{"id":30165,"date":"2023-05-01T22:49:11","date_gmt":"2023-05-01T15:49:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30165"},"modified":"2023-05-01T22:49:11","modified_gmt":"2023-05-01T15:49:11","slug":"benh-co-tim-that-trai-xop-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/benh-co-tim-that-trai-xop-chan-doan-va-dieu-tri\/","title":{"rendered":"B\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

B\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p<\/a> (Left ventricular non-compactipn) l\u00e0 m\u1ed9t b\u1ec7nh c\u01a1 tim hi\u1ebfm g\u1eb7p \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c b\u00e8 c\u01a1 b\u1ea5t th\u01b0\u1eddng, c\u00e1c r\u00e3nh v\u00e0 h\u1ed1c c\u1ee7a c\u01a1 tim th\u1ea5t tr\u00e1i, \u0111\u1ed3ng th\u1eddi v\u1edbi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i.<\/strong><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n

B\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p (Left ventricular non-compactipn) <\/strong>l\u00e0 m\u1ed9t b\u1ec7nh c\u01a1 tim hi\u1ebfm g\u1eb7p \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1A xu\u1ea5t hi\u1ec7n c\u00e1c b\u00e8 c\u01a1 b\u1ea5t th\u01b0\u1eddng, c\u00e1c r\u00e3nh v\u00e0 h\u1ed1c c\u1ee7a c\u01a1 tim th\u1ea5t tr\u00e1i, \u0111\u1ed3ng th\u1eddi v\u1edbi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i, kh\u1ea3 n\u0103ng cao xu\u1ea5t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp v\u00e0 c\u00e1c bi\u1ebfn c\u1ed1 t\u1eafc m\u1ea1ch do c\u00e1c c\u1ee5c huy\u1ebft kh\u1ed1i \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh trong bu\u1ed3ng tim.<\/p>\n

T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u0111\u1ebfn n\u00e0y v\u0201n c\u00f2n ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 v\u0201n ch\u01b0a c\u00f3 m\u1ed9t th\u1ed1ng nh\u1ea5t v\u1ec1 c\u00e1c ti\u00eau chu\u1ea9n \u0111\u1eb7c hi\u1ec7u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh. Danh ph\u00e1p kinh \u0111i\u1ec3n c\u1ee7a b\u1ec7nh n\u00e0y d\u1ec5 g\u00e2y hi\u1ec3u nh\u1ea7m, b\u1edfi c\u01a1 tim c\u1ea3 th\u1ea5t ph\u1ea3i v\u00e0 th\u1ea5t tr\u00e1i \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng, v\u00ec v\u1eady trong b\u00e0i n\u00e0y ch\u00fang t\u00f4i xin g\u1ecdi chung l\u00e0 b\u1ec7nh c\u01a1 tim x\u1ed1p.<\/p>\n

2. C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/h2>\n

M\u1eb7c d\u00f9 c\u01a1 ch\u1ebf d\u0201n \u0111\u1ebfn b\u1ec7nh c\u01a1 tim x\u1ed1p v\u0201n ch\u01b0a r\u00f5 r\u00e0ng, c\u00e1c \u00fd ki\u1ebfn hi\u1ec7n nay cho r\u1eb1ng nguy\u00ean nh\u00e2n l\u00e0 do s\u1ef1 r\u1ed1i lo\u1ea1n qu\u00e1 tr\u00ecnh bi\u1ec7t h\u00f3a n\u1ed9i m\u1ea1c c\u01a1 tim. Trong sinh l\u00fd b\u00ecnh th\u01b0\u1eddng, vi\u1ec7c x\u1ebfp b\u00e8 c\u01a1 tim di\u1ec5n ra v\u00e0o ng\u00e0y th\u1ee9 32 c\u1ee7a qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a b\u00e0o thai, sau \u0111\u00f3 \u0111\u1ebfn ng\u00e0y th\u1ee9 70 th\u00ec di\u1ec5n ra t\u00ecnh tr\u1ea1ng \u0111\u00e0n x\u1ebfp c\u1ee7a c\u01a1 tim. B\u1ec7nh c\u01a1 tim x\u1ed1p l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c m\u1ea5t qu\u00e1 tr\u00ecnh \u0111\u00e0n x\u1ebfp c\u1ee7a c\u01a1 tim trong t\u1eed cung, d\u0201n \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a m\u1ed9t v\u00f9ng c\u01a1 tim kh\u00f4ng \u0111\u00e0n x\u1ebfp xen l\u0201n v\u1edbi c\u00e1c v\u00f9ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n

C\u01a1 ch\u1ebf v\u1ec1 m\u1eb7t di truy\u1ec1n c\u1ee7a b\u1ec7nh c\u01a1 tim x\u1ed1p \u0111\u01b0\u1ee3c g\u1ee3i \u00fd v\u00ec c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh cao \u1edf c\u00e1c th\u00e0nh vi\u00ean h\u1ecd h\u00e0ng b\u1eadc 1. V\u1ec1 t\u00ednh ch\u1ea5t di truy\u1ec1n, bi\u1ec3u hi\u1ec7n kh\u00e1 thay \u0111\u1ed5i, bao g\u1ed3m c\u1ea3 di truy\u1ec1n ki\u1ec3u gen tr\u1ed9i tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng, di truy\u1ec1n li\u00ean k\u1ebft v\u1edbi nhi\u1ec5m s\u1eafc th\u1ec3 X v\u00e0 di truy\u1ec1n ki\u1ec3u ty th\u1ec3. \u0110\u1ed9t bi\u1ebfn gen G4.5 m\u00e3 h\u00f3a cho taffazins \u1edf c\u01a1 tim v\u00e0 c\u01a1 x\u01b0\u01a1ng, \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u0111\u1ea7u ti\u00ean \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng Barth. C\u00e1c \u0111\u1ed9t bi\u1ebfn protein c\u1ea5u tr\u00fac kh\u00e1c bao g\u1ed3m: a-dystrobrevin, Cypher\/zASP v\u00e0 FKBP12 c\u0169ng c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh c\u01a1 tim x\u1ed1p.<\/p>\n

3. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h2>\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ch\u00ednh c\u1ee7a b\u1ec7nh c\u01a1 tim x\u1ed1p l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu, t\u00e2m tr\u01b0\u01a1ng v\u00e0 suy tim sung huy\u1ebft.<\/p>\n

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  • R\u1ed1i lo\u1ea1n nh\u1ecbp <\/strong>xu\u1ea5t hi\u1ec7n v\u1edbi t\u1ef7 l\u1ec7 kh\u00e1 cao, g\u1ed3m c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129 v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t kh\u00e1 cao \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n n\u00e0y. Trong \u0111\u00f3, h\u1ed9i ch\u1ee9ng WPW kh\u00e1 th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em. \u0110\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/li>\n
  • Bi\u1ebfn c\u1ed1 t\u1eafc m\u1ea1ch do huy\u1ebft kh\u1ed1i <\/strong>trong bu\u1ed3ng tim t\u1ea1i v\u1ecb tr\u00ed c\u00e1c r\u00e3nh gi\u1eefa b\u00e8 c\u01a1 c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n \u0111\u1ea7u ti\u00ean ho\u1eb7c l\u00e0 bi\u1ebfn c\u1ed1 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh c\u01a1 tim x\u1ed1p.<\/li>\n<\/ul>\n

    B\u1ec7nh c\u01a1 tim x\u1ed1p c\u00f3 th\u1ec3 g\u1eb7p k\u00e8m theo c\u00e1c b\u1ec7nh tim b\u1ea9m sinh <\/em>kh\u00e1c bao g\u1ed3m b\u1ea5t th\u01b0\u1eddng Ebstein, van \u0110M ch\u1ee7 hai l\u00e1 van, v\u00e0 b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh c\u1ee7a \u0111\u01b0\u1eddng ra th\u1ea5t tr\u00e1i v\u00e0 th\u1ea5t ph\u1ea3i v\u00ed d\u1ee5 nh\u01b0 thi\u1ec3u s\u1ea3n van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n

    M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd th\u1ea7n kinh c\u01a1 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n k\u00e8m theo nh\u01b0 b\u1ec7nh Charcot – Marie – Tooth v\u00e0 h\u1ed9i ch\u1ee9ng Melnick – Needles.<\/p>\n

    4. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

    D\u1ef1a tr\u00ean c\u00e1c th\u00f4ng tin kh\u00e1 h\u1ea1n ch\u1ebf t\u1eeb m\u1ed9t s\u1ed1 trung t\u00e2m, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 th\u1ec3 b\u1ea5t th\u01b0\u1eddng \u1edf 95% c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u01b0ng c\u00e1c bi\u1ebfn \u0111\u1ed5i th\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. C\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 bao g\u1ed3m ph\u00ec \u0111\u1ea1i hai bu\u1ed3ng th\u1ea5t, s\u00f3ng T \u00e2m, v\u00e0 r\u1ed1i lo\u1ea1n d\u0201n truy\u1ec1n v\u00ed d\u1ee5 nh\u01b0 block nh\u0129 th\u1ea5t c\u1ea5p 3.<\/p>\n

    Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ch\u1ee7 y\u1ebfu qua ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 si\u00eau \u00e2m tim.<\/p>\n

    4.1 Si\u00eau \u00e2m tim<\/h3>\n

    Hi\u1ec7n nay c\u00f2n m\u1ed9t s\u1ed1 tranh c\u00e3i v\u1ec1 c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh c\u01a1 tim x\u1ed1p. Hi\u1ec7n nay c\u00f3 ba ti\u00eau chu\u1ea9n ri\u00eang bi\u1ec7t, bao g\u1ed3m:<\/p>\n

      \n
    • S\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a nhi\u1ec1u c\u00e1c b\u00e8 c\u01a1 <\/strong>\u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1ea1i v\u00f9ng m\u1ecfm v\u00e0 th\u00e0nh t\u1ef1 do th\u1ea5t tr\u00e1i<\/li>\n
    • Xu\u1ea5t hi\u1ec7n c\u00e1c b\u00e8 c\u01a1 s\u00e2u trong bu\u1ed3ng tim tr\u00e1i<\/strong>, nh\u00ecn r\u00f5 khi d\u00f9ng si\u00eau \u00e2m Doppler<\/li>\n
    • C\u1ea5u tr\u00fac c\u01a1 tim hai l\u1edbp<\/strong>, trong \u0111\u00f3 t\u1ef7 l\u1ec7 \u0111\u1ed9 d\u00e0y l\u1edbp kh\u00f4ng \u0111\u00e0n x\u1ebfp\/ \u0111\u00e0n x\u1ebfp > 2 \u1edf ng\u01b0\u1eddi l\u1edbn \u1edf th\u00ec cu\u1ed1i t\u00e2m thu t\u1ea1i m\u1eb7t c\u1eaft tr\u1ee5c ng\u1eafn c\u1ea1nh \u1ee9c tr\u00e1i.<\/li>\n
    • M\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u kh\u00e1c bao g\u1ed3m gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i, gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng, huy\u1ebft kh\u1ed1i th\u1ea5t tr\u00e1i v\u00e0 b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac c\u01a1 nh\u00fa.<\/li>\n<\/ul>\n

      4.2 C\u1ed9ng h\u01b0\u1edfng t\u1eeb tim<\/h3>\n

      Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb khi h\u00ecnh \u1ea3nh si\u00eau \u00e2m tim qua th\u00e0nh ng\u1ef1c kh\u00f4ng t\u1ed1t. Hi\u1ec7n t\u1ea1i CHT tim \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 t\u1ed1t h\u01a1n so v\u1edbi ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p bu\u1ed3ng th\u1ea5t tr\u00e1i ho\u1eb7c ch\u1ee5p CLVT tim m\u1ea1ch trong ch\u1ea9n \u0111o\u00e1n c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f3.<\/p>\n

      D\u1ea5u hi\u1ec7u \u0111\u1eb7c hi\u1ec7u nh\u1ea5t <\/strong>tr\u00ean ch\u1ee5p CHT tim l\u00e0 t\u1ef7 l\u1ec7 t\u1ed1i \u0111a gi\u1eefa v\u00f9ng c\u01a1 tim kh\u00f4ng \u0111\u00e0n x\u1ebfp\/\u0111\u00e0n x\u1ebfp > 2, 3 trong th\u00ec t\u00e2m tr\u01b0\u01a1ng tr\u00ean 3 m\u1eb7t c\u1eaft tr\u1ee5c d\u00e0i.<\/p>\n

      \"B\u1ec7nh<\/p>\n

      Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh b\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p<\/strong><\/p>\n

      4.3 X\u00e9t nghi\u1ec7m gen<\/h3>\n

      Sinh thi\u1ebft c\u01a1, nghi\u00ean c\u1ee9u v\u1ec1 chuy\u1ec3n h\u00f3a v\u00e0 x\u00e9t nghi\u1ec7m gen c\u00f3 th\u1ec3 c\u00f3 gi\u00e1 tr\u1ecb khi c\u00e2n nh\u1eafc b\u1ec7nh c\u01a1 tim x\u1ed1p trong b\u1ec7nh c\u1ea3nh m\u1ed9t h\u1ed9i ch\u1ee9ng di truy\u1ec1n ho\u1eb7c chuy\u1ec3n h\u00f3a<\/p>\n

      5. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

      Kh\u00f4ng c\u00f3 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh c\u01a1 tim x\u1ed1p. \u0110i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 th\u01b0\u1eddng t\u1eadp trung v\u00e0o \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng suy tim theo c\u00e1c khuy\u1ebfn c\u00e1o hi\u1ec7n h\u00e0nh.<\/p>\n

      Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng <\/em><\/strong>th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 rung nh\u0129 v\u00e0 ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i d\u01b0\u1edbi 40% \u0111\u1ec3 d\u1ef1 ph\u00f2ng bi\u1ebfn c\u1ed1 t\u1eafc m\u1ea1ch.<\/p>\n

      Holter \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 <\/em><\/strong>c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc ti\u1ebfn h\u00e0nh \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp kh\u00f4ng tri\u1ec7u ch\u1ee9ng.<\/p>\n

      C\u1ea5y m\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng (ICD) <\/em><\/strong>\u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf c\u00e1c b\u1ec7nh nh\u00e2n b\u1ec7nh c\u01a1 tim x\u1ed1p c\u00f3 gi\u1ea3m n\u1eb7ng ch\u1ee9c n\u0103ng tim v\u00e0 xu\u1ea5t hi\u1ec7n c\u00e1c c\u01a1n nh\u1ecbp nhanh th\u1ea5t kh\u00f4ng b\u1ec1n b\u1ec9.<\/p>\n

      6. Ti\u00ean l\u01b0\u1ee3ng<\/h2>\n

      C\u00e1c nghi\u00ean c\u1ee9u ban \u0111\u1ea7u \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh tr\u00ean c\u00e1c nh\u00f3m nh\u1ecf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng c\u01a1 tim cho th\u1ea5y b\u1ec7nh c\u01a1 tim x\u1ed1p c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u h\u01a1n r\u1ea5t nhi\u1ec1u so v\u1edbi c\u00e1c b\u1ec7nh c\u01a1 tim kh\u00e1c. Tuy v\u1eady, c\u00f9ng v\u1edbi s\u1ef1 thay \u0111\u1ed5i v\u1ec1 c\u00e1c hi\u1ec3u bi\u1ebft c\u1ee7a ch\u00fang ta v\u1ec1 b\u1ec7nh c\u01a1 tim x\u1ed1p, hi\u1ec7n nay \u0111\u00e3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c th\u00eam c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh \u1edf c\u00e1c giai \u0111o\u1ea1n nh\u1eb9 h\u01a1n v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng \u00edt ho\u1eb7c c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng c\u01a1 tim nh\u01b0ng r\u1ea5t \u00edt tri\u1ec7u ch\u1ee9ng.<\/p>\n","protected":false},"excerpt":{"rendered":"

      B\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p (Left ventricular non-compactipn) l\u00e0 m\u1ed9t b\u1ec7nh c\u01a1 tim hi\u1ebfm g\u1eb7p \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c b\u00e8 c\u01a1 b\u1ea5t th\u01b0\u1eddng, c\u00e1c r\u00e3nh v\u00e0 h\u1ed1c c\u1ee7a c\u01a1 tim th\u1ea5t tr\u00e1i, \u0111\u1ed3ng th\u1eddi v\u1edbi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i. 1. \u0110\u1ecbnh ngh\u0129a B\u1ec7nh […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nB\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c b\u00e8 c\u01a1 b\u1ea5t th\u01b0\u1eddng,r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i.\" \/>\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=\"B\u1ec7nh c\u01a1 tim th\u1ea5t tr\u00e1i x\u1ed1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - 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