{"id":29838,"date":"2023-05-22T13:51:15","date_gmt":"2023-05-22T06:51:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29838"},"modified":"2023-05-22T13:51:15","modified_gmt":"2023-05-22T06:51:15","slug":"tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/","title":{"rendered":"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn"},"content":{"rendered":"

Thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn, g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a c\u01a1 th\u1ec3. Vi\u1ec7c \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb thuy\u00ean t\u1eafc ph\u1ed5i k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn gan v\u00e0 th\u1eadn.\u00a0<\/strong><\/p>\n

1.Thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i l\u00e0 g\u00ec?<\/strong><\/h1>\n

1.1. \u0110\u1ecbnh ngh\u0129a<\/h3>\n

Thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (Pulmonary embolism – PE)\u00a0<\/strong> <\/a>l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng b\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh trong t\u0129nh m\u1ea1ch c\u1ee7a c\u01a1 th\u1ec3 (th\u01b0\u1eddng l\u00e0 \u1edf ch\u00e2n ho\u1eb7c b\u1ee5ng), sau \u0111\u00f3 l\u01a1 l\u1eedng tr\u00f4i theo m\u1ea1ch m\u00e1u v\u00e0o ph\u1ed5i v\u00e0 t\u1eafc ngh\u1ebdn \u1edf c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn ho\u1eb7c nh\u1ecf c\u1ee7a ph\u1ed5i t\u00f9y theo k\u00edch th\u01b0\u1edbc c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng. \u0110i\u1ec1u n\u00e0y g\u00e2y ra gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u01b0\u01a1ng t\u1ed5n c\u00e1c ph\u1ea7n b\u1ecb t\u1eafc c\u1ee7a ph\u1ed5i, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea5p t\u00ednh v\u00e0 m\u1ea1n t\u00ednh \u0111i k\u00e8m. Thuy\u00ean t\u1eafc ph\u1ed5i th\u01b0\u1eddng x\u1ea3y ra c\u00f9ng v\u1edbi b\u1ec7nh\u00a0huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u<\/b><\/a>\u00a0n\u00ean y khoa th\u01b0\u1eddng g\u1ecdi chung hai b\u1ec7nh n\u00e0y l\u00e0 b\u1ec7nh huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch.<\/p>\n

\"C\u00e1c
Thuy\u00ean t\u1eafc ph\u1ed5i g\u00e2y ra b\u1edfi c\u1ee5c m\u00e1u \u0111\u00f4ng<\/figcaption><\/figure>\n

1.2. Tri\u1ec7u ch\u1ee9ng<\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (Pulmonary embolism – PE) c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng trong m\u1ea1ch ph\u1ed5i. Nh\u01b0ng nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m:<\/p>\n

    \n
  1. Kh\u00f3 th\u1edf:<\/strong> l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a PE, bao g\u1ed3m kh\u00f3 th\u1edf khi th\u1edf v\u00e0o v\u00e0 th\u1edf ra, th\u1edf nhanh h\u01a1n b\u00ecnh th\u01b0\u1eddng ho\u1eb7c kh\u00f3 th\u1edf khi n\u1eb1m nghi\u00eang.<\/li>\n
  2. \u0110au th\u1eaft ng\u1ef1c:<\/strong> c\u1ea3m gi\u00e1c \u0111au nh\u1ee9c ho\u1eb7c n\u1eb7ng \u1edf ng\u1ef1c, \u0111\u1eb7c bi\u1ec7t khi th\u1edf v\u00e0o s\u00e2u ho\u1eb7c khi ho.<\/li>\n
  3. Ho:<\/strong> c\u00f3 th\u1ec3 x\u1ea3y ra khi th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t nh\u1eb9 ho\u1eb7c khi n\u1eb1m nghi\u00eang.<\/li>\n
  4. N\u00f4n m\u1eeda ho\u1eb7c bu\u1ed3n n\u00f4n:<\/strong> c\u00f3 th\u1ec3 x\u1ea3y ra khi c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1edbn t\u1eafc ngh\u1ebdn m\u1ea1ch ph\u1ed5i.<\/li>\n
  5. Ch\u00f3ng m\u1eb7t ho\u1eb7c hoa m\u1eaft:<\/strong> do thi\u1ebfu oxy trong m\u00e1u do PE g\u00e2y ra, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u1ea3m gi\u00e1c ch\u00f3ng m\u1eb7t, hoa m\u1eaft, ho\u1eb7c ng\u1ea5t.<\/li>\n
  6. \u0110au \u0111\u1ea7u:<\/strong> do thi\u1ebfu oxy trong m\u00e1u c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra \u0111au \u0111\u1ea7u.<\/li>\n<\/ol>\n

    2.T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan<\/h1>\n

    Hi\u1ec7n t\u1ea1i, ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u ch\u00ednh th\u1ee9c n\u00e0o ch\u1ec9 ra r\u1eb1ng thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (PE) c\u00f3 t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn ch\u1ee9c n\u0103ng gan. Tuy nhi\u00ean, PE \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 gan.<\/p>\n

    M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng PE c\u00f3 th\u1ec3 g\u00e2y ra t\u0103ng enzyme gan, \u0111\u1eb7c bi\u1ec7t l\u00e0 enzyme AST v\u00e0 ALT, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed Internal Medicine Journal c\u1ee7a \u00dac v\u00e0o n\u0103m 2010 \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb PE th\u01b0\u1eddng c\u00f3 m\u1ee9c \u0111\u1ed9 t\u0103ng enzyme gan cao h\u01a1n so v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb PE. Tuy nhi\u00ean, nghi\u00ean c\u1ee9u n\u00e0y ch\u1ec9 t\u1eadp trung v\u00e0o m\u1ed1i quan h\u1ec7 gi\u1eefa PE v\u00e0 enzyme gan, kh\u00f4ng ch\u1ec9 ra r\u00f5 r\u00e0ng v\u1ec1 c\u01a1 ch\u1ebf v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a PE \u0111\u1ebfn ch\u1ee9c n\u0103ng gan.<\/p>\n

    M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed European Journal of Gastroenterology & Hepatology v\u00e0o n\u0103m 2013 \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb PE th\u01b0\u1eddng c\u00f3 m\u1ee9c \u0111\u1ed9 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan cao h\u01a1n so v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb PE. Tuy nhi\u00ean, nghi\u00ean c\u1ee9u n\u00e0y ch\u1ec9 t\u1eadp trung v\u00e0o m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa PE v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan, kh\u00f4ng ch\u1ec9 ra r\u00f5 r\u00e0ng v\u1ec1 c\u01a1 ch\u1ebf v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a PE \u0111\u1ebfn ch\u1ee9c n\u0103ng gan.<\/p>\n

    3.T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn<\/h1>\n

    C\u00e1c t\u00e1c \u0111\u1ed9ng c\u1ee7a PE \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn c\u00f3 th\u1ec3 bao g\u1ed3m suy gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u1eadn, t\u0103ng \u00e1p l\u1ef1c trong m\u1ea1ch th\u1eadn v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n

    Khi c\u00f3 PE, c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1edbn trong \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn c\u00e1c c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 th\u1eadn. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn. Ngo\u00e0i ra, PE c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra t\u0103ng \u00e1p l\u1ef1c trong m\u1ea1ch th\u1eadn, l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u1eadn v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n

    M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed Thrombosis Research v\u00e0o n\u0103m 2018 \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc PE c\u00f3 t\u1ef7 l\u1ec7 cao h\u01a1n \u0111\u1ec3 ph\u00e1t tri\u1ec3n suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn so v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng m\u1eafc PE. Nghi\u00ean c\u1ee9u n\u00e0y c\u0169ng ch\u1ec9 ra r\u1eb1ng, m\u1ee9c \u0111\u1ed9 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn li\u00ean quan \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a PE.<\/p>\n

    M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed Journal of Thrombosis and Haemostasis v\u00e0o n\u0103m 2019 \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng PE c\u00f3 th\u1ec3 g\u00e2y ra t\u0103ng \u00e1p l\u1ef1c trong m\u1ea1ch th\u1eadn v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn. Nghi\u00ean c\u1ee9u n\u00e0y c\u0169ng ch\u1ec9 ra r\u1eb1ng, t\u00e1c \u0111\u1ed9ng c\u1ee7a PE \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a PE.<\/p>\n

    4.C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<\/h1>\n

    C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (PE) \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn theo B\u1ed9 Y t\u1ebf nh\u01b0 sau:<\/p>\n

      \n
    1. Ph\u00f2ng ng\u1eeba \u0111\u00f4ng m\u00e1u:<\/strong> \u0110\u00f4ng m\u00e1u l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y PE. Do \u0111\u00f3, vi\u1ec7c ph\u00f2ng ng\u1eeba \u0111\u00f4ng m\u00e1u b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng v\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0 r\u1ea5t quan tr\u1ecdng. \u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed ho\u1eb7c b\u1ec7nh n\u1ec1n li\u00ean quan \u0111\u1ebfn \u0111\u00f4ng m\u00e1u c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng b\u1edfi b\u00e1c s\u0129.<\/li>\n
    2. T\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng:<\/strong> Vi\u1ec7c ng\u1ed3i l\u00e2u, \u0111\u1ee9ng l\u00e2u ho\u1eb7c \u00edt v\u1eadn \u0111\u1ed9ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc PE. H\u00e3y c\u1ed1 g\u1eafng thay \u0111\u1ed5i t\u01b0 th\u1ebf th\u01b0\u1eddng xuy\u00ean, \u0111\u1ee9ng l\u00ean v\u00e0 \u0111i l\u1ea1i th\u01b0\u1eddng xuy\u00ean khi l\u00e0m vi\u1ec7c.<\/li>\n
    3. S\u1eed d\u1ee5ng t\u1ea5t y t\u1ebf:<\/strong> S\u1eed d\u1ee5ng t\u1ea5t y t\u1ebf c\u00f3 th\u1ec3 gi\u00fap t\u0103ng l\u01b0u th\u00f4ng m\u00e1u v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc PE. N\u1ebfu b\u1ea1n c\u00f3 nguy c\u01a1 m\u1eafc PE cao, h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n s\u1eed d\u1ee5ng t\u1ea5t y t\u1ebf.<\/li>\n
    4. Ng\u1eeba nhi\u1ec5m tr\u00f9ng:<\/strong> Nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc PE. H\u00e3y gi\u1eef v\u1ec7 sinh c\u00e1 nh\u00e2n t\u1ed1t v\u00e0 tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 l\u00e2y lan m\u1ea7m b\u1ec7nh truy\u1ec1n nhi\u1ec5m.<\/li>\n
    5. \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan:<\/strong> N\u1ebfu b\u1ea1n c\u00f3 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn PE, nh\u01b0 ung th\u01b0 ho\u1eb7c b\u1ec7nh tim m\u1ea1ch, h\u00e3y \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh t\u1ed1t nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc PE.<\/li>\n
    6. T\u0103ng c\u01b0\u1eddng gi\u00e1m s\u00e1t s\u1ee9c kh\u1ecfe:<\/strong> N\u1ebfu b\u1ea1n c\u00f3 nguy c\u01a1 cao m\u1eafc PE, h\u00e3y t\u0103ng c\u01b0\u1eddng gi\u00e1m s\u00e1t s\u1ee9c kh\u1ecfe v\u00e0 th\u01b0\u1eddng xuy\u00ean th\u0103m kh\u00e1m \u0111\u1ec3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n<\/ol>\n

      T\u00f3m l\u1ea1i, c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng PE c\u00f3 th\u1ec3 g\u00e2y ra suy gi\u1ea3m ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn, tuy nhi\u00ean t\u00e1c \u0111\u1ed9ng c\u1ee7a PE \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a PE. C\u1ea7n th\u00eam nghi\u00ean c\u1ee9u \u0111\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u01a1 ch\u1ebf v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a PE \u0111\u1ebfn ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn, g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a c\u01a1 th\u1ec3. Vi\u1ec7c \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb thuy\u00ean t\u1eafc ph\u1ed5i k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn […]<\/p>\n","protected":false},"author":45,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,32],"tags":[],"yoast_head":"\nT\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan th\u1eadn<\/title>\n<meta name=\"description\" content=\"C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra s\u1ef1 li\u00ean quan gi\u1eefa thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan th\u1eadn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u00e0y\" \/>\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=\"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan th\u1eadn\" \/>\n<meta property=\"og:description\" content=\"C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra s\u1ef1 li\u00ean quan gi\u1eefa thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan th\u1eadn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u00e0y\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-22T06:51:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20191026_052850_830853_thuyen-tac-phoi.max-800x800.jpg\" \/>\n<meta name=\"author\" content=\"Hien Tran Thi Thu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Hien Tran Thi Thu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 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\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/\",\"name\":\"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan th\u1eadn\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-22T06:51:15+00:00\",\"dateModified\":\"2023-05-22T06:51:15+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/f4a7477f1af65a6ab7622418a6399e79\"},\"description\":\"C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra s\u1ef1 li\u00ean quan gi\u1eefa thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan th\u1eadn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u00e0y\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/f4a7477f1af65a6ab7622418a6399e79\",\"name\":\"Hien Tran Thi Thu\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/032ad03241e9670834610926135f8c1c?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/032ad03241e9670834610926135f8c1c?s=96&d=mm&r=g\",\"caption\":\"Hien Tran Thi Thu\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/hienttt-mdgmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan th\u1eadn","description":"C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra s\u1ef1 li\u00ean quan gi\u1eefa thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan th\u1eadn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u00e0y","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":"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan th\u1eadn","og_description":"C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra s\u1ef1 li\u00ean quan gi\u1eefa thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan th\u1eadn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u00e0y","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/","og_site_name":"Vinmec","article_published_time":"2023-05-22T06:51:15+00:00","og_image":[{"url":"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20191026_052850_830853_thuyen-tac-phoi.max-800x800.jpg"}],"author":"Hien Tran Thi Thu","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Hien Tran Thi Thu","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/","name":"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan th\u1eadn","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-22T06:51:15+00:00","dateModified":"2023-05-22T06:51:15+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/f4a7477f1af65a6ab7622418a6399e79"},"description":"C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra s\u1ef1 li\u00ean quan gi\u1eefa thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan th\u1eadn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u00e0y","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/22\/tac-dong-cua-thuyen-tac-dong-mach-phoi-den-chuc-nang-gan-va-than\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"T\u00e1c \u0111\u1ed9ng c\u1ee7a thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/f4a7477f1af65a6ab7622418a6399e79","name":"Hien Tran Thi Thu","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/032ad03241e9670834610926135f8c1c?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/032ad03241e9670834610926135f8c1c?s=96&d=mm&r=g","caption":"Hien Tran Thi Thu"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/hienttt-mdgmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29838"}],"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\/45"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29838"}],"version-history":[{"count":7,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29838\/revisions"}],"predecessor-version":[{"id":34253,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29838\/revisions\/34253"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29838"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29838"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}