{"id":30094,"date":"2023-05-02T15:56:29","date_gmt":"2023-05-02T08:56:29","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30094"},"modified":"2023-05-02T15:56:29","modified_gmt":"2023-05-02T08:56:29","slug":"phau-thuat-dong-lo-ro-thuc-quan-khi-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/phau-thuat-dong-lo-ro-thuc-quan-khi-quan\/","title":{"rendered":"Ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n"},"content":{"rendered":"

Ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a r\u1ea5t quan tr\u1ecdng trong cu\u1ed9c s\u1ed1ng. Ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng. B\u1ec7nh nh\u00e2n n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1c l\u1ee3i \u00edch v\u00e0 r\u1ee7i ro c\u1ee7a ph\u1eabu thu\u1eadt n\u00e0y.<\/strong><\/p>\n

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

T\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n c\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n: c\u01a1 kh\u00ed, h\u00f3a ch\u1ea5t, ax\u00edt. Th\u00f4ng th\u01b0\u1eddng, c\u00e1c th\u01b0\u01a1ng t\u1ed5n s\u1ebd g\u00e2y n\u00ean h\u1eb9p th\u1ef1c qu\u1ea3n \u1edf c\u00e1c m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau, c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ngo\u1ea1i l\u1ec7 g\u00e2y th\u1ee7ng th\u1ef1c qu\u1ea3n.<\/b><\/p>\n

N\u1ed9i soi c\u00f3 t\u00e1c d\u1ee5ng ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/b><\/p>\n

Ch\u1ea5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y n\u00ean b\u1edfi t\u00ecnh tr\u1ea1ng n\u00f4n d\u1eef d\u1ed9i (v\u1ee1 t\u1ef1 ph\u00e1t, h\u1ed9i ch\u1ee9ng Boerrhaave<\/a>). C\u00e1c \u0111o\u1ea1n th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng l\u00e0 \u0111o\u1ea1n c\u1ed5, \u0111o\u1ea1n ng\u1ef1c, \u0111o\u1ea1n b\u1ee5ng.<\/p>\n

Ng\u01b0\u1eddi ta chia t\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n ra l\u00e0m 3 m\u1ee9c \u0111\u1ed9:<\/p>\n

– \u0110\u1ed9 I: ph\u00e1 h\u1ee7y l\u1edbp \u00e1o nh\u1ea7y<\/p>\n

– \u0110\u1ed9 II: ph\u00e1 h\u1ee7y l\u1edbp nh\u1ea7y, l\u1edbp d\u01b0\u1edbi ni\u00eam m\u1ea1c, m\u1ed9t ph\u1ea7n l\u1edbp c\u01a1<\/p>\n

– \u0110\u1ed9 III: ph\u00e1 h\u1ee7y to\u00e0n b\u1ed9 c\u00e1c l\u1edbp th\u1ef1c qu\u1ea3n v\u00e0 c\u00e1c t\u1ed5 ch\u1ee9c xung quanh<\/p>\n

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

R\u00f2 th\u1ef1c qu\u1ea3n: Ch\u1ec9 \u0111\u1ecbnh cho ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n bao g\u1ed3m:<\/p>\n

– R\u00f2 th\u1ef1c qu\u1ea3n g\u00e2y ra tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng: N\u1ebfu r\u00f2 th\u1ef1c qu\u1ea3n g\u00e2y ra tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, ho, kh\u00f3 n\u00f3i v\u00e0 kh\u00f3 nu\u1ed1t, ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 l\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3.<\/p>\n

– R\u00f2 th\u1ef1c qu\u1ea3n l\u1edbn: N\u1ebfu r\u00f2 th\u1ef1c qu\u1ea3n c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn, \u0111\u01b0\u1eddng k\u00ednh tr\u00ean 2cm, ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 l\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t.<\/p>\n

– R\u00f2 th\u1ef1c qu\u1ea3n t\u00e1i ph\u00e1t sau \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt: N\u1ebfu r\u00f2 th\u1ef1c qu\u1ea3n t\u00e1i ph\u00e1t sau khi \u0111\u00e3 th\u1eed c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt, ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 l\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb cu\u1ed1i c\u00f9ng.<\/p>\n

– R\u00f2 th\u1ef1c qu\u1ea3n g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng: N\u1ebfu r\u00f2 th\u1ef1c qu\u1ea3n g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n, ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ec3 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n.<\/p>\n

Tuy nhi\u00ean, quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe, \u0111\u1ed9 tu\u1ed5i v\u00e0 y\u1ebfu t\u1ed1 kh\u00e1c c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1c ch\u1ec9 \u0111\u1ecbnh v\u00e0 r\u1ee7i ro c\u1ee7a ph\u1eabu thu\u1eadt n\u00e0y.<\/p>\n

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

Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi can thi\u1ec7p ngo\u1ea1i khoa n\u00f3i chung:<\/p>\n

Ph\u1eabu thu\u1eadt c\u00f3 m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nh\u01b0 sau:<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 tim m\u1ea1ch: B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 tim m\u1ea1ch, nh\u01b0 suy tim, nh\u1ed3i m\u00e1u c\u01a1 tim, hay b\u1ec7nh van tim, c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 ph\u1ed5i: B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 ph\u1ed5i, nh\u01b0 suy gi\u1ea3m ch\u1ee9c n\u0103ng ph\u1ed5i, b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) hay b\u1ec7nh lao ph\u1ed5i, c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 th\u1eadn ho\u1eb7c gan: B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 th\u1eadn ho\u1eb7c gan, nh\u01b0 x\u01a1 gan, ung th\u01b0 gan, suy th\u1eadn ho\u1eb7c th\u1eadn h\u01b0 h\u1ecfng, c\u00f3 th\u1ec3 kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn \u0111\u00f4ng m\u00e1u: B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn \u0111\u00f4ng m\u00e1u, nh\u01b0 b\u1ec7nh m\u00e1u \u0111\u00f4ng l\u1ea1nh, b\u1ec7nh von Willebrand hay b\u1ec7nh b\u1ea1ch c\u1ea7u thi\u1ebfu m\u00e1u huy\u1ebft, c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 th\u1ea7n kinh: B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u1ec1 th\u1ea7n kinh, nh\u01b0 \u0111\u1ed9t qu\u1ef5, t\u00ecnh tr\u1ea1ng li\u1ec7t c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 tu\u1ed5i cao v\u00e0 s\u1ee9c kh\u1ecfe y\u1ebfu: B\u1ec7nh nh\u00e2n c\u00f3 tu\u1ed5i cao v\u00e0 s\u1ee9c kh\u1ecfe y\u1ebfu c\u00f3 th\u1ec3 kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt v\u00e0 c\u00f3 nguy c\u01a1 cao g\u1eb7p ph\u1ea3i c\u00e1c bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt.<\/p>\n

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

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

– 01 Ph\u1eabu thu\u1eadt vi\u00ean chuy\u00ean khoa ti\u00eau h\u00f3a<\/p>\n

– 02 ph\u1ee5 m\u1ed5<\/p>\n

– K\u00edp g\u00e2y m\u00ea: 01 B\u00e1c s\u0129 g\u00e2y m\u00ea, 01 \u0110i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 g\u00e2y m\u00ea<\/p>\n

– K\u00edp d\u1ee5ng c\u1ee5: 01 D\u1ee5ng c\u1ee5 vi\u00ean, 01 nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i<\/p>\n

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

– \u0110\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh, x\u00e9t nghi\u1ec7m sinh h\u1ecdc, \u0111\u00e1nh gi\u00e1 to\u00e0n tr\u1ea1ng b\u1ec7nh ph\u1ed1i h\u1ee3p v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, nu\u00f4i d\u01b0\u1ee1ng, c\u00e2n b\u1eb1ng \u0111\u1ee7 \u0111\u1ea3m b\u1ea3o cho cu\u1ed9c ph\u1eabu thu\u1eadt d\u1ef1 ki\u1ebfn.<\/p>\n

– N\u00e2ng cao th\u1ec3 tr\u1ea1ng, c\u00e2n b\u1eb1ng nh\u1eefng r\u1ed1i lo\u1ea1n do h\u1eadu qu\u1ea3 c\u1ee7a b\u1ec7nh ho\u1eb7c do c\u01a1 \u0111\u1ecba, b\u1ec7nh m\u00e3n t\u00ednh, tu\u1ed5i\u2026<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u00f5 tr\u01b0\u1edbc m\u1ed5 v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng chung, v\u1ec1 nh\u1eefng kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt s\u1ebd th\u1ef1c hi\u1ec7n, v\u1ec1 nh\u1eefng 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, t\u00ea, gi\u1ea3m \u0111au, do c\u01a1 \u0111\u1ecba c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– Nh\u1ecbn \u0103n, th\u1ee5t th\u00e1o, v\u1ec7 sinh v\u00f9ng ph\u1eabu thu\u1eadt v\u00e0 to\u00e0n th\u00e2n.<\/p>\n

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

B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu, dao si\u00eau \u00e2m, Ligasure, m\u00e1y c\u1eaft n\u1ed1i, ch\u1ec9 ph\u1eabu thu\u1eadt, thu\u1ed1c, d\u1ecbch truy\u1ec1n,\u2026<\/p>\n

4.4. D\u1ef1 ki\u1ebfn th\u1eddi gian ph\u1eabu thu\u1eadt: <\/b>180 ph\u00fat<\/h3>\n

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

–\u00a0T\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u01b0\u1eddng m\u1ed5<\/i>: n\u1eb1m nghi\u00eang tr\u00e1i 90\u02da, k\u00ea g\u1ed1i d\u01b0\u1edbi h\u00f5m n\u00e1ch, tay ph\u1ea3i \u0111\u1eb7t l\u00ean m\u1ed9t gi\u00e1 treo. \u0110\u01b0\u1eddng m\u1ed5 sau b\u00ean b\u00ean ph\u1ea3i, khoang li\u00ean s\u01b0\u1eddn IV ho\u1eb7c V b\u00ean ph\u1ea3i.<\/p>\n

– Th\u1eaft quai t\u0129nh m\u1ea1ch \u0111\u01a1n, s\u1ebd b\u1ed9c l\u1ed9 \u0111\u01b0\u1ee3c l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n -kh\u00ed qu\u1ea3n. Sau \u0111\u00f3 kh\u00e2u \u0111\u00f3ng 2 l\u1ed7 r\u00f2: r\u00f2 kh\u00ed qu\u1ea3n s\u1ebd \u0111\u01b0\u1ee3c kh\u00e2u b\u1eb1ng ch\u1ec9 vcryl 5.0 kho\u1ea3ng c\u00e1ch c\u00e1c m\u0169i l\u00e0 2-3mm, r\u00f2 th\u1ef1c qu\u1ea3n \u0111\u01b0\u1ee3c kh\u00e2u b\u1eb1ng ch\u1ec9 vicryl 4.0 v\u00e0 \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng b\u1eb1ng m\u00e0ng ph\u1ed5i trung th\u1ea5t. L\u1ed7 r\u00f2 \u0111\u1ed3ng th\u1eddi \u0111\u01b0\u1ee3c c\u00f4 l\u1eadp, ph\u1eabu thu\u1eadt n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh d\u01b0\u1edbi s\u1ef1 ch\u1ec9 d\u1eabn c\u1ee7a sonde d\u1ea1 d\u00e0y.<\/p>\n

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

– R\u00f2 t\u00e1i ph\u00e1t: can thi\u1ec7p ph\u1eabu thu\u1eadt l\u1ea1i<\/p>\n

– Suy h\u00f4 h\u1ea5p: chuy\u1ec3n b\u1ec7nh nh\u00e2n l\u00ean chuy\u00ean khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kip th\u1eddi.<\/p>\n

– \u00c1p xe trung th\u1ea5t: d\u1eabn l\u01b0u \u00e1p xe trung th\u1ea5t.<\/p>\n

T\u00f3m l\u1ea1i, ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng trong vi\u1ec7c c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n, ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng. N\u00f3 c\u0169ng gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n v\u00e0 kh\u1ea3 n\u0103ng n\u00f3i chuy\u1ec7n c\u1ee7a b\u1ec7nh nh\u00e2n, c\u0169ng nh\u01b0 gi\u1ea3m nguy c\u01a1 ung th\u01b0 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n. B\u1ec7nh nh\u00e2n n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1c l\u1ee3i \u00edch v\u00e0 r\u1ee7i ro c\u1ee7a ph\u1eabu thu\u1eadt n\u00e0y.<\/p>\n

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

Ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a r\u1ea5t quan tr\u1ecdng trong cu\u1ed9c s\u1ed1ng. Ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 gi\u1ea3m nguy c\u01a1 […]<\/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 \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a r\u1ea5t quan tr\u1ecdng trong cu\u1ed9c s\u1ed1ng...\" \/>\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 \u0111\u00f3ng l\u1ed7 r\u00f2 th\u1ef1c qu\u1ea3n-kh\u00ed qu\u1ea3n - 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