00f4 l\u1ec7ch v\u1ecb tr\u00ed (do qu\u00e1 nh\u1ecf) khi \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o trong khoang.<\/p>\n

        – Kh\u00e2u \u0111\u00f3ng hai l\u1edbp<\/i>: d\u01b0\u1edbi da v\u00e0 da b\u1eb1ng ch\u1ec9 ti\u00eau s\u1ee3i nh\u1ecf (vicryl 3.0 – 4.0).<\/p>\n

        – \u0110\u1eb7t c\u1ee5c g\u1ea1c to <\/i>(g\u1ea5p s\u00e1u g\u1ea1c 10) v\u00e0o \u00e2m \u0111\u1ea1o, c\u00f3 t\u00e1c d\u1ee5ng \u00e9p ni\u00eam m\u1ea1c \u00e2m \u0111\u1ea1o v\u00e0o v\u00e1ch tr\u1ef1c tr\u00e0ng \u00e2m \u0111\u1ea1o, gi\u00fap c\u1ea7m m\u00e1u v\u00e0 c\u1ed1 \u0111\u1ecbnh t\u1ea5m l\u01b0\u1edbi t\u1ea1i ch\u1ed7.<\/p>\n

        – B\u0103ng Betadine th\u1ea5m kh\u00f4 \u0111\u1eb7t v\u00e0o v\u1ebft m\u1ed5: <\/i>Tr\u00e1nh \u0111\u1ec3 b\u0103ng ch\u1ea1m v\u00e0o v\u00f9ng h\u1eadu m\u00f4n g\u00e2y nhi\u1ec5m tr\u00f9ng v\u00f9ng m\u1ed5.<\/p>\n

        4.3.3. R\u1ed1i lo\u1ea1n co th\u1eaft c\u01a1 mu tr\u1ef1c tr\u00e0ng:<\/i><\/b><\/h4>\n

        – X\u00e1c \u0111\u1ecbnh 2 quai b\u00ean ho\u1eb7c quai sau c\u1ee7a b\u00f3 c\u01a1 mu – tr\u1ef1c tr\u00e0ng.<\/p>\n

        – Ti\u00eam \u0111\u1ed9c t\u1ed1 botulinum type A v\u00e0o 2 quai b\u00ean li\u1ec1u 10U (Botox) m\u1ed7i quai b\u00ean (v\u1ecb tr\u00ed 4 gi\u1edd v\u00e0 8 gi\u1edd) ho\u1eb7c 20U v\u00e0o quai sau c\u1ee7a c\u01a1 mu tr\u1ef1c tr\u00e0ng (1 \u0111\u01a1n v\u1ecb c\u1ee7a Botox = 3-4 \u0111\u01a1n v\u1ecb Dysport).<\/p>\n

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

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

        5.1.1. Theo d\u00f5i t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n v\u00e0 t\u1ea1i v\u00f9ng ph\u1eabu thu\u1eadt:<\/h4>\n

        – M\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf, nhi\u1ec7t \u0111\u1ed9, tri gi\u00e1c<\/p>\n

        – Theo d\u00f5i t\u1ea1i v\u1ebft m\u1ed5: ch\u1ea3y m\u00e1u, ch\u1ea3y d\u1ecbch, \u0111au.<\/p>\n

        – Khi ph\u1eabu thu\u1eadt b\u1eb1ng g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng b\u00ed \u0111\u00e1i trong ng\u00e0y \u0111\u1ea7u, c\u00f3 th\u1ec3 ph\u1ea3i \u0111\u1eb7t sonde b\u00e0ng quang.<\/p>\n

        5.1.2. D\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au, kh\u00e1ng sinh n\u1ebfu c\u1ea7n; thu\u1ed1c nhu\u1eadn tr\u00e0ng, thu\u1ed1c an th\u1ea7n bu\u1ed5i t\u1ed1i. Th\u01b0\u1eddng truy\u1ec1n d\u1ecbch 500ml – 1000ml sau m\u1ed5.<\/h4>\n

        5.1.3. Cho ng\u01b0\u1eddi b\u1ec7nh \u0103n nh\u1eb9, t\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm.<\/h4>\n

        5.1.4. S\u0103n s\u00f3c v\u1ebft m\u1ed5:<\/h4>\n

        Thay b\u0103ng h\u00e0ng ng\u00e0y, khi c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng b\u1ea5t th\u01b0\u1eddng nh\u01b0 ch\u1ea3y m\u00e1u, th\u1ea5m d\u1ecbch nhi\u1ec1u ph\u1ea3i ki\u1ec3m tra v\u1ebft m\u1ed5. Ng\u00e2m h\u1eadu m\u00f4n trong n\u01b0\u1edbc \u1ea5m trong m\u1ed9t s\u1ed1 ph\u1eabu thu\u1eadt theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9 ph\u1eabu thu\u1eadt.<\/p>\n

        5.2. X\u1eed tr\u00ed bi\u1ebfn ch\u1ee9ng:<\/b><\/h3>\n

        – B\u00ed \u0111\u00e1i: th\u00f4ng \u0111\u00e1i, ch\u00fa \u00fd v\u00f4 khu\u1ea9n.<\/p>\n

        – Ch\u1ea3y m\u00e1u: thay b\u0103ng ki\u1ec3m tra. N\u1ebfu c\u1ea7n thi\u1ebft ph\u1ea3i c\u1ea7m m\u00e1u.<\/p>\n

        – \u0110au t\u1ea1i v\u1ebft m\u1ed5: d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au to\u00e0n th\u00e2n ho\u1eb7c t\u1ea1i ch\u1ed7. H\u1ea1n ch\u1ebf \u0111\u1eb7t g\u1ea1c trong l\u00f2ng \u1ed1ng h\u1eadu m\u00f4n.<\/p>\n

        – Ph\u00f2ng h\u1eb9p h\u1eadu m\u00f4n, nh\u1ea5t l\u00e0 sau m\u1ed5 c\u1eaft tr\u0129, ph\u1ea3i b\u1ea3o t\u1ed3n l\u1edbp ni\u00eam m\u1ea1c h\u1eadu m\u00f4n \u0111\u1ee7 v\u00e0 \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng t\u1ed1t.<\/p>\n

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

        \u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c vi\u1ec7c \u0111\u1ea1i ti\u1ec7n. C\u01a1 ch\u1ebf \u0111\u1ea1i ti\u1ec7n do nhi\u1ec1u c\u01a1 quan \u0111i\u1ec1u khi\u1ec3n, do \u0111\u00f3 \u0111\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau: do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u0111i\u1ec1u khi\u1ec3n \u0111\u1ea1i ti\u1ec7n, do ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng, […]<\/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":"\n\u0110i\u1ec1u tr\u1ecb \u0111\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110\u1ea1i ti\u1ec7n m\u1ea5t t\u1ef1 ch\u1ee7 l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c vi\u1ec7c \u0111i ngo\u00e0i c\u1ee7a m\u00ecnh. 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